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https://www.readbyqxmd.com/read/29048974/strengthening-the-working-alliance-through-a-clinician-s-familiarity-with-the-12-step-approach
#1
Cory B Dennis, Brian D Roland, Barry M Loneck
BACKGROUND: The working alliance plays an important role in the substance use disorder treatment process. Many substance use disorder treatment providers incorporate the 12-Step approach to recovery into treatment. With the 12-Step approach known among many clients and clinicians, it may well factor into the therapeutic relationship. OBJECTIVE: We investigated how, from the perspective of clients, a clinician's level of familiarity with and in-session time spent on the 12-Step approach might affect the working alliance between clients and clinicians, including possible differences based on a clinician's recovery status...
October 19, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/29038678/posttraumatic-growth-and-recovery-from-addiction
#2
Eyal Haroosh, Sara Freedman
Background: It is well documented that individuals coping with adverse events report both negative outcomes, such as posttraumatic stress symptoms, as well as positive changes, described as posttraumatic growth. Positive changes are also reported in people who have recovered from substance abuse. It seems plausible from the literature that both of these types of positive changes have elements in common. To date, no published studies have examined positive outcomes among people who have recovered from addiction...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29024897/a-framework-for-engaging-stakeholders-on-the-management-of-alien-species
#3
Ana Novoa, Ross Shackleton, Susan Canavan, Cathleen Cybèle, Sarah J Davies, Katharina Dehnen-Schmutz, Jana Fried, Mirijam Gaertner, Sjirk Geerts, Charles L Griffiths, Haylee Kaplan, Sabrina Kumschick, David C Le Maitre, G John Measey, Ana L Nunes, David M Richardson, Tamara B Robinson, Julia Touza, John R U Wilson
Alien species can have major ecological and socioeconomic impacts in their novel ranges and so effective management actions are needed. However, management can be contentious and create conflicts, especially when stakeholders who benefit from alien species are different from those who incur costs. Such conflicts of interests mean that management strategies can often not be implemented. There is, therefore, increasing interest in engaging stakeholders affected by alien species or by their management. Through a facilitated workshop and consultation process including academics and managers working on a variety of organisms and in different areas (urban and rural) and ecosystems (terrestrial and aquatic), we developed a framework for engaging stakeholders in the management of alien species...
October 9, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28991468/total-syntheses-of-and-tetrapetalones-a-and-c
#4
Heemal H Dhanjee, Yutaka Kobayashi, Jonas F Buergler, Travis C McMahon, Matthew W Haley, Jennifer M Howell, Koichi Fujiwara, John L Wood
Described herein are syntheses of the naturally occurring polyketides (-)-tetrapetalones A and C and their respective enantiomers. The employed strategy involves initial assembly of a masked N-aryl tetramic acid which is advanced via a highly selective conjugate addition/intramolecular Friedel-Crafts acylation sequence to deliver a key azepine intermediate. Application of recently developed C-H activation chemistry and subsequent Heck cyclization delivers the aglycone framework in an overall 12 steps. Resolution of the aglycone via stereospecific glycosylation with an enantiopure glycosyl donor followed by separation of the derived diastereomers enables further advancement to either (+)- or (-)-tetrapetalones A and C...
October 11, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28950240/prevalence-and-motivations-for-kratom-use-in-a-sample-of-substance-users-enrolled-in-a-residential-treatment-program
#5
Kirsten Elin Smith, Thomas Lawson
BACKGROUND: Kratom use in the West has increased recently, yet the prevalence and motives for use among individuals with a history of substance use disorder (SUD) have not been fully examined. Kratom has been documented as a means of treating chronic pain, mitigating drug dependence, and easing withdrawal symptoms, yet it is unclear if substance users are utilizing kratom as a self-medication. Abuse liability, side effects, and overall appeal of kratom remain uncertain. METHODS: In April 2017, an anonymous survey regarding kratom use and motivations was completed by clients enrolled in a 12-Step-oriented residential program...
September 20, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28942289/polysubstance-use-by-psychiatry-inpatients-with-co-occurring-mental-health-and-substance-use-disorders
#6
Christine Timko, Mark Ilgen, Marie Haverfield, Alexandra Shelley, Jessica Y Breland
BACKGROUND: Polysubstance use, the consumption of more than one substance over a defined period, is common and associated with psychiatric problems and poor treatment adherence and outcomes. This study examined past-month polysubstance use at intake among psychiatry inpatients with co-occurring mental health and substance use disorders, and outcomes 3 months later. METHODS: Participants (n=406 psychiatry inpatients with documented mental health and substance use disorders) completed a baseline and a 3-month follow-up (84%) interview...
September 15, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28853815/a-safe-teaching-protocol-of-lrp-laparoscopic-radical-prostatectomy
#7
Marcos Tobias-Machado, Cristiano Linck Pazeto, Oseas Castro Neves-Neto, Igor Nunes-Silva, Hamilton de Campos Zampolli
PURPOSE: The LRP has a steep learning curve to obtain proficiency during which patient safety may be compromised. We present an adapted modular training system which purpose to optimize the learning curve and perform a safe surgery. MATERIALS AND METHODS: A retrospective analysis of the LRP safe learning protocol applied during a fellowship program over eight years (2008-2015). The surgery was divided in 12 steps and 5 levels of difficulty. A maximum time interval was stipulated in 240 minutes...
August 30, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28813187/twelve-steps-two-factors-coping-strategies-moderate-the-association-between-craving-and-daily-12-step-use-in-a-college-recovery-community
#8
Richard P Wiebe, Amanda M Griffin, Yao Zheng, Kitty S Harris, H Harrington Cleveland
BACKGROUND: Affiliating with 12-step groups appears to reduce relapse risk. By relying on between-person designs, extant research has been unable to examine daily mechanisms through which 12-step group affiliation contributes to recovery. OBJECTIVES: To examine the daily use and factor structure of the 12 steps and intrapersonal predictors and moderators of 12-step use. To determine whether the 12 steps were used in response to daily craving and, if so, which steps and in what contexts...
August 16, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28760501/-hypersensitivity-to-platinum-salts-and-taxanes-the-value-of-skin-tests-and-tolerance-induction-procedures
#9
F Brault, J Waton, C Poreaux, J-L Schmutz, A Barbaud
AIM: The rate of hypersensitivity reactions to platinum salts (PS) and taxanes (TX) is on the increase. The aim of our study was to show the value of skin testing and efficacy of rapid drug desensitization. PATIENTS AND METHODS: This was a retrospective study conducted between January 2007 and February 2016 in patients consulting for immediate or delayed hypersensitivity to PS and TX. Skin prick tests (pT) and intradermal reaction tests (IDR) were performed according to the ENDA/EAACI recommendations...
July 28, 2017: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/28756030/intensive-referral-to-mutual-help-groups-a-field-trial-of-adaptations-for-rural-veterans
#10
Kathleen M Grant, Lance Brendan Young, Kimberly A Tyler, Jamie L Simpson, R Dario Pulido, Christine Timko
OBJECTIVE: A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). METHODS: In three Veterans Affairs treatment programs in the Midwest, patients (N=195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up...
July 14, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28753400/a-model-for-analyzing-disability-policy
#11
Rud Turnbull, Matthew J Stowe
This article describes a 12-step model that can be used for policy analysis. The model encompasses policy development, implementation, and evaluation; takes into account structural foundations of policy; addresses both legal formalism and legal realism; demonstrates contextual sensitivity; and addresses application issues and different conceptualizations of IDD.
July 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28748700/wittig-cyclization-of-%C3%AF-hydroxy-hemiacetals-synthesis-of-aspicilin
#12
René Schmidt, Michael Ostermeier, Rainer Schobert
The polyhydroxylated 18-membered lichen macrolide (+)-aspicilin was synthesized in 12 steps and 17% yield (longest linear sequence) starting from d-mannose and (S)-propylene oxide as the source of the stereogenic centers. Key steps were a palladium-catalyzed C(sp3)X-C(sp3)ZnX Negishi cross-coupling affording an ω-hydroxy hemiacetal which was macrocyclized via a domino addition-Wittig olefination reaction with the cumulated ylide Ph3PCCO. This synthetic approach also allowed a regioselective glycosylation of 6-OH of aspicilin with d-desosamine, a quick entry to chimeric macrolides with potential antibiotic activity...
August 11, 2017: Journal of Organic Chemistry
https://www.readbyqxmd.com/read/28742932/a-pilot-randomized-clinical-trial-testing-integrated-12-step-facilitation-itsf-treatment-for-adolescent-substance-use-disorder
#13
John F Kelly, Yifrah Kaminer, Christopher W Kahler, Bettina Hoeppner, Julie Yeterian, Julie V Cristello, Christine Timko
BACKGROUND AND AIMS: The integration of 12-Step philosophy and practices is common in adolescent substance use disorder (SUD) treatment programs, particularly in North America. However, although numerous experimental studies have tested 12-Step facilitation (TSF) treatments among adults, no studies have tested TSF-specific treatments for adolescents. We tested the efficacy of a novel integrated TSF. DESIGN: Explanatory, parallel-group, randomized clinical trial comparing 10 sessions of either motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT; n = 30) or a novel integrated TSF (iTSF; n = 29), with follow-up assessments at 3, 6 and 9 months following treatment entry...
July 25, 2017: Addiction
https://www.readbyqxmd.com/read/28693573/a-qualitative-assessment-of-an-abstinence-oriented-therapeutic-community-for-prisoners-with-substance-use-disorders-in-kyrgyzstan
#14
Lyuba Azbel, Julia Rozanova, Ingo Michels, Frederick L Altice, Heino Stöver
BACKGROUND: Kyrgyzstan, where HIV is concentrated in prisons and driven by injection drug use, provides a prison-based methadone maintenance therapy program as well as abstinence-oriented therapeutic community based on the 12-step model called the "Clean Zone." We aimed to qualitatively assess how prisoners navigate between these treatment options to understand the persistence of the Clean Zone despite a lack of evidence to support its effectiveness in treating opioid use disorders. METHODS: We conducted an analysis of policy documents and over 60 h of participant observation in February 2016, which included focus groups with a convenience sample of 20 therapeutic community staff members, 110 prisoners across three male and one female prisons, and qualitative interviews with two former Clean Zone participants...
July 10, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28636770/a-technology-training-protocol-for-meeting-qsen-goals-focusing-on-meaningful-learning
#15
Shuhong Luo, Melanie Kalman
The purpose of this paper is to describe and discuss how we designed and developed a 12-step technology training protocol. The protocol is meant to improve meaningful learning in technology education so that nursing students are able to meet the informatics requirements of Quality and Safety Education in Nursing competencies. When designing and developing the training protocol, we used a simplified experiential learning model that addressed the core features of meaningful learning: to connect new knowledge with students' prior knowledge and real-world workflow...
June 21, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28593613/effects-of-distributional-information-on-categorization-of-prosodic-contours
#16
Chigusa Kurumada, Meredith Brown, Michael K Tanenhaus
Although prosody clearly affects the interpretation of utterances, the mapping between prosodic representations and acoustic features is highly variable. Listeners may in part cope with this variability by adapting to distributions of acoustic features in the input. We examined whether listeners adapt to distributional changes using the construction It looks like an X. When pronounced with an H* pitch accent on the final noun and a low boundary tone, the construction supports an affirmative interpretation (e...
June 7, 2017: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/28583136/social-structural-factors-influencing-periods-of-injection-cessation-among-marginalized-youth-who-inject-drugs-in-vancouver-canada-an-ethno-epidemiological-study
#17
Jade Boyd, Danya Fast, Megan Hobbins, Ryan McNeil, Will Small
BACKGROUND: Injection drug use is associated with HIV and hepatitis C transmission, overdose, and other preventable harms. These harms are heightened for structurally vulnerable injection drug-using populations, as their social conditions pose barriers to safer injecting. Previous research on injection cessation has largely focused on adult drug-using populations. Little qualitative work has examined the social, structural, and environmental factors that shape periods of injection cessation among youth and young adults...
June 5, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28537951/an-interprofessional-course-on-substance-use-disorders-for-health-professions-students
#18
Andrew J Muzyk, Chris Tew, Allie Thomas-Fannin, Sanjai Dayal, Reina Maeda, Nicole Schramm-Sapyta, Kathryn M Andolsek, Shelley Holmer
PROBLEM: Substance use disorders (SUDs) affect millions of Americans. Nevertheless, there is insufficient health care resource allocation for these patients. One reason may be the lack of education and training about SUDs in health professions programs. APPROACH: The authors developed a required, interprofessional SUDs course for health professions students completing a one-month psychiatry clerkship within the Duke University Health System starting in November 2015...
May 23, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28514145/versatile-construction-of-6-substituted-cis-2-8-dioxabicyclo-3-3-0-octan-3-ones-short-enantioselective-total-syntheses-of-cheloviolenes-a-and-b-and-dendrillolide-c
#19
Yuriy Slutskyy, Christopher R Jamison, Peng Zhao, Juyeol Lee, Young Ho Rhee, Larry E Overman
A short enantioselective synthesis of 6-substituted cis-2,8-dioxabicyclo[3.3.0]octan-3-ones is described. The pivotal step is coupling of a tertiary radical generated directly from a tertiary alcohol with a 3-chloro-5-alkoxybutenolide. This strategy is applied toward scalable 14-15 step syntheses of three rearranged spongian diterpenoids: cheloviolenes A and B and dendrillolide C.
May 22, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28482829/the-pulsar-specialist-care-protocol-a-stepped-wedge-cluster-randomized-control-trial-of-a-training-intervention-for-community-mental-health-teams-in-recovery-oriented-practice
#20
Frances Shawyer, Joanne C Enticott, Lisa Brophy, Annie Bruxner, Ellie Fossey, Brett Inder, John Julian, Ritsuko Kakuma, Penelope Weller, Elisabeth Wilson-Evered, Vrinda Edan, Mike Slade, Graham N Meadows
BACKGROUND: Recovery features strongly in Australian mental health policy; however, evidence is limited for the efficacy of recovery-oriented practice at the service level. This paper describes the Principles Unite Local Services Assisting Recovery (PULSAR) Specialist Care trial protocol for a recovery-oriented practice training intervention delivered to specialist mental health services staff. The primary aim is to evaluate whether adult consumers accessing services where staff have received the intervention report superior recovery outcomes compared to adult consumers accessing services where staff have not yet received the intervention...
May 8, 2017: BMC Psychiatry
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