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  • ISSN: 2373-9363
    Volume 4, Issue 2
    Research Article
    K. Schraeder*, E.Vingilis, and E. Osuch
    Abstract: The prevalence of substance use among adolescents at the First Episode Mood and Anxiety Program (FEMAP) in London, Ontario, was compared to a regional sample of adolescents who completed the 2009 Ontario Student Drug Use and Health Survey (OSDUHS). Relative-risk ratios were calculated to assess the comparability between FEMAP and OSDUHS adolescents on parallel substance use items selected from intake measures at FEMAP that matched items on the 2009 OSDUHS. FEMAP adolescents were more likely to use cigarettes, cannabis, hallucinogens, cocaine, and sedatives or sleeping pills. Rates of substance use were relatively similar between FEMAP adolescents and a subpopulation of the normative sample who reported having sought help for mental health problem(s). Adolescents seeking help for mood and/or anxiety problems appear at higher risk for using certain substances than their peers. Early intervention programs should screen adolescents with mood and/or anxiety problems for a wide range of substance use.
    Hosik Min*
    Sexual violence is one of the important public health issues, because it significantly affects the wellbeing of an individual physically, psychologically, and socially. This study hypothesizes the higher level of sexual violence to the homosexuals and bisexuals compared to the heterosexual students. Using the National College Health Assessment data, this study examines the relationship between sexual violence experience related to alcohol consumption and sexual orientation of college students. Sexual violence related to alcohol consumption, the dependent variable, was measured in two ways: whether someone had sex with me without my consent and whether a respondent had sex with someone without his or her consent within last 12 months. The logistic regression model found homosexuals compared to heterosexuals were more likely to be victims, while bisexuals compared to heterosexuals were more likely to be predators as well as victims. These results should be considered to make better prevention programs and policies.
    Letter to the Editor
    Donadon MF, Hallak JEC and Osorio FL*
    The excessive use of alcohol is known to favor the occurrence of specific neurocognitive deficits affecting psychomotricity, executive and visuospatial functions like memory, and social cognition [1,2]. In addition, facial emotion recognition (FER), which is in the domain of social cognition, is a key process in social functioning that also seems to be affected by the excessive use of alcohol [3-5].
    Case Report
    Aurely Ameller*, Yann Le Strat, Marion Cadranel, Celine Portalier, Caroline Dubertret
    Background: DSM-5 mentions autoerotic asphyxia in the paraphilic disorders section, as a specifier for the diagnostic of sexual masochism disorder, "if the individual engages in the practice of achieving sexual arousal related to restriction of breathing".
    Strangulation activities have also been observed in the "choking game", defined as "self-strangulation or strangulation by another person with the hands or a noose to achieve a brief euphoric state caused by cerebral hypoxia". The term "strangulation activity" is considered as more appropriate than "choking game". While sharing a same behaviour, autoerotic asphyxia and non auto-erotic strangulation activities might represent a very distinct pattern of disorders.
    Case description: We report the case of a 25 years old male student practicing manually self-strangulation up to 40 times a day since adolescence. He has a concomitant history of both ketamine and cannabis use disorders, and reports urges to self-strangulate, sometimes specifically avoiding contact with friends to do it. He reports never really tried to stop this behavior. Neuropsychological assessment found a cognitive functioning below the level expected given his educational level. Our intervention consists on a 3-weeks cognitive and motivational therapy program in addiction unit. This intervention was associated with abstinence.
    Conclusions: Autoerotic asphyxia is a behaviour observed not only in the context of sexual masochism disorder, but also as a specific behavioral addiction to self-strangulation in absence of sexual arousal.
    Review Article
    Khadija Alaywa, Christine Le Beller, Romain Jouffroy, Salvatore Cisternino, Olivier Laprevote, Jean-Claude Alvarez, Agnes Lillo-Le Louet, Jean-Herle Raphalen, Pascal Philippe, Lionel Lamhaut, Pierre Carli, and Frederic J. Baud*
    Acute poisonings are a common cause of presentation in intensive care units (ICU) while there is no national registry of poisonings in France. Regarding the database we have collected from 2007 to 2012, medicines (81.8%) and addictives / recreatives substances (10.7%) were the most frequently reported substances. The withdrawal of substances exhibiting toxicity in the post-marketing phase occurred frequently, including meprobamate, dextropropoxyphen meanwhile the total number of annually admitted poisoned patients did not decrease. The lack of decrease of the total number of acute poisonings admitted in ICU supports the hypothesis of a mechanism of replacement of toxic drugs by others. In addition the replacement, the database highlighted possible drug-drug interactions that resulted essentially in competition of different substrates to the same cytochrome, far more frequently than inhibition or induction.
    Gathering facilities provided by three University Tox Labs resulted in a low added value of TA in medicinal drug poisonings. TA was of limited value for the definitive diagnosis of the majority of medicinal drug poisonings and did not allow clarifying drug-drug interaction. Conversely, TA was highly efficient to unveil the exposure of unreported addictive/re creative substances.
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