scholarly journals Prevention and Harm Reduction Interventions for Adult Gambling at the Local Level: An Umbrella Review of Empirical Evidence

2021 ◽  
Vol 18 (18) ◽  
pp. 9484
Author(s):  
Veronica Velasco ◽  
Paola Scattola ◽  
Laura Gavazzeni ◽  
Lara Marchesi ◽  
Ioana Elena Nita ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Local Level ◽  
Negative Consequences ◽  
Umbrella Review ◽  
Contextual Risk ◽  
Effective Strategies ◽  
Prisma Statement ◽  
Reduction Strategies ◽  
Meta Analyses ◽  
Risk Reduction Strategies

Concerns about negative consequences of gambling diffusion are increasing. Prevention and harm reduction strategies play a crucial role in reducing gambling supply and harms. This study aims to conduct an umbrella review of the effectiveness of gambling preventive and harm reduction strategies, which can be implemented at a local level and targeted at adults. It was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Sixteen reviews were analyzed, and 20 strategies were selected and classified in 4 areas with different targets and aims. Reducing the supply of gambling is an effective strategy both for the general population and for risky or problematic gamblers. Demand reduction interventions have been found to have limited effects but most of them are mainly focused on knowledge about risks and odds ratios. Risk reduction strategies aim to reduce contextual risk factors of the area where gambling is provided, change the gambling locations’ features, and modify individual behaviors while gambling. Smoking and alcohol bans or restrictions are considered one of the most effective strategies. Finally, harm reduction strategies targeted at problematic gamblers are potentially effective. Some relevant implementation conditions are identified and the results show inconsistent effects across different targets.

Harm Reduction Strategies and Drug-Related Negative Consequences in the Dance Music Scene: The Moderating Role of Polysubstance Use

2021 ◽  
Vol 56 (6) ◽  
pp. 777-781
Author(s):  
Belén del Valle Vera ◽  
José Carmona-Marquez ◽  
Claudio Vidal-Giné ◽  
Fermín Fernández-Calderón
Keyword(s):  
Harm Reduction ◽  
Dance Music ◽  
Negative Consequences ◽  
Polysubstance Use ◽  
Music Scene ◽  
Reduction Strategies ◽  
Moderating Role

scholarly journals Governance of disaster risk reduction in Cameroon: The need to empower local government

2013 ◽  
Vol 5 (2) ◽  
Author(s):  
Henry N. Bang
Keyword(s):  
Local Government ◽  
Risk Reduction ◽  
Disaster Risk Reduction ◽  
Research Policy ◽  
Local Governance ◽  
Local Level ◽  
Disaster Risk ◽  
Reduction Strategies ◽  
Risk Reduction Strategies ◽  
The Impact

The impact of natural hazards and/or disasters in Cameroon continues to hit local communities hardest, but local government lacks the ability to manage disaster risks adequately. This is partly due to the fact that the necessity to mainstream disaster risk reduction into local governance and development practices is not yet an underlying principle of Cameroon’s disaster management framework. Using empirical and secondary data, this paper analyses the governance of disaster risks in Cameroon with particular focus on the challenges local government faces in implementing disaster risk reduction strategies. The hypothesis is that the governance of disaster risks is too centralised at the national level, with huge implications for the effective governance of disaster risks at the local level. Although Cameroon has reinvigorated efforts to address growing disaster risks in a proactive way, it is argued that the practical actions are more reactive than proactive in nature. The overall aim is to explore the challenges and opportunities that local government has in the governance of disaster risks. Based on the findings from this research, policy recommendations are suggested on ways to mainstream disaster risk reduction strategies into local governance, and advance understanding and practice in the local governance of disaster risks in the country.

scholarly journals Specific harm reduction strategies employed by 3,4-methylenedioxymethamphetmine/ ecstasy users in the United States and the United Kingdom

2017 ◽  
Vol 3 ◽  
pp. 205032451771106 ◽  
Author(s):  
Alan K Davis ◽  
Harold Rosenberg
Keyword(s):  
United States ◽  
United Kingdom ◽  
Harm Reduction ◽  
The United States ◽  
Negative Consequences ◽  
Web Based ◽  
The United Kingdom ◽  
Assessment Period ◽  
Reduction Strategies

Both recreational and problematic 3,4-methylenedioxymethamphetamine (MDMA)/ecstasy users could benefit from employing harm reduction interventions intended to preserve health and prevent negative consequences. To evaluate whether use of such interventions varied by country of residence and frequency of ecstasy use, we used web-based surveys to assess how often 104 lower-frequency and higher-frequency American ecstasy users and 80 lower-frequency and higher-frequency British ecstasy users employed each of 19 self-initiated harm reduction strategies when they used ecstasy during a 2-month period. Several significant differences notwithstanding, at least 75% of participants had used 11 of the 19 strategies one or more times during the 2-month assessment period, regardless of whether they lived in the United States or United Kingdom and whether they were lower-frequency or higher-frequency ecstasy users. When proportions of American and British participants using a strategy differed significantly, it was typically larger proportions of Americans using those strategies. Many of the less frequently employed strategies are not applicable on every occasion of ecstasy use. However, because ecstasy is not a diverted pharmaceutical of known quality/potency, testing for the presence of MDMA, other stimulants, and adulterants is a strategy that everyone should employ, regardless of country of residence or how frequently one consumes ecstasy.

scholarly journals Harm Reduction Strategies and Disinhibitors Among Women Who Use Heroin

2018 ◽  
Vol 63 (8) ◽  
pp. 1289-1305 ◽  
Author(s):  
Kent R. Kerley ◽  
Rashaan A. DeShay ◽  
Heith Copes
Keyword(s):  
Harm Reduction ◽  
Risk Reduction ◽  
Illicit Drugs ◽  
Heroin Use ◽  
Reduction Strategies ◽  
Risk Reduction Strategies ◽  
Shed Light ◽  
Restrictive Deterrence

People who use illicit drugs face significant physical risks in the acquisition, use, and aftermath of their use. This is particularly the case among those who use heroin in view of recent spikes in heroin-associated overdoses, injuries, and deaths. Using a restrictive deterrence framework, we identify the risks that women associate with chronic heroin use and the ways they seek to manage those risks. We also examine psychological and physiological disinhibitors that contribute to women reducing use of risk reduction strategies. We find from the narratives that nearly all of the women initially engaged in specific strategies to manage risk; however, as they continued using the drug, they began to abandon even the simplest of measures. Our findings shed light on the limitations of harm reduction strategies and inform the theoretical tradition of restrictive deterrence and the importance of disinhibitors.

Public Health Approaches to Overdose Prevention and Harm Reduction

2019 ◽  
pp. 23-32
Author(s):  
Mark Lysyshyn ◽  
Mark Tyndall
Keyword(s):  
Harm Reduction ◽  
Negative Consequences ◽  
Problematic Substance Use ◽  
Reduction Strategies ◽  
Drug Checking ◽  
Problematic Substance ◽  
Peer Engagement ◽  
Supervised Injection ◽  
Using Data ◽  
Treat All

Harm reduction aims to reduce the negative consequences of drug use in people unable or unwilling to stop. This chapter focus on harm reduction policies, programs, and practices that have been employed in Vancouver, British Columbia, including the controversial introduction of supervised injection sites. Using data from the Vancouver experience, the authors describe successful harm reduction efforts that have resulted in no overdose deaths in Vancouver’s supervised injection facilities. The authors stress that harm reduction approaches are meant to be complementary to prevention and treatment approaches, acknowledging that it is not currently possible to prevent or treat all cases of problematic substance use and also that addiction is a relapsing chronic condition. Other harm reduction strategies include drug checking and alerting, take-home naloxone, injectable therapies, hydromorphone distribution, and peer engagement.

scholarly journals Resilient Cities

2019 ◽  
Author(s):  
Abhilash Panda ◽  
Dilanthi Amaratunga
Keyword(s):  
Urban Areas ◽  
Urban Population ◽  
Local Level ◽  
Ground Level ◽  
Urban Resilience ◽  
Coping Capacity ◽  
Reduction Strategies ◽  
Nations Department ◽  
Risk Reduction Strategies ◽  
First Time

In 1990, 43% (2.3 billion) of the world’s population lived in urban areas, and by 2014 this percentage was at 54%. The urban population exceeded the rural population for the first time in 2008, and by 2050 it is predicted that urbanization will rise to 70% (see Albrito, “Making cities resilient: Increasing resilience to disasters at the local level,” Journal of Business Continuity & Emergency Planning, 2012). However, this increase in urban population has not been evenly spread throughout the world. As the urban population increases, the land area occupied by cities has increased at an even higher rate. It has been projected that by 2030, the urban population of developing countries will double, while the area covered by cities will triple (see United Nations, Department of Economic and Social Affairs, “World Urbanization Prospects: The 2014 Revision”). This emphasizes the need for resilience in the urban environment to anticipate and respond to disasters. Realizing this need, many local and international organizations have developed tools and frameworks to assist governments to plan and implement disaster risk reduction strategies efficiently. Sendai Framework’s Priorities for Action, Making Cities Resilient: My City is Getting Ready, and UNISDR’s Disaster Resilience Scorecard for Cities are major documents that provide essential guidelines for urban resilience. Given that, the disaster governance also needs to be efficient with ground-level participation for the implementation of these frameworks. This can be reinforced by adequate financing and resources depending on the exposure and risk of disasters. In essence, the resilience of a city is the resistance, coping capacity, recovery, adaptive capacity, and responsibility of everyone.

Bowel ischaemia after endovascular aneurysm repair

VASA ◽  
2018 ◽  
Vol 47 (4) ◽  
pp. 273-277
Author(s):  
Christopher Lowe ◽  
Oussama El Bakbachi ◽  
Damian Kelleher ◽  
Imran Asghar ◽  
Francesco Torella ◽  
...  
Keyword(s):  
Case Reports ◽  
Endovascular Aneurysm Repair ◽  
Artery Occlusion ◽  
Bibliographic Databases ◽  
Bowel Ischaemia ◽  
Prophylactic Measures ◽  
Increased Risk ◽  
Prisma Statement ◽  
Meta Analyses ◽  
Aneurysm Repair

Abstract. The aim of this review was to investigate presentation, aetiology, management, and outcomes of bowel ischaemia following EVAR. We present a case report and searched electronic bibliographic databases to identify published reports of bowel ischaemia following elective infra-renal EVAR not involving hypogastric artery coverage or iliac branch devices. We conducted our review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards. In total, five cohort studies and three case reports were included. These studies detailed some 6,184 infra-renal elective EVARs, without procedure-related occlusion of the hypogastric arteries, performed between 1996 and 2014. Bowel ischaemia in this setting is uncommon with an incidence ranging from 0.5 to 2.8 % and includes a spectrum of severity from mucosal to transmural ischaemia. Due to varying reporting standards, an overall proportion of patients requiring bowel resection could not be ascertained. In the larger series, mortality ranged from 35 to 80 %. Atheroembolization, hypotension, and inferior mesenteric artery occlusion were reported as potential causative factors. Elderly patients and those undergoing prolonged procedures appear at higher risk. Bowel ischaemia is a rare but potentially devastating complication following elective infra-renal EVAR and can occur in the setting of patent mesenteric vessels and hypogastric arteries. Mortality ranges from 35 to 80 %. Further research is required to identify risk factors and establish prophylactic measures in patients that have an increased risk of developing bowel ischaemia after standard infra-renal EVAR.

The Role of Revascularisation in Patients Undergoing Non-cardiac Surgery

2010 ◽  
Vol 5 (1) ◽  
pp. 104
Author(s):  
Daniel S Menees ◽  
Eric R Bates ◽  
◽  
Keyword(s):  
Cardiac Surgery ◽  
Prediction Models ◽  
Cardiovascular Complications ◽  
Weight Of Evidence ◽  
Beta Blockade ◽  
Cardiac Morbidity ◽  
Increased Risk ◽  
Reduction Strategies ◽  
Artery Disease ◽  
Risk Reduction Strategies

Coronary artery disease (CAD) affects millions of US citizens. As the population ages, an increasing number of people with CAD are undergoing non-cardiac surgery and face significant peri-operative cardiac morbidity and mortality. Risk-prediction models can be used to help identify those patients at increased risk of peri-operative cardiovascular complications. Risk-reduction strategies utilising pharmacotherapy with beta blockade and statins have shown the most promise. Importantly, the benefit of prophylactic coronary revascularisation has not been demonstrated. The weight of evidence suggests reserving either percutaneous or surgical revascularisation in the pre-operative setting for those patients who would otherwise meet independent revascularisation criteria.

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