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Author |
Bruggmann, Philip |
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Title |
Hepatitis-C-Therapie als Primärprävention? : Erkenntnisse des “2nd international symposium on hepatitis care in substance users” mit Relevanz für die Schweiz |
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Journal Article |
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2011 |
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Schweizerische Ärztezeitung |
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92 |
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46; 16.11.2011 |
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1800-1801 |
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AOD use, abuse, and dependence; harm reduction; needle distribution and exchange; treatment and maintenance; heroin; heroin-assisted treatment; HIV infection; hepatitis; hepatitis C; Switzerland |
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German |
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0036-7486 |
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50-12167 |
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59955 |
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Author |
Dole, Vincent P. |
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Title |
What have we learned from three decades of methadone maintenance treatment? |
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Journal Article |
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Year |
1994 |
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Drug and alcohol review |
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Volume |
13 |
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1 |
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3-4 |
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treatment and maintenance; methadone maintenance; history; international area; drug substitution therapy |
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0959-5236 |
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50-11779 |
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59937 |
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Author |
Hüsler, Gebhard; Plancherel, Bernard |
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Title |
Social integration of adolescents at risk : results from a cohort study |
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Journal Article |
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Year |
2007 |
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Vulnerable Children and Youth Studies |
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2 |
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3; 12/2007 |
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215-226 |
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Keywords |
target group; adolescent; high-risk youth; social integration; school; work; family; criminality; juvenile delinquency; AOD use; alcohol; tobacco product; illicit drug; cannabis; Switzerland |
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Using a sample of 614 youths, this study examined differences and similarities between adolescents at risk (age range 11-20 years), and their integration in school or vocational training. We found that mood states (depression, anxiety), secure self (self-esteem and self-efficacy), relationship with parents, delinquency and substance use (alcohol, tobacco and cannabis) were variables which largely influenced social integration (school, work) for youths with poor sociodemographic backgrounds. An important variable we introduced here was sociodemographic background, which investigated the social situation of a youth. We distinguished two different groups (good vs. poor sociodemographic background). There were important differences between both groups. Youths with a poor sociodemographic background scored higher in suicidality and health complaints. The most striking differences were in substance use and delinquency. The structural equation model showed that poor mood was related to substance use at the start. Important paths were found in mood states over time, as for substance use, but interactions between both variables were small. We ran different models (poor vs. good social background, Swiss vs. migrant youths), and concluded that secure self and good family relations protected against poor mood and substance use and both variables indirectly influenced integration 2-3 years later. |
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1745-0128 (Print); 1745-0136 (Online) |
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50-11662 |
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59923 |
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Author |
Kuendig, Hervé; Hasselberg, Marie; Laflamme, Lucie; Daeppen, Jean-Bernard; Gmel, Gerhard |
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Title |
alcohol and nonlethal injuries: a Swiss emergency department study on the risk relationship between acute alcohol consumption and type of injury |
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Journal Article |
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Year |
2008 |
Publication |
Journal of trauma : injury, infection, and critical care |
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Volume |
65 |
Issue |
1 |
Pages |
203-211 |
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Keywords |
addiction; AOD use, abuse, and dependence; chemical addiction; alcohol; AOD consumption; AOD effects and consequences; injury; risk factors; public health; prevention; emergency care; study; Switzerland; Lausanne |
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Abstract |
BACKGROUND: Acute alcohol consumption has been reported to be an important risk factor for injury, but clear scientific evidence on issues such as injury type is not available. The present study aims to improve the knowledge of the importance of alcohol consumption as an injury determinant with regards to two dimensions of the type of injury, namely the nature and the body region involved. METHODS: Risk relationships between two injury type components and acute alcohol use were estimated through multinomial and logistic regression models based on data from 7,529 patients-among whom 3,682 had injury diagnoses-gathered in a Swiss emergency department. RESULTS: Depending on the type of injury, between 31.1% and 48.7% of casualties report alcohol use before emergency department attendance. The multinomial regression models show that even low alcohol levels are consistently associated with nearly all natures of injury and body regions. A persistent dose-response effect between alcohol levels and risk associations was observed for almost all injury types. CONCLUSIONS: The results highlight the importance and consistency of the risk association between low and moderate levels of acute alcohol consumption and all types of injury. None of the body regions and natures of injury could pride on absence of association between alcohol and injury. Public health, prevention, and care implications are considered. |
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0022-5282 |
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Call Number |
50-11639 |
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59919 |
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Author |
Kuendig, Hervé; Hasselberg, Marie; Gmel, Gerhard; Daeppen, Jean-Bernard; Laflamme, Lucie |
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Title |
Acute and usual drinking among emergency trauma patients: a study on alcohol consumption and injury patterns |
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Journal Article |
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Year |
2009 |
Publication |
Injury prevention |
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Volume |
15 |
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4 |
Pages |
270-274 |
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Keywords |
addiction; AOD use, abuse, and dependence; chemical addiction; alcohol; AOD consumption; AOD effects and consequences; injury; risk factors; study; Switzerland; Lausanne |
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Objective: To investigate the relationship between usual and acute alcohol consumption among injured patients and, when combined, how they covary with other injury attributes. Methods: Data from a randomised sample of 486 injured patients interviewed in an emergency department (Lausanne University Hospital, Switzerland) were analysed using the χ2 test for independence and cluster analysis. Results: Acute alcohol consumption (24.7%) was associated with usual drinking and particularly with high volumes of consumption. Six injury clusters were identified. Over-representations of acute consumption were found in a cluster typical of injuries sustained through interpersonal violence and in another formed by miscellaneous circumstances. A third cluster, typical of sports injuries, was linked to a group of frequent heavy episodic drinkers (without acute consumption). Conclusions: Among injured patients, acute alcohol consumption is common and associated with usual drinking. Acute and/or usual consumption form part of some, but not all, injury clusters. |
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ISSN |
1475-5785 |
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Call Number |
50-11638 |
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59918 |
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Author |
Kuendig, Hervé; Hasselberg, Marie; Laflamme, Lucie; Daeppen, Jean-Bernard; Gmel, Gerhard |
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Title |
Acute alcohol consumption and injury : risk associations and attributable fractions for different injury mechanisms |
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Journal Article |
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Year |
2008 |
Publication |
Journal of studies on alcohol and drugs |
Abbreviated Journal |
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Volume |
69 |
Issue |
2; 03/2008 |
Pages |
218-226 |
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Keywords |
addiction; AOD use, abuse, and dependence; chemical addiction; alcohol; AOD consumption; AOD effects and consequences; AODR violence; injury; risk factors; prevention; intervention (persuasion to treatment); study; Switzerland; Lausanne |
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OBJECTIVE: Most studies on alcohol as a risk factor for injuries have been mechanism specific, and few have considered several mechanisms simultaneously or reported alcohol-attributable fractions (AAFs)-which was the aim of the current study. METHOD: Data from 3,592 injured and 3,489 noninjured patients collected between January 2003 and June 2004 in the surgical ward of the emergency department of the Lausanne University Hospital (Switzerland) were analyzed. Four injury mechanisms derived from the International Classification of Diseases, 10th Revision, were considered: transportation-related injuries, falls, exposure to forces and other events, and interpersonal violence. Multinomial logistic regression models were calculated to estimate the risk relationships of different levels of alcohol consumption, using noninjured patients as quasi-controls. The AAFs were then calculated. RESULTS: Risk relationships between injury and acute consumption were found across all mechanisms, commonly resulting in dose-response relationships. Marked differences between mechanisms were observed for relative risks and AAFs, which varied between 15.2% and 33.1% and between 10.1% and 35.9%, depending on the time window of consumption (either 6 hours or 24 hours before injury, respectively). Low and medium levels of alcohol consumption generally were associated with the most AAFs. CONCLUSIONS: This study underscores the implications of even low levels of alcohol consumption on the risk of sustaining injuries through any of the mechanisms considered. Substantial AAFs are reported for each mechanism, particularly for injuries resulting from interpersonal violence. Observation of a so-called preventive paradox phenomenon is discussed, and prevention or intervention measures are described. |
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0096-882x |
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Call Number |
50-11637 |
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59917 |
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Author |
Klein, Michael; Semmann, Emily; Lindenmeyer, Johannes; McMurran, Mary |
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Title |
Modularisierte Psychotherapie alkoholabhängiger Männer mit Vorgeschichte hinsichtlich Gewaltverhaltens in der Familie : das TAVIM-Behandlungsprogramm = Modularized psychotherapy with alcohol dependent men with previous violent behaviour within the family : the TAVIM-treatment programme |
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Journal Article |
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Year |
2010 |
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Suchttherapie : Prävention, Behandlung, wissenschaftliche Grundlagen |
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Volume |
11 |
Issue |
2; 05/2010 |
Pages |
74-78 |
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treatment and maintenance; inpatient care; outpatient care; behavior therapy; AOD dependence; chemical addiction; alcohol; AOD use behavior; violence; target group; man; family; international area |
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Es wird das im Rahmen des europäischen DAPHNE-Programms entwicklelte und erprobte Interventionsprogramm TAVIM vorgestellt. Dieses modularisierte Therapieprogramm ist zur Behandlung alkoholabhängiger Männer mit einer Vorgeschichte hinsichtlich physischer Gewalttäterschaft gegenüber Partnerin und Kindern geeignet. Es besteht aus 10 Gruppensitzungen und 4 Einzelsitzungen. TAVIM ist verhaltenstherapeutisch konstruiert und kann sowohl im abulanten als auch im stationären Kontext angewendet werden. The TAVIM (Treatment of alcoholic Violent Men)-programme is presented. This has been developed and applied with support by the European DAPHNE-programme. TAVIM ist a modularized therapy approach consisting of 10 group an 4 single sessions aiming to reduce the risk of violent behaviour under the influence of alcohol. It is a behaviourally orientated programme that can be applied to outpatient as well as to inpatient men. |
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German; English |
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1439-9903 |
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50-11636 |
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59916 |
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Author |
Broers, Barbara; Simon, Olivier; Dubois, Jean-Alain |
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Title |
Révision partielle de la Loi sur les stupéfiants : un enjeu majeur pour la profession médicale |
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Journal Article |
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2008 |
Publication |
Revue médicale suisse |
Abbreviated Journal |
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4 |
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179; 12.11.2008 |
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2478-2479 |
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Keywords |
government and politics; law; other drug laws; amendment; physician; Switzerland |
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French |
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1660-9379 |
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50-11256 |
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59904 |
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Author |
Gache, Pascal; Daeppen, Jean-Bernard |
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Title |
Alcoolisme : prise en charge des cas désespérés |
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Journal Article |
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Year |
2008 |
Publication |
Revue médicale suisse |
Abbreviated Journal |
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Volume |
4 |
Issue |
Supplement; 21.05.2008 |
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32 |
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Keywords |
treatment and maintenance; addiction; AOD dependence; chemical addiction; alcohol; AOD dependent; alcoholic |
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French |
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1660-9379 |
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50-11257 |
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59905 |
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Author |
Hugli, Olivier; Schmidt, Sabine; Trueb, Lionel; Yersin, Bertrand |
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Title |
Cocaïne : nouveau mode de trafic, nouvelle méthode de détection et nouvelle prise en charge |
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Journal Article |
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Year |
2008 |
Publication |
Revue médicale suisse |
Abbreviated Journal |
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Volume |
4 |
Issue |
167; 20.08.2008 |
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1747-1752 |
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addiction; AOD dependence; chemical addiction; cocaine; drug dealing; drug trafficking; AOD intoxication; treatment and maintenance |
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Abstract |
Depuis le début des années 2000, la consommation de cocaïne a doublé dans certains pays d’Europe. Dans la rue, elle est vendue sous forme de boulettes de 1 g par des trafiquants appelés body stuffers, car ils stockent ces boulettes dans leur bouche et dans leur ampoule rectale. En cas d’arrestation, ils avalent ces boulettes dont chacune contient une dose de cocaïne suffisante pour causer une intoxication mortelle. Ces boulettes ne peuvent être détectées par radiologie conventionnelle et seul un CTabdominal sans préparation permet leur détection. Nous présentons ici l’algorithme de prise en charge qui intègre les exigences diagnostiques, thérapeutiques et médicolégales pour ces cas difficiles référés par la justice. Le traitement des intoxications à la cocaïne et les pièges à éviter sont également passés en revue. |
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French |
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1660-9379 |
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Call Number |
50-11255 |
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59903 |
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