Acute opiate overdose: characteristics of 190 consecutive cases

AIMS: To characterize the population of drug users consulting the Emergency Room (ER) of a university hospital with acute opiate overdose (AOO) and to assess rate of referral to specialized treatment programme. DESIGN: Survey of a 12-month sample of AOO patients. MEASUREMENTS: Medical and psychosocial features of the drug users, details of emergency treatment and referral by a mobile resuscitation team (SMUR) and the ER of our hospital (CHUV-Lausanne, Switzerland). In addition fatal AOO cases were collected by the Institute of Forensic Medicine (IFM) during the same period. FINDINGS: One hundred and eighty-four cases of AOO (134 patients) were treated. The files of the IFM detailed six additional deceased cases. This population of drug users was characterized by an over-representation of men (73%), by young age (27.4 years), by a high rate of multi-drugs use (90%) and by a high rate of multiple previous overdoses (2.6). Average length of stay was 20.1 hours but 41% of cases stayed less than 8 hours. Only one patient was readmitted within an 8-hour period. When discharged, 78% returned home. Unexpectedly, 67% of patients were not referred to any therapeutic programme for drug addiction. CONCLUSION: This study shows the low mortality of AOO when treated but also demonstrates the need to improve psychosocial evaluation and referral of drug addicts admitted with AOO.     

Hydration of dibarium silicate I. Stoicheiometry of hydration

Dibarium silicate, Ba₂SiO₄, was hydrated in two ways: in paste form at 25° using a water/solid weight ratio of 0.7:1, and in a polyethylene bottle rotated on a wheel at 5°, 25° and 50°, using a water/solid weight ratio of 9.0:1. When Ba₂SiO₄ is hydrated in paste form, the stoicheiometry of the reaction at 25° is the same as in bottle-hydration at 50°: 2BaO.SiO₂+2.2H₂O = 1.2BaO.SiO₂.1.4H₂O+0.8Ba(OH)₂. The stoicheiometry of bottle-hydration at 5° and 25° is represented by the equation: 2BaO.SiO₂+2.2H₂O = BaO.SiO.1.2H₂O+Ba(OH)₂. Barium silicate hydrate, 1.2BaO.SiO₂.1.4H₂O, is well crystallised and has a specific surface area of ? 3m²/g. The crystals are plate-like and have a tendency to form clusters. The low-baria hydrate, BaO.SiO₂.1.2H₂O, is poorly crystallised and consists of thin platelets. It has a specific surface area of ? 35m²/g. The thermal dehydration of fully hydrated barium silicate and of the barium silicate hydrates was investigated by thermogravimetric and differential thermal analysis techniques. The similarities and differences between the barium silicate hydrates obtained in the hydration of barium silicate and the calcium silicate hydrates obtained in the hydration of β-dicalcium silicate and Ca₃SiO₅ are discussed. A mechanism of hydration of barium silicate is proposed which involves solution, precipitation and crystallisation steps.     

Preparation and etherification reaction of fatty dichlorocyclopropanes

Dichlorocarbene was added tocis-9-octadecene, methyl oleate, methyl elaidate, and methyl linoleate to form the corresponding mono- or bis-dichlorocyclopropanes in yields of 75–88%. The dichlorocyclopropanes underwent ring-opening substitution on heating with alcohols (or water) to form β-chlorallylic ethers (or alcohols). The ethers were obtained in yields of 46 to 84%. Tetraethylene glycol and methyl lactate, as hydroxyl compounds, gave a polyethenoxy ester and an ether-linked diester, respectively. Presented at AOCS meeting, Toronto, October, 1962. F. Utiliz. Res. & Dev. Div. ARS, U.S.D.A.     

"Superstition" in the Skinnerian.

In the case of some tasks, implicit responses produce better results than overt ones. Overt responding is not an essential feature of programmed instruction and, in fact, may even be a deleterious one in some cases. Being informed of the correctness of response before making it resulted in more efficient learning than being informed after making the response. "This story has three morals, but they are all very simple. The first is that not all the features of a gadget are dictated by theoretical principles. The second is that what works beautifully in one context may not work so beautifully in another. The third moral is that superstitious behavior is not restricted to pigeons." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integral Antireflective Surface Production on Optical Glass

Integral antireflective surfaces with extremely high laser-damage thresholds were prepared on optical glasses by controlled corrosion in neutral solution. Properties of such surfaces are discussed and compared with gradient antireflective surfaces produced on phase-separated borositicate glasses.