Sex Addict

David Duchovny, Tiger Woods and Jesse James. They acknowledge that, after getting rehabilitation for having an affair with another woman other than their wives.

David Duchovny

Sex addiction is a real thing. A person is defined as a sex addict when his behavior out of control, and began to have a negative impact on his life. The addiction can be a strong desire to have sex, masturbation, watching porn, or tempt the opposite sex.

David Duchovny

Encouragement and such behavior can lead to embarrassment, despair and confusion for sex addicts. Sexual addiction takes a lot of energy and cause difficulties when this has caused problems in relationships, career, law.

Jesse James

If you suspect you have these problems, read more to find out some signs that you may be a sex addict,

You live a double life

Do you have more than one girlfriend or wife / husband? Do you regularly cheat your partner? Do you keep your sex life a secret from the people around you? Lived a double life for sexual gain can be a sign you're a sex addict.

It is true that many people betray their spouses, but a necessity to do so is not normal. Concealing your sex life, it can also indicate a problem. You obviously problematic when you know that what you are doing is wrong, but you can not help yourself.

You often look for things about sex

Pleasure with all things sex can be a sign of your sex addicts, especially if done continuously and consistently. It can also include a preoccupation in exploring the adult entertainment media that makes you not be productive at work and your relationship with your current partner.

You sacrifice your personal relationships

Initially you sacrifice your relationship with your girlfriend or wife, but the rift can easily extend to social and work circles. Not only will you deceive yourself, but also everyone connected with you in various ways.

Infidelity arising from such behavior does not only mean you always have sexual contact with another person. This can be demonstrated by other means, such as regularly visiting strip clubs or X-rated movie theaters without your partner's knowledge.

You have negative feelings about your behavior

If you have strong negative feelings about yourself because of your behavior, it's time to get help. Everyone has an instinct, but sometimes we lose it and fall into a pit of despair.
Sex addiction just like any other addiction. It is characterized by life had become unmanageable as a direct result of addictive behavior. When we do things out of necessity and continued enforced, you create malicious behavior patterns that can destroy your life.

Step First Aid for Choking

Sometimes inadvertently, children and adults ingestforeign objects. So, what to do? If an adult or child swallowing foreign objects, which can be done is to see a doctor as soon as possible.

If foreign objects that cause choking, and must be helped as soon as possible before they can contact a doctor, the American Red Cross recommends the procedure "five-and-five" as first aid. What can be done to these as suggested Mayoclinic.com are:

1.    Give 5 blows / a pat on the back. First, give five blows between the shoulder blades choking person by using the heel of the hand.

2.     Give 5 times poke / stomach encouragement. Perform five belly poke movement (also known as the Heimlich maneuver).

3.      Perform the procedure as an alternative until the blockage is gone.

If you're just alone, do back blows and abdominal poke before calling the local emergency assistance. If there are other people with you, ask the person to call emergency medical assistance while you perform first aid.

The American Heart Association does not recommend the technique back blows, abdominal impulse procedure only. You do not need to perform back blows technique if you have not studied the technique.

How the time to do the Heimlich maneuver on someone else? Do the following:

1.   Stand behind the person. Wrap your arms around his waist, and push the person forward slightly.

2.      Make a fist with one hand. Position fist above your navel choking person.

3.      Grasp the fist with the other hand. Press hard into the abdomen with a quick push towards the top - as if you're trying to lift someone up.

4.      Perform a total of 5 poke stomach if necessary. If the obstruction (choke) still occurs, repeat the cycle of five-and-five.

A modified version of this technique are sometimes taught to be used in pregnant and obese people. Rescuer will put his hand in the middle of the chest to squeeze (compress), rather than on the abdomen of pregnant / obesity.

Perform the Heimlich maneuver on yourself can be done even though you might find it difficult to hit the back of his own. Do a belly poke technique to dislodge objects that cause choking:

1.      Place a fist slightly above the navel.

2.      Grasp your fist with your other hand while bending on a hard surface (table or chair).

3.      Shove your fist inward and upward.

Survivors of Childhood Cancer Have High-Risk of Recurrent Stroke

Findings Have Clinical Implications on How We Treat and Follow Survivors 

Most people assume strokes only happen to octogenarians, but recent evidence suggests that survivors of childhood cancer have a high risk of suffering a stroke at a surprisingly young age.

Sabine Mueller, MD, PhD

A new study from UC San Francisco's Pediatric Brain Center shows that childhood cancer survivors suffering one stroke have double the risk of suffering a second stroke, when compared with non-cancer stroke survivors. The study found that the main predictors of recurrent stroke were cranial radiation therapy, hypertension and older age at first stroke – factors that could help physicians identify high-risk patients.

The findings provide strong evidence for adjusting secondary stroke prevention strategies in these patients, and to aggressively detect and treat modifiable stroke risk factors, such as hypertension.

Findings appear in the Aug. 26 online issue of Neurology, the medical journal of the American Academy of Neurology.

“We are at a point where more children are surviving cancer because of life-saving interventions,” said Sabine Mueller, MD, PhD, director of the UCSF Pediatric Brain Tumor Center in UCSF Benioff Children’s Hospital San Francisco and co-author of the study.

“Now, we are facing long-term problems associated with these interventions.”

Effects of Cranial Radiation Therapy

The Pediatric Brain Center (PBC) is a collaboration between two UCSF centers – the Pediatric Brain Tumor Center and Pediatric Stroke and Cerebrovascular Disease Center – that brings specialists together to provide coordinated care for patients, while conducting research to better understand how to care for children.

An image of a diseased artery in a childhood cancer patient overlaid with their radiation therapy concentrations. While the exact mechanisms are unknown, scientists think that high doses of radiation cause the blood vessels to constrict.

The researchers analyzed retrospective data from the Childhood Cancer Survivor Study (CCSS), which has followed 14,358 survivors diagnosed between 1970 and 1986 in the United States and Canada to track long-term outcomes of cancer treatment. All of the recruits were diagnosed with cancer before age 21. To assess stroke recurrence rates, the researchers sent a second survey to participants who had reported a first stroke, asking them to confirm their first stroke and report if and when they had had another. The researchers analyzed the respondent demographics and cancer treatments to identify any potential predictors of recurrent strokes.

An image of the brain’s blood vessels of a childhood cancer patient before and after cranial radiation therapy. Post-radiation, two arteries show signs of narrowing, which may encourage brain clots to form and eventually cause a stroke.

Of the 271 respondents who reported having had a stroke, 70 also reported a second one. Overall, the rate of recurrence within the first 10 years after an initial stroke was 21 percent, which is double the rate of the general population of stroke survivors. The rate was even higher – 33 percent – for patients who had received cranial radiation therapy.

Previous research has shown that radiation therapy targeting the head is a strong predictor of a first stroke. In an earlier study, the authors found that children treated for brain tumors were 30 times more likely to suffer a stroke compared to their siblings. While the exact mechanisms are unclear, the scientists think high-dose radiation causes the blood vessels to constrict and encourage blockage.

“If they have one stroke, it’s not actually surprising that they have a high risk of getting another stroke,” said Heather Fullerton, MD, professor of Neurology, founder of the UCSF Pediatric Stroke and Cerebrovascular Disease Center, and first author of the study. “You might use aspirin after the first stroke to try to reduce blood clots, but you’re not making those diseased blood vessels go away.”

UCSF Updating Patient Monitoring Protocols

The findings have significant implications for medical follow-up in childhood cancer patients. The authors said that current survivor screening guidelines do not recommend checking for diseased blood vessels, even though the signs are visible in standard MRIs.

Heather Fullerton, MD

“The radiologists are so focused on looking in the brain area where the tumor used to be that they’re not looking at the blood vessels,” Fullerton said.

Based on the findings, UCSF has updated protocols for monitoring patients to include screening for both blood vessel injury and modifiable stroke risk factors, but it is not required on a national level.

“If we could identify high-risk patients, we could recommend they be followed by a pediatric stroke specialist,” said Mueller. “That will be huge in providing effective follow-up care for these children.”

Other collaborators on the study are Robert R. Goldsby, MD, professor of Pediatrics and director of the UCSF Survivors of Childhood Cancer Program; Kayla Stratton, MS, and Wendy Leisenring, ScD, of the Fred Hutchinson Cancer Research Center; Gregory Armstrong, MD, Leslie Robinson, PhD, and Kevin Krull, PhD, of St. Jude’s Children’s Research Hospital; Marilyn Stovall, PhD, and RE Weathers, MS, of the University of Texas, and Charles Sklar, PhD, of Memorial Sloan-Kettering Cancer Center.

This work was supported by the National Cancer Institute (U24 CA 55727), the Cancer Center Support (CORE), the American Lebanese-Syrian Associated Charities, the National Center for Advancing Translational Sciences, the Frank A. Campini Foundation and a private donation from the LaRoche family.

UCSF Benioff Children’s Hospital San Francisco is the only California state-designated children’s medical center in San Francisco. The hospital is one of the leading children's hospitals in the nation, according to U.S. News & World Report. Its expertise covers virtually all pediatric conditions, including cancer, heart disease, neurological disorders, organ transplants and orthopedics as well as the care of critically ill newborns.

UC San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy, a graduate division with nationally renowned programs in basic, biomedical, translational and population sciences, as well as a preeminent biomedical research enterprise and two top-ranked hospitals, UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco.

Marijuana Shown to Be Less Damaging to Lungs Than Tobacco

A large-scale national study suggests low to moderate use of marijuana is less harmful to users’ lungs than exposure to tobacco, even though the two substances contain many of the same components.

This comprehensive study, led by UCSF and University of Alabama at Birmingham, collected data from more than 5,000 U.S. adults for more than 20 years.

Smoking cigarettes can cause significant lung damage, including respiratory symptoms, chronic obstructive pulmonary disease and lung cancer. It accounts for an estimated 443,000 deaths, or nearly one in every five deaths, each year in the United States, according to the U.S. Centers for Disease Control and Prevention (CDC). Data for the long-term effects of marijuana use on the pulmonary system has been scarce until now.

Mark Pletcher, MD, MPH

“We found exactly what we thought we would find in relation to tobacco exposure: a consistent loss of lung function with increasing exposure,” said the paper’s lead author, Mark Pletcher, MD, MPH, associate professor in the Division of Clinical Epidemiology at UCSF. “We were, however, surprised that we found such a different pattern of association with marijuana exposure.”

In a paper published today in the Journal of American Medical Association (JAMA), researchers analyzed the relationship between current and lifetime exposure to marijuana and pulmonary function. The Coronary Artery Risk Development in Young Adults (CARDIA) study collected medical data from 5,115 men and women in four U.S. cities from 1985 to 2006.

They measured air flow rate – the speed in which a person can blow out air – and lung volume, which is the amount of air a person is capable of holding, typically about six liters of air for an adult male. Lung function was measured using a common medical device called a spirometer that measures air flow when the participant breathes in and out.

“Essentially with tobacco, the more you use, the more loss you have with both of the indicators, air flow rate and lung volume,” said the paper last author Stefan Kertesz, MD, MSc, associate professor in the Division of Preventive Medicine at the University of Alabama at Birmingham School of Medicine and the Birmingham VA Medical Center. “There’s a straight-line relationship: the more you use, the more you lose.”

The same was not true with marijuana use. Air flow rate increased rather than decreased with increased exposure to marijuana up to a certain level.

“An important factor that helps explain the difference in effects from these two substances is the amount of each that is typically smoked,” Pletcher said. “Tobacco users typically smoke ten to 20 cigarettes/day, and some smoke much more than that. Marijuana users, on average, smoke only two to three times a month, so the typical exposure to marijuana is much lower than for tobacco.”

“And marijuana is one where a lot of people dabble with it in their late teens and 20s, and some people continue with relatively low levels for a long period of time,” Kertesz added.

Heavy Marijuana Use May Take Toll

Although there was a suggestion that very heavy use of marijuana might be taking a toll on the lungs, the researchers could not get reliable estimates of the effects of very heavy marijuana exposure, as such smokers were relatively rare in the study population.

All participants in the study began as young, healthy adults 18 to 30 years old from four communities: Oakland, Chicago, Minneapolis and Birmingham. They volunteered to be part of this long-term medical research study, agreeing that their data could be used to explore questions, including about tobacco and marijuana use.

Researchers believe the results can supplement the growing body of knowledge about beneficial aspects of low to moderate marijuana use in controlling pain, stimulating appetite, elevating mood and managing other chronic symptoms.

“Our findings suggest that occasional use of marijuana for these or other purposes may not be associated with adverse consequences on pulmonary function,” Pletcher said. “On the other hand, our findings do suggest an accelerated decline in pulmonary function with heavier use – either very frequent use or frequent use over many years – and a resulting need for caution and moderation when marijuana use is considered.”

Pletcher is the lead author of the paper; co-authors are Eric Vittinghoff, PhD, and Feng Lin, MS; of the UCSF Department of Epidemiology and Biostatistics; Ravi Kalhan, MD, MS, of the Divison of Pulmonary and Critical Care Medicine at Northwestern University Feinberg School of Medicine; Stephen Sidney, MD, MPH, of Kaiser Permanente of Northern California, Oakland; Joshua Richman, MD, PhD, Monika Safford, MD, and Stefan Kertesz, MD, of the University of Alabama at Birmingham and Veterans Affairs Medical Center.

The study was supported by funds from the National Heart Lung Blood Institute.

UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.