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Combo pill an option for diabetes-related nerve pain

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Combo pill an option for diabetes-related nerve pain

A single pill containing the pain relievers tramadol and acetaminophen is as effective as the drug gabapentin for treating diabetes-related nerve pain, according to study findings presented Tuesday at the 20th World Diabetes Congress in Montreal.

Gabapentin is an anti-seizure drug frequently prescribed for epilepsy. The drug is also used to treat persistent neurological pain.

In general, gabapentin is regarded as a first-line therapy for “diabetic neuropathy” — a painful condition that causes a range of symptoms from a tingling sensation or numbness in the toes and fingers to paralysis, lead researcher Dr. Bong Yun Cha, from the Catholic University of Korea, Seoul, told Reuters Health.

In the current study, Cha and colleagues compared gabapentin with the tramadol/acetaminophen (TA) combination pill in adults with painful diabetic neuropathy in the lower extremities. Sixty-six study subjects received TA and 73 received gabapentin.

The study was sponsored by JANSSEN KOREA, which markets the combination pill as Ultracet in the US.

Cha and colleagues report that the two groups experienced similar improvements in pain and related parameters over the 6-week study period.

Moreover, the rate of treatment-associated side events in the TA group was not significantly different from that in the gabapentin group: 50.6 percent vs. 36.9 percent.

The current findings, said Cha, support TA as a suitable alternative to gabapentin as a first-line therapy for painful diabetic neuropathy.

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More fruit, fewer calories urged for school lunches

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More fruit, fewer calories urged for school lunches

U.S. children should get more fruits, vegetables and whole grains in their school meals even though this will push up costs, and calories should be limited, a panel recommended to the federal government on Tuesday.

As obesity among adolescents continues to rise, a report from the Institute of Medicine, an arm of the National Academies, proposed updating school meal programs to meet nutritional needs and foster better eating habits, but recognized healthier, fresher ingredients would boost costs, especially at breakfast where fruit servings would increase.

It estimated the changes could increase the cost of breakfast by as much as 25 percent and lunch by 9 percent.

Many school cafeterias serve such fare as hot dogs, chicken nuggets and french fries and a dearth of fresh produce. Under the new guidelines, most school food providers would need more government money to help pay for food, training and equipment, the report said.

“This will be a very wise investment in children’s health,” Virginia Stallings, chair of the group that conducted the study said in an interview.

The Institute of Medicine conducted the review of the country’s school breakfast and lunch programs at the request of the Agriculture Department, which runs them. School meal programs provide 40 million meals daily and more than half of students’ food and nutrient intake during the school day.

Students can receive free or subsidized school meals if their family’s income is low enough.

Officials at the USDA are updating the nutrition and meal requirements used for school meals. The framework, last updated in 1995, sets food and nutrient standards that must be met by school programs to qualify for cash reimbursements and food from the government.

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Breast Cancer – Breast Check Demonstration #2

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Breast Cancer – Breast Check Demonstration #2

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Breast self-examination for the impressive attendance at the breast lump themselves need to be done every month, namely on three or four days after menstruation. If found no change in the breast, immediately met doctorate.

Among the changes is the skin becomes rough, being node (bump louder), penterbalikan nipple or skin, the skin twitch and a red, black or cecair out blood from the nipple or the lymph nodes under the armpit to swell.
How to own examination

Standing in front of the mirror

* By raising both hands above his head, dizziness slowly from the right side to left side.
* Tight your waist, press down gently to the bottom of the chest muscles to tense and reject your breasts before. Look carefully all such changes saiz, shape and contour of each breast. Look at there is a twitch, the curve or a nipple exposed to.
* Slowly, picit both nipples and note if there is melt out. Check there is discharge such as clear or contain visible blood.

Lying

* To check the right breast, put a pillow under your right shoulder and right hand placed on the back of the head. Tap your fingers flat and move slowly in the form of small dots, starting from the base of the breast portion. After one rotation, moving 1 inch (2.5cm) to the nipple. Doing turns to examine each portion of breast including the nipple. Siwak F Repeat the same on the left breast by placing a pillow under your left shoulder and left hand placed behind his head. Cuba feels the same there are any lumps in the bottom and along the collarbone.

IMPORTANT

Get advice from your doctor if there is:

* Any lumps.
* Any change in the clot that arises.
* Any change in skin texture, curve, swelling or skin twitching.
* Putting highlighted inside.
* There was pain in the breast.

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