Thursday, December 27, 2018

Monday, December 24, 2018

Auditory Sensory Meridian Response: comments requested, anecdotes, use in prevention/treatment





Excerpt from Wikipedia entry:

Contemporary history



The contemporary history of ASMR began on 19 October 2007 when a 21-year-old registered user of a discussion forum for health-related subjects at a website called 'Steady Health',[22] with the username 'okaywhatever', submitted a post in which they described having experienced a specific sensation since childhood, comparable to that stimulated by tracing fingers along the skin, yet often triggered by seemingly random and unrelated non-haptic events, such as 'watching a puppet show' or 'being read a story'.[23]

Replies to this post, which indicated that a significant number of others experienced the sensation to which 'okaywhatever' referred, also in response to witnessing mundane events, precipitated the formation of a number of web-based locations intended to facilitate further discussion and analysis of the phenomenon for which there was plentiful anecdotal accounts,[12][24]yet no consensus-agreed name nor any scientific data or explanation.[17]


ASMR link


Link to photo image: https://peerj.com/articles/851/#fig-1

CC information: https://commons.m.wikimedia.org/wiki/File:ASMR_Map.png#mw-jump-to-license

Sunday, December 23, 2018

The Devil’s Needle 1916 (Some holiday viewing pleasure ?)

“The Devil’s Needle stars silent goddess Norma Talmadge as a morphine-addicted artist’s model who sends a neurotic partner (Tully Marshall) down a path of moral deterioration.”







Tuesday, December 18, 2018

ASAM Weekly in the News

Free subscription,

The weekly performs a consolidator function, akin to this blog but more focused.
These “in this issue” bullets are links to other news sources.
Not necessarily peer-reviewed material.
The assertions in these bullets are not those of the weekly’s editor.
These headlines might represent modern journalism in action, with a click bait function.








(Notice the three key facets and the relative prominence and ordering, reflective of American but not all of western neuropsychiatry): (1) neuroadaptation, (2) disturbances of behavior (compulsion-like ‘inability to abstain consistently, dysfunction of behavioral control), and (3) disturbances of the mental life (obsession-like ‘craving’ and ‘dysfunctional emotional response’). Also disengaged from non-American western traditions of theoretical psychopathology (as a science), the interdependent facets of socially maladaptative behavior have been moved into the foreground. An alternative is multi-axial thinking within theories of (1) how things break down and go against life form viability and successful survival of the species and of the individual (survivorship of the individual, to the extent it can be usefully separated from reactions of other players in the individual’s social fields, as well as the social context) and the (2) the separable but interdependent responses of natural raters in social fields (e.g., interpersonal strife when the individual does not live up to expectations of the natural raters in these social fields). The theory that these facets are exchangeable manifestations of one another, with an underlying single latent dimensional structure, has influenced the measurement model such that diagnosis now requires little more than counting up what is thought to be exchangeable. Alternative theoretcal models specify value in maintaining a distinction between the ‘disease’ or ‘disorder’ as can be observed with social field/context held constant (which requires a separable measurement), versus manifestations that are interdependent but conceptually kept separate despite the interdependence and shared origins. 

To think about a clear example in medicine where we have another strong independendence but a compelling rationale to maintain separation, consider systolic versus diastolic blood pressure, where the inter-correlaion often shows up with correlation coefficients well above 0.65, and shared variance components due to common origins. Irrespective of the biometrical correlation and covariance structure, the conceptual theory of modern medicine leads us to specify a measurement model for hypertenion diagnosis that separates the systolic dimension of arterial stiffness (change in SBP with DBP dimension held constant) from the diastolic dimension of arterial compliace (change in DBP with SBP dimension held constant).



Thursday, November 29, 2018

Opioid deaths: How much is the increase due to change in surveillance approaches?

Counting opioid deaths

No need to minimize the suffering, but epidemiologists must ask the best questions possible while tooting their horns.

Wednesday, November 14, 2018

Precision in word choice reflects precision of one’s thoughts

Faithful readers know that I don’t appreciate the inter-penetration of political themes with our scientific work.
Hence, I avoid politically motivated terms as in ‘substance’ in lieu of ‘drug’ (or ‘marijuana’ in lieu of ‘cannabis’).
I also avoid stigma-laden American slang terms such as ‘addict’ and ‘addiction’ and I turn toward the WHO Expert Committees for an international perspective about ‘dependence’ syndromes.

I recently ran across a word choice essay on the topic of ‘fetal alcohol effect’ versus ‘fetal alcohol syndrome.’

You might enjoy reading the essay and the logic for avoidance of ‘fetal alcohol effect.’

Monday, November 5, 2018

EVERY 25 SECONDS: THE HUMAN TOLL OF CRIMINALIZING DRUG USE IN THE UNITED STATES

Every 25 seconds... is link to the article summary and PDF.

The argument against repealing the current criminal approach rarely takes up serious consequences of this type.
Highly pertinent as jurisdictions debate whether to leave drug laws as they are, or to change them.

Question to ponder about our sons, daughter, or grandkids:

Which would you prefer to happen at age 18?

A. Development of cannabis use disorder (e.g., ‘hooked on pot’)?

B. Criminal record and perhaps incarceration time due to prosecution for possession?

(Learn the downstream social and economic consequences of A versus B. Which would you choose for your offspring?)

Wednesday, October 17, 2018

Naomi Breslau: A Tribute

Link to the departmental tribute: http://www.epi.msu.edu/news/nbreslau/

A trace of her contributions in Ohio (Case Western Reserve) and Michigan (Henry Ford Health Systems, University of Michigan, and most recently, Michigan State University) via Web of Science:



Her Reach and Influence Across Fields:














Wednesday, October 10, 2018

Legal History of Psychoactive Drugs (Footnote on ‘Company Law’)

Article on the concept of a ‘company’ as is pertinent in the history of drug regulation.

There are some interesting historical details about British regulation of companies in this work.
If you see a corresponding American perspective, please add it as a comment.





Thursday, October 4, 2018

Cannabis images to spice up your lectures on stigma-laden and racist drug propaganda

Simply do a web browser search for: locoweed mexican carlotta

Illustrations of what you will find:






Selwyn D. Collins

Worked with Sydenstricker and Frost.
Studies of lifetime history of illness, using logistic curve learned from Raymond Pearl.




Paul Verlaine & Absinthe

Available online via MSU libraries.



Wednesday, October 3, 2018

visualizations from the Adol. Growth Atlas

This post is related to the visualization of feedback loop post (Thanks Alyssa!) 
*Cheating in a party environment increases before slightly decreasing at a higher IQ. Otherwise, the trend is downward as IQ increases. 
Google search- Suggestion is the psychological process by which one person guides the thoughts, feelings, or behavior of another person.

Wednesday, September 26, 2018

Can we treat our way out of this epidemic (without primary prevention and prevescalation)?

link to article

Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016

Link to article

Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016

 See all authors and affiliations

Science  21 Sep 2018:
Vol. 361, Issue 6408, eaau1184
DOI: 10.1126/science.aau1184

Modeling opioid policies



Thursday, September 13, 2018

One of Bruce Dohrenwend’s Classic Articles

Deserves careful study.

BD’s Rema LaPouse Lecture

A quibble: This “three generation” model requires us to ignore the pioneering field surveys of early Norway, which pre-dated the work of Jarvis cited here as ‘first generation’ work. (They are dismissed as key informant surveys.) As well as the work of A.J. Rosenau (1916-17), which was not just a key informant survey. It had a two-stage design of the type we laid out for Mini-Mental and DIS studies of the 1980-85 era (following clues from Scott Henderson and Paul Duncan-Jones Australia study of life events), but Rosenau had no rigorous random sample of all participants.


Wednesday, September 12, 2018

Sunday, September 9, 2018

Qualitative research on cannabis

Link to full open access article.

Useful for several reasons, including the set and setting concepts that resonate with public health’s host and environment elements of the ‘epidemiological triad.’

The NIH project abstract:




Tuesday, August 28, 2018

Hollerith, Billings, and the 1890 US Census

A note on Hollerith: https://en.wikipedia.org/wiki/Herman_Hollerith . Reading it, I learned another connectivity lesson. Hollerith worked for John Shaw Billings, whose name I recognized as someone connected to Hopkins who had worked out Vital Statistics for the US Censuses in the 19th century. Apparently it was Billings who urged Hollerith to develop the punch card approach for the US Census of 1890. That census report is remarkable in that it apparently no longer exists (due to a fire and perhaps to some neglect). This is too bad because it included questions on disablement of household members and counted those affected by life-long cognitive problems (‘idiots’) and with other problems.

 

https://www.archives.gov/publications/prologue/1996/spring/1890-census-1.html

Monday, August 27, 2018

NYT Editorial: States Show the Way on the Opioid Epidemic

States Show the Way on the Opioid Epidemic


Who will do the state-level analysis that expresses this year’s opioid casualty attack rates as a function of state-level characteristics, including X-terms for what the NYTimes think is making a difference?

Sunday, August 26, 2018

Ethnographic research in complement with survey and administrative records research


There is a podcast to listen to, but if you want to view the video of the session, it is here:


Features Robert Moffitt, Johns Hopkins professor, among other notables.

Podcast is here:

Ethnographic storylet about a path to heroin problems can be heard, starting at about the 48 minute mark as shown on the image below:





Saturday, August 25, 2018

Special treat day for Dr. Madhur Chandra

Cocaine Decisions



Enjoy!

Remember this day!

Extra treat I ran across: Unevaluated anti-drug PSAs that Frank Zappa performed for the Do It Now Foundation.
DIT Foundation also ran a mail service free anonymous drug testing lab.
Mail in specimen with code, anonymously.
They would post code and contents, dosages when possible.
Often showed contaminants.
Australian service of this type was described at CPDD2018
(Program and anstracts book at www.cpdd.org)
Many now are focused on NPS: ‘New Psychoactive Substances.’
[Why not ‘New Psychoactive Drugs’? In a word, politics (not science)].

Fingers crossed Madhur!

Sunday, August 19, 2018

Old news on Exhibit about Neuroscientist Santiago Ramon y Cajal and his Drawings

https://nihrecord.nih.gov/newsletters/2014/12_05_2014/story1.htm

In one of his most famous drawings, currently on display at NIH, Santiago Ramon y Cajal sketched a comparison of competing ideas about the composition of the nervous system.

Martin I. Wilbert and Murray G. Motter, ‘Pioneer’ Drug Dependence Epidemiologists Responsible for Initial USPHS(NIH) Contributions to Our Field

Few scientists or practitioners in our field know about the United States Public Health Service “Laboratory of Hygiene” set up on Staten Island, New York, in 1887 with Dr. Joseph J. Kinyoun, Marine Hospital Service physician-bacteriologist, at the helm, and with a scientific staff restricted to medically trained physicians. The history of the US National Institutes of Health traces its roots back to this Hygienic Laboratory and indicates that the laboratory was moved to Washington, D.C., in 1891. In 1902 the laboratory received an appropriation that expanded its mission and allowed employment of non-physician scientists (https://history.nih.gov/exhibits/history/index.html)


Photo of JJ Kinyoun as a younger man, and Laboratory of Hygiene colleagues:


[Attribution-NonCommercial-ShareAlike 3.0 (CC BY-NC-SA 3.0 US)].



Photo of oil portrait of JJ Kinyoun as an older man:




CC BY-NC-SA 3.0 (US)


 

In the 1902 appropriation, the US Congress allowed the Hygienic Laboratory to expand and include new Divisions, including a Division of Pharmacology. The staffing restriction was removed to permit employment of non-MD scientists as professional staff members (https://history.nih.gov/exhibits/history/docs/page_02.html). Two of these scientists were Martin Inventius Wilbert, Phar.D., and Murray Galt Motter, who together became responsible for what appear to be the first US Public Health Service and possibly the first NIH contributions to the epidemiological study of the now-internationally regulated drugs (IRD) formerly mis-labeled as ‘narcotic drugs’ and including compounds as diverse as cocaine, cannabis, and opium.

< URL to link to the following article >




This is the earliest of Motter’s contributions I’ve been able to find:

< URL link to Motter, 1915 >




The earliest of Wilbert’s ‘firsts’ I’ve been able to find:

The elimination of the nostrum traffic, an evident duty of American physicians






 The record of Wilbert’s USPHS/(NIH) ‘firsts’ of this type also appears to be an initial early note in ‘occupational epidemiology’ or ‘occupational toxicology’ which concerning occupational intoxications:






Photo of MI Wilbert as a young adult. This photo accompanied his obituary in 1916, cited below:



Wilbert’s contributions were not limited strictly to pharmacology. They also covered legal issues, preventive medicine, and public health initiatives in the domain of prevention:




JSTOR link to this article from 1916.


D. Burkholder wrote a historical note about Wilbert, and published it in the American Journal of Hospital Pharmacy in 1968.

A Wilbert obituary was written in 1916 by George McCoy, who was then the Director of the laboratory.




< URL to link to the following article >

As is regrettably true for some contemporary epidemiologists and practitioners in our field, Wilbert sometimes used hyperbolic language and went ‘over the top’ in a fashion that tends to heap stigma upon affected individuals. Alas!