WorldWideScience

Sample records for euphoria

  1. The Kuwait and the petroleum euphoria

    International Nuclear Information System (INIS)

    Polo, J.F.

    2004-01-01

    Since 2003 and the departure of Saddam Hussein, the Kuwait economy is flourishing. Today the increase of the crude oil prices are adding to this euphoria. In this context, the author analyzes the effects and the impacts of this new economic situation, on the population (financial and cultural) and on the great financial Groups. (A.L.B.)

  2. Eurekas and Euphorias - The Oxford Book of Scientific Anecdotes

    Science.gov (United States)

    Gratzer, Walter

    2002-11-01

    The march of science has been marked through the years by episodes of drama and comedy, of failure as well as triumph, by outrageous strokes of luck, deserved and undeserved, and sometimes by human tragedy. In Eurekas and Euphorias , Walter Gratzer captures the human face of discovery as he relates many intriguing tales of scientific adventures spanning over two thousand years. Open this book at random and you may chance on the clumsy chemist named Sapper who broke a thermometer in a reaction vat and made the discovery that launched the modern dyestuff industry. Or the physicist who dissolved his gold Nobel Prize medal in acid to prevent it from falling into the hands of the Nazis. The book uncovers deep intellectual friendships, as well as ferocious animosities, and even acts of theft and malice, deceit, and a hoax or two. Indeed, we discover that scientists come in all shapes--the obsessive and the dilettantish, the genial, the envious, the preternaturally brilliant and the slow-witted who sometimes saw further in the end, the open-minded and the intolerant, recluses and arrivistes . We meet mathematicians and physicists in prison cells, and even in a madhouse, making important advances in their field. And we witness the careers, sometimes tragic, sometimes carefree, of the great women scientists, from Hypatia of Alexandria, to Sophie Germain and Sonia Kovalevskaya, to Marie Curie and her relentless battle with the French Academy. Told with wit and relish, here then is a glorious parade to delight the reader, with stories to astonish, to instruct, and most especially, to entertain.

  3. Rapid and sensitive determination of major polyphenolic components in Euphoria longana Lam. seeds using matrix solid-phase dispersion extraction and UHPLC with hybrid linear ion trap triple quadrupole mass spectrometry.

    Science.gov (United States)

    Rathore, Atul S; Sathiyanarayanan, L; Deshpande, Shreekant; Mahadik, Kakasaheb R

    2016-11-01

    A rapid and sensitive method for the extraction and determination of four major polyphenolic components in Euphoria longana Lam. seeds is presented for the first time based on matrix solid-phase dispersion extraction followed by ultra high performance liquid chromatography with hybrid triple quadrupole linear ion trap mass spectrometry. Matrix solid-phase dispersion method was designed for the extraction of Euphoria longana seed constituents and compared with microwave-assisted extraction and ultrasonic-assisted extraction methods. An Ultra high performance liquid chromatography with hybrid triple quadrupole linear ion-trap mass spectrometry method was developed for quantitative analysis in multiple-reaction monitoring mode in negative electrospray ionization. The chromatographic separation was accomplished using an ACQUITY UPLC BEH C 18 (2.1 mm × 50 mm, 1.7 μm) column with gradient elution of 0.1% aqueous formic acid and 0.1% formic acid in acetonitrile. The developed method was validated with acceptable linearity (r 2 > 0.999), precision (RSD ≤ 2.22%) and recovery (RSD ≤ 2.35%). The results indicated that matrix solid-phase dispersion produced comparable extraction efficiency compared with other methods nevertheless was more convenient and time-saving with reduced requirements on sample and solvent volumes. The proposed method is rapid and sensitive in providing a promising alternative for extraction and comprehensive determination of active components for quality control of Euphoria longana products. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  4. Electronic commerce: beyond the euphoria.

    Science.gov (United States)

    Healy, J L; DeLuca, J M

    2000-01-01

    As the center of considerable media attention, case study articles, vendor research, and development efforts, electronic commerce technology is entering healthcare and having a profound effect. The simple truth, however, is that after the drama and excitement begins to wear off, completing a successful e-commerce implementation remains good old-fashioned hard, sometimes monotonous work. To be successful, e-commerce technologies must be planned and implemented with rigorous project standards, and incorporated with significant process and workflow reengineering to actually return significant value to the organization. This article briefs readers on the organizational issues they must consider in evaluating e-commerce readiness--cultural, executive and technological factors that either support or inhibit project and technology success. Readers will be left with the tools to conduct an electronic commerce "readiness assessment" to evaluate the immediate, mid- and long-term potential of electronic commerce; practical remediation strategies for better preparing the organization for the changes inherent in moving to an e-commerce-enabled business model; and comments from the field--advice from organizations that have successfully implemented e-commerce technologies into their ongoing operations.

  5. Liquefied natural gas in full euphoria

    International Nuclear Information System (INIS)

    Lepetit, V.; Ketels, O.

    2007-01-01

    Liquefied natural gas (LNG) is making progress with several projects of terminal facilities and liquefaction plants everywhere in the world. This too fast development leads to an increase of costs and delays in the construction of LNG facilities and at the medium term the offer will become unable to meet the demand. Today, the LNG engineering market is living on the 2005-2006 endorsed projects but the turning point will be 2010 when all main projects will be achieved. (J.S.)

  6. Pediatric Mania: The Controversy between Euphoria and Irritability

    Science.gov (United States)

    Serra, Giulia; Uchida, Mai; Battaglia, Claudia; Casini, Maria Pia; De Chiara, Lavinia; Biederman, Joseph; Vicari, Stefano; Wozniak, Janet

    2017-01-01

    Abstract: Pediatric Bipolar Disorder (BD) is a highly morbid pediatric psychiatric disease, consistently associated with family psychiatric history of mood disorders and associated with high levels of morbidity and disability and with a great risk of suicide. While there is a general consensus on the symptomatology of depression in childhood, the phenomenology of pediatric mania is still highly debated and the course and long-term outcome of pediatric BD still need to be clarified. We reviewed the available studies on the phenomenology of pediatric mania with the aim of summarizing the prevalence, demographics, clinical correlates and course of these two types of pediatric mania. Eighteen studies reported the number of subjects presenting with either irritable or elated mood during mania. Irritability has been reported to be the most frequent clinical feature of pediatric mania reaching a sensitivity of 95–100% in several samples. Only half the studies reviewed reported on number of episodes or cycling patterns and the described course was mostly chronic and ultra-rapid whereas the classical episodic presentation was less common. Few long-term outcome studies have reported a diagnostic stability of mania from childhood to young adult age. Future research should focus on the heterogeneity of irritability aiming at differentiating distinct subtypes of pediatric psychiatric disorders with distinct phenomenology, course, outcome and biomarkers. Longitudinal studies of samples attending to mood presentation, irritable versus elated, and course, chronic versus episodic, may help clarify whether these are meaningful distinctions in the course, treatment and outcome of pediatric onset bipolar disorder. PMID:28503110

  7. Prevention of Stimulant Induced Euphoria with an Opioid Receptor Antagonist

    Science.gov (United States)

    2017-02-28

    20/15 Other- Menstrual cramps Internal Moderate Unexpected Unlikely Pharmacologic N/A 1776201 3/27/15 Insomnia- falling asleep once a week Internal...missing tests/labs, missing original/signed consent form ( copy exists), missing PI signature on consent form(s), use of expired/outdated consent form

  8. Pediatric Mania: The Controversy between Euphoria and Irritability.

    Science.gov (United States)

    Serra, Giulia; Uchida, Mai; Battaglia, Claudia; Casini, Maria Pia; De Chiara, Lavinia; Biederman, Joseph; Vicari, Stefano; Wozniak, Janet

    2017-04-01

    Pediatric Bipolar Disorder (BD) is a highly morbid pediatric psychiatric disease, consistently associated with family psychiatric history of mood disorders and associated with high levels of morbidity and disability and with a great risk of suicide. While there is a general consensus on the symptomatology of depression in childhood, the phenomenology of pediatric mania is still highly debated and the course and long-term outcome of pediatric BD still need to be clarified. We reviewed the available studies on the phenomenology of pediatric mania with the aim of summarizing the prevalence, demographics, clinical correlates and course of these two types of pediatric mania. Eighteen studies reported the number of subjects presenting with either irritable or elated mood during mania. Irritability has been reported to be the most frequent clinical feature of pediatric mania reaching a sensitivity of 95-100% in several samples. Only half the studies reviewed reported on number of episodes or cycling patterns and the described course was mostly chronic and ultra-rapid whereas the classical episodic presentation was less common. Few long-term outcome studies have reported a diagnostic stability of mania from childhood to young adult age. Future research should focus on the heterogeneity of irritability aiming at differentiating distinct subtypes of pediatric psychiatric disorders with distinct phenomenology, course, outcome and biomarkers. Longitudinal studies of samples attending to mood presentation, irritable versus elated, and course, chronic versus episodic, may help clarify whether these are meaningful distinctions in the course, treatment and outcome of pediatric onset bipolar disorder.

  9. Prevention of Stimulant-Induced Euphoria with an Opioid Receptor Antagonist

    Science.gov (United States)

    2014-10-01

    that could lead to low self esteem , substance abuse, criminality and accidents [1]. ADHD also affects veterans. Upon returning to civilian life...Broadcast emails, images and text for Facebook advertising , and a Facebook Ad Landing Page (the internet webpage that will open if potential subject...clicks on the Facebook advertisement ). AME 15 IRB Approval: 9/19/13 Added: Olivia Bogucki, Stephannie Furtak, Brittany Hughes, Tara

  10. Global Linear Instability at the Dawn of its 4th Decade: A List of Challenges (A Practical Guide on how to Contain the Euphoria and Avoid the Oversell)

    OpenAIRE

    Theofilis, Vassilios; Gómez, F.; Paredes Gonzalez, Pedro; Le Clainche Martínez, Soledad; Hermanns Navarro, Miguel

    2011-01-01

    Global linear instability theory is concerned with the temporal or spatial development of small-amplitude perturbations superposed upon laminar steady or time-periodic threedimensional flows, which are inhomogeneous in two (and periodic in one) or all three spatial directions.1 The theory addresses flows developing in complex geometries, in which the parallel or weakly nonparallel basic flow approximation invoked by classic linear stability theory does not hold. As such, global linear theory ...

  11. Beyond the decade of policy and community euphoria: The state of livelihoods under new local rights to forest in rural Cameroon

    Directory of Open Access Journals (Sweden)

    Phil René Oyono

    2012-01-01

    Full Text Available This paper interrogates the state of livelihoods under the exercise of new community rights to forest in rural Cameroon. The assessment makes use of a set of livelihoods indicators. The granting and exercise of new community rights, namely, management rights and market rights, are not synonymous with improved livelihoods, despite initial predictions and expectations. The resource base has not changed; it is more and more threatened by poor local level institutional arrangements and social and bio-physical management strategies, in addition to the weak central level regulation and monitoring actions. Similarly, the rights-based reform and community forestry are not improving basic assets and means at the household level. Nevertheless, this paper suggests that this experiment should not be judged hastily, since fifteen years are not enough to judge social and institutional processes like those in progress in Cameroon. The authors draw policy options likely to improve the livelihoods dimension of the reform and launch a debate on the real contribution of community income derived from community forests towards poverty alleviation at the household level.

  12. UJI FITOKIMIA DAN AKTIVITAS ANTIOKSIDAN DARI EKSTRAK ETANOL BIJI KELENGKENG (Euphoria Iongan STEUD DENGAN METODE PERENDAMAN RADIKAL 2,2-DIPHENIL-1-PICRYLHIDRAZYL (DPPH

    Directory of Open Access Journals (Sweden)

    Husnul Chatimah

    2016-01-01

    Full Text Available Kelengkeng fruit already well known for Indonesian society. Not only from the contents of the fruit, but Kelengkeng also have many other beneficial from the seed, leather, root and leaves that useful for human health. In this research, phytochemical and antioxidant activity test have been done. Antioxidant activity test was carried out with scavenging test to 2,2-diphenyl-1-picrylhidrazil (DPPH radical. On antioxidant activity test, mix of extract and DPPH are incubated for 30 minutes at 37oC, then the absorbance measured at λ = 517 nm using spectrophotometer. The absorbance from sample, blank and negative control are converted as Antioxidant Activity Absorbance (AA%. Based on result of phytochemical etanol extract, Kelengkeng contains phenolic compounds. And based on antioxidant activity test with DPPH radical scavenging method by spectrophotometer, ethanol extract of Kelengkeng has antioxidant activity about EC50(72.23±2.55 while Vitamin C as comparison has antioxidant activity about EC50(6.07±0.36. Keywords: Kelengkeng, phytochemical, antioxidant activity and DPPH

  13. Substance use -- LSD

    Science.gov (United States)

    ... from reality. Joy (euphoria, or "rush") and less inhibition, similar to being drunk from alcohol use. As ... use, the next step is getting help and support. Treatment programs use behavior change techniques through counseling ( ...

  14. Genetics Home Reference: polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy

    Science.gov (United States)

    ... feelings of intense happiness (euphoria), a loss of inhibition, and poor concentration. These neurologic changes cause significant ... with sclerosing leukoencephalopathy Orphanet: Nasu-Hakola disease Patient Support and Advocacy Resources (3 links) Alzheimer's Association Family ...

  15. Cyclothymia (Cyclothymic Disorder)

    Science.gov (United States)

    ... happiness or well-being (euphoria) Extreme optimism Inflated self-esteem Talking more than usual Poor judgment that can ... slowed down Problems concentrating Thinking of death or suicide When to see a doctor If you have ...

  16. Rekreacyjne używanie leków dostępnych w odręcznej sprzedaży: odurzanie i doping mózgu

    Directory of Open Access Journals (Sweden)

    Aleksandra Piątek

    2015-03-01

    Pseudoephedrine, an amphetamine-like stimulant, produces mood improvement or even euphoria, hallucinations and psychosis. However, the real health threat is associated with the use of substances produced from pseudoephedrine: ephedrone and methamphetamine.

  17. Remembering when the big bang seemed so simple

    CERN Multimedia

    Johnson, George

    2006-01-01

    Fourteen years ago, an astronomer at Berkeley declared that he and his satellite, COBE, had detected the astrophysical equivalent of the fingerprints of God, his euphoria was easy to understand. (1 page)

  18. Opioid Addiction

    Science.gov (United States)

    ... breathing rate nausea, vomiting constipation physical agitation poor decision making abandoning responsibilities slurred speech sleeping more or less than normal mood swings euphoria (feeling high) irritability depression lowered motivation anxiety attacks. Symptoms of opioid overdose An overdose ...

  19. To What Extent Were Logistics Shortages Responsible for Patton's Culmination on the Meuse in 1944?

    National Research Council Canada - National Science Library

    Dye, Peter

    1999-01-01

    .... At this very moment, having hotly pursued the retreating German Army for more than 350 miles, Patton's mood changed from euphoria to frustration and then to despair as his armour ground to an abrupt...

  20. Temporal Lobe Seizure

    Science.gov (United States)

    ... functions, including having odd feelings — such as euphoria, deja vu or fear. Temporal lobe seizures are sometimes called ... sudden sense of unprovoked fear or joy A deja vu experience — a feeling that what's happening has happened ...

  1. The Internet bubble and the impact on the development path of the telecommunication sector

    NARCIS (Netherlands)

    Lemstra, W.

    2006-01-01

    In this dissertation the impact of the Internet bubble on the development path of the telecommunication sector is being explored and explained. The insights obtained are used to provide recommendations for the formation of government policy and firm strategy in the aftermath. Periods of euphoria are

  2. AMEDD Clinical Psychology Short Course, 10 - 15 May 1992, Eisenhower Army Medical Center, Augusta, Georgia

    Science.gov (United States)

    1993-01-01

    truth and historical truth: Meaning and interpretation in psychoanalysis . New York: Norton. Suinn, R. M. (1990). A nManagement training. New York: Plenum...stimulation, the feeling that a life long dream was about to come true, euphoria 3% Extremely varying moods; the feeling of being on a roller

  3. Making decentralization work for women in Uganda

    NARCIS (Netherlands)

    Lakwo, A.

    2009-01-01

    This book is about engendering local governance. It explores the euphoria with which Uganda's decentralization policy took centre stage as a sufficient driver to engender local development responsiveness and accountability. Using a case study of AFARD in Nebbi district, it shows first that

  4. Fulltext PDF

    Indian Academy of Sciences (India)

    His interest in plants goes back to his childhood days in Mysore; descriptions of his ... sex expression in plants using plant growth regulators, physiology .... SV: Could you tell us about your early education, and how you developed an ..... brain and uterus and named anandamide owing to its property of generating euphoria).

  5. Globalisation and private infrastructure investments in emerging markets

    CSIR Research Space (South Africa)

    Chege, L

    2004-11-01

    Full Text Available benefit, it is argued that globalisation has brought a mixed basket of hope and disillusionment to emerging markets. On the one hand, there is the euphoria that comes with increased private capital inflows and market access, and on the other...

  6. AFRREV IJAH, Vol.1 (1) Feb., 2012

    African Journals Online (AJOL)

    User

    Grass root sport was seen as the exposure of young and old, male and female ... world sports. The euphoria that greeted this feat was followed with Vision. 2010 Sports Sub-committee Report of 1997 with a summary of objectives some of .... when schools were under the control and management of voluntary agencies.

  7. Early Onset Bipolar Disorder: Clinical and Research Considerations

    Science.gov (United States)

    Carlson, Gabrielle A.

    2005-01-01

    This article examined some of the reasons for confusion and controversy surrounding the frequency of diagnosis of bipolar disorder, especially in prepubertal children. Four case vignettes are used to articulate questions surrounding manifestations of euphoria and grandiosity, informant variance, diagnostic implications of medication-induced…

  8. Mania as complication of HIV infection: case reports | Sulyman ...

    African Journals Online (AJOL)

    These case reports highlight the fact that organic mood disorder, manic episode, in HIV infection AIDS might not be uncommon in this part of the world. Patients present with irritable mood rather than euphoria and they respond rapidly to psychotropic medications. Key words: Manic episode, HIV infection; Acquired immune ...

  9. The Military Deployment Human Exposure Assessment Study (MDHEXAS): Blood and Urine Exposure Biomarkers as Environmental Surveillance Tools for Assessing Military Personnel Exposure to Chemicals During Deployment to Camp McGovern, Bosnia

    Science.gov (United States)

    2003-01-01

    dysp = Dyspnea euph = euphoria excitement = excited fib = fibrosis flush face = flush face ftg = fatigue Head = Headache Gidd = giddiness inco...nausea Neck = neck ache nose = irritated nose Pallor Pulm edema= pulmonar y edema Resp sys = Respiratory System skin = irritated skin som = somnolence

  10. Assessing Environmental Prevention Strategies for Reducing the Prevalence and Associated Harms of Methamphetamine Use

    Science.gov (United States)

    Yacoubian, George S.

    2007-01-01

    Developed primarily in clandestine laboratories, methamphetamine is a highly addictive synthetic drug whose physical effects include hyperactivity, euphoria, tremors, and a sense of increased energy. While the accuracy of recent accounts suggesting a methamphetamine epidemic in the United States is unclear, these reports have nevertheless…

  11. The ICC, International Criminal Justice and International Politics ...

    African Journals Online (AJOL)

    The International Criminal Court (ICC) came into being as a result of a desire by the international community to establish a permanent body to deliver criminal justice instead of the formula of ad hoc tribunals that had become the norm. The coming into force of the Rome Statute in 2002 was greeted with euphoria as it ...

  12. Diagnosis and Treatment of Diseases of Tactical Importance to U.S. Central Command

    Science.gov (United States)

    2005-10-01

    tachypnea, air hunger , hyperventilation, and 4 ASPHYXIANTS 169 altered mental status (belligerence, agitation, eupho- ria, numbness and tingling of the...mechanisms become inadequate (air hunger ; fatigue, tunnel vision, dizziness, headache, belligerence, euphoria, reduced visual acuity, numbness and...quadriple- gia may ensue. Recovery may be slow or incomplete. Sequelae may also include subtle neuropsychological deficits. Decreased vigilance, defects

  13. The Back Office of School Reform: Educational Planning Units in German-Speaking Switzerland (1960s and 1970s)

    Science.gov (United States)

    Bosche, Anne

    2016-01-01

    The present article investigates what consequences for educational policy and/or educational administration were drawn from the upheavals of the 1960s and 1970s. A popular diagnosis in political science is that political decision-makers were pushed into a "reactive" role. In the context of a general "planning euphoria", and an…

  14. Morrison Rebuttal to Adragna.

    Science.gov (United States)

    Morrison, David C.

    1985-01-01

    Steven Adragna's arguments for a space-based ballistic missile defense (Georgia Social Science Journal; v16 n2 p14-16 Spr 1985) are founded on the High Frontier organization's usual distortions of the historical record, coupled with a wildly optimistic technological euphoria shared by few of even the Strategic Defense Initiative's most ardent…

  15. Taking on the Persona of a Suicide Bomber: a Thought Experiment 

    Directory of Open Access Journals (Sweden)

    Anne Speckhard

    2012-05-01

    Full Text Available Nineteen university students experimented taking on the persona of an apprehended suicide bomber.  The role play explored the psychological mechanisms of dissociative phenomena, euphoria or a sense of empowerment contemplating suicide bombing; responses of imagined secondary traumatization; identification with the victim group; creation of fictive kin; choosing the (imagined target; and their (imagined moral reasoning.  Results were eerily similar to accounts of real (failed suicide bombers. Subjects identified with secondary trauma and fictive kin; and reported revenge and justice seeking as motivators; dissociation, some having experiences of euphoria or empowerment when contemplating strapping on a bomb. Their moral reasoning was nearly identical with the one of suicide bombers, despite none of them being Muslim. Most imagined targeting children or civilians. This leads us to the tentative conclusion that psychological mechanisms underlying the contemplation to engage in suicide terrorism may be universal. 

  16. Photovoltaic Barometer - EurObserv'ER - April 2013

    International Nuclear Information System (INIS)

    2013-04-01

    After the euphoria of 2011, the European Union's photovoltaic market slowed right down in 2012. EurObserv'ER puts newly-connected capacity in 2012 at 16.5 GWp compared to 22 GWp in 2011, which is a 25% slide. At global level the market generally held up, with just over 30 GWp installed, bolstered by the build-up of the America and Asian markets

  17. Superconductivity and its application in technology

    International Nuclear Information System (INIS)

    Iyengar, P.K.

    1989-01-01

    The introduction of high temperature superconductors has triggered an unprecedented world wide activity. After the transistor and the chip, these are being spoken of as capable of ushering in the third industrial revolution. In this paper transformation is forecasted in a number of technologies connected with computers, energy sector, electronics and electrical engineering, medical diagnostics, power generation, transportation etc. To understand and evaluate this euphoria, it is worthwhile looking at some of the applications of superconductors, old and new

  18. Making decentralization work for women in Uganda

    OpenAIRE

    Lakwo, A.

    2009-01-01

    This book is about engendering local governance. It explores the euphoria with which Uganda's decentralization policy took centre stage as a sufficient driver to engender local development responsiveness and accountability. Using a case study of AFARD in Nebbi district, it shows first that decentralized governance is gendered and technocratic as grassroots women's effective participation is lacking. Second, it shows that the insertion of women in local governance is merely a symbolic politica...

  19. Sweet taste liking is associated with subjective response to amphetamine in women but not men.

    Science.gov (United States)

    Weafer, Jessica; Lyon, Nicholas; Hedeker, Donald; de Wit, Harriet

    2017-11-01

    Preference for sweet taste rewards has been linked to the propensity for drug use in both animals and humans. Here, we tested the association between sweet taste liking and sensitivity to amphetamine reward in healthy adults. We hypothesized that sweet likers would report greater euphoria and stimulation following D-amphetamine (20 mg) compared to sweet dislikers. Men (n = 36) and women (n = 34) completed a sweet taste test in which they rated their liking of various concentrations of sucrose and filtered water (0.05, 0.10, 0.21, 0.42, and 0.83 M). Participants who preferred the highest concentration were classified as "sweet likers." All others were classified as "sweet dislikers." They then completed four sessions in which they received D-amphetamine (20 mg) and placebo in alternating order, providing self-report measures of euphoria and stimulation on the Addiction Research Center Inventory (ARCI) at regular intervals. We conducted linear mixed effects models to examine relationships between sweet liking and drug-induced euphoria and stimulation. Sweet likers reported significantly greater amphetamine-induced euphoria than did sweet dislikers among women. By contrast, sweet liking was not associated with amphetamine response in men. No associations with stimulation were observed. The association between sweet preference and amphetamine response in women is consistent with animal studies linking sweet taste preference and drug reward and also fits with observations that individuals who use drugs show a preference for sweet tastes. Whether the sex difference is related to circulating hormones, or other variables, remains to be determined.

  20. Space tourism: A flight of fantasy or the next major space product? Paper session 3: Products

    Science.gov (United States)

    Stone, Barbara A.

    1994-01-01

    In the euphoria of the early 1980's, a number of creative proposals for nontraditional uses of space were suggested. Taking tourists to space, possibly as early as the 1990's, was one such proposal. While it is now obvious that wherever explorers go, tourists (and hoteliers, restauranteurs, and tour guides) will someday follow. This paper discusses past and present efforts to promote space as a tourist destination.

  1. Effects of tetra hydro cannabinol to the dendritc tree and synapses of the accumbens nucleus of wistar rats

    OpenAIRE

    Dimitrijević I.; Aksić M.; Aleksić Dubravka; Dimitrijević Nina; Anđelić S.; Stijak L.; Stanković Gordana; Janković S.; Filipović B.

    2013-01-01

    Cannabis is one of the most widely used intoxicants; almost half of all 18 year olds in the USA and in most European countries admit to having tried it at least once, and ~10% of that age group are regular users. Δ9-Tetrahydrocannabinol (THC), the principal psychoactive ingredient in marijuana, produces euphoria and relaxation and impairs motor coordination, time sense, and short term memory. In the hippocampus, CBs inhibit GABA release from a subset of int...

  2. Nuclear power and the risks of new technologies

    International Nuclear Information System (INIS)

    Wilson, R.

    1993-01-01

    There is often excessive euphoria about new technologies. This can lead to disillusionment and then excessive fear. Excessive fear can arise on its own. There are many indications that those who understand nuclear power are more willing to accept it. The author will present from his own experience several occasions in which lack of understanding has led to opposition and how the lack of understanding can be modified. But once a person is already opposed it is hard to change his actions

  3. Menumbuhkan Jiwa Wirausaha Melalui Peran Sosial Media

    OpenAIRE

    Hawik Ervina Indoworo

    2016-01-01

    Abstract - Now the development of entrepreneurship is able to expand new employment opportunities and sustain the economy of the State. The need for information and personal development is increasing along with advances in telecommunications technology over the internet. The development of the internet makes the number of the users taking advantage of this as a profitable business opportunity like online businesses. The euphoria of the use of social media (facebook, twitter, instagram, etc.) ...

  4. 3,4-methylenedioxymethamphetamine (MDMA): current perspectives

    OpenAIRE

    Meyer, Jerry

    2013-01-01

    Jerrold S Meyer Department of Psychology, Neuroscience and Behavior Program, University of Massachusetts, Amherst, MA, USA Abstract: Ecstasy is a widely used recreational drug that usually consists primarily of 3,4-methylenedioxymethamphetamine (MDMA). Most ecstasy users consume other substances as well, which complicates the interpretation of research in this field. The positively rated effects of MDMA consumption include euphoria, arousal, enhanced mood, increased sociability, and heighten...

  5. Nutzung und Akzeptanz von E-Commerce

    OpenAIRE

    Schenk, Michael; Wolf, Malthe

    2001-01-01

    Even with the so-called New Markets facing a world-wide break-down and the euphoria around electronic commerce subsequently cooling down market forecasts still predict a great future for electronic commerce. Influenced by electronic communication technologies, business transactions change rapidly. Although business-to-consumer e-commerce is expected to become a successful sales and communication channel world-wide, e-commerce was not accepted by broad consumer groups the way it was hoped for....

  6. Opiate addiction - current trends and treatment options

    OpenAIRE

    Achal Bhatt; Aminder Gill

    2016-01-01

    Opioids are widely used drugs for treatment of pain and related disorders. Opiate addiction is a major public health concern in the United States causing significant increase in healthcare expenditure. They produce euphoria and sense of well-being which makes them addictive to some people. Used in higher doses they can lead to cardiac or respiratory compromise. They also impair cognition leading to impaired decision making. Opioids exert their effects by acting on three different types of re...

  7. Neural activation to monetary reward is associated with amphetamine reward sensitivity.

    Science.gov (United States)

    Crane, Natania A; Gorka, Stephanie M; Weafer, Jessica; Langenecker, Scott A; de Wit, Harriet; Phan, K Luan

    2018-03-14

    One known risk factor for drug use and abuse is sensitivity to rewarding effects of drugs. It is not known whether this risk factor extends to sensitivity to non-drug rewards. In this study with healthy young adults, we examined the association between sensitivity to the subjective rewarding effects of amphetamine and a neural indicator of anticipation of monetary reward. We hypothesized that greater euphorigenic response to amphetamine would be associated with greater neural activation to anticipation of monetary reward (Win > Loss). Healthy participants (N = 61) completed four laboratory sessions in which they received d-amphetamine (20 mg) and placebo in alternating order, providing self-report measures of euphoria and stimulation at regular intervals. At a separate visit 1-3 weeks later, participants completed the guessing reward task (GRT) during fMRI in a drug-free state. Participants reporting greater euphoria after amphetamine also exhibited greater neural activation during monetary reward anticipation in mesolimbic reward regions, including the bilateral caudate and putamen. This is the first study to show a relationship between neural correlates of monetary reward and sensitivity to the subjective rewarding effects of amphetamine in humans. These findings support growing evidence that sensitivity to reward in general is a risk factor for drug use and abuse, and suggest that sensitivity of drug-induced euphoria may reflect a general sensitivity to rewards. This may be an index of vulnerability for drug use or abuse.

  8. The structure of lifetime manic-hypomanic spectrum.

    Science.gov (United States)

    Cassano, G B; Mula, M; Rucci, P; Miniati, M; Frank, E; Kupfer, D J; Oppo, A; Calugi, S; Maggi, L; Gibbons, R; Fagiolini, A

    2009-01-01

    The observation that bipolar disorders frequently go unrecognized has prompted the development of screening instruments designed to improve the identification of bipolarity in clinical and non-clinical samples. Starting from a lifetime approach, researchers of the Spectrum Project developed the Mood Spectrum Self-Report (MOODS-SR) that assesses threshold-level manifestations of unipolar and bipolar mood psychopathology, but also atypical symptoms, behavioral traits and temperamental features. The aim of the present study is to examine the structure of mania/hypomania using 68 items of the MOODS-SR that explore cognitive, mood and energy/activity features associated with mania/hypomania. A data pool of 617 patients with bipolar disorders, recruited at Pittsburgh and Pisa, Italy was used for this purpose. Classical exploratory factor analysis, based on a tetrachoric matrix, was carried out on the 68 items, followed by an Item Response Theory (IRT)-based factor analytic approach. Nine factors were initially identified, that include Psychomotor Activation, Creativity, Mixed Instability, Sociability/Extraversion, Spirituality/Mysticism/Psychoticism, Mixed Irritability, Inflated Self-esteem, Euphoria, Wastefulness/Recklessness, and account overall for 56.4% of the variance of items. In a subsequent IRT-based bi-factor analysis, only five of them (Psychomotor Activation, Mixed Instability, Spirituality/Mysticism/Psychoticism, Mixed Irritability, Euphoria) were retained. Our data confirm the central role of Psychomotor Activation in mania/hypomania and support the definitions of pure manic (Psychomotor Activation and Euphoria) and mixed manic (Mixed Instability and Mixed Irritability) components, bearing the opportunity to identify patients with specific profiles for a better clinical and neurobiological definition.

  9. Nuclear energy

    International Nuclear Information System (INIS)

    Hladky, S.

    1985-01-01

    This booklet appeared in a series on technical history. It tries to communicate some of the scientific, technical and social stresses, which have been connected with the application of nuclear energy since its discovery. The individual sections are concerned with the following subjects: the search for the 'smallest particles'; the atomic nucleus; nuclear fission; the 'Manhattan Project'; the time after this - from the euphoria of the 1950's via disillusionment and change of opinion to the state of nuclear energy at the start of the 1980's. The booklet contains many details and is generously illustrated. (HSCH) [de

  10. Reconciliation of high-tech and high-touch for SME innovation performance in Indonesia

    OpenAIRE

    RIDUAN R.

    2017-01-01

    The euphoria of technology in the Internet of Things (IOT) era is not only more advantageous but also provides double-edged sword effect for high-tech SMEs. In general, high-tech SMEs have a dependence on technology and neglect high touch aspect capacity to build relationships with human resources. Ironically, it is otherwise allegedly in an action as it is assumed to cause innovation imbalance where the product of SME innovation is high-tech but low-touch. Given its importance, this study ai...

  11. CO{sub 2} emissions from battery-driven electromobiles; CO{sub 2}-Emissionen von Batterie-Elektrofahrzeugen

    Energy Technology Data Exchange (ETDEWEB)

    Erdmann, Georg [Technische Univ. Berlin (Germany). Fachgebiet Energiesysteme

    2009-10-15

    For all the euphoria currently surrounding electromobility, electrically powered road vehicles too have their drawbacks. While the vehicles themselves emit no climatically harmful greenhouses gases during operation, the production of the electricity that drives them is associated with a greater or lesser amount of CO{sub 2} emissions, depending on the production chain. Is it conceivable that private electromobiles offer no advantage after all in terms of climate protection? Be it as it may, this question must be answered before electromobiles become a means of mass transport.

  12. Kratom, an Emerging Drug of Abuse: A Case Report of Overdose and Management of Withdrawal.

    Science.gov (United States)

    Diep, Jack; Chin, David Tian; Gupta, Somdatta; Syed, Faraz; Xiong, Ming; Cheng, Jianguo

    2018-04-15

    Kratom is an herb indigenous to Southeast Asia with psychoactive opioid compounds, often used as a treatment for chronic pain or opiate withdrawal symptoms. It is legally and readily available via Internet sales and has been identified as an emerging drug of abuse in the United States. Kratom use has been associated with psychosis, seizures, and even death. At lower doses, kratom acts as a stimulant, while at higher doses, it produces analgesia and euphoria. Here, we describe the successful management of kratom overdose and withdrawal in a young man with negative toxicology screens.

  13. The Aeronautical Monument from Michałowice, Poland

    Directory of Open Access Journals (Sweden)

    Iosif RUS

    2012-03-01

    Full Text Available After World War I Romania was sized with contradictory feelings: on the one hand: a general euphoria, stimulating many ambitions, on the other hand, the fear that everything that had been obtained through the sacrifice of half a million Romanian soldiers could have been lost.The insecurity of its borders and the fear of the revisionist forces counterattack determined Romania to conclude a treaty of alliance with Poland (March 3, 1921, then to join the countries that were part of the Little Entente (Czechoslovakia, the Kingdom of Yugoslavia. It was followed by France, terrified by its inability to stop the expansion of Germany.

  14. Loperamide Induced Torsades de Pointes: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    O. Mukarram

    2016-01-01

    Full Text Available Abuse of over the counter drugs often gets overlooked by health care providers. Loperamide is one such over the counter drug that is often abused by drug addicts. We present here a case of a young male attaining euphoria from taking massive doses of loperamide. He developed Torsades de Pointes and subsequent cardiac arrest. We found similarities in the progression of myocardial electrical conduction abnormalities among loperamide and other previously known arrhythmogenic drugs. We intend to raise concern over the ease of availability of such drugs over the counter and increase the index of suspicion for over the counter drug abuse from our experience.

  15. The role of the social worker in the in-vitro fertilization program.

    Science.gov (United States)

    Greenfeld, D; Mazure, C; Haseltine, F; DeCherney, A

    1984-01-01

    The role of the clinical social worker in the In-Vitro fertilization Program is to help provide patients with an environment that includes realistic expectation and emphasizes the emotional spectrum of euphoria, anxiety and dysphoria that can accompany the demanding protocol. The literature supports the need for counseling and supportive psychotherapy in the infertility clinic but has not dealt specifically with the psychological demands of In-Vitro fertilization. This paper addresses the emotional stress of in-vitro fertilization and emphasizes the role of social worker as counselor, educator and guide.

  16. "It's overwhelming... everything seems to be too much:" A theory of crisis for individuals with severe persistent mental illness.

    Science.gov (United States)

    Ball, Jeffrey S; Links, Paul S; Strike, Carol; Boydell, Katherine M

    2005-01-01

    Crisis in individuals with severe persistent mental illness (SPMI) is a poorly understood phenomenon for which traditional crisis models do not apply. In this study we explored the crisis experience using in-depth interviews conducted with individuals with severe persistent mental illness from two community support programs. A grounded theory of the crisis experience was developed and the results illustrate that underlying vulnerability sets the stage for crisis occurrence which involves feeling overwhelmed and lacking control and manifests as agitation/anger/aggression, being low, feeling anxious, or euphoria. Immediate responses to crises involve getting help or managing alone and numerous factors contribute to crisis resolution and prevention.

  17. [Methaemoglobinaemia induced by ingestion of alkyl nitrite, "poppers"].

    Science.gov (United States)

    Kragsfeldt, Celina Thelberg; Nissen, Christoffer B; Brandt, Frans

    2016-08-22

    We present a case report of an 18-year-old male who was referred to the emergency department with evidence of methaemoglobinaemia. He presented with classic symptoms with peripheral cyanosis and hypoxia. Arterial blood gas showed a methaemoglobin level of 36%. This was caused by ingestion of alkyl nitrate, a widespread party drug called "poppers". When inhaled it causes euphoria, reduced pain and relaxation of the anal sphincter, but oral use may induce life-threatening methaemoglobinaemia. The treatment of choice is the antidote methylene blue. After treatment the patient regained full recovery and was discharged on the following day. We discuss classic symptoms, diagnosis and treatment of intoxication with methylene blue.

  18. White matter lesions in psychiatric patients: a retrospective MRI study

    International Nuclear Information System (INIS)

    Becker, T.; Teichmann, E.; Hofmann, E.; Schmidtke, A.; Warmuth-Metz, M.; Nadjmi, M.

    1992-01-01

    T2-weighted MRI scans of psychiatric patients with at least one white matter lesion (WML) were compared to 83 non-psychiatric controls with respect to WML number and distribution. MANOVA resulted in significant effects for sex, age and patient group with respect to WML number. In the psychiatric patients, infratentorial WML prevailed in organic psychoses. WML number was positively correlated with age with the exception of right temporal lobe WML. Based on WML spatial distribution, four patient clusters were found. Clusters with widely distributed WML comprised older patients with late onset of illness; right frontal and temporal WML were associated with mania, euphoria and unstable mood. (orig.)

  19. Gamma-hydroxybutyrate: A drug of abuse

    DEFF Research Database (Denmark)

    Drasbek, Kim Ryun; Christensen, Jakob; Jensen, Kimmo

    2006-01-01

    γ-hydroxybutyrate (GHB) is a drug of abuse that causes euphoria, anxiolysis and hypnosis. The recent rise in the recreational intake of GHB, as well as its association with “drug rape”, has turned the attention to GHB in acute hospital settings. Acutely admitted GHB intoxicated patients may display...... available. As a basis for understanding the clinical features of GHB intoxication and abuse, we here review the pharmacological and neurophysiological knowledge about GHB, which stems from decades of clinical and basic GHB research. Also, we discuss the latest discoveries in the quest for distinct GHB...... receptors in the brain, and their possible implications for future therapies of GHB abuse....

  20. MARKET WATCH

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    The Canton Fair, a barometer of the country’s export health, continued to send worrying signals as foreign buyers skimped on orders for Chinese products. The country’s fund managers cashed in on the stock market euphoria of the first quarter. The central state-owned enterprises bounced back from their previous dismal financial situation. China Mobile, the country’s largest mobile service provider, saw slower profit growth in the first quarter. The first domestic auto financing company with no foreign ownership opened in Shanghai.

  1. On the Interface Between Automated Predictive Demand Planning Techniques and Humans in Collaborative Planning Processes

    DEFF Research Database (Denmark)

    Schorsch, Timm; Wallenburg, Carl Marcus; Wieland, Andreas

    The introduction of big data and predictive analytics techniques in the supply chain context constitutes a “hot topic” in both research and practice. Without arguing against this euphoria, this paper critically assesses the consequences of confronting human actors with an increasing usage...... of these techniques. The underlying case of this paper refers to collaborative supply chain processes that are predestinated for integrating new big data and predictive analytics techniques. By building a theoretical framework for deriving sound hypothesis and introducing and testing the experimental design...

  2. Multimodal imaging-monitored progression of stroke-like episodes in a case of MELAS syndrome.

    Science.gov (United States)

    Namer, Izzie Jacques; Wolff, Valérie; Dietemann, Jean-Louis; Marescaux, Christian

    2014-03-01

    We report imaging findings during, between, and after 2 stroke-like episodes in a 45-year-old woman with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome with an A32243G mitochondrial mutation 6 years before. In November 2010, for a first episode, she showed mixed aphasia with logorrhea, disinhibition, agitation, euphoria, and a large left temporoparietal lesion. Symptomatology progressively regressed under L-arginine treatment. She was readmitted in June 2011 for a second episode with great anxiety, disorientation, impaired face recognition, worsening mixed aphasia, and a new right temporal lesion. After additional L-carnitine treatment, she remained without relapse for 14 months.

  3. Second-generation HTS conductors

    CERN Document Server

    Goyal, Amit

    2006-01-01

    The discovery of high temperature superconductors (HTS) in 1986 by two IBM scientists led to an unprecedented explosion of research and development efforts world-wide because of the significant potential for practical applications offered by these materials. However, the early euphoria created by the exciting prospects was dampened by the daunting task of fabricating these materials into useful forms with acceptable superconducting properties. Progress towards this goal has been hindered by many intrinsic materials problems, such as weak-links, flux-creep, and poor mechanical properties.

  4. Energy-political decision making and public opinion. Energiepolitische Entscheidungsfindung und oeffentliche Meinung

    Energy Technology Data Exchange (ETDEWEB)

    Gerstein, L

    1989-09-01

    The author reminds us briefly of the general aims of an energy policy, and shows for the nuclear energy, how the public valued this kind of energy very differently in the course of approximately three decades: The evaluation shifted from the phase of 'euphoria', via the phase of 'scepticism, ideology and agitation' and the phase of 'realism' to the phase of 'renewed controversy'. It is about time to return to appropriate criteria of evaluation for all kinds of energy, which requires intensive and differentiated persuasion of all involved in the energy field. The author presents the areas of such persuasion activities. (orig.).

  5. Analisis Model Penelusuran Backward Chaining dalam Mendeteksi Tingkat Kecanduan Game pada Anak

    Directory of Open Access Journals (Sweden)

    Anastasya Latubessy

    2017-10-01

    Full Text Available Game addiction rate can be detected by applying expert system. This study developed a model of game addiction analysis using backward chaining. This model uses six types of game addiction behavior, among others, salience, euphoria, conflict, tolerance, withdrawal, relapse and reinstatement. Someone is said to be addicted to the game if it meets at least three types of game addiction behavior. Testing the validity of the model is done by testing the closeness of the agreement between the model analysis and expert analysis, resulting in a value of 0.78 which means having a strong agreement. Tingkat kecanduan game dapat dideteksi dengan mengaplikasikan sistem pakar. Penelitian ini mengembangkan model analisis tingkat kecanduan game menggunakan backward chaining. Model ini menggunakan enam jenis perilaku kecanduan game antara lain, salience, euphoria, conflict, tolerance, withdrawal, relapse dan reinstatement. Seseorang dikatakan kecanduan game jika memenuhi paling sedikit tiga jenis perilaku kecanduan game. Pengujian validitas model dilakukan dengan menguji keeratan kesepakatan antara analisis model dan analisis pakar, menghasilkan nilai 0,78 yang berarti memiliki keeratan kesepakatan kuat.

  6. Ethylphenidate as a selective dopaminergic agonist and methylphenidate-ethanol transesterification biomarker.

    Science.gov (United States)

    Patrick, Kennerly S; Corbin, Timothy R; Murphy, Cristina E

    2014-12-01

    We review the pharmaceutical science of ethylphenidate (EPH) in the contexts of drug discovery, drug interactions, biomarker for dl-methylphenidate (MPH)-ethanol exposure, potentiation of dl-MPH abuse liability, contemporary "designer drug," pertinence to the newer transdermal and chiral switch MPH formulations, as well as problematic internal standard. d-EPH selectively targets the dopamine transporter, whereas d-MPH exhibits equipotent actions at dopamine and norepinephrine transporters. This selectivity carries implications for the advancement of tailored attention-deficit/hyperactivity disorder (ADHD) pharmacotherapy in the era of genome-based diagnostics. Abuse of dl-MPH often involves ethanol coabuse. Carboxylesterase 1 enantioselectively transesterifies l-MPH with ethanol to yield l-EPH accompanied by significantly increased early exposure to d-MPH and rapid potentiation of euphoria. The pharmacokinetic component of this drug interaction can largely be avoided using dexmethylphenidate (dexMPH). This notwithstanding, maximal potentiated euphoria occurs following dexMPH-ethanol. C57BL/6 mice model dl-MPH-ethanol interactions: an otherwise depressive dose of ethanol synergistically increases dl-MPH stimulation; a substimulatory dose of dl-MPH potentiates a low, stimulatory dose of ethanol; ethanol elevates blood, brain, and urinary d-MPH concentrations while forming l-EPH. Integration of EPH preclinical neuropharmacology with clinical studies of MPH-ethanol interactions provides a translational approach toward advancement of ADHD personalized medicine and management of comorbid alcohol use disorder. © 2014 Wiley Periodicals, Inc. and the American Pharmacists Association.

  7. Sudden death involving inhalation of 1,1-difluoroethane (HFC-152a) with spray cleaner: three case reports.

    Science.gov (United States)

    Sakai, Kentaro; Maruyama-Maebashi, Kyoko; Takatsu, Akihiro; Fukui, Kenji; Nagai, Tomonori; Aoyagi, Miwako; Ochiai, Eriko; Iwadate, Kimiharu

    2011-03-20

    Spray cleaner is a cleaning product containing compressed 1,1-difluoroethane (HFC-152a) to blow dust off electric devices and other sensitive equipment; however, it is also inhaled to induce euphoria. This report describes three cases of death involving HFC-152a inhalation with spray cleaner under different circumstances. In case 1, death was during inhalation for euphoria with which led to having frostbite. In case 2, death may have been associated with suicidal intention. Case 3 was also considered an accidental autoerotic death. In all three cases, HFC-152a was detected at 99.2-136.2mg/l in blood samples, 94.5-191.9 mg/l in urine samples and 3.6-18.4 mg in the gastric contents according to gas chromatography with flame ionization detection. To prevent death associated with HFC-152a inhalation from spray cleaner, the danger of the sudden death should be announced to people, given the ready availability of commercial products containing HFC-152a. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  8. Evaluation of trace elements in some northern-Nigeria traditional medicinal plants using INAA technique

    International Nuclear Information System (INIS)

    Oladipo, M.O.A.; Njinga, R.L.; Baba, A.; Muhammad, H.L.

    2012-01-01

    Instrumental neutron activation analysis was used for multi-trace elemental determination of six medicinal plants: Boerhavia diffusa, Euphoria hirta, Senna occidentalis, Senna obtusofolia, Cyprus dilatatus and Mitracarpus villosu. These plants were irradiated in the Nigeria Research reactor-1, at flux levels of 2.25E+11 ncm −2 s −1 in the outer channel and 5.0E+11 ncm −2 s −1 in the inner channel. A total of the twenty one elemental concentrations were evaluated highlighted the similarity between the elements obtained for the six plants. It was found that Euphoria hirta and Senna occidentalis have similar concentrations of elements. Boerhavia difusa, Mitracarpus villosus, Cyprus dilatalus and Senna obttusifolia were also similar in elemental content to each other, while Boerhavia difusa was the only exceptional outlier. The accuracy of measurements was evaluated by analyzing IAEA-359 cabbage references standard materials and the results show good agreement with certified or literature values within ±0.01% to ±0.87%. - Highlights: ► Application of neutron activation analysis. ► Multi-trace elemental determination of six medicinal plants in northern Nigeria. ► Accuracy of the measurements was based on analyzing IAEA-359 cabbage, a standard reference material. ► Results showed good agreement with certified values within ±0.01 % to ±0.87%.

  9. Abuse potential of propofol used for sedation in gastric endoscopy and its correlation with subject characteristics.

    Science.gov (United States)

    Kim, Ja Hyun; Byun, Heewon; Kim, Jun Hyun

    2013-11-01

    Propofol has been widely used for an induction and/or maintenance of general anesthesia, or for sedation for various procedures. Although it has many ideal aspects, there have been several cases of drug abuse and addiction. The authors investigated whether there are abuse liable groups among the general population. We surveyed 169 patients after gastric endoscopic examination, which used propofol as a sedative, with the Addiction Research Center Inventory (ARCI) questionnaire. Other characteristics of the patients, such as past history, smoking habits, depression, anxiety, alcohol abuse liability and sleep disturbance, were recorded by history taking and several questionnaires before the exam. Propofol had a high Morphine-Benzedrine Group (MBG) score (representative value for euphoria) of 6.3, which is higher than marijuana, and a Pentobarbital-Chlorpromazine-Alcohol Group (PCAG) score (representative value of sedation) of 8.1, which is lower than most opioids. The MBG score showed no statistically significant correlation between any of the characteristics of the groups. In females, the PCAG score showed a correlation with age, and in males, it showed a correlation with a sleeping problem. Propofol had relatively high euphoria and low residual sedative effects. It had a more potent sedative effect in the female group who were young, and in the male group who had a low sleep quality index. There were differences in the abuse liability from a single exposure to propofol in the general population. Further study is needed to evaluate the abuse liability of repeated exposure.

  10. Morphostructural MRI Abnormalities Related to Neuropsychiatric Disorders Associated to Multiple Sclerosis

    Directory of Open Access Journals (Sweden)

    Simona Bonavita

    2013-01-01

    Full Text Available Multiple Sclerosis associated neuropsychiatric disorders include major depression (MD, obsessive-compulsive disorder (OCD, bipolar affective disorder, euphoria, pseudobulbar affect, psychosis, and personality change. Magnetic Resonance Imaging (MRI studies focused mainly on identifying morphostructural correlates of MD; only a few anecdotal cases on OCD associated to MS (OCD-MS, euphoria, pseudobulbar affect, psychosis, personality change, and one research article on MRI abnormalities in OCD-MS have been published. Therefore, in the present review we will report mainly on neuroimaging abnormalities found in MS patients with MD and OCD. All together, the studies on MD associated to MS suggest that, in this disease, depression is linked to a damage involving mainly frontotemporal regions either with discrete lesions (with those visible in T1 weighted images playing a more significant role or subtle normal appearing white matter abnormalities. Hippocampal atrophy, as well, seems to be involved in MS related depression. It is conceivable that grey matter pathology (i.e., global and regional atrophy, cortical lesions, which occurs early in the course of disease, may involve several areas including the dorsolateral prefrontal cortex, the orbitofrontal cortex, and the anterior cingulate cortex whose disruption is currently thought to explain late-life depression. Further MRI studies are necessary to better elucidate OCD pathogenesis in MS.

  11. The reliability and validity of the Turkish version of the Neuropsychiatric Inventory-Clinician.

    Science.gov (United States)

    Sahin Cankurtaran, Eylem; Danişman, Mustafa; Tutar, Hasan; Ulusoy Kaymak, Semra

    2015-01-01

    The Neuropsychiatric Inventory-Clinician (NPI-C) scale is one of the best-known scales for evaluating the behavioral and psychological symptoms of dementia. This study aimed to assess the reliability and validity of the Turkish version of the NPI-C scale in patients with Alzheimer disease (AD). The NPI-C scale was administered to 125 patients with AD. For reliability, both Cronbach's α and interrater reliability were analyzed. The Behavioral Pathology in Alzheimer's Disease (BEHAVE-AD) scale was applied for validity and, in addition, the Mini Mental State Examination (MMSE), Instrumental Activities of Daily Living (IADL) scale, and Disability Assessment of Dementia (DAD) scale were completed. The Turkish version of the NPI-C scale showed high internal consistency (Cronbach's α = 0.75) and mostly good interrater reliability. Assessments of validity showed that the NPI-C and corresponding BEHAVE-AD domains were found to be significantly correlated, between 0.925 and 0.195. Moreover, the correlations between NPI-C and MMSE were significant for all domains except the dysphoria, anxiety, and elation/euphoria domains. When we conducted a correlation analysis of NPI-C with IADL, all domains were statistically significantly correlated except aggression, anxiety, elation/euphoria, and dysphoria. The Turkish version of the NPI-C scale was found to be a reliable and valid instrument to assess neuropsychiatric symptoms in Turkish elderly subjects with AD.

  12. TECHNOLOGY VS NATURE: HUMAN ERROR IN DEALING WITH NATURE IN CRICHTON'S JURASSIC PARK

    Directory of Open Access Journals (Sweden)

    Sarah Prasasti

    2000-01-01

    Full Text Available Witnessing the euphoria of the era of biotechnology in the late twentieth century, Crichton exposes the theme of biotechnology in his works. In Jurassic Park, he voices his concern about the impact of the use of biotechnology to preserve nature and its living creatures. He further describes how the purpose of preserving nature and the creatures has turned out to be destructive. This article discusses Crichton's main character, Hammond, who attempts to control nature by genetically recreating the extinct fossil animals. It seems that the attempt ignores his human limitations. Although he is confident that has been equipped with the technology, he forgets to get along with nature. His way of using technology to accomplish his purpose proves not to be in harmony with nature. As a consequence, nature fights back. And he is conquered.

  13. Direct and retrospective assessment of factors contributing to compulsive buying.

    Science.gov (United States)

    Miltenberger, Raymond G; Redlin, Jennifer; Crosby, Ross; Stickney, Marcella; Mitchell, Jim; Wonderlich, Stephen; Faber, Ronald; Smyth, Joshua

    2003-03-01

    Compulsive buying is a disorder that has begun to receive attention from researchers in recent years. The results of a handful of studies suggest that compulsive buying occurs in response to negative emotions and results in a decrease in the intensity of the negative emotions. In this investigation, we used interview and self-monitoring methods to evaluate the antecedents and consequences of compulsive buying in a sample of women who met criteria for compulsive buying on the compulsive buying scale (J. Consumer Res. 19 (1992) 459). As a group, the participants reported negative emotions as the most common antecedents to compulsive buying, and euphoria or relief from the negative emotions as the most common consequence of compulsive buying. These findings were consistent across the interview and self-monitoring assessment methods. The implications for assessment and treatment are discussed.

  14. High-dose zolpidem dependence - Psychostimulant effects? A case report and literature review

    Directory of Open Access Journals (Sweden)

    Abhijna Chandan Chattopadhyay

    2016-01-01

    Full Text Available Zolpidem, an imidazoline nonbenzodiazepine sedative drug, is used widely. Initial reports showed minimal abuse potential. However, multiple reports have appeared of dose escalation and abuse. Subjective effects of high-dose zolpidem are not known. In light of accumulating evidence of abuse potential, we hereby report a case of high-dose dependence and a review of relevant literature. A 33-year-old male presented with 5 years of daily use of 600–1700 mg of zolpidem tartrate. He reported subjective effects of euphoria, intense craving, and inability to stop use. Loss of receptor specificity, pharmacokinetic factors, and different receptor distributions can explain paradoxical stimulatory effects of high-dose zolpidem. Further studies are required to characterize subjective effects of high-dose zolpidem.

  15. The New Kid on the Block--Incorporating Buprenorphine into a Medical Toxicology Practice.

    Science.gov (United States)

    Wiegand, Timothy J

    2016-03-01

    Buprenorphine represents a safe and effective therapy for treating opioid dependence, alleviating craving and withdrawal symptoms in opioid-dependent patients. Buprenorphine has a "blocking" effect against the action of other opioids at the mu-receptor, preventing not only opioid-induced euphoria, but CNS and respiratory depressant effects as well. Buprenorphine was approved for the treatment of opioid dependence in 2002 after the passage of Drug Abuse Treatment Act 2000 (DATA 2000) which allowed clinicians to treat opioid-dependent patients with specifically named opioid agonist therapies in an office setting. Buprenorphine programs reduce the prevalence of HIV and hepatitis C and reduce criminal behaviors associated with illicit drug use. Patients stabilized on buprenorphine have increased employment, enhanced engagement with social services, and better overall health and well-being.

  16. Second-generation HTS conductors

    CERN Document Server

    2010-01-01

    The discovery of high temperature superconductors (HTS) in 1986 by two IBM scientists led to an unprecedented explosion of research and development efforts world-wide because of the significant potential for practical applications offered by these materials. However, the early euphoria created by the exciting prospects was dampened by the daunting task of fabricating these materials into useful forms with acceptable superconducting properties. Progress towards this goal has been hindered by many intrinsic materials problems, such as weak-links, flux-creep, and poor mechanical properties. The above problems led to the development of the Second-Generation of HTS wires. Three methods were invented to produce flexible metallic substrates, which were also crystallographically biaxially textured, and resembled a long, mosaic single crystal. The first method invented is the Ion-Beam-Assisted-Deposition (IBAD). The second method developed was the Inclined-Substrate-Deposition (ISD). The third method invented is calle...

  17. Menumbuhkan Jiwa Wirausaha Melalui Peran Sosial Media

    Directory of Open Access Journals (Sweden)

    Hawik Ervina Indoworo

    2016-06-01

    Full Text Available Abstract - Now the development of entrepreneurship is able to expand new employment opportunities and sustain the economy of the State. The need for information and personal development is increasing along with advances in telecommunications technology over the internet. The development of the internet makes the number of the users taking advantage of this as a profitable business opportunity like online businesses. The euphoria of the use of social media (facebook, twitter, instagram, etc. over the internet has become a trend in society. Of course it affects the behavior change in the way the community communicate and interact with others. This condition is driven by two fundamentals which are the new behavior of the citizen and the technological revolution. The growth of social media users should certainly benefit companies in reaching consumers with a way to innovate in doing business, marketing and communication. Keywords: entrepreneurship, social media

  18. Modulation of Tryptophan and Serotonin Metabolism as a Biochemical Basis of the Behavioral Effects of Use and Withdrawal of Androgenic-Anabolic Steroids and Other Image- and Performance-Enhancing Agents

    Directory of Open Access Journals (Sweden)

    Abdulla A-B Badawy

    2018-02-01

    Full Text Available Modulation of tryptophan (Trp metabolism may underpin the behavioral effects of androgenic-anabolic steroids (AAS and associated image and performance enhancers. Euphoria, arousal, and decreased anxiety observed with moderate use and exercise may involve enhanced cerebral serotonin synthesis and function by increased release of albumin-bound Trp and estrogen-mediated liver Trp 2,3-dioxygenase (TDO inhibition and enhancement of serotonin function. Aggression, anxiety, depression, personality disorders, and psychosis, observed on withdrawal of AAS or with use of large doses, can be caused by decreased serotonin synthesis due to TDO induction on withdrawal, excess Trp inhibiting the 2 enzymes of serotonin synthesis, and increased cerebral levels of neuroactive kynurenines. Exercise and excessive protein and branched-chain amino acid intakes may aggravate the effects of large AAS dosage. The hypothesis is testable in humans and experimental animals by measuring parameters of Trp metabolism and disposition and related metabolic processes.

  19. Solar heating still in the early stages. Changes for hot water production - VDI meeting 'Efficient heating systems'

    Energy Technology Data Exchange (ETDEWEB)

    Goehringer, P

    1976-10-01

    More and more realism replaces the initial euphoria concerning the discussion on solar heating. Not only the possibilities are considered these days, but also the limits of this still controversial way of heating. This impression was deepened by a meeting of the VDI-Gesellschaft Technische Gebaeudeausruestung (Society for the technical equipment of buildings) held in Bonn. The heating of water with solar energy during the summer is viewed optimistically by the experts - as far as space heating is concerned, the sun collector is conceded only a very modest position in Central Europe within integrated heating systems. It is true that solar technology in the USA is already very sophisticated and economically feasible in many cases; however, techniques cannot be adopted unconditionally for Europe, as the average values of global solar radiation are much lower here. Thus, different technologies will be required.

  20. Sudden death due to inhalant abuse in youth: Case report

    Directory of Open Access Journals (Sweden)

    Ramazan Akcan

    2010-06-01

    Full Text Available Intentional inhalation or abuse of volatile substances is a common public health problem all over the world. As these substances generate euphoria frequency of use among adolescents and young adults is increasing steadily. In cases using inhalants to achieve a euphoric state -without knowing possible consequences- sudden death may occurdue to acute cardio-pulmonary dysfunction.Here we present a case of sudden death of a nineteen-year-old female due to inhalation of volatile from butane containing lighter gas tube, with the findings of autopsy and death scene investigation.In the context of this case; it was aimed to draw attention to the risk of sudden death and steady increase of frequencyof volatile substance abuse among adolescents and young adults due to various psycho-social factors.

  1. Determination and Evaluation of Mineral Constituents of Medicinal Plants used for the Treatment of Asthma and other Ailments by Atomic Absorption Spectrophotometry

    International Nuclear Information System (INIS)

    Sahito, S.B.; Jatoi, W.B.; Mahar, P.

    2013-01-01

    Mineral contents have been determined for thirty samples from three medicinal plants (Hibiscus rosa-sinensis, Salvadora oleoides and Euphoria hirta) . Fifteen essential trace and toxic elements were determined, using atomic absorption spectrophotometer. Ten samples from each plant were collected from the vicinity of Jamshoro and Tandojam Agricultural University and drug stores. The edible parts of all three plants were digested with two known wet asking methods. It was observed that the levels of essential micronutrient Ca, Mg, Fe, Mn and Zn, in all there medicinal plants are found to be (3.491.3-3928.2), (2269.3-3617.3), (3.23-5.42), (6.13-7.33) and (4.22-6.94) mg/100g respectively on dried basis. The efficiency of digesting mineral acid mixtures was checked by certified reference sample of Spinach NBS-1570. (author)

  2. INOVASI DAERAH (Refleksi dan Pengaturan Inovasi Daerah di Indonesia

    Directory of Open Access Journals (Sweden)

    Made Gde Subha Karma Resen

    2015-12-01

    Full Text Available Regional Innovation is an important factor to encourage competitiveness and prosperity in the region. Innovation is a collaborative process to improve effectiveness and efficiency in the Region. Innovation cannot run sporadically and partially, particularly at the level of regulation and governance. Reflection on experience shows, government apprehensive to innovate in the Region. Criminalization of policy, euphoria of corruption eradication causing poor innovation in the Region, so it should be given the rule that provides the flexibility to innovate without diminishing accountability or in formulating innovation policy, should be based on the principles in the running of innovation. Through the juridical analysis of substance of the Law 23/2014, have been set related to regional innovation. There is the possibility of expanding the activities of government, with narrowing of the risk of criminal prosecution.

  3. An on-line diagnostic expert system

    International Nuclear Information System (INIS)

    Felkel, L.

    1987-01-01

    As experience with on-line information systems, experts systems and artificial intelligence tools grows, the authors retreat from the first euphoria that AI could help them solve the problem they were unable to solve with conventional programming. The major effort of the development time goes into building the knowledge-base. There is no such thing as a generic knowledge-base for nuclear power plants as there is, for example, for the diagnosis of a Boeing 747 aircraft. AI-methods, tools and hardware are still in a state which does not optimally lend itself to real-time application. The ability of developing prototype systems to investigate variants otherwise too costly to justify is one advantage that the authors gladly accept. Last, but no least the tools provide a flexible and adaptable user interface (desktop window systems) etc. The development of such tools in a project would be prohibitive and room for experimentation would be limited

  4. An infant with hyperalertness, hyperkinesis, and failure to thrive: a rare diencephalic syndrome due to hypothalamic anaplastic astrocytoma.

    Science.gov (United States)

    Stival, Alessia; Lucchesi, Maurizio; Farina, Silvia; Buccoliero, Anna Maria; Castiglione, Francesca; Genitori, Lorenzo; de Martino, Maurizio; Sardi, Iacopo

    2015-09-04

    Diencephalic Syndrome is a rare clinical condition of failure to thrive despite a normal caloric intake, hyperalertness, hyperkinesis, and euphoria usually associated with low-grade hypothalamic astrocytomas. We reported an unusual case of diencephalic cachexia due to hypothalamic anaplastic astrocytoma (WHO-grade III). Baseline endocrine function evaluation was performed in this patient before surgery. After histological diagnosis, he enrolled to a chemotherapy program with sequential high-dose chemotherapy followed by hematopoietic stem cell rescue. The last MRI evaluation showed a good response. The patient is still alive with good visual function 21 months after starting chemotherapy. Diencephalic cachexia can rarely be due to high-grade hypothalamic astrocytoma. We suggest that a nutritional support with chemotherapy given to high doses without radiotherapy could be an effective strategy for treatment of a poor-prognosis disease.

  5. Amphibious environments in Science Communication

    Directory of Open Access Journals (Sweden)

    Castelfranchi Yurij

    2005-09-01

    Full Text Available The historian Marshall Berman wrote that living in modern times means "to find ourselves in an environment that promises us adventure, power, joy, growth, transformation [...] and, at the same time, that threatens to destroy everything we have, everything we know". Today - at a time when modernity has become a "reflexive modernity" for some, whilst for others it is already over (and for others still "we have never been modern" - it seems that Berman has grasped an important concept: a part of media narration is characterised by a fluctuation between euphoria and fear, triumphalism and rejection, as regards science and technology as well as other areas (the ambivalence of the "Frankenstein effect" discussed by Jon Turney.

  6. LED radiation: possible photobiological risks and safety regulations. Pt. 2

    International Nuclear Information System (INIS)

    Horak, W.

    2008-01-01

    With all due euphoria regarding the new illumination possibilities, one can quite often observe a certain degree of uncertainty concerning eye hazard issues in conjunction with intense LED radiation. Moreover, the related general requirements for product- as well as for workplace-safety are rather new. Thus, the possible hazards by the optical radiation of LEDs will be analyzed in this two-port contribution. Part 1 aims to provide a review of these hazards as well as of the bases for their evaluation. The impact of these requirements on state-of-the-art LEDs will be examined in part 2. Compared with conventional light sources, it turns out that there are hardly any differences in this respect. (orig.)

  7. The poppers-HIV connection.

    Science.gov (United States)

    Wilson, H

    1999-03-01

    Nitrite inhalants called "poppers" are receiving renewed attention by researchers regarding the drug's role in the gay community, its contribution to risky sexual behavior, and its ability to fuel the AIDS epidemic. Research shows the effects of poppers cause a euphoria that can reduce inhibitions, increase sexual drive, and intensify the sensations of orgasm. Poppers have been associated with a decrease in condom use. In addition, research has found that popper use suppresses natural killer (NK) cell function, which increases vulnerability to infectious agents, produces sustained alterations in the immune system, and may be a Kaposi's sarcoma (KS) cofactor. The combined data implicate that the use of poppers may well pose as a significant risk factor for seroconversion.

  8. Ecstasy-Associated Pneumomediastinum

    Science.gov (United States)

    Marasco, Silvana F; Lim, H Kiat

    2007-01-01

    INTRODUCTION Ecstasy, also known as MDMA (3,4, methylenedioxymethamphetamine), is a popular illicit party drug amongst young adults. The drug induces a state of euphoria secondary to its stimulant activity in the central nervous system. PATIENTS AND METHODS A database review at two major inner city hospitals was undertaken to identify patients presenting with pneumomediastinum and their charts reviewed. A Medline review of all reported cases of pneumomediastinum associated with ecstasy abuse was undertaken. RESULTS A total of 56 patients presenting with pneumomediastinum were identified over a 5-year period. Review of the charts revealed a history of ecstasy use in the hours prior to presentation in six of these patients, representing the largest series reported to date. CONCLUSIONS Review of previously reported cases reveals the likely mechanism is due to Valsalva manoeuvre during periods of extreme physical exertion, and not a direct pharmacological effect of the drug. PMID:17535617

  9. Theses on Distributed Aesthetics. Or, What a Network is Not

    Directory of Open Access Journals (Sweden)

    Geert Lovink

    2005-01-01

    Full Text Available In this essay Lovink and Munster set forward a number of proposals for a distributed aesthetics. If new media artistic practice and aesthetic experience were most often characterised by recourse to computational culture, then distributed aesthetics is dominated by networks. Networked media and technologies help to disperse experience so that we never seem to be having our experiences in the one place anymore. However, the authors suggest, most of the images and rhetoric attempting to characterise this distributed experience are drawn from the cartographic traditions of geographic information systems and/or conceptions of biological networking and growth. These do not assist in coming to terms with the specifically social aspects of online networking. The authors speculate that a distributed aesthetics must take into account the collective and personal 'aesthesia' of online networks - the experience of labouring towards new forms of social collectivity that produces not only euphoria but also boredom and frustration.

  10. Importance of Peaceful Utilization of Nuclear Energy

    Directory of Open Access Journals (Sweden)

    J. Frydryšková

    2009-01-01

    Full Text Available Following the massive destruction of Hiroshima and Nagasaki in the end of Second World War, the atom was generally taken to be the primary symbol of the new era, the so-called ‘atomic age’, a prototypical modern conjuncture forever oscillating between the agonies of mass death and standardized terror, and the euphoria of tremendous economic transformation through the permanent resolution of the ever increasing need for electrical energy at little or no cost. After Hiroshima the symbolic meaning and presence of the atom crossed and recrossed the lines between popular culture, lived experience, political protest, strategic discourse, modern design, industry, medicine, and agriculture, that it truly became ‘atomic age’ whether one was in the US, France, China or anywhere else. 

  11. [News items on human papillomavirus and its vaccine in the Valencian press (2006-2011)].

    Science.gov (United States)

    Tuells, José; Duro Torrijos, José Luis; Chilet Rosell, Elisa; Pastor Villalba, Eliseo; Portero Alonso, Antonio; Navarro Ortiz, Carmen; Galiana de la Villa, Eva María

    2013-01-01

    The process of introducing the human papillomavirus (HPV) vaccine aimed at teenage girls has not been entirely without controversy in Spain. This vaccine was originally hyped as a preventive measure in the fight against cervical cancer but the resulting euphoria was tempered by a message calling for evidence. During administration of the second dose of the vaccine in February 2009, an unexpected turn of events attracted vast media coverage when two teenagers experienced adverse effects after immunization in Valencia (Spain). This study analyzes the scope and content of news items on HPV, immunization and cervical cancer published between 2006 and 2011 in two widely disseminated regional newspapers in Valencia. We also discuss the extent to which the messages transmitted may have influenced acceptability of the vaccine. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  12. Social cognition and the manic defense: attributions, selective attention, and self-schema in bipolar affective disorder.

    Science.gov (United States)

    Lyon, H M; Startup, M; Bentall, R P

    1999-05-01

    Manic patients, depressed bipolar patients, and normal controls were compared on measures of social cognition. Manic patients showed a normal self-serving bias on the Attributional Style Questionnaire, but depressed patients attributed negative events more than positive events to self. On an implicit test of attributional style, both patient groups attributed negative events more than positive events to self. Both patient groups showed slowed color naming for depression-related but not euphoria-related words. Manic patients, like normal controls, endorsed mainly positive words as true of self but, like the depressed patients, recalled mainly negative words. Findings from the implicit tests indicate a common form of psychological organization in manic and depressed patients, whereas the contrasts between the scores on the implicit and explicit measures are consistent with the hypothesis of a manic defense.

  13. [Betel - the fourth most popular substance in the world].

    Science.gov (United States)

    Zdrojewicz, Zygmunt; Kosowski, Wojciech; Królikowska, Natalia; Stebnicki, Marek; Stebnicki, Michał R

    2015-09-01

    Betel is a kind of substance for chewing, that is made from piper betle, areca nuts and other, additional constituents. It is the fourth most popular psychoactive substance in the world, right after caffeine, nicotine and alcohol. It is particularly famous in Asia. Betel chewing induces euphoria and it is addictive. Similarly like in other substances such as nicotine or alcohol, betel also has detrimental effects. It causes e.g. oral cancer and cancer of the oesophagus, it contributes to the development of metabolic syndrome, liver cirrhosis and chronic kidney disease. There are also positive effects of chewing betel, because is has antioxidant, anti-inflammatory, antyparasitic and antiseptic properties. The aim of this paper was to expand knowledge about betel and its both: positive and negative influence on human health. In this article original and review papers associated with the topic were used. © 2015 MEDPRESS.

  14. The mask of eroticism in "Ode Marítima": ecstasy and geometry

    Directory of Open Access Journals (Sweden)

    Aline Carla Dalmutt

    2013-12-01

    Full Text Available This present work intends to make a reading of the "Maritime Ode" by Fernando Pessoa, signed by Álvaro de Campos, the Sensationalist Engineer. The essence of this heteronomous is looking at the world and man under an dialectical angle, in a place where each thing crosses, complete and vanishes under a look that is a "sexual perversion". In this ode, the look "feels everything in every way", and this implies working the sensations in all its ramifications, stressing at this point eroticism in a masked speech, multiplier of sadomasochistic sensation, in a unsuccessful narrative which escapes the metaphysical anguish and from life "sitting, ruled and revised." The euphoria / dysphoria of Campos of the "Odes" is fictitious, more a mask, "pure mirage."

  15. Development of ARDS after Excessive Kath Consumption: A Case Report

    Directory of Open Access Journals (Sweden)

    Marlene Wewalka

    2011-01-01

    Full Text Available Khat is a drug widely used in the Horn of Africa and the Arabian Peninsula. Khat leaves contain, among other substances, the psychoactive alkaloid cathinone, which induce central nervous system stimulation leading to euphoria, hyperactivity, restlessness, and insomnia. However, it also could cause psychological adverse effects such as lethargy, sleepiness, psychoses, and depression necessitating pharmacologic treatment. Here we report the case of a 35-year-old man from Somalia who became unconscious and developed aspiration pneumonia and subsequent ARDS after excessive consumption of khat leaves. His unconsciousness was possibly caused by the sleepiness developed after khat consumption and a benzodiazepine intake by the patient himself. Thus, khat-induced adverse effects should not primarily be treated pharmacologically, but patients should be urged to quit khat consumption in order to eliminate or, at least, reduce the severity of present psychological adverse effects.

  16. Contractor/supplier of energy services. Liberalization of the energy market and the need for energy services

    International Nuclear Information System (INIS)

    Maas, J.F.M.

    2002-01-01

    A market for energy services is emerging. Energy suppliers and building services contractors have the same customers but have traditionally operated in different markets. The boundary between the energy and building services markets is blurred. Substantial degrees of freedom are being created for the customer in a free market. After the initial euphoria about this, there will be a realization that there are also risks, for example as a result of price fluctuations, uncertainty about supplier reliability, the effects of the rates system, complex regulation and political decision making. If people want to reduce these risks and through this make costs controllable, attention must be paid to the interdependence between aspects on the supply side, in the energy supply system and on the demand side [nl

  17. Nuclear arms cleanup

    International Nuclear Information System (INIS)

    Cooper, M.H.

    1994-01-01

    The Soviet Union's demise five years ago brought an end to the Cold War, the 45-year arms race between the Soviet superpower and the United States. The euphoria that greeted the end of this bloodless conflict has dampened somewhat, however, as U.S. officials and their counterparts in the former Soviet republics come to grips with its legacy: thousands of highly toxic and politically destabilizing nuclear weapons. With no more perceived need for much of their vast arsenals, the governments have agreed to dismantle large numbers of nuclear warheads. But the agencies involved in this task face a daunting technical and political problem: what to do with the thousands of tons of plutonium and uranium that are the main ingredients of nuclear weapons

  18. Photovoltaic barometer

    International Nuclear Information System (INIS)

    2013-01-01

    After the euphoria of 2011, the European Union's photovoltaic market slowed right down in 2012. EurObserv'ER puts newly connected capacity in 2012 at 16.5 GWp compared to 22 GWp in 2011, which is a 25% drop. At global level the market generally held up, with just over 30 GWp installed, bolstered by the build-up of the American and Asian markets. The photovoltaic electricity generated in the EU reached 68.1 TWh in 2012. The article begins with the description of the worldwide situation of photovoltaic electricity, then details the situation for each EU member with the help of tables and charts and ends with the state of photovoltaic industry at the world scale

  19. Clearer view of U.S. energy prospects

    International Nuclear Information System (INIS)

    Balzhiser, R.E.

    1982-01-01

    This is a brief review of technological and economic events in the last decade and provides a forecast for the next decade (1980's). The prices of all forms of energy have risen at rates significantly above that of inflation. The average price of crude oil in industrialized countries set the pace from mid-1973 to early 1981, with real price increases that averaged 24% per year. Over this same period, nuclear power has fallen from a state of euphoria to one where its survival in the U.S. is now in question. Coal, with its domestic abundance, would have been expected to benefit from these events, but its market attractiveness has been diminished by the rapidly escalating environmental requirements associated with its use. Given the price of oil, the plight of nuclear, and the problems of coal, natural gas became increasingly attractive at its low regulated prices, but its use has actually declined over the last decade. 9 refs

  20. Pain Therapy Guided by Purpose and Perspective in Light of the Opioid Epidemic

    Directory of Open Access Journals (Sweden)

    Amie L. Severino

    2018-04-01

    Full Text Available Prescription opioid misuse is an ongoing and escalating epidemic. Although these pharmacological agents are highly effective analgesics prescribed for different types of pain, opioids also induce euphoria, leading to increasing diversion and misuse. Opioid use and related mortalities have developed in spite of initial claims that OxyContin, one of the first opioids prescribed in the USA, was not addictive in the presence of pain. These claims allayed the fears of clinicians and contributed to an increase in the number of prescriptions, quantity of drugs manufactured, and the unforeseen diversion of these drugs for non-medical uses. Understanding the history of opioid drug development, the widespread marketing campaign for opioids, the immense financial incentive behind the treatment of pain, and vulnerable socioeconomic and physical demographics for opioid misuse give perspective on the current epidemic as an American-born problem that has expanded to global significance. In light of the current worldwide opioid epidemic, it is imperative that novel opioids are developed to treat pain without inducing the euphoria that fosters physical dependence and addiction. We describe insights from preclinical findings on the properties of opioid drugs that offer insights into improving abuse-deterrent formulations. One finding is that the ability of some agonists to activate one pathway over another, or agonist bias, can predict whether several novel opioid compounds bear promise in treating pain without causing reward among other off-target effects. In addition, we outline how the pharmacokinetic profile of each opioid contributes to their potential for misuse and discuss the emergence of mixed agonists as a promising pipeline of opioid-based analgesics. These insights from preclinical findings can be used to more effectively identify opioids that treat pain without causing physical dependence and subsequent opioid abuse.

  1. Pain Therapy Guided by Purpose and Perspective in Light of the Opioid Epidemic

    Science.gov (United States)

    Severino, Amie L.; Shadfar, Arash; Hakimian, Joshua K.; Crane, Oliver; Singh, Ganeev; Heinzerling, Keith; Walwyn, Wendy M.

    2018-01-01

    Prescription opioid misuse is an ongoing and escalating epidemic. Although these pharmacological agents are highly effective analgesics prescribed for different types of pain, opioids also induce euphoria, leading to increasing diversion and misuse. Opioid use and related mortalities have developed in spite of initial claims that OxyContin, one of the first opioids prescribed in the USA, was not addictive in the presence of pain. These claims allayed the fears of clinicians and contributed to an increase in the number of prescriptions, quantity of drugs manufactured, and the unforeseen diversion of these drugs for non-medical uses. Understanding the history of opioid drug development, the widespread marketing campaign for opioids, the immense financial incentive behind the treatment of pain, and vulnerable socioeconomic and physical demographics for opioid misuse give perspective on the current epidemic as an American-born problem that has expanded to global significance. In light of the current worldwide opioid epidemic, it is imperative that novel opioids are developed to treat pain without inducing the euphoria that fosters physical dependence and addiction. We describe insights from preclinical findings on the properties of opioid drugs that offer insights into improving abuse-deterrent formulations. One finding is that the ability of some agonists to activate one pathway over another, or agonist bias, can predict whether several novel opioid compounds bear promise in treating pain without causing reward among other off-target effects. In addition, we outline how the pharmacokinetic profile of each opioid contributes to their potential for misuse and discuss the emergence of mixed agonists as a promising pipeline of opioid-based analgesics. These insights from preclinical findings can be used to more effectively identify opioids that treat pain without causing physical dependence and subsequent opioid abuse. PMID:29740351

  2. Addiction and Engagement: An Explorative Study Toward Classification Criteria for Internet Gaming Disorder.

    Science.gov (United States)

    Lehenbauer-Baum, Mario; Klaps, Armin; Kovacovsky, Zuzana; Witzmann, Karolin; Zahlbruckner, Raphaela; Stetina, Birgit U

    2015-06-01

    The DSM-5 introduced Internet gaming disorder (IGD) as a condition needing more research. Proposed criteria include tolerance, preoccupation, deceiving, or continued excess despite psychosocial problems. However, studies suggest differences between addicted and engaged players. Therefore, this study investigated differences between engagement and addiction in a German-speaking sample of expert World of Warcraft players. Using an online-based questionnaire, 682 participants were surveyed (Mage=23.26 years; 84.9% male) from German-speaking areas. An adapted version of the "Asheron's call" questionnaire (which covers six addiction criteria, including salience, euphoria, and tolerance), the WHOQOL-BREF, the Gaming Motivation Scale, the BDI, the SPIN, and a brief version of the personality questionnaire BFI-10 were used. The average gamer in the sample played on level 87.93 and had been playing for 5.42 years. Addicted players had higher scores on the BDI and SPIN and significantly lower scores in all dimensions of quality of life. Addicted gamers played for 39.25 hours per week (engaged players: 11.93 hours per week) with significantly higher scores in items tapping achievement and immersion. There were differences regarding the BFI-10 in terms of "agreeableness," "conscientiousness," and "neuroticism." The results suggest that factors such as achievement and immersion set engaged and addicted users apart. Addiction seems to be significantly more connected to other psychopathologies such as depression and social anxiety. The results suggest that euphoria, tolerance, and cognitive salience should be handled with caution when it comes to a classification of IGD similar to (behavioral) addiction.

  3. Emotional well-being in children and adolescents treated with atomoxetine for attention-deficit/hyperactivity disorder: Findings from a patient, parent and physician perspective using items from the pediatric adverse event rating scale (PAERS

    Directory of Open Access Journals (Sweden)

    Dittmann Ralf W

    2008-05-01

    Full Text Available Abstract Background The objective of this analysis was to measure changes in items on the Pediatric Adverse Event Rating Scale (PAERS that relate to emotional well-being of children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD during treatment with atomoxetine for up to 24 weeks from the perspective of the patient, the parent, and the physician. Methods Patients aged 6–17 years with ADHD were treated with atomoxetine (target dose 1.2 mg/kg/day. In the two studies on which this secondary analysis is based the PAERS was used to assess the tolerability of atomoxetine in children and adolescents. This scale has a total of 48 items. The ten items that reflect emotional well-being were selected to measure changes over time from a patient, parent, and physician perspective. Results 421 patients were treated with atomoxetine. 355 patients completed the 8-week treatment period, and 260 patients completed the 24-week treatment period. The ten items that reflect emotional well-being were grouped in five dimensions: depressed mood, self-harm, irritability/agitation, drowsiness, and euphoria. The scores of these dimensions decreased over time, both from a patient as well as from a parent and physician perspective. Only the dimension self-harm was extremely low at baseline and stayed low over time. The mean scores for the ten items depended on the rater perspective. Conclusion The emotional well-being of children and adolescents with ADHD improved in terms of depressed mood, irritability/agitation, drowsiness, and euphoria during treatment with atomoxetine for up to 24 weeks.

  4. For women, abortion can't be the whole story.

    Science.gov (United States)

    Beck, J

    1992-04-08

    A columnist for a leading newspaper in the US addresses the euphoria present at the abortion rights march in Washington, D.C. on April 5, 1992. The intergenerational crowd had hoped to convince the Congress to pass the Freedom of Choice Act that is intended to replace the Roe v. Wade decision of the Supreme Court. The Act would prevent states from prohibiting abortion once Roe v. Wade is reversed by the Supreme Court. The bill is so controversial that it gives many legislators who may be impressed with the numbers and clout of the prochoice marchers yet oppose it an excuse to not support it. Besides many legislators do not want to vote for or against it in this election year, particularly since many constituents have not yet decided when abortion should be allowed and what restrictions should be placed on abortion. President Bush is expected to veto the bill and Congress probably does not have the votes to override the President's veto. The euphoria is misplaced. It is unfortunate that the leading goal of many women's groups since the early 1970s has been to assure women the right to kill unborn children. Men do not have to face this demeaning, uncomfortable, emotionally loaded surgery as a price for their sex lives. Women should not accept or demand this burden. They should demand more money for contraception research, free contraceptives for low income women, or changes in current laws that prevent pharmaceutical companies from developing more effective and reliable contraceptives. Women should put their energy into changing the present sexual climate which allows unwanted pregnancies to occur. They should insist on men assuming equal responsibility for sexual activity and its consequences. Demanding the right to kill unborn children is not equality and is not progress.

  5. The effects of memantine on behavioral disturbances in patients with Alzheimer's disease: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Kishi T

    2017-07-01

    Full Text Available Taro Kishi,* Shinji Matsunaga,* Nakao Iwata Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan *These authors contributed equally to this work Background: Memantine is effective in the treatment of behavioral disturbances in patients with Alzheimer’s disease. It has not yet been fully determined which behavioral disturbances respond best to memantine.Methods: We conducted a meta-analysis of memantine vs control (placebo or usual care for the treatment of individual behavioral disturbances (delusion, hallucination, agitation/aggression, dysphoria, anxiety/phobia, euphoria, apathy, disinhibition, irritability/lability, aberrant motor activity/activity disturbances, nighttime disturbance/diurnal rhythm disturbances, and eating disturbances. Randomized controlled studies of memantine in patients with Alzheimer’s disease were included in this study. To evaluate these outcomes, standardized mean difference (SMD, with 95% confidence intervals (95% CIs, based upon a random-effects model was evaluated in the meta-analysis.Results: A total of 11 studies (n=4,261; memantine vs placebo: N=4, n=1,500; memantine + cholinesterase inhibitors [M + ChEIs] vs ChEIs: N=7, n=2,761 were included in the meta-analysis. Compared to control, memantine showed significant improvement in agitation/aggression (SMD =-0.11; 95% CIs =-0.20, -0.03; P=0.01; I2=47%, delusion (SMD =-0.12; 95% CIs =-0.18, -0.06; P=0.0002; I2=0%, disinhibition (SMD =-0.08; 95% CIs =-0.15, -0.00; P=0.04; I2=0%, and nighttime disturbance/diurnal rhythm disturbances (SMD =-0.10; 95% CIs =-0.18, -0.02; P=0.02; I2=36%. Memantine was also marginally superior to control in hallucination (SMD =-0.06; 95% CIs =-0.12, 0.01; P=0.07; I2=0% and irritability/lability (SMD =-0.09; 95% CIs =-0.19, 0.01; P=0.07; I2=42%. Memantine is similar to control in dysphoria, anxiety/phobia, euphoria, apathy, and eating disturbance.Conclusion: The meta-analysis suggest

  6. Development of a checklist of short-term and long-term psychological symptoms associated with ketamine use.

    Science.gov (United States)

    Fan, Ni; Xu, Ke; Ning, Yuping; Wang, Daping; Ke, Xiaoyin; Ding, Yi; Sun, Bin; Zhou, Chao; Deng, Xuefeng; Rosenheck, Robert; He, Hongbo

    2015-06-25

    Ketamine is an increasingly popular drug of abuse in China but there is currently no method for classifying the psychological effects of ketamine in individuals with ketamine dependence. Develop a scale that characterizes the acute and long-term psychological effects of ketamine use among persons with ketamine dependence. We developed a preliminary symptom checklist with 35 dichotomous ('yes' or 'no') items about subjective feelings immediately after ketamine use and about perceived long-term effects of ketamine use that was administered to 187 inpatients with ketamine dependence recruited from two large hospitals in Guangzhou, China. Exploratory factor analysis (EFA) was conducted on a randomly selected half of thesample to reduce the items and to identify underlying constructs. Confirmatory factor analysis (CFA) was conducted on the second half of the sample to assess the robustness of the identified factor structure. Among the 35 symptoms, the most-reported acute effects were 'floating or circling' (94%), 'euphoric when listening to rousing music' (86%), and 'feeling excited, talkative, and full of energy' (67%). The mostreported long-term symptoms were 'memory impairment' (93%), 'personality changes' (86%), and 'slowed reactions' (81%). EFA resulted in a final 22-item scale best modelled by a four-factor model: two factors representing chronic symptoms (social withdrawal and sleep disturbances), one about acute psychoticlike symptoms, and one that combined acute drug-related euphoria and longer-term decreased libido. CFA showed that these 4 factors accounted for 50% of the total variance of the final 22-item scale and that the model fit was fair (Goodness of Fit Index, GIF=83.3%; Root Mean Square Error of Approximation, RMSEA=0.072). A four-factor model including social withdrawal, sleep disturbance, psychotic-like symptoms, and euphoria at the time of drug use provides a fair description of the short-term and long-term psychological symptoms associated with

  7. Psychological distress and psychiatric disorders in primary health care patients in East and West Germany 1 year after the fall of the Berlin Wall.

    Science.gov (United States)

    Achberger, M; Linden, M; Benkert, O

    1999-04-01

    The reunification of Germany confronted citizens in East and West Germany with many changes in their lives. These changes may be considered as critical life events. Especially for those in East Germany, life circumstances drastically changed, and individuals were increasingly required to adopt and develop coping capabilities. In addition to new opportunities and freedom, there was threatening uncertainty about the future. Theories of life events and stress postulate that threat events have an impact on human well-being. It was expected that there would be an increased rate of psychiatric morbidity after unification, especially in the eastern part of Germany. An international study by the WHO on psychiatric disorders in general health care was carried out in 1990, 1 year after the opening of the Berlin Wall, in both parts of Berlin and in Mainz, West Germany. This allowed for a comparison of the prevalence rates of psychiatric disorders among general health care patients in the East and West, after the euphoria immediately following unification had subsided. The prevalence rates of current ICD-10 diagnoses and of subthreshold disorders in East Berlin were similar to the rates in West Berlin and Mainz. The recognition rate of psychiatric disorders by physicians did not differ in East Berlin as compared to West Berlin and Mainz. Contrary to the prediction expected from the literature on individual negative life events, major changes in life circumstances and stressful life events on a societal level within 1 year did not have a major impact on psychological function.

  8. A case report on a systemic toxicity following ingestion of 20% chlorhexidine gluconate solution

    Directory of Open Access Journals (Sweden)

    Koiahi-e-Kazerani J

    2003-07-01

    Full Text Available Chlorhexidine is bonded well to the oral mucosa and dental pellicle and is poorly absorbed from the astrointestinal tract, but in high concentration it is absorbed enough to produce liver necrosis. In this case a dentistry student accidentally ingested a shot of 20% chlorhexidine gluconate solution. Treatments included washing the oral cavity with lots of tooth paste, drinking of 5% alginate syrup and ingestion of 5g small pieces of cork .The following adverse effects were experienced: headache, giddiness, mild mist, euphoria, stomachache, diarrhea and complete loss of taste sensation for 8h, which recurred gradually during the last 48 hours. According to the poor absorption, low toxicity and low concentration of conventional mouthwashes, systemic toxicity following drinking of some shots of this solution is rare. Ultimately if may cause gastritis. Other treatments which are helpful in the same cases are: drinking of hard water, kaolin and tragacant syrup, bicarbonates such as baking soda, carbonates such as beverage , citrates such as lemon-juice and chlorides such as brine and so on.

  9. A Prospective Observation Study of Medical Toxicology Consultation in a U.S. Combat Theater.

    Science.gov (United States)

    Maddry, Joseph K; Ng, Patrick C; Sessions, Daniel; Bebarta, Vikhyat S

    2016-11-01

    Since 2001, U.S. military personnel and active duty, uniformed physicians providing medical support have been deployed to Afghanistan. Medical toxicologists are among the physicians deployed. There is a paucity of information present in the literature that has documented cases treated by toxicologists in theater. This prospective observational study describes 15 male patients treated in theater by a military medical toxicologist. We performed a prospective observational study in which a medical toxicologist consulted and reported on deployed toxicology cases occurring during a 5-month deployment to Bagram, Afghanistan. Fifteen toxicology cases were collected during the 5-month period. The patients included three Afghan civilians, three U.S. civilians, and nine U.S. military personnel. Eight cases were attempts at recreational euphoria, two were self-harm attempts, two were from performance-enhancing supplements, two were accidental occupational exposures and one was alcohol withdrawal. Methanol was the most common exposure followed by dextromethorphan, supplements, opiates, and chlorine gas. In our study, we found that toxic alcohols and nonprescription medications were the most common exposures. In addition, this is the first study to describe bedside toxicology consults for U.S. combat forces in theater and the use of an observation unit for critically ill patients. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  10. Winning and losing: an evolutionary approach to mood disorders and their therapy.

    Science.gov (United States)

    Sloman, Leon; Sturman, Edward D; Price, John S

    2011-06-01

    To advance a new evolutionary model that examines the effects of winning and losing on mood and physiological variables. Previous studies have focused on the involuntary defeat strategy in de-escalating conflict. Here, we propose that there also exists an involuntary winning strategy (IWS) that is triggered by success and characterized by euphoria and increased self-confidence. It motivates efforts to challenge, and promotes reconciliation. Previous studies are presented, including data on student athletes, demonstrating the impact of winning and losing on mood. Winning is consistently shown to be related to physiological changes such as increased testosterone and serotonin levels in primates. It reliably leads to mood changes that serve to motivate winners to continue their competitive efforts. When the IWS functions optimally, success leads to success in an adaptive cycle. Over time, the initial differences between the winners and losers of agonistic encounters become magnified in a process known as difference amplification. As a result of assortative mating, the children of people who have entered into an adaptive cycle will inherit traits from both parents that will, in turn, give them an increased competitive advantage. In this manner, difference amplification could have accelerated human evolution by natural selection. Vignettes of clinical interventions are also used to illustrate therapeutic strategies designed to disrupt maladaptive cycles and promote adaptive behaviour.

  11. Workshop on Control Theory Applied to Renewable Resource Management and Ecology

    CERN Document Server

    Skowronski, Janislaw

    1981-01-01

    As society becomes stressed by economic and population pressures, in turn, nature's renewable resources become stressed by harvesting pressures. For our own survival and euphoria, it is paramount that such resources remain as their name implies and not be driven to extinction through short term programs of over exploitation. Consideration of the harvesting of renewable resources leads to a simple question that was the theme of the workshop and is the focus of these proceedings: SUPPoRe you are assigned the role of manager for a specific renewable resource eco­ system. How would you decide on harvesting policies so that the system can be exploited economically yet at the same time maintain the integrity of the system? This, of course, is a loaded question. First of all, it is not clear that there is ever anyone single decision maker who is able to set the rules for all of the harvesters in an exploited ecosystem. The political process is complicated and to some extent unpredictable. This aspect of the questio...

  12. Chances and risks in the sale of natural gas

    International Nuclear Information System (INIS)

    Spaeth, F.

    1995-01-01

    'Natural gas is number one among the growth industries of the energy sector' proclaim today's augurs. What with growth rates of 20% in western and more than 100% in eastern Germany, the gas supply companies could really look ahead in confidence. However, the situation does not merit unrestrained euphoria. For one thing, predictions should quite generally be viewed with a good measure of healthy scepticism, or, as Prof. Dr. Dieter Schmitt, energy economist from Essen, recently put it in a nutshell: 'Prognoses are no prophecies. Only prophets are really able to tell the future'. The other point is that natural gas will only be able to carry its past success on into the future if it can fulfill the consumer's expectations regarding security of supply, environment and climate friendly utilisation, possibilities to save energy, and, most important of all, competitivity. The last point, in particular, is beset with many imponderabilities on which gas supply companies have little influence. Therefore, despite the favourable forecasts, the chances and risks involved in the sale of natural gas must be assessed judiciously. (orig.) [de

  13. KAJIAN YURIDIS TERHADAP CONTEMPT OF COURT DI DEPAN PENGADILAN (STUDI DI DEPAN PENGADILAN NEGERI MEDAN

    Directory of Open Access Journals (Sweden)

    Syarifah Masthura

    2011-11-01

    Full Text Available Pengertian Contempt Of Court adalah segala tindakan berbuat aktif atau tidak melakukan (fasif dilakuan oleh mereka yang berperkara atau pihak lain yang tidak terlibat yang cenderung mengganggu, mencampuri proses penyelenggaraan peradilan sehingga merendahkan martabat peradilan.Pengaturan mengenai tindak pidana terhadap peradilan Contempt Of Court di Indonesia dapat dilihat dari diundangkannya UU No 14 Tahun 1985 tentang Mahkamah Agung dan juga tersebar dalam beberapa pasal dalam KUHP. Fenomena dalam peradilan kita menunjukan Contempt Of Court terjadi hampir di setiap lembaga pengadilan. Kewibaan peradilan mengalami penurunan akibat perilaku tidak baik yang dilakukan oleh para pihak yang berperkara maupun juga dilakukan oleh aparat penegak hukum. Dalam penelitian ini akan mmengkaji pengaturan bentuk-bentuk Contempt Of Court di Indonesia, selanjutnya akan di teliti sebab-sebab terjadi Contempt Of Court di depan pengadilan dan bagaimana seharusnya penanggulan tindak pidana Contempt Of Court.Contempt Of Court terjadi di depan pengadilan disebabkan belum bekerjanya sistem hukum dengan  baik. Perilaku hukum dan budaya hukum yang dipengaruhi oleh sistem hukum yang diterapkan di Indonesia. Hukum modern di Indonesia diterima dan dijalankan sebagai suatu instansi baru yang yang didatangkan atau dipaksakan dari luar, yakni melalui kebijakan colonial Hindia Belanda. Aparat penegak hukum belum bekerja dengan baik untuk dapat menegakan hukum, terutama ketika sidang di pengadilan maka fungsi dan peran jaksa, advokat, dan hakim belum mencerminkan upaya  hukum yang maksimal. Budaya hukum masyarakat dalam euphoria reformasi menunjukan kurangnya penghargaan terhadap kewibawaan hukum. Hal ini diperparah dengan kekecewaan praktek pengadilan dan mafia peradilan.

  14. Pain in the management of opioid use disorder

    Directory of Open Access Journals (Sweden)

    Sirohi S

    2016-11-01

    Full Text Available Sunil Sirohi,1 Amit K Tiwari21Laboratory of Endocrine and Neuropsychiatric Disorders, Division of Basic Pharmaceutical Sciences, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA, 2Department of Pharmacology and Experimental Therapeutics, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, Toledo, OH, USAOpioids remain the drug of choice for the clinical management of moderate to severe pain. However, in addition to their most effective analgesic actions, opioids also produce a sense of well-being and euphoria, which may trigger significant concerns associated with their use.1 In fact, there has been an alarming increase in prescription opioid use, abuse and illicit use; and according to the National Center for Health Statistics, the total number of deaths related to opioid overdose has more than tripled from 2011 to 2014.2–5 Although representing 5.0 % of the global population, studies report that Americans consume 80% of the global opioid supply,3 and the United States is experiencing an opioid abuse epidemic.6 Considering this unprecedented rise in opioid consumption, the United States Centers for Disease Control and Prevention has listed prescription opioid overdose among one of the 10 most important public health problems in all the 50 states.7

  15. “Chasing the High” – Experiences of Ethylphenidate as Described on International Internet Forums

    Directory of Open Access Journals (Sweden)

    Christophe Soussan

    2015-01-01

    Full Text Available Ethylphenidate is a novel psychoactive substance with undocumented effects, risks, and motivation for use. In this study, we investigated the experience of ethylphenidate by analyzing self-reports published on Internet forums, which revealed seven overarching themes: (1 compulsive redosing and addiction; (2 impacts on the mental state; (3 bodily agitation; (4 increased sociableness; (5 administration; (6 diverse evaluations based on intention; and (7 safety and precaution. Ethylphenidate appeared as a potent psychostimulant with an imminent abuse potential. It was mainly used for recreational purposes. The effects included not only pleasurable stimulation, euphoria, and cognitive enhancement but also indecisiveness, anxiety, and cognitive fragmentation. The users reported an increase in body temperature, heart rate, and blood pressure, but they also experienced profuse sweating and muscle tension. Ethylphenidate acted as a social lubricant, enhancing intimacy, communication, and social skills. Two opposing user mentalities were uncovered: (1 pleasure seeking and risk neglecting, and (2 safety-first orientation. This information could be of importance to legislators, public health personnel, and prevention strategists.

  16. A study investigating the association between compulsive buying with measures of anxiety and obsessive-compulsive behavior among internet shoppers.

    Science.gov (United States)

    Weinstein, A; Mezig, Hila; Mizrachi, S; Lejoyeux, M

    2015-02-01

    Compulsive buying is a chronic, repetitive behavior that becomes a primary response to negative events and feelings. Compulsive buyers are obsessed by buying and their behavior occurs in response to negative emotions and results in a decrease in the intensity of negative emotions. Euphoria or relief from negative emotions is the most common consequence of compulsive buying. A large number of studies have investigated the association between compulsive buying and anxiety, and some studies have used the Spielberger trait-state anxiety inventory. Compulsive buying, state and trait anxiety and general obsessive-compulsive measures were assessed among 120 habitual internet shoppers (2+ times a week, 70 men and 50 women). Results showed that Edwards Compulsive Buying scale measures were associated with Spielberger trait and not state anxiety measures. Spielberger Trait anxiety measures were also correlated with measures of Yale-Brown Obsessive-Compulsive scale (Y-Bocs). Finally, there were no sex differences in this sample. The results of this study support existing evidence for an association between compulsive buying and anxiety and they will be discussed in view of current research on comorbidity of behavioural addiction. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. [Sigmund Freud and cocaine].

    Science.gov (United States)

    Lebzeltern, G

    1983-11-11

    The basic tenet proposed by J. V. Scheidt states that the narcotic drug, cocaine played a role in the development of psychoanalysis which has been underestimated up to the present day. It is a fact that Freud himself took cocaine (in small doses) for about two years, and that he began his dream interpretation approximately ten years later. Scheidt believes that a long, unconscious conflict related to the cocaine-induced states of euphoria (ten years later) suddenly led to the beginnings of dream interpretation. The question to be answered now is: Why did this happen precisely in 1895? The foundations of psychoanalysis had already been laid, the application of the new method to the treatment of nervous disorders (heart complaints, train phobias, etc.) was certainly obvious. During this self-analysis it became necessary, first of all, to come to terms with the self-reproaches-which lay on the surface and were more accessible to consciousness-related to Freud's cocaine period (Fleischl-Marxow becomes addicted to cocaine, the most terrible night ever experienced, death of this friend, Freud's warning came too late). It was only when Freud has come to terms with this phase of his life that the road to the deepest part, the discovery of the Oedipus complex in the fall of 1897, was cleared.

  18. The Internet and “Frictionless Capitalism”

    Directory of Open Access Journals (Sweden)

    Jens Schröter

    2012-05-01

    Full Text Available Since 1994 when the first browsers made their appearance the internet became the ‚new medium‘ par excellence. As is always the case with new media, there was an intense discussion about the future usage and effects of the new technology. One of the central arguments of this discussion was that the new medium might solve the problems of capitalism – Bill Gates coined the phrase "frictionless capitalism". In the first part of my paper some of these discourses are analyzed. These discourses, often publicly uttered by conservative and liberal politicians, try to construct the internet as commercial medium solving problems of late capitalism. But already the dotcom-crash 2001 hinted at problems with that construction. In the second part there is a discussion of a special interpretation of Marx’ theory of capitalist crisis. It is argued – also with recourse to Norbert Wiener – that the internet is part of the third industrial revolution which might lead to a very deep and even terminal crisis of capitalism. Instead of solving the problems of capitalism the internet might deepen them. We are witnessing since 2008 a chain of ever increasing symptoms of a deep crisis. By using Marx’ approach some of the important effects of the new medium can be described far more accurately than does the unreflected euphoria of Gates and others.

  19. A Note on Burg’s Modified Entropy in Statistical Mechanics

    Directory of Open Access Journals (Sweden)

    Amritansu Ray

    2016-02-01

    Full Text Available Burg’s entropy plays an important role in this age of information euphoria, particularly in understanding the emergent behavior of a complex system such as statistical mechanics. For discrete or continuous variable, maximization of Burg’s Entropy subject to its only natural and mean constraint always provide us a positive density function though the Entropy is always negative. On the other hand, Burg’s modified entropy is a better measure than the standard Burg’s entropy measure since this is always positive and there is no computational problem for small probabilistic values. Moreover, the maximum value of Burg’s modified entropy increases with the number of possible outcomes. In this paper, a premium has been put on the fact that if Burg’s modified entropy is used instead of conventional Burg’s entropy in a maximum entropy probability density (MEPD function, the result yields a better approximation of the probability distribution. An important lemma in basic algebra and a suitable example with tables and graphs in statistical mechanics have been given to illustrate the whole idea appropriately.

  20. The comparative analysis of the forecasts of development of rocket propulsion in past and now

    Science.gov (United States)

    Nedaivoda, A.; Prisniakov, V.

    2001-03-01

    Consideration is being given to use the known long and short forecasts of development of rocket engines in past - at the beginning of development of a missile engineering (K. Tsiolkovsky etc. pioneers of rocket propulsion); on the eve of launching of the artificial satellite of Earth (A. Blagonravov); after manned flight of Yu. Gagarin (V. Gluchko); after manned flight on Moon (" The Forecasts on 2001 " on materials of readings R. Goddard in USA); in middle of 70-s' years (D. Sevruk, V. Prisniakov) and at the end of 20 centure. Last years under the initiative R. Beichel and M. Pouliquen IAA. Advanced Propulsion Working Group carries out large researches on definition of the tendencies of development of rocket propulsion for the next forty years, the outcomes which one will be used in the report. The comparison of development of rocket propulsion expected to the end of 20 century and real-life is given. The report analyses the errors of the forecasts of the past - the absence reliable prognostic procedure; the euphoria of the maiden successes of conquest of space; dominance of military and political- propaganda motives of implementation of the space programs before economical; to keep developments secret; competition of two super-powers USSR and USA etc.

  1. Impressions of a "Newcomer"

    CERN Multimedia

    Oreglia, M

    I guess I am passed "newcomer" status, so this report can be considered as paying in a debt from 2001 when world events prevented me from attending the Physics Workshop at Lund. At the outset I must compliment the Athens organizers for facilitating a superb workshop in a wonderful setting. The lovely evenings permitted us to recover from Fabiola's grueling meeting schedule :-) What really impressed me about the Athens workshop is the astounding progress in the last two years, particularly in the software. ATHENA is really a useful tool which all of us can implement now for realistic simulation and reconstruction. We are just starting to pass from the "euphoria" phase where our naive modelling suggested analyses would be easy, to the "realism" phase where we are making the analyses more robust. Detector noise is still an important missing ingredient, and some important analysis tools are still missing, but this was acknowledged and they do not appear to be far off. (It would be nice if the online documentati...

  2. Illnesses and deaths among persons attending an electronic dance-music festival - New York City, 2013.

    Science.gov (United States)

    Ridpath, Alison; Driver, Cynthia R; Nolan, Michelle L; Karpati, Adam; Kass, Daniel; Paone, Denise; Jakubowski, Andrea; Hoffman, Robert S; Nelson, Lewis S; Kunins, Hillary V

    2014-12-19

    Outdoor electronic dance-music festivals (EDMFs) are typically summer events where attendees can dance for hours in hot temperatures. EDMFs have received increased media attention because of their growing popularity and reports of illness among attendees associated with recreational drug use. MDMA (3,4-methylenedioxymethamphetamine) is one of the drugs often used at EDMFs. MDMA causes euphoria and mental stimulation but also can cause serious adverse effects, including hyperthermia, seizures, hyponatremia, rhabdomyolysis, and multiorgan failure. In this report, MDMA and other synthetic drugs commonly used at dance festivals are referred to as "synthetic club drugs." On September 1, 2013, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) received reports of two deaths of attendees at an EDMF (festival A) held August 31-September 1 in NYC. DOHMH conducted an investigation to identify and characterize adverse events resulting in emergency department (ED) visits among festival A attendees and to determine what drugs were associated with these adverse events. The investigation identified 22 cases of adverse events; nine cases were severe, including two deaths. Twenty-one (95%) of the 22 patients had used drugs or alcohol. Of 17 patients with toxicology testing, MDMA and other compounds were identified, most frequently methylone, in 11 patients. Public health messages and strategies regarding adverse health events might reduce illnesses and deaths at EDMFs.

  3. Prices down, supplies down, prices back up

    International Nuclear Information System (INIS)

    Anon

    2006-01-01

    WTI fell below $70/bbl in early June on reports that Iran was considering a proposal from the EU and the UN to resolve the dispute over Tehran's plans to develop nuclear power. Sellers took further encouragement from the news that the Iraqi leader of al-Qaida, Abu Musab al-Zarqawi, had been killed. July WTI futures went down as far as $69.10/bbl. The euphoria proved to be short-lived. Within a short time, Iran announced that it was to resume the enrichment of uranium, whilst in Iraq, there was no sign whatever that the killing of one terrorist leader was going to bring about peace there. During the month of June, an estimated 1,500 people were killed in Baghdad alone. Attacks on road tankers caused the suspension of exports of heavy fuel oil, which is produced to excess by Iraq's refining industry. Lacking anywhere to store the surplus fuel oil, the government ordered what were described as 'large quantities' to be incinerated. The one piece of good news from Iraq was the reopening of the export pipeline from Kirkuk to Ceyhan for the first time since January. Throughput was reported in late June at 325,000 bpd. Even here, though, the situation was not entirely without its troubles. The state marketing company, SOMO, received disappointing bids for the oil it was offering for sale at Ceyhan. (author)

  4. Reduction in cerebral perfusion after heroin administration: a resting state arterial spin labeling study.

    Directory of Open Access Journals (Sweden)

    Niklaus Denier

    Full Text Available Heroin dependence is a chronic relapsing brain disorder, characterized by the compulsion to seek and use heroin. Heroin itself has a strong potential to produce subjective experiences characterized by intense euphoria, relaxation and release from craving. The neurofunctional foundations of these perceived effects are not well known. In this study, we have used pharmacological magnetic resonance imaging (phMRI in 15 heroin-dependent patients from a stable heroin-assisted treatment program to observe the steady state effects of heroin (60 min after administration. Patients were scanned in a cross-over and placebo controlled design. They received an injection of their regular dose of heroin or saline (placebo before or after the scan. As phMRI method, we used a pulsed arterial spin labeling (ASL sequence based on a flow-sensitive alternating inversion recovery (FAIR spin labeling scheme combined with a single-shot 3D GRASE (gradient-spin echo readout on a 3 Tesla scanner. Analysis was performed with Statistical Parametric Mapping (SPM 8, using a general linear model for whole brain comparison between the heroin and placebo conditions. We found that compared to placebo, heroin was associated with reduced perfusion in the left anterior cingulate cortex (ACC, the left medial prefrontal cortex (mPFC and in the insula (both hemispheres. Analysis of extracted perfusion values indicate strong effect sizes and no gender related differences. Reduced perfusion in these brain areas may indicate self- and emotional regulation effects of heroin in maintenance treatment.

  5. Validation and Cross-Cultural Adaptation of a Chinese Version of the Emotional and Social Dysfunction Questionnaire in Stroke Patients.

    Science.gov (United States)

    Huang, Hui-Chuan; Shyu, Meei-Ling; Lin, Mei-Feng; Hu, Chaur-Jong; Chang, Chien-Hung; Lee, Hsin-Chien; Chi, Nai-Fang; Chang, Hsiu-Ju

    2017-12-01

    The objectives of this study were to develop a cross-cultural Chinese version of the Emotional and Social Dysfunction Questionnaire (ESDQ-C) and test its validity and reliability among Chinese-speaking stroke patients. Various methods were used to develop the ESDQ-C. A cross-sectional study was used to examine the validity and reliability of the developed questionnaire, which consists of 28 items belonging to six factors, anger, helplessness, emotional dyscontrol, indifference, inertia and fatigue, and euphoria. Satisfactory convergence and known-group validities were confirmed by significant correlations of the ESDQ-C with the Profile of Mood States-Short Form ( p < .05) and with the Hospital Anxiety and Depression Scale ( p < .05). The internal consistency was represented by Cronbach's alpha, which was .96 and .79 to .92 for the entire scale and subscales, respectively. Appropriate application of the ESDQ-C will be helpful to identify critical adjustment-related types of distress and patients who experience difficulty coping with such distress.

  6. [Medical cannabis: the opportunity versus the temptation].

    Science.gov (United States)

    Naftali, Timna

    2011-12-01

    The cannabis plant has been known to humanity for centuries as a remedy for pain, diarrhea, and inflammation. Current research has shown cannabis to be a useful remedy for many diseases, including multiple sclerosis, dystonia, and chronic pain. Cannabinoids are used to improve food intake in anorexia of AIDS patients and to prevent vomiting due to cancer chemotherapy. In inflammatory conditions cannabinoids improve pain in rheumatoid arthritis and pain and diarrhea in Crohn's disease. Cannabinoids reduce the size of brain infarct and cardiac reperfusion injury. However, cannabinoid treatment is not free of side effects including euphoria, psychosis, anxiety, paranoia, dependence and abuse. Since the cannabinoid system is involved in many physiological and pathological processes, the therapeutic potential is great. We must not be blind to the opportunity offered to us by medical cannabis just because it is an illicit drug, nor should we be temped by the quick response of patients to the central effect of cannabis. More research is warranted to explore the full potential of cannabis as medicine.

  7. The Polluter Pay Principle and the damage done: controversies for sustainable development

    Directory of Open Access Journals (Sweden)

    Emaculate INGWANI

    2010-06-01

    Full Text Available In search for equity at the Rio summit, it was suggested that in case of pollution or any other environmentally negative effect, the costs are inflicted on the responsible agents to pay for the rectification. The Polluter Pay Principle (PPP has since then been touted as a useful environmental management tool that makes provisions for innovative penalties seeking to place the burden of environmental pollution control on those that abuse the environment. Despite such euphoria, the results on the ground have been appalling. In this analysis we question the practical utility of the PPP viz avis the deteriorating environmental fabric of many nations. The analysis reveals that it is cheaper for many individuals, organizations or even countries to pollute the environment and pay a fine than to install systems that require the constant monitoring of the environment. Emphasis of the PPP is misplaced as it focuses on curing damages and not on the process that brings the environmental problems to a halt. Its implementation is further constrained by the difficulty associated with placing a price tag on environment parameters. We recommend a proactive alternative to PPP that emphasize on preventative measures through environmental education. The success of such a management strategy is however not spontaneous as it needs to be rooted upon an effective system of values, institutions, attitudes, personal commitment, self confidence and active participation of all individuals in managing and detecting environmental problems that affect them.

  8. Radiating matter

    International Nuclear Information System (INIS)

    Zimen, K.E.

    1987-01-01

    The author describes the history and uses of radioactivity. The narration is completed by bibliographic notes on Otto Hahn with a number of so far unpublished letters and documents and on Leo Szilard, the most far-sighted among the nuclear researchers actively engaged during the war. The first part deals with the discovery of radioactivity and the discovery of uranium fission in 1938 with its military consequences, up to the short-lived euphoria on the 'atomic age' (Geneva conference 1955). This is followed by an account of natural radioactivity in our environment, a brief of useful information on radiation effects and radiation protection, and of typical applications of radioactive beams in science, engineering, and medicine. The final part is concerned with the most important instances of insight into nature triggered by the discovery of radioactivity: From cosmological to chemical evolution, from Democrit's atom theory to modern nuclear physics' particle zoo, from the contest of ideas between acausalists and determinists on what is commonly termed 'coincidence' to the limits of graphic views on nature. (orig./HP) [de

  9. Radiating matter

    International Nuclear Information System (INIS)

    Zimen, K.E.

    1990-01-01

    The author describes the history and uses of radioactivity. The narration is completed by bibliographic notes on Otto Hahn with a number of so far unpublished letters and documents and on Leo Szilard, the most far-sighted among the nuclear researchers actively engaged during the war. The first part deals with the discovery of radioactivity and the discovery of uranium fission in 1938 with its military consequences, up to the short-lived euphoria on the 'atomic age' (Geneva conference 1955). This is followed by an account of natural radioactivity in our environment, a brief of useful information on radiation effects and radiation protection, and of typical applications of radioactive beams in science, engineering, and medicine. The final part is concerned with the most important instances of insight into nature triggered by the discovery of radioactivity: From cosmological to chemical evolution, from Democrit's atom theory to modern nuclear physics' particle zoo, from the contest of ideas between acausalists and determinists on what is commonly termed 'coincidence' to the limits of graphic views on nature. (orig.) With 40 figs [de

  10. The representation of epilepsy in popular music.

    Science.gov (United States)

    Baxendale, Sallie

    2008-01-01

    Much can be learned about the contemporary stereotypes associated with epilepsy by studying the representation of the disorder in paintings, literature, and movies. Popular music is arguably the most accessible and ubiquitous of the creative art forms, touching most of us on a daily basis. Reviewed here are the ways in which epilepsy and seizures are used in the lyrics of musicians from a wide variety of musical genres, from hip-hop to rhythm and blues. Many of the ancient associations of epilepsy with madness, horror, and lunacy can be found in these lyrics. However, the language of epilepsy has also been appropriated by some musical artists to represent a state of sexual ecstasy and dance euphoria. The references to these states as "epilepsy" or a "seizure" in numerous songs suggest that this shorthand is widely recognized within some subcultures. Although epilepsy has frequently been associated with female sexual availability in other creative art forms, this novel use of the language of epilepsy represents a contemporary departure in the artistic application of epilepsy-related images and associations in the 21st century.

  11. Current irritability robustly related to current and prior anxiety in bipolar disorder.

    Science.gov (United States)

    Yuen, Laura D; Miller, Shefali; Wang, Po W; Hooshmand, Farnaz; Holtzman, Jessica N; Goffin, Kathryn C; Shah, Saloni; Ketter, Terence A

    2016-08-01

    Although current irritability and current/prior anxiety have been associated in unipolar depression, these relationships are less well understood in bipolar disorder (BD). We investigated relationships between current irritability and current/prior anxiety as well as other current emotions and BD illness characteristics. Outpatients referred to the Stanford Bipolar Disorders Clinic during 2000-2011 were assessed with the Systematic Treatment Enhancement Program for BD (STEP-BD) Affective Disorders Evaluation. Prevalence and clinical correlates of current irritability and current/prior anxiety and other illness characteristics were examined. Among 497 BD outpatients (239 Type I, 258 Type II; 58.1% female; mean ± SD age 35.6 ± 13.1 years), 301 (60.6%) had baseline current irritability. Patients with versus without current irritability had significantly higher rates of current anxiety (77.1% versus 42.9%, p anxiety disorder (73.1% versus 52.6%, p anxiety than to current anhedonia, sadness, or euphoria (all p anxiety associations persisted across current predominant mood states. Current irritability was more robustly related to past anxiety than to all other assessed illness characteristics, including 1° family history of mood disorder, history of alcohol/substance use disorder, bipolar subtype, and current syndromal/subsyndromal depression (all p anxiety. Further studies are warranted to assess longitudinal clinical implications of relationships between irritability and anxiety in BD. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Huffing air conditioner fluid: a cool way to die?

    Science.gov (United States)

    Phatak, Darshan R; Walterscheid, Jeffrey

    2012-03-01

    "Huffing," the form of substance abuse involving inhalants, is growing in popularity because of the ease and availability of chemical inhalants in many household products. The purpose in huffing is to achieve euphoria when the chemicals in question interact with the central nervous system in combination with oxygen displacement. The abuser is lulled into a false sense of safety despite the well-documented potential for lethal cardiac arrhythmia and the effects of chronic inhalant abuse, including multisystem organ failure, and brain damage. Huffing air conditioner fluid is a growing problem given the accessibility to outdoor units and their fluid components, such as difluorochloromethane(chlorodifluoromethane, Freon), and we have classified multiple cases of accidental death due to the toxicity of difluorochloromethane. Given the ubiquity of these devices and the vast lack of gating or security devices, they make an inviting target for inhalant abusers. Acute huffing fatalities have distinct findings that are present at the scene, given the position of the decedent and proximity to the air conditioner unit. The purpose of the autopsy in these cases is to exclude other potential causes of death and to procure specimens for toxicological analysis.

  13. Acute effects of heroin on emotions in heroin-dependent patients.

    Science.gov (United States)

    Blum, Julia; Gerber, Hana; Gerhard, Urs; Schmid, Otto; Petitjean, Sylvie; Riecher-Rössler, Anita; Wiesbeck, Gerhard A; Borgwardt, Stefan J; Walter, Marc

    2013-01-01

    Euphoria has been described in heroin-dependent individuals after heroin administration. However, affective disturbances and disorders are common in heroin dependence. The present study examined the acute effects of heroin on emotions in heroin-dependent patients. This randomized controlled crossover trial included 28 heroin-dependent patients (67.9% male, n = 19) in stable heroin-assisted treatment and 20 healthy controls. The patients were administered heroin or saline (placebo), the controls were administered saline. Data measuring mood, affects and heroin craving (BDI, AMRS, STAI, STAXI, and HCQ) were assessed before and 60 minutes after substance injection. Before substance injection, heroin-dependent patients showed significantly higher levels of anxiety and depression than healthy controls (p emotions, including craving, and a significant increase in emotional well-being (p emotions, once they had received heroin. Heroin dampens craving, negative emotions, and increases positive emotions. These findings indicate that heroin regulates emotions and underscore the clinical benefit of opioid substitution treatment for heroin-dependent patients. Copyright © American Academy of Addiction Psychiatry.

  14. Key interindividual determinants in MDMA pharmacodynamics.

    Science.gov (United States)

    Papaseit, E; Torrens, M; Pérez-Mañá, C; Muga, R; Farré, M

    2018-02-01

    MDMA, 3,4-methylenedioxymethamphetamine, is a synthetic phenethylamine derivative with structural and pharmacological similarities to both amphetamines and mescaline. MDMA produces characteristic amphetamine-like actions (euphoria, well-being), increases empathy, and induces pro-social effects that seem to motivate its recreational consumption and provide a basis for its potential therapeutic use. Areas covered: The aim of this review is to present the main interindividual determinants in MDMA pharmacodynamics. The principal sources of pharmacodynamic variability are reviewed, with special emphasis on sex-gender, race-ethnicity, genetic differences, interactions, and MDMA acute toxicity, as well as possible therapeutic use. Expert opinion: Acute MDMA effects are more pronounced in women than they are in men. Very limited data on the relationship between race-ethnicity and MDMA effects are available. MDMA metabolism includes some polymorphic enzymes that can slightly modify plasma concentrations and effects. Although a considerable number of studies exist about the acute effects of MDMA, the small number of subjects in each trial limits evaluation of the different interindividual factors and does not permit a clear conclusion about their influence. These issues should be considered when studying possible MDMA therapeutic use.

  15. Ecstasy (MDMA and its effects on kidneys and their treatment: a review

    Directory of Open Access Journals (Sweden)

    Feyza Bora

    2016-11-01

    Full Text Available Ecstasy (MDMA; 3,4-methylenedioxymethylamphetamine is an illicit drug that has been increasingly abused by young people. Its effects include euphoria, enhanced sociability and heightened mental awareness. These come about via the increase of serotonin in both the central nervous system and the sympathetic nervous system. Despite the drug’s prevalent abuse, serious or adverse effects are rare. Due to personal pharmacokinetics, effects from the same dosage vary according to the individual. Fatal instances may include acute hyponatremia, hyperthermia (>42 °C, disseminated intravascular coagulation (DIC resulting from hyperthermia affecting the kidneys, and non-traumatic rhabdomyolysis. However, it is seldom the case that hyponatremia and hyperthermia co-exist. Hyponatremia is thought to be caused by HMMA – a metabolite of MDMA. Hyponatremia is caused by the inappropriate secretion of arginine vasopressin (AVP and the excessive intake of hypotonic liquid accompanied by increased hyperthermia. Symptomatic, even deadly hyponatremia is seen more frequently in females, with the effects of oestrogen on arginine vasopressin believed to be the cause. Onset in such cases is acute, and treatment should be given to symptomatic patients as quickly as possible, with 3% saline administered when necessary. Reasons for acute kidney injury may include rhabdomyolysis, malign hypertension, and necrotizing vasculitis.

  16. Bipolar Disorder and Heart Transplantation: A Case Report.

    Science.gov (United States)

    Ramírez-Giraldo, Ana María; Restrepo, Diana

    Bipolar disorder is a chronic and recurrent mood disease that includes symptoms that fluctuate from euphoria to depression. As a mood disorder, itis one of the main contraindications for transplantation procedures. The case is presented of a patient with bipolar disorder who had a heart transplant after a cardiac arrest. Heart transplantation is the treatment of choice in patients with heart failure and arrhythmias that do not respond to conventional treatment. Case report and narrative review of literature. A 34-year-old woman with bipolar disorder diagnosed when she was 13, treated with lithium and aripiprazole. She required a heart transplant as the only therapeutic option, after presenting with ventricular tachycardia refractory to conventional treatment. The patient did not suffer an emotional decompensation with the removal of the lithium and aripiprazole that were associated with prolonged QTc interval, and remained eurhythmic throughout the process. Heart transplantation can be performed safely and successfully in patients with bipolar disorder, when suitably followed-up by a liaison psychiatry group. Bipolar disorder should not be considered as an absolute contraindication for heart transplantation. Copyright © 2017 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  17. The preference choices of Conopomorpha sinensis Bradley (Lepidoptera: Gracilariidae) for litchi based on its host surface characteristics and volatiles.

    Science.gov (United States)

    Meng, Xiang; Hu, Junjie; Li, Yanhua; Dai, Jianqing; Guo, Mingfang; Ouyang, Gecheng

    2018-01-31

    Conopomorpha sinensis Bradley is a host-specific pest of Litchi chinensis and Euphoria longan. Here, we demonstrated that C. sinensis has evolved special physical and chemical mechanisms for host plant location that enable it to survive and reproduce. Females favored laying their eggs on the convex surface of litchi fruit that had particular volatile characteristics. Experiments using a H-type olfactometer showed that female C. sinensis were attracted to litchi flowers, tender shoots, immature fruits, and mature fruits, with the highest attraction rate to mature fruits (74.67 ± 2.31%). There were no significant differences in the attraction of male C. sinensis to different litchi tissues. Further oviposition preference tests using the pericarp, pulp, and seeds of mature litchi fruits revealed that female C. sinensis prefer to lay their eggs on the pericarp. Litchi volatiles were found to be important in attracting C. sinensis to fruits for oviposition. Analysis of volatiles from different litchi tissues by HS-SPME-GC-MS revealed 31 similar volatiles, some of which may be important in the oviposition preference choices of C. sinensis on litchi fruit.

  18. [Methaemoglobinaemia and respiratory tract irritation connected with poppers inhalation].

    Science.gov (United States)

    Łukasik-Głebocka, Magdalena; Matuszkiewicz, Eryk

    2010-01-01

    "Poppers" is the street name for volatile nitrites offered by online shops and sex-shops for their aphrodisiac and euphoric properties. Although nitrites have been abused since the late 1960s, recently they became popular in Poland. Recreational poppers using was associated with homosexual men at first. Currently they are commonly reported among heterosexual men and regular dicso participants. Advertisements of these substances tempt potential buyers with the promise of a legal narcotic high. Easy access and the sense of safety make these products the reason of acute toxicity. Volatile nitrites relaxes smooth muscle, the consequent intense peripheral vasodilatation produces flushing, a fall in blood pressure, and reflex increase in heart rate. These effects are accompanied by feeling of warmth, euphoria and intensifying of sexual pleasure. Serious poisoning results in severe methaemoglobinaemia, coma, respiratory and cardiovascular failure, and even death. Skin and mucous contact with poppers can produce a crusty lesion at the site. This article presents the case of 44-years old male hospitalized three times in Toxicology Department after history of poppers abusing. Methaemoglobinaemia (26.4%) and tracheobronchial irritation were the main symptoms observed. Patient was given specific therapy with methylene blue.

  19. [Poppers at top: alkyl nitrites use in France].

    Science.gov (United States)

    Beck, François; Guignard, Romain; Richard, Jean-Baptiste

    2014-10-01

    Poppers is the usual name of various forms of alkyl nitrites. They are used as recreational drugs to intensify sexual intercourses and provoke a short euphoria just after their inhalation. In spite of several periods of ban in the 2000s, poppers' use sharply rose between 2000 and 2010. In the adult population as in teenagers, it is the second product consumed after cannabis among illicit drugs, confirming that it concerns circles wider than gays and lesbians who are sometimes depicted as emblematic users. The lifetime use of poppers concerns 5.3% of 18-64 years in 2010, men (7.2%) more than women (3.4%). At the end of the adolescence, its lifetime prevalence is 8.8% for girls and 9.2% for boys. In the general population and especially among young people, poppers is favourably considered. Nevertheless, this product is not without danger, even if the risk of dependence is extremely low. Several avenues of interventions may be outlined, mainly based on information and a regular follow-up of users which can allow to avoid an intensification of the consumption. © 2014 médecine/sciences – Inserm.

  20. Effects of ecstasy on cooperative behaviour and perception of trustworthiness: a naturalistic study.

    Science.gov (United States)

    Stewart, L H; Ferguson, B; Morgan, C J A; Swaboda, N; Jones, L; Fenton, R; Wall, M B; Curran, H V

    2014-11-01

    Acute recreational use of 3,4-methylenedioxymethamphetamine (MDMA; 'ecstasy') can promote pro-social effects which may alter interpersonal perceptions. To explore such effects, this study investigated whether acute recreational use of ecstasy was associated with changes in individual perception of trustworthiness of people's faces and co-operative behaviours. An independent group, repeated measures design was used in which 17 ecstasy users were tested on the night of drug use (day 0) and again three days later (day 3); 22 controls were tested on parallel days. On each day, participants rated the trustworthiness of 66 faces, carried out three co-operative behaviour tasks (public good; dictator; ultimatum game) and completed mood self-ratings. Acute ecstasy use was associated with increased face trustworthiness ratings and increased cooperative behaviour on the dictator and ultimatum games; on day 3 there were no group differences on any task. Self-ratings showed the standard acute ecstasy effects (euphoria, energy, jaw clenching) with negative effects (less empathy, compassion, more distrust, hostility) emerging on day 3. Our findings of increased perceived trustworthiness and co-operative behaviours following use of ecstasy suggest that a single dose of the drug enhances aspects of empathy. This may in turn contribute to its popularity as a recreational drug and potentially to its enhancement of the therapeutic alliance in psychotherapy. © The Author(s) 2014.

  1. [Cocaine base paste: experience from the Montevideo Poison Control Center].

    Science.gov (United States)

    Pascale, Antonio; Negrin, Alba; Laborde, Amalia

    2010-01-01

    In Uruguay, cocaine base paste (CBP, pasta base) is a widely used form of cocaine. The aim of our study is to determine the main clinical characteristics of CBP abusers. Retrospective, single-center study of consultations at the Montevideo Poison Control Center between January 1, 2004 and December 31, 2005. One hundred and thirteen consultations were included, with an average age of 22 years (+ - 0.5 years) and a female-male sex ratio of 1:4.3. The consultations were related to drug overdose (77%), suicide attempt (16.8%), and wanting to give up CBP use (6.2%). In 48.1% the time elapsed since inhalation of CBP was less than 6 hours. Doses varied between 0.5 gr. and 25 gr. Use of other drugs at the same time, such as alcohol, marijuana or benzodiazepines, was common (51 cases). The symptoms most frequently observed were neuropsychiatric and cardiovascular, followed by respiratory symptoms. In 16.8% of patients, reason for the consultation was intentional acute ingestion of drugs, considered as a suicide attempt, occurring within a few hours of drug consumption. CBP users are mostly young males. Although clinical findings are compatible with those for cocaine abuse, euphoria is a major clinical feature in CBP abusers. The presence of respiratory symptoms reflects the complications associated with the ingestion route. Suicide attempts occurring within a few hours of CBP confirm the high prevalence of suicidal ideation reported by other authors. cocaine base paste, clinical features, suicide attempts.

  2. Confidence in Airline Performance in Difficult Market Conditions: An Analysis of JetBlue's Financial Market Results

    Science.gov (United States)

    Flouris, Triant; Walker, Thomas

    2005-01-01

    This paper examines the stock market s reaction to JetBlue s Initial Public Offering (1PO) and subsequent price movements of the stock. In particular, w e examine whether the euphoria surrounding JetBlue s IPO carried over to other firms in the sector by testing whether the shares of JetBlue s competitors showed a significant price reaction to JetBlue s IPO. JetBlue's IPO took place just a few months following September 11, 2001. These events resulted in dramatic changes in the airline industry and had significant implications on the economic gains of airlines. We examine JetBlue s accounting and stock performance and compare it to the relative performance of Southwest Airlines (SWA), a representative of the loa-cost carrier group. In addition, we compare both JetBlue's and SWA's financial condition and the relative performance of their stock to two mainline U S. carriers, Continental and Northwest. representatives of the conventional-cost carrier group. We analyze whether there are any performance differences among the low-cost carriers and between low-cost carriers and conventional-cost carriers. In particular, we examine whether low-cost carriers were able to sustain the economic impacts of 9/11 better than the conventional-cost carriers.

  3. Stimulants for the control of hedonic appetite

    Directory of Open Access Journals (Sweden)

    Alison Sally Poulton

    2016-04-01

    Full Text Available The focus of this paper is treatment of obesity in relation to the management of hedonic appetite. Obesity is a complex condition which may be potentiated by excessive reward seeking in combination with executive functioning deficits that impair cognitive control of behaviour. Stimulant medications address both reward deficiency and enhance motivation, as well as suppressing appetite. They have long been recognised to be effective for treating obesity. However, stimulants can be abused for their euphoric effect. They induce euphoria via the same neural pathway that underlies their therapeutic effect in obesity. For this reason they have generally not been endorsed for use in obesity. Among the stimulants, only phentermine (either alone or in combination with topiramate and bupropion (which has stimulant-like properties and is used in combination with naltrexone, are approved by the United States Food and Drug Administration (FDA for obesity, although dexamphetamine and methylpenidate are approved and widely used for treating attention deficit hyperactivity disorder (ADHD in adults and children. Experience gained over many years in the treatment of ADHD demonstrates that with careful dose titration, stimulants can be used safely. In obesity, improvement in mood and executive functioning could assist with the lifestyle changes necessary for weight control, acting synergistically with appetite suppression. The obesity crisis has reached the stage that strong consideration should be given to adequate utilisation of this effective and inexpensive class of drug.

  4. Internalizing and externalizing personality and subjective effects in a sample of adolescent cannabis users.

    Science.gov (United States)

    García-Sánchez, Sara; Matalí, Josep Lluís; Martín-Fernández, María; Pardo, Marta; Lleras, Maria; Castellano-Tejedor, Carmina; Haro, Josep Maria

    2016-10-06

    Cannabis is the illicit substance most widely used by adolescents. Certain personality traits such as impulsivity and sensation seeking, and the subjective effects experienced after substance use (e.g. euphoria or relaxation) have been identified as some of the main etiological factors of consumption. This study aims to categorize a sample of adolescent cannabis users based on their most dominant personality traits (internalizing and externalizing profile). Then, to make a comparison of both profiles considering a set of variables related to consumption, clinical severity and subjective effects experienced. From a cross-sectional design, 173 adolescents (104 men and 69 women) aged 13 to 18 asking for treatment for cannabis use disorder in an Addictive Behavior Unit (UCAD) from the hospital were recruited. For the assessment, an ad hoc protocol was employed to register consumption, the Millon Adolescent Clinical Inventory (MACI) and the Addiction Research Center Inventory (ARCI) 49-item short form were also administered. Factor analysis suggested a two-profile solution: Introverted, Inhibited, Doleful, Dramatizing (-), Egotistic (-), Self-demeaning and Borderline tendency scales composed the internalizing profile, and Submissive (-), Unruly, Forceful, Conforming (-) and Oppositional scales composed the externalizing profile. The comparative analysis showed that the internalizing profile has higher levels of clinical severity and more subjective effects reported than the externalizing profile. These results suggest the need to design specific intervention strategies for each profile.

  5. Effects of tetra hydro cannabinol to the dendritc tree and synapses of the accumbens nucleus of wistar rats

    Directory of Open Access Journals (Sweden)

    Dimitrijević I.

    2013-01-01

    Full Text Available Cannabis is one of the most widely used intoxicants; almost half of all 18 year olds in the USA and in most European countries admit to having tried it at least once, and ~10% of that age group are regular users. Δ9-Tetrahydrocannabinol (THC, the principal psychoactive ingredient in marijuana, produces euphoria and relaxation and impairs motor coordination, time sense, and short term memory. In the hippocampus, CBs inhibit GABA release from a subset of interneurons and inhibit glutamate release from principal neurons. Cannabinoids are reported to produce both rapid and long-term changes in synaptic transmission. Our study was carried out on ten male rats out of which brains of six of them were used as the representative sample for electron microscope analysis, while 4 were used for light microspcopy performed by Golgi method. Three were exposed to THC and 3 were controls. Axodendric synapses in the core and shell of the accumbens nucleus (AN were studied under electron microscope. The results have shown widening of the synaptic cleft in the shell of AN. This result is a leading point to our further investigations which are going to involve a behavioral component, and different aspects of morphological studies. [Projekat Ministarstva nauke Republike Srbije, br. III 41020

  6. Gamma-hydroxybutyrate enhances mood and prosocial behavior without affecting plasma oxytocin and testosterone.

    Science.gov (United States)

    Bosch, Oliver G; Eisenegger, Christoph; Gertsch, Jürg; von Rotz, Robin; Dornbierer, Dario; Gachet, M Salomé; Heinrichs, Markus; Wetter, Thomas C; Seifritz, Erich; Quednow, Boris B

    2015-12-01

    Gamma-hydroxybutyrate (GHB) is a GHB-/GABAB-receptor agonist. Reports from GHB abusers indicate euphoric, prosocial, and empathogenic effects of the drug. We measured the effects of GHB on mood, prosocial behavior, social and non-social cognition and assessed potential underlying neuroendocrine mechanisms. GHB (20mg/kg) was tested in 16 healthy males, using a randomized, placebo-controlled, cross-over design. Subjective effects on mood were assessed by visual-analogue-scales and the GHB-Specific-Questionnaire. Prosocial behavior was examined by the Charity Donation Task, the Social Value Orientation test, and the Reciprocity Task. Reaction time, memory, empathy, and theory-of-mind were also tested. Blood plasma levels of GHB, oxytocin, testosterone, progesterone, dehydroepiandrosterone (DHEA), cortisol, aldosterone, and adrenocorticotropic-hormone (ACTH) were determined. GHB showed stimulating and sedating effects, and elicited euphoria, disinhibition, and enhanced vitality. In participants with low prosociality, the drug increased donations and prosocial money distributions. In contrast, social cognitive abilities such as emotion recognition, empathy, and theory-of-mind, and basal cognitive functions were not affected. GHB increased plasma progesterone, while oxytocin and testosterone, cortisol, aldosterone, DHEA, and ACTH levels remained unaffected. GHB has mood-enhancing and prosocial effects without affecting social hormones such as oxytocin and testosterone. These data suggest a potential involvement of GHB-/GABAB-receptors and progesterone in mood and prosocial behavior. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. An integrated telemedicine platform for the assessment of affective physiological states

    Directory of Open Access Journals (Sweden)

    Ganiatsas George

    2006-08-01

    Full Text Available Abstract AUBADE is an integrated platform built for the affective assessment of individuals. The system performs evaluation of the emotional state by classifying vectors of features extracted from: facial Electromyogram, Respiration, Electrodermal Activity and Electrocardiogram. The AUBADE system consists of: (a a multisensorial wearable, (b a data acquisition and wireless communication module, (c a feature extraction module, (d a 3D facial animation module which is used for the projection of the obtained data through a generic 3D face model; whereas the end-user will be able to view the facial expression of the subject in real time, (e an intelligent emotion recognition module, and (f the AUBADE databases where the acquired signals along with the subject's animation videos are saved. The system is designed to be applied to human subjects operating under extreme stress conditions, in particular car racing drivers, and also to patients suffering from neurological and psychological disorders. AUBADE's classification accuracy into five predefined emotional classes (high stress, low stress, disappointment, euphoria and neutral face is 86.0%. The pilot system applications and components are being tested and evaluated on Maserati's car. racing drivers.

  8. Resident Perceptions of the 2006 Torino Olympic Games, 2002-2007.

    Directory of Open Access Journals (Sweden)

    ALESSANDRO CHITO GUALA,

    2009-01-01

    Full Text Available Previous Olympic Games research has been primarily on economic impacts, tourists, and destination image with most being one-off assessments of the Summer Games. Other than Ritchie's landmark study of the Calgary Winter Olympic Games, relatively few research studies on the Winter Olympic Games have been published, and fewer still concerning resident attitudes throughout the full lifecycle of the event, from bidding, preparation, operation, and legacy stages. Residents are in a unique position to evaluate an event's legacy as taxpayers, daily consumers of infrastructure, and as possible leisure consumers of Olympic sport venues. The purpose of this study was to examine Torino residents' perceptions of their city as host of the 2006 Torino Winter Olympic Games from 2002-2007. Results from telephone interviews with Torino residents (n = 900 interviews per year; N = 5,400 are presented to reflect the attitudes of the population toward the 2006 Winter Olympic Games over time. Residents experienced a "rollercoaster" of emotions during the event lifecycle ranging from euphoria once the Games were awarded, to concern over escalating production costs, irritation with inconveniences due to construction, and ultimately pride immediately following the Games. Implications of study findings for event and destination managers are discussed.

  9. Health Effects Associated With Exposure to Anesthetic Gas Nitrous Oxide-N2O in Clinical Hospital - Shtip Personel.

    Science.gov (United States)

    Eftimova, Bilijana; Sholjakova, Marija; Mirakovski, Dejan; Hadzi-Nikolova, Marija

    2017-10-15

    To show certain health effects associated with acute and chronic exposure to nitrous oxide of staff of the Department of Anaesthesiology and Intensive Care at the Clinical Hospital in Shtip. A transversal study was conducted, that include 43 health workers (23 - exposed and 20 - unexposed). Personal exposure to nitrous oxide for this group members was assessed through continuous measurement over 8 hours shift within breathing zone of the subjects involved, using handheld electrochemical instrument with datalogging option direct. In order to determine presence of possible health effects associated with acute and chronic exposure to nitrous oxide in ORs and ICUs, a specially designed questionnaire was prepared and distributed to be anonymously filled out, by all the examinees from both examined groups. Data were statistically tested for normality and also quantitative and qualitative assessment was performed. From the results obtained, a significant difference in several health effects between exposed and unexposed groups can be noted, including headaches, dizziness, nausea and vomiting, euphoria and tachycardia. Regarding the excitement, the appearance of depression, the feeling of numbness and tingling of the hands and feet, the differences between the two examined groups were not significant. It can be concluded that chronic exposure to nitrous oxide is associated with the adverse health effects.

  10. As redes para além dos rios: urbanização e desequilíbrios na Amazônia brasileira

    Directory of Open Access Journals (Sweden)

    José Alberto Magno de Carvalho

    2009-04-01

    Full Text Available In recent decades, the Amazonian urban networks have been developing with the appearance of medium-sized cities and the multiplication and small urban agglomerations along the main regional roads and rivers. However, Amazonian urban networks have several characteristics that should be studied without "euphoria", because of some peculiarities that deserve to be explored in greater depth. Even though there is an urban hierarchy that seems to be similar to the other regions of the country, with clearly distinguishable regional and local centers, the various urban hierarchical levels have different demographic, spatial and socioeconomic dynamics. The fragility of the Amazonian urban networks is related to the creation of barriers for the flows of people, goods and services, like: a the great distances that separate the capital cities from the other towns and hamlets; b the lack of transport and communication infrastructure in large areas of the Amazon territory; c the large proportion of the population without material and educational resources needed for them to actively participate in the various kinds of flows.

  11. [Amusia and its topic specification].

    Science.gov (United States)

    Buklina, S B; Skvortsova, V B

    2007-01-01

    A historical development of views on amusia and its clinical phenomenology is reviewed. The authors present a case of atypical amusia in a patient aged 32 years with glioma of the right temporal lobe including the upper temporal gyrus. Amusia was combined with euphoria and disturbances of evaluation of speech intonation. It has been assumed that different mechanisms implicated with different regions of both brain hemispheres may underlie amusia. Sometimes these mechanisms appear to be universal, e.g. disorders of symbolic gnosis in posterior hemisphere lesions, being comorbid with amusia as disturbances in reading music and letter agnosia. In our case, the right temporal lobe lesion, especially with involvement of the upper temporal gyrus, caused specific music agnosia with disturbances of perception of some notes and duration of their phonation or a musical contour of the whole melody. Motor amusia is developed due to additional disturbances of motor and premotor brain functions, with significant contribution of the Broca's speech area. Music may be a model for investigation into processes of multimodal integration and hemisphere interaction.

  12. AEC to Referee, Not Promote, Industry.

    Science.gov (United States)

    1971-10-29

    A major turnabout in the attitude of the Atomic Energy Commission toward the nuclear power industry was signaled last week by the ntew AEC chairman James R. Schlesinger. With patrician froideur, Schlesinger informed a mass gathering of the nuclear power industry at Bal Harbour, Florida, that from henceforth the AEC woLuld act as the referee of nuclear power, not its promoter. Saying he would dispense with the "anecdotes and clumsy jests" customary on such occasions, Schlesinger served notice on the nuclear banqueters that their cozy relationship with the AEC was at an end. The industry should not expect the AEC to fight its battles: it should take its own case to the public-as the Sierra Club does. Nor did the AEC intend to bend the rules in industry's favor. "We have had a fair amount of advice on how to evade the clear mandate of the federal courts. It is advice we did not think proper to accept," Schlesinger said. Even on matters of engineering quality, the diners were told they knew full well they had "reason to blush." Roused out of any postprandial euphoria by this glacial disdain, the industry representatives heard the new chairman announce the following radical upheavals in official AEC philosophy.

  13. Endorphins, Exercise, and Addictions: A Review of Exercise Dependence

    Directory of Open Access Journals (Sweden)

    Andrea Leuenberger

    2006-01-01

    Full Text Available Endorphins are endogenous opioids released from the pituitary gland that are believed to mediate analgesia, induce euphoria, and play a role in the reward system in the brain. It has been suggested that endorphins are responsible for creating the relaxed psychological state known as runners high. Studies examining the relationship between vigorous exercise and blood plasma endorphin levels have produced conflicting results. Some indicate a significant increase of endorphins during or after exercise while others do not. Inconsistent methods and experimental techniques have made it difficult to determine a relationship between exercise and endorphin elevations. Research has shown that opioidergic activity plays a role in addictions by mediating the development of reinforcing qualities of certain activities and substances. A newly-established condition known as exercise dependence defines exercise as an addiction, characterized by a compulsion to exercise excessively even when the consequences are harmful to an individuals health, family relationships, and personal wealth (Griffiths, 1997; Hausenblas and Downs, 2002; Loumidis and Wells, 1998. Various surveys and questionnaires have been validated for determining the level of an individuals dependence on and need for exercise. As researchers define a clear relationship between vigorous exercise and increased endorphin levels, causes of exercise dependence can be more concretely determined. Exercise dependence is not currently recognized by the DSM-IV, but its presence in certain human behaviors (similar to those of alcoholics and drug addicts indicate that it should be precisely defined.

  14. Effects of Betel chewing on the central and autonomic nervous systems.

    Science.gov (United States)

    Chu, N S

    2001-01-01

    Betel chewing has been claimed to produce a sense of well-being, euphoria, heightened alertness, sweating, salivation, a hot sensation in the body and increased capacity to work. Betel chewing also leads to habituation, addiction and withdrawal. However, the mechanisms underlying these effects remain poorly understood. Arecoline, the major alkaloid of Areca nut, has been extensively studied, and several effects of betel chewing are thought to be related to the actions of this parasympathomimetic constituent. However, betel chewing may produce complex reactions and interactions. In the presence of lime, arecoline and guvacoline in Areca nut are hydrolyzed into arecaidine and guvacine, respectively, which are strong inhibitors of GABA uptake. Piper betle flower or leaf contains aromatic phenolic compounds which have been found to stimulate the release of catecholamines in vitro. Thus, betel chewing may affect parasympathetic, GABAnergic and sympathetic functions. Betel chewing produces an increase in heart rate, blood pressure, sweating and body temperature. In addition, EEG shows widespread cortical desynchronization indicating a state of arousal. In autonomic function tests, both the sympathetic skin response and RR interval variation are affected. Betel chewing also increases plasma concentrations of norepinephrine and epinephrine. These results suggest that betel chewing mainly affects the central and autonomic nervous systems. Future studies should investigate both the acute and chronic effects of betel chewing. Such studies may further elucidate the psychoactive mechanisms responsible for the undiminished popularity of betel chewing since antiquity. Copyright 2001 National Science Council, ROC and S. Karger AG, Basel.

  15. CHARACTER EDUCATION OF CHILDREN'S PERSPECTIVE IBN QAYYIM AL-JAWZIYYAH (691 H - 752 H

    Directory of Open Access Journals (Sweden)

    Makmudi

    2017-11-01

    Full Text Available The main problematic that caused the crisis of character in children is not making belief as basic philosophical in education. So, the implication of this is freedom of excessive euphoria. The success of the child based only from the perspective of the child's success in academic course. While the values of ethics, morals, and character less getting serious attention. Therefore, even though the students excel in intelligence quotient (IQ, but in emotional quotient (EQ they are in crisis of becoming alarming character. In this context, the existence of children's character education is considered very important for the next generation as an integral part of their life and living. The purpose of this study was to determine the thinking of Ibnu Qayyim al-Jawziyya about the concept of character education of children. The method of writing this research use library research (library research, the research done by collecting data and information by reading, studying and then analyze literatures relating to the theme, both primary (primary sources and secondary (secondary sources. Then analyzed using content analysis method (content analysis in the form of descriptive-Analytic. The results of the research in this dissertation shows that the concept of character education of children according to Ibnu Qayyim al-Jawziyya emphasis on the four major ways : 1. The importance of introducing kids about the monotheistic God, 2. The need to teach children the principal teachings of religion, 3. Teach and familiarize children on good ethics and morals, 4. Modeling, 5. Praise and meaningful punishment.

  16. Non-suicidal self-strangulation among adolescents in Saudi Arabia: Case series of the choking game.

    Science.gov (United States)

    AlBuhairan, Fadia; AlMutairi, Alanoud; Al Eissa, Majid; Naeem, Mohammed; Almuneef, Maha

    2015-02-01

    Adolescence is known to be a time of exploration and initiation of risky behaviors. Much attention has been given to risk behaviors such as smoking, violence, and sexual promiscuity; other serious behaviors such as self-strangulation or the choking game, which is carried out by adolescents in response to peer pressures or to gain a transient sense of euphoria, have received little attention, with the available literature coming from the developed world. This is the first report of cases of non-suicidal self-strangulation from the Arab World. In this case series, we report 5 cases of non-suicidal self-strangulation that presented to the Emergency Department of a tertiary care hospital in Riyadh, Saudi Arabia during 2010-2012. All of the 5 cases were young male adolescents aged 10-13 years. This activity resulted in the death of 2 boys; one boy sustained hypoxic ischemic insult to the brain with clinical deficits; and the remaining 2 were fortunate to be discharged home in healthy condition. None of the cases had underlying mental health problems, and multidisciplinary involvement ruled out suicide and homicide activities. Non-suicidal self-strangulation is a fatal behavior that adolescents engage in. Increased efforts are needed to address this serious and preventable public health issue. Awareness and education of adolescents and their parents is crucial. Awareness of healthcare providers is also necessary in order to avoid misdiagnosis of such cases. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. The future of the nuclear industry: a matter of communication

    Energy Technology Data Exchange (ETDEWEB)

    De Waal, H S

    1993-11-01

    Since the very first successes achieved by the early scientists the infant nuclear industry was plagued by an atmosphere of uncertainty, conflict, anxiety and expectations. After the initial euphoria the Chernobyl accident shocked public opinion and perspectives changed. Nuclear energy is experience by the public in three dimensions. Firstly there are the technical realities of the reactor and its fantastically reduced source of power. Secondly, there is a psychological and political meaning, including the association of modern technology with authority, government, and control. The third dimension is the product of old myths about `divine secrets`, mad scientists dreadful pollution and cosmic apocalypse. To a large extent the nuclear industry is at fault for these emotional connotations. An early lapse in the communication process can be blamed for many of the misconceptions. The nuclear industry lost an opportunity by sticking to `vagueness`. Recent trends show that a pattern of conditional acceptance is present in public opinion with regard to the nuclear industry. Possible solutions, including better communication, aggressive marketing, and the training of scientists to become communicators, are discussed. A study was done of community attitudes around Koeberg, and it is concluded that the public must be convinced of the fact that nuclear power is clean, safe, cheap and accepted as such by the industrially developed word. 62 refs., 13 figs.

  18. The future of the nuclear industry: a matter of communication

    International Nuclear Information System (INIS)

    De Waal, H.S.

    1993-11-01

    Since the very first successes achieved by the early scientists the infant nuclear industry was plagued by an atmosphere of uncertainty, conflict, anxiety and expectations. After the initial euphoria the Chernobyl accident shocked public opinion and perspectives changed. Nuclear energy is experience by the public in three dimensions. Firstly there are the technical realities of the reactor and its fantastically reduced source of power. Secondly, there is a psychological and political meaning, including the association of modern technology with authority, government, and control. The third dimension is the product of old myths about 'divine secrets', mad scientists dreadful pollution and cosmic apocalypse. To a large extent the nuclear industry is at fault for these emotional connotations. An early lapse in the communication process can be blamed for many of the misconceptions. The nuclear industry lost an opportunity by sticking to 'vagueness'. Recent trends show that a pattern of conditional acceptance is present in public opinion with regard to the nuclear industry. Possible solutions, including better communication, aggressive marketing, and the training of scientists to become communicators, are discussed. A study was done of community attitudes around Koeberg, and it is concluded that the public must be convinced of the fact that nuclear power is clean, safe, cheap and accepted as such by the industrially developed word. 62 refs., 13 figs

  19. Crystal methamphetamine and ecstasy differ in relation to unsafe sex among young gay men.

    Science.gov (United States)

    Schilder, Arn J; Lampinen, Thomas M; Miller, Mary Lou; Hogg, Robert S

    2005-01-01

    Poly-substance use in gay social ('club') settings is common. Recent studies suggest a link between 'club' drug use and sexual risk behaviours. In this qualitative study, we compare and contrast two 'club' drugs: crystal methamphetamine and ecstasy (MDMA). Life history interviews were conducted with 12 HIV seroconverters and 12 age-matched controls recruited from a prospective cohort study of young gay and bisexual men in Vancouver, British Columbia. Textual data concerning illicit substance use and unsafe sex were analyzed using NUDIST software. Most men related a substantial knowledge of and experience with crystal and ecstasy. Both drugs had attributes that enhanced gay socialization and were used in the same venues. Crystal was used to remain awake and increase energy. Ecstasy was used to induce euphoria and group connectedness. However, unlike ecstasy, crystal was associated with a distinct pattern of sexual arousal that frequently included unprotected (sometimes group) sex, was more likely to be used regularly by HIV-positive men, and was reportedly highly addictive and problematic. Crystal and ecstasy are used in the same social venues but differ markedly in relation to sexual risk behaviour.

  20. The Effects of Acutely Administered 3,4-Methylenedioxymethamphetamine on Spontaneous Brain Function in Healthy Volunteers Measured with Arterial Spin Labeling and Blood Oxygen Level–Dependent Resting State Functional Connectivity

    Science.gov (United States)

    Carhart-Harris, Robin L.; Murphy, Kevin; Leech, Robert; Erritzoe, David; Wall, Matthew B.; Ferguson, Bart; Williams, Luke T.J.; Roseman, Leor; Brugger, Stefan; De Meer, Ineke; Tanner, Mark; Tyacke, Robin; Wolff, Kim; Sethi, Ajun; Bloomfield, Michael A.P.; Williams, Tim M.; Bolstridge, Mark; Stewart, Lorna; Morgan, Celia; Newbould, Rexford D.; Feilding, Amanda; Curran, H. Val; Nutt, David J.

    2015-01-01

    Background The compound 3,4-methylenedioxymethamphetamine (MDMA) is a potent monoamine releaser that produces an acute euphoria in most individuals. Methods In a double-blind, placebo-controlled, balanced-order study, MDMA was orally administered to 25 physically and mentally healthy individuals. Arterial spin labeling and seed-based resting state functional connectivity (RSFC) were used to produce spatial maps displaying changes in cerebral blood flow (CBF) and RSFC after MDMA administration. Participants underwent two arterial spin labeling and two blood oxygen level–dependent scans in a 90-minute scan session; MDMA and placebo study days were separated by 1 week. Results Marked increases in positive mood were produced by MDMA. Decreased CBF only was observed after MDMA, and this was localized to the right medial temporal lobe (MTL), thalamus, inferior visual cortex, and the somatosensory cortex. Decreased CBF in the right amygdala and hippocampus correlated with ratings of the intensity of global subjective effects of MDMA. The RSFC results complemented the CBF results, with decreases in RSFC between midline cortical regions, the medial prefrontal cortex, and MTL regions, and increases between the amygdala and hippocampus. There were trend-level correlations between these effects and ratings of intense and positive subjective effects. Conclusions The MTLs appear to be specifically implicated in the mechanism of action of MDMA, but further work is required to elucidate how the drug’s characteristic subjective effects arise from its modulation of spontaneous brain activity. PMID:24495461

  1. The Effects of Acutely Administered 3,4-Methylenedioxymethamphetamine on Spontaneous Brain Function in Healthy Volunteers Measured with Arterial Spin Labeling and Blood Oxygen Level-Dependent Resting State Functional Connectivity.

    Science.gov (United States)

    Carhart-Harris, Robin L; Murphy, Kevin; Leech, Robert; Erritzoe, David; Wall, Matthew B; Ferguson, Bart; Williams, Luke T J; Roseman, Leor; Brugger, Stefan; De Meer, Ineke; Tanner, Mark; Tyacke, Robin; Wolff, Kim; Sethi, Ajun; Bloomfield, Michael A P; Williams, Tim M; Bolstridge, Mark; Stewart, Lorna; Morgan, Celia; Newbould, Rexford D; Feilding, Amanda; Curran, H Val; Nutt, David J

    2015-10-15

    The compound 3,4-methylenedioxymethamphetamine (MDMA) is a potent monoamine releaser that produces an acute euphoria in most individuals. In a double-blind, placebo-controlled, balanced-order study, MDMA was orally administered to 25 physically and mentally healthy individuals. Arterial spin labeling and seed-based resting state functional connectivity (RSFC) were used to produce spatial maps displaying changes in cerebral blood flow (CBF) and RSFC after MDMA administration. Participants underwent two arterial spin labeling and two blood oxygen level-dependent scans in a 90-minute scan session; MDMA and placebo study days were separated by 1 week. Marked increases in positive mood were produced by MDMA. Decreased CBF only was observed after MDMA, and this was localized to the right medial temporal lobe (MTL), thalamus, inferior visual cortex, and the somatosensory cortex. Decreased CBF in the right amygdala and hippocampus correlated with ratings of the intensity of global subjective effects of MDMA. The RSFC results complemented the CBF results, with decreases in RSFC between midline cortical regions, the medial prefrontal cortex, and MTL regions, and increases between the amygdala and hippocampus. There were trend-level correlations between these effects and ratings of intense and positive subjective effects. The MTLs appear to be specifically implicated in the mechanism of action of MDMA, but further work is required to elucidate how the drug's characteristic subjective effects arise from its modulation of spontaneous brain activity. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  2. Reward, motivation, and emotion systems associated with early-stage intense romantic love.

    Science.gov (United States)

    Aron, Arthur; Fisher, Helen; Mashek, Debra J; Strong, Greg; Li, Haifang; Brown, Lucy L

    2005-07-01

    Early-stage romantic love can induce euphoria, is a cross-cultural phenomenon, and is possibly a developed form of a mammalian drive to pursue preferred mates. It has an important influence on social behaviors that have reproductive and genetic consequences. To determine which reward and motivation systems may be involved, we used functional magnetic resonance imaging and studied 10 women and 7 men who were intensely "in love" from 1 to 17 mo. Participants alternately viewed a photograph of their beloved and a photograph of a familiar individual, interspersed with a distraction-attention task. Group activation specific to the beloved under the two control conditions occurred in dopamine-rich areas associated with mammalian reward and motivation, namely the right ventral tegmental area and the right postero-dorsal body and medial caudate nucleus. Activation in the left ventral tegmental area was correlated with facial attractiveness scores. Activation in the right anteromedial caudate was correlated with questionnaire scores that quantified intensity of romantic passion. In the left insula-putamen-globus pallidus, activation correlated with trait affect intensity. The results suggest that romantic love uses subcortical reward and motivation systems to focus on a specific individual, that limbic cortical regions process individual emotion factors, and that there is localization heterogeneity for reward functions in the human brain.

  3. Utilization of nuclear power - a sustainable error of history?

    International Nuclear Information System (INIS)

    Gugerli, D.

    2004-01-01

    The history of atomic energy has been producing major surprises for at least half a century. A wave of atomic enthusiasm - which grew to a veritable atomic euphoria - was triggered by the famous atoms-for-peace speech by US president Eisenhower in 1953. Despite their inherent technocratic pacifism, Eisenhower's atoms led to critical conflicts within those societies that subscribed to the nuclear development scheme. A critical revision of these conflicts reveals a dramatic falling apart of the historic horizon of expectations and the historic development path. Notwithstanding, both the apologists of nuclear energy use and their antagonists have erred in many ways without truly losing their capacity to act. They misjudged the planning security, the safety of the installations, and the stability of the price relations on the energy and capital equipment markets. Moreover, both sides erred in their predictions concerning the political conditions and the social consequences of nuclear power plants. This observation is not historically insightful in the sense of learning from one's mistakes. It is insightful rather for the relationship between experience, expectation and decision on the one hand and socio-technical change on the other hand. (orig.)

  4. Exercise reinforcement, stress, and β-endorphins: an initial examination of exercise in anabolic-androgenic steroid dependence.

    Science.gov (United States)

    Hildebrandt, Tom; Shope, Sydney; Varangis, Eleanna; Klein, Diane; Pfaff, Donald W; Yehuda, Rachel

    2014-06-01

    Anabolic-androgenic steroids (AASs) are abused primarily in the context of intense exercise and for the purposes of increasing muscle mass as opposed to drug-induced euphoria. AASs also modulate the HPA axis and may increase the reinforcing value of exercise through changes to stress hormone and endorphin release. To test this hypothesis, 26 adult males drawn from a larger study on AAS use completed a progressive ratio task designed to examine the reinforcing value of exercise relative to financial reinforcer. Sixteen experienced and current users (8 on-cycle, 8 off-cycle) and 10 controls matched on quantity×frequency of exercise, age, and education abstained from exercise for 24 h prior to testing and provided 24-h cortisol, plasma cortisol, ACTH, β-endorphin samples, and measures of mood, compulsive exercise, and body image. Between group differences indicated that on-cycle AAS users had the highest β-endorphin levels, lowest cortisol levels, higher ACTH levels than controls. Conversely, off-cycle AAS users had the highest cortisol and ACTH levels, but the lowest β-endorphin levels. Exercise value was positively correlated with β-endorphin and symptoms of AAS dependence. The HPA response to AASs may explain why AASs are reinforcing in humans and exercise may play a key role in the development of AAS dependence. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  5. Nabilone for the Management of Pain.

    Science.gov (United States)

    Tsang, Corey C; Giudice, Mirella G

    2016-03-01

    Nabilone, a synthetic cannabinoid, is approved in many countries including, but not limited to, Canada, the United States, Mexico, and the United Kingdom for the treatment of severe nausea and vomiting associated with chemotherapy. Clinical evidence is emerging for its use in managing pain conditions with different etiologies. We review the efficacy and safety of nabilone for various types of pain as well as its abuse potential, precautions and contraindications, and drug interactions; summarize pertinent clinical practice guidelines; and provide recommendations for dosing, monitoring, and patient education. Citations involving nabilone were identified through systematic reviews evaluating cannabinoids for pain. A systematic search (updated July 23, 2015) of the Ovid MEDLINE, EMBASE, PubMed, and Cochrane Library databases was performed. Eight randomized controlled trials, two prospective cohort trials, and one retrospective chart review were retrieved. Cancer pain, chronic noncancer pain, neuropathic pain, fibromyalgia, and pain associated with spasticity were the pain conditions evaluated. Nabilone was most commonly used as adjunctive therapy and led to small but significant reductions in pain. The most common adverse drug reactions included euphoria, drowsiness, and dizziness. Nabilone was rarely associated with severe adverse drug reactions requiring drug discontinuation, and the likelihood of abuse was thought to be low. Although the optimal role of nabilone in the management of pain is yet to be determined, certain clinical practice guidelines consider nabilone as a third-line agent. © 2016 Pharmacotherapy Publications, Inc.

  6. The Relationship between the Level of Religious Attitudes and Postpartum Blues among Pregnant Women

    Directory of Open Access Journals (Sweden)

    Tahereh Mokhtaryan

    2016-04-01

    Full Text Available Postpartum blues, as a transient phenomenon of mood changes, generally begins 1 to 3 days after the child birth.1 This phenomenon is accompanied with symptoms such as unstable moods, ranging from euphoria to sadness, high sensitivity, crying for no reason, restlessness, poor concentration, anxiety, irritability, and anger.2 Prevalence of postpartum blues has been estimated 44.3% in Hong- Kong,3 31.3% in Nigeria,2 and 58% in India.4 In Iran, 22.3% of women suffer from weak postpartum blues, 10.8% have medium, and 21.1% suffer from severe postpartum blues.5 Interaction between different biological, psychological and social factors could affect the postpartum blues.6 Some researchers have indicated that there is a reverse relationship between religion related beliefs and spiritual attitudes, participation in religious activities and reduction of pregnancy and postpartum anxiety and depression.7 Also, according to another study, 57% of the doctors believe that praying could enhance the healing effect of treatment.8 However, some other studies reject this idea.9-10 In this cross-sectional study conducted in selected prenatal clinics of Tehran University of Medical Sciences in 2013, 176 healthy pregnant women aged 18-35 years old participated. For assessment of postpartum blues, standard questionnaire of Edinburg Postnatal Depression Scale (EPDS11 and Religious Attitude Scale (RAS-R containing 25 questions with a Cronbach’s alpha of 0.954 in Iran were used.12

  7. Psychological effects of thought acceleration.

    Science.gov (United States)

    Pronin, Emily; Jacobs, Elana; Wegner, Daniel M

    2008-10-01

    Six experiments found that manipulations that increase thought speed also yield positive affect. These experiments varied in both the methods used for accelerating thought (i.e., instructions to brainstorm freely, exposure to multiple ideas, encouragement to plagiarize others' ideas, performance of easy cognitive tasks, narration of a silent video in fast-forward, and experimentally controlled reading speed) and the contents of the thoughts that were induced (from thoughts about money-making schemes to thoughts of five-letter words). The results suggested that effects of thought speed on mood are partially rooted in the subjective experience of thought speed. The results also suggested that these effects can be attributed to the joy-enhancing effects of fast thinking (rather than only to the joy-killing effects of slow thinking). This work is inspired by observations of a link between "racing thoughts" and euphoria in cases of clinical mania, and potential implications of that observed link are discussed. (c) 2008 APA, all rights reserved

  8. Superconducting superconvulsion. Shock US decision

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    After a baffling succession of seesaw decisions which saw the mood swing from the depths of pessimism to supreme optimism and back, on 21 October a US House of Representatives Committee proposed $640 million for the 'orderly termination' of the Superconducting Supercollider (SSC) project in Ellis County, Texas. By next July, the US Secretary of Energy is requested to produce a plan to 'maximize the value of the investment in the project and minimizing the loss to the US, including recommendations as to the feasibility of utilizing SSC assets in whole or in part in pursuit of an international high energy physics endeavour.' The SSC was to have been the biggest of them all - two 87-kilometre rings of superconducting magnets to collide proton beams at a total energy of 40 TeV (40,000 GeV) and search for the mechanisms underlying the behaviour of the quark constituents deep inside the colliding particles. It was from the start an ambitious project. It was meant to be. Conceived in the early 1980s amid all the Reagan euphoria of 'junk' bonds and heavy government borrowing, the SSC idea was in some ways a scientific parallel for the audacious technology of the Strategic Defense Initiative - 'Star Wars'

  9. Cocaine affects foraging behaviour and biogenic amine modulated behavioural reflexes in honey bees

    Directory of Open Access Journals (Sweden)

    Eirik Søvik

    2014-11-01

    Full Text Available In humans and other mammals, drugs of abuse alter the function of biogenic amine pathways in the brain leading to the subjective experience of reward and euphoria. Biogenic amine pathways are involved in reward processing across diverse animal phyla, however whether cocaine acts on these neurochemical pathways to cause similar rewarding behavioural effects in animal phyla other than mammals is unclear. Previously, it has been shown that bees are more likely to dance (a signal of perceived reward when returning from a sucrose feeder after cocaine treatment. Here we examined more broadly whether cocaine altered reward-related behaviour, and biogenic amine modulated behavioural responses in bees. Bees developed a preference for locations at which they received cocaine, and when foraging at low quality sucrose feeders increase their foraging rate in response to cocaine treatment. Cocaine also increased reflexive proboscis extension to sucrose, and sting extension to electric shock. Both of these simple reflexes are modulated by biogenic amines. This shows that systemic cocaine treatment alters behavioural responses that are modulated by biogenic amines in insects. Since insect reward responses involve both octopamine and dopamine signalling, we conclude that cocaine treatment altered diverse reward-related aspects of behaviour in bees. We discuss the implications of these results for understanding the ecology of cocaine as a plant defence compound. Our findings further validate the honey bee as a model system for understanding the behavioural impacts of cocaine, and potentially other drugs of abuse.

  10. Animal models of nicotine exposure: relevance to second-hand smoking, electronic cigarette use and compulsive smoking

    Directory of Open Access Journals (Sweden)

    Ami eCohen

    2013-06-01

    Full Text Available Much evidence indicates that individuals use tobacco primarily to experience the psychopharmacological properties of nicotine and that a large proportion of smokers eventually become dependent on nicotine. In humans, nicotine acutely produces positive reinforcing effects, including mild euphoria, whereas a nicotine abstinence syndrome with both somatic and affective components is observed after chronic nicotine exposure. Animal models of nicotine self-administration and chronic exposure to nicotine have been critical in unveiling the neurobiological substrates that mediate the acute reinforcing effects of nicotine and emergence of a withdrawal syndrome during abstinence. However, important aspects of the transition from nicotine abuse to nicotine dependence, such as the emergence of increased motivation and compulsive nicotine intake following repeated exposure to the drug, have only recently begun to be modeled in animals. Thus, the neurobiological mechanisms that are involved in these important aspects of nicotine addiction remain largely unknown. In this review, we describe the different animal models available to date and discuss recent advances in animal models of nicotine exposure and nicotine dependence. This review demonstrates that novel animal models of nicotine vapor exposure and escalation of nicotine intake provide a unique opportunity to investigate the neurobiological effects of second-hand nicotine exposure, electronic cigarette use and the mechanisms that underlie the transition from nicotine use to compulsive nicotine intake.

  11. The challenge of complex drug use: Associated use of codeine-containing medicines and new psychoactive substances in a European cross-sectional online population.

    Science.gov (United States)

    Kimergård, Andreas; Foley, Michelle; Davey, Zoe; Wadsworth, Elle; Drummond, Colin; Deluca, Paolo

    2017-05-01

    Misuse of codeine-containing medicines in combination with new psychoactive substances (NPS) is inadequately described. This study characterises codeine consumption amongst NPS users and non-NPS users to provide warning of health issues. Online survey conducted between July 2015 and March 2016. Out of 340 respondents, residing in a country in Europe and using codeine recently, 63.8% were female. Mean age: 34.9 years (SD = 12.4). Substance use included NPS (18.5%) and illicit controlled drugs (55.9%). Factors relating to codeine use found to significantly predict NPS use were consuming codeine extracted from combination tablets (OR = 16.79, 95% CI [8.67, 32.51]), obtaining codeine from friends, family, and acquaintances (OR = 3.98, 95% CI [1.82, 8.7]), use of illicit controlled drugs (OR = 34.99, 95% CI [8.39, 145.94]) and use of codeine to experience euphoria (OR = 6.41, 95% CI [3.42, 12.04]). Amongst NPS users, codeine is less likely to be used daily but more likely to be used for recreational purposes. Smaller populations engaging in high-risk use exist who take multiple drugs in high doses. Combinations of misused codeine and NPS highlight the need for policy to respond to a more complex drug situation. Copyright © 2017 John Wiley & Sons, Ltd.

  12. MDMA: interactions with other psychoactive drugs.

    Science.gov (United States)

    Mohamed, Wael M Y; Ben Hamida, Sami; Cassel, Jean-Christophe; de Vasconcelos, Anne Pereira; Jones, Byron C

    2011-10-01

    3,4-Methylenedioxymethamphetamine (MDMA, ecstasy) is one of the most widely abused illegal drugs. Some users self-report euphoria and an increased perception and feeling of closeness to others. When taken in warm environments, MDMA users may develop acute complications with potential fatal consequences. In rodents, MDMA increases locomotor activity and, depending on ambient temperature, may produce a dose-dependent, potentially lethal hyperthermia. Like most other recreational drugs, MDMA is frequently taken in combination with other substances including tobacco, EtOH, marijuana, amphetamines, cocaine and, caffeine. Although polydrug use is very common, the understanding of the effects of this multiple substance use, as well as the analysis of consequences of different drug-drug associations, received rather little attention. The purpose of this review is to summarize our current knowledge about the changes on MDMA-related behavior, pharmacology, and neurotoxicity associated with co-consumption of other drugs of abuse and psychoactive agents. Copyright © 2011 Elsevier B.V. All rights reserved.

  13. Digital Revolution and Innovative Business Models in Healthcare: Global Trends and Russian Realities.

    Science.gov (United States)

    Bereznoy, A V; Saygitov, R T

    Digital revolution is one of the major global trends resulting in the unprecedented scale and depth of penetration of information and communication technologies into all sectors of national economy, including healthcare. The development of this trend brought about high expectations related to the improvement of quality of medical assistance, accessibility and economic efficiency of healthcare services. However, euphoria of the first steps of digital revolution is passing now, opening doors to more realistic analysis of opportunities and conditions of realization of the true potential hidden in the digital transformation of healthcare. More balanced perception of the peculiarities of innovation processes in the sector is coming together with understanding of the serious barriers, hampering implementation of the new ideas and practices due to complicated interweaving of social, economic, ethical and psychological factors. When taking into account the industry specifics it becomes evident that digital revolution cannot be a quick turnaround but rather would pass a number of phases and is likely to last more than one decade. In this context the article focuses on the prospects of the new business models, capable of making significant changes in today’s economic landscape of the sector (including uber-medicine, retail clinics, retainer medicine, network models of medical services). The authors also provide assessment of the current situation and perspectives of digital healthcare development in Russia.

  14. Determinants of The Application of Macro Prudential Instruments

    Directory of Open Access Journals (Sweden)

    Zakaria Firano

    2017-09-01

    Full Text Available The use of macro prudential instruments today gives rise to a major debate within the walls of central banks and other authorities in charge of financial stability. Contrary to micro prudential instruments, whose effects remain limited, macro prudential instruments are different in nature and can affect the stability of the financial system. By influencing the financial cycle and the financial structure of financial institutions, the use of such instruments should be conducted with great vigilance as well as macroeconomic and financial expertise. But the experiences of central banks in this area are sketchy, and only some emerging countries have experience using these types of instruments in different ways. This paper presents an analysis of instruments of macro prudential policy and attempts to empirically demonstrate that these instruments should be used only in specific economic and financial situations. Indeed, the results obtained, using modeling bivariate panel, confirm that these instruments are more effective when used to mitigate the euphoria of financial and economic cycles. In this sense, the output gap, describing the economic cycle, and the Z-score are the intermediate variables for the activation of capital instruments. Moreover, the liquidity ratio and changes in bank profitability are the two early warning indicators for activation of liquidity instruments.

  15. Review of Androgenic Anabolic Steroid Use

    Energy Technology Data Exchange (ETDEWEB)

    T. Borges; G. Eisele; C. Byrd

    2001-07-31

    An area that has been overlooked within personnel security evaluations is employee use of androgenic-anabolic steroids (AAS). Current drug testing within the federal government does not include testing for anabolic steroids, and the difficulties to implement such testing protocols-not to mention the cost involved-make AAS testing highly improbable. The basis of this report is to bring to the forefront the damage that anabolic steroids can cause from both a physical and a psychological standpoint. Most individuals who use AASs do so to increase their muscle mass because they wish to gain some type of competitive edge during athletic competition or they wish to enhance their physical features for self-satisfaction and self-esteem (i.e., body building). Security officers are one group of men who often take high doses of anabolic steroids, according to the Second Report of the Senate Standing Committee (1990). The negative psychological characteristics for AAS use is extensive and includes prominent hostility, aggressiveness, irritability, euphoria, grandiose beliefs, hyperactivity, reckless behavior, increased sexual appetite, unpredictability, poor impulse control, mood fluctuations, and insomnia. The drug may invoke a sense of power and invincibility (Leckman and Scahill, 1990). Depressive symptoms, such as anhedonia, fatigue, impaired concentration, decreased libido, and even suicidality (Pope and Katz, 1992) have been noted with steroid withdrawal. It appears that long-term users of AAS experience similar characteristics as other substance abusers (i.e., craving, dependence, and withdrawal symptoms).

  16. Invisible death. Citizens' fears of the atom. 2. ed.

    International Nuclear Information System (INIS)

    Barthel, W.; Jaenecke, H.; Thomsen, P.

    1979-01-01

    Contents in key-words: The devils' pact. A story from the a-bomb up to the fast breeder. The bomb/the resistance is being formed/the euphoria in the industry/the resistance of the citizens/the doubts of the scientists/are the lights really being turned off in the industrial society. Drilling Place Gorleben or the radiating giant. Are we living on a time bomb.- The expertises: Reprocession of atomic waste and the final waste management/What is reprocession. What is plutonium. What are the alternatives of reprocession. International group of scientists is discussing the plutonium reactor on the heath. The escape from Harrisburg or when the pile was boiling. Is the FRG going to be an atom country. Do we need nuclear energy at all. How dangerous is radioactivity in the normal case./How dangerous in disturbances : explosions, terror acts, war./Can radioactivity cause cancer. Who protects the citizens from governmental protective measures or do we need an atom restitution. Annex: Nuclear power plants in the Federal Republic/Nuclear power plant accidents in the Federal Republic/Experts in the Gorleben-hearing in Hannover. (orig.) 891 HP/orig. 892 RKD [de

  17. Affective disorders and functional (non-epileptic) seizures in persons with epilepsy.

    Science.gov (United States)

    Johnson, Keith A; Macfarlane, Matthew D; Looi, Jeffrey Cl

    2016-12-01

    This paper aims to describe the prevalence, assessment and management of affective disorders as well as functional (non-epileptic) seizures in people with epilepsy. This paper comprises a selective review of the literature of the common affective manifestations of epilepsy. Affective disorders are the most common psychiatric comorbidity seen in people with epilepsy and assessment and management parallels that of the general population. Additionally, people with epilepsy may experience higher rates of mood instability, irritability and euphoria, classified together as a group, interictal dysphoric disorder and resembling an unstable bipolar Type II disorder. Functional seizures present unique challenges in terms of identification of the disorder and a lack of specific management. Given their high prevalence, it is important to be able to recognise affective disorders in people with epilepsy. Management principles parallel those in the general population with specific caution exercised regarding the potential interactions between antidepressant medications and antiepileptic drugs. Functional seizures are more complex and require a coordinated approach involving neurologists, psychiatrists, general practitioners, nursing and allied health. There is very limited evidence to guide psychological and behavioural interventions for neurotic disorders in epilepsy and much more research is needed. © The Royal Australian and New Zealand College of Psychiatrists 2016.

  18. Perception of emotional climate in a revolution: Test of a multistage theory of revolution in the Tunisian context.

    Science.gov (United States)

    Rimé, Bernard; Yzerbyt, Vincent; Mahjoub, Abdelwahab

    2017-12-01

    Participation in social movements and collective action depends upon people's capacity to perceive their societal context. We examined this question in the context of Arab Spring revolutions. In a classic theory of revolution highlighting the role of collective emotions, Brinton (1938) claimed that revolutions, far from chaos, proceed in an orderly sequence involving four stages: euphoria, degradation, terror, and restoration. The emotional climate (EC) as perceived by ordinary Tunisian citizens (2,699 women and 3,816 men) was measured during the 4 years of the Tunisian revolution. A quadratic pattern of perceived EC measures over time provided strong support to Brinton's model. In addition, three different analyses suggested the presence of four distinct stages in the evolution of perceived EC. Third, the socio-political developments in Tunisia during the four stages proved entirely consistent with both Brinton's theoretical model and the perceived EC indicators. Finally, social identification proved closely related to the temporal evolution of positive EC scores. In sum, data from this study not only lend support to the views put forth in an heretofore untested classic theory of revolution but also demonstrate that psychosocial measurements can validly monitor a major process of socio-political transformation. © 2017 The British Psychological Society.

  19. Crimes of the VUChK personnel and their growth in 1919−1922 (from the documents of the Katerynoslav provincial emergency commission

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    Slivenko, V. A.

    2017-01-01

    Full Text Available The author has identified the causes of crime VUChK staff of 1919−1922. In the 1919−1922 most crimes of VUChK staff were made for profit. Officials crimes were committed because of the low level of the material condition of staff VUChK. Excess of official powers be explained by the lack of regulatory framework, low professional and cultural level VUChK staff. The author believes that in this period of great importance was the factor of "revolutionary euphoria" that would justify the use of any means "in the name of ideals of the revolution". In some cases, there have been psychic pathologies of professionals. Another cause of the majority of official crimes was the excessive use of alcoholic drinks. The fight against crime VUChK staff was not always successful. But the fight against crime officers always been a systematic character and did not allowed this social evils to transformed into a global problem. Often the effectiveness of the fight against crimes VUChK staff has been reduced because of factors such as too lenient sentences and connivance, particularly in cases of unscrupulous performance of official duties.

  20. The effects of d-amphetamine on extrastriatal dopamine D{sub 2}/D{sub 3} receptors: a randomized, double-blind, placebo-controlled PET study with [{sup 11}C]FLB 457 in healthy subjects

    Energy Technology Data Exchange (ETDEWEB)

    Aalto, Sargo [University of Turku, Turku PET Centre, Turku (Finland); Aabo Akademi University, Department of Psychology, Turku (Finland); Hirvonen, Jussi; Kajander, Jaana; Naagren, Kjell; Rinne, Juha O. [University of Turku, Turku PET Centre, Turku (Finland); Kaasinen, Valtteri [University of Turku, Department of Neurology, P.O. Box 52, Turku (Finland); Hagelberg, Nora [University of Turku, Turku PET Centre, Turku (Finland); Turku University Central Hospital, Department of Anaesthesiology, Intensive Care, Emergency Care and Pain Medicine, Turku (Finland); Seppaelae, Timo [Drug Research Unit, National Public Health Institute, Helsinki (Finland); Scheinin, Harry [University of Turku, Turku PET Centre, Turku (Finland); University of Turku, Department of Pharmacology, Drug Development and Therapeutics, Turku (Finland); Hietala, Jarmo [University of Turku, Turku PET Centre, Turku (Finland); University of Turku, Department of Psychiatry, Turku (Finland)

    2009-03-15

    The dopamine D{sub 2}/D{sub 3} receptor ligand [{sup 11}C]FLB 457 and PET enable quantification of low-density extrastriatal D{sub 2}/D{sub 3} receptors, but it is uncertain whether [{sup 11}C]FLB 457 can be used for measuring extrastriatal dopamine release. We studied the effects of d-amphetamine (0.3 mg/kg i.v.) on extrastriatal [{sup 11}C]FLB 457 binding potential (BP{sub ND}) in a randomized, double-blind, placebo-controlled study including 24 healthy volunteers. The effects of d-amphetamine on [{sup 11}C]FLB 457 BP{sub ND} and distribution volume (V{sub T}) in the frontal cortex were not different from those of placebo. Small decreases in [{sup 11}C]FLB 457 BP{sub ND} were observed only in the posterior cingulate and hippocampus. The regional changes in [{sup 11}C]FLB 457 BP{sub ND} did not correlate with d-amphetamine-induced changes in subjective ratings of euphoria. This placebo-controlled study showed that d-amphetamine does not induce marked changes in measures of extrastriatal dopamine D{sub 2}/D{sub 3} receptor binding. Our results indicate that [{sup 11}C]FLB 457 PET is not a useful method for measuring extrastriatal dopamine release in humans. (orig.)

  1. A cultural trauma: Outcomes of the system change in post-socialist Poland

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    Kabzinska Iwona

    2009-01-01

    Full Text Available This paper discusses the outcomes of the system change in post-socialist Poland. The author discusses various important and inter-related issues in the Polish societal sphere: shock therapy accompanied by the changes since the 1990's, unemployment, uncontrolled privatization, cultural trauma and cultural plaint. Theoretically, the paper belongs to anthropology of transformation, and it is based on sociological literature for the most part. The paper also discusses 'societal diagnosis', its creators, crisis in confidence as a consequence of social and cultural traumas, the weakness of political elite and criteria used to measure poverty levels. Lately, there has been a change in mythical representation about easy life in Poland related to the state' affiliation with EU. The change includes a lack of global crisis influence, resistance of the Polish society toward media influence, a rise in optimism and decrease of cultural plaint. Is this change in attitude due to cyclical alteration between phases of depression and euphoria? What will happen if depression returns? Did the Polish handle the trauma of transformation exceptionally well? Possible answers to these and other relevant questions are sought by the author in this paper, who uses, as additional sources for research, a world of local communities and individual accounts.

  2. Rural North Dakota's oil boom and its impact on social services.

    Science.gov (United States)

    Weber, Bret A; Geigle, Julia; Barkdull, Carenlee

    2014-01-01

    Over the last five years, North Dakota has experienced an oil boom based on high oil prices and hydraulic fracturing technologies. This has brought economic expansion and population growth to rural communities that had previously experienced decades of depopulation and economic struggle. Although the state has enjoyed many benefits--especially in juxtaposition to a sluggish national economy--the boom has also meant the arrival of economic refugees and dramatic impacts on largely rural social service systems. In the midst of a rapidly changing situation, available information tends to swing between euphoria over economic success and hysteria about rising crime and shifting cultures. In response, the authors used a primary focus group with county social service directors from across the state and a followup focus group with social workers operating on the edge of oil activity. Grounded in resilience theory, qualitative analysis of the primary focus group, and triangulation of data from other sources, this study provides a more objective report of the housing and social challenges, the benefits of the boom, and the challenges to solutions.

  3. The toxicology of cannabis and cannabis prohibition.

    Science.gov (United States)

    Grotenhermen, Franjo

    2007-08-01

    The acute side effects caused by cannabis use are mainly related to psyche and cognition, and to circulation. Euphoria, anxiety, changes in sensory perception, impairment of memory and psychomotor performance are common effects after a dose is taken that exceeds an individually variable threshold. Cannabis consumption may increase heart rate and change blood pressure, which may have serious consequences in people with heart disease. Effects of chronic use may be induction of psychosis and development of dependency to the drug. Effects on cognitive abilities seem to be reversible after abstinence, except possibly in very heavy users. Cannabis exposure in utero may have negative consequences on brain development with subtle impairment of cognitive abilities in later life. Consequences of cannabis smoking may be similar to those of tobacco smoking and should be avoided. Use by young people has more detrimental effects than use by adults. There appear to be promising therapeutic uses of cannabis for a range of indications. Use of moderate doses in a therapeutic context is usually not associated with severe side effects. Current prohibition on cannabis use may also have harmful side effects for the individual and the society, while having little influence on prevalence of use. Harm is greatest for seriously ill people who may benefit from a treatment with cannabis. This makes it difficult to justify criminal penalties against patients.

  4. The development and maintenance of drug addiction.

    Science.gov (United States)

    Wise, Roy A; Koob, George F

    2014-01-01

    What is the defining property of addiction? We dust off a several-decades-long debate about the relative importance of two forms of reinforcement—positive reinforcement, subjectively linked to drug-induced euphoria, and negative reinforcement, subjectively linked to the alleviation of pain—both of which figure importantly in addiction theory; each of these forms has dominated addiction theory in its time. We agree that addiction begins with the formation of habits through positive reinforcement and that drug-opposite physiological responses often establish the conditions for negative reinforcement to come into play at a time when tolerance, in the form of increasing reward thresholds, appears to develop into positive reinforcement. Wise’s work has tended to focus on positive-reinforcement mechanisms that are important for establishing drug-seeking habits and reinstating them quickly after periods of abstinence, whereas Koob’s work has tended to focus on the negative-reinforcement mechanisms that become most obvious in the late stages of sustained addiction. While we tend to agree with each other about the early and late stages of addiction, we hold different views as to (i) the point between early and late at which the diagnosis of ‘addiction’ should be invoked, (ii) the relative importance of positive and negative reinforcement leading up to this transition, and (iii) the degree to which the specifics of negative reinforcement can be generalized across the range of addictive agents.

  5. STORIES OF PROSTITUTION: READINGS OF ENTERTAINMENT IN NINETEENTH-CENTURY BRAZIL

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    Renata Ferreira Vieira

    2018-01-01

    Full Text Available Censored by parents and conservative critics, stories about prostitutes have always been "forbidden" readings that, in addition to stimulating the book trade over the years, offered readers entertainment through the "euphoria and sensations" caused by the stuffed works with obscene plots and / or sexual insinuations. It is in this perception of reading, in nineteenth-century Brazil, who were the novels about the "women of life" like Lucíola (1862, the Brazilian writer José de Alencar (1829-1877,and Nana (1880, the French writer Émile Zola (1840-1902. Affiliated, respectively, with romantic and naturalistic esthetics, Lucíola and Nana fictionalize the live of two young prostitutes in a nineteenth-century patriarchal society. In order to understand how these novels were appropriated as "entertainment literature" by the reading public of the time, this article will investigate the trajectory of publication, circulation and reception of these works through the theoretical assumptions of the history of books and reading (CHARTIER, 1990 .

  6. Use and acute toxicity associated with the novel psychoactive substances diphenylprolinol (D2PM) and desoxypipradrol (2-DPMP).

    Science.gov (United States)

    Wood, David M; Dargan, Paul I

    2012-09-01

    Over the last decade there has been greater use of novel psychoactive substances ('legal highs') across Europe and the United States, including increasing reports of use of diphenylprolinol (D2PM) and desoxypipradrol (2-DPMP). This review will discuss the pharmacology and mechanisms of action of these two compounds, available data on their sources and prevalence of use and reports of acute toxicity and fatalities associated with their use. PubMed was searched using the search terms 'D2PM', '2-DPMP', 'diphenyl-2-pyrrolidinyl-methanol', 'diphenylprolinol', '2-diphenylmethylpiperidine' and 'desoxypipradrol'. These searches identified 70 articles, only five of which were relevant. PHARMACOLOGY AND MECHANISMS OF ACTION: D2PM is a pyrrolidine analogue and 2-DPMP is a desoxy analogue of pipradrol. Animal studies have shown that 2-DPMP increases the release of dopamine and decreases dopamine re-uptake comparable to the effects of cocaine. The binding and activity of D2PM at the dopamine re-uptake transporter, based on currently published data, is also similar to cocaine, although it appears that D2PM has less biological activity. SOURCES AND PREVALENCE OF USE: D2PM and 2-DPMP is available from internet-based suppliers and street level drug dealers; there is currently no systematic data to be able to determine the relative importance of these routes of supply. There is no population level, and limited subpopulation level, data on the prevalence of use of D2PM/2-DPMP. In one 2011 study, 1.6% of 315 individuals in 'gay friendly' nightclubs in South London reported that they had used a pipradrol: 1.0% had used within the last year and 0.6% had used or were planning to use a pipradrol on the night of the survey. ACUTE TOXICITY: Reports on internet discussion fora describe prolonged euphoria and stimulant effects including euphoria, sweating and bruxism with use of D2PM and 2-DPMP. The first report of analytically confirmed acute D2PM toxicity described chest pain and

  7. Neuro-chemical activation of brain reward meso-limbic circuitry is associated with relapse prevention and drug hunger: a hypothesis.

    Science.gov (United States)

    Blum, Kenneth; Gold, Mark S

    2011-04-01

    It is no surprise that it has taken over four decades to confirm and extend the crucial role of dopamine and related genes and gene deficits in the etiology of risk for drug dependence. Hundreds of studies, enabled by neuroscience neuroimaging and genetic advances, have been reported. While dopamine theories have been reported, confirmed, replicated and replicated again, changes have been slow to move from the bench to the bedside. Unlike penicillin used to target certain infections, addiction requires the consent, motivation and enthusiastic participation of the patient. Clearly, current treatment has not caught up with advances in the science. In-patient and out-patient treatment still relies on detoxification, abstinence and 12 step programs. Addiction is a chronic and relapsing disease. Addiction treatment can be reported as cures at 3 or 6 weeks, only to be clearly failures at 1 or 5 years. The logical standard of care should focus on detoxifying, stabilizing and returning the patient to the pre-loss of control or pre-addiction neurochemical state. Pre-clinical and clinical data on neurochemistry and neurogenetics of Substance Use Disorder (SUD) as it relates to both relapse and drug hunger has been reviewed. We are proposing herein that efforts to physiologically integrate known neural mechanisms with other psychotherapeutic treatment options to combat relapse should be encouraged. It is well known that after prolonged abstinence, recovered addicts are particularly vulnerable to relapse. Individuals who use their drug of choice after abstinence experience a powerful euphoria that can quickly precipitate a full-blown relapse. While a biological explanation for this conundrum has remained elusive, we hypothesize that this clinically observed "supersensitivity" might be the result of pre-morbid or state genetic hypodopaminergic polymorphisms. We are proposing that recent studies have indicated that genetic, personality and environmental factors are predictors of

  8. Who goes, who stays?

    Science.gov (United States)

    Light, D A

    2001-01-01

    The merger announcement between DeWaal Pharmaceuticals and BioHealth Labs was front-page news. Pictures of CEO Steve Lindell and chairman Kaspar van de Velde had appeared in newspapers around the world. Two months later, the press had moved on to a new story, and the hard labor of integration loomed. Steve had worked tirelessly to clear regulatory hurdles, and all signs pointed toward approval in the near future. Now Steve was feeling pressure to attack the real challenge of the merger: bringing together two very different cultures as quickly and efficiently as possible. DeWaal was an established drug-maker based in the Netherlands, and BioHealth, headquartered just north of New York City, had in recent years become competitive at the highest tier of the market. The first step in integrating the two companies was to select the top layers of management for the new company. At the moment, there were some 120 people on two continents for about 65 senior-level jobs. Steve's urgency was not without cause: talented people from both sides were jumping ship, and BioHealth's stock price had dipped 20% after the initial euphoria over the deal had worn off. Complicating matters was confusion over who was really in charge: Steve wanted to take leadership and move ahead rapidly, but he was often disarmed by Kaspar's charming persuasiveness. As the two men attempt to work through the important personnel issues during a lunch meeting, they quickly hit a roadblock. How can they come to agreement about who goes and who stays? Four commentators offer advice in response to this fictional case.

  9. Cocaine – Characteristics and addiction

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    Katarzyna Girczys-Połedniok

    2016-08-01

    Full Text Available Cocaine use leads to health, social and legal problems. The aim of this paper is to discuss cocaine action, addicts characteristics, use patterns and consequences, as well as addiction treatment methods. A literature review was based on the Medline, PubMed, Polish Medical Bibliography databases and the Silesian Library resources. The Police and Central Statistical Office statistics, as well as the World Health Organization, the European Monitoring Centre for Drugs and Drug Addiction and the National Office for Combating Drug Addiction reports were used. Cocaine leads to mood improvement, appetite decrease, physical and intellectual activity enhancement, euphoria, inflated self-esteem, social networking ease and increased sexual desire. Cocaine hydrochloride is mainly used intranasaly, but also as intravenous and subcutaneous injections. Cocaine use and first addiction treatment fall in later age compared to other psychoactive substances. There is a high men to women ratio among addicts. There is a relationship between cocaine addiction, the presence of other disorders and genetic predisposition to addiction development. Polish reports indicate higher popularity of cocaine among people with a high economic and social status. Although Poland is a country with the low percentage of cocaine use, its popularity is growing. The consequences of cocaine use concern somatic and mental health problems, socioeconomic and legal conditions. The drug plays a role in crimes and traffic accidents. Because of the risks associated with cocaine use, it has been listed in a register of drugs attached to the Act on Counteracting Drug Addiction. Addiction treatment includes psychological, pharmacological and harm reduction strategies. Med Pr 2016;67(4:537–544

  10. Specific behavioral and cellular adaptations induced by chronic morphine are reduced by dietary omega-3 polyunsaturated fatty acids.

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    Joshua Hakimian

    Full Text Available Opiates, one of the oldest known drugs, are the benchmark for treating pain. Regular opioid exposure also induces euphoria making these compounds addictive and often misused, as shown by the current epidemic of opioid abuse and overdose mortalities. In addition to the effect of opioids on their cognate receptors and signaling cascades, these compounds also induce multiple adaptations at cellular and behavioral levels. As omega-3 polyunsaturated fatty acids (n-3 PUFAs play a ubiquitous role in behavioral and cellular processes, we proposed that supplemental n-3 PUFAs, enriched in docosahexanoic acid (DHA, could offset these adaptations following chronic opioid exposure. We used an 8 week regimen of n-3 PUFA supplementation followed by 8 days of morphine in the presence of this diet. We first assessed the effect of morphine in different behavioral measures and found that morphine increased anxiety and reduced wheel-running behavior. These effects were reduced by dietary n-3 PUFAs without affecting morphine-induced analgesia or hyperlocomotion, known effects of this opiate acting at mu opioid receptors. At the cellular level we found that morphine reduced striatal DHA content and that this was reversed by supplemental n-3 PUFAs. Chronic morphine also increased glutamatergic plasticity and the proportion of Grin2B-NMDARs in striatal projection neurons. This effect was similarly reversed by supplemental n-3 PUFAs. Gene analysis showed that supplemental PUFAs offset the effect of morphine on genes found in neurons of the dopamine receptor 2 (D2-enriched indirect pathway but not of genes found in dopamine receptor 1(D1-enriched direct-pathway neurons. Analysis of the D2 striatal connectome by a retrogradely transported pseudorabies virus showed that n-3 PUFA supplementation reversed the effect of chronic morphine on the innervation of D2 neurons by the dorsomedial prefontal and piriform cortices. Together these changes outline specific behavioral and

  11. [Recreational usage of dextromethorphan--analysis based on internet users experiences].

    Science.gov (United States)

    Zajac, Maciej; Andrzejczyk, Agata; Kuich, Aleksandra; Tyrańska-Fobke, Anna; Waldman, Wojciech; Sein Anand, Jacek

    2013-01-01

    In the last decade we have observed a considerable increase in nonmedical usage of dextromethorphan (DXM) among young age groups, especially school children between 13 and 16 yrs. We analysed the "trip reports" after use of DXM, available on a website: www.hyperreal.info in the years 1999-2013. The data collected by authors were analysed according to: age, sex, symptoms, dose of DXM, a reason and a place of using the drug. A review of 124 "trip reports" showed that the majority of their writers are male (M 90.3%, F 9.7%). Young people, aged 16-20 (80.4%), dominated among the study population. The most common place of using DXM was a flat of a drug user (70.2%), and the reason of using a willingness to experiment with new psychoactive substances (41.9%) as well as the desire of "get high" (25.8%). The majority of users used DXM at least once again in their lives (56.5%). A single dose of the ingested drug ranged from 120 mg to 1575 mg (mean 539.25 mg). Most often received doses were 450 mg (30.4%), 300 mg (12%), 900 mg (11.2%). DXM was positively assessed by the internauts as a recreational psychoactive substance (84.7%). The most common clinical symptoms described by internauts were: difficulties with walking (74.2%), visual illusions (73.4%), altered sense of time (41.9%), feeling of exteriorisation (35.5%), euphoria (33.1%), nausea and vomiting (32.3%), auditory illusions (30.6%) and pruritus (29.8%). 1. DXM is the popular psychoactive substance which has gained a positive opinion among the Internet users. 2. Easy accessibility of DXM may pose a serious threat to health of young people who experiment with psychoactive substances. 3. The improvement of DXM sales control should be considered.

  12. Dopamine D1 receptor gene variation modulates opioid dependence risk by affecting transition to addiction.

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    Feng Zhu

    Full Text Available Dopamine D1 receptor (DRD1 modulates opioid reinforcement, reward, and opioid-induced neuroadaptation. We propose that DRD1 polymorphism affects susceptibility to opioid dependence (OD, the efficiency of transition to OD, and opioid-induced pleasure response. We analyzed potential association between seven DRD1 polymorphisms with the following traits: duration of transition from the first use to dependence (DTFUD, subjective pleasure responses to opioid on first use and post-dependence use, and OD risk in 425 Chinese with OD and 514 healthy controls. DTFUD and level of pleasure responses were examined using a semi-structured interview. The DTFUD of opioid addicts ranged from 5 days to 11 years. Most addicts (64.0% reported non-comfortable response upon first opioid use, while after dependence, most addicts (53.0% felt strong opioid-induced pleasure. Survival analysis revealed a correlation of prolonged DTFUD with the minor allele-carrying genotypes of DRD1 rs4532 (hazard ratios (HR = 0.694; p = 0.001 and rs686 (HR = 0.681, p = 0.0003. Binary logistic regression indicated that rs10063995 GT genotype (vs. GG+TT, OR = 0.261 could predict decreased pleasure response to first-time use and the minor alleles of rs686 (OR = 0.535 and rs4532 (OR = 0.537 could predict decreased post-dependence pleasure. Moreover, rs686 minor allele was associated with a decreased risk for rapid transition from initial use to dependence (DTFUD≤30 days; OR = 0.603 or post-dependence euphoria (OR = 0.603 relative to major allele. In conclusion, DRD1 rs686 minor allele decreases the OD risk by prolonging the transition to dependence and attenuating opioid-induced pleasure in Chinese.

  13. Arecoline augments cellular proliferation in the prostate gland of male Wistar rats

    International Nuclear Information System (INIS)

    Saha, Indraneel; Chatterjee, Aniruddha; Mondal, Anushree; Maiti, Bishwa Ranjan; Chatterji, Urmi

    2011-01-01

    Areca nut chewing is the fourth most popular habit in the world due to its effects as a mild stimulant, causing a feeling of euphoria and slightly heightened alertness. Areca nuts contain several alkaloids and tannins, of which arecoline is the most abundant and known to have several adverse effects in humans, specially an increased risk of oral cancer. On evaluating the effects of arecoline on the male endocrine physiology in Wistar rats, it was found that arecoline treatment led to an overall enlargement and increase in the wet weight of the prostate gland, and a two-fold increase in serum gonadotropin and testosterone levels. Since the prostate is a major target for testosterone, the consequences of arecoline consumption were studied specifically in the prostate gland. Arecoline treatment led to an increase in the number of rough endoplasmic reticulum and reduction of secretory vesicles, signifying a hyperactive state of the prostate. Increased expression of androgen receptors in response to arecoline allowed for enhanced effect of testosterone in the prostate of treated animals, which augmented cell proliferation, subsequently confirmed by an increase in the expression of Ki-67 protein. Cellular proliferation was also the outcome of concomitant over expression of the G 1 -to-S cell cycle regulatory proteins, cyclin D1 and CDK4, both at the transcriptional and translational levels. Taken together, the findings provide the first evidence that regular use of arecoline may lead to prostatic hyperplasia and hypertrophy, and eventually to disorders associated with prostate enlargement. - Highlights: → Effect of arecoline was investigated on the endocrine physiology of male Wistar rats. → Increase observed in prostate size, wet weight, serum testosterone and gonadotropins. → Arecoline increased RER, expression of androgen receptor and cellular proliferation. → Upregulation of cyclin D1 and CDK4 seen at transcriptional and translational levels. → It may cause

  14. Imaging opiate receptors with positron emission tomography

    Energy Technology Data Exchange (ETDEWEB)

    Frost, J.J.; Dannals, R.F.; Ravert, H.T.; Wilson, A.A.; Wong, D.F.; Links, J.M.; Burns, H.D.; Kuhar, M.J.; Snyder, S.H.; Wagner, H.N. Jr.

    1984-01-01

    Opiate receptors exist in the mammalian brain and are thought to meditate the diverse pharmacological actions of the opiates, such as analgesia, euphoria, and sedation. The 4-carbomethoxyl derivatives of fentanyl, such as lofentanil and R31833 (4-carbomethoxyfentanyl) bind to the opiate receptor with high affinity. C-11 R31833 was synthesized by reacting C-11 methyl iodide with the appropriate carboxylate. Male ICR mice were injected intravenously with C-11 R31833 (5..mu..g/kg), killed 30 minutes later, and the brains rapidly dissected. The thalami, striata, and cerebral cortex are rich in opiate receptors, but the cerebellum contains a very low concentration of opiate receptors. The thalamus/cerebellum and striatum/cerebellum activity ratios, calculated per mg of wet tissue, were 4.1 and 5.2 respectively. Coinjection of 5mg/kg naloxone reduced the ratios to 1.1, which indicates that the preferential localization of C-11 R31833 in the thalami and striata is due to binding to opiate is due to binding to opiate receptors. A 22 kg anesthetized male baboon was imaged using the NeuroECAT after injection of 18.9 mCi of C-11 R13833 (0.50 ..mu..g/kg, specific activity 616 Ci/mmole at time of injection). From 15-70 minutes after injection preferential accumulation of activity could be seen in the thalami, caudate nuclei, and cerebral cortex and, conversely, low activity was demonstrated in the cerebellum. At one hour postinjection the maximum measured caudate/cerebellum activity ratio per pixel was 2.9. For the NeuroECAT the recovery coefficient for the baboon caudate is ca. 0.2-0.3, and therefore the actual caudate/cerebellum ratio is ca. 10-15.

  15. Evaluation of Smokers' Attitudes about Tobacco Control Program and Obstacles to the Implementation of this Program in Tehran

    Directory of Open Access Journals (Sweden)

    Liley Mahmudi

    2018-04-01

    Full Text Available This study aimed to assess the status of cigarette marketing in Tehran and the attitude of smokers toward smoking Behavior and tobacco control programs in smokers of Tehran. This cross-sectional study was conducted on 608 volunteer smokers in Tehran City. Using a stratified cluster random sampling method, the study population involved smokers who used at least one cigarette per day. The data collection tool was an anonymous self-administered questionnaire including basic information and questions related to participants' attitude toward smoking habits (Cronbach's alpha; 78.19%.. (72.9% of the participants started smoking at the age of 10 to 19 years and 72.2% used foreign cigarettes. Each person spends a daily average of 30690 riyals for cigarettes. Being tempted (28.0%, feeling euphoria (27.8% and getting nervous (25.5% were the most common reasons of restarting cigarette smoking after cessation. A majority of the participants believed that smoking in public places was a violation of the rights of others and smoking should be avoided in such places. 61 Iranian and foreign cigarette brands available in the market that some foreign cigarettes were smuggled. Most smokers start smoking as teenagers, then smoking prevention programs should focus on adolescents as the most vulnerable age group. Raising the retail price of tobacco products through increasing taxes can reduce consumption particularly among first starters and youth. increasing taxes and prices of tobacco products may be effective when simultaneous effective measures are implemented to eliminate all kinds of illicit trade in all forms of tobacco products.

  16. Changes in cue reactivity and attentional bias following experimental cue exposure and response prevention: a laboratory study of the effects of D-cycloserine in heavy drinkers.

    Science.gov (United States)

    Kamboj, Sunjeev K; Massey-Chase, Rachel; Rodney, Lydia; Das, Ravi; Almahdi, Basil; Curran, H Valerie; Morgan, Celia J A

    2011-09-01

    The effects of D-cycloserine (DCS) in animal models of anxiety disorders and addiction indicate a role for N-methyl D-aspartate (NMDA) receptors in extinction learning. Exposure/response prevention treatments for anxiety disorders in humans are enhanced by DCS, suggesting a promising co-therapy regime, mediated by NMDA receptors. Exposure/response prevention may also be effective in problematic drinkers, and DCS might enhance habituation to cues in these individuals. Since heavy drinkers show ostensible conditioned responses to alcohol cues, habituation following exposure/response prevention should be evident in these drinkers, with DCS enhancing this effect. The objective of this study is to investigate the effect of DCS on exposure/response prevention in heavy drinkers. In a randomised, double-blind, placebo-controlled study, heavy social drinkers recruited from the community received either DCS (125 mg; n = 19) or placebo (n = 17) 1 h prior to each of two sessions of exposure/response prevention. Cue reactivity and attentional bias were assessed during these two sessions and at a third follow-up session. Between-session drinking behaviour was recorded. Robust cue reactivity and attentional bias to alcohol cues was evident, as expected of heavy drinkers. Within- and between-session habituation of cue reactivity, as well as a reduction in attentional bias to alcohol cues over time was found. However, there was no evidence of greater habituation in the DCS group. Subtle stimulant effects (increased subjective contentedness and euphoria) which were unrelated to exposure/response prevention were found following DCS. DCS does not appear to enhance habituation of alcohol cue reactivity in heavy non-dependent drinkers. Its utility in enhancing treatments based on exposure/response prevention in dependent drinkers or drug users remains open.

  17. Politisasi Birokrasi Pemerintahan Desa Pada Era Reformasi

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    R Widodo Triputro

    2015-12-01

    Full Text Available Public bureaucracy holds a strategic position in government implementation as well as to effort of democratization and autonomy in local and village government scope. Professional bureaucracy apparatus intensely support the increase of public service quality, particular yfor social empowerment as the realization of local and village autonomy essence. The concept of bureaucracy neutrality needs to be bought into reality in order to urge a bureaucracy that more oriented to its main function, namely as public service apparatus. Long history oflndonesian bureaucracy reflects the occuring bureaucracy politization by government regime, with the result that all bureaucracy's line become an administration tool in performing is authority centralization. As the consequence, service tends to be addressed to government (patron by neglecting public service function. It includes in village government scope, in which bureaucracy becomes a political machine, meanwlile serves as an effective controlling tool that limits social access to public arena. The outcome of case study conducted in one village of Bantul Regency with data resource was gained from government official and prominent figures both in regency or village government area, reveals that bureaucracy politization in village government nowdays is much stronger than under new orde era. On the pretext of democratization and social empowerment, government (red : regent and his political party performs a set of bureaucracy politization in village government. With limited village resource condition, politic euphoria, and conflict as the result of election proces of village government bureaucracy apparatus, government intervences village government and its community. The patron-client relation is between the government with village government and its community. It is evidenced that bureaucracy politization of villlage government is re-carried out, among others is the estabilish of "Paguyuban Pamong" with its

  18. Single-dose pharmacokinetics and tolerability of oral delta-9- tetrahydrocannabinol in patients with amyotrophic lateral sclerosis.

    Science.gov (United States)

    Joerger, Markus; Wilkins, Justin; Fagagnini, Stefania; Baldinger, Reto; Brenneisen, Rudolf; Schneider, Ursula; Goldman, Bea; Weber, Markus

    2012-06-01

    Cannabinoids exert neuroprotective and symptomatic effects in amyotrophic lateral sclerosis (ALS). We assessed the pharmacokinetics (PK) and tolerability of delta-9-tetrahydrocannabinol (THC) in ALS patients. Nine patients received THC single oral doses of 5mg and 10mg, separated by a wash-out period of two weeks. Blood samples for the determination of THC, 11-nor-9-carboxy-THC (THC-COOH) and hydroxy-THC (THC-OH) were taken up to 8 hours after intake. Adverse events were assessed by visual analogue scales (VAS). Plasma concentrations of the active metabolite THC-OH were submitted to sequential pharmacokinetic-pharmacodynamic population modeling on individual heart rate as a proxy for THC's cardiovasculatory effects. Drowsiness, euphoria, orthostasis, sleepiness, vertigo and weakness were significantly more frequent in patients receiving 10mg compared to 5 mg THC. A marked interindividual variability was found for the absorption of oral THC (84%) and elimination of THC-COOH (45%). PK data did not support any clinically relevant deviation from linear PK in the investigated range of concentrations. Plasma concentrations of THC-OH were positively correlated with the individual heart rate. An E(max-model) was successfully fitted to individual heart rate, with a THC-OH plasma concentration of 3.2 x 10(-4) μmol/L for EC(50) and an E(max) of 93 bpm for heart rate. The higher 10mg dose of THC was dose-limiting in patients with ALS. High interindividual PK variability requires individuell titration of THC for potential therapeutic use in patients with ALS.

  19. Human Pharmacology of Mephedrone in Comparison with MDMA.

    Science.gov (United States)

    Papaseit, Esther; Pérez-Mañá, Clara; Mateus, Julián-Andrés; Pujadas, Mitona; Fonseca, Francina; Torrens, Marta; Olesti, Eulàlia; de la Torre, Rafael; Farré, Magí

    2016-10-01

    Mephedrone (4-methylmethcathinone) is a novel psychoactive substance popular among drug users because it displays similar effects to MDMA (3,4-methylenedioxymethamphetamine, ecstasy). Mephedrone consumption has been associated with undesirable effects and fatal intoxications. At present, there is no research available on its pharmacological effects in humans under controlled and experimental administration. This study aims to evaluate the clinical pharmacology of mephedrone and its relative abuse liability compared with MDMA. Twelve male volunteers participated in a randomized, double-blind, crossover, and placebo-controlled trial. The single oral dose conditions were: mephedrone 200 mg, MDMA 100 mg, and placebo. Outcome variables included physiological, subjective, and psychomotor effects, and pharmacokinetic parameters. The protocol was registered in ClinicalTrials.gov (NCT02232789). Mephedrone produced a significant increase in systolic and diastolic blood pressure, heart rate, and pupillary diameter. It elicited stimulant-like effects, euphoria, and well-being, and induced mild changes in perceptions with similar ratings to those observed after MDMA administration although effects peaked earlier and were shorter in duration. Maximal plasma concentration values for mephedrone and MDMA peaked at 1.25 h and 2.00 h, respectively. The elimination half-life for mephedrone was 2.15 h and 7.89 h for MDMA. In a similar manner to MDMA, mephedrone exhibits high abuse liability. Its earlier onset and shorter duration of effects, probably related to its short elimination half-life, could explain a more compulsive pattern of use as described by the users.

  20. “ICE” – A rare cause for coagulopathy in a case of massive post-partum hemorrhage

    Directory of Open Access Journals (Sweden)

    Navkiran Singh Gill

    2017-05-01

    Full Text Available A case of massive post-partum hemorrhage in East-Malaysia, associated with 3-4 methylene-dioxy-methamphetamine (MDMA abuse otherwise known as Ecstasy or locally as “ICE”, injected by the patient as a means to suppress labor pains prior to hospital presentation. We report a rare case of substance abuse that lead to life threatening hemorrhage in a maternal patient of productive age group. Presenting to the labor suite in second stage of labor in breech presentation, exhibiting active neuropsychiatric symptoms of intoxication like euphoria, drowsiness, mydriasis but able to obey commands. A rapid response by the Obstetric on-call team proceeded with an assisted-breech delivery. Post-delivery, a baby girl with poor Apgar score was born and intubated. The mother was then posted for an Examination Under Anesthesia as she was noted to have slow blood oozing per-vaginally using a single shot spinal as she exhibited features of difficult intubation and high risk of aspiration. During the procedure, she tipped into massive PPH complicated with DIVC, and was rushed into the intensive care unit for stabilization and back into the operation theatre, needing a total abdominal hysterectomy (TAH as definitive bleeding control. She required large scale resuscitative efforts peri-operatively including continuous veno-venous hemofiltration (CVVH as well as regional intensive care consultation. We describe, chronologically the anesthetic challenges faced in managing a patient in acute substance intoxication at presentation to our district hospital during twilight hours. We then explain the pharmacodynamics of MDMA in provoking coagulopathy. No reports of similar cases in the South-East Asia region.

  1. Comparisons of the risks and potential detriments of various energetic alternatives as a basis for adequate public acceptance - Looking for new ways of communication

    International Nuclear Information System (INIS)

    Osmachkin, V.S.

    1998-01-01

    It is widely adopted that modern energy production technologies (and a nuclear power among them) have to be economically attractive, safe enough, provided with resources and publicly acceptable. In such case they could be convinced of winning the competition with other technologies in the future But now nuclear industry is going through a period of stagnation. After the euphoria of 70th the catastrophes on TMI-2 and Chernobyl have affected very seriously on the rate of the construction of new plants and changed drastically a public perception of nuclear power problems. Later on an unacceptance of nuclear power spread and became a real obstacle for nuclear progressing in some countries. Now only in South-East Asia it can see some development in atomic area. But now a problem of nuclear energy unacceptance is seems very hard to be resolved. To change a situation and ensure the approval of nuclear power in the society it needs to shatter the myths about extraordinary danger and risks of the nuclear energy. his paper discusses the general methodology of risk analysis and the risks and benefits of future energy production. Just before end of our age a lot attention is being paid in forecasting the future and the energy production trend in particular. Typically it is declared that energy production will be doubled in next 50 years. But much concern is expressed about harmful greenhouse gases. Which way will be chosen by energy producers? In assessment the impacts of different energy scenarios a Catalog of Risk proposed by B.Cohen can be used. There an estimation of the loss of life expectancy is given for various harmful factors for USA conditions ten years ago

  2. Laboratory measures of methylphenidate effects in cocaine-dependent patients receiving treatment.

    Science.gov (United States)

    Roache, J D; Grabowski, J; Schmitz, J M; Creson, D L; Rhoades, H M

    2000-02-01

    Two experiments examined the effects of methylphenidate in male and female patients enrolled in an outpatient treatment program for primary cocaine dependence. The first study was a component of a double-blind efficacy trial wherein 57 patients were first tested in a human laboratory for their initial responsiveness to medication. Patients were randomly assigned to receive either placebo or methylphenidate treatment and received their first dose in the human laboratory environment before continuing in outpatient treatment. Methylphenidate was given as a 20-mg sustained-release dose (twice daily) plus an additional 5-mg immediate-release dose combined with the morning dose. Methylphenidate increased heart rate and subjective ratings; however, the subjective effects were primarily of a "dysphoric" nature, and significant effects were limited to increases in anxiety, depression, and anger on the Profile of Mood States; shaky/jittery ratings on a visual analog scale; and dysphoria on the lysergic acid diethylamide (LSD) scale of the Addiction Research Center Inventory. Methylphenidate did not increase cocaine craving nor ratings suggesting abuse potential (i.e., Morphine-Benzedrine Group or drug-liking scores, etc.). None of the drug effects observed in the human laboratory was of clinical concern, and no subject was precluded from continuing in the outpatient study. After outpatient treatment completion, 12 patients were brought back into a second double-blind human laboratory study in which three doses (15, 30, and 60 mg) of immediate-release methylphenidate were administered in an ascending series preceded and followed by placebo. Methylphenidate produced dose-related increases in heart rate, subjective ratings of shaky/jittery, and LSD/dysphoria without significantly altering cocaine craving or stimulant euphoria ratings. These results suggest that stimulant substitution-type approaches to the treatment of cocaine dependence are not necessarily contraindicated

  3. Discriminating the effects of Cannabis sativa and Cannabis indica: a web survey of medical cannabis users.

    Science.gov (United States)

    Pearce, Daniel D; Mitsouras, Katherine; Irizarry, Kristopher J

    2014-10-01

    To evaluate the opinions of medical cannabis (MC) users on the effects of Cannabis indica vs. those of Cannabis sativa on conditions and symptoms through an online survey. Survey of 95 non-randomly assigned MC users. A two-sided chi-square test followed by Bonferroni post hoc multiple comparison and Fisher exact test were used to determine correlations. The Cronbach α was used to determine internal consistency. Announcements on 13 MC websites with links to SurveyMonkey.com. Self-identified MC users. Web survey. Species effects were compared regarding health symptoms, conditions, purpose, route, and trust in product label. Trust in the purity, the route of administration, or the purpose (recreational vs. medicinal) did not differ between the two species. A preference for C. indica was statistically significant for pain management (p=0.001), helping with sedation (p=0.015), and sleep (p<0.001). C. sativa was preferred for euphoria (p<0.001) and enhancing energy (p=0.022). The conditions reaching statistical significance for C. indica preference were: nonmigraine headaches (p=0.042), glaucoma (p=0.036), neuropathy (p=0.024), spasticity (p=0.048), seizures (p=0.031), insomnia (p<0.001), and joint pain (p=0.048). For C. sativa, no conditions reached significance. The MC websites' descriptions of effects that agreed with the survey results are listed. Some conditions had very few respondents. The internal consistency/reliability (Cronbach α) was adequate for the condition scale but not for the symptom survey. In this anonymous Web survey, which had limitations, the two species had different effect associations on symptoms and conditions, possibly because of ingredient differences. Future surveys and subsequent prospective definitive trials are needed to confirm the findings.

  4. Safety of atomoxetine in combination with intravenous cocaine in cocaine-experienced participants.

    Science.gov (United States)

    Cantilena, Louis; Kahn, Roberta; Duncan, Connie C; Li, Shou-Hua; Anderson, Ann; Elkashef, Ahmed

    2012-12-01

    Atomoxetine has been considered as an agonist replacement therapy for cocaine. We investigated the safety of the interaction of atomoxetine with cocaine and also whether cognitive function was affected by atomoxetine during short-term administration. In a double-blind placebo-controlled inpatient study of 20 cocaine-dependent volunteers, participants received atomoxetine 80 mg daily followed by 100 mg daily for 5 days each. On the fourth and fifth day at each dose, cocaine (20 and 40 mg) was infused intravenously in sequential daily sessions. Preinfusion mean systolic pressures showed a small but statistically significant difference between placebo and both doses of atomoxetine. Preinfusion mean diastolic pressures were significant between placebo and atomoxetine 80 mg only. The diastolic pressure response to 40 mg cocaine was statistically significant only between the 80- and 100-mg atomoxetine doses. All electrocardiogram parameters were unchanged. Visual Analog Scale (VAS) scores for "bad effect" in the atomoxetine group were significantly higher at baseline, then declined, and for "likely to use" declined with atomoxetine treatment. On the Addiction Research Center Inventory, the atomoxetine group scored significantly lower on amphetamine, euphoria, and energy subscales (P affect cocaine pharmacokinetics. In tests of working memory, sustained attention, cognitive flexibility, and decision-making, atomoxetine improved performance on the visual n-back task. There were no differences in any pharmacokinetic parameters for cocaine with atomoxetine. Atomoxetine was tolerated safely by all participants. Certain cognitive improvements and a dampening effect on VAS scores after cocaine were observed, but should be weighed against small but significant differences in hemodynamic responses after atomoxetine.

  5. Safety of Atomoxetine in Combination with Intravenous Cocaine in Cocaine- Experienced Participants

    Science.gov (United States)

    Cantilena, Louis; Kahn, Roberta; Duncan, Connie C.; Li, Shou-Hua; Anderson, Ann; Elkashef, Ahmed

    2012-01-01

    Objectives Atomoxetine has been considered as an agonist replacement therapy for cocaine. We investigated the safety of the interaction of atomoxetine with cocaine, and also whether cognitive function was affected by atomoxetine during short-term administration. Methods In a double-blind placebo-controlled inpatient study of 20 cocaine-dependent volunteers, participants received atomoxetine 80 mg daily followed by 100 mg daily for 5 days each. On the fourth and fifth day at each dose, cocaine (20 mg and 40 mg) was infused intravenously in sequential daily sessions. Results Pre-infusion mean systolic pressures showed a small but statistically significant difference between placebo and both doses of atomoxetine. Pre-infusion mean diastolic pressures were significant between placebo and atomoxetine 80 mg only. The diastolic pressure response to 40 mg cocaine was statistically significant only between the 80 mg and 100 mg atomoxetine doses. All ECG parameters were unchanged. VAS scores for “bad effect” in the atomoxetine group were significantly higher at baseline, then declined, and for “likely to use” declined with atomoxetine treatment. On the ARCI the atomoxetine group scored significantly lower on amphetamine, euphoria and energy subscales (pAtomoxetine did not affect cocaine pharmacokinetics. In tests of working memory, sustained attention, cognitive flexibility, and decision-making, atomoxetine improved performance on the visual n-back task. There were no differences in any pharmacokinetic parameters for cocaine with atomoxetine. Conclusions Atomoxetine was tolerated safely by all participants. Certain cognitive improvements and a dampening effect on VAS scores after cocaine were observed, but should be weighed against small but significant differences in hemodynamic responses after atomoxetine. PMID:22987022

  6. Migration myths and imaginaries in the reception of television in Morocco / Mitos e imaginarios migratorios en la recepción de la televisión en Marruecos

    Directory of Open Access Journals (Sweden)

    Lucía Benítez Eyzaguirre

    2013-11-01

    Full Text Available The analysis of the discourses of Moroccan candidates to migrate regarding the images offered by Western television shows a mythical imaginary of life opportunities in the North. Fieldwork1 done in Morocco during two years tried to gather varied information from 204 informers from cities as well as rural areas. The results were analyzed with the help of Atlas.ti, a qualitative software which allows for the creation of mental maps of the opinions and discourses of interviewees. In the process preceding the decision to migrate, candidates try to confirm the images seen on TV through social conversations and the experience of others, in a climate of collective euphoria. Moroccan migrants then move towards an imaginary and idealized place. The idea of mobility is systematically linked to the Western world and to quality of life, social capital and consumption –all of which become mythical elements in a reaction to what are seen as poor expectations offered by life in Morocco.A través de los mitos de la migración se favorece los movimientos de mano de obra necesarios para la economía y también la percepción del fenómeno, el cual se consolida en construcciones legales, políticas y laborales. La distancia entre la producción televisiva y el contexto de la recepción se transforma en un espacio de mitos, ‘paisajes mediáticos’ e imaginarios sobre el Norte y la opulencia. Lo ‘imaginario’, como elemento de la comunicación y de la construcción de la realidad, es central en la globalidad porque organiza las relaciones, los horizontes y el impulso a la acción.

  7. Poppers Maculopathy: Complete Restitution of Macular Changes in OCT after Drug Abstinence.

    Science.gov (United States)

    Pahlitzsch, Milena; Mai, Christian; Joussen, Antonia M; Bergholz, Richard

    2016-01-01

    "Poppers" is a slang term for a group of alkyl nitrites that are used as recreational drugs. Their inhalative intoxication leads to muscle relaxation, analgesia, and euphoria. Maculopathy is a rare but serious side-effect. Clinical, imaging, and electrophysiological findings of seven patients with maculopathy after consumption of poppers were presented. All seven patients were male with a median age of 35 years (range 28-45 years), the median duration of periodical poppers use until the onset of symptoms was 9.8 years (one day to 25 years). Five of seven patients were HIV-positive, one patient was negative, and the HIV-status of one patient was unknown. Median average of visual acuity at presentation was 20/30 in each eye. In all patients, optical coherence tomography (OCT) showed pathognomonic alterations of the outer foveal retina. One patient showed an almost complete restitution of the maculopathy six months after cessation of drug use and following the oral intake of Lutein. Imaging alterations returned to normal and visual acuity recovered from 20/50 and 20/30 (right and left eye, respectively) to 20/20 on both eyes. Follow up of two other cases showed no relevant functional decline or improvement. Toxic maculopathy due to the consumption of poppers is an important differential diagnosis in acute visual loss without clinico-morphological correlate. Optical coherence tomography is the only reliable diagnostic tool in these cases. Complete recovery of visual function and macular morphology is rare, even after cessation of drug abuse. Oral lutein therapy may have a beneficial effect.

  8. Pharmacokinetics of Cannabinoids

    Directory of Open Access Journals (Sweden)

    Iain J McGilveray

    2005-01-01

    Full Text Available Delta-9-tetrahydrocannabinol (Δ-9-THC is the main psychoactive ingredient of cannabis (marijuana. The present review focuses on the pharmacokinetics of THC, but also includes known information for cannabinol and cannabidiol, as well as the synthetic marketed cannabinoids, dronabinol (synthetic THC and nabilone. The variability of THC in plant material (0.3% to 30% leads to variability in tissue THC levels from smoking, which is, in itself, a highly individual process. THC bioavailability averages 30%. With a 3.55% THC cigarette, a peak plasma level of 152±86.3 ng/mL occured approximately 10 min after inhalation. Oral THC, on the other hand, is only 4% to 12% bioavailable and absorption is highly variable. THC is eliminated from plasma in a multiphasic manner, with low amounts detectable for over one week after dosing. A major active 11-hydroxy metabolite is formed after both inhalation and oral dosing (20% and 100% of parent, respectively. THC is widely distributed, particularly to fatty tissues, but less than 1% of an administered dose reaches the brain, while the spleen and body fat are long-term storage sites. The elimination of THC and its many metabolites (from all routes occurs via the feces and urine. Metabolites persist in the urine and feces for severalweeks. Nabilone is well absorbed and the pharmacokinetics, although variable, appear to be linear from oral doses of 1 mg to 4 mg (these doses show a plasma elimination half-life of approximately 2 h. As with THC, there is a high first-pass effect, and the feces to urine ratio of excretion is similar to other cannabinoids. Pharmacokineticpharmacodynamic modelling with plasma THC versus cardiac and psychotropic effects show that after equilibrium is reached, the intensity of effect is proportional to the plasma THC profile. Clinical trials have found that nabilone produces less tachycardia and less euphoria than THC for a similar antiemetic response.

  9. Heritability of lifetime ecstasy use.

    Science.gov (United States)

    Verweij, Karin J H; Treur, Jorien L; Vreeker, Annabel; Brunt, Tibor M; Willemsen, Gonneke; Boomsma, Dorret I; Vink, Jacqueline M

    2017-09-01

    Ecstasy is a widely used psychoactive drug that users often take because they experience positive effects such as increased euphoria, sociability, elevated mood, and heightened sensations. Ecstasy use is not harmless and several immediate and long term side effects have been identified. Lifetime ecstasy use is likely to be partly influenced by genetic factors, but no twin study has determined the heritability. Here, we apply a classical twin design to a large sample of twins and siblings to estimate the heritability of lifetime ecstasy use. The sample comprised 8500 twins and siblings aged between 18 and 45 years from 5402 families registered at the Netherlands Twin Registry. In 2013-2014 participants filled out a questionnaire including a question whether they had ever used ecstasy. We used the classical twin design to partition the individual differences in liability to ecstasy use into that due to genetic, shared environmental, and residual components. Overall, 10.4% of the sample had used ecstasy during their lifetime, with a somewhat higher prevalence in males than females. Twin modelling indicated that individual differences in liability to lifetime ecstasy use are for 74% due to genetic differences between individuals, whereas shared environmental and residual factors explain a small proportion of its liability (5% and 21%, respectively). Although heritability estimates appeared to be higher for females than males, this difference was not significant. Lifetime ecstasy use is a highly heritable trait, which indicates that some people are genetically more vulnerable to start using ecstasy than others. Copyright © 2017. Published by Elsevier B.V.

  10. Global Financial and Economic Crisis and the EU Economic Governance Failure – Evidence From Spain

    Directory of Open Access Journals (Sweden)

    Iulia Monica Oehler-Șincai

    2012-10-01

    Full Text Available The process of public sector restructuring, known in the economic literature as the New Public Management (NPM, came to a deadlock as the global financial and economic crisis broke out in 2008. The expansion of cheap credit, market dereglementation and asset securitization, speculative bubbles, the mixture of euphoria, greed and even naivety and ignorance of the economic players outlined an international financial system which was not subordinated any more to the real economy, but to the own principles, similar to Ponzi schemes or casino rules (Posner, 2011, Kindleberger and Aliber, 2011, Rajan, 2010, Stiglitz, 2010, Roubini and Mihm, 2010. All these generated, at global level, the deepest recession after the Great Depression. The anti-crisis measures came without delay, but they did not produce the expected results. At the Euro Zone level, an almost immediate and direct effect of the crisis and the accompanying countercyclical fiscal measures was that of enhancing the fiscal burden for governments. The levels of fiscal deficit and the public debt as percentages of GDP substantially increased and, gradually, another crisis broke out: the Euro Zone sovereign debt crisis. As a result, at the level of the EU governance, in order for the authorities to be able to improve it, there were adopted distinct strategies, programs and instruments. In spite of the converging efforts at the EU as well as national levels, the majority of the countries in the Euro Zone were not able to find the right formula of restarting economic growth. The present analysis brings to the forefront Spain’s experience, which represents a clear example of governance (and NPM failure, as neither the countercyclical measures adopted for the recovery, in accordance with the keynesyan principles, nor the austerity packages that followed them were not able to induce the economic growth, so essential for diminishing unemployment.

  11. [A case of Neuro-Behçet's disease with early onset of bipolar mood disorder].

    Science.gov (United States)

    Nakano, Yuko; Hatanaka, Yuki; Ikebuchi, Emi; Shimizu, Teruo; Nanko, Shinichiro; Utsumii, Takeshi

    2004-01-01

    In this report, we describe a case of Neuro-Behçet's disease with early onset of bipolar mood disorder. A 53-year-old man with neuropathy including dysphasia and dyslalia developed bipolar mood disorder with anxiety, agitation, depressive mood, talkativeness, hyperkinesias, and appetite rise, and soon exhibited severe personality deterioration. Oral aphthae, cell proliferation and elevated IL-6 levels in spinal fluid, and the patient's clinical downhill course with remission and relapse in spite of good reaction to steroid preparation indicated the possibility of Neuro-Behçet's disease. Brain MRI showed clear swelling of the brain stem area, especially in the pons, in the active phase with low signal in T1-weighted images contrasting with clear high signal in T2-weighted images and FLAIR. At the time of remission, atrophy of the brain stem was shown. These findings were consistent with the view reported in recent years concerning the brain image of Neuro-Behçet's disease, which seemed to be useful for the differential diagnosis. This case manifested two outstanding clinical features. First, it showed bipolar mood swing or mixed state distinguishable from disinhibition or euphoria in deteriorated personality, which is common in this condition. A clear bipolar mood disorder has not been described until now in Neuro-Behçet's disease. Second, subclinical dysthymia or hypomanic phase occurred before clear onset of the disease. In Neuro-Behçet's disease, it is currently considered that psychiatric symptoms may appear in the early stage, but there is controversy as to whether they can precede the other symptoms. Our case indicated very early onset of psychiatric symptoms in this condition.

  12. Magic and the aesthetic illusion.

    Science.gov (United States)

    Balter, Leon

    2002-01-01

    The aesthetic illusion is the subjective experience that the content of a work of art is reality. It has an intrinsic relation to magic, an intrapsychic maneuver oriented toward modification and control of the extraspyschic world, principally through ego functioning. Magic is ontogenetically and culturally archaic, expresses the omnipotence inherent in primary narcissism, and operates according to the logic of the primary process. Magic is a constituent of all ego functioning, usually latent in later development. It may persist as an archaic feature or may be evoked regressively in global or circumscribed ways. It causes a general disinhibition of instincts and impulses attended by a sense of confidence, exhiliration, and exuberance. The aesthetic illusion is a combination of illusions: (1) that the daydream embodied by the work of art is the beholder's own, the artist being ignored, and (2) that the artistically described protagonist is a real person with a real "world." The first illusion arises through the beholder's emotional-instinctual gratification from his or her own fantasy-memory constellations; the second comes about because the beholder, by taking the protagonist as proxy, mobilizes the subjective experience of the imaginary protagonist's "reality." The first illusion is necessary for the second to take place; the second establishes the aesthetic illusion proper. Both illusions are instances of magic. Accordingly, the aesthetic illusion is accompanied by a heady experience of excitement and euphoria. The relation among the aesthetic illusion, magic, and enthusiasm is illustrated by an analytic case, J. D. Salinger's "The Laughing Man," Woody Allen's Play It Again, Sam, Don Quixote, and the medieval Cult of the Saints.

  13. Neurobiology of opioid dependence in creating addiction vulnerability [version 1; referees: 3 approved

    Directory of Open Access Journals (Sweden)

    Christopher J. Evans

    2016-07-01

    Full Text Available Opioid drugs are potent modulators of many physiological and psychological processes. When given acutely, they can elicit the signature responses of euphoria and analgesia that societies have coveted for centuries. Repeated, or chronic, use of opioids induces adaptive or allostatic changes that modify neuronal circuitry and create an altered normality — the “drug-dependent” state. This state, at least that exhibited by those maintained continuously on long-acting opioid drugs such as methadone or buprenorphine, is generally indistinguishable from the drug-naïve state for most overt behaviors. The consequences of the allostatic changes (cellular, circuit, and system adaptations that accompany the drug-dependent state are revealed during drug withdrawal. Drug cessation triggers a temporally orchestrated allostatic re-establishment of neuronal systems, which is manifested as opposing physiological and psychological effects to those exhibited by acute drug intoxication. Some withdrawal symptoms, such as physical symptoms (sweating, shaking, and diarrhea resolve within days, whilst others, such as dysphoria, insomnia, and anxiety, can linger for months, and some adaptations, such as learned associations, may be established for life. We will briefly discuss the cellular mechanisms and neural circuitry that contribute to the opioid drug-dependent state, inferring an emerging role for neuroinflammation. We will argue that opioid addictive behaviors result from a learned relationship between opioids and relief from an existing or withdrawal-induced anxiogenic and/or dysphoric state. Furthermore, a future stressful life event can recall the memory that opioid drugs alleviate negative affect (despair, sadness, and anxiety and thereby precipitate craving, resulting in relapse. A learned association of relief of aversive states would fuel drug craving in vulnerable people living in an increasingly stressful society. We suggest that this route to

  14. Analysis of the medical use of marijuana and its societal implications.

    Science.gov (United States)

    Taylor, H G

    1998-01-01

    To review the pharmacology, therapeutics, adverse effects, and societal implications of the medical use of marijuana. MEDLINE and manual searches of English-language marijuana literature, supplemented with interviews of scientists currently conducting cannabinoid research. Search terms included pain OR palliative care AND cannabis or ALL marijuana; cachexia OR appetite OR appetite stimulants; muscle spasticity OR spasm; immune system and cannabis; nausea and vomiting and cancer and cannabis. MEDLINE search terms: cannabis OR marijuana smoking OR marijuana abuse; all glaucoma; multiple sclerosis AND cannabis OR marijuana smoking OR marijuana abuse. Studies on pharmacology, risks, and medical potential of marijuana. Not applicable. The most prominent effects of marijuana are mediated by receptors in the brain. Acute intoxication is characterized by euphoria, loss of short-term memory, stimulation of the senses, and impaired linear thinking. Depersonalization and panic attacks are adverse effects. Increased heart rate and reddened conjunctivae are common physical effects. Chronic, high doses may cause subtle impairment of cognitive abilities that are appear to be long-term, but of unknown duration. Marijuana may be a risk factor for individuals with underlying mental illness. It causes dependence, but compared with cocaine, alcohol, heroin, and nicotine, marijuana has little addictive power and produces only mild withdrawal symptoms. Marijuana shows clinical promise for glaucoma, nausea and vomiting, analgesia, spasticity, multiple sclerosis, and AIDS wasting syndrome. As a recreational drug, marijuana poses dangers, particularly to social and emotional development during adolescence and young adulthood. As a medical drug, marijuana should be available for patients who do not adequately respond to currently available therapies.

  15. Acute Pharmacological Effects of 2C-B in Humans: An Observational Study

    Directory of Open Access Journals (Sweden)

    Esther Papaseit

    2018-03-01

    Full Text Available 2,5-dimethoxy-4-bromophenethylamine (2C-B is a psychedelic phenylethylamine derivative, structurally similar to mescaline. It is a serotonin 5-hydroxytryptamine-2A (5-HT2A, 5-hydroxytryptamine-2B (5-HT2B, and 5-hydroxytryptamine-2C (5-HT2C receptor partial agonist used recreationally as a new psychoactive substance. It has been reported that 2C-B induces mild psychedelic effects, although its acute pharmacological effects and pharmacokinetics have not yet been fully studied in humans. An observational study was conducted to assess the acute subjective and physiological effects, as well as pharmacokinetics of 2C-B. Sixteen healthy, experienced drug users self-administered an oral dose of 2C-B (10, 15, or 20 mg. Vital signs (blood pressure and heart rate were measured at baseline 1, 2, 3, 4, and 6 hours (h. Each participant completed subjective effects using three rating scales: the visual analog scale (VAS, the Addiction Research Centre Inventory (ARCI, and the Evaluation of the Subjective Effects of Substances with Abuse Potential (VESSPA-SSE at baseline, 2–3 and 6 h after self-administration (maximum effects along 6 h, and the Hallucinogenic Rating Scale (maximum effects along 6 h. Oral fluid (saliva was collected to assess 2C-B and cortisol concentrations during 24 h. Acute administration of 2C-B increased blood pressure and heart rate. Scores of scales related to euphoria increased (high, liking, and stimulated, and changes in perceptions (distances, colors, shapes, and lights and different body feelings/surrounding were produced. Mild hallucinating effects were described in five subjects. Maximum concentrations of 2C-B and cortisol were reached at 1 and 3 h after self-administration, respectively. Oral 2C-B at recreational doses induces a constellation of psychedelic/psychostimulant-like effects similar to those associated with serotonin-acting drugs.

  16. Imaging opiate receptors with positron emission tomography

    International Nuclear Information System (INIS)

    Frost, J.J.; Dannals, R.F.; Ravert, H.T.

    1984-01-01

    Opiate receptors exist in the mammalian brain and are thought to meditate the diverse pharmacological actions of the opiates, such as analgesia, euphoria, and sedation. The 4-carbomethoxyl derivatives of fentanyl, such as lofentanil and R31833 (4-carbomethoxyfentanyl) bind to the opiate receptor with high affinity. C-11 R31833 was synthesized by reacting C-11 methyl iodide with the appropriate carboxylate. Male ICR mice were injected intravenously with C-11 R31833 (5μg/kg), killed 30 minutes later, and the brains rapidly dissected. The thalami, striata, and cerebral cortex are rich in opiate receptors, but the cerebellum contains a very low concentration of opiate receptors. The thalamus/cerebellum and striatum/cerebellum activity ratios, calculated per mg of wet tissue, were 4.1 and 5.2 respectively. Coinjection of 5mg/kg naloxone reduced the ratios to 1.1, which indicates that the preferential localization of C-11 R31833 in the thalami and striata is due to binding to opiate is due to binding to opiate receptors. A 22 kg anesthetized male baboon was imaged using the NeuroECAT after injection of 18.9 mCi of C-11 R13833 (0.50 μg/kg, specific activity 616 Ci/mmole at time of injection). From 15-70 minutes after injection preferential accumulation of activity could be seen in the thalami, caudate nuclei, and cerebral cortex and, conversely, low activity was demonstrated in the cerebellum. At one hour postinjection the maximum measured caudate/cerebellum activity ratio per pixel was 2.9. For the NeuroECAT the recovery coefficient for the baboon caudate is ca. 0.2-0.3, and therefore the actual caudate/cerebellum ratio is ca. 10-15

  17. Is love passion an addictive disorder?

    Science.gov (United States)

    Reynaud, Michel; Karila, Laurent; Blecha, Lisa; Benyamina, Amine

    2010-09-01

    Inquiry regarding the relationship between passionate love and addiction has long been a topic of intense debate. Recent advances in neurobiology now allow for an examination between these two states. After describing the clinical distinctions between "love passion," "love addiction," and "sex addiction," we compare clinical, neuropsychological, neurobiological, and neuroimaging data on love, passion, pathological gambling (PG) and substance dependence. There are no recognized definitions or diagnostic criteria for "love addiction," but its phenomenology has some similarities to substance dependence: euphoria and unrestrained desire in the presence of the love object or associated stimuli (drug intoxication); negative mood, anhedonia, and sleep disturbance when separated from the love object (drug withdrawal); focussed attention on and intrusive thoughts about the love object; and maladaptive or problematic patterns of behavior (love relation) leading to clinically significant impairment or distress, with pursuit despite knowledge of adverse consequences. Limited animal and human studies suggest that brain regions (e.g., insula, anterior cingulated [ACC], orbitofrontal [OFC]) and neurotransmitters (dopamine) that mediate substance dependence may also be involved with love addiction (as for PG). Ocytocin (OT), which is implicated in social attachment and mating behavior, may also be involved in substance dependence. There are no data on the epidemiology, genetics, co-morbidity, or treatment of love addiction. There are currently insufficient data to place some cases of "love passion" within a clinical disorder, such as "love addiction," in an official diagnostic nomenclature or to firmly classify it as a behavioral addiction or disorder of impulse control. Further clinical and scientific studies are needed to improve our understanding and treatment of this condition. For these studies, we propose new criteria for evaluating addiction to love.

  18. Blunted Endogenous Opioid Release Following an Oral Amphetamine Challenge in Pathological Gamblers

    Science.gov (United States)

    Mick, Inge; Myers, Jim; Ramos, Anna C; Stokes, Paul R A; Erritzoe, David; Colasanti, Alessandro; Gunn, Roger N; Rabiner, Eugenii A; Searle, Graham E; Waldman, Adam D; Parkin, Mark C; Brailsford, Alan D; Galduróz, José C F; Bowden-Jones, Henrietta; Clark, Luke; Nutt, David J; Lingford-Hughes, Anne R

    2016-01-01

    Pathological gambling is a psychiatric disorder and the first recognized behavioral addiction, with similarities to substance use disorders but without the confounding effects of drug-related brain changes. Pathophysiology within the opioid receptor system is increasingly recognized in substance dependence, with higher mu-opioid receptor (MOR) availability reported in alcohol, cocaine and opiate addiction. Impulsivity, a risk factor across the addictions, has also been found to be associated with higher MOR availability. The aim of this study was to characterize baseline MOR availability and endogenous opioid release in pathological gamblers (PG) using [11C]carfentanil PET with an oral amphetamine challenge. Fourteen PG and 15 healthy volunteers (HV) underwent two [11C]carfentanil PET scans, before and after an oral administration of 0.5 mg/kg of d-amphetamine. The change in [11C]carfentanil binding between baseline and post-amphetamine scans (ΔBPND) was assessed in 10 regions of interest (ROI). MOR availability did not differ between PG and HV groups. As seen previously, oral amphetamine challenge led to significant reductions in [11C]carfentanil BPND in 8/10 ROI in HV. PG demonstrated significant blunting of opioid release compared with HV. PG also showed blunted amphetamine-induced euphoria and alertness compared with HV. Exploratory analysis revealed that impulsivity positively correlated with caudate baseline BPND in PG only. This study provides the first evidence of blunted endogenous opioid release in PG. Our findings are consistent with growing evidence that dysregulation of endogenous opioids may have an important role in the pathophysiology of addictions. PMID:26552847

  19. THE PHENOMENON OF (ISLAMIC RELIGIOUS FUNDAMENTALISM IN A NON-‘RELIGIOUS’ CAMPUS: A CASE STUDY AT HASANUDDIN UNIVERSITY MAKASSAR

    Directory of Open Access Journals (Sweden)

    Taufani Taufani

    2014-06-01

    Full Text Available This research aims to describe and examine the phenomenon of Islamic fundamentalism on the campus of Hasanuddin University (UNHAS. Islamic fundamentalism is a phenomenon that emerged after the reform and it is commonly encountered in the campus world. The trend shows that the phenomenon of Islamic fundamentalism is growing in the campus that has no particular religious affiliation and is often driven by the propagation of the Campus Dakwah Organization (LDK. This research would like to test the thesis that whether it is relevant to the context of the Hasanuddin University that in fact is not a religiously-affiliated campus or the contrary. The method of collecting data was done through observation of the activities of the LDK activist at the Hasanuddin University (UNHAS Campus Dakwah Organization’s Musholla Lovers (LDK-MPM, in-depth interviews, documentation/review of previous research and papers. This research shows that Islamic fundamentalism led by LDK-MPM is growing at the Hasanuddin University. This phenomenon emerged as the implications of the post-reform freedom, so that these opportunities are exploited by activists to channel their euphoria, because at the time of the new order, their propagation had a fairly limited space. Another factor that led to the rise of Islamic fundamentalism and growing at Hasanuddin University is because the students did not have comprehensive Islamic references, so that they had no checklist for critiquing and examining the ideology of Islamic fundamentalism. In addition, the emergence of modernity considered to bring the negative excesses also serves as another factor being the cause of Islamic fundamentalism. Therefore, the ideology of Islamic fundamentalism emerged as an alternative to counteract the negative excesses. Keywords: Islamic Fundamentalism, LDK-MPM, Hasanuddin University.

  20. Viewing pictures of a romantic partner reduces experimental pain: involvement of neural reward systems.

    Science.gov (United States)

    Younger, Jarred; Aron, Arthur; Parke, Sara; Chatterjee, Neil; Mackey, Sean

    2010-10-13

    The early stages of a new romantic relationship are characterized by intense feelings of euphoria, well-being, and preoccupation with the romantic partner. Neuroimaging research has linked those feelings to activation of reward systems in the human brain. The results of those studies may be relevant to pain management in humans, as basic animal research has shown that pharmacologic activation of reward systems can substantially reduce pain. Indeed, viewing pictures of a romantic partner was recently demonstrated to reduce experimental thermal pain. We hypothesized that pain relief evoked by viewing pictures of a romantic partner would be associated with neural activations in reward-processing centers. In this functional magnetic resonance imaging (fMRI) study, we examined fifteen individuals in the first nine months of a new, romantic relationship. Participants completed three tasks under periods of moderate and high thermal pain: 1) viewing pictures of their romantic partner, 2) viewing pictures of an equally attractive and familiar acquaintance, and 3) a word-association distraction task previously demonstrated to reduce pain. The partner and distraction tasks both significantly reduced self-reported pain, although only the partner task was associated with activation of reward systems. Greater analgesia while viewing pictures of a romantic partner was associated with increased activity in several reward-processing regions, including the caudate head, nucleus accumbens, lateral orbitofrontal cortex, amygdala, and dorsolateral prefrontal cortex--regions not associated with distraction-induced analgesia. The results suggest that the activation of neural reward systems via non-pharmacologic means can reduce the experience of pain.

  1. The ultrastructural changes in the liver cells induced by high doses of Benzodiazepine Tranquilizing drugs: An experimental transmission electron microscopic study on male guinea pigs

    International Nuclear Information System (INIS)

    Bisher, Ameen S. Ahmad

    2008-01-01

    Benzodiazepines are tranquilizing psychotropic drugs. Unfortunately, despite their therapeutic benefits, they are illegally consumed in high doses by some addicts to reach a sedative, exhilarative and euphoria state similar to that produced by narcotic substances. The present study, using transmission electron microscope on male guinea pigs, aims to investigate the potential ultrastructural changes in the liver cells induced by the high doses of Benzodiazepines. Animals in three treated groups administrated a daily combined dose consisted of (10mg Alprazolam with 10mg Diazepam/day/animal) for three different treatment periods: 7, 15, and 25 days. The ultrastructural examination of the hepatocytes of the animals treated for 15 days showed limited changes in the form of marginal heterochromatine accompanied with marginal nucleoli enlargement. On the other hand, severe ultrastructural damages are observed in the animals treated for 25 days, which appeared in the following various patterns: fatty degeneration of the hepatocytes as indicated by the accumulation of large number of lipid droplets in the cytoplasm, marked nuclear atrophy in some necrotic hepatocytes, massive nuclear degeneration in other hepatocytes, mitochondrial damages in the form of cristea destruction accompanied with abnormal oval shape, massive lysis of the cytoplasmic organelles with severe plasma membrane rupture. In conclusion, the observed ultrastructural damages in the present study may refer to the potential hepatotoxic effects of the high dose of Benzodiazepins. It is recommended that much more official restrictions should be applied on the pharmacies sector to prevent any illegal selling of these drugs in order to prevent abusers from obtaining them, as unfortunately in some developing countries the illegal selling of these drugs is known to occur due to the absence of official control. (author)

  2. Socio-demographic and Clinical Features of Young Adult Males Using Synthetic Cannabinoid (English

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    Taner Oznur

    2018-03-01

    Full Text Available Object: Synthetic Cannabinoid (SC use is becoming more widespread throughout the world. Studies that revealed user profiles indicate that the drug is especially popular among young men. Knowledge on sociodemographic, clinical characteristics and motivation for SC users in our country is limited. On the other hand, in spite of the increase of information known about symptoms of acute intoxication of SC use, physical and psychiatric consequences and loss of function due to longterm use of SC is limited. In this study, we aimed to investigate socio-demographic and clinical characteristics associated with SC use and the negative consequences caused by the use of SC. Methods: 166 male patients who admitted to the psychiatric outpatient clinic due to SC use disorder between November 2014 to April 2015 were enrolled in the study. Demographic data of patients, substance use characteristics, familial substance use, reasons for substance use, medical history, the problems related to drug use was questioned. Results: The age of onset for SC use was found to be 17.25 ± 2.30. SC using duration was 3.79 ± 2.15 years. The most common agents accompanying SC use were smoking (95.8% and cannabis (88.6%. It was determined that 62.7% developed suicidal ideas due to SC use. Among psychiatric side effects, most common were euphoria, hallucinations, skepticism and suicidal ideation. About 1/3 of cases were found to live loss of business and legal issues depending on long-term SC use. 76.5% of the patients' consumed SC through inhalation and 22.9 % orally. It was determined that oral users began SC use at an earlier age than users via inhalation. Discussion: Despite the physical, mental, occupational, social and legal problems caused by the use of SC, it has become an important public health problem, especially among young men. Effective intervention programs for the use of outbreaking SCs need to be developed.

  3. EFEK AROMA EKSTRAK MELATI TERHADAP PENGURANGAN NYERI PERSALINAN KALA I FASE AKTIF PADA PARTURIENT

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    Nike Sari Oktavia

    2017-12-01

    Full Text Available Labor pain arising from physical and psychological reflex response of from the pain that experienced by the patient. Jasmine essential oil is proven to nervous exhoustion, reduce pain, emotional distress, reduce anxiety, energy, and euphoria that everything that is needed by a mother while facing the birth process. Purpose of this study was to determine whether the jasmine essnstial oil can be used to reduce the pain of the active phase on first stage of parturient. This study used a quasi-experimental method, the sampel was 48 people inpartu who are in the active phase of the first stage of labor. Study subjects were devided into 2 groups; jasmine essential oil (n = 24 and control (n = 24. Pain assessed twice in each group with a numerical rating scale (NRS, that when the woman is in the active phase before inhalation the smell of jasmine essential oil and at the end of the first stage after inhalation the smell. Test statistical analysis using Wilcoxon Signed Ranks test and Mann Whitney test.  The result is; in jasmine essential oil group the median 6 with a range  4-9 decreased to 4 (3-9, while controls had increased pain intensity with a median value of 4.5 (2-10 to 9 (4 -10. There are difference between pain assesment I and II in both groups p = 0.000 (p <0,05. Comparison between jasmine essential oil  group and control group p = 0.000 (p <0,05.      Keyword: Jasmine essential oil, labor pain

  4. Neuropsychiatric profiles in patients with Alzheimer′s disease and vascular dementia

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    Tushar Kanti Bandyopadhyay

    2014-01-01

    Full Text Available Background/Aims: The aim of the following study is to compare the behavioral and psychological symptoms of dementia (BPSD in patients of Alzheimer disease (AD and vascular dementia (VaD. Materials and Methods: We used National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer′s Disease and Related Disorders Association criteria for diagnosing AD and National Institute of Neurological Disorders and Stroke-Association International pour la Recherche et l′Enseignement en Neurosciences Criteria for diagnosing VaD. VaD cohort was further subcategorized into small vessel and large vessel disease. The severity of cognitive impairment and the BPSD were studied by means of the Clinical Dementia Rating Scale (CDR and the Neuropsychiatric Inventory respectively. Results: We studied 50 AD and 50 VaD patients of whom 38 were small vessels and 12 were large vessels VaD. The severity of dementia was comparable in both groups. The agitation/aggression, depression/dysphoria, anxiety, apathy/indifference, irritability, aberrant motor behavior, appetite and eating behavior and night-time behaviors occurred significantly more frequently in patients with VaD than AD. We found a weak positive correlation between the CDR score and the number of neuropsychiatric symptoms per patient in both cohorts. Elation/euphoria, agitation/aggression was significantly more frequent in patients with large vessel in comparison to small vessel VaD. Conclusions: BPSD are common in both types of dementia and they are more severe in VaD than AD when the groups have similar levels of cognitive impairment.

  5. Involvement of dopamine D1/D2 receptors on harmane-induced amnesia in the step-down passive avoidance test.

    Science.gov (United States)

    Nasehi, Mohammad; Piri, Morteza; Nouri, Maryam; Farzin, Davood; Nayer-Nouri, Touraj; Zarrindast, Mohammad Reza

    2010-05-25

    Ingestion of harmane and other alkaloids derived from plant Peganum harmala has been shown to elicit profound behavioural and toxic effects in humans, including hallucinations, excitation, feelings of elation, and euphoria. These alkaloids in the high doses can cause a toxic syndrome characterized by tremors and convulsions. Harmane has also been shown to act on a variety of receptor systems in the mammalian brain, including those for serotonin, dopamine and benzodiazepines. In animals, it has been reported to affect short and long term memory. In the present study, effects of dopamine D1 and D2 receptor antagonists on the harmane (HA)-induced amnesia and exploratory behaviors were examined in mice. One-trial step-down and hole-board paradigms were used for the assessment of memory retention and exploratory behaviors in adult male NMRI mice respectively. Intraperitoneal (i.p.) administration of HA (5 and 10 mg/kg) immediately after training decreased memory consolidation, while had no effect on anxiety-like behavior. Memory retrieval was not altered by 15- or 30 min pre-testing administration of the D1 (SCH23390, 0.025, 0.05 and 0.1 mg/kg) or D2 (sulpiride 12.5, 25 and 50 mg/kg) receptor antagonists, respectively. In contrast, SCH23390 (0.05 and 0.1 mg/kg) or sulpiride (25 and 50 mg/kg) pre-test administration fully reversed HA-induced impairment of memory consolidation. Finally, neither D1 nor D2 receptor blockade affected exploratory behaviors in the hole-board paradigm. Altogether, these findings strongly suggest an involvement of D1 and D2 receptors modulation in the HA-induced impairment of memory consolidation. Copyright 2010 Elsevier B.V. All rights reserved.

  6. Protective effect of Lycium Barbarum polysaccharides on dextromethorphan-induced mood impairment and neurogenesis suppression.

    Science.gov (United States)

    Po, Kevin Kai-Ting; Leung, Joseph Wai-Hin; Chan, Jackie Ngai-Man; Fung, Timothy Kai-Hang; Sánchez-Vidaña, Dalinda Isabel; Sin, Emily Lok-Lam; So, Kwok-Fai; Lau, Benson Wui-Man; Siu, Andrew Man-Hong

    2017-09-01

    Dextromethorphan (DXM) is one of the common drugs abused by adolescents. It is the active ingredient found in cough medicine which is used for suppressing cough. High dosage of DXM can induce euphoria, dissociative effects and even hallucinations. Chronic use of DXM may also lead to depressive-related symptoms. Lycium barbarum, commonly known as wolfberry, has been used as a traditional Chinese medicine for the treatment of ageing-related neurodegenerative diseases. A recent study has shown the potential beneficial effect of Lycium barbarum to reduce depression-like behavior. In the present study, we investigated the role of Lycium barbarum polysaccharide (LBP) to alleviate DXM-induced emotional distress. Sprague Dawley rats were divided into 4 groups (n=6 per group), including the normal control (vehicles only), DXM-treated group (40 mg/kg DXM), LBP-treated group (1 mg/kg LBP) and DXM+ LBP-treated group (40 mg/kg DXM and 1 mg/kg LBP). After two-week treatment, the DXM-treated group showed increased depression-like and social anxiety-like behaviors in the forced swim test and social interaction test respectively. On the other hand, the adverse behavioral effects induced by DXM were reduced by LBP treatment. Histological results showed that LBP treatment alone did not promote hippocampal neurogenesis when compared to the normal control, but LBP could lessen the suppression of hippocampal neurogenesis induced by DXM. The findings provide insights for the potential use of wolfberry as an adjunct treatment option for alleviating mood disturbances during rehabilitation of cough syrup abusers. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. GHB acid: A rage or reprive

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    Prakhar Kapoor

    2013-01-01

    Full Text Available Gamma-hydroxybutyric acid (GHB is a naturally occurring analog of gamma-aminobutyric acid (GABA that has been used in research and clinical medicine for many years. GHB was used clinically as an anesthetic in the 1960s but was withdrawn due to side effects that included seizures and coma. GHB has been implicated in a number of crime types; most notably in drug-facilitated sexual assault. GHB is abused by three main groups of users: Body builders who use the substance believing that it stimulated the release of growth hormone; sexual predators who covertly administer the drug for its sedative and amnesic effects and club-goers (rave parties who take the drug for its euphoric effects. The short-lived hypnotic effects, relative safety and widespread availability of the drug have made it particularly well suited to this role. The drug has an addictive potential if used for long term. The primary effects of GHB use are those of a CNS depressant and therefore range from relaxation, to euphoria, confusion, amnesia, hallucinations, and coma. Despite the increased regulation, GHB remains widely available through the Internet where one can easily purchase the necessary reagents as well as recipes for home production. There are reports of patients being unresponsive to painful stimuli and cases of oral self-mutilations linked to the abuse of GHB, though quiet rare. Such cases should remind odontologists that intra-oral lesions may be the result of self-mutilation either due to mental illness or altered states caused by the use of prescription or non-prescription drugs.

  8. The overlap of delirium with neuropsychiatric symptoms among patients with dementia.

    Science.gov (United States)

    Hölttä, Eeva; Laakkonen, Marja-Liisa; Laurila, Jouko V; Strandberg, Timo E; Tilvis, Reijo; Kautiainen, Hannu; Pitkälä, Kaisu H

    2011-12-01

    To study the frequency of overlapping of delirium with neuropsychiatric symptoms (NPS) among patients with dementia, and to investigate the prognostic value of delirium, multiple NPS without delirium, or neither during a 2-year follow-up. We assessed 425 consecutive patients in acute geriatric wards and in seven nursing homes in Helsinki. Those 255 suffering from dementia were examined for NPS of dementia described in the Neuropsychiatric Inventory (delusions, hallucinations, agitation/aggression, depression/low mood, anxiety, euphoria/elation, apathy, disinhibition, irritability/mood changes, and aberrant motor behavior) and for delirium criteria according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Patients were categorized into three groups: delirium with or without multiple NPS (delirium group), multiple NPS without delirium (multiple NPS group), or having neither delirium nor multiple NPS (zero or only one NPS group). A total of 66 patients suffered from delirium according to the DSM-IV, 127 had multiple NPS without delirium, and 62 had neither multiple NPS nor delirium. In the delirium group 61 individuals (92.4%) were deceased or residing in permanent institutional care at the end of the 2-year follow up period, compared to 100 individuals (78.7%) in the multiple NPS group and 48 (77.4%) in the zero or one NPS group (Pearson χ² = 6.64, df 2, p = 0.036). In logistic regression analysis adjusted for age, sex, and comorbidities, delirium was an independent predictor of this composite outcome (OR: 4.3, 95% CI: 1.4-13.6). Patient groups with symptoms of delirium and multiple NPS are highly overlapping. The presence of delirium indicates poor prognosis.

  9. Emotional Lability in Patients with Attention-Deficit/Hyperactivity Disorder: Impact of Pharmacotherapy.

    Science.gov (United States)

    Childress, Ann C; Sallee, Floyd R

    2015-08-01

    Attention-deficit/hyperactivity disorder (ADHD) is a neurobehavioral disorder defined by persistent inattention and/or hyperactivity and impulsivity. These symptoms occur more frequently and are more severe in individuals with ADHD compared with those at a similar developmental level without ADHD, and can be conceptualized as deficits in executive functioning (EF). EF includes domains of metacognition and inhibition, which influence the ability to regulate responses elicited by emotional stimuli. EF deficits can lead to emotional lability (EL), which is characterized by sudden changes in emotion and behaviors of inappropriately high intensity that may include sudden bouts of anger, dysphoria, sadness, or euphoria. EL is common and estimated to occur in about 3.3-10% of the population. Recent estimates of EL prevalence in children and adolescents with ADHD range from 38 to 75%. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition does not include EL in diagnostic criteria for ADHD, but does include ADHD-associated features of low frustration tolerance, irritability, or mood lability. The neurobiological basis of EL is not well understood, but brain imaging studies support dividing EF into "cool" cognitive networks encompassing attention and planning activities, and "hot" motivational networks involved in temporal discounting, reward processing, and reward anticipation. Dysfunction in "hot" networks is thought to be related to EL. EL symptoms are associated with more severe ADHD and co-morbidities, have significant impact on functioning, and may respond to treatment with medications frequently used to treat ADHD. Treatment outcomes and areas for future research are discussed.

  10. Effects of low to moderate acute doses of pramipexole on impulsivity and cognition in healthy volunteers.

    Science.gov (United States)

    Hamidovic, Ajna; Kang, Un Jung; de Wit, Harriet

    2008-02-01

    The neurotransmitter dopamine is integrally involved in the rewarding effects of drugs, and it has also been thought to mediate impulsive behaviors in animal models. Most of the studies of drug effects on impulsive behaviors in humans have involved drugs with complex actions on different transmitter systems and different receptor subtypes. The present study was designed to characterize the effect of single doses of pramipexole, a D2/D3 agonist, on measures of cognitive and impulsive behavior, as well as on mood in healthy volunteers. Healthy men and women (N = 10) received placebo and 2 doses of pramipexole, 0.25 and 0.50 mg, in a within-subject, double-blinded study. Outcome measures included changes in cognitive performance, assessed by the Automated Neuropsychological Assessment Metrics, several behavioral measures related to impulsive behavior, including the Balloon Analogue Risk Task, Delay Discounting Task, Go/No-Go Task, Card Perseveration Task, and subjective ratings of mood assessed by Addiction Research Center Inventory, Profile of Mood States, and Drug Effects Questionnaire. Pramipexole decreased positive ratings of mood (euphoria, intellectual efficiency, and energy) and increased both subjectively reported sedation and behavioral sedation indicated by impaired cognitive performance on several measures of the Automated Neuropsychological Assessment Metrics. Single low to medium doses of this drug did not produce a decrease in impulsive responding on behavioral measures included in this study. The sedative-like effects observed in this study may reflect presynaptic actions of the drug. Higher doses with postsynaptic actions may be needed to produce either behavioral or subjective stimulant-like effects.

  11. [Cocaine - Characteristics and addiction].

    Science.gov (United States)

    Girczys-Połedniok, Katarzyna; Pudlo, Robert; Jarząb, Magdalena; Szymlak, Agnieszka

    Cocaine use leads to health, social and legal problems. The aim of this paper is to discuss cocaine action, addicts characteristics, use patterns and consequences, as well as addiction treatment methods. A literature review was based on the Medline, PubMed, Polish Medical Bibliography databases and the Silesian Library resources. The Police and Central Statistical Office statistics, as well as the World Health Organization, the European Monitoring Centre for Drugs and Drug Addiction and the National Office for Combating Drug Addiction reports were used. Cocaine leads to mood improvement, appetite decrease, physical and intellectual activity enhancement, euphoria, inflated self-esteem, social networking ease and increased sexual desire. Cocaine hydrochloride is mainly used intranasaly, but also as intravenous and subcutaneous injections. Cocaine use and first addiction treatment fall in later age compared to other psychoactive substances. There is a high men to women ratio among addicts. There is a relationship between cocaine addiction, the presence of other disorders and genetic predisposition to addiction development. Polish reports indicate higher popularity of cocaine among people with a high economic and social status. Although Poland is a country with the low percentage of cocaine use, its popularity is growing. The consequences of cocaine use concern somatic and mental health problems, socioeconomic and legal conditions. The drug plays a role in crimes and traffic accidents. Because of the risks associated with cocaine use, it has been listed in a register of drugs attached to the Act on Counteracting Drug Addiction. Addiction treatment includes psychological, pharmacological and harm reduction strategies. Med Pr 2016;67(4):537-544. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  12. Use and perception of the psychostimulant, khat (catha edulis) among three occupational groups in south western Uganda.

    Science.gov (United States)

    Ihunwo, A O; Kayanja, F I B; Amadi-Ihunwo, U B

    2004-09-01

    To examine the use of and perception of the psychostimulant, khat (catha edulis) in three towns in south-western Uganda. Cross-sectional survey. Mbarara, Kabale and Fort Portal. Three categories of respondents prone to khat chewing habit were selected; One hundred and thirty students, thirty five law enforcement officials and sixteen transporters. Khat chewers existed within the sampled population. The relationship between tobacco smoking, drinking alcoholic beverages and the khat chewing habit was established. Out of 181 respondents, 164(90.6%) had heard of khat, 126(69.6%) had seen it and 57(31.5%) had chewed khat before. As at the time of this study, 37(20.4%) still chewed khat. Within the three categories of subjects, the use of khat was highest among law enforcement officials (97.1%), followed by transporters (68.8%) and students (9.2%). The majority of khat chewers were in the age range of 16-25 years. There was a clear correlation between khat chewing and the use of stimulants such as alcoholic beverages and tobacco smoking. Those who smoked cigarettes were twenty-eight times more likely to chew khat (OR=28.95% CI=9.6,83.7). Euphoria, suppressed sleep and increased sexual desire were the most predominant effects experienced by khat chewers. The knowledge of khat is widespread and its consumption is on the increase among students, law enforcement officials and transporters in south-western Uganda. This calls for attention considering the public health implications.

  13. HUBUNGAN ANTARA PERSEPSI DAN SIKAP TERHADAP PELAKSANAAN CORPORATE SOCIAL RESPONSIBILITY

    Directory of Open Access Journals (Sweden)

    Supriyono -

    2011-09-01

    Full Text Available Tujuan penelitian ini adalah untuk mengetahui hubungan antara persepsi dan sikap terhadap pelaksanaan Corporate Social Responsibility (CSR. CSR sebagai program sosial suatu perusahaan nampaknya masih menjadi euforia.Padahal tujuan dari program ini belum dinikmati masyarakat keseluruhan. Dengan menggunakan 96 responden, menunjukkan bahwa hanya 8% yang telah melakukan program CSR dengan tepat, sedangkan sisanya hanya melakukan untuk amal. Ini berarti bahwa sebagian besar perusahaan besar dan menengah di Bandung, belum cukup peduli terhadap program CSR. Hasil penelitian juga menunjukkan ada kesenjangan antara apa yang mereka anggap dan apa yang mereka kerjakan dalam program CSR. Temuan kami menunjukkan bahwa kebanyakan pelaku usaha, khususnya di Bandung masih dikategorikan sebagai obstructionists dan pembela dari pada akomodatif dan proaktif. Ini berarti praktek tanggung jawab sosial mereka masih rendah. Kita sebagai komunitas akademik harus selalu menyosialisasikannya untuk lebih peduli, tidak hanya kepada pemegang saham tetapi semua pemangku kepentingan.CSR as an enterprise’s social program seem likely still to be euphoria. Therefore, the main purpose of the program has failed to reach the goal. By using 96 respondents, the results showthat only 8% of them have done the CSR programs appropriately, while the rest are still doing no more than charity. It means that most of the businesses in Bandung,were not yet care enough of the CSR programs. The result of the research also shown there was a gap between what they perceived and what they really do in CSR programs. Our finding also indicates that most businesses actors in Bandung were still categorized as obstructionists and defenders rather than accommodative and proactive. This means they are still low in practices of social responsibility. As an academic community we should always socialized it as much as possible to care more, not only to shareholder but all the stakeholders.

  14. The nuclear research and technology development in the GDR from 1945 to 1965. Framework conditions, policy of the State party and implementation; Die Kernforschung und Kerntechnologieentwicklung in der DDR 1945-1965. Rahmenbedingungen, Politik der Staatspartei und Umsetzung

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, Olaf

    2012-06-07

    The study follows the development of the nuclear research and nuclear technology in the GDR between 1945 and 1965. The GDR as an industrial country was highly dependent on brown coal, which was the only available primal energy source in the former GDR. Therefore the civil use of nuclear power called the attention of the executive and party leadership. This consideration was supported by the fact of large uranium deposits on the territory of former East Germany. After the foundation of the GDR, a first attempt to establish an independent nuclear power industry had failed. From 1955 on, the efforts in this direction have been stepped up. Despite the enormous effort of material and human resources the development of an independent East German nuclear industry never got off the ground. In 1965 it was decided to continue the buildup of an East German nuclear industry on base of the nuclear technology of the former Soviet Union. This decision marked a turning point in the East German energy policy and the end to ambitious plans of an independent nuclear industry. The research shows the frame, the preconditions and objectives of the development of the East German nuclear industry on the base of relevant documents from the government of the former GDR, the political machine of the Communist Party (SED) and the Academy of Science Berlin. The research is implementing the context of international nuclear research and technical progress against the background of the Cold War and the international nuclear euphoria as well as within the range of global politics. The discussion focusses on two points. Along with high expectations to an independent energy production and an exporting nuclear industry, the Communist party aimed for clear political results. The author will show the connection between plans of the executive and party leadership of the SED for an ambitious nuclear energy development and the international acceptance of the East German State in the German-German rivalry.

  15. The nuclear research and technology development in the GDR from 1945 to 1965. Framework conditions, policy of the State party and implementation

    International Nuclear Information System (INIS)

    Strauss, Olaf

    2012-01-01

    The study follows the development of the nuclear research and nuclear technology in the GDR between 1945 and 1965. The GDR as an industrial country was highly dependent on brown coal, which was the only available primal energy source in the former GDR. Therefore the civil use of nuclear power called the attention of the executive and party leadership. This consideration was supported by the fact of large uranium deposits on the territory of former East Germany. After the foundation of the GDR, a first attempt to establish an independent nuclear power industry had failed. From 1955 on, the efforts in this direction have been stepped up. Despite the enormous effort of material and human resources the development of an independent East German nuclear industry never got off the ground. In 1965 it was decided to continue the buildup of an East German nuclear industry on base of the nuclear technology of the former Soviet Union. This decision marked a turning point in the East German energy policy and the end to ambitious plans of an independent nuclear industry. The research shows the frame, the preconditions and objectives of the development of the East German nuclear industry on the base of relevant documents from the government of the former GDR, the political machine of the Communist Party (SED) and the Academy of Science Berlin. The research is implementing the context of international nuclear research and technical progress against the background of the Cold War and the international nuclear euphoria as well as within the range of global politics. The discussion focusses on two points. Along with high expectations to an independent energy production and an exporting nuclear industry, the Communist party aimed for clear political results. The author will show the connection between plans of the executive and party leadership of the SED for an ambitious nuclear energy development and the international acceptance of the East German State in the German-German rivalry.

  16. Emerging drugs of abuse: current perspectives on synthetic cannabinoids

    Directory of Open Access Journals (Sweden)

    Debruyne D

    2015-10-01

    Full Text Available Danièle Debruyne,1,2 Reynald Le Boisselier1 1Centre for Evaluation and Information on Pharmacodependence - Addictovigilance (CEIP-A, 2Toxicology and Pharmacology Laboratory, Department of Pharmacology, University Hospital Centre Côte de Nacre, Caen, France Abstract: New psychoactive drugs that have appeared over the last decade are typically dominated by cathinones and synthetic cannabinoids (SCs. SCs have been emerging as recreational drugs because they mimic the euphoria effect of cannabis while still being legal. Sprayed on natural herb mixtures, SCs have been primarily sold as “herbal smoking blends” or “herbal incense” under brand names like “Spice” or “K2”. Currently, SCs pure compounds are available from websites for the combination with herbal materials or for the use in e-cigarettes. For the past 5 years, an ever increasing number of compounds, representative of different chemical classes, have been promoted and now represent a large assortment of new popular drugs of abuse, which are difficult to properly identify. Their legal status varies by country with many government institutions currently pushing for their control. The in vitro binding to CB1/CB2 receptors is usually well-known and considerable differences have been found in the CB1 versus CB2 selectivity and potency within the different SCs, with several structure-activity relations being evident. Desired effects by CB1 agonist users are relaxation/recreative, however, cardiovascular, gastrointestinal, or psychiatric/neurological side effects are commonly reported. At present there is no specific antidote existing if an overdose of designer drugs was to occur, and no curative treatment has been approved by health authorities. Management of acute toxic effects is mainly symptomatic and extrapolated from experience with cannabis. Keywords: synthetic cannabinoids, chemistry, analysis, pharmacology, toxicology, dependence, medical care

  17. Acute opioid withdrawal precipitated by ingestion of crushed embeda (morphine extended release with sequestered naltrexone): case report and the focused review of the literature.

    Science.gov (United States)

    Ruan, Xiulu; Chen, Tao; Gudin, Jeff; Couch, John Patrick; Chiravuri, Srinivas

    2010-01-01

    The introduction of newly formulated extended release (ER) morphine with sequestered naltrexone (Embeda) has provided another treatment option for moderate to severe persistent pain. Embeda was designed to be an abuse-deterrent opioid formulation. Naltrexone is a centrally acting opioid receptor antagonist that blocks the action of opioid. When taken as directed, insignificant amount of sequestered naltrexone would reach systemic circulation, but upon tampering, the released naltrexone may blunt the euphoria of opioids, and possibly precipitate opioid withdrawal in opioid-dependent patient. To describe a case report ofa 50-year-old opioid-dependent male who developed acute opioid withdrawal after taking crushed Embeda. A 50-year-old male with severe, chronic low back pain due to degenerative disc disease was referred to our clinic for pain management. He was taking ER oxycodone 80 mg tid and Roxicodone 30 mg qid prn, with inadequate pain relief A trial of ER oxymorphone was decided, at 40 mg 1-2 doses bid. The patient returned to the clinic 1 week early, out of his ER oxymorphone. At this time, the decision to switch him to Embeda was made, at 80 mg/3.2 mg, 1-2 doses bid. The patient and his family members were counseled about risk involved with tampering with Embeda. A few hours later, our clinic was informed that the patient was brought to emergency room by ambulance, in severe opioid withdrawal. He was treated with IV fluid, antiemetics, clonidine, and IV hydromorphone. His condition improved and he was discharged home the next morning. Later on, the patient admitted that he took two prescribed Embeda within half an hour, the 1st one whole and the 2nd one crushed. He further admitted that he did so against our medical advice. CONCLUSION. Taking tampered Embeda may precipitate opioid withdrawal in opioid-tolerant patient. To the best of our knowledge, this is the first report of induced opioid withdrawal following consumption of crushed Embeda.

  18. Jezebel: Reconstructing a Critical Experiment from 60 Years Ago

    Energy Technology Data Exchange (ETDEWEB)

    Favorite, Jeffrey A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-02-15

    The Jezebel experiment of 1954-1955 was a very small, nearly-spherical, nearly-bare (unreflected), nearly-homogeneous assembly of plutonium alloyed with gallium. This experiment was used to determine the critical mass of spherical, bare, homogeneous Pu-alloy. In 1956, the critical mass of Pu-alloy was determined to be 16.45 ± 0.05 kg. The experiment was reevaluated in 1969 using logbooks from the 1950s and updated nuclear cross sections. The critical mass of Pu-alloy was determined to be 16.57 ± 0.10 kg. In 2013, the 239Pu Jezebel experiment was again reevaluated, this time using detailed geometry and materials models and modern nuclear cross sections in high-fidelity Monte Carlo neutron transport calculations. Documentation from the 1950s was often inconsistent or missing altogether, and assumptions had to be made. The critical mass of Pu-alloy was determined to be 16.624 ± 0.075 kg. Historic documents were subsequently found that validated some of the 2013 assumptions and invalidated others. In 2016, the newly found information was used to once again reevaluate the 239Pu Jezebel experiment. The critical mass of Pu-alloy was determined to be 16.624 ± 0.065 kg. This talk will discuss each of these evaluations, focusing on the calculation of the uncertainty as well as the critical mass. We call attention to the ambiguity, consternation, despair, and euphoria involved in reconstructing the historic Jezebel experiment. This talk is quite accessible for undergraduate students as well as non-majors.

  19. Metabolism and pharmacokinetics of morphine in neonates: A review

    Directory of Open Access Journals (Sweden)

    Gian Maria Pacifici

    Full Text Available Morphine is an agonist of the µ and k receptors, whose activation results in analgesia. Morphine-like agonists act through the µ opioid receptors to cause pain relief, sedation, euphoria and respiratory depression. Morphine is glucuronidated and sulfated at positions 3 and 6; the plasma concentration ratios correlate positively with birth weight, which probably reflects increased liver weight with increasing birth weight. Moreover, morphine clearance correlates positively with gestational age and birth weight. Steady-state morphine plasma concentrations are achieved after 24-48 hours of infusion, but the glucuronide metabolite plasma concentrations do not reach steady state before 60 hours. The morphine-3-glucuronide metabolite has lower clearance, a shorter half-life and a smaller distribution volume compared with the morphine-6 metabolite, which is the most active morphine-like agonist. Ordinary doses cause constipation, urinary retention and respiratory depression. Neonatal pain relief may require a blood level of approximately 120 ng/ml, whereas lower levels (20-40 ng/ml seem adequate for children. A bibliographic search was performed using the PubMed database and the keywords “morphine metabolism neonate” and “morphine pharmacokinetics neonate”. The initial and final cutoff points were January 1990 and September 2015, respectively. The results indicate that morphine is extensively glucuronidated and sulfated at positions 3 and 6, and that the glucuronidation rate is lower in younger neonates compared with older infants. Although much is known about morphine in neonates, further research will be required to ensure that recommended therapeutic doses for analgesia in neonates are evidence based.

  20. Nuclear power in Germany

    International Nuclear Information System (INIS)

    Beckurts, K.H.

    1985-01-01

    On the occasion of the retirement of the Editor-in-chief of 'atomwirtschaft', the author gave a keynote speech on the development of nuclear power in the Federal Republic of Germany at the headquarters of the Handelsblatt Verlag in Duesseldorf on October 30, 1984. He subdivided the period under discussion into five phases, the first of which comprises the 'founding years' of 1955 to 1960. This was the time when activities in nuclear research and nuclear technology in Germany, which were permitted again in mid-1955, began with the establishment of the national research centers, the first Atomic Power Program, the promulgation of the Atomic Energy Act, the foundation of government organizations, including the Federal Ministry for Atomic Energy, etc. In the second phase, between 1960 and 1970, a solid foundation was laid for the industrial peaceful uses of nuclear power in the construction of the first LWR experimental nuclear power stations, the first successful export contracts, the beginnings of the first nuclear fuel cycle plants, such as the WAK reprocessing plant, the Asse experimental repository, the Almelo agreement on centrifuge enrichment. The third phase, between 1970 and 1975, was a period of euphoria, full of programs and forecasts of a tremendous boom in nuclear generating capacities, which were further enhanced by the 1973 oil squeeze. In 1973 and 1974, construction permits for ten nuclear power plants were applied for. The fourth phase, between 1975 and 1980, became a period of crisis. The fifth phase, the eighties, give rise to hope for a return to reason. (orig./UA) [de

  1. [Time profile of serum THC levels in occasional and chronic marihuana smokers after acute drog use - implication for drivind motor vehicles].

    Science.gov (United States)

    Balíková, Marie; Hložek, Tomáš; Páleníček, Tomáš; Tylš, Filip; Viktorinová, Michaela; Melicher, Tomáš; Androvičová, Renáta; Tomíček, Pavel; Roman, Michal; Horáček, Jiří

    2014-01-01

    Cannabis consumption has individual influence to cognitive and psychomotor functions of drivers and it has been generally accepted that driving under influence is risky in the perspective of traffic safety. However, rules how to assess fitness to drive are not quite clear. The psychoactive compound delta-9-tetrahydrocannabinol (THC) impairs cognition, psychomotor behaviour and driving performance in a dose-related manner approximately. After a single drug dose, THC blood concentration peaks within minutes, before the end of smoking, with a subsequent rapid decrease to the analytical limit of detection. Peak euphoria is delayed compared to THC peak blood concentration and physiological and behavioural effects return to baseline within 3-5 hours. In chronic users, the lipophilic THC accumulates in fat tissues, where its slow redistribution into blood is the rate limiting process in its terminal elimination. In our experimental study we have attempted to contribute to this discussion with results obtained from human volunteers - cannabis consumers in Czech Republic. Aim of our study was to document the time profile of serum THC level in occasional and chronic cannabis users. The observational interval covered the time immediately after the drug consumption (an own cigarette/joint) till 24 hours after. Our preliminary results have shown that in occasional users, THC serum levels cannot be detected already 4 hours after usual cannabis dose, whereas in chronic users measurable THC concentrations in serum persist longer. Moreover, some chronic consumers were practically with permanent THC detection during our observation period and also the chronic users consumed higher THC doses significantly related to doses in occasional ones. Presented results of the experimental study with human volunteers confirm a great individual variability of the kinetic profile of THC in blood due to complicated redistribution. The practical forensic question is how long the psychotropic

  2. In vitro model to study cocaine and its contaminants.

    Science.gov (United States)

    Steinmetz, Aline; Steffens, Luiza; Morás, Ana Moira; Prezzi, Flávia; Braganhol, Elizandra; Saffi, Jenifer; Ortiz, Rafael Scorsatto; Barros, Helena M T; Moura, Dinara Jaqueline

    2018-04-01

    Cocaine is one of the most popular illicit drug worldwide. Due its great addictive potential, which leads to euphoria and hyperactivity, it is considered a public health concern. At the central nervous system, the drug acts inhibiting catecholamine re-uptake. It is now known that in addition to the toxicity of the drug itself, the contaminants present in the street drug have raised concern about the harmful effects on health. Toxicological in vivo and in vitro studies have demonstrated the toxic effects of cocaine correlated with the generation of reactive oxygen species (ROS), which in turn lead to oxidative damage to the cells. Therefore the aim of this work was to propose an in vitro model that reunites the main parameters of toxicity of the cocaine already observed in the literature so far, and we tested this model using cocaine and seizure cocaine sample (SCS), kindly provided by Federal Police of Brazil. For that, we used a C6 glioblastoma cells and evaluated cell death, oxygen reactive species induction, oxidation of macromolecules as membrane lipids and DNA and loss of mitochondrial membrane potential after cocaine exposure. The results showed that cocaine can decrease cellular viability in a dose-dependent way in the C6 cell immortalized and astrocytes primary culture. Cocaine also induced cellular death by apoptosis. However, in the seizure cocaine sample (SCS), the predominant cell death was due to necrosis. Using dichlorofluorescein (DCF) assay, we confirmed ROS production after cocaine exposition. In agreement with these findings, occurred an increasing in MDA production, as well as increased superoxide dismutase (SOD) and catalase (CAT) activity. The induction of DNA damage was observed after cocaine. Our results demonstrate the occurrence of mitochondrial dysfunction by depolarization of mitochondrial membrane as a consequence of cocaine treatment. In summary, these results demonstrated that cocaine can induce reactive oxygen species formation

  3. Anatomical relationship between traditional acupuncture point ST 36 and Omura's ST 36 (True ST 36) with their therapeutic effects: 1) inhibition of cancer cell division by markedly lowering cancer cell telomere while increasing normal cell telomere, 2) improving circulatory disturbances, with reduction of abnormal increase in high triglyceride, L-homocystein, CRP, or cardiac troponin I & T in blood by the stimulation of Omura's ST 36--Part 1.

    Science.gov (United States)

    Omura, Yoshiaki; Chen, Yemeng; Lu, Dominic P; Shimotsura, Yasuhiro; Ohki, Motomu; Duvvi, Harsha

    2007-01-01

    for cardio-vascular diseases with hypertriglyceridemia, hyperglycemia, high L-homocystein, and CRP, high cardiac Troponim I & T, and some hypertension. These beneficial effects were accompanied by euphoria, & relaxation with increased alpha waves in EEG. Thus Omura's ST 36 stimulation is a safe, effective and highly desirable supplemental treatment. In addition to manual stimulation, similar beneficial effects can be induced by finger tip stmulation (without any needle) or with electroacupuncture stimulation, (+) Qi Gong energy stored paper and (+) solar energy stored paper which often resulted in significant clinical improvement.

  4. The dark side of emotion: the addiction perspective.

    Science.gov (United States)

    Koob, George F

    2015-04-15

    Emotions are "feeling" states and classic physiological emotive responses that are interpreted based on the history of the organism and the context. Motivation is a persistent state that leads to organized activity. Both are intervening variables and intimately related and have neural representations in the brain. The present thesis is that drugs of abuse elicit powerful emotions that can be interwoven conceptually into this framework. Such emotions range from pronounced euphoria to a devastating negative emotional state that in the extreme can create a break with homeostasis and thus an allostatic hedonic state that has been considered key to the etiology and maintenance of the pathophysiology of addiction. Drug addiction can be defined as a three-stage cycle-binge/intoxication, withdrawal/negative affect, and preoccupation/anticipation-that involves allostatic changes in the brain reward and stress systems. Two primary sources of reinforcement, positive and negative reinforcement, have been hypothesized to play a role in this allostatic process. The negative emotional state that drives negative reinforcement is hypothesized to derive from dysregulation of key neurochemical elements involved in the brain incentive salience and stress systems. Specific neurochemical elements in these structures include not only decreases in incentive salience system function in the ventral striatum (within-system opponent processes) but also recruitment of the brain stress systems mediated by corticotropin-releasing factor (CRF), dynorphin-κ opioid systems, and norepinephrine, vasopressin, hypocretin, and substance P in the extended amygdala (between-system opponent processes). Neuropeptide Y, a powerful anti-stress neurotransmitter, has a profile of action on compulsive-like responding for drugs similar to a CRF1 receptor antagonist. Other stress buffers include nociceptin and endocannabinoids, which may also work through interactions with the extended amygdala. The thesis argued

  5. Reviews of recent publications

    Directory of Open Access Journals (Sweden)

    1997-06-01

    Full Text Available Culture and Theory Conley, Verena Andermatt, ed. Rethinking Technologies by Laurence M. Porter Leitch, Vincent B. Cultural Criticism, Literary Theory, Poststructuralism by Merry M. Pawlowski French Studies Bersani, Leo and Ulysse Dutoit. Arts of Impoverishment: Beckett, Rothko, Resnais by Thomas Trezise Boldt-Irons, Leslie Anne. On Bataille: Critical Essays by Walter A. Strauss Deleuze, Gilles. Negotiations . Trans. Martin Joughin by Charles J. Stivale Fisher, Dominique D. Staging of Language and Language(s of the Stage: Mallarmé's poëme critique and Artaud's poetry-minus-text by Maryse Fauvel Goodall, Jane. Artaud and the Gnostic Drama by Claudine G. Fisher Lydon, Mary. Skirting the Issue: Essays in Literary Theory by Carol J. Murphy German Studies Barnouw, Dagmar. Critical Realism: History, Photography, and the Work of Siegfried Kracauer by Florence Martin Pfandl-Buchegger, Ingrid. David Lodge als Literaturkritiker, Theoretiker and Romanautor by Charles A. Grair Samuels, Clarise. Holocaust Visions: Surrealism and Existentialism in the Poetry of Paul Celan by Francis Michael Sharp Stefan, Verena. Shedding and Literally Dreaming. Shedding. Trans. Johanna Steigleder Moore and Beth E. Weckmueller; Literally Dreaming . Trans. Johanna Albert and Tobe Levin; "Euphoria and Cacophony." Trans. and Afterword Tobe Levin by Miriam Frank Stern, J.P. The Dear Purchase: A Theme in German Modernism by Theodore Ziolkowski Russian Studies Berry, Ellen E. and Anesa Miller-Pogacer, eds. Re-Entering the Sign: Articulating New Russian Culture by Rolf Hellebust Erlich, Victor. Modernism and Revolution: Russian Literature in Transition by Henry Elbaum Hohne, Karen and Helen Wussow, eds. A Dialogue of Voices: Feminist Literary Theory and Bakhtin by Laura Beraha Masing-Delic, Irene. Abolishing Death: A Salvation Myth of Russian Twentieth-Century Literature by Rolf Hellebust Paperno, Irina and Joan Delaney Grossman, eds. Creating Life: The Aesthetic Utopia of Russian

  6. Intense, Passionate, Romantic Love: A Natural Addiction? How the Fields That Investigate Romance and Substance Abuse Can Inform Each Other.

    Science.gov (United States)

    Fisher, Helen E; Xu, Xiaomeng; Aron, Arthur; Brown, Lucy L

    2016-01-01

    Individuals in the early stage of intense romantic love show many symptoms of substance and non-substance or behavioral addictions, including euphoria, craving, tolerance, emotional and physical dependence, withdrawal and relapse. We have proposed that romantic love is a natural (and often positive) addiction that evolved from mammalian antecedents by 4 million years ago as a survival mechanism to encourage hominin pair-bonding and reproduction, seen cross-culturally today in Homo sapiens. Brain scanning studies using functional magnetic resonance imaging support this view: feelings of intense romantic love engage regions of the brain's "reward system," specifically dopamine-rich regions, including the ventral tegmental area, also activated during drug and/or behavioral addiction. Thus, because the experience of romantic love shares reward pathways with a range of substance and behavioral addictions, it may influence the drug and/or behavioral addiction response. Indeed, a study of overnight abstinent smokers has shown that feelings of intense romantic love attenuate brain activity associated with cigarette cue-reactivity. Could socially rewarding experiences be therapeutic for drug and/or behavioral addictions? We suggest that "self expanding" experiences like romance and expanding one's knowledge, experience and self-perception, may also affect drug and/or behavioral addiction behaviors. Further, because feelings of romantic love can progress into feelings of calm attachment, and because attachment engages more plastic forebrain regions, there is a rationale for therapies that may help substance and/or behavioral addiction by promoting activation of these forebrain systems through long-term, calm, positive attachments to others, including group therapies. Addiction is considered a negative (harmful) disorder that appears in a population subset; while romantic love is often a positive (as well as negative) state experienced by almost all humans. Thus, researchers

  7. Inhibition of mirtazapine metabolism by Ecstasy (MDMA) in isolated perfused rat liver model.

    Science.gov (United States)

    Jamshidfar, Sanaz; Ardakani, Yalda H; Lavasani, Hoda; Rouini, Mohammadreza

    2017-06-28

    Nowadays MDMA (3,4-methylendioxymethamphetamine), known as ecstasy, is widely abused among the youth because of euphoria induction in acute exposure. However, abusers are predisposed to depression in chronic consumption of this illicit compound. Mirtazapine (MRZ), an antidepressant agent, may be prescribed in MDMA-induced depression. MRZ is extensively metabolized in liver by CYP450 isoenzymes. 8-hydroxymirtazapine (8-OH) is mainly produced by CYP2D6. N-desmethylmirtazapine (NDES) is generated by CYP3A4. MDMA is also metabolized by the mentioned isoenzymes and demonstrates mechanism-based inhibition (MBI) in association with CYP2D6. Several studies revealed that MDMA showed inhibitory effects on CYP3A4. In the present study, our aim was to evaluate the impact of MDMA on the metabolism of MRZ in liver. Therefore, isolated perfused rat liver model was applied as our model of choice in this assessment. The subjects of the study were categorized into two experimental groups. Rats in the control group received MRZ-containing Krebs-Henselit buffer (1 μg/ml). Rats in the treatment group received aqueous solution of 1 mg/ml MDMA (3 mg/kg) intraperitoneally 1 hour before receiving MRZ. Perfusate samples were analyzed by HPLC. Analyses of perfusate samples showed 80% increase in the parent drug concentrations and 50% decrease in the concentrations of both metabolites in our treatment group compared to the control group. In the treatment group compared to the control group, AUC (0-120) of the parent drug demonstrated 50% increase and AUC (0-120) of 8-OH and NDES showed 70% and 60% decrease, respectively. Observed decrease in metabolic ratios were 83% and 79% for 8-OH and NDES in treatment group compared to control group, respectively. Hepatic clearance (CL h ) and intrinsic clearance (Cl int ) showed 20% and 60% decrease in treatment group compared to control group. All findings prove the inhibitory effects of ecstasy on both CYP2D6 and CYP3A4 hepatic isoenzymes. In

  8. 3,4-methylenedioxymethamphetamine (MDMA: current perspectives

    Directory of Open Access Journals (Sweden)

    Meyer JS

    2013-11-01

    Full Text Available Jerrold S Meyer Department of Psychology, Neuroscience and Behavior Program, University of Massachusetts, Amherst, MA, USA Abstract: Ecstasy is a widely used recreational drug that usually consists primarily of 3,4-methylenedioxymethamphetamine (MDMA. Most ecstasy users consume other substances as well, which complicates the interpretation of research in this field. The positively rated effects of MDMA consumption include euphoria, arousal, enhanced mood, increased sociability, and heightened perceptions; some common adverse reactions are nausea, headache, tachycardia, bruxism, and trismus. Lowering of mood is an aftereffect that is sometimes reported from 2 to 5 days after a session of ecstasy use. The acute effects of MDMA in ecstasy users have been attributed primarily to increased release and inhibited reuptake of serotonin (5-HT and norepinephrine, along with possible release of the neuropeptide oxytocin. Repeated or high-dose MDMA/ecstasy use has been associated with tolerance, depressive symptomatology, and persisting cognitive deficits, particularly in memory tests. Animal studies have demonstrated that high doses of MDMA can lead to long-term decreases in forebrain 5-HT concentrations, tryptophan hydroxylase activity, serotonin transporter (SERT expression, and visualization of axons immunoreactive for 5-HT or SERT. These neurotoxic effects may reflect either a drug-induced degeneration of serotonergic fibers or a long-lasting downregulation in 5-HT and SERT biosynthesis. Possible neurotoxicity in heavy ecstasy users has been revealed by neuroimaging studies showing reduced SERT binding and increased 5-HT2A receptor binding in several cortical and/or subcortical areas. MDMA overdose or use with certain other drugs can also cause severe morbidity and even death. Repeated use of MDMA may lead to dose escalation and the development of dependence, although such dependence is usually not as profound as is seen with many other drugs of abuse

  9. Energy policy decision making and public opinion

    International Nuclear Information System (INIS)

    Gerstein, L.

    1989-09-01

    By the example of nuclear the author demonstrates the interactions of short-term fluctuations on the world energy market, energy forecasts, specific events and discussions on energy policy both within political parties and in the general public, and draws conclusions which are valid beyond the Federal Republic of Germany: An analysis of the general public's attitude towards nuclear energy shows two initial phases, i.e. euphoria and scepticism/ideology/agitation. The early eighties, then, led to a third phase - realism. Up to 1983 a consensus prevailed between the leading political parties in Germany regarding the basic energy-policy objective of minimizing the supply risk by providing for a well-balanced use of all available energy sources. The resulting attitude had a positive bearing on the public opinion: more than two thirds of the population were in favour of nuclear. In the mid-eighties, the development of nuclear was by and large completed in the Federal Republic of Germany as well as in the United States and other western industrialized countries and the capacity of nuclear power plants is considered sufficient for the years to come. In addition, abundant long-term reserves of domestic lignite and hardcoal are available: this also should have furnished a good reason to envisage calmly the issues of power supply. Instead, we are again facing emotional discussions on the acceptance of nuclear. Public opinion in the Federal Republic of Germany has changed since the Social Democrats followed the example of the Ecologists and advocated a rapid withdrawal from nuclear. In a recent poll four-fifths of the persons asked did not rule out the possibility of a major accident in a German power station. The wish to ignore today's energy supply problems by escaping into a supposedly safe but yet distant and vague future is part of every public debate. Technical and scientific issues are examined no longer in this global context. Predictions of experts and counter

  10. Serum homocysteine levels are correlated with behavioral and psychological symptoms of Alzheimer’s disease

    Directory of Open Access Journals (Sweden)

    Kim H

    2014-10-01

    Full Text Available Hyun Kim, Kang Joon Lee Department of Psychiatry, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea Purpose: Homocysteine has been associated with cognitive impairment and various psychiatric symptoms. This study was designed to clarify whether a relationship exists between the serum levels of homocysteine and the behavioral and psychological symptoms of dementia.Methods: Patients with Alzheimer’s disease (n=77 and control subjects (n=37 were included in this study. History taking, physical examination, and cognitive assessment were carried out as part of the investigation for the diagnosis of Alzheimer’s disease based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. The Mini-Mental State Examination, Global Deterioration Scale, Clinical Dementia Rating, and the Korean version of the Neuro­psychiatric Inventory were applied to all patients. The patients’ serum homocysteine, folate, and vitamin B12 levels were measured.Results: Patients with Alzheimer’s disease had statistically significantly lower Mini-Mental State Examination scores and higher serum homocysteine levels compared to the control subjects. Mean serum folate and vitamin B12 concentration were significantly lower in patients with Alzheimer’s disease compared to control subjects. A statistically significant positive correlation was found between the serum homocysteine levels and the Neuropsychiatric Inventory subdomains, including delusion, agitation/aggression, depression/dysphoria, elation/euphoria, apathy/indifference, and disinhibition. No statistically significant correlation was found between the serum homocysteine concentration and the Mini-Mental State Examination, Global Deterioration Scale, or Clinical Dementia Rating.Conclusion: Associations between the serum homocysteine levels and behavioral and psychological symptoms of dementia were observed, raising the possibility of an etiological role. However, the

  11. Intense, Passionate Romantic Love: A natural addiction? How the fields that investigate romance and substance abuse can inform each other

    Directory of Open Access Journals (Sweden)

    Helen eFisher

    2016-05-01

    Full Text Available Individuals in the early stage of intense romantic love show many symptoms of substance and non-substance or behavioral addictions, including euphoria, craving, tolerance, emotional and physical dependence, withdrawal and relapse. We have proposed that romantic love is a natural (and often positive addiction that evolved from mammalian antecedents by four million years ago as a survival mechanism to encourage hominin pair-bonding and reproduction, seen cross-culturally today in Homo sapiens. Brain scanning studies using functional magnetic resonance imaging (fMRI support this view: feelings of intense romantic love engage regions of the brain’s reward system, specifically dopamine-rich regions, including the ventral tegmental area, also activated during drug and/or behavioral addiction. Thus, because the experience of romantic love shares reward pathways with a range of substance and behavioral addictions, it may influence the drug and/or behavioral addiction response. Indeed, a study of overnight abstinent smokers has shown that feelings of intense romantic love attenuate brain activity associated with cigarette cue-reactivity. Could socially rewarding experiences be therapeutic for drug and/or behavioral addictions? We suggest that self expanding experiences like romance and expanding one’s knowledge, experience and self-perception, may also affect drug and/or behavioral addiction behaviors. Further, because feelings of romantic love can progress into feelings of calm attachment, and because attachment engages more plastic forebrain regions, there is a rationale for therapies that may help substance and/or behavioral addiction by promoting activation of these forebrain systems through long-term, calm, positive attachments to others, including group therapies. Addiction is considered a negative (harmful disorder that appears in a population subset; while romantic love is often a positive (as well as negative state experienced by almost all

  12. Homeostatic mechanisms in dopamine synthesis and release: a mathematical model

    Directory of Open Access Journals (Sweden)

    Nijhout H Frederik

    2009-09-01

    Full Text Available Abstract Background Dopamine is a catecholamine that is used as a neurotransmitter both in the periphery and in the central nervous system. Dysfunction in various dopaminergic systems is known to be associated with various disorders, including schizophrenia, Parkinson's disease, and Tourette's syndrome. Furthermore, microdialysis studies have shown that addictive drugs increase extracellular dopamine and brain imaging has shown a correlation between euphoria and psycho-stimulant-induced increases in extracellular dopamine 1. These consequences of dopamine dysfunction indicate the importance of maintaining dopamine functionality through homeostatic mechanisms that have been attributed to the delicate balance between synthesis, storage, release, metabolism, and reuptake. Methods We construct a mathematical model of dopamine synthesis, release, and reuptake and use it to study homeostasis in single dopaminergic neuron terminals. We investigate the substrate inhibition of tyrosine hydroxylase by tyrosine, the consequences of the rapid uptake of extracellular dopamine by the dopamine transporters, and the effects of the autoreceoptors on dopaminergic function. The main focus is to understand the regulation and control of synthesis and release and to explicate and interpret experimental findings. Results We show that the substrate inhibition of tyrosine hydroxylase by tyrosine stabilizes cytosolic and vesicular dopamine against changes in tyrosine availability due to meals. We find that the autoreceptors dampen the fluctuations in extracellular dopamine caused by changes in tyrosine hydroxylase expression and changes in the rate of firing. We show that short bursts of action potentials create significant dopamine signals against the background of tonic firing. We explain the observed time courses of extracellular dopamine responses to stimulation in wild type mice and mice that have genetically altered dopamine transporter densities and the observed

  13. GHB Pharmacology and Toxicology: Acute Intoxication, Concentrations in Blood and Urine in Forensic Cases and Treatment of the Withdrawal Syndrome

    Science.gov (United States)

    Busardò, Francesco P.; Jones, Alan W.

    2015-01-01

    The illicit recreational drug of abuse, γ-hydroxybutyrate (GHB) is a potent central nervous system depressant and is often encountered during forensic investigations of living and deceased persons. The sodium salt of GHB is registered as a therapeutic agent (Xyrem®), approved in some countries for the treatment of narcolepsy-associated cataplexy and (Alcover®) is an adjuvant medication for detoxification and withdrawal in alcoholics. Trace amounts of GHB are produced endogenously (0.5-1.0 mg/L) in various tissues, including the brain, where it functions as both a precursor and a metabolite of the major inhibitory neurotransmitter γ-aminobutyric acid (GABA). Available information indicates that GHB serves as a neurotransmitter or neuromodulator in the GABAergic system, especially via binding to the GABA-B receptor subtype. Although GHB is listed as a controlled substance in many countries abuse still continues, owing to the availability of precursor drugs, γ-butyrolactone (GBL) and 1,4-butanediol (BD), which are not regulated. After ingestion both GBL and BD are rapidly converted into GHB (t½ ~1 min). The Cmax occurs after 20-40 min and GHB is then eliminated from plasma with a half-life of 30-50 min. Only about 1-5% of the dose of GHB is recoverable in urine and the window of detection is relatively short (3-10 h). This calls for expeditious sampling when evidence of drug use and/or abuse is required in forensic casework. The recreational dose of GHB is not easy to estimate and a concentration in plasma of ~100 mg/L produces euphoria and disinhibition, whereas 500 mg/L might cause death from cardiorespiratory depression. Effective antidotes to reverse the sedative and intoxicating effects of GHB do not exist. The poisoned patients require supportive care, vital signs should be monitored and the airways kept clear in case of emesis. After prolonged regular use of GHB tolerance and dependence develop and abrupt cessation of drug use leads to unpleasant

  14. The safety and pharmacokinetics of single-agent and combination therapy with megestrol acetate and dronabinol for the treatment of HIV wasting syndrome. The DATRI 004 Study Group. Division of AIDS Treatment Research Initiative.

    Science.gov (United States)

    Timpone, J G; Wright, D J; Li, N; Egorin, M J; Enama, M E; Mayers, J; Galetto, G

    1997-03-01

    This randomized, open-labeled, multicenter study was designed to assess safety and pharmacokinetics of dronabinol (Marinol) tablets and megestrol acetate (Megace) micronized tablets, alone and in combination, for treatment of HIV wasting syndrome. Weight and quality of life data were also collected. Fifty-two patients (mean CD4+ count, 59 cells/microliter) were randomized to one of four treatment arms: dronabinol 2.5 mg twice/day (D); megestrol acetate 750 mg/day (M750); megestrol acetate 750 mg/day+dronabinol 2.5 mg twice/day (M750+D); or megestrol acetate 250 mg/day+dronabinol 2.5 mg twice/day (M250+D). After therapy initiation, 47 patients returned for at least one visit, and 39 completed the planned 12 weeks of study visits. Occurrence of adverse events, drug discontinuation, new AIDS-defining conditions, or CD4+ T lymphocyte changes were not statistically significantly different among arms. Serious adverse events assessed as related to dronabinol included CNS events (e.g., confusion, anxiety, emotional lability, euphoria, hallucinations) and those assessed as related to megestrol acetate included dyspnea, liver enzyme changes, and hyperglycemia. The mean weight change +/- SE over 12 weeks was as follows: D, -2.0 +/- 1.3 kg; M750, +6.5 +/- 1.1 kg; M750+D, +6.0 +/- 1.0 kg; and M250+D, -0.3 +/- 1.0 kg (difference among treatment arms, p = 0.0001). Pharmacokinetic parameters measured after 2 weeks of therapy for M750 were Cmax = 985 ng/ml and AUC = 22,487 ng x hr/ml, and for dronabinol and its active metabolite (HO-THC), respectively, were Cmax = 2.01; 4.61 ng/ml and AUC = 5.3; 23.7 ng x hr/ml. For megestrol acetate, but not dronabinol, there was a positive correlation at week 2 between both Cmax and AUC with each of the following: (1) weight change, (2) breakfast visual analog scale for hunger (VASH) score, and (3) dinner VASH score.

  15. THE GREGARIOUS BEHAVIOR OF INVESTORS FROM BALTIC STOCK MARKETS

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    Pece Andreea Maria

    2015-07-01

    Full Text Available The main objective of this research is to investigate market participants’ gregarious behaviour in Baltic stock markets, namely Lithuania, Latvia and Estonia during the period January 2003-December 2013. The herding behaviour derives from the investors’ irrationality, who trade financial assets based on their positive expectations about prices future growth, generating manias among other market participants, thus ignoring the real return rates and the risk levels of their investments.The investors’ irrational behaviour is influenced by actions, feelings and impulses that are intertwined: mimicry, fear, trust, greed, optimism, pessimism, euphoria, panic. These features highlight an erroneous perception of investors in point of unsustained increase in prices, which has been generated by the stock prices deviations from their fundamental value.Under these premises, optimism, overreaction and speculative bubbles are appearing on the market and may constitute triggering factors of a financial crash.The probability of the occurrence of the speculative bubbles and financial crashes is influenced by the continuous entry on the market of new investors and less informed participants, which often act based on impulse, following a benchmark, without considering their own analysis and information that they hold. The existence of a “collective behaviour” of the investors, which is manifested by their tendency to imitate other market participants actions and to “follow the herd”, so ignoring their own beliefs, may increase market sensitivity to shocks and the probability of the occurrence of the systemic risk.In order to identify the investors’ herding behaviour, I have applied an adjusted CSSD model proposed by (Yao, Ma, Peng He, 2014, which implies the inclusion of two additional variables, the first one, to reduce the effect of multicollinearity and a second one, a lag term of the dependent variable, in order to improve the power of the

  16. Cultural Identity Crisis inside Self-Same Culture as Reflected in György Lőrincz’s Novel Sounds of the Heart

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    Dani Erzsébet

    2017-09-01

    Full Text Available After the decisive historical moment of December 1989, the “border” is open for Transylvanian Hungarians and, in the subsequent euphoria, an exodus to the mother country commences. But with the political freedom of crossing national borders, due to globalization (too, new kinds of border problems present themselves for the youth leaving their native land: border issues of small versus large community, of interpersonal relations; the gap between generations; borders between majority versus minority identity and national versus cultural identity as well. This paper is a literary analysis with special focus on contemporary social phenomena, which will examine - through discussing a relevant contemporary Székely-Hungarian novel - how cultural identity can be deformed, damaged, or at least temporarily distorted when a Hungarian from beyond the border, who arrives in mother-country Hungary, will have to redefine herself/himself within a culture which, in this case, is basically one and the same.1 Can the identity-code, which was formed by, and grew strong in, the minority existence of the native land, function when s/he enters a cultural vacuum which turns out or can turn out to be another cultural maze for her or him? Can we talk about assimilation in such cases? What happens when a “rebellious” young individual’s “I” identity, unsteady in the first place, is left without the conserving and protective “We” identity in the confrontation of mother-nation versus beyond-the-border cultures so that, eventually, the young woman’s “I” identity will be damaged by big-city underworld (subculture. Or, will cultural mimicry emerge in this situation too as a strategy to help the individual retain his/her identity? We will seek answers to these questions through discussing a novel - A szív hangjai [Sounds of the Heart] - by a fine representative of contemporary Székely-Hungarian literature, György Lőrincz.

  17. Kratom alkaloids and O-desmethyltramadol in urine of a "Krypton" herbal mixture consumer.

    Science.gov (United States)

    Arndt, Torsten; Claussen, Ulrich; Güssregen, Brunhilde; Schröfel, Stefanie; Stürzer, Birgit; Werle, Annika; Wolf, Gerald

    2011-05-20

    A drug and alcohol withdrawal rehabilitation centre requested an analysis for "Krypton" in urine of a former opiate-addictive woman. She showed an altered clinical picture and behaviour with miosis, itchiness, agitation, and moderate euphoria after 3 months of until than successful treatment. Literature search revealed that "Krypton" is said to contain "Kratom" (leaves of Mitragyna speciosa), but could also contain O-desmethyltramadol (European Monitoring Centre for Drugs and Drug Addiction thematic paper "Spice"). Immunological drug screenings were done with test strips (nal von minden, Regensburg, Germany) and with cloned enzyme donor immunoassay (Microgenics, Passau, Germany). "Kratom" alkaloids and tramadol (metabolites) were analyzed by LC-MS/MS (ThermoFisher Scientific Quantum Ultra Triple Quadrupole mass spectrometer). Immunoassays were negative for amphetamines, barbiturates, benzodiazepines, benzoylecgonine, buprenorphine, ethylglucuronide, methadone (metabolite), opiates, oxycodone, and THC-COOH, and test strips were negative for tramadol and its metabolites (cut-off 10 mg/L for O-desmethyltramadol). LC-MS/MS detected the "Kratom" alkaloids mitragynine, speciociliatine, speciogynine, mitraciliatine, and paynantheine and approximately 9mg/L O-desmethyltramadol, but no tramadol and N-desmethyltramadol. The detection of M. speciosa alkaloids is a proof of "Kratom" abuse. Confronted with the analysis data, the patient admitted to have consumed 3-4 infusions of "Krypton". The origin of the O-desmethyltramadol is unclear. Tramadol abuse is unlikely since tramadol and N-desmethyltramadol (physiologically occurring in urine after tramadol intake) were not detectable. Consumption of a "Krypton" product spiked with O-desmethyltramadol could explain our findings and the patient's clinical picture. This would be in agreement with a most recent report about spiking apparently natural herbal mixtures with the synthetic opioid O-desmethyltramadol. Analysis of "Kratom

  18. 3,4-methylenedioxymethamphetamine (MDMA): current perspectives.

    Science.gov (United States)

    Meyer, Jerrold S

    2013-01-01

    Ecstasy is a widely used recreational drug that usually consists primarily of 3,4-methylenedioxymethamphetamine (MDMA). Most ecstasy users consume other substances as well, which complicates the interpretation of research in this field. The positively rated effects of MDMA consumption include euphoria, arousal, enhanced mood, increased sociability, and heightened perceptions; some common adverse reactions are nausea, headache, tachycardia, bruxism, and trismus. Lowering of mood is an aftereffect that is sometimes reported from 2 to 5 days after a session of ecstasy use. The acute effects of MDMA in ecstasy users have been attributed primarily to increased release and inhibited reuptake of serotonin (5-HT) and norepinephrine, along with possible release of the neuropeptide oxytocin. Repeated or high-dose MDMA/ecstasy use has been associated with tolerance, depressive symptomatology, and persisting cognitive deficits, particularly in memory tests. Animal studies have demonstrated that high doses of MDMA can lead to long-term decreases in forebrain 5-HT concentrations, tryptophan hydroxylase activity, serotonin transporter (SERT) expression, and visualization of axons immunoreactive for 5-HT or SERT. These neurotoxic effects may reflect either a drug-induced degeneration of serotonergic fibers or a long-lasting downregulation in 5-HT and SERT biosynthesis. Possible neurotoxicity in heavy ecstasy users has been revealed by neuroimaging studies showing reduced SERT binding and increased 5-HT2A receptor binding in several cortical and/or subcortical areas. MDMA overdose or use with certain other drugs can also cause severe morbidity and even death. Repeated use of MDMA may lead to dose escalation and the development of dependence, although such dependence is usually not as profound as is seen with many other drugs of abuse. MDMA/ecstasy-dependent patients are treated with standard addiction programs, since there are no specific programs for this substance and no proven

  19. Animal emotions, behaviour and the promotion of positive welfare states.

    Science.gov (United States)

    Mellor, D J

    2012-01-01

    This paper presents a rationale that may significantly boost the drive to promote positive welfare states in animals. The rationale is based largely, but not exclusively, on an experimentally supported neuropsychological understanding of relationships between emotions and behaviour, an understanding that has not yet been incorporated into animal welfare science thinking. Reference is made to major elements of the neural/cognitive foundations of motivational drives that energise and direct particular behaviours and their related subjective or emotional experiences. These experiences are generated in part by sensory inputs that reflect the animal's internal functional state and by neural processing linked to the animal's perception of its external circumstances. The integrated subjective or emotional outcome of these inputs corresponds to the animal's welfare status. The internally generated subjective experiences represent motivational urges or drives that are predominantly negative and include breathlessness, thirst, hunger and pain. They are generated by, and elicit specific behaviours designed to correct, imbalances in the animal's internal functional state. Externally generated subjective experiences are said to be integral to the operation of interacting 'action-orientated systems' that give rise to particular behaviours and their negative or positive emotional contents. These action-orientated systems, described in neuropsychological terms, give rise to negative emotions that include fear, anger and panic, and positive emotions that include comfort, vitality, euphoria and playfulness. It is argued that early thinking about animal welfare management focused mainly on minimising disturbances to the internal functional states that generate associated unpleasant motivational urges or drives. This strategy produced animal welfare benefits, but at best it could only lift a poor net welfare status to a neutral one. In contrast, strategies designed to manipulate the

  20. The dark side of emotion: the addiction perspective

    Science.gov (United States)

    Koob, George F.

    2015-01-01

    Emotions are “feeling” states and classic physiological emotive responses that are interpreted based on the history of the organism and the context. Motivation is a persistent state that leads to organized activity. Both are intervening variables and intimately related and have neural representations in the brain. The present thesis is that drugs of abuse elicit powerful emotions that can be interwoven conceptually into this framework. Such emotions range from pronounced euphoria to a devastating negative emotional state that in the extreme can create a break with homeostasis and thus an allostatic hedonic state that has been considered key to the etiology and maintenance of the pathophysiology of addiction. Drug addiction can be defined as a three-stage cycle—binge/intoxication, withdrawal/negative affect, and preoccupation/anticipation—that involves allostatic changes in the brain reward and stress systems. Two primary sources of reinforcement, positive and negative reinforcement, have been hypothesized to play a role in this allostatic process. The negative emotional state that drives negative reinforcement is hypothesized to derive from dysregulation of key neurochemical elements involved in the brain incentive salience and stress systems. Specific neurochemical elements in these structures include not only decreases in incentive salience system function in the ventral striatum (within-system opponent processes) but also recruitment of the brain stress systems mediated by corticotropin-releasing factor (CRF), dynorphin-κ opioid systems, and norepinephrine, vasopressin, hypocretin, and substance P in the extended amygdala (between-system opponent processes). Neuropeptide Y, a powerful anti-stress neurotransmitter, has a profile of action on compulsive-like responding for drugs similar to a CRF1 antagonist. Other stress buffers include nociceptin and endocannabinoids, which may also work through interactions with the extended amygdala. The thesis argued

  1. Mixed features in patients with a major depressive episode: the BRIDGE-II-MIX study.

    Science.gov (United States)

    Perugi, Giulio; Angst, Jules; Azorin, Jean-Michel; Bowden, Charles L; Mosolov, Sergey; Reis, Joao; Vieta, Eduard; Young, Allan H

    2015-03-01

    To estimate the frequency of mixed states in patients diagnosed with major depressive episode (MDE) according to conceptually different definitions and to compare their clinical validity. This multicenter, multinational cross-sectional Bipolar Disorders: Improving Diagnosis, Guidance and Education (BRIDGE)-II-MIX study enrolled 2,811 adult patients experiencing an MDE. Data were collected per protocol on sociodemographic variables, current and past psychiatric symptoms, and clinical variables that are risk factors for bipolar disorder. The frequency of mixed features was determined by applying both DSM-5 criteria and a priori described Research-Based Diagnostic Criteria (RBDC). Clinical variables associated with mixed features were assessed using logistic regression. Overall, 212 patients (7.5%) fulfilled DSM-5 criteria for MDE with mixed features (DSM-5-MXS), and 818 patients (29.1%) fulfilled diagnostic criteria for a predefined RBDC depressive mixed state (RBDC-MXS). The most frequent manic/hypomanic symptoms were irritable mood (32.6%), emotional/mood lability (29.8%), distractibility (24.4%), psychomotor agitation (16.1%), impulsivity (14.5%), aggression (14.2%), racing thoughts (11.8%), and pressure to keep talking (11.4%). Euphoria (4.6%), grandiosity (3.7%), and hypersexuality (2.6%) were less represented. In multivariate logistic regression analysis, RBDC-MXS was associated with the largest number of variables including diagnosis of bipolar disorder, family history of mania, lifetime suicide attempts, duration of the current episode > 1 month, atypical features, early onset, history of antidepressant-induced mania/hypomania, and lifetime comorbidity with anxiety, alcohol and substance use disorders, attention-deficit/hyperactivity disorder, and borderline personality disorder. Depressive mixed state, defined as the presence of 3 or more manic/hypomanic features, was present in around one-third of patients experiencing an MDE. The valid symptom, illness

  2. Reusable launch vehicle facts and fantasies

    Science.gov (United States)

    Kaplan, Marshall H.

    2002-01-01

    Many people refuse to address many of the realities of reusable launch vehicle systems, technologies, operations and economics. Basic principles of physics, space flight operations, and business limitations are applied to the creation of a practical vision of future expectations. While reusable launcher concepts have been proposed for several decades, serious review of potential designs began in the mid-1990s, when NASA decided that a Space Shuttle replacement had to be pursued. A great deal of excitement and interest was quickly generated by the prospect of ``orders-of-magnitude'' reduction in launch costs. The potential for a vastly expanded space program motivated the entire space community. By the late-1990s, and after over one billion dollars were spent on the technology development and privately-funded concepts, it had become clear that there would be no new, near-term operational reusable vehicle. Many factors contributed to a very expensive and disappointing effort to create a new generation of launch vehicles. It began with overly optimistic projections of technology advancements and the belief that a greatly increased demand for satellite launches would be realized early in the 21st century. Contractors contributed to the perception of quickly reachable technology and business goals, thus, accelerating the enthusiasm and helping to create a ``gold rush'' euphoria. Cost, schedule and performance margins were all highly optimistic. Several entrepreneurs launched start up companies to take advantage of the excitement and the availability of investor capital. Millions were raised from private investors and venture capitalists, based on little more than flashy presentations and animations. Well over $500 million were raised by little-known start up groups to create reusable systems, which might complete for the coming market in launch services. By 1999, it was clear that market projections, made just two years earlier, were not going to be realized. Investors

  3. Biofuels as an opportunity of development for the rural area. Regional-economic analysis with the example of Northrhine-Westphalia; Biokraftstoffe als Entwicklungschance fuer den laendlchen Raum. Regionaloekonomische Analyse am Beispiel Nordrhein-Westfalens

    Energy Technology Data Exchange (ETDEWEB)

    Breuer, Thomas

    2008-07-01

    The energetic use of biomass experiences new attention in politics and public particularly due to high prices for fossil energy and climate protection. The German bioenergy boom is determined by political decisions. In this sense, the bioenergy markets can be characterized as 'political' markets. This is often ignored given the current euphoria over bioenergy. In the policy debate bioenergy is supported by several arguments including aspects of resources, environment, labour market, economy, technology develop, agriculture, regional and structural policy. While studies of energetic and ecological Life Cycle Assessment (LCA) of the biofuels are already present, the other political aspects are quite little investigated. Particularly against the background of an introduction of the European Agricultural Fund for Rural Development (EAFRD) and an examination of the efficiency of the promotion of biofuels, still, substantial research is needed. The goal of the work is to estimate whether biofuels allow new income possibilities and which rural areas in North Rhine-Westphalia could profit from these new prospects. A possible promotion policy for rural area is outlined which increases the income chances, and at the same time reduced negative environmental effects for the future. The work starts analysing the relevant policy framework of biofuel production in North-Rhine-Westphalia. Key question is which energy crop allows a positive income effect in which regions of North-Rhine-Westphalia. For this the procedure ''energy maize for biogas'' (rape seeds and wheat were already implemented) was integrated into the regionalised agricultural sector model RAUMIS. By the assumption of a completely elastic demand for biomass thereby the ''economic supply potential'' of the energy crops of the North-Rhine/Westphalian agriculture is illustrated under given agricultural and energy-political framework. Beside the quantitative analysis of

  4. Genomic misconception: a fresh look at the biosafety of transgenic and conventional crops. A plea for a process agnostic regulation.

    Science.gov (United States)

    Ammann, Klaus

    2014-01-25

    The regulation of genetically engineered crops, in Europe and within the legislation of the Cartagena biosafety protocol is built on false premises: The claim was (and unfortunately still is) that there is a basic difference between conventional and transgenic crops, this despite the fact that this has been rejected on scientifically solid grounds since many years. This contribution collects some major arguments for a fresh look at regulation of transgenic crops, they are in their molecular processes of creation not basically different from conventional crops, which are based in their breeding methods on natural, sometimes enhanced mutation. But the fascination and euphoria of the discoveries in molecular biology and the new perspectives in plant breeding in the sixties and seventies led to the wrong focus on transgenic plants alone. In a collective framing process the initial biosafety debates focused on the novelty of the process of transgenesis. When early debates on the risk assessment merged into legislative decisions, this wrong focus on transgenesis alone seemed uncontested. The process-focused view was also fostered by a conglomerate of concerned scientists and biotechnology companies, both with a vested interest to at least tolerate the rise of the safety threshold to secure research money and to discourage competitors of all kinds. Policy minded people and opponent activists without deeper insight in the molecular science agreed to those efforts without much resistance. It is interesting to realize, that the focus on processes was uncontested by a majority of regulators, this despite of serious early warnings from important authorities in science, mainly of US origin. It is time to change the regulation of genetically modified (GM) crops toward a more science based process-agnostic legislation. Although this article concentrates on the critique of the process-oriented regulation, including some details about the history behind, there should be no

  5. History of Antibiotics Research.

    Science.gov (United States)

    Mohr, Kathrin I

    2016-01-01

    For thousands of years people were delivered helplessly to various kinds of infections, which often reached epidemic proportions and have cost the lives of millions of people. This is precisely the age since mankind has been thinking of infectious diseases and the question of their causes. However, due to a lack of knowledge, the search for strategies to fight, heal, and prevent the spread of communicable diseases was unsuccessful for a long time. It was not until the discovery of the healing effects of (antibiotic producing) molds, the first microscopic observations of microorganisms in the seventeenth century, the refutation of the abiogenesis theory, and the dissolution of the question "What is the nature of infectious diseases?" that the first milestones within the history of antibiotics research were set. Then new discoveries accelerated rapidly: Bacteria could be isolated and cultured and were identified as possible agents of diseases as well as producers of bioactive metabolites. At the same time the first synthetic antibiotics were developed and shortly thereafter, thousands of synthetic substances as well as millions of soil borne bacteria and fungi were screened for bioactivity within numerous microbial laboratories of pharmaceutical companies. New antibiotic classes with different targets were discovered as on assembly line production. With the beginning of the twentieth century, many of the diseases which reached epidemic proportions at the time-e.g., cholera, syphilis, plague, tuberculosis, or typhoid fever, just to name a few, could be combatted with new discovered antibiotics. It should be considered that hundred years ago the market launch of new antibiotics was significantly faster and less complicated than today (where it takes 10-12 years in average between the discovery of a new antibiotic until the launch). After the first euphoria it was quickly realized that bacteria are able to develop, acquire, and spread numerous resistance mechanisms

  6. RELIGIOUS DEMOCRATIZATION IN INDONESIA: STRENGTHENING THE PRO-CEDURAL AND SUBSTANTIAL RELIGIOUS DEMOCRACY

    Directory of Open Access Journals (Sweden)

    Eka Hendry AR.

    2013-06-01

    Full Text Available Inspired by the book of Michael Mann about the dark side of democracy that discusses the paradox between the ideality of democratic values and empirical realities of violence in the name of freedom (democracy, this paper begins with the exposure of the paradox, such as the rise of the violent conflict between groups of people (both ethnic and religious-based and the high prevalence of violence between religious groups in Indonesia. Even worse, a very wrenching violence involves state actors (rulers. This paper tries to understand the roots of the paradox, with a look at how the relationship between state and religion and the religious community trend of Indonesia (especially Muslims. The author argues that the democratization of religion is a solution to the issues. To answer what kind of religious democracy lives in Indonesia, the author analyzes through a religious procedural (or constitutional democratic dimension and religious substantial democratic dimension. The phenomenon of disobedience of law and system and the euphoria of law-making that reflects “intolerance” in several places in Indonesia display the fundamental issue in the religious procedural democracy. Whereas in the context of religious substantial democracy, the prevailing trend of religion that serves as a political and economic vehicle and ignores religion as a substantial aspect of the behavior of the Indonesian society has resulted in the marginalization of religious position and function. Then, the infiltration of the model of political Islam has also led to alienation of the character of the Islamic society of Indonesia, from a democratic pattern to a revival (radical one. In this light, the author needs to present a strategy to encourage religious democracy in Indonesia, structurally through formulating the ideal relation model between state and religion and culturally through a substantial pattern of religion embedded with the character of Indonesian religious

  7. Opioid-Induced "Likeability" and "Feeling Good" Are Not Associated With Return Visits to an ED Among Migraine Patients Administered IV Hydromorphone.

    Science.gov (United States)

    Friedman, Benjamin W; Latev, Alexander; Campbell, Caron; White, Deborah

    2018-05-01

    Parenteral opioids are used in more than 50% of emergency department (ED) visits for migraine. Use of opioids for migraine has been associated with subsequent ED visits, perhaps because of opioid-induced euphoria. In this study, we quantify the extent to which nontherapeutic effects of opioids influence migraine outcomes. We hypothesized that "feeling good" and medication likeability would in fact be associated with receipt of opioids (rather than relief of migraine pain) and that receipt of opioids (rather than relief of migraine pain) would be associated with return visits to the ED. During an ED-based clinical trial, migraine patients were randomized to receive hydromorphone 1 mg or prochlorperazine 10 mg + diphenhydramine 25 mg IV. Thirty minutes after medication administration, we asked, (1) How much did you like the medication you received? and (2) How good did the medication make you feel? Participants were asked to provide answers on a 0-10 scale. We also determined 0-10 pain scores at baseline and 1 hour and number of return visits for headache during the subsequent month. Sixty-three patients received prochlorperazine and 64 hydromorphone. Prochlorperazine pain scores improved by 6.8 (SD: 2.6), hydromorphone by 4.7 (SD: 3.3) (95%CI for difference of 2.1: 1.0, 3.2). On the 0-10 likeability scale, prochlorperazine patients reported a mean of 7.2 (SD: 2.8), hydromorphone 6.9 (SD: 2.9) (95% CI for difference of 0.3: -0.7, 1.3). On the 0-10 feeling good scale, prochlorperazine patients reported a mean of 7.5 (SD: 2.3), hydromorphone 6.8 (SD: 2.8) (95%CI: for difference of 0.7: -0.2, 1.6). In the hydromorphone group, 8/57 (14%, 95%CI: 7, 26%) returned to the ED vs 5/63 (8%, 95%CI: 3,18%) in the prochlorperazine group. In regression modeling, feeling good was independently associated with pain relief (P relief (P relief was associated with medication likeability and feeling good. © 2018 American Headache Society.

  8. Relación e impacto del consumo de sustancias psicoactivas sobre la salud en Colombia (Relationship and Impact of the Use Psychoactive Substances on Health in Colombia

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    Adriana Marcela Correa Muñoz

    2013-12-01

    Full Text Available RESUMEN: Esta investigación tuvo como objetivo principal realizar una aproximación preliminar al examen de la relación entre el consumo de drogas y los problemas de salud en Colombia. Para ello se utilizó un cuestionario con 11 categorías de enfermedades o síndromes (respiratorios, piel, neurológico, psiquiátrico, hepático, autoinmune, cardíaco, traumas y accidentes, transmisión sexual, genito-urinario y otros que se aplicó a 101 consumidores de drogas entre los 15 y los 64 años de edad y a 50 no consumidores entre 20 y 84 años. Cuatro grupos de trastornos (dificultades psiquiátricas, neurológicas, cardíacas y respiratorias resultaron significativos entre consumidores de droga. Los trastornos psiquiátricos comprendían ataques de pánico, euforia excesiva, ansiedad general, desmotivación, depresión y alucinaciones; los problemas neurológicos, aumento o disminución de la sensibilidad, pérdida de memoria y dificultades motoras. Solamente un problema cardíaco (las arritmias y uno respiratorio (tos crónica fueron significativos. Este estudio sienta las bases para el futuro cálculo de las fracciones atribuibles salud-drogas. ABSTRACT: The main objective of this study is to carry out a preliminary approach to the examination of the relationship between drug use and the health problems in Colombia. It was used a questionnaire with 11 categories of diseases or syndromes (respiratory, skin, neurological, psychiatric, liver, self-inmune, cardiac, traumas and accidents, sexually transmitted genitalurinary and others, which was applied at 101 drug users between 15 and 64 years of age and 50 non-consumers between 20 and 84 years old. Four groups of disorders (psychiatric, neurologic, cardiac, and respiratory difficulties were significant among drug users. Psychiatric disorders included panic attacks, excessive euphoria, general anxiety, discouragement, depression and hallucinations; neurological problems, increase or decrease of

  9. Le tourisme international dans le monde : logiques des flux et confins de la touristicité

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    Corina Tatar

    2008-09-01

    progressive democratization of tourism supported by an unparalleled economic growth, 2 / the last decade of the twentieth century, euphoria of a tourist who sees the borders open. The end of a bipolar world announcement many hopes naive. The scope of territories open to tourism continues to widen. 3 / The end of the century announces the age of maturity of tourism. After the euphoria, illusions and disillusions of a space tourist world without borders, facts, often dramatic raised awareness tourists to the complexity of a world where wars have never ceased. The global space tourism is articulated around three regional basins: more than 75% of international tourist flows, driven by the rich European cities, North American and Asian, are confined to their regional area of origin. The distribution of tourist flows draws an organization into three distinct basins: in order of importance, 1 / Euro-Mediterranean basin, focusing on the Mediterranean Sea, 2 / Basin East Asia-Pacific, around the shores of the Sea of China , 3 / basin North America-Caribbean, organized around the "American Mediterranean." Space discontinuities increase between peripheries unstable, extensions selective and margins forgotten or excluded. The climate of insecurity that affect certain touristic territories aimed at weakening the outskirts most sensitive and oblige the international space tourist to retract.

  10. Non-medical use of methylphenidate: a review Uso não terapêutico do metilfenidato: uma revisão

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    Luana Freese

    2012-01-01

    Full Text Available INTRODUCTION: Methylphenidate is a psychostimulant medication used for the treatment of attention deficit hyperactivity disorder and narcolepsy. However, it has also been used for non-medical purposes, e.g. to produce euphoria, to increase self-esteem, and to achieve the so-called neurocognitive enhancement, decreasing the feeling of tiredness and increasing focus and attention. OBJECTIVE: To describe, from theoretical and contextual points of view, the potential for abuse and non-medical use of methylphenidate. METHOD: The PubMed, SciELO and Cochrane databases were searched using the following keywords in Portuguese: metilfenidato, transtorno do déficit de atenção com hiperatividade, facilitadores dos processos cognitivos or agentes nootrópicos, and abuso de substâncias; and in English: methylphenidate, attention deficit disorder with hyperactivity, cognitive enhancement or nootropic agents, and substance abuse. Studies published between 1990 and 2010 were selected for review. RESULTS: Non-medical use of methylphenidate is a relevant topic that raises important ethical and scientific questions in several areas, e.g. pharmacological and neurobiological characteristics, evidence of methylphenidate use, forms of non-medical use of methylphenidate, mechanisms of action, and therapeutic application of methylphenidate. According to the review, methylphenidate can generally influence performance as a result of its stimulatory effect. Notwithstanding, evidence does not support the conclusion that it can enhance cognitive performance. CONCLUSION: Health professionals need to acquire expert knowledge and inform patients and their families on the methylphenidate potential for abuse when used with non-medical purposes.INTRODUÇÃO: O metilfenidato é um medicamento psicoestimulante usado no tratamento do transtorno de déficit de atenção e hiperatividade e da narcolepsia. No entanto, a droga também vem sendo utilizada com fins não terap

  11. [Acting out and psychoactive substances: alcohol, drugs, illicit substances].

    Science.gov (United States)

    Gillet, C; Polard, E; Mauduit, N; Allain, H

    2001-01-01

    , especially with atypical antidepressants. However, the risk of acting out exists and the responsibility of antidepressant agents in the genesis of suicidal tendencies is now established. The disinhibiting effects of benzodiazepines are well-known and proven by clinical trials. It's a "model" of acting out, and the causal relationship is undeniable. That cocaïne is related to violent behaviour is demonstrated by its pharmacological actions on CNS. The chronic use of cocaïne induces "a limbic dyscontrol syndrome" based on the altered activity of limbic structures. On the contrary, we could not demonstrate a causal relationship between aggression and either cannabis, ecstasy or phencyclidine. Cannabis abusers look particularly for euphoria and relaxing effects. Aggression as an adverse cannabis reaction is very rare and occurs in most cases in association with other drugs and in predisposed individuals. Ecstasy use may lead to long-term alterations of neuronal function in the human CNS and cause psychiatric disorders. However, there is insufficient information about long-term use of ecstasy to estimate its role in the occurrence of behavioural disorders. Clinical and forensic assumptions about phencyclidine and violence were not warranted. However, the substance-effect relationships can be criticized in the case of alcohol, antidepressants, benzodiazepines and cocaïne. In fact, individual, social and psychiatric factors exert an influence on behaviour that is superior to the pharmacological effect of psychotropic agents. The most important parameter in drug-induced behavioural disinhibition is dosage, but mode of administration is also important. In addition, polysubstance abuse is very common. Substances may be taken simultaneously and alcohol is frequently combined with drugs. The combinations of substances result in multiple interactions, and very little is known about the effects of these interactions on violence in humans. Co-occurrence of substance abuse and other

  12. Pilot-project of implantation of pharmaceutical care close to the program of bipolar mood disorder of the Hospital of Clinics of Porto Alegre

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    Keila Maria Mendes Ceresér

    2009-06-01

    Full Text Available The Bipolar Mood Disorder is characterized by the alternation of depressive crises with episodes of mania or euphoria, having these patients 15 to 35 times more chances of suicide, as compared with people without this disorder. The pharmacotherapy is fundamental for this disease, aiming to decrease the frequency of episodes and disease severity. In these patients, the polypharmacy has recently increased and one of the main difficulties is the adherence to treatment. The objective of this study was to contribute for the improvement of bipolar patients health conditions, developing their respective pharmacotherapeutic follow-up. Twenty eight adult bipolar patients who were participants of a specialized clinic within a tertiary hospital in Porto Alegre have been randomly selected, and the Dader Method of pharmacotherapeutic follow-up has been applied. The more common clinical comorbidities were: hypertension (50%, obesity (46.43%, and hypothyroidism (36.29%. The bipolar patients are more susceptible to clinical comorbidities, and many of them could be due to pharmacotherapy. Only 1.43% of patients presented Drug Related Problems, being all of them resolved along the study. It was also observed that 32.14% of evaluated patients presented low adherence to treatment, and between these patients, 55.56% passed to have good adherence after pharmacotherapeutic follow-up. The pharmacotherapeutic follow-up is fundamental for the improvement of patient's health. New studies, with higher number of patients and longer duration, are necessary to evaluate the percentage of patients that could be beneficiary of Pharmaceutical Care.O Transtorno do Humor Bipolar é caracterizando pela alternância de crises depressivas com episódios de mania ou euforia, tendo estes pacientes 15-35 vezes mais chances de suicídio em comparação com pessoas sem este transtorno. A farmacoterapia é fundamental, visando diminuir a freqüência dos episódios e a gravidade da doen

  13. [Mixed depression and DSM-5: A critical review].

    Science.gov (United States)

    Weibel, S; Bertschy, G

    2016-02-01

    euphoria with depression) or improbable (as increased or excessive involvement in activities that have a high potential for painful consequences). Also, some more specific symptoms that can be observed in mixed depression are not mentioned (such as hypersensitivity to light or noise, absence of motor retardation, dramatic expressivity of suffering). The DSM-5, as did DSM-IV, refers to an understanding of mixed depression as a simple addition of depressive and manic symptoms. The classification does not take into account that the symptoms could be rather different from hypomania, as the expression of an overactive thought in a depressed mind. Secondly, we reviewed cohort studies using the DSM-5 criteria (or similar criteria with the exclusion of overlapping symptoms), and as a consequence of the poorly defined symptoms, we found that the diagnosis of mixed depression according to DSM-5 is almost impossible, either in unipolar or in bipolar depression. We think, with others, that the definition of the mixed depression by the DSM-5 is not clinically relevant and misses important information about the concept. Clinicians can be attentive to the identification of mixed character in depression, even if DSM-5 criteria are not fully met. Unfortunately, the DSM-5 definition could undermine research efforts for a better understanding of epidemiology, phenomenology and therapeutics of mixed depression. We propose and discuss alternative solutions for defining mixed depression, such as the absence of exclusion of "overlapping" symptoms, a more insighted phenomenology, or a dimensional approach. Copyright © 2015 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  14. O tratamento farmacológico do transtorno bipolar na infância e adolescência Pharmacological treatment of Juvenile Bipolar Disorder

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    Luis Augusto Rohde

    2005-01-01

    euphoria, the evolution of the disorder is more chronic than episodic and mixed symptoms are more frequent. High prevalence of comorbid conditions, specially Attention-Deficit/Hyperactivity Disorder, seems to be the rule. Despite the devastating effect of JBD in the child development, few pharmacological investigations were conducted in these patients. This review aims to present a critical discussion of the findings from this emerging new area of research, the psychopharmacology of the JBD. To accomplish this task, a systematic computerized search of the literature was conducted through the PUBMED. Findings are presented in three sections: 1 the strength of the scientific evidence in the field; 2 critical description of the main investigations; 3 proposition of an algorithm to guide treatment options. Only one randomized, double-blind, controlled trial was found in the literature. Almost all studies are open prospective trials, case series, or retrospective analyses of medical records. The most investigated drugs are lithium and valproate sodium. This review suggest that a scarce availability of high quality evidence to guide clinicians in the decision on which pharmacological treatment should be used to address bipolar disorder in children and adolescents.

  15. PERCEPTION OF BOSNIA AND HERZEGOVINA’S QUALIFICATION TO FIFA WORLD CUP 2014 BY DIFFERENT ETHNIC GROUPS

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    Özgür Dirim Özkan

    2014-06-01

    Full Text Available Introduction: Generally, in Balkans, particularly in Bosnia and Herzegovina, football fandom is very much associated with the fact of ethnic tension. Football is often used as a metaphor for warfare, while in turn, during the Yugoslav Wars, ironically football terminology was used to metaphorise the significance of ethnic slaughtering. In fact, it is very commonly uttered that the starting flame of the Yugoslav Wars was sparkled in Zagreb Maksimir Stadium in May 13, 1990 after a match between Red Star Belgrade and Dinamo Zagreb. During the Yugoslav Wars, fan groups acted as recruitment agencies for organizing paramilitary groups who were convicted for organizing war crimes. This was the case in Bosnia as well. Although almost two decades have passed since the war in Bosnia, the effects of ethnic nationalism in football fandom is still inevitable. Recently, national football team of Bosnia succeeded to participate in the 2014 World Cup, which will be organized in Brazil, causing euphoria in the country. However, it is a controversial issue whether if all the ethnic groups, namely Bosnian Croats and Bosnian Serbs respectively did attend the celebrations. In other words, it is a question mark if they perceive Bosnian National Football as their “national” team. In this sense, this paper aims to discuss the perception of this success by different ethnic groups relying on interviews with different fan groups in the country. Methods: The presentation will rely on two basic resources: [1] An ethnographic study which was conducted in Bosnia in 2007/2008 as a part of PhD dissertation titled Football Fandom as a Factor Behind Formation of Cultural Differences: A Case Study on FK Sarajevo and FK Zeljeznicar Football Fans and ongoing observations of the presenter on Bosnian football since then. [2] Deep interviews with leading football fan groups of different clubs with different ethnic backgrounds like Velež Mostar, Čelik Zenica, Sloboda Tuzla

  16. Eszopiclone: its use in the treatment of insomnia.

    Science.gov (United States)

    Monti, Jaime M; Pandi-Perumal, S R

    2007-08-01

    , with no occurrence of tolerance. The most common side-effects were unpleasant or bitter taste, headache, dyspepsia, pain, diarrhea, dry mouth, upper respiratory infection, urinary tract infection, dizziness, and accidental injury. New adverse events (withdrawal symptoms) including anxiety, abnormal dreams, hyperesthesia, nausea, and upset stomach were recorded in one study on the days following eszopiclone 2 or 3 mg discontinuation. Although dependence and abuse potential have not been formally assessed, unpublished data show that eszopiclone at doses of 6 and 12 mg produces euphoria effects similar to those of diazepam 20 mg in BZD drug addicts. In conclusion, available evidence tends to indicate that eszopiclone is effective and safe for the treatment of chronic primary insomnia in non-elderly and elderly subjects. Tolerance did not occur during active drug administration for a 12-month period. Thus eszopiclone can be efficacious not only during short- and intermediate-term administration but also in patients requiring prolonged regular drug usage.

  17. The nuclear energy picture, at present and in the future: Introduction

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1973-07-01

    The euphoria of the 1950s appears to have given way, first, to timidly expressed fears, then to doubts, and ultimately to a defensive attitude with respect to the role which nuclear energy could play in meeting the world's energy needs. As people began to become aware of the problems associated with the environment nuclear energy was at first considered to be 'clean'. Since that time it has been placed in the same category as other forms of energy and has been assailed together with them from all sides. However, nuclear energy is also subject to attack in contexts which are more specific to it alone and which relate to its nature (radioactive pollution), its fuel cycle (treatment of waste) and its non-peaceful uses (diversion of fissionable material). The following four articles have been written by Agency experts of the Division of Nuclear Power and Reactors in order to contribute to the documentation on energy basic information which the Agency has gathered from the studies which it carries out, either by itself or in collaboration with other organizations. In a world-wide energy context it would appear that, in the short term (1985), the share of electrical energy from nuclear sources will remain modest, but that the prospects of development after that time could have a significant effect on the prices of conventional fuels. Competition would therefore continue between nuclear energy and the other forms of energy currently produced. Towards the end of the period under consideration it will already be necessary to make a uranium prospecting effort if it is desired to maintain proven reserves at competitive prices and at a level capable of keeping pace with the output of nuclear energy envisaged for the last decade of this century. A rational investment policy will have to be carried out in order to triple the capacity for enriched uranium production between now and 1985. It does not appear, moreover, that any commercial leap forward can be expected in the field

  18. Duma i uprzedzenie. Znaczenie wyboru osoby transseksualnej na „przedstawiciela Narodu”

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    Anna Jawor

    2014-12-01

    Full Text Available Pride and prejudice. The significance of election of a transsexual person as a “representative of Nation” Ms. Anna Grodzka’s election to the Polish Parliament in 2011 was a crucial event because for the first time in Europe a transsexual person became a Member of Parliament, and thus was to represent all Poles at the national level. This event resulted in mixed reactions and comments: from euphoria to trauma, from great pride to deep prejudice. It is instrumental in self identification of Poles, nevertheless two different Polish “nations” make use of it, presenting two different languages and two absolutely separate pictures of Polish identity. The first approach is associated with such notions as freedom, equity, minority rights, multiculturalism. The other is connected with such phrases as original values, genuine Poles, God, and the regular family. Therefore contemporary war of cultures, that is a general conflict over values and collective identity, came to focus on the fact that Anna Grodzka became an MP. The author of the article, relying on Allan McKee’s interpretative analysis of cultural texts, in this case press articles, aims at an analysis of the role of Ms. Grodzka’s election for identity shaping processes among Poles.   Duma i uprzedzenie. Znaczenie wyboru osoby transseksualnej na „przedstawiciela Narodu” Wybór Anny Grodzkiej na posłankę był przełomowym wydarzeniem, ponieważ po raz pierwszy w Europie osoba transseksualna została przedstawicielką wszystkich rodaków. Wydarzenie to wywołało jednak różne reakcje: od euforii do traumy, od wielkiej dumy do głębokich uprzedzeń. Służy ono bowiem samookreślaniu się Polaków, ale w taki sposób, że korzystają z niego w procesie samoidentyfikacji co najmniej dwa polskie „narody”, posługujące się językami uosabiającymi dwie zupełnie inne wizje polskości. Naród tych, którzy boją się o Polskę, utożsamianą z wiarą katolicką, tradycyjn

  19. Biochemical Benefits, Diagnosis, and Clinical Risks Evaluation of Kratom

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    Dimy Fluyau

    2017-04-01

    anorectic. However, kratom can cause intrahepatic cholestasis, seizure, arrhythmia, impair memory function, coma, and death. Psychological manifestations described are euphoria and feeling relaxed to severe symptoms such as aggression, hostility, and psychosis. Medical manifestations described are polyuria, dry mouth, vomiting, and jerky movements. Currently, liquid chromatography/mass spectrometry and ion mobility spectrometry (IMS are suggested as the most promising to rapidly screen kratom products providing a positive success rate.ConclusionOur data analysis has not determined if biochemical benefits of kratom may prove to outweigh its toxicity and risks. On the contrary, it seems that its potential side effects outweigh the benefits, and severe and real health hazards can, insidiously, lead to death. Kratom clinical, psychological, and medical manifestations can be disturbing. Kratom (M. speciosa use, among multiple compounds of the leaf, appear to be increasing in the Western world. Promising methods to accurately identify kratom compounds are still ongoing.

  20. The nuclear energy picture, at present and in the future: Introduction

    International Nuclear Information System (INIS)

    1973-01-01

    The euphoria of the 1950s appears to have given way, first, to timidly expressed fears, then to doubts, and ultimately to a defensive attitude with respect to the role which nuclear energy could play in meeting the world's energy needs. As people began to become aware of the problems associated with the environment nuclear energy was at first considered to be 'clean'. Since that time it has been placed in the same category as other forms of energy and has been assailed together with them from all sides. However, nuclear energy is also subject to attack in contexts which are more specific to it alone and which relate to its nature (radioactive pollution), its fuel cycle (treatment of waste) and its non-peaceful uses (diversion of fissionable material). The following four articles have been written by Agency experts of the Division of Nuclear Power and Reactors in order to contribute to the documentation on energy basic information which the Agency has gathered from the studies which it carries out, either by itself or in collaboration with other organizations. In a world-wide energy context it would appear that, in the short term (1985), the share of electrical energy from nuclear sources will remain modest, but that the prospects of development after that time could have a significant effect on the prices of conventional fuels. Competition would therefore continue between nuclear energy and the other forms of energy currently produced. Towards the end of the period under consideration it will already be necessary to make a uranium prospecting effort if it is desired to maintain proven reserves at competitive prices and at a level capable of keeping pace with the output of nuclear energy envisaged for the last decade of this century. A rational investment policy will have to be carried out in order to triple the capacity for enriched uranium production between now and 1985. It does not appear, moreover, that any commercial leap forward can be expected in the field

  1. [Risk-taking in adolescence: A neuroeconomics approach].

    Science.gov (United States)

    Barbalat, G; Domenech, P; Vernet, M; Fourneret, P

    2010-04-01

    Risk-taking behaviors represent the main cause of morbi-mortality in adolescence. Here, we analyze their neural correlates, based on a neuroeconomics approach. This approach postulates that risk-taking behaviors result from multiple decision-making biases that impair the selection of the most appropriate action among alternatives based on their subjective evaluation. Specifically, we investigate three important domains in value-based decision-making: risk aversion, loss aversion and intertemporal choice. First, when people have to make a decision between two rewarding options, they will usually prefer the more certain, even possibly lower, option - a phenomenon called "risk aversion". Yet adolescent people have been found to be less averse to risk than adults. This observation was linked to hypoactivation in (1) the anterior insula, involved in negative emotion such as fear and disgust and (2) the anterior cingular and the posterior ventromedial prefrontal cortices, involved in the monitoring of conflict and error detection. Second, people are generally described as being more sensitive to the possibility of losing objects than to that of gaining the same objects - "loss aversion". Here, we suggest that adolescents may be less averse to losses than adults when estimating the prospects of gaining and losing objects. Indeed, adolescent people have been found to be more affected by reward (e.g. euphoria or social integration consecutive to drug absorption) and less affected by punishment (e.g. malaise after drug consumption) than adults. Whereas the former process is subserved by hyperactivations in regions involved in reward evaluation such as the nucleus accumbens, the latter has been proposed to be subserved by hypoactivations in regions involved in negative emotions such as the amygdala or the insular cortex. This lower sensitivity to losses compared to gains in adolescents could be another important mechanism underlying risk-taking behaviors. A third dimension of

  2. Planning like an Olympian. How London Ambulance Service successfully handled their 'summer of sport'.

    Science.gov (United States)

    Killens, Jason

    2013-03-01

    LOCOG Medical managed thousands of patient contacts across all the Games venues without our intervention. A polyclinic in the athlete's village had extensive diagnostic options, including X-ray and magnetic resonance imaging for athletes and the Olympic family. These helped limit the number of patients who needed transport to the ED. Although the delivery was seamless, there were "behind the scenes" moments in the final stages of planning that made us think. We received additional requests for ambulance cover at training venues that hadn't been planned for on short notice. In addition, the torch relay attracted bigger crowds than initially planned for. Some of the planning assumptions and agreements changed on short notice for various reasons. This meant we had to adjust our plans while also solving human resource issues that you would expect to see among a workforce of around 500 across a six-week period. As part of the National Health Service (NHS) ambulance service Games cohort, more than 500 staff were deployed across 18 venues and 30 days of sport in London. In doing so, they delivered in excess of 165,000 hours of standby and care, responded to nearly 1,500 Games-related incidents and conveyed 800 patients to emergency departments across the capital. After such an influx, it wasn't easy to return to business as usual. Officials with previous host cities had advised us that there would be a feeling of "what next" once the Games concluded. When I first heard this, I thought the opposite would be the case. I expected feeling relieved of overwhelming emotion as well as from the exhaustion of the long days. I do have to say that although this was the case, it's also true that there is a "post Games" come down. We had just been part of a fantastic summer of sport with a brilliant medal tally from Team Great Britain and Paralympics Great Britain that, of course, helped the euphoria. But we did feel real sense of uncertainty about what to do next. We had spent five

  3. Tratamento da síndrome parkinsoniana pelo L-dopa Parkinsonism's treatment by L-Dopa

    Directory of Open Access Journals (Sweden)

    Roberto Melaragno

    1971-12-01

    . Age of the patients: between 42 and 78 years old. L-Dopa was administered in an initial dosis of 500 mg, associated to a MAO inhibitor; the dosis was increased 500 mg every 3 or 4 days, according to the patient's tolerance. There was a better improvement on all the phenomena dependent directly or indirectly of the rigidity, as related to the tremor. During the treatment the blood values of uric acid and urea had a tendency to increase; alkalin reserve had a tendency for lowering; the leucocyte count revealed an eosiniphilia which was sometimes very high. Collateral effects (adrenergic and dopaminergic were analysed. The adernergic effects occured when L-Dopa was used associated to a MAO inhibitor and were represented by headache, paroxysmal arterial hypertension, facial rubor, profuse sweating, vesical tenesmus and angina pectoris. The dopaminergic effects, proportional to the clinical gravity of the case, were: arterial hypotension, coldsweating, cardiac arrytmia and lipothimia. Other complications were: anorexia, decrease of bowel movements, nausea, vomiting, psychic alterations with depression and euphoria. Among the neurologic complications are emphasized discinesias and acatisia.

  4. Uso não Prescrito de Metilfenidato entre Estudantes de uma Faculdade de Medicina do Sul de Minas Gerais / Non-Medical use of Methylphenidate among Students of a Medical School in the Southern of Minas Gerais State

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    Ana Clara Mauad Coli

    2016-09-01

    % for non-prescribed use of methylphenidate was found, with a higher proportion of use in males. Among those, 76.67% used it in order to increase their concentration in exam time. In addition, 66.67% reported having their first contact with the substance in college and 60% obtained the drug through donation of friends. The main side effects reported were: anxiety, insomnia, euphoria, tachycardia, decreased appetite, irritability, headaches and tremors. Conclusion: This study shows a high prevalence of non-prescribed use of methylphenidate by medical students.

  5. La crisis de la política científica: patologías degenerativas y terapias regenerativas. A modo de epílogo

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    Muñoz, Emilio

    2009-08-01

    Full Text Available The metaphoric assumption for science policy as its behaviour like an intelligent being has permitted to identify a so called “crisis” of this policy as the result of an aging process- more than sixty years have elapsed since the onset of the modern scientific policy. In that degenerative process, a series of pathologies had been diagnosed through a series of critical reviews undertaken by the author under a research programme on the “philosophy of science policy”. By the use of medical and clinical metaphors, I have built a clinical record describing the pathologies and their diagnosis, referring them symbolically to mental and sensorial disorders. Among them, it can be mentioned amnesic process leading for instance to the dissociation between language (discourse and actions; the poor understanding of the R&D+ innovation concepts and their relationships; the mistaken use by problems of perception of the usual indicators; the transition from euphoria to depression (bipolar disorder and the subsequent losses of the sense of reality, usually depending on external factors. In agreement with the analogies applied, therapies considered as the modern regenerative treatments are proposed to correct the “crisis” of the science policy. Among those therapies oriented to the care of degenerative processes, the incorporation (transplantation of concepts such as those of “governance” and “spaces” into the sick body of the science policy is proposed. These old concepts are assumed again symbolically, to act as pluripotent, regenerative elements for a political management usually based on too simplified and traditional academic and bureaucratic approaches.La aplicación de una analogía como ser vivo e inteligente a la política científica ha permitido identificar lo que he llamado “crisis” de esa política, como resultado de un proceso de envejecimiento –hace más de sesenta años que se inició la política científica moderna

  6. Uso da metadona no tratamento da dor neuropática não-oncológica: relato de casos Uso de la metadona en el tratamiento del dolor neuropático no oncológico: relato de casos Methadone to treat non-oncologic neuropathic pain: case reports

    Directory of Open Access Journals (Sweden)

    Jeane Pereira da Silva Juver

    2005-08-01

    responded to classic approaches. CASE REPORTS: Seven cases in which methadone dose was titrated in subsequent visits are presented. Pain severity according to facial scale, side effects and improved functional capacity were evaluated 1, 7, 14, 30 and 180 days after treatment beginning. There has been decrease in pain severity and in the incidence of side effects, such as constipation, sedation, nausea, headache and insomnia. There has been no euphoria, sweating, myoclonia, urinary retention, decreased libido and respiratory depression. CONCLUSIONS: Patients responded satisfactorily to low dose medication, side effects were controlled with simple measures and there has been significant functional capacity improvement. In the conditions of this study, methadone was an effective, safe and low-cost option to treat non-oncologic neuropathic pain.

  7. Empresas estatais e a consolidação da indústria da construção naval brasileira

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    ALCIDES GOULARTI FILHO

    2013-10-01

    objective of this paper is to present that the orders made by the shipping companies state supported the Brazilian naval industry. Besides the introduction, the text is divided into four topics: first is a brief history of the merchant marine and shipbuilding Brazilian late nineteenth century to 1960, emphasizing the financial and institutional changes that have created the basis for the formation of the Brazilian naval industry . Will then be pointed the relationship between the process of industrialization in Brazil and the role of the state. Thirdly, I will detail the orders made by Companhia de Navegação Lloyd Brasileiro, Frota Nacional de Petroleiros (FRONAPE-PETROBAS and DOCENAVE (Vale do Rio Doce next to Brazilian shipyards within the various plans focused on shipbuilding. Finally, we will highlight the beginning of the partial dismantling of the shipbuilding industry, the rapid obsolescence of Lloyd Brasileiro, privatization of Vale do Rio Doce and the choices made by FRONAPE in making acquisitions abroad. The final consideration will bring brief reflections on the strong symbiosis between state and national industry in the formation of a national economy and cast glances at the current moment of euphoria and recovery of the Brazilian naval industry, again anchored by PETROBAS.

  8. ДЕСАКРАЛІЗАЦІЯ ІСТОРІЇ ЯК МЕТОД ЛІТЕРАТУРНОГО ОПРАЦЮВАННЯ ІСТОРИЧНОГО ПОЛЯ ПОДІЙ / DESECRATION OF THE HISTORY AS A METHOD OF LITERARY PROCESSING OF THE HISTORICAL FIELD OF EVENTS

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    Антоніна АНІСТРАНЕНКО

    2017-03-01

    prose works by writers of 80-th generation to the periphery of literary process. The genetic feature of the 80-th generation played the important role in its considerable functioning especially their antihermetic and, at the same time, attachment to local schools, its biographical and situational fundamentals creative implementation. In definite context, we are going to observe a small V. Kozhelyanko’s short stories and his first book consisting of five deep in meaning, expressive and canonical due to the form of the existential novels "The logic of things". The book was published in Lviv at the publishing house "Calvary" in 2007. Five short stories in one book together are written by the author during the 2002 - 2007 years including "Tea Euphoria", "The Deserter", "Narcissus", "The Wine", "Happiness". The novels are combined in mimetic way focusing on the internal monologue of the main character as well as on the social and psychological area with existential intentions and hidden gothic which develops into a Brahmin skeptical philosophical view of the World. First of all social thematic line of prose attracts our attention which is on the surface relatively to receptive components of the third and fourth levels of the text. This social motivation of the psychological feature of the characters in the stories by V. Kozhelyanko constitutes the situational valence of plot of his novels and builds the foundations of the ideological and thematic content of short fiction. In this sense revealing look is depicted in stories "The Deserter" and "Narcissus". As well we can see, the historical field of events, that do not match the historiographical one, becomes the subject of study of each generation of writers. What to 80th generation, before the writer's mind and in his life experiences appearing pictures of transformation in society and state. Key words: history, historical fiction, historiography, novel, V. Kozhelyanko.

  9. Cannabinoids for nausea and vomiting in adults with cancer receiving chemotherapy.

    Science.gov (United States)

    Smith, Lesley A; Azariah, Fredric; Lavender, Verna T C; Stoner, Nicola S; Bettiol, Silvana

    2015-11-12

    .5; 95% CI 1.4 to 8.9; low quality evidence) when they received cannabinoids compared with prochlorperazine.People had more chance of reporting dizziness (7 trials; 675 participants; RR 2.4; 95% CI 1.8 to 3.1; I(2) = 12%), dysphoria (3 trials; 192 participants; RR 7.2; 95% CI 1.3 to 39; I(2) = 0%), euphoria (2 trials; 280 participants; RR 18; 95% CI 2.4 to 133; I(2) = 0%), 'feeling high' (4 trials; 389 participants; RR 6.2; 95% CI 3.5 to 11; I(2) = 0%) and sedation (8 trials; 947 participants; RR 1.4; 95% CI 1.2 to 1.8; I(2) = 31%), with significantly more participants reporting the incidence of these adverse events with cannabinoids compared with prochlorperazine.People reported a preference for cannabinoids rather than prochlorperazine (7 trials; 695 participants; RR 3.3; 95% CI 2.2 to 4.8; I(2) = 51%; low quality evidence).In comparisons with metoclopramide, domperidone and chlorpromazine, there was weaker evidence, based on fewer trials and participants, for higher incidence of dizziness with cannabinoids.Two trials with 141 participants compared an anti-emetic drug alone with a cannabinoid added to the anti-emetic drug. There was no evidence of differences between groups; however, the majority of the analyses were based on one small trial with few events. Quality of the evidence The trials were generally at low to moderate risk of bias in terms of how they were designed and do not reflect current chemotherapy and anti-emetic treatment regimens. Furthermore, the quality of evidence arising from meta-analyses was graded as low for the majority of the outcomes analysed, indicating that we are not very confident in our ability to say how well the medications worked. Further research is likely to have an important impact on the results. Cannabis-based medications may be useful for treating refractory chemotherapy-induced nausea and vomiting. However, methodological limitations of the trials limit our conclusions and further research reflecting current chemotherapy

  10. Something about Genetics in Psychiatry

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    Bakir Mehić

    2012-11-01

    transduction, activate transcription factors and regulate gene expression,- endocannabinoids (they regulate behavior, sedation, euphoria, appetite, memory,- sterols (cholesterol (they regulate the dynamics of lipid rafts - signal transduction,- sphingolipids (myelin,- gangliosides (vitally important but an unknown role. The enzymes that metabolize the membrane’s phospholipids are related to the cell membrane and they colocalize with monoaminergic receptors, and are therefore crucial for signal transmission, but also for the creation of long-term memory.

  11. Postmodernistlikke jooni eesti noore režissuuri lavastustes 1969–1975 / Postmodernist Traits in the Performances of Young Estonian Directors 1969-1975

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    Rein Heinsalu

    2015-06-01

    theatre was not referred to by a single name: in the USA, it was referred to as experimental, neo-avant-garde, off-off-Broadway, also as alternative. In England, experimental andfringe were among the concepts used. The designation of theatre renewal of the 1960s and 1970s as „postmodern“ could only was a retrospective manoeuvre by American and English theorists. The young directors began to use deconstruction to overturn the grand narratives; binaries and myths were shattered; power and its structures are examined closely; sexuality was used in a shocking manner; the principle of play became foregrounded. All of these directions and intentions connect the new wave with postmodernism. This article uses the above principles to examine some of the most important works of young directors from the end of the 1960s and the beginning of the 1970s: a program of the poetry of Gustav Suits, This one song I want to sing (1969; Cinderella-game (1969; Letting Their Hand Be Kissed (1969; Epp Pillapart’s Punjaba Pot Factory (1974; Oliver and Jennifer (1972. Changes in social and aesthetic consciousness also had an effect, as they had in other artistic media. „This was a generation that was not bothered by stalinist norms,“ said Karin Kask. Without a doubt, the emergence of this phenomenon were also affected by moods of renewal in Czechoslovakia and Poland, as well as by the invasion of Czechoslovakia. The period was characterized by the „virus of protest and freedom“ as well as „euphoria on the eve of suppression“. While trying to reform theatre, new concepts emerged, such as imagistic system, impulse, non-conceptual base, complete freedom in the choice of means, a new style, irrationality at the base of humanity, the psychophysical dramatic equivalent, etc. The stage is set free from the circumstantial conjuncture, turning instead toward an existential black-box; alternatively, standard images are tentatively represented on a meta-level. The

  12. Successful online learning – the five Ps

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    Jim FLOOD

    2004-04-01

    importance of ‘marketing’ it to their potential consumers. This includes the planning of rewards and incentives as well as managing the expectations that might prove to be too high, too low or ill informed. Preparation The study skills and mind-set required for online learning are very different from the conventional learning environments that most people have experience of. The shift from being an unselfconscious learner, dependent on the directions and approbation of a teacher, to that of a self-conscious independent learner having to take on responsibilities, is a considerable one. These responsibilities include the development of intrinsic in place of extrinsic motivation, and for nurturing a self-learning ability. Add in to this what, for many, is an alien screen-based environment, preparation then becomes essential to achieve the exhilarating transition to empowered self-managed learning. Successful Open University students have all discovered that learning to learn is a key skill for ensuring progression. In the euphoria of seeing online learning as the ultimate solution to training and development, many learners have been, metaphorically, ‘dropped in at the deep end’ with the consequential results of this type of approach. Nearly all learners react with trepidation to any new learning landscape and need an induction phase that reduces anxieties and builds confidence. With online learning being such an unfamiliar learning landscape, the need for an effective induction is much greater. Perhaps just as important is a transition phase in which the online part of the learning is a relatively small part of a blended approach. Props Online learners need props (props as in supports. Rather than identifying people who will offer support, say in the role of mentor, tutor or e-moderator, think about what is required in terms of the total support system that fragile learners (and all new learners are fragile will need. For example we know that learners who experience

  13. La fábrica de doble hoja en Madrid, un siglo de cerramiento moderno

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    Ros García, Juan Manuel

    2005-02-01

    Full Text Available The present paper describes the development and generalized use of the double or hollow wall system in masonry enclosures in Madrilenian residential architecture in the first two thirds of the twentieth century. The question is addressed, on the one hand, from the standpoint of comparative history, in which a clear awareness of evolutionary progress can be defined through certain recognizable architectural tendencies that arose during the technological revolution taking place in Europe and somewhat later in our country; in this regard, the analysis focuses on developments in Madrid. On the other hand, consideration is given to the general construction systems and methods applied to different typologies and representative examples associated with possible modes of technical innovation in the expansive processes involved in housing of high architectural quality, characterized by material and formal consistency. The inclusion of insulation materials in wall construction and the development of the air chamber are likewise dealt with in the context of inherited tradition and the incipient new language developed in the nineteen thirties. The discussion also reflects on the parenthesis imposed by the Civil War, the interruption of the progressive trend begun prior to and continued after that conflict and the need to rebuild which materialized in an emergency housing policy mixed with a spirit of euphoria magnified and defined by the official architectural establishment. The different types of construction systems where double walls became increasingly popular are studied and classified, differentiated on the grounds of the materials used - a modern compositional solution adopted with growing frequency in contemporary models, that would gradually lead to the standardization of such enclosures in urban housing in the nineteen fifties. Also considered is the truly determining influence, particularly beginning in the nineteen forties, of the legislation

  14. Film beyond boundaries: film, migrant narratives and other media

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    Anelise Reich Corseuil

    2006-04-01

    Fuzis (1964. Xavier points out the differences in the representation of violence in contemporary films as it incorporates and projects new forms of violence more associated with an urban and capitalist environment in which self-interest, the powerlessness of the State, and the cangaceiro's distancing from his collectivity devoid violence from a sense of justice and justified revenge. Xavier's article contextualizes the changing forms of representation of violence in Brazilian cinema—changes that, despite their specificities, map out an ironic perception of the lack of a collective national project, but which are still inserted in a market economy that is quite tuned in to the demands of national and international audiences. The importance of representation for one's understanding of the interrelations between a national and an international film industry is also discussed in José Gatti's essay “Carmen Miranda's White Dress: Ethnicity, Syncretism and Subaltern Sexualities in Springtime in the Rockies”. Gatti discusses the sophisticated role played by Carmen Miranda as an icon in contemporary cultural industry, whose influence went far beyond her alleged performance as a “Brazilian cultural ambassador in the United States” (92. Gatti argues that in spite of all critiques of Carmen Miranda's alleged manipulation by the Hollywood industry, she was the “auteur of her own persona”, as a sort of “multiauthor” capable of adapting her own needs and personal/political projects to the agenda imposed by the film industry. This sense of malleability, flexibility, and adaptation allowed Carmen Miranda to negotiate her position within the film industry. Furthermore, such intricacies in the relationship established between the star and the industry create a space for a more sophisticated analysis of the interrelations between national culture and the international industry. In “Techno-Euphoria and the World-Improving Dream”, Robert Burgoyne analyses the

  15. Film beyond boundaries: film, migrant narratives and other media Film beyond boundaries: film, migrant narratives and other media

    Directory of Open Access Journals (Sweden)

    Anelise Reich Corseuil

    2008-04-01

    (1964, or Os Fuzis (1964. Xavier points out the differences in the representation of violence in contemporary films as it incorporates and projects new forms of violence more associated with an urban and capitalist environment in which self-interest, the powerlessness of the State, and the cangaceiro's distancing from his collectivity devoid violence from a sense of justice and justified revenge. Xavier's article contextualizes the changing forms of representation of violence in Brazilian cinema—changes that, despite their specificities, map out an ironic perception of the lack of a collective national project, but which are still inserted in a market economy that is quite tuned in to the demands of national and international audiences. The importance of representation for one's understanding of the interrelations between a national and an international film industry is also discussed in José Gatti's essay “Carmen Miranda's White Dress: Ethnicity, Syncretism and Subaltern Sexualities in Springtime in the Rockies”. Gatti discusses the sophisticated role played by Carmen Miranda as an icon in contemporary cultural industry, whose influence went far beyond her alleged performance as a “Brazilian cultural ambassador in the United States” (92. Gatti argues that in spite of all critiques of Carmen Miranda's alleged manipulation by the Hollywood industry, she was the “auteur of her own persona”, as a sort of “multiauthor” capable of adapting her own needs and personal/political projects to the agenda imposed by the film industry. This sense of malleability, flexibility, and adaptation allowed Carmen Miranda to negotiate her position within the film industry. Furthermore, such intricacies in the relationship established between the star and the industry create a space for a more sophisticated analysis of the interrelations between national culture and the international industry. In “Techno-Euphoria and the World-Improving Dream”, Robert Burgoyne