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Adolescence marks a period of significant neural maturation and development of lifelong habits, including the potential use of recreational psychostimulant drugs. Increased prevalence of drug adulteration and fatalities related to drug overdose pose new challenges for individuals who use drugs recreationally. As the prevalence of recreational psychostimulant use drastically increases during young adulthood, pediatric and adolescent health care providers can play a crucial role in the lifelong well-being of their patients by identifying those with risk factors for consequences associated with substance use at an early age. This article discusses the epidemiology, pharmacology, clinical manifestations, complications, and common methods of use for three types of psychostimulant drugs-amphetamines, methamphetamine, and 3,4-Methylenedioxymethamphetamine. This article aims to provide pediatric and adolescent health care providers with practical knowledge to effectively perform substance use screening, brief intervention, and referral to treatment with the goal of reducing drug-related morbidity and mortality among the adolescent age group. Policy and clinical decisions have often been made without much current data on trends in drug use in patients with pain. Thus, we evaluated definitive urine drug test UDT results in patients being treated for pain to see if those taking their prescribed opioids were less likely to be positive for the primary illicit drugs currently driving overdose deaths: cocaine, heroin, fentanyl, and methamphetamine. We aimed to examine whether COVID measures were associated with increases in methamphetamine price, decreases in methamphetamine use frequency and subsequent changes in secondary outcomes of other drug use frequency in metropolitan Melbourne and regional Victoria. Methamphetamine or other drug use frequency analysis was performed using participants who used methamphetamine during the pandemic or in the year before the pandemic. Frequency of methamphetamine and other drug use measured as the average number of days per week used in the last month. COVID and broader vaccination attitudes were used to model latent classes. Correlates of class membership were assessed through multinomial logistic regression. Probability of endorsing potential vaccination facilitators were reported by class. Those in the hesitant and resistant groups were younger, more likely to be unstably housed and less likely to have received the current season influenza vaccine than the acceptant group. In addition, hesitant participants were less likely to report a chronic medical condition than acceptant participants. Compared to vaccine acceptant and hesitant participants, vaccine-resistant participants were more likely to predominantly inject methamphetamine and to inject drugs more frequently in the past month. Both vaccine-hesitant and resistant participants endorsed financial incentives for vaccination and hesitant participants also endorsed facilitators related to vaccine trust. Vaccine-hesitant people may benefit from interventions that build trust in vaccine safety and utility. Financial incentives may improve vaccine uptake among both hesitant and resistant people. The purpose of the study was to assess the practices of people who inhale 'smoke' stimulants to guide future clinical harm reduction efforts. Participants were eligible if they sought services from an outreach team staffed by a municipal syringe service program SSP or if they were patients at a low-threshold substance use disorder treatment program, the Massachusetts General Hospital Bridge Clinic. Most participants reported that they would be more likely to attend an SSP or health center if pipes were provided. Providing safer smoking equipment may promote health and engage individuals in care. We aimed to describe market trends of heroin, methamphetamine, cocaine and ecstasy in Australia following the introduction of COVID pandemic-associated restrictions. We used self-reported market indicators price, availability, and purity for heroin, crystal methamphetamine, cocaine, and ecstasy crystal to estimate generalised additive models. Observations from the surveys were used to establish the pre-pandemic trend; , and observations were considered immediate, short-term and longer-term changes since the introduction of pandemic restrictions. There was no longer evidence for change in or relative to the trend. Evidence-based behavioral interventions EBI are effective in reducing methamphetamine use. However, evidence on optimal combinations of EBI is limited. This protocol presents a type-1 effectiveness-implementation hybrid design to evaluate the effectiveness, cost-effectiveness of adaptive methamphetamine use interventions, and their implementation barriers in Vietnam. They will then be placed or randomized to three adaptive strategies for another 12 weeks. An economic evaluation and an ethnographic evaluation will be conducted alongside the interventions. Primary outcomes include the 1 increase in HIV viral suppression, 2 reduction in HIV risk behaviors, and 3 reduction in methamphetamine use. As the EBIs will be delivered by methadone providers, they can be readily implemented if the trial demonstrates effectiveness and cost-effectiveness. Registered on 13 January We used social marketing principles and the transtheoretical model to design the campaign, which was intended to avoid stigmatization of methamphetamine users and communicate compassion, empathy, and support. We examine associations between campaign exposure and outcomes using bivariate analyses and binary logistic regression models, which control for the impact of the COVID pandemic on methamphetamine use or likelihood of use. Frequency of exposure to campaign advertisements was positively associated with calling the helpline, suggesting a campaign dose effect. COVIDrelated factors were associated with using methamphetamine in the past 30 days. This study adds to the limited literature on mass marketing interventions to address this major health issue. This study aimed to compare the trends in opioid overdose deaths and characterize opioid overdose deaths by drug subtype and person characteristics pre-COVID and one-year post-COVID emergence Our analyses consisted of an interrupted time-series and segmented regression analysis to assess the impact of COVID on the number of opioid overdose deaths. This study found that synthetic narcotics are the significant drivers of the increase in opioid overdose deaths in Arkansas during the pandemic. Vaccination, health psychology and mental health make for three well-established and prestigious topoi in medical history. An in-depth look at their historical intersections remains forthcoming, however. Historiography at this point may help appreciating the present, and future, standing of psychological profiling in terms of its explanatory merits and policy uses. Of specific, critical interest is the motif of mental illness historically shared by vaccine advocates and contrarians. Mock-psychiatric nosology was a favored framing device for vaccination polemicists early on, indeed before vaccines were called vaccines and before psychiatry came to be called psychiatry. Though long anticipated, substantive historical-sociological and empirical approaches to vaccine non-acceptance were seen only from the s and s, respectively. Today, spirited animosity over vaccination continues to invite both professional and public debate about the founding concepts, the basic tenets, and the defining boundaries, of the mental health sciences. The COVID pandemic spread rapidly worldwide in the year , which was initially restrained by drastic mobility restrictions. The results show that no methamphetamine was detected in any of the locations monitored, while amphetamine use was only detectable in the two locations from the Basque Country Bilbao and its metropolitan area and Vitoria-Gasteiz , with high estimated average usage rates mg day-1 inhabitant The remaining substances were detected in all the investigated catchment areas. In general, no remarkable changes were found in population normalized loads compared to former years, except for cocaine i. Furthermore, two events of ecstasy 3,4-methylenedioxymethamphetamine, MDMA dumping in the sewage network were confirmed by enantiomeric analysis, one in Santiago de Compostela just prior the lockdown and the second one in the Bilbao and its metropolitan area in July after relieving the more stringent measures. The latter could also be associated with a police intervention. The comparison of WBE with web survey data, which do not provide information at a local level, points towards contradictory conclusions for some of the substances, thereby highlighting the need for stable WBE networks capable of near real-time monitoring drug use. Another concern was the potential for increased methamphetamine use during the pandemic, which is a known risk factor for HIV transmission and IPV. Bivariate analyses and multivariable logistic regressions were estimated. All participants were assigned male at birth and most participants were men In adjusted models methamphetamine use was consistently associated with having a new sex partner, higher numbers of sex partners, and experience of IPV, during the pandemic. Reporting no social distancing and reporting one social distancing behavior, were associated with experience of IPV relative to reporting 2 social distancing behaviors. Social distancing was not associated with sexual risk behavior or Pre-exposure Prophylaxis use. Addiction services, HIV prevention services, and violence support services should be prepared to support young adult SGM needs, particularly those who use methamphetamine. The COVID pandemic is associated with increased levels of anxiety, fear, sadness, difficulty adjusting, symptoms of post-traumatic stress disorder and suicidality, both in the general population and specific subgroups. The presence of this type of psychopathology increases the risk of involvement with or worsens the use of addictive substances and alcohol as a maladaptive coping strategy. The main culprits are increased physical co-morbidity frequent respiratory and cardiovascular problems , poor health and living conditions, marginalization and difficulties in accessing health services. A cross-sectional online epidemiological study conducted on a sample of 36, adults from 21 European countries between April and July found an overall decrease in alcohol use, which was mainly attributed to the reduction of heavy episodic consumption, while at the same time an increase in alcohol consumption among people with severe alcohol use was recorded. These changes were attributed to the limitation of alcohol availability, social distancing, changes in daily routine and income reduction. A comparison with appears to suggest similar overall consumption of most drugs, and in several cities possibly even higher levels, based on this data source. Exceptions here appear to be MDMA and methamphetamine, two drugs for which the levels observed in appear lower in most of the participating cities'. Finally, intermittent difficulties in drug availability and trafficking have led users to search for other substances, increase experimentation and multidrug use, and make online purchases. In addition, there is concern about the increasing abuse of benzodiazepines, which are either diverted from therapeutic use or appear on the illicit market, often as new benzodiazepines. In general terms, there appears to have been less consumer interest in drugs usually associated with recreational events, such as MDMA, and greater interest in drugs linked with home use. Also, 'survey data suggest that those using drugs occasionally prior to COVID may have reduced or even ceased their use during the pandemic, but more-regular users may have increased their drug consumption'. Therapeutic programs sought to respond to the new conditions using technology and telemedicine, providing online group support and psychotherapy. Substitution treatment programs have become more flexible by providing long-term pharmaceutical substitutes take home to prevent users from moving. There have also been facilitations in prescribing by treating physicians. In conclusion, it should be noted that substance use appears to have an autonomous dynamism in relation to the pandemic and the consequent psychopathology, being in a 'loose' causal relationship with it. Therefore, hasty and untimely generalizations should be avoided, and easy conclusions should not be drawn through extrapolations from previous socio-economic crises of different types or through partial spatiotemporal understandings, which are usually presented by the media in the form of negative alarming information. Fentanyl-related overdose is rising in new geographic areas e. Stimulant-related overdose is also increasing nationwide driven by methamphetamine and cocaine. Polysubstance use, e. Other medical consequences of injection drug use are rising including HIV and hepatitis C infections. Medication approaches to treating opioid use disorder remain the standard of care and there are new promising pharmacological approaches to treating methamphetamine use disorder. Availability and use of illicit fentanyls are still the major drivers of overdose deaths and the current rise in stimulant-related deaths appears entwined with the ongoing opioid epidemic. Background: Positive affect PA is crucial for individuals to cope with the current pandemic and buffer the lingering fears after it, especially for patients with substance-use disorders SUDs. Methods: A total of male patients with SUDs with HUD and with MAUD, all were single-substance users in a compulsory rehabilitation center underwent semi-structured interviews during the pandemic. Results: There were significant differences between the two groups in age, the proportion of full-time workers before the epidemic, duration of drug use, the proportion of patients with long-term withdrawal during the epidemic, cravings, ACS, and PA. Correlation and multiple linear regression analysis showed that duration of drug use, ACS, and stable jobs were significant predictive factors for PA in patients with HUD, while long-term withdrawal, ACS, and stable jobs during the epidemic were significant predictive factors for PA in patients with MAUD. The results provided a basis for the comprehensive understanding of the PA of patients with SUDs and the development of targeted treatments. Ordinal regression models examined predictors of greater perceived difficulty of getting help. Explanatory variables included participant characteristics i. Greater perceived difficulty of getting help was associated with having lower income, sometimes using methamphetamine prior to or during sex, and greater perceived need for help. This is especially important given that participants who perceive themselves as needing help to reduce or abstain from substance use perceive the greatest difficulty of getting such help. Chemsex and slamsex represent a serious public health concern that has to be considered by both clinical and forensic toxicologists. Indeed, such practices appear to carry a significant degree of risk, including acute intoxication. Here we report the case of the intoxication of a year-old male involving 3-methylmethcathinone 3-MMC and gamma-hydroxybutyrate GHB during a slamsex session. In addition, we conducted a review of further cases. The year-old man was admitted to the emergency department for severe impaired consciousness following the administration of psychoactive substances during a chemsex party. The detection and determination of 3-MMC and GHB concentrations were achieved using liquid chromatography-tandem mass spectrometry. These articles reported an overall of 13 cases, all involving men with a mean age of The outcome was fatal in only 6 cases. Yet impacts of MA in pregnancy and effective interventions are not yet well understood. OBJECTIVE: We conducted an environmental scan of published and grey literature to determine effects of MA use in pregnancy for mothers and their offspring, effective interventions and implications for Indigenous women. The time frame captured recent MA composition and excluded literature impacted by coronavirus disease Because drug seizures can serve as a proxy for drug availability, we examined shifts in drug seizures in the US during the pandemic. Trends were examined for number and total weight of seizures from March through September using Joinpoint regression. The number of seizures involving marijuana and methamphetamine peaked in August , exceeding the highest pre-COVID number of seizures. This year addicted White woman was admitted at her 29th week and delivered a stillbirth. She was transferred to another hospital after showing signs of TTP, which was caused by a viral infection. A chest computed tomography scan showed diffuse multiple bilateral consolidations and interlobar septal thickening. She stayed at the Intensive Care Unit for 20 days and treated with plasmapheresis. Основное содержание 1 Поиск 2 нижний колонтитул 3. Главная Поиск mh:'Methamphetamine' 24 Отсортировать Дата поступления по убыванию Дата поступления увеличение Актуальность по годам - сначала новые - по годам - сначала старые -. Шоу: 20 50 Результаты 1 - 20 de Добавить фильтры. Основная тема. Показать еще Тип исследования. Годовой диапазон. An Overview of Adolescent Psychostimulant Use. Pediatr Ann ; 52 5 : ee, May. Реферат Adolescence marks a period of significant neural maturation and development of lifelong habits, including the potential use of recreational psychostimulant drugs. Definitive urine drug test findings in patients prescribed opioids for pain from a large national database. J Opioid Manag ; 18 4 : , Addiction ; 8 : , Drug Alcohol Rev ; 42 5 : , J Addict Med ; 17 2 : ee, Disruption to Australian heroin, methamphetamine, cocaine and ecstasy markets with the COVID pandemic and associated restrictions. Int J Drug Policy ; , An adaptive design to screen, treat, and retain people with opioid use disorders who use methamphetamine in methadone clinics STAR-OM : study protocol of a clinical trial. Trials ; 23 1 : , Apr Development and evaluation of a social marketing campaign to address methamphetamine use in Los Angeles County. BMC Public Health ; 22 1 : , 09 Rezaeiahari, Mandana ; Fairman, Brian J. A familiar species of Crank: Anti-Vaccinationists in medical history. Janssen, Diederik F. Vaccine ; 40 31 : , 07 Реферат Vaccination, health psychology and mental health make for three well-established and prestigious topoi in medical history. Use of illicit drugs, alcohol and tobacco in Spain and Portugal during the COVID crisis in as measured by wastewater-based epidemiology. Sci Total Environ ; , Aug Реферат The COVID pandemic spread rapidly worldwide in the year , which was initially restrained by drastic mobility restrictions. Examining the impact of social distancing and methamphetamine use on sexual risk and intimate partner violence in sexual and gender minority young adults during the COVID pandemic. Drug Alcohol Depend ; , 03 Mellos, Eleftherios ; Paparrigopoulos, Thomas. Psychiatriki ; 33 1 : , Mar Реферат The COVID pandemic is associated with increased levels of anxiety, fear, sadness, difficulty adjusting, symptoms of post-traumatic stress disorder and suicidality, both in the general population and specific subgroups. The rise of illicit fentanyls, stimulants and the fourth wave of the opioid overdose crisis. Ciccarone, Daniel. Curr Opin Psychiatry ; 34 4 : , 07 Front Public Health ; 9: , Реферат Background: Positive affect PA is crucial for individuals to cope with the current pandemic and buffer the lingering fears after it, especially for patients with substance-use disorders SUDs. Perceived difficulty of getting help to reduce or abstain from substances among sexual and gender minority men who have sex with men SGMSM and use methamphetamine during the early period of the COVID pandemic. Subst Abuse Treat Prev Policy ; 16 1 : 88, 12 Forensic Sci Int ; , Apr. Реферат Chemsex and slamsex represent a serious public health concern that has to be considered by both clinical and forensic toxicologists. An environmental scan of impacts and interventions for women with methamphetamine use in pregnancy and their children. Int J Gynaecol Obstet ; 2 : , Nov. Drug Alcohol Depend ; , 04 J Med Case Rep ; 15 1 : , Mar Смотрите больше деталей. Критерии поиска mh:'Methamphetamine'. Ваше имя Ваш адрес Отправить. Эту страницу Отмечено 0.
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