David M. Scott

A survey of alcohol and other drug use behaviors and risk factors in health profession students.

This survey assessed the alcohol and other drug (AOD) use habits and risk factors of health profession students at a midwestern university health science center. The authors administered a 75-item survey to 1,707 students in selected classrooms: 984 students responded for a return rate of 57.6%. In 1990, they found, alcohol use among the health profession students in the past year was comparable to that of undergraduate college students nationally (86%), although significantly fewer health profession students drank heavily (27% had five or more drinks in the past 2 weeks, compared with 41% of college students). The percentage of health profession students who reported using tobacco or illicit drugs was lower than the percentage of undergraduate students who used these substances. At the time of the study, 16% of the respondents may have had a potential current alcohol problem and 3.5% a potential drug problem. Pharmacy students most often reported negative consequences from their AOD use. Peer pressure influenced the drinking decisions of 55% of the respondents; students in dentistry and pharmacy experienced the least support from peers for their decisions to abstain from drinking. Family histories of alcohol problems were reported by 38% of the respondents, and family histories of drug use by 14.8%. Male health profession students, when compared with the female professional students, drank more and experienced more consequences of their drinking or drug use and were also more influenced by peers.

A preliminary study of immunologic and hematologic profiles of peripheral blood from Nebraska farmers who apply pesticides to their fields.

OBJECTIVE Laboratory studies have documented a wide range of pesticide-induced changes in the hematopoietic and lymphoreticular systems. Some of these are expressed as altered serum values, blood cell counts, and leucocyte functions. The goal of the present study was to determine whether these alterations were evident in peripheral blood of Nebraska farmers who applied pesticides to their fields. METHODS An invitation to participate was mailed to 100 residents (70 farmers; 30 controls) of Butler County, Nebraska. All respondents (51 farmers and 21 controls) were enrolled and surveyed by written questionnaire for health status and pesticide use. Our analysis included 45 farmers and 18 controls. The farmers were divided into a high (n = 23) and a low (n = 22) pesticide use group. Statistical correlations of ten blood values with both pesticide use and age were evaluated, since pesticide use correlated with age. RESULTS Four of the ten blood values correlated with pesticide use and age (Spearman Rho). In a multiple regression model, pesticide use (not age) proved to be a predictor of red blood cell count and hematocrit. In the same model, pesticide use was not a predictor of mean red cell volume or candida antigen-induced T-lymphocyte proliferation. Serum complement activity did not correlate with pesticide use among the farmers (n = 45) but was significantly reduced (ANOVA) in the high pesticide use group, compared to controls. CONCLUSIONS A preliminary study of blood values in a small cohort of Nebraska farmers found no pesticide-associated effects on 1) leucocyte count, 2) antigen- and mitogen-stimulated T-cell proliferation, 3) mitogen-stimulated B-cell proliferation, and 4) concentrations of serum IgG and IgM. The study found small but statistically significant pesticide-associated effects on red blood cells and serum complement.

Pharmacists as Nonprescription Drug Advisors

This field study tested the ability of pharmacists to counsel patients with diabetes mellitus on the contraindicated use of a decongestant. The study was modeled after a 1969 study conducted by Knapp et al. Our simulation used a patient with diabetes who questioned pharmacists initially about proper insulin storage and then asked about the use of Contac (phenylpropanolamine) capsules, which carry a prominent label warning against use by diabetic patients. A research assistant, posing as the patient, interviewed pharmacists at 36 community pharmacies in a midwestern metropolitan area. Eleven of the pharmacists (30.5%) failed to warn the patient about the contraindication, compared with 83% in the earlier study.

Process Evaluation of Nebraska's Team Training Project

Background. A process evaluation of the Nebraska Drug Free School/ Community Residential Team Training Project is described. This training project utilizes a “system approach” in the formation and implementation of localized strategic (action) plans targeting alcohol and other drug (AOD) abuse prevention. Methods. In June of 1990, training participants completed a pre-post survey in conjunction with the four-day training. The majority of the participants (51.2%) were teachers, 19.2 percent were parents, 13.6 percent administrators, and 9.6 percent were counselors. Results. Although the overall attitudes of the participants (N = 125) were positive initially, they became even more so by the end of the training (N = 121). Prior to training participants felt they could have a significant impact on their local AOD abuse problem, and this attitude became more positive by the completion of training (p < 0.05). Conclusions. The Nebraska team training process immerses team members in an active planning process allowing teams to develop a plan of action for their school and community. During this process, participants experience a positive growth in attitudes reflecting not only the training experience itself, but even more importantly their ability to meaningfully affect AOD abuse and related destructive behaviors in their homes, schools, and community.

Impact of Prescription Drug Expense on Low-Income Women with Hypertension, Dyslipidemia, and Diabetes in the State of Nebraska

Objective: A survey was designed to assess the burden of acquiring medications in low-income Nebraska women. Methods: The survey was mailed to 23,000 women. Questions asked evaluated health status, prescription drug coverage, income, and impact associated with purchasing medications. Data was evaluated in aggregate and comparisons were made between those with and without prescription drug coverage. Results: 23,000 surveys were mailed and 8,044 (35.0%) were returned. About 85% of respondents made less than

Development of a professional pharmacy outcomes assessment plan based on student abilities and competencies

30,000 yearly and 57.9% lived in towns of less than 5,000. Fifty-six percent reported having hypertension, diabetes, dyslipidemia, or more than one of these diseases. More than half of the respondents had stopped drug therapy and 28% stopped buying some foods in order to purchase medications. Respondents with prescription drug coverage had lower levels of stress but 80% remained worried about drug cost. Conclusion: Low-income rural women who need medication for common chronic diseases are having difficulty meeting this need.