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1.
J Psychoactive Drugs ; 51(5): 400-404, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31264536

RESUMO

Medical cannabis patients consistently report using cannabis as a substitute for prescription medications; however, little is known about individuals accessing cannabis through adult-use markets. A survey at two retail stores was conducted in Colorado, United States. Between August 2016 and October 2016, store staff asked customers if they wanted to participate and, if so, provided an electronic survey link. All customers reporting medical certification were excluded. Of 1,000 adult-use only customer respondents, 65% reported taking cannabis to relieve pain and 74% reported taking cannabis to promote sleep. Among respondents taking cannabis for pain, 80% reported that it was very or extremely helpful, and most of those taking over-the-counter pain medications (82%) or opioid analgesics (88%) reported reducing or stopping use of those medications. Among respondents taking cannabis for sleep, 84% found it very or extremely helpful, and most of those taking over-the-counter (87%) or prescription sleep aids (83%) reported reducing or stopping use of those medications. De facto medical use of cannabis for symptom relief was common among adult-use dispensary customers and the majority reported that cannabis decreased their medication use. Adult use cannabis laws may broaden access to cannabis for the purpose of symptom relief.


Assuntos
Dor Crônica/tratamento farmacológico , Maconha Medicinal/uso terapêutico , Transtornos do Sono-Vigília/tratamento farmacológico , Adulto , Colorado , Comércio , Humanos , Farmácias
2.
Pediatr Crit Care Med ; 12(4): 393-7, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21478800

RESUMO

OBJECTIVE: To describe a unique experience providing critical care to infants and children in Haiti 3 months after a major earthquake. DESIGN: Observational. SETTING: Field medical facility in a developing country. PATIENTS: Infants and children admitted to a combined neonatal and pediatric intensive care unit between April 17 and 24, 2010. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Nine infants and 20 children were admitted to an intensive care unit with eight cots and ten infant beds over a 1-wk period. Central nervous system and infectious diseases were the most common reasons for intensive care unit admission. Nine of 20 (45%) children died before hospital discharge. Survivors represented a cohort of children with acute, reversible disease. CONCLUSIONS: Pediatric critical care can be implemented in low-income countries but requires significant resource use and careful patient selection. Consideration should be paid to the costs of delivering critical care in developing countries, which can inadvertently appropriate resources that have a larger impact on pediatric public health.


Assuntos
Cuidados Críticos/organização & administração , Unidades de Terapia Intensiva Pediátrica/organização & administração , Adolescente , Criança , Pré-Escolar , Cuidados Críticos/estatística & dados numéricos , Países em Desenvolvimento , Desastres , Terremotos , Feminino , Haiti , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos , Masculino , Observação
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