Michael.Massing + david   67

Google’s New Chromecasts: Ingenious Cheap Pucks for Wireless Audio and Video [Video]
Audio comes directly from the Internet to your speaker. Therefore, the music is much higher quality (it hasn’t been subjected to the usual Bluetooth compression). Once again, the phone is just the remote control. That means your phone isn’t using data or battery power.

....This system works over WiFi (maximum range: your whole house), not Bluetooth (maximum range: 30 feet)....You feel like you’ve paid $3,000 for someone to install a whole-house audio system.

Speaking of which: If you buy more than one Chromecast Audio, you can set things up so that all speakers play the same thing simultaneously, cleverly time-synced: the iHome in bedroom, the Bose in the kitchen, the Sony in the den.

What you can’t do is create more than one such zone, or to play different things on different speakers. (That Sonos-like feature is coming in 2016, Google says.)
home  audio  wireless  Google  Chromecast  whole-house  remote  WiFi  David  Pogure 
january 2017 by Michael.Massing
Perfection, Diabetes Don't Mix - Diabetes Self-Management
Related to perfectionism is overgeneralizing bad things. When I have a bad day, say a day when it’s hard to stand, that doesn’t have to mean I’m getting worse. I’m just having a bad day, probably for a reason. If I can figure it out, I can get some strength back.

Likewise, if your A1C goes up, or your neuropathy pain increases, or your sexual function is down, that may not mean you’re getting worse. Something just went wrong. Maybe it was something you could control, or maybe your meds need to change, or your diet, or something. Maybe it was out of your control, like an illness or a major stress, but it doesn’t mean you can’t get better again.

When life seems harder or less enjoyable, when it seems your life is getting smaller, that doesn’t have to be permanent either. It just means you’re going through a hard time.

Similarly, good glucose numbers don’t necessarily mean you are getting better. A new medicine might be helping keep numbers down, or life may be easier, or you may have learned some things, but you may just be going through a good patch.

The point is to take it day by day. As they say in AA, “one day at a time.” Or as Scott Coulter advised in his column, “live in the moment.” Trying to be perfect or judging yourself badly will weigh you down and produce burnout. Letting go of self-judgments, perfectionism, and black-and-white thinking will take a lot of negative feelings out of your equation.
diabetes  self  care  perfectionism  perfection  David  Spero 
may 2016 by Michael.Massing
Meg’s Story, as reported by David Spero, RN
Meg is 53 years old, weighs 300 pounds, and has type 2 diabetes. She wants to exercise, but thinks she can’t. “I know I need to walk three miles a day,” she tells Linda, the medical assistant at the clinic, “and there’s no way. I haven’t been out of the house except to go to the doctor’s for six months. How am I going to walk three miles?”
“Well,” says Linda, “How far could you walk?”
Meg thought about it and finally says, “I guess I could walk to the mailbox, down by the curb. Then I’d have to rest for a minute and walk back to the house.”
“What’s your confidence level of being able to do that regularly?” “Pretty high. I can do that. I’d say a 9.”
“How often will you do that, then?” asks Linda.
“I can do it every day,” says Meg.

“If it’s OK with you, let’s start by planning for five days a week, in case of bad weather or something,” suggests Linda. “You want to be sure you can succeed.” Meg agrees.
As it turns out, Meg could do it every day, so for two weeks she did. Then she calls and says, “I’m ready to go further. I’m going to walk to the corner.” And she does that, and over the course of a year she builds up to 3 miles a day. She loses some weight, and her sugars are better controlled. She’s still working on it, one plan at a time.

source: New Health Partnerships: Information for People with Chronic Conditions—Self-Management Support 28 Institute for Healthcare Improvement, 2011 (www.IHI.org)
David  Spero  mailbox  story  DCDE  goals  strategy 
april 2016 by Michael.Massing
Review: Eero is a pricey but effective fix for... - David Pogue
Multiple routers, one name: If you buy more than one router and give their networks exactly the same name and password, they automatically form a single big network. You avoid the two-network-names problem.

Apple actually advertises this technique as a feature of its AirPort base stations. (Other brands don’t always work so well.)

This setup saves you having to manually switch networks as you move. Unfortunately, it’s up to your phone, tablet, or laptop to say, “Gee, my first router signal is now so weak, I should start looking for a second one” — and, often, that doesn’t happen until you’re well into the second router’s territory.
LAN  wireless  howto  David  Pogue 
march 2016 by Michael.Massing
Metformin Wonder Drug - Diabetes Self-Management
Canadian researchers showed that metformin reduces cell mutations and DNA damage....No one thought we could limit mutations before, but perhaps metformin can do it.

A study on mice exposed to cigarette smoke showed that those given metformin had 70% less tumor growth. A small study of humans in Japan showed similar improvements in colorectal cancer outcomes. [Other] researchers write, “Women with early-stage breast cancer taking metformin for diabetes have higher response rates to [presurgical cancer therapies] than diabetic patients not taking metformin.” They also had better results than people without diabetes.

[Metformin works] as an antioxidant. Even better, it mainly acts on cells that are trying to turn cancerous. Gerardo Ferbeyre, MD, PhD, of University of Montreal’s Department of Biochemistry, said, “The drug seems to selectively prevent [ROS] production from … cells with [cancer-causing] mutations.”

Spanish scientists published in the journal Cell Cycle that metformin seems to block cancer in two ways. Like a chemotherapy drug, it blocks certain enzymes cancer cells need to reproduce. But the scientists wrote that metformin’s glucose-lowering and insulin-lowering effects may be more important. Metformin mimics the effect of severely restricting calories. The lowered insulin level enables healthy cells to reproduce better, so they don’t become cancerous.
David  Spero  metformin  liver  drug  effects  blood  glucose  glycogen  action  insulin  resistance  antioxidant  prevention  cancer  mutation  protective  risk  benefit  antimutagenic 
january 2015 by Michael.Massing
Metformin, the Liver, and Diabetes - Diabetes Self-Management
Metformin takes a couple of hours to fully absorb, and lasts about five hours in most people. (Half-life in the body is about six hours.) There is also an extended release form that can be taken once or twice a day.

What causes leaky livers[—those that convert too much glycogen to glucose, and do not respond to insulin regulation—]in the first place is not really known. It seems that people with fatty livers may be up to five times as likely to develop diabetes, so liver fat, which is loosely associated with abdominal fat, may be part of the story. But thin people can have leaky livers, too, so there’s more to it.

It might help to learn when your liver tends to dump sugars. This might require frequent monitoring for a while. Jim has a continuous glucose monitor, which enabled him to get his regime right. According to him, if his sugar goes low, or his metformin level goes low, or sometimes after eating (for some unknown reason), his liver will dump glucose into his bloodstream, as he can see on his monitor. The only thing that stops it is having enough metformin in his system.
metformin  liver  drug  effects  blood  glucose  glycogen  CGM  circadian  action  insulin  resistance  David  Spero  rhythms  leaky  actionable  data  prevention  SMBG 
january 2015 by Michael.Massing
Cartoons on Sex, Sexism, Relationships and Family from Punch | PUNCH Magazine Cartoon Archive
"That's an excellent suggestion, Miss Triggs. Perhaps one of the men here would like to make it."
comics  sexism  patriarchy  business  boardroom  earnest  David  E  hatmandu 
january 2015 by Michael.Massing
Is There a Cure? :: Diabetes Self-Management
Unfortunately, the research looking for cures or treatments is contaminated by the larger goal of making money. Surgeons profit from bariatric surgery, drug companies from drugs, equipment makers from needles and glucose strips, but nobody except people with diabetes profits from effective self-management. And we don’t have a lot of money to fund studies or research better methods.
diabetes  profit  research  medical  pharma  T  type  1  T1D  cost  benefit  social  responsibility  T2D  2  cure  big  pharmaceutical  industry  healthcare  economics  autoimmune  ethics  self  care  David  Spero  peer-reviewed  evidence 
february 2013 by Michael.Massing
Stop Spiking Those Sugars! :: Diabetes Self-Management
[Some useful information in both column and comments, and yet this is atypically dodgy for David Spero, who depends on a dubious source who markets mulberry leaf with questionable tactics; unhelpfully fails to distinguish between peaks and excursions; and seems to swallow a scare story about "hidden" spikes happening within an hour after meals, when it is well established that type 2 diabetics peak and/or have excursions considerably _later_ than non-diabetics. My comment about the first of these flaws was never published, although the column seems to have been delisted in the column history.—DMM]

Jenny Ruhl at Diabetes Update says different people and different foods spike differently. So to find the very highest spike, you might have to try different times. “Meals heavy in fat digest more slowly than those that are made up mostly of starches and sugars,” she says. “Large meals of any composition may produce a slightly delayed spike.” High protein meals may spike even later. It will take some experimenting to find out.

It’s also valuable to learn how fast blood sugar levels come back down, and how low. So you might want to check again an hour after the peak. Ruhl says that, “When you take a second reading is up to you and depends on how many strips you have and what [you already know] about how your blood sugar works. Most of us will find it informative to [check] an hour after the peak occurs to see how fast our blood sugar is dropping from its peak.”
blood  glucose  postprandial  spike  excursion  monitoring  self  care  interprandial  protein  metabolism  body  rhythms  David  Spero  diabetes  mulberry  leaf  supplements  circadian  management  diet  meal  planning  timing 
march 2012 by Michael.Massing
Recovering from Diabetes Fatigue :: Diabetes Self-Management
When you’re exhausted, who wants to exercise? But I’m not talking about vigorous training for a triathlon kind of exercise. I’m talking about treating yourself gently, and moving your body in ways that feel good. Studies show that gentle exercise reduces fatigue by up to 65%. Gentle exercise is actually more energizing than vigorous exercise, according to this University of Georgia study.

It could be tai chi or qigong, water exercise, yoga, walking, or seated exercises, or anything else that feels good. I have a lake near me, where it’s fun to go watch the birds. Maybe you have a place like that to walk. Or a mall or something.

Being completely sedentary makes you more tired. You get more out of shape, so it gets harder and harder to move. To feel better, you don’t even need formal exercise. Housework can be turned into a form of exercise just by concentrating on the movements as you do them, instead of stressing about how dirty everything is. Fatigue specialist Majid Ali, MD, says that exercise should be “slow, sustained, and nontraumatic.”
diabetes  fatigue  self  care  exercise  movement  activity  David  Spero 
march 2012 by Michael.Massing
Stress and Fatigue :: Diabetes Self-Management
The stress response, sometimes called the “fight-or-flight” response [raises blood sugar levels (to provide fuel to the muscles) and increases] insulin resistance (so the other cells won’t use up the glucose the muscles need). It also raises our heart rate and blood pressure so we can run faster, and increases blood clotting in case we are injured.
By increasing insulin resistance, stress can make us extremely tired. Under stress, only the muscles and nerves being used for fight or flight will open to insulin and the glucose it’s carrying. All the other cells are supposed to take a nap. But if the stress goes on a long time, our bodies and brains will not have enough fuel, so they want to just keep napping.,,,
According to the book Overcoming Adrenal Fatigue, by Kathryn Simpson, MS, stress puts pressure on the adrenal glands. Those glands produce adrenaline, cortisol, DHEA, and other chemicals that make up the stress response. If they have to keep producing at high levels...they start to wear out. Sort of like beta cells are thought to wear out if they have to produce too much insulin.
When the adrenals wear down, cortisol levels will drop. That’s when fatigue really sets in. Cortisol helps us wake up in the morning. It also helps control the immune system: Cortisol starts inflammation when needed to fight an injury or infection and stops it when the problem is under control. When cortisol levels are too low, inflammation can go into overdrive and damage healthy cells.
We now know that inflammation is a major cause of the blood vessel and pancreas damage we see in diabetes. Diabetes is often called an inflammatory disease, and to the extent this is true, we need to control stress to deal with it.
Inflammation also makes you very, very tired. Your body is telling you to rest so the infection or injury can be healed. But when cortisol levels are low, you’ll get the same message when there is no injury or illness. It just goes on, and we feel constantly tired.
[Threats and stresses] can be environmental, like being too cold or too hot or being exposed to toxic chemicals....Another major stressor is hunger. Unfortunately, some diabetes diets and most weight-loss diets can leave people feeling hungry, so those diets might need to be changed or avoided.
Since most stressors these days are emotional or economic, we can sometimes reduce stress by changing the way we think about the difficult things in our lives....Anything we can do to actually change situations that threaten us [reduces stress]...
We can also reduce stress by treating infections, by getting enough sleep, and by getting regular moderate exercise (but not overdoing the workouts! That’s stressful too.). It’s also important to eat regularly and not to go hungry. Simpson says five or six small, balanced meals a day may be ideal for most people’s adrenals. She advises protein, fat, and complex carbs at each meal....
Effective stress reduction methods include prayer, meditation, breathing, and gentle exercise like tai chi or qigong. Getting help with stressful life problems, as from a counselor, coach, or friend can also reduce stress....
A number of supplements might help, including Vitamins C and D, chromium, zinc, magnesium, B vitamins, and fish oils. Simpson also suggests taking digestive enzymes and says taking small amounts of hydrocortisone (which is identical to natural cortisol) can be very helpful if your levels are low. Anti-inflammatory medicines like aspirin or salsalate might help, too.
diabetes  stress  fatigue  symptoms  David  Spero  fight-or-flight  response  cortisol  adrenaline  inflammation  DHEA  diet  weight  control  maintenance  hunger  meditation  breathing  exercise  supplements  what.I'm.reading  vitamin  C  D  chromium  zinc  magnesium  B  fish  digestive  enzymes  hydrocortisone  aspirin  salsalate  anti-inflammatory  glucose  hatmandu  earnest  T2D  research  sleep  type  2  human  in  vivo  correlation  insulin  resistance  peer-reviewed  factor  activity  risk  etiology  clinical  trial  body  fat  public  health  cause  chicken-and-egg 
february 2012 by Michael.Massing
David Reimer - Wikipedia, the free encyclopedia
Dr. Money forced the twins to rehearse sexual acts involving "thrusting movements" with David playing the bottom role. As a child, David Reimer painfully recalled having to get "down on all fours" with his brother, Brian Reimer, "up behind his butt" with "his crotch against" his "buttocks". In another sexual position, Dr. Money forced David to have his "legs spread" with Brian on top. Dr. Money also forced the children to take their "clothes off" and engage in "genital inspections". On at "least one occasion", Dr. Money took a "photograph" of the two children doing these activities. Dr. Money's rationale for these various treatments was his belief that "childhood 'sexual rehearsal play'" was important for a "healthy adult gender identity".
For several years, Money reported on Reimer's progress as the "John/Joan case", describing apparently successful female gender development, and using this case to support the feasibility of sex reassignment and surgical reconstruction even in non-intersex cases. Money wrote: "The child's behavior is so clearly that of an active little girl and so different from the boyish ways of her twin brother." Notes by a former student at Money's lab state that during the followup visits, which occurred only once a year, Reimer's parents routinely lied to lab staff about the success of the procedure. The twin brother, Brian, later proved to be schizophrenic.
Reimer had experienced the visits to Baltimore as traumatic rather than therapeutic, and when Dr. Money started pressuring the family to bring him in for surgery during which a vagina would be constructed, the family discontinued the follow-up visits. From 22 months into his teenaged years Reimer urinated through a hole surgeons had placed in the abdomen. Estrogen was given during adolescence to induce breast development. Having no contact with the family once the visits were discontinued, John Money published nothing further about the case to suggest that the reassignment had not been successful.
Reimer's account, written with John Colapinto two decades later, described how - contrary to Money's reports - when living as Brenda, Reimer did not identify as a girl. He was ostracized and bullied by peers, and neither frilly dresses (which he was forced to wear during frigid Winnipeg winters) nor female hormones made him feel female. By the age of 13, Reimer was experiencing suicidal depression, and told his parents he would commit suicide if they made him see John Money again. In 1980, Reimer's parents told him the truth about his gender reassignment, following advice from Reimer's endocrinologist and psychiatrist. At 14, Reimer decided to assume a male gender identity, calling himself David.
David  Reimer  John  Money  gender  identity  construction  theory  human  experimentation  ethics  child  development  medical  research  fraud  bad  science  atrocity  careerism  parenting  medicine  behavioral  psychological  abuse  intersex  teen  sexual  youth  cover-up 
february 2012 by Michael.Massing
Who was David Reimer (also, sadly, known as "John/Joan")? | Intersex Society of North America
David Reimer was born an identical (non-intersex) twin boy in 1965. At the age of 8 months, David and his brother each had a minor medical problem involving his penis, and a doctor decided to treat the problem with circumcision. The doctor botched the circumcision on David, using an inappropriate method and accidentally burning off virtually all of David’s penis. At the advice of psychologist John Money at Johns Hopkins University, David’s parents agreed to have him “sex reassigned” and made into a girl via surgical, hormonal, and psychological treatments—i.e., via the system Money advocated for intersex children.

For many years, John Money claimed that David (known in the interim as “Brenda”) turned out to be a “real” girl with a female gender identity. Money used this case to bolster his approach to intersex —the approach that is still used throughout much of the U.S. and developed world—one that relies on the assumption that gender identity is all about nurture (upbringing), not nature (inborn traits), and that gender assignment is the key to treating all children with atypical sex anatomies.

As it turns out, Money was lying. He knew Brenda was never happy as a girl, and he knew that as soon as David found out what happened to him, David reassumed the social identity of a boy.

The case of David Reimer has been used by the proponents of the “gender is inborn” (nature) theory as proof that they are right. We like to point out that what the story of David Reimer teaches us most clearly is how much people are harmed by being lied to and treated in inhumane ways. We don’t think we can ever predict, with absolute certainty, what gender identity a person will grow up to have. What we can predict with a good degree of certainty is that children who are treated with shame, secrecy, and lies will suffer at the hands of medical providers who may think they have the best of intentions and the best of theories.
David  Reimer  John  Money  gender  identity  construction  theory  human  experimentation  ethics  child  development  medical  research  fraud  bad  science  atrocity  careerism  intersex  parenting  medicine  behavioral  psychological 
february 2012 by Michael.Massing
ACCORD Travesty :: David Spero :: Diabetes Self-Management
I may say some nasty and completely true things about the medical establishment.
I only started paying attention [to the ACCORD study] when the intensive blood sugar control arm was canceled. The more I found out about it, the angrier I got...ACCORD is a great example of most of what is wrong with American medicine, and with the way our media covers it....
From the beginning, ACCORD was a drug trial. The study called for participants to receive diet and exercise counseling if they wanted it, but set no guidelines for the counseling. There was no self-management group. It was all, repeat all, about the drugs.[Encouraging participating doctors to unsystematically and aggressively prescribe multiple drugs all but guaranteed drug interactions and adverse effects.]
In February, NHLBI stopped the intensive blood sugar control arm because more of the participants in that group were dying than in the normal care group.
Then came the outrageous part: NHLBI and media dummies came out saying that the intensive group’s blood sugars had been too low....
What kind of madness is this? You throw scads of drugs at sick people, treating only their numbers, not their bodies and lives as a whole. Then, when they die, you say it couldn’t have been the drugs. It must be the numbers. And you tell people with diabetes to get their blood sugars up.
You better believe that if ACCORD had shown a 10% decrease in cardiac deaths from intensive blood glucose management with drugs, those drugs would have become standard therapy for every person with Type 2 in the country. Nobody in the media would have said, “It wasn’t the drugs.” The drug companies would have made billions. That was the goal of the trial.
A1c  risk  tight  control  David  Spero  research  criticism  health  literacy  peer-reviewed  science  diabetes  management  mortality  benefit  bad  corruption  medical  pharmaceutical  industry  news  media  journalism  reporting  drug  effects  adverse  healthcare  self  care  polypharmacy  outbasket  corporatism  capitalism  glucose  outbox  exercise  physical  activity  correlation  self-monitored  blood  monitoring  SMBG 
february 2012 by Michael.Massing
The Ultimate Example of Preventive Medicine | This Could Be Big - Yahoo! News
[David Agus, MD:] "Reimbursement for preventive medicine's always difficult in our country...[T]he problem is most people change health plans all the time. So if you're that health plan, why should you spend money on something that's not going to affect a person until a decade from now? And so one of things we really have to change is we have to push prevention... a heart attack costs hundreds of thousands of dollars. A couple hundred dollar tests along with a drug can prevent it. Obviously it's cost effective as a return on investment"....
[Bill Weir:] Since my HDL (good cholesterol) levels are in fine shape, he explained that I don't need a low-fat diet, but a "good-fat diet,"—olive oil, canola oil, [heart-smart] eggs and cold-water fish—eaten on a consistent schedule. When you have lunch at noon one day and 3 p.m. the next, you're releasing stress hormones that can hurt in the long run, Agus said.
Instead of hitting the gym hard in the morning and then sitting all day (which can be as bad for you as smoking), the doctor encourages more movement throughout the day....
And he ordered me to skip the fish oil capsules and multivitamin in favor of the freshest real food I can find.
"You're not vitamin deficient...You look at all the large studies with vitamins and most of them have caused problems rather than benefits. And you don't need to be on them. So real food, regular schedule, live healthy."
health  care  economics  prevention  risk  benefit  cost  supplements  diet  food  schedule  regularity  predictability  stress  hormones  good  fats  cardiovascular  heart  circulation  Bill  Weir  David  Agus  eggs  earnest  meal  planning 
january 2012 by Michael.Massing
American Babylon: Part 3
David Rockefeller became [CEO of Chase Manhattan Bank in 1969 and] became a leading figure in (if not the originator of) Nixon's policy of engagement with the Soviet Union and China. Rockefeller writes, "Nixon] regarded broadening commercial intercourse with the Soviet Union an integral element in his policy of détente. The Soviet leadership, hungry for access to the modern technology and capital resources of the West, were eager to oblige, and the framework for a trade treaty was incorporated in the agreements signed at the 1972 Moscow Summit that inaugurated a "new era in Soviet-American relations." [A commission worked] out the details that would lead to most-favored nation (MFN) status for the Soviets. <br />
In 1973 Rockefeller opened up a Chase branch in Moscow, and Chase also became the first American bank to sign an agreement with [China during Rockefeller's visit there the same year]. His bank would help to openly prop up International Communism for the next decade and a half.
history  David  Rockefeller  China  Communism  third-world  nationalism  smokescreen  cold  war  Richard  Nixon  USSR  Russia  Soviet  Union  economy  global  captialism  corporatism  Indonesia  imperialism  from delicious
june 2011 by Michael.Massing
American Babylon: Part 3
David Rockefeller became [CEO of Chase Manhattan Bank in 1969 and] became a leading figure in (if not the originator of) Nixon's policy of engagement with the Soviet Union and China. Rockefeller writes, "Nixon] regarded broadening commercial intercourse with the Soviet Union an integral element in his policy of détente. The Soviet leadership, hungry for access to the modern technology and capital resources of the West, were eager to oblige, and the framework for a trade treaty was incorporated in the agreements signed at the 1972 Moscow Summit that inaugurated a "new era in Soviet-American relations." [A commission worked] out the details that would lead to most-favored nation (MFN) status for the Soviets. <br />
In 1973 Rockefeller opened up a Chase branch in Moscow, and Chase also became the first American bank to sign an agreement with [China during Rockefeller's visit there the same year]. His bank would help to openly prop up International Communism for the next decade and a half.
history  David  Rockefeller  China  Communism  third-world  nationalism  smokescreen  cold  war  Richard  Nixon  USSR  Russia  Soviet  Union  economy  global  captialism  corporatism  Indonesia  imperialism  from delicious
june 2011 by Michael.Massing
Diabetes? Start Vinegar Now! :: Diabetes Self-Management
[Among insulin-resistant subjects, 20 g of apple cider vinegar, 40 g of water, and 1 tsp of saccharine with each meal reduced postprandial (after-meal) glucose 34%.]
Postprandial benefits had been found before. It was thought that vinegar might slow the absorption of carbohydrate into the blood, or slow the breakdown of starches into sugars[, mimicking] the effect of drugs like acarbose...
[In this 2004 ASU study,] vinegar reduced postprandial glucose more in subjects who were highly insulin resistant[, suggesting vinegar increases insulin sensitivity, as does] metformin.
Now studies have found that vinegar at bedtime reduces fasting blood glucose in the morning, indicating that vinegar might promote insulin production, like nateglinide...
[Apple cider vinegar has been touted for centuries for many health benefits, W]ine vinegar, rice vinegar, and white vinegar may be equally good, but] haven’t been studied. Balsamic vinegar apparently is not good; it’s too sugary.
insulin  resistance  blood  sugar  glucose  postprandial  supplements  vinegar  diet  medical  research  David  Spero  health  care  economics  folk  remedies  self  food  treatment  earnest  metformin  peer-reviewed  T2D  diabetes  drug  effects  type  2  from delicious
may 2011 by Michael.Massing
For the Veterans :: Diabetes Self-Management
Service in a war zone is stressful and traumatic, whether you are physically wounded or not. Feeling that you are in danger all the time will weaken your immune system and create insulin resistance...Using violence against others is also traumatic.
Trauma, if not treated and resolved, can leave your body stressed for life. It’s no wonder veterans have high rates of drinking and smoking, both of which are perceived as stress relievers. Some veterans may also medicate with sugars, which can temporarily reduce stress. But even without these problem behaviors, chronic stress tends to raise blood pressure and blood glucose levels.
Agent Orange was one major pollutant, but the Pentagon uses all kinds of chemicals and now uses [depleted uranium]. Many closed military bases become Superfund sites because they are so polluted. The communities near those bases suffer, but soldiers [who worked on those bases had even higher exposure. P]ollution has strong links with diabetes. [links]
veterans  health  war  pollution  stress  PTSD  diabetes  David  Spero  depression  pain  Agent  Orange  environmental  risk  factors  military  VA  benefits  brain  anxiety  self-medication  affective  mood  disorders  correlation  poison  etiology  environment  insulin  resistance  T2D  type  2  research  peer-reviewed  factor  public  cause  from delicious
april 2011 by Michael.Massing
Diabetes and the Brain :: Diabetes Self-Management
Whether an insulin shortage “causes [schizophrenia], contributes to the disease, or it’s the brain’s response to injury, we don’t know yet.... <br />
"[I]nsulin problems in the brain may, in turn, make people more vulnerable to Type 2 diabetes.” Lab mice modified to block insulin processing in the brain became obese and showed signs of diabetic insulin resistance. <br />
For a while, doctors were treating schizophrenia by putting people into insulin shock. Some, such as John Nash, Jr., the mathematician portrayed in the movie “A Beautiful Mind,” actually benefited, but up to 10% of the patients died, and by the early 1960’s the treatment had been stopped. <br />
In 2005, researchers at Psychiatric Genomics discovered that the same 14 genes that are missing in the brains of people with schizophrenia are also missing in muscle tissue of people with diabetes. In the lab, they were able to increase the availability of those genes by giving insulin, which could lead to new therapies for schizophrenia.
diabetes  brain  mental  illness  medical  research  David  Spero  treatment  comment  correlation  insulin  resistance  T2D  type  2  peer-reviewed  from delicious
april 2011 by Michael.Massing
Old, Weird Tech: John Muir Mechanical GTD Desk Edition - Alexis Madrigal - Technology - The Atlantic
I still indulged my love of mechanical inventions. I invented a desk in which the books I had to study were arrange in order at the beginning of each term. I also invented a bed which set me on my feet every morning at the hour determined on, and in dark winter mornings just as the bed set me on the floor it lighted a lamp. Then, after the minutes allowed for dressing had elapsed, a click was heard and the first book to be studied was pushed up from a rack below the top of the desk, thrown open, and allowed to remain there the number of minutes required. Then the machinery closed the book and allowed it to drop back into its stall, the moved the rack forward and threw up the next in order, and so on, all the day being divided according to the times of recitation, and time required and allotted to each study.
gadgets  Getting.Things.Done  John  Muir  David  Allen  via:mahu  from delicious
april 2011 by Michael.Massing
The Mystery of Coffee and Diabetes :: Diabetes Self-Management
I have type 2 diabetes. Did I "eat too much." per Dan Hon, or did I not drink enough coffee?
coffee  diabetes  medical  research  risk  benefit  David  Spero  factor  type  2  T2D  correlation  etiology  cause  from delicious
march 2011 by Michael.Massing
Why Health Care Markets Can Never Work | Dissident Voice
Prices will keep going up; unnecessary services will keep proliferating. Individuals, companies, and governments will continue to be bankrupted. Millions will be denied care for lack of funding. And free market advocates will keep saying the market is the answer to our healthcare crisis. <br />
Our society can decide that everyone is entitled to appropriate medical care, or not. But we can’t provide care to any except the very rich under this topsy-turvy anti-system. Costs will continue to spiral if sellers set the prices and make the purchasing decisions. Eventually we will run out of money, and eventually came about twenty years ago in the US. We’ve been paying medical bills on credit ever since. <br />
A sellers’ market can’t control costs. Instead, costs should be controlled, as they are in Europe, with rational, evidence-based decisions on what treatments are effective and affordable, and what they should cost.
healthcare  economics  David  Spero  single-payer  cost  benefit  politics  from delicious
march 2011 by Michael.Massing
Epidemiologic Relationships Between A1C and All-Cause Mortality During a Median 3.4-Year Follow-up of Glycemic Treatment in the ACCORD Trial
[In addition to the fatally flawed definition of "intensive treatment"—which was, as David Spero points out, entirely drug-based—it turns out that those who were dying in the "intensive" arm of the ACCORD study were sicker to begin with as measured by A1c.—DMM]
Various characteristics of the participants and the study sites at baseline had significant associations with the risk of mortality. Before and after adjustment for these covariates, a higher average on-treatment A1C was a stronger predictor of mortality than the A1C for the last interval of follow-up or the decrease of A1C in the first year. Higher average A1C was associated with greater risk of death. The risk of death with the intensive strategy increased approximately linearly from 6–9% A1C and appeared to be greater with the intensive than with the standard strategy only when average A1C was >7%.
A1c  risk  tight  control  David  Spero  research  criticism  health  literacy  peer-reviewed  science  diabetes  management  mortality  benefit  bad  corruption  medical  pharmaceutical  industry  reporting  journalism  news  media  etiology  epidemiology  correlation  factor  cause  from delicious
march 2011 by Michael.Massing
ACCORD eye study finds 2 therapies slow diabetic eye disease progression
In high-risk adults with type 2 diabetes, researchers have found that two therapies may slow the progression of diabetic retinopathy, an eye disease that is the leading cause of vision loss in working-age Americans.
Intensive blood sugar control reduced the progression of diabetic retinopathy compared with standard blood sugar control, and combination lipid therapy with a fibrate and statin also reduced disease progression compared with statin therapy alone. However, intensive blood pressure control provided no additional benefit to patients compared with standard blood pressure control.
[The discussion of increased mortality in the ACCORD study fails to address what David Spero has pointed out: that "intensive blood sugar control", as defined in the study, refers to intensive drug intervention, not the better patient education and management which can achieve the same ends.—DMM]
eyes  risk  benefit  fibrates  blood  sugar  tight  control  bad  science  reporting  David  Spero  comorbidities  complications  symptoms  statins  drug  effects  diabetes  late  end-stage  self  management  treatment  retinopathy  care  microvascular  nephropathy  outcomes  intensive  late-stage  peer-reviewed  research  type  2  in  vivo  situ  human  clinical  trial  glucose  morbidity  T2D  behavioral 
august 2010 by Michael.Massing
Cloud 109: David Hall - Disney's Dark Concept Artist
'Tim Burton's darkly gothic treatment of "Alice in Wonderland" got me to thinking about an earlier and even more disturbing vision of Carroll's classic text, where a visceral horror seems to attach itself to the fish eyed creatures that surround the little girl in the pinafore frock.
'[David Hall] was born in Ireland in 1905 and spent much of his life in the [US...Some of his earliest known work Hollywood work was] concept art for the 1933 production of King Kong....
'Disney,,,was intent on bringing a European sensibility into his feature length productions [and] was looking for a Rackhamesque feel to...the concept work that was going into the production of "Snow White", "Pinocchio" and "Bambi". He was also toying with the idea of making "Alice in Wonderland" into a feature, having [previously used] Carroll's text as a springboard for an animated series of shorts some ten years earlier with a live action girl propelled into an animated world under the title of "Alice's Wonderland".'
Alice  drawing  painting  Disney  animation  outbasket  books  adaptation  earnest  Lewis  Carroll  David  Hall  outbox 
june 2010 by Michael.Massing
Discrimination and Diabetes :: Maskarinec, G et al. Ethnicity and Disease 2009 :: via David Spero, Diabetes Self-Management
'[Diabetes is at least twice a prevalent] in some ethnic groups as it is in whites...even among people with similar body mass index (BMI) numbers....[I]n the journal Ethnicity and Disease...Gertraud Maskarinec, MD, PhD, [reports:] “the effects of body weight and diet appear to differ depending on an individual’s ethnic background. Moreover, differences in prevalence among different ethnic groups persisted in normal-weight and underweight participants"...In other words, there’s a lot more to Type 2 diabetes than weight.
The study reported on data from surveys of nearly 187,000 people in Hawaii and California. Of the total, 11.6% reported having diabetes. However, age-adjusted diabetes prevalence was 16.1% in Native Hawaiians, 15.8% in Latinos, 15% in African-Americans, 10.2% in Japanese-Hawaiians, and 6.3% in whites.
Of course (of course!), the researchers blame the differences on genes. If it's not fat that causes diabetes, what else could it be?'....
The reason ethnic minorities, low-income people, and unemployed people have so much diabetes is NOT mainly due to health behaviors. [A[ll behaviors combined explain less than 40% of the difference between the healthiest and the least healthy groups. The rest of it is due to the higher stress levels of, say, being an immigrant, being isolated, having economic difficulties, or being discriminated against.'
economics  healthcare  class  health  disparities  diabetes  weight  body  fat  David  Spero  Asian  Hispanic  Latino  Black  African-American  Native  Hawaiian  genetics  causation  stress  socioeconomic  status  bad  science  reporting  unsupported  conclusions  risk  etiology  culture  research  medical  biological  theory  ethnicity  demographics  race  poverty  epidemiology  racism  socioeconomics  criticism  racial  type  2  peer-reviewed  T2D  correlation  politics  disparity  mortality  morbidity  factor  genetic  treatment  diet  cause  SDH  determinants  of  factors  social  geography  environment 
march 2009 by Michael.Massing
The Science of Gaydar - New Research on Everything From Voice Pitch to Hair Whorl -- New York Magazine
Should one ever cite 'the late psychologist and sexologist' John Money without mentioning the disastrous consequences of his theories as applied to David Reimer? Still, a good overview with at least some space given to critiquing biological determinism.
brain  gay  gender  genetics  queer  rights  semiotics  John  Money  David  Reimer 
november 2007 by Michael.Massing

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