Journal of Cannabis Research最新文献

筛选
英文 中文
Effects of short-term environmental stresses on the onset of cannabinoid production in young immature flowers of industrial hemp (Cannabis sativa L.). 短期环境胁迫对工业大麻(Cannabis sativa L.)未成熟幼花开始产生大麻素的影响。
Journal of Cannabis Research Pub Date : 2022-01-04 DOI: 10.1186/s42238-021-00111-y
Sang-Hyuck Park, Christopher S Pauli, Eric L Gostin, S Kyle Staples, Dustin Seifried, Chad Kinney, Brian D Vanden Heuvel
{"title":"Effects of short-term environmental stresses on the onset of cannabinoid production in young immature flowers of industrial hemp (Cannabis sativa L.).","authors":"Sang-Hyuck Park, Christopher S Pauli, Eric L Gostin, S Kyle Staples, Dustin Seifried, Chad Kinney, Brian D Vanden Heuvel","doi":"10.1186/s42238-021-00111-y","DOIUrl":"10.1186/s42238-021-00111-y","url":null,"abstract":"<p><strong>Backgrounds: </strong>Cannabis sativa L. produces at least 120 cannabinoids. Although genetic variation is the main factor in cannabinoid production, the effects of short-term environmental stresses in the early flowering stage remains largely unknown.</p><p><strong>Methods: </strong>To investigate the effects of short-term environmental stresses on the onset of cannabinoid production in young immature flowers, a hemp variety, Green-Thunder (5-8% CBD/mg of dry weight), was treated with mechanical damage, insect herbivory, extreme heat, or drought stress for 5-7 days during the first 2 weeks of flowering. Three hemp tissues, including flowers, leaves, and stems, were collected from hemp grown under these stress conditions at multiple time points during the first 2 weeks after transition to the short photoperiod and analyzed using high pressure liquid chromatography to quantify phytocannabinoids including cannabigerolic acid (CBGA), cannabigerol (CBG), cannabidiolic acid (CBDA), cannabidiol (CBD), Δ-tetrahydrocannabinolic acid (THCA), Δ-tetrahydrocannabinol (THC), and cannabinol (CBN).</p><p><strong>Results: </strong>The 5 days of mechanical wounding did not affect the production of any of the cannabinoids during the initial stage of flowering. However, after 5 days of herbivore treatment, there was a significant difference in concentration between day 1 and day 6 of CBGA (control: 308 μg/g; treatment - 24 μg/g), CBG (control: 69 μg/g; treatment: 52 μg/g), and CBD (control: 755 μg/g; treatment: 194 μg/g) between the control and treatment plants. The 7 days of heat treatment at 45-50 <sup>o</sup>C significantly reduced the production of CBGA during this observed window (control: 206 μg/g; treatment: 182 μg/g) and CBG (control: 21 μg/g; treatment: - 112 μg/g). Notably, the largest change was observed after 7 days of drought stress, when plants showed a 40% greater accumulation of CBG (control: 336 μg/g; treatment: 622 μg/g), and a significant decrease (70-80%) in CBD (control: 1182 μg/g; treatment: 297 μg/g) and THC amounts (control: 3927 μg/g; treatment: 580 μg/g).</p><p><strong>Conclusions: </strong>Although this observation is limited in the early flowering stage, the common field stresses are adequate to induce changes in the cannabinoid profiles, particularly drought stress being the most impactful stress for hemp flower initiation with the altering the cannabinoid production by decreasing CBD and THC accumulation while increasing CBG by 40%.</p>","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39871448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CBD-enriched cannabis for autism spectrum disorder: an experience of a single center in Turkey and reviews of the literature. 富含cbd的大麻治疗自闭症谱系障碍:土耳其单一中心的经验和文献综述。
Journal of Cannabis Research Pub Date : 2021-12-16 DOI: 10.1186/s42238-021-00108-7
Serap Bilge, Barış Ekici
{"title":"CBD-enriched cannabis for autism spectrum disorder: an experience of a single center in Turkey and reviews of the literature.","authors":"Serap Bilge,&nbsp;Barış Ekici","doi":"10.1186/s42238-021-00108-7","DOIUrl":"https://doi.org/10.1186/s42238-021-00108-7","url":null,"abstract":"<p><strong>Introduction: </strong>Autism spectrum disorder is a neurodevelopmental disorder characterized by deficits in communication, social interaction, restricted interest, and repetitive behaviors. Although more cases are being diagnosed, no drugs are approved to treat the core symptoms or cognitive and behavioral problems associated with autism. Therefore, there is an urgent need to develop an effective and safe treatment.</p><p><strong>Objective: </strong>In this study, we aim to share our 2-year experience with CBD-enriched cannabis treatment in autism and review the latest studies.</p><p><strong>Materials and methods: </strong>The study included 33 (27 males, six females) children diagnosed with autism spectrum disorder who were followed up between January 2018 and August 2020. The mean age was 7.7 ± 5.5 years. The average daily dosage of cannabidiol (CBD) was 0.7 mg/kg/day (0.3-2 mg/kg/day). The median duration of treatment was 6.5 months (3-28 months). The preparations used in this study contained full-spectrum CBD and trace elements tetrahydrocannabinol (THC) of less than 3%.</p><p><strong>Results: </strong>The outcomes were evaluated before and after treatment based on clinical interviews. At each follow-up visit, parents were asked to evaluate the effectiveness of the CBD-enriched cannabis treatment. According to the parents' reports, no change in daily life activity was reported in 6 (19.35%) patients. The main improvements of the treatment were as follows: a decrease in behavioral problems was reported in 10 patients (32.2%), an increase in expressive language was reported in 7 patients (22.5%), improved cognition was reported in 4 patients (12,9%), an increase in social interaction was reported in 3 patients (9.6%), and a decrease in stereotypes was reported in 1 patient (3.2%). The parents reported improvement in cognition among patients who adhered to CBD-enriched cannabis treatment for over two years. The antipsychotic drug could be stopped only in one patient who showed mild ASD symptoms. No change could be made in other drug use and doses. Additionally, this study includes an extensive review of the literature regarding CBD treatment in autism spectrum disorder. According to recent studies, the average dose of CBD was 3.8±2.6 mg/kg/day. The ratio of CBD to THC in the used preparations was 20:1. The most significant improvements were seen in the behavioral problems reported in 20-70% of the patients.</p><p><strong>Conclusion: </strong>Using lower doses of CBD and trace THC seems to be promising in managing behavioral problems associated with autism. In addition, this treatment could be effective in managing the core symptoms and cognitive functions. No significant side effects were seen at the low doses of CBD-enriched cannabis when compared to other studies.</p>","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8675523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39605538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Correction to: The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications. 更正:大麻进入澳大利亚医疗保健主流的过渡:专业医学出版物的框架。
Journal of Cannabis Research Pub Date : 2021-12-15 DOI: 10.1186/s42238-021-00110-z
Monique Lewis, John Flood
{"title":"Correction to: The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications.","authors":"Monique Lewis,&nbsp;John Flood","doi":"10.1186/s42238-021-00110-z","DOIUrl":"https://doi.org/10.1186/s42238-021-00110-z","url":null,"abstract":"","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39590669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Staff awareness of the use of cannabidiol (CBD): a trust-wide survey study in the UK. 工作人员对使用大麻二酚(CBD)的认识:英国一项信托范围内的调查研究。
Journal of Cannabis Research Pub Date : 2021-12-15 DOI: 10.1186/s42238-021-00104-x
Obioha Ukaegbu, Jared Smith, David Hall, Thomas Frain, Cyrus Abbasian
{"title":"Staff awareness of the use of cannabidiol (CBD): a trust-wide survey study in the UK.","authors":"Obioha Ukaegbu, Jared Smith, David Hall, Thomas Frain, Cyrus Abbasian","doi":"10.1186/s42238-021-00104-x","DOIUrl":"10.1186/s42238-021-00104-x","url":null,"abstract":"<p><strong>Introduction: </strong>Cannabidiol (CBD) is now a legal substance in Europe and is available in 'high street shops', usually as CBD oil. However, in the United Kingdom (UK), there is no clear consensus among healthcare professionals and organisations over how to manage CBD use in their patients. This is an important issue as CBD is a constituent of 'medicinal and recreational cannabis' and is gaining support in the scientific literature and lay media for use in physical and mental health problems. Given the aforementioned, this study is an exploration of healthcare professionals' beliefs and attitudes with regard to CBD.</p><p><strong>Methods: </strong>In July 2018, we sent requests by email to approximately 2000 clinical staff (including 319 physicians) at a mental health trust in South West London to answer 8 questions in a single survey using Surveyplanet.com , about their beliefs regarding CBD. There was no specific method of choosing the staff, and the aim was to get the email request sent to as many staff as possible on each service line. We did an analysis to see how the attitudes and beliefs of different staff member groups compared. We also gave them space to offer free text responses to illustrate their ideas and concerns. We used chi-squared tests for comparison across groups and used odds ratio for pairwise group comparisons.</p><p><strong>Results: </strong>One hundred ninety surveys were received in response, and of these, 180 were included in the final sample. The physician response rate was 17.2% (55/319); the response rate for non-physicians could not be estimated as their total number was not known at outset. 32.2% of the responders had the right to prescribe (58/180) and 52.8% had an experience of working in addiction services (95/180). We found that staff members who can prescribe were 1.99 times as likely to believe CBD has potential therapeutic properties compared to those who do not (OR = 1.99, CI = 1.03, 3.82; p = 0.038) and 2.94 times less likely to think it had dangerous side effects (OR = 0.34, CI = 0.15, 0.75; p = 0.006). Prescribing healthcare professionals were 2.3 times as likely to believe that CBD reduces the likelihood of psychosis (OR = 2.30, CI = 1.10, 4.78; p = 0.024). However, prescribing healthcare professionals with the ability to prescribe were 2.12 times as likely to believe that CBD should be prescription only (OR = 2.12, CI = 1.12, 4.01; p = 0.02). Individuals experienced in addiction services were 2.22 times as likely to be associated with a belief that CBD has therapeutic properties (OR = 2.22, CI = 1.22, 4.04; p = 0.009). Staff in general reported a lack of knowledge about CBD in their free text responses.</p><p><strong>Conclusions: </strong>With almost 95% of prescribers being physicians, they appear to demonstrate awareness of potential therapeutic benefit, reduced likelihood of psychosis and seeming lack of dangerous side effects with CBD. However, their higher stringency about the need ","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39586732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A LC-MS/MS method with electrospray ionization and atmospheric pressure chemical ionization source for analysis of pesticides in hemp. 采用电喷雾电离和常压化学电离源相结合的LC-MS/MS法分析大麻中农药。
Journal of Cannabis Research Pub Date : 2021-12-13 DOI: 10.1186/s42238-021-00106-9
Avinash Dalmia, Erasmus Cudjoe, Jacob Jalali, Feng Qin
{"title":"A LC-MS/MS method with electrospray ionization and atmospheric pressure chemical ionization source for analysis of pesticides in hemp.","authors":"Avinash Dalmia,&nbsp;Erasmus Cudjoe,&nbsp;Jacob Jalali,&nbsp;Feng Qin","doi":"10.1186/s42238-021-00106-9","DOIUrl":"https://doi.org/10.1186/s42238-021-00106-9","url":null,"abstract":"<p><strong>Background: </strong>Pesticide testing for hemp has traditionally focused on techniques like QuEChERS with dSPE and SPE which demand time-consuming sample preparation, typically resulting in poor recovery rates for some pesticides, and requires the use of both LC-MS/MS and GC-MS/MS based instruments to cover the analysis for all regulated pesticides. In this study, we describe a streamlined approach for working with LC-MS/MS featuring a dual electrospray ionization (ESI) and atmospheric pressure chemical ionization (APCI) sources using solvent extraction for faster and easier sample preparation and with 80-120% recovery for the analysis of all of 66 pesticides (regulated by California state in cannabis) with low detection limits in hemp.</p><p><strong>Methods: </strong>A simple solvent extraction with acetonitrile was used to extract pesticides from hemp. A LC-MS/MS system with dual ESI and APCI source was used to determine sensitivity for the analysis of 66 pesticides in hemp matrix, 62 pesticides were analyzed using an 18-min LC-MS/MS method with an ESI source and the other 4 pesticides were measured using a 6-min LC-MS/MS method with an APCI source.</p><p><strong>Results: </strong>The limit of quantitation (LOQ) of all 66 pesticides in hemp was in the range of 0.0025-0.1 μg/g which was well below the California state action limits of these analytes in cannabis products. A simple, fast, and cost-effective solvent extraction method was used for sample preparation to get good recovery in the range of 80-120% with RSD less than 20%. The unique ionization mechanism of chlorinated pesticides such as pentachloronitrobenzene using the LC-MS/MS system with an APCI source was elucidated. The proficiency test report generated with the LC-MS/MS method showed acceptable results for all of 66 pesticides in hemp with all of th z scores less than 2 with no false positives and negatives. The stability data collected over 5 days showed RSD less than 20% for 66 pesticides in hemp, and this demonstrated the robustness of the LC-MS/MS system used in this work.</p><p><strong>Conclusions: </strong>A LC-MS/MS method with dual ESI and APCI sources was developed for the analysis of 66 pesticides in hemp. The recovery of all pesticides from a hemp matrix was in the acceptable range of 80-120% with RSD less than 20%.</p>","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8670113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39835083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Unsubstantiated health claims for COVID-19 infections are led by cannabidiol: return of snake oil medicine. 大麻二酚导致了对COVID-19感染的未经证实的健康声明:蛇油药物的回归。
Journal of Cannabis Research Pub Date : 2021-12-08 DOI: 10.1186/s42238-021-00109-6
Allan Tran, Natasha Y Sheikhan, Tania Sheikhan, Dominik A Nowak, Theodore J Witek
{"title":"Unsubstantiated health claims for COVID-19 infections are led by cannabidiol: return of snake oil medicine.","authors":"Allan Tran,&nbsp;Natasha Y Sheikhan,&nbsp;Tania Sheikhan,&nbsp;Dominik A Nowak,&nbsp;Theodore J Witek","doi":"10.1186/s42238-021-00109-6","DOIUrl":"https://doi.org/10.1186/s42238-021-00109-6","url":null,"abstract":"<p><strong>Background: </strong>The United States Food and Drug Administration (FDA) monitors, inspects, and enforces the promotion of products by companies that claim to mitigate, prevent, treat, diagnose, or cure COVID-19. The introduction of COVID-19-related diagnostics and therapeutics during the pandemic has highlighted the significance of rigorous clinical trials to ensure safety and efficacy of such interventions. The objective of this report is to provide a descriptive review of promotional violations of health products for COVID-19 infection.</p><p><strong>Methods: </strong>Warning letters issued by the FDA's Center for Drug Evaluation and Research were retrieved over an 18 month period (March 6, 2020, to August 30, 2021) to identify promotional violations. FDA violation letters categorized as \"Unapproved and Misbranded Products Related to Coronavirus Disease 2019 (COVID-19)\" were reviewed. A content analysis was performed for each letter to identify categories for product type, promotional venue, violation type, and country of origin. For cannabidiol-related violations, a content analysis was repeated within its own product category.</p><p><strong>Results: </strong>A total of 130 letters were reported. Across all letters, cannabidiol products were the most frequent subject of violation (15/130; 11.5%). Of the cannabidiol letters, all reported the promotion of unapproved products (15/15; 100%), misbranding (15/15; 100%), and/or had claims that lacked scientific substantiation (14/15; 93.3%). All promotional violations were linked to websites (15/15; 100%), along with other mainstream venues: Facebook, Instagram, YouTube, Twitter, LinkedIn, and email. Lastly, the cannabidiol products were described to provide therapeutic benefit to COVID-19, by acting as an anti-viral (5; 33.3%), pro-inflammatory (1; 6.7%), anti-inflammatory (7; 46.7%), immune-booster (5; 40%), immune-suppressor (2; 13.3%), and/or other (2; 13.3%).</p><p><strong>Conclusion: </strong>Despite the urgent need for COVID-19 treatments, promotional material by companies must comply with standard regulatory requirements, namely substantiation of claims. As the pandemic persists, the FDA must continue their efforts to monitor, inspect, and enforce violative companies. Cannabidiol-related substances led the spectrum of products with unsubstantiated claims to treat COVID-19 infection. Improving awareness among the public, healthcare providers, and stakeholders highlights the value of drug approval process, while protecting public safety.</p>","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications. 大麻向澳大利亚主流医疗保健的过渡:专业医学出版物中的框架。
Journal of Cannabis Research Pub Date : 2021-11-21 DOI: 10.1186/s42238-021-00105-w
Monique Lewis, John Flood
{"title":"The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications.","authors":"Monique Lewis, John Flood","doi":"10.1186/s42238-021-00105-w","DOIUrl":"10.1186/s42238-021-00105-w","url":null,"abstract":"<p><strong>Background: </strong>Medicinal cannabis has been legalised for use for a range of specified medical conditions in Australia since 2016. However, the nature of the government regulations and the subsequent complexity of prescribing, as well as doctors' safety uncertainties and the stigma of the plant, remain contributing barriers to patient access. Media representations can offer insights into the nature of the discourse about new medical products and therapies and how ideas and understandings about social phenomena become constructed. Focusing on professional medical publications, this study sought to investigate how medicinal cannabis is being represented in professional medical publications.</p><p><strong>Methods: </strong>Using a content analysis approach, we investigated articles about medicinal cannabis from 2000 to the end of 2019 in the Medical Journal of Australia, Australian Doctor, Medical Observer, Australian Journal of General Practice, Australian Family Physician, and Australian Medicine. Articles were coded according to article type, framings of cannabis, headline and article tone, and key sources used in the article. We also used manifest textual analysis to search for word frequencies, and specific conditions referred to in the articles retrieved.</p><p><strong>Results: </strong>A total of 117 articles were retrieved for analysis, the majority of which were news stories for a physician audience. Across the longitudinal period, we found that most reports carried a positive tone towards medicinal cannabis. Cannabis is most frequently framed as a legitimate therapeutic option that is complex to prescribe and access, does not have a strong evidence base to support its use, and also carries safety concerns. At the same time, the outlook on cannabis research data is largely positive. Primary sources most frequently used in these reports are peer-reviewed journals or government reports, voices from medical associations or foundations, as well as government and university researchers. Chronic pain or pain were the conditions most frequently mentioned in articles about cannabis, followed by epilepsy, cancer or cancer pain, and nausea and chemotherapy.</p><p><strong>Conclusions: </strong>This analysis offers evidence that medicinal cannabis is being framed as a valid medicine advocated by the community, with potential for addressing a range of conditions despite the lack of evidence, and a medicine that is not free of risk.</p>","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2021-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39909887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of medical students' and professionals' attitudes and knowledge regarding medical cannabis. 医学生和专业人员对医用大麻的态度和知识的系统回顾。
Journal of Cannabis Research Pub Date : 2021-10-12 DOI: 10.1186/s42238-021-00100-1
Jared M Weisman, Marcus Rodríguez
{"title":"A systematic review of medical students' and professionals' attitudes and knowledge regarding medical cannabis.","authors":"Jared M Weisman,&nbsp;Marcus Rodríguez","doi":"10.1186/s42238-021-00100-1","DOIUrl":"https://doi.org/10.1186/s42238-021-00100-1","url":null,"abstract":"<p><strong>Background: </strong>Recently, the renewed global interest in cannabis' therapeutic properties has resulted in shifting attitudes and legislative policies worldwide. The aim of this systematic review is to explore the existing literature on medical professionals' and students' attitudes and knowledge regarding medicinal cannabis (MC) to assess any relevant and significant trends.</p><p><strong>Methods: </strong>This systematic review was conducted in accordance with PRISMA guidelines. Using PubMed and Google Scholar, a literature search was performed to identify studies pertaining to healthcare professionals' and medical students' knowledge and attitudes regarding MC. There were no search limits on the year of publication; however, studies without primary data (e.g., abstracts, systematic reviews, meta-analyses) and non-English language papers were excluded. Studies were coded according to the following research questions: (1) Do respondents believe that cannabis should be legalized (for medicinal and/or recreational purposes)? (2) Are respondents confident in their level of knowledge regarding cannabis' clinical applications? (3) Are respondents convinced of cannabis' therapeutic potential? 4) What current gaps in knowledge exist, and how can the medical community become better informed about cannabis' therapeutic uses? and (5) Are there significant differences between the knowledge and opinions of healthcare students versus healthcare professionals with respect to any of the aforementioned queries? Chi-square tests were used to assess differences between medical students and medical professionals, and Pearson's bivariate correlations were used to analyze associations between survey responses and year of publication-as a proxy measurement to assess change over time.</p><p><strong>Results: </strong>Out of the 741 items retrieved, 40 studies published between 1971 and 2019 were included in the final analyses. In an evaluation of 21 qualified studies (8016 respondents), 49.9% of all respondents favored legalization (SD = 25.7, range: 16-97%). A correlational analysis between the percentage of survey respondents who support MC legalization and year of publication suggests that both medical students' and professionals' support for MC legalization has increased from 1991 to 2019 (r(19) = .44, p = .045). Moreover, medical professionals favor the legalization of MC at a significantly higher rate than students (52% vs. 42%, respectively; χ<sup>2</sup> (1, N = 9019) = 50.72 p < .001). Also, respondents consistently report a strong desire for more education about MC and a substantial concern regarding MC's potential to cause dependence and addiction. Pearson's correlations between year of publication and survey responses for both of these queried variables suggest minimal changes within the last decade (2011-2019 for addiction and dependence, 2012-2019 for additional education; r(13) = - .10, p = .713 and r(12) = - .12, p = .678, respectively).<","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"47"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Reasons for using cannabidiol: a cross-sectional study of French cannabidiol users. 使用大麻二酚的原因:对法国大麻二酚使用者的横断面研究。
Journal of Cannabis Research Pub Date : 2021-10-06 DOI: 10.1186/s42238-021-00102-z
Davide Fortin, Vincent Di Beo, Sophie Massin, Yann Bisiou, Patrizia Carrieri, Tangui Barré
{"title":"Reasons for using cannabidiol: a cross-sectional study of French cannabidiol users.","authors":"Davide Fortin,&nbsp;Vincent Di Beo,&nbsp;Sophie Massin,&nbsp;Yann Bisiou,&nbsp;Patrizia Carrieri,&nbsp;Tangui Barré","doi":"10.1186/s42238-021-00102-z","DOIUrl":"https://doi.org/10.1186/s42238-021-00102-z","url":null,"abstract":"<p><strong>Background: </strong>Cannabidiol and cannabidiol-based products are proliferating in many countries. This recent and rapid diffusion prompts investigating the reasons for its use.</p><p><strong>Methods: </strong>We analyzed data from an online survey among cannabidiol users in the French general population (n = 1166) selected for their interest in such products. We described the reported reasons for using cannabidiol. We performed logistic regressions to identify the correlates of declaring well-being and other specific reasons for using cannabidiol. We also provided descriptive data regarding the cannabidiol patterns of use.</p><p><strong>Results: </strong>Well-being was the most cited primary reason for use (27% of the sample). Declaring well-being as a primary reason for using cannabidiol was inversely associated with cigarette smoking, cannabis use, and employment. Among cannabidiol users reporting well-being as their primary reason for use, stress and sleep improvements were the most-cited specific reasons. In the whole study sample, the most common modes of use were smoking cannabidiol-rich cannabis (61%) and ingesting cannabidiol oil sublingually (19%).</p><p><strong>Conclusions: </strong>In a sample of cannabidiol users from France, well-being was the most-cited primary reason for use, and smoking was the first route of administration. Further research is needed to clarify to what extent expected effects are scientifically sound and to understand country-related specificities regarding patterns of use.</p>","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":" ","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2021-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8495963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39515435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
A potential role for cannabichromene in modulating TRP channels during acute respiratory distress syndrome. 大麻红素在急性呼吸窘迫综合征期间调节TRP通道中的潜在作用。
Journal of Cannabis Research Pub Date : 2021-10-01 DOI: 10.1186/s42238-021-00101-0
Hesam Khodadadi, Évila Lopes Salles, Eunice Shin, Abbas Jarrahi, Vincenzo Costigliola, Pritesh Kumar, Jack C Yu, John C Morgan, David C Hess, Kumar Vaibhav, Krishnan M Dhandapani, Babak Baban
{"title":"A potential role for cannabichromene in modulating TRP channels during acute respiratory distress syndrome.","authors":"Hesam Khodadadi,&nbsp;Évila Lopes Salles,&nbsp;Eunice Shin,&nbsp;Abbas Jarrahi,&nbsp;Vincenzo Costigliola,&nbsp;Pritesh Kumar,&nbsp;Jack C Yu,&nbsp;John C Morgan,&nbsp;David C Hess,&nbsp;Kumar Vaibhav,&nbsp;Krishnan M Dhandapani,&nbsp;Babak Baban","doi":"10.1186/s42238-021-00101-0","DOIUrl":"https://doi.org/10.1186/s42238-021-00101-0","url":null,"abstract":"<p><strong>Background: </strong>Acute respiratory distress syndrome (ARDS) is a life-threatening clinical syndrome whose potential to become one of the most grievous challenges of the healthcare system evidenced by the COVID-19 pandemic. Considering the lack of target-specific treatment for ARDS, it is absolutely exigent to have an effective therapeutic modality to reduce hospitalization and mortality rate as well as to improve quality of life and outcomes for ARDS patients. ARDS is a systemic inflammatory disease starting with the pulmonary system and involves all other organs in a morbid bidirectional fashion. Mounting evidence including our findings supporting the notion that cannabinoids have potential to be targeted as regulatory therapeutic modalities in the treatment of inflammatory diseases. Therefore, it is plausible to test their capabilities as alternative therapies in the treatment of ARDS. In this study, we investigated the potential protective effects of cannabichromene (CBC) in an experimental model of ARDS.</p><p><strong>Methods: </strong>We used, for the first time, an inhalant CBC treatment as a potential therapeutic target in a murine model of ARDS-like symptoms. ARDS was induced by intranasal administration of Poly(I:C), a synthetic mismatched double-stranded RNA, into the C57BL/6 mice (6-10 male mice/group, including sham, placebo, and CBC treated), three once-daily doses followed by a daily dose of inhalant CBC or placebo for the period of 8 days starting the first dose 2 h after the second Poly(I:C) treatment. We employed histologic, immunohistochemistry, and flow cytometry methods to assess the findings. Statistical analysis was performed by using one way analysis of variance (ANOVA) followed by Newman-Keuls post hoc test to determine the differences among the means of all experimental groups and to establish significance (p < 0.05) among all groups.</p><p><strong>Results: </strong>Our data showed that CBC was able to reverse the hypoxia (increasing blood O<sub>2</sub> saturation by 8%), ameliorate the symptoms of ARDS (reducing the pro-inflammatory cytokines by 50% in lung and blood), and protect the lung tissues from further destruction. Further analysis showed that CBC may wield its protective effects through transient receptor potential (TRP) cation channels, TRPA1 and TRPV1, increasing their expression by 5-folds in lung tissues compared to sham and untreated mice, re-establishing the homeostasis and immune balance.</p><p><strong>Conclusion: </strong>Our findings suggest that inhalant CBC may be an effective alternative therapeutic target in the treatment of ARDS. In addition, Increased expression of TRPs cation channels after CBC treatment proposes a novel role for TRPs (TRPA1 and TRPV2) as new potential mechanism to interpret the beneficial effects of CBC as well as other cannabinoids in the treatment of ARDS as well as other inflammatory diseases. Importantly, delivering CBC through an inhaler device is a translati","PeriodicalId":15172,"journal":{"name":"Journal of Cannabis Research","volume":"3 1","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10847578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信