scholarly journals Best Practices and Innovations for Managing Codeine Misuse and Dependence

2016 ◽  
Vol 19 (3) ◽  
pp. 367 ◽  
Author(s):  
Ian J. Norman ◽  
Michael Bergin ◽  
Charles D. Parry ◽  
Marie Claire Van Hout
Keyword(s):  
Public Health ◽  
Best Practices ◽  
Product Information ◽  
Public Health Issue ◽  
Over The Counter ◽  
The Road ◽  
Scoping Reviews ◽  
Data Points ◽  
Monitoring And Surveillance ◽  
On The Road

Purpose. Promoting and ensuring safe use of codeine containing medicines remains a public health issue given the rise in reporting of misuse and dependence particularly in countries where available over–the-counter (OTC). The aim of this unique study was to identify best practices in management of opioid abuse and dependence, particularly codeine, and innovations to meet challenges surrounding safe and compliant use, patient awareness-raising, reducing health harms and enhancing successful treatment of dependence. Methods. A mixed methods approach using three data points was used that included : (1) analysis of data from existing scoping reviews to identify potential areas for innovation (2) interviews with key national stakeholders from public health, pharmaceutical, regulatory, primary care and addiction practice in three distinct regulatory regimes (Ireland, United Kingdom and South Africa); and (3) a circular email request for information on potential innovations to members of the European Medicine’s Agency European Network of Centres for Pharmacoepidemiology and Pharmacovigilance (ENCEPP). Data from these three sources were analysed to identify best practices and opportunities for innovation. Results. Best practices and potential innovations were identified under the nine headings: (1) manufacture; (2) product information and public education; (3) responsible prescribing; (4) monitoring and surveillance; (5) dispensing, screening and brief interventions in community pharmacies; (6) safety in the workplace and on the road; (7) internet supply of codeine and online support; (8) treatment of codeine dependence; and (9) learning resources and training for health professionals. Conclusions. Challenges ensuring availability of codeine containing medicines for legitimate therapeutic use, while minimising misuse, dependence and related health harms warrant consideration of new innovations. Most promising innovative potential lies across the products’ retail lifecycle from manufacture to prescriber and community pharmacy practitioner.This article is open to POST-PUBLICATION REVIEW. Registered readers (see “For Readers”) may comment by clicking on ABSTRACT on the issue’s contents page.

scholarly journals Green Deal as a Climate Changes Dam on the Road to Health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Jevtic ◽  
C Bouland
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Circular Economy ◽  
Clinical Medicine ◽  
Health Sector ◽  
The Public ◽  
The Road ◽  
National Public Health ◽  
On The Road ◽  
The Impact

Abstract Public health professionals (PHP) have a dual task in climate change. They should persuade their colleagues in clinical medicine of the importance of all the issues covered by the GD. The fact that the health sector contributes to the overall emissions of 4.4% speaks to the lack of awareness within the health sector itself. The issue of providing adequate infrastructure for the health sector is essential. Strengthening the opportunities and development of the circular economy within healthcare is more than just a current issue. The second task of PHP is targeting the broader population. The public health mission is being implemented, inter alia, through numerous activities related to environmental monitoring and assessment of the impact on health. GD should be a roadmap for priorities and actions in public health, bearing in mind: an ambitious goal of climate neutrality, an insistence on clean, affordable and safe energy, a strategy for a clean and circular economy. GD provides a framework for the development of sustainable and smart transport, the development of green agriculture and policies from field to table. It also insists on biodiversity conservation and protection actions. The pursuit of zero pollution and an environment free of toxic chemicals, as well as incorporating sustainability into all policies, is also an indispensable part of GD. GD represents a leadership step in the global framework towards a healthier future and comprises all the non-EU members as well. The public health sector should consider the GD as an argument for achieving goals at national levels, and align national public health policies with the goals of this document. There is a need for stronger advocacy of health and public-health interests along with incorporating sustainability into all policies. Achieving goals requires the education process for healthcare professionals covering all of topics of climate change, energy and air pollution to a much greater extent than before.

scholarly journals Becoming a Stop on the Road to the White House: Using a University Protocol to Govern Candidate Visits

2016 ◽  
Vol 49 (04) ◽  
pp. 876-879
Author(s):  
Karen M. Kedrowski ◽  
Katarina Duich Moyon
Keyword(s):  
Best Practices ◽  
Civic Engagement ◽  
Public Officials ◽  
White House ◽  
Presidential Candidates ◽  
The Road ◽  
Presidential Primary ◽  
On The Road ◽  
Election Cycles

ABSTRACTWinthrop University capitalized upon South Carolina’s early presidential primary to bring 10 US Presidential candidates to campus between August 2015 and February 2016. These events are part of Winthrop University’s intentional commitment to civic engagement. This essay describes and analyzes how Winthrop University developed a campus-wide protocol for hosting visits by public officials and candidates. It also provides best practices that campuses may emulate in future election cycles.

scholarly journals On the Road to a Stronger Public Health Workforce

2014 ◽  
Vol 47 (5) ◽  
pp. S280-S285 ◽  
Author(s):  
Patricia Drehobl ◽  
Beth H. Stover ◽  
Denise Koo
Keyword(s):  
Public Health ◽  
Health Workforce ◽  
Public Health Workforce ◽  
The Road ◽  
On The Road

scholarly journals Klebsiella pneumoniae Complex Harboring mcr-1, mcr-7, and mcr-8 Isolates from Slaughtered Pigs in Thailand

2021 ◽  
Vol 9 (12) ◽  
pp. 2436
Author(s):  
Nattamol Phetburom ◽  
Parichart Boueroy ◽  
Peechanika Chopjitt ◽  
Rujirat Hatrongjit ◽  
Yukihiro Akeda ◽  
...  
Keyword(s):  
Public Health ◽  
Klebsiella Pneumoniae ◽  
Continuous Monitoring ◽  
One Health ◽  
Public Health Issue ◽  
Resistant Bacteria ◽  
Colistin Resistance ◽  
Amoxicillin Clavulanic Acid ◽  
Monitoring And Surveillance ◽  
Slaughtered Pigs

Dissemination of the mobile colistin resistance gene mcr in Enterobacterales among humans, animals, and the environment is a public health issue. We characterized mcr genes in the Klebsiella pneumoniae complex (KpnC) isolated from slaughtered pigs in Thailand. The 280 KpnCs consisted of K. pneumoniae (85%), Klebsiella quasipneumoniae (8.21%), and Klebsiella variicola (6.79%). mcr genes were detected in 6.79% (19/280) of KpnC isolates, consisting of mcr-8 (n = 9; 3.21%), mcr-7 (n = 7; 2.50%), mcr-7 + mcr-8 (n = 2; 0.71%), and mcr-1 + mcr-7 (n = 1; 0.36%). K. pneumoniae predominantly carried the mcr-7 and mcr-8 genes, while K. variicola and K. quasipneumoniae harbored mcr-7 and mcr-8, respectively. Six of the nineteen mcr-harboring KpnC isolates exhibited colistin resistance, and five had mcr-1 or mcr-8 transferable to an Escherichia coli recipient. Antimicrobial susceptibility analysis revealed that all mcr-carrying KpnC isolates were susceptible to carbapenems, cefotaxime, cefepime, amoxicillin/clavulanic acid, piperacillin/tazobactam, amikacin, and fosfomycin, and had high resistance to azithromycin. Multilocus sequence analysis demonstrated that the mcr-harboring KpnC isolates were genetically diverse. A ‘One-Health’ approach is useful to combat antimicrobial-resistant bacteria through coordinating the human, animal, and environmental sectors. Hence, continuous monitoring and surveillance of mcr-carrying KpnCs throughout the pork supply chain is crucial for ensuring public health.

scholarly journals The Road to Accountable and Dependable Manufacturing

Automation ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 202-219
Author(s):  
Jan Pennekamp ◽  
Roman Matzutt ◽  
Salil S. Kanhere ◽  
Jens Hiller ◽  
Klaus Wehrle
Keyword(s):  
Product Information ◽  
Product Lifecycle Management ◽  
Security And Privacy ◽  
Efficient Production ◽  
Business Relationships ◽  
Process Data ◽  
The Road ◽  
Blockchain Technology ◽  
On The Road

The Internet of Things provides manufacturing with rich data for increased automation. Beyond company-internal data exploitation, the sharing of product and manufacturing process data along and across supply chains enables more efficient production flows and product lifecycle management. Even more, data-based automation facilitates short-lived ad hoc collaborations, realizing highly dynamic business relationships for sustainable exploitation of production resources and capacities. However, the sharing and use of business data across manufacturers and with end customers add requirements on data accountability, verifiability, and reliability and needs to consider security and privacy demands. While research has already identified blockchain technology as a key technology to address these challenges, current solutions mainly evolve around logistics or focus on established business relationships instead of automated but highly dynamic collaborations that cannot draw upon long-term trust relationships. We identify three open research areas on the road to such a truly accountable and dependable manufacturing enabled by blockchain technology: blockchain-inherent challenges, scenario-driven challenges, and socio-economic challenges. Especially tackling the scenario-driven challenges, we discuss requirements and options for realizing a blockchain-based trustworthy information store and outline its use for automation to achieve a reliable sharing of product information, efficient and dependable collaboration, and dynamic distributed markets without requiring established long-term trust.

scholarly journals Predicting Factors Affecting Adolescent Obesity Using General Bayesian Network and What-If Analysis

2019 ◽  
Vol 16 (23) ◽  
pp. 4684 ◽  
Author(s):  
Cheong Kim ◽  
Francis Joseph Costello ◽  
Kun Chang Lee ◽  
Yuan Li ◽  
Chenyao Li
Keyword(s):  
Public Health ◽  
Bayesian Network ◽  
Low Income ◽  
Adolescent Obesity ◽  
Education Level ◽  
Public Health Issue ◽  
Factors Affecting ◽  
Predicting Factors ◽  
Data Mining Approach ◽  
Data Points

With the remarkable improvement in people’s socioeconomic living standards around the world, adolescent obesity has increasingly become an important public health issue that cannot be ignored. Thus, we have implemented its use in an attempt to explore the viability of scenario-based simulations through the use of a data mining approach. In doing so, we wanted to explore the merits of using a General Bayesian Network (GBN) with What-If analysis while exploring how it can be utilized in other areas of public health. We analyzed data from the 2017 Korean Youth Health Behavior Survey conducted directly by the Korea Centers for Disease Control & Prevention, including 19 attributes and 11,206 individual data points. Our simulations found that by manipulating the amount of pocket money-between $60 and $80-coupled with a low-income background, it has a high potential to increase obesity compared with other simulated factors. Additionally, when we manipulated an increase in studying time with a mediocre academic performance, it was found to potentially increase pressure on adolescents, which subsequently led to an increased obesity outcome. Lastly, we found that when we manipulated an increase in a father’s education level while manipulating a decrease in mother’s education level, this had a large effect on the potential adolescent obesity level. Although obesity was the chosen case, this paper acts more as a proof of concept in analyzing public health through GBN and What-If analysis. Therefore, it aims to guide health professionals into potentially expanding their ability to simulate certain outcomes based on predicted changes in certain factors concerning future public health issues.

scholarly journals “I Felt Safe”: The Role of the Rapid Rehousing Program in Supporting the Security of Families Experiencing Homelessness in Salt Lake County, Utah

2020 ◽  
Vol 17 (13) ◽  
pp. 4840 ◽  
Author(s):  
Ivis García ◽  
Keuntae Kim
Keyword(s):  
Public Health ◽  
Service Providers ◽  
Salt Lake ◽  
Research Question ◽  
Rental Housing ◽  
Case Managers ◽  
Public Health Issue ◽  
Lake County ◽  
The Road

Homelessness is a public health issue that many organizations are addressing through a Housing First Model. One such organization is The Road Home (TRH), which provides services to homeless individuals and families in Salt Lake County. TRH is perhaps best known for their emergency shelters, but the organization also administers the Rapid Rehousing Program (RRHP), designed to help families experiencing homelessness transition back into stable housing. Those experiencing homelessness tend to have high rates of chronic mental/physical disabilities as well as issues related to substance abuse. Having a home is the first step toward achieving some kind of stability in their lives. The RRHP allows families to find housing in the private rental market and will cover the initial costs and several months of rent for clients. While the program has been praised by policymakers and social service providers for helping homeless families find rental housing, there is no empirical research about participant perspectives regarding their residential (in)security. The research question of this article is: what is the role of the RRHP in supporting the security of families experiencing homelessness? Researchers collected qualitative data through focus groups and interviews with 31 participants, 23 families experiencing homelessness, two landlords, six case managers, and service providers. Lastly, we identify recommendations for program improvements based on information gathered from research participants. It is our hope that the information presented in this article can and will be used in a way that improves public health by increasing the residential security of families experiencing homelessness.

All-Terrain Vehicles (ATVs) on the Road: A Serious Traffic Safety and Public Health Concern

2013 ◽  
Vol 14 (1) ◽  
pp. 78-85 ◽  
Author(s):  
Gerene Denning ◽  
Charles Jennissen ◽  
Karisa Harland ◽  
David Ellis ◽  
Christopher Buresh
Keyword(s):  
Public Health ◽  
Traffic Safety ◽  
Health Concern ◽  
Public Health Concern ◽  
The Road ◽  
On The Road

scholarly journals Safety Measures

2021 ◽  
Author(s):  
Laura Wiseman
Keyword(s):  
Creative Nonfiction ◽  
Safety Measures ◽  
Writing Assignments ◽  
Record Keeping ◽  
Summer Vacation ◽  
The Road ◽  
Data Points ◽  
Cross Country ◽  
On The Road ◽  
Fitness Tracker

A solo cross-country bike adventure. Safety Measures is a lyric collection of creative nonfiction and prose poetry. This creative response documents my solo cross-country 4,300-mile, 59-day bicycle ride from Anacortes, Washington, to Bar Harbor, Maine. I planned a route to begin and end in Minnesota because my family’s summer vacation was held at Leach Lake as a kid. Biking, fishing, beachcombing, and other lake events with my dad had instilled an adventurous spirit. I hoped to reconnect with the fierce energy of the young gal I once was. After the first day of support to make sure my bicycle, Lexa, worked, I rode alone for three weeks heading east. As planned, once there, my husband arrived to drive support. At Bar Harbor, we drove west, with a few bonus miles of bicycling along the way. Out west, my bicycle, Lexa, was lost, but someone found her, and she was repaired. Then I got going again towards Minnesota. Ultimately, the 59-day bicycle journey included nine days of bonus miles. For 78% or 39-days, I biked it alone with Lexa. The journey let me reflect on what it means to be a woman, self-supported, and safe. I felt scared, intimidated, and bullied. Harassment, threat, and being followed left me shaken. To be fair, nothing really happened. Sheriffs swept the road everywhere, making everyone behave. Semi-drivers scooted over, good stewards of littler riders like bicycles. Fellow bikers exchanged advice on the road ahead. I thanked, waved, or called, Safe travels, to such companionable travelers, grateful for their presence. I kept a journal during the ride, upon which this book is based. I held to writing assignments, challenges, and intentions. I collected data with a fitness tracker watch and cyclometer. Sports technology malfunction caused some rides to be recreated online. I logged this data, as well as other data points, in a spreadsheet and online. The data in this collection is based upon this record keeping.

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