Just one or two experiences with marijuana may alter teen brains

Agencies
January 16, 2019

Jan 16: Teens who use pot just one or two times may end up with changes to their brains, a new study finds.

There were clear differences on brain scans between teens who said they had tried cannabis a couple of times and those who completely eschewed the drug, researchers reported in the Journal of Neuroscience.

There have been hints that even small amounts of pot at a young age might impact the brain, said the study’s lead author, Catherine Orr, a lecturer at the Swinburne University of Technology in Melbourne, Australia. “Research using animals to study the effects of cannabis on the brain have shown effects at very low levels, so we had reason to believe that brain changes might occur at even the earliest stages of cannabis use,” Orr said in an email.

Still, she said, “I was surprised by the extent of the effects.”

With an estimated 35 percent of U.S. teens using cannabis, the new findings are concerning, the researchers noted.

Orr and her colleagues saw widespread increases in the volume of grey matter in brain regions that are rich with cannabinoid receptors. Grey matter, which is made up of nerve cell bodies, is involved in sensory perception and muscle control.

To take a closer look at the impact of mild marijuana use in developing brains, Orr’s team analyzed brain scans gathered as part of the larger IMAGEN study, which was designed to look into adolescent brain development.

The researchers analyzed images from 46 14-year-olds who said they had used marijuana once or twice, as well as images from 46 non-cannabis using teens matched “on age, sex, handedness, pubertal status, IQ, socioeconomic status, and use of alcohol and tobacco,” Orr said.

The researchers spotted clear differences between the two groups, which they suspect are due to the low-level pot use. They acknowledge that the study didn’t actually prove that marijuana led to the differences seen in the scans. It’s possible that those who chose to use weed were different to begin with and that the marijuana hadn’t played a role in brain development.

To try to address this question, the researchers analyzed scans from a third group of teens who had not tried marijuana before they had their brain scans at age 14. By age 16, 69 of these kids said they had used marijuana at least 10 times. But their brain scans at age 14 looked no different than brain scans of other kids who had not taken up cannabis by age 16 - which meant there wasn’t any inborn brain difference that would have predicted who would later become a pot user.

There may be serious implications to the brain changes noted by the researchers. “In our sample of cannabis users, the greater volumes in the affected parts of the brain were associated with reductions in psychomotor sped and perceptual reasoning and with increased levels of anxiety two years later,” Orr said.

The reason for the higher volume of grey matter in cannabinoid-rich regions of the brain may be related to a normal process called “pruning” which may go awry when kids use marijuana, Orr said. As young brains develop, unnecessary or defective neurons are pruned away, she explained. When the system doesn’t work correctly, those cells remain in place.

The new findings are a step toward understanding the impact of cannabis on young brains, said Dr. Michael Lynch, a toxicologist and emergency medicine physician and director of the Pittsburgh Poison Center at the University of Pittsburgh Medical Center. “It’s important that there was a change,” Lynch said. “Adolescent brains are going to be more vulnerable to anything drug or environmentally related.”

If pruning isn’t working right, “the brain may not work as efficiently as it should,” Lynch said. “But I don’t think we can make a final determination on that from this study.”

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Agencies
July 14,2020

UN, Jul 14: There will be no return to the "old normal" for the foreseeable future as a result of the ongoing COVID-19 pandemic, and too many countries were still headed in the wrong direction, the chief of the World Health Organization (WHO) warned.

"The virus remains public enemy number one, but the actions of many governments and people do not reflect this," Xinhua news agency quoted WHO Director-General Tedros Adhanom Ghebreyesus at as saying a regular briefing on Monday.

He noted that mixed messages from leaders are undermining trust, which is the most critical ingredient of any response, while the only aim of the virus is to find people to infect.

Things are going to "get worse and worse and worse", he warned, unless governments communicate clearly with their citizens and roll out a comprehensive strategy focused on suppressing transmission and saving lives, while populations follow the basic public health principles of physical distancing, hand washing, wearing masks, coughing etiquette and staying home when sick.

COVID-19 has been gaining its momentum lately.

According to Tedros, Sunday saw a record of 230,000 cases reported to WHO, of which almost 80% were from just 10 countries and about half from just two countries.

"But it does not have to be this way," he said, asking every single leader, government and individual "to do their bit to break the chains of COVID-19 transmission and end the collective suffering".

To control the disease and get on with people's lives, Tedros said, three things are required. The first is to focus on reducing mortality and suppressing transmission; the second is to focus on an empowered, engaged community that takes individual behaviour measures in the interest of each other.

And the third is a strong government leadership and coordination of comprehensive strategies that are communicated clearly and consistently.

"We weren't prepared collectively, but we must use all the tools we have to bring this pandemic under control. And we need to do it right now," he added.

At the WHO briefing on Monday, health experts also said there was evidence to suggest that children under the age of 10 were only very mildly affected by Covid-19, while those over 10 seemed to suffer similar mild symptoms to young adults.

To what extent children can transmit the virus, while it appears to be low, remains unknown.

On Tuesday, the number of global coronavirus cases cross the 13 million mark, according to the Johns Hopkins University.

The total number of cases currently stood at 13,070,097, while the fatalities rose to 572,411, the University's Center for Systems Science and Engineering (CSSE) revealed in its latest update.

The US accounted for the world's highest number of infections and fatalities at 3,363,056 and 135,605, respectively, according to the CSSE.

Brazil came in the second place with 1,884,967 infections and 72,833 deaths.

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Agencies
May 19,2020

Researchers have found that patients with peripheral artery disease or stroke were less likely to receive recommended treatments to prevent heart attack than those with coronary artery disease. All three are types of atherosclerotic cardiovascular disease.

Depending on the location of the blockage, atherosclerosis increases the risk for three serious conditions: coronary artery disease, stroke and peripheral artery disease.

"Our study highlights the need for public health campaigns to direct equal attention to all three major forms of atherosclerotic cardiovascular disease," said senior study author Erin Michos from the Johns Hopkins University in the US.

"We need to generate awareness among both clinicians and patients that all of these diseases should be treated with aggressive secondary preventive medications, including aspirin and statins, regardless of whether people have heart disease or not," Michos added.

Since atherosclerosis can affect arteries in more than one part of the body, medical guidelines are to treat coronary artery disease, stroke and peripheral artery disease similarly with lifestyle changes and medication, including statins to lower cholesterol levels and aspirin to prevent blood clots.

Lifestyle changes include eating a healthy diet, being physically active, quitting smoking, controlling high cholesterol, controlling high blood pressure, treating high blood sugar and losing weight.

What was unclear was if people with stroke and peripheral artery disease received the same treatments prescribed for those with coronary artery disease.

This study compared more than 14,000 US adults enrolled in the 2006-2015 Medical Expenditure Panel Survey, a national survey of patient-reported health outcomes and conditions, and health care use and expenses.

Slightly more than half of the patients were men, the average age was 65, and all had either coronary artery disease, stroke or peripheral artery disease.

These individuals were the representative of nearly 16 million US adults living with one of the three forms of atherosclerotic cardiovascular disease.

Compared to participants with coronary artery disease, participants with peripheral artery disease were twice more likely to report no statin use and three times more likely to report no aspirin use.

Additionally, people with peripheral artery disease had the highest, annual, total out-of-pocket expenditures among the three atherosclerotic conditions.

The findings showed that participants with stroke were more than twice as likely to report no statin or aspirin use.

Moreover, those with stroke were more likely to report poor patient-provider communication, poor health care satisfaction and more emergency room visits.

"Our study highlights a missed opportunity for implementing life-saving preventive medications among these high-risk individuals," Michos said.

The study was presented in the virtual conference at the American Heart Association's Quality of Care & Outcomes Research Scientific Sessions 2020.

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Agencies
July 4,2020

The Union health ministry on Friday revised the dosage of anti-viral drug remdesivir to be administered to coronavirus patients in the moderate stage of illness from the earlier six days to five days as it issued an updated 'Clinical Management Protocols for COVID-19'.

The drug, administered in the form of injection, should be given at a dose of 200 mg on day one followed by 100 mg daily for four days (total five days), the new treatment protocols stated.

The Health Ministry on June 13 had allowed the use of remdesivir for restricted emergency use in moderate cases under "investigational therapies".

"Under emergency use authorisation, remdesivir may be considered for patients in moderate stage requiring oxygen support," the document stated.

It is not recommended for those with severe renal impairment and high level of liver enzymes, pregnant and lactating women, and those below 12 years, it said.

The ministry also okayed off-label application of tocilizumab, a drug that modifies the immune system or its functioning, and convalescent plasma for treating COVID-19 patients in the moderate stage of illness as "investigational therapies".

It also recommended hydroxychloroquine for patients during the early course of the disease and not for critically-ill patients.

On June 27, the ministry had included an inexpensive, widely used steroid dexamethasone in treatment protocols for COVID-19 patients in the moderate to severe stages of their illness among other therapeutic measures.

The ministry advised use of dexamethasone, which is already used in a wide range of conditions for its anti-inflammatory and immunosuppressant effects, as an alternative choice to methylprednisolone for managing moderate to severe cases of coronavirus infection.

India's COVID-19 cases soared by over 20,000 in a day for the first time taking the country's total tally to 6,25,544 on Friday while the death toll climbed to 18,213 with 379 new fatalities, according to the Union Health Ministry data updated at 8 am.

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