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Prömmel, Erdmann |
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Zwei Thesen zur Verortung der akzeptierenden Drogenarbeit im ordnungspolitischen Kontext : ein Beitrag von Erdmann Prömmel zur Schliessung des “Fixsterns” in Hamburg und zur Diskussion des Zusammenhangs von Ordnungspolitik und akzeptierender Drogenarbeit |
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Journal Article |
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2003 |
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Akzeptanz |
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3 |
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6 |
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government and politics; public policy on AOD; illicit drug; law enforcement; harm reduction; Germany; Hamburg |
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German |
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50-s |
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59496 |
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Author |
Huber, Milo; Schmid, Patrick; Vernazza, Pietro; Meili, Daniel |
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Title |
Gründe für die ausbleibende Hepatitis-C-Behandlung bei Drogenabhängigen in Opiatsubstitution |
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Journal Article |
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Year |
2002 |
Publication |
Suchttherapie : Prävention, Behandlung, wissenschaftliche Grundlagen |
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3 |
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Supplement 1; 07/2002 |
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S27-S30 |
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Keywords |
hepatitis C; treatment and maintenance; drug substitution therapy; interferon; Ribavirin; recommendations or guidelines |
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Abstract |
Ziel: Drogenabhängige sind häufig mit Hepatitis-C-Viren (HCV) infiziert und die Infektion wird bei ihnen selten behandelt. In verschiedenen Guidelines wird die Behandlung der HCV-Infektion bei Drogenabhängigen nicht empfohlen. Im Vorfeld einer multizentrischen Behandlungsstudie der HCV-Infektion mit Interferon und Ribavirin im Rahmen von Opiatsubstitutionsprogrammen wurden Art und Verteilung der Gründe erfasst, die dazu führen, dass Hepatitis-C-Positive keine Behandlung im Rahmen der Studie aufnehmen. Methode: Allen Teilnehmern von vier Substitutionsprogrammen wurden HCV-Tests und eine mögliche Behandlung angeboten. In halb strukturierten Interviews wurden die Gründe für die Nichtbehandlung aus Sicht der Patienten und/oder wegen Vorliegens von medizinischen Ausschlussgründen/Nichtvorliegen von Einschlussgründen (Protokollgründe) erfasst. Ergebnis: Bei knapp der Hälfte (420) lagen positive HCV-Serologien vor. Nur bei 6 % dieser Gruppe konnte die Entscheidung für eine Behandlung gestellt werden. Ablehnungsgründe waren zur Hälfte normale Leberwerte (153), HIV-Koinfektion (67) und fehlender HCV-Nachweis (57); bei 157 waren es psychiatrische Diagnosen, Alkoholkonsum oder Instabilität. In nur ca. 20 % aller Fälle lagen Ablehnungsgründe von Seiten der Patienten vor. Die präliminäre Auswertung der durchgeführten Behandlungen zeigt vergleichbare Erfolge wie die Therapien von nicht drogenabhängigen HCV-Erkrankten. Reasons for the Lack of Treatment of Hepatitis C Infection in Drug Dependent Patients in Opiate Substitution: Background: Drug addicts are frequently infected with the Hepatitis C virus, yet they are seldom treated for this infection. According to various guidelines the treatment is not recommended for drug addicts. In the framework of a multi-center Hepatitis C treatment study, type and distribution of reasons for non-participation of Hepatitis C seropositive candidates were assessed. Methode: Assessment of frequency and distribution of reasons for the lack of HCV treatment for patient or protocol reasons (lack of inclusion criteria, existence of exclusion criteria) using a semi-structured questionnaire. Results: In less than half of all candidates a decision for or against treatment actually was made. The rest had either a negative Hepatitis C serology, or other reasons were given. Only 6 % of all cases were accepted for treatment, 94 % were refused. 80 % of the reasons for non-participation in the treatment study were reasons of protocol. The three most frequent reasons were normal liver values, co-infection with the HI virus, and negative PC reaction for the HC virus. These together accounted for nearly half of all refusals due to reasons of protocol. |
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German |
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1439-9903 |
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50-r |
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59495 |
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Meili, Daniel; Marcinko, Juraj; Bertisch-Möllenhoff, Barbara; Huber, Milo; Davatz, Felix; Wang, Jen |
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Title |
Mögliche Wege der Übertragung viraler Erkrankungen beim gemeinsamen Zubereiten von Drogen zum i.v. Konsum : Konsequenzen für die Prävention |
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Journal Article |
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Year |
2002 |
Publication |
Suchttherapie : Prävention, Behandlung, wissenschaftliche Grundlagen |
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Volume |
3 |
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Supplement 1; 07/2002 |
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S20-S26 |
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Keywords |
intravenous injection; hepatitis C; risk-taking behavior; disease transmission factor; health-related prevention |
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Abstract |
Ziel: Die Studie beschreibt detailliert, welche Techniken beim Zubereiten von Drogen zum intravenösen Konsum in Gruppen angewandt werden (indirect sharing) und wie das Infektionsrisiko eingeschätzt wird. Illustriert wird, wie kleinste Blutmengen und dadurch auch Viren über mehrfach verwendete Utensilien und Flüssigkeiten weitergegeben werden können. Methode: Befragung von 72 Patienten[1] in einem Methadonprogramm, die zum Zeitpunkt der Untersuchung intravenösen Beikonsum hatten. Ergebnis: Nur 19 % der i. v. Konsumierenden geben an, nie Drogen in Gruppen zuzubereiten. Durch die Techniken des Aufteilens (Frontloading, Backloading, Ausgleich über den Löffel etc.) gelangt die Drogenlösung häufig mit fremden, gebrauchten Spritzen, Löffeln oder Filtern in Kontakt. Die Mehrheit erachtet das Tauschen von Spritzen und Nadeln als Infektrisiko, hingegen stufen die meisten das gemeinsame Zubereiten von Drogen als harmlos ein. Schlussfolgerungen: Drogenlösungen beim Drogenteilen müssen potenziell als virenkontaminiert betrachtet werden. Das Hepatitis-C-Infektionsrisiko steht dabei im Vordergrund. Neue präzise Präventionsbemühungen sind notwendig: bei jeder Injektion – ob alleine oder in Gruppen – Verwenden von neuen Nadeln und Spritzen, als Lösungsmittel NaCl-Wasser aus Einmalgebinden, Filter nur einmal verwenden und die restlichen Utensilien (Löffel, Wasserbehälter) adäquat reinigen. Possible Transmission Routes of Viral Diseases During Communal Preparation of Drugs for i. v. Use: Goal: The study describes in detail the techniques used for the group preparation and subsequent intravenous drug use. Special consideration is given to „indirect sharing” practices and to how the users judge the infectious risk associated with those practices. It shows how minimal amounts of blood and thereby also viral particles can be transmitted by the repeated use of drug preparation equipment and liquids. Study Design: Interrogation of 72 patients participating in a methadone substitution programme who continued i. v. drug use at the time of the investigation. Result: Only 19 % of the i. v. drug users reported never preparing drugs in groups. Via drug sharing techniques (frontloading, backloading, flushing of the syringes etc.) the drug solution frequently comes into contact with used syringes, spoons and filters of other drug users. The majority of users consider the exchange of syringes and needles as a risk for infection. On the contrary, most of the study participants judged the common preparation of drugs to be harmless. Conclusions: With communal preparation and sharing, drug solutions must be regarded as potentially virus contaminated. In this context, the risk for hepatitis C is of utmost concern. New targeted prevention efforts are necessary: for every injection, whether alone or in a group, use new needles and syringes, disposable NaCl solution ampoules, single-use filters and adequate cleaning of all other utensils (spoon/cooker). |
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German |
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1439-9903 |
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50-e |
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59482 |
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Author |
National Association of Social Workers |
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Title |
Harm reduction : starting where the client is |
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Journal Article |
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Year |
2003 |
Publication |
Behavioral Health |
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3 |
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1; 05/2003 |
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1-3 |
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harm reduction; social work (field); needle distribution and exchange; HIV infection; Aids; United States |
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English |
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Call Number |
50-c |
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59314 |
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Author |
various |
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Psychotropes : revue internationale des toxicomanies : décembre 1997 |
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Journal |
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Year |
1997 |
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Psychotropes : revue internationale des toxicomanies |
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3 |
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4; 12/1997 |
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207 |
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government and politics; international area |
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Masson |
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Paris |
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French |
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13.02-014 |
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59171 |
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various |
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Menschenkenntnis : psychologische Zeitschrift für Ehe-, Erziehungs-, Berufs- und andere Lebensfragen 8/89 : aus dem Inhalt : im Vorfeld von Drogenmissbrauch : Auszüge aus Lebensläufen ehemals Drogenabhängiger |
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1989 |
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Menschenkenntnis : psychologische Zeitschrift für Ehe-, Erziehungs-, Berufs- und andere Lebensfragen |
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3 |
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8; 08/1989 |
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48 |
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addiction; addictive behavior |
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Verein zur Förderung der Psychologischen Menschenkenntnis |
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Zürich |
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German |
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1013-798x |
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12.03-011 |
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59161 |
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Negrete, Juan C. |
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Menschenkenntnis : psychologische Zeitschrift für Ehe-, Erziehungs-, Berufs- und andere Lebensfragen 6/89 : was ist mit der Cannabis-Debatte geschehen? Ein Diskussionsbeitrag zum Cannabisproblem |
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1989 |
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Menschenkenntnis : psychologische Zeitschrift für Ehe-, Erziehungs-, Berufs- und andere Lebensfragen |
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3 |
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6; 06/1989 |
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40 |
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addiction; AOD dependence; chemical addiction; cannabis |
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Verein zur Förderung der Psychologischen Menschenkenntnis |
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Zürich |
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German |
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1013-798x |
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Call Number |
12.01.02-020 |
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59154 |
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Author |
various |
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Menschenkenntnis : psychologische Zeitschrift für Ehe-, Erziehungs-, Berufs- und andere Lebensfragen 7/89 : psychologische und soziale Faktoren im Vorfeld von Drogenkonsum |
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1989 |
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Menschenkenntnis : psychologische Zeitschrift für Ehe-, Erziehungs-, Berufs- und andere Lebensfragen |
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3 |
Issue |
7; 07/1989 |
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40 |
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addiction |
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Verein zur Förderung der Psychologischen Menschenkenntnis |
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Zürich |
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German |
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1013-798x |
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Call Number |
12.00-034 |
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59146 |
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Author |
Barré-Sinoussi, Françoise; various |
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Title |
Rétrovirus No. 8 : Sida et toxicomanie (I) |
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Journal |
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Year |
1990 |
Publication |
Rétrovirus : la revue du sida |
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3 |
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4; 12/1990 |
Pages |
58 |
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Keywords |
health promotion; HIV infection; Aids |
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Association Rétrovirus |
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La Varenne Saint-Hilaire |
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French |
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9965637 |
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07.01-092 |
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59125 |
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Author |
Cimander, Konrad F.; Gölz, Jörg; Helms, Thomas M.; Karle, Christoph; Kröttinger, Annett I.; Poelke, Th. |
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Title |
Levomethadon : differenzierte Substitutionstherapie Opioidabhängiger |
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Journal |
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Year |
2011 |
Publication |
Thieme Praxis Report |
Abbreviated Journal |
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3 |
Issue |
2; 02/2011 |
Pages |
19 |
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Keywords |
treatment and maintenance; outpatient care; AOD use, abuse, and dependence; heroin; methadone; comorbidity |
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Publisher |
Georg Thieme |
Place of Publication |
Stuttgart |
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German |
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1611-7891 |
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Call Number |
01.02-DOKUZIMMER_aufTisch |
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59101 |
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