“I don’t want to take buprenorphine for the rest of my life”: Acceptance and Commitment Therapy for a Client Struggling to Reduce Low-Dose Buprenorphine (a Hermeneutic Single-Case Efficacy Design)

The misuse of substances is often maintained by both physical and psychological factors. Opioid-substitution medications manage physical aspects of addiction; however, difficulties with emotional regulation and avoidance perpetuate continued substance misuse. In the UK, individuals who misuse substances are often excluded from mental health services, meaning these underlying difficulties are not addressed. Acceptance and Commitment Therapy (ACT) seeks to reduce emotional avoidance. A hermeneutic single-case efficacy design was used to evaluate the effects of ACT within drugs and alcohol service. Quantitative and qualitative data was critically analysed to understand factors involved in identified changes. Analysis recognised the client progressed towards two of three of their goals, related to motivation and anxiety. Their psychological flexibility also increased. ACT processes played a key role in this; however, the therapeutic relationship and psychopharmacological factors were also noted. Study limitations and clinical and research implications are discussed.

Pemeriksaan Kadar Asam Urat Dan Konseling Di Kelurahan Bercak Wonosamudro Boyolali Jawa Tengah

Background: Uric acid is a disease that arises from excessive blood uric acid levels, which causes excessive blood uric acid levels, which is the production of more uric acid in the body from its disposal. There are several causes of gout, including changes in diet, consumption of drugs, and alcohol consumption. The purpose of implementing this community service activity is to provide education to the community in Bercak Village and to check uric acid levels. Methods: Based on the team's observations on several residents in Bercak Village, it was found that most residents did not have sufficient knowledge about gout and did not carry out routine health checks. In order to increase awareness and understanding of residents about health care efforts, especially preventing gout, the team coordinated with the urban village to carry out community service activities in Bercak Village, Wonosamudro, Boyolali. Results: The target in implementing this program is all residents in the Bercak Village, Wonosamudro, Boyolali. Community service activities were carried out on March 13, 2021, attended by the village head and also village officials and babinsa. Conclusion: After carrying out the activity, it is hoped that the community can follow up on the results of the examination and improve the behavior of efforts to prevent gout.

POSITIVE IMPACTS OF LOVE IN WILLIAM A. WELLMAN’S AND ROBERT CARSON’S MOVIE SCRIPT A STAR IS BORN

This study aims to determine the positive impacts of love in the movie script A Star Is Born. This study is concerned with the types of love which imply the positive impacts. This study uses Fromm’s theory of love. The types of love analyzed in this study are brotherly love, erotic love, and self-love. Next, the positive impacts of love found in this study are for health, for personal ties, and for relationship. This study uses descriptive qualitative method to explain the types of love that imply positive impact, and positive impact of love from the quotations in the script. This film tells the story of an ordinary woman with great talent who accidentally meets a male celebrity who is addicted to alcohol. The man is attracted to the woman who has a dream to conquer Hollywood. He pushes her become a star. The results of this study show that love can have a positive impact for health that triggers Jack to be released from drugs and alcohol. Besides, the self-love in this movie is presented when Jack helps Ally to be more confident and love herself; consequently, she can be a successful songwriter and singer. Jack always loves her as she is. Ally always supports his health. Both of them strengthen and heal each other.

The Increase in Addiction during COVID-19

The increase in addiction during COVID-19 is a condition that emerged as an aftermath of COVID-19-related events, for instance, fear of the spread of COVID-19, self-abstention from many activities, and restrictions established by the lockdown measures. This condition includes substance addictions such as drugs and alcohol but also behavioral addictions such as gambling, gaming, pornography, and smartphone and internet misuse.

Awareness of Pregnant Women Registered with Federal Medical Centre, Makurdi on the Risk Factors of Obstetric Emergencies

Obstetric emergencies are the leading cause of maternal and child mortality worldwide. According to WHO, about 15% of all pregnant women will develop obstetric emergencies that will require special skills to manage. A Nigerian woman has a 1 in 22 lifetime risk of dying during pregnancy, childbirth or postpartum/post-abortion whereas most other developed countries have a risk of 1 in 4900. With figures so high, there is need for prompt response to arrest the problem. A good knowledge/awareness of pregnant women on the predisposing risk factors for occurrence of obstetric emergencies better equips them with appropriate steps to take in preventing the occurrence of such. In this study, the awareness of pregnant women on the risk factors of obstetric emergencies was assessed. Just about 37% of the women knew the concept of obstetric emergencies but when asked the specific types, a good number were aware of all the types. The most popular type was postpartum hemorrhage with 43.5% knowledge. The risk factors most recognized included poor antenatal care, age, infection, drugs and alcohol. 96% of the population however did not think they were at risk of developing any obstetric emergency.

Evaluation of treatment response and symptom progression in 400 patients with visual snow syndrome

AimsTo gather information on useful medications to treat visual snow syndrome (VSS) as well as to validate an instrument to assess its clinical severity and the course of the disorder over time.MethodsFour hundred patients with VSS were included in this web-based prospective questionnaire study. All subjects completed a treatment questionnaire and a clinical diary. The first allowed evaluation of the effects of previous medications on visual snow, while the second measured VSS symptoms daily over the course of 30 days.ResultsPatients commonly reported previous use of medications such as antidepressants, antiepileptics, antibiotics and benzodiazepines. However, none of these drug classes was beneficial for the majority of patients. Recreational drugs and alcohol worsened visual snow symptoms in several reports. Vitamins and benzodiazepines had high therapeutic ratios, although in most cases they did not change the course of VSS.The monthly diary confirmed that the static in VSS is a consistent symptom over time. It also showed that indoor and fluorescent lights have a worse effect on symptoms when compared with natural outdoor lighting.ConclusionsThe study confirms clinical experience that medications are generally ineffective in VSS, with the exception of vitamins and perhaps benzodiazepines, which could be beneficial in some patients. The 30-day diary represents a useful tool to measure symptom progression over time, which could be used in future trials on VSS.

BIOACTIVE PHYTOCONSTITUENTS WITH HEPATOPROTECTIVE POTENTIAL: A REVIEW

The liver is a requisite organ in the body, maintaining various physiological functions. Liver damage or toxicity is due to consuming certain chemicals, dietary supplements, drugs, and alcohol at high doses in day-to-day life. Several phytoconstituents acts as hepatoprotective agents. Research advances in analytical techniques and knowledge of active components have allowed research scientists to study the relationship between the phytoconstituents and their activity on the human liver. The review article aims to compile data on promising active constituents that act as lead molecules for future natural products-based drug discovery. The online database, including Web of Science, PubMed, Scopus, and Science Direct, was explored for papers and studied the hepatoprotective activity. Some phytoconstituents act against the chemicals such as CCl4 , paracetamol, alcohol, oxidative stress-induced hepatotoxicity, etc.