NationalInstituteonDrugAbuse(NIDA) BrainPower:Grades6-9 LastUpdatedJune2007 https://www.drugabuse.gov 1 TableofContents BrainPower:Grades6-9 AnIntroductiontotheBrainandNervousSystem(Module1) LegalDoesn'tMeanHarmless(Module2) DrugsintheCupboard(Module3) WeedingOuttheGrass(Module4) DrugsontheStreet(Module5) DrugsintheNews(Module6) Materials/Contact 2 AnIntroductiontotheBrainand NervousSystem(Module1) YoucanalsodownloadthisentiremoduleinPDFformatbyclickingthe followinglink:Module1(PDF,796KB) Summary ThisintroductorymoduleoftheBrainPower!ChallengeProgramisdesignedto helpstudentslearnaboutthepartsofthebrain,thefunctionsoftheseparts,and howthebraincommunicateswiththerestofthebody.Theprocessof neurotransmissionisdescribedindetail.Thismoduleprovidesakeyfoundation forthenextfivemodules,whichwilldiscusstheimpactofspecificdrugsonthe bodyandthebrain. Studentswillrefertotheinformationcoveredinthisintroductorymodule throughouttheentireBrainPower!curriculum.Ifthestudentsdidnotparticipate intheBrainPower!TheNIDAJuniorScientistsProgramforgradesK-5,the informationinthismodulemayneedtobecoveredingreaterdepth. LearningObjectives Attheendofthismodule: Studentscannamethemainpartsofthebrain:thecerebralcortex, hypothalamus,cerebellum,brainstem,andlimbicsystem. Studentscanidentifythelobesofthecerebralcortex:frontal,parietal, occipital,andtemporal. Studentscanexplainthefunctionsofthemajorbrainparts. Studentscanidentifythecomponentsofaneuron:cellbody,dendrites,and axon. 3 Studentscanexplaintheprocessofneurotransmission. RelationshiptotheNationalScience EducationStandards Thelessoninmodule1alignswithtwostandardsintheNSES:systems,order, andorganization;andstructureandfunctioninlivingsystems.Thechartbelow showshowtheactivityalignswiththesestandards. Unifying Concepts and Processes HowtheLessonisAligned Systems, orderand organization Thestudentsdevelopanunderstandingofwhatdrugsare andhowtheyareusedsothattheycanlearnhowto makedecisionsthataffecttheirhealth. LifeScience HowtheLessonisAligned Structureand functionin livingsystems Studentswilllearnhowneuronsinthebrainwork togethertocommunicatethroughaprocesscalled neurotransmission. Background MajorPartsoftheBrain CerebralCortex Thecerebralcortexisthelargestpartofthehumanbrain,makingupmorethan 75percentofthisorgan.Thecerebralcortexisalsothemosthighlydeveloped partofthebrain.Itcontrolsthinking,perception,andunderstandinglanguage. 4 Thecerebralcortexisdividedintotwohemispheres-therighthemisphereand thelefthemisphere. Therighthemispherecontrolstheleftsideofthebodyandislargely responsibleforartisticexpressionandforunderstandingrelationshipsin space-taskssuchasreadingamap. Thelefthemispherecontrolstherightsideofthebody.Itislargely responsibleformathematicalability,problemsolving,andcomparing informationneededtomakedecisions.Itisalsothebrain'slanguagecenter. Thetwohemispherescommunicatewithoneanotherthroughabundleoffibers calledthecorpuscallosum.Thecorpuscallosumisthebridgebetweenthetwo hemispheres. Thecortexisspecialized.Fourspecificareasofthecortex,calledlobes,are responsiblefordifferenttasks: Thefrontallobeisresponsibleforinitiatingandcoordinatingmotor movementsandhighercognitiveskills,suchasproblemsolvingand thinking. Theparietallobeprocessessensoryinformationfromthewholebody-for example,information aboutpain,touch,andpressure. Theoccipitallobeprocessesvisualinformationcomingintothebrain. Thetemporallobeisinchargeofmakingsenseoftheauditoryinformation fromtheenvironment. 5 Hypothalamus Thehypothalamusissituateddeepinsidethecenterofthebrain.The hypothalamuslinksthenervoussystemtotheendocrinesystembyproducing andreleasinghormones.Theendocrinesystemismadeupofglandsthat regulate,coordinate,andcontrolhormones.Thehypothalamusregulatesbody temperature,hunger,andthirst. Cerebellum Thecerebellumislocatedatthebackoftheheadnearthespine.Itcontrols posture,movement,andthesenseofbalance.Playingball,pickingupobjects, andplayingmusicalinstrumentsareamongtheactivitiesthatfallunderthe controlofthecerebellum. BrainStem Thebrainstem,themostprimitivepartofthebrain,connectsthebraintothe 6 spinalcord.Itislocatednearthecerebellum.Thetwomainpartsofthebrain stemaretheponsandthemedulla.Theponscontainsnervefibersthatconnect thecerebralcortexwiththecerebellumandthespinalcord.Theponscontrols sleep,awakening,anddreamonset.Themedullacontrolsheartrate, respiration,andbloodpressure.Thebrainstemalsocontrolssimplereflexes, suchascoughingandsneezing. LimbicSystem Thelimbicsystemislocateddeepinsidethebrain.Ithasmanyparts,buttwoof themostimportantarethehippocampusandtheamygdala.Thehippocampus ismainlyresponsibleforlearningandmemory.Theamygdalaplaysan importantroleinemotionalbehavior.Thelimbicsystemisgreatlyaffectedby substancessuchasnicotine,alcohol,andillegaldrugs. Neurons Informationisconstantlyexchangedbetweenthebrainandotherpartsofthe bodybybothelectricalandchemicalimpulses.Cellscalledneuronsare responsibleforcarryingthisinformation.Allofthemajorbrainpartsdiscussed 7 abovearecomposedofneurons-almost100billionneuronstotal! Aneuronhasthreemainparts.Thecellbodydirectsalltheneuron'sactivities. Dendrites,shortbranchesthatextendoutfromthecellbody,receivemessages fromotherneuronsandpassthemontothecellbody.Anaxonisalongfiber thattransmitsmessagesfromthecellbodytothedendritesofotherneuronsor toothertissuesinthebody,suchasmuscles.Aprotectivecovering,calledthe myelinsheath,coverstheaxonsofmanyneurons.Myelininsulatestheaxons andhelpsmessagesfromnervesignalstravelfaster,farther,andmore efficiently. Neurotransmission Theexchangeofinformationbetweentheaxonofoneneuronandthedendrites ofanotherneuroniscalledneurotransmission.Neurotransmissiontakesplace throughthereleaseofchemicalsintothespacebetweentheaxonofthefirst neuronandthedendritesofthesecondneuron.Thesechemicalsarecalled neurotransmitters.Thespacebetweentheaxonandthedendriteiscalleda synapse. 8 Whenneuronscommunicate,anelectricalimpulsetravelingdowntheaxon causesneurotransmitterstobereleasedfromtheendoftheaxonintothe synapse.Theneurotransmitterscrossthesynapseandbindtospecial molecules,calledreceptors,onthedendriteofthesecondneuron.Receptors arefoundonthedendritesandcellbodiesofallneurons.Thereceptorsconvert theinformationintochemicalorelectricalsignalswhicharethentransmittedto thecellbodyandeventuallytotheaxon.Theaxonthencarriesthesignalto anotherneuronortobodytissuessuchasmuscles. Onceaneurotransmitterbindstoareceptor,aseriesofeventsfollow.First,the messagecarriedbytheneurotransmitterispassedontothereceivingneuron. Second,theneurotransmitterisinactivated.Itiseitherbrokendownbyan enzymeorreabsorbedbytheaxonfromwhichitwasreleased.Other molecules,calledtransportermolecules,completethisreabsorptionprocess. Thesemoleculesarelocatedinthecellmembranesoftheaxonthatreleases theneurotransmitters.Theypickupspecificneurotransmittersfromthesynapse andcarrythembackacrossthecellmembraneandintotheaxon,wherethey arerecycledforuseatalatertime.Notethatthisprocessistrueformost neurotransmitters,butnotforallofthem. 9 Thehumanbodyproducesmanydifferenttypesofneurotransmitters.Each neurotransmitterhasaspecificroletoplayinthefunctioningofthebrain.A neurotransmitterbindstoareceptorinmuchthesamewaythatakeyfitsintoa lock;aspecificneurotransmitterwillbindonlytoitscorrespondingreceptor. Neurotransmittermessagescanbegeneralizedaseitherexcitatoryorinhibitory messages.Anexcitatoryneurotransmitterisonethatincreasestheactivityof neurons,andaninhibitoryneurotransmitterdecreasestheactivityofneurons. Overthecourseofthesemodules,severalspecificneurotransmitterswillbe discussed,includingacetylcholine,GABA,anddopamine. Neurotransmitter BrainFunction Acetylcholine (excitatory) Playsanimportantroleinthefunctionofthe hippocampus,whichisinchargeoflearningand memory. GABA (inhibitory) Aneurotransmitterinthecerebralcortex,which controlsthinking,perceiving,andunderstanding language. Dopamine (excitatory) Playsanimportantroleinthepleasure/rewardsystem inthebrain. Preparation/Introduction Preparation ReadtheBackgroundsectionofthismoduleformoreinformationaboutthe brainandneurotransmission. ProvidestudentswiththeModule1magazineTheBrainandNervous Systemforbackgroundknowledge. Determinewhichactivitiesyouwanttheclasstocomplete. Arrangeforcomputerlabtimeorpreparetheclassroomcomputerfor 10 students'InternetandCD-ROMuse. PhotocopyandpassouttheBrainPartsFactSheetandthe NeurotransmissionFactSheetforstudentstocompleteduringthelecture. Preparetransparenciesandphotocopiesforthelesson. Introduction Time:15-20minutes Supplies:Transparenciesofdiagramsifneeded Handouts:Module1magazine(PDF,10.4MB) BrainPartsFactSheet(PDF,668KB) (Page6inthepdf) Reading:Beginbygivingstudentsadequatetimetoreadthestudentmagazine. Havestudentspayparticularattentiontothefollowingsections:Background, StatsandFacts,andScienceintheSpotlight. Discussion:Afterstudentshavereadthemagazine,facilitateadiscussion aboutthebrainusingthefollowingquestions.Ifnecessary,reviewthis informationwithyourstudents,usingthediagramsprovided. ThePartsoftheBrain Whatdoesthebraindo? Whatarethefourlobesofthebrain? Whatarethefunctionsoftherightandlefthemispheres? Whatdoesthelimbicsystemcontrol? 11 Whatarethreefunctionsofthebrainstem? Neurotransmission Whatarethethreemainpartsofaneuron? Approximatelyhowmanyneuronsareinthebrain? Whatarethestepsofneurotransmission? Whatarethedefinitionsofneurotransmitters,synapse,andreceptors? Activities/CD-ROM Activity1:BrainMessages Time:45minutes Supplies:Onelargepieceofbutcher-blockpaperpergroup Markers/crayons/pencils Handouts:NeurotransmissionFactSheet(PDF,668KB) Thisisthefirstactivityinaseriesofsix.TheseactivitiesareallpartoftheBrain Power!Challengecompetition.Beforeyoubegin,gooverthecompetition detailsthatarefoundonpageviiofthisguide. Part1 GiveeachgrouptheNeurotransmissionFactSheet.Makesurestudents understandtheroleofthebrainandneuronsintransmittingmessages throughoutthebody. 12 Giveeachgroupalargesheetofbutcher-blockpaper,pencils,andmarkers. Telleachgrouptodrawthestepsinvolvedinneurotransmission.Students shouldbeabletodescribethepartsofaneuron,howinformationexchange takesplace,andhowinformationissentthroughoutthebody.Theyshould includeashortwrittenexplanationofhowtheprocessworks. Part2 Havegroupstaketurnsshowingthestepsofneurotransmission.Encourage studentstoaskquestionsinadiscussionformatinbetweenthe presentations. Basedontheclarity,information,andcreativityinthegroups'presentations, youwillgiveeachgroupascorefrom0-10.Thesescoresneedtobe recordedontheGroupScorecard,aseachChallengeactivityfortheBrain Power!modulesinvolvesasimilarscoringsystem.Attheendofallthe modules,theteamwiththemostpointswinstheBrainPower!Challenge competition. Activity2:ScavengerHunt Time:45minutes Supplies:Timer,ifneeded Penorpencil Handouts:NeurotransmissionScavengerHunt(PDF,668KB) (Page4inthepdf) Inthisactivity,studentswilllearnaboutneurotransmissionbyusingtheInternet. HavestudentsworktogetheringroupstocompleteanInternetscavengerhunt. Ideasformakingthisactivitymoresuitableforabiggerclass:Iftherearenot 13 enoughcomputersforallgroups,sendgroupsoneatatimewhiletherestofthe classcompletesotheractivities.Useatimertorecordeachgroup'scompletion time. Studentsshouldtrytofindtheanswersasquicklyaspossible.Youcanusethe providedScavengerHunthandoutordeveloponeofyourown.Thefollowing Websitecontainsalltheinformationstudentsneedtocompletethescavenger hunt: Priortothisactivity,addtheInternetresourcelistedbelowtothecomputer's Internet"Favorites"drop-downmenu. faculty.washington.edu/chudler/neurok.html CD-ROM:Room1(OnlineVersion)* TheCD-ROMincludesgamesandmaterialstosupplementtheinformation presentedinthemodule.Theroomlabeled"1"containsthefollowingactivities andspecificinformationpertainingtothismodule: LearningObjectives:thesearepresentedatthebeginningofeachCD-ROM module PartsoftheBrain:ashortfilmaboutbrainparts CerebralCortex:ashortfilmaboutthecerebralcortex HemisphereQuiz:apersonalquizstudentscantaketodeterminetheirown "dominanthemisphere" HarryHumanSuperguy:aninteractivequizandcartoonaboutbrainparts andfunctions NT101:AnIntroductiontoNeurotransmission:thisactivitydetailsthe processofneurotransmissionstep-by-step ModuleQuiz:thisquizisthefinalpartofthemodule,intendedtoassess students'learning 14 *AdobeFlashplayerrequiredtoview. Extensions 1. DividethestudentsintopairsandgiveeachacopyoftheBrainPartsFact Sheet.Assigneachpairapartofthebrainandhavethemdrawtheirown originalcartooncharacterorsuperherothatrepresentsthisbrainpart.For example,studentsassignedtheoccipitallobemightdrawacharacterwith verylargeeyes,andstudentsassignedthecerebellummightdrawtheir characterplayingfootballordancingballet.Afterdrawingthecartoon,each pairshouldthinkofafunnamefortheircharacterandthenintroducehimor hertotheclass. 2. Havestudentsdeveloptimelineschartingthemajorfindingsand breakthroughsinbrainresearch.Dividethestudentsintosmallgroupsand haveeachgroupfocusonaspecifictimeframe(e.g.,0-1700AD,17001900,1900-present).Encouragestudentstohighlightkeymilestoneson theirtimelines.ThefollowingWebsiteisagoodstartingpoint: http://faculty.washington.edu/chudler/hist.html 3. Havestudentscreateaplanforaboardgametoshowtheprocessof neurotransmission.Makesuretheycoverallthemajorpartsoftheprocess. Youcanpresenttheactivitywiththefollowingframeworktobuildmotivation. Theobjectofthegameisfortheneurotransmittertoreachthereceptors acrossthesynapse.Whatkindofobstacleswouldtheneurotransmitter faceinyourgame?Whatpieceswouldtheneuronneedtocollectbeforeit cansendthemessage?Whatwouldtheboardlooklike? Havestudentscreateavisualpresentationfortheirgames.Inthisactivity,you arethepresidentofaboardgamecompanylookingtomakeandsellthebest neurotransmissiongame.Judgethepresentationsbasedoncreativityand scientificaccuracy. 15 Assessment Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 1. Dostudentsknowthemainpartsofthebrainandthemajorfunctionsof eachpart? 2. Dostudentsknowthemainpartsofaneuron?Cantheyexplainthefunction oftheneurotransmitters? 3. Canstudentsexplainneurotransmission?Dotheyhaveaclear understandingthatthisistheprocessthroughwhichmessagesaresent throughoutthebrainandbody? 4. Dostudentsunderstandtheimportanceofthebrainanditsmanyfunctions? 5. Didstudentsparticipateintheclassactivitiesanddiscussion?Didthey engageinthetopics? Resources ResourcesforTeachers NationalInstituteonDrugAbuse(NIDA) 301-443-1124 ThisWebsitecontainsinformationaboutdrugabuseaswellassections designedspecificallyforparents,teachers,andstudents. NIDADrugPubsResearchDisseminationCenter 877-NIDA-NIH(877-643-2644;TTY/TDD:240-645-0228) OrderourmaterialsfreeofchargeinEnglishorSpanish. TheAmazingBrain.Ornstein,R.,&Thompson,R.F. Boston:HoughtonMifflinCompany,1991. Thisuniquelyillustrated,comprehensivepresentationofthenumerousand 16 complexfunctionsofthebrainisanidealsourceforhealtheducatorsandolder students. BrainBasics:KnowYourBrain Providesanexcellentoverviewofthearchitectureandfunctionsofthebrain. ResourcesforStudents NeuroscienceforKids Usefulforbothadultsandchildren,thisWebsitecontainsinformationonthe brainandneurotransmission,activities,experiments,pictures,andother resources. ThePhysicalBrain.Byrnie,F. Woodbridge,CT:BlackbirchPress,Inc.,2001. Thisbook,partofTheAmazingBrainseries,usesavarietyofillustrationsand picturestodescribethedevelopment,functions,andspecializationsofthe brain.Thebookalsocontainsanoverviewofneurotransmission. TheGreatBrainBook:AnInsideLookattheInsideofYourHead.Newquist, H.P. NewYork:ScholasticReference,2005. TheGreatBrainBookusesmedicalillustrations,cartoonillustrations,and interestingphotographstotellthecompletestoryofthebrain,fromthehistoryof thebraintothefutureofbrainscience. 17 LegalDoesn'tMeanHarmless (Module2) YoucanalsodownloadthisentiremoduleinPDFformatbyclickingthe followinglink:Module2(PDF,764KB) Summary Thismodulefocusesonhowtwodrugs,nicotineandalcohol,changethe functioningofthebrainandbody.Bothdrugsarewidelyusedinthecommunity, andforadults,usingthemislegal.Nonetheless,bothalcoholandnicotinecan haveastrongimpactonthefunctioningofthebrain.Eachcancauseanumber ofnegativeeffectsonthebodyandbrain,rangingfrommildsymptomsto addiction. Thegoalofthismoduleistohelpstudentsunderstandthat,althoughnicotine andalcoholarelegalforadults,theyarenotharmlesssubstances.Studentswill learnabouthownicotineandalcoholchangeordisrupttheprocessof neurotransmission.Studentswillexploreinformationontheshort-andlongtermeffectsofthesetwodrugs,andalsolearnwhythesedrugsareillegalfor childrenandteens. Throughthemedia,studentsareexposedtoagreatdealofinformationabout alcoholandtobacco,muchofwhichismisleadingorscientificallyinaccurate. Thismodulewillprovideinformationonwhatresearchershavelearnedabout hownicotineandalcoholchangethebrain,andtheresultingimplicationsfor safetyandhealth. LearningObjectives Attheendofthismodule: Studentscanexplainhownicotinedisruptsneurotransmission. 18 Studentscanexplainhowalcoholusemayharmthebrainandthebody. Studentsunderstandhowalcoholcanintensifytheeffectofotherdrugs. Studentscandefineaddictionandunderstanditsbasisinthebrain. Studentsdrawconclusionsaboutwhyoursocietyregulatestheuseof nicotineandalcoholforyoungpeople. RelationshiptotheNationalScience EducationStandards ThislessonalignswiththreestandardsintheNSES:risksandbenefits; personalhealth;andstructureandfunctioninlivingsystems.Thechartbelow showshowtheactivityalignswiththesestandards. Sciencein Personal& Social Perspectives Risksand benefits Personal health Life Science Structure and function inliving systems 19 HowtheLessonisAligned Studentslearnabouttheshort-andlong-termeffectsof nicotineandalcohol.Thesedrugscanchangehowthe bodyandbrainfunctionandcanleadtoaddiction. Studentscanusethisinformationinmakingdecisions thataffecttheirownhealth. HowtheLessonisAligned Studentswilllearnhownicotineandalcoholactinspecific partsofthebraintoalterthefunctioningofneurons.They willlearnthatthesedrugsultimatelyaffecttheentirebrain andbody. Background Nicotine Nicotineisastimulantdrugfoundincigarettes,cigars,pipetobacco,and smokelesstobacco.Nicotineishighlyaddictive;infact,itisasaddictiveas heroinandcocaine.Nicotinereachesthebrainwithin8secondsofinhalation. Itseffectsonthebodyincludeincreasedheartrateandbloodpressure, increasedalertness,andreducedappetite. Althoughnicotineisanaddictivesubstance,itisactuallythetobaccoinnicotine productsthatcancausedeadlycancers.Smokingandchewingtobaccocan causecancerofthelungs,throat,andmouth. NicotineandNeurotransmitters Nicotinedisruptsthenormalrelationshipbetweentheneurotransmitter acetylcholineandthereceptorsacetylcholinebindsto.Thesechangesinthe brain,detailedherewithdiagrams,canleadtoaddiction. Normalacetylcholineandreceptors 20 Nicotineaffectstheneurotransmitteracetylcholineanditsreceptor.This receptorislocatedinmanybrainstructuresandbodyorgans.Itcarries messagesrelatedtorespiration,heartrate,memory,alertness,andmuscle movement. Toomanychemicalsinthesynapse Becausenicotineisshapedsimilarlytoacetylcholine,itcanfitinthesame receptorsandactjustlikeacetylcholine.Afterrepeateduseofnicotine,thereis moreactivityattheacetylcholinereceptorsthanusualbecausethereceptors arebeingactivatedbybothacetylcholineandnicotine. Lessacetylcholineandfewerreceptors 21 Thischangeinbalancecausesthebrainto“think”thereistoomuch acetylcholineandreactbyreducingthenumberofreceptorsandreleasingless acetylcholineintothesynapse.Thebrainnowneedsnicotinetomaintain normalfunctioning. Notenoughacetylcholineandreceptors Thesechangesinthebraincauseanicotineusertofeelabnormalwhennot usingnicotine.Inordertofeelnormal,theuserhastokeephisorherbody suppliedwithnicotine.Thisisaddiction.Ifthepersonstopsusingnicotine,the numberofreceptorsandtheirsensitivitytoacetylcholinewilleventuallybe reestablished,butonlyaftersometime. Nicotinealsocausesanincreaseinthereleaseofdopaminefromneurons locatedinthelimbicsystem.Dopamineisaneurotransmitterresponsiblefor carryingmessagesaboutpleasurablefeelings.Theresultisstimulationofthe “rewardsystem”inthebrain,whichcausesfeelingsofpleasure. 22 Therewardsystemisacircuitinthebrainthatcarriesmessagesabout pleasure.Thesemessagesmovefromthedopamine-containingneurons locatedintheventraltegmentalarea(VTA),toastructureinthelimbicsystem calledthenucleusaccumbens,andthentotheprefrontalcortex.Activationof thissystemcausesfeelingsofpleasure. Nicotineusealsocausesadecreaseinanenzymethatisresponsiblefor breakingdowndopamine.Thedecreaseinthisenzymeresultsinhigher-thannormaldopaminelevels.Smokersmaycontinuetosmoketomaintainthese highdopaminelevelsandthegoodfeelingsassociatedwiththedrug. WithdrawalfromNicotineandNicotineReplacementTherapy Withdrawalsymptomsaretheuncomfortablefeelingsadruguserexperiences afterheorshehasstoppedtakingadrug.Apersonwhoistryingtostopusing nicotinemaybeshaky,havesleepingproblems,experienceincreasedappetite, andfeeluncomfortable,irritable,andlessalert.Theseunpleasantsymptoms canpreventmanysmokersfromquitting. 23 Nicotinereplacementtherapy,likethenicotinepatchandgum,hashelped manysmokersquit.Theseproductsgraduallyreducetheamountofnicotinein thebrainsothatthesmokerdoesnotexperiencethenegativeeffectsofa suddendropinnicotinelevels.Afterthebrainhasadjustedtonicotinereduction orloss,thewithdrawalsymptomscandiminishorgoaway. Alcohol Alcoholisfoundinbeer,wine,andhardliquorssuchasgin,vodka,and whiskey.Itaffectsmanyareasofthebrainandcancausememoryloss, impairedmotorcoordination,impairedthinkingandproblemsolving,changes inemotionalbehavior,andevendeath. AlcoholandBrainStructures Alcoholaffectsthefrontalloberegionofthebrain,causingthinkingand problem-solvingdifficulties.Motor-coordinationproblemsarecausedby alcohol’seffectsonthecerebellum.Alcoholcancausememorylossby damagingthehippocampus.Inlargedoses,alcoholcancauseaperson’sheart tostopbeatingthroughitseffectsonthemedullaoblongataandthepons. 24 AlcoholandNeurotransmitters Alcoholhasspecificeffectsoncertainreceptorsandneurotransmittersinthe brain.Researchershavefoundthatalcoholaffectsgammaaminobutyricacid (GABA)receptorsandGABA,whichistheneurotransmitterthatbindstothem. GABAisaninhibitoryneurotransmitter;inotherwords,itdecreasestheactivity ofneurons.MoreGABAmaycausedecreasedattention,memoryalterations, moodchanges,anddrowsiness. AlcoholincreasestheactivityofinhibitoryneurotransmitterslikeGABA. Whenthenumberofinhibitoryneurotransmittersinthebrainisincreased, brainactivitiesslowdown. Alcoholinterruptsthenormalfunctioningofotherneurotransmitters,andcan preventtheneurotransmissionthatwouldnormallyinhibitsometypesof behavior.Formany,thiseffectcausesincreasedsocialbehaviors(decreased inhibition).Also,likemanyotherdrugsofabuse,alcoholincreasesdopamine release,whichisresponsibleforthepleasurableaspectsofdrinking. AlcoholWithdrawal Afterlong-termuseofalcohol,thebrainmaytrytocompensatefortheinhibitory neurotransmissionbyincreasingexcitatoryneurotransmission.Thisincreases theactivityofotherneurons.Whenalcoholuseisstopped,theexcitatory neurotransmissionisstillactive,whichcauseswithdrawalsymptomslike shaking,sweating,nausea,andanxiety. Long-TermDamagetotheBody Wernicke-Korsakoff’sdisorderisadiseaseassociatedwithlong-term alcoholism.Becausealcoholdamagesthebrain,peoplewiththiscondition cannotformnewmemories.Theyalsohavedifficultieswithmusclecoordination andmovement. 25 Long-termabuseofalcoholcanalsocauseapotentiallyfatalliverdisease calledcirrhosis.Theliver’sjobistoremovepoisons,germs,andbacteriafrom thebloodandtohelpthebodyfunctionnormally.Becausealcoholisapoison tothebody,theliverworkstoremoveallalcoholthatisingested.Whenalcohol isrepeatedlyandexcessivelyused,theliverbecomesdamagedandthis damagecanleadtocirrhosis. AlcoholandOtherDrugs Peoplewhoabusealcoholoftenabuseotherdrugsaswell.Infact,45percent ofpatientsbeingtreatedforalcoholabusereportabuseofotherdrugs.Alcohol andcertaindrugsworkinthesameareasofthebrain.Combiningdrugswith alcoholcangreatlyintensifytheireffects,whichcanbeverydangeroustothe brainandbody. AlcoholandChildren Researchshowsthattheyoungerapersoniswhenheorshebeginstodrink, themorelikelyheorsheistodevelopalcoholproblemsandalcohol dependence.Drinkingatayoungerageisalsoassociatedwithahigherriskof alcohol-relatedtrafficcrashes,injuries,fatalities,andviolence.In1984,the UnitedStatesincreasedthelegaldrinkingagefrom18to21yearsofage.This changereducedyouthdrinkingandalcohol-relatedincidents. Childrenshouldneverdrinkalcohol.Alcoholisverydangerousforyoung people.Thebraincontinuestodevelopuntilpeopleareintheirearly twenties.Researchshowsthatintroducingalcoholduringthis developmentalstagecanharmthegrowingsystemandaffectlearningand memory,andincreaseriskofaddiction. HealthBenefitsofModerateDrinkingforAdults Researchshowsthatmoderateconsumptionofalcoholhassomebenefitsfor adults.Forexample,moderatealcoholuseseemstolowertheriskofstrokeand 26 heartdisease.Thismaybebecausealcoholhelpskeepbloodvessels unclogged.“Moderatedrinking”isdefinedasoneortwodrinksperdayformen andonedrinkadayforwomenandpeopleovertheageof65.Womenand elderlypersonsofbothsexeshavelowerlevelsofwater,andtheyabsorb alcoholdifferentlythanyoungermendo;thus,asmalleramountofalcoholhas strongereffects. Preparation/Introduction Preparation ReadtheBackgroundsectionofthismoduleformoreinformationaboutthe effectsofnicotineandalcoholonthebrainandbody. ProvidestudentswiththeModule2magazineLegalDoesn’tMean Harmlessforbackgroundknowledge. Determinewhichactivitiesyouwanttheclasstocomplete. Arrangeforcomputerlabtimeorpreparetheclassroomcomputerfor students’InternetandCD-ROMuse. Photocopyandpassoutthe“NicotineandtheBrain”andthe“Alcoholand theBrain”worksheetsforstudentstocompleteduringthelecture. Preparetransparenciesandphotocopiesforthelesson. CutoutpuzzlepiecesforActivity1. Introduction Beforegivingstudentstimetoreviewthemagazine,beginwiththefollowing activity.Workingasaclassorinsmallgroups,askstudentstogeneratealistof allthedrugsandmedicinestheycanthinkofin2minutes.Thenreview students’listsandcircleallthedrugsthatarelegal.*Askstudentstoshare examplesfromtheirlists.Providetheseimportantdefinitions: Adrugisanysubstancethatchangesthewaythebodyorbrainfunctions. 27 Somedrugsarelegalforadultsbutillegalforchildrenandteens.Other drugs,suchascocaine,areillegalforeveryone. Themostwidelyusedlegaldrugsforadultsarealcoholandnicotine,which isfoundintobacco. Tellstudentsthatthegoalofthislessonistolearnabouthownicotineand alcoholchangethebrain.Legaldoesn’talwaysmeanharmless! *Drugsyoubuyoverthecounteranddrugsprescribedbyadoctorare alsolegalandshouldbesafeandeffectivewhentakenaccordingtothe directions.However,theyareillegalwhenusedbysomeoneelseornotas prescribed.TheywillbecoveredinModule3,DrugsintheCupboard. Time:15-20minutes Supplies:Transparenciesofdiagrams,ifneeded Handouts:Module2magazine(PDF,2MB) Reading:Givestudentsadequatetimetoreadthestudentmagazine.Have studentspayparticularattentiontothefollowingsections:Background,Stats andFacts,andScienceintheSpotlight. Discussion:Afterstudentshavereadthemagazine,facilitateadiscussion aboutnicotineandalcoholbyusingthefollowingquestions.Ifnecessary, reviewthisinformationwithyourstudentsusingthediagramsprovided. NicotineandAlcohol Whatchangesinthebraincausenicotinewithdrawalsymptoms? 28 Howdoesalcoholaffectlearningandmemory? Whatarepossibleconsequencesfromdrinkingalotofalcoholinashort periodoftime? Howdoesalcoholaffectthinking,planning,anddecision-making? Activities-CD-ROM Activity1:PieceItTogether Time:15minutes Supplies:PhotocopiesofPuzzlePieces(cutoutpriortoactivity) Module2magazine(PDF,2MB) Handouts:Puzzlepieces,NicotineandtheBrainworksheet,andAlcohol andtheBrainworksheet(PDF,668KB) (SeeTableofContentsforcorrectpages) Tellstudentsthatthisisthesecondactivityoftheircompetition.Thefirstgroupto completethetaskwinsfivepoints.Studentsshouldusethe“Nicotineandthe Brain”and“AlcoholandtheBrain”handoutsfromthelectureandthemagazine contenttohelpthemcompletethisactivity. 1. DividetheclassintotheirBrainPower!Challengegroupsandtellthe groupstomovenexttoeachotheraroundadesk.(Iftheclassislarge,it mightbebettertoworkonthefloor.) 2. GiveeachstudentacopyofthePuzzlePieceshandout.Thedefinitions shouldbecutapartsoeachoneisonadifferentpieceofpaper.Thepuzzle piecesaredesignedsothatthedefinitionsaregrayandthewordsare white. 29 3. Thepuzzlepiecesincludewordsanddefinitionsfromthemodule.Students willneedtoarrangethepiecessothatthecorrectdefinitionisnexttoeach word. 4. Theteamthatcompletesthistaskcorrectlyintheshortesttimewins.Record thewinninggroup’spointsontheGroupScorecard. Ideasformakingthisactivitymoresuitableforabiggerclass:Eachmember oftheteamcouldcompletethepuzzleindividually,andtheteamwiththemost correctpuzzlesinthepredeterminedamountoftimecouldwinthefivepoints. Activity2:UnderageDrinkingandtheMedia Time:45minutes Supplies:Timer,ifneeded Penorpencil Handouts:MediaReportCard(PDF,885KB) Populartelevisionshowsandmoviesoftendepictunderagedrinking.Itis importantforteenstothinkcriticallyaboutthemedia’sportrayalofalcoholuse andrecognizeboththeaccuraciesandinaccuracies. Dividetheclassintogroupsof4to6students.Givestudentsabout10minutes tolisttelevisionshowsandmoviesthatportrayunderagedrinkingusingthe MediaReportCardandassigneachexampleanaccuracygrade.Students shouldjustifyeachgradeinthecommentssectionoftheMediaReportCard. Haveeachgrouppresentitstwohighestandlowestgradedexamplesand explainthereasoningbehindeachgradeassignment. Tellstudentstoaskthefollowingquestionsastheydeterminegradesforeach televisionshowandmovie: 30 Howoftenisunderagedrinkingdepicted? Whatisthetoneofthescene(s)inwhichunderagedrinkingisdepicted?For example,isthescenecomic,designedtoelicitlaughs?Ordoesittake underagedrinkingmoreseriously? Aretheconsequencesofunderagedrinkingshown? Howaretheeffectsofalcoholonthebrainandbodydepicted? CD-ROM:Room2(OnlineVersion)* TheCD-ROMincludesgamesandmaterialstosupplementtheinformation presentedinthemodule.Theroomlabeled“2”containsthefollowingactivities andspecificinformationpertainingtothismodule: LearningObjectives:thesearepresentedatthebeginningofeachCD-ROM module MeetAcetylcholine:anintroductiontotheacetylcholineneurotransmitter, andhownicotineusesthesamereceptors NicotineKnockout:agameinwhichplayersmuststopnicotinefromgetting tothereceptors ChalkboardFacts:thisisalistingoffactsabouthowalcoholaffectsa developingbrain Inter-lobeLoop:aninteractivequizwherestudents“travel”throughthebrain andanswerquestionsabouthowalcoholaffectsdifferentbrainparts ModuleQuiz:thisquizisthefinalpartofthemodule,intendedtoassess students’learning *AdobeFlashplayerrequiredtoview. Extensions 1. TheBrainPower!magazineprovidesatimelineofsomeofthemajorevents 31 inthehistoryofalcohol.Developasimilartimelinefortobacco.Thetimeline shouldtracepeople’sgrowingunderstandingoftheimpactoftobaccoon publichealthintheUnitedStates,fromthefoundingofthecoloniestothe presentday.Whataresomecurrenttopicsinthenewsrelatedtotobacco, smoking,andnicotine? 2. TheBrainPower!magazineincludesacartoonthatillustrateshownicotine affectsneurotransmittersinthebrain.Havestudentsdevelopacartoonthat showstheeffectsofalcoholonthebrain. 3. Leadtheclassincompletingthefollowingexperimenttodemonstratethe harmfuleffectsofnicotineandalcohol. Materials 4householdplantsofthesamekind Alcohol Paperandpencil Marker Coffee Ruler Water 2clearplasticcups Cigarettes Neverletchildrenhandlealcoholortobaccoproducts. Conductingtheexperiment: Whatwouldhappenifplantsdrankalcoholorcoffee,orsmokedcigarettes? Havestudentsthinkabouthowtheitemswillbeusedinthisexperimentand recordtheirobservationsonhowtheplantslook.Ifyouhaveacamera,take picturesoftheplantsbeforeyoubegintheexperiment. 32 Predict Writedownstudentpredictionsabouthoweachplantwillreactoverthecourse of3weeksifeachisfedwithoneofthefollowingsubstances:water,coffee, tobaccowater,oralcohol. Experiment 1. Labeleachplantwiththesubstancewithwhichitwillbefed(Figure1). 2. Witharuler,measure1inchfromthebottomoftheclearplasticcupsand drawaline.Tofeedtheplants,fillthecupsonlytothelinesothateachplant receivesthesameamountoffood(Figure2).Onlyteachersshouldhandle thealcoholandtobacco. 33 3. Labeloneofthecups“Tobacco.”Thiscupwillbeusedforthetobaccowater only. 4. Every3daysfor3weeks,dothefollowing: a. Thenightbefore,fillthetobaccocuptothelinewithwater;removethe paperfromonecigarette,andputthetobaccointhecup.Letitsoak overnight. b. Thenextday,placetheplantsonatable. c. Measureeachplantatitshighestpoint(thetallestleaf)witharuler. Recordeachplant’sheightandappearance(color,overallhealth,and numberandhealthofitsleaves). d. Havestudentsrecordtheirobservations,anddrawapictureofeach plant. e. Gatherthetobaccowater,freshwater,coffee,andalcohol.Makesure theyareatroomtemperature. f. Pourthetobaccowaterintheplantlabeledtobacco. g. Pouroneoftheothersubstances(water,coffee,oralcohol)intotheother plasticcuptotheline. h. Pourthesubstanceintotheplantlabeledforthatsubstance. i. Rinsethecupbetweeneachfeeding. j. Repeatstepsg,h,andiuntileachplanthasbeenfed. k. Keeptheplantsinasunnyareabetweenfeedings. Conclude Attheendof3weeks,examineandmeasureeachplant.Havestudentsrecord theirobservations.Comparethemeasurementsanddrawingsofeachplant fromthefirstdaywiththemeasurementsandappearanceofeachplantafter3 weeksoffeedingsandhavestudentsrecordthedifferences.Ifyoutookpictures oftheplantspriortotheexperiment,comparethepicturestothewaytheplants looknow. 34 QuestionsforStudents Whateffectdideachsubstancehaveontheplant?Whathappened?Didsome oftheplantsgrowmorethanothers?Didanyoftheplantsdie?What conclusionscanyoudrawfromtheappearanceoftheplants?Discussthe resultsoftheexperiment.Ifthesesubstanceshurt,ormaybeevenkilled,the plants,whatwouldhappenifapersonusednicotine,alcohol,orcaffeine? Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 1. Canstudentsdescribetheeffectsofnicotineonthebrain?Cantheyexplain howthesechangesoftenresultinaddiction? 2. Canstudentsdescribetheeffectsofalcoholinthebrain?Cantheyexplain howthesechangesmayresultinaddiction? 3. Canstudentslistwithdrawalsymptomsofnicotineandalcohol?Dothey understandtheconnectionbetweenthesesymptomsandhowthebrain changesasaresultoftheuseofthesesubstances? 4. Canstudentsprovideascientificjustificationforthelawsagainsttheuseof nicotineandalcoholbyyoungpeople? 5. Didstudentsparticipateinclassactivitiesanddiscussion?Didtheyengage inthetopic? Assessment Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 1. Canstudentsdescribetheeffectsofnicotineonthebrain?Cantheyexplain howthesechangesoftenresultinaddiction? 2. Canstudentsdescribetheeffectsofalcoholinthebrain?Cantheyexplain howthesechangesmayresultinaddiction? 35 3. Canstudentslistwithdrawalsymptomsofnicotineandalcohol?Dothey understandtheconnectionbetweenthesesymptomsandhowthebrain changesasaresultoftheuseofthesesubstances? 4. Canstudentsprovideascientificjustificationforthelawsagainsttheuseof nicotineandalcoholbyyoungpeople? 5. Didstudentsparticipateinclassactivitiesanddiscussion?Didtheyengage inthetopic? Resources ResourcesforTeachers NationalInstituteonDrugAbuse(NIDA) 301-443-1124 ThisWebsitecontainsinformationaboutdrugabuseaswellassections designedspecificallyforparents,teachers,andstudents. MindOverMatter Designedforteens,thissiteincludesinformationabouthowdifferentdrugs, includingnicotine,affectthebrain.Alsoavailableforfreebycalling1-800-7296686. NIDADrugPubsResearchDisseminationCenter 877-NIDA-NIH(877-643-2644;TTY/TDD:240-645-0228) OrderourmaterialsfreeofchargeinEnglishorSpanish. NationalInstituteonAlcoholAbuseandAlcoholism Ausefultoolforeducators,thissitedetailsthelatestresearch,andprovides information,publications,andnewsreleasesonalcoholuseandabuse. 36 Buzzed:TheStraightFactsAbouttheMostUsedandAbusedDrugsfrom AlcoholtoEcstasy.Kuhn,C.,Swartzwelder,S.andWilson,W. NewYork:W.W.Norton&Company,2003.Ahighlyinformative,detailed reviewofwidelyabuseddrugs. ResourcesforStudents MindOverMatter Designedforteens,thissiteincludesinformationabouthowdifferentdrugs, includingnicotine,affectthebrain.Alsoavailableforfreebycalling1-800-7296686. NIDAforTeens Designedforteens,thissiteprovidesinformationonseveraldrugs,including nicotine,aswellasquizzesandreal-lifestories. FreeVibe Designedforteens,thissitecoverstherisksandconsequencesofvarious drugsandprovidesnews,advice,andreal-lifestories. TooSmarttoStart Coversawiderangeofalcohol-relatedissuesandcontainsadvicecolumns, wordgames,andaninteractivetoolthatexplainsalcohol’seffectsondifferent partsofthebody. TheCoolSpot ThisNIAAAWebsite,createdformiddleschoolstudents,coversavarietyof peerpressureissuesanddiscussesthemythsandfactsofalcohol. Alcohol.Wagner,H.L. Partofthe“Drugs:TheStraightFacts”series.Philadelphia,PA:ChelseaHouse Publishers,2003.Containsathoroughdiscussionofalcohol-relatedissues, includinghistory,healtheffects,usagetrends,andalcoholism. Nicotine.Wagner,H.L. 37 Partofthe“Drugs:TheStraightFacts”series.Philadelphia,PA:ChelseaHouse Publishers,2003.Containsathoroughdiscussionofnicotineandsmoking, includinghistory,healtheffects,usagetrends,andaddiction. TheU.S.Governmentdoesnotendorseorfavoranyspecificcommercial productorcompany.Trade,proprietary,orcompanynamesappearinginthis publicationareusedonlybecausetheyareconsideredessentialinthecontext ofthestudiesdescribedhere. 38 DrugsintheCupboard(Module3) YoucanalsodownloadthisentiremoduleinPDFformatbyclickingthe followinglink:Module3(PDF,600KB) Summary Thismoduleexplainshowprescriptiondrugsandsomehouseholdproducts candamagethebrainandbodywhenusedimproperly.Householdproducts arecalledinhalantswhentheyareabused.Thesedrugsareparticularlyprone toabusebecausetheyareoftenfoundinthehomeandareeasilyaccessible. Prescriptiondrugsandinhalantsarenotdangerouswhentheyareusedas intended.However,theycanleadtoserioussideeffects,evendeath,when usedinappropriately. LearningObjectives Attheendofthismodule: Attheendofthismodule: Studentscanexplaintheeffectsofprescriptiondrugs. Studentscanexplainhowprescriptiondrugsaffectthefunctioningofthe brainandbodywhennotusedproperly. Studentsunderstandhowinhalantscanchangethebrain. Studentsunderstandwhyitisimportanttousemedicationasinstructed. RelationshiptotheNationalScience EducationStandards ThislessonalignswiththreestandardsintheNSES:risksandbenefits; personalhealth;andstructureandfunctioninlivingsystems.Thechartbelow 39 showshowtheactivityalignswiththesestandards. Sciencein Personal& Social Perspectives Risksand benefits Personal health Life Science Structure and function inliving systems HowtheLessonisAligned Studentslearnabouttheshort-andlong-termeffectsof abusingprescriptiondrugsandinhalants.Thesedrugs canchangehowthebodyandbrainfunctionandcan leadtoaddiction.Studentscanusethisinformationin makingdecisionsthataffecttheirownhealth. HowtheLessonisAligned Studentswilllearnhowprescriptiondrugsandinhalantsact inspecificpartsofthebraintoalterthefunctioningof neurons.Theywilllearnthatthesedrugsultimatelyaffectthe entirebrainandbody. Background PrescriptionDrugs Drugsprescribedbyaphysiciancanrelievepainandcontrolthesymptomsof manydisordersanddiseases.Peoplewhouseprescriptiondrugsasdirected byadoctor(attheprescribeddoseandfortherecommendedlengthoftime)are atverylowriskforaddictionorothernegativesideeffects.However,intentional misuseofprescriptiondrugscanbedangerous.Threecommonlyabused prescriptiondrugsareopioids,centralnervoussystem(CNS)depressants,and CNSstimulants. 40 TheInternetmakesprescriptiondrugsmoreeasilyaccessibleforabuse.Emailinboxesareoftenfullofspame-mailsofferingthesaleofprescription drugswithoutaprescription.Whendiscussingthesedrugswithyour students,bringupthetopicofdangerousandmisleadingspame-mails, andhowitisimportanttorespectprescriptiondrugs. EffectsofPrescriptionDrugsontheBrainandBody Opioids Opioids,suchasmorphine,codeine,oxycodone(Oxycontin),andhydrocodone (Vicodin),areprescribedforpainrelief.Usedcorrectly,opioidsarehelpfulfor peoplesufferingfromchronicpainorpainfromsurgery.Thesedrugsactby attachingtoopioidreceptorsinthebrainandspinalcord,andblockingthe transmissionofpainmessagestothebrain.Opioidsalsocauseinitialfeelings ofpleasurebyactingontherewardsysteminthebrain.Sideeffectsofopioids includedrowsinessandconstipation. CNSDepressants CNSdepressantsincludebarbituratesandbenzodiazepines(e.g.,diazepam [Valium],alprazolam[Xanax],andlorazepam).Thesemedicationsare prescribedtotreatanxiety,tension,andsleepdisorders.Theyslowbrain functionbyincreasingtheactivityoftheneurotransmitterGABA.GABA decreasesbrainactivityandcausesfeelingsofdrowsinessandcalmness, whichishelpfulinpeoplewithanxietyorsleepdisorders. CNSStimulants CNSstimulants,suchasdextroamphetamine(Dexedrine)andmethylphenidate (Ritalin),areprescribedforattention-deficithyperactivitydisorder(ADHD), narcolepsy(asleepingdisorder),anddepressionthathasnotrespondedto othertreatments.Stimulantscopytheactivityoftheneurotransmittersdopamine andnorepinephrinebystimulatingtheirspecificreceptors.Thisresultsin increasedalertness,attention,andenergy.Stimulantsalsoresultinincreased 41 feelingsofpleasure,higherbloodpressureandheartrate,andincreasedblood glucoselevels. Scientistsproposethatthereislessdopaminetransmissioninthebrainsof personswithADHDwhencomparedtootherindividuals.Becausestimulants correctthisshortfall,individualswithADHDareatlowriskforbecoming addictedtostimulantmedications.Individualsthathavenotbeenprescribed Ritalinabusethedrugbyswallowingthetabletsorbycrushingandthen snortingthem.Thiscauseswakefulnessandeuphoria.Inpeoplewhodonot needthemedication,theincreaseddopaminetransmissioncausedby ingestingRitalincanbehighlyaddictive. DrugEffects Opioids Morphine,Codeine, Oxycodone, Hydrocodone Attachtoopioidreceptorsinthebrainandbodyto blocktransmissionofpainmessages. CNSDepressants Barbituratesand Benzodiazepines Slowbrainfunctionbyincreasingtheactivityof theneurotransmitterGABA,whichdecreases brainactivityandcausesfeelingsofdrowsiness andcalmness.Thesedrugsalsodecreaseheart rateandbloodpressure. CNSStimulants Dextroamphetamine and Methylphenidate Activatedopamineandnorepinephrinereceptors, whichresultsinincreasedalertness,attention, andenergy.Stimulantsalsocausehigherblood pressureandheartrate. PrescriptionDrugsinCombinationwithOtherDrugs Inordertobesafeandhealthy,patientstakingprescriptiondrugsmustcomply 42 withthemedicationguidelinessetbytheirdoctor.Itisimportanttoknowhow muchmedicinetotake,howlongtotakeit,andwhatelsecanhaveanimpact onitseffectsonthebody.Possibleinteractionswithotherdrugs,vitamins, certainactivities,orenvironmentalfactorssuchassunexposureneedtobe thoroughlyunderstoodbythepatientfortheprescribedmedication.Prescription medicationsshouldneverbeshared. Misusingprescriptiondrugscanhaveverynegativeconsequences.Atlarge doses,opioidscanbefatalbecausetheycancauseheartandbreathingrates toslowdownorstop.Highdosesofstimulantscancauseanirregular heartbeat,seriouslyhighbodytemperatures,andthepotentialforheartattacks anddeath.Takingstimulantsincombinationwithover-the-countercold medicationscancauseabnormalitiesinbloodpressureandheartrhythm. TakingopioidsandCNSdepressantsincombinationwithotherdrugs,suchas alcoholorantihistamines,cancausesevererespiratoryproblemsanddeath. PrescriptionDrugWithdrawal Long-termabuseofprescriptiondrugsmaycauseaddictionandproduce withdrawalsymptomsifthedrugisdiscontinued.Thewithdrawalsymptoms fromprescriptiondrugabusevary,dependingontheparticulardrugbeing abused.Thewithdrawalsymptomsthatresultfromopioidabuseinclude restlessness,insomnia,vomiting,muscleandbonepain,diarrhea,andcold flasheswithgoosebumps. WithdrawalfromCNSdepressantsmaycausethebrain’sactivitytorebound andraceoutofcontrol,resultinginseizuresandotherharmfulconsequences. ThewithdrawalsymptomsofCNSstimulantsincludedepression,fatigue, insomnia,lossofappetite,andcravingformorestimulants. Inhalants Inhalantsareaclassofchemicalsthathavemanyusefulpurposesin householdsbutwerenevermeanttoenterthebody.Theyareintentionally misusedbysniffingorinhaling.Theycanbesprayeddirectlyintothenoseor mouth,inhaledfromsubstancesdroppedintoabag(“bagging”),inhaledfroma 43 soakedrag(“huffing”),orinhaledfromaballoon.Inhalantsenterthe bloodstreamdirectlythroughthelungsandrapidlytraveltothebrain.Users experienceanimmediate“headrush”orhigh. Manyinhalantsarecommonlyfoundinthehome.Theycanbeclassifiedinto fourcategories:volatilesolvents,aerosols,gases,andnitrites. Thestudentmaterialsforthismoduledonotmentionspecifichousehold products.Thiswasintentional.Youngpeopleareoftenhighlycurious abouttheseeasilyaccessibledrugs.Toguardagainstsuchcuriosity,we recommendyouavoidmentioningspecificproductsinyourdiscussion. Theyarelistedinthefollowingchartforyourinformationonly. Volatilesolvents:Paintthinnersandremovers,dry-cleaningfluids,degreasers, gasoline,glues,correctionfluids,felt-tipmarkerfluids. Aerosols:Sprayscontainingpropellantsandsolvents,includingspraypaints, deodorantsandhairsprays,vegetableoilspraysforcooking,fabricprotector sprays,whippedcream. Gases:Householdgasesandmedicalanesthetics:ether,chloroform, halothane,nitrousoxide(laughinggas). Nitrates:Cyclohexylnitrite,isoamyl(amyl)nitrite,isobutyl(butyl)nitrite;sold underthenameof“poppers,”orfoundincertainroomdeodorizingsprays. Inhalantabusecandamageareasofthebraininvolvedincognitivefunctions andproducesymptomsrangingfrommildimpairmenttodementia.Inhalant abusecanalsodamagebrainareasresponsibleformovementandvision. Permanenthearinglossandirreversibledamagetonervesthroughoutthebody canoccurfromusinginhalants.Inhalantscancausehepatitis,liverfailure,and muscleweakness.Theyalsointerferewiththeproductionofredbloodcells, 44 whichcanresultinalife-threateningconditionknownasaplasticanemia.A conditioncalled“suddensniffingdeath”mayoccurwheninhaledfumesreplace oxygeninthelungsandbrainandcausesuffocation.Finally,inhalantscan interferewithheartrhythm,leadingtoaheartattack.Thiscanoccurfroma singlesessionofrepeatedinhalantuse. EffectsofInhalantsontheBrain Scientistsareinvestigatingtheexactwayinwhichinhalantsslowandstopthe activitiesofneurons.Someinhalantsalsodamagethestructureofthebrain, particularlythemyelin,orinsulation,thatcoverstheaxons.Becausemyelin helpsmessagestravelthroughtheneurons,thisdamagecanbeveryserious. Thepartsofthebrainmostaffectedbyinhalantsarethecerebralcortex, cerebellum,hippocampus,andbrainstem.Becauseofthedamagetothe cerebellum,heavyusersofinhalantsoftenshowsignsofdecreased coordination,movingslowlyandclumsily. Thefrontalcortexofthebrain,importantforsolvingproblems,andthe hippocampus,apartofthebraininvolvedinmemory,arealsoaffectedby inhalantabuse.Researchersthinkthatinhalantsdeprivethebrainofoxygen. Thiscausesthedeathofnervecellsandadecreaseinnervecellactivity. Thinking,memory,andtheabilitytolearnareallnegativelyaffected. 45 Manyinhalantsactivatethebrain’srewardsystemandstimulatethereleaseof dopamine.Thisisthoughttoberesponsibleforthepleasurablefeelings associatedwithinhalantuse. Long-TermInhalantAbuse Peoplewhouseinhalantsoveralongperiodoftimefeelastrongurgeto continueusingthem.Effectsoflong-termabuseincludeweightloss,muscle weakness,disorientation,inattentiveness,lackofcoordination,irritability,and depression. Preparation/Introduction Preparation ReadtheBackgroundsectionofthismoduleformoreinformationaboutthe effectsofprescriptiondrugsandinhalantsonthebrainandbody. ProvidestudentswiththeModule3magazineDrugsintheCupboardfor backgroundknowledge. Determinewhichactivitiesyouwanttheclasstocomplete. Arrangeforcomputerlabtimeorpreparetheclassroomcomputerfor students’InternetandCD-ROMuse. PhotocopyandpassoutthePrescriptionDrugs,Inhalants,andtheBrain FactSheetforstudentstocompleteduringthelecture. Preparetransparenciesandphotocopiesforthelesson. GathercoloredpaperforActivity1. Introduction 46 Time:15-20minutes Handouts:Module3magazine(PDF,4.3MB) Reading:Beginbygivingstudentsadequatetimetoreadthestudentmagazine. Havestudentspayparticularattentiontothefollowingsections:Background, StatsandFacts,andScienceintheSpotlight. Discussion:Afterstudentshavereadthemagazine,facilitateadiscussion aboutthebrainusingthefollowingquestions.Ifnecessary,reviewthis informationwithyourstudentsusingthediagramsprovided. PrescriptionDrugsandInhalants Whoshouldtakeprescriptiondrugs?When? Whatarethethreeclassesofprescriptiondrugs? Shouldapersonuseaprescriptiondrugthathasbeenprescribedfor someoneelse? Howdoesinhalantabuseinjurethebrainandbody? Whatisthenameoftheinsulationaroundneuronsthatisdamagedby inhalants? Activities/CD-ROM Activity1:ChooseaColor 47 Time:20minutes Supplies:Eachstudentneedsapieceofred,orange,blue,andgreen paper Markers Tellstudentsthatthisisthethirdactivityoftheircompetition.Thegroupthat doesthebestjobwillearnfivepoints.Remindstudentsofwhichgroupsthey arein.Giveeachstudentfourdifferentcoloredpiecesofpaper:oneforopioids, oneforCNSdepressants,oneforstimulants,andoneforinhalants.Students shouldlabeleachaccordingly.Readeachofthestatementsbelow.Pauseafter readingeachstatementandtellthestudentstopickthecoloredpaper(drug) thatthestatementdescribesandtoholditup.Createyourownsetofpaperto holdupthecorrectanswer(s)forstudentstoseeaftertheyhavemadetheirown selection(s). Red=Opioids Orange=Depressants Blue=Stimulants Green=Inhalants Warnstudentsthatsometimestheymayhavetoholdupmorethanonecolored pieceofpaper.Tellthestudentsthatiftheyholdupapaperwiththewrong color,theywillbeoutofthegame.Thegamewillcontinueuntilonlyonestudent isleftoruntilallthestatementshavebeenread.Ifonlyonestudentisleft,that student’steamearnsfivepoints.Ifseveralstudentsareleft,eachstudentearns onepointforhisorherteam.Whenthegameisover,recordthewinning group’spointsontheGroupScorecard. 1. Thesedrugsshouldonlybeusedwhendirectedbyadoctor. Answer:Red,Orange,Blue(opioids,CNSdepressants,stimulants) 2. Peopleshouldneverusethesedrugsforanythingotherthantheirintended purposes. 48 Answer:Allcolors(allfourgroupsofdrugs) 3. Thesedrugscancauseaddictionifusedinappropriately. Answer:Red,Orange,Blue(opioids,CNSdepressants,stimulants) 4. Thesedrugscancausedeathifusedinappropriately. Answer:Allcolors(allfourgroupsofdrugs) 5. Thisgroupofdrugsisprescribedtorelieveseverepain. Answer:Red(opioids) 6. Whenoneofthesedrugsisinhaled,itcancausesuddensniffingdeath. Answer:Green(inhalants) 7. Thesedrugsareprescribedtopatientswithattention-deficithyperactivity disorder(ADHD). Answer:Blue(stimulants) 8. Whenusedinappropriately,thisgroupofdrugscancauseseizures. Answer:Blue(stimulants) 9. Whenusedappropriately,thisgroupofdrugscausescalmnessandhelps withsleepandanxietyproblemsbyincreasingthereleaseofthe neurotransmitterGABA. Answer:Orange(CNSdepressants) 10. Whenusedappropriately,thisgroupofdrugscausesalertnessbycopying theactivityoftheneurotransmittersdopamineandnorepinephrine. Answer:Blue(stimulants) 11. Thistypeofprescriptiondrugaffectstheneurotransmitterdopamine. Answer:Blue,Red(stimulants,opioids) 12. Thisgroupofdrugscandeprivethebrainofoxygenanddecrease coordination. Answer:Green(inhalants) 13. Whenabused,thesedrugscancauseheartandbreathingproblems. Answer:Allcolors(allfourgroupsofdrugs) Activity2:PublicServiceAnnouncement 49 Time:40minutes Supplies:Module3magazine(PDF,4.3MB) Penorpencil Paper Handouts:PrescriptionDrugs,Inhalants,andtheBrainFactSheet(PDF, 668KB) (page14inthepdf) PublicServiceAnnouncements,orPSAs,arerunonTVandradiotoinformthe communityaboutsafetyandhealthinformation.Tellthestudentsthattheywill beplanning,writing,andperformingtheirownPSAfortheclass.Divide studentsintogroupsof4−6,andassigneachgroupeither“prescriptiondrugs” or“inhalants”astheirtopic. Givethestudentsabout15minutestolookthroughthestudentmagazine,their notes,andothersourcestogatherinformationconcerningtheirassignedtopic. InformthegroupsthatallPSAsmusteducatetheaudienceontheeffectsthese drugshaveonthebrainandbody,andotherscience-basedfacts.Allowthem another15minutestoplanandwritetheirPSA;thenhaveallgroupsperform theirPSA.Tomakesurethatallstudentsineachgroupareactivelyengagedin theplanning,writing,andperformingoftasks,youcanassignrolessuchas writer,director,actors,andscientificresearchers. Keepthestudentsontrackbyemphasizingkeylecturepointsaboutthe sciencebehinddrugusefromthebackgroundsection. Wrapuptheactivitywithadiscussionandassessmentofthestrengthsofeach group’sPSA. 50 CD-ROM:Room3(OnlineVersion)* TheCD-ROMincludesgamesandmaterialstosupplementtheinformation presentedinthemodule.Theroomlabeled“3”containsthefollowingactivities andspecificinformationpertainingtothismodule: LearningObjectives:thesearepresentedatthebeginningofeachCD-ROM module PillPoppers:anactivitywherestudentsmustmatchdrugeffectstothe correctclassofprescriptiondrugs:depressants,stimulants,andopioids SynapseSweep:agameinwhichplayersmustactquicklytogetridofthe drugsinthesynapsewhileavoidingtheneurotransmitters MyelinSleuth:anactivitywherestudentsfigureoutwhichneuronona microscopeslideisfromaninhalantabuserandwhichisthehealthybrain cell ModuleQuiz:thisquizisthefinalpartofthemodule,intendedtoassess students’learning *AdobeFlashplayerrequiredtoview. Extensions 1. HavestudentsdoresearchonADHDusingthestudentmagazine,the Internet,andothermagazines.Tellthemtodevelopanoutlinesummarizing ADHD:whatitis,thesymptoms,howcommonitisinchildren,behaviors associatedwiththedisorder,andtreatment.Thiswillgivestudentsabetter understandingofthedisorder,aswellaswhymanychildrentake medicationtotreatADHD. 51 UsefulWebsites: www.chadd.org/ www.nimh.nih.gov/health/publications/attention-deficit-hyperactivitydisorder/complete-index.shtml 2. Distributedrawingpaperanddrawingsuppliestostudents.Tellthemthat theyaregoingtobemakingabrochureforyoungerstudents(elementary age)toexplainthedangersofprescriptiondrugandinhalantabuse. Encouragestudentstorememberwhattheyknewabouttheseissuesor drugswhentheywereyounger,andhelpthembrainstormideasforhowto presenttheinformationtotheyoungeraudience. Assessment Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 1. Dostudentsrealizetheimportanceoftakingprescriptionmedicationsonly underadoctor’sguidance?Dotheyunderstandtheeffectsthatprescription drugscanhaveonthebrainandbodywhentakenimproperly? 2. Dostudentsunderstandthevarioustypesofprescriptionmedicationsand whytheyareprescribed?Dotheyunderstandthepossibleconsequencesof Ritalinuseforsomeonewhodoesn’thaveADHD? 3. Canstudentsexplaintheconsequencesofprescriptiondrugusein combinationwithotherdrugs,suchasalcohol,antihistamines,orotheroverthe-countermedications? 4. Canstudentslistsomewithdrawalsymptomsofinhalants?Dothey understandtheconnectionbetweenthesesymptomsandhowthebrain changesfromtheuseofinhalants? 52 5. Dostudentsunderstandtheshort-andlong-termeffectsofinhalantsonthe brainandbody?Dotheyrealizetheimpactofthesesymptomsonbrain functioning? Resources ResourcesforTeachers NationalInstituteonDrugAbuse(NIDA) 301-443-1124 ThisWebsitecontainsinformationaboutdrugabuseaswellassections designedspecificallyforparents,teachers,andstudents. MindOverMatterTeacher’sGuide Thisprintable/downloadableteacher’sguideaccompaniesNIDA’sMindOver Matterseries.Theseriesisdesignedtoeducateteensaboutthebiological effectsofdrugabuseonthebodyandbrain. NIDADrugPubsResearchDisseminationCenter 877-NIDA-NIH(877-643-2644;TTY/TDD:240-645-0228) OrderourmaterialsfreeofchargeinEnglishorSpanish. Buzzed:TheStraightFactsAbouttheMostUsedandAbusedDrugsfrom AlcoholtoEcstasy.Kuhn,C.,Swartzwelder,S.,andWilson,W.NewYork:W.W. Norton&Company,2003.Ahighlyinformative,detailedreviewofwidely abuseddrugs. ResourcesforStudents MindOverMatter Designedforteens,thissiteincludesinformationabouthowdifferentdrugs, includinginhalantsandopioids,affectthebrain.Alsoavailableforfreeby calling1-800-729-6686. 53 FreeVibe Designedforteens,thissitecoverstherisksandconsequencesofvarious drugsandprovidesnews,advice,andreal-lifestories. RitalinandOtherMethylphenidate-ContainingDrugs.Ferreiro,C.Philadelphia, PA:ChelseaHousePublishers,2003.Partofthe“Drugs:TheStraightFacts” series.ThebookprovidesathoroughdiscussionofRitalinandADHD,withfacts aboutabuse. Inhalants.Lobo,I.A.Philadelphia,PA:ChelseaHousePublishers,2004.Partof the“Drugs:TheStraightFacts”series.Providesusefulinformationaboutthe differenttypesofinhalants,howtheyactonthebrainandbody,usagetrends, andhealtheffects. PrescriptionPainRelievers.Foster,O.M.Philadelphia,PA:ChelseaHouse Publishers,2005.Partofthe“Drugs:TheStraightFacts”series.Containsa thoroughdiscussionofprescriptionpainrelievers,includinghowtheyactinthe brain,healtheffects,andusagetrends.Thisbookhelpsstudentsunderstand theconnectionbetweentheseprescriptionpainrelieversandhowthebrain changesasaresultoftheuseofthesesubstances. 54 WeedingOuttheGrass(Module4) YoucanalsodownloadthisentiremoduleinPDFformatbyclickingthe followinglink:Module4(PDF,640KB) Summary MarijuanaisthemostcommonlyabusedillegaldrugintheUnitedStates. Nearlyhalfofallhighschoolstudentshaveusedmarijuana.Manychildrenand adolescents,andevenadults,thinkofitasaharmlessdrug,especiallywhen comparedtoheroin,cocaine,andevencigarettes. Butmarijuanaishardlyharmless.Today’smarijuanais10to15timesstronger thanitwasinthe1960s.Recentresearchisshowingthatthisdrughasastrong physicalimpactonthebrainandbody.Becausetheirbrainsarestill developing,itisparticularlyimportantforyoungpeopletounderstandthe effectsofmarijuana.Thismoduleisdesignedtoteachstudentsaboutthe seriouseffectsofmarijuana. LearningObjectives Attheendofthismodule: Studentscanexplaintheshort-andlong-termeffectsofmarijuanauseand theseriousnessoftheseeffects. StudentsunderstandhowTHC,theactiveingredientinmarijuana,disrupts neurotransmission. Studentscanexplainhowmarijuanacanadverselyaffectthehippocampus andotherpartsofthebrain. RelationshiptotheNationalScience EducationStandards 55 ThislessonalignswiththreestandardsintheNSES:risksandbenefits; personalhealth;andstructureandfunctioninlivingsystems.Thechartbelow showshowtheactivityalignswiththesestandards. Sciencein Personal& Social Perspectives Risksand benefits Personal health HowtheLessonisAligned Studentslearntheshort-andlong-termeffectsofusing marijuana.Studentscanusethisinformationto influencedecisionsthataffecttheirownhealth. LifeScience HowtheLessonisAligned Structureand functioninliving systems Studentswilllearnhowmarijuanaactsinthebrain andhowmarijuanacanultimatelyaffectthebrain andbody. Background Marijuana Marijuanacomesfromthedriedleavesandflowersofthecannabisplant.Itcan besmoked,cookedintobakedgoods,orbrewedintotea.Itcontainsmorethan 400chemicals.Smokingmarijuana,likesmokingtobacco,canhavenegative effectsonthelungs. Marijuanaalsohaspotentiallydangerousshort-termeffectsthatcanlastmore than4hours.Inlowtomediumdoses,marijuanacancauserelaxation,reduced coordination,reducedbloodpressure,sleepiness,attentionproblems,andan alteredsenseoftimeandspace.Inhighdoses,marijuanacancause 56 hallucinations,delusions,memoryproblems,anddisorientation. Slangtermsformarijuanaincludepot,herb,weed,grass,chronic,ganja, andhash. MarijuanaandNeurotransmitters Tetrahydrocannabinol(THC)istheactiveingredientinmarijuanathatcauses changesinthebrain.THCactivatesspecificreceptors,knownascannabinoid receptors,whicharelocatedinthelimbicsystem,cerebralcortex,and cerebellum.Instudentmaterials,cannabinoidreceptorsarereferredtomore simplyasTHCreceptors.Becausethesereceptorsarelocatedinmanyareasof thebrain,theeffectsarewidespread.Inthehealthybrain,cannabinoid receptorsareactivatedbyaneurotransmittercalledanandamide.Anandamide isknowntohaveapain-relievingeffectandmayalsoplayaroleinnumerous otherbrainactivities.THChasmanyofthesameeffectsasanandamideand canbindtothesamereceptors.ButwhenTHCactivatesthereceptors,it interfereswiththenormalfunctioningoftheseareasofthebrain. Sincethediscoveryofanandamide,scientistshavediscoveredothersimilar neurotransmittersthatalsoactonthereceptorwhereTHCbinds.Theyarestill investigatingthefunctionofbothanandamideandtheseother neurotransmitters. Marijuanaalsoaffectstheneurotransmitterdopamine,whichisresponsiblefor feelingsofpleasureandeuphoria.Thisisthesameneurotransmitterthatis affectedbyalcohol,nicotine,heroin,andcocaine.Long-termuseofmarijuana canchangethebalanceoftheseneurotransmitters. EffectsofMarijuana Whilesomeoneisusingmarijuana,activityinthehippocampusisreduced, causingproblemswithshort-termmemory.Animalstudiesoflong-term marijuanausehaveshowndamageinthisarea.Researchwithpeoplehas 57 foundthatchronicuseofmarijuanacancausepermanentmemoryand cognitiveproblems,especiallyatyoungages.Specifically,onestudyfoundthat youngpeoplewhousedmarijuanabeforetheageof17hadsignificantlylower verbalIQs,ortheabilitytothinkwithwordsandprocessverbalinformation,than bothpeoplewhobeganusingthedrugatanolderageandpeoplewhonever useditatall.Thesestudiesshowthatmarijuanacanbeparticularlyharmful whenitisusedbyyoungpeoplewhenthebrainisstilldeveloping. Short-termeffectsofmarijuanauseincludedistortedperception,duetothe drug’sinterferencewiththebrain’sabilitytoprocesssensoryinformation. Informationabouttouch,sight,sounds,andtimearedistortedbecauseof marijuana’seffectsonthecerebralcortex.Shorttermmarijuanausecanalso interferewiththenormalfunctioningofthecerebellum.Thiscancause problemswithbalance,posture,andthecoordinationofmovement. Long-termuseofthedrugcanalsoleadtoaseriesofattitudeandpersonality changes,knownas“amotivationalsyndrome.”Thissyndromeischaracterized byadiminishedabilitytocarryoutlong-termplans,asenseofapathy, decreasedattentiontoappearanceandbehavior,anddecreasedabilityto concentrateforlongperiodsoftime.Thesechangescanalsoincludepoor performanceinschool. MarijuanaWithdrawal Newresearchisshowingthatlong-termmarijuanausemayleadtoaddiction. Whenthedrugisnolongeravailable,theusermaydevelopanuncontrollable desireforthedrugandwithdrawalsymptomsincludingdecreasedappetite, weightloss,disruptioninsleep,increasedirritability,restlessness,andanger. MedicalUsesofTHC TherearesomemedicinesthatcontainTHC.Theyareusedfortreatingnausea andvomitingassociatedwithchemotherapyforcancertreatment,andfor improvingappetitewhichisoneofthecomplicationsofAIDS. AlthoughTHCcanbeveryhelpfultopeoplesufferingfromcancer,andAIDS,it 58 continuestohavenegativesideeffects.Scientistsarestudyingthedrugsothat theycandevelopatherapeuticdrugthatisfreeofTHC’snegative consequences.AnotherchemicalrelatedtoTHC,nabilone,hasbeenapproved bytheU.S.FoodandDrugAdministrationfortreatingnauseaassociatedwith cancertreatment.Researchinthisimportantareacontinues. Preparation/Introduction Preparation ReadtheBackgroundsectionofthismoduleformoreinformationaboutthe effectsofmarijuanaonthebrainandbody. ProvidestudentswiththeModule4magazineWeedingOuttheGrassfor backgroundknowledge. Determinewhichactivitiesyouwanttheclasstocomplete. PhotocopyandpassouttheMarijuanaFactSheetforstudentstocomplete duringthelecture. Arrangeforcomputerlabtimeorpreparetheclassroomcomputerfor students’InternetandCD-ROMuse. PassoutcopiesoftheMarijuanaSurveyafewdaysaheadoftime.Give eachstudent2-3copiesandinstructthemtohavesomefriendsfillthem outanonymously.Tellthemnottolookatthepapersinrespectoftheir friends’privacy.Collectthesurveyspriortotheclassperiodyouplanto teachthislessonandtallyuptheresponses. Introduction Time:15-20minutes Handouts:Module4magazine(PDF,6.8MB) 59 Beginbyannouncingtheresultsofthesurvey,andseeiftheclassissurprised. Tellthemtheyaregoingtolearnmoreaboutthedrugintoday’sclass. Reading:Givestudentsadequatetimetoreadthestudentmagazine.Have studentspayparticularattentiontothefollowingsections:Background,Stats andFacts,andScienceintheSpotlight. Discussion:Afterstudentshavereadthemagazine,facilitateadiscussion aboutmarijuanausingthefollowingquestions. Marijuana: Whatismarijuana?Wheredoesitcomefrom? Whateffectsdoesmarijuanahaveonaperson? Howdoesmarijuanaaffectneurotransmission? Cananindividualbecomeaddictedtomarijuana? Attheendofthediscussion,asktheclasswhethertheyfeeltheirfriendshave anaccurateviewofmarijuana.Helpthemunderstandhowcommonopinions cancontradictscience. Activities/CD-ROM Activity1:MarijuanaBingo Time:30minutes Supplies:Bingocardsandsheet(PDF,37KB) Markers 60 Tellstudentsthatthisisthefourthactivityoftheircompetition.Thegroupwho getsabingofirstearns5competitionpoints.Instructthestudentstositwiththeir BrainPower!Challengegroups;however,explaintothemthat,forthisactivity, theywillparticipateindividuallyandeachplaytheirowncard.Onlyoneperson inthegroupisrequiredtogetabingofortheteamtoearnthe5points. 1. Passoutabingocardtoeachstudent.Usingthewordbankatthebottomof thecard,instructstudentstowriteawordineachofthespacesonthecard. Eachwordshouldonlybeusedonce. 2. Usingtheteacherbingosheet,readeachdefinitioninorderalways announcingthenumberfirstbecausethisishowthestudentswillmarktheir cards.Forexample:Number1—Theactivechemicalinmarijuana.Atthis time,instructstudentstofindtheanswerontheircardsandmarkwitha“1.” Continuereadingthedefinitionsinorder,remindingstudentstomarkthe answerwiththedefinition’snumber,untilsomeoneyells,“Bingo”.Informthe studentsthattheyneedtoget5inarow—diagonally,across,orupand down.Otherbingopatternscanbesubstitutedifyouchoosetodoso. 3. Usetheteacherbingosheettocheckforcorrectanswers.Markedwords shouldcorrespondwithdefinitionnumbers.Iftheplayergetsallanswers correct,thatteamearns5points.Ifanyoftheanswersarewrong,thegame continuesuntilsomeonewins. 4. RecordtheteampointsontheGroupScorecard. Activity2:PosterPresentation 61 Time:45minutes,oradequateresearchandpresentationtime(maywant toallowmoretimeforposterpreparation) Supplies:CD-ROM Module4magazine(PDF,6.8MB) Computerforresearch Posterboard Handouts:MarijuanaFactSheetandSurvey(PDF,668KB)(Pages18-21 inthepdf) Inthe1960s,somepeoplethoughtthatmarijuanawasa“safe”drug.However, newresearchpresentsadifferentpictureofthisdrug.Duringthisactivity, studentshaveanopportunitytofindoutforthemselvesthelatestresearchon theeffectsofmarijuanaonthebodyandbrain. Dividetheclassintogroupsofthreeorfourstudents.Askeachgrouptoimagine thatithasbeenaskedtopresentthelatestresearchonmarijuanaataNational medicalconference.HavestudentsusetheFactSheet,CD-ROM,student magazine,andtheWebsiteslistedonthenextpageto: 1. Studycurrentresearchaboutmarijuana. 2. Createascientificposterpresentingfindingsfromtheresearch.Theposter shouldincludestatisticsaboutmarijuanause,resultsofrecentresearch, chartsandgraphsprovidingimportantinformation,andanyotherrelevant findings. 3. Haveeachgrouppresentitsfindingstotheclass. 4. Afterallgroupshavepresented,brainstormasaclassdifferentwaysof educatingthegeneralpublicaboutthelatestmarijuanaresearch. 62 Priortoactivity,addthesesitestotheclassroomcomputer’s“Favorites”dropdownmenu: www.drugabuse.gov/drugs-abuse/marijuana www.abovetheinfluence.com/facts/drugsmarijuana www.whitehouse.gov/ondcp/marijuana http://teens.drugabuse.gov/educators/curricula-and-lesson-plans/mind-overmatter/mom-teachers-guide/marijuana CD-ROM:Room4(OnlineVersion)* TheCD-ROMincludesgamesandmaterialstosupplementtheinformation presentedinthemodule.Theroomlabeled“4”containsthefollowingactivities andspecificinformationpertainingtothismodule: LearningObjectives:thesearepresentedatthebeginningofeachCD-ROM module UsingAnimalsinResearch:ashortlessonontheethicaluseofanimalsand research,andwhythisuseisscientificallyimportant RatTrap:afungamewhereplayersscrambletocaptureratsandreturn themtotheircages ReceptorSearch:studentslearnwhereTHCreceptorsarelocatedinthe brain,throughaninteractivegame Experiment:MarijuanaandMemory:studentswillconductafullexperiment tolearntheeffectsmarijuanahasonmemory ModuleQuiz:thisquizisthefinalpartofthemodule,intendedtoassess students’learning *AdobeFlashplayerrequiredtoview. Extensions 63 1. Havestudentsdevelopapublicrelationscampaignagainstmarijuanause. Referthemtowww.abovetheinfluence.comasanexample.Theycan developposterstoputaroundtheschoolaswellasannouncementstobe deliveredoverthePAsystem.IftheschoolhasaTVstation,studentscould developashortannouncementtobebroadcastontheschool’snews program.Havestudentssetatimeframethatthecampaignwillrunanda goalforitsoutcome. 2. HavestudentsdevelopaPowerPoint®presentationontheeffectsof marijuanaonthebodyandthebrain.Thepresentationcouldinclude illustrationsofthebrain,chartsandgraphs,andrelevantstatistics. 3. Havestudentskeepa“log”ofwhenandwheretheyseementionof marijuanainpopularmedia.Askthemtocutoutorcopynewspaper magazinearticles,andkeeparecordofwhentheynoticereferencestothe drugontelevision.Askthemtothinkaboutthedifferencesbetweenhowthe drugisrepresented,andwhatsciencecantellusabouttheeffectsofdrugs onthebrainandbody. Assessment Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 1. Canstudentsexplaintheeffectsofmarijuanaonthebrainandhowthese effectscanchangethebrain? 2. Dostudentsunderstandthescientificbasisforthelawsmakingmarijuana useillegal? 3. Dostudentsunderstandhowmarijuanaaffectsneurotransmission? 4. Didstudentsparticipateintheclassactivitiesanddiscussion?Didthey engageinthetopics? Resources 64 ResourcesforTeachers NationalInstituteonDrugAbuse(NIDA) 301-443-1124 ThisWebsitecontainsinformationaboutdrugabuseaswellassections designedspecificallyforparents,teachers,andstudents. NIDADrugPubsResearchDisseminationCenter 877-NIDA-NIH(877-643-2644;TTY/TDD:240-645-0228) OrderourmaterialsfreeofchargeinEnglishorSpanish. MindOverMatterTeacher’sGuide Thisprintable/downloadableteacher’sguideaccompaniesNIDA’sMindOver Matterseries.Theseriesisdesignedtoeducateteensaboutthebiological effectsofdrugabuseonthebodyandbrain.Alsoavailableforfreebycalling1800-729-6686. Buzzed:TheStraightFactsAbouttheMostUsedandAbusedDrugsfrom AlcoholtoEcstasy.Kuhn,C.,Swartzwelder,S.,andWilson,W.NewYork:W.W. Norton&Company,2003.Ahighlyinformative,detailedreviewofwidely abuseddrugs. ResourcesforStudents NIDAforTeens Designedforteens,thissiteprovidesinformationonseveraldrugs,including marijuana,aswellasquizzesandreal-lifestories. MindOverMatter Designedforteens,thissiteincludesinformationabouthowdifferentdrugs, includingmarijuana,affectthe brain.Alsoavailableforfreebycalling1-800-729-6686. FreeVibe Designedforteens,thissitecoverstherisksandconsequencesofvarious 65 drugsandprovidesnews,advice,andreal-lifestories. Marijuana.Mehling,R.Philadelphia,PA:ChelseaHousePublishers,2003.Part ofthe“Drugs:TheStraightFacts”series.Containsathoroughdiscussionof marijuana,includinghowitactsinthebrain,history,healtheffects,usage trends,andrelevantlaws. 66 DrugsontheStreet(Module5) YoucanalsodownloadthisentiremoduleinPDFformatbyclickingthe followinglink:Module5(PDF,520KB) Summary Thismodulediscussestwoillegaldrugs:heroinandcocaine.Manypeople considercocaineandherointobehard-core“street”drugs,butincreasingly, youngerpeopleinallkindsofcommunitiesacrossthecountryareusingthese dangerousdrugs.Heroinandcocainebothhaveahugeimpactonthehealthof thebrainandthebody.Abuseofthesedrugschangesthebrain.Bothareillegal andhighlyaddictive.Sometimesthesedrugsareusedincombination. ThroughthecontentofthemagazineandCD-ROM,studentswilllearnhow heroinandcocaineaffectthebrainandbody.Theywillalsoexploreinformation ontheshort-andlong-termeffectsofthesedrugs,includingaddiction. LearningObjectives Attheendofthismodule: Studentscanexplainhowheroinandcocaineuseaffectsthebrainand body. Studentscanexplainhowheroinandcocaineuseaffectsnormal neurotransmission. Studentsunderstandhowheroinandcocainecanchangethebrainand causeaddiction. RelationshiptotheNationalScience EducationStandards 67 Thelessoninmodule1alignswithtwostandardsintheNSES:systems,order, andorganization;andstructureandfunctioninlivingsystems.Thechartbelow showshowtheactivityalignswiththesestandards. Sciencein Personal& Social Perspectives HowtheLessonisAligned Risksand benefits Personal health Studentslearntheshort-andlong-termaffectsofusing cocaineandheroin.Thesedrugscanchangehowthe bodyandbrainfunctionandcanleadtoaddiction. Studentscanusethisinformationtoinfluencedecisions thataffecttheirownhealth. LifeScience HowtheLessonisAligned Structureand functionin living systems Studentswilllearnhowneurotransmissioniseffectedby cocaineandheroinandhowthesedrugsultimately affecttheentirebrainandbody. Background Heroin Heroinbelongstoaclassofdrugscalledopioids,whichalsoincludesthe painkillerscodeineandmorphine.Heroincomesfromanaturalsubstance extractedfromtheseedpodoftheAsianpoppyplant.Itusuallyappearsasa whiteorbrownpowder. 68 Slangtermsforheroinincludesmack,H,skag,andjunk.Othernamesrefer totypesofheroinproducedinaspecificgeographicalarea,suchas Mexicanblacktar. Heroinisusuallyinjected,sniffed,snorted,orsmoked.Injectionofthedrug providesthegreatestintensityandmostrapidonsetofsymptoms.Almost immediatelyuponinjection,theuserisrelievedofphysicalpainanddiscomfort andexperiencespleasurablefeelings.Thisfalsesenseofwell-beingplaysa partintheaddictiontoheroin.Thedrug“rush”isaccompaniedbyaflushingof theskin. Lesspleasantaftereffectsofheroinuseincludeadrymouthandheavyfeeling inthelimbs,whichmaybeaccompaniedbynausea,vomiting,andsevere itching.Abusersaregenerallydrowsyforseveralhours.Whenheroinisused, mentalfunctioningbecomescloudedasthecentralnervoussystem,heart,and breathingslowdown.Inthecaseofoverdose,thisdecreaseinfunctioningcan causedeath. HeroinandNeurotransmitters Thebrainnaturallycontainsreceptorsforopioidsthatareinvolvedinbreathing, perceptionofpain,emotion,andreward.Whenapersonabusesheroin,the drugtravelsquicklytothebrainandactivatesthesereceptors.Research suggeststhatthiscausesgreateramountsofdopaminetobereleasedintothe rewardsystem,resultinginanintense,short-livedrush.Long-termuseofheroin candecreasethenumberofreceptorsandtheirsensitivitytothedrug,sothat usersmustusemoreandmoreheroinjusttofeelliketheyarefunctioning normally.Thisisaddiction.Thereceptorsthataresensitivetoheroinarelocated inseveralpartsofthebrain,includingthecerebralcortexandbrainstem. Long-termEffects,Addiction,andWithdrawal Long-termeffectsofheroinabuseincludeaddiction,infectionoftheheartlining andvalves,andliverdisease.Forthoseuserswhoinjectthedrug,thereisa 69 highriskofinfectiousdiseases,includingHIV/AIDS,collapsedlungs,and hepatitisBandC.Lungcomplications,includingvarioustypesofpneumonia, mayresultfromtheoverallpoorhealthoftheabuseraswellasfromheroin’s effectsonrespiration.Deathbyoverdoseisnotuncommon. Whenaddictedusersstoptakingthedrug,theygothroughaseverewithdrawal. Symptomsofwithdrawalincluderestlessness,muscleandbonepain,inability tosleep,diarrhea,vomiting,coldflasheswithgoosebumps(“coldturkey”),and involuntarylegmovements.Apersonwhoisgoingthroughwithdrawalcraves thedrugandwilldojustaboutanythingtogetit. Cocaine Cocaineisaveryaddictivestimulantthatismadefromtheleavesofthecoca plant.Itcomesintwoforms:powderandcrystal(“crack”).Cocainecanbe snorted,injected,orsmoked.Immediatelyafteruse,cocaineproducesfeelings ofhappiness,increasedenergy,andalertness.This“high”isfollowedby feelingsofdepression,edginess,andacravingformoreofthedrug.People whousecocaineoftendon’teatorsleepregularlyandmayfeelparanoid, angry,hostile,andanxious.Cocaineusecancauseanincreaseinheartrate, musclespasms,andconvulsions.Breathingbecomesfaster.Usersmaysweat andhavedilatedpupils.Long-termhealthrisksofcocaineuseincludedamage tothenasaltissue,seizures,stroke,heartattack,andsuddendeathfrom overdose. Slangtermsforcocaineincludeblow,coke,flake,nosecandy,powder, rock,snow,andwhite. CocaineandNeurotransmission Normally,dopamineisreabsorbedintotheneuronthatreleaseditafter stimulatingtheneighboringneuron.Cocaineactsontherewardsystemby preventingthisreabsorptionofdopamine,resultinginabuildupofdopaminein thesynapse.Theexcessdopaminecontinuestostimulatetheneighboring 70 neuron,producingstrongfeelingsofpleasure.Becausethereisexcess dopaminepresentinthesynapse,theneighboringneuroneventually decreasesthenumberofdopaminereceptors.Asaresult,thecocaineabuser needsmoreandmoreofthedrugtoachieveahigh. Whencocaineisnolongertaken,dopaminelevelsreturntotheirnormallower concentration.Becausetherearenowfewerdopaminereceptorsavailable,the dopamineisunabletofullyactivatenervecells.Atthispoint,apersonis addictedtococaineandexperiencesintensecravingandwithdrawal.Damage totheneuronsandtheprocessofneurotransmissioncanleadtomany problems,includingproblemswithmemoryandadisruptionintherateof learning.Cocaineisveryaddictive;withdrawalisveryhard. Long-termEffects,Addiction,andWithdrawal Cocaineabuserseventuallyareunabletoachievethesameeffectsfromthe drugastheydidfromtheirfirstexperience.Thisisbecausetheyhave developedatolerancetothedrug.Atthispoint,theymustrepeatedlyincrease theirdosesinanattempttoobtainthoseinitialeffectsagain.Whencocaineuse isstopped,thepersonmayfeelastrongcravingformorecocaine, accompaniedbyfeelingsofdepression,anxiety,irritability,andparanoia. Preparation/Introduction Preparation ReadtheBackgroundsectionofthismoduleformoreinformationaboutthe effectsofheroinandcocaineonthebrainandbody. ProvidestudentswiththeModule5magazineDrugsontheStreetfor backgroundknowledge. Determinewhichactivitiesyouwanttheclasstocomplete. Arrangeforcomputerlabtimeorpreparetheclassroomcomputerfor students’InternetandCD-ROMuse. 71 PhotocopyandpassouttheHeroinandCocaineFactSheetforstudentsto completeduringthelecture. Preparetransparenciesandphotocopiesforthelesson. Introduction Time:20-25minutes Handouts:Module5magazine(PDF,7MB) HeroinandCocaineFactSheet(PDF,668KB) (Page22inthepdf) Reading:Beginbygivingstudentsadequatetimetoreadthestudentmagazine. Havestudentspayparticularattentiontothefollowingsections:Background, StatsandFacts,andScienceintheSpotlight. Discussion:Afterstudentshavereadthemagazine,askthestudentswhatthey knowaboutheroinandcocaine.Recordallthoughtsonthechalkboard.Tell themthatthegoalofthislessonistolearnaboutcocaineandheroin.Facilitate adiscussionaboutthebrain,heroin,andcocaineusingthefollowingquestions. Heroin Howisheroinused? Whatarethereceptorsinthebrainthatheroinbindsto? Whatneurotransmitterismostaffectedbyheroinabuse? Howdoesthebrainchangeasaresultofheroinabuse? Whathappensinthebrainthatcausesheroinaddiction? Cocaine 72 Howiscocaineused? Whataresomeoftheeffectsofcocaineonthecentralnervoussystem? Whatneurotransmitterisaffectedbycocaine? Howdoesthebrainchangeasaresultofcocaineabuse? Whatarethelong-termeffectsofcocaineuse? Activities/CD-ROM Activity1:TargetingtheCentralNervousSystem Time:30minutes Supplies:Pencilandpaper Handouts:Module5magazine(PDF,7MB) Tellstudentsthatthisisthefifthactivityoftheircompetitionandthegroupthat hasthemostnumberofcompletebasewordswillearnfivepoints.Remind studentswhichgroupstheyarein.Havestudentssitwiththeirgroups. 1. Havethestudentsreviewthemagazineforthismodule.Theyshouldfocus onhowheroinandcocaineaffectthecentralnervoussystem. 2. Haveeachgroupidentifyavocabularywordusedinthismodule.Thisword willbetheir“baseword”foranacronym.Thenhavestudentscomeupwith supportingwordsbeginningwitheachletterinthebaseword.Thewords mustdirectlyrelatetothebaseword.Forexample,ifthebasewordis “COCAINE,”thesupportingwordscouldbeCrack,Overdose,Craving, Anxiety,Insomnia,Nasaldamage,andEdginess. 73 Pointoutthatheroindepressesthecentralnervoussystem,whilecocaine stimulatesit.Bothareextremelyaddictive. Foreachsupportingword,studentsshouldwriteasentencethatdescribes itsrelationshipwiththebaseword(e.g.,“Nasaldamageisaneffectof snortingcocaine.”).Givethestudents10-15minutestocompletetheir words.Tellthemtheywillgetonepointforeachsupportingwordtheycan comeupwith.Edginess. Youcaneithergivestudentsbasewordstocompleteorhavethemcome upwiththebasewordsontheirown.Ifthegroupismoreadvanced,have themcompleteseveralwords.Studentscanuseanywordthatpertainsto somethingthey’velearnedinthemodule,oreventhecurriculumsofar. 3. Aftereachgrouphascompletedthewordorsetofwords,have studentssharethemwiththeclass. 4. Recordthewinninggroup’spointsontheGroupScorecard. Activity2:TalkItOut Time:45minutes Supplies:Posterboardforeachgroup Markers Computerforresearch Overthelast30years,scientistshavedevelopedalargebodyofresearch documentinghowcocaineandheroinaffectthecentralnervoussystemand 74 otherbodysystems.Oftenthismaterialiswritteninsuchawaythatyoung peoplehaveadifficulttimeunderstandingit.Nonetheless,itisimportantthat studentshaveaccesstothisinformation.Duringthisactivity,studentswillwork togethertointerpretsomerecentresearchandputitintoaformatthattheir peerscanunderstand. 1. Createsixgroupsofstudents.Assigneachgroupatopicaccordingtothe followingchart: Heroin Cocaine Addiction Group1 Group4 Brain/NervousSystem Group2 Group5 Body Group3 Group6 2. AskeachgrouptousetheWebsiteslistedbeloworotherrelatedsitesto deepentheirunderstandingofthetopicassignedtothem. Priortotheactivity,addthesesitestotheclassroomcomputer’s“Favorites” drop-downmenu: NIDAInfoFacts:Cocaine NIDAInfoFacts:Heroin NIDAResearchReports:Cocaine NIDAResearchReports:Heroin www.whitehouse.gov/ondcp 3. Haveeachgroupputitsinformationintoaposterthatissimpleandeasyto understandthattheywillpresenttotheclass. Ifposterboardisunavailable,havestudentscreateabrochureinstead. 75 4. Aftereachgrouphascompletedaposter,havethempresenttheirposterto theclass.Askfollow-upquestionstoreinforceimportantinformation. CD-ROM:Room5(OnlineVersion)* TheCD-ROMincludesgamesandmaterialstosupplementtheinformation presentedinthemodule.Theroomlabeled“5”containsthefollowingactivities andspecificinformationpertainingtothismodule: LearningObjectives:thesearepresentedatthebeginningofeachCD-ROM module Experiment:HeroinandAddiction:studentswillconductanexperimentto observetheaddictivepropertiesofheroin RatChow-lenge:afungamewhereplayersmustjumpovermovingratfood canstostraightentheshelvesinasupplycloset NT210:CocaineintheBrain:thisanimatedlearningtooldetailshow cocainedisruptsnormalneurotransmission CycleofAddiction:aninformativeposterwherestudentswilllearnaboutthe stagesofaddiction ModuleQuiz:thisquizisthefinalpartofthemodule,intendedtoassess students’learning *AdobeFlashplayerrequiredtoview. Extensions 1. Havestudentswriteashortparagraphonhowaddictiontoheroinor cocainechangesthebrain.Youcanassistthemwiththisbyreadingthrough theteacher’sguidecontent.Then,haveeachstudentuniquelyillustratethe conceptsinacomic-bookstyle.Theycancreateneuroncharacters, neurotransmittersuperheroes(dopamine),andvillains(heroinorcocaine). 2. Explaintothestudentsthat“LetterstotheEditor”pagesinlocalnewspapers 76 areanexcellentwayforpeopletogetmessagesoutaboutissuestheycare about.HavestudentswritetheirownlettertoaneditorasaBrainPower! drugexpertabouttheimportanceofdrugeducationintheschools. Assessment Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 1. Canstudentsexplaintheeffectsofheroinonthebrain?Cantheyexplain howthesechangescanresultinaddiction? 2. Canstudentsexplaintheeffectsofcocaineinthebrain?Cantheyexplain howthesechangescanresultinaddiction? 3. Dostudentsunderstandtheconnectionbetweenwithdrawalsymptomsand howthebrainchangesfromtheuseofheroinandcocaine? 4. Dostudentsunderstandthedifferencesbetweentheeffectsofeachofthese drugsonthebody? 5. Didstudentsparticipateinclassactivitiesanddiscussion?Didtheyengage inthetopics? Resources ResourcesforTeachers NationalInstituteonDrugAbuse(NIDA) 301-443-1124 ThisWebsitecontainsinformationaboutdrugabuseaswellassections designedspecificallyforparents,teachers,andstudents. NIDADrugPubsResearchDisseminationCenter 877-NIDA-NIH(877-643-2644;TTY/TDD:240-645-0228) OrderourmaterialsfreeofchargeinEnglishorSpanish. 77 MindOverMatterTeacher’sGuide Thisprintable/downloadableteacher’sguideaccompaniesNIDA’sMindOver Matterseries.Theseriesisdesignedtoeducateteensaboutthebiological effectsofdrugabuseonthebodyandbrain.Alsoavailableforfreebycalling1800-729-6686. Buzzed:TheStraightFactsAbouttheMostUsedandAbusedDrugsfrom AlcoholtoEcstasy.Kuhn,C.,Swartzwelder,S.,andWilson,W.NewYork:W.W. Norton&Company,2003.Ahighlyinformative,detailedreviewofwidely abuseddrugs. ResourcesforStudents MindOverMatter Designedforteens,thissiteincludesinformationabouthowdifferentdrugs, includingmarijuana,affectthebrain.Alsoavailableforfreebycalling1-800729-6686. FreeVibe Designedforteens,thissitecoverstherisksandconsequencesofvarious drugsandprovidesnews,advice,andreal-lifestories. Heroin.Ferreiro,C.Philadelphia,PA:ChelseaHousePublishers,2003.Partof the“Drugs:TheStraightFacts”series.Containsathoroughdiscussionof heroin,includinghistory,effects,addiction,andrelatedlaws. Cocaine.Wagner,H.L.Philadelphia,PA:ChelseaHousePublishers,2003.Part ofthe“Drugs:TheStraightFacts”series.Containsathoroughdiscussionof cocaine,includinghistory,effects,addiction,andthe“business”ofcocaine. 78 DrugsintheNews(Module6) YoucanalsodownloadthisentiremoduleinPDFformatbyclickingthe followinglink:Module6(PDF,454KB) Summary Thedangersofdrugabusemakeheadlinesallovertheworld:from methamphetaminelabsinruralhomesto“clubdrugs”beingusedinpartiesand barstoworld-classathletesabusingsteroids.Thegoalofthismoduleistohelp studentsidentifyandunderstanddifferentmessagesaboutdrugsthatare presentinthemedia,andtoincreasetheirknowledgeaboutthepossible dangers,harmfuleffects,andconsequencesofalltypesofsubstanceabuse. Thismodulewillfocusonillegaldrugsthathavemaderecentheadlines: Steroids:Performance-enhancingdrugsthatareinjectedortakenorallyby athletestoincreasestrengthandendurance. Methamphetamine:Stimulantsthataresyntheticallycreated,ofteninsmall home-basedlabs. GHB,Rohypnol,Ketamine,MDMA:Thesearesomeofthemorepopular “clubdrugs,”ordrugsthatcancausefeelingsofdisorientationandmemory loss. Studentswilllearnabouttheeffectthateachdrughasonthebrainandbody, andhowuseofthesedrugsaffectsindividualsandoursocietyasawhole. LearningObjectives Attheendofthismodule: Studentscanexplaintheeffectsthatmethamphetamine,steroids,andmany 79 common“clubdrugs”canhaveonthebrainandbody. Studentsunderstandtherelationshipbetweentheeffectsofthesedrugson thebrainandbodyandaddiction. Studentsunderstandthedangersofthesedrugsandareawareoftheir presenceinoursociety. Studentscanidentifyandcriticallyanalyzemediainformationabout methamphetamine,steroids,and“clubdrugs.” RelationshiptotheNationalScience EducationStandards ThislessonalignswiththreestandardsintheNSES:risksandbenefits; personalandcommunityhealth;andstructureandfunctioninlivingsystems. Thechartbelowshowshowtheactivityalignswiththesestandards. Sciencein Personal& Social Perspectives 80 HowtheLessonisAligned Risksand benefits Studentslearnabouttherisksassociatedwithseveral drugsprevalentinoursociety.Studentscanusethis informationtoassesstherisksandbenefitsthataffect theirownhealth. Personaland community health Studentslearnabouttheimpactthatdrugshaveon societyandhowthemediacaninfluenceattitudesabout drugs.Studentswillbecomemorecriticalconsumersof informationandusetheirknowledgetomakebetter decisions. LifeScience HowtheLessonisAligned Structureand functionin livingsystems Studentswilllearnhowneurotransmissionisaffectedby differentdrugsandhowthesedrugsultimatelyaffectthe entirebrainandbody. Background Steroids Anabolicsteroidsareartificialversionsoftestosterone,ahormonethatall individualshavenaturallyintheirbodies.Anabolicsteroids,themostfrequently abusedofallsteroids,aretakenorallyorinjectedtoenhanceathletic performance,increasestamina,andimprovephysicalappearance.Anabolic means“muscle-building.”Steroidsareoftentakenincyclesofweeksormonths ratherthancontinuously. Thisiscalled“cycling.”“Stacking”referstotheuseofseveraldifferenttypesof steroidssuccessively;thispracticeisthoughttomaximizetheirbenefitswhile minimizingnegativeeffects.Usersthinkthiswillhaveagreatereffect,butthere isnoscientificevidenceforthis. SlangtermsforsteroidsincludeArnolds,gymcandy,pumpers,stackers, weighttrainers,andjuice. EffectsofSteroidsontheBody Steroidshaveverydangeroussideeffects,includingdamagetotheliverand kidneysaswellasriskofhighbloodpressureandheartproblems.Insome cases,steroidusehasledtodeath.Althoughsteroidsareeffectiveinbuilding leanmuscle,strength,andendurance,nostudieshavedocumentedthatthey enhanceathleticperformance. 81 Whileanabolicsteroidscanmakesomepeoplelookstrongerontheoutside, theimmunesystem—thebody’sdefenseagainstgermsanddiseases—is significantlyweakened.Aggressionandotherpsychiatricsideeffectsmayalso resultfromabuseofanabolicsteroids.Althoughusersmayreportfeelinggood whileonanabolicsteroids,extrememoodswingscanoccur,withthepotential forviolence(thisisoftenreferredtoas“roidrage”).Usersmayalsosufferfrom paranoidjealousy,irritability,delusions,impairedjudgment,anddepression. Inaddition,steroidusecanimpactsexualdevelopment(cessationof menstruationingirls,shrinkingofthetesticlesandimpotenceinboys),and causesevereacne,lossofscalphair,andhairgrowthonthebodyandface. Livercancerandheartdiseaseareamongotherserioussideeffectsofsteroid usethatcanoccurinbothmalesandfemalesofallages.Steroidscan permanentlystopthebonesfromgrowing,meaningthatateenagesteroiduser willnotgrowtofulladultheight.Althoughmoreboysthangirlsabusesteroids, thesedrugsareequallydangerousforbothgenders.Peoplewhoinject anabolicsteroidsputthemselvesathigherriskofcontractingHIV/AIDSor hepatitis,adiseasethatseriouslydamagestheliver. SteroidsandNeurotransmission Afterapersontakessteroids,thedrugsaredistributedtomanyregionsofthe brain,includingthehypothalamus.Testosteroneisnaturallyproducedinthe hypothalamus,whichcontrolsappetite,bloodpressure,moods,and reproductiveability.Steroidsalterthenormalfunctioningofthehypothalamus, resultinginchangesintheamountoftestosteronethatissentthroughoutthe body.Becausetestosteroneplaysaroleinmanybodyfunctions,thiscanresult inthemanyeffectsseenwithsteroidabuse. Steroidscanalsodisruptthefunctioningofneuronsinthelimbicsystem,the partofthebrainresponsibleforemotionalregulation.Thisdisruptioncanlead toaggressivebehavior,moodswings,violentbehavior,impairmentofjudgment, andevenpsychoticsymptomslikepersonalitychangesorparanoia. Methamphetamine 82 Methamphetamineisanillegalstimulantthatspeedsupthebrain’sfunctioning. Itcanbesmoked,snorted,injected,ortakenorally.Methamphetamineis producedaspills,powders,orchunkycrystals.Thecrystalform,nicknamed “crystalmeth,”lookslikesmallfragmentsofglassorshiny,blue-whiterocks. Whenswallowedorsnorted,methamphetaminegivestheuseranintensehigh. Injectionscausethepersontofeelaquickhighcalleda“rush”or“flash”that lastsanespeciallylongtime. Slangtermsformethamphetamineincludespeed,uppers,meth,crystal meth,ice,andcrank. Methamphetamineandneurotransmition Methamphetamineactsbyalteringlevelsoftheneurotransmittersdopamine andnorepinephrineinsynapsesinvariousbrainregions.Because methamphetaminehasasimilarchemicalstructuretodopamineand norepinephrine,itcanbepickedupbyneuronsthatnormallyrecyclethese neurotransmitters.Itcanalsoenterneuronsbypassingdirectlyacrossthecell membrane.Oncemethamphetamineentersaneuron,itcausestheneuronto releaselargeamountsofbothdopamineandnorepinephrineintothesynapse. Thehighconcentrationsofdopamineresultinfeelingsofeuphoriaand pleasure.Norepinephrinemostlikelycausesthealertnessseenwith methamphetamineuse.Whenapersonstopsusingmethamphetamine,the reductionofdopamineinthesynapseresultsinintensecravingsforthedrug. EffectsofMethamphetamineontheBrainandBody Methamphetaminecancauseaddiction,stroke,violentbehavior,nervousness, confusion,paranoia,auditoryhallucinations,mooddisturbances,and delusions.Someoftheseeffectsmaybelong-lasting.Researchhasalsoshown thatevenseveralyearsaftermethamphetamineabusehasstopped,usersmay stillhaveareductionintheirabilitytotransportdopaminefromthesynapse backintotheneuron,indicatingthattherecanbelong-termimpairment followingthedrugabuse.Thedamagetothedopaminesystemfrom methamphetamineissimilartothedamageseeninParkinson’sdisease,where 83 itoccursnaturally. MethamphetamineWithdrawal Althoughmethamphetamineisahighlyaddictivedrug,noacutesymptomsare evidentatthetimeofmethamphetaminewithdrawal.Withdrawalsymptomscan oftentake30to90daystooccur,andcanincludedepression,cravings,lackof energy,andevensuicidalthoughts.Newresearchsuggeststhatbrain abnormalitiessimilartothoseseeninpeoplewithdepressionandanxiety disorderscanoccurwhenapersonstopsusingmethamphetamine. Methamphetamineabusehasaveryhighrelapserate;morethan90percentof individualsintreatmentreturntodrugabuse. TheImpactofMethamphetamineonCommunities Dramaticincreasesintheproductionanduseofmethamphetaminehaveledto broadmediacoverageofthisdrug.Methamphetamineismadeillegallywith fairlyinexpensiveandreadilyavailableingredients,suchasdraincleaner, batteryacid,andantifreeze.Asaresult,amajorityofthemethamphetamine producedintheUnitedStatesismadeinhomelabs.Methamphetamineis highlyaddictive,creatingahighdemandforthedrugandthelabsthatsupplyit. Theselabsareamajorproblemforthecommunity.Methamphetaminelabs havethepotentialtocontaminatedrinkingwater,soil,andair.Inaddition, methamphetamineuseoftenincreasescrimeandviolentacts,suchasdomestic violenceorchildabuse,inaffectedindividualsandcommunities. Seethe“ScienceintheSpotlight”articleintheModule6magazinefor moreontheimpactofmethamphetamineonsociety. GHB,Rohypnol,MDMA,ANDKetamine(“ClubDrugs”) FourclubdrugsareGHB(gammahydroxybutyricacid),flunitrazepam (Rohypnol),MDMA(3-4methylenedioxymethamphetamine),andketamine. Thesedrugsarecalledclubdrugsbecauseoftheirassociationwithuseinparty 84 situations(note:methamphetamineisalsoconsideredaclubdrug). GHBhasthreeforms:acolorless,odorlessliquid,awhitepowder,andapill. Rohypnolisapillthatdissolvesinliquids. SomeformsofRohypnolareundetectableinliquids,whilenewerRohypnol pillscausecolorchangesintheliquid.MDMA,oftenknownasecstasy,comes inatabletorcapsuleform.Ketamineisawhitepowder. GHBisalsoknownas"Georgiahomeboy".Rhypnolisalsoknownas "roofies".SlangtermsforMDMAinclude"ecstasy","XTC","e","x",and "adam".Ketamineissometimesreferedtoas"specialK". GHBandRohypnolarealsoknownas"daterapedrugs"becauseoftheir effectonmemoryandtheiruseinsexualassaultsituations.Student materialsdonotofferthisterminology.Determinewhetheryourstudents arereadyforthislevelofdiscussionbeforepresentingthisterminologyto them,ifyoudecidetoatall. GHBcancausememoryloss,relaxation,drowsiness,dizziness,nausea, difficultyseeing,unconsciousness,seizures,breathingproblems,tremors, sweating,vomiting,decreasedheartrate,adreamlikefeeling,coma,and possibledeath. Rohypnolcancausememoryloss,lowerbloodpressure,sleepiness,muscle relaxationorlossofmusclecontrol,adrunkfeeling,nausea,slurredspeech, difficultywithmotormovements,lossofconsciousness,confusion,problems seeing,dizziness,andstomachproblems. MDMAcancauseincreasesinheartrateandbloodpressure,muscletension, involuntaryteethclenching,nausea,blurredvision,faintness,andchillsor sweating.Inhighdoses,MDMAcanleadtoasharpincreaseinbody temperature(hyperthermia)thatresultsinliver,kidney,andcardiovascular systemfailure. 85 Ketaminecancausehallucinations,lostsenseofidentityandtime,distorted perceptionsofsightandsound,feelingoutofcontrol,impairedmotorfunction, problemsbreathing,convulsions,vomiting,out-of-bodyexperiences,a dreamlikefeeling,numbness,lossofcoordination,aggressiveorviolent behavior,andslurredspeech. GHB,Rohypnol,MDMA,andKetamineintheBrain GHBandRohypnolaffecttheneurotransmitterGABA(gammaaminobutyric acid).Normally,GABAinhibitstheabilityofneuronstosendmessagesto neighboringneurons;inotherwords,itstopsorslowsthecommunication betweenneurons.WhenapersonabusesGHBorRohypnol,thedrugs enhancetheeffectsofGABA,furtherdecreasingcommunicationbetween neurons.Thisdecreasedcommunication,ordepressanteffect,causes drowsinessandconfusion,andcanhaveevenmoreseriouseffectssuchas sleep,coma,ordeath. MDMAcausesanincreaseinactivityassociatedwiththeneurotransmitters serotonin,dopamine,andnorepinephrine.Itdoesthisbypreventingthe reuptakeoftheneurotransmitters.MDMAcanalsocausethereuptakesitesto workinreverse,sotheyreleaseevenmoreserotoninintothesynapse. Serotoninplaysanimportantroleintheregulationofmood,sleep,pain, emotion,andappetite.Theexcessserotoninfoundinsynapsesasaresultof MDMAuselikelycausestheeuphoriceffectsofthedrug.Becausethedrug depleteslargeamountsofthisimportantneurotransmitter,italsocontributesto thenegativeaftereffectsthatusersoftenexperiencedaysafteruse. Ketaminedisruptsthefunctioningofreceptorsfortheneurotransmitter glutamate,knownasNMDA(N-methyl-D-aspartate)receptors.Thiscancause thestuporobservedinapersonwhohasabusedketamineaswellasproblems withlearning,memory,awareness,andjudgment.Ketaminecanalsodisrupt theactionsoftheneurotransmitterdopamine. Preparation/Introduction 86 Preparation ReadtheBackgroundsectionofthismoduleformoreinformationabout drugsinthenews. ProvidestudentswiththeModule6magazineDrugsintheNewsfor backgroundknowledge. Determinewhichactivitiesyouwanttheclasstocomplete. Arrangeforcomputerlabtimeorpreparetheclassroomcomputerfor students’InternetandCD-ROMuse. PhotocopyandpassouttheDrugsintheNewsFactSheetforstudentsto completeduringthelecture. Preparetransparenciesandphotocopiesforthelesson. Introduction Time:15-20minutes Handouts:Module6magazine(PDF,12.8MB) DrugsintheNewsFactSheet(PDF,668KB) (Page25inthepdf) Beforegivingstudentstimetoreviewthemagazine,beginwiththefollowing activity.Leadadiscussionaboutdrugsinthenewsandothermediaoutlets.Ask studentswhatthey’vereadandseeninthemediaaboutsubstanceabuseand addiction.Specificallymentionthedrugsincludedinthismoduleandsee whetherstudentsarefamiliarwiththesethreesubstances.Liststudents’ responsesonthechalkboard. Reading:Givestudentsadequatetimetoreadthestudentmagazine.Have thempayparticularattentiontothefollowingsections:Background,Statsand 87 Facts,andScienceintheSpotlight. Discussion:Insmallgroups,havestudentsdiscusstheinformationusingthe followingquestions.Then,bringthegroupstogetheranddiscussasaclass. Reviewtheeffectsofthedrugs,howthedrugsareused,howthedrugsactin thebrain,andwhythesedrugsappearsoofteninthemedia. Tellstudentsthatonegoalofthislessonistohelpthemlearnhow individuals,families,andthecommunityareaffectedbydrugsofabuse.A secondgoalistogivestudentstheskillstocriticallyanalyzehowthemedia coversinformationaboutdrugsofabuse. DrugsintheNews Whyarethesedrugsillegal? Whatpartsofthebrainareaffectedbysteroids?Methamphetamine?Other clubdrugs? Whataretheriskstoanindividualwhomayusethesedrugs? Whatistheimpactofthesedrugsoncommunities? Whydothesedrugsappearsoofteninthemedia? Isthemediacoverageofdrugsbalanced?Havestudentsseenbothpositive andnegativeinformationpresentedwhendrugsarediscussed? Howdoestheinformationtheyhavereadinthemediacomparetothe informationinthefactsheet Activities/CD-ROM Activity1:BrainMessages 88 Time:45minutes Supplies:Onelargepieceofbutcher-blockpaperpergroup Markers/crayons/pencils Handouts:MediaChart(PDF,668KB) (Page29inthepdf) Afterpresentingtheinformationonthefactsheet,announcethesixthandfinal activityofthecompetition.Remindstudentswhichgroupstheyarein.Have studentssitwiththeirgroups. Inthisactivity,studentswillearnpointsfortheirgroupsbymonitoringthemedia —newspapers,TV,andmagazines—forinformationaboutlegalandillegal drugsthathavebeencoveredbytheBrainPower!curriculum.Encourage studentstobringininformationtheyfindaboutdrugsinthenewstosharewith therestoftheclass.Awardpointsforboththeamountandthequalityofthe informationthegroupsfind.Developyourownplanforawardingpoints,oruse thisone: Onepointperarticle(ordescriptionofTVcommercialorshow)that discussesdrugabuse. Twopointsifthearticlediscussestheimpactofthedrugonthebrainand body. Threepointsperarticleifthestudentcanidentifyanimbalanceinthe presentationoftheinformation,asinamediapiecethatlacksscientific backgroundorpresentsfalseorsensationalinformation. UsetheMediaChartprovidedtotracktheteams’progressastheygatherthis informationandpresentittotheirclassmates.Runthecompetitionforafew daysoraweek.Encourageconversationaboutthetopicsthatthestudents presenttosupporttheintegrationofalltheinformationcoveredintheBrain 89 Power!curriculum.Dostudentsrealizethataccurateinformationcansupport healthydecision-making?Aretheyawareoftheroleofthemediain disseminatingthisinformation? RecordgrouppointsontheGroupScorecard. Activity2:ScavengerHunt Time:45minutes Supplies:Computerforresearch Penorpencil Handouts:RippleEffects(PDF,668KB) (Page27inthepdf) Methamphetamineabuse,liketheabuseofotherdrugs,impactsboth individualsandsociety.Forthisfinalactivity,studentswillexplorehow methamphetamineabusehasarippleeffectthroughoutsociety. UsingtheWebsitesprovidedasastartingpoint,havestudentsresearchthe prevalenceofmethamphetamineandtheconsequencesofitsproduction, distribution,anduse.HavestudentscompletethediagramontheRippleEffects handout,listingwaysinwhichmethamphetamineaffectsmultiplelayersof society—fromindividualstofamiliestocommunities.Studentsshoulduse informationfromtheWebsitesbelowandotherstojustifytheirresponses.Then, havestudentsbrainstormwaystopreventorimprovetheproblemsoneachtier. TheimagebelowrepresentstheRippleEffect. Priortotheactivity,addthesesitestotheclassroomcomputer’s“Favorites” drop-downmenu.Ifneedbe,theactivitycanbespreadacrossafewday’stime byhavingonegroupatatimeaccessthecomputerforresearchtimewhilethe 90 restoftheclasscompletesotherwork. http://teens.drugabuse.gov/educators/curricula-and-lesson-plans/mind-overmatter/methamphetamine www.intheknowzone.com/meth/community.htm Example:fortheindividual,responsesmayincludeaddiction,healthproblems,lossof job,andjailtime;forthefamily,responsescouldincludeviolence,poverty,child abuse,andneglect;forthecommunity,responsesmightbecrimeandpollution. CD-ROM:Room6(OnlineVersion)* TheCD-ROMincludesgamesandmaterialstosupplementtheinformation presentedinthemodule.Theroomlabeled“6”containsthefollowingactivities andspecificinformationpertainingtothismodule: LearningObjectives:thesearepresentedatthebeginningofeachCD-ROM module 91 BrainScanFiles:inthisactivity,studentsviewbrainscanimagestoseethe damagingeffectsofvariousdrugsonthebrain MethamphetamineandSportsNewsDailyArticle:inspiredbynews headlines,thearticlesdiscussthebroadimpactofmethamphetamineand steroidabuse MemoryGame:studentsmatchvocabularywordsfromthemoduleinthis memory-basedgame BeattheClock:inthisgame,studentsracetoselectthetermsthatcorrectly relatetothedrugsdiscussedinthemodule ModuleQuiz:thisquizisthefinalpartofthemodule,intendedtoassess students’learning *AdobeFlashplayerrequiredtoview. Extensions 1. Someprofessionalathleteshaveruinedtheirreputationsandcareerswhen routinedrugtestingrevealedthattheyhadbeenusinganabolicsteroids. Havestudentsdecideiftheysupport(pro)ordisagreewith(con)routine drugtestsforathletes.Haveeachside(proandcon)presenttheirmain pointstotheclass.Makesurestudentsemphasizethebrainandbody effectsofthedrugandhowthisinformationshouldbeconsideredinthe debate. 2. HaveeachstudentaccessthedatafromtheMonitoringtheFuturenational surveyonline.Askstudentstorecordatleastoneteendrugfactobtained fromthesite;observewhatinformationstudentswereabletopullfromthe textandchartsthatareatahigherreadinglevel. Assessment Asstudentscompletetheactivitiesinthemodule,observewhethertheyhave masteredthefollowing: 92 1. Canstudentsexplaintheeffectsofmethamphetamineinthebrain?Can theyexplainhowthesechangescanresultinaddiction? 2. Canstudentsexplaintheeffectsofsteroidsinthebrain?Cantheyexplain thedramaticeffectsthedrugcanhaveonthebody? 3. CanstudentslisttheseriouseffectsofMDMAabuse? 4. Canstudentslistthetypesofdaterapedrugsandtheireffectsonthebrain andbody?Dotheyrealizetheprevalenceofthesedrugsinsociety? 5. Dostudentsrecognizetheprevalenceofinformationondrugsinthenews? Canstudentsarticulatewhydrugabuseissuchanimportanttopicforthe media? 6. Havestudentsbecomemorecriticalconsumersofinformationaboutdrugs ofabuse?Aretheyabletorecognizeinaccuracyorimbalanceinnews coverage,ifpresent? Resources ResourcesforTeachers NationalInstituteonDrugAbuse(NIDA) 301-443-1124 ThisWebsitecontainsinformationaboutdrugabuseaswellassections designedspecificallyforparents,teachers,andstudents. MindOverMatterTeacher’sGuide Thisprintable/downloadableteacher’sguideaccompaniesNIDA’sMindOver Matterseries.Theseriesisdesignedtoeducateteensaboutthebiological effectsofdrugabuseonthebodyandbrain. NIDADrugPubsResearchDisseminationCenter 877-NIDA-NIH(877-643-2644;TTY/TDD:240-645-0228) OrderourmaterialsfreeofchargeinEnglishorSpanish. 93 ResourcesforStudents MindOverMatter Designedforteens,thissiteincludesinformationabouthowdifferentdrugs, includingmethamphetamineandsteroids,affectthebrain.Thesitealso includesateacher’sguide.Alsoavailableforfreebycalling1-800-729-6686. NIDAforTeens Designedforteens,thissiteprovidesinformationonseveraldrugs,including steroids,aswellasquizzesandreal-lifestories. FreeVibe Designedforteens,thissitecoverstherisksandconsequencesofvarious drugsandprovidesnews,advice,andreal-lifestories. DateRapeDrugs.Kehner,G.B.Philadelphia,PA:ChelseaHousePublishers, 2004.Partofthe“Drugs:TheStraightFacts”series.Discussesthehistory, effects,usagetrends,andotherinformationaboutGHB,Rohypnol,and ketamine. BodyEnhancementProducts.Santella,T.M.Philadelphia,PA:ChelseaHouse Publishers,2005.Partofthe“Drugs:TheStraightFacts”series.Discussesthe healthrisksofsteroidsandotherbodyenhancementproducts. 94 Materials/Contact ContactInformation ForquestionsregardingNIDA'sScienceEducationProgramandMaterials, contactCathrineSasek,Ph.D.,e-mail:[email protected]. Handouts Module1:AnIntroductiontotheBrainandNervous System Module1Magazine(PDF,10.4MB) Module1Handouts(PDF,129KB) Module1Handouts(Spanish,PDF,89KB) Student/TeacherWorksheets(PDF,668KB)(Pages2-7) ParentGuide(PDF,330KB) ParentGuide(Spanish,PDF,1.55MB) Module2:LegalDoesn’tMeanHarmless Module2Magazine(PDF,2MB) Module2Handouts(PDF,97KB) Student/TeacherWorksheets(PDF,668KB)(Pages8-13) ParentGuide(PDF,330KB) ParentGuide(Spanish,PDF,1.55MB) Module3:DrugsintheCupboard 95 Module3Magazine(PDF,4.3MB) Student/TeacherWorksheets(PDF,668KB)(Pages14,15) ParentGuide(PDF,92KB) ParentGuide(Spanish,PDF,62KB) Module4:WeedingOuttheGrass Module4Magazine(PDF,6.8MB) Student/TeacherWorksheets(PDF,668KB)(Pages16-22) ParentGuide(PDF,70KB) ParentGuide(Spanish,PDF,65KB) Module5:DrugsontheStreet Module5Magazine(PDF,7MB) Student/TeacherWorksheets(PDF,668KB)(Pages22,23) ParentGuide(PDF,120KB) ParentGuide(Spanish,PDF,119KB) Module6:DrugsintheNews Module6Magazine(PDF,12.8MB) Student/TeacherWorksheets(PDF,668KB)(Pages24-30) ParentGuide(PDF,91KB) ParentGuide(Spanish,PDF,105KB) T-shirts,Stickers,andButtons 96 HowdoImakeaT-shirt? DownloadPDF(2MB) 1. Askchildrentohavetheirparentsfindaplainwhitet-shirtorothercotton itemthattheycanusefortheiron-on. 2. Pickupiron-onink-jettransferpaperatyourlocalcraftorofficesupplystore. Chooseopaquetransferpaperfordark-coloreditemsandtransparent transferpaperforlight-coloreditems.Transparenttransferpapermayhelp avoidwhiteoutlinesaroundartwork.Alwaysreadtheinstructionsthatcome withthetransferpaper. 3. Downloadthefreeartwork. 4. Useaninkjetprintertoprintthedownloadedartworkontothetransferpaper. Theartworkcomesasatwo-pagePDFdocument.Pageoneisaflipped, mirrorimage(backwards)ofthedesign.Pagetwoisaregular (straightforward)non-flippedimage. 97 5. Useanordinaryirontotransferthedesignontotheitem.Usecaution,the ironwillbeveryhot. HowdoIprintthestickers? Download 1. Pickupsomeblankwhitelabelspaperatyourlocalcraftorofficesupply store. 2. Downloadthefreeartwork. 3. Placethedownloadedartworkontoyourlabelsandresizethearttofityour label. 4. Useanink-jetprintertoprintyourdownloadeddesignontothelabels.Be suretoreadtheinstructionsthatcomewiththelabels. CD-ROMActivities(OnlineVersion) TheonlineversionoftheCD-ROMactivitiescanbeusedasanenriching, learningtooltoreinforceinformationcoveredinthelesson.Werecommendthat theseactivitiesbeusedafterthelessoniscompleted,eitherimmediatelyafteror astimeallowsintheclassroomschedule. 98 99
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