Opening of Bids - Demolition of Rabbi Shulman Apartments Proj No 125-014 - Pitsch Companies

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Appendix A4 -Training Materials/Employees Amphetamine/MethamphetaminelMDMA In their pure form, amphetamines are yellowish crystals. They are manufactured in a variety of forms including pill, capsule, tablet (ingested), powder (snorted), and liquid (injected). Amphetamine ("speed") is sold in counterfeit capsules or as white, flat, double scored "mini bennies." Methamphetamine is often sold as a creamy white, granular powder or in lumps wrapped In aluminum foil or tiny Zip -Lock bags. It looks like rock salt or crushed rock candy. Ecstasy (which can include MDMA, and/or MDA) in tablets and capsules may also contain amphetamine, meth - amphetamine, PCP, ketamine, with or without MDMA. These synthetic drugs are much less widely abused than cocaine or marijuana. However, its popularity is rapidly growing. About 4% of the population or an estimated 8.8 million have tried methamphetamine at some time in their life. Hawaii leads the nation in methamphetamine abuse. It is estimated that approximately 15% of young adults age 18-25 have used methamphetamine within the past 30 days, and the drug is widely abused in all age groups from 12 to 50. The stimulant effects of amphetamine and methamphetamine are similar to those of cocaine, but last longer. A single therapeutic dose enhances attention and performance, but performance deteriorates as the effects wear off, or with repeated dosing. These stimulant drugs are useful in treating narcolepsy and attention -deficit disorder, and are sometimes prescribed for depression which has not responded to other treatments. The drugs cause anorexia, but tolerance quickly develops, limiting their merit for treating obesity. Because of the abuse risk, medical boards in several jurisdictions have formally determined that it is inappropriate to treat obesity with these drugs for more than a few weeks. However, a tested individual producing a confirmed positive should be carefully queried about prescribed medications. By interfering with serotonin synthesis, MDMA-caused depletion of this (mood -regulating) neurotransmitter may be long-term. Signs and Symptoms., Evidence of Presence: Most frequently — glass pipes, tiny Zip -Lock bags, envelopes, vials for storing; Less frequently — pills, capsules, tablets, syringes, needles, tourniquets. Physical Symptoms: dilated pupils; sweating; increased blood pressure; palpitations; rapid heartbeat; dizziness; decreased appetite; dry mouth, headaches; blurred vision; insomnia; high fever (depending on the level of the dose). Behavioral Symptoms: confusion; panic; talkativeness; hallucinations; restlessness; anxiety; moodiness; false sense of confidence and power; "amphetamine psychosis" which might result from extended use. Personal Health. Safety, and the Work Environment: General Health Effects: + "Amphetamine psychosis" - Resembling schizophrenia, users may see, hear, and feel things that do not exist (hallucinations), have irrational thoughts or beliefs (delusions), and feel as though people are out to get them (paranoia). ■ Regular use produces strong psychological dependence and increasing tolerance to the drug. ■ The euphoria increases impulsive and risk taking behavior, such as bizarre and violent acts.. Intoxication may induce a heart attack or stroke due to spiking of blood pressure. • Chronic use may cause heart and brain damage due to severe constriction of capillary blood vessels. • Lack of sleep, weight loss, and depression also result from regular use. ■ users who inject drugs can get serious and life -threatening infections, lung or heart disease, and/or kidney damage). Safety and the Work Environment: Regular use can cause: ■ Restlessness ■ Anxiety ■ Moodiness it False sense of power. Extended use can result in: ■ Hallucinations ■ Delusions • Paranoia ■ Brain damage. • A false sense of alertness can result in risky driving behavior and increased accidents. • Employees who fail to get sufficient rest may use the drug to increase alertness and become dependent. ■ While limited doses cause short-term mental/physical improvement, greater use impairs functioning. • Amphetamine hangover effects (fatigue/depression) are a danger in safety -sensitive positions. Overdose Effects: ■ Agitation ■ Increase in body temperature r Hallucinations • Convulsions • Death Withdrawal Syndrome: • Apathy ■ Long periods of sleep • Irritability ■ Depression • Disorientation 2020 Drug Screens Plus. A!l Rights Reserved_ (25) FMCSA 20200101 266