The other side of the Chinese economic mir… [Int J Health Serv. 2012] – PubMed – NCBI

Posted on November 4, 2012 by Maurice Preter MD

Int J Health Serv. 2012;42(1):9-27.

The other side of the Chinese economic miracle.

Zhang W.

Source

Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA. wzhang@jhsph.edu

Abstract

Despite the financial crisis still sinking the world economy, China’s GDP growth rate in 2010 reached 10 percent, continuing the great momentum maintained since the 1980s. This is often referred to as the Chinese economic miracle. While many marvel at and try to mystify the miracle, the other side of the miracle is less than miraculous. Compared with the period of its planned economy between the 1950s and 1970s, in the ensuing three decades, China has undergone slower progress in major health indicators, and this has been accompanied by an ailing health care system. This report presents a portrait of China’s underdevelopment of health and its health care system, with up-to-date statistics. Such information is important for a fuller, more balanced, and more accurate view of the Chinese economic miracle.

via The other side of the Chinese economic mir… [Int J Health Serv. 2012] – PubMed – NCBI.

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An unexpected mortality increase in the Un… [Int J Health Serv. 2012] – PubMed – NCBI

Posted on November 4, 2012 by Maurice Preter MD

An unexpected mortality increase in the United States follows arrival of the radioactive plume from Fukushima: is there a correlation?

via An unexpected mortality increase in the Un… [Int J Health Serv. 2012] – PubMed – NCBI.

Posted in epigenetics, Events, Fifth Avenue Concierge Medicine, Forensic Neuropsychiatry, Health, keto, News | Tagged , , |

Now Open for Registration: Psychiatric Comorbidities of Migraine Headache Webinar, National Headache Foundation, Tuesday, Nov. 13

Posted on November 4, 2012 by Maurice Preter MD

Slide show of Webinar

On Tuesday, Nov 13, 630PM US CST, I will be doing a NHF webinar on the psychiatric comorbidities of migraine headache, focusing on recent panic disorder research, epigenetics of early childhood adversity, PTSD and migraine, traumatic brain injury and migraine, the endogenous opioid system, affective neuroscience and other pertinent topics. Feel free to register and forward to anyone interested in the topic etc.

Psychiatric Comorbidities Of Migraine Headache

via Psychiatric Comorbidities.

Tuesday, November 13, 2012 6:30 PM – 7:30 PM CST

– Show in my Time Zone

Click Here For Webinar Registration

Maurice Preter, MD (www.psychiatryneurology.net) is one of a handful of dually board certified specialists in both neurology and psychiatry worldwide, and practices as a neurologist, psychodynamic psychiatrist and psychopharmacologist in New York City. He also has an active international clinical consulting practice with affiliate offices in Beijing and Shanghai, PRChina, and Paris, and recently founded GlobalMedicalAdvisors (www.GlobalMedicalAdvisors.net), a specialist referral and health consulting firm.

Educated at the Universities of Munich, Germany and of Paris, France, he received his postgraduate specialty training in neurology and psychiatry at the Albert Einstein College of Medicine in New York. He has researched and written about a wide range of neuropsychiatric topics, including headache, stroke, sleep disorders, epilepsy, panic disorder, psychological trauma, and the history of neurology in China. He recently co-authored the chapter on complementary and alternative medicine approaches to headache in the forthcoming, The Neuropsychiatry of Headache, edited by Mark Green MD and Philip Muskin MD   (Cambridge University Press 2013, https://psychiatryneurology.net/events/the-neuropsychiatry-of-headache-academic-and-professional-books-cambridge-university-press/). Dr. Preter is a member of the psychiatry faculty of Columbia University’s College of Physicians and Surgeons, and an associate professor of neurology at Downstate Medical Center. His particular interest is in the diagnosis and integrated treatment of conditions that overlap between neurology, psychological health and general medicine (e.g., chronic pain, dementia, traumatic brain injury). Dr. Preter holds physician licenses in New York, Paris, Shanghai, Beijing, and Germany, and is fluent in English, French, and German.

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Posted in Affective Neuroscience, epigenetics, Events, Fifth Avenue Concierge Medicine, Forensic Neuropsychiatry, Health, keto, News, Psychiatry/Neurology | Tagged , , , , , , , , , |

Fatal accidents following changes in daylight savi… [Sleep Med. 2001] – PubMed – NCBI

Posted on November 4, 2012 by Maurice Preter MD

Higher incidence of fatal accidents following changes in daylight savings time: the American experience.

via Fatal accidents following changes in daylight savi… [Sleep Med. 2001] – PubMed – NCBI.

Abstract

Objective: This study examines specific hypotheses that both sleep loss and behavioral changes occurring with the time shifts for Daylight Savings Time (DST) significantly effect the number of fatal traffic accidents in the United States of America.Background: It has been reported that there is a significant increase in the number of automobile accidents in the spring shift to DST due to the loss of 1 h of sleep. But the extra hour gained at night with the shift from DST in the fall has been variably reported to be associated with increases and decreases in the number of automobile accidents which may reflect either behavioral anticipation with an extended late night prior to the change or the benefit of extra sleep after the change.Methods: Data from 21 years of United States’ fatal automobile accidents were gathered. The mean number of accidents on the days at the time of the shifts (Saturday, Sunday and Monday) was compared to the average of the corresponding mean number of accidents on the matching day of the weeks preceding and following the shift. This was repeated for each DST shift. The number of accidents for a particular shift was also correlated with the year of the accidents.Results: There was a significant increase in accidents for the Monday immediately following the spring shift to DST (t=1.92, P=0.034). There was also a significant increase in number of accidents on the Sunday of the fall shift from DST (P<0.002). No significant changes were observed for the other days. A significant negative correlation with the year was found between the number of accidents on the Saturdays and Sundays but not Mondays.Conclusions: The sleep deprivation on the Monday following shift to DST in the spring results in a small increase in fatal accidents. The behavioral adaptation anticipating the longer day on Sunday of the shift from DST in the fall leads to an increased number of accidents suggesting an increase in late night (early Sunday morning) driving when traffic related fatalities are high possibly related to alcohol consumption and driving while sleepy. Public health educators should probably consider issuing warnings both about the effects of sleep loss in the spring shift and possible behaviors such as staying out later, particularly when consuming alcohol in the fall shift. Sleep clinicians should be aware that health consequences from forced changes in the circadian patterns resulting from DST come not only from physiological adjustments but also from behavioral responses to forced circadian changes.

PMID:
11152980
[PubMed – as supplied by publisher]


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Physical Activity Prevents Progression for Cognitive Impairment and Vascular Dementia

Posted on November 2, 2012 by Maurice Preter MD

Results From the LADIS (Leukoaraiosis and Disability) Study

via Physical Activity Prevents Progression for Cognitive Impairment and Vascular Dementia.

 

  • Original Contribution

Physical Activity Prevents Progression for Cognitive Impairment and Vascular Dementia

Results From the LADIS (Leukoaraiosis and Disability) Study

  1. Ana Verdelho, MD,
  2. Sofia Madureira, PsyD,
  3. José M. Ferro, MD, PhD,
  4. Hansjörg Baezner, MD, PhD,
  5. Christian Blahak, MD,
  6. Anna Poggesi, MD,
  7. Michael Hennerici, MD,
  8. Leonardo Pantoni, MD, PhD,
  9. Franz Fazekas, MD,
  10. Philip Scheltens, MD, PhD,
  11. Gunhild Waldemar, MD, DMSc,
  12. Anders Wallin, MD, PhD,
  13. Timo Erkinjuntti, MD, PhD,
  14. Domenico Inzitari, MD and
  15. on behalf of the LADIS Study

+ Author Affiliations


  1. From the Department of Neurociences, University of Lisbon, Santa Maria Hospital, Lisbon, Portugal (A.V., S.M., J.M.F.); the Department of Neurology, University of Heidelberg, Klinikum Mannheim, Mannheim, Germany (H.B., C.B., M.H.); the Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy (A.P., L.P., D.I.); the Department of Neurology and MRI Institute, Karl Franzens University Graz, Graz, Austria (F.F.); the Department of Neurology, VU Medical Center, Amsterdam, The Netherlands (P.S.); the Memory Disorders Research Unit, Department of Neurology, Copenhagen University Hospital, Copenhagen, Denmark (G.W.); the Institute of Clinical Neuroscience, Göteborg University, Göteborg, Sweden (A.W.); and the Memory Research Unit, Department of Clinical Neurosciences, Helsinki University, Helsinki, Finland (T.E.).
  1. Correspondence to Ana Verdelho, MD, Department of Neurosciences, University of Lisbon, Santa Maria Hospital, Av Prof Egas Moniz 1649-028 Lisbon, Portugal. E-mail averdelho@fm.ul.pt

Abstract

Background and Purpose—We aimed to study if physical activity could interfere with progression for cognitive impairment and dementia in older people with white matter changes living independently.

Methods—The LADIS (Leukoaraiosis and Disability) prospective multinational European study evaluates the impact of white matter changes on the transition of independent elderly subjects into disability. Subjects were evaluated yearly during 3 years with a comprehensive clinical protocol and cognitive assessment with classification of cognitive impairment and dementia according to usual clinical criteria. Physical activity was recorded during the clinical interview. MRI was performed at entry and at the end of the study.

Results—Six hundred thirty-nine subjects were included (74.1±5 years old, 55% women, 9.6±3.8 years of schooling, 64% physically active). At the end of follow-up, 90 patients had dementia (vascular dementia, 54; Alzheimer disease with vascular component, 34; frontotemporal dementia, 2), and 147 had cognitive impairment not dementia. Using Cox regression analysis, physical activity reduced the risk of cognitive impairment (dementia and not dementia: β=−0.45, P=0.002; hazard ratio, 0.64; 95% CI, 0.48–0.85), dementia (β=−0.49, P=0.043; hazard ratio, 0.61; 95% CI, 0.38–0.98), and vascular dementia (β=−0.86, P=0.008; hazard ratio, 0.42; 95% CI, 0.22–0.80), independent of age, education, white matter change severity, medial temporal atrophy, previous and incident stroke, and diabetes.

Conclusions—Physical activity reduces the risk of cognitive impairment, mainly vascular dementia, in older people living independently.

Key Words:

  • Received April 20, 2012.
  • Revision received July 27, 2012.
  • Accepted August 1, 2012.

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