Children and divorce in the light of salutogenesis--promoting child health in the face of family breakdown

Over past decades there has been an increase in divores or familybreakdown all over the world. Officially, in Europe, at least5.5 million women, children and men annually face the loss oftheir intimate relationships, discounting other types of separationsand unofficial marnages. In order to be able to manage the situationthere it a need to analyse and understand the family-breakdownprocess, and its health consequences. For public health workersthis situation should encourage us to use the tools availablefor a salutbgenic and health promotive approach, as recommendedin the new directions of the WHO Health for All movement. Theultimate aim is to create healthy social settings for the cominggenerations, our children.     

The Stockholm Diabetes Intervention Study (SDIS): 18 Months' Results

ABSTRACT Patients with insulin-dependent diabetes mellitus (IDDM), non-proliferative retinopathy and unsatisfactory blood glucose control were randomized to intensified conventional treatment (ICT, 48 patients) or regular treatment (RT, 54 patients) for a 5-year study. After 18 months the glycosylated hemoglobin (HbA_ic) was reduced in both groups, but significantly more in the ICT group (p=0.00005). Thirty of the RT patients and 16 from the ICT group deteriorated as to retinopathy (p=0.024). Microalbuminuria appeared more often in the RT patients (p=0.023), and nerve conduction velocities were significantly reduced only in the RT group (p between 0.0005 and 0.047). Serious hypoglycemia was more common in the ICT patients (p=0.003). The progression of diabetic late complications was thus slowed down by intensified treatment, but at the price of an increased frequency of serious hypoglycemia.