All Sauce from Weekly Gravy:

Children who have surgery for a broken elbow may be overprescribed potentially addictive opioid painkillers, a new study finds. Overprescription includes giving kids too many opioids when they are sent home — raising the risk that any leftover meds will be “diverted” for illicit use. “This study suggests that orthopedic surgeons really need to think about our current prescribing practices and how we can help decrease the potential for overprescription and opioid diversion,” said study author Dr. Apurva Shah. He’s an orthopedic surgeon at the Children’s Hospital of Philadelphia. The study included 81 patients, average age about 6 years, who had surgery for the most common type of elbow fracture in children. On average, they took only 24 percent of prescribed opioid painkillers. Opioids include drugs such as OxyContin and Vicodin. Eighteen patients did not take any opioid medications after they left the hospital, and 18 took over-the-counter (OTC) pain medications such as ibuprofen or acetaminophen. Only 11 patients were taking any type of pain medication 10 days after surgery. By day 14, six patients were taking OTC pain medications, and by day 21, only four still used them, according to the study. The finding that patients used an average of less than 25 percent of prescribed opioid medications suggests the potential risk of opioid overprescribing, which contributes to the nation’s opioid epidemic. For example,…  read on >

New (and pricey) hepatitis C medicines, such as Harvoni and Sovaldi, are living up to their promise and greatly reducing patients’ odds for liver cancer and death, a new French study finds. The news came as little surprise to one U.S. liver expert. The advent of this class of drugs “has led to almost universal cure of chronic hepatitis C infection,” said Dr. David Bernstein, chief of hepatology at Northwell Health in Manhasset, N.Y. Bernstein believes “this large study provides the best evidence to date to support the recommendations that all patients with chronic hepatitis C infection be treated with [these drugs].” According to background data in the study, about 71 million people worldwide have chronic hepatitis C infection, which can cause debilitating or fatal illnesses such as cirrhosis, liver disease and liver cancer. Over the last 15 years, these complications have tripled and it’s predicted that they’ll peak between 2030 and 2035, the researchers said. The new research was funded by drugmakers and included nearly 9,900 patients in France. About three-quarters of the patients were treated with the newer class of drugs, called “direct-acting antivirals,” while the other one-quarter were not. Direct-acting antivirals work quickly — over a course of about three months — to push liver-damaging hepatitis C virus to undetectable levels in patients’ blood. In the study, over a median follow-up of…  read on >

Teen boys who are unfit and/or obese have higher odds for chronic disease and disability as adults, according to a large Swedish study. Researchers followed more than 1 million boys for an average of 28 years, starting when they were 16 to 19 years of age. Those who were inactive, obese or both as teens were more likely to receive medical disability pensions as adults. The pensions are granted in some countries to working-aged adults who are unable to work due to chronic illness or injury. “Cardiorespiratory fitness and obesity already in adolescence is strongly related to later health,” said lead researcher Pontus Henriksson, a registered dietitian at the Karolinska Institute in Huddinge, Sweden. His team cautioned that this study does not prove that being unfit or obese as a teenager causes disabilities in adulthood, only that the two appear to be related. This association, however, is important because many teens are less fit and weigh more than previous generations, Henriksson said. The study also provides more evidence for the relevance of fitness and obesity in adolescence as markers of future health. Morbidly obese men were at greatest risk, the study found. Henriksson and his colleagues also found that compared with being unfit, being moderately or highly fit was related to a reduced risk for disability, whether one was obese or not. Common disabilities associated…  read on >

Millions of Americans with heart disease say they face financial strain because of their medical care, with some skipping meds or cutting back on basics like groceries. That’s the finding of a new national study of heart disease and stroke patients younger than 65 — a group that’s too young for Medicare but often lack health insurance, or “good” insurance. The researchers found that 45 percent of those patients said they’d had problems paying their medical bills in the past year. That translates to nearly 4 million Americans. For many, the study found, the issues ran deep: More than one-third of people with payment problems said they’d skipped needed drugs, cut back on groceries or were in general “financial distress.” “In order to meet obligations toward out-of-pocket costs, heart disease patients are delaying or avoiding paying for medications and elementary daily needs — like putting food on the table,” said senior researcher Dr. Khurram Nasir, of the Yale School of Medicine. Others said the findings were striking and important, though not surprising. Dr. Alison Bailey, a cardiologist in Tennessee, said she routinely sees patients who are struggling financially. So she spends a lot of time helping them figure out the most affordable medication options. This sometimes means choosing which drugs are most needed at the moment, and leaving others out. “We’re lucky in cardiology that…  read on >

Men and women alike want defined abs. But you don’t have to achieve a “six-pack” — the nickname for the three most visible pairs of abdominal muscles — to get the benefits of a stronger middle, needed to support your back. For a study sponsored by the American Council on Exercise (ACE), scientists from the University of Wisconsin, La Crosse, evaluated popular ab exercises to determine the best ones. Popular Ab Strength Training Exercises Bicycle crunch Captain’s chair crunch Classic crunch Decline bench curl-up Front plank Side plank Stability ball crunch Yoga boat pose Of all these, the winner was the classic crunch. And it makes no difference whether you do crunches with arms folded across the chest or hands behind the head, researchers found. What does matter is using proper form. Here’s how ACE recommends doing crunches with hands behind your head: Lie on your back, knees bent, feet flat on the floor between 12 and 18 inches from your rear. Press your elbows back to bring shoulder blades together without arching your lower back. Keep elbows in this position and keep your feet, tailbone and lower back in contact with the floor throughout the entire exercise. Exhale and engage your ab muscles. Tilt your chin up slightly as you slowly curl head, shoulders and upper back off the floor. (Try not to tense…  read on >

(HealthDay News) — Taking care of a significant wound helps prevent infection and minimize scaring, the Nemours Foundation says. The foundation suggests how to care for a wound at home: Keep the wound covered with a clean dressing until it stops producing fluid. Wait an average of four days after surgery before showering. Ask your doctor for a specific time to wait. Do not soak in the bathtub or swim until your next doctor visit. Don’t let pets get close to a wound. Do not pick or scratch a scab.

Many studies have shown that color affects both mood and behavior. Color can help you go from sad to happy or angry to calm. When it comes to mood, there are four primary colors. Though different shades within each of the four can have different effects, some generalities exist. Red symbolizes power and strength and may even stimulate aggression. Yellow is associated with joy, hope and optimism. As “warm” colors, both red and yellow are thought to increase arousal. Green is emotionally calming and stands for harmony. Blue is the color of intellect, yet is so calming that it can lower blood pressure. As “cool” shades, both blue and green can be relaxing. Much research has found that people living in areas with more green space have better physical and mental health than those with less green space. A European study looked at the effects on city dwellers of making purposeful visits to green spaces in four cities. They found strong positive links, including better mental health and more vitality. For another study, Michigan State University researchers analyzed data from the other side of the world. They compared the effects of living with a view of the ocean or of green space on residents of Wellington, New Zealand. They found that just looking out on a pure blue ocean or sea can significantly improve distress.…  read on >

Young children with autism are more than twice as likely to have sleep problems than typical kids or those with other developmental delays, a new study reports. Several factors profoundly affect the sleep of 2- to 5-year-olds with autism spectrum disorder (ASD), said lead researcher Dr. Ann Reynolds. They are more likely to resist their bedtime, have trouble getting to sleep, suffer from anxiety regarding sleep, wake up in the middle of the night, and experience night terrors. “It was very clear that kids with features of autism have more sleep issues,” said Reynolds, an associate professor of developmental pediatrics at the University of Colorado School of Medicine in Aurora. “For almost all categories, there was a difference between ASD kids and the general population.” It was already known that kids with autism struggle with sleep. Studies have consistently found that more than half of them and possibly as many as 4 in 5 have at least one chronic sleep problem, according to Autism Speaks. Reynolds and her team decided to delve deeper into the issue, to see which sleep problems appeared to be more affected by the symptoms of autism. They also wanted to compare kids with ASD to average children and to those who have other disorders that cause developmental delay. Researchers recruited almost 2,000 children between the ages of 2 and 5…  read on >

Even if you think you can go to work when you have a cold or flu, you need to think about others, an infectious disease expert says. “I see a lot of patients whose jobs and stress make them feel torn between staying home and going in when they’re sick,” said Dr. Robin Wigmore. She is a primary care physician and infectious disease specialist at Beth Israel Deaconess Medical Center in Boston. “But viral infections like the common cold and flu are contagious. It’s important to consider your co-workers’ health as well,” Wigmore said in a medical center news release. To make an informed decision, first consider how long you’ve been feeling ill. “You are most contagious in the first 48 hours of a viral illness,” Wigmore explained. “This is often even before you begin feeling symptoms.” This means you should stay home at the first sign of symptoms. That will avoid spreading your illness and allow you to rest, stay hydrated and take care of yourself. Ask yourself if your symptoms are contagious. Viruses can be passed through the air by coughing or sneezing, and some cold and flu germs can survive on surfaces such as countertops, doorknobs and phones for up to 24 hours. “As a general rule, if you have a wet cough, a runny nose, fevers or aches, you should probably…  read on >

A lot of importance is placed on developing self-esteem to create emotional well-being and to quiet the inner critic that causes people to doubt themselves. But even more essential to emotional wellness might be self-compassion — extending to yourself the same feelings of empathy and concern that you show others. Self-compassion leads to contentment and offers a kind of immunity against negative influences like fear, according to researcher Kristin Neff, associate professor of educational psychology at the University of Texas at Austin. More than self-esteem, self-compassion can soothe you when you’re upset, help you gain perspective, and allow you to accept your faults. With that mindset, you can flourish. Neff has identified three important elements of self-compassion: Self-kindness: This simply means being understanding with yourself, rather than judgmental. Feeling connected with others in life: This is what Neff calls “common humanity.” Mindfulness: This is often described as viewing a situation in real time without coloring it with “what ifs?” Self-compassion doesn’t depend on your reaching ideal and possibly unrealistic goals, but from caring for yourself as you are, with your own balance of weak and strong points. People with self-compassion experience less anxiety and are more comfortable in their own skin. What’s more, if you’re a mom or dad, having self-compassion can help you feel more at ease with your parenting skills, which will benefit…  read on >