Flunitrazepam Excretion Patterns using the Abuscreen OnTrak and OnLine Immunoassays: Comparison with GC-MS

A study was conducted to compare the performance of the OnLine and OnTrak immunoassays for benzodiazepines with gas chromatographic-mass spectrometric (GC-MS) analysis in detecting flunitrazepam (FNP) and its metabolites in human urine. Urine was collected over a 72-h period from six individuals (four male and two female) who had taken a single oral dose of either 1 or 4 mg of FNP. The OnTrak assay was run at a 100-ng/mL cutoff of nordiazepam (NDP), and the OnLine assay was run with a standard curve from zero to 200 ng/mL of NDP with and without β-glucuronidase treatment. Each sample was analyzed by GC-MS using FNP, 7-amino-FNP, 3-hydroxy-FNP, desmethyl-FNP, 7-amino-3-hydroxy-FNP, and desmethyl-3-hydroxy-FNP as standards with β-glucuronidase treatment. The specimens from the 1-mg dose did not yield a positive result by immunoassay over the 72-h collection period. Specimens from the 4-mg dose did yield positive results in both immunoassays. The time of the first positive result ranged from 4 to 12 h, and the time to the last positive result ranged from 18 to 60 h. Treatment of the samples with β-glucuronidase increased the OnLine values between 20 and 60%, but it did not appreciably increase the detection time. GC-MS analysis showed no detectable levels of FNP, 3-hydroxy-FNP, desmethyl-FNP, 7-amino-3-hydroxy-FNP, and desmethyl-3-hydroxy-FNP. However, all samples collected past time zero showed detectable levels of 7-amino-FNP (> 2 ng/mL) with peak concentrations at 12-36 h. The peak levels of 7-amino-FNP by GC-MS paralleled the peak levels of the immunoassay response. The amount of 7-amino-FNP metabolite quantitated by GC-MS, however, accounted for only 15-20% of the total immunoassay crossreactive FNP metabolite

Profiles of Urine Samples Taken from Ecstasy Users at Rave Parties: Analysis by Immunoassays, HPLC, and GC-MS

The abuse of the designer amphetamines such as 3,4-methylenedioxymethamphetamine (MDMA, Ecstasy) is increasing throughout the world. They have become popular drugs, especially at all-night techno dance parties (Raves), and their detection is becoming an important issue. Presently, there are no MDMA- or MDA-specific immunoassays on the market, and detection of the designer amphetamines is dependent upon the use of commercially available amphetamine assays. The success of this approach has been difficult to assess because of the general unavailability of significant numbers of samples from known drug users. The objectives of the present study are to characterize the drug content of urine samples from admitted Ecstasy users by chromatographic methods and to assess the ability of the available amphetamine/methamphetamine immunoassays to detect methylenedioxyamphetamines. We found that, when analyzed by high-performance liquid chromatography with diode-array detection (HPLC-DAD), 64% of 70 urine samples (by gas chromatography-mass spectrometry [GC-MS]: 88% of 64 urine samples) obtained from Rave attendees contained MDMA and/or 3,4-methylenedioxyamphetamine (MDA) alone or in combination with amphetamine, methamphetamine, or other designer amphetamines such as 3,4-methylenedioxyethylamphetamine (MDEA). This suggests that the majority of the Ravers are multi-drug users. At the manufacturer's suggested cutoffs, the Abbott TDx Amphetamine/Methamphetamine II and the new Roche HS Amphetamine/MDMA assays demonstrated greater detection sensitivity for MDMA than the other amphetamine immunoassays tested (Abuscreen OnLine Hitachi AMPS, Abuscreen OnLine Integra AMPS, Abuscreen OnLine Integra AMPSX, CEDIA AMPS, and EMIT II AMPS). There is 100% agreement between each of the two immunoassays with the reference chromatographic methods, HPLC-DAD and GC-MS, for the detection of methylenedioxyamphetamine

Pharmacokinetics and Excretion of Gamma-Hydroxybutyrate (GHB) in Healthy Subjects

In Europe and the United States, the recreational use of gammahydroxy butyric acid (GHB) at dance clubs and "rave” parties has increased substantially. In addition, GHB is used to assist in the commission of sexual assaults. The aim of this controlled clinical study was to acquire pharmacokinetic profiles, detection times, and excretion rates in human subjects. Eight GHB-naïve volunteers were administered a single 25-mg/kg body weight oral dose of GHB, and plasma, urine, and oral fluid specimens were analyzed by using gas chromatography-mass spectrometry (GC-MS). Liquid-liquid extraction was performed after acid conversion of GHB to gamma-butyrolactone. Limits of quantitation of 0.1 (oral fluid), 0.2 (urine), and 0.5 µg/mL (plasma) could be achieved in the selected ion monitoring mode. GHB plasma peaks of 39.4 ± 25.2 µg/mL (mean ± SEM) occurred 20-45 min after administration. The terminal plasma elimination half-life was 30.4 ± 2.45 min, the distribution volume 52.7 ± 15.0 L, and the total clearance 1228 ± 233 µL/min. In oral fluid, GHB could be detected up to 360 min, with peak concentrations of 203 ± 92.4 µg/mL in the 10-min samples. In urine, 200 ± 71.8 and 230 ± 86.3 µg/mL, were the highest GHB levels measured at 30 and 60 min, respectively. Only 1.2 ± 0.2% of the dose was excreted, resulting in a detection window of 720 min. Common side-effects were confusion, sleepiness, and dizziness; euphoria and change of vital functions were not observed. GHB is extensively metabolized and rapidly eliminated in urine and oral fluid. Consequently, samples should be collected as soon as possible after ingestio

Direct neutron capture of 48Ca at kT = 52 keV

The neutron capture cross section of 48Ca was measured relative to the known gold cross section at kT = 52 keV using the fast cyclic activation technique. The experiment was performed at the Van-de-Graaff accelerator, Universitaet Tuebingen. The new experimental result is in good agreement with a calculation using the direct capture model. The 1/v behaviour of the capture cross section at thermonuclear energies is confirmed, and the adopted reaction rate which is based on several previous experimental investigations remains unchanged.Comment: 9 pages (uses Revtex), 2 postscript figures, accepted for publication as Brief Report in Phys. Rev.

Search for highly excited states in 28Si

The theoretical and experimental determination of superdeformed states in nuclei in the mass region A≤40 has been since a long time one of the major challenges of nuclear structure studies. Despite the considerable experimental and theoretical work dedicated to this topic, up to now superdeformed bands have been found in only two nuclei, 36Ar and 40Ca. While the experimental signature of the superdeformed nature of those states is irrefutable, their theoretical interpretation is still uncertain. In particular, it is not clear whether clusterisation is responsible of the onset of superdeformation. For this reason, we wanted to investigate an even lighter system, 28Si, where a number of theoretical calculations predict the presence of superdeformation as an effect of the cluster structure of the nucleus

Drivers of Health Care Expenditure: Does Baumol's Cost Disease Loom Large?

According to Baumol (1993) health care epitomises Baumol's cost disease. Sectors that suffer from Baumol's cost disease are characterised by slow productivity growth due to a high labour coefficient. As a result, unit costs of these sectors rise inexorably if the respective wages increase with productivity growth of the progressive industries such as manufacturing. Thus, according to Baumol (1993) the secular rise in health-care expenditure has been unavoidable. This present paper demonstrates that health care is contracted by Baumol's cost disease, but only to a minor extent. Consequently, policy-makers have more leeway to curbever-increasing health-care expenditure than is suggested by Baumol (1993) and other authors. In addition, we test the implications of Baumol's cost disease for health care by avoiding the well-known flaws in constructing medical price indices. Therefore, the adjusted Baumol variable derived in this paper is also extremely appropriate to test the validity of Baumol's cost diseases of other service industries such as education or the live performing arts. Additionally, our analysis suggests that health care is rather a necessity than a luxury at the national level, which conflicts with macroeconomic evidence provided in the relevant literature

Effects of varying organic matter content on the development of green roof vegetation: a six year experiment

Green roofs can potentially be used to tackle a variety of environmental problems, and can be used as development mitigation for the loss of ground-based habitats. Brown (biodiversity) roofs are a type of green roof designed to imitate brownfield habitat, but the best way of engineering these habitats requires more research. We tested the effects of altering organic matter content on the development of vegetation assemblages of experimental brown (biodiversity) roof mesocosms. Three mulch treatments were tested: (1) Sandy loam, where 10mm of sandy loam mulch (about 3% organic matter by dry weight) was added to 100mm of recycled aggregate; (2) Compost, where the mulch also contained some garden compost (about 6% organic matter by dry weight); and (3) No mulch, where no mulch was added. Mesocosms were seeded with a wildflower mix that included some Sedum acre, and vegetation development was investigated over a six-year period. Species richness, assemblage character, number of plants able to seed, and above-ground plant biomass were measured. Drought disturbance was an important control on plant assemblages in all mulch treatments, but there were significant treatment response interactions. The more productive Compost treatment was associated with larger plant coverage and diversity before the occurrence of a sequence of drought disturbances, but was more strongly negatively affected by the disturbances than the two less productive treatments. We suggest that this was due to the over-production of plant biomass in the more productive treatment, which made the plants more vulnerable to the effects of drought disturbance, leading to a kind of 'boom-bust' assemblage dynamic. The 'ideal' amount of added organic matter for these green roof systems was very low, but other types of green roof that have a larger water holding capacity, and/or more drought resistant plant floras, will likely require more organic matter or fertiliser. Nonetheless, nutrient-supported productivity in green roof systems should be kept low in order to avoid boom-bust plant assemblage dynamics. Research into the best way of engineering green roof habitats should take place over a long enough multi-year time period to include the effects of temporally infrequent disturbances

Effects of recycled aggregate growth substrate on green roof vegetation development: a six year experiment

Green roofs have the potential to address several of the environmental problems associated with urbanisation, and can be used as mitigation for habitats lost at ground level. Brown roofs (a type of green roof) can be used to mitigate for the loss of brownfield habitat, but the best way of designing these habitats remains unclear. This paper reports an experiment to test the effects of different types of recycled aggregate on the development of vegetation assemblages on brown roof mesocosms. Five recycled aggregates were tested: (1) crushed brick, (2) crushed demolition aggregate, (3) solid municipal waste incinerator bottom ash aggregate, (4) a 1:1 mix of 1 and 2, and (5) a 1:1 mix of 3 and 2. Each was seeded with a wildflower mix that also included some Sedum acre and vegetation development was studied over a six-year period. Species richness, assemblage character, number of plants able to seed, and plant biomass were measured. Drought disturbance was the key factor controlling changes in plant assemblage, but effects varied with substrate treatment. All treatments supported a similar plant biomass, but treatments with a high proportion of crushed brick in the growth substrate supported richer assemblages, with more species able to seed, and a smaller amount of Sedum acre. Crushed brick, or recycled aggregates with a high proportion of crushed brick, are recommended as good growth substrate materials for encouraging brown roof plant diversity. This investigation demonstrates the importance of multi-year studies of green roof development for the generation of robust findings

Khat Use Is Associated with Impaired Working Memory and Cognitive Flexibility

Rationale Khat consumption has increased during the last decades in Eastern Africa and has become a global phenomenon spreading to ethnic communities in the rest of the world, such as The Netherlands, United Kingdom, Canada, and the United States. Very little is known, however, about the relation between khat use and cognitive control functions in khat users. Objective We studied whether khat use is associated with changes in working memory (WM) and cognitive flexibility, two central cognitive control functions. Methods Khat users and khat-free controls were matched in terms of sex, ethnicity, age, alcohol and cannabis consumption, and IQ (Raven's progressive matrices). Groups were tested on cognitive flexibility, as measured by a Global-Local task, and on WM using an N-back task. Result Khat users performed significantly worse than controls on tasks tapping into cognitive flexibility as well as monitoring of information in WM. Conclusions The present findings suggest that khat use impairs both cognitive flexibility and the updating of information in WM. The inability to monitor information in WM and to adjust behavior rapidly and flexibly may have repercussions for daily life activities