The Opioid Epidemic as a Watershed Moment for Physician Training in Addiction Medicine

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...

Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...

Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...

The comparability between linear and angular velocities, linear and angular accelerations, and the kinematic equations of translational and rotational motion can be extended to the concept of inertia.
If a rigid body is rotating about an axis but is not in translational motion, its translational kinetic energy is zero. However, since each particle undergoes rotational motion, it possesses non-zero velocity and kinetic energy. Thus, the kinetic energy of the rigid body, which is the sum of the...

In mechanics, the product of inertia and moments of inertia of area help to calculate the stability and performance of various structures and components. The coordinate transformation relations are used to calculate the moments and products of inertia for an area about the inclined axes. Further, the moments and products of inertia with respect to the principal axes can be determined using the moments and products of inertia about the inclined axes.
The principal moment of inertia axes are the...