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One distinguishes the non-substance dependent diseases such as pathological gambling, from the substance-linked dependence diseases, which can arise through the use of narcotic drugs such as alcohol, nicotine, drugs, heroin or cocaine. A look at the history of art and literature shows that the use of narcotic drugs can unleash both creative and destructive forces. The French poet Baudelaire says: 'Intoxicate yourself with wine, with verses or with virtue. Common in intellectual and artistic circles was also Laudanum opium tincture, called 'Stone of Immortality' by Paracelsus , which was originally mixed by Paracelsus from wine and opium, whose most famous consumers included the British Coleridge and de Quincey ' Confessions of an English Opimum-eater '. Picasso once described to his friend Cocteau: 'Nothing smells as little stupid as opium. Maybe the circus and a port. The opium evokes seizures of wisdom. Here in this country, heroin was produced from opium and initially sold as a cough syrup. After the Second World War and especially after the Vietnam War, the number of heroin addicts grew strongly worldwide, as many soldiers had come into contact with morphine and heroin. In the rock, punk and jazz scene of the s and s, heroin was a popular drug that claimed many victims, including the singer Janis Joplin, symbol of the hippie era. Today there are about , heroin addicts in Germany. More widespread than heroin is the use of cocaine, which, as crack cocaine, has the highest potential for addiction of all illicit drugs. The most common addictive substance, however, is the nicotine contained in tobacco. Every year in Germany about , people succumb to the deadly consequences of smoking. How do you recognize that you may be suffering from an addiction? People react very differently to narcotic drugs. For example, alcohol consumption in many people leads to high spirits and relaxed socializing, while others lead to deep melancholy or risky behavior. The risk factors that contribute to the development of a dependency disorder are manifold and can be very different in individual cases. Addictive drugs are often used to reduce the fear of failure or to relax after stressful situations. This can result in a continued 'self-treatment' that leads to a dependency disorder. At risk from the development of a dependency disorder are in particular people who do not even notice how the addictive agent creeps to become an integral part of their lives, until after all a life without this addictive drug is no longer possible, because otherwise severe withdrawal symptoms are threatening. At this point, a personal conversation with the GP, in an addiction counselling centre or in our outpatient clinic can clarify whether there is a dependency disorder and the desire to break through the vicious circle of dependence through targeted treatment. In what context are dependence disorders with other mental diseases? An important risk factor for the emergence of an addiction is the presence of another psychiatric disorder, especially anxiety disorders and depressive disorders, but also chronic pain syndromes. People often believe that by successfully treating these disorders, their dependency disorder would disappear on their own. This is usually not the case, however, because the dependence has long since become independent and requires additional competent treatment. How are addictions treated? The treatment is often preceded by the motivating advice of the GP, in an addiction counselling facility or in our outpatient clinic. If there is a dependency syndrome and there is a desire for renunciation of the drug, a qualified withdrawal treatment is recommended at one of our stations, which is often a further rehabilitative measure stationary or outpatient weaning therapy for the development of a drug-free lifestyle and an outpatient long-term care e. Each stationary treatment for addiction is always embedded in a multidimensional treatment plan consisting of withdrawal-relieving drug therapy, supportive psychotherapy in individual interviews and groups, accompanying therapies including occupational therapy, movement therapy and relaxation therapy as well as social-pedagogical support. Withdrawal should under all circumstances take place under medical supervision and not independently in the domestic environment in order to ensure the protection against possible complications and the monitoring of medical risks. Additional information on drug addiction In Germany, about 1. Women and older people are particularly affected by this. One can be addicted to many medications, including sedatives sedatives , sleeping pills hypnotics , stimulants and painkillers analgesics. The peculiarity of a drug dependence is that the patients take the drug selectively for the relief of a physical or psychological symptoms from the beginning, but in this case after weeks a physical dependence can arise: Patients have the impression that their original symptoms are worsening as they increasingly only take their medication to relieve their withdrawal symptoms. Description of a person concerned: 'Originally, I was prescribed this sedative by my doctor when I had a tremendous amount of stress in my career and suffered from massive fears of failure. That also helped in the beginning. But without medication, nothing would work very soon. I immediately had heart palpitations, hot flashes and was very tense inside. It became more and more difficult to persuade my doctor to continue to prescribe the pills. At some point I had several doctors who knew nothing about each other. I also tried several preparations. My environment did not witness anything. Later I fell off and on, then the dosage didn't always work out like that. According to the federal government's search report , there are about 1. Clinical practice also shows that alcohol patients in Germany have long periods of time before they receive adequate treatment. Shame and trivialise play a role in this. Many years of excessive alcohol consumption are known to have serious long-term consequences. According to the report, one in five deaths between 35 and 65 years is alcohol-induced. Our clinic offers both stationary, day-patient and outpatient services for patients with an alcohol problem. An important focus in the context of detailed diagnostics is the clarification and treatment of possible concomitant diseases such as affective disorders and their guideline-oriented treatment in our clinic. If you are unsure which of the many treatment options is right for you or if you need specific help at all, take an individual consultation in our special outpatient clinic for people with alcohol addiction. The specialist outpatient clinic offers the opportunity to show patients with alcohol problems an uncomplicated way to a qualified treatment. The outpatient clinic, if necessary, can also initiate a stationary therapy and, if appropriate, daily clinical treatment at the hospital of psychiatry and psychotherapy of the University Hospital of Bonn. We also help to find an adequate alternative. Descriptions of those affected: 'I didn't want to admit that I'm addicted to alcohol for a long time. I was not often really drunk. That's all kind of creepy. At the end I needed the alcohol constantly, because of my trembling and the sweats. In the morning, otherwise I couldn't even be out of the house. Of course, I tried not to let this be noted. I always rejected a treatment. Talked to me, you can do it that way. I find it really hard to accept help. I didn't drink any more and started to get my life back under control. But one evening I was in the circle of my old buddies and I just drank a glass. Unfortunately, it did not stay there. At some point I told myself, now it doesn't matter anyway. I was totally disappointed by myself, reproached me, ashamed of me terribly. I didn't want to go back to a treatment for a long time, because actually I know everything, what are they supposed to tell me new? What possibilities does the doctor have to detect a addiction? Additional information on alcohol addiction According to the federal government's search report , there are about 1. Additional information on opioid detoxification In the case of a polyvalent addiction, the therapy target can also be the detoxication of co-used drugs under adjustment to the controlled ingestion of a substitute substance substitution treatment. For drug support in weaning treatment, the setting may be based on an opioid antagonist such as naltrexone after successful opioid detoxification. For people with severe opioid dependence, a joint initiative with the Federal City of Bonn and the charities of Diakonie and Caritas established a special centre for diamorphous-based substitution treatment. This website is using cookies to provide a good browsing experience. These include essential cookies that are necessary for the operation of the site, as well as others that are used only for anonymous statistical purposes, for comfort settings or to display personalized content. You can decide for yourself which categories you want to allow. Please note that based on your settings, not all functions of the website may be available. Accept all Accept necessary cookies only Choose cookies. Privacy Policy Impressum. Toggle options Save preferences Accept all. Your cookie preferences have been saved.

Addictions

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Take-back and recycling systems that return valuable materials to the production cycle. All-in-one platform for recyclers, their subcontractors and their customers. Hamburg, In September of , UKB launched new pilot projects in cooperation with Resourcify to reduce waste generation and to recycle medical waste. Hospitals are the fifth largest producer of waste in Germany, with approximately 1. These include packaging, medical devices and hazardous materials. Usually, materials that come into direct or indirect contact with patients are not recycled but are instead incinerated. In order to have a better overview of these waste streams and to open up opportunities for more circularity, the UKB has already been using Resourcify's digital waste management software with great success since In , three pilot projects have been launched to extract recyclables from medical waste. The goal is to establish a circular recycling solution that is easy to implement and helps UKB move closer to their sustainability goals. Recycling reduces the amount of plastics and metals that usually end up in incinerators. At the same time, UKB can manage this service through Resourcify's recyclables management system to keep the overall effort as low and transparent as possible. After use, these normally count as hazardous chemical waste, which has to be collected separately and disposed of as a costly waste. The new project will be scientifically monitored using life cycle analyses LCA , which will enable both the ecological and economic comparison of the previous disposal with the upcycling process. The staff of the anaesthesia department now collect the cartridges in special containers, whose collection needs can be transmitted to the facility management via a QR code. The containers are then taken to the waste management warehouse. Resourcify supports UKB with the help of the QR code solution in handling internal transportation to ensure that the process runs smoothly. Recommended read: Case study about waste management at University Hospital Bonn. In the surgical centre, the recycling programme for electrically operated disposable instruments from the operating theatre, which was specially financed by the UKB, was introduced at the same time. This results in about kilos of medical electronic waste per year. The used disposable instruments are now collected in a special bin after being wiped with disinfectant and taken for in-house sterilisation. In the department of microbiology, there are automatic sterilisers that are used exclusively for waste or other equipment that does not come into contact with patients. This ensures decontamination of disposable instruments for material recycling without jeopardising patient care. Resourcify takes care of the positioning and collection of the box pallet, ensures proper recycling at the recycling partner and digitises the processes and collected data. The digitalisation helps to maintain transparency of the rather unusual process and to motivate the staff through newsletters to continue sorting the disposable instruments accurately. By the beginning of March, over a period of nearly six months, kilograms had already been collected and recycled in the Surgical Centre OPZ alone. The goal is to recycle the entire instrument. Using a shredder light fractioning process, the instruments can be divided into the individual fractions as efficiently as possible and processed into secondary raw materials made of metal and plastic. The vision behind this is to recycle this packaging instead of incinerating it in the future. For this purpose, the aluminium foils are collected by the medical staff in the designated grey containers and handed over to the clinic logistics. TSR then takes care of the recycling and distribution of the secondary raw materials. The proceeds from the sale of the aluminium are donated annually to Operations Smile. The easy-to-use SaaS solution makes recycling more efficient and transparent. It helps companies recycle more, reduce costs and turn waste into recyclables. Since the end of , the platform has processed more than 2 million waste disposal orders per year from customers such as Syntegon , Hornbach and McDonald's in over 7 European countries. In addition, recyclers are using Resourcify to improve their customer service, boost their sales, and attract and retain more high-revenue customers. The UKB cares for around , patients per year, employs 8, staff and has a combined turnover of 1. In addition to the more than 3, medical and dental students, a further women and men are trained in numerous health professions each year. The UKB is ranked first among university hospitals in NRW in the science ranking, has the third highest case index in Germany and was the only university hospital among the 35 in Germany to increase its performance in the Corona years and Find out more at www. Resourcify, and Interzero, Europe's leading circular service provider, announced their new comprehensive partnership. The Hamburg-based start-up Resourcify, a company which offers a platform for digital waste management, has been declared the winner of the German Innovation Awards Return valuable materials to the production cycle with our take-back systems. Digital waste management. Circularity solutions. Recycler solutions. Navigating ESG frameworks for a sustainable business September 2, Use cases. Knowledge centre. What is the 'Right to Repair'? New circular legislation in the EU April 15, April 11, Table of Contents. Text Link. Sterilisation Leads to Electrical Waste In the surgical centre, the recycling programme for electrically operated disposable instruments from the operating theatre, which was specially financed by the UKB, was introduced at the same time. The process can only be realised because the UKB has an internal facility for decontamination and the project is thankfully funded by the university. For this reason, we are working in parallel with other partners to overcome bureaucratic and logistical hurdles in order to make it possible for other hospitals to recycle the products more efficiently in the long term. Looking at the impact of healthcare on the climate, we in Bonn see it as our social obligation to act in a sustainable and climate-friendly fashion and to conserve resources for future generations. We recognised great potential in this area several years ago and digitised our waste management system to prepare it for the future. In addition to separating waste as effectively as possible, new recycling models and take-back systems also play a decisive role. We work with our partners every day to develop new solutions to avoid waste, conserve resources and close loops. Unfortunately, legal requirements from earlier years still limit our options, which is why we would like to see more support from politicians and decision-makers. In order to avert the threat of climate change, we need to significantly increase our speed and promote innovation. About the University Hospital Bonn The UKB cares for around , patients per year, employs 8, staff and has a combined turnover of 1. Meike Lessau. July 6, May 24, September 27, January 17, Trusted by. Get the latest insights delivered direct to your inbox. Sustainability Procurement Leadership Waste operations Finance. Subscribe to our newsletter.

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