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 ....more

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) .........more

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, ............more

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 .............more

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.. .....more

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........more

Racial gap in endometrial cancer survival

NEW YORK, Sept 23: Despite receiving similar treatment, black women with advanced or recurrent endometrial cancer .......more

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 ...........more

Emergency docs spell out when to visit the ER

Racial gap in endometrial cancer survival

Newsletters get co-eds to eat more veggies

Water’ is Canada’s official entry for Oscar nomination

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)

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)

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)

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)

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)

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)

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)

Water’ is Canada’s official entry for Oscar nomination

TORONTO, Sept 22: Indian filmmaker Deepa Mehta’s controversial film ‘Water’ is in the running for the prestigious Oscar award this year as Canada’s 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 Mehta’s 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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