RESEARCH

Smoked cannabis for chronic neuropathic pain: a randomized controlled trial
Mark A. Ware MBBS, Tongtong Wang PhD, Stan Shapiro PhD and colleagues
August 30, 2010

Smoked cannabis for chronic neuropathic pain: a randomized controlled trialCannabis smoked three times per day reduced the intensity of neuropathic pain, improved sleep and was well tolerated. In this randomized crossover trial of 23 patients, Ware and colleagues used three strengths of cannabis as well as placebo to test the effects of the drug. These findings are suggestive, but they need to be confirmed in larger long-term safety and efficacy studies, say the authors. Full article

COMMENTARY: More evidence cannabis can help in neuropathic pain

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PRACTICE

Intracerebral hemorrhage in a young man
August 30, 2010

Intracerebral hemorrhage in a young manA 27-year-old man was found to have drowsiness, slurred speech and right-sided weakness following a minor motor vehicle accident, although he had no history of head injury. Imaging of the brain showed an acute deep hemorrhage in the left basal ganglia, along with evidence of multiple previous hemorrhages in the white matter. Presentation at an expert case conference and an extensive literature review helped determine the cause. What is the diagnosis? Full article

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REVIEW

Tests used to evaluate dizziness in primary care
July 19, 2010

Tests used to evaluate dizziness in primary careAlthough dizziness is a common symptom in primary care, most studies on diagnosing dizziness have been conducted in highly selected groups of patients. There are many diagnostic tests available for assessing dizziness, but Dros and colleagues caution that physicians should be careful not to treat patients on the basis of test results that are inconsistent with the patient’s symptoms. Full article

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EDITORIAL

Governments, pay for smoking cessation
August 30, 2010

Evidence that smoking cessation therapies save lives and result in cost savings to taxpayers is all but incontrovertible. Governments and third-party payers worldwide should pay for all products and implement smoking cessation programs. Full article


L’idéologie l’emporte sur les preuves avec la nouvelle enquête à participation volontaire
August 30, 2010

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NEWS

Reducing infant mortality rate a challenge in Liberia
September 3, 2010

Reducing infant mortality rate a challenge in LiberiaLiberia has one of the highest infant mortality rates in the world but reducing that will require resolving such systemic problems as underfunding and understaffing of the health care system, as well as reconstruction of the country's infrastructure and education system. Full article

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FOR THE RECORD

For the Record

Feds adopt wait-and-see strategy for funding of therapeutic clinical trial of liberation therapy for multiple sclerosis
September 2, 2010

Unconvinced that balloon venoplasty is a valid therapy for multiple sclerosis, Health Minister Leona Aglukkaq says the federal government will not provide financial support for a pan-Canadian therapeutic clinical trial of Italian physician Dr. Paolo Zamboni’s controversial liberation therapy “at this point in time.” Full article

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CMAJ in the News

“Smoking cannabis relieves chronic pain” (The Independent (UK), September 1, 2010)

“Chronic pain suffers helped by marijuana” (UPI, September 1, 2010)

“Huff and puff” (Winnipeg Free Press, editorial, September 1, 2010)

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