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๐Ÿ”— List of countries by life expectancy

๐Ÿ”— Medicine ๐Ÿ”— Death ๐Ÿ”— Countries

The article documents lists of countries by average life expectancy at birth by various sources of estimates.

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๐Ÿ”— Organ harvesting from Falun Gong practitioners in China

๐Ÿ”— Human rights ๐Ÿ”— Medicine ๐Ÿ”— Religion ๐Ÿ”— Death ๐Ÿ”— China ๐Ÿ”— Religion/New religious movements ๐Ÿ”— Religion/Falun Gong

Reports of forced organ harvesting from Falun Gong practitioners and other political prisoners in China have raised increasing concern within the international community. According to a report by former lawmaker David Kilgour, human rights campaigner David Matas and Victims of Communism Memorial Foundation researcher Ethan Gutmann, political prisoners, mainly Falun Gong practitioners, may be executed "on demand" in order to provide organs for transplant to recipients.

Reports on systematic organ harvesting from Falun Gong prisoners first emerged in 2006, though the practice is thought by some to have started six years earlier. Several researchersโ€”most notably Matas, Kilgour and Gutmannโ€”estimate that tens of thousands of Falun Gong prisoners of conscience have been killed to supply a lucrative trade in human organs and cadavers and that these abuses may be ongoing. These conclusions are based on a combination of statistical analysis; interviews with former prisoners, medical authorities and public security agents; and circumstantial evidence, such as the large number of Falun Gong practitioners detained extrajudicially in China and the profits to be made from selling organs.

The Chinese government long denied all accusations of organ harvesting. However, the failure of Chinese authorities to effectively address or refute the charges has drawn attention and public condemnation from some governments, international organizations and medical societies. The parliaments of Canada and the European Union, as well as the U.S. Senate and House of Representatives, have adopted resolutions condemning the forced organ harvesting from Falun Gong prisoners of conscience. United Nations Special Rapporteurs have called on the Chinese government to account for the sources of organs used in transplant practices, and the World Medical Association, the American Society of Transplantation and the Transplantation Society have called for sanctions on Chinese medical authorities. Several countries have also taken or considered measures to deter their citizens from travelling to China for the purpose of obtaining organs. A documentary on organ harvesting from Falun Gong practitioners, Human Harvest, received a 2014 Peabody Award recognizing excellence in broadcast journalism. China eventually admitted that it had engaged in systematic organ harvesting from death row prisoners, though it denies that such an organ harvesting program is ongoing.

๐Ÿ”— Grapefruitโ€“drug interactions

๐Ÿ”— Medicine ๐Ÿ”— Food and drink ๐Ÿ”— Medicine/Toxicology ๐Ÿ”— Pharmacology ๐Ÿ”— Medicine/Society and Medicine

Some fruit juices and fruits can interact with numerous drugs, in many cases causing adverse effects. The effect was first discovered accidentally, when a test of drug interactions with alcohol used grapefruit juice to hide the taste of the ethanol.

The effect is most studied with grapefruit and grapefruit juice, but similar effects have been observed with certain other citrus fruits. One medical review advises patients to avoid all citrus juices until further research clarifies the risks. Effects have been observed with apple juice, but their clinical significance is not yet known.

One whole grapefruit, or a small glass (200ย mL (6.8ย USย flย oz)) of grapefruit juice, can cause drug overdose toxicity. Fruit consumed three days before the medicine can still have an effect. The relative risks of different types of citrus fruit have not been systematically studied. Affected drugs typically have an auxiliary label saying โ€œDo not take with grapefruitโ€ on the container, and the interaction is elaborated upon in the package insert. People are also advised to ask their physician or pharmacist about drug interactions.

The effects are caused by furanocoumarins (and, to a lesser extent, flavonoids). These chemicals inhibit key drug metabolizing enzymes, such as cytochrome P450 3A4 (CYP3A4). CYP3A4 is a metabolizing enzyme for almost 50% of drugs, and is found in the liver and small intestinal epithelial cells. As a result, many drugs are affected. Inhibition of enzymes can have two different effects, depending on whether the drug is either

  1. metabolized by the enzyme to an inactive metabolite, or
  2. activated by the enzyme to an active metabolite.

In the first instance, inhibition of drug-metabolizing enzymes results in elevated concentrations of an active drug in the body, which may cause adverse effects. Conversely, if the medication is a prodrug, it needs to be metabolised to be converted to the active drug. Compromising its metabolism lowers concentrations of the active drug, reducing its therapeutic effect, and risking therapeutic failure.

Low drug concentrations can also be caused when the fruit suppresses drug absorption from the intestine.

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๐Ÿ”— Williams syndrome

๐Ÿ”— Medicine ๐Ÿ”— Medicine/Neurology ๐Ÿ”— Medicine/Medical genetics

Williams syndrome (WS) is a genetic disorder that affects many parts of the body. Facial features frequently include a broad forehead, short nose and full cheeks, an appearance that has been described as "elfin". While mild to moderate intellectual disability with particular problems with visual spatial tasks such as drawing is typical, verbal skills are generally relatively unaffected. Those affected often have an outgoing personality, interact readily with strangers, and appear happy. Problems with teeth, heart problems, especially supravalvular aortic stenosis, and periods of high blood calcium are common.

Williams syndrome is caused by a genetic abnormality, specifically a deletion of about 27 genes from the long arm of one of the two chromosome 7s. Typically this occurs as a random event during the formation of the egg or sperm from which a person develops. In a small number of cases, it is inherited from an affected parent in an autosomal dominant manner. The different characteristic features have been linked to the loss of specific genes. The diagnosis is typically suspected based on symptoms and confirmed by genetic testing.

Treatment includes special education programs and various types of therapy. Surgery may be done to correct heart problems. Dietary changes or medications may be required for high blood calcium. The syndrome was first described in 1961 by New Zealander John C. P. Williams. Williams syndrome affects between 1 in 7,500 to 1 in 20,000 people at birth. Life expectancy is less than that of the general population, mostly due to the increased rates of heart disease.

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๐Ÿ”— Extracorporeal Membrane Oxygenation

๐Ÿ”— Medicine ๐Ÿ”— COVID-19 ๐Ÿ”— Medicine/Pulmonology ๐Ÿ”— Medicine/Cardiology

Extracorporeal membrane oxygenation (ECMO), also known as extracorporeal life support (ECLS), is an extracorporeal technique of providing prolonged cardiac and respiratory support to persons whose heart and lungs are unable to provide an adequate amount of gas exchange or perfusion to sustain life. The technology for ECMO is largely derived from cardiopulmonary bypass, which provides shorter-term support with arrested native circulation. The device used is a membrane oxygenator, also known as an artificial lung.

ECMO works by temporarily drawing blood from the body to allow artificial oxygenation of the red blood cells and removal of carbon dioxide. Generally, it is used either post-cardiopulmonary bypass or in late-stage treatment of a person with profound heart and/or lung failure, although it is now seeing use as a treatment for cardiac arrest in certain centers, allowing treatment of the underlying cause of arrest while circulation and oxygenation are supported. ECMO is also used to support patients with the acute viral pneumonia associated with COVID-19 in cases where artificial ventilation alone is not sufficient to sustain blood oxygenation levels.

๐Ÿ”— Capgras Delusion

๐Ÿ”— Medicine ๐Ÿ”— Psychology

Capgras delusion is a psychiatric disorder in which a person holds a delusion that a friend, spouse, parent, or other close family member (or pet) has been replaced by an identical impostor. It is named after Joseph Capgras (1873โ€“1950), a French psychiatrist.

The Capgras delusion is classified as a delusional misidentification syndrome, a class of delusional beliefs that involves the misidentification of people, places, or objects. It can occur in acute, transient, or chronic forms. Cases in which patients hold the belief that time has been "warped" or "substituted" have also been reported.

The delusion most commonly occurs in individuals diagnosed with paranoid schizophrenia but has also been seen in brain injury, dementia with Lewy bodies, and other dementia. It presents often in individuals with a neurodegenerative disease, particularly at an older age. It has also been reported as occurring in association with diabetes, hypothyroidism, and migraine attacks. In one isolated case, the Capgras delusion was temporarily induced in a healthy subject by the drug ketamine. It occurs more frequently in females, with a female to male ratio of approximately 3 to 2.

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๐Ÿ”— Wake Therapy

๐Ÿ”— Medicine

Wake therapy is a form of sleep deprivation used as a treatment for depression. The subject stays awake all night, or is woken at 1AM and stays awake all morning, and the next full day. While sleepy, patients find that their depression vanishes, until they sleep again. Combining this with bright light therapy make the beneficial effects last longer than one day. Partial sleep deprivation in the second half of the night may be as effective as an all-night sleep deprivation session.

Wake therapy is a therapy that falls under chronotherapeutics. Chronotherapy (treatment scheduling) is a process to manipulate biological rhythms and sleep that can help to improve affective disorders quickly.

Wake therapy is beneficial for those experiencing major depression along with unipolar, bipolar, and melancholic types of depression. Wake therapy is best used to jump start the effects of the use of an antidepressant. Wake therapy is the use of prolonged times of wakefulness, along with periods of recovering sleep. It is a fast way to improve symptoms of depression. This therapy is best used with other chronotherapeutic techniques. Months of use of this therapy and other therapies can be quite effective to help prevent relapse of depression.

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๐Ÿ”— As recently as 1999, we thought babies couldn't feel pain till they were 1yo

๐Ÿ”— Medicine ๐Ÿ”— Neuroscience

Pain in babies, and whether babies feel pain, has been a large subject of debate within the medical profession for centuries. Prior to the late nineteenth century it was generally considered that babies hurt more easily than adults. It was only in the last quarter of the 20th century that scientific techniques finally established babies definitely do experience pain โ€“ probably more than adults โ€“ and developed reliable means of assessing and of treating it. As recently as 1999, it was commonly stated that babies could not feel pain until they were a year old, but today it is believed newborns and likely even fetuses beyond a certain age can experience pain.

๐Ÿ”— Roseto effect: close-knit communities experience a reduced rate of heart disease

๐Ÿ”— Medicine ๐Ÿ”— Sociology ๐Ÿ”— Physiology ๐Ÿ”— Medicine/Cardiology ๐Ÿ”— Medicine/Society and Medicine

The Roseto effect is the phenomenon by which a close-knit community experiences a reduced rate of heart disease. The effect is named for Roseto, Pennsylvania. The Roseto effect was first noticed in 1961 when the local Roseto doctor encountered Dr. Stewart Wolf, then head of Medicine of the University of Oklahoma, and they discussed, over a couple of beers, the unusually low rate of myocardial infarction in the Italian American community of Roseto compared with other locations. Many studies followed, including a 50-year study comparing Roseto to nearby Bangor. As the original authors had predicted, as the Roseto cohort shed their Italian social structure and became more Americanized in the years following the initial study, heart disease rates increased, becoming similar to those of neighboring towns.

From 1954 to 1961, Roseto had nearly no heart attacks for the otherwise high-risk group of men 55 to 64, and men over 65 had a death rate of 1% while the national average was 2%. Widowers outnumbered widows, as well.

These statistics were at odds with a number of other factors observed in the community. They smoked unfiltered stogies, drank wine "with seeming abandon" in lieu of milk and soft drinks, skipped the Mediterranean diet in favor of meatballs and sausages fried in lard with hard and soft cheeses. The men worked in the slate quarries where they contracted illnesses from gases and dust. Roseto also had no crime, and very few applications for public assistance.

Wolf attributed Rosetans' lower heart disease rate to lower stress. "'The community,' Wolf says, 'was very cohesive. There was no keeping up with the Joneses. Houses were very close together, and everyone lived more or less alike.'" Elders were revered and incorporated into community life. Housewives were respected, and fathers ran the families.

๐Ÿ”— Henrietta Lacks

๐Ÿ”— Biography ๐Ÿ”— Medicine ๐Ÿ”— Women's History ๐Ÿ”— Medicine/Society and Medicine

Henrietta Lacks (born Loretta Pleasant; August 1, 1920 โ€“ October 4, 1951) was an African-American woman whose cancer cells are the source of the HeLa cell line, the first immortalized human cell line and one of the most important cell lines in medical research. An immortalized cell line reproduces indefinitely under specific conditions, and the HeLa cell line continues to be a source of invaluable medical data to the present day.

Lacks was the unwitting source of these cells from a tumor biopsied during treatment for cervical cancer at Johns Hopkins Hospital in Baltimore, Maryland, U.S., in 1951. These cells were then cultured by George Otto Gey who created the cell line known as HeLa, which is still used for medical research. As was then the practice, no consent was obtained to culture her cells, nor were she or her family compensated for their extraction or use.

Lacks grew up in rural Virginia. After giving birth to two of their children, she married her cousin David "Day" Lacks. In 1941 the young family moved to Turner Station, near Dundalk, Maryland, in Baltimore County, so Day could work in Bethlehem Steel at Sparrows Point. After Lacks had given birth to their fifth child, Joseph, she was diagnosed with cancer. Tissue samples from her tumors were taken without consent during treatment and these samples were then subsequently cultured into the HeLa cell line.

Even though some information about the origins of HeLa's immortalized cell lines was known to researchers after 1970, the Lacks family was not made aware of the line's existence until 1975. With knowledge of the cell line's genetic provenance becoming public, its use for medical research and for commercial purposes continues to raise concerns about privacy and patients' rights.

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