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  • ISSN: 2373-9363
    Volume 4, Issue 1
    Case Report
    Esther Sophia Giesen* and Wilhelm Bloch
    Abstract: A 37 year old client is unable to cope with everyday life on his own due to his severe alcohol dependence syndrome with severe physical and psychosocial consequences and is therefore housed in a socio-therapeutic setting. Due to a severe alcohol intoxication (blood alcohol level: 3.06 g / l) and suicidal tendencies he had been formerly admitted to a General Hospital as an emergency. A four-week clinical detoxification therapy was followed by the stationary housing in the protected location of a residential setting. In the following 44 months he lives in this sheltered environment, recovering at the physical, psychological and social level. In addition to measures of socio-, work- and pharmacotherapy, exercise therapy represents a vital part of his treatment. Through regular participation in the exercise program of the institution, he manages to rebuild his extremely bad overall condition, restore his physical functioning as well as to start a viable therapeutic relationship. Results of activity monitoring also show a significant change in his lifestyle which is characterized by an increased level of physical activity, improved regenerationand sleeping patterns. The present case illustrates that sport-therapeutic interventions as a complementary measure in the addiction treatment for the rehabilitation process of severely affected clients (1), can be highly effective, and that (2), lifestyle modifications are feasible in the long-term. Since the systematic study of exercise therapy as a complementary measure in the addiction treatment is still in its infancy, large-scale clinical studies are urgently needed.
    David Caceres Anillo, Carlos Morillo-Velarde Quintero, Esther Ontanilla Reyes and Vanesa Canton
    In the case presented, Nalmefene is administered daily as part of a comprehensive treatment program aimed at achieving and maintaining abstinence. Nalmefene is effective in achieving a significant maintained reduction in patient's level of craving during eight months, helping to increase significantly the abstinence time and to reduce patient's difficulties to prevent the relapse.
    Mini Review
    Kristina J Berglund*, Jan Balldin, Ulf Berggren and Claudia Fahlke
    Abstract: Alcohol use disorders (AUDs) are among the 10 leading causes of disability worldwide. Once an AUD is established, risk for relapsing within a year after treatment is very high. Repeated relapses further increase the risk of psychiatric and somatic co-morbidity, and alarmingly also for premature death (5-8 times higher compared to the general population). Oddly enough, there is still lacking knowledge of which individual traits that may predispose for elevated risk of repeated relapses. One such trait could be the Taq1A polymorphism of the dopamine D2 receptor (DRD2) and that individuals who are carriers of the so called A1 allele have fewer DRD2 and thus a genetically determined hypo-dopaminergic brain function. Knowledge of traits related to relapse proneness will improve the ability to provide tailor-made relapse prevention programs and thereby increase the effect-size of the treatment, and reduce psychological suffering, medical and psychiatric complications as well as premature death.
    Short Communication
    Shashidhar M Kotian, Vijaya Kumar, Nitin Joseph*
    Context: Tobacco consumption in all forms has been growing every year in India and these products are widely used by Class IV workers.
    Aims: This study was done to find out the proportion, risk factors and patternof tobacco use and to assess awareness about its harmful effects among these workers.
    Settings and design: Cross-sectional study among class IV workers employed in hospitals and hostels of a private medical college.
    Methods and material: Convenience sampling method was used for selecting participants. Data was collected using a semi-structured interview schedule.
    Statistical analysis: Pearson's Chi square test and multivariate analysis (logistic regression)
    Results: Age of participants ranged from 23 to 58 years. Mean years of tobacco use was 14.3years (SD 8.6). Majority of the users 38 (61.3%) picked up the habit from their friends. Use of tobacco containing products was associated with marital status (OR=4.39, CI 1.77 to 10.9, P<0.001) and educational status (P=0.031). Only 96 (43.6%) participants knew at least one health hazard associated with tobacco use and 46 (20.9%) participants knew that it causes cancer. As many as 45 (72.6%) users continued to use tobacco products in spite of being aware of its harmful effects. Only 75 (34.1%) out of total participants knew that passive smoking was hazardous to health.
    Conclusion: Awareness of health hazards was poor among class IV workers. Health education and counseling need to be implemented in those settings to bring about behavioral change among those workers.
    Research Article
    Romero Rodriguez E*, Perula de Torres LA, Leiva Cepas F, Fernandez Garcia JA, Parras Rejano JM and Collaborative Group ALCO-AP Study".
    Objectives: To evaluate the knowledge, attitudes and practices of physicians and nurses of Primary Care (PC) in the implementation of preventive interventions of the Program of Preventive Activities and Health Promotion (PAPPS) regarding to patients with excessive alcohol consumption.
    Methods: A descriptive, cross-sectional observational study conducted in health centers of the Spanish National Health System (SNS).
    Results: From January 2014 to December 2014, 1116 health professionals (86% graduates in medicine and 14% nursing graduates) have completed an online survey, with an average age of 45 years (SD 9.3). 81% of all claims to know the recommendations described in the PAPPS, although only 67% of them recognized they had received specific training in the management of patient with excessive alcohol consumption in the last 5 years. 65% of professionals assured to do a systematic examination quantifying alcohol consumption through questionnaires, with a follow-up rage after detection of 72%.
    Conclusions: Our preliminary results indicate that the level of specific training that health professionals have received in the last 5 years about the approach to patients with excessive alcohol consumption is low. The diffusion of the recommendations outlined by the PAPPS on the clinical practice that health professionals have to perform in primary care setting about alcohol consumption detection and management is critical and is a priority for the Spanish health authorities.
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