The Management of Opiate Abuse: Learning from other Addictions

1988 ◽  
Vol 18 (4) ◽  
pp. 679-697 ◽  
Author(s):  
Colin Brewer
Keyword(s):  
Treatment Program ◽  
Addictive Behavior ◽  
Urine Screening ◽  
Results Of Treatment ◽  
Opiate Abuse ◽  
Close Supervision ◽  
Model Treatment ◽  
Mandatory Programs ◽  
Methods Of Treatment

Similarities between the addictions suggest that much may be learned about the management of opiate abuse from a study of the problems and results of treatment in other types of compulsive or addictive behavior. Medical methods of treatment, notably methadone, laevo-alpha acetyl methadole, naltrexone and random urine screening, may make a useful contribution to improvements in the outcome of mandatory programs when combined with close supervision, and a rapid and predictable response to lack of compliance. Some important features of a model treatment program are suggested.

Model Treatment Program for Young Adult Offenders

2013 ◽  
Author(s):  
H. B. Bradley ◽  
W. K. Salstrom ◽  
G. B. Smith
Keyword(s):  
Young Adult ◽  
Treatment Program ◽  
Model Treatment

scholarly journals The emotional coaching model: quantitative and qualitative research into relationships, communication and decisions in physical and sports rehabilitation

Joints ◽  
2015 ◽  
Vol 03 (04) ◽  
pp. 191-200 ◽  
Author(s):  
Stefano Respizzi ◽  
Elisabetta Covelli
Keyword(s):  
Cruciate Ligament ◽  
Self Determination Theory ◽  
Coaching Model ◽  
Quantitative And Qualitative Research ◽  
Analysis Theory ◽  
Competitive Athletes ◽  
Model Treatment ◽  
Anterior Cruciate ◽  
Methods Of Treatment ◽  
Experimental Stage

The emotional coaching model uses quantitative and qualitative elements to demonstrate some assumptions relevant to new methods of treatment in physical rehabilitation, considering emotional, cognitive and behavioral aspects in patients, whether or not they are sportsmen.Through quantitative tools (Tampa Kinesiophobia Scale, Emotional Interview Test, Previous Re-Injury Test, and reports on test scores) and qualitative tools (training contracts and relationships of emotional alliance or “contagion”), we investigate initial assumptions regarding: the presence of a cognitive and emotional mental state of impasse in patients at the beginning of the rehabilitation pathway; the curative value of the emotional alliance or “emotional contagion” relationship between healthcare provider and patient; the link between the patient’s pathology and type of contact with his own body and emotions; analysis of the psychosocial variables for the prediction of possible cases of re-injury for patients who have undergone or are afraid to undergo reconstruction of the anterior cruciate ligament (ACL).Although this approach is still in the experimental stage, the scores of the administered tests show the possibility of integrating quantitative and qualitative tools to investigate and develop a patient’s physical, mental and emotional resources during the course of his rehabilitation. Furthermore, it seems possible to identify many elements characterizing patients likely to undergo episodes of re-injury or to withdraw totally from sporting activity. In particular, such patients are competitive athletes, who fear or have previously undergone ACL reconstruction.The theories referred to (the transactional analysis theory, self-determination theory) and the tools used demonstrate the usefulness of continuing this research in order to build a shared coaching model treatment aimed at all patients, sportspeople or otherwise, which is not only physical but also emotional, cognitive and behavioral.

scholarly journals COMPARATIVE ANALYSIS OF INTERNATIONAL STANDARDS AND OUR EXPERIENCE IN TREATMENT OF PATIENTS WITH CHRONIC HEMORRHOID A BASE FOR EVIDENTIAL MEDICINE

2020 ◽  
pp. 90-93
Author(s):  
V. V. Bojko ◽  
V. V. Makarov ◽  
V. V. Tsodikov ◽  
L. G. Tarasenko
Keyword(s):  
Clinical Experience ◽  
High Efficiency ◽  
International Standards ◽  
Clinical Protocols ◽  
Clinical Protocol ◽  
Surgical Decision ◽  
Results Of Treatment ◽  
Methods Of Treatment ◽  
Single Approach

Summary. Aim. Decrease the amount of postoperative complications and improve quality of life for patients by a chronic hemorrhoid (CH). Materials and methods. Both international and national foreign clinical protocols are analysed. The obtained data are confronted with our clinical experience. Results and their discussion. Materials and methods. In the looks of foreign colleagues to tactics of treatment of patients with CH are analysed. The obtained data are confronted from positions of the best medical practice of providing of medicaid to the patients with a CH. Results and their discussion. In spite of insignificant differences in the volume of operative treatment of patients of CH, international practice adheres to single approach on tactics of surgical decision of this problem. Among the radical methods of treatment recommend next methodologies as an operation of choice: hemorrhoidectomy Milligan - Morgan, Ferguson and Parks, that in all researches were marked as high-efficiency. Clinical experience of our clinic, that Milligan–Morgan hemorrhoidectomy is the operation of choice for patients with 3-4 degrees of fall of knots, and applications of modern methodologies allows to bring down lacks of this operation and to attain the level of complications less than 1 %. Conclusions. The necessity of development of compatible clinical protocol of medicare to the patients takes place with CH. Introduction of single home standards of providing of medicare to the patients with CH will allow to bring down the risk of development of complications and improve the results of treatment. The got results of own researches on providing of medicare to the patients with CH are comparable with the results of foreign colleagues.

TREATMENT OF MALIGNANT SYMPATHETIC TUMORS IN CHILDREN: CLINICOPATHOLOGICAL CORRELATION

PEDIATRICS ◽  
1968 ◽  
Vol 41 (2) ◽  
pp. 452-462
Author(s):  
Carlos A. Perez ◽  
Teresa J. Vietti ◽  
Lauren V. Ackerman ◽  
Panja Kulapongs ◽  
William E. Powers
Keyword(s):  
Distant Metastasis ◽  
Advanced Disease ◽  
Chemotherapeutic Agents ◽  
Primary Role ◽  
Clinicopathological Correlation ◽  
Cure Rate ◽  
Factors Affecting ◽  
Results Of Treatment ◽  
Methods Of Treatment

The results of treatment in a series of 46 children with malignant sympathetic tumors are reported with an absolute cure rate of 47% at 2 years and 46% at 5 years. Thirty-two percent of the patients with distant metastasis have survived tumor free 2 years or longer. Factors affecting the prognosis and the various methods of treatment are analyzed. Aggressive radiation therapy of these patients is advocated, depending on their clinical condition, even in the presence of distant metastasis. The primary role of irradiation in the sterilization of these malignant sympathetic tumors is postulated. Chemotherapy with cyclophosphamide and vincristine produced only transient regression of some of the tumors, with limited palliative results. The indication of chemotherapeutic agents is questioned in the treatment of patients with localized tumor because it is felt that this may impair the host resistance of the patient. Intensive chemotherapy may adversely affect survival, although admittedly all patients receiving this form of therapy had far advanced disease.

Fractures of the Shafts of the Phalanges of the Hand

HAND ◽  
1979 ◽  
Vol os-11 (2) ◽  
pp. 119-133 ◽  
Author(s):  
N. J. Barton
Keyword(s):  
New Methods ◽  
Results Of Treatment ◽  
Comminuted Fractures ◽  
Methods Of Treatment

Fractures of the shafts of the phalanges are common and often disabling. Little detailed information is available as to the results of treatment, against which new methods of treatment may be compared. Thirty-nine comminuted fractures and 109 which were not comminuted were followed-up and their results are presented in detail. In both groups only about 57% obtained satisfactory results. Possible methods of improving these are discussed and the importance of accurate reduction of non comminuted fractures is emphasised.

scholarly journals Therapeutic Strategy in Case of Hemangiomas in Children

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
V P Vivcharuk ◽  
Yu V Pashchenko
Keyword(s):  
Treatment Regimen ◽  
High Frequency ◽  
Therapeutic Strategy ◽  
Complete Removal ◽  
Vascular Lesions ◽  
First Year ◽  
Results Of Treatment ◽  
Good Cosmetic ◽  
Methods Of Treatment ◽  
Preterm Newborns

Hemangiomas are the most common tumors in infancy constituting 1 – 2.6 % of incidence. Their incidence in preterm newborns with low birth weight (less than 1000 g) can reach 30 %. Increase in the incidence is observed during the first year of life.Regressing hemangiomas undergo careful observation. Hemangiomas with a high risk of complications (destructive growth, cosmetic defects, ulceration, amblyopia, compression of vital structures) require treatment.The variety of clinical and morphological features, localization and prevalence of vascular lesions require continual search for effective methods of treatment to determine the optimal terms and methods of therapy.The objective of the research was to improvement the results of hemangiomas treatment in children.Materials and methods. The results of treatment of 146 children with voluminous, rapidly growing, and non-regressing hemangiomas, as well as children with poor results of treatment after incorrect therapy were analyzed.Methods of the research included clinical, morphological, radiation, statistical ones.Results and discussion. Effectual treatment regimen of rapidly growing and non-regressing hemangiomas with cosmetically important locations, including surgical treatment with the use of high-frequency coagulator EC-300MІ and systemic therapy with propranolol was developed and suggested.Conclusions. The proposed treatment regimen reduces the volume and intensity of hemangiomas growth. In the majority of cases it allows complete removal of the tumor with a good cosmetic result. 

Therapy with directed depo-transportation drug the urethra`s erosion after setting the suburethral mesh

2018 ◽  
pp. 179-184
Author(s):  
И.А. Эйзенах ◽  
В.И. Швец ◽  
А.А. Кубатиев ◽  
В.Г. Мозес ◽  
Е.В. Ильинская ◽  
...  
Keyword(s):  
Local Treatment ◽  
Local Therapy ◽  
Anterior Wall ◽  
Results Of Treatment ◽  
Foreign Substance ◽  
Polypropylene Material ◽  
Complex Preparation ◽  
Good Potential ◽  
High Level ◽  
Methods Of Treatment

Осложнения в виде эрозии уретры после установки субуретральной петли при стрессовом недержании мочи у женщин, часто сопровождаются дизурией, что требует терапевтической коррекции. Комплексные препараты с направленной депо-доставкой представляют хороший потенциал в лечении этого mesh-ассоциированного осложнения. Цель: изучить терапевтическую эффективность применения комплексного препарата с возможностями направленной депо-доставки лекарств (гидрогелевый материал альгината натрия с диоксидином и лидокаином - ГМАНДЛ) в лечении эрозий уретры, осложняющих операцию установки субуретральной петли при синдроме стрессового недержания мочи у женщин. Методика. У 78 пациенток с эрозией уретры после установки субуретральной петли изучали терапевтическую эффективность ГМАНДЛ при местном трансвагинальном применении. Результаты. Показано, что использование ГАМНДЛ эффективно при лечении эрозий (36,1% без лечения и 3,2% после) и дизурии (29% до лечения, 3,2% после) при стрессовом недержании мочи у женщин. Данные статистически значимы. Это подтвердили и лабораторные анализы мочи. Количество пациентов с лейкоцитурией или эритроцитурией существенно снижалось в группе с применением препарата - 12,1% против 46,8%. Заключение. Использование полипропиленового материала при установке субуретральной петли при стрессовом недержании мочи у женщин сопровождается реакцией уретры на инородное тело и компрессией стенки уретры, что проявляется дизурией и эрозией уретры. Учитывая анатомическую близость уретры и передней стенки влагалища, а также развитие препаратов направленной депо-доставки в комплексе с другими лекарствами позволяет эффективно использовать эти комплексные препараты, такие, как ГАМНДЛ, в лечение эрозии уретры и дизурии. Background. Formed erosions of urethra after setting suburethral mesh (SM) by stress urinary incontinence (SUI) at women could be accompanied by dysuria and demand the therapeutic correction. The complex preparations with directed depot-transportation have a good potential for treatment this kind of mesh-associated complication. Objective. To study the efficiency of using the complex preparation with possibility of directed depot-transportation for medications, for example hydrogel material of sodium alginate with dioxidine and lidocaine (HMSADL) as complex with anesthetic and antibiotic, for treatment of urethra`s erosion after setting SM by SUI. Methods. By 78 female patients, with vindicated in urethrascope urethra’s erosion after setting the SM, was studied the dysuria syndrome and efficiency of locally transvaginal treatment with HMSADL and without HMSADL. There was performed the analysis the two groups of patients with different methods of treatment. Results. The results of treatment of dysuria (29% before treatment, 3,2% after) and urethra’s erosion (3,2% after treatment) were statistically significantly better in the patients’ group, in which were used locally transvaginal HMSADL, as in the group, where the local therapy HMSADL was not used (dysuria - 23,1% before treatment and 19% after, erosion - 36,1% after treatment). It was proved also urine’s analysis. There were less patients after treatment with high level of erythrocytes or leucocytes in urine in the group with local treatment by HMSADL 12,1% against 46,8% in the group without local therapy. Conclusion. Using the polypropylene material at setting SM by SUI is accompanied by urethra’s reaction on foreign substance and compression of urethra’s wall, it manifests with dysuria and urethra’s erosion. It allows, accounting the anatomical closeness urethra and anterior wall of vagina, but also development of preparations of directed depot-transportation in complex with others medications, to use these complex preparations, such as HMSADL, for treatment the urethra’s erosion and dysuria.

The efficacy of the programs of balneo- and physiotherapy in patients with atherosclerosis of peripheral arteries of lower extremities

2015 ◽  
Vol 9 (4) ◽  
pp. 0-0
Author(s):  
Яменсков ◽  
V. Yamenskov
Keyword(s):  
Pain Intensity ◽  
Treatment Program ◽  
Lower Limb ◽  
Clinical Symptoms ◽  
Lower Extremities ◽  
Peripheral Arteries ◽  
Rehabilitation Treatment ◽  
Results Of Treatment ◽  
Complex Program ◽  
Atherosclerotic Changes

The article presents the results of treatment of 200 patients with atherosclerotic changes of lower limb vessels after realization of the developed complex non-pharmacological programs. The authors studied the effects of complex rehabilitation treatment program and its individual components on clinical symptoms in patients with atherosclerosis of lower limb arteries taking into account the pain intensity and the distance of painless walk. It is proved that the application of the developed complex program in patients with atherosclerosis of peripheral arteries of the lower extremities allows to eliminate the clinical symptoms and to increase the distance walk without pain.

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