About Amy M. Collins, managing editor

Managing editor, American Journal of Nursing

Marijuana Linked to Elevated Heart Attack Risk in Young Adults

Photo © Shuttertock.

Association is stronger when marijuana use is frequent.

As the decriminalization of marijuana becomes more widespread, its use is on the rise among young adults. Yet, the effects on overall health have not been well studied, including how marijuana use affects cardiovascular health.

Now a large-scale study in the Canadian Medical Association Journal has found an association between recent marijuana use and increased risk of myocardial infarction (MI) in young people, ages 18 to 44 years. The association was strongest among those who used marijuana at least four times a month, primarily by smoking it. Users who vaped or ingested marijuana through baked goods or other edibles also had a higher incidence of MI compared with nonusers, but only those who smoked frequently showed elevated risk that was statistically significant.

The study was based on 2017 and 2018 behavioral risk survey data from the Centers for Disease Control and Prevention. It sought to evaluate known evidence of cardiovascular effects of marijuana in the context of MI risk for individual users. Marijuana’s chemical components can increase myocardial oxygen demand while simultaneously reducing blood flow to the myocardium. This cannabis-induced oxygen supply and demand mismatch, in the setting of […]

2021-12-07T11:34:08-05:00December 7th, 2021|Nursing, Public health|0 Comments
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A Day to Honor Our Veterans Who Have Served

Today, on Veteran’s Day, AJN would like to honor all of those who have served in the U.S. military, including the 19 million who served during at least one war. This of course includes all those nurses who have served in the armed forces.

Veterans’ health care.

Nurses in every care setting, from hospital to primary care clinic, may encounter veterans, and it’s important to be aware of particular health concerns that may affect them. Please visit our collection of articles on the military and veterans’ health care, which will be free for the next week.

Topics in the collection include, among others:

  • caring for families with deployment stress
  • screening for posttraumatic stress disorder
  • enhancing veteran-centered care
  • traumatic brain injury.

While some of the articles are older, they are still pertinent today. We honor and thank all those who have served.

(Photo credit: Photo by sydney Rae on Unsplash.)

2021-11-11T10:50:27-05:00November 11th, 2021|Nursing|0 Comments
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School Nurses During COVID-19: Still Holding the Line

Anything but the normal school year we’d hoped for.

The 2021-2022 school year is upon us and it is anything but the normal year many of us had hoped for. For some kids, it will be the first time going back into the classroom after 18 months at home. As a mom of two kids under 12 who cannot yet be vaccinated, it is a time of anxiety as I send my kids into school with a more contagious COVID-19 variant. Despite the mitigation efforts put in place, I wonder if it will be enough.

In parts of the country, cases are still skyrocketing and hundreds of kids have already had to quarantine or switch to remote learning. Some states have layers of mitigation in place in their schools, while in others, governors are fighting to keep schools from instituting mask mandates. And through this all, the person at the front line is the school nurse.

School nurses on the front lines as the rules keep changing.

In our August issue, AJN Reports highlights how school nursing has changed amid the current pandemic. Adding to the many other challenging tasks that school nurses already have is

2021-08-23T09:23:14-04:00August 23rd, 2021|COVID-19, school nurses|0 Comments
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An Intimate Glimpse of Community Health Nursing During the Pandemic  

Photo courtesy of Monica M. Finifrock.

We hear a lot about frontline nurses and the trauma they’ve endured throughout the year fighting the world’s deadliest pandemic in 100 years. Their stories are harrowing and heroic and shine a much deserved spotlight on the importance of the profession. And yet COVID-19 has touched not only those working in ICUs and EDs—but in every area of health care. Our December In the Community article, “Keeping Calm in the Buffer Zone,” is just one example of a nurse touched by COVID-19 in her daily work.

Community health as a ‘buffer zone.’

When the article opens, author Monica M. Finifrock is on her way to work at a community health clinic in Seattle. It’s April and the pandemic is beginning to take a toll.

I don’t consider myself on the front lines of the pandemic . . . I’m not watching patients take their last gasps of air or making hard decisions about who gets a ventilator and who doesn’t. I’m a community health nurse, and my role during the COVID-19 pandemic is to do exactly what I always strive to do—serve the community.

Calling her clinic a “buffer zone,” Finifrock argues that community health clinics are […]

2020-12-10T08:42:36-05:00December 10th, 2020|COVID-19, narratives, nursing stories, Public health|0 Comments
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Permission to Grieve: A Poet Addresses the Unmapped Territory of Pregnancy Loss

You were so new, still more dream than person.

A poetry submission hits a personal chord.

photo by Susanne Nilsson/flickr

As the column coordinator for AJN’s Art of Nursing, which publishes poetry, flash fiction, and visual art related to health and health care, many poems cross my desk. I always appreciate the creativity and emotion in these poems, even when they aren’t quite a fit for our journal. And then there are the ones that not only fit, but that strike a personal chord and stay with me.

“Carrying,” by Katie Manning, PhD, MA, is one such poem. (Click on the PDF for the best version.) It immediately touched me because of the powerful way it described a sensitive topic: pregnancy loss. As a mother who lost a pregnancy in my second trimester, I found myself nodding with tears in my eyes at her elegant descriptions of grief and loss.

The poem received universal praise from our peer reviewers, and when I wrote to Manning to tell her we’d accepted it, I added a personal note about my own experience (something I had never done as an editor). We exchanged words of comfort and spoke about how the topic is not nearly discussed enough.

An […]

2020-03-16T12:16:01-04:00March 16th, 2020|patient experience, women's health|2 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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