Health

"Mental health experts agree that when a person is experiencing excessive stress and it is interfering with daily activities, seeking help is key. In addition to discussing the situation with a professional, reach out to friends; look for local support; and find therapeutic resources. Some stress tools worth trying include, acupuncture; aromatherapy; art therapy; deep breathing; exercise; healthy eating; massage therapy; stretching; and yoga. Your mental health affects your physical health. Don’t ignore the signs."

"What we choose to define (and stigmatize) as 'mental illness' is itself a matter of politics. For instance, our perception of homosexuality as an identity instead of a disorder is a relatively recent development, made possible by decades of campaigning to depathologize it."

"The scary truth is that ordinary human hatred and aggression are far more dangerous than any psychiatric illness."

"Any action is often better than no action, especially if you have been stuck in an unhappy situation for a long time. If it is a mistake, at least you learn something, in which case it's no longer a mistake. If you remain stuck, you learn nothing. Is fear preventing you from taking action? Acknowledge the fear, watch it, take your attention into it, be fully present with it. Doing so cuts the link between the fear and your thinking. Don't let the fear rise up into your mind. Use the power of the Now. Fear cannot prevail against it. If there is truly nothing that you can do to change your here and now, and you can't remove yourself from the situation, then accept your here and now totally by dropping all inner resistance. The false, unhappy self that loves feeling miserable, resentful, or sorry for itself can then no longer survive. This is called surrender. Surrender is not weakness. There is great strength in it. Only a surrendered person has spiritual power."

"Millennials were found to be the most anxious generation. Women reported higher anxiety than men, and people of color scored 11 points higher on the anxiety scale than Whites. Research suggests that African-Americans are 20 percent more likely to experience a mental health disorder as opposed to the general population, but many factors may inhibit proper treatment. Only 25 percent of Blacks seek professional help, compared to 40 percent of Whites with mental health disorders. Daily stress can be an enemy of your mental health. It causes a chemical reaction that occurs when the body goes into “fight-or-flight” mode. Your heart rate increases and blood pressure rises."

"Even in the best states, you have a 50-50 chance of getting care if you need it. That’s horrible,” she says, and the numbers highlight a real problem. Maine ranked the best in this measure, but still, 41.5% of adults in the state are not being treated for mental illness. Hawaii ranked the worst with 67.5% of adults going untreated."

"Every year people overcome the challenges of mental illness to do the things they enjoy. Through developing and following a treatment plan, you can dramatically reduce many of your symptoms. People with mental health conditions can and do pursue higher education, succeed in their careers, make friends and have relationships. Mental illness can slow us down, but we don't need to let it stop us."

"True mental well-being begins with embracing your inner struggles. By acknowledging and addressing these challenges, you pave the way for lasting personal growth and resilience."

"Austerity, inequality and job insecurity are bad for mental health and governments should counteract them if they want to face up to the rising prevalence of mental illness, the UN’s top health envoy has said."

"If you have a mental health condition, you're not alone. One in 5 American adults experiences some form of mental illness in any given year. And across the population, 1 in every 25 adults is living with a serious mental health condition such as schizophrenia, bipolar disorder or long-term recurring major depression...."

"As acceptance of mental illness has grown, the number of people seeking treatment has grown exponentially, overwhelming services in many countries. The phenomenon has divided experts into those who see mental illness as a predominantly biological, neurological malfunction, treatable by drugs and therapy, and those who believe it is much more psychosocial, the result of government policies, social atomisation, poverty, inequality and insecurity."

"A 2015 study conducted by American University revealed that Millennials grew up hearing about mental illnesses—including eating disorder and suicidal tendencies—more than any other age group. This younger society is reportedly more accepting of mental health challenges and is also more likely to talk about mental health issues than their parents or grandparents. In the American University survey of 900 Millennials, more than 70 percent said they would be comfortable visiting a counselor or therapist..."

"I agree with Mr Wolf that freedom is centrally important. But how should we see the demands of freedom when habit-forming behaviour today restricts the freedom of the same person in the future? Once acquired, the habit of smoking is hard to kick, and it can be asked, with some plausibility, whether youthful smokers have an unqualified right to place their future selves in such bondage. A similar issue was addressed by the leading apostle of liberty, John Stuart Mill, when he argued against a person’s freedom to sell himself or herself in slavery. […] Another question to ask is: who exactly are the “others” who are affected? Passive smokers are not the only people who might be harmed. If smokers are made ill by their decision to go on smoking, then the society can either take the view that these victims of self-choice have no claim to public resources (such as the National Health Service or social safety nets), or more leniently (and I believe more reasonably) it could accept that these people still qualify to get social help. If the former, we would live in a monstrously unforgiving society; and happily I do not see Britain or France going that way. If the latter, then the interests of “others” would surely be affected through the sharing of the costs of public services."

"I am opposed to any such policy. I am merely pointing out the absurdities of current plans. Harm to others is a necessary justification, for government interference. But it is not sufficient. Intervention should also be both effective and carry costs proportionate to the likely gains. The bans already planned may well not meet these standards. Their proposed extension outdoors would fall vastly short. An extension into the home would be logical, but also intolerable. This is gesture politics at its worst."

"Mr Darnley’s lawyer, Deborah Blythe of law firm Russell Cooke, told the HSJ: “The defendants were arguing that the giving of information about the availability of medical assistance is purely a matter of courtesy. Even if they get it horribly wrong the trust shouldn’t be responsible for any consequences. That has now changed.” Today’s ruling overturned judgements made in the High Court and Court of Appeal. After its success in the Court of Appeal last year, NHS Resolution said this claim was “a novel one which we considered important to resist in the interests of the NHS” because “opening up receptionists to negligence claims of this kind would have had very serious consequences for the NHS.”"

"Medical malpractice and compensation for medical injuries are highly visible, controversial, and publicly debated topics that regularly create tension and innovation in legal systems around the world, but the analysis and debate in each country is often limited to national audiences with an assumption that the issues are unique to that location. These chapters address this subject matter in a uniquely global context that demonstrates the universal nature of the issues and the diversity of approaches currently taken around the world and reveal key areas of tension and the likely direction of future developments. Wherever possible, the analysis is supported by reference to the available empirical data, though in many countries this is unfortunately very limited."

"As is the problem in other countries, there has been an increasing recognition in Germany of the prevalence of avoidable patient injury in the course of medical treatment. In 2007 an expert committee charged with monitoring developments presented statistics (compiled on the basis of 184 studies) suggesting an annual rate of preventable adverse events (vermeidbare unerwiinschte Ereignisse) of 2-4% in hospital care, and a PAE-related mortality rate of 0.1%.6 Given that some 17 million in-patient treatments take place each year, this corresponds to half-a-million injuries and 17,000 preventable deaths."

"Overall, the German system for compensating for medical injury illustrates the imagination and freedom of the courts in developing the rules patient. As noted, the effect is over-compensation (on a corrective justice approach), but this has been seen as an aspect of permissible loss redistribution. At least in the past, in the context of the affluent conditions of German society, with costs shared between the social security system and liability insurers, this was a stable solution with broad support, which kept reform initiatives in this area largely off the political agenda. This position is now under threat in light of the ever higher sums of damages awarded in a minority of cases, as well as the increasing tendency for patients' social and private insurers to invoke their rights of subrogation. As noted above, this is beginning to produce a crisis in the medical liability insurance sector. Although some commentators have expressed the hope that patient safety initiatives, once they bear fruit, may lead to a fall in such cases, this seems unlikely: as noted, one of the findings underlying the patient safety movement is how rarely cases of medical injury lead to a compensation claim. It will at any rate be interesting to see how matters develop in the future."

"Under state law, a patient may pursue a civil claim against physicians or other health care providers, called medical liability or medical malpractice, if the health care provider causes injury or death to the patient through a negligent act or omission. To recover damages, the patient must establish: 1. The physician owed a duty to the patient. 2. The standard of care and that the physician violated that standard. 3. A compensable injury. 4. The violation of the standard of care caused the harm suffered by the patient."

"“Health courts” would “entail some huge potential increases in total system costs. …If we take health care proponents at their word, their goal is to bring…currently non-claiming people into the process.” This, however “would multiply the number of claims involving negligence by a factor between 33 and 50.”"

"Overall, 32 reports examining the association between doctors’ sex and medico-legal action were included in the systematic review (n=4,054,551), of which 27 found that male doctors were more likely to have experienced medico-legal action. 19 reports were included in the meta-analysis (n=3,794,486, including 20,666 cases). Results showed male doctors had nearly two and a half times the odds of being subject to medico-legal action than female doctors. Heterogeneity was present in all meta-analyses. Male doctors are more likely to have had experienced medico-legal actions compared to female doctors. This finding is robust internationally, across outcomes of varying severity, and over time."

"In Canada, as in the United States, there is a perception that the country is in the throes of a malpractice "crisis" involving both liability and insurance issues-health care providers perceive an increased exposure to or risk of legal availability for ever larger amounts of money. However, claims data from the two countries vary widely, in part because of procedural and doctrinal difference between the two legal systems."

"In 1978 the Pearson Commission in the United Kingdom rejected a no-fault system in dealing with clinical negligence. While declaring the existing tort system as costly, cumbersome, prone to delay, and too capricious in its operation to be defensible, the commission rejected no-fault compensation on grounds of the difficulty in overhauling the tort liability system and the perceived difficulties in causation judgments. A general conservatism in the legal profession and opposition from the insurance industry were other factors. Much has changed in the NHS since then."

"In order to prevail in a medical malpractice action, the patient must prove that an injury resulted from the substandard medical care. If the patient has other medical conditions, the patient may have to prove that a claimed injury was caused by the alleged medical negligence and not by a different medical condition. Not all incidents of medical malpractice will support a medical malpractice claim, as even a clear medical error may not result in damages to the patient. Damages are a necessary element of a medical malpractice claim. If the patient's treatment or prognosis is not affected by the negligent act or omission, the patient may not be entitled to compensation."

"For years, proponents of wiping out the right to jury trials in U.S. medical malpractice cases have pointed to two countries with “no-fault” systems – Sweden and New Zealand – maintaining that if such systems work in those countries, they can also work here. This contention has become part of the case for so-called “health courts,” a U.S. proposal that would force all medical malpractice cases into a system based on workers’ compensation “no-fault” models."

"A claim based upon lack of informed consent alleges that had the risks been properly disclosed to the patient, the patient would have declined treatment or sought a different course of treatment. If a healthcare professional fails to obtain informed consent, even if the care provided satisfied the governing standard of care, it may be possible for the patient to bring a medical malpractice case if the patient experiences an unexpected side-effect or complication."

"The Swedish system begins, like U.S. “health court” proposals, with an insurance component. This is where the great majority of Swedish claims are settled. The insurance adjuster confers with doctors and medical advisors who are specialists in their fields and decides within a year whether to pay the victim this extra amount above what the government is already paying. Compensation is based on each victim’s specific injury. Non-economic (i.e., pain and suffering) damages, based on age and injury, are capped."

"In response to increasing costs of medical malpractice insurance and insurers withdrawing from the market in the late 1980s, Virginia and Florida both created funds to compensate families for the lifetime medical expenses they incur when their child is born severely impaired because of neurological injuries suffered during the birthing process. Infants were singled out because lawsuits associated with these cases have a relatively high success rate and successful cases tend to result in large monetary awards. The fund and claims process is an alternative to malpractice litigation. If a family that volunteered for the program is eligible for coverage, it cannot pursue a malpractice claim; if it is found ineligible for coverage, it can then litigate."

"If the reverse learning mechanism we have postulated exists, one might wonder what effects its failure might have. A complete failure might lead to such grave disturbances—a state of almost perpetual obsession or spurious, hallucinatory associations—that it would probably be severely selected against. A partial failure should produce unwanted responses to random noise, perhaps as hallucinations, delusions, and obsessions, and produce a state not unlike some schizophrenias."

"All at once, and without further warning, my reason forsook me altogether, and I started from Dr. Moffitt's house to go to my boarding place. The sidewalks were to me one mass of living, moving, howling, and ferocious animals. Bears, lions, tigers, wolves, jaguars, leopards, pumas—all wild beasts of all climes—were frothing at the mouth around me and striving to get to me. Recollect that while all this was hallucination it was just as real as if it had been an undeniable and awful reality. Above and all around me I heard screams and threatening voices. At every step I fell over or against some furious animal. When I finally reached the door leading to my room and just as I was about to enter, a human corpse sprang into the doorway."

"For our ancestors, dreams, hallucinations, revelations, and cock-and-bull stories were inextricably mixed with facts."

"The simplest migraine hallucinations, as we have said, are phosphenes—simple, almost structureless, moving lights in the visual field. Phosphenes virtually identical to these are readily elicited by direct electrical stimulation of the visual cortex, either in the primary area (Brodmann area 17) or the surrounding visual association cortex."

"The prevalent sensation of oneself as a separate ego enclosed in a bag of skin is a hallucination which accords neither with Western science nor with the experimental philosophy-religions of the East — in particular the central and germinal Vedanta philosophy of Hinduism. This hallucination underlies the misuse of technology for the violent subjugation of man's natural environment and, consequently, its eventual destruction. We are therefore in urgent need of a sense of our own existence which is in accord with the physical facts and which overcomes our feeling of alienation from the universe... Just as no thing or organism exists on its own, it does not act on its own.... Parts exist only for purposes of figuring and describing, and as we figure the world out we become confused if we do not remember this all the time."

"Using these sources of guidance and others, seven main principles have been described as guiding the conduct of ethical research: Social and clinical value, Scientific validity, Fair subject selection, Favorable risk-benefit ratio, Independent review, Informed consent, Respect for potential and enrolled subjects."

"Medical necessity has traditionally meant targeting disease processes to achieve physiological health. Transgender treatments such as hormones instead disrupt physiological health to achieve a body that aligns with a patient’s mental state. This new direction mandates that doctors adjust their risk assessment to accept iatrogenic side effects as a necessary cost of treating patients. This is in stark contrast to the traditional “do no harm” approach that doctors are bound to by oath, cracking medicine’s foundational integrity. …It remains to be seen if medicine will continue to operate within the boundaries of healing disease under an oath to “first, do not harm,” or be pushed into unchartered territory that dismisses the potential of causing disease [and infertility] in an effort to heal the psyche of gender-distressed children."

"“There’s been a fair amount of work done in both the U.S. and Canada as well as Europe that documents [pharmaceuticals] in wastewater and in water,” says Joanna Wilson, a biologist at McMaster University in Ontario, Canada. She studies how drugs in the water affect zebrafish, a tiny freshwater fish in the minnow family. More recent data shows that the same types of compounds are in drinking water. One study found several pharmaceuticals in treated tap water, including atenolol (a beta-blocker), carbamazepine (an anticonvulsant), gemfibrozil (an antilipidemic), meprobamate (an antianxiety medication), and phenytoin (an anticonvulsant). The concentrations of these compounds were very low, usually less than 10 nanograms per liter, which is parts per trillion. For reference, one part per trillion is equivalent to about one second in 64 years. “We have an aging demographic, and we have an increased reliance, in North America and Europe in particular, with the treatment of health concerns with pharmaceuticals.” This translates to more medicines making their way into the water system, and we need to determine how to deal with it, she says. “Long-term exposures [to pharmaceuticals] are quite a bit different than short term exposures, and we need to really start testing and figuring out if chronic exposures of low doses are relevant for the health of an individual or population of animals.”"

"In 1991, Landsat captured the devastating environmental consequences of war. As Iraqi forces withdrew from Kuwait, they set fire to over 650 oil wells and damaged almost 75 more, which then spewed crude oil across the desert and into the Persian Gulf. Fires burned for ten months. According to a 2009 study published in Disaster Prevention and Management, firefighting crews from ten countries, part of a response team that comprised approximately 11,450 workers from 38 countries, used familiar and also never-before-tested technologies to put out the fires. When the last one was extinguished in November, about 300 lakes of oil remained, as well as a layer of soot and oil that fell out of the sky and mixed with sand and gravel to form 'tarcrete' across 5 percent of Kuwait's landscape. An estimated one to 1.5 billion barrels of oil were released into the environment. After most burned, 25 to 40 million barrels ended up spread across the desert and 11 million barrels in the Persian Gulf, according to a 2012 paper published in Remote Sensing of Environment. For comparison, the 2010 Deepwater Horizon spill into the Gulf of Mexico is estimated to have released nearly 5 million barrels of oil. Kuwait's landscape has recovered somewhat. Clean up efforts have removed 21 million barrels of oil from the desert, but an estimated 1 million barrels still remain."

"If we some day choke on the pollution of our own air, there will be little consolation in leaving behind a dying continent ringed with steel."

"“There really have been no studies that have associated the [pharmaceutical] residues in our water with human health problems,” says Ilene Ruhoy, a pediatric neurologist and environmental toxicologist who has studied the issue. That could be a sign that they pose no threat, but like Wilson, Ruhoy stresses how difficult it is to do these types of studies. “You’re talking about exposure to parts per million, parts per billion. And it’s a combination of drugs. It’s not just one drug in the water, it’s multitudes of. It’s exposure to these very, very minute amounts of these drugs, but many drugs over decades—ten, 20, 30, 40, 50, 60 years.”"

"Continued unrestricted testing by the nuclear powers, joined in time by other nations which may be less adept in limiting pollution, will increasingly contaminate the air that all of us must breathe. Even then, the number of children and grandchildren with cancer in their bones, with leukemia in their blood, or with poison in their lungs might seem statistically small to some, in comparison with natural health hazards. But this is not a natural health hazard -- and it is not a statistical issue. The loss of even one human life, or the malformation of even one baby -- who may be born long after we are gone -- should be of concern to us all. Our children and grandchildren are not merely statistics toward which we can be indifferent."

"Wildfires, heat domes, hurricanes, and extreme weather events are hard to ignore; yet, much to the consternation of environmental activists, a significant segment of the population continues to deny anthropogenic global warming. Even among environmental advocates, there is often a tendency to view the rise in diseases such as cancer, Parkinson’s disease, and heart, liver, and kidney diseases—along with neurological disorders—as merely bad luck or the result of poor genetics. The difficulty in definitively linking these disorders to the increasing presence of chemical toxins and microplastics allows agrochemical, petrochemical, and pharmaceutical companies to continue their practices without accountability. The industrial use of glyphosate and other pesticides, PFAS, heavy metals, dioxins, phthalates, and VOCs continues to accumulate in our environment, creating an ever more toxic planet. Bioaccumulation may be the most dangerous term that people either don’t understand or don’t know. Every person and organism has physiological thresholds for warding off viruses, bacteria, and chemical toxins, which, when exceeded, can lead to illness, disease, or even death. Much to the delight of chemical companies, the greatest threats to our biosphere—chemical toxins and waste—often go unnoticed."

"The lower spheres are so polluted that one could say without exaggeration that meteoric dust is being oxidized because of the chemical reactions of psychic energy, which first of all act upon metals… Of course, the pollution of the spheres closest to our planet is disastrous. The lower subtle bodies loiter about like swindlers at a bazaar and thereby prevent the successful formation of a spiral of constructive effort. One has to harbor a special aspiration in order to penetrate beyond the bounds of these dreadful deposits. So we should not believe that there might be thoughts without consequences; even the largest cup can be overfilled! This especially applies to rotation, when gravity holds back many particles of lighter weight. So when We speak about the vital need to purify psychic energy through refinement of thought, We have in mind the purification of the lower spheres. To borrow the language of the Church, it is necessary to conquer the infernal hordes."

"Net-based surveys are less subjective than direct observations but are limited regarding the area that can be sampled (net apertures 1–2 m and ships typically have to slow down to deploy nets, requiring dedicated ship's time). The plastic debris sampled is determined by net mesh size, with similar mesh sizes required to make meaningful comparisons among studies. Floating debris typically is sampled with a neuston or manta trawl net lined with 0.33 mm mesh. Given the very high level of spatial clumping in marine litter, large numbers of net tows are required to adequately characterize the average abundance of litter at sea. Long-term changes in plastic meso-litter have been reported using surface net tows: in the North Pacific Subtropical Gyre in 1999, plastic abundance was 335 000 items/km2 and 5.1 kg/km2, roughly an order of magnitude greater than samples collected in the 1980s. Similar dramatic increases in plastic debris have been reported off Japan. However, caution is needed in interpreting such findings, because of the problems of extreme spatial heterogeneity, and the need to compare samples from equivalent water masses, which is to say that, if an examination of the same parcel of water a week apart is conducted, an order of magnitude change in plastic concentration could be observed."

"By examining conditions in China and experimenting in a lab, the scientists suggest that a combination of weather patterns and chemistry could have caused London fog to turn into a haze of concentrated sulfuric acid."

"Worldwide, pharmaceutical use has been on the increase for the past century and will continue to increase into the future with the development of new medicines to cure recently discovered diseases as well as previously untreatable conditions. Following use by the patient, active pharmaceutical ingredients (APIs) and their metabolites are excreted to the sewerage system. They are then typically transported to a wastewater treatment works, where, depending on their molecular structure and physicochemical properties, they can be either degraded by biological treatment processes or released to the environment in effluents or sorb to sludge. The soil environment will therefore be exposed to APIs and their metabolites when sludge from treatment processes is applied to land as an agricultural fertilizer or when soil is irrigated with reclaimed wastewater effluent. While only a few studies have explored the occurrence of APIs in the soil environment, available data indicate that a range of API classes, including nonsteroidal anti-inflammatory drugs, antidepressants, anticonvulsants, and antibacterial agents do occur in soils in concentrations up to the low mg/kg level. Because of detection of pharmaceuticals in soils, concerns have been raised over the potential for these substances to be taken up into human food items and to pose a risk to human health. A number of studies have demonstrated the uptake of pharmaceuticals used in human and veterinary medicine into plants. Studies have explored the uptake and translocation of a variety of APIs with a particular focus on the antidepressant drug fluoxetine and antibacterial chemicals including sulfamethazine, sulfamethoxazole, and trimethoprim into numerous plant species including root and shoot crops such as soybean, lettuce, and carrot."

"Mr. President, I find it encouraging that you are proposing an initiative for reducing air pollution. Accepting the urgency, it seems clear to me also that climate change is a problem which can no longer be left to a future generation."

"Plastic pollution free world is not a choice but a commitment to life - a commitment to the next generation."

"Waste-water from the houses collected in the gutters running alongside the curbs and emitted a truly fearsome smell. There were no public toilets in the streets or squares. Visitors, especially women, often became desperate when nature called. In the public buildings the sanitary facilities were unbelievably primitive....As a metropolis, Berlin did not emerge from a state of barbarism into civilization until after 1870."

"Pollution is nothing but resources we're not harvesting. We allow them to disperse because we've been ignorant of their value. But if we got onto a planning planning basis, the government could trap pollutants in the stacks and spillages and get back more money than this would cost out of the stockpiled chemistries they'd be collecting."

"Plastic pollution in the form of small particles (diameter less than 5 mm)—termed "microplastic"—has been observed in many parts of the world ocean. They are known to interact with biota on the individual level, e.g. through ingestion, but their population-level impacts are largely unknown. One potential mechanism for microplastic-induced alteration of pelagic ecosystems is through the introduction of hard-substrate habitat to ecosystems where it is naturally rare. Here, we show that microplastic concentrations in the North Pacific Subtropical Gyre (NPSG) have increased by two orders of magnitude in the past four decades, and that this increase has released the pelagic insect Halobates sericeus from substrate limitation for oviposition. High concentrations of microplastic in the NPSG resulted in a positive correlation between H. sericeus and microplastic, and an overall increase in H. sericeus egg densities. Predation on H. sericeus eggs and recent hatchlings may facilitate the transfer of energy between pelagic- and substrate-associated assemblages. The dynamics of hard-substrate-associated organisms may be important to understanding the ecological impacts of oceanic microplastic pollution."