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Friday, September 28, 2007

Child health bill faces Bush veto

Child health
The US Senate has overwhelmingly passed a bill to expand a children's health care insurance scheme, setting up a policy showdown with President Bush.

Mr Bush has threatened to veto the bill which he argues takes the programme beyond its original purpose of insuring children from low-income families.

The legislation would raise tobacco taxes to provide an extra $35bn (£17bn) to insure some 10 million children.

It is set to be a campaign issue in next year's elections, analysts say.

Eighteen Republican senators joined Democrats in passing the legislation by a 67-29 vote.

But the House of Representatives, which approved the bill earlier this week by 265-159, was well short of the two-thirds majority needed to override a veto.

"The president will veto this bill because it directs scarce funding to higher incomes at the expense of poor families," White House spokeswoman Dana Perino said.

Uninsured

The legislation renews the State Children's Health Insurance Programme (SCHIP) and increases spending from $25bn to $60bn over five years.


Democrats are counting down the hours so they can tee up the election ads saying Republicans don't like kids
Mitch McConnell
Senate Minority Leader

The extra money would come from raising taxes on tobacco products, including tax on a packet of cigarettes rising by 61 cents to $1.

Supporters of the scheme say the extra funding would increase enrolment from the current 6.6 million children to 10 million, and dramatically reduce the number of uninsured children in the US, put at about nine million.

The SCHIP was set up to help working families who could not afford private health insurance but who earned too much to qualify for Medicaid - the government health care programme for the poor.

Opponents of the legislation said the increase in funding was too large and expanded government-subsidised health care.

They also accused the legislation's backers of attempting to win political points ahead of 2008's presidential and congressional elections.

"Meanwhile, they're using SCHIP as a Trojan horse to sneak government-run health care into the states," the Associated Press quoted him as saying.

Sponsors of the legislation rejected criticism that it would expand coverage to families of four earning up to $83,000.

"This is not a government takeover of health care. This is not socialised or nationalised medicine or anything like that. This is not bringing the Canadian health care system to America," AP reported Republican Senator Charles Grassley as saying.


Via News




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Stroke Patients Benefit Significantly From Occupational Therapy

After Stroke
Patients who have had a stroke can experience significant improvements in their lives if they receive occupational therapy - their chances of deteriorating are also reduced, according to an article in the The British Medical Journal, issued this week.

Stroke is the foremost cause of severe, long-term disability in adults worldwide, as well as being the second leading cause of death. About half of all stroke sufferers, six months after their stroke took place, are still dependent on others to eat, dress, and go to the toilet. The writers pointed out that although it is widely recognized that rehabilitation is important after a stroke, we do not know enough about how successful the separate components of the rehabilitation package are.

What is Occupational Therapy?

According to the writers, Occupational Therapy is the use of "purposeful activity designed to achieve outcomes which promote health, prevent injury or disability and which develop, improve or restore the highest possible level of independence."

However, Occupational Therapy has several different components. In this study, the researchers compared an occupational therapy intervention group of patients with another group that received no routine intervention.

The writers focused on nine randomized controlled trials, involving a total of 1,258 patients. Their mean age ranged from 55 to 87.5 years.

The researchers discovered that those who had received occupational therapy after a stroke were much more independent and able to carry out everyday tasks, compared to those who received no routine intervention. Moreover, the occupational therapy patients also had better outcome chances - they were less likely to be dependent on others and their deterioration was significantly lower.

"Occupational therapy after stroke "works" in that it improves outcome in terms of ability in personal activities of daily living," the writers concluded.

Further research is needed to identify what type of people have the best chance to benefit from occupational therapy and which specific interventions have the best impact, explained the authors.

"Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomized trials"
Lynn Legg, Avril Drummond, Jo Leonardi-Bee, J R F Gladman, Susan Corr, Mireille Donkervoort, Judi Edmans, Louise Gilbertson, Lyn Jongbloed, Pip Logan, Catherine Sackley, Marion Walker, Peter Langhorne


Via Medicalnewstoday




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Medical Student Is Allowed Time To Pump Breast Milk During Exam, US Appeal Court

i love the bottle
A Massachusetts appeal court has ruled that a medical student is allowed to have more time to pump breast milk during an all day exam, said the New York Times on Thursday.

The ruling overturns an earlier judgement by a Superior Court judge last week that rejected the plea by Harvard student, Sophie Currier, 33, of Brookline, Massachusetts, who sued the National Board of Medical Examiners for not granting her request for more than the standard 45 minutes total break time during the nine-hour medical licensing exam, said a report by the Associated Press (AP).

In a 26-page ruling, Judge Gary Katzmann ruled that Currier be allowed the extra 60 minutes she asked to have during the nine-hour exam so she can pump breast milk to feed her baby daughter who is 4 months old.

Refusing her extra time meant that Ms Currier had to choose either to "use her break time to incompletely express breast milk and ignore her bodily functions, or abdicate her decision to express breast milk, resulting in significant pain," said Katzmann.

Granting her request would put her on an "equal footing" with other exam students said the ruling.

The National Board of Medical Examiners said they would appeal, but in the meantime Ms Currier would be granted the extra time if the new ruling is still effective when she takes the exam next week.

If she passes the exam, Ms Currier will get her medical degree and can start her residency at Massachusetts General Hospital, said the New York Times.

According to the AP report, Ms Currier said the ruling was "a big step for women, all nursing and working moms".

The AP reported that Currier has also received special accommodations for dyslexia and attention deficit hyperactivity disorder (ADHD) under the Americans with Disabilities Act to allow her to take the test over two days instead of one.

According to information from the examining board, a Philadelphia-based nonprofit organization, represented by attorney Joseph Savage, Ms Currier was offered a separate testing room to express milk during the test or during the alloted break times, as well as the option to leave the test centre altogether during the allotted break time to breast feed.

However, it would seem that this was not the issue for Ms Currier, it was the amount of time available to attend to these extra bodily needs, which for a lactating mother, she maintained, were over and above those of her peers taking the exam.

Ms Currier has had two babies in the last two years, whilst also completing a joint MD-PhD at Harvard University. She wants to become a medical researcher.


Written by: Catharine Paddock


Via Medicalnewstoday




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Wednesday, September 26, 2007

Mom births her 12th baby â 17-pound Nadia

Where is my mom
Siberian woman unaware of newborn's weight until Caesarean section. Baby girl Nadia — who weighed 17 pounds, 1 ounce after birth — lies in a maternity ward in the Siberian city of Barnaul.

BARNAUL, Russia - A Siberian woman who gave birth to her 12th child — doing more than her fair share to stem Russia's population decline — was stunned to find that little Nadia weighed in at a massive 17 pounds, 1 ounce.

Nadia was delivered by Caesarean section in the local maternity hospital in the Altai region on September 17, joining eight sisters and three brothers, a local reporter said.

"We were all simply in shock," said Nadia's mother, Tat! yana Barabanova, 43. "What did the father say? He couldn't say a thing — he just stood there blinking."

"I ate everything, we don't have the money for special foods so I just ate potatoes, noodles and tomatoes," she told the reporter, adding that all her previous babies had weighed more than 11 pounds.

The Guinness World Records lists a 22 pound, 4 ounce baby boy born in Italy in 1955, and a 23 pound, 8 ounce baby boy who was born in the United States in 1879 but died 11 hours later.

The average weight for most healthy newborn babies is around 7 pounds, 6 ounces, according to World Health Organization figures.


Source Msnbc




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Seven Tips for Resolving Conflicts Quickly and Peacefully

Conflicting Emotions
Everyone has to deal with difficult people, whether they are argumentative, abusive, stubborn, or combative. The question is, how can you assert your own rights without creating an unnecessary incident?

In most cases, angry people are screaming to be heard. They want to be valued, loved, and listened to. They want to feel important but aren't able to express themselves constructively. With the right attitude, it's possible to get past these insecurities and reach an understanding.

These 7 strategies will help you setting disputes quickly and peacefully for the benefit of everyone involved:

1. Remain calm. Be still and say nothing. Let th! e storm run its course. Often times the angry person wants to provoke you. Arguing is ineffective because it raises barriers. Consider how I handled the barber situation.

2. Let the other person do the talking. He or she will soon grow tired of it. Sometimes that's all they want. To be heard. To feel important. Everyone wants to feel important. Some people just express it in ways that are counterproductive.

3. Genuinely consider the other person's point of view. Imagine yourself in his shoes. Never say "you're wrong." In fact, try hard to look for areas of agreement and build on them.

4. There's power in the words "Yes, yes, I see exactly what you're saying. You mean……." This shows the other person you hear him/her. That's all they usually want — to be validated. By agreeing with them, you gradually break down the other person's anger.

5. If the situation turns verbally abusive, put a stop to it. Firmly! but calmly state: "You're very angry right now and you'! re sayin g things you don't mean (give them the benefit of the doubt). I'm going to excuse myself. We can talk again after you calm down." Then leave the room or ask them to leave.

6. If you are wrong, quickly admit it and take responsibility. You could say, "You're absolutely right, it is my fault and here is what I'll do to fix it." Even if you're NOT wrong, at least give them the benefit of the doubt, "I may be wrong, let's look at the facts together." It's hard to argue with that!

These words have tremendous power. Not only does it validate the other person's viewpoint but it also diffuses the tension. You might be surprised by what happens afterwards. The person could end up defending you. You'd be amazed how an attacker suddenly becomes an ally.

7. Use the power of visualization. If you're dealing with someone you interact with on a daily basis (like a boss or co-worker), try to imagine that person as a loving spiri! tual being. I did this with a boss I had at a Wall Street bank several years ago. He was an absolute tyrant and gave everyone a hard time. In retrospect, he was clearly unhappy and insecure.

One day I started to visualize him as a loving grandfather. When he was in a good mood, he would lovingly talk about his grandchildren. His eyes and face would light up with incredible joy, leading me to realize there was a softhearted man behind the hard facade. Every morning before going to work, I imagined him romping around in the backyard on a warm, breezy day with his grandkids squealing and laughing with delight.

Long story short, this man promoted me almost 1 year later, in no small part due to the power of visualization. No one can dispute that this works because I've lived to tell the story. I've used it win trips to Mexico and Bermuda (sales contests at Merrill Lynch), to forgive those who have hurt me, to become the world's first deaf instrument p! ilot, and to give powerful presentations.

Food for ! thought: Think about how you've dealt with difficult people in the past. Were you tempted to prove them wrong, trying to save face? Were you able to see through the facade and recognize that all they want is to be heard, loved and validated? Have you tried the power of visualization?


Source Pickthebrain




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Shock at archbishop condom claim

Catholic
The head of the Catholic Church in Mozambique has told the BBC he believes some European-made condoms are infected with HIV deliberately.

Maputo Archbishop Francisco Chimoio claimed some anti-retroviral drugs were also infected "in order to finish quickly the African people".

The Catholic Church formally opposes any use of condoms, advising fidelity within marriage or sexual abstinence.

Aids activists have been angered by the remarks, one calling them "nonsense".

"We've been using condoms for years now, and we still find them safe," prominent Mozambican Aids activist Marcella Mahanjane told the BBC.

The UN says anti-retrovirals (ARVs) have prove! d very effective for treating people with Aids. The drugs are not a cure, but attack the virus on several fronts at once.

The BBC's Jose Tembe in the capital, Maputo, says it is estimated that 16.2% of Mozambique's 19m inhabitants are HIV positive.

About 500 people are infected every day.

'Serious matter'

Archbishop Chimoio told our reporter that abstention, not condoms, was the best way to fight HIV/Aids.

"Condoms are not sure because I know that there are two countries in Europe, they are making condoms with the virus on purpose," he alleged, refusing to name the countries.

"They want to finish with the African people. This is the programme. They want to colonise until up to now. If we are not careful we will finish in one century's time."

Aids activists in the country have been shocked by the archbishop's comments.

"Condoms are one of the best ways of getting protection against catchi! ng Aids," said Gabe Judas, who runs Tchivirika (Hard Work) - a! n theatr e group that promotes HIV/Aids awareness.

"People must use condoms as it's a safe way of having sex without catching Aids," he told the BBC.

Archbishop Chimoio, who made the remarks at celebrations to mark 43 years of independence, said that fighting the disease was a serious matter.

"If we are joking with this sickness we will be finished as soon as possible.

"If we want to change the situation to face HIV/Aids it's necessary to have a new mentality, if we don't change mentality we'll be finished quickly," he said.

"It means marriage, people being faithful to their wives... (and) young people must be abstaining from sexual relations."

Our correspondent says the archbishop is well respected in the country and the Catholic Church played a leading role in sponsoring the 1992 peace deal that ended a 16-year civil war.

Some 17.5% of Mozambicans are Catholic.


Source News




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10 All Natural Ways to Stop Feeling Depressed

Feeling Depressed
Do any of these gloomy thoughts sound familiar? It's likely they do. The occasional case of the blues is perfectly normal, but that doesn't make dealing with it any easier. If you allow them to, negative thoughts can fester and lead to serious depression. That's why it's important to take action early to bust yourself out of a slump.

While these suggestions won't eliminate your problems, they can help you break a negative thought pattern and stop feeling depressed. If you think you might have a serious mental health problem, don't hesitate to see a medical professional.

1. Understand the emotional cycle - Life is an emotional roller coaster. Some d! ays you feel like nothing can stop you. Other days you feel utterly hopeless. Most of the time you're somewhere in between. Understanding the pattern of positive and negative emotions will help you put your feelings in perspective. Next time you feel down, just remember that it's a natural emotion that will inevitably pass. Knowing that a feeling of depression is only temporary makes it less dreadful.

2. Spend time with positive people - Nothing affects the way you think and feel more than the people you interact with. Thoughts (both positive and negative) are contagious. If you are surrounded by negative people, it's only natural that you'll start to think and feel the same way. To improve your outlook on life, spend time with positive people. Search them out and try to understand the way they see the world. Chances are their happiness will rub off.

3. Reflect on past success - In the wake of a colossal failure, it's easy to forget everythin! g you've ever done right. Take a few minutes to remember you! r past a ccomplishments and build yourself up. What made you successful before? What are your strengths? Frequently, this exercise will build self confidence, help you figure out what went wrong, and generate ideas for success in the future.

4. Focus on gratitude - It's human nature to measure ourselves against those ahead of us on the social ladder. Studies have shown that people care more about being richer than their friends than actually making more money. When you consider everything good in your life and compare it to the problems of less fortunate people, the issue that's making you depressed won't seem as serious.

5. Change of scenery - One of the best ways to change the way you feel is to change your environment. When you get in a slump, you start to associate your problems with everything around you. It can get to the point where your environment is a constant reminder of your problems. This can be a dangerous cycle. The solution is to change thi! ngs. Change doesn't have to be radical. Cleaning up, adding more lights, or including pleasant decorations can completely change the mood of a room.

6. Break your routine - Going through the same routine, day after day, can be monotonous and depressing. It often leads to getting caught in a rut. To get out of it you need to temporarily change your routine. If you can, take a day off from work. Do something you don't normally have time for or something you've never tried. In the long run, taking a day off every now and then to get out of slump will make you happier and more productive.

7. Interact with animals and nature - It's funny when you consider how humans put so much importance on their own tiny problems. Animals don't think this way. A little bird doesn't mope around because it isn't an eagle or because another bird beat it to a tasty seed. Animals live in the present moment and they show love unconditionally. Observing and interac! ting with them will help you get over your problems.

8. Get moving - As Johnny Cash famously suggested, "Get a rhythm, when you get the blues." Moving to a beat makes everyone feel better. The same is true for movement in general. Hitting the gym or going for a walk will help you shed the lethargy that comes with feeling depressed. The more enthusiastic your moments, the better you will start to feel.

9. Think about the big picture - As Carl Sagan made evident with the Pale Blue Dot, we're insignificant creatures living in a vast universe on a tiny planet. In the long run, everything we do will probably be forgotten. Some might find this depressing, but it shouldn't be. It means that all our problems are illusory. In a million years no one will remember what you did or didn't do. What matters is the present moment and enjoying every second of life that we're blessed with.

10. Do something to help yourself - Above all, the best way to stop feeling depressed is to take action. What is your biggest pro! blem? How can you alleviate it? Once you decide to stop moping and start moving forward you won't have time to feel depressed. Action will occupy your mind and give you something to look forward to. Once you get some results, you'll build momentum and positive thinking will keep getting easier.


Source Pickthebrain




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Therapy to slow down liver damage

Damaged Liver
Scientists have developed a new way to treat liver failure by dampening the immune response using stem cells taken from the bone marrow.

So far the technique has only been tested in animals, but if it works in humans it could help save lives.

Potentially a patient could be kept alive longer until a donor organ is found - and the liver would be given the maximum chance to repair itself.

The Massachusetts General Hospital work features in the journal PLOS One.

The liver is one of the few major organs that is able to regenerate itself.

However, the organ cannot cope with the extensive damage inflicted by diseases like chronic hepati! tis, or excessive long-term alcohol consumption.

At present, the only treatment for severe "end-stage" damage is a transplant - but donor organs are limited, and recipients must rely on powerful drugs to suppress their immune response.

Key cells

External liver assist devices have successfully supported some patients, but such machines require a supply of preferably human liver cells, which have been difficult to acquire.

The US researchers used mesenchymal stem cells (MSCs) - cells from the bone marrow that develop into tissues supporting blood cell development in the marrow cavity.

Previous research has shown that MSCs are able to inhibit several immune system activities, apparently by putting a break on the movement of immune cells to areas of damage.

A supply of MSCs can be extracted from a patient's own marrow and expanded to levels that could be therapeutically useful.

The researchers tested s! everal ways of using the cells to treat rats with liver failur! e.

Simply transplanting MSCs into the animals' livers was not effective.

However, two methods of delivering molecules secreted by the cells lessened inflammation within the liver and halted cell death.

Cycling the blood of rats with liver failure through an external bioreactor containing MSCs also greatly reduced signs of liver failure in the animals, and boosted survival rates from 14% to 71%.

Researcher Biju Parekkadan said in theory a patient could be injected with a drug containing MSC-derived molecules to try to halt cell damage, and allow the organ to regenerate.

If that was not successful, or the damage was too extensive, then a device similar to the bioreactor could be considered to buy extra time before a transplant.

The British Liver Trust warned the research was still at an early stage.

But Professor Mark Thursz, of St Mary's Hospital, London and spokesperson for the trust, said: "A long standing! goal in hepatology is the suppression of liver cell death until regeneration could occur.

"This development could potentially reduce the number of donor organs used in urgent transplant procedures thereby increasing the number available for the growing number of patients on routine waiting lists."


Source News




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Tuesday, September 25, 2007

'Hot' ice could lead to medical device

Ice Glasses on Ice Bar
Doctoral student Alexander Wissner-Gross (above) and Efthimios Kaxiras, Gordon McKay Professor of Applied Physics, have shown that treated diamond coatings can keep water frozen at body temperature. Photo: Stephanie Mitchell/Harvard University

Harvard physicists have shown that specially treated diamond coatings can keep water frozen at body temperature, a finding that may have applications in future medical implants.
Doctoral student Alexander Wissner-Gross and Efthimios Kaxiras, physics professor and Gordon McKay Professor of Applied Physics, spent a year building and examining computer models that showed that a layer of diamond coated with sodium atom! s will keep water frozen up to 108 degrees Fahrenheit.

Free White Papers!
In ice, water molecules are arranged in a rigid framework that gives the substance its hardness. The process of melting is somewhat like a building falling down: pieces that had been arranged into a rigid structure move and flow against one another, becoming liquid water.

The computer model shows that whenever a water molecule near the diamond-sodium surface starts to fall out of place, the surface stabilizes it and reassembles the crystalline ice structure.

Simulations show that the process works only for layers of ice so thin they're just a few molecules wide — three nanometers at room temperature and two nanometers at body temperature. A nanometer is a billionth of a meter.

The layer should be thick enough to form a biologically compatible shield over the diamond surface and to make diamond coatings more useful in medical devices, Wissner-Gross s! aid.

The work is not the first showing that water c! an freez e at high temperatures. Dutch scientists had shown previously that ice can form at room temperature if placed between a tiny tungsten tip and a graphite surface. Kaxiras and Wissner-Gross's work shows that ice can be maintained over a large area at body temperature and pressure.

Device manufacturers have been considering using diamond coatings in medical implants because of their hardness. Concerns have been raised, however, because the coatings are difficult to get absolutely smooth, abrasion of the tissue surrounding the implant could result, and that diamond might have a higher chance of causing blood clots than other materials.

Wissner-Gross said a two-nanometer layer of ice would just fill the pits in the diamond surface, smoothing it out and discouraging clotting proteins from attaching to the surface.

"It should be just soft enough and water-friendly enough to smooth out diamond's disadvantages," Wissner-Gross said.

! Wissner-Gross and Kaxiras are planning experiments to confirm the computerized findings in the real world. Wissner-Gross said they expect results within a year.

"We're reasonably confident we'll be able to realize the effect experimentally," Wissner-Gross said.

Wissner-Gross, who has been a doctoral student at Harvard since 2003, said the research grew out of an interest in the physical interaction of nanostructured surfaces with molecules that are biologically relevant, such as water. Diamond films are growing cheaper, Wissner-Gross said, and as their cost declines the array of possible uses of the material grows wider.

"We both had this notion that it would be very interesting to combine theory with respect to diamond surfaces with what's going on in cryobiology," Wissner-Gross said. "We were thinking about how we could leverage this long-term trend [of declining prices] to do something interesting in the medical field."
The work has won Wissner-Gross the 2007 Dan David P! rize Sch olarship from Tel Aviv University and the 2007 Graduate Student Silver Award from the Materials Research Society.

Wissner-Gross, who expects to graduate in June 2008, said he plans to continue work not only on this project, but on other efforts concerning the physics of surfaces that have novel properties


Source Physorg




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In Search Of The 'Mothering Gene' In Women

Mother
Basic principles of biology rather than women's newfound economic independence can explain why fewer of them are getting married and having children, and why the trend may only be temporary, says a Queen's researcher.

"Only in recent times have women acquired significant control over their own fertility, and many are preferring not to be saddled with the burden of raising children," says Lonnie Aarssen, a Biology professor who specializes in reproductive ecology. The question is whether this is just a result of economic factors and socio-cultural conditioning, as most analysts claim, or whether the choices that women are making about parenthood are influenced by genetic inheritance from! maternal ancestors that were dominated by paternal ancestors."

In a paper published in the current issue of Oikos -- an international journal of ecology -- Dr. Aarssen suggests that because of inherited inclinations, many women when empowered by financial independence are driven to pursue leisure and other personal goals that distract from parenthood.

"The drive to leave a legacy through offspring can be side-tracked by an attraction to legacy through other things like career, fame, and fortune -- distractions that, until recently, were only widely available to men".

Dr. Aarssen speculates that the now widespread incidence of childlessness in developed countries will subside, not because of cultural evolution but because of biological evolution.

The women who leave the most descendants will be those with an intrinsic drive for motherhood. The ones who would rather forego parenthood in order to have a career, lavish vacations and ! leisurely lifestyles will of course leave no descendants at al! l. Over time those genetic traits that influence women away from motherhood will necessarily be 'bred out.'

In this way future generations of women will inherit a stronger genetic predisposition for mating and having children as a priority in their lives. Dr. Aarssen predicts that an increased desire for marriage and having children, in both men and women, will be an inevitable product of evolution within the next few generations.

"The bottom line from a biology viewpoint is: in order to have your genes live on, you've got to have kids. If you don't, then they're going to disappear," says Dr. Aarssen.


Source Medicalnewstoday




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Sunday, September 23, 2007

Train Your Brain to Think Like a Thin Person

Losing Weight
Brain Fitness doesn't require the use of expensive equipment. Your brain is enough. Today we are honored to interview Dr. Judith Beck on how cognitive techniques can be applied to develop a number of important mental skills. The latest Amygdala fMRIapplication of these?. Losing weight. (Even if you are not interested in dieting, you will learn a lot by reading this interview. And make sure to read the fascinating last answer explaining this brain scan and how we can learn to manage fear).


Dr. Judith Beck is the Director of the Beck Institute for Cognitive Therapy and Research, Clinical Associate Professor of Psychology in Psych! iatry at the University of Pennsylvania, and author of Cognitive Therapy: Basics and Beyond. Her most recent book is The Beck Diet Solution: Train Your Brain to Think Like a Thin Person.



Dr. Beck, thanks for your time. What does the Beck Institute do?

We have 3 main activities. One, we train practitioners and researchers through a variety of training programs. Two, we provide clinical care. Three, we are involved in research on cognitive therapy.

Please explain cognitive therapy in a few sentences

Cognitive therapy, as developed by my father Aaron Beck, is a comprehensive system of psychotherapy, based on the idea that the way people perceive their experience influences their emotional, behavioral, and physiological responses. Part of what we do is to help people solve the problems they are facing today. We also teach them cognitive and behavioral skills to modify their dysfunctional thinking and actions.

I! understand that cognitive therapy has been tested for many ye! ars in a variety of clinical applications. What motivated you to bring those techniques to the weight-loss field by writing The Beck Diet Solution?

Since the beginning, I have primarily treated psychiatric outpatients with a variety of diagnoses, especially depression and anxiety. Some patients expressed weight loss as a secondary goal in treatment. I found that many of the same cognitive and behavioral techniques that helped them overcome their other problems could also help them to lose weight�and to keep it off.

I became particularly interested in the problem of overweight and was able to identify specific mindsets or cognitions about food, eating, hunger, craving, perfectionism, helplessness, self-image, unfairness, deprivation, and others, that needed to be targeted to help them reach their goal.

What research results back your finding that those techniques help?

Probably the best published study so far is the randomized controlled st! udy by Karolinska Institute's Stahre and Halstrom (2005, reference below). The results were striking: nearly all 65 patients completed the program and this short-term intervention (10-week, 30-hours) showed significant long-term weight reduction, even larger (when compared to the 40 individuals in the control group) after 18 months than right after the 10-weeks program.

That sounds impressive. Can you explain what makes this approach so effective?

A unique feature is that the book doesn't offer a diet but does provide tools to develop the mindset that is required for sustainable success, for modifying sabotaging thoughts and behaviors that typically follow people's initial good intentions. I help dieters acquire new skills. We have sold over 70,000 books so far, and are planning to release a companion workbook this month to further help readers implement the 6-week program and track progress.

So, in a sense, we could say that your book is co! mplementary to all other diet books.

Exactly'it wil! l help r eaders at setting and reaching their long-term goals, assuming that the diet is healthy, nutritious, and well-balanced.

The main message of cognitive therapy overall, and its application in the diet world, is straight-forward: problems losing weight are not one's fault. Problems simply reflect lack of skills--skills that can be acquired and mastered through practice. Dieters who read the book or workbook learn a new cognitive or behavioral skill every day for six weeks. They practice some skills just once; they automatically incorporate others for their lifetime.

What are the cognitive and emotional skills and habits that dieters need to train, and where your book helps?

Great question. That is exactly my goal: to show how everyone can learn some critical skills. The key ones are:

1) How to motivate oneself. The first task that dieters do is to write a list of the 15 of 20 reasons why they want to lose weight and read that list every single day.

2) Plan in advance and self-monitor behavior. A typical reason for diet failure is a strong preference for spontaneity. I ask people to prepare a plan and then I teach them the skills to stick to it.

3) Overcome sabotaging thoughts. Dieters have hundreds and hundreds of thoughts that lead them to engage in unhelpful eating behavior. I have dieters read cards that remind them of key points, e.g., that it isn't worth the few moments of pleasure they'll get from eating something they hadn't planned and that they'll feel badly afterwards; that they can't eat whatever they want, whenever they want, in whatever quantity they want, and still be thinner; that the scale is not supposed to go down every single day; that they deserve credit for each helpful eating behavior they engage in, to name just a few.

4) Tolerate hunger and craving. Overweight people often confuse the two. You experience hunger when your stomach feels empty. Cravi! ng is an urge to eat, usually experienced in the mouth or throat, even if your stomach is full.

When do people experience cravings?

Triggers can be environmental (seeing or smelling food), biological (hormonal changes), social (being with others who are eating), mental (thinking about or imagining tempting food), or emotional (wanting to soothe yourself when you're upset). The trigger itself is less important than what you do about it. Dieters need to learn exactly what to say to themselves and what to do when they have cravings so they can wait until their next planned meal or snack.

How can people learn that they don't have to eat in response to hunger or craving?

I ask dieters, once they get medical clearance, to skip lunch one day, not eating between breakfast and dinner. Just doing this exercise once proves to dieters that hunger is never an emergency, that it's tolerable, that it doesn't keep getting worse, but instead, comes and goes, and that they don't need to "fix" their usually mild discom! fort by eating. It helps them lose their fear of hunger. They also learn alternative actions to help them change their focus of attention. Feel hungry? Well, try calling a friend, taking a walk, playing a computer game, doing some email, reading a diet book, surfing the net, brushing your teeth, doing a puzzle. My ultimate goal is to train the dieter to resist temptations by firmly saying "No choice," to themselves, then naturally turning their attention back to what they had been doing or engaging in whatever activity comes next.

You said earlier that some cravings follow an emotional reaction to stressful situations. Can you elaborate on that, and explain how cognitive techniques help?

In the short term, the most effective way is to identify the problem and try to solve it. If there's nothing you can do at the moment, call a friend, do deep breathing or relaxation exercises, take a walk to clear your mind, or distract yourself in another way. Read a card that reminds you that you'll certainly not be able to lose weight or keep it off if you constantly turn to food to comfort yourself when you're upset. People without weight problems generally don't turn to food when they're upset. Dieters can learn to do other things, too.

And in the long term, I encourage people to examine and change their underlying beliefs and internal rules. Many people, for example, want to do everything (and expect others to do everything) in a perfect way 100% of the time, and that is simply impossible. This kind of thinking leads to stress.

The title of the book includes a "train your brain" promise. Can you tell us a bit about the growing literature that analyzes the neurobiological impact of cognitive therapy?

AmygdalaYes, that is a very exciting area. For years, we could only measure the impact of cognitive therapy based on psychological assessments. Today, thanks to fMRI and other neuroimaging techniques, we are starting to understand the impact our actions can have on specific! parts of the brain.

For example, take spider phobia. In a 2003 paper (Note: reference below) scientists observed how, prior to the therapy, the fear induced by viewing film clips depicting spiders was correlated with significant aAmygdala fMRIctivation of specific brain areas, like the amygdala (Editor note: pics added for illustration. On the left, the yellow circle shows the location of the amygdala. On the right, the red color indicates the level of activation of the amygdala, the "fear center of the brain"). After the intervention was complete (one three-hour group session per week, for four weeks), viewing the same spider films did not provoke activation of those areas. Those individuals were able to "train their brains" and managed to reduce the brain response that typically triggers automatic stress responses. And we are talking about adults.

Dr. Beck, that is exactly what we find most exciting about this emerging field of neuroplasticity: the awareness that we can improve our lives by refining, 'training! ' our br ains, and the growing research behind a number of tools such as cognitive therapy. Thanks a lot for sharing your thoughts with us.

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Girls' Suicide Rates Rise Dramatically

The Suicide Rate
The suicide rate among preteen and young teen girls spiked 76 percent, a disturbing sign that federal health officials say they can't fully explain.

For all young people between ages 10 to 24, the suicide rate rose 8 percent from 2003 to 2004 - the biggest single-year bump in 15 years - in what one official called "a dramatic and huge increase."

The report, based on the latest numbers available, was released Thursday by the Centers for Disease Control and Prevention and suggests a troubling reversal in recent trends. Suicide rates had fallen by 28.5 percent since 1990 among young people.

The biggest increase - about 76 percent - was in the suic! ide rate for 10- to 14-year-old girls. There were 94 suicides in that age group in 2004, compared to 56 in 2003. The rate is still low, fewer than one per 100,000 population.

Suicide rates among older teen girls, those aged 15-19 shot up 32 percent; rates for males in that age group rose 9 percent.

"In surveillance speak, this is a dramatic and huge increase," Dr. Ileana Arias said of the overall picture. She is director of the CDC's National Center for Injury Prevention and Control.

More research is needed to determine whether this is a trend or just a blip, said one child psychiatrist, Dr. Thomas Cummins of Children's Memorial Hospital in Chicago. "We all need to keep our eye on this over time to see if this is a continuing trend."

Overall, there were 4,599 suicides among young people in 2004, making it the third-leading cause of death, surpassed only by car crashes and homicide, Arias said. Males committed suicide far more ofte! n than females, accounting for about three-quarters of suicide! s in thi s age group.

The study also documented a change in suicide method. In 1990, guns accounted for more than half of all suicides among young females. By 2004, though, death by hanging and suffocation became the most common suicide method. It accounted for about 71 percent of all suicides in girls aged 10-14; about half of those aged 15-19; and 34 percent between 20-24.

"While we can't say (hanging) is a trend yet, we are confident that's an unusually high number in 2004," said Dr. Keri Lubell, a CDC behavioral scientist who was one of the study authors.

Scientists speculated that hanging may have become the most accessible method.

"It is possible that hanging and suffocation is more easily available than other methods, especially for these other groups," Arias said.

The CDC is advising health officials to consider focusing suicide prevention programs on girls ages 10-19 and boys between 15-19 to reverse the trends. It also ! said the suicide methods suggest that prevention focused solely on restricting access to pills, weapons or other lethal means may be of limited success.

As for why rates are up, Richard Lieberman, who coordinates the suicide prevention program for Los Angeles public schools, said one cause could be a rise in depression during tumultuous adolescent years.

"There's a lot of pressure in and around middle school kids. They're kind of all transition kids. They're turbulent times to begin with," he said. "The hotline's been ringing off the hook with middle school kids experimenting with a wide variety of self-injurious behavior, exploring different ways to hurt themselves."

Arias said the declining use of antidepressants in those age groups might play a role. But it's "not the only factor" that health officials will be studying.

Four years ago, federal regulators warned that antidepressants seemed to raise the risk of suicidal behavior ! among young people, so black box warnings were put on the drug! s' packa ging.

When partial teen suicide data was published earlier this year, experts noted at the time that the drop in sales of the drugs corresponded with a rise in the suicide rate. Now there is concern that some children who need the medication aren't getting it.

"Suicide is a multidimensional and complex problem," Arias said. "As much as we'd like to attribute suicide to a single source so we can fix it, unfortunately we can't do that."

More education is needed, some specialists said, so that teachers, parents and others can quickly spot troubled teens.

"It underscores the need for more evaluation methods for school personnel and pediatricians to be able to better identify at-risk youth," said Dr. Alec Miller, director of the adolescent depression and suicide program at Montefiore Medical Center in New York. "They are out there, and everyone needs to be better trained in identification."

He said people who commit suicide t! end to have a psychiatric condition, even if it has not been formally diagnosed.

Arias said warning signs include mental illness, alcohol and drug use, family dysfunction and relationship problems.

"For some, talking about suicide is awkward," she said. "Our goal is to stop suicides, and to do that we need everyone's willingness to talk about it."


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4 Simple Steps to Start the Exercise Habit

Exercising
Every Friday is Health Tip Day at Zen Habits.

I have to admit that I have my ups and downs with the exercise habit.

So I know that it's not the easiest habit for most people, and most people's experiences consist of starting and stopping and starting again. Which is fine � don't beat yourself up about it. The important thing is starting again.

I've written before about how to build the exercise habit (and even have a guest post on it), but today I thought I�d revisit the topic for those who still have trouble.

The Main Problems
So why do most people have trouble making exercise a regular habit? Well, there are probably a number of factors, ! but here are the main ones as I see it:

1. Too difficult. People set out with a lot of ambition and enthusiasm, and start out with a big goal. "I'm going to go to the gym for an hour a day!" or "I'm going to run 30 minutes every day!" The problem is that the goal is too difficult to sustain for very long. You can do it for a few days, but you soon run out of energy, and it becomes a drag to do it.
2. Too many goals. Often we set out to do too much. We want to run, and lift weights, and eat healthy, and quit sweets, and stop drinking soda. Well, those are multiple goals, and you cannot focus on the exercise habit if you're trying to do all the others at the same time. Or we might start with one goal, but then get caught up in another goal (to stop procrastinating, for example), and lose our focus on the first one.
3. Not enough motivation. It's not a lack of discipline, it's a lack of motivation. The most powerful motivators, in my experience, a! re logging your habit and public pressure. There are many othe! rs that help as well.

The 4 Simple Steps
So how do we solve those problems? Keep it simple. Here are the 4 simple steps to start the exercise habit (and keep it going). I should note that you can use these 4 steps to start any habit.

1. Set one easy, specific, measurable goal. There are several keys to setting this crucial goal:
* Written: Write this down. Post it up. If you don't write it down, it's not important.
* Easy: Don't " DO NOT " set a difficult goal. Set one that is super, super easy. Five minutes of exercise a day. You can do that. Work your way to 10 minutes after a month. Then go to 15 after 2 months. You can see what I mean: make it easy to start with, so you can build your habit, then gradually increase.
* Specific: By specific, I mean what activity are you going to do, at what time of day, and where? Don't just say "exercise" or "I'm going to walk". You have to set a time and place. Make it an appointment you can't miss.
* Trigger: I recommend that you have a "trigger" right before you do your habit. For example, you might always brush your teeth right after you shower. The shower is the trigger for brushing your teeth, and because of that, you never forget to brush your teeth. Well, what will you do right before you exercise? Is it right after you wake up? Right after your coffee? Right when you get home? As soon as you take off for lunch? A trigger that you do every single day is important.
* Measurable: By measurable, I mean that you should be able to say, definitely, whether you hit or miss your goal today. Examples: run for 10 minutes. Walk 1/2 a mile. Do 3 sets of 5 pushups. Each of those has a number that you can shoot for.
* One goal: Stick to this one goal for at least a month. Two months if you can bear it. Don't start up a second goal during that 30-day period. If you do, you are scrapping this goal.
2. Log it daily. This is the key habit. If you can log your! workout , you will start to see your progress, and it will motivate you to keep going. And you have to make it a habit to log it right away. Don't put it off, and say you'll do it before you go to bed. As soon as you're done working out, log it. No exceptions. And don't make the log complicated - that will only make you resist doing the log. Just the date, time, and what you did.
3. Report to others. I think this is key. You can do it on your blog, on an online forum, with your spouse, or friends or family, or a workout partner, or a coach, or a group, or a class. However you set it up, make it part of the process that you have to report your daily workout to other people. It could be using an online log, or on a forum, or through email, or the phone, or just by telling your co-workers what you did this morning. But be sure that they know your goal, and that you are going to report to them, and be sure that they are expecting it every day.
4. Add motivation as needed . The first three steps might be enough for you to get the habit going. But if not, don't just give up. If you miss two consecutive workouts, you need to look at why, and add a new motivation. Rewards, more public pressure, inspiration, whatever it takes. Read this article for more on this. You can add one additional motivator, and then see if it works. If you miss two more consecutive workouts at any time, add another motivator. And so on, until the exercise habit sticks.


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'One in 10 girls has STD linked to cancer by 16'

Teenage Girls
At least one in 10 teenage girls is carrying a sexually-transmitted disease which could give them cancer, shocking figures revealed last night.

More and more girls aged under 16 are infected with the human papilloma virus - putting them at risk of developing cervical cancer later in life.

Last night the Health Protection Agency warned that the risk a girl is carrying the HPV virus rises 'substantially' after the age of 14 - two years before they can legally have sex.

By the age of 18, around 20 per cent of girls will have contracted the virus, while by the age of 24, 40 per cent will have done so.

HPV is linked to most cases of cervical canc! er, which kills more than 1,000 middle-aged women in Britain every year.

A vaccine against the sexually-transmitted disease is available but must be given before puberty to be effective.

In June the Government said it would start vaccinating girls as young as 12 against HPV - saying it would save at least 700 lives a year.

The decision caused controversy, with some claiming the jab would promote promiscuity among young girls.

Pregnancies among under-18s rose in 2005 to 39,683 - up from 39,593 in 2004 and much higher than the 35,400 recorded a decade earlier in 1995.

And rates of chlamydia and genital herpes are also climbing, despite Government attempts to reduce the number of teenagers with sexual infections.

The latest figures, published in the British Journal of Cancer, reveal for the first time just how many young women are catching HPV.

Scientists tested blood samples from 1,483 girls and wome! n between the ages of 10 and 29.

They found that 21! per cen t had the virus and that the risk of infection increased sharply at the age of 14.

Most HPV infections show no symptoms and clear on their own. But they can cause genital warts in men and women, and cervical cancer in women.

Professor Pat Troop, chief executive of the Health Protection Agency, said: "This study is a valuable addition to our understanding of HPV infection in women in England and should contribute to effective policies to prevent genital warts and cervical cancer.

"With the Government's recent announcement of the possible introduction of HPV vaccination, such research will help us and other public health experts to determine the impact of HPV vaccination."

Juliet Hillier, of the sexual health charity Brook, said: "Statistics like this demonstrate a real need to improve education and prevention programmes which target young people.

"The Government must urgently implement a vaccination programme for girls an! d boys before they become sexually active and ensure resource is available to do so.

"Sex and relationships education must be made a statutory part of the national curriculum. Young people must also have access to information and advice before they become sexually active.'

Norman Wells of Family and Youth Concern said: "These disturbing figures highlight the failure of sex education programmes which tell children that there is nothing wrong with sex at any age so long as they use a condom. "So long as the government continues to encourage teenage sexual activity by making contraception freely and confidentially available in school clinics and other settings, sexually transmitted infection rates will continue to rise. "The real need is not to normalise condom use, but to normalise saving sex for marriage and then remaining faithful to your husband or wife for life."

Official figures show that sexually-transmitted diseases among the young are ! continuing to rise - up 2 per cent in 2006.

Experts! have ex pressed particular concern over a 16 per cent rise in the number of girls with the incurable and unpleasant condition of genital herpes.

Chlamydia rates increased by 4 per cent and genital warts by 3 per cent.

Concerns over HPV led the Joint Committee for Vaccination and Immunisation to recommend that girls aged 12 and 13 should be offered injections of the vaccine Gardasil from autumn 2008.

Ministers accepted the advice in principle, subject to an independent analysis of the benefits compared to the costs. The final verdict is due next month.

The vaccine, which is given in three injections over six months, must be given before puberty to be most effective.

Like all vaccination programmes, the scheme will be voluntary and parents will be able to refuse permission for their daughter to have the jab.

Experts say it could be 20 years before the first health benefits are seen - but they insist it will save thousan! ds of lives.

Each jab costs ?300 and if every first-year secondary school child receives it, it will cost ?100 million.

But the anti-vaccination pressure group Jabs says the injection has not been tested enough on young girls, meaning possible side effects such as birth defects and juvenile arthritis have not been properly assessed.



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Kick Start Your Day With These 11 Mood-Lifting Foods

Eating Food
"One of the very nicest things about life is the way we must regularly stop whatever it is we are doing and devote our attention to eating."
We've heard the expression "you are what you eat." When it's crunch time, we tend to engage in all sorts of unhealthy habits that further increase our stress levels. That pizza? Bad idea. If your anxiety is spiraling out of control, food should be your ally, not your enemy. So if you find yourself cranky, tired and even clinically depressed, try these 11 mood-boosting foods.

1. MILK

Your brain needs an amino acid called tryptophan in order to make serotonin, a neurotransmitter nicknamed the brain's Prozac, thanks to ! its happy-making and calming effect. Prozac works by conserving the brain's serotonin, but tryptophan helps you make more of your own. Milk also contains antioxidants that help destroy free radicals associated with stress. Have some skim milk with your cereal for breakfast or pour yourself a tall, cold glass and use it as an excuse to scarf down a few chocolate chip cookies.

2. CHOCOLATE

Chocolate contains a host of chemicals to brighten your mood, including anadamine, a neurotransmitter that targets the same parts of the brain as THC, the active ingredient in cannabis. But chocolate contains such minuscule levels of anadamide, you'd need to eat kilos of it in order to make any impact on the amount that's circulating in the brain naturally. So, why does chocolate give us the buzz it does? Scientists believe other chemicals in chocolate cause anadamide to hang around in the brain for longer, enhancing its stimulant effect. The sweet stuff also boost! s our levels of endorphins, the brain's natural happy hormones! .

3. WHOLE-GRAIN RICE OR PASTA

It's a good thing carbohydrates are finally back in style now that everyone has realized those low-carb diets were a bunch of hooey. Eating carbohydrates boosts serotonin levels (thus have a calming, soothing effect), and slow-release 'complex' carbs keep you sustained, helping you to stay mellow and preventing between-meals rattiness. While all carbs will give you this kick, stick to whole-grain bread, rice and pasta. Simple carbs like white bread and pastries will only give you a momentary boost followed by a crash, and they will make you pack on the kilos. On the other hand, whole grains (complex carbs) are digested more slowly and will thus keep you feeling fuller ' and conceivably happier ' for a longer period of time.

4. MACKEREL

A study in Finland found that people who eat more fish are 31 percent less likely to suffer from depression. Oily fish like mackerel are the best source of omega-3 esse! ntial fatty acids, which help prevent the blues. They boost serotonin levels and also enhance your brain's receptiveness to the neurotransmitter. High-dose omega-3 supplements can even help patients suffering from clinical depression. Most types of fish are also replete with all-important B vitamins, particularly the renowned stress fighters B6 and B12. In fact, B12 is one of the most important vitamins involved in the synthesis of the 'happy' brain chemical serotonin.

5. BROCCOLI

Yet another food that is chock-full of stress-relieving B vitamins, broccoli has the added benefit of containing folate (folic acid), which is also part of the B vitamin family. And since low levels of folate have been linked to depression in many studies, including research following thousands of people in Finland and California, it stands to reason that if you keep your folate levels up, you're less likely to be down in the dumps.

6. COFFEE

Caf! feine is the world's most popular psychoactive drug. It boosts! metabol ism and energy levels, making you feel more alert by interfering with the action of drowse-inducing adenosine in the brain. It also manipulates the same channels in the brain as amphetamines, activating the brain�s pleasure centers. There recently was a study from Brazil finding that people who drink coffee with milk each day are less likely to have depression. On the flip side, it's clear that coffee isn't for everyone. Its legendary jolt in excess doses ' that is, more than whatever your individual body can tolerate ' can increase nervousness, hand trembling, and cause rapid heartbeat.

7. TURKEY

Turkey is high in phenylalanine, an amino acid which the brain converts to dopamine, a neurochemical that elevates mood and motivation and prevents depression. A study published in a German psychiatry journal showed that phenylalanine was as effective as an antidepressant drug. As well as turkey, phenylalanine is found in most protein foods, so eat them wh! en you want to feel sharper. The addition of protein to a meal will also help slow the absorption of carbohydrate in the blood. This can help leave you feeling upbeat and productive for hours after eating.

8. LIVER

Liver is one of the richest sources of vitamin B6, which you need to convert the phenylalanine from the protein you're eating to mood-enhancing dopamine and buzzy adrenaline. If you don't get enough vitamin B6, you�ll probably feel low, and stress depletes your levels further. If the thought of liver doesn't exactly boost your mood, get your vitamin B6 from brown rice or other whole grains.

9. BLUEBERRIES

These little blue miracle workers are jam-packed with antioxidants and vitamin C, which are potent stress busters. Because your brain consumes so much oxygen, oxidants do heavy damage there, and those antioxidants will help pick off the free radicals that wear away at your memory. As an added bonus, they're low! in calories, so they won't make you blimp-like. Blueberries a! re also a good source of fiber, which can help relieve the cramps and constipation that can occur in times of stress.

10. BRAZIL NUTS

Brazil nuts are the number one source of the mineral selenium, which helps maintain your mood and prevent depression. Although scientists haven't figured out exactly how, it seems that selenium is essential for maintaining a happy mood ' it's so important that when the body's stock is being run down, the brain is the last organ to give up its stash. These crunchy little dudes are also packed with vitamin B2 (riboflavin), vitamin E, magnesium, and zinc. B vitamins and magnesium are involved in the production of serotonin, which helps regulate mood and relieve stress. Zinc has also been shown to fight some of the negative effects of stress, while vitamin E is an antioxidant that destroys the free radicals related to stress and heart disease.

11. ANY FOOD THAT TASTES GOOD!

Eating food that tastes good s! timulates the production of endorphins ' the painkilling peptides that bind to the brain's opioid receptors, triggering the same kind of reaction as opiate drugs such as the painkiller codeine, and heroin. So eat the things you enjoy for a natural ' and legal ' high!

Now take a deep breath, chill out and go make yourself a snack.

Source Ririanproject




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Saturday, September 22, 2007

Five nutritious habits of the planet's healthiest countries

Nutrition
If you've vacationed in an international destination, you know that learning about its food is one of the best ways to become familiar with a new culture. But lately, Americans have also taken greater interest in global cuisine because of health benefits attributed to certain styles of eating.

Books, such as "The French Diet: The Secrets of Why French Women Don't Get Fat," by Michel Montignac, and ongoing nutrition studies of the so-called Mediterranean diet and Asian foods continue to garner new headlines.

We've sifted through the research to offer the following eating and meal-planning tips. Making small changes in the way you eat can bring big health benefits -- and m! ore enjoyment -- to your table.

Healthy Habit 1: Eat plenty of produce and whole grains

Countries known for putting it into practice: China and Greece

In many countries, meat is a garnish. The traditional Chinese diet, for example, consists primarily of vegetables, fruits, and whole grains. And in Greece, "vegetables and legumes are main meals, not just side dishes," says Antonia Trichopoulou, M.D., Ph.D., professor at the University of Athens Medical School and director of the World Health Organization's Collaborating Center of Nutrition.

Research finds that three servings or more a day of produce can lower the risk of stroke, heart disease, and some cancers. Harvard University's Nurses Health Study, for example, which examined almost 85,000 women over 12 to 14 years, found that those who ate the most fruit and vegetables had a 20 percent lower risk for heart disease.

USDA diet and nutrition guidelines recommend we eat! between five and 13 servings of fruit and vegetables a day, a! nd we're starting to hear the message. Today, the average American consumes more than 330 pounds of fresh produce per year, up from 287 pounds in 1990. Plus, with the growth of America's farmers' markets, the introduction of Consumer Supported Agriculture, where community members buy produce from local farmers each month, and home delivery from many supermarkets, opportunities for Americans to have fresh produce abound. CookingLight.com: America's healthy living habits

What you can do:Try to fill two-thirds of your plate with produce and whole-grain foods, and the remaining third with fish or meat, Montignac says. Also, challenge yourself to put as many colors as possible into your meal. Or go on a fruit exploration: Try one new type of fruit from your local market each week. In summer, freeze some of your new favorites for a frosty after-dinner treat.

Healthy Habit 2: Savor leisurely dining

Countries known for putting it into practice: Italy, France! , Spain, Greece, Japan

A meal in these countries often lasts several hours. In fact, one of Greece's dietary guidelines, its version of our USDA dietary guidelines, is to "eat slowly, preferably at regular times of the day, and in a pleasant environment." Sharing a meal is so important that Greeks call someone a friend "by saying we have shared bread together," Trichopoulou says.

For the French, Italians, and Spanish, meals provide quality time with friends and family, a practice that encourages healthful bonds. Eating comfortably and slowly discourages overeating and fosters relaxation, which aids digestion. The body processes food more easily and efficiently when it's calm, Montignac says.

What you can do: Take time to savor the scent, texture, and flavor of food. A traditional Japanese tea ceremony, for example, includes a role for each of the senses -- watching and listening as the tea pours from pot to cup, picking up the cup and feelin! g the heat, smelling, and finally, tasting. Another way to sav! or your supper: Divide it into separate courses. Instead of bringing everything to the table at once, have a salad course, then fruit, entree, and dessert -- with, say, at least 10 minutes between each course to digest, chat, and relax. Whether you're dining with a spouse, family, or just you, set the table and sit down, rather than grazing in the kitchen -- and enjoy.

Healthy Habit 3: Practice portion control

Countries known for putting it into practice: France, Japan

We have an abundance of delicious and nutritious food available in America; we just need to pay attention to portions. An average meal in France is 25 percent smaller than one in America, according to a University of Pennsylvania comparison, which examined portion sizes at 11 similar pairs of establishments, from pizza parlors to ethnic restaurants. The study also found that a typical carton of yogurt sold in Philadelphia was 82 percent larger than one offered in Paris, and a soft drin! k was 52 percent larger. In Japan, foods also come in smaller sizes and are often eaten out of bowls, rather than large plates or platters.

What you can do: Japanese from the Okinawa region, who enjoy the longest life span in the world (an average of 82 years), practice "hara hachi bu," which translates to "eight parts out of 10" and means Okinawans stop eating when they are 80 percent full, says Brad Willcox, M.D., coauthor of the "Okinawa Diet Plan." To adopt the concept, set down your fork and remove your plate at the first twinge of fullness, instead of taking a break and eating more. You can also use smaller plates and bowls when setting the table; use a food scale to measure portions; and opt for filling, fiber-rich foods, such as lentils and vegetables. CookingLight.com: Portion size wise

Healthy Habit 4: Eat a variety of unprocessed, fresh foods

Countries known for putting it into practice: Italy, France, Greece, Japan, the United St! ates

The first thing many foreign visitors comment ! on when they enter an American supermarket is how many choices are available. It's not uncommon to find wild Alaskan salmon, olive oil from Greece, and grains from Italy all in one store. Organic foods and farmers' markets have also never been more popular. Many of these outlets feature interesting varieties, such as heirloom fruits and vegetables.

Shopping in countries such as France and Italy may also involve several stops -- at the butcher, the greengrocer, and the baker --which not only increases the shopper's activity level, but also results in meals made with unprocessed ingredients, Montignac says. Studies show that fresh foods provide more fiber; fewer calories, saturated fats, and trans fats; and less added salt and sugar.

What you can do: Skip the prepared food aisles at the market and choose fresh, whole foods. Also, indulge in salads: With so many fresh vegetables and fruits available, you can put together a big, colorful one in minutes. Combine bab! y greens, sliced mushrooms, cherry or sweet grape tomatoes, prechopped fresh bell peppers, and red onions. Drizzle with a bottled, reduced-calorie vinaigrette, and add whole-grain crackers, melba rounds, or matzoh crackers on the side to sneak in whole grains. Also, take vegetables beyond salads and steamers by pairing sauteed broccoli or spinach with whole wheat pasta, and tossing with roasted beets and walnuts. CookingLight.com: Food trends worth following

Healthy Habit 5: Spice up your plate

Countries known for putting it into practice: India, China, Thailand, the United States

Herbs and spices add delicious, attractive, and healthful flair to your plate. In addition to being low in calories and virtually fat free, researchers are discovering that herbs, such as garlic, thyme, and rosemary, and spices, like cinnamon, cloves, and curcumin (also known as turmeric), may fight disease. One 40-day study of 60 people with type-2 diabetes found ! that consuming half a teaspoon of cinnamon twice daily signifi! cantly l owered subjects' blood sugar and cholesterol levels.

What you can do: In the United States, we have many ethnic restaurants and food choices where spices take center stage, and there are still more ways to add them to your diet. For example, to make sure fresh, delicious herbs are available year-round, start a container garden on your windowsill. You can also experiment with using unfamiliar spices on familiar foods. For example, if you love roasting a whole chicken or chicken breasts in paprika, try it with, say, curry powder. Rub the chicken well with the powder, then roast until juicy and tender. Dip bites of the chicken in bottled chutney mixed with a little lemon or lime juice. Alternatively, add a sprinkle of earthy ground cumin, a touch of ground cinnamon, and a pinch of nutmeg or coriander after rice cooks to add bold flavor and aroma. You can also add fresh herb leaves, such as basil, mint, or tarragon, to salads for a flavor boost.


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Woman with "Right to Die" Tattoo May Be Out of Luck in Iowa

Tattoo
Mary Wohlford, 80, of Decorah, Iowa, had the words “DO NOT RESUSCITATE” tattooed on her chest [last year, tattoo shown above] to make her medical wishes clear, but at least one doctor thinks that isn’t enough to stop medical personnel. Dr. Mark Purtle of the Iowa Methodist Medical Center in Des Moines told the Des Moines Register that state law defines when caregivers are permitted to end life-sustaining measures, and a tattoo isn’t enough. Wohlford noted that she also has a living will hanging on the side of her refrigerator.

Update: Zennurse wrote a comment and added to it in a separate email:

“I’m concerned about the limits of the post; she has a living will on her fridge and that is where the EMT’s will look for it if needed. As a retired nurse, she decided to have the tattoo done after seeing what happened to Terri Schiavo, but she has family who know about her living will and she is apparently aware that it will cover her in an emergency. As a nurse myself, I feel certain she knows the tattoo will not. I think what I’m concerned with is that after reading through the comments, I find no mention of the fact that
having a living will or advance directive is the best way to exercise freedom of choice, in fact that is where such protections came from.
(Kind of like the labor party bringing you vacations) I see this woman’s choice as more of a snarky statement of despair at the state of healthcare in this country and the pretty rational fear of overtreatment out of fear of litigation should she be “found down”, or have a medical event outside her home which renders her unable to make choices for herself.

I’m glad you were prompted to post the petition link and have signed it. I just wish there had been a little more research into who she
was, why she did what she did and what the implications of it might be beyond a knee-jerk reaction that it was government out of control. I just don’t think that’s the case here.

I’m a hospice nurse and understand all too well the risks involved. I have stood over patients to prevent CPR while waiting for family to deliver the correct paperwork and have also, in earlier days, done CPR on patients who had no hope of surviving because the family insisted on taking the chance. The basic premise of the post is correct, it is about choice, but it says more about the disaster that is healthcare in the country than some underhanded effort by the government to limit our freedoms.”


Source Crooksandliars




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Microwave Popcorn Linked to Lung Harm

Microwave Popcorn
Inhaled fumes from microwave popcorn may have caused a man's rare, deadly lung disease, a leading lung expert says.

The expert is Cecile Rose, MD, MPH, head of the division of environmental and occupational health sciences at National Jewish Medical and Research Center and associate professor of pulmonary medicine at the University of Colorado School of Medicine.

Rose reported the case in a July 18 letter to the FDA, the CDC, the EPA, and the Occupational Safety and Health Administration. None of these agencies has yet issued a public health alert. The letter became public when published on The Pump Handle web site, a public health blog.

According to her letter, the man complained of a worsening cough and increasing shortness of breath. Lung function tests and imaging studies show he has bronchiolitis obliterans -- obliteration of the tiny airways in the lung.

It's a rare disease, first seen in 1985 in workers in food-flavor factories. In 2002, the disease was seen in workers making microwave popcorn -- in particular, those exposed to a buttery-tasting chemical called diacetyl. There have been many other reports since then, with at least three deaths and many patients awaiting lung transplants.

But Rose's patient had never been exposed to food-flavoring fumes. His only exposure was to the two or more bags of microwave popcorn he consumed every day.

Rose took a team to the man's house and tested the air while microwaving some popcorn. Air levels of diacetyl were similar to those in the area of a microwave popcorn factory where workers were affected.

Many foods other than popcorn contain diacetyl. There's no indication that eating these foods is dangerous. But breathing fumes containing diacetyl appears to be very dangerous.

Microwave popcorn, of course, gives off hot fumes if the bag is opened before the cooked popcorn cools. According to news reports, Rose's patient liked to inhale the aroma of newly popped microwave popcorn. Rose reports that his symptoms stopped getting worse when he stopped making microwave popcorn.


Federal Action Needed

David Michaels, PhD, MPH, associate chairman of the department of environmental and occupational health at George Washington University, runs the Pump Handle blog. A year ago, he petitioned the FDA to stop designating diacetyl as a food "generally recognized as safe" -- that is, an acceptable food.

"The key issue is, are there susceptible populations -- children, asthmatics, people with existing lung disease -- who are at more risk? Are people getting sick at lower exposure levels?" Michaels tells WebMD. "Dr. Rose is a leading lung expert who knows that diacetyl vapors cause lung disease. But will the average pediatrician who sees a child with what seems to be worsening asthma be looking for microwave popcorn exposure?"

Michaels says it's time for federal agencies to act.

In March 2005, the EPA told WebMD that a study of microwave popcorn emissions would be completed in 2005. The study looked at some 50 different microwave popcorn types and batches to identify and measure the compounds emitted during the cooking process.

According to documents obtained by Michaels, the popcorn industry already has seen the EPA study. The EPA now tells WebMD that the study has been submitted for publication and may appear as early as next month.

Meanwhile, four of the leading makers and sellers of microwave popcorn have acted. Con Agra, General Mills, American Pop Corn Company, and Pop Weaver have said they will stop using diacetyl in their products, according to news reports. Their brands include Orville Redenbacher, Act II, Pop Secret, Jolly Time and Pop Weaver.


Source Webmd




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he baby born at 30,000ft on holiday flight who weighed just 1lb

Born Baby
As Nicola Delemere struggled through the pain of contractions, she was gripped with greater fears than the average expectant mother.

She and her husband were 30,000ft in the air on a plane to Crete, she was 25 weeks into her pregnancy - and there were no doctors on board.

The jet had been diverted when her waters broke but Mrs Delemere knew that Alfie couldn't wait for landing.

Somewhere above Dusseldorf in Germany, as she sat in her seat with an air hostess and a passenger acting as midwives, he arrived, barely alive and weighing only 1lb 1oz.

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Alfie Delemere

Mile high birth: Baby Alfie is finally at home with proud parents Nicola and Dominic Delemere

Thankfully, flight supervisor Carol Miller was there. The woman described as "Alfie's angel" used a drinking straw to clear the boy's lungs, before carrying out mouth-to-mouth resuscitation and heart massage for half an hour.

She relied on her basic medical training, and a retired nurse and ambulance driver were also there to offer advice. The plane soon arrived at Gatwick Airport and Alfie was taken straight to hospital.

He was not out of danger yet, however. Doctors told Mrs Delemere, 31, and her husband Dominic, 28, that the boy, their first child, might have gone too long without oxygen.

Even when his condition began to improve after a few days, there were still fears that he could have brain damage. And after four weeks in hospital, he caught the bug E.coli.

But against all the odds, Alfie pulled through. He spent six weeks at St George's Hospital in Tooting, and was then transferred to the Newborn Intensive Care Unit at Scunthorpe General Hospital.

Yesterday, four months after the extraordinary mid-air drama, he was at home with his parents in Scunthorpe. Although still requiring oxygen and weighing only 5lb 5oz, his parents expect him to grow up to be a normal, healthy boy.

"I was really scared thinking he wasn't going to make it," said Mrs Delemere.

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Carol MIller

Air hostess Carol Miller has been described as 'Alfie's angel' by his mother, after she took control of his delivery and immediate post-natal care

She had been checked by a doctor before taking the First Choice flight from Manchester to Heraklion on April 17, and had no inkling that Alfie would be premature.

"All the staff on board were shocked but they were brilliant," she said. Mrs Delemere also praised Miss Miller for her quick thinking.

Yesterday, the flight supervisor said: "I'm delighted to learn Alfie is at home. He was born very quickly and at first we weren't sure he was breathing so I just applied my medical training, cleared his lungs gently using a straw and then carried out mouth-to-mouth resuscitation.

"We were also lucky to have the support of a retired nurse and ambulance driver on board until paramedics arrived."

Captain Peter Thomas, who was flying the plane, said: "The whole crew showed exemplary professionalism and our passengers gave us their full support through an emotional time."

Mr Delemere, a steel worker, said he and his wife were delighted Alfie was recovering well.

"I would like to thank everyone involved for supporting us in the air and on the ground. We can't begin to thank Carol enough for saving Alfie's life. We are really happy he is home."

The couple have no immediate plans to return to Crete but the airline has promised all three of them a free trip to Cuba once Alfie can fly.

Like most airlines, First Choice Airways allows expectant mothers to fly up to 28 weeks into the pregnancy. At 28-34 weeks the company requires prior notification, a medical certificate of fitness to fly and the stage of pregnancy for the homeward journey.


Source Dailymail




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Study Links Diabetes and High Fructose Corn Syrup Found in Soda

 Soda
A new study released Thursday suggests sodas sweetened with high fructose corn syrup may contribute to the development of diabetes. The study from researchers at Rutgers University, shows sodas sweetened with high fructose corn syrup contain high levels of compounds that previous research suggests may play a role in the development of diabetes. Especially when consumed in large amounts.

Dr. Ronald Cobbs is not affiliated with the latest study, but treats obese and diabetic patients at North General Hospital in Harlem. He believes the sweetener can pose a health risk just like sugar.

"It's just a cheaper substitute for sugar. And they feel they can drink a lot of it and they are getting overweight because of it and diabetic because of it," said Cobbs.

The Corn Refiners Association and the American Beverage Association sharply dismissed the study, saying in releases Thursday there is absolutely no unique link between soft drinks sweetened with high fructose corn syrup and diabetes.

One nutrition expert not associated with this new research says the results of one study are not definitive.

"Test tube studies are not the final word and we have to be careful about over-interpreting what the results really mean," said Maureen Storey of the Center for Food, Nutrition & Agriculture at the University of Maryland.

One point where most scientists and doctors agree is that Americans are consuming too many calories, whether in the form of sodas, fatty foods, or sweets.

"The bottom line, watch your total calorie intake, limit added sugars, whether it's in the form of high fructose corn syrup or table sugar and just eat a variety of healthy foods we know are good for us,’ said Elisa Zied a registered dietitian and spokesperson for the American Dietetic Association.

That, along with exercise, will help work off extra calories if you had too much of a good thing.


Source Wtlv




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Antioxidant Reverses Aging in Bees

Bee in Purple
Bees can have their lives lengthened tenfold, an international research team headed by Dr. Gro Amdam at Arizona State University has found. The antioxidant protein vitellogenin reverses the aging process in some worker bees. This may eventually lead to breakthroughs in the research on aging in humans.

The process occurs in worker bees that become nurse bees. Through the transformation process, the details of which are still sketchy, the bees experience a considerable increase in the concentration of the protein vitellogenion in their body. Vitellogenin appears to prevent and reverse oxidative stress to the bees, a process strongly associated with aging.

The team observed that worker bees, which at the start of their lives have a life expectancy of about four to six weeks, could go through a process through which they would take on the characteristics of bees that are tasked with taking care of queen bees and offspring.

During this process, the bees appeared to have their immune system completely renewed, and they would live to ages of six to ten months, up to ten times their original life expectancy. This means that they are radically revitalized, in essence having their aging process reversed.

«Only the bees that go from having a worker role to having caretaking duties will go through the process», Dr. Amdam says.

Similar rejuvenation processes have never been observed in any other animal.


Antioxidant protein

At the heart of the matter is the protein vitellogenin, which dramatically reduces the oxidative stress on the bees. Queen bees may accumulate large concentrations of the protein, and enjoy life spans of up to five years. The worker bees that go through the rejuvenation process have their antioxidant defenses boosted in the same way.

The studies supervised by Dr. Amdam show that the rejuvenated bees have considerably more of the protein in their system than ordinary worker bees. In experiments, ordinary worker bees were shown to be much more vulnerable to oxidative stress than the rejuvenated bees.

Professor Amdam believes that this result may contribute when anti-aging pharmaceuticals are developed in the future. «There are many similarities between how bees and humans age,» she says. «Right now, we're trying to establish exactly how the bees get younger. We already know part of the answer, which is that the immune system is completely renewed and the vitellogenin level increases greatly.»


May prevent physical aging

Oxidation of living cells, or oxidative stress, is the process which lies behind physical aging. Through the oxidation process, the cells of the body are broken down by reactants known as free radicals.

The harmful activities of free radicals are prevented and reversed by antioxidants, compounds that absorb and neutralize free radicals.

The results shown by the group headed by Dr. Amdam may provide important clues as to how aging in humans may be prevented or even reversed, although a tenfold increase in life expectancy still lies in the future.

Paper (Proceedings of the National Academy of Sciences of the United States)


Source Antioxi




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Sleepy? Spend less time on the internet or watching TV, say scientists

 Internet
People who spend time on the internet or watching television before they go to bed are more likely to feel like they don't get enough sleep.

Even though they sleep almost as long as people who spend fewer pre-bedtime hours in front of a computer or television screen, they will stil feel tired according to a new survey.

"While many people use electronic media, such as the internet, it should be noted that the longer media use before sleep can trigger (self-perceived) insufficient sleep," lead researcher Dr. Nakamori Suganuma, of Osaka University, Japan, told Reuters Health.

He and colleagues obtained data on self-perceived sleep problems and the use of electronic media prior to bedtime from a total of 5,875 Japanese respondents to two separate Internet-based surveys.

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Watching TV

Watching TV before going to bed could make you feel like you have not had enough sleep

Their findings are published in the journal Sleep and Biological Rhythms.

Nearly half of the respondents associated their lack of sleep with electronic media use before bedtime. Those reporting longer electronic media use were also more likely to report insufficient sleep.

Overall, 29 percent of light users (less than 1.5 hours) listed electronic media use as a possible cause of their insufficient sleep.

By comparison, 40 percent of medium users (1.5 to 3 hours) and 54 percent of heavy users (more than 3 hours) said the same.

However, longer Internet and television use before bedtime did not correlate with less actual sleep.

While heavy users averaged about 3 more hours in front of computer or television screens than light users, the heavy users averaged only about 12 minutes less pre-workday sleep time than light users.

Notably, Suganuma said, "Internet use affected self-perceived insufficient sleep more than TV watching...not only in younger Internet users but also in middle-aged or aged Internet users."

Up to 38 percent of the respondents listed accessing the Internet far into the night as a possible cause for their sleep disturbance, while about 25 percent said watching television far into the night caused their sleep problems.

The findings suggest that while heavy computer and television use before bedtime has a small effect on sleep duration, it may have a more significant effect on "sleep demand and sleep quality," Suganuma notes.


Source Dailymail




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