Drugs, Alcohol and Suicide Are Causing Life Expectancy in America to Drop Dramatically
U.S. life expectancy has decreased for the second year in a row, and an editorial in the BMJ points to three contributing factors: drugs, alcohol and suicides, particularly among middle-age white Americans and those living in rural communities. The authors of the paper paint a bleak picture of the problems facing much of the United States today, but the authors say that policies that bolster the middle-class can help reverse the trend. The recent drop in life expectancy is alarming, the editorial states, “because life expectancy has risen for much of the past century in developed countries, including in the U.S.” Compared to gains made by other developed countries, however, the United States began to lose ground in the 1980s. Americans’ life expectancy plateaued in 2012, and now is headed in the opposite direction. “Something is amiss in the health of Americans, and the country, on a population level, is sick and dying earlier,” says the editorial’s lead author, Steven Woolf, director of the Center on Society and Health at Virginia Commonwealth University. “Quite simply, it means that babies born today are likely to live a shorter life than those born a year or two ago.” As to why U.S. life expectancy is declining, Woolf says that many people point toward the current opioid epidemic. “That’s certainly a big factor, but it’s also a larger problem that’s been going on for decades,” he says. “W...
Conclusions: From a research perspective, better agreement on both diagnoses and outcomes is urgently needed to improve the overall quality of the evidence. Clinically, despite the limitations in the literature, it is unacceptable for PD services to ignore AUD and for AUD services not to screen for PD. Both are likely to have an impact on health and functioning and should be considered in routine reviews. A better conceptualization of the putative mechanisms of this interaction, as well as an understanding of the neurobiology and reasons for the impact on treatment outcomes, will help to move the field forward.Psychopathology
Conclusions: BZD are a therapeutic option in anxious depression and there are no indications that AD are preferable. There is a pressing need for RCT of adequate methodological quality and follow-up comparing BZD to second-generation AD and placebo in anxious depression.Psychother Psychosom
DISCUSSION: Mental health services should focus on integrated approaches via multimodal treatment interventions that encapsulate harm reduction and educational initiatives: Despite the modest sample, the findings have emphasized the importance of a broad range of treatment approaches delivered within a unitary delivery system. PMID: 29461932 [PubMed - as supplied by publisher]
CONCLUSIONS: Our results indicate that individuals with dual diagnosis AUD and PTSD have higher levels of negative affect and higher levels of hostility compared to individuals with single diagnosis AUD. In addition, these heightened levels of negative affect intensity and hostility appear to function somewhat independently of diagnosis severity and symptomology improvement. To our knowledge, this is the first study to compare negative affect intensity and hostility levels between single diagnosis AUD and dual diagnosis AUD and PTSD individuals. PMID: 29461925 [PubMed - as supplied by publisher]
We describe a 68-year-old diabetic woman with disabling paroxysmal positioning upbeat nystagmus (UBN) exclusively in the supine position, associated with asymptomatic spontaneous DBN, alternating skew deviation and hyperactive vestibulo-ocular reflex responses on head impulse testing, in whom high titers of anti-GAD antibodies were detected. After treatment with intravenous immunoglobulin, a complete resolution of positioning UBN and spontaneous DBN occurred, along with a decrease in anti-GAD antibody titers. Positioning UBN in this case may reflect a transient disinhibition of the central vestibular pathways carrying post...
No abstract available
No abstract available
This study also looked specifically at the subjects’ genetics when it comes to metabolizing fat and carbohydrates, as well as, how their bodies secrete insulin and found that neither of those things seemed to matter when it came to weight loss with the two different diets. Scientists have wondered whether some diets fit a person’s biology better than others and this is an area which will continue to be studied. In the meantime, it’s probably best to find a meal plan that you can stick to.
Authors: PMID: 29461123 [PubMed - in process]
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