Risk Of Abuse Research Articles

Investigating the Effect of Substance Desire and Child Abuse in Adolescent Suicide Attempt.

This study aimed to investigate the impact of child abuse and substance desire on adolescent suicide. This cross-sectional analytical study was conducted on all adolescents aged 12 to 19 who attempted suicide in 2018 at Khorshid Hospital, Isfahan, Iran. A checklist of the patients' demographic information, toxicological data, and 2 standard questionnaires, including substance desire (family, personal, social) and child abuse questionnaire (emotional abuse, physical abuse, and neglect abuse), were collected. The data were analyzed using SPSS version 15. Comparisons between the 2 groups were performed using t tests, chi-square tests, regression analysis, and crude model analysis. Odds ratio (OR) and 95% confidence interval were calculated based on logistic regression. A total of 196 teenagers were included in the study, with a mean age of 16.48±1.6 years. Out of these, 155 individuals (79.1%) were female, resulting in a female-to-male ratio of 3.78. There was a significant relationship between gender and alcohol consumption in the personal aspect, as well as between the history of psychiatric diseases and alcohol consumption in the physical aspect (P<0.005). The previous history of suicide was the only variable that showed significance in all aspects of both the substance desire and child abuse questionnaires. History of neglect abuse (OR: 1.2, 95% CI [1.07-1.41]; P=0.009) was a predictive factor for suicide attempt. However, being male (OR: 0.12, 95% CI [0.039-0.37], P=0.000), having no psychiatric history (OR: 0.23, 95% CI [0.10-0.52], P<0.001) and not consuming alcohol (OR 0.33, 95% CI 0.15-0.71, P=0.005) were identified as protective factors for attempted suicide. A public health strategy for suicide prevention includes implementing prevention strategies aimed at reducing risk factors, such as alcohol consumption and the risk of neglect abuse.

Understanding the Relation between Short Birth Spacing and Child Maltreatment: Are Associations Due to Parental History of Childhood Abuse and Neglect?

AbstractExisting literature documents connections between short birth spacing (birth‐to‐conception interval of under 18 months) and the risk of child maltreatment, but explanations for this relation are understudied. We hypothesise that short birth spacing predicts child maltreatment, and it mediates the association between maternal history of childhood maltreatment and their child's risk of abuse and neglect. We use data for second and higher parity children from the Prospective Study of Infant Development (n = 335) and fit logistic regression models with relevant covariates to examine the association between maternal history of childhood maltreatment, her offspring's short birth spacing and her offspring's child maltreatment (CM) as measured by Child Protective Services (CPS) assessments. Findings demonstrate that children of mothers who reported experiencing any abuse or neglect during childhood have a higher likelihood of being born shortly spaced and a higher likelihood of CM. Additionally, short birth spacing is associated with increased likelihood of CM. No evidence for mediation from maternal history of maltreatment to CM operating through short birth spacing was detected. We conclude that maternal history of childhood maltreatment and short birth spacing are independent, additive factors for CM risk.

Experiences of grief and maltreatment among orphans in foster homes in Namibia

Orphans in SSA are often cared for in foster homes. Although there is no consistent picture of whether orphans experience more often than non-orphans child maltreatment, they are at risk of facing violence in their home situation. This study aimed to understand how Namibian orphans experience their treatment in foster care and how exposure to maltreatment influences their experiences of grief. An ethnographic design was used in which 46 children, adolescents, their carers and various experts in northern Namibia participated. Focus groups, individual interviews and art-based methods were used. The results show that the majority of the orphans experience a form of maltreatment, including differential treatment between themselves and the biological children in the household. Risk factors for child maltreatment are identified on child, carer and household level. Children and adolescents long for their parents when they are treated badly and feel the parent could have protected and comforted them, which shows the important role of having a secure foster home situation in coping with parental loss. Parenting interventions to positively influence the risk of child maltreatment in foster care are recommended.

Sleep quality and associated factors among undergraduate medical students in Delhi

Background: Sleep disturbances are common among medical students worldwide and affects their health and academic performance. The objective of this study was to assess the quality of sleep in undergraduate medical students of Delhi. Methods: A cross-sectional study was conducted among 234 undergraduate students from medical college in New Delhi. A pre-designed, pre-tested questionnaire was used to collect socio-demographic and life style details and Pittsburgh Sleep Quality Index (PSQI) was used to study the quality of sleep. Data was analyzed by SPSS software version 25.0 and for qualitative data analysis chi-square test was used. Results: Mean age of study subjects was 21.99±1.74 years and males (67.5%) were more as compared to (32.5%) females. Most of the participants 47.4% were in first and second year, 35.5% were from third and final year and 17.1% were interns. Out of 234 participants, only 44% of study participants has good quality of sleep. Most of study participants (56%) were suffering from poor sleep quality. Batch of MBBS, relationship status, BMI and dietary habits of participants were found to be significant predictors of quality of sleep. Conclusions: This study shows that 56% of study participants were suffering from poor quality of sleep. Professionals and medical students who suffer from poor sleep quality have a higher risk of misjudgements, substance abuse, accidents, burnout, anxiety, and depression. So, there is a need to improve knowledge regarding importance of good sleep quality among medical students.

Pemodelan Aplikasi Pengadaan Barang Menggunakan Metode Waterfall

Procurement of goods is a recurring activity in a company's business process. Meanwhile, the traditional goods procurement process is often felt to be less efficient and effective, so it requires a better solution. The traditional procurement process also often takes a long time, has high costs and lacks transparency. This can lead to inefficiencies and risks of abuse. This research aims to develop a more efficient and effective goods procurement application model using SDLC and waterfall methodology. This research uses observation methods to study the current procurement process and interviews to obtain input from stakeholders regarding application needs. The research results show that the goods procurement application model developed can help companies in the goods procurement process more efficiently and effectively. This application model can help companies save time and costs, as well as increase transparency and accountability in the procurement process.

Substance use among young people during the COVID-19 pandemic

The article discusses issues reflecting the use of psychoactive substances among young people during the COVID-19 pandemic. Adolescence is an important stage of development, during which the foundation is often laid for future patterns of substance use. Both the amount and frequency of use during this period are closely related to the risk of excessive use and substance abuse in adulthood. The use of alcohol, tobacco and other drugs in youth worsens psychological and neurocognitive development and increases the risk of academic failure, chronic and mental illnesses. Thus, the prevention of substance use among young people remains an important public health priority worldwide. Effective strategies should include educational campaigns, psychological support, and access to quality medical care. In addition, it is also necessary to provide youth with opportunities for an active lifestyle so that they can find alternative ways to relax and overcome stress. The support and care provided by parents, family and friends, as well as the structure, supervision and support provided by teachers and school staff, also play an important role.

Asking about violence and abuse among patients experiencing homelessness: a focus group study with healthcare professionals

BackgroundPeople experiencing homelessness are at increased risk of violence and abuse, however, there is insufficient knowledge about rates of inquiry or readiness of healthcare professionals to address violence and abuse among this population. This study aimed to explore healthcare professionals’ experiences and perceptions of asking about violence and abuse among patients experiencing homelessness.MethodsThis study used a qualitative, interpretive, and exploratory design. We performed focus group discussions with healthcare professionals (n = 22) working at an integrative healthcare unit for people experiencing homelessness. Data were analysed using reflexive thematic analysis, following Braun and Clarke’s six-phase approach. Findings are reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.ResultsThe overarching theme of the analysis is that addressing violence and abuse is at risk of “falling through the cracks”. The theme is supported by three sub-themes: Hesitance to address violence and abuse, The complex dynamics of violence and abuse in homelessness, and Challenges in addressing violence and abuse amidst competing priorities and collaborative efforts. The normalisation of violence and abuse within the context of homelessness perpetuates a “cycle” where the severity and urgency of addressing violence and abuse are overlooked or minimised, hindering effective interventions. Moreover, healthcare professionals themselves may inadvertently contribute to this normalisation. The hesitance expressed by healthcare professionals in addressing the issue further reinforces the prevailing belief that violence and abuse are inherent aspects of homelessness. This normalisation within the healthcare system adds another layer of complexity to addressing these issues effectively.ConclusionsThe findings underscore the need for targeted interventions and coordinated efforts that not only address the immediate physical needs of people experiencing homelessness but also challenge and reshape the normalised perceptions surrounding violence and abuse. By prioritising awareness, education, and supportive interventions, we can begin to “break the cycle” and provide a safer environment where violence and abuse are not accepted or overlooked.

Training and evaluation of robot-based psychological intervention program for preventing child sexual abuse

Background and purposePreventing child sexual abuse is a health and medical priority in many countries. The risk of sexual abuse can be markedly reduced through education, awareness, and skill-building for children. The purpose of this study was to train and evaluate a robot-based psychological intervention program for preventing child sexual abuse. MethodsThis study had a semiexperimental design that included pre- and posttests as well as a control group. A stratified random sample of 80 individuals was drawn from the population of eight-to ten-year-old children in Ghaen, Iran, in 2018. Subsequently, the sample was randomly divided into two experimental groups and two control groups. The experimental group participated in a robot-based psychological intervention program, for a total of 10 sessions. The control group received no intervention. The tool used to measure children's knowledge and awareness of sexual abuse was a custom-designed questionnaire developed by Tahan (Tahan, 2023). Participants completed the questionnaire in the pretest, posttest, and follow-up stages. The collected data were analyzed using repeated measures ANCOVA in SPSS (v.25). ResultsThe findings demonstrated that educating children about sexual abuse was effective in enhancing their knowledge of appropriate and inappropriate touching (p < 0.01). Furthermore, the robot-based cognitive-behavioral intervention program for the prevention of child sexual abuse was effective (p < 0.01). ConclusionThe psychological intervention program increased children's knowledge and awareness concerning the prevention of sexual abuse and associated coping skills. Furthermore, psychological intervention programs were effective in preventing child sexual abuse.

Literature Review: Opioid Crisis in South West, Nigeria

The opioid crisis in Southwest Nigeria has significantly increased, with socioeconomic factors such as lack of healthcare access, unemployment, and poverty exacerbating the problem. The review explores the interactions between biological variables, cutting-edge technologies, financial constraints, and environmental factors that contribute to drug abuse and substance use disorders. It also analyzes the major classes of opioids and distinguishes between medicinal and non-medical uses. The epidemic has negative impacts on personal well-being, healthcare infrastructure, and societal cohesion. The research suggests a multifaceted strategy, including interventions and policy implications. It suggests reducing poverty as a first step in treating the underlying causes, increasing access to mental health services, early detection and intervention programs, and public awareness initiatives to prevent disease. Medication-assisted treatment (MAT) is also emphasized as a recovery strategy. The evaluation advocates for policy changes, tighter guidelines for opioid prescriptions, and public awareness initiatives to inform people about opiate abuse risks and encourage cautious use.

Prenatal and postnatal cocaine exposure enhances the anxiety- and depression-like behaviors in rats during cocaine withdrawal.

Prenatal drug exposure is a public health problem, which results in profound behavioral problems during childhood and adolescence, mainly represented by an increase in the risk of cocaine abuse at an early age. In rodents, prenatal and postnatal cocaine exposure enhanced locomotor activity and cocaine- or nicotine-induced locomotor sensitization. Various authors consider that the adverse emotional states (anxiety and depression) that occur during cocaine withdrawal are the main factors that precipitate, relapse, and increase chronic cocaine abuse, which could increase the risk of relapse of cocaine abuse. Therefore, the objective of this study was to characterize anxiety- and depression-like behaviors at different times (30, 60, 90, and 120 days) of cocaine withdrawal in rats born to females exposed prenatally and postnatally to cocaine. A group of pregnant female Wistar rats were administered daily from day GD0 to GD21 with cocaine (cocaine preexposure group), and another group of pregnant female rats was administered daily with saline (saline preexposure group). Of the litters resulting from the cocaine-pre-exposed and saline-pre-exposed pregnant female groups, only the male rats were used for the recording of the anxiety- and depression-like behaviors at different times (30, 60, 90, and 120 days) of cocaine withdrawal The study found that prenatal and postnatal cocaine exposure dose-dependent enhanced anxiety- and depression-like behaviors. This suggests that prenatal and postnatal cocaine exposure can result in enhanced vulnerability to cocaine abuse in young and adult humans.

Effect of Routine Child Physical Abuse Screening Tool on Emergency Department Efficiency.

Physical abuse is a significant cause of morbidity and mortality for children. Routine screening by emergency nurses has been proposed to improve recognition, but the effect on emergency department (ED) workflow has not yet been assessed. We sought to evaluate the feasibility of routine screening and its effect on length of stay in a network of general EDs. A 2-question child physical abuse screening tool was deployed for children <6 years old who presented for care in a system of 27 general EDs. Data were compared for the 6 months before and after screening was deployed (4/1/2019-10/2/2019 vs 10/3/2019-3/31/2020). The main outcome was ED length of stay in minutes. There were 14,133 eligible visits in the prescreening period and 16,993 in the screening period. Screening was completed for 13,404 visits (78.9%), with 116 (0.7%) screening positive. The mean ED length of stay was not significantly different in the prescreening (95.9 minutes) and screening periods (95.2 minutes; difference, 0.7 minutes; 95% CI, -1.5, 2.8). Among those who screened positive, 29% were reported to child protective services. On multivariable analysis, implementation of the screening tool did not impact overall ED length of stay. There were no significant differences in resource utilization between the prescreening and screening periods. Routine screening identifies children at high risk of physical abuse without increasing ED length of stay or resource utilization. Next steps will include determining rates of subsequent serious physical abuse in children with or without routine screening.

Construction of a network intelligence platform for privacy protection and integrated big data mining

MOTIVATION: With the enhancement of people’s awareness of the protection of personal privacy information, how to provide better services on the premise of protecting users’ privacy has become an urgent problem to be solved. Therefore, it is a necessary motivation to build a network intelligent platform for privacy protection and integrated big data mining. OBJECTIVE: In view of the existing network platform of data privacy leakage, low efficiency of data mining and user satisfaction is not high, this paper will adopt advanced privacy technology, to ensure the confidentiality of users’ personal information and security, to enhance the user trust and use experience, to better meet the needs of users. METHODS: In order to better protect the privacy of users, the network intelligent platform should adopt more advanced privacy protection technology. This paper uses the differential privacy algorithm to reduce the risk of data leakage and abuse, and ensure the accuracy and efficiency of data analysis and mining. In the design of the platform, the performance of the platform is fully taken into account to realize the secure storage and efficient processing of data, with good scalability and flexibility to meet the growing user needs and business needs. The performance of the network intelligent platform is also analyzed by experimental simulation. RESULT: The experimental results of this article indicated that in a network intelligent platform based on privacy protection and integrated big data mining, its data transmission encryption score was 9.5; the data storage encryption score was 9.8; the score of access control mechanism was 9.3; the privacy protection score was 9.6; the response time was 80 ms; the processing speed was 121GB/h; the user satisfaction rating was 6.6. CONCLUSION: This indicated that the network intelligent platform had good platform performance and user friendliness while ensuring data security and privacy protection. It could efficiently conduct data mining and ensure data security and privacy.

The effect of weighted blankets on sleep and related disorders: a brief review.

Sleep disorders such as insomnia can lead to a range of health problems. The high risk of side effects and drug abuse of traditional pharmacotherapy calls for a safer non-pharmacotherapy. To examine the use and efficacy of weighted blankets in improving sleep and related disorders in different populations and explore the possible mechanisms. A literature search was conducted using PubMed, Embase, Web of Science, MEDLINE, Cochrane Library and CNKI databases. Eligible studies included an intervention with weighted blankets and outcomes covering sleep and/or related disorders (behavioral disturbance, negative emotions and daytime symptoms). Studies using other deep pressure, compression, or exercise-related interventions were excluded. Most of the included studies showed that weighted blankets could effectively improve sleep quality and alleviate negative emotions and daytime symptoms in patients with sleep disorders, attention deficit hyperactivity disorder, autism spectrum disorder, and other related disorders, with a possible mechanism of deep pressure touch. Weighted blankets might be a promising tool for sleep interventions among individuals with sleep disorders in clinical settings. More high-quality and large-scale randomized controlled trials are needed to further validate the safety and efficacy of weighted blankets and explore precise mechanisms.

Citizens’ data afterlives: Practices of dataset inclusion in machine learning for public welfare

AbstractPublic sector adoption of AI techniques in welfare systems recasts historic national data as resource for machine learning. In this paper, we examine how the use of register data for development of predictive models produces new ‘afterlives’ for citizen data. First, we document a Danish research project’s practical efforts to develop an algorithmic decision-support model for social workers to classify children’s risk of maltreatment. Second, we outline the tensions emerging from project members’ negotiations about which datasets to include. Third, we identify three types of afterlives for citizen data in machine learning projects: (1) data afterlives for training and testing the algorithm, acting as ‘ground truth’ for inferring futures, (2) data afterlives for validating the algorithmic model, acting as markers of robustness, and (3) data afterlives for improving the model’s fairness, valuated for reasons of data ethics. We conclude by discussing how, on one hand, these afterlives engender new ethical relations between state and citizens; and how they, on the other hand, also articulate an alternative view on the value of datasets, posing interesting contrasts between machine learning projects developed within the context of the Danish welfare state and mainstream corporate AI discourses of the bigger, the better.

Differentiating risk: The association between relationship type and risk of repeat victimization of domestic abuse

Abstract Much of the literature on domestic abuse focuses on those in intimate partner relationships or ex-partners, however, in the UK the Home Office definition also includes those in familial relationships. The Domestic Abuse, Stalking, and Harassment and Honour-Based Violence Risk Assessment assumes homogeneous risk factors across all relationships. This paper therefore examines the risk factors for repeat victimization of domestic abuse by relationship type between the victim and perpetrator in a UK police force. Using police-recorded domestic abuse incident and crime data, a logistic regression model found that the most similar repeat victimization risk profiles for 14,519 victims were amongst partners and ex-partners, with both relationships demonstrating the greatest degree of gender asymmetry, compared with other familial relationships. Physical violence was the strongest predictor of repeat victimization and was a statistically significant predictor for ex-partners, partners, and all familial relationships. Coercive behaviour was also a significant predictor for all relationships apart from partners, but not at the same magnitude as physical abuse. Recognizing the difference in risk by relationship type may assist the police in deciding the most appropriate response and interventions to reduce the risk of further harm.

De-dehumanization: Practicing humanity

Abstract The concept of humanity has been much discussed with respect to humanitarian work and international humanitarian law. There is today an idea of a single humanity, with each member equally valued beyond superficial differences in belief, nationality, ethnicity etc., and a global legal framework exists to prevent needless human suffering, including in war. Dehumanization arises linguistically as the negation of a common, positive and mutually supportive humanity, though there is no single definition, and it certainly predates its opposite. Research indicates that dehumanization increases the risk of conflict/violence, increases the risk of abuses therein, and makes it harder to resolve conflict. This paper gives an overview of how humanity is currently defined and used, notably by the International Committee of the Red Cross (ICRC) as one Fundamental Principle of the International Red Cross and Red Crescent Movement, and what dehumanization means especially in relation to conflict and violence. The paper then explores why and how dehumanization happens and the real-world harm that can result when it is espoused or tacitly condoned by those in positions of power. Finally, the paper examines how global legal frameworks and the principle of humanity, bolstered by impartiality, independence and neutrality, in particular as enacted by the ICRC, work to curb and push back against some of the worst harms that dehumanization can cause.

Hidden Risks of Economic Abuse through Company Directorships

Economic abuse is a form of family violence that severely inhibits victim survivors’ capacities to rebuild their lives. Although its effects are widely felt, it remains a hidden problem. This article contributes to the burgeoning scholarship on economic abuse by investigating its perpetuation through family-owned companies. Victim survivors commonly bear the liability for business failure and phoenix activity as ‘straw’ directors. Recent reforms introduced to deter and penalise illegal phoenix activity have increased the risks for survivors who are coerced or defrauded into becoming directors. The study examines how corporate law and the courts have responded to straw directors in the context of family companies. It interrogates the notion that victim survivors assume responsibility for business decisions voluntarily, as rational economic men with relatively equal bargaining power. This article proposes reforms to disrupt harm from economic abuse through coerced directorships, and to militate against the unintended consequence of recent reforms.

IJCM_61A: Prevalence of Domestic Violence Among Married Women in urban and rural field practice area of RIMS, Raichur

Background: Domestic violence (DV), being a widespread public health issue affecting women globally, is still being neglected and women remain silent sufferers and suffer from physical, mental, sexual and reproductive health consequences which further affects well-being of her family. It also leads to increased risk of child abuse. Women being considered as weaker sex, gender bias and male dominance resulted in mistreating women and victimizing them and remains unreported in many areas. Objective: To estimate prevalence of domestic violence among married women. €¢ To compare prevalence of domestic violence in urban and rural areas. €¢ To find out factors associated with prevalence of domestic violence. Methodology: Cross sectional study, 3 months duration in married women residing in field practice areas of RIMS, Raichur. Least prevalence found in a study having 28%. Using the formula N = Z2pq/ d2 sample size calculated as 257. Almost population of UHTC, RHTC and PHC are similar, equal number of samples (86) taken from all 3 areas. Community consent obtained from representatives, Home visits were made, informed oral consent obtained, face to face interview done using pre-designed, pre-tested questionnaire. Statistical analysis done using SPSS, means and standard deviations calculated. Chi square test used to calculate the associations. Results: Prevalence of DV is 33.3% and 16% of them are currently experiencing domestic violence. 36.4% of rural participants have experienced DV compared to 21.2% in urban participants &amp; these differences were statistically significant as indicated by p value of 0.037. Factors such as religion, caste, type of family, education of female, spousal education, spousal occupation, alcohol consumption by husband, smoking habit of husband, history of parental abuse in spousal family, etc.. are associated with domestic violence. Conclusion: We conclude that domestic violence is mostly done by husband followed by mother-in-law and most common solution offered was to advice husband.

Effective Use of Clozapine in Managing Treatment-Resistant Conduct Disorder in an Adolescent Patient: An Unconventional Approach

IntroductionThis case report elaborates an unconventional approach to the management the use of clozapine, typically used in treatment-resistant Schizophrenia, in a 17-year-old female patient with treatment-resistant Conduct Disorder, Attention Deficit and Hyperactivity Disorder and Intellectual Disability.ObjectivesThe aim is to demonstrate the potential effectiveness and applicability of clozapine in treating severe, treatment-resistant behavioral problems associated with Conduct Disorder, even without the presence of psychosis, by detailing the clinical course, treatment strategy and outcome of this unique case.MethodsA 17-year old female patient was referred to inpatient clinic due to escalating aggression towards her family members and risky sexual behaviors despite undergoing treatments before as risperidone, haloperidole, olanzapine, lithium, clonidin or aripipirazole. She was running away from home repeatedly and under the risk of sexual abuse. After comprehensive clinical and psychopathological assessment, a decision was made to initiate treatment with clozapine, closely monitoring the patient for adverse effects, and assessing its impact on the patient’s aggressiveness and other behavioral problems. During her stay, clozapine dose titrated to 250 mg/day in addition to her current treatment as amisulpiride 800 mg/day and valproic acid 500 mg/day. Atropine solution as mouthwash used for salivary hipersecretion. No other side effects observed. Cognitive and behavioural therapy interventions made for anger management and impulsivity. Also focused on family-based interventions about establishing healthy boundaries.ResultsA significant reduction in aggressive behavior was noted under the treatment of clozapine. The patient’s overall conduct and interaction with family improved remarkably. The treatment was well-tolerated except sialorrhea, leading to a successful integration back into her family and community.Conclusions This case highlights the potential of clozapine as a viable treatment option for managing severe, treatment-resistant behavioral problems in patients with conduct disorder, even in the absence of psychosis. A randomized-controlled trial showed that clozapine was more effective than risperidone in conduct externalization factors, delinquency trait and global functioning in children and adolescents(Juárez-Treviño et al. Clin Psychopharmacol Neurosci. 2019;17(1):43-53). While it necessitates careful monitoring due to its side-effect profile, this unconventional use of clozapine may open up new avenues for the management of treatment-resistant conduct disorder, thereby improving patient outcomes and quality of life. Further controlled studies are warranted to ascertain the safety and efficacy of this approach.Disclosure of InterestNone Declared

Baclofen Abuse: Better To Be Suspicious Than To Be Cheated

Abstract Since 2008, Baclofen’s gamut has gradually evolved from an anti-spastic agent to an off label anti-craving agent in Alcohol Use Disorders. However, with its accreditation in addictions psychiatry, have emerged additional risk of abuse of its relaxant properties. Over the last decade there have been increase in reports of its abuse for recreation or intentional self-harm. A high index of suspicion should be exercised in patients of Alcohol Use Disorders presenting with unexplained features of central nervous system depression. We hereby report a case of alcoholic dependence syndrome who presented in an unconscious state with bradycardia, bradypnea and pin-pointed fixed pupils after ingestion of 200 mg of tablet Baclofen with around 65 grams of alcohol and posed a diagnostic challenge.