The iPhone 8 brings useful features you would expect from an Apple product. It delivers a meaningful, new consumer experience thanks to a faster processor, wireless charging, and an excellent dual-lens camera that offers a great way to capture images. This review takes an in-depth look at these features as well as the pros and cons of the smartphone.
Case 1 Scenario You are a family physician in Ontario, Canada.
A year-old man suffering from multiple sclerosis came to your office asking for a prescription for medical marijuana to control his pain. He was taking continuous-release morphine, gabapentin, and lamotrigine, but this combination was still insufficient. He visited Florida a few times, where he smoked cannabis, which helped tremendously to reduce the neuropathic pain and detach his mind from it.
He would like to continue using cannabis but is worried about the legal implications and the purity of sample he may obtain on the street. Suggested Management The evidence of various forms of cannabis smoked, oral, and oromucosal spray for treating neuropathic pain caused by multiple sclerosis should be discussed against the known harms and challenges of usage.
Close monitoring of the patient would be necessary. Case 2 Scenario You are a family physician in the state of California.
A year-old male veteran came to your office as a new patient. He had a history of chronic leg pain caused by a shrapnel injury he suffered during the Vietnam War in Since the s, he has been treated at the local veterans hospital under a pain management program, but control has been unsatisfactory.
When asked if he used any recreational drugs, including marijuana, he evaded your question and said he needed to stay on the pain program. You suspected he was using marijuana for his chronic pain.
He also should be encouraged to discuss his marijuana use with you so Lit review on medical merijuana you can monitor his progress. Liaising with an addiction medicine specialist can be helpful to ensure the best follow-up of this patient.
Cannabis, also known as marijuana, refers to the preparation 53 from the plant belonging to the family Cannabaceae, the genus Cannabis, and the species Cannabis sativa, which possess psychoactive effects. We now know that THC acts on 2 types of cannabinoid receptors: CB1 receptors are mainly found in the brain, peripheral nerves, and autonomic nervous system, 5 whereas CB2 receptors are found both in the neurons and immune cells.
Since the inception of the Controlled Substance Act inthe US Federal Law penalizes any act of possessing, dispensing, and prescribing marijuana. For example, in Oregon and Washington, it is legal to possess up to 24 ounces of marijuana, but in Nevada, Montana, and Alaska, the legal limit is only 1 ounce.
For those veterans who are permitted to use medical marijuana by law of their state, these difficulties have been lessened.
This has posed an administrative dilemma for those veterans who are allowed to use; the Department of Veterans Affairs issued a directive in July that permits veterans to continue their use of medical marijuana in states where it is legal without losing their medical benefits from Veterans Affairs.
This was coupled by recent large-scale raids at marijuana growing operations in Montana. Despite reassurance from Eric Holder, US Attorney General, that the penal policy is directed at those who violate both deferral and state laws, this unexpected siren from the federal government has been heard loud and clear, leading Governor Chris Gregoire, of the state of Washington, to abort a proposal to create licensed marijuana dispensaries and Governor Chris Christie, of the state of New Jersey, to postpone plans for marijuana operators.
In Canada, it is also illegal to trade or possess marijuana according to provincial and government laws. A medical declaration from a licensed medical practitioner is required.
Category 2 refers to people who have debilitating symptom s of medical condition sother than those described in category 1, which have failed conventional medical treatment. An assessment by a designated specialist is necessary along with a medical declaration from a licensed medical practitioner.
Under the regulations, the maximum amount of marijuana that can be possessed by any authorized user is a day total of daily requirement. Health Canada sources its supply of dried marijuana and seeds from Prairie Plant Systems Incorporated Saskatoon, Saskatchewan, Canadaa company that specializes in the growing, harvesting, and processing of plants for pharmaceutical products and research.
Alternatively, authorized marijuana users can apply for a permit to produce and grow their own supply provided they meet specific and detailed criteria.
The Harms of Cannabis Physical and Psychiatric Effects Among naive users, cannabis smoking often leads to adverse effects. Physical symptoms include increased heart rate and fluctuations in blood pressure 15 ; psychomotor sequelae include euphoria, anxiety, psychomotor retardation, and impairment of cognition and memory.
In vitro and in vivo animal studies have demonstrated mutagenic effects of cannabis smoke, and precancerous pulmonary pathology as seen in tobacco smokers has been described in cannabis users. Earlier data from population studies 2728 and meta-analysis 29 have associated cannabis smoking with low birth weight, 29 which is maybe confounded by cigarette smoking and socioeconomic status and is not supported by more recent studies.
It leads to behaviors of preoccupation, compulsion, reinforcement, and withdrawal after chronic use. A review of cohort studies by McLaren et al 38 supported a causal link between cannabis use and psychosis.
A recent year follow-up study of adolescents in Australia who used cannabis occasionally were found to be at higher risks of drug abuse and educational problems.
Marketed as an incense or herbal blend, the exact constituents of spice has been a myth, and its place of origin is often unclear. Despite sharing similar psychotropic effects as genuine cannabis, spice cannot be reliably tested by drug screens and poses a technical problem for the law enforcement; hence it is capable of evading legal scrutiny among most states in America.
This was echoed by a recent research publication that identified a synthetic cannabinoid in commercially obtained spice, JWH, which activated CB1.Literature Review Sample Legalization of Marijuana Introduction. Understanding why drug use is viewed in a particular manner is of vital importance for many reasons.
Board the spaceship here. In order to have the best experience consuming Moon Rocks, use a hash bowl or pipe and be sure not to break down the bud in a weed grinder, which will make you lose the webkandii.com, proceed with caution, this is considered the “caviar” of the cannabis product line and the strongest form of cannabis on the market.
Introduction Section: Medical marijuana is a controversial subject. This literature review is broken up into four sections and will focus on the general therapeutic uses of medical marijuana, the methods to use medical marijuana, medical marijuana use for multiple sclerosis patients, and medical marijuana use for AIDS/cancer patients.
Search the history of over billion web pages on the Internet. Full text of "Marijuana use in America: hearing before the Subcommittee on Crime of the Committee on the Judiciary, House of Representatives, One Hundred Fourth Congress, second session, March 6, " See other formats.
Literature Review on Marijuana Use and Health Effects through the review process and to articulate research gaps based on common limitations of.