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height="1" hspace="0" vspace="0" border="0" alt="" /></td>  			<td colspan="3" class="bkgcell"><a href="/news/archives/fall2001/stratford/" class="menu0">A Stratford Season</a></td> 		</tr> 		<tr> 			<td colspan="5" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="89" vspace="0" border="0" alt="" /></td> 		</tr> 		<tr>         <td colspan="2" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="29" height="1" hspace="0" vspace="0" border="0" alt="" /></td>  			<td colspan="3" class="bkgcell"><a href="/news/archives/fall2001/friedman/" class="menu0">The Little House That Grew</a></td> 		</tr> 		<tr> 			<td colspan="5" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="89" vspace="0" border="0" alt="" /></td> 		</tr> 		<tr>         <td colspan="2" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="29" height="1" hspace="0" vspace="0" border="0" 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class="menu0">Alumnotes</a></td> 		</tr> 		<tr> 			<td colspan="5" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="89" vspace="0" border="0" alt="" /></td> 		</tr> 		<tr>         <td colspan="2" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="29" height="1" hspace="0" vspace="0" border="0" alt="" /></td>  			<td colspan="3" class="bkgcell"><a href="/news/archives/fall2001/epilogue/" class="menu0">Epilogue: Roddick Gates Honour Canada&#39;s Foremost Physician</a></td> 		</tr> 		<tr> 			<td colspan="5" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="89" vspace="0" border="0" alt="" /></td> 		</tr> 		<tr>         <td colspan="1" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="14" height="1" hspace="0" vspace="0" border="0" alt="" /></td>  			<td colspan="4" class="bkgcell"><a href="/news/archives/summer2001/" class="menu0">Summer 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vspace="0" border="0" alt="Page Content: " /></a> 				<!-- CONTENT BEGIN -->	 <IMG SRC="https://upload.mcgill.ca/news/cannabis.jpg" WIDTH="388" HEIGHT="130" HSPACE="0" VSPACE="12" BORDER="0" ALT="Photo">  <P>Au sein d'une &eacute;quipe multidisciplinaire qui se consacre &agrave; l'&eacute;tude de la douleur chronique, le Dr Ware est entour&eacute; de Mme Vainio; de Gary Bennett, un sp&eacute;cialiste de la douleur; d'Ann Gamsa, psychologue; de Stan Shapiro et de Jean-Paul Collet, &eacute;pid&eacute;miologistes. &Agrave; ce titre, il examine des personnes se plaignant de douleur illusionnelle des amput&eacute;s (c'est le membre &laquo; absent &raquo; qui les fait souffrir); de douleur post-traumatique, qui est ressentie dans le cou ou le bas du dos, souvent par suite d'un accident de voiture; de douleur post-chirurgicale chronique.</P>  <P>Si les analg&eacute;siques, la physioth&eacute;rapie, la th&eacute;rapie de groupe et les techniques de relaxation arrivent &agrave; soulager certains patients du Centre de la douleur chronique de McGill, les interventions m&eacute;dicales usuelles restent sans effet sur la douleur occasionn&eacute;e par une l&eacute;sion de la racine nerveuse. &laquo; Un nombre incroyable de malades nous demandent d'apaiser leur douleur &raquo;, a expliqu&eacute; Mark Ware.</P>  <P>Les sid&eacute;ens sont du nombre depuis longtemps : 30 % d'entre eux fumeraient de la mari pour att&eacute;nuer la douleur et compenser les effets ind&eacute;sirables des m&eacute;dicaments, notamment les naus&eacute;es et la perte d'app&eacute;tit. La Community Research Initiative of Toronto a r&eacute;cemment retenu les services du Dr Ware en vue de l'&eacute;laboration du protocole d'une &eacute;tude clinique sur l'impact de la mari fum&eacute;e sur divers sympt&ocirc;mes associ&eacute;s au sida.</P>  <P>Certains de ses patients fument du cannabis. Le Dr Ware consigne leurs observations sur les bienfaits de l'herbe uniquement s'ils acceptent de fournir l'information de leur plein gr&eacute;. M&ecirc;me dans un contexte clinique, le malade qui communique des renseignements sur la consommation de drogues illicites doit signer un formulaire attestant qu'il est conscient que, si la police interroge les chercheurs &agrave; son sujet, il pourrait &ecirc;tre mis en accusation.</P>  <P>&laquo; C'est un risque th&eacute;orique, mais nous leur faisons signer le formulaire pour plus de s&ucirc;ret&eacute; &raquo;, de dire le chercheur. &laquo; Des chercheurs australiens qui faisaient des travaux sur le LSD et l'ecstasy ont &eacute;t&eacute; interrog&eacute;s par la police. &raquo;</P>  <P>Le Dr Ware tenait &agrave; r&eacute;aliser une &eacute;tude clinique &agrave; petite &eacute;chelle pour ne n&eacute;gliger aucun d&eacute;tail. En effet, l'&eacute;quipe doit demander une autorisation sp&eacute;ciale pour la pharmacie de l'h&ocirc;pital, obtenir la collaboration des corps policiers, r&eacute;pondre aux questions des m&eacute;dias et trouver un fournisseur approuv&eacute; par le gouvernement afin d'utiliser du cannabis &agrave; faible teneur en THC comme placebo. &laquo; Ce n'est que lorsque l'&eacute;tude sera sur ses rails que nous pourrons &eacute;tablir les objectifs d'une &eacute;tude de plus grande envergure. &raquo;</P>  <P>Pour ce qui est de la mari &laquo; v&eacute;ritable &raquo;, le gouvernement a d&eacute;j&agrave; un fournisseur, une entreprise de Flin Flon (Manitoba) qui cultive des plants &agrave; 365 m&egrave;tres sous terre. La premi&egrave;re r&eacute;colte est pr&eacute;vue pour cet automne. Le gouvernement devrait &ecirc;tre en mesure de distribuer 100 000 joints de marijuana ayant une teneur en THC de 6 %. Le THC est le cannabino&iuml;de le plus connu, mais le Dr Ware a cependant fait remarquer qu'il existe au moins 60 cannabino&iuml;des dont on sait peu de chose, bien que les soci&eacute;t&eacute;s pharmaceutiques aient actuellement fort &agrave; faire pour faire la lumi&egrave;re sur les caract&eacute;ristiques de chacun.</P>  <P>Cependant, l'industrie pharmaceutique n'&eacute;tudiera pas le cannabis fum&eacute;. Selon le Dr Ware, les travaux des universit&eacute;s et les projets de recherche communautaire sont donc doublement importants, car ils visent &agrave; &eacute;valuer l'efficacit&eacute; et l'innocuit&eacute; de la plante.</P>  <P>Le chercheur de McGill est impatient d'amorcer ses travaux et est encourag&eacute; du fait que le gouvernement pourra bient&ocirc;t distribuer du cannabis aux chercheurs et aux utilisateurs approuv&eacute;s. Par exemple, il veut savoir pourquoi la fum&eacute;e ou le fait de tirer une grosse bouff&eacute;e et d'attendre quelques secondes avant d'expirer semble apaiser un si grand nombre de sympt&ocirc;mes. &laquo; Je ne sais pas si le cannabis att&eacute;nue la douleur. Les utilisateurs ont peut-&ecirc;tre une meilleure qualit&eacute; de vie comme ils sont moins d&eacute;prim&eacute;s et font moins d'insomnie, ce qui r&eacute;duirait la sensibilit&eacute; &agrave; la douleur. &raquo;</P>  <P>Il ne faut pas s'&eacute;tonner de voir McGill privil&eacute;gier l'approche scientifique pour lever le voile sur cet agent m&eacute;connu. La recherche sur la douleur s'inscrit dans une longue tradition &agrave; l'Universit&eacute;; de plus, le Dr Ware et ses collaborateurs ne seront pas les premiers m&eacute;decins de McGill &agrave; prescrire de la marijuana. Il y a plus d'un si&egrave;cle, Sir William Osler a eu recours &agrave; la verte substance pour soulager la migraine, une solution qui n'avait rien d'exceptionnel &agrave; l'&eacute;poque.</P>  <P>Le Dr Ware ne sait pas tr&egrave;s bien pourquoi l'&eacute;toile du cannabis a p&acirc;li au XXe si&egrave;cle. Pendant des mill&eacute;naires, l'homme a abondamment utilis&eacute; la plante, entre autres pour se soigner et fabriquer des tissus et des cordes. Par exemple, la localit&eacute; anglaise de Hampstead tire son nom du mot anglais hemp (chanvre), une vari&eacute;t&eacute; de cannabis qui &eacute;tait cultiv&eacute;e dans la r&eacute;gion. Certains croient que les industries qui produisaient les fibres synth&eacute;tiques telles que le nylon et le polyester et qui ont &eacute;galement &eacute;labor&eacute; synth&eacute;tiquement des analg&eacute;siques ont contribu&eacute; &agrave; discr&eacute;diter et &agrave; diaboliser l'herbe ancienne.</P>  <P>Le Dr Ware est toutefois confiant que l'on assistera &agrave; une perc&eacute;e dans le monde m&eacute;dical du fait que la population s'int&eacute;resse vivement aux plantes m&eacute;dicinales et exhorte l'...tat &agrave; les &eacute;tudier et les r&eacute;glementer. &laquo; L'&eacute;tude sur le cannabis pourra &ecirc;tre reprise avec d'autres herbes m&eacute;dicinales actuellement sur le march&eacute;. Nous pourrons ainsi d&eacute;terminer si les r&eacute;sultats des &eacute;tudes cliniques concordent avec les affirmations des fabricants. J'aimerais v&eacute;rifier l'efficacit&eacute; et l'innocuit&eacute; d'autres produits de ce genre &raquo;, a-t-il d&eacute;clar&eacute;, mettant en relief l'&eacute;chinac&eacute;e, le millepertuis et l'huile d'onagre, qui sont tr&egrave;s pris&eacute;s par les temps qui courent.</P>  <P>&laquo; &Agrave; l'heure actuelle, nous avons la m&ecirc;me attitude envers le cannabis qu'avec l'alcool dans les ann&eacute;es 1920 et la morphine dans les ann&eacute;es 1940 et 1950. "On n'y touche pas, c'est trop dangereux." Cependant, les craintes suscit&eacute;es par la morphine n'&eacute;taient pas fond&eacute;es. &raquo;</P>                          <div class="smalltype" style="width: 405px; font-weight: bold; margin-top: 7px;">                          Next: <a href="/news/archives/fall2001/ware/english/">English translation</a>                         </div>  				<!-- CONTENT END --> 				</td>  				<td width="37" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="3" vspace="0" border="0" alt="" /></td>  				<td width="1" class="frmcell"><a href="#infoblocks" accesskey="7" tabindex="700"></a><a name="infoblocks"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="0" border="0" alt="Information Blocks: " /></a></td> 				<td width="119" valign="top" class="bkgcell">     			<!-- RIGHT BLOCKS BEGIN --> <img src="http://upload.mcgill.ca/global/blocks/directories_e.gif" class="blockmargin" width="119" height="36" hspace="0" vspace="0" border="0" alt="Directories" /><br /><div class="blockpadding"><a href="/directory/" class="smalltype">Staff directory</a><br /><a href="/index/" class="smalltype">Unit directory</a><br /></div><img src="http://upload.mcgill.ca/global/dots/999.gif" width="129" height="1" hspace="0" vspace="0" border="0" alt="---" /><br /> <img src="http://upload.mcgill.ca/global/blocks/campusmaps_e.gif" class="blockmargin" width="119" height="36" hspace="0" vspace="0" border="0" alt="Campus maps" /><br /><div class="blockpadding"><a href="/maps-downtown/" class="smalltype">Downtown campus</a><br /><a href="/maps-macdonald/" class="smalltype">Macdonald campus</a><br /></div><img src="http://upload.mcgill.ca/global/dots/999.gif" width="129" height="1" hspace="0" vspace="0" border="0" alt="---" /><br /> 		<img src="http://upload.mcgill.ca/global/blocks/communitycalendar_e.gif" class="blockmargin" width="119" height="36" hspace="0" vspace="0" border="0" alt="" /><br /> 		<div class="blockpadding"> 			 			 			 			<a href="/calendar/thisweek/" class="smalltype">McGill events this week</a><br /> 		</div>				<!-- RIGHT BLOCKS END --> 				</td>	  				<td width="1" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="0" border="0" alt="" /></td> 			</tr> 			 			                   <tr>                     <td width="1" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="179" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="179" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="1" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="37" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="7" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="405" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="405" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="37" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="7" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="1" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="119" class="bkgcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="119" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td width="1" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                 </tr>                  <tr>                     <td colspan="9" width="721" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="3" hspace="0" vspace="0" border="0" alt="" /></td>                 </tr>                  <tr>                     <td width="1" class="frmcell"><img src="http://upload.mcgill.ca/global/dots/0.gif" width="1" height="1" hspace="0" vspace="3" border="0" alt="" /></td>                     <td colspan="7" width="719" class="bkgcell"> 						<!-- BREADCRUMBS BEGIN --> 						<div class="smalltype" style="padding-left: 7px; 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