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CRS — Marijuana: Medical and Retail–Selected Legal Issues (April 8, 2015)

April 15, 2015 Comments off

Marijuana: Medical and Retail–Selected Legal Issues (PDF)
Source: Congressional Research Service (via Federation of American Scientists)

The federal Controlled Substances Act (CSA) outlaws the possession, cultivation, and distribution of marijuana except for authorized research. More than 20 states have regulatory schemes that allow possession, cultivation, and distribution of marijuana for medicinal purposes. Four have revenue regimes that allow possession, cultivation, and sale generally. The U.S. Constitution’s Supremacy Clause preempts any state law that conflicts with federal law. Although there is some division, the majority of state courts have concluded that the federal-state marijuana law conflict does not require preemption of state medical marijuana laws. The legal consequences of a CSA violation, however, remain in place. Nevertheless, current federal criminal enforcement guidelines counsel confining investigations and prosecutions to the most egregious affront to federal interests.

Hepatitis C: A Focus on Dietary Supplements

April 7, 2015 Comments off

Hepatitis C: A Focus on Dietary Supplements
Source: National Center for Complementary and Integrative Health (NCCIH)

Hepatitis C is a liver disease caused by a virus. It’s usually chronic (long-lasting), but most people don’t have any symptoms until the virus causes liver damage, which can take 10 or more years to happen. Without medical treatment, chronic hepatitis C can eventually cause liver cancer or liver failure. Conventional medical treatments are available for chronic hepatitis C. Some people with hepatitis C also try complementary health approaches, especially dietary supplements. This fact sheet provides basic information on hepatitis C, summarizes scientific research on selected supplements, and suggests sources for additional information.

Colorado Department of Revenue — Marijuana Annual Update 2014

March 3, 2015 Comments off

Marijuana Annual Update 2014
Source: Colorado Department of Revenue

• 833 Retail Establishment Licenses and 1,416 Medical Business Licenses as of December 2014
• Approximately 110% increase in Retail Business Licenses and 6% increase in Medical Business Licenses
• 15,992 Occupational Licenses as of December 2014
• 68% non-renewal rate for Occupational Licenses
• 109,578 pounds of medical marijuana flower sold
• 38,660 pounds of retail flower sold
• 1,964,917 units of medical edible products sold
• 2,850,733 units of retail edible products sold
• Approximately 3,200 MED Due Diligence and Complaint Investigations performed and closed
• 98.2% pass rate for potency tests on edibles
• 99.2% pass rate for homogeneity tests on edibles

NCCIH Clinical Digest: Children’s Use of Complementary Health Approaches

February 24, 2015 Comments off

NCCIH Clinical Digest: Children’s Use of Complementary Health Approaches
Source: National Center for Complementary and Integrative Health (NCCIH)

A new report based on data from the 2012 National Health Interview Survey (NHIS)* found that nearly 12 percent of children aged 4 to 17 years use complementary health approaches. Although this was not a significant change from the previous survey in 2007, there were significant increases in children’s use of yoga, fish oil, and melatonin. The complementary health approach most commonly used by children was natural products (dietary supplements other than vitamins and minerals) at almost one-quarter the adult rate (4.9 percent vs. 17.6 percent). This issue of the digest highlights findings from the survey, which aims to provide the most current and comprehensive picture of U.S. children’s use of complementary health approaches, and may give you insight into your own patients’ use of these products and practices.

*The complementary health questionnaire was developed by NIH’s National Center for Complementary and Integrative Health (formerly NCCAM) and the Center for Disease Control and Prevention’s National Center for Health Statistics. The questionnaire is administered every 5 years as part of the NHIS, an annual study in which tens of thousands of Americans are interviewed about their health- and illness-related experiences. The 2012 survey results are based on combined data from 17,321 interviews with a knowledgeable adult about children aged 4 to 17 years.

See: Children and Complementary Health Approaches

Spinal Manipulation

February 23, 2015 Comments off

Spinal Manipulation
Source: National Center for Complementary and Integrative Health (NCCIH)

Spinal manipulation—sometimes called “spinal manipulative therapy”—is practiced by health care professionals such as chiropractors, osteopathic physicians, naturopathic physicians, physical therapists, and some medical doctors. Practitioners perform spinal manipulation by using their hands or a device to apply a controlled force to a joint of the spine. The amount of force applied depends on the form of manipulation used. The goal of the treatment is to relieve pain and improve physical functioning.

See also: Chiropractic: An Introduction

Strengthening Collaborations With the U.S. Department of Defense and U.S. Department of Veterans Affairs: Effectiveness Research on Mind and Body Interventions

February 23, 2015 Comments off

Strengthening Collaborations With the U.S. Department of Defense and U.S. Department of Veterans Affairs: Effectiveness Research on Mind and Body Interventions
Source: National Center for Complementary and Integrative Health (NCCIH)
From press release:

The feasibility of conducting larger-scale research studies on nondrug approaches for pain management in cooperation with the U.S. Department of Defense (DoD) and the U.S. Department of Veterans Affairs (VA) should be assessed by the National Center for Complementary and Integrative Health (NCCIH) at the National Institutes of Health (NIH). This recommendation was delivered in a report by a working group of the Center’s Advisory Council.

“Chronic pain is a major public health problem that affects more than 100 million Americans, and research shows that it may disproportionately affect military personnel and Veterans,” said Lloyd Michener, M.D., professor and chair, Department of Community and Family Medicine, Duke University, Durham, North Carolina; chair of the working group. “The high rates of chronic pain in the military and Veteran populations are alarming. New strategies for managing this widespread condition are urgently needed.”

The working group recommended that the proposed research should:

  • Assess the impact of pain on patient function and quality of life as primary outcome measures, with changes in the use of opioids and other drugs as a secondary outcome;
  • Evaluate an integrated package of nondrug treatments, an integrative model of care, or a holistic approach to care rather than focusing on individual complementary health approaches;
  • Focus on patients in the early stages of chronic pain;
  • Leverage natural experiments and existing resources whenever possible; and
  • Be pragmatic and embedded in the delivery of care.

Use of Complementary Health Approaches in the U.S. — National Health Interview Survey (NHIS)

February 20, 2015 Comments off

Use of Complementary Health Approaches in the U.S. — National Health Interview Survey (NHIS)
Source: National Center for Complementary and Integrative Health (NCCIH)

2012 NHIS Highlights

  • In 2012, 33.2% of U.S. adults used complementary health approaches. This is similar to the percentages in 2007 (35.5%) and 2002 (32.3%).
  • 11.6% of U.S. children age 4 to 17 used complementary health approaches in 2012. There was no meaningful change from 2007, when 12.0% used them.
  • In 2012, as in 2007 and 2002, the most commonly used complementary approach was natural products (dietary supplements other than vitamins and minerals). 17.7% of adults and 4.9% of children age 4 to 17 used natural products.
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