Health24.com | Fish oil supplements may do your heart good

Millions of Americans pop a fish oil supplement each day, hoping to bolster their heart health. Now, research suggests they may be on the right track.

The most up-to-date review of data from 13 prior studies found daily omega-3 fish oil supplement use tied to a significant lowering of risk for heart attack, according to a team led by Dr JoAnn Manson. She is a professor of epidemiology at Harvard’s T.H. Chan School of Public Health, in Boston.

Encouraging findings

Daily use of the supplement – typically about 840 milligrams per day – was also linked to a lower overall risk of dying from heart disease, the review found.

In total, the 13 studies involved data on more than 120 000 adults, a sample size that is 64% larger than any other yet conducted, the researchers said.

Although the findings are encouraging, fish oil remains just one factor in heart health, Manson said in a school news release.

“Public health recommendations should focus on increasing fish consumption, having an overall heart-healthy diet, being physically active, and having other healthy lifestyle practices,” she said. However, “this study suggests that omega-3 supplementation may have a role in appropriate patients.”

Overall, Manson’s team concluded that people who took a fish oil supplement on a daily basis had an 8% drop in their risk for heart attack or death due to coronary heart disease.

The study couldn’t prove that fish oil supplements directly caused the improvements in heart health. After all, people who take the supplements might also be doing other things to boost their cardiovascular systems.

‘High-dose’ supplementation

However, the researchers pointed out that there was a “dose-response” relationship in the findings: The more omega-3 fish oil a person took in each day, the greater their protection against heart disease.

As a practical matter, that could mean that “high-dose” supplementation – a daily regimen that exceeds the 840 mg threshold that’s the subject of most research – could be of even greater benefit than lower doses.

There was one exception to these trends, however: No evidence was found to indicate that omega-3 fish oil also helped to decrease stroke risk, the researchers reported.

Two experts in heart health agreed that the supplement may help the heart, but shouldn’t be viewed as a cure-all.

“Supplementation only mitigates the risk” for heart trouble, said Katrina Hartog, clinical nutritionist at Lenox Hill Hospital in New York City. “As always, addressing the main risk factors [for heart disease] may be of the greatest benefit to reduce risk of developing chronic disease.”

Reducing future risk

But she said the new data should reassure Americans that fish oil does help.

Dr Guy Mintz directs cardiovascular health at Northwell Health’s Sandra Atlas Bass Heart Hospital in Manhasset, New York. Reviewing the new study, he said “there is nothing ‘fishy’ here: This study is enlightening and reinforces the need for supplemental treatment options for patients at increased risk for cardiovascular events.”

Just how might fish oil be working its magic? According to Mintz, “the mechanism of benefit is unknown but may be due to an anti-inflammatory effect and or anti-arrhythmic effect.”

He believes that the supplements may be most helpful for patients at known risk for heart disease.

Based on the new data review, “every physician should have a discussion with their patients at increased cardiovascular risk – including diabetic patients, patients with heart disease, or patients with stents and a history of coronary bypass – to see how the addition of omega-3 supplementation at an optimal dosage could further reduce their risk for future cardiac events,” Mintz said.

The new study was funded by the National Institutes of Health and was published online in the Journal of the American Heart Association.

Image credit: iStock

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Lowering the Price of a Transition

Why do so many transitions have annoyingly high price tags? Why can’t we just transition with ease whenever we want?

Imagine the opposite for a moment. Suppose that major transitions could always be made with grace and ease, and none required a price to be paid. Suppose you could make big changes whenever you wanted. Switch jobs. Switch cities. Switch relationships. Switch anything at the push of a button.

If transitions could be undertaken at little or no cost, it stands to reason that people would transition more often. There’d be less opportunity to delve deeply into stable experiences because reality wouldn’t be as stable. People and circumstances would shift around much more, so reality would be in a perpetual state of flux. It wouldn’t stay still.

This would rob us of the opportunity to experience the benefits of a more stable reality. We wouldn’t experience as much contrast because as soon as things began to get a little unpleasant, we’d immediately shift to something more pleasant. We’d miss out on those prolonged deep dives into unpleasant situations.

Why should this matter? Why should reality want us to remain stuck now and then? What’s the point? Is it sadistically trying to punish us?

Suppose this was by design. Imagine that we’re living in a simulator that was programmed to function this way. Why would the programmer code it like this?

One powerful reason is that the more we experience the darker side of life, the more we appreciate the lighter side. Scarcity helps us appreciate abundance. Loneliness helps us appreciate togetherness. Sickness helps us appreciate health.

Is it possible that when you stop appreciating the good things in life, you invite their opposites? Is it possible that when you stop appreciating abundance, you attract more scarcity? Or when you stop appreciating good health, that’s when you’re more likely to get sick? Or when you stop appreciating your relationship, that’s when you’re headed for a breakup? In each case the purpose could be that experiencing the darker side renews and restores your appreciation for the lighter side.

If there’s any truth to this, might it also be possible that this reality makes the transitions harder when we aren’t yet ready to transition? Perhaps the price we’d have to pay to transition seems high for a reason. On the one hand, a high price serves as a bit of a barrier, so we’ll have to keep experiencing the unpleasant situation for a while longer. On the other hand, the price also serves as a constant reminder that transition is possible; it may seem out of reach at the moment, but the possibility still dangles before us.

Now when we find ourselves stuck in such a situation, we could accept the price and resolve to pay it. That may require pursuing a long and difficult path though, which can be discouraging. So is there anything we can do to effectively lower the price and make the transition easier?

Yes, there is. We could appreciate the value that the unpleasant situation adds to our lives. Appreciate the scarcity. Appreciate the loneliness. Appreciate the sickness.

During the first five years of running my computer games business, I pursued success, but my efforts didn’t pan out. I sank into debt year after year and eventually went bankrupt. I don’t regret the debt or the bankruptcy, but I regret the stress I created by resisting my financial situation at the time. I regret the experiences I told myself I couldn’t have because I was so deep in debt. I regret that I failed to appreciate many of the little things because I was worried about money – or the lack thereof. I used to run along the beach regularly and not pay enough attention to the beauty all around me – which was free to enjoy – because I was concerned about money.

Going bankrupt really wasn’t that bad. It’s basically a lot of paperwork. The process actually relieves stress once you surrender to it. As part of going bankrupt, you have to document every possession you own. As I went through this process, compiling a list of my every possession and estimating its fair market value, I felt grateful for what I still had. I still had my clothes. I still had a car. I still had my furniture… well, some of it. I didn’t appreciate those possessions as much before the bankruptcy. Afterwards I began appreciating them a lot more.

I actually felt relieved after the bankruptcy. I felt relieved to finally be on the other side of the collapse instead of constantly resisting and fighting it. I felt grateful for the fresh chance to try again. I still had to move to a cheaper place to live. I had to sell many possessions. I had to downgrade my lifestyle. But after all of that, I felt mostly gratitude. The experience didn’t actually kill me. I wasn’t kicked off the planet.

Spending five years of my life resisting reality was enough for me. After that I decided to cultivate a new relationship with life, one that incorporated gratitude, appreciation, and playfulness. I learned to appreciate a long walk in the moonlight. I appreciated the opportunity to use a computer to express my creativity. I appreciated having friends and family to help me when I needed it. I appreciated smiles and hugs.

I’ve observed over the decades since then that life seems to repeatedly reward me for this attitude. Sometimes I feel like I’m living in a simulator that’s programmed to reward such thoughts, feelings, and behaviors… and to discourage me from doing the opposite for too long.

Appreciate what you experience, and you’ll be given more to appreciate. Worry about what you’re experiencing, and you’ll be given more to worry about.

Moreover, I learned to say thank you for life’s various problems and challenges too. It was easy to appreciate the bankruptcy because of how it woke me up and sent me down a better path. So with that as a powerful reference experience, I learned to bring a similar mindset to other challenges. Sometimes this was difficult to do, and sometimes I was overly stubborn. But eventually I could see that my resistance wasn’t helping and was in fact only making things worse, and I reminded myself to shift back to gratitude and appreciation again and again.

This sense of appreciation turned everything around. My business began doing well, and every year since then has been pretty abundant. This current year has barely begun, and due to the recent Stature course launch, we’re already past $100K in revenue for 2020. I appreciate that too, just as I learned to appreciate my bankruptcy, and just as I can appreciate a nice walk in the moonlight. In fact, after I publish this, my wife and I are going out for a long moonlit walk together. We’ll appreciate spending time together and enjoying the cool night air.

There have been times where I’ve experienced a short dip towards scarcity, but I don’t perceive those dips as threatening. I accept them as reminders of how much this reality seems to value appreciation. I’ve learned that I can quickly steer back to abundance by remembering to appreciate the heck out of every little part of life, including appreciating the role of scarcity itself.

This is also how you reduce the price of a transition. You reduce the price by extracting every gram of appreciation you can from the experience. As long as you fail to appreciate your current reality, you’re actually holding it stable. When you begin to appreciate the heck out of a seemingly undesirable situation – when you can say a genuine, heartfelt “thank you” for the valuable lessons within that situation – then you can progress. Then life lowers the price of transitioning and makes it easier for you to shift over to new experiences, such as the flow of abundance.

If you’re bored at work, remember to appreciate small acts of fun. Appreciate laughter. Appreciate good coffee. (Except if your workplace serves bad coffee… then maybe pick up some hipster coffee on the way and appreciate that instead. But still notice that bad coffee helps you appreciate good coffee even more!)

If you feel like your current relationship is lifeless, then appreciate what little life there is. Appreciate the good memories. Appreciate a fleeting touch. Appreciate the love you once had. Can you still say “thank you” to your partner for the role they’ve played in your life? If you can’t say it directly, then say it indirectly. Write it down privately somewhere. No one else has to know.

Such mindset shifts lower the price of transitions. When you extract the lessons from seemingly unpleasant situations, and when you can genuinely thank life for these experiences, life tends to drastically lower the transitional barrier, so you can finally move through your transition with relative ease and lightness.

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My ‘butterfly skin’ could kill me but I want to raise awareness for others

Epidermolysis bullosa is a rare genetic condition where skin can tear at the slightest touch.

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Unprofessional TikTok medical videos ‘not the norm’

TikTok videos made by doctors and nurses this week have been accused of spreading misinformation.

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Male sparrows are less intimidated by the songs of aging rivals

Few singers reach their sunset years with the same voice they had in younger days. Singing sparrows are no different. Duke University-led research reveals that elderly swamp sparrows don’t sound quite like they used to — nor do they strike the same fear in other males who may be listening in.

Humans are remarkably good at guessing a person’s age just by hearing their voice. But this is the first time the phenomenon has been demonstrated in wild animals, said Duke biology professor and study co-author Steve Nowicki.

The findings were published on January 7 in the journal Behavioral Ecology.

During the early spring, a male swamp sparrow stakes out a breeding territory and threatens any male who dares to trespass on his turf. If a potential rival enters another male’s territory and starts to sing, the resident male says “Get out!” by singing back with a rapid weet-weet-weet and flying toward the intruder. Eventually, if all else fails, he attacks.

Previous research by this team showed that male swamp sparrows reach their peak as vocalists at age two, and start to decline after that, singing less frequently and less consistently as they get older.

To find out if other males take note of such changes, the team set up a speaker in the territories of 35 male swamp sparrows in a Pennsylvania marsh and played them 5-minute audio clips of stranger males recorded at age two and again at age 10.

The team measured the birds’ responses, noting how closely each male approached the speaker. They found that males approached seven feet closer when they heard a potential rival’s song recorded at age two than at age 10. This suggests that males are more aggressive towards younger-sounding rivals.

Males in their prime pose an obvious threat: if a resident male isn’t assertive, there’s a good chance that the other guy could steal his mates, said first author Matthew Zipple, a doctoral student at Duke. But apparently the song of a 10-year-old — a centenarian in bird years — doesn’t warrant getting as worked up over.

If decreases in song quality in later life reflect the inevitable consequences of physical decline, the researchers believe that such changes could indicate to other males that a once-formidable male is no longer a match.

Whether song changes after mid-life make males more or less attractive to females is still unknown. “One interesting question would be, is the equation a little different from the female’s point of view?” Nowicki said.

Males accumulate genetic mutations in their sperm as they age that could make them less desirable mates. On the flip side, Nowicki said, “The mere fact that he’s lived this long means he must be doing something right.”

Story Source:

Materials provided by Duke University. Original written by Robin Ann Smith. Note: Content may be edited for style and length.

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Ingestible medical devices can be broken down with light

A variety of medical devices can be inserted into the gastrointestinal tract to treat, diagnose, or monitor GI disorders. Many of these have to be removed by endoscopic surgery once their job is done. However, MIT engineers have now come up with a way to trigger such devices to break down inside the body when they are exposed to light from an ingestible LED.

The new approach is based on a light-sensitive hydrogel that the researchers designed. Incorporating this material into medical devices could avoid many endoscopic procedures and would give doctors a faster and easier way to remove devices when they are no longer needed or are not functioning properly, the researchers say.

“We are developing a set of systems that can reside in the gastrointestinal tract, and as part of that, we’re looking to develop different ways in which we can trigger the disassembly of devices in the GI tract without the requirement for a major procedure,” says Giovanni Traverso, an assistant professor of mechanical engineering, a gastroenterologist at Brigham and Women’s Hospital, and the senior author of the study.

In a study in pigs, the researchers showed that devices made with this light-sensitive hydrogel can be triggered to break down after being exposed to blue or ultraviolet light from a small LED.

Ritu Raman, a postdoc at MIT’s Koch Institute for Integrative Cancer Research, is the lead author of the paper, which appears today in Science Advances. Other authors of the paper are former technical associates Tiffany Hua, Jianlin Zhou, Tina Esfandiary, and Vance Soares; technical associates Declan Gwynne, Joy Collins, and Siddartha Tamang; graduate student Simo Pajovic; Division of Comparative Medicine veterinarian Alison Hayward; and David H. Koch Institute Professor Robert Langer.

Controlled breakdown

Over the past several years, Traverso and Langer have developed many ingestible devices designed to remain in the GI tract for extended periods of time. They have also worked on a variety of strategies to control the breakdown of such devices, including methods based on changes in pH or temperature, or exposure to certain chemicals.

“Given our interests in developing systems that can reside for prolonged periods in the gastrointestinal tract, we continue to investigate a range of approaches to facilitate the removal of these systems in the setting of adverse reaction or when they are no longer needed,” Traverso says. “We’re really looking at different triggers and how they perform, and whether we can apply them to different settings.”

In this study, the researchers explored a light-based trigger, which they believed could offer some advantages over their earlier approaches. One potential advantage is that light can act at a distance and doesn’t need to come into direct contact with the material being broken down. Also, light normally does not penetrate the GI tract, so there is no chance of accidental triggering.

To create the new material, Raman designed a light-sensitive hydrogel based on a material developed in the lab of Kristi Anseth, a former Langer lab postdoc who is now a professor of chemical and biological engineering at the University of Colorado at Boulder. This polymer gel includes a chemical bond that is broken when exposed to a wavelength of light between 405 and 365 nanometers (blue to ultraviolet).

Raman decided that instead of making a material composed exclusively of that light-sensitive polymer, she would use it to link together stronger components such as polyacrylamide. This makes the overall material more durable but still allows it to break apart or weaken when exposed to the right wavelength of light. She also constructed the material as a “double network,” in which one polymer network surrounds another.

“You’re forming one polymer network and then forming another polymer network around it, so it’s really entangled. That makes it very tough and stretchy,” Raman says.

The material’s properties can be tuned by varying the composition of the gel. When the light-sensitive linker makes up a higher percentage of the material, it breaks down faster in response to light but is also mechanically weaker. The researchers can also control how long it takes to break down the material by using different wavelengths of light. Blue light works more slowly but poses less risk to cells that are sensitive to damage from ultraviolet light.

Deflated by light

The gel and its breakdown products are biocompatible, and the gel can be easily molded into a variety of shapes. In this study, the researchers used it to demonstrate two possible applications: a seal for a bariatric balloon and an esophageal stent. Standard bariatric balloons, which are sometimes used to help treat obesity, are inflated in a patient’s stomach and filled with saline. After about six months, the balloon is removed by endoscopic surgery.

In contrast, the bariatric balloon that the MIT team designed can be deflated by exposing the seal to a tiny LED light, which would in principle be swallowed and then pass out of the body. Their balloon is made of latex and filled with sodium polyacrylate, which absorbs water. In this study, the researchers tested the balloons in pigs and found that the balloons swelled up as soon as they were placed in the stomach. When a small, ingestible LED emitting blue light was placed in the stomach for about six hours, the balloons slowly deflated. With a higher-power light, the material broke down within 30 minutes.

The researchers also molded the light-sensitive gel into an esophageal stent. Such stents are sometimes used to help treat esophageal cancer or other disorders that cause a narrowing of the esophagus. A light-triggerable version could be broken down and passed through the digestive tract when no longer needed.

In addition to those two applications, this approach could be used to create other kinds of degradable devices, such as vehicles for delivering drugs to the gastrointestinal tract, according to the researchers.

“This study is a proof of concept that we can create this kind of material, and now we’re thinking about what are the best applications for it,” Traverso says.

The research was funded by the National Institutes of Health, the Bill & Melinda Gates Foundation, the Koch Institute Support (core) Grant from the National Cancer Institute, and an AAAS L’Oréal USA for Women in Science Fellowship.

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Walking with atoms: Chemical bond making and breaking recorded in action

Ever since it was proposed that atoms are building blocks of the world, scientists have been trying to understand how and why they bond to each other. Be it a molecule (which is a group of atoms joined together in a particular fashion), or a block of material or a whole living organism, ultimately, everything is controlled by the way atoms bond, and the way bonds break.

The challenge is that lengths of chemical bonds are between 0.1 — 0.3 nm, about half a million times smaller than the width of a human hair, making direct imaging of bonding between a pair of atoms difficult. Advanced microscopy methods, such as atomic force microscopy (AFM) or scanning tunnelling microscopy (STM), can resolve atomic positions and measure bond lengths directly, but filming chemical bonds to break or to form, with spatiotemporal continuity, in real time, still remains one of the greatest challenges of science.

This challenge has been met by a research team from the UK and Germany led by Professor Ute Kaiser, head of the Electron Microscopy of Materials Science in the University of Ulm, and Professor Andrei Khlobystov in the School of Chemistry at the University of Nottingham they have published ‘Imaging an unsupported metal-metal bond in dirhenium molecules at the atomic scale’ in Science Advances, a journal of the American Association for the Advancement of Science covering all aspects of scientific endeavour.

Atoms in a nano test tube

This group of researchers are known for their pioneering use of transmission electron microscopy (TEM) to film ‘movies’ of chemical reactions at the single-molecule level, and dynamics of tiny clusters of metal atoms in nanocatalysts utilise carbon nanotubes — atomically thin hollow cylinders of carbon with diameters at the molecular scale (1-2 nm) as miniature test tubes for atoms.

Professor Andrei Khlobystov, said: “Nanotubes help us to catch atoms or molecules, and to position them exactly where we want. In this case we trapped a pair of rhenium (Re) atoms bonded together to form Re2. Because rhenium has a high atomic number it is easier to see in TEM than lighter elements, allowing us to identify each metal atom as a dark dot.”

Professor Ute Kaiser, added: “As we imaged these diatomic molecules by the state of the art chromatic and spherical aberration corrected SALVE TEM, we observed the atomic-scale dynamics of Re2 adsorbed on the graphitic lattice of the nanotube and discovered that the bond length changes in Re2 in a series of discrete steps.”

A dual use of electron beam

The group have rich track record of using electron beam as a tool for dual-purpose: precise imaging of atomic positions and activation of chemical reactions due to energy transferred from fast electrons of the electron beam to the atoms. The “two-in-one” trick with TEM allowed these researchers to record movies of molecules reacting in the past, and now they were able to film two atoms bonded together in Re2 ‘walking’ along the nanotube in a continuous video. Dr Kecheng Cao, Research Assistant at Ulm University who discovered this phenomenon and performed the imaging experiments, said: ‘It was surprisingly clear how the two atoms move in pairs, clearly indicating a bond between them. Importantly, as Re2 moves down the nanotube, the bond length changes, indicating that the bond becomes stronger or weaker depending on the environment around the atoms.’

Breaking the bond

After a period of time, atoms of Re2 exhibited vibrations distorting their circular shapes onto ellipses and stretching the bond. As the bond length reached a value exceeding the sum of atomic radii, the bond snapped and vibration ceased, indicating that the atoms became independent of one another. A little later the atoms joined together again, reforming a Re2 molecule.

Dr Stephen Skowron, Postdoctoral Research Assistant at University of Nottingham who carried out the calculations for Re2 bonding, said: ‘Bonds between metal atoms are very important in chemistry, particularly for understanding magnetic, electronic, or catalytic properties of materials. What makes it challenging is that transition metals, such as Re, can form bonds of different order, from single to quintuple bonds. In this TEM experiment we observed that the two rhenium atoms are bonded mainly through a quadruple bond, providing new fundamental insights into transition metal chemistry’.

Electron microscope as a new analytical tool for chemists

Andrei Khlobystov, said: ‘To our knowledge, this is the first time when bond evolution, breaking and formation was recorded on film at the atomic scale. Electron microscopy is already becoming an analytical tool for determining structures of molecules, particularly with the advance of the cryogenic TEM recognised by 2017 Nobel Prize in Chemistry. We are now pushing the frontiers of molecule imaging beyond simple structural analysis, and towards understanding dynamics of individual molecules in real time.’ The team believe that one day in future electron microscopy may become a general method for studying chemical reactions, similar to spectroscopic methods widely used in chemistry labs.

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What is an endangered species?

Lions and leopards are endangered species. Robins and raccoons clearly are not. The distinction seems simple until one ponders a question such as: How many lions would there have to be and how many of their former haunts would they have to inhabit before we’d agree they are no longer endangered?

To put a fine point on it, what is an endangered species? The quick answer: An endangered species is at risk of extinction. Fine, except questions about risk always come in shades and degrees, more risk and less risk.

Extinction risk increases as a species is driven to extinction from portions of its natural range. Most mammal species have been driven to extinction from half or more of their historic range because of human activities.

The query “What is an endangered species?” is quickly transformed into a far tougher question: How much loss should a species endure before we agree that the species deserves special protections and concerted effort for its betterment? My colleagues and I put a very similar question to nearly 1,000 (representatively sampled) Americans after giving them the information in the previous paragraph. The results, “What is an endangered species?: judgments about acceptable risk,” are published today in Environmental Research Letters.

Three-quarters of those surveyed said a species deserves special protections if it had been driven to extinction from any more than 30% of its historic range. Not everyone was in perfect agreement. Some were more accepting of losses. The survey results indicate that people more accepting of loss were less knowledgeable about the environment and self-identify as advocates for the rights of gun and land owners. Still, three-quarters of people from the group of people who were more accepting of loss thought special protections were warranted if a species had been lost from more than 41% of their former range.

These attitudes of the American public are aligned with the language of the U.S. Endangered Species Act — the law for preventing species endangerment in the U.S. That law defines an endangered species as one that is “in danger of extinction throughout all or a significant portion of its range.”

But There Might Be A Problem

Government decision-makers have tended to agree with the scientists they consult in judging what counts as acceptable risk and loss. These scientists express the trigger point for endangerment in very different terms. They tend to say a species is endangered if its risk of total and complete extinction exceeds 5% over 100 years.

Before human activities began elevating extinction risk, a typical vertebrate species would have experienced an extinction risk of 1% over a 10,000-year period. The extinction risk that decision-makers and their consultant experts have tended to consider acceptable (5% over 100 years) corresponds to an extinction risk many times greater that the extinction risk we currently impose on biodiversity! Experts and decision-makers — using a law designed to mitigate the biodiversity crisis — tend to allow for stunningly high levels of risk. But the law and the general public seem accepting of only lower risk that would greatly mitigate the biodiversity crisis. What’s going on?

One possibility is that experts and decision-makers are more accepting of the risks and losses because they believe greater protection would be impossibly expensive. If so, the American public may be getting it right, not the experts and decision-makers. Why? Because the law allows for two separate judgements. The first judgement is, is the species endangered and therefore deserving of protection? The second judgment is, can the American people afford that protection? Keeping those judgements separate is vital because making a case that more funding and effort is required to solve the biodiversity crisis is not helped by experts and decision-makers when they grossly understate the problem — as they do when they judge endangerment to entail such extraordinarily high levels of risk and loss.

Facts and Values

Another possible explanation for the judgments of experts and decision-makers was uncovered in an earlier paper led by Jeremy Bruskotter of Ohio State University (also a collaborator on this paper). They showed that experts tended to offer judgments about grizzly bear endangerment — based not so much their own independent expert judgement — but on basis of what they think (rightly or wrongly) their peers’ judgement would be.

Regardless of the explanation, a good answer to the question, “What an endangered species?” is an inescapable synthesis of facts and values. Experts on endangered species have a better handle on the facts than the general public. However, there is cause for concern when decision-makers do not reflect the broadly held values of their constituents. An important possible explanation for this discrepancy in values is the influence of special interests on decision-makers and experts charged with caring for biodiversity.

Getting the answer right is of grave importance. If we do not know well enough what an endangered species is, then we cannot know well enough what it means to conserve nature, because conserving nature is largely — either directly or indirectly — about giving special care to endangered species until they no longer deserve that label.

Story Source:

Materials provided by Michigan Technological University. Note: Content may be edited for style and length.

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Health24.com | Could the trauma of miscarriage trigger PTSD?

Post-traumatic stress disorder (PTSD) isn’t confined to soldiers on the battlefield; it can happen to anyone after a traumatic event – including pregnancy loss.

After a miscarriage or ectopic pregnancy, one in 6 women can have PTSD nearly a year later, European researchers report.

Shocking, scary or dangerous experience

“Early pregnancy loss is associated with a significant level of psychological distress, and in particular, on the order of 20% will have PTSD that persists until at least nine months after the loss and probably longer,” said lead researcher Dr Tom Bourne.

PTSD is a psychiatric condition that can develop after a shocking, scary or dangerous experience. In many cases, PSTD will not respond to general counselling and will require specific treatment, said Bourne, a professor from Imperial College London and a consultant gynaecologist at Queen Charlotte’s and Chelsea Hospital in London.

His team studied more than 650 women who experienced a miscarriage – defined as loss of pregnancy before 12 weeks – or an ectopic pregnancy. That’s where the embryo starts to grow outside the womb and is unable to develop.

Those who suffered from PTSD continued to relive the feelings they had from losing their baby, and suffered intrusive or unwanted loss about their miscarriage. Some also had nightmares or flashbacks, and others avoided anything that would remind them of their loss.

For many women, pregnancy loss will be the most traumatic event in their life, Bourne said.

“There needs to be greater awareness of this issue and appropriate treatment provided. It is likely in the near future, women will be screened for PTSD at an interval after a pregnancy loss so appropriate treatment can be given,” Bourne said. “Given the number of women who suffer an early pregnancy loss each year – this represents a significant public health problem.”

Distress declined over time

In this study, questionnaires asked the women about their emotions and behaviour.

Researchers found that in the month after, 29% met criteria for PTSD, 24% had moderate to severe anxiety, and 11% suffered from moderate to severe depression.

Distress declined over time, but remained significant. After nine months, 18% suffered from PTSD, 17% had moderate to severe anxiety and 6% had moderate to severe depression.

The responses were compared with those from 171 women who had normal pregnancies. The level of psychological distress was significantly higher among those who had had a pregnancy loss, the researchers found.

Kate Rawson, a British actor and playwright, wrote a radio play based on her two miscarriages.

“After my first miscarriage I was numb. I did not know how to react or who to approach. I did not know if it was grief that I was feeling, or if that was even a valid response to have about losing something so ‘small’,” she said in an Imperial College London news release.

Trying again ‘full of anxiety’

Rawson’s second miscarriage was even more devastating, she said. Besides guilt “at what I could have done to cause it,” she said she also felt a deep sadness for herself, her husband and friends, who would have to console her again.

“I tried to ‘move on’ as advised. ‘Trying again’ was full of anxiety that got worse when I fell pregnant for the third time,” Rawson said.

“I struggled to keep perspective and flitted between wanting this baby more than anything else to wishing I would just bleed and get the awful thing over with and my life back,” she said. It was only after her baby was born, she said, that she realised the enormity of what she’d been through, and the need to process it.

“The loss of a baby is a painful experience to a family,” said Dr Lisa Waddell, deputy medical officer at the March of Dimes.

“We know that many women suffer in silence,” Waddell said. “These findings highlight the need to continue to evaluate ways to best support women before, during and after pregnancy,” she said. It’s important to ensure access to mental health services, social supports and clinical care, she added.

The report was published in the American Journal of Obstetrics and Gynecology.

Image credit: iStock

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Scotland bid to regulate beauty filler industry

A new licensing scheme will target non-healthcare professionals who carry out work such as lip enhancements.

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