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Frommer's easyGuide to river cruising
Frommers EasyGuide to River Cruising is the first book on the market to cover this wildly popular vacation activity. The book contains opinionated, no-holds-barred reviews of all of the major, and many of the smaller, river cruise lines (including specific reviews of their varying ship classes). These include advice on which boats offer the best value, which are best for luxury seekers, which will do the trick for foodies, which have high tech amenities, and which don't.
Book
The Accidental Playground: Brooklyn Waterfront Narratives of the Undesigned and Unplanned
The Accidental Playground explores the remarkable landscape created by individuals and small groups who occupied and rebuilt an abandoned Brooklyn waterfront in Williamsburg. Without formal authority, capital, professional assistance, grand vision, consensus, or coordination with each other, these \"vernacular\" builders transformed a vacated waterfront railroad yard into a unique setting for recreation and creative endeavor. With the Manhattan skyline as its backdrop, the collapsing piers, eroded bulkhead, and remaining building foundations of the former Brooklyn Eastern District Terminal (BEDT) became the raw materials for various forms of waterside leisure and social spaces. Lacking predetermined rules governing its use, this waterfront evolved into the home turf for unusual and sometimes spectacular recreational, social, and creative subcultures. These included skateboarders who built a short-lived, but nationally renowned skatepark; a twenty-five-piece \"public\" marching band, fire performance troupes, and a variety of artists, photographers, and filmmakers. At the same time the site also served basic recreational needs of local residents. Collapsing piers became great places to catch fish, sunbathe, or take in the Manhattan skyline; the foundation of a demolished warehouse became an ideal place to practice music or skateboard; rubble-strewn earth became a compelling setting for film and fashion shoots; broken bulkhead became a beach; and thick patches of weeds dotted by ailanthus trees became a jungle. Drawing on a rich mix of documentary strategies including observation, ethnography, photography, and first-person narrative, Daniel Campo probes this accidental playground, allowing those who created it to share and examine their own narratives, perspectives, and conflicts. The multiple constituencies of this Williamsburg waterfront were surprisingly diverse, their stories colorful and provocative. When taken together, Campo argues, they suggest a radical reimagining of urban public space, the waterfront, and the practices by which they are created and maintained. The Accidental Playground, which treats readers to an utterly compelling story, is an exciting and distinctive contribution to the growing literature on the unplanned and the undesigned spaces and activities in cities today.
eBook
Changes in recreational drug use, reasons for those changes and their consequence during and after the COVID-19 pandemic in the UK
Changes in drug use in the general population during the COVID-19 pandemic and their long-term consequences are not well understood. We employed natural language processing and machine learning to analyse a large dataset of self-reported rates of and reasons for drug use during the pandemic, along with their associations with anxiety, depression and substance use problems post-pandemic. Our findings revealed a transient decrease in drug use at the pandemic's peak, primarily attributed to reduced social opportunities. Conversely, some participants reported increased drug use for self-medication, boredom, and lifestyle disruptions. While users of psychedelics and MDMA had anxiety and depression rates similar to non-users, users of opioid agonists and depressants—representing one in ten active drug users—reported greater mental health challenges post-pandemic. These results suggest that a subset of active drug users with distinct profiles faces elevated risks, particularly for anxiety and depression, and may benefit from targeted support.
•After restrictions eased, recreational drug use returned to pre-pandemic levels.•A minority increased recreational drug use for self-medication amid the pandemic.•Pandemic recreational drug use correlated with greater anxiety and depression.•Post-pandemic opioid and benzodiazepine use is tied to mental health burdens.•Post-pandemic psychedelics and MDMA use show lowest anxious and depressive symptoms.
Journal Article
The Accidental Playground
The Accidental Playground explores the remarkable landscape created by individuals and small groups who occupied and rebuilt an abandoned Brooklyn waterfront. While local residents, activists, garbage haulers, real estate developers, speculators, and two city administrations fought over the fate of the former Brooklyn Eastern District Terminal (BEDT), others simply took to this decaying edge, transforming it into a unique venue for leisure, creative, and everyday practices. These occupiers and do-it-yourself builders created their own waterfront parks and civic spaces absent every resource needed for successful urban development, including plans, designs, capital, professional assistance, consensus, and permission from the waterfront’s owners. Amid trash, ruins, weeds, homeless encampments, and the operation of an active garbage transfer station, they inadvertently created the “Brooklyn Riviera” and made this waterfront a destination that offered much more than its panoramic vistas of the Manhattan skyline. The terminal evolved into the home turf for unusual and sometimes spectacular recreational, social, and creative subcultures, including the skateboarders who built a short-lived but nationally renowned skatepark, a twenty-five-piece “public” marching band, fire performance troupes, artists, photographers, and filmmakers. At the same time it served the basic recreational needs of local residents. Collapsing piers became great places to catch fish, sunbathe, or take in the views; the foundation of a demolished warehouse became an ideal place to picnic, practice music, or do an art project; rubble-strewn earth became a compelling setting for film and fashion shoots; a broken bulkhead became a beach; and thick patches of weeds dotted by ailanthus trees became a jungle. These reclamations, all but ignored by city and state governments and property interests that were set to transform this waterfront, momentarily added to the distinctive cultural landscape of the city’s most bohemian and rapidly changing neighborhood.Drawing on a rich mix of documentary strategies, including observation, ethnography, photography, and first-person narrative, Daniel Campo probes this accidental playground, allowing those who created it to share and examine their own narratives, perspectives, and conflicts. The multiple constituencies of this waterfront were surprisingly diverse, their stories colorful and provocative. When taken together, Campo argues, they suggest a radical reimagining of urban parks and public spaces, and the practices by which they are created and maintained. The Accidental Playground, which treats readers to an utterly compelling story, is an exciting and distinctive contribution to the growing literature on unplanned spaces and practices in cities today.
eBook
Polysubstance Use Profiles Among the General Adult Population, United States, 2022
Objectives. To characterize present-day polysubstance use patterns in the general adult population. Methods. From a 2022 nationally representative survey in the United States, we defined polysubstance use as last 12-month use of 2 or more drugs (n = 15 800). Latent class analyses included medical (as indicated) and nonmedical (not as directed) use of prescription opioids, stimulants, benzodiazepines, and antidepressants; recreational use of cannabis, psilocybin or mushrooms, other psychedelics, cocaine, methamphetamine, and illicit opioids; and concomitant use with alcohol, cannabis, prescriptions, or recreational drugs. Results. The national prevalence of polysubstance use was 20.9% (95% confidence interval = 20.5%, 21.3%), broken down into the following 4 latent classes: (1) medically guided polysubstance use (11.5% prevalence, 6.1% substance use disorder [SUD]): prescribed drug use, some cannabis, and no concomitant use; (2) principal cannabis use variety (4.0% prevalence, 31.9% SUD): high probability of cannabis use with various drugs concomitantly used; (3) self-guided polysubstance use (3.4% prevalence, 14.5% SUD): nonmedical use of prescriptions and concomitant use; and (4) indiscriminate coexposures (2.1% prevalence, 58.9% SUD): concomitant drug use with indiscriminate drug preference. Conclusions. Different polysubstance profiles show adults with untreated SUDs, and there are 2 previously unrecognized classes. Prevention and treatment strategies addressing polysubstance use should take a personalized perspective and tailor to individuals’ use profile. ( Am J Public Health. 2025;115(5):747–757. https://doi.org/10.2105/AJPH.2024.307979 )
Journal Article
Triangulating Amsterdam’s illicit stimulant use trends by wastewater analysis and recreational drug use monitoring
Drug consumption estimates are of relevance because of public health effects as well as associated criminal activities. Wastewater analysis of drug residues enables the estimation of drug consumption and drug markets. Short-term and long-term trends of cocaine, MDMA (ecstasy), amphetamine (speed) and methamphetamine (crystal meth), were studied for the city of Amsterdam. MDMA (+41%) and cocaine (+26%) showed significantly higher weekend vs. week consumption, while no differences were observed for the other drugs. The consumption of MDMA, cocaine, amphetamine and methamphetamine significantly increased between 2011 and 2019. Weekly trends emerging from wastewater analyses were supported by qualitative and quantitative data from a recreational drug use monitoring scheme. However, information collected in panel interviews within nightlife networks and surveys among visitors of pubs, clubs and festivals only partially reflected the long term increase in consumption as registered from wastewater analysis. Furthermore, methamphetamine use was not well presented in survey data, panel studies and test service samples, but could be monitored trough wastewater analysis. This illustrates that wastewater analysis can function as an early warning if use and user groups are small or difficult to reach trough other forms of research. All in all, this study illustrates that wastewater-based epidemiology is complementary to research among user groups, and vice versa. These different types of information enable to connect observed trends in total drug consumption to behaviour of users and the social context in which the use takes place as well as validate qualitative signals about (increased) consumption of psychoactive substances. Such a multi angular approach to map the illicit drug situation on local or regional scale can provide valuable information for public health.
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•Wastewater analyses Amsterdam 2011–2019.•Increased consumption of MDMA, cocaine, amphetamine and methamphetamine.•Higher weekend vs. week consumption of MDMA and cocaine.•Findings wastewater analysis partially supported by recreational drug use monitor.
Journal Article
Use of multiple recreational drugs is associated with new HIV infections among men who have sex with men in China: a multicenter cross-sectional survey
Background
There is limited information about the types of recreational drugs used by men who have sex with men (MSM) in China or the consequent impact on sexual health and human immunodeficiency virus (HIV) acquisition.
Methods
We recruited MSM from seven cities in China between 2012 and 2013 using multiple approaches including advertisements on gay websites, collaborating with local MSM community-based organizations, peer referrals, and venues such as gay bars and bathrooms visited by MSM. We divided participants into four subgroups based on the number of recreational drugs (RDs) used in the previous 6 months. We defined use of multiple RDs as use of ≥2 types of RDs. Demographics and HIV-related high-risk behaviors were collected, and blood samples were tested for recent HIV infection by the HIV-1 subtypes B, E, and D immunoglobulin G capture enzyme immunoassay (BED-CEIA). We used multivariable logistic regression adjusted for sociodemographics to determine the adjusted odds ratios (aORs) and associated 95% confidence intervals (CIs) of the subgroups of RD use for recent or established HIV infection.
Results
A total of 4496 Chinese MSM participated; 28.4% used RDs, and 5% used multiple types of RDs. The prevalence of each RD use was as follows: poppers (25.9%), ecstasy (2.4%), ketamine (1.2%), amphetamine (0.6%), tramadol (0.4%), methamphetamine (3.8%), and codeine (1.9%). Users of multiple RDs commonly used poppers combined with one or more other types of RDs. Multiple RD users were likely to be aged 26–30 years (vs. 18–25 and > 30 years), live in non-local cities (vs. local cities), never married (vs. married), have a high monthly income (vs. no income and 1–599 USD), use versatile positions during anal intercourse (vs. top or bottom), and have inadequate HIV-related prevention knowledge (vs. adequate). As the number of RDs used in the previous 6 months increased, the prevalence of HIV-related high-risk behaviors increased (
P
< 0.05 for all). The odds of recent HIV infection were higher among those who used one type (aOR = 2.2, 95% CI: 1.5–3.0) or two types of RD (aOR=2.3, 95% CI: 1.0-5.2) in the previous 6 months compared to the odds among those who did not use RDs.
Conclusion
The level and pattern of multiple RD use among Chinese MSM were different from high-income countries. MSM who used more RDs are more likely to engage in high-risk sexual behaviors, and these behaviors may be associated with increases in new HIV infections.
Journal Article
Quantifying Recreational Use of an Estuary
Estimates of the types and number of recreational users visiting an estuary are critical data for quantifying the value of recreation and how that value might change with variations in water quality or other management decisions. However, estimates of recreational use are minimal and conventional intercept survey methods are often infeasible for widespread application to estuaries. Therefore, a practical observational sampling approach was developed to quantify the recreational use of an estuary without the use of surveys. Designed to be simple and fast to allow for replication, the methods involved the use of periodic instantaneous car counts multiplied by extrapolation factors derived from all-day counts. This simple sampling approach can be used to estimate visitation to diverse types of access points on an estuary in a single day as well as across multiple days. Evaluation of this method showed that when periodic counts were taken within a preferred time window (from 11 am–4:30 pm), the estimates were within 44% of actual daily visitation. These methods were applied to the Three Bays estuary system on Cape Cod, USA. The estimated combined use across all its public access sites is similar to the use at a mid-sized coastal beach, demonstrating the value of estuarine systems. Further, this study is the first to quantify the variety and magnitude of recreational uses at several different types of access points throughout the estuary using observational methods. This work can be transferred to the many small coastal access points used for recreation across New England and beyond.
Journal Article