Study asked people with mental health disorders to recommend changes to international diagnostic guidelines

Study asked people with mental health disorders to recommend changes to international diagnostic guidelines


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A Rutgers University researcher contributed to the first study to seek input from people with common mental health issues on how their disorders are described in diagnostic guidelines.

The study, which was conducted by researchers in the United Kingdom and the United States in collaboration with the World Health Organization Department of Mental Health, appears in The Lancet.

“Including people’s personal experiences with disorders in diagnostic manuals will improve their access to treatment and reduce stigma,” said Margaret Swarbrick, an adjunct associate professor and Director of Practice Innovation and Wellness at Rutgers University Behavioral Health Care, who collaborated with Kathleen M. Pike, executive director and scientific co-director of the Global Mental Health Program on the U.S. portion of the study.

The researchers talked to people with five common disorders—schizophrenia, bipolar disorder type 1, depressive episode, personality disorder and generalized anxiety disorder—about how their conditions should be described in the upcoming 11th revision of the International Classification of Diseases and Related Health Problems (ICD-11). The ICD is the most widely used classification system for mental disorders. This is the first time people with diagnosed mental health disorders who are not health practitioners have been invited to give input on any published mental health diagnostic guidelines.

The project surveyed 157 people diagnosed with these conditions in the United Kingdom, India and the United States. The participants reviewed an initial draft of the ICD-11 chapter on mental, behavioral and neurodevelopmental disorders and recommended changes to more accurately reflect their experiences and/or remove objectionable language.

Many participants said the draft omitted emotional and psychological experiences they regularly have. People with schizophrenia added references to anger, fear, memory difficulties, isolation and difficulty communicating internal experiences. People with bipolar disorder added anxiety, anger, nausea and increased creativity. People with generalized anxiety disorder added nausea and anger. People with depression added pain and anxiety. People with personality disorder added distress and vulnerability to exploitation.

The participants also suggested removing confusing or stigmatizing terms such as “retardation,” “neuro-vegetative,” “bizarre,” “disorganized” and “maladaptive.”

“We discovered that the current draft reflected an external perspective of these conditions rather than the perspective of the person’s lived experience,” Swarbrick said. “This is a needed perspective for clinicians and researchers. Participants appreciated the non-technical summaries, which suggest that using such common language would go a long way in bridging the communication gap between the people being diagnosed and clinicians.”


WHO mental health guidelines could better capture ‘lived experience’


More information:
Corinna Hackmann et al, Perspectives on ICD-11 to understand and improve mental health diagnosis using expertise by experience (INCLUDE Study): an international qualitative study, The Lancet Psychiatry (2019). DOI: 10.1016/S2215-0366(19)30093-8

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Study asked people with mental health disorders to recommend changes to international diagnostic guidelines (2019, July 16)
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Do you need a bone density test?

Do you need a bone density test?


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Dear Mayo Clinic: I’ve never had a fracture or bone health issues. Should I still get a bone density test?

A: It depends. A bone density test uses a low dose of X-rays in a quick, noninvasive way to measure the amount of calcium and other minerals in a segment of bone, usually the hips and spine. By identifying decreases in bone mineral density, your health care provider can determine your risk of fractures, and diagnose and monitor osteoporosis progression.

Most young, healthy people do not need a bone density test. But as you age, your risk for osteoporosis increases because bone density tends to decrease as people grow older. That is especially true in women. If you’re a woman 65 or older, a bone density test is recommended. Even if testing reveals your bone health is good, this test can be a baseline measurement for future testing.

For men without fractures, the answer isn’t quite as clear. The U.S. Preventive Services Task Force doesn’t recommend routine bone density testing for men. Because men have a higher bone mass and lose bone more slowly than women, they’re at a lower risk of fracture. There’s also no conclusive evidence that osteoporosis medications can prevent fractures in men. However, up to 1 in 4 men over 50 will break a bone due to osteoporosis. Groups such as the National Osteoporosis Foundation still recommend testing for men 70 and older.

Men 50-69 and women under 65 also may want to have bone density testing if they have risk factors for osteoporosis, including a family history of the disease or a history of fractures. Another risk factor is taking certain kinds of drugs that can interfere with the body’s process of rebuilding bone. Examples of these drugs include steroid medications, such as prednisone, and immunosuppressant medications, such as those taken after an organ transplant or bone marrow transplant.

People over 50 who have broken a bone and people who have lost 1.5 inches of height or more also may need a bone density test to screen for osteoporosis.

Bone density test results are reported in a measurement known as a “T-score.” A T-score of minus 1 or higher is normal. A score of minus 2.5 or lower is osteoporosis. The range between normal and osteoporosis is considered osteopenia, a condition where bone density is below the normal range and puts a person at higher risk for developing osteoporosis. Osteopenia also raises the risk for breaking a bone.

There are things you can do to help keep your bones stay healthy as you get older:

– Exercise is important. Be sure to include a combination of weight-bearing exercises, such as walking, jogging, running or stairclimbing.

– Eat a healthy diet, making sure to get the right amounts of calcium and vitamin D.

– If you smoke, stop. Research suggests that tobacco use contributes to weak bones.

– Limit the amount of alcohol you drink. Regularly having more than two alcoholic drinks a day raises your risk of osteoporosis, possibly because alcohol can interfere with the body’s ability to absorb calcium.

Talk to your health care provider about getting a bone density test, and discuss with him or her any concerns you have about your bone health. Taking steps now can help ensure good bone health in the future.


What’s the right age to test for osteoporosis?


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Does hypertension pose a health risk to older adults who wish to donate a kidney?

Does hypertension pose a health risk to older adults who wish to donate a kidney?


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In an analysis of clinical information on older living kidney donors, hypertension was linked with a higher risk of developing kidney failure. The study, which is published in an upcoming issue of CJASN, provides new information that may help inform discussions with older individuals when they consider donating a kidney.

Receiving a kidney from a living donor is the best treatment for patients with kidney failure, but it is important to ensure that individuals who wish to donate an organ are able to safely do so. Older age is not a barrier for kidney donation; however, for many older individuals hypertension is common. It is unclear whether hypertension elevates the risk of kidney failure or early death among older donors .

To investigate, Fawaz Al Ammary, MD, Ph.D. (Johns Hopkins University School of Medicine) and his colleagues analyzed national registry data on 24,533 older kidney donors from 1999 to 2016, including 2,265 who had hypertension at the time of donation. This information was linked to data from the Centers for Medicare & Medicaid Services and the Social Security Death Master File to determine which donors developed kidney failure or died. The study is the largest to examine what risks older donors with hypertension may face in the long term.

Donors were observed for a median follow-up time of 7.1 years after kidney donation (and up to a maximum of 18 years). During the study period, 24 donors developed kidney failure and 252 died. Hypertension at the time of donation was linked with higher risk of kidney failure, but not mortality. The 15-year risk of kidney failure was 0.8% for older donors with hypertension vs. 0.2% for older donors without hypertension. The risk of kidney failure was 3.1-times higher for donors with hypertension compared with those without hypertension who had otherwise similar clinical characteristics.

When the researchers restricted their analysis to include only donors from the 2004-2016 period (because documentation of antihypertensive therapy was unavailable before this time), they observed a stronger association—a 6.2-fold higher risk for kidney failure among donors with hypertension. There was no significant association between donor hypertension and 15-year mortality.

“Fortunately, the number of kidney failure events in this population is small. Albeit a rather small risk, practice guidelines for live kidney donor evaluation need to be revisited,” said Dr. Al Ammary. “While controlled hypertension in otherwise eligible older individuals may not be viewed as an absolute contraindication for kidney donation, these findings may inform conversations between the provider and the older individuals with hypertension when they consider donating a kidney.”

The investigators plan to conduct additional studies in this area to advance the field of organ transplantation in light of the growing number of older individuals who may offer an important source of organs for living donation.

In an accompanying editorial, Kenneth Newell, MD, Ph.D. (Emory University School of Medicine) and Richard Formica, Jr., MD (Yale University School of Medicine) noted that the findings “should not be used to ‘allow’ or ‘exclude’ individuals from proceeding with living kidney donation but rather should be incorporated into a comprehensive educational program to better inform donors about the long-term consequences of their decision to be a living kidney donor. In addition these findings identify a cohort of medically complex living kidney donors who should be offered the opportunity to enroll in specialized programs to provide lifetime surveillance for and treatment of conditions associated with an increased risk of end stage kidney disease.”


Older kidney donors with hypertension may have good kidney health following donation


More information:
“Risk of End-Stage Kidney Disease in Older Live Kidney Donors with Hypertension,” DOI: 10.2215/CJN.14031118

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Does hypertension pose a health risk to older adults who wish to donate a kidney? (2019, June 25)
retrieved 26 June 2019
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Maine legalizes assisted suicide

Maine legalizes assisted suicide


(HealthDay)—Maine has become the eighth state to legalize medically assisted suicide.

“It is my hope that this law, while respecting the right to personal liberty, will be used sparingly,” Gov. Janet Mills, told the Associated Press.

Under the law, doctors can prescribe a lethal dose of a drug to terminally ill patients, and it will not legally be a suicide. The bill had failed to pass in a state referendum and also a number of times in the State Legislature. It finally passed by one vote in the House and a narrow margin in the Senate.

The new law was praised by Staci Fowler, who took on the fight for the law in honor of her friend Rebecca VanWormer, the AP reported. VanWormer died of breast cancer in 2017 and had pressed for such a law for years before her death. “This is what she wanted,” Fowler told the AP. “And now everybody has the option that she didn’t have.”


Vermont becomes third US state to legalize assisted suicide


More information:
AP News Article

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Maine legalizes assisted suicide (2019, June 15)
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Twins study links type 2 diabetes in midlife with stroke and brain artery narrowing in late life

Twins study links type 2 diabetes in midlife with stroke and brain artery narrowing in late life


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A new study shows that type 2 diabetes in midlife is associated with a 30% increased risk of a serious blockage of the brain arteries, often leading to stroke, and a doubling of the risk of narrowing of the brain’s arteries in people over 60 years. The research is based on a cohort of twins in Sweden and published in Diabetologia, the journal of the European Association for the Study of Diabetes (EASD).

Cerebrovascular disease (CBD) includes a variety of medical conditions that affect the blood vessels of the brain. It falls into two main classifications: ischaemic, in which the blood flow is restricted; and haemorrhagic, in which bleeding occurs. CBD and type 2 diabetes mellitus (T2DM) are common disorders that the World Health Organization places amongst the top ten causes of death—between them killing approximately eight million people worldwide in 2016.

Both T2DM and CBD are complex genetic and lifestyle-related disorders. Genetic and familial environmental factors (e.g. foetal environment, maternal smoking and childhood socioeconomic status) have been shown to be involved in the development of both conditions. Accumulating evidence from previous studies suggests that T2DM is independently associated with an increased risk of CBD, especially ischaemic CBD.

This study—conducted by Ph.D. candidate Rongrong Yang, Tianjin Medical University, Tianjin, People’s Republic of China, and Dr. Weili Xu, Karolinska Institute, Stockholm, Sweden and Tianjin Medical University together with their colleagues—examined the link between type 2 diabetes in midlife and the risk of the different types of CBD in late life.

Also, by focusing on data from twins, the study aimed to explore whether genetic and familial environmental factors could explain the link between T2DM and CBD. Because twins generally share the same genetic backgrounds as well as the same family life, in the uterus and in childhood and adolescence, comparisons made within pairs of twins provide an ideal opportunity to explore the possible confounding effects of genetics and familial environment on any association between the two conditions.

The study involved twins from the nationwide Swedish Twin Registry (STR), which started in the 1960s. During 1998-2002, all living twins above 40 years of age were invited to participate in the Screening Across the Lifespan Twin study (SALT), a full screening process that gathered data via computer assisted telephone interview. Of the participants in SALT, this study focused on those twins who were still alive on the follow up on 31st December 2014.

Individuals who did not reach the age of 60 years by 31 December 2014, who had type 1 diabetes, had T2DM onset before age 40 years or at or over age 60 years, and/or CBD onset before 60 years old, or had suffered a transient ischaemic attack (mini-stroke), were excluded—leaving 33,086 people remaining for the current analyses. The SALT data included information on demographics (age, gender and educational attainment); lifestyle (smoking, alcohol consumption); anthropometric measures (weight and height, from which BMI was calculated); zygosity (genetic similarity); and medication use.

Both diabetes status and CBD incidence were obtained from Sweden’s comprehensive National Patient Registry. The 33,086 twins included 14,969 men and 18,117 women. Of them, 1248 (3.8%) had T2DM at ages 40 to 59 years and 3121 (9.4%) had CBD at or over 60. The data were adjusted for possible confounders including: age, gender, education, BMI, smoking, alcohol consumption, marital status, hypertension, and heart disease. The co-twin matched analysis considered data from discordant twin pairs i.e. one twin with each condition and the other one without.

The study found that whilst there was no significant association between midlife T2DM and subarachnoid or intracerebral haemorrhage (brain bleed stroke) in late life, individuals who developed T2DM at ages 40 to 59 years had double the risk of cerebral occlusion (artery narrowing) and a 30% higher risk of cerebral infarction (ischaemic stroke). Further analysis of twin-pairs appeared to show that genetic and early-life familial environmental factors do not appear to play a role as confounders in the association between midlife T2DM and ischaemic CBD in late life.

The mechanisms underlying the association of T2DM with cerebral infarction and occlusion of the cerebral arteries are complex, state the authors, and not completely understood. They note that individuals with T2DM develop dyslipidaemia (abnormal amounts of lipids in the blood) and accelerated atherogenesis—the formation of fatty deposits in the arteries. In addition, metabolic disturbances such as insulin resistance, increased insulin production in response to this resistance, inflammation, increased fat deposits and abnormally high blood sugar in T2DM may also contribute to cerebrovascular events.

The authors suggest that increase in the number of the endothelial cells lining the blood vessels, and thickening of the basement membrane, induced by T2DM, lead to an increased risk of blocking of, but not rupture of the vessels—hence a the negative association between the condition and haemorrhagic CBD (rupture of the arteries) and a positive association with ischaemic CBD (blockage of the arteries).

The authors note some limitations to the study. There were only a limited number of discordant twins (one twin with CBD) in the analysis. They also note that both monozygotic twins (sharing 100% genetic material) and dizygotic twins (sharing only 50%) were included in the study—such that the analysis could not completely control for genetic make-up. In addition, the SALT data did not include information on dietary intake and physical activity or allow for these factors to be considered as potential confounders in the association.

The authors conclude: “This large-scale, nationwide, population-based study of Swedish twins provides evidence that midlife T2DM is associated with some types of ischaemic CBD but not haemorrhagic CBD in the over 60s. Our findings highlight the need to control midlife type 2 diabetes to help prevent blockage or narrowing of cerebral arteries in late life and reduce the incidence of stokes caused by such blockages.”


T2DM is risk factor for liver fibrosis progression in NAFLD


More information:
Diabetologia (2019). doi.org/10.1007/s00125-019-4892-3

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Twins study links type 2 diabetes in midlife with stroke and brain artery narrowing in late life (2019, June 5)
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Should measles vaccination be compulsory?

Should measles vaccination be compulsory?


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As measles cases in Europe hit their highest levels this decade, should the UK adopt compulsory vaccination? Experts debate the issue in The BMJ today.

“We need to increase uptake of this vaccine, as we run the risk of measles becoming endemic,” argues Eleanor Draeger, sexual health doctor and medical writer.

Uptake of the measles, mumps, and rubella (MMR) vaccine in the UK is 94.9% for the first dose, but this drops to 87.4% for the second dose, which falls short of the 95% needed to produce herd immunity, she explains.

She points out that mandatory vaccination has increased uptake in other countries, and that in UK society, many things are already legislated to improve individual or public health. “We would argue that the UK now needs to legislate to increase vaccination rates, as current measures aren’t keeping rates high enough to ensure herd immunity.”

Many parents wrongly believe the rhetoric that vaccines are harmful, unnatural, and an infringement of civil liberties, she says.

Ethicists have argued that compulsory vaccination is acceptable because people who don’t vaccinate their children are potentially putting other people’s health at risk, particularly those who can’t be vaccinated and are therefore more vulnerable.

“Passing a law that stops children attending nursery or school unless their vaccinations are up to date or they are medically exempt would allow free choice while protecting vulnerable children,” she concludes.

But Helen Bedford and David Elliman at UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital argue that rather than mandatory vaccination, the UK should concentrate on other methods to increase vaccine uptake, such as improving access to services.

For example, ensuring that general practices have an immunisation lead and adequate appointment reminders in place, making immunisation settings child and family friendly, and ensuring staff have adequate time to talk to parents, and have been trained to tackle any issues that arise.

“Only when these components are in place should we consider mandatory vaccination,” they say.

Even then, they warn of potential unintended consequences. For instance, would parents still trust the NHS and healthcare professionals if GP data were used to decide whether a child was admitted to school or whether a family were allowed certain welfare benefits?

If school entry were denied, some parents may resort to home-schooling, and if vaccination were attached to welfare benefits it would be the less well off, but determined, parents who would suffer disproportionately, they add.

They welcome a recent House of Lords debate that favoured improving services rather than compulsion, and say “we believe that the UK should concentrate on improving its infrastructure and not risk alienating parents unnecessarily.”


Should childhood vaccination be mandatory?


More information:
Should measles vaccination be compulsory? BMJ (2019). DOI: 10.1136/bmj.l2359

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Should measles vaccination be compulsory? (2019, June 5)
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Childhood respiratory disorders may be diagnosed with a smartphone

Childhood respiratory disorders may be diagnosed with a smartphone


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Automated cough analysis technology incorporated in a smartphone app could help to diagnose childhood respiratory disorders, according to a study published in the open access journal Respiratory Research.

Researchers at Curtin University and The University of Queensland, Australia, showed that a smartphone app had high accuracy (between 81% and 97%) in diagnosing asthma, croup, pneumonia, lower respiratory tract disease and bronchiolitis.

Dr. Paul Porter, corresponding author of the study, said: “It can be difficult to differentiate between respiratory disorders in children, even for experienced doctors. This study demonstrates how new technology, mathematical concepts, machine learning and clinical medicine can be successfully combined to produce completely new diagnostic tests utilising the expertise of several disciplines.”

To develop the app, the authors used similar technology to that used in speech recognition, which they trained to recognise features of coughs which are characteristic of five different respiratory diseases. The researchers then used the app to categorise the coughs of 585 children between ages 29 days to 12 years who were being cared for at two hospitals in Western Australia. The accuracy of the automated cough analyser was determined by comparing its diagnosis to a diagnosis reached by a panel of paediatricians after they had reviewed results of imaging, laboratory findings, hospital charts and conducted all available clinical investigations.

The authors note that the technology developed for this study is able to provide a diagnosis without the need for clinical examination by a doctor in person, addressing a major limiting feature of existing telehealth consultations, which are used to provide clinical services remotely. Removing the need for a clinical examination may allow targeted treatments to begin sooner.

Dr. Porter said: “As the tool does not rely on clinical investigations, it can be used by health care providers of all levels of training and expertise. However, we would advise that where possible the tool should be used in conjunction with a clinician to maximise the clinical accuracy.”


Cough app targets US success


More information:
A prospective multicentre study testing the diagnostic accuracy of an automated cough sound centred analytic system for the identification of common respiratory disorders in children, Respiratory Research (2019). DOI: 10.1186/s12931-019-1046-6

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BioMed Central

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Childhood respiratory disorders may be diagnosed with a smartphone (2019, June 5)
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the-health-benefits-of-sex

The Health Benefits of Sex

The Health Benefits of Sex

(Athens call girl, Athens call girls)

That we live in what can seem like an oversexed society is difficult to dispute given the extensive, sometimes exploitative media attention given to “sexiness” and the act of “having sex”. While the list provided here by no means describes every helpful aspect of sex, it will hopefully inspire those who read it to have the healthiest sex life possible! Benefits of a healthy love life include: improvement of physical health as well as mental health when in the right relationship and able point in your life to love another openly and freely.

How to have better well being? Spend some time growing more intimate with your partner tonight!

Have Better Relationships!

One of the biggest sex health benefits is the production of Oxytocin, which is often referred to as thebonding hormone’, and is best known for its increase during warm, intimate moments like foreplay. This is apparently true whether the hormone is generated by having kissing, sex, hugging, or other relationship enhancing behaviors. It is the hormone responsible for our LOVE RESPONSE.  Therefore enhances bonding between everyone from friends, to parent to child or adults, and whether in a romantic or platonic relationship.

Health benefits of sex? It Lower Stress Levels!

As increased levels of oxytocin, as are generated by safe loving sexual activity, a decrease in anxiety, pain sensations, and stress levels associated with anxiety and pain have also been found to fall as a result.

Better Self-Perception of Feeling Healthy

Another sex health benefits is the lowering of cortisol levels (considered a stress hormone) and higher levels of oxytocin are associated with higher feelings of well-being, it stands to reason that activities like sexual intercourse that enhance those changes make people feel better, no matter what their life is otherwise like.

Lower Blood Pressure and Fewer Strokes

Sexual activity has been found to increase the level of oxytocin, particularly in women. That in turn seems to lessen how strongly the body reacts to stress. Among other things, oxytocin decreases how narrowed blood vessels become in reaction to stress, thereby decreasing blood pressure and strokes that can be caused by high blood pressure yet another health benefits of sex.

Another health benefits of sex is: Improved Functioning of the Immune System

The negative effects that excessive stress can have on the immune system are well understood. Having sex on a regular basis decreases stress, and adds to its credibility as a booster to the body’s ability to fight infection.

**Studies show that just 5 minutes of fear creates lower immune system conditions for up to 6 hours! -”Love For No Reason” -Marci Shimoff
“There is no fear in love; but perfect love casts out fear, because fear involves punishment, and the one who fears is not perfected in love.” -1 John 4:18 NASB (New American Standard)

Less Often Cognitively Disabled With Age

The aerobic exercise involved in having sex can help slow aging of the brain, helping to prevent everything from mild cognitive impairment (MCI) to full blown dementia.

 

the-health-benefits-of-sex

More health benefits of sex: Less Physically Disabled With Age

Sexual health benefits individuals who are already disabled, those with a more active sex life seem to be less likely to suffer further disability as they age when living with a spouse by improving mental health/, compared to already disabled persons with a less satisfying sex life.  We can easily see how this coincides with the law of Oneness and Harmony(sex is both of these things) of the manifest universe.

  • Fewer Heart Attacks

The lower reaction to stress that is associated with higher oxytocin levels translates into lower risk of heart attacks.

  • Lower Risk of Certain Cancers

Men who ejaculate more often have been found to have a lower risk of prostate cancer and women who masturbate lower risk of cervical cancers.  The pipes need to be cleaned once in a while…or a lot!

  • Longer, Happier Life

Sex health benefits studies have found that overall health is positively associated with being interested in having sex, engaging in sexual activity, and the quality thereof in persons in middle age and beyond. The reverse seems to be true as well, in that poor health is associated with having low interest, frequency, and quality of sex.

According to research studies, unconditional love has it’s own unique part functioning in the brain.

Living from unconditional love sets off a chain of physiological responses in the body; these help turn off the fear response, activate the relaxation response and create a positive physiology. This is your body’s love response. It allows you to adapt to life’s challenges, stop or reverse illness & disease and maintain health, energy and Life!

The take home point about the health benefits of sex is to be safe, have fun, and know that it is good for your health throughout your life.

Get Started living a fuller, happier and more relaxing life by Making sex a priority today and enjoying YOUR OWN sexual health benefits!

(Athens call girl, Athens call girls)

Read more articles here.

Why Are People From Bhutan Happy?

Top Issues Plaguing The Millennial Society

Millennials these days have access to so many things – most of which the generation before them was not privileged enough to have! So when it comes to millennials, all we say is that thye’re lucky as they have all the exposure and opportunities around them, which makes it much easier for them to reaslie their dreams. But have you ever though about the dark side of it? There are so many issues which even the millennials are troubled with – read on to know more:

Burnouts:

Tremendous work pressure, the rush of meeting deadlines, long working hours leave these youngsters with no time at all for themselves. And this repeated continuous pattern leads to nothing but a horrible burnout, which is tough to handle and go through. Also, the millennials take quite a long time even to realize they’re burning out, which worsens matters.

Broken marriages:

With more independence coming in, it is difficult for millennials to handle it all. With increasing work pressure, lifestyle pressure and the pressure to succeed, these millennials somewhere down the line end up neglecting themselves which makes it much more difficult to cope with what a relationship demands, thus ending up in broken homes and a rise in the divorce rate.

 

Material pleasures:

These days, happiness is equated with the number of materialistic things one owns. And the millennials, although crushing under pressure keep putting up with fake standards fixated by society. This makes them even more susceptible to falling prey to depression – even though they have everything to live a comfortable and happy life, unless and until it they get approval from the society, it’s just not enough. Materialistic attitude is on the rise – and no one knows where it’s going to head us all to.

Health issues:

Apart from getting affected mentally, the millennials are physically in bad shape too. After hectic working hours and late night partying, these youngsters have no energy to carry out any physical activity that keeps them fit and fine. The health issues plaguing the millennials range from obesity to fluctuating blood pressure – questioning the quality of their lives in the later stages – if this is the state now!

Top Issues Plaguing The Millennial Society

Disparity:

There is this increasing disparity in the education the millennials receive and the employment opportunities. Despite high qualifications and immense expenditure on education, the millennials are not gaining jobs as per their expectations, making them settle for something they aren’t pleased with.

Why Are People From Bhutan Happy?

Why Are People From Bhutan Happy?

A friend recently visited Bhutan, and she told me why no other country in the world could beat Bhutan when it comes to being happy. The country may not be one of the most developed countries in the world economically, but it is indeed a class apart when it comes to the happiness of all it’s citizens. And if you’re wondering what the reasons behind this are, read the post:

Gross National Happiness Index:

 

Why Are People From Bhutan Happy?

The rest of the world, measures their growth and development in economic and quantitative terms, Bhutan is different – it has GNH – Gross National Happiness Index which measures the happiness quotient of every citizen in the country. Every effort of the government is directed towards making its people happy – now isn’t this an example the world needs to follow?

 Natural Abode:

More than 50% of Bhutan is pure, untouched wilderness – the people here preserve nature with utmost care and respect all the natural resources they have been blessed with. Panoramic views are a staple here – you needn’t venture out far outside, or climb a hilltop to come across a stunning view! All you need to do is look around and take in the exotic beauty of this country. And every tourist here wishes to settle down forever in this country – the citizens of Bhutan are actually living their dream! The country is exceptionally clean and has the best climate throughout the year.

Why Are People From Bhutan Happy?

Simple life:

A free education and subsidized health facilities are the highlights of Bhutan. The government believes that of the bare minimum requirements are provided to every human; it allows the human mind to be free of worry and live a satisfied life. The people here dress up in their national dress which resembles a Kimono – this also brings focus on the aspect that people here are not much into materialistic things like clothes and fashion.

Quality life:

The working hours in Bhutan are structured in a way that any person who works gets a stress-free sleep of 8 hours every day. This not only improves the productivity of the employees but also makes sure that they’re happy doing their job and not under any kind of pressure. Also, with weekends off, the people here are encouraged to venture into the arms of nature, refreshing them for the week ahead.