Sunday, January 31, 2010

10 Get Fit Tips for 2010 from ConsumerReports.org

Prticipation in sport is associated with a with a 20—40% reduction in all-cause mortality compared with non-participation. Exercise might also be considered as a fifth vital sign, according to the Lancet: http://goo.gl/gyxYf

The text below consists of some edited excerpts from Consumer Reports and is illustrated with Amazon products:

- Take the stairs. Just 7 minutes a day of walking up stairs may help protect your heart. Only 6% of people take the stairs in public buildings.

- Weigh in. 75% of "successful weight losers" weigh themselves at least weekly. Frequent weigh-ins help you keep small weight gains from accumulating.

- Lose the TV. People who lost 10% of their weight and kept it off for five years or more had fewer TVs in their homes than overweight people.

- Try exercise toys. Dumbbells, resistance bands, a jump rope, stability balls, and more can be used to keep your workout interesting, particularly if you work out at home.















- Use an exercise machine: a treadmill, a bike, a ski machine, or an elliptical machine.















- Do your chores. You can trim your to-do list and your waistline at the same time. a half-hour of dusting burns about 75 calories; painting and decorating, 90 calories; vacuuming, 105 calories; and lawn-mowing, 165 calories.

- Get the right shoes.

- Be more social. People are happiest when exercising with people in their age group.

- Join a close-by gym.

References:
10 get-fit tips for 2010. Consumer Reports.

Related:

Saturday, January 30, 2010

Plantar Fasciitis - Mayo Clinic Video



"There's nothing like foot pain to make you crazy. That's what an expert at Mayo Clinic says he hears from patients who have a condition called plantar fasciitis [fashee-EYE-tis]. It's very common and can make walking across the room a miserable experience. What can you do about it?"

Related reading:

The Barefoot Running Revolution - INFOGRAPHIC  http://goo.gl/7SUGs

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Preoperative cardiac stress testing associated with improved one year survival and length of hospital stay if RCRI higher than 1 http://bit.ly/9WTjxQ

Among Internet users, 5% participated in online support group, 7% reported blogging, 23% used a social networking site http://bit.ly/c1rsRt

Stillbirth Linked To Gum Disease In Pregnant Mothers http://bit.ly/bPGsdW

Higher Ambulatory Care Co-payments Decrease Outpatient Visits but Increase Hospitalizations among the Elderly http://bit.ly/aaFLSU

Study: Doctors Reduce Working Hours As Medical Malpractice Risk Rises http://bit.ly/bFBpMG

What You Eat After Exercise Matters: Eating a low-carbohydrate meal may maximize the health benefits of exercise. http://bit.ly/bJmuWq

The Lancet: Commercially sponsored supplements are now firmly off this journal's agenda. http://bit.ly/d7xDlm

Combination lithium plus valproate or lithium alone more likely to prevent bipolar relapse than valproate monotherapy http://bit.ly/caONyx

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter:

Friday, January 29, 2010

More on Jackson and Hoffman

Sorry, it's hard to write a coherent post when I'm not exactly sure where it's going.

I did mean to address a few more points:

* As I said in the last post, I admire Jackson's ability to put herself thru college. This compares to Hoffman whose grandfather once chaired Geico insurance.
* I admit that the fact that if Cheryle fails to win this primary that means there won't be one African-American in the U.S. Senate...again...and that depresses me.
* Word from the Jackson camp (after they read my post) is that Jackson and Blago weren't on speaking terms as she left his administration and that changed only when she got to the Urban League position.

But one thing that I have been brewing and stewing on the last few weeks is that at the beginning of the race, the press set out three front runners: Jackson, Hoffman & Giannoulias. The two men swiftly went after Jackson for her Blago connections. Yes, it was an obvious angle to take. But honestly, I'm quite tired of seeing men candidates band together, planned or not, to take out the lone woman candidate. I also noticed that even after a Chicago Tribune poll showed that Jackson was in second place, that the media seems to simply ignore her. Well other than to talk about how she's not raising any money.

And I think that's what gets my goat the most.

It's not that I think women can't play the game, it's that I feel that women have a different set of rules and that they change on the fly. And that is why I essentially go into races like this, where I don't have an overwhelming favorite, trying to find a reason NOT to vote for the woman candidate.

Compare this to the Cook County race where we have two women running, two African American women running and the race is about the issues, qualifications and all the stuff you would think should be on the table. I know sometimes there is more than one woman to split the women's vote, but I think women as a voting bloc has evolved from that point. Especially when the two candidates are clearly so different.

As a woman and a woman of color, I must pay attention to these factors. "Taxation without representation" isn't just a slogan, it's a reality for far too many communities in this country.

I'm trying to decide who to vote for between Hoffman & Jackson for US Senate

One reason why I like to bring my political decisions to this blog is that frankly a lot of people ask me my opinion in real life, so I figure some of you might be curious as well. I also like to solicit thoughts from my readers as well. Today is Friday, only four more days until election day. According to Tom Skilling, Tuesday looks to be sunny and not too cold. This is GREAT for turn out. But even if I can skip my way to my polling station, I still don't know who to vote for in the Democratic primary for the U.S. Senate. According to a Chicago Tribune poll, it looks like I'm not the only undecided! So let's dive in:

CANDIDATES:

Robert Marshall: Opposes gun control and is frankly not a known entity. While I do root for the lil guy, I think Marshall is too little in this big race.

Jacob Meister: I think he was the first candidate to follow me on Twitter, so he gets points for that. Really, if a candidate is smart enough to use social media in the campaign, hopefully that means she/he will be smart enough to continue to use it to communicate to their constituents. I also like what he has to say on issues, especially prison reform. It's a start. I also like how feisty he was in the ABC 7 debate. Alas, he also lacks in name recognition and is woefully down in the polls.Again, I like my underdogs, but only so far.

Alexi Giannoulias: Obama's basketball buddy. I didn't support his Treasurer run and I won't vote for him in this race either. Not only do I get a bad feeling about him, but recent new issues with his family's bank are going to be a huge issue in a general election, especially up against Rep. Mark Kirk. I know the polls say one thing right now, but November is a long way off. The downside to an early primary is that leaves a LONG time for the candidates to beat each other up.

And here is where this feminist is up the river and on a fence. As I said in my Cook County post last week, it's hard to find the perfect feminist candidate. Mostly because there is no such thing as a perfect feminist. I've moved beyond supporting a woman candidate just because we may share some plumbing, but I also still prefer to vote for women because our representation is just so lacking in most venues. So I start with the woman candidate and tally up her pluses and minuses.

Cheryle Jackson: Good on most of the issues except marriage equality. As a NOW member and former NOW board member, I know how important it is to elect someone who wants full marriage for same sex couples and not civil unions.

She also put herself thru college. Since I did that myself, I always give candidates props for that fact. Hopefully that means they remember that struggle when crafting policy that impacts higher education and young workers.

Her big bad seems to be that she worked for Blagojevich, in fact she was his spokesperson. The question is how much did she know? I don't know if we can know that answer. The next question is can we trust her? 

David Hoffman: He's good on the issues and supports marriage equality. He made some mistakes early on in the campaign that soured me, but as the Chicago Tribune says in reaction to a Giannoulias ad, Hoffman apologized.

**
On Afghanistan, Jackson would call for troops to come home immediately, but Hoffman says it's not realistic. And honestly I struggle with that issue every day. I feel like Jackson, but think like Hoffman. I want to support bringing the troops home now.

So I think you can see why I'm struggling with my decision. I think that both candidates would make excellent senators.

I am thinking about who would be able to stand up to Mark Kirk. He's going to be formidable. While the Tea Baggers won't like him, they will love handing President Obama a loss in his home state. What will be a bigger liability? Having your family bank bailed out? Working for Blagojevich? 

GAH!! 

Sorry, I hit publish too soon. Came back to add:

Endorsements
I take them with a grain of salt. Except that Hoffman has a ton of endorsements and most of the newspapers. This tells me that he can handle the questioning that, gawd, I hope, happens when up against a newspaper board. Jackson has some key names on her list, but it's not a lengthy list. 

Slideshow: Practicing Medicine in the Web 2.0 Era

There are few people who are more innovative in using the Internet for medical education than Berci Mesko. He is very gracious to list me among his mentors but this is one case where the mentee has far surpassed the mentor's achievements. Berci is the founder of the RSS-powered medical journal called PeRSSonalized Medicine and the web-advisory portal Webicina.com.

This visually-entertaining presentation is about the use of Web 2.0 by physicians, healthcare workers and patients:

Practicing Medicine in the Web 2.0 Era

View more documents from Bertalan Mesko.
References:
Medicine 2.0. ScienceRoll.com.

Related books:

Thursday, January 28, 2010

Pumpkin and Goat Cheese Risotto

I can't believe, ok maybe I can, that I forgot to post this recipe that I made a few months ago. My thoughts on it are YUM! What I learned from making my first risotto from scratch: When the recipe says to cut into small pieces, DO IT. I don't think the taste would had been as strong if I had cut the pumpkin pieces into smaller bits. I do this a lot when cooking, take shortcuts like the cutting. I learned my lesson! I also learned that my family does not like risotto. This recipe also produces A LOT of risotto. For my family of three, I should make a half recipe at most. Of course now I need to figure out what a single serving looks like.

If you make this recipe, let me know how it turns out for you!



Animation: Human Body as a Machine



Animation: Human Body as a Machine (best viewed in full screen)

Fritz Kahn, a German gynecologist born in 1888, was a famous medical illustrator. More than 100 years later, Henning Lederer, an audiovisual artist, paid tribute to his genius by creating the video above based on Kahn’s work.

Link via ScienceRoll.com.

Related books:

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

How Exercising Keeps Your Cells Young. Regular physical activity can have a profound effect on cellular aging. http://bit.ly/dkLUJw

Using ear drops to remove impacted ear wax is better than no treatment, but no particular drops can be recommended http://bit.ly/dCjcJ0

FDA approved Victoza (liraglutide), a once-daily injection to treat type 2 diabetes http://bit.ly/5b09pa

A doctor shares his own experience as a patient with LASIK and PRK http://bit.ly/9VfCgs

"Doctors who are not on Facebook, Twitter and blogs risk becoming irrelevant" - USA Today http://bit.ly/98flBN - I don't think so. Web is global but most medicine is local. For example, a nephrologist thought Twitter would be a useful tool for promoting his practice but it did not work: http://bit.ly/6uOP3W - Medicine is still local.

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter:

Wednesday, January 27, 2010

Video tour of the Cleveland Clinics new heart center with its architects



"Take a video tour of the Cleveland Clinics new heart center with NBBJ architects Edwin Beltran, senior associate, and Lisa Baker, ASID, IIDA. The nearly 1-million-square-foot Miller Family Pavilion serves as the main entrance to Cleveland Clinic and the home of the Cleveland Clinic Heart & Vascular Institute.

The double-height main lobby is bright with soaring luminous white walls, terrazzo floors, frosted interior glass, and floor-to-ceiling windows that infuse the space with natural light."

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Drivers take their eyes off the road for 4.6 seconds out of every 6 seconds while texting, increases crash risk 20 times. Drivers of commercial trucks and buses will be prohibited from texting under U.S. federal guidelines - CNN http://goo.gl/PCnp

57% of diabetes patients are intentionally skipping insulin injections they know they should take http://goo.gl/mG1A

Catheter Ablation Is Better Than Medications at Treating Some Atrial Fibrillation Patients - WebMD http://bit.ly/aFgy05

Hard lessons, humility for big-city doctors in Haiti: "I came here a very fancy doctor, I'm leaving as a humble man" http://bit.ly/cXDfLn

"Weird home cures" http://bit.ly/5WC0oF - Useful info to get an idea what patients may have tried before they see a doctor.

Herbal use common among pregnant women in U.S. - 1 in 10 expose their unborn baby to herbal products http://bit.ly/aeShyJ

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter:

Tuesday, January 26, 2010

What Media Need: Quote-worthy, Credible Experts

On Ragan.com today, Lindsey Miller reports that PR pros now have a third service to use to get their clients in front of the media. Newly launched Reporter Connection joins Help Out A Reporter (HARO) and Profnet as the newest online resource providing a deadline-intensive window into the world of breaking news. All three connect reporters to PR people, who want to position their experts for stories. Knowing about these leads is only part of the battle; you have to come up with thoughtful, well written and persuasive pitches that stand out. Only then can you convince the journalist that your source has a unique take on the trend and is quote-worthy.

I have used both Profnet (as a paid subscriber through PR Newswire) and HARO, a free service run since 2008 by Peter Shankman). A nice attribute Profnet offers is being able to post a short bio on your expert that subscribers can access anytime. Both HARO and Profnet organize leads by category and push out digests of these new leads to their subscriber base daily (sometimes more often).  I love the breadth and scope of HARO's base of journalists and the fact that it is a free service. Anytime you can position a client as a resource to the media and help them make their story better is a win-win for you as a PR professional and for the reporter.

The journalist-PR pro exchange is always a delicate (and sometimes tense) dance of give and take, where the reporter needs sources, but he or she doesn't always have time to make nice with PR folks, especially if in return they will find their inbox flooded with press releases. On the other hand, public relations professionals are paid to raise their clients' profile, but they need to do it with the long-term picture in mind. It's unreasonable to expect a steady stream of in-depth profiles. Clients need to know that they must invest their time and their knowledge without the immediate expectation that they will be the article's main attraction. More likely, they may get a well-placed quote in the context of a larger trend story. When working with journalists, it's critical to find out what their hot buttons are and educate clients on how the news cycle works.  Put simply, it's not about us.


"What I like about Profnet and HARO is they do give you a chance to see a story in progress and decide if you have an expert who can help with that story, which as a good PR person, you want your clients to be resources for stories," says Mitch Leff, owner of Atlanta-based Mitch's Media Match.com, the local Atlanta equivalent of these national services.

Mitch started his service a few years ago after local media told him they wanted local sources for stories. His service has 150 experts, representing a diverse range of industries, including education, economics, real estate, sports and healthcare."One interesting thing I found after I launched the service is there are a lot of media requests for a general reaction, so I created a separate category of 'man-on-the-street' type queries. The AJC does a lot of stories about jobs and employment and they like to quote real people who have recently lost or got a job, for example."

Building a relationship with reporters is key.  "If you want to be a part of a story, you want to pitch how your expert can be part of that story.  Not every story is going to be about your company," Mitch says.

Clearly, as newspaper pages (and the number of papers) continue to shrink, it's becoming more and more important to build a relationship with reporters, Mitch says.

Some PR pros I spoke with disagree, noting that the relationship building, while nice, may be challenging given that there are fewer journalists to reach, and those who are on a news desk today could be reassigned or riffed tomorrow. In addition, these media workers have less time to build rapport than ever before, given that many are writing for multiple beats and are expected to produce content for both print and online channels. Your story angle and the quality of your source are king.

"It's nice to build relationships, but you have to come to a reporter with something real; they don't have time to just relationship build," notes Dan Marcus, president of Marcus Associates LLC., a 10-year communications and marketing consulting firm based in Connecticut. Dan ran PR for PanAmSat prior to starting his own company. Before that, he was a journalist."I've worked a lot with financial columnists and I always approach them in the context of what they're writing about."

Everyone agrees that a great starting point is to know what the reporters want to talk about. Check out the resources above and tell me what you think.

Metallica drummer struggles with tinnitus: "Once your hearing is gone, it's gone"



From CNN:

"I've been playing loud rock music for the better part of 35 years," said Ulrich, 46, drummer for the heavy metal band Metallica. "I never used to play with any kind of protection."

Early in his career, without protection for his ears, the loud noise began to follow Ulrich off-stage. "It's this constant ringing in the ears," Ulrich said. "It never sort of goes away. It never just stops." It is a condition called tinnitus, a perception of sound where there is none.

"I try to point out to younger kids ... once your hearing is gone, it's gone, and there's no real remedy."

The military is generating a tremendous number of tinnitus patients."

References:

Metallica drummer struggles with ringing in ears. CNN.
Tinnitus relief: Suggestions for patients. CCJM, 2011.
Noise Chart as It Relates to Hearing Damage and Hearing Loss http://goo.gl/tjZh1

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Nephrologists Using Social Media Connect with Far-Flung Colleagues, Health Care Consumers http://bit.ly/6uOP3W

The 2009 Medical Weblog Awards Finalists by Medgadget http://bit.ly/738YM0

Withdrawal of sibutramine leaves European doctors with just one obesity drug - BMJ http://goo.gl/mNg0

Histoptysis or oncoptysis: suggested terms for tissue expectoration of abnormal tissue leading to pulmonary diagnosis http://goo.gl/AGxk

Diuretics plus calcium channel blockers (D+CCB) were associated with a higher risk of MI than D+BB and D+ACEi http://goo.gl/Uy5r

Teen Drinking May Cause Irreversible Brain Damage - NPR http://goo.gl/BhI6

Human history: hunter-gatherer men of Europe could not compete with farmers made attractive by their new technology http://bit.ly/7NcQKo

Up to 16% of mentally healthy children and teens may hear voices - British Journal of Psychiatry http://bit.ly/4Tgqyr

Wisdom, openness and life satisfaction are positively intertwined - from the Journal of Happiness Studies http://bit.ly/7J9Kzn        

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter:

Google Chrome Gets More Than 1,500 Extensions and Bookmark Sync

Google Chrome (version 4) now includes two of the browser's most frequently requested features: extensions and bookmark sync.

Extensions

Extensions let you add new features and functions to your browser. Some provide one-click access to some of your favorite web applications like Twitter, or news and information sources such as NPR. Others are useful tweaks for performing common online tasks such as browsing photos, getting directions or shopping.

Now you can browse over 1,500 items in the extensions gallery and install them on the stable version of Google Chrome.


Using Extensions on Google Chrome

Some of the extensions I installed:

Forecastfox Weather
Feedly
Google Share Button
Google Voice (by Google)
NPR: News, Music and Books
RSS Subscription Extension (by Google)
Page Rank
AdBlock by gundlach

Bookmark sync

Bookmark sync is a handy feature for those of you who use several computers — say, a laptop at work and a desktop at home. You can enable bookmark sync to synchronize your bookmarks on all of your computers so that when you create a bookmark on one computer, it's automatically added across all your computers. This means that you won't need to manually recreate the bookmark each time you switch computers.


Bookmark sync for Google Chrome

References:
Over 1,500 new features for Google Chrome
Extensions, bookmark sync and more for Google Chrome

Updated: 03/02/2010

Monday, January 25, 2010

Ideas

WOW...two days in a row of blogging original stuff for y'all? Imagine that!

A few months ago I was telling Cinnamon that I wasn't the idea gal. I was the administrative gal. You get the idea, I'll make it work. Of course that totally jinxed me and in the middle of one of the most stressful times of my life.

As you may know I work for a state institution and well, Illinois is second to only California for being in a fiscal crisis. As of now, I am personally not in any danger of losing my job, but I am responsible for bringing in money that will impact my colleague's jobs. If it was just me, I wouldn't be as stressed honestly. So I'm gearing up for a February that will be full of writing and data analysis. Hopefully I can get all the data I need!

And of course this is when my mind would start to be creative, right?

OK, honestly one idea has been percolating for almost a year now, but it kinda crystallized tonight. And another idea, well, I mentioned it to a group of people a few years ago and someone ran with it. Althou it's not running the way I pictured it, so I'm kinda thinking I should try again. But it'll be a big project.

Then of course there's grad school. Oh those pesky GREs are taunting me. The preposterous thing is that I think I can actually link all these ideas together for grad school. Maybe.

But time is not on my side for the first two. You may not believe me, but I have honestly been sitting on my hands for a few years. I hope that I finally stand up and make a run for it.

CNN video: TV doctors' dual role in Haiti

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Advances in multiple sclerosis treatment from NEJM: Treatment with cladribine tablets reduced MS relapse rates, the risk of disability progression, and MRI measures http://bit.ly/8g2lyG -- Oral fingolimod improved the MS relapse rate, the risk of disability progression, and end points on MRI http://bit.ly/7RNMyr -- Oral fingolimod was superior to interferon beta-1a IM with respect to relapse rates and MRI outcomes in MS http://bit.ly/6DFJCj

Addition of monoclonal antibodies against C. difficile toxins to antibiotics reduced the recurrence of C. diff. http://bit.ly/7TCPxg

Erythropoiesis-Stimulating Agents — Time for a Reevaluation - NEJM http://bit.ly/4Ig0aq

Accelerating the Use of Electronic Health Records in Physician Practices - NEJM http://bit.ly/8YuxCX  

More than 1,400 protein-rich insect species are regularly enjoyed as food by humans around the world http://bit.ly/8N2BVK

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter:

Web 2.0/Social media tools for scientists

@Berci asked: "Will talk about science 2.0 for scientists on Wednesday. Any suggestions what to cover beside the obvious things (RSS, Twitter, etc.)?"

Beyond the obvious:

- Google Docs for manuscript collaboration and data sharing.

- Google Trends for research. We have some very interesting data from Google Trends regarding prevalence of allergic diseases - it is very useful for hypothesis generation and is free. Google Trends use does not require an IRB approval or patient consent and therefore the research process can be quicker.

- Google Chrome has become my preferred browser, I don't store many files locally, work from the cloud (Google Docs) and move bookmarks between computers.


Video: Google Docs in Plain English.

Updated: 02/12/2010

Sunday, January 24, 2010

Feminist Parenting: Teaching History

As many of you know, I named my daughter after Elizabeth Cady Stanton. This wasn't in pure ignorance of Stanton's racist and classist argument for women getting the vote before Black men. It was rather in recognition of her igniting a movement that still lives today and brought us, women & men, so much. This spring she had to pick a topic for a research project. She picked three topics and her teacher chose Elizabeth Cady Stanton.

This weekend we were filling out the information sheets that make up her project and reading through the two books she has on Stanton & suffrage when she asked the $64,000 question. "She wanted everyone to be equal right?"

I've never had any thought of telling her about Stanton thru rose colored glasses. Far from it. I guess I didn't think she'd bring up the equality question. But I should have known better.

Luckily one of the books she has is If You Lived When Women Won Their Rights by Anne Kamma. In it one of the questions is about why Stanton and others were upset after the Civil War and the Constitution would be changed only for men. It handles it pretty well by previously discussing how most of the suffragists were also abolitionists and how Sojourner Truth was upset as well. I added in that Stanton also felt it wasn't right that uneducated men would be allowed to vote before educated women like her.

The kid was shocked.

And I didn't even think to touch on Stanton & Anthony's partnership with racists in the West. But we did discuss, after her daddy mentioned it, that back in that time, the only people who really could afford to be educated were people with money. She was then quite offended that she was named after Stanton and said, "I think I'll just think that I was named after the Queen Elizabeth."

Her dad & I laughed as I said, "Oh, mija, if you think what Elizabeth Cady Stanton did was bad, just wait till you learn about Queens."

I went into how everyone, Mom and Dad, Elizabeth Cady Stanton and Martin Luther King Jr. are all human beings. No one is perfect. 

I don't remember how we got back to her actual homework assignment, but we did. I know while the conversation is over for now, she's thinking about what she discovered.

And then I started to ponder how much harder it might be to tell her about my own failings one day.

This parenting thing is hard peeps. Really.

Clarification:  Other reasons that went into choosing the name Elizabeth included Elizabeth Bradford from Eight is Enough (yes, seriously), that Elizabeth is a versatile name, that Elizabeth is a strong name and that Elizabeth can be shortened to Buffy.

Saturday, January 23, 2010

Why I Give to Women-Focused Relief Organizations


This was originally posted at the AWEARNESS blog. Click on over, the only comment I've gotten is from someone calling me sexist. Thanks to all the Twitter love I got!

Edited on Feb 1, 2010 to add: I'll be adding articles at the bottom on women-centered giving or relief efforts in Haiti. 

When the earthquake hit Haiti last week I decided to direct my giving toward CARE, an organization that focuses its work on women. Some will question why I don't give right to the Red Cross, a very worthy organization. The honest answer is that I want to give my money to an organization who will put women and mothers as a priority. It's not a sexist statement, as much as a truth that reflects our gendered world.

Women are the caregivers of not just their families, but also of their communities around the world. Women know who lived where, who needs help, and so much more vital information that relief organizations require. Add in the fact that with globalization of our economy there are many parts of our world where women far outnumber men due to men immigrating to big cities or other countries, and well, you see how women get left at home to hold things together. When women do immigrate for paying jobs, they leave farming behind, hurting the community. Bottom line, when you put money into women's well-bring it impacts the entire community.

That is why I sent and will continue to send money to CARE. A gendered response is necessary. It doesn't mean that men and boys aren't important. Far from it. It means that women do have certain needs that men don't -- pregnancy, motherhood, and menstruation for starters -- that need addressing. When I give to women-focused agencies, I know they will make sure that women's needs are addressed.

I understand that you may think it's wrong to see this tragedy through a gendered lens, but the impacts will be gendered. And regardless of what you think of me, I hope you will give as generously as possible to whichever organization you support. Long after the cameras stop rolling and Anderson Cooper comes home, Haiti will continue to need us.

Edited on Jan 25:

Women eNews has an excellent article on how the Haiti quake is impacting pregnant women. For those of you still questioning the need for a gendered response (mind you NOT one that ignores men, but instead deals with the harsh realities that women face more often then men) I ask you to read the article. Here is one excerpt:
Of the 3 million people affected by the 7.0-magnitude earthquake that hit Haiti, and the aftershocks that continued as recently as Jan. 20, an estimated 63,000 are pregnant women. In the month ahead, 7,000 women are expected to deliver. Giving birth or seeking prenatal care in a city where even the presidential plaza is destroyed poses countless risks to women in Port-au-Prince and throughout the quake region. The New-York based UNFPA has spearheaded efforts to help minimize the risks these women face.
 Cartoon by Mikhaela B. Reid

Edited on Feb 1, 2010


From the Chicago Sun-Times: Relief workers began handing out women-only food coupons, launching a new phase of what they hope will be less cutthroat aid distribution to ensure that families and the weak get supplies following Haiti's devastating earthquake.

Young men often force their way to the front of aid delivery lines or steal from it from others, meaning aid doesn't reach the neediest at rough-and-tumble distribution centers, according to aid groups.


From Women eNews: With 45 percent of Haitian households headed by women, a number of United Nations agencies are targeting their relief efforts at Haitian women to help them overcome their human and material losses from the recent earthquake.


"They are the ones who are the economic as well as the psychological mainstay of children and other dependents, the aged and the sick," said Roberta Clarke, regional program director for the United Nations Development Fund for Women, or UNIFEM.

From Feminist Peace Network: In Continuing To Address The Needs In Haiti From A Gender-Informed Lens FPN is also linking to stories about gendered relief efforts.

Criminals in Haiti 'raping quake survivors and trafficking children':
Criminals in Haiti are preying on vulnerable earthquake survivors, even raping women, in makeshift camps set up in Port-au-Prince after the disaster.

"With the blackout that's befallen the Haitian capital, bandits are taking advantage to harass and rape women and young girls under the tents," Haiti’s police, chief Mario Andresol, said yesterday.


Blog for Choice: Lifetime shouldn't raise awareness with a lie

This was originally posted at the AWEARNESS blog


Do you remember the pregnancy pact story? A group of teen girls in one high school decided to get pregnant at the same time? I do. I also remember it turned out to be a myth, a hoax, a lie. That didn't deter Lifetime though.

blogforchoice2010.PNGJust in time for Blog for Choice celebrations, Lifetime will premiere a movie "based on" the fictional events about the pregnancy pact. Lifetime responded to criticism by saying that the movie is about raising awareness about teen pregnancy. But how, really? Making a fictional movie about something that was a hoax to raise awareness about a real problem? What's next? A movie about Balloon Boy to raise awareness about Amber Alerts?

That's not to diminish the cost and impact of teen pregnancy. Teen pregnancy is a serious issue that requires serious solutions, including supporting teen parents with child care and access to further education. But by basing a movie on a hoax that played on the idea that our teens are all running wild with the sex, well, it seems to miss the point. Chances are that a lot of concerned parents will end up watching and I do hope they take the chance to learn more about the issue and talk to their children, sons and daughters, about preventing pregnancy, teens access to contraception and the status of sex education in schools.

That said, I'll be tuning in to watch. Look for my tweets!

CNN video: Top 10 foods for your heart

Friday, January 22, 2010

Thoughts on the Cook County Board President Forum

Despite all the candidates (R, D, G) confirming their attendance, only four showed up for a forum to discuss how their administration would address violence against women, girls and the LGBTQ community. The forum was cosponsored by Chicago Foundation for Women, Center on Halsted, Chicago Alliance Against Sexual Exploitation, Chicago Metropolitan Battered Women's Network, Loyola University Chicago and Rape Victim Advocates.

Toni Preckwinkle, Dorothy Brown (arrived late), Tom Tresser, and Todd Stroger answered questions by the fabulous moderator Kimbriell Kelly (Editor, The Chicago Reporter). I have to start out my post with major props to Kimbriell. As a journalist, she exhibited what one should expect from the fourth estate - she knew her topic and pressed the candidates for real answers. And believe me, that was tough to do.

Due to life, I ended up taking the kid with me to the forum. About half way thru she left with her dad to grab some food and focus on her homework. When I caught up with them she asked, "So who won?"

SUMMARY
I would have to give this one to Preckwinkle. Given her opponents, she could have taken a nap in the middle and still won. She was organized, knew her audience and gave thoughtful answers to most questions. Second place would have to go to Brown as she did have some answers althou she could never get "LGBTQ" to roll off her tongue correctly. I know even I get tongue tied with the acronym at times, but being a candidate, you should practice this one over and over. Third place goes to Stroger because he attempted to answer the questions. Last place obviously goes to Tresser and that fact really hurts, which I'll explain later.

Q&A
This first question asked the candidates to state what they would do in their first 90 days. Stroger said he's done a lot to reach out to the community in the last three years. He also called for a community meeting. Preckwinkle said she'd address issue that women don't report rapes & other violent crimes, work on incarcerating only violent offenders, remove non-violent offenders & focus on drug treatment, education/training and home monitoring. Tresser responded by talking about corruption and that he wasn't taking money from PACs, unions or had the support of Madigan (he held up the front page of the Chicago Tribune for effect). The moderator followed up with him about the issue - violence against women, girls & the LGBTQ community. Tresser continued with his anti-corruption talking points, but also interjected that the people in the room should be the ones in charge at the County. Preckwinkle added in that she would begin by addressing rape as a member of her family was raped and the justice system failed her, thus she went to civil court for justice. She followed up that neither her or Stroger had Madigan money or support.

OPENING STATEMENTS
Since Brown came in late, the opening statements were actually after the first question. Brown mentioned that she had been a victim of teen dating violence and that her office has a violence liaison.. Tresser stated that this was his first run at elected office and reminded us that he fought against the Olympics for a year. Preckwinkle talked about how she has worked to rebuild her ward, wants to repeal the Stroger tax, look at new revenue streams and make the independent health panel permanent. I missed Stroger's statement.

BACK TO Q&A

The next issue was violence and sexual assault against LGBTQ youth at our youth detention centers. Stroger said his hands were tied due to federal jurisdiction/oversight.Preckwinkle said that better training is needed.

Asked who should be prosecuted in the youth prostitute - pimp - john relationship, Tresser returned to his message that advocates in the room should be in charge and when pressed said that we need to address the issues that result in youth living on the streets and finding themselves in the sex trade. Brown talked about a need for alternatives. Preckwinkle called current laws that focus on prosecuting prostitutes as sexist.

Now here was an unbelievable moment in the forum. The candidates were asked about four pending federal lawsuits from women shackled during labor while incarcerated. Stroger, our current Cook County President, claimed that he had no knowledge of the issue or lawsuits. He said that he will talk with the Sheriff right away! Preckwinkle said she would settled the lawsuits and then cited a a program from Washington state that allows incarcerated new moms to keep their newborns with them for a time being. Does the Alderman read Ms. magazine? Brown said she can't believe it is happening and said that even if it was legal, it's a bad practice period. Tresser said he'd zero out the Sheriff's budget until the practice was stopped. Brown & Stroger then jumped in to explain why that just can't happen and thus why his tax increase was and still is needed. Brown disagreed on that last point.

When asked to address the historical lack of support for domestic violence and rape survivors in the county, Preckwinkle discussed her idea of setting up a way to support community organizations and a model that the city uses which honestly I got a bit confused about. I would love feedback from providers on this one! Stroger said he has six people looking for grants right now and would make sure there was a focus on DV issues. Tresser said no need to wait for grants, just cut out corruption which wastes up to 10% of our budget!


The last question from the moderator asked how each candidate would address the obstacles survivors and agencies face when attempting to gather information from the Cook County State Attorney’s office. Stroger stated that the state attorney can’t without information and with a new law that was passed in the state assembly, almost everything is available. The moderator jumped in to make the point that while the Freedom of Information Act is a tool, FOIA requests are often challenged and not as simple as Stroger made it sound. Preckwinkle made a point to state that the President is just one person on the board and that there are about 9 other elected officials in the county. She called for more training. Brown said she would work with advocates to change the laws. She would also work with the Commission on the Status of Women (If she meant the state commission, it was disbanded by Blagovich) and the Cook County women’s relations office. Brown also mentioned that we needed to have high ethics . Tresser sang his anti-corruption song and said he would put everything he could on the internet.

AUDIENCE QUESTIONS
How would you address the role of men in fighting violence against women and girls? 

Preckwinkle returned to goal of reducing the non-violent offender population in the jail system so there was room to incarcerate violent offenders. Brown mentioned rehabilitation of offenders, especially juveniles, while they are incarcerated.

President Stroger, please address what progress your administration has made in addressing violence against women, girls & the LGBT community.

Stroger replied that he gave Sheriff Dart the ability to hold johns more accountable by towing cars and fining the men. Said that we need a holistic approach to women in the sex trade, they need services.

How will you provide violence against women service providers when the state fails to hold up their end of the funding equation?

Tresser said simply, “VOTE GREEN!” He then said that the County President should be in DC to get money. Also said we need to get the churches involved and tell men to just stop. There were some other responses, but no one really answered it.

The next question asked if the candidates felt that one way to combat bad media images of women and LGBT persons was to incorporate gender sensitivity education to elementary schools. 

Brown said YES! She thinks that we should be teaching character education in schools as well as tolerance for everyone. Stroger put the blame on parents who listen to terrible music which fuels the difference fire. He called it “hateful noise labeled as entertainment” that targets gender, color and LGBT persons.

How will you address women with disabilities and the abuse they face in nursing homes and battling the nursing home lobby?

Preckwinkle: We need to segregate the populations: mentally ill, LGBTQ and those with disabilities. We need state legislation to help screening of employees and remain vigilant on hiring employees.

A senior from Dunbar asked about school-based health centers and how will each candidate support them as President. 

Preckwinkle said she thought they were wonderful ideas and would support expanding them. She sees them as part of strengthening a community since schools are the heart of communities. She especially liked the idea of high school based ones since it allows for ease of access to health facilities for teens who may have a hard time talking to their parents about obtaining birth control or treatment for STDs.

CLOSING STATEMENTS
Brown said that she couldn’t stay for the reception afterward because she was hosting an online townhall meeting and would continue to connect with voters thru online townhalls. She wants to reform the justice system, create more jobs and help small businesses.

Preckwinkle thanked everyone for attending and restated her independence. She quoted one of the newspaper endorsements she received where it was stated that she had the best chance to fight corruption.

Stroger pointed out that while the state and city have turned to furloughs and blackout dates, the county is economically sound. He has helped many people with their mortgages. He said he was a good fiscal manager.

Tresser said to go Green…again.

THOUGHTS
Being a feminist is hard when it comes to electoral politics. It’s hard when we have a two party system that caters to a huge moderate population. This often means that we can only go so far with feminist action. Abortion? Sure, but only if you can pay for it yourself missy. Child care? Sure, but only if you can afford a safe placement. Family leave? Darn tooting! But again, it’s on your dime. The President of the United States calls himself a feminist and yet he allowed the religious forces in this country to throw women under the bus during recent healthcare reform negotiations. In the recent Massachusetts Senatorial race, I heard from feminists who felt that Coakley just wasn’t good enough, that she had a track record that showed she said feminist things, but did otherwise. Some feminists feel that having a known enemy is better than being swept off our feet by a feminist candidate only to be left heartbroken by their actions (ahem, Mr. President!). We are very good at maintaining the status quo as we saw in the second Bush administration. Yes, we lost ground, but we also held back the bigger flood we feared would drown us to Gilead. The first year of the Obama administration was a disappointment, to say the least, when we felt that we could push our issues in a progressive direction.

That leaves many feminists to ponder what the hell to do when it comes to elections. Should we start our own party? Do we back third parties? For me, unless a candidate jumps out at me as awesome, I always investigate if the Green Party has a candidate. As someone who was against the Olympics, I saw what Tom Tresser was doing and had to tip my hat at his work. In 2006, I voted for the Green candidate Rich Whitney for Governor. I did it because I thought some of his ideas were good, but also to help the Green party become established in Illinois. When I vote Green it is not just as simple as a protest vote. I want to vote for ideas. Tom Tresser had a perfect venue to reach a community eager for change and he provided no ideas. Some people might vote for an anti-corruption candidate, but when I chatted with a few people afterwards, they were very disappointed he didn’t provide ideas on how to address the very real issues we live with corruption or not.

I’ve been keeping an eye and ear on Toni Preckwinkle for a few years. She’s voted with the Mayor a bit more often than not (55%), but she’s also shown the most independence in the rubber stamp City Council. She was also the most prepared candidate at the forum. She offered some good ideas and knowledge of the issues discussed.

For me the biggest issues that the county deals with is our public health care system and the jail. These are two areas that impact so many of us, even if we don’t realize it. I want the leader of the county to at the very least respect these issues if not agree with how I think we can address them.

For the record, I haven’t volunteered for any candidate nor given any of them any money.

The election is February 2, 2010, so get out there and vote!


NOTES
While I took notes by hand, @DeliaChristina tweeted as well and I referred to her tweets to help fill in things I may have missed while mothering the kid. If you were there and have a different recollection of what happened, please leave a comment. I know I didn't come close to capturing everything said.

New trends in social media and medicine

* There is a new trend during the last 6-10 months: Some medical blogs are adopting the Huffington Post model (or something similar) with extensive use of guest- and cross-blogging.

* Independent solo medical bloggers may be going the way of the dinosaurs... Only in this case, they are being replaced by content aggregation or group blogs.

* Many medical bloggers/Twitters start strong, microblog their tail off, and then disappear - doctors are not quitters - why does this happen?

* We all have an ecosystem in social media, believe or not, you're part of it.

* Twitter HTML code of your profile automatically includes several "me" variables - making it your primary home on the web - this should be "opt in". Add One Line To Your Blog - or Twitter Could Become Your Primary Identity http://bit.ly/2lFRNH

There are an exponentially increasing number of ways to "follow, tag, talk, poke, nudge" and communicate in the virtual world. The Conversation Prism by Brian Solis (see the expanded flickr image) shows most social media facets:



This "flower" of Internet communication replaces the old starfish of Web 2.0 shown below:


Social Media Starfish created by Darren Barefoot (Creative Commons license).

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Shaving 3 grams off the daily salt intake of Americans could prevent 66,000 strokes and 99,000 heart attacks http://bit.ly/7TTsPm

"The Stanford Mini Med School: A Free Course Now Online" http://bit.ly/63CABZ and direct iTunes link: http://bit.ly/8IFfWO

Dr Wes: Hospitalist services are increasingly finding themselves overwhelmed with admissions and are introducing "caps" http://bit.ly/5qC5bo

Women devastated by their husbands' secret lives - CNN http://bit.ly/5a8biv - Drug-abusing surgeon caught selling infected body parts...

49.6% of Americans exercise regularly vs. 31.3% who don't exercise at all http://bit.ly/5Zj78X    

Study: Men with sexual activity of once per month or less had a 45% increased risk of cardiovascular disease http://bit.ly/5Wnpq5

One in five American teens has unhealthy cholesterol levels http://bit.ly/6aV9uG

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

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Thursday, January 21, 2010

Night shifts/calls may increase risk for cardiovascular disease

The cardiovascular risks associated with night shift work in medical staff have been suspected for years.

Coronary heart disease (CHD) incidence was investigated in a previous study of 79,109 women from the Nurses Health Study, and observed raised rates among night shift workers, particularly those who had worked for more than 6 years on rotating shifts (51% increased risk). Studies have also demonstrated an increased incidence of the metabolic syndrome in shift workers.

The authors of this study evaluated the effects of a 24 hour physicians on-call duty (OCD) (‘night shift’) compared with a ‘regular’ day at work on:

- 24 hr electrocardiogram (ECG)
- heart rate variability
- blood pressure (BP)
- serum and urine ‘stress markers’

Each physician completed a 24 h OCD and a 24 h control period including a regular 8 hr non-OCD, 30 healthy physicians with a median age of 33.5 years were included.

- ECG showed a higher rate of ventricular premature beats (VPB) during early morning hours during night shift.

- BP monitoring revealed a greater diastolic BP throughout 24 hr associated with a higher rate of systolic BP during sleep time.

- Tumour necrosis factor (TNF) alpha concentrations increased during night shift. Urinary noradrenaline excretion was greater during OCD.

The authors concluded that the study results highlight the association of OCD with an increased risk profile for cardiovascular disease. In addition to the acute effects observed, frequent night-calls over a longer period may lead to sustained alterations in cardiovascular homeostasis.

References:
Arrhythmias and increased neuro-endocrine stress response during physicians' night shifts: a randomized cross-over trial. Markus Rauchenzauner et al. European Heart Journal 2009 30(21):2606-2613; doi:10.1093/eurheartj/ehp268
Night shift work and the cardiovascular health of medical staff. A. Steptoe. Eur. Heart J., November 1, 2009; 30(21): 2560 - 2561.
Image source: A halo around the Moon. Wikipedia, GNU Free Documentation License.

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Alternative to injections in MS - 2 new drugs can be taken orally to slow the disease progression http://bit.ly/8pWP8T  -- Two new oral drugs - cladribine and fingolimod - are able to reduce the rates of relapses in multiple sclerosis http://bit.ly/8R4cfz
Aspirin/dipyridamole within 24 h of stroke onset prevents disability no more than later initiation, after 7 days http://bit.ly/64qYBf

PAM4 Protein Can Reveal Early-Stage Pancreatic Cancer - identified 62% of early cancer and 81% of all pancreatic CA http://bit.ly/64ozDb

Should Surgeons Meet Patients Online? Surgeons dispense opinions to patients they’ve never met http://bit.ly/78GGoy

Rabbits are being milked to create drugs for stroke and angioedema patients http://bit.ly/65M3cy

Medical schools, print publishers, and independent doctors are sharing videos of clinical skills on YouTube http://bit.ly/7PBA7H
Insulin pumps may be more effective than insulin injections in type 1 diabetes http://bit.ly/8zZYUi

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter:

Wednesday, January 20, 2010

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day:

Fish oil protects against cellular aging - after patients have had a heart attack, it reduces the risk of a repeat attack or death http://bit.ly/71OAjz

People who sit for prolonged periods (desk workers, coach potatoes, etc.) have a higher risk of death http://bit.ly/5MV5Gb        

DocTalker Family Medicine practice charges for time rather than procedures, $45 for 10 minutes, no 3rd party insurers http://bit.ly/59PsVk

Q&A: Could colon-cleansing teas be harmful? - Yes, and there’s no evidence for any benefits. http://bit.ly/8vmFpR

Will China Achieve Science Supremacy? Academic fraud and limited Web access are hurdles. http://bit.ly/6wK6le

Corn oil is used for cooking french fries at fast food outlets, though "healthier" oils are available http://bit.ly/7jWlPy

Drowsiness, staring off into space, and losing your train of thought may be early signs of Alzheimer’s disease http://bit.ly/6vd31m

Most common brain cancer in adults, glioblastoma multiforme, probably is a set of diseases rather than a single disease http://bit.ly/5RPfQP

5 years ago it looked likely that resveratrol in red wine could slow down the ageing process. Not anymore. http://bit.ly/7L5lV8

Medical news tweets are not research articles - they are 140-character messages - please always go to the original source, links, etc. Tweets and links do not represent endorsement, approval or support. Image source: OpenClipArt.org, public domain.

Follow me on Twitter: