Showing posts with label Pharmacy. Show all posts
Showing posts with label Pharmacy. Show all posts

Friday, April 29, 2016

Marijuana's Not-So Scientific Legal Limit

by Liz Sheeley, Guest Writer

States with legalized marijuana are struggling to figure out how much marijuana is too much for drivers.

While Massachusetts has legalized medical marijuana, and is on the cusp of complete legalization next year, the state’s legislature and law enforcement officials are grappling with this problem as well. For alcohol, states have settled on a legal blood alcohol limit ranging from .05 to .08 – roughly the difference between two and three drinks for a 140-lb. person.

But there is no clear range for marijuana – there hasn’t been enough research on the drug’s effects to settle on a number, its concentrations vary widely, and everyone responds differently to THC, marijuana’s psychoactive component.

“There have been people who I have seen with 20 or 21 nanograms of THC where you can’t see any impairment, and people with two nanograms who clearly should not be driving,” said Sergeant Don Decker, the Massachusetts State Coordinator for Drug Recognition Experts, a group of law enforcement officers trained to recognize drug impaired driving and evaluate the driver.

Despite these challenges, and a lack of knowledge, marijuana driving laws—so called “drugged driving laws”—have followed the drug’s legalization in Colorado, Washington, Alaska, Oregon and Washington, D.C.

“In many ways, unfortunately, policy has outpaced science and laws are passed before we really know the impact of certain things,” said Dr. Staci Gruber, the Director of the Cognitive and Clinical Neuroimaging Core at McLean Hospital. “We’re trying a little bit to play catch up at this point and I think it’s important to do because [marijuana]’s not going anywhere.”

Marijuana affects each person differently depending on frequency of use, the strain of marijuana and delivery method. Users slowly build up a tolerance to the drug. An experienced user could be fine with a THC concentration in their blood that would impair a non-frequent user.

Genetics also play a role in how two different people are affected by the same level of THC.

And this is a problem for medical marijuana users. Those legal users can’t always get the same product because of stringent laws about growing and distributing marijuana. The strain and potency can vary each time they go to purchase their supply. Gruber said, the state is “still in its infancy with regard to medical marijuana.” She compares this to buying a bottle of Advil – each bottle is going to contain pills of comparable dose. But for medical marijuana, “it’s going to be different wherever you get it, perhaps even by batch.”

Dr. Herbert Hill, a chemistry professor at Washington State University, is developing an in-field breathalyzer for law enforcement to test THC levels of suspected drugged drivers; but he said it is “not ready for the field yet, and still has at least a year to go before the police will be able to test it.”

Law enforcement officers are also using a behavioral test to evaluate drivers, and states like Massachusetts and Colorado are increasing the number of officers who are qualified to assess marijuana impairment in the field. In programs like Decker’s the Drug Recognition Experts (DRE), officers get weeks of specialized training to be able to determine if a subject is under the influence of drugs and what kind of drugs by observing and testing the subject in the field. The DRE test is 12 steps. The officers first administer a breath alcohol test to see if the impaired driver is drunk. If the blood alcohol level doesn’t suggest drunk driving, then the DRE will perform the 12 step test. This includes an in-depth interview, eye examination, the One Leg Stand test, the Finger-to-Nose test, examination of the subject for injection sites, their muscle tone and multiple pulse rates taken throughout the process. Currently there at 108 such experts in MA, and program has just graduated about 30 more. Decker is actively working to increase this number to prepare for the possibility that Massachusetts voters will legalize recreational marijuana next fall.

Bill O’Leary, a Highway Safety Specialist at the National Highway Traffic Safety Administration, said that the problem any state faces when legalizing marijuana can be compared to seatbelt laws. Once marijuana becomes legal, people who said no to it before, just so they didn’t break the, law will now smoke it. Then they will potentially get behind the wheel of a car not understanding when the drug will kick in as well as recurring users.

“I think people will begin to think more clearly about what we mean by ‘impairment,’” said Gruber. “Is it just [this limit] and if you have that, do we just yank you out of your car? I think much more will depend on sobriety testing.” And she said that Massachusetts will turn to states like Colorado and Washington to see what lessons they have learned, “before making any grand decisions.”

Liz Sheeley graduated from Boston College in 2011 with degrees in biology and psychology. After college, she worked as an associate editor for JoVE (the Journal of Visualized Experiments) and as an editorial assistant for Circulation, an American Heart Association journal. She likes to write about the science behind food, health, medicine and how those subjects have an impact on society.

This article originally appeared on the Boston University News Service.

Saturday, January 23, 2016

Athletic Trainers: The First Wave in Injury Treatment

This week we're covering a licensed healthcare profession that is often confused with an unregulated fitness occupation: Athletic Trainers (not to be mistaken for Personal/Fitness Trainers). Athletic trainers specialize in preventing, diagnosing, & treating muscle & bone injuries & illnesses. These professionals, who numbered approximately 25,400 in the US as of 2014, work in a wide variety of environments to help active & at-risk individuals stay healthy. Athletic trainers work in schools, hospitals, fitness & sports centers, rehab centers, senior living centers, & even as specialists for professional sports teams!

Athletic trainers work with people of all ages & skill levels, from young children to soldiers, police, & professional athletes. Athletic trainers are often the first healthcare professionals on the scene when somebody is injured in an active or athletic environment, & must be trained to provide immediate care while EMTs, doctors, or other health personnel arrive. They work under the direction of a licensed physician & with a team of other healthcare providers to treat patients & evaluate their treatment options. Some athletic trainers have administrative responsibilities as well, like reviewing budgets with an athletic director, working with purchasing or making policies
& procedures. Athletic trainers are frequently called upon to create programs that comply with Federal & state regulations, such as laws surrounding young athletes & concussions. Athletic trainers often work outdoors in many different weather situations, so being adaptable is a key skill. Nearly all states require athletic trainers to be licensed, which generally consists of degree requirements along with continuing education & the passing of an exam.

If you want to learn more about Athletic Trainers & how they impact society, check out our infographic below. We will be posting tons of athletic trainer based content all week on our Facebook, Twitter, & Instagram pages, so be sure to visit them as well to find out all you need to know about these dedicated professionals!
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Images courtesy of Shutterstock.

Saturday, January 9, 2016

Pharmacists: Keeping Americans in Good Health

This week we're looking at a growing healthcare profession that affects nearly all Americans today: Pharmacy. Pharmacists work throughout the US to dispense prescription medications to patients & offer expertise in the safe use of those prescriptions. They may also conduct health & wellness screenings, provide immunizations, oversee the medications given to patients, & provide advice on healthy lifestyles. Pharmacists work in many different environments, but most people think of them as working in the pharmacy departments of health & personal care stores (i.e. CVS, Rite-Aid, Walgreens) or larger grocery or department store pharmacies. Many pharmacists, however, work in hospitals & directly care for patients by overseeing the dosage, timing, & delivery of prescribed medications. These pharmacists are known as clinical pharmacists. Most pharmacists work full-time, & many work nights & weekends as pharmacies are open very long hours to accommodate patient needs.

Some pharmacists own or manage their own pharmacies; these professionals often need to undertake various business tasks like inventory management. The vast majority of pharmacist-delivered drugs are already in standardized dosages from the pharmaceutical manufacturer, but for those drugs that are not, pharmacists mix elements together in a process called compounding. These custom medications are created specifically to help each individual patient based on the health history & particular needs of the person. Becoming a pharmacist is no easy task; a Doctor of Pharmacy (Pharm. D.) degree is required to join the illustrious profession. These programs typically require at least 2 years of postsecondary education to begin, but some do require a bachelor's degree. Pharm. D. programs generally take 3-4 years to complete, including a mandatory supervised work experience (internship) at a potential job site such as a hospital or retail pharmacy. Pharmacists are licensed in all 50 US states, & most of these states require the passing of an exam as well as continuing education courses to retain that license.

Pharmacists work hard all year to help Americans stay in good health, whether it is by providing critical medications or through delivery of important immunizations. January 12 is National Pharmacist Day, so be sure to thank your local pharmacist for all they do to help you stay in top shape! If you want to learn more about the Pharmacy profession, take a look at our infographic below & be sure to check us out all this week on our social media pages: Facebook, Twitter, & Instagram!
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