The age of cannabis initiation is of critical importance in understanding the path from recreational to problematic use

However, catalytic and electrochemical processes have some limitations and are preferably considered for low volume and specified treatment processes. Furthermore, the conventional 2D electrochemical reactors have the limitations of low mass transfer. Therefore, the oxidation/reduction of compounds takes place at the surface of the electrode which increased the energy consumption . Additionally, chlorides are generally present in wastewater, and oxidation of these chlorides produces chlorine  and hypochlorites. These compounds are reactive toward organic matters and produce chlorinated derivatives which are toxic and persistent pollutants. Whereas the adsorption process is more selective since it has design flexibility, simplicity, easy operation, and doesn’t need any specialized human resources . The application of biospecies derived adsorbents for the removal of different contaminations has long been used. AC impregnated with carbon moieties has a changeable aptitude to form a complex with other molecules. The procedure of activating results in particles with minute pores, extended surface area , welldeveloped pore structure, and active surface properties. These key features developed the ability to adsorb smaller organic compounds competently. Results reported by Mestre et al., showed that the adsorbent prepared from waste biomass is more selective for the removal of ibuprofen whereas Terzyk et al.,reported the surface modification with H2SO4 increased the drug removal efficiency as compared to HNO3 and NH3. The surface modification of AC prepared from olive stones with H3PO4 improved the active surface area upto 1000 m2 /g due to the well-developed porous structure. The recorded adsorption capacity for paracetamol removal was 100 mg/g which slightly decreased with an increase in temperature. It was observed that the adsorption capacity and drug removal efficiency of the adsorbent is generally influenced by the system pH and increased with the hydrophilicity of the adsorbent material. Therefore, the adsorption of paracetamol on AC has an inverse relation with pH, and the removal capacity of paracetamol increased to 560 mg/g at 25℃ by decreasing the pH to 3. Kinetic investigation elucidated that decrease in pH increase the paracetamol ionization as well as the surface charge of the adsorbent. Furthermore, it has been proved that materials with well-interconnected pore networks have high drug removal efficiencies.

Adsorptive removal of paracetamol with dextropropoxyphene hydrochloride, N-acetylcysteine, and sorbitol were studied using activated charcoal. The vitro adsorption of paracetamol using Langmuir Isotherm showed 96.6% adsorption at a charcoal-drug ratio of 6:1, and a slight increase of 2 % and 2.9 % was noted by varying the ratio to 8:1 and 10:1, respectively. The incorporation of magnetism eases the recovery and reusability of the adsorbent materials. Synthetically prepared nanocomposite  when applied for the removal of paracetamol gives the 399.9 mg/g adsorption capacity with 96.8% removal efficiency at 50℃. The impact of H3PO4 concentration  on chemical modification and adsorption capacity was investigated employing AC prepared from kenaf by Macı´as-Garcı´a et al.,. The maximum adsorption capacity of paracetamol  was noted when 60% H3PO4 was used because of the highest active surface area of 2270 m2 /g. Therefore, it can be concluded from the above discussion that the selection and optimization of reactive agents for chemical modifification is a crucial factor for designing an adsorption process. It is mostly observed that mineral acids are highly efficient for AC modifification; however, the concentration is case sensitive. Wastewater treatment is mostly considered an added expense; hence, the cheapest process is always selected. Industries, as well as communities, are continuously struggling to adopt economical and robust treatment methodologies. Therefore, investigation of cheaply available adsorbent and economical routes for the substraction of paracetamol is the objective of this research. Cannabis Sativum Hemp  was selected as a natural cellulosic material for the manufacturing of AC. CSH is an annual herbaceous crop that has been cultivated by mankind for millennia for its fibers and seeds. It is the most abundant drug of abuse cultivated worldwide for psychoactive cannabinoids, durable fiber, rope, canvas, textiles, paper, and nutritious seed for oil, and can be divided into psychoactive and non-psychoactive cultivars according to the ratio of D9-tetrahydrocannabinol  and cannabidiol  present in it . As a crop, it is categorized as drug type , Intermediate type , and fifiber type. This study was aimed at using CSH for the manufacturing of the adsorbent through thermochemical treatment. The developed adsorbent was used to remove the paracetamol from the aqueous solution. Process effificiency was optimized by studying the consequences of experimental features, such as pH , size of the particle , temperature , contact time , stirring speed  and adsorbent dose . Kinetic, isothermal, and thermodynamic analyses were performed for in depth understanding of the process mechanism and equilibrium.The prevalence of cannabis square pot use among adolescents in Canada is one of the highest in the world, with nearly a quarter of 15 year olds reporting having used cannabis at some point in their lives . In the province of Ontario, cannabis remains the most commonly used drug among students in grades 7–12, with one in five students reporting past year use of cannabis and 2% reporting symptoms of cannabis dependence. Cannabis has the shortest duration from first use to dependence, and earlier onset of use presents an elevated risk for developing dependence .

The mean age of onset for dependence in youth is between ages 15–18 . Early and frequent cannabis use among Canadian youth is cause for concern, as both early initiation and frequency of use are important factors contributing to the transition from recreational use to cannabis use disorder.The risk of transitioning from early initiation of substance use to substance use disorders has been shown to increase incrementally with the time since first exposure; this risk interacts with mental health challenges, which puts the most vulnerable early initiators at higher risk for a substance use disorder during adolescence . Mental health challenges, trauma and stress are also associated with cannabis use . Early adolescence is a critical period of neurodevelopment, with synaptic pruning and increased myelination occurring . These processes are essential for the optimal development of cognitive, emotional, motivational and sensorimotor functions . This makes early adolescence a particularly vulnerable period for cannabis use. Early onset of cannabis use among adolescents  has been shown to be associated with cognitive impairment, e.g., a decline in verbal IQ and a deterioration of working memory and attention . In a similar vein, early cannabis use is also associated with poor school performance and leaving school early, which may be partially due to negative cognitive effects and/ or early cannabis use youth developing connections with youth who use substances or have behavioral issues of concern . Despite having knowledge that early initiation greatly increases the probability of developing CUD, less is known about the cooccurrence of other substance use risk factors  and how these may contribute to the development of problematic cannabis use in early initiators. Findings from several longitudinal and cross-sectional studies show that adolescent cannabis use is related to the development of acute psychotic symptoms and later-life psychotic disorders , with those using at higher frequency , and/or those with earlier initiation of cannabis use at highest risk . With respect to internalizing disorders, a large prospective study of young adults found that cannabis use before 15 years of age was significantly associated with anxiety and depression, independent of confounding factors such as gender, family income, maternal mental health, maternal smoking, alcohol use, etc. However, the study could not determine the directionality of the effect .

Youth experiencing childhood maltreatment, which often precedes mental health challenges such as internalizing disorders , were more likely to initiate cannabis before the age of 17 . However, much less is known about the association between exposure to other forms of trauma and early cannabis use, despite established associations between trauma, mental health, and substance use, and despite the use of cannabis to self-medicate symptoms of post-traumatic stress disorder . Cannabis use during adolescence and young adulthood  has also been shown to be associated with use of illicit drugs, e.g., cocaine, opiates, sedatives, stimulants etc. However, the directionality of other drug use in relation to cannabis use is not clearly understood , and may be more nuanced when accounting for association with different profiles of comorbid mental health conditions , particularly among those who initiate cannabis use at an earlier age. The Ontario Student Drug Use and Health Survey identified age 14 as a key age of increase in cannabis use . Despite this increase, our team found that among younger youth , 2.4% and 5.6% of students respectively reported cannabis use, while 7.5% reported some degree of substance use challenge . Another study found that the earlier the cannabis onset measured at ages 13 through 17, the greater the risk of substance abuse in adulthood ; however, this study would have missed those initiating cannabis use at the earliest ages, with the highest vulnerability. Another recent study showed that consistently high frequency cannabis use over the course of adolescence is associated with greater challenges in young adulthood in terms of other substance use challenges, as well as life satisfaction, academic/professional achievement ; again, assessment began at age 14, missing earlier onset experiences. This raises the importance of gaining a more in-depth understanding of the profiles of the youth who begin using cannabis and other substances at an early age. In the absence of effective prevention and early intervention efforts for younger youth,trimming trays some youth in this risk-age group will potentially have longer substance-use histories that span across the entire developmental growth period, which may result in more detrimental impacts on neurodevelopmental trajectories and psychosocial outcomes , potentially further perpetuating use. This risk-age group may also serve as an early warning indicator of an underlying vulnerability to dependence and/or comorbid mental health conditions ) that may reinforce progression. The goal of the current cross-sectional descriptive study is to characterize the risk profiles of youth initiating cannabis at an early age.

An early adolescence age distinction of under 14 years was considered clinically meaningful and was purposefully selected to be explored in the current study, as age 14 marks the transition to secondary school provincially and has been identified as a key age of increase . Given the vulnerability of the youngest cannabis-using youth, understanding their clinical profiles is an essential building block towards understanding developmental trajectories and markers of risk towards cannabis use disorder. This study will thereby provide a more comprehensive exploration of aspects of substance use and comorbid mental health concerns in developing cannabis use profiles among younger youth prior to the transition to secondary school. The results will have implications for the development of more targeted prevention and intervention initiatives that can be specifically tailored to age-risk profiles. The sample for this study consists of youth recruited from an outpatient treatment service at the Youth Addictions and Concurrent Disorder Service at the Centre for Addiction and Mental Health  in Toronto, Canada. This service offers treatment for substance use problems with or without concurrent mental health concerns for youth aged 14–24. Youth are referred to the service through various routes, including physician referrals and family or self-referrals. Youth attend an orientation session to introduce them to the services and to conduct an intake assessment, during which they are approached for their consent to participate in research. The study sample is comprised of all youth who attended orientation between 2013 and 2019 and provided consent for the use of their data for research purposes . They must also have reported having ever used cannabis and indicated an age of onset for cannabis use . This provided a total sample of N = 634. The Research Ethics Board of CAMH approved the study. Participants provided demographic information and completed questionnaires regarding mental health and substance use. The demographic form included variables such as age, sex, ethnic background, employment and education status, justice system involvement, and housing situation. All questionnaires were a part of the usual intake assessment at the orientation session and part of ongoing clinical-research collaboration. Using demographics, we categorized youth on NEET [“not in employment, education, or training”] status, and legal system involvement.