The overdose crisis in the USA remains a growing and urgent public health concern. Over 108,000 people died due to overdose during 2021. Fatal and non-fatal overdoses are under-reported in the USA due to current surveillance methods. Systemic gaps in overdose data limit the opportunity for data-driven prevention efforts and resource allocation. This study aims to improve overdose surveillance and community response through developing a digital platform for overdose reporting and response among harm reduction organizations. We used a community-engaged, user-center design research approach. We conducted qualitative interviews with N = 44 overdose stakeholders including people who use drugs and harm reductionists. Results highlighted the need for a unified, multilingual reporting system uniquely tailored for harm reduction organizations. Anonymity, data transparency, protection from legal repercussions, data accuracy, and community-branded marketing emerged as key themes for the overdose platform. Emergent themes included the need for real-time data in a dashboard designed for community response and tailored to first responders and harm reduction organizations. This formative study provides the groundwork for improving overdose surveillance and data-driven response through the development of an innovative overdose digital platform.
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http://dx.doi.org/10.1186/s12954-022-00636-2 | DOI Listing |
J Agromedicine
January 2025
Post-Graduate Program in Health, Environment, and Labor, School of Medicine, Federal University of Bahia, Salvador, Brazil.
Objectives: This paper describes the design and evaluation of a workshop created to develop safer disaster response strategies for fishing communities, using the 2019 Northeast Brazil Oil Spill as a starting point for community-engaged education.
Methods: The 3-day pilot workshop included presentations, structured discussions, and interactive activities with small-scale fishers (SSFs), university researchers, and representatives of local government agencies. The workshop was evaluated through a mixed-method approach that considered qualitative data from discussion groups, collectively built products, and content retention.
Drug Chem Toxicol
January 2025
Department of Genetics, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
Daily contact with considerable amounts of polystyrene nanoparticles (PSNPs) may cause harmful effects on the living organisms, through mechanisms that are not fully understood. The study aimed to evaluate the cytotoxic and genotoxic effects of PSNPs (size 200 nm and 40 nm) in mesenchymal stem cells (MSCs). In order to estimate cellular uptake and retention of nanoplastics, PSNP-treated cells have been analyzed by transmission electron microscopy.
View Article and Find Full Text PDFAust Crit Care
January 2025
Intensive Care Unit, Wellington Hospital, Wellington, New Zealand; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Medical Research Institute of New Zealand, Wellington, New Zealand; Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia.
Objective: Selective decontamination of the digestive tract (SDD) has been investigated as a strategy to reduce the incidence of ventilator-associated pneumonia (VAP) and other healthcare-associated infections in intensive care unit (ICU) patients receiving mechanical ventilation. There is some evidence to suggest that the use of SDD is associated with a reduction in healthcare-associated infection and mortality; however, the uptake of SDD in ICUs in Australia and New Zealand (ANZ) remains low. To better understand the potential reasons, we designed a questionnaire to gather views from specialists in intensive care medicine, infectious diseases, and medical microbiology.
View Article and Find Full Text PDFJ Psychoactive Drugs
January 2025
FPCEUP - Faculty of Psychology and Education Sciences, University of Porto, Portugal.
Portugal is commonly recognized as one of the best drug policy examples in the world. Nonetheless, contrasts between drug use risks in rural vs urban settings in the country is an understudied topic, even if its specific challenges are commonly affirmed, both by professionals and people who use drugs (PWUD). The aim of this study was to compare rural and urban environments concerning socio-sanitary services availability; illegal drugs availability; risk behaviors related to drug use; stigma associated with illicit drug use; and social support.
View Article and Find Full Text PDFFront Psychiatry
January 2025
School of Fine Arts - Graduate Program in Art Therapy, Maharashtra Institute of Technology, Pune, India.
The field of addiction in its priority to save lives has emphasized harm reduction and medication therapies that have taken precedence over counseling and psychotherapy. The extensive mental health needs, traumatic histories and cognitive challenges of this population call for more availability of all treatments, but also in-depth treatment for the causes of the addiction. The prevalence of trauma is examined with regard to the challenge it presents in treatment for substance use disorder (SUD), and other comorbidities.
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