A preliminary study on cocaine use in Malaysia.

Cocaine seizures in Malaysia suggest that it is being used as a transit point to ship the drug to other destinations. Traces of cocaine found in a wastewater study are the only indirect evidence of its use within the country. This study is the first to present a comprehensive and detailed evidence of cocaine use in Malaysia, albeit based on a small sample of users.

Kratom ( Korth.) Use Among Poly-Drug Users in Southeast Asia: A Systematic Review.

Kratom () is a medicinal plant in Southeast Asia. While studies continue to highlight kratom's utility among poly-drug users, its context of use and therapeutic relevance appears opaque. This review evaluated studies reporting the therapeutic benefits of kratom use among poly-drug users in Southeast Asia, as perceived by the users.

Kratom (Mitragyna speciosa) Use and Mental Health: A Systematic Review and Multilevel Meta-Analysis.

Introduction: Kratom (Mitragyna speciosa) is a medicinal tree native to Southeast Asia. The present multilevel meta-analysis describes the association between kratom use and the positive and negative indicators of mental health.

Methods: A total of thirty-six articles were included in the meta-analysis to examine the associations, using a random-effects model.

Kratom () use in a sample of drug-dependent adolescents in rehabilitation for drug use in Malaysia.

Background: Leaves derived from the Kratom () tree have been traditionally ingested for their curative properties by diverse groups of the population including people who use drugs (PWUDs) in Southeast Asia. This study investigated the motives for using kratom among drug-dependent adolescents.

Methods: Eighty adolescents who were undergoing mandatory drug rehabilitation volunteered to participate in this mixed-method, cross-sectional study.

Advancing Healthcare: Synergizing Biosensors and Machine Learning for Early Cancer Diagnosis.

Cancer is a fatal disease and a significant cause of millions of deaths. Traditional methods for cancer detection often have limitations in identifying the disease in its early stages, and they can be expensive and time-consuming. Since cancer typically lacks symptoms and is often only detected at advanced stages, it is crucial to use affordable technologies that can provide quick results at the point of care for early diagnosis.

A Preliminary Inventory of Kratom Products and Vendors on the Darknet and Cryptomarkets.

In recent years, the online sale of kratom (), a Southeast Asian plant with both medicinal and psychoactive properties, has raised health concerns mainly due to the uncontrolled diffusion of adulterated kratom-related products. This exploratory study provides, for the first time, a snapshot of the availability of kratom products on the darknet which has been further validated by data searches on the surface web. A total of 231 listings of kratom across 23 darknet marketplaces were identified between March 2020 and October 2021.

Temporal variability, meteorological influences, and long-range transport of atmospheric aerosols over two contrasting environments Agartala and Patiala in India.

The present study focused on the temporal variability, meteorological influences, potential sources, and long-range transport of atmospheric aerosols over two contrasting environments during 2011-2013. We have chosen Agartala (AGR) city in Northeast India as one of our sites representing the rural-continental environment and Patiala (PTA) as an urban site in Northwest India. The seasonal averaged equivalent black carbon (eBC) concentration in AGR ranges from 1.

Evaluation of toxicity profile of kratom (Mitragyna speciosa Korth) decoction in rats.

Mitragyna speciosa Korth also known as kratom, is an herbal drug preparation for its therapeutic properties and opioid-replacement therapy. Kratom is consumed in a brewed decoction form in Malaysia and to date, no studies have characterized its chemical and toxicity profile. Thus, this study aims to evaluate kratom decoction's safety and toxicity profile after 28 days of treatment.

Kratom use disorder and unfolded protein response: Evaluating their relationship in a case control study.

Background And Aims: Kratom (Mitragyna speciosa Korth.) is widely use worldwide despite its addictive potential. Although psychostimulant use has been linked to occurrence of endoplasmic reticulum (ER) stress, data is lacking on how regular kratom use affects ER stress.

The Health Impact of Long-Term Kratom () Use in Southern Thailand.

Background: or Kratom has been used in Thailand traditionally for its medicinal value. Despite case reports of kratom consumption causing adverse effects, research on its long-term health impact is limited. This study examines the long-term health impact of kratom use among people in Southern Thailand.

Formation and characterization of leaf waste into organic compost.

In solid waste management, pollution-free disposal of leaf waste in urban areas is still not standardized and adopted. According to the World Bank report, 57% of wastes generated in South East Asia are consisted of food and green waste, which can be recycled into valuable bio-compost. The present study shows a method of leaf litter waste management by composting it using essential microbe (EM) method.

Factors associated with quality of life (QOL) scores among methadone patients in Myanmar.

The Drug Dependency Treatment and Research Unit (DDTRU) in Myanmar established opioid substitution with methadone in 2006. Reducing HIV transmission could be affected by eliminating the unsafe needle sharing among injecting drug uses and treatment with opioid substitution. The quality of life (QOL) among the clients retained in the methadone program is important for their personal development and is an indication of the treatment efficacy.

Deconstructing Differential Drug Coverage within a Malaysian Media Source.

Many researchers have noted that media coverage of drugs can be sensationalized and/or have questionable accuracy. Additionally, it has been alleged that the media often treats all drugs as harmful and can fail to differentiate between different types of drugs. Within this context, the researchers sought to deconstruct how media coverage was similar and/or different according to drug type within a national media outlet in Malaysia.

Correlations of kratom (Mitragyna speciosa Korth.) use behavior and psychiatric conditions from a cross-sectional survey.

Kratom ( Korth.) use has increased substantially over the past decade outside of its indigenous regions, especially for the self-treatment of psychiatric conditions. An anonymous, cross-sectional, online survey was completed by 4,945 people who use kratom (PWUK) between July 2019 and July 2020.

Development and validation of ELISA for screening of Kratom (Mitragyna speciosa) habitual users using urinary AZ122 biomarker.

Kratom (Mitragyna speciosa Korth) has been used traditionally in Southeast Asia for its therapeutic properties. The major alkaloid of kratom, mitragynine, binds to opioid receptors to give opioid-like effects that causes addiction. In our previous study, we have identified AZ122 as a unique biomarker in habitual or regular kratom users through analysis of their urinary protein profiles.

Need for clarity and context in case reports on kratom use, assessment, and intervention.

This Letter to the Editor is a response to Broyan and colleagues who recently published a Case Report presenting data on 28 patients in the United States who identified kratom as their primary substance of use and who were subsequently induced on buprenorphine/naloxone for a reported diagnosis of kratom use disorder. We applaud the authors for helping to advance the science on kratom and recognize the difficulties in conducting kratom-related clinical assessment and research. However, a number of inconsistences and generalizations were identified in this Case Report, which also lacked some critical context.

Exploring the self-reported motivations of kratom ( Korth.) use: a cross-sectional investigation.

Kratom ( Korth.) use outside of Southeast Asia has increased over the past decade. This investigation clarifies kratom's role in perceived well-being, overall health, and temporal correlation with drug use to understand kratom's role in the self-treatment of substance use disorders (SUDs).

Regular Kratom ( Mitragyna speciosa Korth.) Use and Its Association With Endoplasmic Reticulum Stress Response.

Objectives: This study determined the association between expression of the endoplasmic reticulum (ER) stress sensor mRNA in the peripheral leukocytes and the patterns of kratom use and evaluated the correlations between the levels of the ER stress sensor mRNA and the severity of kratom dependence and kratom induced depressive symptoms among people who use kratom (PWUK).

Methods: A total of 20 PWUK and 20 age matched non-kratom using healthy controls were recruited. Data collected from PWUK included patterns of kratom use, severity of kratom dependence, and severity of depressive symptoms during abstinence from kratom.

Client satisfaction to methadone maintenance treatment program in Myanmar.

Background: To tackle the long-standing opioid misuse problem, Myanmar introduced the methadone maintenance treatment (MMT) program in 2006, starting with 260 clients. Since then, the program has been expanded across different geographical sites in the country. This study was done in 2017 to explore the treatment satisfaction of the clients towards the MMT program.