Cannabinoid hyperemesis syndrome: a specific cause of cyclical vomiting

2014 ◽  
Vol 26 (1) ◽  
pp. 153-156 ◽  
Author(s):  
Reshmi Morris ◽  
Martin Fisher
Keyword(s):  
Young Adults ◽  
Marijuana Use ◽  
Hot Water ◽  
Nausea And Vomiting ◽  
Adolescents And Young Adults ◽  
The Past ◽  
Cannabinoid Hyperemesis Syndrome ◽  
Almost All

Abstract Cyclical vomiting syndrome (CVS) is a disorder that occurs mostly in children, adolescents and young adults in which episodes of nausea and vomiting occur up to six to 12 times per year. In the past decade, one specific cause of cyclical vomiting syndrome, referred to as cannabinoid hyperemesis syndrome (CHS), has been described in a subset of patients who report chronic marijuana use. Of interest, almost all of these patients report compulsive bathing in hot water as part of the syndrome. In this report, we present the case of a 20-year-old female with CHS, review the issues generally encountered in CVS and discuss the known details of CHS. This is an important syndrome that needs to be considered as a potential diagnosis when patients present with cyclical vomiting.

scholarly journals Residential Mobility, Transience, Depression, and Marijuana Use Initiation Among Adolescents and Young Adults

2017 ◽  
Vol 11 ◽  
pp. 117822181771141 ◽  
Author(s):  
Cristie Glasheen ◽  
Valerie L Forman-Hoffman ◽  
Jason Williams
Keyword(s):  
Young Adults ◽  
Mental Health Professionals ◽  
Residential Mobility ◽  
High Mobility ◽  
School Personnel ◽  
Marijuana Use ◽  
Young Adolescents ◽  
Physical And Mental Health ◽  
Logistic Regression Models ◽  
The Past

Marijuana use initiation is associated with numerous health and behavioral consequences, particularly among young adolescents. Finding easily identifiable risk markers for marijuana initiation is an important step for targeting primary and secondary prevention efforts. This study used data from the 2010-2014 National Survey on Drug Use and Health to evaluate the association between residential mobility (no mobility, low mobility, high mobility [ie, transience]), and major depressive episode(s) (MDE) on marijuana initiation among adolescents (12-17) and young adults (18-20). Age-stratified logistic regression models indicated that among 12- to 13-year-old adolescents, mobility in the past 5 years and past year MDE have a multiplicative effect on the odds of past year marijuana initiation. Among adolescents aged 14 to 15 years, both mobility and MDE were independently associated with marijuana initiation, but there was no interaction. Among older adolescents (aged 16-17 years), only transience (⩾3 moves in the past 5 years) was associated with marijuana use initiation, and although MDE was significantly associated with marijuana initiation, there was no interaction with mobility. Among young adults, mobility was not associated with marijuana initiation. Residential mobility among young adolescents is an easily identifiable risk marker that may serve as an indicator for physical and mental health professionals, school personnel, and parents to use in targeting both depression and marijuana prevention efforts.

scholarly journals Is It Helpful to Believe That Efforts Will Lead to Positive Outcomes? Two Cross-Lagged Panel Investigations among Adolescents and Young Adults

2020 ◽  
Vol 17 (20) ◽  
pp. 7585
Author(s):  
Jacky C. K. Ng ◽  
Vince W. T. Cheung ◽  
Helen S. M. Wong ◽  
Sherry M. Y. Leung ◽  
Victor C. Y. Lau
Keyword(s):  
Life Satisfaction ◽  
Young Adults ◽  
Self Esteem ◽  
Adolescents And Young Adults ◽  
Time Lags ◽  
Positive Outcomes ◽  
The Past ◽  
Multiplicative Effect ◽  
Positive Effect

Over the past few decades, the role of self-views in life satisfaction has been extensively investigated. Recently, growing attention has been directed to the question of whether an optimistic worldview, termed “reward for application”, helps boost life satisfaction. Conceptually, the association between reward for application and life satisfaction can be paradoxical. Due to various methodological and theoretical shortfalls, previous investigations were unable to draw a robust conclusion on this association. To address these shortfalls, two cross-lagged panel studies were conducted with different time lags. Over and above the potential confounds of self-views (namely, self-esteem and self-rated personality traits), reward for application had a positive effect on lagged life satisfaction among both adolescents and young adults, while the reverse effect was not found. Moreover, we found support for the multiplicative effect between worldviews and self-views, in which the positive effect of reward for application on life satisfaction was attenuated by high self-esteem.

scholarly journals Age- and Sex-Related Differences in Nonfatal Dog Bite Injuries Among Persons Aged 0-19 Treated in Hospital Emergency Departments, United States, 2001-2017

2020 ◽  
Vol 135 (2) ◽  
pp. 238-244
Author(s):  
Adelaide Newman Basco ◽  
Emma Reiss McCormack ◽  
William T. Basco
Keyword(s):  
Young Adults ◽  
Emergency Departments ◽  
Adolescents And Young Adults ◽  
Dog Bite ◽  
The Past ◽  
Adjusted Rate ◽  
Hospital Emergency Departments ◽  
Year 2000 ◽  
Bite Injuries ◽  
Age And Sex

Objective: No studies using national data have evaluated changes in nonfatal dog bite injuries among children, adolescents, and young adults during the past 2 decades. We examined estimates of annual nonfatal dog bite injuries among persons aged 0-19 treated in US emergency departments (EDs) from 2001 through 2017. Methods: We examined data from the Web-based Injury Statistics Query and Reporting System to compare estimates of the annual rates of nonfatal dog bite injuries in EDs among all persons aged 0-19, by age group (0-4, 5-9, 10-14, and 15-19), and by sex. We determined significance by comparing 95% confidence intervals (CIs), and we standardized rate calculations to the year 2000 population. Results: During 2001-2017, an estimated 2 406 109 (95% CI, 2 102 643-2 709 573) persons aged 0-19 were treated in EDs for nonfatal dog bite injuries (age-adjusted rate of 173.1 per 100 000 persons aged 0-19). The estimated number of nonfatal dog bite injuries declined significantly, from 181 090 (95% CI, 158 315-203 864) in 2001 to 118 800 (95% CI, 97 933-139 667) in 2017. The highest rate was among children aged 5-9. Male children, adolescents, and young adults were significantly more likely than female children, adolescents, and young adults to be treated in the ED for nonfatal dog bite injuries, driven by male–female differences in children and adolescents aged 5-14. Conclusions: Although the estimated number of nonfatal dog bite injuries among persons aged 0-19 declined significantly in the past 2 decades, additional regulatory and educational efforts specific to age and sex may lead to further reductions in nonfatal dog bite injuries.

Adherence to clinical practice guidelines for the prevention of acute chemotherapy-induced nausea and vomiting in children, adolescents, and young adults with cancer receiving their first cycle of highly emetogenic chemotherapy.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 19-19
Author(s):  
Melissa Beauchemin ◽  
Chunhua Weng ◽  
L. Lee Dupuis ◽  
Lillian Sung ◽  
Dawn L. Hershman ◽  
...  
Keyword(s):  
Young Adults ◽  
Pediatric Oncology ◽  
Clinical Setting ◽  
Chemotherapy Regimen ◽  
Emetogenic Chemotherapy ◽  
Nausea And Vomiting ◽  
Adolescents And Young Adults ◽  
Cancer Type ◽  
Electronic Health Record Data ◽  
Highly Emetogenic Chemotherapy

19 Background: Prescribing guideline-recommended anti-emetics for the prevention of chemotherapy-induced nausea and vomiting (CINV) is an effective strategy to prevent a common treatment-related adverse effect in children, adolescents and young adults (AYAs) with cancer that impacts quality of life. The rate of guideline-concordant care (GCC) is not well-understood. Methods: Using electronic health record data Columbia University Irving Medical Center from a 3-year period, we conducted a retrospective single-institution cohort study to investigate how often children and AYAs (age 26 or less) receive GCC to prevent CINV prior to the first administration of highly-emetogenic chemotherapy. We defined GCC from the Pediatric Oncology Group of Ontario guideline for patients < 18 years and the American Society of Clinical Oncology guideline for those ≥ 18 years. Independent variables included: sex, age, insurance status, race, ethnicity, cancer type, chemotherapy regimen, clinical setting (adult or pediatric oncology), and patient location (inpatient or outpatient). Predictors of GCC were determined using multiple logistic regression. Results: Of 91 included patients, 39 (43%) received GCC. Those treated in adult oncology setting (OR 7.5, 95% CI: 2.7–20.7), receiving cisplatin-based chemotherapy (OR 3.5, CI: 1.4–8.5), or with commercial insurance (OR 2.7, CI: 1.1–6.3) were more likely to receive GCC. In multivariable analysis, patients treated in adult oncology had 6.4 higher odds (CI: 2.1–19.1, p<.001) and those receiving cisplatin 4.6 higher odds (1.6–13, p<.01) of GCC. Conclusions: Clinical setting and chemotherapy regimen independently predicted GCC for prevention of CINV in children and AYAs receiving highly-emetogenic chemotherapy. These findings can inform current efforts to optimize implementation strategies for supportive care guidelines by focusing on specific provider- and patient-level factors.

Regular Marijuana Use is Associated with Poor Viral Suppression in HIV-Infected Adolescents and Young Adults

2017 ◽  
Vol 22 (4) ◽  
pp. 1363-1372 ◽  
Author(s):  
Amelia B. Thompson ◽  
Scott E. Gillespie ◽  
Jasper Hood ◽  
LaTeshia Thomas-Seaton ◽  
Sophia A. Hussen ◽  
...  
Keyword(s):  
Young Adults ◽  
Viral Suppression ◽  
Marijuana Use ◽  
Adolescents And Young Adults

scholarly journals Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults

2019 ◽  
Vol 173 (10) ◽  
pp. e192574 ◽  
Author(s):  
Nicholas Chadi ◽  
Rachel Schroeder ◽  
Jens Winther Jensen ◽  
Sharon Levy
Keyword(s):  
Young Adults ◽  
Marijuana Use ◽  
Electronic Cigarette ◽  
Adolescents And Young Adults ◽  
Cigarette Use

Self-Reported Drug Use and Hearing Measures in Young Adults

2020 ◽  
Vol 63 (3) ◽  
pp. 885-895
Author(s):  
Peter Torre ◽  
Mark B. Reed
Keyword(s):  
Young Adults ◽  
Otoacoustic Emissions ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Marijuana Use ◽  
Future Research ◽  
Stimulant Use ◽  
Distortion Product ◽  
The Past ◽  
Hearing Outcomes

Purpose The purpose of this study was to examine marijuana or other substance use on pure-tone thresholds and distortion product otoacoustic emissions (DPOAEs) in young adults. Method Young adults ( n = 243; 182 women, 61 men; M age = 20.9 years, SD = 2.7 years) participated in this study. Survey data included personal music system use, marijuana use, and misuse of prescription medications. Otoscopy, tympanometry, pure-tone audiometry, and DPOAEs were obtained. Pure tones from octave frequencies of 0.25 through 8 kHz were obtained, and DPOAEs were recorded between f 2 frequencies of 1 and 6 kHz using two continuously presented stimulus tones swept in frequency. Results Those who reported marijuana or stimulant use had similar pure-tone averages (0.5, 1, 2, and 4 kHz) compared to those who reported never using marijuana or stimulants. Women who reported marijuana use in the past 30 days > two times had statistically significant higher mean DPOAEs compared to women who reported ≤ two times or no marijuana use in the past 30 days. Men, however, who reported marijuana use in the past 30 days > two times had lower, but not statistically significant, mean DPOAEs compared to men who reported ≤ two times or no marijuana use in the past 30 days. Women who reported ever using stimulants had statistically significant higher mean DPOAEs compared to women who reported never using stimulants; for men, mean DPOAEs were similar between those who reported ever using stimulants and those who never used stimulants. Conclusions The results of this study demonstrate different and contradictory associations between marijuana use, stimulant use, and hearing outcomes as a function of sex. Future research is needed to explore these associations utilizing larger sample sizes while accounting for additional harmful exposures to other noise exposures.

Modifiable risk behaviors in adolescents and young adults (AYA) with cancer.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18095-e18095 ◽  
Author(s):  
Lia J. Smith ◽  
Andrea C. King ◽  
Xiaolei Lin ◽  
Donald Hedeker ◽  
Tara O. Henderson
Keyword(s):  
Substance Use ◽  
Young Adults ◽  
Sleep Quality ◽  
Risk Behaviors ◽  
Cancer Diagnosis ◽  
Linear Trend ◽  
Marijuana Use ◽  
Risky Behaviors ◽  
Adolescents And Young Adults ◽  
Trend Analyses

e18095 Background: A cancer diagnosis in adolescents and young adults (AYA) comes at a complex developmental interval that often coincides with risky behaviors, such as substance use. Modifiable risk behaviors are an important area of research to minimize morbidity for AYA. Our goal was to examine substance use, affect, and other health indicators in a diverse AYA cancer patient sample. Methods: We identified patients between the ages of 18-39 years and 6 or more months from date of cancer diagnosis. Measures included demographic, general health and substance use variables, the Center for Epidemiologic Studies Depression Scale (CES-D), and the State-Trait Anxiety Inventory (STAI-T). Linear trend analyses were performed to examine group differences. Backward-selection ordinal regression analyses identified specific factors associated with risky health behaviors. Results: Participants (60% male; Mage = 27; 70% White; 14% Black) included 100 patients with primary diagnoses of lymphoma (N = 45); leukemia (N = 37); sarcoma (N = 10); other (N = 8). Median time from cancer diagnosis was 2 years (range 6 months - 20 years). Past year alcohol, cigarette, and marijuana use was reported in 80% ,15%, and 33% of participants, respectively. We classified three subgroups based on past year alcohol and smoking, including non-smoker/non-drinker (n = 20), non-smoker/drinker (n = 65), and smoker/drinker (n = 15). Linear trend analyses indicated that the groups did not differ on time since diagnosis, but the smoker/drinker group initiated drinking younger ( p< 0.01), were more likely to use marijuana in the past year ( p< 0.01), and had increased depressive symptoms (CES-D; p< 0.01), anxiety (STAI-T; p< 0.05), body pain ( p< 0.05), and poorer sleep quality ( p< 0.05). Backward model selection treating outcome categories as ordinal indicated that frequent marijuana use and poor sleep quality were associated with being a past year smoker/drinker. Conclusions: A sizeable portion of AYA cancer patients engage in drinking and smoking, which is associated with negative affect and poorer self-reported health. Targeted interventions should be considered to reduce risky behaviors in this population.

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