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PubMedDate not supplied

[Sociopathologic behavior and repeated infection with venereal disease].

INTRODUCTION: The sexually transmitted diseases (STDs) comprise a large group of infections produced by different microorganisms including spirochetes, bacteria, chlamydia, mycoplasme, protozoa, fungi, parasites, and viruses. A considerable number of sexually transmitted diseases patients are STD repeaters. As reported by Marjanovitsh and Laloshevitsh [2], in Belgrade, among patients who during the years 1985 and 1986 visited the City Department for Skin and Veneral Diseases, because of syphilis or gonorrhea, 22.8% had these diseases two or more times during their lives (male/female ratio 10:1). In Richert et al. [6] study over 30% of all patients who in one year visited sexually transmitted diseases clinic in Dade County, Florida, returned with a new infection within 3 years of their index visit. The aim of this study was to test the hypothesis that there is a relationship between antisocial behaviour and repeated STD. MATERIAL AND METHODS: Case-control study was performed in the population of Belgrade, from June 1997 to April 1998. Participants were recruited among patients attending the City Department for Skin and Venereal Diseases of Belgrade because of sexually transmitted diseases (syphilis, gonorrhea, nongonoccocal urethritis and genital warts). The group comprised 101 patients who in their personal histories already had STD two or more times. The control group consisted of 210 patients treated at the same institution for micotic diseases, patients who in their personal histories have never had STD or had it only once (13% of controls). All participants were men aged 20 to 50 years and all were from Belgrade. Data on demographic characteristics, sexual history and sexual behaviour, as well as data on use of sedatives, smoking habit and sport activity, and data on antisocial behaviour (alcohol abuse, prostitution, drug abuse, prosecution for minor and criminal offences) were collected from all participants by an anonymous questionnaire. In the present paper only data on antisocial behaviour are presented. In the analysis of data chi 2 was used. RESULTS: According to the results obtained, STD repeaters in comparison to their controls used more frequently alcohol (17.8%:0.9%) and drug 18.8%:3.8%), had more frequently sex for money (17.8%:2.8%), and were more frequently prosecuted for minor offences (58.4%:24.8%) and criminal offences (24.8%:4.3%). All these differences were statistically significant (p < 0.01). DISCUSSION: In the present study STD repeaters consumed alcohol more frequently than their controls, especially hard liquors, and 55.5% of them had used alcohol at the time of STD infection. In the study of Myliueva et al. [4], 50% of venereal disease patients consumed alcohol now and then and 10% consumed alcohol frequently. Scheidt and Windle [5] found that 60% of alcoholics had at least one sexually transmitted disease as the result of a high number of sexual partners, low use of condoms and practicing sex for drugs or money. Alcohol has depressive effect on the central nervous system, reduces anxiety and increases libido. In this study STD repeaters in comparison with their controls were significantly more frequently drug users (the majority of them inhaled drugs). In several studies conducted in the USA [7, 8] the increase of gonorrhea and syphilis was related to drug use. Upchurch et al. [9] reported that individuals with repeated episodes of gonorrhea were frequently intravenous drug abusers. Drugs are most frequently used by young people, at ages of the highest sexual activity. While most of the subjects developed sexual disinterest and dysfunction with prolonged crack cocaine use, some of them become more sexually promiscuous and consequently contracted sexually transmitted diseases more often. Inciardi /10/ found that 1/3 of men who had exchanged sex for crack (or for money needed to by crack) had 100 or more sex partners during a 30-day period prior to study recruitment. Cleghorn et al. (ABSTRACT TRUNCAT

Adult↗
PubMed1975

Increased sensitivity of regional measurements in early detection of narcotic lung disease.

Intravascular foreign body thromboembolism and interstitial or vascular granulomata in the lungs are common sequelae to intravenous drug abuse. Early detection of such complications is important, because of the youthful population often involved. Conventional pulmonary function tests, including forced expiratory volumes, diffusion capacity for CO (DLco), chest radiograph and arterial blood gas analysis were performed in 23 narcotic addicts, most of whom had no pulmonary symptoms. The results were compared with radionuclide pulmonary function studies obtained following inhalation of 133Xe gas and injection of 99-mTc albumin microparticles. Thirteen subjects who had normal nonnuclear pulmonary function tests, including DLco and chest radiograph, demonstrated significant abnormalities of regional lung perfusion by lung scan. Of the ten subjects with abnormal DLco all had abnormal perfusion scans and five were noted to have hypoxia at rest. In addition, six of the ten subjects with abnormal DLco revealed a history of concomitant "solid pill abuse" along with heroin abuse, whereas only 2 of 13 subjects with normal DLco admitted tooccasional solid pill abuse. The perfusion lung scan is therefore a sensitive means for detection of early lung disease in narcotic addicts.

Adolescent↗
PubMed2005

Profile of pediatric burns Indian experience in a tertiary care burn unit.

Pediatric burns admitted to the tertiary care burn facility of Kanchi Kamakoti CHILDS Trust Hospital in Chennai (India) were retrospectively analysed between 1992 and 2003. Five hundred and thirty-five burn cases were admitted during these years. These children belonged to the age group of 0-18 years (as WHO has increased the pediatric age group range to 0 to 18 years). The etiology of these burns was looked into and the outcome of these patients in respect to etiology and complications were studied. After analysis, they were classified according to age, sex, TBSA and the occurrence of infection during the course of treatment. The complications that really affected the outcome were looked into and infection ranked first in fatal cases. Inhalation burns were not very common in our group and were associated only with large flame burns, which occur when a child is burnt while the mother commits suicide, or in cases of abuse of female children in a closed room with lots of inflammable upholstery. Scalds were the most common type of burn among children under 4 years of age. Flame burns predominated the older age group. Although there were 13 deaths among the entire group, the majority occurred within the 2-4 years age group. There was no significant gender difference with respect to mortality. Large burn size and infection were the strongest predictors of mortality.

Adolescent↗
PubMed1992

Adolescent drug and alcohol usage: a comparison of urban and suburban pediatric practices.

Few pediatric practice-based drug and alcohol surveys have been conducted with adolescent patients. This study reports on similarities and differences in adolescent drug and alcohol use between urban (95% black) pediatric practices and a suburban (89% white) pediatric practice. While there were greater similarities between patient substance use and reported problems than differences, a number of significant differences emerged. White suburban youth were heavier users of tobacco products, alcohol, and inhalants, and experienced more difficulties with blackouts, family conflict, school absence, suicidal ideation, and loss of peer relationships. Other racial/ethnic and practice site differences are discussed. This study highlights characteristics of youth drug abuse in the private pediatric practice setting and implications for the pediatrician in caring for adolescents.

Adolescent↗
PubMed1989

[Epidemiological status of drug abuse in Mexico].

As a country that produces marijuana and opium, and as a route for cocaine traffic to the United States of America, Mexico is experiencing serious social and health problems related to the trafficking, use, and abuse of these drugs and other dependency-producing substances. In 1988 a national survey of addiction was undertaken in which information was collected on the prevalence of the use of alcohol, tobacco, inhalants, marijuana, cocaine, hallucinogens, opium, heroin, narcotic analgesics, sedatives, and tranquilizers. A sample was identified in the population between the ages of 12 and 65 living in urban areas of more than 2,500 inhabitants, which account for approximately 65% of the country's total population. This sample consisted of 12,557 persons. According to the results of the survey, 51% of the population between 18 and 65 years of age use alcoholic beverages and 24.7% of the entire study population are active smokers. In addition, 43% had used one or more drugs other than tobacco or alcohol at some time. Prevalence of marijuana use was 2.6%, while the rates for tranquilizers, inhalants, and amphetamines were identical (0.7%). For cocaine the rate was 0.3%, and for heroin, 0.1%.

Adolescent↗
PubMed1988

Additional deaths associated with the intentional inhalation of typewriter correction fluid.

The previously published literature contains at least 27 deaths associated with the intentional concentration and inhalation of typewriter correction fluid (TCF). The solvent systems of TCF products include volatile halogenated hydrocarbons such as 1,1,1-trichloroethane and trichloroethylene. This report describes 3 additional deaths resulting from TCF abuse, including 1 case in which the addition of mustard oil to the product failed to deter abuse.

Adolescent↗
PubMed1984

Surgical therapy for vocal dysfunction.

In general, misuse and abuse of the voice in the form of using the voice too loudly and too long and affecting a fundamental frequency that is too low produce chronic changes in the lamina propria while inhalation of irritants produces changes in the epithelium of the true vocal cords. Voice therapy plays an essential role in the preoperative and postoperative management of the patient. The use of the operative microscope under general anesthesia has permitted the regular preservation of the external elastic lamina, which is necessary for the restoration of the voice to its full dynamic and frequency ranges. Resection of the left recurrent laryngeal nerve is of great value in the treatment of spastic dysphonia. In the paralyzed larynx, injection of Teflon paste is of proven value in restoring the voice in permanent unilateral recurrent laryngeal nerve paralysis. Reinnervation procedures for unilateral and bilateral recurrent laryngeal nerve and superior laryngeal nerve paralysis must at this time be considered developmental.

Child↗
PubMed1998

Body habitus as a predictor of burn risk in children: do fat boys still get burned?

Previous research at this institute has demonstrated that heavy-for-age boys are more burn prone than their normal sized counterparts. As this study is now 26 years old, we reexamined the anthropomorphic indices of 372 children admitted to one burn center between January 1991 and July 1997 to determine if this trend was still evident. Male children were over-represented in the < or =5th and >95th percentiles for both height (p < 0.001, p < 0.05) and weight (p < 0.01, p < 0.001). Female children were over-represented in the < or =5th and > 95th percentiles for height (p < 0.01, p < 0.05). Twenty-eight percent of boys at or below the 5th percentile for weight were burned as a result of known or suspected intentional injury, compared to 5.9% of the entire pediatric burn population. (p < 0.0004). 'Fat boys' continue to be over-represented in the pediatric burn population. Additionally, in the more recent time period, boys at or below the 5th percentile for height or weight and girls= < 5th percentile or >95th percentile for height are also over-represented. The increased frequency of burn injury in small-for-age children may reflect an increased risk of burn injury secondary to neglect or nonaccidental trauma.

Adolescent↗
PubMed1997

How constant is an individual's route of heroin administration? Data from treatment and non-treatment samples.

Three routes of heroin use were identified--injecting, 'chasing the dragon' and snorting. Whilst injecting and 'chasing the dragon' accounted for virtually all current heroin use, snorting had been the first route of use for nearly a fifth of heroin users in both the treatment and community samples. Overlap of lifetime experience of the different routes was widespread, with the majority of heroin users in both the treatment and community samples having used heroin by more than one route. Although less than half of the treatment sample had used heroin by injection on the first occasion, more than 90% had injected at least once, and over 80% had at some time used by 'chasing the dragon'. Only a quarter of the community sample had first used heroin by injecting, and yet, by the time of interview, two-thirds of the sample had injected. The majority of durable changes in route of heroin use were towards injecting and 'chasing the dragon', with transitions to snorting being extremely rare. For both the samples, transitions to injecting were twice as frequent as transitions to 'chasing'. Snorting appeared to be an unstable route of use, with almost all who initially snorted their heroin now using by injecting or 'chasing the dragon'.

Administration, Inhalation↗
PubMed2005

Deuterodiacetylmorphine as a marker for use of illicit heroin by addicts in a heroin-assisted treatment program.

In preparation for a treatment program concerning the medical coprescription of heroin and methadone to treatment-resistant addicts in the Netherlands, we studied a novel strategy for monitoring co-use of illicit (nonprescribed) heroin. A deuterated analogue of heroin was added (1:20) to pharmaceutical, smokable heroin (a powder mixture of 75% w/w diacetylmorphine base and 25% w/w caffeine anhydrate), to be used by inhalation after volatilization ("chasing the dragon"). Plasma and urine samples were collected from nine male patients who had used pharmaceutical, smokable heroin during a four-day stay in a closed clinical research unit, and these samples were analyzed by liquid chromatography coupled with tandem mass spectrometry. Ratios of deuterated and undeuterated diacetylmorphine and 6-acetylmorphine (MAM/MAM-d3) in plasma and urine were calculated from peak areas of these substances in the respective chromatograms. The MAM/MAM-d3 ratios in plasma and urine were normally distributed (with small standard deviations) and independent from concentrations of 6-acetylmorphine and from time after use of pharmaceutical heroin. A MAM/MAM-d3 ratio in urine above 32.8 was considered indicative of co-use of illicit heroin, and this value was associated with a false-positive rate of only 1% (95% confidence interval: -1 to 3%). The MAM/MAM-d3 ratio was detectable in urine for 4-9.5 h after use of pharmaceutical, smokable heroin. Addition of stable, isotopically labelled heroin to pharmaceutical, smokable heroin is considered to be a feasible strategy for the detection of co-use of illicit heroin by patients in heroin-assisted treatment.

Administration, Inhalation↗
PubMed2000

A comparison of heroin chasers with heroin injectors in Switzerland.

In a cross-sectional multicentre study, we compared the characteristics of heroin chasers and heroin injectors. Subjects were 162 primarily opioid-dependent volunteers for whom either chasing (n = 85) or injecting (n = 77) was the principal route of heroin administration. Each subject was rated by means of the Swiss version of the European Addiction Severity Index. Additionally, subjects completed a questionnaire battery including the Severity of Dependence Scale, the Symptom Checklist SCL-90-R, a self-constructed peergroup questionnaire and a semantic differential list to assess the connotative meaning of heroin chasers and injectors. The heroin injectors were older and more likely to use one or more other drugs besides heroin than the chasers. They had longer heroin-using careers, a longer duration of detention and a higher prevalence of some type of hepatitis. In conclusion, the differences between chasers and injectors were rather related to a longer history of heroin use than to the route of heroin administration.

Administration, Inhalation↗
PubMed1998

Tetrachloroethylene intoxication in an autoerotic fatality.

This case report describes an accidental death due to the inhalation of tetrachloroethylene during an autoerotic episode. Tetrachloroethylene was administered from a can of Fix-A-Flat tire repair. Analysis of tetrachloroethylene was performed using headspace gas chromatography and electron capture detection. The blood tetrachloroethylene concentration of 62 mg/L was consistent with acute tetrachloroethylene intoxication.

Administration, Inhalation↗
PubMedDate not supplied

Racial/ethnic and educational differences in the estimated odds of recent nitrite use among adult household residents in the United States: an illustration of matching and conditional logistic regression.

This article compares estimates of the relative odds of nitrite use obtained from weighted unconditional logistic regression with estimates obtained from conditional logistic regression after post-stratification and matching of cases with controls by neighborhood of residence. We illustrate these methods by comparing the odds associated with nitrite use among adults of four racial/ethnic groups, with and without a high school education. We used aggregated data from the 1994-B through 1996 National Household Survey on Drug Abuse (NHSDA). Difference between the methods and implications for analysis and inference are discussed.

Administration, Inhalation↗
PubMed1999

Acute unilateral visual loss due to a single intranasal methamphetamine abuse.

An otherwise healthy 35 year old male with insulin-dependent diabetes mellitus (IDDM) presented himself three days after a single intranasal methamphetamine abusus. Directly upon awakening the day after the recreational use of this drug, he discovered an acute and severe visual loss of his right eye. This unilateral loss of vision was permanent and eventually lead to a pale and atrophic optic nerve head. The characteristics of this visual loss, together with the aspect of the optic nerve head was very similar to the classical non-arteritic ischemic optic neuropathy (NAION). We suggest a direct ischemic episode to the short posterior ciliary arteries due to this single intranasal abuse of methamphetamine as the underlying pathogenesis of this acute and permanent visual loss.

Administration, Inhalation↗
PubMedDate not supplied

Spirometric changes in fire-eating subjects in Mexico City.

BACKGROUND: Fire-eating is an activity mainly carried out by inner-city poorest subjects as a way to obtain money. Scant information has been reported concerning the consequences of this activity on lung function. METHODS: This study was accomplished in the streets of Mexico City by performing spirometric studies on 30 fire-eaters prior to and after their daily activity; in 16 of these subjects these studies were also conducted after salbutamol inhalation. RESULTS: All fire-eaters were males, 27.9 +/- 1.1 years of age (mean +/- standard error of the mean). Up to two thirds showed abnormalities in baseline spirometry (11 with an obstructive pattern and 9 with mixed pattern) not related to a smoking habit or drug abuse. Number of years in the fire-eating activity was inversely correlated with FEF50 (r=-0.46, p<0.01) and FEF75 (r=-0.33, p<0.05). Likewise, body mass index was inversely correlated with FEF25 and FEF50. These results were corroborated with multiple regression analysis. At the end of daily fire-eating activity, further diminution of FEF75 was observed (-7.6 +/- 1.4%, p<0.01). Aerosolized salbutamol caused statistically significant increment (p<0.05 to p<0.01) in nearly all spirometric variables, although on an individual basis only 10 of 16 (63%) had positive bronchodilation response. CONCLUSIONS: Fire-eaters showed a mild decrease of airflows, which partially correlated with number of years spent in this activity. After a 1-day fire-eating activity, further airflow limitation increased. Up to 63% of subjects tested improved some spirometric airflow value after salbutamol inhalation.

Adult↗
PubMed1988

[Knowledge and drug abuse among students in Brasília, Brazil].

A survey on how much students know about drug use was conducted among State-owned schools in Distrito Federal: 994 primary school pupils and 829 high school students were screened up altogether with 351 graduate school students from the University of Brazilia. A 56-question anonymous questionnaire was administered on social-demographical information, acquaintance with drugs, motivation for use and its frequency, and supply sources. It was found out that, indeed, pupils and students alike knew a great deal about drugs, their information, in general, originating in the mass media. Alcohol is the most widely used "legal" drug. Medical drugs, inhalants, marijuana and cocaine follow on. Among medical drugs, tranquilizers are second to none, and generally gotten through a doctor's prescription. This, coupled to the inhalant boom, deserves a top priority attention on the part of authorities. The research suggests that, instead of emphasizing on danger-oriented divulgation, prevention campaigns should reinforce and accurate the youths' knowledge on drugs so that they are made fully aware of what drug has in store for them. At the same time, campaigns should instruct adults (i.e teachers, professionals, and parents) that drug abuse problems are better dealt with when resorting to appropriate attitudes, instead of giving up in despair.

Adolescent↗