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The GAP Local Plan (of the Health Protection Board) provides for a self-help group aimed at families of gamblers. In fact, Gambling Disorder (DSM V) does not only directly involve people who have a gambling problem but also their family members and loved ones; emotionally, economically and socially. Furthermore, the discomfort of the individual often speaks of a group dynamic, of collective suffering. In families the transaction is circular (Selvini, 1975). The Self Mutual Help group created is open to all citizens, as well as to family members of people who have already turned to the Addiction Service for a gambling problem. Self-help groups are based on the natural ability of human beings to be in relationship with each other and to support each other in times of difficulty and it is from these premises that this group also began. The article aims to recount, starting from the fundamentals of mutual self-help, the experience of the first AMA group aimed at family members of gamblers, promoted by the Addiction Service, in the Lodi area. The first observations can be useful for future years and to better develop an opportunity which has as its premise that of helping more and more people who fi nd themselves facing a moment of difficulty. It is precisely the progressive discovery of gambling by family members that is traumatic, generating a climate of mutual distrust, cyclical experiences of illusions/disappointments, uncertainty that determines anxiety, fear and chronic stress (Capitanucci, 2012). The Auto Mutuo Aiuto group can help to emerge from isolation, increase solidarity, understand internal and external dynamics, stimulate new perspectives, bring out resources, feel capable and active. In the ecological-social approach, the family is seen not only as a possible part of the problem, but also and above all as a system open to the community, capable of exchanges and equipped with its own resources to be exploited. [ABSTRACT FROM AUTHOR]

Following the implementation of DGR XI/585 of 1.10.2018, the Regional Action Plan GAP has been launched involving the Lodi ASST in actions to combat gambling. In May 2022 one of the planned objectives was achieved, namely the opening of the dedicated hospital gate. Starting from the premises that led to the choice to create this new supply unit, this article aims to illustrate the experience so far ongoing and the first qualitative and quantitative data. [ABSTRACT FROM AUTHOR]

In the Italian penitentiary system, the diagnosis of drug addiction represents a delicate intersection between medicine, law and prison management. This article seeks to examine the regulatory, clinical and practical challenges that influence the assessment and certification of drug addiction. [ABSTRACT FROM AUTHOR]

A wide variety of neurological and/or psychiatric disturbances has been reported in patients surviving the acute phase of carbon monoxide (CO) poi soning, after a period of apparent recovery. Postulated pathogenic mecha nisms of these sequelae, usually referred to as 'delayed neurological syndrome' (DNS) include: (1) hypoxic-ischemic stress related to defective oxygen trans port to the cells and to impaired cardiovascular function; (2) CO interaction with intracellular targets (e.g. cytochromes) with impairment of mitochondrial electron transport; (3) brain lipid peroxidation; (4) excessive stimulation of excitatory amino acid receptors. Timely hyperbaric oxygen (HBO) treatment may interrupt the cascade of events leading to brain damage, and has been advocated as effective in preventing DNS. However, clinical studies compar ing the efficacy of hyperbaric versus normobaric oxygen have generated con flicting results and controversies regarding both the causes of delayed CO neu rotoxicity and the indications of HBO therapy. Additional clinical investiga tions and further basic research using appropriate animal models are needed. [ABSTRACT FROM PUBLISHER]