Arecoline (Betel Nuts)

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DESCRIPTION

The alkaloid Arecoline is a cholinergic agonist (Acetylcholine effects)
Arecoline is an alkaloid-type natural product found in the areca nut, the fruit of the areca palm (Areca catechu). It is an oily liquid that is soluble in water, alcohols, and ether. Other substances contained in the nut are:tannin, gallic acid, nipecotic acid, a fixed oil gum, a little terpineol, lignin, various saline substances and three alkaloids, arecaidine , guvacoline(or norarecoline) and guracine. The total alkaloid content of a nut can reach the 0,45% the most abundant is arecoline which (with arecaidine) is about 15 times more potent than guvacoline and guracine. In a nut there are about 105,45 ng/mg(nut) of arecoline.(Smart Drugs)
Areca catechu is the areca palm or areca nut palm, (Malay: Pinang), a species of palm which grows in much of the tropical Pacific, Asia, and parts of east Africa.
This palm is often erroneously called the Betel tree because its fruit, the areca nut, is always chewed along with the betel leaf, a leaf from a vine of the Piperaceae family (Piper Betel).
Areca nuts are grinded and mixed with lime (Calcium Hydroxide) and Piper Betel leaves to form a little ball called "Betel quid". This is chewed or kept in the mouth to allow the slow release of the active principles ( mainly arecoline). Indeed arecoline due to its lipophyllic characteristics readily enters brain and intracellular space to fulfil its effects.
The adding of tobacco to the chewing mixture is a relatively recent introduction, because it was introduced from the American continent in colonial times. The practice of chew the Areca nut probably comes from a region of Malay called Pinang which just means: "Areca nut". (Wikipedia. Keywords: Arecoline, areca nut, Betel, Areca Catechu).
The use of Areca nuts is common in the asiatic populations ( from West Pacific to South Asia)and in the asiatic communities moved to Europe and USA. In the second case the use seems to be linked to religious reasons. The most active consumers of Areca nuts are the British Hindu communities (up to 80% of adolescents and adults), instead Sikh and Muslim (indian and pakistani) groups don't use Betel quid very much. 

Residency Application Timetable

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June–July
  • Register for the NRMP (all students should do this, even those seeking a military position; some military scholarship students may be approved to do a civilian residency; students seeking one of the advanced specialty (PGY-2) positions in Child Neurology, Neurotology, Ophthalmology or Plastic Surgery should also register)
  • Consult the Green Book (Graduate Medical Education Directory), available in Student Affairs, departmental offices, advisors' offices, most libraries, and on the Web
  • Consult AMA's FREIDA Online
  • Prepare Personal Statement(s)
  • Prepare a Curriculum Vita
  • Register for PGY-2 matches in Child Neurology, Neurotology, Ophthalmology or Plastic Surgery
  • July 1 begin working on MyERAS application
August–September
  • September 1: Programs begin downloading certified applications
  • Military scholarship students participate in the military selection process
  • Review your Medical Student Performance Evaluation (MSPE) in Student Affairs for accuracy
  • Provide a list of residency program addresses for the Dean's Letter (MSPE) if applying to non-ERAS programs
  • Request letters of recommendation; provide letter writer with CV and personal narrative; stamps and envelopes are not necessary; request a letter from the WSU department chair in your specialty(s) of interest
September
  • A few students will begin interviewing, this continues through January
  • Send thank you letters to program directors and other important interviewers
October
  • Review MSPE
November
  • The MSPE is sent on November 1 if reviewed by student
December
  • Military Match results are announced
January
  • San Francisco Advanced PGY-2 Specialty Match results are announced
January–February
  • Submit NRMP rank order list through Web
March
  • About mid-March, on a Monday, by logging in to the NRMP web site, students find out if they are matched or unmatched; at 2 p.m., unmatched students send applications through ERAS to programs with vacancies; on Wednesday at noon, programs begin making offers which are valid for two hours; the Match Day Ceremony is held at noon on Friday; all matched students receive envelopes containing their residency locations

Paid Externship, USMLE, Residency

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USMLE, Residency

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