TIME diabetes

Why Inflammation Matters for Diabetics

Anti-inflammatory medications might someday be used to lower the risk of certain kinds of disease among diabetics, found a new study presented at the American Heart Association’s High Blood Pressure Research Scientific Sessions 2014.

In the laboratory, the researchers studied cultured cells from a human aorta, the blood vessel that comes out of the heart and goes to the rest of the body. They put the cells in a high-glucose environment—similar to a what happens inside a diabetic body—and found that without inflammation present, sugar didn’t enter the cells. And even when glucose was forced into the cells, the cells weren’t damaged.

But inflammation changes everything. When researchers added an inflammatory protein called interleukin-1—a common marker for inflammation in the body, whether you are diabetic or not—the cell did metabolize the glucose, which kicked off a cycle of inflammation. Those effects were blocked once the researchers gave the cells a certain type of anti-inflammatory drug.

“What [the study authors] said was, you need the inflammation in order for the glucose to do the damage to the cells,” explained Mary Ann Bauman, MD, a primary care internist at INTEGRIS Health in Oklahoma City and a spokesperson for the American Heart Association. (Dr. Bauman was not an author on the study.) “That could be one of the reasons why in a diabetic, if we can get them to exercise and lose weight, they will have less damage to their blood vessels.”

In diabetes care, doctors and patients often focus on reducing blood sugar levels, and though this preliminary research occurred only in cells, it shows how inflammation might play a role, Dr. Bauman said.

That means that controlling blood sugar isn’t always enough to avoid the cardiovascular disease that sometimes stems from diabetes, and anti-inflammatory drugs may one day be able to help, said study author Carlos Sánchez-Ferrer, professor of pharmacology at the Universidad Autónoma de Madrid in Spain, in a press release. Lifestyle changes can help, too. “We need to reduce the inflammatory environment associated with diabetes,” Sánchez-Ferrer said. “Changes in lifestyle, such as physical exercise and weight reduction, are important not only because they reduce blood sugar but because they reduce inflammation.”

TIME Infectious Disease

Ebola Survivor Gives Blood to Treat New Victim

Emory Hospital Releases American Aid Workers Treated For Ebola
Dr. Kent Brantly an Ebola patient at Emory Hospital during a press conference announcing his release from the hospital on August 21, 2014 in Atlanta,. Jessica McGowan—Getty Images

Ebola survivor Dr. Kent Brantly donated a unit of blood to treat the third American aid worker infected with the virus as doctors fight to save the patient’s life, Samaritan’s Purse tells NBC News.

Brantly flew to Nebraska last week to donate his blood to use to treat Dr. Rick Sacra, Samaritan’s Purse President and CEO Franklin Graham said. “He flew out from North Carolina to Nebraska to give a unit of blood,” Graham said in an interview with NBC News. “His blood was a perfect match.”

Sacra, a volunteer who was working in Liberia for another group, SIM, is being treated at the Nebraska Medical Center in Omaha…

Read the rest of the story from our partners at NBC News

TIME Mental Health/Psychology

Less Than 5 Hours of Sleep Leads to False Memories

Skimping on sleep wears down your body in so many ways: it worsens cognitive function, slows reaction time, and makes learning more difficult. (The list goes on and on: after reading our new feature about the power of sleep, you might just scare yourself sleepy.)

That’s quite enough consequences without piling on the results of a recent study in Psychological Science, which found that sleep deprivation is linked to false memories. Among the 193 people tested, those who got 5 or fewer hours of sleep for just one night were significantly more likely to say they’d seen a news video when they actually hadn’t.

There’s more than just fantastical daydreaming at stake. False memories in the form of eyewitness misidentifications are thought to be the number-one cause of wrongful convictions in the U.S., the study authors write, so sleep deprivation could have consequences beyond the scope of your own health.

The study also discovered that students were more prone to researchers’ false suggestions when they hadn’t slept more than five hours. They wove those suggestions into their responses 38% of the time, while the group that got plenty of sleep did so 28% of the time. That’s probably because sleep deprivation leads to problems encoding new information, the authors write.

“Our results also suggest that total sleep deprivation may not be necessary to increase false memory,” they write in the study. Losing just a few hours could be enough to lead you to dream up facts during waking life.

TIME Infectious Disease

WHO to Start New Global Health Initiative For Needle Safety

Inventor Marc Koska demonstrates his K-1 syringe--an injection that is impossible to reuse. TEDMED

At the TEDMED conference in Washington, DC, Dr. Marie-Paule Kieny, assistant director general of the World Health Organization (WHO), revealed that the organization will announce its third-ever global health initiative and policy in October. The initiative this time is around needle safety.

The announcement came during a TEDMED presentation by British inventor Marc Koska, who spent his early 20s creating the K-1 syringe: the first syringe to automatically disable once it’s used, making it impossible to use again. A small ring inside of the barrel of the syringe allows the plunger to move in one direction and not the other, so after an injection, the plunger is locked in place and will break if forced.

The hope is that the WHO mandate, which will encourage the use of non-reusable syringes, will become a worldwide health safety standard.

In Koska’s TEDMED presentation, viewers watched a hidden camera video of a nurse administering an injection to a child, then using the same needle on a man with HIV, then using the same needle one more time on a baby. There are 1.3 million deaths every year due to dirty needles and millions of dollars lost to treating unnecessary illness caused by infections from shared needles. Unsafe injections cause 23 million cases of hepatitis worldwide; in Africa, an estimated 20 million medical injections contaminated with blood from an HIV-positive patient are administered every year.

Koska said that once WHO officially launches its initiative, his next step is to ensure that manufacturers convert to the safer needles. The cost is no more than standard needle production, but “the policy is a monumental step,” he said.

TIME sleep

The Power of Sleep

sleep illustration
Photo-Illustration by Timothy Goodman for TIME

New research shows a good night's rest isn't a luxury--it's critical for your brain and for your health

When our heads hit the pillow every night, we tend to think we’re surrendering. Not just to exhaustion, though there is that. We’re also surrendering our mind, taking leave of our focus on sensory cues, like noise and smell and blinking lights. It’s as if we’re powering ourselves down like we do the electronics at our bedside–going idle for a while, only to spring back into action when the alarm blasts hours later.

That’s what we think is happening. But as scientists are now revealing, that couldn’t be further from the truth.

In fact, when the lights go out, our brains start working–but in an altogether different way than when we’re awake. At night, a legion of neurons springs into action, and like any well-trained platoon, the cells work in perfect synchrony, pulsing with electrical signals that wash over the brain with a soothing, hypnotic flow. Meanwhile, data processors sort through the reams of information that flooded the brain all day at a pace too overwhelming to handle in real time. The brain also runs checks on itself to ensure that the exquisite balance of hormones, enzymes and proteins isn’t too far off-kilter. And all the while, cleaners follow in close pursuit to sweep out the toxic detritus that the brain doesn’t need and which can cause all kinds of problems if it builds up.

This, scientists are just now learning, is the brain on sleep. It’s nature’s panacea, more powerful than any drug in its ability to restore and rejuvenate the human brain and body. Getting the recommended seven to eight hours each night can improve concentration, sharpen planning and memory skills and maintain the fat-burning systems that regulate our weight. If every one of us slept as much as we’re supposed to, we’d all be lighter, less prone to developing Type 2 diabetes and most likely better equipped to battle depression and anxiety. We might even lower our risk of Alzheimer’s disease, osteoporosis and cancer.

The trouble is, sleep works only if we get enough of it. While plenty of pills can knock us out, none so far can replicate all of sleep’s benefits, despite decades’ worth of attempts in high-tech pharmaceutical labs.

Which is why, after long treating rest as a good-if-you-can-get-it obligation, scientists are making the case that it matters much more than we think. They’re not alone in sounding the alarm. With up to 70 million of us not getting a good night’s sleep on a regular basis, the Centers for Disease Control and Prevention considers insufficient sleep a public-health epidemic. In fact, experts argue, sleep is emerging as so potent a factor in better health that we need a societal shift–and policies to support it–to make sleep a nonnegotiable priority.

THE CONSEQUENCES OF SKIMPING

Despite how great we feel after a night’s rest–and putting aside what we now know about sleep’s importance–we stubbornly refuse to swallow our medicine, pushing off bedtime and thinking that feeling a little drowsy during the day is an annoying but harmless consequence. It’s not. Nearly 40% of adults have nodded off unintentionally during the day in the past month, and 5% have done so while driving. Insomnia or interrupted sleep nearly doubles the chances that workers will call in sick. And half of Americans say their uneven sleep makes it harder to concentrate on tasks.

Those poor sleep habits are trickling down to the next generation: 45% of teens don’t sleep the recommended nine hours on school nights, leading 25% of them to report falling asleep in class at least once a week, according to a National Sleep Foundation survey. It’s a serious enough problem that the American Academy of Pediatrics recently endorsed the idea of starting middle and high schools later to allow for more adolescent shut-eye.

Health experts have been concerned about our sleep-deprived ways for some time, but the new insights about the role sleep plays in our overall health have brought an urgency to the message. Sleep, the experts are recognizing, is the only time the brain has to catch its breath. If it doesn’t, it may drown in its own biological debris–everything from toxic free radicals produced by hard-working fuel cells to spent molecules that have outlived their usefulness.

“We all want to push the system, to get the most out of our lives, and sleep gets in the way,” says Dr. Sigrid Veasey, a leading sleep researcher and a professor of medicine at Perelman School of Medicine at the University of Pennsylvania. “But we need to know how far we can really push that system and get away with it.”

Veasey is learning that brain cells that don’t get their needed break every night are like overworked employees on consecutive double shifts–eventually, they collapse. Working with mice, she found that neurons that fire constantly to keep the brain alert spew out toxic free radicals as a by-product of making energy. During sleep, they produce antioxidants that mop up these potential poisons. But even after short periods of sleep loss, “the cells are working hard but cannot make enough antioxidants, so they progressively build up free radicals and some of the neurons die off.” Once those brain cells are gone, they’re gone for good.

After several weeks of restricted sleep, says Veasey, the mice she studied–whose brains are considered a good proxy for human brains in lab research–“are more likely to be sleepy when they are supposed to be active and have more difficulty consolidating [the benefits of] sleep during their sleep period.”

It’s the same thing that happens in aging brains, she says, as nerve cells get less efficient at clearing away their garbage. “The real question is: What are we doing to our brains if we don’t get enough sleep? If we chronically sleep-deprive ourselves, are we really aging our brains?” she asks. Ultimately, the research suggests, it’s possible that a sleep-deprived brain belonging to a teen or a 20-year-old will start to look like that of a much older person.

“Chronic sleep restriction is a stress on the body,” says Dr. Peter Liu, professor of medicine at Harbor-UCLA Medical Center and L.A. Biomedical Research Institute. And the cause of that sleep deprivation doesn’t always originate in family strife, financial concerns or job-related problems. The way we live now–checking our phones every minute, hyperscheduling our days or our kids’ days, not taking time to relax without a screen in front of our faces–contributes to a regular flow of stress hormones like cortisol, and all that artificial light and screen time is disrupting our internal clocks. Simply put, our bodies don’t know when to go to sleep naturally anymore.

This is why researchers hope their new discoveries will change once and for all the way we think about–and prioritize–those 40 winks.

GARBAGEMEN FOR YOUR BRAIN

“I was nervous when I went to my first sleep conference,” says Dr. Maiken Nedergaard, the chatty and inquisitive co-director of the Center for Translational Neuromedicine at the University of Rochester. “I was not trained in sleep, and I came to it from the outside.” In fact, as a busy mother and career woman, she saw sleep the way most of us probably do: as a bother. “Every single night, I wanted to accomplish more and enjoy time with my family, and I was annoyed to have to go to bed.”

Because she’s a neuroscientist, however, Nedergaard was inclined to ask a seemingly basic question: Why do our brains need sleep at all? There are two competing evolutionary theories. One is that sleeping organisms are immobile and therefore less likely to be easy targets, so perhaps sleep provided some protection from prey. The time slumbering, however, took away from time spent finding food and reproducing. Another points out that sleeping organisms are oblivious to creeping predators, making them ripe for attack. Since both theories seem to put us at a disadvantage, Nedergaard thought there had to be some other reason the brain needs those hours offline.

All organs in the body use energy, and in the process, they spew out waste. Most take care of their garbage with an efficient local system, recruiting immune cells like macrophages to gobble up the garbage and break it down or linking up to the network of vessels that make up the lymph system, the body’s drainage pipes.

The brain is a tremendous consumer of energy, but it’s not blanketed in lymph vessels. So how does it get rid of its trash? “If the brain is not functioning optimally, you’re dead evolutionarily, so there must be an advantage to exporting the garbage to a less critical organ like the liver to take care of it,” says Nedergaard.

Indeed, that’s what her research shows. She found that an army of previously ignored cells in the brain, called glial cells, turn into a massive pump when the body sleeps. During the day, glial cells are the unsung personal assistants of the brain. They cannot conduct electrical impulses like other neurons, but they support them as they send signals zipping along nerve networks to register a smell here and an emotion there. For decades, they were dismissed by neuroscientists because they weren’t the actual drivers of neural connections.

But Nedergaard found in clinical trials on mice that glial cells change as soon as organisms fall asleep. The difference between the waking and sleeping brain is dramatic. When the brain is awake, it resembles a busy airport, swelling with the cumulative activity of individual messages traveling from one neuron to another. The activity inflates the size of brain cells until they take up 86% of the brain’s volume.

When daylight wanes and we eventually fall asleep, however, those glial cells kick into action, slowing the brain’s electrical activity to about a third of its peak frequency. During those first stages of sleep, called non-REM (rapid eye movement), the firing becomes more synchronized rather than haphazard. The repetitive cycle lulls the nerves into a state of quiet, so in the next stage, known as REM, the firing becomes almost nonexistent. The brain continues to toggle back and forth between non-REM and REM sleep throughout the night, once every hour and a half.

At the same time, the sleeping brain’s cells shrink, making more room for the brain and spinal cord’s fluid to slosh back and forth between them. “It’s like a dishwasher that keeps flushing through to wash the dirt away,” says Nedergaard. This cleansing also occurs in the brain when we are awake, but it’s reduced by about 15%, since the glial cells have less fluid space to work with when the neurons expand.

This means that when we don’t get enough sleep, the glial cells aren’t as efficient at clearing the brain’s garbage. That may push certain degenerative brain disorders that are typical of later life to appear much earlier.

Both Nedergaard’s and Veasey’s work also hint at why older brains are more prone to developing Alzheimer’s, which is caused by a buildup of amyloid protein that isn’t cleared quickly enough.

“There is much less flow to clear away things in the aging brain,” says Nedergaard. “The garbage system picks up every three weeks instead of every week.” And like any growing pile of trash, the molecular garbage starts to affect nearby healthy cells, interfering with their ability to form and recall memories or plan even the simplest tasks.

The consequences of deprived sleep, says Dr. Mary Carskadon, professor of psychiatry and human behavior at Brown University, are “scary, really scary.”

RIGHTSIZING YOUR SLEEP

All this isn’t actually so alarming, since there’s a simple fix that can stop this nerve die-off and slow the brain’s accelerated ride toward aging. What’s needed, says Carskadon, is a rebranding of sleep that strips away any hint of its being on the sidelines of our health.

As it is, sleep is so undervalued that getting by on fewer hours has become a badge of honor. Plus, we live in a culture that caters to the late-nighter, from 24-hour grocery stores to online shopping sites that never close. It’s no surprise, then, that more than half of American adults don’t get the recommended seven to nine hours of shut-eye every night.

Whether or not we can catch up on sleep–on the weekend, say–is a hotly debated topic among sleep researchers; the latest evidence suggests that while it isn’t ideal, it might help. When Liu, the UCLA sleep researcher and professor of medicine, brought chronically sleep-restricted people into the lab for a weekend of sleep during which they logged about 10 hours per night, they showed improvements in the ability of insulin to process blood sugar. That suggests that catch-up sleep may undo some but not all of the damage that sleep deprivation causes, which is encouraging given how many adults don’t get the hours they need each night. Still, Liu isn’t ready to endorse the habit of sleeping less and making up for it later. “It’s like telling people you only need to eat healthy during the weekends, but during the week you can eat whatever you like,” he says. “It’s not the right health message.”

Sleeping pills, while helpful for some, are not necessarily a silver bullet either. “A sleeping pill will target one area of the brain, but there’s never going to be a perfect sleeping pill, because you couldn’t really replicate the different chemicals moving in and out of different parts of the brain to go through the different stages of sleep,” says Dr. Nancy Collop, director of the Emory University Sleep Center. Still, for the 4% of Americans who rely on prescription sleep aids, the slumber they get with the help of a pill is better than not sleeping at all or getting interrupted sleep. At this point, it’s not clear whether the brain completes the same crucial housekeeping duties during medicated sleep as it does during natural sleep, and the long-term effects on the brain of relying on sleeping pills aren’t known either.

Making things trickier is the fact that we are unaware of the toll sleep deprivation takes on us. Studies consistently show that people who sleep less than eight hours a night don’t perform as well on concentration and memory tests but report feeling no deficits in their thinking skills. That just perpetuates the tendency to dismiss sleep and its critical role in everything from our mental faculties to our metabolic health.

The ideal is to reset the body’s natural sleep-wake cycle, a matter of training our bodies to sleep similar amounts every night and wake up at roughly the same time each day. An even better way to rediscover our natural cycle is to get as much exposure to natural light as possible during the day, while limiting how much indoor lighting, including from computer and television screens, we see at night. And of course, the best way to accomplish that is by making those seven to nine hours of sleep a must–not a luxury.

“I am now looking at and thinking of sleep as an ‘environmental exposure,'” says Brown University’s Carskadon–which means we should look at sleep similarly to how we view air-pollution exposure, secondhand smoke or toxins in our drinking water. If she and other researchers have their way, checking up on sleep would be a routine part of any physical exam, and doctors would ask about our sleep habits in the same way they query us about diet, stress, exercise, our sex life, our eyesight–you name it. And if we aren’t sleeping enough, they might prescribe a change, just as they would for any other bad health habit.

Some physicians are already taking the initiative, but no prescription works unless we actually take it. If our work schedule cuts into our sleep time, we need to make the sleep we get count by avoiding naps and exercising when we can during the day; feeling tired will get us to fall asleep sooner. If we need help dozing off, gentle exercises or yoga-type stretching can also help. Creating a sleep ritual can make sleep something we look forward to rather than something we feel obligated to do, so we’re more likely to get our allotted time instead of skipping it. A favorite book, a warm bath or other ways to get drowsy might prompt us to actually look forward to unwinding at the end of the day.

Given what scientists are learning about how much the body–and especially the brain–needs a solid and consistent amount of sleep, in-the-know doctors aren’t waiting for more studies to prove what we as a species know intuitively: that cheating ourselves of sleep is depriving us from taking advantage of one of nature’s most powerful drugs.

“We now know that there is a lasting price to pay for sleep loss,” says Veasey. “We used to think that if you don’t sleep enough, you can sleep more and you’ll be fine tomorrow. We now know if you push the system enough, that’s simply not true.”

–WITH REPORTING BY MANDY OAKLANDER AND ALEXANDRA SIFFERLIN/NEW YORK CITY

TIME Infectious Disease

Gates Foundation Pledges $50 Million for Ebola Battle

LIBERIA-HEALTH-EBOLA-WAFRICA
Health workers before entering a high-risk area on Sept. 7, 2014, at Elwa Hospital in Monrovia, Liberia, which is run by Doctors Without Borders Dominique Faget—AFP/Getty Images

The foundation said it would give funds to U.N. agencies combatting the disease

The fight against Ebola received a desperately needed monetary boost Wednesday, with the Bill & Melinda Gates Foundation announcing a $50 million donation.

In a statement, the foundation said it would release flexible funds to U.N. agencies combatting the disease, which has already killed over 2,000 people in its worst ever outbreak.

“We are working urgently with our partners to identify the most effective ways to help them save lives now and stop transmission of this deadly disease,” said Gates Foundation CEO Sue Desmond-Hellmann.

The foundation said it has already committed $10 million out of the total $50 million to fighting Ebola — $5 million to the World Health Organization (WHO) for emergency operations and research, and another $5 million to the U.S. Fund for UNICEF to support efforts in the worst-hit countries of Liberia, Sierra Leone and Guinea. In addition, it will also pledge $2 million to the U.S. Centers for Disease Control and Prevention.

There have been promising developments in the search for a cure, with a new vaccine reportedly producing positive results. However, the rapidly accelerating spread of Ebola has caused the WHO to project that over 20,000 people will be infected by October.

TIME Internet

Behold the Power of #Hashtag Feminism

Janay Rice Ray Rice NFL
Janay Rice listens as her husband, Baltimore Ravens running back Ray Rice, speaks during a news conference at the team's practice facility in Owings Mills, Md on May 23, 2014. Patrick Semansky—AP

Women are using social media to have a voice in a way that organizations like the NFL do not afford them.

At the time, the ad campaign — modeled on efforts to curb drunk driving — was considered shocking. It was 1994, the year that OJ Simpson would be arrested for murder, his history of domestic abuse exposed. Yet even so, domestic violence was not a crime that anybody seemed willing to talk about back then. It was, as then Health and Human Services Secretary Donna Shalala put it, “our dirty little secret” — something that happened, and stayed, behind closed doors.

But Esta Soler, the president of a group called Futures Without Violence, was determined to get people talking. Under the banner, “There’s No Excuse for Domestic Violence,” she distributed a series of advertisements to 22,000 media outlets — including ones published in TIME and People. In one, the blurred image of a woman is pictured cowering under a man. “If we remain silent,” Soler told the Washington Post at the time, “our silence will breed even more fear.”

Twenty years later, domestic abuse is again making headlines (and again with a star football player). But this time women are talking about it en masse.

When TMZ released a damning video of Baltimore Ravens running back Ray Rice beating his girlfriend (now wife) unconscious on Monday, the response was swift: commenters called the NFL response an “epic breach of trust.” Rice was cut from the team. Cable news commenters began to question, in light of the revelation, why Rice’s wife would have stayed with him in the first place.

Beverly Gooden, a Cleveland HR manager, had had enough. Under the hashtag #WhyIStayed, she tweeted a staccato response:

“I stayed because my pastor told me that God hates divorce,” she wrote of her own abusive relationship.

I stayed because I was halfway across the country, isolated from my friends and family.”

“I stayed because I thought love was enough to conquer all.”

It was the antidote to the simplistic view of many of the “experts” who’d weighed in, and it went viral in an instant. “You can feel voiceless,” Gooden told PolicyMic, as the hashtag collected thousands of women’s (and men’s) stories. “I want people to know that they have a voice.”

She was talking about domestic violence, and yet it could have been a metaphor for the way that women like her are using social media daily to make their voices heard. From #StandWithWendy to #HobbyLobby to #YesAllWomen, they are bypassing the gatekeepers, simply by sheer mass — forcing attention on the issues they deem important. “This conversation would have been impossible even 10 years ago,” says Soler, reflecting on more than 30 years as an advocate. “Social media has created space for people of all kinds to express themselves, and to see their voices amplified.”

The women’s social media revolution began some time ago — but reached its tipping point this year. In May, #YesAllWomen practically broke the Internet — a response to the misogynist killings at UCSB that turned into a three day global movement. Since then, the stream of hashtag causes has been hard to keep up with: #SurvivorPrivilege, the response to a George Will column that asserted being a rape survivor on a college campus was now a “coveted status” (he was dumped by the St. Louis Dispatch as a result). There’s #EverydaySexism, about daily harassment, #YouOKSis, to challenge street harassment, #AskHerMore, which calls out the questions we wish reporters would ask women on the red carpet. The list goes on. It’s no huge surprise that, according to data from Twitter, conversation about “feminism” has increased by 300 percent on the platform over the past three years. Women’s issues are everywhere, relentlessly spread by the women they impact. For the mainstream media, tracking the feminist hashtag of the moment has become a virtual sport.

In the 1970s, feminists often said “the personal is political.” It meant that the more women could connect with issues in their own life, the more attention they’d pay to the politics around them. But if consciousness-raising groups were the personal for thousands of women then, then the intimate personal stories curated in hashtags like #WhyIStayed are the modern-day equivalent. “What I think is most unique now is that we’re able to attach our own stories to elevate the issues beyond just a video of a man punching a woman,” says Tara Conley, an ethnographer who studies online media and the creator of a blog called Hashtag Feminism. “Social media can play an important role in opening up spaces for women — particularly those who’ve been marginalized.”

Social organizing has always existed in the women’s space — from word of mouth to letter-writing to telephone chains and flyers, methods of organizing has adopted to the times. And yet in a pre-Internet era, unless a woman accidentally stumbled into a protest, or a consciousness-raising group, she likely wasn’t hearing much about it. Which is why #WhyIStayed, and movements like it, are even more significant. They manage to take issues frequently confined to small circles — feminist circles — and bring them to the masses. “What is interesting to me is how these issues are going mainstream,” says Matthew Slutsky, who runs partnerships at Change.org. “It’s not feminists, or even activists, talking about rape, or domestic violence, or abortion rights, anymore. It’s just people.”

Those people happen to be women — mostly. Which isn’t necessarily a bad thing. Women’s power on the internet continues to rise: they now dominate every major social media platform but one (LinkedIn), they log in more often than their male counterparts, and they are more engaged when they do. When it comes to activism, they are ruling there, too: women are 2.5 times more likely to sign petitions than their male counterparts, and more likely to have successful organizing campaigns, according to data from Change.org. “Women don’t just dominate social media, they drive traffic,” says Elizabeth Plank, the executive social editor at PolicyMic. “That’s a massive game changer.”

It means that they don’t just have a voice, they are forcing institutions to listen.

Bennett is a contributing columnist at Time.com covering the intersection of gender, sexuality, business and pop culture. A former Newsweek senior writer and executive editor of Tumblr, she is also a contributing editor for Sheryl Sandberg’s women’s foundation, Lean In. You can follow her @jess7bennett.

TIME Mental Health/Psychology

The Link Between Sunny Days and Suicide

Sunshine's complex effect on suicide and depression

Sunshine seems to be linked to suicide—but not in the way you might think.

A new study published today in JAMA Psychiatry compared 69,462 suicides that occurred in Austria between 1970 and 2010 to hours of sunshine during that day. The researchers found a positive association between the number of suicides on a particular day and the hours of sunshine—meaning sunny days saw more suicides, shedding light on some popular misconceptions about what leads up to or contributed to someone taking his or her own life. (Take the myth of “holiday suicides”—the idea that more people commit suicide during the hectic holiday season. It’s not founded in stats, data shows. December actually has the lowest suicide rates of the year, according to the CDC’s National Center for Health Statistics. They’re highest in the spring.)

Reasons for suicide are, of course, multifaceted, making it impossible to isolate a single risk factor, including how light affects brain chemistry. Still, researchers have some ideas.

When a depressed person first begins light therapy, for instance, their drive and motivation often improve before their mood does, says Dr. Matthäus Willeit of the Medical University Vienna, and one of the study authors. “If you have enhanced energy and motivation and drive but your mood is still very depressed, that might favor a state where you are at greater risk for suicide.” That’s similar to what can happen when someone first starts treatment with antidepressants, he says.

Another factor to consider is that exposure to light has profound effects on serotonin transmission in the brain, which influences things like mood and impulsiveness, the authors write in their paper. More light means lower serotonin-transporter binding in the brain, a decrease that encourages impulsiveness, Willeit explains. While most people have had suicidal thoughts at some point, very few act on them, and Willeit thinks impulse control is a key player in going through with it.

On the other hand, some studies show that bright light therapy is an effective treatment against depression with few side effects. And today’s JAMA Psychiatry study showed that light seems to have a protective effect against suicide in the long-term.

“It’s too early to say,” Willeit says of the relationship of sunshine to suicide. “We’re just beginning to understand what light does.”

TIME health

Why What We Know About Ebola Hasn’t Changed Much

Ebola 1983
From the July 4, 1983, issue of TIME TIME

The Ebola virus first showed up in TIME Magazine in 1980, described as a "mystery malady"—a classification that's still be accurate today

Pity the poorly-named okapi.

In 1957, TIME magazine announced the birth of “Ebola,” a baby okapi born in the Vincennes Zoo in Paris. The okapi is the first mention of “Ebola” in TIME magazine, and though it was remarkable baby Ebola lived so long — most okapi infants died when bred in captivity — the animal’s name would soon be synonymous with a nasty and fatal infectious disease that emerged in 1976 and is currently ravaging West Africa in it’s largest spread in history.

The virus now known as Ebola was given its name after the Ebola River in the Democratic Republic of the Congo, near which the disease first emerged. The first TIME mention of Ebola, the disease, was in 1980 as part of a list of new “mystery maladies” keeping scientists on their toes. Ebola was under the category of hemorrhagic fevers found mostly in Africa, which can kill up to 90% of victims. The author writes that animals apparently harbor the disease without symptoms, then pass it along to humans, and that the animal source is unknown. “What makes these diseases particularly grim is that they can be spread person to person, often to nurses and doctors, through infected blood,” the story reads. Ebola was mentioned in an aside in a 1983 article about the Centers for Disease Control, and then references tapered off, even as Richard Preston’s book The Hot Zone and the movie Outbreak helped the disease gain popular awareness.

Then, in the mid-’90s, it returned. An Ebola outbreak in Zaire and then in Gabon brought the disease back into the news. By then, it was becoming increasingly clear that human infections can come from eating bushmeat — a common practice in rural areas. A 1996 article says scientists believe the disease may infect humans via chimpanzees, considered prize protein in the area, but that they are still unlikely to be the original host. So far insect testing had come up negative.

“We’re still in the dark,” Dr. David Heymann, head of the emerging-diseases division at WHO at the time was quoted in the story.

On Tuesday, the World Health Organization released new numbers about the current outbreak, the largest Ebola epidemic to date, which has infected over 4,269 and taken more than 2,288 lives. And even now, decades after the virus was first reported on, not much has changed in our knowledge of the disease. The facts mentioned in the ’80s and ’90s — the risk to doctors, the problem with bushmeat — are still likely to be mentioned today. The only real breakthrough is that scientists believe the virus’ host is likely the fruit bat—but even that has not been completely confirmed. There’s still no vaccine or cure for the disease, and health care workers remain at a particularly high risk of contracting the disease.

Outbreaks of Ebola are not as common as say, the seasonal flu or even malaria. The lack of innovation when it comes treatments for Ebola has said to be largely due to a low financial incentive for pharmaceutical companies. Until now, the disease has not exactly been a top priority.

Thankfully, Ebola outbreaks of the past have informed the current public health groups attempting to contain the outbreak in West Africa. And though there’s no specific cure, it’s now well known that isolating patients with the disease and providing supportive care can help stop the spread and increase survival rates.

You can follow TIME’s most recent coverage of Ebola here.

Your browser, Internet Explorer 8 or below, is out of date. It has known security flaws and may not display all features of this and other websites.

Learn how to update your browser
Follow

Get every new post delivered to your Inbox.

Join 47,904 other followers