Nicholas Eberstadt Men Without Work America s Invisible Crisis men choosing lost life meaning, anger, resentment, paranoia, with idleness, war is a practice, peace is a practice of a different sort
Anosognosia a=not nosos=disease gnōsis=knowledge denial of disease which is clinically evident, unawareness of how one appears to others, lack of insight, is a symptom of severe mental illness, frontal cortex executive impairment (decision-making, abstract idea comprehension, planning initiation execution completion follow through timely, financial literacy, complex multiple thought coordination, wisdom), an absent ability to understand and perceive personal deficits mental physical emotional social spiritual financial. Anosognosia may appear after stroke hemiparesis (unawareness of half of body being paralysed, seeing half of plate of food), in eating disorders (book Perfect Ellen Hopkins), frontal cortex brain dysfunction, Those with schizophrenia or bipolar disorder refuse medications or do not seek treatment. Without awareness of the illness, refusing treatment appears rational to the damaged brain, no matter how clear the need for treatment might be to others. Approximately 50% of individuals with schizophrenia and 40% with bipolar disorder have symptoms of anosognosia. Anosognosia, lack of self awareness of deficits impact of one's behavior on others, confabulation (plausible but untrue suspicions paranoia, folie a deux), appears after stroke, Alzheimer’s dementia, personality disorder, alcoholic Wernkicke Korsakoff dementia, studies of anosognosia in psychiatric disorders is producing a growing body of evidence of anatomical damage in the part of the brain involved with self-reflection, capacity for metacognition (higher-order frontal cortex thinking, understanding, analysis, and control of one’s cognitive thought processes, capacity for self observation learning, thinking about one's own mental processes, awareness and understanding of one's thinking, impact of thought on attitude and behavior, ability to pause before acting). When taking appropriate medications, insight improves in some patients. book My Stroke of Insight Jill Bolte Taylor diary of 37yo with stroke and 8 year rehabilitation, choosing to re-acquire left brain logic rationality rather than slip into right brain oblivion after stroke. Recovery requires conscious personal effort, consistent hard work, caregiver support, mentoring others to become aware of their capacity to choose brain rehabilitation or not. Formal neuropsychological testing (8 hours of rigorous testing) reveals residual brain deficits and strengths and confirms diagnosis.
Every gun that is made, every warship launched, every rocket fired signifies, in the final sense, a theft from those who hunger and are not fed, those who are cold and are not clothed. This world in arms is not spending money alone. It is spending the sweat of its laborers, the genius of its scientists, the hopes of its children. The cost of one modern heavy bomber is this: a modern brick school in more than 30 cities. It is two electric power plants, each serving a town of 60,000 population. It is two fine, fully equipped hospitals. It is some 50 miles of concrete highway. We pay for a single fighter plane with a half million bushels of wheat. We pay for a single destroyer with new homes that could have housed more than 8,000 people. This, I repeat, is the best way of life to be found on the road. the world has been taking. This is not a way of life at all, in any true sense. Under the cloud of threatening war, it is humanity hanging from a cross of iron.
President General Dwight Eisenhower Address "The Chance for Peace" Delivered Before the American Society of Newspaper Editors 16Apr53
Strokes double ages 35-44yrs in US. Stroke Rates Increasing in Under 50s Sue Hughes 23Nov2016
Alcohol Boosts Stroke Risk More Than Do Hypertension, Diabetes
Cerebrovascular Accident (CVA) = stroke Magnetic Resonance Imaging
While stroke rates have been declining for some time in the western world, new research suggests that this trend may be set to reverse, with a worrying increase in stroke rates occurring in the younger age group.
A new study, published online November 23 in the Journal of the American Heart Association shows stroke rates continuing to decline in people aged 55 years and older, but in those aged under 55 years the incidence of stroke appears to be increasing.
"There appears to be a golden generation — the baby boomers born between 1945 and 1954, who have the lowest risk of stroke," lead author, Joel N. Swerdel, MS, MPH, Rutgers University School of Public Health, New Brunswick, New Jersey, commented to Medscape Medical News. "In people born from 1955 onwards, the stroke rate is rising again."
The study — which analyzed a database of all hospital discharges in New Jersey from 1994 to 2014 — found that between 1995–1999 and 2010–2014, the rate of strokes doubled in those aged 40 to 44 years and more than doubled in people 35 to 39 years.
Commenting on the findings for Medscape Medical News, Ralph L. Sacco, MD, professor and Olemberg Chair of Neurology, Miller School of Medicine, University of Miami, and president-elect, American Academy of Neurology, said, "This is an interesting set of data that suggests an alarming trend for rising stroke rates among younger adults."
The data confirm what has also been observed in other cohorts, he added. "Although stroke rates have been declining, the decline may be levelling off in older adults and actually increasing in younger adults."
The researchers suggest the trends are all to do with lifestyle factors.
"People born between 1945 and 1954 seem to have benefitted from better living standards and healthcare than those before them, and this would have been the first generation with the knowledge that smoking kills," Swerdel said. "But they have also escaped the sugar revolution and the obesity and diabetes epidemics which are affecting those born later. The influx of heavily sugar-laden food didn't really start until the mid-60s, so those born in the 40 and 50s were not brought up on sugar-coated cereals and the like. This likely explains the increase in obesity and diabetes that occurred in later years."
A 'Wake-Up Call' for the Younger Generation
He stressed that younger people need to take heed of these new data. "This is a wake-up call. People in their 30s and 40s have time and the opportunity to improve their lifestyle and take medications to control risk factors to head off these effects."
Dr Sacco agreed that lifestyle factors are the culprit. "We have definitely improved the control of smoking, blood pressure and cholesterol, but obesity, physical inactivity, poor diet, and diabetes are still on the rise. These conditions could be having a detrimental effect on stroke rates in younger adults."
He added: "The American Heart Association/American Stroke Association has made improving the cardiovascular health of all Americans across all age groups a major strategic priority for 2020. We need to get younger people more focused on healthy habits, such as regular exercise, following the AHA [American Heart Association] diet, and losing weight before it is too late. It is never too early to start thinking about improving heart and brain health."
For the study, the researchers obtained data on stroke and ST-segment elevation myocardial infarction (STEMI) for the years 1995–2014 from the Myocardial Infarction Data Acquisition System, a database of hospital discharges in New Jersey. Rates by age for the time periods 1994–1999, 2000–2004, 2005–2009, and 2010–2014 were obtained by using census estimates as denominators for each age group and period.
Results showed the rate of stroke more than doubled in patients aged 35 to 39 years from 1995–1999 to 2010–2014 (rate ratio [RR], 2.47; P < .0001). For the same time period, comparison stroke rates doubled in the age group 40 to 44 years (RR, 2.01; P < .0001) and showed a 23% increase in those aged 50 to 54 years (RR, 1.23; P = .001).
In contrast, strokes rates in those older than 55 years decreased during these time periods.
Those born from 1945 to 1954 had lower age-adjusted rates of stroke than those born both in the prior 20 years and in the following 20 years.
STEMI rates, however, showed a different pattern, decreasing in all age groups and in each successive birth cohort, although the reduction did appear to be flattening out.
"STEMI rates have dropped like a rock over last 20 years, but this fall is getting slower in the younger age groups," Swerdel commented. "This has also been seen in other US-wide data and has been attributed to the increase in diabetes we are seeing recently."
Dr Sacco said it was surprising that STEMI did not follow the same pattern as stroke, but he noted that the two conditions may be affected differently by different risk factors, with cholesterol control having a greater impact on for myocardial infarction than for stroke.
Study coauthor John B. Kostis, MD, professor of cardiology, medicine and pharmacology, Rutgers Robert Wood Johnson Medical School, New Brunswick, agreed. "Stroke may be more affected by blood pressure than STEMI, while STEMI is more affected by LDL [low-density lipoprotein] cholesterol. But we didn't have data on these risk factors in this study — just reasons for admissions to hospital."
Dr Kostis pointed out that while cardiovascular and cerebrovascular diseases have been declining in the West, they are growing in newly developed countries such as Russia, India, and Asia. "We had thought we had dealt with this in the US, but it appears that it might be coming back again."
He added: "The message is clear. We have to start taking care of ourselves early in life and continue this throughout life. Don't smoke, look after your weight, partake in exercise, take medicines for blood pressure and cholesterol if they are high. Start all these things early in life."
Quoting the Latin "Dum spiro spero — While I breathe, I hope," Dr Kostis said of their findings, "Yes, this is a red flag but we can do something
J Am Heart Assoc 23Nov2016
Ischemic Stroke Rate Increases in Young Adults: Evidence for a
Generational Effect? Joel N. Swerdel et al the Myocardial Infarction [MI = heart attack] Data Acquisition System (MIDAS 29) Study Group, Javier Cabrera, John Pantazopoulos and Davit Sargsyan
Journal of the American Heart Association. 2016;5:e004245 23Nov 2016
Physical activity PA and anxiety: A perspective from World Health Survey Journal of Affective Disorders 27Oct2016 Stubbs B In this study, the researchers investigated the global prevalence of anxiety and its relationship with physical activity (PA). The study findings suggest that low PA levels are connected with expanded prevalence of anxiety. Methods
For this study, cross-sectional, community-based data from the World Health Survey was investigated.
Prevalence of anxiety was assessed for 237,964 individuals (47 countries).
PA was classified as low, moderate, and high based on the International Physical Activity Questionnaire (short form).
The relationship amongst PA and anxiety was surveyed by multivariable logistic regression.
Researchers found that the overall global prevalence of anxiety was 11.4% (47 countries).
Across 38 countries with available information on PA, 62.5%, 20.2%, and 17.3% of the sample engaged in high, moderate, and low levels of PA physical activity respectively.
It was also observed in the findings that the predominance of low physical activity in those with and without anxiety was 22.9% vs. 16.6% (p<0.001) (38 countries, n=184,920).
In the pooled model adjusted for socio-demographics, depression, and country, individuals engaging in low PA (vs. high PA) had 1.32 (95% CI=1.17–1.47) times higher odds for anxiety than those with high PA.
Female sex, older age, lower education and wealth, and depression were also connected with low PA physical activity.
At the individual country level, there was a significant positive relationship between low PA physical activity and anxiety in 17 of the 38 countries.
Opioids and chronic back pain
Can pomegranates protect the brain from dementia? UNSW Australia Health News, September 19, 2016
Study suggests how "super aging" older adults retain youthful memory abilities Massachusetts General Hospital, September 14, 2016
Sound therapy may balance brain signals to reduce blood pressure, migraines American Heart Association News, September 20, 2016
Adverse effects of cannabis scientifically verified, a world first Osaka University Research News, August 16, 2016
Researcher's 'magic bullet' for spinal cord injuries: Estrogen Medical University of South Carolina (MUSC) News, September 28, 2016
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NIH review finds nondrug approaches effective for treatment of common pain conditions NIH 6Sep2016
Does frequency of physical exercise have an effect on depression in patients with fibromyalgia
Journal of Affective Disorders, 10/21/2016 Clinical Article Andrade A, For this study, researchers intended to research the relationship between physical exercise (PE) and depression in patients with Fibromyalgia Syndrome (FMS), and to assess the impact of the week by week volume of PE on depression. There was a relationship amongst PE and lower values of depression in patients with FMS, and the level of depression was positively and significantly connected with physical inactivity.
A sum of 215 FMS patients with depression were assessed with the Beck Depression Inventory, and were additionally classified as inactive, insufficiently active, or active.
They performed binary logistic regression, with PE as the dependent variable and the level of depression as an independent variable.
They additionally utilized the Mann–Whitney Utest.
An alpha value of 0.05 was determined to have significance (p <0.05).
In this study inactive patients with FMS have a higher rate of moderate to severe depression (29.1%) and major depression (25%) when compared with active patients.
In comparing the depression index between inactive, insufficiently active, and active FMS patients as per the reported week after week volume of PE, they found differences between inactive and active patients (p = 0.035).
The level of depression was positively connected with physical inactivity in FMS, and FMS patients with severe depression had 3.45 (1.23 to 9.64) times the probability of being inactive than patients without depression or with minimal depression.
In 1965, even high school dropouts were more likely to be in the workforce than are the 25-to-54 males today. And, Eberstadt notes, “the collapse of work for modern America’s men happened despite considerable upgrades in educational attainment.” The collapse has coincided with a retreat from marriage (“the proportion of never-married men was over three times higher in 2015 than 1965”), which suggests a broader infantilization. As does the use to which the voluntarily idle put their time — for example, watching TV and movies 5.5 hours daily, two hours more than men who are counted as unemployed because they are seeking work.
Eberstadt, noting that the 1996 welfare reform “brought millions of single mothers off welfare and into the workforce,” suggests that policy innovations that alter incentives can reverse the “social emasculation” of millions of idle men. Perhaps. Reversing social regression is more difficult than causing it. One manifestation of regression, Donald Trump, is perhaps perverse evidence that some of his army of angry men are at least healthily unhappy about the loss of meaning, self-esteem and masculinity that is a consequence of chosen and protracted idleness. George Will 10/6/16