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<title>iPrevention Blog</title><link>http://www.aodinitiatives.org/index.html</link><description>Dissemination and commentary from AODInitiatives.ORG</description><dc:language>en</dc:language><dc:creator>lange@aodinitiatives</dc:creator><dc:rights>Copyright 2009 James Lange</dc:rights><dc:date>2010-10-11T12:21:44-07:00</dc:date><admin:generatorAgent rdf:resource="http://www.realmacsoftware.com/" />
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<lastBuildDate>Thu, 25 Jun 2009 07:40:41 -0700</lastBuildDate><item><title>Social role of marijuana</title><dc:creator>lange@aodinitiatives</dc:creator><category>Marijuana</category><dc:date>2010-10-11T12:21:44-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/864587b9d5d2cab3a72cb444b4e40d4e-18.html#unique-entry-id-18</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/864587b9d5d2cab3a72cb444b4e40d4e-18.html#unique-entry-id-18</guid><content:encoded><![CDATA[There is little doubt in my mind that should prop 19 pass, there will be a substantial change in the role of marijuana in our society.   That said, within some parts of our culture the shift may have happened a while ago.   Perhaps this <a href="http://www.yandy.com/Mens-Dr.-Costume.php" target="_blank" title="Dr.   Herb">Halloween costume</a> is just one sign of the times.   The irony it employs is deft, and clearly there is no harm in a costume, but it reflects an understanding that the current medical exemption is, for many, a joke allowing for recreational use already.   I mean, since when is a doctor who treats terminally ill cancer patients the life of a party.   Again, Gorman and Huber's (2007) assertion that linking marijuana to sick people would deter use is looking more and more off the mark.   Neither the model in the Dr.   Herb costume nor his female nurse &quot;<a href="http://www.yandy.com/Medical-Mary-Jane-Costume.php" target="_blank">Medical Mary Jane</a>&quot; costume look sick to me, nor do I expect that their friends would shy away from being treated. 


...Do medical cannabis laws encourage cannabis use?   International Journal of Drug Policy, 18(3), 160-167. &nbsp;
]]></content:encoded></item><item><title>First of probably many</title><dc:creator>lange@aodinitiatives</dc:creator><category>Marijuana</category><dc:date>2010-10-01T08:53:55-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/5e81a08b3af51250fc43be0b14742ce6-17.html#unique-entry-id-17</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/5e81a08b3af51250fc43be0b14742ce6-17.html#unique-entry-id-17</guid><content:encoded><![CDATA[My guess is this story is but the beginning of what will be a flood of stories on how Proposition 19 will affect colleges.    It appears to be a well balanced, and thoughtful exploration of the issue.    It&rsquo;s going to be an interesting month. ]]></content:encoded></item><item><title>The Network CA Launched</title><dc:creator>lange@aodinitiatives</dc:creator><category>The Network California</category><category>Marijuana</category><dc:date>2010-08-19T23:30:07-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/d643625e71678ad6e0406ef2738cc557-16.html#unique-entry-id-16</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/d643625e71678ad6e0406ef2738cc557-16.html#unique-entry-id-16</guid><content:encoded><![CDATA[I&rsquo;ve got the new website for the California members of The Network Addressing Collegiate Alcohol and Other Drug Issues up and running now.    Feel free to check it out.    Over the next few weeks, I&rsquo;ll be populating the user list with member institutions and hopefully generating some traffic to it.  


Also, I&rsquo;ve decided to craft an online class on the impact of legalization on marijuana prevention strategies.    It will be a free six-week class.   You can find it at the iPrevention class platform.]]></content:encoded></item><item><title>KeepComingBack Interview</title><dc:creator>lange@aodinitiatives</dc:creator><category>Drunk Driving</category><dc:date>2010-07-24T01:16:18-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/cff18383b9de60e381996e40c016ae0d-15.html#unique-entry-id-15</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/cff18383b9de60e381996e40c016ae0d-15.html#unique-entry-id-15</guid><content:encoded><![CDATA[I spent some time in an interview with the folks at keepcomingback.com, talking about various AOD issues facing students and our prevention efforts.    You can get a bit of me prattling on about our work with RADD here.]]></content:encoded></item><item><title>Proposition 19&#x2c; Legalizing Marijuana</title><dc:creator>lange@aodinitiatives</dc:creator><category>Marijuana</category><dc:date>2010-07-22T16:19:14-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/4ecf727b0a7c82c31faedca9c497e549-14.html#unique-entry-id-14</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/4ecf727b0a7c82c31faedca9c497e549-14.html#unique-entry-id-14</guid><content:encoded><![CDATA[Two polls last week showed conflicting results on the likelihood that Californians will legalize marijuana in November.  ...  There are all sorts of methodological reasons the two may differ, but suffice it to say, the possibility remains that marijuana will be legalized.    Assuming for the sake of argument that it does pass either this time, or in some state in the near future, a whole host of complications face the field of AOD prevention.    Prevention efforts have almost always relied on the illegality of marijuana to allow for some rather vague understanding.  


For instance, marijuana almost certainly impairs cognitive functions necessary for driving safely, and thus its use should increase crash risk.    However, we really don&rsquo;t have an answer to how much marijuana would cause substantial increases in risk, or exactly what impairments are most likely to cause the crashes.    Thus, the prevention message has mostly rested on the fact that folks shouldn&rsquo;t really have any marijuana in their systems anyway, so just stick with zero as the answer to how much should be in the system when driving.  ...  When someone may smoke as much as they please, and then only need to worry about &ldquo;impaired&rdquo; driving, then we really need to know far more precisely what amount of active drug is in the system and what level of impairment is caused by that level.    We have it for alcohol because it turns out to be relatively easy to measure alcohol within the system, and there also turns out to be a relatively straightforward link between BAC and impairment. 

...That is only one of the many issues we will soon face if legalization happens.    I&rsquo;m hoping to bring together scientists and experts in the field of marijuana and alcohol to forecast the expected public health outcomes of legalization and its implications to prevention.  ]]></content:encoded></item><item><title>Prescription Drug Abuse Webinar</title><dc:creator>lange@aodinitiatives</dc:creator><category>Prescription Drugs</category><dc:date>2010-04-23T12:02:57-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/60403d0f015ca0374277fb0b43b89d30-13.html#unique-entry-id-13</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/60403d0f015ca0374277fb0b43b89d30-13.html#unique-entry-id-13</guid><content:encoded><![CDATA[I will be co-presenting in a U.S.   Dept of Ed, Higher Education Center webinar May 18th on campus-based prescription drug abuse prevention strategies.    You can see more info and sign up to attend this free event here.]]></content:encoded></item><item><title>Nice Review of Salvia YouTube Article</title><dc:creator>lange@aodinitiatives</dc:creator><category>Salvia</category><dc:date>2010-04-23T11:52:38-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/f74f713de7ba7a56403815b3e94be7ee-12.html#unique-entry-id-12</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/f74f713de7ba7a56403815b3e94be7ee-12.html#unique-entry-id-12</guid><content:encoded><![CDATA[I thought I&rsquo;d share this nice review from Cornell of our article Salvia divinorum: Effects and use among YouTube users.    What&rsquo;s great is their focus on the potential of using sources like YouTube as a means to conduct social research.    Here is the link. 


UPDATE:


Others are getting into the act now.    See the Huffington Post for an example.]]></content:encoded></item><item><title>Salvia article is available online</title><dc:creator>lange@aodinitiatives</dc:creator><category>Salvia</category><dc:date>2009-12-27T21:05:15-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/d202046fdb5f5de803d673064285448d-11.html#unique-entry-id-11</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/d202046fdb5f5de803d673064285448d-11.html#unique-entry-id-11</guid><content:encoded><![CDATA[Just got word that our study of salvia user videos on YouTube is online.    Depending on your institution&rsquo;s access rights, you may be able to see the whole article there.   I think the abstract is open to all.]]></content:encoded></item><item><title>YouTube salvia observation study accepted</title><dc:creator>lange@aodinitiatives</dc:creator><category>Salvia</category><dc:date>2009-12-09T07:09:56-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/375cedd5c95f65caf68c2212fe12bc5b-10.html#unique-entry-id-10</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/375cedd5c95f65caf68c2212fe12bc5b-10.html#unique-entry-id-10</guid><content:encoded><![CDATA[Happy to come back to blogging with some good news: Our paper describing the results of our observation study of YouTube salvia users has been accepted for publication by the journal Drug and Alcohol Dependence.   This paper is a refinement of our initial report that was presented as a poster at the U.S.   Department of Education National Meeting (see here).    When it comes out in journal form, I&rsquo;ll be sure to post the link.]]></content:encoded></item><item><title>What&#x2019;s up with caffeine hallucinations?</title><dc:creator>lange@aodinitiatives</dc:creator><category>Drink Size</category><category>Caffiene</category><category>Research</category><dc:date>2009-01-27T14:31:01-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/9e3487969723e71730ee5f76a8da9c29-9.html#unique-entry-id-9</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/9e3487969723e71730ee5f76a8da9c29-9.html#unique-entry-id-9</guid><content:encoded><![CDATA[The study cited is by researchers at Durham University that links what appears to be heavy consumption of coffee to hallucinations.   But there is some strange stuff going on with this research, visible only if you dig a bit deeper.


First of all, the 7 cups is actually instant coffee, which has a very low caffeine content. 

...&ldquo;People who drink at least 330 milligrams of the stimulant a day were three times as likely to have hallucinations as those who consumed less than 10 milligrams a day, Durham University researchers found in a study of 219 college students published today in Personality and Individual Differences."


...So let&rsquo;s stop and think about the inherent prevalence of caffeine induced hallucinations now that we know that they are really talking about one 16 oz coffee. 

...The short of it is that the authors never report an analysis that divides risk of hallucination to specific caffeine consumption. 330 mg never appears in their report. ...  Instead they conducted analyses that correlated consumption per kg (i.e., the person&rsquo;s weight) to hallucinations after controlling for stress and other variables.


...And, of course, the findings the actual report does present are in no way indicative of a causal relationship. 

...And finally, looking at the measures, it&rsquo;s clear that no hallucinations were actually ever observed within their sample.   They did not measure hallucinations; instead they measured hallucination-proneness, which they describe as a measure of &ldquo;predisposition to hallucination-like experiences.&rdquo; 

...My best advice is avoid reading sloppy news about research studies, and drink your cup of coffee in peace. ]]></content:encoded></item><item><title>iPhone Beer Applications</title><dc:creator>lange@aodinitiatives</dc:creator><category>Advertising</category><dc:date>2008-07-10T14:28:59-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/98b129ca2206f6ca9ba146a9afa4710e-8.html#unique-entry-id-8</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/98b129ca2206f6ca9ba146a9afa4710e-8.html#unique-entry-id-8</guid><content:encoded><![CDATA[The new iPhone App store is open on iTunes now.   Perhaps not surprising, at least two beer related applications are already there.   One is a sight-gag program called iBeer.   Another is from the Carling company called iPint.   In theory there is nothing too harmful in such applications, but somehow it does seem presumably only those who already have a high interest in alcohol will download them.   However, there is nothing to say that underage won&rsquo;t be the most likely to find these sort of programs most interesting.


UPDATE: Looks like the iBeer folks also have an iMilk version; a nod to responsibilty.   And iBeer... it has a 12+ tag on it. ]]></content:encoded></item><item><title>Keg Registration Paradox</title><dc:creator>lange@aodinitiatives</dc:creator><category>Environmental Prevention</category><category>Alcohol</category><dc:date>2008-07-02T14:20:11-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/d4fd68ccc94da7f24fc36039c5334929-7.html#unique-entry-id-7</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/d4fd68ccc94da7f24fc36039c5334929-7.html#unique-entry-id-7</guid><content:encoded><![CDATA[I was struck by one little strange finding on a poster by James Fell and his PIRE colleagues (Fell, Fisher, Voas, Blackman, & Tippetts) titled The relationship of 16 underage drinking laws to reductions in underage drinking and driving fatal crashes in the United States.   They found some impressive declines (16%) in fatal crashes resulting from a core set of laws restricting sale and possession to those under 21.   But one finding puzzled the researchers: keg registration laws correlated with an increase in fatal crashes (12%) among those under 21.


...According to Jim Fell, they also found that beer consumption went down for young people in the states with keg registrations. ...  There have been a number of studies that have found keg parties result in lower intoxication levels than other forms of alcohol-service parties at colleges; we, along with our PIRE colleagues even published one of them (Clapp, Lange, Min, Shillington, Johnson & Voas, 2003).   We found that &ldquo;Bring Your Own Beverage&rdquo;, often the opposite of a keg party, resulted in higher levels of consumption.


Perhaps it&rsquo;s time to acknowledge that kegs of beer are, in fact, a protective form of alcohol service for young people. ...  But if young people are intent on drinking, it is better to make them fight through a crowd to get to nasty-cheap beer with low alcohol content than to push them towards taking shots of liquor.   Fatal alcohol poisoning is far more likely from distilled forms of alcohol because it is very easy to consume the alcohol faster than it absorbs through the stomach into the blood stream.   Beer can be consumed very quickly too, but it takes far more effort to do it over consumption is thus far less likely to occur with beer. 

...I&rsquo;m now convinced that we should stop demonizing kegs, permit them as we once did, and perhaps begin the shift back to this less potent form of alcohol. ]]></content:encoded></item><item><title>Fuzzy estimates of BAC</title><dc:creator>lange@aodinitiatives</dc:creator><category>Alcohol</category><dc:date>2008-05-28T16:44:18-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/6757c3da158ced9708fc079a039595f9-6.html#unique-entry-id-6</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/6757c3da158ced9708fc079a039595f9-6.html#unique-entry-id-6</guid><content:encoded><![CDATA[Because it does not appear that this newsletter is still being archived on the web, I've placed it here as well:


If you've been following the controversy over the term binge drinking you'd know that a few years back, the National Institute for Alcohol Abuse and Alcoholism (NIAAA) settled on a new definition.    They chose to eschew the often-used consumption-based definition of 5 or more (4 for women) drinks in favor of a new criterion.     Their definition is "a pattern of drinking alcohol that brings blood alcohol concentration (BAC) to 0.08 gram percent or above.   " Unfortunately, they included an example that some have latched on to as the definition: "this pattern corresponds to consuming 5 or more drinks (male), or 4 or more drinks (female), in about 2 hours."  ...  So if you're interested in using BACs as a criterion for risky drinking, then you'll need a way to convert consumption patterns into resulting BACs.  

...First, Hustad and Karey (2005) reported that when they compared breath-test alcohol concentrations (BrAC) with estimated BACs (eBAC) among college-student partygoers, the correlations were good, but the amount of variance between the estimates and the BrAC was substantial.  ...  In fact, we found that only 24% of the cases yielded eBACs that were within &plusmn; 0.02 g/dl of the BrAC.  

...One is that the estimation formulas rely on accurate reporting of consumption in "standard drink" units.  ...  Aside from this, others may fail to properly track the number of drinks, or the drinking event's duration; intoxication likely interferes directly with report accuracy. ...  These factors compound error stemming from estimation formulas that gloss over wide variability within individuals on alcohol absorption and metabolism rates.
]]></content:encoded></item><item><title>Salvia study in the news</title><dc:creator>lange@aodinitiatives</dc:creator><category>Salvia</category><dc:date>2008-03-12T16:41:32-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/92be87a90f59312da68b0887c8584524-5.html#unique-entry-id-5</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/92be87a90f59312da68b0887c8584524-5.html#unique-entry-id-5</guid><content:encoded><![CDATA[Salvia divinorum is in the news again, and our study is being used within the discussion.   The story seems to have started with an AP piece in Florida.   Its not surprising that there would be a link here because a while back, a Florida legislator's office had asked me for a copy of my Dept of Ed poster.   Perhaps they got the  journal article too.   Regardless, it didn't take long for reporters to start calling.   First the Union Tribune, then NBC San Diego.   I'll post other links as they come live.   KFMB just called for an interview too, so I'll update this post with that story after it runs.]]></content:encoded></item><item><title>Updated salvia link</title><dc:creator>lange@aodinitiatives</dc:creator><category>Salvia</category><dc:date>2008-02-20T16:36:54-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/a5cf9221db970fbe65e2c3d02f739248-4.html#unique-entry-id-4</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/a5cf9221db970fbe65e2c3d02f739248-4.html#unique-entry-id-4</guid><content:encoded><![CDATA[The published version of the Salvia Divinorum paper is now online.   The paper will be in Drug and Alcohol Dependence, Vol 94, page 263-266.   It can be downloaded in full if your institution has a subscription to that service.]]></content:encoded></item><item><title>Oregon&#x27;s Meth Precursor Experiment</title><dc:creator>lange@aodinitiatives</dc:creator><category>Methamphetamine</category><category>Environmental Prevention</category><dc:date>2007-12-21T16:30:51-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/4075930a7611f8f85c3350bd7482ac61-3.html#unique-entry-id-3</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/4075930a7611f8f85c3350bd7482ac61-3.html#unique-entry-id-3</guid><content:encoded><![CDATA[Oregon apparently went down that road more stringently than most states, but instead of seeing their problems shrink, news reports are telling us that the opposite is true. ...  Apparently, while Oregon has successfully shut down most small-time meth labs, the void is being filled by drug cartels who are flooding the market. 

...Thus, a major aspect of the law was on the regulation of retail purchase of precursors, which are the source for small-scale meth labs.   Given that the sentiment in Oregon was that small-time meth &ldquo;cooks&rdquo; were creating the problem, it makes sense that retail purchase was a concern. 

...Indeed even the effects of bulk sale restrictions that were observed were short-lived, with arrests rebounding within 2 to 3 years following the regulations.   Of course, conclusions based upon this study are made problematic because the authors were studying arrests; changes in the laws of insterest may have affected arrest rates independently of actual use rates.   So while this study appears to have predicted the Oregon failure, it must be acknowledged that it was not a definitive study.   Another study conducted by the same researchers had previously demonstrated reductions in hospital admissions from the bulk precursor regulations (Cunningham and Liu, 2003).   But some debate within the literature (e.g., Reuter and Caulkins, 2003) exists whether the supply-side intervention should have had such a dramatic result, given the somewhat modest effects on price and availability.


...However, it in fact could be argued that yet again the theory is left untested, for policy changes that were intended to limit availability have failed, perhaps predictably.   But without the requisite reduction in availability, the environment did not actually alter in a preventive way, and thus use rates would not be expected to decline. ]]></content:encoded></item><item><title>Salvia Paper Publication Date</title><dc:creator>lange@aodinitiatives</dc:creator><category>Salvia</category><dc:date>2007-12-06T16:24:13-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/c4748c540edda08161718463833fffd4-2.html#unique-entry-id-2</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/c4748c540edda08161718463833fffd4-2.html#unique-entry-id-2</guid><content:encoded><![CDATA[I'm told that our paper College student use of Salvia divinorum will be published online by the journal Drug and Alcohol Dependence by about December 20th.   Look for it then.   The paper version will be out some months later.]]></content:encoded></item><item><title>Medicine Disposal: Mixing leftovers with pet feces</title><dc:creator>lange@aodinitiatives</dc:creator><category>Prescription Drugs</category><dc:date>2007-11-08T16:22:17-08:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/4a6c5640ff15a98f9414f5d7765546eb-1.html#unique-entry-id-1</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/4a6c5640ff15a98f9414f5d7765546eb-1.html#unique-entry-id-1</guid><content:encoded><![CDATA[I didn't really want the first entry to be negative, but in the field of AOD prevention, sometimes we need a reality check. 

...According to a news report, a new trial is about to begin with folks being told that they should dispose of leftover medicines not only in the trash but mixed with pet feces.   The idea is to (1) stop the flushing of medicines which causes a serious environmental problem, and (2) to make the medicines undesirable to those who may take them out of the trash. 

...So that's a very rare event; let's be conservative and say once a year. ...  Hopefully that is also an extremely rare event; let's again be conservative and say once a year.   Now, we need both very rare events to happen at the same time; on any given year, that would be a probability of 0.00000075 that a trash picker would get your medicine on any given day.   So a trash picker would need to hit about 67,000 homes each year to have a 50% chance of striking prescription paydirt once that year.   And let's not forget he or she would actually have to find the pills within the trash too.   All that seems so unlikely that it is not surprising that we don't hear any evidence that trash sifting is a common source of prescription drug abuse.


...The interviewed folks in the news story are probably right that a good chunk of medicines get in the wrong hands when leftovers are kept. ...  I'd bet the number of people who will actually comply will be much higher if they know that this is fine. ]]></content:encoded></item><item><title>AODInitiatives iPrevention&#x2122; Blog Launched</title><dc:creator>lange@aodinitiatives</dc:creator><dc:subject>Home</dc:subject><dc:date>2007-10-30T16:20:20-07:00</dc:date><link>http://www.aodinitiatives.org/iprevention/blog/files/464bb2487079c28448050ebbee772d4f-0.html#unique-entry-id-0</link><guid isPermaLink="true">http://www.aodinitiatives.org/iprevention/blog/files/464bb2487079c28448050ebbee772d4f-0.html#unique-entry-id-0</guid><content:encoded><![CDATA[Welcome!   This is an exciting time for AODInitiatives.  ORG.   The website is completely retooled.   There's a great new look, and now the iPrevention Resource Center&trade; is starting off.   This center is going to be a great resource for news, reports and even podcasts.   Look for the first podcast in the next couple weeks.   I'll be posting a video lecture on Salvia Divinorum, with information that will help campuses address this "new" drug.   Please drop me a line if you have comments or suggestions for how to make this a more useful resource. ]]></content:encoded></item></channel>
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