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https://www.readbyqxmd.com/read/28812798/the-devil-is-in-the-details-on-regulating-cannabis-use-in-canada-based-on-public-health-criteria-comment-on-legalizing-and-regulating-marijuana-in-canada-review-of-potential-economic-social-and-health-impacts
#1
Jürgen Rehm, Jean-François Crépault, Benedikt Fischer
This commentary to the editorial of Hajizadeh argues that the economic, social and health consequences of legalizing cannabis in Canada will depend in large part on the exact stipulations (mainly from the federal government) and on the implementation, regulation and practice of the legalization act (on provincial and municipal levels). A strict regulatory framework is necessary to minimize the health burden attributable to cannabis use. This includes prominently control of production and sale of the legal cannabis including control of price and content with ban of marketing and advertisement...
August 20, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28811049/marijuana-and-cannabinoids-in-esrd-and-earlier-stages-of-ckd
#2
Joshua L Rein, Christina M Wyatt
Marijuana is the most commonly used recreational drug in the United States, and legal recreational and medicinal use has gained public acceptance during the last decade. Twenty-nine US states have established medical marijuana programs, 8 of which have also legalized recreational marijuana, and Canada is expected to legalize recreational marijuana in 2018. Advanced chronic kidney disease (CKD) and end-stage renal disease (ESRD) are chronic conditions with significant associated morbidity and mortality. Patients experience substantial symptom burden that is frequently undertreated due to adverse medication side effects...
August 12, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28810160/differences-in-prevalence-socio-behavioral-correlates-and-psychosocial-distress-between-club-drug-and-hard-drug-use-in-taiwan-results-from-the-2014-national-survey-of-substance-use
#3
Wei J Chen, Shang-Chi Wu, Wen-Ing Tsay, Yen-Tyng Chen, Po-Chang Hsiao, Ya-Hui Yu, Te-Tien Ting, Chuan-Yu Chen, Yu-Kang Tu, Jiun-Hau Huang, Hao-Jan Yang, Chung-Yi Li, Carol Strong, Cheng-Fang Yen, Chia-Feng Yen, Jui Hsu
BACKGROUND: This study examined variation between users of 'club' and 'hard' drugs in Taiwan in terms of prevalence of use and demographics and psychosocial characteristics. METHODS: Data were derived from a survey of 17,837 Taiwanese civilians, aged 12-64 years, using stratified, multi-stage, random sampling. Participants completed a computer-assisted self-interview on tablet computers which covered use of legal substances, sedatives/hypnotics and prescription analgesics; use of illicit drugs/inhalants, risky sexual experiences; expectations of drugs; and psychological distress...
August 12, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28806081/chlorination-kinetics-of-11-nor-9-carboxy-%C3%AE-9-tetrahydrocannabinol-effects-of-ph-and-humic-acid
#4
Allison L Mackie, Yuri Park, Graham A Gagnon
The main psychoactive compound in marijuana, Δ9-tetrahydrocannabinol (THC), and its metabolites are emerging organic contaminants that have been detected in waste and surface waters. As legalization of marijuana for medical and recreational use continues, the effects of increased use and potency of marijuana on water and wastewater treatment processes and the environment should be considered. This study examined degradation kinetics of the main urinary metabolite of THC, 11-nor-9-carboxy-Δ9-tetrahydrocannabinol (THC-COOH) with chlorine...
August 14, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28796754/perioperative-patient-beliefs-regarding-potential-effectiveness-of-marijuana-cannabinoids-for-treatment-of-pain-a-prospective-population-survey
#5
Yury Khelemsky, Andrew T Goldberg, Yasmin L Hurd, Gary Winkel, Allen Ninh, Lucia Qian, Anna Oprescu, Jeffrey Ciccone, Daniel J Katz
BACKGROUND AND OBJECTIVES: Cannabinoids have an expanding presence in medicine. Perioperative patients' perceptions of the effectiveness of these compounds, and acceptance if prescribed for pain, have not been previously described. Our primary objective was to describe patients' beliefs regarding the potential effectiveness of cannabinoids for the treatment of acute and chronic pain, as well as gauge patient acceptance of these compounds if prescribed by a physician. In addition, demographic and pain history data were collected to elucidate the predictors of the aforementioned patient attitudes...
August 7, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28780725/a-review-of-oral-cannabinoids-and-medical-marijuana-for-the-treatment-of-chemotherapy-induced-nausea-and-vomiting-a-focus-on-pharmacokinetic-variability-and-pharmacodynamics
#6
REVIEW
Melissa E Badowski
PURPOSE: Oral cannabinoids (i.e., dronabinol, nabilone) containing the active component of marijuana, delta(Δ)9-tetrahydrocannabinol (THC), are available for the treatment of chemotherapy-induced nausea and vomiting (CINV) in patients with cancer who have failed to adequately respond to conventional antiemetic therapy. The aim of this article is to provide an overview of the efficacy, pharmacokinetics (PK), pharmacodynamics (PD), and safety of oral cannabinoids for patients with CINV...
August 5, 2017: Cancer Chemotherapy and Pharmacology
https://www.readbyqxmd.com/read/28777692/marijuana-use-and-driving-under-the-influence-among-young-adults-a-socioecological-perspective-on-risk-factors
#7
Carla J Berg, Carmen N Daniel, Milkie Vu, Jingjing Li, Kathleen Martin, Lana Le
BACKGROUND: Given increases in marijuana use and driving under the influence (DUI), it is critical to identify those at risk in order to inform intervention efforts. OBJECTIVES: We used a socioecological framework to examine correlates of level of marijuana use and DUI in the past month among young adult marijuana users. METHODS: We recruited 1567 participants aged 18-34 years via Facebook ads targeting tobacco and marijuana users in August 2014 to complete an online survey assessing marijuana use and DUI, as well as related multilevel factors...
August 4, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28764226/cisplatin-induced-acute-myocardial-infarction-and-dyslipidemia
#8
Lalith Prabhakar Hanchate, Shimpa Rakesh Sharma, Sadhana Madyalkar
Myocardial infarction commonly occurs due to rupture of atherosclerotic plaque in the coronary arteries and is manifested on coronary angiography. Myocardial infarction with angiographically normal coronary arteries can occur due to hypercoagulable state, coronary spasm, embolism, arteritis, congenital condition and drugs. Illicit drugs such as cocaine, amphetamines and marijuana are known to cause myocardial infarction. Of the many medications that are associated with cardiovascular toxicity, chemotherapeutic agents form a large group with both acute and delayed cardiotoxicity...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28762285/problematic-medical-marijuana-but-not-all-cannabinoids
#9
Trevor R Norman
No abstract text is available yet for this article.
July 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28756940/developing-a-scale-of-domains-of-negative-consequences-of-chronic-heroin-use
#10
Tabitha E H Moses, Eric A Woodcock, Jamey J Lister, Leslie H Lundahl, Mark K Greenwald
BACKGROUND: Chronic use of heroin typically leads to numerous negative life consequences and serious clinical impairment. Increased negative consequences can result in poor treatment outcomes as well as adverse health effects and impaired social functioning. Certain risk factors, including early substance use initiation, concurrent use of other illicit substances, and injection drug use are associated with an increase in negative consequences. This study examined whether there are unique domains of heroin consequences and, if so, whether these domains are related to specific substance use characteristics...
July 22, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28753480/dsm-5-substance-use-disorders-among-adult-primary-care-patients-results-from-a-multisite-study
#11
Li-Tzy Wu, Jennifer McNeely, Geetha A Subramaniam, Kathleen T Brady, Gaurav Sharma, Paul VanVeldhuisen, He Zhu, Robert P Schwartz
BACKGROUND: There are limited data about the extent of DSM-5 substance use disorders (SUDs) among primary care patients. METHODS: This study analyzed data from a multisite validation study of a substance use screening instrument conducted in a diverse sample of 2000 adults aged ≥18 years recruited from five primary care practices in four states. Prevalence and correlates of 12-month DSM-5 SUDs were examined. RESULTS: Overall, 75.5% of the sample used any substance, including alcohol (62...
July 13, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28749704/self-medication-for-sleep-in-college-students-concurrent-and-prospective-associations-with-sleep-and-alcohol-behavior
#12
Patricia A Goodhines, Les A Gellis, Jueun Kim, Lisa M Fucito, Aesoon Park
OBJECTIVE/BACKGROUND: College students are at an increased risk for poor sleep and associated sleep problems. Emerging evidence suggests that a substantial subset of college students self-medicate with alcohol, marijuana, and/or over-the-counter medications to help sleep. The current study identified demographic, psychosocial, and sleep- and alcohol-related correlates of self-medication for sleep, and assessed its concurrent and prospective associations with insomnia symptoms, alcohol drinking and negative drinking consequences...
July 27, 2017: Behavioral Sleep Medicine
https://www.readbyqxmd.com/read/28739101/examining-the-effects-of-illicit-drug-use-on-tobacco-cessation-outcomes-in-the-helping-hand-2-randomized-controlled-trial
#13
Joanna M Streck, Susan Regan, Yuchiao Chang, Jennifer H K Kelley, Daniel E Singer, Nancy A Rigotti
BACKGROUND: Individuals with substance use disorders (SUD) smoke at higher rates and have higher tobacco-related mortality than the general population. Despite having an interest in smoking cessation, smokers with SUDs may have greater difficulty quitting. METHODS: Analysis of data from a RCT testing a post-discharge smoking cessation intervention for hospitalized cigarette smokers interested in quitting. Past 7day tobacco abstinence was self-reported at 1, 3, and 6 months and biochemically confirmed at 6 months post-discharge...
September 1, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28725842/understanding-patients-process-to-use-medical-marijuana-a-southern-new-jersey-community-engagement-project
#14
Tara L Crowell
Given the necessity to better understand the process patients need to go through in order to seek treatment via medical marijuana, this study investigates this process to better understand this phenomenon. Specifically, Compassion Care Foundation (CCF) and Stockton University worked together to identify a solution to this problem. Specifically, 240 new patients at CCF were asked to complete a 1-page survey regarding various aspects associated with their experience prior to their use of medicinal marijuana-diagnosis, what prompted them to seek treatment, level of satisfaction with specific stages in the process, total length of time the process took, and patient's level of pain...
September 2016: Journal of patient experience
https://www.readbyqxmd.com/read/28723312/alcohol-marijuana-and-opioid-use-disorders-5-year-patterns-and-characteristics-of-emergency-department-encounters
#15
Amber L Bahorik, Derek D Satre, Andrea H Kline-Simon, Constance M Weisner, Kelly C Young-Wolff, Cynthia I Campbell
BACKGROUND: Changes in substance use patterns stemming from opioid misuse, ongoing drinking problems, and marijuana legalization may result in new populations of patients with substance use disorders (SUDs) using emergency department (ED) resources. This study examined ED admission trends in a large sample of patients with alcohol, marijuana, and opioid use disorder in an integrated health system. METHODS: In a retrospective design, electronic health record (EHR) data identified patients with ≥ 1 of three common SUDs in 2010 (n = 17,574; alcohol, marijuana, or opioid use disorder) and patients without SUD (n = 17,574)...
July 19, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28715253/drug-helplines-and-adult-marijuana-users-an-assessment-in-washington-colorado-oregon-and-alaska
#16
Beatriz H Carlini, Sharon B Garrett
Drug helplines are well known and widely utilized resources for those seeking help with managing their substance use. We used "secret shoppers" to preliminarily assess the readiness of drug helplines in four states that legalized non-medical adult marijuana use to assist those seeking information and help for marijuana use. Eleven calls were placed to the helpline staff, where the secret shopper posed as an adult users of marijuana interested in decreasing their marijuana use and asked questions about cannabinoids and methods of marijuana consumption...
July 17, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28711691/effects-of-the-2009-medical-cannabinoid-legalization-policy-on-hospital-use-for-cannabinoid-dependency-and-persistent-vomiting
#17
Mustafa Al-Shammari, Karina Herrera, Xibei Liu, Brandon Gisi, Takashi Yamashita, Kyu-Tae Han, Mohamed Azab, Harmeet Mashiana, Muthena Maklad, Muhammad Talha Farooqui, Ranjit Makar, Ji Won Yoo
BACKGROUND & AIMS: In year of 2009, the United States federal Department of Justice issued a memo stating that it would not prosecute users and sellers who complied with the state laws allowing for medical use of marijuana. There are growing concerns about legalization of marijuana use and its related public health effects. We performed an interrupted time series analysis to evaluate these effects. METHODS: We collected a representative sample of hospital discharge data from the healthcare cost and utilization project, from January 1993 through December 2014...
July 12, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28705601/cannabis-use-attitudes-and-legal-status-in-the-u-s-a-review
#18
REVIEW
Hannah Carliner, Qiana L Brown, Aaron L Sarvet, Deborah S Hasin
Cannabis is widely used among adolescents and adults. In the U.S., marijuana laws have been changing, and Americans increasingly favor legalizing cannabis for medical and recreational uses. While some can use cannabis without harm, others experience adverse consequences. The objective of this review is to summarize information on the legal status of cannabis, perceptions regarding cannabis, prevalence and time trends in use and related adverse consequences, and evidence on the relationship of state medical (MML) and recreational (RML) marijuana laws to use and attitudes...
July 10, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28704769/characterizing-marijuana-concentrate-users-a-web-based-survey
#19
Raminta Daniulaityte, Francois R Lamy, Monica Barratt, Ramzi W Nahhas, Silvia S Martins, Edward W Boyer, Amit Sheth, Robert G Carlson
AIMS: The study seeks to characterize marijuana concentrate users, describe reasons and patterns of use, perceived risk, and identify predictors of daily/near daily use. METHODS: An anonymous web-based survey was conducted (April-June 2016) with 673 US-based cannabis users recruited via the Bluelight.org web-forum and included questions about marijuana concentrate use, other drugs, and socio-demographics. Multivariable logistic regression analyses were conducted to identify characteristics associated with greater odds of lifetime and daily use of marijuana concentrates...
June 29, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28699829/association-between-nonmedical-marijuana-and-pain-reliever-uses-among-individuals-aged-50
#20
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Bryan Y Choi
Marijuana and pain reliever use for medical and nonmedical purposes has been increasing among older adults. Using the 2012-2013 U.S. National Survey on Alcohol and Related Conditions (NESARC-III), this study examined: (1) the association between past-year nonmedical marijuana and pain reliever use among adults aged 50+ years (N = 14,715); and (2) sociodemographic, health, and pain-related correlates of nonmedical marijuana and/or pain reliever use. The findings show that 3.87% and 3.12%, respectively, used marijuana and pain relievers nonmedically and 14...
July 12, 2017: Journal of Psychoactive Drugs
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