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1.
Cogn Process ; 2024 May 10.
Article in English | MEDLINE | ID: mdl-38727942

ABSTRACT

Despite their widespread use during the COVID-19 pandemic, face masks hinder abilities to interpret facial expressions. Yet, they can also reduce the appearance of characteristics that are used to categorize individuals into racial groups, such as Afrocentric features. The color of a face mask might also promote associations with certain types of behavior and professional occupations (e.g., blue surgical mask connoting physician stereotypes; black masks potentially being associated with criminality). This study assessed whether the presence and color of a face mask impacted perceptions of a target male of varying race. White participants (N = 250) were presented with an African American or White male adult face from the Chicago Face Database (of equal age and attractiveness) wearing a blue or black surgical mask, or no mask (Photoshopped onto the face) and rated the man on emotions (happy, sad, angry) as well as how trustworthy, threatening, and attractive the target appeared. Targets wearing a blue surgical mask were judged as more trustworthy and attractive than those wearing no mask (perhaps due to association with medical professions), but these judgements were not qualified by race, despite the African American target's selection based on Afrocentric features. The color black on a face mask did not exacerbate negative perceptions of targets, perhaps suggesting a decline effect in previously demonstrated associations between this color and criminal actions. Unlike previous research performed at the beginning of the Covid-19 Pandemic on cloth masks shown to potentially exacerbate racial biases, surgical masks (pleated and made of polymeric materials), appear to lessen potential stereotyping of Black relative to White men.

2.
Drug Alcohol Depend ; 249: 109950, 2023 Aug 01.
Article in English | MEDLINE | ID: mdl-37301068

ABSTRACT

BACKGROUND AND AIMS: Identifying modifiable neuropsychological factors associated with more severe CUD could improve CUD treatment. Impairments in processing of non-drug rewards may be one such factor. This study assessed the relationship between reward functioning and cocaine use severity using multi-modal measures of three distinct reward functions: consummatory reward (pleasure or "liking"); motivational reward ("wanting") and reward learning. METHODS: Fifty-three adults with at least moderate CUD completed self-report and behavioral measures of consummatory reward, motivational reward and reward learning, and a composite cocaine use severity measure including quantity, frequency and life impacts of cocaine use. We conducted parallel Frequentist and Bayesian multiple regressions with measures of reward functioning as predictors of cocaine use severity. RESULTS: Less self-reported ability to experience pleasure, a hypothesized measure of consummatory reward, significantly predicted greater severity after adjustment for covariates and multiple hypothesis testing, ß = 0.39, t(38) = 2.86, p = 0.007. Bayesian analyses confirmed a highly likely association between severity and ability to experience pleasure, and provided moderate evidence for associations with willingness to exert effort and reward learning. CONCLUSIONS: Our results suggest that less experience of subjective pleasure is related to greater cocaine use severity. This cross-sectional study cannot establish whether differences in consummatory reward are pre-existing, a result of CUD, or both. However, these results suggest interventions focused on increasing subjective pleasure, such as mindful "savoring", should be investigated for CUD.


Subject(s)
Cocaine-Related Disorders , Cocaine , Adult , Humans , Cross-Sectional Studies , Bayes Theorem , Motivation , Pleasure , Reward , Cocaine/adverse effects , Anhedonia
3.
Contemp Clin Trials Commun ; 29: 100995, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36105265

ABSTRACT

Pain is known to reduce hemodialysis treatment adherence, reduce quality of life, and increase mortality. The absence of effective strategies to treat pain without medications has contributed to poor health outcomes for people with end-stage kidney disease (ESKD) on hemodialysis. It is now recognized that symbiotic microbiota in the gut play a critical role in health and disease, and new evidence sheds light on the role of the microbiome in chronic pain. The pilot study protocol presented here (BIOME-HDp) employs a longitudinal repeated measures design to interrogate the effects of a nonpharmacological pain intervention on the composition and function of the gut microbiome and circulating metabolites. This pilot study is an ancillary study of the HOPE Consortium Trial to reduce pain and opioid use in hemodialysis, which is part of the NIH's Helping to End Addiction Long-term (HEAL) initiative. The BIOME-HDp pilot study will establish clinical microbiome research methods and determine the acceptability and feasibility of fecal microbiome and serum metabolite sample collection.

5.
J Sex Marital Ther ; 45(4): 328-338, 2019.
Article in English | MEDLINE | ID: mdl-30595102

ABSTRACT

Men with penis appearance concerns are more likely to experience sexual dysfunction, but the processes underlying this association are unknown. This study investigated whether spectatoring (i.e., negative self-directed attentional focus during sex) mediates the association between penis appearance concerns and sexual dysfunction. Men in romantic relationships (N = 512, in predominantly mixed-gender relationships) reported on sex they had with their partner in the previous month. Indirect effects indicated that penis appearance concerns predicted greater spectatoring, and in turn predicted greater erectile and orgasmic dysfunction. Results suggest that spectatoring is a conduit through which penis appearance concerns impede sexual function.


Subject(s)
Coitus/psychology , Penis , Sexual Dysfunction, Physiological/psychology , Sexual Dysfunctions, Psychological/psychology , Sexual Partners/psychology , Adult , Humans , Male , Middle Aged , Personal Satisfaction , Pleasure , Young Adult
6.
Evol Psychol ; 16(1): 1474704918757551, 2018.
Article in English | MEDLINE | ID: mdl-29478337

ABSTRACT

Sperm competition theory can be used to generate the hypothesis that men alter the quality of their ejaculates as a function of sperm competition risk. Using a repeated measures experimental design, we investigated whether men produce a higher quality ejaculate when primed with cues to sperm competition (i.e., imagined partner infidelity) relative to a control prime. Men ( n = 45) submitted two masturbatory ejaculates-one ejaculate sample for each condition (i.e., sperm competition and control conditions). Ejaculates were assessed on 17 clinical parameters. The results did not support the hypothesis: Men did not produce higher quality ejaculates in the sperm competition condition relative to the control condition. Despite the null results of the current research, there is evidence for psychological and physiological adaptations to sperm competition in humans. We discuss methodological limitations that may have produced the null results and present methodological suggestions for research on human sperm competition.


Subject(s)
Ejaculation/physiology , Sexual Behavior/physiology , Sexual Partners/psychology , Adolescent , Adult , Humans , Male , Sexual Behavior/psychology , Sperm Count , Young Adult
7.
PLoS One ; 12(12): e0189636, 2017.
Article in English | MEDLINE | ID: mdl-29240810

ABSTRACT

New England has lost more than 350,000 ha of forest cover since 1985, marking a reversal of a two-hundred-year trend of forest expansion. We a cellular land-cover change model to project a continuation of recent trends (1990-2010) in forest loss across six New England states from 2010 to 2060. Recent trends were estimated using a continuous change detection algorithm applied to twenty years of Landsat images. We addressed three questions: (1) What would be the consequences of a continuation of the recent trends in terms of changes to New England's forest cover mosaic? (2) What social and biophysical attributes are most strongly associated with recent trends in forest loss, and how do these vary geographically? (3) How sensitive are projections of forest loss to the reference period-i.e. how do projections based on the period spanning 1990-to-2000 differ from 2000-to-2010, or from the full period, 1990-to-2010? Over the full reference period, 8201 ha yr-1 and 468 ha yr-1 of forest were lost to low- and high-density development, respectively. Forest loss was concentrated in suburban areas, particularly near Boston. Of the variables considered, 'distance to developed land' was the strongest predictor of forest loss. The next most important predictor varied geographically: 'distance to roads' ranked second in the more developed regions in the south and 'population density' ranked second in the less developed north. The importance and geographical variation in predictor variables were relatively stable between reference periods. In contrast, there was 55% more forest loss during the 1990-to-2000 reference period compared to the 2000-to-2010 period, highlighting the importance of understanding the variation in reference periods when projecting land cover change. The projection of recent trends is an important baseline scenario with implications for the management of forest ecosystems and the services they provide.


Subject(s)
Conservation of Natural Resources/methods , Ecosystem , Environmental Monitoring/methods , Forests , Conservation of Natural Resources/trends , History, 20th Century , History, 21st Century , New England
8.
High Alt Med Biol ; 18(4): 425-427, 2017 12.
Article in English | MEDLINE | ID: mdl-28910201

ABSTRACT

Baniya, Santosh, Christopher Holden, and Buddha Basnyat. Reentry high altitude pulmonary edema in the Himalayas. High Alt Med Biol. 18:425-427, 2017.-Reentry high altitude pulmonary edema (HAPE), a subset of HAPE, is a well recognized, life-threatening illness documented almost exclusively in the North and South Americans, who live at high altitude (>2500 m) and return to their homes after a brief sojourn of days to months at lower altitude. This phenomenon has not been reported in Sherpas or other people of Tibetan origin in Nepal or India. And it has rarely been reported from Tibet. In this study we document a case of reentry HAPE in Manang region (3500 m) of Nepal in a 7-year-old Nepali boy of Tibetan ancestry who fell ill when he ascended to his village (Manang, 3500 m) from Besisahar (760 m) in 1 day in a motor vehicle after spending the winter (December to March) at Besisahar with his family. With more motorable road access to high altitude settlements in the Himalayas, reentry HAPE may need to be strongly considered by healthcare professionals in local residents of high altitude; otherwise life-threatening complications may ensue as in our case report.


Subject(s)
Altitude Sickness/diagnostic imaging , Altitude Sickness/etiology , Altitude , Hypertension, Pulmonary/diagnostic imaging , Hypertension, Pulmonary/etiology , Child , Humans , Male , Nepal , Radiography, Thoracic
9.
Eur J Psychol ; 12(3): 320-37, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27547251

ABSTRACT

The present study examined the relationships between four personality traits, humor styles, and happiness. Replicating previous research, happiness was positively correlated with four personality traits: extraversion, locus of control, self-esteem, and optimism. Further, happiness positively related to self-enhancing and affiliative humor styles; it related negatively to self-defeating and aggressive humor styles. Thus, happy people habitually engage in positive uses of humor and avoid engaging in negative uses of humor in daily life. We also found support for our hypothesis. People high in extraversion, locus of control, self-esteem, and optimism are happier because they engage in positive humor in daily life.

11.
Aggress Behav ; 42(1): 3-15, 2016.
Article in English | MEDLINE | ID: mdl-26208081

ABSTRACT

The purpose of the present study was to extend previous knowledge concerning the link between self-esteem and aggression by examining the mediating role of emotion dysregulation among offenders and community participants. A sample of 153 incarcerated violent offenders and a community sample of 197 individuals completed self-report measures of self-esteem level, emotion dysregulation, and trait aggression. Offenders reported lower levels of self-esteem than community participants, as well as greater levels of emotional nonacceptance and hostility. Bootstrapping analyses were performed to test whether emotion dysregulation mediated the association between self-esteem level and aggression. In the offender sample, mediation models were significant for three of the four aspects of trait aggression that were considered. Emotion dysregulation fully mediated the links that low self-esteem had with physical aggression, anger, and hostility. The same pattern (with the addition of full mediation for verbal aggression) was confirmed in the community sample. Our findings suggest that emotion dysregulation may play an important role in the connection between low self-esteem and aggression. Alternative models of the associations among these variables were tested and discussed. As a whole, the present results are consistent with those of other studies and suggest that it may be beneficial to include emotion regulation modules as part of prevention and treatment programs for violent offenders.


Subject(s)
Aggression/psychology , Emotions/physiology , Self Concept , Adult , Criminals/psychology , Humans , Impulsive Behavior/physiology , Male , Middle Aged
12.
PLoS One ; 10(8): e0136237, 2015.
Article in English | MEDLINE | ID: mdl-26302444

ABSTRACT

Urban areas are expanding, changing the structure and productivity of landscapes. While some urban areas have been shown to hold substantial biomass, the productivity of these systems is largely unknown. We assessed how conversion from forest to urban land uses affected both biomass structure and productivity across eastern Massachusetts. We found that urban land uses held less than half the biomass of adjacent forest expanses with a plot level mean biomass density of 33.5 ± 8.0 Mg C ha(-1). As the intensity of urban development increased, the canopy cover, stem density, and biomass decreased. Analysis of Quercus rubra tree cores showed that tree-level basal area increment nearly doubled following development, increasing from 17.1 ± 3.0 to 35.8 ± 4.7 cm(2) yr(-1). Scaling the observed stem densities and growth rates within developed areas suggests an aboveground biomass growth rate of 1.8 ± 0.4 Mg C ha(-1) yr(-1), a growth rate comparable to nearby, intact forests. The contrasting high growth rates and lower biomass pools within urban areas suggest a highly dynamic ecosystem with rapid turnover. As global urban extent continues to grow, cities consider climate mitigation options, and as the verification of net greenhouse gas emissions emerges as critical for policy, quantifying the role of urban vegetation in regional-to-global carbon budgets will become ever more important.


Subject(s)
Ecosystem , Forests , Trees/growth & development , Urban Renewal , Carbon/metabolism , Environmental Monitoring , Humans , Massachusetts
13.
Pers Soc Psychol Bull ; 41(2): 183-98, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25416044

ABSTRACT

Relatively few studies have focused on the connections between self-esteem and basic personality dimensions. The purpose of the present studies was to examine whether self-esteem level and self-esteem instability were associated with the Big Five personality dimensions and whether self-esteem instability moderated the associations that self-esteem level had with these personality features. This was accomplished by conducting a series of studies that included samples from the United States, Israel, and China. Across these studies, self-esteem level was associated with high levels of extraversion, emotional stability, agreeableness, conscientiousness, and openness, whereas self-esteem instability was associated with low levels of emotional stability, agreeableness, and conscientiousness. Individuals with stable high self-esteem reported the highest levels of emotional stability, agreeableness, and conscientiousness, whereas those with stable low self-esteem had the lowest levels of openness. The results of these studies suggest that feelings of self-worth are associated with self-reported and perceived personality features.


Subject(s)
Emotions , Personality , Self Concept , Adult , China , Cross-Cultural Comparison , Female , Humans , Israel , Male , Personality Assessment , United States , Young Adult
14.
Arch Sex Behav ; 44(6): 1723-8, 2015 Aug.
Article in English | MEDLINE | ID: mdl-25239660

ABSTRACT

Men perform oral sex on their romantic partner as part of a broader benefit-provisioning mate retention strategy and men higher in Agreeableness are especially likely to provision their partner with benefits. The current research explored whether men's benefit-provisioning mate retention behavior mediated the relationship between their Agreeableness and their oral sex behaviors in their long-term romantic relationship. Men (n = 346) in a committed, sexual, heterosexual relationship completed the Mate Retention Inventory-a 104-item instrument that assesses the frequency with which they performed various mate retention behaviors during the past month, a 40-item personality inventory, and reported on a questionnaire their interest in and the time they spent performing oral sex on their romantic partner during their most recent sexual encounter with her. The results indicated that men higher in Agreeableness reported greater interest in and spent more time performing oral sex on their partner, and that their benefit-provisioning mate retention behaviors partially mediated these relationships. The current research is the first to investigate the relationship between personality dimensions and oral sex behaviors and adds to a growing body of research documenting that mate retention strategies influence sexual behavior.


Subject(s)
Heterosexuality/psychology , Interpersonal Relations , Personal Satisfaction , Personality , Sexual Behavior/psychology , Sexual Partners/psychology , Adult , Female , Heterosexuality/statistics & numerical data , Humans , Male , Motivation , Personality Inventory , Sexual Behavior/statistics & numerical data , Surveys and Questionnaires , Young Adult
15.
Evol Psychol ; 12(3): 655-72, 2014 Jun 23.
Article in English | MEDLINE | ID: mdl-25299998

ABSTRACT

Men sometimes enact mate retention tactics to thwart a partner's infidelity or prevent their defection from the relationship. These tactics include low-risk acts that render the current relationship more attractive by bestowing benefits on the woman, as well as cost-inflicting acts that render defection from the relationship risky or dangerous for her. Previous research has linked men's mate retention behavior with men's mate value (value as a current or potential partner) using women's reports. The current research addresses limitations of that research using self-reports and cross-spousal reports from 107 married couples concerning their self-esteem and their esteem for their partner. The results indicate that the level of esteem that wives have for their husbands is positively associated with their perception of their husband's use of positive inducements and negatively associated with their husband's self-reported use of cost-inflicting mate retention behaviors (i.e., Direct Guarding, Intersexual Negative Inducements, and Intrasexual Negative Inducements). The level of self-esteem reported by men was negatively associated with their self-reported direct guarding behavior. Discussion explores the possibility that esteem-both self-esteem and esteem from one's partner-functions as an internal gauge of relative mate value.


Subject(s)
Interpersonal Relations , Self Concept , Sexual Behavior/psychology , Spouses/psychology , Adult , Humans , Male , Young Adult
16.
J Comp Psychol ; 128(3): 328-31, 2014 Aug.
Article in English | MEDLINE | ID: mdl-25133467

ABSTRACT

Nonhuman males attend to the number of potential sexual rivals in the local environment to assess sperm competition risk. Males of these species sometimes perform more frequent in-pair copulations to increase the likelihood of success in sperm competition. Here, we extend this research to humans, Homo sapiens. We secured self-report data from 393 men in a committed, sexual, heterosexual relationship. The results indicate that men whose in-pair partner has more male coworkers and friends (i.e., potential sexual rivals) also perform more frequent in-pair copulations, but only among men who perceive their partner to be particularly attractive relative to assessments of partners by other men in the sample. This research is the first to empirically investigate the number of potential male rivals in the local environment as a cue to sperm competition risk in humans. Discussion addresses limitations of the current research and highlights directions for future research.


Subject(s)
Beauty , Coitus/physiology , Competitive Behavior/physiology , Heterosexuality/psychology , Interpersonal Relations , Sexual Partners/psychology , Adult , Humans , Male , Young Adult
17.
ACS Nano ; 6(9): 7595-606, 2012 Sep 25.
Article in English | MEDLINE | ID: mdl-22876910

ABSTRACT

We report a novel hybrid polyamidoamine (PAMAM) dendrimer hydrogel/poly(lactic-co-glycolic acid) (PLGA) nanoparticle platform (HDNP) for codelivery of two antiglaucoma drugs, brimonidine and timolol maleate. This platform was not cytotoxic to human corneal epithelial cells. Cellular uptake of Nile red-encapsulating PLGA nanoparticles was significantly increased by dendrimer hydrogel. A prolonged residence time of nanoparticles was demonstrated through investigation of FluoSpheres loaded into dendrimer hydrogel. Both brimonidine and timolol maleate were slowly released in vitro over a period of 28-35 days. Following topical administration of one eye drop (30 µL of 0.7% w/v brimonidine and 3.5% w/v timolol maleate) in normotensive adult Dutch-belted male rabbits, the HDNP formulation resulted in a sustained and effective IOP reduction (18% or higher) for 4 days. Furthermore, the HDNP maintained significantly higher concentrations of brimonidine in aqueous humor and cornea as well as timolol maleate in the aqueous humor, cornea, and conjunctiva up to 7 days as compared to saline, DH, and PLGA nanoparticle dosage forms, without inducing ocular inflammation or discomfort. Histological analysis of the cornea and conjunctiva did not reveal any morphological or structural changes. Our work demonstrated that this new platform is capable of enhancing drug bioavailability and sustaining effective IOP reduction over an extended period of time. This newly developed platform can greatly reduce dosing frequency of topical formulations, thus, improving long-term patient compliance and reducing enormous societal and economic costs. Given its high structural adaptability, many other chronic ocular diseases would benefit from long-lasting drug delivery of this new platform.


Subject(s)
Antihypertensive Agents/administration & dosage , Delayed-Action Preparations/administration & dosage , Dendrimers/chemistry , Intraocular Pressure/drug effects , Lactic Acid/chemistry , Nanocapsules/administration & dosage , Nanocapsules/chemistry , Polyglycolic Acid/chemistry , Administration, Topical , Animals , Hydrogels/chemistry , Materials Testing , Nanocapsules/ultrastructure , Particle Size , Polylactic Acid-Polyglycolic Acid Copolymer , Rabbits , Treatment Outcome
18.
Nanomedicine ; 8(5): 776-83, 2012 Jul.
Article in English | MEDLINE | ID: mdl-21930109

ABSTRACT

Dendrimer hydrogel (DH), made from ultraviolet-cured polyamidoamine dendrimer G3.0 tethered with three polyethylene glycol (PEG, 12,000 Da)-acrylate chains (8.1% w/v) in pH 7.4 phosphate buffered saline (PBS), was studied for the delivery of brimonidine (0.1% w/v) and timolol maleate (0.5% w/v), two antiglaucoma drugs. DH was found to be mucoadhesive to mucin particles and nontoxic to human corneal epithelial cells. DH increased the PBS solubility of brimonidine by 77.6% and sustained the in vitro release of both drugs over 56-72 hours. As compared to eye drop formulations (PBS-drug solutions), DH brought about substantially higher human corneal epithelial cells uptake and significantly increased bovine corneal transport for both drugs. DH increased timolol maleate uptake in bovine corneal epithelium, stroma, and endothelium by 0.4- to 4.6-fold. This work demonstrated that DH can enhance the delivery of antiglaucoma drugs in multiple aspects and represents a novel platform for ocular drug delivery. FROM THE CLINICAL EDITOR: Dendrimer hydrogel was studied as agent for simultaneous delivery of two anti-glaucoma drugs, one hydrophobic and one hydrophilic. Superiority over standard PBS-based formulation was clearly demonstrated for both drugs. The work may be a novel platform for ocular drug delivery.


Subject(s)
Dendrimers/pharmacology , Drug Combinations , Glaucoma/drug therapy , Hydrogel, Polyethylene Glycol Dimethacrylate/pharmacology , Quinoxalines/pharmacology , Timolol/pharmacokinetics , Animals , Brimonidine Tartrate , Cattle , Cell Line , Drug Delivery Systems , Epithelium, Corneal/cytology , Epithelium, Corneal/drug effects , Humans , Ophthalmic Solutions/administration & dosage , Ophthalmic Solutions/chemistry
19.
Int J Nanomedicine ; 5: 25-36, 2010 Feb 02.
Article in English | MEDLINE | ID: mdl-20161985

ABSTRACT

Tumors frequently contain hypoxic regions that result from a shortage of oxygen due to poorly organized tumor vasculature. Cancer cells in these areas are resistant to radiation- and chemotherapy, limiting the treatment efficacy. Macrophages have inherent hypoxia-targeting ability and hold great advantages for targeted delivery of anticancer therapeutics to cancer cells in hypoxic areas. However, most anticancer drugs cannot be directly loaded into macrophages because of their toxicity. In this work, we designed a novel drug delivery vehicle by hybridizing macrophages with nanoparticles through cell surface modification. Nanoparticles immobilized on the cell surface provide numerous new sites for anticancer drug loading, hence potentially minimizing the toxic effect of anticancer drugs on the viability and hypoxia-targeting ability of the macrophage vehicles. In particular, quantum dots and 5-(aminoacetamido) fluorescein-labeled polyamidoamine dendrimer G4.5, both of which were coated with amine-derivatized polyethylene glycol, were immobilized to the sodium periodate-treated surface of RAW264.7 macrophages through a transient Schiff base linkage. Further, a reducing agent, sodium cyanoborohydride, was applied to reduce Schiff bases to stable secondary amine linkages. The distribution of nanoparticles on the cell surface was confirmed by fluorescence imaging, and it was found to be dependent on the stability of the linkages coupling nanoparticles to the cell surface.


Subject(s)
Antineoplastic Agents/chemistry , Cell Hypoxia/drug effects , Cell Hypoxia/physiology , Cell Membrane/chemistry , Macrophages/chemistry , Nanocapsules/chemistry , Animals , Antineoplastic Agents/administration & dosage , Cell Line , Macrophages/drug effects , Mice , Nanocapsules/ultrastructure
20.
J Addict Med ; 4(2): 88-92, 2010 Jun.
Article in English | MEDLINE | ID: mdl-21769026

ABSTRACT

OBJECTIVES: Little data exists on psychosocially stable patients maintained long term on methadone maintenance treatment who attempt to transition their maintenance treatment to buprenorphine. The aims of this study were (1) to determine whether there is a correlation between baseline methadone maintenance dose and final buprenorphine maintenance dose, (2) to investigate subjective and objective outcomes over time in psychosocially stable opioid-dependent patients who transitioned their long-term maintenance treatment from methadone to buprenorphine. METHODS: In this retrospective study, 104 such patients on dosages of methadone 5 to 80 mg/d were offered the opportunity to convert their maintenance treatment to buprenorphine, of which 25 accepted. RESULTS: All patients (n = 25, 100%) who readily attempted transition to buprenorphine succeeded. A low-moderate association was found between patients' pretransfer methadone dose and posttransfer buprenorphine dose (Spearman correlation coefficient ρ = 0.46, P = 0.02). At a mean 30.3 months duration (SD 16.5), 22 patients (88%) remained on buprenorphine maintenance, 1 patient (4%) tapered off buprenorphine under clinician supervision, 1 patient (4%) died of hepatitis C, and 1 patient (4%) relapsed to cocaine and was lost to follow-up. CONCLUSIONS: The results demonstrate a low to moderate association between methadone and buprenorphine maintenance doses, and that buprenorphine is a viable maintenance treatment for opioid dependence for psychosocially stable patients on long-term methadone maintenance dosages up to 80 mg/d.

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