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The Nukak [nɨkãk] people (also Nukak- Makú ) live between the Guaviare and Inírida rivers, in the depths of the tropical humid forest, on the fringe of the Amazon basin, in Guaviare Department , Republic of Colombia . They are nomadic hunter-gatherers with seasonal nomadic patterns and practice small-scale shifting horticulture. They were classified as " uncontacted people " until 1981, and have since lost half of their population primarily to disease. Part of their territory has been used by coca growers, ranchers, and other settlers, as well as being occupied by guerrillas, army and paramilitaries. Responses to this crisis include protests, requests for assimilation, and the suicide of leader Maw-be'. An estimated 210–250 Nukak people live in provisional settlements at San José del Guaviare , while about as many live nomadically in the Nukak Reservation ( Resguardo ).

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49-778: Nukak are expert hunters. The men hunt with blowguns that shoot darts coated with curare "manyi", a poison made from different plants ( curares ). They hunt, in particular, several species of monkeys ( Alouatta spp., Cebus spp., Saimiri sp., Lagothrix spp., Ateles sp., Saguinus spp., Callicebus torquatus ), and birds ( Muscovy duck , chachalacas , guans , curassows , grey-winged trumpeter and toucans ). They also use javelins made out of Socratea exorrhiza palm wood to hunt two species of peccaries ( Tayassu pecari and T. tajacu ) and spectacled caimans , whose eggs they consume. Nukak neither hunt nor eat brocket deer , Odocoileus virginianus , and tapirs ( Tapirus terrestris ); they consider these animals to share

98-739: A Venezuelan anesthesiologist who trained and specialized in New York City, did extensive research on curare as a possible paralyzing agent for patients during surgical procedures. In 1942, he became the first person in Latin America to use curare during a medical procedure when he successfully performed a tracheal intubation in a patient to whom he administered curare for muscle paralysis at the El Algodonal Hospital in Caracas, Venezuela. After its introduction in 1942, curare/curare-derivatives became

147-673: A common ancestor with humans. The Nukak also capture rodents ( Cuniculus sp., Dasyprocta spp.), armadillos ( Dasypus sp.), tortoises ( Geochelone sp), frogs (in large quantities), crabs , shrimps , snails , larvae of palm weevils ( mojojoy , "mun", Rhynchophorus spp.) and larvae of several species of wasps and caterpillars. The Nukak eat several species of fish, like Hoplias sp., Myloplus spp., Mylossoma spp., Hydrolycus sp., Cichla sp., surubí ( Pseudoplatystoma fasciatum ), catfishes ( Brachyplatystoma spp.), piranhas ( Serrasalmus spp., Pygocentrus spp.) and river rays ( Potamotrygon sp.). Fishing

196-518: A muscle relaxant. He discovered that different types of curare called for as many as 15 ingredients, and in time helped to identify more than 70 species that produced the drug. In the 1940s, it was used on a few occasions during surgery as it was mistakenly thought to be an analgesic or anesthetic. The patients reported feeling the full intensity of the pain though they were not able to do anything about it since they were essentially paralyzed. On January 23, 1942, Harold Griffith and Enid Johnson gave

245-430: A synthetic preparation of curare (Intercostrin/Intocostrin) to a patient undergoing an appendectomy (to supplement conventional anesthesia). Safer curare derivatives, such as rocuronium and pancuronium , have superseded d-tubocurarine for anesthesia during surgery. When used with halothane d-tubocurarine can cause a profound fall in blood pressure in some patients as both the drugs are ganglion blockers . However, it

294-512: A temporal polyandry during the pregnancy in order to improve the qualities of the baby. Each domestic group is part of a territorial group and other groups that are established to perform specific duties like security measures, according to the different stations and situations. On the other hand, each Núkâk is considered as part of a paternal lineage, "nüwayi", named after an animal or plant. Ten territorial Nukak groups ("wün") have been identified, each one with at least 50 or 60 people, who most of

343-411: A widely used paralyzing agent during medical and surgical procedures. In medicine, curare has been superseded by a number of curare-like agents, such as pancuronium , which have a similar pharmacodynamic profile, but fewer side effects. The various components of curare are organic compounds classified as either isoquinoline or indole alkaloids. Tubocurarine is one of the major active components in

392-457: Is a common name for various alkaloid arrow poisons originating from plant extracts. Used as a paralyzing agent by indigenous peoples in Central and South America for hunting and for therapeutic purposes, curare only becomes active when it contaminates a wound or is introduced directly to the bloodstream; it is not active when ingested orally. Curare is prepared by boiling the bark of one of

441-411: Is a monotypic genus in the family Strelitziaceae . Only one species is recognized, Phenakospermum guyannense , native to Suriname , French Guiana and the eastern Amazon River basin. This plant grows to over 10 m (33 ft) in height but can be felled with a single blow with a machete . Although not as prized as the ornamental Traveler's palm (in the same family), P. guyannense

490-440: Is an enzyme used to break down the acetylcholine (ACh) neurotransmitter left over in motor neuron synapses . The aforementioned inhibitors, termed "anticurare" drugs, reversibly bind to the enzyme's active site, prohibiting its ability to bind to its original target, ACh. By blocking ACh degradation, AChE inhibitors can effectively raise the amount of ACh present in the neuromuscular junction. The accumulated ACh will then correct for

539-399: Is considered highly toxic and slow-acting, with a lowest reported lethal dose of 375 μg/kg (unknown route of administration). For animals, the median lethal dose of tubocurarine is: Death can be prevented by artificial ventilation until curare subsides and muscle function is regained, in which case no permanent effects of poisoning occur. In 1807, Alexander von Humboldt provided

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588-699: Is derived from wurari , from the Carib language of the Macusi of Guyana. It has its origins in the Carib phrase "mawa cure" meaning of the Mawa vine, scientifically known as Strychnos toxifera . Curare is also known among indigenous peoples as Ampi, Woorari, Woorara, Woorali, Wourali, Wouralia, Ourare, Ourari, Urare, Urari, and Uirary. The noun 'curare' is not to be confused with the Latin verb 'curare' ('to heal, cure, take care of'). In 1895, pharmacologist Rudolf Boehm sought to classify

637-454: Is forbidden. If the woman still lives in the home of the father, the gifts must include him. If the woman accepts, she settles down in the man's encampment; if they have a child then they are considered a formal pair, which establishes mutual relations of kinship , expressed in rights and duties of reciprocity. A man can marry several wives, although a single wife is most common, and examples of three or more are rare. This polygyny coexists with

686-413: Is harvested for ritual uses. Marriage is settled after the man has formally courted the woman with accepted gifts and she has acceded to live with him. In order to look for a pairing, a man must have gone through an initiation ritual in which he endures trials and consumes a hallucinogen ( Virola sp.). The most suitable couple is one made up by crossed cousins . Marriage between parallel cousins

735-497: Is paralysis of every voluntarily controlled muscle in the body (including the eyes), making it practically impossible for the victim to confirm consciousness while paralyzed. Spontaneous breathing is resumed after the end of the duration of action of curare, which is generally between 30 minutes and 8 hours, depending on the variant of the toxin and dosage. Cardiac muscle is not directly affected by curare, but if more than four to six minutes has passed since respiratory cessation

784-1266: Is partly done with cord and metal fish hooks, although the Nukak still catch their fish traditionally with bow and arrow or harpoons, traps, or baskets ("mei", water cages). They also use a sophisticated technique that has been reported in several cultures: it uses nuún , the root of a Lonchocarpus sp. that contains a number of substances that when dissolved in the water streams stun the fish, making them easy to catch. They collect honey of twenty species of bees and many fruits: palm fruits ( Jessenia bataua ), Oenocarpus spp., Attalea spp., Mauritia sp., Phenakospermum guyannense , Aechmea sp., Inga sp., Couma macrocarpa , Iryanthera sp., Theobroma spp., Pourouma spp., Parinari sp., Micrandra sp., Helicostylis sp., Caryocar sp., Talisia sp., Hymenaea sp., Dacryodes spp., Abuta sp., Eugenia spp., Touraleia sp., Perebea spp., Protium sp., Cecropia sp., Batocarpus sp ., Hyeronima sp ., Brosimum sp ., Dialium sp ., Garcinia sp ., Manilkara sp ., Naucleopsis spp ., Pradosia sp ., Pouteria sp ., Salasia sp ., Passiflora spp ., Duroia maguirei, Duroia hirsuta, Mouriri sp ., and Alibertia sp . Nukak take

833-449: Is safer to use d-tubocurarine with ether . In 1954, an article was published by Beecher and Todd suggesting that the use of muscle relaxants (drugs similar to curare) increased death due to anesthesia nearly sixfold. This was refuted in 1956. Modern anesthetists have at their disposal a variety of muscle relaxants for use in anesthesia. The ability to produce muscle relaxation irrespective of sedation has permitted anesthetists to adjust

882-531: The New Tribes Mission and other outsiders beginning in 1981. Today coca growers, left-wing FARC guerillas , right-wing AUC paramilitaries , and the Colombian army have occupied their lands. In 2006, a group of nearly 80 Nukak left the jungle and sought assimilation to preserve their culture. As one of the migrants, Pia-pe, put it: "We do want to join the white family, but we do not want to forget words of

931-511: The Menispermaceae family and those from Strychnos , a genus of the Loganiaceae [ now Strychnaceae ] family. Some preparations may contain alkaloids from both [...] and the majority have other secondary ingredients. Curare was used as a paralyzing poison by many South American indigenous people. Since it was too expensive to be used in warfare, curare was mainly used for hunting. The prey

980-511: The Nukak." In October 2006, leader and Nukak Spanish speaker Maw-be' committed suicide by drinking poison. Friends and the National Indigenous Organization of Colombia (ONIC) reasoned he did so out of desperation in his inability to secure supplies or a safe return for the Nukak to return home. Curare Curare ( / k ʊ ˈ r ɑːr i / or / k j ʊ ˈ r ɑːr i / ; kuu- RAH -ree or kyuu- RAH -ree )

1029-527: The South American dart poison. As an alkaloid, tubocurarine is a naturally occurring compound that consists of nitrogenous bases, although the chemical structure of alkaloids is highly variable. Tubocurarine and C toxiferine consist of a cyclic system with quaternary ammonium ions. On the other hand, while acetylcholine does not contain a cyclic system, it does contain a quaternary ammonium ion. Because of this shared moiety, curare alkaloids can bind readily to

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1078-463: The active site of receptors for acetylcholine (ACh) at the neuromuscular junction, blocking nerve impulses from being sent to the skeletal muscles, effectively paralyzing the muscles of the body. Curare is an example of a non-depolarizing muscle relaxant that blocks the nicotinic acetylcholine receptor (nAChR) , one of the two types of acetylcholine (ACh) receptors , at the neuromuscular junction . The main toxin of curare, d-tubocurarine , occupies

1127-408: The animal and the recovery is complete if the animal's respiration is maintained artificially. In 1825, Charles Waterton described a classical experiment in which he kept a curarized female donkey alive by artificial respiration with a bellows through a tracheostomy . Waterton is also credited with bringing curare to Europe. Robert Hermann Schomburgk , who was a trained botanist, identified

1176-640: The cardiac muscle may stop functioning due to oxygen deprivation, making cardiopulmonary resuscitation including chest compressions necessary. Since tubocurarine and the other components of curare bind reversibly to the ACh receptors, treatment for curare poisoning involves adding an acetylcholinesterase (AChE) inhibitor, which will stop the destruction of acetylcholine so that it can compete with curare. This can be done by administration of acetylcholinesterase (AChE) inhibitors such as pyridostigmine , neostigmine , physostigmine , and edrophonium . Acetylcholinesterase

1225-496: The conduction of nerve impulses from the motor nerve to the skeletal muscle , and that this interference occurred at the neuromuscular junction . From 1887, the Burroughs Wellcome catalogue listed under its 'Tabloids' brand name, 1 ⁄ 12 grain (5.4   mg) tablets of curare (price: 8   shillings) for use in preparing a solution for hypodermic injection. In 1914, Henry Hallett Dale (1875–1968) described

1274-437: The dozens of plant sources, leaving a dark, heavy paste that can be applied to arrow or dart heads. These poisons cause weakness of the skeletal muscles and, when administered in a sufficient dose, eventual death by asphyxiation due to paralysis of the diaphragm . In medicine, curare has been used as a treatment for tetanus and strychnine poisoning and as a paralyzing agent for surgical procedures. The word 'curare'

1323-549: The early [pre-1900] work were very inaccurate because of the complexity and variation of the composition of the mixtures of alkaloids involved [...] these were impure, non-crystalline alkaloids [...] Almost all curare preparations were and are complex mixtures, and many of the physiological actions attributed to the early curarizing preparations were undoubtedly due to impurities, particularly to other alkaloids present. The curare preparations are now considered to be of two main types, those from Chondrodendron or other members of

1372-403: The effect of the curare by activating the receptors not blocked by toxin at a higher rate, restoring activity to the motor neurons and bodily movement. Phenakospermum guyannense Musidendron amazonicum (Mart.) Nakai Phenakospermum amazonicum (Mart.) Miq. Ravenala guyannensis (A.Rich.) Steud. Urania amazonica Mart. Urania guyannensis A.Rich. Phenakospermum

1421-446: The effect of the curare by activating the receptors not blocked by toxin at a higher rate. The time of onset varies from within one minute (for tubocurarine in intravenous administration , penetrating a larger vein), to between 15 and 25 minutes (for intramuscular administration , where the substance is applied in muscle tissue). It is harmless if taken orally because curare compounds are too large and highly charged to pass through

1470-583: The first eye-witness account of curare preparation. A mixture of young bark scrapings of the Strychnos plant, other cleaned plant parts, and occasionally snake venom is boiled in water for two days. This liquid is then strained and evaporated to create a dark, heavy, viscid paste that would be tested for its potency later. This curare paste was described to be very bitter in taste. In 1938, Richard Gill and his expedition collected samples of processed curare and described its method of traditional preparation; one of

1519-426: The gardens there are bananas ( Musa paradisiaca ) and sugar cane ( Saccharum officinarum ). They also plant to obtain tools for daily life (like bowls of Crescentia cujete and Lagenaria siceraria ); or to make dyes. (like "achiote" Bixa orellana and "carayurú" Arrabidaea chica , in order to paint the body); and a cane ( Gynerium sagittatum ), to make arrows and harpoons. Tobacco ( Nicotiana tabacum )

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1568-402: The heart. Curare poisoning can be managed by artificial respiration such as mouth-to-mouth resuscitation . In a study of 29 army volunteers that were paralyzed with curare, artificial respiration managed to keep oxygen saturation always above 85%, a level at which there is no evidence of altered state of consciousness . Yet, curare poisoning mimics total locked-in syndrome in that there

1617-517: The indigenous people as means of paralyzing prey, certain tribes would create monopolies from curare production. Thus, curare became a symbol of wealth among the indigenous populations. In 1596, Sir Walter Raleigh mentioned the arrow poison in his book Discovery of the Large, Rich, and Beautiful Empire of Guiana (which relates to his travels in Trinidad and Guayana ), though the poison he described

1666-564: The lining of the digestive tract to be absorbed into the blood. For this reason, people can safely eat curare-poisoned prey, and it has no effect on its flavor. Isolated attempts to use curare during anesthesia date back to 1912 by Arthur Lawen of Leipzig, but curare came to anesthesia via psychiatry ( electroplexy ). In 1939 Abram Elting Bennett used it to modify metrazol induced convulsive therapy . Muscle relaxants are used in modern anesthesia for many reasons, such as providing optimal operating conditions and facilitating intubation of

1715-555: The physiological actions of acetylcholine . After 25 years, he showed that acetylcholine is responsible for neuromuscular transmission , which can be blocked by curare. The best known and historically most important toxin (because of its medical applications) is d- tubocurarine . It was isolated from the crude drug – from a museum sample of curare – in 1935 by Harold King of London, working in Sir Henry Dale 's laboratory. King also established its chemical structure. Pascual Scannone,

1764-500: The plant species used at that time was Chondrodendron tomentosum . Various irritating herbs, stinging insects, poisonous worms, and various parts of amphibians and reptiles are added to the preparation. Some of these accelerate the onset of action or increase the toxicity; others prevent the wound from healing or blood from coagulating. Curare poisoning can be indicated by typical signs of neuromuscular-blocking drugs such as paralysis including respiration but not directly affecting

1813-459: The production of arrow poisons. Among them are: In family Menispermaceae : Other families: Some plants in the family Aristolochiaceae have also been reported as sources. Alkaloids with curare-like activity are present in plants of the fabaceous genus Erythrina . Administration must be parenteral , as gastro-intestinal absorption is ineffective. The toxicity of curare alkaloids in humans has not been systematically established, but it

1862-458: The resin of Trattinickia glaziovii or stone axes. They have crops in their territory, along their routes. They traditionally cultivate for food, tubers such as sweet potatoes ( Ipomoea batatas ), taros ( Xanthosoma violaceum , Colocasia sp.), yams ( Dioscorea sp.), and manioc ( Manihot esculenta ). Also peach palms ( Bactris gasipaes ), pineapple ( Ananas comosus ), chili pepper ( Capsicum chinense ), and several fruit trees. In all

1911-508: The ritual reaches a climactic moment in which they all embrace, weeping while they remember their ancestors and express affection. The groups practice a form of exchange, "ihinihat", especially when all the resources are not in the same territory. It is considered taboo for the Nukak to discuss dead people. Nukak people speak a tonal language. It is very closely related to Kakwa language . Nukak populations have lowered from malaria , measles and pulmonary diseases since their contact with

1960-425: The same position on the receptor as ACh with an equal or greater affinity, and elicits no response, making it a competitive antagonist . The antidote for curare poisoning is an acetylcholinesterase (AChE) inhibitor (anti-cholinesterase), such as physostigmine or neostigmine . By blocking ACh degradation, AChE inhibitors raise the amount of ACh in the neuromuscular junction; the accumulated ACh will then correct for

2009-899: The sweet resin from "mupabuat" ( Lacunal sp.) and the rattan water ( Doliocarpus sp.). They cover their encampments ("wopyi") with leaves of Phenakospermum guyannense and palms, and make their hammocks with fiber of the cumare palm Astrocaryum sp.; moorings with Heteropsis tenuispadix , Eschweilera sp., and Anthurium sp.; blowguns with Iriartella stigera , Bactris maraja ; bows with Duguetia quitarensis ; axe ends with Aspidosperma sp.; darts with thorns of Oneocarpus sp.; dart quivers with leaves of Calathea sp.; milkweed with Pachira nukakika , Ceiba sp., and Pseudobombax sp.; loinclothes for men with Couratari guianensis; baskets with Heteropsis spp.; disposable bags with Ischnosiphon arouma and Heliconia sp.; soap with Cedrelinga sp.; perfumes with Myroxylon sp. and Justice pectoralis; and diverse objects. Iryanthera They make blades with

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2058-421: The teeth of piranha but have also adapted to use metals. Until 1990 they practised small-scale pottery, producing a small kind of pot to take with them on their travels and a second, bigger kind, to leave as supplies in their camping sites. Today they prefer to obtain metallic pots. When they do not have matches or lighters, they use special wood ( Pausandra trianae ) to produce fire. They no longer make mirrors with

2107-460: The trachea. Before muscle relaxants, anesthesiologists needed to use larger doses of the anesthetic agent, such as ether , chloroform or cyclopropane to achieve these aims. Such deep anesthesia risked killing patients who were elderly or had heart conditions. The source of curare in the Amazon was first researched by Richard Evans Schultes in 1941. Since the 1930s, it was being used in hospitals as

2156-428: The two effects independently and on the fly to ensure that their patients are safely unconscious and sufficiently relaxed to permit surgery. The use of neuromuscular blocking drugs carries with it the risk of anesthesia awareness . There are dozens of plants from which isoquinoline and indole alkaloids with curarizing effects can be isolated, and which were utilized by indigenous tribes of Central and South America for

2205-475: The various alkaloid poisons based on the containers used for their preparation. He believed curare could be categorized into three main types as seen below. However useful it appeared, it became rapidly outmoded. Richard Gill, a plant collector, found that the indigenous peoples began to use a variety of containers for their curare preparations, henceforth invalidating Boehm's basis of classification. Manske also observed in his 1955 The Alkaloids : The results of

2254-418: The vine as one of the genus Strychnos and gave it the now accepted name Strychnos toxifera . George Harley (1829–1896) showed in 1850 that curare ( wourali ) was effective for the treatment of tetanus and strychnine poisoning. In 1857, Claude Bernard (1813–1878) published the results of his experiments in which he demonstrated that the mechanism of action of curare was a result of interference in

2303-437: The year do not remain together but form different groups for harvesting and/or hunting that are distributed in accordance with the climatic seasonal changes and the security situation. Each group is considered part of one of four regions of its territory. On certain occasions different groups join, where they practice a special ritual, "entiwat," in which the groups dance face to face, striking and verbally injuring each other until

2352-473: Was possibly not curare. In 1780, Abbe Felix Fontana discovered that it acted on the voluntary muscles rather than the nerves and the heart. In 1832, Alexander von Humboldt gave the first western account of how the toxin was prepared from plants by Orinoco River natives. During 1811–1812, Sir Benjamin Collins Brody experimented with curare ( woorara ). He was the first to show that curare does not kill

2401-697: Was shot by arrows or blowgun darts dipped in curare, leading to asphyxiation owing to the inability of the victim's respiratory muscles to contract. In particular, the poison was used by the Kalinago , indigenous people of the Lesser Antilles in the Caribbean , on the tips of their arrows. In addition, the Yagua people , indigenous to Colombia and northeastern Peru, commonly used these toxins via blowpipes to target prey 30 to 40 paces distant. Due to its popularity among

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