Sunday, May 24, 2015

California Legislative Black Caucus Scholarship Application DEADLINE is Friday, June 12, 2015

California Legislative Black Caucus Scholarship Application DEADLINE is Friday, June 12, 2015.

For more than five years, the California Legislative Black Caucus (CLBC) California Scholars program has proudly recognized and rewarded the educational excellence and personal achievement of California college-bound high school seniors and accomplished post-secondary students enrolled in colleges and universities. The CLBC California Scholars program awards financial assistance scholarships to a select group of deserving students. College costs can be a roadblock to educational opportunities for students striving to complete their college education.
The financial scholarship assistance provided by the CLBC California Scholars program helps qualified students pay for a portion of their college costs.
Application DEADLINE is Friday, June 12, 2015.
Please submit a copy of your application to:
LaShae Collins, District Director
Assemblymember Shirley Weber
1350 Front Street, Suite 6046
San Diego, CA 92101

Saturday, May 23, 2015

The Fire This Time


 The more things change, the more they remain the same. That’s the sad yet urgent message you will find in the riveting new book Firefight:The Century-Long Battle to Integrate New York’s Bravest (Palgrave Macmillan Trade, $28).  Journalist Ginger Adams Otis exhaustively examines the causes that led to the Big Apple’s 2014 settlement of a $98 million discrimination lawsuit. Cases went as far back as 1919 with the hiring of Welsey Williams. Nearly a century later, New York City has about 300 Black firefighters – roughly just three percent of the 11,000 serving a city with 2 million African-Americans. Eye-opening, this is a must read.


Review by P.H.B. in Essence, May 2015.

Black & White


Mat Johnson has rightfully earned lavish critical praise for risk-taking novels such as Pym (2011) and Incognegro (2009).  Loving Day (Spiegel & Grau, $26), a take-no-prisoners view of interracial relationships and hysteria, may at last bring Johnson to a wider readership.  In Loving Day we meet biracial Warren Duffy, who has returned to Philadelphia after his marriage to a Welsh woman unravels, his comic ship in Cardiff, Wales, goes out of business and his Irish-American father dies.  It’s hardly grist for a funny novel, but once Warren moves into what he believes is a haunted mansion, all hell breaks loose. You will marvel at the finesse with which Johnson handles this story.


Review by P.H.B. in Essence, May 2015.

The Genius of Black Women

A groundbreaking new read puts a spotlight on African-American Female intellectuals.



In 2006, 22 scholars came together to “address the lack of attention given to the work of Black women intelligentsia historically and in the contemporary moment.” Nine years later, the group’s tremendous efforts have been documented in Toward an Intellectual History of Black Women (The University of North Carolina Press, $27.95). Edited by current scholars FarahJasmine Griffin, Mai Bay, Martha S. Jones and Barbara D. Savage, An Intellectual History delivers on its grand ambition to move critical thinking “beyond the “Great Men’ paradigm” and “to promote Black women’s intellectual history as a legitimate field of academic inquiry.”

This collection of essays, which spans 320 pages, includes contributions from notable thought leaders such as Natasha Lightfoot, CorinneT. Field, Cheryl Wall, Sherie Randolph, Judith Byfield and the book’s editors.  One of the many strengths of this anthology is the non-traditional ways its authors define critical thinking. Ivy tower and self-taught philosophers are given equal billing across a number of topics, from enslavement to feminism to views of Black women’s bodies. “We believe that in taking on this important and much-neglected subject, we will help to create and sustain a community of scholars,” wrote organizers of the gathering that formed the basis of the new publication.  To that end, mission accomplished.


Review by P.H.B. in Essence, May 2015.

Saturday, May 16, 2015

Four “Secret” Scholarships For Women - Millions Available in Scholarships Every Year

Applicants who seek scholarships that are virtually unknown may have a better shot at winning them than they would when applying for a popular scholarship. So, here are some little-known scholarships for women.

Executive Women International Scholarship Program <http://ewiconnect.com/?page_id=3958>

This scholarship is not only designed for women, but men as well. It encourages outstanding high school seniors who plan on pursuing a four-year college degree to sign up. This scholarship is based upon academics, extracurricular activities, leadership and communication skills.

Society of Women Engineers Scholarships <http://societyofwomenengineers.swe.org/scholarships>

For women excited to enter the field of engineering, engineering technology and computer science, this scholarship is perfect for you. Female students applying for this scholarship must be attending an accredited school or university, as well as preparing for careers in technical fields.

Joe Francis Haircare Scholarship <http://www.joefrancis.com/apply>

This scholarship receives its name from the founder of many hair care franchises, Joe Francis (1933-1994). Applicants can be either male or female, but must be applying for entrance into Cosmetology School or Barber School. You must turn in your application and hand in a one-page essay and at least two letters of recommendation.

NFRW’s Betty Rendel Scholarship <https://www.nfrw.org/rendel>

This scholarship is open to any female attending an accredited four-year college or university. However, you must be majoring in political science, government or economics to apply.

Thursday, May 14, 2015

"How to Graduate From Starbucks" by Amanda Ripley

“When it comes to college, the central challenge for most Americans in the 21st century is not going; it’s finishing. Thirty-five million Americans now have some college experience but no degree. More Americans than live in Texas, in other words, have spent enough time at college to glimpse the promised land – but not enough to reap the financial bounty. Some are worse off than if they’d never enrolled at all, carrying tens of thousands of dollars in debt, not to mention the scar tissue of regret and self-doubt.”

“Each year, students under age 24 must gather up their parents’ tax information and fill out a 105-question form known as the Free Application for Federal Student Aid, or FAFSA. (A bill that would shorten the application to two questions is awaiting action in Congress.) Those who file the form early in the year typically receive twice as much money as those who file later, but you of course have to know that bit of trivia to take advantage of it.”

“Simply put, many Americans fail to finish college, because many colleges are not designed to be finished. They are designed to enroll students, yes. They are built to garner research funds and accrue status through rankings and the scholarly articles published by faculty. But those things have little to do with making sure students leave prepared to thrive in the modern economy.”

“We know if you surround any student with love and attention and good coaching and mentorship, they will succeed,” Daniel Greenstein, who directs college-completion initiative at the Bill & Melinda Gates Foundation, told me. Over time, Greenstein has become more and more convinced that data-driven, student-centered university cultures can reverse the college-dropout trends. “The research tells us that what really matters for low-income and first-generation students,” he said, “is that you put your arms around them.”



Wednesday, May 06, 2015

$25K JJackson Fellows (Toyota) Scholarship - DEADLINE May 30th

The Jesse Jackson Fellows (Toyota) Scholarship is a $25,000.00 award to college students who will have sophomore status as of August 1, 2015, are in financial need, and who have a minimum cumulative GPA of 3.0.  The scholarship is renewable for each year for a maximum three year period.   Students must also demonstrate participation in community service.  Students must major in either STEM (science, technology, engineering, math) or business. 

COMPLETED APPLICATION with all documentation must be submitted to PUSH Excel Office, 930 E. 50th Street Chicago, Illinois 60615, on or by 5PM, May 30, 2015.
  
Eligibility and Requirements
Qualifications:     
· Must be a U.S. citizen.
· Must be a sophomore in college by August 1, 2015.
· Must have a minimum cumulative grade point average of 3.0.
· Must be either an "stem" or a "business" major.
· Must be willing to work two Summer Co-op Terms (minimum) at a Toyota location.
· Must be open to relocation during Co-op Terms (note: housing and transportation benefits will be provided).
· Must be open to travel as a part of the Co-op Terms.
· Must be open to overtime as needed during Co-op Terms.
· Must be authorized to work in the U.S. without sponsorship; no student visas accepted.
  
Demonstration:
· Must demonstrate participation in community service
· Must demonstrate academic preparation to attend college and succeed
· Must demonstrate the ability to overcome obstacles to achieve academic and personal goals
  
Documentation:
· A completed and submitted application
· Official transcript
· Two letters of recommendations (cannot include a family member)
· Proof of current enrollment in an accredited college/university in the United States (course schedule/admission letter, if applicable)
· Evidence of service learning during college enrollment.  Student must indicate any school-based extracurricular involvement and/or community-service involvement.
  
Essay:
· Must submit minimum 500-word essay
· The required essay must address the following prompt: "Why engineering and business majors are important to industry".
  
Renewal:
· Every year up to three years on a four year graduation scale.

Additional information available at www.PUSHExcel.org

$2,500 Cirilo McSween (NY Life) Scholarship - DEADLINE May 30th

The Cirilo McSween (New York Life) Scholarship is awarded to students who are majoring in business, achieve academic success, and play an active role in their communities. Scholarships are given in honor of New York Life's first African American agent, Cirilo A. McSween, who became an agent in 1957. Mr. McSween, who passed away in 2008, was a member of Rainbow PUSH Coalition's board of directors, a renowned civil rights activist who work closely with Rev. Dr. Martin Luther King, Jr., and noted businessperson. The Cirilo McSween (New York Life) Scholarship is a $2,500.00, award and may be renewed for a total of 4 years. The award will be paid directly to the college or university the student will be attending.

COMPLETED APPLICATION with all documentation must be submitted to PUSH Excel Office, 930 E. 50th Street Chicago, Illinois 60615, on or by 5PM, May 30, 2015.

Eligibility and Requirements
Qualifications:
· Must be a  U.S. citizen.
· Must be a senior attending high school and must graduate in spring or summer of 2015.  Student must be accepted to an accredited four-year degree program at a college or university in the U.S. for the academic year commencing in the year the scholarship is granted.· Must have a minimum cumulative grade point average of a 3.0.
Demonstration:
· Must demonstrate academic preparation to attend college and succeed.· Must demonstrate the ability to overcome obstacles to achieve academic and personal goals.
Documentation:
· A completed and submitted application due by May 30, 2015.· Official transcript sent to PUSH by the college (this applies to new and to renewed scholarships).· Two letters of recommendations (cannot include a family member).
· Proof of current enrollment or acceptance to accredited college/university in the United States (course schedule/admission letter, if applicable).
· Evidence of service learning throughout the student's high school career (Must indicate any school-based extracurricular involvement and/or community-service involvement).
Essay:
· Must submit  minimum 500-word essay.· The required essay must address the following prompt: "Identify five (5) perquisites for success and explain in detail your personal philosophy for the pursuit of excellence." Explain the obstacles or hardships you had to overcome on your journey to achieve academic success. Finally, explain how you will use your college education to achieve your personal goals and pursue excellence.
Renewal:
· The Cirilo McSween (New York Life) Scholarship is renewable up to 4 years as long as the student maintains a minimum grade point average of 3.0.

Additional information available at www.PUSHExcel.org                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

Sunday, May 03, 2015

We Are Not All One Family - book review

Review by Stephen Marche.  Fifteen years after publishing Bowling Alone, his seminal book about the fraying of American communities, Robert Putnam takes on the fraying of the American Dream.

                In a country racked by seemingly insurmountable political divisions, by deeper red states and darker blue states, equality of opportunity is the one thing that virtually everybody agrees on.  Ninety-five percent of Americans believe that “everyone in America should have equal opportunity to get ahead.” The huge and widening gap between the rich and the poor – and the discrepancy between their chances in life – is not a development that anyone, from the Koch brothers to Ralph Nader, desired. Nonetheless, there have been two main responses to the widening gap between rich and the poor: pretending that it doesn’t exist from the Right, and lamenting its inevitability from the Left.
                Our Kids: The American Dream in Crisis (Simon & Schuster, $28), by Robert Putnam – whose masterpiece, Bowling Alone, showed how modern Americans, separated from tight-knit communities, have become isolated and less socially connected – lands squarely in the center of this mess to reframe the debates. Economic immobility is not inevitable, argues Putham. Rather, America is choosing to become a Third World county with a First World country nestled inside it.
                Putnam’s childhood home of Port Clinton, Ohio, is the lens of Our Kids. In the 1960s, Port Clinton was a mixed economy with a manufacturing base and a middle class building decent lives from the proceeds of that base. Today it’s a commuter town, a refuge for the wealthier professionals from Cleveland. “The story of Port Clinton over the last half century – like the history of America over these decades,” Putnam writes – “is not simple about the collapse of the working class, because the same years have witnessed the birth of a new upper class.” The old working class is literally and figuratively pushed to the margins of town.
                We often read the statistics in Our Kids piece-meal and sporadically, but put together they are devastating: The rich live in better houses. They have more stuff. They are more secure. The rich live and marry among the rich; the poor live and marry among the poor, creating a county of gated communities surrounded by slums. And yet, the most vital and devastating insight of Our Kids has nothing to do with wealth and material differences. What causes children to rise and fall, according to Putnam, is the most attractive aspect of American lives; the impetus to give your kids every advantage.
                All the stuff rich parents spend money on – the SAT classes, the music lessons, the extracurricular sports – they all pay off. The new upper class is far from an aristocracy; it’s a technocracy. And the first job of the new technocratic class is to ensure that their children have a place in the competitive world they have inherited. Their lives are as determined as the poor’s. The irony of the book is contained in its title: The love for “our kids” is driving the destruction of the collective possibilities of other people’s kids. And other people’s kids, no matter what Obama says, are no longer “our kids.”
                The problem that Putnam doesn’t face – here or in Bowling Alone – is the underlying reason why Americans have retreated from their sense of shared purpose. Possible solutions to income inequality are not particularly hard to find: expansion of the earned-income tax credit, increased access to early-childhood education, reduction of prison sentences for nonviolent crimes. Ideas are not lacking. What’s lacking is political and social will. America’s industrial dominance in the 20th century was the direct result of the High School movement. “The essence of that reform was a willingness of better-off Americans to pay for schools that would mainly benefit other people’s kids.”
                Putnam can explain how the High School movement worked; he can even explain how the collective spirit behind it collapsed. His explanations are incredibly useful, essential reading. But he can’t explain why Americans don’t care about one another’s children anymore. And that’s the real question, isn’t it.

Esquire magazine, April 2015.

Monday, April 27, 2015

What is Diabetes? What are my options to avoid Diabetes?

Medically speaking, Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).
 
Quick Reference on Diabetes
·         Diabetes is a long-term condition that causes high blood sugar levels.
·         Type 1 Diabetes - the body does not produce insulin. Approximately 10% of all diabetes cases are type 1.
·         Type 2 Diabetes - the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type.
·         Gestational Diabetes - this type affects females during pregnancy.
·         The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
·         If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life.
·         Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.
·         As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.
·         As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.
·         Hypoglycemia - low blood glucose - can have a bad effect on the patient. Hyperglycemia - when blood glucose is too high - can also have a bad effect on the patient.

Approximately 90% of all cases of diabetes worldwide have Type 2 Diabetes. Type 2 Diabetes is when the body does not produce enough insulin for proper function, or the cells in the body do not react to insulin (insulin resistance).
Some people may be able to control their type 2 diabetes symptoms by losing weight, following a healthy diet, doing plenty of exercise, and monitoring their blood glucose levels. However, type 2 diabetes is typically a progressive disease - it gradually gets worse - and the patient will probably end up have to take insulin, usually in tablet form.
Overweight and obese people have a much higher risk of developing type 2 diabetes compared to those with a healthy body weight. People with a lot of visceral fat, also known as central obesity, belly fat, or abdominal obesity, are especially at risk. Being overweight/obese causes the body to release chemicals that can destabilize the body's cardiovascular and metabolic systems.
Being overweight, physically inactive and eating the wrong foods all contribute to our risk of developing type 2 diabetes. Drinking just one can of (non-diet) soda per day can raise our risk of developing type 2 diabetes by 22%, researchers from Imperial College London reported in the journal Diabetologia. The scientists believe that the impact of sugary soft drinks on diabetes risk may be a direct one, rather than simply an influence on body weight.
The risk of developing type 2 diabetes is also greater as we get older. Experts are not completely sure why, but say that as we age we tend to put on weight and become less physically active. Those with a close relative who had/had type 2 diabetes, people of Middle Eastern, African, or South Asian descent also have a higher risk of developing the disease.
Men whose testosterone levels are low have been found to have a higher risk of developing type 2 diabetes. Researchers from the University of Edinburgh, Scotland, say that low testosterone levels are linked to insulin resistance.
 
Diabetes Is A Metabolism Disorder

Diabetes (diabetes mellitus) is classed as a metabolism disorder. Metabolism refers to the way our bodies use digested food for energy and growth. Most of what we eat is broken down into glucose. Glucose is a form of sugar in the blood - it is the principal source of fuel for our bodies.
When our food is digested, the glucose makes its way into our bloodstream. Our cells use the glucose for energy and growth. However, glucose cannot enter our cells without insulin being present - insulin makes it possible for our cells to take in the glucose.
Insulin is a hormone that is produced by the pancreas. After eating, the pancreas automatically releases an adequate quantity of insulin to move the glucose present in our blood into the cells, as soon as glucose enters the cells blood-glucose levels drop.
A person with diabetes has a condition in which the quantity of glucose in the blood is too elevated (hyperglycemia). This is because the body either does not produce enough insulin, produces no insulin, or has cells that do not respond properly to the insulin the pancreas produces. This results in too much glucose building up in the blood. This excess blood glucose eventually passes out of the body in urine. So, even though the blood has plenty of glucose, the cells are not getting it for their essential energy and growth requirements.
Diabetes can take a toll on nearly every organ in your body, including the heart and blood vessels; eyes; kidneys; gums and teeth; and the nervous system.
Heart disease and blood vessel disease are common problems for many people who don’t have their diabetes under control. You're twice as likely to have heart problems and strokes as people who don’t have the condition. Blood vessel damage or nerve damage may also cause foot problems that, in rare cases, can lead to amputations. More than half the legs and feet removed are not lost because of an injury, but as a result of this disease.
Diabetes is the leading cause of new vision loss in the U.S. in adults 20 to 74 years old. It can lead to eye problems, some of which can cause blindness if not treated: Glaucoma, Cataracts, Diabetic retinopathy.
Diabetes is the leading cause of kidney failure in adults in the U.S., accounting for almost half of new cases. You might not notice any problems with early diabetes-related kidney disease. In later stages it can make your legs and feet swell.
Over time, high blood sugar levels can harm your nerves. As many as 70% of people with diabetes get this type of damage. Peripheral diabetic neuropathy can cause pain and burning or a loss of feeling in your feet. It usually starts with your toes. It can also affect your hands and other body parts. Autonomic neuropathy stems from damage to the nerves that control your internal organs. Symptoms include sexual problems, digestive issues (a condition called gastroparesis), trouble sensing when your bladder is full, dizziness and fainting, or not knowing when your blood sugar is low
Having diabetes puts you at higher risk for gum disease. Your gums might be red and swollen and bleed easily.
 
Controlling Diabetes - Treatment Is Effective And Important

All types of diabetes are treatable. Diabetes type 1 lasts a lifetime, there is no known cure. Type 2 usually lasts a lifetime, however, some people have managed to get rid of their symptoms without medication, through a combination of exercise, diet and body weight control.
 
What are your choices?
1. Do nothing and suffer, then die.
2. Diet and exercise. Type 2 diabetes can often be prevented by a person being a normal body weight, physical exercise, and following a healthful diet. Dietary changes known to be effective in helping to prevent diabetes include a diet rich in whole grains and fiber, and choosing good fats, such as polyunsaturated fats found in nuts, vegetable oils, and fish. Limiting sugary beverages and eating less red meat and other sources of saturated fat can also help in the prevention of diabetes. Active smoking is also associated with an increased risk of diabetes, so smoking cessation can be an important preventive measure as well.
 
First STEPS:
1. If you are overweight, you should have a blood test taken to determine your A1C and fasting plasma glucose levels.  The lab results will determine the proper course of treatment recommended by your physician.
2. It may require that you lose weight, moderate your diet, and begin an exercise routine.

The choice is yours.

sources:


Saturday, April 25, 2015

If you are over weight - do you have Type 2 diabetes ?

Type 2 diabetes is one of the most serious medical conditions affecting our nation today. The number of people who have it has been rising alarmingly.

Type 2 diabetes used to be referred to as “adult onset” diabetes, but no longer. In recent years, the incidence among children and adolescents has exploded. Much of that surge is due to the dramatic increase in the last 20 years in the number of young people who are physically inactive and overweight or obese.

The statistics are sobering. An estimated 25.8 million people in the U.S., or about 8 percent of the population, have diabetes. That’s up from 2.5 percent of the population in 1980. Despite the increase of the disease among the young, older people are still the largest age group affected with nearly 11 million people 65 or older afflicted with diabetes. And about 1.9 million adults are newly diagnosed with type 2 diabetes every year.

But despite widespread attention to the diabetes epidemic, about one in three people who have diabetes — some 7 million people — have not been diagnosed and do not know they have it. And many of those who have been diagnosed are not getting adequate treatment. A quarter to a third of the people who have been diagnosed with diabetes fail to receive the medical care and medicines that research has shown to be effective.

Why is diabetes of such concern? For starters, diabetes more than doubles the risk of developing and dying of heart disease and other problems. Indeed, the condition is as potent a predictor and risk factor for heart disease and heart attack as are cigarette smoking, high blood pressure, and high cholesterol. In 2004, the latest year for which data is available, heart disease was a factor listed on 68 percent of diabetes-related death certificates among people 65 or older.

Diabetes also significantly raises the risk of a host of other problems. These include: stroke, nerve damage, kidney damage; damage to the eye as well as total blindness; impotence, poor wound healing, and susceptibility to infections that can worsen and require amputations of toes, feet, or part of a leg.

In addition, people with diabetes are very likely to have other dangerous health conditions. One study found that 47 percent of people with diabetes had two other heart disease risk factors (such as smoking, high blood pressure, and high cholesterol), and 18 percent had three or more.

Overall, diabetes is the seventh leading cause of death in the United States. It is also a leading cause of disability. Women have the same prevalence of diabetes as men, but they are much more likely to die from it. African-Americans, Asian-Americans, Hispanics, American Indians, and the indigenous people of Alaska are more prone to develop diabetes (due to genetic and environmental factors) and to become disabled or die from it (due to multiple factors, including that they are less likely to get good care).

The symptoms of type 2 diabetes tend to develop gradually over time and include:

  • Fatigue
  • Blurred vision
  • Frequent urination
  • Numbness or tingling in your hands or feet
  • Increased thirst and hunger
  • Infections and slow healing of wounds

These symptoms can also be mild and/or intermittent for years. If you experience any of these — and especially if you experience two or more, for even a few days — you should see a doctor.

In the early stages of the disease, symptoms may be nonexistent. That’s unfortunate because the damage to organs occurs even in the absence of symptoms. For this reason, it’s important for people who may be at risk for diabetes to get their blood sugar levels checked regularly. Those at risk include:

  • People 65 and older
  • People who have a condition called metabolic syndrome
  • People who are overweight or obese
  • Anyone with a parent or a sibling who has diabetes
  • People who are African-Americans, Hispanic-Americans, Asian-Americans, Native Americans, Pacific Islanders, or Alaskan Natives
  • Women who have had diabetes during pregnancy or a baby weighing more than 9 pounds at birth

If you are in one of these groups and have never had a blood sugar check, get it tested as soon as possible.

There is a disagreement in the medical community about whether all adults should have their blood sugar checked periodically. The American Diabetes Association advises that everyone aged 45 and over have a blood sugar test once every three years. But the highly regarded U.S. Preventive Services Task Force says not enough scientific evidence exists to show that such broad screening has benefits or is worth the cost.

We think the decision rests with you and your doctor, and depends on an assessment of your overall health, risk factors, weight, and family history. Some doctors are inclined to check the blood sugar levels of most people over age 45 or 50, especially if they are 10 or more pounds overweight. Other doctors may be more conservative.

Blood sugar tests are inexpensive and easy, though they may have to be done a few times to yield a conclusive diagnosis. One type of test is done after an overnight fast. If your blood sugar is 126 milligrams per deciliter (mg/dl) or greater after being checked on two or three different occasions, you are considered to have diabetes. Another type of test can be done at any time (not just after an overnight fast). If this test indicates your blood sugar level is 200 mg/dl or above, you are considered to have diabetes.

Your doctor may also talk to you about a blood test known as “hemoglobin A1c” (pronounced hemoglobin “A,” “one,” “c”; usually abbreviated in print as HbA1c and often referred to by diabetes patients as “my A1c”). This is a commonly used test to evaluate blood sugar control after treatment is started. But your doctor may order this test to make the diagnosis in the first place. There’s more about this measure in the next section.

But proper treatment can keep people with diabetes healthy. In fact, all people with diabetes who receive proper and consistent care live a normal life, and can work and carry out daily activities.

Given that all the diabetes drugs have the potential to cause side effects and lifestyle changes have benefits to your health beyond controlling blood sugar, most doctors will recommend you try diet and lifestyle modifications first — before you try a drug.

Many people with diabetes, however, also have high blood pressure and/or elevated cholesterol, or have been diagnosed with coronary artery or vascular disease. If you are in this category, your doctor may prescribe a diabetes drug when you are diagnosed, along with diet and lifestyle changes and classes in diabetes self-management.

Indeed, so many people with diabetes have other conditions and heart disease risk factors that doctors commonly treat them as “multi-disease” patients whose care and various medications must be managed particularly closely. Because heart disease risk factors, including diabetes, take a cumulative toll, medical groups and physician organizations have set aggressive goals for people with diabetes who have multiple conditions. Table 1 below presents these.

The aim of treatment with lifestyle changes and medications is to get your HbA1c lower (and keep it low) and to reduce your symptoms. As mentioned already, the HbA1c test is the one your doctor will use to track treatment success (or failure). It measures glucose levels chemically bound to hemoglobin, a protein carried by red blood cells. Over time, high blood sugar levels cause more glucose to bind with hemoglobin, so a high HbA1c percentage indicates that blood sugar levels are high on average.

Many experts believe that an HbA1c level below 7 percent is associated with a lower risk of diabetes complications, such as kidney disease and eye disease that can lead to blindness. However, there is no definite proof that maintaining HbA1c below 7 percent helps prevent heart disease and premature death because most studies of the oral diabetes drugs have only looked at the affects on HbA1c for a year or less.

Although aiming for an even lower HbA1c level — below 6.5 percent — that’s closer to the range found in healthy people who don’t have diabetes has been promoted in the past, it’s now unclear whether that is better for most diabetes patients. In the largest, most well-regarded study of this issue, people with diabetes who achieved an average HbA1c level of 6.4 percent over 3.5 years had an increased risk of death and no reduction in heart attacks or deaths from heart disease compared with patients whose HbA1c was maintained at 7.5 percent.

Goals for People with Diabetes
Measures                             Recommended Goal
Blood Sugar*  
Fasting blood glucose               70-130 mg/dL
Post-meal (2-hour) blood glucose   Below 180 mg/dL
Hemoglobin A1c (HbA1c)             Below 7.0%
Cholesterol  
Total cholesterol                   Below 200 mg/dL
LDL (“bad”) cholesterol             Below 100 mg/dL
HDL (“good”) cholesterol           Above 40 mg/dL for men and 50 mg/dL for women
Triglycerides                       Below 150 mg/dL
Blood pressure                     Below 130/80 mmHg

* These goals may be individualized based on your specific health situation and circumstances.
Sources: American Diabetes Association; American Association of Clinical Endocrinologists; International Diabetes Federation; National Cholesterol Education Program; Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; recent studies.
Definitions: LDL= low-density lipoprotein cholesterol; HDL= high-density lipoprotein cholesterol; mg = milligrams; dl=deciliter of blood; mmHg = millimeters mercury.

Two other studies did not find an increased risk of death in patients who maintained their HbA1c below 6.5 percent. But these studies were consistent with the one described just above in that they also failed to show a reduction in cardiovascular events (like a heart attack) or deaths.

Given these results and the evolving science, the American Diabetes Association and other diabetes experts now recommend keeping HbA1c around or below 7 percent for most patients, but not below 6.5 percent. Also, a higher HbA1c goal may be appropriate for certain patients, including those with a history of repeated episodes of low blood sugar, coronary heart disease, stroke or limited life expectancies.

Managing diabetes is complex because it requires care ful, sometimes daily attention to diet, monitoring blood sugars, and sometimes frequent adjustment of medication doses. It is also very important to get regular foot and eye exams, and, if necessary, treatment for high blood pressure and cholesterol — all of which are proven methods to reduce complications of diabetes.

A formal program or a conscientious primary care doctor can help you manage diabetes appropriately.

Consumer Reports. December 2012
http://www.consumerreports.org/cro/2012/12/treating-type-2-diabetes/index.htm

Tuesday, April 21, 2015

Attention CSU-Northridge Math and Science majors: Paid Summer tutors positions available

The Summer Institutes are the cornerstone of Project GRAD Los Angeles’ college readiness curriculum. The Institutes offer a multidimensional approach to preparing students for college. The goals of the Institutes are to: bolster academics; explore career options; and develop critical thinking, goal-setting, and leadership development skills. By collaborating with local colleges and universities, Project GRAD provides a “college experience” for students so that they are introduced to college-level work, become familiar with a college campus, and can envision themselves enrolled in college.  If you are presently enrolled at CSU-Northridge majoring in math, engineering or applied science, $11-$12/hour tutoring positions are available for the summer session.

Application deadline is May 22.

Please note the applications can be submitted to:
Project GRAD Los Angeles
c/o Melinda Hess
10200 Sepulveda Blvd Suite #255
Mission Hills CA 91345

Or via fax 818 810-5034

Or the Michael D. Eisner College of Education, CSU Northridge, Special Projects office, Education Building, room 1202.


Sunday, April 12, 2015

The System – Two new histories show how the Nazi concentration camps work

Prisoners break up clay for the brickworks at Sachsenhausen-Oranienburg camp, in 1939.

A review by Adam Kirsch

One night in the autumn of 1944, two French women - Loulou Le Porz, a doctor, and Violette Lecoq, a nurse watched as a truck drove in through the main gates of Ravensbruck, the Nazi concentration camp for women. "There, was a lorry," Le Porz recalled, "that suddenly arrives and it turns around and reverses towards us. And it lifts up arid it tips out a whole pile of corpses." These were the bodies of Ravensbruck inmates who had died doing slave labor in the many satellite camps, and they were now being returned for cremation. Talking, decades later, to the historian and journalist Sarah Helm, whose new book, "Ravensbruck: Life and Death in Hitler'sConcentration Camp for Women" (Doubleday), recounts the stories of dozens of the camp's inmates,  

Le Porz says that her reaction was simple disbelief. The sight of a truck full of dead bodies was so outrageous, so out of scale with ordinary experience, that "if we recount that one day, we said to each other, nobody would believe us." The only way to make the scene credible would be to record it: ''If one day someone makes a film they must film this scene. This night. This moment." Le Porz's remark was prophetic. The true extent of Nazi barbarity became known to the world in part through the documentary films made by Allied forces after the liberation of other German camps. There have been many atrocities committed before and since, yet to this day, thanks to those images, the Nazi concentration camp stands as the ultimate symbol of evil. The very names of the camps-Dachau, Bergen-Belsen, Buchenwald, Auschwitz-have the sound of a malevolent incantation. They have ceased to be ordinary place names Buchenwald, after all, means simply "beech wood" - and become portals to a terrible other dimension.  

To write the history of such an institution, as Nikolaus Wachsmann sets out to do in another new book, "KL: A History of the NaziConcentration Camps" (Farrar, Straus & Giroux), might seem impossible, like writing the history of Hell. And, certainly, both his book and Helm's are full of the kind of details that ordinarily appear only in Dantesque visions. Helm devotes a chapter to Ravensbruck's Kinderzimmer, or "children's room," where inmates who came to the camp pregnant were forced to abandon their babies; the newborns were left to die of starvation or be eaten alive by rats. Wachsmann quotes a prisoner at Dachau who saw a transport of men afflicted by dysentery arrive at the camp: "We saw dozens ... with excrement running out of their trousers. Their hands, too, were full of excrement and they screamed and rubbed their dirty hands across their faces."   

These sights, like the truck full of bodies, are not beyond belief - we know that they were true-but they are, in some sense, beyond imagination. It is very hard, maybe impossible, to imagine being one of those men, still less one of those infants. And such sights raise the question of why, exactly, we read about the camps. If it is merely to revel in the grotesque, then learning about this evil is itself a species of evil, a further exploitation of the dead. If it is to exercise sympathy or pay a debt to memory, then it quickly becomes clear that the exercise is hopeless, the debt overwhelming: there is no way to feel as much, remember as much, imagine as much as the dead justly demand. What remains as a justification is the future: the determination never again to allow something like the Nazi camps to exist.  

And for that purpose it is necessary not to think of the camps simply as a hellscape. Reading Wachsmann's deeply researched, groundbreaking history of the entire camp system makes clear that Dachau and Buchenwald were the products of institutional and ideological forces that we can understand, perhaps all too well-indeed, it's possible to think of the camps as what happens when you cross three disciplinary institutions that all societies possess-the prison, the ·army, and the factory. Over the several phases of their existence, the Nazi camps took on the aspects of all of these, so that prisoners were treated simultaneously as inmates to be corrected, enemies to be combated, and workers to be exploited. When these forms of dehumanization were combined, and amplified to the maximum by ideology and war, the result was the Konzentrationlager, or K.L.  

Though we tend to think of Hitler's Germany as a highly regimented dictatorship, in practice Nazi rule was chaotic and improvisatory. Rival power bases in the Party and the German state competed to carry out what they believed to be Hitler's wishes. This system of "working towards the Fuhrer," as it was called by Hitler's biographer Ian Kershaw, was clearly in evidence when it came to the concentration camps. The K.L. system, during its twelve years of existence, included twenty-seven main camps and more than a thousand subcamps. At its peak, in early 1945, it housed more than seven hundred thousand inmates. In addition to being a major penal and economic institution, it was a central symbol of Hitler's rule. Yet Hitler plays almost no role in Wachsmann's book, and Wachsmann writes that Hitler was never seen to visit a camp. It was Heinrich Himmler, the head of the S.S., who was in charge of the camp system, and its growth was due in part to his ambition to make the S.S. the most powerful force in Germany.  

Long before the Nazis took power, concentration camps had featured in their imagination. Wachsmann finds Hitler threatening to put Jews in camps as early as 1921. But there were no detailed plans for building such camps when Hitler was named Chancellor of Germany, in January, 1933. A few weeks later, on February 27th, he seized on the burning of the Reichstag-by Communists, he alleged - to launch a full-scale crackdown on his political opponents. The next day, he implemented a decree, "For the Protection of People and State," that authorized the government to place just about anyone in "protective custody," a euphemism for indefinite detention. (Euphemism, too, was to be a durable feature of the K.L. universe: the: killing of prisoners was referred to as Sonderbehandung, "special treatment.")  

During the next two months, some fifty thousand people were arrested on this basis, in what turned into a "frenzy" of political purges and score-settling. In the legal murk of the early Nazi regime, it was unclear who had the power to make such arrests, and so it was claimed by everyone: national, state, and local officials, police and civilians, Party leaders. "Everybody is arresting everybody," a Nazi official complained in the summer of 1933. "Everybody threatens everybody with Dachau." As this suggests, it was already clear that the most notorious and frightening destination for political detainees was the concentration camp built by Himmler at Dachau, in Bavaria. The prisoners were originally housed in an old munitions factory, but soon Himmler constructed a "model camp," the architecture and organization of which provided the pattern for most of the later K.L. The camp was guarded not by police but by members of the S.S. - a Nazi Party entity rather than a state force.  

These guards were the core of what became, a few years later, the much feared Death's-Head S.S. The name, along with the skull-and-crossbones insignia was meant to reinforce the idea that the men who bore it were not mere prison guards but front-line soldiers in the Nazi war against enemies of the people. Himmler declared, "No other service is more devastating and strenuous for the troops than just that of guarding villains and criminals." The ideology of combat had been part of the DNA of Nazism from its origin, as a movement of First World War veterans, through the years of street battles against Communists, which established the Party's reputation for violence. Now, in the year before actual war came, the K.L. was imagined as the site of virtual combat-against Communists, criminals, dissidents, homosexuals, Jehovah's Witnesses, and Jews, all forces working to undermine the German nation.  

The metaphor of war encouraged the inhumanity of the S.S. officers, which they called toughness; licensed physical violence against prisoners; and accounted for the military discipline that made everyday life in the K.L. unbearable. Particularly hated was the roll call, or Appell, which forced inmates to wake before dawn and stand outside, in all weather, to be counted and recounted. The process could go on for hours, Wachsmann writes, during which the S.S. guard were constantly on the move, punishing "infractions such as poor posture and dirty shoes."  

The K.L. was defined from the beginning by its legal ambiguity. The camps were outside ordinary law, answerable not to judges and courts but to the S.S. and Himmler. At the same time, they were governed by an extensive set of regulations, which covered everything from their layout (including decorative flower beds) to the whipping of prisoners, which in theory had to be approved on a case-by-case basis by Himmler personally. Yet these regulations were often ignored by the camp S.S. - physical violence, for instance, was endemic, and the idea that a guard would have to ask permission before beating or even killing a prisoner was laughable. Strangely, however, it was possible, in the prewar years, at least, for a guard to be prosecuted for such a killing. In 1937, Paul Zeidler was among a group of guards who strangled a prisoner who had been a prominent churchman and judge; when the case attracted publicity, the S.S. allowed Zeidler to be charged and convicted. (He was sentenced to a year in jail.) 

In "Ravensbruck," Helm gives a further example of the erratic way the Nazis treated their own regulations, even late in the war. In 1943, Himmler agreed to allow the Red Cross to deliver food parcels-to some prisoners in the camps. To send a parcel, however, the Red Cross had to mark it with the name, number, and camp location of the recipient; requests for these details were always refused, so that there was no way to get desperately needed supplies into the camps. Yet when Wanda Hjort, a young Norwegian woman living in Germany, got hold of some prisoners' names and numbers - thanks to inmates who smuggled the information to her when she visited the camp at Sachsenhausenshe was able to pass them on to the Norwegian Red Cross, whose packages were duly delivered. This game of hide-and-seek with the rules, this combination of hyper-regimentation and anarchy, is what makes Kafka's "The Trial" seem to foretell the Nazi regime.  

Even the distinction between guard and prisoner could become blurred. From early on, the S.S. delegated much of the, day-to-day control of camp life to chosen prisoners known as Kapos. This system spared the S.S. the need to interact too closely with prisoners, whom they regarded as bearers of filth and disease, and also helped to divide the inmate population against itself. Helm shows that, in Ravensbruck, where the term "Blockova" was used, rather than Kapo, power struggles took place among prisoner factions over who would occupy the Blockova position in each barrack. Political prisoners favored fellow-activists over criminals and "a socials" - a category that included the homeless, the mentally ill, and prostitutes - whom they regarded as practically subhuman. In some cases, Kapos became almost as privileged, as violent, and as hated as the S.S. officers. In Ravensbruck, the most feared Blockova was the Swiss ex-spy Carmen Mory, who was known as the Black Angel. She was in charge of the infirmary, where, Hehn writes, she "would lash out at the sick with the whip or her fists." After the war, she was one of the defendants tried for crimes at Ravensbriick, along with S.S. leaders and doctors. Mory was sentenced to death but managed to commit suicide first. 

At the bottom of the K.L. hierarchy, even below the criminals, were the Jews. Today, the words "concentration camp" immediately summon up the idea of the Holocaust, the genocide of European Jews by the Nazis; and we tend to think of the camps as the primary sites of that genocide. In fact, as Wachsmann writes, as late as 1942 "Jews made up fewer than five thousand of the eighty thousand KL inmates." There had been a temporary spike in the Jewish inmate population in November, 1938, after Kristallnacht, when the Nazis rounded up tens of thousands of Jewish men. But, for most of the camps' first decade, Jewish prisoners had usually been sent there not for their religion, per se, but for specific offenses, such as political dissent or illicit sexual relations with an Aryan. Once there, however, they found themselves subject to special torments, ranging from running a gantlet of truncheons to heavy labor, like rock-breaking. As the chief enemies in the Nazi imagination, Jews were also the natural targets for spontaneous S.S. violence blows, kicks, attacks by savage dogs. 

The systematic extermination of Jews, however, took place largely outside the concentration camps: The death camps, in which more than one and a half million Jews were gassed - at Belzec, Sobibar, and Treblinka were never officially part of the K.L. system. They had almost no inmates, since the Jews sent there seldom lived longer than a few hours. By contrast, Auschwitz, - whose name has become practically a synonym for the Holocaust, was an official K.L., setup in June, 1940, to house Polish prisoners. The first people to be gassed there, in September, 1941, were invalids and Soviet prisoners of war. It became the central site for, the deportation and murder of European Jews in 1943, after other camps closed. The vast majority of Jews brought to Auschwitz never experienced the camp as prisoners; more than eight hundred thousand of them were gassed upon arrival, in the vast extension of the original camp known as Birkenau. Only those picked as capable of slave labor lived long enough to see Auschwitz from the inside. 

Many of the horrors associated with Auschwitz - gas chambers, medical experiments, working prisoners to death had been pioneered in earlier concentration camps. In the late thirties, driven largely by Himmler's ambition to make the S.S. an independent economic and military power within the state, the KL. began a transformation from a site of punishment to a site of production. The two missions were connected: the "work shy" and other unproductive elements were seen as "useless mouths, "and forced labor was a way of making them contribute to the community. Oswald Pohl, the S.S. bureaucrat in charge of economic affairs, had gained control of the camps by 1938, and began a series of grandiose building projects. The most ambitious was the construction of a brick factory near Sachsenhausen, which was intended to produce a hundred and fifty million bricks a year, using cutting- edge equipment and camp labor.  

The failure of the factory, as Wachsmann describes" it, was indicative of the incompetence of the S.S. and the inconsistency of its vision for the camps. To turn prisoners into effective laborers would have required giving them adequate food and rest, not to mention training and equipment. It would have meant treating them like employees rather than like enemies. But the ideological momentum of the camps made this inconceivable. Labor was seen as a punishment and a weapon, which meant that it had to be extorted under the worst possible circumstances. Prisoners were made to build the factory in the depths of winter, with no coats or gloves, and no tools. "Inmates carried piles of sand in their uniforms," Wachsmann writes, while others "moved large mounds of earth on rickety wooden stretchers or shifted sacks of cement on their shoulders." Four hundred and twenty-nine prisoners died and countless more were injured, yet in the end not a single brick was produced.  

This debacle did not discourage Himmler and Pohl. On the contrary; with the coming of war, in 1939, S.S. ambitions for the camps grew rapidly, along with their prisoner population. On the eve of the war, the entire K.L. sys tern contained only about twenty-one thousand prisoners; three years later, the number had grown to a hundred and ten thousand, and by January, 1945, it was more than seven hundred thousand. New camps were built to accommodate the influx of prisoners from conquered countries and then the tens of thousands of Red Army soldiers taken prisoner in the first months after Operation Barbarossa, the German invasion of the U.S.S.R.  

The enormous expansion of the camps resulted in an exponential increase in the misery of the prisoners. Food rations, always meager, were cut to less than minimal: a bowl of rutabaga soup and some ersatz bread would have to sustain a prisoner doing heavy labor. The result was desperate black marketing and theft. Wachsmann writes, "In Sachsenhausen, a young French prisoner was battered to death in 1941 by an S.S. block leader for taking two carrots from a sheep pen." Starvation was endemic and rendered prisoners easy prey for typhus and dysentery. At the same time, the need to keep control of so many prisoners made the S.S., even more brutal, and sadistic new punishments were invented. The "standing commando" forced prisoners to stand absolutely still for eight hours at a time; any movement or noise was punished by beatings. The murder of prisoners by guards, formerly an "exceptional event in the camps, now became unremarkable. 

But individual deaths, by sickness or violence, were not enough to keep the number of prisoners within manageable limits. Accordingly, in early 1941 Himmler decided to begin the mass murder of prisoners in gas chambers, building on a program that the Nazis had developed earlier for euthanizing the disabled. Here, again, the camps' sinister combination of bureaucratic rationalism and anarchic violence - was on display. During the following months, teams of S.S. doctors visited the major camps in turn, inspecting prisoners in order to select the "infirm" for gassing. Everything was done with an appearance of medical rigor. The doctors filled out a form for each inmate, with headings for "Diagnosis" and "Incurable Physical Ailments." But it was all mere theatre. Helm's description of the visit of Dr. Friedrich Mennecke to Ravensbriick, in November, 1941, shows that inspections of prisoners - whom he referred to in letters home - as "forms" or "portions" - were cursory at best, with the victims parading naked in front of the doctors at a distance of twenty feet. (Jewish prisoners were automatically "selected," without an examination.) In one letter, Mennecke brags of having disposed of fifty-six "forms" before noon. Those selected were taken to an undisclosed location for gassing; their fate became clear to the remaining Ravensbriick prisoners when the dead women's clothes and personal effects arrived back at the camp by truck.  

Under this extermination program, known to S.S. bureaucrats by the code' Action 14f13, some sixty-five hundred prisoners were killed in the course of a year. By early 1942, it had become obsolete, as the scale of death in the camps increased. Now the killing of weak and sick prisoners was carried out by guards or camp doctors, sometimes in gas chambers built on site. Those who were still able to work were increasingly auctioned off to private industry for use as slave labor, in the many subcamps that began to spring up around the main K.L. At Ravensbruck, the Siemens corporation established a factory where six hundred women. worked twelve-hour shifts building electrical components. The work was brutally demanding, especially for' women who were sick, starved, and exhausted. Helm writes that "Siemens women suffered severely from boils, swollen legs, diarrhea and TB, "and also from an epidemic of nervous twitching. When a worker reached the end of her usefulness, she was sent back to the camp, most likely to be killed. It was in this phase of the camp's life that sights like the one Loulou Le Porz saw at Ravensbruck - a truck full of prisoners' corpses - became commonplace.  

By the end of the war, the number of people who had died in the concentration camps, from all causes -starvation, sickness, exhaustion, beating, shooting, gassing - was more than eight hundred thousand. The figure does not include the hundreds of thousands of Jews gassed on arrival at Auschwitz. If the K.L. were indeed a battlefront, as the Death's-Head S.S. liked to believe, the deaths, in the course of twelve years, roughly equaled the casualties sustained by the Axis during the Battle of Stalingrad, among the deadliest actual engagements of the war. But in the camps the Nazis fought against helpless enemies. Considered as prisons, too, the K.L. were paradoxical: it was impossible to correct or rehabilitate people whose very nature, according to Nazi propaganda, was criminal or sick. And as economic institutions they were utterly counterproductive, wasting huge numbers of lives even as the need for workers in Germany became more and more acute.  

The concentration camps make· sense only if they are understood as products not of reason but of ideology, which is to say, of fantasy. Nazism taught the Germans to see themselves as a beleaguered nation, constantly set upon by enemies external and internal. Metaphors of infection and disease, of betrayal and stabs in the back, were central to Nazi discourse. The concentration camp became the place where those metaphorical evils could be rendered concrete and visible. Here, behind barbed wire, were the traitors, Bolsheviks, parasites, .and Jews who were intent on destroying the Fatherland. 

And if existence was a struggle, a war, then it made no sense to show mercy to the enemy. Like many Nazi institutions, the K.L. embodied conflicting impulses: to reform the criminal, to extort labor from the unproductive, to quarantine the contagious. But most fundamental was the impulse to dehumanize the enemy, which ended up confounding and overriding all the others. Once a prisoner ceased to be human, he could be brutalized, enslaved, experimented on, or gassed at will, because he was no longer a being with a soul or a self but a biological machine. The Muselmanner, the living dead of the camps, stripped of any capacity to think or feel, were the true product of the K.L., the ultimate expression of the Nazi world view.

The impulse to separate some groups of people from the category of the human is, however, a universal one. The enemies we kill in war, the convicted prisoners we lock up for life, even the distant workers who manufacture our clothes and toys - how could any society function if the full humanity of all these were taken into account? In a decent society, there are laws to resist such dehumanization, and institutional and moral forces to protest it. When guards at Rikers Island beat a prisoner to death, or when workers in China making iPhones begin to commit suicide out of despair, we regard these as intolerable evils that must be cured. It is when a society decides that some people deserve to be treated this way that it is not just inevitable but right to deprive whole categories of people of their humanity - that a crime on the scale of the K.L. becomes a possibility. It is a crime that has been repeated too many times, in too many places, for us to dismiss it with the simple promise of never again.


By Adam Kirsch. The New Yorker, 6 April 2015.