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https://www.readbyqxmd.com/read/29676223/opiate-free-tricuspid-valve-replacement-case-report
#1
Jeffrey P Cardinale, George Gilly
The utility of opioid pain medications for perioperative analgesia is well described. However, opioids have many dangerous side effects including respiratory depression, acute tolerance, hyperalgesia, and chronic opioid dependence. Multimodal approaches continue to be used in more invasive and complex surgical procedures for enhanced recovery and decreased postoperative complications from opioid administration. The current case report centers on a 30-year-old male recovering from opioid addiction presenting with severe tricuspid regurgitation scheduled to undergo a tricuspid valve replacement...
April 1, 2018: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29670549/educational-and-behavioral-counseling-in-a-methadone-maintenance-treatment-program-in-china-a-randomized-controlled-trial
#2
Pulin Liu, Ranran Song, Yao Zhang, Cheng Liu, Bingxi Cai, Xuebing Liu, Jiaoyuan Li, Xueqin Chen, Juntao Ke, Jiao Lou, Wei Chen, Beibei Zhu, Li Zou, Yang Yang, Ying Zhu, Yajie Gong, Rong Zhong, Xiaoping Miao
Introduction: Methadone maintenance treatment (MMT) programs have been rapidly scaled up nationwide in China in recent years, and psychosocial intervention measures, including counseling, were recommended for improving the outcomes of MMT. However, the effectiveness of counseling in MMT programs remains controversial. This study investigated the efficacy of educational and behavioral counseling (EBC) mode in an MMT program in China. Methods: A total of 125 eligible participants were randomized to EBC or a control group...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29667712/trajectories-of-alcohol-consumption-in-u-s-military-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#3
Brian S Fuehrlein, Lorig K Kachadourian, Elizabeth K DeVylder, Louis A Trevisan, Marc N Potenza, John H Krystal, Steven M Southwick, Robert H Pietrzak
BACKGROUND AND OBJECTIVES: While alcohol use disorder is prevalent in U.S. veterans, little is known about the nature and determinants of predominant trajectories of alcohol consumption in this population. The objective of the current study was to identify predominant trajectories of alcohol consumption over a 4-year period, and baseline determinants of these trajectories in veterans. METHODS: Data were analyzed from the National Health and Resilience in Veteran Study, which surveyed a nationally representative sample of 3,157 veterans (Wave 1)...
April 18, 2018: American Journal on Addictions
https://www.readbyqxmd.com/read/29661748/virtual-reality-cue-refusal-video-game-for-alcohol-and-cigarette-recovery-support-summative-study
#4
Mary Metcalf, Karen Rossie, Katie Stokes, Christina Tallman, Bradley Tanner
BACKGROUND: New technologies such as virtual reality, augmented reality, and video games hold promise to support and enhance individuals in addiction treatment and recovery. Quitting or decreasing cigarette or alcohol use can lead to significant health improvements for individuals, decreasing heart disease risk and cancer risks (for both nicotine and alcohol use), among others. However, remaining in recovery from use is a significant challenge for most individuals. OBJECTIVE: We developed and assessed the Take Control game, a partially immersive Kinect for Windows platform game that allows users to counter substance cues through active movements (hitting, kicking, etc)...
April 16, 2018: JMIR Serious Games
https://www.readbyqxmd.com/read/29657357/independent-and-interactive-effects-of-neighborhood-disadvantage-and-social-network-characteristics-on-problem-drinking-after-treatment
#5
Amy A Mericle, Lee A Kaskutas, Doug L Polcin, Katherine J Karriker-Jaffe
Socioecological approaches to public health problems like addiction emphasize the importance of person-environment interactions. Neighborhood and social network characteristics may influence the likelihood of relapse among individuals in recovery, but these factors have been understudied, particularly with respect to conceptualizing social network characteristics as moderators of neighborhood disadvantage. Drawing from a larger prospective study of individuals recruited from outpatient treatment (N=451) and interviewed 1, 3, 5, and 7 years later, the aim of this study was to examine the independent and interactive effects of neighborhood and social network characteristics on continued problem drinking after treatment...
January 2018: Journal of Social and Clinical Psychology
https://www.readbyqxmd.com/read/29651928/rural-postpartum-women-with-substance-use-disorders
#6
Debra Kramlich, Rebecca Kronk, Lenora Marcellus, Alison Colbert, Karen Jakub
The incidence of perinatal opioid use and neonatal withdrawal continues to rise rapidly in the face of the growing opioid addiction epidemic in the United States, with rural areas more severely affected. Despite decades of research and development of practice guidelines, maternal and neonatal outcomes have not improved substantially. This focused ethnography sought to understand the experience of accessing care necessary for substance use disorder recovery, pregnancy, and parenting. Personal accounts of 13 rural women, supplemented by participant observation and media artifacts, uncovered three domains with underlying themes: challenges of getting treatment and care (service availability, distance/geographic location, transportation, provider collaboration/coordination, physical and emotional safety), opportunities to bond (proximity, information), and importance of relationships (respect, empathy, familiarity, inclusion, interactions with care providers)...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29651257/mindfulness-based-interventions-for-the-treatment-of-substance-and-behavioral-addictions-a-systematic-review
#7
Marta Sancho, Marta De Gracia, Rita C Rodríguez, Núria Mallorquí-Bagué, Jéssica Sánchez-González, Joan Trujols, Isabel Sánchez, Susana Jiménez-Murcia, Jose M Menchón
Background: Emotion (dys)regulation as well as the interventions for improving these difficulties are receiving a growing attention in the literature. The aim of the present paper was to conduct a systematic review about the efficacy of mindfulness-based interventions (MBIs) in both substance and behavioral addictions (BAs). Method: A literature search was conducted using Cochrane, PubMed, and Web of Science. Fifty-four randomized controlled trials published in English since 2009 to April 2017 were included into a narrative synthesis...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29649583/noradrenergic-%C3%AE-receptor-antagonism-in-the-basolateral-amygdala-impairs-reconsolidation-but-not-extinction-of-alcohol-self-administration-intra-bla-propranolol-impairs-reconsolidation-of-alcohol-self-administration
#8
Rose Chesworth, Laura H Corbit
A critical barrier to recovery from alcohol addiction is relapse propensity. Alcohol cues can trigger relapse, and pharmacologically facilitating processes such as extinction, which decreases cue associations, may help prevent relapse. The noradrenergic system mediates extinction learning for alcohol; however, the neural locus of this effect is unknown. This study sought to determine whether the basolateral amygdala (BLA), a region critical for fear extinction, also mediates extinction of alcohol seeking. Hooded Wistar rats (N = 12-15 per experiment) were implanted with bilateral cannula targeting the BLA and trained to lever press for 10% ethanol during auditory or visual cues...
April 9, 2018: Neurobiology of Learning and Memory
https://www.readbyqxmd.com/read/29628533/alone-on-the-inside-the-impact-of-social-isolation-and-helping-others-on-aod-use-and-criminal-activity
#9
Byron R Johnson, Maria E Pagano, Matthew T Lee, Stephen G Post
Because addiction is a socially isolating disease, social support for recovery is an important element of treatment planning. This study examines the relationship between social isolation, giving and receiving social support in Alcoholics Anonymous during treatment, and post-treatment outcomes among juvenile offenders court-referred to addiction treatment. Adolescents ( N = 195) aged 14 to 18 years were prospectively assessed at treatment admission, treatment discharge, 6 months, and 12 months after treatment discharge...
2018: Youth & Society
https://www.readbyqxmd.com/read/29607171/enhanced-recovery-after-thoracic-surgery-reduces-discharge-on-highly-dependent-narcotics
#10
Min P Kim, Edward Y Chan, Leonora M Meisenbach, Razvan Dumitru, Jessica K Brown, Faisal N Masud
Background: There is large prescription drug epidemic in United States. We want to determine if ERATS (enhanced recovery after thoracic surgery) program can reduce discharge on highly dependent narcotics. Methods: We performed a retrospective analysis of prospectively collected data on patients who underwent lung resection and foregut procedures on thoracic surgery service over an 8-month time period. Patients underwent preoperative conditioning instructions, multimodal non-narcotic pharmaceutical usage, total intravenous anesthesia (TIVA) and minimizing highly addictive narcotics during the post-operative period...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29606226/a-pilot-study-of-a-smartphone-application-supporting-recovery-from-drug-addiction
#11
Di Liang, Hui Han, Jiang Du, Min Zhao, Yih-Ing Hser
BACKGROUND: Mobile health (mHealth) technologies have the potential to facilitate self-monitoring and self-management for individuals with substance use disorders (SUD). S-Health is a bilingual smartphone application based on cognitive behavioral principles and is designed to support recovery from drug addiction by trigger recognition so as to allow practice in-the-moment coping to prevent relapse. METHOD: For this pilot randomized controlled study, 75 participants were recruited from methadone maintenance treatment clinics and the social worker consortium in Shanghai, China...
May 2018: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29606223/a-longitudinal-study-of-the-comparative-efficacy-of-women-for-sobriety-lifering-smart-recovery-and-12-step-groups-for-those-with-aud
#12
Sarah E Zemore, Camillia Lui, Amy Mericle, Jordana Hemberg, Lee Ann Kaskutas
BACKGROUND: Despite the effectiveness of 12-step groups, most people reporting a prior alcohol use disorder (AUD) do not sustain involvement in such groups at beneficial levels. This highlights the need for research on other mutual help groups that address alcohol problems and may attract those who avoid 12-step groups. The current study addresses this need, offering outcome data from the first longitudinal, comparative study of 12-step groups and their alternatives: The Peer ALlternatives for Addiction (PAL) Study...
May 2018: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29600517/the-impact-of-length-of-stay-on-recovery-measures-in-faith-based-addiction-treatment
#13
Mary Lashley
OBJECTIVE: To determine the impact of length of stay among homeless men in faith-based residential addictions recovery on physical activity, depression, self-esteem, and nicotine dependence. DESIGN AND SAMPLE: A time series design was utilized to measure changes in the four quality measures at program entry and at 3, 6, and 9 months following admission. The sample consisted of 175 homeless residents enrolled in a faith-based residential recovery program. MEASURES: Paired t tests were used to determine the change in average instrument response from admission to each follow-up period...
March 30, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29596724/a-randomized-controlled-trial-of-a-gender-focused-addiction-model-versus-12-step-facilitation-for-women-veterans
#14
Lisa M Najavits, Justin Enggasser, Deborah Brief, Edward Federman
BACKGROUND AND OBJECTIVES: Substance use disorder (SUD) has increased among women, including military veterans, yet SUD treatment was historically designed for males. This randomized controlled trial compared 12 individual sessions of a gender-focused SUD recovery model, A Woman's Path to Recovery (WPR) to an evidence-based, non-gender-focused SUD model, 12-Step Facilitation (TSF) for 66 women veterans with current severe SUD. METHODS: The primary outcome was substance use; secondary outcomes were associated problems (e...
April 2018: American Journal on Addictions
https://www.readbyqxmd.com/read/29590325/real-time-monitoring-using-a-breathalyzer-based-ehealth-system-can-identify-lapse-relapse-patterns-in-alcohol-use-disorder-patients
#15
Markku D Hämäläinen, Andreas Zetterström, Maria Winkvist, Marcus Söderquist, Elin Karlberg, Patrik Öhagen, Karl Andersson, Fred Nyberg
Aim: We introduce a new remote real-time breathalyzer-based method for monitoring and early identification of lapse/relapse patterns for alcohol use disorder (AUD) patients using a composite measure of sobriety, the Addiction Monitoring Index (AMI). Methods: We constructed AMI from (a) obtained test results and (b) the pattern of ignored tests using data from the first 30 patients starting in the treatment arms of two on-going clinical trials. The patients performed 2-4 scheduled breath alcohol content (BrAC)-tests per day presented as blood alcohol content (BAC) data...
March 24, 2018: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/29580700/-peer-support-programs-in-mental-health-in-france-status-report-and-challenges
#16
M Villani, V Kovess-Masféty
OBJECTIVES: Recovery is a process through which people experiencing mental illness learn to live with their disorder and reach social insertion and citizenship. This positive approach focuses on a person's competencies and strengths rather than on the symptoms. Within this philosophy, peer support has been unevenly developing in mental health services worldwide with roots in the South-American social programs for homeless people and in the American recovery circles in the field of addiction...
March 23, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29565776/therapeutic-mechanisms-of-mindfulness-oriented-recovery-enhancement-for-internet-gaming-disorder-reducing-craving-and-addictive-behavior-by-targeting-cognitive-processes
#17
Wen Li, Eric L Garland, Matthew O Howard
BACKGROUND: Internet gaming disorder (IGD) is characterized by signs and symptoms similar to substance use and gambling disorders, and associated with psychosocial impairments. Research suggests that maladaptive gaming-related cognitions and coping may be implicated in IGD; therefore, interventions for IGD need to target these underlying mechanisms. Mindfulness-based treatment is effective in changing maladaptive cognitive processes and increasing adaptive coping among people with addictions...
March 22, 2018: Journal of Addictive Diseases
https://www.readbyqxmd.com/read/29558338/integration-of-a-clinical-pharmacy-specialist-into-a-substance-use-disorder-intensive-outpatient-treatment-program-to-improve-prescribing-rates-of-alcohol-use-disorder-pharmacotherapy
#18
Erica Dimitropoulos, Stephanie Bertucci, Kara Wong
BACKGROUND: Research has demonstrated that the combination of pharmacotherapy and psychological interventions in alcohol use disorder (AUD) treatment is superior to either alone. Despite this, medications remain highly underutilized in many outpatient treatment facilities. Pharmacists can serve as an excellent resource to aid in improving access to medications. METHODS: This study was a prospective, longitudinal evaluation of a pharmacist's role in a substance use disorder (SUD) clinic, specifically an intensive outpatient program (IOP)...
March 20, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29552089/-i-don-t-have-to-know-why-it-snows-i-just-have-to-shovel-it-addiction-recovery-genetic-frameworks-and-biological-citizenship
#19
Molly J Dingel, Jenny Ostergren, Kathleen Heaney, Barbara A Koenig, Jennifer McCormick
The gene has infiltrated the way citizens perceive themselves and their health. However, there is scant research that explores the ways genetic conceptions infiltrate individuals' understanding of their own health as it relates to a behavioral trait, like addiction. Do people seeking treatment for addiction ground their self-perception in biology in a way that shapes their experiences? We interviewed 63 participants in addiction treatment programs, asking how they make meaning of a genetic understanding of addiction in the context of their recovery, and in dealing with the stigma of addiction...
December 2017: BioSocieties
https://www.readbyqxmd.com/read/29547920/nicotine-addiction-management-following-surgery-a-quality-improvement-approach-in-the-post-anesthesia-care-unit
#20
Barry A Finegan, Daniel Roblin, Fadi Hammal
Quality problem: For smokers, hospital admission is accompanied by forced involuntary nicotine abstinence due to smoke-free site/grounds policies. An audit of patients admitted to our surgical wards revealed that identification of smoking status was inadequate and that nicotine addiction management (NAM) was infrequently offered. The project aimed to enhance both these metrics by initiating NAM in the post anesthesia care unit (PACU). Initial assessment: Out of 744 patients admitted to our PACU in August 2015, 54% had their smoking status documented...
March 14, 2018: International Journal for Quality in Health Care
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