Recovery Center Research Articles

Power Is Everywhere—An Interpretation of Kazuo Ishiguro’s Never Let Me Go on Foucault’s Discipline Power

The present paper attempts to interpret Kazuo Ishiguro’s Never Let Me Go in the framework of Foucault’s discipline power and investigates how those clones are transformed to be docile organ donors. It is found that Hailsham, Cottage, and recovery center are all disciplinary establishments in the shape of a Panopticon, where discipline power is exercised upon the clones constantly through three instruments: hierarchical observation, normalizing judgement, and examination. These subtle disciplinary elements fill every corner of their lives, and they are effectively observed, manipulated, and trained to behave “normally” as human society expects.

Intestinal parasites infecting captive non-human primates in Italy.

Non-human primates (NHPs) living in captive conditions are susceptible to intestinal parasites that can contribute to mortality and morbidity, and cause zoonotic infections. Thus, parasite surveys on NHP populations under human care are relevant as part of the evaluation of NHPs welfare and in the zoonotic disease risk assessment, as well as in the exploration of parasite transmission pathways, according to the One-Health concept. This study aimed to identify intestinal parasites infecting NHPs living in two wildlife recovery centers and in a zoological garden, in Italy. Ninety-three fecal samples from Macaca tonkeana, Macaca fascicularis, Sapajus apella, Chlorocebus aethiops, Macaca fuscata, Macaca sylvanus, and Cebus capucinus were collected at Piano dell'Abatino Park (Lazio), and fecal smears and flotation were performed in order to identify parasites according to morphological keys. Additionally, one carcass of M. fuscata from the Bioparco Zoological Garden of Rome (Lazio) and one of M. fascicularis from the Center for the Recovery of Exotic and Maremma Wild Animals (Tuscany) were necropsied and intestinal adult nematodes were collected and characterized at morphological and molecular level, using the mitochondrial cox1 and rrnL markers. Protozoans (Entamoeba coli, Iodamoeba bütschlii, Dientamoeba fragilis-like, Giardia sp.), chromists (Balantidium/Buxtonella sp.) and nematodes (Capillaria sp., Trichuris sp., strongyliform larvae and Oesophagostomum sp.) were found through fecal smears and flotation. The collected adult nematodes from dead NHPs were morphologically identified as whipworms (genus Trichuris). Phylogenetic analyses grouped Trichuris specimens into the Trichuris trichiura complex of species, with specimens from M. fuscata clustering into a host-specific branch, and whipworms from M. fascicularis clustering within a clade formed by Trichuris infecting several primate species, including humans. The results here collected revealed the presence of potentially zoonotic parasites circulating in captive primates in Italy, providing useful information for the formulation of management and care plans for captive NHPs, and for the elaboration of safety measures for visitors and animal keepers.

Ландшафтно-рекреационный потенциал терренкуров Национального парка «Кисловодский»

Abstract. The objective of the research was to develop terrain cure routes and study the landscape and recreative potential of the Kislovodsk National Park. The Kislovodsk National Park has a unique health-improving potential: green areas of the park, favorable climate, mineral waters, which create the necessary comfort level for recovery, treatment, rehabilitation and health maintenance. Materials and methods. The research was conducted on February 20-22, 2024 in the Kislovodsk National Park with the application of route landscape and climatic observations, as well as an assessment of human physical capabilities, using the example of a woman aged 31 years, height 165 cm and weight 56 kg. Results. Researchers of the Center of Biomedical Technologies (North-Caucasian Federal Research-Clinical Center) have developed two terrain cure routes: Route No 1 and Route No 2. According to the classification, the Route No 1 is considered difficult, the route’s length is 1600 m, angle of elevation – not more than 4°, completion time – 30-40 minutes, the pulse zone No 1 is mainly a light activity zone. The whole route runs through the lower part of the park and is protected from direct sunlight and, deep in the valley, from winds. The path is mostly flat, but has slopes in some locations. According to the classification, the Route No 2, developed from the “Orion” athlete rehabilitation and recovery center (North-Caucasian Federal Research-Clinical Center), is also considered difficult, the route’s length – 2600 m, angle of elevation – up to 13°, completion time – 50-60 minutes, the pulse zone No 1 is mainly a light activity zone. The route is also characterized by a long ascent and steep descent. Conclusion. The comprehensive analysis of the Kislovodsk National Park’s landscape modules proves that the landscape and climatic potential is high enough – 2.8 points out of 3.0 possible. It conditionally corresponds to the sparingly training effect on the human body, gives the possibility to conduct air therapy, heliotherapy, natural air and plant ion therapy in the low altitude conditions to prevent UV-insufficiency, increasing the resistance of the human body to physical stress and accelerating the recovery processes.

Combined intervention strategy for reversing iron-deficiency anaemia and deficiency in psychomotor development in chronic malnutrition.

Background: chronic iron-deficiency anaemia in children has a negative impact on neuronal and cognitive development. Despite current knowledge on this subject, in Bolivia iron intake along the psychomotor development stimulation as part of a comprehensive rehabilitation process for children with severe chronic malnutrition is not yet used. Objective: to evaluate the effect of a neurorestorative diet, consisting of iron supplements and other micronutrients, along with psychomotor stimulation in preschool children with chronic malnutrition, iron-deficiency anaemia and severe psychomotor delay. Patients and methods: twenty-four children between 1 and 56 months of age admitted to the integral nutritional recovery centre (INRC), Paediatric Hospital of Cochabamba, Bolivia were included. A strategy of intervention was applied consisting of nutritional replenishment through the administration of elaborated meals prepared from local foods with high heme and non-heme iron concentration, added with vegetables plus the administration of micronutrient´s supplementation and the psychomotor stimulation. Anthropometric indices, psychomotor and biochemical parameters were measured at four times points, during the hospitalisation period. Results: at the beginning, the anthropometric and psychomotor parameters were decreased (between -2 and -3 z score and below 50 % respectively). Combined strategy intervention with iron and other micronutrients together photons produced significant changes between the evaluated time points, both in anthropometric and psychomotor parameters, although these changes were less than expected. Conclusions: the combined strategy used in this study allowed recovery from the anaemia and minimal growth due to the low birth weight or chronic malnutrition. However, the intervention was insufficient to achieve a complete recovery.

Improving Dietary and Physical Activity Behaviors Among Residents in a Community-Based Residential Recovery Center

This article provides an example of a university faculty member’s reflective practice on how a sense of community was developed within undergraduate college forensic science classrooms. Through reflective practice, I describe a heartwarming situation I experienced and compare it to the literature to help me better understand my contribution to developing a sense of community amongst my students. After identifying and evaluating possible explanations, I decide a positive learning environment is the main contributing factor and provide recommendations for future practice to help other faculty who are interested in creating a similar environment within their own courses.

Successful reproduction of female loggerhead sea turtles with severe limb amputations

AbstractWe evaluate the frequency of flipper amputation and its impact on reproduction in the threatened loggerhead turtle (Caretta caretta) population of the Eastern Atlantic, through a long‐term study on several high‐density nesting beaches of Cabo Verde. 5982 adult females were individually identified, tagged and measured, and the presence of limb amputations was recorded. 918 of them had one or multiple amputations of the rear or front flippers. Most of these turtles (n = 778) had partial rather than complete flipper amputations. However, we found no difference in body condition indices (1.2 vs. 1.1), clutch size (82 vs. 83 eggs), or hatching success (79 vs. 80%) between amputated and non‐amputated females. While amputations may cause individual mortality or reduced fitness, our results indicate that some amputated turtles successfully nest and survive across multiple nesting seasons. Moreover, the amputations do not appear to be impacting the strong recovery of this population. This study provides evidence of the successful reproductive capacity of amputated loggerhead sea turtles and, by extension, the potential reproductive success of amputees released from recovery centers.

Industry 4.0 in waste management: An integrated IoT-based approach for facility location and green vehicle routing

The increasing production of solid waste rate in urban areas plays a critical role in sustainable development. To mitigate the adverse effects of waste and enhance waste management efficiency, this paper introduces a holistic approach that notably reduces the overall cost while mitigating social and environmental impacts. Central to the system's efficacy is the critical process of waste sorting, which enhances the output value of the waste management system. While previous studies have not extensively addressed simultaneous waste collection and sorting, this paper provides an innovative integrated framework. This approach Integrates waste collection with various bins, followed by their transfer to separation centers. At these centers, waste is categorized into organic and non-organic varieties, which are then dispatched to a recovery center at the second level. In the context of optimizing the routes at both levels, this paper presents a green, multi-objective location-allocation model. This model is designed to optimize the number and location of separation center facilities. Since the routing problem is influenced by the facility location model, it is addressed as a multi-depot green vehicle routing problem, integrating real-time information from IoT-equipped bins. This paper also proposes the vehicle routing problem with a split pickup, aiming to minimize cost, CO2 emissions, and visual pollution. The developed mathematical models formulate the proposed problem and it is solved by the GAMS optimization software, to apply an exact method, while Social Engineering Optimization and Keshtel algorithms are deployed to solve the routing problem for larger sizes. The proposed approach offers a comprehensive and sustainable solution to waste management, filling crucial gaps in current research and practice.

61 Subjective PTSD and Cognitive Complaints in Middle Aged Women who were Hospitalized with COVID-19: A Case Series

Objective:hough there is much that is unknown about “post-COVID conditions” the Center for Disease Control (CDC) recognizes that these conditions represent a wide array of new, returning, or ongoing health issues in individuals who have been infected with the novel corona virus, COVID-19. This case series describes the emotional and cognitive screening of three females in their 50's who contracted COVID-19, and were hospitalized during the course of their illness. This case series hopes to provide an initial framework to discuss the recovery trajectory of post-COVID patients who were hospitalized, who have experienced residual post-traumatic stress and cognitive symptoms.Participants and Methods:Three middle-aged female patients (ages 52, 53, 55) were screened in an outpatient post-COVID recovery center for initial and post-COVID emotional, cognitive, and physical symptoms. All three women reported being hospitalized during their illness. The Post-Traumatic Stress Disorder - Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) was administered via clinical interview and the patients were asked about subjective cognitive complaints related to concentration, memory, and word finding.Results:All three women reported persisting cognitive problems, including difficulties with concentration, problems with memory, and word finding difficulties. They also endorsed symptoms of post-traumatic stress, such as avoidance of thoughts and events, as well as recurrent nightmares related to the course of their illness.Conclusions:The CDC notes that there are no tests that specifically evaluate the multitude of post-COVID conditions. Regardless, this case series suggests that emotional and cognitive screeners may assist in treatment planning and support recovery in this population. Future research should examine the exact nature of the relationship between hospitalization, emotional symptoms, and cognitive functioning in post-COVID patients.

Medical services at the FIFA world cup Qatar 2022

ObjectiveThe Football World Cup is among the biggest sporting events in the world, but data to inform the requirements of medical care for such tournaments are limited. This study describes...

Family Approach and Spirituality to Support Drug Abuser Recovery

Indonesia is in a state of drug emergency, characterized by a high level of vulnerability and related crimes. Moreover, victims of drug abuse required assistance to recover from their substance abuse issues. Objective: The aim of this study was to analyze the influence of a family approach and spiritual experiences on the recovery process of individuals addicted to drugs in recovery centers in Medan. This research adopted a quantitative approach with cross-sectional design. A sample of 120 drug abusers was recruited using purposive sampling technique. Data was collected through questionnaires consisting of 20 items on the family approach, 20 items on spiritual experiences, and 32 items on drug use issues. Multiple linear regression analysis was conducted to examine the data. The findings revealed a significant influence of the family approach (p=0.024) and spirituality (p=0.000) on the improvement of the recovery process of individuals addicted to drugs undergoing recovery in Medan recovery centers. Most of them (55%) are in the state of contemplation. It is expected that the government maintain synergy and support the management of drug recovery centers, as well as social workers who have concern about drug abuse, along with families and the broader community, in order to effectively address this issue.

Developing A Guide For the Recovery of Teenagers with Premarital Pregnancy (Al-Munjiyyat) For the Asnaf Riqab Recovery Center

Developing A Guide For the Recovery of Teenagers with Premarital Pregnancy (Al-Munjiyyat) For the Asnaf Riqab Recovery Center

Feasibility and Efficacy of Addiction-Focused Eye Movement Desensitization Reprocessing in Adults with Substance Use Disorder

ABSTRACT Purpose Addiction-focused eye movement desensitization reprocessing (AF-EMDR) is a viable add-on therapy to treat memories that drive addiction cravings. However, little research has explored AF-EMDR and its effects in people with substance abuse disorder (SUD). The purposes of this study were to determine the feasibility of conducting AF-EMDR and to test the preliminary efficacy of AF-EMDR on overall cravings experienced by persons with SUD, craving, perseverations associated with addiction, and irrational cognitions related to addiction. Methods This pilot study used a two-arm randomized controlled trial (RCT) design with an experimental group (AF-EMDR + cognitive behavioral therapy [CBT]) and a control group (CBT Only). Thirty participants were recruited from a residential program or a partial hospitalization program in a recovery center in Florida, from October 2021 through January 2022 and randomly assigned to the experimental group (n = 15) or the control group (n = 15). Results All participants adhered to the four-session 60-min AF-EMDR intervention and post-intervention data collection; 98.33% completed all four sessions. Results indicated significant reductions in cravings, perseverative thoughts about substance of choice, and irrational cognitions among participants in both the experimental (AF-EMDR + CBT) and control (CBT Only) groups during the intervention; however, there was no significant difference between groups. Conclusions The results showed positive trends in decreasing craving. However, more clinical trials with a larger sample are necessary to assess the efficacy and sustainability of such effects in persons with SUD.

An overlooked relationship in recovery from substance use disorders: Associations between body mass index and negative emotional states

Recovery from substance use disorders (SUD) is multifactorial. Being overweight could negatively impact physiological and psychological health-related parameters. Using model selection, we examined associations between body mass index (BMI) and negative emotional states (NES; e.g., stress, anxiety, depression) in 54 men with SUD and under treatment in five different therapeutic recovery centers. We found that BMI was positively associated with stress (p < .001), anxiety (p < .001), and depression (p = .002). Therefore, our findings suggest that decreasing the accumulation of body fat might contribute to improving mental health in individuals with SUD during recovery.

A qualitative assessment of key considerations for drug checking service implementation

BackgroundWith many drug-related deaths driven by potent synthetic opioids tainting the illicit drug supply, drug checking services are becoming a key harm reduction strategy. Many drug checking technologies are available, ranging from fentanyl test strips to mass spectrometry. This study aimed to identify key considerations when implementing drug checking technologies and services to support harm reduction initiatives.MethodsKey informant interviews were conducted with harm reduction stakeholders throughout Illinois. Participants included members of existing drug checking services and recovery centers. Interviews were recorded, transcribed, and coded by two researchers using the framework method. Findings were contextualized according to micro (client)-, meso (organization)-, and macro (policy)-level themes.ResultsSeven interviews were conducted with ten participants. Fourier transform infrared spectroscopy was consistently identified as a technology of choice given its accuracy, range of substance detection, portability, and usability. Recommendations included the use of confirmatory testing, which can help address the limitations of technologies and provide a mechanism to train technicians. Locations of drug checking services should maximize public health outreach and leverage existing harm reduction agencies and staff with lived experience, who are critical to developing trust and rapport with clients. Criminalization and loss of privacy were major concerns for clients using drug checking services. Additional issues included the need to raise awareness of the legitimacy of services through public support from governing bodies, and funding to ensure the sustainability of drug checking services.ConclusionsThis research facilitated the identification of issues and recommendations from stakeholders around key considerations for the adoption of drug checking technologies, which not only included the cost and technical specifications of instrumentation, but also broader issues such as accessibility, privacy, and well-trained personnel trusted by clients of the service. Successful implementation of drug checking services requires knowledge of local needs and capacity and an in-depth understanding of the target population.

115.2: Organ procurement organization (OPO) organ donor recovery center impact on donor case times.

115.2: Organ procurement organization (OPO) organ donor recovery center impact on donor case times.

Factors Influencing Substance Use Relapse in People Referring to Addiction Recovery Centers in Jiroft, Kerman

Background: Relapse is prevalent following substance abuse treatment. This study aimed to estimate and identify the factors that contribute to substance use relapse among addicts in the southern region of Kerman. Methods: A total of 390 individuals seeking treatment for addiction in 2021 were selected using a multi-stage sampling method. Data were collected through a researcher-developed questionnaire, which included demographic information and the health action process approach (HAPA) constructs regarding relapse prevention. Descriptive statistics, including frequency distribution tables, means, and standard deviations, were used to summarize the data. The correlation between HAPA constructs was assessed using Pearson’s correlation coefficient. The Kruskal-Wallis test and structural equation modeling (SEM) with AMOS 24 software were utilized to analyze the data. Results: The participants had a mean age of 33.39 years. The results (SEM) showed that there was a positive and significant relationship between action self-efficacy, behavioral intention, action planning, and the frequency of substance use relapse. The constructs of coping self-efficacy, recovery self-efficacy, action planning, and coping planning accounted for 18% of the variance in substance use relapse frequency. Conclusion: Motivational and voluntary phase constructs have a significant role in substance use relapse. Additionally, HAPA helps identify the factors contributing to relapse.

Association between psychosocial rehabilitation and recovery center service receipt and reported internalized stigma among veterans.

Internalized stigma, also known as self-stigma, is negatively associated with a person's willingness to seek mental health services and follow their treatment plan. This can hinder a person's recovery, exacerbate their mental health illnesses, and reduce their quality of life. A primary directive of the Veteran Affairs Psychosocial Rehabilitation and Recovery Center (PRRC) program is to help veterans overcome their internalized stigma. This study is the first to evaluate the association between receiving PRRC services over time and veteran reported levels of internalized stigma based on Internalized Stigma of Mental Illness-Brief-10 scores using longitudinal PRRC Forms Data. The analysis was performed using a random-effects ordered logistic regression adjusting for veteran sociodemographic and clinical characteristics. Our study cohort consisted of 2,774 veterans who received PRRC services between fiscal years 2018 and 2021 and who had an intake form at the start of the PRRC service and at least one follow-up form. Our study found that veterans had lower odds of having a higher level of internalized stigma at the first follow-up relative to their intake (OR: 0.80; 95% CI [0.70, 0.92]), and these odds continued to decrease with each subsequent follow-up. These results potentially indicate the effectiveness of the PRRC program in reducing levels of internalized stigma among the veterans. Our study also suggests the need for greater clinical attention and resources for subgroups such as older veterans, male veterans, and veterans with posttraumatic stress disorder, anxiety, or personality disorders, who reported higher levels of internalized stigma. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A Study on Protective Factors of Suicidal Behaviors among Protected Adolescents in Youth Recovery Centers

A Study on Protective Factors of Suicidal Behaviors among Protected Adolescents in Youth Recovery Centers

Pilot randomized controlled trial of a brief strategy to prevent suicide after discharge from residential addiction treatment

IntroductionVeterans are at greater risk for suicide and veterans with substance use disorder (SUD) have an even greater risk. Little research has looked into brief interventions to prevent suicide in this population in residential substance use treatment programs. MethodWe conducted a pilot, randomized controlled trial of a brief suicide prevention strategy called Veterans Affairs Brief Intervention and Contact Program (VA BIC) in patients participating in the Residential Recovery Center (RRC) SUD 28-day program and deemed at risk for suicide. We measured changes in symptoms at 1-, 3-, and 6-months. We looked at social connectedness, suicidal ideation, hopelessness, thwarted belongingness, perceived burdensomeness, and treatment engagement. ResultsThe study enrolled twenty patients. One participant withdrew immediately after baseline. We found that adherence to VA BIC components was high, as 100 % of patients (N = 10) completed 70 % or more of the VA BIC visits. Furthermore, 80 % of intervention group patients (N = 8) completed all VA BIC components. During the six-month follow-up, suicidal ideation improved in patients assigned to VA BIC, while it worsened in the standard care arm. Similarly, patients assigned to VA BIC reported a reduction in perceived burdensomeness over the six-month follow-up period while it worsened in the standard care arm. Additionally, VA BIC may modestly improve treatment engagement in the first month postdischarge. ConclusionWe were able to recruit and enroll patients from a residential SUD treatment program into a clinical trial of the VA BIC intervention. Our preliminary results suggest that VA BIC may be useful in reducing suicidal ideation and perceived burdensomeness in patients who are discharged from residential SUD treatment programs and increasing treatment engagement. Future trials of VA BIC should determine whether VA BIC can reduce the risk of suicide in patients who are discharged from residential SUD treatment programs.

Occurrence of Leishmania infantum in Wild Mammals Admitted to Recovery Centers in Spain.

Zoonotic leishmaniasis caused by Leishmania infantum is distributed worldwide and affects humans and domestic and wild mammals. In Europe, specifically in the Mediterranean basin, leishmaniasis is endemic due to the concurrence of the phlebotomine vectors and reservoir mammals, including carnivorous wildlife species and other less studied wild species. In this article, spleen, skin, and eye or oral swabs taken from 134 wild mammals admitted to five wildlife recovery centers in Spain were used. PCR employing fragments of the Repeat region, ITS1, and SSUrRNA were used for detection, and positive samples were processed for sequencing. L. infantum was detected in three out of the nine species analyzed, including European hedgehog, European badger, and red squirrel, with percentages ranging from 11.53 to 35.71%, depending on the species. Most of the species showed higher percentages of positivity in spleen samples than in skin samples. A small number of animals from the remaining six species tested negative, including Algerian hedgehog, stone marten, least weasel, garden dormouse, western polecat, and Egyptian mongoose. Hedgehogs and badgers are good candidates for consideration as epidemiological sentinels and pose a higher risk as potential reservoirs of leishmaniasis based on their percentage of infection and wide distribution.