scholarly journals Tracking and Reporting Outcomes in Medical Marijuana: Establishing Condition Specific State Level Registries

2019 ◽  
Vol 10 (2) ◽  
pp. 4
Author(s):  
Paul C Langley
Keyword(s):  
Low Cost ◽  
Medical Marijuana ◽  
State Level ◽  
Research Quality ◽  
Duty Of Care ◽  
Article Type ◽  
On Line ◽  
Quality Framework ◽  
Medical Marijuana Dispensaries ◽  
Rule Making

In a previous commentary in INNOVATIONS in pharmacy, the question was raised as to the questions legislators should ask for the licensing of medical marijuana dispensaries. The case was made that if dispensaries accept they have a duty of care then they should be required to monitor patients over the course of their treatment with botanical cannabis, including hemp based product, to evaluate the response of patients to therapy. One option would be for individual dispensaries (or owners of multiple licenses and dispensary locations) to adopt a registry format and implement an on-line reporting system by registry staff and patients for the conditions being treated. Unfortunately, under present legislative rules for dispensaries there is no incentive for dispensaries to make the necessary investment. It is also unlikely that legislators would be prepared to mandate a registry requirement. The purpose of this commentary is to offer an alternative solution. Rather than dispensary specific registries, a state-wide low cost registry is proposed where dispensaries are required to log in and track patients with specific conditions. In the case of severe pain, a dispensary would log in patients presenting with this condition and the patient tracked over their course of treatment. A further advantage with a statewide registry is that if a patient visits a different dispensary they can still be tracked as they would be identified by their marijuana card number. The ability to track patients by condition, while still resident in a state, would not only minimize the issue of incomplete records, but would provide a comprehensive, research quality framework for evaluating claims for botanical cannabis. This could then provide feedback to legislators and establish a robust basis for rule making.   Article Type: Commentary

scholarly journals Establishing Practice Risk Management and Outcomes Claims for Medical Marijuana Dispensaries: Questions Legislators Should Ask

2019 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Paul Langley
Keyword(s):  
Risk Management ◽  
Medical Marijuana ◽  
Evidence Base ◽  
Level Of Care ◽  
Duty Of Care ◽  
For Profit ◽  
Not For Profit ◽  
Article Type ◽  
Scant Attention ◽  
Medical Marijuana Dispensaries

In a previous commentary in INNOVATIONS in Pharmacy, the case was made that a major oversight in approving the establishment of medical marijuana programs through commercially and not-for-profit operated dispensaries is the failure to put in place standards for the monitoring and reporting of outcomes. It was pointed out that the evidence base is limited for the range of dosing options, administrative routes and conditions treated. The concern is that the ease that patients have in obtaining medical marijuana certification in many states means that a medical marijuana program is, in effect, little different from a recreational program. Dispensaries understandably focus on sales and returns to investors with scant attention given to tracking and reporting outcomes across the range of conditions and symptoms presented.  While this no doubt appeals to investors in reducing administration costs, it makes it virtually impossible to deliver the appropriate and coordinated level of care that patients should expect if a medical marijuana dispensary is to meet it responsibilities in its duty of care. This places dispensaries at malpractice risk. Given this, this commentary focuses on the questions that legislators should ask in licensing medical marijuana dispensaries to ensure they meet a defensible duty of care to their patients.   Article Type: Commentary

scholarly journals Opioids, (Non)-medical Marijuana, and the Cult of the Body

2019 ◽  
Vol 86 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Ethan Schimmoeller
Keyword(s):  
Medical Marijuana ◽  
State Level ◽  
New Age ◽  
The Body ◽  
Medical Marijuana Dispensaries ◽  
Meaning And Purpose ◽  
Medicine Today ◽  
Botanical Medicine

Ohio’s first medical marijuana dispensaries will open in the fall of 2018, so physicians, then, must decide whether they will participate. But is medical marijuana really medical? No, at best, it is an unproven botanical. Medicine today is progressively moving away from traditional understandings of health according to formal and final causation and toward wellness as an expanding, subjective ideal. Whereas patients are healthy if the doctor says so, patients are well if they say so. Pitched as a wellness product, cannabis presents itself as an existential palliative, part of an imminent cult of the body. Consequently, people often use cannabis to escape reality according to a new age mythos. Physicians can play their part by choosing not to certify for “medical” marijuana and seek to rediscover the body as more than mere dead matter in motion rather than insulating ourselves from the difficult questions of suffering, meaning, and purpose. Summary: Despite state-level legality, medical marijuana is not medical. Rather, it is often touted as part of a cult of the body to escape suffering and death.

The Conversion Conundrum: The State and Federal Response to Hospitals’ Changes in Charitable Status

1997 ◽  
Vol 23 (2-3) ◽  
pp. 221-250
Author(s):  
Lawrence E. Singer
Keyword(s):  
Joint Venture ◽  
Low Cost ◽  
State Level ◽  
The State ◽  
Nonprofit Hospitals ◽  
For Profit ◽  
Tax Exempt ◽  
Federal Response ◽  
Profit Status ◽  
Hospital Conversions

The pressures encountered by hospitals in the current era of reimbursement declines and stiffened competition are well known. As the “ultimate” payors—primarily employers and government—aggressively continue to seek low cost care, the response of the hospital industry has been to move toward consolidation and efficiency-enhancing mechanisms.Increasingly, nonprofit, tax-exempt hospitals have come to believe that they are at a significant disadvantage vis-á-vis their for-profit brethren in their ability to attract the capital needed to compete in the market. A growing trend among nonprofit hospitals, therefore, is to sell to or enter into a joint venture with a proprietary organization, or alternatively to convert to for-profit status. In 1995, fifty-eight nonprofit hospitals became for-profit; hospital conversions to for-profit status in 1996 are projected to outstrip the pace established the prior year.The conversion trend has not gone unnoticed at the state level. Recently, several states have proposed or enacted laws regulating sales and conversions of nonprofit hospitals, and many more states are contemplating such legislation.

scholarly journals Immobilization of Pseudomonas aeruginosa static biomass on eggshell powder for on-line preconcentration and determination of Cr (VI)

2020 ◽  
Vol 18 (1) ◽  
pp. 303-313 ◽  
Author(s):  
Aamir Rasheed ◽  
Tahseen Ghous ◽  
Sumaira Mumtaz ◽  
Muhammad Nadeem Zafar ◽  
Kalsoom Akhter ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Low Cost ◽  
Colorimetric Detection ◽  
Time Flow ◽  
Highly Sensitive ◽  
Glass Column ◽  
On Line ◽  
Preconcentration Time ◽  
Ultra Trace

AbstractIn the present work, a novel continuous flow system (CFS) is developed for the preconcentration and determination of Cr (VI) using Pseudomonas aeruginosa static biomass immobilized onto an effective and low-cost solid support of powdered eggshells. A mini glass column packed with the immobilized biosorbent is incorporated in a CFS for the preconcentration and determination of Cr (VI) from aqueous solutions. The method is based on preconcentration, washing and elution steps followed by colorimetric detection with 1,5-diphenyl carbazide in sulphuric acid. The effects of several variables such as pH, retention time, flow rate, eluent concentration and loaded volume are studied. Under optimal conditions, the CFS method has a linear range between 10 and 100 μg L-1 and a detection limit of 6.25 μg L-1 for the determination of Cr (VI). The sampling frequency is 10 samples per hour with a preconcentration time of 5 mins. Furthermore, after washing with a 0.1 M buffer (pH 3.0), the activity of the biosorbent is regenerated and remained comparable for more than 200 cycles. Scanning electron microscopy reveals a successful immobilization of biomass on eggshells powder and precipitation of Cr (VI) on the bacterial cell surface. The proposed method proves highly sensitive and could be suitable for the determination of Cr (VI) at an ultra-trace level.

Design and Implement of High-Accuracy On-Line Metal Thickness Measuring Instrument Based on NiosII Processor

2013 ◽  
Vol 834-836 ◽  
pp. 930-934
Author(s):  
Shou Liang Yang ◽  
Bao Liang Yang
Keyword(s):  
Eddy Current ◽  
Low Cost ◽  
High Accuracy ◽  
Resolving Power ◽  
Current Sensor ◽  
Measuring Instrument ◽  
Precision Data ◽  
Eddy Current Sensor ◽  
Metal Thickness ◽  
On Line

The paper proposes a new design of high-accuracy On-line Metal Thickness Measuring Instrument, which was based on EP2C20 series FPGA chip, through adding NiosII soft processor and other interfaces to FPGA, equipped with high precision data collection system and TFT LCD module and so on. The key hardware blocks schematics and components of the RC Oscillation Circuit,eddy current sensor Circuit,rectifier and filter Circuit,A/D converting circuit,FPGA Circuit are described,software flow charts and sample codes are given. According to practice, The measurement range of this system is 1~100 mm and the resolving power is 0.1 μm. degree of linearity is 1%, The system has many features including small volume of hardware, low cost, high detecting precision, convenient operating, high intelligent and so on, leading to broad and bright future. Key words: NiosII processor; eddy current sensor; metal thickness

A Vision-Based Gap Detection Method during the Placement of Large-Scale Composite Structures

2011 ◽  
Vol 186 ◽  
pp. 11-15
Author(s):  
Li Cao ◽  
Wen Chen ◽  
Jun Xiao
Keyword(s):  
Image Processing ◽  
Video Processing ◽  
Composite Structures ◽  
Large Scale ◽  
Low Cost ◽  
High Quality ◽  
Detection Technology ◽  
Gap Measurement ◽  
Automatic Placement ◽  
On Line

Video processing technology is regarded as a low-cost detection technology in complex environment. Because the placement layer is thin and the surface is complex that causes high detection error and high cost in laser measurement. Two problems must be solved before using it in large-scale composite structures automatic placement. One is to obtain the high-quality and stable image, and the other is to improve efficiency of image processing. In this paper, a method obtaining the high quality placement gap images was studied. It made use of the optical characteristics of composite material’s surface texture. And some parameters were determined by experiments. To reduce the calculation cost of image processing, a placement gap measurement method based on line scanning was also proposed here. The method was effective in our detection experiments on an actual workpiece.

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