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Needle exchange

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https://www.readbyqxmd.com/read/28088084/correlates-of-anti-hepatitis-c-positivity-and-use-of-harm-reduction-services-among-people-who-inject-drugs-in-two-cities-in-croatia
#1
Senad Handanagic, Sandra Sevic, Jelena Barbaric, Zoran Dominkovic, Oktavija Dakovic Rode, Josip Begovac, Ivana Bozicevic
BACKGROUND: We assessed correlates of anti-hepatitis C (anti-HCV) positivity and utilization of needle and syringe exchange programs (NSEP) and opioid agonist treatment (OAT) among people who inject drugs (PWID) in two Croatian cities. METHODS: We conducted a cross-sectional study using respondent-driven (RDS) sampling among PWID in Rijeka (N=255) and Split (N=399). We used RDS-weighted population estimates and multivariable logistic regression to explore correlates of anti-HCV positivity and NSEP and OAT utilization...
December 7, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28048248/su-f-t-44-a-comparison-of-the-pre-plan-intra-operative-plan-and-post-implant-dosimetry-for-a-prostate-implant-case-using-prefabricated-linear-polymer-encapsulated-pd-103
#2
R Sheu, A Powers, H McGee, R Stock, Y Lo
PURPOSE: To investigate the reproducibility and limitations of Pd-103 prostate brachytherapy using fixed length linear sources (CivaString). METHODS: An LDR prostate brachytherapy case which was preplanned on MR images with prefabricated linear polymer-encapsulated Pd-103 sources (CivaString) was studied and compared with ultrasound based intra-operative planning and CT based post-implant dosimetry. We evaluated the following parameters among the three studies: prostate geometry (volume and cross sectional area), needle position and alignment deviations, and dosimetry parameters (D90)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28035171/the-case-of-a-needle-exchange-policy-debate-in-fresno-california
#3
Kris Clarke
Needle exchange is one of the most effective public health interventions to prevent the transmission of infectious disease by injecting drug users. Despite the preponderance of scientific evidence, US federal funding for needle exchange programmes has been banned since 1988. This prohibition has resulted in the lack of a centralised policy on needle exchange and has given birth to a patchwork of diverse practices and regulations throughout the nation. This article focuses on how various local players interpreted the meaning of needle exchange through the debate on an unauthorised site in Fresno, California...
May 2016: Crit Soc Policy
https://www.readbyqxmd.com/read/28008081/thermotolerance-and-heat-stress-responses-of-douglas-fir-and-ponderosa-pine-seedling-populations-from-contrasting-climates
#4
Danielle E Marias, Frederick C Meinzer, David R Woodruff, Katherine A McCulloh
Temperature and the frequency and intensity of heat waves are predicted to increase throughout the 21st century. Germinant seedlings are expected to be particularly vulnerable to heat stress because they are in the boundary layer close to the soil surface where intense heating occurs in open habitats. We quantified leaf thermotolerance and whole-plant physiological responses to heat stress in first-year germinant seedlings in two populations each of Pinus ponderosa P. and C. Lawson (PIPO) and Pseudotsuga menziesii (Mirb...
December 21, 2016: Tree Physiology
https://www.readbyqxmd.com/read/27971940/economic-evaluation-of-the-portuguese-needle-exchange-programme-in-community-pharmacies-nep-cp
#5
M Borges, M Gouveia, F Fiorentino, G Jesus, M Cary, J P Guerreiro, S Costa, A Vaz Carneiro
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27971917/the-impact-of-community-pharmacies-cp-on-regional-equity-in-the-access-to-the-portuguese-needle-and-exchange-programme-nep
#6
M Gouveia, M Borges, F Fiorentino, G Jesus, J P Guerreiro, M Cary, S Costa, A Vaz Carneiro
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27937534/patterns-of-hiv-risks-and-related-factors-among-people-who-inject-drugs-in-kermanshah-iran-a-latent-class-analysis
#7
Hamid Sharifi, Ali Mirzazadeh, Alireza Noroozi, Brandon D L Marshall, Ali Farhoudian, Peter Higgs, Meroe Vameghi, Farahnaz Mohhamadi Shahboulaghi, Mostafa Qorbani, Omid Massah, Bahram Armoon, Mehdi Noroozi
The objective of this study was to explore patterns of drug use and sexual risk behaviors among people who inject drugs (PWID) in Iran. We surveyed 500 PWID in Kermanshah concerning demographic characteristics, sexual risk behaviors, and drug-related risk behaviors in the month prior to study. We used latent class analysis (LCA) to establish a baseline model of risk profiles and to identify the optimal number of latent classes, and we used ordinal regression to identify factors associated with class membership...
December 12, 2016: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/27925864/intravenous-use-of-intranasal-naloxone-a-case-of-overdose-reversal
#8
Smita Das, Nina Shah, Murtuza Ghadiali
BACKGROUND: Opioid overdose is a growing concern in the United States and internationally. Prehospital or pre-medical personnel (layperson) administration of naloxone, an opioid antagonist, to reverse overdose, is an expanding mode of harm reduction. Recently, community clinics, methadone clinics, needle exchanges, some pharmacies, and other health care facilities have made naloxone available to the community. CASE: This case describes heroin overdose reversal of a 28-year-old male who had been using about a gram of heroin intravenously for 3 years but recently reduced frequency of use in an attempt to stop...
December 7, 2016: Substance Abuse
https://www.readbyqxmd.com/read/27897966/behavioral-characteristics-and-injection-practices-associated-with-skin-and-soft-tissue-infections-among-people-who-inject-drugs-a-community-based-observational-study
#9
Disa Dahlman, Anders Håkansson, Alex H Kral, Lynn Wenger, Elizabeth L Ball, Scott P Novak
BACKGROUND: People who inject drugs (PWID) are at increased risk for bacterial skin and soft tissue infections (SSTIs). Although SSTIs pose significant health risks, little is known about their prevalence and characteristics in the population of PWID in the United States. This study investigates whether behavioral factors related to skin and equipment hygiene and tissue-damaging injection practices are associated with recent SSTIs among PWID. METHODS: Active PWID were recruited using targeted sampling in San Francisco in 2011-2013...
November 29, 2016: Substance Abuse
https://www.readbyqxmd.com/read/27896481/high-perineal-and-overall-frequency-of-staphylococcus-aureus-in-people-who-inject-drugs-compared-to-non-injectors
#10
Disa Dahlman, Farnaz Jalalvand, Marianne Alanko Blomé, Anders Håkansson, Håkan Janson, Susanne Quick, Anna C Nilsson
To investigate the prevalence, distribution, and colonization burden of Staphylococcus aureus (S. aureus) and MRSA in different body sites among people who inject drugs (PWID) and compare it to a control group consisting of non-injectors. In this cross-sectional survey, 49 active PWID from the needle exchange program (NEP) in Malmö, Sweden, and 60 non-injecting controls from an emergency psychiatric inpatient ward at Malmö Addiction Centre were tested for S. aureus (including MRSA) by culture, PCR, and MALDI-TOF...
November 28, 2016: Current Microbiology
https://www.readbyqxmd.com/read/27894721/vaccination-against-hepatitis-b-virus-among-people-who-inject-drugs-a-20year-experience-from-a-swedish-needle-exchange-program
#11
M Alanko Blomé, P Björkman, L Flamholc, H Jacobsson, A Widell
BACKGROUND: People who inject drugs (PWID) are at particular risk of hepatitis B virus (HBV) acquisition, but often have poor access or adherence to HBV vaccination. Vaccination against HBV has been offered at a major Swedish needle exchange program (NEP) since 1994. The aim of this study was to evaluate vaccine completion and response rates, and the effect of sequential booster doses to non-responders to the standard vaccination schedule. METHODS: PWID enrolled in the NEP 1994-2013, without serological markers for HBV at baseline (negative for HBsAg/anti-HBc/anti-HBs), were offered a three-dose standard intramuscular vaccination schedule (Engerix®-B, GSK, 20μg/mL, intended to be received at months 0, 1 and 6)...
January 3, 2017: Vaccine
https://www.readbyqxmd.com/read/27879582/carbon-dioxide-based-versus-saline-tissue-expansion-for-breast-reconstruction-results-of-the-xpand-prospective-randomized-clinical-trial
#12
Jeffrey A Ascherman, Kamakshi Zeidler, Kerry A Morrison, James Z Appel, R L Berkowitz, John Castle, Amy Colwell, Yoon Chun, Debra Johnson, Khashayar Mohebali
BACKGROUND: AeroForm is a new type of remote-controlled, needle-free, carbon dioxide-based expander involving a potentially faster method of tissue expansion. Results are presented here from the AirXpanders Patient Activated Controlled Tissue Expander pivotal trial comparing AeroForm to saline tissue expanders. METHODS: Women undergoing two-stage breast reconstruction were randomized at 17 U.S. sites in this U.S. Food and Drug Administration-approved investigational device exemption trial...
December 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27842543/design-of-the-indian-nca-study-indian-national-collaboration-on-aids-a-cluster-randomized-trial-to-evaluate-the-effectiveness-of-integrated-care-centers-to-improve-hiv-outcomes-among-men-who-have-sex-with-men-and-persons-who-inject-drugs-in-india
#13
Sunil S Solomon, Gregory M Lucas, David D Celentano, Allison M McFall, Elizabeth Ogburn, Lawrence H Moulton, Aylur K Srikrishnan, M Suresh Kumar, Santhanam Anand, Suniti Solomon, Shruti H Mehta
BACKGROUND: Globally, men who have sex with men and people who inject drugs remain disproportionately affected by HIV, but they have not been the focus of prevention and treatment interventions in many resource-limited settings. METHODS/DESIGN: This cluster-randomized trial (conducted from June 2012 to June 2017), evaluates whether single-venue, integrated delivery of core HIV services to vulnerable high-risk populations improves service utilization and consequently, HIV testing and other outcomes along the HIV care continuum...
November 14, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27801915/health-equity-social-justice-and-hiv-in-rhode-island-a-contemporary-challenge
#14
Thomas Bertrand, Philip A Chan, Katharine Howe, Jaime Comella, Theodore Marak, Utpala Bandy
From its beginning, HIV has primarily affected marginalized populations, such as injection drug users, gay, bisexual and other men who have sex with men (GBMSM), and minority racial and ethnic groups. HIV is a disease that, from the start, has been strongly influenced by issues related to social justice and health equity due to its intersection with behaviors among at-risk populations. While some of the risks associated with HIV have been successfully mitigated through social justice initiatives related to needle exchange programs and routine HIV testing of pregnant women, Rhode Island remains confronted with the health equity challenges of preventing HIV transmission and ensuring access to HIV care/treatment, especially for Black/African Americans, Hispanics, and GBMSM...
November 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27793213/a-panel-of-four-genes-accurately-differentiates-benign-from-malignant-thyroid-nodules
#15
Qing-Xuan Wang, En-Dong Chen, Ye-Feng Cai, Quan Li, Yi-Xiang Jin, Wen-Xu Jin, Ying-Hao Wang, Zhou-Ci Zheng, Lu Xue, Ou-Chen Wang, Xiao-Hua Zhang
BACKGROUND: Clinicians are confronted with an increasing number of patients with thyroid nodules. Reliable preoperative diagnosis of thyroid nodules remains a challenge because of inconclusive cytological examination of fine-needle aspiration biopsies. Although molecular analysis of thyroid tissue has shown promise as a diagnostic tool in recent years, it has not been successfully applied in routine clinical use, particularly in Chinese patients. METHODS: Whole-transcriptome sequencing of 19 primary papillary thyroid cancer (PTC) samples and matched adjacent normal thyroid tissue (NT) samples were performed...
October 28, 2016: Journal of Experimental & Clinical Cancer Research: CR
https://www.readbyqxmd.com/read/27790132/sutureless-25-gauge-pars-plana-vitrectomy-combined-with-retropupillary-fixation-of-an-iris-claw-intraocular-lens
#16
Spyridon E Chalkiadakis, Efstratios A Parikakis, Simon R J Taylor
BACKGROUND: The surgical case of a dropped intraocular lens inside the vitreous cavity constitutes a real challenge for the operating surgeon. Herein, we describe a case series where an alternative optical rehabilitation technique for late intraocular lens-bag complex dislocation has been used. METHODS: A modern vitrectomy device was used to remove the capsule with the dropped intraocular lens using sutureless 25-gauge pars plana vitrectomy. To ensure a better aesthetic result, with faster patient recovery and a reduced number of operations, the whole procedure was performed during the same operating session; an iris-claw intraocular lens for aphakia was selected for implantation...
September 2016: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/27729443/the-politics-of-prevention-lessons-from-the-neglected-history-of-us-hiv-aids-policy
#17
Tasleem J Padamsee
The history of government action on HIV/AIDS has much to teach us about the dynamics and possibilities of US public health policy, but it has been insufficiently studied by social scientists of the epidemic. This article draws on a large set of original interviews with policy makers, thousands of news articles, and extensive documentation to reconstruct the history of three areas of debate and decision making about HIV prevention since 1990: needle exchange, HIV testing, and sex education for at-risk groups...
October 11, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/27611849/the-prison-economy-of-needles-and-syringes-what-opportunities-exist-for-blood-borne-virus-risk-reduction-when-prices-are-so-high
#18
Carla Treloar, Luke McCredie, Andrew R Lloyd
AIM: A formal Needle and Syringe Program (NSP) is not provided in Australian prisons. Injecting equipment circulates in prisons as part of an informal and illegal economy. This paper examined how this economy generates blood-borne virus (BBV) risk and risk mitigation opportunities for inmates. METHOD: The HITS-p cohort recruited New South Wales inmates who had reported ever injecting drugs and who had a negative HCV serological test within 12 months prior to enrolment...
2016: PloS One
https://www.readbyqxmd.com/read/27580189/the-story-of-developing-needle-exchange-services-in-iceland
#19
Helga Sif Fridjonsdottir
No abstract text is available yet for this article.
July 2016: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/27568822/community-pharmacist-experiences-of-providing-needle%C3%A2-and-syringe-programmes-in-ireland
#20
Jim McVeigh, Evelyn Hearne, Geoff Bates, Marie Claire Van Hout
BACKGROUND: Community pharmacists are increasingly acknowledged as under-utilized, important and accessible health providers in providing harm reduction support to drug users via needle and syringe programmes (NSP), provision of advice, HIV/Hepatitis testing and as referral mechanism to social, medical and treatment services. We report here on qualitative findings as part of the evaluation of the pilot Pharmacy Needle Exchange (PNEX) programme in Ireland. OBJECTIVES: The aim was to understand and illustrate pharmacist experiences of providing NSP...
August 3, 2016: Research in Social & Administrative Pharmacy: RSAP
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