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  1. Article ; Online: Threatening increase in alcohol consumption in physicians quarantined due to coronavirus outbreak in Poland: the ALCOVID survey.

    Silczuk, Andrzej

    Journal of public health (Oxford, England)

    2020  Volume 42, Issue 3, Page(s) 461–465

    Abstract: Background: The potential risks of increased alcohol use and of the development of alcohol dependence during COVID-19 pandemic were identified. So far there have been no studies concerning pandemic influence on alcohol consumption in medical ... ...

    Abstract Background: The potential risks of increased alcohol use and of the development of alcohol dependence during COVID-19 pandemic were identified. So far there have been no studies concerning pandemic influence on alcohol consumption in medical professionals in quarantine or isolation.
    Methods: The 12 point 'online' ALCOVID survey with a cover letter was designed and addressed to physicians, recruited online via accessible networks, who underwent isolation or quarantine during recent pandemic. The AUDIT-3 scale was included.
    Results: A representative trial of 113 physicians participated in the study. Over 53% of screened doctors revealed that the amounts of the consumed alcohol have escalated; almost 20% of subjects binged over seven standard drinks for one occasion. Close to every second used six or more drinks on one occasion. Over 40% used alcohol more than four times per week. Female used alcohol more often and more standard drinks per occasion. Male binged more. Anxiety and hopelessness were the most common motives to drink.
    Conclusions: Alcohol consumption in physicians in quarantine has threateningly increased. It is important to identify the group of people at the risk of problem drinking and dependence development, especially when it concerns key professional branches in the fight against the current crisis.
    MeSH term(s) Adult ; Alcohol Drinking/epidemiology ; Alcohol Drinking/psychology ; Anxiety/epidemiology ; Attitude of Health Personnel ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/psychology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Physicians/psychology ; Pneumonia, Viral/psychology ; Poland ; Quarantine/psychology ; SARS-CoV-2 ; Surveys and Questionnaires
    Keywords covid19
    Language English
    Publishing date 2020-07-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2142082-8
    ISSN 1741-3850 ; 1741-3842
    ISSN (online) 1741-3850
    ISSN 1741-3842
    DOI 10.1093/pubmed/fdaa110
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Problem internet use among children and adolescents from the general practitioner’s perspective

    Andrzej Silczuk

    Alcoholism and Drug Addiction, Vol 32, Iss 3, Pp 197-

    2019  Volume 210

    Abstract: Diagnosis of internet and new technology overuse by young people may, in general, contribute to a rather vague picture of “addiction”, and with it a sense of inadequacy as far as making effective therapeutic recommendations is concerned. Due to the lack ... ...

    Abstract Diagnosis of internet and new technology overuse by young people may, in general, contribute to a rather vague picture of “addiction”, and with it a sense of inadequacy as far as making effective therapeutic recommendations is concerned. Due to the lack of unambiguous recommendations on treatment, this paper provides a review of the state of knowledge about excessive involvement of children and adolescents in internet activity. Particular emphasis was placed on the critical revision of the available knowledge on so-called internet addiction and presenting utilitarian content for the daily paediatrician or family doctor’s clinical practice. The making of differential diagnosis can be difficult. In case of doubt, it is worth directing a young patient to a psychiatrist to exclude other than “addictive” grounds. It is worth taking into account the social (family – system) context of difficulties as therapeutic intervention is one of the main forms of treatment and may lead to recovery.
    Keywords children ; adolescents ; general practitioner ; family therapy ; internet addiction ; Medicine (General) ; R5-920 ; Social sciences (General) ; H1-99
    Subject code 360
    Language English
    Publishing date 2019-12-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Threatening increase in alcohol consumption in physicians quarantined due to coronavirus outbreak in Poland: the ALCOVID survey

    Silczuk, Andrzej

    J Public Health (Oxf)

    Abstract: BACKGROUND: The potential risks of increased alcohol use and of the development of alcohol dependence during COVID-19 pandemic were identified. So far there have been no studies concerning pandemic influence on alcohol consumption in medical ... ...

    Abstract BACKGROUND: The potential risks of increased alcohol use and of the development of alcohol dependence during COVID-19 pandemic were identified. So far there have been no studies concerning pandemic influence on alcohol consumption in medical professionals in quarantine or isolation. METHODS: The 12 point 'online' ALCOVID survey with a cover letter was designed and addressed to physicians, recruited online via accessible networks, who underwent isolation or quarantine during recent pandemic. The AUDIT-3 scale was included. RESULTS: A representative trial of 113 physicians participated in the study. Over 53% of screened doctors revealed that the amounts of the consumed alcohol have escalated; almost 20% of subjects binged over seven standard drinks for one occasion. Close to every second used six or more drinks on one occasion. Over 40% used alcohol more than four times per week. Female used alcohol more often and more standard drinks per occasion. Male binged more. Anxiety and hopelessness were the most common motives to drink. CONCLUSIONS: Alcohol consumption in physicians in quarantine has threateningly increased. It is important to identify the group of people at the risk of problem drinking and dependence development, especially when it concerns key professional branches in the fight against the current crisis.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #638056
    Database COVID19

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  4. Article ; Online: Threatening increase in alcohol consumption in physicians quarantined due to coronavirus outbreak in Poland

    Silczuk, Andrzej

    Journal of Public Health

    the ALCOVID survey

    2020  Volume 42, Issue 3, Page(s) 461–465

    Abstract: ABSTRACT Background The potential risks of increased alcohol use and of the development of alcohol dependence during COVID-19 pandemic were identified. So far there have been no studies concerning pandemic influence on alcohol consumption in medical ... ...

    Abstract ABSTRACT Background The potential risks of increased alcohol use and of the development of alcohol dependence during COVID-19 pandemic were identified. So far there have been no studies concerning pandemic influence on alcohol consumption in medical professionals in quarantine or isolation. Methods The 12 point ‘online’ ALCOVID survey with a cover letter was designed and addressed to physicians, recruited online via accessible networks, who underwent isolation or quarantine during recent pandemic. The AUDIT-3 scale was included. Results A representative trial of 113 physicians participated in the study. Over 53% of screened doctors revealed that the amounts of the consumed alcohol have escalated; almost 20% of subjects binged over seven standard drinks for one occasion. Close to every second used six or more drinks on one occasion. Over 40% used alcohol more than four times per week. Female used alcohol more often and more standard drinks per occasion. Male binged more. Anxiety and hopelessness were the most common motives to drink. Conclusions Alcohol consumption in physicians in quarantine has threateningly increased. It is important to identify the group of people at the risk of problem drinking and dependence development, especially when it concerns key professional branches in the fight against the current crisis.
    Keywords Public Health, Environmental and Occupational Health ; General Medicine ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2142082-8
    ISSN 1741-3842
    ISSN 1741-3842
    DOI 10.1093/pubmed/fdaa110
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Exploring the Link Between Attention-Deficit Hyperactivity Disorder and Cannabis Use Disorders: A Review.

    Gujska, Julia Helena / Silczuk, Andrzej / Madejek, Robert / Szulc, Agata

    Medical science monitor : international medical journal of experimental and clinical research

    2023  Volume 29, Page(s) e939749

    Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children and adults. In the substance use disorders (SUDs) population, ADHD prevalence reaches 23.1%, leading to more severe substance abuse progression and ... ...

    Abstract Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder in children and adults. In the substance use disorders (SUDs) population, ADHD prevalence reaches 23.1%, leading to more severe substance abuse progression and reduced treatment effectiveness. Cannabis is the most common illicit drug used among the ADHD population. The increasing popularity of medical marijuana (MM) has raised concerns about its potential impact on neurocognitive functions, particularly in adolescents. Persistent cannabis use can cause permanent changes in brain structures and circuits. This review aims to overview the comorbidity of ADHD and SUDs, focusing on cannabis use disorders. Theoretical models of the etiologies of ADHD and SUDs were investigated to establish a framework for analyzing their underlying neurocognitive mechanisms. The reward and motivational brain circuitries involving the default-mode network and the endocannabinoid system were emphasized. The high prevalence of SUDs in the ADHD population has ramifications, including earlier age of onset, self-medication, and reduced performance in various domains. Cannabis use disorders are particularly significant due to the increasingly widespread use of cannabis and its perceived safety. The review highlights the lack of theoretical background on the therapeutic properties of medicinal cannabis, criticizing its speculated applications in the ADHD population. This article reviews the current understanding of the association between ADHD and cannabis use, emphasizing the need for further research and a cautious approach to MM's potential therapeutic applications.
    MeSH term(s) Adult ; Adolescent ; Child ; Humans ; Attention Deficit Disorder with Hyperactivity/epidemiology ; Attention Deficit Disorder with Hyperactivity/psychology ; Marijuana Abuse/complications ; Marijuana Abuse/epidemiology ; Substance-Related Disorders/psychology ; Brain ; Comorbidity
    Language English
    Publishing date 2023-05-06
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1439041-3
    ISSN 1643-3750 ; 1234-1010
    ISSN (online) 1643-3750
    ISSN 1234-1010
    DOI 10.12659/MSM.939749
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Construct of Medical and Non-Medical Marijuana-Critical Review.

    Silczuk, Andrzej / Smułek, Daria / Kołodziej, Marcin / Gujska, Julia

    International journal of environmental research and public health

    2022  Volume 19, Issue 5

    Abstract: The rising popularity of medical marijuana and its potential therapeutic uses has resulted in passionate discussions that have mainly focused on its possible benefits and applications. Although the concept itself seems promising, the multitude of ... ...

    Abstract The rising popularity of medical marijuana and its potential therapeutic uses has resulted in passionate discussions that have mainly focused on its possible benefits and applications. Although the concept itself seems promising, the multitude of presented information has noticeable ramifications-terminological chaos being one. This work aimed to synthesize and critically analyze scientific evidence on the therapeutic uses of cannabinoids in the field of psychiatry. Emphasis was placed on the anxiolytic effects of cannabis constituents and their effects on post-traumatic stress disorder, anxiety disorders, schizophrenia spectrum, and other psychotic disorders. The review was carried out from an addictological perspective. A database search of interchangeably combined keywords resulted in the identification of subject-related records. The data were then analyzed in terms of relevance, contents, methodologies, and cited papers. The results were clear in supporting one common conclusion: while most findings provide support for beneficial applications of medical marijuana in psychiatry, no certain conclusions can be drawn until larger-scaled, more methodologically rigorous, and (preferably) controlled randomized trials verify these discoveries.
    MeSH term(s) Anxiety Disorders/drug therapy ; Cannabinoids/therapeutic use ; Cannabis ; Humans ; Medical Marijuana/therapeutic use ; Stress Disorders, Post-Traumatic
    Chemical Substances Cannabinoids ; Medical Marijuana
    Language English
    Publishing date 2022-02-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19052769
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Alcohol Policies Affect Drinking Patterns-A Potentially New and Harmful Drinking Pattern in Consumers of Small Vodka Bottles (SVB) in Poland.

    Silczuk, Andrzej / Mańczak, Małgorzata / Owoc, Jakub

    International journal of environmental research and public health

    2022  Volume 19, Issue 24

    Abstract: Drinking alcohol has a vast and diverse impact on many aspects of people's lives around the world. It is a major public health concern and is subject to numerous legal regulations and limitations. So far, little attention has been paid to if and how the ... ...

    Abstract Drinking alcohol has a vast and diverse impact on many aspects of people's lives around the world. It is a major public health concern and is subject to numerous legal regulations and limitations. So far, little attention has been paid to if and how the volume of alcohol containers may affect drinking patterns. The widespread availability in recent years in Poland of small vodka bottles in various flavors and sizes was the rationale behind investigating whether the phenomenon may affect drinking patterns in any way. This was a 12-month cross-sectional survey study that started in January 2020. It included a total of 217 inpatients and outpatients that met the ICD-10 alcohol dependence criteria. The respondents were asked about their drinking habits and the use of small vodka bottles. It was found that respondents who regularly use small vodka bottles were much more likely to start their drinking early in the morning. The widespread availability and selection of small vodka bottles may encourage and facilitate drinking that starts early in the morning. It also makes it easier to maintain and control intoxication throughout the whole day, which could be considered another drinking pattern different from the other well-established ones, such as binge or continuous drinking. However, the design of this study makes it impossible to draw firm conclusions and further research is necessary.
    Language English
    Publishing date 2022-12-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192417047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Alcohol-induced thrombocytopenia: Current review.

    Silczuk, Andrzej / Habrat, Bogusław

    Alcohol (Fayetteville, N.Y.)

    2020  Volume 86, Page(s) 9–16

    Abstract: Thrombocytopenia is a decrease in the platelet count below 150,000 in a microliter of blood, i.e., below the lower limit of the reference range, which is 150,000-400,000/μL. The phenomenon of thrombocytopenia related to heavy drinking began to arouse ... ...

    Abstract Thrombocytopenia is a decrease in the platelet count below 150,000 in a microliter of blood, i.e., below the lower limit of the reference range, which is 150,000-400,000/μL. The phenomenon of thrombocytopenia related to heavy drinking began to arouse interest in the 1960s and 1970s. It was initially described in case reports and clinical studies on small groups. In the following years, the phenomenon itself and the significance of alcohol-induced thrombocytopenia was studied. Many methodological difficulties inhibiting objective conclusions from research were encountered. Model pathological mechanisms of alcohol thrombocytopenia and the effects of alcohol on the structure and function of platelets were described. Furthermore, the phenomenon of rapid normalization of the number of platelets in people who stopped drinking was described. Relationships between alcohol use, its intensity and occurrence, and intensity of thrombocytopenia have been demonstrated. Predictive platelet counts for alcohol withdrawal syndrome complications have been proven and calculated. The risk of occurrence of withdrawal seizures or delirium tremens in alcohol withdrawal syndrome increases significantly when the platelet count is less than 119,000/μL. The knowledge of the nature of the phenomenon of alcohol-induced thrombocytopenia in a clinical environment allows decisions that are more rational. The attention of clinicians should be drawn to the importance of results of blood tests routinely collected on admission.
    MeSH term(s) Alcohol Withdrawal Delirium/complications ; Alcohol Withdrawal Seizures/complications ; Alcoholism/complications ; Humans ; Risk Factors ; Thrombocytopenia/epidemiology ; Thrombocytopenia/etiology
    Language English
    Publishing date 2020-04-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605912-0
    ISSN 1873-6823 ; 0741-8329
    ISSN (online) 1873-6823
    ISSN 0741-8329
    DOI 10.1016/j.alcohol.2020.02.166
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: New regulations regarding e-prescriptions may increase the risk of acute withdrawal syndromes in patients dependent on benzodiazepines or non-benzodiazepine hypnotics.

    Silczuk, Andrzej / Heitzman, Janusz Piotr

    Psychiatria polska

    2020  Volume 54, Issue 2, Page(s) 351–358

    Abstract: The implementation of solutions in the area of e-health and use of electronically issued prescription obligations meets the modern requirements of the healthcare system. Adigital record of theissued prescriptions aims atpreventing prescriptions from ... ...

    Title translation Nowe regulacje prawne dotyczące elektronicznego wystawiania i ewidencjonowania recept mogą zwiększyć ryzyko wystąpienia ostrych zespołów odstawiennych u pacjentów uzależnionych od benzodiazepin lub niebenzodiazepinowych leków nasennych.
    Abstract The implementation of solutions in the area of e-health and use of electronically issued prescription obligations meets the modern requirements of the healthcare system. Adigital record of theissued prescriptions aims atpreventing prescriptions from being traded without a physician's name in patient medical records. Access to the system may in turn reveal doctors' bad practices, and fear of the professional and legal consequences may force achange in the prescription of benzodiazepines or non-benzodiazepine hypnotics. The effect of these activities may be the disclosure of many cases of 'hidden' dependence and adverse phenomena and increase in the number of effects of cases of sudden dose reduction or discontinuation of benzodiazepines or non-benzodiazepine hypnotics. It is recommended to develop integrated, central information and train Emergency Department staff. Awareness of the phenomenon and appropriate diagnostic and therapeutic procedures can significantly increase the chance of improving the quality and safety of services provided in the acute intervention mode (Emergency Department). Arational solution may be to urgently develop standards of conduct in cases of acute withdrawal syndromes from benzodiazepines or non-benzodiazepine hypnotics. Itseems reasonable to introduce preventative programs enabling early recognition and treatment of cases where large and very large doses of drugs have been taken (high dose tolerance). Under no circumstances should medication be stopped abruptly. An information campaign, raising awareness also among the personnel of psychiatric wards, may increase the chances of systemic preparation for admission of the currently unknown population of patients at risk.
    MeSH term(s) Benzodiazepines/adverse effects ; Benzodiazepines/therapeutic use ; Female ; Humans ; Hypnotics and Sedatives/adverse effects ; Hypnotics and Sedatives/therapeutic use ; Male ; Practice Guidelines as Topic/standards ; Severity of Illness Index ; Substance Withdrawal Syndrome/drug therapy ; Substance Withdrawal Syndrome/etiology
    Chemical Substances Hypnotics and Sedatives ; Benzodiazepines (12794-10-4)
    Language Polish
    Publishing date 2020-04-30
    Publishing country Poland
    Document type Journal Article ; Review
    ZDB-ID 415518-x
    ISSN 2391-5854 ; 0033-2674
    ISSN (online) 2391-5854
    ISSN 0033-2674
    DOI 10.12740/PP/115555
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Manganese Encephalopathy Caused by Homemade Methcathinone (Ephedrone) Prevalence in Poland.

    Habrat, Bogusław / Silczuk, Andrzej / Klimkiewicz, Anna

    Nutrients

    2021  Volume 13, Issue 10

    Abstract: Manganese encephalopathy is a known disorder in occupational medicine. A serious phenomenon has been the emergence of manganese encephalopathy in intravenous users of homemade methcathinone (ephedrone). A short survey was developed for clinical ... ...

    Abstract Manganese encephalopathy is a known disorder in occupational medicine. A serious phenomenon has been the emergence of manganese encephalopathy in intravenous users of homemade methcathinone (ephedrone). A short survey was developed for clinical environments dealing with people who use psychoactive substances. The data were obtained from 72 rehabilitation therapy centers. Surveys carried out in about a third of Polish centers dealing with providing medical assistance to people addicted to substances other than alcohol and tobacco have shown that over 4% of people treated there had symptoms of manganese encephalopathy, of which more than half are people in whom the probability of a clinical diagnosis of this disorder is significant. It has been shown that knowledge of manganese encephalopathy is none or minimal in more than 70% of the surveyed institutions. An urgent need for personnel training in this field was pointed out. Attention was paid to the importance of disseminating good review articles on new and dynamically developing problem phenomena.
    MeSH term(s) Brain Diseases/chemically induced ; Brain Diseases/epidemiology ; Humans ; Manganese Poisoning/epidemiology ; Manganese Poisoning/etiology ; Poland/epidemiology ; Prevalence ; Propiophenones ; Substance Abuse, Intravenous/complications ; Substance Abuse, Intravenous/epidemiology
    Chemical Substances Propiophenones ; monomethylpropion (386QA522QG)
    Language English
    Publishing date 2021-10-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu13103496
    Database MEDical Literature Analysis and Retrieval System OnLINE

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