Alcohol and drugs in the workplace: reducing the costs.
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Biomedical subjects
Publications and source records attributed to D Hawks.
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A number of countries have recently embarked on responsible drinking or safe drinking educational campaigns. The object of these campaigns is to discourage people from exceeding levels of alcohol consumption considered compatible with good health. One possible implication of the success of these campaigns is an increase in per capita alcohol consumption. Such increases are usually thought of as inimical to health and therefore present the health educator with a dilemma. Reference is made to Australian data in an examination of this paradox.
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A number of newly constructed attitude measures are described and correlated with two previously established measures, on a sample of 830 university students. Scales were devised to measure political orientation, permissive-restrictiveness, puritan ethic, parental congruence and extra-intra punitiveness. In addition a checklist concerned with degree of social and political activity, a modified (shortened) version of Crumbaugh's Purpose in Life Test, Srole's Test of Anomie (complete), and the shortened form of the E.P.I. were used. Item loadings on the main facotr in each scale and overall correlations between the scales are given.
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The implementation of a policy of "community care' is seen to involve a number of assumptions, some of which are rarely examined. These can be roughly categorized as involving the nature of mental illness, the nature of community, the course and treatment of mental illness, the proper scope of psychiatry, the burden on the community and the efficacy of social work. Data bearing on these assumptions are reviewed, and the conclusion is offered that they are far from being uncontentious. It is suggested that the movement toward community care has many of the attributes of a moral enterprise which, unless substantiated by benefits to the patient or his family, may be the latest diversion of the psychiatric conscience from the care and treatment of the chronic mentally ill.
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A functional, insulin-secreting pancreatic (islet cell) carcinoma was diagnosed in a 17-year-old male Siamese cat. Diagnosis was made on the basis of clinical signs (i.e., seizures and stupor) that resolved temporarily after correction of hypoglycemia with feeding or intravenous administration of glucose, the finding of an inappropriately increased serum insulin concentration in the face of hypoglycemia, and prolonged resolution of hypoglycemia after surgical removal of the tumor. Primary islet cell tumor of the pancreas was confirmed by biopsy. The cat died 18 months later, and necropsy revealed metastases to regional lymph nodes and liver. Specimens of the tumor and metastatic lesions both stained positively for insulin.