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Substance and trauma

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https://www.readbyqxmd.com/read/29143536/time-for-a-new-zeitgeist-in-perinatal-mental-health
#1
Fiona Judd, Louise Kathryn Newman, Angela A Komiti
Perinatal depression, and to a lesser extent anxiety, has been the focus of interest for perinatal psychiatrists for several decades. Policy and substantial funding has supported this. We argue that it is now time to change this focus and to invest greater funding to support clinical and research effort in 'high-risk' caregivers and their infants. We define high-risk caregivers as those who are likely to have attachment and relationship difficulties with their infant as a result of their own developmental experiences, personality difficulties and/or trauma-related mental disorders, often complicated by substance abuse, depression and anxiety...
November 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/29126754/effect-of-pulsed-therapeutic-ultrasound-and-diosmin-on-skeletal-muscle-oxidative-parameters
#2
Luis Fernando Sousa Filho, Paula P Menezes, Dayanne Valéria Soares Santana, Bruno S Lima, Shanmugan Saravanan, Grace Kelly M Almeida, José Evaldo R Menezes Filho, Marta M B Santos, Adriano Antunes A S Araújo, Evaleide Diniz de Oliveira
Cyclodextrins (CDs) have been widely used as a promising alternative in the formation of inclusion complexes with poorly soluble molecules. From this perspective, the present study aimed to study the inclusion complexes of diosmin in β-cyclodextrin, chemically quantify the diosmin-in-gel preparation and analyze the stability of the gels. Furthermore, we evaluated the effect of therapeutic pulsed ultrasound (TPU) in association with the gel-diosmin complex on the parameters of muscle damage and oxidative stress in rats...
November 7, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/29117049/trauma-leadership-strategies-to-prevent-and-reduce-burnout-in-urban-academic-trauma-centers
#3
Melissa S Hockaday
The incidence of burnout syndrome is increasing among all health care disciplines. The core members of the trauma team in high-performing trauma centers are the greatest risk. It is the responsibility of trauma leadership to raise awareness of risk factors, implement standardized assessment tools, and develop strategies to mitigate burnout in employees. The consequences of burnout are devastating to providers' well-being as well as patient safety. Burnout can lead to increased risk of anxiety, depression, substance abuse, and suicide among team members...
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29108528/problematic-alcohol-use-and-hippocampal-volume-in-a-female-sample-disentangling-cause-from-consequence-using-a-co-twin-control-study-design
#4
Sylia Wilson, Stephen M Malone, Ruskin H Hunt, Kathleen M Thomas, William G Iacono
BACKGROUND: Although there is extensive evidence that problematic alcohol use is associated with smaller hippocampal volume, the typical cross-sectional study design cannot determine whether hippocampal deviations reflect pre-existing liability toward problematic alcohol use or instead reflect an alcohol exposure-related effect. We used the co-twin control study design, which capitalizes upon differences within a twin pair in levels of drinking, to differentiate pre-existing liability from an effect of alcohol exposure...
November 7, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/29100220/conjoint-treatment-a-novel-approach-to-target-the-syndemic-conditions-of-trauma-substance-abuse-and-hiv-in-women-living-with-hiv
#5
Kristyn Pellecchia, Amelia Roeschlein, Jennifer Lewis, Maria Zuniga
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29099549/which-posttraumatic-stress-disorder-symptoms-trauma-types-and-substances-correlate-with-suicide-attempts-in-trauma-survivors
#6
Jeffrey Guina, Ramzi W Nahhas, Nicholas Mata, Seth Farnsworth
Objective: To examine among trauma survivors several potential suicide risk factors, some of which have never been studied in this population (eg, DSM-5 posttraumatic stress disorder [PTSD] symptoms, benzodiazepines). Methods: Using a cross-sectional self-report survey methodology in a consecutive sample of adult outpatients with trauma (N = 480), we examined relationships between suicide attempts and demographics, trauma types, PTSD symptoms, substance-related problems, and benzodiazepine prescriptions...
October 26, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/29091779/towards-a-psychopathology-specific-to-substance-use-disorder-should-emotional-responses-to-life-events-be-included
#7
Angelo G I Maremmani, Marco Maiello, Manuel Glauco Carbone, Alessandro Pallucchini, Francesca Brizzi, Iacopo Belcari, Ciro Conversano, Giulio Perugi, Icro Maremmani
INTRODUCTION: The severity of emotional responses to life events (PTSD spectrum) as part of Post Traumatic Stress Disorder (PTSD) in Substance Use Disorder (SUD) patients has often been considered from a unitary perspective. Light has also been shed on the possible definition of a specific psychopathology of SUD patients. This psychopathology has been proved to be independent of treatment choice, of being active in using substances, of lifetime psychiatric comorbidity and primary substance of abuse (heroin, alcohol, cocaine)...
October 6, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29079946/depressive-symptoms-alcohol-and-drug-use-and-physical-and-sexual-abuse-among-men-who-have-sex-with-men-in-kisumu-kenya-the-anza-mapema-study
#8
Colin P Kunzweiler, Robert C Bailey, Duncan O Okall, Susan M Graham, Supriya D Mehta, Fredrick O Otieno
Men who have sex with men (MSM) are disproportionately burdened by depressive symptoms and psychosocial conditions including alcohol and substance abuse as well as physical and sexual abuse. We examined sociodemographic and psychosocial factors associated with depressive symptoms at baseline among a cohort of MSM in Kisumu, Kenya. Depressive symptoms were assessed via the Personal Health Questionnaire 9 instrument and examined dichotomously. We performed multivariable modified Poisson regression with robust standard errors for the binary outcome...
October 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29072473/associations-between-posttraumatic-stress-and-legal-charges-among-substance-using-veterans
#9
Diana C Bennett, David H Morris, Minden B Sexton, Erin E Bonar, Stephen T Chermack
Substance misuse is prevalent among veterans entering the criminal justice system, and is related to recidivism. Research demonstrates that trauma exposure and posttraumatic stress (PTS) symptoms, which commonly co-occur with substance misuse, also increase the risk of legal involvement and recidivism. However, it is unclear whether the associations between trauma, PTS symptoms and violent and nonviolent crime may be conflated by substance use. The aim of the present study was to understand the association between PTS symptoms and criminal justice involvement (both violent and nonviolent crime) among substance-using veterans seeking Veterans Affairs (VA) specialty mental health care after accounting for substance use frequency and demographics including age, gender, and ethnicity...
October 26, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/29065039/opioid-prescribing-practices-by-orthopaedic-trauma-surgeons-after-isolated-femur-fractures
#10
Basem Attum, Andres Buitrago Rodriguez, Nichelle Harrison, Adam Evans, William Obremskey, Manish Sethi, Alex Jahangir
OBJECTIVE: The purpose of this retrospective study was to identify opioid prescribing practices, determine the number of morphine milliequivalents (MMEs) prescribed by orthopaedic/non-orthopaedic members to narcotic naive and previously exposed patients and provide narcotic prescribing recommendations. METHODS: Patients over 18 years old with an isolated femur fracture sustained between 2013 and 2015 were identified using the CPT code 27506. Prescribing information was obtained from the State Controlled Substance Monitoring Database (CSMD)...
October 14, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29049902/emotion-dysregulation-moderates-the-effect-of-cognitive-behavior-therapy-with-prolonged-exposure-for-co-occurring-ptsd-and-substance-use-disorders
#11
Denise A Hien, Teresa Lopez-Castro, Santiago Papini, Bernard Gorman, Lesia M Ruglass
A goal of clinical trials is to identify unique baseline characteristics that can inform treatment planning. One such target is emotion dysregulation (ED), which contributes to the maintenance of co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) and may be a potential moderator of treatment response. We examined the moderating impact of ED severity on treatment outcomes in an urban, socioeconomically disadvantaged, and racially/ethnically diverse sample with complex trauma and severe SUDs...
October 16, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/29035774/facial-dog-bite-injuries-in-children-a-case-report
#12
Alessandro Leite Cavalcanti, Edgleys Porto, Bruno Ferreira Dos Santos, Christiane Leite Cavalcanti, Alidianne Fábia Cabral Cavalcanti
INTRODUCTION: Dog bites are common and can affect victims of different ages, from children to the elderly. Injuries are usually located in different body regions, including head and face. The treatment of choice for injuries is the suture of the lesion, accompanied by antibiotic therapy and tetanus and anti-rabies vaccination. PRESENTATION OF CASE: An 11-year-old male black patient was admitted to the Surgery and Maxillo-Facial Traumatology Service, on an urgent basis, victim of domestic animal aggression (dog biting)...
October 10, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29023352/novel-sternal-protection-device-for-cardiac-surgery-via-median-sternotomy-incision
#13
Silvana F Marasco, David C McGiffin, Adam D Zimmet, Pablo C Solis, Judy M Bingham, Randall A Moshinsky
OBJECTIVE: Sternal bleeding during cardiac surgery is currently controlled using bone wax or other chemical substances that may result in adverse effects and affect wound healing and recovery. The purpose of this study was to identify a safe, cost-effective, and easy-to-use technique to reduce sternal bleeding and sternal trauma during cardiac surgery. METHODS: After sternotomy, a sternal protection device was placed over each hemisternal section before insertion of the retractor and remained in situ until the end of surgery...
September 2017: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29020127/an-exploration-of-addiction-in-adults-experiencing-early-life-stress-a-metasynthesis
#14
Carla Araujo Bastos Teixeira, Gerri Lasiuk, Sylvia Barton, Maria Neyrian de Fatima Fernandes, Edilaine Cristina da Silva Gherardi-Donato
OBJECTIVE: to review and synthesize qualitative research on the links between early-life stress and addiction behaviours in adulthood. METHOD: metasynthesis to review qualitative research findings based on procedures that outline how to identify themes or constructs across studies in a specific area. Comprehensive searches of multiple electronic databases were performed. The initial search yielded 1050 articles and the titles and abstracts were screened for inclusion based on predetermined criteria...
October 5, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29019572/epidemiological-profile-and-treatment-of-substance-losses-by-trauma-to-the-lower-limbs
#15
Ricardo Barros Martins Rezende, Jefferson Lessa Soares de Macedo, Simone Corrêa Rosa, Fernando Soares Galli
OBJECTIVES: to evaluate the epidemiological profile, the surgical treatment and the postoperative results of patients with complex traumatic injuries to the lower limbs. METHODS: we conducted a retrospective study of patients with traumatic complex injuries treated by the Plastic Surgery Service of a regional hospital in Brasília. We analyzed clinical-epidemiological data, type of surgical procedure and functional recovery of the limb after six months of treatment...
September 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/29018388/emdr-beyond-ptsd-a-systematic-literature-review
#16
Alicia Valiente-Gómez, Ana Moreno-Alcázar, Devi Treen, Carlos Cedrón, Francesc Colom, Víctor Pérez, Benedikt L Amann
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic approach that has demonstrated efficacy in the treatment of Post-traumatic Stress Disorder (PTSD) through several randomized controlled trials (RCT). Solid evidence shows that traumatic events can contribute to the onset of severe mental disorders and can worsen their prognosis. The aim of this systematic review is to summarize the most important findings from RCT conducted in the treatment of comorbid traumatic events in psychosis, bipolar disorder, unipolar depression, anxiety disorders, substance use disorders, and chronic back pain...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28984482/public-library-staff-as-community-health-partners-training-program-design-and-evaluation
#17
Anna U Morgan, Bernadette A D'Alonzo, Roxanne Dupuis, Eliza D Whiteman, Stacey Kallem, Autumn McClintock, Joel A Fein, Heather Klusaritz, Carolyn C Cannuscio
Public libraries are free and open to all-and accessed at high rates by vulnerable populations-which positions them to be key public health allies. However, library staff themselves often feel ill-equipped to address the health and social concerns of their patrons. To fill this gap, we developed a case-based training curriculum to help library staff recognize, engage, and refer vulnerable patrons to appropriate resources. Topics addressed in the training, including homelessness, mental health and substance use disorders, immigration, and trauma, were selected based on findings from a prior community needs assessment...
October 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28961458/emerging-trends-in-adolescent-suicide-prevention-research
#18
REVIEW
Cheryl A King, Alejandra Arango, Cynthia Ewell Foster
A comprehensive public health strategy for adolescent suicide prevention includes upstream prevention strategies, strategies for risk recognition, and services for those at risk. Interpersonal trauma and substance use are important prevention targets as each is associated with risk for suicide attempts. Multiple prevention programs target these factors; however, the Family Check-Up, designed to reduce substance use and behavioral problems, also has been associated with reduced suicide risk. Several youth screening instruments have shown utility, and a large-scale trial is underway to develop a computerized adaptive screen...
September 14, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28958901/food-addiction-and-substance-addiction-in-women-common-clinical-characteristics
#19
Raven Hardy, Negar Fani, Tanja Jovanovic, Vasiliki Michopoulos
Food addiction is characterized by poorly controlled intake of highly-palatable, calorically-dense, foods. While previous studies indicate that risk factors for food addiction are similar to substance use disorders (SUD), these studies have looked at food addiction and SUD in independent samples, limiting the ability to directly compare food addiction to SUD. The present study was conducted to assess rates of posttraumatic stress disorder (PTSD), depression, childhood and adult trauma exposure, as well as presence and severity of emotion dysregulation, in a sample of women (N = 229) who either meet criteria for no addiction, food addiction only or SUD only...
January 1, 2018: Appetite
https://www.readbyqxmd.com/read/28958454/exposure-to-medication-overdose-as-an-adversity-in-childhood
#20
Kimberly J Mitchell, Kerry Nolte, Heather A Turner, Sherry Hamby, Lisa M Jones
PURPOSE: To determine the prevalence of youth exposure to medication or pill overdose by someone close to them, as well as how common this is within the spectrum of major stressful events and child victimization experienced by youth. DESIGN AND METHODS: Data were collected as part of the Third National Survey of Children's Exposure to Violence, a nationally representative telephone survey of youth, ages 2-17years (N=3738) conducted in 2013. The analytical subset for the current paper is youth ages 10-17years (n=1959)...
September 25, 2017: Journal of Pediatric Nursing
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