Some Postmenopausal Women From Breast Cancer Can Protect Hormonal Therapy.
In a find that seems to marker the prevailing wisdom that any form of hormone replacement psychoanalysis raises the risk of breast cancer, a new look at some old data suggests that estrogen-only hormone group therapy might protect a small subset of postmenopausal women against the disease. "Exogenous estrogen such as hormone analysis is actually protective" in women who have a low risk for developing tit tumors, said study author Dr Joseph Ragaz, a medical oncologist and clinical professor in the School of Population & Public Health at the University of British Columbia in Vancouver. With his colleagues, Ragaz took another manner at details from the Women's Health Initiative (WHI) study, a jingoistic trial that has focused on ways to prevent breast and colorectal cancer, as well as sentiment disease and fracture risk, in postmenopausal women.
The team planned to present its findings Thursday at the San Antonio Breast Cancer Symposium in Texas. Research presented at medical meetings is not analyzed by home experts, ill-matched studies that appear in peer-reviewed medical journals, and all such findings should be considered preliminary. Launched in 1991, the WHI includes more than 161000 US women between the ages of 50 and 79.
Two groups were area of the thorn in the flesh - women who had had hysterectomies and took estrogen desolate as hormone replacement therapy and a group that took estrogen plus progestin hormone replacement therapy. The mix therapy trial was halted in 2002 after it became clear those women were at increased chance for heart disease and breast cancer.
In the new look at the estrogen-only group "we looked at women who did not have high-risk features". They found that women with no earlier history of benign teat disease had a 43 percent reduction breast cancer risk on estrogen; women with no house history with a first-degree relative with breast cancer had a 32 percent risk reduction and women without past hormone use had a 32 percent reduced risk.
Saturday 28 November 2015
Monday 23 November 2015
US Doctors Have Found A New Way To Boost Fertility
US Doctors Have Found A New Way To Boost Fertility.
Over the years four decades, the reproach of twin, triplet and other multiple births has soared, in general the result of fertility treatments, a new study finds. In 2011, more than one-third of link births and more than three-quarters of triplets or higher in the United States resulted from fertility treatments. But as the mode for certain treatments - like fertility drugs - has waned, replaced by in vitro fertilization (IVF), so has the berate of multiple births, the researchers say.
And "Data shows that when it comes to multiple births in the United States, the numbers be there substantial," said paramount researcher Dr Eli Adashi, a professor of obstetrics and gynecology at Brown University. But the double birth rate may have plateaued and the birth rate of more than twins has been dropping: "While IVF is a agent here, non-IVF technologies seem to be the main offender.
The main hazard of multiple birth is prematurity. "That's a huge issue for infants. "It remains the assurance of the medical establishment that we are all better off with singleton babies born at term as opposed to multiples that are often born preterm". The scene is changing toward greater use of IVF and elimination of non-IVF fertility treatments, said Dr Avner Hershlag, leading of the Center for Human Reproduction at North Shore University Hospital in Manhasset, NY "With IVF you have pally to full control over the outcome in terms of multiple births, whereas with fertility drugs, you escape control once you trigger ovulation," said Hershlag, who was not or on of the new study.
Over the years, IVF has become more efficient and experts can almost predict the claim chance of a pregnancy. In addition, insurance companies are more willing to pay for several rounds of IVF using fewer embryos. They are beginning to earn that reducing multiple births cuts the huge costs of neonatal care. Still, too many companies put a lid on the number of rounds of IVF they will pay for.
Yet, it's far cheaper to settlement for IVF than to pay for the care in the neonatal intensive care unit, Hershlag trenchant out. "The preemie is the most expensive type of patient in the hospital". The late study, published Dec 5, 2013 in the New England Journal of Medicine, estimated the total of multiple births using data from 1962 to 1966 - before any fertility treatments were at one's fingertips - comparing them to data from 1971 through 2011. To determine the contribution of non-IVF procedures, the researchers subtracted IVF multiple births from the add number of multiple births.
Over the years four decades, the reproach of twin, triplet and other multiple births has soared, in general the result of fertility treatments, a new study finds. In 2011, more than one-third of link births and more than three-quarters of triplets or higher in the United States resulted from fertility treatments. But as the mode for certain treatments - like fertility drugs - has waned, replaced by in vitro fertilization (IVF), so has the berate of multiple births, the researchers say.
And "Data shows that when it comes to multiple births in the United States, the numbers be there substantial," said paramount researcher Dr Eli Adashi, a professor of obstetrics and gynecology at Brown University. But the double birth rate may have plateaued and the birth rate of more than twins has been dropping: "While IVF is a agent here, non-IVF technologies seem to be the main offender.
The main hazard of multiple birth is prematurity. "That's a huge issue for infants. "It remains the assurance of the medical establishment that we are all better off with singleton babies born at term as opposed to multiples that are often born preterm". The scene is changing toward greater use of IVF and elimination of non-IVF fertility treatments, said Dr Avner Hershlag, leading of the Center for Human Reproduction at North Shore University Hospital in Manhasset, NY "With IVF you have pally to full control over the outcome in terms of multiple births, whereas with fertility drugs, you escape control once you trigger ovulation," said Hershlag, who was not or on of the new study.
Over the years, IVF has become more efficient and experts can almost predict the claim chance of a pregnancy. In addition, insurance companies are more willing to pay for several rounds of IVF using fewer embryos. They are beginning to earn that reducing multiple births cuts the huge costs of neonatal care. Still, too many companies put a lid on the number of rounds of IVF they will pay for.
Yet, it's far cheaper to settlement for IVF than to pay for the care in the neonatal intensive care unit, Hershlag trenchant out. "The preemie is the most expensive type of patient in the hospital". The late study, published Dec 5, 2013 in the New England Journal of Medicine, estimated the total of multiple births using data from 1962 to 1966 - before any fertility treatments were at one's fingertips - comparing them to data from 1971 through 2011. To determine the contribution of non-IVF procedures, the researchers subtracted IVF multiple births from the add number of multiple births.
Friday 20 November 2015
Use Of Smokeless Tobacco Increases The Risk Of Cancer, Stroke, Heart Attack
Use Of Smokeless Tobacco Increases The Risk Of Cancer, Stroke, Heart Attack.
Many smokers in the United States and its territories also use smokeless tobacco products such as snuff and munch tobacco, a combine that makes quitting much more difficult, a unusual federal memorize shows. Researchers analyzed data from the 2009 Behavioral Risk Factor Surveillance System and found that the assess of smokers who also use smokeless tobacco ranged from 0,9 percent in Puerto Rico to 13,7 percent in Wyoming. "The fighting against tobacco has taken on a new dimension as parts of the countryside report high rates of cigarette smoking and smokeless tobacco use among adults. The example data from the Centers for Disease Control and Prevention reveal disturbing trends in smoking ubiquity as more individuals use multiple tobacco products to satisfy their nicotine addiction," American Heart Association CEO Nancy Brown said in a communication released Thursday.
And "No tobacco produce is safe to consume. The health hazards associated with tobacco use are well-documented and a new American Heart Association policy statement indicates smokeless tobacco products extend the risk of fatal heart attack, fatal stroke and certain cancers". Among the 13 states with the highest rates of smoking, seven also had the highest rates of smokeless tobacco use.
In these states - Alabama, Alaska, Arkansas, Kentucky, Mississippi, Oklahoma and West Virginia - at least one of every nine men who smoked cigarettes also reported using smokeless tobacco. The rates in those states ranged from 11,8 percent in Kentucky to 20,8 percent in Arkansas. The form with the highest rank of smokeless tobacco use amidst of age manful smokers was Wyoming (23,4 percent).
Many smokers in the United States and its territories also use smokeless tobacco products such as snuff and munch tobacco, a combine that makes quitting much more difficult, a unusual federal memorize shows. Researchers analyzed data from the 2009 Behavioral Risk Factor Surveillance System and found that the assess of smokers who also use smokeless tobacco ranged from 0,9 percent in Puerto Rico to 13,7 percent in Wyoming. "The fighting against tobacco has taken on a new dimension as parts of the countryside report high rates of cigarette smoking and smokeless tobacco use among adults. The example data from the Centers for Disease Control and Prevention reveal disturbing trends in smoking ubiquity as more individuals use multiple tobacco products to satisfy their nicotine addiction," American Heart Association CEO Nancy Brown said in a communication released Thursday.
And "No tobacco produce is safe to consume. The health hazards associated with tobacco use are well-documented and a new American Heart Association policy statement indicates smokeless tobacco products extend the risk of fatal heart attack, fatal stroke and certain cancers". Among the 13 states with the highest rates of smoking, seven also had the highest rates of smokeless tobacco use.
In these states - Alabama, Alaska, Arkansas, Kentucky, Mississippi, Oklahoma and West Virginia - at least one of every nine men who smoked cigarettes also reported using smokeless tobacco. The rates in those states ranged from 11,8 percent in Kentucky to 20,8 percent in Arkansas. The form with the highest rank of smokeless tobacco use amidst of age manful smokers was Wyoming (23,4 percent).
Thursday 19 November 2015
Adolescents Who Watch R-Movies Smoke Are Three Times More Often
Adolescents Who Watch R-Movies Smoke Are Three Times More Often.
Teens who are allowed to tend R-rated movies are more inclined to to take up smoking than teens whose parents rod them from viewing mature movie content, according to new research. In fact, the survey authors estimated that if 10- to 14-year-olds were completely restricted from viewing R-rated movies, their imperil of starting to smoke could drop two to threefold. However, the study found that only one in three offspring American teens is restricted from viewing R-rated films, which are restricted at the box office to teens 17 and older unless the lady is accompanied by an adult.
And "When watching popular movies, shaver are exposed to many risk behaviors, including smoking, which is rarely displayed with negative haleness consequences and most often portrayed in a positive manner or glamorized to some extent. Previous studies have shown that adolescents who examine movie smoking are more likely to begin smoking," said the study's lead author, Rebecca de Leeuw, a doctoral schoolchild at Radboud University Nijmegen in the Netherlands.
So "Our findings direct attention to that parental R-rated movie restrictions were directly related to a lower risk of smoking initiation, but also indirectly through changes in children's furor seeking," de Leeuw added. "Sensation seeking is interrelated to a higher risk for smoking onset. However, children with parents who restrict them from watching R-rated movies were less expected to develop higher levels of sensation seeking and, subsequently, at a cut risk for smoking onset".
Findings from the study are scheduled to appear in the January issue of Pediatrics. The meditate on included data from a random sample of 6522 American children between the ages of 10 and 14 years old. The usual age of the children at the start of the study was 12. The children were followed for two years, and given sporadic re-evaluations at 8, 16 and 24 months to watch if they had begun smoking during that time period.
Teens who are allowed to tend R-rated movies are more inclined to to take up smoking than teens whose parents rod them from viewing mature movie content, according to new research. In fact, the survey authors estimated that if 10- to 14-year-olds were completely restricted from viewing R-rated movies, their imperil of starting to smoke could drop two to threefold. However, the study found that only one in three offspring American teens is restricted from viewing R-rated films, which are restricted at the box office to teens 17 and older unless the lady is accompanied by an adult.
And "When watching popular movies, shaver are exposed to many risk behaviors, including smoking, which is rarely displayed with negative haleness consequences and most often portrayed in a positive manner or glamorized to some extent. Previous studies have shown that adolescents who examine movie smoking are more likely to begin smoking," said the study's lead author, Rebecca de Leeuw, a doctoral schoolchild at Radboud University Nijmegen in the Netherlands.
So "Our findings direct attention to that parental R-rated movie restrictions were directly related to a lower risk of smoking initiation, but also indirectly through changes in children's furor seeking," de Leeuw added. "Sensation seeking is interrelated to a higher risk for smoking onset. However, children with parents who restrict them from watching R-rated movies were less expected to develop higher levels of sensation seeking and, subsequently, at a cut risk for smoking onset".
Findings from the study are scheduled to appear in the January issue of Pediatrics. The meditate on included data from a random sample of 6522 American children between the ages of 10 and 14 years old. The usual age of the children at the start of the study was 12. The children were followed for two years, and given sporadic re-evaluations at 8, 16 and 24 months to watch if they had begun smoking during that time period.
Friday 13 November 2015
Austrian Scientists Have Determined The Effect Of Morphine On Blood Coagulation
Austrian Scientists Have Determined The Effect Of Morphine On Blood Coagulation.
Morphine appears to limit the effectiveness of the commonly second-hand blood-thinning remedy Plavix, which could hamper emergency-room efforts to treat heart attack victims, Austrian researchers report. The decision could create serious dilemmas in the ER, where doctors have to weigh a affection patient's intense pain against the need to break up and prevent blood clots, said Dr Deepak Bhatt, management director of interventional cardiovascular programs at Brigham and Women's Hospital Heart and Vascular Center, in Boston. "If a indefatigable is having crushing heart pain, you can't just notify them to tough it out, and morphine is the most commonly used medication in that situation," said Bhatt, who was not twisted in the study.
And "Giving them morphine is the humane thing to do, but it could also create delays in care". Doctors will have to be surprisingly careful if a heart attack patient needs to have a stent implanted. Blood thinners are vital in preventing blood clots from forming around the stent. "If that case is unfolding, it requires a little bit of extra thought on the part of the physician whether they want to give that full slug of morphine or not".
About half of the 600000 stent procedures that operate place in the United States each year turn up as the result of a heart attack, angina or other acute coronary syndrome. The Austrian researchers focused on 24 nourishing people who received either a dose of Plavix with an injection of morphine or a placebo drug. Morphine delayed the knack of Plavix (clopidogrel) to thin a patient's blood by an usual of two hours, the researchers said.
Morphine appears to limit the effectiveness of the commonly second-hand blood-thinning remedy Plavix, which could hamper emergency-room efforts to treat heart attack victims, Austrian researchers report. The decision could create serious dilemmas in the ER, where doctors have to weigh a affection patient's intense pain against the need to break up and prevent blood clots, said Dr Deepak Bhatt, management director of interventional cardiovascular programs at Brigham and Women's Hospital Heart and Vascular Center, in Boston. "If a indefatigable is having crushing heart pain, you can't just notify them to tough it out, and morphine is the most commonly used medication in that situation," said Bhatt, who was not twisted in the study.
And "Giving them morphine is the humane thing to do, but it could also create delays in care". Doctors will have to be surprisingly careful if a heart attack patient needs to have a stent implanted. Blood thinners are vital in preventing blood clots from forming around the stent. "If that case is unfolding, it requires a little bit of extra thought on the part of the physician whether they want to give that full slug of morphine or not".
About half of the 600000 stent procedures that operate place in the United States each year turn up as the result of a heart attack, angina or other acute coronary syndrome. The Austrian researchers focused on 24 nourishing people who received either a dose of Plavix with an injection of morphine or a placebo drug. Morphine delayed the knack of Plavix (clopidogrel) to thin a patient's blood by an usual of two hours, the researchers said.
Monday 9 November 2015
One Fifth Of Adults Of Working Age In The USA Have No Health Insurance
One Fifth Of Adults Of Working Age In The USA Have No Health Insurance.
For some Americans, constitution direction melioration may be arriving none too soon: The number of US adults not covered by health insurance jumped by 2,9 million community from 2008 to 2009. In 2009 - the year in which the most recent statistics are available - 46,3 million American adults had no health insurance, according to a redone report from the US Centers for Disease Control and Prevention. This means one in five working-age adults is uninsured, and the location is still worse in some states: nearly one in four Texans, for example, lack any form of trim coverage.
As a result, millions of Americans face an uphill battle getting the health care they need, according to the CDC. In the United States, healthfulness insurance means access to health care, said Robin A Cohen, a statistician with the CDC's National Center for Health Statistics. "Although one can still take possession of fitness care without coverage, a lack of coverage can be a barrier to obtaining needed haleness care".
Studies have shown that people without health insurance are less likely to get preventive care and often delay care until a equip becomes serious. The percentage of uninsured adults of working age climbed from 19,7 percent to 21,1 percent in 2009, and a extravagant 58,5 percent of American adults went without guaranty for at least part of the year.
For some Americans, constitution direction melioration may be arriving none too soon: The number of US adults not covered by health insurance jumped by 2,9 million community from 2008 to 2009. In 2009 - the year in which the most recent statistics are available - 46,3 million American adults had no health insurance, according to a redone report from the US Centers for Disease Control and Prevention. This means one in five working-age adults is uninsured, and the location is still worse in some states: nearly one in four Texans, for example, lack any form of trim coverage.
As a result, millions of Americans face an uphill battle getting the health care they need, according to the CDC. In the United States, healthfulness insurance means access to health care, said Robin A Cohen, a statistician with the CDC's National Center for Health Statistics. "Although one can still take possession of fitness care without coverage, a lack of coverage can be a barrier to obtaining needed haleness care".
Studies have shown that people without health insurance are less likely to get preventive care and often delay care until a equip becomes serious. The percentage of uninsured adults of working age climbed from 19,7 percent to 21,1 percent in 2009, and a extravagant 58,5 percent of American adults went without guaranty for at least part of the year.
Monday 2 November 2015
Treatment Of Heart Attack And Stroke In Certified Hospitals
Treatment Of Heart Attack And Stroke In Certified Hospitals.
Around the nation, hospitals commit to themselves as "stroke centers of excellence" or "chest annoyance centers," the insinuation being those facilities offer top-notch care for stroke and heart attacks. But present programs for certifying, accrediting or recognizing hospitals as providers of the best cardiovascular or stroke care are falling short, according to an American Heart Association/American Stroke Association advisory. "Right now, it's not always unconfused what is just a marketing length of time and what actually truly distinguishes the quality of a center," said Dr Gregg Fonarow, an American Heart Association spokesman and professor of cardiovascular drug at the University of California, Los Angeles.
A scrutiny of the available data found no clear relationship between having a loyal designation as a heart attack or stroke care center and the care the hospitals provide or, even more important, how patients fare. To replace that, the American Heart Association and the American Stroke Association are jointly developing a encyclopaedic stroke and cardiovascular care certification program that should be convenient as a national standard.
The goal is to help patients, insurers and others have more reliable gen about where they are most likely to receive the most up-to-date, evidence-based care available. "There is a value to having a trusted root develop a certification program that clinicians, insurers and the public can use to understand which hospitals are providing irregular cardiovascular and stroke care, including achieving high-quality outcomes".
The program, which will defraud about two years to develop and will likely be done in partnership with other major medical organizations, will cover danger situations such as heart attack and stroke, but also heart failure management and coronary bypass surgery. The notice is published online Nov 12, 2010 and in the Dec 7, 2010 words issue of Circulation.
Typically, recognition and certification programs require that hospitals put certain procedures in place, but they don't watch how well hospitals are adhering to the practices or whether patient outcomes are improving precede author of the advisory. And those are the better certification programs. Other self-proclaimed "centers of excellence" may only be terms dreamed up by marketing departments.
Around the nation, hospitals commit to themselves as "stroke centers of excellence" or "chest annoyance centers," the insinuation being those facilities offer top-notch care for stroke and heart attacks. But present programs for certifying, accrediting or recognizing hospitals as providers of the best cardiovascular or stroke care are falling short, according to an American Heart Association/American Stroke Association advisory. "Right now, it's not always unconfused what is just a marketing length of time and what actually truly distinguishes the quality of a center," said Dr Gregg Fonarow, an American Heart Association spokesman and professor of cardiovascular drug at the University of California, Los Angeles.
A scrutiny of the available data found no clear relationship between having a loyal designation as a heart attack or stroke care center and the care the hospitals provide or, even more important, how patients fare. To replace that, the American Heart Association and the American Stroke Association are jointly developing a encyclopaedic stroke and cardiovascular care certification program that should be convenient as a national standard.
The goal is to help patients, insurers and others have more reliable gen about where they are most likely to receive the most up-to-date, evidence-based care available. "There is a value to having a trusted root develop a certification program that clinicians, insurers and the public can use to understand which hospitals are providing irregular cardiovascular and stroke care, including achieving high-quality outcomes".
The program, which will defraud about two years to develop and will likely be done in partnership with other major medical organizations, will cover danger situations such as heart attack and stroke, but also heart failure management and coronary bypass surgery. The notice is published online Nov 12, 2010 and in the Dec 7, 2010 words issue of Circulation.
Typically, recognition and certification programs require that hospitals put certain procedures in place, but they don't watch how well hospitals are adhering to the practices or whether patient outcomes are improving precede author of the advisory. And those are the better certification programs. Other self-proclaimed "centers of excellence" may only be terms dreamed up by marketing departments.
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