• 제목/요약/키워드: Substance use

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Smokeless Tobacco (Shammah) in Saudi Arabia: A Review of its Pattern of Use, Prevalence, and Potential Role in Oral Cancer

  • Alsanosy, Rashad Mohammed
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6477-6483
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    • 2014
  • Background: Shammah is a traditional form of chewing tobacco [smokeless tobacco, (ST)] that is commonly used in the Middle East especially in Saudi Arabia (KSA), Yemen and Sudan. The Substance Abuse Research Centre (SARC) at Jazan University noted that no adequate research and information on the prevalence of shammah use in the province of Jazan, and KSA as well, has been provided in the scientific literature. Materials and Methods: An intensive systematic review of online databases was performed, including AMED (The Allied and Complementary Medicine Database), Biological Abstracts, Cochrane Collection Plus, Dentistry and Oral Sciences Source, E-Journals Database, EBSCO Discovery Service, MEDLINE, PEMSoft, PEP Archive, PsycARTICLES, scopus, Sciencedirect and Google Scholar. Results: Shammah is a mixture of powdered tobacco, lime, ash, black pepper, oils and flavorings. ST in KSA is placed in the buccal or lower labial vestibule of the mouth. The user (or dipper) spits out insoluble debris. The importation of ST products is prohibited in KSA. Accessible information on legislative action to control the use of ST in KSA appeared in 1990. The actual percentage use may be higher, than reported since shammah is illegal in KSA and there may be some reluctance to admit to its use. Conclusions: This review paper is an initial step in a funded research project by SARC to understand the pattern of use of shammah and provide adequate epidemiological data. One goal of this review is to generate further data for public health education.

식욕억제제 Phentermine, Phendimetrazine으로 유발된 정신병적 장애 증례군 연구 (Psychotic Disorder Induced by Appetite Suppressants, Phentermine or Phendimetrazine : A Case Series Study)

  • 곽숙영;윤탁;이남영;정인원;김세현
    • 생물정신의학
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    • 제24권3호
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    • pp.134-141
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    • 2017
  • Objectives A retrospective case series study was conducted to investigate the clinical characteristics of psychotic disorders induced by appetite suppressants, phentermine and phendimetrazine. Methods A retrospective electronic medical record review identified 5 admitted patients who had psychotic symptoms after taking phentermine or phendimetrazine. Clinical information was reviewed and summarized in each case. Results Hallucinations were reported in all cases, including auditory, visual, olfactory and somatic hallucinations. After discontinuation of phentermine or phendimetrazine, the symptoms rapidly improved with low dose of antipsychotics. Patients tended to have less prominent negative symptoms and higher insight into illness, and often showed depressive mood. These clinical characteristics were similar to psychosis induced by amphetamines. Two patients developed stimulant use disorder while using phentermine. Conclusions These findings call for awareness of the risks associated with use of appetite suppressants. Prescription of phentermine or phendimetrazine should be accompanied by close monitoring of mental status, and suspicion for substance/medication-induced psychotic disorder.

남자 청소년의 약물사용 위험성에 관한 연구 (A Study on the Risk of Drug Use by Male Adolescents)

  • 김현미;안효자;손정태
    • 기본간호학회지
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    • 제14권4호
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    • pp.524-535
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    • 2007
  • Purpose: The purpose was to identify the risk of drug use by adolescents. Method: The participants were 933 male students in the first grade of a high school in D city. The data were collected from Aug. 5th to Oct. 30th, 2004. The instrument was the High Risk Group Adolescent Drug User Screening Test(HIRIGADUST) developed by the Korea Adolescent Society(1996). The data were analyzed using SPSS. Results: For substance use, 64.5% of the students answered that they had drunk, 40.3% that they had smoked, and 2.0% that they had tried drug use. For scores on HIRIGADUST regarding socio-demographic characteristics, there were significant differences depending on school type, personality, academic performance, economic status, and ability to talk with parents. For scores on HIRIGADUST regarding drug using-related characteristics, there were significant differences depending on drinking experience, frequency of drinking, amount of alcohol intake, smoking experience and number of cigarettes smoked. Of the students 27.2% students were in the high risk group. Conclusion: In schools, systematic and intensive assessment of drug use should be done, and if needed, a service system connected to clinics specializing in drug addiction should be established. Prevention education should be carried out continuously.

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Patterns of Use, Cessation Behavior and Socio-Demographic Factors Associated with Smoking in Saudi Arabia: a Cross-Sectional Multi-Step Study

  • Abdelwahab, Siddig Ibarhim;El-Setohy, Maged;Alsharqi, Abdalla;Elsanosy, Rashad;Mohammed, Umar Yagoub
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.655-660
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    • 2016
  • Smoking is accountable for the fatality of a substantial number of persons and increases the likelihood of cancer and cardiovascular diseases. Although data have shown high prevalence rates of cigarette smoking in Saudi Arabia, relatively little is known about the broader scope. The objectives of this study were to investigate socio-demographic factors, patterns of use and cessation behavior associated with smoking in Saudi Arabia (KSA). The study utilized a cross-sectional, multi-step design of sampling. Residents (N=1,497; aged 15 years and older) were recruited from seven administrative areas in Southwest Saudi Arabia. A pretested questionnaire was utilized to obtain data on participant cigarette smoking, including their daily use, age, education, income, marital status and employment status. The current study is the first of its kind to gather data cessation behavior of Saudi subjects. With the exception of 1.5% females, all the respondents were male. The majority of the respondents were married, had a university level of education, were employed, and were younger than 34 years old. The same trends were also observed among smokers' samples. The current prevalence of cigarette smoking was 49.2% and 65.7% of smokers had smoking at less than 18 years of age. The mean daily use amongst smokers was 7.98 cigarettes (SD=4.587). More than 50% of the study sample had tried at least once to quit smoking. However, 42% of the smokers participating had never. On the other hand, about 25% of the respondents were willing to consider quitting smoking in the future. Modeling of cigarette smoking suggested that the most significant independent predictors of smoking behavior were geographic area, gender, marital status, education, job and age. Considerable variation in smoking prevalence was noted related with participant sociodemographics. Findings recommend the necessity for control and intervention programs in Saudi community.

청소년의 흡연 및 음주 행태와 사회경제적 수준과의 관계 (The Effects of Socio-Economic Status on Drinking and Smoking in Korean Adolescents)

  • 조선희;엄애용;전경숙
    • 보건의료산업학회지
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    • 제6권4호
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    • pp.13-25
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    • 2012
  • There is growing evidence that substance use such as tobacco or alcohol consumption influences health disparity among adolescents. Previous research papers have shown an inconsistency in the relationship between socio-economic status (SES) and substance use in adolescents. However, little is known about socio-economic differences in unhealthy behaviors among Korean adolescents. The purpose of the present study is to explore associations between SES and substance use in Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey (YRBS), which included a nationally representative sample of middle and high school students. Drinking/heavy drinking and smoking/daily smoking behavior indices were used for dependent variables, and perceived economic status, family affluence score, parents' education were used for independent variables. Chi-square test were used to compare tobacco and alcohol consumption among 3 SES groups. Logistic regression models were used to identify statistically significant socio-economic factors after adjusting other covariates. Higher perceived economic status and higher family affluence were associated with higher rates of smoking, daily smoking, drinking, and heavy drinking, while lower level of parents' education was related to higher use of tobacco and alcohol. Socio-economic status significantly influences health behaviors in adolescents, and it may consequently affect health disparity in their adulthood. Therefore, there is a need of continuous monitoring and follow-up research of health disparity among adolescents.

음주문제는 도박문제를 예측하는가? - 물질중독과 행위중독의 관계 분석 - (Do Drinking Problems Predict Gambling Problems? -The Association between Substance Abuse and Behavioral Addiction-)

  • 장수미
    • 한국사회복지학
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    • 제68권2호
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    • pp.5-25
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    • 2016
  • 알코올, 약물과 같은 물질중독(substance abuse)과 도박 등의 행위중독(behavioral addiction)은 공통의 속성을 가지며, 동일한 기전에 의해 발생하며, 실제로 동시발생(co-occurrence)률이 높은 것으로 보고된다. 최근 대학생 집단에서도 음주 및 도박행동이 동시에 나타나며 이로 인해 다중 중독의 문제 및 부정적 결과가 초래되고 있다. 이 연구는 선행연구에서 문제도박 발생의 예측요인으로 제시되는 음주행동에 주목하고, 이에 기반하여 연구모형을 구성하여, 전국에서 표집 한 455명의 대학생을 대상으로 그 관계를 실증적으로 검증해 보는 것을 목적으로 하였다. 로지스틱 회귀분석 결과, 문제도박에 영향을 미칠 수 있는 인구사회학적 및 가족 변인을 통제한 모델에서 음주문제는 도박문제 발생을 예측하는 유의미한 변인으로 나타났다. 결론에서는 주요 연구결과를 중심으로 사회복지 실천현장, 정책수립 과정, 향후 중독분야 연구에서 활용할 수 있는 이 논문의 함의를 논의하였다.

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실용신안 운송 및 저장용기의 실용화를 위한 Expert System의 개발연구 (An Expert System for the Practical Use of the Newly Designed Freight/storage Containers)

  • 김인정
    • 한국화재소방학회논문지
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    • 제6권2호
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    • pp.33-39
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    • 1992
  • This work presents an expert system for the classification of a given substance and thus enabling one to select the proper container in consultation with the computer. The system consists of 34 rules and uses Micro Expert as a shell program based on backward chaining method. The prototype system will have to be under extensive test. However, its use is bound to have advantages over conventional methods, e.g. looking up in a reference book or using conventional programs with a database. Since the expert system determines the group of the given substance not by its name but by its physical and chemical properties, it is not necessary to add data items even for newly synthesized substances. The system also provides reasoning for its determination and therefore it can be used as a good package for the training of unskilled operators.

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청소년 약물남용 실태에 관한 연구 -서울지역을중심으로- (The Survey of Adolescent Drug abuse in Seoul)

  • 김소야자;현명선;성경미;공성숙
    • 대한간호학회지
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    • 제23권3호
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    • pp.487-503
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    • 1993
  • This study was designed to investigate the situation of adolescent drug use in Seoul, and to com-pare this with the 1991 survey in order to better understand the present situation. The subject for this study were 1000 students in High School and Middle School. The data were collected during the period from september 1, 1992 to December 30, 1992. The guestionnaire developed by Kim So Ya Ja (1991) to survey adolescent drug use was used. The data was analyzed using descriptive statistics, 1-test and ANOVA with the SPSS program. The results of this study can be summarized as follows 1. Prevalence of Substance use : Antihistamines were used by 0.3% of adolescent, Sedatives 0.6%, Stimulants 8.1%, Hallucinogens 0.9%, Inhalants 3.2%, Narcotics 1.7%, and Analgetics 154.3%. 2. Trend in substance use compared to the 1991 surbey : Alcohol use increased from 52.8% to 63.7% and narcotics from 0.6% to 1.7%, while Smeking, Analgetics, Antihistamines, Sedatives, and Inhalants showed a decrease. 3. Smoking and Alcohol use : Twenty five percent of school adolescent had experienced cigarette smoking and 63.7% of school adolescent had experienced alcohol use. 4. Motives for drug use : The highest was avoidence of sleep at 49.4% and the next highest was adventure seeking at 27.7%. As to feeling after drug use, 34.3% felt apathy, 22.8% had feelings of sleepiness and unconsciousness. 5. Places were dreg were purchased : The most frequent was the drug store (78.3%) and 84.4% of the respondents answered that drug purchase was easy and 86.7% that drug use was mainly at home. 6. Related Variables : There was a statistically significent high score for drug and alcohol use by adolescents whose fathers used drugs. (PC.05) In conclusion, adolescents in Seoul showed in decrease in the tendency to use drugs compared to the 1991 survey, however drugs which are habit-forming and lead to dependency are still being abused. Therefore, counter-plans and preventive stratiges are important.

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활성물질을 사용하는 선박평형수 처리장치의 IMO 승인 절차 고찰 (Consideration of the Procedure for IMO Approval of Ballast Water Treatment System that Make Use of Active Substances)

  • 김은찬
    • 한국해양환경ㆍ에너지학회지
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    • 제11권4호
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    • pp.214-220
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    • 2008
  • 선박평형수 관리 협약에서 활성물질을 사용하는 선박평형수 처리장치는 IMO가 제정한 절차에 따라 IMO로부터 승인을 받아야하는 것으로 되어 있다. 협약에서 활성물질이란 유해 수중 생물과 병원균에 대하여 바이러스나 균류를 포함한 일반적인 또는 특정한 작용을 하는 물질 또는 생물을 말한다고 되어 있다. IMO 해양환경 보호위원회에서는 2008년 10월까지 13개의 선박평형수 처리장치에 기본승인을 부여하였고 4개의 처리장치에 최종승인을 부여하였다. 본 논문에서는 "활성물질을 사용하는 선박평형수 관리시스템의 승인을 위한 절차서(G9)"와 "GESAMP-BWWG의 정보 수집과 업무 수행을 위한 방법"에 근거하여 기본승인과 최종승인의 절차와 문서의 요소를 고찰하였고, IMO로부터 기본승인 또는 최종승인을 받은 처리장치의 승인 내용을 요약하였으며, 이로부터 몇 가지 문제점을 제기하였다.

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