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"content": "\u003cp>\u003cem>Consumer Reports,\u003c/em> the granddaddy of advice-givers on what to buy, won't recommend laundry pods containing liquid detergent anymore. The risks to small kids are just too high, the magazine says.\u003c/p>\n\u003cp>In its latest tests, eight different single-use packets were rated very good at cleaning. That wasn't a strong enough showing to put any of them among the top three laundry detergents, which got the magazine's recommended check mark.\u003c/p>\n\u003cp>But the real problem is safety. Despite some changes in packaging and a heightened awareness of the risks to kids, the number of health incidents involving the pods continues to climb.\u003c/p>\n\u003cp>Through June, 6,046 incidents involving pods and kids younger than 6 \u003ca href=\"http://www.aapcc.org/alerts/laundry-detergent-packets/\" target=\"_blank\">have been reported\u003c/a> to the American Association of Poison Control Centers. The exposures, as the AAPCC calls them, include ingestion, inhalation and contact with eyes and skin. Health problems after exposure include wheezing, gasping, extreme sleepiness, vomiting and corneal abrasions.\u003c/p>\n\u003cp>If the incidents continue to be reported at the current pace, they'll exceed the 11,714 that were registered by the poison control centers in 2014.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a statement, Procter & Gamble, maker of Tide pods, said:\u003c/p>\n\u003cblockquote>\u003cp>\"We take every incident of accidental exposure seriously and believe these accidents are preventable. Less than 1% of the calls to Poison Control centers were related to laundry pacs, and the vast majority of these calls to Poison Control centers resulted in minor or no medical treatment. Today, we are seeing encouraging signs that the rate of accidents relative to the number of P&G laundry pacs sold is declining at a rate of 28 percent.\"\u003c/p>\u003c/blockquote>\n\u003cp>Still, \u003ca href=\"http://www.consumerreports.org/cro/magazine/2015/07/the-problem-with-laundry-detergent-pods/index.htm\" target=\"_blank\">the article\u003c/a> in the September issue of Consumer Reports, notes a \"continued danger\" so is not including pods in its list of recommended products. \"And we strongly urge households where children younger than 6 are ever present to skip them altogether.\" The magazine says its \"new position doesn't apply to laundry (or dishwasher) pods that contain powder, because injuries associated with them are less frequent and less severe.\"\u003c/p>\n\u003cp>The poison control centers say households with children take precautions with the pods. \"Our official stance from a poison prevention and education standpoint is that single-use laundry packets should be kept up, away and out of sight of children,\" Krista Osterthaler, national director of outreach for AAPCC, tells Shots. The poison control centers would also like to see packaging improvements to make the products more child-resistant and additional labeling to tell consumers about the dangers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We would also support efforts in reformulation to make them less toxic,\" she says. \"We just don't know what that looks like.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Consumer+Reports%27+Says+Laundry+Pods+Are+Too+Risky+To+Recommend+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Consumer Reports,\u003c/em> the granddaddy of advice-givers on what to buy, won't recommend laundry pods containing liquid detergent anymore. The risks to small kids are just too high, the magazine says.\u003c/p>\n\u003cp>In its latest tests, eight different single-use packets were rated very good at cleaning. That wasn't a strong enough showing to put any of them among the top three laundry detergents, which got the magazine's recommended check mark.\u003c/p>\n\u003cp>But the real problem is safety. Despite some changes in packaging and a heightened awareness of the risks to kids, the number of health incidents involving the pods continues to climb.\u003c/p>\n\u003cp>Through June, 6,046 incidents involving pods and kids younger than 6 \u003ca href=\"http://www.aapcc.org/alerts/laundry-detergent-packets/\" target=\"_blank\">have been reported\u003c/a> to the American Association of Poison Control Centers. The exposures, as the AAPCC calls them, include ingestion, inhalation and contact with eyes and skin. Health problems after exposure include wheezing, gasping, extreme sleepiness, vomiting and corneal abrasions.\u003c/p>\n\u003cp>If the incidents continue to be reported at the current pace, they'll exceed the 11,714 that were registered by the poison control centers in 2014.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement, Procter & Gamble, maker of Tide pods, said:\u003c/p>\n\u003cblockquote>\u003cp>\"We take every incident of accidental exposure seriously and believe these accidents are preventable. Less than 1% of the calls to Poison Control centers were related to laundry pacs, and the vast majority of these calls to Poison Control centers resulted in minor or no medical treatment. Today, we are seeing encouraging signs that the rate of accidents relative to the number of P&G laundry pacs sold is declining at a rate of 28 percent.\"\u003c/p>\u003c/blockquote>\n\u003cp>Still, \u003ca href=\"http://www.consumerreports.org/cro/magazine/2015/07/the-problem-with-laundry-detergent-pods/index.htm\" target=\"_blank\">the article\u003c/a> in the September issue of Consumer Reports, notes a \"continued danger\" so is not including pods in its list of recommended products. \"And we strongly urge households where children younger than 6 are ever present to skip them altogether.\" The magazine says its \"new position doesn't apply to laundry (or dishwasher) pods that contain powder, because injuries associated with them are less frequent and less severe.\"\u003c/p>\n\u003cp>The poison control centers say households with children take precautions with the pods. \"Our official stance from a poison prevention and education standpoint is that single-use laundry packets should be kept up, away and out of sight of children,\" Krista Osterthaler, national director of outreach for AAPCC, tells Shots. The poison control centers would also like to see packaging improvements to make the products more child-resistant and additional labeling to tell consumers about the dangers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We would also support efforts in reformulation to make them less toxic,\" she says. \"We just don't know what that looks like.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Consumer+Reports%27+Says+Laundry+Pods+Are+Too+Risky+To+Recommend+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Should More Women Give Birth Outside The Hospital?",
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"content": "\u003cp>A recent recommendation from doctors in the United Kingdom raised eyebrows in the United States: The British National Health Service says healthy women with straightforward pregnancies are better off \u003ca href=\"https://www.nice.org.uk/guidance/cg190\" target=\"_blank\">staying out of the hospital\u003c/a> to deliver their babies.\u003c/p>\n\u003cp>That's heresy, obstetrician Dr. Neel Shah first thought. In the United States, 99 percent of babies are born in hospitals.\u003c/p>\n\u003cp>\"There's really only one way of having a baby in the U.S.,\" says Shah, who works at Harvard Medical School and Beth Israel Deaconess Hospital. Here, he says, delivering at home or at independent birthing centers is still not considered mainstream.\u003c/p>\n\u003cp>Shah was asked by the \u003cem>New England Journal of Medicine\u003c/em> to respond to the British recommendation. He compared birth outcomes here in the U.S. and Britain, especially the cesarean rates, which average 33 percent in the U.S. compared with 26 percent in the U.K. And he started to think the British were on to something.\u003c/p>\n\u003cp>\"We're taking excellent care of high-risk women,\" he says, \"and leaving low-risk, normal women behind. We're the only country on Earth with a rising maternal mortality rate.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There are lots of reasons for the rise — increased obesity, a lack of consistent prenatal care, older women having babies. Shah also blames hospital infections, and the rise in emergency and elective C-section deliveries.\u003c/p>\n\u003cp>Rather than rebut the British, Shah argues in his \u003cem>New England Journal \u003c/em>\u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1501461\" target=\"_blank\">editorial\u003c/a> that the practice of giving birth outside a hospital with a midwife can be safer.\u003c/p>\n\u003cp>\"Choose the right patients,\" he says. \"And you need to be able to link those birth centers to hospitals, like mine, that have blood banks and three operating suites and everything else.\"\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists has been \u003ca href=\"http://www.acog.org/-/media/Statements-of-Policy/Public/sop1102.pdf?dmc=1&ts=20150701T1131257297\" target=\"_blank\">supportive\u003c/a> of midwife-led births. But it draws the line at home birth.\u003c/p>\n\u003cp>\"I don't recommend home birth, and as an organization ACOG suggests that a hospital or birth center is the safest option,\" says Dr. Jeffrey Ecker, an obstetrician at Massachusetts General Hospital and chairman of ACOG's committee on obstetrics practice.\u003c/p>\n\u003cp>Women and babies are in real danger, Ecker says, if something goes wrong during a home birth. Compared with births planned for delivery in a hospital or birthing center, planned home births have a significantly higher rate of infant mortality in the U.S., \u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Planned-Home-Birth\" target=\"_blank\">studies show\u003c/a>, though the absolute risk of the baby dying is relatively low in both cases.\u003c/p>\n\u003cp>Also, Ecker says, the British and American health systems are simply too different for the British recommendation to make sense for the United States.\u003c/p>\n\u003cp>\"The system that supports home birth in the U.K. is much different than the system that currently exists in the U.S.,\" Ecker says. \"In fact, I would argue that there is no system in the U.S.\"\u003c/p>\n\u003cp>The U.K. has universal health care, and British women are generally referred to a midwife as soon as they know they're pregnant.\u003c/p>\n\u003cp>Though the percentage of American women who choose a midwife-led birth is still only about 9 percent, the total is on the rise, recent statistics suggest. Most midwives work in hospitals or birthing centers.\u003c/p>\n\u003cp>Yinka Sokunbi worked as a midwife in London until her husband's work transferred her to Dallas last year. She was stunned at the different attitudes toward childbirth in the U.S.\u003c/p>\n\u003cp>\"A lot of people do not know what midwives do,\" she says. \"They have this vision of old ladies with potions and herbs.\"\u003c/p>\n\u003cp>From her training and practice, Sokunbi says, she can handle a host of common childbirth scenarios.\u003c/p>\n\u003cp>\"I am suitably trained to recognize when things aren't going as they should be going and what to do about it,\" she says.\u003c/p>\n\u003cp>The bag Sokunbi takes to a home birth has no potions, but does have: a fetal Doppler device for monitoring the baby's heartbeat; certain medications; and oxygen for reviving a blue baby.\u003c/p>\n\u003cp>And at the first sign a delivery could be running into trouble, she sends her laboring patient to the nearest hospital, she says. That handoff to an obstetrician is one of the major differences between the U.S. and the U.K. It's very smooth in the United Kingdom, where doctors and midwives have a close partnership, Sokunbi says.\u003c/p>\n\u003cp>\"In the States, the way I see it so far, it seems there are midwives on one side and obstetricians on the other — and there's this opposition,\" she says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Shah warns against \"thinking of midwifery as a silver bullet\" aimed at fixing problems with childbirth in the United States. Rather, he hopes that obstetricians and midwives can work together, as they do in in the U.K., to give many women a cheaper, safer and more pleasant experience of labor and delivery.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Should+More+Women+Give+Birth+Outside+The+Hospital%3F+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A recent recommendation from doctors in the United Kingdom raised eyebrows in the United States: The British National Health Service says healthy women with straightforward pregnancies are better off \u003ca href=\"https://www.nice.org.uk/guidance/cg190\" target=\"_blank\">staying out of the hospital\u003c/a> to deliver their babies.\u003c/p>\n\u003cp>That's heresy, obstetrician Dr. Neel Shah first thought. In the United States, 99 percent of babies are born in hospitals.\u003c/p>\n\u003cp>\"There's really only one way of having a baby in the U.S.,\" says Shah, who works at Harvard Medical School and Beth Israel Deaconess Hospital. Here, he says, delivering at home or at independent birthing centers is still not considered mainstream.\u003c/p>\n\u003cp>Shah was asked by the \u003cem>New England Journal of Medicine\u003c/em> to respond to the British recommendation. He compared birth outcomes here in the U.S. and Britain, especially the cesarean rates, which average 33 percent in the U.S. compared with 26 percent in the U.K. And he started to think the British were on to something.\u003c/p>\n\u003cp>\"We're taking excellent care of high-risk women,\" he says, \"and leaving low-risk, normal women behind. We're the only country on Earth with a rising maternal mortality rate.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There are lots of reasons for the rise — increased obesity, a lack of consistent prenatal care, older women having babies. Shah also blames hospital infections, and the rise in emergency and elective C-section deliveries.\u003c/p>\n\u003cp>Rather than rebut the British, Shah argues in his \u003cem>New England Journal \u003c/em>\u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1501461\" target=\"_blank\">editorial\u003c/a> that the practice of giving birth outside a hospital with a midwife can be safer.\u003c/p>\n\u003cp>\"Choose the right patients,\" he says. \"And you need to be able to link those birth centers to hospitals, like mine, that have blood banks and three operating suites and everything else.\"\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists has been \u003ca href=\"http://www.acog.org/-/media/Statements-of-Policy/Public/sop1102.pdf?dmc=1&ts=20150701T1131257297\" target=\"_blank\">supportive\u003c/a> of midwife-led births. But it draws the line at home birth.\u003c/p>\n\u003cp>\"I don't recommend home birth, and as an organization ACOG suggests that a hospital or birth center is the safest option,\" says Dr. Jeffrey Ecker, an obstetrician at Massachusetts General Hospital and chairman of ACOG's committee on obstetrics practice.\u003c/p>\n\u003cp>Women and babies are in real danger, Ecker says, if something goes wrong during a home birth. Compared with births planned for delivery in a hospital or birthing center, planned home births have a significantly higher rate of infant mortality in the U.S., \u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Planned-Home-Birth\" target=\"_blank\">studies show\u003c/a>, though the absolute risk of the baby dying is relatively low in both cases.\u003c/p>\n\u003cp>Also, Ecker says, the British and American health systems are simply too different for the British recommendation to make sense for the United States.\u003c/p>\n\u003cp>\"The system that supports home birth in the U.K. is much different than the system that currently exists in the U.S.,\" Ecker says. \"In fact, I would argue that there is no system in the U.S.\"\u003c/p>\n\u003cp>The U.K. has universal health care, and British women are generally referred to a midwife as soon as they know they're pregnant.\u003c/p>\n\u003cp>Though the percentage of American women who choose a midwife-led birth is still only about 9 percent, the total is on the rise, recent statistics suggest. Most midwives work in hospitals or birthing centers.\u003c/p>\n\u003cp>Yinka Sokunbi worked as a midwife in London until her husband's work transferred her to Dallas last year. She was stunned at the different attitudes toward childbirth in the U.S.\u003c/p>\n\u003cp>\"A lot of people do not know what midwives do,\" she says. \"They have this vision of old ladies with potions and herbs.\"\u003c/p>\n\u003cp>From her training and practice, Sokunbi says, she can handle a host of common childbirth scenarios.\u003c/p>\n\u003cp>\"I am suitably trained to recognize when things aren't going as they should be going and what to do about it,\" she says.\u003c/p>\n\u003cp>The bag Sokunbi takes to a home birth has no potions, but does have: a fetal Doppler device for monitoring the baby's heartbeat; certain medications; and oxygen for reviving a blue baby.\u003c/p>\n\u003cp>And at the first sign a delivery could be running into trouble, she sends her laboring patient to the nearest hospital, she says. That handoff to an obstetrician is one of the major differences between the U.S. and the U.K. It's very smooth in the United Kingdom, where doctors and midwives have a close partnership, Sokunbi says.\u003c/p>\n\u003cp>\"In the States, the way I see it so far, it seems there are midwives on one side and obstetricians on the other — and there's this opposition,\" she says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Shah warns against \"thinking of midwifery as a silver bullet\" aimed at fixing problems with childbirth in the United States. Rather, he hopes that obstetricians and midwives can work together, as they do in in the U.K., to give many women a cheaper, safer and more pleasant experience of labor and delivery.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Should+More+Women+Give+Birth+Outside+The+Hospital%3F+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>We've all been there before: headache, dizziness, sore throat. Uh-oh! Better Google the symptoms or maybe try WebMD's online symptom checker to see what's wrong.\u003c/p>\n\u003cp>But how accurate are these online symptoms checkers, anyway?\u003c/p>\n\u003cp>Turns out, millions of people are entrusting their health to some pretty lousy diagnostic systems.\u003c/p>\n\u003cp>Researchers \u003ca href=\"http://www.bmj.com/content/351/bmj.h3480\">tested\u003c/a> 23 online symptom checkers and found that the correct diagnosis was provided first on a list of potential illnesses only about a third of the time. That means symptom checkers are spitting out wrong diagnoses two-thirds of the time.\u003c/p>\n\u003cp>\"People who use these tools should be aware of their inaccuracy and not see them as gospel,\" says \u003ca href=\"http://www.hcp.med.harvard.edu/faculty/core/ateev-mehrotra-md\">Dr. Ateev Mehrotra\u003c/a>, who led the research and is a professor of health care policy at Harvard Medical School. \"They shouldn't think that whatever the symptom checker says is what they have.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study, published Wednesday in \u003cem>The BMJ\u003c/em>, examined some of the most popular online symptoms checkers, including Ask MD, iTriage, one from the U.K.'s National Health Service and another from the Mayo Clinic.\u003c/p>\n\u003cp>Each website was fed 45 standard patient vignettes with symptoms consistent with medical conditions ranging from acute liver failure and meningitis to mononucleosis and a simple bee sting.\u003c/p>\n\u003cp>The final information provided by the symptom checkers varied. Some provided a diagnosis, while others offered recommendations for care, such as stay at home, go to a doctor or head to the ER right away.\u003c/p>\n\u003cp>These treatment recommendations were right on compared to diagnosis accuracy, the research team says — at least when it came to emergency situations. In cases where the patients were seriously ill, the systems accurately urged them to head to the ER 80 percent of the time.\u003c/p>\n\u003cp>Timely treatment, Mehrotra says, is more important than getting the diagnosis exactly right. \"If a patient isn't feeling well, they're thinking, 'Is this something I have to take care of right away or can I stay home?'\" he says. \"We do not think distinguishing the exact problem is as important as getting to the hospital right away.\"\u003c/p>\n\u003cp>On the other hand, the researchers found that the symptom checkers were overly cautious when it came to patients who had little cause for concern, suggesting they head to a clinic when staying home and having chicken soup was appropriate.\u003c/p>\n\u003cp>\"Using computers to help diagnose and manage care is a new frontier,\" Mehrotra says. \"This is just the first generation [of symptoms checkers], and I'm hopeful that this research can help them improve.\"\u003c/p>\n\u003cp>iMedicalApps founder \u003ca href=\"http://www.imedicalapps.com/about/#ed0\">Dr. Iltifat Husain\u003c/a> agrees and is hopeful that the mobile health world will \"mature and grow up\" with time. Because current symptom checkers are so new, Husain, says he wasn't surprised by the results.\u003c/p>\n\u003cp>\"This is pretty consistent with what you see with medical-related apps out there now,\" he says. \"More and more studies are finding that apps are not using evidence-based techniques and that they don't adequately reference medical content.\"\u003c/p>\n\u003cp>However, that doesn't stop Husain — an ER doctor at Wake Forest Baptist Medical Center — from recommending online systems and apps like symptom checkers.\u003c/p>\n\u003cp>\"If used appropriately, these apps can help raise red flags so a patient is more proactive and seeks care in a timely fashion,\" he says. \"Nailing the specific diagnosis right away isn't necessarily as important as nailing down, 'Do I need a health care provider?'\"\u003c/p>\n\u003cp>Besides, Husain adds, diagnosis is what doctors are made for.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Symptoms checkers shouldn't be for getting that final diagnosis,\" he says. \"We spend upwards of seven years in medical school and residency to figure out how to diagnosis effectively and an application isn't going to replace that.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Online+Symptom+Checkers+Can%27t+Replace+The+Real-Life+Doc+Just+Yet&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We've all been there before: headache, dizziness, sore throat. Uh-oh! Better Google the symptoms or maybe try WebMD's online symptom checker to see what's wrong.\u003c/p>\n\u003cp>But how accurate are these online symptoms checkers, anyway?\u003c/p>\n\u003cp>Turns out, millions of people are entrusting their health to some pretty lousy diagnostic systems.\u003c/p>\n\u003cp>Researchers \u003ca href=\"http://www.bmj.com/content/351/bmj.h3480\">tested\u003c/a> 23 online symptom checkers and found that the correct diagnosis was provided first on a list of potential illnesses only about a third of the time. That means symptom checkers are spitting out wrong diagnoses two-thirds of the time.\u003c/p>\n\u003cp>\"People who use these tools should be aware of their inaccuracy and not see them as gospel,\" says \u003ca href=\"http://www.hcp.med.harvard.edu/faculty/core/ateev-mehrotra-md\">Dr. Ateev Mehrotra\u003c/a>, who led the research and is a professor of health care policy at Harvard Medical School. \"They shouldn't think that whatever the symptom checker says is what they have.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study, published Wednesday in \u003cem>The BMJ\u003c/em>, examined some of the most popular online symptoms checkers, including Ask MD, iTriage, one from the U.K.'s National Health Service and another from the Mayo Clinic.\u003c/p>\n\u003cp>Each website was fed 45 standard patient vignettes with symptoms consistent with medical conditions ranging from acute liver failure and meningitis to mononucleosis and a simple bee sting.\u003c/p>\n\u003cp>The final information provided by the symptom checkers varied. Some provided a diagnosis, while others offered recommendations for care, such as stay at home, go to a doctor or head to the ER right away.\u003c/p>\n\u003cp>These treatment recommendations were right on compared to diagnosis accuracy, the research team says — at least when it came to emergency situations. In cases where the patients were seriously ill, the systems accurately urged them to head to the ER 80 percent of the time.\u003c/p>\n\u003cp>Timely treatment, Mehrotra says, is more important than getting the diagnosis exactly right. \"If a patient isn't feeling well, they're thinking, 'Is this something I have to take care of right away or can I stay home?'\" he says. \"We do not think distinguishing the exact problem is as important as getting to the hospital right away.\"\u003c/p>\n\u003cp>On the other hand, the researchers found that the symptom checkers were overly cautious when it came to patients who had little cause for concern, suggesting they head to a clinic when staying home and having chicken soup was appropriate.\u003c/p>\n\u003cp>\"Using computers to help diagnose and manage care is a new frontier,\" Mehrotra says. \"This is just the first generation [of symptoms checkers], and I'm hopeful that this research can help them improve.\"\u003c/p>\n\u003cp>iMedicalApps founder \u003ca href=\"http://www.imedicalapps.com/about/#ed0\">Dr. Iltifat Husain\u003c/a> agrees and is hopeful that the mobile health world will \"mature and grow up\" with time. Because current symptom checkers are so new, Husain, says he wasn't surprised by the results.\u003c/p>\n\u003cp>\"This is pretty consistent with what you see with medical-related apps out there now,\" he says. \"More and more studies are finding that apps are not using evidence-based techniques and that they don't adequately reference medical content.\"\u003c/p>\n\u003cp>However, that doesn't stop Husain — an ER doctor at Wake Forest Baptist Medical Center — from recommending online systems and apps like symptom checkers.\u003c/p>\n\u003cp>\"If used appropriately, these apps can help raise red flags so a patient is more proactive and seeks care in a timely fashion,\" he says. \"Nailing the specific diagnosis right away isn't necessarily as important as nailing down, 'Do I need a health care provider?'\"\u003c/p>\n\u003cp>Besides, Husain adds, diagnosis is what doctors are made for.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Symptoms checkers shouldn't be for getting that final diagnosis,\" he says. \"We spend upwards of seven years in medical school and residency to figure out how to diagnosis effectively and an application isn't going to replace that.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Online+Symptom+Checkers+Can%27t+Replace+The+Real-Life+Doc+Just+Yet&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Most Parents See Benefits of Kids Playing Sports, Poll Finds",
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"content": "\u003cp>Amy Roegler and her husband, Octavio Herrera, live with their young kids, Jake and Alyssa, in Los Angeles. When it comes to pro baseball, they're all Dodgers fans. And Jake loved balls even as a baby, Octavio says.\u003c/p>\n\u003cp>\"We have a picture of him as a 3-month-old with a little Dodger jersey and a glove,\" Octavio says. \"So he was definitely going to be introduced to sports early, and he took to it right away.\" Today 10-year-old Jake is on his baseball league's All-Star team.\u003c/p>\n\u003cp>Meanwhile his sister, 8-year-old Alyssa, has a passion for gymnastics. She, too, was a natural, her parents say — swinging on the monkey bars at age 2 and practicing splits on a balance beam today.\u003c/p>\n\u003cp>The parents know that the physical exercise their kids are getting is good for their health. But that's not their only motivation for encouraging the children to participate in organized athletics.\u003c/p>\n\u003cp>\"When you do sports as a kid,\" Roegler says, \"you learn how to win and how to lose. You learn what it's like to put in lots of work and have things not turn out terrifically. And you learn what it feels like to put in a lot of work — and then win.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I think you can't teach those lessons,\" she says. \"You have to experience them.\"\u003c/p>\n\u003cp>The majority of parents in NPR's \u003ca href=\"http://media.npr.org/documents/2015/june/sportsandhealthpoll.pdf\">recent poll\u003c/a> on the role of sports and health in America seem to agree. The poll, done in conjunction with the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health, finds that the majority of adults say they played sports when they were younger.\u003c/p>\n\u003cp>Moreover, 76 percent of adults who have children in high school or middle school today say they encourage their children to play sports. Engaging in sports isn't just an important physical and social activity, these parents say. It also builds skills that can make a difference later.\u003c/p>\n\u003cp>\"Parents think that the organized way you participate in sports — the leadership and fellowship — is actually preparing people not only for the next game but for much broader roles in life,\" says Harvard professor and health policy analyst \u003ca href=\"http://www.hsph.harvard.edu/robert-blendon/\">Robert Blendon\u003c/a>, who co-directed our poll.\u003c/p>\n\u003cp>Like the Herreras, the parents in our poll talk about sports teaching their children about discipline, dedication and how to get along with others — all skills to help in future schooling and beyond.\u003c/p>\n\u003cp>Octavio Herrera also played baseball when he was Jake's age, and well remembers how it felt.\u003c/p>\n\u003cp>\"Nerves in your stomach, right?\" he says. \"Butterflies. I remember that as a kid, pitching in a game — 10 years old — so nervous and so scared.\"\u003c/p>\n\u003cp>It may be uncomfortable at the time, he says, but \"that's great to have in a situation where the stakes are really low — where, if you fail you're still going to get pizza and ice cream, and your parents are still going to tell you they love you.\"\u003c/p>\n\u003cp>If kids can learn to fight their fear and work through it, he says, that steadiness comes in handy later in life — when the stakes are much higher. It's an ability Octavio says he relies on routinely, as a software entrepreneur who has created, bought and sold a number of companies.\u003c/p>\n\u003cp>Octavio also stresses the value of learning to be part of a team — both in childhood and now, at the office.\u003c/p>\n\u003cp>\"It's just like that baseball team when we were little kids,\" he says. \"Not all the kids were great hitters, or could pitch. But everyone could contribute.\" His business works the same way, he says.\u003c/p>\n\u003cp>\"I can't do everything. My partner can't do everything. We hire people who are good at what they do — we put together a team, come up with an idea, execute. It takes teamwork — just as winning a baseball game does.\"\u003c/p>\n\u003cp>Amy Roegler played soccer in high school and college and says team sports aren't just about winning, but also about developing a solid work ethic, and learning why that's important.\u003c/p>\n\u003cp>\"I was the captain in high school,\" she explains, \"and then my first year playing college soccer, I was on the bench.\"\u003c/p>\n\u003cp>No problem,\" she says. \"I belonged on the bench — many teammates were incredible.\" It motivated her to want to earn a starting position, she says.\u003c/p>\n\u003cp>\u003ca href=\"http://education.msu.edu/search/Formview.aspx?email=driska@msu.edu\">Andy Driska\u003c/a> is a Michigan State University researcher with the Institute for the Study of Youth Sports. He says parents are right when they cite \u003ca href=\"http://psycnet.apa.org/journals/dev/42/5/849/\">life skills\u003c/a> — like discipline, commitment and physical confidence — that can develop naturally when kids play sports.\u003c/p>\n\u003cp>In a recent study that's not yet published, Driska and his colleagues looked at an intense two-week wrestling camp, measuring feelings and attitudes of 89 teens before the camp experience and after.\u003c/p>\n\u003cp>As expected, the players' confidence increased — it was a tough camp to get through, Driska says. But what surprised him, he says, was how much feelings of hopefulness among the young people also increased.\u003c/p>\n\u003cp>Profoundly so, he says. One teenage boy, for example, told Driska the camp changed the way he interacted with his mom, helping to quell the bitter arguments they always seemed to fall into.\u003c/p>\n\u003cp>\"He said that he sat down — talked it out, resolved the situation,\" Driska says. The teen told Driska that \"before camp he would not have done that — been pro-active in seeking a solution. He simply would have walked away and just been bitter or complained about it.\"\u003c/p>\n\u003cp>In just a brief sports experience at camp, that teen and many of the others developed a \"can do\" life strategy that seemed to translate to other aspects of their lives, Driska says.\u003c/p>\n\u003cp>And that change persisted. Nine months after the camp ended, Driska notes, the teens in his study maintained their bolstered sense of confidence — and hope.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Our Sports and Health series continues over the summer, based on the results of our \u003c/em>\u003ca href=\"http://media.npr.org/documents/2015/june/sportsandhealthpoll.pdf\">poll\u003c/a> \u003cem>with the \u003c/em>\u003ca href=\"http://www.rwjf.org/\">Robert Wood Johnson Foundation\u003c/a>\u003cem> and the \u003c/em>\u003ca href=\"http://www.hsph.harvard.edu/\">Harvard T.H. Chan School of Public Health\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Benefits+Of+Sports+To+A+Child%27s+Mind+And+Heart+All+Part+Of+The+Game&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amy Roegler and her husband, Octavio Herrera, live with their young kids, Jake and Alyssa, in Los Angeles. When it comes to pro baseball, they're all Dodgers fans. And Jake loved balls even as a baby, Octavio says.\u003c/p>\n\u003cp>\"We have a picture of him as a 3-month-old with a little Dodger jersey and a glove,\" Octavio says. \"So he was definitely going to be introduced to sports early, and he took to it right away.\" Today 10-year-old Jake is on his baseball league's All-Star team.\u003c/p>\n\u003cp>Meanwhile his sister, 8-year-old Alyssa, has a passion for gymnastics. She, too, was a natural, her parents say — swinging on the monkey bars at age 2 and practicing splits on a balance beam today.\u003c/p>\n\u003cp>The parents know that the physical exercise their kids are getting is good for their health. But that's not their only motivation for encouraging the children to participate in organized athletics.\u003c/p>\n\u003cp>\"When you do sports as a kid,\" Roegler says, \"you learn how to win and how to lose. You learn what it's like to put in lots of work and have things not turn out terrifically. And you learn what it feels like to put in a lot of work — and then win.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I think you can't teach those lessons,\" she says. \"You have to experience them.\"\u003c/p>\n\u003cp>The majority of parents in NPR's \u003ca href=\"http://media.npr.org/documents/2015/june/sportsandhealthpoll.pdf\">recent poll\u003c/a> on the role of sports and health in America seem to agree. The poll, done in conjunction with the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health, finds that the majority of adults say they played sports when they were younger.\u003c/p>\n\u003cp>Moreover, 76 percent of adults who have children in high school or middle school today say they encourage their children to play sports. Engaging in sports isn't just an important physical and social activity, these parents say. It also builds skills that can make a difference later.\u003c/p>\n\u003cp>\"Parents think that the organized way you participate in sports — the leadership and fellowship — is actually preparing people not only for the next game but for much broader roles in life,\" says Harvard professor and health policy analyst \u003ca href=\"http://www.hsph.harvard.edu/robert-blendon/\">Robert Blendon\u003c/a>, who co-directed our poll.\u003c/p>\n\u003cp>Like the Herreras, the parents in our poll talk about sports teaching their children about discipline, dedication and how to get along with others — all skills to help in future schooling and beyond.\u003c/p>\n\u003cp>Octavio Herrera also played baseball when he was Jake's age, and well remembers how it felt.\u003c/p>\n\u003cp>\"Nerves in your stomach, right?\" he says. \"Butterflies. I remember that as a kid, pitching in a game — 10 years old — so nervous and so scared.\"\u003c/p>\n\u003cp>It may be uncomfortable at the time, he says, but \"that's great to have in a situation where the stakes are really low — where, if you fail you're still going to get pizza and ice cream, and your parents are still going to tell you they love you.\"\u003c/p>\n\u003cp>If kids can learn to fight their fear and work through it, he says, that steadiness comes in handy later in life — when the stakes are much higher. It's an ability Octavio says he relies on routinely, as a software entrepreneur who has created, bought and sold a number of companies.\u003c/p>\n\u003cp>Octavio also stresses the value of learning to be part of a team — both in childhood and now, at the office.\u003c/p>\n\u003cp>\"It's just like that baseball team when we were little kids,\" he says. \"Not all the kids were great hitters, or could pitch. But everyone could contribute.\" His business works the same way, he says.\u003c/p>\n\u003cp>\"I can't do everything. My partner can't do everything. We hire people who are good at what they do — we put together a team, come up with an idea, execute. It takes teamwork — just as winning a baseball game does.\"\u003c/p>\n\u003cp>Amy Roegler played soccer in high school and college and says team sports aren't just about winning, but also about developing a solid work ethic, and learning why that's important.\u003c/p>\n\u003cp>\"I was the captain in high school,\" she explains, \"and then my first year playing college soccer, I was on the bench.\"\u003c/p>\n\u003cp>No problem,\" she says. \"I belonged on the bench — many teammates were incredible.\" It motivated her to want to earn a starting position, she says.\u003c/p>\n\u003cp>\u003ca href=\"http://education.msu.edu/search/Formview.aspx?email=driska@msu.edu\">Andy Driska\u003c/a> is a Michigan State University researcher with the Institute for the Study of Youth Sports. He says parents are right when they cite \u003ca href=\"http://psycnet.apa.org/journals/dev/42/5/849/\">life skills\u003c/a> — like discipline, commitment and physical confidence — that can develop naturally when kids play sports.\u003c/p>\n\u003cp>In a recent study that's not yet published, Driska and his colleagues looked at an intense two-week wrestling camp, measuring feelings and attitudes of 89 teens before the camp experience and after.\u003c/p>\n\u003cp>As expected, the players' confidence increased — it was a tough camp to get through, Driska says. But what surprised him, he says, was how much feelings of hopefulness among the young people also increased.\u003c/p>\n\u003cp>Profoundly so, he says. One teenage boy, for example, told Driska the camp changed the way he interacted with his mom, helping to quell the bitter arguments they always seemed to fall into.\u003c/p>\n\u003cp>\"He said that he sat down — talked it out, resolved the situation,\" Driska says. The teen told Driska that \"before camp he would not have done that — been pro-active in seeking a solution. He simply would have walked away and just been bitter or complained about it.\"\u003c/p>\n\u003cp>In just a brief sports experience at camp, that teen and many of the others developed a \"can do\" life strategy that seemed to translate to other aspects of their lives, Driska says.\u003c/p>\n\u003cp>And that change persisted. Nine months after the camp ended, Driska notes, the teens in his study maintained their bolstered sense of confidence — and hope.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Our Sports and Health series continues over the summer, based on the results of our \u003c/em>\u003ca href=\"http://media.npr.org/documents/2015/june/sportsandhealthpoll.pdf\">poll\u003c/a> \u003cem>with the \u003c/em>\u003ca href=\"http://www.rwjf.org/\">Robert Wood Johnson Foundation\u003c/a>\u003cem> and the \u003c/em>\u003ca href=\"http://www.hsph.harvard.edu/\">Harvard T.H. Chan School of Public Health\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Benefits+Of+Sports+To+A+Child%27s+Mind+And+Heart+All+Part+Of+The+Game&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "How to Overcome Stage Fright: Psychotherapy, Pills and Practice",
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"content": "\u003cp>In the past, if Sara Solovitch tripped up while playing the piano, she would get flustered and stop. Especially in front of an audience.\u003c/p>\n\u003cp>“I felt like I had to correct everything and each note had to be perfect,” the Santa Cruz-based author and pianist recently said after playing the French composer Claude Debussy’s lyrical piano piece \u003cem>Reflections on the Water\u003c/em>. She’d breezed through a few bum notes as if no one were listening. “One of the things I’ve really worked on has been continuing to play.”\u003c/p>\n\u003cp>\u003cb>\u003c/b>For the past three years, Solovitch has been coming regularly to San Jose International airport to play the beat-up Hamilton baby grand located in the Terminal B baggage claim area.\u003c/p>\n\u003cp>[soundcloud url=”https://api.soundcloud.com/tracks/211133564″ params=”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false” width=”100%” height=”166″ iframe=”true” /]\u003c/p>\n\u003cp>\u003cb>“\u003c/b>Here, I’m not worried about people’s judgment and evaluation,” Solovitch said. “People aren’t listening and that’s kind of a godsend to me.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ci>\u003c/i>Alongside doing yoga and taking anti-anxiety meds, Solovitch’s impromptu airport recitals are part of her push to overcome stage fright — a phobia that has plagued the musician since she was a little girl.\u003c/p>\n\u003cp>And now she’s written a book on the subject — \u003cem>\u003ca href=\"http://www.bloomsbury.com/us/playing-scared-9781620400913/\" target=\"_blank\" rel=\"noopener\">Playing Scared: A History and Memoir of Stage Fright\u003c/a>. \u003c/em>\u003c/p>\n\u003cp>Solovitch loves the piano. But she’s so scared of playing the instrument in public that even practicing at home when her family is around regularly unsettles her.\u003c/p>\n\u003cp>“My hands turn wet with sweat and they’ll slip and slide,” Solovitch said. “My feet tremble so that I have a hard time controlling the pedal. I feel my heart beating really uncontrollably. And then there’s just this kind of like pounding in my head.”\u003c/p>\n\u003cp>Solovitch is an amateur musician. But even the most seasoned performers struggle with stage fright.\u003c/p>\n\u003cfigure id=\"attachment_10766552\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/arts/wp-content/uploads/sites/2/2015/06/IMG_2733.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10766552\" src=\"http://ww2.kqed.org/arts/wp-content/uploads/sites/2/2015/06/IMG_2733-800x600.jpg\" alt=\"Comedian W Kamau Bell at home in Berkeley. \" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-400x300.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Comedian W Kamau Bell at home in Berkeley. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Berkeley standup comedian W Kamau Bell has hosted his own cable TV series and has appeared on popular podcasts like \u003cem>WTF with Marc Maron\u003c/em>.\u003c/p>\n\u003cp>Yet despite Bell’s impressive chops and widespread renown, the comic still suffers from performance anxiety on a regular basis. And it makes no difference if he’s in front of a national television audience or a small crowd at a bar; he says his mind scrambles and his mouth goes dry.\u003c/p>\n\u003cp>“I’ve often said that if there’s a way to email the crowd the jokes and still get the same feeling from performing live I would just as soon do that,” Bell said.\u003c/p>\n\u003cp>It’s not just performers who deal with this issue. San Francisco Jungian psychiatrist John Beebe, who has dealt with performance anxiety in his own career and treats people who suffer from it, thinks stage fright is universal.\u003c/p>\n\u003cp>“When we can’t live up to the image we’d like to project we just feel within ourselves that we fail terribly,” Beebe said.\u003c/p>\n\u003cp>But Beebe believes people can overcome stage fright if they face it head on. Repetition is key.\u003c/p>\n\u003cp>“I think some of us have learned that the only way to master anything is to practice and do it,” Beebe said.\u003c/p>\n\u003cp>A steady diet of playing to passersby at San Jose Airport has helped Sara Solovitch vanquish her stage fright.\u003c/p>\n\u003cp>“You have to practice performing as much as you practice practise,” Solovitch said.\u003c/p>\n\u003cp>Her practice seems to have paid off: Solovitch is actually looking forward to her next gig. She’ll be performing at the public library in Santa Cruz in August.\u003c/p>\n\u003cp>“I used to talk to myself the way one doesn’t talk to their dog: You know, ‘you’re stupid, you’re an idiot, how could you make that mistake?’” Solovitch said. “And now as I approach a performance, instead of saying ‘I’m nervous,’ I say to myself ‘I’m excited.’”\u003c/p>\n\u003cp>\u003cem>Sara Solovitch’s new book, \u003ca href=\"http://www.bloomsbury.com/us/playing-scared-9781620400913/\" target=\"_blank\" rel=\"noopener\">Playing Scared: A History and Memoir of Stage Fright\u003c/a> comes out this week from Bloomsbury Publishing.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to an audio version of this story on The California Report, Friday June 19. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the past, if Sara Solovitch tripped up while playing the piano, she would get flustered and stop. Especially in front of an audience.\u003c/p>\n\u003cp>“I felt like I had to correct everything and each note had to be perfect,” the Santa Cruz-based author and pianist recently said after playing the French composer Claude Debussy’s lyrical piano piece \u003cem>Reflections on the Water\u003c/em>. She’d breezed through a few bum notes as if no one were listening. “One of the things I’ve really worked on has been continuing to play.”\u003c/p>\n\u003cp>\u003cb>\u003c/b>For the past three years, Solovitch has been coming regularly to San Jose International airport to play the beat-up Hamilton baby grand located in the Terminal B baggage claim area.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='”100%”' height='”166″'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=”https://api.soundcloud.com/tracks/211133564″&visual=true&”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false”'\n title='”https://api.soundcloud.com/tracks/211133564″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cb>“\u003c/b>Here, I’m not worried about people’s judgment and evaluation,” Solovitch said. “People aren’t listening and that’s kind of a godsend to me.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>\u003c/i>Alongside doing yoga and taking anti-anxiety meds, Solovitch’s impromptu airport recitals are part of her push to overcome stage fright — a phobia that has plagued the musician since she was a little girl.\u003c/p>\n\u003cp>And now she’s written a book on the subject — \u003cem>\u003ca href=\"http://www.bloomsbury.com/us/playing-scared-9781620400913/\" target=\"_blank\" rel=\"noopener\">Playing Scared: A History and Memoir of Stage Fright\u003c/a>. \u003c/em>\u003c/p>\n\u003cp>Solovitch loves the piano. But she’s so scared of playing the instrument in public that even practicing at home when her family is around regularly unsettles her.\u003c/p>\n\u003cp>“My hands turn wet with sweat and they’ll slip and slide,” Solovitch said. “My feet tremble so that I have a hard time controlling the pedal. I feel my heart beating really uncontrollably. And then there’s just this kind of like pounding in my head.”\u003c/p>\n\u003cp>Solovitch is an amateur musician. But even the most seasoned performers struggle with stage fright.\u003c/p>\n\u003cfigure id=\"attachment_10766552\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/arts/wp-content/uploads/sites/2/2015/06/IMG_2733.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10766552\" src=\"http://ww2.kqed.org/arts/wp-content/uploads/sites/2/2015/06/IMG_2733-800x600.jpg\" alt=\"Comedian W Kamau Bell at home in Berkeley. \" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-400x300.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/2/2015/06/IMG_2733-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Comedian W Kamau Bell at home in Berkeley. \u003ccite>(Chloe Veltman/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Berkeley standup comedian W Kamau Bell has hosted his own cable TV series and has appeared on popular podcasts like \u003cem>WTF with Marc Maron\u003c/em>.\u003c/p>\n\u003cp>Yet despite Bell’s impressive chops and widespread renown, the comic still suffers from performance anxiety on a regular basis. And it makes no difference if he’s in front of a national television audience or a small crowd at a bar; he says his mind scrambles and his mouth goes dry.\u003c/p>\n\u003cp>“I’ve often said that if there’s a way to email the crowd the jokes and still get the same feeling from performing live I would just as soon do that,” Bell said.\u003c/p>\n\u003cp>It’s not just performers who deal with this issue. San Francisco Jungian psychiatrist John Beebe, who has dealt with performance anxiety in his own career and treats people who suffer from it, thinks stage fright is universal.\u003c/p>\n\u003cp>“When we can’t live up to the image we’d like to project we just feel within ourselves that we fail terribly,” Beebe said.\u003c/p>\n\u003cp>But Beebe believes people can overcome stage fright if they face it head on. Repetition is key.\u003c/p>\n\u003cp>“I think some of us have learned that the only way to master anything is to practice and do it,” Beebe said.\u003c/p>\n\u003cp>A steady diet of playing to passersby at San Jose Airport has helped Sara Solovitch vanquish her stage fright.\u003c/p>\n\u003cp>“You have to practice performing as much as you practice practise,” Solovitch said.\u003c/p>\n\u003cp>Her practice seems to have paid off: Solovitch is actually looking forward to her next gig. She’ll be performing at the public library in Santa Cruz in August.\u003c/p>\n\u003cp>“I used to talk to myself the way one doesn’t talk to their dog: You know, ‘you’re stupid, you’re an idiot, how could you make that mistake?’” Solovitch said. “And now as I approach a performance, instead of saying ‘I’m nervous,’ I say to myself ‘I’m excited.’”\u003c/p>\n\u003cp>\u003cem>Sara Solovitch’s new book, \u003ca href=\"http://www.bloomsbury.com/us/playing-scared-9781620400913/\" target=\"_blank\" rel=\"noopener\">Playing Scared: A History and Memoir of Stage Fright\u003c/a> comes out this week from Bloomsbury Publishing.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to an audio version of this story on The California Report, Friday June 19. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Science Of Sadness And Joy: 'Inside Out' Gets Childhood Emotions Right",
"title": "Science Of Sadness And Joy: 'Inside Out' Gets Childhood Emotions Right",
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"content": "\u003cp>Hollywood's version of science often asks us to believe that dinosaurs can be cloned from ancient DNA (they can't), or that the next ice age could develop in just a few days (it couldn't).\u003c/p>\n\u003cp>But \u003ca href=\"http://movies.disney.com/inside-out/\" target=\"_blank\">Pixar's film\u003c/a> \u003cem>Inside Out\u003c/em> is an animated fantasy that remains remarkably true to what scientists have learned about the mind, emotion and memory.\u003c/p>\n\u003cp>The film is about an 11-year-old girl named Riley who moves from her happy home in Minnesota to the West Coast, where she has no friends and pizza is made with broccoli. Much of the film is spent inside Riley's mind, which features a control center manned by five personified emotions: Joy, Sadness, Fear, Anger and Disgust.\u003c/p>\n\u003cp>\"I think they really nailed it,\" says \u003ca href=\"http://psychology.berkeley.edu/people/dacher-keltner\" target=\"_blank\">Dacher Keltner\u003c/a>, a professor of psychology at UC Berkeley who worked as a consultant to the filmmakers.\u003c/p>\n\u003cp>The movie does a really good job of portraying what it's like to be 11, Keltner says. \"It zeroes in on one of the most poignant times in an individual's life, which is the transition to the preteen and early teen years, where kids — and, I think, in particular girls — start to really powerfully feel the loss of childhood,\" he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As the filmmakers were working, they would fire off emails to Keltner and to \u003ca href=\"http://www.paulekman.com/paul-ekman/\" target=\"_blank\">Paul Ekman\u003c/a>, a pioneer in the study of emotions. The process helped create a movie that's true to the underlying science when it shows things like how emotions tend to color Riley's perception of the world.\u003c/p>\n\u003cp>\"When you are in a fearful state, everything is imbued with threat and uncertainty and peril,\" Keltner says. And when Riley is sad, he says, even her happy memories take on a bluish hue.\u003c/p>\n\u003cp>The filmmakers get a lot of other scientific details right. Inside Riley's head, you see memories get locked in during sleep, experiences transformed into abstractions, and guards protecting the subconscious.\u003c/p>\n\u003cp>There \u003cem>are\u003c/em> a few departures from the scientific norm. Long-term memories are portrayed as immutable snow globes, though scientists know these memories actually tend to change over time. And Riley gets five basic emotions instead of the six often described in textbooks. (\u003ca href=\"/www.npr.org/2015/06/09/413273007/its-all-in-your-head-director-pete-docter-gets-emotional-in-inside-out?live=1\" target=\"_blank\">\"Surprise,\" apparently, didn't make the cut\u003c/a>.)\u003c/p>\n\u003cp>Also disgust is present in a pretty mild form — the reaction a child has to eating broccoli. The film plays down a more powerful version of disgust, \"like if you suddenly eat a piece of food and it has a worm in it, or it's rotting, Keltner says.\u003c/p>\n\u003cp>One of the film's high points, though, is its depiction of sadness, Keltner says. In many books and movies for kids, he says, sadness is dismissed as a negative emotion with no important role.\u003c/p>\n\u003cp>In \u003cem>Inside Out, \u003c/em>star-shaped Joy gets more screen time. But when the emotions are in danger of getting lost in the endless corridors of long-term memory, it is Sadness, downcast and shaped like a blue teardrop, who emerges as an unlikely heroine.\u003c/p>\n\u003cp>For kids, Keltner says, that makes \"a nice statement about how important sadness is to our understanding of who we are.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Science+Of+Sadness+And+Joy%3A+%27Inside+Out%27+Gets+Childhood+Emotions+Right&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hollywood's version of science often asks us to believe that dinosaurs can be cloned from ancient DNA (they can't), or that the next ice age could develop in just a few days (it couldn't).\u003c/p>\n\u003cp>But \u003ca href=\"http://movies.disney.com/inside-out/\" target=\"_blank\">Pixar's film\u003c/a> \u003cem>Inside Out\u003c/em> is an animated fantasy that remains remarkably true to what scientists have learned about the mind, emotion and memory.\u003c/p>\n\u003cp>The film is about an 11-year-old girl named Riley who moves from her happy home in Minnesota to the West Coast, where she has no friends and pizza is made with broccoli. Much of the film is spent inside Riley's mind, which features a control center manned by five personified emotions: Joy, Sadness, Fear, Anger and Disgust.\u003c/p>\n\u003cp>\"I think they really nailed it,\" says \u003ca href=\"http://psychology.berkeley.edu/people/dacher-keltner\" target=\"_blank\">Dacher Keltner\u003c/a>, a professor of psychology at UC Berkeley who worked as a consultant to the filmmakers.\u003c/p>\n\u003cp>The movie does a really good job of portraying what it's like to be 11, Keltner says. \"It zeroes in on one of the most poignant times in an individual's life, which is the transition to the preteen and early teen years, where kids — and, I think, in particular girls — start to really powerfully feel the loss of childhood,\" he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As the filmmakers were working, they would fire off emails to Keltner and to \u003ca href=\"http://www.paulekman.com/paul-ekman/\" target=\"_blank\">Paul Ekman\u003c/a>, a pioneer in the study of emotions. The process helped create a movie that's true to the underlying science when it shows things like how emotions tend to color Riley's perception of the world.\u003c/p>\n\u003cp>\"When you are in a fearful state, everything is imbued with threat and uncertainty and peril,\" Keltner says. And when Riley is sad, he says, even her happy memories take on a bluish hue.\u003c/p>\n\u003cp>The filmmakers get a lot of other scientific details right. Inside Riley's head, you see memories get locked in during sleep, experiences transformed into abstractions, and guards protecting the subconscious.\u003c/p>\n\u003cp>There \u003cem>are\u003c/em> a few departures from the scientific norm. Long-term memories are portrayed as immutable snow globes, though scientists know these memories actually tend to change over time. And Riley gets five basic emotions instead of the six often described in textbooks. (\u003ca href=\"/www.npr.org/2015/06/09/413273007/its-all-in-your-head-director-pete-docter-gets-emotional-in-inside-out?live=1\" target=\"_blank\">\"Surprise,\" apparently, didn't make the cut\u003c/a>.)\u003c/p>\n\u003cp>Also disgust is present in a pretty mild form — the reaction a child has to eating broccoli. The film plays down a more powerful version of disgust, \"like if you suddenly eat a piece of food and it has a worm in it, or it's rotting, Keltner says.\u003c/p>\n\u003cp>One of the film's high points, though, is its depiction of sadness, Keltner says. In many books and movies for kids, he says, sadness is dismissed as a negative emotion with no important role.\u003c/p>\n\u003cp>In \u003cem>Inside Out, \u003c/em>star-shaped Joy gets more screen time. But when the emotions are in danger of getting lost in the endless corridors of long-term memory, it is Sadness, downcast and shaped like a blue teardrop, who emerges as an unlikely heroine.\u003c/p>\n\u003cp>For kids, Keltner says, that makes \"a nice statement about how important sadness is to our understanding of who we are.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Science+Of+Sadness+And+Joy%3A+%27Inside+Out%27+Gets+Childhood+Emotions+Right&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Oakland Researchers Link Prenatal Exposure to DDT to Higher Breast Cancer Risk Decades Later",
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"content": "\u003cp>Women who were exposed to higher amounts of the pesticide DDT while they were in utero are linked to having a nearly four-fold increased risk of breast cancer decades later than women who were exposed to lower levels prenatally, according to a study led by researchers at Oakland's Public Health Institute.\u003c/p>\n\u003cp>The association was made through analysis of an extraordinary data set of more than 20,000 pregnant women who enrolled in a study between 1959-1967. The women, members of (what was then called) Kaiser Foundation Health Plan in and around Oakland, gave blood samples when they were pregnant or in the days following delivery. Now, decades later, the daughters of those women are reaching an age where breast cancer cases would start to be seen in greater numbers.\u003c/p>\n\u003cp>Because of other evidence, researchers had theorized that in utero DDT exposure could increase a woman's breast cancer risk. Of the 9,000 girls born to mothers in the study, researchers ultimately identified 103 cases of women with breast cancer today. They compared each case against three others who did not have cancer and found higher levels of DDT.\u003c/p>\n\u003cp>\u003cstrong>\"Sizeable Association Compared With Other Risks\"\u003c/strong>\u003c/p>\n\u003cp>\"What we found is that women highly exposed in utero had four times the chance of getting diagnosed with breast cancer by the age of 52,\" said lead author Barbara Cohn, Ph.D. of the Public Health Institute in an interview. \"This is a sizeable association compared with other risks that we know.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cohn noted that a four-fold increased risk is 400 percent. Another risk, twice-a-day alcohol consumption, is associated with a 40 percent increased risk. Benign breast disease is associated with a 53 percent increased risk.\u003c/p>\n\u003cp>The study was published in the \u003ca href=\"http://press.endocrine.org/doi/10.1210/jc.2015-1841\" target=\"_blank\">Journal of Clinical Endocrinology and Metabolism\u003c/a> and was done in conjunction with researchers at UC Davis and the California Department of Toxic Substances Control.\u003c/p>\n\u003cp>DDT was banned in the U.S. in 1972 and is seen as the issue that launched the modern environmental movement. It was used widely in the 1950s and 1960s.\u003c/p>\n\u003cp>\"It was nearly a ubiquitous exposure, and the levels were high, not just in California, but worldwide,\" Cohn said. \"During that time most, or nearly most, of all humans of that generation were exposed to DDT.\"\u003c/p>\n\u003cp>It was used broadly in consumer products including \"wallpaper impregnated with DDT to control flies,\" Cohn said, as well as bug sprays and sprays on crops.\u003c/p>\n\u003cp>\u003cstrong>Apparent First\u003c/strong>\u003c/p>\n\u003cp>Still, Cohn said more research is needed to confirm this analysis. \"The point of this study is not to be alarmist,\" she said.\u003c/p>\n\u003cp>The breast cancer risk for a 50-year-old woman of being diagnosed with breast cancer in the next 10 years is \u003ca href=\"http://www.cancer.gov/types/breast/risk-fact-sheet\" target=\"_blank\">1 in 42\u003c/a>, according to the National Cancer Institute.\u003c/p>\n\u003cp>In a statement, Elizabeth Ward, Ph.D., and a senior vice president with the American Cancer Society, referred to the \"unique resource\" the researchers had analyzed and noted that the review of in utero exposure to DDT \"appears to be a first.\"\u003c/p>\n\u003cp>Still, Ward added, \"Unfortunately, there may be few opportunities to replicate these findings, and because of the small sample size of the study –- with only 103 breast cancer cases -- the results should be interpreted cautiously.”\u003c/p>\n\u003cp>The gold standard of clinical research is the randomized control trial, but it's not possible ethically to give DDT to people, because of its known risks. Instead, Cohn said, the next step would be animal studies to confirm what was seen in humans is also seen in animals.\u003c/p>\n\u003cp>Many animals go through their life cycles faster than humans, she said. \"Those are the studies that would then be able to discover and better address causation and perhaps find the mechanisms for these effects.\" That would be the first step toward prevention, Cohn said.\u003c/p>\n\u003cp>Previous studies have found that DDT is a hormone disruptor, that it interferes with estrogen's function. Karuna Jaggar, executive director of Breast Cancer Action, an advocacy group, said this study was an important addition to the body of research that \"points firmly in the direction\" of identifying causes of breast cancer.\u003c/p>\n\u003cp>\"DDT is not the only chemical that acts in this way, and if we are concerned about DDT's effect on breast cancer, we should be concerned about many other hormone disruptors' effects on breast cancer,\" Jaggar said. \u003c/p>\n\u003cp>She specifically mentioned bisphenol A (BPA), used in many plastics, and phthalates, commonly used in beauty products, as examples.\u003c/p>\n\u003cp>A meta-analysis -- a \"study of studies\" -- in 2014 found \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064641/\" target=\"_blank\">no association \u003c/a>between DDT exposure and breast cancer risk for women who were directly exposed. But Cohn said it's likely both are true -- that the critical exposure is in utero, that there is no evidence of risk if exposed later in life.\u003c/p>\n\u003cp>DDT is still used in other parts of the world, especially in Africa and Asia, to control the spread of malaria. Cohn says she is \"not an anti-DDT person,\" but does believe that policymakers should be aware of this potential additional harm of DDT.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meanwhile, Cohn says that additional research using the 50-year-old samples are underway, including looking at the third generation of women -- age of start of menstruation, for example, as well as a study of the impact of stress on breast cancer risk.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Women who were exposed to higher amounts of the pesticide DDT while they were in utero are linked to having a nearly four-fold increased risk of breast cancer decades later than women who were exposed to lower levels prenatally, according to a study led by researchers at Oakland's Public Health Institute.\u003c/p>\n\u003cp>The association was made through analysis of an extraordinary data set of more than 20,000 pregnant women who enrolled in a study between 1959-1967. The women, members of (what was then called) Kaiser Foundation Health Plan in and around Oakland, gave blood samples when they were pregnant or in the days following delivery. Now, decades later, the daughters of those women are reaching an age where breast cancer cases would start to be seen in greater numbers.\u003c/p>\n\u003cp>Because of other evidence, researchers had theorized that in utero DDT exposure could increase a woman's breast cancer risk. Of the 9,000 girls born to mothers in the study, researchers ultimately identified 103 cases of women with breast cancer today. They compared each case against three others who did not have cancer and found higher levels of DDT.\u003c/p>\n\u003cp>\u003cstrong>\"Sizeable Association Compared With Other Risks\"\u003c/strong>\u003c/p>\n\u003cp>\"What we found is that women highly exposed in utero had four times the chance of getting diagnosed with breast cancer by the age of 52,\" said lead author Barbara Cohn, Ph.D. of the Public Health Institute in an interview. \"This is a sizeable association compared with other risks that we know.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cohn noted that a four-fold increased risk is 400 percent. Another risk, twice-a-day alcohol consumption, is associated with a 40 percent increased risk. Benign breast disease is associated with a 53 percent increased risk.\u003c/p>\n\u003cp>The study was published in the \u003ca href=\"http://press.endocrine.org/doi/10.1210/jc.2015-1841\" target=\"_blank\">Journal of Clinical Endocrinology and Metabolism\u003c/a> and was done in conjunction with researchers at UC Davis and the California Department of Toxic Substances Control.\u003c/p>\n\u003cp>DDT was banned in the U.S. in 1972 and is seen as the issue that launched the modern environmental movement. It was used widely in the 1950s and 1960s.\u003c/p>\n\u003cp>\"It was nearly a ubiquitous exposure, and the levels were high, not just in California, but worldwide,\" Cohn said. \"During that time most, or nearly most, of all humans of that generation were exposed to DDT.\"\u003c/p>\n\u003cp>It was used broadly in consumer products including \"wallpaper impregnated with DDT to control flies,\" Cohn said, as well as bug sprays and sprays on crops.\u003c/p>\n\u003cp>\u003cstrong>Apparent First\u003c/strong>\u003c/p>\n\u003cp>Still, Cohn said more research is needed to confirm this analysis. \"The point of this study is not to be alarmist,\" she said.\u003c/p>\n\u003cp>The breast cancer risk for a 50-year-old woman of being diagnosed with breast cancer in the next 10 years is \u003ca href=\"http://www.cancer.gov/types/breast/risk-fact-sheet\" target=\"_blank\">1 in 42\u003c/a>, according to the National Cancer Institute.\u003c/p>\n\u003cp>In a statement, Elizabeth Ward, Ph.D., and a senior vice president with the American Cancer Society, referred to the \"unique resource\" the researchers had analyzed and noted that the review of in utero exposure to DDT \"appears to be a first.\"\u003c/p>\n\u003cp>Still, Ward added, \"Unfortunately, there may be few opportunities to replicate these findings, and because of the small sample size of the study –- with only 103 breast cancer cases -- the results should be interpreted cautiously.”\u003c/p>\n\u003cp>The gold standard of clinical research is the randomized control trial, but it's not possible ethically to give DDT to people, because of its known risks. Instead, Cohn said, the next step would be animal studies to confirm what was seen in humans is also seen in animals.\u003c/p>\n\u003cp>Many animals go through their life cycles faster than humans, she said. \"Those are the studies that would then be able to discover and better address causation and perhaps find the mechanisms for these effects.\" That would be the first step toward prevention, Cohn said.\u003c/p>\n\u003cp>Previous studies have found that DDT is a hormone disruptor, that it interferes with estrogen's function. Karuna Jaggar, executive director of Breast Cancer Action, an advocacy group, said this study was an important addition to the body of research that \"points firmly in the direction\" of identifying causes of breast cancer.\u003c/p>\n\u003cp>\"DDT is not the only chemical that acts in this way, and if we are concerned about DDT's effect on breast cancer, we should be concerned about many other hormone disruptors' effects on breast cancer,\" Jaggar said. \u003c/p>\n\u003cp>She specifically mentioned bisphenol A (BPA), used in many plastics, and phthalates, commonly used in beauty products, as examples.\u003c/p>\n\u003cp>A meta-analysis -- a \"study of studies\" -- in 2014 found \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064641/\" target=\"_blank\">no association \u003c/a>between DDT exposure and breast cancer risk for women who were directly exposed. But Cohn said it's likely both are true -- that the critical exposure is in utero, that there is no evidence of risk if exposed later in life.\u003c/p>\n\u003cp>DDT is still used in other parts of the world, especially in Africa and Asia, to control the spread of malaria. Cohn says she is \"not an anti-DDT person,\" but does believe that policymakers should be aware of this potential additional harm of DDT.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meanwhile, Cohn says that additional research using the 50-year-old samples are underway, including looking at the third generation of women -- age of start of menstruation, for example, as well as a study of the impact of stress on breast cancer risk.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Babies tend to wear their hearts on their tiny little sleeves. They cry because you took away that thing they picked up off the floor and then put in their mouths. They cry because they're tired. Sometimes, they cry just because.\u003c/p>\n\u003cp>But by the middle of their second year of life, it turns out, babies do understand that a stiff upper lip can be appropriate in certain situations. Children this age show more concern for adults who overtly express sadness, according to a \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0163638314001210\">study\u003c/a> published recently, but they're also understanding of people who are more emotionally reserved.\u003c/p>\n\u003cp>To figure this out, Sabrina Chiarella, who researches human development at Concordia University, rounded up 71 tots — all were around 18 months old — and acted out one of two scenarios for them. Half the babies saw Chiarella get sad and dejected after someone unjustly snatched away her toys. The other half saw her react a bit differently: When the toys were taken away, Chiarella remained outwardly collected.\u003c/p>\n\u003cp>A camera captured the childrens' facial expressions as they watched the skit. Those who saw Chiarella express sadness looked and acted a bit more concerned than those who witnessed her stoic reserve.\u003c/p>\n\u003cp>But later, when Chiarella played with each baby, they all seemed to be equally trusting of her emotional responses. They tried to help her when she seemed like she needed it, and they all showed her empathy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"For example, if I acted sad while I was playing with them, they would give me a teddy bear,\" she says. \"And all of the babies were just as willing to help me reach objects.\"\u003c/p>\n\u003cp>The study appears in the journal \u003cem>Infant Behavior and Development. \u003c/em>It suggests that by 18 months of age, babies have a fairly sophisticated understanding of human emotion, Chiarella tells Shots. They seem willing, she says, to give stoic people the benefit of the doubt; they understand that overt sadness is appropriate after a negative experience, but also understand that a neutral response doesn't necessarily mean a person is untrustworthy.\u003c/p>\n\u003cp>\"We see here that infants are making an association between events that happen and emotions,\" she says. \"They can sort of deduce what the appropriate emotions should be, based on the events.\"\u003c/p>\n\u003cp>The study builds on Chiarella's \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/infa.12028/abstract?deniedAccessCustomisedMessage=&userIsAuthenticated=false\">previous research\u003c/a>, which found that, unlike 15-month-old babies, by 18 months, children are able to pick up when someone's emotional reaction doesn't make sense. (You can watch a video about that research \u003ca href=\"https://www.youtube.com/watch?v=c-QLGkj4nFM\">here\u003c/a>). The 18-month-olds act confused when someone gets upset after good things happen, for example. And they are less likely to trust that person in the future.\u003c/p>\n\u003cp>Scientists have known for a while that babies can distinguish among various facial expressions. From very early in life, young humans understand that happy looks different from sad. \"What we're just starting to see is how much they understand about what those emotions mean,\" Chiarella says.\u003c/p>\n\u003cp>Indeed, recent research — including this study — shows that babies have a more nuanced understanding of emotion than scientists had previously thought, says \u003ca href=\"http://www.cehd.umn.edu/icd/research/elel/people.html\">Melissa Koenig\u003c/a>, an associate professor of child development at the University of Minnesota, who wasn't involved in the recent study.\u003c/p>\n\u003cp>\"It used to be that we thought that infants only looked to other people for emotional support and reassurance,\" she says. \"And that's not wrong. But now we're beginning to see that there's more to it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Infants learn a lot about their own emotions from those around them, Koenig says. It's looking like they're also able to learn a lot about other people based on how they emote.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+Babies+Understand+About+Adult+Sadness&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"For example, if I acted sad while I was playing with them, they would give me a teddy bear,\" she says. \"And all of the babies were just as willing to help me reach objects.\"\u003c/p>\n\u003cp>The study appears in the journal \u003cem>Infant Behavior and Development. \u003c/em>It suggests that by 18 months of age, babies have a fairly sophisticated understanding of human emotion, Chiarella tells Shots. They seem willing, she says, to give stoic people the benefit of the doubt; they understand that overt sadness is appropriate after a negative experience, but also understand that a neutral response doesn't necessarily mean a person is untrustworthy.\u003c/p>\n\u003cp>\"We see here that infants are making an association between events that happen and emotions,\" she says. \"They can sort of deduce what the appropriate emotions should be, based on the events.\"\u003c/p>\n\u003cp>The study builds on Chiarella's \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/infa.12028/abstract?deniedAccessCustomisedMessage=&userIsAuthenticated=false\">previous research\u003c/a>, which found that, unlike 15-month-old babies, by 18 months, children are able to pick up when someone's emotional reaction doesn't make sense. (You can watch a video about that research \u003ca href=\"https://www.youtube.com/watch?v=c-QLGkj4nFM\">here\u003c/a>). The 18-month-olds act confused when someone gets upset after good things happen, for example. And they are less likely to trust that person in the future.\u003c/p>\n\u003cp>Scientists have known for a while that babies can distinguish among various facial expressions. From very early in life, young humans understand that happy looks different from sad. \"What we're just starting to see is how much they understand about what those emotions mean,\" Chiarella says.\u003c/p>\n\u003cp>Indeed, recent research — including this study — shows that babies have a more nuanced understanding of emotion than scientists had previously thought, says \u003ca href=\"http://www.cehd.umn.edu/icd/research/elel/people.html\">Melissa Koenig\u003c/a>, an associate professor of child development at the University of Minnesota, who wasn't involved in the recent study.\u003c/p>\n\u003cp>\"It used to be that we thought that infants only looked to other people for emotional support and reassurance,\" she says. \"And that's not wrong. But now we're beginning to see that there's more to it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Infants learn a lot about their own emotions from those around them, Koenig says. It's looking like they're also able to learn a lot about other people based on how they emote.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+Babies+Understand+About+Adult+Sadness&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Most everyone has trouble sleeping from time to time. But missing the occasional night’s sleep bears little relation to chronic insomnia, when worries real and imagined rob rest from the night and dog the day as exhausted minds fixate on the haunted hours when sleep never comes.\u003c/p>\n\u003cp>Chronic insomnia affects \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21652083\">10 to 15 percent of Americans\u003c/a>, \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0165032711002606\" target=\"_blank\">as many as 36 million adults\u003c/a>. Most people who seek treatment receive a prescription for sleeping pills. Medication can bring temporary relief but often at the cost of a \u003ca href=\"http://www.webmd.com/sleep-disorders/guide/understanding-the-side-effects-of-sleeping-pills\" target=\"_blank\">long list of side effects\u003c/a>, including a hangover that impairs judgment and coordination. The hangover associated with Ambien and other sleeping pills made with the medication zolpidem is so severe that the FDA required lower recommended doses for the pills in 2013, citing \u003ca href=\"http://www.fda.gov/Drugs/DrugSafety/ucm334041.htm\" target=\"_blank\">increased risk of car accidents\u003c/a>.\u003c/p>\n\u003cp>But, as a systematic analysis of multiple sleep studies \u003ca href=\"http://annals.org/article.aspx?articleid=2301405\" target=\"_blank\">published Monday in the Annals of Internal Medicine\u003c/a> shows, there’s a better way to help insomniacs tame those nighttime demons and get a good night’s sleep: retrain the mind and body to embrace sleep again. The treatment is based on cognitive behavioral therapy (CBT), a type of psychotherapy that has long been used to treat depression and other mental disorders by correcting self-destructive thoughts, feelings and behaviors. Cognitive behavioral therapy for insomnia (or CBTi) applies this approach while also drawing on the science of sleep to improve sleep patterns without drugs.\u003c/p>\n\u003cp>“People with chronic insomnia become very focused on sleep and fearful of the consequences of poor sleep,” says David Cunnington, director of the Melbourne Sleep Disorders Centre in Australia, who led the study.\u003c/p>\n\u003cp>Pills simply mask these anxieties, which can return with a vengeance when people stop taking medication. But CBTi targets the core problem of chronic insomnia, Cunnington says. “It’s the changed thinking and behavior around sleep that needs to be addressed to settle down symptoms.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And because the therapy corrects the habits and thoughts that promote insomnia, he says, it helps people retain healthy sleep habits without the need for ongoing treatment.\u003c/p>\n\u003cp>According to the researchers, key elements of CBT-i include:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Cognitive therapy:\u003c/strong> Identify and replace dysfunctional beliefs and attitudes about sleep and insomnia.\u003c/li>\n\u003cli>\u003cstrong>Stimulus control\u003c/strong>: Strengthen the association between bed and sleep and instead of stimulating activities. For example, going to bed only when sleepy and getting up when awake for 15-20 minutes.\u003c/li>\n\u003cli>\u003cstrong>Sleep restriction\u003c/strong>: Limit time in bed to match perceived sleep duration in order to increase sleep drive and further reduce time awake in bed. Start by restricting allowed time in bed to the average time perceived as sleep per night, then adjust to reach over 85 percent sleep efficiency.\u003c/li>\n\u003cli>\u003cstrong>Sleep hygiene:\u003c/strong> Avoid visual access to a clock; set and keep a regular sleep schedule and avoid long daytime naps. Limit alcohol, caffeine, and nicotine intake, especially before bed.\u003c/li>\n\u003cli>\u003cstrong>Relaxation\u003c/strong>: Practice any technique that is relaxing including meditation, mindfulness, guided imagery, and breathing techniques.\u003c/li>\n\u003c/ul>\n\u003cp>The \u003ca href=\"http://www.nih.gov/news/pr/jun2005/od-15.htm%5d\" target=\"_blank\">National Institutes of Health recommended\u003c/a> the broader use of cognitive and behavioral therapies to treat chronic insomnia 10 years ago, but a gap still exists between the guidelines and clinical practice, partly due to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22505869\" target=\"_blank\">lack of qualified therapists\u003c/a>.\u003c/p>\n\u003cp>Individual studies show that cognitive behavioral therapy works for chronic insomnia. But it’s tough to draw general conclusions from studies conducted in different countries by different health care professionals using slightly different treatments. Cunnington and his colleagues applied statistical methods to control for these differences in a meta-analysis of 20 published studies to provide a clearer picture of the true effect of treatments, and perhaps boost uptake of \u003ca href=\"http://www.medscape.com/viewarticle/727935\" target=\"_blank\">evidence-based guidelines\u003c/a>.\u003c/p>\n\u003cp>The studies used a combination of sleep diaries and polysomnography (a diagnostic machine that monitors brain and physiological activity during sleep) to assess patients’ sleep patterns. Overall, they showed that patients who underwent a short course of cognitive behavioral therapy – at least four face-to-face sessions -- fell sleep about 20 minutes faster and stayed awake about half an hour less throughout the night. Patients maintained these improvements after the treatments ended.\u003c/p>\n\u003cp>The findings support the “already strong evidence” that CBT-i is an effective treatment for chronic insomnia, notes Charles Morin, a sleep disorders expert who was not involved in the study, in an accompanying editorial.\u003c/p>\n\u003cp>Yet despite “robust scientific evidence” and “strong professional endorsements” of cognitive behavioral therapy’s value in treating chronic insomnia, Morin wrote, “a major gap exists between the current state of the science and actual clinical practice.”\u003c/p>\n\u003cp>Morin, who heads the Center for the Study of Sleep Disorders at Laval University in Quebec, acknowledged that CBT-i requires more time and effort for both clinician and patient than taking a pill. “Although we lack an easy-to-swallow ‘CBT pill’ for insomnia, the reality is that drug therapy alone does not address the underlying psychological and behavioral factors that perpetuate insomnia.”\u003c/p>\n\u003cp>Untreated insomnia can cause long-term health problems, including major depression and hypertension, though more research is needed to evaluate whether improved sleep alters the risk of later health problems.\u003c/p>\n\u003cp>What’s clear is that CBT-i can help patients regain control over their sleep and quality of life.\u003c/p>\n\u003cp>Over the past few months, Cunnington has been treating a 25-year-old veterinary surgeon whose sleep deteriorated as she worked long hours, often on-call, throughout the past year. She rearranged her schedule but it didn’t help. Her increasing anxiety about sleep soon bled into other aspects of her life until she found herself having panic attacks.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“She came to me after being so distressed one night that she called an ambulance to take her to the ER to just get ‘something to sleep,’ ” Cunnington recalls. “We’ve used CBT-i with her over the last few months, and she’s now back at work, feeling and sleeping reasonably well. She’s getting on with life.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most everyone has trouble sleeping from time to time. But missing the occasional night’s sleep bears little relation to chronic insomnia, when worries real and imagined rob rest from the night and dog the day as exhausted minds fixate on the haunted hours when sleep never comes.\u003c/p>\n\u003cp>Chronic insomnia affects \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21652083\">10 to 15 percent of Americans\u003c/a>, \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0165032711002606\" target=\"_blank\">as many as 36 million adults\u003c/a>. Most people who seek treatment receive a prescription for sleeping pills. Medication can bring temporary relief but often at the cost of a \u003ca href=\"http://www.webmd.com/sleep-disorders/guide/understanding-the-side-effects-of-sleeping-pills\" target=\"_blank\">long list of side effects\u003c/a>, including a hangover that impairs judgment and coordination. The hangover associated with Ambien and other sleeping pills made with the medication zolpidem is so severe that the FDA required lower recommended doses for the pills in 2013, citing \u003ca href=\"http://www.fda.gov/Drugs/DrugSafety/ucm334041.htm\" target=\"_blank\">increased risk of car accidents\u003c/a>.\u003c/p>\n\u003cp>But, as a systematic analysis of multiple sleep studies \u003ca href=\"http://annals.org/article.aspx?articleid=2301405\" target=\"_blank\">published Monday in the Annals of Internal Medicine\u003c/a> shows, there’s a better way to help insomniacs tame those nighttime demons and get a good night’s sleep: retrain the mind and body to embrace sleep again. The treatment is based on cognitive behavioral therapy (CBT), a type of psychotherapy that has long been used to treat depression and other mental disorders by correcting self-destructive thoughts, feelings and behaviors. Cognitive behavioral therapy for insomnia (or CBTi) applies this approach while also drawing on the science of sleep to improve sleep patterns without drugs.\u003c/p>\n\u003cp>“People with chronic insomnia become very focused on sleep and fearful of the consequences of poor sleep,” says David Cunnington, director of the Melbourne Sleep Disorders Centre in Australia, who led the study.\u003c/p>\n\u003cp>Pills simply mask these anxieties, which can return with a vengeance when people stop taking medication. But CBTi targets the core problem of chronic insomnia, Cunnington says. “It’s the changed thinking and behavior around sleep that needs to be addressed to settle down symptoms.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And because the therapy corrects the habits and thoughts that promote insomnia, he says, it helps people retain healthy sleep habits without the need for ongoing treatment.\u003c/p>\n\u003cp>According to the researchers, key elements of CBT-i include:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Cognitive therapy:\u003c/strong> Identify and replace dysfunctional beliefs and attitudes about sleep and insomnia.\u003c/li>\n\u003cli>\u003cstrong>Stimulus control\u003c/strong>: Strengthen the association between bed and sleep and instead of stimulating activities. For example, going to bed only when sleepy and getting up when awake for 15-20 minutes.\u003c/li>\n\u003cli>\u003cstrong>Sleep restriction\u003c/strong>: Limit time in bed to match perceived sleep duration in order to increase sleep drive and further reduce time awake in bed. Start by restricting allowed time in bed to the average time perceived as sleep per night, then adjust to reach over 85 percent sleep efficiency.\u003c/li>\n\u003cli>\u003cstrong>Sleep hygiene:\u003c/strong> Avoid visual access to a clock; set and keep a regular sleep schedule and avoid long daytime naps. Limit alcohol, caffeine, and nicotine intake, especially before bed.\u003c/li>\n\u003cli>\u003cstrong>Relaxation\u003c/strong>: Practice any technique that is relaxing including meditation, mindfulness, guided imagery, and breathing techniques.\u003c/li>\n\u003c/ul>\n\u003cp>The \u003ca href=\"http://www.nih.gov/news/pr/jun2005/od-15.htm%5d\" target=\"_blank\">National Institutes of Health recommended\u003c/a> the broader use of cognitive and behavioral therapies to treat chronic insomnia 10 years ago, but a gap still exists between the guidelines and clinical practice, partly due to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22505869\" target=\"_blank\">lack of qualified therapists\u003c/a>.\u003c/p>\n\u003cp>Individual studies show that cognitive behavioral therapy works for chronic insomnia. But it’s tough to draw general conclusions from studies conducted in different countries by different health care professionals using slightly different treatments. Cunnington and his colleagues applied statistical methods to control for these differences in a meta-analysis of 20 published studies to provide a clearer picture of the true effect of treatments, and perhaps boost uptake of \u003ca href=\"http://www.medscape.com/viewarticle/727935\" target=\"_blank\">evidence-based guidelines\u003c/a>.\u003c/p>\n\u003cp>The studies used a combination of sleep diaries and polysomnography (a diagnostic machine that monitors brain and physiological activity during sleep) to assess patients’ sleep patterns. Overall, they showed that patients who underwent a short course of cognitive behavioral therapy – at least four face-to-face sessions -- fell sleep about 20 minutes faster and stayed awake about half an hour less throughout the night. Patients maintained these improvements after the treatments ended.\u003c/p>\n\u003cp>The findings support the “already strong evidence” that CBT-i is an effective treatment for chronic insomnia, notes Charles Morin, a sleep disorders expert who was not involved in the study, in an accompanying editorial.\u003c/p>\n\u003cp>Yet despite “robust scientific evidence” and “strong professional endorsements” of cognitive behavioral therapy’s value in treating chronic insomnia, Morin wrote, “a major gap exists between the current state of the science and actual clinical practice.”\u003c/p>\n\u003cp>Morin, who heads the Center for the Study of Sleep Disorders at Laval University in Quebec, acknowledged that CBT-i requires more time and effort for both clinician and patient than taking a pill. “Although we lack an easy-to-swallow ‘CBT pill’ for insomnia, the reality is that drug therapy alone does not address the underlying psychological and behavioral factors that perpetuate insomnia.”\u003c/p>\n\u003cp>Untreated insomnia can cause long-term health problems, including major depression and hypertension, though more research is needed to evaluate whether improved sleep alters the risk of later health problems.\u003c/p>\n\u003cp>What’s clear is that CBT-i can help patients regain control over their sleep and quality of life.\u003c/p>\n\u003cp>Over the past few months, Cunnington has been treating a 25-year-old veterinary surgeon whose sleep deteriorated as she worked long hours, often on-call, throughout the past year. She rearranged her schedule but it didn’t help. Her increasing anxiety about sleep soon bled into other aspects of her life until she found herself having panic attacks.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“She came to me after being so distressed one night that she called an ambulance to take her to the ER to just get ‘something to sleep,’ ” Cunnington recalls. “We’ve used CBT-i with her over the last few months, and she’s now back at work, feeling and sleeping reasonably well. She’s getting on with life.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Antidepressants and anti-anxiety medications can be harmful to the developing fetus. Pregnant women who suffer from serious depression face a difficult dilemma: Should they continue taking medication and risk unknown side effects to the fetus, or go through their pregnancies trying to handle their depression without medication?\u003c/p>\n\u003cp>Author Andrew Solomon tells \"Fresh Air's\"\u003ci> \u003c/i>Terry Gross that there is an \"enormous amount of research which establishes relatively definitively that the drugs don't cause significant birth defects.\" But the long-term effects of these medications aren't clearly known. \"The jury is still out on what happens in a developing brain and whether those people, as they get into adulthood, will have slight shifts in their personality or consciousness or their vulnerability to depression on the basis of their prenatal exposure,\" he says.\u003c/p>\n\u003cp>But Solomon points out that a depressed mother can also be harmful to the fetus. Stress can also increase the level of cortisol, a hormone, and affect the fetus. \"Women who are depressed are less likely to keep all of their obstetrical appointments, are more likely to drink or use substances of abuse, are less likely to regulate their exercise and what they eat in the ways that are best for a developing fetus,\" he says. \"It's harder to be good at pregnancy when you're depressed.\"\u003c/p>\n\u003cp>Solomon's article, \"\u003ca href=\"http://www.nytimes.com/2015/05/31/magazine/the-secret-sadness-of-pregnancy-with-depression.html?_r=0\" target=\"_blank\">The Secret Sadness of Pregnancy With Depression,\u003c/a>\" recently appeared in The New York Times Magazine\u003cem>. \u003c/em>Solomon's own depression led him to write his 2001 book, \"The Noonday Demon: An Atlas of Depression\u003cem>,\" \u003c/em>which has just been published in a new edition with a new chapter about the latest developments in treating depression.\u003c/p>\n\u003chr>\n\u003ch3>Interview Highlights\u003c/h3>\n\u003cp>\u003cstrong>On the problems in doing research on how medications might affect pregnant women\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>We can say to a group of nonpregnant women, \"We're going to give half of you Prozac and half of you a placebo, and we're going to follow you for the next two months and see what happens.\" It is outside of ethical guidelines to do the same thing with pregnant women. You can't have people taking that risk for a developing fetus, and you can't say, \"We're giving half of you this drug and half of you a placebo and we'll see what happens.\" Instead, studies of the effects of drugs on fetal development or on pregnant women are based on retrospective work. You say, \"Let's look at all of the children who have a particular cardiac defect and see how many of their mothers were taking medication.\" Or you say, \"After the whole thing is over, let's see how the women who were voluntarily taking medication fared as oppose to the women who chose to stay off it.\" But those are often not comparable groups. The people who choose to stay on medication during pregnancy are likely to have more severe depression than the ones who are able to go off, or to have a very different structure of personality that makes it harder for them to deal with the depression. So the confounding factors are enormous and confusing and the research is therefore never very definitive.\u003c/p>\n\u003cp>\u003cstrong>On how depression and stress can negatively impact a fetus, such as causing high levels of the hormone cortisol\u003c/strong>\u003c/p>\n\u003cp>It appears that cortisol is implicated in the constriction of the uterine artery, which means that it reduces the blood flow to the placenta. That is a very serious matter that warrants consideration. It would also appear that some of the other chemicals that circulate in the brains (and therefore in the bloodstream) of people who are depressed will be circulating and making it through to that placenta and that fetus, and they will be having a direct effect, which may be comparably dramatic, to the direct effect of anti-depressants. ...\u003c/p>\n\u003cp>A large portion of women who are depressed during pregnancy will be depressed after the baby is born. It's not as though the baby comes out and suddenly the whole thing goes away. Depression in the early stages of taking care of an infant involves terrible suffering for the mother who feels utterly overwhelmed and unequal to what she is now required to do, and it's not good for the baby, because depressed mothers tend to be irritable and inattentive and neither of those is a good way to be with a newborn.\u003c/p>\n\u003cp>\u003cstrong>On what he's learned about managing his own depression \u003c/strong>\u003c/p>\n\u003cp>You always have to be vigilant with it, you always have to deal with it. It is, for most people, a lifetime condition and it requires constant management. I go and see a psychotherapist every week, not so much because what happens in any individual session is transformative, but because I feel it's important that there be someone, a trained professional, who is watching what is going on. And he said to be me one day, when I was being a little cavalier about some of what I thought were minor symptoms of depression, he said, \"Let us never forget in this room that you are very capable of taking the express elevator to the bargain basement of mental health.\" And I think that consciousness has had to be something that I've learned.\u003c/p>\n\u003cp>In talking to so many people and hearing about so many situations, really what I've come to is the feeling that depression mostly is manageable, but if not well managed it can be tragic, and that most people who are seeking treatment are not getting very good treatment, and that many people who would benefit from treatment are not even seeking that treatment.\u003c/p>\n\u003cp>\u003cstrong>On his very unconventional family \u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>My husband John is the biological father of two children with some lesbian friends in Minneapolis. My very dearest friend from college had got divorced but wanted to be a mother, and I wanted to be father and so we decided to have a child together. Mother and daughter live in Texas. Then John and I wanted the experience of bringing up a child ourselves and so we have my son — I am the biological father, John is the adoptive father, we had an egg donor and our surrogate was Laura, the lesbian mother of his two biological children in Minneapolis. The shorthand is six parents (really including the partner of my daughter's mother); six parents of four children in three states. ... It is all working out and there were a lot of people who said, as we began on the various bits and pieces of it, \"This can only be a disaster. It's all going to be awful.\" I've just finished making plans with all of them about who is coming for what parts of the summer and when we'll all see one another. It has turned out to be an amazing, joyful experience, with its challenges, of course, but very joyous.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Pregnant+Women+With+Depression+Face+Tough+Choices%2C+No+Easy+Answers&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Antidepressants and anti-anxiety medications can be harmful to the developing fetus. Pregnant women who suffer from serious depression face a difficult dilemma: Should they continue taking medication and risk unknown side effects to the fetus, or go through their pregnancies trying to handle their depression without medication?\u003c/p>\n\u003cp>Author Andrew Solomon tells \"Fresh Air's\"\u003ci> \u003c/i>Terry Gross that there is an \"enormous amount of research which establishes relatively definitively that the drugs don't cause significant birth defects.\" But the long-term effects of these medications aren't clearly known. \"The jury is still out on what happens in a developing brain and whether those people, as they get into adulthood, will have slight shifts in their personality or consciousness or their vulnerability to depression on the basis of their prenatal exposure,\" he says.\u003c/p>\n\u003cp>But Solomon points out that a depressed mother can also be harmful to the fetus. Stress can also increase the level of cortisol, a hormone, and affect the fetus. \"Women who are depressed are less likely to keep all of their obstetrical appointments, are more likely to drink or use substances of abuse, are less likely to regulate their exercise and what they eat in the ways that are best for a developing fetus,\" he says. \"It's harder to be good at pregnancy when you're depressed.\"\u003c/p>\n\u003cp>Solomon's article, \"\u003ca href=\"http://www.nytimes.com/2015/05/31/magazine/the-secret-sadness-of-pregnancy-with-depression.html?_r=0\" target=\"_blank\">The Secret Sadness of Pregnancy With Depression,\u003c/a>\" recently appeared in The New York Times Magazine\u003cem>. \u003c/em>Solomon's own depression led him to write his 2001 book, \"The Noonday Demon: An Atlas of Depression\u003cem>,\" \u003c/em>which has just been published in a new edition with a new chapter about the latest developments in treating depression.\u003c/p>\n\u003chr>\n\u003ch3>Interview Highlights\u003c/h3>\n\u003cp>\u003cstrong>On the problems in doing research on how medications might affect pregnant women\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>We can say to a group of nonpregnant women, \"We're going to give half of you Prozac and half of you a placebo, and we're going to follow you for the next two months and see what happens.\" It is outside of ethical guidelines to do the same thing with pregnant women. You can't have people taking that risk for a developing fetus, and you can't say, \"We're giving half of you this drug and half of you a placebo and we'll see what happens.\" Instead, studies of the effects of drugs on fetal development or on pregnant women are based on retrospective work. You say, \"Let's look at all of the children who have a particular cardiac defect and see how many of their mothers were taking medication.\" Or you say, \"After the whole thing is over, let's see how the women who were voluntarily taking medication fared as oppose to the women who chose to stay off it.\" But those are often not comparable groups. The people who choose to stay on medication during pregnancy are likely to have more severe depression than the ones who are able to go off, or to have a very different structure of personality that makes it harder for them to deal with the depression. So the confounding factors are enormous and confusing and the research is therefore never very definitive.\u003c/p>\n\u003cp>\u003cstrong>On how depression and stress can negatively impact a fetus, such as causing high levels of the hormone cortisol\u003c/strong>\u003c/p>\n\u003cp>It appears that cortisol is implicated in the constriction of the uterine artery, which means that it reduces the blood flow to the placenta. That is a very serious matter that warrants consideration. It would also appear that some of the other chemicals that circulate in the brains (and therefore in the bloodstream) of people who are depressed will be circulating and making it through to that placenta and that fetus, and they will be having a direct effect, which may be comparably dramatic, to the direct effect of anti-depressants. ...\u003c/p>\n\u003cp>A large portion of women who are depressed during pregnancy will be depressed after the baby is born. It's not as though the baby comes out and suddenly the whole thing goes away. Depression in the early stages of taking care of an infant involves terrible suffering for the mother who feels utterly overwhelmed and unequal to what she is now required to do, and it's not good for the baby, because depressed mothers tend to be irritable and inattentive and neither of those is a good way to be with a newborn.\u003c/p>\n\u003cp>\u003cstrong>On what he's learned about managing his own depression \u003c/strong>\u003c/p>\n\u003cp>You always have to be vigilant with it, you always have to deal with it. It is, for most people, a lifetime condition and it requires constant management. I go and see a psychotherapist every week, not so much because what happens in any individual session is transformative, but because I feel it's important that there be someone, a trained professional, who is watching what is going on. And he said to be me one day, when I was being a little cavalier about some of what I thought were minor symptoms of depression, he said, \"Let us never forget in this room that you are very capable of taking the express elevator to the bargain basement of mental health.\" And I think that consciousness has had to be something that I've learned.\u003c/p>\n\u003cp>In talking to so many people and hearing about so many situations, really what I've come to is the feeling that depression mostly is manageable, but if not well managed it can be tragic, and that most people who are seeking treatment are not getting very good treatment, and that many people who would benefit from treatment are not even seeking that treatment.\u003c/p>\n\u003cp>\u003cstrong>On his very unconventional family \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>For about as long as there have been humans, it seems there have been tattoos.\u003c/p>\n\u003cp>Ötzi the Iceman, the 5,000-year-old mummy discovered in the Alps in 1991, had \u003ca href=\"http://www.iceman.it/en/tattoos\" target=\"_blank\">61 tattoos\u003c/a> covering his body. And a quick look around the local coffee shop reveals they're just about as popular today. By \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/16908345\" target=\"_blank\">one estimate\u003c/a>, about a quarter of U.S. adults have at least one tattoo.\u003c/p>\n\u003cp>Yet doctors say we still don't understand the full extent of the skin's reaction to tattoos. There are lots of individual reports of bad reactions to tattoos, some short-lived and others chronic, in the medical literature. And a few European studies lately have tried to put firmer numbers on the extent of those reactions.\u003c/p>\n\u003cp>\"Nobody knows how common these things are,\" says Dr. Marie Leger, an assistant professor in the Ronald O. Perelman department of dermatology at New York University School of Medicine. \"I was really curious.\"\u003c/p>\n\u003cp>With the help of two medical students, Leger surveyed more than 300 people they came across in New York City's Central Park.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>What did researchers find? Among the tattooed park-goers, 31, or 10 percent, said they'd experienced some sort of adverse reaction after a tattoo. About 4 percent had a problem that didn't last very long, such as pain, infection or swelling. And 6 percent said they'd had a problem that persisted longer than four months, such as itching or scaly skin.\u003c/p>\n\u003cp>The proportion that reported chronic reactions surprised Leger. \"I think that's pretty interesting,\" she tells Shots. Leger has treated quite a few patients for tattoo reactions. Antibiotics can help with infections and steroids (both creams and injections) can relieve other symptoms.\u003c/p>\n\u003cp>The \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/cod.12425/abstract\" target=\"_blank\">findings were published online\u003c/a> Wednesday by the journal \u003cem>Contact Dermatitis.\u003c/em>\u003c/p>\n\u003cp>The Central Park survey had some obvious limitations. Foremost among them, the people surveyed described the problems themselves and they weren't independently assessed by doctors as part of the study.\u003c/p>\n\u003cp>Even when doctors do get involved, it's a challenge to definitively diagnose allergic reactions to tattoo inks, in particular. The reactions can vary quite a bit, and \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/003519.htm\" target=\"_blank\">patch testing\u003c/a> of inks, a standby in dermatology, isn't very reliable, Leger says.\u003c/p>\n\u003cp>While there are some well-known tattoo risks, such as infections from needles that aren't sterile, there are lots of open questions.\u003c/p>\n\u003cp>Tattoo inks, for instance, \u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048919.htm\">aren't regulated\u003c/a> by the Food and Drug Administration. Agency researchers looking into the inks have learned that a yellow pigment used in inks \u003ca href=\"http://dmd.aspetjournals.org/content/33/10/1459.long\" target=\"_blank\">can be broken down by the body\u003c/a>, which might explain why the yellow portions of some tattoos can fade with time.\u003c/p>\n\u003cp>Still, most people who get tattoos don't have any problems with them, as the Central Park survey found. \"It's been my experience that true allergic reactions to the ink are uncommon,\" says Dr. Elizabeth McBurney, a dermatologist in Lafayette, La., who wasn't involved in the Central Park study.\u003c/p>\n\u003cp>She's been removing tattoos since the 1970s, and says about 40 percent of her practice now involves helping patients de-ink.\u003c/p>\n\u003cp>No more than 5 or 10 percent of her patients have medical problems with their tattoos, she says. \"The majority of people who come in want the tattoo removed for economic, social or professional reasons,\" she says. A lawyer or doctor who got a fraternity tattoo in college may want it taken off.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Most often, McBurney \u003ca href=\"http://picosure.com/tattoo-removal/\" target=\"_blank\">uses a laser\u003c/a> to remove tattoos. The process requires as many as a half-dozen sessions, which cost hundreds of dollars apiece. \"Think before you ink,\" she says of tattoos. \"It's a lot cheaper to put them on than to take them off.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+We+Know+About+Tattoo+Reactions+Only+Goes+Skin-Deep&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For about as long as there have been humans, it seems there have been tattoos.\u003c/p>\n\u003cp>Ötzi the Iceman, the 5,000-year-old mummy discovered in the Alps in 1991, had \u003ca href=\"http://www.iceman.it/en/tattoos\" target=\"_blank\">61 tattoos\u003c/a> covering his body. And a quick look around the local coffee shop reveals they're just about as popular today. By \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/16908345\" target=\"_blank\">one estimate\u003c/a>, about a quarter of U.S. adults have at least one tattoo.\u003c/p>\n\u003cp>Yet doctors say we still don't understand the full extent of the skin's reaction to tattoos. There are lots of individual reports of bad reactions to tattoos, some short-lived and others chronic, in the medical literature. And a few European studies lately have tried to put firmer numbers on the extent of those reactions.\u003c/p>\n\u003cp>\"Nobody knows how common these things are,\" says Dr. Marie Leger, an assistant professor in the Ronald O. Perelman department of dermatology at New York University School of Medicine. \"I was really curious.\"\u003c/p>\n\u003cp>With the help of two medical students, Leger surveyed more than 300 people they came across in New York City's Central Park.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>What did researchers find? Among the tattooed park-goers, 31, or 10 percent, said they'd experienced some sort of adverse reaction after a tattoo. About 4 percent had a problem that didn't last very long, such as pain, infection or swelling. And 6 percent said they'd had a problem that persisted longer than four months, such as itching or scaly skin.\u003c/p>\n\u003cp>The proportion that reported chronic reactions surprised Leger. \"I think that's pretty interesting,\" she tells Shots. Leger has treated quite a few patients for tattoo reactions. Antibiotics can help with infections and steroids (both creams and injections) can relieve other symptoms.\u003c/p>\n\u003cp>The \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/cod.12425/abstract\" target=\"_blank\">findings were published online\u003c/a> Wednesday by the journal \u003cem>Contact Dermatitis.\u003c/em>\u003c/p>\n\u003cp>The Central Park survey had some obvious limitations. Foremost among them, the people surveyed described the problems themselves and they weren't independently assessed by doctors as part of the study.\u003c/p>\n\u003cp>Even when doctors do get involved, it's a challenge to definitively diagnose allergic reactions to tattoo inks, in particular. The reactions can vary quite a bit, and \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/003519.htm\" target=\"_blank\">patch testing\u003c/a> of inks, a standby in dermatology, isn't very reliable, Leger says.\u003c/p>\n\u003cp>While there are some well-known tattoo risks, such as infections from needles that aren't sterile, there are lots of open questions.\u003c/p>\n\u003cp>Tattoo inks, for instance, \u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048919.htm\">aren't regulated\u003c/a> by the Food and Drug Administration. Agency researchers looking into the inks have learned that a yellow pigment used in inks \u003ca href=\"http://dmd.aspetjournals.org/content/33/10/1459.long\" target=\"_blank\">can be broken down by the body\u003c/a>, which might explain why the yellow portions of some tattoos can fade with time.\u003c/p>\n\u003cp>Still, most people who get tattoos don't have any problems with them, as the Central Park survey found. \"It's been my experience that true allergic reactions to the ink are uncommon,\" says Dr. Elizabeth McBurney, a dermatologist in Lafayette, La., who wasn't involved in the Central Park study.\u003c/p>\n\u003cp>She's been removing tattoos since the 1970s, and says about 40 percent of her practice now involves helping patients de-ink.\u003c/p>\n\u003cp>No more than 5 or 10 percent of her patients have medical problems with their tattoos, she says. \"The majority of people who come in want the tattoo removed for economic, social or professional reasons,\" she says. A lawyer or doctor who got a fraternity tattoo in college may want it taken off.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Most often, McBurney \u003ca href=\"http://picosure.com/tattoo-removal/\" target=\"_blank\">uses a laser\u003c/a> to remove tattoos. The process requires as many as a half-dozen sessions, which cost hundreds of dollars apiece. \"Think before you ink,\" she says of tattoos. \"It's a lot cheaper to put them on than to take them off.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=What+We+Know+About+Tattoo+Reactions+Only+Goes+Skin-Deep&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Why A Journalist Scammed The Media Into Spreading Bad Chocolate Science",
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"content": "\u003cp>Earlier this spring, headlines around the world trumpeted an exciting bit of news that seemed too good to be true: \"Eating that bar of chocolate can HELP you lose weight,\" as Britain's \u003cem>Daily Mail\u003c/em> put it.\u003c/p>\n\u003cp>From India to Australia and Texas to Germany, news organizations shared \u003ca href=\"http://instituteofdiet.com/2015/03/24/international-archives-of-medicine-chocolate-with-high-cocoa-content-as-a-weight-loss-accelerator/\" target=\"_blank\">findings\u003c/a> published in the \u003cem>International Archives of Medicine\u003c/em> in late March.\u003c/p>\n\u003cp>The problem? The study they were based on was pure junk. And the person behind it, \u003ca href=\"http://www.johnbohannon.org/\">John Bohannon\u003c/a>, would be the first to tell you that.\u003c/p>\n\u003cp>In fact, that's exactly what he did Wednesday, in a \u003ca href=\"http://io9.com/i-fooled-millions-into-thinking-chocolate-helps-weight-1707251800\" target=\"_blank\">story for io9\u003c/a> that's gone viral. Bohannon, a science journalist who also has a Ph.D., lays out how he carried out an elaborate hoax to expose just how easily bad nutrition science gets disseminated in the mainstream media.\u003c/p>\n\u003cp>Diet science, Bohannon stresses, is still science – and reporters need to know how to cover it. \"You have to know how to read a scientific paper — and actually bother to do it,\" he writes. \"For far too long, the people who cover this beat have treated it like gossip, echoing whatever they find in press releases. Hopefully our little experiment will make reporters and readers alike more skeptical.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>To be clear, the study involved was real — a randomized controlled trial. Bohannon and his partners, a German television reporter and his collaborator, really did recruit 16 people for a study on dieting. And they found that the ones who followed a low-carb diet and also ate a 1.5-ounce bar of dark chocolate daily lost weight faster than the control group that was dieting alone.\u003c/p>\n\u003cp>So what's the problem, you ask? There are plenty.\u003c/p>\n\u003cp>For starters, as Bohannon explains in great detail, the study design itself was flawed — it had too few subjects, and the research measured too many factors, making it likelier that some random factor would appear to have statistical significance. (Bohannon does an excellent job of explaining the specifics himself.)\u003c/p>\n\u003cp>Then there's the journal that published it — a so-called pay-for-play publication, which failed to carry out peer review of the findings. As Bohannon himself \u003ca href=\"http://www.npr.org/sections/health-shots/2013/10/03/228859954/some-online-journals-will-publish-fake-science-for-a-fee\" target=\"_blank\">exposed\u003c/a> in another sting for the journal \u003cem>Science\u003c/em> a couple of years ago, there are lots of these publications that will publish bad research for a fee.\u003c/p>\n\u003cp>And finally, none of the reporters who covered it asked an outside expert to weigh in on the research – standard operating procedure in good science journalism. If they had, an astute scientist would have spotted the problems with the study design immediately. Indeed, just this week, our sister blog, Shots, ran a \u003ca href=\"http://www.npr.org/sections/health-shots/2015/05/27/408767323/did-a-study-overreach-when-it-said-a-vaccine-prevents-leukemia\" target=\"_blank\">great post\u003c/a> by Tara Haelle explaining how this process of tapping independent experts helped steer her from reporting on a flawed study suggesting that a childhood vaccine prevents leukemia.\u003c/p>\n\u003cp>Bohannon's full story is long, but worth the read as an explanation of the pitfalls that plague science communication – especially nutrition information – in today's media climate.\u003c/p>\n\u003cp>And the problem is \u003cem>massive\u003c/em>, says \u003ca href=\"http://www.healthnewsreview.org/about-us/reviewers/gary-schwitzer/\" target=\"_blank\">Gary Schwitzer\u003c/a>, the publisher of \u003ca href=\"http://www.healthnewsreview.org/\" target=\"_blank\">Health News Review\u003c/a>. For the past nine years, the site has been dedicated to critiquing the media's coverage of health in an effort to improve it.\u003c/p>\n\u003cp>\"He's really only scratching the surface of a much broader, much deeper problem,\" Schwitzer says. \"We have examples of journalists reporting on a study that was never done. We have news releases from medical journals, academic institutions and industry that mislead journalists, who then mislead the public.\" And the pressure to publish or perish, he says, can lead well-intentioned scientists to frame their work in ways that aren't completely accurate or balanced or supported by the facts.\u003c/p>\n\u003cp>\"We are really mired in a mess, the boundaries of which few people really have a sense for,\" says Schwitzer.\u003c/p>\n\u003cp>Schwitzer says it's appropriate that Bohannon chose chocolate for his diet study stunt. From claims that chocolate can \u003ca href=\"http://www.healthnewsreview.org/news-release-review/sweet-nothing-no-evidence-costs-or-quantification-in-release-about-cocoa-and-cognitive-function/\" target=\"_blank\">boost memory\u003c/a> to press releases that \u003ca href=\"http://www.healthnewsreview.org/2011/08/the-bmj-news-release-that-keeps-on-giving-the-gift-of-chocolate-hype/\" target=\"_blank\">oversell its benefit\u003c/a> to heart health, the sweet stuff is the subject of many of the news stories Schwitzer's site criticizes.\u003c/p>\n\u003cp>But does Bohannon's stunt reveal the credibility crisis in nutrition science journalism or add to it?\u003c/p>\n\u003cp>\"I think it's a little of both,\" Schwitzer says.\u003c/p>\n\u003cp>Schwitzer is a fan of Bohannon's message – but he \u003ca href=\"http://retractionwatch.com/2015/05/28/should-the-chocolate-diet-sting-study-be-retracted-and-why-the-coverage-doesnt-surprise-a-news-watchdog/\" target=\"_blank\">worries\u003c/a> that it will get lost in our rapid churn, 24-hour news cycle, and the journalists who need to be schooled in proper nutrition science reporting will have already moved on to the next thing.\u003c/p>\n\u003cp>And there are others who aren't taking kindly to Bohannon's work. On Twitter last night, some scientists raised concerns about the ethics of running a study with human subjects with the ultimate intent to deceive, and whether participants could give informed consent if they didn't know that aim.\u003c/p>\n\u003cp>\u003ca href=\"http://www.med.nyu.edu/pophealth/faculty/caplaa01\">Art Caplan\u003c/a>, a bioethicist with the New York University Langone Medical Center, says Bohannon's experiment straddles the line between journalism and research.\u003c/p>\n\u003cp>\"I'm a fan of the study,\" he tells The Salt, \"because I think it shows certain issues in understanding media reports about nutrition.\"\u003c/p>\n\u003cp>But, he says, participants should have been debriefed at the end of the study period about what Bohannon intended to do with the data. (Note: We've reached out to Bohannon to ask about what participants were told and will post an update if we get more details.)\u003c/p>\n\u003cp>And not everyone agrees that Bohannon's ends justify his means.\u003c/p>\n\u003cp>\"It's totally not ethical. It's deliberate deception in a way that could harm people,\" says \u003ca href=\"http://about.poynter.org/about-us/our-people/kelly-mcbride\">Kelly McBride\u003c/a>, a media ethicist with the Poynter Institute. She adds: \"There's so much bad information out there, especially around diet and science, that when you make it worse you become part of the problem.\"\u003c/p>\n\u003cp>About two months have gone by since the headlines touting Bohannon's study first appeared. By now, as McBride notes, many of the people who read the news stories touting chocolate's weight-loss benefits have moved on – and may not ever come across updates explaining it was all a ruse in the service of better nutrition journalism.\u003c/p>\n\u003cp>As for the journalists for whom this exercise was intended? McBride doubts they've learned their lesson, either.\u003c/p>\n\u003cp>\"It's not a great teaching tool to humiliate people,\" she says, \"because people learn when they have a need to learn something, not when they're embarrassed or fear being embarrassed. That's not how adults learn.\" (Update: Some of the media outlets that covered the chocolate study are starting to post updates to their original stories.)\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But in an environment saturated with news, this kind of extreme measure, Schwitzer argues, might be exactly what's needed to highlight a big problem.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Why+A+Journalist+Scammed+The+Media+Into+Spreading+Bad+Chocolate+Science&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Earlier this spring, headlines around the world trumpeted an exciting bit of news that seemed too good to be true: \"Eating that bar of chocolate can HELP you lose weight,\" as Britain's \u003cem>Daily Mail\u003c/em> put it.\u003c/p>\n\u003cp>From India to Australia and Texas to Germany, news organizations shared \u003ca href=\"http://instituteofdiet.com/2015/03/24/international-archives-of-medicine-chocolate-with-high-cocoa-content-as-a-weight-loss-accelerator/\" target=\"_blank\">findings\u003c/a> published in the \u003cem>International Archives of Medicine\u003c/em> in late March.\u003c/p>\n\u003cp>The problem? The study they were based on was pure junk. And the person behind it, \u003ca href=\"http://www.johnbohannon.org/\">John Bohannon\u003c/a>, would be the first to tell you that.\u003c/p>\n\u003cp>In fact, that's exactly what he did Wednesday, in a \u003ca href=\"http://io9.com/i-fooled-millions-into-thinking-chocolate-helps-weight-1707251800\" target=\"_blank\">story for io9\u003c/a> that's gone viral. Bohannon, a science journalist who also has a Ph.D., lays out how he carried out an elaborate hoax to expose just how easily bad nutrition science gets disseminated in the mainstream media.\u003c/p>\n\u003cp>Diet science, Bohannon stresses, is still science – and reporters need to know how to cover it. \"You have to know how to read a scientific paper — and actually bother to do it,\" he writes. \"For far too long, the people who cover this beat have treated it like gossip, echoing whatever they find in press releases. Hopefully our little experiment will make reporters and readers alike more skeptical.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To be clear, the study involved was real — a randomized controlled trial. Bohannon and his partners, a German television reporter and his collaborator, really did recruit 16 people for a study on dieting. And they found that the ones who followed a low-carb diet and also ate a 1.5-ounce bar of dark chocolate daily lost weight faster than the control group that was dieting alone.\u003c/p>\n\u003cp>So what's the problem, you ask? There are plenty.\u003c/p>\n\u003cp>For starters, as Bohannon explains in great detail, the study design itself was flawed — it had too few subjects, and the research measured too many factors, making it likelier that some random factor would appear to have statistical significance. (Bohannon does an excellent job of explaining the specifics himself.)\u003c/p>\n\u003cp>Then there's the journal that published it — a so-called pay-for-play publication, which failed to carry out peer review of the findings. As Bohannon himself \u003ca href=\"http://www.npr.org/sections/health-shots/2013/10/03/228859954/some-online-journals-will-publish-fake-science-for-a-fee\" target=\"_blank\">exposed\u003c/a> in another sting for the journal \u003cem>Science\u003c/em> a couple of years ago, there are lots of these publications that will publish bad research for a fee.\u003c/p>\n\u003cp>And finally, none of the reporters who covered it asked an outside expert to weigh in on the research – standard operating procedure in good science journalism. If they had, an astute scientist would have spotted the problems with the study design immediately. Indeed, just this week, our sister blog, Shots, ran a \u003ca href=\"http://www.npr.org/sections/health-shots/2015/05/27/408767323/did-a-study-overreach-when-it-said-a-vaccine-prevents-leukemia\" target=\"_blank\">great post\u003c/a> by Tara Haelle explaining how this process of tapping independent experts helped steer her from reporting on a flawed study suggesting that a childhood vaccine prevents leukemia.\u003c/p>\n\u003cp>Bohannon's full story is long, but worth the read as an explanation of the pitfalls that plague science communication – especially nutrition information – in today's media climate.\u003c/p>\n\u003cp>And the problem is \u003cem>massive\u003c/em>, says \u003ca href=\"http://www.healthnewsreview.org/about-us/reviewers/gary-schwitzer/\" target=\"_blank\">Gary Schwitzer\u003c/a>, the publisher of \u003ca href=\"http://www.healthnewsreview.org/\" target=\"_blank\">Health News Review\u003c/a>. For the past nine years, the site has been dedicated to critiquing the media's coverage of health in an effort to improve it.\u003c/p>\n\u003cp>\"He's really only scratching the surface of a much broader, much deeper problem,\" Schwitzer says. \"We have examples of journalists reporting on a study that was never done. We have news releases from medical journals, academic institutions and industry that mislead journalists, who then mislead the public.\" And the pressure to publish or perish, he says, can lead well-intentioned scientists to frame their work in ways that aren't completely accurate or balanced or supported by the facts.\u003c/p>\n\u003cp>\"We are really mired in a mess, the boundaries of which few people really have a sense for,\" says Schwitzer.\u003c/p>\n\u003cp>Schwitzer says it's appropriate that Bohannon chose chocolate for his diet study stunt. From claims that chocolate can \u003ca href=\"http://www.healthnewsreview.org/news-release-review/sweet-nothing-no-evidence-costs-or-quantification-in-release-about-cocoa-and-cognitive-function/\" target=\"_blank\">boost memory\u003c/a> to press releases that \u003ca href=\"http://www.healthnewsreview.org/2011/08/the-bmj-news-release-that-keeps-on-giving-the-gift-of-chocolate-hype/\" target=\"_blank\">oversell its benefit\u003c/a> to heart health, the sweet stuff is the subject of many of the news stories Schwitzer's site criticizes.\u003c/p>\n\u003cp>But does Bohannon's stunt reveal the credibility crisis in nutrition science journalism or add to it?\u003c/p>\n\u003cp>\"I think it's a little of both,\" Schwitzer says.\u003c/p>\n\u003cp>Schwitzer is a fan of Bohannon's message – but he \u003ca href=\"http://retractionwatch.com/2015/05/28/should-the-chocolate-diet-sting-study-be-retracted-and-why-the-coverage-doesnt-surprise-a-news-watchdog/\" target=\"_blank\">worries\u003c/a> that it will get lost in our rapid churn, 24-hour news cycle, and the journalists who need to be schooled in proper nutrition science reporting will have already moved on to the next thing.\u003c/p>\n\u003cp>And there are others who aren't taking kindly to Bohannon's work. On Twitter last night, some scientists raised concerns about the ethics of running a study with human subjects with the ultimate intent to deceive, and whether participants could give informed consent if they didn't know that aim.\u003c/p>\n\u003cp>\u003ca href=\"http://www.med.nyu.edu/pophealth/faculty/caplaa01\">Art Caplan\u003c/a>, a bioethicist with the New York University Langone Medical Center, says Bohannon's experiment straddles the line between journalism and research.\u003c/p>\n\u003cp>\"I'm a fan of the study,\" he tells The Salt, \"because I think it shows certain issues in understanding media reports about nutrition.\"\u003c/p>\n\u003cp>But, he says, participants should have been debriefed at the end of the study period about what Bohannon intended to do with the data. (Note: We've reached out to Bohannon to ask about what participants were told and will post an update if we get more details.)\u003c/p>\n\u003cp>And not everyone agrees that Bohannon's ends justify his means.\u003c/p>\n\u003cp>\"It's totally not ethical. It's deliberate deception in a way that could harm people,\" says \u003ca href=\"http://about.poynter.org/about-us/our-people/kelly-mcbride\">Kelly McBride\u003c/a>, a media ethicist with the Poynter Institute. She adds: \"There's so much bad information out there, especially around diet and science, that when you make it worse you become part of the problem.\"\u003c/p>\n\u003cp>About two months have gone by since the headlines touting Bohannon's study first appeared. By now, as McBride notes, many of the people who read the news stories touting chocolate's weight-loss benefits have moved on – and may not ever come across updates explaining it was all a ruse in the service of better nutrition journalism.\u003c/p>\n\u003cp>As for the journalists for whom this exercise was intended? McBride doubts they've learned their lesson, either.\u003c/p>\n\u003cp>\"It's not a great teaching tool to humiliate people,\" she says, \"because people learn when they have a need to learn something, not when they're embarrassed or fear being embarrassed. That's not how adults learn.\" (Update: Some of the media outlets that covered the chocolate study are starting to post updates to their original stories.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But in an environment saturated with news, this kind of extreme measure, Schwitzer argues, might be exactly what's needed to highlight a big problem.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Why+A+Journalist+Scammed+The+Media+Into+Spreading+Bad+Chocolate+Science&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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},
"radiolab": {
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
"science-friday": {
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