Go back to the enewsletter Los Angeles Tourism

first_imgGo back to the e-newsletterLos Angeles Tourism & Convention Board (LA Tourism) this week launched LA Insider, a new online training tool for travel trade professionals. The mobile- and tablet-friendly program is the first of its kind for LA Tourism. It has been designed to help Australian travel trade better sell the city and stay up-to-date with its latest offerings.Demand for a bespoke online portal of information and selling tools for the travel trade is strong and growing, as global demand to visit Los Angeles continues its rapid upward trajectory. A record 48.3 million tourists visited LA in 2017 (411,000 visitors from Australia), a figure that is expected to reach 50 million by 2020.“We’re proud to launch such an advanced training program, one that will help our clients discover LA like an insider and sell LA like an expert,” said Craig Gibbons, regional director – Australia & New Zealand, LA Tourism. “Los Angeles’ welcoming spirit, celebration of diversity and perfect weather are bringing visitors in greater numbers. New restaurants, attractions and hotels are opening up quickly to meet demand and it can be difficult to stay on top of all the new developments – LA Insider aims to provide the travel trade with a one-stop-shop platform for everything they need.”LA Insider, developed by TravPRO, which also launched Visit California’s STAR program, will provide easy access to LA Tourism’s marketing assets, sales collateral such as fact sheets, maps, videos and even neighbourhood tours in virtual reality. The program also provides information on the gateway to North America, Los Angeles International Airport (LAX) and updates on the airport’s multi-billion-dollar modernisation program with multimedia assets added as they become available.Participants who complete the LA Insider training will receive a certificate, access to discounts and specials from LA members, the opportunity to participate in FAMs and be entered to win a trip to one of LA’s award shows.The first 20 agents (in Australia only) who complete the program by 7 May will also receive season passes to Palace Cinemas that can be used to attend the American Essentials Film Festival in Sydney, Melbourne, Brisbane and Canberra sponsored by Discover Los Angeles. Additionally, the first 100 travel agents from across both Australia and New Zealand who complete the LA Insider program by 31 May will receive a $25 gift card from Westfield or EFTPOS.“We are extremely grateful for the ongoing support we receive from our industry partners,” said Ernest Wooden Jr, president and CEO of LA Tourism. “The launch of LA Insider speaks to our commitment to travel trade professionals by providing them with helpful tools they can use on a daily basis as well as recognition for their expertise.”LA Insider will be rolled out in Spanish, French, German, Korean and Japanese over the coming months with more languages to follow. The market-specific modules will feature videos of expats describing what it is they love about Los Angeles and tips to make the most of a visit. LA Tourism successfully launched a China-specific online training program, LA Angels Academy, in October 2015, with over 5,600 registered users and 1.45 million page views.Go back to the e-newsletterlast_img read more

Painkiller prescriptions after wisdom tooth removal could set teens on path to

first_imgAug 9 2018Getting wisdom teeth removed may be a rite of passage for many teens and young adults, but the opioid painkiller prescriptions that many of them receive could set them on a path to long-term opioid use, a new study finds.Young people ages 13 to 30 who filled an opioid prescription immediately before or after they had their wisdom teeth out were nearly 2.7 times as likely as their peers to still be filling opioid prescriptions weeks or months later, according to new research from a University of Michigan team.Those in their late teens and twenties had the highest odds of persistent opioid use, compared with those of middle school and high school age, the researchers report in a research letter in the new issue of JAMA. Led by Calista Harbaugh, M.D., a U-M research fellow and surgical resident, the researchers used insurance data to focus on young people who were ‘opioid naïve’ — who hadn’t had an opioid prescription in the six months before their wisdom teeth came out, and who didn’t have any other procedures requiring anesthesia in the following year.”Wisdom tooth extraction is performed 3.5 million times a year in the United States, and many dentists routinely prescribe opioids in case patients need it for post-procedure pain,” says Harbaugh, a National Clinician Scholar at the U-M Institute for Healthcare Policy and Innovation. “Until now, we haven’t had data on the long-term risks of opioid use after wisdom tooth extraction. We now see that a sizable number go on to fill opioid prescriptions long after we would expect they would need for recovery, and the main predictor of persistent use is whether or not they fill that initial prescription.”Other factors also predicted risk of long-term opioid use. Teens and young adults who had a history of mental health issues such as depression and anxiety, or chronic pain conditions, were more likely than others to go on to persistent use after filling their initial wisdom tooth-related prescription.More about the study In all, 1.3 percent of 56,686 wisdom tooth patients who filled their opioid prescription between 2009 and 2015 went on to persistent opioid use, defined as two or more prescriptions filled in the next year written by any provider for any reason. That’s compared with 0.5 percent of the 14,256 wisdom tooth patients who didn’t fill a prescription.Though those numbers may seem small, the high number of wisdom teeth procedures every year mean a large number of young people are at risk, notes Harbaugh, a research fellow with the Michigan Opioid Prescribing and Engagement Network, or Michigan OPEN.The team used data from employer-based insurance plans, available through the Truven MarketScan database purchased for researchers’ use by IHPI. Chad Brummett, M.D., co-director of Michigan OPEN, is senior author of the new research, and the team includes U-M School of Dentistry professor Romesh Nalliah, D.D.S., MHCM.Related StoriesBrush your teeth and use floss to slow down Alzheimer’sOpioids are major cause of pregnancy-related deaths in UtahUS dentists write more opioid prescriptions than England dentistsThe data show opioid prescriptions filled, but not actual use of opioid pills by patients. Leftover opioids pose a risk of their own, because they can be misused by the individual who received the prescription, or by a member of their household or a visitor. The researchers also couldn’t tell the reason for the later opioid prescription fills by those who went on to persistent use.The authors suggest that dentists and oral surgeons should consider prescribing non-opioid painkillers before opioids to their wisdom tooth patients. If pain is acute, they should prescribe less than the seven-day opioid supply recently recommended by the American Dental Association for any acute dental pain.”There are no prescribing recommendations specifically for wisdom tooth extraction,” says Harbaugh. “With evidence that nonsteroidal anti-inflammatories may be just as, if not more, effective, a seven-day opioid recommendation may still be too much.”Brummett adds, “These are some of the first data to the show long-term ill effects of routine opioid prescribing after tooth extractions. When taken together with the previous studies showing that opioids are not helpful in these cases, dentists and oral surgeons should stop routinely prescribing opioids for wisdom tooth extractions and likely other common dental procedures.”Nalliah, the dentist on the research team, agrees. “I believe that opioid prescribing for dental procedures can be cut to a fraction of what it is today,” he says. “Through wisdom tooth extraction, the dental profession has an enormous opportunity to fight the opioid crisis by preventing early introduction of opioids to America’s young people. We hope that our study will make my fellow dentists think twice about removing wisdom teeth, and to more strongly consider non-opioid solutions.”Importance for patients and parentsGetting a prescription for an opioid painkiller around the time of a wisdom tooth procedure comes with many decision points, Harbaugh says.”Patients must decide whether to fill the prescription and take the medication, and where to store and dispose of the unused pills. All of these decision points need to be discussed with patients,” she says. “Patients should talk to their dentists about how to control pain without opioids first. If needed, opioids should only be used for breakthrough pain, as backup if the pain’s not controlled with other medications.”The Michigan-OPEN team is currently studying the wisdom tooth extraction population further, by speaking with patients and parents about their experience and how many opioid pills they actually took. This will allow them to create evidence-based prescribing guidelines just like the ones they’ve developed for other operations. Source:http://ihpi.umich.edu/news/unwise-opioids-wisdom-teeth-study-shows-link-long-term-use-teens-young-adultslast_img read more