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Increased Risk Of Emphysema Following Childhood Exposure To Tobacco Smoke
Chronic exposure to tobacco smoke in childhood may contribute to early emphysema later in life, according to new research. Environmental tobacco smoke (ETS) is known to be associated with a variety of serious health problems, but it had not previously been associated with the development of emphysema over the life course. The data was presented on Tuesday, May 19, at the 105th International Conference of the American Thoracic Society in San Diego.
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Reform Questions Continue To Loom
Reuters reports that "President Barack Obama"s drive to overhaul the U.S. healthcare system may be back on track thanks to Senate efforts to cut the price tag to $1 trillion, but a bipartisan deal on the sweeping proposal still is far from certain ... Senate Finance Committee Chairman Max Baucus was upbeat last week after announcing that panel members had found ways to bring the price tag to about $1 trillion over 10 years, down from an earlier estimate of a staggering $1.6 trillion ... Instead, the core group of negotiators -- three Democrats and four Republicans -- issued a tepid statement on Thursday merely affirming their commitment to continue negotiations."
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All Together Now - Primary Care's Role In A Tough Economic Climate
The financial crisis and lack of trust in public services mean that the NHS and the government face tough political and economic challenges ahead. In this climate, improvements in health services will only be possible if primary care takes the lead and political leaders sharpen up their vision.
Oncology

Highlights Of Pain Research

and four hours post-operatively. Total opiate consumption was also recorded. The result: There was significantly less post-operative pain in group A (Bupivacaine intra-articular and periportal skin infiltration), compared with group C (no infiltration) immediate postoperatively and one hour post-operatively, and compared with group B (Bupivacaine periportal skin infiltration) two hours and four hours post-operatively. There were no significant differences in visual analogue scores between groups B and C at any time-points. Group A used significantly less opiates post-operatively compared with group B or C but there was no significant difference in opiate use between groups B and C. Dr Bunn: "Intra-articular local anaesthetic significantly reduces post-operative pain, but at what cost to the chondral surface? Local skin infiltration of the arthroscopy portals does not significantly alter pain levels or opiate requirements. Avoidance of "intra-articular" local anaesthetic raises opiate requirements. We require improved alternative analgesic regimes." Abstracts: EFORT 2009 Abstract: Sharma A et al, Errors in prescription of regular medication in emergency surgical admissions-clinical audit. EFORT 2009 Abstract: Torrens C et al, Change in patient self-evaluation of pain, function and satisfaction before and after clinical visit. EFORT 2009 Abstract: Miquel J et al, Influence of pain and mobility in quality of life perception in shoulder disorders. EFORT 2009 Abstract: Huber J et al, Assesment of pain during activity, at rest and at night - do we have to assess all three different pains? EFORT 2009 Abstract: Bunn J et al, The efficacy of post-operative regimes following hip arthroscopy. EFORT

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