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A once-monthly injection of the opioid addiction drug buprenorphine has been approved by the U.S. Food and Drug Administration. “Millions of Americans are suffering from addiction to opioid drugs, and millions more are worried that the overdose epidemic could claim the lives of a friend or loved one,” FDA Commissioner Dr. Scott Gottlieb said Thursday in an agency news release. “We need immediate actions to help those suffering from an opioid use disorder transition to lives of sobriety,” he added. The new dosage provides patients with “access to a new and longer-acting option for the treatment of opioid addiction,” Gottlieb noted. The United States is in the grip of an opioid epidemic, with the number of overdose deaths quadrupling between 2000 and 2015, according to the U.S. Centers for Disease Control and Prevention. And Johns Hopkins researchers recently reported that deaths from drug overdoses rose from about 52,000 in 2015 to more than 64,000 in 2016. Most of those deaths involved opioids, including prescription pain medications such as fentanyl and oxycodone (Oxycontin), as well as the illegal drug heroin. Hence, the need for more and better treatments. “Medication-assisted treatment for opioid addiction uses drugs to stabilize brain chemistry, reduce or block the euphoric effects of opioids, relieve physiological cravings and normalize body functions,” Gottlieb explained. There are three FDA-approved drugs for treatment of opioid addiction:… read on >

Think cigars are safer than cigarettes? Think again, new research warns. Nicotine levels in so-called “small” or “filtered” cigars were found to be equal to or greater than that found in cigarettes, according to the study by researchers at Penn State’s College of Medicine. “There seems to be a perception in the public that cigars are not as harmful as cigarettes,” study author Reema Goel said in a university news release. “But our study shows that nicotine is pretty high in this class of cigars, and future regulation that affects cigarettes should also affect these cigars.” Goel is a research associate with the Tobacco Center of Regulatory Science at Penn State. Small cigars are nearly identical to cigarettes in appearance, although they are wrapped in leafy tobacco rather than paper. The study involved eight common brands of small cigars. It used machine-puffing simulators to compare their nicotine delivery levels with that of two types of cigarettes. Using two different methods for measuring nicotine, the research team found that, with both, the average amount of nicotine delivery was notably higher among small cigars than with cigarettes. “These products are basically cigarettes,” co-author John Richie, a professor of public health sciences and pharmacology at Penn State, noted in the news release. “They’re as harmful to you as cigarettes, if not more so. “It’s very important for the… read on >

The more college football referees know about concussion symptoms, the more confident they are in calling a timeout for a suspected head injury, a new study shows. Researchers surveyed more than 1,300 college football officials during the 2015 season and found that they called an average of one injury timeout for a suspected concussion every four games. Those with greater awareness about concussion symptoms were more confident in making such calls, according to the study published online recently in The Journal of Athletic Training. “Concussion education for officials is important,” said lead author Emily Kroshus, an assistant professor in University of Washington’s department of pediatrics. “When officials are more aware of concussion symptoms, they are more confident in calling injury timeouts,” Kroshus said in a journal news release. “Understanding the determinants of whether officials call an injury timeout when they suspect a concussion has important implications for the design of interventions that better support officials in this role,” she added. Study co-author John Parsons is managing director of the NCAA Sports Science Institute. “One way that officials can help ensure sports safety is to recognize potentially concussed athletes and call injury timeouts appropriately so that athletic trainers or other medical personnel can conduct evaluations,” he said. Said Kroshus: “When officials believe that coaches, athletic trainers, parents, fans, athletes and athletic administrators are equally committed to… read on >

It’s common doctors’ advice to the elderly: Walk around the block each day to help stay fit. Trouble is, that advice might do more harm than good if you live in a neighborhood with smoggy air, a new study shows. British research suggests the unhealthy effects of breathing dirty air might outweigh whatever benefit the daily walk brings. “For many people, such as the elderly or those with chronic disease, the only exercise they very often can do is to walk,” noted lead researcher Dr. Kian Fan Chung, of the National Heart and Lung Institute at Imperial College London. But “our study suggests that we might advise these people to walk in green spaces, away from built-up areas and pollution from traffic,” Chung said in a news release from Duke University. “But for those living in inner cities, this may be difficult to do, and there may be a cost associated with it as they have to travel further away from where they live or work.” The study was conducted in London, but one U.S. expert in respiratory health said the findings probably hold true everywhere. “It is no surprise that traffic-polluted streets may negate the cardio-respiratory effects of walking in older adults,” said Dr. Len Horovitz, a pulmonary specialist at Lenox Hill Hospital in New York City. He advises that “peak traffic times should… read on >

Good nail care is important, but it’s possible to overdo it. For instance, it turns out that too much clipping can actually be harmful. Trimming nails every day can create stress across the entire nail. Over time, it can change nail shape and even lead to conditions like ingrown toe nails. It’s fine to trim your nails with nail clippers or scissors, but no more than once every week or two. Fingernails should follow the shape of your fingertips, straight across and slightly rounded at the sides. Clip toenails straight across at the level of the toe. File in only one direction to keep nails strong. Here are other care tips: Keep nails clean and dry whenever possible. Moisturize nails and cuticles with hand lotion or cream. Nail polish offers some protection, but don’t use polish remover more than twice a month. Try to avoid all nail products with toluene, formaldehyde and dibutyl phthalate. Avoid prolonged exposure to water when bathing and housecleaning. Protect nails from harsh chemicals by wearing cotton-lined rubber gloves when cleaning. It’s also important to check your nails regularly for warning signs of a problem that merits a doctor visit. Signs to look for include: Discoloration of the entire nail or a dark streak under a nail. Any change in shape. Any change in thickness — thinner or thicker. Separation of… read on >

Everyone has a bad day at work every now and then. But if you often wake up dreading heading to your job, it’s time to consider why you’re unhappy and if a job switch is the best solution. Researchers have found that job happiness is a balance between responsibilities and resources. You might have a heavy workload or demanding deadlines. But if you have tools and support along with the authority to make decisions, you’ll have greater job satisfaction, according to a study published in the journal Industrial Health. Here are some keys to job satisfaction: Workplace resources. Support from upper management. Decision-making ability. On the other hand, three things in particular lead to job unhappiness. Lack of support from your boss/supervisor. Conflicts with co-workers. Inability to use skills you’ve acquired. If these issues are ongoing and causing you stress, asking for workplace accommodations may help. If you feel like you’re being micro-managed, talk to your supervisor about being able to work at your own pace and organize tasks yourself. Also, changing your work schedule, mentoring an associate and continuing your education are three steps that might re-invigorate you. Finally, find ways to unwind when you get home. Having better balance in your personal life can give you an energy boost to take to work. If these options aren’t possible or don’t give you greater… read on >

Texting, talking on cellphones, eating, drinking — distractions such as these are a driving hazard, and are more likely to occur among young men, new research shows. People most prone to distracted driving also often tend to think it’s “no big deal” — socially acceptable, the Norwegian study found. These drivers often also felt that they had little control over being distracted. On the other hand, older women, and people who felt they could control their distracted behaviors, were most able to keep their focus where it belongs — on the road ahead. “I found that young men were among the most likely to report distraction,” said study lead author Ole Johansson of Norway’s Institute of Transport Economics. “Others more prone to distraction include those who drive often, and those with neurotic and extroverted personalities.” According to the study authors, the World Health Organization estimates that more than a million lives are lost on roadways each year due to distracted driving. And it only takes two seconds of looking away from the road for risks of an accident to rise significantly, the researchers noted. There was good news, however, from the survey of Norwegian high school students and adults: Overall rates of distracted driving were low, and “fiddling with the radio” was the most common source of distraction. The study was published Nov. 17 in… read on >

Doctors, don’t be afraid to deliver bad news. Telling cancer patients the truth about their chances of survival does not harm a physician’s relationship with those people. It could even make it better, according to a new study. “We hope this information will reassure clinicians about any negative impacts of these discussions on their relationships with patients,” said study lead author Joshua Fenton. “Discussing prognosis doesn’t undermine trust — and informing patients may have large benefits in terms of future quality of life,” added Fenton. He is a professor of family and community medicine at the University of California, Davis. The study included 238 adults with advanced cancer. The patients received bad news about their disease progression from oncologists in New York state and California. Interviews with the patients showed that hearing the poor prognosis did not harm their relationship with their oncologist one week after receiving the news. And it actually improved the relationship three months later, the researchers said. The findings contradict two previous studies that concluded that such discussions can increase patients’ depression and disrupt their relationship with their doctor. Fenton noted that many oncologists spend little time talking with patients about prognosis or end-of-life options such as palliative care and hospice. That can lead to more hospital care, lower quality of life and even shorter survival, plus more difficulties for caregivers.… read on >

You know about buying no- and low-fat dairy and lean cuts of meat. But your pantry might also need a makeover to help you get the most nutrients from your foods and stick with a healthy diet plan. Start by replacing white flour with whole-wheat flour, according to the Simple Cooking With Heart Grocery Guide from the American Heart Association. The varieties “white whole wheat” and “whole wheat pastry flour” work well in baked goods. Switch from regular pasta to whole-wheat varieties, and buy brown and wild rice rather than white. Expand your whole-grain selections for side dishes with couscous, barley and kasha — they have great taste that doesn’t need butter. Clear out bottled sauces and dressings with added fat and sugar. Buy canned low-salt tomatoes and tomato paste to use as a base for soups and sauces. Flavor foods with different vinegars or a squeeze of citrus, like lemon or lime. Build a collection of nut- as well as plant-based oils, like hazelnut and walnut to go alongside olive and safflower oils. A few drops are all you need to add pizzazz to a dish. Get creative with spices and herbs. There are dozens to try, from thyme and rosemary to sage and dill. Grow your own on a windowsill or use dried varieties. Add Asian and Indian influences for zest and deeper… read on >

Using marijuana when you have HIV could lead to problems with brain function if you also abuse alcohol or drugs, a new study finds. “People with HIV infection have many reasons to have cognitive dysfunction, from the virus itself to medications for HIV infection and related conditions, particularly as they age,” said lead researcher Richard Saitz. He’s a professor and chair of community health sciences at Boston University School of Public Health. “They also have symptoms like chronic pain and mental health symptoms, and use of marijuana, medically or recreationally, may seem like an option to consider,” Saitz said in a university news release. “But at least among people with substance use disorders, it appears to have detrimental effects on cognitive function.” Little research has been done on the combined effects that alcohol and marijuana have on the brain function of people living with HIV, according to the researchers. “Such an understanding could contribute to efforts to reduce harmful substance use and prevent clinical consequences, particularly in an era in which ‘moderate’ drinking is at times discussed in terms of possible beneficial effects, and in which marijuana is discussed as a relatively safe and even therapeutic substance,” they wrote in the study. To investigate this issue, Saitz and his colleagues analyzed data on 215 adults with HIV who also had a substance abuse problem. The… read on >

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All Sauce from Weekly Gravy:

FDA Approves Monthly Dose of Opioid Addiction Treatment

Some Cigars Pack Bigger Nicotine Punch Than Cigarettes

Informed Football Refs Better at Spotting Suspected Concussions

Smoggy Streets May Make Daily Walk a Health Hazard

4 Steps for Healthier Nails

3 Signs You’d Be Happier With a New Job

Who’s Most Distracted Behind the Wheel?

Memo to Doctors: Spit Out the Bad News

A Pantry Makeover for a Healthier Diet

Pot May Alter Brain Function of Some With HIV