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1-year retention and social function after buprenorphine-assisted relapse prevention treatment for heroin dependence in Sweden: a randomised, placebo-controlled trial.

https://arctichealth.org/en/permalink/ahliterature186500
Source
Lancet. 2003 Feb 22;361(9358):662-8
Publication Type
Article
Date
Feb-22-2003
Author
Johan Kakko
Kerstin Dybrandt Svanborg
Mary Jeanne Kreek
Markus Heilig
Author Affiliation
Division of Psychiatry, Neurotec, Karolinska Institute, Huddinge University Hospital, S-141 86, Stockholm, Sweden.
Source
Lancet. 2003 Feb 22;361(9358):662-8
Date
Feb-22-2003
Language
English
Publication Type
Article
Keywords
Adult
Buprenorphine - therapeutic use
Counseling
Female
Heroin Dependence - classification - drug therapy - prevention & control
Humans
Male
Narcotic Antagonists - therapeutic use
Psychotherapy, Group
Severity of Illness Index
Sweden
Treatment Outcome
Abstract
The partial opiate-receptor agonist buprenorphine has been suggested for treatment of heroin dependence, but there are few long-term and placebo-controlled studies of its effectiveness. We aimed to assess the 1-year efficacy of buprenorphine in combination with intensive psychosocial therapy for treatment of heroin dependence.
40 individuals aged older than 20 years, who met DSM-IV criteria for opiate dependence for at least 1 year, but did not fulfil Swedish legal criteria for methadone maintenance treatment were randomly allocated either to daily buprenorphine (fixed dose 16 mg sublingually for 12 months; supervised daily administration for a least 6 months, possible take-home doses thereafter) or a tapered 6 day regimen of buprenorphine, thereafter followed by placebo. All patients participated in cognitive-behavioural group therapy to prevent relapse, received weekly individual counselling sessions, and submitted thrice weekly supervised urine samples for analysis to detect illicit drug use. Our primary endpoint was 1-year retention in treatment and analysis was by intention to treat.
1-year retention in treatment was 75% and 0% in the buprenorphine and placebo groups, respectively (p=0.0001; risk ratio 58.7 [95% CI 7.4-467.4]). Urine screens were about 75% negative for illicit opiates, central stimulants, cannabinoids, and benzodiazepines in the patients remaining in treatment.
The combination of buprenorphine and intensive psychosocial treatment is safe and highly efficacious, and should be added to the treatment options available for individuals who are dependent on heroin.
Notes
Comment In: Lancet. 2003 May 31;361(9372):1907; author reply 1907-812788596
Comment In: Lancet. 2003 Feb 22;361(9358):634-512606172
Comment In: Lancet. 2003 May 31;361(9372):1906-7; author reply 1907-812788595
PubMed ID
12606177 View in PubMed
Less detail

[58 consultants are ready to help stoma patients].

https://arctichealth.org/en/permalink/ahliterature250775
Source
Sygeplejersken. 1976 Aug 25;76(33):9
Publication Type
Article
Date
Aug-25-1976
Author
A L Salling
Source
Sygeplejersken. 1976 Aug 25;76(33):9
Date
Aug-25-1976
Language
Danish
Publication Type
Article
Keywords
Colostomy
Counseling
Denmark
Health Occupations
Humans
Ileostomy
Organizations
PubMed ID
1050091 View in PubMed
Less detail

Aboriginal users of Canadian quitlines: an exploratory analysis.

https://arctichealth.org/en/permalink/ahliterature160066
Source
Tob Control. 2007 Dec;16 Suppl 1:i60-4
Publication Type
Article
Date
Dec-2007
Author
Lynda M Hayward
H Sharon Campbell
Carol Sutherland-Brown
Author Affiliation
Centre for Behavioural Research and Program Evaluation, Lyle S Hallman Institute, Room 1717A, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada, N2L 3G1. lhayward@healthy.uwaterloo.ca
Source
Tob Control. 2007 Dec;16 Suppl 1:i60-4
Date
Dec-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Canada - epidemiology
Counseling - methods
Female
Follow-Up Studies
Hotlines - utilization
Humans
Indians, North American - psychology - statistics & numerical data
Male
Middle Aged
Patient Acceptance of Health Care - ethnology
Patient satisfaction
Smoking - ethnology - prevention & control
Smoking Cessation - ethnology - methods - statistics & numerical data
Abstract
To conduct an exploratory, comparative study of the utilisation and effectiveness of tobacco cessation quitlines among aboriginal and non-aboriginal Canadian smokers.
Population based quitlines that provide free cessation information, advice and counselling to Canadian smokers.
First time quitline callers, age 18 years of age and over, who called the quitline between August 2001 and December 2005 and who completed the evaluation and provided data on their ethnic status (n = 7082).
Demographic characteristics and tobacco behaviours of participants at intake and follow-up; reasons for calling; actions taken toward quitting, and 6-month follow-up quit rates.
7% of evaluation participants in the time period reported aboriginal origins. Aboriginal participants were younger than non-aboriginals but had similar smoking status and level of addiction at intake. Concern about future health and current health problems were the most common reasons aboriginal participants called. Six months after intake aboriginals and non-aboriginals had taken similar actions with 57% making a 24-hour quit attempt. Quit rates were higher for aboriginals than non-aboriginals, particularly for men. The 6-month prolonged abstinence rate for aboriginal men was 16.7% compared with 7.2% for aboriginal women and 9.4% and 8.3% for non-aboriginal men and women, respectively.
This exploratory analysis showed that even without targeted promotion, aboriginal smokers do call Canadian quitlines, primarily for health related reasons. We also showed that the quitlines are effective at helping them to quit. As a population focused intervention, quitlines can reach a large proportion of smokers in a cost efficient manner. In aboriginal communities where smoking rates exceed 50% and multiple health risks and chronic diseases already exist, eliminating non-ceremonial tobacco use must be a priority. Our results, although exploratory, suggest quitlines can be an effective addition to aboriginal tobacco cessation strategies.
Notes
Cites: N Engl J Med. 2002 Oct 3;347(14):1087-9312362011
Cites: Nicotine Tob Res. 2003 Feb;5(1):13-2512745503
Cites: Br J Addict. 1991 Sep;86(9):1119-271932883
Cites: Tob Control. 2007 Dec;16 Suppl 1:i3-818048627
Cites: Am J Public Health. 1999 Sep;89(9):1322-710474547
Cites: MMWR Morb Mortal Wkly Rep. 2005 Nov 11;54(44):1121-416280969
Cites: Tob Control. 2007 Dec;16 Suppl 1:i16-2018048624
Cites: Health Rep. 1992;4(1):7-241391655
PubMed ID
18048634 View in PubMed
Less detail
Source
Lakartidningen. 1980 Feb 13;77(7):552
Publication Type
Article
Date
Feb-13-1980
Author
K. Sundström-Feigenberg
Source
Lakartidningen. 1980 Feb 13;77(7):552
Date
Feb-13-1980
Language
Swedish
Publication Type
Article
Keywords
Abortion, Legal - psychology
Counseling
Female
Humans
Pregnancy
Referral and Consultation - trends
Sweden
Abstract
The position of the curator (abortion counsellor) in Sweden is discussed. The counselling is facultative before the 12th week of pregnancy and about 20% of abortion seekers go to curators for counselling. After the 12th week of pregnancy, counselling is mandatory; here the curator is intended to give support to the abortion seeker, and his evaluation of the case may be considered by the physicians in their approval of the abortion application. Abortion counselling is not meant to influence an abortion seeker, but to give her a chance to discuss and explore her decision to undergo abortion. Follow-up consultations after the abortion operation would be desirable, but are difficult to arrange.
PubMed ID
7374290 View in PubMed
Less detail

Abortion counseling in a general hospital.

https://arctichealth.org/en/permalink/ahliterature247205
Source
Health Soc Work. 1979 May;4(2):92-103
Publication Type
Article
Date
May-1979
Author
B A Kaminsky
L A Sheckter
Source
Health Soc Work. 1979 May;4(2):92-103
Date
May-1979
Language
English
Publication Type
Article
Keywords
Abortion, Induced - psychology
British Columbia
Counseling - methods
Female
Hospitals, General
Humans
Politics
Pregnancy
Abstract
Given the increase in the number of abortions being performed in hospitals throughout the United States and Canada, there is an obvious need for counseling programs for these patients. The authors describe one such program, and emphasize the importance of close working relationships between the counselors and their supervising staff.
PubMed ID
488841 View in PubMed
Less detail

Abortion, sterilization, and sex education.

https://arctichealth.org/en/permalink/ahliterature250232
Source
Int Dig Health Legis. 1977;28(3): 614-620 1977):Unknown
Publication Type
Article
Date
1977

1539 records – page 1 of 154.