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Sleep and behaviour difficulties

As any parent who has a child who doesn't sleep well knows, behaviour becomes worse the longer the problem goes on. Hyperactive children start to display a range of attitudes which, at their worse, become tantrums and, even, violence. It often seems as if the problem goes hand in hand with high intelligence, almost as if they can't turn their intellect off. Research focussing on these issues has at last acknowledged these issues and, importantly, tried to find ways to help parents get their children to sleep. To do so, they have focussed on the hard edge of the problem, where they find autism, but it is clear that, if their approach works, many more parents will find relief and their children gain from the social, intellectual and physical advantages of a regulated sleep pattern.



Men get fragile bones in old age, too

Usually, one finds that discussions around fragile bones in the elderly focus on those in women. Arthritis, too, seems to be largely regarded as a woman's problem. But, as research published in Age and Ageing (vol 46, issue 4) in July this year shows, the male population is is afflicted, too. A long term study across eight European centres covering men from 40 to 79 years found that assessments of frailty in men were not too dissimilar to those in women and the causes and effects were similar.

One of the major conclusions is startling : anyone who has had a parent or grandparent who has been injured in a fall, or who has simply become too frail to stand unaided, will wonder why formal research is needed to be able to say "In conclusion, a reduction in bone strength may in part explain the increased susceptibility to fracture among frail older people. Prevention of fractures in frail older people should include consideration of optimising bone health as well as preventing falls."

The conclusion that is reached, but not overtly stated is this: men and women have similar physiological degradation and both need equal diagnosis, treatment and care.



Mid-life crisis: what could possibly go wrong?

If you are in middle age (whatever that means) and you feel in the prime of life, skip to the next topic for we made the serious mistake of looking at the current issue of "The Journal of Mid-life Health." Oh, shit.

"Vitamin D and Pelvic Floor Disorders" - do men have pelvic floors? Read it to find out. "Study of comparison between autonomic dysfunction and dyslipidemia in healthy post-menopausal women." Big scary words. Don't want to know. "Obesity and associated cardio-metabolic risk among women from Tripura - a North-Eastern state of India." Worth a read to see if the are in some way different to those from, say, Chicago.

"Correlation of Two Colposcopic Indices for Predicting Pre-malignant Lesions of Cervix" - That sounds fascinating - can data help prevent cancer? "Education Based on Theory of Planned Behaviour over Sexual Function of Menopausal Women in Iran" - Iran is a hugely complex society and maybe lessons can be learned that would apply in other societies. "Urinary Incontinence, Its Risk Factors, and Quality of Life: A Study among Women Aged 50 Years and above in a Rural Health Facility of West Bengal" - seriously. Being unable to control one's pee is seriously detrimental to quality of life. Research ? Done. "Etiological and Endoscopic Profile of Middle Aged and Elderly Patients with Upper Gastrointestinal Bleeding in a Tertiary Care Hospital in North India: A Retrospective Analysis" Truncate the title and this is important: intestinal bleeding is always difficult to diagnose and can lead to many complications.

Add in a list of case reports adds value.

Then, in tiny writing, one learns "Official publication of the Indian Menopause Society."

Right. Got it.