Cardiac adverse effects may include palpitations, changes in blood pressure and heart rate (typically mild), and tachycardia (rapid heart rate). Smokers with ADHD who take methylphenidate may increase their nicotine dependence, and smoke more often than before they began using methylphenidate, with increased nicotine cravings and an average increase of 1.3 cigarettes per day. Ophthalmologic adverse effects may include blurred vision caused by pupil dilatation and dry eyes, with less frequent reports of diplopia and mydriasis.There is some evidence of mild reductions in height with prolonged treatment in children. This has been estimated at 1 centimetre (0.4 in) or less per year during the first three years with a total decrease of 3 centimetres (1.2 in) over 10 years.Hypersensitivity (including skin rash, urticaria, and fever) is sometimes reported when using transdermal methylphenidate. The Daytrana patch has a much higher rate of skin reactions than oral methylphenidate.Methylphenidate can worsen psychosis in people who are psychotic, and in very rare cases it has been associated with the emergence of new psychotic symptoms. It should be used with extreme caution in people with bipolar disorder due to the potential induction of mania or hypomania. There have been very rare reports of suicidal ideation, but some authors claim that evidence does not support a link. Logorrhea is occasionally reported. Libido disorders, disorientation, and visual hallucinations are very rarely reported.
Eruptions are not centralized at the main summit as with other volcanic types, and often occur at vents around the summit and from fissure vents radiating out of the center.Hawaiian eruptions often begin as a line of vent eruptions along a fissure vent, a so-called "curtain of fire." These die down as the lava begins to concentrate at a few of the vents. Central-vent eruptions, meanwhile, often take the form of large lava fountains (both continuous and sporadic), which can reach heights of hundreds of meters or more. The particles from lava fountains usually cool in the air before hitting the ground, resulting in the accumulation of cindery scoria fragments; however, when the air is especially thick with clasts, they cannot cool off fast enough due to the surrounding heat, and hit the ground still hot, the accumulation of which forms spatter cones. If eruptive rates are high enough, they may even form splatter-fed lava flows. Hawaiian eruptions are often extremely long lived; Puʻu ʻŌʻō, a volcanic cone on Kilauea, erupted continuously for over 35 years. Another Hawaiian volcanic feature is the formation of active lava lakes, self-maintaining pools of raw lava with a thin crust of semi-cooled rock. Flows from Hawaiian eruptions are basaltic, and can be divided into two types by their structural characteristics. Pahoehoe lava is a relatively smooth lava flow that can be billowy or ropey. They can move as one sheet, by the advancement of "toes," or as a snaking lava column.