Quantum Sufficit
Just Enough
The nation is on its way toward meeting a national health
objective. A study published in the Morbidity and Mortality Weekly Report
showed that between 1999 and 2003, lifetime cigarette use (anyone who has ever
tried smoking) declined from 70.4 percent to 58.4 percent. Current cigarette
use (smoking more than one cigarette during a 30-day period) decreased to 21.9
percent in 2003. The national objective is to reduce cigarette smoking among
high school students to less than 16 percent by 2010.
Pregnant women may be able to shorten their labor and delivery
times and risk of episiotomy by strengthening their pelvic-floor muscles in
advance. Women in Norway who took 12 weekly one-hour classes to exercise these
muscles between the 20th and 36th weeks of pregnancy were less likely to spend
more than one hour in the pushing stage of labor, showed a study published in
The New York Times. The women also
were encouraged to practice eight to 12 intensive contractions of the pelvic
floor twice a day at home.
Good news: only about 1 percent of the U.S. population has
schizophrenia. Bad news: a new study suggests that women who have the flu
during the first half of pregnancy are three times more likely than noninfected
women to have children who develop schizophrenia later in life. The study,
published in the August issue of Archives of General Psychiatry, suggests that
when antibodies or proteins (cytokines) are produced by the mother's immune
system in response to the infection, they are transferred to the fetus and
disrupt fetal brain development.
High consumption of sugar-sweetened beverages (e.g., soft drinks
and sweetened fruit juices) can lead to weight gain and an increased risk of
type 2 diabetes in women. Published in JAMA, the prospective cohort study analyzed
data among women in the Nurses' Health Study II from 1991 to 1999. Eating
habits, weight, and physical activity were tracked for 91,249 women free of
diabetes and other chronic diseases. During this period, there were 741
confirmed incident cases of type 2 diabetes. Researchers found that women who
consumed one or more sugar-sweetened beverages a day were twice as likely to
develop diabetes as those who drank fewer than one such beverage a month.
The American Association of Nurse Anesthetists warns that the
placement of tattoos and body piercings may cause certain health risks if the
person needs anesthesia or emergency care in the future. Popular low-back
tattoos could delay a woman's epidural if the anesthesia provider is not able
to locate a proper lumbar interspace without inserting the needle through a
tattoo. Researchers are not certain of the risk of infection or neurologic
complications when a needle passes through a tattoo. In an emergency situation,
a tongue piercing may catch on the instrument used to insert a breathing tube
and tear the tongue.
More Americans are visiting doctors, showed a survey by the U.S.
Centers for Disease Control and Prevention and reported on CNN.com. During
2002, Americans made an estimated 890 million visits to the doctor, a 1 percent
increase from 2001. Sixty percent of those visits were to family physicians and
other primary care specialists. Researchers think that the increase reflects
the growing elderly population.
Using a food thermometer is the safest way to determine if food has
been cooked to a temperature high enough to destroy harmful bacteria. A report
published in FDA Consumer showed that
color is a misleading cue when it comes to determining if food is safe to eat.
According to research conducted by the U.S. Department of Agriculture (USDA),
one of every four burgers is not sufficiently cooked even though it looks brown
in the center. To promote the importance of measuring food temperatures to
determine safety, the USDA has created a Web site (http://www.fsis.usda.gov/food_safety_education/thermy)
centered around a cartoon character named "Thermy."
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Copyright © 2004 by the American
Academy of Family Physicians. |









