AIMS The study evaluated the effectiveness of an 8-week combined group plus individual 12-step facilitative intervention on stimulant drug use and 12-step meeting attendance and service. DESIGN Multisite randomized controlled trial, with assessments at baseline, mid-treatment, end of treatment, and 3- and 6-month post-randomization follow-ups (FUs). SETTING Intensive outpatient substance tr...

A 31-year-old woman with a long history of furosemide abuse presented with abdominal pain. She had been using furosemide (>200 mg per day) for at least the last 15 years. She initially used furosemide to maintain her urinary volume and later for weight loss. Her abdominal pain was caused by paralytic ileus due to hypokalemia (2.1 mEq/L). Although abdominal and pelvic CT revealed no intestinal o...

Intimate partner violence is associated with significant psychiatric comorbidity. Treatment has focused on male perpetrators but recent studies indicate that this is of limited success in reducing male violence. This article reviews the current available treatments from three perspectives: that of the victim, the perpetrator, and the couple who wish to remain together. It also provides...

Malignant hyperthermia is a pharmacogenic disease and is manifest by a hypermetabolic crisis with tachycardia, ventricular ectopy, metabolic acidosis, and a rapid rise in body temperature. "Ecstasy", 3,4-methylenedioxymethamphetamine (MDMA), is a semisynthetic amphetamine, the recreational use of which has increased in recent years. Severe reactions to MDMA have been noted in the past, includin...

PURPOSE The aim of this report was to report a heroin abuser with nondiagnosed giant uveal melanoma infiltrating the orbit and prolapsing through the face. METHODS We conducted a case report of the patient with giant melanoma. RESULTS In March 2013, a 39-year-old male with bleeding from the right side of his face was taken to the Emergency Center of the University Hospital Bratislava by amb...

Abstract Introduction Mixed Sleep apnea and Central sleep are commonly noted in a patient with Arnold Chiari Malformation definitive treatment of is surgical decompression. Report case(s) The at the time diagnosis was 7 years old. She had already undergone tonsillectomy adenoidectomy age 4 years. Due to continued Sleep-disordered breathing, PSG done 2016 which showed predominantly mixed central...

Epidemiological research has clearly demonstrated the importance of a family history as a determinant of future alcohol and, possibly, drug use in offspring of alcoholics. Laboratory studies have examined a wide range of potential markers both in the presence and absence of alcohol challenge, which may predict those subjects at high risk for the future development of alcoholism. While this body...

Human drug self-administration methods in residential settings have been developed, and research has examined a range of variables which systematically influence the drug taking behavior. Confidence in the results with these methods is increased by the demonstration of two types of generality: across species and across drug. Across species generality is demonstrated by the fact that similar eff...

With health and wellness advocacy as a part of their role, medical-surgical nurses should do their best to address patients' hidden health care concerns such as drug misuse and abuse, and lead them to treatment resources. By gaining knowledge of prescription drug abuse and misuse, nurses will be more prepared to recognize these problems in their patients.

BACKGROUND Since early 2000, intensive policing, wide scale street drug testing, and actions aimed at limiting the availability of specific drugs have been implemented in Georgia. Supporters of this approach argue that fear of drug testing and resulting punishment compels drug users to stop using and prevents youth from initiating drug use. It has been also stated that reduction in the availabi...