1 3 : ) ( ) ( (

1 3                      :      )     (        )     (    (

1 3 :

) ( ) ( ( ) ) ? . : ) : ) ( :

) ( ? (

) . 4 Hallucinations( ( ( ( ( ( ( )Lsd (

( )Magic musharoom( ( (( (( (((( ( ( (((( MDA( ( (( ) MDMA CANNABIS( ( ( ( ( ( (( (( (( ((( (( (( (( (( ( (( (( ( ) (( (( e (( ( -)) c ( ((( (( (( (( (( (( (((( (( (( (( (( )

( ) ( :(( (( (( (( (( (( (((( (((( ((c ( (( (((( (( (( (( (( ( ((((

(( : ( ( : e ( ) ) (( ( ( ) (( ( ) . ( )(( (( (( (( ( ) (( (( ((e (

) ( ( ) c( (( (( (( ... ( (( ( 5 (( (( (( (( ( ((

6 ) c ( e( . )) ( ( ( . . ) (( (( (( ( ( ) ) ) ( (

: : : : : : : 7

: 8 (( . c( ) ( . .

( . (( ( . ( (( (( . (( ( (( ( (( ((

(( ( ( ) ( . Indole alkaloids Lysergic acid diethylamide (LSD) Lysergic acid amide (LSA) Psilocin

Psilocybin Piperidines Atropine and scopolamine Cocaine Phencyclidine (PCP) Ketamine

Phenylethylamines Mescaline 3,4-methylene dioxymethamphetamine (MDMA) Methylene dioxyamphetamine (MDA) 3-methoxy-4,5-methylene dioxyamphetamine (MMDA) 3,5-dimethoxy-4-methylamphetamine (STP)

2,5-dimethoxy-4-methylamphetamine (DOM) Cannabinoids Delta-9-tetrahydrocannabinol (THC, the active substance in marijuana) (( ( ( (( ((

( ) ( (( (( . . ( ( ( ( (( ( . ( . 10 1 phenylisopropylamine

11 Crystal meth can be easy to produce in small, clandestine labs, sometimes in a kitchen or bathroom, by mixing a cocktail of about 15 substances, mostly pseudo ephedrine )a cold remedy(,

red phosphorous and iodine. 2 . ( (( ( ( Amphetamine (( )( Dextroamphetamine Methamphetamine Fenfluramine ( )

Methoxyamphetamine ( Methylendioxy methamphetamine(MDMA) Methylphenidate ( Ritalin) 13 ( ( ( (( 14 Clandestine Meth Lab

) (( ( (( ( (((( (((( (( (( .(( ( . e . ) ( ( ( ( e ( (( ) ( (

(( ( ( ( ) ( (( .

(( ( . . 16 ((Methylphenidate Fenfluramine ( . (( Phenmetrazine() Ritalin . (( Adderall (( (( )Dexedrin( ( ( :(( . ((DextroStat . ( ) :. ) . . . ) (

Hyperactivity Disorder ) ( ( . ( .

17 . c (( ( alertness ((

( . . c ( . . e( ( ( 18

( . massive dose paranoia ,delusion ,hallucination , . bizarre violent behaivior restless , suspicious , anxiety, aggression ( insight , orientation , memory 19

20 2/3 ( (

( CEREBROVASCULAR ( (( ( . . e Benz Black beautie

: Co-pilot Hearts Ice Lightning Marathons Peppills Speed 21

: ) ( (

) ( : )

) ( . ) . (

22 Forms of Methamphetamine Methamphetamine Powder Users Description: Beige/yellowy/off-white powder

Base / Paste Methamphetamine Users Description: Oily, gunky, gluggy gel, moist, waxy Crystalline Methamphetamine Users Description: White/clear crystals/rocks; crushed glass / rock salt amphetamine base amphetamine powder 24

Dextroamphetamine capsules dextroamphetamine powder 25 Smokeable methamphetamine Crystal meth

26 Crystal methamphetamine 27 ( ) .

. . 28 CRYSTAL METHAMPHETAMINE ) ) ) :

32 ) (( . . ( ) ( (( . ( . .

( . ( ( . ( . ( (( . e( . 33 )

. ) (

( ( ( -( ) )

. (( ( ( ( . . ( ) . . ( . ( . 35 Tooth decay Meth mouth Respiratory distress Skin lesions

Impotence Stroke Suicidal tendencies High risk sexual behavior Paranoia Psychotic episodes Convulsions Episodes of violence Hair loss Cardiac arrest 37

. Speed Bumps METH Use Leads to Severe Tooth Decay Source: Richards, JR and Brofeldt, BT, J Periodontology, August 2000. METH Mouth

Source: The New York Times, June 11, 2005. Unaltered Booking photos from Australia )same person( photos NOT altered. 43 AND We Have Evidence That These Changes Can Be Both Structural and Functional BRAIN IMAGING

Positron Emission Tomography Magnetic Resonance Imaging Decreases in Metabolism in Orbito Frontal Cortex (OFC) control cocaine abuser Volkow et al. Am. J. Psychiatry appropriate

148, 621 Compromise assigning Value METH Suppresses Expression of DAT (note: duration of use/3-20 yrs; abstinent/ 1-4 yrs) Source: McCann U.D. et al., The Journal of Neuroscience, 18(20), pp. 8417-8422, October 15, 1998. Dopamine Transporter Loss After Heavy Methamphetamine Use

(PET analysis) Comparison Subject METH Abuser Source: Volkow, N.D. et al., Am J. Psychiatry, 158(3), pp. 377-382, 2001. (( (( (

( ( ( (( ) MDMA ( c ( ) 57

. ( : ) . ()the love pill (( XTC (( EX X Speed ( ( ) ) ( 58

(( ( ( . : ) (

(( ) ( (( ) ( (( (( ( (( ...( .. ( (( ( . . ( ( ( . 59

60 61 62 ) ( ( (( . (( ) ( (( (( (

( ( . ( ( . ( ( ( ( . 63 ) . - ( ( 6 24 . ) (

( e 64 . ( . (

) 65

( . . . ) . . ( ( . ( . ( ( (( ( . ( . (( (( ( (( (( ( . .

66 (

( ( (( . (( . . (

67 -1 . . LSD -2 . . PCP

-3 .e .MDA . -4 . .ePMA . -5 . .e T M A -6 . .e D M T -7 . . = STP . .DOM e -8(( . Mescaline - Peyote -9(( (( Psilocin - Psilocybin LSD L S D

68 (( ( ( ( . ( e. ) e( . . . ) ( ( . . (

. (( 69 LSD . . (d-lysergic acid )diethylamide e ( :

70 ()Trip ( (( LSD ( . ( (( ((

. . ) (( (( (( LSD ) ( (( ( (( ( ( ( (( ) ( (.( ) (( ( ( . .

LSD 50 300 e 71 73 74 LSD ) ) LSD

. . . ( 24 . LSD

. . . 30-60 ( ( 12 . 4 (( LSD . Trip( . LSD ( . . 200 300 . 75

LSD ( . ( . (( LSD) ( (limbic )Forebrain ( (

LSD ( ( ( (( ( .

76 LSD 77 LSD . . .

( ( . . ( . (( ( . ( ( ( ( . 1966( (( ( ( e. LSD )

78 . (( ( . . (( . ( . . (

. ( (( ( ( . (( ( . (( ( ( )Synesthesia. LSD " ) " " " (( ( . (( ( ( . ) (( . (( ( ( LSD

) . ( 80

( (( (( . (( ( (( (( ) ( (( (( ( (( ) ( . ( ) (( LSD

( LSD (( ( . . (( ( (( (( . ( . . 81 LSD

82 LSD( (( . ( ( LSD . . ( . Trip .

( . . . Psilocin and psilocybin These indole alkaloids are found worldwide in a variety of mushrooms and have been used by indigenous peoples of Central America for centuries in religious rites. Ingesting only a few mushrooms may produce hallucinogenic affect, but, generally, large numbers of mushrooms

are required. Analysis of street samples of "psilocybin" found that less than one third of the samples actually contained the alkaloid. 83 84 85 86 The most common effects are perceptual distortions or hallucinations. Hallucinations are

generally visual but other types may occur. Some patients experience euphoria and tachycardia, and most patients have some mydriasis. Hyperreflexia, anxiety, and drowsiness may occur. Some species of toxic mushrooms may cause adverse GI reactions, including cramping, nausea and vomiting, and diarrhea. Always consider the possibility of toxic mushroom ingestion in patients presenting with a history of mushroom use. 87 For most patients, care consists of placement in a subdued and supportive

environment. Frank psychoses rarely occur. Aggressive and destructive behaviors are also uncommon. Anxiety and agitation can be managed with benzodiazepines, and antiemetics may help GI complaints. Intoxication can last several hours and may wax and wane with a larger ingestion. 88 .1 .2

.3. .4. .5. ECG .6. .7. ) ( .8 : BS BUN/Cr .9 ) (

(. ) .10 TNG ) ( ... ) ( .11 : .13.

.14. .15. .16. ) ( I/O .17. . 18 : : : : .

. ( ( - (( e( ( ) ((()Meph (( (( e ( ( ) (( - . (( ( (( (( . (( (( . (( . . . (( (( ((

(( . (( . (( ( ) (( (( ( . ( ( (( . ( ( 20 ) ( ( ( ( . (( .

91 ( (

) ( " ) ((" " (("(( " "(( " "(( " " " " " " ) ( (( (( (( ( (( (( ( . 2002 ( (( 2011 100 (( (( ( . ( " " ( ( ( ( (( .

93 94

( ( ) ( . ( e . . ( ( (( . ( 2 6 7 .( . ( ( . ( (

. .. ( ( ( (( ( (( ( . (

( ( c ( ( (( 2 3 ) ( ( ( ( . "((" ( (( (( ( ( ) ( ( .

:( . (( (( (( (( . .... 95 (

96 . . ) ( (( ( (((( (( ( . (( ( . ) ( ) . (( ((

( . (( (( (( . ( ) ( ( ( (( . (( (( . ( e ) ( ) (

(( e (( (( (( (( (( (( (( . . . . (( (( (( ) . . 97

!. e ( . ( ( (( ( (( ( ( .(( ( ( ( . 98 ((LSD ... . (( . ((

( ( . (( ( ( ( (( . ( . (( ) ) (( ( . . (( ( ( (( . ( . ( ( ) ( ) ( ( . 99

" ) ( " " " ( ( ( ( ( . ( .(( . (( (( ( ( . (( ( .(( c e ( c( ( . . 100

( ( . ( ( ( .(( ( . . (( ( . . ( ( . 101 ((c ((c c

102 ) ( ) (

( ) . . . ) ( ) ( ) (

. ( : ) ( ) ( ) 103 ((

((STARDU: NOSE CANDYCOKE ((WHITE (( ((CHARLIE ((SNOW ROCK ((BLOW ((TOOT ((FLAKE (( BASE ( ( (

. (( ( (( ( (( . ( ( CRACK e

( ( ( ( ( . . (( (( (( (( ) ( . ( : ( (( . ( (( (( (( (( ( 104

. : (( ( ( ) ( ) .) ( . . ( (( ( ( (( ) ( (( ( (( ( (( (( . (( . (( ( ( . ( (( (( (( ( (( ( (( (( .

. : ( ) ( ) ( ( ( ( . (( ) ( . (( . (( ) ( (( . . ) ( (( ( (( ) ( ) ( ( . 106 107 108

e ) ( ( ( ) ( ( ( ( ( . . ) (( (( ( (( . pcp : . : . ) . ) (

. ) ( ) ( . ( ) ... ) .1 ) ( : )5.mg ) ) .2 ( :)10mg-5. .3. . ( : ) 10mg

.4. : ) .... 111 112 ( : ) (

) . : ( ) . : . 3. 4. . 24. . :

.1 .1 .2 ( . ) .2 ) .3. .4. ( )

.5. ( ) .6. ) .7. .3. .4. .5. .6. .7. ) (

( , . ( ( ( ( . . ( . ( ( ( ( . 12 (( ( ((

(( (( . (( (( (( (( ( . ( . ( . ( ( . ( (( ( ( ) ( . ( ( ( 8 . 1 3 . 116

117 118 (( ) (( ( 200 ( ( . ( . 119

(( ( . ( . (( pcp . .(( ( . . ( . . . 1-4 :

121 122 123 : .. : .

. ) ( : . ) )

. 125 126

( ( ) ( ( ( ) ( ( ) ( . (( (( ( (( (( (( (( (((( (( (( (( ( (( (( (( ( (( ( e( (( ( (( ( (( (((( (((( (( (( ((e . (( . 127

. :(( (( ) ( ) ( (( . (( ) ( ( )(( (( (( (( )

) 128 ( ( 11 (( ( ( . (( ( (( 5.00 3.000 . 129

) ( ) ) ( ( )

130 131 ( e BT ( (( ( ( .

( . BT . .

( (( ( . (( (( (( ( . 132 date rape drug types Date rape drug refers to any drug that can be used to assist in the commission of a sexual assault, such as date rape. Drugs used to facilitate rape may have sedative, hypnotic, dissociative, and/or amnesiac effects,

and may be added to a food or drink without the victim's knowledge. The term "date rape drug" originated in journalism and has no strict scientific or legal definition. A wide variety of substances can be used to incapacitate a person, and all of them have sometimes been taken willingly by people in other situations. Drink spiking may also be undertaken for amusement purposes. 133 Rohypnol

Rohypnol is a short-acting benzodiazepine with properties very similar to those of Valium. It is used in the short-term treatment of insomnia, as a pre-medication in surgical procedures and for inducing anaesthesia.Rohypnol's effects include sedation, muscle relaxation, reduction in anxiety, and prevention of convulsions. However, Rohypnol's sedative effects are approximately 9 times stronger than Valium. The effects of Rohypnol appear 20 minutes after administration and last approximately four to six hours. Rohypnol causes partial amnesia; individuals are unable to remember certain events that they experienced while under the influence of the drug. This effect is particularly dangerous when Rohypnol is used to aid in the commission of sexual assault; victims may

not be able to clearly recall the assault, the assailant, or the events surrounding the assault. It is difficult to estimate just how many Rohypnol-facilitated rapes have occurred in the United States. Very often, biological samples are taken from the victim at a time when the effects of the drug have already passed and only residual amounts remain in the body fluids. These residual amounts are difficult, if not impossible, to detect using standard screening assays available in the United States. If Rohypnol exposure is to be detected at all, urine samples need to be collected within 72 hours and subjected to sensitive analytical tests. The problem is compounded by the onset of amnesia after ingestion of the drug, which causes the victim to be uncertain about the facts surrounding the rape. This uncertainty may lead to critical delays or even reluctance to report the rape and to provide appropriate biological samples for toxicology testing 134

135 Abuse Potential While Rohypnol has become widely known for its use as a date-rape drug, it is abused more frequently for other reasons. It is abused by high school students, college students, street gang members, rave party attendees, and heroin and cocaine abusers to produce profound intoxication, boost the high of heroin, and modulate the effects of cocaine. Rohypnol is usually consumed orally, is often combined with alcohol, and is abused by crushing tablets and snorting the powder. Rohypnol abuse causes a number of adverse

effects in the abuser, including drowsiness, dizziness, loss of motor control, lack of coordination, slurred speech, confusion, and gastrointestinal disturbances, lasting 12 or more hours. Higher doses produce respiratory depression.Chronic use of Rohypnol can result in physical dependence and the appearance of withdrawal syndrome when the drug is discontinued. Rohypnol impairs cognitive and psychomotor functions affecting reaction time and driving skill. The use of this drug in combination with alcohol is a particular concern as both substances potentiate each other's toxicity. Rohypnol Street Names La Rocha; Mexican valium; Pingus; R2; R-2; Reynolds; Rib; Roach 2; Roach-2; Roaches; Roachies; Roapies; Robutal; Rochas dos; Roche;

Roches; Rolpes; Roofie;Roofies; Roopies; Rope; Rophies; Rophy; Ropies; Roples; Ropples; Row-shay; Ruffies; Ruffles; Sedexes; Wolfies 136 Temazepam Temazepam is used on a short-term basis to treat insomnia (difficulty falling asleep or staying asleep). Temazepam is in a class of medications called benzodiazepines. It works by slowing activity in the brain to allow sleep. In the case of , "date rape " it neutralizes resistance or renders the victim unconscious. Such drugs will usually also affect memory of the event. Memory loss of the event can lead to an inability to later

prosecute as the victim will not remember the exact circumstances of the attack. As such, date rape is difficult to prove in most judicial systems. memory loss will usually be a case of black out. Other aspects of the event that experience may be very clear. Temazepam Street Names Tems, Yemazzies, Eggs, Green Eggs, Jellies, Norries, Rugby balls 137 138

GHB GHB is a depressant of the central nervous system and it brings about euphoric and hallucinatory states .GHB takes effect within 10-20 minutes and lasts 1-3 hours. Reactions to GHB include disinhibition, sedation, hallucinations, desire to sleep, rambling speech, giddiness, silliness, difficulty thinking, slurred speech, loss of bladder control and passing out. The effects of an overdose can include deep sedation from which you cannot be awakened for about three hours, seizures, sudden and dangerous drop in blood pressure, heart rate or breathing, coma and death. The effects of GHB are exacerbated when taken with alcohol

or other drugs. This makes it especially dangerous when used to spike an alcoholic drink. GHB Street Names Georgia Home Boy, Scoop, Great Hormones at Bedtime, Soap, Easy Water, G-Riffick, Cherry Meth, Organic Quaalude, Jib, Liquid Ecstacy, Liquid X, Goop and Gamma-oh. 139 140 Ketamine

Ketamine is odorless and tasteless, so it can be added to drinks without being detected, and it induces amnesia. Because of these properties, the drug may be used in the commission of sexual assaults referred to as "drug rape." Ketamine can cause dream-like states and hallucinations. This may produce sensations ranging from a pleasant feeling of floating to being separated from your body. Some ketamine experiences involve a terrifying feeling of almost complete sensory detachment that is likened to a near-death experience. In high doses, ketamine can cause delirium, amnesia,

impaired motor function, high blood pressure, depression, and potentially fatal respiratory problems. Ketamine Street Names Cat Valium, K, Special-K, Vitamin K. 141 142

Recently Viewed Presentations

  • Mammalia & Reproduction

    Mammalia & Reproduction

    By: Rachel, Nico, Brandon, Lauren Mammalia Evolved from reptiles during the Mesozoic era This is around the time when dinosaurs evolved from different reptiles Underwent adaptive radiation to fill major land niches during the Cenozoic era Major Characteristics of Mammalia...
  • Investigación y Desarrollo en Salud

    Investigación y Desarrollo en Salud

    hospital de enfermedades infecciosas dr. lucio cordova . hospital de peÑaflor . hospital de quilpue . hospital de talca . hospital del salvador . hospital dr. eduardo pereira . hospital dr. sotero del rio . hospital dr. victor rios ruiz...
  • Technician Mobilization Briefing

    Technician Mobilization Briefing

    TECHNICIAN MOBILIZATION BRIEFING ... Technician Vacancy Consideration During Absences HRO STAFFING BRANCH POC FOR TECHNICIAN STAFFING *MSG Linda Reedy, Supervisor 717-861-8602 Elaine Duenas-Brown 717-861-6286 TSgt Matthew Kauffman 717-861-8108 SPC Amanda Pham 717-861-6271 Cathy Hain 717-861-8523 ...
  • TRAINING and CAPABILITY BRIEF

    TRAINING and CAPABILITY BRIEF

    The ARNG Warrior Training Center trains Service Members in critical functional skills, develops leaders, and represents the ARNG in order to increase the Federal and State operational readiness of the ARNG.
  • FastCat

    FastCat

    Times New Roman Rage Italic Default Design FastCat Slide 2 Slide 3 Slide 4 Slide 5 Slide 6 Slide 7 Slide 8 Slide 9 Slide 10 Slide 11 Slide 12 ...
  • 6.837 Linear Algebra Review - MIT CSAIL

    6.837 Linear Algebra Review - MIT CSAIL

    6.837 Linear Algebra Review Patrick Nichols Thursday, September 18, 2003 Overview Basic matrix operations (+, -, *) Cross and dot products Determinants and inverses Homogeneous coordinates Orthonormal basis Additional Resources 18.06 Text Book 6.837 Text Book [email protected] Check the course...
  • Buying a Home

    Buying a Home

    Let's take a look at a historical view of interest rates over the last 45 years. Bottom Line. Be thankful that you can still get a better interest rate than your older brother or sister didten yearsago, a lower rate...
  • Afrocentric Approaches for Culturally Responsive Education

    Afrocentric Approaches for Culturally Responsive Education

    Theoretical framework for culturally responsive pedagogy in public education is based on 3 realities (Greenwood, 2011) Institutional needs to address increase diverse student populations. Children of color face severe achievement gaps compared to White students. Current curriculum and instruction is...