Skip to main content

Main menu

  • Home
  • COVID-19
    • Articles & podcasts
    • Blog posts
    • Collection
    • News
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • Classified ads
  • Authors
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
  • CMA Members
    • Overview for members
    • Earn CPD Credits
    • Print copies of CMAJ
    • Career Ad Discount
  • Subscribers
    • General information
    • View prices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN

User menu

Search

  • Advanced search
CMAJ
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN
CMAJ

Advanced Search

  • Home
  • COVID-19
    • Articles & podcasts
    • Blog posts
    • Collection
    • News
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • Classified ads
  • Authors
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
  • CMA Members
    • Overview for members
    • Earn CPD Credits
    • Print copies of CMAJ
    • Career Ad Discount
  • Subscribers
    • General information
    • View prices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
  • Visit CMAJ on Facebook
  • Follow CMAJ on Twitter
  • Follow CMAJ on Pinterest
  • Follow CMAJ on Youtube
  • Follow CMAJ on Instagram
Highlights

Highlights

CMAJ April 14, 2009 180 (8) 789;
  • Article
  • Figures & Tables
  • Responses
  • Metrics
  • PDF
Loading

Marijuana and chronic obstructive pulmonary disease

Figure1
  • Download figure
  • Open in new tab
  • Download powerpoint

Photos.com

Smoking marijuana and tobacco concurrently may have a synergistic effect on the development of chronic obstructive pulmonary disease, find Tan and colleagues in their cross-sectional, population-based study of 878 adults. However, smoking marijuana alone was not associated with respiratory disease in their study. See Research, page 814

Other studies suggest that smoking marijuana probably leads to respiratory symptoms, says Tashkin. However, any association between smoking marijuana and declining lung function is unclear, he adds. See Commentary, page 797

Intensive insulin therapy in intensive care units

Intensive insulin therapy, compared with conventional glucose management, may not lower the risk of mortality for critically ill patients, but the risk of hypoglycemia is increased 6-fold. This is what Griesdale and colleagues found in their meta-analysis of 26 randomized trials. Their research also suggests that patients in surgical intensive care units may have a mortality benefit with intensive insulin therapy. See Research, page 821

Figure2
  • Download figure
  • Open in new tab
  • Download powerpoint

Photos.com

Patients in medical intensive care units have more chronic illness than those in surgical intensive care units and are less able to benefit from intensive insulin treatment, say Van den Berghe and colleagues. They also say that surgical intensive care units have more effective protocols for implementing intensive insulin therapy. See Commentary, page 799

National Pharmaceutical Strategy

The need for a national strategy on pharmaceuticals is greater in 2009 than it was in 2004, say MacKinnon and Ip in their evaluation of the limited progress made by the strategy. See Commentary, page 801

Orange palms

Figure3
  • Download figure
  • Open in new tab
  • Download powerpoint

FIGURE. No caption available.

A 40-year-old woman presented to the emergency department with orange discoloration of her palms of several days’ duration. A dietary history helped to determine the cause. See Clinical images, page 895

Hereditary hemorrhagic telangiectasia

Recurrent epistaxis, multiple telangiectasias and visceral arteriovenous malformations are suggestive of hereditary hemorrhagic telangiectasia. Four related articles highlight the challenges in diagnosing and managing this genetic disorder. See Practice, page 833, page 836, page 838, page 839

E-prescribing

United States President Barack Obama unveils a multibillion dollar electronic record-keeping initiative that includes incentives for paperless prescriptions. See News, page 806

Weather-health management

A new online service offers a free, subscriber-based alert system that notifies users of weather patterns that might aggravate 5 medical conditions: arthritis, asthma, diabetes, heart disease and migraine. See News, page 809

Figure4
  • Download figure
  • Open in new tab
  • Download powerpoint

Photos.com

PreviousNext
Back to top

In this issue

Canadian Medical Association Journal: 180 (8)
CMAJ
Vol. 180, Issue 8
14 Apr 2009
  • Table of Contents
  • Index by author

Article tools

Respond to this article
Print
Download PDF
Article Alerts
To sign up for email alerts or to access your current email alerts, enter your email address below:
Email Article

Thank you for your interest in spreading the word on CMAJ.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Highlights
(Your Name) has sent you a message from CMAJ
(Your Name) thought you would like to see the CMAJ web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Highlights
CMAJ Apr 2009, 180 (8) 789;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
‍ Request Permissions
Share
Highlights
CMAJ Apr 2009, 180 (8) 789;
Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Figures & Tables
  • Responses
  • Metrics
  • PDF

Related Articles

  • Marijuana and chronic obstructive lung disease: a population-based study
  • Does smoking marijuana increase the risk of chronic obstructive pulmonary disease?
  • Intensive insulin therapy and mortality among critically ill patients: a meta-analysis including NICE-SUGAR study data
  • Intensive insulin therapy in the intensive care unit
  • The National Pharmaceuticals Strategy: Rest in peace, revive or renew?
  • Orange discoloration of the palms
  • Hereditary hemorrhagic telangiectasia
  • Hereditary hemorrhagic telangiectasia: transient ischemic attacks
  • Hereditary hemorrhagic telangiectasia: epistaxis and hemoptysis
  • Hereditary hemorrhagic telangiectasia: fatigue and dyspnea
  • Digital Rx: Obama pushing for paperless prescriptions
  • The meteorology of the human body
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Highlights
  • Highlights
  • Highlights
Show more Highlights

Similar Articles

Content

  • Current issue
  • Past issues
  • Collections
  • Sections
  • Blog
  • Podcasts
  • Alerts
  • RSS
  • Early releases

Information for

  • Advertisers
  • Authors
  • Reviewers
  • CMA Members
  • Media
  • Reprint requests
  • Subscribers

About

  • General Information
  • Journal staff
  • Editorial Board
  • Governance Council
  • Journal Oversight
  • Careers
  • Contact
  • Copyright and Permissions

Copyright 2021, Joule Inc. or its licensors. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p)

All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

Powered by HighWire