Links for Keyword: Drug Abuse

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Links 1 - 20 of 1823

Fewer Hip Fractures May Reflect a Drop in Smoking Rates

By Nicholas Bakalar The incidence of hip fracture has decreased steadily over the past 40 years, but a new analysis suggests that new osteoporosis drugs have made only a small contribution to the trend. The report, published in JAMA Internal Medicine, included 10,552 men and women and their offspring followed since 1970. Every five years through 2010, the researchers recorded the number of hip fractures in people over 60. They found that the incidence of hip fractures decreased by 67 percent over those years, and rates were lower in people born later. The bone-strengthening bisphosphonates, like Fosamax (introduced in 1995) and Boniva (introduced in 2003), cut the fracture incidence by about 4.8 percent, the researchers estimate. But smoking decreased to 15 percent of participants in 2010, from 38 percent in 1970, and heavy drinking declined to 4.5 percent, from 7 percent. Both are significant risk factors for fracture. Other risk factors, like being underweight and early menopause, were stable over the years. “Smoking cessation accounts for about 90 percent of the decline in the age-adjusted decrease,” said the lead author, Dr. Timothy Bhattacharyya, an orthopedic surgeon with the National Institutes of Health. Other factors that may have played a role included estrogens, which were approved for osteoporosis treatment in 1988, and bone mineral density testing, which first became available in the 1990s. But “we didn’t observe any effect from estrogens or bone mineral density testing,” Dr. Bhattacharyya said. © 2020 The New York Times Company

Related chapters from BN8e: Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 27406 - Posted: 08.08.2020

How gene editing a person’s brain cells could be used to curb the opioid epidemic

Craig W. Stevens Even as the COVID-19 pandemic cripples the economy and kills hundreds of people each day, there is another epidemic that continues to kill tens of thousands of people each year through opioid drug overdose. Opioid analgesic drugs, like morphine and oxycodone, are the classic double-edged swords. They are the very best drugs to stop severe pain but also the class of drugs most likely to kill the person taking them. In a recent journal article, I outlined how a combination of state-of-the-art molecular techniques, such as CRISPR gene editing and brain microinjection methods, could be used to blunt one edge of the sword and make opioid drugs safer. I am a pharmacologist interested in the way opioid drugs such as morphine and fentanyl can blunt pain. I became fascinated in biology at the time when endorphins – natural opioids made by our bodies – were discovered. I have been intrigued by the way opioid drugs work and their targets in the brain, the opioid receptors, for the last 30 years. In my paper, I propose a way to prevent opioid overdoses by modifying an opioid user’s brain cells using advanced technology. Opioid receptors stop breathing Opioids kill by stopping a person from breathing (respiratory depression). They do so by acting on a specific set of respiratory nerves, or neurons, found in the lower part of the brain that contain opioid receptors. Opioid receptors are proteins that bind morphine, heroin and other opioid drugs. The binding of an opioid to its receptor triggers a reaction in neurons that reduces their activity. Opioid receptors on pain neurons mediate the pain-killing, or analgesic, effects of opioids. When opioids bind to opioid receptors on respiratory neurons, they slow breathing or, in the case of an opioid overdose, stop it entirely. © 2010–2020, The Conversation US, Inc.

Heavy drinking drove hundreds of thousands of Americans to early graves

By Aimee Cunningham Heavy drinking is robbing Americans of decades of life. From 2011 to 2015, an average of 93,296 deaths annually could be tied to excessive alcohol use, or 255 deaths per day. Excessive drinking brought death early, typically 29 years sooner than would have been expected. All told, the United States saw 2.7 million years of potential life lost each year, researchers report in the July 31 Mortality and Morbidity Weekly Report. The researchers used a program developed by the U.S. Centers for Disease Control and Prevention that estimates annual deaths and years of potential life lost due to an individual’s own or another’s excessive drinking. The tool takes into account whether the cause of death is fully attributable to alcohol, such as alcoholic liver cirrhosis, or whether excessive drinking can partially contribute to a condition, such as breast cancer. Annually, about 51,000 of the deaths were from chronic conditions. The rest were sudden demises such as poisonings that involved another substance along with alcohol or alcohol-related car crashes. The CDC defines excessive alcohol use as binging — drinking five or more drinks at a time for men, four or more for women — or drinking heavily over the course of the week. Men qualify at 15 or more drinks per week; for women, it’s eight or more. The numbers of deaths and years of life extinguished due to excessive drinking have gone up since the last report. That assessment covered 2006 to 2010 and reported close to 88,000 deaths and 2.5 million lost years annually. Recommendations from the Community Preventive Services Task Force, made up of public health and prevention experts, to stem excessive drinking include raising taxes on alcohol and regulating the number of places that sell alcoholic beverages (SN: 8/9/17). © Society for Science & the Public 2000–2020.

What the heroin industry can teach us about solar power

Justin Rowlatt Chief environment correspondent If you have ever doubted whether solar power can be a transformative technology, read on. This is a story about how it has proved its worth in the toughest environment possible. The market I'm talking about is perhaps the purest example of capitalism on the planet. There are no subsidies here. Nobody is thinking about climate change - or any other ethical consideration, for that matter. This is about small-scale entrepreneurs trying to make a profit. It is the story of how Afghan opium growers have switched to solar power, and significantly increased the world supply of heroin. I was in a military helicopter thundering over the lush poppy fields of the Helmand valley in Afghanistan when I spotted the first solar panel. You've heard of Helmand. It is the most dangerous province in Afghanistan. Of the 454 British soldiers who died in the recent conflict in Afghanistan, all but five lost their lives in Helmand. The province is also at the heart of by far the most productive opium growing region on the planet. Most opium will be refined into heroin, one of the most addictive drugs there is. According to the UN body responsible for tracking and tackling illegal drug production, the UNODC, almost 80% of all Afghan opium now comes from the south-west of the country, including Helmand. That means pretty much two-thirds of global supply. So, not the kind of place you would expect to be at the forefront of efforts to decarbonise the economy. But, once I had seen that first solar panel, I saw more. In fact there seemed to be a small array of solar panels in the corner of most farm compounds, and that was back in 2016. It is only now that the scale of the revolution in heroin production I was unwittingly witnessing has been quantified. Because I wasn't the only person to notice that Afghan farmers were taking an interest in low-carbon technologies. © 2020 BBC.

Americans Increase LSD Use—and a Bleak Outlook for the World May Be to Blame

By Rachel Nuwer In the years leading up to the roaring 2020s, young people were once again dropping acid. Onetime Harvard psychologist Timothy Leary died almost 25 years ago, after which some of his ashes were launched into space. But from 2015 to 2018, the rate of “turning on and tuning in” with LSD, to paraphrase Leary, increased by more than 50 percent in the U.S.—a rise perhaps fueled by a need for chemical escapism. Those results were published in the July issue of Drug and Alcohol Dependence. The authors of the study suspect that many users may be self-medicating with the illegal substance to find relief from depression, anxiety and general stress over the state of the world. “LSD is used primarily to escape. And given that the world’s on fire, people might be using it as a therapeutic mechanism,” says Andrew Yockey, a doctoral candidate in health education at the University of Cincinnati and lead author of the paper. “Now that COVID’s hit, I’d guess that use has probably tripled.” To arrive at their findings, Yockey and his colleagues turned to data collected from more than 168,000 American adults by the National Survey on Drug Use and Health, an annual, nationally representative questionnaire. They analyzed trends since 2015, partly because of the timing of the 2016 presidential election. The researchers found that past-year LSD use increased by 56 percent over three years. The rise was especially pronounced in certain user groups, including people with college degrees (who saw a 70 percent increase) and people aged 26 to 34 (59 percent), 35 to 49 (223 percent) and 50 or older (45 percent). Younger people aged 18 to 25, on the other hand, decreased their use by 24 percent. © 2020 Scientific American

Related chapters from BN8e: Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 15: Emotions, Aggression, and Stress
Related chapters from MM:Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 11: Emotions, Aggression, and Stress
Link ID: 27356 - Posted: 07.11.2020

Moderate Drinking May Be Good for the Brain

By Nicholas Bakalar Moderate alcohol consumption may lead to slower mental decline in middle-age and older people, a new study found. Some previous studies have suggested that moderate drinking has beneficial cognitive effects; others have found it harmful. In the new study, published in JAMA Network Open, researchers tracked the cognitive abilities of almost 20,000 people for an average of more than nine years. The scientists tested the participants in three domains: mental status, word recall and vocabulary. In all three areas, compared with abstaining, low to moderate drinking (eight drinks a week or fewer for women, and 15 or fewer for men) was associated with a higher mental functioning trajectory and significantly slower decline over the years. Even former drinkers showed slower mental decline than people who never drank. The study adjusted for smoking, marital status, education, chronic disease and body mass index, but the authors acknowledged that it was an observational study so it could not prove cause and effect. They also noted it relied on self-reports of alcohol consumption, which can be unreliable. “Drinking should be limited to moderate levels,” said the lead author, Ruiyuan Zhang, a doctoral student at the University of Georgia. “Heavy drinking makes cognitive function worse.” © 2020 The New York Times Company

Pandemic worsens Canada's deadly opioid overdose epidemic

An epidemic of fatal drug overdoses across Canada is on the rise amid COVID-19 pandemic restrictions that harm-reduction workers and doctors say exacerbates the toxic supply. Overdose prevention sites continue to run but physical distancing guidelines mean fewer people are able to use the services. For example, a site in Toronto that previously averaged more than 100 visits a day now sees fewer than half that. From March 2019 to May 2020, Ontario's coroner reported a 25 per cent increase in fatal overdoses, based on preliminary estimates for all substances. Nick Boyce, director of the Ontario Harm Reduction Network, said the increase is significant. "It matches anecdotally what I've been hearing from the front-line workers we work with around the province," Boyce said. "They're all saying deaths are going up. But to hear that number and to see that number, I was not expecting it to be that high." Last year, fentanyl directly contributed to about 75 per cent of opioid-related deaths in Ontario. More than 14,000 Canadians have been killed by opioids in the last four years, according to federal data. "Laws actually incentivize drug dealers and suppliers to come up with new and different drugs," Boyce said. "We learned this lesson in the 1920s with alcohol prohibition when people switched from drinking beer to toxic moonshine. We're seeing that with the opioid drug supply now." ©2020 CBC/Radio-Canada.

Benzodiazepines Tied to Higher Risk of Ectopic Pregnancy

By Nicholas Bakalar Women who take benzodiazepines, such as Valium or Xanax, before becoming pregnant may be at increased risk for ectopic pregnancy, a new study found. An ectopic, or tubal, pregnancy is one in which a fertilized egg grows outside the uterus, often in a fallopian tube, and it is a life-threatening event. The egg must be removed with medication or surgery. Benzodiazepines, sold by prescription under several brand names, are widely prescribed for anxiety, sleep problems and seizures. The study, in Human Reproduction, used an insurance database of 1,691,366 pregnancies to track prescriptions for benzodiazepines in the 90 days before conception. Almost 18,000 of the of the women had used the drugs, and the scientists calculated that these women were 47 percent more likely to have a tubal pregnancy than those who did not. The study controlled for other risks for tubal pregnancy, including sexually transmitted infections, pelvic infection, use of an intrauterine device, smoking and fertility treatments. “Women planning a pregnancy who are using these drugs should talk to their care provider to see whether a change in treatment is possible, and then slowly change treatment before going off their contraceptive,” said the lead author, Elizabeth Wall-Wieler, a postdoctoral fellow at Stanford University. “Women for whom there is no alternative, or who have an unplanned pregnancy, should let their care provider know, and those pregnancies should be monitored carefully. The key to treating ectopic pregnancy is to treat it early.” © 2020 The New York Times Company

Related chapters from BN8e: Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 12: Sex: Evolutionary, Hormonal, and Neural Bases
Related chapters from MM:Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 8: Hormones and Sex
Link ID: 27278 - Posted: 06.04.2020

Could All Those ‘Quarantinis’ Lead to Drinking Problems?

By Maria Cramer Quarantinis. Zoom happy hours. Easy front-door liquor delivery. The boredom of staying home and the intense anxiety produced by the pandemic have given rise to Twitter jokes about drinking before noon as alcohol sales have spiked. But addiction experts say they are worried it could also trigger more serious drinking problems and even create new ones for people who have never struggled with alcohol dependency before. “I expect we’re going to see pretty significant increases in what I call unhealthy alcohol use, which means drinking above recommended limits,” said Dr. Sarah Wakeman, an addiction medicine doctor at Massachusetts General Hospital in Boston. “It will be pretty unlikely for someone who has never tried alcohol before to start drinking for the first time and immediately develop an alcohol use disorder,” Dr. Wakeman said. “I would see this as a risk more in people who are already drinking and then their alcohol use escalates.” Before the pandemic, Mhairi McFarlane, a 44-year-old novelist in Nottingham, England, had been thinking of cutting back. But the first weekend she was in quarantine, she said, she was “cheerfully” having three or four drinks a night, usually gin and tonics or “very cold bottles of cava.” “It was very much not my style of drinking,” she said. “I’ve always associated drink with going out and being social. I was never really one for opening a bottle of wine in front of the television.” Drinking alone worried her. Then she woke up one Thursday with a headache and a sense that her body was unhappy with what she was doing. She decided to give herself a two-night break from drinking. To her surprise, she wanted to keep going. It has been two months since she had a drink. © 2020 The New York Times Company

Elephants Really Can’t Hold Their Liquor

By Rachel Nuwer Humans are not the only animals that get drunk. Birds that gorge on fermented berries and sap are known to fall out of trees and crash into windows. Elk that overdo it with rotting apples get stuck in trees. Moose wasted on overripe crab apples get tangled in swing sets, hammocks and even Christmas lights. Elephants, though, are the animal kingdom’s most well-known boozers. One scientific paper describes elephant trainers rewarding animals with beer and other alcoholic beverages, with one elephant in the 18th century said to have drunk 30 bottles of port a day. In 1974, a herd of 150 elephants in West Bengal, India, became intoxicated after breaking into a brewery, then went on a rampage that destroyed buildings and killed five people. Despite these widespread reports, scientists have questioned whether animals — especially large ones such as elephants and elk — actually become inebriated. In 2006, researchers calculated that based on the amount of alcohol it takes to get a human drunk, a 6,600-pound elephant on a bender would have to quickly consume up to 27 liters of seven percent ethanol, the key ingredient in alcohol. Such a quantity of booze is unlikely to be obtained in the wild. Intoxicated wild elephants, the researchers concluded, must be a myth. As the lead author said at the time, “People just want to believe in drunken elephants.” If you are one who wanted to believe, a study published in April in Biology Letters might serve as your vindication. A team of scientists say that the earlier myth-busting researchers made a common mistake: They assumed that elephants would have to consume as much alcohol to get drunk as humans do. In fact, elephants are likely exceptional lightweights because they — and many other mammals — lack a key enzyme that quickly metabolizes ethanol. The findings highlight the need to consider species on an individual basis. © 2020 The New York Times Company

Related chapters from BN8e: Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 6: Evolution of the Brain and Behavior
Related chapters from MM:Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 27261 - Posted: 05.21.2020

Cannabis Increases Propensity for False Memories

Amy Schleunes When Lilian Kloft stumbled across a 2015 study showing a connection between cannabis use and susceptibility to false memories, she found herself wondering about the legal implications of the results. The study had discovered that heavy users of cannabis were more likely than controls to form false memories—recollections of events that never occurred, for example, or warped memories of events that did—even when they were not at the moment “high.” This kind of false remembering can pose difficulties for people gathering reliable testimony in the event of a crime, says Kloft, a PhD student in psychopharmacology and forensic psychology at Maastricht University in the Netherlands. Consequently, the growing acceptance of cannabis worldwide raises questions not only about how the drug affects memory, but also about how law enforcement officials should conduct interviews with suspects, victims, and witnesses who may be under the influence or regular users of the drug. In order to further investigate the connection between cannabis and false memory formation, Kloft and collaborators recruited 64 volunteers for a series of experiments. Participants, who were occasional cannabis users, were given a vaporizer containing either cannabis or a hemp placebo and then told to inhale deeply and hold their breath for 10 seconds. After that, the researchers tested them in three different tasks designed to induce false memories. © 1986–2020 The Scientist.

Related chapters from BN8e: Chapter 17: Learning and Memory; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 13: Memory, Learning, and Development; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 27244 - Posted: 05.12.2020

Marijuana May Not Lower Your IQ

By Godfrey Pearlson Around the world, about 188 million people use marijuana every year. The drug has been legalized for recreational use in 11 U.S. states, and it may eventually become legal at the federal level. In a Gallup survey conducted last summer, 12 percent of American adults reported that they smoked marijuana, including 22 percent of 18- to 29-year-olds. Those are the stats. The consequences remain a mystery. As access to marijuana increases—and while acceptance of the drug grows and perception of its harmfulness diminishes—it is important to consider the potential for long-term ill effects, especially in users who start young. One of marijuana’s best-documented consequences is short-lived interference with memory. The substance makes it harder to get information into memory and, subsequently, to access it, with larger doses causing progressively more problems. Much less documented, however, is whether the drug has lasting effects on cognitive abilities. Finding the answer to that question is essential. Depending on the severity of any such effects and their persistence, marijuana use could have significant downstream impacts on education, employment, job performance and income. There are plausible reasons why the teenage brain may be especially vulnerable to the effects of marijuana use. Natural cannabinoids play an essential role in brain cell migration and development from fetal life onward. And adolescence is a crucial age for finalizing brain sculpting and white matter proliferation. The hippocampi, paired structures in the temporal lobe that are crucial in the formation of new memories, are studded with cannabinoid receptors. THC, the main ingredient behind marijuana’s “high,” acts on the brain’s cannabinoid receptors to mimic some of the effects of the body’s endogenous cannabinoids, such as anandamide. The compound’s effects are more persistent and nonphysiological, however. It may be throwing important natural processes out of balance. © 2020 Scientific American,

Related chapters from BN8e: Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 17: Learning and Memory
Related chapters from MM:Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology; Chapter 13: Memory, Learning, and Development
Link ID: 27237 - Posted: 05.08.2020

Bizarre behavior shows—for the first time—how wild koalas drink

By Amanda Heidt Koalas begging firefighters for water have become emblematic of Australia’s recent wildfire woes. But aside from these unusual interactions, scientists have never been quite sure how koalas drink. Now, a new study has documented the first evidence of the clever way they stay hydrated: by licking water from the smooth bark of gum trees as it rains. Past research has suggested that because koalas spend the vast majority of their time in trees, they likely get most of their water from the eucalyptus leaves they eat. But over the course of 13 years—from 2006 to 2019—citizen scientists, ecologists, and land owners reported 46 sightings of tree-licking behavior (above) in wild koalas. Researchers reviewed video and photographic evidence, and they found that even when puddles or lakes were nearby, koalas were more likely to drink the water running down trees, they report this month in Ethology. Koalas face a number of threats, and dwindling access to water is high on the list. Australia is now experiencing its driest period on record, with higher average temperatures and fewer days of rain. If tree licking provides a significant proportion of koalas’ water needs, researchers hope their results can identify areas where water should be supplemented as the rain dries up. © 2020 American Association for the Advancement of Science.

Why mammals like elephants and armadillos might get drunk easily

By Susan Milius An elephant, a narwhal and a guinea pig walk into a bar. From there, things could get ugly. All three might get drunk easily, according to a new survey of a gene involved in metabolizing alcohol. They’re among the creatures affected by 10 independent breakdowns of the ADH7 gene during the history of mammal evolution. Inheriting that dysfunctional gene might make it harder for their bodies to break down ethanol, says molecular anthropologist Mareike Janiak of the University of Calgary in Canada. She and colleagues didn’t look at all the genes needed to metabolize ethanol, but the failure of this important one might allow ethanol to build up more easily in these animals’ bloodstreams, Janiak and colleagues report April 29 in Biology Letters. The carnivorous cetaceans, grain- or leaf-eating guinea pigs and most other animals that the study identified as potentially easy drunks probably don’t binge on sugary fruit and nectar that brews ethanol. Elephants, however, will feast on fruit, and the new study reopens a long-running debate over whether elephants truly get tipsy gorging on marula fruit, a relative of mangoes. Descriptions of elephants behaving oddly after binging on overripe fruit go back at least to 1875, Janiak says. Later, a taste test offering the animals troughs of water spiked with ethanol found that elephants willingly drank. Afterward, they swayed more when moving and seemed more aggressive, observers reported. © Society for Science & the Public 2000–2020.

Damage From OxyContin Continues to Be Revealed

By Austin Frakt OxyContin, and the aggressive, misleading way that Purdue Pharma marketed it, might have been even more damaging than was previously understood. Recent research shows how the company focused its marketing in states with lighter prescription regulation — to devastating effect. Also, a new version of OxyContin introduced a decade ago — which was meant to reduce harm — had unintended consequences. Besides contributing to heroin overdoses, it led to hepatitis C and other infections. Careful studies are only now starting to reveal the extent of the damage. OxyContin is an opioid painkiller that Purdue Pharma first brought to the U.S. market in 1996. Its chief innovation was its 12-hour timed release of oxycodone. This made it ripe for abuse, since by crushing or dissolving OxyContin pills, abusers of the drug could ingest the entire dose at once. Several studies have pointed to Purdue’s aggressive marketing of OxyContin as a significant contributor to the opioid epidemic. The marketing took various forms, including calling and visiting doctors; paying them for meals and travel; providing gifts; and funding pain treatment groups that urged liberalization of opioid prescribing. Some of the company’s marketing messages minimized the potential for OxyContin to lead to addiction, for which it paid over $600 million in fines in 2007. A National Bureau of Economic Research working paper published last fall sheds light on Purdue’s role. The researchers, economists from the University of Pennsylvania, the University of Notre Dame and the RAND Corporation, looked at variations in prescribing regulations that led Purdue to market OxyContin more aggressively in some states than in others. © 2020 The New York Times Company

Smokers and Vapers May Be at Greater Risk for Covid-19

By Jan Hoffman Anxious times — like a pandemic — can lead to unhealthy but self-soothing habits, whether it’s reaching for a bag of potato chips, more chocolate or another glass of wine. But some stress-reducing behaviors are alarming to medical experts right now — namely vaping and smoking of tobacco or marijuana. Because the coronavirus attacks the lungs, this is exactly the moment, they say, when people should be tapering — or better yet, stopping — their use of such products, not escalating them. ”Quitting during this pandemic could not only save your life, but by preventing the need for your treatment in a hospital, you might also save someone else’s life,” said Dr. Jonathan Winickoff, director of pediatric research at the Tobacco Research and Treatment Center at Massachusetts General Hospital. On Thursday, Dr. Winickoff joined the Massachusetts attorney general, Maura Healey, to issue an advisory alerting the public and particularly young people that smoking and vaping can also exacerbate the risks of spreading Covid-19. “You bring this device or cigarette to your mouth to inhale and you do so repeatedly,” explained Dr. Winickoff, who is also a professor at Harvard Medical School. “You touch the cartridge. You put it next to your face. You are spreading whatever is in your hand into your body. At the same time, many of my patients who smoke or vape have increased coughing or expectorating. And that’s a recipe for increased spread.” Studies already amply show that cigarette smoking weakens the immune system and compromises lung function. Research into the health effects of vaping is limited because the devices are relatively new, but studies suggest that e-cigarettes may cause inflammation in the airways and lungs. © 2020 The New York Times Company

Cannabis Scientists Are Chasing the Perfect High

By Gary Greenberg The retail showroom of INSA, a farm-to-bong cannabis company in western Massachusetts, is a clean industrial space on the first floor of a four-story brick building in the old mill town Easthampton. When I visited recently, before the coronavirus shut down recreational sales and forbade crowds, the crew of eight behind the glass display cases looked a lot like the staff you’d see dispensing lattes at Starbucks or troubleshooting iPads at the Genius Bar: young, racially diverse, smiling. They were all wearing black T-shirts with the INSA motto, “Uncommon Cannabis.” Standing in line with me were a white-haired couple leaning on canes; a 40-something woman in a black pantsuit, who complained that the wait would be longer than her lunch break; a bald man in a tweed jacket; and a pair of women in perms and polyester discussing the virtues of a strain called Green Crack. We were all waiting at a discreet distance from the counter, as you would at the bank, for the next available “budtender.” I got Ben, who described for me the wares that fill the cases like rings and watches in a jewelry store: waxes and dabs and oils and buds and edibles, most of them, he said, processed in a lab and kitchen on the other side of the wall behind him, using weed grown on the upper three floors. He sounded a little apologetic when he told me that while he knew why the bud I was pointing to was called Peyote Critical — “It speaks a little bit to its parentage, Peyote Purple and Critical Kush” — he hadn’t tried it, so he wasn’t entirely sure how it would affect me. Ben took me around a corner to another glass case, this one displaying vaporizers in different shapes and sizes. He pulled a box off a shelf behind him. It was a $35, 350-milligram disposable vape pen loaded with Jack Herer, a strain named for a legendary grower. If I bought this, he said, I should “resist the temptation to take big rips — four seconds at the max, then pull that pen away and inhale to get a nice full set of lungs.” Ben felt more certain about the effects of Jack Herer than Peyote Critical, especially after he took a look at the label. “The primary terpene in here is limonene,” he said, which should make me “energetic and uplifted.” But there were more terpenes at work, Ben said. “You’ve got pinene coming in at 2.83 percent, good for memory retention and alertness, and then myrcene, which should help balance out some of the raciness from the limonene. Myrcene is good for your brain’s absorption of metabolizing THC but also has relaxing, sedating qualities.” © 2020 The New York Times Company

The psychiatrist at the centre of the opioid crisis

Emiliano Rodríguez Mega On a cold Friday night in February 1995, addiction researcher Nora Volkow and her husband got into their car after a long day at Brookhaven National Laboratory in Upton, New York. Ice had covered the trees and the roads, making them sparkle. But as the couple drove down a slope, the tyres lost their grip. The vehicle spun out of control. Volkow curled up to shield herself as an oncoming car crashed into her door. Metal bit into her flesh. The pain was unrelenting. Finally, the fire service arrived to break her free and an ambulance rushed her to the nearest emergency department, where a doctor gave her Demerol, a powerful and highly addictive opioid painkiller also known as pethidine, which is similar to morphine. Volkow had spent countless hours talking to people with addiction and had read hundreds of papers on the mechanisms of drug abuse. Neither prepared her for what happened next. “It was extraordinary, those impressive sensations,” she says. A moment of ecstasy, one she describes as comparable only to long-lasting sexual pleasure, eclipsed all other feelings. She stayed on the medication for another few days and was sent home with more. But she decided not to take it. She was afraid — she knew many of her patients could not stop once they started. She would get through the pain without the help of drugs. © 2020 Springer Nature Limited

Related chapters from BN8e: Chapter 8: General Principles of Sensory Processing, Touch, and Pain; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 5: The Sensorimotor System; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 27162 - Posted: 04.02.2020

The World Pushes Back Against E-Cigarettes and Juul

By Sheila Kaplan, Andrew Jacobs and Choe Sang-Hun In January 2019, the chairman of Altria, Howard A. Willard III, flew to Silicon Valley to speak to senior executives of Juul Labs, fresh off signing a deal for the tobacco giant to pay nearly $13 billion for a 35 percent stake in the popular e-cigarette company. With public fury growing over Juul’s contribution to the epidemic of teenage vaping, he laid out his vision for the company to continue to thrive. “I believe that in five years, 50 percent of Juul’s revenue will be international,” Mr. Willard told the 200 executives gathered at the Four Seasons in East Palo Alto. Kevin Burns, Juul’s chief executive at the time, interrupted: “I told the team to accomplish that in one year!” Many people in audience chuckled, but a year later, nobody is laughing. When the big American tobacco companies started feeling pressure decades ago, they found new markets and friendlier regulation abroad. Juul’s efforts to follow the same playbook have been stunningly unsuccessful. The company has been met with ferocious anti-vaping sentiment and a barrage of newly enacted e-cigarette restrictions, or outright bans, in country after country. As a result, its ambitious overseas plans have collapsed. Juul was kicked off the market in China last fall after just four days. The company has had to abandon plans for India after the government there banned all electronic cigarettes. Thailand, Singapore, Cambodia and Laos have also closed the door to e-cigarettes. In the Philippines, President Rodrigo Duterte ordered the arrest of anyone caught vaping outside designated smoking areas. Juul has postponed its launch in the Netherlands and has pulled out of Israel. In South Korea, the number of Juul customers has plummeted after the government issued dire health warnings about e-cigarettes, and the company has scaled back its distribution there. © 2020 The New York Times Company

New Review Finds Alcoholics Anonymous Is Effective, But Not For Everyone

Deborah Becker Alcoholics Anonymous may be just as good or better than scientifically proven treatments to help people quit drinking, according to a new review. But AA still doesn't work for everyone. AILSA CHANG, HOST: Alcoholics Anonymous, or AA, has been around for almost 85 years. But up until this week, medical researchers weren't quite sure just how well AA worked. Well, now a new review published by the Cochrane Collaboration has found that AA may lead to longer breaks from alcohol compared to other evidence-based treatments. Deborah Becker has been following all of this. She's a senior correspondent and host at WBUR and joins us now. Hey, Deborah. DEBORAH BECKER, BYLINE: Hi. CHANG: So for quite some time now, people weren't sure how effective AA was, and now they are. So what's changed? BECKER: Well, what they say has changed is that they have more and better studies about AA and professional programs that are based on AA principles. So the researchers here looked at 27 studies of AA programs involving more than 10,000 people. And the most striking finding of looking at all of this research was that the folks who were in AA or AA-based programs tended to stay away from alcohol longer. CHANG: OK. So can you just very briefly explain the mechanism by which AA is supposed to work? BECKER: Well, AA is primarily a social support network for people, so they can discuss how they are trying to achieve recovery and what they're doing to stay in recovery. And AA is based on what are known as the 12 steps. And these are 12 steps that folks take to guide them to recovery. CHANG: And this leaning into social networks, is that something that's unique to AA? BECKER: Well, I don't know if it's unique to AA, but certainly the support network theory of alcoholism and even addiction treatment is something that's widely used. And one of the lead authors of this Cochrane review is Dr. John Kelly at Massachusetts General Hospital. And he says what this review shows is that AA helps people shift their social networks away from heavy drinkers and toward people in recovery. And he says that's what professional therapy tries to do, but this - AA - does it in a more accessible and obviously less expensive way. © 2020 npr

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