This document provides information on overdose prevention programs that distribute naloxone kits and provide overdose training. It discusses statistics on drug overdose deaths globally and in various jurisdictions. It also summarizes the Streetworks overdose prevention program in Edmonton, including that it has trained 206 people and reversed 22 overdoses. The document outlines strategies for preventing overdose and responding to overdoses from various drug classes. It also discusses Good Samaritan laws and increasing access to naloxone through various means around the world.
This document discusses a student project on studying the environment. It focuses on the solar system and hydrosphere. The project was created by Parveen D. Bepari at the Junnediya Institute Of Information Technology.
This document discusses honeypots, which are decoy computer systems used to detect attacks. Honeypots have several advantages, including collecting small but high-value data, requiring minimal resources, and working in encrypted or IPv6 environments. Two specific honeypot tools discussed are Honeyd, an open source low-interaction honeypot that can emulate many operating systems and services, and honeynets, which are entire networks of high-interaction honeypots used to capture extensive attacker activity. The document compares several honeypot products and outlines first and second generation honeynet architectures.
Spoofing involves masquerading as another entity on a network to gain unauthorized access. Common spoofing attacks include masquerading as another system, hijacking an existing user session, and man-in-the-middle attacks where a third party intercepts communications. Intrusion detection systems monitor network activity for unusual behavior or policy violations and can help detect spoofing and other attacks. Firewalls filter network traffic to protect systems and enforce security policies, blocking unauthorized access while allowing legitimate communications.
Any One Need Notes, PPT, Or Books Related to computer then Text us on 03007064299 or Email sososofar@gmail.com .We will upload it on slide share or email you.........
This document summarizes discussions between staff at Streetworks in Edmonton who have experience living on the streets and those with professional backgrounds. It describes some of the differences in perspectives and challenges faced by those transitioning from life on the streets to professional roles. Key points include the struggle to adjust to employment norms, challenges with communication styles and lack of confidence, and navigating relationships between street and professional cultures.
Security zones segregate networks into different areas with varying levels of security. The most secure zone contains private networks and servers, while less secure zones like DMZs contain servers accessible from untrusted networks. Device security involves physical security of network components and their locations as well as logical security measures like access control lists and authentication on routers.
Working with street involved pregnant womenAIDSCalgary
This document discusses barriers faced by pregnant women involved in street lifestyles and addictions in accessing prenatal care. It outlines challenges such as homelessness, trauma, mental health issues, poverty, stigma and fear of authority. Effective strategies for engaging these women include meeting them where they are at with a non-judgmental, harm reduction approach, building relationships through consistent outreach and drop-ins, and focusing on women's needs rather than just the fetus. The document advocates addressing systemic barriers through paradigm shifts in how drug use during pregnancy is viewed.
This document provides an outline for a presentation on street-involved youth, crystal methamphetamine use, and mental health. It discusses two data sets - the Risky Business study of 185 street-involved youth in Victoria, BC and the Healthy Youth Survey which provides a comparison group. It then discusses research questions, background on street-involved youth and crystal meth use, the risk environment framework for understanding drug harms, and proposes amending this framework with a meso-level analysis. The document is an outline for a presentation that will provide further details on these topics.
This document discusses a student project on studying the environment. It focuses on the solar system and hydrosphere. The project was created by Parveen D. Bepari at the Junnediya Institute Of Information Technology.
This document discusses honeypots, which are decoy computer systems used to detect attacks. Honeypots have several advantages, including collecting small but high-value data, requiring minimal resources, and working in encrypted or IPv6 environments. Two specific honeypot tools discussed are Honeyd, an open source low-interaction honeypot that can emulate many operating systems and services, and honeynets, which are entire networks of high-interaction honeypots used to capture extensive attacker activity. The document compares several honeypot products and outlines first and second generation honeynet architectures.
Spoofing involves masquerading as another entity on a network to gain unauthorized access. Common spoofing attacks include masquerading as another system, hijacking an existing user session, and man-in-the-middle attacks where a third party intercepts communications. Intrusion detection systems monitor network activity for unusual behavior or policy violations and can help detect spoofing and other attacks. Firewalls filter network traffic to protect systems and enforce security policies, blocking unauthorized access while allowing legitimate communications.
Any One Need Notes, PPT, Or Books Related to computer then Text us on 03007064299 or Email sososofar@gmail.com .We will upload it on slide share or email you.........
This document summarizes discussions between staff at Streetworks in Edmonton who have experience living on the streets and those with professional backgrounds. It describes some of the differences in perspectives and challenges faced by those transitioning from life on the streets to professional roles. Key points include the struggle to adjust to employment norms, challenges with communication styles and lack of confidence, and navigating relationships between street and professional cultures.
Security zones segregate networks into different areas with varying levels of security. The most secure zone contains private networks and servers, while less secure zones like DMZs contain servers accessible from untrusted networks. Device security involves physical security of network components and their locations as well as logical security measures like access control lists and authentication on routers.
Working with street involved pregnant womenAIDSCalgary
This document discusses barriers faced by pregnant women involved in street lifestyles and addictions in accessing prenatal care. It outlines challenges such as homelessness, trauma, mental health issues, poverty, stigma and fear of authority. Effective strategies for engaging these women include meeting them where they are at with a non-judgmental, harm reduction approach, building relationships through consistent outreach and drop-ins, and focusing on women's needs rather than just the fetus. The document advocates addressing systemic barriers through paradigm shifts in how drug use during pregnancy is viewed.
This document provides an outline for a presentation on street-involved youth, crystal methamphetamine use, and mental health. It discusses two data sets - the Risky Business study of 185 street-involved youth in Victoria, BC and the Healthy Youth Survey which provides a comparison group. It then discusses research questions, background on street-involved youth and crystal meth use, the risk environment framework for understanding drug harms, and proposes amending this framework with a meso-level analysis. The document is an outline for a presentation that will provide further details on these topics.
This document summarizes the harm reduction and continuum of care services provided by an agency in Calgary, Alberta. It describes the evolution of services over time to include a low barrier shelter, detox center, outreach team, and various housing options. It provides examples of typical client cases and outcomes to demonstrate how the integrated services help address client needs.
Community impact of the towards patient centered addiction care projectAIDSCalgary
The document summarizes a community impact assessment of the "Towards Patient-Centered Addiction Care" project. Key findings from focus groups with community members included:
1) The project provided an opportunity for community members to share their experiences and give back to help others.
2) The health care navigation booklet developed with community input was seen as relevant and honest.
3) The involvement of a trusted community consultant was important for engaging community members.
4) Long-term change will require addressing broader social issues like housing and supporting community outreach programs.
5) Future efforts should focus on sustaining partnerships and ensuring messages reach both community members and health professionals.
This document summarizes a presentation given at the AHRC Conference on May 22, 2013. It discusses several challenges faced by pregnant women who use substances, including stigma, lack of support services, and policies that prioritize fetal health over the health and autonomy of the mother. It notes that maintaining drug-dependent pregnant women on opioid maintenance therapy, such as methadone, is safer for both mother and baby than forcing withdrawal. The presentation calls for more supportive, non-judgemental services for pregnant women using substances and a shift away from punitive, fear-based approaches.
This document provides a history of operating system development and discusses various methods for user authentication. It describes how early systems had no OS and each user had exclusive access. Timesharing systems introduced multiprogramming which allowed interleaved access and context switching between users. Passwords became a common authentication method, storing hashed passwords with salts to prevent duplicates. However, passwords are limited and can be cracked through brute force attacks or using dictionaries. The document recommends techniques like longer randomized passwords and one-time passwords to improve security.
Steroids Alberta Harm Reduction ConferenceAIDSCalgary
This document provides information about anabolic steroids, including their uses, side effects, and risks. It discusses what steroids are, how they work in the body to build muscle, and common injection techniques. Potential side effects are outlined for both men and women. The document also covers topics like steroid cycles, stacking, diet, and the bodybuilding subculture. It provides harm reduction advice, such as always using clean needles, rotating injection sites, and understanding triggers for potential aggression while on steroids. Throughout, it emphasizes the illegal nature of obtaining steroids without a prescription and that more is not necessarily better when it comes to dosage.
This document provides an outline for a course on computer network security. It discusses the need for network security due to organizations' reliance on automated systems and valuable digital assets. It also describes the nature of the network security problem, noting that perfect security is impossible due to human and technical factors. The document outlines different defensive strategies like access control and authentication. It introduces concepts like the "gold standard" of authentication, authorization, and auditing to help secure network access and activity. The overall objectives are to help students understand why network security is needed and common defensive approaches.
This document provides a summary of 15 labs on data warehousing and mining using Teradata. The labs cover topics like:
- Understanding Teradata and how to start the Teradata server
- Creating databases and users in Teradata Administrator
- Creating tables in a database using BTEQ
- Using Teradata SQL Assistant to execute queries
- Executing different data manipulation queries
- Getting familiar with visual tools, report generation, histograms, connecting databases to applications, loading data using Fastload, schemas, Teradata Warehouse Builder, and Parallel Transporter.
This document discusses society's increasing abuse of pharmaceutical drugs. It defines prescription drug abuse as taking medication inappropriately, such as taking someone else's prescription, exceeding the dosage, or mixing with alcohol. Reasons for rising abuse include the fast pace of society, ease of obtaining drugs from doctors or on the street, and the belief that prescription drugs are safer than illicit drugs. Common drugs of abuse are opioids, depressants, and stimulants. The document outlines short and long term effects of abusing these drugs and emphasizes the need for education to prevent further misuse and strengthen social norms around appropriate prescription drug use.
Contemporary Social Issue Presentation on Prescription Abuse Kelseynarin
This document discusses society's increasing abuse of pharmaceutical drugs. It defines prescription drug abuse as taking medication inappropriately, such as taking someone else's prescription, exceeding the dosage, or mixing with alcohol. Reasons for rising abuse include the fast pace of society, ease of obtaining drugs from doctors or on the street, and the belief that prescription drugs are safer than illicit drugs. Common drugs of abuse are opioids, depressants, and stimulants. The document outlines short and long term effects of abusing these drugs and emphasizes the need for education to prevent further misuse.
This document discusses substance use trends in Toronto, Ontario, Canada. It finds that the most commonly used substances are alcohol, marijuana, and "designer" drugs like MDMA and ketamine. Alcohol is used by 78% of adults and causes both short-term impairments and long-term health issues when misused or abused. Marijuana is the second most popular drug and can impair driving ability, while ketamine and MDMA ("ecstasy") cause psychological and physical effects like anxiety, paranoia, sweating and elevated heart rate when taken. High unemployment and poverty in Toronto contribute to its struggles with substance abuse issues.
This document discusses the need for increased availability and accessibility of naloxone in England. It notes that legislation is expected to allow wider access to naloxone in October 2015. However, existing provisions should be used now to provide take-home naloxone to those at risk of overdose. Naloxone is a medication that reverses opioid overdoses and can be safely prescribed or issued via various means. Increased access to naloxone training and distribution has the potential to save hundreds of lives by preventing overdose fatalities and brain damage.
Introduction to overdose prevention wgdsc harm reduction forum 2013 (2)HRForum
The document provides an introduction to opioid overdose prevention. It discusses what an opioid overdose is, who is at risk, how to recognize one, and myths and facts about overdose. It describes how to respond by calling 911, ensuring safety, performing CPR, and administering naloxone if available. Key risk factors include mixing drugs, reduced tolerance, using alone, and long-term opioid use. Signs of overdose include slowed breathing, blue lips/fingernails, loss of consciousness. The document aims to educate people on how to recognize and respond to an opioid overdose.
Introduction to overdose prevention wgdsc harm reduction forum 2013 (2)HRForum
This document provides an introduction to opioid overdose prevention. It discusses what an opioid overdose is, who is at risk, how to recognize an overdose, and myths and facts about overdose. An opioid overdose occurs when a drug depresses the central nervous system to the point that breathing and heartbeat are affected. Anyone can experience an overdose, but those at higher risk include people mixing drugs, with reduced tolerance, or using certain methods of administration. Signs of overdose include pale or blue skin, slow or no breathing, vomiting, and unconsciousness. The presentation aims to educate on preventing overdoses by understanding risks and signs.
This document discusses strategies to address the opioid overdose epidemic, including increasing access to the opioid overdose reversal drug naloxone. It summarizes models of overdose prevention programs that distribute naloxone, studies showing these programs are associated with reductions in overdose deaths, and the cost-effectiveness of naloxone distribution. The document then reviews New York state's law allowing community distribution of naloxone and a pilot program that trained EMTs, law enforcement officers, and other first responders to administer naloxone, resulting in over 200 overdose reversals.
'It's there own fault for taking drugs' Professorial Lecture Glyndwr Universi...Julian Buchanan
This document discusses problem drug use from multiple perspectives. It addresses how problem drug users often face disadvantages like low education and long-term unemployment. It also discusses how tough enforcement approaches can exacerbate risks for drug users and disproportionately impact minority groups. Additionally, the document examines how problem drug users experience stigma and social exclusion. It suggests problem drug use is influenced not just by physical and psychological factors, but also broader social factors.
This document presents a national strategy developed by the National Advisory Council on
Prescription Drug Misuse to address Canada's prescription drug crisis. The Council was formed in
response to growing harms from certain prescription drugs like opioids, sedatives and stimulants. It
is led by various health organizations and includes representatives from healthcare, government,
First Nations, law enforcement and industry. The strategy defines the scope of the crisis and provides
58 recommendations in areas like prevention, education, treatment, monitoring and enforcement. It
aims to reduce harms while maintaining appropriate access. Key goals include preventing harms,
promoting safe prescribing and dispensing, improving treatment access, enhancing surveillance,
establishing prescription monitoring programs
This document discusses opiate addiction and drug replacement therapies. It begins with an introduction outlining how opiate addiction affects people of all ages and backgrounds. It then reviews literature showing that opiate addiction is a metabolic brain disease that requires prolonged treatment. Many addicts elect to take drug replacement therapies after detox to control physical dependency, but these can also become addictive. The document presents interviews from 2012 and 2016 that discuss the challenges recovering addicts face in finding housing and overcoming stigma. It concludes that expanded support services are needed to close gaps in care and support long-term recovery.
This document summarizes research on drug abuse and addiction. It finds that addiction is a brain disease characterized by compulsive drug use despite negative consequences. Addiction involves changes in brain structure and function that compromise mental and motor function if untreated. Multiple factors contribute to addiction risk including genetics, environment, development, mental illness and stress. Effective prevention and treatment strategies must address the biological, psychological and social aspects of addiction over the long term, as addiction is a chronic and relapsing disease. International research collaboration is needed to address drug abuse globally.
Neurobiology of drug abuse and addiction_NIDAGeorgePanagis3
This document summarizes research on drug abuse and addiction. It finds that addiction is a brain disease characterized by compulsive drug use despite negative consequences. Addiction involves changes in brain structure and function that persist even after periods of abstinence. Risk factors include genetics, mental illness, stress, and drug availability. Prevention and treatment strategies must consider biological, psychological, and social factors. Addiction is treatable, but often requires multiple treatment attempts due to high relapse rates, similar to other chronic diseases. Further research aims to develop improved prevention and treatment methods.
This document discusses a presentation on expanding the use of naloxone. The presentation includes three speakers who will discuss (1) naloxone collaborative practice agreements with pharmacies, (2) a model for using intranasal naloxone as a universal precaution for patients on chronic opioid therapy, and (3) whether co-prescribing intranasal naloxone impacts overdose deaths. The document provides background on the speakers and moderators, as well as learning objectives and an agenda for the presentation.
This document summarizes the harm reduction and continuum of care services provided by an agency in Calgary, Alberta. It describes the evolution of services over time to include a low barrier shelter, detox center, outreach team, and various housing options. It provides examples of typical client cases and outcomes to demonstrate how the integrated services help address client needs.
Community impact of the towards patient centered addiction care projectAIDSCalgary
The document summarizes a community impact assessment of the "Towards Patient-Centered Addiction Care" project. Key findings from focus groups with community members included:
1) The project provided an opportunity for community members to share their experiences and give back to help others.
2) The health care navigation booklet developed with community input was seen as relevant and honest.
3) The involvement of a trusted community consultant was important for engaging community members.
4) Long-term change will require addressing broader social issues like housing and supporting community outreach programs.
5) Future efforts should focus on sustaining partnerships and ensuring messages reach both community members and health professionals.
This document summarizes a presentation given at the AHRC Conference on May 22, 2013. It discusses several challenges faced by pregnant women who use substances, including stigma, lack of support services, and policies that prioritize fetal health over the health and autonomy of the mother. It notes that maintaining drug-dependent pregnant women on opioid maintenance therapy, such as methadone, is safer for both mother and baby than forcing withdrawal. The presentation calls for more supportive, non-judgemental services for pregnant women using substances and a shift away from punitive, fear-based approaches.
This document provides a history of operating system development and discusses various methods for user authentication. It describes how early systems had no OS and each user had exclusive access. Timesharing systems introduced multiprogramming which allowed interleaved access and context switching between users. Passwords became a common authentication method, storing hashed passwords with salts to prevent duplicates. However, passwords are limited and can be cracked through brute force attacks or using dictionaries. The document recommends techniques like longer randomized passwords and one-time passwords to improve security.
Steroids Alberta Harm Reduction ConferenceAIDSCalgary
This document provides information about anabolic steroids, including their uses, side effects, and risks. It discusses what steroids are, how they work in the body to build muscle, and common injection techniques. Potential side effects are outlined for both men and women. The document also covers topics like steroid cycles, stacking, diet, and the bodybuilding subculture. It provides harm reduction advice, such as always using clean needles, rotating injection sites, and understanding triggers for potential aggression while on steroids. Throughout, it emphasizes the illegal nature of obtaining steroids without a prescription and that more is not necessarily better when it comes to dosage.
This document provides an outline for a course on computer network security. It discusses the need for network security due to organizations' reliance on automated systems and valuable digital assets. It also describes the nature of the network security problem, noting that perfect security is impossible due to human and technical factors. The document outlines different defensive strategies like access control and authentication. It introduces concepts like the "gold standard" of authentication, authorization, and auditing to help secure network access and activity. The overall objectives are to help students understand why network security is needed and common defensive approaches.
This document provides a summary of 15 labs on data warehousing and mining using Teradata. The labs cover topics like:
- Understanding Teradata and how to start the Teradata server
- Creating databases and users in Teradata Administrator
- Creating tables in a database using BTEQ
- Using Teradata SQL Assistant to execute queries
- Executing different data manipulation queries
- Getting familiar with visual tools, report generation, histograms, connecting databases to applications, loading data using Fastload, schemas, Teradata Warehouse Builder, and Parallel Transporter.
This document discusses society's increasing abuse of pharmaceutical drugs. It defines prescription drug abuse as taking medication inappropriately, such as taking someone else's prescription, exceeding the dosage, or mixing with alcohol. Reasons for rising abuse include the fast pace of society, ease of obtaining drugs from doctors or on the street, and the belief that prescription drugs are safer than illicit drugs. Common drugs of abuse are opioids, depressants, and stimulants. The document outlines short and long term effects of abusing these drugs and emphasizes the need for education to prevent further misuse and strengthen social norms around appropriate prescription drug use.
Contemporary Social Issue Presentation on Prescription Abuse Kelseynarin
This document discusses society's increasing abuse of pharmaceutical drugs. It defines prescription drug abuse as taking medication inappropriately, such as taking someone else's prescription, exceeding the dosage, or mixing with alcohol. Reasons for rising abuse include the fast pace of society, ease of obtaining drugs from doctors or on the street, and the belief that prescription drugs are safer than illicit drugs. Common drugs of abuse are opioids, depressants, and stimulants. The document outlines short and long term effects of abusing these drugs and emphasizes the need for education to prevent further misuse.
This document discusses substance use trends in Toronto, Ontario, Canada. It finds that the most commonly used substances are alcohol, marijuana, and "designer" drugs like MDMA and ketamine. Alcohol is used by 78% of adults and causes both short-term impairments and long-term health issues when misused or abused. Marijuana is the second most popular drug and can impair driving ability, while ketamine and MDMA ("ecstasy") cause psychological and physical effects like anxiety, paranoia, sweating and elevated heart rate when taken. High unemployment and poverty in Toronto contribute to its struggles with substance abuse issues.
This document discusses the need for increased availability and accessibility of naloxone in England. It notes that legislation is expected to allow wider access to naloxone in October 2015. However, existing provisions should be used now to provide take-home naloxone to those at risk of overdose. Naloxone is a medication that reverses opioid overdoses and can be safely prescribed or issued via various means. Increased access to naloxone training and distribution has the potential to save hundreds of lives by preventing overdose fatalities and brain damage.
Introduction to overdose prevention wgdsc harm reduction forum 2013 (2)HRForum
The document provides an introduction to opioid overdose prevention. It discusses what an opioid overdose is, who is at risk, how to recognize one, and myths and facts about overdose. It describes how to respond by calling 911, ensuring safety, performing CPR, and administering naloxone if available. Key risk factors include mixing drugs, reduced tolerance, using alone, and long-term opioid use. Signs of overdose include slowed breathing, blue lips/fingernails, loss of consciousness. The document aims to educate people on how to recognize and respond to an opioid overdose.
Introduction to overdose prevention wgdsc harm reduction forum 2013 (2)HRForum
This document provides an introduction to opioid overdose prevention. It discusses what an opioid overdose is, who is at risk, how to recognize an overdose, and myths and facts about overdose. An opioid overdose occurs when a drug depresses the central nervous system to the point that breathing and heartbeat are affected. Anyone can experience an overdose, but those at higher risk include people mixing drugs, with reduced tolerance, or using certain methods of administration. Signs of overdose include pale or blue skin, slow or no breathing, vomiting, and unconsciousness. The presentation aims to educate on preventing overdoses by understanding risks and signs.
This document discusses strategies to address the opioid overdose epidemic, including increasing access to the opioid overdose reversal drug naloxone. It summarizes models of overdose prevention programs that distribute naloxone, studies showing these programs are associated with reductions in overdose deaths, and the cost-effectiveness of naloxone distribution. The document then reviews New York state's law allowing community distribution of naloxone and a pilot program that trained EMTs, law enforcement officers, and other first responders to administer naloxone, resulting in over 200 overdose reversals.
'It's there own fault for taking drugs' Professorial Lecture Glyndwr Universi...Julian Buchanan
This document discusses problem drug use from multiple perspectives. It addresses how problem drug users often face disadvantages like low education and long-term unemployment. It also discusses how tough enforcement approaches can exacerbate risks for drug users and disproportionately impact minority groups. Additionally, the document examines how problem drug users experience stigma and social exclusion. It suggests problem drug use is influenced not just by physical and psychological factors, but also broader social factors.
This document presents a national strategy developed by the National Advisory Council on
Prescription Drug Misuse to address Canada's prescription drug crisis. The Council was formed in
response to growing harms from certain prescription drugs like opioids, sedatives and stimulants. It
is led by various health organizations and includes representatives from healthcare, government,
First Nations, law enforcement and industry. The strategy defines the scope of the crisis and provides
58 recommendations in areas like prevention, education, treatment, monitoring and enforcement. It
aims to reduce harms while maintaining appropriate access. Key goals include preventing harms,
promoting safe prescribing and dispensing, improving treatment access, enhancing surveillance,
establishing prescription monitoring programs
This document discusses opiate addiction and drug replacement therapies. It begins with an introduction outlining how opiate addiction affects people of all ages and backgrounds. It then reviews literature showing that opiate addiction is a metabolic brain disease that requires prolonged treatment. Many addicts elect to take drug replacement therapies after detox to control physical dependency, but these can also become addictive. The document presents interviews from 2012 and 2016 that discuss the challenges recovering addicts face in finding housing and overcoming stigma. It concludes that expanded support services are needed to close gaps in care and support long-term recovery.
This document summarizes research on drug abuse and addiction. It finds that addiction is a brain disease characterized by compulsive drug use despite negative consequences. Addiction involves changes in brain structure and function that compromise mental and motor function if untreated. Multiple factors contribute to addiction risk including genetics, environment, development, mental illness and stress. Effective prevention and treatment strategies must address the biological, psychological and social aspects of addiction over the long term, as addiction is a chronic and relapsing disease. International research collaboration is needed to address drug abuse globally.
Neurobiology of drug abuse and addiction_NIDAGeorgePanagis3
This document summarizes research on drug abuse and addiction. It finds that addiction is a brain disease characterized by compulsive drug use despite negative consequences. Addiction involves changes in brain structure and function that persist even after periods of abstinence. Risk factors include genetics, mental illness, stress, and drug availability. Prevention and treatment strategies must consider biological, psychological, and social factors. Addiction is treatable, but often requires multiple treatment attempts due to high relapse rates, similar to other chronic diseases. Further research aims to develop improved prevention and treatment methods.
This document discusses a presentation on expanding the use of naloxone. The presentation includes three speakers who will discuss (1) naloxone collaborative practice agreements with pharmacies, (2) a model for using intranasal naloxone as a universal precaution for patients on chronic opioid therapy, and (3) whether co-prescribing intranasal naloxone impacts overdose deaths. The document provides background on the speakers and moderators, as well as learning objectives and an agenda for the presentation.
This document discusses drug use, abuse, and misuse in the United States. It categorizes drugs into prescription drugs, over-the-counter drugs, recreational drugs, illicit drugs, herbal preparations, and commercial preparations. It also outlines public health campaigns on drugs, routes of drug administration, the effects of drugs on physiology and psychology, receptor site theory, main effects and side effects of drug use, and factors involved in successful treatment of drug use issues.
The document discusses drug overdose poisoning and provides information on:
1. Drug overdose occurs when drugs are consumed in excessive amounts, either intentionally or unintentionally, and injure the body.
2. Drug overdose is a leading cause of injury death, especially among those aged 25-64. Opioids and benzodiazepines are commonly involved in overdoses.
3. Risk factors for overdose include being male, white, and between ages 45-49. Children under 15 have the lowest overdose rates.
Prescription Drug Misuse: Among Young Adultsamankhosa
A project that explains the prevalence of prescription drug misuse, specifically among the young adult population. Includes information on warning and behavioural signs of prescription drug abuse, commonly abused prescription drugs, cultural awareness, and related policies and prevention strategies.
This document summarizes research on drug addiction and its effects on the brain. It finds that addiction is a chronic brain disease characterized by compulsive drug seeking and use despite negative consequences. Addiction involves changes in brain structure and function that can last a lifetime if left untreated. Research shows that drug use changes the brain in fundamental ways by disrupting the brain's reward system and other neurotransmitter systems like dopamine and serotonin. Prevention and treatment strategies must address addiction's biological and behavioral aspects.
This document provides an overview and training for a program to train pharmacists in Maryland on responding to opioid overdoses. It begins with introducing the program and providing statistics on the opioid epidemic in Maryland. It then defines harm reduction and discusses recognizing and responding to overdoses, including administering naloxone. The document provides details on naloxone administration and storage/disposal, as well as information for pharmacists on dispensing naloxone. The goal is to equip pharmacists with knowledge to help prevent overdose deaths in their communities.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
1. 5/24/2013
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Mathew Wong, RN BScN
Streetworks, Edmonton, AB
Alberta Harm Reduction Conference 2013
Stats
Our Program
Overdose Prevention
Around theWorld
911 Good SamaritanActs
Naloxone Kit Distribution andODTraining
IncreasingAvailability of Naloxone
Overview
2. 5/24/2013
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• Globally, in 2012, there were between 99,000 and 253,000 deaths
attributed to illicit drugs (UNODC, 2012)
• At its highest, that is 693 lives lost each day in the world
• Drug overdose is the second leading cause of accidental death after
motor vehicle collisions in the United States, with over 38,000 in 2010
• That is over 100 people dying each from accidental drug overdose (CDC, 2010)
• Fragmented reporting systems in Alberta report at least one drug
overdose death each day back in 2004 (Office of Chief Medical Examiner
Alberta Justice, 2009)
• Canada just recently surpassed the US to be number one in per capital
consumption of opioids (International Narcotics Control Board, 2012)
• To put some perspective on that, number 3, Norway, has a 40 percent lower usage
rate than us
Stats
This is a tragedy.
Began in 2005 (Dong et al, 2005)
First of its kind in all ofCanada
Modeled after the first NaloxoneDistribution
program in the US (ChicagoRecoveryAlliance
One physician prescribing exclusively to opiate
users
Training is completed by a Registered Nurse
who cosigns the prescription
Our Program
3. 5/24/2013
3
To date:
• 206Trainees
• 22Overdose reversals
• an approximately 10% reversal rate
Involves and empowers communitymembers
to become active participants in the health
care of themselves and their community
Two Parts to OverdoseTraining
• Overdose PreventionTips
• Life Saving Measures
Our Program (Continued)
Overdose happens when a person takes more of a drug
or combination of drugs than the body can handle. As
a consequence, the central nervous system (CNS) is
not able to control basic life functions.
Overdose
4. 5/24/2013
4
Preventing Overdose:
Never use alone!
If someone is there, that someone can
help call 911 and give Naloxone.
Preventing Overdose:
Know your source!
Know your dealer and buy from the same
source, that way you know how safe and how
pure the stuff you are getting.
5. 5/24/2013
5
Preventing Overdose:
Don’t mix!
It’s much, much easier to overdose if
you’re mixing drugs, especially alcohol.
Preventing Overdose:
Do a tester (Use Slowly)!
The strength of the drug can differ.
Start small so you don’t use too much.
6. 5/24/2013
6
Preventing Overdose:
Use less after a break!
After a short break from using (like being in
jail, hospital or detox), your tolerance can go
way down. Even as little as three days.
Preventing Overdose:
Eat/Snort/Smoke!
Injecting is the most dangerous as it
goes straight into your system and
can’t be taken out.
7. 5/24/2013
7
Preventing Overdose:
Stay Healthy!
Not sleeping, not eating well, not
taking care of yourself – all of it makes
it easier to OD.
Preventing Overdose:
Get trained!
Know your stuff!
Prevent overdoses, spread the
knowledge, and save lives.
8. 5/24/2013
8
LSD(acid)
Mescaline
PCP
Cannabis
Ecstasy
Salvia
Ketamine
Can lead to high blood
pressure, seizures, high
heart rate, high body
temperature.
Psychosis, kidney
damage
Realistically the
greatest harm would be
risk of self harm or
accidents
Overdose – Hallucinogens
Cocaine
Crack
Speed
Meth
Ecstasy
Anxiety, Psychosis,
Vomiting, Sweating,
Foaming at mouth,
Chest pain, Elevated
body temp
Overheating
Stroke
Heart attack
Seizures
Overdose – Ups (Stimulants)
9. 5/24/2013
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• Call 911
• Reduce stimuli:turn of sounds and
lights, crowd control
• Talk calmly and stay with the person
until help arrives
• If the person is overheating, use fans,
ice packs, cool sips of water,
If the person
is conscious
• Call 911
• StartCPR if certified
• If not place person in recovery position
If the person
is
unconscious
What to do in Stimulant/HallucinogenOD?
Cops show up
(Possession,
paraphernalia,
warrants)
Distrust of the
Healthcare System
Previous
experience of
person waking up
Confidence in
mythical street
antidotes
Fear of association
in OD
Why not call 911?
11. 5/24/2013
11
0.4 mg/ml single use vials
Can be given by intramuscular injection or
intranasal spray
Does not replace emergency medical
assistance
Only works for OpioidOverdose
Last 30-90 minutes
In Canada, approx. $13/vial
Naloxone (Narcan®)
12. 5/24/2013
12
What to do in Opiate OD?
S – timulation Can you wake them up? If not, call
9-1-1!
A – irway Make sure there’s nothing in their
mouth that stops them from
breathing
V – entilate Breathe for them! (one breathe
every 5 seconds)
E – valuate Are they any better? Are you
trained to give naloxone?
M – uscular
injection
Inject 1cc of
naloxone into a muscle.
E – valuate
and
support
Is the person breathing on their
own? If they’re not awake in 5min,
another 1cc dose is needed.
Tell the person not to use any more
drugs right now – wait at least a
couple of hours.
911 Good
Samaritan
Acts
Provide
limited
immunity
from criminal
code when
calling to
save
someone’s
life
Naloxone
Kits and
OD
Training
Take Home
Naloxone
Programs
Overdose
Prevention
Education
Increasing
Availability
of
Naloxone
Over the
counter
Naloxone
Bystanders
carrying
Naloxone
Intranasal
Spray
Increasing
Awareness
International
Overdose
Awareness
Day – August
31
Around theWorld
13. 5/24/2013
13
911 Good Samaritan Acts
“No one should go to jail for calling 911 to
save someone’s life”
Law in place to provide limited immunity
from the criminal code when calling 911
to save someone fromOD
New Mexico was first state in 2007
11 other states (WA, NY, CT, IL, CO, RI,
FL, MA, CA, NC and NJ) plus 2 (AK, MD)
as of May 2013
911 Good Samaritan Acts
November 2012 – Gov.Christie
of New JerseyVetoesGood
Samaritan Law
• Said he was afraid they would let drug
dealers off the hook, “How about if
they’re not a Good Samaritan?”
May 2013 – Gov.Christie signs
the OD prevention bill into law
• Said he was moved by the letters of
grieving parents who had lost children
to OD, including Jon Bon Jovi whose
daughter survived a heroinOD
14. 5/24/2013
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Naloxone Kits and ODTraining
Canada – BC, Ontario (Toronto), and
Edmonton
• Toronto’s program which began in 2011 has 580
trained and 68 reversals as of Feb 2013
• BC’s pilot project has distributed 350 kits and has
had 8 reversals as of Dec 2012
USA – 188 community based take home
Naloxone Programs
• 50,000Trained
• 10,000 Overdose Reversals
Germany, UK,Australia, Russia, Estonia,
Afghanistan,Cambodia and numerous
other countries
Naloxone Kits and ODTraining
Effective in Saving Lives
(Walley et al, 2013)
• 2912 trained and 327 in Massachusetts
• Significantly reduced rate of
overdoses
• Significantly reduced rate of overdose
deaths
Cost Effective
(Phillip, Coffin & Sean, 2013)
• Saves costs to health care
• Study did not account for reduced
drug use and healthier habits brought
on from the training
15. 5/24/2013
15
IncreasingAvailability of Naloxone
IncreasingAvailability of Naloxone
Over the Counter
Naloxone – Italy
Specialized OD
Ambulances – Moscow
Doctors co-prescribing
Naloxone
Train Professionals – law
enforcement (NM, NY –
51 lives saved), EMTs
Train Bystanders
Massachusetts – has 2900
Trained
Intranasal Spray
16. 5/24/2013
16
IncreasingAwareness
The Purple ribbon is an
International symbol of Overdose
Awareness
• The silver badge is the symbol for
OverdoseAwareness day onAugust 31
Streetworks Overdose Prevention
Newsletter
• Add your email to the mailing list!
Spread the word!
“Out beyond ideas of wrongdoing and rightdoing,
there is a field. I’ll meet you there.”
--Rumi
17. 5/24/2013
17
• Anex. (2010). Lifesavers: a position paper on access to naloxone hydrochloride for potential opiate overdose witnesses. Apex: Melbourne
Australia.
• Anex (2011). http://www.anex.org.au/what-we-do/current-interests/access-to-naloxone/
• CDC. (2010). Death and Mortaility. Centers for Disease Control and Prevention. Retrieved from: http://www.cdc.gov/nchs/fastats/deaths.htm
• Dong K., Taylor M., Wild CT., Rose M., Salvalaggio G., Rowe BH. (2012). Community based Naloxone: a Canadian pilot program. Canadian
Journal of Addiction Medicine, 3(2):4-9.
• Hardeman S. (2011). How to save a life: overdose prevention and Naloxone training. Streetworks Alberta Harm Reduction Conference.
Edmonton, AB.
• LawAtlas. (2013). Public Health Law Research. Retrieved on May 6, 2013 from: http://lawatlas.org/
• Marteau, D., Wishart, S., Strang, J., Bird, S., and Parmar, M. (21 February 2011). Prison-based Naloxone-on-release pilot randomised controlled
prevention trial.
• Office of the Chief Medical Examiner Alberta Justice. (2009). Unclassified Manner of Death. Retrieved from:
http://justice.alberta.ca/programs_services/fatality/ocme/Publications_OCME/AnnualReviewOCME2009.aspx/DispForm.aspx?ID=38
• Phillip O., Coffin MD., Sean DS. (2013). Cost-effectiveness of distributing naloxone to heroin users for lay overdose reversals. Annals of Internal
Medicine1, 58(1):1-9. doi:10.7326.
• The Network for Public Health. (2013). Legal interventions to reduce overdose mortality: Naloxone access and overdose good Sa maritan laws.
Retrieved from: http://www.networkforphl.org/_asset/qz5pvn/naloxone-_FINAL.pdf
• Towards the Heart. (2012). http://towardtheheart.com/
• UNODC. (2012). International Narcotics Control Board. The United Nations Office on Drugs and Crime. Retrieved from http://www.incb.org/
• Walley AY., Xuan X., Hackman HH., Quinn E., Doe-Simkins M., Sorensen-Alawad A., Ruiz S., Ozonoff A. (2013). Opioid overdose rates and
implementation of overdose education and nasal naloxone distribution in Massachusetts: interrupted time series analysis. British Medical
Journal, 346. doi: 10.1136.
References