Quotulatiousness

June 4, 2013

Finland’s cardboard box babies

Filed under: Europe, Health, History — Tags: , , , — Nicholas @ 08:56

An interesting bit of history on the BBC News website:

It’s a tradition that dates back to the 1930s and it’s designed to give all children in Finland, no matter what background they’re from, an equal start in life.

The maternity package — a gift from the government — is available to all expectant mothers.

It contains bodysuits, a sleeping bag, outdoor gear, bathing products for the baby, as well as nappies, bedding and a small mattress.

With the mattress in the bottom, the box becomes a baby’s first bed. Many children, from all social backgrounds, have their first naps within the safety of the box’s four cardboard walls.

Mothers have a choice between taking the box, or a cash grant, currently set at 140 euros, but 95% opt for the box as it’s worth much more.

The tradition dates back to 1938. To begin with, the scheme was only available to families on low incomes, but that changed in 1949.

“Not only was it offered to all mothers-to-be but new legislation meant in order to get the grant, or maternity box, they had to visit a doctor or municipal pre-natal clinic before their fourth month of pregnancy,” says Heidi Liesivesi, who works at Kela — the Social Insurance Institution of Finland.

So the box provided mothers with what they needed to look after their baby, but it also helped steer pregnant women into the arms of the doctors and nurses of Finland’s nascent welfare state.

In the 1930s Finland was a poor country and infant mortality was high — 65 out of 1,000 babies died. But the figures improved rapidly in the decades that followed.

May 31, 2013

Lovers of BDSM report “a higher level of subjective well-being”

Filed under: Health, Science — Tags: , , — Nicholas @ 08:16

At Boing Boing, Xeni Jardin discusses a recent Dutch paper comparing people who indulge in BDSM with boring old “vanilla” types:

A provocative article from the Netherlands published in the Journal of Sexual Medicine says people who like to participate in bondage-discipline, dominance-submission, and sado-masochism erotic play are “characterized by a set of balanced, autonomous, and beneficial personality characteristics.”

Practitioners of BDSM report “a higher level of subjective well-being” when compared to people who tend to have more boring forms of sex.

These sexual practices have long been “associated with psychopathology,” the paper says. “However, several more recent studies suggest a relative good psychological health of BDSM practitioners.”

The article is safe for work, but you’ll quickly get into NSFW territory by doing Google searches for most of the terms used…

May 26, 2013

The war on drugs is “a holocaust in slow motion”

Filed under: Health, Law, Liberty, USA — Tags: , , , , , , — Nicholas @ 08:33

To my surprise, the creator of the TV series The Wire has come out against legalization of marijuana:

David Simon surged into the American mainstream with a bleak vision of the devastation wrought by drugs on his home town of Baltimore — The Wire, hailed by many as the greatest television drama of all time. But what keeps him there is his apocalyptic and unrelenting heresy over the failed “war on drugs”, the multibillion-dollar worldwide crusade launched by President Richard Nixon in 1971.

When Simon brought that heresy to London last week — to take part in a debate hosted by the Observer — he was inevitably asked about what reformers celebrate as recent “successes” — votes in Colorado and Washington to legalise marijuana.

“I’m against it,” Simon told his stunned audience at the Royal Institution on Thursday night. “The last thing I want to do is rationalise the easiest, the most benign end of this. The whole concept needs to be changed, the debate reframed.

“I want the thing to fall as one complete edifice. If they manage to let a few white middle-class people off the hook, that’s very dangerous. If they can find a way for white kids in middle-class suburbia to get high without them going to jail,” he continued, “and getting them to think that what they do is a million miles away from black kids taking crack, that is what politicians would do.”

If marijuana were exempted from the war on drugs, he insisted, “it’d be another 10 or 40 years of assigning people of colour to this dystopia.”

[. . .]

Simon took no prisoners. In his vision, the war on — and the curse of — drugs are inseparable from what he called, in his book, The Death of Working Class America, the de-industrialisation and ravaging of cities that were once the engine-rooms and, in Baltimore’s case, the seaboard of an industrial superpower.

The war is about the disposal of what Simon called, in his most unforgiving but cogent term, “excess Americans”: once a labour force, but no longer of use to capitalism. He went so far as to call the war on drugs “a holocaust in slow motion”.

Simon said he “begins with the assumption that drugs are bad”, but also that the war on drugs has “always proceeded along racial lines”, since the banning of opium.

It is waged “not against dangerous substances but against the poor, the excess Americans,” he said, and with striking and subversive originality, posited the crisis in stark economic terms: “We do not need 10-12% of our population; they’ve been abandoned. They don’t have barbed wire around them, but they might as well.”

May 23, 2013

Pornography isn’t the problem – you are the problem

Filed under: Health, Media, Science — Tags: , , , , , — Nicholas @ 08:43

In Psychology Today, David J. Ley explains that there’s no such thing as pornography addiction or sexual addiction:

Porn is not addictive. Sex is not addictive. The ideas of porn and sex addiction are pop psychology concepts that seem to make sense, but have no legitimate scientific basis. For decades, these concepts have flourished in America, but have consistently been rejected by medicine and mental health. The media and American society have accepted that sex and porn are addictive, because it seems intuitively true — we all feel like sometimes, we might do something stupid or self-destructive, when sex is involved. But, this false belief is dangerous, and ultimately not helpful. Because when people buy into the belief that porn is addictive, it changes the argument, and all of a sudden, it seems like it is porn and sex that are the problems. Porn addiction becomes a label, and seems to be an explanation, when in fact, it is just meaningless words and platitudes that distract from the real issue. But sex and porn aren’t the problems. You are.

People do have a strong response to video pornography. Internet porn is very good at triggering male sexuality. The economic forces of the open market have driven modern internet porn to be very, very effective at triggering male sexual buttons, to get them aroused. But women actually have a stronger physiological response to porn than men and based upon this research, women should be more addicted to pornography than men. But the overwhelming majority of the stories we hear about are men. Why is this? Because one part of this issue is an attack on aspects of male sexuality, including masturbation and use of pornography, behaviors which society fears and doesn’t understand.

Porn can affect people, but it does not take them over or override their values. If someone watches porn showing something they find distasteful, it has no impact on their behavior or desires. But, if someone watches porn depicting acts that they, the watcher, are neutral about, then it does make it slightly more likely that they express interest in trying that act themselves. Take anal sex for instance. If a porn viewer finds it disgusting, watching anal pornography isn’t going to change that. But, if they are neutral on it, then watching anal porn probably will slightly increase the chance that I would be willing to at least give it a try. But, there is the crux of the issue — the people who gravitate towards unhealthy, violent porn, are people who already have a disposition towards violence. So — the problem is not in the porn, but in those people. Regulating porn access really is going to have no impact on these people as they can (and do) find far more violent and graphic images in mainstream Hollywood films like Saw.

Here’s some often-ignored empirical science about porn — as societies have increased their access to porn, rates of sex crimes, including exhibitionism, rape and child abuse, have gone down. […] Across the world, and in America, as men have increased ability to view Internet erotica, sex crimes go down. Believe it or not — porn is good for society. This is correlational data, but it is extremely robust, repeated research. But, it is not a message that many people want to hear. Individuals may not like porn, but our society loves it, and benefits from it.

H/T to Radley Balko for the link.

May 22, 2013

The controversy over the DSM-V

Filed under: Health, Science, USA — Tags: , , , , , — Nicholas @ 08:37

The science writers at The Economist discuss the American Psychiatric Association’s new Diagnostic and Statistical Manual (below the fold because it auto-plays when you load the page):

(more…)

May 12, 2013

Influenza: the trade-off between virulence and contagion

Filed under: Health, Media, Science — Tags: , , , , , — Nicholas @ 10:34

Matt Ridley explains why the breathless claims that this or that flu outbreak could rival the Spanish Flu pandemic of 1918-19 should not be taken too seriously:

Here we go again. A new bird-flu virus in China, the H7N9 strain, is spreading alarm. It has infected about 130 people and killed more than 30. Every time this happens, some journalists compete to foment fear, ably assisted by cautious but worried scientists, and then tell the world to keep calm. We need a new way to talk about the risk of a flu pandemic, because the overwhelming probability is that this virus will kill people, yes, but not in vast numbers.

In recent years flu has always proved vastly less perilous than feared. In 1976 more people may have died from bad reactions to swine-flu vaccine than from swine flu. Since 2005, H5N1 bird flu has killed 374 people, not the two million to 7.4 million deemed possible by the World Health Organization. In 2009, H1N1 Mexican swine flu proved to be a normal flu episode despite apocalyptic forecasts.

No doubt some readers will remind me that, in the story of the boy who cried “Wolf!”, there eventually was a wolf. And that in 1918 maybe 50 million people died of influenza world-wide. So we should always worry a bit. But perhaps it’s not just luck that has made every flu pandemic since then mild; it may be evolutionary logic.

Of course, just about every story about influenza you’ll encounter goes the Chicken Little route:

There’s no mystery as to why we talk up the risk every time: All the incentives point that way. Who among the headline-seeking journalists, reader-seeking editors, fund-seeking scientists, contract-seeking vaccine makers or rear-end-covering politicians has even a modest incentive to say: “It may not be as bad as all that”?

Thomas Szasz was no conservative

Filed under: Health, Liberty, Media — Tags: , , , , — Nicholas @ 09:50

In Reason, Jacob Sullum looks at an essay on the late Thomas Szasz that puzzlingly attempts to portray him as a staunch conservative:

In an interesting but puzzling Aeon essay, Cornell historian Holly Case notes the resemblance between contemporary doubts about the scientific foundation of psychiatry and the critique first laid out by Thomas Szasz half a century ago. “It might be that the world has only recently come around to his way of thinking,” Case suggests. Yet she misconstrues an important aspect of Szasz’s thinking by portraying him as “a staunch Republican” and a “conservative,” apparently unaware of his self-proclaimed libertarianism. Szasz, who died last year at the age of 92, was a Reason contributing editor for decades. He described the main motivation for his intellectual career as “my passion against coercion,” which he opposed (outside of situations involving the defense of rights) no matter who was advocating it, left, right, or center. Hence he opposed forced psychiatric treatment, but he also opposed interference in consensual transactions between psychiatrists and voluntary patients. Here he parted company with some left-wing critics of psychiatry.

[. . .]

But Case focuses mainly on common ground between what she views as right-wing and left-wing critics of psychiatry. Beginning in the 1960s, she writes, “Right and left sought to eliminate insanity in order to lionise dissent, legitimise the marginal and condemn the new normal. Few other issues show a convergence of right and left so far-reaching, while still allowing both sides to adhere to their politics and maintain a sense of total opposition.” At the same time, she says “Szasz was conspicuously alone in mounting the barricades from the right,” so she really needs him to be a right-winger. Bending the facts to fit her thesis, she ascribes to Szasz a “distinctively conservative perspective.” That label does not jibe with his opposition to drug prohibition and his forthright defense of the right to suicide, two major themes of his career that Case tellingly ignores. Szasz’s position on physician-assisted suicide combined both of these themes and demonstrated that his perspective was in fact distinctively libertarian. He opposed Oregon’s Death With Dignity Act (later imitated by Washington) because it medicalized a moral decision and required people to meet government-dictated criteria before they could legally end their lives. If the drug laws did not make it difficult for people to obtain substances useful for suicide (such as barbiturates), he said, there would be no need for physician-assisted suicide.

British emergency wards are overcrowded … so we’ll fine the ambulance service!

Filed under: Britain, Bureaucracy, Health — Tags: , , — Nicholas @ 08:59

Hard to come up with an explanation for this perverse policy:

Ministers came under fresh criticism for their handling of the NHS last night after it emerged the ambulance service will be hit with £90 million in fines — as punishment for the chaos blighting casualty departments.

Critics said the fines will simply deprive trusts of vital funds that could help tackle the deterioration in patient services.

A new penalty clause that was written into ambulance trust contracts from last month will levy fines of £200 for every patient who has to wait for longer than 30 minutes for admission to A&E, and £1,000 for each patient forced to wait more than an hour.

You can understand the desire to speed the delivery of injured people to the emergency services they need, but how does it make any kind of sense to punish the ambulance service because the emergency wards they need to get their patients into are overcrowded? Unless the ambulance service has some kind of magic ability to shift priorities in the hospitals, fining them for patients’ wait times makes less than zero sense.

But acute overcrowding in A&E departments has led to increasing ambulance ‘jams’ formed as they queue to unload, with waits of four hours recorded at some hospitals at the busiest times.

Damning new figures reveal that during the past year there were more than 265,000 occasions in England when ambulance staff took more than half an hour to deliver patients into the hands of hospital doctors.

And shockingly, more than 37,000 patients had to wait over an hour to move on to the wards.

Official guidelines say ambulances should deliver patients, clean the ambulance and be back out on the road within 15 minutes. A longer wait is seen as ‘unsafe’.

Yet the chaos in A&E departments is so bad that at one, the Norfolk and Norwich University Hospital, doctors were forced to put up a tent to act as a makeshift ward to treat patients alongside the ambulance queue.

May 10, 2013

Colby Cosh on “gendercide”

Filed under: Cancon, Health, Law, Liberty, Religion — Tags: , , , , — Nicholas @ 10:53

Despite the federal government’s efforts to keep this debate from happening, we apparently are going to be having a big national debate about abortion. (For those following from outside the borders of Former Soviet Canuckistan, Canada doesn’t actually have any abortion law on the books at the moment, and Stephen Harper’s government of “bitter-clinging, right-wing, Bible-thumping, fundamentalist Christian” Conservatives is desperate not to have to bring one in.) Colby Cosh explains why the efforts by some back-bench MPs to use “gendercide” as a way to force the government’s hand won’t work:

Here, then, is my contribution to the big conversation.

(1) “Gendercide” is incoherent religious militancy in cheap drag. (Editors certainly shouldn’t be taking sides by putting it in headlines as if it were an actual thing.)

(2) However you feel about personal eugenics, which is an accurate name for “mothers choosing babies that are likely to be better in some respect they deem relevant”, the Era Of It is arriving now and will not be wished away.

(3) Sex-selective abortion perpetrated for reasons of religious superstition is, upon all evidence, a marginal phenomenon in this country, probably a fading one, and quite likely to be an inherently self-correcting one. It makes a shabby excuse for blowing up the political truce our country clings to when it comes to the topic of abortion. (It seems remotely possible that Stephen Harper has perceived this and concurs with it.)

(4) In particular, no statute is likely to be effective against sex selection by mothers. We had one, you know, and it actually made a hypothetical exception for parents at risk of X-linked gene disease. A Liberal government devoted to “reproductive choice” criminalized sex-selective embryo implantation by means of the Assisted Human Reproduction Act; a Supreme Court found that law offensive to the Constitution; and a Conservative government closed the agency that was supposed to enforce it because it had accomplished the sum total of jack squat ever.

(5) People who wish to police sex-selective abortion had better figure out what exactly kinds they don’t like. And why. And what other reasons for a woman to have an abortion don’t cut their brand of mustard. And whether they really want their wives, girlfriends, daughters or nieces to end up as a future Case 6 running afoul of the law.

(6) Fellow-travellers of Mark Warawa who think he makes an awesome test case for parliamentary purity should consider looking for one that, pardon the metaphor, doesn’t have quite so many oopsies in its DNA.

Early signs of “rejuvenation therapy”?

Filed under: Health, Science — Tags: , , — Nicholas @ 08:41

An interesting report from the Harvard Gazette on some research into a possibility of reducing some of the effects of aging, specifically aging of the heart:

Two Harvard Stem Cell Institute (HSCI) researchers — a stem cell biologist and a practicing cardiologist at Brigham and Women’s Hospital — have identified a protein in the blood of mice and humans that may prove to be the first effective treatment for the form of age-related heart failure that affects millions of Americans.

When the protein, called GDF-11, was injected into old mice, which develop thickened heart walls in a manner similar to aging humans, the hearts were reduced in size and thickness, resembling the healthy hearts of younger mice.

Even more important than the implications for the treatment of diastolic heart failure, the finding by Richard T. Lee, a Harvard Medical School professor at the hospital, and Amy Wagers, a professor in Harvard’s Department of Stem Cell and Regenerative Biology, ultimately may rewrite our understanding of aging.

Research of this type may be very important as the baby boomer generation enters retirement age … not necessarily to extend total lifespan, but to increase the chances for healthy activity longer into our existing lifespan. Few of us would want to live to 100 if the last 20 years are pain-wracked, immobile, and inactive … but being able to live that long and managing to keep doing the things we like to do for most of that time? That’d be much more appealing to many of us.

May 8, 2013

Nanotechnology comes to the aid of diabetics

Filed under: Health, Science — Tags: , , — Nicholas @ 12:25

Matt Peckham discusses a technology that may help diabetics avoid the majority of their frequent insulin injections:

Say you’re diabetic: Instead of having to inject yourself with insulin multiple times a day, imagine only having to do it once a week. Crazy, right? And instead of your syringe harboring glucose-regulating insulin, imagine it filled with nanoscopic particles you fire into your bloodstream — particles capable of detecting when your body’s blood sugar levels rise and releasing insulin accordingly.

Thanks to research conducted at North Carolina State University, the University of North Carolina at Chapel Hill, the Massachusetts Institute of Technology and Children’s Hospital Boston, what sounds like a Kurzweilian science fiction fantasy may soon be reality for the estimated 25.8 million children and adults in the U.S. alone — 8.3% of the population, according to the American Diabetes Association – with high blood sugar (and 366 million in all worldwide).

“We’ve created a ‘smart’ system that is injected into the body and responds to changes in blood sugar by releasing insulin, effectively controlling blood-sugar levels,” says NC State University biomedical engineering assistant professor Dr. Zhen Gu, the lead author of a paper describing the work (via NC State news). ”We’ve tested the technology in mice, and one injection was able to maintain blood sugar levels in the normal range for up to 10 days.”

May 2, 2013

Cherrypicking the result you prefer from a recent Medicaid study

Filed under: Health, Media, USA — Tags: , , , — Nicholas @ 10:43

Megan McArdle explains why a recent study’s results may be much more important than you might gather from the way it’s been reported so far:

Bombshell news out of Oregon today: a large-scale randomized controlled trial (RCT) of what happens to people when they gain Medicaid eligibility shows no impact on objective measures of health. Utilization went up, out-of-pocket expenditure went down, and the freqency of depression diagnoses was lower. But on the three important health measures they checked that we can measure objectively — glycated hemoglobin, a measure of blood sugar levels; blood pressure; and cholesterol levels — there was no significant improvement.

I know: sounds boring. Glycated hemoglobin! I might as well be one of the adults on Charlie Brown going wawawawawawa . . . and you fell asleep, didn’t you?

But this is huge news if you care about health care policy — and given the huge national experiment we’re about to embark on, you’d better. Bear with me.

Some of the news reports I’ve seen so far are somewhat underselling just how major these results are.

“Study: Medicaid reduces financial hardship, doesn’t quickly improve physical health” says the Washington Post.

The Associated Press headline reads “Study: Depression rates for uninsured dropped with Medicaid coverage”

At the New York Times, it’s “Study Finds Expanded Medicaid Increases Health Care Use”

I think Slate is closer to the mark, though a bit, well, Slate-ish: “Bad News for Obamacare: A new study suggests universal health care makes people happier but not healthier.”

This study is a big, big deal. Let me explain why.

April 25, 2013

What we “know” as opposed to what is actually true

Filed under: Business, Football, Health, Law — Tags: , , , , — Nicholas @ 13:36

We all know the NFL is in serious trouble as more evidence comes out about the relationship between playing professional football and brain damage in later life. But what we know may not be true:

Dr. Everett Lehman, part of a team of government scientists who studied mortality rates for NFL retirees at the behest of the players’ union, discovered that the pros live longer than their male counterparts outside of the NFL. The scientists looked at more than 3,000 pension-vested NFL retirees and expected 625 deaths. They found only 334. “There has been this perception over a number of years of people dying at 55 on the average,” Dr. Lehman told me. “It’s just based on a faulty understanding of statistics.”

The scientists also learned that, contrary to conventional wisdom, NFL players commit suicide at a dramatically lower rate than the general male population. The suicides of Junior Seau, Dave Duerson, and Andre Waters don’t represent a trend but outliers that attract massive attention, and thereby massively distort the public’s perception. More typical was the death of Pat Summerall, who passed away quietly last week at 82 after a productive post-career career.

Indeed, a 2009 study by University of Michigan researchers reported that NFL retirees are far more likely to own a home, possess a college degree, and enjoy health insurance than their peers who never played in the league. The myth of the broke and broken-down athlete is just that: a myth. A few surely struggle after competition ceases; most apply their competitive natures to new endeavors.

It’s true that skill-position players on rosters for five or more years in the NFL faced elevated levels of Alzheimer’s, Lou Gehrig’s, and Parkinson’s disease deaths. But some perspective is in order. Of the 3,439 retired athletes studied by Lehman’s group, less than a dozen succumbed to deaths directly attributable to these neurodegenerative killers. Had Parkinson’s killed one rather than the two retirees it did kill, for example, its rate would have been lower among players than among the general population.

It’s quite possible the NFL is concerned (and ensuring that it is seen to be concerned) primarily because of the need to address public perceptions, rather than as a defensive move against future or ongoing legal challenges.

April 24, 2013

QotD: Welcoming the DSM-V appropriately

Filed under: Books, Health, Humour, Quotations, Science — Tags: , , — Nicholas @ 00:01

The much-awaited arrival of DSM-5 (the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders) should ensure that every human being is classed as insane. At this point we might be able to start again and consider what psychiatry is for. Genomics is keen to help in the effort by finding the loci that are associated with all sorts of mental disorders. Enter a huge population based study funded by the National Institute of Mental Health: “Our findings show that specific SNPs are associated with a range of psychiatric disorders of childhood onset or adult onset. In particular, variation in calcium-channel activity genes seems to have pleiotropic effects on psychopathology. These results provide evidence relevant to the goal of moving beyond descriptive syndromes in psychiatry, and towards a nosology informed by disease cause.” Hmm. I think that when authors have to use words like “pleiotropic” and “nosology” there is a high chance that they do not know what they are talking about. So before welcoming the marriage of genomics and psychiatry, let us remember that there is a strong history of madness on both sides.

Richard Lehman, “Richard Lehman’s journal review—22 April 2013”, BMJ Group blogs, 2013-04-22

April 14, 2013

Differing national philosophies on child-raising

Filed under: Europe, Health, USA — Tags: , , , — Nicholas @ 10:56

In The Atlantic, Olga Khazan compares the way American parents interact with their children to the rather more relaxed parenting styles of other nations:

The biggest difference between American parents and their counterparts in Europe might be that they are far more relaxed about enrichment than we are, according to a study released this week by Sara Harkness and Charles M. Super at the School of Family Studies at the University of Connecticut.

Not only are Americans far more likely to focus on their children’s intelligence and cognitive skills, they are also far less likely to describe them as “happy” or “easy” children to parent.

“The U.S.’s almost obsession with cognitive development in the early years overlooks so much else,” Harkness told Slate.

For part of their research, the authors focused just on parents in the United States and the Netherlands. The differences are stark: American parents emphasized setting aside “special time” with each of their children, while Dutch parents spent a few hours each day together with their kids as an entire family.

American parents said they struggled to manage the sleep schedules of their babies and young children, explaining that they try to entertain or distract them when they wake up in the middle of the night.

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