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21.
Evan Wood Mark W Tyndall Calvin Lai Julio SG Montaner Thomas Kerr 《Substance abuse treatment, prevention, and policy》2006,1(1):13-4
North America's first medically supervised safer injecting facility (SIF) recently opened in Vancouver, Canada. One of the
concerns prior to the SIF's opening was that the facility might lead to a migration of drug activity and an increase in drug-related
crime. Therefore, we examined crime rates in the neighborhood where the SIF is located in the year before versus the year
after the SIF opened. No increases were seen with respect to drug trafficking (124 vs. 116) or assaults/robbery (174 vs. 180),
although a decline in vehicle break-ins/vehicle theft was observed (302 vs. 227). The SIF was not associated with increased
drug trafficking or crimes commonly linked to drug use. 相似文献
22.
Mark W Tyndall Evan Wood Ruth Zhang Calvin Lai Julio SG Montaner Thomas Kerr 《Harm reduction journal》2006,3(1):36-5
North America's first government sanctioned medically supervised injection facility (SIF) was opened during September 2003
in Vancouver, Canada. This was in response to a large open public drug scene, high rates of HIV and hepatitis C transmission,
fatal drug overdoses, and poor health outcomes among the city's injection drug users. Between December 2003 and April 2005,
a representative sample of 1,035 SIF participants were enrolled in a prospective cohort that required completing an interviewer-administered
questionnaire and providing a blood sample for HIV testing. HIV infection was detected in 170/1007 (17%) participants and
was associated with Aboriginal ethnicity (adjusted Odds Ratio [aOR], 2.70, 95% Confidence Interval [95% CI], 1.84–3.97), a
history of borrowing used needles/syringes (aOR, 2.0, 95% CI, 1.37–2.93), previous incarceration (aOR, 1.87, 95% CI, 1.11–3.14),
and daily injection cocaine use (aOR, 1.42, 95% CI, 1.00–2.03). The SIF has attracted a large number of marginalized injection
drug users and presents an excellent opportunity to enhance HIV prevention through education, the provision of sterile injecting
equipment, and a supervised environment to self-inject. In addition, the SIF is an important point of contact for HIV positive
individuals who may not be participating in HIV care and treatment. 相似文献
23.
Brandon DL Marshall Thomas Kerr Chris Livingstone Kathy Li Julio SG Montaner Evan Wood 《Harm reduction journal》2008,5(1):35
Aboriginal people experience a disproportionate burden of HIV infection among the adult population in Canada; however, less
is known regarding the prevalence and characteristics of HIV positivity among drug-using and street-involved Aboriginal youth.
We examined HIV seroprevalence and risk factors among a cohort of 529 street-involved youth in Vancouver, Canada. At baseline,
15 (2.8%) were HIV positive, of whom 7 (46.7%) were Aboriginal. Aboriginal ethnicity was a significant correlate of HIV infection
(odds ratio = 2.87, 95%CI: 1.02 – 8.09). Of the HIV positive participants, 2 (28.6%) Aboriginals and 6 (75.0%) non-Aboriginals
reported injection drug use; furthermore, hepatitis C co-infection was significantly less common among Aboriginal participants
(p = 0.041). These findings suggest that factors other than injection drug use may promote HIV transmission among street-involved
Aboriginal youth, and provide further evidence that culturally appropriate and evidence-based interventions for HIV prevention
among Aboriginal young people are urgently required. 相似文献
24.
Evidence for endogenous formation of tobacco-specific nitrosamines in rats treated with tobacco alkaloids and sodium nitrite 总被引:2,自引:0,他引:2
Carcinogenic tobacco-specific nitrosamines are present in tobacco products
and are believed to play a significant role in human cancers associated
with tobacco use. Additional amounts of tobacco-specific nitrosamines could
be formed endogenously. We tested this hypothesis by treating rats with
nicotine and sodium nitrite and analyzing their urine. Initially, we
treated groups of rats with (S)-nicotine (60 micromol/kg) and NaNO2 (180
micromol/kg), (S)-nicotine alone, NaNO2 alone or
4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK, 12 nmol/kg) by gavage
twice daily for 4 days. We collected urine and analyzed for two metabolites
of NNK; 4-(methylnitrosamino)-1-(3- pyridyl)-1-butanol and its glucuronide.
We did not detect these metabolites in the urine of rats treated with
nicotine alone or nicotine plus NaNO2, indicating that endogenous
conversion of nicotine to NNK did not occur. However, the urine did contain
N'- nitrosonornicotine (NNN), N'-nitrosoanabasine (NAB) and N'-
nitrosoanatabine (NAT). Analysis of the (S)-nicotine used in this
experiment demonstrated that it contained trace amounts of nornicotine,
anabasine and anatabine. In a second experiment, we used an identical
protocol to compare the endogenous nitrosation of this (S)-nicotine with
that of synthetic (R,S)-nicotine, which did not contain detectable amounts
of nornicotine, anabasine or anatabine. NNN (0.53 x 10(-3)% of nicotine
dose), NAB (0.68%) and NAT (2.1%) were detected in the urine of the rats
treated with the (S)-nicotine and NaNO2. NNN (0.47 x 10(- 3)% of dose), but
not NAB or NAT, was present in the urine of the rats treated with synthetic
(R,S)-nicotine and NaNO2. NNN probably formed via nitrosation of
metabolically formed nornicotine. These results demonstrate for the first
time that endogenous formation of tobacco- specific nitrosamines occurs in
rats treated with tobacco alkaloids and NaNO2. The potential significance
of the results with respect to nitrosamine formation in people who use
tobacco products or nicotine replacement therapy is discussed.
相似文献
25.
26.
SG Stuttgart 《MedR Medizinrecht》1998,16(11):530-531
Ohne Zusammenfassung 相似文献
27.
28.
Assessment by radionuclide angiography of right and left ventricular function in chronic bronchitis and emphysema 总被引:6,自引:5,他引:1 下载免费PDF全文
Non-invasive measurements of right and left ventricular ejection fraction (RVEF, LVEF) by multiple-gated equilibrium radionuclide ventriculography were performed in 18 control subjects, 16 patients with angina pectoris, and 45 patients with hypoxic chronic bronchitis and emphysema. The mean RVEF in the control subjects was 0.62 +/- 0.09 (SD), which was not significantly different from the mean RVEF in the patients with angina (0.60 +/- 0.09), but was significantly higher (p less than 0.01) than the mean value in patients with chronic bronchitis and emphysema (0.45 +/- 0.11). LVEF was not significantly different in the groups studied. There was a significant correlation between LVEF and RVEF only in patients with chronic bronchitis and emphysema (p less than 0.001). Those patients with chronic bronchitis and emphysema who had clinical evidence of cor pulmonale at the time of the study had significantly lower values of RVEF and LVEF (p less than 0.001) than patients with no previous cor pulmonale or those who had had cor pulmonale in the past. There was a significant correlation between RVEF and arterial oxygen (p less than 0.01) and carbon dioxide tensions (p less than 0.05). Reduced RVEF in patients with chronic bronchitis and emphysema may be an early indicator of the development of cor pulmonale and may be useful as a non-invasive method of assessing the effects of therapeutic interventions. 相似文献
29.
30.
An in vitro is described that attempts to detect patients with a potential for adverse systemic reactions to contrast material. This test involves measuring the rate of conversion of prekallikrein to kallikrein under certain standard conditions. In a preliminary retrospective study, the test could be used to identify such patients with a sensitivity of 88%, a specificity of 82%, and a predictive value of 79%. 相似文献