December 31, 2015 |
Here is a recently updated version of the guidelines for prescribing addictive pain medicine (opioids) at Temple University Hospital's emergency department. Objective: To appropriately relieve pain for patients and attempt to identify those who may be abusing or addicted to opioids and refer them for special assistance. Guidelines for treating non-cancer pain 1. Opioid analgesics may be appropriate for acute illness or injury when less addictive therapies such as NSAIDs (nonsteroanti-inflammatoryatory drugs)
December 31, 2015 |
Emergency rooms are increasingly a prime spot for patients seeking powerful pain medications, with doctors caught between the desire to help people in pain and the need to discourage addiction and even overdoses. Temple University Hospital reported Tuesday that it had found a straightforward way to limit prescriptions of these opioid drugs, such as Percocet, Dilaudid, and Vicodin: a set of guidelines that helps ER doctors determine when to say no. Among patients with dental, neck, back, or unspecified chronic pain for which opioids are not advised, the number getting prescriptions dropped below 30 percent immediately after the guidance was distributed in January 2013 - down from 52.7 percent beforehand.
October 26, 2015 |
The city's Department of Licenses and Inspections failed to follow new inspection guidelines in more than 80 percent of private demolitions performed over the last nine months, an analysis of agency records shows. And, people familiar with L&I records say, the agency's database appears to have been altered to show that demolition inspections had occurred when they had not. In at least one case, records show, the agency's database said five inspections that should have occurred during a demolition were actually conducted four months after the building had been razed.
October 25, 2015 |
Is your child ready for a cellphone? There's no way around it. Sooner or later, most parents will confront the issue of whether to let their children have cellphones, and if so, when? The good news is there's lots of expert advice available. The not-so-good news is none of it provides the answer. That's because no one answer is right for all parents and all kids. On this question you're on your own - and, unlike the age for legally driving and buying alcohol, there aren't any laws to back you up. One thing is sure: It shouldn't be based on the number of times your daughter tells you, "All of my friends have one. " Or, for that matter, how many of your friends have given their kids' phones.
October 21, 2015 |
Adding to debate and doubt over the value of breast cancer screening, the American Cancer Society on Tuesday affirmed that mammograms save lives - but for the first time suggested women should start the X-rays later in life. Until now, the venerable cancer organization's guidance has been simple: Yearly mammograms, starting at age 40, for as long as a woman is in good health. The update says women at average breast cancer risk should have annual mammograms from age 45 to 54, then "transition" to every other year, but "have the opportunity to continue annually.
September 6, 2015 |
Recently, I wrote about a RealtyTrac report showing that the percentage of purchase price being committed to mortgage down payments has continued to drop as the real estate market has recovered over the last two years. The result of lower down payments is that more buyers are paying for private mortgage insurance, which protects the lender if the borrower defaults on the loan. The insurance covers the difference between what borrowers put down and 20 percent of the sale price or appraised value of the homes.
March 6, 2015
NEW DIET guidelines: a death knell for meat eating? Headlines for February's long-awaited Dietary Guidelines Advisory Committee recommendations practically shouted as much. And the meat industry seemed to agree: Barry Carpenter, president and CEO of the North American Meat Institute, quickly slammed the committee for a "flawed" report "generalizing about an entire category of foods," although that's exactly what the guidelines have done since back in the "Four Food Groups" days. At issue is a shift in the overall favorability of flesh-based foods in the diet: When the guidelines were last revised, in 2010, they said that healthy eating "emphasizes . . . lean meats and poultry," while the new recommendations say a healthy diet is "lower in red and processed meat.
March 6, 2015
IT MIGHT BE tempting to consider Charles Ramsey's role as co-chairman of a presidential task force on policing ironic, given that the police force over which he presides has its own long and checkered past of problems. Those problems range from individual causes - badly (and criminally) behaving police officers - to larger and lingering questions about policies and procedures in the department, especially around training and use of force. But we think that Ramsey is the natural authority for leading this large-scale look at policing across the country.
December 22, 2014 |
AS FIRE Department leadership decides the fate of a paramedic who caused an uproar with a controversial Instagram post, one question still burns. What are department members like Marcel Salters, a paramedic at Medic 23 in West Philly, allowed to post on social media? The rules seem pretty standard for professionals, at least according to the Fire Department's social media and networking guidelines, obtained by the Daily News . Employees can't post "messages, images, comments or cartoons" that are threatening or sexually explicit, or hurl epithets or slurs against race, religion, gender and sexual orientation, according to the guidelines.