Descriptive Analysis of the Most Viewed Youtube Videos Related to the Opioid Epidemic

In 2016, over 11 million people misused prescription opioids and the economic costs were estimated to be over $500 billion. In the same year, opioids killed 42,000 people, which was more than any year on record. These data highlight the need to reduce the harm caused to individuals, families, communities, and the nation. One element of a more comprehensive national strategy is increasing awareness among citizens, physicians and policy makers. Given its widespread reach YouTube can be very helpful. There is a large literature on the opiate epidemic, but no published studies describing the sources or content of YouTube videos on the opiate epidemic were identified. This study was, therefore, intended to help fill this gap in current knowledge. YouTube was searched using two key terms, “opiate addiction” and “opioids.” The results were sorted by number of views, and the URL, title, and number of views were saved for videos with a minimum of 1,500 views. Videos were then screened for the inclusion and exclusion criteria. The remaining sample comprised 309 videos. Collectively, these 309 videos were viewed 44,693,887 times. The results revealed the sources that were most viewed and the nature of content that was and was not likely to be covered. The two main sources of videos were Internet Based and Television news/Entertainment. Compared with videos with health professions as the main speaker, those featuring consumers garnered almost 10 times as many cumulative views (30.35%versus 3.24%). Government organizations uploaded 11 videos (< 4%), collectively garnering 343,983 views (less than 1% of cumulative views). YouTube represents an important opportunity for health promotion and disease prevention regarding the opiate epidemic. However, improved understanding about ways to communicate accurate and useful information in ways that attract viewers is needed. Recommendations for research, policy and practice are presented relevant to how YouTube can help mitigate the harm caused by the opiate epidemic

Descriptive Analysis of the Most Viewed Youtube Videos Related to the Opioid Epidemic

In 2016, over 11 million people misused prescription opioids and the economic costs were estimated to be over $500 billion. In the same year, opioids killed 42,000 people, which was more than any year on record. These data highlight the need to reduce the harm caused to individuals, families, communities, and the nation. One element of a more comprehensive national strategy is increasing awareness among citizens, physicians and policy makers. Given its widespread reach YouTube can be very helpful. There is a large literature on the opiate epidemic, but no published studies describing the sources or content of YouTube videos on the opiate epidemic were identified. This study was, therefore, intended to help fill this gap in current knowledge. YouTube was searched using two key terms, “opiate addiction” and “opioids.” The results were sorted by number of views, and the URL, title, and number of views were saved for videos with a minimum of 1,500 views. Videos were then screened for the inclusion and exclusion criteria. The remaining sample comprised 309 videos. Collectively, these 309 videos were viewed 44,693,887 times. The results revealed the sources that were most viewed and the nature of content that was and was not likely to be covered. The two main sources of videos were Internet Based and Television news/Entertainment. Compared with videos with health professions as the main speaker, those featuring consumers garnered almost 10 times as many cumulative views (30.35%versus 3.24%). Government organizations uploaded 11 videos (< 4%), collectively garnering 343,983 views (less than 1% of cumulative views). YouTube represents an important opportunity for health promotion and disease prevention regarding the opiate epidemic. However, improved understanding about ways to communicate accurate and useful information in ways that attract viewers is needed. Recommendations for research, policy and practice are presented relevant to how YouTube can help mitigate the harm caused by the opiate epidemic

Operator-based approaches to harm minimisation in gambling: summary, review and future directions

In this report we give critical consideration to the nature and effectiveness of harm minimisation in gambling. We identify gambling-related harm as both personal (e.g., health, wellbeing, relationships) and economic (e.g., financial) harm that occurs from exceeding one’s disposable income or disposable leisure time. We have elected to use the term ‘harm minimisation’ as the most appropriate term for reducing the impact of problem gambling, given its breadth in regard to the range of goals it seeks to achieve, and the range of means by which they may be achieved. The extent to which an employee can proactively identify a problem gambler in a gambling venue is uncertain. Research suggests that indicators do exist, such as sessional information (e.g., duration or frequency of play) and negative emotional responses to gambling losses. However, the practical implications of requiring employees to identify and interact with customers suspected of experiencing harm are questionable, particularly as the employees may not possess the clinical intervention skills which may be necessary. Based on emerging evidence, behavioural indicators identifiable in industryheld data, could be used to identify customers experiencing harm. A programme of research is underway in Great Britain and in other jurisdiction

Clinical, psychopathological, and personality characteristics associated with ADHD among individuals seeking treatment for gambling disorder

Objectives: (1) To assess the current presence of ADHD symptoms among patients seeking treatment for gambling disorder; (2) to explore clinical and sociodemographic differences between patients who score high and low on the measure of ADHD symptoms; (3) to analyze whether the presence of ADHD symptoms is associated with more severe psychopathology and with specific personality traits; (4) to analyze the mediating role of ADHD symptoms in the relationship between novelty seeking and gambling severity. Method: A total of 354 consecutive patients were administered an extensive battery assessing gambling behavior, psychopathology, and personality traits. Results: Male and female gamblers did not differ significantly in their mean scores on the ADHD measure. However, younger participants aged 18-35 scored higher. Higher ADHD scores were also associated with greater severity of gambling disorder and more general psychopathology. Regarding personality traits, high persistence and self-directedness were negatively related to ADHD scores, while in women alone a positive correlation was found between ADHD scores and scores on harm avoidance and self-transcendence. Conclusion: The presence of ADHD symptoms in both male and female gambling disorder patients may act as an indicator of the severity of gambling, general psychopathology, and dysfunctional personality traits

Addictiveness and sttractiveness of tobacco additives

SCENIHR (Scientific Committee on Emerging and Newly Identified Health Risks): et al.The Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR) has been asked to evaluate the role of tobacco additives in the addictiveness and attractiveness of tobacco products. The criteria for dependence established in humans indicate that tobacco has a high addictive potential, but it remains difficult to assess the addictiveness of individualadditives. In animal studies the addictive potency of the final tobacco product cannot be assessed. The reinforcing potency of drugs is measured after intravenous injections and suggests that the abuse liability of pure nicotine is weaker than the addictive potential of tobacco products in humans. The currently used methods to define addictiveness of nicotine and additives are thus not considered adequate. In humans, the positive correlation between tobacco consumption and dependence suggests that individuals with high nicotine levels in their blood are more dependent. In animal studies using self-administration, an inverted U-shaped dose-response curve has generally been revealed suggesting that the addictiveness of nicotine is not directly linearwith the dose. There is however substantial variation in the response to nicotine in both animals and humans, and genetic factors probably play an important role. No tobacco additives which are addictive by themselves have so far been identified. However, sugars, polysaccharides and cellulose fibres which are naturally present in tobacco, or sugars added in high quantities to most tobacco products, give rise to numerous aldehydes, such as acetaldehyde, in tobacco smoke. Acetaldehyde given intravenously is self-administered and enhances the addictiveness of nicotine in experimental animals. Additives that facilitate deeper inhalation (e.g. menthol) or inhibit the metabolism of nicotine may enhance the addictiveness of nicotine indirectly. Substances such as ammonia that increase the pH of the tobacco and the smoke, result in higher amounts of uncharged nicotine. However, it is uncertain if more nicotine isabsorbed with higher smoke pH. For smokeless tobacco it seems that an increased pH enhances nicotine absorption in the mouth.The methods used to quantify the addictive potency of additives have limitations because of technical challenges in experimentally manipulating the presence or absence of anadditive in a tobacco product. Such experiments require large technical and financial resources. In addition, there are ethical issues if testing in humans is considered. Due to these limitations, the available methodologies are not considered adequate. A number of technical characteristics of cigarettes (paper, filter, packing, geometry) influence the content of different substances in the smoke and the size of smoke particles. Many smokers compensate for a lower dose of nicotine by increasing puff volume and frequency, and by deeper inhalation. The particle size of the smoke aerosol does not seem to substantially influence the exposure to nicotine. The technical characteristics of cigarettes may thus modulate smoking behaviour but it is uncertain if this leads to a higher risk of addiction. Attractiveness is defined as the stimulation to use a product. The attractiveness of tobacco products may be increased by a number of additives but is also influenced by external factors such as marketing, price etc. Animal models do not currently exist for the assessment of attractiveness. In humans, the attractiveness of individual tobaccoproducts may be compared in panel studies, surveys, and by experimental measures. Another method is to experimentally adjust tobacco products to exclude or include individual additives and test responses to them. However, this type of research is difficult due to ethical considerations that will usually preclude human testing of tobacco products, particularly among non-users or children. The use of fruit and candy flavours seems to favour smoking initiation in young people. Menthol also attracts a number of smokers, in particular African Americans. Some additives decrease the harshness and increase the smoothness of the smoke. Certain additives yield a full and white smoke and other additives reduce the lingering odour of the smoke in order to favour the acceptability of smoking to people around. Additives considered attractive may in principle lead to brand preference or a higher consumption of tobacco products. However, it remains difficult to distinguish the direct effects of these additives from indirect effects such as the marketing towards specific groups.Peer Reviewe

Drug of Choice: An Exploration of Coping with Caffeine

Introduction: Caffeine is the most widely used drug in the world. It is deemed socially acceptable and is associated with many benefits; however, some research suggests that caffeine can cause significant impairments in functioning if consumed in excess. Caffeine-related disorders are now included in the Substance Use Disorders section of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), though not much is known about the negative effects of caffeine, as substance abuse theories and coping models have not been applied to caffeine. Purpose: This study seeks to provide knowledge about the abuse of caffeine and to explore any similar properties it shares with illicit substance abuse disorders, specifically, if it is used as a coping mechanism in the same way other drugs are used. Additionally, the study seeks to determine whether specific facets of impulsivity lead to increased caffeine use. Method: 180 undergraduate student participants anonymously completed the questionnaires online using Qualtrics software. Demographic information was gathered along with measures of caffeine intake, effects of caffeine intake, coping behaviors, psychological mood symptoms, impulsivity, and negative consequences of caffeine use. Results: Overall caffeine consumption was significantly and positively correlated with the total amount of negative consequences and negative physiological and psychological effects. No significant results were found between caffeine use and reports of anxiety, depression, stress, or coping strategies. No facets of impulsivity were found to be correlated with or predictive of caffeine use. No difference was found between non-rural and rural participants’ caffeine consumption. Significance: Gaining knowledge about caffeine disorders can have significant implications on diagnosis and treatment and will be beneficial to gain more understanding of those at risk for caffeine-related disorders

Attachment styles and male sex addiction

This study addresses the adult romantic attachment styles of sexually addicted men. The Sexual Addiction Screening Test and the Experiences in Close Relationships Revised were used to determine the presence of a sexual addiction and the participants’ style of romantic attachment. ANOVA revealed that sexually addicted men are more likely to relate with insecure attachment styles. Specifically, sexually addicted men were found to have higher anxiety F(1, 38) = 6.122, p \u3c .05 and avoidance F(1, 37) = 4.685, p \u3c .05 in their romantic relationships. Treatment for male sexual addicts should address both addiction and relationship insecurity

Attachment styles and male sex addiction

This study addresses the adult romantic attachment styles of sexually addicted men. The Sexual Addiction Screening Test and the Experiences in Close Relationships Revised were used to determine the presence of a sexual addiction and the participants’ style of romantic attachment. ANOVA revealed that sexually addicted men are more likely to relate with insecure attachment styles. Specifically, sexually addicted men were found to have higher anxiety F(1, 38) = 6.122, p \u3c .05 and avoidance F(1, 37) = 4.685, p \u3c .05 in their romantic relationships. Treatment for male sexual addicts should address both addiction and relationship insecurity

Stress and neurochemical changes associated with chronic alcohol administration

Abstract: There is considerable recent experimental evidence that suggests that stress plays a major role in the development of dependence on drugs of abuse, but the potential mechanisms involved are not yet fully understood. The aims of this thesis were (I) to examine the effect of stress, and of drugs that act on the hypothalamic-pituitary-adrenal axis, on alcohol consumption in the C57 strain of mice. (II) to investigate whether corticosterone levels or spontaneous locomotor activity could be used to predict subsequent alcohol consumption in mice. (Ill) to investigate long-term neurochemical changes during abstinence following chronic alcohol administration. (IV) to develop a method for measuring brain corticosterone levels. Neither total corticosterone levels nor spontaneous locomotor activity could predict alcohol preference. Saline vehicle injections increased alcohol preference in low alcohol preferring, and raised both circulating corticosterone levels and brain corticosterone. The brain concentrations of corticosterone were measured by a novel procedure developed during the thesis. A CRF antagonist (a-helical CRF) increased alcohol preference in low preferring mice, as did the ACTH fragment 4-10. In high preferring mice, ACTH 4-10 reduced alcohol preference, whereas a-helical CRF did not alter preference in these mice. Inhibition of corticosterone synthesis reduced alcohol preference in high alcohol preferring mice but, blockade of corticosterone receptors with specific antagonists did not alter alcohol preference. Chronic alcohol treatment followed by six days abstinence increased free circulating corticosterone levels and this treatment also increased hippocampal corticosterone levels. Dopamine Dl-like receptor affinity was increased following the same chronic treatment schedule. These results demonstrate an important link between the activation of the hypothalamic-pituitary-adrenal axis and alcohol consumption. The results of the chronic treatment experiments provide useful information that may aid the understanding of the phenomenon of relapse to drinking common in abstaining alcoholics

A Longer-run Perspective on Fiscal Sustainability

This paper investigates the sustainability of fiscal policy in a set of 19 countries by taking a longer-run secular perspective over the period 1880-2009. Via a systematic analysis of the stationarity properties of the first-differenced level of government debt, and disentangling the components of the debt series using Structural Time Series Models, we are able to conclude that the solvency condition would be satisfied in mostly all cases since non-stationarity can be rejected, and, therefore, longer-run fiscal sustainability cannot be rejected (Japan and Spain can be exceptions). The same would be true for the panel sample analysis.fiscal sustainability, government debt, unit roots, breaks, structural time series models Classification-C23, E62, H62