Sleep
loss may hinder diabetes control
NEW YORK, Sept 23: Not getting enough shut eye
each night or not sleeping well may contribute to
reduced blood sugar control in African Americans
with type 2, also referred to as adult-onset
diabetes, according to a study published this
week. Similar ties between sleep and blood sugar
control are likely to exist in other ethnic
groups as well, the study team predicts.
''Sleep
curtailment has become increasingly prevalent in
modern society and it cannot be excluded that
this behavior has contributed to the current
epidemic of type 2 diabetes,'' Dr. Eve Van Cauter
and colleagues at the University of Chicago write
in the Archives of Internal Medicine.
Boosting
sleep quantity and quality may be a simple way to
improve the health of people with diabetes, they
suggest.
The
researchers interviewed 161 adult African
Americans with type 2 diabetes and found that
they slept an average of 6 hours per night. Only
22 per cent averaged at least 7 hours of shut eye
per night and just 6 per cent got at least 8
hours of sleep nightly. Moreover, 71 percent had
poor quality sleep.
According
to the team, higher hemoglobin A1C levels -- an
indicator of poor blood sugar control -- were
associated with lower sleep quantity and quality,
even after controlling for possible confounding
factors like being overweight.
The
average A1C level was 8.3 per cent, which is much
higher than the recommended A1C level of 7 per
cent or lower. Only 26 percent of study subjects
had A1C levels below 7 percent.
Many
diabetes patients have painful complications that
can disrupt sleep. However, even after the
researchers excluded 39 individuals with painful
complications, 67 percent reported not sleeping
well and their average A1C level was high (8.2
per cent).
For
subjects without painful complications of their
diabetes, a 3-hour ''perceived sleep debt'' --
that is, the difference between how much sleep
they felt they needed and how much they actually
got -- was associated with a 1.1 percentage point
increase in A1C levels.
For
subjects with at least one diabetes complication,
decreased sleep quality appeared to be more
important. An increase of 5 points out of 21 on a
standard sleep quality index was associated with
a 1.9-percentage point increase in A1C.
''The
magnitude of these effects is comparable to those
of widely used oral anti-diabetes agents, note
the authors.
''The
growing tendency to burn the candle at both ends
may be a significant contributor to the current
epidemic of diabetes,'' said Van Cauter. ''One
way to combat this epidemic may be to repay our
mounting sleep debt.''
(AGENCIES)
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NATO seeks to widen
strategic contacts
BRUSSELS,
Sept 23: Formed to contain the might of the
erstwhile Soviet Union-led communist alliance,
the North Atlantic Treaty Organisation (NATO) is
now focussing its efforts to fight terrorism and
was seeking to widen its "strategic
contacts", including that with India.
"We are
comitted to increasing international commitments
on anti-terror missions and to combat this menace
are seeking increasing global partnerships from
friendly nations," top NATO officials here
said today.
As NATO troops
battle a resurgent Taliban and al Qaeda in
southern parts of Afghanistan bordering Pakistan,
the officials said they were not advocating
enrolment of new member states, but setting up of
strategic contact groups to give more teeth to
the fight against terrorism.
Claiming that
initial contacts had been made with New Delhi on
this issue, they said, "Indian troop
contribution could be a possible topic of
discussion, but not the only one."
While elaborating
on the new concept of building global
partnerships, the officials said the body was in
strategic talks with other countries like
Australia and Japan and also indicated that South
Korean troops had joined the efforts of
International stablisation and Assitance force in
Afghanistan. (PTI)
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Helene
weakens to tropical storm over Atlantic
MIAMI, Sept 23: Hurricane Helene
weakened to a tropical storm as it raced
across the central Atlantic Ocean on a
course that would keep it far from land,
forecasters said.
Tropical
Storm Helene was centered about 1,370 km
east-northeast of Bermuda, the National
Hurricane Center in Miami said yesterday.
Its top
sustained winds dropped from 140 kph to
113 kph, below the threshold for a
hurricane, the center said.
Helene was
speeding east-northeastward at 37 kph) --
a swift pace for a storm -- and was
expected to become an extratropical
cyclone in a few days, becoming
essentially a low-pressure system with
strong winds.
Forecasters
were also watching a tropical disturbance
far out in the Atlantic about 1,600 km
west-southwest of the Cape Verde Islands
but said it had not grown more organized
overnight.
Some
computer models took it near Bermuda next
week but several others suggested it
would follow Helene over the open
Atlantic on a track that did not threaten
land.(AGENCIES)
|
Chinese
chemical leak cuts water to thousands
SHANGHAI, Sept 23: A leak from a
Chinese chemical plant into a river has
polluted water supplies for more than
4,100 people, the official Xinhua news
agency reported.
The spill
of turpentine from a plant in the eastern
province of Anhui contaminated the
Jindong River on Thursday, Xinhua said.
Authorities yesterday warned residents
not to use water from the river and sent
fire engines to distribute water.
Many
residents and more than 1,100 primary and
secondary school students in the area
drank the polluted water before they were
warned about the incident, but so far
have shown no symptoms of poisoning,
Xinhua said.
Such
incidents are common in China's
industrial areas. An arsenide pollution
case in Hunan province this month cut
water supplies to 80,000 people, and an
explosion at a chemical plant in
northeast China last year poured toxic
benzene compounds into the Songhua River,
which supplies water to millions.
(AGENCIES)
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Japan
launches satellite to explore sun
TOKYO, Sept 23: Japan launched an
observation satellite today on a joint
mission with the United States and
Britain to explore the sun.
Led by
Japan's space agency JAXA, the Solar-B
mission was launched to improve
scientists' understanding of solar flares
and eruptions that can have devastating
effects on satellite systems.
The 900-kg
satellite was launched from Kagoshima,
southern Japan, and was headed for a
north-south orbit around the earth
pointing continuously at the sun.
''In this
modern world, we can't separate
communication, broadcast and weather
satellites from our life,'' said Takeo
Kosugi, Solar-B project manager at JAXA.
''So it is
becoming very important to protect
satellites from solar eruptions,'' he
said.
Solar-B is
Japan's third solar observation satellite
after launches in 1981 and 1991. It will
begin full-scale observations around late
November.(AGENCIES)
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Racial
gap in endometrial cancer survival
NEW YORK, Sept 23: Despite receiving
similar treatment, black women with
advanced or recurrent endometrial cancer
fare worse than their white counterparts,
according to a report in the September
25th online issue of Cancer.
While the
current study is not the first to
identify a racial gap in uterine cancer
survival, it had still been unclear if
black women had poorer survival rates
because they received treatment that was
not comparable to that received by white
women.
To clarify
this issue, Dr. G. Larry Maxwell, from
the Walter Reed Army Medical Center in
Washington, DC, and colleagues analyzed
data from 169 black women and 982 white
women with stage III, stage IV, or
recurrent endometrial cancer who were
enrolled in one of four randomized
treatment trials.
Compared
with their white peers, black women were
more like to have advanced stage disease
and higher grade tumors. As such, it is
not surprising that median survival was
significantly shorter in black women:
10.6 vs. 12.2 months.
However,
even after adjusting for disease stage,
tumor grade, and other factors, survival
was still significantly worse in black
women.
The
authors note that several reports have
suggested that differences in treatment
contribute to the racial disparity in
survival for several malignancies,
including lung, breast, prostate, and
colon cancer.
The
present findings, however, suggest that
this is not the case for endometrial
cancer.
''Although
the causes of this survival difference
remain to be elucidated, socioeconomic,
biologic, and cultural etiologies may be
involved,'' the investigators conclude.
(AGENCIES)
|
Golden
Gate Bridge suicide barrier study
approved
SAN FRANCISCO, Sept
23: Officials took the first
step to stop would-be suicides from using
a world-famous landmark -- San
Francisco's graceful Golden Gate Bridge.
The
Bridge's board of directors yesterday
approved a two-year, 2 million dollars
study into the feasibility of erecting a
suicide barrier on the span.
''We're
looking at trying to identify if there is
a workable solution,'' spokeswoman Mary
Currie said.
There have
been more than 1,200 reported suicides
since the bridge opened in 1937.
This means
that every few weeks on average the 3.2
km-long bridge serves as a platform for
people intent on taking their lives by
climbing over its 1.2-metre-high barrier
and leaping to their deaths into the
chilly waters 67 metres below.
The
twin-towered bridge connects San
Francisco with Marin County to the north
and spans the narrow strait known as the
Golden Gate that joins San Francisco Bay
and the Pacific Ocean. (AGENCIES)
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Excess
weight reduces men's fertility
NEW YORK
Sept 23: Obese men
are more likely to be infertile
than their slimmer peers,
according to the first study to
look at whether a man's weight
influences a couple's fertility.
Every excess ten
kilograms, or 20 pounds, may cut
a man's fertility by ten per
cent, Dr Markku Sallmen of the
Finnish Institute of Occupational
Health in Helsinki and colleagues
at National Institute of
Environmental Health Sciences
(NIEHS) in Research Triangle
Park, North Carolina, write in
the September issue of
Epidemiology. Sallmen was a
post-doc at NIEHS when he
conducted the study.
The researchers
looked at couples participating
in the Agricultural Health Study
who had attempted pregnancy over
the past four years. The analysis
was limited to couples for whom
the wife was younger than 40.
The researchers
compared the men's body mass
index (BMI), a measure of weight
in relation to height, to
pregnancy success. A BMI of over
25 is considered overweight.
Infertility was defined as
failure to become pregnant after
12 months of unprotected
intercourse.
Fertility was lower
among men with BMIs of 26 or
greater, and decreased as BMI
rose, Sallmen and colleagues
found.
For every
three-point increase in BMI, the
risk of infertility rose by 12
per cent.
There are a number
of mechanisms by which being
overweight could affect fertility
in males, Sallmen noted in an
e-mail to Reuters Health. For
example, excess weight may reduce
sperm concentration/count, alter
hormonal balance and increase
scrotal temperature, or
overweight men may simply have
lower libidos and less sex than
normal-weight men.
The study can't
answer such questions of
mechanism, Sallmen added, nor can
it determine whether losing
weight could restore fertility.
Dr Sallmen and his
team say their findings should be
considered a first step in
evaluating the relationship
between overweight and obesity
and male fertility.
(AGENCIES)
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Emergency
docs spell out when to visit the ER
NEW YORK, Sept 23: Having difficulty
breathing? Sudden pain? Sudden changes in
vision? Get to the emergency department,
advises the American College of Emergency
Physicians.
In their
recent statement, ''When Should I Go to
the Emergency Department?'' the
physicians' group details the symptoms
that constitute a medical emergency.
''If you
or a loved one think you need emergency
care, come to the emergency department
and have a doctor examine you,'' Dr
Frederick Blum, ACEP president, said in
the ACEP statement.
''If you
think the medical condition is
life-threatening or the person's
condition will worsen on the way to the
hospital, then you need to call 911 and
have your local emergency medical
services provider come to you,'' he
added.
Each day,
over 300,000 individuals receive
treatment in emergency departments
throughout the country. Some people may
be unsure of when to go to the emergency
room, however, or may wonder if their
symptom requires emergency care.
According
to the college, the symptoms than
necessitate an emergency department visit
include the following:
* If you
are experiencing difficulty breathing
and/or shortness of breath
* If you
have chest or upper abdominal pain, or
feel pressure in the chest area
* If you
have fainting spells or experience sudden
dizziness or weakness
* If you
experience vision changes
* If you
are confused or otherwise experience any
mental status changes
* If you
have uncontrolled bleeding
* If you
have severe or persistent vomiting or
diarrhea
* If you
are coughing or vomiting blood
* If you
have any suicidal or homicidal feelings
Bottom
line? ''If you think you have an
emergency or if you think the problem may
be something serious, don't wait,'' Dr.
Mary Pat McKay, of George Washington
University Hospital, in Washington, DC
told Reuters Health. ''Go and get it
checked out,'' she said.
Yet, the
signs indicative of a medical emergency
may vary according to the age of the
individual, experts say.
''The
significance of symptoms does change with
a person's age and their ability to
communicate their symptoms,'' according
to McKay, director of the hospital's
injury center.
For
example, a two - or three-month-old
infant with a fever should be taken to
the emergency department, whereas a six-
or seven-year-old child, or an adult, may
not need such emergency treatment, she
explained.
To get the
best care while in the emergency
department, ACEP advises that patients
know their immunization status and bring
along a list of the medications they are
taking and any allergies they have.
Too often,
many emergency department visitors do not
know what medications they are taking or
why they are taking them. In her
practice, McKay has encountered many
individuals who refer to their
medications by color, rather than name,
as in ''I take the pink pill,'' or ''I
take a little white pill,'' she said.
For more
information about emergency department
care, or to view the warning signs of a
medical emergency online, visit the
American College of Emergency Physicians
at
http://www.Acep.Org/webportal/PatientsConsumers.
(AGENCIES)
|
Racial
gap in endometrial cancer survival
NEW YORK, Sept 23: Despite receiving
similar treatment, black women with
advanced or recurrent endometrial cancer
fare worse than their white counterparts,
according to a report in the September
25th online issue of Cancer.
While the
current study is not the first to
identify a racial gap in uterine cancer
survival, it had still been unclear if
black women had poorer survival rates
because they received treatment that was
not comparable to that received by white
women.
To clarify
this issue, Dr G Larry Maxwell, from the
Walter Reed Army Medical Center in
Washington, DC, and colleagues analyzed
data from 169 black women and 982 white
women with stage III, stage IV, or
recurrent endometrial cancer who were
enrolled in one of four randomized
treatment trials.
Compared
with their white peers, black women were
more like to have advanced stage disease
and higher grade tumors. As such, it is
not surprising that median survival was
significantly shorter in black women:
10.6 vs. 12.2 months.
However,
even after adjusting for disease stage,
tumor grade, and other factors, survival
was still significantly worse in black
women.
The
authors note that several reports have
suggested that differences in treatment
contribute to the racial disparity in
survival for several malignancies,
including lung, breast, prostate, and
colon cancer.
The
present findings, however, suggest that
this is not the case for endometrial
cancer.
''Although
the causes of this survival difference
remain to be elucidated, socioeconomic,
biologic, and cultural etiologies may be
involved,'' the investigators conclude.
(AGENCIES)
|
Newsletters
get co-eds to eat more veggies
NEW YORK, Sept 23: South Dakota
researchers have come up with a
relatively simple and inexpensive way to
get college kids to eat more fruit and
veggies -- send them newsletters.
Dr Kendra
K Kattelmann of South Dakota State
University in Brookings and colleagues
designed a series of four one-page
newsletters on the benefits of eating
more fruits and vegetables. The
newsletters were ''stage-based,'' meaning
the first was targeted to individuals who
had not begun to think about eating
fruits and vegetables, and chiefly
addressed why it's important to eat
enough of them.
Subsequent
newsletters were designed for people
preparing for or contemplating this
change, and provided more how-to tips and
recipes. ''They were messages that were
tailored for the person's readiness to
change,'' Kattelmann explained.
The
researchers randomized 314 college
students aged 18 to 24 to receive the
four newsletters over a four-month period
along with a half-hour motivational
counseling session with a registered
dietitian, or to a control group that
didn't receive newsletters or counseling.
Students
who participated in the intervention
increased their fruit and vegetable
consumption by one serving a day, while
those in the control group added less
than half a serving daily.
Encouraging
young adults to adopt good eating habits
can help them stay healthy for life,
Kattelmann noted in an interview with
Reuters Health. College students are at a
pivotal stage, she and her colleagues add
in their report, because they are often
living away from home and preparing their
own meals for the first time.
The
researchers suggest that other colleges
could use their program over the course
of a semester to help students eat a
healthier diet. ''It is a practical and
relatively inexpensive intervention that
has the potential of not only improving
the long-term health of young people, but
also their future children as well,''
they conclude.(AGENCIES)
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Water
is Canadas official entry for Oscar
nomination
TORONTO, Sept 22:
Indian filmmaker Deepa
Mehtas controversial film
Water is in the running for
the prestigious Oscar award this year as
Canadas official entry in the best
foreign language category.
The
decision to enter Water,
which is made in Hindi language with some
portions in English, was announced
yesterday by Telefilm Canada.
A special
Oscar committee will screen
Water and 82 other entries to
determine the five nominees.
The film
starring John Abraham, Lisa Ray and Seema
Biswas deals with the subject of the
plight of Hindu widows and is
Mehtas third film, completing her
elemental trilogy series after
Fire and Earth.
All the
three movies were Indo-Canadian
co-productions.
Toronto-based
Mehta, who began shooting the film in the
holy city of Benares in India in 1999,
had to shelve the project following an
opposition from the Hindu
fundamentalists. She later shot the film
in Sri Lanka.
Water
was the official film for the opening of
the 2005 Toronto film festival and has
been widely appreciated in the Canadian
city. (PTI)
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