The Influence of Recovery Status and Education on Addiction Counselors' Approach to Treatment

1999 ◽  
Vol 31 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Bertram E. Stöffelmayr ◽  
Brian E. Mavis ◽  
Laura A. Sherry ◽  
Christopher W. Chiu
2021 ◽  
Vol 42 (1) ◽  
pp. 35-49
Author(s):  
Katharine R. Sperandio ◽  
Daniel Gutierrez ◽  
Alex Hilert ◽  
Shuhui Fan

Author(s):  
Md Maqsud Isa ◽  
Rubina Yasmin ◽  
Nur Syeeda ◽  
Suraiya Enam ◽  
Md Manowarul Isiam ◽  
...  

This prospective clinical study was carried out in the dept. of Anaesthesia, Analgesia and Intensive Care Medicine, BSMMU. Dhaka during the period of January 04 to September 04. The study was done to emphasize the importance of giving analgesics preemptively instead of waiting for the child to complain or express their pain and to improve post operative recovery status and associated response by reducing the immediate post operative pain with simple local anaesthetic infiltration. The children scheduled for elective herniotomy operation through a hernial incision under general anaesthesia were recruited in this study. Immediate recovery status in children was compared with preemptive (group-1 and without preemptive (group-II) local infiltration of 0.25% bupivacaine in herniotomy operation. No. of patients was 20 in each group. Pulse, systolic, diastolic and mean pressure, oxygen saturation, pain (scored by TPPPS), anaesthetic recovery (scored by steward recovery system) and mental status if the children were observed postoperatively at different time interval up to one hour. Pulse, systolic, diastolic, mean pressure were stable in group-1 then group-II. Oxygen saturation in both the groups were in clinically acceptable range but in group-11 5 mins after extubation fall more than that of group- l and statistically significant. Pain score (TPPPS) in group-1 was lower all the time period but in group-II the score was high, all the children required rescue pethidine within 10 mins after extubation, mean dose reqd, in group-II was 23.6+3.6mg. Steward recovery score in both group was not significant at early period but after 10 mins. P value become significant The mental state of group-I was calm & quite only 3 were excited, on the other hand in group-11 all children were excited & irritable and required rescue pethidine. So preemptive local infiltration of 0.25 bupivacaine improved the recovery status in children by reducing the immediate postoperative pain and there by decrease in postoperative morbidity. Journal of BSA, Vol. 18, No. 1 & 2, 2005 p.38-44


2021 ◽  
Vol 1 ◽  
pp. 100236
Author(s):  
Bernard X.W. Liew ◽  
David Rugamer ◽  
Alessandro De Nunzio ◽  
Deborah Falla

2021 ◽  
Author(s):  
Afagh Garjani ◽  
Rodden M Middleton ◽  
Richard Nicholas ◽  
Nikos Evangelou

Objectives: To assess the prevalence of and factors associated with developing long COVID among patients with multiple sclerosis (MS), a condition which shares the neurological and psychological symptomatology of long COVID Design: Community-based prospective and longitudinal observational study Setting: The United Kingdom (UK) MS Register (UKMSR) COVID-19 study Participants: A national cohort of MS patients with COVID-19 Main outcome measures: Participants used the online questionnaire-based platform of the UKMSR to update their COVID-19 symptoms and recovery status. Questionnaires were date-stamped for estimation of COVID-19 symptom duration. The UKMSR also holds demographic and up-to-date clinical data on participants including comorbidities, MS type, date of MS diagnosis, disease-modifying therapies, web-based Expanded Disability Status Scale scores (a measure of physical disability in MS), and Hospital Anxiety and Depression Scale. The association between these factors and recovery from COVID-19 was assessed using multivariable Cox regression analysis. Results: Out of 7,977 MS patients who participated in the UKMSR COVID-19 study, 599 had COVID-19 and updated their recovery status prospectively. At least 181 participants (31.1%) had long-standing COVID-19 symptoms for ≥4 weeks and 76 (13.1 %) for ≥12 weeks. Participants with higher levels of pre-COVID-19 physical disability, participants with anxiety and/or depression prior to COVID-19 onset, and women were less likely to recover from COVID-19. Conclusions: Long COVID appears to affect patients with a pre-existing chronic condition, especially those with physical disabilities or mental health problems disproportionately when compared to reports in the general population. Long COVID research and the development of post-COVID-19 rehabilitation services need to be inclusive of these at-risk populations. Trial Registration: ClinicalTrials.gov: NCT04354519


2006 ◽  
Vol 21 (2) ◽  
pp. 149-165 ◽  
Author(s):  
Sarah K. Spilman

This study examines how parents of family and nonfamily abducted children cope with stress due to the disappearance of their child. The results show that all parents experience distress, regardless of whether it was a family or nonfamily abduction. Associated with parental distress are factors such as prior family stress, age of the child, recovery status of the child, and measures of social support. More specifically, helpful support from friends has been found to decrease parents’ levels of distress, whereas unhelpful support from family and attorneys may increase distress. Mothers and fathers responded to event circumstances and social support in significantly different ways. The need for further research is discussed in the study’s conclusions.


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