2016-06-26T08-00-57Z
Source: Bağımlılık Dergisi - Journal of Dependence
Aslıhan Okan, Abdullah Atli, Cafer Alhan, Süleyman Demir, Mehmet Cemal Kaya, Aytekin Sır.
Background: Urine toxicological analysis is one of the important procedures as rapidly investigate for the identifies substance use, including initial diagnosis, with treatment plan for substance abusers and compliance with treatment. Toxicological analysis for legal purposes primarily aims to detect illegal or banned drug and substance use in a variety of situations. Diyarbakir is is one of the largest cities in southeastern Turkey and also most of the population who living in Diyarbakir tended to be poor and middle socioeconomic levels.The aim of this study was to evaluate the results of toxicological analysis of patients who admitted to our department of psychiatry that prediagnosis of non-alcohol substance use. Method: A retrospective study including the 167 patients who voluntarily admitted to outpatient psychiatry department of Dicle Medicine Faculty, from January to December 2014. Files of each one participants were carefully analyzed by the experienced researchers. Results: Of 167 participants enrolled in the study who attempted for the prediagnosis of non-alcohol substance abuse. In all, 12.0 % (n=20) were female, and 88.0 % (n=147) were male. 44.9 % of patients (n=75) were urine positive whereas the 55.1% of patients (n=92) were urine negative for substance use on admission to hospital. The most common substance abuse was Marijuana (88%,n:66) followed by 3,4-methylenedioxymethamphetamine (MDMA) (18.6%,n=14), Methamphetamine (Meth) (16.0%,n=12), opioids (5.3%, n:4), Barbiturates (4.0%,n:3) and Phencyclidine (PCP) (2.7%, n:2), respectively. Two female were using to marihuana, and another one was using to MDMA-Meth. We showed here that 37.3% of patients were using together with great number of substance, whereas the 62.7% of patients were using only one substance. Also, the ranges of one substance abuse were found Marijuana 43.0%, Meth 2.0%, Barbiturates 1.0% and 1.0 % MDMA ,at the same time. Discussion and Conclusion: We found here the rates of not using of substance among the participants was 55.1%, according to toxicological analysis. In this case may be explained that a portion of patients were successfully treated or pay close attention of parents about to substance abuse. The most common substance abuse was Marijuana. On the other hand, other substances whit stimulant effect were among the commonly used substances, including the Meth, amphetamine, phencylidine, barbiturates, opioid and its derivatives. As clearly shown in our study that solely exclusively environmental factors, including the poor social and economic factors with adverse learning conditions can not explain the increases in Marijuana abuse and growing dependence prevalence numerous environmental factors, may have affected this growing rates. With regard to putative economic factors, there is a clear need for additional studies to ascertain how changes in alcoholic beverage prices, taxes, and availability affect the prevalence of alcohol use disorders among race-ethnic and other subgroups of the population. As a result, substance abuse is an important public health problem. Its should be remembered that increasing usage rates of substance may have be related to easy access to it. Unfortunately, our region is carries a significant risk in terms of the substance abuse. In light of these results, protective measures related to use of the substances should be increased in no time besides the emergency health care needs in Diyarbakir. On the other hand, Alcohol and Substance Abuse Treatment and Training Center (AMATEM) should be established in our region.
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