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Black-capped chickadee.  Matt MacGillivray, flickr

Black-capped chickadee.
Matt MacGillivray, flickr

Joy Jacobson is a CHMP senior fellow. Follow her on Twitter: @joyjaco

For the past couple of years I’ve attended The Power of Words, the annual conference of the Transformative Language Arts Network. I’ve become more of a conference-goer in recent years, as well as a presenter, but this one seemed unlike any of the others I’ve attended. Novelists and poets, musicians and composers, expressive-arts therapists and health care workers, those new to writing and those who’ve devoted their lifetimes to the craft all gathered for a few days of “workshops, performances, talking circles, celebration and more.” 

I left last year’s gathering, held at the beautiful grounds at Pendle Hill, a Quaker retreat outside Philadelphia, with the phrase radical acceptance going through my mind. I won’t be able to attend this year’s conference, to be held at Lake Doniphan Retreat Center in Kansas City, MO. I’ll miss those people and the community that gets made when like minds and intentions come together.

It’s an aptly named conference. Last year I led a poetry workshop on “self-elegy,” and it was indeed powerful to see what a group of readers and writers could compose in 90 minutes. (Two brilliant attendees, Seema Reza and Maiga Milbourne, each blogged about it, here and here.) But that phrase, power of words, has got me thinking, too, about the powers of silence.

For the first time in the many years that I’ve owned a cell phone (or has it owned me?) I have turned off the text-message-notification noise. For 10 days now there has been no beep, no trill, no hum or vibration, no ring-a-ding-ding when a message arrives. It started one insomniac night as an attempt to block out any potential disruption to sleep, should I have been lucky enough to fall back into it. In the morning I thought it might be nice to take a vacation from the fake bell—not from text messaging itself, just from the relentlessly Pavlovian audio.

As I write I’m sitting outside. There’s a distant thrum whose source I can’t quite identify, probably a train. A couple of chickadees perform their unrepeatable tweets. The 10 AM church bell chimes, and my little dog decides to yap in response to something beyond my hearing. Clank: a truck hits a bump. A neighbor’s air conditioner rolls over and over. The cicadas start, then drop, then start again their annual threnody to summer.

In attending to these entirely ordinary sounds I realize something about awareness. Perhaps what I found so remarkable about the Power of Words conference didn’t have entirely to do with the words themselves, whether written, read aloud, spoken, sung, or chanted (and they were remarkable). It had to do, as well, with the attention we all paid to one another: undistracted, unrushed, clear-eyed and -eared—radical—attention.

I just checked my phone. In the time it took me to write the previous paragraph a friend texted. Perhaps we could have a bike ride or a walk later today? I’ll get back to him in a minute or two.

[caption id="attachment_8035" align="alignright" width="300"] Black-capped chickadee. Matt

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The number of people infected with Ebola is now over 2,200, with more than 1,200 people dying from the virus. But the death toll from Ebola in Liberia may be much higher as it seriously compromises the country’s health care system.  Buzzfeed’s Jina Moore reported from Monrovia this week that the country’s Minister of Health estimates that 75% of the deaths are women who are in formal or informal caregiving roles. This includes nurses, who have been infected while caring for patients. Some of these patients were thought not to be infected but later died from the virus. Others were known to be infected, but the nurses and others caring for seriously ill patients with Ebola have been lacking the personal protective equipment that we take for granted in the U.S.  In a nation that already suffered from a shortage of nurses and other health care workers, Ebola has killed some health care workers and has caused others to leave hospitals. Those needing health care for other reasons may fear going to hospitals or clinics and, if they do go, may find that the hospital has closed because it doesn’t have enough staff. Pregnant women who needed help with complicated deliveries have died, and it is estimated that people with other health conditions other than Ebola are also dying because of a lack of health care.

Today on Healthstyles, c0-producer and host Diana Mason, PhD, RN, talks with three nurses with recent experience in Liberia about that nation’s capacity for delivering health care now and in the future: Harriette Dolo, Liberian certified midwife and registered nurse who is Director of the Esther Bacon School of Nursing and Midwifery at Curran Lutheran Hospital in Zorzor, Lofa County, Liberia (the county with the highest incidence of Ebola); Dorcas Kunkel, DNP, RN, APHN, assistant clinical professor of nursing at the University of Minnesota and volunteer faculty at the Mother Patern College of Health Sciences in Monrovia, Liberia; and Magdeline Aagard, RN, EdD, nurse educator and international consultant who is also a volunteer faculty at the Mother Patern College of Health Sciences.

Tune in today at 1:00 to Healthstyles on WBAI, 99.5 FM (www.wbai.org), or click here to listen to the interview:

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College, City University of New York.

The number of people infected with Ebola

Can digital literacy delay cognitive decline?

Researchers think it might. In a recently published study in The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences they found that digital literacy — the ability to engage, plan, and execute digital actions such as web browsing and exchanging e-mails — is an independent protective factor against cognitive decline.

Using data from the English Longitudinal Study of Ageing, they followed 6,442 participants in the UK between the ages of 50 and 89 for eight years. The data measured delayed recall from a 10-word-list learning task across five separate measurement points. Socioeconomic status, including wealth and education, comorbidities, and baseline cognitive function were included in the models.

senior-computerHigher wealth, education and digital literacy improved delayed recall, while people with functional impairment, diabetes, cardiovascular diseases, depressive symptoms or no digital literacy showed decline.

Those who reported being nonusers of Internet/E-mail and intermittent users showed cognitive decline; in contrast, current users increased their delayed recall capability, with a difference of more than 8.63 percent over the follow up period. Although the group with lower cognitive function at baseline presented higher CD, this group also demonstrated a significant variation in percentage change of the word recall, with better performance for those who used Internet/E-mail.

The effect of digital literacy was independent of age and socio-economic status, suggesting that digital literacy increases cognitive reserve or improves efficiency of cognitive networks to delay decline.

More people in the UK are using the Internet than ever before, however 6.4 million — about 10 percent of the population —  say they have never gone online. Of those, 74 percent are over age 65 and half are from socially disadvantaged backgrounds. In comparison, Pew Research reports that about 20 percent of all Americans don’t go online, and 41 percent of those over age 65 in the U.S. do not use the Internet at all.  Older adults comprise almost 13 percent of the U.S. population.

The authors write, “countries where policy interventions regarding improvement in digital literacy are implemented may expect lower incidence rates for dementia over the coming decades.” Perhaps something policymakers on both sides of the pond should consider.

Can digital literacy delay cognitive decline? Researchers think