The deadly nuclear family

Sarah Schoener writes in the Opinion Pages of the New York Times “After spending two years studying services for domestic violence survivors, I was surprised to realize that one of the most common barriers to women’s safety was something I had never considered before: the high value our culture places on two-parent families.imgres

“I began my research in 2011, the year the Centers for Disease Control and Prevention reported that more than one-third of American women are assaulted by an intimate partner during their lives. I talked to women in communities that ranged from a small rural mining town to a large global city, in police stations, criminal courts, emergency shelters, job placement centers and custody proceedings. I found that almost all of the women with children I interviewed had maintained contact with their abusers. Why?

“Many had internalized a public narrative that equated marriage with success. Women experiencing domestic abuse are told by our culture that being a good mother means marrying the father of her children and supporting a relationship between them. According to a 2010 Pew report, 69 percent of Americans say single mothers without male partners to help raise their children are bad for society, and 61 percent agree that a child needs a mother and a father to grow up happily.

“The awareness of the stigma of single motherhood became apparent to me when I met a young woman who was seven months pregnant. She had recently left her abusive boyfriend and was living in a domestic violence shelter. When I asked if she thought the relationship was over, she responded, “As far as being together right now, I don’t want to be together. But I do hope that in the future — because my mind puts it out there like, O.K., I don’t want to be a statistic.” When she said this, I assumed she was referring to domestic violence statistics. But she continued: “I don’t want to be this young pregnant mom who they say never lasts with the baby’s father. I don’t want to be like that.” Continue reading “The deadly nuclear family”

Risky business

Six years after the financial meltdown there is once again talk about market bubbles. The New York Times asks, “Are stocks succumbing to exuberance? Is real estate? We thought we had exorcised these demons. It is therefore with something close to despair that we ask: What is it about risk taking that so eludes our understanding, and our control?imgres

“Part of the problem is that we tend to view financial risk taking as a purely intellectual activity. But this view is incomplete. Risk is more than an intellectual puzzle — it is a profoundly physical experience, and it involves your body. Risk by its very nature threatens to hurt you, so when confronted by it your body and brain, under the influence of the stress response, unite as a single functioning unit. This occurs in athletes and soldiers, and it occurs as well in traders and people investing from home. The state of your body predicts your appetite for financial risk just as it predicts an athlete’s performance.

“If we understand how a person’s body influences risk taking, we can learn how to better manage risk takers. We can also recognize that mistakes governments have made have contributed to excessive risk taking.

“Consider the most important risk manager of them all — the Federal Reserve. Over the past 20 years, the Fed has pioneered a new technique of influencing Wall Street. Where before the Fed shrouded its activities in secrecy, it now informs the street in as clear terms as possible of what it intends to do with short-term interest rates, and when. Janet L. Yellen, the chairwoman of the Fed, declared this new transparency, called forward guidance, a revolution; Ben S. Bernanke, her predecessor, claimed it reduced uncertainty and calmed the markets. But does it really calm the markets? Or has eliminating uncertainty in policy spread complacency among the financial community and actually helped inflate market bubbles? Continue reading “Risky business”

Anti-depressants and diabetes

The link may be indirect, but there is yet another health risk associated with being depressed.images

The University of Southampton team looked at available medical studies and found evidence the two were linked., reports the BBC today. But there was no proof that one necessarily caused the other.

“It may be that people taking anti-depressants put on weight which, in turn, increases their diabetes risk, the team told Diabetes Care journal. Or the drugs themselves may interfere with blood sugar control. Their analysis of 22 studies involving thousands of patients on anti-depressants could not single out any class of drug or type of person as high risk. Prof Richard Holt and colleagues say more research is needed to investigate what factors lie behind the findings.

“And they say doctors should keep a closer check for early warning signs of diabetes in patients who have been prescribed these drugs. With 46 million anti-depressant prescriptions a year in the UK, this potential increased risk is worrying, they say. Prof Holt said: “Some of this may be coincidence but there’s a signal that people who are being treated with anti-depressants then have an increased risk of going on to develop diabetes. “We need to think about screening and look at means to reduce that risk.” Diabetes is easy to diagnose with a blood test, and Prof Holt says this ought to be part of a doctor’s consultation.

“Diabetes is potentially preventable by changing your diet and being more physically active.  Continue reading “Anti-depressants and diabetes”

Blood sugar and dementia

Last week it was dental plaque, now it is blood glucose. imagesIt seems we are in the midst of an all-out boomer dementia panic. WebMD has the latest:

“Elevated blood sugar levels, even among people who don’t have diabetes, are associated with an increased risk for dementia, a new study shows.

“The effect was very subtle, however, suggesting that higher blood sugar levels may be more of a nudge toward memory loss than a shove.”If I had diabetes and I read this study, my reaction would be relief,” said Dr. Richard O’Brien, chair of neurology at Johns Hopkins Bayview Medical Center in Baltimore, who was not involved in the research. “The effect was small.”

“The risk increases tied to rising blood sugar (or blood glucose) levels ranged from 10 percent to 40 percent. O’Brien pointed out that other risks appear to have much greater impacts. Having a parent with dementia, for example, roughly doubles or triples a person’s risk for developing the disease. O’Brien recently conducted a different study that looked at a similar, but slightly different question: whether or not blood glucose levels were linked to brain changes of Alzheimer’s disease. That study, published online July 29 in JAMA Neurology, concluded there was no connection. But O’Brien’s study had fewer participants than the current investigation, which means it may not have been large enough to detect the slight differences between people who did and did not have signs of Alzheimer’s. And because his study was solely focused on Alzheimer’s disease, it couldn’t rule out the possibility that higher blood sugar levels might be contributing to other kinds of dementia, particularly when it’s caused by damage to the small blood vessels of the brain. Continue reading “Blood sugar and dementia”

Dangerous kids

Now don’t laugh at this. Apparently more and more parents are showing up at the emergency with injuries inflicted by their kids.images-2

Although much attention is paid to the safety of infants and toddlers, their sudden jabs, bites, head-butts and kicks can inflict injuries on caregivers, usually parents, reports today’s New York Times. ” After her 2-year-old daughter “clocked” her under the eye, leaving a significant shiner, Alaina Webster, 31, coined a term on her blog to describe this common problem: “unintentional parent abuse.”

“In a “public service announcement” on the blog, Absolute Uncertainties, Ms. Webster called for battered parents to rise up: “Will you fight back against the 2-foot 6-inch tyrants taking over our subdivisions, or will you continue to let unsuspecting parents be beaten into submission simply for loving their child too closely?”

“According to emergency room physicians, pediatricians and other experts, U.P.A. is no laughing matter. With unpredictable infants and toddlers, meals, bath time or even cuddles can go terribly wrong. Though statistics for injuries caused by young children are difficult to find, parents routinely suffer concussions, chipped teeth, corneal abrasions, nasal fractures, cut lips and torn earlobes, among other injuries. Continue reading “Dangerous kids”

Those naughty boomers

Some time back, researchers writing in The New England Journal of Medicine decided to ask older Americans about their sex life and discovered something interesting: very often, they have one.

When Robin G. Sawyer, an associate professor in the University of Maryland School of Public Health, shares this information with his students, some seem horrified, reports today’s New York Timesimages

“Maybe they are troubled by the thought of “wrinklies,” as a character in the Christopher Buckley novel “Boomsday” calls them, being intimate. But maybe what gets them is just how often many baby boomers boom — at least two or three times a month, the study found. “That’s better than some of my undergraduates,” Dr. Sawyer said. Continue reading “Those naughty boomers”

Smoking and mental illness linked

imgres-4People with mental illness are 70 percent more likely to smoke cigarettes than people without mental illness.

“New data from the Centers for Disease Control and Prevention and the Substance Abuse and Mental Health Services Administration show that one of every three adults with mental illness smokes, compared with one in five adults without mental illness,” reports today’s New York Times

“Adults with mental illness smoke about a third of all the cigarettes in the United States, and they smoke more cigarettes per month and are significantly less likely to quit than people without mental illness, the report said. There are nearly 46 million adults with mental illness in the United States, about a fifth of the population.

‘Many people with mental illness are at greater risk of dying early from smoking than of dying from their mental health conditions,’ said Dr. Thomas R. Frieden, director of the Centers for Disease Control, during a press briefing.

“The report is based on information from the National Survey on Drug Use and Health, which interviewed 138,000 adults in their homes from 2009 to 2011. Continue reading “Smoking and mental illness linked”

Unhappy kids more at risk for heart disease

A study found being prone to distress at the age of seven was associated with a significantly higher risk of cardiovascular disease in later life.

Conversely children who were better at paying attention and staying focused had reduced heart risk when older, reports the BBC. “The US researchers said more work was needed to understand the link.

“Their study looked at 377 adults who had taken part in research as children. At seven they had undergone several tests to look at emotional behaviour.They compared the results from this with a commonly used risk score for cardiovascular disease of participants now in their early 40s.imgres-4

“After controlling for other factors which might influence heart disease risk, they found that high levels of distress at age seven were associated with a 31% increased risk of cardiovascular disease in middle-aged women. Continue reading “Unhappy kids more at risk for heart disease”

Danger in the shower

“The other morning, I escaped unscathed from a dangerous situation. No, an armed robber didn’t break into my house, nor did I find myself face to face with a mountain lion during my bird walk. What I survived was my daily shower.”  Thus writes Jared Diamond, whose recent book The World Till Yesterday was recently released. Diamond makes some good points, a few of which are excerpted below:

“You see, falls are a common cause of death in older people like me. (I’m 75.) Among my wife’s and my circle of close friends over the age of 70, one became crippled for life, one broke a shoulder and one broke a leg

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in falls on the sidewalk. One fell down the stairs, and another may not survive a recent fall.

“’Really!’ you may object. ‘What’s my risk of falling in the shower? One in a thousand?’ My answer: Perhaps, but that’s not nearly good enough. Continue reading “Danger in the shower”

Bad habits cause more cancer in men

These days men die five years younger than women, typically expiring at 76  as women live to 81. For the longest time the leading reason was heart disease. But now things are changing. As todays’ Guarding reports:

“Men are 35% more likely to die

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from cancer than women, with men’s drinking and eating habits, late diagnosis and advances in breast cancer treatment cited for the stark differential.

An analysis of the most recent UK deaths from cancer found that 202 out of every 100,000 men died from cancer in 2010 compared with 147 per 100,000 women.

“When sex-specific forms of the disease are excluded, such as prostate, testicular and ovarian cancer, the gender gap is even wider, with men 67% more likely to die. And when only working age people are looked at men under 65 have a 58% greater chance of dying than women of the same age. The sexes’ respective likelihood of death varies depending on the type of cancer. Men are almost three times as likely as women to die of oesophageal cancer and almost twice as likely to die from liver cancer.

The figures come from a new report produced by Cancer Research UK (CRUK), the Men’s Health Forum (MHF) and the National Cancer Intelligence Network, called “Excess cancer burden in men”, which is published on Tuesday at an MHF conference. It has prompted calls for men to adopt healthier lifestyles and the NHS to do more to spot cancer in men earlier.

“There are a variety of potential explanations for the difference. “The reasons for the increased risk of cancer in men versus women are not completely understood but experts believe that lifestyle is important. Men are more likely to drink alcohol and be overweight, and in the past they were more likely to smoke. All three are significant risk factors for a range of cancer types,” said a separate men’s cancer briefing, produced by CRUK and also released on Tuesday.

“Ciaran Devane, chief executive of Macmillan Cancer Support, said the stark difference was alarming. He highlighted late diagnosis as a key factor and cited the fact that 24% of men with prostate cancer visited their GP at least three times before their disease was identified, compared with 8% of women with breast cancer, according to the National Cancer Experience Survey. In 2011 CRUK estimated that 45% of all cancers in men could be prevented if men stopped smoking, ate a healthier diet, drank less and weighed less.”

 

For more, see: http://www.guardian.co.uk/society/2013/jan/29/men-cancer-deaths-greater-women