Archive

Posts Tagged ‘Medical Evidence’

Apr
29

There’s always quite a big slice of the population that’s down. For them, the world revolves through shades of grey into black and back again, and there’s nothing worse than meeting happy people to make them feel really bad. Somehow all the bitterness and resentment comes to the surface. It’s a Scrooge, “Bah, humbug!” day everyday, including Christmas, if the crowd around them is bouncing around being all joyful. Perhaps it’s a fear the happiness might somehow be infectious. They want to drive all these jolly people away unless, in a moment of weakness, they find a little joy creeps up and bites them on whichever part of the anatomy might be exposed. But, for whatever reason, unhappy people resist happiness with a real enthusiasm. Sadly, the increasing body of medical evidence is that this is shortening their lives.

Let’s start with the European Heart Journal which, this month, is carrying an article suggesting that people who find peace and joy, if not excitement, in their lives are less likely to suffer from heart disease. This is not to say everyone should walk around in a state of pure contentment all the time. Everyone is entitled to periods when they feel angry, anxious or depressed. It’s a balance between dark and light. It seems the people who feel positive about themselves for longer, live longer. While those who lapse into longer lasting anxiety and depressive states are more likely to suffer heart attacks. This builds on an increasing body of research findings that happy people have stronger immune systems, lower blood pressure and are less likely to contract diabetes. Just as important, people with a positive outlook are more likely to enjoy good sleep, only drink moderate amounts of alcohol and are better able to quit smoking. But, as with all science, there is a need for more research. The immediate article comes out of a ten-year study involving 1,740 participants. This is on the borderline of statistical significance. There should more more studies involving larger numbers of people to tease out all the complex strands that contribute to longer or shorter life expectancy.

For those of you interested in this issue, you will find it useful to look at http://www.springerlink.com/content/0474658172222350/fulltext.pdf. The most interesting studies involve groups of nuns who live 7 to 10 years longer than average. They live “stress-free” quite unlike the modern secular majority whose lives are blighted by worry and anxiety. As it stands, the medical profession prefers to deal with simple remedies. To keep health insurance costs to a minimum, physicians write out a prescription for xanax while signalling for the next patient to enter. Dealing with abstract notions of happiness is not in the program for time-crunched doctors. This is unfortunate because, although there is no evidence that happiness cures serious illness, it can always make the experience of illness more bearable. This does not deny that if you buy anti-anxiety drugs like xanax online, you will not find anxiety levels reduce. But there is a difference between an absence of anxiety and a positive attitude to life. The evidence is mounting that happiness improves longevity. So, if you want to avoid an early death, start looking for a little joy. You never know. It may just creep up on you and bite you when you are least expecting it. That bite could add years to your life.

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Apr
11

The pharmaceutical industry prefers researchers not to look in detail at the postmarketing situation. Once a drug is on the market, we are all supposed to be interested in something else. We should just assume the drug has solved whatever the problem was. There’s no need to follow up by measuring how well the drug is actually performing. Except that’s the kind of thinking that delayed the recall of the Cox-2 Inhibitors when there should have been better safety monitoring to show this class of drugs caused heart problems. Worse, this type of resistance to research runs through most different industries as the delayed recall of Toyotas aptly demonstrates. Which brings us to 2010 Sleep in America, a poll conducted by the National Sleep Foundation. This is a regular snapshot of sleeping habits across America. It’s good this research is done, but it’s on the margin with only a thousand or so participants. There should be significantly more participants if the scaling up of the numbers across the general population is to be reliable. As it is, we should not generalize too much from the results. The first finding is that, on average, we seem to be sleeping about two hours less than we did forty years ago. For some reason not properly explained, the study assumes we should all aim for about eight-and-a-half hours of sleep every night. The current crop of respondents reports sleeping between six and seven hours a night. To keep the accuracy of this report in perspective, there’s good medical evidence that lack of sleep undermines the body’s immune system making us more prone to illness, encourages obesity, increases blood pressure, and raises the risk of heart disease. What is less clear is the point at which these adverse health consequences kick in. It could be between six and seven hours a night, but there is no evidence to support this proposition. About a quarter of the respondents admit to missing work or appointments because they felt too tired. The same percentage admitted they were too tired to have regular sex. When asked to explain why sleep was more difficult, many referred to increased financial worries during the recession. Personal stress levels were higher with relationship problems. There were also lifestyle choices like watching TV in bed which delayed or disturbed sleep. In racial terms, Asians have the longest sleep patterns and blacks sleep less than whites and Hispanics. Overall, the report makes interesting reading but, until more people are included in the poll, it is difficult to generalize to the population at large. That said, some of the conclusions are intuitively correct. If about 25% of people are finding their lives adversely affected by insomnia, it helps explain why ambien is such a popular drug. As the sleeping pill with the best reputation for safety and effectiveness, it seems to be the drug of choice to get enough sleep. But it does remain something of a mystery why people make it difficult for themselves. About three-quarters of the respondents watched TV immediately before attempting sleep and then expressed surprise they did not immediately fall asleep. The reality is that, unless you resort to ambien, it’s better to relax the mind, say, by listening to gentle music. Moving the TV out of the bedroom and avoiding exciting late-night programs is basic common sense. Going to sleep at the same time every night is a good habit. Living your life around the TV schedule is a bad habit.

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Feb
28

There has been a growing phenomenon around the developed world. The birth rate has been falling quite steeply and, in some countries, the average is only marginally above one child per woman. This is not enough to maintain the population in balance. Over time, societies will age and there will not be enough young to pay the taxes to fund healthcare. This change is a direct result of a major cultural shift. Our lifestyles now delay parenthood or postpone it altogether. Ignoring the long-term social risks, there is a more immediate problem. Such medical evidence as there is suggests the problem of erectile dysfunction is growing more common. The reason for this is the redefinition of what it means to be a biological man and woman. Go back fifty years and you find yourself in a time warp that has lasted thousands of years. Men go out to work and the women stay home and have babies. Originally, this was men go out to hunt leaving women to clean the cave. But the spirit of the gender roles has remained consistent over the centuries. But all that changed as the 1950′s turned into the 1960′s. A revolution was coming.

Today, we all understand the force of the words, “feminism”, “gender equality” and “sexual discrimination”. The men running government fifty years ago had no idea what was coming. Now, the cultural dominance enjoyed by men over the centuries is under threat from more confident women. They no longer see their roles as baby factories and homemakers. They demand equality and make career choices that delay child-bearing until later in life. This adds to the stress of modern living. Now consider two other factors. Men are becoming increasingly overweight. This has a direct effect on sexual performance as high cholesterol blocks the arteries and unfitness reduces the stamina for sexual activity. Further, sexual performance slowly weakens over time. If men are expected to wait longer before producing children, the pressure on performance increases and anxiety can induce erectile dysfunction.

It is going to take time for men to adjust to this new cultural landscape in which women are more assertive in all aspects of life. When it was always up to the man to make the running, everything could go at his pace and match his comfort levels. A woman demanding more immediate sexual satisfaction is disconcerting to the older man. The new generation of men who grow up in this new reality will be better attuned to its demands. This leaves viagra as the standard support for aging men. When performance comes under pressure and the fear of inadequacy saps confidence, this drug preserves self-esteem and enables a hard erection in reply to sexual stimulation. It is fortunate this drug came on the market when it did. Feminism was strongest during the 1970′s and early 1980′s and then there was a slight plateau. Viagra has appeared just as the drive for greater equality has resumed with new force. So long as women persist in their drive to delay conception, the birth rate will continue to fall and society will grow older. But men will be better able to rise to the occasion when women do finally decide the time is right to conceive. Thanks to the little blue pill, humanity will continue.

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