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Mazaaq Raat 25 May 2016 مذاق رات Veena Malik and Asad Khattak Dunya News

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Methylphenidate Anxiety and ADHD How do they fit together

• Arithmetic: This is a timed test in which arithmetic questions are orally presented to the children and the responses are measured, assessing both speed and accuracy. Methylphenidate treatment produced a slight improvement in the ADHD children without comorbid anxiety. However, for the children with comorbid anxiety, the use of methylphenidate was ineffective (in fact, a slight decrease in performance was seen, but this was exceedingly small. It should be concluded that methylphenidate treatment had no reasonable positive effect for the ADHD children with comorbid anxiety for this particular subcategory).
  
  This should lead to an array of questions, including ones such as "does anxiety hamper ones performance in math, if one is ADHD (or even if one is not ADHD)?". Intuitively, we would expect the answer to be "yes", as evidenced by the huge number of children (and adults) who have self-reported "mathphobia". However, some well-reputed studies seem to indicate that methylphenidate treatment can actually help with mathematical abilities. Is there something else going on here?
  
  One potential explanation (not mentioned in the study) may reside in the possible presence of a third comorbid factor, such as an underlying comorbid auditory processing disorder. Auditory processing disorders are relatively common in individuals with ADHD, however, since the two disorders often exhibit symptomal overlap, comorbid auditory processing disorders are often missed in ADHD children.
  
  Interestingly, some recent evidence has come out that there may be a connection between auditory processing issues and anxiety disorders. This possible link between anxiety and auditory processing disorders has been addressed previously in another section of this blog. Note that the arithmetic subsection is administered orally in the WISC III test.
  
  If the theory that auditory processing difficulties are seen alongside anxiety disorders, it is entirely possible that the discrepancies in the ADHD with comorbid anxiety performances me be largely due to the nature of how the arithmetic portion of the test is administered. It would be interesting to see if any improvements were seen in the arithmetic scores were improved in the anxiety subgroup if the questions were presented in a written, non-auditory format.

• Coding: This section of the WISC III test measures skills involving visual-spatial coordination, speed and concentration. The individual (for those over 8 years old) is instructed to copy a line of code substituting a number for a symbol (this would involve something along the lines of writing, say, a "1" where a star is presented, "2" for a "circle", "3" for a smiley face, etc.). A high performance in this section has implications for advanced academic tasks that involve utilizing tables and formulas (think of solving chemistry problems using data from a periodic table at the top of the page, etc.).
  
  In addition, a strong visual-spatial aptitude may have implications for things such as note taking skills and the like. As a result, a strength in this area may be particularly useful in upper-level courses involving the sciences, foreign languages and anything that requires an individual to "decode" and translate new information quickly. With regards to the anxiety vs. non-anxiety ADHD groups, both showed some degree of improvement with methylphenidate treatment for this subsection.
  
  However, the non-anxiety group showed a significantly greater positive response (around twice as big of an increase in scores for this subsection following methylphenidate treatment as the comorbid anxiety group) to the methylphenidate treatment, suggesting that comorbid anxiety was a relative impediment to methylphenidate-mediated improvements in this area as well.

• Symbol search: This subsection involves picking out or identifying whether a particular symbol is present in a row of symbols. It has direct implications on ones ability to pay attention to detail as well as the ability to quickly scan through information to find what is relevant. Both the anxiety and non-anxiety groups showed slight improvements following methylphenidate treatment, however, once again, the improvements in post-methylphenidate scores were about twice as large for the non-anxiety group of ADHD children.

Of the 3 subtests, methylphenidate treatment helped the most in the coding section, had minimal effects in the symbol search section and little (for the non-anxiety group) to no or negative (for the anxiety group) effects for the arithmetic section.

Other studies have also investigated the effects of comorbid anxiety on cognitive task performance in ADHD children. By and large, it appears that memory-based tasks are the hardest hit by an accompanying anxiety disorder when methylphenidate is administered as an ADHD treatment. Other studies have confirmed this finding on anxiety disorders impeding memory enhancement via methylphenidate treatment. This seems to agree with the data on the coding section, which involves a type of working memory for the symbol deciphering process.

Based on what we have covered here, it would be reasonable to scrutinize significant differences between parent and teacher ratings and behavioral and attentive improvements for the possibility of an accompanying anxiety disorder to go along with an ADHD diagnosis in a child. While anti-anxiety medications can be useful, and co-administered with ADHD stimulant drugs under the watchful eye of a carefully trained physician, there is also evidence that

These findings suggest that comorbid anxiety can be a serious handicap to achieving cognitive and academic-related improvements in response to stimulants such as methylphenidate. However, please note that, based on the main study of our discussion on ADHD, anxiety and methylphenidate, notable behavioral improvements were seen from methylphenidate treatment in both the ADHD + anxiety and the ADHD minus anxiety groups.

The implications of this discrepancy can be noteworthy. To the parent who is only marginally involved with their childs academic progress, and is simply concerned with getting more manageable behavior out of their ADHD child, the sharp reduction of negative behavioral symptoms may lull the parent into a false sense of security that all is well on the home front. This stratified response to the methylphenidate medication may be lost to the unassuming parent.

However, it may be possible that an accompanying anxiety disorder (and maybe even an auditory processing disorder) may be lying there dormant to the oblivious parent. For the teacher, however, an improvement in classroom behavior due to medication, but a lack of improvement in academic work (especially in memory-related tasks) may be a tip-off that an undiagnosed accompanying anxiety disorder may be in place in this ADHD child. Thus this discrepancy in medication-derived improvements may actually serve as a potentially powerful diagnostic tool for detecting an accompanying anxiety disorder in a child being treated for ADHD.

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Mitchell and the Outfield

2007 Outfield Defense
Team Balls SFR EqThr Total
BOS 2100 65.0 -0.9 64.1
CHN 2081 46.5 11.9 58.4
NYN 2206 29.2 -6.1 23.1
WAS 2394 29.2 -7.0 22.2
COL 2202 27.0 -1.8 25.2
ARI 2207 25.3 1.0 26.3
ANA 2268 20.5 0.0 20.5
TEX 2250 20.2 3.1 23.2
FLO 2366 16.7 4.6 21.3
TOR 2010 13.3 8.5 21.8
DET 2286 10.0 4.7 14.7
CLE 2248 9.6 -7.5 2.1
NYA 2340 7.3 6.5 13.8
CHA 2290 2.8 -6.2 -3.4
HOU 2259 1.9 -2.1 -0.2
LAN 2120 1.4 -14.6 -13.2
CIN 2418 0.8 -1.2 -0.4
KCA 2426 -2.1 3.9 1.8
PIT 2315 -2.9 1.8 -1.0
ATL 2191 -3.9 13.0 9.0
MIL 2294 -4.5 -4.2 -8.7
BAL 2243 -5.0 1.4 -3.6
OAK 2231 -11.3 -16.8 -28.1
PHI 2249 -15.5 13.5 -2.0
MIN 2216 -19.5 2.8 -16.7
SDN 2153 -19.6 -10.4 -30.1
TBA 2318 -22.9 11.4 -11.5
SLN 2266 -24.6 -1.6 -26.3
SFN 2242 -32.2 -5.3 -37.5
SEA 2296 -38.1 6.2 -31.9

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Modafinil An alternative treatment for ADHD and comorbid substance abuse

• Activity patterns and circadian rhythms may often be associated with ADHD subtype. For example, "morning people" with ADHD may have a tendency to fall into the more hyperactive/impulsive group, while "eveningness" is more of an inattentive ADHD trait, suggesting more of a disruption in the circadian rhythms of inattentive ADHDers.
• Additionally, non-stimulants often have somewhat of a better track record with the inattentive subtype of ADHD compared to the more hyperactive/impulsive subtypes. The uses of the non-stimulant atomoxetine (Strattera), highlight this general trend. While atomoxetine treatments often result in drastic improvements in all ADHD subtypes, negative side effects are often less seen in the inattentive subtype.
• Compared to stimulants, non-stimulant medications for ADHD often do a better job at not exacerbating comorbid disorders such as obsessive compulsive or anxiety disorders (which are often more common to the ADHD inattentive subtype). Additionally, Modafinil treatment can be useful in treating adults with ADHD and a history of mood disorders.
• Modafinil offers advantages over methylphenidate as far as fewer side effects including appetite suppression, sleep disturbances and heart rate dysfunction (orthostatic tachycardia, which essentially is significant changes in heart rhythms based on postural changes, such as standing up quickly from a seated position).
• Anecdotal evidence, as noted by the Modafinil and amphetamine abuse study mentioned earlier, also suggests that Modafinil may be a useful treatment method for "refractory" cases, or individuals who have consistently shown poor response to other treatment medications and interventionary measures.
  
• Finally, it is important to note (and this was also touched on in the Modafinil and amphetamine abuse study), that Modafinil treatment may be better suited for the more "controlled" abusers of stimulants. In other words, better effects might be seen for adults who regularly take illegal stimulant drugs such as amphetamines as a conscious effort to "self-medicate" for their ADHD, as opposed to an out-of-control drug addict who craves the drugs on a non-scheduled basis.

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Medical Self Defense and the Black Panther Party An interview with Alondra Nelson

 

Medical Self Defense and the Black Panther Party

--An interview with Alondra Nelson

By Angola 3 News

Alondra Nelson, a professor of sociology and gender studies at Columbia University, is the author of a new book released last month, entitled Body and Soul: The Black Panther Party and the Fight Against Medical Discrimination. By documenting the multifaceted health activism of the Black Panther Party (BPP) and critically assessing the BPP’s strategy and tactics in a respectful and appreciative manner, Body and Soul presents an analysis that is rare and badly needed in US colleges and universities today. In this interview, Nelson discusses how the Panthers’ legacy can both inspire and provide important strategic lessons for today’s new generation of political activists

In her book, Nelson writes that “the Party’s focus on health care was both practical and ideological.” On a practical level, the BPP provided free community health care services, including preventative education. Simultaneously, the BPP railed against the medical-industrial complex, declaring that health care was “a right and not a privilege.” Ronald “Doc” Satchel, the minister of health for the Chicago BPP, wrote in the BPP newspaper that “the medical profession within this capitalist society…is composed generally of people working for their own benefit and advancement rather than the humane aspects of medical care.” A newsletter published by the Southern California chapter argued that “poor people in general and black people in particular are not given the best care available. Our people are treated like animals, experimented on and made to wait long hours in waiting rooms."

By 1970, People’s Free Medical Clinics had become a requirement for every BPP chapter. In 1972, the BPP revised point six of the founding ten-point-platform, adding a demand for “completely free healthcare for all black and oppressed people…We believe that the government must provide, free of charge, for the people, health facilities which will not only treat our illnesses, most of which have come about as a result of our oppression, but which will also develop preventative medical programs to guarantee our future survival. We believe that mass health education and research programs must be developed to give Black and oppressed people access to advanced scientific and medical information, so we may provide ourselves with proper medical attention and care.”

While citing Martin Luther King’s 1966 declaration that “of all forms of inequality, injustice in healthcare is the most shocking and inhumane,” one chapter provides an important historical context for the BPP’s health activism by detailing what Nelson calls “the long medical civil rights movement,” that began long before the BPP. “Mobilized in response to the distinctly hazardous risks posed by segregated medical facilities, professions, societies, and schools; deficient or nonexistent healthcare services; medical maltreatment; and scientific racism, activism challenges to medical discrimination have been an important focal point for African American protest efforts and organizations. The Panthers were heirs to health activism that directly reflected tactics drawn from this tradition,” writes Nelson.

Nelson says the central focus of her scholarly work is on “the intersections of science, technology, medicine and inequality.” She has co-edited Technicolor: Race, Technology, and Everyday Life (2001) and Genetics and the Unsettled Past: The Collision of DNA, Race, and History (scheduled to be released in March, 2012). To learn more, please visit www.alondranelson.com.

Angola 3 News:         In our recent interview with Billy X Jennings from It’s About Time BPP, one theme explored was how, with rare exception, the mainstream media has misrepresented the BPP. However, it seems that the even the radical and anti-capitalist media has generally underreported the health activism that is the focus if your book. How did the BPP’s health activism relate to their better-known stances against white supremacy, capitalism, and police violence?

Alondra Nelson:        Yes, it’s true. The Black Panthers’ health activism has been under-reported across the ideological spectrum. Their critics obviously did not want to cast them in a positive light. And, as your question suggests, even the Party’s supporters said little about this important aspect of the BPP’s work. I think its plausible to say that many on the Right and some of us on the Left--in very different ways and for completely opposite reasons--were captivated by a vision of the Party that did not include its health politics. Depictions of African Americans working in their neighborhoods, wearing white medical coats, was unspectacular compared to images of Black radicals wearing leather jackets and carrying guns.

It is ironic that our collective memory of the Panthers remains so incomplete because their health activism—from their political writing about medical issues in The Black Panthernewspaper, to their practice of DIY healthcare—exemplified the anti-racist, anti-capitalist stance for which they are known. In fact, the reality of health inequality brought the BPP’s political perspective into sharper relief because it offered stark and specific examples of how economic and racial oppression literally damaged bodies, families and communities.

As you know, the BPP was originally the Black Panther Party for Self-Defense, a name that reflected that protecting communities from police brutality was a primary motivation for the group’s founding. The BPP exposed the misuse of power whether it was at the hands of police officers or physicians. So, it’s also useful to think of the Panthers as being engaged in medical self-defense.

In Los Angeles, Party members Ericka Huggins and Elaine Brown, nursing professor Marie Branch, Dr. Terry Kupers, and others established that chapter’s People’s Free Medical Clinic. But, like all of the BPP’s health activism, this work extended beyond the clinic, including in this case, confronting police brutality. (Branch shared meeting notes with me from the 1970s from her personal archive where the formation of BPP health programs and prisoners’ protection from medical discrimination were seamlessly discussed). The LA Panthers advocated for and provided health care for incarcerated persons; some of these men and women needed medical attention because they had been abused while in police custody.

A3N:   How does the story of the BPP’s health activism, as presented in your book, contribute to and challenge the traditional presentations of the BPP by both the mainstream and alternative media?

AN:     Body and Soul offers an account of the BPP that moves away from the narrow confines of the so-called “culture wars,” in which the Party can only ever be a positive force or a negative element. Paying attention to the Party’s health activism calls into question the inaccurate stereotype of the activists as aimless thugs.

We also gain a different perspective on things we thought we already knew about the BPP, like the fact that the Panthers were avid followers of Fanon, Che and Mao, whose writings were required reading for all members. Through the prism of health, one can see very clearly the influence of Fanon’s dissection of colonial medicine in Algeria on the Panthers’ understanding of medical discrimination in the U.S. We can take seriously the fact that Fanon and Che were physicians as well as political thinkers. We can appreciate that Mao, who established the “barefoot doctors” lay health worker program, made available to the Party not only broad revolutionary principles, but also specific ideas about health care as political practice.

A3N:   What do you think were the most successful tactics employed by the BPP as part of its health activism? Strategically speaking, what lessons from the BPP’s health activism do you think are most applicable for today’s activists to learn from?

AN:     In addition to setting up their own clinics, they used legal approaches not dissimilar from the NAACP to voice their opposition to problematic biomedical research. The Party leadership realized early on that “policing the police” would not be the only method they used in their effort to topple racism and capitalism. The Panthers were pretty flexible tacticians.

One of the lessons that the BPP offers today’s activists is that they should be more loyal to the desired outcome than to the tactic. The sit-in came to be associated with the southern civil rights movement just as the mic check is now emblematic of the Occupy movement. But these groups also used other tactics: marching, occupying, sermons, etc. Social movements are dynamic phenomena; circumstances are constantly changing. So too should tactics.

One of the BPP’s more fascinating tactics was what I call, after sociologist Lily Hoffman, the “politics of knowledge.” Working in this vein, the Panthers engaged and reinterpreted scientific ideas about race and disease. They reinterpreted scientific theories about the causes of sickle cell anemia, for example, by placing the prevalence of the disease in the context of the history of the transatlantic slave trade, the medical-industrial complex and contemporary racism.

The Panthers use of this tactic—the politics of knowledge—should remind today’s activists that “framing” matters. It is important to be able to translate political arguments—health-related ones and other ones—into language, into stories really, that resonate with the broader public. The Party could be expert at this.

The Nixon administration and mainstream philanthropies would ultimately coopt the issue of sickle cell anemia. But the BPP played a key role in raising awareness about the disease and in situating it in a powerful political language that could mobilize communities.

A3N:   Along with chapters focusing on the BPP’s free medical clinics and the campaign to educate the Black community about and test for Sickle Cell Anemia, another chapter focuses on the BPP’s involvement with a diverse coalition that successfully organized against the formation of the Center for the Study and Reduction of Violence at UCLA in 1973. You write that BPP felt that the Center’s “biologization of violence” line of research would ultimately “craft a narrative of Black and Latino violent pathology” that would serve to “make already marginalized populations more vulnerable to medicine as a tool of social control,” and “effect the further criminalization of social groups—black males, the incarcerated—and in turn justify calls for increased surveillance and social control.”

While writing that the defeat of the Center was a “notable triumph,” you note further that it “was somewhat of a Pyrrhic victory for Newton and his allies, as blocking resources to the center as an entity would not prevent individual researchers from pursuing other sources of support for their investigations.” With this in mind, how has biologization of violence research progressed since the 1970s? How much influence has it had on public policy?

AN:     Attempts to attribute the causes of violence to biology (and closely related to this, criminality) are a very old story. In the late 19th century, the influential Italian criminologist Lombroso, claimed that new methods (e.g., phrenology) and theories (e.g., social Darwinism) showed that the tendency toward criminal behavior was inherited.

More than one hundred years later, similar ideas persist. In the 1990s, during the first Bush presidency, Louis Sullivan, the Secretary of Health and Human Services set-up a “violence initiative” to explore the biological models of social unrest in urban settings. Your readers may recall that around the same time another Bush official, referencing studies on violence among non-human primates, said that disproportionately black and brown “inner cities” were like “jungles.” (The initiative and controversial commentary around it would recall to the heated debate the Panthers were engaged in over plans to form a “violence center” at UCLA in the 1970s that may have had an especially harmful impact on black and Latino youth and men).

Recently behavioral researchers have aimed to link the presence of what has been called the “warrior gene” to violent, criminal behavior. At a time when we are learning even more about the complexities of genetic inheritance, about the epigenome and the systems biology, it simply does not make sense that one single genetic marker could have such a dramatic, determinative effect.

A3N:   What role has biologization of violence research played in justifying the mass incarceration explosion that began in the 1970s, increasing the prison population from 300,000 to 2.4 million today, giving the US the highest incarceration rate and the largest total prisoner population in the world?

AN:     To the extent that the longstanding efforts that I have just described have kept in circulation the fallacy that there is a definitive link between human biology and violence, theses ideas have indeed served as a justification for the expansion of the carceral system.

This is where the policy implications of the biologization of violence come to the fore: If violence is “in your genes” or “in your blood,” then one can justify policies that lock people away because these people are “lost causes.”

And, in turn, the idea that there is a innate predisposition to violence contributes to the decline of support for rehabilitation and reparative justice programs. 

A3N:   Since the 1970s, has the US come any closer to realizing the BPP’s public health goals?  If BPP co-founder Huey P Newton were alive today, what do you think he would say about President Obama’s “Affordable Care Act?”

AN:     The revised ten-point platform was prescient in capturing one side of the recent debates about widening health inequality in the U.S. and what to do about it. If I had to venture a guess, I would say that Newton and the Party would have appreciated the historic nature of what President Obama accomplished—a feat that many administrations before his had variously tried to accomplish and failed to do. Perhaps Newton would have even observed that the Affordable Care Act is a very small step in the right direction.

However, some journalists and pundits have noted the similarity between President Obama’s historic Affordable Care Act and the national insurance plan that former President Nixon backed unsuccessfully. Given the animus between the Party and Nixon, and the way this administration and its agents worked to destroy the BPP, it is hard to imagine that Newton would have been in strong support of recent healthcare reform legislation. There would have certainly been opposition to the fact that President Obama’s plan is a boon for insurance companies because the Panthers demanded, “healthcare for the people, not for profit.”

--Angola 3 News is an official project of the International Coalition to Free the Angola 3. Our website is www.angola3news.com, where we provide the latest news about the Angola 3. Additionally we are also creating our own media projects, which spotlight the issues central to the story of the Angola 3, like racism, repression, prisons, human rights, solitary confinement as torture, and more. Our articles and videos have been published by Alternet, Truthout, Counterpunch, Monthly Review, Z Magazine, Indymedia, and many others.

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Meeting at the White House the State Tax Initiative and the UC Regents

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Mazaaq Raat 9 May 2016 Rabi Peerzada and Raza Haroon مذاق رات Dunya News

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ME and my SHADOW

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Milan Fashion Week 2012 Fruit veg and micro trends

Milan Fashion Week 2012: Fruit, veg and micro-trends

 

Say hello to a new wave of fruity dresses and vegetable motifs at Milan Fashion Week Spring/Summer 2012. Yep, this MFW was all about groceries, as Dolce & Gabbana and Moschino went big on apple cart prints. Plus, Versus, Bottega Veneta and Missoni rock the catwalk. Captions by Simon Chilvers and Jess Cartner-Morley and photograph by Getty Images and Reuters

 

Bottega Veneta Spring/Summer 2012: Bottega Veneta didnt explicitly follow a Fifties outline but after Jil Sander and Prada it was, to me, the best show of the week – immaculate, fabulously grown up, and a riot of gorgeous rich colours. Jess Cartner-Morley

il Sander Spring/Summer 2012 womens collection: Raf Simons has yet another smash hit collection on his hands at Jil Sander. This time a modern spin on the 1950s – it featured delightful netted veil hats by Stephen Jones. Simon Chilvers

A model walks the runway during the Jil Sander fashion show as part of Milan Fashion Week Womenswear Spring/Summer 2012

Emilio Pucci womens Spring-Summer 2012: Pucci, under the tenure of designer Peter Dundas has become all about a haute hippie – its a look popular with A-listers like Kylie and most recently Gwyneth Paltrow at the Emmys. For next season he added a gypsy flavour into the mix with long patterned skirts and mid-drift peasant-like tops. Simon Chilvers

 

Moschino Cheap & Chic Spring Summer 2012: It started with fruit – Prada bananas, Stella citrus. Now fashion has gone veg. Moschino and Dolce are united behind this Milanese trend.Simon Chilvers

A model walks the runway at the Moschino Cheap & Chic Spring Summer 2012 fashion show

Marni Spring-Summer 2012 ready-to-wear collection: Marni jewellery has always been popular so its only right that the label are part of the Swinging-Earrings-Are-The-New-Handbags trend coming through from Milan. Simon Chilvers

Marni Spring-Summer 2012 ready-to-wear collection: Pastel + 1950s vibe + dangling earrings = a Marni triple trend ticking catwalk equation. Simon Chilvers

Missoni Spring/Summer 2012: Missoni are known for clashing patterns and busy knits – this look is their take on summer. Part hippie, part siren. Note: mid-drifts are a (worrying) micro trend. Simon Chilvers

Missoni Spring/Summer 2012: Fringearama at Missoni. Simon Chilvers

Versus Spring/Summer 2011: Christopher Kane designs Versus – you can tell. This is a sexy spin on a sports couture theme in pastels. Pastels, btw, are massive for next season. Simon Chilvers

Versus Spring/Summer

Dolce & Gabbana Spring-Summer 2012 ready-to-wear collection: Spicy at Dolce where the vegetable/food theme ran from aubergine prints to pasta shaped earrings. Imagine the high-street copying these with gusto. Simon Chilvers

Dolce & Gabbana Spring/Summer 2012: If wasp-waisted, full-skirted, looking-hot-at-the-vegetable-market-while-demurely-ignoring-wolf-whistles dresses are your thing then Dolce & Gabbana are happy to oblige; and we can all look forward to allotment chic hitting the high street, as those splashy aubergine prints make their way down the fashion food chain. Jess Cartner-Morley

Dolce & Gabbana Spring/Summer 2012: Aside from veg at Dolce, there were jewels. Obviously. Heavily embellished surfaces were also big in London. Basically, next spring your dress should rattle or rustle or make some sort of (expensive) noise. Simon Chilvers

Models display creations as part of Dolce & Gabbana Spring-Summer 2012 ready-to-wear collection

 

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