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NAC

N-Acetylcysteine (NAC) is the acetylated derivative of the L-, serving as a mucolytic agent that breaks bonds in to facilitate expectoration and as an antidote for acetaminophen () overdose by replenishing depleted stores in the liver to prevent . It is FDA-approved for intravenous administration in cases of potentially toxic acetaminophen ingestion, where it is nearly 100% effective if initiated within 8 hours, and for nebulized use in conditions involving viscous pulmonary secretions such as or . Orally, NAC is absorbed and converted to , supporting endogenous synthesis, which confers properties observed in clinical settings like contrast-induced nephropathy prevention and psychiatric adjunct therapy. Beyond its established pharmacological roles, NAC has been investigated for off-label applications, including as an adjunct in psychiatric disorders such as obsessive-compulsive disorder, , and , where randomized controlled trials demonstrate modest benefits attributable to its modulation of and reduction. Empirical evidence from meta-analyses supports its efficacy in reducing symptoms of and alleviating in disorders, though results vary by dosage and patient population, with typical oral doses ranging from 600 to 1800 mg daily. As a , NAC gained popularity for purported immune and respiratory support, particularly during the , but rigorous trials have not consistently validated broad preventive claims, emphasizing instead its role in targeted replenishment. A notable controversy surrounds NAC's regulatory status , where the FDA determined in 2022 that it qualifies as an excluded drug under the Federal Food, Drug, and Cosmetic Act due to its pre-1994 approval as a new drug, technically barring its marketing as a despite decades of uninterrupted availability and a favorable safety profile with rare adverse effects like or anaphylactoid reactions. In response to industry petitions and , the FDA announced enforcement discretion for certain NAC-containing products marketed before October 2020, allowing continued access pending potential rulemaking to affirm its eligibility, a policy reflecting tensions between drug exclusivity incentives and consumer reliance on over-the-counter formulations. This stance has drawn criticism for overlooking NAC's naturally occurring origins and extensive post-market data affirming low risk, even as peer-reviewed underscores its tolerability across diverse populations.

Medicine

N-acetylcysteine: History and Development

N-acetylcysteine (NAC), a of the designed for improved stability and bioavailability, was developed in the early by the pharmaceutical company Zambon Group primarily as a mucolytic agent to treat disorders characterized by viscous mucus. Patented in 1960, NAC received U.S. (FDA) approval on September 14, 1963, for inhalation and oral administration, leveraging its sulfhydryl group to cleave disulfide bonds in mucus glycoproteins, thereby reducing mucus thickness and facilitating clearance in conditions such as and chronic bronchitis. Initial clinical applications as a mucolytic emerged in the mid-1960s, with early studies demonstrating its efficacy in liquefying pulmonary secretions and improving ventilatory function without significant adverse effects beyond transient in some patients. The recognition of NAC's role beyond mucolysis began in the 1970s amid rising acetaminophen () overdose cases, which deplete hepatic via the toxic metabolite (NAPQI), leading to . British pharmacologist L.F. Prescott first demonstrated NAC's antidotal potential in through rodent studies showing it prevented liver damage by serving as a glutathione precursor, restoring cellular detoxification capacity when administered intravenously within hours of ingestion. Human trials shortly thereafter confirmed its hepatoprotective effects, establishing a 20-hour intravenous regimen as standard , with efficacy approaching 100% if initiated within 8 hours post-overdose, prompting inclusion on the World Health Organization's List of Essential Medicines. This shift expanded NAC's development from a niche respiratory to a critical , though oral formulations faced challenges from its unpleasant odor and rapid oxidation to inactive dimers. Subsequent refinements in the and focused on optimizing delivery, including stabilized intravenous preparations and exploration of its antioxidant properties for broader applications, though early enthusiasm for uses like adjunct therapy yielded mixed results due to variability in dosing and patient compliance. By the 2000s, NAC's dual mucolytic and antidotal roles solidified its regulatory status, with ongoing development emphasizing sustained-release forms to mitigate gastrointestinal side effects and enhance replenishment in oxidative stress-related conditions.

N-acetylcysteine: Pharmacology and Mechanism of Action

N-acetylcysteine (NAC) is rapidly absorbed after oral administration, achieving peak plasma concentrations within 1 to 2 hours, though its oral bioavailability is low at less than 10% due to first-pass metabolism. Intravenous administration yields higher peak levels, such as 554 mg/L following a 150 mg/kg dose over 15 minutes. Inhalation provides local effects in the airways with a time to maximum concentration of about 1 to 2 hours. Distribution of NAC is characterized by a steady-state volume of 0.33 to 0.47 L/kg and protein binding of 66% to 87%. It undergoes primary hepatic via deacetylation to L-cysteine, which is then incorporated into synthesis or forms disulfides and mixed thiols. Approximately 30% of clearance is renal, with the remainder involving metabolic pathways. The elimination of NAC is approximately 5.6 hours intravenously and 6.25 hours orally, with urinary accounting for about 30% of the dose. As a , NAC's core mechanism involves serving as a precursor to , elevating intracellular (GSH) levels to maintain and detoxify electrophilic compounds, such as the acetaminophen N-acetyl-p-benzoquinone (NAPQI), by facilitating GSH conjugation. This replenishment can increase hepatic GSH synthesis rates from 0.54 to 2.69 μmol/g tissue per hour in acetaminophen overdose models. In its mucolytic role, NAC reduces disulfide bonds in high-molecular-weight glycoproteins of , depolymerizing oligomers and decreasing to facilitate clearance in respiratory conditions. NAC demonstrates direct activity by scavenging , including hydroxyl radicals at a rate constant of 1.36 × 10¹⁰ M⁻¹·s⁻¹, and indirect effects via augmentation of GSH and other enzymes. It further binds toxic metabolites and free radicals while enhancing mitochondrial ATP production and tissue oxygenation. Additional pharmacodynamic effects include anti-inflammatory actions through inhibition of signaling, suppressing cytokines such as TNF-α, IL-6, and IL-1β, as well as modulation of glutamate via the cystine-glutamate .

N-acetylcysteine: Established and Investigational Uses

N-acetylcysteine (NAC) is approved by the U.S. (FDA) primarily as an for acetaminophen overdose, where it replenishes stores to mitigate from doses exceeding 150 mg/kg body weight in adults or 75 mg/kg in children within 8 hours of ingestion. Intravenous administration of NAC, typically at a of 150 mg/kg over 1 hour followed by maintenance infusions, has demonstrated efficacy in reducing mortality and needs when initiated promptly, with survival rates exceeding 90% in non-comatose patients treated early. Oral NAC regimens, such as 140 mg/kg loading followed by 70 mg/kg every 4 hours for 17 doses, serve as alternatives when intravenous access is unavailable. As a mucolytic agent, NAC cleaves disulfide bonds in mucus glycoproteins, reducing viscosity and facilitating expectoration in conditions like (COPD), , and . Doses of 600–1200 mg daily, often nebulized or oral, have been standard since the 1960s, with clinical evidence from randomized trials showing improved lung function parameters, such as forced expiratory volume in 1 second (FEV1), by 10–15% in stable COPD patients over 3–6 months. The includes NAC on its Model List of for these indications due to its established safety and efficacy profile. Investigational applications of NAC leverage its properties via precursor activity and modulation of glutamate dysregulation in the . In , NAC has shown preliminary promise in reducing cravings for substances like , , and , with meta-analyses of randomized controlled trials indicating modest effect sizes (e.g., standardized mean difference of -0.4 for symptoms) at doses of 1200–2400 mg/day over 8–12 weeks, though evidence remains inconsistent and often requires adjunct therapies like for in youth. A 2015 systematic review identified favorable outcomes in autism spectrum disorder, with improvements in irritability scores on the Aberrant Behavior Checklist by up to 20% in small trials using 900–2700 mg/day, attributed to reduced and inflammation, but larger confirmatory studies are pending. In neurology, ongoing phase III trials as of 2024 evaluate for , where oral doses of 1800 mg twice daily aim to slow photoreceptor degeneration via thiol-mediated , building on phase II data showing stabilized sensitivity. For neurodegenerative conditions like , adjunctive NAC at 600–1800 mg/day has yielded mixed results in slowing cognitive decline, with some trials reporting 10–15% improvements in Mini-Mental State Examination scores linked to amyloid-beta clearance, yet others find no benefit over , highlighting the need for replication amid heterogeneous patient cohorts. NAC's role in mitigating contrast-induced nephropathy post-angiography, using 600 mg twice daily pre- and post-procedure, has supportive evidence from meta-analyses reducing incidence by 30–50% in high-risk patients, though not universally endorsed due to variable trial quality. In fertility contexts, doses of 1800 mg/day for 3–6 months have improved semen parameters in men with idiopathic infertility and ovulation rates in , per small randomized studies, via antioxidant effects on oxidative damage. Overall, while investigational uses stem from mechanistic plausibility, clinical translation requires further large-scale, double-blind trials to establish causality beyond preliminary associations.

N-acetylcysteine: Safety Profile and Empirical Evidence

N-acetylcysteine (NAC) exhibits a generally favorable profile in clinical use, with being uncommon and primarily dose- and route-dependent. Extensive empirical data from trials for acetaminophen overdose demonstrate near-100% in preventing when administered within 8 hours of ingestion, with serious adverse events rare at standard doses. Oral NAC, commonly dosed at 600–1,200 mg daily for chronic conditions, is associated with gastrointestinal side effects including , , and , occurring in up to 23% of patients; these are typically mild and resolve with dose adjustment or administration with food. Inhalation formulations may provoke in asthmatic patients, necessitating caution and with bronchodilators in susceptible individuals. Intravenous NAC, used acutely for acetaminophen poisoning at loading doses of 140–150 mg/kg followed by maintenance infusions, carries a higher of anaphylactoid reactions such as , flushing, and , reported in up to 40% of cases, though modified shorter regimens (e.g., 12-hour protocols) significantly reduce and such reactions without compromising efficacy. High-dose regimens, such as 1,200 mg daily or more in chronic respiratory diseases like COPD, have been evaluated in systematic reviews showing tolerable profiles, with adverse events primarily limited to gastrointestinal upset and infrequent serious events like . A 2024 trial of high-dose NAC (up to 1,800 mg/day) in COPD s reported adverse events in 25.2% of participants, mostly mild and non-serious, comparable to rates. Contraindications are limited, but include hypersensitivity to NAC; precautions apply in patients with active peptic ulcers due to potential of and in those with . Overdose of NAC itself is rare but can lead to renal effects like in extreme cases, though human data indicate low inherent toxicity. Empirical evidence from randomized controlled trials across indications, including psychiatric disorders and neurological conditions, consistently affirms NAC's safety, with no significant increase in serious adverse events versus in meta-analyses involving thousands of participants. In pregnancy, short-term use for acetaminophen toxicity shows a reassuring profile, preventing maternal and fetal harm without teratogenic risks in observational data. Long-term data from chronic use in (up to 2,400 mg/day for months) confirm tolerability, with dropout rates due to side effects under 5%. Overall, NAC's risk-benefit ratio supports its established role, though monitoring for remains prudent in IV applications.

N-acetylcysteine: Regulatory Status and Controversies

In the United States, N-acetylcysteine (NAC) is approved by the (FDA) as a for the treatment of acetaminophen overdose and as a mucolytic agent to reduce the of pulmonary secretions. The FDA has determined that NAC is excluded from the statutory definition of a under the Dietary Supplement Health and Education Act of 1994 (DSHEA), as it was first approved as a new in 1963, prior to the law's enactment. However, since August 2022, the FDA has exercised enforcement discretion, permitting the marketing of certain NAC-containing products labeled as , provided they make no unapproved claims and are not intended for veterinary use; this policy remains in effect pending potential to authorize its lawful inclusion in supplements. As of 2025, the agency continues to evaluate safety data through notice-and-comment , marking the first such process under DSHEA to potentially reclassify a pre-1994 ingredient for supplement use. Internationally, NAC holds approved medicinal status in numerous jurisdictions, including as an for (acetaminophen) poisoning and for mucolytic purposes, with recognition by the as an essential medicine for these indications. In the , NAC often possesses a dual status, authorized both as a medicinal product and, in many member states, as a food supplement , though regulatory assessments highlight potential risks from high-dose supplementation such as gastrointestinal disturbances and rare anaphylactoid reactions. Countries like and similarly regulate NAC primarily as a pharmaceutical, with restrictions on over-the-counter supplement sales absent explicit health authority approval. Controversies surrounding NAC's regulatory status center on its and actions. In 2020–2021, the FDA issued warning letters to manufacturers asserting that NAC's prior approval precludes its marketing, prompting retailers like to delist NAC products in early 2021, which disrupted availability despite no formal ban. Industry groups, including the Council for Responsible Nutrition, contested the FDA's interpretation as legally invalid, citing decades of safe consumer use and lack of demonstrated harm, leading to citizen petitions that influenced the shift to discretion. Additional friction arose from unapproved claims during the , where some promoters touted NAC for viral prevention or treatment without sufficient clinical evidence, resulting in FDA cautions against such marketing while affirming its established medical roles. These debates underscore tensions between exclusivity provisions and market realities, with ongoing FDA reviews incorporating peer-reviewed to assess long-term risks absent at typical doses.

Politics and International Relations

North Atlantic Council

The (NAC) serves as the principal political decision-making body of the Organization (), responsible for overseeing the Alliance's political and military processes related to security issues. Established under Article 9 of the , signed on April 4, 1949, in , by 12 founding members, the NAC held its inaugural session on September 17, 1949, at the U.S. Department of State. This article mandates the creation of a council with one representative per party to address Treaty implementation, empowering it as the sole NATO entity authorized to establish subsidiary bodies. Composed of high-level representatives from all 32 member states—currently including the original 12 plus subsequent accessions such as in 2023 and in 2024—the NAC ensures equal participation regardless of member size or contribution. It convenes regularly in multiple formats: weekly meetings at the () level in for ongoing consultations; twice-yearly sessions of foreign ministers; approximately three annual gatherings of defense ministers; and occasional summits of heads of state or government for major strategic decisions. All meetings are chaired by the NATO Secretary General, who facilitates discussions but holds no veto power, with proceedings supported by an International Staff and a network of subordinate committees addressing specific policy areas like defense planning and . The NAC's core functions include consulting on any matter affecting security under Article 4 of the , reviewing reports from NATO committees, and formulating policies that bind all members upon adoption. Decisions require unanimity through consensus, eschewing formal voting or to reflect the collective will and ensure commitment from every state, a mechanism that has enabled coordinated responses to threats like Soviet expansion during the and more recent aggressions. This process, while promoting unity, demands negotiation to reconcile diverse national interests, as evidenced by its role in invoking Article 5 collective defense only once, following the September 11, 2001, attacks on the . The NAC's operations underscore NATO's intergovernmental nature, where sovereignty is preserved through voluntary agreement rather than supranational authority.

Other Political Bodies

The New Agenda Coalition (NAC) is an informal group of non-nuclear-weapon states established in June 1998 to promote and non-proliferation. Its founding members—, , , , , , , and —issued a joint declaration calling on nuclear-weapon states to commit unequivocally to the elimination of nuclear arsenals and to pursue negotiations toward a nuclear-weapon-free world. The coalition has maintained activity into the 2020s, convening ministerial meetings such as the one in on June 19, 2023, to reaffirm efforts against and emphasize that the Nuclear Non-Proliferation Treaty does not entitle permanent possession of nuclear weapons. In 2023, marking its 25th anniversary, the NAC highlighted stalled progress on disarmament obligations under the treaty regime. In , the National Advisory Council (NAC) operated from June 4, 2004, to 2014 as an extraconstitutional advisory body to the under the government, chaired by Congress leader . Comprising activists, academics, and former officials, it focused on formulating and monitoring social welfare policies, including rights-based on , , and rural . The NAC wielded significant influence, drafting key bills and recommendations that shaped government agendas, though critics contended it functioned as an unelected parallel authority, with declassified files revealing direct interventions in policy decisions during Manmohan Singh's tenure. Gandhi defended it as a non-binding advisory mechanism advocating for the marginalized, rejecting portrayals of it as a "super ." The body was disbanded after the 2014 elections.

Arts and Culture

National Arts Centre

The (NAC), located at 1 Elgin Street in , , along the , is Canada's bilingual, multidisciplinary institution. Established as a project to celebrate the country's 100th anniversary, it opened on June 2, 1969, following construction that began in the . The NAC serves as a national showcase for , , , and , with a mandate to operate and maintain the centre, develop the in , and foster collaborations with artists and organizations domestically and internationally. It is the only such bilingual facility in and one of the largest centres worldwide. Designed in the Brutalist style by Fred Lebensold, the NAC features a robust structure with poured and precast panels of exposed , organized into hexagonal masses housing four main theatres and surrounded by terraces oriented toward the and cityscape. The building was designated a National Historic Site of in recognition of its architectural significance and role as an exemplary venue. A major project, completed in phases around 2021 by Diamond Schmitt Architects, added new wings, expanded lobbies, and improved public access while preserving the original heritage elements, shifting the entry to better integrate with the urban environment. The NAC's programming encompasses the NAC Orchestra, founded in 1969 under conductor Mario Bernardi; English Theatre; French Theatre; Indigenous Theatre; ; and Popular Music and Variety streams. It presents, creates, produces, and co-produces works, emphasizing equity, diversity, inclusion, and support for emerging artists and youth education through initiatives like Arts Alive. Governed by the National Arts Centre Act and funded primarily by the federal government with additional private support—such as under Herrndorf's leadership from , which increased non-government contributions to 50%—the institution has hosted key milestones, including the creation of the Fourth Stage in 2000 for community programming and the NAC Challenge Fund, which raised $2.1 million in the late 1990s. Early leaders included G. Hamilton Southam as first Director General (1969–1977) and Donald MacSween as successor from April 1, 1977.

Technology and Computing

Network Access Control

Network Access Control (NAC) is a that enforces policies to regulate which users and devices can access a network, typically by authenticating identities, verifying device health, and applying role-based access restrictions before granting connectivity. This process aims to mitigate risks from unauthorized or non-compliant endpoints, such as unpatched devices or malware-infected systems, by providing network administrators with visibility into connected assets and enabling automated enforcement. NAC solutions distinguish between pre-admission controls, which assess devices prior to network entry, and post-admission monitoring, which continuously evaluates ongoing to quarantine or remediate threats dynamically. Core components of NAC include the client or supplicant on the endpoint device, which initiates ; the , such as a or , that acts as an enforcement point; and a backend policy server, often using for centralized , authorization, and accounting (). During operation, a device attempting connection sends credentials via protocols like (), which the forwards to the server for validation against directories such as or LDAP; successful checks result in port authorization, while failures trigger isolation to a remediation or outright denial. This framework supports both wired and wireless environments, though implementations frequently prioritize due to higher mobility risks, leaving some wired ports vulnerable if not uniformly enforced. A foundational standard for NAC is , ratified in 2001 and revised in 2010, which defines port-based (PNAC) to restrict LAN ports until succeeds, preventing unauthorized traffic at the . It operates independently of higher-layer protocols, enabling integration with EAP methods for certificate-based or username/password verification, and has become integral to enterprise zero-trust architectures by assuming no inherent trust for internal connections. Complementary protocols include for server communication and DHCP for post-authentication IP assignment, though NAC deployments may extend to agentless profiling for devices lacking supplicant software. Benefits of NAC include enhanced detection through , with regulations like PCI-DSS or HIPAA via auditable logs, and reduced likelihood by limiting lateral movement for compromised s. For instance, organizations using NAC report improved visibility into and rogue s, enabling proactive segmentation that can decrease severe incident impacts. However, challenges persist, such as deployment in networks, scalability issues with high volumes, and potential single points of failure if authenticators overload; partial implementations often fail to cover all vectors, undermining efficacy. Prominent vendor solutions, like Cisco's Services Engine, integrate NAC with broader ecosystems for unified , though effectiveness depends on rigorous and regular updates to counter evolving evasion techniques like .

Other Technological Uses

Network Analysis Corporation (NAC) was a pioneering firm in design, founded in 1969 by Howard Frank, a network engineer previously involved in optimizing national systems at of Emergency Preparedness. Specializing in mathematical modeling and topological optimization for large-scale networks, NAC secured a from the Advanced Research Projects Agency () to develop the initial topology of , the experimental packet-switching network that laid foundational groundwork for the . This effort utilized early computer algorithms to evaluate reliability, cost, and redundancy in node and link configurations, demonstrating one of the first applications of computational methods to wide-area network architecture.

Aviation

Nacelle

A nacelle is an aerodynamic enclosure housing an aircraft's , , or related equipment, positioned externally on the to minimize . It protects the engine from , strikes, and debris while directing for efficient . Unlike fuselage-integrated structures, nacelles are often pod-like and attached via pylons, enabling modular engine placement on wings or fuselages. Key components include the air inlet for capturing , fan cowls enclosing the engine , thrust reversers for deceleration during by redirecting exhaust forward, and exhaust nozzles managing turbine efflux. Structural elements such as firewalls, mounts, and skins ensure , , and , with cowlings streamlining external surfaces. Nacelles also integrate noise-reduction features, like acoustic liners, to comply with regulatory limits on jet noise. Design emphasizes lightweight materials, transitioning from early aluminum alloys—used since the ' 1903 propulsion systems—to modern composites and high-performance metal alloys for reduced weight and corrosion resistance. Composites, comprising much of contemporary structures, lower fuel consumption by cutting mass while enhancing durability against erosion and impacts. Aerodynamic shaping, typically circular or elliptical, optimizes airflow and integrates with high-lift devices on wings for better performance during . Historically, nacelles evolved with multi-engine aircraft in the early , initially as simple cowlings for radial engines to aid cooling and reduce drag, as outlined in guidelines. Post-World War II jet era advancements incorporated thrust reversers and variable-geometry inlets, with firms like tracing expertise to over 80 years of production by 2023. Leading manufacturers, including Nacelles (roots in industrial foundations) and , focus on integration for commercial and military applications, emphasizing emissions reduction and extended on-wing life. Maintenance involves routine inspections for erosion and structural integrity, critical for safety given nacelles' exposure to high-speed airflow and thermal stresses.

Sports

NAC Breda

, officially known as Noad Advendo Combinatie Breda, is a professional association club based in , , . Founded on September 19, 1912, through the merger of local clubs NOAD (Nijdamse Athletische Club) and ADVENDO (Advendo Combinatie), the club adopted its acronym from the combined initials. It competes in the , the top tier of Dutch , having returned to the league for the 2024–25 season after promotion from the . The club's home matches are played at the , a 19,000-capacity venue opened in 1996 and named after former NAC player Antoon "Rat" Verlegh, who died in a Nazi concentration camp in 1944. NAC's traditional kit features black and white vertical stripes, earning it the nickname "Parel van het Zuiden" (Pearl of the South) among supporters. Historically, NAC has achieved modest success, winning the Dutch national championship once in 1921 and the in 1973, though it has spent much of recent decades oscillating between the and the second division. In the 2024–25 season, as of mid-October 2025, NAC has recorded a mixed performance with six wins, six draws, and five losses in 17 matches, positioning it mid-table amid efforts to establish stability following its six-year absence from the top flight. The club maintains a passionate fanbase known for its vocal support, including organized groups like the B-Side Rats, and has participated in European competitions sporadically, such as the UEFA Cup in the early . Financial challenges and ownership changes have marked its modern history, but recent promotions reflect improved on-pitch results under various managerial regimes.

Other Sports Entities

The (NAC) is an athletic conference for () Division III institutions, primarily located in the and , sponsoring 18 sports including men's , , soccer, , and , as well as women's equivalents such as , , and . Member schools compete in intercollegiate competitions, with the conference emphasizing academic and athletic balance among small colleges. The North American Conference for Intercollegiate Athletics (NACIA), established as the first Division I conference under the (USCAA) in April 2025, governs intercollegiate sports for member institutions transitioning from other affiliations, offering competitions in men's and , soccer, cross country, and other disciplines. NACIA aims to provide structured athletic opportunities for non-NCAA or NAIA schools, with initial members including colleges like and . In competitive and , NAC designates the North American (Nor-Am ), a continental series of events organized by the (FIS) that awards points toward international rankings and serves as a developmental pathway for athletes in disciplines like , freestyle, and . Within dog sports, NAC stands for National , a prestigious title conferred by the (AKC) to the winner of its annual National Agility Championship, recognizing excellence in timed obstacle courses for various dog breeds and sizes.

Organizations and Societies

Native American Church

The Native American Church (NAC) is a syncretic religious movement that originated among Plains tribes such as the and in the late , around 1885, as peyotism spread northward from its roots in northeastern and . It formally incorporated on October 10, 1918, in through an intertribal coalition to establish legal protections for peyote ceremonies against state bans, evolving from earlier informal gatherings into a structured emphasizing healing and moral living. The NAC represents a Pan-Indian response to cultural suppression during assimilation policies, integrating traditional reverence for natural medicines with Christian-influenced doctrines like the centrality of Jesus Christ as a guide alongside tribal ancestors. Central to NAC beliefs is the cactus (Lophophora williamsii), regarded as a sacred plant embodying divine power for physical and spiritual healing, moral insight, and connection to the Creator, often termed "medicine" that reveals truths unattainable through ordinary means. Core tenets include faith, hope, love, charity, and harmony with nature, with ceremonies reinforcing ethical conduct, family bonds, and community welfare rather than . Practices occur in all-night vigils, typically in tipis, led by a "roadman" who directs prayers, drumming, singing, and ingestion of peyote buttons or tea; participants seek visions for guidance on illness, rites of passage, or personal trials, culminating in a communal feast at dawn. Branches vary, such as the NAC of , which incorporates more explicit , while others retain stronger traditional elements, reflecting tribal diversity among over 300,000 estimated members across more than 50 tribes. Peyote's legal status shifted through federal exemptions recognizing its religious necessity: the of 1978 affirmed protections for traditional practices, and the 1994 amendment to the (42 U.S.C. § 1996a) along with regulation 21 CFR § 1307.31 exempts nondrug use in bona fide NAC ceremonies for enrolled members of federally recognized tribes, irrespective of age. This stems from prior conflicts, including cases like (1990), which upheld neutral drug laws but prompted responses; however, exemptions do not extend to non-members or recreational use, and supply dwindles due to habitat loss and poaching in , the sole legal harvest source. State laws align variably, with some mirroring federal allowances, but enforcement prioritizes ceremonial intent over commercial diversion.

Other Organizations

The (NAC) is the principal political decision-making body within the Organization (), consisting of high-level representatives from each member state who meet regularly to address security and alliance matters. Established in alongside 's founding, the NAC operates by consensus and holds ultimate authority over alliance policies, with decisions binding on all members. The National Acquisition Center (NAC), operated by the U.S. Department of Veterans Affairs, manages nationwide contracts to support delivery for veterans, including medical supplies, pharmaceuticals, and equipment as of 2025. It centralizes purchasing to achieve and compliance with federal acquisition regulations. The Not-for-Profit Advisory Committee (NAC), formed in 2009 under the (FASB), provides expert input on accounting standards affecting not-for-profit entities, such as reporting requirements for contributions and endowments. Comprising up to 20 members from diverse sectors, it meets periodically to review proposed updates and recommend improvements based on practical implementation challenges. The National Alliance for Caregiving (NAC), a U.S.-based founded in 1996, unites over 50 organizations to for caregivers through , influence, and public awareness initiatives, including studies on caregiving demographics and economic impacts released as recently as 2020..html)

Miscellaneous Uses

Media and Publications

Native America Calling (NAC) is a syndicated public radio program that airs weekdays, featuring live call-in discussions on topics affecting Native American and Alaska Native communities, including health, education, , and cultural preservation. Produced by Vision Maker and distributed to over 300 stations, it serves as the largest electronic talking circle for voices , with episodes available on-demand via . NAC TV, or Neepawa Access Community Television, operates as a community access station in Neepawa, Manitoba, Canada, broadcasting local events, sports, and programming such as town council meetings and high school sports on channels available via MTS, Westman Cable, and Bell Satellite. Established to cover community happenings, it schedules content including documentaries and educational segments, with live broadcasts starting at 7:00 p.m. on Wednesdays. The Newspaper Agency Corporation (NAC), formed in 1952 under a Joint Operating Agreement between The Salt Lake Tribune and Deseret News, handled joint printing, circulation, advertising sales, and distribution for the two Salt Lake City newspapers to ensure economic viability amid declining print revenues. Operating from facilities in Salt Lake City, Utah, it facilitated shared operations while maintaining editorial independence until the JOA's restructuring in the early 2010s, after which functions were absorbed by individual entities or successors like Utah Media Group. Nunavut Arctic College Media (NAC Media), the publishing arm of , produces books, films, and digital archives focused on language, history, and culture, often in , , English, and to support and community knowledge. Titles include practical guides like Trapping in (priced at CAD 19.95) and Arctic Marine Safety (CAD 29.95), alongside projects and films, with efforts to digitize Arctic-related artifacts for broader access.

Additional Acronyms

NAC denotes N-acetylcysteine, a derivative of the approved by the FDA as the primary for acetaminophen () overdose to prevent when administered within 8-10 hours of , and also used as a mucolytic to thin mucus in respiratory conditions such as chronic bronchitis or . In cybersecurity, NAC stands for , a enforcement mechanism that authenticates users and devices, performs health checks, and restricts network access to compliant endpoints, often integrated with firewalls to mitigate unauthorized entry or compromised systems. NAC refers to the , NATO's principal political decision-making forum comprising permanent representatives from all member states, responsible for consensus-based consultations on security issues, strategic direction, and alliance policies since the organization's founding in 1949.

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