Factor influences on return to substance abuse in clients referred to

Background: It has been known for many years that there is a high risk of relapse after treatment of drugabuse. This has made addiction more complicated. Knowledge of related factors allows the health careprofessionals to initiate much broader, client centered, replace prevention strategies.Material and Methods: This is a cross sectional descriptive study that was performed on 380 clientsadmitted to addiction treatment center in Maraghe City, who had at least once a return to substance abuse andwere selected using convenience sampling method. Data collection was performed by using structuredinterview and interview form in a single step. Data analysis and statistical was performed using SPSSsoftware version 16 and ANOVA test.Results: Most cases (62/6%) had a history of leaving between 1 to 3 times. The most important factorsaffecting on the return to substance abuse from the perspective of clients were include: physical unpleasantsymptoms of withdrawal (72/6%), feelings despair (57/3%), relationship with addict colleagues (29/5%),cheap drug prices (40/5%), low literacy (23/4%), not controlling on family (27/4%) and interaction withaddict friends (57/9%).Conclusion: Various factors have a large extent influence in return to substance abuse. Therefore, in additionto eliminating the dependence of physical with drug therapy, attention to the factors that were associated withan inability to quit is important.Keywords: Return to substance abuse, Addiction treatment, Addictio

A rare case of mycotic aortic aneurysm with Clostridium perfringens culture

Key Clinical Message As only early diagnosis, prompt surgical intervention, and appropriate antibiotic therapy can decrease clostridial MAA mortality rate; keeping in mind a broad differential diagnosis in a patient with sepsis and unusual vascular symptoms is important. Abstract Mycotic aortic aneurysm (MAA) is an infrequent but very consequential condition characterized by the pathological disruption of the aorta due to infection. Clostridium perfringens is a bacterium that falls under the taxonomic classification of the genus Clostridium. Although mycotic aneurysm is often not commonly linked with this infection, there are instances when it may function as a causative agent for MAA. Timely diagnosis and thorough therapeutic techniques, including surgical intervention and quick administration of appropriate antibiotics, can potentially reduce the mortality rate associated with clostridial MAA. In this study, we presented a clinical report detailing the diagnosis of a mycotic aneurysm caused by C. perfringens in the thoracic aorta in a 66‐year‐old male patient with a history of diabetes mellitus and a recent prostate biopsy. Furthermore, we discussed the surgical approach and overall management strategy to address this case