Brief Commentary: Consequences of Marijuana—Observations From the Emergency Department
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Résumé
Ideas and Opinions15 January 2019Brief Commentary: Consequences of Marijuana—Observations From the Emergency DepartmentKennon Heard, MD, PhD, Andrew A. Monte, MD, PhD, and Christopher O. Hoyte, MDKennon Heard, MD, PhDUniversity of Colorado School of Medicine, Aurora, Colorado (K.H., A.A.M., C.O.H.)Search for more papers by this author, Andrew A. Monte, MD, PhDUniversity of Colorado School of Medicine, Aurora, Colorado (K.H., A.A.M., C.O.H.)Search for more papers by this author, and Christopher O. Hoyte, MDUniversity of Colorado School of Medicine, Aurora, Colorado (K.H., A.A.M., C.O.H.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-3280 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Editors' Note: This commentary was selected for publication from among 100 submitted manuscripts in response to a call for readers' perspectives on prescribing or recommending marijuana.Cannabis has been available for medical use in Colorado since 2000 and widely available since federal enforcement was minimized in 2009. Nearly 90 000 Colorado residents currently have medical cannabis cards, and approximately one third of users report daily consumption. Although the benefits for medical conditions continue to be debated, we highlight several unintended consequences of increased cannabis availability observed in Colorado emergency departments.Before 2009, very few children were hospitalized for marijuana exposure in ...References1. Wang GS, Roosevelt G, Heard K. Pediatric marijuana exposures in a medical marijuana state. JAMA Pediatr. 2013;167:630-3. [PMID: 23712626] doi:10.1001/jamapediatrics.2013.140 CrossrefMedlineGoogle Scholar2. Kim HS, Hall KE, Genco EK, Van Dyke M, Barker E, Monte AA. Marijuana tourism and emergency department visits in colorado [Letter]. N Engl J Med. 2016;374:797-8. [PMID: 26933869] doi:10.1056/NEJMc1515009 CrossrefMedlineGoogle Scholar3. Nourbakhsh M, Miller A, Gofton J, Jones G, Adeagbo B. Cannabinoid hyperemesis syndrome: reports of fatal cases. J Forensic Sci. 2018. [PMID: 29768651] doi:10.1111/1556-4029.13819 CrossrefMedlineGoogle Scholar4. National Institute on Drug Abuse. Is there a link between marijuana use and psychiatric disorders? 2018. Accessed at www.drugabuse.gov/publications/research-reports/marijuana/there-link-between-marijuana-use-psychiatric-disorders on 12 November 2018. Google Scholar5. Hall KE, Monte AA, Chang T, Fox J, Brevik C, Vigil DI, et al. Mental health-related emergency department visits associated with cannabis in Colorado. Acad Emerg Med. 2018;25:526-537. [PMID: 29476688] doi:10.1111/acem.13393 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Colorado School of Medicine, Aurora, Colorado (K.H., A.A.M., C.O.H.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-3280.Corresponding Author: Kennon Heard, MD, PhD, 12401 E. 17th Avenue, Campus Box B-215, Aurora, CO 80045; e-mail, kennon.[email protected]edu.Current Author Addresses: Dr. Heard: 12401 E. 17th Avenue, Campus Box B-215, Aurora, CO 80045.Drs. Monte and Hoyte: 12401 E. 17th Avenue, Aurora, CO 80045.Author Contributions: Conception and design: K. Heard, C.O. Hoyte.Analysis and interpretation of the data: A.A. Monte, C.O. Hoyte.Drafting of the article: K. Heard, A.A. Monte.Critical revision of the article for important intellectual content: K. Heard, A.A. Monte, C.O. Hoyte.Final approval of the article: K. Heard, A.A. Monte, C.O. Hoyte.Administrative, technical, or logistic support: K. Heard.Collection and assembly of data: A.A. Monte.This article was published at Annals.org on 8 January 2019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBrief Commentary: Cannabinoid Dosing for Chronic Pain Management Kevin F. Boehnke and Daniel J. Clauw Brief Commentary: Marijuana and Cardiovascular Disease—What Should We Tell Patients? Tina M. Kaufman , Sergio Fazio , and Michael D. Shapiro Brief Commentary: Advocating for Blunt Policy Jan K. Carney Brief Commentary: Treating Pain—The Cannabis Conundrum Chester B. Good , Natasha Parekh , Kavita Fischer , James Schuster , Chronis Manolis , and William Shrank Brief Commentary: Marijuana Use During Gestation and Lactation—Harmful Until Proved Safe Eli Y. Adashi Metrics Cited byUnintentional cannabis exposures in children pre- and post-legalization: A retrospective review from a Canadian paediatric hospitalAssessing the public health impacts of legalizing recreational cannabis use: the US experience 15 January 2019Volume 170, Issue 2Page: 124KeywordsCannabinoidsCannabisCannabis useChildrenDisclosureEmergency departmentHospitalizationsMarijuanaMedical conditionsPsychiatry and mental health ePublished: 8 January 2019 Issue Published: 15 January 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,012 | 0,108 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,002 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,006 | 0,005 |
| Communication savante | 0,005 | 0,006 |
| Science ouverte | 0,005 | 0,002 |
| Intégrité de la recherche | 0,038 | 0,041 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,011 | 0,007 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».