Identification, extraction and quantification of the synthetic cannabinoid JWH-018 from commercially available herbal marijuana alternatives.

In this work, methods for the rapid identification, extraction, and quantification of the synthetic cannabinoid, JWH-018, from commercially available "Spice" (a herbal marijuana alternative) are presented. JWH-018 was identified in three different products using time-of-flight (TOF) mass spectrometry coupled with a direct analysis in real time (DART) ionization source, a process that was completed in less then five minutes and required no sample preparation. Extraction of the JWH-018 from the spice samples using an automated accelerated solvent extraction (ASE) instrument provided clean extracts with few plant pigments.

Variability in pupil size estimation.

Background: The clinical estimation of pupil size and reactivity is central to the neurological assessment of patients, particularly those with or at risk of neurological damage. Health care professionals who examine pupils have differing levels of skill and training, yet their recordings are passed along the patient care pathway and can influence care decisions. The aim of this study was to determine if any statistical differences existed in the estimation of pupil size by different groups of health care professionals.

Monocular deprivation in an identical twin.

Purpose: The scientific literature contains minimal human studies of the effect of monocular deprivation on a single eye of twins. This report examines the effects of early visual deprivation on axial length measurements by comparing the refractive findings and axial length measurements of identical twins' 4 eyes, 1 visually deprived and 3 nondeprived.

Methods: A retrospective record review was performed on the medical records of identical 6-year-old Hispanic female twins.