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[Public outpatient alcohol treatment]

https://arctichealth.org/en/permalink/ahliterature9403
Source
Ugeskr Laeger. 2004 Aug 2;166(32):2664-8
Publication Type
Article
Date
Aug-2-2004

Empirical evidence for a four factor framework of personality disorder organization: multigroup confirmatory factor analysis of the Millon Clinical Multiaxial Inventory-III personality disorder scales across Belgian and Danish data samples.

https://arctichealth.org/en/permalink/ahliterature145052
Source
J Pers Disord. 2010 Feb;24(1):128-50
Publication Type
Article
Date
Feb-2010
Author
Gina Rossi
Ask Elklit
Erik Simonsen
Author Affiliation
Vrije Universiteit Brussel (VUB), Faculty of Psychology and Educational Sciences, Department of Clinical and Life Span Psychology, Brussels, Belgium. grossi@vub.ac.be
Source
J Pers Disord. 2010 Feb;24(1):128-50
Date
Feb-2010
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Belgium
Denmark
Factor Analysis, Statistical
Female
Humans
Male
Middle Aged
Models, Psychological
Personality Assessment - statistics & numerical data
Personality Disorders - diagnosis - psychology
Personality Tests
Psychometrics
Translations
Young Adult
Abstract
The factor structure of the Millon Clinical Multiaxial Inventory-III (Millon, Millon, Davis, & Grossman, 2006) personality disorder scales was analyzed using multigroup confirmatory factor analysis on data obtained from a Danish (N = 2030) and a Belgian (N = 1210) sample. Two-, three-, and four factor models, a priori specified using structures found by Dyce, O'Connor, Parkins, and Janzen (1997), were fitted to the data. The best fitting model was a four factor structure (RMSEA = .066, GFI = .98, CFI = .93) with partially invariant factor loadings. The robustness of this four-factor model clearly supports the efforts to organize future personality disorder description in a four-factor framework by corroborating four domains that were predominant in dimensional models (Widiger & Simonsen, 2005): Factor 1, 2, 3, and 4 respectively corresponded to emotional dysregulation versus stability, antagonism versus compliance, extraversion versus introversion, and constraint versus impulsivity.
PubMed ID
20205502 View in PubMed
Less detail

The effect of co-morbid depression and anxiety on the course and outcome of alcohol outpatient treatment: A naturalistic prospective cohort study.

https://arctichealth.org/en/permalink/ahliterature268729
Source
Nord J Psychiatry. 2015 Jul;69(5):331-8
Publication Type
Article
Date
Jul-2015
Author
Angelina Isabella Mellentin
Bent Nielsen
Elsebeth Stenager
Anette Søgaard Nielsen
Source
Nord J Psychiatry. 2015 Jul;69(5):331-8
Date
Jul-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Alcoholism - epidemiology - therapy
Anxiety - epidemiology
Comorbidity
Denmark - epidemiology
Depression - epidemiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Outpatients
Prevalence
Treatment Outcome
Young Adult
Abstract
Studies examining the effect of alcohol treatment among patients with alcohol use disorders (AUD) and co-morbid depression and/or anxiety are few and show inconsistent, but mainly negative drinking outcomes.
To describe the prevalence of anxiety and depression among Danish patients seeking treatment for an AUD, and to investigate the influence of psychiatric co-morbidity on the course and effect of treatment.
A consecutive sample of 363 outpatients with an AUD diagnosis according to the ICD-10 Diagnostic Criteria for Research was assessed by the means of the Addiction Severity Index at treatment start and 276 (76%) followed up after 1 year.
15.7% of the patients suffered from depression and 12.7% from anxiety at baseline. Both patients with or without co-morbidity had improved on drinking outcome measures at follow-up with medium to large effect sizes. No difference was found between patients with and without co-morbidity.
In contrast to the majority of prior studies, this study provides evidence that depression and anxiety do not have an effect on alcohol treatment. However, because of the naturalistic setting, a number of limitations should be taken into consideration interpreting the results.
PubMed ID
25981495 View in PubMed
Less detail

Implementation of a clinical pathway may improve alcohol treatment outcome.

https://arctichealth.org/en/permalink/ahliterature266461
Source
Addict Sci Clin Pract. 2015;10:7
Publication Type
Article
Date
2015
Author
Anette Søgaard Nielsen
Bent Nielsen
Source
Addict Sci Clin Pract. 2015;10:7
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Alcohol-Related Disorders - psychology - therapy
Continuity of Patient Care - organization & administration
Critical Pathways - organization & administration - standards
Denmark
Female
Guideline Adherence
Humans
Length of Stay
Male
Middle Aged
Outcome Assessment (Health Care)
Patient Education as Topic - organization & administration
Practice Guidelines as Topic
Abstract
This article describes the design, implementation, and evaluation of a clinical pathway system in a two-cohort quasi-experimental study before and after implementation, controlling for confounders. The main outcome measures were retention in care and sensible alcohol use (defined as abstinent or drinking no more than 21 standard drinks per week). Patients with harmful alcohol use or dependence as their primary problem who were seeking psychosocial treatment at one of four alcohol clinics in Denmark participated in the study. After implementation of the clinical pathway system, which incorporated a structured intake, a referral and independent follow-up system, checklists, audit, and feedback, there was no change in length of stay, but significantly more patients had a good clinical outcome (stopped or moderated their consumption) at the end of treatment (OR = 1.9; 1.2-3.1). The study documents the feasibility of using a clinical pathway framework, incorporating a local monitoring system, checklists, audit, and feedback to enhance treatment quality and improve outcomes for alcohol use disorders.
Notes
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PubMed ID
25928550 View in PubMed
Less detail

Coercion in psychiatry: the importance of extramural factors.

https://arctichealth.org/en/permalink/ahliterature278081
Source
Nord J Psychiatry. 2016 Nov;70(8):606-10
Publication Type
Article
Date
Nov-2016
Author
Kjeld Andersen
Bent Nielsen
Source
Nord J Psychiatry. 2016 Nov;70(8):606-10
Date
Nov-2016
Language
English
Publication Type
Article
Keywords
Adult
Case-Control Studies
Coercion
Commitment of Mentally Ill
Denmark - epidemiology
Female
Hospitalization
Humans
Male
Mental Disorders - epidemiology - psychology - therapy
Mental health services
Middle Aged
Psychiatric Department, Hospital
Psychiatry - methods
Restraint, Physical - psychology
Retrospective Studies
Abstract
Mechanical restraints and forced procedures in psychiatric wards are of major concern in Denmark and there is a desire to reduce these procedures to a minimum. So far, focus has primarily been on identifying and changing internal (intramural) factors when seeking to reduce coercion.
To identify possible external (extramural) factors that may increase the risk of coercion during admission to a closed psychiatric ward.
Using a retrospective case-controlled design, 235 patients admitted to a closed ward during 2011-2013 were randomly selected. Coercion comprised belt restraint, physical restraint, and forced medication. The data source was the electronic patient records, which include statutory information on all forced measures. Multiple logistic regression analyses were applied to calculate the risk (odds ratio, OR (95% confidence interval)) of forced measures being used.
Out of the 235 patients, 66 (28%) were subject to coercion. The time of forced procedures was predominately during the first hours after admission. The risk of forced measures being applied was significantly higher if patients were involuntarily admitted (OR?=?6.4 (3.4-11.9)), or were acutely intoxicated by substances at the time of admission (OR?=?3.7 (1.7-8.2)).
Extramural factors should be included when mental health authorities plan efforts to reduce coercion during admission to psychiatric wards. A reduced threshold for admission and improved integrated effort between mental health services and treatment for substance abuse could improve the course of disease for this group of patients and reduce the need for involuntary admissions and subsequently coercion.
PubMed ID
27286476 View in PubMed
Less detail

The RESCueH Programme: Testing New Non-Pharmacologic Interventions for Alcohol Use Disorders: Rationale and Methods.

https://arctichealth.org/en/permalink/ahliterature281541
Source
Eur Addict Res. 2016;22(6):306-317
Publication Type
Article
Date
2016
Author
Anette Søgaard Nielsen
Bent Nielsen
Kjeld Andersen
Kirsten Kaya Roessler
Gerhard Bühringer
Michael Bogenschutz
Claus Thorn Ekstrøm
Jes Søgaard
Source
Eur Addict Res. 2016;22(6):306-317
Date
2016
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Alcohol-Related Disorders - epidemiology - psychology - therapy
Denmark - epidemiology
Early Medical Intervention - methods
Female
Follow-Up Studies
Germany - epidemiology
Healthy Lifestyle
Humans
Internationality
Male
Middle Aged
Motivation
Self Care - methods - psychology
United States - epidemiology
Young Adult
Abstract
Excessive alcohol consumption is one of the most important lifestyle factors affecting the disease burden in the Western world. The results of treatment in daily practice are modest at best. The aim of the RESCueH programme is to develop and evaluate methods, which are as practice-near as possible, and therefore can be implemented quickly and easily in everyday clinical practice. It is the first clinical alcohol programme to be transatlantic in scope, with implementation in treatment centers located in Denmark, Germany and the US. The RESCueH programme comprises 5 randomized controlled trials, and the studies can be expected to result in (1) more patients starting treatment in specialized outpatient clinics, (2) a greater number of elderly patients being treated, (3) increased patient motivation for treatment and thus improved adherence, (4) more patients with stable positive outcomes after treatment and (5) fewer patients relapsing into harmful drinking. The aim of this paper is to discuss the rationale for the RESCueH programme, to present the studies and expected results.
PubMed ID
27434091 View in PubMed
Less detail

Reappearance of Salmonella serovar Choleraesuis var. Kunzendorf in Danish pig herds.

https://arctichealth.org/en/permalink/ahliterature272604
Source
Vet Microbiol. 2015 Apr 17;176(3-4):282-91
Publication Type
Article
Date
Apr-17-2015
Author
Karl Pedersen
Gitte Sørensen
Charlotta Löfström
Pimlapas Leekitcharoenphon
Bent Nielsen
Anne Wingstrand
Frank M Aarestrup
René S Hendriksen
Dorte Lau Baggesen
Source
Vet Microbiol. 2015 Apr 17;176(3-4):282-91
Date
Apr-17-2015
Language
English
Publication Type
Article
Keywords
Animals
Base Sequence
Denmark - epidemiology
Disease Outbreaks
Drug Resistance, Bacterial
Electrophoresis, Gel, Pulsed-Field - veterinary
Genome, Bacterial - genetics
Microbial Sensitivity Tests - veterinary
Molecular Sequence Data
Polymorphism, Single Nucleotide - genetics
Salmonella Infections, Animal - epidemiology - microbiology
Salmonella enterica - drug effects - genetics - immunology - isolation & purification
Sequence Analysis, DNA - veterinary
Serogroup
Swine
Swine Diseases - epidemiology - microbiology
Abstract
Salmonella enterica serovar Choleraesuis is a porcine adapted serovar which may cause serious outbreaks in pigs. Here we describe outbreaks of salmonellosis due to S. Choleraesuis in four Danish pig farms in 2012-2013 by clinic, serology, and microbiology and compare the isolates to those of a previous outbreak in 1999-2000. The infection was in some herds associated with high mortality and a moderate to high sero-prevalence was found. In 2012-2013 the disease contributed to increased mortality but occurred concomitant with other disease problems in the herds, which likely delayed the diagnosis by up to several months. Nine isolates from the four farms in 2012-2013 and 14 isolates obtained from the outbreak in Denmark in 1999-2000 were subjected to typing using pulsed-field gel electrophoresis (PFGE). Seven isolates were selected for whole genome sequencing (WGS). The PFGE results of 23 isolates displayed five different profiles. The isolates from 2012 to 2013 revealed two distinct profiles, both different from the isolates recovered in 1999-2000. Two of the 2012-2013 farms shared PFGE profiles and had also transported pigs between them. The profile found in the two other 2012-2013 farms was indistinguishable but no epidemiological connection between these farms was found. Analysis of the number of single nucleotide polymorphisms (SNPs) from the WGS data indicated that the isolates from the farms in 2012-2013 were more closely related to each other than to isolates from the outbreak in 1999. It was therefore concluded that the infection was a new introduction and not a persistent infection since the outbreak in 1999. It may further be suggested that there were two or three independent rather than a single introduction. The re-introduction of S. Choleraesuis in Denmark emphasizes the importance of strict hygiene measures in the herds. Further investigations using WGS are now in progress on a larger collection of isolates to study clonality at European level and trace the origin of the infections.
PubMed ID
25703158 View in PubMed
Less detail

Qualitative and quantitative risk assessment for human salmonellosis due to multi-resistant Salmonella Typhimurium DT104 from consumption of Danish dry-cured pork sausages.

https://arctichealth.org/en/permalink/ahliterature75530
Source
Prev Vet Med. 2002 Jan 22;52(3-4):251-65
Publication Type
Article
Date
Jan-22-2002
Author
Lis Alban
Anne Mette Olsen
Bent Nielsen
Rie Sørensen
Birthe Jessen
Author Affiliation
Danish Bacon and Meat Council, The National Committee for Pig Production, Axelborg, Axeltorv 3, DK-1609, Copenhagen V, Denmark. lia@danishmeat.dk
Source
Prev Vet Med. 2002 Jan 22;52(3-4):251-65
Date
Jan-22-2002
Language
English
Publication Type
Article
Keywords
Animals
Consumer Product Safety - standards
Denmark - epidemiology
Drug Resistance, Bacterial
Food Microbiology
Guidelines
Humans
Meat Products - microbiology
Monte Carlo Method
Prevalence
Risk assessment
Salmonella Food Poisoning - epidemiology - microbiology - prevention & control
Salmonella typhimurium - classification - drug effects - pathogenicity
Swine
Abstract
Salmonella Typhimurium DT104 (DT104) is unwanted in products for human consumption due to its antibiotic resistance and ability to cause disease. We intended to set up an improved monitoring and management program to aid in deciding when to use pork contaminated with DT104 for production of sausages without jeopardizing consumer safety. We started by carrying out two assessments of the risk for human health associated with consumption of sausages produced by: (1) Danish pork from average slaughter days; (2) imported pork (IMP) with average prevalence of DT104. The assessments showed that, if Salmonella is present, it is usually in lower numbers (
PubMed ID
11849720 View in PubMed
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9 records – page 1 of 1.