Training and Practices of Cannabis Dispensary Staff.
Training and Practices of Cannabis Dispensary Staff.
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DOI：
10.1089/can.2016.0024
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发表时间：
2016
影响因子：
3.8
通讯作者：
Bonn-Miller MO
中科院分区：
文献类型：
--
作者：
Haug NA;Kieschnick D;Sottile JE;Babson KA;Vandrey R;Bonn-Miller MO
简介：美国大麻药房的激增是由于病人要求大麻合法化，作为一种替代治疗一些疾病和症状的方法。不幸的是，对药房工作人员在为特定患者疾病推荐大麻菌株/浓度方面的做法一无所知。为了解决这一局限性，本研究评估了大麻药房工作人员的培训和做法。材料与方法：通过电子邮件和社交媒体招募了医疗和非医疗药房工作人员（n=55），以完成在线调查，评估他们的人口统计学特征，药房特征，患者特征，正式培训和大麻推荐实践。结果：55%的医务人员报告说，他们的职位有一些正式的培训，20%的报告医疗/科学培训。大多数人（94%）表示他们为患者提供特定的大麻建议。在紧张方面，药房工作人员倾向于推荐Indica用于焦虑，慢性疼痛，失眠，噩梦和Tourette综合征。他们更倾向于推荐籼稻和杂交植物治疗创伤后应激障碍（PTSD）/创伤和肌肉痉挛。相比之下，工作人员不太可能推荐Indica治疗抑郁症;杂交菌株最常被推荐用于肌萎缩侧索硬化症（ALS）。在大麻素浓度方面，药房工作人员最有可能推荐1：1比例的δ-9-四氢大麻酚（THC）：大麻二酚（CBD）用于患有焦虑症，克罗恩病，丙型肝炎和创伤后应激障碍/创伤的患者，而寻求食欲刺激的患者最有可能被推荐THC。工作人员建议关节炎和阿尔茨海默病的CBD高，ALS，癫痫和肌肉痉挛的CBD或1：1比例高。结论：尽管许多药房工作人员提出的建议与目前的证据一致，但有些人建议使用大麻，这些大麻要么对患者的病情无效，要么可能会加剧患者的病情。研究结果强调了一致的，循证的，培训的医务人员谁提供具体的建议，病人的医疗条件的重要性。
Introduction: The proliferation of cannabis dispensaries within the United States has emerged from patient demand for the legalization of cannabis as an alternative treatment for a number of conditions and symptoms. Unfortunately, nothing is known about the practices of dispensary staff with respect to recommendation of cannabis strains/concentrations for specific patient ailments. To address this limitation, the present study assessed the training and practices of cannabis dispensary staff. Materials and Methods: Medical and nonmedical dispensary staff (n=55) were recruited via e-mail and social media to complete an online survey assessing their demographic characteristics, dispensary features, patient characteristics, formal training, and cannabis recommendation practices. Results: Fifty-five percent of dispensary staff reported some formal training for their position, with 20% reporting medical/scientific training. A majority (94%) indicated that they provide specific cannabis advice to patients. In terms of strains, dispensary staff trended toward recommendations of Indica for anxiety, chronic pain, insomnia, nightmares, and Tourette's syndrome. They were more likely to recommend Indica and hybrid plants for post-traumatic stress disorder (PTSD)/trauma and muscle spasms. In contrast, staff were less likely to recommend Indica for depression; hybrid strains were most often recommended for amyotrophic lateral sclerosis (ALS). In terms of cannabinoid concentrations, dispensary staff were most likely to recommend a 1:1 ratio of delta-9-tetrahydrocannabinol (THC):cannabidiol (CBD) for patients suffering from anxiety, Crohn's disease, hepatitis C, and PTSD/trauma, while patients seeking appetite stimulation were most likely to be recommended THC. Staff recommended high CBD for arthritis and Alzheimer's disease and a high CBD or 1:1 ratio for ALS, epilepsy, and muscle spasms. Conclusions: Although many dispensary staff are making recommendations consistent with current evidence, some are recommending cannabis that has either not been shown effective for, or could exacerbate, a patient's condition. Findings underscore the importance of consistent, evidence-based, training of dispensary staff who provide specific recommendations for patient medical conditions.
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抗逆转录病毒疗法与艾滋病毒系统滥用药物之间的药物相互作用。
影响因子：
4.3
作者：
Kumar S;Rao PS;Earla R;Kumar A
通讯作者：
Kumar A
DOI：
10.1056/nejmra1402309
发表时间：
2014-06-05
期刊：
The New England journal of medicine
影响因子：
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作者：
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通讯作者：
Weiss SR
影响因子：
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作者：
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通讯作者：
Earleywine, Mitch
影响因子：
2.8
作者：
Reinarman, Craig;Nunberg, Helen;Heddleston, Tom
通讯作者：
Heddleston, Tom
大麻Sativa与大麻的Indica辩论：对医学博士Ethan Russo的采访。
影响因子：
3.8
作者：
Piomelli D;Russo EB
通讯作者：
Russo EB