scholarly journals Services for pregnant drug users

1990 ◽  
Vol 14 (1) ◽  
pp. 12-15 ◽  
Author(s):  
M. London ◽  
R. Caldwell ◽  
M. Lipsedge

Drug and alcohol misuse during pregnancy poses a threat to the health of both the developing foetus and the mother yet this complex clinical problem often falls between different stools within the health services. A mother would first have to recognise herself as a drug or alcohol misuser needing help before she came within the ambit of the addiction services. On the other hand, the obstetric agencies, even when they identify a drug problem, usually do not regard themselves as having a role. General practitioners are most likely to have an overall view and therefore to be in the best position to manage the problem. However, many misusers do not register with GPs and, despite calls to the contrary, GPs have not become more widely involved in the management of addiction.

PEDIATRICS ◽  
1970 ◽  
Vol 45 (1) ◽  
pp. 130-131
Author(s):  
N. E. Zinberg ◽  
A. T. Weil

The authors review and discuss the findings which they reported in Science, December 13, 1968. No human experiments with marijuana designed according to modern principles of drug testing had been previously performed. The pharmacologic action of a drug is but one of three factors in its effect; the others are "set"—the individual's expectations of what the drug will do—and "setting" —the total environment (physical and social) in which a drug is taken. Set and setting can overshadow pharmacologic action. Asking drug users what effect they get is grossly unreliable; on the other hand, laboratory studies must be designed so that, through environmental manipulation, an observed effect may be ascribed to a known cause (as the administration of a drug).


2020 ◽  
Vol 9 (1) ◽  
pp. 39-52
Author(s):  
Sutono Widjaja

Malpractice cases are a crime that is very common in Indonesia. Malpractice is basically the actions of professionals who contravene SOPs, codes of ethics, and applicable laws, whether intentional or as a result of negligence resulting in loss or death to others. On the other hand, in the implementation of health services, medical personnel, namely doctors and nurses do not rule out the possibility of an error or negligence. Errors or negligence by doctors in carrying out their professional duties can be fatal both to the body and soul of the patient (in medical/legal terms this incident is called malpractice) and this is of course very detrimental to the patient as a victim of malpractice. As a victim of malpractice that is harmed , of course the patient will demand what is his right. Patients who are victims of malpractice will demand compensation or ask for accountability from the doctor concerned. These demands can be in the form of civil claims, namely compensation, criminal charges, namely imprisonment for perpetrators of malpractice


2017 ◽  
Vol 14 (24) ◽  
pp. 247-265
Author(s):  
LUCAS ENDRIGO BRUNOZI AVELAR

Resumo:  Neste texto procuramos indicar como os portadores de uma ideologia religiosa de origem medieval descreveram a embriaguez dos povos indá­genas na Amazônia do século 18. Privilegiamos o exame dos relatos contidos na obra  Tesouro Descoberto no Máximo Rio Amazonas,  do jesuá­ta português João Daniel. Procuramos apontar as contradições e aproximações estabelecidas entre, de um lado, uma colonização fundada na produção e comércio de drogas e na tradição alimentar católica assentada no vinho e no pão, e, de outro, uma ideologia do abuso elaborada para dar conta da tradição indá­gena de ingestão de bebidas e substá¢ncias extraá­das da floresta.Palavras-chave:  Amazônia Colonial. Embriaguez. Drogas. Missionários.IDEOLOGY AND TRADITION OF DRUG USERS IN THE COLONIAL AMAZONIA  Abstract:  In this text, we seek to indicate how the bearers of a religious ideology of medieval origin described the drunkenness of the indigenous peoples in the 18th century Amazon. We privileged the analysis of the accounts of the work ”Tesouro Descoberto no Máximo Rio Amazonas” by the Portuguese Jesuit, João Daniel. Highlighting the contradictions and approximations established between, on the one hand, a colonization based on the production and commerce of drugs and Catholic food tradition based on wine and bread, and on the other hand, an ideology of abuse elaborated to account for the indigenous tradition of drinks ingestion and substances extracted from the forest.Keywords:  Colonial Amazon. Drunkenness. Drugs. Missionaries.IDEOLOGáA Y TRADICIÓN DE LOS USUARIOS EN LA AMAZONIA COLONIAL  Resumen: En este texto buscamos señalar como los portadores de una ideologá­a religiosa de origen medieval describieron la embriaguez de los pueblos indá­genas en la Amazonia del siglo 18. Privilegiamos el examen de los relatos contenidos en la obra  Tesouro Descoberto no Máximo Rio Amazonas,  del jesuita portugués João Daniel. Apuntamos las contradicciones y aproximaciones establecidas entre, de un lado, una colonización fundada en la producción y comercio de drogas y en la tradición alimentar católica basada en el vino y en el pan, y, de otro, una ideologá­a del abuso elaborada para dar cuenta de la tradición indá­gena de ingestión de bebidas y sustancias extraá­das de la floresta.Palabras clave:  Amazonia Colonial. Embriaguez. Drogas. Misioneros.IDÉOLOGIE ET TRADITION DES USAGERS DANS L”™AMAZONIE COLONIALE  Résumé:  Dans ce texte, nous voulons étudier comment les missionnaires européens, porteurs d'une idéologie religieuse d'origine médiévale, ont décrit l'ivresse des peuples de l'Amazonie au XVIIIá¨me  siá¨cle. Nous y analysons en particulier les récits contenus dans l'Å“uvre  Tesouro Descoberto no Máximo Rio Amazonas  du jésuite portugais João Daniel. Nous y mettons en avant les tensions et les relations existant entre, d'une part, une entreprise de colonisation fondée sur la production et le commerce de drogues et sur la tradition alimentaire catholique dont la base était le pain et le vin et d”™autre part, une idéologie de l'abus élaborée pour rendre compte de la tradition indigá¨ne de consommation de boissons et de substances extraites de la forêt.Mots-clés: Amazonie Coloniale. Ivresse. Drogues. Missionnaires.


2002 ◽  
Vol 47 (8) ◽  
pp. 750-758 ◽  
Author(s):  
Ricardo J M Lucena ◽  
Alain Lesage ◽  
Robert Élie ◽  
Yves Lamontagne ◽  
Marc Corbière

Background: The description of collaboration models and the key underlying principles provide important information for designing services. However, to apply this broad corpus of information to clinical services and policymaking, we need to know which key principles (or strategies) of collaboration are the most accepted by local physicians. Method: In this context, we designed a survey that included 2 objectives: 1) to collect the opinions of practising general practitioners (GPs) and psychiatrists in Montreal with respect to strategies for improving collaboration between these 2 groups and 2) to identify demographic and practice characteristics of those physicians associated with the acceptance of such strategies. We designed a questionnaire to specifically elicit physicians' opinions about strategies involving communication, continuing medical education (CME) for GPs in psychiatry, and access to consulting psychiatrists, as well as to identify the profiles of the respondent physicians. We mailed the questionnaire to 203 GPs and 203 psychiatrists who were randomly selected. Results: The response rate was 86% for GPs and 87% for psychiatrists. Physicians expressed favourable opinions about most strategies involving 1) the improvement of communication and 2) the organization of CME activities concerning GP practices in the field of psychiatry. On the other hand, they did not indicate acceptance of the strategies involving on-site collaboration between GPs and psychiatrists. Physician age, sex, place of practice, type of practice (such as seeing patients with or without appointments), and responsibility for administrative duties associated significantly with the degree of acceptance of the proposed strategies Conclusion: Communication and CME strategies for GPs in psychiatry can be an option to improve collaboration between GPs and psychiatrists. However, strategies of access to consulting psychiatrists require significant alterations to established clinical routines and professional roles.


to-ra ◽  
2018 ◽  
Vol 4 (2) ◽  
pp. 89
Author(s):  
T. Vaison Siahaan

Abstract The doctor’s profession is noble in the midst of people’s lives. A doctor in his work is directly related to the efforts of healing and suffering of patients. So that not a few people who are resigned to the doctor, even though the doctor because of the actions of medical services he did harm his side. On the other hand, as a result of increasing public legal awareness, including their rights and obligations in the eld of health services, it is not uncommon for a doctor at the green table to take responsibility for his actions. Such responsibilities can be either civil or criminal.   Keywords: doctor; healing and suffering; medical services; criminal.


2018 ◽  
Vol 14 (24) ◽  
Author(s):  
LUCAS ENDRIGO BRUNOZI AVELAR

Abstract: In this text, we seek to indicate how the bearers of a religious ideology of medieval origin described the drunkenness of the indigenous peoples in the 18th century Amazon. We privileged the analysis of the accounts of the work ”Tesouro Descoberto no Máximo Rio Amazonas” by the Portuguese Jesuit, João Daniel. Highlighting the contradictions and approximations established between, on the one hand, a colonization based on the production and commerce of drugs and Catholic food tradition based on wine and bread, and on the other hand, an ideology of abuse elaborated to account for the indigenous tradition of drinks ingestion and substances extracted from the forest.  Keywords: Colonial Amazon. Drunkenness. Drugs. Missionaries.


2008 ◽  
Vol 16 (spe) ◽  
pp. 607-613 ◽  
Author(s):  
Alfonsyna Montoya de Abarca ◽  
Sandra Cristina Pillon

The study on the perception of 264 (33.2%) nursing students from the Professionalization and Regular groups regarding predicting factors of drugs consumption shows these students consume alcohol and tobacco and view alcohol as a leading factor in the consumption of drugs. The Professionalization group consumes tranquilizers and stimulants at a higher rate than the Regular group. The Professionalization students argue that they have to deal with an excessive personal load: career, job, family and stress. According to them, these factors motivate the consumption of tranquilizers and stimulants. The Professionalization group views the family and religion as protective factors; friends and school, on the other hand, are considered risk factors. Both groups consider drug users as amoral and addicts. The present study provides indicators that can support real actions aimed at improving the education of nursing personnel.


2011 ◽  
Vol 2 (2) ◽  
pp. 75-86 ◽  
Author(s):  
Emmanuel Ajuzie ◽  
Adam Bouras ◽  
Felix Edoho ◽  
David Bouras ◽  
Aloyce Kaliba ◽  
...  

This paper examines the link between firm size and productive efficiency. In so doing, it attempts to determine optimal firm sizes in terms of market capitalization and total asset thereby allowing firms to achieve higher level of productive efficiency. The results indicate that the optimal firm size in terms of market capitalization is $13.1 billion. In terms of total asset, the optimal firm size is $10.3 billion. The results also suggest that there is a threshold above which an increase in firm size adversely affects the level of productive efficiency. The results have important implications for managerial policies regarding firm restructuring. To achieve higher productive efficiency, smaller firms have to pursue expansion strategies through mergers and acquisitions. Larger firms, on the other hand, have to pursue divestment strategies to reduce the size of their assets, particularly by refocusing on core competencies.


2020 ◽  
Vol 9 (3) ◽  
pp. 1-4
Author(s):  
Jeff Fernandez

This article examines the recognised problem of a growing number of patients showing addictive dependencies on prescribed medications, mainly codeine-based analgesia and benzodiazepines. Public Health England has encouraged health services to try and recognise this issue and address it. The development of the Benzodiazepine and Opiate Withdrawal Service from an area of addiction services for drug and alcohol provision in Camden and Islington has been one such initiative. This article includes case studies that show what is possible in terms of treatment. It also shows that experienced nurses can play a role in achieving positive outcomes for patients dependent on prescribed medication.


2020 ◽  
Vol 1 (1) ◽  
pp. 243-248
Author(s):  
I Made Subantara ◽  
Anak Agung Sagung Laksmi Dewi ◽  
Luh Putu Suryani

Narcotics continues to be produced at this time in addition to medicine as well as for the development of scientific studies. Narcotics, on the one hand, is a drug or substance that is useful in the field of medicine or health services and scientific development, on the other hand, it can lead to dependence and cause harm if it is not used properly and without strict and careful control and supervision. When used irregularly according to dosages, it can be physically and mentally damaging for those who use it to become dependent. This study aims to determine the procedures for implementing rehabilitation of victims of narcotics abuse and the obstacles faced by the National Narcotics Agency of Bali Province in rehabilitating narcotics abuse at the National Narcotics Agency of Bali Province. This research uses the normative method because there are still vague norms, based on the opinion of the undergraduate law and law.


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