May 7th, 2009 by Jon LaPook, M.D. in Better Health Network, Video
Tags: Abuse, ADD, Adderall, ADHD, Attention Defecit Hyperactivity Disorder, CBSDOC.COM, College Students, Drugs, Pharmaceuticals, Ritalin
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This week’s episode of CBS DOC DOT COM took me to a college campus where I got schooled by two students about the widespread use of ADHD (Attention Deficit Hyperactivity Disorder) meds – by kids without a diagnosis of the condition – to study, stay attentive, and sometimes just to feel good. A 2005 Web survey found that 5% of US undergraduates reported having used stimulants over the previous year for non-medical reasons. But the real number may be much higher, especially if you listen to the students I interviewed with Dr. William Fisher, a psychiatrist at Columbia University Medical Center.
Features of ADHD include inattention, hyperactivity, and impulsiveness. A national survey in 2003 reported that about 4.4 million children in the US have been diagnosed with ADHD and 56 percent take medication to treat it. It’s estimated that about one to two thirds of the children with ADHD continue to have symptoms in adult life.
ADHD medication was in the news last week with a report that medication use in elementary school children improved math and reading scores. The gains – equal to about a fifth of a school year in math and a third of a school year in reading – still left the treated children lagging behind kids without the disorder. The study fans an ongoing debate on who should receive medications such as Adderall and Ritalin. These medications – along with behavioral/psychological therapy and educational interventions – help patients with ADHD; but they’re also being used by students and adults who have not been diagnosed with the disorder.
These drugs have potentially serious side-effects such as high blood pressure, irregular heart beat, and dependency. Doctors prescribing them for patients with ADHD should be carefully weighing the risks and benefits. People taking them on their own are rolling the dice with their health. No matter what you may feel philosophically about using these stimulants, the risk-benefit of their use in patients without ADHD has simply not been established.
I feel strongly that ADHD medications should only be used under the guidance of a physician. But that’s apparently often not the case. In today’s segment, we explore this issue further. Why do people without ADHD take stimulants? How do they start? How does it make them feel? Is society’s metronome pulsing so much faster today that people feel pressured to take drugs just to keep up? Click here for a fascinating related article which appeared recently in The New Yorker.
Click here to see a video on this topic.
May 7th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network
Tags: China, cigarette, e-cigarette, Johnathan Foulds, nicotine, quit, Quitting Smoking, smoking, smoking cessation
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I’m currently attending the annual conference of the Society for Research on Nicotine and Tobacco. This is the main organization for nicotine researchers and this conference is often the first place that exciting new research findings are presented, prior to being published in more detail in scientific journals. So this week my posts will be based on some of the most interesting things I have come across at this conference, including new developments in helping smokers quit.
There is currently considerable interest (hype?) in the e-cigarette, and I have written about it before. Last weekend I was walking through our local shopping mall in New Jersey with my 8-year old daughter when she tugged at my arm and said “dad, dad, theres a man smoking over there.” I told her that couldn’t be true because people arnt allowed to smoke inside the mall, but she insisted. On looking over I was surprised to see that sure enough, someone was standing next to a booth and appeared to be puffing away on a cigarette. So we walked over to investigate, and found out that in fact it was an e-cigarette and he was selling the product at the booth. We chatted and he showed me the product which actually looks very impressive. I had already purchased an earlier version a couple of years ago, which was more stogie cigar-sized, but this one looked and puffed very much like a cigarette and was also considerably less expensive than the earlier model.
But whenever discussing this product, to me the first and most critical question (after …”whats in the vapor and might it harm my health?”) is, “does it deliver enough nicotine to satisfy nicotine cravings? “ Until I came to this conference, I hadn’t met anyone who had completed a study that included measurement of blood nicotine levels in people using the e-cigarette. This question is critical because cigarette smokers are used to receiving a boost in blood nicotine levels of at least 10 ng/ml from each cigarette, and for a product to have any chance of effectively reducing craving for or replacing cigarettes it needs to come close to that level of nicotine delivery.
But I was lucky enough to bump into Dr Murray Laugesen, a tobacco control expert from New Zealand who has been one of the foremost proponents of the product. He showed me a preliminary report on the e-cigarette which was being presented at the conference. Full details of the study will be presented in a formal publication sometime in the future, but for right now the main conclusion is that although the e-cigarette CONTAINS a reasonable amount of nicotine it actually DELIVERS very little nicotine to the user, and certainly much much less that can be obtained from smoking. To my mind this relegates the status of this product to that of a very nice and cleverly designed theatre prop, and unfortunately not a product that is likely to be highly effective in helping smokers to quit smoking.
As always, if you are interested in using a product to assist you in quitting smoking, your best bet is to use a product that has been approved by the medicines licensing agency in your country as safe and effective for that purpose (e.g. in the U.S. that would be the FDA).
For more information about Dr Laugesen’s work on the e-cigarette, visit:
http://www.healthnz.co.nz/ecigarette.htm
*This post, Does The e-Cigarette Deliver Nicotine?, was originally published on Healthline.com by Johnatan Foulds, MA, MAppSci, PhD.*
May 5th, 2009 by Medgadget in Better Health Network
Tags: Flo Toilet, Gadget, Green, Medgadget, Toilet, Yoga
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A team from Arizona State University decided to redesign the toilet, brazenly removing the seat and forcing the user to apply yoga techniques while flexing a variety of muscles. Perhaps the old fashioned among us, can choose to multitask on the commode with a bit of some light reading. No doubt some of our readers can do that, some yoga, and chew gum at the same time.
ASU reports:
The Flo toilet is an ergonomic, sustainable design concept for baby boomers that functions like a squat toilet. Designers maintain that using the Flo toilet is akin to yoga – by building and strengthening abdominal and back muscles. Only one-half to one gallon of water is used for flushing and The Flo reuses water from hand washing. To flush water from the tanks to the toilet, the Flo employs an electromagnetic ball valve. Go With the Flo also is free of mechanical parts. The toilet is fully self-sustaining and independent of electric power.
ASU press release:Industrial product design wastes away the competition …
(hat tip: Gizmodo via Core77)
May 4th, 2009 by Emergiblog in Better Health Network
Tags: Emergency Medicine, Emergiblog, Kim McAllister, Nurse Jackie, Nursing, Showtime
2 Comments »
That’s Edie Falco.
You remember. She played Carmella Soprano.
Great actress; I love her.
Too bad I won’t be watching her new character on Showtime.
*****
“Nurse Jackie” is a new series.
I received an email from Showtime asking me if I would curate a selection of nursing experiences for an upcoming “Nurse Stories” web site that would coincide with the debut of Nurse Week and “Nurse Jackie”.
Whoa.
I don’t get email from Showtime every day, so this sounded pretty interesting.
I went to the website to check out the show before responding.
I made it through one video.
*****
Nurse Jackie is a competent, hard-as-nails, take-no-prisoners ER nurse.
With a heart, of course.
One minute she’s telling a doctor he’s full of it, the next minute she tells a patient to get out of her ER (classic!).
Edie Falco is perfect as the title character.
You’ve all worked with her.
Hell, you might even be her!
*****
My first reaction?
Oh..my..god, they did it!
They made a show with a strong nurse protagonist, and damn! if they didn’t get the ER environment down!
I had goosebumps, literally.
I was ready to (a) start getting Showtime, (b) spread the word far and wide and (c) take the job.
But then…
*****
They started grabbing her chest.
I think in a the short video I watched (five minutes?) Nurse Jackie had her breasts fondled by three men.
Oh great.
My first thought?
Here we go again with the nurse-as-sex-object stereotype.
(Actually, my first thought is that I must be working in the wrong hospitals.)
But it got worse.
*****
Nurse Jackie is a drug addict.
Has back pain.
Snorts crushed up Percocets.
Oh no they didn’t………
*****
Oh yes.
They did.
Now, would somebody please tell me why, why? they had to portray this nurse as a drug addict?
Did they not see that they had the potential for one hell of a nurse character here?
Did they not see that they could break the mold of media stereotypes in nursing and pave new ground?
Did they not see that there is enough material to build a nurse character out of what happens in the ER alone without adding the oh-so-subtle touch of drug addiction?
*****
If you’re an nurse who spends a lot of time with other people fondling you, you might like this show.
If you’re an RN and addicted to drugs, you might like this show.
In fact, why don’t you go check out the website for yourself.
Watch the video, get a feel for the character.
Tell me what you think.
Tell Showtime what you think.
And if you are really pissed, write to The Truth About Nursing.
I already did.
*****
As for me?
I (a) am not subscribing to Showtime, (b) will not promote the show to anyone outside this blog post and (c) did not take the job.
I am so sick, and so tired, of stupid media portrayals of nurses.
Didn’t watch “ER”. No “Grey’s Anatomy”. Won’t watch “House”.
Here goes trying to explain to my patients, again, that “no, I don’t watch that show because of the portrayal of nursing.”
*****
You blew it, Showtime.
Of course, it’s not too late to rectify the issues, the show has not debuted yet.
But know this:
No matter how funny, how dramatic or how well written “Nurse Jackie” is, you are doing nothing to advance or promote the nursing profession. But then I guess the goal is ratings and nothing defines a “hit” like sex and drugs.
*****
“Nurse Jackie” is described as “Saint! Sinner!”.
Saint.
Sinner.
Sound familiar?
Yeah.
Sigh.
May 3rd, 2009 by admin in Better Health Network
Tags: Danger, Hydroxycut, Liver Damage, Recall, Supplements, Tara Gidus, Weight Loss
2 Comments »
I have said it before and I will say it again. Diet pills do not work and can be dangerous. For proof of the dangerous part, check out the Food and Drug Administration (FDA) notice of the recall of Hydroxycut.
In all, there are 14 products that have been recalled including:
- Hydroxycut Regular Rapid Release Caplets
- Hydroxycut Caffeine-Free Rapid Release Caplets
- Hydroxycut Hardcore Liquid Caplets
- Hydroxycut Max Liquid Caplets
- Hydroxycut Regular Drink Packets
- Hydroxycut Caffeine-Free Drink Packets
- Hydroxycut Hardcore Drink Packets (Ignition Stix)
- Hydroxycut Max Drink Packets
- Hydroxycut Liquid Shots
- Hydroxycut Hardcore RTDs (Ready-to-Drink)
- Hydroxycut Max Aqua Shed
- Hydroxycut 24
- Hydroxycut Carb Control
- Hydroxycut Natural
Why the recall?
The FDA says there have been 23 reports of liver damage, elevated liver enzymes, or liver damage requiring transplant. Other reported problems include seizures, muscle damage, and cardiovascular problems. One death of a 19 year old man is also thought to be associated with using Hydroxycut.
If you are using Hydroxycut currently, throw it away or return them to where you purchased them. There are numerous ingredients in the 14 different products recalled and right now it is not clear which ingredients are thought to be the most dangerous and cause problems.
Diet and exercise
I know you are tired of hearing it, but I am not tired of saying it. 🙂
Reducing calories and increasing calorie burn by moving more are the best way to lose weight. Many dietary supplements on the market are safe. But some can have dangerous consequences. use caution and when in doubt, don’t use something you think may be dangerous.
*This post, Hydroxycut Recall, was originally published on Healthline.com by Tara Gidus, MS, RD.*
