Sunday, October 6, 2013

Sharp Rise in Drug Overdoses Among U.S. Women: CDC

More now die from prescription medications than from car crashes, study finds And most feel they get little support from their

By Steven Reinberg

HealthDay Reporter

TUESDAY, July 2 (HealthDay News) -- The rate of fatal overdoses of prescription painkillers and other drugs among U.S. women quadrupled between 1999 and 2010, federal officials reported Tuesday.

Long thought of as primarily a male problem, drug addiction is increasingly affecting women, and the new study from the Centers for Disease Control and Prevention estimates that 42 women in the United States die each day from prescription drug overdoses.

"Prescription drug overdose deaths have skyrocketed in women," CDC Director Dr. Thomas Frieden said during a noon press conference. "Mothers, wives, sisters and daughters are dying from overdoses at rates we have never seen before."

The CDC said that nearly 48,000 women died of overdoses from any form of prescribed drug between 1999 and 2010. The annual death rate for women from drug overdoses now surpasses that of car crash deaths, the agency said.

Emergency room visits for abuse or overdose have also increased dramatically, Frieden added.

Much of this increase is due to the widespread abuse of prescription opioid painkillers such as Oxycontin or Vicodin, which have been more frequently prescribed in the past decade.

"The increase in opioid overdoses and opioid overdose deaths is directly proportional to the increase in prescribing," Frieden said.

These drugs should be reserved for treating severe pain, as occurs with debilitating illnesses such as cancer. "But in many other situations, the risks [to patients] far outweigh the benefits," he said. "Prescribing an opioid may be condemning a patient to lifelong addiction and life-threatening complications."

Although men are still more likely to die from painkiller overdoses, since 1999 the percentage increase in deaths was greater among women -- 400 percent in women compared with 265 percent in men, the CDC said.

Other statistics, based on 2010 data:

Suicides from these drugs accounted for 34 percent of all suicides among women, compared with 8 percent among men.More than 940,000 women were seen in emergency departments for drug misuse or abuse.More than 6,600 women, or 18 women every day, died from a prescription painkiller overdose.Narcotic painkillers accounted for four times more deaths among women than deaths linked to cocaine and heroin combined. More than 200,000 emergency department visits were for misuse or abuse of these drugs among women -- about one every three minutes.

"This is a major public health concern and it's getting worse every year," said Dr. Yves Duroseau, chairman of emergency services at Lenox Hill Hospital in New York City. "People are losing their lives unnecessarily.

"There needs to be more public awareness of the detrimental effects of these medications," he added. "And there needs to be more support to get people off narcotic painkillers and help them with their dependence."


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I love bananas, but...

... they bind me up.  I would love to eat a banana or even a half of a banana every once in awhile, but they are hard on my system as they ...dare I say it, constipate. Last time I ate one I more than tripled the calories consumed with prune juice, prunes, etc. 

Any ideas how I can sneak bananas into my diet every once in a while without either being uncomfortable for days or having to negate their affect on my body?


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eating less, moving more; GAINING WEIGHT?

I started running a bit more mileage after my track season ended, to prepare for cross country (from about 30 to 38.5). I've been running anywhere from 5-7 miles in a day, lifting weights 2-3 times a week (usually 3, although i've been skimping out on leg work lately; changed that this week however). I didn't eat too much differently once summer started. I mean, I would splurge at parties and stuff, but I would do that during the year too. And when I did, I usually wouldn't be very hungry the next day. So, one day, i'd have like 2800 for example, and the next i'd have 2000 because I just wasn't as hungry.

But, the scale's gone WAY up (from 108 to a solid 112) in the matter of a month. I doubt it's water weight. I don't understand how this happened! I'm eating just about the same (I started trying to eat more healthily again, so i'm eating less than I was during track at this point most likely) and I weigh MORE! I'm still at a healthy weight, but not necessarily where i'd like to be. Why did this happen? How do I stop (or even reverse) the gain?! It just confuses me so much and I need some help. Thanks!

EDIT: I remember this time last year maintaining on 2500 or so no problem. I was 16 then, 17 now; did my metabolism slow down THAT much in one year? It's really depressing if it did, cause that means i'm now gaining on 2200-2400 calories...


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Is it ok to exercise less?

I recently got to my goal weight and that was through strict diet (no junk at all and lower cals) and adequate exercise (6+ hours/week). I still do around the same amount but more of it is focused on strength circuits and less on cardio. I know this means less calorie burn. To make matters worse, I am eating more now and allowing myself a treat almost every day (yesterday was apple pie and today wwill probably be muffin and chips). 

Now that I'm working to prevent weight gain, is it a safe decision to tone down on exercise...say only 4-5 hours/week? Or is it too risky? I feel like I don't have as much motivation as I did before and afraid of gaining weight. 

Did you exercise less and/or eat more once you reached your goal weight?

Suggestions welcome


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Does BMR factor into total calorie deficit?

I know CC says that your total daily calorie intake/deficit includes your BMR, so does that mean that I can hypothetically have a 1200 deficit? Because that seems really odd and I've only heard about calorie deficits being like 300-500, which doesn't include BMR...?

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My father had a lacunar stroke — what does this mean?

Posted July 02, 2013, 2:00 am Human brain left view

My father just had a lacunar stroke. I’ve never even heard of this. What can you tell me about it?

The most common kind of strokes, called ischemic (iss-KEE-mick) strokes, occur when an artery supplying oxygen-rich blood to a part of the brain is blocked. This leads to the death of some brain cells. Many strokes are caused by blockages of the largest arteries in the brain.

A lacunar stroke involves smaller arteries deep in the brain that branch off the large arteries. Because the arteries are smaller, the amount of brain tissue they feed is smaller than the amount fed by the large arteries. Still, lacunar strokes can cause significant disability. (I’ve put an illustration of the areas of the brain affected by lacunar stroke below.)

 (Image courtesy of Staywell Krames.)

The smaller arteries deep in the brain are vulnerable because they branch directly off of a high-pressure main artery. As a result, high blood pressure can directly damage the walls of these arteries. High blood pressure also can damage the walls of larger arteries and help stimulate the growth of plaques of atherosclerosis, which can block blood flow.

The symptoms of lacunar stroke vary depending on the part of the brain that is deprived of its blood supply. Symptoms may affect the ability to feel things, to move, to see, to speak, and one’s balance and coordination. If a person has multiple lacunar strokes, this can affect emotional behavior and lead to dementia.

Full recovery is possible with early treatment. Ideally, doctors would be able to administer a clot-dissolving medication within three hours after symptoms start. If blood supply is interrupted for longer, there may be more brain damage. In this case, symptoms may last for many weeks or months, requiring physical rehabilitation. There may be permanent disability.

The first person I ever cared for after a lacunar stroke just noticed that his writing hand was suddenly clumsy. Fortunately, there were no other symptoms, and the clumsiness gradually improved with physical therapy.

What probably happens when people recover from the symptoms of a stroke is that some new brain cells grow to take the places of some of the cells that were killed. We used to think that this couldn’t happen, but now research has showed us that it can. Probably more important, other brain cells that are sitting around with not enough to do learn to take on the jobs of the brain cells that were killed by the stroke.

Your father must control his risk factors to prevent another stroke. He will probably need to take a daily aspirin or other blood-thinning medication. He should control his blood pressure and heart disease with lifestyle changes and medication. Exercising regularly, eating plenty of fruits and vegetables, and avoiding saturated fats and cholesterol will help. If he smokes, he should quit. If he has diabetes, he should control his blood sugar.

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