2012年03月09日

スキニージーンズとハイヒール どんな健康危機がクローゼットには潜むのか?


■ 今日のふむなるTIME ■


Skinny Jeans and High Heels: What Health Dangers Lurk in Your Closet?
( TIME )

High fashion has a cost -- and it’s not just on the price tag. Sky-
high stilettos and skintight jeans may actually jeopardize your health,
say experts who cite various health conditions, from bacterial
infections to leg numbness, as evidence of the hazards of being
fashion forward.

Here are a few fashion risks to be aware of, so you can avoid the worst
faux pas of them all: self-injury.

Fashion culprit: Tight jeans
Health risk: Squeezing into tight pants (or cinching belts too tight)
can cause nerve compression, numbness and digestive issues. According
to a recent Wall Street Journal article, internist Dr. Octavio Bessa of
Stamford, Conn., coined the term tight-pants syndrome in the Archives
of Internal Medicine in 1993, after seeing many patients with abdominal
discomfort, distension and heartburn due to ill-fitting clothes.
According to Bessa’s report, “the diagnosis can be made easily in the
office by comparing the size of the trousers with the abdominal girth.
There is usually a discrepancy of 7.5 centimeters or more.”

Fashion culprit: Stilettos
Health risk: The narrow toe box and high heels of stiletto shoes wreak
a lot of havoc, including bunions, hammer toes, nerve damage, bone
death, stress fractures and ankle sprains. As New York City-based
podiatrist, John E. Mancuso told me (at More magazine) last March, the
higher the heel, the more a person’s weight is thrown forward and
placed on the balls of the feet, which causes pain. “The key is either
limiting stiletto wear or finding a shoe with strong arch support and
good weight distribution,” Mancuso said.

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2012年02月03日

医者は知っている−−私たちが学べる死の話


What Doctors Know -- and We Can Learn -- About Dying
( TIME )

Last month, an essay posted by retired physician Ken Murray called
“How Doctors Die” got a huge amount of attention, some negative but
mostly positive. Murray tells the story of an orthopedic surgeon who,
after being diagnosed with pancreatic cancer, chose not to undergo
treatment. The surgeon died some months later at home, never having
set foot inside a hospital again.

Critics said that the essay was a biased opinion of how one should die,
not an actual analysis of how doctors actually do die. And indeed,
much of Murray’s essay was anecdotal. Murray writes that his physician
friends wear medallions with DNR, or Do Not Resuscitate, orders. They
instruct their colleagues to not take any heroic measures and to keep
them out of the ICU at the end of life. He’s even seen a colleague
with a DNR tattoo, something I’ve been threatening to get for a long
time.

And yet, there is good evidence that physicians have thought out end-of-
life issues more thoroughly than laypeople and are more likely to
decline medical intervention. For example, they sign advance directives
far more often than the rest of us do. Less than half of severely or
terminally ill patients have an advance directive in their medical
records. These are legal documents that indicate the kind of medical
care we prefer at the end of life and where we would like to spend our
last few days or weeks. Contrast that to a study published a few years
back that found 64% of doctors surveyed had signed such documents.
Those who had were nearly three and a half times more likely to refuse
rescue care, like CPR, compared with doctors who had not signed an
advance directive.

Why would doctors be so anxious to avoid the very procedures they
deliver to their patients every day? For one thing, they know firsthand
that these procedures are most often futile when performed on a frail,
elderly, chronically ill person. Only about 8% of people who go into
cardiac arrest outside of the hospital are revived by CPR. Even when
your heart stops in the hospital, you have only a 19% chance of
surviving. That’s a far cry from the way these procedures are
portrayed on TV, where practically everybody survives having his heart
shocked and undergoing CPR.

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2012年01月31日

内向的な子供を「シャイ」と呼ばないで


Don’t Call Introverted Children ‘Shy'
( TIME )

Imagine a 2-year-old who greets you with a huge smile, offering a toy.
Now here’s another child who regards you gravely and hides behind his
parent’s leg. How do you feel about these two children? If you’re
like most people, you think of the first child as social and the second
as reserved or, as everyone tends to interpret, “shy.” From a very
young age, we categorize children as one or the other, and we usually
privilege the social designation. But this misses what’s really going
on with standoffish kids. Many were born with a careful, sensitive
temperament that predisposes them to look before they leap. And this
can pay off handsomely as they grow, in the form of strong academics,
enhanced creativity and even a unique brand of leadership and empathy.

One way to see this temperament more clearly is to consider how these
children react to stimuli. When these children are at four months, if
you pop a balloon over their heads, they holler and pump their arms
more than other babies do. At age 2, they proceed carefully when they
see a radio-controlled toy robot for the first time. When they’re
school age, they play matching games with more deliberation than their
peers, considering all the alternatives at length and even using more
eye movements to compare choices. Notice that none of these things --
popping balloons, toy robots, matching games -- has anything to do with
people. In other words, these kids are not antisocial. They’re simply
sensitive to their environments.

But if they’re not antisocial, these kids are differently social.
According to the psychologist Elaine Aron, author of the book
Psychotherapy and the Highly Sensitive Person, 70% of children with a
careful temperament grow up to be introverts, meaning they prefer
minimally stimulating environments -- a glass of wine with a close
friend over a raucous party full of strangers. Some will grow up shy as
well. Shyness and introversion are not the same thing. Shy people fear
negative judgment, while introverts simply prefer less stimulation;
shyness is inherently painful, and introversion is not. But in a
society that prizes the bold and the outspoken, both are perceived as
disadvantages.

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