CHRONIC PAIN
• The Problem with Opioids for chronic Pain: In addition to addiction, side effects from opioid
medications include constipation, increased risk of birth defects, falls and
fractures, heart attacks and a decrease in the production of testosterone.
Opioids should be medications of last resort. Review article US News.
• Mindfulness Program Beneficial for Chronic Pain: Researchers from a randomized trial to examine
the effects of mindfulness meditation on chronic pain concluded, "A
standardized mindfulness program contributes positively to pain management and
can exert clinically relevant effects on several important dimensions in
patients with long-lasting chronic pain," the authors write. Pain Medicine
• Occult Infections may be the cause of chronic pain after spine surgery: Chronic pain after spine surgery can affect as many as
40% of patients, even after all surgical parameters are met and are normal.
Occult spinal infections may be the cause of some of these cases of pain with
unknown origin. “Occult infection is more prevalent than previously
identified.” Lumbar Spine Research Society Annual Meeting
• Chronic
Pain meds misused by 20% to 25% of patients: Approximately 20 to 25 percent of
patients using opioids for chronic pain have misused these drugs, according to
a report published in the journal Pain.
• Nasal Bupivacaine Block of Sphenopalatine Ganglion Reduce Chronic Migraines: A nasal formulation of 0.5%
bupivacaine effectively and safely reduces the frequency of headaches in
patients with chronic migraine and reduces the average amount of pain associated
with the headaches. 31st Annual Meeting of the American Academy of Pain
Medicine (AAPM).
• Use of Antidepressants and Anticonvulsants Increase Ziconotide Side Effects: The
common use of antidepressants and anticonvulsants among patients treated with
intrathecal ziconotide for chronic pain is associated with increased side
effects of cognitive impairment and alertness. 31st Annual Meeting of the
American Academy of Pain Medicine (AAPM).
•
Ketorolac Injections as Effective as Corticosteroids for Knee Osteoarthritis
Pain: Ketorolac intra-articular knee injections provide
pain relief from knee osteoarthritis that is equivalent to improvement with
corticosteroids. American Academy of Pain Medicine (AAPM)
COMPLEMENTARY AND ALTERNATIVE MEDICINE
• A Grateful Heart May be a Healthy Heart: Higher
levels of gratitude were associated with better mood, better sleep, less
fatigue and less inflammation, a factor that can worsen heart failure,
according to the study. Spirituality in Clinical Practice.
• Liquid Medical Marijuana Shows Promise Against Severe Epilepsy: A
liquid form of medical marijuana may help people with severe epilepsy that does
not respond to other treatments, according to a new report. Advanced Clinical
Experience in Neurology,
FDA ACTION
• Approved
Afibercept for Diabetic Retinopathy for patients with Diabetic Macular Odema
• Warned that serious slowing of the heart rate can occur when the antiarrhythmic drug
amiodarone is taken together with either the hepatitis C drug Harvoni
(ledipasvir/sofosbuvir) or with Sovaldi (sofosbuvir) taken in combination with
another direct acting antiviral for the treatment of hepatitis C infection.
• Approved the Gastric Emptying Breath Test (GEBT), a
new non-invasive test to aid in the diagnosis of delayed gastric emptying,
known as gastroparesis.
• Warned against muscle growth product Tri-Methyl
Xtreme
• Approved generic copaxone for multiple sclerosis
PREVENTION
• Exercise Might Help His Sex Life: Nearly 300 men provided information
about their physical activity levels and their ability to have erections and
orgasms, the quality and frequency of erections, and their overall sexual
function. Better sex was reported by those who engaged in the equivalent of two
hours of strenuous exercise, 3.5 hours of moderate exercise, or six hours of
light exercise a week. Journal of Sexual Medicine
• Regular,
Vigorous Exercise May Lengthen Your Life: Australian researchers found
that middle-aged or older people who get at least some high-intensity exercise
that makes them sweaty and winded may reduce their chances of dying early by up
to 13 percent. The study involved more than 204,000 people aged 45 or older who
were followed for more than six years. Researchers compared those who engaged
in only moderate activities -- like gentle swimming, social tennis or household
chores -- with people who got some amount of vigorous activity -- such as
jogging, aerobics or competitive tennis. JAMA Internal Medicine
• Exercise Improves Non-Alcoholic Fatty Liver Disease: “The results from our study show that all exercise
doses, irrespective of volume or intensity, were efficacious in reducing liver
fat and visceral fat by an amount that was clinically significant, in
previously inactive, overweight, or obese adults compared with placebo.”
Journal of Hepatology
• Smoking May be Linked to prostate Cancer’s Return: Researchers
followed nearly 7,200 men after they had their prostate gland removed because
of cancer. During the roughly 28-month
follow-up, current smokers and patients who had only quit smoking within the
previous 10 years were about twice as likely to have their cancer return as
those who never smoked, the international team of researchers found. Former
smokers had to have quit more than 10 years in order to have a significantly
lower risk of cancer recurrence. European Association of Urology
• Arts and Crafts Activities May Stave Off Dementia: A study of 256
found that those who engaged in artistic activities such as painting or drawing, in both middle
age and when they were 85 and older, were 73 percent less likely to develop mild
cognitive impairment than those who did not engage in artistic activities. The
people who engaged in craft activities such as woodworking or pottery were 45
percent less likely to develop mild cognitive impairment than those who did not
participate in such activities, the researchers found. Neurology
• To Protect Aging Brain,Start with Exercise: A new report from the Institute of
Medicine also suggests that quitting smoking, managing health conditions and
socializing can also help to preserve brain function.
• Pesticide Exposure Contributes to Heightened Risk of Heart Disease: Pesticide exposure, not obesity alone, can contribute to
increased cardiovascular disease risk and inflammation in premenopausal women,
according to a new study. Journal of Clinical Endocrinology & Metabolism.
• Heavy Snoring, Sleep Apnea May Signal Earlier Memory and Thinking Decline: Heavy
snoring and sleep apnoea may be linked to memory and thinking decline at an
earlier age, according to a study published in the April 15, 2015, online issue
of the journal Neurology. The research also suggests that treating the
disorders with a breathing machine may delay the decline.
• E-Cigarettes May Not Help Smokers Quit: A study of 1,000 found that
smokers who used e-cigarettes were less likely to quit regular cigarettes than
those who hadn't tried the devices. American Journal of Public Health
• Walking Boosts Outcomes for Prostate
Cancer Survivors: A study of 51,000 early stage prostate
cancer survivors found that three hours of "casual" walking per week
boosted the men's health-related quality of life by reducing fatigue,
depression and weight issues. Walking at a faster pace for 90 minutes a week provided
similar benefits, the team found. Journal of Cancer Survivorship: Research and
Practice
• Cardiorespiratory Fitness Reduces Disease Risk Among Smokers: Cardiorespiratory fitness is associated
with reduced metabolic syndrome risk among smokers, according to researchers. American
Journal of Preventive Medicine
SUPPLEMENTS/VITAMINS/NUTRITION
• More Whole Grains May Boost Life Span: A new study suggests that older people
who eat a lot of whole grains may live longer than those who hardly ever eat
them. BMC Medicine
• Exercise, but not Vitamin D, Cuts Injuries from Falls in Older Women: Neither
routine exercise nor vitamin D supplementation does anything to lower the
overall risk for accidental falls among older women, a new Finnish study says.
However, the risk of serious injury as a result of falling was cut by more than
half when elderly women engaged in regular exercise, according to the study.
AMA Internal Medicine
• Weight Watchers, Jenny Craig Beat Other Commercial Diets: Only
two out of 32 major commercial weight-loss programs marketed nationwide --
Weight Watchers and Jenny Craig -- can boast scientific evidence showing their
clients maintain weight loss for at least a year, the researchers found. Annals
of Internal Medicine
• High-Fat Dairy Products Linked to Reduced Type 2 Diabetes Risk: Consumption of high-fat yogurt and cheese are linked
to a reduction in the risk of type 2 diabetes by as much as a fifth, according
to new research. High meat consumption, on the other hand, is linked to a
higher risk. Am J Clin Nutr
• Eating Out Equals High Blood Pressure: A recent study on university-going
young adults is the first ever to show an association between meals eaten away
from home and high blood pressure. These findings highlight lifestyle factors
that can affect hypertension and emphasize the importance of being aware of the
salt and calorie content in food, to facilitate better meal choices when eating
out. Am J of Hypertension
• Roseroot Herb Shows Promise as Potential Depression Treatment Option:
Rhodiola rosea (R. rosea), or roseroot, may be a beneficial treatment option
for major depressive disorder (MDD), according to results of a study. Phytomedicine
• Mushrooms Boost Immunity: A new
University of Florida study shows increased immunity in people who ate a cooked
shiitake mushroom every day for four weeks. Journal of the American College
of Nutrition
TREATMENTS
• Deep Brain Stimulation May Ease SomeParkinson’s Pain for Years to Come: People with Parkinson's disease who undergo deep brain
stimulation may experience long-term pain relief, a small, new study from Korea
suggests. However, three-quarters of the patients developed new pain in muscles
and joints eight years after the procedure was performed, the researchers
found. JAMA Neurology
• Latest Diabetes Care Guideline Focus on Individual Approach: The
American Diabetes Association has issued new guidelines, which includes
screening Asian-Americans for diabetes at lower weight and giving statins to
patients who are over 40 and have diabetes. Annals of Internal Medicine
• 1
in 5 Medicare Patients Faces Delay in Melanoma Surgery:Researchers evaluated more than 32,000 melanoma patients covered by Medicare.
“We found around one in five Medicare patients experience a delay greater than
1.5 months and that 8 percent had surgery after three months.” Delays were
least common for patients whose melanoma was biopsied and excised by a
dermatologist, compared to other physicians. JAMA Dermatology
•
Americans Get too Many Tests Before Cataract surgery: Older
Americans get a lot of unnecessary tests before they undergo cataract surgery,
a new study suggests.Experts said the findings highlight an area of wasteful health
care spending. Plus, they said, there is a risk for harm if the tests pick up a
mild abnormality that prompts further tests, then turns out to be nothing. New
England Journal of Medicine
• Blood Thinners Over prescribed for Low-Risk Irregular Heartbeat: The
study included information from nearly 11,000 atrial fibrillation patients
across the United States. They were all younger than 60. They were also all
considered to have a low risk of stroke, according to the researchers. Still,
the study found about 25 percent of them were prescribed blood thinners,
contrary to current treatment guidelines. JAMA Internal Medicine
• New Drug Holds Promise for MS: The second of three phases required for
U.S. Food and Drug Administration approval of the drug, known as anti-LINGO-1
appears to repair nerve damage seen in multiple sclerosis (MS) patients,
results of an early trial suggest. American Academy of Neurology Meeting
OTHER
• Malpractice Fears Spurring Most ER Docs to Order Unnecessary Tests: Of 435
ER physicians who completed the survey, 97 percent admitted to ordering some
advanced imaging scans that weren't medically necessary, mainly because they
fear malpractice lawsuits. The ER docs surveyed also suspect they aren't the
only staff doing this. More than 85 percent believe too many diagnostic tests
are ordered in their own emergency departments, by themselves and others.
Academic Emergency Medicine
• Could Obesity Help Protect Against Dementia: A new study of nearly 2 million
people suggests that those who are overweight or obese in middle age may be
less likely to develop dementia than their normal and underweight peers.
Overweight and obese people were about 30 percent less likely to develop
dementia 15 years later than people of a healthy weight. Conversely,
underweight people were 34 percent more likely to develop dementia than those
whose weight was normal, according to the study authors. he Lancet Diabetes
& Endocrinology
• Work-Related Asthma Affects Millions of US Adults: Almost 16 percent of American
adults with asthma either developed the condition on the job or have asthma
symptoms made worse by conditions in their workplace, a according to a new U.S.
health report. Morbidity and Mortality Weekly Report
• Many
Very Ill Patients Choose ‘Next of kin” Who Aren’t: Nearly
one out of 10 veterans in Connecticut younger than 65 have chosen someone who
is not part of their immediate family as their next of kin, a new study
reports. Immediate -- or nuclear -- family generally includes a person's
spouse, adult child, parent or sibling. However, state laws won't allow non-immediate family
members to make medical decisions on behalf of the patients, unless the
patients have specifically named them in a living will or other legal document.
J "When difficult decisions arise, it can cause delays and adverse
consequences if people aren't sure who should be making decisions," Cohen
said. And, under current laws, it's possible that a family member with little
to no participation in a person's day-to-day life could end up responsible for
making life-and-death medical decisions on that person's behalf, according to
the researchers AMA
• Uninsured May Face Much Higher Charges for Cancer Drugs:
Doctors may charge uninsured patients anywhere from two to 43 times what
private insurance plans or Medicare pay for chemotherapy drugs, a new study
estimates. Health Affairs
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