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 21,2020

New Delhi, Jul 21: The Centre has written to all states and union territories warning against the use of N-95 masks with valved respirators by people, saying these do not prevent the virus from spreading out and are "detrimental" to the measures adopted for its containment.

The Director General of Health Services (DGHS) in the Ministry of Health, in a letter to the Principal Secretaries of health and medical education of states, said it has been observed that there is "inappropriate use" of N-95 masks, particularly those with valved respirators, by the public other than designated health workers.

The DGHS referred to the advisory on the use of homemade protective cover for face and mouth available on the website of the Ministry of Health.

"It is to bring to your knowledge that the use of valved respirator N-95 masks is detrimental to the measures adopted for preventing the spread of coronavirus as it does not prevent the virus from escaping out of the mask. In view of the above, I request you to instruct all concerned to follow the use of face/mouth cover and prevent inappropriate use of N-95 masks," DGHS Rajiv Garg said in the letter.

The government had in April issued an advisory on the use of homemade protective cover for face and mouth, asking people to wear it, particularly when they step out of their residences.

The advisory stressed such face covers must be washed and cleaned each day, as instructed, and stated that any used cotton cloth can be used to make this face cover.

The colour of the fabric does not matter but one must ensure that the fabric is washed well in boiling water for five minutes and dried well before making the face cover. Adding salt to this water is recommended, it said.

It also listed the procedures of making such homemade masks, asking to ensure it fits the face well and there are no gaps on the sides.

It urges people to wash hands thoroughly before wearing the face cover, switching to another fresh one as the face cover becomes damp or humid, and never reusing it after single use without cleaning it.

"Never share the face cover with anyone. Every member in a family should have separate face cover," the advisory stated.

India's COVID-19 case tally crossed the 11-lakh mark on Monday, while the total number of recovered patients increased to over seven lakh, according to Union health ministry data.

The death toll due to the disease rose to 27,497 with 681 fatalities reported in one day.

The ministry data updated at 8 am on Monday showed that a record single-day jump of 40,425 COVID-19 cases had taken the total number of cases to 11,18,043.

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Agencies
June 17,2020

Leading physicians are celebrating a small dose of good news that arrived Tuesday about dexamethasone, a cheap and widely used steroid shown to be able to save lives among COVID-19 patients, but also cautioning against releasing study results by press release during a global health emergency, like in the case of the latest dexamethasone study by University of Oxford.

"It will be great news if dexamethasone, a cheap steroid, really does cut deaths by one-third in ventilated patients with COVID19, but after all the retractions and walk backs, it is unacceptable to tout study results by press release without releasing the paper", Atul Gawande, surgeon and CEO of Haven Healthcare, tweeted.

"Bottom line is, good news," Dr. Fauci, America's foremost infectious diseases expert told a US newswire on Tuesday, soon after the dexamethasone results were announced in the UK.

Fauci, who has long championed the therapeutics-first view said that dexamethasone is a "significant improvement" in the available therapeutic options currently available.

On Medical Twitter and Facebook, doctors broadly agree that dexamethasone use aligns well with the way COVID19 attacks the body's immune system. Fauci said the results in the Oxford study make "perfect sense" in that context.

"We should see the number of people who actually survive go up, if the study holds up," virologist and epidemiologist Dr. Joseph Fair told a television network.

Global coronavirus cases crossed 8 million on Tuesday. In the US, Texas and Florida are facing a new wave of cases after lifting lockdown orders earlier than medical experts recommended. Amidst the relentless graph upwards, the dexamethasone study results injected hope for better survival rates among those most seriously ill.

World Health Organization chief scientist Soumya Swaminathan welcomed the results from the randomised control trial.

Dr Eugene Gu, Founder and CEO of CoolQuit tweeted that he is "genuinely impressed" with the UK dexamethasone trial. This may be a "game changer", he wrote.

"There's no conflict of interest as dexamethasone is a generic steroid. The mechanism of action makes sense because steroids can reduce cytokine storms and overactive immune systems that makes COVID-19 so deadly. The number needed to treat is 8 ventilated patients which is great."

The Oxford study found that dexamethasone reduced deaths by 35 percent in patients who needed treatment with breathing machines and by 20 percent in those only needing supplemental oxygen. Dexamethasone was one of 5 drugs studied in a large clinical trial in the United Kingdom named RECOVERY, short for Randomised Evaluation of COVID-19 Therapy.

Peter Horby, chief investigator of the University of Oxford clinical trial, said dexamethasone is the first drug to be shown to improve survival in COVID-19. Details of the study have not been released. The trial organisers said they made their announcement via a news release because of "the public health importance of these results." According to Horby's public comments, there was a lot of initial resistance to studying steroids.

During the study, 2,104 patients were randomly selected to be given 6 milligrams of dexamethasone once a day (either by mouth or by intravenous injection) for 10 days. That group was compared with 4,321 patients who received the usual care alone.

Researchers estimated that dexamethasone would prevent one death for every eight patients treated while on ventilators and one for every 25 patients on extra oxygen alone.

UK experts have called the study results a breakthrough in the fight against the virus. The researchers have promised they would publish the results soon.

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Agencies
June 4,2020

The World Health Organisation on Wednesday said that anti-malarial drug hydroxychloroquine (HCQ) will return to the solidarity trial for the potential treatment of coronavirus disease.

At a press conference in the WHO headquarters in Geneva, Director General Tedros Adhanom Ghebreyesus said: "On the basis of the available mortality data, the members of the committee recommended that there are no reasons to modify the trial protocol. The Executive Group received this recommendation and endorsed continuation of all arms of the solidarity trial, including hydroxychloroquine."

The world health body had temporarily suspended the usage of HCQ from the solidarity trial for coronavirus treatment on May 25 soon after a study published in one of the most reliable medical journals, which had suggested that the drug could cause more fatalities among COVID-19 patients.

However, the WHO chief said that the decision was taken as a precaution while the safety data was reviewed.

Ghebreyesus also said that the Data Safety and Monitoring Committee will continue to closely monitor the safety of all therapeutics being tested in the solidarity trial.

"So far, more than 3,500 patients have been recruited in 35 countries. WHO is committed to accelerating the development of effective therapeutics, vaccines and diagnostics as part of our commitment to serving the world with science, solutions and solidarity," he said.

Soon after HCQ was suspended from the trial, the Indian government had said that the antimalarial drug has been known for its benefits for a long time and its usage will be continued on the frontline workers, including police and healthcare professionals, as prophylaxis. The government had also said that studies were being conducted and the drug would be included in the clinical trial also for the treatment of coronavirus disease.

US President Donald Trump also had strongly advocated the use of HCQ and called it a "game-changer". He went to the extent of saying that he had taken the medicine.

Launched by WHO and partners, solidarity trial is an international clinical trial to find an effective treatment for COVID-19, including drugs to slow the progression of the disease or improve survival. The trial, which enrols patients from different countries, "will compare four treatment options against standard of care to assess their relative effectiveness against COVID-19", said WHO. 

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