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What happens when a service member in the US military gets sick? Do they get sick days or time off? Or are they expected to simply push through it?
The US military has a good medical system.Every unit has a designated person you report to when you need to go on sick call. (I am going to use Army terms here but the other services work pretty much the same way.) It could be the Charge of Quarters, the company clerk, the first sergeant, one of the platoon sergeants…on your first day in the unit, they tell you who you get sick slips from.The designated person fills out DD Form 689 on you. This is what it looks like:http://glwach.amedd.army.mil/victoryclinic/documents/IndividualSickSlip_dd689.pdfYou then report to your primary medical facility. If you’re in a combat arms unit, it’ll have its own battalion aid station and you’ll go there. If you’re in a support unit, they have Troop Medical Clinics, or “TMCs,” that serve several units. You go there and are treated in the order of your arrival. At the end of your visit you can receive one of five “dispositions”: duty (you go back to work because you’re not that sick), quarters if you’re not on a ship or sick bay if you are (too sick to work, not sick enough to go to the hospital), the hospital on your base (you’re really sick), or “other” which can be a lot of different things - convalescent leave, getting sent to a centralized hospital because you have something your base’s hospital can’t treat, or - if you are bad enough off - you can be referred to the Medical Evaluation Board, who will assess your condition and make recommendations to the Physical Evaluation Board as to whether to reassign you to a different unit and leave you in the same job, retrain you into a different job or medically retire you.
What are the publicly available data sets for credit scoring?
What are the publicly available data sets for credit scoringThe best and fastest possible way to get your credit repaired fast is to contact a professional credit repair personnel to assist you in getting your credit fixed in real time, There are obviously many steps to apply when fixing credit on your own. I would recommend you reach out to George Gibbs here on quora and contact him via email in his bio, He is so effective and professional. I got my credit fixed very fast with his help and he has been helping so many people too and I would recommend you reach out to him today.Exploratory Analysis and Data TransformationsThe first step in any analysis is to obtain the dataset and codebook. Both the dataset and the codebook can be downloaded for free from the UCI website. A quick review of the codebook shows that all of the values in the dataset have been converted to meaningless symbols to protect the confidentiality of the data. This will still suit our purposes as a demonstration dataset since we are not using the data to develop actual credit screening criteria. However, to make it easier to work with the dataset, I gave the variables working names based on the type of data.Once the dataset is loaded, we’ll use the str() function to quickly understand the type of data in the dataset. This function only shows the first few values for each column so there may be surprises deeper in the data but it’s a good start. Here you can see the names assigned to the variables. The first 15 variables are the credit application attributes. The Approved variable is the credit approval status and target value.Using the output below, we can see that the outcome values in Approved are ‘+’ or ‘-’ for whether credit had been granted or not. These character symbols aren’t meaningful as is so will need to be transformed. Turning the ‘+’ to a ‘1’ and the ‘-’ to a ‘0’ will help with classification and logistic regression models later in the analysis.'data.frame': 689 obs. of 16 variables: $ Male : num 1 1 0 0 0 0 1 0 0 0 ... $ Age : chr "58.67" "24.50" "27.83" "20.17" ... $ Debt : num 4.46 0.5 1.54 5.62 4 ... $ Married : chr "u" "u" "u" "u" ... $ BankCustomer : chr "g" "g" "g" "g" ... $ EducationLevel: chr "q" "q" "w" "w" ... $ Ethnicity : chr "h" "h" "v" "v" ... $ YearsEmployed : num 3.04 1.5 3.75 1.71 2.5 ... $ PriorDefault : num 1 1 1 1 1 1 1 1 1 0 ... $ Employed : num 1 0 1 0 0 0 0 0 0 0 ... $ CreditScore : num 6 0 5 0 0 0 0 0 0 0 ... $ DriversLicense: chr "f" "f" "t" "f" ... $ Citizen : chr "g" "g" "g" "s" ... $ ZipCode : chr "00043" "00280" "00100" "00120" ... $ Income : num 560 824 3 0 0 ... $ Approved : chr "+" "+" "+" "+" ... Data TransformationsAs previously mentioned the binary values, such as Approved, need to be converted to 1s and 0s. We’ll need to do additional transformations such as filling in missing values. That process begins by first identifying which values are missing and then determining the best way to address them. We can remove them, zero them out, or estimate a plug value. A scan through the dataset shows that missing values are labeled with ‘?’. For each variable, we’ll convert the missing values to NA which R will interpret differently than a character value.Continuous Values (Linear Regression and Descriptive Statistics)To start with, we will use the summary() function to see the descriptive statistics of the numeric values such as min, max, mean, and median. The range is the difference between the minimum and maximum values and can be calculated from the summary() output. For the B variable, the range is 66.5 and the standard deviation is 11.9667. Age Debt YearsEmployed CreditScore Income Min. :13.75 Min. : 0.000 Min. : 0.000 Min. : 0.000 Min. : 0 1st Qu.:22.58 1st Qu.: 1.000 1st Qu.: 0.165 1st Qu.: 0.000 1st Qu.: 0 Median :28.42 Median : 2.750 Median : 1.000 Median : 0.000 Median : 5 Mean :31.57 Mean : 4.766 Mean : 2.225 Mean : 2.402 Mean : 1019 3rd Qu.:38.25 3rd Qu.: 7.250 3rd Qu.: 2.625 3rd Qu.: 3.000 3rd Qu.: 396 Max. :80.25 Max. :28.000 Max. :28.500 Max. :67.000 Max. :100000 NA's :12 [1] 11.9667 Missing ValuesWe can see from the summary output that the Debt variable has missing values that we’ll have to fill in. We could simply use the mean of all the existing values to do so. Another method would be to check the relationship among the numeric values and use a linear regression to fill them in. The table below shows the correlation between all of the variables. The diagonal correlation values equal 1.000 because each variable is perfectly correlated with itself. To read the table, we will look at the data by rows. The largest value in the first row is 0.396 meaning age is most closely correlated with YearsEmployed. Similarly, Debt is mostly correlated with YearsEmployed. Age Debt YearsEmployed CreditScore Income Age 1.000 0.202 0.396 0.186 0.019 Debt 0.202 1.000 0.301 0.271 0.122 YearsEmployed 0.396 0.301 1.000 0.327 0.053 CreditScore 0.186 0.271 0.327 1.000 0.063 Income 0.019 0.122 0.053 0.063 1.000 We can use this information to create a linear regression model between the two variables. The model produces the two coefficients below: Intercept and YearsEmployed. These coefficients are used to predict future values. The YearsEmployed coefficients is multiplied by the value for YearsEmployed and the intercept is added. (Intercept) YearsEmployed 28.446953 1.412399 In item 83, for example, the YearsEmployed value is 3. The formula is then 3 x 1.412399 + 28.446953= 32.6841489. This method was used to estimate all 12 missing values in the Age variable.Descriptive StatisticsThe next step of working with continuous variables is to standardize them or calculate the z-score. First, we use the mean and standard deviation calculated above. Then, subtract the mean from each value and, finally, divide by the standard deviation. The end result is the z-score. When we plot the histograms, the distribution looks the same but the z-scores are easier to work with because the values are measured in standard deviations instead of raw values. One thing to note is that the data is skewed to the right because the tail is longer.Now that we have an understanding of how this variable is distributed, we can compare the credit status by value of AgeNorm. We’ll use a boxplot showing the mean value for each group and the quartiles. We can tell from the boxplot, that the median of the two groups is slightly different with the age of approved applications being slightly closer to the mean than the denied applications. We can also see that the interquartile range is greater on the ‘Approved’ than the others. We can interpret these facts as the credit applicants with lower Age values are less likely to be granted credit, however there are several outlying applicants with high values that still were not granted credit.We did similar transformations on the other continuous variables and then plotted them. From the boxplots, we can see the distribution is different between the variables. Income has the least amount of variance because the boxes are tightly grouped about the mean. By examining the histograms we can see that the data is skewed to the right meaning the median is less than the mean. The datasets could be good candidates for logarithmic transformation.The charts below show the continuous variables after first taking the log of each value, and then converting it to normalized value similar to above. The boxplots seem to add more informational value now because for each dataset the mean of the approved applications is further distributed from the mean of those denied. This difference will help the classifier algorithm to distinguish between the values later. We should specifically notice for the IncomeLog and CreditScoreLog variables that the applicants that did not receive credit were still heavily skewed to the right when compared to those that were granted credit. This means that a low IncomeLog or CreditScoreLog score is likely a good predictor for making the application decision. We can test this observation by using the significance in the models later.Categorical Variables (Association Rules)We will now work with categorical values in column Male. The data is distributed across factors ‘1’ and ‘0’ plus 12 of them are missing values. Again, the missing values will not work well in classifier models so we’ll need to fill in them in. The simplest way to do so is to use the most common value. For example, since the ‘0’ factor is the most common, we could replace all missing values with ‘o’. 0 1 479 210 A more complex method, and perhaps accurate method, would be to use association rules to estimate the missing values. Association rules look at the different combinations of values that each of the rows can take and then provides a method for determining the most likely or least likely state. As an example, row 248 is missing a value for the ‘Male’ column and we want to use rules to determine the most likely value it would have. We would look at the values in the other columns: Married = u, BankCustomer = g, and EducationLevel = c et cetera and then look to all of the other rows to find the combination that most clearly matches those in row 248. In set notation the rule would look like this: {u,g,c} => {1}. The apriori algorithm can be used to generate the rules or combinations and then select the best one based on a few key metrics.Support: Support is how often the left hand side of the rule occurs in the dataset. In our example above, we would count how many times {u,g,c} occurs and divide by the total number of transactions.Confidence: Confidence measures how often a rule is true. First, we find the subset of all transactions that contain {u,g,c}. Of this subset, we then count the number of transactions that match the right hand side of rule, or {1}. The confidence ratio is calculated by taking the number of times the rule is true and dividing it by the number of times the left hand side occurs.The rule that fits this example best is when EducationLevel = c, then Male = 0. Hence, we plug ‘0’ into the Male value for this row. lhs rhs support confidence lift 1 {EducationLevel=c} => {Male=0} 0.1545319 0.7647059 1.099673 Develop Research QuestionsIs there a correlation between Age, Income, Credit Score, and Debt levels and the credit approval status? Can this relationship be used to predict if a person is granted credit? If yes, does the relationship indicate reasonable risk management strategies?Ethnicity is a protected status and the decision to approve or deny an application cannot be based on the applicant’s ethnicity.Is there a statistically significant difference in how credit is granted between ethnicities that could indicate bias or discrimination? Contrarily, could the difference indicate a business opportunity?Generate Analytic ModelsIn order to prepare and apply a model to this dataset, we’ll first have to break it into two subsets. The first will be the training set on which we will develop the model. The second will be the test dataset which we will use to test the accuracy of our model. We will allocate 75% of the items to Training and 25% items to the Test set.Once our dataset has been split, we can establish a baseline model for predicting whether a credit application will be approved. This baseline model will be used as a benchmark to determine how effective the models are. First, we determine the percentage of credit card applications that were approved in the training set: There are 517 applications and 287 or 56% of which were denied. Since more applications were denied than were approved, our baseline model will predict that all applications were denied. This simple model would be correct 56% of the time. Our models have to be more accurate than 56% to add value to the business. 0 1 287 230 Logistic RegressionCreate the ModelRegression models are useful for predicting continuous (numeric) variables. However, the target value in Approved is binary and can only be values of 1 or 0. The applicant can either be issued a credit card or denied- they cannot receive a partial credit card. We could use linear regression to predict the approval decision using threshold and anything below assigned to 0 and anything above is assigned to 1. Unfortunately, the predicted values could be well outside of the 0 to 1 expected range. Therefore, linear or multivariate regression will not be effective for predicting the values. Instead, logistic regression will be more useful because it will produce probability that the target value is 1. Probabilities are always between 0 and 1 so the output will more closely match the target value range than linear regression.The model summary shows that the p-values for each coefficient. Alongside these coefficients, the summary gives R’s usual at-a-glance scale of asterisks for significance. Using this scale, we can see that the coefficients for AgeNorm and Debt3 are not significant. We can likely simplify the model by removing these two variables and get nearly the same accuracy.Call: glm(formula = Approved ~ AgeNorm + DebtLog + YearsEmployedLog + CreditScoreLog + IncomeLog, family = binomial, data = Train) Deviance Residuals: Min 1Q Median 3Q Max -2.4345 -0.7844 -0.4906 0.7212 2.1822 Coefficients: Estimate Std. Error z value Pr(>|z|) (Intercept) -0.13120 0.11197 -1.172 0.241315 AgeNorm 0.01151 0.11721 0.098 0.921797 DebtLog 0.10338 0.11517 0.898 0.369364 YearsEmployedLog 0.70361 0.12782 5.505 3.70e-08 *** CreditScoreLog 1.03286 0.13884 7.439 1.01e-13 *** IncomeLog 0.46008 0.11970 3.844 0.000121 *** --- Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 (Dispersion parameter for binomial family taken to be 1) Null deviance: 710.42 on 516 degrees of freedom Residual deviance: 508.93 on 511 degrees of freedom AIC: 520.93 Number of Fisher Scoring iterations: 5 The confusion matrix shows the distribution of actual values and predicted values. The top left value is the number of observations correctly predicted as denied credit and the bottom right is the number of observations correctly predicted as credit granted. The other values are the false positive and false negative values. Of the 517 observations, the model correctly predicted 398 approval decisions (249 + 149) or about 77% accuracy. Already, we can see that we have improved on the baseline model and improved our accuracy by 21%. We can use this matrix to compare the results of the model after removing the non-significant variables. FALSE TRUE 0 249 38 1 81 149 As noted above, the model can be simplified by removing the AgeNorm and Debt3 variables. The three remaining numerical values are highly significant with low p-values. We interpret these significance codes as being very useful in predicting the credit approval status.Call: glm(formula = Approved ~ YearsEmployedLog + CreditScoreLog + IncomeLog, family = binomial, data = Train) Deviance Residuals: Min 1Q Median 3Q Max -2.4186 -0.7643 -0.4906 0.7161 2.1198 Coefficients: Estimate Std. Error z value Pr(>|z|) (Intercept) -0.1341 0.1117 -1.200 0.229964 YearsEmployedLog 0.7243 0.1229 5.891 3.83e-09 *** CreditScoreLog 1.0370 0.1382 7.503 6.26e-14 *** IncomeLog 0.4633 0.1197 3.869 0.000109 *** --- Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 (Dispersion parameter for binomial family taken to be 1) Null deviance: 710.42 on 516 degrees of freedom Residual deviance: 509.77 on 513 degrees of freedom AIC: 517.77 Number of Fisher Scoring iterations: 5 The confusion matrix from this revised model is very close to the earlier version. The model has correctly predicted 387 items which is only 12 fewer than before. The accuracy is comparable – 75% vs. 77% – and the model is simpler. FALSE TRUE 0 246 41 1 79 151 We’ve simplified the model intuitively by removing AgeNorm and Debt3 but we can accomplish the same process algorithmically by calling the step() function. This function simplifies a given model by removing variables with the lowest AIC value. The resulting formula is the same as we intuitively selected earlier so we can be confident the model was optimized to be simple and still provide the most information.Approved ~ YearsEmployedLog + CreditScoreLog + IncomeLog Apply the ModelWe’ll use the simplified model created above and apply it to the Test dataset to determine how effective it is. Using a confusion matrix again, we can see that the logistic regression model has predicted 135 of 172 observations for 72% accuracy. FALSE TRUE 0 80 16 1 21 55 Classification and Regression TreeCreate the ModelClassification and Regression Trees (CART) can be used for similar purposes as logistic regression. They both can be used to classify items in a dataset to a binary class attribute. The trees work by splitting the dataset at series of nodes that eventually segregates the data into the target variable. The models are sometimes referred to as decision trees because at each node the model determines which path the item should take. They have an advantage over logarithmic regression models in that the splits or decision are more easily interpreted than a collection of numerical coefficients and logarithmic scores.The model split the training dataset at PriorDefault variable. If the value in PriorDefault is f or false, then the target value will most likely be 0. If the value is true, then the target will most likely be 1.n= 517 node), split, n, loss, yval, (yprob) * denotes terminal node 1) root 517 230 0 (0.55512573 0.44487427) 2) PriorDefault=0 247 16 0 (0.93522267 0.06477733) * 3) PriorDefault=1 270 56 1 (0.20740741 0.79259259) * The confusion matrix resulting from this CART model shows that we correctly classified 231 denied credit applications and 214 approved applications. The accuracy score for this model is 86.1% which is better than the 75% accuracy the logistic regression model scored and significantly better than the baseline model. FALSE TRUE 0 231 56 1 16 214 Apply the Model We’ll now apply our classifier model to the test dataset and determine how effective it is. Our confusion matrix shows 144 items were correctly predicted for 83% accuracy. We can see that this model is both more effective and easier to interpret than the logistic regression model. FALSE TRUE 0 75 21 1 7 69 Ensemble the ModelsA combination of models can generally perform better than a single model. This is referred to as ensembling. By combining the logistic regression and classification tree, we may be able to improve the classification accuracy. Both models generated a probability that a credit application would be approved. We can combine these models by taking the average of the probability for each. Overall, the ensembled model is slightly more accurate that the individual models with an accuracy of 84%. The difference is that the false positives rate (top right of the confusion matrix) is less than the logarithmic regression model and the false negative rate (lower left) is greater. If this model is used to detect audit exceptions, a lower false positive rate means that less potential exceptions may be flagged for review. The ensembled model flags more transactions for review than the logarithmic regression model. FALSE TRUE 0 82 14 1 13 63 Interpret the Model and Research Questions AnsweredNow that we’ve built a model, we can use the model to explain and understand how the business is operating. We’ll start by looking at the results of the logistic regression model. There were 3 significant numeric variables- YearsEmployedLog, CreditScoreLog, and IncomeLog. Remember that these 3 variables are the logarithmic transformations of YearsEmployed, CreditScore, and Income. The other numeric variables fed into the model did not have a significant impact on the approval decision. This means that Age and Debt did not have an influence on the final credit approval outcome. The company’s behavior is not expected. We’d expect that the amount of outstanding debt an applicant has should influence if more credit is granted. Looking at the coefficients for the 3 variables, we can see that they are all positive. This means that the probability of getting approved for a credit card increases as the values for YearsEmployedLog, CreditScoreLog and IncomeLog increase. These relationships make sense for a credit application so there’s no exception taken.While we’d expect Ethnicity does not have an impact on the approval decision, we can do a simple Chi-Squared test to gain additional confidence for compliance testing. The Chi Squared is a test for independence between two variables. In this case, we are testing to be sure approval count is independent of the Ethnicity. The null hypothesis is that Ethnicity and Approved values are independent. The resulting p-value is less than 0.05 so we cannot reject the null hypothesis.Source: local data frame [9 x 3] Ethnicity Freq Approved 1 v 407 172 2 bb 59 25 3 dd 6 2 4 ff 57 8 5 h 138 87 6 j 8 3 7 n 4 2 8 o 2 1 9 z 8 6
What are the effects of long term adderall use?
Therapeutic PO doses of L and D amphetamine do not pose any significant long term risks if taken as directed for the appropriate condition in terms of the literature I have read in peer reviewed studies from academic journals:Potential Adverse Effects of Amphetamine Treatment on Brain and Behavior: A Review==========================================================I have been on methylphenidate, Adderral, Dexedrine and lisdexamphetamine for over twenty years. (separately) and while my experience is entirely anecdotal with a pretty small sample size and no control………The benefits of being able to function outweigh any potential long term risks for me.My concern when I was put on both methylphenidate and Mirapex (a dopamine agonist) together whether the increase in dopamine activity might trigger Parkinson’s or some other horrible issue. 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ASDA standards of practice.[Sleep. 1994]Relative efficacy of drugs for the treatment of sleepiness in narcolepsy.[Sleep. 1991]Review NTP-CERHR monograph on the potential human reproductive and developmental effects of amphetamines.[NTP CERHR MON. 2005]Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder.[Pediatrics. 2001]Side effects of methylphenidate and dexamphetamine in children with attention deficit hyperactivity disorder: a double-blind, crossover trial.[Pediatrics. 1997]Pharmacokinetics of SLI381 (ADDERALL XR), an extended-release formulation of Adderall.[J Am Acad Child Adolesc Psychiatry. 2003]Review Cardiovascular manifestations of substance abuse: part 2: alcohol, amphetamines, heroin, cannabis, and caffeine.[Heart Dis. 2003]Review Concomitant psychotropic medication for youths.[Am J Psychiatry. 2003]Multiple psychotropic medication use for youths: a two-state comparison.[J Child Adolesc Psychopharmacol. 2005]Review Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. 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Serial behavior and motor responses.[Psychopharmacology (Berl). 1979]Review Therapeutic advances in narcolepsy.[Sleep Med. 2007]Review Drugs of abuse and the aging brain.[Neuropsychopharmacology. 2008]Substance abuse treatment need among older adults in 2020: the impact of the aging baby-boom cohort.[Drug Alcohol Depend. 2003]Review Current research on methamphetamine-induced neurotoxicity: animal models of monoamine disruption.[J Pharmacol Sci. 2003]Amphetamine sensitization alters dendritic morphology in prefrontal cortical pyramidal neurons in the non-human primate.[Neuropsychopharmacology. 2007]Review Interactions between methamphetamine and environmental stress: role of oxidative stress, glutamate and mitochondrial dysfunction.[Addiction. 2007]Escalating dose-binge treatment with methylphenidate: role of serotonin in the emergent behavioral profile.[J Pharmacol Exp Ther. 1999]Methylphenidate and brain dopamine neurotoxicity.[Brain Res. 1997]Hippocampus norepinephrine, caudate dopamine and serotonin, and behavioral responses to the stereoisomers of amphetamine and methamphetamine.[J Neurosci. 1995]Chemical release of dopamine from striatal homogenates: evidence for an exchange diffusion model.[J Pharmacol Exp Ther. 1979]Repeated binge exposures to amphetamine and methamphetamine: behavioral and neurochemical characterization.[J Pharmacol Exp Ther. 1997]Recovery of striatal dopamine function after acute amphetamine- and methamphetamine-induced neurotoxicity in the vervet monkey.[Brain Res. 1997]Early methylphenidate administration to young rats causes a persistent reduction in the density of striatal dopamine transporters.[J Child Adolesc Psychopharmacol. 2001]Repeated binge exposures to amphetamine and methamphetamine: behavioral and neurochemical characterization.[J Pharmacol Exp Ther. 1997]Amphetamine treatment similar to that used in the treatment of adult attention-deficit/hyperactivity disorder damages dopaminergic nerve endings in the striatum of adult nonhuman primates.[J Pharmacol Exp Ther. 2005]Differential effects of methylphenidate and dextroamphetamine on the motor activity level of hyperactive children.[Neuropsychopharmacology. 1989]Pharmacokinetics of SLI381 (ADDERALL XR), an extended-release formulation of Adderall.[J Am Acad Child Adolesc Psychiatry. 2003]Amphetamine treatment similar to that used in the treatment of adult attention-deficit/hyperactivity disorder damages dopaminergic nerve endings in the striatum of adult nonhuman primates.[J Pharmacol Exp Ther. 2005]Pharmacokinetics of SLI381 (ADDERALL XR), an extended-release formulation of Adderall.[J Am Acad Child Adolesc Psychiatry. 2003]A pharmacokinetic/pharmacodynamic study comparing a single morning dose of adderall to twice-daily dosing in children with ADHD.[J Am Acad Child Adolesc Psychiatry. 2003]Repeated binge exposures to amphetamine and methamphetamine: behavioral and neurochemical characterization.[J Pharmacol Exp Ther. 1997]Review Interactions between methamphetamine and environmental stress: role of oxidative stress, glutamate and mitochondrial dysfunction.[Addiction. 2007]Effects of neonatal and prepubertal hormonal manipulations upon estrogen neuroprotection of the nigrostriatal dopaminergic system within female and male mice.[Neuroscience. 2005]Effects of a cold environment or age on methamphetamine-induced dopamine release in the caudate putamen of female rats.[Pharmacol Biochem Behav. 1993]Age-related toxicity in prefrontal cortex and caudate-putamen complex of gerbils (Meriones unguiculatus) after a single dose of methamphetamine.[Neuropharmacology. 1991]3H-amphetamine concentrations in the brains of young and aged rats: implications for assessment of drug effects in aged animals.[Neurobiol Aging. 1980]Escalating dose pretreatment induces pharmacodynamic and not pharmacokinetic tolerance to a subsequent high-dose methamphetamine binge.[Synapse. 2006]Escalating dose methamphetamine pretreatment alters the behavioral and neurochemical profiles associated with exposure to a high-dose methamphetamine binge.[Neuropsychopharmacology. 2003]Escalating dose pretreatment induces pharmacodynamic and not pharmacokinetic tolerance to a subsequent high-dose methamphetamine binge.[Synapse. 2006]Influence of age and time interval between death and autopsy on dopamine and 3-methoxytyramine levels in human basal ganglia.[J Neural Transm. 1976]Review Update on amphetamine neurotoxicity and its relevance to the treatment of ADHD.[J Atten Disord. 2007]Repeated binge exposures to amphetamine and methamphetamine: behavioral and neurochemical characterization.[J Pharmacol Exp Ther. 1997]Recovery of striatal dopamine function after acute amphetamine- and methamphetamine-induced neurotoxicity in the vervet monkey.[Brain Res. 1997]Review NTP-CERHR monograph on the potential human reproductive and developmental effects of amphetamines.[NTP CERHR MON. 2005]Review Growth on stimulant medication; clarifying the confusion: a review.[Arch Dis Child. 2005]Comparative effects of methylphenidate and mixed salts amphetamine on height and weight in children with attention-deficit/hyperactivity disorder.[J Am Acad Child Adolesc Psychiatry. 2006]Does prolonged therapy with a long-acting stimulant suppress growth in children with ADHD?[J Am Acad Child Adolesc Psychiatry. 2006]Effects of stimulant medication on growth rates across 3 years in the MTA follow-up.[J Am Acad Child Adolesc Psychiatry. 2007]Comparative effects of methylphenidate and mixed salts amphetamine on height and weight in children with attention-deficit/hyperactivity disorder.[J Am Acad Child Adolesc Psychiatry. 2006]Stimulant treatment over 5 years: effects on growth.[J Am Acad Child Adolesc Psychiatry. 2006]Effects of stimulant medication on growth rates across 3 years in the MTA follow-up.[J Am Acad Child Adolesc Psychiatry. 2007]Does prolonged therapy with a long-acting stimulant suppress growth in children with ADHD?[J Am Acad Child Adolesc Psychiatry. 2006]Stimulant-related reductions of growth rates in the PATS.[J Am Acad Child Adolesc Psychiatry. 2006]Review NTP-CERHR monograph on the potential human reproductive and developmental effects of amphetamines.[NTP CERHR MON. 2005]Review Treatment for amphetamine dependence and abuse.[Cochrane Database Syst Rev. 2001]Review Biological treatments for amfetamine dependence : recent progress.[CNS Drugs. 2007]Use of d-amphetamine and related central nervous system stimulants in children.[Pediatrics. 1973]Why do we need an Addiction supplement focused on methamphetamine?[Addiction. 2007]Review NTP-CERHR monograph on the potential human reproductive and developmental effects of amphetamines.[NTP CERHR MON. 2005]Analysis of pyrolysis products of methamphetamine.[J Anal Toxicol. 2004]Stimulant use and the potential for abuse in Wisconsin as reported by school administrators and longitudinally followed children.[J Dev Behav Pediatr. 1998]The use, misuse and diversion of prescription stimulants among middle and high school students.[Subst Use Misuse. 2004]Medical use, illicit use and diversion of prescription stimulant medication.[J Psychoactive Drugs. 2006]Medical use, illicit use, and diversion of abusable prescription drugs.[J Am Coll Health. 2006]Medical and nonmedical stimulant use among adolescents: from sanctioned to unsanctioned use.[CMAJ. 2001]Issues of medication administration and control in Iowa schools.[J Sch Health. 2003]Parents report on stimulant-treated children in the Netherlands: initiation of treatment and follow-up care.[J Child Adolesc Psychopharmacol. 2006]Review Therapeutic advances in narcolepsy.[Sleep Med. 2007]Review Narcolepsy.[Neurol Clin. 1996]Reinforcing, subject-rated, performance and physiological effects of methylphenidate and d-amphetamine in stimulant abusing humans.[J Psychopharmacol. 2004]Review Comparing the abuse potential of methylphenidate versus other stimulants: a review of available evidence and relevance to the ADHD patient.[J Clin Psychiatry. 2003]Discriminative stimulus and self-reported effects of methylphenidate, d-amphetamine, and triazolam in methylphenidate-trained humans.[Exp Clin Psychopharmacol. 2005]PET study examining pharmacokinetics, detection and likeability, and dopamine transporter receptor occupancy of short- and long-acting oral methylphenidate.[Am J Psychiatry. 2006]Review When ADHD and substance use disorders intersect: relationship and treatment implications.[Curr Psychiatry Rep. 2007]Do individuals with ADHD self-medicate with cigarettes and substances of abuse? Results from a controlled family study of ADHD.[Am J Addict. 2007]Prospective study of tobacco smoking and substance dependencies among samples of ADHD and non-ADHD participants.[J Learn Disabil. 1998]Review Long-term effects of stimulant medications on the brain: possible relevance to the treatment of attention deficit hyperactivity disorder.[J Child Adolesc Psychopharmacol. 2001]Review When ADHD and substance use disorders intersect: relationship and treatment implications.[Curr Psychiatry Rep. 2007]Does stimulant therapy of attention-deficit/hyperactivity disorder beget later substance abuse? A meta-analytic review of the literature.[Pediatrics. 2003]Medical use, illicit use and diversion of prescription stimulant medication.[J Psychoactive Drugs. 2006]Exposure of adolescent rats to oral methylphenidate: preferential effects on extracellular norepinephrine and absence of sensitization and cross-sensitization to methamphetamine.[J Neurosci. 2002]Early developmental exposure to methylphenidate reduces cocaine-induced potentiation of brain stimulation reward in rats.[Biol Psychiatry. 2005]Enhanced reactivity and vulnerability to cocaine following methylphenidate treatment in adolescent rats.[Neuropsychopharmacology. 2001]Age of methylphenidate treatment initiation in children with ADHD and later substance abuse: prospective follow-up into adulthood.[Am J Psychiatry. 2008]Review The adolescent brain and age-related behavioral manifestations.[Neurosci Biobehav Rev. 2000]Amygdala circuitry in attentional and representational processes.[Trends Cogn Sci. 1999]The locomotor effects of MK801 in the nucleus accumbens of developing and adult rats.[Eur J Pharmacol. 1999]Development of the dopaminergic innervation in the prefrontal cortex of the rat.[J Comp Neurol. 1988]Postnatal development of D1 dopamine receptors in the medial prefrontal cortex, striatum and nucleus accumbens of normal and neonatal 6-hydroxydopamine treated rats: a quantitative autoradiographic analysis.[Brain Res Dev Brain Res. 1991]Review The development of the rat prefrontal cortex. Its size and development of connections with thalamus, spinal cord and other cortical areas.[Prog Brain Res. 1990]Effects of neural stimuli on paraventricular nucleus neurones.[Brain Res Bull. 1985]Subsensitivity to dopaminergic drugs in periadolescent rats: a behavioral and neurochemical analysis.[Brain Res Dev Brain Res. 1998]Augmentation of prefrontal cortical monoaminergic activity inhibits dopamine release in the caudate nucleus: an in vivo neurochemical assessment in the rhesus monkey.[Neuroscience. 1995]Plasma and brain methamphetamine concentrations in neonatal rats.[Neurotoxicol Teratol. 2001]Neurochemical consequences following administration of CNS stimulants to the neonatal rat.[Pharmacol Biochem Behav. 1981]Review Critical periods of vulnerability for the developing nervous system: evidence from humans and animal models.[Environ Health Perspect. 2000]Developmental dissociation of methamphetamine-induced depletion of dopaminergic terminals and astrocyte reaction in rat striatum.[Brain Res Dev Brain Res. 1993]Age-dependent differential responses of monoaminergic systems to high doses of methamphetamine.[J Neurochem. 2000]Tolerance to the neurotoxic effects of methamphetamine in young rats.[Eur J Pharmacol. 2002]Stimulant therapy and risk for subsequent substance use disorders in male adults with ADHD: a naturalistic controlled 10-year follow-up study.[Am J Psychiatry. 2008]Age of methylphenidate treatment initiation in children with ADHD and later substance abuse: prospective follow-up into adulthood.[Am J Psychiatry. 2008]Review Abuse of amphetamines and structural abnormalities in the brain.[Ann N Y Acad Sci. 2008]Psychiatric comorbidity of methamphetamine dependence in a forensic sample.[J Neuropsychiatry Clin Neurosci. 2000]Association of dopamine transporter reduction with psychomotor impairment in methamphetamine abusers.[Am J Psychiatry. 2001]Methamphetamine blood concentrations in human abusers: application to pharmacokinetic modeling.[Synapse. 2007]Review Structural and metabolic brain changes in the striatum associated with methamphetamine abuse.[Addiction. 2007]Review Current research on methamphetamine-induced neurotoxicity: animal models of monoamine disruption.[J Pharmacol Sci. 2003]Why is parkinsonism not a feature of human methamphetamine users?[Brain. 2004]Striatal dopamine nerve terminal markers in human, chronic methamphetamine users.[Nat Med. 1996]Reduced striatal vesicular monoamine transporters after neurotoxic but not after behaviorally-sensitizing doses of methamphetamine.[Eur J Pharmacol. 1997]Analysis of VMAT2 binding after methamphetamine or MPTP treatment: disparity between homogenates and vesicle preparations.[J Neurochem. 2000]Effects of dopaminergic drug treatments on in vivo radioligand binding to brain vesicular monoamine transporters.[Nucl Med Biol. 1996]The vesicular monoamine transporter is not regulated by dopaminergic drug treatments.[Eur J Pharmacol. 1995]Review Structural and metabolic brain changes in the striatum associated with methamphetamine abuse.[Addiction. 2007]Mood disturbances and regional cerebral metabolic abnormalities in recently abstinent methamphetamine abusers.[Arch Gen Psychiatry. 2004]Changes in cerebral glucose metabolism during early abstinence from chronic methamphetamine abuse.[Mol Psychiatry. 2008]Higher cortical and lower subcortical metabolism in detoxified methamphetamine abusers.[Am J Psychiatry. 2001]Partial recovery of brain metabolism in methamphetamine abusers after protracted abstinence.[Am J Psychiatry. 2004]Structural abnormalities in the brains of human subjects who use methamphetamine.[J Neurosci. 2004]Enlarged striatum in abstinent methamphetamine abusers: a possible compensatory response.[Biol Psychiatry. 2005]Effects of methamphetamine dependence and HIV infection on cerebral morphology.[Am J Psychiatry. 2005]Review Abuse of amphetamines and structural abnormalities in the brain.[Ann N Y Acad Sci. 2008]Evidence for long-term neurotoxicity associated with methamphetamine abuse: A 1H MRS study.[Neurology. 2000]Association of dopamine transporter reduction with psychomotor impairment in methamphetamine abusers.[Am J Psychiatry. 2001]Low level of brain dopamine D2 receptors in methamphetamine abusers: association with metabolism in the orbitofrontal cortex.[Am J Psychiatry. 2001]Changes in cerebral glucose metabolism during early abstinence from chronic methamphetamine abuse.[Mol Psychiatry. 2008]Higher cortical and lower subcortical metabolism in detoxified methamphetamine abusers.[Am J Psychiatry. 2001]Mood disturbances and regional cerebral metabolic abnormalities in recently abstinent methamphetamine abusers.[Arch Gen Psychiatry. 2004]Cerebral metabolic dysfunction and impaired vigilance in recently abstinent methamphetamine abusers.[Biol Psychiatry. 2005]Enlarged striatum in abstinent methamphetamine abusers: a possible compensatory response.[Biol Psychiatry. 2005]Decreased cerebral blood flow of the right anterior cingulate cortex in long-term and short-term abstinent methamphetamine users.[Drug Alcohol Depend. 2006]Loss of dopamine transporters in methamphetamine abusers recovers with protracted abstinence.[J Neurosci. 2001]Partial recovery of brain metabolism in methamphetamine abusers after protracted abstinence.[Am J Psychiatry. 2004]Changes in cerebral glucose metabolism during early abstinence from chronic methamphetamine abuse.[Mol Psychiatry. 2008]The nature, time course and severity of methamphetamine withdrawal.[Addiction. 2005]Methamphetamine abstinence syndrome: preliminary findings.[Am J Addict. 2004]Review Brain injury: prolonged induction of transcription factors.[Acta Neurobiol Exp (Wars). 2000]Review Decision making, the P3, and the locus coeruleus-norepinephrine system.[Psychol Bull. 2005]Review Neuropsychology and neuropharmacology of P3a and P3b.[Int J Psychophysiol. 2006]Effects of repeated administration of methamphetamine on P3-like potentials in rats.[Int J Psychophysiol. 1999]Review NTP-CERHR monograph on the potential human reproductive and developmental effects of amphetamines.[NTP CERHR MON. 2005]Amphetamine treatment similar to that used in the treatment of adult attention-deficit/hyperactivity disorder damages dopaminergic nerve endings in the striatum of adult nonhuman primates.[J Pharmacol Exp Ther. 2005]Review Drugs of abuse and the aging brain.[Neuropsychopharmacology. 2008]Association between decline in brain dopamine activity with age and cognitive and motor impairment in healthy individuals.[Am J Psychiatry. 1998]Association between age-related decline in brain dopamine activity and impairment in frontal and cingulate metabolism.[Am J Psychiatry. 2000]Decreased dopamine D2 receptor availability is associated with reduced frontal metabolism in cocaine abusers.[Synapse. 1993]Review A neurologist's reflections on boxing. V. Conclude remarks.[Rev Neurol. 1995]Why is parkinsonism not a feature of human methamphetamine users?[Brain. 2004]Relationship among neuroimaging indices of cerebral health during normal aging.[Hum Brain Mapp. 2008]Developmental trajectories of brain volume abnormalities in children and adolescents with attention-deficit/hyperactivity disorder.[JAMA. 2002]A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD.[Arch Gen Psychiatry. 1999]Side effects of methylphenidate and dexamphetamine in children with attention deficit hyperactivity disorder: a double-blind, crossover trial.[Pediatrics. 1997]Effects of methylphenidate on extracellular dopamine, serotonin, and norepinephrine: comparison with amphetamine.[J Neurochem. 1997]Therapeutic doses of amphetamine or methylphenidate differentially increase synaptic and extracellular dopamine.[Synapse. 2006]Human response to repeated low-dose d-amphetamine: evidence for behavioral enhancement and tolerance.[Neuropsychopharmacology. 2001]Review Gender differences in dopaminergic function in striatum and nucleus accumbens.[Pharmacol Biochem Behav. 1999]Review Enduring changes in brain and behavior produced by chronic amphetamine administration: a review and evaluation of animal models of amphetamine psychosis.[Brain Res. 1986]Review Stimulant actions in rodents: implications for attention-deficit/hyperactivity disorder treatment and potential substance abuse.[Biol Psychiatry. 2005]Diagnosis and treatment of adult attention-deficit/hyperactivity disorder at US ambulatory care visits from 1996 to 2003.[Curr Med Res Opin. 2006]Review Dopamine and psychotic states: preliminary remarks.[Adv Biochem Psychopharmacol. 1974]Review Stimulant psychosis: systematic review.[Br J Psychiatry. 2004]A study of illicit amphetamine drug traffic in Oklahoma City.[Am J Psychiatry. 1966]The prevalence of psychotic symptoms among methamphetamine users.[Addiction. 2006][Increasing prevalence of amphetamine--and methamphetamine-induced psychosis].[Psychiatr Prax. 2005]Review Enduring changes in brain and behavior produced by chronic amphetamine administration: a review and evaluation of animal models of amphetamine psychosis.[Brain Res. 1986]Review Studies of amphetamine or methamphetamine psychosis in Japan: relation of methamphetamine psychosis to schizophrenia.[Ann N Y Acad Sci. 2000]Factors for susceptibility to episode recurrence in spontaneous recurrence of methamphetamine psychosis.[Ann N Y Acad Sci. 2002]Nine- or fewer repeat alleles in VNTR polymorphism of the dopamine transporter gene is a strong risk factor for prolonged methamphetamine psychosis.[Pharmacogenomics J. 2003]Review [Japanese Genetics Initiative for Drug Abuse (JGIDA)].[Nihon Shinkei Seishin Yakurigaku Zasshi. 2004]Review Stimulant psychosis: systematic review.[Br J Psychiatry. 2004]Review Amphetamine-induced movement disorder.[Emerg Med Australas. 2005]Review Abuse of amphetamines and structural abnormalities in the brain.[Ann N Y Acad Sci. 2008]Review NTP-CERHR monograph on the potential human reproductive and developmental effects of amphetamines.[NTP CERHR MON. 2005]Amphetamine metabolism in amphetamine psychosis.[Clin Pharmacol Ther. 1973]Epoxidation of the methamphetamine pyrolysis product, trans-phenylpropene, to trans-phenylpropylene oxide by CYP enzymes and stereoselective glutathione adduct formation.[Toxicol Appl Pharmacol. 2006]Psychotic side effects of psychostimulants: a 5-year review.[Can J Psychiatry. 1999]Adderall-induced psychosis in an adolescent.[J Am Board Fam Pract. 2002]Psychotic and manic-like symptoms during stimulant treatment of attention deficit hyperactivity disorder.[Am J Psychiatry. 2006]Nine- or fewer repeat alleles in VNTR polymorphism of the dopamine transporter gene is a strong risk factor for prolonged methamphetamine psychosis.[Pharmacogenomics J. 2003]Review [Japanese Genetics Initiative for Drug Abuse (JGIDA)].[Nihon Shinkei Seishin Yakurigaku Zasshi. 2004]Risks of high-dose stimulants in the treatment of disorders of excessive somnolence: a case-control study.[Sleep. 2005]Psychiatric morbidity in narcoleptics on chronic high dose methylphenidate therapy.[J Nerv Ment Dis. 1995]Genetic influences on DSM-III-R drug abuse and dependence: a study of 3,372 twin pairs.[Am J Med Genet. 1996]Genetic and environmental influences on drug use and abuse/dependence in male and female twins.[Drug Alcohol Depend. 1998]Review [Japanese Genetics Initiative for Drug Abuse (JGIDA)].[Nihon Shinkei Seishin Yakurigaku Zasshi. 2004]Nine- or fewer repeat alleles in VNTR polymorphism of the dopamine transporter gene is a strong risk factor for prolonged methamphetamine psychosis.[Pharmacogenomics J. 2003]An association study between catechol-O-methyl transferase gene polymorphism and methamphetamine psychotic disorder.[Psychiatr Genet. 2006]Identification of functional polymorphisms in the promoter region of the human PICK1 gene and their association with methamphetamine psychosis.[Am J Psychiatry. 2007]Dopamine transporter-dependent induction of C-Fos in HEK cells.[Synapse. 2002]Review [Japanese Genetics Initiative for Drug Abuse (JGIDA)].[Nihon Shinkei Seishin Yakurigaku Zasshi. 2004]Review Lithium and valproate protect against dextro-amphetamine induced brain choline concentration changes in bipolar disorder patients.[World J Biol Psychiatry. 2004]Nomifensine attenuates d-amphetamine-induced dopamine terminal neurotoxicity in the striatum of rats.[Chin J Physiol. 2000]Methyllycaconitine prevents methamphetamine-induced effects in mouse striatum: involvement of alpha7 nicotinic receptors.[J Pharmacol Exp Ther. 2005]Attenuation of cocaine and methamphetamine neurotoxicity by coenzyme Q10.[Neurochem Res. 2006]Baicalein attenuates methamphetamine-induced loss of dopamine transporter in mouse striatum.[Toxicology. 2006]Melatonin protects SK-N-SH neuroblastoma cells from amphetamine-induced neurotoxicity.[J Pineal Res. 2007]Impairment in consolidation of learned place preference following dopaminergic neurotoxicity in mice is ameliorated by N-acetylcysteine but not D1 and D2 dopamine receptor agonists.[Neuropsychopharmacology. 2007]Review Combining structural and functional neuroimaging data for studying brain connectivity: a review.[Psychophysiology. 2008]Review Brain mapping as a tool to study neurodegeneration.[Neurotherapeutics. 2007]Voxel-based cortical thickness measurements in MRI.[Neuroimage. 2008]A prospective cohort study on sustained effects of low-dose ecstasy use on the brain in new ecstasy users.Neuropsychopharmacology.
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