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One Size Does Not Fit All: A Look at the Disproportionate Effects Of
One Size Does Not Fit All: A Look at the Disproportionate Effects Of

... available at http://drgabormate.com/article/stop-treating-drug-users-as-criminals/ (discussing the failure of the drug war and attributing it to a lack of social and scientific understanding concerning drugs and drug use). Dr. Maté recognizes drug abuse as a matter of public health and explains that ...
Overview of Pain Management IJ 05092016
Overview of Pain Management IJ 05092016

... Consider nonpharmacological therapies first Consider drug therapy if nonpharmacological therapies are unsuccessful or inappropriate 5. If drug therapy used – appropriate dose/frequency/duration 6. Regularly review patient 7. Provide long-term support. ...
Diagnosis of nonimmediate reactions to β-lactam antibiotics
Diagnosis of nonimmediate reactions to β-lactam antibiotics

... Although it is sometimes contested because of ethical considerations, in many instances the provocation or challenge is, at present, the best tool for confirming a causal relationship between drug administration and nonimmediate adverse reactions. It relies on the careful administration of the suspec ...
Regulatory strategies to reduce tobacco addiction
Regulatory strategies to reduce tobacco addiction

... was as follows: “A product is harm reducing if it lowers total tobacco related mortality and morbidity even though use of that product may involve continued exposure to tobacco related toxicants.” The report further differentiated three categories of potential harm reduction products: (1) “modified ...
Drug misuse and dependence: UK guidelines on clinical
Drug misuse and dependence: UK guidelines on clinical

... In 2004, the National Institute for Health and Clinical Excellence (NICE) was charged with developing a suite of guidelines and technology appraisals on various aspects of the treatment and care of drug misusers. The 2007 Clinical Guidelines were developed concurrently with the NICE suite of guidanc ...
How to use CEA to set the prices of new... technologies : France’s cultural revolution` HTA Symposium
How to use CEA to set the prices of new... technologies : France’s cultural revolution` HTA Symposium

... expertise, may present their conclusions to the Commission but do not participate to the debates and deliberations; ● The Chairman of the Commission may also proceed to a hearing aof a patients’advocacy group; ● Final advice is voted at the majority rule (requirement of at leas the quorum of 12 memb ...
Understanding Addiction to Molly - Behavioral Health of the Palm
Understanding Addiction to Molly - Behavioral Health of the Palm

... Overcoming an addiction to any of Molly’s common components requires going through withdrawal – the period where the user’s body, which has come to rely on the drugs to function, must return to a state of homeostasis, purging any remaining quantities of toxins still present. While this process is sh ...
HIV AIDS - Beximco Pharmaceuticals Ltd.
HIV AIDS - Beximco Pharmaceuticals Ltd.

... risk factors that facilitate the rapid spread of the infection are widespread making Bangladesh highly vulnerable to an HIV/AIDS epidemic. These risk factors include: A large commercial sex industry with roughly 36,000 workers, each seeing an average of 18.8 clients per week for brothel-based sex wo ...
Substance Use Disorders and the Role of the States
Substance Use Disorders and the Role of the States

... In 2013, 4.1 million people 12 or older received treatment for a problem related to the use of alcohol or illicit drugs—an estimated 18 percent of those who needed it.12 Several factors contributed to the gap between those who needed treatment and those who received it. Most influential and nearly u ...
commentary
commentary

... ent harm to ensure the safety of every patient—not just most of the patients most of the time. With an emphasis on safety, we propose a generalizable approach with three easy-to-remember steps in opioid rotation that obviates the need to use a conversion table. In this paradigm, one opioid is slowly ...
Annex 4. Proposed non-occupational exposure report
Annex 4. Proposed non-occupational exposure report

... • Decisions about whether to provide PEP should be based on clinical consideration of risk factors. • PEP services should be provided after: ° occupational exposure to HIV infection or potential HIV infection; ° accidental non-occupational exposure to HIV infection or potential HIV infecti ...
FORMULATION DEVELOPMENT OF POORLY WATER SOLUBLE
FORMULATION DEVELOPMENT OF POORLY WATER SOLUBLE

... leucine nanocrystals. DPPC is the most abundant pulmonary surfactant and has been used clinically as a non-toxic exogenous surfactant [15]. There has recently been an increase in the number of candidates described as poorly water soluble drugs in drug discovery. The poor dissolution property of the ...
ER/LA opioids - Nurse Practitioners Idaho
ER/LA opioids - Nurse Practitioners Idaho

... Demonstrate accurate knowledge about how to manage ongoing therapy with ER/LA opioid analgesics and properly use evidence-based tools while assessing for adverse effects. Employ methods to counsel patients and caregivers about the safe use of ER/LA opioid analgesics, including proper storage and dis ...
Antiparasitic Therapy in Children
Antiparasitic Therapy in Children

... predominates [6,9]. Chloroquine is relatively inexpensive and well tolerated. Side effects include pruritus, dizziness, headache, diplopia, nausea, and malaise. Chloroquine-induced pruritus is accentuated in patients with concomitant filarial infection. These side effects are typically minor and tra ...
CDC’s Interim Guidance on the Use of
CDC’s Interim Guidance on the Use of

... “The findings and conclusions in this presentation have not all been formally disseminated by the CDC and should not be construed to represent any agency determination or policy” ...


... omlfensine (MeritalR), an antidepressant that had been available in Germany smce 1976, had been prescribed to an estimated ten million patients prior to its marketing m the U.S. in July, 198.5’,2. Initial labelmg for the product reflected a variety of long-recognized hypersensitivity reactions, incl ...
Worcestershire Guidelines for Primary Care Antimicrobial Prescribing
Worcestershire Guidelines for Primary Care Antimicrobial Prescribing

... ‘Sepsis is a medical emergency. It is responsible for 37,000 deaths annually in the United Kingdom and severe sepsis has a fivefold higher mortality than STEMI or stroke. The reliable recognition of sepsis is the responsibility of all health professionals. The campaign in secondary care has increase ...
Patient evaluation and antiretroviral treatment for adults
Patient evaluation and antiretroviral treatment for adults

... Medical history, examination findings, exact ART history, laboratory results, findings from other medical procedures and social circumstances need to be documented for the entire treatment period, which may be years or even decades long. Such records are crucial for the individual patient as well as ...
Misuse of Medicines in the European Union: A Systematic Review of
Misuse of Medicines in the European Union: A Systematic Review of

... words. The general search method encompassed two main components: misuse and medicines. For the first component, a number of synonyms and related terms for misuse were included in the search (e.g. addiction, dependence, nonprescription use, nonmedical use). Similarly, for the second component, multi ...
Administration of medicines - Network Educational Australia
Administration of medicines - Network Educational Australia

... under the tongue, the patient should keep the mouth closed and refrain from swallowing saliva for as long as possible, as this contains the drug that will be absorbed. As absorption through the oral mucosa is rapid, the effects of the drug become apparent within a minute or two. Tablets to be given ...
slide kit - Women For Positive Action
slide kit - Women For Positive Action

... • Pre-Exposure Prophylaxis (PrEP) • Natural conception (if effective viral suppression) • Assisted reproduction in case of fertility disorders ...
Adverse Drug Events - Texas Center for Quality & Patient Safety
Adverse Drug Events - Texas Center for Quality & Patient Safety

... abrupt medication stop accounted for ~ 35% of ADEs most common: anticoagulants, sedatives, pain medications, antibiotics, insulin ...
Pharmacology and the Nursing Process, 4th ed. Lilley/Harrington
Pharmacology and the Nursing Process, 4th ed. Lilley/Harrington

... Once the drug is at the site of action, it can modify the rate (increase or decrease) at which the cells or tissues function A drug cannot make a cell or tissue perform a function it was not designed to perform ...
Interpretation of “Aberrant” Drug-Related Behaviors
Interpretation of “Aberrant” Drug-Related Behaviors

... Legitimate patients are frequently suspected of drug addiction when they exhibit problematic behaviors, such as requesting treatment with a specific opioid, which they already know, from experience, will help them. This eliminates honest communication in the patient-physician relationship and substi ...
Understanding Drug Therapy and Managing Side Effects
Understanding Drug Therapy and Managing Side Effects

... treat patients with other diseases or conditions. This is sometimes called “offlabel usage.” Healthcare plans may not pay for this use, or may require prior approval, so always check with your doctor or healthcare plan. Off-label use is common and is considered when doctors and researchers have a cl ...
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Harm reduction



Harm reduction (or harm minimization) is a range of public health policies designed to reduce the harmful consequences associated with various human behaviors, both legal and illegal. Harm reduction policies are used to manage behaviors such as recreational drug use and sexual activity in numerous settings that range from services through to geographical regions. Critics of harm reduction typically believe that tolerating risky or illegal behaviour sends a message to the community that such behaviours are acceptable and that some of the actions proposed by proponents of harm reduction do not reduce harm over the long term.Needle-exchange programmes reduce the likelihood of users of heroin and other drugs sharing the syringes and using them more than once. Syringe-sharing can lead to infections such as HIV or hepatitis C can spread from user to users through the reuse of syringes contaminated with infected blood. Needle and syringe programme (NSP) and Opioid Substitution Therapy (OST) outlets in some settings offer basic primary health care. Safe injection site are legally sanctioned, medically supervised facilities designed to address public nuisance associated with drug use and provide a hygienic and stress-free environment for drug consumers. The facilities provide sterile injection equipment, information about drugs and basic health care, treatment referrals, and access to medical staff.Opioid replacement therapy (ORT), or opioid substitution therapy (OST), is the medical procedure of replacing an illegal opioid, such as heroin, with a longer acting but less euphoric opioid; methadone or buprenorphine are typically used and the drug is taken under medical supervision. Another approach is Heroin assisted treatment, in which medical prescriptions for pharmaceutical heroin (diacetylmorphine) are provided to heroin-dependent people. Toronto's Seaton House became the first homeless shelter in Canada to operate a ""wet shelter"" on a ""managed alcohol"" principle in which clients are served a glass of wine once an hour unless staff determine that they are too inebriated to continue. Previously, homeless alcoholics opted to stay on the streets often seeking alcohol from unsafe sources such as mouthwash, rubbing alcohol or industrial products which, in turn, resulted in frequent use of emergency medical facilities.A high amount of media coverage exists informing users of the dangers of driving drunk. Most alcohol users are now aware of these dangers and safe ride techniques like 'designated drivers' and free taxicab programmes are reducing the number of drunk-driving accidents. Many schools now provide safer sex education to teen and pre-teen students, who may engage in sexual activity. Since some adolescents are going to have sex, a harm-reductionist approach supports a sexual education which emphasizes the use of protective devices like condoms and dental dams to protect against unwanted pregnancy and the transmission of STIs. Since 1999 some countries have legalized prostitution, such as Germany (2002) and New Zealand (2003).Many street-level harm-reduction strategies have succeeded in reducing HIV transmission in injecting drug users and sex-workers. HIV education, HIV testing, condom use, and safer-sex negotiation greatly decreases the risk to the disease.
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