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Cannabidiol found effective as post-surgery pain management without side effectsA non-addictive painkiller with no side ...
21/12/2023

Cannabidiol found effective as post-surgery pain management without side effects
A non-addictive painkiller with no side effects could change millions of lives for the better.
Cannabidiol, most commonly referred to as CBD, is an active component naturally present in ma*****na. It is the second most abundant active ingredient found in the plant and has been the subject of increasing public and scientific interest in the few years.

Despite the known and legitimate uses for this compound, there are also a lot of unfounded claims about alleged benefits and possible uses that have not been demonstrated yet. But a new paper from the New York University (NYU) comes to shed light on one thing the compound can do — and do well. According to the findings, pills laden with CBD can help reduce post-surgery shoulder pain.

Even better, the study finds no safety concerns associated with the compound when used for this role.

One less pain in the shoulder
“There is an urgent need for viable alternatives for pain management, and our study presents this form of CBD as a promising tool after arthroscopic rotator cuff repair,” says lead investigator Michael J. Alaia, MD, associate professor in the Department of Orthopedic Surgery at NYU Langone Health, in a media release.

“It could be a new, inexpensive approach for delivering pain relief, and without the side effects of anti-inflammatory drugs like NSAIDs and addiction risks linked to op**tes. Additionally, CBD has the benefit of pain relief without the psychotropic effects associated with THC or ma*****na.”

The study was carried out by researchers at the Department of Orthopedic Surgery at NYU Langone Health using a pill named ORAVEXXTM. This tablet was designed specifically to be used as a non-addictive, fast-absorbing oral CBD pain treatment option.

It found that the tablet can safely be used to manage pain following a minimally-invasive shoulder surgery procedure, namely rotator cuff surgery.

A total of 99 patients aged 18-75 from two medical locations — NYU Langone Health and Baptist Health and the Jacksonville Orthopaedic Institute — were part of the study. They were all given a low dose of Percocet following their surgery, and then randomly assigned to receive either a placebo or the CBD-containing tablet. After waiting for the effects of the op**te Percocet to wear off, each patient took their assigned tablets three times per day for two weeks. Throughout this time, the patients were asked to self-report the levels of pain they were experiencing using the Visual Analog Scale pain score.

Even on the first day of the experiment, the patients in the CBD group experienced, on average, 23% less pain than those in the placebo group. On the first and second day, the CBD patients also reported 22% and 25% more satisfaction with their pain control compared to the placebo group.

It turns out water births can actually have significant benefitsA new study sheds new light on a rather controversial bi...
21/12/2023

It turns out water births can actually have significant benefits
A new study sheds new light on a rather controversial birthing technique.
A water birth involves using a birthing pool for the labor (and sometimes the delivery itself) with the purpose of achieving relaxation and pain relief. Advocates of this technique suggest it results in a more relaxed and less painful experience, while critics say the safety o the procedure has not been assessed thoroughly — and there have been numerous adverse effects associated with it, from infection to drowning.

A new analysis assessed 36 previous studies from 2000 to 2021, involving over 157,000 participants, and aimed to shed new light on the matter. Researchers wanted to see if outcomes differed between water birth and standard care (without the use of a birthing pool). Surprisingly, not only was waterbirth deemed as safe as standard care for healthy mums and their newborns, but it seemed to provide “clear benefits to women” in obstetric units, leading to fewer complications and increased satisfaction for women.
Water births are particularly used by “healthy women who experience a straightforward pregnancy,” the researchers note. In fact, water births are only recommended for uncomplicated pregnancies. The reasoning behind it is that it gives women a sense of pain relief and enhances their sense of control, the team writes.

“Immersion in a birthing pool offers women a nonpharmacological option of pain relief during labour, which also enhances their sense of control. Resting and labouring in water can reduce fear, anxiety and pain perception; it helps optimise the physiology of childbirth through the release of endogenous endorphins and oxytocin.”

The researchers also write that few studies were carried out in midwife-led units or in the mother’s home, and most water births also took place in a hospital environment. When comparing the side effects of “normal” birthing to water birthing, the researchers found that water birthing reduced the use of epidurals, injected opioids, episiotomy (a cut in the area between the va**na and a**s or perineum sometimes made during childbirth) and pain and heavy bleeding after the birth.

“Water immersion can significantly increase the likelihood of an intact perineum and reduce episiotomy, an intervention which offers no perineal or fetal benefit, can increase postnatal pain, anxiety, and impact negatively on a woman’s birth experience,” write the researchers.

There was a slightly higher chance of umbilical cord breakage among water births, (4.3/1000 births in water compared with 1.3/1000 births with standard care), but the overall rate was still fairly low.

The team concedes that the setting of the analyzed studies varies greatly. But even so, the study-authors are confident in their findings and the benefits of water births in uncomplicated pregnancies.

“The main findings of this systematic review and meta-analysis are that labouring and/or giving birth in water has clear benefits to women in the obstetric setting.”

Brief sessions teaching adolescents to accept and use stress could be solution to mental health crisisAdolescents today ...
21/12/2023

Brief sessions teaching adolescents to accept and use stress could be solution to mental health crisis
Adolescents today are suffering record levels of stress-related anxiety and depressive symptoms.
The teenage years can be pretty stressful. There’s a lot of homework and school, exams are around the corner, and there’s a lot of pressure and expectations from parents and family. Social relationships are becoming more complex, and there are also physical changes — it’s a challenging time. With the pandemic social isolation and the uncertainty about the future, things have only gotten worse.

“Adolescents today are suffering record levels of stress-related anxiety and depressive symptoms,” write the authors of a new study. “This has prompted public health experts to call for urgent action to mitigate the forthcoming ‘mental health pandemic’ by understanding and addressing adolescent stress.”

But stress shouldn’t be seen as a strictly bad thing — especially for adolescence. This “stress avoidance” mentality ignores the reality that elevated stress levels are a normal feature of adolescence. In many ways, writes the team led by David Yeager from the University of Texas at Austin, it’s even a desirable feature.
Adolescents must acquire a wide and varied array of complicated social and intellectual skills as they transition to adult social roles and prepare for economic independence. This developmental process is inherently stressful, but it is also essential to the task of becoming an adult. The conventional view that high levels of stress are toxic is likely to lead many adolescents simply to disengage from stressors such as demanding coursework, putting them at a serious disadvantage in the future,” the authors write in the study.

Instead of teaching stress avoidance, researchers suggest we should find a way to help young people embrace and overcome stress — a skill that will undoubtedly be useful throughout their entire lives. The researchers propose using two mindsets:

the growth mindset — an idea that intelligence and ability are not fixed, but can be developed with effort, effective strategies, and support from others. This mindset encourages people to see stressors like advanced coursework as helpful, because they provide an opportunity for learning, and controllable, because the abilities to overcome it can be developed;
the “stress-can be enhancing” mindset” — which centers on understanding stress and our psychological and physiological response to it. For instance, stress causes bodily responses like a racing heart and heavier breathing, and these responses can be positive for mobilizing energy and focus. They can also be controlled once you understand them: you choose to take advantage of these responses, they don’t control you.

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