Which Surgery Patients Don't Stop Taking Opioids When They Should?

The first time many patients in the United States take prescription opioid painkillers is following surgery. But not everyone puts away the pills: In a new study, researchers found that 6 percent of patients continued to use the drugs for at least three months after surgery. The researchers wanted to know more about why some people continue to use the drugs while others don’t, so they looked at the types of surgery people had. But it turned out that it didn’t matter whether someone had a major operation, such as bariatric surgery or a hysterectomy, or a minor procedure, such as varicose vein removal; there was no difference in how likely people were to continue to use opioids past the three-month mark. [Costly, Deadly, Complicated: These 7 Surgeries Take the Biggest Toll] However, the findings showed that the people who were more likely to continue to use the painkillers were those who smoked, drank alcohol, had certain mood disorders or had chronic pain. The findings suggest that whether a person continues to take prescription painkillers long after his or her surgery “is not due to surgical pain but addressable patient-level” risk factors, the researchers wrote in the study. In the study, a team of researchers led by Dr. Chad Brummett, an associate professor of pain management anesthesia at the University of Michigan Medical School, looked at data on more than 36,000 patients who received opioid painkillers after surgery in 2013 and 2014 but had not ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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Publication date: 15 March 2019Source: Journal of Molecular Liquids, Volume 278Author(s): Yevhenii Vaskivskyi, Yelyzaveta Chernolevska, Antonina Vasylieva, Valeriy Pogorelov, Rasa Platakyte, Joana Stocka, Iryna DoroshenkoAbstractFTIR spectra of 1-hexanol trapped in a nitrogen matrix were registered in the temperature range from 10 to 40 K. The experiment has shown that only non‑hydrogen-bonded alcohol molecules were present in the sample at 10 K. Conformational analysis using high-level ROCBS-QB3 ab-initio calculations has shown that only 111 of 122 1-hexanol conformers can exist. The most stable conformer was determ...
Source: Journal of Molecular Liquids - Category: Molecular Biology Source Type: research
Authors: Koletzko B, Cremer M, Flothkötter M, Graf C, Hauner H, Hellmers C, Kersting M, Krawinkel M, Przyrembel H, Röbl-Mathieu M, Schiffner U, Vetter K, Weißenborn A, Wöckel A Abstract Diet and exercise before and during pregnancy affect the course of the pregnancy, the child's development and the short- and long-term health of mother and child. The Healthy Start - Young Family Network has updated the recommendations on nutrition in pregnancy that first appeared in 2012 and supplemented them with recommendations on a preconception lifestyle. The recommendations address body weight before conce...
Source: Geburtshilfe und Frauenheilkunde - Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research
Authors: Stopp T, Falcone V, Feichtinger M, Göbl C Abstract Bariatric surgery is recommended when other weight loss interventions, such as lifestyle modification or medications, have failed. A considerable number of women undergoing bariatric surgery are of childbearing age; hence, it is necessary to be aware of the effects of bariatric surgery on pregnancy for managing these patients. Although bariatric surgery is associated with positive effects on cardiovascular and metabolic parameters, side effects such as anaemia, the risk of developing internal hernia, altered glucose metabolism and the risk of small fo...
Source: Geburtshilfe und Frauenheilkunde - Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research
Charity Tourettes Action has discovered that patients are facing long delays in diagnosis.
Source: BBC News | Health | UK Edition - Category: Consumer Health News Source Type: news
CONCLUSIONS: Strategies that reduce the uptake of smoking and encourage current smokers to quit could substantially reduce the future incidence of pancreatic cancer in Australia, particularly among men. PMID: 30656698 [PubMed - as supplied by publisher]
Source: Medical Journal of Australia - Category: General Medicine Tags: Med J Aust Source Type: research
l Grzegorz Wozniakowski Katarzyna Podgorska Carolina Pugliese Lapo Nannucci Sabato D’Auria Antonio Varriale In this paper, we present the concept of a novel diagnostic device for on-site analyses, based on the use of advanced bio-sensing and photonics technologies to tackle emerging and endemic viruses causing swine epidemics and significant economic damage in farms. The device is currently under development in the framework of the EU Commission co-funded project. The overall concept behind the project is to develop a method for an early and fast on field detection of selected swine viruses by non-spe...
Source: Sensors - Category: Biotechnology Authors: Tags: Concept Paper Source Type: research
ConclusionsWe report a rare case of giant prolactinoma with a first epileptic seizure immediately after the initiation of dopamine agonist therapy. Clinicians need to be aware that the rapid reduction of a giant prolactinoma by dopamine agonist therapy may cause an epileptic seizure.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Conclusions We suggest that interventions to decrease the burden of late-life depression should be targeted at individuals that are affected by chronic somatic comorbidities and are limited in mental and physical functioning. Promotion of help-seeking of older adults, de-stigmatization of mental illness and education of general practitioners could help decrease the gap in mental health service utilization. PMID: 30658276 [PubMed - as supplied by publisher]
Source: Journal of the Association of European Psychiatrists - Category: Psychiatry Tags: Eur Psychiatry Source Type: research
CONCLUSION: Older adults who receive rehabilitation services are at risk of having depressive and anxiety symptoms after these services have terminated. As mental illness is associated with considerable morbidity and may affect rehabilitation outcomes, additional efforts to identify and treat depression and anxiety in these older adults may be warranted. PMID: 30655031 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research
CONCLUSIONS: localized or diffused hard-ligneous vaginal areas with Cork Wall sign represent the typical sign of disease presentation. PeNHVL is characterized by a very high sensitivity to chemotherapy and very favourable prognosis; therefore, radical surgery is not indicated. Histotype characterization is crucial to identify those uncommon variants associated with a less favorable clinical outcome. PMID: 30656635 [PubMed - as supplied by publisher]
Source: Histology and Histopathology - Category: Cytology Tags: Histol Histopathol Source Type: research
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