keyword
MENU ▼
Read by QxMD icon Read
search

"Harm reduction"

keyword
https://www.readbyqxmd.com/read/28521829/supervised-injection-facilities-in-canada-past-present-and-future
#1
REVIEW
Thomas Kerr, Sanjana Mitra, Mary Clare Kennedy, Ryan McNeil
Canada has long contended with harms arising from injection drug use. In response to epidemics of HIV infection and overdose in Vancouver in the mid-1990s, a range of actors advocated for the creation of supervised injection facilities (SIFs), and after several unsanctioned SIFs operated briefly and closed, Canada's first sanctioned SIF opened in 2003. However, while a large body of evidence highlights the successes of this SIF in reducing the health and social harms associated with injection drug use, extraordinary efforts were needed to preserve it, and continued activism by local people who inject drugs (PWID) and healthcare providers was needed to promote further innovation and address gaps in SIF service delivery...
May 18, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28521781/telling-our-stories-heroin-assisted-treatment-and-snap-activism-in-the-downtown-eastside-of-vancouver
#2
Susan Boyd, Dave Murray, Donald MacPherson
BACKGROUND: This article highlights the experiences of a peer-run group, SALOME/NAOMI Association of Patients (SNAP), that meets weekly in the Downtown Eastside of Vancouver, British Columbia, Canada. SNAP is a unique independent peer- run drug user group that formed in 2011 following Canada's first heroin-assisted treatment trial (HAT), North America Opiate Medication Initiative (NAOMI). SNAP's members are now made up of former research participants who participated in two heroin-assisted trials in Vancouver...
May 18, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28514234/associations-between-physical-pain-pain-management-and-frequency-of-nonmedical-prescription-opioid-use-among-young-adults-a-sex-specific-analysis
#3
Tristan I Evans, Elliott J Liebling, Traci C Green, Scott E Hadland, Melissa A Clark, Brandon D L Marshall
OBJECTIVES: We sought to determine sex-specific associations between experiences of physical pain, pain management, and frequency of nonmedical prescription opioid (NMPO) use among young adults. METHODS: Among participants enrolled in the Rhode Island Young Adult Prescription Drug Study, we identified associations between physical pain in the past 6 months, pain history, pain management, polysubstance use, and weekly NMPO use. In sex-specific models, independent correlates of weekly NMPO use were identified via modified stepwise Poisson regression...
May 16, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28511107/frequent-emergency-department-presentations-among-people-who-inject-drugs-a-record-linkage-study
#4
Dhanya Nambiar, Mark Stoové, Paul Dietze
BACKGROUND: People who inject drugs (PWID) have been described as frequent users of health services such as emergency departments (EDs), however few studies have described demographic factors, patterns of substance use and previous health service use associated with frequent use of EDs in this population. METHODS: Using a combination of self-reported data from a cohort of PWID and administrative ED data obtained through record linkage, we identified longitudinal factors associated with the use of ED services...
May 13, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28501197/methylmercury-determination-in-seafood-by-photochemical-vapor-generation-capacitively-coupled-plasma-microtorch-optical-emission-spectrometry
#5
Eniko Covaci, Marin Senila, Michaela Ponta, Eugen Darvasi, Dorin Petreus, Maria Frentiu, Tiberiu Frentiu
A non-chromatographic method based on double liquid-liquid extraction and measurements by UV photochemical vapor generation capacitively coupled plasma microtorch optical emission spectrometry was developed and characterized for methylmercury determination in seafood. Samples were prepared following the procedure recommended in JRC Technical Report of European Commission formerly proposed for the determination of methylmercury in seafood by thermal decomposition atomic absorption spectrometry, namely confinement of Hg species in 47% HBr solution, extraction of CH3Hg(+) in toluene and back-extraction in 1% l-cysteine aqueous solution...
August 1, 2017: Talanta
https://www.readbyqxmd.com/read/28499432/development-and-evaluation-of-a-community-based-buprenorphine-treatment-intervention
#6
Aaron D Fox, Nancy L Sohler, Taeko Frost, Carolina Lopez, Chinazo O Cunningham
BACKGROUND: The majority of Americans with opioid use disorder remain out of treatment. Operating in 33 states, Washington DC, and Puerto Rico, harm reduction agencies, which provide sterile syringes and other health services to people who inject drugs, are a key venue to reach out-of-treatment opioid users. Aiming to link out-of-treatment individuals with opioid use disorder to buprenorphine treatment, we developed a community-based buprenorphine treatment (CBBT) intervention in collaboration with New York City harm reduction agencies...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28494810/education-and-equipment-for-people-who-smoke-crack-cocaine-in-canada-progress-and-limits
#7
Carol Strike, Tara Marie Watson
BACKGROUND: People who smoke crack cocaine experience a wide variety of health-related issues. However, public health programming designed for this population is limited, particularly in comparison with programming for people who inject drugs. Canadian best practice recommendations encourage needle and syringe programs (NSPs) to provide education about safer crack cocaine smoking practices, distribute safer smoking equipment, and provide options for safer disposal of used equipment. METHODS: We conducted an online survey of NSP managers across Canada to estimate the proportions of NSPs that provide education and distribute safer smoking equipment to people who smoke crack cocaine...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28494774/expanding-conceptualizations-of-harm-reduction-results-from-a-qualitative-community-based-participatory-research-study-with-people-who-inject-drugs
#8
L M Boucher, Z Marshall, A Martin, K Larose-Hébert, J V Flynn, C Lalonde, D Pineau, J Bigelow, T Rose, R Chase, R Boyd, M Tyndall, C Kendall
BACKGROUND: The perspectives of people who use drugs are critical in understanding why people choose to reduce harm in relation to drug use, what practices are considered or preferred in conceptualizations of harm reduction, and which environmental factors interfere with or support the use of harm reduction strategies. This study explores how people who inject drugs (PWID) think about harm reduction and considers the critical imperative of equity in health and social services delivery for this community...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28493741/how-actions-taken-or-not-under-alcohol-influence-inhibitory-control-and-perceived-impairment
#9
Cecile A Marczinski
Consumption of alcohol can lead to the impairment of the ability to suppress inappropriate responses. However, alcohol-induced disinhibition does not occur in all contexts in the real world. Therefore, the purpose of this study was to examine if actions taken (or not) under alcohol will impact observed inhibitory control and how behavioral control requirements under alcohol alter perceived levels of impairment. Participants (n = 40) of equal sex who were social drinkers participated in a 3 session laboratory study that involved the administration of placebo, 0...
June 2017: Experimental and Clinical Psychopharmacology
https://www.readbyqxmd.com/read/28493466/-it-s-fast-it-s-quick-it-stops-me-being-sick-how-to-influence-preparation-of-opioid-tablets-for-injection
#10
Lise Lafferty, Carla Treloar, Nick van Breda, Maureen Steele, Sarah Hiley, Ian Flaherty, Allison Salmon
INTRODUCTION AND AIMS: Injection of pharmaceutical opioids (PO) among people who inject drugs has increased in many countries. The common method for preparing PO tablets for injection uses heat, resulting in greater particulate matter and therefore increased risk of local infection risk and damage to veins and organs. A cold preparation process has fewer risks, but this preparation method is not commonly used. This study seeks to explore how people who inject PO learn to prepare injections and how health promotion efforts could influence practice...
May 10, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28493405/australian-urban-indigenous-smokers-perspectives-on-nicotine-products-and-tobacco-harm-reduction
#11
Kym Yuke, Pauline Ford, Wendy Foley, Allyson Mutch, Lisa Fitzgerald, Coral Gartner
INTRODUCTION AND AIMS: Indigenous Australians experience a significant gap in life expectancy compared with non-Indigenous Australians. Indigenous communities have high-smoking prevalence and low engagement with cessation therapies. This qualitative research, conducted in an urban Australian Indigenous community, explored smokers' views on smoking, quitting and engagement with current nicotine replacement therapies. Opinions on acceptability of tobacco harm reduction were sought. We explored the acceptability of novel nicotine products, that is, new or unfamiliar products, including non-therapeutic options, such as e-cigarettes...
May 10, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28493270/public-health-alternatives-to-incarceration-for-drug-offenders
#12
REVIEW
Nicholas Clark, Kate Dolan, David Farabee
Drug users are vastly overrepresented in prison populations. Once inside they face increased risks of acquiring infections such as HIV, hepatitis and TB, and on release they face an elevated risk of fatal overdose. Relapse and recidivism are the norm following release from prison. The implementation of evidence-based drug treatment programmes in prison is rare, yet drug treatment in prison reduces the transmission of infections, recidivism and fatal overdose on release. Recognising the negative returns associated with incarceration, many jurisdictions have begun to consider alternatives such as depenalisation of the personal use of illicit drugs, provision of treatment and social reintegration of drug offenders, and a shift in focus from supply reduction to demand and harm reduction measures in the community and in prison...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28482846/a-preliminary-needs-assessment-of-american-indians-who-inject-drugs-in-northeastern-montana
#13
Mike Anastario, Kris FourStar, Adriann Ricker, Rebecca Dick, Monica C Skewes, Elizabeth Rink
BACKGROUND: Injection drug use has not been well documented in American Indians living in the USA. American Indian and Alaskan Natives (AI/ANs) show higher rates of substance use compared to the general population, and have historically been subject to a number of risk factors that are known to increase the likelihood of substance use. AI/ANs also experience increased risk for infectious diseases that are transmitted via injection drug use and/or sexual activity. Harm reduction approaches have been shown to be effective for decreasing risk of disease transmission in at-risk populations, and may be well suited for AI/AN injection drug users residing in rural reservation communities...
May 8, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28482104/mediating-alcohol-use-in-eastern-nigeria-a-qualitative-study-exploring-the-role-of-popular-media-in-young-people-s-recreational-drinking
#14
Emeka W Dumbili, Lesley Henderson
Nigeria has high levels of alcohol consumption, and little or no regulation of the alcohol industry. There is a dearth of studies exploring young adults' drinking in a Nigerian context with only a few predominantly quantitative surveys. These do not explore the social meanings attached to drinking practices nor do they shed light on potential gender differences and how these are mediated by popular media. This qualitative study addresses this gap with semi-structured interviews involving 31 undergraduate students...
June 1, 2017: Health Education Research
https://www.readbyqxmd.com/read/28482017/evaluation-of-nicotine-pharmacokinetics-and-subjective-effects-following-use-of-a-novel-nicotine-delivery-system
#15
Axel Teichert, Patrick Brossard, Loyse Felber Medlin, Larissa Sandalic, Mikael Franzon, Chris Wynne, Murray Laugesen, Frank Lüdicke
Introduction: Novel nicotine delivery systems represent an evolving part of the tobacco harm reduction strategy. The pharmacokinetic (PK) profile of nicotine delivered by P3L, a pulmonary nicotine delivery system, and its effects on smoking urges and craving relief in relation to Nicorette® inhalator were evaluated. Methods: This open-label, ascending nicotine levels study was conducted in 16 healthy smokers. Three different nicotine delivery levels, 50, 80, and 150 µg/puff delivered by the P3L system were evaluated consecutively on different days, after the use of the Nicorette® inhalator...
May 6, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28478958/corrigendum-to-they-treated-me-like-crap-and-i-know-it-was-because-i-was-native-the-healthcare-experiences-of-aboriginal-peoples-living-in-vancouver-s-inner-city-soc-sci-med-178-2017-87-94
#16
Ashley Goodman, Kim Fleming, Nicole Markwick, Tracey Morrison, Louise Lagimodiere, Thomas Kerr
No abstract text is available yet for this article.
May 5, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28476265/undiagnosed-hiv-and-hepatitis-c-infection-in-people-who-inject-drugs-from-new-evidence-to-better-practice
#17
Oleguer Parés-Badell, Albert Espelt, Cinta Folch, Xavier Majó, Victoria González, Jordi Casabona, M Teresa Brugal
BACKGROUND: The objective of this study was to estimate the proportion of undiagnosed HIV or Hepatitis C virus (HCV) infection and to assess the risk factors associated with an undiagnosed infection. METHODS: A questionnaire was distributed among people who inject drugs (PWID) in harm reduction centres in Catalonia, Spain 2008-2012 (n=2243). Self-report of HIV and HCV was compared to oral fluid tests to calculate the proportion of undiagnosed infection. Associations of undiagnosed HIV and HCV with age, origin, risk and protective factors of infection and services use were calculated using a Poisson regression model with robust variance...
June 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28460274/understanding-policy-persistence-the-case-of-police-drug-detection-dog-policy-in-nsw-australia
#18
Caitlin E Hughes, Alison Ritter, Kari Lancaster, Robert Hoppe
BACKGROUND: Significant research attention has been given to understanding the processes of drug policy reform. However, there has been surprisingly little analysis of the persistence of policy in the face of opposition and evidence of ineffectiveness. In this article we analysed just such a case - police drug detection dog policy in NSW, Australia. We sought to identify factors which may account for the continuation of this policy, in spite of counter-evidence and concerted advocacy...
April 28, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28459909/inpatient-management-of-opioid-use-disorder-a-review-for-hospitalists
#19
REVIEW
Jesse Theisen-Toupal, Matthew V Ronan, Amber Moore, Elana S Rosenthal
The United States is experiencing an epidemic of nonmedical opioid use and opioid overdose-related deaths. As a result, there have been a number of public health interventions aimed at addressing this epidemic. However, these interventions fail to address care of individuals with opioid use disorder during hospitalizations and, therefore, miss a key opportunity for intervention. The role of hospitalists in managing hospitalized patients with opioid use disorder is not established. In this review, we discuss the inpatient management of individuals with opioid use disorder, including the treatment of withdrawal, benefits of medication-assisted treatment, and application of harm-reduction strategies...
May 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28456473/continuing-links-between-substance-use-and-hiv-highlight-the-importance-of-nursing-roles
#20
Sherry Deren, Madeline Naegle, Holly Hagan, Danielle C Ompad
Links between HIV and substance use were identified early in the U.S. HIV epidemic. People who use drugs are at risk of HIV infection through shared injection equipment and risky sexual behaviors. In addition, substance use has negative health consequences for people living with HIV. The prescription opioid misuse epidemic, linked to injection drug use, hepatitis C infection, and HIV, poses a new threat to declining HIV rates. We reviewed evidence-based interventions that decrease HIV risk in people who use drugs (needle/syringe programs, medication-assisted treatment, engagement in HIV care, and preexposure prophylaxis/postexposure prophylaxis)...
March 24, 2017: Journal of the Association of Nurses in AIDS Care: JANAC
keyword
keyword
46464
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"