Notes

Backbone epidural abscess due to Aspergillus spp masquerading because vertebrae t . b within a individual using Aids.
Individuals at risk of marijuana and alcohol misuse, represented by young, Black mothers, reported the lowest rates of treatment receipt despite having past-year SUD, SPD, or both.

Although special attention needs to be paid to integrated care for those at risk of multiple substance misuse, additional efforts are required to increase substance abuse and mental health treatment among women at risk of marijuana and alcohol misuse.
Although special attention needs to be paid to integrated care for those at risk of multiple substance misuse, additional efforts are required to increase substance abuse and mental health treatment among women at risk of marijuana and alcohol misuse.
Sexual and gender minorities (SGM) are at increased risk for substance use and depression. However, little research has examined the directionality of associations between substance use and depression in this high-risk population, and we are not aware of any to parse associations between depression and changes in the frequency of substance use versus substance use cessation. Such research can help to inform the development of future interventions to address health disparities affecting SGM.

We used data from two longitudinal cohorts of SGM assigned male at birth (SGM-AMAB; N = 1,418) to examine associations between changes in frequency of alcohol, cannabis, and stimulant use and depressive symptoms. Multilevel models tested whether changes in substance use predicted changes in depressive symptoms and vice versa.

Results indicate that when SGM-AMAB decreased their alcohol use or ceased alcohol, cannabis, or stimulant use, they experienced concurrent decreases in depressive symptoms. Only reducing stimulaes with shorter lags may be better equipped to examine the directionality of the association between depressive symptoms and substance use/reduction.
This cross-sectional study evaluates the association between physical intimate partner violence (IPV) and frequencies of drinking and volume consumed in six different contexts among a sample of urban emergency department (ED) patients.

We obtained survey data from 1,037 married, cohabiting, or partnered patients (53% female; 50% Hispanic; 29% African American) at a Northern California safety-net hospital. Past-year physical IPV was measured with the Revised Conflict Tactics Scale. We asked patients about frequency of drinking and usual number of drinks consumed at bars, restaurants, homes of friends or relatives, own home, public places such as street corners or parking lots, and community centers or large events. Gender-stratified dose-response models were estimated for frequencies of IPV perpetration and victimization, with adjustment for sociodemographic and psychosocial factors, marijuana use, and spouse/partner problem drinking.

None of the women's context-based frequency and volume measures were associated with frequency of IPV victimization. Women's volume of alcohol consumed at home was associated positively with frequency of their IPV perpetration (β = .008, SE = .003, p < .01), and volume consumed in public places was associated negatively with this outcome (β = -.023, SE = .010, p < .05). DS-8201a Among men, none of the context-based frequency and volume measures were associated with frequency of either IPV outcome. Spouse/partner's problem drinking was associated with each gender's IPV victimization, and with IPV perpetration by men.

Frequency of drinking and volume consumed in specific contexts do not substantively contribute to frequency of IPV perpetration or victimization in this sample of urban ED patients.
Frequency of drinking and volume consumed in specific contexts do not substantively contribute to frequency of IPV perpetration or victimization in this sample of urban ED patients.
Prior research has suggested that drug use rates may be high at the U.S.-Mexico border, but in more recent research rates varied significantly between border communities. This study reports findings on the mediating influence of neighborhood-level variables on the observed difference in past-year drug use rates between two border sites and an interior site, focusing on Mexican Americans.

Data were analyzed from the U.S.-Mexico Study on Alcohol and Related Conditions (UMSARC) on 1,345 Mexican-origin respondents ages 18-40 from the border sites of Laredo and Brownsville/McAllen compared with the nonborder site of San Antonio, separately for men and women. Neighborhood-level variables (based on census tracts and block groups) included drug availability, neighborhood insecurity, crime victimization, crime witnessing, off-premise alcohol outlet density, on-premise alcohol outlet density, percentage crossing the border more than 100 times, neighborhood disadvantage, residential stability, and percentage of Whitorhood factors in reducing drug-related harm at the U.S.-Mexico border.
The harm caused to individuals because of the consumption of alcohol by others has been shown to be a significant problem in Europe. The current study investigates gender differences in the experience of alcohol's harm to others (AHTO), taking the victim-perpetrator relationship and social inequality (gender and income inequality) into account.

Data were obtained from the Standardized European Alcohol Survey in 2015, which comprised 28,182 individuals from 17 jurisdictions. AHTO was indicated by the experience of at least one harmful event in the past year because of another person's drinking. Multinomial logistic regression models were run to examine AHTO (a) by a known person's drinking, (b) by a stranger's drinking, and (c) by both a known person's and a stranger's drinking. Survey-weighted regressions were performed for gender, the Gender Inequality Index, and the Gini index, and the respective Gender × Inequality interactions.

Women were more likely than men to experience AHTO because of a known person's drinking, whereas men were at a higher risk of harm resulting from a stranger's drinking, or by both a known person's and a stranger's drinking. Independent of the victim-perpetrator relationship, AHTO was related to higher levels of gender and income inequality. With increasing income inequality, gender differences in the experience of harm because of a known person's drinking or a stranger's drinking declined as the risk of reporting the former among men and the latter among women increases more steeply than by the opposite gender.

As higher levels of AHTO were observed in jurisdictions with greater social inequality, reducing alcohol consumption and social inequalities should be key interventions in attempting to reduce AHTO in Europe.
As higher levels of AHTO were observed in jurisdictions with greater social inequality, reducing alcohol consumption and social inequalities should be key interventions in attempting to reduce AHTO in Europe.
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