Introduction A new generation of designer phenethylamines have emerged and aggressively marketed as "legal highs." The drugs are labeled "not for human consumption" to avoid widespread recognition and prosecution under the existing analog drug laws. The newest generation includes methylone and butylone. Methylone and butylone have minor structural changes and similar pharmacodynamics properties to scheduled drugs. Case Report We report a case of a healthy 24-year-old who ingested a capsule containing methylone and butylone sold as "Ecstasy" at a concert. The patient presented to the emergency department, comatose febrile, tachycardic, tachypnic, and hypertensive. On exam, she was diaphoretic, tremulous, hyperreflexic, and had sustained clonus. The patient was aggressively cooled, and despite maximal supportive care, the patient progressed to multi-system organ failure and ultimately expired. We obtained and analyzed both her urine and a capsule found on her person similar to the capsules ingested. In both samples, laboratory analysis identified only methylone and butylone.Conclusion This is the first reported death for methylone or butylone and the first human or animal ingestion of butylone. Clinicians and public health officials should work together as new designer drugs emerge.
This overview of American Muslim politics surveys the major communities and organizations of Muslims in the USA and their discourses before and after 11 September 2001. African Americans, Arab Americans and South Asian Americans are the three largest groups, and, after setting out their differences, the political discourses and practices drawing them together in American politics are analyzed. The important conflict between the many new, western-educated professional leaders of the Muslim political coalitions in the US, whose knowledge of classical Islamic civilization and law is not great, and the fewer numbers of classically-trained legal scholars is discussed, leading to a review of personal issues that are also intensely political, particularly those concerning gender roles. 11 September produced challenges to the new professional leadership from the mainstream American media and government officials, opening up the field of discourse about Muslims in America. This has led to a greater focus on US domestic issues and perhaps a larger role for the young generation of American Muslims. The overall trajectory is that of an evolving and distinctively American set of Muslim discourses and practices.
KEYWORDS identities
INTRODUCTORY QUESTIONSOne finds little guidance in the growing literature on globalization and modernity about a place for religion in this brave new world, 1 yet questions concerning religion and migration, religion and citizenship, and religion and transnational processes seem increasingly important as the 21st century begins. Often these questions have been posed, albeit sweepingly and in essentializing ways, about Islam and Muslims, asking about 'Islamic
In response to COVID-19, this commentary explores the disproportionate impacts that the pandemic is having on Indigenous nations of Turtle Island (North America) and the rendering of Indigenous borders as sites of compassionate community care. I argue that settler colonialism during COVID-19 is enacted through travel and second-home escapism of urban elites.
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