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Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. The Original Article was published on 11 August The original article has been corrected. You can also search for this author in PubMed Google Scholar. Correspondence to Frederico Duarte Garcia. Reprints and permissions. Correction: The GNE-KLH anti-cocaine vaccine protects dams and offspring from cocaine-induced effects during the prenatal and lactating periods. Mol Psychiatry 26 , Download citation. Published : 22 September Issue Date : December Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content Thank you for visiting nature. Download PDF. Subjects Addiction Neuroscience. View author publications. Rights and permissions Reprints and permissions. About this article. Cite this article de Almeida Augusto, P. Copy to clipboard. Search Search articles by subject, keyword or author. Show results from All journals This journal. Advanced search.
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How can I buy cocaine online in Larissa
Official websites use. Share sensitive information only on official, secure websites. For the first time, the present study employed hair testing to investigate the prevalence of classical drugs of abuse and new psychoactive substances use during gestation in a cohort of Mexican pregnant women. An interview was conducted to collect data on sociodemographic aspects of the patients, and a 9 cm-long hair strand was taken from the back of the head of each mother one month after delivery. A validated ultra-high-performance liquid chromatography—high-resolution mass spectrometry method was used for the screening of classic drugs, new psychoactive substances, and medications in maternal hair. Out of examined hair samples from pregnant women, Furthermore, seven samples 2. Finally, 83 women hair samples This study provides a significant preliminary indication of the under-reported gestational consumption of licit and illicit psychoactive and pharmacologically active drugs in a Mexican environment, showing the value of toxicological and forensic analyses in the global effort to determine the health risks caused by classic drugs and new psychoactive substances during pregnancy. The period of pregnancy is particularly delicate and requires special attention to protect the health of both the woman and her child. During pregnancy, the use of substances, whether legal or illicit, may cause health, social, and legal negative consequences \[ 1 , 2 \]. Women might be hesitant to seek treatment, because an intense stigma exists against substance abuse, and licit and illicit substance use prevalence during pregnancy remains underestimated \[ 3 , 4 , 5 \]. While information on the use of legal and illicit substances in pregnancy is available for North America and Europe, it is worth noting the relative paucity of studies and research conducted in Latin America, in particular, in Mexico. In this regard, it has to be considered that drug use during pregnancy is a demographic problem that is becoming increasingly important as it affects health, education, the economy, and social and cultural relationships \[ 6 , 7 , 8 , 9 \]. Information about the use of tobacco and illicit drugs as well as of prescription drugs during pregnancy in Mexico is limited \[ 9 , 10 , 11 , 12 , 13 \]. Moreover, generally speaking, the real prevalence of drugs consumption among pregnant women is difficult to ascertain, as studies on this are mainly based on data collected through interviews, which, although anonymous, tend to underestimate the problem due to the fear of stigmatization of the participants \[ 8 , 14 , 15 , 16 , 17 \]. Therefore, pharmacotoxicological laboratories, through the measurement of biomarkers of substances exposure in maternal and neonatal biological matrices, play an essential role in assessing the real maternal prevalence of illicit substance use and consequent prenatal exposure to them \[ 2 , 18 , 19 , 20 , 21 , 22 , 23 \], allowing the generation of appropriate policies and interventions that are supportive, non-judgmental, and empathetic and help women to withdraw from drugs \[ 17 , 24 \]. Among the biological matrices investigated to evaluate gestational licit and illicit drugs consumption, maternal hair resulted to be the most suitable for covering the entire pregnancy period. Indeed, considering a mean hair growth of 1 cm per month, a 9 cm hair shaft, cut one month after delivery, corresponds to the whole 9 months of pregnancy \[ 21 , 25 , 26 \]. Recently, we developed an ultra-high-performance—high-resolution mass spectrometry assay to screen several xenobiotics in hair samples \[ 27 \]. The present study employed this validated method to investigate, for the first time, the consumption of classical drugs of abuse, new psychoactive substances, and prescription medicines in a cohort of Mexican pregnant women. Juan I. Table 1 shows the sociodemographic profiles of the women enrolled in the study. Only 8 women 2. With a total of examined pregnant women, hair samples from Finally, 3. Self-reported illicit drug use 0. Sociodemographic profiles associated with gestational consumption of illicit drugs assessed by hair testing. Illicit drugs consumption was associated with a significantly younger age of the mothers Moreover, users of more than one drug were significantly younger than users of only cocaine The academic profiles were different between cannabis, polydrug, and NPS consumers. Education to secondary level was more frequent in NPS users than in cannabis users Maternal hair samples were negative for nicotine, used as a biomarker of tobacco smoke, in Specifically, 68 samples Self-reported tobacco smoke 2. In addition, positive cases were significantly associated with self-reported exposure to familiar ETS Sociodemographic profiles associated with gestational exposure to tobacco smoke assessed by hair testing. Tobacco use was associated with a significantly younger age No difference was found in social status, while when considering the civil status, married women tended to smoke less The principal detected prescription drugs were nonsteroidal anti-inflammatory drugs NSAIDs and pain killers Phenazone 8. Other detected prescription drugs were those used against nausea and vomiting e. Table 6 shows the neonatal characteristics at birth in relation to the maternal consumption of psychoactive drugs assessed by hair analysis. Newborn profiles associated with negative and positive illicit drugs and tobacco biomarkers detected in women hair. Generally speaking, no significant differences were observed between newborns not exposed and exposed to maternal consumption of psychoactive drugs or to tobacco smoke. However, when considering specifically the single psychoactive substances, infants prenatally exposed to cannabis only were significantly heavier than all the others Even if the effects of gestational consumption of psychoactive drugs on fetal development and pregnancy complications are widely known, the prevalence of licit and illicit psychoactive compounds consumption during pregnancy seems not to decrease in developed societies \[ 1 , 2 , 5 , 6 , 7 \]. In this study, we demonstrated that also in a developing country, such as Mexico, the gestational consumption of licit and illicit psychoactive substances is not a negligible phenomenon. In addition, the results of this study confirmed that, as in previous studies, maternal interviews underestimate consumption, which can be objectively assessed by hair analysis \[ 15 , 17 , 24 \]. Cannabis was the psychotropic drug mainly abused by this cohort of pregnant women, showing a prevalence of The other two most consumed illicit drug were methamphetamine, with a prevalence of 8. These results are in agreement with the prevalence of drugs of abuse consumption reported in the general Mexican population \[ 28 , 29 , 30 \], which provides high reliability to our data. Indeed, since the s, there has been a significant increase in the illicit use of drugs in Mexico, with cannabis and cocaine being the substances most often used, followed by amphetamine-type drugs the most common being methylenedioxymethamphetamine. Data from the most recent Mexican report on the consumption of psychoactive drugs \[ 30 \] confirm that the substances whose consumption causes the greatest demand for treatment are amphetamine-type stimulants, such as amphetamine, methamphetamines, ecstasy, or stimulants for medical use, with a total of The report also highlighted a significant increase in cases of fentanyl use, and even if several Latin countries, including Mexico, have reported the identification of NPS such as synthetic cathinones and synthetic cannabinoids in patients with local seizures, information on their prevalence of use has not been available up to now \[ 31 \]. Our results showed a prevalence of fentanyl and other NPS of 2. It has to be said that, in this study, it was decided to consider fentanyl as an NPS and, more specifically, as a new synthetic opioid, whose recreational use in place of heroin has recently been exponentially increasing \[ 31 \]. Although Mexico is rich in psychoactive plants Peyote, Psilocybin mushrooms, Salvia divinorum , Psychotria viridis , etc. The concentration of the detected psychoactive drugs would have been important to differentiate between sporadic and chronic consumption during gestation. Unfortunately, our developed method focused only on the identification of the highest number of pharmacologically active substances, even in the absence of pure standards, and quantitative analyses were not performed. In any case, the mere presence of a drug in the hair of pregnant women is an index of consumption, and these drugs are in any case harmful and prohibited during the development of the fetus. Another limitation of the present study was that the developed method showed low sensitivity in the measurement of the gestational alcohol consumption biomarker ethylglucuronide in hair \[ 27 \]. The only performed quantification was that of nicotine, since it is specifically required to identify gestational active and passive smokers. In this regard, we found only one case of active smoking or eventually high exposure to ETS, but Our results highlight how parental smoking is a significant determinant of the risk of fetal exposure to nicotine during pregnancy and, as such, is a major and entirely avoidable health risk for both women and their child. Indeed, pregnant women should be protected from exposure to smoking, especially by family members. Maternal use of prescription drugs during pregnancy is common and concerns medications to treat allergies and respiratory and gastrointestinal conditions, in addition to general analgesics \[ 2 , 32 , 33 , 34 \]. In this study, This is in contrast with previous studies showing a correlation between gestational consumption of tobacco and drugs of abuse and increased risk of spontaneous abortions, reduction in neonatal birth weight and birth length, newborn head circumference, and signs of a more severe neonatal abstinence syndrome \[ 27 , 35 , 36 , 37 , 38 \]. It can be hypothesized that in this examined cohort, psychoactive drugs consumption during pregnancy was sporadic and, even if identifiable by hair testing, did not affect offspring features. Three—four weeks after delivery, a medical doctor interviewed the women, and hair samples were collected. The interview was performed with a standardized survey, which included questions about maternal sociodemographic characteristics age, nationality, profession, studies, marital status, etc. Moreover, the following neonatal outcome measures were recorded: estimated gestational age EGA at delivery weeks , birth weight grams , head circumference centimeters , length centimeters , and pathologies. Since the proposed methodology was only intended for the qualitative screening of hair samples, the limits of detection and of identification were estimated as previously reported \[ 27 \]. Hair samples were considered positive when substances were found above their limit of identifications, ranging from 0. To obtain the demographic profiles associated with the use during pregnancy of licit and illicit psychoactive substances, the group with negative toxicological screening results for all tested substances was compared with the group that tested positive for any of licit and illicit substance, the groups positive for only for one psychoactive substance, and the group positive for more than one psychoactive substance. Values are expressed as the mean standard deviation or frequency percentage. Associations between sociodemographic and lifestyle characteristics of the pregnant women with hair biomarkers for psychoactive substance use and smoking behavior were performed by an independent t -test for quantitative variables and a chi-square test for qualitative variables. For the first time in a Mexican cohort, this study objectively assessed licit and illicit drug consumption in a pregnant women population. Our results confirm the usefulness of maternal hair analysis to evidence drug use during pregnancy and how the measurement of exposure biomarkers in this matrix is essential to demonstrate real consumption. Conceptualization, L. All authors have read and agreed to the published version of the manuscript. This section collects any data citations, data availability statements, or supplementary materials included in this article. As a library, NLM provides access to scientific literature. Pharmaceuticals Basel. Le Regina Elena , Rome, Italy; emilia. Find articles by Emilia Marchei. Find articles by Maria Concetta Rotolo. Find articles by Pietro Brunetti. Find articles by Giulio Mannocchi. Find articles by Mary-Buhya Varela-Busaka. Find articles by Simona Pichini. Find articles by Oscar Garcia-Algar. Adriano Mollica : Academic Editor. Open in a new tab. Psychoactive substances found in hair from polyconsumer pregnant women. NA: not available. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel. Social class. Methamphetamine THC. Cocaine THC. Cocaine Methamphetamine, amphetamine, and ethylamphetamine THC. Methamphetamine, amphetamine. Methamphetamine, amphetamine, and ethylamphetamine. Methamphetamine Methcathinone Ephedrone. Methamphetamine Ketamine, Norketamine. Cocaine Methamphetamine, amphetamine. Cocaine Methamphetamine. Civil status. Previous pregnancy. Self-reported exposure to familiar ETS. Newborn characteristics. TTRN and neonatal sepsis.
How can I buy cocaine online in Larissa
Prevalence of Licit and Illicit Drugs Use during Pregnancy in Mexican Women
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Order without Law: Reputation Promotes Cooperation in a Cryptomarket for Illegal Drugs
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