Thanks

On Thu, Jun 10, 2010 at 10:21 PM, Arike J Pundro <[email protected]>wrote:

>  Dear  All
>
> Thanks for your response Dr. Thomas director World health organization/
> Substance Abuse Department. I have read the publication you forwarded to me.
> Indeed drug resistance is a very serious issue in the developing countries.
> It’s very interesting but some of the act does not solve the problem of drug
> resistance. Puting drug user to prison is never a solution but there are
> better methods of solving the drug resistance.  The treatment of Psychosis
> is the most common thing that triggers drugs resistance in the developing
> nations even though few claim that cases of schizophrenia and dementia are
> uncommon.  During my three years of working with AED/ USAID and UNIOM/ WHO
> outreach program for Alcohol, Tobacco and other Substance (drugs) of abuse
> such cases of schizophrenia, dementia and several disorders were commonly
> found both in the villages and towns. We use to attend world health
> organization/ Substance Abuse department  workshops and meeting in Kampala
> and even in Arua and Koboko drugs that are restricted and only be prescribed
> by Medical doctors and psychiatry are been prescribed by CNA and some with
> lab tech or an body who has drug store. The assessment used was based on the
> WHO and DSM IV definition of psychotic disorders.  Schizophrenia is
> characterized by fundamental distortions in thinking and perception and by
> inappropriate emotions. The disturbance involves the most basic functions
> that give the normal person a feeling of individuality, uniqueness and
> self-direction. Behavior may be seriously disturbed during some phases of
> the disorder leading to adverse social consequences. Delusions of strong
> belief in ideas that are false and without any basis of reality and
> hallucinations commonly auditory for example hearing voices are typical   
> Psychotic
> features of the disorder.  Psychoactive is a substance use causing damage
> to health. The damage may be physical as in cases of hepatitis from the
> self-administration of injected psychoactive substances or mental e.g.
> episodes of depressive disorder secondary to heavy consumption of alcohol.
> While dependence is a cluster of behavioral, cognitive and physiological
> phenomena that develop after repeated substance use and that typically
> include a strong desire to take the drug, difficulties in controlling its
> use, persisting in its use despite harmful consequences, a higher priority
> given to drug use than to other activities and obligations, increased
> tolerance and sometimes a physical withdrawal state. The dependence syndrome
> may be present for a specific psychoactive substance e.g. tobacco, alcohol
> or diazepam, for a class of substances e.g. opioid drugs or for a wider
> range of pharmacologically different psychoactive substances. In the cause
> of drug resistance includes both of the above not necessarily these alone.
> Prescribed medicine like Benzodiazepines if continued beyond four weeks as a
> chronic use it may induce dependence and withdrawal symptoms which is also a
> part of drugs resistance.  Prescription drugs also play a big role in drug
> resistance. Antidepressants are similarly drugs of abuse if healthcare
> providers do not offer clear information empathetic listening reassurance
> and psychological counseling to patients.  Lithium being considered the
> medicine of choice in long term maintenance phase for bipolar disorder.  
> Health
> care providers may consider lithium as initial monotherapy but lithium
> monotherapy is effective against both mania and depressive relapse although
> it is more effective in preventing mania.  However healthcare providers
> have to consider that lithium has a narrow therapeutic index and blood
> levels must be monitored.  It should be noted that lithium treatments
> check thyroid function every six months because severe toxic affects cam
> occur when renal excretion is impaired.  Vaporate cause a wide range of
> adverse reactions including gastrointestinal pain, benign hepatic
> transaminase elevations, tremor and sedation. These are few I can give as an
> example that may cause the some of the complications including drugs
> resistance.
> Best wishes,
> Arike
>
> ------------------------------
> Date: Wed, 9 Jun 2010 22:39:29 -0700
> From: [email protected]
> To: [email protected]
> Subject: [WestNileNet] THANKS GIVING FOR LETASI SHARONS BORN CANCER
> TREATMENT
>
>   Dear all,
>
> We would like to invite you for the thanksgiving function on Sunday 13th
> June 2010 at the home of Rosette Obizuyo and Emmanuel Tibaire at Kyaliwajala
> Namugongo.
>
> Please read the invitation in the attachment.
>
> I do not have the e-mail addresses of our colleagues in The New Vision who
> should be part of this function. Can someone either send me their e-mail
> address so that I forward them this invite, or forward this mail to them.
>
> TO ERIMA ROBERT and APOLO ONZOMA
>
> Could yu help give direction to Rosettes home.
>
> Regards
>
> Acidri David Onzima.
>
>
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