Vidyya Medical News Servicesm
Vidyya, from the Sanskrit "vaidya," a practitioner who has come to understand the science of life.

Volume 2 Published - 14:00 UTC    08:00 EST    12-March-2001      
Issue 71 Next Update - 14:00 UTC 08:00 EST    13-March-2001      

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Vidyya Medical News Service For 12-March-2001:

The following stories appear in full on Today's Vidyya Medical News Service Web site.

The National Institutes of Health, commenting on "current issues and controversies about Vitamin E," says that preliminary research has led to a widely-held belief that Vitamin E can help prevent or delay coronary heart disease, and that a higher intake of Vitamin E has been associated with a decreased incidence of both prostate cancer and breast cancer.

For more information: Vitamin E Intake Decreases Cancers, Heart Disease

Scientists have discovered that a multipurpose protein found in several bodily fluids has another important function--it can promote the healing of abnormal skin wounds, which are a significant problem in the elderly.

For more information: Topical Application Of A Protein Heals Wounds

To ensure that treatment providers apply the most current science-based approaches to their patients, NIDA has supported the development of the "Therapy Manuals for Drug Addiction" series. This series reflects NIDA's commitment to rapidly applying basic findings in real-life settings. The manuals are derived from those used efficaciously in NIDA-supported drug abuse treatment studies. Vidyya is pleased to have three of the manuals in today's issue.

Cognitive-behavioral coping skills treatment (CBT) is a short-term, focused approach to helping cocaine-dependent individuals (In this manual, the term cocaine abuser or cocaine-dependent individual is used to refer to individuals who meet DSM-IV criteria for cocaine abuse or dependence.) become abstinent from cocaine and other substances. The underlying assumption is that learning processes play an important role in the development and continuation of cocaine abuse and dependence. These same learning processes can be used to help individuals reduce their drug use.

For more information: Manuals For Health Professionals: A Cognitive-Behavioral Approach: Treating Cocaine Addiction

There is no consensus on how to treat cocaine dependence, though there are many suggested interventions. One such intervention, CRA + Vouchers, is the focus of one of the manuals in today's issue. This treatment integrates a community reinforcement approach (CRA), originally developed as an effective treatment for alcohol dependence, with an incentive program (Vouchers) wherein patients can earn points exchangeable for retail items by remaining in treatment and cocaine abstinent. This multicomponent treatment as a whole and several of its components have been demonstrated to be efficacious in controlled clinical trials conducted with cocaine-dependent adults in outpatient clinics. Its applicability to younger individuals and in other settings has not been tested.

For more information: Manuals For Health Professionals: A Community Reinforcement Plus Vouchers Approach - Treating Cocaine Addiction

This last manual is intended as a guide for the individual treatment of cocaine addiction by addiction counselors. The counseling model described here was developed originally for use in the Collaborative Cocaine Treatment Study and was based on the counseling in the outpatient, drug-free program in the Addiction Recovery Unit and in the methadone maintenance program, which are both part of the Veterans Affairs Medical Center. Twelve-step philosophy and participation is a central component of the model. This individual counseling model can be viewed as a component within a comprehensive outpatient treatment program for cocaine addiction. Alternatively, the model can be offered independently of other treatments, and referrals can be made for any additional services as needed.

For more information: Manuals For Health Professionals: An Individual Drug Counseling Approach to Treat Cocaine Addiction - The Collaborative Cocaine Treatment Study Model

Today's Vidyya articles are:

As always, we hope you enjoy the issue.

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Editor: Susan K. Boyer, RN
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