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Week 5: slippery slope, include, include, Include, What Required?,…

- - - - kisspeptin
        
        secreted by hypothalamic neurons and potently stimulates the release of GnRH.
      - Gamma-aminobutyric acid
        
        (GABA): a neurotransmitter which appears to play an important role in inhibition of GnRH. | GABA could play a role in the onset of puberty.
      - Leptin
        
        is the satiety-producing hormone secreted by adipocytes.
- - - - include
        
        CNS stimulants
        
        Cocaine
        
        routes of administration
        
        Oral
        
        IV
        
        Intranasal
    - - Hallucinogenes
        
        Marijuana
        
        routes of administration
        
        Oral
        
        Sublingual
        
        Inhalation
        
        Topical
      - Opioids
        
        morphine, heroine, codeine and oxycodone
        
        route of administration
        
        oral
        
        IV
        
        Topical
    - - include
        
        Ethanol
        
        route of administration
        
        Oral
  - - - Fatigue
      - irritability and agitation
      - Anxiety
      - insomnia
      - lack of concentration
- - - - Cannot take without doctor prescription
      - Lyrica, Heroin, Methadone and Zolam
    - - bring a valid prescription written by a doctor from an approved hospital in the home country.
  - - - June 26 every year
  - - - More than 6m, less than 3y
      - 10,000 to 20,000
    - - Until death or life inprisonment
      - 300,000 to 500,000
- - - - Cirrhosis
      - Fatty Liver
      - Liver Dysfunction
      - Lactic Acidosis
      - Hypoglacemia and Ketogenesis
    - - Deficiencies in vitamins and minerals
      - Damages the brain
      - Risk for heart disease, heart arrhythmia, stroke, osteoporosis, colorectal cancer
      - Combined with tobacco, increases the risk for oesophageal cancer and oral Cancer
    - - Risky Behaviours
      - Emotional Effects
      - Loss of control over actions
      - Neglecting responsibilities
- - - - For example
        
        Medical records
        
        Illness
        
        Treatment
      - Challenges
        
        Relatives
        
        My pressure the doctor to share information out of care
        
        Computer systems
        
        Can be hacked
        
        Children under 16
        
        May still want their privacy even if law states otherwise
      - Unless
        
        Compulsory disclosure
        
        Is
        
        Being forced by law to disclose confidential information
        
        Includes
        
        Disclosure to protect other people (criminal)
        
        Disclose to the police
        
        Serious crime
        
        Rape
        
        Murder
        
        Kidnapping
        
        Notifiable disease
  - - - Creating thorough policies
      - Providing training
      - Awareness of why it is important
      - Make sure information are stored on secure systems
- - - - Examinations
      - Health history and drinking habits
      - Determining mental and physical well-being
      - Regularly check
        
        Temperature
        
        Blood pressure
        
        Heart rate
      - .
        
        providing withdrawal symptoms medication
    - - Mood changes
        
        Mood swings
        
        Anxiety
        
        Depression
        
        Agitation
      - Body changes
        
        Flu-like symptoms
        
        Shaking
        
        Nausea
        
        Headaches
      - Cravings
  - - - (DAST)
        
        Contains
        10 yes or no questions
    - - Breath Test
      - Blood Test
      - Hair Test
      - Saliva Test
      - Urine Test
  - - - Comprehensive assessment
        
        To make a
        personalized treatment plan
      - Detox
      - Various therapies.
        
        Cognitive behavioral therapy
        
        Music lessons
        
        Art therapy
        
        Yoga
      - Replacing drug or alcohol use with positive alternatives
- - - - Epilepsy, nausea & chemotherapy
  - - - Lower temperature, BP & heart arrhythmia.
  - - - Treating depression or anesthetic.