The thesis focuses on one of the possible methods of the opioid addiction treatment, on the substitution therapy. It also describes specific form of substitution therapy in Ústí nad Labem, part of the particular low-threshold facility for drug users. The paper also briefly discusses opioid addiction and the options of its substitutional therapy in Ústí nad Labem (e.g. methadone therapy, buprenorfine therapy). The aim of this thesis is to evaluate life quality of substitutional therapy's clients in the low-threshold facility in Ústí nad Labem and compare those results with life quality of clients who are using buprenorfine obtained on the black market. Another goal is to use these findings to improve and expand services for this target group. The theoretical part briefly describes the opioid addiction and possible methods of its treatment, mainly substitutional therapy. The research evaluates the life quality of clients who are using buprenorfine and identifies problematic parts of their lives. Data were collected using WHOQOL - BREF questionnaire - anonymous questionnaire of World Health Organization. Sociodemographic and anamnestic data of clients of substitutional therapy were involved. The sample of the clients of substitutional therapy was compared with the control group which consists of...

3456 ABSTRACT: Background: VHC is a widespread serious chronic infectious disease. Most of the patients affected by the disease consist of IDUs. Treatment of VHC is now perceived as an important preventive element for the spread of the disease in IDUs population. Adherence to treatment is absolutely crucial for the successful completion of treatment. Adherence to treatment is often questioned by clinicians who treat VHC in patients using addictive substances. Objectives: To compare the efficacy of treatment of VHC in patients with a history of drug in patients without a history of drug, to compare treatment adherence among patients without a drug history and patients with drug history, to map out the factors affecting adherence to treatment and to find a place in the therapeutic team for expertise of addictologist. Material and Methods: Data from documentation of 258 patients that were treated in 2006- 2015 for viral hepatitis C at the Department of Infectious Diseases at the University Hospital Brno have been processed with using the statistical and analytical methods and in compliance with ethical rules retrospectively. Adherence to treatment (defined as the completion or early termination of treatment due to non-compliance with the treatment regime by the patient) and the effectiveness of treatment, as...

Purpose: The purpose of the study was to map the sexuality of older (between the ages of 30 and 50) heterosexual regular marihuana users, which up to now remains little explored. We tried to find out whether there is a difference between the three groups of marihuana users: 1. users, who use only marihuana, 2. users who use marihuana and alcohol, and 3. users, who use marihuana, alcohol and party substances (LSD, ecstasy, magic mushrooms, cocaine). More over we compared our findings with some characteristics of the same-age sample of the Czech population. Methods: The research was of quantitative nature. The data were collected by using an original anonymous questionnaire, which was separately answered by 417 respondents 202 respondents from them satisfied our criterions (age, frequence and length of marihuana use). The data were processed by SPSS. Results: 61,7 % of respondents marihuana users are satisfied with their sexual life. Some kind of change as a result of marihuana abuse noticed 53,9 % of all respondents (48,5% of them noticed change for the better 51,2% of them noticed higher quality of orgasm). Some kind of difficulties in the sexual life in connection with the marihuana use noticed 20,8% of respondents. 10,8% of respondents have some experience in intercourse with other man, 12,9% of...

OF THE THESIS Name: Bc. Lucie Fafejtová Specialization: Addictology Head of the thesis: PaedDr. Martina Richterová - Těmínová Opponent: Doc. MUDr. PhDr. Kamil Kalina, CSc. Pages: 118 The name of the thesis: BARRIERS IN EARLY ONSET OF DRUG USERS INTO THE TREATMENT Abstract: The aim of this thesis is to analyze the barriers to early onset of treatment for drug users and not just the first one, but also with other runs. The theoretical part focuses on the possible barriers for starting the treatment, and the factors that are important for change, treat and restoration of the client. It is mainly the individuality of clients (age, his fears, anxiety, lack of confidence and motivation for treatment); drug world, in which the client lives and his drug career; health of the client (including psychopathological complications), social background (regarding the criminal background and his relationship with the others and family) and also factors on the medical company side or treatment program. In the practical part I am focused on qualitative research of three focus groups, where the groups are divided by age to youth, adults and older clients. Focus of these groups is the existence of barriers for drug users to appear in time to treatment. The aim of this research is to compare these three focus groups and...

University: Charles University in Prague Faculty: First Faculty of Medicine Psychiatric clinic, Center for Addictology School Year…….2012/2013…… ABSTRACT DIPLOMA WORK Name …………………Bc. Kristýna Piskáčková....………………………………….… Branch of study: Addictology Matriculation Year: …………2006….………… Thesis supervisor: Mgr. Jaroslav Vacek The number of pages:……80…………… Diploma Thesis Title: Obtaining cannabis drugs by adolescents: the comparison of the wards experience from facilities for foreigners with the selected facilities for wards with Czech nationality The goal of the diploma thesis is to determine the ways and circumstances of obtaining hemp drugs by adolescent users - wards of selected facilities for juveniles. Theoretical part mainly deals with issues such as cannabis drugs, usage patterns, cannabis distribution patterns, drug market and school facilities system for the performance of residential care and protective upbringing. The research part first deals with research questions, methods of data creation, then with the help of data analysis are given the answers to research questions. The used method of obtaining data is semi-structured interview. The survey was conducted with 16 participants. The sample only consists of one gender - male. Their age is from 15 to 18. Participant's statements are kept and...

Title: Analysis of need of recreational drug users in Melnik Region Abstract Prevalence of drug using among those dance events visitors in the country increases steadily throughout life (Petroš Zábranský, 2003 Mravčík, Škařupová, Orlíková, 2008). Increase is also the acceptability of the use of some drugs, especially cannabis (Blahut, 2014). The research which was designed to determinate the prevalence of drug using among members of different musical subcultures in the district of Melnik, that number of recreational drug users in the Mělník region relatively high. 98 % of respondents (194 respondents) said that at least once in their life used drugs recreationally (Přádova, 2013). A group of recreational users compared to other types of drug users is however greatly neglected. Interventions are insufficient for a large percentage of recreational users, unavailable or about it users do not even know (Mravčík et al, 2008). People tend to enjoy the addictive substances in a fun environment. There is however missing feedback from these users which would helpful to develop appropriate and effective interventions. The aim is to identify and analyze the needs of recreational users on Mělník. The primary objective is to answer the basic questions of needs, wishes and expectations of potential users of...

Název: The Development of Students Status in Secondary School Class and the Use of Selected Drugs During Their Study: a Prospectve Sociometric Study. Abstrakt: The thesis is a continuation of author's bachelor thesis. Bachelor thesis deals with sociometric student's status and substance use among first year of secondary schools students. Both research are based on the theories of drug addiction development, which has very complex causes and occurs during human development in the interaction of multiple factors. One of these factors is the need to achieve social conformity (mainly in peer collectives), which can be in a group of teenage students strong in period of secondary school. Because there are these individuals creates a new position in a class and that can vary because of natural variations in the status of students and interactions among individuals in the classroom. The aim is to implement prospective sociometric study, which examines a specific classes after a 2 year interval and to determine the student status in specific classes of third grade secondary schools and how has this position changed since the last survey. The focus is set on the description of changing relations between cigarette, alcohol, cannabis use and individual student status in the class. The survey was carried out in seven...

Charles University in Prague First Faculty of Medicine Study programme: Specialization in Health Care Branch of Study: Addictology PharmDr. Bc. Zbyněk Oktábec, Ph.D. et Ph.D. Design of Pilot Clinical Trial of Treatment of Hepatitis C in Polyvalent Problem Drug Users with Pharmacological Substitution of Opioids and Methamphetamine (HCV-PPDUSOM) Master's Thesis Advisor: Mgr. Roman Gabrhelík, Ph.D. Prague, 2016 Abstract Hepatitis C is one of the most serious blood-borne complications of somatic health status of drug users. The HCV-positive injecting drug users are therefore directly indicated for the treatment of this type (and other types also) of hepatitis. Problematic adherence and treatment compliance is obvious in this group. Both foreign and domestic experiences show that stabilization of the use of illegal (and/or illegally acquired) substances is the essential part of the treatment of hepatitis. The interaction of the high quality treatment of somatic, psychosocial and add-on pharmacological care, including the substitution of illegal (and/or illegally acquired) drugs, leads to patient's increased compliance and adherence to HCV treatment. This diploma thesis is presenting both the theoretical frame and the study design of the pilot clinical trial of HCV treatment with the supportive substitution...

Bakgrund: Patienter med drog- och alkoholmissbruk riskerar många komplikationer till följd av missbruket. Missbruket leder till många dödsfall varje år och är en stor kostnad för samhället. Patienter med missbruksproblematik upplever att de behandlas orättvist i omvårdnaden. Sjuksköterskor anser att omvårdnaden av den här patientgruppen är komplex. Syfte: Syftet är att sammanställa forskning om sjuksköterskors inställning och upplevelser av att vårda patienter med drog- och alkoholmissbruk inom både somatisk och psykiatrisk vård. Metod: En litteraturstudie, med 16 vetenskapliga artiklar, 12 med kvalitativ metod och fyra med kvantitativ metod. Resultat: Resultatet presenterades i olika kategorier som var: ”Att vara osäker”, ”Att känna sig otillräcklig”, ”Att känna sig inkompetent i sin roll”, ”Att kommunicera med patienten” samt ”Att vara ensam eller i team”. Sjuksköterskorna upplevde svårigheter i omvårdnaden med den här patientgruppen. Kunskapsbrist beskrevs i samband med omvårdnaden samt känslor som ångest och stress. En del relationer mellan sjuksköterska och patient baserades på misstro och några sjuksköterskor uttryckte en vilja att förbättra omvårdnaden med den här patientgruppen. Slutsats: Utifrån denna litteraturstudie kan slutsatsen dras att sjuksköterskor kan uppleva brister i omvårdnaden av patienter med drog- och alkoholmissbruk. Bristerna visar sig genom osäkerhet, otillräcklighet, känsla av inkompetens, i kommunikationen med patienten och samverkan i teamet. Utbildning, kunskap, samverkan och engagemang visar sig vara viktiga faktorer som kan påverka kvaliteten på omvårdnaden av den här patientgruppen. Det innebär således att det finns ytterligare behov av att utveckla både kunskapsläget och rutinerna när det kommer till denna typ av vård. / Background: Patients with drug- and alcohol abuse risk various complications related to the misuse. Drug- and alcohol abuse leads to a high yearly rate of death and an important social cost. Patients with drug- and alcohol abuse experience that they are treated unfairly in the care. Nurses consider the nursing care of this patient group to be complex. Aim: The aim of this study was to describe nurses’ experiences in the care for patients with drug- and alcohol abuse, both in somatic and psychiatric wards. Method: A literature review including 16 scientific articles, 12 with qualitative method, 4 with quantitative method. Results: The result is presented in different themes: “To be unsure”, “To feel inadequate”, “To feel incompetent”, “To communicate with the patient” and “To work alone vs in a team”. The nurses experienced difficulties in the care. A lack of knowledge was described and also emotions like anxiety and stress. Many relationships were based on distrust. Some of the nurses expressed a will to ameliorate the care for this patient group. Conclusion: The conclusion of this literature review is that nurses can experience deficits in the care of patients with drug- and alcohol abuse. The deficits manifest through insecurity, insufficiency, a sense of incapacity, in the communication with the patient and in the interplay inside the team. Education, knowledge, teamwork and commitment show to be important factors that can affect the quality of the care for this patient group. This implies that there are additional needs to evolve the knowledge and routines concerning this type of care.

College: Charles University in Prague Faculty: 1st Faculty of Medicine Clinic of addictology School year: 2011/2012 Abstract of the thesis Name: Bc. Zuzana Zástěrová Specialization: Addictology Head of the bachelor work: Mgr. Lenka Endrödiová Opponent: PhDr. Monika Nevoralová Pages: The name of the thesis: Selected personality traits associated with social inclusion of clients selected contact center Abstract The aim of my thesis is to specify the personality feature of contact center's clients and their association with the degree of social inclusion. A sub-objective is to identify the most common personality feature and associated with the use of addictive substances. The theoretical part of my thesis is particularly engaged in theme of personality definition, personality structure, selected personality theory, Jung's concept of personality, an indicator of personality types of Myers and Briggs, social exclusion and social inclusion, lifestyle drug users, research on the personality types of drug users. In the research part of my thesis there are mediate the answers to research guestions with the assistance of the statisstic analysis SPSS of the data. Data collection methods used are the MBTI questionnaire and selected questions from the questionnaire EuropASI. In discussion I consider the suitability...