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Lombardi AR, Arya R, Rosen JG, Thompson E, Welwean R, Tardif J, Rich JD, Park JN. Overdose Detection Technologies to Reduce Solitary Overdose Deaths: A Literature Review. Int J Environ Res Public Health 2023; 20:1230. [PMID: 36673987 PMCID: PMC9859116 DOI: 10.3390/ijerph20021230] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/28/2022] [Accepted: 01/05/2023] [Indexed: 05/06/2023]
Abstract
Drug overdoses were a leading cause of injury and death in the United States in 2021. Solitary drug use and solitary overdose deaths have remained persistent challenges warranting additional attention throughout the overdose epidemic. The goal of this narrative review is to describe recent global innovations in overdose detection technologies (ODT) enabling rapid responses to overdose events, especially for people who use drugs alone. We found that only a small number of technologies designed to assist in overdose detection and response are currently commercially available, though several are in the early stages of development. Research, development, and scale-up of practical, cost-effective ODTs remains a public health imperative. Equipping places where people live, learn, work, worship, and play with the necessary tools to detect and prevent overdose deaths could complement ongoing overdose prevention efforts.
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Affiliation(s)
| | - Ritikraj Arya
- Division of Biology and Medicine, Brown University, Providence, RI 02912, USA
| | - Joseph G. Rosen
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21218, USA
| | - Erin Thompson
- Harm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI 02903, USA
| | - Ralph Welwean
- School of Public Health, Brown University, Providence, RI 02912, USA
| | - Jessica Tardif
- Harm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI 02903, USA
| | - Josiah D. Rich
- School of Public Health, Brown University, Providence, RI 02912, USA
- Center of Biomedical Research Excellence on Opioids and Overdose, Rhode Island Hospital, Providence, RI 02903, USA
- Warren Alpert Medical School, Brown University, Providence, RI 02912, USA
| | - Ju Nyeong Park
- Harm Reduction Innovation Lab, Rhode Island Hospital, Providence, RI 02903, USA
- School of Public Health, Brown University, Providence, RI 02912, USA
- Center of Biomedical Research Excellence on Opioids and Overdose, Rhode Island Hospital, Providence, RI 02903, USA
- Warren Alpert Medical School, Brown University, Providence, RI 02912, USA
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Strumìa R, Lombardi AR, Bedani PL, Perini L. Benign nodular calcification and calciphylaxis in a haemodialysed patient. J Eur Acad Dermatol Venereol 1998; 11:69-71. [PMID: 9731971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Several types of soft tissue calcification can be detected from radiographic evaluation of patients with end-stage renal failure. The factors that predispose to such calcification include an increase in CaxP product in serum, the degree of secondary hyperparathyroidism, the level of blood magnesium, the degree of alkalosis, and the presence of local tissue injury. Three major varieties include calcification of medium-sized arteries, periarticular or tumoral calcification and visceral calcification. Calciphylaxis is a phenomenon consisting of acute ischemic necrosis in presence of calcification of dermohypodermic arterioles. It occurs mostly in chronic renal failure patients with secondary or tertiary hyperparathyroidism with a persistently elevated calcium-phosphorus product. There are few options in treating calciphylaxis and the outcome is generally poor. The authors report the case of a haemodialised patient with benign nodular calcification and calciphylaxis. The coexistence of both entities in the same patient has never been described.
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Affiliation(s)
- R Strumìa
- Clinica Dermatologica, Università di Ferrara, Italy
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Esposito S, Lombardi AR. [Finding of a gastric leiomyoma during cholecystectomy]. Rass Int Clin Ter 1970; 50:1374-80. [PMID: 5508624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Lombardi AR, Esposito S. [Leiomyoma in Meckel diverticulitis]. Rass Int Clin Ter 1970; 50:1104-1110. [PMID: 5511647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Esposito S, Lombardi AR. [Riedel's ligneous thyroiditis]. Rass Int Clin Ter 1970; 50:575-8. [PMID: 5482561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Boscaino N, Pennino P, Lombardi AR. [Inflammatory pseudotumors of the colon (considerations on 3 cases)]. Acta Chir Ital 1970; 26:115-28. [PMID: 5481882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Pennino P, Lombardi AR, Esposito S. [Cholesterolosis of the gallbladder (considerations on 7 cases)]. Acta Chir Ital 1969; 25:877-902. [PMID: 5400386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Esposito S, Lombardi AR. [A case of wolffian cyst of the retroperitoneal space]. Acta Chir Ital 1969; 25:651-60. [PMID: 5384052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Lombardi AR, Esposito S. [Serous cysts of the kidney]. Acta Chir Ital 1969; 25:451-60. [PMID: 5381788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Boscaino N, Pennino P, Lombardi AR. [Biliary peritonitis (report of 3 cases)]. Policlinico Prat 1969; 76:769-76. [PMID: 5404716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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