published_or_final_version / Sociology / Master / Master of Social Sciences

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

Drug abusers in Taiwan are infected with HIV(Human Immunodeficiency Virus) seriously day by day in recent years. In view of this, since Aug.1,2005, C.D.C.(Center for Disease Control, R.O.C.(Taiwan)) has promoted Harm Reduction Program for drug abuse patients in control of spurting question of drug abuse/AIDS overflowing. We adopt the analysis frame of social marketing in this research to inspect the promotion of Harm Reduction Program at present government. Through questionnaire survey, we in death understand their contact situation and views of Harm Reduction Program from the mass population and the stakeholders(drug abusers). We visit 311 effective samples of opium-smoking prisoners(as drug group) to find out 84.9%(258) respondents has participated the declaration of health education of Harm Reduction Program during serving a sentence, 91.6%(282) has received information through newspaper, TV, broadcast, and brochure during serving a sentence, 89%(277) has got impression on C.D.C. slogans of ¡§Injecting drug, infecting AIDS¡¨, and the measure of offering needle and syringes exchange, methadone maintenance treatment, health education, and transferring/consulting service has accorded with the demand of drug abusers. In addition, we visit 289 effective samples of the public (as general group) to find out only 12.5% (36 ) respondents has participated the declaration of health education of Harm Reduction Program during in the past year, 53.5%(153) has received information through newspaper, TV, broadcast, and brochure during in the past year, and 55%(159) has got impression on C.D.C. slogans of ¡§Injecting drug, infecting AIDS¡¨. Both the public and opium-smoking prisoners have affirmed the promotion of Harm Reduction Program, and most has identified with the importance of the execution of Harm Reduction Program. We also find out 34%(99) respondents of the public has regarded famous actor as anti-drug spokesman can bring his attention and identification mostly, and moreover, 41%(128) respondents of opium-smoking prisoners has believed the declaration of acting as an example to others by the drug abstinence successfully is convincing most.

Aim and Problem statement The study aimed to investigate views on physical health amongst patients in methadone maintenance program, which is a subject little explored. Previous studies suggest that methadone patients are at risk developing illnesses related to the metabolic syndrome and an unhealthy lifestyle. Methadone also has side effects such as weight gain and irregular levels of glucose. Method This qualitive study included seven interviews with patients in the methadone maintenance program in Uppsala. Qualitive content analyses were performed Findings Content anlyses gave the theme: The view on physical health is a stuggle after normality were ambivalence of lifestyle changes and alienation causes instability in helath. Five categories were found: Health, to be normal struggle after normality, the importance of methadone, views on physical, mental and socioeconomic health. Lack of control causes deteriorating health about consequences from drug abuse and ambivalence to lifestyle changes. Motivation to live contains factors for increased/decreased motivation. Daily life habits and routines investigate attitudes and knowledge. Support and help from the healthcare more individually adjusted care and expanded support was desired. Conclusions Greater emphasis on physical health may provide patients receiving methadone treatment with increased well-being. Methods focusing on patients own resources to reach their goals should be used.

A. Marudinaite. The evaluation of metadone maintenance treatment program process in Lithuania: Master Thesis // supervisor prof. Žilvinas Padaiga; Department of Social Medicine, Kaunas University of Medicine. – Kaunas, 2005 – 59 p. Objective: To evaluate methadone maintenance treatment program process in Lithuania. Methods: The analysis was based on instruments developed or adapted by the World Health Organization (WHO): Treatment services review, Checklist for Service Description, Checklist on service quality, Staff attitude and Satisfaction Questionnaire, Schedules for the Assessment of Standards of Care, and Treatment Perception Questionnaire. 50 patients from Vilnius, 20 from Kaunas and 30 from Klaipeda Centers for Addictive Disorders have been questioned, as well as focus groups, comprised of program personnel, patients, external experts, and community representatives. Results: the literature review revealed the factors influencing the process of methadone maintenance treatment (MMT) program: quantity and quality of services; consultations of psychologists to both patients, their relatives and social workers, as well as medical help; adequate methadone dose (it is usually 60 – 100 mg/day); take home privileges, which improve patients motivation; control urine tests, which deter patients from drug usage. The MMT in Lithuania review indicates that treatment accessibility for drug users is very limited geographically. MMT is run only in five largest Lithuanian cities:... [to full text]

Includes copies of articles co-authored by the author during the preparation of this thesis. / Includes bibliographical references (leaves 334-376). / viii, 376 leaves : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Aims to increase understanding of the metabolism and disposition of methadone in humans, in particular in subjects receiving methadone maintenance treatment for opioid dependence, and to identify factors which may contribute to inter-subject variability in these processes, with respect to stereoselectivity / Thesis (Ph.D.)--Adelaide University, Dept. of Clinical and Experimental Pharmacology, 2001

Opioid drug related death is the topic of this thesis. Each of the published works submitted in this volume has investigated an aspect of opioid drug related death. The publications have been grouped into three sub-themes: i. Characteristics of opioid drug related deaths ii. Methadone-related deaths in and out of treatment iii. Improving the quality of treatment for opioid drug dependence: a focus on injectable opioid treatment The introduction and background (Chapter1) will briefly review-the-relevant literature on opioid drug death predating my own contribution to the field. The next chapter of the thesis, 'Publications' (Chapter 2), will comprise the body of published work being submitted for the degree of Doctor of Medicine. Each article is accompanied by text on the preceding page outlining my individual contribution to that research study. The thesis will conclude with a discussion of the published works (Discussion, Chapter 3) which summarises the chief findings and reflects on the international significance and impact of the work. Finally, the Conclusion (Chapter 4) will submit suggestions for areas of future research into opioid drug related death.

Thesis (Ph. D.)--University of Wisconsin--Madison, 1974. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliography.

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