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https://www.readbyqxmd.com/read/28430013/barriers-to-access-to-sterile-syringes-as-perceived-by-pharmacists-and-injecting-drug-users-implications-for-harm-reduction-in-lebanon
#1
Ali Ghaddar, Karine Nassar, Ghadier Elsoury
BACKGROUND: Access to sterile syringes to injecting drug users (IDU) reduces sharing behavior and prevents the transmission of HIV. OBJECTIVES: To describe the barriers to access to sterile syringes for IDUs in Lebanon from the perspectives of pharmacists and IDUs. METHODS: in this qualitative study conducted in Lebanon, data were collected from 72 syringe purchase tests at pharmacies, 64 interviewees with pharmacists and 2 focus groups with injecting drug users...
April 21, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28429402/effectiveness-of-community-based-interventions-for-reducing-alcohol-related-harm-in-two-metropolitan-and-two-regional-sites-in-victoria-australia
#2
Ashlee Curtis, Kerri Coomber, Nicolas Droste, Shannon Hyder, Darren Palmer, Peter G Miller
INTRODUCTION AND AIMS: The relationship between alcohol intoxication and harm is well known, and many community-based interventions have been introduced in an attempt to reduce the rates of alcohol-related harm. The current paper uses two metropolitan and two regional Australian cities as sites to investigate the impact of community-based interventions on the reduction of alcohol-related harms. DESIGN AND METHODS: Data for injury-related emergency department (ED) presentations and police attended assaults during high-alcohol hours (i...
April 20, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28428186/features-of-alcohol-harm-reduction-advertisements-that-most-motivate-reduced-drinking-among-adults-an-advertisement-response-study
#3
Melanie A Wakefield, Emily Brennan, Kimberley Dunstone, Sarah J Durkin, Helen G Dixon, Simone Pettigrew, Michael D Slater
OBJECTIVES: To improve the effectiveness of alcohol harm reduction mass media campaigns, this study aimed to (1) identify existing advertisements (ads) with greatest potential to motivate reduced alcohol consumption, (2) assess consistency across audience subgroups in ad effectiveness and (3) identify ad features associated with effectiveness. DESIGN: Cross-sectional online ad response study with random assignment to view ads. PARTICIPANTS: 2174 Australian adult weekly drinkers recruited from an online panel...
April 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28427114/h-lifestyle-use-of-drugs-by-healthy-people-for-enhancing-cognition-creativity-motivation-and-pleasure
#4
REVIEW
L-S Camilla d'Angelo, George Savulich, Barbara J Sahakian
Today there is continued, and in some cases growing, availability of psychoactive substances, including treatments for mental health disorders such as cognitive enhancers, which can enhance or restore brain function, but also 'recreational' drugs such as novel psychoactive substances (NPS). The use of psychoactive drugs has both benefits and risks: whilst new drugs to treat cognitive symptoms in neuropsychiatric or neurodegenerative disorders could have great benefits for many patient groups, the increasing ease of accessibility to recreational NPS and the increasing lifestyle use of cognitive enhancers by healthy people means that the effective management of psychoactive substances will be an issue of increasing importance...
April 20, 2017: British Journal of Pharmacology
https://www.readbyqxmd.com/read/28426354/-it-goes-on-everywhere-injection-drug-use-in-canadian-federal-prisons
#5
Emily van der Meulen
BACKGROUND: International and Canadian research on in-prison injection drug use has documented the frequency of its occurrence as well as some of the resulting consequences such as increased prevalence of HIV and hepatitis C virus. Access to prison-based harm reduction programing is thus important. OBJECTIVES: The aim of this study was to learn from former prisoner experiences and insights on in-prison injection drug use in order to advance and improve access to harm reduction options, in particular prison-based needle and syringe programs (PNSPs)...
June 7, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28426185/integrated-hiv-care-and-service-engagement-among-people-living-with-hiv-who-use-drugs-in-a-setting-with-a-community-wide-treatment-as-prevention-initiative-a-qualitative-study-in-vancouver-canada
#6
Alexandra B Collins, Surita Parashar, Robert S Hogg, Saranee Fernando, Catherine Worthington, Patrick McDougall, Rosalind Baltzer Turje, Ryan McNeil
INTRODUCTION: Social-structural inequities impede access to, and retention in, HIV care among structurally vulnerable people living with HIV (PLHIV) who use drugs. The resulting disparities in HIV-related outcomes among PLHIV who use drugs pose barriers to the optimization of HIV treatment as prevention (TasP) initiatives. We undertook this study to examine engagement with, and impacts of, an integrated HIV care services model tailored to the needs of PLHIV who use drugs in Vancouver, Canada - a setting with a community-wide TasP initiative...
February 3, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28419342/future-generations-and-the-justifiability-of-germline-engineering
#7
Ioana Petre
The possibility of performing germline modifications on currently living individuals targets future generations' health and well-being by reducing the diversity of the human gene pool. This can have two negative repercussions: (1) reduction of heterozygosity, the latter being associated with a health or performance advantage; (2) uniformization of the genes involved in reproductive recombination, which may lead to the health risks involved in asexual reproduction. I argue that germline interventions aimed at modifying the genomes of future people cannot be ethically justifiable if there is no possibility of controlling the intervention either by reversing or altering it, whenever need demands it...
April 17, 2017: Journal of Medicine and Philosophy
https://www.readbyqxmd.com/read/28414981/claims-in-vapour-device-e-cigarette-regulation-a-narrative-policy-framework-analysis
#8
Renée O'Leary, Ron Borland, Tim Stockwell, Marjorie MacDonald
BACKGROUND: The electronic cigarette or e-cigarette (vapour device) is a consumer product undergoing rapid growth, and governments have been adopting regulations on the sale of the devices and their nicotine liquids. Competing claims about vapour devices have ignited a contentious debate in the public health community. What claims have been taken up in the state arena, and how have they possibly influenced regulatory outcomes? METHODS: This study utilized Narrative Policy Framework to analyze the claims made about vapour devices in legislation recommendation reports from Queensland Australia, Canada, and the European Union, and the 2016 deeming rule legislation from the United States, and examined the claims and the regulatory outcomes in these jurisdictions...
April 14, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28414102/parental-knowledge-of-trampoline-safety-in-children
#9
S Beno, A Ackery, K Colaco, K Boutis
OBJECTIVES: Recreational trampoline use is increasing in popularity, with a resulting increase in significant trampoline-related injuries in children. Parents are the best advocates for the safety of their children during recreational trampoline use. Our primary objective was to determine the proportion of parents who were aware of five key recommendations for safer recreational trampoline use in children. METHODS: This was a cross-sectional survey of parents whose children presented to a tertiary care pediatric emergency department (ED) with an extremity injury...
April 13, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28412303/laboratory-analysis-of-risky-driving-at-0-05-and-0-08-blood-alcohol-concentration
#10
Nicholas A Van Dyke, Mark T Fillmore
BACKGROUND: The public health costs associated with alcohol-related traffic crashes are a continuing problem for society. One harm reduction strategy has been to employ per se limits for blood alcohol concentrations (BACs) at which drivers can legally operate motor vehicles. This limit is currently 0.08% in all 50 US states. Recently, the National Transportation Safety Board proposed lowering the legal limit to 0.05% (NTSB, 2013). While research has well-validated the ability of alcohol to impair driving performance and heighten crash-risk at these BACs, relatively little is known about the degree to which alcohol might increase drivers' risk-taking...
March 31, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28411395/a-longitudinal-study-of-smokeless-tobacco-use-and-mortality-in-the-united-states
#11
David S Timberlake, Dmitriy Nikitin, Norman J Johnson, Sean F Altekruse
Few studies in the United States have examined longitudinally the mortality risks associated with use of smokeless tobacco (SLT). The sample of this study was composed of participants from the National Longitudinal Mortality Study who completed a single Tobacco Use Supplement to the Current Population Survey between the years 1985 and 2011. Using survival methods, SLT use at the baseline survey was examined as a predictor of all-cause mortality and cause-specific mortalities in models that excluded individuals who had ever smoked cigarettes, cigars, or used pipes (final n=349,282)...
April 14, 2017: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/28406348/motivations-for-using-mdma-ecstasy-molly-among-african-americans-implications-for-prevention-and-harm-reduction-programs
#12
Khary K Rigg
Despite the growing popularity of MDMA (ecstasy/molly) among African Americans, their motives for using the drug are still largely unknown. The purpose of this study was to identify and describe the most salient motivations for using MDMA among this understudied population. In-depth interviews (n = 15) were conducted with a sample of African American young adults in Southwest Florida between August 2014 and November 2015. The primary motivations for using MDMA included: (1) altering the effects of marijuana and alcohol; (2) lasting longer sexually; (3) enhancing sexual pleasure; and (4) facilitating "freaky" sexual experiences...
April 13, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28404202/hepatitis-c-treatment-as-prevention-evidence-feasibility-and-challenges
#13
REVIEW
Behzad Hajarizadeh, Jason Grebely, Marianne Martinello, Gail V Matthews, Andrew R Lloyd, Gregory J Dore
The advent of interferon-free direct-acting antiviral therapy for hepatitis C virus (HCV) infection has heightened discussion of treatment as prevention. Rapid scale-up in many settings, and the prospect of further treatment simplification have extended therapeutic optimism towards HCV elimination. However, questions remain regarding the feasability of HCV treatment as prevention, including real world efficacy of direct-acting antiviral therapy, particularly among people who inject drugs, and whether expanded treatment access will be sufficient to reduce HCV transmission...
December 2016: Lancet. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28404135/incidence-risk-factors-and-prevention-of-hepatitis-c-reinfection-a-population-based-cohort-study
#14
Nazrul Islam, Mel Krajden, Jean Shoveller, Paul Gustafson, Mark Gilbert, Jane A Buxton, Jason Wong, Mark W Tyndall, Naveed Zafar Janjua
BACKGROUND: People remain at risk of reinfection with hepatitis C virus (HCV), even after clearance of the primary infection. We identified factors associated with HCV reinfection risk in a large population-based cohort study in British Columbia, Canada, and examined the association of opioid substitution therapy and mental health counselling with reinfection. METHODS: We obtained data from the British Columbia Hepatitis Testers Cohort, which includes all individuals tested for HCV or HIV at the British Columbia Centre for Disease Control Public Health Laboratory during 1990-2013 (when data were available)...
March 2017: Lancet. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28402552/induced-abortion
#15
(no author information available yet)
Abortion is common. Data on abortion rates are inexact but can be used to explore trends. Globally, the estimated rate in the period 2010-2014 was 35 abortions per 1000 women (aged 15-44 years), five points less than the rate of 40 for the period 1990-1994. Abortion laws vary around the world but are generally more restrictive in developing countries. Restrictive laws do not necessarily deter women from seeking abortion but often lead to unsafe practice with significant mortality and morbidity. While a legal framework for abortion is a prerequisite for availability, many laws, which are not evidence based, restrict availability and delay access...
April 10, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28401523/injection-of-pharmaceuticals-designed-for-oral-use-harms-experienced-and-effective-harm-reduction-through-filtration
#16
Stuart McLean, Rahul Patel, Raimondo Bruno
Several pharmaceutical products are liable to 'abuse' or use outside their prescription, which frequently involves their injection. Examples are slow-release forms of morphine and oxycodone, and sublingual buprenorphine. During injection preparation, the drug is extracted into water, after crushing and heating the tablet if considered necessary. Since these products are designed for oral administration, they can contain excipients (ingredients other than the drug) which are poorly soluble, resulting in suspension of particles in the injection solution...
April 2, 2017: Current Topics in Behavioral Neurosciences
https://www.readbyqxmd.com/read/28400466/substance-use-among-men-who-have-sex-with-men-patterns-motivations-impacts-and-intervention-development-need
#17
REVIEW
Adam Bourne, Peter Weatherburn
OBJECTIVES: In this narrative review we illustrate the patterns of substance use among gay, bisexual and other men who have sex with men (MSM), including comparisons with heterosexual populations, subgroup analyses and settings of substance use. We also consider explanations and motivations for substance use and the impact of use on sexual health as well as wider health and well-being. Finally, we consider the implications for the provision of MSM-tailored substance use and harm reduction services...
April 11, 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/28399843/effectiveness-of-needle-and-syringe-programmes-in-people-who-inject-drugs-an-overview-of-systematic-reviews
#18
Ricardo M Fernandes, Maria Cary, Gonçalo Duarte, Gonçalo Jesus, Joana Alarcão, Carla Torre, Suzete Costa, João Costa, António Vaz Carneiro
BACKGROUND: Needle and syringe programmes (NSP) are a critical component of harm reduction interventions among people who inject drugs (PWID). Our primary objective was to summarize the evidence on the effectiveness of NSP for PWID in reducing blood-borne infection transmission and injecting risk behaviours (IRB). METHODS: We conducted an overview of systematic reviews that included PWID (excluding prisons and consumption rooms), addressed community-based NSP, and provided estimates of the effect regarding incidence/prevalence of Human Immunodeficiency Virus (HIV), Hepatitis C virus (HCV), Hepatitis B virus (HBV) and bacteremia/sepsis, and/or measures of IRB...
April 11, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28399829/alcohol-harm-reduction-advertisements-a-content-analysis-of-topic-objective-emotional-tone-execution-and-target-audience
#19
Kimberley Dunstone, Emily Brennan, Michael D Slater, Helen G Dixon, Sarah J Durkin, Simone Pettigrew, Melanie A Wakefield
BACKGROUND: Public health mass media campaigns may contribute to reducing the health and social burden attributed to alcohol consumption, but little is known about which advertising characteristics have been used, or have been effective, in alcohol harm reduction campaigns to date. As a first step towards encouraging further research to identify the impact of various advertising characteristics, this study aimed to systematically identify and examine the content of alcohol harm reduction advertisements (ads)...
April 11, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28399751/safe-with-self-injury-a-practical-guide-to-understanding-responding-and-harm-reduction-inckle-kay-safe-with-self-injury-a-practical-guide-to-understanding-responding-and-harm-reduction-274pp-%C3%A2-23-99-pccs-books-9781910919163-1910919160-formula-see-text
#20
(no author information available yet)
The author begins her book with a concise exploration of the stereotypes and truths of self-harm. In the following seven chapters, she sets out a grounded and often challenging view of how self-harm is understood from differing perspectives.
April 12, 2017: Nursing Standard
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