Suchergebnisse

Prescribing of pregabalin is increasing worldwide with public health concerns centering on misuse and abuse of prescribed and diverted pregabalin. To describe and map what is known about misuse and abuse of pregabalin, a scoping review of available published literature was undertaken. A scoping review methodology was used to identify and map available literature on misuse and abuse of prescribed and diverted pregabalin. Four themes emerged on the misuse and abuse of pregabalin: (a) abuse potential, (b) prevalence of abuse, (c) risk and predisposition, and (d) consequences of abuse. Fifty-four records were reviewed and charted. Of note was the dearth of research on the topic prior to 2005, with increased interest in pregabalin abuse potential from 2010 onward. Available literature supports concern around abuse potential of pregabalin, especially among patients with a history of substance abuse. Prescribers should adopt more rational prescribing.

AbstractEric Kingson was an advisor to the 1982 National Commission on Social Security Reform and to the 1994 Bipartisan Commission on Entitlements and Tax Reform. Drawing on the experience of 1982 (the "Good") and 1994 (the "Bad") commissions, he concludes that the fast‐track debt commission as proposed by Senators Kent Conrad and Judd Gregg would result in an unprecedented and deleterious approach to Social Security policy‐making. The structure and functioning of the 1994 commission provides insight into likely goals and functioning of the Conrad‐Gregg Commission, a commission Kingson suggests would be akin to the 1994 entitlement commission "on steroids." Noting the disregard for traditional congressional processes and the mischaracterization of Social Security as part of a unified "entitlements" problem, Kingson concludes that Senator Max Baucus is not exaggerating when he warned on the Senate floor that "Senators Conrad and Gregg have painted a big red target on Social Security and Medicare. That's what this commission is all about."

Objectives. This article investigates differences in smoking and binge‐drinking for Latinos by nativity, stratified by their age at immigration, and tests individual‐ and neighborhood‐level acculturation measures as determinants of those differences.Methods. Data are from the Los Angeles Families and Neighborhoods Study (N=2,023) and analyses use multilevel logistic regression.Results. The article finds that Latino immigrants are less likely to smoke or binge drink, compared to their U.S.‐born peers, and that acculturation measures account for some of the immigrant gaps in health behaviors, although results differ by gender and age at migration. Additionally, living in a neighborhood with a high foreign‐born concentration is associated with lower odds of binge‐drinking.Conclusions. Findings suggest that both individual‐ and neighborhood‐level measures of acculturation may contribute to immigrant health behavior advantages, and that it is important to consider these relationships within the context of gender and age at migration.