Search

Dramatic changes in state-level cannabis laws (CL) over the past 25 years have shifted societal beliefs throughout the United States, with unknown implications for youth. In the present study, we conducted an updated systematic review and meta-analysis examining estimated effects of medical cannabis legalization (MCL) and recreational cannabis legalization (RCL) on past-month cannabis use among US youth. A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, followed by a subsequent meta-analysis investigating the associations between state-level cannabis laws (ie, MCL vs non-MCL, and RCL vs non-RCL) and past-month cannabis use prevalence among US adolescents and young adults. Supplemental analyses examined age-group effects and design-related factors. Our search identified 4,604 citations, 34 and 30 of which were included in qualitative and quantitative analyses, respectively. Meta-analysis of MCL studies identified no significant association between MCL and change in past-month youth cannabis use (odds ratio [OR] = 0.981, 95% CI = 0.960, 1.003). Meta-analysis of RCL studies showed significantly increased odds of past-month cannabis use (OR = 1.134, 95% CI = 1.116-1.153). Meta-analysis of more recent studies, however, showed a significantly increased odds of past-month cannabis use among both adolescents and young adults (OR = 1.089, 95% CI = 1.015,1.169, and OR = 1.221, 95% CI = 1.188,1.255, respectively). Cannabis legalization has complex and heterogenous effects on youth use that may differ across law types. Our meta-analytic results showed modest positive effects of RCL on past-month cannabis use (more so in young adults than in adolescents) and minimal effects of MCL on these outcomes in US youth. Given the shift toward recreational legalization, additional focus on RCL effects is warranted. Cannabis laws have changed dramatically throughout the United States over the past 25 years. It is important to determine if medical or recreational cannabis legalization are associated cannabis use in youth. The authors conducted a systematic review and meta-analysis to investigate the associations between state-level cannabis laws and past-month cannabis use in adolescents and young adults. The authors identified 64 articles and found that recreational cannabis laws were associated with a modest but significant higher odds of past-month cannabis use. In contrast, medical cannabis laws were not associated with past-month youth cannabis use. Analysis of more recent studies suggested a rise in cannabis use among youth. The authors conclude that further research is needed to better understand the impact of recreational cannabis legalization on youth. [ABSTRACT FROM AUTHOR]

Money laundering is a highly latent criminal activity, therefore, large volumes of funds of criminal origin «contaminate» the global financial system, creating threats to the global economy. In order to increase the effectiveness of prosecution for money laundering of criminal origin, civilized countries are moving to intensify the fight against money laundering and its globalization, which is joined by more and more countries of the world, including Ukraine. For this purpose, general international standards are established and implemented, which must be implemented by countries in their own legal system. The National Legislature, solving these challenges, systematically makes changes to the rule on money laundering, obtained through crime. The article is devoted to the issue of the study of the impact of globalization and harmonization processes taking place in domestic criminal legislation in connection with the European integration direction of Ukraine, on the transformation of the norm, which provides for criminal liability for money laundering of property obtained through criminal means. In this article, the author analyzed the evolution of the norm on money laundering obtained by crime in criminal legislation, starting with its inclusion in the Criminal Code of Ukraine in 2001 and its subsequent transformation, through the prism of pan-European trends in the fight against money laundering (legalization). In addition, the author researched the points of view of domestic scientists and practicing lawyers, their commonality and difference, on the disposition of the article on money laundering (legalization) of property obtained through criminal means, and its development in domestic legislation. Based on the results of the analysis and research, the author of the article made conclusions about the decisive influence of international and European legislation, which regulates the field of combating the money laundering of property obtained through crime, on domestic criminal legislation and the need for further improvement of the norm on criminal liability for the analyzed criminal offense. [ABSTRACT FROM AUTHOR]

As cannabis legalization evolves in the United States, policies regarding home cultivation vary significantly across states. This study examines factors influencing the decision to grow cannabis at home by cannabis‐consuming residents in legal states. Using data from a large online survey (n = 4,823) of recent cannabis users in cannabis‐legal states, we explore four potential explanations for home cultivation: legal access, needs‐based motivations, resource‐based factors, and identity‐based reasons. Our analysis reveals that home growers differ significantly from non‐growers across multiple dimensions. The stance of state policies on home cultivation plays a role in determining who will grow their own. Notably, a strong sense of cannabis identity is the most powerful predictor for home cultivation. While some aspects of needs‐based and resource‐based motivations play a role, multivariate analyses demonstrate that the most compelling explanation includes a mix of variables, demonstrating the complexity of cannabis consumption and choices to cultivate. [ABSTRACT FROM AUTHOR]

Canada implemented the legalization of nonmedical cannabis use and supply in 2018. Initial blueprints for the legalization policy framework emphasized public health protection as a priority principle and objective, including related policy design parameters and regulatory restrictions (e.g., strict access and distribution control, advertisement/promotion ban, etc.) also as informed by adverse experiences from alcohol/tobacco control. Conversely, Canada's present legalization ecology is characterized by increasingly far‐reaching commercialization; this includes an extensive for‐profit cannabis production and retail industry producing large sales volumes that centrally include high‐risk cannabis products, with many public health‐oriented provisions hollowed out or circumvented in practice. While key cannabis‐related health problem indicators have increased through legalization, mounting evidence suggests that these adverse outcome dynamics, to a crucial extent, have been accelerated by commercialization aspects of legalization. Meanwhile, since legalization the cannabis industry has pushed for further rollbacks of public health‐oriented restrictions for benefits of increased competitiveness. Using the Canadian case study, we focus on the possible pitfalls and adverse effects of commercialization dynamics for public health‐oriented cannabis legalization. Also since commercialization‐related developments and outcomes are hard to reverse, we urge jurisdictions planning cannabis legalization reforms to carefully take consider related evidence and dynamics when assembling their legalization policy frameworks. [ABSTRACT FROM AUTHOR]

Background and aim Methods Findings Conclusion In 2018, the country of Georgia legalized cannabis for recreational use and decriminalized limited possession. This study aimed to assess whether cannabis use increased among young adults (ages 18–29 years) in Georgia after national policy changes and to evaluate whether perceived access became easier after legalization and current risk factors of young adult cannabis use.We used data from the Georgian nationally representative survey administered in 2015 (n = 1308) and 2022 (n = 758), before and after decriminalization. We performed appropriate bivariate analyses and multivariable linear and logistic regressions to assess the following: legalization's impact on cannabis use; perceived difficulty to obtain cannabis; age of first use; differences in use between females and males; and factors associated with current use.Among young adults lifetime prevalence of cannabis use was similar in 2015 (17.3%) and 2022 (18.1%) [Odds Ratio (95% confidence interval) = 1.1 [0.7, 1.6], P = 0.726). Annual prevalence (7% in 2015 vs 7.7% in 2022) was also similar (1.1 [0.7, 2.0], P = 0.650). In 2022 it was less difficult to obtain cannabis than in 2015 (0.5 [0.4, 0.8], P = 0.021). The age of first use increased statistically significantly (18.1 years in 2015 vs 19.1 in 2022, P = 0.003).In 2022, annual prevalence of use was lower among females (1.9% vs 13.1%; OR = 0.1 [0.0, 0.3], P < 0.0001) and higher among those who gambled (11.7% vs 4.4%; OR = 3.2 [1.5, 6.8], P < 0.003). Males initiated cannabis use at an earlier age (19.1 years vs 20.6 for females, P = 0.03), and could obtain cannabis easier than females (P < 0.0001).There was a minimal shift of cannabis use in young adults following implementation of recreational cannabis use legalization in Georgia. Males and people who gambled were at higher risk of cannabis use. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Cannabis may provide inflammatory bowel disease (IBD) patients with an alternative to opioids for pain. METHODS: We conducted a difference-in-difference analysis using MarketScan. Changes over time in rates of opioid prescribing were compared in states with legalized cannabis to those without. RESULTS: We identified 6,240 patients with IBD in states with legalized cannabis and 79,272 patients with IBD in states without legalized cannabis. The rate of opioid prescribing decreased over time in both groups and were not significantly different (attributed differential 5 0.34, confidence interval 213.02 to 13.70, P 5 0.96). DISCUSSION: Opioid prescribing decreased from 2009 to 2016 among patients with IBD in both states with legalized and state without legalized cannabis, similar to what has been observed nationally across a variety of diseases. Cannabis legalization was not associated with a lower rate of opioid prescribing for patients with IBD. [ABSTRACT FROM AUTHOR]

While some countries are moving toward legalization, euthanasia is still criticized on various fronts. Most importantly, it is considered a violation of the medical ethics principle of non-maleficence, because it actively seeks a patient's death. But, medical ethicists should consider an ethical alternative to euthanasia. In this article, we defend cryocide as one such alternative. Under this procedure, with the consent of terminally-ill patients, their clinical death is induced, in order to prevent the further advance of their brain's deterioration. Their body is then cryogenically preserved, in the hope that in the future, there will be a technology to reanimate it. This prospect is ethically distinct from euthanasia if a different criterion of death is assumed. In the information-theoretic criterion of death, a person is not considered dead when brain and cardiopulmonary functions cease, but rather, when information constituting psychology and memory is lost. [ABSTRACT FROM AUTHOR]

Many states have legalized medical and recreational marijuana use in the past decade, which has potential consequences for roadway safety. Using a state‐level panel of heavy truck crash statistics from 2005 to 2021 and a difference‐in‐difference estimation strategy, we test whether legalization has affected crash rates. Our results show that legalization does not increase crash rates on average; however, responses are heterogeneous across states, with Colorado, New Jersey, and Washington (state) showing crash reductions, while Connecticut and Virginia saw crashes increase. These results suggest that marijuana legalization does not have a straightforward relationship with heavy truck accidents, warranting continued research and policy scrutiny. [ABSTRACT FROM AUTHOR]

Many studies show that supranational governance structures (SGS)—understood as international organizations or international treaties—contribute to the global diffusion of public policies. However, we still have a limited understanding of which properties of SGS hasten the number of policy adoptions. To advance this literature, we argue that SGS making legally binding and univocal claims are more likely to act as diffusion accelerators. We demonstrate the suitability of this argument through a case study of the global diffusion of mifepristone approvals, a single‐purpose medicine to terminate pregnancies that has revolutionized abortion services. The analysis supports our expectation. Links to the EU and the Maputo Protocol—the only two considered SGS that make binding claims with clear implications for this policy field—hasten mifepristone approvals. By contrast, ratification of four other treaties—that do not make binding and univocal claims—and exposure to World Health Organization guidelines on medical abortion does not hasten these approvals. [ABSTRACT FROM AUTHOR]

Cannabis policies are increasingly being liberalized, including the implementation of formal legalization policies of non-medical use and supply in multiple jurisdictions (initially in the Americas) towards improved public health and safety objectives. While focus on health indicators has shown mixed or adverse outcomes, less attention has been given to social-legal – and specifically crime-related – outcomes of legalization. We conducted a comprehensive literature and data review of key crime-related outcomes associated with non-medical cannabis legalization in four main domains, based on targeted searches of recent academic (e.g., journal publication) and 'grey' English-language literature sources: 1) cannabis-related crimes and enforcement, and other crimes; 2) cannabis-impaired driving and related motor-vehicle-crashes; 3) cannabis sourcing by consumers; and 4) cannabis market evolution and dynamics. The data identified were extracted, organized and narratively summarized by topic. The data reviewed suggest that cannabis-related crimes and enforcement have substantially decreased, yet arbitrary (e.g., racialized) enforcement patterns – involving both adults and youths – commonly persist in legalization settings; evidence for ecological effects on other (e.g., property, violent) crimes is mixed. The prevalence of cannabis-impaired driving does appear to be steady or decreasing, while levels of cannabis involved in motor-vehicle-crashes, and overall motor-vehicle-crash fatality levels appear to have increased. In North American legalization settings, the legal sourcing of cannabis has gradually increased to involve 50–70% or more of consumers alongside expanding legal retail market proliferation, while found to be influenced by multiple factors (e.g., product characteristics, price, use intensity). Conversely, legal cannabis sourcing remains much more limited in Uruguay's restrictive settings. Data on the evolution of illegal cannabis markets is very limited, suggesting some evidence for reductions of illegal production but also shifts or displacement effects (e.g., towards production for or distribution in non-legalization settings), leaving open questions as to the impacts of legalization in these domains. Overall, legalization appears to be meeting some of its socio-legal and specifically crime-reduction goals, yet while key data indicators are mixed or lacking. Focused and expanded research on crime-related outcomes of legalization policies is needed, also given limited benefits to date evidenced for health outcomes. [ABSTRACT FROM AUTHOR]

The present study addresses the fight for reproductive rights in Latin America, limiting itself to the study of the influences of religious movements in the process of achieving these rights. In the study, a brief analysis of the Latin American scenario is carried out in relation to the advances and setbacks in guaranteeing women's reproductive rights, with the aim of examining Brazilian perspectives in relation to the achievement of reproductive autonomy of its female population, as well as the political, legislative, religious and sociocultural limitations of the country that hinder the implementation of these rights. The methodology used has deduction as its mode of reasoning, with an analytical-interpretive approach and bibliographic procedure. [ABSTRACT FROM AUTHOR]

Introduction. The use of medical marijuana was legalized in Mexico in 2017. In June 2021, the Supreme Court authorized personal marijuana use, as well as its planting, cultivation, harvest, preparation, possession, and transportation for recreational purposes by persons aged 18 and over, decriminalizing its use. Objectives. 1) To determine which variables are associated with favorable opinions regarding medical use, recreational use, and the legalization of marijuana use; and 2) to determine whether there are differences in the variables that best predict support for medicinal and recreational use and legalization of marijuana among marijuana users and non-users. Method. Data are drawn from the 2016 National Survey on Drug, Alcohol, and Tobacco Use, administered to a nationally representative sample of Mexican households. A validated questionnaire was used with questions on demographic characteristics, marijuana use (including the number of times it has been used), respondents' opinions regarding the legalization of marijuana and recreational use, whether they have been offered marijuana without having to pay for it, perception of risk associated with marijuana use, and excessive alcohol consumption. Results. Being male and having a low perception of the risks of marijuana use are the variables mostly strongly associated with approving medical and recreational use and its legalization, irrespective of whether respondents used it. Other variables associated with approval are age, educational attainment, and income level. Discussion and Conclusion. Legislators and policy makers should consider the full range of public opinion concerning the use and legalization of marijuana and incorporate it into their proposals. [ABSTRACT FROM AUTHOR]

Research has identified several factors that impact the sustainability of post-conflict territorial autonomy arrangements (TAA), including previous levels of violence, economic development in a given territory, or the strategic importance thereof. We argue that a hitherto neglected variable lies in the legal form of the autonomy agreement—that is, the degree to which it has been 'legalized' by the language and processes prescribed in the agreement. Based on a qualitative evaluation, we assess the legalization degree of 236 TAA signed between 1990 and 2019. Survival analyses and Cox regression models show that a higher degree of legalization has a positive and significant effect on peace durability. [ABSTRACT FROM AUTHOR]

This article analyzes abortion experiences with misoprostol during the first decade of the 21st century in Argentina, before the legalization of the practice and the publication of the World Health Organization manuals on medication dosage. Based on in-depth interviews with women who underwent medical abortions during those years, we inquire about the mechanisms of information circulation and clandestine purchase of the drug. In addition, the article delves into experiences on the use of medication, confidence in the procedure, and the pain felt by these women from the theoretical perspective of the sociology of emotions. Among the most relevant findings is that women build networks and links to overcome the problems surrounding the practice of abortion because of the difficulty of obtaining the medication in the context of legality and illegality and the lack of information about the procedure itself and to develop a reliable method based on their own experiences. [ABSTRACT FROM AUTHOR]

Cannabis use and cannabis use disorders have taken on a new social significance as a result of partial legalization. In 2021 a total of 4.5 million adults (8.8%) in Germany used the drug. The number of users as well as problematic use have risen in the last decade. Cannabis products with a high delta-9-tetrahydrocannabinol (THC) content and their regular use lead to changes in cannabinoid receptor distribution in the brain and to modifications in the structure and functionality of relevant neuronal networks. The consequences of cannabinoid use are particularly in the psychological functioning and can include intoxication, harmful use, dependence with withdrawal symptoms and cannabis-induced mental disorders. Changes in the diagnostics between ICD-10 and ICD-11 are presented. Interdisciplinary S3 guidelines on cannabis-related disorders are currently being developed and will be finalized shortly. [ABSTRACT FROM AUTHOR]

Background and aims: Multiple countries are considering revising cannabis policies. This study aimed to measure long‐term trends in cannabis use in the United States and compare them with alcohol use. Design and setting: Secondary analysis of United States general population survey data. Participants: The national surveys had a total of 1 641 041 participants across 27 surveys from 1979 to 2022. Measurements: Rates of use reported to the US National Survey on Drug Use and Health and its predecessors are described, as are trends in days of use reported. Four milepost years are contrasted: 1979 (first available data and end of relatively liberal policies of the 1970s), 1992 (end of 12 years of conservative Reagan‐Bush era policies), 2008 (last year before the Justice Department signaled explicit federal non‐interference with state‐level legalizations) and 2022 (most recent data available). Findings Reported cannabis use declined to a nadir in 1992, with partial recovery through 2008, and substantial increases since then, particularly for measures of more intensive use. Between 2008 and 2022, the per capita rate of reporting past‐year use increased by 120%, and days of use reported per capita increased by 218% (in absolute terms from the annual equivalent of 2.3 to 8.1 billion days per year). From 1992 to 2022, there was a 15‐fold increase in the per capita rate of reporting daily or near daily use. Whereas the 1992 survey recorded 10 times as many daily or near daily alcohol as cannabis users (8.9 vs. 0.9 M), the 2022 survey, for the first time, recorded more daily and near daily users of cannabis than alcohol (17.7 vs. 14.7 M). Far more people drink, but high‐frequency drinking is less common. In 2022, the median drinker reported drinking on 4–5 days in the past month, versus 15–16 days in the past month for cannabis. In 2022, past‐month cannabis consumers were almost four times as likely to report daily or near daily use (42.3% vs. 10.9%) and 7.4 times more likely to report daily use (28.2% vs. 3.8%). Conclusions: Long‐term trends in cannabis use in the United States parallel corresponding changes in cannabis policy, with declines during periods of greater restriction and growth during periods of policy liberalization. A growing share of cannabis consumers report daily or near daily use, and their numbers now exceed the number of daily and near daily drinkers. [ABSTRACT FROM AUTHOR]

Understanding differences in post-legalization patterns of marijuana between rural and urban environments has the potential to go a long way towards targeting intervention efforts aimed at reducing marijuana use disorders. Data come from the National Survey on Drug Use and Health (NSDUH, 2015–2019, N = 210,392). Survey-weighted multivariable linear and logistic regression analyses were used to assess the relationship between key marijuana-related variables and the status of medical marijuana use in each state with interaction terms for rural versus urban status. Among the entire sample, the prevalence of marijuana abuse and dependence were 0.7% and 1.8%, respectively. Among marijuana users, the average number of days on which marijuana was used was 131.3 (SD = 136.3) days. Those living in states with legalized medical marijuana reported use on a greater number of days (B = 10.69; 95% CI: 5.26, 16.13) with frequency of use increasing as rurality increased, compared to a core based statistical area (CBSA) of ≥1 million: a CBSA of <1 million residents (B = 23.02; 95% CI: 17.38, 28.66) and non-CBSA (B = 37.62; 95% CI: 22.66, 52.58). We also observed lower odds of driving under the influence of marijuana in states where medical marijuana was legal (aOR = 0.86; 95% CI: 0.77, 0.95). We observed an increase in the frequency of marijuana use and a decrease in driving under the influence of marijuana in states with legalized medical marijuana use relative to those states where it remained illegal. We also observed key moderation based on rural-urban status. This body of results suggests that problematic marijuana use may be on the rise following the legalization of marijuana use, but also that corresponding protective attitudes exist. [ABSTRACT FROM AUTHOR]

Nabin Pathak,1,2 Shreya Dhungana,3 Bijaya Basyal,4 Prabhat Kumar Jha,5 Sunil Shrestha,6 Panna Thapa,7,8 Vibhu Paudyal9,10 1Drug Information Unit and Pharmacovigilance Cell, Department of Pharmacy, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal; 2Department of Pharmacy and Clinical Pharmacology, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal; 3Department of Pharmacy, National Model College for Advanced Learning, Tribhuvan University, Kathmandu, Nepal; 4Pharmacy Unit, Prithvi Chandra Hospital, Nawalparasi, Nepal; 5Pharmacy Officer, Province Health Logistic Management Center, Dhanusha, Nepal; 6Department of Research and Academics, Kathmandu Cancer Center, Bhaktapur, Province Bagmati, Nepal; 7Department of Pharmacy, Kathmandu University, Dhulikhel, Kavre, Nepal; 8Multidimensional Cannabis Research Centre (MCRC), Kathmandu University, Dhulikhel, Nepal; 9School of Pharmacy, College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK; 10Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, London, UKCorrespondence: Nabin Pathak, Drug Information Unit and Pharmacovigilance Cell, Department of Pharmacy, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Makwanpur, Hetauda, Bagmati Province, Nepal, Email nabin.pathak@mbahs.edu.np; pathaknabin89@gmail.comAbstract: The unique historical and cultural background of Nepal has shaped its perspective on cannabis usage. Narcotic Drugs Control Act 1976 of Nepal prohibits the cultivation, production, manufacture, sales, and distribution of narcotic drugs, which also include various forms of cannabis. With proponents for cannabis legalization increasing in the country, it is equally crucial to analyze context and practices in countries already adopting legalization. As such, this article contextualizes the current debates in Nepal with global policies and practices and talks about the possible impacts of changing the laws on society, the economy, and public health. Policymakers in Nepal must make decisions based on evidence and facts when deciding how to regulate cannabis.Keywords: cannabis, legalization, decriminalization, Nepal

Abstract Background Canada legalized recreational cannabis in 2018, and one of the primary objectives of the Cannabis Act was to protect youth by reducing their access to cannabis and providing public education. Canada has the highest prevalence of cannabis use worldwide, particularly among youth and young adults under the age of 25. Cannabis use is linked with many adverse effects for youth and young adults including psychosis, anxiety, depression, respiratory distress, cannabinoid hyperemesis syndrome, and impaired cognitive performance. Despite the high prevalence of cannabis use and the evolution of policies in Canada and globally, significant knowledge and research gaps remain regarding youth and young adult cannabis use. The aim of this scoping review is to map the extent, nature, and range of evidence available on youth and young adult cannabis use in Canada since its legalization, in order to strengthen policies, services, treatments, training, and public education strategies. Methods Using a scoping review framework developed by Arksey and O’Malley, along with the PRISMA-ScR guidelines, we conducted a rigorous search in five academic databases: MEDLINE, Embase, APA PsycINFO, CINAHL and Web of Science Core Collection. We included empirical studies that collected data in Canada after the legalization of recreational cannabis (October 2018) and focused on youth or young adults

Background The concept of euthanasia has recently come into the spotlight, and cases such as those of Aruna Shanbaug have heavily influenced people’s opinions on the topic. Whether euthanasia is performed with the intention of ending suffering that otherwise cannot be helped should truly be supported. The thoughts on this topic- especially of those who work closely with patients who suffer from terminal illnesses- healthcare providers must be analyzed. Their perception and views on legalizing the procedure and their hesitancy or lack thereof to perform such a procedure would give the rest of the world a clearer picture- a better standpoint to understand what to do. This study attempted to quantify and analyze the views of doctors and medical students regarding euthanasia. Methods A cross-sectional survey of 212 doctors and medical students at a private medical college in South India was conducted to determine their attitudes toward euthanasia. Results Most participants (66%) supported the practice of euthanasia. The majority of participants also believed that euthanasia should only be performed with the explicit consent of the patient (71.7%). It was also observed that those who had heard about euthanasia via hearsay mostly agreed that it must only be performed with the explicit consent of the patient. Moreover, the study showed that those who had heard about it from hearsay and news mostly stood for it. Conclusion It has been noted that news and media all around us heavily influence people’s opinions. It is concluded that these opinions have changed from the past, and will likely do so depending on the environment and media around the topic.

While there is an ample body of literature in the anthropology of moralities there is a surprising dearth of research on conscience per se. In Malta over the last ten years there has been a proliferation of a public discourse of ‘conscience’ – its affordances, freedoms and its legal safeguards. This has been the result of debates over reforms leading to the liberalization of sexual and family life, including most recently debates over the legalization of abortion. While the language of conscience in various human rights instruments claims a universal character its meanings, inflections and significance can vary in important ways. There is a blurred boundary between conscience and religion. This paper examines the ways in which conscience is deployed and the significance of the appeals to a national conscience in a European confessional state. It looks at the specific meanings of conscience in Malta and a brief lexical and political history It then moves on to look at the ways objections of conscience are framed in contemporary Malta in light of theological debates and their ramifications in Catholic Malta. [ABSTRACT FROM AUTHOR]

Canada legalized non-medical cannabis use and supply for adults in 2018. We examined developments and changes associated with the legalization policy reform on key indicators for public health, namely cannabis (including frequent/problematic) use prevalence, cannabis-related hospitalizations, cannabis-impaired driving, and cannabis sourcing. We identified peer-reviewed and "grey" study data that featured population-level or other quasi-representative samples and comparable outcome data for pre- and post-legalization periods, including possible trends of changes over time. Cannabis use has increased in select population groups, with use modes shifting away from smoking. Evidence on cannabis-related hospitalizations (e.g., for mental health) is mixed. The prevalence of cannabis-impaired driving appears to be generally steady but THC exposure among crash-involved drivers may have increased. Increasing proportions of users obtain cannabis products from legal sources but some—especially regular—users continue to use illicit sources. Overall, data suggest a mixed and inconclusive picture on cannabis legalization's impacts on essential public health indicators, including select extensions in trends from pre-legalization. [ABSTRACT FROM AUTHOR]

This research came to monitor violations and negatives in society, especially the youth group, and shed light on some of the risks that adolescents and young people face, and among these risks is drug addiction... which may cause them severe psychological, health and social damage... and it is the duty of those in charge of raising adolescents to realize the extent of the seriousness of this matter. On the emerging generation, and take what is necessary before it is too late and the loss of a generation of young people who are the builders of the future and the country’s hope for a better future. [ABSTRACT FROM AUTHOR]

Advocacy groups employ narrative strategies and framing techniques to enhance societal support. However, to date, it remains unclear how the dynamics of narrative strategy evolve over time and what factors contribute to these shifts. To fill this research gap, we use the Narrative Policy Framework to analyze the competing advocacy groups' Facebook pages in Taiwan's same‐sex marriage debate from 2016 to 2019. The findings reveal that policy positions offer greater predictive power for the devil–angel shift, yet the utilization of conflict expansion and containment strategies is tied to policy issues, political events, and their intended target audience. Our findings also demonstrate that the phenomenon of policy narrative learning occurs when convergence of potential policy outcome is achieved. Furthermore, this study highlights the role of institutional mechanisms in advocacy through venue shopping, underscoring the contextual nature of advocacy groups' narrative strategies. These findings contribute to a more comprehensive understanding of the utilization of narrative strategy in addressing a contentious social issue. [ABSTRACT FROM AUTHOR]

Copyright of Tsinghua Journal of Education is the property of Tsinghua University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

For rural regions of British Columbia (BC) with a legacy of cannabis production, legalization brings insights into the dynamics of these rural communities, shedding light on the extent to which local residents are actively engaged in shaping their futures. Drawing on 56 interviews with government representatives and legacy cannabis participants from BC’s Kootenay region, a qualitative thematic analysis based on the underpinnings of transitioning economies and stakeholder participation highlights the necessity of building trust for successful legalization in the Kootenays. Three main issues, rooted in prohibition and centred around distrust, emerge as findings. First, federal government participants exhibited skepticism towards cannabis participants, which affected cannabis participants’ input during policy formulation due to a perceived criminal past and ties to organized crime. Second, cannabis participants largely reciprocated this distrust towards the federal government, understanding their believed past criminality led to exclusion from policymaking, and voicing their suspicion of government motives that favoured government participation, corporate interests, and taxation. Third, local government representatives expressed sentiments of exclusion from federal decision-making and dissatisfaction with Health Canada's management of personal medical license complaints during prohibition, revealing inter-government distrust. [ABSTRACT FROM AUTHOR]

An important public concern about the impact of recreational cannabis legalization is how it may affect adolescent cannabis use. Prior research on this issue has primarily focused on the implications of medical cannabis legalization for adolescents and used data that cover a relatively short post-legalization period. This study extends this line of research by examining the relationship between recreational cannabis legalization and adolescent cannabis use in Washington State, using the National Survey of Drug Use and Health (NSDHU) data from 2005 to 2019. Based on a quasi-experimental research design, this study found some evidence suggesting a positive effect of recreational legalization on the prevalence of adolescent cannabis use and cannabis initiation. Findings suggest the need to create a cannabis regulatory environment that minimizes adolescent access to this drug. [ABSTRACT FROM AUTHOR]

Little is known about the implications of cannabis legalization on adolescent health behaviors. This study sought to examine the relationship between recreational cannabis legalization and adolescent sexual risk behaviors. Data on 371,487 respondents who have ever had sexual intercourse from 41 states in the 2005 to 2019 Youth Risk Behavior Survey was linked with data on state-level cannabis policies. Difference-in-differences logistic regression models were conducted. Recreational cannabis legalization was associated with a reduced likelihood of respondents having 2+ sexual partners (adjusted OR [aOR] 0.63, 95% CI [0.47, 0.84]), but had no association with condom use (aOR 0.94, 95% CI [0.80, 1.11]). Changing social norms around cannabis is a potential pathway linking cannabis legalization to a reduction in sexual risk behaviors. [ABSTRACT FROM AUTHOR]

Using data on banking transactions, we analyse how people changed their spending behaviour when recreational cannabis became legal in Canada. In the data set, we identify people with purchases in a cannabis store after legalization. We apply a difference-in-difference approach to compare their spending before and after legalization. People with cannabis purchases after legalization reduced significantly and persistently their cash spending and electronic transfers, indicating a shift from the black to the legal cannabis market. [ABSTRACT FROM AUTHOR]

AbstractCannabis-related tweets were collected between January and April 2022 to estimate the availability and characteristics of cannabis products advertised on Twitter amid the legalization of recreational cannabis in Thailand. The Twitter API was called using the tweepy Python library to collect cannabis-related tweets in the Thai language. A total of 185,558 unique tweets were collected over the duration of the data collection period based on 83 search terms. Twenty thousand random tweets were manually coded by four Thai native speakers to assess the volume and characteristics of tweets proposing cannabis. 72.6% of collected tweets from the 20,000 random samples were coded as relevant to the study. 54.6% of relevant tweets were advertising cannabis products, 29.8% were personal communications, and 15.6% were related to news or media content. Among the tweets that advertised cannabis products, 94.4% proposed cannabis flower, 2.4% cannabis edibles and 1.8% cannabis concentrates. Consumption of potent forms of cannabis such as cannabis edibles and concentrates increase the risk of harmful side-effects, especially in a population with limited knowledge about these products. Our findings call for additional monitoring efforts and for increasing the public awareness on potent cannabis products emerging in Thailand. [ABSTRACT FROM AUTHOR]

Background: Canada legalized recreational cannabis in 2018, and one of the primary objectives of the Cannabis Act was to protect youth by reducing their access to cannabis and providing public education. Canada has the highest prevalence of cannabis use worldwide, particularly among youth and young adults under the age of 25. Cannabis use is linked with many adverse effects for youth and young adults including psychosis, anxiety, depression, respiratory distress, cannabinoid hyperemesis syndrome, and impaired cognitive performance. Despite the high prevalence of cannabis use and the evolution of policies in Canada and globally, significant knowledge and research gaps remain regarding youth and young adult cannabis use. The aim of this scoping review is to map the extent, nature, and range of evidence available on youth and young adult cannabis use in Canada since its legalization, in order to strengthen policies, services, treatments, training, and public education strategies. Methods: Using a scoping review framework developed by Arksey and O'Malley, along with the PRISMA-ScR guidelines, we conducted a rigorous search in five academic databases: MEDLINE, Embase, APA PsycINFO, CINAHL and Web of Science Core Collection. We included empirical studies that collected data in Canada after the legalization of recreational cannabis (October 2018) and focused on youth or young adults < 30. Two reviewers independently screened articles in two stages and extracted relevant information from articles meeting the inclusion criteria. Results: Of the 47 articles meeting our inclusion criteria, 92% used quantitative methods, 6% were qualitative, and 2% used a mixed-methods approach. Over two-thirds (68%) used secondary data. These studies were categorized into six focus areas: (1) prevalence, patterns, and trends, (2) cannabis-related injuries and emergency department (ED) visits, (3) rates and patterns during the pandemic, (4) perceptions of cannabis use, (5) prevention tools, and (6) cannabis-related offenses. Key findings from the studies reviewed include an increase in cannabis use among 18-24-year-olds post-legalization, with mixed results for youth under 18. ED visits for intentional and unintentional cannabis-related injuries have increased in young children and teens. Perception studies show a mix of concern and normalization of cannabis use. Though limited, prevention studies are promising in raising awareness. A decline in cannabis-related offenses was noted by one study. The review highlights several research gaps, including the need for more qualitative data, disaggregation of demographic data, intervention research, and comprehensive studies on the physical and mental health impacts of cannabis use among youth and young adults. Conclusion: Maintaining a public health approach is critical, with a focus on reducing the high prevalence of cannabis use among youth and young adults. This involves implementing prevention strategies to minimize harms, enhancing public education, minimizing commercialization, reducing youth access to cannabis, promoting guidelines for lower-risk cannabis use and harm reduction strategies, and increasing training for healthcare providers. [ABSTRACT FROM AUTHOR]

Objectives: This paper aims to systematically review the impact of legislative framework changes in North America and Europe on adolescent cannabis use. It not only seeks to examine the prevalence of adolescent marijuana use following legislative changes but also to identify the driving forces behind fluctuations in use and to address the gaps left by previous studies. Methods: A systematic literature review was conducted in selected databases. After screening English-language publications dating from 2013 to 2023 (n = 453 studies), 24 met the inclusion criteria. Articles were considered if they analyzed the impact of legislative changes on adolescent cannabis use in countries across North America and Europe. Synthesis: The overall findings suggest an inconsistency regarding the prevalence of cannabis use among youth and adolescents following policy changes. The effects of modifications in cannabis policies on marijuana consumption are complex and influenced by various factors. These include the details of legislation, societal perspectives, enforcement methods, socioeconomic status, and cultural background. Conclusions: The results of this analysis reveal a nuanced reality. Although research suggests a rise in cannabis use after legalization, there are variations in the outcomes observed. This highlights the significance of considering context and demographics. Moreover, studies shed light on how specific policy changes, such as depenalization, can affect cannabis use. [ABSTRACT FROM AUTHOR]

This scientific article addresses the regulation of fixed odds betting in Brazil and the changes promoted by law n° 14,790 of 2023. The topic under analysis was chosen because it is an area currently widely used by the population, but little explored legally and due to the desire to expand the reflection and knowledge about the legalization of betting shops in Brazil, especially knowing your rights, thus presenting the following problem: what points are covered with the implementation of this regulation? A bibliographical survey and study on the topic was initially carried out. Studies on the topic, such as Araújo (2020), Val (2022) and others, were involved to provide theoretical support and encourage the discussion presented in the work. It can be concluded that the legislative branch took a step of great importance for the country by approving the regulation of sports betting. However, this trade requires special attention in the coming years, as it is a practice that is still little explored from a criminal point of view and its regulations must be updated frequently until the illicit acts that can occur in this sector are restricted as much as possible. [ABSTRACT FROM AUTHOR]

In all cultures "systems of death" have been established, but one issue that is debated in their contemporary framework is the law of "death on demand". This article focuses on two aspects: "the denial of death" in the systems of death, using the example of Edson Oda's film Nine Days (2020), and the resolution of "unbearable pain" through euthanasia or appropriate palliative care, as shown in Mateusz Pakuła's work Jak nie zabiłem swojego ojca i jak bardzo tego żałuję (How I didn't kill my father and how much I regret it, 2022). On the one hand, the analysis draws on the material of cultural texts to consider one of the many topics of bioethics: how can we help people die? On the other hand, it discusses how the reflection of views from the field of bioethical discourse can influence the interpretation of a film or a literary work. The use of the bioethical context makes it possible, among other things, to indicate that Pakuła's text can be understood not only as a "protest song" for the legalization of euthanasia, which has been the focus of previous interpretations, but also as an important voice of criticism of the current approach to palliative care. [ABSTRACT FROM AUTHOR]

The War on Drugs resulted in increased arrest rates for women. Most of these arrests have been for low-level offenses, often involving cannabis. As states legalize cannabis, it is important to examine trends in arrests for women in a setting of early cannabis law reform. We examine National Incident-Based Reporting System (NIBRS) monthly cannabis arrest rates in Colorado, one of the first two states to legalize cannabis for recreational purposes, from January 2010 through December 2016 using an interrupted time series approach. The interruption is conceptualized as the legalization of recreational marijuana in December 2012. Our results document an immediate statistically significant and sizable drop in cannabis-related arrests for women following legalization. However, troublesome racial and ethnic disparities persist. [ABSTRACT FROM AUTHOR]

This article discusses the findings of a survey study on cannabis use in patients with schizophrenia before and after legalization. The study found a high drop-out rate among cannabis users during the long-term follow-up phase. The authors suggest that reduced motivational salience in schizophrenia, amplified by cannabis use, may explain the drop in response rate. Stigma towards cannabis users may also play a role. The study highlights the challenges faced by cannabis-using schizophrenia patients and emphasizes the need for increased awareness and education to reduce stigma and prevent long-term behavioral changes. [Extracted from the article]

This article is of a scientific and research nature and covers the subject of offences defined in Article 306c of the Criminal Code, which has been in force since 1 October 2023. It addresses, inter alia, the counterfeiting or altering of a motor vehicle registration plate to use it as an authentic one (§ 1) and using it as an authentic one (§ 2). The primary research goal is to assess the reasonableness of introducing this provision into the Criminal Code and the correctness of determining the conditions for its application and its objective scope. The assumption is that the criminalisation of such behaviour could be an effective weapon in combating the phenomenon of fuel theft from petrol stations, as the perpetrators of these thefts usually attach counterfeit plates to their vehicles. The analysis covers the object of protection of this provision, the types of this crime, their elements such as counterfeiting and alteration, the concept of a registration plate, the legalisation of the plate, the purpose of the causative behaviour, and the concept of a motor vehicle. It is sufficient to use the normative and dogmatic method to analyse the issues. [ABSTRACT FROM AUTHOR]

Existing research on how small (weak) states respond to the geopolitical rivalry of great powers often centers around the hedging strategy, where small states tend to maintain their diplomatic independence by taking nonexplicit sides and stances to better safeguard their security and interests in the face of increasing external uncertainty. This paper, however, provides another powerful way of explaining this from the perspective of nonstate actors through the changing attitudes and strategies of the Malaysian Rail Link (MRL) in the Malaysia-China East Coast Rail Link (ECRL) project. This paper shows that due to the unique nature of firms, small state firms will choose to respond to external great power games with economic hedging, and performance legitimization and particularistic legitimization determine the strength of small states' economic hedging and when firms and the governments they represent choose performance as a way to enhance legitimacy, small state firms will choose to use economic soft hedging as their primary mode of response. Conversely, economic complex hedging is more pronounced when particularistic legitimization is used to enhance legitimacy. The findings of this paper also demonstrate that small state firms have a complex connection with the government. On the one hand, small state firms are the implement and influential representatives of the ruling government's foreign policy, inheriting the government's essential interest pursuits and expectations. On the other hand, the enterprise itself is also a vital interest organization. It will also formulate economic policy according to its own needs. However, the MRL shows that the Malaysian government firmly controls the tiny state firms and is an important tool and instrument for the foreign economic game of the small state government. [ABSTRACT FROM AUTHOR]

This study presents a critical discourse analysis (CDA) of the networked frames built in Twitter trending hashtags by proponents and opponents of abortion legalization in Argentina. The online discourses exemplified the dynamics of networked framing, where activists reshaped their framing of issues through crowdsourcing practices. While both sides focused their attention on defining violence and deservingness, the impact of abortion on democracy, and the appropriate geopolitical scope of the debate, they developed stark oppositional views. Supporters of legalization defined illegal abortion as state-sponsored violence against gestating people and highlighted transnational solidarities. On the other hand, pro-life users identified legal abortion as state-sponsored violence against the unborn and accused pro-abortion politicians of subverting the democratic rights of the pro-life majority. Both movements portrayed themselves as embodying reason and righteousness while projecting negative connotations onto their counterparts. Our findings provide a nuanced examination of the discursive work of Global South feminists whose advocacy shifted policy against formidable opposition. [ABSTRACT FROM AUTHOR]

Cannabis legalization is gaining traction in the United States, with 24 states having legalized recreational cannabis sales and 38 states having legalized medical cannabis sales. A possible unintended consequence of such widespread legalization is the effect that such policy change will have on youth (adolescents and young adults), whose neurodevelopment may be disrupted by cannabis use.1 Indeed, cannabis use in youth can lead to significant adverse psychosocial and health outcomes.1 Specifically, a major concern is that youth cannabis use may increase in the setting of legalization because of greater availability and acceptability. This concern has prompted studies of youth cannabis use patterns in states that have legalized recreational cannabis (RCL), have legalized medical cannabis (MCL), and have legalized neither (NL). Prior publications have had limited post-legalization data because of recreational cannabis legalization occurring only very recently and in a small number of states.2 The most recent meta-analysis exploring impacts of legalization on youth cannabis use only studies with data from 2016 and prior (only 4 years since the first states legalized recreational cannabis).2 Since then, 7 states have adopted MCL and 15 states have adopted RCL, prompting the need for an updated review of the literature. Pawar et al. 3 conducted a systematic review and meta-analysis assessing associations between state-level cannabis laws and past-month cannabis use among US youth using studies published up to 2023, providing a timely and important evaluation of the impacts of cannabis legalization on youth cannabis use. [ABSTRACT FROM AUTHOR]

This article, titled "Editorial: Cannabis and mental health: is it possible to predict safe use in the era of legalization?" explores the intersection of cannabis use and mental health. It discusses the detrimental effects of heavy cannabis use on mental health, such as the onset of schizophrenia, amotivation syndrome, exacerbation of bipolar disorder symptoms, and intensification of PTSD symptoms. The article also highlights the need to understand the risks associated with cannabis use, especially among high-risk individuals, in order to guide educational efforts and minimize harm. The research topic includes five studies that examine the relative risks and potential benefits of cannabis use, as well as strategies for risk mitigation and education. [Extracted from the article]

BACKGROUND: Many states in the United States have progressed towards legalization of marijuana including decriminalization, medicinal and/or recreational use. We studied the impact of legalization on cannabis-related emergency department visits in states with varying degrees of legalization. METHODS: Seventeen healthcare institutions in fifteen states (California, Colorado, Connecticut, Florida, Iowa, Kentucky, Maryland, Massachusetts, Missouri, New Hampshire, Oregon, South Carolina, Tennessee, Texas, Washington) participated. Cannabinoid immunoassay results and cannabis-related International Classification of Diseases (ninth and tenth versions) codes were obtained for emergency department visits over a 3- to 8-year period during various stages of legalization: no state laws, decriminalized, medical approval before dispensaries, medical dispensaries available, recreational approval before dispensaries and recreational dispensaries available. Trends and monthly rates of cannabinoid immunoassay and cannabis-related International Classification of Diseases code positivity were determined during these legalization periods. RESULTS: For most states, there was a significant increase in both cannabinoid immunoassay and International Classification of Diseases code positivity as legalization progressed; however, positivity rates differed. The availability of dispensaries may impact positivity in states with medical and/or recreational approval. In most states with no laws, there was a significant but smaller increase in cannabinoid immunoassay positivity rates. CONCLUSIONS: States may experience an increase in cannabis-related emergency department visits with progression toward marijuana legalization. The differences between states, including those in which no impact was seen, are likely multifactorial and include cultural norms, attitudes of local law enforcement, differing patient populations, legalization in surrounding states, availability of dispensaries, various ordering protocols in the emergency department, and the prevalence of non-regulated cannabis products.