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für Gesundheit für Gesundheit; Office fédéral de la santé publique |
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Title  |
Suchtforschung des BAG 1996-98 : Band 2/4 : Prävention = Recherches de l'OFSP en matière de dépendances 1996-98 : volume 2/4 : prévention |
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Report |
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Year |
2000 |
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Pages |
xiii, 145 |
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Keywords |
prevention |
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Bundesamt für Gesundheit (BAG); Office fédéral de la santé publique (OFSP) |
Place of Publication |
Bern; Berne |
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German; French |
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Zweisprachige Publikation Deutsch-Französisch; Publication bilingue français-allemand; Eigentlich ist es Bd. 2/3; vielleicht waren ursprünglich 4 Bde. vorgesehen |
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no |
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Call Number |
03.00-061 |
Serial |
50319 |
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Author |
Bundesamt für Gesundheit; Office fédéral de la santé publique; Federal Office of Public Health |
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Title |
Suchtforschung des BAG 1996-98 : Band 1/4 : Grundlagenforschung = Recherches de l'OFSP en matière de dépendances 1996-98 : volume 1/4 : recherche fondamentale |
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Book Whole |
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Year |
2000 |
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Pages |
x, 174 |
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Keywords |
research; health services, prevention, and treatment research; research in general; multiple sclerosis; tetrahydrocannabinol; cannabis product; MDMA; ecstasy; electroencephalography; emotion; serotonin; dopamine; norepinephrine; volunteer health care worker; methadone; genetic polymorphism; individual differences; buprenorphine; AOD dependence; opioids in any form; methadone maintenance; randomized controlled trial; pharmacodynamics; physiology; hypoventilation; urinalysis; hair analysis; sweat analysis; social cost of AOD; quality of life; cost-benefit analysis; search and seizure; adulteration; quantitative data analysis; opioid contaminant; law enforcement agency; AOD consumption; heroin; deoxyhemoglobin; spectroscopy; liposomes; pulmonary administration; heroin-assisted treatment; trial study; AOD use and driving; cognitive ability; epidemiological indicators; smoking; tobacco product; health and disease; general population survey; AOD demand; factor analysis; price elasticity of demand; knowledge, attitudes, and practices; taxes; cessation of AODU; population dynamics; occasional AOD use; behavioral change; stages of change; AODR mortality; prevalence; outpatient care; professional counseling; counseling service; program planning, implementation, and evaluation; organizational development; content analysis; psychoactive substances; antianxiety tranquilizers; narcotic analgesics; laxatives; cough syrup; appetite suppressants; gender; epidemiology; nightlife; urban area; AOD use pattern; designer drug; research chemical; illicit drug; sociology; cocaine; protective factors; estimation; mathematical model; incidence; harm reduction; drug user; drug evaluation; drug safety; dissemination of warnings; dissemination of AODE information; adolescent; underage smoking; AOD prevention; risk factors; lipids; heart disorder; case management; alcohol dependence; disease severity; validation study; AODR disability; primary health care; physician; identification and screening; alcohol use test; CAGE Questionnaire; AOD use, abuse, and dependence; comorbidity; treatment and maintenance; morbidity; economic cost of AODU; treatment cost; health care costs; human resources; labor costs; Switzerland; Europe; drug substitution therapy |
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Bundesamt für Gesundheit (BAG); Office fédéral de la santé publique (OFSP); Swiss Federal Office of Public Health (SFOPH) |
Place of Publication |
Bern; Berne |
Editor |
für Gesundheit, Bundesamt; publique, Office fédéral de la santé; Federal Office of Public Health |
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German; French; English |
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Dreisprachige Publikation Deutsch-Französisch-Englisch; publication trilingue allemand-français- anglais; trilingual publication German-French-English |
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no |
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Call Number |
18-017 |
Serial |
50003 |
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Author |
Ladewig, D.; Petitjean, S.; Stohler, Ruedi; Déglon, Jean-Jacques; Livoti, S.; Uehlinger, C.; Waldvogel, D. |
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Title |
Suchtforschung des BAG 1996-98 : Band 1/4 : Grundlagenforschung = Recherches de l'OFSP en matière de dépendances 1996-98 : volume 1/4 : recherche fondamentale |
Type |
Book Chapter |
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Year |
2000 |
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Abbreviated Journal |
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Pages |
20-28 |
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Keywords |
buprenorphine; AOD dependence; opioids in any form; methadone maintenance; randomized controlled trial; drug substitution therapy |
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Abstract |
Fragestellung: In der vorliegenden kontrollierten Doppelblind-Studie wurde die Sicherheit und Wirksamkeit von sublingualen Buprenorphin-Tabletten mit oralem Methadon über sechs Wochen verglichen. Methodik: Die Studienteilnehmer wurden in den drei Zentren Basel, Genf und Freiburg rekrutiert. Die Stichprobe setzte sich aus 58 opiatabhängigen, ambulanten Patienten zusammen, welche die DSM-III-R-Kriterien für eine Opioidabhängigkeit erfüllten und eine Substitutionsbehandlung anstrebten. Die Patienten wurden randomisiert entweder einer Behandlung mit Buprenorphin oder mit Methadon zugewiesen. In den ersten drei Wochen wurde ein flexibler Dosierungsplan verwendet. Die zulässigen Tagesdosen betrugen für Buprenorphin (SL) 4, 8, 12 bzw. 16 mg/d und für Methadon 30, 60, 90, bzw. 120 mg/d. Die Buprenorphingruppe (n = 27) und die Methadongruppe (n = 31) unterschieden sich nicht bezüglich soziodemographischer Variablen und drogenanamnestischer Daten (Alter: 27,3 ± 5,9 Jahre, 81% Männer, 45% i.v. HeroinkonsumentInnen). Resultate: In der Maintenancephase (Studienwoche 6) betrugen die durchschnittlichen Dosierungen für Buprenorphin 10 mg/d und für Methadon 69 mg/d. Die Haltequote für Methadon war signifikant besser als für Buprenorphin (durchschnittliche Tage in Behandlung: 30 Tage für Buprenorphin und 40 Tage für Methadon; p<0.001). Bezüglich Anzahl opiatpositiver Urinproben gab es keine signifikanten Unterschiede (Methadon 65% vs. Buprenorphin 56%; p > 0,5). Die Anzahl opiatpositiver Urinproben nahm im Verlauf der Studie in beiden Gruppen signifikant ab. Vier Patienten, die mit Buprenorphin behandelt wurden, berichteten über unerwünschte Wirkungen (Kopfschmerzen, allergische Hautreaktionen), welche jedoch nicht häufiger auftraten als in der Methadongruppe. Zusammenfassend weisen diese Resultate auf eine gute Verträglichkeit und Wirksamkeit (Reduktion des Heroingebrauchs) sublingualer Buprenorphin-Tabletten in der Substitutionsbehandlung Opiatabhängiger hin. Hingegen war die Haltequote unter Methadon besser. |
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Publisher |
Bundesamt für Gesundheit (BAG) |
Place of Publication |
Bern |
Editor |
Bundesamt für Gesundheit |
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Language |
German |
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no |
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Call Number |
50-11814 |
Serial |
50198 |
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Author |
Schirtz, Andrée; Hämmig, Robert; Broers, Barbara; Bösch, Lukas; Stohler, Rudolf |
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Title |
Suchtforschung des BAG |
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Book Chapter |
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Year |
2005 |
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Volume |
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Pages |
46-51 |
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Keywords |
treatment and maintenance; detoxification; randomized controlled trial; methadone maintenance; buprenorphine maintenance; Switzerland; drug substitution therapy |
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Abstract |
Within the Swiss Detoxification Coordination (SwiDeCo) framework, a number of randomised clinical trials on opiate detoxification took place, comparing different settings (in- and outpatient), medications (antagonists under anaesthesia, methadone, buprenorphine high/low dosage) and duration of treatment (fixed and flexible). A standard assessment with validated instruments and standard follow-up was used throughout all the studies. One study concerned neonatal opiate detoxification. The scientific framework offered by SwiDeCo provided an opportunity for links and exchange between different drug treatment centres (over 20 centres participated in the studies) and persons working in the field of substance abuse in Switzerland. Overall, 279 patients were included in the different trials, of whom three-quarters were male, on average 30 years old; multi substance abuse was frequent. All procedures to withdraw patients from opiates tested in the different trials resulted in an equally poor outcome regarding abstinence after 3 months (22%). There were no patient baseline characteristics predicting differences in outcome. However, in-patient detoxification resulted in higher short-term abstinence rates, but this advantage disappeared over time. Patients’ level of distress at baseline evaluation decreased independently of treatment outcome during the first three months. Therefore, there seems to be a beneficial, but outcome-independent, treatment initiation effect. Two patients died within 3 months of detoxification. Although we cannot formally conclude whether withdrawal treatment resulted in an excess mortality, this fact is disquieting. During the detoxification phase overdose prevention should be discussed. Finally, based on our study results and on similar results from other groups, we cannot recommend the UROD procedure for withdrawal. We would rather suggest engaging patients who insist on this treatment modality in outpatient treatment, where tapering of substitution opiates could be performed while monitoring resumption of heroin consumption or the consumption of other substances. Given the high relapse rates independent of the specific detoxification treatment offered, it is important to offer flexible treatment goals to patients undergoing withdrawal treatment, so that substitution treatment might be offered in case of failure. The technique is simple and can be applied by trained family doctors. |
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Publisher |
Bundesamt für Gesundheit (BAG) |
Place of Publication |
Berne |
Editor |
Bundesamt für Gesundheit |
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Language |
English |
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Notes |
Ganze Publikation auch vorhanden: 50-01048 |
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no |
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Call Number |
50-11778 |
Serial |
50196 |
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Author |
Fachverband Sucht |
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Title |
Suchtfachstellen und Essstörungen |
Type |
Miscellaneous |
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Year |
2009 |
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2 |
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Keywords |
addiction; nonchemical addiction; eating disorder |
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Fachverband Sucht |
Place of Publication |
Zürich |
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German |
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no |
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Call Number |
50-10503 |
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61644 |
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Author |
bso |
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Title |
Suchtfachklinik Selhofen : freiwilliger Entzug im Burgerheim |
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Newspaper Article |
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Year |
2008 |
Publication |
Aemme Zytig Burgdorfer Tagblatt Grauholz Post |
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Issue |
23.12.2008 |
Pages |
S14 |
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Keywords |
treatment and maintenance; inpatient care; residential facility; financing; Berne (canton); Kehrsatz; Burgdorf; Suchtfachklinik Selhofen (body) |
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Abstract |
Am Donnerstagabend stellte sich der neue Mieter des Burgerheims der Burgdorfer Bevölkerung vor. |
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German |
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no |
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Call Number |
50-11259 |
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58750 |
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Author |
Leherr, Herbert J. |
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Title |
Suchtbehandlung im Alter lohnt sich |
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Journal Article |
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Year |
2009 |
Publication |
SuchtMagazin |
Abbreviated Journal |
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Volume |
35 |
Issue |
3; 06/2009 |
Pages |
14-16 |
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Keywords |
AOD use, abuse, and dependence; chemical addiction; elderly; old age; journal article |
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German |
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1422-2221 |
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no |
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Call Number |
60.01-001 |
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60093 |
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Author |
Netz Suchtausstieg Zürich |
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Title |
Suchtausstieg im Kanton Zürich : ein Positionspapier der Vereinigung privater Suchttherapieanbieter im Kanton Zürich, Netz Suchtausstieg Zürich und weiteren Organisationen der stationären Therapiearbeit |
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Year |
2003 |
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15 |
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treatment and maintenance; residential facility; inpatient care; cooperation; government and politics; financial problems; Switzerland; Zurich (canton); commentary |
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Netz Suchtausstieg Zürich : professionelle stationäre Suchttherapie |
Place of Publication |
Ottenbach |
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German |
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50-00944 |
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49579 |
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Author |
Güdel, Heike |
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Title |
Suchtarbeit auf dem Sozialdienst |
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Journal Article |
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Year |
2013 |
Publication |
SuchtMagazin |
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39 |
Issue |
5; 10/2013 |
Pages |
37-41 |
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Keywords |
social work service; counseling; addiction; addiction care; social insurance; Switzerland; Berne |
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Abstract |
Die Expertise der Sozialen Arbeit in der Suchtarbeit auf dem Sozialdienst liegt in der Bearbeitung sozialer Aspekte der Sucht über eine kontinuierliche, interinstitutionelle und interprofessionelle Begleitung von Veränderungsprozessen in Zusammenarbeit mit den KlientInnen. Das Modell der «Fachstelle Suchthilfe» des Sozialdienstes der Stadt Bern verpflichtet sich dieser Expertise. |
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German |
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1422-2221 |
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60.01-001 |
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60619 |
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Author |
sda |
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Title |
Suchtarbeit : BAG entwickelt neue Qualitätsstandards |
Type |
Newspaper Article |
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Year |
2002 |
Publication |
Schweizerische Ärztezeitung = Bulletin des médecins suisses |
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Issue |
20.02.2002 |
Pages |
10 |
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Keywords |
quality control; QuaTheDA; Switzerland |
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German |
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no |
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Call Number |
50-05145 |
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58434 |
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