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Another oral method is to wrap up some cocaine in rolling paper and swallow ( parachute ) it. Mental effects may include loss of contact with reality, an intense feeling of happiness, or agitation. Cocaine increases alertness, feelings of well-being and euphoria, energy and motor activity, feelings of competence and sexuality. Please review the contents of the article and add the appropriate references if you can. Unsourced or poorly sourced material may be challenged and removed. Coca leaves are typically mixed with an alkaline substance (such as lime ) and chewed into a wad that is retained in the mouth between gum and cheek (much in the same as chewing tobacco is chewed) and sucked of its juices. Use is highest in North America followed by Europe and South America. (May 2016). Cocaine acts by inhibiting the reuptake of serotonin, norepinephrine, and dopamine. Recognition is necessary for self-esteem and encourages people to continue to be valuable contributors to the workplace and society. Cocaine was historically useful as a topical anesthetic in eye and nasal surgery, although it is now predominantly used for nasal and lacrimal duct surgery.
This article needs more medical references for verification or relies too heavily on primary sources. A spoon containing baking soda, cocaine, and a small amount of water. When our peers acknowledge our efforts as part of a team, and when they respect what we accomplish, this motivates us to maintain our efforts and provides us with a sense of pride which is indispensable to our psychological development. The social need to belong, as well as the need for confidence and respect, are obtained through recognition both personally and professionally. If vasoconstriction is desired for a procedure (as it reduces bleeding), the anesthetic is combined with a vasoconstrictor such as phenylephrine or epinephrine. Psychologically, humans require the social reinforcement and validation of feeling like we belong among our peers and are appreciated by them. The juices are absorbed slowly by the mucous membrane of the inner cheek and by the gastrointestinal tract when swallowed. This is mostly done with the small amounts of cocaine remaining on a surface after insufflation (snorting). When inhaled or injected, it causes a numbing effect. The gesture of recognition has the greatest meaning when it is made in public, singling out people in front of their peers and making them feel unique and consequential. One of the best ways to recognize achievements is by awarding those deserving with certificates commemorating the achievement. Cocaine has since been largely replaced in Western medicine by synthetic local anesthetics such as benzocaine, proparacaine, lidocaine, and tetracaine though it remains available for use if specified. Cocaine is addictive due to its effect on the reward pathway in the brain. When people receive certificates in a Presenta Plaque, they are immediately impressed with the quality of the plaque and the effort to make the award more special.
