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JUVENILE DELINQUENCY THE CORE 5E Chapter 10: Drug Use and Delinquency Marijuana and Hashish Marijuana Produced from the leaves of cannabis sativa Hashish Concentrated form of cannabis made of unadulterated resin from the female plant Main ingredient in both is tetrahydrocannabinol (THC) A mild hallucinogen Most commonly used drug by teenagers Large amounts causes distortions that produce hallucinatory effects Not physically addictive, but long term effects debatable Cocaine, Crack & Heroin Cocaine Alkaloid derivative of the coca plant Most powerful natural stimulant that produces euphoria, restlessness, and excitement It can be sniffed, snorted, or injected Immediate feeling or rush is short lived Crack Processed street cocaine Gained popularity in the mid-1980s Relatively inexpensive Can provide a powerful high and is highly addictive Heroin Most dangerous commonly abused drug Alcohol Drug of choice for most teenagers 64% of high school seniors reported abusing it in the past year 70% say they have tried it By the 12th grade, 51% reported having been drunk Negatively impacts society Factor in nearly half of all murders, suicides, and accidental deaths 1.4 million drivers are arrested each year for D.U.I. 840,000 more are arrested for alcohol-related offenses The economic cost is staggering: $185 billion lost lost each year Impact on Health Long term use is linked to depression and physical ailments, ranging from heart disease to cirrhosis of the liver Perceived Benefits Reduces tension, enhances pleasure, improves social skills, and some claim it transforms experiences for the better Other Drugs Anesthetic Drugs Central nervous system depressants Most widely abused is phencyclidine (PCP), aka angel dust Inhalants Some youths inhale vapors that cause a euphoric feeling that is followed by disorientation, slurred speech, and drowsiness Sedatives and barbiturates Depress the central nervous system, creating a sleeplike condition Tranquillizers Reduce anxiety and promote relaxation Overuse can lead to addiction, and withdrawal can be painful and hazardous Other Drugs • Hallucinogens • Provide vivid distortions of the senses without greatly disturbing the viewers consciousness • Examples of common hallucinogens: • Mescaline • LSD • Stimulants • Synthetic drugs that increase blood pressure, breathing rate, bodily activity, and elevate mood • Methedrine is the most widely used dangerous amphetamine • aka “meth”, “speed”, “crystal meth” • Economic cost of meth use in the U.S. exceeds $23 billion a year Other Drugs Steroids Anabolic steroids are used to gain muscle bulk and strength Black market sales approach $1 billion annually Cause health problems such as liver ailments, tumors, kidney problems, sexual dysfunc ...
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“Suicide Prevention and Addiction” was presented on Tuesday January 28, 2014; by Raymond Dalton, MA; Dawn Farm Outpatient Services Coordinator. There is an alarmingly high prevalence of suicide among people with addiction and people in early recovery. This program will raise awareness of the signs of suicidal thinking and describe ways to offer support and obtain help for people who may be contemplating suicide. Viewers will learn how to recognize suicidal thinking, reach out and offer support to others contemplating suicide, obtain help when suicidal thoughts are present, and access local and national suicide prevention and intervention resources. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
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“Cultivating Mindfulness to Support Recovery” was presented on Tuesday December 17, 2013; by Libby Robinson Ph.D., MSW. Mindfulness practices can help support an individual’s recovery from substance use disorders. This presentation will describe mindfulness, provide opportunities to experience and cultivate mindfulness, and review the evidence of its positive effect on recovery. Dr. Robinson has taught Mindfulness-Based Stress Reduction since 2003. She has practiced mindfulness meditation since 1979 and was trained to teach Mindfulness-Based Stress Reduction by Jon Kabat-Zinn and colleagues at the University of Massachusetts Center for Mindfulness, where he developed this program for cultivating mindfulness. She recently retired from the University of Michigan, where she was a U of M Research Assistant Professor, carrying out NIH-funded research on the role of spiritual and religious change in recovery. She also did an NIAAA post-doctoral fellowship at the U of M Addiction Research Center and was on the social work faculty at Case Western Reserve University and the University at Buffalo. Dr. Robinson has an MSW and MPH from the University of Michigan, as well as her Ph.D. in Psychology and Social Work. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
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“Addiction and Suicide Prevention” was presented on Tuesday December 18, 2012; by Raymond Dalton, MA; Dawn Farm therapist. There is an alarmingly high prevalence of suicide among people with addiction and people in early recovery. This program will raise awareness of the signs of suicidal thinking and describe ways to offer support and obtain help for people who may be contemplating suicide. Viewers will learn how to recognize suicidal thinking, reach out and offer support to others contemplating suicide, obtain help when suicidal thoughts are present, and access local and national suicide prevention and intervention resources. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
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The transition to a college environment can pose significant risk to a recovering student and to students at risk for alcohol/other drug problems. Many colleges and universities, including the University of Michigan, have developed programs to help recovering students maintain their recovery, excel academically and have a normative college experience apart from the culture of alcohol and other drug use. Research demonstrates exceptionally high rates of academic success and sustained recovery among students who participate in Collegiate Recovery Programs. This presentation will provide an overview of the national and local efforts to build recovery support programs on college campuses, and provide information about what parents and students should look for as they explore their options for pursuing a degree of higher education. The program is presented by Mary Jo Desprez, MA; Director of Health Promotion and Community Relations, for the University of Michigan. Mary Jo manages both the Alcohol and Other Drug Prevention Program and the Collegiate Recovery Program at the University of Michigan. She serves as the Co-Chair for both the Ann Arbor Campus and Community Coalition (A2C3), and the Michigan Campus Coalition (MC3). She is a Center Associate for the Higher Education Center for Alcohol and Other Drug Prevention (U.S Department of Education). Mary Jo has also been an adjunct instructor at Eastern Michigan University since 1997. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
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“Grief and Loss in Addiction and Recovery” was presented on September 25, 2012; by Janice Firn, LMSW, Clinical Social Worker, University of Michigan Hospital; Matthew Statman, LLMSW, CADC, Dawn Farm therapist and Education Series Coordinator; and Barb Smith, author of “Brent’s World” (http://compassionhearts.com.) The culture of addiction is rife with experiences of grief and loss for the person with addiction and for family and friends. The nature of these experiences combined with the stigma, shame and general lack of understanding of addiction can make grief and loss associated with addiction exceptionally lonely and difficult to heal from. This program will describe Worden's and Kubler-Ross' theories of grief and grief recovery, losses that the chemically dependent individual and his/her family experience throughout the addiction and recovery processes, and how recovery program tools can help individuals cope with grief and loss. It will include a personal account of addiction-related grief, loss and recovery from a mother who lost her son to addiction-related causes. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
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Eating Disorders - June 2012
Dawn Farm
"How to Support Recovery and Not Support Addiction" was presented on Tuesday May 15, 2012, by Dr. Charles F. Gehrke, MD, FACP, FASAM. When all else has failed - what does work when confronted with a loved one’s addiction? What does not work? What can others do to help? What does not help? What role does an individual play in supporting another person’s recovery process? These and other questions will be addressed in order to assist participants to find effective methods to successfully support another person’s recovery, avoid enabling another person’s addiction, and maintain their own health and well-being. This program is part of the FREE, annual Dawn Farm Education Series. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please contact Matt Statman, LLMSW, CADC, Education Series Coordinator, at 734-485-8725 or info@dawnfarm.org, or see http://www.dawnfarm.org/programs/education-series.
How To Support Recovery and Not Support Addiction - May 2012
How To Support Recovery and Not Support Addiction - May 2012
Dawn Farm
"The Intersection of Domestic Violence and Substance Abuse" was presented on April 17, 2012, by Barbara Niess May, MPH, MSW; Executive Director, SafeHouse Center; and David J.H. Garvin, LMSW; Director, Alternatives to Domestic Aggression, Catholic Social Services of Washtenaw County. Domestic violence offender and survivor alcohol and other drug use/abuse is central to this discussion. The audience is provided with a primmer regarding batterer tactics, strategies, and core beliefs which hold the batterer accountable for his abusive behaviors while maintaining and promoting survivor safety. The program will help participants to recognize the critical importance of understanding domestic violence and alcohol/other drug use/abuse in order to safely and effectively intervene and/or interrupt the batterer's abusive behaviors and support the survivor. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
The Intersection of Domestic Violence and Substance Abuse- April 2012
The Intersection of Domestic Violence and Substance Abuse- April 2012
Dawn Farm
"The Physiology of Addiction" was presented on Tuesday February 21, 2012, by Dr. Carl Christensen, MD, PhD, FACOG, CRMO, ABAM. This program explores the differences in neurochemistry between the addicted brain and the normal brain, the progression of physiological changes that occur in people with alcohol/other drug addiction, the mechanisms of physiologic tolerance and withdrawal, and the effects of treatment on the addicted brain. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
The Physiology of Addiction - February 2012
The Physiology of Addiction - February 2012
Dawn Farm
"Transformation of the Culture of Recovery in America" was presented on Tuesday October 18, 2011; by William L. White, MA; Senior Research Consultant, Chestnut Health System. For almost three centuries, people recovering from severe alcohol and other drug problems have found ways to help each other initiate and sustain their recovery journeys. Today, recovering people, their families, and visionary professionals have responded to the stigma, criminalization, and lack of appropriate medical care associated with severe alcohol and other drug problems by creating an unprecedented growth in new structures of recovery support. This presentation will explore recent recovery community building activities and the influence they will exert on the future of addiction treatment and recovery in America. William White is one of the world’s best-know and most influential advocates, authors and public speakers on the subject of recovery from addiction. He has authored or coauthored more than 350 articles and monographs and fifteen books, including "Let's Go Make Some History: Chronicles of the New Addiction Recovery Advocacy Movement," "Pathways From The Culture of Addiction to the Culture of Recovery," and "Slaying the Dragon: The History of Addiction Treatment and Recovery in America" which received the McGovern Family Foundation Award for the best book on addiction recovery. This program is part of the FREE, annual Dawn Farm Education Series. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please contact Matt Statman, LLMSW, CADC, Education Series Coordinator, at 734-485-8725 or info@dawnfarm.org, or see http://www.dawnfarm.org/programs/education-series.
Transformation of the Culture of Recovery in America by William L. White - Oc...
Transformation of the Culture of Recovery in America by William L. White - Oc...
Dawn Farm
"Codependency" was presented on Tuesday March 22, 2011, by Ronald E. Harrison; Chemical Dependency Therapist. This program discusses the symptoms and progression of codependency and describes actions and resources that help codependent people to recover from codependency. This program is part of the FREE, annual Dawn Farm Education Series. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please contact Matt Statman, LLMSW, CADC, Education Series Coordinator, at 734-485-8725 or info@dawnfarm.org, or see http://www.dawnfarm.org/programs/education-series.
Codependency - March 2011
Codependency - March 2011
Dawn Farm
“In the Doctor’s Office: Recovery Friend or Foe?" was presented on Tuesday March 20, 2012; by Dr. Mark A. Weiner, MD; Internal Medicine and Addiction Medicine; and Matthew Statman, LLMSW, CADC; Dawn Farm therapist and Education Series Coordinator. It’s been said that the doctor’s office is a dangerous place for people in recovery from addiction. It’s also been said that recovering people are terrible patients. This program discusses whether these statements are fair and why doctors and other healthcare providers are essential allies for long term recovery. The program describes in detail how people in recovery from alcohol/other drug addiction can take responsibility for their physical health and recruit health care providers as allies. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
In The Doctors Office: Recovery Friend or Foe? - March 2012
In The Doctors Office: Recovery Friend or Foe? - March 2012
Dawn Farm
"Tobacco Cessation and Addiction Recovery" is presented by Anna Byberg, Dawn Farm Project Manager. This program describes the prevalence of tobacco addiction among alcoholics and drug addicts, the relationship between tobacco use and recovery, and basic information about how to quit using tobacco. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Tobacco Cessation and Addiction Recovery - June 2011
Tobacco Cessation and Addiction Recovery - June 2011
Dawn Farm
"Relationships In and Out of Addiction and Recovery and Recovery" was presented by Ed Conlin, BSEd, CAC-R; addiction counselor, Detroit Capuchin Service System; and Janice Firn, LMSW; Clinical Social Worker, University of Michigan Hospital. This program describes the process of self-actualization; the formation of personal bonds; the dynamics of relationships in addiction; how patterns in thought, action and relationships are affected by addiction; and key attitudes and tools for healthy relationships. It is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Relationships In and Out of Addiction and Recovery - May 2010
Relationships In and Out of Addiction and Recovery - May 2010
Dawn Farm
"A History of Alcoholics Anonymous" presents a fascinating overview of the history and development of the Alcoholics Anonymous (A.A.) program, including its founding and growth. The discussion also includes a brief overview of the Twelve Steps of A.A. The program is presented by James Balmer, President of Dawn Farm. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
A History Of Alcoholics Anonymous - April 2011
A History Of Alcoholics Anonymous - April 2011
Dawn Farm
This program describes a physician's view of alcoholism, as presented in the literature of Alcoholics Anonymous and updated with the modern neurobiology of addictive illness. It includes a discussion of Dr. Silkworth’s explanation of alcoholism as a twofold disease, affecting mind and body, how Dr. Silkworth's opinion relates to the modern neurobiolgy of addictive illness, and identification of therapy for alcoholism as promoted by Alcoholics Anonymous and its relationship to Dr. Silkworth’s opinion. The program is presented by Dr. Herbert L. Malinoff, MD; addictionologist. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
The Doctors Opinion on Alcoholism – Revisited (November 2011)
The Doctors Opinion on Alcoholism – Revisited (November 2011)
Dawn Farm
“Adult Children of Alcoholics" was presented on May 19, 2009 by MaryGrace Fisher, LLMSW, CAAC; Dawn Farm Huron Street therapist. This program provides an overview of beliefs and behaviors that are common to adult children of alcoholics. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Adult Children Of Alcoholics - May 2009
Adult Children Of Alcoholics - May 2009
Dawn Farm
"Relapse Prevention" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC; Dawn Farm Downtown Program coordinator. This program discusses the dynamics of relapse, the warning signs that lead the chemically dependent person into a relapse, and strategies to prevent relapse and help handle high-risk situations. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Relapse Prevention - March 2011
Relapse Prevention - March 2011
Dawn Farm
"The Cultures of Addiction and Recovery" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC, Coordinator of the Dawn Farm Huron Street program; and Quintin Williams, BS, CAC-M; Dawn Farm Huron Street therapist. This program discusses the cultural elements of addiction and recovery, explores the role of “cultures” in addiction and recovery, and describes how the symptoms and behaviors of culturally enmeshed alcoholics and addicts change as the individual moves from the culture of addiction to the culture of recovery. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
The Culture of Addiction and the Culture of Recovery
The Culture of Addiction and the Culture of Recovery
Dawn Farm
This program provides an overview of co-occurring addiction and psychiatric illness, including standard diagnostic criteria, individual considerations for determining the appropriate course of treatment, available treatment interventions, and the perspectives of both the addict and the treatment provider on addiction and psychiatric illness. It is presented by Dr. Patrick Gibbons, LMSW, DO; Adjunct Clinical Instructor in Psychiatry at the University of Michigan; Medical Director of the WCHO Community Crisis Response Team; consultant with Pain Management Solutions in Ann Arbor; Medical Director of the Michigan Health Professionals Recovery Program, and Medical Director of Dawn Farm. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Psychiatric Disorders in Chemically Dependent Individuals - October 2012
Psychiatric Disorders in Chemically Dependent Individuals - October 2012
Dawn Farm
More from Dawn Farm
(20)
Suicide Prevention and Addiction - January 2014
Suicide Prevention and Addiction - January 2014
Cultivating Mindfulness to Support Recovery
Cultivating Mindfulness to Support Recovery
Addiction and Suicide Prevention - December 2012
Addiction and Suicide Prevention - December 2012
Collegiate Recovery Programs: Supporting Second Chances - October 2012
Collegiate Recovery Programs: Supporting Second Chances - October 2012
Grief and Loss in Addiction and Recovery - September 2012
Grief and Loss in Addiction and Recovery - September 2012
Eating Disorders - June 2012
Eating Disorders - June 2012
How To Support Recovery and Not Support Addiction - May 2012
How To Support Recovery and Not Support Addiction - May 2012
The Intersection of Domestic Violence and Substance Abuse- April 2012
The Intersection of Domestic Violence and Substance Abuse- April 2012
The Physiology of Addiction - February 2012
The Physiology of Addiction - February 2012
Transformation of the Culture of Recovery in America by William L. White - Oc...
Transformation of the Culture of Recovery in America by William L. White - Oc...
Codependency - March 2011
Codependency - March 2011
In The Doctors Office: Recovery Friend or Foe? - March 2012
In The Doctors Office: Recovery Friend or Foe? - March 2012
Tobacco Cessation and Addiction Recovery - June 2011
Tobacco Cessation and Addiction Recovery - June 2011
Relationships In and Out of Addiction and Recovery - May 2010
Relationships In and Out of Addiction and Recovery - May 2010
A History Of Alcoholics Anonymous - April 2011
A History Of Alcoholics Anonymous - April 2011
The Doctors Opinion on Alcoholism – Revisited (November 2011)
The Doctors Opinion on Alcoholism – Revisited (November 2011)
Adult Children Of Alcoholics - May 2009
Adult Children Of Alcoholics - May 2009
Relapse Prevention - March 2011
Relapse Prevention - March 2011
The Culture of Addiction and the Culture of Recovery
The Culture of Addiction and the Culture of Recovery
Psychiatric Disorders in Chemically Dependent Individuals - October 2012
Psychiatric Disorders in Chemically Dependent Individuals - October 2012
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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
MedicoseAcademics
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Parents, teens, alcohol
and other drugs
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13.
% of adults
dx with dependence by age of first alcohol use Source: Grant & Dawson, 1997 Thirteen 47% Fifteen 39% Seventeen 25% Nineteen 17% Twenty-one 10%
14.
Livonia 9 th
Grade Alcohol Use
15.
Livonia 9 th
Grade Been Drunk
16.
Livonia 9 th
Grade Marijuana Use
17.
Livonia 9 th
Grade Inhalant Use
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Livonia 9 th
Grade Other Drug Use
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QUIZ TIME!
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How Does Your
Score Compare?
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Editor's Notes
Views of Treatment Control drinking Telling your story Moderation Management