management of sud in primary general healthcare
Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice doc
... B: Management of SUD in Specialty SUD Care focuses on patients in need of further assessment or motivational enhancement or who are seeking remission Module C: Management of SUD in General Healthcare ... SETTINGS OF CARE General healthcare settings can be broadly defined as outpatient clinic settings including primary care, psychiatry, or other specialty clinics (e.g., HIV, hepatology clinics, ... Guideline For Management of Substance Use Disorders MODULE C: MANAGEMENT OF SUD IN (PRIMARY) GENERAL HEALTHCARE A Patient with Presumptive or Possible Substance Use BACKGROUND Clinicians in general...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... pink, and white), a diameter >6 mm, and a history of change (e.g., an increase in size or development of associated symptoms such as pruritus or pain) Figure 52-2 Table 52-1 Description of Primary ... differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a different diagnostic category than ... different from the surrounding skin This differs from a macule only in size Papule: A small, solid lesion,
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... scratching Atrophy: An acquired loss of substance In the skin, this may appear as a depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites of shiny, delicate, wrinkled ... Poikiloderma: Skin that displays variegated pigmentation, atrophy, and telangiectases Polycyclic: A configuration of skin lesions formed from coalescing rings or incomplete rings Pruritus: A ... Erosion: Loss of epidermis without an associated loss of dermis Ulcer: Loss of epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular erosions that...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... during a physical examination: the distribution of the eruption, the types of primary and secondary lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin ... ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth, eyes, nose, nasopharynx, and anogenital region In the initial examination it ... are seen in this patient with cutaneous small vessel vasculitis (Courtesy of Robert Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining the skin it is...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with overlying...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... contact (Fig 52-10) or primary irritant dermatitis In contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure ... usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
... expertise in skin diseases and knowledge of superficial anatomic structures in selected areas of the body In this procedure, a small area of skin is anesthetized with 1% lidocaine with or without epinephrine ... treated with to drops of a solution of 10–20% KOH KOH dissolves keratin and allows easier visualization of fungal elements Brief heating of the slide accelerates dissolution of keratin When the preparation ... epinephrine The skin lesion in question can be excised or saucerized with a scalpel or removed by punch biopsy In the latter technique, a punch is pressed against the surface of the skin and rotated...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... necrotizing vasculitis (Fig 52-4) will not Diascopy is performed by pressing a microscope slide or magnifying lens against a lesion and noting the amount of blanching that occurs Granulomas often ... evaluation of certain skin disorders For example, a Wood's lamp will cause erythrasma (a superficial, intertriginous infection caused by Corynebacterium minutissimum) to show a characteristic coral pink ... patient's back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined for evidence of delayed hypersensitivity reactions...
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Báo cáo y học: " European youth care sites serve different populations of adolescents with cannabis use disorder. Baseline and referral data from the INCANT trial" docx
... adolescent on to the INCANT site, but with the original legal threat still lingering on (so, EC) Of the Berlin teenagers, one in five lived in a residential setting, including sheltered living (Betreutes ... applicability of MDFT in European practice, the following treatment centres were selected for taking part in INCANT [1] In Belgium, the Cannabis Clinic associated with the department of psychiatry of Brugmann ... levels of externalizing symptoms for their children than parents of Swiss youth, and parents of Dutch youth reported lower levels of internalizing symptoms than parents of German youth Page of 10...
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Báo cáo y học: " INCANT: a transnational randomized trial of Multidimensional Family Therapy versus treatment as usual for adolescents with cannabis use disorder" pptx
... reporting of its results We thank Howard Liddle and Gayle Dakof (CTRADA, University of Miami Miller School of Medicine) for their help in selecting sites and carrying out the MDFT training programme ... reasons of drug education and mutual support, but any element of systems therapy involving the parent and other systems into the treatment is excluded Monitoring of treatment integrity In all INCANT ... visits by CTRADA staff Booster training was given in 2006 and 2007 TAU training in the Netherlands and TAU-e training in France were delivered locally by senior clinical staff from the treatment...
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Báo cáo y học: "Open Access Development of mental health first aid guidelines for Aboriginal and Torres Strait Islander people experiencing problems with substance use: a Delphi study" doc
... in: increasing recognition of mental illness, changing beliefs about treatment to be more like those of health professionals, reducing stigmatizing attitudes, increasing confidence in providing ... for any information about how to assist an Aboriginal person experiencing problem drinking or problem drug use Terms used in the problem drinking study included (grog OR alcohol OR drinking OR ... Themes - Problem Drinking study Section Problem drinking 1.1 What the first aider needs to know about problem drinking 1.2 Understanding problem drinking in the community 1.3 Knowing when the person...
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báo cáo khoa học: " Integrated programs for women with substance use issues and their children: a qualitative meta-synthesis of processes and outcomes" potx
... patterns of problem drinking who infected with or at-risk for HIV The intervention consisted of 14 sessions; the first seven sessions supported mothers in reducing or eliminating problem drinking ... satisfying to women [31,42] Outcomes Perceived outcomes of participating in an integrated intervention program included: a maintained sense of personal agency; improvements in personal well-being; ... including continued abstinence [57] As reflected in the findings of the meta-synthesis, an aspect of developing personal agency in recovery is learning and being able to implement adaptive coping strategies...
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Báo cáo y học: "Excessive substance use in bipolar disorder is associated with impaired functioning rather than clinical characteristics, a descriptive study" pdf
... covering both in- and outpatient units including substance abuse clinics Conclusions The current findings show that there is a significant increase in illicit substance use in BD compared to general ... for the disorder [48,87] Thus, a lack of worsening of BD illness characteristics in the presence of SUD may be explained by a lower vulnerability Our finding of no relationship between excessive ... symptomatology is in line with several other studies finding no differences across groups defined by SUD in these variables [18,50] It has also been hypothesized that SUD may trigger BD in individuals...
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báo cáo khoa học: "Co-existence of acute myeloid leukemia with multilineage dysplasia and Epstein-Barr virus-associated T-cell lymphoproliferative disorder in a patient with rheumatoid arthritis: a case report" docx
... pathological findings of RA joints Discussion To the best of our knowledge, this is the first reported case of co-existing AML-MLD and EBV-associated T-LPD in RA It is possible that the development of AML ... and C: Hematoxylin and eosin (HE) staining and double immunohistochemistry analyses of BM biopsy (B) and skin biopsy (C) B: HE showed the diffuse infiltration of small lymphocytes into BM tissue, ... abnormal karyotype, i(7)(p10), was detected in of 20 cells examined After receiving two courses of low-dose Ara-C (30 mg continuous intravenous drip injection (d.i.v.) for 14 days), the patient...
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báo cáo khoa học: "Transient psychosis due to painless thyroiditis in a patient with anxiety disorder: a case report" pdf
... first report of thyrotoxic psychosis associated with painless thyroiditis One of the key findings of painless thyroiditis is lowered RAIU The standard method of the measurement of RAIU is to ... http://www.jmedicalcasereports.com/content/5/1/534 painless thyroiditis It was difficult to obtain a definite diagnosis because of the lack of neck pain and the resemblance of the mental symptoms to those seen in anxiety disorder ... report of psychosis due to painless thyroiditis-induced hyperthyroidism Physical concerns of painless thyroiditis are often so mild that careful differential diagnosis is necessary in the case of...
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Báo cáo y học: "Diagnostic use of infrared thermography in a patient with chronic pain following electrocution: a case report" doc
... pain was noted within weeks Although there was a reduction in pain after the administration of pregabalin, there were no differences in pain measurements following the reduction in reported pain ... Pain Centre in June 2003 She confirmed persistent stabbing pain in her left hand and foot with essentially no change since the event No general abnormalities in the clinical neurological examination ... first time that there was ‘proof’ of my pain Though I have had a reduction in the pain level due to the use of pregabalin, I am still dealing with issues of chronic pain Abbreviations D°T, delta...
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Báo cáo y học: " Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile" ppt
... programme is of particular interest in this regard, since it is a unique way of increasing structure and providing a meaningful life situation for the patients The level of retention in this study ... this meeting and are encouraged to begin tapering their use of substances before admittance for treatment The clinic employs abstinence-oriented Buprenorphine maintenance treatment, in the sense ... dealing drugs during treatment Criminal activities result in discharge from the program The patients must adhere to the ongoing social and medical case management within the clinic This includes...
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Báo cáo y học: "A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres" pdf
... http://www.biomedcentral.com/1471-244X/11/93 the Institute of Clinical Medicine, University of Oslo TR is a psychiatrist, professor at the Institute of Clinical Medicine, University of Oslo, and Head of the Department of Research ... main findings are that, also in outpatient settings, the SUD group differs from the No SUD group in several ways not often systematically met with adequate treatment approaches Our first findings ... confidence intervals (CI) indicating the odds for being a patient with substance use disorder (SUD) rather than being a patient without SUD in regard to the level of morbidity measured by the Health of...
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Báo cáo y học: " All-cause mortality among people with serious mental illness (SMI), substance use disorders, and depressive disorders in southeast London: a cohort study" ppsx
... confidence intervals were wide and overlapping As displayed in Table 3, SMRs for all disorders diminished in strength with increasing age Even so, all disorders remained significant predictors of mortality ... or missing date of birth were also excluded (n = 445) Therefore, a total of 31,719 cases of interest with 1,370 deaths were identified Of the sample, 1,680 (5.3%) had two diagnoses of interest ... before or during that time In the duration, routine mortality monitoring was carried out on these patient records, hence patients were “at risk” of death during this period of time Date of birth...
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báo cáo khoa học: " Substance use during pregnancy: time for policy to catch up with research" pps
... metabolite of nicotine is cotinine and can be measured in urine and meconium Cotinine is also readily passed from mother to infant, with fetal cotinine concentrations in pregnant smokers reaching approximately ... or regained legal custody and the remaining two thirds retained or regained visitation Participation in family drug courts also resulted in obtaining or retaining employment in one half of the ... questionnaires, intake history, urine testing of mother and infant, testing of infant hair and meconium (first stool of the newborn) Maternal self-report of drug use is problematic because of the fear of...
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