scholarly journals Recovery capital among people receiving treatment for opioid use disorder with buprenorphine

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Anna Beth Parlier-Ahmad ◽  
Mishka Terplan ◽  
Dace S. Svikis ◽  
Laura Ellis ◽  
Caitlin E. Martin

Abstract Background Recovery is a multidimensional process that includes health, quality of life, and citizenship. Recovery capital is a strengths-based concept representing the sum of an individual’s resources that support recovery. This study (1) describes recovery capital, (2) examines the relationship between recovery capital and treatment duration, and (3) assesses differences by gender in recovery capital among people receiving medication for opioid use disorder (MOUD). Methods This is a secondary data analysis of a cross-sectional study, with survey and medical record review components, conducted with patients recruited from an office-based opioid treatment clinic between July and September 2019. Analyses included participants receiving MOUD with buprenorphine who completed the Brief Assessment of Recovery Capital (BARC-10; n = 130). Univariate analyses explored differences by gender. Multivariate linear regression assessed the relationship between BARC-10 total score and length of current treatment episode. Results Participants were 54.6% women and 67.4% Black with mean age of 42.4 years (SD = 12.3). Mean length of current MOUD treatment was 396.1 days (SD = 245.9). Total BARC-10 scores were high, but participants perceived low community-level resources. Women scored higher than men within the health and purpose recovery dimensions. While length of treatment was not associated with BARC-10 score, experiencing recent discrimination was associated with a significantly lower BARC-10 score. Conclusions Recovery capital among individuals receiving MOUD was high suggesting that participants have resources to support recovery, but gender differences and prevalent discrimination highlight areas for improved intervention. More work is needed to investigate recovery capital as an alternative treatment outcome to abstinence in outpatient MOUD populations.

Author(s):  
M. Ya. Kissin ◽  
N. B. Khalezova ◽  
E. A. Gibitova ◽  
A. V. Tarnorutskaya ◽  
A. N. Ivanov

Te purpose of the current study was to identify an abuse potential of pregabalin in HIVinfected patients with opioid use disorder long time using pregabaline. A cross-sectional study was performed at the St. Petersburg Center for the prevention and control of HIV and infectious diseases. A cohort of 572 HIV-infected patients with opioid use disorder was examined. 96 patients (16,8% of the entire cohort) used pregabalin. 34 of them agreed to participate in the study. Te pregabalin addiction was diagnosed in 23 of 34 observed HIV-infected patients with opioid dependence. People with opioid dependence and presence of organic brain damage of various genesis (toxic exposure, neurological consequences of trauma or infection) are at risk of development of pregabalin dependence. Te use of pregabalin with for self-medication of opiod withdrawal was registered in 11 patients.


2021 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Vita Murniati Tarawan Lubis ◽  
Rizky Aji Pambudi ◽  
Vitriana Biben

Judo is described as a physical contact sport. A judo athlete should try to make themovement of throwing, slamming and holding the opponent's strength during the game. To perform the technique well, muscle strength is important in judo athletes. As one of the components of physical fitness in athletes, muscle strength has an important role for the judo athlete to maximize their performance and have their best achievement. Therefore, this study aims to determine the relationship of muscle strength level of judo athletes with their achievement in Pekan Olahraga Nasional (PON) XVIII 2012 in Riau. A cross-sectional study using the analytical method was done on 19 Judo athletes as subjects. Data are collected from secondary data as a result of muscle strength examination measured by push, pull, and leg dynamometer, conducted by Komite Olah Raga Nasional (KONI) West Java. Judo athletes who participated Pekan Olah Raga Nasional (PON) XVIII 2012 championship in Riau were included while athletes who injured were excluded. In this study judo athletes who won medals (got achievement) were 7 athletes, while those who did not win medals (did not get the achievement) were 12 athletes. The significance value (p-value) for the relationship of muscle strength with judo athlete’s achievement as measured by push dynamometer was 0.764, pull dynamometer was 0.570, and leg dynamometer was 0.132. In conclusion, there isno significant relationship between the level of muscle strength with the judo athlete’s achievement on Pekan Olah Raga Nasional (PON) XVIII 2012.


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Fauzan Abdurrahman ◽  
Sri Suryanti ◽  
Aaron T Sihombing

The risk of high grade PCa in Asia in relation to BMI had positive or negative effect. The objective of this study is to know the relationship between BMI and Gleason score in Indonesian PCa patients. A cross sectional study was conducted in Hasan Sadikin General Hospital. The data were secondary data taken from medical records of prostate adenocarcinoma patients in Hasan Sadikin General Hospital. Ordinal data were analyzed using Chi square and correlation using Spearman. All calculation was done using SPSS 24. There were 95 Indonesian PCa patients. 78 patients is in normal BMI range. Of those 41 patients (52.6%) is in high level of Gleason score. 17 patients is in high BMI range. High Gleason score was found in 11 patients (P = 0.362; rs = 0.094). Conclusion, there is no relation between BMI in Indonesian PCa and Gleason score.   Keywords : Prostate adenocarcinoma (PCa); BMI; Gleason score.


2007 ◽  
Vol 2 (3) ◽  
pp. 36
Author(s):  
Ursula Dianita Marut

<p class="MsoNormal" style="margin: 0cm 13.05pt .0001pt 18pt; text-align: justify; text-indent: 27pt;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">The objective of this study is to analyze the relationship between socio-economic and cultural aspects and undernutrition problem in Kabupaten Manggarai, Nusa Tenggara Timur. This research was designed as cross sectional study with purposive method. This research was conducted in Desa Meler, Kecamatan Ruteng, Kabupaten Manggarai from June to July 2007. Primary data and secondary data were collected in this study. Primary data including family’s socio-economic characteristics, nutritional status, environment sanitation and food consumption using interview questionnaire. Secondary data including food production, prevalence of nutritional status of the children under five, and were collected from some Government’s institutions. Populations of this research were children under five in Desa Meler. Samples consisted of 80 children and were classified into two groups, a total of 48 classified as undernutrition group and the rest of them belong to normal group. Result shows that the prevalence of undernutrition of children under five in Manggarai year 2005 is 22,75 % and have decreased in 2006 become 19,24 %. Poverty is one of the causal factors of this undernutrition problem in Manggarai.</span></p>


2021 ◽  
Vol 17 (2) ◽  
pp. 135-144
Author(s):  
Leen Wehbeh, MD ◽  
Adrian S. Dobs, MD, MHS ◽  
Todd T. Brown, MD, PhD

Objectives: The link between male hypogonadism and opioids is well-established, but whether there is a difference in the frequency of hypogonadism between heroin and methadone for treatment of opioid use disorder (OUD) has not been determined.Design: Cross-sectional.Setting, patients, and participants: Male drug users and nonusers matched for socioeconomic status between 18 and 65 years, recruited in Baltimore as part of the study of HIV, injection drug use, nutrition, and endocrinology (SHINE). Methods: Hypogonadism was defined as low free testosterone 50 pg/mL. Participants were categorized into three groups based on opioid use: (1) NONE, (2) methadone use as treatment of OUD (METHADONE), and (3) Heroin use (HEROIN). This third group was further divided to mild (MH), and heavy (HH) heroin use. We used multiple logistic regression to examine the association between hypogonadism and different groups.Results: The cohort consisted of 189 men, 94 percent black, average age 43 years, with high HIV (56 percent) and HCV (38 percent) prevalence. 24 percent had hypogonadism. Compared to NONE, there were higher odds of hypogonadism in METHADONE (aOR 3.46; 95 percent CI [1.34,8.93]; p = 0.01) but not in HEROIN. After dividing HEROIN into MH and HH, there were higher odds of hypogonadism in HH compared to NONE (aOR 3.27; 95 percent CI [1.12,9.53]; p = 0.03) but not in MH.Conclusions: Methadone used for treatment of OUD was associated with male hypogonadism similar to heavy heroin use. Targeted hypogonadism screening and treatment may be warranted in this population to reduce its health consequences such as sexual dysfunction, osteoporosis, and abdominal adiposity.


2020 ◽  
pp. 105477382098016
Author(s):  
Tomohide Fukuda ◽  
Yoshiko Kinoshita ◽  
Tomoko Shirahama ◽  
Satoko Miyazaki ◽  
Naoki Watanabe ◽  
...  

This study aimed to examine the relationship between memory status of and factors related to patients in the intensive care unit (ICU) using a cross-sectional study design. Participants were adult patients who were admitted to the general ICUs for more than 48 hours. One week after ICU discharge, a survey on memory distortion was conducted. Overall, 133 patients were included, of whom 51.1% reported distorted memories. Among them, 15.0% had memory loss; 48.1% had unrealistic experiences; 27.8% recalled confusion, panic, anxiety, and discomfort during their ICU stay; and 9% had traumatic experiences. Multiple logistic regression analyses revealed that memory loss was associated with an operation, and a significant association was observed between traumatic memory and pain. Opioid use may have a protective effect against memory loss. These results suggest the importance of relieving pain and preserving true memories during ICU treatment.


2020 ◽  
Vol 8 (1) ◽  
pp. 89
Author(s):  
Risna Nur Fajariyah ◽  
Atik Choirul Hidajah

Background: Stunting is a condition where the growth and development of a child fails during the first 1,000 days of life. The number of stunted children in Indonesia has increased from 35.60% in 2010 to 37.20% in 2013. Purpose: The aim of this study is to analyse the relationship between immunisation status and stunting in children 2–5 years. Methods: This is a secondary data analysis with cross-sectional study design. The data used for this study were obtained from Indonesia Family Live Survey wave 5. IFLS 5 was conducted in 13 provinces from October 2014 until April 2015. The data were collected from 1,048 respondents aged 2–5 years in the Indonesia Family Life Survey 5 with completed age and height data. The observed variables were age, sex, immunisation status, history of infection, mother’s height, mother’s age during pregnancy, living area, and region. Results: This research shows that there is a relationship between immunisation status (p = 0.01; OR =1.78; 95% CI = 1.26 < OR < 2.52), mother’s height (p = 0.00; OR = 1.41; 95% CI = 1.00 < OR < 1.98) and stunting in children aged 2–5 years. Conclusion: Immunisation status and mother’s height are associated with stunting in children aged 2–5 years.


2021 ◽  
Author(s):  
Paul J. Joudrey ◽  
Marynia Kolak ◽  
Qinyun Lin ◽  
Susan Paykin ◽  
Vidal Anguiano ◽  
...  

AbstractThe COVID-19 pandemic, like past natural disasters, was associated with significant disruptions in medications for opioid use disorder services and increased opioid overdose and mortality. We examined the association between community vulnerability to disasters and pandemics and geographic access to each of the three medications for opioid use disorder within the continental US and if this association was impacted by urban, suburban, or rural classification. We found communities with greater vulnerability did not have greater geographic access to medications for opioid use disorder and the mismatch between vulnerability and medication access was greatest in suburban communities. Rural communities had poor geographic access to all three medications regardless of vulnerability. Future disaster preparedness planning should include anticipation of access to medications for opioid use disorder and better match the location of services to communities with greater vulnerability to prevent inequities in opioid overdose deaths.


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