WorldWideScience

Sample records for abuse integrating effectiveness

  1. Typological and Integrative Models of Sexual Abuse

    Demidova L.Y.,; Dvorjanchikov N.V.,

    2014-01-01

    We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the mode...

  2. An integral approach to substance abuse.

    Amodia, Diana S; Cano, Carol; Eliason, Michele J

    2005-12-01

    There is a pressing need in the substance abuse field for more comprehensive models of etiology and treatment that address the complex issues of addiction, including the biological, social, cultural, spiritual and developmental needs of individuals and groups. This article presents a theoretical framework for an integral approach to substance abuse that expands on the existing biopsychosocial model. One contribution of the model is an integrated approach to spirituality from a cross-cultural perspective. This integral approach examines substance abuse etiology and treatment from a four-quadrant perspective adapted from the work of Ken Wilber, and incorporates concepts from integrative medicine and transpersonal psychology/psychiatry. Implications of the model are explored. PMID:16480163

  3. Typological and Integrative Models of Sexual Abuse

    Demidova L.Y.,

    2014-11-01

    Full Text Available We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the models somehow takes into account the factors not explicitly addressed in other concepts. Systematic consideration of the theoretical models of sexual abuse can generalize and systematize the available data on the mechanisms of pedophile behavior. This review provides an opportunity to develop a new benchmark in the study of sexual abuse, get closer to building the most accurate and comprehensive model. In turn, this may contribute to solving the questions about the factors, dynamics, and the prevention of criminal sexual conduct against children

  4. Effects of Drug Abuse

    ... Treatment Drug Treatment Facts Does Drug Treatment Work? Types of Drug Treatment What Is a Relapse? Find Treatment/Rehab Resources Friends and Family Can Help Prevent Drug Abuse Help Children and Teens Stay Drug-Free Talking ...

  5. Interventions to cope with alcohol abuse: integrative review

    Fernanda Jorge Guimarães

    2015-09-01

    Full Text Available Alcohol is the most consumed drug in the world, which could generate social and health problems, affecting users, people living with them and the society in general. The aim was to identify the best evidence of interventions to reduce alcohol abuse. An integrative review of the literature, conducted on LILACS, CINAHL, PUBMED and SCOPUS, through the descriptors “intervention studies” and “alcoholism”. Nineteen articles were selected, most of them classified as two regarding level of evidence. They involved interventions with alcohol users, the most efficient were short interventions, internet-based interventions and counselling. Although cessation of alcohol use was not proved through the interventions, results point to a significant reduction in consumption, increase of the availability to change drinking habit and effective impact of short interventions when compared to usual treatments. Short interventions constitute the best interventions to reduce alcohol abuse.

  6. Methylphenidate Abuse and Psychiatric Side Effects

    Morton, W. Alexander; Stockton, Gwendolyn G.

    2000-01-01

    Methylphenidate is a central nervous system stimulant drug that has become the primary drug of choice in treating attention-deficit/hyperactivity disorder in children. Side effects are usually mild and are generally well tolerated by patients. Along with increases in prescribing frequency, the potential for abuse has increased. Intranasal abuse produces effects rapidly that are similar to the effects of cocaine in both onset and type. The clinical picture of stimulant abuse produces a wide ar...

  7. The comparative effectiveness of Integrated treatment for Substance abuse and Partner violence (I-StoP) and substance abuse treatment alone: a randomized controlled trial

    Kraanen, F.L.; Vedel, E.; Scholing, A.; Emmelkamp, P.M.G.

    2013-01-01

    Background Research has shown that treatments that solely addressed intimate partner violence (IPV) perpetration were not very effective in reducing IPV, possibly due to neglecting individual differences between IPV perpetrators. A large proportion of IPV perpetrators is diagnosed with co-occurring substance use disorders and it has been demonstrated that successful treatment of alcohol dependence among alcohol dependent IPV perpetrators also led to less IPV. The current study investigated th...

  8. Understanding the effects of child abuse.

    Warner, S L

    1977-01-01

    Child abuse is one of the difficult social phenomena with which the technologist directly deals as a part of his professional responsibilities. To be able to respond to all of the child's needs, radiologic technologists need to understand not only the physical effects, but also the psychological effects of the child. Understanding also helps the technologist deal with his own feelings when interacting with either the abused child or the child's parents. The Draw-A-Person test (DAP) was utilized in this study to illustrate visually the effect of abuse on the child's self-image. The subsequent personality characteristics of these children include low self-esteem, withdrawal, extreme forms of impulse control, and self-destructive behavior. Using the DAP, the abused child's self-portrait frequently showed body distortion, lack of detailing and poor sexual identification. In addition, the personality pattern of abusing parents was found to have many of the same characteristics as the personalities of abused children, because many times abusing parents were themselves abused as children. PMID:331392

  9. Genetic and perinatal effects of abused substances

    Brande, M.C.; Zimmerman, A.M.

    1987-01-01

    This book provides an overview of the effects of several abused drugs, including opiates, cannabinoids, alcohol, nicotine, and cocaine, with special emphasis on the actions of these substances at the molecular and cellular levels. The first half deals with genetic effects, including molecular genetics, biochemical genetics, pharmacogenetics, cytogenetics, and genetic toxicity. The second half focuses on perinatal effects and covers: drug abuse during pregnancy; biochemical aspects of marihuana on male reproduction; and long-term behavioral and neuroendocrine effects of perinatal alcohol exposure.

  10. Study protocol for a group randomized controlled trial of a classroom-based intervention aimed at preventing early risk factors for drug abuse: integrating effectiveness and implementation research

    Keegan Natalie

    2009-09-01

    Full Text Available Abstract Background While a number of preventive interventions delivered within schools have shown both short-term and long-term impact in epidemiologically based randomized field trials, programs are not often sustained with high-quality implementation over time. This study was designed to support two purposes. The first purpose was to test the effectiveness of a universal classroom-based intervention, the Whole Day First Grade Program (WD, aimed at two early antecedents to drug abuse and other problem behaviors, namely, aggressive, disruptive behavior and poor academic achievement. The second purpose--the focus of this paper--was to examine the utility of a multilevel structure to support high levels of implementation during the effectiveness trial, to sustain WD practices across additional years, and to train additional teachers in WD practices. Methods The WD intervention integrated three components, each previously tested separately: classroom behavior management; instruction, specifically reading; and family-classroom partnerships around behavior and learning. Teachers and students in 12 schools were randomly assigned to receive either the WD intervention or the standard first-grade program of the school system (SC. Three consecutive cohorts of first graders were randomized within schools to WD or SC classrooms and followed through the end of third grade to test the effectiveness of the WD intervention. Teacher practices were assessed over three years to examine the utility of the multilevel structure to support sustainability and scaling-up. Discussion The design employed in this trial appears to have considerable utility to provide data on WD effectiveness and to inform the field with regard to structures required to move evidence-based programs into practice. Trial Registration Clinical Trials Registration Number: NCT00257088

  11. Study protocol for a group randomized controlled trial of a classroom-based intervention aimed at preventing early risk factors for drug abuse: integrating effectiveness and implementation research

    Keegan Natalie; Windham Amy; Ford Carla; Brown C Hendricks; Kellam Sheppard; Poduska Jeanne; Wang Wei

    2009-01-01

    Abstract Background While a number of preventive interventions delivered within schools have shown both short-term and long-term impact in epidemiologically based randomized field trials, programs are not often sustained with high-quality implementation over time. This study was designed to support two purposes. The first purpose was to test the effectiveness of a universal classroom-based intervention, the Whole Day First Grade Program (WD), aimed at two early antecedents to drug abuse and o...

  12. Radiation abuse and its effects

    This paper delves into overuse practiced in diagnostic radiography. The conventional attitudes to low-dose irradiation are critically examined, as is the MPD related to individual radiosensitivity. Concern is expressed that a sizeable proportion of radiologists ignore important aspects of the Code of Practice and this attitude is readily emulated in the hospital setting. The author advocates education within the medical profession and the community on the risks involved in radiation abuse and the benefits derived from justified exposures to x rays. (author)

  13. Assessment of Substance Abuse Behaviors in Adolescents’: Integration of Self-Control into Extended Parallel Process Model

    de Witte, K.; E Mirzaee; AR Hidarnia; A KAZEMNEJAD; F Shafii; P. Azad Fallah; H Allahverdipour

    2005-01-01

    Introduction: An effective preventive health education program on drug abuse can be delivered by applying behavior change theories in a complementary fashion. Methods: The aim of this study was to assess the effectiveness of integrating self-control into Extended Parallel Process Model in drug substance abuse behaviors. A sample of 189 governmental high school students participated in this survey. Information was collected individually by completing researcher designed questionnaire and a uri...

  14. Assessment of Substance Abuse Behaviors in Adolescents’: Integration of Self-Control into Extended Parallel Process Model

    K Witte

    2005-04-01

    Full Text Available Introduction: An effective preventive health education program on drug abuse can be delivered by applying behavior change theories in a complementary fashion. Methods: The aim of this study was to assess the effectiveness of integrating self-control into Extended Parallel Process Model in drug substance abuse behaviors. A sample of 189 governmental high school students participated in this survey. Information was collected individually by completing researcher designed questionnaire and a urinary rapid immuno-chromatography test for opium and marijuana. Results: The results of the study show that 6.9% of students used drugs (especially opium and marijuana and also peer pressure was determinant factor for using drugs. Moreover the EPPM theoretical variables of perceived severity and perceived self-efficacy with self-control are predictive factors to behavior intention against substance abuse. In this manner, self-control had a significant effect on protective motivation and perceived efficacy. Low self- control was a predictive factor of drug abuse and low self-control students had drug abuse experience. Conclusion: The results of this study suggest that an integration of self-control into EPPM can be effective in expressing and designing primary preventive programs against drug abuse, and assessing abused behavior and deviance behaviors among adolescent population, especially risk seekers

  15. Writing Effective Security Abuse Cases

    Srivratanakul, Thitima; Clark, John Andrew; Polack, Fiona

    2004-01-01

    We grow increasingly dependent on the appropriate operation of computer-based systems. One aspect of such systems is security. As systems become more complex current means of analysis will probably prove ineffective. In the safety domain a variety of analysis techniques has emerged over many years. These have proved surprisingly effective. Since the safety and security domains share many similarities, various authors have suggested that safety techniques might usefully find application in sec...

  16. Abuse

    ... Paying for Care Insurance Medicare Medicare Part D Benefits Medicaid Tax Deductions & Credits Legal Matters Planning Ahead Legal Documents alz.org » Caregiver Center » Safety » Abuse Text size: A A A Special Situations First Responders Traveling In a Disaster Abuse Find your local Chapter ...

  17. Child sexual abuse: prevalence, effects and school based prevention

    Ayşe Rezan Çeçen

    2007-01-01

    Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods) has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this s...

  18. Child sexual abuse: prevalence, effects and school based prevention

    Ayşe Rezan Çeçen

    2007-03-01

    Full Text Available Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this study child sexual abuse reviewed considering prevalence, effects on child and prevention in the light of literature. The last part of article has been suggesting and stressing urgently intervention school-based prevention programs child sexual abuse to prevent child sexual abuse.

  19. Child sexual abuse: prevalence, effects and school based prevention

    Ayşe Rezan Çeçen

    2007-03-01

    Full Text Available Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this study child sexual abuse reviewed considering  prevalence, effects on child and prevention in the light of literature. The last part of article has been suggesting and stressing urgently intervention school-based prevention programs child sexual abuse to prevent child sexual abuse.

  20. Evaluation of the Effect of Interventions for the Female Drug Abusers

    2002-01-01

    Objective To investigate an effective method to facilitate the physical and mental recovery of drug abusers in detoxification restoration period. Methods Integrated interventions were adopted to observe the changes in the physical and mental conditions of female drug abusers who had withdrawn drugs. Results Comparing behavioral changes between the two groups before and after intervention, we found that changes of score in the intervention group were all higher than those in the control group in terms of their physical symptoms or state of anxiety. Conclusion It is necessary to help drug abusers understand the harm of drug-abuse, build up self-confidence and improve EQ through interventions, It will be beneficial for the drug addicts to refrain from drug-taking and regain a normal life. Our study has proved that positive results can only be obtained from integrated intervention projects.

  1. The Harmful Effects of Parental Substance Abuse on Children

    Virtala, Maria; Suikkanen, Aino-Kaisa

    2010-01-01

    The purpose of this final project was to describe the harmful effects of parental substance abuse from child perspective as having to grow up in a substance abusing family is considered as child maltreatment. In addition, the trends in parental substance abuse and the children's visibility in the treatment cycle were stressed as the data was gathered from Järvenpää Addiction Hospital's children's treatment documents. This study is of qualitative nature including 80 treatment documents fro...

  2. Uncovering sexual abuse: evaluation of the effectiveness of The Victims of Violence and Abuse Prevention Programme.

    Donohoe, J

    2010-02-01

    Discusses factors inhibiting open talk around a client's history of abuse including gender, age and diagnosis. * Evaluates the helpfulness of a training course designed to reduce and overcome these factors. * Aim of the evaluation is to help replicate the training nationally, following the positive impact found. Abstract Despite the high prevalence of sexual abuse among users of mental health services, it appears that mental health professionals are frequently unaware of clients' abuse histories. In order to address this, a Mental Health Trusts Collaboration Project of nine trusts was formed, which piloted delivering the Department of Health's Victims of Violence & Abuse Prevention Programme one-day education and training course regarding enquiring about histories of sexual abuse to various mental health practitioners. This hoped to educate practitioners in factors associated with victims and offenders, improve confidence and competence in asking about client's history of abuse and to increase awareness of the importance of asking. The purpose of this paper is to describe the impact of this course on mental health professionals' practice and attitudes in one of these nine trusts. It was found that since the delivery of the course, 44% (n= x) of professionals had been asking about abuse in 75-100% of cases. Gender, age and diagnosis of both the service users and the practitioners were all identified as factors potentially affecting practitioners' willingness to ask about abuse. Most importantly, 93% (n= x) of participants were found to feel they have the skills and knowledge to enquire about abuse and respond to disclosure in the appropriate way and 77% (n= x) of participants felt that this training had changed their clinical practice. The aim of this evaluation is to prove the effectiveness of the Department of Health's education and training course, which will help towards replicating the project nationally. PMID:20100302

  3. Effects of chronic cocaine abuse on postsynaptic dopamine receptors

    To assess the effects of chronic cocaine intoxication on dopamine receptors in human subjects, the authors evaluated [18F]N-methylspiroperidol binding using positron emission tomography in 10 cocaine abusers and 10 normal control subjects. Cocaine abusers who had been detoxified for 1 week or less showed significantly lower values for uptake of [18F]N-methylspiroperidol in striatum than the normal subjects, whereas the cocaine abusers who had been detoxified for 1 month showed values comparable to those obtained from normal subjects. The authors conclude that postsynaptic dopamine receptor availability decreases with chronic cocaine abuse but may recover after a drug-free interval

  4. The Effects of Alcohol Regulation on Physical Child Abuse

    Sara Markowitz; Michael Grossman

    1998-01-01

    The purpose of this paper is to examine the effects of alcohol regulation on physical child abuse. Given the established relationship between alcohol consumption and violence, the principal hypothesis to be tested is that an increase in the price of alcohol will lead to a reduction in the incidence of violence. We also examine the effects of measures of the ease of obtaining alcohol, illegal drug prices, and the socio-demographic characteristics of the parent on the incidence of child abuse. ...

  5. An Integrated Approach to Treating Non-Offending Parents Affected by Sexual Abuse

    Hernandez, Annette; Ruble, Cameron; Rockmore, Lori; McKay, Mary; Messam, Taiwanna; Harris, Meghan; Hope, Stephanie

    2009-01-01

    Childhood sexual abuse has been associated with a number of serious physical and psychological consequences throughout childhood and into adulthood for both child victims and their families. This paper describes the preliminary outcomes of a pilot group program to treat non-offending parents of sexually abused children. This group program is integrative in its approach combining elements of trauma-focused cognitive-behavioral and psychoeducational/supportive interventions to treat non-offendi...

  6. Integrating Substance Abuse Treatment and Child Welfare Services: Findings from the Illinois Alcohol and Other Drug Abuse Waiver Demonstration

    Ryan, Joseph P.; Marsh, Jeanne C.; Testa, Mark F.; Louderman, Richard

    2006-01-01

    Alcohol and other drug abuse is a major problem for children and families involved with public child welfare. Substance abuse compromises appropriate parenting practices and increases the risk of child maltreatment. A substantial proportion of substantiated child abuse and neglect reports involve parental substance abuse. Once in the system,…

  7. Tax Treaty Abuse: Is Canada responding effectively?

    Geoffrey T. Loomer

    2009-01-01

    This paper explores the means by which tax authorities worldwide seek to strengthen their tax treaties, through safeguards of varying nature and scope, in order to identify and prevent what they consider to be abuse of such treaties. These means of challenge may be grouped under two headings: purposive approaches to treaty interpretation, particularly with respect to the terms 'person', 'resident' and 'beneficial ownership'; and broader responses to unacceptable tax avoidance, specifically re...

  8. Adverse Effect of Child Abuse Victimization among Substance-Using Women in Treatment.

    Kang, Sung-Yeon; Magura, Stephen; Laudet, Alexandre; Whitney, Shirley

    1999-01-01

    Study examined adverse effects of childhood sexual/physical abuse among substance-abusing women with children. Several significant differences between abused and nonabused women were found in service outcomes. Abused women had more problems relating to drug use and psychiatric/psychological adjustment at follow-up. Findings support a need for…

  9. Electronic health records: essential tools in integrating substance abuse treatment with primary care

    Clark HW

    2012-02-01

    Full Text Available Betty Tai1, Li-Tzy Wu2, H Westley Clark31Center for Clinical Trials Network, National Institute on Drug Abuse, Bethesda, MD, 2Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University Medical Center, Durham, NC, 3Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockville, MD, USAAbstract: While substance use problems are considered to be common in medical settings, they are not systematically assessed and diagnosed for treatment management. Research data suggest that the majority of individuals with a substance use disorder either do not use treatment or delay treatment-seeking for over a decade. The separation of substance abuse services from mainstream medical care and a lack of preventive services for substance abuse in primary care can contribute to under-detection of substance use problems. When fully enacted in 2014, the Patient Protection and Affordable Care Act 2010 will address these barriers by supporting preventive services for substance abuse (screening, counseling and integration of substance abuse care with primary care. One key factor that can help to achieve this goal is to incorporate the standardized screeners or common data elements for substance use and related disorders into the electronic health records (EHR system in the health care setting. Incentives for care providers to adopt an EHR system for meaningful use are part of the Health Information Technology for Economic and Clinical Health Act 2009. This commentary focuses on recent evidence about routine screening and intervention for alcohol/drug use and related disorders in primary care. Federal efforts in developing common data elements for use as screeners for substance use and related disorders are described. A pressing need for empirical data on screening, brief intervention, and referral to treatment (SBIRT for drug-related disorders to inform SBIRT and related EHR efforts is highlighted

  10. Evolution of Women's Trauma-Integrated Services at the Substance Abuse and Mental Health Services Administration

    Salasin, Susan E.

    2005-01-01

    In this article a historical overview of the evolution of the Women's Trauma Integrated Services model at the Substance Abuse and Mental Health Services Administration (SAMHSA) is presented. Milestones in women's services policy development at SAMHSA (1992-1998) and in trauma treatment development for four different trauma populations (1960-1998)…

  11. Evaluating the effectiveness of domestic abuse prevention education

    David Gadd

    2014-01-01

    Purpose: A number of school-based domestic abuse prevention programmes have been developed in the UK but evidence as to the effectiveness of such programmes is limited. The aim of the research was to evaluate the effectiveness of one such programme and to see whether the outcomes differ by gender and experiences of domestic abuse. Method: Pupils aged 13–14 years across seven schools receiving a six-week education programme completed a questionnaire to measure their attitudes towards dom...

  12. Identifying and assessing the risk of opioid abuse in patients with cancer: an integrative review

    Carmichael AN

    2016-06-01

    Full Text Available Ashley-Nicole Carmichael,1 Laura Morgan,1 Egidio Del Fabbro2 1School of Pharmacy, 2Division of Hematology, Oncology, and Palliative Care, Virginia Commonwealth University, Richmond, VA, USA Background: The misuse and abuse of opioid medications in many developed nations is a health crisis, leading to increased health-system utilization, emergency department visits, and overdose deaths. There are also increasing concerns about opioid abuse and diversion in patients with cancer, even at the end of life. Aims: To evaluate the current literature on opioid misuse and abuse, and more specifically the identification and assessment of opioid-abuse risk in patients with cancer. Our secondary aim is to offer the most current evidence of best clinical practice and suggest future directions for research. Materials and methods: Our integrative review included a literature search using the key terms “identification and assessment of opioid abuse in cancer”, “advanced cancer and opioid abuse”, “hospice and opioid abuse”, and “palliative care and opioid abuse”. PubMed, PsycInfo, and Embase were supplemented by a manual search. Results: We found 691 articles and eliminated 657, because they were predominantly noncancer populations or specifically excluded cancer patients. A total of 34 articles met our criteria, including case studies, case series, retrospective observational studies, and narrative reviews. The studies were categorized into screening questionnaires for opioid abuse or alcohol, urine drug screens to identify opioid misuse or abuse, prescription drug-monitoring programs, and the use of universal precautions. Conclusion: Screening questionnaires and urine drug screens indicated at least one in five patients with cancer may be at risk of opioid-use disorder. Several studies demonstrated associations between high-risk patients and clinical outcomes, such as aberrant behavior, prolonged opioid use, higher morphine-equivalent daily dose

  13. Child Sexual Abuse Prevention Programs: What Makes them Effective in Protecting Children?

    Kraizer, Sherryll; And Others

    1989-01-01

    Describes a school-based child abuse prevention program. The program's effectiveness is evaluated in terms of prevention of sexual abuse, the age of maximum receptivity to prevention education, and implications of the evaluation for early childhood educators. (RJC)

  14. 26 CFR 1.263A-15 - Effective dates, transitional rules, and anti-abuse rule.

    2010-04-01

    ...-abuse rule. 1.263A-15 Section 1.263A-15 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE..., transitional rules, and anti-abuse rule. (a) Effective dates—(1) Sections 1.263A-8 through 1.263A-15 generally... account under former section 189 or section 266. (c) Anti-abuse rule. The interest capitalization...

  15. The Effectiveness of Group Assertiveness Training on Happiness in Rural Adolescent Females with Substance Abusing Parents

    Hojjat, Seyed Kaveh; Golmakani, Ebrahim; Khalili, Mina Norozi; Chenarani, Maryam Shakeri; Hamidi, Mahin; Akaberi, Arash; Ardani, Amir Rezaei

    2015-01-01

    Background: Parental substance abuse confronts children with a variety of psychological, social, and behavioral problems. Children of substance abusing parents show higher levels of psychiatric disorders including anxiety and depression and exert lower levels of communication skills. Weak social skills in this group of adolescents put them at a higher risk for substance abuse. Many studies showed school based interventions such as life skill training can effective on future substance abusing ...

  16. Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis

    Milligan Karen

    2010-09-01

    Full Text Available Abstract Background The rate of women with substance abuse issues is increasing. Women present with a unique constellation of risk factors and presenting needs, which may include specific needs in their role as mothers. Numerous integrated programs (those with substance use treatment and pregnancy, parenting, or child services have been developed to specifically meet the needs of pregnant and parenting women with substance abuse issues. This synthesis and meta-analysis reviews research in this important and growing area of treatment. Methods We searched PsycINFO, MedLine, PubMed, Web of Science, EMBASE, Proquest Dissertations, Sociological Abstracts, and CINAHL and compiled a database of 21 studies (2 randomized trials, 9 quasi-experimental studies, 10 cohort studies of integrated programs published between 1990 and 2007 with outcome data on maternal substance use. Data were summarized and where possible, meta-analyses were performed, using standardized mean differences (d effect size estimates. Results In the two studies comparing integrated programs to no treatment, effect sizes for urine toxicology and percent using substances significantly favored integrated programs and ranged from 0.18 to 1.41. Studies examining changes in maternal substance use from beginning to end of treatment were statistically significant and medium sized. More specifically, in the five studies measuring severity of drug and alcohol use, the average effect sizes were 0.64 and 0.40, respectively. In the four cohort studies of days of use, the average effect size was 0.52. Of studies comparing integrated to non-integrated programs, four studies assessed urine toxicology and two assessed self-reported abstinence. Overall effect sizes for each measure were not statistically significant (d = -0.09 and 0.22, respectively. Conclusions Findings suggest that integrated programs are effective in reducing maternal substance use. However, integrated programs were not

  17. AAS, growth hormone, and insulin abuse: psychological and neuroendocrine effects

    Michael R Graham

    2008-06-01

    Full Text Available Michael R Graham1, Peter Evans2, Bruce Davies1, Julien S Baker11Health and Exercise Science Research Unit, Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, United Kingdom; 2Royal Gwent Hospital, Newport, Gwent, United KingdomAbstract: The nontherapeutic use of prescription medicines by individuals involved in sport is increasing. Anabolic-androgenic steroids (AAS are the most widely abused drug. Much of our knowledge of the psychological and physiological effects of human growth hormone (hGH and insulin has been learned from deficiency states. As a consequence of the Internet revolution, previously unobtainable and expensive designer drugs, particularly recombinant human growth hormone (rhGH and insulin, have become freely available at ridiculously discounted prices from countries such as China and are being abused. These drugs have various physiological and psychological effects and medical personnel must become aware that such prescription medicine abuse appears to be used not only for performance and cosmetic reasons, but as a consequence of psychological pre-morbidity.Keywords: AAS, cosmesis, growth hormone, insulin, performance, strength

  18. Proteomic Analyses of the Effects of Drugs of Abuse on Monocyte-Derived Mature Dendritic Cells

    Jessica L. Reynolds; Supriya D Mahajan; Aalinkeel, Ravikunar; Nair, B.; Sykes, Donald E; Schwartz, Stanley A.

    2009-01-01

    Drug abuse has become a global health concern. Understanding how drug abuse modulates the immune system and how the immune system responds to pathogens associated with drug abuse, such hepatitis C virus (HCV) and human immunodeficiency virus (HIV-1), can be assessed by an integrated approach comparing proteomic analyses and quantitation of gene expression. Two-dimensional (2D) difference gel electrophoresis was used to determine the molecular mechanisms underlying the proteomic changes that a...

  19. The Amsterdam Sexual Abuse Case (ASAC)-study in day care centers: longitudinal effects of sexual abuse on infants and very young children and their parents, and the consequences of the persistence of abusive images on the internet

    R.J.L. Lindauer; S.N. Brilleslijper-Kater; J. Diehle; E. Verlinden; A.H. Teeuw; C.M. Middeldorp; W. Tuinebreijer; T.F. Bosschaart; E. van Duin; A. Verhoeff

    2014-01-01

    Background: Little research has been done on the signs of child sexual abuse (CSA) in infants and very young children, or on the consequences that such abuse ¿ including the persistence of the abusive pornographic images on the internet ¿ might have for the children and their parents. The effects of

  20. Uses and abuses of effective Lagrangians

    Motivated by past and recent analyses we critically reexamine the use of effective Lagrangians in the literature to constrain new physics and to determine the ''physics reach'' of future experiments. We demonstrate that many calculations, such as those involving anomalous trilinear gauge-boson couplings, either considerably overestimate loop-induced effects or give ambiguous answers. The source of these problems is the use of cutoffs to evaluate the size of such operators in loop diagrams. In contrast with other critiques of these loop estimates, we prove that the inclusion of nonlinearly realized gauge invariance into the low-energy Lagrangian is irrelevant to this conclusion. We use an explicit example using known multi-Higgs-boson physics above the weak scale to underline these points. We show how to draw conclusions regarding the nature of the unknown high-energy physics without making reference to low-energy cutoffs

  1. Uses and abuses of effective lagrangians

    Burgess, C P

    1993-01-01

    Motivated by past and recent analyses we critically re-examine the use of effective lagrangians in the literature to constrain new physics and to determine the `physics reach' of future experiments. We demonstrate that many calculations, such as those involving anomalous trilinear gauge-boson couplings, either considerably overestimate loop-induced effects, or give ambiguous answers. The source of these problems is the use of cutoffs to evaluate the size of such operators in loop diagrams. In contrast to other critics of these loop estimates, we prove that the inclusion of nonlinearly-realized gauge invariance into the low-energy lagrangian is irrelevant to this conclusion. We use an explicit example using known multi-Higgs physics above the weak scale to underline these points. We show how to draw conclusions regarding the nature of the unknown high-energy physics without making reference to low-energy cutoffs.

  2. Elder abuse

    1999-01-01

    Elder abuse takes many forms and occurs in a variety of settings; it is both under-recognised and under-reported. Despite a lack of statutory guidelines or legislation, effective management is possible. More could be done to recognise abuse, and healthcare workers need to be vigilant, paying attention to both the circumstances in which abuse occurs and its warning signs.

  3. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings. PMID:22251389

  4. Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis

    Milligan Karen; Niccols Alison; Sword Wendy; Thabane Lehana; Henderson Joanna; Smith Ainsley; Liu Jennifer

    2010-01-01

    Abstract Background The rate of women with substance abuse issues is increasing. Women present with a unique constellation of risk factors and presenting needs, which may include specific needs in their role as mothers. Numerous integrated programs (those with substance use treatment and pregnancy, parenting, or child services) have been developed to specifically meet the needs of pregnant and parenting women with substance abuse issues. This synthesis and meta-analysis reviews research in th...

  5. Alcohol abuse: medical effects of heavy drinking in late life.

    Gambert, S R

    1997-06-01

    As many as 15% of community-dwelling older persons are heavy drinkers, but their alcoholism is often hidden from their physicians. Depression, loneliness, and lack of social support are the most frequently cited antecedents to drinking for older alcoholics. Clinically, the same amount of alcohol once consumed with impunity may cause clinical symptoms in late life. Physiologic changes in volume of distribution make older patients susceptible to acute alcohol toxicity, with its CNS effects and metabolic disturbances. Liver disease, nutritional deficiencies, and impotence are consequences of chronic alcohol abuse. PMID:9194788

  6. Promoting Effective Interviewing of Sexually Abused Children: A Pilot Study

    Cheung, Monit

    2008-01-01

    Objective: This study is centered on interviewing techniques with alleged child sexual abuse victims who do and do not disclose sexual abuse. Method: Ninety randomly selected videotapes are reviewed, and the interviewing techniques are recorded on a 69-item Child Sexual Abuse Interviewing Skills Instrument. Results: The nondisclosure children are…

  7. Abuses against Older Women: Prevalence and Health Effects

    Fisher, Bonnie S.; Zink, Therese; Regan, Saundra L.

    2011-01-01

    A clinical sample of 995 community dwelling women aged 55 and older were surveyed by telephone about their experience with psychological/emotional, control, threat, physical, and sexual abuse. Nearly half of the women experienced at least one type of abuse since turning 55. Sizable proportions were victims of repeated abuse, and many experienced…

  8. Effects of volatile substance abuse on the respiratory system in adolescents

    Büker Halime SC; Demir Esen; Yüncü Zeki; Gülen Figen; Midyat Levent; Tanaç Remziye

    2011-01-01

    Abstract Aim Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Chronic inhalant abuse can damage respiratory, cardiac, renal, hepatic, and neurologic systems. This study aims to determine the physiologic effects of inhaling solvents on the respiratory functions. Methods The general health status of the subjects was assessed by history taking, physical examination and a questionnaire which was designed to show the severity of respiratory symptoms. Spiro...

  9. Effectiveness of Role Play on Knowledge of Adolescents Regarding Substance Abuse

    Nomimol Lucy Thomas,

    2015-04-01

    Full Text Available Background: Substance abuse and dependency are most common during adolescence. Adolescents are in a transitional phase, confusion can sometimes make them susceptible to taking up unfavourable habits. Attitude shaping by parents and knowledge of harmfulness of substance abuse can indirectly motivate the user to give up the habit. Substance abuse control programmes, focusing on youth, are essential, to reduce the burden of related diseases. Objectives: It was aimed to assess the level of knowledge of adolescents regarding substance abuse, to find the effectiveness of role play on knowledge regarding substance abuse among adolescents, to find out the association of knowledge scores of adolescents regarding substance abuse with selected socio demographic variables. Material and Methods: A quasi experimental, one group pre-test post-test design with evaluative approach was adopted for this study. The study was conducted at Krishna Charitable Trust’s English Medium School and Junior College, Karad, Maharashtra, India. Simple random sampling with lottery method was used for selecting the 60 subjects from VIIIth, IXth and Xth class. On the 1st day a structured knowledge questionnaire was used to assess the knowledge on substance abuse and role play was conducted followed by post test on the 7thday. Data was analyzed by using descriptive and inferential statistics. Result: The mean and standard deviation of the knowledge scores of the subjects in pre test was 11.51 + 3.55 which increased in post test after role play to 17.5 + 2.89. The paired ‘t’ test value were 15.363 (p < 0.0001 showing a significant increase in knowledge regarding substance abuse. There was an association between type of family and general information on substance abuse, education of father with commonly abused substances and the total score on substance abuse, education of mother with commonly abused substances and prevention and management of substance abuse and number of

  10. Factors from Durkheim's Family Integration Related to Suicidal Ideation among Men with Histories of Child Sexual Abuse

    Easton, Scott D.; Renner, Lynette M.

    2013-01-01

    Men who were sexually abused during childhood represent a highly stigmatized, marginalized population at risk for a variety of long-term mental health problems. Using the family integration dimension of Durkheim's theory of suicide, factors associated with suicidal ideation among a purposive sample of 487 men with histories of child sexual…

  11. Contextual Effects on Kindergarten Teachers' Intention to Report Child Abuse

    Feng, Jui-Ying; Wu, Yow-Wu B.; Fetzer, Susan; Chang, Hsin-Yi

    2012-01-01

    Child abuse is underreported for children with socioeconomic inequalities. The impact of geographic location combined with sociocultural characteristics on teachers' reports of child abuse remains unclear. A national survey of 572 kindergarten teachers from 79 schools in Taiwan used hierarchical linear modeling to investigate the contribution of…

  12. The Marihuana Perception Inventory: The Effects of Substance Abuse Instruction.

    Gabany, Steve G.; Plummer, Portia

    1990-01-01

    Studied 617 high school and college students prior to and after substance abuse instruction to determine relationship between perceptions and demographic characteristics, and to learn whether substance abuse instruction was related to changes in student's perception of relationships. Findings from Marihuana Perception Inventory showed five factors…

  13. Interactive Effect of Substance Abuse and Depression on Adolescent Social Competence

    Becker, Sara J.; Curry, John F.

    2007-01-01

    This study explored the interactive effect of substance abuse and depression on social competence among 106 adolescent inpatients (57% female, 86% Caucasian). Substance abuse and depression were conceptualized using dimensional ratings of illness severity based on adolescent interviews, whereas social competence was conceptualized using parent…

  14. A review of the short-term effects of child sexual abuse.

    Beitchman, J H; Zucker, K J; Hood, J E; daCosta, G A; Akman, D

    1991-01-01

    This is the first of a two-part report that critically evaluates empirical studies on the short- and long-term effects of child sexual abuse. With the exception of sexualized behavior, the majority of short-term effects noted in the literature are symptoms that characterize child clinical samples in general. Among adolescents, commonly reported sequelae include sexual dissatisfaction, promiscuity, homosexuality, and an increased risk for revictimization. Depression and suicidal ideation or behavior also appear to be more common among victims of sexual abuse compared to normal and psychiatric nonabused controls. Frequency and duration of abuse, abuse involving penetration, force, or violence, and a close relationship to the perpetrator appear to be the most harmful in terms of long-lasting effects on the child. The high prevalence of marital breakdown and psychopathology among parents of children who are sexually abused makes it difficult to determine the specific impact of sexual abuse over and above the effects of a disturbed home environment. Given the broad range of outcome among sexual abuse victims, as well as the methodological weaknesses present in many of the studies reviewed, it is not possible at this time to postulate the existence of a "post-sexual-abuse-syndrome" with a specific course or outcome. PMID:1959086

  15. Does Having Children Moderate the Effect of Child Sexual Abuse on Depression?

    Zeglin, Robert J; DeRaedt, Mary R; Lanthier, Richard P

    2015-01-01

    Nearly 1 in 5 girls and 1 in 20 boys under the age of 18 will be the victim of child sexual abuse. As adults, these individuals are more likely to report myriad mental illnesses including depression. Testing the hypothesis that having children would moderate the depressive effects of child sexual abuse, the authors used public-use data of the National Longitudinal Study of Adolescent Health Wave IV (n = 5,114; mean age = 29.00 years; SD = 1.78). Results indicate that having children significantly moderates the relationship between child sexual abuse and depression for females. Though the risk of depression is increased for all females with a child sexual abuse history, this increase is less dramatic for mothers. Two potential explanations of this effect are presented: biological and psychosocial. The possible implications for mental health professionals working with mothers with a child sexual abuse history include highlighting the role of their children as possible support. PMID:26340070

  16. Prevention of alcohol abuse-related birth effects--II. Targeting and pricing.

    Abel, E L

    1998-01-01

    Current public health measures to reduce the occurrence of fetal alcohol abuse syndrome (FAAS) and alcohol abuse-related birth effects (AARBEs) have been ineffective, because they target alcohol consumption, rather than alcohol abuse. The present discussion contends that the most effective public health strategy for reducing FAAS and AARBEs is a combination of more specific public health messages that target alcohol abuse, coupled with higher taxes on alcohol beverages. Although alcohol consumption by alcohol abusers has been thought to be inelastic to price changes, recent studies have found that both heavy drinking and binge drinking are sensitive to alcohol price changes, and price elasticities are relatively high for heavy drinkers who are aware of the consequences of their drinking. Although price increases may have a disproportionate impact on lower socioeconomic groups, this article concludes that they are justifiable from both a utilitarian and a categorical imperative perspective. PMID:9719401

  17. The Differential Effects of Abuse Characteristics and Attachment in the Prediction of Long-Term Effects of Sexual Abuse.

    Alexander, Pamela C.

    1993-01-01

    Female incest survivors (n=112) completed several inventories and checklists to measure sexual abuse severity and adult attachment. Analyses indicated that sexual abuse characteristics predicted depression, intrusive thoughts, and memory avoidance. Adult attachment, particularly a lack of secure attachment, predicted memory avoidance, and also…

  18. Child Abuse: An Integration of the Research Related to Education of Children Handicapped as a Result of Child Abuse. Final Report.

    Kline, Donald F.; Hopper, Mark A.

    Reviewed in terms of a concept analysis is the literature on child abuse, and presented is an annotated bibliography of approximately 550 journal articles, 18 books, 6 dissertations, and 40 pamphlets on child abuse. Briefly reviewed is the historical context of child abuse. A concept analysis of child abuse is offered which suggests that any…

  19. The Cause of Child Abuse and Neglect and Their Effects on the Development of Children in Samaru Zaria, Nigeria.

    Amdi, Veronica

    1990-01-01

    Initial discussion of the definition, types, causes, and effects of child abuse and neglect is followed by a description of a study of child abuse in Samaru Village of Nigeria and the effects of such abuse on the development of the child. (BG)

  20. The Effectiveness of Emotional Schema Therapy on Emotional Schemas of Female Victims of Child Abuse and Neglect

    S Daneshmandi; Z Izadikhah; Kazemi, H.; H Mehrabi

    2014-01-01

    Introduction: Development of emotional schemas is regarded as one of the long term effects of child abuse and neglect. Therefore, the present study aimed to investigate the effect of Emotional Schema Therapy on emotional schemas of female victims of child abuse and neglect. Methods: In this quasi-experimental design, 30 women, who had the history of child abuse and neglect (according to the scores obtained in the child abuse and neglect questionnaire) and met entry criteria, were selected ...

  1. Effects of Chronic Solvent Abuse on Public School Youth.

    Fullwood, Harry L.; Fournet, Glenn P.

    School youth have been increasingly involved in the dangerous abuse of volatile inhalants. The basic reason to inhale substances is to reach an altered state of consciousness. The 12-17 and 18-25-year-old age groups had the highest rates of inhalant abuse in 1993. Among eighth graders, almost one in five (19%) said they have used inhalants and 5%…

  2. Evidence for Specific Effects of Childhood Sexual Abuse on Mental Well-Being and Physical Self-Esteem.

    Brayden, Robert M.; And Others

    1995-01-01

    The effect of child sexual abuse on female adult mental health and physical self-esteem was studied, based on a mental health survey in which 98 women reported sexual abuse and 110 served as comparisons. Women sexually abused as children obtained lower scores on well-being and physical self-concept measures. (SW)

  3. Vitamin D as an Effective Treatment Approach for Drug abuse and Addiction

    Jaqueline Kalleian Eserian

    2013-01-01

    Effective pharmacological treatments for drug abuse and addiction have not yet been identified. Evidences show that vitamin D may be involved in neurodevelopment and may have a neuroprotective effect on dopaminergic pathways in the adult brain. The fact that vitamin Dincreases the levels of tyrosine hydroxylase expression implies that vitamin D could modulate dopa- minergic processes. Drugs of abuse act through different mechanisms of action and on differentlocations in the brain reward syste...

  4. Adolescent cocaine abuse. Addictive potential, behavioral and psychiatric effects.

    Estroff, T W; Schwartz, R H; Hoffmann, N G

    1989-12-01

    Four hundred seventy-nine drug abusing adolescent patients enrolled in seven Straight, Inc. Adolescent Drug-Abuse Treatment Programs in five geographic regions across the United States were studied to determine the severity and patterns of cocaine abuse. Of these, 341 admitted to cocaine use and became part of this survey. Cocaine use was categorized as heavy, intermediate, or light. Areas examined were the addictive spectrum, psychosocial dysfunction, and psychiatric symptoms. Intermediate and heavy users of cocaine abused significantly less marijuana and inhalants than light cocaine abusers. Heavy and intermediate users were more likely to use cocaine intravenously and to use crack. They developed tachyphylaxis more frequently, progressed to weekly use in less than 3 months more frequently, and became preoccupied with obtaining and using cocaine significantly more frequently. They used more sedative hypnotics to calm themselves and engaged in more criminal behavior, such as stealing from parents and stores and passing bad checks. They had more arrests for possession of drugs, stole more cars, sold more drugs, and were more likely to trade sexual favors to obtain the drug. Heavy and intermediate users were significantly more psychiatrically disturbed than light users, becoming more suspicious, nervous, aggressive, and demonstrating increased symptoms of fatigue, sleeplessness, decreased appetite, and increasing cocaine dysphoria. All of these symptoms could be mistaken for psychiatric disorders. This study suggests that cocaine is as addictive in adolescents as in adults; possibly more so. It also causes psychosocial dysfunction and psychiatric symptoms. Further research into cocaine addiction among adolescents is indicated. PMID:2582695

  5. Multisystemic Therapy for Child Abuse and Neglect: A Randomized Effectiveness Trial

    Swenson, Cynthia Cupit; Schaeffer, Cindy M.; Henggeler, Scott W.; Faldowski, Richard; Mayhew, Amy Marie

    2010-01-01

    The primary purpose of this study was to conduct a randomized effectiveness trial of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) for physically abused youth (mean age = 13.88 years, 55.8% female, 68.6% Black) and their families. Eighty-six families being followed by Child Protective Services due to physical abuse were randomly assigned to MST-CAN or Enhanced Outpatient Treatment (EOT), with both interventions delivered by therapists employed at a community mental health center...

  6. Integrating substance abuse care with community diabetes care: implications for research and clinical practice

    Ghitza UE

    2013-01-01

    Full Text Available Udi E Ghitza,1 Li-Tzy Wu,2 Betty Tai11Center for the Clinical Trials Network, National Institute on Drug Abuse, National Institutes of Health, United States Department of Health and Human Services, Bethesda, MD, 2Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USAAbstract: Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the diabetic population. This commentary discusses the scope and clinical implications of the public health problem of coexisting substance use and diabetes, including suggestions for future research. Diabetes is the seventh leading cause of death in the US, and is associated with many severe health complications like cardiovascular disease, stroke, kidney damage, and limb amputations. There are an estimated 24 million adults in the US with type 2 diabetes. Approximately 20% of adults aged 18 years or older with diabetes report current cigarette smoking. The prevalence of current alcohol use in the diabetic population is estimated to be around 50%–60% in epidemiological surveys and treatment-seeking populations. Cigarette smoking is associated with an increased risk of type 2 diabetes in a dose-dependent manner and is an independent modifiable risk factor for development of type 2 diabetes. Diabetic patients with an alcohol or other drug use disorder show a higher rate of adverse health outcomes. For example, these patients experience more frequent and severe health complications as well as an increased risk of hospitalization, and require longer hospital stays. They are also less likely to seek routine care for diabetes or adhere to diabetes treatment than those without an alcohol or other drug use disorder. The Affordable Care Act of 2010 and the Mental Health Parity Act and Addiction Equity Act of 2008 provide opportunities for facilitating integration of

  7. Elder Abuse and Substance Abuse

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues The Role of Culture in Elder ... factor in all types of elder abuse, including physical mistreatment, emotional abuse, financial exploitation, and neglect. It is also a ...

  8. Mediation effect of social skills between impulsivity with substance abuse in adolescents

    Mehdi Poorkord

    2013-07-01

    Full Text Available The aim of this study is to examine mediation effect of social skills between impulsivity with substance abuse in adolescents. The research sample consists of 616 students of vulnerable high schools in Ardabil City. Together the data of Impulsivity Scale, Matson social skills scale and substance abuse survey were used [Matson, J. L., Rotatori, A. F., & Helsel, W. J. (1983. Development of a rating scale to measure social skills in children: The Matson Evaluation of Social Skills with Youngsters (MESSY. Behaviour Research and therapy, 21(4, 335-340.]. The results show that impulsivity indirectly is associated with substance abuse students (P<0.001 through the effect on social skills. The results indicate that high levels of impulsivity and low-level social skills increase substance abuse in students. These results are consistent with other existing results found in the literature.

  9. Mothers' physical abusiveness in a context of violence: effects on the mother-child relationship.

    Timmer, Susan G; Thompson, Dianne; Culver, Michelle A; Urquiza, Anthony J; Altenhofen, Shannon

    2012-02-01

    The purpose of this study was to investigate the effects of mothers' physical abusiveness on the quality of the mother-child relationship, and note how it further varied by their exposure to interparental violence (IPV). The sample consisted of 232 clinic-referred children, aged 2 to 7 years, and their biological mothers. Slightly more than a quarter of the children (N = 63, 27.2%) had been physically abused by their mothers; approximately half of these children also had a history of exposure to IPV (N = 34, 54%). Investigating effects of physical abuse in the context of IPV history on mothers' and children's emotional availability, we found that physically abused children with no IPV exposure appeared less optimally emotionally available than physically abused children with an IPV exposure. However, subsequent analyses showed that although dyads with dual-violence exposure showed emotional availability levels similar those of nonabusive dyads, they were more overresponsive and overinvolving, a kind of caregiving controllingness charasteric of children with disorganized attachment styles. These findings lend some support to the notion that the effects of abuse on the parent-child relationship are influenced by the context of family violence, although the effects appear to be complex. PMID:22292995

  10. An investigation of scale effects in family substance abuse treatment programs

    Lee A James

    2010-01-01

    Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families) was too small to be economical. Although the sample size (just nine programs) was too small to permit reliable inference, the data clearly signalled the impor...

  11. Effects of Abusive Parenting, Caretaker Arrests, and Deviant Behavior on Dating Violence among Homeless Young Adults

    Tyler, Kimberly A.; Schmitz, Rachel M.

    2015-01-01

    Though dating violence is widespread among young adult homeless populations, its risk factors are poorly understood by scholars. To address this gap, the current study uses a social learning theory to examine the effects of abusive parenting and caretaker arrests on dating violence among 172 homeless young adults. Results from path analyses revealed that child physical abuse and caretaker arrests were positively associated with engaging in a greater number of school fights, which, in turn, wa...

  12. Modest abuse-related subjective effects of zolpidem in drug-naïve volunteers

    Licata, Stephanie C.; Mashhoon, Yasmin; MacLean, Robert R.; Lukas, Scott E.

    2011-01-01

    Recent case reports suggest that the short-acting benzodiazepine-like hypnotic zolpidem may have abuse potential among individuals who have no personal history of abusing drugs or alcohol, particularly at doses higher than those recommended for treating insomnia. The present study recruited drug-naïve volunteers to assess the subjective effects of multiple doses of zolpidem (0, 5, 10, or 20 mg) administered in a within-subject double-blind design. Participants (n=11) answered computerized que...

  13. Peer effects, unobserved factors and risk behaviours: an analysis of alcohol abuse and truancy among adolescents

    Duarte, Rosa; Escario, José-Julián; Molina, José Alberto

    2007-01-01

    The objective of this paper is to examine the factors which affect alcohol abuse and truancy among adolescents. We propose a new theoretical specification in which alcohol abuse and truancy appear as derived demands, given that they condition peer group and family acceptance, and we introduce unobserved individual effects that can influence both behaviours. Empirically, our paper develops an analysis where, after controlling for the existence of unobserved individual factors affecting both de...

  14. Gender Differences: Effects of Stress on Expressed and Received Abuse.

    Rose, Patricia; Marshall, Linda L.

    Abuse between intimates has begun to be examined. Recent research has studied the incidence and causes of violence in marriages and in premarital relationships. A study was conducted to examine the level of intimate violence, patterns of violence for each gender, and the relationship of stress to violence in adult relationships. Study participants…

  15. Identifying and assessing the risk of opioid abuse in patients with cancer: an integrative review

    Carmichael AN; Morgan L; Del Fabbro E

    2016-01-01

    Ashley-Nicole Carmichael,1 Laura Morgan,1 Egidio Del Fabbro2 1School of Pharmacy, 2Division of Hematology, Oncology, and Palliative Care, Virginia Commonwealth University, Richmond, VA, USA Background: The misuse and abuse of opioid medications in many developed nations is a health crisis, leading to increased health-system utilization, emergency department visits, and overdose deaths. There are also increasing concerns about opioid abuse and diversion in patients with cancer, even at the en...

  16. Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain.

    Ducharme, Lori J; Chandler, Redonna K; Harris, Alex H S

    2016-01-01

    The National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute on Drug Abuse (NIDA), and Veterans Health Administration (VHA) share an interest in promoting high quality, rigorous health services research to improve the availability and utilization of evidence-based treatment for substance use disorders (SUD). Recent and continuing changes in the healthcare policy and funding environments prioritize the integration of evidence-based substance abuse treatments into primary care and general medical settings. This area is a prime candidate for implementation research. Recent and ongoing implementation projects funded by these agencies are reviewed. Research in five areas is highlighted: screening and brief intervention for risky drinking; screening and brief intervention for tobacco use; uptake of FDA-approved addiction pharmacotherapies; safe opioid prescribing; and disease management. Gaps in the portfolios, and priorities for future research, are described. PMID:26233697

  17. Physical Child Abuse and Teacher Harassment and Their Effects on Mental Health Problems Amongst Adolescent Bully-Victims in Taiwan.

    Yen, Cheng-Fang; Ko, Chih-Hung; Liu, Tai-Ling; Hu, Huei-Fan

    2015-10-01

    This study compared physical child abuse and teacher harassment of bully-victims with other groups and examined their associations with mental health problems in bully-victims. For 6,160 adolescents, experiences of physical child abuse, teacher harassment, peer bullying, and six mental health problem indicators were assessed. Adolescents that had experienced physical child abuse and teacher harassment were more likely to be bully-victims but not neutral or pure victims. Adolescents who reported physical child abuse were more likely to be bully-victims but not pure bullies. Bully-victims that had experienced teacher harassment exhibited more severe depression and insomnia than did those without teacher harassment. Gender had moderating effects on the difference in physical child abuse between bully-victims and neutrals and on the association between physical child abuse and suicidality in bully-victims. Physical child abuse and teacher harassment should be considered when preventive and intervention programs are developed for adolescents. PMID:25300192

  18. Elder Abuse

    ... nursing home . Types of Abuse There are many types of abuse: Physical abuse happens when someone causes bodily harm by hitting, pushing, or slapping. Emotional abuse , sometimes called psychological abuse, can include a caregiver saying hurtful words, ...

  19. AAS, growth hormone, and insulin abuse: psychological and neuroendocrine effects

    Graham, Michael R; Peter Evans; Bruce Davies; Baker, Julien S.

    2008-01-01

    Michael R Graham1, Peter Evans2, Bruce Davies1, Julien S Baker11Health and Exercise Science Research Unit, Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, United Kingdom; 2Royal Gwent Hospital, Newport, Gwent, United KingdomAbstract: The nontherapeutic use of prescription medicines by individuals involved in sport is increasing. Anabolic-androgenic steroids (AAS) are the most widely abused drug. Much of our knowledge of the psychological and physiological effe...

  20. Effects of volatile substance abuse on the respiratory system in adolescents

    Büker Halime SC

    2011-06-01

    Full Text Available Abstract Aim Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Chronic inhalant abuse can damage respiratory, cardiac, renal, hepatic, and neurologic systems. This study aims to determine the physiologic effects of inhaling solvents on the respiratory functions. Methods The general health status of the subjects was assessed by history taking, physical examination and a questionnaire which was designed to show the severity of respiratory symptoms. Spirometry, ventilation/perfusion scintigraphy, and high resolution computed tomography (HRCT were performed to assess pulmonary functions and anatomy. Results Thirty-one male volatile substance abusers and 19 control subjects were included in the study. The mean age of onset of inhalant use was 14.6 ± 2.2 (9-18 years and duration of drug use was 3.7 ± 1.7 years. The most common respiratory symptoms in volatile substance abusers were nasal congestion (45.2%, sputum (38.7%, exercise intolerance (32.3% and cough (22.6%. Results of spirometric studies showed 12 (41.4% subjects with low FVC values Conclusion This study has shown a positive correlation between volatile substance abuse and the development of restrictive ventilatory pattern, but more comprehensive studies are needed for more precise conclusions.

  1. A Review of the Long-Term Effects of Child Sexual Abuse.

    Beitchman, Joseph H.; And Others

    1992-01-01

    Evidence suggests that sexual abuse has serious long-term effects; but specific effects, independent of force, threatened force, or family variables such as parental psychopathology, are not yet clarified. Effects among adults in terms of their relationship to sexual dysfunction, depression, anxiety, fear, multiple or borderline personality…

  2. An investigation of scale effects in family substance abuse treatment programs.

    Lee, A James

    2010-01-01

    This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families) was too small to be economical. Although the sample size (just nine programs) was too small to permit reliable inference, the data clearly signalled the importance of "scale effects" in these family substance abuse treatment programs. To further investigate scale effects in family substance abuse treatment programs, data from the Center for Substance Abuse Treatment's (CSAT's) Residential Women and Children and Pregnant and Postpartum Women (RWC-PPW) Demonstration were re-analyzed, focusing on the relationship between cost per family-day and the estimated average family census. This analysis indicates strong economies of scale up until an average family census of about 14, and less apparent scale effects beyond that point. In consideration of these and other study findings, a multidisciplinary interagency team redesigned the Massachusetts' family treatment program model. The new programs are larger than the former family treatment programs, with each new program having capacity to treat 11 to 15 families depending on family makeup. PMID:20602764

  3. An investigation of scale effects in family substance abuse treatment programs

    Lee A James

    2010-07-01

    Full Text Available Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families was too small to be economical. Although the sample size (just nine programs was too small to permit reliable inference, the data clearly signalled the importance of "scale effects" in these family substance abuse treatment programs. To further investigate scale effects in family substance abuse treatment programs, data from the Center for Substance Abuse Treatment's (CSAT's Residential Women and Children and Pregnant and Postpartum Women (RWC-PPW Demonstration were re-analyzed, focusing on the relationship between cost per family-day and the estimated average family census. This analysis indicates strong economies of scale up until an average family census of about 14, and less apparent scale effects beyond that point. In consideration of these and other study findings, a multidisciplinary interagency team redesigned the Massachusetts' family treatment program model. The new programs are larger than the former family treatment programs, with each new program having capacity to treat 11 to 15 families depending on family makeup.

  4. Effect of Song Writing versus Recreational Music on Posttraumatic Stress Disorder (PTSD) Symptoms and Abuse Attribution in Abused Children.

    Coulter, Susan J.

    2000-01-01

    Attempts to develop a song-writing technique to reduce posttraumatic stress disorder (PTSD) symptoms in abused children from 9 to 17 years old, all patients of an inpatient psychiatric child/adolescent unit who had been physically and/or sexually abused. Finds no significant change in overall scores due to treatment condition. (SR)

  5. Helping Yourself Heal: A Recovering Man's Guide to Coping with the Effects of Childhood Abuse

    ... based on Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues , 36 in the Treatment Improvement ... or depressed and may be part of the reason you abuse substances. You may ■ Have flashbacks of the abuse ■ ...

  6. The Clinical-Forensic Dichotomy in Sexual Abuse Evaluations: Moving toward an Integrative Model

    Tishelman, Amy C.; Meyer, Susanne K.; Haney, Penny; McLeod, Sara K.

    2010-01-01

    We propose the use of an approach to evaluation that can be undertaken in a clinical setting when concerns regarding child sexual abuse are unclear or ambiguous and other systems are not involved, thus providing an option for the nondisclosing child often discussed in the "delayed disclosure" literature. This approach can also be appropriate for a…

  7. Does Power Distance Exacerbate or Mitigate the Effects of Abusive Supervision? It Depends on the Outcome

    Lian, Huiwen; Ferris, D. Lance; Brown, Douglas J.

    2012-01-01

    We predicted that the effects of abusive supervision are likely to be moderated by subordinate power distance orientation and that the nature of the moderating effect will depend on the outcome. Drawing upon work suggesting that high power distance orientation subordinates are more tolerant of supervisory mistreatment, we posited that high power…

  8. Central nervous system effects of chronic solvent abuse

    Thirteen organic solvent abusers (13 men and 2 women) were examined by magnetic resonace imaging (MRI) and singl photon emission computed tomography (SPECT). Three patients had neurological findings, such as ataxia of the upper extremities and walking disorder, and 2 of these had localized signal abnormality on MRI. T2-weighted imaging showed high signal intensities in the cerebral white matter, endocyst posterior shank, pars ventralis, and cerebellar white matter. These seemed to be attributable to demyelination. Two patients who showed locally abnormal MRI findings had begun to abuse organic solvents. There was a significant correlation between the age at the time of beginning inhalation and behavioral IQ (r=0.84). This suggested the importance of age at the time of beginning inhalation. When SPECT images were visually interpreted in 11 patients, 5 patients had a decreased blood flow in the bilateral frontal lobes (n=2), the right frontal lobe (n=2), and the bilateral cerebellar hemisphere (n=2). In the other 6 patients, blood flow was normal. There was a negative correlation between blood flow in the left frontal lobe and the score for the third Scale for the Assessment of Negative Symptoms (SANS) item. (N.K.)

  9. Tests of a Direct Effect of Childhood Abuse on Adult Borderline Personality Disorder Traits: A Longitudinal Discordant Twin Design

    Bornovalova, Marina A.; Huibregtse, Brooke M; Hicks, Brian M.; Keyes, Margaret; McGue, Matt; Iacono, William

    2012-01-01

    We used a longitudinal twin design to examine the causal association between sexual, emotional, and physical abuse in childhood (before age 18) and borderline personality disorder (BPD) traits at age 24 using a discordant twin design and biometric modeling. Additionally, we examined the mediating and moderating effects of symptoms of childhood externalizing and internalizing disorders on the link between childhood abuse and BPD traits. Although childhood abuse, BPD traits, and internalizing a...

  10. Postirradiation Effects In Integrated Circuits

    Shaw, David C.; Barnes, Charles E.

    1993-01-01

    Two reports discuss postirradiation effects in integrated circuits. Presents examples of postirradiation measurements of performances of integrated circuits of five different types: dual complementary metal oxide/semiconductor (CMOS) flip-flop; CMOS analog multiplier; two CMOS multiplying digital-to-analog converters; electrically erasable programmable read-only memory; and semiconductor/oxide/semiconductor octal buffer driver.

  11. African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention

    Lam Wendy KK

    2007-03-01

    Full Text Available Abstract Background Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry. Methods Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group. Results At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment. Conclusion The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes.

  12. Developmental trajectories of abuse--an hypothesis for the effects of early childhood maltreatment on dorsolateral prefrontal cortical development.

    Burrus, Caley

    2013-11-01

    The United States has a high rate of child maltreatment, with nearly 12 in 1000 children being victims of abuse or neglect. Child abuse strongly predicts negative life outcomes, especially in areas of emotional and mental health. Abused children are also more likely than their peers to engage in violence and enter the juvenile justice system, as well as to become abusive parents themselves. Research has shown that child abuse and trauma can lead to decreased hippocampal volume, which could be indicative of abnormal hippocampal development. Hippocampal development appears to directly affect the development of the dorsolateral prefrontal cortex, a brain area responsible for emotion regulation, cognitive reappraisal, and general executive function. Therefore, I hypothesize that if child abuse results in abnormal hippocampal development, which leads to abnormal dorsolateral prefrontal cortex development, many of the correlated risk factors of child abuse, such as emotionally-laden parenting and unfavorable cognitive distortions regarding children's behaviors, may be in part caused by underdevelopment or abnormal functioning of the dorsolateral prefrontal cortex, as a function of the individual's own experiences with abuse during childhood. If this hypothesis is supported with future research, more targeted, successful, and cost-effective prevention and treatment protocols could ensue. For instance, programs that have been empirically shown to increase the activity of the dorsolateral prefrontal cortex, such as cognitive behavioral therapy, could be effective in decreasing the incidence of intergenerational transfer of abuse. PMID:24075592

  13. Integrating substance abuse care with community diabetes care: implications for research and clinical practice

    Ghitza UE; Wu LT; Tai B

    2013-01-01

    Udi E Ghitza,1 Li-Tzy Wu,2 Betty Tai11Center for the Clinical Trials Network, National Institute on Drug Abuse, National Institutes of Health, United States Department of Health and Human Services, Bethesda, MD, 2Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USAAbstract: Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the d...

  14. Neighborhood Alcohol Outlet Density and Rates of Child Abuse and Neglect: Moderating Effects of Access to Substance Abuse Services

    Morton, Cory M.; Simmel, Cassandra; Peterson, N Andrew

    2014-01-01

    This study investigates the relationship between concentrations of on- and off-premises alcohol outlets and rates of child abuse and neglect. Additionally, the study seeks to locate protective features of a neighborhood's built environment by investigating the potentially moderating role that access to substance abuse treatment and prevention services plays in the relationship between alcohol outlet density and child maltreatment. Using a cross-sectional design, this ecological study utilized...

  15. Physical Abuse

    ... Additional Resources Return to: What is Elder Abuse? Physical Abuse Physical abuse is physical force or violence that results in ... may be acquaintances, sons, daughters, grandchildren, or others. Physical abuse that is perpetrated by spouses or intimate partners ...

  16. Sexual Abuse Survivors' Perceptions of the Effectiveness of EMDR and Eclectic Therapy

    Edmond, Tonya; Sloan, Lacey; McCarty, Dawn

    2004-01-01

    Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse--Eye movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted…

  17. Proximate Effects of a Child Sexual Abuse Prevention Program in Elementary School Children.

    Hebert, Martine; Lavoie, Francine; Piche, Christiane; Poitras, Michele

    2001-01-01

    The effects of the sexual child abuse prevention program ESPACE were evaluated with 133 Canadian children (grades 1-3). Children participating in the prevention program showed greater preventive knowledge and skills relative to children not participating. Follow-up data showed knowledge gains were maintained while the preventive skill gains may…

  18. Healthy Families New York (HFNY) Randomized Trial: Effects on Early Child Abuse and Neglect

    DuMont, Kimberly; Mitchell-Herzfeld, Susan; Greene, Rose; Lee, Eunju; Lowenfels, Ann; Rodriguez, Monica; Dorabawila, Vajeera

    2008-01-01

    Objective: To evaluate the effects of a home visiting program modeled after Healthy Families America on parenting behaviors in the first 2 years of life. Methods: A sample of 1173 families at risk for child abuse and neglect who met the criteria for Healthy Families New York (HFNY) was randomly assigned to either an intervention group that was…

  19. The Effect of Corporal Punishment and Verbal Abuse on Delinquency: Mediating Mechanisms

    Evans, Sara Z.; Simons, Leslie Gordon; Simons, Ronald L.

    2012-01-01

    While the link between parenting and delinquency is well established, there is less consensus among scholars with regards to the processes that account for this link. The current study had two objectives. The first was to disentangle the effects of African American parents' use of corporal punishment and verbal abuse on the conduct problems of…

  20. Effectiveness of home visiting in reducing partner violence for families experiencing abuse: A systematic review

    Prosman, G.J.; Wong, S.H.; Wouden, J.C. van der; Lagro-Janssen, A.L.M.

    2015-01-01

    BACKGROUND: Intimate partner violence (IPV) against women is a major, global societal problem with enormous health consequences both for mother and child. Home visiting interventions in families at risk of abuse seem promising in decreasing IPV. In this systematic review, we aim to assess the effect

  1. The Effectiveness of Psycho-Educational School-Based Child Sexual Abuse Prevention Training Program on Turkish Elementary Students

    Cecen-Erogul, Ayse Rezan; Kaf Hasirci, Ozlem

    2013-01-01

    In Turkey, there is neither systematic nor structured child sexual abuse prevention programs for school-aged children in school settings. The main purpose of this study was to investigate the effectiveness of a school-based child sexual abuse prevention program on elementary school (4th grade) students. Quasi-experimental design with pretest,…

  2. Effects of Trauma Intervention on HIV Sexual Risk Behaviors among Women with Co-Occurring Disorders in Substance Abuse Treatment

    Amaro, Hortensia; Larson, Mary Jo; Zhang, Annie; Acevedo, Andrea; Dai, Jianyu; Matsumoto, Atsushi

    2007-01-01

    Women in substance abuse treatment often have co-occurring mental health disorders and a history of trauma; they are also at high risk for HIV infection and other sexually transmitted diseases via unprotected sex. A quasi-experimental study evaluated the effectiveness of trauma-enhanced substance abuse treatment combined with HIV/AIDS prevention…

  3. Sexual Abuse

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues What Communities Can Do The Role ... Abuse and Neglect Ramsey-Klawsnik, H. (1996). Assessing physical and sexual abuse in health care settings. In L.A. Baumhover & S. ...

  4. Childhood Sexual Abuse

    Evrim Aktepe

    2009-08-01

    behavioral and psychological results by itself, early trauma may also lead to biological effects. Especially traumas during neuron plasticity phase may lead hypersensitivity of neuroendocrine stress response. Early life stresses are shown to lead changes in corticotrophin releasing factor system in preclinical and clinical phase studies. In the treatment of sexual abuse, emotional process related with trauma should be focused on. This process may be conducted with play therapy. Development of higher level defense mechanism, increasing ego capacity, orientation to social activity and personal activity according to skills is aimed. For the elimination of guiltiness related with stigmatization, the child should be told that it is not herhis fault to incorporate into sexual interaction and the culprit is abuser. It is fairly important for medical staff, school and family to have sufficient information about sexual abuse for prevention and early recognition.

  5. Encountering Child Abuse at Camp.

    Durall, John K.

    1997-01-01

    Defines child abuse, including the three categories: physical, sexual, and psychological. Presents characteristics and behaviors of each type of abuse, and long-term effects. Discusses how to handle abuse that occurs at camp, and the effects on the camp. Sidebars present abuse statistics, 15 activities that promote psychological wellness, and 8…

  6. Effects of the abused inhalant toluene on the mesolimbic dopamine system

    Woodward, John J; Beckley, Jacob

    2014-01-01

    Toluene is a representative member of a class of inhaled solvents that are voluntarily used by adolescents and adults for their euphorigenic effects. Research into the mechanisms of action of inhaled solvents has lagged behind that of other drugs of abuse despite mounting evidence that these compounds exert profound neurobehavioral and neurotoxicological effects. Results from studies carried out by the authors and others suggest that the neural effects of inhalants arise from their interactio...

  7. Concentration-Effect Relationships for the Drug of Abuse γ-Hydroxybutyric Acid

    Felmlee, Melanie A.; Roiko, Samuel A.; Morse, Bridget L.; Morris, Marilyn E.

    2010-01-01

    γ-Hydroxybutyric acid (GHB) is an endogenous neurotransmitter that is abused because of its sedative/hypnotic and euphoric effects. The objectives of this study were to evaluate the concentration-effect relationships of GHB in plasma, cerebrospinal fluid (CSF), brain (whole and discrete brain regions), and brain frontal cortex extracellular fluid. This information is crucial for future studies to evaluate effects of therapeutic interventions on the toxicodynamics of GHB. GHB (200–1000 mg/kg) ...

  8. The effect of corporal punishment and verbal abuse on delinquency: mediating mechanisms.

    Evans, Sara Z; Simons, Leslie Gordon; Simons, Ronald L

    2012-08-01

    While the link between parenting and delinquency is well established, there is less consensus among scholars with regards to the processes that account for this link. The current study had two objectives. The first was to disentangle the effects of African American parents' use of corporal punishment and verbal abuse on the conduct problems of their preteen children. The second was to investigate the mechanisms that explain this relationship, such as having low self-control or a hostile view of relationships, whereby these harsh parenting practices increase a youth's involvement in problem behavior. Further, we are interested in specifically addressing how these mechanisms may operate differently for males versus females. Analyses utilized structural equation modeling and longitudinal data spanning approximately 2.5 years from a sample of 704 (54.2 % female) African American children ages 10-12. The results indicated that verbal abuse was a more important predictor of conduct problems than corporal punishment. Additionally, we found that the mechanisms that mediated the impact of verbal abuse and corporal punishment on conduct problems varied by gender. For males, most of the effect of verbal abuse was mediated by low self-control, whereas anger/frustration was the primary mediator for females. Implications of these results and directions for future study are also discussed. PMID:22460730

  9. CHILD ABUSE, FENOMENA DAN KEBIJAKAN DI INDONESIA

    Suci Wulansari

    2012-11-01

    Full Text Available Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope to be able to do an early diagnose, prevention, and right therapy to minimize the negative impacts that can happen. Raising competencies of health care providers and building more hospitals that can be an integrated crisis centre in child abuse is a must. The government has built some policies to prevent children from child abuse, that has to be socialized, implemented an evaluated. It is hoped that Health Department has to make a continued and integrated systems and make a standard procedures for all of health care providers to prevent and provide the right therapy for the victim of child abuse. Key words: Child Abuse, growth and development, policies

  10. Effect of drugs of abuse on social behaviour: a review of animal models.

    Blanco-Gandía, Maria C; Mateos-García, Ana; García-Pardo, Maria P; Montagud-Romero, Sandra; Rodríguez-Arias, Marta; Miñarro, José; Aguilar, María A

    2015-09-01

    Social behaviour is disturbed in many substance abuse and psychiatric disorders. Given the consensus that social behaviours of lower mammals may help to understand some human emotional reactions, the aim of the present work was to provide an up-to-date review of studies on the changes in social behaviour induced by drugs of abuse. Various animal models have been used to study the relationship between drugs of abuse and social behaviour. Herein, we describe the effects of different substances of abuse on the three most commonly used animal models of social behaviour: the social play test, the social interaction test and the resident-intruder paradigm. The first is the most widely used test to assess adolescent behaviour in rodents, the second is generally used to evaluate a wide repertoire of behaviours in adulthood and the latter is specific to aggressive behaviour. Throughout the review we will explore the most relevant studies carried out to date to evaluate the effects of alcohol, cocaine, opioids, 3,4-methylenedioxymethamphetamine (MDMA), cannabinoids, nicotine and other drugs of abuse on these three paradigms, taking into account the influence of different variables, such as social history, age and type of exposure. Drugs of diverse pharmacological classes induce alterations in social behaviour, although they can be contrasting depending on several factors (drug, individual differences and environmental conditions). Ethanol and nicotine increase social interaction at low doses but reduce it at high doses. Psychostimulants, MDMA and cannabinoids reduce social interaction, whereas opiates increase it. Ethanol and psychostimulants enhance aggression, whereas MDMA, opiates, cannabinoids and nicotine reduce it. Prenatal drug exposure alters social behaviour, whereas drug withdrawal decreases sociability and enhances aggression. As a whole, this evidence has improved our understanding of the social dimension of drug addiction. PMID:26221831

  11. Family History of Alcohol Abuse Moderates Effectiveness of a Group Motivational Enhancement Intervention in College Women

    LaBrie, Joseph W.; Feres, Nashla; Kenney, Shannon R.; Lac, Andrew

    2008-01-01

    This study examined whether a self-reported family history of alcohol abuse (FH+) moderated the effects of a female-specific group motivational enhancement intervention with first-year college women. First-year college women (N= 287) completed an initial questionnaire and attended an intervention (n=161) or control (n=126) group session, of which 118 reported FH+. Repeated measures ANCOVA models were estimated to investigate whether the effectiveness of the intervention varied as a function o...

  12. Time-varying effect models for ordinal responses with applications in substance abuse research

    Dziak, John J.; Li, Runze; Zimmerman, Marc A.; Buu, Anne

    2014-01-01

    Ordinal responses are very common in longitudinal data collected from substance abuse research or other behavioral research. This study develops a new statistical model with free SAS macro’s that can be applied to characterize time-varying effects on ordinal responses. Our simulation study shows that the ordinal-scale time-varying effects model has very low estimation bias and sometimes offers considerably better performance when fitting data with ordinal responses than a model that treats th...

  13. Pharmacological classification of the abuse-related discriminative stimulus effects of trichloroethylene vapor

    Shelton, Keith L.; Nicholson, Katherine L.

    2014-01-01

    Inhalants are distinguished as a class primarily based upon a shared route of administration. Grouping inhalants according to their abuse-related in vivo pharmacological effects using the drug discrimination procedure has the potential to provide a more relevant classification scheme to the research and treatment community. Mice were trained to differentiate the introceptive effects of the trichloroethylene vapor from air using an operant procedure. Trichloroethylene is a chlorinated hydrocar...

  14. Educators, Schools, and Child Abuse.

    Broadhurst, Diane D.

    The booklet provides an overview on the school-related issues involved in child abuse and neglect. Definitions, causes, and effects of abuse and neglect are reviewed in the first chapter; guidelines for identifying physical and sexual abuse, neglect, and emotional maltreatment are offered in chapter 2. Aspects of reporting abuse are noted as are…

  15. Effects of Community Based Educational Prevention Program of Drug Abuse in Reduction of High Risk Behavior

    H Aranpour

    2010-08-01

    Full Text Available Introduction: Overcoming social problems requires a participatory approach. This study was performed in order to determine the effect of community based educational prevention program of drug abuse in reduction of high risk behavior. Methods: This study was a community based participatory research. According to planned approach to community health model, "the health companion group" was established with participation of public representatives of villages, researchers, and managers of health sectors. Need assessment and priority setting of health problems was done. Drug abuse was selected as the topmost priority of health problems. By interviewing 10 year olds and older members of households, the questionnaires were completed. By conducting workshops, distributing educational pamphlets and face to face training for six months, the educational program was carried out. After this period, the study population was interviewed again. Data was analyzed by SPSS software, X2, and T tests. Results: The mean score of drug abuse related high risk behavior was 26.8 +/- 2.05 before educational program and 25.2 ±2.3 after the program. The mean score of psychological health was 26.2±5.8 before educational program and 26.4±5.7 after the program. The rate of negative drug abusing related behavior decreased and positive behavior increased after the educational program. Conclusion: The community based participatory research with participation of the public can be a proper pattern to prevent drug abuse and related high risk behaviors and as a result reduce costs and complications of this problem.

  16. Cyclohexane, a potential drug of abuse with pernicious effects for the brain

    Oscar eGonzalez-Perez

    2016-01-01

    Full Text Available Cyclohexane is a volatile solvent used as a harmless substitute for dangerous organic solvents in several products, such as paint thinners, gasoline and adhesives. Many of these products are used as drugs of abuse and can severely damage neural tissue and impair neurological functions. However, there is very little information on the effects of cyclohexane on the brain. In humans, cyclohexane produces headaches, sleepiness, dizziness, limb weakness, motor changes and verbal memory impairment. Recent studies in mice have demonstrated behavioral alterations, reactive gliosis, microglial reactivity and oxidative stress in the brains of cyclohexane-exposed animals. This indicates that cyclohexane may represent a potential problem for public health. Therefore, studies are needed to clarify the neurobiological effects of this volatile compound, including the cellular and molecular mechanisms of neurotoxicity, and to minimize the human health risk posed by the intentional or accidental inhalation of this potential drug of abuse.

  17. Cyclohexane, a Potential Drug of Abuse with Pernicious Effects on the Brain.

    Campos-Ordonez, Tania; Gonzalez-Perez, Oscar

    2015-01-01

    Cyclohexane is a volatile solvent used as a harmless substitute for dangerous organic solvents in several products, such as paint thinners, gasoline and adhesives. Many of these products are used as drugs of abuse and can severely damage neural tissue and impair neurological functions. However, there is very little information on the effects of cyclohexane on the brain. In humans, cyclohexane produces headaches, sleepiness, dizziness, limb weakness, motor changes, and verbal memory impairment. Recent studies in mice have demonstrated behavioral alterations, reactive gliosis, microglial reactivity, and oxidative stress in the brains of cyclohexane-exposed animals. This indicates that cyclohexane may represent a potential problem for public health. Therefore, studies are needed to clarify the neurobiological effects of this volatile compound, including the cellular and molecular mechanisms of neurotoxicity, and to minimize the human health risk posed by the intentional or accidental inhalation of this potential drug of abuse. PMID:26779017

  18. Toxic Knowledge: Self-Alteration Through Child Abuse Work.

    Sigad, Laura I; Davidov, Jonathan; Lev-Wiesel, Rachel; Eisikovits, Zvi

    2016-02-01

    The purpose of the present article is to examine the multiple ways in which the private lives of professionals are affected by involvement with child abuse intervention and prevention. Using a descriptive-phenomenological perspective and 40 in-depth interviews with professionals to present a model based on qualitative data, we studied the ways in which child abuse professionals conceptualize, understand, and integrate their experiences into their personal and family lives. We find that the process of internalizing child abuse knowledge occurs in two domains: One affirms or denies the existence of the phenomenon; the other concerns the strategies used to contend with the effects of working in abuse. Knowledge of child abuse is toxic, in the sense that it serves as a catalyst leading to the alteration of one's self-perception and parental identity. We present a typology of self-alteration resulting from child abuse knowledge and describe the mechanism of this change. PMID:25381277

  19. Dextromethorphan: a case study on addressing abuse of a safe and effective drug

    Spangler, David C.; Loyd, Catherine M.; Skor, Emily E.

    2016-01-01

    Background Dextromethorphan is a safe, effective cough suppressant, available without a prescription in the United States since 1958. Due to a perceived prevalence of abuse of dextromethorphan by teens, in 2007 the Drug Enforcement Administration requested the Food and Drug Administration evaluate whether dextromethorphan should be recommended for scheduling under the Controlled Substances Act. The Food and Drug Administration held an Advisory Committee meeting in 2010 to provide a scientific...

  20. Bridging the Gap: A Hybrid Model to Link Efficacy and Effectiveness Research in Substance Abuse Treatment

    Carroll, Kathleen M.; Rounsaville, Bruce J

    2003-01-01

    Many behavioral and pharmacologic treatments for which there is strong empirical support are rarely used in clinical practice in the treatment of substance dependence. In an effort to facilitate greater emphasis on issues such as utility, practicality, and cost earlier in the evaluation of promising therapies, the authors propose a hybrid model to link efficacy and effectiveness research. A hybrid model may foster broader use of empirically validated treatments in substance abuse treatment pr...

  1. Cost-effectiveness of individual versus group psychotherapy for sexually abused girls

    Paul R. McCrone; Weeramanthri, Tara; Martin R.J. Knapp; Rushton, Alan; Trowell, Judith; Miles, Gillian; Kolvin, Israel

    2005-01-01

    Children who have been sexually abused may suffer from emotional and behavioural difficulties. Recent research found that individual and group psychotherapy have similar outcomes. In this study we compare the costs and cost-effectiveness of the two therapies and support for carers. Subjects were recruited to two clinics in London and randomly allocated to treatments. Total mean costs of individual therapy were found to be £1246 greater than for group therapy. Costs as they would apply in rout...

  2. The Effect of Maternal Depression and Substance Abuse on Child Human Capital Development

    Frank, Richard G; Ellen Meara

    2009-01-01

    Recent models of human capital formation represent a synthesis of the human capital approach and a life cycle view of human development that is grounded in neuroscience (Heckman 2007). This model of human development, the stability of the home and parental mental health can have notable impacts on skill development in children that may affect the stock of human capital in adults (Knudsen, Heckman et al. 2006; Heckman 2007). We study effects of maternal depression and substance abuse on childr...

  3. The effects of impulsiveness and alcohol abuse on traffic code violations

    Estrella Romero; José Antonio Gómez-Fraguela; Beatriz González-Iglesias; Jorge Sobral

    2012-01-01

    This paper examines the contribution of the facets assessed by the I7 Impulsiveness Questionnaire (viz., impulsiveness, venturesomeness and empathy), and of alcohol abuse, to the prediction of traffic rule violations controlling for the effect of variables such as age and annual mileage. To this end, a study was conducted on a sample of 535 drivers aged 20–73 years and the results were examined separately by gender. Based on them, impulsiveness and venturesomeness account for a substantial pr...

  4. Employment Type and Length of Stay in Substance Abuse Treatment: Economic Factors and Gender Specific Effects

    Quinn A.W. Keefer

    2013-01-01

    We present an economic argument for the effect of employment on length of stay in substance abuse treatment, which is documented to contribute to positive post-treatment outcomes. We begin by presenting a theoretical model which predicts longer lengths of stay for employed versus unemployed individuals, as is observed empirically. The model shows that along with its psychological benefits, employment increases length of stay by increasing the opportunity costs of substance use. As labor marke...

  5. Drug abuse and change readiness in prisoners : effect of motivational interviewing as measured by SOCRATES

    Dahl, Helene M.

    2008-01-01

    The effect of Motivational Interviewing (MI) was evaluated in a sample of incarcerated substance abusers, using the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). The design was a pre-post between-groups design. To explore the importance of feedback in MI-training participants (N = 98) were randomized to two conditions that differed in terms of feedback or no feedback to the counsellor, and received five sessions of MI. As predicted, the results indicated a significant o...

  6. The effects of a change in market abuse regulation on abnormal returns and volumes: Evidence from the Amsterdam stock market

    Bas ter Weel; T. Prevoo

    2010-01-01

    The Market Abuse Directive came into effect on 1 October 2005. One of its purposes is to reduce illegal insider trading and leakage of information prior to official releases by increasing penalties. This paper investigates the effects of the Market Abuse Directive through an event study approach. Using a dataset of almost 5,000 corporate news announcements, the analysis reveals that the information value of announcements, measured by the announcement day abnormal return and abnormal volume, i...

  7. Elder Abuse

    ... facilities or nursing homes. The mistreatment may be Physical, sexual, or emotional abuse Neglect or abandonment Financial abuse - stealing of money or belongings Possible signs of elder abuse include unexplained bruises, burns, ...

  8. Child Abuse

    ... puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical ...

  9. Domestic Abuse and Child Health

    Rawlings, Samantha; Siddique, Zahra

    2014-01-01

    We examine the effects of different kinds of domestic abuse (physical violence, emotional abuse, sexual abuse and physical violence while the victim is pregnant) on health outcomes of children born to victims. We use data on approximately 0.6 million children born between 1975 and 2013 across thirty different developing countries to investigate this relationship. Comparing children of abused mothers with otherwise similar children whose mothers were not victims of abuse, we find these childre...

  10. Effect of Self-Esteem in the Relationship between Stress and Substance Abuse among Adolescents: A Mediation Outcome

    Ikechukwu Uba; Siti Nor Yaacob; Mansor Abu Talib; Sakineh Mofrad; Rohani Abdullah

    2013-01-01

    The present study assessed the mediating effect of self-esteem in the relationship between stress and substance abuse among adolescents. The participants of the study were 352 adolescents, 54.5% males and 45.5% females aged 13 to18 years, from selected secondary schools in Somolu, Lagos, Nigeria. Substance abuse was measured with the Drug Abuse Screening Test, while Stress was measured with the Perceived Stress Scale, and Self-esteem was measured with the Rosenberg Self-esteem scale. The stud...

  11. The effects of impulsiveness and alcohol abuse on traffic code violations

    Estrella Romero

    2012-01-01

    Full Text Available This paper examines the contribution of the facets assessed by the I7 Impulsiveness Questionnaire (viz., impulsiveness, venturesomeness and empathy, and of alcohol abuse, to the prediction of traffic rule violations controlling for the effect of variables such as age and annual mileage. To this end, a study was conducted on a sample of 535 drivers aged 20–73 years and the results were examined separately by gender. Based on them, impulsiveness and venturesomeness account for a substantial proportion of traffic violations reported by males and females, even if the effects of other variables such as age or annual mileage are considered. By contrast, empathy is relevant only for male drivers. The results also reveal a strong relationship between alcohol abuse and Highway Code violations, which significantly increases the predictive ability of personality variables in both males and females. These results support the need to consider the drivers’ personality in the design of interventions for driving offenders, whereas programs which are focused only on road safety education may be insufficient. Results also evidence the need to highlight the role in the intervention of alcohol abuse and its relationship with driving behaviours.

  12. Abnormalities of white matter integrity in the corpus callosum of adolescents with PTSD after childhood sexual abuse: a DTI study.

    Rinne-Albers, Mirjam A W; van der Werff, Steven J A; van Hoof, Marie-José; van Lang, Natasja D; Lamers-Winkelman, Francien; Rombouts, Serge A; Vermeiren, Robert R J M; van der Wee, Nic J A

    2016-08-01

    This study seeks to determine whether white matter integrity in the brain differs between adolescents with post-traumatic stress disorder (PTSD) due to childhood sexual abuse (CSA) and matched healthy adolescents and whether there is a relationship between white matter integrity and symptom severity in the patient group. Using 3T diffusion tensor imaging, we examined fractional anisotropy (FA) in a group of adolescents with CSA-related PTSD (n = 20) and matched healthy controls (n = 20), in a region of interest consisting of the bilateral uncinate fasciculus (UF), the genu, splenium and body of the corpus callosum (CC), and the bilateral cingulum. In addition, we performed an exploratory whole brain analysis. Trauma symptomatology was measured with the Trauma Symptom Checklist for Children (TSCC) to enable correlational analyses between FA differences and trauma symptomatology. The PTSD group had significantly lower FA values in the genu, midbody and splenium of the CC in comparison with controls (p Post hoc analyses of the eigenvalues of the DTI scan showed increased radial and mean diffusivity in the patient group. In addition, we found a significant negative correlation between scores on the anger subscale of the TSCC and FA values in the left body of the CC in patients (p trauma exposure affects the development of the CC, which may play a role in the pathophysiology of PTSD in adolescents. PMID:26700102

  13. Effectiveness of Planned Teaching Programme on Knowledge Regarding Prevention of Child Abuse and Neglect Among Primary School Teachers

    Naregal PM

    2016-01-01

    Full Text Available Background: Child abuse is one major threat to children all over the globe. Regardless of the type of child abuse, the result is serious emotional harm affecting the normal growth & development of child. School teachers are in contact with children daily and by reporting suspected child abuse and neglect, teachers can make an important contribution to the early detection and prevention of abuse. Objectives: 1. To assess the knowledge of primary school teachers regarding child abuse and neglect. 2. To assess the effectiveness of planned teaching programme on knowledge of primary school teachers regarding child abuse and neglect. 3. To find out the association between pre-test knowledge scores of primary school teachers with selected demographic variables. Material and Methods: The research approach used for the study was evaluative approach. The study was conducted in 3 primary schools at Karad, Maharashtra, India using one group pre-test post-test design. Non-probability Purposive sampling technique was used for selecting 30 primary school teachers. On the 1st day Structured knowledge questionnaire was used for collecting data and planned teaching programme on child abuse and neglect was conducted and followed by post test on the 7th day. The data collected, tabulated and analyzed in terms of objectives of the study using descriptive and inferential statistics. Results: In pre-test majority 18 (60% teachers had poor and 6 (20% had average and good knowledge regarding child abuse and neglect respectively. Where as in post-test majority 19(63% teachers had average knowledge, 6(20% had good knowledge and 5(17% teachers had poor knowledge regarding knowledge of child abuse and neglect. The mean pre test value is 9.433 and the mean post test value is 16.200 a difference of 6.77.The paired‘t’ value is 5.512, (p 0.05 of Knowledge scores with any other demographic variables. Conclusion: The study showed that the planned teaching programme on child

  14. Is Web-Based Education Effective in Reducing Belief Toward Drug Abuse Among College Students?

    Jalilian

    2015-02-01

    Full Text Available Background Addiction is considered a basic structural problem in modern society, and seems to reach an epidemic scale in the last decades. Choosing a method to fulfill the intervention is an important issue to conduct educational interventions to prevent addictive behaviors. In this regard, web-based education has been widely used to introduce preventive programs to risky behaviors during recent years. Objectives The aim of the present study was to investigate the impact of web-based education intervention to decrease positive beliefs encouraging drug abuse among male medical college students. Patients and Methods This was a prospective-retrospective intervention study that was conducted among 75 male students in Kermanshah University of Medical Sciences, Kermanshah, Iran, during 2014. t-test was used for the statistical analysis. Results Our findings indicated that the belief toward drug abuse was significantly reduced after education (P = 0.003. In addition, compared pre and post-intervention scores on survey items showed a significant reduction in enjoyment, improve energy, attraction, higher strength, and higher self-esteem items after education (P 0.05. Conclusions Our findings showed that designing and implementing web-based educational intervention could be effective to reduce the positive beliefs toward drug abuse among college students.

  15. The Effects of Child Abuse and Exposure to Domestic Violence on Adolescent Internalizing and Externalizing Behavior Problems

    Moylan, Carrie A.; Herrenkohl, Todd I.; Sousa, Cindy; Tajima, Emiko A.; Herrenkohl, Roy C.; Russo, M. Jean

    2010-01-01

    This study examines the effects of child abuse and domestic violence exposure in childhood on adolescent internalizing and externalizing behaviors. Data for this analysis are from the Lehigh Longitudinal Study, a prospective study of 457 youth addressing outcomes of family violence and resilience in individuals and families. Results show that child abuse, domestic violence, and both in combination (i.e., dual exposure) increase a child’s risk for internalizing and externalizing outcomes in ad...

  16. The Effect of Economic, Physical, and Psychological Abuse on Mental Health: A Population-Based Study of Women in the Philippines

    Diddy Antai

    2014-01-01

    Full Text Available Background. The comparative effect of economic abuse and other forms of abuse in predicting depression and other mental health disorders has not been previously investigated despite its relevance for mental illness prevention. Objective. To determine the differential association of economic abuse on psychological distress and suicide attempts. Study Design. We used cross-sectional data from women aged 15–49 years in the 2008 Philippines Demographic and Health Surveys (PDHS (N = 9,316. Results. Adjusting for sociodemographic confounders revealed positive associations between economic, physical, or psychological abuse and suicide attempts and psychological distress. Psychological and economic abuse were the strongest predictors of suicide attempts and psychological distress, respectively. Economic abuse was also negatively associated with psychological distress. Comorbidity with one mental health disorder greatly increased the odds of reporting the other mental health disorder. Conclusion. Overall, the results elucidate the differential effects of these forms of abuse on women’s mental health.

  17. Integrated Programs for Mothers with Substance Abuse Issues and Their Children: A Systematic Review of Studies Reporting on Child Outcomes

    Niccols, Alison; Milligan, Karen; Smith, Ainsley; Sword, Wendy; Thabane, Lehana; Henderson, Joanna

    2012-01-01

    Background: Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, potential child maltreatment, and poor outcomes for children. Objectives: To examine the impact and effects of integrated programs for…

  18. The effects of moms and teens for safe dates: a dating abuse prevention program for adolescents exposed to domestic violence.

    Foshee, Vangie A; Benefield, Thad; Dixon, Kimberly S; Chang, Ling-Yin; Senkomago, Virginia; Ennett, Susan T; Moracco, Kathryn E; Michael Bowling, J

    2015-05-01

    Adolescents exposed to domestic violence are at high risk for dating abuse. This randomized controlled trial evaluated a dating abuse prevention program designed specifically for this risk group. Moms and Teens for Safe Dates consisted of six mailed booklets of dating abuse prevention information and interactive activities. Mothers who had been victims of domestic violence but no longer lived with the abuser delivered the program to their adolescents who had been exposed to the abuse. Mother and adolescent pairs (N = 409) were recruited through community advertising; the adolescents ranged from 12 to 16 years old and 64 % were female. Mothers and adolescents completed baseline and 6-month follow-up telephone interviews. Booklet completion in the treatment group ranged from 80 % for the first to 62 % for the last booklet. The analyses first tested whether program effects on dating abuse varied by four a priori identified moderators (mother's psychological health, the amount of adolescent exposure to domestic violence, and adolescent sex and race/ethnicity). Main effects of the program were examined when there were no differential program effects. Program effects on psychological and physical victimization and psychological and cyber perpetration were moderated by the amount of adolescent exposure to domestic violence; there were significant favorable program effects for adolescents with higher, but not lower levels of exposure to domestic violence. There were no moderated or main effects on sexual violence victimization and perpetration or cyber victimization. The findings suggest that a dating abuse prevention program designed for adolescents exposed to domestic violence can have important positive effects. PMID:25776110

  19. New insights into cannabis consumption; abuses and possible therapeutic effects

    Daniela Luiza Baconi

    2014-10-01

    Full Text Available Cannabis is one of the oldest psychotropic drugs known to humanity. The paper assesses the current knowledge on the cannabis, including the mechanisms of action and the therapeutic potential of cannabinoids. Three varieties of Cannabis plant are recognised: Cannabis sativa, Cannabis indica, and Cannabis ruderalis. The variety indica is used predominantly to obtain the drugs. Cannabis herb is usually named marijuana, while the cannabis oleoresin secreted by the glandular hairs found mainly on the flowering or fruiting tops of the plant is known as hashish. More than 400 known chemicals are present in cannabis, at least 70 of which are called cannabinoids. The major psychoactive constituent in cannabis is delta-9-tetrahydrocannabinol (Δ9-THC. It is now recognized that there are three types of cannabinoids: natural (phytocannabinoids, endogenous cannabinoids, and synthetic cannabioids. Cannabinoids exert their actions by binding to specific membrane protein, the cannabinoid receptor. To date, two subtypes of cannabinoid receptors, named cannabinoid-1 (CB1, most abundantly expressed in the central nervous system and cannabinoid-2 (CB2 receptors, found predominantly in peripheral tissues with immune functions have been cloned. Therefore, the concept of endogenous cannabinoid system (endocannabinoid system, SEC has been developed. Based on the current scientific evidence, there are several effects of cannabinoids with potential therapeutic use: antiemetic, analgesic in cancerous pains, and chronic neuropathic pain, in multiple sclerosis or spinal cord injuries. Cannabis consume can result in a state of drug dependency and cannabis withdrawal has been included in DSM-V. Cannabis plant remains controversial in the twenty-first century and the potential therapeutic of specific cannabinoid compounds and medical marijuana remains under active medical research.

  20. Abusing the commons? An integrated institutional analysis of common-pool resource governance in conflict situations

    dell’Angel, Jampel

    2013-01-01

    Governance of natural Common-Pool Resources (CPRs) is a central area of sustainability theory and practice. This arena generally lies at the interface between policy and science. Nevertheless, the conflict nature of CPR governance is often not systematically acknowledged in analytical approaches developed for the study of Social-Ecological Systems (SES) and specifically common-pool resources. This dissertation integrates three different bodies of scholarship—Institutional An...

  1. Abusing the commons? an integrated institutional analysis of common-pool resource governance in conflict situations /

    Dell'Angel, Jampel; Farrell, Katharine,

    2014-01-01

    Governance of natural Common-Pool Resources (CPRs) is a central area of sustainability theory and practice. This arena generally lies at the interface between policy and science. Nevertheless, the conflict nature of CPR governance is often not systematically acknowledged in analytical approaches developed for the study of Social-Ecological Systems (SES) and specifically common-pool resources. This dissertation integrates three different bodies of scholarship—Institutional Analysis/Commons The...

  2. Effects of drugs of abuse on the central neuropeptide Y system.

    Gonçalves, Joana; Martins, João; Baptista, Sofia; Ambrósio, António Francisco; Silva, Ana Paula

    2016-07-01

    Neuropeptide Y (NPY), which is widely expressed in the central nervous system is involved in several neuropathologies including addiction. Here we comprehensively and systematically review alterations on the central NPY system induced by several drugs. We report on the effects of psychostimulants [cocaine, amphetamine, methamphetamine, 3,4-methylenedioxymethamphetamine (MDMA) and nicotine], ethanol, and opioids on NPY protein levels and expression of different NPY receptors. Overall, expression and function of NPY and its receptors are changed under conditions of drug exposure, thus affecting several physiologic behaviors, such as feeding, stress and anxiety. Drugs of abuse differentially affect the components of the NPY system. For example methamphetamine and nicotine lead to a consistent increase in NPY mRNA and protein levels in different brain sites whereas ethanol and opioids decrease NPY mRNA and protein expression. Drug-induced alterations on the different NPY receptors show more complex regulation pattern. Manipulation of the NPY system can have opposing effects on reinforcing and addictive properties of drugs of abuse. NPY can produce pro-addictive effects (nicotine and heroin), but can also exert inhibitory effects on addictive behavior (AMPH, ethanol). Furthermore, NPY can act as a neuroprotective agent in chronically methamphetamine and MDMA-treated rodents. In conclusion, manipulation of the NPY system seems to be a potential target to counteract neural alterations, addiction-related behaviors and cognitive deficits induced by these drugs. PMID:25904345

  3. Evaluation of Effectiveness of Integrated Intervention Program in Improving Drug Addicts' Psychological Health1

    YA-QIONG YAN; YONG-YOU LIU; YUE-FENG ZENG; YI-WEI CUI; JI-WEI LEI; ZENG-ZHEN WANG

    2008-01-01

    Objective To investigate the social mental state of drug addicts in a compulsive drug abuse treatment center;evaluate the effectiveness of integrated program for the prevention of abuse relapse and improvement of drug addicts' psychological health.Methods The study subjects were addicts from the Wuhan Compulsive Drug Abuse Treatment Center between October 2003 and June 2004,who satisfied the inclusion criteria.A non-randomized control-intervention study design was adopted.Volunteers willing to take part in intervention were put into the intervention group with their full awareness and willingness to prevent drug abuse relapse.The control group was composed of the addicts who were willing to prevent relapse and to be followed up after their discharge. Results The effectiveness of the integrated intervention program in promoting addicts' psychological health:before the intervention,the scores of Self-Rating Anxiety Scale(SAS),the positive and negative dimensionalities of Simple Coping Style Questionnaire(SCSQ)and Chinese Perceived Stress Scales(CPSS)had no significant differences between the intervention group and the control group.After the intervention,exccpt that the SCSQ's positive dimensionality in the intervention group was significantly higher than that in the control group,other indices in the intervention group were lower.Before and after the intervention.the psychological health level in both the groups was lower than that in the normal population;there were significant differences between addicts and normal subjects in regards with all of the indices above. Conclusion Drug abuse was associated closely with addicts' social mental factors.The integrated intervention program can alleviate anxiety and stress,reduce co-morbid mental disorders and effectively improve their coping style.In conclusion,the program can promote addicts' psychological health significantly.

  4. Recognizing Emotion in Faces: Developmental Effects of Child Abuse and Neglect.

    Pollak, Seth D.; Cicchetti, Dante; Hornung, Katherine; Reed, Alex

    2000-01-01

    Two experiments assessed recognition of emotion among physically abused and neglected preschoolers. Results showed that neglected children had more difficulty discriminating emotional expressions that control or abused children. Abused children displayed response bias for angry facial expressions. Control children viewed discrete emotions as…

  5. Medical Consequences of Drug Abuse

    ... Home » Related Topics » Medical Consequences Medical Consequences of Drug Abuse Email Facebook Twitter Drug addiction is a brain ... and lung disease can all be affected by drug abuse. Some of these effects occur when drugs are ...

  6. Effect of music therapy on the anxiety levels and sleep patterns of abused women in shelters.

    Hernández-Ruiz, Eugenia

    2005-01-01

    The purpose of this study was to explore the effect of a music therapy procedure (music listening paired with progressive muscle relaxation) on the reduction of anxiety and improvement of sleep patterns in abused women in shelters. Twenty-eight women residing in 2 domestic violence shelters in a Midwestern city met with the researcher on 5 consecutive days for half-hour sessions. A pretest-posttest design with control and experimental groups was used. The dependent variables included: stait anxiety measured by the STAI (Spielberger et al., 1983) before and after each music stimulus, sleep quality as measured by the PSQI (Buysse et al., 1989) on the first and last sessions, and levels of fatigue as measured by the Fatigue Scale (Lee, 1992) at waking time. The independent variable was a 20-minute recording of participant-selected music with a Progressive Muscle Relaxation script. Results indicated that music therapy constituted an effective method for reducing anxiety levels. Results also indicated a significant effect on sleep quality for the experimental group, but not for the control group. No significant relationships were found between anxiety levels and sleep quality, nor fatigue levels and sleep quality. These results seem promising in the light of domestic violence research, which has found that a greater amount of personal resources is a crucial aspect of abused women's recovery process. Reduction of anxiety and improvement of sleep quality can be considered as increased personal resources, and seem feasible through the use of music therapy. PMID:15913391

  7. Integration of Services for Victims of Child Sexual Abuse at the University Teaching Hospital One-Stop Centre

    Elwyn Chomba; Laura Murray; Michele Kautzman; Alan Haworth; Mwaba Kasese-Bota; Chipepo Kankasa; Kaunda Mwansa; Mia Amaya; Don Thea; Katherine Semrau

    2010-01-01

    Objective. To improve care of sexually abused children by establishment of a “One Stop Centre” at the University Teaching Hospital. Methodology. Prior to opening of the One Stop Centre, a management team comprising of clinical departmental heads and a technical group of professionals (health workers, police, psychosocial counselors lawyers and media) were put in place. The team evaluated and identified gaps and weaknesses on the management of sexually abused children prev...

  8. Effects of length of abstinence on decision-making and craving in methamphetamine abusers.

    Guibin Wang

    Full Text Available RATIONALE: The majority of drug abusers are incapable of sustaining abstinence over any length of time. Accumulating evidence has linked intense and involuntary craving, Impulsive decision-making and mood disturbances to risk for relapse. However, little is known about temporal changes of these neuropsychological functions in methamphetamine (METH-dependent individuals. OBJECTIVES: To investigate the effect of length of abstinence on decision-making, craving (baseline and cue-induced, and emotional state in METH-addicted individuals. METHODS: In this cross-sectional study, 183 adult METH-dependent patients at an addiction rehabilitation center who were abstinent for 6 days (n = 37, 14 days (n = 33, 1 month (n = 31, 3 months (n = 30, 6 months (n = 26, or 1 year (n = 30 and 39 healthy subjects were administered the Iowa Gambling Task (IGT to assess decision-making performance. Depression, anxiety, and impulsivity were also examined. One hundred thirty-nine METH abusers who were abstinent for the aforementioned times then underwent a cue session, and subjective and physiological measures were assessed. RESULTS: METH dependent individuals who were abstinent for longer periods of time exhibited better decision-making than those who were abstinent for shorter periods of time. And self-reported emotional symptoms improved with abstinence. METH abusers' ratings of craving decreased with the duration of abstinence, while cue-induced craving increased until 3 months of abstinence and decreased at 6 months and 1 year of abstinence. CONCLUSIONS: We present time-dependent alterations in decision-making, emotional state, and the incubation of cue-induced craving in METH-dependent individuals, which might have significant clinical implications for the prevention of relapse.

  9. An Integrated, Multidimensional Treatment Model for Individuals Living with HIV, Mental Illness, and Substance Abuse

    Bouis, Stephanie; Reif, Susan; Whetten, Kathryn; Scovil, Janet; Murray, Andrea; Swartz, Marvin

    2007-01-01

    The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was…

  10. Special Issue: Substance Abuse.

    Fuhrmann, Barbara S., Ed.; Washington, Craig S., Ed.

    1984-01-01

    Presents ten articles about substance abuse: its effects, consequences, and strategies for intervention. Describes specific group therapy techniques and presents both a court service designed for assisting juveniles with drug/alcohol offenses, and a school-based substance abuse prevention program. Looks at strategies for counseling special…

  11. Child abuse: Effects on the child and family in selected villages in Enugwu-Ukwu, Njikoka Local Government Area of Anambra, Nigeria

    Achema G

    2014-03-01

    Full Text Available Background: Child abuse is a major problem that has been living with man and seen by many as one of his day to day activities. Aim: The study aimed to ascertain the practice and effects of child abuse on the child and family in selected villages in Enugwu-Ukwu, Njikoka Local Government Area of Anambra state, and also to identify the factors associated with child abuse among the children. Methods: The study is a descriptive survey design using self-administered interviewer questionnaire. Four villages were purposively sampled for the study; Oruokwe, Awobu, Urukpeleke, and Uruogbo. Systematic sampling technique was adopted in sampling subjects. Results: Findings showed that the most common associated factor with child abuse with parent/guardian is poverty (50.7% and low social economic status (34.5%. The practices of child abuse are majorly concerned with starving the children (44.2% and kicking/shaking the children (41.2%. The effects on the child abuse on the child and family could lead the abused children into early marriage (26.5% and unwanted pregnancy (22.5%. Conclusion: The study indicated that child abuse in Njikoka LGA is due to poverty/low socio-economic status. The practices of child abuse borders on starving the children, kicking/shaking them and that, the effects of child abuse could lead the children into early marriage and/or having unwanted pregnancy. Therefore, social awareness campaign on child abuse and effects should be adopted and effective child abuse laws should be enacted by the government and stiff penalties and sanctions should be melted out to the offenders.

  12. Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: mediating effects of emotion regulation.

    Choi, Ji Young; Oh, Kyung Ja

    2014-02-01

    The purpose of the present study was to identify the mediating effects of emotion regulation on the association between cumulative childhood trauma and behavior problems in sexually abused children in Korea, using structural equation modeling (SEM). Data were collected on 171 children (ages 6-13 years) referred to a public counseling center for sexual abuse in Seoul, Korea. Cumulative childhood traumas were defined on the basis of number of traumas (physical abuse, witnessing domestic violence, neglect, traumatic separation from parent, and sexual abuse) and the severity and duration of traumas. Children were evaluated by their parents on emotion regulation using the Emotion Regulation Checklist and internalizing and externalizing behavior problems using the Korean-Child Behavior Checklist. SEM analyses confirmed the complete mediation model, in which emotion dysregulation fully mediates the relationship between cumulative childhood traumas and internalizing/externalizing behavior problems. These findings indicate that emotion regulation is an important mechanism that can explain the negative effects of cumulative childhood traumas and that there is a need to focus on emotion regulation in sexually abused children exposed to cumulative trauma. PMID:24210271

  13. Effects of Methadone Maintenance Treatment on Decision-Making Processes in Heroin-Abusers: A Cognitive Modeling Analysis

    Arash Khodadadi

    2010-05-01

    Full Text Available A B S T R A C TIntroduction: Although decision-making processes have become a principal target of study among addiction researchers, few researches are published according to effects of different treatment methods on the cognitive processes underlying decision making up to now. Utilizing cognitive modeling method, in this paper we examine the effects of Methadone maintenance treatment (MMT on cognitive processes underlying decision-making disorders in heroin-abusers. Methods: For this purpose, for the first time, we use the balloon analog risk task (BART to assess the decision-making ability of heroin-abusers before and after treatment and compare it to the non heroin-dependent subjects. Results: Results demonstrate that heroin-abusers show more risky behavior than other groups. But, there is no difference between the performance of heroin-abusers after 6 months of MMT and control group. Modeling subjects’ behavior in BART reveals that poor performance in heroin-abusers is due to reward-dependency and insensitivity to evaluation. Discussion: Results show that 6 months of MMT decreases reward-dependency and increases sensitivity to evaluation.

  14. Evaluating the effectiveness of domestic abuse prevention education: Are certain children more or less receptive to the messages conveyed?

    Fox, Claire L.; Corr, Mary-Louise; Gadd, David; Sim, Julius

    2016-01-01

    PurposeA number of school-based domestic abuse prevention programmes have been developed in the United Kingdom, but evidence as to the effectiveness of such programmes is limited. The aim of the research was to evaluate the effectiveness of one such programme and to see whether the outcomes differ by gender and experiences of domestic abuse.MethodPupils aged 13–14 years, across seven schools, receiving a 6-week education programme completed a questionnaire to measure their attitudes towards d...

  15. Working with the Abused Camper.

    Johnson, Rebecca Cowan

    1990-01-01

    Describes forms of and reasons behind child abuse. Describes camp staff's role as reporters of suspected abuse. Describes techniques for identifying and dealing with abuse victims. Recommends offering victims respect, support, advocacy, and unconditional love. Describes steps staff might take to maximize camp's effectiveness in helping abuse…

  16. The Effects of Family-Centered Problem-Solving Education on Relapse Rate, Self Efficacy and Self Esteem Among Substance Abusers

    Habibi, Rahim; Nikbakht Nasrabadi, Alireza; Shabany Hamedan, Maryam; Saleh Moqadam, Amirreza

    2016-01-01

    Background: The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and non-pharmaceutical therapies but also self efficacy and self esteem promotion. Objectives: The current study attempted to clarify the effects of Problem Solving Education (PSE) on relapse rate, self efficacy and self esteem among drug abusers. Patients and Methods: This non-controlled clinical trial (quasi-experimental) assessed 60 opium and heroin abusers who were will...

  17. Longitudinal Study on the Effects of Child Abuse and Children’s Exposure to Domestic Violence, Parent-Child Attachments, and Antisocial Behavior in Adolescence

    Sousa, Cindy; Herrenkohl, Todd I.; Moylan, Carrie A.; Tajima, Emiko A.; Klika, J. Bart; Herrenkohl, Roy C.; Russo, M. Jean

    2010-01-01

    This study examined the unique and combined effects of child abuse and children’s exposure to domestic violence on later attachment to parents and antisocial behavior during adolescence. Analyses also investigated whether the interaction of exposure and low attachment predicted youth outcomes. Findings suggest that, while youth dually exposed to abuse and domestic violence were less attached to parents in adolescence than those who were not exposed, those who were abused only, and those who w...

  18. The Effect of Economic, Physical, and Psychological Abuse on Mental Health: A Population-Based Study of Women in the Philippines

    Diddy Antai; Ayo Oke; Patrick Braithwaite; Gerald Bryan Lopez

    2014-01-01

    Background. The comparative effect of economic abuse and other forms of abuse in predicting depression and other mental health disorders has not been previously investigated despite its relevance for mental illness prevention. Objective. To determine the differential association of economic abuse on psychological distress and suicide attempts. Study Design. We used cross-sectional data from women aged 15–49 years in the 2008 Philippines Demographic and Health Surveys (PDHS) (N = 9,316). Resul...

  19. Drug Abuse

    ... as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug ...

  20. Welfare effects of financial integration

    Hartmann, Philipp; Grüner, Hans Peter; Fecht, Falko

    2007-01-01

    This paper compares four forms of inter-regional financial risk sharing: (i) segmentation, (ii) integration trough the secured interbank market, (ii) integration trough the unsecured interbank market, (iv) integration of retail markets. The secured interbank market is an optimal risk-sharing device when banks report liquidity needs truthfully. It allows diversification without the risk of cross-regional financial contagion. However, free-riding on the liquidity provision in this market restra...

  1. Evaluation of the acute behavioral effects and abuse potential of a C8-C9 isoparaffin solvent.

    Balster, R L; Bowen, S E; Evans, E B; Tokarz, M E

    1997-07-01

    We hypothesized that the abuse potential of certain types of inhalants could be evaluated in animals by determining the overlap in their profile of behavioral effects with that of CNS depressant drugs and other depressant-like abused inhalants. For our first attempt in evaluating a solvent with an unknown abuse potential we tested ISOPAR-E. ISOPAR-E is a mixture of predominantly C8-C9 isoparaffinic hydrocarbons that is being used more and more frequently as a solvent in industrial and consumer products, including, but not limited to, typewriter correction fluids. Presently, nothing is known about the potential for abuse of products containing this solvent. In the present studies, we compared the volatility of ISOPAR-E and the abused solvent 1,1,1-trichloroethane (TCE) in our exposure systems. Additionally, five behavioral procedures were conducted in mice to compare the effects of the two compounds. The results demonstrate that: (1) ISOPAR-E was less volatile than TCE; (2) ISOPAR-E produced a somewhat different profile of effects than did TCE as assessed with a functional observational battery; (3) unlike TCE, ISOPAR-E did not affect performance on tests of motor coordination; (4) TCE and ISOPAR-E produced concentration-related decreases in schedule-controlled operant performance with recovery from TCE being somewhat more rapid; (5) ISOPAR-E produced cross dependence in TCE-dependent mice; and (6) both TCE and ISOPAR-E produced substantial levels of ethanol-lever responding in a drug discrimination procedure, although the ethanol-like effects of ISOPAR-E only occurred at response rate decreasing concentrations. Overall, there was a poorer separation of behavioral and lethal concentrations for ISOPAR-E than for TCE. Although a somewhat different profile of behavioral effects was obtained with ISOPAR-E and TCE, we cannot say with certainty if enough similarities exist with abused inhalants to predict that ISOPAR-E would be subject to depressant-like abuse

  2. Effectiveness of Role Play on Knowledge of Adolescents Regarding Substance Abuse

    Nomimol Lucy Thomas,; Prakash M Naregal,; Vaishali R. Mohite; Sunita H Tata; Rajashri B Karale; S.V. Kakade

    2015-01-01

    Background: Substance abuse and dependency are most common during adolescence. Adolescents are in a transitional phase, confusion can sometimes make them susceptible to taking up unfavourable habits. Attitude shaping by parents and knowledge of harmfulness of substance abuse can indirectly motivate the user to give up the habit. Substance abuse control programmes, focusing on youth, are essential, to reduce the burden of related diseases. Objectives: It was aimed to...

  3. Adolescent Health-Risk Sexual Behaviors: Effects of a Drug Abuse Intervention

    Hops, Hyman; Ozechowski, Timothy J.; Waldron, Holly B.; Davis, Betsy; Turner, Charles W.; Brody, Janet L.; Barrera, Manuel

    2011-01-01

    Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to indiv...

  4. Industrialization Stresses, Alcohol Abuse & Substance Dependence: Differential Gender Effects in a Kenyan Rural Farming Community

    Walt, Lisa C.; Kinoti, Elias; Jason, Leonard A.

    2013-01-01

    Developing countries’ industrialization and urbanization attempts have been linked to psychological distress and alcohol abuse. We used Hobfoll’s COR theory to examine the relationship between gender, perceived resource loss (an indicator of industrialization stress), and alcohol abuse and dependence in a sample of Kenyan rural village men and women (N = 186). Regression analyses indicated that both gender and COR loss predicted alcohol abuse and dependence. Additionally, results suggested th...

  5. The Effects of Alcohol Abuse on Pulmonary Alveolar-Capillary Barrier Function in Humans

    Burnham, Ellen L.; Halkar, Raghuveer; Burks, Marsha; Moss, Marc

    2008-01-01

    Aims: Alcohol abuse is associated with the development of the acute respiratory distress syndrome, a disorder characterized by abnormal alveolar-capillary permeability. We hypothesized that individuals with a history of alcohol abuse would have clinical evidence of abnormal alveolar-capillary permeability even in the absence of symptoms. This could contribute to their propensity for the development of this disorder. Methods: Thirty-three subjects with a history of alcohol abuse, but no other ...

  6. Effect of Life Skills Training on Drug Abuse Preventive Behaviors among University Students

    Moshki, Mahdi; Hassanzade, Tahere; Taymoori, Parvaneh

    2014-01-01

    Background: Drug abuse is now-a-days one of the gravest social harms. Recent years have experienced a drastic rise in drug abuse among school and university students. Thus, the need for special attention to the issue is deemed important. The present study was conducted with the aim of assessing the impact of life skills training on promotion of drug abuse preventive behaviors. Methods: This field trial experimental study was conducted on 60 students of Gonabad Medical University selected thro...

  7. Child abuse

    Child abuse is common in most, if not all, Western nations; it probably occurs worldwide. It may be a major factor in the increase in violence throughout much of the world. Radiologists who treat children should think of the possibilitys of abuse whenever they diagnose a fracture, intracranial bleed, ar visceral injury, especially when the history is not compatible with their findings. Metaphyseal 'corner' fractures in infants usually are caused by abuse. Less than 20% of abused children, however, present injuries that can be recognized by radiologic techniques. Consequently normal roentgenograms, nuclear medicine scans, ultrasound studies, and computed tomograms do not exclude child abuse. (orig.)

  8. Enhanced Case Management versus Substance Abuse Treatment Alone among Substance Abusers with Depression

    Striley, Catherine W.; Nattala, Prasanthi; Ben Abdallah, Arbi; Dennis, Michael L.; Cottler, Linda B.

    2013-01-01

    This pilot study evaluated the effectiveness of enhanced case management for substance abusers with comorbid major depression, which was an integrated approach to care. One hundred and 20 participants admitted to drug treatment who also met Computerized Diagnostic Interview Schedule criteria for major depression at baseline were randomized to…

  9. IMPACT OF TREATMENT INTEGRITY ON INTERVENTION EFFECTIVENESS

    Fryling, Mitch J; Wallace, Michele D; Yassine, Jordan N

    2012-01-01

    Treatment integrity has cogent implications for intervention effectiveness. Understanding these implications is an important, but often neglected, undertaking in behavior analysis. This paper reviews current research on treatment integrity in applied behavior analysis. Specifically, we review research evaluating the relation between integrity failures and the efficacy of behavioral interventions. Avenues for future research are provided.

  10. Abuse Potential of Pregabalin

    Schjerning, Ole; Rosenzweig, Mary; Pottegård, Anton;

    2016-01-01

    BACKGROUND: Several case reports and epidemiological studies have raised concern about the abuse potential of pregabalin, the use of which has increased substantially over the last decade. Pregabalin is, in some cases, used for recreational purposes and it has incurred attention among drug abusers...... for causing euphoric and dissociative effects when taken in doses exceeding normal therapeutic dosages or used by alternative routes of administration, such as nasal insufflation or venous injection. The magnitude of the abuse potential and the mechanism behind it are not fully known. OBJECTIVE: The...... aim of this study was to present a systematic review of the data concerning the abuse potential of pregabalin. METHODS: We performed a systematic literature search and reviewed the preclinical, clinical and epidemiological data on the abuse potential of pregabalin. RESULTS: We included preclinical (n...

  11. Can Norm Theory Explain the Effects of Victim Age and Level of Physical Maturity on Perceptions of Child Sexual Abuse?

    Rogers, Paul; Davies, Michelle; Anderson, Irina; Potton, Anita

    2011-01-01

    The present study examines the effects of victim age, victim physical maturity, and respondent gender on attributions toward victims, perpetrator, and the nonoffending members of the victim's family in a hypothetical child sexual abuse (CSA) case. Participants read a brief CSA vignette in which the male perpetrator (a school caretaker) sexually…

  12. Early Marriage, Rape, Child Prostitution, and Related Factors Determining the Psychosocial Effects Severity of Child Sexual Abuse in Ethiopia

    Wondie, Yemataw; Zemene, Workie; Reschke, Konrad; Schroder, Harry

    2011-01-01

    This study was aimed at identifying factors that determine the psychosocial effects severity of child sexual abuse. Data were collected from 318 female children in Ethiopia using the Children's Impact of Traumatic Events Scale-Revised and the Rosenberg Self-Esteem Scale. The results revealed that respondents who survived rape and child…

  13. Relations between Parent Psychopathology, Family Functioning, and Adolescent Problems in Substance-Abusing Families: Disaggregating the Effects of Parent Gender

    Burstein, Marcy; Stanger, Catherine; Dumenci, Levent

    2012-01-01

    The present study: (1) examined relations between parent psychopathology and adolescent internalizing problems, externalizing problems, and substance use in substance-abusing families; and (2) tested family functioning problems as mediators of these relations. Structural equation modeling was used to estimate the independent effects of parent…

  14. Effect of phosphate and meat (pork) types on the germination and outgrowth of Clostridium perfringens spores during abusive chilling

    The effect of blends of phosphates and the pork meat type (pale, soft and exudative, PSE; normal; and dark, firm and dry, DFD) on the germination and outgrowth of Clostridium perfringens during abusive exponential chilling times was evaluated. Two different phosphates, tetrasodium pyrophosphate (TSP...

  15. A Model of Sexual Abuse's Effects on Suicidal Behavior and Delinquency: The Role of Emotions as Mediating Factors

    Sigfusdottir, Inga Dora; Asgeirsdottir, Bryndis Bjork; Gudjonsson, Gisli H.; Sigurdsson, Jon Fridrik

    2008-01-01

    Drawing on Agnew's general strain theory, we examined whether depressed mood and anger mediated the effects of sexual abuse on suicidal behavior and delinquency. Participants included 9,113 students attending high schools in Iceland. Structural equation modeling showed that, while controlling for family structure and parental education, being…

  16. Modification of pharmacokinetic and abuse-related effects of cocaine by human-derived cocaine hydrolase in monkeys

    Schindler, Charles W.; Justinova, Zuzana; LaFleur, David; Woods, Doug; Roschke, Viktor; Hallak, Hussein; Sklair-Tavron, Liora; Redhi, Godfrey H.; Yasar, Sevil; Bergman, Jack; Goldberg, Steven R.

    2012-01-01

    Although substantial research effort has focused on developing pharmacological treatments for cocaine abuse, no effective medications have been developed. Recent studies show that enzymes that metabolize cocaine in the periphery, forestalling its entry into the brain, can prevent cocaine toxicity and its behavioral effects in rodents. Here we report on effects of one such enzyme (Albu-CocH) on the pharmacokinetic and behavioral effects of cocaine in squirrel monkeys. Albu-CocH was developed f...

  17. "Effects of recombinant human erythropoietin high mimicking abuse doses on oxidative stress processes in rats".

    Bianchi, Sara; Fusi, Jonathan; Franzoni, Ferdinando; Giovannini, Luca; Galetta, Fabio; Mannari, Claudio; Guidotti, Emanuele; Tocchini, Leonardo; Santoro, Gino

    2016-08-01

    Although many studies highlight how long-term moderate dose of Recombinant Human Erythropoietin (rHuEPO) treatments result in beneficial and antioxidants effects, few studies take into account the effects that short-term high doses of rHuEPO (mimicking abuse conditions) might have on the oxidative stress processes. Thus, the aim of this study was to investigate the in vivo antioxidant activity of rHuEPO, administered for a short time and at high doses to mimic its sports abuse as doping. Male Wistar healthy rats (n=36) were recruited for the study and were treated with three different concentrations of rHuEPO: 7.5, 15, 30μg/kg. Plasma concentrations of erythropoietin, 8-epi Prostaglandin F2α, plasma and urinary concentrations of NOx were evaluated with specific assay kit, while hematocrit levels were analyzed with an automated cell counter. Antioxidant activity of rHuEPO was assessed analyzing the possible variation of the plasma scavenger capacity against hydroxylic and peroxylic radicals by TOSC (Total Oxyradical Scavenging Capacity) assay. Statistical analyses showed higher hematocrit values, confirmed by a statistically significant increase of plasmatic EPO concentration. An increase in plasma scavenging capacity against peroxyl and hydroxyl radicals, in 8-isoprostane plasmatic concentrations and in plasmatic and urinary levels of NOX were also found in all the treated animals, though not always statistically significant. Our results confirm the literature data regarding the antioxidant action of erythropoietin administered at low doses and for short times, whereas they showed an opposite incremental oxidative stress action when erythropoietin is administered at high doses. PMID:27470373

  18. The effect of intimate exposure to alcohol abuse on the acquisition of knowledge about drinking.

    Rainer, J P

    1994-01-01

    This study explored how an alcohol education program might be structured to effectively educate college students about the consequences of alcohol use. The primary hypothesis tested stated that individuals would vary significantly in the amount of knowledge learned from a structured alcohol education workshop, based on the degree of familial or social exposure s/he has had to alcohol abuse. Social learning variables of locus of control, dogmatism, and expectancy for risk were tested for interaction with degree of exposure, to determine their influence on learning. A pretest-posttest control group was employed with a sample of 66 undergraduate college students. A four hour alcohol education program was administered to teach cognitive information and fact about alcohol, with a goal of facilitating responsible use/nonuse of alcohol. The Student Drinking Questionnaire measured acquisition of knowledge. The Adult Nowicki-Strickland Internal/External Scale measured locus of control, and Schultze's Short Dogmatism Scale measured dogmatism. The researcher developed an instrument for expectancy for risk. Multiple regression analyses yielded prediction equations for the variables under study. For the sample group, results demonstrated that a significant portion of the variance in the residualized posttest scores was accounted for by level of exposure and dogmatism. When the sample was blocked according to intimate or social exposure, dogmatism was the only construct entering the regression equation at a significant level for the intimate exposure group. None of the constructs were able to predict any of the residualized posttest scores for the social exposure group. It was concluded that: (1) Students in the sample learned differentially based on the degree of intimate exposure of alcohol; (2) Dogmatism is a moderating variable with acquisition of knowledge for those intimately exposed to alcohol abuse, but locus of control and expectancy for risk are not; and (3) Further

  19. CUTANEOUS COMPLICATIONS OF INJECTION DRUG ABUSE

    Bimal; De, Anuradha; Sandeep Kumar

    2014-01-01

    Drug abuse is a worldwide problem with disastrous consequences for the patient, family and society at large. The case of injection drug abusers seems a little different as cutaneous complications may occur. Considering these complications the present article attempts to review the adverse effects of parenteral drug abuse on the skin including the common skin and soft tissue infections secondary to the drug abuse.

  20. A Call for Integrating a Mental Health Perspective into Systems of Care for Abused and Neglected Infants and Young Children

    Osofsky, Joy D.; Lieberman, Alicia F.

    2011-01-01

    A system of care for abused and neglected infants and young children should adopt a comprehensive perspective, with mental health considerations systematically incorporated into policies and decisions affecting children and their families. Children age birth to 5 years have disproportionately high rates of maltreatment, with long-term consequences…

  1. Trajectories of Childhood Aggression and Inattention/Hyperactivity: Differential Effects on Substance Abuse in Adolescence

    Jester, Jennifer M.; Nigg, Joel T.; Buu, Anne; Puttler, Leon I.; Glass, Jennifer M.; Heitzeg, Mary M.; Fitzgerald, Hiram E.; Zucker, Robert A.

    2008-01-01

    335 children of alcoholic and nonalcoholic fathers were examined to study the relation between childhood behavior trajectories and adolescent substance abuse. Findings suggested that children with both aggression and inattention/hyperactivity were at an increased risk of substance abuse when compared to children with only inattention/hyperactivity…

  2. Protective and Vulnerability Factors for Physically Abused Children: Effects of Ethnicity and Parenting Context

    Haskett, Mary E.; Allaire, Jason C.; Kreig, Shawn; Hart, Kendrea C.

    2008-01-01

    Objective: Although social maladjustment appears to be common among abused children, negative outcomes are not inevitable. This investigation was designed to determine whether ethnicity and features of the parenting context predicted children's social adjustment, and whether the strength and direction of these relations differed for abused and…

  3. Tackling the health and mental health effects of domestic and sexual violence and abuse

    Itzin, Catherine

    2006-01-01

    This document sets out a programme of work to equip services and professionals to identify and respond to the health and mental health needs of individuals affected by domestic violence, childhood sexual abuse, rape, oblique sexual assault and sexual exploitation including children, adolescents, and adults, both victims and abusers, male and female.

  4. Notes on the Lasting Effects of Early Child Abuse throughout the Life Cycle.

    Steele, Brandt F.

    1986-01-01

    Common themes in research on individuals who were abused as children are reviewed, noting transmission of a basic inability to provide good parenting. Psychological residues are discussed (including low self-esteem) along with delinquency, depression, attachment disorders, and sexual abuse. (CL)

  5. Industrialization Stresses, Alcohol Abuse & Substance Dependence: Differential Gender Effects in a Kenyan Rural Farming Community

    Walt, Lisa C.; Kinoti, Elias; Jason, Leonard A.

    2013-01-01

    Developing countries' industrialization and urbanization attempts have been linked to psychological distress and alcohol abuse. We used Hobfoll's COR theory to examine the relationship between gender, perceived resource loss (an indicator of industrialization stress), and alcohol abuse and dependence in a sample of Kenyan rural village men and…

  6. Service Utilization, Perceived Changes of Self, and Life Satisfaction among Women Who Experienced Intimate Partner Abuse: The Mediation Effect of Empowerment

    Song, Li-yu

    2012-01-01

    This study explored the growth experiences of women abused by their intimate partner, specifically focusing on the associations between social services and empowerment, perceived changes of self, and life satisfaction. The potential effects of demographic variables, social support, coping, and experience of partner abuse were also explored. A…

  7. A Pilot Trial of Integrated Behavioral Activation and Sexual Risk Reduction Counseling for HIV-Uninfected Men Who Have Sex with Men Abusing Crystal Methamphetamine

    Mimiaga, Matthew J.; Reisner, Sari L.; Pantalone, David W.; O'Cleirigh, Conall; Mayer, Kenneth H.; Safren, Steven A.

    2012-01-01

    Crystal methamphetamine use is a major driver behind high-risk sexual behavior among men who have sex with men (MSM). Prior work suggests a cycle of continued crystal methamphetamine use and high-risk sex due to loss of the ability to enjoy other activities, which appears to be a side effect of this drug. Behavioral activation (BA) is a treatment for depression that involves learning to reengage in life's activities. We evaluated a novel intervention for crystal methamphetamine abuse and high...

  8. Effect of a qigong intervention program on telomerase activity and psychological stress in abused Chinese women: a randomized, wait-list controlled trial

    Tiwari, Agnes; Chan, Cecilia Lai Wan; Ho, Rainbow Tin Hung; Tsao, George Sai Wah; Deng, Wen; Hong, Athena Wai Lin; Fong, Daniel Yee Tak; Fung, Helina Yin King Yuk; Shin Pang, Emily Pei; Cheung, Denise Shuk Ting; Ma, Joyce Lai Chong

    2014-01-01

    BACKGROUND: Abused women, who suffer from chronic psychological stress, have been shown to have shorter telomeres than never abused women. Telomere shortening is associated with increased risk of cell death, and it is believed that adopting health-promoting behaviors can help to increase the activity of telomerase, an enzyme that counters telomere shortening. Qigong is an ancient Chinese mind-body integration, health-oriented practice designed to enhance the function of qi, an energy that sus...

  9. Effects of the Trace Amine-Associated Receptor 1 Agonist RO5263397 on Abuse-Related Effects of Cocaine in Rats

    Thorn, David A; Jing, Li; Qiu, YanYan; Amy M. Gancarz-Kausch; Galuska, Chad M.; Dietz, David M.; Zhang, Yanan; Li, Jun-Xu

    2014-01-01

    Animal knockout studies suggest that trace amine-associated receptor (TAAR) 1 is involved in behavioral effects of psychostimulants such as cocaine. Recently, several highly selective TAAR 1 agonists have been discovered. However, little is known of the impact of TAAR 1 agonists on abuse-related effects of cocaine. Here, we report the effects of a TAAR 1 agonist RO5263397 on several abuse-related behavioral effects of cocaine in rats. RO5263397 was evaluated for its effects on cocaine-induced...

  10. Alcoholism and Alcohol Abuse

    ... drinking once you've started Physical dependence - withdrawal symptoms Tolerance - the need to drink more alcohol to feel the same effect With alcohol abuse, you are not physically dependent, but you still ...

  11. The cost and cost-effectiveness of an enhanced intervention for people with substance abuse problems at risk for HIV.

    Zarkin, G A; Lindrooth, R C; Demiralp, B; Wechsberg, W

    2001-01-01

    OBJECTIVE: To estimate the costs, effectiveness, and cost-effectiveness of prevention interventions for out-of-treatment substance abusers at risk for HIV. This is the first cost-effectiveness study of an AIDS intervention that focuses on drug use as an outcome. STUDY DESIGN: We examined data from the North Carolina Cooperative Agreement site (NC CoOp). All individuals in the study were given the revised NIDA standard intervention and randomly assigned to either a longer, more personalized en...

  12. Studies of the Effectiveness of Treatments for Drug Abuse, Based on the Drug Abuse Reporting Program (DARP): 1974. IBR Report 74-26.

    Texas Christian Univ., Fort Worth. Inst. of Behavioral Research.

    The papers included in this volume are part of a programmatic investigation involving the evaluation of treatments for drug abuse. The studies are based on treatment outcome criteria for the patient sample representing all admissions during year 3 (June 1, 1971 to May 31, 1972) of the Drug Abuse Reporting Program (DARP). The overall strategy of…

  13. Integration of lateral flow and micro array technologies for multiplex immunoassay: application to the determination of drugs of abuse

    We report on a lateral flow micro array that combines multi-spot immunochip technology and immunochromatography. It can serve as a tool for the simultaneous detection of multiple analytes. The test zone of the nitrocellulose support comprises a micro array spotted with up to 32 antigens that can capture labeled gold-antibodies after lateral flow. The detection limits and detectable concentration ranges of the assay were characterized. The method was applied to the determination of drugs of abuse (and their metabolites) in urine, specifically of morphine, amphetamine, methamphetamine, and benzoylecgonine. The assay format is rapid (10 min), and has both a low relative standard deviation (-1 for drugs of abuse) are comparable to those of conventional single-analyte strip methods. (author)

  14. A pilot trial of integrated behavioral activation and sexual risk reduction counseling for HIV-uninfected men who have sex with men abusing crystal methamphetamine.

    Mimiaga, Matthew J; Reisner, Sari L; Pantalone, David W; O'Cleirigh, Conall; Mayer, Kenneth H; Safren, Steven A

    2012-11-01

    Crystal methamphetamine use is a major driver behind high-risk sexual behavior among men who have sex with men (MSM). Prior work suggests a cycle of continued crystal methamphetamine use and high-risk sex due to loss of the ability to enjoy other activities, which appears to be a side effect of this drug. Behavioral activation (BA) is a treatment for depression that involves learning to reengage in life's activities. We evaluated a novel intervention for crystal methamphetamine abuse and high-risk sex in MSM, incorporating 10 sessions of BA with integrated HIV risk reduction counseling (RR). Forty-four subjects were screened, of whom 21 met initial entry criteria. A total of 19 participants enrolled; 16 completed an open-phase study of the intervention. Behavioral assessments were conducted at baseline, 3 months postbaseline, and 6 months postbaseline. Linear mixed effects regression models were fit to assess change over time. Mean unprotected anal intercourse (UAI) episodes decreased significantly from baseline to acute postintervention (β=-4.86; 95% confidence interval [CI]=-7.48, -2.24; p=0.0015) and from baseline to 6 months postbaseline (β=-5.07; 95% CI=-7.85, -2.29; p=0.0017; test of fixed effects χ(2)=16.59; df=2,13; p=0.0002). On average, there was a significant decrease over time in the number of crystal methamphetamine episodes in the past 3 months (χ(2)=22.43; df=2,15; p<0.0001), and the number of days of crystal methamphetamine use in the past 30 days (χ(2)=9.21; df=2,15; p=0.010). Statistically significant reductions in depressive symptoms and poly-substance use were also maintained. Adding behavioral activation to risk reduction counseling for MSM with problematic crystal methamphetamine use may augment the potency of a risk reduction intervention for this population. Due to the small sample size and time intensive intervention, future testing in a randomized design is necessary to determine efficacy, with subsequent effectiveness testing. PMID

  15. Effect of Educational Program to Decrease Substance Abuse among Suburban Bus Drivers Based on Theory of Planned Behavior

    Moeini, B.; S. Bashirian; A. Moghimbeigi; V. Kafami; A.A. Mousali

    2015-01-01

    Introduction & Objective: Driving under the influence of drugs is considered a social pathology that has adverse effects on a society. This study aimed to investigate the effect of substance abuse educational program among the bus drivers on the basis of the theory of planned be-havior. Materials & Methods: This quasi-experimental study was conducted on 80 suburban bus drivers working at Hamadan transportation terminal. The bus drivers were randomly divided in two equal groups (intervention a...

  16. How to Handle Abuse

    ... abuse: physical, sexual, verbal or emotional, and neglect. Physical abuse: Physical abuse is hitting hard with a hand or an ... choking, painful grabbing, and kicking also can be physical abuse. Sexual abuse: Your body has private parts. These ...

  17. Impact of Treatment Integrity on Intervention Effectiveness

    Fryling, Mitch J.; Wallace, Michele D.; Yassine, Jordan N.

    2012-01-01

    Treatment integrity has cogent implications for intervention effectiveness. Understanding these implications is an important, but often neglected, undertaking in behavior analysis. This paper reviews current research on treatment integrity in applied behavior analysis. Specifically, we review research evaluating the relation between integrity…

  18. Post irradiation effects (PIE) in integrated circuits

    Post Irradiation Effects (PIE) ranging from normal recovery catastrophic failure have been observed in integrated circuits during the PIE period. These variations indicate that a rebound or PIE recipe used for radiation hardness assurance must be chosen with care. In this paper, the authors provide examples of PIE in a variety of integrated circuits of importance to spacecraft electronics

  19. Inhalant Abuse

    ... she is likely to try other kinds of drugs, especially alcohol and marijuana. Symptoms How can I tell if my child is abusing inhalants? It can be hard to recognize the signs of inhalant abuse. Teenagers who use inhalants may have some of the ...

  20. Abusive Relationships

    ... leaving. Where to Get Help Ending abuse and violence in teen relationships is a community effort with plenty of ... other ways to get involved in making sure dating abuse doesn’t happen to people in your school. Reviewed by: D'Arcy Lyness, PhD Date reviewed: May ... For Teens For Kids For Parents MORE ON THIS TOPIC ...

  1. Treating paternal drug abuse using Learning Sobriety Together: Effects on adolescents versus children

    Kelley, Michelle L.; Fals-Stewart, William

    2007-01-01

    The focus of this study was whether couples-based treatment for substance abuse had comparable secondary benefits on the internalizing and externalizing behaviors of adolescent versus child siblings living in their homes. Couples took part in a couples-based treatment for substance abuse that combines Behavioral Couples Therapy and individual counseling (i.e., Learning Sobriety Together). During a 17-month assessment period, the relationship between parents’ functioning (i.e., fathers’ drug u...

  2. Evaluation of the Effectiveness of Client Participation in Drug Abuse Treatment

    Akbar Aliverdinia

    2014-01-01

    The results suggest an inverse relationship between participation in the treatment process and differential association. Previous studies have also shown that as long as the patient is present in the treatment system there is a lower risk of committing social crimes. In general, we can conclude that participation in the treatment process leads to reduction of drug abuse by increasing associations and beliefs that are against drug abuse and by negating positive attitudes towards drugs.

  3. Brief strategic family therapy™ for adolescent drug abusers: A multi-site effectiveness study☆

    Robbins, Michael S.; Szapocznik, José; Horigian, Viviana E.; Feaster, Daniel J.; Puccinelli, Marc; Jacobs, Petra; Burlew, Kathy; Werstlein, Robert; Bachrach, Ken; Brigham, Greg

    2009-01-01

    Brief strategic family therapy™ (BSFT) is a manualized treatment designed to address aspects of family functioning associated with adolescent drug use and behavior problems (J. Szapocznik, U. Hervis, S. Schwartz, (2003). Brief strategic family therapy for adolescent drug abuse. (NIH Publication No. 03-4751). Bethesda, MD: National Institute on Drug Abuse). Within the National Institute on Drug Abuse’s (NIDA’s) Clinical Trials Network, BSFT is being compared to treatment as usual (TAU) in a mu...

  4. Evaluation of the Effectiveness of Client Participation in Drug Abuse Treatment

    Akbar Aliverdinia; S. Ahmad Mir Mohamad Tabar Divkolai

    2014-01-01

    Introduction Drug abuse seems to be a major problem in all contemporary societies; it has destroyed millions of lives and fighting it has consumed a substantial percentage of national budgets around the world (UN Drug Report, 2011: 8).Iran has one of the most serious drug problems in the world and the latest Rapid Situation Assessment (RSA), which was conducted in 2010 by the authorities in the country, estimated the number of drug users - both drug abusers and recreational drug users – to...

  5. Alcohol abuse and HIV infection have additive effects on frontal cortex function as measured by auditory evoked potential P3A latency.

    Fein, G; Biggins, C A; MacKay, S

    1995-02-01

    Both alcohol and human immunodeficiency virus (HIV) infection have been shown to produce central nervous system (CNS) morbidity in frontal brain regions. The degree to which the CNS morbidity in HIV infection, as it affects frontal cortex function, may be preferentially increased by alcohol abuse was examined using the auditory P3A evoked potential. The P3A indexes an orienting response, maximal over frontal cortex that occurs when novel nontarget stimuli are presented in the midst of a target detection paradigm. Four groups of subjects were compared: HIV+ alcohol abusers, HIV+ light/nondrinkers, HIV- alcohol abusers, and HIV- light/nondrinkers. The alcohol abuser and light/nondrinker HIV+ groups were matched on percent CD4 lymphocytes, insuring that the results reflected specific CNS effects and were not a result of differences between the groups in the degree of systemic immune suppression. Alcohol abuse and HIV infection had at least additive effects on P3A latency, consistent with alcohol abuse worsening the effect of HIV disease on frontal cortex function. Post-hoc analyses suggested that concomitant alcohol abuse results in the effects of HIV infection on P3A latency becoming manifest earlier in the HIV disease process. PMID:7727627

  6. Concentration-effect relationships for the drug of abuse gamma-hydroxybutyric acid.

    Felmlee, Melanie A; Roiko, Samuel A; Morse, Bridget L; Morris, Marilyn E

    2010-06-01

    gamma-Hydroxybutyric acid (GHB) is an endogenous neurotransmitter that is abused because of its sedative/hypnotic and euphoric effects. The objectives of this study were to evaluate the concentration-effect relationships of GHB in plasma, cerebrospinal fluid (CSF), brain (whole and discrete brain regions), and brain frontal cortex extracellular fluid. This information is crucial for future studies to evaluate effects of therapeutic interventions on the toxicodynamics of GHB. GHB (200-1000 mg/kg) was administered intravenously to rats, and plasma and frontal cortex microdialysate samples were collected for up to 6 h after the dose, or plasma, CSF, and brain (whole, frontal cortex, striatum, and hippocampus) concentrations were determined at the offset of its sedative/hypnotic effect [return to righting reflex (RRR)]. GHB-induced changes in the brain neurotransmitters gamma-aminobutyric acid (GABA) and glutamate were also determined. GHB, GABA, and glutamate concentrations were measured by liquid chromatography/tandem mass spectrometry. GHB-induced sleep time significantly increased in a dose-dependent manner (20-fold increase from 200 to 1000 mg/kg). GHB concentrations in plasma (300-400 microg/ml), whole brain (70 microg/g), discrete brain regions (80-100 microg/g), and brain microdialysate (29-39 microg/ml) correlated with RRR. In contrast, CSF GHB and GABA and glutamate concentrations in discrete brain regions exhibited no relationship with RRR. Our results suggest that GHB-induced sedative/hypnotic effects are mediated directly by GHB and that at high GHB doses, GABA formation from GHB may not contribute to the observed sedative/hypnotic effect. These results support the use of a clinical GHB detoxification strategy aimed at decreasing plasma and brain GHB concentrations after GHB overdoses. PMID:20215411

  7. Concentration-Effect Relationships for the Drug of Abuse γ-Hydroxybutyric Acid

    Felmlee, Melanie A.; Roiko, Samuel A.; Morse, Bridget L.

    2010-01-01

    γ-Hydroxybutyric acid (GHB) is an endogenous neurotransmitter that is abused because of its sedative/hypnotic and euphoric effects. The objectives of this study were to evaluate the concentration-effect relationships of GHB in plasma, cerebrospinal fluid (CSF), brain (whole and discrete brain regions), and brain frontal cortex extracellular fluid. This information is crucial for future studies to evaluate effects of therapeutic interventions on the toxicodynamics of GHB. GHB (200–1000 mg/kg) was administered intravenously to rats, and plasma and frontal cortex microdialysate samples were collected for up to 6 h after the dose, or plasma, CSF, and brain (whole, frontal cortex, striatum, and hippocampus) concentrations were determined at the offset of its sedative/hypnotic effect [return to righting reflex (RRR)]. GHB-induced changes in the brain neurotransmitters γ-aminobutyric acid (GABA) and glutamate were also determined. GHB, GABA, and glutamate concentrations were measured by liquid chromatography/tandem mass spectrometry. GHB-induced sleep time significantly increased in a dose-dependent manner (20-fold increase from 200 to 1000 mg/kg). GHB concentrations in plasma (300–400 μg/ml), whole brain (70 μg/g), discrete brain regions (80–100 μg/g), and brain microdialysate (29–39 μg/ml) correlated with RRR. In contrast, CSF GHB and GABA and glutamate concentrations in discrete brain regions exhibited no relationship with RRR. Our results suggest that GHB-induced sedative/hypnotic effects are mediated directly by GHB and that at high GHB doses, GABA formation from GHB may not contribute to the observed sedative/hypnotic effect. These results support the use of a clinical GHB detoxification strategy aimed at decreasing plasma and brain GHB concentrations after GHB overdoses. PMID:20215411

  8. Hidden Abuse within the Home: Recognizing and Responding to Sibling Abuse

    Stutey, Diane; Clemens, Elysia V.

    2015-01-01

    Sibling abuse is a serious phenomenon in our society that often goes unaddressed. Victims of sibling abuse experience psychological effects similar to those of child abuse (Caspi, 2012; Wiehe, 2002). The purpose of this article is to provide school counselors with a definition of sibling abuse and a five-step model to recognize and respond. A…

  9. Low-dose naloxone provides an abuse-deterrent effect to buprenorphine

    Webster LR

    2015-11-01

    Full Text Available Lynn R Webster,1 Michael D Smith,1 Cemal Unal,2 Andrew Finn3 1PRA Health Sciences, Salt Lake City, UT, USA; 2Biometrical Solutions LLC, Raleigh, NC, USA; 3BioDelivery Sciences International, Inc., Raleigh, NC, USA Abstract: In developmental research, plasma buprenorphine concentrations comparable to a 2 mg buprenorphine–naloxone (BN sublingual tablet have been achieved with a 0.75 mg dose of BN buccal film, a small, bioerodible polymer film for application to mucosal membranes. This was a randomized, double-blind, placebo-controlled, single-dose, four-period crossover study in opioid-dependent subjects with chronic pain receiving >100 mg oral morphine equivalents daily who experienced withdrawal following a naloxone challenge dose. The objective of the study was to determine if intravenous (IV naloxone doses of 0.1 and 0.2 mg would produce a withdrawal response when coadministered with a 0.75 mg IV dose of buprenorphine. Fifteen subjects receiving 90–1,260 mg oral morphine equivalents per day enrolled and completed the study. Precipitated withdrawal occurred in 13% (2/15 of placebo-treated subjects and 47% (7/15 of buprenorphine-treated subjects. When combined with the 0.75 mg dose of buprenorphine, a 0.1 mg dose of naloxone increased the incidence of precipitated withdrawal to 60%, and a 0.2 mg dose of naloxone increased the incidence to 73%. By 15 minutes postdose, the mean change in Clinical Opioid Withdrawal Scale (COWS score from predose was 3.0 for placebo, 6.9 for buprenorphine, 9.8 for BN 0.1 mg, and 12.4 for BN 0.2 mg. The mean COWS score with each active treatment was significantly greater than placebo (P<0.001, and the mean COWS score for each of the naloxone-containing treatments was significantly greater than for buprenorphine alone (P<0.001. Naloxone doses as low as 0.1 mg added an abuse-deterrent effect to a 0.75 mg IV dose of buprenorphine. Keywords: opioid dependence, withdrawal symptoms, abuse-deterrent, buprenorphine

  10. Heterogeneous Economic Integration Agreement Effects

    Scott L. Baier; Jeffrey H. Bergstrand; Clance, Matthew W.

    2015-01-01

    Gravity equations have been used for more than 50 years to estimate ex post the partial effects of trade costs on international trade flows, and the well-known - and traditionally presumed exogenous – “trade-cost elasticity” plays a central role in computing general equilibrium trade-flow and welfare effects of trade-cost changes. This paper addresses theoretically and empirically the influence of variable and fixed export costs in explaining the likely heterogeneity in the trade-cost elastic...

  11. Child Abuse and Domestic Abuse

    ... Traumatic Stress Disorder Reporting Domestic Abuse Reporting Suspected Child Abuse or Neglect Traumatic Brain Injury Family & Relationships There’s more to a military family than moving and deployments — take us along through each phase of your military ... Care and Youth Programs Parenting Military Youth on ...

  12. Caregiver Unresolved Loss and Abuse and Child Behavior Problems: Intergenerational Effects in a High-Risk Sample

    Zajac, Kristyn; Kobak, Roger

    2009-01-01

    This study examines the intergenerational effects of caregivers’ Unresolved loss and abuse on children’s behavior problems from middle childhood to early adolescence in an economically disadvantaged sample. One hundred twenty four caregivers completed the Adult Attachment Interview (AAI) and a lifetime trauma interview during the age 13 wave of the study. Child behavior problems were assessed at four time points (ages 6, 8, 10, and 13) with teacher-reported CBCL total problem scales. The chil...

  13. Relations Between Parent Psychopathology, Family Functioning, and Adolescent Problems In Substance-Abusing Families: Disaggregating the Effects of Parent Gender

    Burstein, Marcy; Stanger, Catherine; Dumenci, Levent

    2012-01-01

    The present study: (1) examined relations between parent psychopathology and adolescent internalizing problems, externalizing problems, and substance use in substanceabusing families; and (2) tested family functioning problems as mediators of these relations. Structural equation modeling was used to estimate the independent effects of parent psychopathology and family functioning problems by parent gender. Participants included 242 parents in treatment for substance abuse and/or dependence an...

  14. On the Effectiveness of Group Dialectical Behavior Therapy in the Enhancement of Distress Tolerance and Emotional Regulation in Substance Abusers

    mohsen nadimi

    2016-01-01

    Objective: The aim of this study was to investigate the effectiveness of group dialectical behavior therapy in the improvement of distress tolerance and emotion regulation among substance abusers. Method: A quasi-experimental study along with pretest-posttest and control group was used for the conduct of this study. The population of the study consisted of all addicts referring to addiction treatment center of Zahedshahr (Omid Center) in summer 2012. From among this population, the number of ...

  15. TECHNOLOGY INTEGRATION EFFECTS ON TEACHERS’ ACHIEVEMENT

    Naji SALEH

    2015-04-01

    Full Text Available This article investigates the effects of technology integration on teachers’ achievement. The previous literature in this regard was reviewed and a sample of teachers was chosen from 7-9 grade teachers. The sample consisted of 50 teachers males and females with different years of experience and different number of training courses. The questionnaire included paragraphs about the effect of technology integration on their achievement in school and in teaching. The results showed a great effect of technology integration on teachers’ achievement. The results also showed no differences attributed to teacher’s gender and that there were differences attributed to teacher’s years of experience and number of training courses. The article shows the aspects in which the achievement of teachers was influenced by technology integration.

  16. Peer abuse

    Alikaşifoğlu, Müjgan

    2011-01-01

    Peer abuse is commonly seen as bullying behaviors The most common definition of bullying used in the literature was formulated by Dan nbsp;Olweus According to Olweus bullying is an aggressive behavior that: a is intended to cause harm or distress b occurs repeatedly over nbsp;time and c occurs in a relationship in which there is an imbalance of power Peer abuse shares many characteristics with other types of nbsp;abuse namely child maltreatment and domestic violence Bullying behaviors may be ...

  17. Effect of Educational Program to Decrease Substance Abuse among Suburban Bus Drivers Based on Theory of Planned Behavior

    B. Moeini

    2015-01-01

    Full Text Available Introduction & Objective: Driving under the influence of drugs is considered a social pathology that has adverse effects on a society. This study aimed to investigate the effect of substance abuse educational program among the bus drivers on the basis of the theory of planned be-havior. Materials & Methods: This quasi-experimental study was conducted on 80 suburban bus drivers working at Hamadan transportation terminal. The bus drivers were randomly divided in two equal groups (intervention and control. Intervention program design was implemented after diagnostic evaluation. The effect of educational intervention on behavior was assessed two months after the last training session. SPSS -16 was employed for data analysis. Results: After the educational intervention, the average rates of the constructs of the theory of planned behavior in the intervention group significantly increased but these changes were not significant in the control group: attitude (t=9.53, P=0.000, subjective Norms (t=9.59, P=0.000, perceived behavioral control (t=-4.14, P =0.000. Also, behavioral intention to substance abuse avoidance and current behavior for substance abuse significantly decreased in the intervention group as compared to the control group (P<0.05. Behavioral intention and current behavior in the intervention group subsided from 15 and 12 people before the educational intervention to 3 and 0 people at the end of the educational program, respec-tively. Conclusion: The results showed that using the theory of planned behavior along with the train-ing skills strategies to resist drug abuse has a significant impact to create a psychiatric immu-nization and substance refusal in drivers. (Sci J Hamadan Univ Med Sci 2015; 21 (4:330-340

  18. Evaluations of the effects of Sweden's spanking ban on physical child abuse rates: a literature review.

    Larzelere, R E; Johnson, B

    1999-10-01

    Sweden's 1979 law banning corporal punishment by parents was welcomed by many as a needed policy to help reduce physical abuse of children. This study reviews the published empirical evidence relevant to that goal. Only seven journal articles with pertinent data were located. One study reported that the rate of physical child abuse was 49% higher in Sweden than in the USA, comparing its 1980 Swedish national survey with the average rates from two national surveys in the United States in 1975 and 1985. In contrast, a 1981 retrospective survey of university students suggested that the Swedish abuse rate had been 79% less than the American rate prior to the Swedish spanking ban. Some unpublished evidence suggests that Swedish rates of physical child abuse have remained high, although child abuse mortality rates have stayed low there. A recent Swedish report suggested that the spanking ban has made little change in problematic forms of physical punishment. The conclusion calls for more timely and rigorous evaluations of similar social experiments in the future. PMID:10611766

  19. The protective effect of neighborhood social cohesion in child abuse and neglect.

    Maguire-Jack, Kathryn; Showalter, Kathryn

    2016-02-01

    Relations between parents within a neighborhood have the potential to provide a supportive environment for healthy and positive parenting. Neighborhood social cohesion, or the mutual trust and support among neighbors, is one process through which parenting may be improved. The current study investigates the association between neighborhood social cohesion and abuse and neglect, as well as specific types of abuse and neglect. The sample for the study is comprised of 896 parents in one urban Midwestern County in the United States. Participants were recruited from Women, Infants, and Children clinics. Negative binomial regression is used to examine the association between neighborhood social cohesion and child maltreatment behaviors, as measured by the Conflict Tactics Scale, Parent-to-Child Version (Straus et al., 1998). In this sample of families, neighborhood social cohesion is associated with child neglect, but not abuse. In examining the relationship with specific types of abuse and neglect, it was found that neighborhood social cohesion may have a protective role in some acts of neglect, such as meeting a child's basic needs, but not potentially more complex needs like parental substance abuse. PMID:26774530

  20. Preventing Child Abuse and Neglect

    ... Abuse & Neglect Fatalities Preventing Child Abuse & Neglect National Child Abuse Prevention Month Overview Promoting Child & Family Well-Being Public ... Abuse & Neglect Preventing Child Abuse & Neglect Resources on child abuse prevention, protecting children from risk of abuse, and strengthening ...

  1. The EARLY ALLIANCE prevention trial: an integrated set of interventions to promote competence and reduce risk for conduct disorder, substance abuse, and school failure.

    Dumas, J E; Prinz, R J; Smith, E P; Laughlin, J

    1999-03-01

    Describes the EARLY ALLIANCE interventions, an integrated set of four programs designed to promote competence and reduce risk for early-onset conduct disorder, substance abuse, and school failure. These interventions are evaluated as part of a prevention trial that begins at school entry and targets child functioning and socializing practices across multiple contexts (school, peer group, family) and multiple domains (affective, social, and achievement coping-competence). The paper presents the conceptual foundation of the four interventions, including a synopsis of the risk and protective factors associated with conduct disorder and related outcomes, and of the coping-competence model driving EARLY ALLIANCE. The developmental rationale, intended impact, and procedures are described for each intervention: a universally administered classroom program and indicated, peer, reading-mentoring, and family programs. Interventions are currently being tested in a prevention trial, which is briefly summarized. PMID:11324096

  2. A neurocognitive model of borderline personality disorder: effects of childhood sexual abuse and relationship to adult social attachment disturbance.

    Minzenberg, Michael J; Poole, John H; Vinogradov, Sophia

    2008-01-01

    Borderline personality disorder (BPD) is a paradigmatic disorder of adult attachment, with high rates of antecedent childhood maltreatment. The neurocognitive correlates of both attachment disturbance and maltreatment are both presently unknown in BPD. This study evaluated whether dimensional adult attachment disturbance in BPD is related to specific neurocognitive deficits, and whether childhood maltreatment is related to these dysfunctions. An outpatient BPD group (n=43) performed nearly 1 SD below a control group (n=26) on short-term recall, executive, and intelligence functions. These deficits were not affected by emotionally charged stimuli. In the BPD group, impaired recall was related to attachment-anxiety, whereas executive dysfunction was related to attachment-avoidance. Abuse history was correlated significantly with executive dysfunction and at a trend level with impaired recall. Neurocognitive deficits and abuse history exhibited both independent and interactive effects on adult attachment disturbance. These results suggest that (a) BPD patients' reactivity in attachment relationships is related to temporal-limbic dysfunction, irrespective of the emotional content of stimuli, (b) BPD patients' avoidance within attachment relationships may be a relational strategy to compensate for the emotional consequences of frontal-executive dysregulation, and (c) childhood abuse may contribute to these neurocognitive deficits but may also exert effects on adult attachment disturbance that is both independent and interacting with neurocognitive dysfunction. PMID:18211741

  3. Effectiveness of Planned Teaching Programme on Knowledge Regarding Prevention of Child Abuse and Neglect Among Primary School Teachers

    Naregal PM; Mohite VR; Hiremath P; Chendake M; Karale RB; Pawar S

    2016-01-01

    Background: Child abuse is one major threat to children all over the globe. Regardless of the type of child abuse, the result is serious emotional harm affecting the normal growth & development of child. School teachers are in contact with children daily and by reporting suspected child abuse and neglect, teachers can make an important contribution to the early detection and prevention of abuse. Objectives: 1. To assess the knowledge of primary school teachers regarding child abuse and neglec...

  4. Drug abuse

    This paper reports that this study used SPECT to examine patients who have abused drugs to determine whether SPECT could identify abnormalities and whether these findings have clinical importance. Fifteen patients with a history of substance abuse (eight with cocaine, six with amphetamine, and one with organic solvent) underwent SPECT performed with a triple-headed camera and Tc-99m HMPAO both early for blood flow and later for functional information. These images were then processed into a 3D videotaped display used in group therapy. All 15 patients had multiple areas of decreased tracer uptake peppered throughout the cortex but mainly affecting the parietal lobes, expect for the organic solvent abuser who had a large parietal defect. The videotapes were subjectively described by a therapist as an exceptional tool that countered patient denial of physical damage from substance abuse. Statistical studies of recidivism between groups is under way

  5. Responding Effectively to Women Experiencing Severe Abuse: Identifying Key Components of a British Advocacy Intervention.

    Howarth, Emma; Robinson, Amanda

    2016-01-01

    This article presents key findings from a multisite evaluation of Independent Domestic Violence Advisor (IDVA) services--a form of intervention targeted specifically at women experiencing severe domestic abuse. Results highlight the complex lives of women accessing these services and the efforts of IDVAs to connect women with multiple community resources. Women remaining engaged with services reported positive safety outcomes. Frequency of contact with an IDVA and the number of community resources accessed were positively associated with the odds of achieving safety. These findings suggest this intervention is a promising strategy for tackling severe and complex cases of domestic abuse. PMID:26250716

  6. Treatment for Sexually Abused Children and Adolescents.

    Saywitz, Karen J.; Mannarino, Anthony P.; Berliner, Lucy; Cohen, Judith A.

    2000-01-01

    Reviews research demonstrating the variable effects of childhood sexual abuse, need for intervention, and effectiveness of available treatment. Proposes extending and modifying treatment from mainstream clinical child psychology to sexually abused children. Interventions range from psychoeducation and screening, to short-term, abuse-focused…

  7. The Effectiveness of Group Training of Procedural Emotion Regulation Strategies in Cognitive Coping of Individuals Suffering Substance Abuse

    ali ghaedniay jahromi

    2015-02-01

    Full Text Available Objective: The aim of this study was to examine the effectiveness of group training of procedural emotion regulation strategies in cognitive coping of individuals suffering substance abuse. Method: A quasi-experimental design along with pretest-posttest and control group was used for this study. Then, 16 patients suffering substance abuse were selected through convenience sampling and were randomly assigned to two control and experimental groups. The experimental group received 10 sessions of group training of procedural emotion regulation strategies while the control group received no treatment. Both groups before and after the treatment completed the Persian version of cognitive emotion regulation questionnaire (Hasani, 2011. Results: The results showed that group training of e procedural motion regulation strategies leads to a reduction in maladaptive strategies such as self-blame, rumination, catastrophizing, and other-blame and an increase in adaptive strategies such as refocus on planning, positive reappraisal, and perspective development. Conclusion: Training of procedural emotion regulation strategies via the reduction of maladaptive and increase of adaptive cognitive emotion regulation strategies can provide the opportunity for the improvement and non-return to substance abuse.

  8. Modification of pharmacokinetic and abuse-related effects of cocaine by human-derived cocaine hydrolase in monkeys.

    Schindler, Charles W; Justinova, Zuzana; Lafleur, David; Woods, Doug; Roschke, Viktor; Hallak, Hussein; Sklair-Tavron, Liora; Redhi, Godfrey H; Yasar, Sevil; Bergman, Jack; Goldberg, Steven R

    2013-01-01

    Although substantial research effort has focused on developing pharmacological treatments for cocaine abuse, no effective medications have been developed. Recent studies show that enzymes that metabolize cocaine in the periphery, forestalling its entry into the brain, can prevent cocaine toxicity and its behavioral effects in rodents. Here we report on effects of one such enzyme (Albu-CocH) on the pharmacokinetic and behavioral effects of cocaine in squirrel monkeys. Albu-CocH was developed from successive mutations of human butyrylcholinesterase (BChE) and has 1000-fold greater catalytic activity against cocaine than naturally occurring BChE. Pharmacokinetic studies showed that Albu-CocH (5 mg/kg) had a half-life of 56.6 hours in squirrel monkeys. In these studies, plasma levels of cocaine following i.v. 1 mg/kg cocaine were reduced 2 hours after administration of Albu-CocH, whereas plasma levels of the cocaine metabolite ecgonine methyl ester were increased. These effects were still evident 72 hours following Albu-CocH administration. In behavioral experiments in monkeys, pre-treatment with 5 mg/kg Albu-CocH dramatically decreased self-administration of a reinforcing dose of i.v. cocaine (30 µg/kg/injection) for over 24 hours. Pre-treatment with 5 mg/kg Albu-CocH also attenuated the reinstatement of extinguished cocaine self-administration by an i.v. priming injection of cocaine (0.1 or 0.3 mg/kg) and, in separate studies, attenuated the discriminative-stimulus effects of cocaine. The ability of Albu-CocH to attenuate the abuse-related effects of cocaine in squirrel monkeys indicates that further investigation of BChE mutants as potential treatment for cocaine abuse and toxicity is warranted. PMID:22264200

  9. A cost/effectiveness evaluation of lay therapy treatment for child abusing and high risk parents.

    Hornick, J P; Clarke, M E

    1986-01-01

    This longitudinal investigation tested the effectiveness and cost-efficiency of a lay therapy treatment program in comparison with a standard social work treatment approach. A pretest-extended posttest research design was used to follow a group of child abusing and high risk mothers who received lay therapy (N = 27) and a randomized control group of similar clients (N = 28) over a 12-month period. Outcome data were obtained through interview and direct observation of the parents and children at six-month intervals. A variety of standardized instruments were used including Cattell's 16 Personality Factor Test, Coopersmith's Self-Opinion Form, and the Nurturance and Parent Observation Scales, adapted from Baumrind. Treatment success was defined as progression toward the mean scores of a matched comparison group (N = 21) obtained from the general population of the community during the pretest. The results indicated a trend toward improvement on the outcome measures for both treatment groups. The group receiving lay therapy treatment improved only slightly more than the group receiving standard treatment; however, there was also significantly less attrition with the lay therapy group. Analysis of time budget study data indicated that the lay therapists spent an average of 17.46 hours per month with each of their clients thus permitting the social workers to spend considerably less time with lay therapy clients. Analysis of the direct costs of the programs, based on time budget information, indicated that the lay therapy treatment involved more direct client contact than the standard treatment approach and was also substantially more costly. The high cost of the program was attributed to low caseloads and redundancy in supervision. This study presents several practical program and research recommendations. PMID:3091196

  10. Low-dose naloxone provides an abuse-deterrent effect to buprenorphine

    Webster, Lynn R; Smith, Michael D; Unal, Cemal; Finn, Andrew

    2015-01-01

    In developmental research, plasma buprenorphine concentrations comparable to a 2 mg buprenorphine–naloxone (BN) sublingual tablet have been achieved with a 0.75 mg dose of BN buccal film, a small, bioerodible polymer film for application to mucosal membranes. This was a randomized, double-blind, placebo-controlled, single-dose, four-period crossover study in opioid-dependent subjects with chronic pain receiving >100 mg oral morphine equivalents daily who experienced withdrawal following a naloxone challenge dose. The objective of the study was to determine if intravenous (IV) naloxone doses of 0.1 and 0.2 mg would produce a withdrawal response when coadministered with a 0.75 mg IV dose of buprenorphine. Fifteen subjects receiving 90–1,260 mg oral morphine equivalents per day enrolled and completed the study. Precipitated withdrawal occurred in 13% (2/15) of placebo-treated subjects and 47% (7/15) of buprenorphine-treated subjects. When combined with the 0.75 mg dose of buprenorphine, a 0.1 mg dose of naloxone increased the incidence of precipitated withdrawal to 60%, and a 0.2 mg dose of naloxone increased the incidence to 73%. By 15 minutes postdose, the mean change in Clinical Opioid Withdrawal Scale (COWS) score from predose was 3.0 for placebo, 6.9 for buprenorphine, 9.8 for BN 0.1 mg, and 12.4 for BN 0.2 mg. The mean COWS score with each active treatment was significantly greater than placebo (Pnaloxone-containing treatments was significantly greater than for buprenorphine alone (PNaloxone doses as low as 0.1 mg added an abuse-deterrent effect to a 0.75 mg IV dose of buprenorphine. PMID:26604818

  11. Effect of Educational Program to Encourage Safe Sexual Behaviors Among Addicted Men Refered to Substance Abuse Treatment Centers in Hamadan, Western Iran: Applying the Theory of Planned Behavior

    Babak Moeini; Seyed Mohammad Mahdi Hazavehei; Saeed Bashirian; Alireza Soltanian; Amir Abbas Mousali; Vahid Kafami

    2014-01-01

    Introduction: Unsafe sexual behaviors as important risky behaviors can expose individuals and society to dangerous infectious disease such as AIDS and viral hepatitis. Considering the high prevalence of unsafe sexual behaviors, this study aimed to determine the effect of educational programs to encourage safe sexual behaviors among substance abusers referred to substance abuse treatment centers in Hamadan, Western Iran by applying the theory of planned behavior. Materials & Methods: This ...

  12. Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

    Girgira, Timketa; Tilahun, Birkneh; Bacha, Tigist

    2014-01-01

    Background Children are vulnerable to abuse and violence because their level of development makes them unable to protect themselves. Such adversities during early childhood may have a negative impact on the future lives of the victims. This study was done to determine the delay to hospital presentation, clinical manifestations and immediate health effects of child sexual abuse in two tertiary care hospitals in Ethiopia. Methods We reviewed records of all cases of child sexual and physical abu...

  13. Students' Evaluations of the Effectiveness of Substance Abuse Education: The Impact of Different Delivery Modes.

    Dykeman, Cass; Nelson, J. Ron

    1996-01-01

    Asked 96 students, grades 3, 6, 8, 12, about various teaching methods (expert-led, teacher-led, peer-led, and parent in home) commonly employed in substance abuse education. Students generally believed that each type of would positively influence drug- and alcohol-related knowledge but not behavior. Expert-led discussions were believed the most…

  14. Evaluation of a School-Based Sexual Abuse Prevention Program: Cognitive and Emotional Effects.

    Binder, Renee L.; McNiel, Dale E.

    1987-01-01

    A school-based child sexual abuse prevention program consisting of separate two-hour workshops for children (ages 5-12), parents, and teachers was evaluated. Results indicated parents were more informed and interactive with their children following the workshops. Children showed no increased emotional stress and reported feeling safer and better…

  15. School-Based Child Sexual Abuse Prevention Programs: A Review of Effectiveness

    Topping, Keith J.; Barron, Ian G.

    2009-01-01

    In this systematic and critical review of purely school based child sexual abuse prevention program efficacy studies, 22 studies meeting the inclusion criteria differed by target population, program implementation, and evaluation methodology. Measured outcomes for children included knowledge, skills, emotion, risk perception, touch discrimination,…

  16. Community Notification: Perceptions of Its Effectiveness in Preventing Child Sexual Abuse.

    Redlich, Allison D.

    2001-01-01

    Megan's law enables law enforcement to notify communities when convicted sex offenders reside in their neighborhoods. Investigates community members', law enforcement officials', and law students' attitudes toward community notification and other child abuse prevention measures. The groups significantly differed in support of Megan's Law and…

  17. Caregiver Perceptions of Sexual Abuse and Its Effect on Management after a Disclosure

    Walker-Descartes, Ingrid; Sealy, Yvette M.; Laraque, Danielle; Rojas, Mary

    2011-01-01

    Objective: The aim of the study was to examine caregiver management strategies for child sexual abuse (CSA) when presented with hypothetical scenarios that vary in physical invasiveness. Methods: One hundred fifty three caregivers were given 3 scenarios of CSA with 7 management strategies presented in the 21-item Taking Action Strategies (TAS)…

  18. The Effects of Sample Selection Bias on Racial Differences in Child Abuse Reporting.

    Ards, Sheila; Chung, Chanjin; Myers, Samuel L., Jr.

    1998-01-01

    Data from the National Incidence Study (NIS) of Child Abuse and Neglect suggest no racial difference in child maltreatment, although there are more black children within the child welfare population. This study found selection bias in the NIS design caused by the exclusion of family, friends, and neighbors that resulted in differences in NIS cases…

  19. Multiple Forensic Interviews during Investigations of Child Sexual Abuse: A Cost-Effectiveness Analysis

    Block, Stephanie D.; Foster, E. Michael; Pierce, Matthew W.; Berkoff, Molly C.; Runyan, Desmond K.

    2013-01-01

    In suspected child sexual abuse some professionals recommend multiple child interviews to increase the likelihood of disclosure or more details to improve decision-making and increase convictions. We modeled the yield of a policy of routinely conducting multiple child interviews and increased convictions. Our decision tree reflected the path of a…

  20. Effects of an Educational and Support Program for Family and Friends of a Substance Abuser

    Jeffrey Platter, Amanda

    2010-01-01

    Many family members are adversely affected by their loved ones drinking or drug problem. The aim of the present study was to explore changes in coping and enabling behaviors among family members who attended a community educational and psychosocial group for friends and family of a substance abuser, and to examine the concerns of these family…

  1. The Effect of MSW Education on Students' Knowledge and Attitudes Regarding Substance Abusing Clients

    Senreich, Evan; Straussner, Shulamith Lala A.

    2013-01-01

    Entering ("n"?=?475) and graduating ("n"?=?454) students at 3 master's of social work programs in the northeast were compared regarding their knowledge and attitudes concerning working with substance abusing clients. In comparison to entering students, graduating students demonstrated modestly higher levels of knowledge,…

  2. Stable genetic effects on symptoms of alcohol abuse and dependence from adolescence into early adulthood

    Beek, van J.H.D.A.; Kendler, K.S.; Moor, de M.H.M.; Geels, L.M.; Bartels, M.; Vink, J.M.; Berg, van den S.M.; Willemsen, G.; Boomsma, D.I.

    2012-01-01

    Relatively little is known about how genetic influences on alcohol abuse and dependence (AAD) change with age. We examined the change in influence of genetic and environmental factors which explain symptoms of AAD from adolescence into early adulthood. Symptoms of AAD were assessed using the four AA

  3. The Effects of Childhood Abuse on Relationship Quality: Gender Differences and Clinical Implications

    Larsen, Carly D.; Sandberg, Jonathan G.; Harper, James M.; Bean, Roy

    2011-01-01

    This study examined the relationship between self-reported childhood physical and sexual abuse, romantic relationship quality, possible gender differences, and clinical implications. Three hundred thirty-eight women and 296 men who sought services at a university mental health clinic in the northeast region of the United States completed a…

  4. Effects of Group Therapy on Female Adolescent Survivors of Sexual Abuse: A Pilot Study.

    Thun, Debra; Sims, Patricia L.; Adams, Mary Ann; Webb, Thomas

    2002-01-01

    Explores treatment interventions for female sexual abuse survivors through a pilot study examining the relationship between group treatment and adolescent self-image. Results revealed that participants who received group therapy increased in levels of impulse control and that the experimental group had a decrease in self-reliance whereas the…

  5. The Effect of Matrix Method on Anxiety and Attitude Toward Methamphetamine and Crack Abuse in Males Referring to Addiction Treatment Centers in Tonkabon, Iran

    Hemmati Sabet

    2015-11-01

    Full Text Available Background Drug abuse is a major problem in the communities and has many harmful effects on human body. Objectives The current study aimed to compare the efficacy of matrix method on anxiety and attitude of male crack abusers referred to addiction treatment centers in Tonkabon, Iran, in 2014. Patients and Methods The current semi -experimental study included 1,000 males referred to addiction treatment centers in Tonkabon with crack abuse history in 2014. Based on Morgan sample volume formula, 278 males with anxiety and higher attitude to drug abuse were randomly selected from 1,000 males referred to addiction treatment centers in Tonkabon. Then, 30 subjects were reselected out of them and equally assigned into two groups of experimental and control, 15 subjects in each group. The experimental group received 24 sessions of 30 - 60 minutes matrix treatment method in group, but the control group received no training. At the end of training period the post-test was carried out. The research findings confirmed the efficacy of matrix method on anxiety and attitude to crack abuse among those referring to the addition treatment center. Results The single covariance analysis of ANCOVA indicated that the value of Eta about 72% of variance of anxiety variable and about 76% of variance of drug abuse variable are taken in to account for variable of group. The intervention was effective in reducing anxiety and attitude to crack in males. Evaluating the adjusted mean showed the effectiveness of matrix method on anxiety and attitude to crack abuse in males. Conclusions The research result showed that matrix method affected the reduction of methamphetamine and attitude to crack abuse in males referred to the addition treatment center.

  6. Integrating Art into Group Treatment for Adults with Post-Traumatic Stress Disorder from Childhood Sexual Abuse: A Pilot Study

    Becker, Carol-Lynne J.

    2015-01-01

    Current research supports the use of exposure-based treatments for posttraumatic stress disorder (PTSD) and integrated treatments show potential for enhanced symptom reduction. This pilot study developed a manualized group treatment integrating art interventions with exposure, grounding, and narrative therapy for five adults with PTSD who were…

  7. How ineffective family environments can compound maldevelopment of critical thinking skills in childhood abuse survivors.

    Kostolitz, Alessandra C; Hyman, Scott M; Gold, Steven N

    2014-01-01

    The high stress of childhood abuse is associated with neurobiological detriments to executive function. Child abuse survivors may also be cognitively and relationally disadvantaged as a result of being raised in emotionally impoverished families that lack cohesion, organization, flexibility, self-expression, and moral and ethical values and fail to provide opportunities for effective learning. A review of literature demonstrates how dysfunctional family of origin environments common to child abuse survivors, concomitant with the extreme stress of overt acts of abuse, can act as a barrier to the development of higher-order critical thinking skills. The article concludes by discussing ramifications of critical thinking skill deficits in child abuse survivors and highlights the importance of integrating and prioritizing critical thinking skills training in treatment. PMID:25116865

  8. Adolescent Victims of Abuse: A Treatment Model.

    Anderson-Merchant, Darlene

    This paper presents a theory and model for treating adolescent victims of physical and sexual abuse and neglect. The theory examines issues related to abuse or neglect and the effect that an abusive history has on adolescent development. Specific issues noted are depression, anger, low self-esteem, self-shame, lack of trust, a sense of…

  9. Evaluation of Child Abuse and Neglect

    Selen Acehan; Aysegul Bilen; Mehmet Oguzhan Ay; Muge Gulen; Akkan Avci; Ferhat Icme

    2013-01-01

    Child abuse is an important public health problem that can cause serious injury, disability and even death, and have medical, legal, and social aspects. Prevention of repeated abuse at an early stage is necessary to limit long-term effects of abuse. Unfortunately, these children often do not receive the diagnosis in the emergency department, despite using emergency service. We aimed at the evaluation and management of child abuse and neglect which has a very important social dimension, in the...

  10. Roles of the ubiquitin proteasome system in the effects of drugs of abuse

    Nicolas Massaly

    2015-01-01

    Full Text Available Because of its ability to regulate the abundance of selected proteins the ubiquitin proteasome system (UPS plays an important role in neuronal and synaptic plasticity. As a result various stages of learning and memory depend on UPS activity. Drug addiction, another phenomenon that relies on neuroplasticity, shares molecular substrates with memory processes. However the necessity of proteasome-dependent protein degradation for the development of addiction has been poorly studied. Here we first review evidences from the literature that drugs of abuse regulate the expression and activity of the UPS system in the brain. We then provide a list of proteins which have been shown to be targeted to the proteasome following drug treatment and could thus be involved in neuronal adaptations underlying behaviors associated with drug use and abuse. Finally we describe the few studies that addressed the need for UPS-dependent protein degradation in animal models of addiction-related behaviors.

  11. The effect of practice on a sustained attention task in cocaine abusers

    Goldstein, Rita Z.; Tomasi, Dardo; Alia-Klein, Nelly; Zhang, Lei; Telang, Frank; Volkow, Nora D.

    2007-01-01

    Habituation enables the organism to attend selectively to novel stimuli by diminishing no-longer necessary responses to repeated stimuli. Because the prefrontal cortex (PFC) has a core role in monitoring attention and behavioral control especially under novelty, neural habituation responses may be modified in drug addiction, a psychopathology that entails PFC abnormalities in both structure and function. Sixteen cocaine abusers and 12 gender-, race-, education-, and intelligence-matched healt...

  12. Effects of executive impairments on maladaptive explanatory styles in substance abusers: clinical implications.

    García, Antonio Verdejo; Torrecillas, Francisca López; de Arcos, Francisco Aguilar; García, Miguel Pérez

    2005-01-01

    Our study examined the relation between neuropsychological impairment of executive functions and explanatory styles, according to the Abramson model of learned helplessness in humans, in a sample of substance abusers. Thirty-eight polysubstance abusers were assessed during an abstinence period using a selective neuropsychological battery for the evaluation of the executive functions, as well as the Attributional Style Questionnaire (ASQ) for the assessment of the three dimensions of explanatory style: Internality-Externality, Stability-Instability and Globality-Specificity. Multiple regression analyses showed significant relationships among performance on different neuropsychological tasks sensitive to executive functions and characteristic cognitive styles. The results showed the performance on cognitive flexibility and response inhibition tasks is directly related to making more internal attributions for positive situations, and inversely related to the appearance of more stable attributions for negative events. Likewise, adequate performance on working memory tasks was related to development of more global attributions for failures. These results are partially congruent with the learned helplessness model and particularly relevant for the clinical management of substance abusers and the success on the treatment and rehabilitation of these subjects. PMID:15620814

  13. The Effects of Abuse History on Sexually Intrusive Behavior by Children: An Analysis of Child Justice Records

    Hershkowitz, Irit

    2011-01-01

    Objectives: A commonly cited risk factor for sexually intrusive behavior (SIB) among children and adolescents is a history of abuse. Based on a large and non-clinical nationwide sample of children who were investigated as abuse victims and suspects of SIBs in Israel over a decade, the present study examines the rate of abuse history among child…

  14. The pillar of an effective integrated medicine

    Maya S.P. Huijberts

    2012-08-01

    Full Text Available During the last decade, the need of an effective integrated medicine has been discussed because the patient is not simply a human body but possesses a cognitive capacity and, if appropriately stimulated, an intrinsic capacity of restoring health. The problem is that among several complementary medical approaches only two or three are qualified owing to an extensive biological and clinical experimentation. Conventional medicine has made remarkable progresses and although occasionally we have bad surprises as rofecoxib, it has a good quality of scientific effectiveness; but, as it will be discussed, at least for one complementary treatment, the claim that they represent “a new name for snake oil” is no longer acceptable. We would like to briefly present the outstanding biological and clinical progress of oxygen-ozonetherapy already used in many countries. Thanks mainly to our studies... [J Exp Integr Med 2012; 2(4: 281-282

  15. Drug abuse in athletes

    Reardon CL

    2014-08-01

    Full Text Available Claudia L Reardon, Shane Creado Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Abstract: Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines the history of doping in athletes, the effects of different classes of substances used for doping, side effects of doping, the role of anti-doping organizations, and treatment of affected athletes. Doping goes back to ancient times, prior to the development of organized sports. Performance-enhancing drugs have continued to evolve, with “advances” in doping strategies driven by improved drug testing detection methods and advances in scientific research that can lead to the discovery and use of substances that may later be banned. Many sports organizations have come to ban the use of performance-enhancing drugs and have very strict consequences for people caught using them. There is variable evidence for the performance-enhancing effects and side effects of the various substances that are used for doping. Drug abuse in athletes should be addressed with preventive measures, education, motivational interviewing, and, when indicated, pharmacologic interventions. Keywords: doping, athletes, steroids, drug abuse, mental illness

  16. ABUSE OF ANABOLIC ANDROGENIC STEROIDS

    Abbas Yavari

    2009-09-01

    Full Text Available According to the International Olympic Committee, the abuse of anabolic androgenic steroids (AASS is found in over 50% of positive doping tests. AASS abuse is not restricted to the organized sports andwidespread use. It remains as an unsolved public-health problem.Lower black market price, easier access to AASS, bodybuilding clubs and internet advertising are factors of this increasingly misuse. There is not real data about the prevalence of AASS abuse in various populations or countries, because most of athletes or students, due to their prohibition or ethical aspects do not admit to AASS abuse. Often they are aware of the risks of their choice and yet, are eager to put themselves at risk without deeper consideration. The abusers use them to improve their physical fitness and appearance.Present article has been collected to elucidate the risks and adverse effects of AASS and explanation of mechanisms of these events.

  17. The relationship between child abuse and handicapping conditions.

    Mullins, J B

    1986-04-01

    This article discusses the relationship of child abuse, including neglect and sexual abuse, to the presence of handicapping conditions, both physical and psychological. Child abuse can cause physical and psychological disabilities in children who otherwise would have been normal. Studies show that children who are handicapped, or otherwise perceived as different by potentially abusive parents, are at high risk for abuse. Evidence also indicates that the handicaps of some children who were diagnosed originally as disabled are exacerbated by abuse. While cause and effect are not easily determined in specific cases, researchers agree that a pervasive relationship exists between handicapping conditions and abuse. Abused children are overrepresented in special education classes and handicapped children are overrepresented in the abused population. Many abused children become abusers as adults. Several suggestions concerning the problem are offered for school personnel. PMID:2937963

  18. On the Effectiveness of Group Dialectical Behavior Therapy in the Enhancement of Distress Tolerance and Emotional Regulation in Substance Abusers

    mohsen nadimi

    2016-05-01

    Full Text Available Objective: The aim of this study was to investigate the effectiveness of group dialectical behavior therapy in the improvement of distress tolerance and emotion regulation among substance abusers. Method: A quasi-experimental study along with pretest-posttest and control group was used for the conduct of this study. The population of the study consisted of all addicts referring to addiction treatment center of Zahedshahr (Omid Center in summer 2012. From among this population, the number of 28 addicts was selected via convenience sampling as the participants of the study and was randomly assigned to two experimental and control groups. The participants responded to Difficulties in Emotion Regulation Scale and Distress Tolerance Scale as pretest, posttest, and follow-up test. The experimental group received group dialectical behavior therapy for 20 one-hour sessions whereas the control group received only Naltrexone drug. Results: The results showed that dialectical behavior therapy was effective in increasing distress tolerance and emotion regulation in substance abusers. Conclusion: Dialectical behavior therapy training can improve distress tolerance and emotion regulation, which could be the main reason for the continued use of drugs.

  19. COMPARING WOMEN IN SUBSTANCE ABUSE TREATMENT WHO REPORT SEXUAL AND/OR PHYSICAL ABUSE WITH WOMEN WHO DO NOT REPORT ABUSE HISTORY

    Boots, Sabine

    2004-01-01

    This descriptive study explored whether women in substance abuse treatment who report a history of sexual and/or physical abuse have different drug use profiles than women who do not report such abuse. The data originated from a NIDA (National Institute on Drug Abuse) study designed to evaluate the effects of different treatment modalities in inpatient substance abuse treatment for women. The study compared the drug profiles of women in four areas: drug of choice, frequency of use, problem ...

  20. Effects of posttraumatic stress disorder and child sexual abuse on self-efficacy development.

    Diehl, Amy S; Prout, Maurice F

    2002-04-01

    The symptoms of child sexual abuse and posttraumatic stress disorder (PTSD) affect a child's self-efficacy. A child's self-efficacy beliefs impact the course and treatment of PTSD, because perceived self-efficacy plays a mediating role in children's ability to cope with trauma. Self-efficacy research indicates that emotional competence can be learned and may provide treatment for PTSD that provides symptom reduction as well as a means of substituting problem-solving coping skills for emotion-focused coping skills. PMID:15792065

  1. Stable genetic effects on symptoms of alcohol abuse and dependence from adolescence into early adulthood

    van Beek, Jenny H. D. A.; Kendler, Kenneth S.; De Moor, Marleen H.M.; Geels, Lot M.; Bartels, Meike; Vink, Jacqueline M.; van den Berg, Stéphanie M.; Willemsen, Gonneke; Boomsma, Dorret I.

    2012-01-01

    Relatively little is known about how genetic influences on alcohol abuse and dependence (AAD) change with age. We examined the change in influence of genetic and environmental factors which explain symptoms of AAD from adolescence into early adulthood. Symptoms of AAD were assessed using the four AAD screening questions of the CAGE inventory. Data were obtained up to six times by self-report questionnaires for 8,398 twins from the Netherlands Twin Register aged between 15 and 32 years. Longit...

  2. Physical Abuse of Children: A Look at Professional Intervention.

    Finch, Joe M.

    The physical abuse of children is a serious and growing problem. In spite of increasing knowledge and skill in treating physical abuse, many professionals continue to be dissatisfied with the effectiveness of treatment. This study examined the myths and beliefs about abuse and abusers and the theoretical models of cause and treatment that are…

  3. Twelfth grade follow-up of the effectiveness of a middle school-based substance abuse prevention program.

    Shope, J T; Copeland, L A; Kamp, M E; Lang, S W

    1998-01-01

    A twelfth-grade follow-up afforded the opportunity to assess the long-term effects of substance abuse prevention delivered in sixth and seventh grades. A social pressures resistance skills curriculum implemented by classroom teachers had been evaluated with short-term positive results previously reported. Students completed self-administered questionnaires at sixth grade pre- and posttests, and at seventh and twelfth-grade posttests. Curriculum group students received lessons on alcohol, tobacco (cigarettes and smokeless), marijuana, and cocaine, which were later incorporated into the Michigan Model for Comprehensive School Health Education. This evaluation used data from 262 students who completed all four questionnaires and who received the complete two-year intervention or no intervention. Repeated measures analyses of variance demonstrated that significant effects evident at seventh grade for alcohol use and misuse, as well as cigarette, cocaine, and other drug use were generally not maintained through twelfth grade. Ongoing reinforcement of effective prevention is recommended. PMID:9816805

  4. Cannabis abuse in patients with schizophrenia pattern and effects on symptomatology

    To determine the relationship between cannabis abuse and its impact on the short-term outcome and severity of illness. ICD-10 criteria were used for diagnosis of schizophrenia. Severity and type of schizophrenic symptoms were assessed with the help of PANSS. Cases were identified as having problem with cannabis use with the help of section 12 of Schedule for Clinical Assessment in Neuropsychiatry (SCAN) W.H.O. 1994. Amount, duration and frequency of cannabis use was also noted. Patients with cannabis use were younger had shorter duration of illness and earlier age at onset of illness. They exhibited more positive symptoms. A total of 20% cases met ICD-10 criteria of harmful use of cannabinoid, 76% met ICD-10 criteria of cannabinoid dependence syndrome. Schizophrenic patients with comorbid cannabis abuse exhibited more positive symptoms and violent behavior, and may be more likely to lead to dependence in persons with schizophrenia. This has implication for service development to meet the perceived needs of this group. (author)

  5. Effect of gamma irrigation followed by moderate temperature abuse on the psychrotrophic and mesophilic microbial association of frozen chicken

    Commercially scalded, plucked and eviscerated broilers, aerobically packed into polyethylene bags were irradiated at - 18 deg C. A dose of 2.5 kilogay was effective in the elimination of salmonella spp. and staphylococcus aureus. Psychrotrophic and mesophilic aerobic colony counts of the non-irradiated chicken were of the order 10**4 and 10**5 gE-1, respectively. Radiation resulted in approximately two long cycles reduction in the count. The surviving microflora in frozen chicken after irradiation consisted mainly of lactobacillus spp. and micrococcus spp. which dominated the mesophilic flora. Moraxella spp. amounted to 70% of the total psychrotrophic flora. The microflora of frozen chicken after temperature abuse at 12 deg C were maily of the moraxella-acinetobacter group and to a lesser extent of Pseudomonas spp. The results demonstrated that the microflora after temperature abuse of irradiated chicken was similar to the microflora of non-irradiated chicken. This supports the view that irradiation of chicken does not entail a hazard, resulting from a shift in the micrflora in case frozen chicken are thawed and stored at increased temperatures

  6. New drugs of abuse.

    Rech, Megan A; Donahey, Elisabeth; Cappiello Dziedzic, Jacqueline M; Oh, Laura; Greenhalgh, Elizabeth

    2015-02-01

    Drug abuse is a common problem and growing concern in the United States, and over the past decade, novel or atypical drugs have emerged and have become increasingly popular. Recognition and treatment of new drugs of abuse pose many challenges for health care providers due to lack of quantitative reporting and routine surveillance, and the difficulty of detection in routine blood and urine analyses. Furthermore, street manufacturers are able to rapidly adapt and develop new synthetic isolates of older drugs as soon as law enforcement agencies render them illegal. In this article, we describe the clinical and adverse effects and purported pharmacology of several new classes of drugs of abuse including synthetic cannabinoids, synthetic cathinones, salvia, desomorphine, and kratom. Because many of these substances can have severe or life-threatening adverse effects, knowledge of general toxicology is key in recognizing acute intoxication and overdose; however, typical toxidromes (e.g., cholinergic, sympathomimetic, opioid, etc.) are not precipitated by many of these agents. Medical management of patients who abuse or overdose on these drugs largely consists of supportive care, although naloxone may be used as an antidote for desomorphine overdose. Symptoms of aggression and psychosis may be treated with sedation (benzodiazepines, propofol) and antipsychotics (haloperidol or atypical agents such as quetiapine or ziprasidone). Other facets of management to consider include treatment for withdrawal or addiction, nutrition support, and potential for transmission of infectious diseases. PMID:25471045

  7. Holding Abusers Accountable: An Elder Abuse Forensic Center Increases Criminal Prosecution of Financial Exploitation

    Navarro, Adria E.; Gassoumis, Zachary D.; Wilber, Kathleen H.

    2013-01-01

    Purpose: Despite growing awareness of elder abuse, cases are rarely prosecuted. The aim of this study was to examine the effectiveness of an elder abuse forensic center compared with usual care to increase prosecution of elder financial abuse. Design and Methods: Using one-to-one propensity score matching, cases referred to the Los Angeles County…

  8. Substance abuse treatment initiation among older adults in the GET SMART program: effects of depression and cognitive status

    Satre, Derek; Knight, Bob G.; Dickson-Fuhrmann, Elizabeth; Jarvik, Lissy F.

    2004-01-01

    This study examines how individual patient characteristics predict substance abuse treatment initiation among older adults, in an investigation based on the behavioral health service use model. Analyses tested the impact of demographic factors, substance abuse symptoms, depression and cognitive status on subsequent treatment initiation. The sample included 250 older male veterans screened for substance abuse problems during inpatient medical treatment, who also participated in a clinical eval...

  9. Prevent Child Abuse America

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  10. Child Sexual Abuse

    Sexual abuse is one form of child abuse. It includes a wide range of actions between a child ... to children or pressuring them for sex is sexual abuse. Using a child for pornography is also sexual ...

  11. What is Elder Abuse?

    ... to another, but broadly defined, abuse may be: Physical Abuse —inflicting physical pain or injury on a senior, ... abrasions, and burns may be an indication of physical abuse, neglect, or mistreatment. Unexplained withdrawal from normal activities, ...

  12. The effect of gender in the perception of elder physical abuse in court.

    Golding, Jonathan M; Yozwiak, John A; Kinstle, Terri L; Marsil, Dorothy F

    2005-10-01

    Two experiments investigated mock jurors' perceptions of elder abuse (EA) in a physical assault case. In Experiment 1, participants read a fictional criminal trial summary of a physical assault case in which the alleged victim was 66, 76, or 86 years old. In Experiment 2, the age of the alleged victim was 76 years old, but the gender of the alleged victim and the gender of the defendant were crossed. The results of the experiments showed that women believed the alleged victim more and rendered a guilty verdict more often than men. Overall, the alleged victim was believed more than the defendant regardless of the age of the alleged victim, and most verdicts were guilty. These results are discussed in terms of the factors that affect perceptions of alleged victims of EA in court. PMID:16254745

  13. Self-reported versus administrative identification of American Indian and Alaska Native arrestees: effects on relative estimates of illicit drug use and alcohol abuse.

    Wood, Darryl S; Hays, Zachary R

    2014-01-01

    Arrestee Drug Abuse Monitoring program data were used to consider the effects of two methods of racial classification upon estimates of illicit drug use and alcohol abuse among American Indian/Alaska Native (AI/AN) arrestees. Overall, compared to arrestees who self-identified as Black, White, Asian/Pacific Islander, or Hispanic, arrestees self-identifying as AI/AN were most likely to be identified administratively as something other than AI/AN. Results of 'difference of difference' analyses indicate that differences in estimates of AI/AN versus non-AI/AN arrestees' illicit drug use and alcohol abuse were much more extreme when identification was based on administrative records than when based upon arrestees' self-reports. PMID:25111841

  14. Effects of acute substance use and pre-injury substance abuse on traumatic brain injury severity in adults admitted to a trauma centre

    Schanke Anne-Kristine; Sigurdardottir Solrun; Jerstad Tone; Andelic Nada; Sandvik Leiv; Roe Cecilie

    2010-01-01

    Abstract Background The aims of this study were to describe the occurrence of substance use at the time of injury and pre-injury substance abuse in patients with moderate-to-severe traumatic brain injury (TBI). Effects of acute substance use and pre-injury substance abuse on TBI severity were also investigated. Methods A prospective study of 111 patients, aged 16-55 years, injured from May 2005 to May 2007 and hospitalised at the Trauma Referral Centre in Eastern Norway with acute TBI (Glasgo...

  15. Integrated Assessment of Cardioprotective Effect of Sevoflurane

    Pichugin V.V.

    2011-12-01

    Full Text Available The aim of the investigation is to give integrated (clinical, functional, morphological and biochemical assessment of cardioprotective effect of low-flow anesthesia based on Sevoflurane. Materials and Methods. There was carried out retro- and prospective analysis of clinical studies of 815 patients who underwent heart surgeries with extracorporeal circulation. All the patients were divided into two groups according to the anesthetic used: 370 patients of first group were given Sevoflurane as the main anesthetic, and Propofol was used in the control group (445 patients. Results. Sevoflurane has been stated to contribute to favourable cardiac resuscitation after ischemia, reduce the incidence of acute postoperative failure, provide higher values of myocardial contractive function in the post-perfusion period, decrease oxygen consumption by peripheral tissues, and facilitate more adequate microcirculation in myocardium and maintain the ultrastructure of cardiomyocytes. It enables to conclude about a marked cardioprotective effect of Sevoflurane.

  16. Post irradiation effects (PIE) in integrated circuits

    Shaw, D. C.; Lowry, L.; Barnes, C.; Zakharia, M.; Agarwal, S.; Rax, B.

    1991-01-01

    Post-irradiation effects (PIE) ranging from normal recovery to catastrophic failure have been observed in integrated circuits during the PIE period. Data presented show failure due to rebound after a 10 krad(Si) dose. In particular, five device types are investigated with varying PIE response. Special attention has been given to the HI1-507A analog multiplexer because its PIE response is extreme. X-ray diffraction has been uniquely employed to measure physical stress in the HI1-507A metallization. An attempt has been made to show a relationship between stress relaxation and radiation effects. All data presented support the current MIL-STD Method 1019.4 but demonstrate the importance of performing PIE measurements, even when mission doses are as low as 10 krad(Si).

  17. Clinician identification of youth abusing over-the-counter products for weight control in a large U.S. integrated health system

    Austin, S. Bryn; Penfold, Robert B.; Johnson, Ron L; Haines, Jess; Forman, Sara

    2013-01-01

    Background Abuse of over-the-counter (OTC) products, such as diet pills and laxatives, for weight control by adolescents is well-documented and can precipitate serious medical conditions. Yet only a small percentage of youth with disordered weight control behaviors receive treatment. The objective of this study was to examine how often clinicians communicate with youth with symptoms consistent with abuse of OTC products for weight control about possible use of these products. We used electron...

  18. Clinician identification of youth abusing over-the-counter products for weight control in a large U.S. integrated health system

    Austin, S. Bryn; Penfold, Robert B.; Johnson, Ron L; Haines, Jess; Forman, Sara

    2013-01-01

    Background: Abuse of over-the-counter (OTC) products, such as diet pills and laxatives, for weight control by adolescents is well-documented and can precipitate serious medical conditions. Yet only a small percentage of youth with disordered weight control behaviors receive treatment. The objective of this study was to examine how often clinicians communicate with youth with symptoms consistent with abuse of OTC products for weight control about possible use of these products. We used electro...

  19. The effects of childhood sexual abuse on cortisol trajectories in pregnancy are moderated by current family functioning.

    Bublitz, Margaret H; Parade, Stephanie; Stroud, Laura R

    2014-12-01

    The goal of this study was to understand the roles of maternal history of childhood sexual abuse (CSA) and current family functioning on the cortisol awakening response (CAR) in pregnancy. Participants were 185 pregnant women (ages 18-40) who completed items from the Adverse Childhood Experiences scale to measure child maltreatment history and the Family Assessment Device to measure current family functioning. Participants provided saliva samples at wake-up and 30min after wake-up at 25, 29, and 35 weeks gestation to measure CAR. A moderation effect was found such that participants with more severe CSA histories and poorer perceived family functioning had increasing CAR in pregnancy compared to participants with less severe CSA histories and better family functioning. These findings highlight the importance of considering stress in both childhood and current environments in predicting maternal cortisol in pregnancy. PMID:25220484

  20. Assessing the Effectiveness of the NICHD Investigative Interview Protocol when Interviewing French-Speaking Alleged Victims of Child Sexual Abuse in Quebec

    Cyr, Mireille; Lamb, Michael E.

    2009-01-01

    Objectives: The study was designed to assess the effectiveness of the flexibly structured NICHD Investigative Interview Protocol for child sexual abuse (CSA) investigative interviews by police officers and mental health workers in Quebec. The NICHD Protocol was designed to operationalize "best practice" guidelines and to help forensic interviewers…

  1. Longitudinal Study on the Effects of Child Abuse and Children's Exposure to Domestic Violence, Parent-Child Attachments, and Antisocial Behavior in Adolescence

    Sousa, Cindy; Herrenkohl, Todd I.; Moylan, Carrie A.; Tajima, Emiko A.; Klika, J. Bart; Herrenkohl, Roy C.; Russo, M. Jean

    2011-01-01

    This study examined the unique and combined effects of child abuse and children's exposure to domestic violence on later attachment to parents and antisocial behavior during adolescence. Analyses also investigated whether the interaction of exposure and low attachment predicted youth outcomes. Findings suggest that, although youth dually exposed…

  2. Effects of lactate on the growth of Listeria monocytogenes, Escherichia coli 0157:H7 and Salmonella SPP., in cooked ham at refrigeration and abuse temperatures

    The objective of this study was to determine the effect of sodium lactate on the survival of Listeria monocytogenes, Escherichia coli O157:H7 and Salmonella spp. in cooked ham during storage at refrigeration and abuse temperatures. Cooked ham was added with 0-3% lactate, inoculated with a multiple...

  3. Effect of meat ingredients (sodium nitrite and erythorbate) and processing (vacuum storage and packaging atmosphere) on germination and outgrowth of Clostridium perfringens spores in ham during abusive cooling

    The effect of nitrite and erythorbate on Clostridium perfringens spore germination and outgrowth in ham during abusive cooling (15 h) was evaluated. Ham was formulated with ground pork, NaNO2 (0, 50, 100, 150 or 200 ppm) and sodium erythorbate (0 or 547 ppm). Ten grams of meat (stored at 5C for 3 or...

  4. Effects of the Trace Amine Associated Receptor 1 Agonist RO5263397 on Abuse-Related Behavioral Indices of Methamphetamine in Rats

    Jing, Li; Zhang, Yanan; Li, Jun-Xu

    2015-01-01

    Background: Methamphetamine is a major drug of abuse with no effective pharmacotherapy available. Trace amine associated receptor 1 is implicated in cocaine addiction and represents a potential therapeutic target. However, the effects of trace amine associated receptor 1 agonists on addiction-related behavioral effects of methamphetamine are unknown. Methods: This study examined the effects of a trace amine associated receptor 1 agonist RO5263397 on methamphetamine-induced behavioral sensitiz...

  5. Effects of acute substance use and pre-injury substance abuse on traumatic brain injury severity in adults admitted to a trauma centre

    Schanke Anne-Kristine

    2010-05-01

    Full Text Available Abstract Background The aims of this study were to describe the occurrence of substance use at the time of injury and pre-injury substance abuse in patients with moderate-to-severe traumatic brain injury (TBI. Effects of acute substance use and pre-injury substance abuse on TBI severity were also investigated. Methods A prospective study of 111 patients, aged 16-55 years, injured from May 2005 to May 2007 and hospitalised at the Trauma Referral Centre in Eastern Norway with acute TBI (Glasgow Coma Scale 3-12. Based on structural brain damages shown on a computed tomography (CT scan, TBI severity was defined by modified Marshall classification as less severe (score Results Forty-seven percent of patients were positive for substance use on admission to hospital. Significant pre-injury substance abuse was reported by 26% of patients. Substance use at the time of injury was more frequent in the less severe group (p = 0.01. The frequency of pre-injury substance abuse was higher in the more severe group (30% vs. 23%. In a logistic regression model, acute substance use at time of injury tended to decrease the probability of more severe intracranial injury, but the effect was not statistically significant after adjusting for age, gender, education, cause of injury and substance abuse, OR = 0.39; 95% CI 0.11-1.35, p = 0.14. Patients with positive screens for pre-injury substance abuse (CAGE ≥2 were more likely to have more severe TBI in the adjusted regression analyses, OR = 4.05; 95% CI 1.10-15.64, p = 0.04. Conclusions Acute substance use was more frequent in patients with less severe TBI caused by low-energy events such as falls, violence and sport accidents. Pre-injury substance abuse increased the probability of more severe TBI caused by high-energy trauma such as motor vehicle accidents and falls from higher levels. Preventive efforts to reduce substance consumption and abuse in at-risk populations are needed.

  6. Paternal Alcoholism and Youth Substance Abuse: The Indirect Effects of Negative Affect, Conduct Problems, and Risk Taking

    Ohannessian, Christine McCauley; Hesselbrock, Victor M.

    2008-01-01

    This longitudinal study followed 200 adolescents into early adulthood to explore the potential mediating roles that hostility, sadness, conduct problems, and risk taking play in the relationship between paternal alcoholism and substance abuse. Results indicated that paternal alcoholism predicted hostility; in turn, hostility predicted risk taking, which predicted substance abuse.

  7. The Effect of Substance Abuse Treatment on High Risk Behaviors in the National Treatment Improvement Evaluation Study (NTIES).

    Greenfield, Lawrence; Finkbiner, Richard; Bishop, Sharon

    Substance abusers are at particular risk for becoming infected with, and for spreading, a number of serious communicable diseases. The value of substance abuse treatment in helping to reduce the associated risk behaviors for these diseases is the focus of this technical report. This analysis examines the risk behaviors of injection drug use and…

  8. Effect of Educational Program to Encourage Safe Sexual Behaviors Among Addicted Men Refered to Substance Abuse Treatment Centers in Hamadan, Western Iran: Applying the Theory of Planned Behavior

    Babak Moeini

    2014-06-01

    Full Text Available Introduction: Unsafe sexual behaviors as important risky behaviors can expose individuals and society to dangerous infectious disease such as AIDS and viral hepatitis. Considering the high prevalence of unsafe sexual behaviors, this study aimed to determine the effect of educational programs to encourage safe sexual behaviors among substance abusers referred to substance abuse treatment centers in Hamadan, Western Iran by applying the theory of planned behavior. Materials & Methods: This quasi-experimental study was performed on 104 men substance abusers (52 participants in each of the control and intervention groups referred to substance abuse treatment centers in Hamadan. Data collection tool was a questionnaire containing demographic information and the theory of planned behavior constructs. Before the educational program, questionnaires were completed by both groups. After the pretest in both groups, participants in the intervention group participated in four educational sessions designed based on the theory of planned behavior. Two months after the end of program, posttest was performed. Data was analyzed using independent T-test, chi-square, fisher exact test, McNemar’s test and multiple linear regressions using SPSS-16. Results: After educational intervention, the mean scores of the theory constructs (attitude toward behavior, subjective norms, behavioral control, behavioral intention and behaviors, in the intervention group increased significantly (P<0.05, despite the fact, changes were not significant in the control group. Conclusion: Implementation of educational courses to encourage safe sexual behaviors based on the theory of planned behavior can be beneficial for substance abusers referred to substance abuse treatment centers.

  9. Tooth decay in alcohol and tobacco abusers

    Thavarajah Rooban; K M Vidya; Elizabeth Joshua; Anita Rao; Shanthi Ranganathan; Umadevi K Rao; K Ranganathan

    2011-01-01

    Background : Alcohol and tobacco abuse are detrimental to general and oral health. Though the effects of these harmful habits on oral mucosa had been demonstrated, their independent and combined effect on the dental caries experience is unknown and worthy of investigation. Materials and Methods : We compared 268 alcohol-only abusers with 2426 alcohol and tobacco abusers in chewing and smoking forms to test the hypothesis that various components of their dental caries experience are significan...

  10. CHILD ABUSE, FENOMENA DAN KEBIJAKAN DI INDONESIA

    Suci Wulansari

    2012-01-01

    Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF) results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope...

  11. Drug abuse in athletes.

    Reardon, Claudia L; Creado, Shane

    2014-01-01

    Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines the history of doping in athletes, the effects of different classes of substances used for doping, side effects of doping, the role of anti-doping organizations, and treatment of affected athletes. Doping goes back to ancient times, prior to the development of organized sports. Performance-enhancing drugs have continued to evolve, with "advances" in doping strategies driven by improved drug testing detection methods and advances in scientific research that can lead to the discovery and use of substances that may later be banned. Many sports organizations have come to ban the use of performance-enhancing drugs and have very strict consequences for people caught using them. There is variable evidence for the performance-enhancing effects and side effects of the various substances that are used for doping. Drug abuse in athletes should be addressed with preventive measures, education, motivational interviewing, and, when indicated, pharmacologic interventions. PMID:25187752

  12. Effective launch package integration for electromagnetic guns

    Hayden, T.E. [Kaman Sciences Corp., Colorado Springs, CO (United States); Dethlefsen, R. [Maxwell Labs., Inc., San Diego, CA (United States); Price, J.H. [Univ. of Texas, Austin, TX (United States). Center for Electromechanics

    1995-01-01

    Many engineering disciplines must be considered when designing launch packages for electromagnetic guns. These include electromechanics, plasma physics, fluid dynamics, structures, materials science, aerodynamics, thermodynamics, flight dynamics, and terminal effects. Often, the requirements of one discipline will be in direct conflict with the requirements of another. Each discipline can claim to be of overriding importance, but all aspects of launch package design must be considered if the gun system is to succeed in its mission. Choices must be made regarding launch package configuration. Base-pushing or mid-riding solutions are possible with solid, hybrid or plasma armatures. Fully optimized launch package designs must be used in comparisons to find the actual optimal design point. The most effective design for one gun system will not necessarily be the most effective for another. This paper discusses the interplay among the various engineering disciplines involved in launch package design. Successful testing of integrated projectile/armature/sabot configurations from 90 mm EM guns is reviewed.

  13. The independent effects of child sexual abuse and impulsivity on lifetime suicide attempts among female patients.

    Daray, Federico M; Rojas, Sasha M; Bridges, Ana J; Badour, Christal L; Grendas, Leandro; Rodante, Demián; Puppo, Soledad; Rebok, Federico

    2016-08-01

    Child sexual abuse (CSA) is a causal agent in many negative adulthood outcomes, including the risk for life-threatening behaviors such as suicide ideation and suicide attempts. Traumatic events such as CSA may pose risk in the healthy development of cognitive and emotional functioning during childhood. In fact, high impulsivity, a risk factor for suicidal behavior, is characteristic of CSA victims. The current study aims to understand the relations among CSA, impulsivity, and frequency of lifetime suicide attempts among a female patient sample admitted for suicidal behavior. Participants included 177 female patients between the ages of 18 and 63 years admitted at two hospitals in Buenos Aires, Argentina. Number of previous suicide attempts and CSA were assessed via structured interviews, while impulsivity was assessed with the Barratt Impulsiveness Scale (BIS-11). A model of structural equations was employed to evaluate the role of impulsivity in the relation between CSA and suicide attempts. CSA (β=.18, p.05). CSA and impulsivity are independently associated with lifetime suicide attempts among female patients with recent suicidal behavior. PMID:27352091

  14. The Study of the Effectiveness of Life Skills Training on Reduction of Tendency to Drug Abuse among High School Boy Students

    Mehri Sadat Mousavi

    2010-01-01

    Aims: with consideration of the effect of different structural and non-structural elements in narcotic substance abusing, in this research has been tried to achieve local recognition of non-structural effective factors and survey the effectiveness rate of its preventing trainings. Methods: recent article is the result of a surveying with preventing function which has been done in two parts. The first part was survey study, and second part was semi experimental. By clustering random sampling, ...

  15. Physical Child Abuse: What Are the External Factors?

    Noremy M. A.; Zulkarnain A. H.; Kelvin F.; Adanan M. J.; Sarah W. M. H.

    2012-01-01

    Children are an integral asset for future development of a nation. In lieu with this notion, countries pay much attention to their development and well being. In recent times, child abuse has been rampant. This issue is constantly making headlines in national newspapers in Malaysia. The alarming effect of this phenomenon is its inevitable implication on the family institution and the nation’s aspiration to create a better tomorrow. This current study is an attempt to discover the contributory...

  16. Counting master integrals: Integration-by-parts procedure with effective mass

    We show that the new relation between master integrals recently obtained in M.Yu. Kalmykov and B.A. Kniehl (2011) can be reproduced using the integration-by-parts technique implemented with an effective mass. In fact, this relation is recovered as a special case of a whole family of new relations between master integrals.

  17. Effect of sand production on casing integrity

    Li, X.Q.; Zhu, T.G.; Fang, L.T. [Dongsheng Petroleum Development Stock Co. Ltd., Shengli Oilfield (China); Yuan, Y. [BitCan Geosciences and Engineering Inc., Calgary, AB (Canada)

    2006-07-01

    Well casings are exposed to potentially corrosive formation fluids and subject to in situ stresses, fluid pressure, and reservoir compaction and expansion. Casing integrity can be compromised by human errors such as poor cement placement and inappropriate perforations. This paper described the outcome of an engineering study examining the effects of unintended excessive sand production on casing integrity. Supports to casings can be impacted when excessive amounts of sand are produced from the near-wellbore region. Compromised casing supports can buckle under axial loading from reservoir compaction. A case study of a well in the NiuZhang oilfield that experienced significant casing deformation 11 years after its completion was presented. Workover tools and production tubings could not pass through the damaged interval due to dramatic multiple doglegs. A mathematical analysis of casing buckling and activation of weak planes in the overburden suggested that a combination of excessive sand production and reservoir compaction during the well washing was responsible for the casing damage. The rapid 35 MPa pressure drop during the well washing disturbed rock materials around the perforation interval. Injected waste water reduced the rock strength due to swelling of the clay fines upon exposure to the water, causing significant amounts of rock solids to be produced over time. The excessive sand production formed a large void behind the casing and depleted its lateral support. It was concluded that proper management of sand production is necessary. However, control of sand production increases operating costs and can compromise oil production rates. Preliminary field measures such as the use of inclined wells, and gentle pressure drop during well washing were recommended. 16 refs., 1 tab., 9 figs.

  18. Latino Mother/Daughter Dyadic Attachment as a Mediator for Substance Use Disorder and Emotional Abuse.

    Kanamori, Mariano; Weissman, Jessica; De La Rosa, Mario; Trepka, Mary Jo; Rojas, Patria; Cano, Miguel Angel; Melton, James; Unterberger, Alayne

    2016-08-01

    To date, no studies have investigated emotional abuse of adult Latina women by their mothers despite evidence that emotional maternal abuse may significantly contribute to the emotional abuse experienced by Latina women in their lifetime. Cross-sectional data including 316 women was analyzed using mediation and logistic regression. Overall, 7.1 % of mothers and 24.1 % of daughters abused drugs; and, 19.5 % of daughters were emotionally abused by their mothers. Mother's attachment to her daughter mediated the association between mother's drug abuse and emotionally abusing her adult daughter (indirect effect: 0.863). Latina women can serve as perpetrators of emotional abuse of their adult children. Since drug-abusing daughters are more likely to be victims of emotional abuse by their mothers and drug-abusing mothers are more likely to abuse their daughters, drug-rehabilitation practitioners should incorporate a family abuse component into rehabilitation programs. PMID:26614091

  19. The Effects of the Moms and Teens for Safe Dates Program on Dating Abuse: a Conditional Process Analysis.

    Foshee, Vangie A; Benefield, Thad; Chen, May S; Reyes, Luz McNaughton; Dixon, Kimberly S; Ennett, Susan T; Moracco, Kathryn E; Bowling, J Michael

    2016-04-01

    Moms and Teens for Safe Dates (MTSD) is a dating abuse (DA) prevention program for teens exposed to domestic violence. In a randomized controlled trial (RCT), MTSD prevented certain types of DA victimization (psychological and physical) and perpetration (psychological and cyber) among teens with higher, but not lower, exposure to domestic violence. We built on these findings by using moderated mediation analysis to examine whether level of teen exposure to domestic violence conditioned the indirect effects of MTSD on these types of DA through targeted mediators. MTSD consisted of six mailed activity booklets. Mothers who had been former victims of domestic violence delivered the program to their teens. Mother and teen pairs were recruited into the RCT through community advertising and completed baseline and 6-month follow-up interviews (N = 277 pairs). As expected, MTSD had significant favorable effects for teens with higher but not lower exposure to domestic violence on several mediators that guided program content, including teen conflict management skills and mother-perceived severity of DA, self-efficacy for enacting DA prevention efforts, and comfort in communicating with her teen. MTSD had significant main effects on other mediators including teen feeling of family closeness and cohesion and mother-perceived susceptibility of her teen to DA. As expected, all significant indirect effects of MTSD on DA outcomes through mediators were for teens with higher exposure to domestic violence. Findings have implications for developing DA victimization and perpetration prevention programs for teens with high exposure to domestic violence. PMID:26494314

  20. Virtual patients: an effective educational intervention to improve paediatric basic specialist trainee education in the management of suspected child abuse?

    McEvoy, M M

    2011-09-01

    Child abuse is a particularly difficult subject to teach at both undergraduate and postgraduate level. Most doctors are dissatisfied with their training in child abuse recognition and management. We developed an interactive video based Virtual Patient to provide formal training for paediatric Basic Specialist Trainees in the recognition of suspected child abuse. The Virtual Patient case revolves around the management of suspected physical abuse in a seven month old child, who initially presents to the Emergency Department with viral upper respiratory tract symptoms. This Virtual Patient was used to facilitate a case discussion with Basic Specialist Trainees. A questionnaire was developed to determine their perception of the value of the Virtual Patient as an educational tool. Twenty five Basic Specialist Trainees completed the questionnaire. Upon completion of the case, 23\\/25 (92%) participants reported greater self confidence in their ability to recognize cases of suspected child abuse and 24\\/25 (96%) of participants reported greater self confidence in their ability to report cases of suspected child abuse. Basic Specialist Trainees perceived the Virtual Patient to be a useful educational tool. Virtual Patients may have a role to play in enhancing postgraduate training in the recognition of suspected child abuse.

  1. Physical Child Abuse: What Are the External Factors?

    Noremy M. A.

    2012-06-01

    Full Text Available Children are an integral asset for future development of a nation. In lieu with this notion, countries pay much attention to their development and well being. In recent times, child abuse has been rampant. This issue is constantly making headlines in national newspapers in Malaysia. The alarming effect of this phenomenon is its inevitable implication on the family institution and the nation’s aspiration to create a better tomorrow. This current study is an attempt to discover the contributory factors of physical child abuse in Malaysia. The objective of this study was to identify the background and demography of abuser and to identify the external factors that cause a parent to abuse their child. This case study was conducted in Selangor amongst eight Malay respondents using an in-depth interview session. This study found that external factors as the major contributory factor to physical child abuse. The factors are financial constraints, family crisis, character and disobedience of the children or so called ‘deviant children’, surroundings of the home, conflict with neighbours or lack of social support, parent’s mental illness and and influence of alcohol. Hence these factors are articulated and interpreted by the researcher. Implications of this research, profession who work with children such as social worker, psycologist and counselor should look into the external factors that contribute to the physical child abuse in designing intervention, cure and effective strategies to overcome this problem. In future, protecting children needs collective effort from policy maker, authority body, non-government organization and member of society.

  2. Enhancing Leadership Integrity Effectiveness Strategy Through The Institutionalization Of Anorganizational Management Integrity Capacity Systems

    José G. Vargas-Hernández

    Full Text Available Aims / objectives: This paper aims to analyze organizational management integrity capacity system as an improvement concept for enhancing leadership integrity effectiveness in a university setting. It departs from the analysis of the current organizational culture, values, virtues, managerial capabilities and attitudes to assume any organizational task. This paper aims also to propose a strategic modelfor the institutionalization of an organizational management integrity system. Study design: Cross-sectional study. Place and Duration of Study: University Center for Economic and ManagerialSciences, University of Guadalajara. The study is conducted for one academic year during the term 2011-2012. Methodology: The research methods used are the analytical based in the literature review and interpretative of the main findings to provide a synthetic model.Results and conclusion: The outcomes of the research on the application of organizational management integrity capacity systems may demonstrate that the drama of leadership effectiveness is centered on dysfunctional organizational integrity culture and leadership. This chapter provides a sound strategies and institutionalization for organizational integrity capacity philosophy focused on leadership integrity effectiveness that empowers management professionals to act with integrity and supported by an organizational integrity culture. Implications: The results provide the basis to develop strategies for an organizational integrity leadership framed by an organizational integrity culture, sustained by a code of conduct, regulation policies and overall the development and institutionalization of an organizational integrity capacity system which can positively influence the behavior of key stakeholders and actors.

  3. METHYLPHENIDATE ENHANCES THE ABUSE-RELATED BEHAVIORAL EFFECTS OF NICOTINE IN RATS: INTRAVENOUS SELF-ADMINISTRATION, DRUG DISCRIMINATION AND LOCOMOTOR CROSS-SENSITIZATION

    Wooters, Thomas E.; Neugebauer, Nichole M.; Rush, Craig R.; Bardo, Michael T.

    2007-01-01

    Stimulant drugs, including d-amphetamine, cocaine and methylphenidate, increase cigarette smoking in controlled human laboratory experiments. Although the mechanism(s) underlying this effect are unknown, it is possible that stimulants may enhance directly the abuse-related effects of nicotine. In the present study, we characterized the behavioral pharmacological interactions between methylphenidate and nicotine in the intravenous self-administration, drug discrimination and locomotor cross-se...

  4. Sibling Outcomes from a Randomized Trial of Evidence-Based Treatments with Substance Abusing Juvenile Offenders

    Rowland, Melisa D.; Chapman, Jason E.; Henggeler, Scott W.

    2008-01-01

    This study examined the substance use and delinquency outcomes for the nearest age siblings of substance abusing and delinquent adolescents that participated in a randomized clinical trial evaluating the effectiveness of integrating evidence-based practices into juvenile drug court. The sample of 70 siblings averaged 14.4 years of age, 50% were…

  5. Professional Counseling versus Specialized Programs for Alcohol and Drug Abuse Treatment.

    Polcin, Douglas L.

    2000-01-01

    Reviews major recent studies supporting the effectiveness of professional counseling, Alcoholics Anonymous, and specialty programs for treating alcohol and drug problems. Describes the American Society of Addiction Medicine's guidelines for referral to substance abuse services and examples of integrated treatment approaches. (Contains 35…

  6. Prescription drug abuse: problem, policies, and implications.

    Phillips, Janice

    2013-01-01

    This article provides an overview on prescription drug abuse and highlights a number of related legislative bills introduced during the 112th Congress in response to this growing epidemic. Prescription drug abuse has emerged as the nation's fastest growing drug problem. Although prescription drugs have been used effectively and appropriately for decades, deaths from prescription pain medicine in particular have reached epidemic proportions. Bills related to prescription drug abuse introduced during the 112th Congress focus on strengthening provider and consumer education, tracking and monitoring prescription drug abuse, improving data collection on drug overdose fatalities, combating fraud and abuse in Medicare and Medicaid programs, reclassifying drugs to make them more difficult to prescribe and obtain, and enforcing stricter penalties for individuals who operate scam pain clinics and sell pain pills illegitimately. This article underscores the importance of a multifaceted approach to combating prescription drug abuse and concludes with implications for nursing. PMID:23245611

  7. Identifying the Causal Effect of Alcohol Abuse on the Perpetration of Intimate Partner Violence by Men Using a Natural Experiment

    Averett, Susan L.; Wang, Yang

    2014-01-01

    Intimate partner violence (IPV) is widespread among women, with substantial and long-lasting negative consequences. Researchers have documented a strong positive correlation between alcohol abuse and IPV. Yet prior researchers have struggled with the problem of the potential endogeneity of alcohol abuse. In this paper, we deal with this problem by exploring a unique instrumental variable - the September 11 terrorist attack (9/11) - in Wave III of the National Longitudinal Study of Adolescent ...

  8. Delineating Selection and Mediation Effects among Childhood Personality and Environmental Risk Factors in the Development of Adolescent Substance Abuse

    Hicks, Brian M.; Johnson, Wendy; Durbin, C. Emily; Blonigen, Daniel M.; Iacono, William G.; McGue, Matt

    2014-01-01

    Utilizing the large, longitudinal Minnesota Twin Family Study (N = 2510; 96% European American ancestry), we examined the influence of several person-environment transactions on adolescent substance abuse. We focused on the two childhood personality traits found to be most predictive of substance abuse in this sample—socialization (willingness to follow rules and endorse conventional values) and boldness (social engagement and assurance, stress resilience, thrill seeking)—and the environmenta...

  9. The Moderating Effect of Substance Abuse Service Accessibility on the Relationship between Child Maltreatment and Neighborhood Alcohol Availability

    Morton, Cory M.

    2013-01-01

    This study investigates how the relationship between dense concentrations of alcohol retailers and high rates of child maltreatment may be moderated by the presence of substance abuse service facilities. Using a cross-sectional design, the study utilized data from Bergen County, New Jersey on child maltreatment reports, alcohol-selling retailers, substance abuse service facilities, and the United States Census. Findings indicate child maltreatment rates were higher in neighborhoods with lower...

  10. From Kratom to mitragynine and its derivatives: physiological and behavioural effects related to use, abuse, and addiction.

    Hassan, Zurina; Muzaimi, Mustapha; Navaratnam, Visweswaran; Yusoff, Nurul H M; Suhaimi, Farah W; Vadivelu, Rajakumar; Vicknasingam, Balasingam K; Amato, Davide; von Hörsten, Stephan; Ismail, Nurul I W; Jayabalan, Nanthini; Hazim, Ammar I; Mansor, Sharif M; Müller, Christian P

    2013-02-01

    Kratom (or Ketum) is a psychoactive plant preparation used in Southeast Asia. It is derived from the plant Mitragyna speciosa Korth. Kratom as well as its main alkaloid, mitragynine, currently spreads around the world. Thus, addiction potential and adverse health consequences are becoming an important issue for health authorities. Here we reviewed the available evidence and identified future research needs. It was found that mitragynine and M. speciosa preparations are systematically consumed with rather well defined instrumentalization goals, e.g. to enhance tolerance for hard work or as a substitute in the self-treatment of opiate addiction. There is also evidence from experimental animal models supporting analgesic, muscle relaxant, anti-inflammatory as well as strong anorectic effects. In humans, regular consumption may escalate, lead to tolerance and may yield aversive withdrawal effects. Mitragynine and its derivatives actions in the central nervous system involve μ-opioid receptors, neuronal Ca²⁺ channels and descending monoaminergic projections. Altogether, available data currently suggest both, a therapeutic as well as an abuse potential. PMID:23206666

  11. Effective Implementation Of The Integrated Islamic Education

    Maimun Aqsha Lubis

    2015-06-01

    Full Text Available This study is aqualitative research on the implementation of Integrated Islamic Education. The Pioneer Schools (Sekolah Rintis and the Integrated Islamic Education systems are solid evidence that not only Malaysia, but also Brunei has decided to settle on in promoting comprehensive education path for their future generations. However, some problems surface later, which are thought to impede a fully successful implementation of the Integrated Islamic Education in the country. This work aims to examine the extent of the implementation of the Integrated Islamic Education system and to evaluate whether there is ev[dence which requires revision of the current system. This research has identified, however, the need to look into the implementation of two main solutions to successfully accomplish the vision of assimilating the Integrated Islamic Education system in the country in the light of (i the implementation of the Thoughtful Schooling system or the concept of Integrated Islamic Education system and (ii the Educator’s capability to prepare and practice a good lesson plan, according to the ‘Eight Steps of the Teaching Learning Process’ in the classroom by focusing on the four factors on the Heart-mind concept of the Integrated Islamic Education system.

  12. The Life Skills Training and Preventive behaviors of Substances Abuse among University Students: a Longitudinal Study

    Mehdi Moshki

    2013-09-01

    Full Text Available Background & Objective: Nowaday, substance abuse is one of the bitterest social damages. In the recent years, substance abuse has increased among students of schools and universities, therefore special attention it requires. This study aimed to study the effect of life skills training on the promotion of the preventive behaviors of Gonabad University medical school students’ abuse of substances. Materials & Methods: During the experimental research and field trail, 60 students were Selected through a quota random sampling method and were randomly assigned to the two case and control groups. A Questionnaire that involved demographic factors and Preventive behaviors, whichwere caused as the result of drug abuse, was used for data collection. The questionnaire’s reliability and validity was assessed before and after educational intervention, and as a follow-up, 4 years after educational intervention. The Data was analyzed using T-Test and Chi-square. Results: Comparison of the mean of the scores in scale Preventive behaviors caused by drug abuse in post-test of two case and control groups had a significant difference (p<0/01 that remained stable 4 years after the end of the intervention. There was a significant difference between some of the demographic factors and Preventive behaviors that had been caused by drug abuse (p<0/01. Conclusion: Life skills training are effective in strengthening Preventive behaviors of substance abuse in university students. Therefore, life skills training programs should be integrated into university courses in order to comprehensively and consistently the effect of drug abuse on the educational level of students

  13. The effects of integrated care on professionals: a systematic review

    Janse, B.; Fabbricotti, I.N.; Huijsman, R.

    2012-01-01

    Background and aim Traditional care is increasingly being replaced by integrated care models, which often implies changes for health professionals involved. However, although literature on integrated care is abundant, the primary focus is rarely on professionals. Consequently, it is not clear if and how they are affected by integrated care interventions. The aim of this study, therefore, is to provide a systematic review of the literature on the effect of integrated care on professionals. Met...

  14. Stereoselective Effects of Abused "Bath Salt" Constituent 3,4-Methylenedioxypyrovalerone in Mice: Drug Discrimination, Locomotor Activity, and Thermoregulation.

    Gannon, Brenda M; Williamson, Adrian; Suzuki, Masaki; Rice, Kenner C; Fantegrossi, William E

    2016-03-01

    3,4-Methylenedioxypyrovalerone (MDPV) is a common constituent of illicit "bath salts" products. MDPV is a chiral molecule, but the contribution of each enantiomer to in vivo effects in mice has not been determined. To address this, mice were trained to discriminate 10 mg/kg cocaine from saline, and substitutions with racemic MDPV, S(+)-MDPV, and R(-)-MDPV were performed. Other mice were implanted with telemetry probes to monitor core temperature and locomotor responses elicited by racemic MDPV, S(+)-MDPV, and R(-)-MDPV under a warm (28°C) or cool (20°C) ambient temperature. Mice reliably discriminated the cocaine training dose from saline, and each form of MDPV fully substituted for cocaine, although marked potency differences were observed such that S(+)-MDPV was most potent, racemic MDPV was less potent than the S(+) enantiomer, and R(-)-MDPV was least potent. At both ambient temperatures, locomotor stimulant effects were observed after doses of S(+)-MDPV and racemic MDPV, but R(-)-MDPV did not elicit locomotor stimulant effects at any tested dose. Interestingly, significant increases in maximum core body temperature were only observed after administration of racemic MDPV in the warm ambient environment; neither MDPV enantiomer altered core temperature at any dose tested, at either ambient temperature. These studies suggest that all three forms of MDPV induce biologic effects, but R(-)-MDPV is less potent than S(+)-MDPV and racemic MDPV. Taken together, these data suggest that the S(+)-MDPV enantiomer is likely responsible for the majority of the biologic effects of the racemate and should be targeted in therapeutic efforts against MDPV overdose and abuse. PMID:26769917

  15. Tooth Decay in Alcohol Abusers Compared to Alcohol and Drug Abusers

    Stanley Gelbier; Peters, Timothy J.; Derek J. Cooper; Saman Warnakulasuriya; Harris, Colin K.; Dasanayake, Ananda P.

    2010-01-01

    Alcohol and drug abuse are detrimental to general and oral health. Though we know the effects of these harmful habits on oral mucosa, their independent and combined effect on the dental caries experience is unknown and worthy of investigation. We compared 363 “alcohol only” abusers to 300 “alcohol and drug” abusers to test the hypothesis that various components of their dental caries experience are significantly different due to plausible sociobiological explanatio...

  16. Childhood sexual abuse.

    Evrim Aktepe

    1993-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  17. Childhood Sexual Abuse

    Aktepe, Evrim

    2009-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  18. Joint Effect of Childhood Abuse and Family History of Major Depressive Disorder on Rates of PTSD in People with Personality Disorders

    Flory, Janine D.; Rachel Yehuda; Vincent Passarelli; Siever, Larry J.

    2012-01-01

    Objective. Childhood maltreatment and familial psychopathology both lead to an increased risk of the development of posttraumatic stress disorder (PTSD) in adulthood. While family history of psychopathology has traditionally been viewed as a proxy for genetic predisposition, such pathology can also contribute to a stress-laden environment for the child. Method. Analyses were conducted to evaluate the joint effect of childhood abuse and a family history of major depressive disorder (MDD) on di...

  19. Serotonin 2A Receptors Differentially Contribute to Abuse-Related Effects of Cocaine and Cocaine-Induced Nigrostriatal and Mesolimbic Dopamine Overflow in Nonhuman Primates

    Murnane, Kevin S.; Winschel, Jake; Schmidt, Karl T.; Stewart, LaShaya M.; Rose, Samuel J.; Cheng, Kejun; Rice, Kenner C.; Howell, Leonard L.

    2013-01-01

    Two of the most commonly used procedures to study the abuse-related effects of drugs in laboratory animals are intravenous drug self-administration and reinstatement of extinguished behavior previously maintained by drug delivery. Intravenous self-administration is widely accepted to model ongoing drug-taking behavior, whereas reinstatement procedures are accepted to model relapse to drug taking following abstinence. Previous studies indicate that 5-HT2A receptor antagonists attenuate the rei...

  20. Gender Moderation and Social Developmental Mediation of the Effect of A Family-Focused Substance Use Preventive Intervention on Young Adult Alcohol Abuse

    Mason, W. Alex; Kosterman, Rick; Haggerty, Kevin P.; Hawkins, J. David; Redmond, Cleve; Spoth, Richard L.; Shin, Chungyeol

    2009-01-01

    This study examined the long-term impact of Preparing for the Drug Free Years (PDFY) on young adult alcohol abuse disorder, addressing theory-based questions about how, and for whom, the program had its effects on the outcomes. Participants were 429 families of 6th graders enrolled in 33 rural schools located in the Midwestern United States. Schools were randomly assigned to conditions. Target adolescents (52% female) were interviewed periodically from age 11 to age 22; throughout adolescence...

  1. The effectiveness of educational programs to improve recognition and reporting of elder abuse and neglect: A systematic review of the literature

    Alt, Kim L.; Nguyen, Annie L.; Meurer, Linda N.

    2011-01-01

    Health professionals often lack adequate protocols or knowledge to detect, manage and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals’ recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeting a variety of health and social service audiences. Most evaluations were...

  2. A tale of 2 ADFs: differences in the effectiveness of abuse-deterrent formulations of oxymorphone and oxycodone extended-release drugs.

    Cicero, Theodore J; Ellis, Matthew S; Kasper, Zachary A

    2016-06-01

    The introduction of extended-release opioid analgesics helped initiate an epidemic of prescription opioid abuse in the United States. To make access to the drug by crushing or dissolution more difficult, abuse-deterrent formulations (ADFs) of OxyContin (Purdue Pharma, Stamford, CT) and Opana ER (Endo Pharmaceuticals Inc., Malvern, PA), which use the same foundation technology (Intac, Grunenthal, Aachen, Germany), were introduced in 2010 and 2012, respectively. To examine their relative effectiveness, we used a structured survey of 12,124 individuals entering treatment for opioid use disorder followed by a more focused online survey with a subset of these patients (N = 129) using both structured and open-ended questions. Data showed that the OxyContin ADF was highly effective in reducing nonoral abuse (91.4% before the ADF, 47.9% afterwards), particularly with insufflation (78%-28.8%) and intravenous injection of the active drug (42.7%-21.4%). However, although the Opana ER ADF was effective in reducing insufflation (80%-37.1%), injection (60.0%-51.4%), and overall nonoral abuse (94.3%-77.1%), it showed no significant decrease over time. Bearing in mind that the Opana ER sample was smaller in size than that for OxyContin, our results nonetheless suggest disparate outcomes resulting from the introduction of the ADFs, which could indicate that an ADF's effectiveness may be drug-specific. Given the public health impact of prescription opioids and the considerable effort being expended to develop ADFs as a partial solution to the problem, our preliminary studies suggest that each ADF must be evaluated on its own merits even if the same proprietary technology is used. PMID:27186712

  3. Cough and Cold Medicine Abuse

    ... and Cold Medicine Abuse DrugFacts: Cough and Cold Medicine Abuse Email Facebook Twitter Revised May 2014 Some ... diverted for abuse. How Are Cough and Cold Medicines Abused? Cough and cold medicines are usually consumed ...

  4. Gender Abuse and Incident HIV/STI Among Transgender Women in New York City: Buffering Effect of Involvement in a Transgender Community.

    Nuttbrock, Larry; Bockting, Walter; Rosenblum, Andrew; Hwahng, Sel; Mason, Mona; Macri, Monica; Becker, Jeffrey

    2015-08-01

    In a 3 year prospective study of 230 transgender women from the New York City Area, we further examined associations of gender-related abuse with HIV sexual risk behavior and incident HIV/STI, focusing here and the extent to which these associations are buffered by involvement in a transgender community. Largely consistent with the prior study, gender abuse was longitudinally associated with unprotected receptive anal intercourse (URAI) with casual and commercial sex partners, and the presumed biological outcome of this behavioral risk, new cases of HIV/STI. Both of these associations, gender abuse with URAI and HIV/STI, were significantly buffered by transgender community involvement (interaction effects). However, independent of these interaction effects, transgender community involvement was also positively associated with URAI and HIV/STI (direct effects). HIV prevention in this population should emphasize the benefits of interactions with transgender peers while also emphasizing the importance of resisting normative permission for HIV risk behavior from these same peers. PMID:25533923

  5. Skin manifestations of child abuse

    Ermertcan Aylin; Ertan Pelin

    2010-01-01

    Child abuse is a major public health problem all over the world. There are four major types of abuse: physical abuse, sexual abuse, emotional abuse and neglect. The most common manifestations of child abuse are cutaneous and their recognition; and differential diagnosis is of great importance. Clinicians, especially dermatologists, should be alert about the skin lesions of child abuse. In the diagnosis and management of child abuse, a multidisciplinary approach with ethical and legal procedur...

  6. School-Based Child Abuse Prevention Programs

    Brassard, Marla R.; Fiorvanti, Christina M.

    2015-01-01

    Child abuse is a leading cause of emotional, behavioral, and health problems across the lifespan. It is also preventable. School-based abuse prevention programs for early childhood and elementary school children have been found to be effective in increasing student knowledge and protective behaviors. The purpose of this article is to help school…

  7. Parent’s Addiction and Child Abuse

    Alireza Jazayeri

    2002-10-01

    The aim of this study is review the theorical approches of child abuse and its prevalency, ethiology, prevention, assessment and treatment. Also, we try to difine the relationship between child abuse and parents addiction and their side effects in different areas of childs life .

  8. School-Based Counseling of Abused Children

    Brassard, Marla R.; Rivelis, Erin; Diaz, Vielka

    2009-01-01

    Abused children experience high rates of behavior, emotional, and learning problems but infrequently receive treatment. Most services provided to abused children and their families are not based on any clear evidence that they work. A number of evidence-based treatments (EBTs), demonstrated to be safe and effective in treating a range of…

  9. Child abuse. Non-accidental head injury

    Knowledge of the radiological appearances that are the result of child abuse is an integral part of prevention of further, potentially life-threatening, injury. Radiologists must have un understanding of typical injury patterns of the skeletal system, visceral and intra-cranial structures, which should ideally be ordered chronologically. Necessary radiological investigations follow guidelines with specific criteria that are pointed out in this review. In equivocal cases of abuse, the opinion of a second (paediatric) radiologist should be sought. (orig.)

  10. The Mechanism and Effect of Abusive Supervision on the Voice Behavior%辱虐管理对建言行为影响及机制

    严丹; 黄培伦

    2012-01-01

    尽管建言行为对于组织变革与发展的意义重大,然而现实中许多员工的建言行为通常并不尽如人意,管理者领导行为的辱虐方式应是非常重要的影响因素之一.本文旨在研究辱虐管理对员工建言行为的影响,并以社会认同理论和文化及价值观为基础,研究组织认同和组织自尊在以上关系所起的中介作用,员工权利距离感在其中的调节作用.研究以广州一家大型制造型企业中302名员工和78名管理者作为研究对象,采用层级回归分析对问卷调查所获得的匹配数据进行分析.结果表明:辱虐管理对员工的建言行为有显著的负向影响,员工的组织认同和组织自尊在其中起完全中介作用;员工的权力距离感越大,辱虐管理对员工的组织认同和组织自尊的负面影响越小.%The voice behavior is important for significant organizational change and development, but in reality many employees are often reluctant to make suggestions. Managers' abusive supervision is one of the most important factors accounting for the voice behavior of employees. This paper mainly explores the mechanism which can help understand how abusive supervision impact voice behavior, as well as proposes and verifies the mediating effect of organizational identification/organization-based self-esteem on the relationship between abusive supervision and employee voice behavior. The paper mainly answers three research questions; Does abusive supervision affect an employee's voice behavior? What is the mechanism influencing the relationship? What individual traits can affect the process of abusive supervision that can influence an employee's voice behavior? Our literature review leads to theoretical development, and clarifies connotation and extension of variables, division of dimensions, and existing research related to the logical relationships from abusive supervision to organizational identification/organization-based self

  11. Integrating Adult Learning and Technologies for Effective Education: Strategic Approaches

    Wang, Victor C. X.

    2010-01-01

    As adult learners and educators pioneer the use of technology in the new century, attention has been focused on developing strategic approaches to effectively integrate adult learning and technology in different learning environments. "Integrating Adult Learning and Technologies for Effective Education: Strategic Approaches" provides innovative…

  12. Early Intervention in Poor Families Confronted With Alcohol Abuse and Violence: Impact on Families' Social Integration and Parenting : impact of early intervention within alcoholic and poor families

    Dumaret, Annick-Camille; Constantin-Kuntz, Marie; Titran, Maurice

    2009-01-01

    International audience To help families challenged by transgenerational problems, substance abuse, and violence, support strategies require professionals who understand their specific needs and inspire trust. Such support, provided by a group consisting of professionals, volunteers, and families, was assessed by a follow-up study. The outcome of 22 families was observed an average of 7 years after their participation in the group ended. Results show that most parents recovered a significan...

  13. Child abuse - physical

    ... this page: //medlineplus.gov/ency/article/001552.htm Child abuse - physical To use the sharing features on this page, please enable JavaScript. Physical child abuse is a serious problem. Here are some facts: ...

  14. Alcoholism and Alcohol Abuse

    ... their drinking causes distress and harm. It includes alcoholism and alcohol abuse. Alcoholism, or alcohol dependence, is a disease that causes ... groups. NIH: National Institute on Alcohol Abuse and Alcoholism

  15. Who Owns Child Abuse?

    Gerald Cradock

    2014-11-01

    Full Text Available Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguish child abusers from non-abusers, means knowledge is now spread across an array of disciplines and professions, which necessarily destabilizes the definition of child abuse. The increasing exposure of alternate care systems as potentially abusive has similarly destabilized the old common sense solution to neglected children—namely removal. Finally, as uncertainty increases, and definitions become more divergent, the question of what child abuse is, and what should be done about it, becomes increasingly politicized.

  16. Prescription Drug Abuse

    ... what the doctor prescribed, it is called prescription drug abuse. It could be Taking a medicine that ... purpose, such as getting high Abusing some prescription drugs can lead to addiction. These include narcotic painkillers, ...

  17. Abuse during Pregnancy

    ... partner may try to hurt your body. This physical abuse can include hitting, slapping, kicking, choking, pushing or ... your unborn baby in grave danger. During pregnancy, physical abuse can lead to miscarriage and vaginal bleeding . It ...

  18. Prescription Drug Abuse

    ... a drug abuser aggressive or paranoid. Although stimulant abuse might not lead to physical dependence and withdrawal, the feelings these drugs give people can cause them to use the drugs more and more ...

  19. Medical marijuana users in substance abuse treatment

    Swartz Ronald

    2010-03-01

    Full Text Available Abstract Background The rise of authorized marijuana use in the U.S. means that many individuals are using cannabis as they concurrently engage in other forms of treatment, such as substance abuse counseling and psychotherapy. Clinical and legal decisions may be influenced by findings that suggest marijuana use during treatment serves as an obstacle to treatment success, compromises treatment integrity, or increases the prevalence or severity of relapse. In this paper, the author reviews the relationship between authorized marijuana use and substance abuse treatment utilizing data from a preliminary pilot study that, for the first time, uses a systematic methodology to collect data examining possible effects on treatment. Methods Data from the California Outcomes Measurement System (CalOMS were compared for medical (authorized marijuana users and non-marijuana users who were admitted to a public substance abuse treatment program in California. Behavioral and social treatment outcomes recorded by clinical staff at discharge and reported to the California Department of Alcohol and Drug Programs were assessed for both groups, which included a sample of 18 reported medical marijuana users. Results While the findings described here are preliminary and very limited due to the small sample size, the study demonstrates that questions about the relationship between medical marijuana use and involvement in drug treatment can be systematically evaluated. In this small sample, cannabis use did not seem to compromise substance abuse treatment amongst the medical marijuana using group, who (based on these preliminary data fared equal to or better than non-medical marijuana users in several important outcome categories (e.g., treatment completion, criminal justice involvement, medical concerns. Conclusions This exploratory study suggests that medical marijuana is consistent with participation in other forms of drug treatment and may not adversely affect

  20. Integration of reliability and tolerance effect analysis

    Brombacher, A.C.; Boer, de H.A.; Loo, van 't J.

    1989-01-01

    The authors focus on the development of systems with online optimized reliability. They argue that in the case of online analysis, reliability analysis should have the same importance as functional analysis currently has, and that reliability should be integrated in a design. Further the function of

  1. Joint Effect of Childhood Abuse and Family History of Major Depressive Disorder on Rates of PTSD in People with Personality Disorders

    Janine D. Flory

    2012-01-01

    Full Text Available Objective. Childhood maltreatment and familial psychopathology both lead to an increased risk of the development of posttraumatic stress disorder (PTSD in adulthood. While family history of psychopathology has traditionally been viewed as a proxy for genetic predisposition, such pathology can also contribute to a stress-laden environment for the child. Method. Analyses were conducted to evaluate the joint effect of childhood abuse and a family history of major depressive disorder (MDD on diagnoses of PTSD and MDD in a sample of 225 adults with DSM-IV Axis II disorders. Results. Results showed that the rate of PTSD in the presence of both childhood abuse and MDD family history was almost six-fold (OR=5.89,  P=.001 higher relative to the absence of both factors. In contrast, the rate of MDD in the presence of both factors was associated with a nearly three-fold risk relative to the reference group (OR=2.75,  P=.01. Conclusions. The results from this observational study contribute to a growing understanding of predisposing factors for the development of PTSD and suggest that joint effects of family history of MDD and childhood abuse on PTSD are greater than either factor alone.

  2. Keeping Mind in Mind: Mentalizing and Executive Functioning in Substance-Abusing Infant Mothers: Effect on Dyadic Relationship and Infant Outcome

    Håkansson, Ulrika; Halsa, Astrid; Söderström, Kerstin; Skårderud, Finn; Øie, Merete Glenne

    2015-01-01

    Although it is well documented that maternal substance abuse has a negative effect on the mother–child interaction, less is known about the pathways through which the interaction is compromised. The main objective of this research proposal is to describe an ongoing research project that focuses on associations between maternal executive function and the quality of mother–infant interaction when the mother has a history of substance abuse. We will also investigate the effects of multiple variables, including maternal relationship experiences, personality disposition, parental stress, comorbid mental illness, and addiction severity, on the dyadic interaction and child functioning. A group of 40–50 mothers with substance abuse problems and their infants aged 6–18 months will be included. The mothers will be assessed with neuropsychological tests, clinical interviews, self-administered questionnaires, and dyadic interaction observations as well as observation and assessment of child functioning. We will use a cross-sectional correlational design. The inclusion of the participants will end in October 2015. Further knowledge about the variables that are important for the mother–infant relationship can inform future research and clinical practice. PMID:26819554

  3. Screening for child abuse at emergency departments : a systematic review

    Louwers, Eveline C. F. M.; Affourtit, Marjo J.; Moll, Henriette A.; de Koning, Harry J.; Korfage, Ida J.

    2010-01-01

    Introduction Child abuse is a serious problem worldwide and can be difficult to detect. Although children who experience the consequences of abuse will probably be treated at an emergency department, detection rates of child abuse at emergency departments remain low. Objective To identify effective

  4. Child Sexual Abuse Prevention: Evaluation of a Teacher Training Model.

    Kleemeier, Carol; And Others

    1988-01-01

    The effectiveness of a six-hour teacher training workshop on child sexual abuse prevention was evaluated. Findings indicated that trained teachers demonstrated significant increases in knowledge about child sexual abuse and pro-intervention opinions. Trained teachers were better able to identify behavioral indicators of abuse and suggest…

  5. Hormone Abuse Prevention and What You Need to Know

    ... Your Body in Balance › Diseases and Conditions › Hormone Abuse › Prevention Overview Hormonal Substances of Abuse Health Effects, Risks, ... may be able to see symptoms of steroid abuse in your child. Check out the section of this Web page ...

  6. Early Maladaptive Schemas of Substance Abusers and their Intimate Partners

    Shorey, Ryan C.; Anderson, Scott; Stuart, Gregory L.

    2013-01-01

    The influence of intimate partners in the recovery of substance abuse has been increasingly recognized in the professional literature. Couples-based substance abuse treatment has demonstrated effectiveness in reducing substance abuse and increasing healthy couple functioning. Recently, research has begun to investigate enduring cognitive beliefs that may impact substance abusers and their intimate partners, which could advance our understanding of factors that may impact cou...

  7. The Comparative Effectiveness of Outpatient Treatment for Adolescent Substance Abuse: A Meta-Analysis

    Tanner-Smith, Emily E; Wilson, Sandra Jo; Lipsey, Mark W.

    2012-01-01

    Meta-analysis was used to synthesize research on the effects of outpatient treatment on substance use outcomes for adolescents with substance use disorders. An extensive literature search located 45 eligible experimental or quasi-experimental studies reporting 73 treatment-comparison group pairs, with many of the comparison groups also receiving some treatment. The first analysis examined 250 effect sizes for the substance use outcomes of adolescents receiving different types of treatment rel...

  8. Drug and Substance Abuse

    ... are common in later life. The Most Common Types of Drug and Substance Abuse Prescription and Over-the-Counter Medications Abuse Among ... older population than in younger people. But, other types of substance abuse, such as inappropriate use of prescription and over- ...

  9. Child Abuse and Neglect

    Yaşar Tıraşçı; Süleyman Gören

    2007-01-01

    Child abuse is the physical or psychological maltreatment of a child by an adult. In recent years, the affinity and aware of child abuse have been increased in Turkey. But, it is not enough. The purpose of this article was to defined child abuse and to attract attention of population and medical worker.

  10. Preventing Child Abuse

    Alvy, Kerby T.

    1975-01-01

    Focuses on two major and general approaches to analyzing the problems of child abuse; briefly discusses the prevention implications; deals with the individual physical abuse of children, with particular emphasis on the relationship between theoretical formulations of the causes of individual physical abuse and preventative programs; and, finally,…

  11. Mono- versus polydrug abuse patterns among publicly funded clients

    Relyea George

    2007-11-01

    Full Text Available Abstract To examine patterns of mono- versus polydrug abuse, data were obtained from intake records of 69,891 admissions to publicly funded treatment programs in Tennessee between 1998 and 2004. While descriptive statistics were employed to report frequency and patterns of mono- and polydrug abuse by demographic variables and by study years, bivariate logistic regression was applied to assess the probability of being a mono- or polydrug abuser for a number of demographic variables. The researchers found that during the study period 51.3% of admissions reported monodrug abuse and 48.7% reported polydrug abuse. Alcohol, cocaine, and marijuana were the most commonly abused substances, both alone and in combination. Odds ratio favored polydrug abuse for all but one drug category–other drugs. Gender did not affect drug abuse patterns; however, admissions for African Americans and those living in urban areas exhibited higher probabilities of polydrug abuse. Age group also appeared to affect drug abuse patterns, with higher odds of monodrug abuse among minors and adults over 45 years old. The discernable prevalence of polydrug abuse suggests a need for developing effective prevention strategies and treatment plans specific to polydrug abuse.

  12. Substance abuse and first-episode schizophrenia-spectrum disorders. The Danish OPUS trial

    Petersen, Lone; Jeppesen, Pia; Thorup, Anne;

    2007-01-01

    To evaluate whether integrated treatment (given by OPUS), in comparison with standard treatment, significantly reduced the number of patients with substance abuse and improved clinical and social outcome in the group of substance abusers after 2 years.......To evaluate whether integrated treatment (given by OPUS), in comparison with standard treatment, significantly reduced the number of patients with substance abuse and improved clinical and social outcome in the group of substance abusers after 2 years....

  13. [Sexual child abuse: definition, prevalence and sequelae].

    Moggi, F

    1991-01-01

    This review focuses on two aspects of research on sexual child abuse during the last ten years, namely prevalence and long-term effects. Differing results for prevalence (6-62% for female subjects) have been found depending on the concept of sexual child abuse (incest vs. extra-familial child sexual abuse, child sexual abuse with or without physical contact, child sexual abuse with or without violence and sexual actions between adults and children) and depending on the method, and features of the subject. Long-term effects are complex (affective, somatic, eating and sleeping disorders, dissociations, disorders in interpersonal relationships, problems in sexuality and social functioning). The main syndrome seems to be a pattern of affective disorders. PMID:1799078

  14. Mental Health Consequences of Intimate Partner Abuse: A Multidimensional Assessment of Four Different Forms of Abuse

    Mechanic, Mindy B.; Weaver, Terri L.; Resick, Patricia A.

    2008-01-01

    Battered women are exposed to multiple forms of intimate partner abuse. This article explores the independent contributions of physical violence, sexual coercion, psychological abuse, and stalking on symptoms of posttraumatic stress disorder (PTSD) and depression among a sample of 413 severely battered, help-seeking women. The authors test the unique effects of psychological abuse and stalking on mental health outcomes, after controlling for physical violence, injuries, and sexual coercion. M...

  15. Reviewing the Association between the History of Parental Substance Abuse and the Rate of Child Abuse

    Yaghoubi-Doust, Mahmoud

    2013-01-01

    Background Substance abuse is a social, and health problem in Middle Eastern countries such as Iran. One of its most devastating effects is domestic violence against children. This study examined the association between the history of parental substance abuse, and rate of child abuse in Ahvaz, Iran. Methods This was a case-control study. The study population included all parents with high school children in Ahwaz within the academic year 2012-2013. The sample size was 384 people in two groups...

  16. Bidirectional reflection effects in practical integrating spheres.

    Mahan, J R; Walker, J A; Stancil, M M

    2015-10-20

    Integrating spheres play a central role in radiometric instrument calibration, surface optical property measurement, and radiant source characterization. Our work involves a simulation, based on the Monte Carlo ray-trace (MCRT) of bidirectional reflections within a practical integrating sphere pierced with two viewing ports. We used data from the literature to create an empirical model for the bidirectional reflection distribution function (BRF) of Spectralon suitable for use in the MCRT environment. The ratio of power escaping through the two openings is shown to vary linearly with wall absorptivity for both diffuse and bidirectional reflections. The sensitivity of this ratio to absorptivity is shown to be less when reflections are weakly bidirectional. PMID:26560384

  17. Novel collective effects in integrated photonics

    Delanty, M.; Rebic, S.; Twamley, J.

    2012-01-01

    Superradiance, the enhanced collective emission of energy from a coherent ensemble of quantum systems, has been typically studied in atomic ensembles. In this work we study theoretically the enhanced emission of energy from coherent ensembles of harmonic oscillators. We show that it should be possible to observe harmonic oscillator superradiance for the first time in waveguide arrays in integrated photonics. Furthermore, we describe how pairwise correlations within the ensemble can be measure...

  18. Integration of reliability and tolerance effect analysis

    Brombacher, A.C.; Boer; Loo, van 't, J.

    1989-01-01

    The authors focus on the development of systems with online optimized reliability. They argue that in the case of online analysis, reliability analysis should have the same importance as functional analysis currently has, and that reliability should be integrated in a design. Further the function of a quality assurance team is only to check this built-in reliability, not to make a functional correct design also reliable. Therefore the designer (or design team) should be able to perform reliab...

  19. MODUS OPERANDI OF SEXUAL ABUSERS AND THEIR GROOMING TECHNIQUES

    Miraç Burak GÖNÜLTAŞ

    2016-04-01

    Full Text Available Child sexual abuse has detrimental effects on both psychological and sociological development of children. In recent years, attention of sexual abuse and abuser has increased because of missing and abducted children. According to literature, sexual abusers are more opportunist and agile than offenders of other crime types. Academic researches related to sexual absusers aim to understand how to sexual abusers groom children and their methods. Therefore these studies intend to prevent sexual abuse, because sexual abuse harms victim seriously and irreversibly. The present study is compilation in that the researches conducted in this field are gathered in context to modus operandi and sexual grooming. Thus, it aims to remark attention to this field and to present some proposal for the prevention of sexual abuse in our country

  20. The Moderating Effects of Parenting Stress on Children's Adjustment in Woman-Abusing Families.

    Levendosky, Alytia A.; Graham-Bermann, Sandra A.

    1998-01-01

    Utilizes sheltered battered women (n=60) and their 7- to 12-year-old children and nonsheltered women (n=61) and their children, to examine the potential moderating effects of maternal parenting stress on children's adjustment in homes with varying levels of domestic violence. Results indicate that children's adjustment was predicted by parenting…

  1. Persuader Sex Differences and Peer Pressure Effects on Attitudes Toward Drug Abuse.

    Stone, Christopher I.; Shute, Robert E.

    This experiment was performed to assess the effects of the experimental confederates' sex and contrived group peer pressure on the drug attitudes of male college students. Subjects were exposed to all male or all female groups of experimental confederates (persuaders) who expressed either extremely pro-drug or anti-drug sentiments in a guided…

  2. A case of drug abuse

    Matteo Pacini

    2008-09-01

    Full Text Available Methadone maintenance is one of the well-known harm reduction strategies for public health intervention in heroin addiction. The significance of methadone treatment in preventing needle sharing, which in turn reduces the risk of HIV and HCV transmission among injectors, has been demonstrated. Methadone maintenance is also considered gathering site where heroin addicts can effectively acquire knowledge on harm reduction and drug rehabilitation. We report a case of a 34-years-old patient with a history of heroin abuse. Therapy with methadone was essential for an adequate management of the case. The article describe difficulties and complexities of heroin abuse management and the therapeutic role of methadone.

  3. Inhalant Abuse and Dextromethorphan.

    Storck, Michael; Black, Laura; Liddell, Morgan

    2016-07-01

    Inhalant abuse is the intentional inhalation of a volatile substance for the purpose of achieving an altered mental state. As an important, yet underrecognized form of substance abuse, inhalant abuse crosses all demographic, ethnic, and socioeconomic boundaries, causing significant morbidity and mortality in school-aged and older children. This review presents current perspectives on epidemiology, detection, and clinical challenges of inhalant abuse and offers advice regarding the medical and mental health providers' roles in the prevention and management of this substance abuse problem. Also discussed is the misuse of a specific "over-the-counter" dissociative, dextromethorphan. PMID:27338970

  4. Child Abuse in India

    Mohammad Reza Iravani

    2011-01-01

    Child abuse is harm to, or neglect of, a child by another person, whether adult or child. Child abuse happens in all cultural, ethnic, and income groups. Child abuse can be physical, emotional - verbal, sexual or through neglect. Abuse may cause serious injury to the child and may even result in death. A problem that is only beginning to come into light in India rape, sexual abuse, and sexual harassment are worldwide issues of gender violence. There is very little research done in this area i...

  5. Degrees Of Integration In International Portfolio Diversification: Effective Systemic Risk

    El. Thalassinos; Th. Kiriazidis

    2003-01-01

    This paper focuses on measuring the degrees of market integration (or segmentation) providing a tool for country selection in international portfolio diversification. It develops methodology measuring effective systemic risk as a proxy of market integration (or segmentation) and therefore allows for appropriate country selection in the better-performing stock markets of the world. The empirical evidence is used to clarify the conclusions about internationally integrated versus segmented marke...

  6. Daily Stressor Sensitivity, Abuse Effects, And Cocaine Use In Cocaine Dependence

    Waldrop, Angela E.; Back, Sudie E.; Brady, Kathleen T.; Upadhyaya, Himanshu P.; McRae, Aimee L.; Saladin, Michael E.

    2007-01-01

    This study highlights respondent sensitivity to daily hassles as it relates to situational cocaine use and perceived long-term effects of adverse events in childhood. Data were drawn from a larger study on stress reactivity in cocaine dependent individuals. Participants (n=104) were cocaine dependent men and women without comorbid posttraumatic stress disorder (PTSD). They completed the Early Trauma Inventory (ETI), the Daily Hassles Scale (DHS), the Inventory of Drug-Taking Situations (IDTS)...

  7. Sociological Factors to Drug Abuse and the Effects on Secondary School Students' Academic Performance in Ekiti and Ondo States, Nigeria

    Abdu-Raheem, B. O.

    2013-01-01

    This study examined the influence of drug abuse on secondary school students in relation to their family background, family cohesion, peer group influence, and students' academic performance. Descriptive research design of the survey type and an inventory were used for the study. The population comprised all secondary school students in Ekiti and…

  8. Comorbid substance abuse in first-episode schizophrenia : Effects on cognition and psychopathology in the EUFEST study

    Wobrock, T.; Falkai, P.; Schneider-Axmann, T.; Hasan, A.; Galderisi, S.; Davidson, M.; Kahn, R. S.; Derks, E. M.; Boter, H.; Rybakowski, J. K.; Libiger, J.; Dollfus, S.; Lopez-Ibor, J. J.; Peuskens, J.; Hranov, L. G.; Gaebel, W.; Fleischhacker, W. W.

    2013-01-01

    Studies and meta-analyses investigating the influence of substance use disorder (SUD) (substance abuse or dependence) on psychopathology and neurocognitive function in schizophrenia patients have revealed controversial results. Most studies did only have small samples and did not focus exclusively o

  9. How older persons explain why they became victims of abuse

    Mysyuk, Yuliya; Westendorp, Rudi Gerardus Johannes; Lindenberg, Jolanda

    2016-01-01

    position of older persons. Effects of abuse included negative feelings, physical and psychological distress, a change of personal norms and values, changed perspectives on money and low self-efficacy. These differential effects depended upon the types of abuse experienced and the relationship...... understand the perceptions of older victims as they are among the most important groups to handle and report abuse. DESIGN: a qualitative study on the perceptions and experiences of victims of elder abuse was conducted using in-depth semi-structured interviews. SETTING: abused individuals living...

  10. Negative and interactive effects of sex, aging, and alcohol abuse on gray matter morphometry.

    Thayer, Rachel E; Hagerty, Sarah L; Sabbineni, Amithrupa; Claus, Eric D; Hutchison, Kent E; Weiland, Barbara J

    2016-06-01

    Chronic alcohol use is associated with declines in gray matter (GM) volume, as is the normal aging process. Less apparent, however, is how the interaction between aging and heavy alcohol use affects changes in GM across the lifespan. There is some evidence that women are more vulnerable to the negative effects of alcohol use on GM than men. In the current study, we examined whether localized GM was related to measures of alcohol use disorder (e.g., AUDIT score) in a large sample (N = 436) of participants, ages 18-55 years, with a range of disease severity, using both voxel-based morphometry (VBM) and surface-based morphometry (SBM). We also explored whether GM associations with alcohol use disorder (AUD) severity are moderated by sex and age. Results showed significant negative associations between AUD severity and GM volume throughout temporal, parietal, frontal, and occipital lobes. Women showed more negative effects of alcohol use than men for cortical thickness in left orbitofrontal cortex, but evidence for increased vulnerability based on sex was limited overall. Similarly, a specific age by alcohol use interaction was observed for volume of right insula, but other regional or global interactions were not statistically supported. However, significant negative associations between heavy alcohol use and GM volumes were observed as early as 18-25 years. These findings support that alcohol has deleterious effects on global and regional GM above and beyond age, and, of particular importance, that regional associations emerge in early adulthood. Hum Brain Mapp 37:2276-2292, 2016. © 2016 Wiley Periodicals, Inc. PMID:26947584

  11. Challenge of Effective Technology Integration into Teaching and Learning

    Ramorola, M. Z.

    2013-01-01

    South African teachers are faced with challenges in integrating technology effectively into a coherent framework at school level. There seems to be little evidence of technology integration into classroom activities such as systematic planning and implementation of lessons that require learners to think critically, work collaboratively, and use…

  12. Battered data--some clinical effects of the abuse of multiple regression methods: the NSD

    The NSD equation, D . 1850 x T0.11 x N0.24, is a celebrated transmogrification of Cohen's two well-known collations of data on response to clinical irradiations (3 degrees erythema and 0.90 ablation of skin cancer) in which the relation of D and T is fixed by the data selected by Cohen and the additional constraint that N correspond to a schedule of five treatments per week is imposed subsequently by Ellis. The present paper shows that the equation, if correct, would have little clinical significance because the proportion, P, in which the dose, D, elicits the 3 degree erythema is unspecified: D . D(P) . D(.). The paper shows that the NSD equation is also incorrect because the ad hoc method by which Ellis estimates the exponents is inconsistent with the constraints imposed by Cohen and Ellis upon the parameters of the multivariate frequency distribution of the data set. The paper shows that the method by which the correct LS estimates of the exponents were obtained from the Cohen-Ellis data is consistent with these constraints and, therefore, this equation is a correct graduation of any other set of treatment regimens which is also consistent with the Cohen and Ellis constraints. The paper further shows that for such data sets there are, in fact, only two independent continuous variables, either D and T or D and N, since the Ellis constraint requires that N and T be collinear. The two characteristic features of the Cohen (Ellis)-type data which impede the construction of useful estimates of the putative separate effects of N and T upon the response of tissues to irradiation are that (1) these data do not include specifications of either a tissue defect or its incidence, and (2) the variables N and T are collinear. Appendices I and II describe methods by which the effects of these features may be eliminated (I) or reduced

  13. Chinese Employees' Psychological Responses to Abusive Supervisors: The Roles of Gender and Self-Esteem.

    Wang, Rong; Jiang, Jiang; Yang, Liuqin; Shing Chan, Darius Kwan

    2016-06-01

    Drawing on the conservation of resources theory, the relations between abusive supervision and emotional exhaustion and intent to leave were examined, as well as the gender differences in these relations. Moreover, the moderating effect of self-esteem was tested in an integrated model stipulating that the gender-moderating effect was mediated by the abusive supervision × self-esteem interaction. Data were collected from 264 employees (111 men; M age = 32.0 years; M tenure = 9.2 years). Results of regression analyses indicated that abusive supervision was positively correlated to emotional exhaustion and intent to leave. Women reported higher emotional exhaustion and intent to leave than men. The relations of interest were stronger among employees with higher self-esteem (emotional exhaustion: β = 0.44; intent to leave: β = 0.53). The interaction of abusive supervision × self-esteem mediated the gender-moderating effect. Women's stronger responses to abusive supervision may be related to their higher self-esteem, possibly because of the importance of employment to Chinese women. PMID:27091874

  14. The effectiveness of substance abuse treatment: development of a brief questionnaire

    ANDREIA DE MOURA

    2015-08-01

    Full Text Available Background Practitioners need brief instruments to monitor outcomes in both treatment of drugs and alcohol addiction because they are useful to guide decision making in a short time.Objectives This study aims to develop a brief questionnaire, based on Client Evaluation of Self and Treatment, to evaluate the treatment effectiveness in drug and alcohol addiction treatment settings.Methods A cross-sectional study using a convenience sample (N = 608 recruited from Division for Intervention on Addictive Behaviours and Dependencies (DICAD – ARS North.Results The results show a new four-factor solution that accounted for 54.4% of the total variance and that provides the best fit to the data (c2/df = 1.72, CFI = .94, GFI = .91, RMSEA = .048 [.040-.057]; prmsea = .623. It also revealed a high internal consistency (a = .82. It was found a significant negative correlation (r = - .52, p < .01 between the final version of the instrument and a self report measure of psychopathology symptoms.Discussion This brief questionnaire, with good psychometric properties, can be useful to provide a viable and rapid feedback of treatment outcomes. Further studies should be performed to continue the evaluation of the reliability of this measure.

  15. Sex differences in the effects of cocaine abuse across the life span.

    Dow-Edwards, Diana

    2010-06-01

    Cocaine alters brain function from the early days of development throughout the entire life of an individual. Since the first preclinical research on cocaine sensitization was published, sex differences in response to the drug in adult rats have been noted. With the appearance of reports on "crack babies" during the 1980s, sex differences in response to prenatal (developmental) exposure have been identified in both clinical and preclinical reports. Cocaine administered during early development in the rat produces wide-spread alterations in function which depend on the timing of drug administration as well as the sex of the animal. In males, the response patterns following postnatal days (PND) 11-20 cocaine administration (equivalent to the late prenatal period in humans) are quite similar to those seen following prenatal exposure (equivalent to the first half of pregnancy in humans). There is a general decrease in dopaminergic (DA) markers and reactivity perhaps due to the uncoupling of the D1 receptor from its second messenger system. While similar changes in D1 uncoupling are seen in females, behavioral and metabolic responses to drug challenges generally show increases in DA responsivity (except adolescents) perhaps due to the activational effects of estrogen and/or decreases in serotonin (5-HT) mediated regulation of DA function. We have found that a significant factor in the hyper-responsivity of the female is the role of the testing environment and the responses to stress which can obscure underlying neurochemical dysregulation. Whether parallel factors are operational in adult males and females is currently under investigation. PMID:20045010

  16. Does Parent-Child Interaction Therapy Reduce Future Physical Abuse? A Meta-Analysis

    Kennedy, Stephanie C.; Kim, Johnny S.; Tripodi, Stephen J.; Brown, Samantha M.; Gowdy, Grace

    2016-01-01

    Objective: To use meta-analytic techniques to evaluating the effectiveness of parent-child interaction therapy (PCIT) at reducing future physical abuse among physically abusive families. Methods: A systematic search identified six eligible studies. Outcomes of interest were physical abuse recurrence, child abuse potential, and parenting stress.…

  17. Outcome Evaluation of a Group Treatment of Sexually Abused and Reactive Children

    Duffany, Adrienne; Panos, Patrick T.

    2009-01-01

    Objective: To determine the effectiveness of group therapy in treating sexually abused children to prevent recidivism (subsequently re-abused or becoming abusers themselves). Methods: Recidivism rates of 617 children were compared between sexually abused children who received group treatment with those whose parents refused treatment.…

  18. The effects of childhood abuse on self-reported psychotic symptoms in severe mental illness: Mediating effects of posttraumatic stress symptoms.

    Choi, Ji Young; Choi, Young Min; Kim, Bongseog; Lee, Dong Woo; Gim, Min Sook; Park, Soo Hyun

    2015-09-30

    The present study examined the role of posttraumatic stress symptoms in the relationship between childhood abuse and self-reported psychotic symptoms in severe mental illness. A total of 126 patients diagnosed with major psychiatric conditions with comorbid symptoms of psychosis participated in the present study. The representative psychiatric diagnoses included schizophrenia, bipolar disorder with psychotic features, major depressive disorder with psychotic features, schizoaffective disorder, schizophreniform disorder, and delusional disorder. The Korean Child Trauma Questionnaire measured the type and degree of childhood abuse including emotional, physical, and sexual abuse. Korean version of the Impact of Event Scale-Revised assessed posttraumatic stress symptoms, and PSYC subscale of the PSY-5 Factor Scale of the MMPI-2 was used as a measure of self-reported psychotic symptoms. There was a significant relationship between childhood physical, emotional, sexual abuse and psychotic symptoms. Posttraumatic stress symptoms partially mediated the relationship between childhood abuse and psychotic symptoms. This implies that childhood abuse is significantly associated with the experience of chronic posttraumatic stress symptoms, and that such symptoms in turn increases the likelihood of experiencing psychotic symptoms. The results highlight the need for appropriate assessment and intervention concerning childhood abuse and posttraumatic stress symptoms in severe mental illness. PMID:26144585

  19. Hall Effect Sensors Design, Integration and Behavior Analysis

    Maher Kayal

    2013-02-01

    Full Text Available The present paper focuses on various aspects regarding Hall Effect sensors’ design, integration, and behavior analysis. In order to assess their performance, different Hall Effect geometries were tested for Hall voltage, sensitivity, offset, and temperature drift. The residual offset was measured both with an automated measurement setup and by manual switching of the individual phases. To predict Hall sensors performance prior to integration, three-dimensional physical simulations were performed.

  20. Hall Effect Sensors Design, Integration and Behavior Analysis

    Maher Kayal; Maria-Alexandra Paun; Jean-Michel Sallese

    2013-01-01

    The present paper focuses on various aspects regarding Hall Effect sensors’ design, integration, and behavior analysis. In order to assess their performance, different Hall Effect geometries were tested for Hall voltage, sensitivity, offset, and temperature drift. The residual offset was measured both with an automated measurement setup and by manual switching of the individual phases. To predict Hall sensors performance prior to integration, three-dimensional physical simulations were perfor...

  1. Effectiveness of integrated teaching module in pharmacology among medical undergraduates

    Yadav, Preeti P; Chaudhary, Mayur; Patel, Jayshree; Shah, Aashal; Kantharia, ND

    2016-01-01

    Context: Over the years with advancement of science and technology, each subject has become highly specialized. Teaching of medical students has still remained separate in various departments with no scope of integration in majority of medical institutes in India. Study was planned to have an experience of integration in institute and sensitize faculty for integrated teaching–learning (TL) method. Aims: To prepare and test effectiveness of integrated teaching module for 2nd year MBBS student in pharmacology and to sensitize and motivate faculties toward advantages of implementing integrated module. Settings and Design: Education intervention project implemented 2nd year MBBS students of Government Medical College and New Civil Hospital, Surat. Subjects and Methods: Students of second MBBS were divided into two groups. One group was exposed to integrated teaching sessions and another to traditional method. Both the groups were assessed by pre- and post-test questionnaire, feedback and focus group discussions were conducted to know their experience about process. Results: A total of 165 students of the 2nd year MBBS were exposed to the integrated teaching module for two topics in two groups. One group was taught by traditional teaching, and another group was exposed to the integrated TL session. Both the groups have shown a significant improvement in posttest scores but increase in mean score was more in integrated group. During analysis of feedback forms, it was noted that students preferred integrated TL methods since they help in better understanding. Faculty feedback shows consensus over the adaptation of integrated TL methods. Conclusions: Integrated TL sessions were well-appreciated by students and faculties. To improve the critical reasoning skills and self-directed learning of students, integrated TL is highly recommended for must know areas of curriculum.

  2. Drug abuse

    ... of cocaine may need larger amounts of the drug to feel these effects. Regular users of cocaine may develop: Loss of interest in school, work, family, and friends Memory loss Mood swings Sleep problems ...

  3. Child Abuse in the Eyes of the Beholder: Lay Perceptions of Child Sexual and Physical Abuse

    Bornstein, Brian H.; Kaplan, Debra L.; Perry, Andrea R.

    2007-01-01

    Objective: The purpose was to explore the effects of victim and perpetrator gender, type of abuse, and victim-perpetrator relationship on university students' and non-students' perceptions of different kinds of child abuse. Method: One hundred and ninety-nine participants (including university students and non-student adults) evaluated each of 24…

  4. Gene expression in human hippocampus from cocaine abusers identifies genes which regulate extracellular matrix remodeling.

    Deborah C Mash

    Full Text Available The chronic effects of cocaine abuse on brain structure and function are blamed for the inability of most addicts to remain abstinent. Part of the difficulty in preventing relapse is the persisting memory of the intense euphoria or cocaine "rush". Most abused drugs and alcohol induce neuroplastic changes in brain pathways subserving emotion and cognition. Such changes may account for the consolidation and structural reconfiguration of synaptic connections with exposure to cocaine. Adaptive hippocampal plasticity could be related to specific patterns of gene expression with chronic cocaine abuse. Here, we compare gene expression profiles in the human hippocampus from cocaine addicts and age-matched drug-free control subjects. Cocaine abusers had 151 gene transcripts upregulated, while 91 gene transcripts were downregulated. Topping the list of cocaine-regulated transcripts was RECK in the human hippocampus (FC = 2.0; p<0.05. RECK is a membrane-anchored MMP inhibitor that is implicated in the coordinated regulation of extracellular matrix integrity and angiogenesis. In keeping with elevated RECK expression, active MMP9 protein levels were decreased in the hippocampus from cocaine abusers. Pathway analysis identified other genes regulated by cocaine that code for proteins involved in the remodeling of the cytomatrix and synaptic connections and the inhibition of blood vessel proliferation (PCDH8, LAMB1, ITGB6, CTGF and EphB4. The observed microarray phenotype in the human hippocampus identified RECK and other region-specific genes that may promote long-lasting structural changes with repeated cocaine abuse. Extracellular matrix remodeling in the hippocampus may be a persisting effect of chronic abuse that contributes to the compulsive and relapsing nature of cocaine addiction.

  5. Effectiveness of secondary prevention and treatment interventions for crack-cocaine abuse: a comprehensive narrative overview of English-language studies.

    Fischer, Benedikt; Blanken, Peter; Da Silveira, Dartiu; Gallassi, Andrea; Goldner, Elliot M; Rehm, Jürgen; Tyndall, Mark; Wood, Evan

    2015-04-01

    There are an estimated several million crack-cocaine users globally; use is highest in the Americas. Most crack users are socio-economically marginalized (e.g., homeless), and feature elevated risks for morbidity (e.g., blood-borne viruses), mortality and crime/violence involvement, resulting in extensive burdens. No comprehensive reviews of evidence-based prevention and/or treatment interventions specifically for crack use exist. We conducted a comprehensive narrative overview of English-language studies on the efficacy of secondary prevention and treatment interventions for crack (cocaine) abuse/dependence. Literature searches (1990-2014) using pertinent keywords were conducted in main scientific databases. Titles/abstracts were reviewed for relevance, and full studies were included in the review if involving a primary prevention/treatment intervention study comprising a substantive crack user sample. Intervention outcomes considered included drug use, health risks/status (e.g., HIV or sexual risks) and select social outcome indicators. Targeted (e.g., behavioral/community-based) prevention measures show mixed and short-term effects on crack use/HIV risk outcomes. Material (e.g., safer crack use kit distribution) interventions also document modest efficacy in risk reduction; empirical assessments of environmental (e.g., drug consumption facilities) for crack smokers are not available. Diverse psycho-social treatment (including contingency management) interventions for crack abuse/dependence show some positive but also limited/short-term efficacy, yet likely constitute best currently available treatment options. Ancillary treatments show little effects but are understudied. Despite ample studies, pharmaco-therapeutic/immunotherapy treatment agents have not produced convincing evidence; select agents may hold potential combined with personalized approaches and/or psycho-social strategies. No comprehensively effective 'gold-standard' prevention

  6. Planning, Funding, and Implementing a Child Abuse Prevention Project.

    Dorman, Rebekah L.; Moore, Douglas J.; Schaerfl, Caroline A.

    Preventing child abuse is an endeavor that requires equal parts of caring, optimism, and pragmatism. Drawing on the experiences of more than 100 child abuse prevention projects, this field-tested manual integrates the abstract principles of program development and prevention with the real world experiences and challenges faced by prevention…

  7. The First Lady Talks about Drug Abuse.

    American Education, 1983

    1983-01-01

    Mrs. Reagan discusses effects of drug use among teenagers and offers suggestions to teachers, parents, and students for combating drug abuse. She stresses parent involvement and the formation of parent peer groups, as well as teachers' responsibilities. (NJ)

  8. Sexual Abuse of Children: Current Concepts.

    Jones, Jerry G.

    1982-01-01

    Acts of pedophilia, rape, and incest are uncomfortable subjects that are underdiagnosed and underreported. Effective management involves a multidisciplinary approach that is difficult to achieve without a special program for sexually abused children. Journal availability: see EC 143 201. (Author)

  9. The effects of childhood sexual abuse on cortisol trajectories in pregnancy are moderated by current family functioning

    Bublitz, Margaret H.; Parade, Stephanie; Stroud, Laura R.

    2014-01-01

    The goal of this study was to understand the roles of maternal history of childhood sexual abuse (CSA) and current family functioning on the cortisol awakening response (CAR) in pregnancy. Participants were 185 pregnant women (ages 18–40) who completed items from the Adverse Childhood Experiences scale to measure child maltreatment history and the Family Assessment Device to measure current family functioning. Participants provided saliva samples at wake-up and 30 minutes after wake-up at 25,...

  10. The Effect of Interpersonal Psychotherapy for Depression on Insomnia Symptoms in a Cohort of Women with Sexual Abuse Histories

    Pigeon, Wilfred R.; May, Pamela E.; Perlis, Michael L.; Ward, Erin A.; Lu, Naiji; Talbot, Nancy L.

    2009-01-01

    Insomnia frequently occurs with trauma exposure and depression, but can ameliorate with improvements in depression. Insomnia was assessed by the insomnia subscale of the Hamilton Rating Scale for Depression in 106 women with childhood sexual abuse (CSA) and major depression receiving Interpersonal Psychotherapy in an uncontrolled pilot (n = 36) and an immediately subsequent randomized controlled trial (n = 70) comparing IPT to treatment as usual. Depression improved in each study and in both ...

  11. EFFECT OF JOB SKILLS TRAINING ON EMPLOYMENT AND JOB SEEKING BEHAVIORS IN AN AMERICAN INDIAN SUBSTANCE ABUSE TREATMENT SAMPLE

    Foley, K.; Pallas, D; Forcehimes, A.A.; Houck, J. M.; Bogenschutz, M. P.; Keyser-Marcus, L.; Svikis, D

    2010-01-01

    Employment difficulties are common among American Indian individuals in substance abuse treatment. To address this problem, the Southwest Node of NIDA’s Clinical Trials Network conducted a single-site adaptation of its national Job Seekers Workshop study in an American Indian treatment program, Na’Nizhoozhi Center (NCI). 102 (80% men, 100% American Indian) participants who were in residential treatment and currently unemployed were randomized to (1) a three session, manualized program (Job se...

  12. The Effectiveness of Educational Programs to Improve Recognition and Reporting of Elder Abuse and Neglect: A Systematic Review of the Literature.

    Alt, Kim L; Nguyen, Annie L; Meurer, Linda N

    2011-07-01

    Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals' recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeted a variety of health and social service audiences. Most evaluations were limited to satisfaction measures. These programs may result in increased awareness, collaboration, and improved case finding. However, using the published literature to guide new program planning is constrained by lack of details and limited evaluations. PMID:27119527

  13. Initial Assessment of Stewards of Children Program Effects on Child Sexual Abuse Reporting Rates in Selected South Carolina Counties.

    Letourneau, Elizabeth J; Nietert, Paul J; Rheingold, Alyssa A

    2016-02-01

    Child sexual abuse (CSA) prevention programs often include a focus on increased reporting of suspected abuse, in addition to other prevention components such as helping trainees recognize suspected abusive situations. This study aimed to determine whether the Stewards of Children prevention program is associated with increased CSA reporting. Analyses examined whether rates of CSA allegations increased over time in three counties in South Carolina (SC) targeted with program dissemination efforts and whether CSA reporting trends differed between the three targeted counties and three comparison counties that did not experience substantial program dissemination. CSA allegation data were obtained by county and year for predissemination and postdissemination periods from the SC Department of Social Services. Results indicated that, for the targeted counties but not the nontargeted counties, estimated allegation rates increased significantly over time, corresponding with the onset of significant program dissemination efforts. Results also indicated significant between-groups differences in allegation trends for targeted versus nontargeted counties. These findings suggest that the Stewards prevention intervention may be associated with increased CSA allegations. However, results require replication with randomization of counties. Moreover, whether increased reporting is associated with decreased CSA incidence remains unknown. PMID:26530898

  14. The Dilution Effect and Information Integration in Perceptual Decision Making.

    Jared M Hotaling

    Full Text Available In cognitive science there is a seeming paradox: On the one hand, studies of human judgment and decision making have repeatedly shown that people systematically violate optimal behavior when integrating information from multiple sources. On the other hand, optimal models, often Bayesian, have been successful at accounting for information integration in fields such as categorization, memory, and perception. This apparent conflict could be due, in part, to different materials and designs that lead to differences in the nature of processing. Stimuli that require controlled integration of information, such as the quantitative or linguistic information (commonly found in judgment studies, may lead to suboptimal performance. In contrast, perceptual stimuli may lend themselves to automatic processing, resulting in integration that is closer to optimal. We tested this hypothesis with an experiment in which participants categorized faces based on resemblance to a family patriarch. The amount of evidence contained in the top and bottom halves of each test face was independently manipulated. These data allow us to investigate a canonical example of sub-optimal information integration from the judgment and decision making literature, the dilution effect. Splitting the top and bottom halves of a face, a manipulation meant to encourage controlled integration of information, produced farther from optimal behavior and larger dilution effects. The Multi-component Information Accumulation model, a hybrid optimal/averaging model of information integration, successfully accounts for key accuracy, response time, and dilution effects.

  15. The Dilution Effect and Information Integration in Perceptual Decision Making.

    Hotaling, Jared M; Cohen, Andrew L; Shiffrin, Richard M; Busemeyer, Jerome R

    2015-01-01

    In cognitive science there is a seeming paradox: On the one hand, studies of human judgment and decision making have repeatedly shown that people systematically violate optimal behavior when integrating information from multiple sources. On the other hand, optimal models, often Bayesian, have been successful at accounting for information integration in fields such as categorization, memory, and perception. This apparent conflict could be due, in part, to different materials and designs that lead to differences in the nature of processing. Stimuli that require controlled integration of information, such as the quantitative or linguistic information (commonly found in judgment studies), may lead to suboptimal performance. In contrast, perceptual stimuli may lend themselves to automatic processing, resulting in integration that is closer to optimal. We tested this hypothesis with an experiment in which participants categorized faces based on resemblance to a family patriarch. The amount of evidence contained in the top and bottom halves of each test face was independently manipulated. These data allow us to investigate a canonical example of sub-optimal information integration from the judgment and decision making literature, the dilution effect. Splitting the top and bottom halves of a face, a manipulation meant to encourage controlled integration of information, produced farther from optimal behavior and larger dilution effects. The Multi-component Information Accumulation model, a hybrid optimal/averaging model of information integration, successfully accounts for key accuracy, response time, and dilution effects. PMID:26406323

  16. Childhood Sexual Abuse: Long-Term Effects on Psychological and Sexual Functioning in a Nonclinical and Nonstudent Sample of Adult Women.

    Greenwald, Evan; And Others

    1990-01-01

    Comparison of psychological and sexual functioning of 54 women sexually abused as children and 54 nonabused women found no differences in self-esteem, but abused women reported more symptoms of distress and psychological symptoms previously associated with sexual abuse. No differences in self-reported sexual satisfaction or dysfunction were found.…

  17. Radiation effects on the integrity of paper

    Books and documents attacked by fungi and insects have already been treated by radiation for disinfestations purposes. However, there is still need to investigate the influence of radiation on the cellulose paper structure. The aim of this research was to study the effects of radiation on paper properties, especially those related to strength and appearance. Paper sheets for this study were prepared in the laboratory, using bleached eucalyptus pulp as raw material. No additives were used to concentrate the attention only on the effects of irradiation on the pure cellulose matrix. The samples were irradiated at IPEN's 60Co Gammacell irradiator with six radiation doses, from 3 to 15 kGy at the dose rate 0.817 Gy/s. The properties of paper sheets were tested after irradiation and compared with unirradiated samples according to ISO methods. No significant changes were detected in paper samples irradiated up to 15 kGy.

  18. Maltreated and abused children

    HOUFOVÁ, Jana

    2011-01-01

    According to the statistics there are forty thousand of battered and abused children in the Czech Republic. Maltreatment and abuse are not revealed in most cases and thus they accompany the children during their whole childhood. The reason is that children cannot defend themselves. The maltreatment or the abuse of a child is revealed only if somebody from the child?s neighbourhood observes anything suspicious and decides to report it, which is both a moral and a legal obligation. A person, wh...

  19. Who Owns Child Abuse?

    Gerald Cradock

    2014-01-01

    Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguis...

  20. Child abuse and neglect

    Kiran, K

    2011-01-01

    Child abuse and neglect are important public health problems and recent estimates of their prevalence suggest that they are considerably more common than had hitherto been realized. Intervening to change parenting practices may, however, be important in their treatment. Despite their frequent occurrence among dental patients, neglect is the least known and identified type of abuse. The present case reports a 3-year-old girl suffering from abuse and neglect. The girl had dental neglect and als...

  1. SUBSTANCE ABUSE IN INDIA

    Bano Rubeena

    2009-12-01

    Full Text Available The epidemic of substance abuse in young generation has assumed alarming dimensions in India. Changing cultural values, increasing economic stress and dwindling supportive bonds are leading to initiation into substance use. Cannabis, heroin, and Indian-produced pharmaceutical drugs are the most frequently abused drugs in India. Drug use, misuse or abuse is also primarily due to the nature of the drug abused, the personality of the individual and the addict’s immediate environment. The processes of industrialization, urbanization and migration have led to loosening of the traditional methods of social control rendering an individual vulnerable to the stresses and strains of modern life.

  2. Child Sexual Abuse

    HROBAŘOVÁ, Petra

    2008-01-01

    My thesis deals with the problems of sexual abuse of children. It is divided into nine chapters, each of which has a subhead. In the first part, I focused on the term of child sexual abuse. In the second part, I focused on the problem of sexual abuse of children by family members. In the third part, I explained the term of commercial sexual violence committed against children. In the fourth part, I focused on the victims of sexual abuse and in the following part, I focused on the perpetrators...

  3. Elder Abuse and Neglect

    Muge Gulen

    2013-06-01

    Full Text Available Abuse and neglect are preventable societal problems that influence elderly individuals physically, spiritually and socially. Elder abuse is neglected for many years and is a growing problem all over the world. The aim of this article is to review the evaluation of elderly individuals who are exposed to abuse and neglect with systematic detailed history and physical examination and to describe individual, familial, and social measures that should be taken to prevent these abuses. [Archives Medical Review Journal 2013; 22(3.000: 393-407

  4. Substance Abuse in the Military

    ... DrugFacts » Substance Abuse in the Military DrugFacts: Substance Abuse in the Military Email Facebook Twitter Revised March ... alcohol and tobacco use, and especially prescription drug abuse, are much more prevalent and are on the ...

  5. Worldwide actions to combat abuse.

    1998-01-01

    This paper reports several developments on the global efforts to combat abuse and violence against women and children. It is noted that in South Africa, Belem, Brazil, and Lesotho, protest actions were conducted against women and child abuse. Although the protests were made separately, the protests generally called for implementation of initiatives from the government to address the issue of child and women abuse. In the context of preventing abusive behaviors, a study by the University of Cape Town in South Africa on the appropriateness and feasibility of short-term community-based group therapy concluded that such an approach might be effective in treating delinquent behavior. In Indonesia, the Rifka Annisa Women's Crisis Centre is working to combat violence against women by providing services to victims; while in Israel, a media campaign is aiming to increase awareness and support for women's help centers. In addition, the government of Bangladesh has established a Cell Against Violence Against Women that provides legal counseling and assistance for civil and criminal cases related to violence against women. Furthermore, the WHO and the International Federation of Obstetricians and Gynecologists have collaborated to conduct a joint workshop to explore how violence against women can be eliminated. PMID:12348694

  6. Brain MR imaging in child abuse

    Intracranial injuries represent the most severe manifestation of child abuse. CT of the brain is the current standard for evaluation of these infants; however, MR imaging offers several potential advantages. MR imaging and CT were performed in ten infants who suffered intracranial trauma owing to child abuse. CT was slightly better at demonstrating subarachnoid hemorrhage and had definite advantages for defining fractures. MR imaging was superior in the demonstration of subacute extraaxial hemorrhage, deep brain injuries owing to shearing effects from shaking, and anoxic injuries. MR imaging has a definite complementary role in the evaluation of acute intracranial trauma in child abuse victims

  7. Market, Country and World Effects on Regional Equity Market Integration

    Chee-Wooi Hooy

    2009-07-01

    Full Text Available This study explores the fundamental driving forces of regional equity market integration in a trading bloc. The determinant factors are categorized into market attribute, economic fundamentals and world information. Our sample consists of 26 equity markets of five regional trading blocs, namely AFTA, CER, EFTA, EU and NAFTA over the period of January 1999 to August 2005. We measure market integration based on pricing errors as proposed by Korajczyk (1996 and Levine and Zervos (1998. Using panel regressions, our results show that equity integration in these trading blocs is driven internally, where only individual market volatility and economic fundamentals play a significant role in the process. Intrabloc trade is found to enhance regional equity market integration, supporting the notion that regional convergence extends beyond the trade sector that is promoted in the trade agreements. We also document regime shifting effects during stock market crises, where most of these markets became strongly integrated after a regional crisis, but integration was significantly weakened during a crisis that affected the world markets. Also, the level of equity market integration differs across trading blocs, where the blocs with a smaller number of country members are relatively more integrated.

  8. Euroasian Integration Process and Effective Institutional Mechanism Creation Problems

    Olga M. Mesheriakova

    2014-06-01

    Full Text Available In the present article "Euroasian Integration Process and Effective Institutional Mechanism Creation Problems" author investigates the problem of effective and balanced decision-making mechanism in the integration communities creation. Process of the Customs union creation on the Euroasian space began relatively long ago. Creation of such union was started by the Russian Federation and the Republic of Belarus in the 1995. The same year Republic of Kazakhstan joined an integration process. A little later Kyrgyzstan and Tajikistan joined the Customs union – in 1996 and in 1999 respectively. Author on the basis of careful study of the decision-making mechanisms in the Customs union, CIS, EurAsEC and EU, carries out the comparative analysis of the specified mechanisms. Author conducts detailed analytics, gives opinions of jurists, state and public figures, proves own opinions. On the basis of the comparative research conducted by the author the criteria of legal mechanism of decision-making in the integration process efficiency are researched and discussed, what allows to speak about the integration of the legal system. At the end of the article author draws a conclusion that coordination of sovereign desires of states in the integration community represents difficult and many-sided process which has to be based on the balanced decision-making mechanism, which is a main criterion of the institutional mechanism of integration efficiency.

  9. Laboratory approach for diagnosis of toluene-based inhalant abuse in a clinical setting

    Raka Jain; Arpita Verma

    2016-01-01

    The steady increase of inhalant abuse is a great challenge for analytical toxicologists. This review describes an overview of inhalant abuse including the extent of the problem, types of products abused, modes of administration, pharmacology and effects of inhalants, the role of laboratory, interpretation of laboratory results and clinical considerations. Regular laboratory screening for inhalant abuse as well as other substance abuse and health risk behaviors must be a part of standard clini...

  10. Laboratory approach for diagnosis of toluene-based inhalant abuse in a clinical setting

    Raka Jain

    2016-01-01

    Full Text Available The steady increase of inhalant abuse is a great challenge for analytical toxicologists. This review describes an overview of inhalant abuse including the extent of the problem, types of products abused, modes of administration, pharmacology and effects of inhalants, the role of laboratory, interpretation of laboratory results and clinical considerations. Regular laboratory screening for inhalant abuse as well as other substance abuse and health risk behaviors must be a part of standard clinical care.

  11. Accelerated nuclear quantum effects sampling with open path integrals

    Mazzola, Guglielmo

    2016-01-01

    We numericaly demonstrate that, in double well models, the autocorrelation time of open path integral Monte Carlo simulations can be much smaller compared to standard ones using ring polymers. We also provide an intuitive explanation based on the role of instantons as transition states of the path integral pseudodynamics. Therefore we propose that, in all cases when the ground state approximation to the finite temperature partition function holds, open path integral simulations can be used to accelerate the sampling in realistic simulations aimed to explore nuclear quantum effects.

  12. The Dependence of the Resonance Integral on the Doppler Effect

    The Doppler sensitive contributions to the resonance integral for metal and oxide cylinders have been calculated using tables compiled by Adler, Hinman and Nordheim. The temperatures 20, 200, 350, 500 and 650 deg C have been investigated for the pure metal and 20, 300, 600, 900 and 1200 deg C for the oxide. Contributions from the separate resonances in the resolved region and for certain energies in the unresolved region are accounted for in detail. Integration over adequate statistical distributions has been carried out for the resonance parameters in the unresolved region. The increase in the resonance integral at elevated temperatures due to the Doppler effect is given separately in tables and diagrams

  13. The Effect of Birthright Citizenship on Parental Integration Outcomes

    Avitabile,Ciro; Clots-Figueras, Irma; MASELLA, Paolo

    2010-01-01

    The integration of immigrants is the subject of ongoing public debate, and devising measures to enable the assimilation of newcomers ranks high on the political agendas of many countries. This paper focuses on the legal institution of citizenship and analyzes the consequences of birthright citizenship introduced in Germany. We use the exogenous variation provided by the 1999 reform of the German nationality law to study the effect of children's legal status on the integration of immigrant par...

  14. The Weekend Effect: A Trading Robot and Fractional Integration Analysis

    Caporale, Guglielmo Maria; Gil-Alana, Luis; Plastun, Alex; Makarenko, Inna

    2014-01-01

    This paper provides some new empirical evidence on the weekend effect, one of the most recognized anomalies in financial markets. Two different methods are used: (i) a trading robot approach to examine whether or not there is such an anomaly giving rise to exploitable profit opportunities by replicating the actions of traders; (ii) a fractional integration technique for the estimation of the (fractional) integration parameter d. The results suggest that trading strategies aimed at exploiting ...

  15. Piezojunction effect in silicon integrated circuits and sensors

    Fruett, Fabiano

    2002-01-01

    Mechanical stress affects the magnitude of base-emitter voltages of forward biased bipolar transistors. This phenomenon is called the piezojunction effect. The piezojunction effect is the main cause of inaccuracy and drift in integrated temperature sensors and bandgap voltage references.

  16. Thermal Hydraulic Integral Effect Tests for Pressurized Water Reactors

    The objectives of the project are to construct a thermal-hydraulic integral effect test facility and to perform various integral effect tests for design, operation, and safety regulation of pressurized water reactors. During the first phase of this project (1997.8∼2002.3), the basic technology for thermal-hydraulic integral effect tests was established and the basic design of the test facility was accomplished: a full-height, 1/300-volume-scaled full pressure facility for APR1400, an evolutionary pressurized water reactor that was developed by Korean industry. Main objectives of the present phase (2002.4∼2005.2), was to optimize the facility design and to construct the experimental facility. We have performed following researches: 1) Optimization of the basic design of the thermal-hydraulic integral effect test facility for PWRs - ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) - Reduced height design for APR1400 (+ specific design features of KSNP safety injection systems) - Thermal-hydraulic scaling based on three-level scaling methodology by Ishii et al. 2) Construction of the ATLAS facility - Detailed design of the test facility - Manufacturing and procurement of components - Installation of the facility 3) Development of supporting technology for integral effect tests - Development and application of advanced instrumentation technology - Preliminary analysis of test scenarios - Development of experimental procedures - Establishment and implementation of QA system/procedure

  17. Thermal Hydraulic Integral Effect Tests for Pressurized Water Reactors

    Baek, W. P.; Song, C. H.; Kim, Y. S. and others

    2005-02-15

    The objectives of the project are to construct a thermal-hydraulic integral effect test facility and to perform various integral effect tests for design, operation, and safety regulation of pressurized water reactors. During the first phase of this project (1997.8{approx}2002.3), the basic technology for thermal-hydraulic integral effect tests was established and the basic design of the test facility was accomplished: a full-height, 1/300-volume-scaled full pressure facility for APR1400, an evolutionary pressurized water reactor that was developed by Korean industry. Main objectives of the present phase (2002.4{approx}2005.2), was to optimize the facility design and to construct the experimental facility. We have performed following researches: 1) Optimization of the basic design of the thermal-hydraulic integral effect test facility for PWRs - ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) - Reduced height design for APR1400 (+ specific design features of KSNP safety injection systems) - Thermal-hydraulic scaling based on three-level scaling methodology by Ishii et al. 2) Construction of the ATLAS facility - Detailed design of the test facility - Manufacturing and procurement of components - Installation of the facility 3) Development of supporting technology for integral effect tests - Development and application of advanced instrumentation technology - Preliminary analysis of test scenarios - Development of experimental procedures - Establishment and implementation of QA system/procedure.

  18. Abuse and neglect of seniors in British Columbia: an empirical and theoretical analysis

    McMullen, Jennifer Elizabeth

    2008-01-01

    This thesis provides a description of elder abuse in British Columbia by profiling the parties involved in elder abuse situations and empirically testing Gordon and Brill?s (2001) Integrated Theoretical Model of Elder Abuse as an explanation of the relevant risk factors. The data were collected from a purposive sample of cases reported to the British Columbia Coalition for the Elimination of Abuse to Seniors from January 1, 2000 to December 31, 2004. The sample (N=392) was comprised of cases ...

  19. Sexual abuse in children - what to know

    Sexual abuse - children ... boys are sexually abused before they turn 18. Sexual abuse of children is any activity that the abuser ... anus or vagina Tongue kissing Oral sex Intercourse Sexual abuse can also happen without physical contact, such as: ...

  20. Nurses' attitudes toward emotional, sexual, and physical abusers of children with disabilities.

    Stanton, M P; Seidl, A; Pillitteri, A; Smith, C

    1994-01-01

    Some studies have linked birth defects, disability, and chronic illness with an increased incidence of child abuse. Nurses who are involved with disabled children face a challenge in preventing child abuse and intervening in cases in which abuse has occurred. Nurse must become aware of the risk factors and signs of abuse, understand the role of their personal attitudes toward abuse and abusers, and develop the skills to intervene effectively and deal with abusers. Thus, the authors of this article undertook a study to ascertain nurses' attitudes about emotional, sexual, and physical abuse of children with disabilities and to determine if nurses' anticipated level of comfort differed when dealing with abusers of children with disabilities in contrast to abusers of children without disabilities. PMID:7831522

  1. Adolescent Substance Abuse.

    Thorne, Craig R.; DeBlassie, Richard R.

    1985-01-01

    Cummings (1979), citing evidence from the National Institute of Drug Abuse, reports that one of every eleven adult Americans suffers from a severe addictive problem. Drug addiction is epidemic among teenagers; one of every six teenagers suffers from a severe addictive problem. This paper focuses on adolescent drug/substance abuse. (Author)

  2. Battling Sexual Abuse

    Dessoff, Alan

    2010-01-01

    From costly lawsuits on behalf of victims to negative media coverage, districts can face potentially devastating consequences as a result of sexual abuse of their students by district employees. This article offers a few tips on how to battle sexual abuse particularly in school districts. The author stresses that by adopting strong policies that…

  3. Child Sexual Abuse

    ... example, by a friend, neighbor, child care person, teacher, or stranger. When sexual abuse has occurred, a child can develop many distressing ... t tell children to 'always do everything the teacher or baby-sitter tells you to ... of guilt about the abuse, and begin the process of overcoming the trauma. ...

  4. The Effects of Family-Centered Problem-Solving Education on Relapse Rate, Self Efficacy and Self Esteem Among Substance Abusers

    Habibi

    2016-03-01

    Full Text Available Background The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and non-pharmaceutical therapies but also self efficacy and self esteem promotion. Objectives The current study attempted to clarify the effects of Problem Solving Education (PSE on relapse rate, self efficacy and self esteem among drug abusers. Patients and Methods This non-controlled clinical trial (quasi-experimental assessed 60 opium and heroin abusers who were willing to quit and were referred to the Mehr Center of Addiction Treatment and Rehabilitation Facility. The patients were allocated to two groups of 30 (intervention and control groups. While both groups received the routine care of the clinic, the intervention group also attended eight 45-minute family-centered PSE sessions. The Coopersmith Self esteem Inventory and Quit Addiction Self efficacy Questionnaire were filled out for all subjects before and after the intervention. Drug relapse was investigated four times with two-week intervals. The two groups were compared using chi-square and Student’s-t tests. Logistic regression analysis was applied to determine factors affecting drug relapse. Results A total of 45 individuals (21 and 24 in the intervention and control groups, respectively completed the study. At baseline, the two groups had no significant difference regarding their mean scores of self esteem and self efficacy (P = 0.692 and 0.329, respectively. After the intervention, however, the mean changes of self esteem scores were 20.10 ± 3.75 for the intervention group and 4.50 for the control group (P < 0.001. The mean changes of self efficacy scores in the mentioned groups were 34 34.17 ± 5.19 and 9.03± 2.04, respectively (P < 0.001. Drug relapse after two weeks was correlated with age (OR = 1.216; P = 0.026; 95% CI: 1.024-1.445 and implementation of the intervention (OR = 0.036; P = 0.003; 95% CI: 0.004-0.322. Conclusions According to our findings

  5. Substance abuse and cognitive functioning in schizophrenia.

    Addington, J.; Addington, D

    1997-01-01

    Individuals with schizophrenia have an increased vulnerability to abuse drugs or alcohol. This vulnerability can interfere with the course and treatment of the disorder and may also have a detrimental effect on already compromised cognitive functioning. This study has a matched, cross-sectional design and compares the social and cognitive functioning and the symptoms of 33 schizophrenia subjects who abuse substances with 33 nonabusing schizophrenia subjects. Subjects were matched on sex, age,...

  6. On the logistics effects of integrated product and package design

    Bramklev, Caroline; Hansen, Claus Thorp

    2007-01-01

    of literature, which shows that there is a need for research into Integrated Product and Package Design. Secondly, we have analysed three cases from industrial practice, which show that a conscious and integrated design of product and package has positive logistics effects, whereas neglecting this issue might......If engineering designers consciously design product and package in an integrated manner, there is a great potential for industrial global enterprises to develop and product mechanical products, such as exhaust extraction systems, car washer machines and fuel handling systems while simultaneously...... obtaining error-free deliveries, saving costs and avoiding quality problems. Thus, the authors of this paper see a challenge in developing the theory and methodology for Integrated Product and Package Design. In this paper we take a first step in this direction. Firstly, we have carried out a broad review...

  7. Trends in the temperature dependence of effective resonance integrals

    The temperature dependence of the effective resonance integral for U238 in uranium metal and uranium oxide lumps is shown to arise from a balance of many conflicting factors, arising principally from differing temperature behaviour in resonances of different energy. If the effective resonance integral is expressed by a formula of the type I = ATm + B, then m increases as rod size decreases and with the addition of scattering material to the lump. In general m also increases with increasing temperature. For example, for small diameter uranium oxide rods, a higher value of m than that for larger uranium metal rods is to be expected. (author)

  8. Creep and shrinkage effects on integral abutment bridges

    Munuswamy, Sivakumar

    Integral abutment bridges provide bridge engineers an economical design alternative to traditional bridges with expansion joints owing to the benefits, arising from elimination of expensive joints installation and reduced maintenance cost. The superstructure for integral abutment bridges is cast integrally with abutments. Time-dependent effects of creep, shrinkage of concrete, relaxation of prestressing steel, temperature gradient, restraints provided by abutment foundation and backfill and statical indeterminacy of the structure introduce time-dependent variations in the redundant forces. An analytical model and numerical procedure to predict instantaneous linear behavior and non-linear time dependent long-term behavior of continuous composite superstructure are developed in which the redundant forces in the integral abutment bridges are derived considering the time-dependent effects. The redistributions of moments due to time-dependent effects have been considered in the analysis. The analysis includes nonlinearity due to cracking of the concrete, as well as the time-dependent deformations. American Concrete Institute (ACI) and American Association of State Highway and Transportation Officials (AASHTO) models for creep and shrinkage are considered in modeling the time dependent material behavior. The variations in the material property of the cross-section corresponding to the constituent materials are incorporated and age-adjusted effective modulus method with relaxation procedure is followed to include the creep behavior of concrete. The partial restraint provided by the abutment-pile-soil system is modeled using discrete spring stiffness as translational and rotational degrees of freedom. Numerical simulation of the behavior is carried out on continuous composite integral abutment bridges and the deformations and stresses due to time-dependent effects due to typical sustained loads are computed. The results from the analytical model are compared with the

  9. Size effects on insect hovering aerodynamics: an integrated computational study

    Liu, H [Graduate School of Engineering, Chiba University, Chiba, 263-8522 (Japan); Aono, H [Department of Aerospace Engineering, University of Michigan, Ann Arbor, MI48109 (United States)], E-mail: hliu@faculty.chiba-u.jp, E-mail: aonoh@umich.edu

    2009-03-01

    Hovering is a miracle of insects that is observed for all sizes of flying insects. Sizing effect in insect hovering on flapping-wing aerodynamics is of interest to both the micro-air-vehicle (MAV) community and also of importance to comparative morphologists. In this study, we present an integrated computational study of such size effects on insect hovering aerodynamics, which is performed using a biology-inspired dynamic flight simulator that integrates the modelling of realistic wing-body morphology, the modelling of flapping-wing and body kinematics and an in-house Navier-Stokes solver. Results of four typical insect hovering flights including a hawkmoth, a honeybee, a fruit fly and a thrips, over a wide range of Reynolds numbers from O(10{sup 4}) to O(10{sup 1}) are presented, which demonstrate the feasibility of the present integrated computational methods in quantitatively modelling and evaluating the unsteady aerodynamics in insect flapping flight. Our results based on realistically modelling of insect hovering therefore offer an integrated understanding of the near-field vortex dynamics, the far-field wake and downwash structures, and their correlation with the force production in terms of sizing and Reynolds number as well as wing kinematics. Our results not only give an integrated interpretation on the similarity and discrepancy of the near- and far-field vortex structures in insect hovering but also demonstrate that our methods can be an effective tool in the MAVs design.

  10. Size effects on insect hovering aerodynamics: an integrated computational study

    Hovering is a miracle of insects that is observed for all sizes of flying insects. Sizing effect in insect hovering on flapping-wing aerodynamics is of interest to both the micro-air-vehicle (MAV) community and also of importance to comparative morphologists. In this study, we present an integrated computational study of such size effects on insect hovering aerodynamics, which is performed using a biology-inspired dynamic flight simulator that integrates the modelling of realistic wing-body morphology, the modelling of flapping-wing and body kinematics and an in-house Navier-Stokes solver. Results of four typical insect hovering flights including a hawkmoth, a honeybee, a fruit fly and a thrips, over a wide range of Reynolds numbers from O(104) to O(101) are presented, which demonstrate the feasibility of the present integrated computational methods in quantitatively modelling and evaluating the unsteady aerodynamics in insect flapping flight. Our results based on realistically modelling of insect hovering therefore offer an integrated understanding of the near-field vortex dynamics, the far-field wake and downwash structures, and their correlation with the force production in terms of sizing and Reynolds number as well as wing kinematics. Our results not only give an integrated interpretation on the similarity and discrepancy of the near- and far-field vortex structures in insect hovering but also demonstrate that our methods can be an effective tool in the MAVs design

  11. Does child abuse cause crime?

    Currie, Janet; Tekin, Erdal

    2006-01-01

    Child maltreatment, which includes both child abuse and child neglect, is a major social problem. This paper focuses on measuring the effects of child maltreatment on crime using data from the National Longitudinal Study of Adolescent Health (Add Health). We focus on crime because it is one of the most socially costly potential outcomes of maltreatment, and because the proposed mechanisms linking maltreatment and crime are relatively well elucidated in the literature. Our work addresses many ...

  12. Emerging Issues in the Research on Child Sexual Abuse Prevention.

    Miltenberger, Raymond G.; Roberts, Jennifer A.

    1999-01-01

    Identifies major issues in current research on child sexual-abuse prevention including the effectiveness of assessment methods, potential side-effects of prevention programs, the developmental appropriateness of programs, the differential effectiveness of presenters of prevention materials, parental involvement in sexual-abuse prevention efforts,…

  13. Design of a quasi-experiment on the effectiveness and cost-effectiveness of using the child-interview intervention during the investigation following a report of child abuse and/or neglect

    Snoeren, Froukje; Hoefnagels, Cees; Lamers-Winkelman, Francien; Baeten, Paul; Evers, Silvia MAA

    2013-01-01

    Background In the Netherlands, suspected cases of child maltreatment can be reported to an advice and reporting center on child abuse and neglect (Advies- en Meldpunt Kindermishandeling or AMK). AMKs investigate these reports, screen for problems in the family and its surroundings and refer to child welfare. Over the last decades the focus of AMK investigations has changed from an adult-only approach to a more child-oriented approach using a Child-Interview intervention. The effects and cost-...

  14. Sexual abuse in Malawi: patterns of disclosure.

    Mason, Carole; Kennedy, Neil

    2014-01-01

    Potential human immunodeficiency virus transmission makes prompt disclosure of child sexual abuse in Africa critical. The pattern of disclosure of 133 children presenting to the largest hospital in Malawi were analyzed. Eighty percent presented early enough for effective use of HIV postexposure prophylaxis. Seventy-five percent of children made a disclosure of child sexual abuse; 29% spontaneously and 47% after prompting. Disclosures were most commonly made to a parent, and age did not affect the pattern of disclosure. The number of children reporting child sexual abuse is increasing, possibly because of increasing awareness, availability of services, and fear of HIV. Although prompt disclosure rates were relatively high, facilitating easier disclosure of child sexual abuse by a free telephone help-line and better training of teachers may be helpful. PMID:24641596

  15. An Integrated Model for Effective Knowledge Management in Chinese Organizations

    An, Xiaomi; Deng, Hepu; Wang, Yiwen; Chao, Lemen

    2013-01-01

    Purpose: The purpose of this paper is to provide organizations in the Chinese cultural context with a conceptual model for an integrated adoption of existing knowledge management (KM) methods and to improve the effectiveness of their KM activities. Design/methodology/approaches: A comparative analysis is conducted between China and the western…

  16. Planck 2013 results. XIX. The integrated Sachs-Wolfe effect

    Ade, P. A. R.; Aghanim, N.; Armitage-Caplan, C.;

    2014-01-01

    Based on cosmic microwave background (CMB) maps from the 2013 Planck Mission data release, this paper presents the detection of the integrated Sachs-Wolfe (ISW) effect, that is, the correlation between the CMB and large-scale evolving gravitational potentials. The significance of detection ranges...

  17. Integrating Professional Development across the Curriculum: An Effectiveness Study

    Ciarocco, Natalie J.; Dinella, Lisa M.; Hatchard, Christine J.; Valosin, Jayde

    2016-01-01

    The current study empirically tested the effectiveness of a modular approach to integrating professional development across an undergraduate psychology curriculum. Researchers conducted a two-group, between-subjects experiment on 269 undergraduate psychology students assessing perceptions of professional preparedness and learning. Analysis…

  18. Invisible Abuse: Utah's Response to Emotional Child Abuse

    Sirrine, Janae

    2010-01-01

    The very nature of emotional child abuse makes it difficult to detect and report. Nevertheless, scholars and professionals in the field of child welfare have identified emotional abuse as being equally detrimental to children as physical abuse and neglect. Many states, including Utah, have unclear definitions of emotional child abuse. The purpose of this study is to interpret how Utah has used its statute on emotional abuse in the court system and whether the current definition of emotional c...

  19. Child Abuse in India

    Mohammad Reza Iravani

    2011-02-01

    Full Text Available Child abuse is harm to, or neglect of, a child by another person, whether adult or child. Child abuse happens in all cultural, ethnic, and income groups. Child abuse can be physical, emotional - verbal, sexual or through neglect. Abuse may cause serious injury to the child and may even result in death. A problem that is only beginning to come into light in India rape, sexual abuse, and sexual harassment are worldwide issues of gender violence. There is very little research done in this area in India and only a few books have been written, keeping the subject even further from the consciousness of the country. However, the problem persists with staggering incidence, and Indians unique profile adds to the complexity of an already difficult subject. Fortunately, the issue of child sexual abuse is slowly becoming a more recognized issue, and for this reason, this paper will focus much on sexual abuse against minor children: the laws, victims, and perpetrators. Finally, an analysis of the aspects of Indian culture that make this issue particularly difficult to understand and cope with will be presented.

  20. Child Abuse and Mandated Reporting

    Woika, Shirley; Bowersox, Carissa

    2013-01-01

    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  1. Negative emotion does not modulate rapid feature integration effects

    Darinka eTruebutschek

    2012-04-01

    Full Text Available Emotional arousal at encoding is known to facilitate later memory recall. In the present study, we asked whether this emotion-modulation of episodic memory is also evident at very short time scales, as measured by feature integration effects, the moment-by-moment binding of relevant stimulus and response features in episodic memory. This question was motivated by recent findings that negative emotion appears to potentiate 1st-order trial sequence effects in classic conflict tasks, which has been attributed to emotion-modulation of conflict-driven cognitive control processes. However, these effects could equally well have been carried by emotion-modulation of mnemonic feature binding processes, which were perfectly confounded with putative control processes in these studies. In the present experiments, we tried to shed light on this question by testing explicitly whether feature integration processes, assessed in isolation of conflict-control, are in fact susceptible to negative emotion-modulation. For this purpose, we adopted a standard protocol for assessing the rapid binding of stimulus and response features in episodic memory (Experiment 1 and paired it with the presentation of either neutral or fearful background face stimuli, shown either at encoding only (Experiment 2, or at both encoding and retrieval (Experiment 3. Whereas reliable feature integration effects were observed in all three experiments, no evidence for emotion-modulation of these effects was detected, in spite of significant effects of emotion on response times. These findings suggest that rapid feature integration of foreground stimulus and response features is not subject to modulation by negative emotional background stimuli and further suggest that previous reports of emotion-modulated trial-transition effects are likely attributable to the effects of emotion on cognitive control processes.

  2. The Effect of Pregnancy on the Physical and Sexual Abuse of Women That Presented to a State Hospital in Trabzon, Turkey

    Topbaş, Murat; ÜNSAL, Mesut; ÇAN, Gamze; BACAK, Aynur; Özgün, Şükrü

    2008-01-01

    Aim: To investigate the prevalence of the physical and sexual abuse of women before and during pregnancy, and to determine whether pregnancy affected the abuse of women. Materials and Methods: This study was performed at a state hospital in the Turkish city of Trabzon and included 762 women that gave birth between July and September 2004. A questionnaire was administered during a face-to-face interview to collect data on sociodemographic factors, exposure to abuse before and during pregnanc...

  3. The Role of Domestic Abuse in Labor and Marriage Markets

    Bowlus, Audra J.; Shannon N. Seitz

    1998-01-01

    In this paper we study the effects of abusive behavior on the labor force andmarital status decisions of women. Using a unique Canadian data set on domestic violence, we estimate the effects of abuse on the marital history as well as current employment using a sequential, multi-state model. In our model, spousal abuse affects labor supply through decreases in utility from leisure as well as through reductions in productivity at work and hence the market wage. Inaddition, abuse is treated as a...

  4. Infantile abuse: Radiological diagnosis

    Ana Teresa Araujo Reyes

    2006-08-01

    Full Text Available Infantile abuse is a frequent problem, that must be suspected to bediagnosed, the children victims of infantile abuse can present anytype of injury, nevertheless there are associated injuries common toan inferred trauma that constitute radiological patterns highly specific for abuse, among them are the metafisial injuries, posterior costal fractures and first costal arc fractures, fractures of the toracolumbar region, fractures without apparent explanation, fractures in different stage of evolution, subdural hematoma, subarachnoid hemorrhage, intraparenquimatose contusion and diffuse axonal injury, which combined with the history of the trauma, the age, the development of mental abilities, as well as the mechanism guides the injury diagnose.

  5. Measurement of the effect of the lattice pitch on the effective resonance integral of natural uranium

    The present work investigates the dependence of the effective resonance integral on the lattice pitch. Theoretically, the dependence is determined starting from Wigner's rational approximation in which the lattice is characterized by the effective ratio (s/M). Later this allows correlation between the lattice resonance integral and the resonance integral of the single rod (the rod in infinite medium). Using two approximations for Dancoff's factor we give the measured functional dependence of the effective resonance integral on the effective (s/M) ratio. The activation method and the differential technique of measuring absorption distribution in U-238 are used to determine the resonance integral experimentally. Since the effective lattice pitch cannot be defined with certain reliability, due to the use of cadmium in determining the cadmium ratio in the fuel rod, besides other perturbing effects, the method of comparing thermal activations of U-238 and a suitable thermal detector are used to determine the cadmium ratio

  6. Alcohol abuse and postoperative morbidity

    Tønnesen, Hanne

    2003-01-01

    patients admitted to surgery should be offered a health promoting dialogue with the surgeon, anaesthesiologist, general practitioner, or other health professionals, which focuses on alcohol among other risk factors in relation to the operative treatment, diagnosis and prognosis. A beneficial effect......Patients who drink too much have more complications after surgery. The aim of this thesis was to evaluate the evidence, possible mechanisms, and prevention of the increased postoperative morbidity in alcohol abusers, defined by a consumption of at least five drinks per day. The literature could...... be criticised for several methodological flaws. Nevertheless, the results are in agreement showing moderate to strong evidence of increased postoperative morbidity after surgical procedures on alcohol abusers. There is weak to moderate evidence of increased postoperative mortality, hospital stay, and re...

  7. Path Integrals and Alternative Effective Dynamics in Loop Quantum Cosmology

    秦立; 邓果; 马永革

    2012-01-01

    The alternative dynamics of loop quantum cosmology is examined by the path integral formulation. We consider the spatially flat FRW models with a massless scalar field, where the alternative quantizations inherit more features from full loop quantum gravity. The path integrals can be formulated in both timeless and deparameterized frameworks. It turns out that the effective Hamiltonians derived from the two different viewpoints are equivalent to each other. Moreover, the first-order modified Friedmann equations are derived and predict quantum bounces for contracting universe, which coincide with those obtained in canonical theory.

  8. Children, contact and domestic abuse

    Morrison, Fiona

    2014-01-01

    In recent years the issue of children’s contact with non-resident parents has been increasingly debated. The policy gaze has focused on contested contact when there are allegations of domestic abuse. Some commentators argue that in circumstances of domestic abuse, contact with an abusive father may not be in the ‘best interests’ of the child. To support these claims they point to evidence that domestic abuse adversely affects children, and domestic abuse often continues followi...

  9. Stimulant ADHD medication and risk for substance abuse

    Chang, Z.(Texas A&M University, College Station, TX, 77843, USA); Lichtenstein, P.; Halldner, L; D'Onofrio, B; Serlachius, E.; Fazel, S.; Långström, N.; Larsson, H

    2013-01-01

    Background: There are persistent concerns of long-term effects of stimulant ADHD medication on the development of substance abuse. Methods: Using Swedish national registers, we studied all individuals born between 1960 and 1998 and diagnosed with ADHD (26,249 men and 12,504 women). We investigated the association between stimulant ADHD medication in 2006 and substance abuse during 2009. Substance abuse was indexed by substance-related death, crime, or hospital visits. Results: ADHD medication...

  10. Prevention and Treatment of Substance Abuse in Military Personnels

    Mohamadreza Najarzadegan; S. Abbas Tavalaee; Gholamreza Karami

    2012-01-01

    Background: Drug abuse was existed in militaries all of the time and according to many researches it has very negatinve effect military readiness and their epic activity. So in many military systems ordained some protocols to prevent and treatment Drug abuse and addiction in soldiers.Materials and Method: In this original article we surveyed all literatures about substance abuse and addiction in militaries, inside & outside data banks and military psychology’s title books for prevention and c...

  11. The Use of Therapeutic Rituals in Substance Abuse Treatment

    Thomas, Becky L.

    2001-01-01

    This study explored the use of rituals in substance abuse counseling. Data were obtained from a total of 25 mental health workers in the substance abuse field from the northern region of Utah. Four research questions were asked about rituals and their use in substance abuse counseling: (I) Are addictions therapists using rituals? (2) How did therapists determine when to use rituals? (3) What types of rituals do they use? and (4) How do therapists assess ritual effectiveness? Results indicated...

  12. Radiation effects in semiconductors: technologies for hardened integrated circuits

    Various technologies are used to manufacture integrated circuits for electronic systems. But for specific applications, including those with radiation environment, it is necessary to choose an appropriate technologie or to improve a specific one in order to reach a definite hardening level. The aim of this paper is to present the main effects induced by radiation (neutrons and gamma rays) into the basic semiconductor devices, to explain some physical degradation mechanisms and to propose solutions for hardened integrated circuit fabrication. The analysis involves essentially the monolithic structure of the integrated circuits and the isolation technology of active elements. In conclusion, the advantages of EPIC and SOS technologies are described and the potentialities of new technologies (GaAs and SOI) are presented

  13. Orbital flux integrations: Parameter values for effective computer time reductions

    Stassinopoulos, E. G.

    1974-01-01

    To improve computer utilization and to reduce the cost of orbital flux integrations, the effects of integration parameters 'duration' (T) and 'stepsize' (delta t) on integration results were investigated. Over given ranges of T and delta t, and within specified acceptable accuracy restraints, optimal values of these parameters were established for circular subsynchronous trajectories, in terms of the variables altitude (H) and inclination (i). It is shown that (1) above a certain statistically important value, duration is independent of both h and i; (2) stepsize has a relative altitude dependence; and (3) stepsize is not a function of inclination. The substantial savings in computer time are discussed along with the possibility of greater savings by relaxing accuracy restrictions while not exceeding the minimum model-associated uncertainty factors of the environments.

  14. Impact of Childhood Abuse History on Psychological Symptoms among Male and Female Soldiers in the U.S. Army.

    Rosen, Leora N.; Martin, Lee

    1996-01-01

    The psychological effects of physical-emotional abuse, sexual abuse, emotional neglect, and physical neglect were examined among 1,072 male and 305 female soldiers. Results found the females were three times more likely to have been sexually or both physically and sexually abused and that physical-emotional abuse contributed to most of the…

  15. Integration

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  16. Abuse and HIV-related risk.

    Benson, J D

    1995-04-01

    Research has been conducted on the effects of childhood abuse that may lead to HIV risk-taking behaviors in adolescence and adulthood. There is evidence of a higher incidence of childhood abuse among HIV-infected individuals and those at highest risk, but not enough evidence to confirm childhood abuse as a root cause of risk-taking. Research is beginning to show important connections between psychological trauma and risk, and to suggest therapeutic approaches. The trauma of childhood sexual abuse is retained by the victims, which can cause dissociative defenses and damaging feelings of self-efficacy which may affect safer sex practices. To identify sexual abuse as an issue in therapy, it is advised that counselors develop client histories regarding relationships, sexual expression and identity, substance use, suicidality, and other recurring self-destructive patterns of thought and behavior. The treatment goal is to assist the patient in understanding how abuse has affected feelings, thoughts, and relationship styles, and to recognize patterns that lead directly to HIV-related risk or that set the stage for risky activities. The critical aspect of treatment is to accurately assess the patient's coping skills when determining the course of treatment. ¿¿¿¿¿¿¿ PMID:11362459

  17. Sexual Abuse of Children.

    Csapo, Marg

    1988-01-01

    Canadian reports and legislation are reviewed to highlight the school's role in prevention and reporting of suspicions of child sexual abuse. The vulnerability of handicapped children and child pornography are two areas of victimization emphasized. (Author/DB)

  18. Other Drugs of Abuse

    ... Treatment Drug Treatment Facts Does Drug Treatment Work? Types of Drug Treatment What Is a Relapse? Find Treatment/Rehab Resources Friends and Family Can Help Prevent Drug Abuse Help Children and Teens Stay Drug-Free Talking ...

  19. Drug abuse first aid

    ... medlineplus.gov/ency/article/000016.htm Drug abuse first aid To use the sharing features on this page, ... Diarrhea Hallucinations Nausea and vomiting Restlessness Shaking Death First Aid 1. Check the patient's airway, breathing, and pulse. ...

  20. Evaluation of an Innovative Tool for Child Sexual Abuse Education

    Davis, Deborah Winders; Pressley-McGruder, Gloria; Jones, V. Faye; Potter, Deborah; Rowland, Michael; Currie, Melissa; Gale, Bruce

    2013-01-01

    Child sexual abuse poses a serious threat to public health and is often unreported, unrecognized, and untreated. Prevention, early recognition, and treatment are critically important to reduce long-term effects. Little data are available on effective methods of preventing child sexual abuse. The current research demonstrates a unique approach to…

  1. Drug abuse in athletes

    Reardon CL; Creado S

    2014-01-01

    Claudia L Reardon, Shane Creado Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Abstract: Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines t...

  2. Detecting Medicare Abuse

    David Becker; Daniel Kessler; Mark McClellan

    2004-01-01

    This paper identifies which types of patients and hospitals have abusive Medicare billings that are responsive to law enforcement. For a 20 percent random sample of elderly Medicare beneficiaries hospitalized from 1994-98 with one or more of six illnesses that are prone to abuse, we obtain longitudinal claims data linked with Social Security death records, hospital characteristics, and state/year-level anti-fraud enforcement efforts. We show that increased enforcement leads certain types of t...

  3. Sexual abuse and incest

    Şahin, Figen; Taşar, Medine Ayşin

    2012-01-01

    Incest which is the severest form of child sexual abuse is defined as the sexual behaviours between close relatives whose marriage is illegal or describes inappropriate sexual behaviours within a family relation framework Incestous relation is accepted as a taboo therefore it is frequently a secret within the family and is a chronic process which is hard to recognize It is important to recognize and prevent incest because it is more difficult to be revealed compared to other forms of abuse an...

  4. Sexual abuse and incest

    Medine Ayşin Taşar; Figen Şahin

    2012-01-01

    Incest, which is the severest form of child sexual abuse is defined as the sexual behaviours between close relatives whose marriage is illegal or describes inappropriate sexual behaviours within a family relation framework. Incestous relation is accepted as a taboo, therefore it is frequently a secret within the family and is a chronic process which is hard to recognize. It is important to recognize and prevent incest because it is more difficult to be revealed compared to other forms of abus...

  5. Verbal abuse, like physical and sexual abuse, in childhood is associated with an earlier onset and more difficult course of bipolar disorder

    Post, Robert M.; Altshuler, Lori L.; Kupka, Ralph; McElroy, Susan L.; Frye, Mark A.; Rowe, Michael; Leverich, Gabriele S.; Grunze, Heinz; Suppes, Trisha; Keck, Paul E.; Nolen, Willem A.

    2015-01-01

    ObjectivesPhysical or sexual abuse in childhood is known to have an adverse effect on the course of bipolar disorder, but the impact of verbal abuse has not been well elucidated. MethodsWe examined the occurrence and frequency (never to frequently) of each type of abuse in childhood in 634 US adult

  6. Linking child maltreatment history with child abuse potential: Relative roles of maltreatment types

    Mitkovic-Voncina Marija

    2014-01-01

    Full Text Available The independent roles of each childhood maltreatment type on child abuse potential in adults have been insufficiently explored and are inconsistent, with dissociation as one of the possible suggested mediators of intergenerational child abuse. We investigated these effects among 164 non-clinical adult parents, who filled in general questionnaires: Childhood Trauma Questionnaire (CTQ, Child Abuse Potential Inventory (CAPI and Dissociative Experience Scale (DES. Among all maltreatment types (emotional, physical and sexual abuse, emotional and physical neglect, emotional abuse was the only independent predictor in the regression model of child abuse potential. The relationship between emotional abuse history and child abuse potential was partially mediated by dissociation. The findings could speak in favor of the potentially unique detrimental role of emotional abuse in intergenerational maltreatment, with dissociation as one of the possible mechanisms.

  7. Liabilities of a physician confronted with child abuse.

    Vansweevelt, Thierry

    2013-06-01

    Several research questions raises when physicians are confronted with a possible case of child abuse. First, there is a problem of professional secrecy. In most European countries, physicians have the right to speak when confronted with a state of emergency. In other countries, physicians have a duty to speak and alert the police when the life or physical integrity of a person is at stake. A second topic to be discussed involves the possible liability of physicians who do not report child abuse. By not reporting a case of possible child abuse, the physician is respecting the family life of the parents, even though the child might continue to suffer damages. Third and essentially, I analyse the possible liability of physicians who do inform the prosecutor ofa suspected child abuse. Specific criteria are elaborated to establish negligence when physicians report child abuse to the prosecutor. PMID:23984493

  8. [Effects of the new comprehensive system for designating illegal drug components on the abuse of designer drugs and future problems based on an online questionnaire].

    Morino, Taichi; Okazaki, Mitsuhiro; Toda, Takaki; Yokoyama, Takashi

    2015-12-01

    Recently, the abuse of designer drugs has become a social problem. Designer drugs are created by modifying part of the chemical structure of drugs that have already been categorized as illegal, thereby creating a different chemical compound in order to evade Pharmaceutical Affairs Law regulations. The new comprehensive system for designating illegal drug components has been in effect since March 2013, and many designer drugs can now be regulated. We conducted an online questionnaire survey of people with a history of designer drug use to elucidate the effects of the new system on the abuse of designer drugs and to identify potential future problems. Over half the subjects obtained designer drugs only before the new system was implemented. Awareness of the system was significantly lower among subjects who obtained designer drugs for the first time after its introduction than those who obtained the drugs only before its implementation. Due to the new system, all methods of acquiring designer drugs saw decreases in activity. However, the ratio of the acquisition of designer drugs via the Internet increased. Since over 50% of the subjects never obtained designer drugs after the new system was introduced, goals that aimed to make drug procurement more difficult were achieved. However, awareness of the new system among subjects who obtained designer drugs after the new system was introduced was significantly low. Therefore, fostering greater public awareness of the new system is necessary. The results of the questionnaire also suggested that acquiring designer drugs through the Internet has hardly been affected by the new system. We strongly hope that there will be a greater push to restrict the sale of designer drugs on the Internet in the near future. PMID:26975077

  9. Creating New Meaning Through Dialogue: A case story of chronic pain and sexual abuse

    Radomsky, Nellie A.

    1992-01-01

    Patients with chronic physical and psychiatric problems often have a history of sexual or physical abuse. This case illustrates the long-term effects of sexual abuse and the challenge physicians face in understanding complex clinical stories.

  10. A Summary and Synthesis of Contemporary Empirical Evidence regarding the Effects of the Drug Abuse Resistance Education Program (D.A.R.E.)

    Singh, Renee D.; Jimerson, Shane R.; Renshaw, Tyler; Saeki, Elina; Hart, Shelley R.; Earhart, James; Stewart, Kaitlyn

    2011-01-01

    The prevention of drug abuse is an especially salient topic for school psychologists and other educational professionals. Schools are the primary setting for providing education and information aimed at the prevention of drug abuse. Previous meta-analyses (Ennett, et al., 1994; West & O'Neal, 2004) indicate that one of the nation's most popular…

  11. The effects of early prevention programs for families with young children at risk for physical child abuse and neglect : A meta-analysis

    Geeraert, L; Van den Noortgate, W; Grietens, H; Onghena, P

    2004-01-01

    In this article, a meta-analysis is presented on 40 evaluation studies of early prevention programs for families with young children at risk for physical child abuse and neglect with mostly nonrandomized designs. The main aim of all programs was to prevent physical child abuse and neglect by providi

  12. Sexual Risk-Taking among High-Risk Urban Women with and without Histories of Childhood Sexual Abuse: Mediating Effects of Contextual Factors

    Mosack, Katie E.; Randolph, Mary E.; Dickson-Gomez, Julia; Abbott, Maryann; Smith, Ellen; Weeks, Margaret R.

    2010-01-01

    This study investigated the mechanisms of risk for urban women at high risk for HIV with and without childhood sexual abuse histories. Childhood sexual abuse survivors reported more unprotected intercourse and sexually transmitted infections (STIs). The association of STI locus of control with frequency of unprotected sex was fully mediated by…

  13. Domestic Violence and Sexual Abuse of Children: A Review of Research in the Eighties.

    Gelles, Richard J.; Conte, Jon R.

    1990-01-01

    Reviews research on family violence and sexual abuse of children in the 1980s. Examines family violence rates, intergenerational transmission of violence, effects of violence on children and women, and effectiveness of interventions. Review of child sexual abuse examines defining sexual abuse, its prevalence, research on sexual offenders and risk…

  14. Carisoprodol: abuse potential and withdrawal syndrome.

    Reeves, Roy R; Burke, Randy S

    2010-03-01

    Carisoprodol (N-isopropyl-2 methyl-2-propyl-1,3-propanediol dicarbamate; N-isopropylmeprobamate) is a centrally acting skeletal muscle relaxant whose primary active metabolite is meprobamate, a substance with well established abuse potential similar to that of benzodiazepines. A number of reports show that carisoprodol has been abused for its sedative and relaxant effects, to augment or alter the effects of other drugs, and by the intentional combination of carisoprodol and other noncontrolled medications because of the relative ease (as compared to controlled substances) of obtaining prescriptions. The diversion and abuse of carisoprodol and its adverse health effects appear to have dramatically increased over the last several years. Clinicians have begun to see a withdrawal syndrome consisting of insomnia, vomiting, tremors, muscle twitching, anxiety, and ataxia in patients who abruptly cease intake of large doses of carisoprodol. Hallucinations and delusions may also occur. The withdrawal symptoms are very similar to those previously described for meprobamate withdrawal, suggesting that what may actually be occurring is withdrawal from meprobamate accumulated as a result of intake of excessive amounts of carisoprodol. However carisoprodol itself is capable of modulating GABA(A) function, and this may contribute both to the drugs abuse potential and to the occurrence of a withdrawal syndrome with abrupt cessation of intake. Carisoprodol has been classified as a controlled substance in several states in the US and restrictions on the use of the drug have been imposed in some European countries. Carisoprodol is metabolized to a controlled substance, has clear evidence of abuse potential and increasing incidence of abuse, and has shown evidence of a withdrawal syndrome with abrupt cessation from intake. This article will discuss the abuse potential of carisoprodol and the associated withdrawal syndrome, and consider implications for future use of the drug. PMID

  15. Tooth decay in alcohol and tobacco abusers

    Thavarajah Rooban

    2011-01-01

    Full Text Available Background : Alcohol and tobacco abuse are detrimental to general and oral health. Though the effects of these harmful habits on oral mucosa had been demonstrated, their independent and combined effect on the dental caries experience is unknown and worthy of investigation. Materials and Methods : We compared 268 alcohol-only abusers with 2426 alcohol and tobacco abusers in chewing and smoking forms to test the hypothesis that various components of their dental caries experience are significantly different due to plausible sociobiological explanations. Clinical examination, Decay, Missing, Filled Teeth (DMFT Index and Oral Hygiene Index - Simplified were measured in a predetermined format. Descriptive statistics, Chi-square test and one-way ANOVA analysis were done using SPSS Version 16.0. Result : The mean DMFT were 3.31, 3.24, 4.09, 2.89 for alcohol-only abusers, alcohol and chewing tobacco abusers, smoking tobacco and alcohol abusers, and those who abused tobacco in smoke and smokeless forms respectively. There was no significant difference between the oral hygiene care measures between the study groups. Presence of attrition among chewers and those with extrinsic stains experienced less caries than others. Discussion and conclusion : The entire study population exhibited a higher incidence of caries experience. Use of tobacco in any form appears to substantially increase the risk for dental caries. Attrition with use of chewing tobacco and presence of extrinsic stains with tobacco use appear to provide a protective effect from caries. The changes in oral micro-flora owing to tobacco use and alcohol may play a critical role in the initiation and progression of dental caries.

  16. Modelling the effects of a solar flare on INTEGRAL

    The delayed effects of a large solar flare proton flux on the instruments on-board INTEGRAL have been modelled. We simulated exposing INTEGRAL to a flux of 1.5x108 protons/cm2 over a period of five days. The induced count rates due to this proton flux over an energy range of 30 MeV-2 GeV one minute after the end of the flare are 4170±30 c/s for IBIS (the imager) and 190±2 c/s for SPI (the spectrometer). We show that lowering the minimum incident proton energy range in the simulations below 30 MeV has no effect on the delayed count rate. Energy spectra indicate that there is little evolution of the spectral shape of the induced background up to 24 hours after the flare

  17. Thermal Hydraulic Integral Effect Tests for Pressurized Water Reactors

    The objectives of the project are to construct a thermal-hydraulic integral effect test facility and to perform the tests for design, operation, and safety regulation of pressurized water reactors. In the first phase of this project (1997.8∼2002.3), the basic technology for thermal-hydraulic integral effect tests was established and the basic design of the test facility was accomplished. In the second phase (2002.4∼2005.2), an optimized design of the ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) was established and the construction of the facility was almost completed. In the third phase (2005.3∼2007.2), the construction and commission tests of the ATLAS are to be completed and some first-phase tests are to be conducted

  18. Measurement of the effect of the lattice pitch on the effective resonance integral of natural uranium

    The analytical theory of resonance absorption, as well as the numerical Monte Carlo method, allows calculation of the resonance integral. However, it is based on specific approximations so it may be used accurately enough in a limited number of cases. Likewise, insufficiently accurate know ledge of the basic nuclear constants (e.g. resonance parameters, etc.) used as input data in analytical calculation, leads to inaccurate determination of the resonance integral.. Therefore, experimental determination of the effective resonance integral is still indispensable. In some cases the experimental results are used as the exclusive source of information, or as the basis for the semiempirical technique of calculation, and in others as a check of the new theoretical procedures. There are several experimental methods of direct determination of the resonance integral: the activation method (1,2), the reactor oscillator and the danger coefficient method. Indirectly, using the results of critical experiments, it is possible to determine correlated values of the effective resonance integral. The present work investigates the dependence of the effective resonance integral on the lattice pitch. Theoretically, the dependence is determined starting from Wigner's rational approximation in which the lattice is characterized by the effective ratio (S/M) X. Later this allows correlation between the lattice resonance integral and the resonance integral of the single rod (the rod in infinite medium). Using two approximations for Dancoff's factor we give the measured functional dependence of the effective resonance integral on the effective (S/M)X ratio. To determine the resonance integral experimentally we used the activation method and the differential technique of measuring absorption distribution in U238. Since, because of the use of cadmium in determining the cadmium ratio in the fuel rod the effective lattice pitch cannot be defined with certain reliability, besides other perturbing

  19. Grinding processes and their effects on surface integrity

    Comley, Paul

    2005-01-01

    The introduction of high performance grinding machines in combination with the latest superabrasive technology has the potential to impact significantly on existing process chains. The aim of the research was to look at both the high and low rate removal grinding processes and their effects on the surface integrity, as a means to exploit the above technologies. A major objective was to determine the feasibility of High Efficiency Deep Grinding (HEDG) in cylindrical plunge gr...

  20. Integrating Individual-Based Indices of Contaminant Effects

    Christopher L. Rowe

    2001-01-01

    Full Text Available Habitat contamination can alter numerous biological processes in individual organisms. Examining multiple individual-level responses in an integrative fashion is necessary to understand how individual health or fitness reflects environmental contamination. Here we provide an example of such an integrated perspective based upon recent studies of an amphibian (the bullfrog, Rana catesbeiana that experiences several, disparate changes when larval development occurs in a trace element�contaminated habitat. First, we present an overview of studies focused on specific responses of individuals collected from, or transplanted into, a habitat contaminated by coal combustion residues (CCR. These studies have reported morphological, behavioral, and physiological modifications to individuals chronically interacting with sediments in the CCR-contaminated site. Morphological abnormalities in the oral and tail regions in contaminant-exposed individuals influenced other properties such as grazing, growth, and swimming performance. Behavioral changes in swimming activities and responses to stimuli appear to influence predation risk in the contaminant-exposed population. Significant changes in bioenergetics in the contaminated habitat, evident as abnormally high energetic expenditures for survival (maintenance costs, may ultimately influence production pathways (growth, energy storage in individuals. We then present a conceptual model to examine how interactions among the affected systems (morphological, behavioral, physiological may ultimately bring about more severe effects than would be predicted if the responses were considered in isolation. A complex interplay among simultaneously occurring biological changes emerges in which multiple, sublethal effects ultimately can translate into reductions in larval or juvenile survival, and thus reduced recruitment of juveniles into the population. In systems where individuals are exposed to low concentrations of

  1. EFFECT OF INTEGRATED YOGA ON AGREEABLENESS AND PERFORMANCE OF EMPLOYEES

    Chokkalingam; Sony Kumari; K.B. Akhilesh and H.R. Nagendra

    2015-01-01

    The personality of employees determine the performance of employee. Agreeableness is one of the Big Five Personality traits which affects the performance of employee. An empirical study is made to assess the effect of practicing Integrated Yoga on personality traits,including agreeableness of employee. 51 employees are given Yoga Intervention for four months and another 51 employees are not given any intervention. Using Big Five Personality Inventory, data is collected before, in the middle, ...

  2. Advances in organic field-effect transistors and integrated circuits

    2009-01-01

    Organic field-effect transistors (OFETs) have received significant research interest because of their promising applications in low cast, lager area, plastic circuits, and tremendous progress has been made in materials, device performance, OFETs based circuits in recent years. In this article we introduce the advances in organic semiconductor materials, OFETs based integrating techniques, and in particular highlight the recent progress. Finally, the prospects and problems of OFETs are discussed.

  3. Effectiveness of Two Water Conservation Policies: An Integrated Modeling Approach

    Das, Biswa R.; Willis, David B.; Johnson, Jeffrey W.

    2010-01-01

    Agriculture in the Texas High Plains depends entirely on the Ogallala Aquifer. Texas enacted water conservation legislation to address declining reserves in the aquifer. We developed an integrated regional water policy model that links a hydrology model with an economic optimization model to estimate policy impacts with respect to economic cost and water conservation. Testing the effectiveness of two policies, a groundwater extraction tax and extraction quotas, we observe that neither signifi...

  4. Measurement of the thermo-optical effect of integrated waveguides

    Kremmel, Johannes; Lamprecht, Tobias; Michler, Markus

    2016-05-01

    Thermo-optical switches are widely used in integrated optics and various types of integrated optical structures have been reported in literature. These structures include, but are not limited to Mach-Zehnder-Interferometer (MZI) switches and digital optical switches. The thermo-optical effect depends on the refractive index, the polarizability and the density of a material. The polarizability effect can often be neglected and the change of refractive index is dominated by a density change due to the thermal expansion of the material. We report herein a new method to measure the thermo-optical effect of waveguides directly, using integrated MZIs fabricated in polymer waveguide technology. Common methods rely on macroscopic samples, but the properties can differ significantly for micro-structured waveguides. Using a floodlight halogen rod lamp and metal-shields, we realized a radiation heater with a trapezoidal-shaped heating pattern. While the heating occurred from the bottom side, a thermocouple was placed on top of the sample. By dynamically measuring the temperature and the corresponding output-power of the MZI, the temperature difference between constructive and destructive interference can be determined. Multiple measurements of different sample MZIs exhibit an average thermo-optical coefficient (TOC) of 1.6 ∗ 10-4 1/K .

  5. Major Achievements and Prospect of the ATLAS Integral Effect Tests

    Ki-Yong Choi

    2012-01-01

    Full Text Available A large-scale thermal-hydraulic integral effect test facility, ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation, has been operated by KAERI. The reference plant of ATLAS is the APR1400 (Advanced Power Reactor, 1400 MWe. Since 2007, an extensive series of experimental works were successfully carried out, including large break loss of coolant accident tests, small break loss of coolant accident tests at various break locations, steam generator tube rupture tests, feed line break tests, and steam line break tests. These tests contributed toward an understanding of the unique thermal-hydraulic behavior, resolving the safety-related concerns and providing validation data for evaluation of the safety analysis codes and methodology for the advanced pressurized water reactor, APR1400. Major discoveries and lessons found in the past integral effect tests are summarized in this paper. As the demand for integral effect tests is on the rise due to the active national nuclear R&D program in Korea, the future prospects of the application of the ATLAS facility are also discussed.

  6. Erythropoietin use and abuse.

    John, M Joseph; Jaison, Vineeth; Jain, Kunal; Kakkar, Naveen; Jacob, Jubbin J

    2012-03-01

    Recombinant human erythropoietin (rhEPO) is arguably the most successful therapeutic application of recombinant DNA technology till date. It was isolated in 1977 and the gene decoded in 1985. Since then, it has found varied applications, especially in stimulating erythropoiesis in anemia due to chronic conditions like renal failure, myelodysplasia, infections like HIV, in prematurity, and in reducing peri-operative blood transfusions. The discovery of erythropoietin receptor (EPO-R) and its presence in non-erythroid cells has led to several areas of research. Various types of rhEPO are commercially available today with different dosage schedules and modes of delivery. Their efficacy in stimulating erythropoiesis is dose dependent and differs according to the patient's disease and nutritional status. EPO should be used carefully according to guidelines as unsolicited use can result in serious adverse effects. Because of its capacity to improve oxygenation, it has been abused by athletes participating in endurance sports and detecting this has proved to be a challenge. PMID:22470858

  7. Erythropoietin use and abuse

    M Joseph John

    2012-01-01

    Full Text Available Recombinant human erythropoietin (rhEPO is arguably the most successful therapeutic application of recombinant DNA technology till date. It was isolated in 1977 and the gene decoded in 1985. Since then, it has found varied applications, especially in stimulating erythropoiesis in anemia due to chronic conditions like renal failure, myelodysplasia, infections like HIV, in prematurity, and in reducing peri-operative blood transfusions. The discovery of erythropoietin receptor (EPO-R and its presence in non-erythroid cells has led to several areas of research. Various types of rhEPO are commercially available today with different dosage schedules and modes of delivery. Their efficacy in stimulating erythropoiesis is dose dependent and differs according to the patient′s disease and nutritional status. EPO should be used carefully according to guidelines as unsolicited use can result in serious adverse effects. Because of its capacity to improve oxygenation, it has been abused by athletes participating in endurance sports and detecting this has proved to be a challenge.

  8. Effect of irradiation and modified atmosphere packaging on the microbiological safety of minced pork stored under temperature abuse conditions

    The safety of irradiated pork packed in 25% CO2:75% N2 and stored at abuse temperature (10 or 15°C) was assessed by inoculation studies involving Salmonella typhimurium, Listeria monocytogenes, Escherichia coli, Yersinia enterocolitica and Clostridium perfringens. Irradiation to a dose of 1.75 kGy reduced pathogen numbers to below the detection limit of 102 cells g-1. When higher inoculum levels were used (106 cells g-1) irradiation at 1.75 kGy reduced pathogen numbers by 1 –>5 log10 cycles depending on strain. Clostridium perfringens was the most resistant, and Y. enterocolitica the most sensitive of the pathogens studied. In all cases when high numbers (106 to 107g-1) of spoilage and/or pathogenic bacteria were present initially on the pork the meat appeared spoiled, and although irradiation reduced the number of microorganisms, the meat was still unacceptable from a sensory viewpoint after treatment. It was concluded that the microbiological safety of irradiated, modified atmosphere packaged (MAP) pork is better than that of unirradiated MAP pork

  9. Measuring dark energy with the integrated Sachs-Wolfe effect

    Giannantonio, Tommaso

    2008-01-01

    I present to this conference our latest measurements of the integrated Sachs-Wolfe (ISW) effect. After a brief review of the reasons for which this effect arises and of the technique to detect it by cross-correlating the cosmic microwave background (CMB) with the large scale structure of the Universe (LSS), I describe the current state of the art measurement. This is obtained from a combined analysis of six different galaxy datasets, and has a significance level of ~ 4.5 sigma. I then describ...

  10. An Effective Family Skills-based Intervention for the Prevention of Health Problems in Children of Alcohol and Drug-Abusing Parents

    Karol l. Kumpfer

    2013-01-01

    Full Text Available Introduction. There is a need forwide-scale dissemination of effective family-focused skills trainingprograms for the prevention of multiple developmental problems and later substance misuse amonghigh-risk children. Independent reviews have found the author’s Strengthening Families Program (SFP tobe the most effective substance abuse prevention intervention. Cultural adaptations have resulted in successful SFP outcomes in many countries, including in Spain as detailed in the Orte article. This article reviews 30 year history of implementation and outcomes of SFP in different cultures with cultural adaptations. Methods: The SEM-tested Social Ecology Model (Kumpfer, Alvarado, &Whiteside, 2003 is presented and reveals that family factors (bonding, supervision, and communication are the most protective of later substanceuse.Hence, this causal theory served as the etiological theory behind the design of the 14-session SFP.Social cognitive behavior theory (Bandura, 1989 is the intervention theory. The Strengthening Families Program(SFP was the first family skills training program developed and found effective in a randomized control trial (RCT to improve outcomes for children of dug abusers.Many countries requested to replicate SFP; hence, staff training systems were developed and a cultural adaptation process. Results: Eight RCTs, four conducted by independent research teams, and hundreds of quasi-experimental studies in different countrieshave demonstrated SFP’s effectiveness in reducing substance use in adolescents with up to 10-yearfollow-ups. Comparative effectiveness reviews including ones using statistical meta-analysis by theOxford University Cochrane Collaboration Reviews, found SFP to be the most effective alcohol and drug prevention program (Foxcroft, et al., 2003. A cost-benefit analysis by Miller and Hendrie (2008 found SFP prevented the highest percentage of youth from using alcohol and drugs. Cultural adaptation is a mandated

  11. FISCAL EFFECTIVENESS UNDER REGIONAL ECONOMIC INTEGRATION: INDONESIAN AGRICULTURAL PERFORMANCE CASE

    Nasrudin Nasrudin

    2013-04-01

    Full Text Available AbstractThis paper investigates the effectiveness of fiscal policy in boosting agricultural sector performance and seeks the most effective policy in the presence of regional economic integration. It predicts the effectiveness of fiscal policy on the agricultural sector performance in four periods; the new order regime, the economic crisis, and pre and post China Free Trade Area (CAFTA. It also predicts the impact of fiscal policy on agricultural sector performance when CAFTA is fully implemented. It finds that fiscal policy is more effective in the optimum allocation of expenditures. It also finds that the agricultural sector can grow faster when the portion of capital expenditure increases.Keywords: Fiscal effectiveness, economic integration, agricultureJEL Classification Numbers: E62, F15, Q17AbstrakMakalah ini menyelidiki efektivitas kebijakan fiskal dalam mendorong kinerja sektor pertanian dan mencari kebijakan yang paling efektif dengan adanya integrasi ekonomi regional. Makalah ini memprediksi efektivitas kebijakan fiskal dalam meningkatkan kinerja sektor pertanian dalam empat periode; rezim orde baru, krisis ekonomi, sebelum pelaksanaan China Free Trade Area (CAFTA, dan setelah pelaksanaan CAFTA. Makalah ini juga memprediksi dampak kebijakan fiskal terhadap kinerja sektor pertanian saat CAFTA sepenuhnya dilaksanakan. Hasil analisis menemukan bahwa kebijakan fiskal lebih efektif dalam alokasi optimal dari pengeluaran. Analisis juga menemukan bahwa sektor pertanian dapat tumbuh lebih cepat ketika porsi peningkatan belanja modal meningkat.Keywords: Efektivitas fiskal, integrasi ekonomi, pertanianJEL Classification Numbers: E62, F15, Q17

  12. Child Sexual Abuse, Links to Later Sexual Exploitation/High-Risk Sexual Behavior, and Prevention/Treatment Programs

    Lalor, Kevin; McElvaney, Rosaleen

    2010-01-01

    This paper reviews the literature on the nature and incidence of child sexual abuse, explores the link between child sexual abuse and later sexual exploitation, and reviews the literature on prevention strategies and effective interventions in child sexual abuse services. Our understanding of the international epidemiology of child sexual abuse is considerably greater than it was just 10 years ago, and studies from around the world are examined. Childhood sexual abuse can involve a wide numbe...

  13. Identification and Evaluation of Abused Children at Imam Hossein Hospital

    Arabghol

    2016-02-01

    Full Text Available Background Child abuse is a phenomenon that confronts the child, family, and society with irretrievable physical and mental injuries, and its negative effects continue until adulthood. Objectives The present study was conducted to identify and evaluate cases of abused children at a medical center. Patients and Methods This is a descriptive-analytic study. The subjects were all children and adolescents who were referred to Imam Hussein hospital within 6 months due to physical or psychiatric reasons and were diagnosed with child abuse and neglect by a child and adolescent psychiatrist. The number of these children was 73. Children and their parents were assessed by schedule for affective disorders and schizophrenia (SADS, Kiddie-SADS, and child abuse and demographic questionnaires. The statistical methods of mean and standard deviation were used to analyze the data. Results 56 cases (76% were physically abused, 53 cases (72.6% were emotionally abused, and 3 cases (12.3% were neglected. The most common psychiatric disorder in abused children was ADHD (65.8%. The next most common were oppositional defiant disorder, obsessive compulsive disorder, general anxiety disorder, and enuresis. About 80% of the abused children had at least one psychiatric disorder. The most common psychiatric disorders in mothers were general anxiety disorder (34.8% and depression (33.3%, and in fathers, it was substance abuse (19.7%. Conclusions Child abuse is a common phenomenon that relates to psychiatric disorders in the abused child or abuser parents. It seems that on-time identification and appropriate interventions can prevent further negative consequences for the child, family, and society.

  14. The impact of sexual abuse in patients undergoing colonoscopy.

    Melianthe P J Nicolai

    Full Text Available BACKGROUND: Sexual abuse has been linked to strong effects on gastrointestinal health. Colonoscopy can provoke intense emotional reactions in patients with a sexual abuse history and may lead to avoidance of endoscopic procedures. OBJECTIVE: To determine whether care around colonoscopy needs adjustment for patients with sexual abuse experience, thereby exploring targets for the improvement of care around colonoscopic procedures. METHODS: Questionnaires were mailed to patients (n = 1419 from two centers within 11 months after colonoscopy. Differences in experience of the colonoscopy between patients with and without a sexual abuse history were assessed and patients' views regarding physicians' inquiry about sexual abuse and care around endoscopic procedures were obtained. RESULTS: A total of 768 questionnaires were analyzed. The prevalence of sexual abuse was 3.9% in male and 9.5% in female patients. Patients born in a non-western country reported more sexual abuse (14.9% than those born in a western country (6.3%; p = 0.008. Discomfort during colonoscopy was indicated on a scale from 0 to 10, mean distress score of patients with sexual abuse was 4.8(± 3.47 compared to 3.5(± 3.11 in patients without a sexual abuse history (p = 0.007. Abdominal pain was a predictor for higher distress during colonoscopy (β = -0.019 (SE = 0.008; p = 0.02, as well as the number of complaints indicated as reason for colonoscopy (β = 0.738 (SE = 0.276; p = 0.008. Of patients with sexual abuse experience, 53.8% believed gastroenterologists should ask about it, 43.4% said deeper sedation during colonoscopy would diminish the distress. CONCLUSIONS: Sexual abuse is prevalent in patients presenting for colonoscopy. Patients with a sexual abuse history experience more distress during the procedure and indicate that extra attention around and during colonoscopy may diminish this distress.

  15. Work as An Effective Intervention Strategy and Rehabilitation Treatment Program for People Who Abuse Drugs And Alcohol%工作作为药物及酒精滥用者有效的干预策略和治疗方法

    Lucy Wong-Hernandez; Daniel W. Wong; G. Ben Selby

    2006-01-01

    Despite years of interventions in the United States, substance abuse continues to be a major national problem in our society. For individuals affected, it can constitute a major disability and a decrease in quality of life. Current American societal expectations are that individuals who identify they are involved in substance abuse will go to treatment, eventually recover, get off public assistance straightaway, and return to work. Most rehabilitation professionals also maintain the same expectations. The reality is that efforts of prevention do not appear to diminish the number of people with substance abuse. Traditional treatment appears to have minimal, if any, influence upon the cessation of substance abuse, and traditional vocational rehabilitation practices appear unsuited for the unique problems and types of symptoms experienced by substance abusers. Creative, yet sound, alternatives that combine effective treatment strategies and non-traditional vocational rehabilitation methods need to be explored and tested for effectiveness, and applied.

  16. Explanations of the endowment effect: an integrative review.

    Morewedge, Carey K; Giblin, Colleen E

    2015-06-01

    The endowment effect is the tendency for people who own a good to value it more than people who do not. Its economic impact is consequential. It creates market inefficiencies and irregularities in valuation such as differences between buyers and sellers, reluctance to trade, and mere ownership effects. Traditionally, the endowment effect has been attributed to loss aversion causing sellers of a good to value it more than buyers. New theories and findings--some inconsistent with loss aversion--suggest evolutionary, strategic, and more basic cognitive origins. In an integrative review, we propose that all three major instantiations of the endowment effect are attributable to exogenously and endogenously induced cognitive frames that bias which information is accessible during valuation. PMID:25939336

  17. Scaling of electroresistance effect in fully integrated ferroelectric tunnel junctions

    Abuwasib, Mohammad; Lu, Haidong; Li, Tao; Buragohain, Pratyush; Lee, Hyungwoo; Eom, Chang-Beom; Gruverman, Alexei; Singisetti, Uttam

    2016-04-01

    Systematic investigation of the scalability for tunneling electroresistance (TER) of integrated Co/BaTiO3/SrRuO3 ferroelectric tunnel junctions (FTJs) has been performed from micron to deep submicron dimensions. Pulsed measurements of the transient currents confirm the ferroelectric switching behavior of the FTJs, while the hysteresis loops measured by means of piezoresponse force microscopy verify the scalability of these structures. Fully integrated functional FTJ devices with the size of 300 × 300 nm2 exhibiting a tunneling electroresistance (TER) effect of the order of 2.7 × 104% have been fabricated and tested. Measured current density of 75 A/cm2 for the ON state and a long polarization retention time of ON state (>10 h) show a lot of promise for implementation of high-density BaTiO3-based FTJ memory devices in future.

  18. Integrating the Human Sciences to Evolve Effective Policies

    Biglan, Anthony; Cody, Christine

    2012-01-01

    This paper describes an evolutionary perspective on human development and wellbeing and contrasts it with the model of self-interest that is prominent in economics. The two approaches have considerably different implications for how human wellbeing might be improved. Research in psychology, prevention science, and neuroscience is converging on an evolutionary account of the importance of two contrasting suites of social behavior—prosociality vs. antisocial behaviors (crime, drug abuse, risky ...

  19. Effects of Persisting Emotional Impact from Child Abuse and Norepinephrine Transporter Genetic Variation on Antidepressant Efficacy in Major Depression: A Pilot Study

    Singh, Ajeet Bhagat; Bousman, Chad A.; Ng, Chee Hong; Byron, Keith; Berk, Michael

    2015-01-01

    Objective Previous studies suggest child abuse and serotonergic polymorphism influence depression susceptibility and anti-depressant efficacy. Polymorphisms of the norepinephrine transporter (NET) may also be involved. Research in the area is possibly clouded by under reporting of abuse in researcher trials. Methods Adults (n=51) with major depressive disorder has 8 weeks treatment with escitalopram or venlafaxine. Abuse history was obtained, the ongoing emotional impact of which was measured with the 15-item impact of event scale (IES-15). The 17-item Hamilton Depression Rating Scale (HDRS) was applied serially. Two NET polymorphisms (rs2242446 and rs5569) were assayed, blinded to HDRS ratings and abuse history. Results No subjects reporting abuse with high impact in adulthood (IES-15 ≥26, n=12) remitted; whereas 77% reporting low impact (IES-15 <26; n=26) remitted (p<0.001). Subjects reporting high impact abuse (n=12) had a 50-fold (95% confidence interval=4.85–514.6) greater odds of carrying rs2242446-TT genotype, but the small sample size leaves this finding vulnerable to type I error. Conclusion The level of persisting impact of child abuse appears relevant to antidepressant efficacy, with susceptibility to such possibly being influence by NET rs2242446 polymorphism. Larger studies may be merited to expand on this pilot level finding given potential for biomarker utility. PMID:25912538

  20. Research in Action: Assessment and Treatment of Child Sexual Abusers.

    Chaffin, Mark

    1994-01-01

    Reviews recent studies on child sexual abusers and abuser treatment and their implications for patient assessment and treatment. Reviews recidivism outcome studies from the perspective of their contributions to questions of which sort of treatments appear to be effective with which populations, and suggests that clinicians be aware of the need for…