58 research outputs found

    Trends in Alcohol Use Disorder Treatment Utilization and Location from 2008 to 2017

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    Objective: Little is known about recent trends in treatment for alcohol use disorder. The authors used national data to examine treatment trends among individuals with alcohol use disorder. Methods: A sample of nonelderly adults (ages 18–64 years, N=36,707) with alcohol use disorder was identified from the National Survey on Drug Use and Health. Multinomial logistic regression analysis was conducted to examine trends in treatment for alcohol use disorder in 2008–2010, 2011–2013, and 2014–2017 in any medical setting (hospitals, rehabilitation centers, mental health centers, emergency departments, and private doctors’ offices), self-help groups only (no medical setting), and no setting (i.e., no treatment). Additional analyses investigated trends in mental health treatment. Regression models adjusted for predisposing, enabling, and need-related characteristics. Results: Among those with an alcohol use disorder, the percentage who received any treatment was significantly lower in 2011–2013 (5.6%) than in 2008–2010 (6.9%) (p<0.05). In adjusted analyses, the probability of receiving no treatment increased by 1.5 percentage points in 2014–2017 (95% CI=0.5–2.5) compared with the 2008–2010 baseline. Significant declines were observed in the receipt of any treatment in a medical setting (marginal effect [ME]=−1.0%, 95% CI=−2.0 to −0.0) and self-help treatment only (ME=−0.5%, 95% CI=−0.8 to −0.1) in 2014–2017 compared with the baseline period. The probability of receiving any mental health treatment did not change during the study period. Conclusions: Among persons with an alcohol use disorder, treatment declined from 2008 to 2017. Future studies should examine the mechanisms that may be responsible for this decline

    Anarchy in the UK('s most famous fortress): comradeship and cupidity in Gibraltar and neighbouring Spain, 1890-1902

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    This article is the first to investigate the growth of anarchist ideology and tactics in Gibraltar and the surrounding Spanish region, the Campo de Gibraltar, in the period 1890-1902. We draw upon hitherto unused material from both The National Archives in London and the Gibraltar Government Archives. By doing so, we demonstrate that during this period Gibraltarian and Spanish workers came together, not only to defend and advance their interests by direct action, such as strikes and attacks on employers, but also to advance educational and social causes too. Indeed, by 1898-9 the appeal of this movement was so strong that an attempt by the British Social Democratic Federation to establish a more constitutionalist approach to industrial relations failed. By 1902, the power of anarchist movements and tactics concerned employers in Gibraltar so greatly that they engineered a lock-out – styled a general strike by local workers – and successfully smashed the organising power of the local movement. Meanwhile, on the Spanish side of the frontier a massacre engineered by the local Spanish authorities resulted in the deaths of a number of activists and a hiatus in the movement that would last until the Great War of 1914-18

    Die Artefaktkrankheit in der Chirurgie

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    Langzeitergebnisse nach operativer Versorgung von Pilon tibiale Frakturen

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    eine Fallvorstellung

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