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By: Jon P. Wietholter, PharmD, BCPS

  • Clinical Associate Professor, Department of Clinical Pharmacy, West Virginia University School of Pharmacy
  • Internal Medicine Clinical Pharmacist, Ruby Memorial Hospital, West Virginia Medicine, Morgantown, West Virginia

https://directory.hsc.wvu.edu/Profile/33364

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Taxi Blues (1990) Drama Alcoholic jazz musician turns into pals with an anti-Semitic taxi driver blood pressure chart height and weight purchase furosemide 40mg overnight delivery. Fascinating examination of the position of alcohol within the every day lives of the protagonists in Moscow society prehypertension stage 1 stage 2 discount furosemide 100 mg on-line. Tender Mercies (1983) Drama Sensitive and optimistic film during which Robert Duvall plays a efficiently recovering alcoholic songwriter blood pressure medication memory loss generic furosemide 40 mg otc. Trees Lounge (1996) Comedy Steve Buscemi wrote and directed this compelling film blood pressure medication one kidney discount furosemide 100mg on line, and he plays the lead character, a 31-yr-old unemployed auto mechanic. Few up to date movies present a more vivid image of the issues related to alcoholism. Under Capricorn (1949) Drama A little-recognized Hitchcock film starring Joseph Cotton and Ingrid Bergman. Under the Volcano (1984) Drama John Huston directing Albert Finney; excellent portrayal of continual alcoholism. Vodka Lemon (2003, France/Armenia) Comedy Minimalist film about grieving widows who befriend each other in a tradition where everyone appears to drinks vodka. Drug Abuse 21 Grams (2003) Drama/Mystery Complicated, properly-integrated tales of an ex-con and recovering alcoholic (Benicio Del Toro), a cocaine addict (Naomi Watts), and a terminal man awaiting a transplant (Sean Penn), all introduced together by an unintentional death. The film illustrates stark abuse of energy and the deterioration of family life that accompanies dependancy. Big Lebowski, the (1998) Comedy Coen Brothers film portraying the Dude (Jeff Bridges), a cannabis-smoking, unemployed drifter in this entertaining, film noir comedy. Bird (1988) Biography Clint Eastwood directed this biographical film of the life of jazz great and drug addict Charlie "Bird" Parker. Parker was an addict for all of his grownup life, and his dependancy killed him at the age of 34. Blow (2001) Drama Johnny Depp stars as George Jung, a person who claimed to have imported about 85% of all cocaine in America within the late Seventies. Born on the Fourth of July (1989) Drama/War/ Biography Antiwar film by Oliver Stone starring Tom Cruise as Ron Kovic, who makes use of alcohol and medicines to deal with the frustration of paralysis. The film is most notable for short roles by William Burroughs, Ravi Shankar, and Allen Ginsburg. Based on a real story, the film is still gripping virtually 20 years after it was made. The message in this film is exaggerated and histrionic however somewhat more realistic in its estimate of the hazards of the drug. Portrayals of compulsive use of each, unwanted side effects, and the need to stop or avoid the substance. Dopamine (2003) Drama/Comedy Independent film explores the chemistry behind male-feminine relationships. He has a historical past of failed rehabilitation, and tries to rebuild relations however struggles with anger and is disengaged from his family. Hatful of Rain, A (1957) Drama Melodramatic film about the life and problems of a drug addict. This was one of many earliest movies to truthfully examine the problem of drug dependancy. Hustle and Flow (2005) Drama In this Sundance Audience Choice Award film, an aspiring Memphis disc jockey works to get his first document made as he approaches mid-life. La Femme Nikita (1990) Action/Drama Sociopathic and drug-addicted lady is sentenced to die for murder after which is reworked right into a government agent. Lady Sings the Blues (1972) Biography/Musical Diana Ross plays heroin addict Billie Holiday. Luna (1979) Drama Disappointing Bernardo Bertolucci film, with Jill Clayburgh playing the mom of a drug addict son. Man with the Golden Arm, the (1955) Drama Frank Sinatra and Kim Novak in a dated however interesting portrayal of drug dependancy.

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Assaultive versus Nonassaultive Behavior Subjects were next categorized by assaultive or nonassaultive paraphilic behavior to prehypertension workout buy cheap furosemide 100mg online decide whether paraphiliacs who committed assaultive acts (youngster molestation zicam and blood pressure medication buy furosemide 100mg on-line, rape hypertension before pregnancy generic 40mg furosemide overnight delivery, frottage) additionally carried out nonassaultive paraphilic behaviors (public masturbation pulse pressure high generic furosemide 100mg mastercard, voyeurism, exhibitionism) and vice versa. In our whole population of 561 subjects, we noticed that 331 (fifty nine%) participated in assaultive deviant behavior solely and 84 (14. However, 146 (26%) subjects participated in each assaultive and nonassaultive deviant behavior indicating that this subgroup of the research population offended against Bull Am Acad Psychiatry Law, Vol. The foregoing analyses point out that a big proportion of paraphiliacs cross gender, age, familial, and assaultive/nonassaultive behavior boundaries during the commission of paraphilic acts. The full impression of the outcomes of this research emerges when the crossings of deviant behaviors are combined so as to decide multiple paraphilic diagnoses. Number of Paraphilic Diagnoses by Diagnostic Category Our medical experience with this population of 561 subjects signifies that, when multiple paraphilias exist in the same topic, one paraphilia initially takes dominance. A second paraphilia develops and overtakes the first in dominance, and then continues for a number of months or years, whereas the first continues at a tremendously lowered depth. On uncommon occasions, the preliminary paraphilia will appear to lose its arousal properties entirely for the patient and essentially disappear. Because our role was to decide the existence of multiple paraphilia in the same topic, we elected to count all paraphilias that had occurred throughout his lifetime, even though some were not actively arousing or erection producing. The temporal relationship among the numerous paraphilic diagnoses awaits further analysis. Clinical interviews revealed that a number of subjects were involved in different paraphilias throughout their lives. There were 21 classes of paraphilia by which our subjects could have been involved. Excluding infrequently seen classes having less than 12 subjects per category (similar to obscene mail, urolagnia, coprophilia, and attraction to specific odors), subjects in all other diagnostic classes had histories of numerous other separate paraphilic diagnoses. There were at least a number of subjects in each category who had as many as 10 totally different paraphilic diagnoses. Because of preselection, it was assumed that the relative prevalence of paraphiliacs within the sample was unrepresentative of the general population, aside from the relative prevalence of the subcategories of kid molesters. This averaged incidence of concomitant or nonconcomitant paraphilic diagnoses is reflected in Figure 1. The proportion of circumstances in each diagnostic category with only one paraphilia is indicated in Table three. Categories containing fewer than 12 subjects were excluded because the number of subjects was thought of too small to represent such paraphilias reliably. The one hundred sixty highest proportion (52%) of individuals with only one paraphilia were those involved with transsexualism. In each of the other 17 classes of paraphilias offered, less than 30% of the topics confined their deviant behavior to only one paraphilia. In 10 classes of paraphilia, less than 10 % of subjects had participated in only one type of paraphilic behavior. It was particularly spectacular that no circumstances of fetishism, sadism, masochism, or bestiality were seen by which an individual had only one par- Bull Am Acad Psychiatry Law, Vol. These outcomes clearly point out that paraphiliacs with only one paraphilia are uncommon. The average number of totally different paraphilias found within the histories of the 561 subjects in our research population is proven in Table three. Except for those with a analysis of transsexualism or egodystonic homosexuality, the typical number of paraphilias by analysis was within the range of three to five paraphilias per diagnostic category. Especially revealing was that multiple paraphilias were quite common in people historically thought of to have only one paraphilia, i. To perceive which paraphiliacs have histories of having committed other specific forms of paraphilic be- havior, the probability of the attainable presence of other paraphilias relative to that indicated in column 1 is indicated in Table four, a cross-analysis table. Columns 2 via 22 represent additional concomitant or nonconcomitant paraphilic behaviors that subjects had committed.

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References:

  • https://www.cogentoa.com/article/10.1080/23311908.2017.1392230.pdf
  • https://www.cdc.gov/nchs/data/nhanes/nhanes_11_12/tst_g_met.pdf
  • https://hrsdata.isr.umich.edu/sites/default/files/documentation/data-descriptions/h12dd.pdf