Journal of addiction research & therapy最新文献

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Safety and Quality Concerns Regarding Over-the-Counter Sexual Enhancement Products Sold in the USA Market Pose a Major Health Risk. 在美国市场销售的非处方性增强产品的安全和质量问题构成了主要的健康风险。
Journal of addiction research & therapy Pub Date : 2016-10-01 Epub Date: 2016-10-31 DOI: 10.4172/2155-6105.1000299
Mohammed Ahmed, Suneeta Kumari, Partam Manali, Snezana Sonje, Mansoor Malik
{"title":"Safety and Quality Concerns Regarding Over-the-Counter Sexual Enhancement Products Sold in the USA Market Pose a Major Health Risk.","authors":"Mohammed Ahmed,&nbsp;Suneeta Kumari,&nbsp;Partam Manali,&nbsp;Snezana Sonje,&nbsp;Mansoor Malik","doi":"10.4172/2155-6105.1000299","DOIUrl":"https://doi.org/10.4172/2155-6105.1000299","url":null,"abstract":"<p><p>Safety and quality concerns regarding over the counter sexual enhancement products sold in the USA market pose a major health risk to the general public. Nevertheless, the use of herbal medicines continues to expand rapidly across world and many people perceive usage of herbal medication as a safe and reliable way to improve health outcome. The safety of herbal supplements has become a globally major concern in national and international health authorities due to increasing adverse events and adulterations associated with usage of herbal medications. These non FDA approved products with unknown ingredients are widely accessible for purchase ranging from local food, drug stores and to the internet. These Erectile Dysfunction (ED) pills may contain Sildenafil, the active ingredient of Viagra in much higher quantity then legally prescribed by a licensed physician or they may contain unknown quantities of Thiosildenafil, the active ingredient in Cialis. The types of chemicals found in these medications are making it harder for regulatory authorities to track them down. These products keep the consumer in the dark in terms of the quantity, ingredients, effectiveness and possible side effects. These sexual enhancement products are being sold as safe and natural with false hopes to resolve erectile dysfunction. Patients who are prone to impulsive hypersexual behavior such as patients with bipolar disorder, substance use, borderline personality disorder and those who may feel adamant to discuss erectile dysfunction with their physicians are more likely to become the victims of using illicit medications/ drugs with serious health risks consequences. We present a case report of an individual with bipolar disorder and hypersexual behavior who became victim to over the counter sexual enhancement products/supplements which caused serious health and life threatening consequences.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35624396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Frontal Metabolite Concentration Deficits in Opiate Dependence Relate to Substance Use, Cognition, and Self-Regulation. 鸦片依赖症患者的额叶代谢物浓度缺陷与药物使用、认知和自我调节有关。
Journal of addiction research & therapy Pub Date : 2016-08-01 Epub Date: 2016-07-15 DOI: 10.4172/2155-6105.1000286
Donna E Murray, Timothy C Durazzo, Thomas P Schmidt, Christoph Abé, Joseph Guydish, Dieter J Meyerhoff
{"title":"Frontal Metabolite Concentration Deficits in Opiate Dependence Relate to Substance Use, Cognition, and Self-Regulation.","authors":"Donna E Murray, Timothy C Durazzo, Thomas P Schmidt, Christoph Abé, Joseph Guydish, Dieter J Meyerhoff","doi":"10.4172/2155-6105.1000286","DOIUrl":"10.4172/2155-6105.1000286","url":null,"abstract":"<p><strong>Objective: </strong>Proton magnetic resonance spectroscopy (1H MRS) in opiate dependence showed abnormalities in neuronal viability and glutamate concentration in the anterior cingulate cortex (ACC). Metabolite levels in dorsolateral prefrontal cortex (DLPFC) or orbitofrontal cortex (OFC) and their neuropsychological correlates have not been investigated in opiate dependence.</p><p><strong>Methods: </strong>Single-volume proton MRS at 4 Tesla and neuropsychological testing were conducted in 21 opiate-dependent individuals (OD) on buprenorphine maintenance therapy. Results were compared to 28 controls (CON) and 35 alcohol-dependent individuals (ALC), commonly investigated treatment-seekers providing context for OD evaluation. Metabolite concentrations were measured from ACC, DLPFC, OFC and parieto-occipital cortical (POC) regions.</p><p><strong>Results: </strong>Compared to CON, OD had lower concentrations of N-acetylaspartate (NAA), glutamate (Glu), creatine +phosphocreatine (Cr) and myo-Inositol (mI) in the DLPFC and lower NAA, Cr, and mI in the ACC. OD, ALC, and CON were equivalent on metabolite levels in the POC and γ-aminobutyric acid (GABA) concentration did not differ between groups in any region. In OD, prefrontal metabolite deficits in ACC Glu as well as DLPFC NAA and choline containing metabolites (Cho) correlated with poorer working memory, executive and visuospatial functioning; metabolite deficits in DLPFC Glu and ACC GABA and Cr correlated with substance use measures. In the OFC of OD, Glu and choline-containing metabolites were elevated and lower Cr concentration related to higher nonplanning impulsivity. Compared to 3 week abstinent ALC, OD had significant DLPFC metabolite deficits.</p><p><strong>Conclusion: </strong>The anterior frontal metabolite profile of OD differed significantly from that of CON and ALC. The frontal lobe metabolite abnormalities in OD and their neuropsychological correlates may play a role in treatment outcome and could be explored as specific targets for improved OD treatment.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70241790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Novel Strategy for Attenuating Opioid Withdrawal in Neonates 减轻新生儿阿片类药物戒断的新策略
Journal of addiction research & therapy Pub Date : 2016-08-01 DOI: 10.4172/2155-6105.1000291
G. Santoro, S. Shukla, Krishna Patel, Jakub Kaczmarzyk, Stergiani Agorastos, S. Scherrer, Yoon Young Choi, Christina K Veith, Joseph Carrión, R. Silverman, Daniel K. Mullin, M. Ahmed, W. Schiffer, J. Brodie, S. Dewey
{"title":"A Novel Strategy for Attenuating Opioid Withdrawal in Neonates","authors":"G. Santoro, S. Shukla, Krishna Patel, Jakub Kaczmarzyk, Stergiani Agorastos, S. Scherrer, Yoon Young Choi, Christina K Veith, Joseph Carrión, R. Silverman, Daniel K. Mullin, M. Ahmed, W. Schiffer, J. Brodie, S. Dewey","doi":"10.4172/2155-6105.1000291","DOIUrl":"https://doi.org/10.4172/2155-6105.1000291","url":null,"abstract":"The rate of Neonatal Abstinence Syndrome (NAS) has drastically increased over the past decade. The average hospital expense per NAS patient has tripled, while the number of babies born to opioid-dependent mothers has increased to 5 in 1000 births. Current treatment options are limited to opioid replacement and tapering. Consequently, we examined the efficacy of prenatal, low-dose and short-term vigabatrin (γ-vinyl GABA, GVG) exposure for attenuating these symptoms as well as the metabolic changes observed in the brains of these animals upon reaching adolescence. Pregnant Sprague-Dawley rats were treated in one of four ways: 1) saline; 2) morphine alone; 3) morphine+GVG at 25 mg/kg; 4) morphine+GVG at 50 mg/kg. Morphine was administered throughout gestation, while GVG administration occurred only during the last 5 days of gestation. On post-natal day 1, naloxone-induced withdrawal behaviours were recorded in order to obtain a gross behaviour score. Approximately 28 days following birth, 18FDG microPET scans were obtained on these same animals (Groups 1, 2, and 4). Morphine-treated neonates demonstrated significantly higher withdrawal scores than saline controls. However, GVG at 50 but not 25 mg/kg/day significantly attenuated them. Upon reaching adolescence, morphine treated animals showed regionally specific changes in 18FDG uptake. Again, prenatal GVG exposure blocked them. These data demonstrate that low-dose, short-term prenatal GVG administration blocks naloxone-induced withdrawal in neonates. Taken together, these preliminary findings suggest that GVG may provide an alternative and long-lasting pharmacologic approach for the management of neonatal and adolescent symptoms associated with NAS.","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000291","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70241945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Alcohol Interactions with Psychostimulants: An Overview of Animal and Human Studies. 酒精与精神兴奋剂的相互作用:动物和人类研究综述
Journal of addiction research & therapy Pub Date : 2016-06-01 Epub Date: 2016-06-11 DOI: 10.4172/2155-6105.1000281
Yusuf S Althobaiti, Youssef Sari
{"title":"Alcohol Interactions with Psychostimulants: An Overview of Animal and Human Studies.","authors":"Yusuf S Althobaiti,&nbsp;Youssef Sari","doi":"10.4172/2155-6105.1000281","DOIUrl":"https://doi.org/10.4172/2155-6105.1000281","url":null,"abstract":"<p><p>Alcohol consumption with psychostimulants is very common among drug addicts. There is little known about the possible pharmacological interactions between alcohol and psychostimulants. Among most commonly co-abused psychostimulants with alcohol are methamphetamine, cocaine, 3,4-methylenedioxymethamphetaminen, and nicotine. Co-abuse of alcohol with psychostimulants can lead to several neurophysiological dysfunctions such as decrease in brain antioxidant enzymes, disruption of learning and memory processes, cerebral hypo-perfusion, neurotransmitters depletion as well as potentiation of drug seeking behaviour. Moreover, co-abuse of alcohol and psychostimulants can lead to increase in heart rate, blood pressure, myocardial oxygen consumption and cellular stress, and the risk of developing different types of cancer. Co-abuse of alcohol with psychostimulants during pregnancy can lead to fetal brain abnormalities. Further studies are needed to investigate the pharmacokinetics, pharmacodynamics, and neurochemical changes on co-abuse of alcohol and psychostimulants.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34722356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 30
Drug Use and Spatial Dynamics of Household Allocation. 药物使用与家庭分配的空间动态。
Journal of addiction research & therapy Pub Date : 2016-04-01 Epub Date: 2015-04-10 DOI: 10.4172/2155-6105.1000275
Eloise Dunlap, Emma J Brown
{"title":"Drug Use and Spatial Dynamics of Household Allocation.","authors":"Eloise Dunlap, Emma J Brown","doi":"10.4172/2155-6105.1000275","DOIUrl":"10.4172/2155-6105.1000275","url":null,"abstract":"<p><p>Household space allocation by women who consume drugs in New York and North Florida is depicted to demonstrate the complex character of household space and social relations. Some parents attempt to hide their drug consumption through the allocation space in the household for drug use. Women allocation of space for drug use within their households and the impact of this on the household are relevant issues with implications for therapy and prevention.</p><p><strong>Objective: </strong>The use of household space has not been a focus of social scientists. Middle class households have been used by decoration literature to specify space utilization. Modest literature pay attention to the utilization of household space among drug focused households. Analysis herein looks at the lived social relations of drug users to their children through controlling household space.</p><p><strong>Methods: </strong>Data presented comes from two studies, New York and Florida. The studies involved a total of 158 participants in 72 families from New York and 26 participants in 23 families in North Florida. Both researches used an ethnographic methodology focusing on a variety of behavior patterns and conduct norms occurring within drug abusing households. Repeated interviews and observations took place in households which were visited at different times and days of the week. Florida study was conducted over a 2-year period; New York study took place over a 5-year period.</p><p><strong>Results: </strong>Data suggest parents attempted to conceal their drug use from their offspring by using various strategies. Mental, social, and physical were tied together in space allocation. Household space acquired a different meaning and arose from use practice.</p><p><strong>Conclusion: </strong>In urban and rural settings a pattern of household allocation space and drug consumption is emerging. Although drug consumption is still prominent, it is not all consuming or the primary focus in the lives of women who use drugs. These women may have learned to integrate their consumption into their daily household/family life through the reallocation of space in their homes.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34621954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Sensory Impact of Nicotine on Noradrenergic and Dopaminergic Neurons of the Nicotine Reward - Addiction Neurocircuitry. 尼古丁对尼古丁奖赏成瘾神经回路中去甲肾上腺素能神经元和多巴胺能神经元的感觉影响。
Journal of addiction research & therapy Pub Date : 2016-04-01 Epub Date: 2016-04-07 DOI: 10.4172/2155-6105.1000274
Jed E Rose, Ozra Dehkordi, Kebreten F Manaye, Richard M Millis, Salman Ameri Cianaki, Annapurni Jayam-Trouth
{"title":"The Sensory Impact of Nicotine on Noradrenergic and Dopaminergic Neurons of the Nicotine Reward - Addiction Neurocircuitry.","authors":"Jed E Rose,&nbsp;Ozra Dehkordi,&nbsp;Kebreten F Manaye,&nbsp;Richard M Millis,&nbsp;Salman Ameri Cianaki,&nbsp;Annapurni Jayam-Trouth","doi":"10.4172/2155-6105.1000274","DOIUrl":"https://doi.org/10.4172/2155-6105.1000274","url":null,"abstract":"<p><p>The sensory experience of smoking is a key component of nicotine addiction known to result, in part, from stimulation of nicotinic acetylcholine receptors (nAChRs) at peripheral sensory nerve endings. Such stimulation of nAChRs is followed by activation of neurons at multiple sites in the mesocorticolimbic reward pathways. However, the neurochemical profiles of CNS cells that mediate the peripheral sensory impact of nicotine remain unknown. In the present study in mice, we first used c-Fos immunohistochemistry to identify CNS cells stimulated by nicotine (NIC, 40 μg/kg, IP) and by a peripherally-acting analog of nicotine, nicotine pyrrolidine methiodide (NIC-PM, 30 μg/kg, IP). Sequential double-labelling was then performed to determine whether noradrenergic and dopaminergic neurons of the nicotine reward-addiction circuitry were primary targets of NIC and NIC-PM. Double-labelling of NIC and/or NIC-PM activated c-Fos immunoreactive cells with tyrosine hydroxylase (TH) showed no apparent c-Fos expression by the dopaminergic cells of the ventral tegmental area (VTA). With the exception of sparse numbers of TH immunoreactive D11 cells, dopamine-containing neurons in other areas of the reward-addiction circuitry, namely periaqueductal gray, and dorsal raphe, were also devoid of c-Fos immunoreactivity. Noradrenergic neurons of locus coeruleus (LC), known to innervate VTA, were activated by both NIC and NIC-PM. These results demonstrate that noradrenergic neurons of LC are among the first structures that are stimulated by single acute IP injection of NIC and NIC-PM. Dopaminergic neurons of VTA and other CNS sites, did not respond to acute IP administration of NIC or NIC-PM by induction of c-Fos.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34613395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Implementation of Computer-delivered Brief Alcohol Intervention in HIV Clinical Settings: Who Agrees to Participate? 计算机提供的简短酒精干预在HIV临床环境中的实施:谁同意参与?
Journal of addiction research & therapy Pub Date : 2016-04-01 Epub Date: 2015-04-10 DOI: 10.4172/2155-6105.1000276
Cui Yang, Heidi M Crane, Karen Cropsey, Heidi Hutton, Geetanjali Chander, Michael Saag, Mary E McCaul
{"title":"Implementation of Computer-delivered Brief Alcohol Intervention in HIV Clinical Settings: Who Agrees to Participate?","authors":"Cui Yang,&nbsp;Heidi M Crane,&nbsp;Karen Cropsey,&nbsp;Heidi Hutton,&nbsp;Geetanjali Chander,&nbsp;Michael Saag,&nbsp;Mary E McCaul","doi":"10.4172/2155-6105.1000276","DOIUrl":"https://doi.org/10.4172/2155-6105.1000276","url":null,"abstract":"<p><strong>Objective: </strong>Addressing alcohol use in primary HIV settings can improve medical outcomes and overall quality of life of persons living with HIV (PLWH). In order to assess the feasibility of computer-delivered brief alcohol intervention (CBI) and to inform future efforts to improve access to CBI, we examined patient-level socio-demographic, clinical and behavioral characteristics associated with agreement to participate in CBI among non-treatment seeking PLWH with alcohol misuse.</p><p><strong>Methods: </strong>Participants were recruited from two Centres for AIDS Research (CFAR) Network of Integrated Clinical Systems (CNICS) HIV clinics. PLWH completed a clinical assessment of patient-reported measures and outcomes using tablet-based assessments, including socio-demographic and behavioural characteristics. HIV biological indicators, i.e., CD4 count and viral load, were also available from the electronic medical record. Participants were approached for CBI participation based on scores on the Alcohol Use Disorders Identification Test (AUDIT); no incentives were offered for CBI participation. We performed chi-square tests, analysis of variance and multivariate logistic regression to compare socio-demographic, behavioural and clinical factors among participants who agreed to participate compared with those who refused/postponed participation.</p><p><strong>Results: </strong>We observed that 42% of non-treatment seeking, non-incentivized PLWH with alcohol misuse provided written agreement to participate in on-site CBI delivered in their HIV primary care clinic. A larger proportion of PLWH who agreed to enrol in CBI had detectable viral loads, heavier weekly alcohol use, and higher DSM-5 alcohol use disorder symptom counts and mental health symptoms. Neither socio-demographic background nor drug use status was associated with CBI enrolment.</p><p><strong>Conclusion: </strong>CBI implementation reached those patients most in need of care. The findings of this study may assist HIV-care providers to better identify appropriate patients and initiate discussions to facilitate the participation of PLWH in alcohol intervention services.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34621955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Behavioural, Mucosal and Systemic Immune Parameters in HIV-infected and Uninfected Injection Drug Users hiv感染和未感染注射吸毒者的行为、粘膜和全身免疫参数
Journal of addiction research & therapy Pub Date : 2015-12-31 DOI: 10.4172/2155-6105.1000257
S. Mehandru, S. Deren, S. Kang, A. Banfield, A. Garg, D. Garmon, M. Lamar, Teresa H. Evering, M. Markowitz
{"title":"Behavioural, Mucosal and Systemic Immune Parameters in HIV-infected and Uninfected Injection Drug Users","authors":"S. Mehandru, S. Deren, S. Kang, A. Banfield, A. Garg, D. Garmon, M. Lamar, Teresa H. Evering, M. Markowitz","doi":"10.4172/2155-6105.1000257","DOIUrl":"https://doi.org/10.4172/2155-6105.1000257","url":null,"abstract":"Objective Injection drug use (IDU) remains a major risk factor for HIV-1 acquisition. The complex interplay between drug use, non-sterile injection, and Hepatitis C remains poorly understood. We conducted a pilot study to determine the effect of IDU on immune parameters among HIV-uninfected and -infected individuals. We hypothesized that IDU could further augment immunological changes associated with HIV-1 infection, which could in turn affect HIV pathogenesis Methods HIV-uninfected and -infected subjects with IDU, and non-IDU controls were recruited to obtain socio-demographic and drug-related behaviours. Blood (PBMC) and mucosal (MMC) mononuclear cells were analysed for cellular markers of immune activation (CD38 and Ki67). Serum ELISA was performed to determine levels of soluble CD14, a marker of immune activation. Results No significant quantitative differences in CD4+ and CD8+ T cell levels were observed between IDU and non-IDU subjects when accounting for the presence of HIV-1 infection. However, increased levels of cellular and soluble markers of immune activation were documented in cells and plasma of HIV-uninfected IDU subjects compared to non-injectors. Additionally, sharing of injection paraphernalia was related to immune activation among HIV-uninfected IDU subjects. Conclusion IDU, with or without HIV-1 infection, results in a significant increase in immune activation in both the peripheral blood and the GI tract. This may have significant impact on HIV transmission, pathogenesis, and immunologic responses to combination antiviral therapy. This study provides compelling preliminary results which in turn support larger studies to better define the relationship between IDU, infection with HIV-1, co-infection with Hepatitis C and immunity.","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"6 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2015-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70241657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Confounding of the Comparative Safety of Prenatal Opioid Agonist Therapy. 产前阿片类受体激动剂治疗的比较安全性混淆。
Journal of addiction research & therapy Pub Date : 2015-12-01 Epub Date: 2015-12-31 DOI: 10.4172/2155-6105.1000252
Susan B Brogly, Kristen A Hahn, Sonia Hernandez Diaz, Martha Werler
{"title":"Confounding of the Comparative Safety of Prenatal Opioid Agonist Therapy.","authors":"Susan B Brogly, Kristen A Hahn, Sonia Hernandez Diaz, Martha Werler","doi":"10.4172/2155-6105.1000252","DOIUrl":"10.4172/2155-6105.1000252","url":null,"abstract":"<p><p>Prenatal opioid agonist therapy with methadone or buprenorphine prevents maternal illicit opioid use and withdrawal and improves pregnancy outcomes compared to heroin use alone. Historically, methadone has been the first-line opioid agonist therapy for pregnant opioid dependent women; in recent years buprenorphine has become first-line treatment for some opioid dependent pregnant women. While there is some evidence of better outcomes in neonates exposed to buprenorphine vs. methadone, the effect of confounding from differences in women who use buprenorphine and methadone has not been carefully examined in most studies. This review explores mechanisms by which confounding can arise in measuring associations between prenatal buprenorphine vs. methadone exposure on neonatal outcomes using a graphical approach, directed acyclic graphs. The goal of this paper is to facilitate better understanding of the factors influencing neonatal abstinence syndrome and accurate assessment of the comparative safety of opioid agonist therapies on the neonate.</p>","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991778/pdf/nihms763917.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34382536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influences of barriers to cessation and reasons for quitting on substance use among treatment-seeking smokers who report heavy drinking. 戒烟障碍和戒烟原因对报告重度饮酒的寻求治疗的吸烟者物质使用的影响。
Journal of addiction research & therapy Pub Date : 2015-10-15 DOI: 10.4172/2155-6105.1000246
Dawn W. Foster, N. Schmidt, M. Zvolensky
{"title":"Influences of barriers to cessation and reasons for quitting on substance use among treatment-seeking smokers who report heavy drinking.","authors":"Dawn W. Foster, N. Schmidt, M. Zvolensky","doi":"10.4172/2155-6105.1000246","DOIUrl":"https://doi.org/10.4172/2155-6105.1000246","url":null,"abstract":"OBJECTIVES\u0000We examined behavioral and cognitively-based quit processes among concurrent alcohol and tobacco users and assessed whether smoking and drinking were differentially influenced.\u0000\u0000\u0000METHODS\u0000Participants were 200 treatment-seeking smokers (37.50% female; Mage = 30.72; SD = 12.68) who reported smoking an average of 10 or more cigarettes daily for at least one year.\u0000\u0000\u0000RESULTS\u0000Barriers to cessation (BCS) and reasons for quitting (RFQ) were generally correlated with substance use. BCS moderated the relationship between quit methods and cigarette use such that quit methods were negatively associated with smoking, particularly among those with more BCS. RFQ moderated the association between quit methods and cigarette use such that quit methods were negatively linked with smoking among those with fewer RFQ, but positively linked with smoking among those with more RFQ. Two 3-way interactions emerged. The first 3-way indicated that among individuals with fewer RFQ, quit methods was negatively associated with smoking, and this was strongest among those with more BCS. However, among those with more RFQ, smoking and quit methods were positively associated, particularly among those with more BCS. The second 3-way showed that among those with fewer RFQ, quit methods was negatively linked with drinking frequency, and this was strongest among those with more BCS. However, among those with fewer BCS, drinking and quit methods were positively linked.\u0000\u0000\u0000CONCLUSIONS\u0000The relationship between behavioral and cognitively-based quit processes and substance use is not straightforward. There may be concurrent substance-using individuals for whom these processes might be associated with increased substance use.","PeriodicalId":73583,"journal":{"name":"Journal of addiction research & therapy","volume":"6 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-6105.1000246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70241647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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