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Author |
Simon, Olivier; Zumwald, Coralie; Luongo, Antonella; Müller, Stéphanie; Dunand, Caroline; Carlevaro, Tazio; Besson, Jacques |
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Title |
Glücksspielsucht in der Schweiz aus medizinischer Sicht |
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Journal Article |
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Year |
2012 |
Publication |
Schweizerisches Medizin-Forum = Forum médical suisse = Swiss medical forum |
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Volume |
12 |
Issue |
45; 11/2012 |
Pages |
867-870 |
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Keywords |
nonchemical addiction; pathological gambling; epidemiology; AOD effects and AODR problems; AODR mental disorder; suicidal behavior; early identification; counseling; physician; Switzerland |
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Abstract |
- Dem Hausarzt kommt als Hüter des Arztgeheimnisses bei der Früherkennung exzessiven Spielverhaltens eine wichtige Rolle zu. – Mehr als ein Drittel derjenigen, die erstmals einen Arzt wegen exzessiven Spielverhaltens aufsuchen, hat Suizidgedanken. – Die Behandlung beinhaltet verschiedene Modalitäten und Angriffspunkte; dazu gehören insbesondere die Abklärung der Motivation, weniger zu spielen, der Unterstützung durch Angehörige oder Freunde und der Möglichkeit, den Zugang zu Spielen und/oder finanziellen Mitteln einzuschränken. Auch die strukturell negative Gewinnerwartung und die ängstlich-depressiven Begleiterkrankungen müssen einbezogen und angegangen werden. – In der Schweiz besteht ein spezialisiertes Netz von Kontaktstellen und Behandlungszentren, die über eine Gratisnummer oder im Internet unter www.sos-spielsucht.ch / www.sos-jeu.ch / www.giocoresponsabile.com erreichbar sind. |
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1424-3784; 1424-4020 |
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Aussi disponible en français: 50-13003 |
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50-13002 |
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60010 |
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Author |
Pfäffli, Matthias; Oswald, Franz; Weinmann, Wolfgang |
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Title |
Urinschnelltests (Immunoassays) auf Drogen und Medikamente : Wissenswertes für den Arzt |
Type |
Journal Article |
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Year |
2013 |
Publication |
Schweizerisches Medizin-Forum = Forum médical suisse = Swiss medical forum |
Abbreviated Journal |
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Volume |
13 |
Issue |
16; 04/2013 |
Pages |
318-322 |
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Keywords |
screening and diagnostic method for AOD use; urinalysis; physician; illicit drug; cannabis; opioids in any form; codeine; recommendations or guidelines |
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Abstract |
- Urinschnelltests sind ein häufig genutztes, einfaches und kostengünstiges Verfahren zur Dokumentation einer (Nicht-)Einnahme von Drogen und Medikamenten. – Urinschnelltests können bei einer Reihe häufig verwendeter Medikamentenwirkstoffe falsch-positive Reaktionen zeigen. – Die Resultate von Urinschnelltests haben aufgrund der möglichen Kreuzreaktionen lediglich hinweisenden, jedoch nicht beweisenden Charakter. – Vom Betroffenen bestrittene positive Resultate müssen mittels einer Bestätigungsanalyse überprüft werden. – Eine passive Cannabisexposition als Ursache eines positiven Cannabis-Urinschnelltests ist im Allgemeinen als Schutzbehauptung anzusehen. – Opiatkonsum, Codeineinnahme und Genuss von Mohnsamen (Mohnkuchen etc.) können nicht mittels (nicht-apparativen) Schnelltests unterschieden werden. |
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1424-3784; 1424-4020 |
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Aussi disponible en français: 50-12944 |
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Call Number |
50-12945 |
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60005 |
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Author |
Pfäffli, Matthias; Oswald, Franz; Weinmann, Wolfgang |
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Title |
Recherche de drogues et de médicaments par tests rapides d'urine (immuno-essais) : informations utiles pour les médecins |
Type |
Journal Article |
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Year |
2013 |
Publication |
Schweizerisches Medizin-Forum = Forum médical suisse = Swiss medical forum |
Abbreviated Journal |
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Volume |
13 |
Issue |
16; 04/2013 |
Pages |
318-322 |
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Keywords |
screening and diagnostic method for AOD use; urinalysis; physician; illicit drug; cannabis; opioids in any form; codeine; recommendations or guidelines |
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Abstract |
- L’analyse d’urine rapide est un procédé fréquemment utilisé, simple et économique afin de documenter une prise (ou non) de drogues et de médicaments. – Pour de nombreux principes actifs couramment utilisés, l’analyse d’urine rapide peut présenter une réaction faussement positive. – En raison des réactions croisées potentielles, le résultat d’une analyse d’urine rapide est purement indicatif et n’est en rien probant. – Les résultats positifs contestés doivent être vérifiés grâce à une analyse de confirmation. – Généralement, l’explication d’une analyse d’urine rapide positive par une exposition passive au cannabis doit être considérée comme un argument de défense. – La consommation d’opiacées, de graines de pavot (gâteau aux graines de pavot, etc.) et la prise de codéine |
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French |
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1661-6138; 1661-6146 |
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Auch auf Deutsch vorhanden: 50-12945 |
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Call Number |
50-12944 |
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60004 |
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Author |
Aeschbacher, Claudine |
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Title |
Le patient alcoolique “difficile” |
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Journal Article |
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Year |
2012 |
Publication |
Schweizerisches Medizin-Forum = Forum médical suisse = Swiss medical forum |
Abbreviated Journal |
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Volume |
12 |
Issue |
46; 11/2012 |
Pages |
893-896 |
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Keywords |
chemical addiction; licit drug; alcohol; patient; AOD dependent; treatment and maintenance |
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1661-6138; 1661-6146 |
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Notes |
Auch auf Deutsch vorhanden: 50-12752 |
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Call Number |
50-12753 |
Serial |
59992 |
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Author |
Aeschbacher, Claudine |
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Title |
Der “schwierige” Alkoholpatient |
Type |
Journal Article |
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Year |
2012 |
Publication |
Schweizerisches Medizin-Forum = Forum médical suisse = Swiss medical forum |
Abbreviated Journal |
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Volume |
12 |
Issue |
46; 11/2012 |
Pages |
893-896 |
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Keywords |
chemical addiction; licit drug; alcohol; patient; AOD dependent; treatment and maintenance |
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1424-3784; 1424-4020 |
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Aussi disponible en français: 50-12753 |
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Call Number |
50-12752 |
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59991 |
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Author |
Albermann, Kurt; Gäumann, Christine; Alessi, Monika; Müller, Brigitte; Gutmann, Renate; Gundelfinger, Ronnie |
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Title |
Das Thema zum Thema machen : Winterthurer Präventions- und Versorgungsprojekt für Kinder psychisch und suchtkranker; Eltern (WIKIP) : ein interdisziplinärer Approach der medizinischen und psychosozialen Versorgungssysteme für Kinder, Jugendliche und Erwachsene (Teil I) |
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Journal Article |
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Year |
2012 |
Publication |
Schweizerische Ärztezeitung |
Abbreviated Journal |
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Volume |
93 |
Issue |
42; 17.10.2012 |
Pages |
1521-1525 |
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Keywords |
addiction; AOD use, abuse, and dependence; family; family counseling; family risk and protective factors; familial alcoholism; psychological development; child; adolescent; prevention through education; prevention directed at groups; social cost of AOD; study; Zurich (canton); Switzerland; Winterthurer Präventions- und Versorgungsprojekt für Kinder psychisch kranker Eltern (body); journal article |
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Abstract |
Im Winterthurer Projekt werden in einem familienfokussierten Ansatz die Belastungen und Bedürfnisse von Familien mit Kindern und Jugendlichen mit einem psychisch erkrankten Elternteil konkret benannt, Risiko- und Schutzfaktoren bestimmt sowie Handlungsmöglichkeiten im interdisziplinären Kontext von Medizin und psychosozialen Angeboten aufgezeigt. |
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German |
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0036-7486 (Print); 1424-4004 (Online) |
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50-12547 |
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59985 |
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Author |
Hüsgen, Hans-A. |
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Akzeptanzorientierung in der Drogenpolitik – niedrigschwellige und höher-schwellige Drogenarbeit – laudatio et promotio = Orientation towards acceptance in drug policy : low-threshold and higher-threshold drug work – laudatio et promotio |
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Journal Article |
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2011 |
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Akzeptanzorientierte Drogenarbeit = Acceptance-oriented drug work |
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Volume |
8 |
Issue |
18.10.2011 |
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44-47 |
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Keywords |
AOD dependence; AOD abstinence; history; harm reduction; INDRO (body) |
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German |
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1861-0110 |
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50-12285 |
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59969 |
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Author |
Kühne, René; Rapold, Roland |
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Title |
Der Bezug von Methylphenidat in der Schweiz : nicht alarmierend – Fragen stellen sich dennoch |
Type |
Journal Article |
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Year |
2011 |
Publication |
Schweizerische Ärztezeitung |
Abbreviated Journal |
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Volume |
92 |
Issue |
34; 08/2011 |
Pages |
1295-1299 |
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Keywords |
methylphenidate; Ritalin; prescription drug; general practitioner; child; adolescence; Switzerland |
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Der steigende Konsum von Methylphenidat in Zusammenhang mit ADHS wird in der Öffentlichkeit zunehmend diskutiert. Wie steht es um Fehldiagnosen und Missbrauch? In der vorgestellten Arbeit wurden die Verschreibungen und Abgaben auf Basis der bei der Krankenversicherung elektronisch erfassten Medikamentenbezüge für die Periode 2006 bis 2009 untersucht. |
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0036-7486 (Print); 1424-4004 (Online) |
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50-12105 |
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59953 |
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Author |
Dwight, Rodrick |
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Title |
Le dopage au travail se banalise |
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Journal Article |
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Year |
2011 |
Publication |
Revue d’information sociale |
Abbreviated Journal |
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Issue |
19.04.2011 |
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4 |
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Keywords |
AOD consumption; doping; workplace context; antianxiety tranquilizers; Switzerland |
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Abstract |
Dans notre société, la consommation de produits psychotropes s’est modifiée. Aujourd’hui, de nombreuses personnes prennent des drogues non pas parce qu’elles se sentent forcément mal, mais pour aller « un peu mieux », pour se sentir « mieux que bien » : être performant, supporter l’ennui, s’adapter à un environnement social ou professionnel difficile. |
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French |
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50-11882 |
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59947 |
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Author |
Ansermot, Nicolas; Albayrak, Özgür; Schläpfer, Jürg; Crettol, Séverine; Croquette, Marina; Bourquin, Michel; Déglon, Jean-Jacques; Faouzi, Mohamed; Scherbaum, Norbert; Eap, Chin B. |
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Title |
Substitution of (R,S)-methadone by (R)-methadone : impact on QTc interval |
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Journal Article |
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Year |
2010 |
Publication |
Archives of Internal Medicine |
Abbreviated Journal |
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Volume |
170 |
Issue |
6 |
Pages |
529-536 |
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Keywords |
methadone; opioids in any form; narcotic analgesics; drug substitution therapy; empirical study; statistical data |
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Abstract |
BACKGROUND: Methadone is administered as a chiral mixture of (R,S)-methadone. The opioid effect is mainly mediated by (R)-methadone, whereas (S)-methadone blocks the human ether-à-go-go-related gene (hERG) voltage-gated potassium channel more potently, which can cause drug-induced long QT syndrome, leading to potentially lethal ventricular tachyarrhythmias. METHODS: To investigate whether substitution of (R,S)-methadone by (R)-methadone could reduce the corrected QT (QTc) interval, (R,S)-methadone was replaced by (R)-methadone (half-dose) in 39 opioid-dependent patients receiving maintenance treatment for 14 days. (R)-methadone was then replaced by the initial dose of (R,S)-methadone for 14 days (n = 29). Trough (R)-methadone and (S)-methadone plasma levels and electrocardiogram measurements were taken. RESULTS: The Fridericia-corrected QT (QTcF) interval decreased when (R,S)-methadone was replaced by a half-dose of (R)-methadone; the median (interquartile range [IQR]) values were 423 (398-440) milliseconds (ms) and 412 (395-431) ms (P = .06) at days 0 and 14, respectively. Using a univariate mixed-effect linear model, the QTcF value decreased by a mean of -3.9 ms (95% confidence interval [CI], -7.7 to -0.2) per week (P = .04). The QTcF value increased when (R)-methadone was replaced by the initial dose of (R,S)-methadone for 14 days; median (IQR) values were 424 (398-436) ms and 424 (412-443) ms (P = .01) at days 14 and 28, respectively. The univariate model showed that the QTcF value increased by a mean of 4.7 ms (95% CI, 1.3-8.1) per week (P = .006). CONCLUSIONS: Substitution of (R,S)-methadone by (R)-methadone reduces the QTc interval value. A safer cardiac profile of (R)-methadone is in agreement with previous in vitro and pharmacogenetic studies. If the present results are confirmed by larger studies, (R)-methadone should be prescribed instead of (R,S)-methadone to reduce the risk of cardiac toxic effects and sudden death. |
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English |
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0003-9926 |
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50-11821 |
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59945 |
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