101 drug users were interviewed at baseline when 6-weeks abstinent. Eighty-four percent reported having drug-related dreams. More subjects reported drug dreams when abstinent than when using drugs. Ninety percent of subjects were followed-up at 6 months. Higher baseline measures of dream frequency were prospectively related to greater drug use. In the first 7 weeks of follow-up there was a rapid reduction in the number of reports, but half of the sample were still experiencing drug dreams in the sixth month. Drug dream frequency at follow-up was related to "craving" and lack of sleep.
Among 200 members of Narcotics Anonymous (NA), those who had been off drugs and in contact with NA for longer tended to have lower trait anxiety and higher self-esteem scores, the relationship in each case being approximately linear. Those abstinent for longer than about three years had levels of anxiety and self-esteem similar to those in a comparison group of 60 students.
Fourteen neonates were diagnosed to have Citrobacter sepsis during 1986-89, representing 4.6% of all cases with bacteriologically proven sepsis. Most of these infants were low birth weight (mean 2046 gm, +/- 750) and preterm (mean 34.8 weeks, +/- 3.8). Mean age at onset of sepsis was five days. In 10 cases the hematological profile was suggestive of sepsis. Infants had clinical evidence of multisystem infection; 2 with septic arthritis and 3 meningitis. The case fatality rate was 61%. Resistance to antibiotics was frequent. Citrobacter species were also cultured from other sites: umbilical stumps, eye swabs, urine, skin pustules and umbilical catheter tips. The epidemiological features and virulence of this organism call for vigilance and strict control measures.
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