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Cytisine
Cytisine, also known as baptitoxine, cytisinicline, or sophorine, is an alkaloid that occurs naturally in several plant genera, such as ''Laburnum'' and ''Cytisus'' of the family Fabaceae. It has been used medically to help with smoking cessation. Although widely used for smoking cessation in Eastern Europe, cytisine remains relatively unknown beyond it. However, it has been found effective in several randomized clinical trials, including some in the United States and a large one in New Zealand, and is being investigated in additional trials in the United States (being conducted by Achieve Life Sciences) and a non-inferiority trial in Australia in which it is being compared head-to-head with the smoking cessation aid varenicline (sold in the United States as Chantix). It has also been used entheogenically via mescalbeans by some Native American groups, historically in the Rio Grande Valley predating even peyote. Sources Cytisine is extracted from the seeds of ''Cytisus la ...
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Kentucky Coffeetree
The Kentucky coffeetree (''Gymnocladus dioicus''), also known as American coffee berry, Kentucky mahogany, nicker tree, and stump tree, is a tree in the subfamily Caesalpinioideae of the legume family Fabaceae, native to the Midwest, Upper South, Appalachia, and small pockets of New York in the United States and Ontario in Canada. The seed may be roasted and used as a substitute for coffee beans; however, unroasted pods and seeds are toxic. The wood from the tree is used by cabinetmakers and carpenters. It is also planted as a street tree. From 1976 to 1994, the Kentucky coffeetree was the state tree of Kentucky, after which the tulip poplar was returned to that designation. Description The tree varies from 18 to 21 meters (60–70 feet) high with a spread of 12–15 meters (40–50 feet) and a trunk up to one meter (3 feet) in diameter. The tree grows at a medium rate with height increases of anywhere from 12" to 24" per year. A 10-year-old sapling will stand ...
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Dermatophyllum
''Dermatophyllum'' is a genus of three or four species of shrubs and small trees in the subfamily Faboideae of the pea family, Fabaceae. The genus is native to southwestern North America from western Texas to New Mexico and Arizona in the United States, and south through Chihuahua, Coahuila, and Nuevo León in northern Mexico. Members of the genus are commonly known as mescalbean, mescal bean, or ''frijolito''. One of the common names of ''Dermatophyllum secundiflorum'' is Texas mountain laurel, although the name mountain laurel also refers to the very dissimilar and unrelated genus '' Kalmia'' (family Ericaceae) and the name laurel refers generally to plants in the unrelated order Laurales. Although still commonly treated in the genus '' Sophora'', recent genetic evidence has shown that the mescalbeans are only distantly related to the other species of ''Sophora''. Species ''Dermatophyllum'' comprises the following species: * ''Dermatophyllum arizonicum'' ( S.Watson) Vincent ...
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Varenicline
Varenicline (trade name Chantix and Champix) is a medication used for smoking cessation. Varenicline is also used for the treatment of dry eye disease. The most common side-effects include nausea (feeling sick), insomnia (difficulty sleeping), abnormal dreams, headache and nasopharyngitis (inflammation of the nose and throat). It is a high-affinity partial agonist for the α4β2 nicotinic acetylcholine receptor subtype (nACh) that leads to the release of the neurotransmitter dopamine in the nucleus accumbens reward center of the brain when activated, and therefore, has the capacity to reduce the feelings of craving and withdrawal caused by smoking cessation. In this respect it is similar to cytisine and different from the nicotinic antagonist bupropion and nicotine replacement therapies (NRTs) like nicotine patches and nicotine gum. It is estimated that varenicline successfully helps one of every eleven people who smoke remain abstinent from tobacco at six months. It is on th ...
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Nicotinic Acetylcholine Receptor
Nicotinic acetylcholine receptors, or nAChRs, are receptor polypeptides that respond to the neurotransmitter acetylcholine. Nicotinic receptors also respond to drugs such as the agonist nicotine. They are found in the central and peripheral nervous system, muscle, and many other tissues of many organisms. At the neuromuscular junction they are the primary receptor in muscle for motor nerve-muscle communication that controls muscle contraction. In the peripheral nervous system: (1) they transmit outgoing signals from the presynaptic to the postsynaptic cells within the sympathetic and parasympathetic nervous system, and (2) they are the receptors found on skeletal muscle that receive acetylcholine released to signal for muscular contraction. In the immune system, nAChRs regulate inflammatory processes and signal through distinct intracellular pathways. In insects, the cholinergic system is limited to the central nervous system. The nicotinic receptors are considered cholinergi ...
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Laburnum
''Laburnum'', sometimes called golden chain or golden rain, is a genus of two species of small trees in the subfamily Faboideae of the pea family Fabaceae. The species are '' Laburnum anagyroides''—common laburnum and '' Laburnum alpinum''—alpine laburnum. They are native to the mountains of southern Europe from France to the Balkans. Some botanists include a third species, ''Laburnum caramanicum'', but this native of southeast Europe and Anatolia is usually treated in a distinct genus ''Podocytisus'', more closely allied to the ''Genisteae'' (brooms). Description The ''Laburnum'' trees are deciduous. The leaves are trifoliate, somewhat like a clover; the leaflets are typically long in ''L. anagyroides'' and long in ''L. alpinum''. They have yellow pea-flowers in pendulous leafless racemes long in spring, which makes them very popular garden trees. In ''L. anagyroides'', the racemes are long, with densely packed flowers; in ''L. alpinum'' the racemes are long, but wit ...
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Retama
''Retama'' (also known as ''rotem'', he, רותם) is a genus of flowering bushes in the legume family, Fabaceae. It belongs to the broom tribe, Genisteae. ''Retama'' broom bushes are found natively in North Africa, the Levant and some parts of southern Europe. ''Retama raetam'' and ''Retama monosperma'' have white flowers, while ''Retama sphaerocarpa'' has yellow flowers. It remains an open question in taxonomy whether the members of the genus ''Retama'' should be incorporated into the genus ''Genista'' (see Genisteae). The species contain cytisine, a toxic alkaloid. In the Spanish language the name ''retama'' is commonly used for broom bushes in general, including the genus ''Retama''. Taxonomy The genus ''Retama'' was erected in 1838 by Constantine Samuel Rafinesque, the genus name being derived from the Arabic name. Rafinesque noted that the genus had been included in other genera, including ''Spartium'', ''Cytisus'' and ''Genista'', but he regarded it as distinct. The ...
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Smoking Cessation
Smoking cessation, usually called quitting smoking or stopping smoking, is the process of discontinuing tobacco smoking. Tobacco smoke contains nicotine, which is addictive and can cause dependence. As a result, nicotine withdrawal often makes the process of quitting difficult. Smoking is the leading cause of preventable death and a global public health concern. Tobacco use leads most commonly to diseases affecting the heart and lungs, with smoking being a major risk factor for heart attacks, strokes, chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), emphysema, and various types and subtypes of cancers (particularly lung cancer, cancers of the oropharynx, larynx, and mouth, esophageal and pancreatic cancer). Smoking cessation significantly reduces the risk of dying from smoking-related diseases. In the United States, about 70% of smokers would like to quit smoking, and 50% report having made an attempt to do so in the past year. Many strat ...
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WebMD
WebMD is an American corporation known primarily as an online publisher of news and information pertaining to human health and well-being. The site includes information pertaining to drugs. It is one of the top healthcare websites. It was founded in 1998 by internet entrepreneur Jeff Arnold. In early 1999, it was part of a three way merger with Sapient Health Network (SHN) and Direct Medical Knowledge (DMK). SHN began in Portland, Oregon, in 1996 by Jim Kean, Bill Kelly, and Kris Nybakken, who worked together at a CD-ROM publishing firm, Creative Multimedia. Later in 1999, WebMD merged with Healtheon, founded by Netscape Communications founder James H. Clark. Traffic During March 2020, WebMD's network of websites reached more unique visitors each month than any other leading private or government healthcare website, making it the leading health publisher in the United States. In the fourth quarter of 2016, WebMD recorded an average of 179.5 million unique users per month, and ...
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Meta-analysis
A meta-analysis is a statistical analysis that combines the results of multiple scientific studies. Meta-analyses can be performed when there are multiple scientific studies addressing the same question, with each individual study reporting measurements that are expected to have some degree of error. The aim then is to use approaches from statistics to derive a pooled estimate closest to the unknown common truth based on how this error is perceived. Meta-analytic results are considered the most trustworthy source of evidence by the evidence-based medicine literature.Herrera Ortiz AF., Cadavid Camacho E, Cubillos Rojas J, Cadavid Camacho T, Zoe Guevara S, Tatiana Rincón Cuenca N, Vásquez Perdomo A, Del Castillo Herazo V, & Giraldo Malo R. A Practical Guide to Perform a Systematic Literature Review and Meta-analysis. Principles and Practice of Clinical Research. 2022;7(4):47–57. https://doi.org/10.21801/ppcrj.2021.74.6 Not only can meta-analyses provide an estimate of the un ...
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Drug Withdrawal
Drug withdrawal, drug withdrawal syndrome, or substance withdrawal syndrome, is the group of symptoms that occur upon the abrupt discontinuation or decrease in the intake of pharmaceutical or recreational drugs. In order for the symptoms of withdrawal to occur, one must have first developed a form of drug dependence. This may occur as physical dependence, psychological dependence or both. Drug dependence develops from consuming one or more substances over a period of time. Dependence arises in a dose-dependent manner and produces withdrawal symptoms that vary with the type of drug that is consumed. For example, prolonged use of an antidepressant medication is likely to cause a rather different reaction when discontinued compared to discontinuation of an opioid, such as heroin. Withdrawal symptoms from opiates include anxiety, sweating, vomiting, and diarrhea. Alcohol withdrawal symptoms include irritability, fatigue, shaking, sweating, and nausea. Withdrawal from nicotine can ...
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Half-life
Half-life (symbol ) is the time required for a quantity (of substance) to reduce to half of its initial value. The term is commonly used in nuclear physics to describe how quickly unstable atoms undergo radioactive decay or how long stable atoms survive. The term is also used more generally to characterize any type of exponential (or, rarely, non-exponential) decay. For example, the medical sciences refer to the biological half-life of drugs and other chemicals in the human body. The converse of half-life (in exponential growth) is doubling time. The original term, ''half-life period'', dating to Ernest Rutherford's discovery of the principle in 1907, was shortened to ''half-life'' in the early 1950s. Rutherford applied the principle of a radioactive element's half-life in studies of age determination of rocks by measuring the decay period of radium to lead-206. Half-life is constant over the lifetime of an exponentially decaying quantity, and it is a characteristic unit for ...
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Systematic Review
A systematic review is a Literature review, scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from published studies on the topic, then analyzes, describes, and summarizes interpretations into a refined conclusion. For example, a systematic review of randomized controlled trials is a way of summarizing and implementing evidence-based medicine. While a systematic review may be applied in the Biomedical research, biomedical or health care context, it may also be used where an assessment of a precisely defined subject can advance understanding in a field of research. A systematic review may examine clinical tests, public health interventions, environmental interventions, social interventions, adverse effects, qualitative evidence syntheses, methodological reviews, policy reviews, and economic evaluations. An understanding of systematic review ...
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