The Incidence and Fate of the Reopened Case in an Alcoholism Outpatient Treatment Center

1962 ◽  
Vol 23 (4) ◽  
pp. 634-639 ◽  
Author(s):  
Melvin Zax
Keyword(s):  
Outpatient Treatment ◽  
Treatment Center

Epidemiologic Investigation of a 2007 Outbreak of Serratia marcescens Bloodstream Infection in Texas Caused by Contamination of Syringes Prefilled With Heparin and Saline

2009 ◽  
Vol 30 (6) ◽  
pp. 593-595 ◽  
Author(s):  
John R. Su ◽  
David B. Blossom ◽  
Wendy Chung ◽  
Jessica Smartt Gullion ◽  
Neil Pascoe ◽  
...  
Keyword(s):  
Cohort Study ◽  
Serratia Marcescens ◽  
Bloodstream Infection ◽  
Retrospective Cohort Study ◽  
Outpatient Treatment ◽  
Retrospective Cohort ◽  
Epidemiologic Study ◽  
Epidemiologic Studies ◽  
Treatment Center ◽  
Epidemiologic Investigation

This retrospective cohort study found that syringes prefilled with heparin flush solution caused an outbreak of Serratia marcescens bloodstream infection at an outpatient treatment center in Texas in 2007. The epidemiologic study supported this conclusion, despite the lack of microbiologic evidence of contamination from environmental and product testing. This report underscores the crucial contributions that epidemiologic studies can make to investigations of outbreaks that are possibly product related.

A case of tramadol dependence and successful treatment with buprenorphine/naloxone

2013 ◽  
Vol 3 (6) ◽  
pp. 283-285 ◽  
Author(s):  
Nicole Cupples ◽  
Troy A. Moore
Keyword(s):  
United States Army ◽  
Outpatient Treatment ◽  
The United States ◽  
Treatment Center ◽  
Agonist Activity ◽  
Opioid Agonist ◽  
Mu Opioid ◽  
Time On The Market ◽  
Continued Use ◽  
Quality Evidence

Tramadol, a synthetic, centrally acting analgesic with weak mu-opioid agonist activity, is often prescribed as an alternative to opioids due to its negligible abuse potential. Although the potential for the abuse of tramadol appeared low when the medication first became available, findings have demonstrated increased rates of abuse with extended time on the market. This case report details the addiction to tramadol of a 39-year-old female serving in the United States Army. At the height of her addiction, she was consuming an average of 1400mg tramadol daily. Eventually the patient entered into residential inpatient treatment for 28 days at our facility. During this time she was successfully titrated to buprenorphine 8mg/naloxone 2mg daily while maintaining abstinence. Patient care transitioned to the outpatient treatment center during which she maintained sobriety with the continued use of buprenorphine/naloxone. This case adds to previous reports of the increasing abuse of tramadol and the need for quality evidence on successful treatments for this escalating concern.

scholarly journals ASSESS THE READINESS OF THE OUTPATIENT TREATMENT CENTERS OF SOCIAL SECURITY TO RUN SMART HEALTH CARD

2017 ◽  
Vol 1 (4) ◽  
pp. 124-125
Author(s):  
Marziyhe Meraji ◽  
Mehdi Esmaeilzadeh ◽  
Mohammadreza Motiee ◽  
Sanaz sadat Mahmoodian
Keyword(s):  
Social Security ◽  
Smart Card ◽  
Outpatient Treatment ◽  
Smart Cards ◽  
Treatment Center ◽  
Health Card ◽  
Cultural Organization ◽  
Road Map ◽  
Significant Difference ◽  
Technical Readiness

Introduction: Smart card, microprocessor chip, facilitate providing e-health services in health center. Design and implementation of smart cards in the Social Security Organization as one of the health centers reduce costs, prevent abuses of medical insurance, increase productivity and accelerate response time. In this study, readiness of the outpatient treatment centers of social security to implement health smart card assessed. Methods: this practical and descriptive study was conducted in nine outpatient treatment center of Khorasan Razavi Social Security center in 2016-2017.  Total proposed number of outpatient treatment center was reduced to 9 center because other centers did not take part in this review .A questionnaire with three areas of technical readiness, organizational culture and leadership and management was used. The data were analyzed using spss 19 software Results: Finding showed Average scores of technical and leadership and cultural organization readiness were ordinary in all centers. Leadership and cultural organization readiness in 4 center were more than others. Average scores of technical were more than of leadership and cultural organization readiness .Technical readiness had significant difference between the studied centers. Conclusion: Finding showed appropriate technical readiness in Social Security, therefore we suggest to implement smart cards, educating staff to enhance technology skills and to promote its use culture. Readiness of management and leadership scope is impressive in designing and implementing smart cards; So implementing smart cards should be organization`s strategy and the road map should be determined, and its benefits should be clearly explain for social security center managers.

scholarly journals The Development of a BMT-Specific Acuity Tool for the Outpatient Treatment Center

2009 ◽  
Vol 15 (2) ◽  
pp. 30 ◽  
Author(s):  
S. Thirlwell ◽  
C. Siderakis ◽  
M. Gillespie ◽  
N. Ziel ◽  
K. Bazzi ◽  
...  
Keyword(s):  
Outpatient Treatment ◽  
Treatment Center

scholarly journals ART initiation in an outpatient treatment center in Dakar, Senegal: A retrospective cohort analysis (1998-2015)

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0202984
Author(s):  
Ndeye Fatou Ngom ◽  
Mame Awa Faye ◽  
Kiné Ndiaye ◽  
Aminata Thiam ◽  
Cheikh Tidiane Ndour ◽  
...  
Keyword(s):  
Outpatient Treatment ◽  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Treatment Center ◽  
Art Initiation ◽  
Retrospective Cohort Analysis

Outcome and characteristics of patients in methadone maintenance program depending on whether they are or not drug consumption room users

2017 ◽  
Vol 41 (S1) ◽  
pp. S394-S395 ◽  
Author(s):  
A. Romaguera ◽  
R. Martínez ◽  
L. Bádenas ◽  
I. Novell ◽  
C. Castillo ◽  
...  
Keyword(s):  
Drug Abuse ◽  
Outpatient Treatment ◽  
People Who Inject Drugs ◽  
Methadone Maintenance ◽  
Drug Consumption ◽  
Treatment Center ◽  
Cross Sectional ◽  
Competing Interest ◽  
Methadone Maintenance Program ◽  
Drug Consumption Room

IntroductionIn January 2012, a drug consumption room (DCR) opened in an outpatient treatment center for alcoholism and drug abuse (CADA) to reach people who inject drugs (PWID) who did not seek treatment.Objectives/aimsTo evaluate the characteristics and evolution of 76 patients undergoing methadone maintenance treatment (MMT) during a year in a CADA, depending on whether they are DCR users or nonusers.MethodsA retrospective cross-sectional observational study was conducted by reviewing data collected from patients in MMT during 2015, performing a statistical comparison between DCR users and nonusers. Outcome was evaluated through urine controls, considering a poor outcome when positive to heroin > 20%.ResultsOf the 76 patients in MMT, the average age was 40 years, 21% were women, mean dosage of methadone was 48.2 mg/day and more than a half were DCR users (52.63%). Of the 40 patients, which formed the DCR user subgroup, the average age was 36.4 years, 20% were women and mean dosage of methadone was 47 mg/day. The outcome of all the patients in PMM was successful in 48.68% of the cases, presenting differentially the nonusers a 91.67% of good response and the users only a 10%.ConclusionsInclusion of a drug consumption room in an outpatient treatment center for alcoholism and drug abuse, which facilitates accessibility for people who inject drugs to treatment, poses new challenges in order to improve the effectiveness of the PMM.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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