CONTEXT The shift to Medicaid managed care has raised numerous concerns about access to publicly funded substance abuse treatment. The implementation of a capitated chemical dependency benefit within the Oregon Health Plan in 1995 provided an opportunity to study the impact of funding mechanisms on access. OBJECTIVES To determine to what extent access to publicly funded substance abuse treatm...

Objective. To compare the direct mental health care costs between individuals with Seasonal Affective Disorder randomized to either fluoxetine or light therapy. Methods. Data from the CANSAD study was used. CANSAD was an 8-week multicentre double-blind study that randomized participants to receive either light therapy plus placebo capsules or placebo light therapy plus fluoxetine. Participants ...

CONTEXT Despite the availability of efficacious treatments, the long-term course of bipolar disorder is often unfavorable. OBJECTIVE To test the effectiveness of a multicomponent intervention program to improve the quality of care and long-term outcomes for persons with bipolar disorder. DESIGN Randomized controlled trial with allocation concealment and blinded outcome assessment. SETTING...

INTRODUCTION This study aims to identify the demographics and hygiene behaviours associated with contact lens (CL)-related microbial keratitis in Singapore. MATERIALS AND METHODS The hygiene and social behaviours of lens wearers presenting with infectious keratitis in Singapore were examined using an externally validated questionnaire. Fifty-eight consecutive lens wearers who presented with i...

OBJECTIVE To identify and synthesise the findings from all randomised controlled trials that have examined the effectiveness of treatments of patients who have deliberately harmed themselves. DESIGN Systematic review of randomised controlled trials of psychosocial and physical treatments. Studies categorised according to type of treatment. When there was more than one investigation in a parti...

BACKGROUND Chronic Low Back Pain is a complex syndrome with multifactorial bio-psycho-social etiology and interdependences. Thereby, physical activity seems to play an essential role regarding the prevention and rehabilitation of LBP. In consequence, physical activity and exercise therapy is an integral part of musculoskeletal rehabilitation in LBP. However, adherence to self-directed exercise ...

Heroin detoxification, as defined here, is dispensing, for a period of less than twenty-one days, decreasing doses of methadone or other symptomatic medication to an addict in an inor outpatient setting in order to alleviate the acute physiological and psychological effects incident to withdrawal from chronic narcotic use. It is a method of bringing the individual to a drug-free state within su...

BACKGROUND The postoperative management following solid organ transplantation requires close cooperation between family doctors, internists, the local hospital, and the transplant center. METHODS Selective analysis of current national and international guidelines and relevant review articles. RESULTS/CONCLUSION In the early phase post transplantation, aftercare involves inpatient treatment ...