Osteoporosis-related fractures in men result in substantial disease, death and health costs, and the one-year death rate in men after hip fracture is twice that of women.

"Older men, especially those over the age of 65, need to be assessed regularly for risk factors for osteoporosis," Dr. Amir Qaseem, senior medical associate in ACP's clinical programs and quality of care department, said in a prepared statement. "Osteoporosis is not just a woman's disease. It is significantly under-diagnosed and under-treated in men. Not enough older men are being screened."

Risk factors for osteoporosis in men include: older age, low body weight, weight loss, physical inactivity, previous fractures not caused by substantial trauma, low-calcium diets, and ongoing use of certain drugs, such as corticosteroids like prednisone or drugs that are sometimes used to treat prostate cancer.

The new guideline says doctors should periodically assess older men for osteoporosis risk factors and should order a DEXA (dual-energy X-ray absorptiometry) scan for men who are at increased risk for osteoporosis and are candidates for drug therapy.

The guideline, based on a review of previously published studies, was published in the May 6 issue of the Annals of Internal Medicine.

Current U.S. rates of osteoporosis are estimated to be 7 percent in white men, 5 percent in black men, and 3 percent in Hispanic men. However, osteoporosis rates among U.S. men are expected to increase almost 50 percent in the next 15 years, and hip fracture rates could double by 2040, according to background information in a news release about the new guideline.

The National Osteoporosis Foundation recommends a bone mineral density test for men aged 70 and older. The U.S. Preventive Services Task Force doesn't have an osteoporosis screening recommendation for men.

More information

The U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases has more about osteoporosis in men.

Alcohol use and dependency appeared to remain stable for men, while young Americans report having more lifetime alcohol problems than older Americans, despite having had less time to develop issues with drinking.

The findings were published in the May issue of Alcoholism: Clinical and Experimental Research.

"We found that for women born after World War II, there are lower levels of abstaining from alcohol, and higher levels of alcohol dependence, even when looking only at women who drank," the study's corresponding author, Richard A. Grucza, an epidemiologist at Washington University School of Medicine, said in a prepared statement. "However, we didn't see any significant tendency for more recently born men to have lower levels of abstention or higher levels of alcohol dependence."

The researchers' findings came from analyzing two large, national surveys conducted 10 years apart (1991-1992 and 2001-2002). The polls compared lifetime alcohol-use rates from the same age groups and demographics.

The "closing gender-gap in alcoholism" may be due to higher levels of problems facing women, while men have been more or less steady in their levels of dependence, he said.

"Clearly, there were many changes in the cultural environment for women born in the '40s, '50s and '60s compared to women born earlier," Grucza said. "Women entered the work force, were more likely to go to college, were less hampered by gender stereotypes, and had more purchasing power. They were freer to engage in a range of behaviors that were culturally or practically off-limits, and these behaviors probably would have included excessive drinking and alcohol problems."

Shelly F. Greenfield, associate clinical director of the Alcohol and Drug Abuse Treatment Program at McLean Hospital, added to Grucza's assessment.

"One possible explanation is that between 1934 and 1964, the social acceptability of women's drinking increased. As it was more socially acceptable for women to drink, a greater number of them became drinkers. Because women have a heightened vulnerability to the effects of alcohol -- that is, greater blood alcohol levels at similar doses of alcohol -- we may therefore see a concomitant rise in alcohol dependence among those who ever drank."

Another potential factor: immigrants arriving to America from cultures with more conservative values about drinking tend to stick with their native cultural norms, but their children are more likely to follow comparatively lax U.S. norms regarding alcohol.

"We can think of U.S. culture as having been traditionally dominated by white men," added Grucza. "As women have immigrated into this culture, they have become acculturated with regard to alcohol use."

He said the added barrier of race may be what is keeping black women, who still have the lowest rates of drinking among the demographic groups looked at, from adopting the alcohol-use standards of the dominant U.S. culture.

Greenfield suggested that targeting females with gender-specific prevention programs might lower drinking rates or delay when drinking begins, which could help prevent later alcohol problems.

"It would also be helpful to educate women about the gender differences in metabolism of alcohol, and the associated heightened female vulnerability to alcohol's adverse health consequences at lower doses than men," she said.

More information

The American Academy of Family Physicians has more about recognizing a drinking problem.

"Most commercial lubricants are toxic to sperm, and couples who want fertility should think about carefully choosing the lubricant they want," said study author Dr. William H. Kutteh, a reproductive endocrinologist at the University of Tennessee, in Memphis.

For the study, Kutteh and his team tested four commercially available lubricants against a new "fertility-friendly" lubricant developed by the researchers.

Their lubricant, called ConceivEase, didn't adversely affect sperm motility, Kutteh said, although the other four lubricants did. The new lubricant, with a patent pending, is made by Reproductive Laboratory Inc. in Memphis. Kutteh is an owner of the company and the product is distributed by Sepal Reproductive Devices in Boston, he said.

Kutteh was to present the findings Monday at the American College of Obstetricians and Gynecologists annual meeting, in New Orleans.

The test results could be good news for couples having difficulty conceiving, he said. "People are afraid of going to a fertility doctor because they think they will have to spend $10,000 on IVF [in vitro fertilization]," he said. "Sometimes all you need is a $14.99 oil change."

If sperm aren't moving properly, fertility is affected, Kutteh said. "The sperm have to move through the vagina, through the cervical mucus and out to the fallopian tube. Anything that decreases the motility of the sperm will make the pregnancy rate decline. Sperm can live for 48 to 72 hours."

For the study, five men who had initial sperm counts above 65 percent motility donated sperm. Kutteh's team then exposed the sperm to four commercially available lubricants -- K-Y Jelly, Replens, Touch and Astroglide, along with ConceivEase.

The effects on sperm motility were evaluated at 1 minute, 15 minutes, 30 minutes and one hour. While the ConceivEase maintained sperm motility at 65 percent, the others did not. At one hour, the motility of the sperm exposed to Touch was down to 10 percent, while sperm exposed to the other three lubricants was down to zero, the study found.

Kutteh said he first began noticing the effect of lubricants on sperm more than a decade ago. While at the University of Texas Southwestern Medical Center at Dallas, he published a report in the International Journal of Fertility showing that commercial lubricants were harmful to sperm motility, he said.

Kutteh said he's been giving the lubricant to his own patients for years. Lubricant use during intercourse is common among couples undergoing fertility treatment, he said, partly because ovulation-inducing agents can cause vaginal dryness.

The new lubricant includes light mineral oil, Vitamin E, and glycerol buffered with a certified growth medium. It protects the sperm from pH changes and other factors that can decrease fertility, according to literature from the company.

Dr. Jennifer Wu, an obstetrician-gynecologist at Lenox Hill Hospital in New York City, called the new study interesting, adding that it "holds promise because it doesn't alter sperm motility at one hour."

But, she added, she'd like to see results beyond the one hour, up to 72 hours.

Wu said she typically advises couples trying to conceive not to use commercial lubricants at all, and she thinks that's common advice from doctors. "We don't want to do anything that narrows the window of opportunity for sperm to meet the egg."

And, while the commercially available lubricants were found to kill off sperm, Kutteh added a caveat for those couples not trying to conceive: Don't trust them as contraceptives.

More information

To learn more about infertility, visit the American Society for Reproductive Medicine.

"There has been a dramatic increase in television programming directed toward young infants. This has occurred despite recommendations from the American Academy of Pediatrics that children younger than 2 years should not watch any television. Much of this programming is marketed toward parents as 'educational,' despite limited data to support this assertion," noted Dr. Alan L. Mendelsohn, of the New York University School of Medicine, and colleagues.

They found that over one 24-hour period, 149 of 154 mothers (96.8 percent) reported that their 6-month-old infants had a total of 426 exposures to television or videos. These included: 139 exposures (32.6 percent) to educational programs for young children; 46 (10.8 percent) to non-educational programs for young children; 205 (48.1 percent) to programs for school-aged children, teenagers or adults; and 36 (8.5 percent) to unknown programs.

The mothers reported that they talked to their infants during 101 (23.7 percent) of those 426 television and video exposures.

"Consistent with our first hypothesis, interactions were most commonly reported in association with educational content, especially among programs that had been co-viewed," the researchers wrote. "However, approximately half of the exposures consisted of programs not intended for young children; these were not associated with frequent interactions even when they were co-viewed."

"Our findings are important, because parent-infant interactions are associated with long-term developmental-behavioral outcomes. Verbal responsiveness is frequently seen in association with reading and playing with toys. Given the large amount of media exposure and low frequency of reported interactions, additional study is needed to determine whether media exposure can facilitate interactions of sufficient quantity and quality to be associated with benefits for young children," the researchers concluded.

The study was published in the May issue of the Archives of Pediatrics & Internal Medicine.

More information

MedlinePlus has more about children and television.

But that risk is moderate, emphasized the authors of a study in the May issue of Archives of Pediatrics & Adolescent Medicine.

"Most adoptees are doing fine," said Margaret Keyes, lead author of the study and research psychologist at the Minnesota Center for Twin and Family Research at the University of Minnesota in Minneapolis. Still, new data on the long-term health of adopted children is always useful, she reasoned.

"When you have all the information, you're better prepared to make decisions for your family," Keyes said. "You have information that your adopted child might be at a slightly increased risk, so you can be aware of that and can you use the social services agencies with which you already familiar through the process of adopting."

"There is no revelation here. This is consistent with previous research," added Adam Pertman, executive director of the Evan B. Donaldson Adoption Institute and author of Adoption Nation. "It's a good, solid piece of work. Adoptive parents can be reassured that their kids will be just fine, thank you. We do need to do a better job of learning how to deal with children and be prepared in case we are in that minority whose kids are represented in this study. It's not scary. It's cautionary."

According to background information in the article, some 120,000 children are adopted annually in the United States, and there are about 1.5 million adopted American children under the age of 18.

International adoptions are increasingly replacing domestic adoptions, with about 40,000 children transferred between more than 100 countries each year as a result of adoption.

Although some studies have found an increased risk of social, intellectual and emotional problems among children who were exposed to substances before they were born or who were neglected prior to adoption, the risk among children who don't have this kind of history hasn't been clear.

The researchers assessed 514 internationally adopted adolescents and 178 domestically adopted adolescents (aged 11 to 21) and compared them with 540 non-adopted kids of the same age.

Children who had been adopted scored higher than non-adoptees on continuous measures of behavioral and emotional problems, the team found. Adoptees were about twice as likely to have had contact with a mental health professional and of having a disruptive behavior disorder, according to the study.

Domestic adoptees were more than twice as likely to have an "externalizing disorder" (one that manifests in outward behavior) than international adoptees, the researchers added.

As one example, seven out of every 100 non-adopted kids met the criteria for ADHD (attention deficit hyperactivity disorder), while 14 to 15 of adopted kids met the criteria, Keyes said. Still, the overall rate was not alarming.

To put it into perspective, Keyes pointed out that simply giving birth to a male is risky, since boys have a higher chance of being diagnosed with a disruptive behavior disorder than girls.

"It's important not to stigmatize adoption," Pertman said. "Adoption is not causing these problems."

A second study in the same issue of the journal looked at children who had lost a parent to death suddenly. Researchers at the University of Pittsburgh School of Medicine found that these bereaved youngsters had triple the risk of depression and post-traumatic stress disorder (PTSD) than kids with two parents still alive.

According to the article, 4 percent of children in Western countries have experienced the death of a parent.

More information

There's more on adoption at the Evan B. Donaldson Adoption Institute.