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1
An avoidable crisis.一场可避免的危机。
Harm Reduct J. 2022 Aug 29;19(1):98. doi: 10.1186/s12954-022-00680-y.
2
Losing the uphill battle? Emergent harm reduction interventions and barriers during the opioid overdose crisis in Canada.在加拿大阿片类药物过量危机期间,错失这场艰难斗争的胜利?紧急减少危害干预措施和障碍。
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Drug Consumption Rooms and Public Health Policy: Perspectives of Scottish Strategic Decision-Makers.药物使用室与公共卫生政策:苏格兰战略决策制定者的观点。
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Measuring the Effectiveness of Benzodiazepine Prescriptions Control in Community Setting Using Prescription Drug Monitoring Program (PDMP).使用处方药物监测计划(PDMP)衡量社区环境中苯二氮䓬类药物处方控制的效果。
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本文引用的文献

1
Why are drug-related deaths among women increasing in Scotland? A mixed-methods analysis of possible explanations.为何苏格兰女性与药物相关的死亡人数在增加?对可能原因的混合方法分析。
Drugs (Abingdon Engl). 2022 Jan 2;29(1):62-75. doi: 10.1080/09687637.2020.1856786. Epub 2020 Dec 11.
2
Explaining the Differences in Opioid Overdose Deaths between Scotland and England/Wales: Implications for European Opioid Policies.解释苏格兰和英格兰/威尔士之间阿片类药物过量死亡的差异:对欧洲阿片类药物政策的影响。
Eur Addict Res. 2021;27(6):399-412. doi: 10.1159/000516165. Epub 2021 May 7.
3
Injecting drug use, the skin and vasculature.注射吸毒,皮肤和脉管系统。
Addiction. 2021 Jul;116(7):1914-1924. doi: 10.1111/add.15283. Epub 2020 Oct 30.
4
Global patterns of opioid use and dependence: harms to populations, interventions, and future action.全球阿片类药物使用和依赖模式:对人群的危害、干预措施和未来行动。
Lancet. 2019 Oct 26;394(10208):1560-1579. doi: 10.1016/S0140-6736(19)32229-9. Epub 2019 Oct 23.
5
Re-emergence of HIV related to injecting drug use despite a comprehensive harm reduction environment: a cross-sectional analysis.尽管存在全面的减少伤害环境,但与注射吸毒相关的 HIV 再次出现:一项横断面分析。
Lancet HIV. 2019 May;6(5):e315-e324. doi: 10.1016/S2352-3018(19)30036-0. Epub 2019 Apr 10.
6
Genome-wide analysis of DNA methylation in relation to socioeconomic status during development and early adulthood.全基因组分析 DNA 甲基化与发展和成年早期社会经济地位的关系。
Am J Phys Anthropol. 2019 May;169(1):3-11. doi: 10.1002/ajpa.23800. Epub 2019 Feb 16.
7
Misadventure in Muirhouse. HIV infection: a modern plague and persisting public health problem.缪尔豪斯的意外事件。艾滋病毒感染:一种现代瘟疫及持续存在的公共卫生问题。
J R Coll Physicians Edinb. 2017 Mar;47(1):88-93. doi: 10.4997/JRCPE.2017.119.
8
An epigenetic mechanism links socioeconomic status to changes in depression-related brain function in high-risk adolescents.一种表观遗传机制将社会经济地位与高危青少年抑郁相关脑功能的变化联系起来。
Mol Psychiatry. 2017 Feb;22(2):209-214. doi: 10.1038/mp.2016.82. Epub 2016 May 24.
9
Community pharmacy services for people with drug problems over two decades in Scotland: Implications for future development.二十多年来苏格兰为有药物问题的人提供的社区药房服务:对未来发展的启示。
Int J Drug Policy. 2016 Jan;27:105-12. doi: 10.1016/j.drugpo.2015.11.006. Epub 2015 Nov 27.
10
The evolution of pharmaceutical care for drug misusers.针对药物滥用者的药学服务的发展历程。
Fam Pract. 2015 Dec;32(6):639-45. doi: 10.1093/fampra/cmv079. Epub 2015 Oct 25.

一场可避免的危机。

An avoidable crisis.

机构信息

University of Stirling, Stirling, Scotland, UK.

University of Edinburgh, Edinburgh, Scotland, UK.

出版信息

Harm Reduct J. 2022 Aug 29;19(1):98. doi: 10.1186/s12954-022-00680-y.

DOI:10.1186/s12954-022-00680-y
PMID:36038934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9422131/
Abstract

In Scotland drug policy and consequently the progress of evidence-based treatment options has been struggling for many years. Political inaction is brought about by a complex chain of legal and operational obstructions with local authorities deferring to national Government which in turn is paralysed by international convention. Scotland represents a case study demonstrating the adverse consequences of management by non medical requirements rather than implementation of a clinically proven progressive policy. The difficulty of translating theory and evidence into practice is acknowledged but suggestions are made for pragmatic and humanitarian initiatives.

摘要

在苏格兰,药物政策以及相应的循证治疗选择的进展多年来一直举步维艰。由于法律和操作障碍的复杂链条,政治上的无所作为导致地方当局对国家政府的依赖,而国家政府又因国际公约而瘫痪。苏格兰是一个案例研究,它表明了由非医疗要求管理而不是实施经过临床验证的渐进政策的不良后果。人们认识到将理论和证据转化为实践的困难,但也提出了务实和人道主义倡议的建议。