Heroin

Intravenous heroin injection results in euphoric feelings with a delay of only 10 seconds or less from the time of injection to the onset of the rush. If a user injects heroin into a muscle instead of vein, these effects can take 5 to 10 minutes to onset or 10 to 15 minutes to appear when users smoke or snort the drug. This delay leads many heroin users to opt for intravenous injection. When heroin first hits, users feel a mixture of intense feelings known as a "rush," described as euphoria and intense relaxation. Users also report feelings of intense heat and warmth as the heroin moves from the injection site into the bloodstream. Users commonly reported that the first heroin high ushers users into a dream-like state that is intensely euphoric, so much so that it is nearly impossible to reach again. Euphoric feelings tend to dissipate as tolerance builds and with repeated use, leading many heroin users to up dosages to unsafe levels. Heroin has many noticeable short and long term effects. In addition to the euphoric feelings associated with heroin, the body begins to feel heavy and sleepiness sets in. Many heroin users also experience difficulty breathing. Often heroin users experience a pervasively dry mouth, have difficulty coughing and experience nausea or an upset stomach. Long term heroin users often experience digestive problems that can result in near permanent constipation. Those who inject heroin face a host of additional physical problems including the telltale scarring, abscesses and infections along the inner arms which collectively are known as track marks. Additionally, intravenous users place themselves at significant risk for contracting blood diseases such as HIV and Hepatitis. Heroin is a powerful narcotic and heroin overdose is a highly likely occurrence for both new and long term users. As a central nervous system depressant, heroin slows down both heartbeat and breathing until the user loses consciousness and ultimately starves the body of oxygen. Since death is not instantaneous, proper medical treatment during a heroin overdose can save the life of a user. New users frequently take too much heroin out of inexperience, whereas long term users have developed a tolerance to heroin and need increasing large doses and make using a lethal dose more likely. The purity of heroin can vary greatly, resulting in accidentally ingesting a much larger dose than anticipated. Furthermore, taking heroin in combination with other drugs or alcohol can heighten the negative side effects and make a heroin overdose more likely.

Short Term Residential Treatment

Short term residential programs provide intensive and brief treatment based on a modified 12-step approach. Originally, addiction specialists designed these programs to treat alcoholics with addiction problems, but during the cocaine epidemic of the mid 1980s, many residential treatment programs began to address other types of substance abuse disorders. The original residential treatment model consisted of a three to six week hospital stay for inpatient treatment, followed by extended outpatient therapy and participation in a self help group, such as Alcoholics Anonymous. Following stays in residential treatment programs, individuals should remain engaged in outpatient treatment programs and or aftercare programs. These programs help to reduce the risk of relapse once a patient leaves the residential setting.

Poker Seven Card Stud Hi Low

Seven Card Stud Hi Low

Seven Card Stud Hi-Low (8 or Better)

Seven Card Stud Poker Hi-Low Split (8 or Better) is played with a standard 52-card deck, but can also be played with a joker. Standard poker rankings apply. When playing with a joker, the joker can be used as an ace, or to complete a straight, flush, or straight flush. Players must qualify for low by making a five-card hand 8 high or lower. Five aces is the highest ranking poker hand. The lowest qualifying five-card poker hand is Ace, 2, 3, 4, 5.

Each player is dealt two cards face down (hole cards) and one card face up. There is a round of betting (check, bet, call, raise, or fold). Each remaining player is dealt one card face up. There is a second round of betting. Each remaining player is dealt a second card face up. There is a third round of betting. Each remaining player is dealt a third card face up. There is a fourth round of betting. Each remaining player is dealt a final card face down (hole card). There is a fifth (final) round of betting. Players can make a high or low hand, or both, using the same five cards. The player with the highest ranking five-card poker hand, and the lowest qualifying (8 or better) five-card poker hand split the pot. If no player can produce a qualifying low hand, the player with the highest ranking five-card poker hand wins the entire pot. In the event of a tie, the pot, or portion of the pot, if the tie is for high or low hand only, is split equally.

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Shuffling

Shuffling is a procedure used to randomize a deck of playing cards to provide an element of chance in card games. Shuffling is often followed by a cut, to help ensure that the shuffler has not manipulated the outcome. A common shuffling technique is called the riffle or dovetail shuffle, in which half of the deck is held in each hand with the thumbs inward, then cards are released by the thumbs so that they fall to the table interleaved. Many also lift the cards up after a riffle, forming what is called a bridge which puts the cards back into place. This can also be done by placing the halves flat on the table with their rear corners touching, then lifting the back edges with the thumbs while pushing the halves together. While this method is more difficult, it is often used in casinos because it minimizes the risk of exposing cards during the shuffle. There are two types of perfect riffle shuffles: if the top card moves to be 2nd from the top then it is an in shuffle, otherwise it is known as an out shuffle which preserves both the top and bottom cards.

Riffle shuffling does, however, carry a risk of damaging cards from excessive bending. Casinos often replace their playing cards to prevent cheating from players that detect deformations in the cards. However, collectible card game cards are considerably less replaceable than playing cards, and CCG cards can be damaged from riffle shuffling, even when protected with card sleeves.

Because standard shuffling techniques are seen as weak, and in order to avoid inside jobs where employees collaborate with gamblers by performing inadequate shuffles, many casinos employ automatic shuffling machines. They also save time that would otherwise be spent shuffling, allowing several more hands per hour to be played and increasing the profitability of the table. These machines are also used to lessen repetitive motion stress injuries to a dealer. Note that the shuffling machines have to be carefully designed, as they can generate biased shuffles otherwise: the most recent shuffling machines are computer-controlled, though they have not yet fully been integrated into gaming.