Motivations for Use of Opiates among Addicts Seeking Treatment in Shiraz

2000 ◽  
Vol 87 (3_suppl) ◽  
pp. 1158-1164 ◽  
Author(s):  
Jamshid Ahmadi ◽  
Ahmad Ghanizadeh
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Social Pressure ◽  
Common Reason ◽  
Patient Treatment ◽  
Semistructured Interview ◽  
Treatment Facility ◽  
The West ◽  
Cultural Attitudes ◽  
Opiate Use

This study assessed the characteristics and motivation for substance use among addicts referred to the Shiraz Self-identified Center, an out-patient treatment facility. Data were gathered by a semistructured interview from 306 consecutive addicts seeking treatment and referred from July to September, 1998. Their mean age was 37 yr., and the majority (73.9%) were married. Of these addicts, 28.4% were workers, 13.4% drivers, and 11.4% were unemployed. Modeling or social pressure (43.1%) was identified as the first and enjoyment (fun) was the second most common reason given for opiate use. The majority (97.1%) used opium and 71.9% used alcohol; however, only 2.6% reported current use of alcohol. Other subjects were current users of cigarettes (72.2%), opium (67%), heroin (35%), hashish (2%), hallucinogens (0.3%), and cocaine (0.3%). The most common reason given for currently using opiates was habit (56.5%). About 36% of the subjects reported that they had frequently used opiates for more than a decade. These findings are quite different from those carried out in the West, although there is some overlap. Cultural attitudes toward drug use likely affect the types and amount of use.

Circumstances Surrounding the Initial Lapse to Opiate Use Following Detoxification

1989 ◽  
Vol 154 (3) ◽  
pp. 354-359 ◽  
Author(s):  
Brendan P. Bradley ◽  
Grania Phillips ◽  
Lynette Green ◽  
Michael Gossop
Keyword(s):  
Social Pressure ◽  
Patient Treatment ◽  
Drug Availability ◽  
Treatment Approaches ◽  
Opiate Use ◽  
External Events

Seventy-eight opiate abusers were followed up after successful in-patient detoxification in order to examine renewed opiate use. The greatest number of initial lapses occurred within a week of subjects leaving in-patient treatment. Eleven categories of lapse precipitant were identified: cognitive, mood, external, withdrawal, interpersonal, leaving a protected environment, drug availability, drug-related cues, craving, priming, and social pressure. Cognitions, negative moods and external events emerged as the most commonly mentioned factors; these often occurred together, either in clusters or in a sequence. Implications of these results for models of relapse and for treatment approaches are discussed.

Improved drug-use patterns at six months post discharge from inpatient substance use disorder treatment; results from compulsory and voluntary admitted patients

2016 ◽  
Vol 33 (S1) ◽  
pp. S310-S311
Author(s):  
A. Pasareanu ◽  
J.K. Vederhus ◽  
O. Kristensen ◽  
T. Clausen ◽  
A. Opsal
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Substance Use Disorder ◽  
Addiction Severity Index ◽  
Patient Treatment ◽  
Factors Associated ◽  
Improved Outcomes ◽  
Hospitalised Patients ◽  
Life Threatening

BackgroundThe Norwegian Municipal Health Care Act opens for mandated treatment for persons with severe and life-threatening substance use disorder. This study aims to examine substance use related outcomes at six-month following in-patient treatment and to analyse factors associated with improved outcomes and abstinence.MethodThis prospective study followed 202 hospitalised patients with SUD that were admitted voluntarily (n = 137) or compulsorily (n = 65). The European Addiction Severity Index was used at baseline and at follow-up to assess socio-demographics and substance use variables. Regression analysis was conducted to investigate factors associated with abstinence at six-month follow-up.ResultsThe frequency of use of preferred substance showed markedly improvement for both voluntary admitted (VA) and compulsory admitted (CA) patients (61% and 37% respectively) at follow-up. Seventy-five percent of VA patients using amphetamine reported improvement compared to 53% of CA patients. At follow-up, the CA group continued to have a higher rate of injection use. The CA group had experienced higher rates of overdose the past six months and lower abstinence rates (24% versus 50%) at follow-up. Lower severity of drug use at intake (non-injection drug use), voluntary treatment modality and higher treatment involvement during follow-up all were significant factors associated with abstinence at follow-up.ConclusionVoluntary treatment for SUD generally yielded better outcomes; nevertheless we found improved outcomes also for CA patients. It is important to keep in mind that the alternative to CA treatment in reality is no treatment at all and instead a continuation of life-threatening drug use behaviours.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Substance Use Portrayal in Oscar-nominated Movies

2020 ◽  
Vol 12 ◽  
Author(s):  
João Mauricio Castaldelli-Maia ◽  
Felipe Gil ◽  
Antonio Ventriglio ◽  
Julio Torales ◽  
Ligia Florio ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Epidemiological Studies ◽  
Progressive Increase ◽  
Media Content ◽  
Media Content Analysis ◽  
Monitoring Drug ◽  
And Gender ◽  
Multiple Drugs ◽  
Gender Convergence

Background: As one of the forms of media and art most consumed in the world, Oscar-nominated movies should have their drug use representation monitored because of possibly influencing but also reflecting society’s behavior. Objective: To investigate drug use representation in scenes from movies nominated for the Academy Awards (Oscar) from 2008-2011, through media content analysis. Methods: 437 scenes from Oscar-nominated movies (best film, best actor and best actress categories) showing drug consumption and/or its effects were assessed. Each drug represented and identified in a given scene (i.e., drug use incident) was counted as a unit for the present study (n = 515). Survey settings were used to control for over- or under-estimation of the prevalence of a variable in a given year or movie. Results: All the Oscar-nominated movies portrayed at least one scene of drug use. There was a massive predominance of alcohol and tobacco in movies, with a high use among men who also use drugs, habitually or occasionally, but related to stress/tension, predominantly at home. However, there was a significant progressive increase in the use of drugs other than alcohol and tobacco, multiple drugs, and by women. Conclusion: These findings echo epidemiological studies on substance use in western countries, an overall trend towards greater home drug use representation and gender convergence since 1970, which increased since 2000. Monitoring drug use representation in Oscar-nominated movies may represent an important public health tool.

scholarly journals Macho Buddhism: Gender and Sexualities in the Diamond Way

2011 ◽  
Vol 1 (1) ◽  
pp. 85-103
Author(s):  
Burkhard Scherer
Keyword(s):  
Tibetan Buddhism ◽  
Gender Stereotyping ◽  
Sexual Ethics ◽  
Tibetan Buddhist ◽  
Historical Source ◽  
The West ◽  
Cultural Attitudes ◽  
Continuity And Change ◽  
And Performance ◽  
Previous Scholarship

Western Tibetan Buddhist movements have been described as bourgeois and puritanical in previous scholarship. In contrast, Ole Nydahl’s convert lay Karma Kagyu Buddhist movement, the Diamond Way, has drawn attention for its apparently hedonistic style. This article addresses the wider issues of continuity and change during the transition of Tibetan Buddhism from Asia to the West. It analyses views on and performances of gender, sexual ethics and sexualities both diachronically through textual-historical source and discourse analysis and synchronically through qualitative ethnography. In this way the article demonstrates how the approaches of contemporary gender and sexualities studies can serve as a way to question the Diamond Way Buddhism’s location in the ‘tradition vs modernity’ debate. Nydahl’s pre-modern gender stereotyping, the hetero-machismo of the Diamond Way and the mildly homophobic tone and content of Nydahl’s teaching are interpreted in light of Indian and Tibetan Buddhist sexual ethics and traditional Tibetan cultural attitudes on sexualities. By excavating the emic genealogy of Nydahl’s teachings, the article suggests that Nydahl’s and the Diamond Way’s view on and performance of gender and sexualities are consistent with his propagation of convert Buddhist neo-orthodoxy.

Does the Presence of On-Site Medical Services at Outdoor Music Festivals Affect Attendees’ Planned Alcohol and Recreational Drug Use?

2021 ◽  
pp. 1-5
Author(s):  
Alison Hutton ◽  
Matthew Brendan Munn ◽  
Sydney White ◽  
Peter Kara ◽  
Jamie Ranse
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Great Majority ◽  
Safety Net ◽  
Medical Services ◽  
Future Research ◽  
Recreational Drug ◽  
Recreational Drugs ◽  
Mandatory Requirement ◽  
Recreational Drug Use

Abstract Background: Dedicated on-site medical services have long been recommended to improve health outcomes at mass-gathering events (MGEs). In many countries, they are being reviewed as a mandatory requirement. While it is known that perceptions of risk shape substance use plans amongst outdoor music festival (OMF) attendees, it is unclear if attendees perceive the presence of on-site medical services as a part of the safety net. The aim of this paper is to better understand whether attendees’ perceptions of on-site medical services influence high-risk behaviors like alcohol and recreational drug use at OMFs. Method: A questionnaire was distributed to a random sample of attendees entering and attending two separate 20,000-person OMFs; one in Canada (Festival A) and one in New Zealand (Festival B). Responses focused on demographics, planned alcohol and recreational drug use, perceptions of medical services, and whether the absence of medical services would impact attendees’ planned substance use. Results: A total of 851 (587 and 264 attendees for Festival A and Festival B, respectively) attendees consented and participated. Gender distribution was equal and average ages were 23 to 25. At Festival A, 48% and 89% planned to use alcohol and recreational drugs, respectively, whereas at Festival B, it was 92% and 44%. A great majority were aware and supportive of the presence of medical services at both festivals, and a moderate number considered them a factor in attendance and something they would not attend without. There was significant (>10%) agreement (range 11%-46%; or 2,200-9,200 attendees for a 20,000-person festival) at both festivals that the absence of medical services would affect attendees’ planned use of alcohol and recreational drugs. Conclusions: This study found that attendees surveyed at two geographically and musically distinct OMFs had high but differing rates of planned alcohol and recreational drug use, and that the presence of on-site medical services may impact attendees’ perceptions of substance use risk. Future research will aim to address the limitations of this study to clarify these findings and their implications.

389 General Surgery Operative Cancellations Within Aberdeen Royal Infirmary 2019

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S McIntosh ◽  
R Jardine ◽  
M Ghazanfar
Keyword(s):  
Median Time ◽  
General Surgery ◽  
Retrospective Review ◽  
Common Reason ◽  
Patient Treatment ◽  
Royal Infirmary ◽  
Emergency Operations ◽  
Elective Operation ◽  
Theatre Management ◽  
Aberdeen Royal Infirmary

Abstract Introduction Operative cancellation rates can be up to 17.6%, resulting in delays to patient treatment and management. This audit was conducted to assess underlying reasons for operative cancellations with the aim to minimise cancellations in the future. Method A retrospective review of General surgery operative cancellations during 2019 at Aberdeen Royal Infirmary was undertaken. Data was obtained from Theatre Management. Results 28548 operations were performed across all surgical specialities during 2019 with 2664 operations cancelled. Within General Surgery, 447 were cancelled (182 emergency (40.7%), 265 electives (59.3%)). The most common reason was lack of theatre time for elective cases and procedure no longer needed for emergency cases. For cancelled elective surgeries, there was a median time of 29 days before being operated. Conclusions We highlight that both elective and emergency operations are susceptible to cancellation. There are clear differences in the reason of cancellation between elective and emergency. Going forward, it is worth discussing booking emergency operations with the on-call consultant to ensure they are necessary. Regarding elective operation cancellations due to lack of theatre time it would be imperative to assess the exact cause of this as to minimise operative cancellations. We plan re-audit once a departmental discussion has been made.

scholarly journals Interactions of neuroimmune signaling and glutamate plasticity in addiction

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Cassandra D. Gipson ◽  
Scott Rawls ◽  
Michael D. Scofield ◽  
Benjamin M. Siemsen ◽  
Emma O. Bondy ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Substance Use Disorders ◽  
Drugs Of Abuse ◽  
Treatment Strategies ◽  
Glutamate Signaling ◽  
Open Questions ◽  
Seeking Behavior ◽  
Glutamate System ◽  
Chronic Use

AbstractChronic use of drugs of abuse affects neuroimmune signaling; however, there are still many open questions regarding the interactions between neuroimmune mechanisms and substance use disorders (SUDs). Further, chronic use of drugs of abuse can induce glutamatergic changes in the brain, but the relationship between the glutamate system and neuroimmune signaling in addiction is not well understood. Therefore, the purpose of this review is to bring into focus the role of neuroimmune signaling and its interactions with the glutamate system following chronic drug use, and how this may guide pharmacotherapeutic treatment strategies for SUDs. In this review, we first describe neuroimmune mechanisms that may be linked to aberrant glutamate signaling in addiction. We focus specifically on the nuclear factor-kappa B (NF-κB) pathway, a potentially important neuroimmune mechanism that may be a key player in driving drug-seeking behavior. We highlight the importance of astroglial-microglial crosstalk, and how this interacts with known glutamatergic dysregulations in addiction. Then, we describe the importance of studying non-neuronal cells with unprecedented precision because understanding structure-function relationships in these cells is critical in understanding their role in addiction neurobiology. Here we propose a working model of neuroimmune-glutamate interactions that underlie drug use motivation, which we argue may aid strategies for small molecule drug development to treat substance use disorders. Together, the synthesis of this review shows that interactions between glutamate and neuroimmune signaling may play an important and understudied role in addiction processes and may be critical in developing more efficacious pharmacotherapies to treat SUDs.

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