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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Notfall + Rettungsmedizin 2 (1999), S. 518-530 
    ISSN: 1436-0578
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Notärzte und -ärztinnen können mit einer Reihe von Notfällen aufgrund von Drogenmißbrauch konfrontiert werden. Die Bandbreite der Symptome reicht dabei von Verhaltensauffälligkeiten bis zu ernsthaften respiratorischen oder kardialen Komplikationen. Solche Notfälle treten hauptsächlich bei drei Personengruppen auf: bei Drogenkonsumenten, bei Drogenkurieren (Bodypacker) und bei Drogenverkäufern auf der Flucht vor der Polizei (Bodystuffer). Obwohl sich die Behandlung der Patienten meist in der Stabilisierung der Vitalfunktionen erschöpft, so können die Hinweise auf einen Drogenkonsum, welche der Notarzt oder die Notärztin vor Ort findet, doch für den weiteren Verlauf von entscheidender Bedeutung sein.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    ISSN: 1432-2072
    Keywords: Key words MDMA (3 ; 4-methylenedioxymethamphetamine) ; Serotonin ; Psychopathology ; Human ; Rat ; Prepulse inhibition ; Habituation ; Schizophrenia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Rationale: Prepulse inhibition of acoustic startle refers to the reduction in the startle response when the startling stimulus is preceded by a weak prepulse stimulus. This phenomenon provides an operational measure of sensorimotor gating that has been found to be reduced in patients with schizophrenia and rats treated with serotonin agonists or serotonin releasers. Objective: In this study, we compared the effects of a serotonin releaser, MDMA, on prepulse inhibition in laboratory rats and healthy human volunteers. In particular, we investigated whether MDMA disrupts PPI in humans as observed in animal studies. Methods: Rats were tested after placebo and MDMA in a counterbalanced order at an interval of 1 week, with separate groups of rats being used for each dose of MDMA (1.7, 5.4 and 17.0 mg/kg). On each test day, rats were first tested after no injections and retested 2 h later, 10 min after a subcutaneous injection of placebo or MDMA. For the human study, a placebo-controlled within-subject design and double-blind procedures were used. Subjects were examined twice at a 2 to 4 week interval after either placebo or drug administration (order being counterbalanced). On each test day, subjects underwent baseline testing including psychological and PPI measures. Ninety minutes later, subjects received placebo or MDMA (1.7 mg/kg PO) and were retested after 75 min during the peak of behavioral effects of MDMA. Results: As expected, MDMA decreased prepulse inhibition in a dose-related fashion in rats. In contrast, a typical recreational dose of MDMA (1.7 mg/kg, orally) increased prepulse inhibition in subjects experiencing robust psychological effects. Conclusions: This surprising disparity between the effects of the drug in rats and humans may reflect a species-specific difference in the mechanism of action of MDMA or in the behavioral expression of a similar pharmacological effect, or both.
    Type of Medium: Electronic Resource
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