Friday, September 30, 2011

Flying Reptiles, Coming To A Theater Near You

David Attenborough's account of reptiles that lived 170 million years ago - reptiles that could fly - is being released this December.

The structure and animation of the pterosaur in this film is promoted as true to fossil record. So I had to watch it 17 times and "omg" 17 times. They didn't have feathers, they had flaps of skin that ran from their wrists to their ankles. Like bats? Attenborough said it made walking difficult. You can see in this clip how they walked on their wings when grounded.

I wish they hadn't called them monsters.


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Thursday, September 29, 2011

Do Not Try To Wash The Cantaloupe

The listeria outbreak from cantaloupes has caused at least 72 illnesses and up to 16 deaths so far. Those numbers are expected to rise since the time it takes to show symptoms can be a month or longer. Can you imagine trying to recall what you ate a month ago?

I know listeria by its connection with hot dogs and deli meats. Never heard it linked to produce. An unusual feature is that it grows well in the cold temperatures that impede the growth of other organisms.

As usual, Bill Marler has been furiously updating. This pronouncement from his blog this morning deserves attention:
"And, for the argument that the sick and dead should have washed away the listeria, the FDA advises consumers not to eat the recalled cantaloupes and to throw them away. In Fact, the FDA says:
Do not try to wash the harmful bacteria off the cantaloupe as contamination may be both on the inside and outside of the cantaloupe. Cutting, slicing and dicing may also transfer harmful bacteria from the fruit’s surface to the fruit’s flesh."
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Photo of workers in field of rotting cantaloupes on Jensen Farm in Colorado, from the Guardian.

Monday, September 26, 2011

High Protein Diets Increase Risk For Diabetes

Ulrika Ericson, in an oral presentation at the European Association for the Study of Diabetes (EASD) this month, reported results from her team's large population-based study (27,140 participants from Sweden).

They found that:
  • A high-protein intake was associated with an increased risk for type 2 diabetes.
  • Replacing protein with carbohydrate, notably fiber-rich breads and cereals, was associated with a lower risk for type 2 diabetes.
These findings held true for both men and women. Men benefited especially from a high-carbohydrate diet.

I think, as I've said for some time, that low-carb diets assist weight loss, but given the individual, that diet may come at the expense of long-term health. Above is more evidence of that. I don't discount a person-centered approach, but you still have to base the approach on evidence.

More evidence:

Dietary Intake of Total, Animal, and Vegetable Protein and Risk of Type 2 Diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-NL Study, Diabetes Care, 2010
"CONCLUSIONS: Diets high in animal protein are associated with an increased diabetes risk. Our findings also suggest a similar association for total protein itself instead of only animal sources. Consumption of energy from protein at the expense of energy from either carbohydrates or fat may similarly increase diabetes risk."
And a post from a few weeks ago based on a new study in the American Journal of Clinical Nutrition: High-Protein Diet Worse For Insulin Sensitivity Compared To High-Cereal-Fiber Diet
"Insulin sensitivity was 25% higher after 6 weeks of the high-cereal-fiber diet than after 6 weeks of the high-protein diet."
Not only did the cereal-fiber group eat less protein, but they absorbed less of the protein they did eat owing to interference from increased fiber. This lower protein may have contributed to improved insulin sensitivity.
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Saturday, September 24, 2011

LibreOffice

I was looking for a good Office suite. I'd been using MS Office 2003 for the longest time and was satisfied. But when I switched computers I never bothered to load it, using Google Docs and Spreadsheet instead. I liked them, and although I liked the ease of keeping my docs on the cloud (I use more than one computer and it made hopping around convenient) I was concerned about security.

Someone suggested I look into OpenOffice. It's free, downloadable, open source. But I read that Oracle, who owned it, started charging for some features. They ceased developing it in April of this year and handed it over to Apache in June. I didn't like the looks of that.

In the mean time, some of the original developers had broken off and started their own suite called LibreOffice. The two appear to be identical, for my humble uses at least. So I downloaded LibreOffice and have been using it for a few days. (It's useful on Ubuntu too. In fact, the crew who started LibreOffice were publicly encouraged by RedHat and Canonical, as well as Google.)

I'm very pleased so far. Has anyone else used it?
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Magnesium May Improve Sleep

I'm collecting studies that address the effect of magnesium on sleep.

This first article is from the USDA's Agricultural Research Service, of all places:

Do You Have Trouble Sleeping? More Magnesium Might Help
by: Forrest H. Nielsen PhD (Frosty) (I'm linking the author because I think he has a laudable career in the field of nutrition research.)

Excerpts:
"A low intake of the mineral magnesium may be one nutritional factor causing sleep problems."

"Magnesium plays a key role in the body's chemistry that regulates sleep. This may be why persons with long-term lack of sleep, or abnormal brain waves during deep sleep, often have low magnesium in their blood."

"Magnesium treatment increased deep sleep and improved brain waves during sleep in 12 elderly subjects. (See below.) Magnesium treatment decreased time to fall asleep and improved sleep quality of 11 alcoholic patients who often have a low magnesium status. (See below.) Magnesium deficiency increased time awake at the expense of deep sleep in rats. Feeding magnesium to the rats restored their sleep patterns to normal."

"A national food consumption survey found that many Americans, especially older women, consume less than the RDA for magnesium."

"Another risk factor for low magnesium status in older women is the use of calcium supplements without magnesium for bone health. High calcium intakes can make magnesium deficiency worse."

"Foods that have good amounts of magnesium are whole grains, nuts and green leafy vegetables. Green leafy vegetables are a good source of magnesium because the green color is chlorophyll, a chemical that contains magnesium and converts sunlight into food energy."
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Oral Mg(2+) Supplementation Reverses Age-Related Neuroendocrine And Sleep EEG Changes In Humans, Pharmacopsychiatry, 2002

This was a placebo-controlled, randomized cross-over study with 12 older (aged 60 to 80 years) participants. Magnesium supplementation (30 mmol/730 mg) significantly reversed electroencephalogram (EEG) changes, including decreased slow wave sleep, that occur during aging.

This was interesting:
"The similarities of the effect of Mg(2+) and that of the related electrolyte Li+ furthermore supports the possible efficacy of Mg(2+) as a mood stabilizer."
Magnesium as an anti-depressant?
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Magnesium Treatment Of Primary Alcohol-Dependent Patients During Subacute Withdrawal: An Open Pilot Study With Polysomnography, Alcoholism, Clinical and Experimental Research, 2004

Here, magnesium treatment (30 mmol/730 mg) of alcohol-dependent patients (alcohol consumption is known to disturb magnesium metabolism) significantly decreased sleep onset latency (the time it takes to fall asleep) and improved subjective sleep quality. Unfortunately, this one didn't have a placebo group.
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Clinical, EEG, Electromyographic And Polysomnographic Studies In Restless Legs Syndrome Caused By Magnesium Deficiency, Romanian Journal Of Neurology and Psychiatry, 1993

This small study (10 cases of restless leg syndrome) found magnesium deficiency linked to:
  • Agitated sleep with frequent periods of nocturnal awakenings.
  • Changes in the intensity and duration of sleep stages, favoring light sleep periods over deep sleep periods
  • Decrease of duration and percentage of REM sleep.
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There does appear to be something to this.
The pumpkin seed photo is from NutsOnline. I used to buy dried tomatoes from them until I posted about them and they ran out. Info: An ounce of pumpkin seeds have 150 mg of magnesium, thanks shaun! The DRI for magnesium is 320 mg for adult women, 420 mg for adult men.
Related post: Magnesium For Hot Flashes?
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Tuesday, September 20, 2011

Former JAMA Editor Dr. George Lundberg's List Of What Is Wrong In Medicine Today

Here's a list of some problems with modern medicine by Dr. George Lundberg. There are some real gems here:

22 Things Amiss In Medicine Today (Part 1)
22 Things Amiss In Medicine Today (Part 2)

Dr. Lundberg was previously editor of JAMA for 17 years, for the last 10+ years editor of Medscape. (You may remember Lundberg. He was famously fired from JAMA during the President Clinton/Monica Lewinsky years for allowing a study to be published that reported 60% of college students considered "oral sex" as not "having sex.")

In his own words:
Part 1:

Part 2:


I liked this one, his number 11:
"Absence of a test that will distinguish well from sick. The lack of a test leads to the erroneous assumption of sickness as the rule of thumb for almost all patients."
And then, once sick, a patient becomes a consumer of costly (but highly profitable) drugs, surgery, invasive tests, and other therapies. This test, the one that doesn't exist, is exactly what we need to contain healthcare costs. We shouldn't be lowering the age for Medicare and finding other ways to deny citizens coverage. We should be containing costs. But the medical establishment lobbies powerfully.
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Monday, September 19, 2011

Fatty Foods Contain More Fat-Soluble Industrial Pollutants

People I mention this to (Dr. Greger: "Eating Chicken May Lead To A Smaller Penis") don’t believe it. He was discussing a study where pollutants (phthalates, found in high levels in chicken) increased the risk that women would bear males with a smaller scrotum and penis.

Why wouldn’t chemicals that act as endocrine disruptors result in poor endocrine (sexual) function? And that 10-fold increase in risk isn’t something to sneeze at. Smoking increases the risk for lung cancer by that much, although I know some still say smoking doesn’t cause lung cancer.

It makes sense to me that fat-soluble industrial chemicals would be found in higher quantities in the fatty tissue of livestock where they bioaccumulate. So, I was concerned about their findings on vegetables. I can see that non-animal products are, if not a non-contaminated food, at least a less-contaminated food.

Here's Dr. Greger discussing a study that found vegans have less industrial pollutants in their blood than omnivores:


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Friday, September 16, 2011

Dr. Greger: "Eating Chicken May Lead To A Smaller Penis"

Oh, Dr. Greger isn't going to make friends with poultry producers, or people who like KFC:

Eating Chicken May Lead To A Smaller Penis

I thought he was kidding until I read it. He's entirely serious.
"Researchers measured the levels of phthalates flowing through the bodies of pregnant women, and then later measured the size and characteristics of their infant sons’ genitalia between ages 2 months to 3 years. The women who had the most phthalate exposure had up to 10 times the odds of giving birth to sons with one or both testicles incompletely descended, their scrotum categorized as small and/or “not distinct from surrounding tissue,” and a significantly smaller penile volume, a measure of penis size taking into account both length and girth. In other words, the more phthalates pregnant women are exposed to, the “increased likelihood of testicular maldescent, a small and indistinct scrotum, and smaller penis size.” "
As to which foods contain the most phthalates, he cites this study:

Dietary Intake Is Associated With Phthalate Body Burden In A Nationally Representative Sample, Environmental Health Perspectives, 2010

Which says:
"In the current study, creatinine ­adjusted levels of MEHP (a metabolite of DEHP) were significantly associated with poultry consumption; total meat, poultry, and fish consumption; and discretionary solid fat consumption in multivariate regression models."
I see that vegetables were a significant source for the lower molecular weight phthalates, which they say are more water soluble than heavier weight. I don't know the implication of that.
"The results from this study, combined with results from previous studies, suggest that the food supply is contaminated with phthalates, among other chemicals."


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The photo is one of mine ... from days gone by.

Thursday, September 15, 2011

Magnesium For Hot Flashes?

Letter to the editor in the Journal of Clinical Oncology that documented two cases where oral magnesium was thought to reduce hot flashes:

Magnesium Supplements for Menopausal Hot Flashes, Thomas J. Smith, 2009

1. 68-year-old woman, hot flashes hourly (24 per day) of moderate severity that interfered with sleep and drenched her nightclothes:
"She prepared for a routine colonoscopy with 300 mls of magnesium citrate, and that night had no hot flashes at all. Subsequently, she used over the counter magnesium 250 mg, and then 400 mg, with reduction in her hot flashes to three or four a day of mild severity that did not interrupt her life or sleep or cause drenching sweats. She categorized her hot flashes as very bothersome before magnesium and not bothersome after magnesium. Her sleep and overall well-being improved."
2. 54-year-old woman who went into natural menopause at age 52, 3 or 4 hot flashes each night, less common during the day:
"She watched “Dr. Phil” on TV, and the guest suggested a combination of Vitamin D at 400 U, calcium at 1,200 mg, and magnesium at 600 mg for weight loss (the purported mechanism was to turn fats into soaps that would not be absorbed). She began these supplements, and overnight her hot flashes diminished to half their frequency and severity. She also described her prior hot flashes as very bothersome, and nonexistent after beginning the regimen."
Hard to tell if it was the magnesium in the second case. The first case offers some strong anecdotal evidence. A 300 ml colonoscopy prep delivers about 2 grams of magnesium, almost 6 times the upper intake level. (The DRI for magnesium for these women is 320 mg/day, with an upper limit of 350 mg.) When she pulled back to 400mg she still had considerable relief.

They sure do sell a lot of magnesium citrate at Vitamin Shoppe. Maybe it has more to do with bowel stimulation.

Related post: Magnesium May Improve Sleep
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Dr. Cinque On The Paleolithic Diet, Specifically Protein Intake

I get a kick out of Dr. Ralph Cinque's blog. I like it! I don't have to agree with someone to enjoy reading them. In the case of Cinque, I agree with a lot.

He recently wrote a six-part series on "Ancestral Health." It's his response to arguments presented at the Paleo conference in Los Angeles last month. (The Paleolithic Diet is based on the presumed diets of hunter/gatherer humans that lived about 100,000 years ago.)

This is an excerpt from his Part 2:
"Our total need for protein isn’t that great. The US government, which is no enemy of the beef and dairy trusts, says that adults need about 60 grams of protein a day, which is about 2 ounces- a little more for men and a little less for women. 60 grams of protein comes to 240 calories, and if a man gets 2400 calories total, that comes to 10% of calories. The government admits that there is a significant “safety factor” (excess) built in to that figure, and other organizations, such as the World Health Organization, cite a much lower requirement."
...
"One researcher who has studied it a lot is Dr. Mark Hegsted of Harvard University, and he concluded from his vast work that, based on all the considerations for protein utilization in the body, that humans need .8 grams of protein per kilogram of body weight.",
Protein eaten above our needs gets broken down and some of it can be used as fuel. This is what he says about consuming protein above our needs:
"So, we can use protein as a fuel. So, what’s the big deal? The big deal is that 15% of the amino acid is nitrogenous, and nitrogen doesn’t burn. When that amino group (NH2) gets split off, it immediately tends to pick up another hydrogen (since nitrogen has three hands) forming NH3 which is ammonia. You know how caustic and irritating ammonia is. Burns the nose, right? Well, it burns inside of you as well. The body has to get rid of ammonia pronto, so it combines two amino groups with one molecule of carbon dioxide to form a different substance: urea. Urea is essentially non-irritating. It is a waste product, but it doesn’t burn like ammonia. So, it’s easier to handle. The more protein you eat, the more urea you form. And the more urea you form, the greater the burden on your liver and particularly your kidneys.
...
"People who eat high-protein diets tend to have higher levels of blood urea nitrogen (BUN). Ideally, BUN should be in the teens. I have even seen it in the single digits in people who scrimp on protein. But people who eat high-protein diets are usually in the 20s, and sometimes in the 30s, and I don’t consider it a good thing or a harmless thing. Why should turning the blood more urinous be considered OK?"
This is a fair argument. In older people, people with hypertension, diabetes, kidney or liver conditions, excess protein does present a problem. What does a low-protein Paleolithic Diet look like?
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Photo from Yahoo News, who did a piece about the Paleo conference.

Wednesday, September 14, 2011

Dr. Michael Gregor For NutritionFacts.org

I just came across Dr. Michael Gregor's blog on a new site, NutritionFacts.org. The About page claims "NutritionFacts.org is brought to you by the [Toronto-based] Jesse & Julie Rasch Foundation in partnership with Michael Greger, M.D."



Dr. Gregor is aligned nutritionally with Drs. Campbell, Barnard, Ornish, and the like, and with the Physicians Committee for Responsible Medicine. So his advice is likely based on a low-fat, plant-centric diet with little to no animal products.

As the author of the book, "Carbophobia: The Scary Truth about America's Low-Carb Craze," his blog will probably only appeal to a select group. After reading several of his recent blog posts though, his nutrition advice seems reasonable.
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Bone Drug Linked To Fractures

This has to be one of the most unfortunate side effects of a pharmaceutical ... A class of drug intended to reduce bone fractures increases risk for fractures. The drugs are still on the market.

Name brands include:
  • Merck’s Fosamax
  • Roche’s Boniva
  • Warner Chilcott’s Actonel
Last year, Merck paid one woman $8 million in damages, "$3 million more than the $5 million her lawyers had asked for," because a jury "found that Fosamax is defectively designed and unreasonably dangerous."1

The FDA is thinking about requiring a label limiting the drugs' use to 5 years in patients. Recall though that these drugs (at least Fosamax/alendronate) have a half-life in the body of up to 12 years. And there's the suspected link to esophogeal cancer.
"[The FDA] has evaluated the safety of the drugs, known as bisphosphonates, for almost four years and cited possible links to unusual thigh fractures and jawbone deterioration in 2010."2
Why are they still being sold?
"Bisphosphonates generated $4.2 billion in U.S. sales last year and $7.6 billion worldwide."
Here's some background on the bone-damaging mechanism from a prior post:
Osteoporosis Drugs Contribute To The Fractures They Were Intended To Prevent
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1 Merck Loses $8 Million Verdict In Trial Over Fosamax
2 Warner, Merck Bone Drugs Need Label Changes on Use Duration, Panel Says

Too Many Medical Tests

A story from Kaiser Health News and The Washington Post:
Concern Is Growing That The Elderly Get Too Many Medical Tests

...Is saying that more is not always better when it comes to medical tests," and that becomes particularly true in older Americans." A decade ago I would have disagreed. What's wrong with testing? Even if it results in a false positve, that will eventually be discovered and you're on your way, right? Testing isn't that invasive, besides, if it finds something wasn't the cost worth the benefit? I don't think that anymore.
"Too often these tests, some doctors and researchers say, trigger a cascade of expensive, anxiety-producing diagnostic procedures and invasive treatments for slow-growing diseases that may never cause problems, leaving patients worse off than if they had never been tested. In other cases, they say, treatment, rather than extending or improving life, actually reduces its quality in the final months."
The U.S. Preventive Services Task Force, an independent panel of experts that evaluates the risks and benefits of screening tests:
  • Does not endorse PSA testing after age 75.
  • Does not endorse colon screening after age 75.
  • Does not recommend a repeat colonoscopy within 10 years if the previous one was normal.
  • Says there is no evidence for or against mammography after age 74.
  • Recommends most women stop getting Pap smears to detect cervical cancer after 65.
What do you think? Should women in their 80s be getting mammograms? Should we be doing colonoscopies on people over 75, given that "colon polyps take 10 to 20 years to become cancerous, while the risks from colonoscopy, including intestinal perforation and heart attack, substantially increase after age 80?"
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Saturday, September 10, 2011

Great Tree Of Life

I just spent the last 20 minutes looking at this diagram so I thought I'd share it. It's called the Great Tree of Life. It's not completely accurate; it's just meant to illustrate "that we are related not only to every living thing, but also to every thing that ever lived."

I didn't know that birds evolved so recently.


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Wednesday, September 07, 2011

COX-2 (Which NSAIDS Inhibit) Plays An Essential Role In Bone Repair

I read that NSAIDS damage joints, and that those which inhibit more COX-2 than COX-1 enzymes, as Vioxx and Celebrex do, were less damaging. They carried a higher risk for stroke and heart attack, however. (Vioxx is off the market for that reason.)

So, is a COX-2 inhibitor like Celebrex safe for joints?

This study says that "COX-2 plays an essential role in bone formation during skeletal repair." It raises the question of whether inhibiting it could affect bone repair:

Reduced COX-2 Expression In Aged Mice Is Associated With Impaired Fracture Healing, Journal of Bone and Mineral Research, 2009

From their press release:
"Researchers found further proof that COX-2 is responsible for loss of bone healing ability with age when they were able to reverse the process with a drug known to encourage the COX-2 signaling effect."

"Prior work in other labs had established that the ability of PGE2 to create new bone growth occurs in particular through its interaction with the EP4 receptor. In the current study, the team showed that delayed fracture healing observed in aged mice could be rescued with local delivery of an experimental drug, CP-734432, which directly activates the EP4 receptor in place of the missing COX-2 (an EP4 agonist). The drug, provided to the team by Pfizer Inc., was also recently used to prevent osteoporosis in early animal studies. Local injection of an EP4 agonist to the fracture site of aged mice compensated for the reduced fracture repair observed with aging, with a significant reduction in immature cartilage seen and more efficient formation of mature bone."
So, a drug that compensates for missing COX-2 results in more efficient formation of bone. And is being used to prevent osteoporosis. This just doesn't look good for the safety of NSAIDS relative to bone health, especially for older people.
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Tuesday, September 06, 2011

CNN's "The Last Heart Attack"

The Last Heart Attack, CNN
Aired August 28, 2011
Video
Transcript

I was going to say this, but as I just saw, Gary Schwitzer said it well. (Correction - I should say that Gary's guests bloggers Marilyn Mann and Larry Husten said it well.):
Criticisms of CNN's "The Last Heart Attack"
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Mental Disorders: The Greatest Health Challenge In The 21st Century

A landmark study presented at the European College of Neuropsychopharmacology's conference in Paris this week is reporting that "mental disorders have become Europe’s largest health challenge in the 21 century."

The study included 514 million people from 30 countries and interrogated "all major mental disorders." Do you think it will help break through the stigma and lack of funding?

Here are some of their findings:
  • Each year, 38.2% of the EU’s population, 164.8 million people, suffer from a mental disorder.
  • The most frequent disorders are:
    • Anxiety (14.0%)
    • Insomnia (7.0%)
    • Depression (6.9%)
    • Somatoform disorders (6.3%)
    • Alcohol and drug dependence (>4%)
    • Attention-deficit and hyperactivity disorders (ADHD, 5% in the young)
    • Dementia (1% among those aged 60-65, 30% among those aged 85 and above)
  • Except for substance disorders and mental retardation, no significant cultural or country variations were found.
  • No improvements were found in the notoriously low treatment rates for mental disorders in comparison with the 2005 data. Still only one third of all cases receive treatment.
  • Millions suffer from neurologic disorders such as stroke, traumatic brain injuries, Parkinson’s disease and multiple sclerosis, that may have to be counted on top of the above estimates.
  • Disorders of the brain, as measured by disability-adjusted life years (DALYs), are the largest contributor to the EU’s total morbidity burden.
  • The four most disabling conditions (in terms of DALY) were depression, dementias, alcohol use and stroke.
The study identified challenges:
  • The marginalisation and stigmatisation of many disorders of the brain.
  • The lack of public awareness about the full range of disorders of the brain and their burden on society.
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I was wondering how the US compared and curiously an article appeared in my health news stream about this CDC study:

Mental Illness Surveillance Among Adults In The United States, Morbidity and Mortality Weekly Report (MMWR), September 2, 2011

The Centers for Disease Control and Prevention (CDC) say:
"Mental illnesses account for a larger proportion of disability in developed countries than any other group of illnesses, including cancer and heart disease. In 2004, an estimated 25% of adults in the United States reported having a mental illness in the previous year. The economic cost of mental illness in the United States is substantial, approximately $300 billion in 2002."
They say nearly half of us will develop at least one mental illness during our lifetime. These are only reported illnesses. I imagine the number of unreported cases is considerable, especially addictions, in light of the stigma attached to mental illness.

They say that mental illness makes outcomes for chronic diseases (cardiovascular disease, diabetes, obesity, asthma, epilepsy, and cancer) worse, and that this increased morbidity is partly a result of lower use of medical care. Does that mean that having millions of uninsured and underinsured Americans costs taxpayers more?

Here's a map from the CDC showing the prevalence of depression among adults (over 18 years) in 2006. Their map showing "serious psychological distress" is identical:



Wouldn't it be nice if people could speak as openly about their dementia and depression as they do their heart disease and diabetes? Wouldn't it be nice if we saw mental illness as an opportunity to show compassion, instead of an opportunity to drug?
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Saturday, September 03, 2011

Whale Caught In Net, Is Freed, Goes Slaphappy


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Probiotics Make Mice Calm

Well, this is interesting...

Mice that were given a probiotic (Lactobacillus rhamnosus) exhibited fewer signs of stress and anxiety:1
"For example, the rodents spent more time exploring narrow elevated walkways and wide-open spaces, which are scary to rodents, and they exhibited a smaller spike in stress hormone levels when the researchers put them in water."
The probiotic resulted in changes in their brain's GABA receptors. Drugs that humans are given to treat anxiety target these same GABA receptors.

L. rhamnosus is typically included in probiotic supplements. (Not that they'd work in a similar way, just saying.)
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1 Mind-Altering Bugs, Science, August 29, 2011

Thursday, September 01, 2011

NSAIDS Damage Joints

In the "What I Learned Today" category: NSAIDS (like Advil, Aleve, Indocin) can accelerate joint breakdown:
"NSAIDs may be useful in reducing pain and inflammation in osteoarthritis, [but may] enhance the process of cartilage degeneration by interfering with intrinsic repair activities."1
Looks like NSAIDS that were more selective for inhibiting COX-2 enzymes were less damaging to joints, but had a higher risk for stroke and heart attack.

Here's Wikipedia's page on COX-2 inhibitors. As I understand it, all NSAIDS inhibit both COX-1 and COX-2, but some are more selective for COX-2 than, say, ibuprofen (Advil) or naproxen (Aleve, Anaprox). It's the COX-1 inhibitors that cause more GI bleeding. Aspirin inhibits both COX-1 and COX-2.

Some NSAIDS more selective for COX-2:
  • Vioxx (off market for heart attack and stroke risk)
  • Celebrex
  • Bextra
So, all NSAIDS damage joints, some less than others.

Related: COX-2 (Which NSAIDS Inhibit) Plays An Essential Role In Bone Repair
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1Differential Direct Effects Of Cyclo-Oxygenase-1/2 Inhibition On Proteoglycan Turnover Of Human Osteoarthritic Cartilage: An In Vitro Study, Arthritis Research Therapy, 2005