Treating heroin addiction: comparison of methadone therapy, hospital therapy without methadone, and therapeutic community.

Abstract:

AIM:To analyze the success of three different treatment modalities for heroin addiction: methadone therapy, hospital therapy without methadone, and therapeutic community. METHODS:Ninety heroin addicts from the city of Split, Croatia, were systematically allocated to three groups, with 30 participants each, according to the addiction treatment modality they underwent or treatment that resulted in the longest abstinence. All participants were heroin addicts for at least 2 years before the treatment. The first group was treated by methadone, the second by hospital therapy, and the third in a therapeutic community. The criterion of the treatment success was minimum two-year heroin abstinence after therapy. RESULTS:After methadone therapy, only a single participant abstained from heroin for more than 2 years, but continued to use soft drugs and alcohol. After hospital therapy, none of the participants abstained from heroin. After therapy in a therapeutic community, 9 participants abstained from heroin; 5 of them continued to use soft drugs and/or alcohol. There was a statistically significant relation between heroin abstinence and therapeutic method (chi-square=16.4236, p<0.001; Fisher's exact test=14.246, p<0.001). CONCLUSION:Treating heroin addiction in a therapeutic community may be a better treatment modality than methadone or hospital therapy.

journal_name

Croat Med J

journal_title

Croatian medical journal

authors

Vidjak N

keywords:

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

59-64

issue

1

eissn

0353-9504

issn

1332-8166

journal_volume

44

pub_type

杂志文章
  • Levels of self-reported depression and anxiety among HIV-positive patients in Albania: a cross-sectional study.

    abstract:AIM:To gain an initial perspective of mental health issues facing the Human Immunodeficiency Virus (HIV)-positive population at the University Hospital Center of Tirana (UHCT) HIV/AIDS Ambulatory Clinic. METHODS:From June-August 2009, we conducted semi-structured interviews with 79 patients (93% response rate) at the ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2011.52.622

    authors: Morrison SD,Banushi VH,Sarnquist C,Gashi VH,Osterberg L,Maldonado Y,Harxhi A

    更新日期:2011-10-15 00:00:00

  • Treatment outcomes and perception of social acknowledgment in war veterans: follow-up study.

    abstract:AIM:To assess treatment outcomes of psychotherapy for war veterans suffering from posttraumatic stress disorder (PTSD) and to investigate self-perceived social acknowledgment. METHODS:In this prospective cohort study, a set of psychological instruments was used to assess the level of posttraumatic stress symptoms (Cli...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Ljubotina D,Pantić Z,Francisković T,Mladić M,Priebe S

    更新日期:2007-04-01 00:00:00

  • War experiences and war-related distress in Bosnia and Herzegovina eight years after war.

    abstract:AIM:To examine the relationship between war experiences and war-related distress in Bosnia and Herzegovina. METHODS:The survey was performed in the late 2003 on a representative sample of 3313 respondents. The face-to-face interviews included 15 items on war-related distress and 24 items on war experiences. From these...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2008.1.75

    authors: Ringdal GI,Ringdal K,Simkus A

    更新日期:2008-02-01 00:00:00

  • Practical aspects of genetic identification of hallucinogenic and other poisonous mushrooms for clinical and forensic purposes.

    abstract:AIM:To assess the usefulness of a DNA-based method for identifying mushroom species for application in forensic laboratory practice. METHODS:Two hundred twenty-one samples of clinical forensic material (dried mushrooms, food remains, stomach contents, feces, etc) were analyzed. ITS2 region of nuclear ribosomal DNA (nr...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2015.56.32

    authors: Kowalczyk M,Sekuła A,Mleczko P,Olszowy Z,Kujawa A,Zubek S,Kupiec T

    更新日期:2015-02-01 00:00:00

  • Basaloid squamous cell carcinoma of the larynx: report of two cases.

    abstract:AIM:To present two patients with basaloid squamous cell carcinoma of the larynx, a rare, highly aggressive variant of the squamous cell carcinoma. METHODS:Surgical excision of the polypoid tumor of the anterior comissure of the larynx was performed in a 62 year-old male, and in the second case, total laryngectomy with...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Kruslin B,Tomasović C,Cupić H,Belicza M

    更新日期:1998-12-01 00:00:00

  • Dental identification after two mass disasters in Croatia.

    abstract:AIM:To determine the usefulness of dental methods in the identification of victims in the railway accident in Zagreb (August 30, 1974) and midair collision of a British and a Slovenian airplane near Vrbovec (September 10, 1976). METHODS:There were 152 people killed in the railway accident, and 176 fatalities in the pl...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Dumancić J,Kaić Z,Njemirovskij V,Brkić H,Zecević D

    更新日期:2001-12-01 00:00:00

  • The history of written word in Croatian nursing.

    abstract::Today the development of a unique professional language and publishing of professional and scientific publications is the basis of every profession, including the nursing profession. The task of the unique language specific to the nursing profession is to describe the nursing profession (to make it more familiar to th...

    journal_title:Croatian medical journal

    pub_type: 历史文章,杂志文章

    doi:10.3325/cmj.2012.53.631

    authors: Kalauz S,Cukljek S,Kovacević I

    更新日期:2012-12-01 00:00:00

  • Importance of health care issues in 2005 presidential elections in Croatia.

    abstract::Health and health care provision are among the most important and politically sensitive public service areas. Politicians carefully incorporate health care program changes in their political agendas to gain votes. However, knowing health care priorities of the electoral body is not useful only to politicians, but also...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Dzakula A,Polasek O,Sosic Z,Voncina L,Pavleković G,Brborović O

    更新日期:2006-06-01 00:00:00

  • Authors, editors, policy makers, and the impact factor.

    abstract::Some aspects of the "impact factor", a quantitative measure of journals' influence on journals in scientific fields, were discussed in the preceding issue of the Croatian Medical Journal by Dr Eugene Garfield, one of its devisers. This factor can be of interest to authors, journal editors, and policy makers, but they ...

    journal_title:Croatian medical journal

    pub_type: 社论

    doi:

    authors: Huth EJ

    更新日期:2001-02-01 00:00:00

  • Ultrasound screening of the neonatal hip: cost-benefit analysis.

    abstract:AIM:To explore the economic justification for introducing ultrasound screening for developmental dysplasia of the hip in Croatia. METHODS:The analysis was based on the two formulas: that cost-benefit equals benefit/cost, and that net benefit equals benefit minus cost. Screening costs were expressed as a sum of trainin...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Bralić I,Vrdoljak J,Kovacić L

    更新日期:2001-04-01 00:00:00

  • Identification and characterization of interleukin-13 receptor in human medulloblastoma and targeting these receptors with interleukin-13-pseudomonas exotoxin fusion protein.

    abstract:AIM:To identify and characterize the subunit structure of interleukin-13 receptor (IL-13R) in human medulloblastoma cell lines and target them with a chimeric fusion protein consisting of interleukin-13 and Pseudomonas exotoxin (termed as IL-13 cytotoxin). METHODS:Five human medulloblastoma cell lines were examined fo...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Joshi BH,Leland P,Puri RK

    更新日期:2003-08-01 00:00:00

  • Good editorial practice: editors as educators.

    abstract::There may be valuable research going on in the developing and financially less-privileged countries, but it usually does not reach international visibility, in spite of a large number of scientific journals in these countries. Such journals are not only invisible but, by perpetuating a vicious circle of inadequacy, ma...

    journal_title:Croatian medical journal

    pub_type: 评论,社论

    doi:

    authors: Marusić M,Marusić A

    更新日期:2001-04-01 00:00:00

  • Inequality, poverty, and material deprivation in new and old members of the European Union.

    abstract:AIM:To analyze the main indicators of income inequality, objective and subjective poverty, material deprivation, and the role of public social transfers in the reduction of poverty in 15 old and 10 new member states of the European Union (EU), undergoing post-communist socio-economic transition, as well as in Croatia, ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Matković T,Sucur Z,Zrinscak S

    更新日期:2007-10-01 00:00:00

  • Tongue somatosensory evoked potentials reflect midbrain involvement in patients with clinically isolated syndrome.

    abstract:AIM:To test the hypothesis that tSSEP findings reflect clinical and MRI MS lesions, the aim of this study was to investigate tSSEP changes in patients with clinically isolated syndrome (CIS) in relation to clinical and brainstem MRI findings. The second aim was to investigate whether the interpretation of the tSSEP res...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2016.57.558

    authors: Krbot Skorić M,Adamec I,Crnošija L,Gabelić T,Barun B,Zadro I,Butković Soldo S,Habek M

    更新日期:2016-12-31 00:00:00

  • Detection of botulinum toxins: micromechanical and fluorescence-based sensors.

    abstract::Botulinum neurotoxins (BoNTs) are the most lethal of known human toxins, exerting their actions by cleaving the soluble N-ethyl maleimide-sensitive fusion protein attachment protein receptors (SNAREs) required for neurotransmitter release. Early detection of these toxins is important for appropriate medical treatment....

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Parpura V,Chapman ER

    更新日期:2005-08-01 00:00:00

  • Fetal behavior assessed in all three trimesters of normal pregnancy by four-dimensional ultrasonography.

    abstract:AIM:To assess fetal behavior in all three trimesters of normal pregnancy and to investigate the continuation of behavior from fetal to neonatal period. METHODS:One hundred out of 130 pregnant women in all trimesters with singleton pregnancy were assigned for the investigation. All recordings were performed in the morn...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Kurjak A,Stanojevic M,Andonotopo W,Scazzocchio-Duenas E,Azumendi G,Carrera JM

    更新日期:2005-10-01 00:00:00

  • Raman microspectroscopy as a biomarking tool for in vitro diagnosis of cancer: a feasibility study.

    abstract:AIM:To elucidate whether Raman spectroscopy aided by extensive spectral database and neural network analysis can be a fast and confident biomarking tool for the diagnosis of various types of cancer. METHODS:Study included 27 patients with 11 different malignant tumors. Using Raman microscopy (RM) a total of 540 Raman ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2012.53.551

    authors: Pavićević A,Glumac S,Sopta J,Popović-Bijelić A,Mojović M,Bacić G

    更新日期:2012-12-01 00:00:00

  • Pregnant women quit smoking; what about fathers? Survey study in Bursa Region, Turkey.

    abstract:AIM:To evaluate maternal and paternal smoking habits during pregnancy and determine their correlation with pregnancy complications and newborn status. METHODS:The study included 499 pregnant women who delivered at the Department of Obstetrics and Gynecology in Uludag University School of Medicine, over a period of one...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Uncu Y,Ozcakir A,Ercan I,Bilgel N,Uncu G

    更新日期:2005-10-01 00:00:00

  • Impact of ovariectomy, high fat diet, and lifestyle modifications on oxidative/antioxidative status in the rat liver.

    abstract:AIM:To estimate the impact of high fat diet and estrogen deficiency on the oxidative and antioxidative status in the liver of the ovariectomized rats, as well as the ameliorating effect of physical activity or consumption of functional food containing bioactive compounds with antioxidative properties on oxidative damag...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2014.55.218

    authors: Vuković R,Blažetić S,Oršolić I,Heffer M,Vari SG,Gajdoš M,Krivošíková Z,Kramárová P,Kebis A,Has-Schön E

    更新日期:2014-06-01 00:00:00

  • Comparison of PowerPlex 16, PowerPlex1.1/2.1, and ABI AmpfISTR Profiler Plus/COfiler for forensic use.

    abstract:AIM:Several amplification and detection formats for the analysis of short tandem repeat loci are readily available to the forensic laboratory. Careful consideration must be given to the throughput, sensitivity, concordance, data interpretation, facility requirements, and costs of operation. The Pennsylvania State Polic...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Tomsey CS,Kurtz M,Kist F,Hockensmith M,Call P

    更新日期:2001-06-01 00:00:00

  • Capecitabine as a radiosensitizing agent in neoadjuvant treatment of locally advanced resectable rectal cancer: prospective phase II trial.

    abstract:AIM:To evaluate the efficacy and toxicity of preoperative chemoradiotherapy with capecitabine in locally advanced rectal cancer. METHODS:Between June 2004 and January 2005, 57 patients with operable, clinical stage II-III adenocarcinoma of the rectum entered the prospective phase II study. Radiation dose was 45 Gy (25...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Velenik V,Anderluh F,Oblak I,Strojan P,Zakotnik B

    更新日期:2006-10-01 00:00:00

  • Changes in human immunodeficiency virus and sexually transmitted infections-related sexual risk taking among young Croatian adults: 2005 and 2010 population-based surveys.

    abstract:AIM:To determine changes in sexual behaviors and other relevant characteristics related to human immunodeficiency virus (HIV) and sexually transmitted infection (STI) risks among young Croatian adults. METHOD:We surveyed adults aged 18-24 in 2005 (n=1092) and 18-25 in 2010 (n=1005). Both samples were probabilistic and...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2011.52.458

    authors: Landripet I,Stulhofer A,Bacak V

    更新日期:2011-08-15 00:00:00

  • Which questionnaires should we use to evaluate quality of life in patients with chronic graft-vs-host disease?

    abstract:AIM:To investigate the ability of two standard quality of life (QOL) questionnaires - The Short Form (36-item) Health Survey (SF-36) and The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ C30) to evaluate QOL in patients with chronic graft-vs-host disease (cG...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2016.57.6

    authors: Perić Z,Desnica L,Duraković N,Ostojić A,Pulanić D,Serventi-Seiwerth R,Prenc E,Basak G,Vrhovac R,Pavletic SZ,Nemet D

    更新日期:2016-02-01 00:00:00

  • Five-factor personality dimensions and 3 health-related personality constructs as predictors of health.

    abstract:AIM:To examine how 5-factor personality traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness) and 3 higher-order health-related personality constructs (negative experience, optimistic control, and passivity) are related to self-reports of subjective health outcomes (positive and negative mo...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2009.50.394

    authors: Hudek-Knezević J,Kardum I

    更新日期:2009-08-01 00:00:00

  • The role of the University of Zagreb School of Medicine in the development of education, health care, and science in Croatia.

    abstract:: ...

    journal_title:Croatian medical journal

    pub_type: 社论,历史文章

    doi:

    authors: Klarica M

    更新日期:2018-10-31 00:00:00

  • What is happening to the health of the Croatian population?

    abstract:AIM:To describe the problems in the interpretation of Croatian mortality data and explore possible reasons for the recorded increase in mortality in the 1990-1999 period, particularly related to different methods of collection and estimation of data on deaths and population. METHODS:Numbers of recorded deaths and popu...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Bozicević I,Oresković S,Stevanović R,Rodin U,Nolte E,McKee M

    更新日期:2001-12-01 00:00:00

  • Expression of MAGE-A and NY-ESO-1 cancer/testis antigens in medullary breast cancer: retrospective immunohistochemical study.

    abstract:AIM:To immunohistochemically evaluate the expression of MAGE-A1, MAGE-A, and NY-ESO-1 cancer/testis (C/T) tumor antigens in medullary breast cancer (MBC) tumor samples and to analyze it in relation to the clinicopathological features. METHODS:This retrospective study included samples from 49 patients: 40 with typical ...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2011.52.171

    authors: Matković B,Juretić A,Spagnoli GC,Separović V,Gamulin M,Separović R,Sarić N,Basić-Koretić M,Novosel I,Kruslin B

    更新日期:2011-04-15 00:00:00

  • Viral etiology of hospitalized acute lower respiratory infections in children under 5 years of age -- a systematic review and meta-analysis.

    abstract:AIM:To estimate the proportional contribution of influenza viruses (IV), parainfluenza viruses (PIV), adenoviruses (AV), and coronaviruses (CV) to the burden of severe acute lower respiratory infections (ALRI). METHODS:The review of the literature followed PRISMA guidelines. We included studies of hospitalized childre...

    journal_title:Croatian medical journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.3325/cmj.2013.54.122

    authors: Lukšić I,Kearns PK,Scott F,Rudan I,Campbell H,Nair H

    更新日期:2013-04-01 00:00:00

  • The suitability of using death certificates as a data source for cancer mortality assessment in Turkey.

    abstract:AIM:To compare the quality of the 2008 cancer mortality data of the Istanbul Directorate of Cemeteries (IDC) with the 2008 data of International Agency for Research on Cancer (IARC) and Turkish Statistical Institute (TUIK), and discuss the suitability of using this databank for estimations of cancer mortality in the fu...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:10.3325/cmj.2012.53.480

    authors: Ulus T,Yurtseven E,Cavdar S,Erginoz E,Erdogan MS

    更新日期:2012-10-01 00:00:00

  • International pediatric cardiac assistance in Croatia: results of the 10 year program.

    abstract:AIM:In an effort to help alleviate the lack of an adequate pediatric cardiac surgical service that existed in Croatia following 1991 the International Childrens Heart Foundation (ICHF) was asked to provide the necessary surgery. Initially, this project was undertaken as a humanitarian program to provide pediatric cardi...

    journal_title:Croatian medical journal

    pub_type: 杂志文章

    doi:

    authors: Novick WM,Anić D,Ivancan V,Di Sessa TG

    更新日期:2004-08-01 00:00:00