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Cigarette Tax Increase Will Decrease Number Of Smokers
Prof. Prakit Vathesatogkit, Executive Secretary of Action on Smoking and Health Foundation welcome the government policy of increasing cigarette tax. He believes that the tax increase will greatly benefit smokers in Thailand. This is due to the fact that the higher cigarette price will result in people smoking less or quit completely, especially in the lower income group.
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Pelosi Statement On Energy And Commerce Committee Passage Of Health Insurance Reform Legislation
Speaker Nancy Pelosi issued the following statement tonight on the vote by the House Energy and Commerce Committee to pass the America"s Affordable Health Choices Act, the third House committee to pass the bill this month. The House Ways and Means Committee and Education and Labor Committee approved the bill earlier this month:
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New Survey Shows Americans Spend $34 Billion On Alternative Treatments
"While Americans may complain about the high cost of health care, they"re still willing to shell out roughly $34 billion a year out-of-pocket on alternative therapies that aren"t covered by insurance, a new study shows," USA Today reports. Spending on the complementary and alternative therapies has increased by 25 percent in the last decade, according to the study by the Centers for Disease Control and Prevention and the National Institutes of Health (Szabo, 7/30).
Public Health

In Achilles Tendon Rupture Surgery May Not Be Necessary

The two ends of a ruptured Achilles tendon are often stitched together before the leg is put in plaster, in order to reduce the risk of the tendon rupturing again. However, a thesis from the Sahlgrenska Academy, University of Gothenburg, Sweden, now suggests that surgery may be unnecessary. Patients who do not undergo surgery have just as good a chance of recovery. The Achilles tendon, which attaches the calf muscle to the heel, is the body"s strongest tendon. The tendon may rupture on sudden tensing of the muscle, something that affects middle-aged men in particular, typically when playing badminton or tennis. "When the Achilles tendon ruptures, it feels like a sudden, violent and intensely painful snap in the calf or tendon above the heel. It is an injury that has become increasingly common in recent years, probably because exercise is increasingly popular. But whether or not one should operate has been the subject of debate for quite some time," says orthopaedic surgeon Katarina Nilsson Helander, the author of the thesis. When the Achilles tendon has ruptured, the foot is put in plaster with the toes pointing downwards, so that the torn ends of the tendon come into contact and join together as they heal. The torn ends of the tendon are often stitched together before the foot is put in plaster, to make sure they stay in place. In recent times, a removable orthosis has begun to replace plaster casts, making it possible for the patient to start to move the foot sooner. Other studies have shown that early motion stimulates healing. Surgery increases the risk of infections and sores but is often carried out anyway, as studies have shown that the operation reduces the risk of the tendon rupturing again. One hundred patients were randomly assigned to surgery with early mobilisation or to early mobilisation alone with the removable orthosis and without prior surgery. In every other respect, all the patients in the study had the same treatment. The thesis shows that there is no difference in the re-rupture rate. A year after the injury, there was no difference in the patients" own impression of symptoms and function, but irrespective of which treatment the patient received, the function tests showed that there remained a substantial difference between the healthy and the injured foot. "I have concluded that not everybody needs to have surgery, but it is important that those who suffer an Achilles tendon rupture discuss the treatment options with their orthopaedic surgeon," says Katarina Nilsson Helander. Thesis for the degree of Doctor of Medical Science at the Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy Title of thesis: Acute Achilles tendon rupture; Evaluation of Treatment and Complications Elin Lindstrom Claessen University of Gothenburg


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