Showing posts with label Long. Show all posts
Showing posts with label Long. Show all posts

Monday, August 7, 2017

How Long Is A Full Term Pregnancy


Longboard Long Island

Longboard Long Island


Are you full term? Babies born full term have the best chance of being healthy. Find out if you're full term. Learn more..Your pregnancy: 37 weeks. but doctors don't consider your baby "full term" until 39 weeks. with locks from 1/2 inch to 1 1/2 inches long..Pregnancy, also known as gravidity or gestation, is the time during which one or more offspring develops inside a woman. A multiple pregnancy involves more than one .Definition of Term Pregnancy. The work group recommended that the label "term" be replaced by the designations early term, full term, late term, .A full term pregnancy is 37 weeks that's when you are considered 9 months and not your due date. but when you reach your due date which is 40 weeks and .Full-term pregnancy definition changes. Full Term, between 39 weeks and saying it "eliminates confusion about how long an uncomplicated, healthy pregnancy .'Full-term' pregnancy gets a new, narrower definition. Generations of mothers-to-be have heard that babies born any time between weeks of . 'early term,' 'full term,' 'late term,' and 'postterm.' Committee Opinion #579 "Definition of Term Pregnancy .Continued. Term is "a biologic continuum between weeks and those babies born early in term are different than those babies born at full term," he .Typical Pregnancy Now 39 Weeks, tells WebMD there is a concern that at least some of the rise in assisted early who has long stu.d preterm .


Long Sault Ontario

Long Sault Ontario

Photo

Photo


Insulin-dependent diabetes mellitus IDDM is accompanied by long-term microvascular, neurologic, and macrovascular complications. Although the daily management of .TODAY Parents is the premiere destination for parenting news, advice community. Find the latest parenting trends and tips for your kids and family on TODAY.com..



Tuesday, July 25, 2017

How Long Is The First Trimester Of Pregnancy


Longboard Long Island

Longboard Long Island


TODAY Parents is the premiere destination for parenting news, advice community. Find the latest parenting trends and tips for your kids and family on TODAY.com..Taking the pill. The pill comes in the office of a gynecologist or a gynecological clinic. In some cases, the procedure is carried out at home, but .1. What is the Zika virus? 2. How does a mosquito transmit Zika? 3. What areas is Zika likely to reach? 4. Can the Zika virus beually transmitted?.


Longboard Long Island

Longboard Long Island

Pasta Shapes

Pasta Shapes


1. What is the Zika virus? 2. How does a mosquito transmit Zika? 3. What areas is Zika likely to reach? 4. Can the Zika virus beually transmitted?.Taking the pill. The pill comes in the office of a gynecologist or a gynecological clinic. In some cases, the procedure is carried out at home, but .TODAY Parents is the premiere destination for parenting news, advice community. Find the latest parenting trends and tips for your kids and family on TODAY.com..



Thursday, June 1, 2017

FRIENDS KNOW HOW LONG YOU WILL LIVE


Young lovers walking down the aisle may dream of long and healthy lives together, but close friends in the wedding party may have a better sense of whether those wishes will come true, suggests new research on personality and longevity from Washington University in St. Louis.
You expect your friends to be inclined to see you in a positive manner, but they also are keen observers of the personality traits that could send you to an early grave," said Joshua Jackson, PhD, assistant professor of psychology in Arts & Sciences.
Published Jan. 12 in an advance online issue of the journal Psychological Science, the study demonstrates that your personality at an early age (20s) can predict how long you will live across 75 years and that close friends are usually better than you at recognizing these traits.
Male participants seen by their friends as more open and conscientious ended up living longer. Female participants whose friends rated them as high on emotional stability and agreeableness also enjoyed longer lifespans, the study found.
"Our study shows that people are able to observe and rate a friend's personality accurately enough to predict early mortality decades down the road," Jackson said. "It suggests that people are able to see important characteristics related to health even when their friends were, for the most part, healthy and many years from death."
It's no secret that a person's personality traits can have an impact on health. Traits such as depression and anger have been linked to an increased risk of various diseases and health concerns, including an early death.
Men who are conscientious are more likely to eat right, stick with an exercise routine and avoid risks, such as driving without a seat belt. Women who are emotionally stable may be better at fighting off anger, anxiety and depression, Jackson suggests.
While other studies have shown that a person's view of his or her own personality can be helpful in gauging mortality risk, there has been little research on whether a close friend's personality assessment might also predict the odds of a long life.
To explore this question, Jackson and colleagues analyzed data from a longitudinal study that in the 1930s began following a group of young people in their mid-20s, most of whom were engaged to be married.
The longitudinal study included extensive data on participant personality traits, both self-reported and as reported by close friends, including bridesmaids and groomsmen in the study participants' wedding parties.
Using information from previous follow-up studies and searches of death certificates, Jackson and colleagues were able to document dates of death for all but a few study participants. Peer ratings of personality were stronger predictors of mortality risk than were self-ratings of personality.
"There are two potential reasons for the superiority of peer ratings over self ratings," Jackson said.
"First, friends may see something that you miss; they may have some insight that you do not. Second, because people have multiple friends, we are able to average the idiosyncrasies of any one friend to obtain a more reliable assessment of personality. With self reports, people may be biased or miss certain aspects of themselves and we are not able to counteract that because there is only one you, only one self-report."
The study also revealed some gender differences in self-assessment: Men's self-ratings of personality traits were somewhat useful in predicting their lifespans, whereas the self-reports of women had little predictive value.
Jackson suggests this gender difference in self-reporting may be a function of the era in which the study began, since societal expectations were different then and fewer women worked outside the home.
Young women seen as highly agreeable and emotionally stable may have increased odds for a long and happy life since their personalities were well suited for the role of a supportive and easy-going wife, which would have been the norm in the 1930s. It is likely that fewer gender differences would arise in more modern samples if we were able to wait 75 years to replicate the study, he said.
"This is one of the longest studies in psychology," Jackson said. "It shows how important personality is in influencing significant life outcomes like health and demonstrates that information from friends and other observers can play a critical role in understanding a person's health issues. For example, it suggests that family members and even physician ratings could be used to personalize medical treatments or identify who is at risk for certain health ailments."
The study is co-authored by James J. Connolly, PhD, and Madeleine M. Leveille, PhD, of Connolly Consulting, Waterford, Connecticut; S. Mason Garrison of the Department of Psychology and Human Development, Vanderbilt University; and Seamus L. Connolly of College of Medicine, Touro University, California.

Tuesday, May 30, 2017

Monday, May 22, 2017

How Long After Implantation Can I Take A Pregnancy Test


Bald Cap Before And After

Bald Cap Before And After


This information seems very old, and is inaccurate. You can get home tests that will detect as low as 10miu. This lower threshold for miu allows you to test MUCH .Have you used a pregnancy test? How long did you wait? Please leave a comment..How Long It Takes To Get A Positive Pregnancy Test Will Vary From Woman to Woman. One of the most important ideas to remember when you're trying to get pregnant is .This process takes place in 3 stages: Attachment of the ovum; Its implantation in the endometrium sometimes, accompanied by implantation bleeding ;.How long after ovulation does implantation occur? You certainly need to know the answer to this question not to miss the very beginning of your pregnancy..You want to take a pregnancy test, but you have questions: How long do I have to wait after a missed period before I take a test? How long after implantation can I test?.Taking a pregnancy test after implantation is how most women find out they're pregnant. If you take it soon after implantation, you might not get results..I am wondering because what I've read that blood tests can detect HCG x days after fertilization, but, I think the more important question is how long after .How long can a pregnancy test take to be positive after late period.How long after you miss your period should you take pregnancy test.


Tired After A Long Week

Tired After A Long Week

Luis Resto Boxer

Luis Resto Boxer


This information seems very old, and is inaccurate. You can get home tests that will detect as low as 10miu. This lower threshold for miu allows you to test MUCH .This process takes place in 3 stages: Attachment of the ovum; Its implantation in the endometrium sometimes, accompanied by implantation bleeding ;.Taking a pregnancy test after implantation is how most women find out they're pregnant. If you take it soon after implantation, you might not get results..How long can a pregnancy test take to be positive after late period.You want to take a pregnancy test, but you have questions: How long do I have to wait after a missed period before I take a test? How long after implantation can I test?.Have you used a pregnancy test? How long did you wait? Please leave a comment..How Long It Takes To Get A Positive Pregnancy Test Will Vary From Woman to Woman. One of the most important ideas to remember when you're trying to get .How long after you miss your period should you take pregnancy test.I am wondering because what I've read that blood tests can detect HCG x days after fertilization, but, I think the more important question is how long after .How long after ovulation does implantation occur? You certainly need to know the answer to this question not to miss the very beginning of your pregnancy..



Friday, May 12, 2017

Long Term Opioid Use For Chronic Pain


Today's post from practicalpainmanagement.com (see link below) shows the results of a relatively small-scale study of people using long term opioids for chronic pain. The author points out that despite the current hysteria surrounding opioid treatment for chronic pain, there's no evidence that these pain patients perform any differently than if they use other strong analgesics. The point is that if doctors and patients work together with opioid treatment and there is recurrent and consistent control, there's no reason why opioids can't be as effective (or more) than other pain medications. Patients don't take opioids by choice; they take them because there is literally no alternative and most other options have already been exhausted. Labeling all opioid patients as some sort of menace to society, is grossly unfair, as is denying patients opioid treatment as a result. Of course, we all accept that a minority abuse the system but as usual the media and political lobbies use a sledgehammer to crack a nut and punishes all as a result. Thank goodness there are  sensible commentators out there who see opioids as a tool in the armory against pain - neuropathy patients the world over are grateful that opioids exist but don't let anybody tell you that they enjoy taking them - they're a last resort.
 
Opioid Treatment 10-year Longevity Survey Final Report  
 By Forest Tennant, MD, DrPH
 
Patients in this study were found to be functioning quite well after 10 or more years on generally stable opioid dosages—with the vast majority able to care for themselves and even drive.

About eighteen months ago, I approached the publisher of Practical Pain Management to assist in a survey of long-term, opioid-treated pain patients. Rightly, as any good publisher, he asked why should I go to the time and expense to do a longevity survey? I then presented him my laundry list of reasons for doing the survey. Some explanations of my reasons for doing this survey are given here. Quite frankly this survey was needed, since we simply have little data on opioid long-term treatment.1,2 Also, opioid treatment is constantly under attack, so it seems logical to see if the popularity of this treatment is justified.


Reasons for the Survey

First, recall that we have just finished the “Decade of Pain.” Ushering in this decade were many laws, regulations, and guidelines—promulgated in many states—that encouraged physicians to prescribe opioids without fear of legal reprisal. Did anyone get help this decade? Did this political and humanitarian effort pay off?

Secondly, my own experience in practice was the predominant factor. I started my pain practice in 1975 while serving as a Public Health Physician in East Los Angeles County. Cancer and post-polio patients needed ‘narcotics’ (the common name prior to the more correct usage ‘opioids’) treatment for their severe chronic pain. I’ve now followed some chronic pain patients still taking opioids after 25 to 30 years.1 Also, I was a government consultant in the 1970s on Howard Hughes who managed to survive 30 years with intractable pain after a 1946 plane crash. His average opioid dosage over that time period was about 200 mg of morphine equivalence. But are my patients unusual or simply responsive to an overzealous clinician? Do opioid-treated patients in the hands of other physicians do just as well over a long period?

A little over a year ago there was another reason to do a longevity survey. At that time there was a vitriolic, anti-opioid propaganda campaign being waged. Some prominent academic institutions, pharmaceutical companies, professional organizations, and journals, almost in unison, essentially claimed that opioids shouldn’t be prescribed due to hyperalgesia or other as-yet unnamed complications. Some parties stated that opioids, if prescribed at all, should have a dosage restricted to some arbitrary number such as 200mg of morphine equivalence a day. Some claims fundamentally suggested that pain should only be treated with non-opioids, because opioids actually “cause pain.” Amazingly, some detoxification centers actually advertised for “clients” on the basis that the person’s pain would be cured if the patient spent $10K or $20K to detoxify from opioids. Needless to say, the anti-opioid campaign was hardly backed by bonafide medical management pain practitioners or scientific studies. So what was needed was a simple survey to see if there are long-term opioid-treated patients who are still doing well.


What the Survey Can’t Determine

This survey was not intended or designed to answer some ancillary questions. Not answered is which opioids are superior or could patients have done as well without opioids? Also, it wasn’t intended to determine optimal dosage or complications. The intent was clear and simple: Do some opioid-treated patients improve pain control, function better, and enhance their quality of life over a 10-year period?


Survey Methods

In early 2009, an advertisement was placed in this publication to identify any physician who had a cohort of chronic pain patients they had treated with opioids for 10 or more years and were willing to share outcome data. Three physicians, one each from Kentucky, Louisiana, and California, reported a total of 76 patients who have been treated with opioids for 10 or more years. These, together with the 24 patients treated by this author,1 provide a cohort of 100 patients who have been treated with opioids for 10 or more years and serve as subjects for this survey. Physicians completed a survey questionnaire for each patient that inquired about demographic status, cause of pain, opioids currently used, basic physical functions, activities of daily living, and stability of opioid dosage.


Results and Findings

Patients in this study appeared typical of most chronic pain patients in that they are primarily middle age or older and have degenerative diseases of the spine, joints, or peripheral nerves (see Tables 1 and 2). Most have maintained on one opioid, although some patients required two or three. The majority have been on stable dosages for many years (see Table 3). Despite the longevity of treatment, most function quite well. The vast majority of patients report good function in that they can dress, read, attend social functions, drive, and ambulate without assistance (see Table 4). Almost half (45%) reported they had been on a stable opioid dosage for at least 3 years.





Table 1. Demographics of 10-Year Opioid Patients
Age (Yrs) Range 30-83
Males 61 (61%)
Females 39 (39%)
Length of time in opioid treatment 10 – 35 yrs
Stable opioid dosage without significant escalation 3mos – 31 yrs


Table 2. Causes of Chronic Pain in This Population (N=100)

Spine disease 51
Arthritis 16
Peripheral neuropathy 14
Headache 10
Knee diseases 5
Abdominal adhesions 5
Hip diseases 4
Shoulder/arm diseases 4
Fibromyalgia 4
113*
*Adds up to more than 100 as some patients had more than 1 diagnosis.


Table 3. Opioids Currently Used by These 100 Patients

No. of Opioids Currently Used N(%)
1 62
2 26
3 12
Opioids Currently Used
Hydrocodone 56
Oxycodone 25
Fentanyl 15
Morphine 13
Methadone 8
Propoxyphene 8
Hydromorphone 5
Other 6


Table 4. Activities and Functions in These 10-Year+ Opioid Patients (N=100)
N(%)
Dress without assistance 82
Attend church/social events 89
Read newspapers, books, magazines 97
Gainful employment 25
Care for family 61
Ambulate unassisted 85
Ambulate with cane 5
Drive a car 74

Discussion

Recent epidemiologic studies indicate that about 10 million Americans now take opioid drugs for chronic pain control. This relatively recent and dramatic occurrence has had little outcome study.1,2 The author recently reported 24 Southern California chronic pain patients who were treated with opioids over 10 years and who had positive social, physical, and functional results.1 Outcomes from other patients treated by other physicians in other geographic areas were needed to confirm or deny the positive outcomes found with one physician in one geographic area. As stated above, this survey was not intended and doesn’t imply that there are patients who may have done as well or better if treated differently. Also this survey does not include patients who did not respond to opioids or stopped them due to complications.

This survey doesn’t lay claim to any sophisticated epidemiogic methodology or randomization. All this survey intended to do was meet one fundamental goal: “Are there chronic pain patients in the United States who have taken opioids over 10 years and report less pain, better function and have a better quality of life?” This survey satisfies this simple goal. 


Conclusion

Patients reported here are functioning quite well after 10 or more years in opioid treatment. The vast majority can care for themselves and even drive. Opioid dosages have generally remained stable for long periods without significant escalation. Given the findings here, there is no obvious reason to discourage opioid use or encourage pain patients to cease opioids.


References
1. Tennant F. A 10-year evaluation of chronic pain patients treated with opioids. Heroin Addict Relat Clin Probl. 2009. 11: 31-34.
2. Portenoy RK, Farrar JT, Bakonjam M, et al. Long term use of controlled-release oxycodone for noncancer pain: results of a 3-year registry study. Clin J Pharm. 2007. 23: 287-299.


https://www.practicalpainmanagement.com/treatments/pharmacological/opioids/opioid-treatment-10-year-longevity-survey-final-report