Stressing about aging damages your brain, shortens your life
Dementia, disrespect, and loneliness – that is not your future, says aging expert Ashton Applewhite.
Ashton Applewhite is a Brooklyn-based activist and writer. Her latest book, This Chair Rocks: A Manifesto Against Ageism, debunks many myths about late life.
ASHTON APPLEWHITE: When I started thinking about this, almost all my associations with aging were older, and where my fear was deepest had to do with cognition. Dementia is a terrifying disease, and we are nowhere near a cure. I think what people forget is that it is in no way typical of aging. The statistics, the latest statistics from the Alzheimer's Association and this statistic has dropped significantly just in the 10 years I've been studying this it is that one out of 10 of the entire 65-plus population does come down with Alzheimer's. The older you are, the more likely you are to get it age is the biggest risk factor so the percentage increases as you get older. But very, very few people my age, 66, have Alzheimer's. The point being, it is not typical of aging. And, telling both sides of the story here, Alzheimer's rates continue to decline. We're not sure why, but the odds of anyone listening to this coming down with Alzheimer's have gotten lower and lower. And people are getting diagnosed at later ages. So let's tell both sides of the story.
As we age, most of us do experience some decline in specific cognitive functioning, like the ability to remember the name of that movie you saw with what's-her-name last week. But one thing I'm always pointing out to people is that younger people forget stuff too, all the time. This is not just an old-age affliction. Where ageism comes in is that when you can't remember the name of the movie, and you're my age, you think, oh, crap, that means I'm getting dementia. Which it might, but it really, really, really probably does not. It is true that older people can take longer to come to a conclusion about something, or perhaps remember something. But one reason this is so, and interestingly, this came out a study done by data scientists in Germany, who weren't even studying anything aging related, is that as we grow older, we acquire more experiences and memories. So literally, just like a processor, the brain has to sift through more information to get to an answer. And it is that process of sifting that enables us, often, older people, to come up with a more measured or deeper response. That's why it is so terrific to have mixed age teams. For many reasons that are intuitively obvious, younger people might come up with more answers more quickly, and possibly think of things that an older, more perhaps experienced person might think, oh, we tried that 10 years ago and it's not going to work. But if you pair the agility of a young mind with the experience and more seasoned approach of an older worker, you arrive at a synthesis that is the best possible thing. You can make an analogy in terms of physical activity as well. Older workers certainly physically move slower, no doubt about that. But they injure themselves less often.
A growing body of really, really interesting evidence shows how attitudes towards aging affect how our minds and bodies function at the cellular level. People with more positive attitudes towards aging, which I would say is simply more realistic attitudes towards aging, because most of us are so brainwashed to equate aging with decline, show that they walk faster, they have better handwriting, which is a pretty good indicator of general health. They heal faster, even from severe disability. They live longer, not just a little bit, an average of seven and a half years longer. And the latest research shows that positive attitudes towards aging confer protection against dementia, even in people genetically predisposed to the disease. The idea is that if you are not worrying about aging, if you are not under this stress of believing that everything is going to go to hell in a handbasket, and you are going to be conferred to the sort of dustbin of history, or abandoned by those you love, or abandoned by your brain, or deserted by your body, those are all sources of stress. They are messages that an ageist culture bombards us with on a daily basis, in the news, starting with children's books, all the way up. When we refute those messages, when we look at the purpose behind them, and look at the evidence all around us, at the lives that older people are living, it's very easy to see the alternate truthful reality. And that confers protection.
The earlier in life we become what I call an old person in training which is to acknowledge that, guess what, we're going to become old and it's probably going to be different than we think right now, and probably way better the better, because then we can see ageist messages in the culture more clearly and refute them. If we look around at the older people around us, it is obvious that the vast majority are living interesting lives and going about their daily lives with interest and purpose. I have never met anyone who actually wanted to be any younger, no matter how terrified they were of getting older. So think about that, right? Because even if we are brainwashed by an ageist culture, we know that our years are what make us us.
- The best anti-aging advice? Stop stereotyping old people! Cultural messaging about the pitfalls of old age causes undue stress that prematurely ages the brain and shortens life spans.
- People who have a positive outlook on aging can live 7.5 years longer than those who buy into cultural stereotypes about getting old.
- It's important to look at the positives of aging, not just the risk factors: Alzheimer's rates are declining, 'mental sifting' can make us wiser, and older workers injure themselves less often than younger workers.
- Do people with a high IQ age more slowly? - Big Think ›
- Youthful mindset can slow — even reverse — aging, research ... ›
Join Radiolab's Latif Nasser at 1pm ET on Monday as he chats with Malcolm Gladwell live on Big Think.
The Labour Economics study suggests two potential reasons for the increase: corruption and increased capacity.
Cool hand rebuke<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDQyMTIyNy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0NjY1NTYyOH0.0MCPKN3If94mYCNf3mMNrnTvJXjXN_bKLhgk9203EXk/img.jpg?width=917&coordinates=0%2C0%2C0%2C0&height=453" id="1627b" class="rm-shortcode" data-rm-shortcode-id="6d76421ba1ea0de4b09956b97e80c384" data-rm-shortcode-name="rebelmouse-image" />
A chart showing prison population rates (per 100,000 people) in 2018. The United States has the highest rate of incarceration in the world.
Who profits with for-profit prisons?<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="97ac37e6c7f6f22ec130ea2d56871701"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/dB78NV2WpWc?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>The Labour Economics study suggests that privately-run prisons do convicts a few favors at the moment of sentencing. However, proponents of private prisons often point to other benefits when making their case. Specifically, they argue that private prisons reduce operating costs, stimulate innovation in the correctional system, and reduce recidivism—the rate at which released prisoners are rearrested and return to prison.</p><p>In regard to recidivism, the research is mixed. <a href="https://journals.sagepub.com/doi/abs/10.1177/0011128799045001002" target="_blank">One study</a> compared roughly 400 former prisoners from Florida, 200 released from private prisons and 200 from state-run facilities. It found the private-prison cohort maintained lower rates of recidivism. However, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1745-9133.2005.00006.x" target="_blank" rel="noopener noreferrer">another Florida study</a> found no significant rate differences. And two other studies—one from <a href="https://journals.sagepub.com/doi/abs/10.1177/0011128799045001002" target="_blank" rel="noopener noreferrer">Oklahoma</a> and another out of <a href="https://journals.sagepub.com/doi/abs/10.1177/0734016813478823" target="_blank" rel="noopener noreferrer">Minnesota</a>, both comparing much larger cohorts than the first Florida study— found that prisoners leaving private prisons had a greater risk of recidivism.</p><p>The research is also inconclusive regarding cost savings. <a href="https://www.hamiltonproject.org/assets/files/economics_of_private_prisons.pdf" target="_blank" rel="noopener noreferrer">A Hamilton Project analysis</a> noted that such comparisons are difficult because private prisons, like all private companies, are not required to release operational details. In comparing what studies were available, the authors estimate the costs to be comparable and that "in practice the primary mechanism for cost saving in private prisons is lower salaries for correctional officers"—about $7,000 less than their public peers. They add that competition-driven innovation is lacking as the three largest firms control nearly the entire market.</p><p>"We aren't saying private prisons are bad," Galinato said. "But states need to be careful with them. If your state has previous and regular issues with corruption, I wouldn't be surprised to see laws being more skewed to give longer sentences, for example. If the goal is to reduce the number of incarcerated individuals, increasing the number of private prisons may not be the way to go."</p>
What exactly does "questions are the new answers" mean?
- Traditionally, intelligence has been viewed as having all the answers. When it comes to being innovative and forward-thinking, it turns out that being able to ask the right questions is an equally valuable skill.
- The difference between the right and wrong questions is not simply in the level of difficulty. In this video, geobiologist Hope Jahren, journalist Warren Berger, experimental philosopher Jonathon Keats, and investor Tim Ferriss discuss the power of creativity and the merit in asking naive and even "dumb" questions.
- "Very often the dumb question that is sitting right there that no one seems to be asking is the smartest question you can ask," Ferriss says, adding that "not only is it the smartest, most incisive, but if you want to ask it and you're reasonably smart, I guarantee you there are other people who want to ask it but are just embarrassed to do so."
A vertical map might better represent a world dominated by China and determined by shipping routes across the iceless Arctic.
- Europe has dominated cartography for so long that its central place on the world map seems normal.
- However, as the economic centre of gravity shifts east and the climate warms up, tomorrow's map may be very different.
- Focusing on both China and Arctic shipping lanes, this vertical representation could be the world map of the future.
The world, but not as we know it<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMDU1Nzg1NS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzNTkwMjIyNn0.qmQfwUdjQka8JX6q4KGANagleiuucpWay5ytMenZxUU/img.jpg?width=980" id="b95e4" class="rm-shortcode" data-rm-shortcode-id="ac088ec55c0585a93a9a310faab9a4c7" data-rm-shortcode-name="rebelmouse-image" />
A Chinese 'vertical world map,' showing the world in a different perspective from the one we're used to.
Image: Prior Probability<p>Europe is tucked away in a corner, an appendage of Asia dwarfed by neighboring Africa. North America is stood on its head, facing the rest of the world from the top of the map — cut off from South America, which cuts a solitary figure at the bottom. Africa is justifiably huge, but equally eccentric. </p><p>The eye scouts elsewhere for a place to land: not the Indian Ocean, which dominates the middle of the map, but some terra firma. Antarctica and Australia are too small, mere stepping stones for the land mass of Asia. Ultimately our gaze is drawn toward China, the lynchpin of this unfamiliar world. </p><p>Managing to leave both poles intact, this "vertical" world map is about as far away as you can get from the classic Mercator projection – which slices up both, giving center stage to a puffed-up Europe. Perhaps this new map will become more familiar soon: It may do more justice to the world of the near future, dominated by China and determined by shipping routes across the iceless Arctic. <br></p>
China's 'ten-dash line'<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMDU1Nzg1Ni9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1NTI4MzQyNn0.sBe0oFTif4Jef1vWh1kAnUylU_QMPXT5xQjm-5aA3sA/img.jpg?width=980" id="a3b81" class="rm-shortcode" data-rm-shortcode-id="80fc6e4f5c9c1c978f698be2c8de5484" data-rm-shortcode-name="rebelmouse-image" />
'China without any part left out': includes Taiwan and the islands and atolls in the South China Sea, surrounded by a ten-dash line
Image: Global Times<p>While there's no indication that this map represents the Chinese government's "official" worldview, it is no secret that China has a thing with maps – and more specifically, the country's representation on them. </p><p>In China, the country's current economic success is seen as a redress of the unequal treatment meted out by western superpowers in the 19th century. China's world dominance is a return to a more natural state of world affairs, many feel. Cartographic rectifications are a symbolically significant corollary of that sentiment.</p><p><a href="https://www.citylab.com/equity/2015/12/china-cracks-down-on-politcally-incorrect-maps/421032/" target="_blank">Fines are regularly imposed</a> on companies – domestic and foreign – that fail to represent China to the fullest extent of its external borders, disputed though they may be by others (e.g. India, Taiwan and any of the countries with claims overlapping China's in the South China Sea). But the People's Republic's cartographic obsession doesn't end at China's territory itself. It also includes the country's position on the world map. <br></p>
The Kingdom at the Middle of the World<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMDU1Nzg2MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyOTkwODEzMX0.SGrAZBH6iJVggFYSaIahzv9GvfEh17y1SwUNINbVicQ/img.jpg?width=980" id="1774c" class="rm-shortcode" data-rm-shortcode-id="99790d80a909d17a948f7c5d463d7d98" data-rm-shortcode-name="rebelmouse-image" />
Early Japanese color copy of Ricci's world map
Image: public domain<p>China's name for itself is <em>Zhōngguó</em>, which means 'Central State' or 'Middle Kingdom', reflecting its ancient self-image as the civilized center (<em>Huá</em>) of the world, with wild tribes (<em>Yí</em>) at the edge. That view is not unique to China. Vietnam, for example, at certain times also styled itself as the "central state" (<em>Trung Quóc</em>) – considering the Chinese in turn as the uncouth outsiders.</p><p>It may be surprising to recall, but Europeans themselves once considered their own continent a relative backwater, viewing Jerusalem as the true center of the world. That changed with the Age of Discovery, which placed Europe at the center of an ever-expanding world. Maps reflected that worldview, and largely continue to do so. That's why today's standard world map still has Europe at its center – with China off toward the periphery on the map's right-hand side. </p><p>The most notable feature of the very first major modern world map produced in China, the <em>Kunyu Wanguo Quantu</em> (1602), is that it places China firmly at the center of the world. Produced for the Chinese emperor by Jesuit missionary Matteo Ricci, it was the first map ever to combine that perspective with modern western knowledge: it was the first Chinese map to show the Americas, for instance. </p><p>That representation may not have taken off elsewhere, but it will be instantly recognizable to Chinese students, as it's the standard format for world maps in China's schools today.<br></p>
America on its head<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMDU1Nzg2My9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYwMzQ5NTc0MH0.EqadI2Yp-2dPwi3VccFZelIDK4V9t0ZOfTfHjdB6wVw/img.jpg?width=980" id="97104" class="rm-shortcode" data-rm-shortcode-id="2b66e8de389b3d736bc28e019e445cd0" data-rm-shortcode-name="rebelmouse-image" />
Upside down you turn me: North America on its head, in Chinese characters
Image: Prior Probability<p>For those used to "classic" Eurocentric world maps, Europe's marginalization may come across as a bit of an upset. America's new position on the horizontal Chinese world map is less jarring: It merely moves from the left- to the right-hand side of the picture. But then there's this vertical world map, which deals a similar blow to the American land mass: divided in two and pushed to the upper and lower edges of the map.</p><p>Unfamiliar? Sure. Shocking? Perhaps. Wrong? Not really. First off, no world map is totally right, since it's mathematically impossible to transfer the surface of a three-dimensional object onto a flat surface without some distortion. And since the world is a globe, where you center that map is a matter of purely subjective choice.<br></p><p>Those choices have historical reasons. Mercator's map was not specifically designed to put an inflated Europe at the center of the world. That was just a side effect; its main purpose was to aid shipping: Straight lines on the map correspond to straight lines sailed on the seas.</p>
By 2050, a completely melted Arctic could enable the Transpolar Passage, shortening trade routes between Asia and Europe and boosting business for Alaskan ports like Nome and Dutch Harbor.
Image: The Maritime Executive<p>The vertical world map, showing the relative proximity of China (and the rest of Asia) to Europe and (even the East Coast of) North America, has a similarly maritime <em>raison d'être</em>, or it will have by mid-century. <a href="https://www.maritime-executive.com/editorials/the-arctic-shipping-route-no-one-s-talking-about" target="_blank" rel="noopener noreferrer">Experts project</a> that by 2050 (if not sooner), the Arctic will be sufficiently ice-free to enable the so-called Transpolar Passage, i.e. shipping straight across the North Pole. </p><p>That would shave more than three weeks off a traditional sea voyage between Europe and Asia, via the Suez Canal – and even be significantly faster than other northern alternatives like the Northwest Passage (via Canada) or the Northern Sea Route (hugging the Siberian coast). Since ships would not need to go through locks or pass over shallow waters, it would also remove current restrictions on tonnage per ship. <br></p><p>The only country seriously preparing for such a future: China. None of the other Arctic powers is giving the Transpolar route any strategic thought. On the other hand, China's Arctic Policy document, released in January 2018, already matter-of-factly refers to the Transpolar route as the 'Central Passage' – one of several 'Polar Silk Roads' that China seems to want to develop. And they already have the world map to go with it.</p>
A large-scale study from King's College London explores the link between genetics and sun-seeking behaviors.
- There are a number of physical and mental health benefits to sun exposure, such as boosted vitamin D and serotonin levels and stronger bones.
- Addictions are multi-step conditions that, by definition, require exposure to the addictive agent and have also been proven to have a genetic factor. Countless people are exposed to addictive things, but not all become addicted. This is because of the genetic component of addiction.
- This large-scale study explores the link between sun-seeking behaviors and the genetic markers for addiction.
The benefits of sunlight<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDQyMjI1Ni9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzNzk0NDUxNH0.lbYbZidJkNXPUcWM6m8cucuzAFOANkqPaIVfJdqkJ4Q/img.jpg?width=1245&coordinates=0%2C52%2C0%2C52&height=700" id="d5fcd" class="rm-shortcode" data-rm-shortcode-id="f44fcc9a31393c8102803eb50d01a19a" data-rm-shortcode-name="rebelmouse-image" alt="woman sitting on dock in the sunlight" />
The mental and physical health benefits of sunlight have been heavily researched.
Credit: eldar nurkovic on Shutterstock<p>The benefits of sunlight have been widely discussed for many years. In fact, there are a number of physical and mental health benefits to sun exposure.</p><p><strong>Sunshine (and the lack of) impacts your hormone levels. </strong></p><p>Sunlight (and alternatively, the lack of sunlight) triggers the release of certain hormones in your brain. Exposure to sunlight is thought to increase serotonin, which is associated with boosting your mood and helping you feel calm and focused. </p><p>Alternatively, dark lighting triggers melatonin, a hormone that is helpful in allowing you to rest and fall asleep. Without enough sunlight, your serotonin levels can dip - and low serotonin levels have been associated with a higher risk of major depression with seasonal pattern (formerly known as seasonal affective disorder).</p><p><strong>Sunlight can build strong bones. </strong></p><p>Exposure to the ultraviolet-B radiation in the sun's rays can interact with your skin, causing it to create vitamin D. <a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/" target="_blank" rel="noopener noreferrer">According to NHS</a>, vitamin D helps regulate the amount of calcium and phosphate in the body. A lack of vitamin D can lead to bone deformities or bone pain. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2290997/" target="_blank" rel="noopener noreferrer">A 2008 study</a> has shown that even 30 minutes in sunlight (while wearing a bathing suit) can boost vitamin D levels. </p><p><strong>Can sunlight actually prevent cancer? </strong></p><p>Although heavy exposure to sunlight has been proven to contribute to certain skin cancers, a moderate amount of sunlight has actually been shown to have preventative benefits.</p><p><a href="https://cjasn.asnjournals.org/content/3/5/1548.full" target="_blank" rel="noopener noreferrer">According to a 2008 study</a> from the Clinical Journal of the American Society of Nephrology, those who live in areas with fewer daylight hours are more likely to have some specific cancers (including but not limited to colon cancer, ovarian cancer, and prostate cancer) than those who live in areas with increased daylight hours.</p><p><strong>Additionally, sunlight has been shown to help people with skin conditions such as psoriasis. </strong></p><p><a href="http://www.who.int/uv/faq/uvhealtfac/en/index1.html" target="_blank" rel="noopener noreferrer">According to the World Health Organization</a>, sun exposure may also be able to help treat skin conditions such as psoriasis, eczema, jaundice, and acne. <a href="https://www.healthline.com/health/depression/benefits-sunlight#benefits" target="_blank" rel="noopener noreferrer">Some research</a> has also indicated the sun benefits people who struggle with rheumatoid arthritis (RA), systemic lupus erythematosus, and inflammatory bowel disease. </p>
Can you be addicted to the sun?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDQyMjI1Ny9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYwMzE5NTMwOX0.pHOWSr3FcIndYkBAVND1UsD8AheTQmxsePKRi3XvYTw/img.jpg?width=1245&coordinates=31%2C0%2C32%2C0&height=700" id="93c87" class="rm-shortcode" data-rm-shortcode-id="384e08fdcd535ed2b792eef419af9e2c" data-rm-shortcode-name="rebelmouse-image" alt="hands holding up the sun" />
The large-scale study examines the link between addiction and sunlight, with some surprising results...
Credit: KieferPix on Shutterstock<p>Addictions are multi-step conditions that, by definition, require exposure to the addictive agent. Due to the increase of serotonin (a chemical in the human body <a href="https://www.healthline.com/health/mental-health/serotonin" target="_blank">that has been proven</a> to help reduce depression, regulate anxiety, and maintain bone health), it's natural that being exposed to prolonged periods of sunlight could become somewhat addictive to the human body and mind. We crave things that make us feel good, and sometimes those cravings become something we depend on. This is the very nature of addiction.</p><p>Countless people are exposed to addictive things (substances, medications, and yes, even the sun), but not all become addicted. This is because of the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3506170/" target="_blank" rel="noopener noreferrer">genetic component of addiction</a>. </p><p>A large-scale study from King's College in London examines more than 260,000 people to better understand how sun-seeking behavior in humans can be linked to genes involving addiction, behavior traits, and brain function. </p><p><strong>The study included two phases:</strong></p><p>Phase one suggested genetics play a role in sun-seeking behaviors and phase 2 helped pinpoint what those genetic markers are.</p><p>Phase 1: The researchers studied the detailed health information of 2,500 twins, including their sun-seeking behavior and their genetics. Identical twins in a pair were more likely to have similar sun-seeking behavior than non-identical twins, indicating that genetics plays a role here. </p><p>Phase 2: The team of researchers then were able to identify five key gene markers involved in this sun-seeking behavior from further analysis of 260,000 participants. Some of the genes indicated have been linked to behaviors traits that are associated with risk-taking and addiction (including smoking and alcohol consumption).</p><p><strong>What does this study really prove? </strong></p><p>Some may think it's natural to become addicted to something that makes you feel good. The physical and mental health benefits of the outdoors have been heavily studied...so what does this study really mean? </p><p>First and foremost, it means more research needs to be done to examine the link between human conditions and exposure to sunlight. Senior author Dr. Mario Falchi explains to the <a href="https://www.kcl.ac.uk/news/addicted-to-the-sun-its-in-your-genes" target="_blank">King's College London News Center</a>: "Our results suggest that tackling excessive sun exposure or use of tanning beds might be more challenging than expected, as it is influenced by genetic factors. It is important for the public to be aware of this predisposition, as it could make people more mindful of their behavior and the potential harms of excessive sun exposure."</p><p>Additionally, it could mean alternative treatments, and further research needs to be conducted in terms of how we treat certain conditions that are caused or heavily influenced by human exposure to sunlight. </p>