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The position of community Alcoholics Anonymous in addiction services system: Experience and attitudes of AA members in Prague
Břoušková, Barbora ; Vacek, Jaroslav (advisor) ; Gabrhelík, Roman (referee)
Alcoholics Anonymous is the largest and best-known self-help organization. In the Czech Republic, neither its position nor its number and characteristics of its members are known yet. Therefore it is necessary to learn more about them. There is a supervised therapy, as well as AA. Is it possible to find a connection between these "different" approaches to alcohol addiction therapy? The theoretical part contains a description of alcohol addiction, information about the system of medical care for alcoholics and information on the current situation in the Czech Republic. The most important information is described in the chapter on Alcoholics Anonymous fellowship. The main research objective is to describe the characteristics, behavior and motivation of all AA groups in Prague and possibly find out which place can AA hold in the system of addictology services. In accordance with the objective five research questions were specified. Data were collected through a questionnaire and subsequently analyzed using mathematical and statistical techniques with the help of IBM SPSS Statistics 20 software. The questionnaire was composed of 19 questions. Respondents were nominated by a total group selection. The survey covers all groups of Alcoholics Anonymous based in Prague. The research sample consisted of 34...
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Mapping of frequency of injection application of clients of low-threshold services in different addictive substances in the period of one month
Toxanbayeva, Gaziza ; Gabrhelík, Roman (advisor) ; Vacek, Jaroslav (referee)
The goal of my bachelor thesis - Mapping the frequency of injection by type of addictive substances in the period of one month for clients of low-threshold services in Prague, is to point out on finding the average number of injecting drug applications in the period of one month and the consumption rate of injection material substance users of low-threshold services. In theory part my main focus is on problem injection use, complication connected with intravenous application, and with reducing risk and harm of this use. I also pay attention to drug low-treshold services. In the practical part is based from data collected using a structured questionnaire among substance users. Here I deal with raising the average number of injections, which is approximately two injection a day, in all types of drugs that have emerged as the primary, namely methamphetamine, subutex, heroin. A study came out, that the obtained estimate consumption injecting material substance users is about 3.5 times higher than the distribution of exchange programs. In conclusion, I discuss the results with possible suggestions that could help improve the quality of addiction services, or importance of other sources of injecting equipment in the form of pharmacy and the importance of their involvement in networks of addiction services.
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Obtaining cannabis drugs by adolescents: experience of wards of selected facilities of Czech and other nationality comparison
Piskáčková, Kristýna ; Vacek, Jaroslav (advisor) ; Gabrhelík, Roman (referee)
University: Charles University in Prague Faculty: First Faculty of Medicine Psychiatric clinic, Center for Addictology School Year…….2012/2013…… ABSTRACT DIPLOMA WORK Name …………………Bc. Kristýna Piskáčková....………………………………….… Branch of study: Addictology Matriculation Year: …………2006….………… Thesis supervisor: Mgr. Jaroslav Vacek The number of pages:……80…………… Diploma Thesis Title: Obtaining cannabis drugs by adolescents: the comparison of the wards experience from facilities for foreigners with the selected facilities for wards with Czech nationality The goal of the diploma thesis is to determine the ways and circumstances of obtaining hemp drugs by adolescent users - wards of selected facilities for juveniles. Theoretical part mainly deals with issues such as cannabis drugs, usage patterns, cannabis distribution patterns, drug market and school facilities system for the performance of residential care and protective upbringing. The research part first deals with research questions, methods of data creation, then with the help of data analysis are given the answers to research questions. The used method of obtaining data is semi-structured interview. The survey was conducted with 16 participants. The sample only consists of one gender - male. Their age is from 15 to 18. Participant's statements are kept and...
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The extent of use of the injection equipment for drug use in the Czech Republic in 2010
Mišta, Jan ; Gabrhelík, Roman (advisor) ; Vacek, Jaroslav (referee)
Title: The Extent of Use of Syringes among Injection Drug Users in the Czech Republic in 2010. Abstract: The goal of my bachelor thesis - The Extent of Use of Syringes among Injection Drug Users in the Czech Republic in 2010, is to point out the extent of the distribution of syringes to injection drug in the Czech Republic. In theory part my main focus is on problem injection use, complication connected with intravenous application, and with reducing risk and harm of this use. I also pay attention to drug low-treshold services. In the practical part, I have collected zhe data obtained from producers of this specific injection material and from six most known distributors who supply public pharmacies with healing preparations and medical technology. I have conducted a survey on situatin of patients who aplly insulin using classic insulin injections. Further, I have conducted a survey on delivery of this insuli injections into institution of hospital type and for other final markets. In my work I also focus on the biggest final market: threshold services - contact centres, terrain programme. In the Discussion I present a set of recommendations that could contribute to improvement of addictology services in the Czech Republic. Keywords: injection use, insulin injection, distribution of injection material,...
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Medication of prescribed opioid analgesics in combination with alcohol or other illegal drug in age group of 50 - 64 years
Lávičková, Jana ; Gabrhelík, Roman (advisor) ; Vacek, Jaroslav (referee)
Background Based on the gathered data from the previous pilot study and the results of this study we proceeded to the following study which is being focused on the surveillance of the age group 50 - 64 years in the area of prescribed opioid analgesics. Alongside with this, we explored in what possible combinations the medications can be used by the chronic pain patients in the current moment. Methods The base of the research was the qualitative study which was performed by the half-structured deep interview with the participants from the chronic pain patients. The interviews were carried out during the year 2011. Within the main study were pursued two quantitative substudii during the January and March 2012. The first study was focused on the questionnaire survey about the number of the chronic pain patients in the Czech Republic. The second substudy followed the chronic pain patients and their influence by the environmental conditions with the help of the questionnaire in case of the combinations among the prescribed opioid analgesics with alcohol or non-alcohol addictive drugs. Results Half-structured interviews were carried out with 20 participants and with the help of this tool were gathered data pointing out the increasing trend in non-medical use of opioid analgesics and increasing interest...
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Cannabis drugs among students of Prague medical faculties: prevalence of use and related risk behaviour
Bošková, Milena ; Vacek, Jaroslav (advisor) ; Gabrhelík, Roman (referee)
Objectives : The main goal of this work is to find out prevalence of use cannabis drugs among students of medical faculties in Prague and also find out a relationship between cannabis drugs abuse and risk behaviour. Sample : The research sample consisted of 686 medical students First, Second and Third faculty of Medecine of Charles University in Prague. The main criterium for entry into the research was that students had to be enrolled in first through fifth year of medicine. Students of medicine sixth grade were excluded from research because of their limited time schedule, which related to their studies. Methods : Research was provided by quantitative methods - questionnaire, which was structured and anonymous Results : It was found that lifetime prevalence of cannabis use among medical students compared with the earlier results of different studies significantly increased. The prevalence of cannabis use over the past 12 months was higher in men than in women. It was confirmed that men on average achieve higher scores on the CAST questionnaire, which maps the risk behavior regarding the use of cannabis. Those in the questionnaire CAST achieve higher scores, their risk behaviour was more related with cannabis drugs use. Conclusion : Lifetime prevalence of cannabis use among young people, including...
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Addictive behavior on the Internet in connection with the experience with drugs among children of elementary schools in the Liberec Region
Šubrtová, Eliška ; Vacek, Jaroslav (advisor) ; Gabrhelík, Roman (referee)
Based on actual problems extensive use of the Internet and the increasing number of younger children using addictive substances I chose the topic Addictive behavior on the Internet in connection with the experience with drugs among children of elementary schools in the Liberec Region. The main goal of the study is: determine the prevalence of addictive behavior on the Internet, determine the context of demographic data and determine the context of drug use. Finally describe risk factors affecting the addictive behavior. The basis for the work was the scientific literature and studies of this topic. The theoretical part describes the developmental phase of adolescence in relation to substance use and dependency behavior on the Internet, the most common Internet activities and addictive substances in children and the characteristics of addictive behavior on the Internet (including some previously conducted prevalence studies). At the end we present some results of studies that confirm the increased incidence of drug use in addicted individuals on the Internet. The practical part was supported by the research itself, dealt with the description of the methodology of work and the individual results of the research. To achieve the objectives of the research was used three research questions. The survey...
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Mapping and description of treatment interventions in Apolinar treatment facility with focus on metamphetamine users
Hetzerová, Lucie ; Gabrhelík, Roman (advisor) ; Vacek, Jaroslav (referee)
The aim of this work was to map the treatment interventions with woman ward block of the Clinic of addictology - Apolinář, with the focus on users of methamphetamine. The topic of this work was chosen based on the absence of researches with this issue. Literature dealing with this issue in our country is unfortunately sporadic and therefore based on the general literature on this topic. The representative number of patients with methamphetamine addiction wasn't ensured during the research. The permission by the Ethical Committee would be needed as well. Due to the time limitation the most effective way was to choose the employees of the Clinic of addictology - Apolinar, who have experience with these patients. The final research had 5 respondents. The research included the interviews with the employees and was supported also by analysis of documentation and observation of researcher during her internship. Based on the research it was found that methamphetamine-dependent patients are young, immature, creative and impulsive, with external motivation and dissocial behavior. These are mostly patients who have developed basic structures and patterns of life. Methamphetamine- dependent patients can also be aggressive, destructive and ruthless. They do not know the rules of proper conduct or common...
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