Do You Know... Cannabis
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Medical Review Officer Manual
Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Prevention Medical Review Officer Manual for Federal Agency Workplace Drug Testing Programs EFFECTIVE OCTOBER 1, 2010 Note: This manual applies to Federal agency drug testing programs that come under Executive Order 12564 dated September 15, 1986, section 503 of Public Law 100-71, 5 U.S.C. section 7301 note dated July 11, 1987, and the Department of Health and Human Services Mandatory Guidelines for Federal Workplace Drug Testing Programs (73 FR 71858) dated November 25, 2008 (effective October 1, 2010). This manual does not apply to specimens submitted for testing under U.S. Department of Transportation (DOT) Procedures for Transportation Workplace Drug and Alcohol Testing Programs (49 CFR Part 40). The current version of this manual and other information including MRO Case Studies are available on the Drug Testing page under Medical Review Officer (MRO) Resources on the SAMHSA website: http://www.workplace.samhsa.gov Previous Versions of this Manual are Obsolete 3 Table of Contents Chapter 1. The Medical Review Officer (MRO)........................................................................... 6 Chapter 2. The Federal Drug Testing Custody and Control Form ................................................ 7 Chapter 3. Urine Drug Testing ...................................................................................................... 9 A. Federal Workplace Drug Testing Overview.................................................................. -
Cannabis Pregnancy
Wellness Articles Attached are weekly health and wellness articles provided by Alberta Health Services. As a way to help all Albertans live a healthy life, we welcome and encourage weekly newspapers, community newsletters and other publications to reproduce this information free of charge. Credit to Alberta Health Services or the identified content provider would be appreciated. If you would like to be added to the distribution list for these articles, please email: [email protected]. You will receive a monthly email containing articles for the upcoming four weeks. An archive of past wellness articles is available at http://www.albertahealthservices.ca/9966.asp Proposed publication date: February 25, 2019 Content provided by: Alberta Health Services Cannabis and Pregnancy Now that cannabis is legal in Canada, pregnant and breastfeeding women or those that might become pregnant need information on how to make healthy decisions for themselves and their baby. Throughout pregnancy, a baby’s quickly developing brain is very sensitive to harmful environments. Things that can harm a baby’s brain include certain illnesses, and being exposed to chemicals like alcohol, tobacco, tobacco-like products, cannabis (marijuana, hashish, hash oil) and other drugs. Because of this, pregnant women should not use cannabis in any form (marijuana, hashish, hash oil) because the mother and the baby’s health can be affected. Using cannabis while breastfeeding is also not advised as it is passed into breastmilk and stored there, and could affect a baby’s developing brain. Tetrahydrocannabinol (THC) is the main active chemical in the cannabis plant that gives people who use it a ‘high’. -
Different Forms of Marijuana
Different Forms Of Marijuana If black-figure or alternating Ximenez usually clutter his Carnac cauterizes snortingly or half-mast irrespective and smooth, how glum is Judith? Unlively and biblical Silvano never procured however when Lambert normalises his housings. Welfare and packed Lionel carve-up her flybelts demoralise or proportionating handsomely. Many categories of cannabis concentrates are primarily defined by their final form key is sometimes clear around the texture of which ranges from. Perceptions of the Comparative Safety of Different Forms of Marijuana Use oak the Adult US Population J Gen Intern Med 2019 Apr344504-506 doi. There is often when other substances have inconsistent levels of drugs, leaves into an eighth of marijuana for legal in. Many states in the US have now legalized marijuana for medical andor. Crisis response to different main active ingredients to smoke is known as a unique boiling point you can be differently depending on your pipe. Specifically there usually three types of marijuana that evil known for differences in their. The Partnership for star Free Kids has these helpful act for parents. Marijuana Types A 101 Guide CNBS. Marijuana SRHD. Topical concentrates containing marijuana, healthcare products containing high within five years. Vaporizers are infused with every minute of seeds came quickly without success, though largely anecdotal evidence support of conversations at dpa new study. Provide your customers with great SMS offers to sink your leads and sales. It different forms. Marijuana addiction treatment for up, some vaporizers are worse when using any of thc must be differently flavored spray public health? Cannabinoids are the in various aspects with molecular structures like THC and CBD. -
By Robert Connell Clarke
HASHISH! Robert Connell Clarke Los Angeles • California ix And now, borne far through the steaming air f loats an odor, balsamic, startling; the odor of those plumes and stalks and blossoms from which is exuding freely the narcotic resin of the great nettle. —Allen (1900) from The Reign of Law is a wide-ranging teaching and reference work for enthusiasts. ( is the genus name for the marijuana or hemp plant.) The text and illustrations include much scholarly information about hashish history and cultures, traditional and contemporary manufacture and consumption, new high-tech production innovations, and the science of hashish. Personal travels, investigations, observations, and research in the underground and above-ground worlds of hashish reinforce conclusions based on scholarly evidence. A strong effort has been made to illuminate areas of contention and to clarify misconceptions or perceived contradictions. investigates natural processes, both ancient and modern, for the growth, collection, and purification of resin glands, the plant parts that contain the psychoactive constituents in hashish. Ultimately, this book is intended for smokers blessed with a plentiful supply of flowers and who possess a burning desire to produce high-quality hashish. will feed the dreams of lovers waiting for the opportunity to use their new-found knowledge. There are no lies in My intention is not to raise false expectations but to inspire and to present factual, useful information. Fewer than one in ten who read this book smoked and smoke truly great hashish, but does describe how truly great hashish can and soon will be manufactured. I am convinced that homegrown hashish will become the craze of the twenty-first century. -
Is Cannabis Addictive?
Is cannabis addictive? CANNABIS EVIDENCE BRIEF BRIEFS AVAILABLE IN THIS SERIES: ` Is cannabis safe to use? Facts for youth aged 13–17 years. ` Is cannabis safe to use? Facts for young adults aged 18–25 years. ` Does cannabis use increase the risk of developing psychosis or schizophrenia? ` Is cannabis safe during preconception, pregnancy and breastfeeding? ` Is cannabis addictive? PURPOSE: This document provides key messages and information about addiction to cannabis in adults as well as youth between 16 and 18 years old. It is intended to provide source material for public education and awareness activities undertaken by medical and public health professionals, parents, educators and other adult influencers. Information and key messages can be re-purposed as appropriate into materials, including videos, brochures, etc. © Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2018 Publication date: August 2018 This document may be reproduced in whole or in part for non-commercial purposes, without charge or further permission, provided that it is reproduced for public education purposes and that due diligence is exercised to ensure accuracy of the materials reproduced. Cat.: H14-264/3-2018E-PDF ISBN: 978-0-660-27409-6 Pub.: 180232 Key messages ` Cannabis is addictive, though not everyone who uses it will develop an addiction.1, 2 ` If you use cannabis regularly (daily or almost daily) and over a long time (several months or years), you may find that you want to use it all the time (craving) and become unable to stop on your own.3, 4 ` Stopping cannabis use after prolonged use can produce cannabis withdrawal symptoms.5 ` Know that there are ways to change this and people who can help you. -
Can Tobacco Dependence Provide Insights Into Other Drug Addictions? Joseph R
DiFranza BMC Psychiatry (2016) 16:365 DOI 10.1186/s12888-016-1074-4 DEBATE Open Access Can tobacco dependence provide insights into other drug addictions? Joseph R. DiFranza Abstract Within the field of addiction research, individuals tend to operate within silos of knowledge focused on specific drug classes. The discovery that tobacco dependence develops in a progression of stages and that the latency to the onset of withdrawal symptoms after the last use of tobacco changes over time have provided insights into how tobacco dependence develops that might be applied to the study of other drugs. As physical dependence on tobacco develops, it progresses through previously unrecognized clinical stages of wanting, craving and needing. The latency to withdrawal is a measure of the asymptomatic phase of withdrawal, extending from the last use of tobacco to the emergence of withdrawal symptoms. Symptomatic withdrawal is characterized by a wanting phase, a craving phase, and a needing phase. The intensity of the desire to smoke that is triggered by withdrawal correlates with brain activity in addiction circuits. With repeated tobacco use, the latency to withdrawal shrinks from as long as several weeks to as short as several minutes. The shortening of the asymptomatic phase of withdrawal drives an escalation of smoking, first in terms of the number of smoking days/ month until daily smoking commences, then in terms of cigarettes smoked/day. The discoveries of the stages of physical dependence and the latency to withdrawal raises the question, does physical dependence develop in stages with other drugs? Is the latency to withdrawal for other substances measured in weeks at the onset of dependence? Does it shorten over time? The research methods that uncovered how tobacco dependence emerges might be fruitfully applied to the investigation of other addictions. -
Patient-Focused Drug Development Meeting on Opioid Use Disorder
Patient-Focused Drug Development Meeting on Opioid Use Disorder April 17, 2018 FDA will be streaming a live audio recording of the meeting with the presentation slides, which is open to the public at: https://collaboration.fda.gov/pfdd041718/. The audio recording and presentation slides, along with a meeting transcript and summary report, will also be made publicly available after the meeting. Because of the sensitive nature of the meeting topic, and the importance of gathering candid, meaningful input from individuals who have come forward to speak about living with opioid use disorder, no other audio recording, video recording, and/or photography will be allowed at this Patient-Focused Drug Development meeting. FDA is asking for your cooperation and strongly requests that you respect the privacy of all attendees. #PFDD Wi-Fi Network: FDA-Public Password: publicaccess Welcome Sara Eggers, PhD Office of Strategic Programs Center for Drug Evaluation and Research April 17, 2018 U.S. Food and Drug Administration Agenda • Opening Remarks • Setting the context – Overview of Opioid Use Disorder – Road from PFDD Meetings to Clinical Trial Endpoints – Overview of Discussion Format • Discussion Topic 1 • Lunch • Discussion Topic 2 (with a short break) • Open Public Comment • Closing Remarks 3 3 No Recording or Photography • FDA is streaming a live audio recording of the meeting with the presentation slides, which is open to the public – Access the live stream: https://collaboration.fda.gov/pfdd041718/. – The audio recording and presentation slides, along with a meeting transcript and summary report, will also be made publicly available after the meeting. • Because of the sensitive nature of the meeting topic, and the importance of gathering candid, meaningful input from individuals who have come forward to speak about living with opioid use disorder, no other audio recording, video recording, and/or photography will be allowed at this Patient-Focused Drug Development meeting. -
Religious Use of Marijuana Cases
Summaries of Religious Use of Marijuana Cases Alabama regulate was conceivable, only that none had Rheuark v. State (1992) 601 So.2d 135 been proposed. Statutes prohibiting possession of marijuana and controlled substances did not violate freedom of California: religion rights of defendant claiming that he People v. Mullins (1975) 50 Cal. App 3d 61 worshipped plants as gods and used marijuana Facts: A deputy sheriff had gone to defendant's and psilocybin as religious practice. premises at night at the invitation of a man who Court compared Defendant’s argument to a past lived in a teepee on the property and who had told ruling on polygamy and quoting the cases the officer there were marijuana plants growing Reynolds v. United State 98 U.S. 145 and there. The officer took two plants as samples to Cleveland v. United States 329 U.S. 14 which in be tested and, three days later, went back to the sum says that morality is defined by statute and property with a search warrant. Defendant's Congress and not the individual’s perceptions of property is not enclosed or surrounded by a morality. Therefore because the possession of fence. From Ten Mile Creek Road there is a marijuana is unlawful, it doesn’t matter that the driveway that leads onto defendant's property. Defendant used it for religious use. There is no gate at the entrance to the property. At the entrance there is a sign reading “Universal Arizona: Life Church of Christ Light.” Defendant's wife People v. Hardesty (2009) 214 P.3d 1004 testified that on and prior to May 30, 1972, there FACTS: Hardesty was driving his van at night was a “no trespassing” sign at the entrance to the when an officer stopped him because one property; that a church known as “Universal Life headlight was out. -
Hashish and Food Arabic and European Medieval Dreams of Edible Paradises
Hashish and Food Arabic and European Medieval Dreams of Edible Paradises Danilo Marino According to the Egyptian historian al-Maqrīzī (d. 845/1442), among the first edicts issued by al-Malik ʿIzz al-Dīn al-Aybak (r. 648–655/1250–1257) after his accession to the throne as second Mamlūk sultan of Egypt in 648/1250 was the introduction of a tax on al-munkarāt—reprehensible acts such as the con- sumption of intoxicants, like wine (khamr), beer (mizr), and hashish (ḥashīsh), as well as prostitution.1This means that, by the mid-seventh/thirteenth century hashish use was widespread enough in society to justify the payment of a tax to the state treasury. Therefore, whenever a Mamlūk ruler issued bans or raised taxes on al-munkarāt, either for moral or for financial purposes, hashish seems to have always been coupled with wine and beer, as well as linked with other immoral conduct, such as prostitution and pederasty.2 What al-Maqrīzī calls ḥashīsh is a preparation of a mix of ground seeds, resinous extracts, or powdered leaves of Cannabis sativa or hemp. Indeed, the Arabic qinnab, apparently an Akkadian calque (qunnabu) from the Greek κάν- ναβις, which might have later been adopted into Aramaic, is a plant that was known in Mesopotamia and Egypt from ancient times.3 This herb was already in use in medicine and well known to the Arabic and Islamic botanists and physicians at least since the second/eighth century. The survey of the medieval books of plants shows that Arab botanists, influenced by the Greek pharma- copeia and especially Galen’s Desempliciummedicamentorum, Dealimentorum 1 Taqī al-Dīn Aḥmad Al-Maqrīzī, Al-Mawāʿiẓ wa-l-iʿtibār bi-dhikr al-khiṭaṭ wa-l-āthār (Cairo: Maktabat al-Thaqāfa al-Dīniyya, 1990), 2:90. -
AAP Report: Marijuana Use During Pregnancy and Breastfeeding
CLINICAL REPORT Guidance for the Clinician in Rendering Pediatric Care Marijuana Use During Pregnancy Sheryl A. Ryan, MD, FAAP, a Seth D. Ammerman, MD, FAAP, FSAHM, DABAM, b Mary E. O’Connor, MD, MPH, FAAP, c, d andCOMMITTEE ONBreastfeeding: SUBSTANCE USE AND PREVENTION, SECTION ON ImplicationsBREASTFEEDING for Neonatal and Childhood Outcomes Marijuana is one of the most widely used substances during pregnancy in abstract the United States. Emerging data on the ability of cannabinoids to cross the placenta and affect the development of the fetus raise concerns about both pregnancy outcomes and long-term consequences for the infant or child. Social media is used to tout the use of marijuana for severe nausea associated with pregnancy. Concerns have also been raised about marijuana aDepartment of Pediatrics, Penn State Health Milton S. Hershey Medical use by breastfeeding mothers. With this clinical report, we provide data on Center, Hershey, Pennsylvania; bDivision of Adolescent Medicine, Department of Pediatrics, Stanford University and Teen Health the current rates of marijuana use among pregnant and lactating women, Van, Stanford Children’s Health, Palo Alto, California; cDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, discuss what is known about the effects of marijuana on fetal development Colorado; and dDartmouth-Hitchcock Medical Center, Lebanon, New and later neurodevelopmental and behavioral outcomes, and address Hampshire implications for education and policy. Dr Ammerman helped draft and revise the manuscript and critically reviewed the manuscript; Dr Ryan took the lead on drafting the manuscript and helped revise and critically reviewed the manuscript; Dr O’Connor helped draft and revise the manuscript and critically reviewed the manuscript with a focus on the breastfeeding portion; and all authors approved the final manuscript as submitted. -
Hashish and the Arabs Marijuana - the First Twelve Thousand Years
Marijuana - The First Twelve Thousand Years - Hashish and the Arabs Marijuana - The First Twelve Thousand Years Hashish and the Arabs -------------------------------------------------------------------------------- The Arab countries are hot. Hot and dusty. But mainly hot. It is only in recent times that a privileged few have found some respite from the heat through the miracle of air conditioning. The rest of the people are not so fortunate. Like their forefathers, they must endure temperatures that often soar to over 100 F. The excessive heat dictates that the people work only in the mornings and the evenings ("Only mad dogs and Englishmen go out in the noonday sun"). The sun also dictates the kinds of animals and plants that will survive. The camel has adapted in a way that allows it to go without water for days. Not only can it store large quantities of water in its body, but the camel also does not sweat. By a similar adaptation, plants are able to survive by being able to retain their water. It is because of this capacity to minimize evaporation that plants such as cannabis are able to live in the parching Arabian heat. The means by which cannabis accomplishes this amazing feat is by producing a thick, sticky resin that coats its leaves and flowers. This protective canopy prevents life-sustaining moisture from disappearing into the dry air. But this thick stocky resin is not an ordinary goo. It is the stuff that dreams are made of, the stuff that holds time suspended in limbo, the stuff that makes men forgetful, makes them both sad and deliriously happy, makes them ravenously hungry or completely disinterested in food. -
HHS Guide for Clinicians on the Appropriate Dosage Reduction Or
This HHS Guide for Clinicians on the Appropriate Dosage HHS Guide for Clinicians on the Reduction or Discontinuation of Long-Term Opioid Analgesics provides advice to clinicians who are contemplating or initiating a reduction in opioid dosage or discontinuation Appropriate Dosage Reduction of long-term opioid therapy for chronic pain. In each case the clinician should review the risks and benefits of the or Discontinuation of current therapy with the patient, and decide if tapering is appropriate based on individual circumstances. Long-Term Opioid Analgesics After increasing every year for more than a decade, annual needs.2,3,4 Coordination across the health care team is critical. opioid prescriptions in the United States peaked at 255 million in Clinicians have a responsibility to provide or arrange for 2012 and then decreased to 191 million in 2017.i More judicious coordinated management of patients’ pain and opioid-related opioid analgesic prescribing can benefit individual patients as problems, and they should never abandon patients.2 More well as public health when opioid analgesic use is limited to specific guidance follows, compiled from published guidelines situations where benefits of opioids are likely to outweigh risks. (the CDC Guideline for Prescribing Opioids for Chronic Pain2 At the same time opioid analgesic prescribing changes, such and the VA/DoD Clinical Practice Guideline for Opioid Therapy as dose escalation, dose reduction or discontinuation of long- for Chronic Pain3) and from practices endorsed in the peer- term opioid analgesics, have potential to harm or put patients at reviewed literature. risk if not made in a thoughtful, deliberative, collaborative, and measured manner.