Suds monitoring

Water quality and suds monitoring is not possible without the use of electronics and has therefore only been introduced to some domestic washing machines over the last few years. The greatest improvements in this area are still to come, as the relevant components continue to come down in price. 

O Further development of existing machine concepts through increased use of electronics for all basic functions (agitation, water level. temperature control, water and suds monitoring... 

Water quality could also be monitored, both for the inlet and outlet water quality (sud monitoring). 

The easiest way of measuring movement of the suds container is with distance sensors. Chapter 5.5 describes some typical examples. The advantage of these sensors is that they are also used to monitor the washing load. Their drawback is the high price. 

Treatment should begin in the least restrictive setting that ensures personal safety, as it is important to maximize family involvement from the onset. In youth with SUD, family involvement increases compliance with treatment and leads to higher rates of sustained abstinence (Bergmann et ah, 1995). It is important to review with the patient and family that medication is one aspect of the treatment plan and is more likely to be effective when used in conjunction with other treatments. In addition, the clinician should also review how the medication will work, the possible side effects, and the time frame in which benefit may be expected. An informed and involved family is more likely to encourage compliance from an adolescent than one that has never met their child s treatment team. An adult caretaker and not the patient should store, administer, and monitor all prescription medications to maximize compliance and minimize the potential for abuse. 

Youth with SUD require frequent visits with the treatment team, especially if they have comorbid psychiatric illness. During each visit, the clinician should monitor the patient s SUD and psychiatric symptoms, their social stressors, their compliance with medication and any adverse effects they may have experienced. Random urine dipstick testing for substances of abuse during the office visit, with tests such as the Roche On Trac system, may be a useful piece of the treatment plan provided that the adolescent is aware... 

Even though the pharmacotherapy of adolescent addictions is a relatively new field, it appears to have a role in the treatment of many youth with SUD. Pharmacological agents have been shown to reduce excessive craving, to reduce associated comorbid psychopathology, and to prevent the future development of SUD in certain at-risk youth. Despite the present lack of empirical evidence, opiate substitution therapy should be considered in youth with heroin addiction. As with all treatments, the expectations, risks, and benefits should be reviewed with the patient and their caretakers. For SUD treatment to be successful, the provider should closely monitor and address the patient s SUD and psychiatric symptoms, treatment compliance, and social stressors. 

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