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Because numerous clinics decline to offer sleeping medication to the individual withdrawing from opiates, many addicts discharge themselves early from the treatment process (Carver). In regard to treatment, Carver notes:
Detoxification technology is being transformed in an increasing number of countries by the introduction of rapid opiate detoxification (OD) techniques. Instead of discontinuing opiates abruptly or over a few days and allowing withdrawal symptoms to develop (a technique which adds the stress of anticipation to the actual pains of withdrawal), an alternative technique is to precipitate acute withdrawal over a space of three to four hours by administering opiate antagonists. These drive all opiates off the opiate receptors but also start the process of normalising the receptors so that the worst symptoms of withdrawal are over in two to three days rather than the two to three weeks which is typical in conventional programmes for most patients (Brewer 1997). Naltrexone…… [Read More]
Female Substance Abusers and Addicts
Heroin is a highly addictive substance which is characterized by a rush of biophysiological symptoms such as a rush or feeling of euphoria, heaviness in one's extremities and a certain element of dry mouth (rehab-international.org). When it comes to heroin and gender, either gender can become addicted to it in a brief amount of time: "Addiction to heroin is characterized by the compulsion to use heroin despite an onset of negative consequences and despite the user's best attempts at stopping via willpower alone" (rehab-international.org). For women, one of the more common traits of heroin abuse is rather detrimental: the acquired tolerance means that greater doses of heroin have to be taken in order to get the original effects of the drug. When women are under the influence of the drug, they may engage in unsafe sexual activity, actions which can lead to STDs, unintended pregnancies…… [Read More]
14). Soon, Congress passed the Marijuana Tax Act, which was signed into law in 1937. Like the Harrison Act, the Marijuana Tax Act placed marijuana into the same category as the cocaine and opium drugs. It was now illegal to import marijuana into the United States (McWilliams, 1991). However, this law was ineffective in curbing marijuana use (Brecher, 1986, p. 14).
By the early 1940s narcotic addiction had significantly reduced in the United States (Harrison, Backenheimer and Inciardi, 1999). However, this was not the result of legislative initiatives. Instead, it was because World War II was cutting off the "supplies of opium from Asia and interrupt the trafficking routes from Europe" (Inciardi, 1992, p. 24).
Several other legislative efforts in the supply reduction department served to establish more severe penalties for violations of drug laws, and tighten controls and restrictions over legally manufactured narcotic drugs (Harrison, Backenheimer and Inciardi, 1999).…… [Read More]
mericas Coalition Puts Marijuana Legalization Up for Discussion. Retrieved from the New York Times: http://www.nytimes.com/2013/05/18/world/americas/nations-in-americas-urged-to-consider-legalizing-pot.html?_r=0
Bakalar, N. (2006). Marijuana as Medicine: Consider the Pros and Cons,. The Mayo Clinic .
Lawrence Genen, M.M. (2012). Cannabis Compound buse. Medscape Reference .
National Instritute of Health. (2012, December). DrugFacts: Marijuana. Retrieved from National Institute on Drug buse: http://www.drugabuse.gov/publications/drugfacts/marijuana
Considering the magnitude of the worldwide illicit drug trade and its impact on the United States, take a position on merican enforcement policy in the world. nalyze the impact that merican drug enforcement has had on the international drug trade. Has it been effective?
The countries in which drug plants such as poppy (for opium and heroin) and cannabis (for marijuana), such drugs are smuggled into them. International drug trafficking is a billion-dollar business that grows each year.
Drugs trafficked on an international scale include heroin, cocaine, methamphetamine etc. It has been…… [Read More]
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…… [Read More]
Positron Emission Tomography (PET)
PET represents a new step forward in the way scientists and doctors look at the brain and how it functions. An X-ray or a CT scan shows only structural details within the brain. The PET scanner gives us a picture of the brain at work. - What is PET?
The epigraph above is reflective of the enthusiasm being generated among clinicians concerning the advent of positron emission tomography and its potential for imaging the human brain. The introduction of sophisticated neuroimaging techniques such as computerized tomography and magnetic resonance imaging has shifted the emphasis of neuropsychology from lesion localization to diagnosing the etiology of diseases (Maruish & Moses, 1997).
Behavioral neurology also benefited from innovations in neuroimaging techniques. The advent of improvements in the imaging of brain anatomy through computed tomography (CT) and magnetic resonance imaging (MI), as well as functional imaging with single photon emission…… [Read More]
The current opium irradiation program in Afghanistan is failing to address the long-term challenges impacting the country (i.e. poverty, a lack of economic opportunities and corruption). This is resulting in the Taliban and organized crime utilizing it as an avenue to create greater amounts of instability. In the ten years, seizures of opium and heroin have declined by 57 and 77% respectively. This is problematic, as it is making it difficult for the country to move forward beyond the decades of civil war. (Ackerman, 2014)
To address these issues, a new approach must be used that are showing the way forward. This will be accomplished by providing policy recommendations and suggesting a future course of action which can reverse key trends. Together, these insights will enhance stability and decrease the influence of the Taliban / organized crime elements.
The opium trade and poverty are directly related…… [Read More]
Opium Can Be Described as "a Cancer" In Afghanistan
In 2014, an estimated 224,000 hectares (or between 200,000 and 250,500 hectares) of land in Afghanistan was utilized for cultivation of opium poppy -- a 7% increase from the previous year. Also, as per 2014 estimates, 98% of all opium farms in the country were found in Eastern (9%), Western (22%) and Southern (67%) Afghanistan. Southern Afghanistan's opium farms were concentrated in the provinces of Kandahar, Day Kundi, Zabul, Hilmand, and Uruzgan; Western Afghanistan's farms were concentrated in the provinces of Badghis, Nimroz, Farah, and Hirat; and Eastern Afghanistan's opium farms were concentrated in the provinces of Laghman, Kapisa, Nangarhar, and Kunar. The aforementioned provinces are the most vulnerable, with high to extreme security risk, according to the UNDSS (United Nations Department of Safety and Security). Furthermore, they are also largely inaccessible to non-government organizations and the UN. Day Kundi represents…… [Read More]
Mexico faces an array of drug-related problems ranging from production and transshipment of illicit drugs to corruption, violence, and increased internal drug abuse. Powerful and well-organized Mexican organizations control drug production and trafficking in and through Mexico, as well as the laundering of drug proceeds. These organizations also have made a concerted effort to corrupt and intimidate Mexican law enforcement and public officials. In addition, the geographic proximity of Mexico to the United States and the voluminous cross-border traffic between the countries provide ample opportunities for drug smugglers to deliver their illicit products to U.S. markets. The purpose of this study was to develop informed and timely answers to the following research questions: (a) How serious is the trade in illicit drugs between Mexico and the United States today and what have been recent trends? (b) How does drug trafficking fund terrorist organizations in general and trade between Mexico and…… [Read More]
The authors state: "The amphetamines occasioned dose-related increases in d- amphetamine-appropriate responding, whereas hydromorphone did not. Amphetamines also occasioned dose-related increases in reports of the drug being most like "speed," whereas hydromorphone did not. However, both amphetamines and hydromorphone occasioned dose-related increases in reports of drug liking and in three scales of the ARCI. Thus, some self-report measures were well correlated with responding on the drug-appropriate lever and some were not. Lamb and Henningfield (1994) suggest that self-reports are complexly controlled by both the private event and the subject's history of experience with the drug. Some of the self-reports they observed (e.g., feels like speed) are probably occasioned by a relatively narrow range of stimuli because in the subject's experience with drug administration, these reports have been more selectively reinforced by the verbal community relative to other reports (e.g., drug liking). They also suggest that these results imply…… [Read More]
NLM (2012). Substance abuse treatment of women. Chapter 4. National Library of Medicine: National Institutes of Health. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/books/NK83257
- Screening and assessment. http://www.ncbi.nlm.nih.gov/books.NK83253
rauser, D (2010), Sublingual buprenorphine relieves symptoms of neonatal opioid abstinence syndrome, Medscape: Medscape LLC. Retrieved on December 9, 2012
Fisher, P.A. et al. (2011). The combined effects of prenatal drug exposure and early adversity on neurobehavioral dis-inhibition in childhood and adolescence,
Developmental Psychopathology. Retrieved on December 9, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335443
Hamdan, a.H. (2012). Neonatal abstinence syndrome, Medscape: Medscape LLC.
Retrieved on December 9, 2012 from http://www.emedicine.medscape.com/article/978763-clinical
Johnson, K et al. (2003). Treatment of neonatal abstinence syndrome, Archive of Disease
in Childhood. Retrieved on December 9, 2012 from http://www.bmj.com/content/88/1/F.2.2.ful
Johnson, K and Leff, M (1999). Children of substance abusers. Pediatrics. American Academy of Pediatrics. Retrieved on December 9, 2012 from http://www.pediatrics.aappublications.org/content/103/Supplement_2/1085.long
Kraft, W.K. et al. (2010). Future trends…… [Read More]
legislation on PA SB 1299
The General Assembly of Pennsylvania
Senate Bill No. 1299
Session of 2014
Introduced by: Ward, Pileggi, Erickson, Schwank, Washington, White and Baker.
The significance of PA SB 1299 Bill
The deaths from overdose on opioids have been a common occurrence across the nation with many of the people falling victims to either ignorance or intentional negligence by the people around then when they suffer the overdose symptoms to death. Initially, there were rampant incidences of the arrest and prosecution of the volunteers who called the law enforcement and the first responders to the scene since they too were often found to have used the drugs. The first responders were also not allowed to administer opioid antagonist at the scene to the person suffering obvious signs of overdose on the opioids hence the death rates from the overdose kept increasing even amidst the knowledge that…… [Read More]
drives under the influence of alcohol, it is a criminal offense abbreviated as driving under the influence (DUI). However alcohol is but one of the many substances that can interfere with one's driving capability. DUI charges can also be pressed against individuals who are driving under the influence of other kinds of drugs, including illegal drugs and even prescription medication. Taking drugs and driving at the same time, whether the drugs are just prescription muscle relaxers or medicinal marijuana is illegal and a DUI offense. The argument that one took drugs because of doctor's orders is not a defense to DUI charges. Various drugs have different effects on drivers. The drugs that impair concentration, judgment, alertness and/or motor skills are regarded as dangerous and in several cases even more dangerous than alcohol. Driving while having a blood alcohol concentration (BAC) of more than 0.08% or higher is illegal in the…… [Read More]
Heroin Impact on Caucasian Family?
A large number of Caucasian families are plagued with the issue of heroin use, mostly consumed via injections. This is a major public health issue. Viral hepatitis, HIV and other dangers associated with heroin dependence, as well as social harm resulting from accompanying poverty and crime, exceed those of almost all other drugs used. A majority of Caucasian households are indirectly as well as directly impacted by the aforementioned diseases.
Increased pureness and decreased drug costs are potential factors contributing to the trend of decreased age of first-time consumption and increased initiation into habitual consumption in the Caucasian population. As heroin dependence can be successfully cured, primary care providers need to check their patients for this problem.
This paper serves two purposes. Firstly, it attempts to study substance abuse's socio-economic effects on Caucasian people. Secondly, depending on this analysis, it attempts to provide recommendations on…… [Read More]
Financial and Economic Impact of Worker's Compensation egulations And Compliance
The program and concept of Workers' Compensation might appear to be a product of a civilized society and the modern era, but nothing could be further from the truth. In fact, Workers' Compensation has essentially been around for as long as people have been completing task for payment of some form of another, because people have always been getting hurt in some way, on the job. "The history of compensation for bodily injury begins shortly after the advent of written history itself1. The Nippur Tablet No. 3191 from ancient Sumeria in the Fertile Crescent outlines the law of Ur-Nammu, king of the city-state of Ur. It dates to approximately 2050 B.C.2. The law of Ur provided monetary compensation for specific injury to workers' body parts, including fractures. The code of Hammurabi from 1750 B.C. provided a similar set of rewards…… [Read More]
American Academy Pediatrics publication a critique a media portrayal substance, links made AAP statement material. The password EBook: apusstudent I uploaded rest material.
American Academy of Pediatrics' Policy Statement concerning media portrayal of substance abuse touches upon several important issues that arise along with the media products' influence on America's young population at large. The article's targeted list of open-access channels associated with messages of noxious substance use include advertisements, television shows, motion pictures, social websites and music. Attention is directed specifically towards the findings of broadly conducted research in the matter of harm inflicted on children and adolescents as a result of the entertainment industry's depictions of legal and illegal substances, such as alcohol, tobacco, marijuana and heroin. Based on these findings, Pediatrics proposes a set of familial, institutional and legislative measures designed to minimize or abolish the destructive influence that media effects on a child's and teenager's development…… [Read More]
The author mentioned that rather than only tying the drug consumption with unemployment, urban drug culture, and other factors, one needs to view the drug pervasiveness issues in light of distribution channels as well. The author mentioned that South East Asia's Golden Triangle was the hub of opium trade to the world. Thai-Burma border was used by the Yunnan province drug lords to change opium into marijuana and heroin. The long trail from Golden Triangle to New York was managed by Yunnan merchants and they exported the illicit drugs to Thai -- Burma border. After refinement into heroin, the drugs were then carried by the Chiu Chau Chinese drug traders. They transported these drugs to Bangkok, South Asia, America and Europe. ith loose organizational structures, these Chinese networks of drug trade were closely knit clans and fiercely ruthless in their trade practices as were the gangs of Versailles.
Davenport observed…… [Read More]
Government Regulations and Hospice
Government Regulations Affecting Health Care in Hospice
Regulations Affecting Health Care in Hospice
Impact of rules on Hospice services
This paper focuses on how government regulations impact hospice. The paper starts off with an introduction to the hospice system that was revived by a nurse, Cecily Saunders, who then went on to become a physician, establishing one of the first modern hospices. The concept of total pain is explained in some detail. The body of the paper then includes the studies that have been conducted on patients and caregivers in hospice systems as well as on people who died after they were diagnosed with terminal illness resulting in death in six months following the prognosis. The overall conclusion that can be drawn here is that while in Japan there is a marked need for improving the Day hospice system, the American hospice industry…… [Read More]
Hydrocodone: An overview of a highly addictive drug
If you have ever had a cough and taken over-the-counter medications, you know sometimes Tylenol and gargling with salt water is not enough to alleviate the discomfort and the nagging unpleasantness of a lingering cough. Hydrocodone is often prescribed as a temporary pain remedy for relief in combination with other drugs to reduce pain and coughing. The drug is present in a number of medications, almost inevitably compounded with other drugs to relieve pain. Hydrocodone is classified as an opiate as well as an antitussive which inhibits cough. "Hydrocodone relieves pain by changing the way the brain and nervous system respond to pain. Hydrocodone relieves cough by decreasing activity in the part of the brain that causes coughing" ("Hydrocodone Combination Products," Medline Plus). However, despite its potential benefits the drug also has an addictive potential which cannot be disregarded. The potential palliative…… [Read More]
economic impact of drug use in the United States might initially seem easy to measure. A legal trial is an expensive proceeding: police officers, prosecutors or public defenders, judges, stenographers, and bailiffs are employees of the state, and even if jurors are barely remunerated, defense attorneys are lavishly remunerated. To prosecute someone for dealing marijuana is an expensive undertaking, and to do so under a "three strikes" law, where the crime is suddenly elevated to a horrific felony with extreme penalties, is even more expensive. The greater expense comes with convictions: America has the largest imprisoned population in the world, with more people behind bars in this country than comprise the entire populations of other sovereign nations. Imprisonment is not a cheap proposition. We can then consider the further economic impact, legally and morally speaking, of drug use in the current extensive misuse of civil forfeiture laws. Ostensibly designed to…… [Read More]
When processed by a transglutaminase enzyme, it can interact with immunological cells and produce cytotoxic inflammation. In autism, it is believed that peptides from gluten and casein cross the intestinal microvillus barrier and enter the blood stream. They also cross the blood-brain barrier. In the brain, certain amino acid sequences of these peptides compete with natural peptides, which bind to opioid receptors. These receptors are G-protein receptors in cell membrane surfaces of neurons. inding to these receptors disturbs the neuronal function and ultimately leads to or contributes to autism (Department of Pediatrics Staff).
Limited Reliable Scientific Evidence
UK researchers investigated more than 30 scientific articles on the effectiveness of the gluten-free, casein-free diet on autistic children (astian, 2004). They found one, which provided reliable scientific evidence that the diet works. The particular study, however, was conducted on only 20 children aged 5-10 who had high levels of protein in their…… [Read More]
One of the most frequent injuries is represented by the traumatic brain ones.. amongst other symptoms, one can mention anxiety, severe depression. Headaches and the difficulty to reason clearly. PTSD, post traumatic stress disorder is also manifested through depression, insomnia, flashback.
It is important to underline that these psychological disorders are usually associated with drug abuse. Taking this into consideration, it can be underlined that we are dealing with a social phenomenon. Most soldiers do not have the psychological training needed in order to do what they need to do once in combat. War has never been and could never be a pretty things, so the atrocities that these young men witness or are forced to do, shake them up psychologically. The use of drugs is to be understood in close connection to this factor.
Depression is not a factor that can be ignored. And there is no time for…… [Read More]
Ashley, Assistant Director, Criminal Investigative Division of the FI relates that in 1991: "...the U.S. Attorney's office in Los Angeles charged 13 defendants in a $1 billion false medical billing scheme that was headed by two Russian emigre brothers. On September 20, 1994, the alleged ringleader was sentenced to 21 years in prison for fraud, conspiracy, racketeering, and money laundering. He was also ordered to forfeit $50 million in assets, pay more than $41 million in restitution to government agencies and insurance companies victimized by the scheme." (2003) Ashley relates that the first Eurasian organized crime investigation of a significant nature involved a major underworld figure in the United States and specifically, Vyacheslav Ivankov who is a powerful Eurasian organized crime boss. Ashley states that Ivankov "...led an international criminal organization that operated in numerous cities in Europe, Canada, and the United States, chiefly New York, London, Toronto, Vienna, udapest,…… [Read More]
All participants will be clinically diagnosed with an addiction problem to alcohol and/or another controlled substance. Those that are addicted to prescription medicine alone will be excluded from the study as they are suspected to represent a different underlying order. Subjects will be chosen for addiction to alcohol, meth, crack, opiates and other controlled substances, other than prescription drugs. Participants may have single or multiple substances of addiction.
In order to eliminate as many potential confounding variables as possible the subjects will be males between the ages of 25-40. They will be from a number of socioeconomic backgrounds and will not be eliminated for race or other cultural attributes. However, these attributes will be considered in the final analysis to eliminate potential sources of sample bias. Participation in this study will be voluntary and all participants will be asked to sign a consent form. Participants meeting the criteria will be…… [Read More]
Croop et al. (1997).
The overall safety profile of naltrexone is good; however, care must be taken in prescribing the drug to certain patient populations; e.g., naltrexone shows a dose-dependent hepatotoxicity (package insert) and is therefore contraindicated in patients with significant hepatic impairment, which is frequently encountered in alcohol-dependent populations.
The clinical trials of naltrexone have typically been conducted in patients without significant impairment in hepatic function. Another consequence of the hepatic impact of naltrexone is the possibility of drug-drug interactions.
Kim et al. (2001) potentially clinically significant interaction has been reported between naltrexone and nonsteroidal anti-inflammatory drugs; these researchers found elevated liver function tests in study participants receiving both medications, although the doses of naltrexone used in this study were higher than the typical 50 mg daily dose.
Naltrexone is not appropriate for use with patients taking prescribed or illicit opioid drugs. Antagonism of the effects of these drugs…… [Read More]
Drug addiction is not merely a failure of will or weakness in character, however having this 'brain disease' does not absolve the addict of responsibility for his or her behavior, but it does explain why an addict feels compelled to continue using drugs (Leshner 2001). Environmental cues that surround an individual's initial drug use and development of the addiction, actually become "conditioned" to the drug use and thus are critical to the problem of addiction (Leshner 2001).
Therefore, when those cues are present at a later time, "they elicit anticipation of a drug experience and thus generate tremendous drug craving" (Leshner 2001). This type of cue-induces craving is one of the most frequent causes of drug use relapses, independently of whether drugs are available and even after years of abstinence (Leshner 2001).
In March 2006, it was reported that researchers from Liverpool, England discovered a gene that directly affects the…… [Read More]
Technology, a very familiar phenomenon of modern world, is continuously enhancing its ways towards comforts and luxuries. New thoughts and ideas are coming with every passing second, and what started as only a blurred vision, now became a necessity for all mankind. These have become a need of today's society making the society very much involved in these technological reforms. Several debates have been made on the topic that although the level of our technology keeps on improving day by day, but do all of these hi-tech gadgets give us the proper advantages? Are we really aware of the two different sides of the same mirror, or are we just so much accustomed to all such things around us that we don't bother to look upon the other side? Amongst these debates, two of the very famous are classical McDermott vs. Mesthene debate of 1960s and contemporary debate of Joy…… [Read More]
Addictive Nature of Vicodin
According to statistics provided by the Department of Health and Human Services, an estimated one and one-half million people in the United States started taking prescription painkillers for "non-medical" purposes in 1998, three times as many as in 1990. One of the most heavily abused painkillers is Vicodin.
Properly used, Vicodin is one of the most commonly prescribed pain medications, especially for those suffering from lower back pain, arthritis, post-operative distress, malignant cancer or sports injuries. It is not time-released, and therefore provides almost instant relief. Vicodin is a compound of two drugs: acetaminophen (found in Tylenol) and hydrocodone bitartrate. Both are painkillers, but together they are far more effective than either one individually.
Twenty tons of Vicodin are produced annually, and it is marketed under a plethora of brand names including Anexsia, Bancap-HC, Ceta-Plus, Co-Gesic, Dolacet, Hydrocet, Hydrogesic, Hy-Phen, Lorcet, Lortab, Margesic-H, Maxidone, Norco and…… [Read More]
Oxycodone: A brief history of a potentially addictive drug
Most of us think of opium and opiates in fairly dramatic terms. e think of Dorothy in the izard of Oz, lulled into a stupor after falling asleep in a field of poppies or, worse, the image of a junkie hopelessly captivated by heroin. However, the face of drug addiction is changing. Many people are addicted to supposedly healthy, doctor-prescribed painkillers by their physicians. Drugs like oxycodone have the same chemical composition as opiates like heroin, even though they were scientifically created in laboratories. This paper will provide a brief history of the drug oxycodone and its use and abuses. Although oxycodone has many legitimate applications in pain management, it is not a harmless drug and has the potential to become extremely addictive. This addictive property was not initially noted but after cases of abuse began to surface, concerns began to…… [Read More]
Many different views abound on the origins of modern capitalism, causalities that range from economic to political, from religious to cultural, or for some, an amalgamation of societies need to expand and the resources necessary to fuel that expansion. Max Weber's the Protestant Ethic and the Spirit of Capitalism is a study of the relationship between the ethics of ascetic Protestantism and the emergence of the spirit of modern capitalism. An ascetic Protestant is one who practices self-denial and self-discipline. Weber argues that the religious ideas of groups such as the Calvinists played a role in creating the capitalistic spirit. Calvinism focused on predestination and God's infinite power, a hierarchical system that transcended religion and moved into economic and social activities.
This is true not only in cases where the difference in religion coincides with one of nationality, and thus of cultural development . . . . The same thing…… [Read More]
Knowledge of the program's existence within a state can also hopefully act as a deterrent for an addicted 'doctor-shopper.'
Article Relevance: Doctors are growing increasingly cautious about prescribing pain medication. This is unfortunate, given the fact that not treating pain can be equally dangerous as over-treating pain. States' lack of sharing of information in the name of state's rights and patient privacy is interfering with doctors' abilities to provide appropriate care. Currently, 41 states have used federal funding to monitor and share information about the use of prescription drugs across state lines. Doctors in non-participating states, however, can still use other states' data about patients when making decisions about prescribing drugs. Doctors all states should consult records if they have any question about a patient's honesty: this can either flag a potential addict, or set their mind at ease when they write a prescription for a patient who says that…… [Read More]
" This is money that should be spent on (a) preventing and healing drug addiction and related issues; (b) more effective, and smarter, law enforcement. Legalizing marijuana would also generate much-needed tax revenues that can be spent on precisely those two things. From an economic or financial perspective, the legalization of marijuana will also help grow small businesses and thus can alleviate the problems associated with the current economic crisis. Low start-up costs for a marijuana grow operation also mean that low-income families and entrepreneurs can earn extra income in a legitimate way. Marijuana should be made legal because Americans value personal freedoms, too. It makes no sense for alcohol and Xanax to be legal but not marijuana. Marijuana, when made legal, can be regulated in the same way that alcohol and prescription drugs are. Police will not be wasting their time busting people for possessing a plant. Instead, pharmacists…… [Read More]
The term consciousness has been defined as "mental awareness of sensations, perceptions, memories, and feelings" (Brown, et al. 2003, p. 166). Most human beings live in three states of consciousness: waking, sleeping, and dreaming. Two other states of consciousness, meditation and drug-altered consciousness, can be induced. This essay will explore these five states further and will conclude with a discussion on their psychological relevance.
Most of our lives are spent in waking consciousness, that is, a state of clear and organized alertness (Brown, et al., 2003). When we are awake, our perception of time, places, and events are real and often accurate. An electroencephalograph (EEG), a device that monitors the electrical activity of the brain, reveals that a person in the waking state has low-amplitude brain wave patterns that are fast and irregular.
Contrary to popular beliefs, sleep does involve some awareness (Lindsay et al., 2004). The…… [Read More]
build a logical argument by clarifying facts and speaking to a particular audience; and the conclusions must be strong and communicated well so that the intended audience can logically say, "I understand and agree with that."
Marc Siegel, a professor of Medicine at New York University and also a doctor with a practice, wrote an argument based on the doctor's role in treating pain and suffering by helping the patient end their life -- euthanasia. He was persuasive to me in his argument for several reasons: 1) He is a medical doctor who has taken the Hippocratic Oath and believes in helping patient's whenever possible; 2) He is logical and factual when he talks about some illnesses and conditions in which there is no cure; 3) He supports his arguments with the sound moral and ethical facts that show the audience just how much certain people suffer, and have a…… [Read More]
Gonadectomy alters the magnitude of CCS and ICS analgesia and alters the relationship between the gender-specific effects observed in sham-treated rats. Castration significantly decreased the magnitude of CCS analgesia on the tail-flick and jump tests, and the magnitude of ICS analgesia on the jump test. Indeed castration reduced the magnitude of CCS and ICS analgesia in males to that observed for sham-treated female rats.
Given the multitude of CNS substrates and systems underlying both opioid and stress analgesia, and the likelihood that only a little differ amid sexes, we could rationally expect to come across sex differences in opioid analgesic efficacy in some occasions, depending solely on the nature of the ache incentive and opioid involved, as outlined earlier. It is important to also note that sex differences are no defined to opioid drugs in analgesia. Furthermore, commencement of endogenous pain inhibitory mechanisms in reaction to stress also produces…… [Read More]
Thus Mary loves Tyrone, as when she says, "That was in the winter of senior year. Then in the spring something happened to me. Yes, I remember. I fell in love with James Tyrone and was so happy for a time," in the final act. But Mary and Tyrone's sameness as two people both keeps them together but creates mechanisms, such as addiction, that keep them apart.
This connection through denial, love, and addiction is also seen between mother and sons. At one point, Mary is seen, like Jamie, refilling the liquor bottle with water to keep the level the same. The family 'trick' keeps up appearances for both characters. This sameness in protective mechanisms of addiction seems both touching as well as tragic -- both child and mother protecting one another from one another's knowledge, through the same 'hiding' behavior, as if heredity creates both the hideous and debilitating…… [Read More]
Introduction to the Characteristics and Extent of Alcohol, Tobacco or Other Drug Use.
Addiction means physical dependence on a drug, with withdrawal symptoms when its use ceases, and in this sense, alcohol, tobacco, marijuana, cocaine, heroin, hashish, opiates and amphetamines are all addictive drugs. In addition, these drugs also cause psychological dependency since they enhance a person's sense of pleasure, sociability, sexuality and emotional satisfaction, and also mask pain, low self-esteem and anxiety (Wilson and Kolander, 2011, p. 6). Student surveys are "likely to underreport the overall level of substance use and abuse by young people," and since black and Hispanic students have higher dropout and absenteeism rates, this affects survey results as well (Mosher and Akins, 2007, p. 136). Hard drug users and addicts are also more likely to be homeless, which means that their true numbers are always unknown.
All studies and surveys confirm that marijuana…… [Read More]
Psychology: Alcohol & Drug Abuse
The over-all focus of this paper is to show how alcohol, drug addictions and abuse is fundamentally a disease of the brain. It will focus on various psychological aspects of addiction, such as some theories as to why people get addicted to drugs or alcohol in the first place, and some theories for treatments of those addictions; some psychological processes of how certain drugs work; how those drugs shape addiction through their processes; and finally analyzing the understanding of addiction within the brain.
Some major theories for why people begin to use substance such as drugs (legal or not), and alcohol are the reward and reinforcement theory, recreational use, and the stress-reduction theory. Some theories for treatments include using combinations of cognitive/social support rehabilitation, or using some form of rehabilitation with medications as well. The types of drugs and their effects that will be discussed…… [Read More]
Prescription Drug Abuse
The overall point of conversation when speaking of prescription drugs in the public and political sphere has usually focused on cost and/or ease of access among all Americans. The overall points of conversation relating to drug has often centered on drugs like heroin, cocaine, crack and marijuana. However, as time and trends have shifted, the primary focus of both overall topics has centered on the use and abuse of prescription drugs, usually certain classes of drugs such as sedatives, opiates and anti-anxiety drugs. Common drugs focused on include Xanax, any narcotic-based painkiller such as Oxycontin and sedatives or muscle relaxers such as Valium and Soma. While prescription drugs are very important to have at the ready, the likelihood and propensity towards abuse of the drugs and other legal behavior is significant and this is even true among people who obtain the drugs legally at the onset.
Analysis…… [Read More]
Biopsychosocial Approach to Treating Self-Injurious Child and Adolescent Psychiatric Nursing
My initial thoughts/feelings on the topics were: (This section contains your general feelings on the topic and NOT what the readings have informed you.
Initially, I did not have much knowledge about self-injurious behavior (SIB). Though I had from time to time heard about the behavior, it never actually crossed my mind that it is a behavior that could warrant significant medical attention. In my life, I have actually not encountered an individual with the behavior. I have not even heard many people mention or talk about it. I thought that people who would perhaps contemplate harming themselves are suicidal people, substance abusers, or insane people. In fact, I thought the behavior was more relatable with non-human animals as opposed to humans. I did not even think the behavior was evident in children. I also viewed it as some…… [Read More]
In 2012, there were nearly 800 million doses of opioids prescribed in Ohio alone -- a figure which equates to roughly 70 pills for every individual in the state. The prescriptions were for 20% of the state's populace (Semuels, 2017). What's more is that these prescriptions are not helping people; on the contrary, as Katz (2017) reports, "drug overdoses are now the leading cause of death among Americans under 50." It is so bad that the country is now essentially addicted to pills and it is literally killing us.
The causes of the opioid crisis are directly related to the Sackler brothers who pioneered the art of Big Pharma's role in advertising and making relationships with physicians in prescribing drugs to patients (Mariani, 2015). The Sacklers pushed OxyContin onto the market and turned the country into a drug-dependent nation. This was purely a profit before people type of…… [Read More]
The author of this report has been asked to review the legal and ethical considerations in play given the test case scenario surrounding Pharmacare and Compcare. As is quickly apparent while reading the case study, the company engaged in a long and extensive list of ethical and/or legal violations as a means to maximize profit and minimize the legal and other red tape that seems to bother them even though it is there for a very good reason. The ethical issues involved will be touched upon and analyzed. There will also be an exploration and analysis of direct-to-consumer marketing of drugs, whether John is the "investor" of AD23, the arguments about John being a whistleblower and the associated protections he would have if he is and examples of intellectual property theft that have occurred in the last two years or so. While bad things do incidentally happen and…… [Read More]
The Doctrine of Divine Providence
Divine Providence is the way God rules over all things in the world and the Heavens. Gotanswers. org states,
"The purpose, or goal, of divine providence is to accomplish the will of God. To ensure that His purposes are fulfilled, God governs the affairs of men and works through the natural order of things. The laws of nature are nothing more than a depiction of God at work in the universe. The laws of nature have no inherent power, nor do they work independently. The laws of nature are the rules and principles that God set in place to govern how things work" (Gotquestions.org, 2010)
The Bible, Proverbs 16:9 states: "The heart of a man plans his way, but the Lord establishes his steps." Though God allows man free will, he also has a guidance control in our life.
In Acts 9, God directly deal…… [Read More]
ininger and Pargman (2003) state from a study he conducted involving 282 female subjects that other factors associated with exercise enjoyment are. These variables in the study were: "satisfaction with the music used in the exercise environment, satisfaction with the exercise instructor, and salience of exercise role-identity (EIS)." In ininger and Pargman's (2003) study, the results revealed significant positive correlations between all 3 variables and exercise enjoyment. Interestingly enough, the study showed that satisfaction with music (21%) accounted for the most variance in exercise enjoyment followed by satisfaction with the instructor (8%), and finally salience of exercise role-identity (4%) (2003).
Exercise is known, in general, for increasing endorphins in the brain, which give us an overall sense of well-being. These important neurotransmitters are what give us a sense of pleasure, because they act as opiate receptors in the brain. Endorphins can facilitate exercise simply because they make us feel good…… [Read More]
Economists are concerned with the impact that the sale of drugs has on both individual and economic freedoms and frame their argument from this perspective. Others argue that reliance on the criminal justice system has not produced significant results and that it is time to reframe the argument to focus on the education, prevention, and treatment of drugs.
From the economic perspective, there are apparent differences between government prohibition and legalization of drugs. It has been estimated that total government expenditures devoted to the enforcement of drug laws is well in excess of $26 billion. These figures are also significant in state and local law enforcement agencies with drug related incidents making up one fifth of the total investigative resources and drug enforcement activities. Approximately 25% of the total prison population, municipal, state and federal, is made up of drug law violators. In fact, ten percent of all arrests are…… [Read More]
PONV was not seen at 24 hours significantly lower rates of PONV at four and eight hours were found in the septoplasty group in which pharyngeal packing was not used
Habib, et al. (2010)
prospective, double-blind, randomized study
104 Patients undergoing craniotomy
Patients were randomized to receive oral aprepitant 40 mg (or matching placebo) 1 to 3 hours before induction of anesthesia or ondansetron 4 mg IV (or placebo) within 30 minutes of the end of surgery.
Data were collected at regular intervals by blinded personnel for 48 hours after surgery. Statistical analysis was performed using Wilcoxon's ranked sum test and ?(2) test. P < 0.05 was considered statistically significant.
cumulative incidence of vomiting at 48 hours was 16% in the aprepitant group and 38% in the ondansetron group (P = 0.0149). The incidence of vomiting was also decreased in the aprepitant group at 2 hours…… [Read More]
Such results, if typical, would have a dramatic impact on the bottom line of any company that implements such programs. By definition, this improves employee productivity ($ value output per employee).
In our company, substance abuse by employees is a serious problem, and the impacts mirror those of other companies in the developed world. hile we do not experience significant rates of injuries as the result of substance abuse, we do experience the other negative outcomes that are associated with substance abuse in the workplace -- absenteeism and lost productivity especially. There are pervasive negative effects on the culture of the organization as well, with employee resentment occurring, but yet not being manifested in either stigmatization or support.
As with most firms, we understand that it is in all likelihood easier and cheaper to address substance abuse issues with the employee than it is to find, hire and train…… [Read More]
How can we respond to their criticism? Both Freud and Marx were attempting to define something that is not quantitative in a quantitative manner. Faith cannot be measured in dynamic terms, nor can it be universally quantified. We might also point out that there is a clear difference between faith and religion. Faith is a concept, a belief, a trust; religion is manmade, and as any student of history knows, variable over the course of time, society, and individual cultures.
Does faith have a psychological and social value? Based on the very scientific principles of conservation of energy, humans would not be able to conceive or participate in, the concept of faith and religion unless it had elements that were essential to human culture. Just as people have many different tastes in food and clothing, so has history shown us that the same is true for religion? Faith is a…… [Read More]
Their society is at least as harsh as ours and does translate to addiction though not necessarily to drugs.
That responses to harsh stimulus of achievement-oriented societies is addictive but perhaps not drug-oriented, and response to lack of achievement orientation is also connected to addictive behaviors indicates that perhaps addiction runs deeper to the human condition. If we consider Marx' analogy of religion as the opiate of the masses clearly addiction -- when religion is included -- is a facet of the human condition. There is nothing unique to American society that drives addictiveness; it is merely our humanity that drives it. We invented all of our addictions to help us take shortcuts towards coping. If caffeine sparks our mornings and alcohol dulls our nights, then religion allows us to accept death and love allows us to medicate the inherent loneliness of our individual existence.
Ultimately, Slater strikes at addictiveness…… [Read More]
There is no market for Internet sales.
The promotion function is complicated by the nation's demographics. Promotion must be conducted in multiple languages. Promotions in Russian -- which is understood by all -- will not be respected by either the Kyrgyz or the Uzbeks. Ads strictly in Kyrgyz, on the other hand, will not attract the Russian audience as they will not understand them.
Promotions should feature either nationalist or ethnocentric motifs in order to gain the strongest consumer response. Emotion-centered promotion can be successful, rather than appeals featuring intellectual arguments.
There are limited media outlets, but those that do exist command a healthy market share. There are competing media from Russia and surrounding Central Asian states as well. Newspapers are popular, as is television. There is a radio presence. The online advertising market is in its infancy. Because of the limited size of the advertising industry, promotional budgets…… [Read More]
" (United Nations, 2000) The Household udget Survey 1996/1997 reported that in excess of 14.5 of households in Mauritius are presently living below the poverty line and economic development has been stalled due to the "…rising cost of labor erosion of the protected international markets due to gradual effects of globalization and liberalization and increasing competition with other countries…" (United Nations, 2000)
The distribution aspect of income and wealth has not been addressed in a sufficient manner by the liberal economic policies that rely on the market. Unemployment has increased in recent years and this has been "accompanied by inflation that has contributed to a loss of purchasing power, especially affecting women." (United Nations, 2000)
There is a failure to meet the needs of very low income housing and creating further tensions in Mauritius are challenges related to employment equality of access and disparity in education which is stated to…… [Read More]
Once again, research reveals a healthcare setting where professionals are supposed to be trained to help those with mental deficiencies. But something is wrong here. This is not comparable with Cuckoo's Nest, but it reflects bad management, which leads - at the very least - to poor service at the patient level, and at worst, brutal abuses of the kind that were seen in Cuckoo's Nest.
Doctors, nurses and medical students in nursing and doctor training are pivotal actors in the fight to detect, prevent, and somehow manage substance abuse among patients; that is a given when it comes to mental health services across the board. But in London a recent study reveals that "...many doctors and nurses can have a negative attitude towards the management of drug and alcohol problems" of patients and of their own community of professionals (O'Gara, et al., 2005, p. 328). Doctors themselves "are at…… [Read More]
Ray also believed that Hollywood presented a world that was completely foreign and at odds with the reality of life in India. hy, then, had so many previous Indian filmmakers attempted to copy the Hollywood style? The result could only be failure. It was for this reason that Ray decided to turn his back on the Hollywood aesthetic altogether - and the result was Pather Panchali. Rather than the stylistic gloss that Hollywood coats its product with, Ray allowed a significant degree of "dirt" in to his film as a way of arguing with the dominant aesthetic.
In doing so, Ray purposefully chose a "rambling" novel to adapt for his first film. "The script," he later explained, "had to retain some of the rambling quality of the novel because that in itself contained a clue to the feel of authenticity: life in a poor Bengali village does ramble" (Ray 33).…… [Read More]
The drug is notorious because it contains "morphine, codeine, papaverine, and other alkaloids" (dictionary.com). Heroin is the most popular and addictive derivative of opium. Heroin users use the drug because of its immediate effects of peace, calm, and relaxation. It is also said to eliminate feelings of hunger, pain, fear, and frustration. Opium costs vary - it is much more expensive when it is purchased on the black market.
hile opium is a natural drug treated to ease pain, there is no reason why its use should be tolerated in the United States. This is primarily because it is so highly addictive. A present American epidemic is that of becoming hooked on painkillers. Because there are so many other options for pain that are far less addictive, they should be chosen over opium.
ordNet® 3.0. Princeton University. Dictionary.com. Site Accessed 16 May. 2008. http://dictionary.reference.com/browse/opium.… [Read More]
However, these statements can certainly have some merit when Florin attempts to place it the category of an addictive/abusive substance. She further goes on to state that the withdrawal symptoms may qualify as a DSM disorder in and of themselves and merit further medical and psychiatric concern. She does admit that coffee users who have no risk factors, such as cardiovascular problems, diabetes, etc. may be able to manage a comfortable addiction to the substance.
While the research is interesting and yelds some provocative information, there are several problems with this article, not the least is the trivializing of addiction and substance abuse by associating it with a morning cup of coffee. Nehlig agrees, "Thus, dependence and abuse should not be associated, and, as pointed out recently, discussing caffeine in terms of drugs of abuse might in fact trivialize the dangers of drugs such as cocaine." (2004,…… [Read More]
In most cases, recreational drug use is seen as a victimless crime and a harmless activity. This attitude changes in the workplace if the drug use impairs performance to the detriment of other workers or if the work involves public safety, in which case tolerance for drug use drops significantly. Another reason why tolerance for some drug use is so high is because the attitude is a reaction to the apocalyptic warnings emanating from law enforcement and government, given that people know that mild marijuana use, for instance, is not the mind- and life-bending experience often claimed. Many do not see the problem as being as dire as it is made out to be, and so they do not see it in the way earlier generations did.
Casey J. Dickinson notes the increasing use of pre-testing for applicants as a way not assuring that the person hired does not use…… [Read More]
(Hill 83; Javors 35)
e are not alone in this. In China, often accused of attempting to mimic estern culture, the producers of an RTV show "Ying Zai Zhongguo," or translated somehow as "in" in English draw a similar conclusion:
their hope that the program would encourage more people in China to start their own businesses. Song enming...hoped the show would introduce the "positive power" of entrepreneurship. Ms. Zhou said she hoped potential entrepreneurs would learn the importance of both perseverance and passion. There was much more in the same vein. (Fallows)
Perhaps there is some altruism at the end of the tunnel when considering the cultural benefit of RTV. But the preponderance of the evidence seems to suggest that there is something deeply missing in the American psyche that needs to be healed. Is RTV the cure or part of the problem? This is the conundrum that researchers face.…… [Read More]
This allows the client to place their level of behavior on the continuum and assess the levels of risk associated with their behaviors. The continuum also allows the client to assess the ways in which their behaviors over time, by examining the ways in which their behaviors are now different to past behaviors. This may allow clients to recognize that they have already made some progress toward less harmful behaviors, or may allow them to identify specific events which led to developing more risky behaviors. The harm reduction model allows the client to assess their current situation and plan the actions which they wish to take to change their future behaviors.
Applications of the model
The harm reduction model has been applied predominantly to drug misuse issues, however it is also appropriate to apply the model for a wide range of social and health behavior changes. The model has been…… [Read More]
Discussion about Brain Death and Cerebral Definitions
It has been researched that the human brain collapses at prior to the cessation of the human organs; the collapse of the human brain is attributed to the elimination of the large numbers of redundant neurons, and the aging process i.e. The gradual loss of sensory capacities. It has been reported that the visual acuity decline on linear basis between the age limit of 20-60, and soon after sixty the declination of the visual acuity is exponential. By the age of 45, the depth perception is reported declination in accelerated manner, and the speech comprehension is expected to get affect after the age of 80 due to the quarter loss of the extensive neurons in the superior temporal gyrus of the auditory cortex. The research has observed that significant decrease in the neuron density is expected, as a result of the aging process.…… [Read More]