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Cannabis Hyperemesis Syndrome in Youth: Clinical Insights and Public Health Implications

Abstract This review focuses on Cannabis Hyperemesis Syndrome (CHS) in youth, a condition linked to chronic cannabis use and characterized by cyclic vomiting, abdominal pain, and dehydration. The objectives were to explore CHS progression in youth and its impact on health, and to assess current treatment strategies. There are the three distinct phases of CHS: prodromal, hyperemetic, and recovery. During the prodromal phase, individuals experience early morning nausea and discomfort, often mistakenly alleviated by continued cannabis use. The hyperemetic phase is marked by severe vomiting, dehydration, and complications like electrolyte imbalances, leading to potentially serious health risks. Temporary relief may be experienced through hot...
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Cannabis consumption and motor vehicle collision: A systematic review and meta-analysis of observational studies

Abstract Background Increasing legalization of recreational cannabis and availability of cannabinoid products has resulted in expanded use, which is associated with adverse effects including concerns over increased risk of motor vehicle collision (MVC). We aimed to explore the association between cannabis consumption and MVC. Methods We searched MEDLINE, EMBASE, CINAHL, Cochrane library, SCOPUS, PsycInfo, Web of Science, TRID from inception to November 2024. We included studies assessing the association between cannabis consumption on MVC fatalities, any injuries, and culpability/unsafe driving actions. Pairs of reviewers independently screened search results, extracted data, and assessed risk of bias. We used a DerSimonian and Laird random-effects model for...
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Recreational drugs repurposed for medicinal use-cannabis

Abstract Cannabis has a long history as a medicine and was a part of medical practice until the late 19th century. The discovery of cannabidiol (CBD) and ∆9-tetrahydrocannabinol (THC) in the mid-20th century, and then the various components of the endocannabinoid system (ECS) over the following decades has again brought cannabis back into the public eye as a potential therapeutic agent. At present, cannabis is being used in the community across the world for both recreational and medical purposes. In the case of medical usage, it may be prescribed by a medical doctor or purchased either legally or illicitly for medical purposes such as...
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Impact of cannabis abuse on the occurrence of stroke in young people: a systematic review and meta-analysis

ABSTRACT Background: The occurrence of stroke in young people has risen significantly. This can easily lead to physical disabilities, swallowing difficulties, and cognitive impairment, among other issues, having a profound impact on families and society. Risk factors for stroke in young people differ from those for traditional stroke, with cannabis abuse emerging as a significant high-risk factor. However, the extent of the impact of cannabis abuse on the occurrence of stroke and the rate of disability in young people remains unclear. To clarify this issue and provide evidence supporting the primary prevention of stroke in young people, this systematic review and meta-analysis summarizes the latest...
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Fetal Cannabis Exposure and Neonatal Outcomes: A Systematic Review and Meta-Analysis

Please use this link to access this publication. Abstract Introduction Current literature addressing fetal cannabis exposure and neonatal outcomes is based on subjective measures with varying levels of significance. This systematic review and meta-analysis determined if neonates with fetal cannabis exposure have an increased odds of being born small for gestational age, low birth weight, admitted to the Neonatal Intensive Care Unit (NICU) immediately after delivery, and/or preterm. Methods To identify relevant articles, we searched five databases using standard search criteria. Two authors used the Newcastle–Ottawa Scale to exclude articles with a high risk of bias. To estimate the combined effect, we calculated pooled...
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Cannabis use and atherosclerotic cardiovascular disease outcomes: A meta-analysis of multinational cohort data

Please use this link to access this publication. Abstract Background While an association between cannabis use and the risk of atherosclerotic cardiovascular diseases (ASCVD) has been reported numerous times, it remains inconclusive as to whether this link is causal in nature. We sought to consolidate data from observational studies to explore the association between ever use of cannabis and ASCVD outcomes, including myocardial infarction, stroke, and a combined measure of any adverse cardiovascular events in comparison to non-users or controls. Methods We performed a systematic literature search on PubMed, Scopus, ScienceDirect, and Cochrane Library for relevant studies from inception until April 2024. Statistical analyses utilized RevMan 5.4 with a random effects model....
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Clinical Evaluation of the Cannabis-Using Patient: A Moving Target

Abstract The prevalence of cannabis use has been increasing among both adolescents and adults worldwide. New trends in cannabis legalization and enhanced social media marketing have led to the availability of multiple high-potency cannabis products with hundreds of new and powerful delivery systems. Over the last decade, there have been drastic changes in cannabis formulations, potency, routes of consumption, and device technology, with increased complexity and sophistication among growers, suppliers, and consumers. Patterns of cannabis use among patients can have important clinical implications, including acute neurocognitive effects, chronic multiorgan toxicity, psychiatric, behavioral, social, and economic impact. However, assessment of medical or surgical patients who...
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Cannabis derivatives and their synthetic analogs for treatment-resistant epilepsy: A systematic review and meta-analysis

Please use this link to access this publication. Abstract Background: Cannabidiol and other synthetic analogs from the Cannabis sativa plant have been investigated as alternative for the treatment of refractory epilepsy. Objective: to assess the effects of cannabis derivatives for the treatment of refractory epilepsy. Search methods: a search of the literature was carried out in the several databases, as well as a manual search of the reference lists of relevant studies, gray literature and clinical trial registries. Selection criteria and analysis: randomized controlled trials were included, and the risk of bias was assessed using the Cochrane risk of bias tool. The certainty of the evidence was assessed using the GRADE approach. Main results: Seven randomized clinical...
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Cannabis Use in HIV: Impact on Inflammation, Immunity and the Microbiome

Please use this link to access this publication. Abstract Purpose of Review This review explores how cannabis impacts the gut microbiome, immune system, and ART outcomes in people with HIV (PWH). Given the increasing prevalence of cannabis use among PWH, we investigated its potential to reduce chronic inflammation and enhance gut health, both of which can influence HIV pathogenesis. Recent Findings Cannabis has immunomodulatory and anti-inflammatory effects, including reducing systemic inflammatory biomarkers (such as MCP-1 and IP-10) and improving gut barrier integrity through increased short-chain fatty acid (SCFA) production. Studies have shown that cannabis use is associated with increased gut mucosal immunity, decreased immune...
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The differential effects of medicinal cannabis on mental health: A systematic review

Abstract The use of medicinal cannabis to improve mental health is increasing globally, both in clinical settings and through self-medication. This involves a variety of products containing ∆9-tetrahydrocannabinol (THC), cannabidiol (CBD), THC + CBD combinations, or derivatives. This review provides an up-to-date overview of the positive and negative effects of medicinal cannabis on mental health diagnoses and related symptoms of the Diagnostic and Statistical Manual of Mental Disorders 5th Edition. Searches in PubMed, PsycInfo, Embase, and the Cochrane Library (October 2023 and July 2024) identified 18,341 studies, of which 49 controlled studies from 15 different countries were included. All studies focused on treatment-seeking participants using medicinal cannabis for (symptoms of) their mental health diagnosis....
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