Protect Your Breasts

                    Protect Your Breasts

Protect Your Breasts
Dietary changes and regular exercise can help prevent breast cancer.

by Susan Weiner, Energy Times, May 2010

Roughly 40,170 times a year, or nearly once every 13 minutes, an American woman dies of breast cancer. It is the most common malignancy among women except those affecting the skin. But while most skin cancers are non-lethal, breast cancer is the second leading cause of female cancer deaths.

  The chance of developing invasive breast cancer at some time in a woman’s life is a little less than one in eight, according to the American Cancer Society (ACS). Last year, 62,280 new cases of carcinoma in situ (CIS, the non-invasive, earliest form) and 192,370 new cases of invasive breast cancer were diagnosed in American women. What many people don’t realize is that men aren’t spared. The ACS says that 1,910 new cases of invasive male breast cancer were diagnosed in 2009, with 440 deaths.

Ductal cancer, which affects cells lining the ducts that carry milk to the nipple, is the most widespread form. The other primary type, lobular cancer, develops in the milk-producing areas of the breast. These mutated cells can break away and move around the body to form secondary breast cancer.

The likelihood of disease development increases with age, since exposure to risk factors accumulates over time.

The good news is that breast cancer rates decreased by 2% a year between 1999 and 2006 (the last year for which comparative data is available). The ACS attributes this decrease to a drop in the use of synthetic hormone replacement during menopause.

Cancer Triggers

Genetic, environmental and lifestyle factors are all believed to play a role in cancer development. “Alcohol is definitely a key risk for breast cancer, particularly because it increases the levels of estrogen,” says Natalie Ledesma, MS, RD, CSO, oncology dietician with the Cancer Resource Center at the UCSF Helen Diller Family Comprehensive Cancer Center in San Francisco (www.cancer.ucsf.edu). “What you eat and drink modulates the way your genes are expressed and that can influence the tendency to develop cancer.” The link between alcohol and breast cancer has been extensively documented. The Million Women Study, a seven-year British investigation, concluded that as many as 11% of breast cancers can be attributed to alcohol consumption (Journal of the National Cancer Institute 3/4/09).

Common chemicals in the home, garden and workplace act like estrogen in the body, a hormone linked directly to breast cancer. Your body probably contains a chemical called bis phenol A, or BPA, a synthetic estrogen used in everything from plastics to epoxies to the interior coating in many cans. More than 200 studies show links between low doses of BPA and cancer, according to the Breast Cancer Fund (www.breastcancerfund.org), a nonprofit environmental watchdog group.

Overweight women are more susceptible to breast cancer. Risk increases depending on how late in life weight gain occurs, with triple the probability of breast cancer if body mass index is at its maximum after age 50, according to a study in the Journal of Cancer Epidemiology (9/09). The research also found that smoking a pack of cigarettes a day for nine years increased breast cancer odds by 59%.

While having a mother or sister with breast cancer raises risk, only an estimated 5% to 10% of all breast cancers are hereditary. Particular genetic mutations are more common among certain geographic or ethnic groups, including people of Ashkenazi Jewish heritage and individuals of Dutch, Norwegian or Icelandic ancestry. “Most breast cancers are not due to strong hereditary factors,” explains medical geneticist Patricia Kelly, PhD, who has a cancer risk assessment practice in Berkeley, California. Breast cancer development is complex even if genetics isn’t involved; Kelly says that it takes about 15 different changes inside one cell to bring about a non-hereditary malignancy.

“If a woman has a relative diagnosed with breast cancer before age 50, or several relatives on one side of the family with breast, ovarian or other cancers, she may benefit from a visit to a genetic counselor who specializes in cancer risk assessment,” says Kelly, author of Assess Your True Risk of Breast Cancer (Holt). “Testing is available to detect some of the strongly inherited breast cancers.” The genes most commonly linked with cancer are BRCA-1 and BRCA-2; other genes that may play a role in disease development include ATM, P53 and P65.

Some researchers believe that up to one-third of all breast cancer case could be avoided through dietary and other lifestyle changes (Seventh European Breast Cancer Conference, Barcelona, 3/10). But it’s important to remember that while a healthy lifestyle can help reduce one’s risk of cancer, this disorder can affect anyone. Bob Riter first noticed the lump under his left nipple while reading in bed, absent-mindedly scratching his chest. The growth, about the size of a pencil eraser, didn’t alarm him; he simply filed a mental note to discuss the matter with his healthcare provider and fell asleep. Three weeks later, while driving home from work, Riter felt wetness on his chest, looked down and saw blood on his white shirt. His nipple was bleeding.

A biopsy confirmed that Riter had breast cancer. He was 40 years old, in good health, an avid exerciser and had no history of breast cancer in his family. “I knew in theory that men got breast cancer,” says Riter, associate director of the Cancer Resource Center of the Finger Lakes in Ithaca, New York (www.crcfl.net), a nonprofit that helps people deal with the ramifications of cancer diagnosis and treatment. “It was like knowing in theory that you could get hit by an asteroid.”

Detection Toolbox

For a woman, a breast cancer diagnosis can be emotionally devastating. “There are a lot of psychosocial issues around breasts. The disease, in so many ways, is so related to being a woman,” says Eliot Edwards, ND, at Cancer Treatment Centers of America (CTCA) Midwestern Regional Medical Center in Zion, Illinois (www.cancercenter.com/midwestern-hospital.cfm). “It’s potentially a deadly disease and the treatments are invasive.” Finding cancer early can help improve a woman’s chance of saving the affected breast.

Small breast cancers, the most treatable kind, typically produce no symptoms. That makes detection difficult without the proper diagnostic tools. ACS guidelines for early detection include mammography and the clinical breast exam (CBE), in which the practitioner carefully palpitates (feels) the breast. Magnetic resonance imaging (MRI), in which a magnetic field is used to create images of body structures, is also suggested for women at increased breast cancer risk.

During a mammogram, X-rays are used to provide a picture of the breast’s internal structure; its proponents say that mammography can show abnormal tissue changes before they can be found by any other method. In November 2009, the US Preventive Services Task Force released new recommendations suggesting that women begin routine mammogram screenings at age 50, as opposed to age 40, a long-recommended guideline. Additionally, the group advised mammograms every two years, as opposed to annually, and discouraged women from conducting self-breast exams.

While the new recommendations were intended to limit radiation exposure, they instead created debate and uproar in the medical community. To date the American Cancer Society and the National Cancer Institute, along with the American College of Obstetricians and Gynecologists, still recommend yearly mammograms beginning at age 40, in addition to self-breast exams.

“Any exposure to radiation has a potential risk, but mammograms have been an effective tool in identifying cancers,” says Edwards. “Patient risk factors, such as family history, smoking or if they’ve been diagnosed with other cancers, increases the necessity of mammograms. I’m still in the camp that, until we have better methods of detection, that is the method that we have right now.” Research continues into mammography’s usefulness. For example, one Danish study suggests that it may not improve overall cancer survival rates (British Medical Journal 3/24/10 online).

Some practitioners recommend thermography (also known as digital infrared imaging, or DII) as an alternative. This method measures differences in temperature within the breast; it is based on the idea that cancer cells are more metabolically active and require increased blood flow, which makes malignant areas warmer than the surrounding tissue.

Lifestyle Support

To ward off the chances of developing breast cancer, Edwards stresses lifestyle changes that incorporate nutritional support and exercise. “Clearly, anything we do that causes oxidative damage to the body—drinking, smoking, eating trans fats, not exercising—are factors,” he says. “Exercise is the best way to detoxify your body. It will lower body fat and lower estrogen production.”

Women who consume more fiber and less fat have lower levels of estrogen in their bodies. Ledesma advocates a vegetarian-based diet of beans, legumes, whole grains and plant-based foods. “Use animal protein as a condiment as opposed to up to 50% or more of a meal,” she says. “Load up with cancer-fighting phytonutrients to help inactivate carcinogens and nourish and detoxify the body. There’s no real room for processed and fast foods in a healthy, cancer-fighting diet.”

“From a naturopathic perspective, it’s about how well our bodies are metabolizing those estrogens,” explains Edwards. “One of the main things to prevent cancers in general is to support the body in its ability to detoxify.” Cruciferous vegetables such as broccoli and cabbage contain diindolmethane, or DIM, a plant compound (available in supplement form) that helps the body effectively eliminate hormones. Freshly ground flax seed, high in cancer-fighting omega-3 fatty acids, can also aid in estrogen metabolism.

“The two big anti-cancer herbs that we use are green tea extract and curcumin, the principal curcuminoid of the Indian spice turmeric,” says Edwards. Studies show that curcumin can block estrogen-mimicking chemicals from getting into cells, while regular consumption of green tea may reduce a woman’s risk of breast cancer by about 12% (Journal of Nutrition 2/09).

With death rates from breast cancer on the decline, it seems that increased awareness, earlier detection, effective screenings and lifestyle changes are paying off. So eat a healthy, balanced diet rich in vegetables, take long walks, use natural cleaners and get screened. Your breasts will thank you.

Anxiety and depression

Anxiety and depression

One in four of us will experience a mental health problem in any given year and The World Health Organisation (WHO) estimates that 450 million people worldwide have a diagnosable mental health condition.

Of this vast statistic, mixed anxiety and depression is the most common mental disorder in Britain, with almost 9% of people meeting criteria for diagnosis. (The Office for National Statistics Psychiatric Morbidity report, 2001)
What is anxiety?

Anxiety is a response to the body's natural reaction to danger. We all feel this inbuilt, natural, instinctive response in times of danger, this is known as 'Fight or Flight' response. This is what is responsible for neurological and chemical reactions that take place when we feel under threat.

If we are under threat, this reaction works with us to ensure our muscles are pumped ready for physical exertion (to fight or flee), our mental focus is narrowed allowing us to focus on the danger in order to respond quickly, and our heightened senses work to pick up danger signals swiftly and so on...

If however we feel this reaction when it is inappropriate, or at levels that are not rational or good for us, this is now anxiety. Please see our anxiety pages for more guides and our anxiety disorderspage for more on what different disorders anxiety encompasses.
What is depression?

Depression is more than feeling low or blue. At times of sadness, grief and upheaval we all suffer with the weight of difficulty and can feel down and not ourselves; this is natural, normal human behaviour. Depression as a condition is distinctly different.

Psychologist Colin Matthews explains 'Depression is different from occasionally feeling down. It is feeling down and low and hopeless for weeks at a time. It interferes with daily living and normal routine and affects the sufferer and those close to them.'

Depression symptoms commonly include:
tiredness and loss of energy
persistent sad, empty or anxious feelings
loss of confidence and self-esteem
feeling restless and agitated
not being able to enjoy things that are usually pleasurable or interesting, including sex
feelings of guilt, worthlessness and/or helplessness
sleeping problems – insomnia, waking up much earlier than usual, or sleeping too much
avoiding other people, sometimes even your close friends and family
finding it hard to function at work/college/school
overeating or appetite loss
persistent aches or pains, headaches, cramps or digestive problems that do not ease even with treatment
thoughts about suicide and death.

(Symptoms list from the National Institute of Mental Health)

Please see our depression guides for more information.
Why do the conditions commonly occur together?

Both anxiety and depression can exist in isolation, but it is not uncommon for them to be comorbid (present at the same time). It is very common for those suffering with one to be more likely to be afflicted with the other.

There are various philosophies for why this may be. Common sense would state that having anxiety can lead to avoidance, isolation and affect a sufferers life which can lead to depression. Also if you feel depressed and find life more challenging you can start to lose your confidence in many areas and this can ultimately lead to fear aprehension and anxiety.

Risk factors in one are similar risk factors in the other, for example those who have suffered abuse, poverty or trauma are more at risk of both of these conditions.

Lifestyle and social factors, from poor diet to lack of social opportunity are also factors in both these conditions, obviously increasing the risk of a sufferer to be afflicted with more than one disorder.

Sexual Abuse and Mental Health:

Sexual Abuse and Mental Health:

Give It Back: Breaking The Power and Pain of Shame and Betrayal

The second topic in our sexual abuse and mental health series.

By Rebecca Mitchell

If you have ever spilt your coffee on a “hot date” and had your possible partner plus the rest of the café staring at you - you will quite possibly be acquainted with the unwelcome feeling of shame. 

Shame Is So Damaging

Shame is a terrible and yet extremely powerful emotion. Sadly 11% of boys under 16 and 21% of girls under 16 may have strong feelings of shame about themselves because they have experienced child sexual abuse. (Pat Cawson: NSPCC 2000).
Shame Is So Damaging

Shame is the one of the biggest issues with abuse and it is often shame that can have the most devastating effect on the mental health and welfare of a victim of abuse. I know this myself because I experienced sexual abuse for many years with someone who was very close to me and consequently I suffered from feelings of desperate shame and this led to mental anguish and pain including anxiety, depression and compulsive behaviours.

Later I found out this is very common with people who have experienced abuse. Victims in essence carry the shame that does not belong to them but to the abuser. Penny Parks a counsellor and author says “The aggressor projects the blame and guilt onto the child and the child accepts that projection as truth. It is like life imprisonment for a crime that someone else has committed.” (1)
How Shame Expresses Itself

The shame can outwork itself in a person with painful behaviour patterns that impact mental health.

These can include:
Feeling “something is wrong with me”
Isolated and lonely - fearful when someone wants to have a close relationship
Fearful of intimacy - wanting relationship but pushing people away
People pleasing behaviour patterns - not aware of how to get your own needs met
Punishing yourself with negative and destructive self-talk –
Physically harming yourself
Suffering from Depression
Compulsive and obsessive behaviours – Outward actions that are due to inner feelings of shame and anxiety. (2)

Elimination Of Migraines And Other Headaches And Related Conditions

Elimination Of Migraines And Other
Headaches And Related Conditions

The diagnosis of migraine headaches is based primarily on characteristics such as its severity (moderate to severe), duration (4 to 72 hours), whether it is aggravated by normal physical activity, and whether it is accompanied by other symptoms such as nausea. There must not be any evidence of organic disease.

Migraine Without Aura (formerly known as "Common Migraine") and Migraine With Aura (formerly known as "Classical Migraine") are similar except for visual changes such as the appearance of wavy lines in the eyes prior to onset of headaches in people who experience "auras".

As you can see "migraine" (as well as other headaches called “Tension-Type”, “Cluster”, etc) is a category of headaches which is principally based on words, not on blood tests, x-rays, MRI's, CAT scans, or comparable tests. They fall well within the range of conditions which we treat.

In many cases, migraines can be "triggered" by bright lights or foods such as red wine, aged cheese, chocolate, etc. If this is the case, avoidance of these triggers for migraines and other headaches can be very helpful. However, in many cases, the "trigger" is an injured or otherwise dysfunctional muscle, tendon, ligament, or joint. Our goal is to find and treat these problem areas, thereby eliminating the pain, regardless of how it’s categorized.

Following is a tiny sample of the forms which our patients signed after the completion of treatment. Each one was treated in the manner outlined in the "How We Successfully Treat Headaches" section of this website. As you can see, all were relieved of their painful headaches.

To put it simply, if there is no neurological condition such as a brain tumor (which fortunately is only rarely the cause of headaches), there is over a 90% probability that we can resolve the painful problem.

As with all our patients, our goal for those who suffer from migraines and other headaches is to bring about healing to the maximum extent possible rather than masking the cause with drugs. In this way, we have been able to eliminate the pain without side effects for well over 30 years.

What is Eczema?

Eczema: A particular type of inflammatory reaction of the skin in which there are typically vesicles (tiny blister-like raised areas) in the first stage followed by erythema (reddening), edema (swelling), papules (bumps), and crusting of the skin followed, finally, by lichenification (thickening) and scaling of the skin. Eczema characteristically causes itching and burning of the skin.
Eczema, which is also called atopic dermatitis, is a very common skin problem. It may start in infancy, later in childhood, or in adulthood. Once it gets underway, it tends not to go quickly away.

There are numerous types of eczema, including:

Atopic dermatitis -- a chronic skin disease characterized by itchy, inflamed skin
Contact eczema -- a localized reaction that includes redness, itching, and burning where the skin has come into contact with an allergen (an allergy-causing substance) or with an irritant such as an acid, a cleaning agent, or other chemical

Allergic contact eczema -- a red, itchy, weepy reaction where the skin has come into contact with a substance that the immune system recognizes as foreign, such as poison ivy or certain preservatives in creams and lotions
Seborrheic eczema -- a form of skin inflammation of unknown cause that presents as yellowish, oily, scaly patches of skin on the scalp, face, and occasionally other parts of the body
Nummular eczema -- coin-shaped patches of irritated skin - most commonly on the arms, back, buttocks, and lower legs - that may be crusted, scaling, and extremely itchy

Neurodermatitis -- scaly patches of skin on the head, lower legs, wrists, or forearms caused by a localized itch (such as an insect bite) that becomes intensely irritated when scratched
Stasis dermatitis -- a skin irritation on the lower legs, generally related to circulatory problems
Dyshidrotic eczema -- irritation of the skin on the palms of hands and soles of the feet characterized by clear, deep blisters that itch and burn.

Children with hemophilia

Children with hemophilia should be active, but avoid extreme sports: Study

Children and adolescents with hemophilia bleeding disorder have an increased risk of bleeding when participating in contact sports, but the overall risk is low and varies depending on the sport, according to a recent study.

People with hemophilia lack a protein necessary for blood clotting. Because coagulation helps to stop bleeding, people with hemophilia may bleed longer than people without the disease. For a long time, they were told they could not and should not exercise because of the risk of bleeding. Times have changed, however, thanks to improved treatments, many of them are invited to play some sports.

The new study, published in the October 10 issue of the Journal of the American Medical Association, put real numbers on the risks associated with certain sports for children and adolescents with hemophilia.

The researchers analyzed the risk of bleeding associated with vigorous physical activity in 104 Australian children with hemophilia between 4 and 18 years. Participants had moderate or severe hemophilia and bleeding was controlled for a year to determine what preceded the event, including physical activity and sport.

A total of 436 bleeding episodes in a row. Of these, 336 occur without another bleeding episode in the previous two weeks. Eighty-eight participants reported at least one purge. Knees, ankles and elbows are the most frequent sites of bleeding. Most bleeding happened an hour after exercise.

The level of risk varies depending on the sport. More specifically, compared to being inactive, the risk of bleeding is almost three times higher for contact sports like football and basketball limited, and four times higher for contact sports such as rugby and shock and fight, according to the study. In other words: For a child who bled five times a year and play basketball twice a week and the fight once a week, sports are associated with one of the five annual bleeding, the authors of the study said.

"Sport and physical activity is beneficial for children with hemophilia, but the benefits must be weighed against the increased risk of bleeding, especially bleeding into muscles and joints," said study author Dr Carolyn Broderick, University of New South Wales in Sydney. Without treatment, hemophilia cause recurrent bleeding into joints.

"Children at increased risk of bleeding during sports, but because the increased risk is present while the activity is in progress and participation in vigorous physical activity involves only a small number of hours in the week, the number of hours spent idling, the absolute increase in the number of bleeding episodes associated with this sport can be small, "said Broderick." It may be reassuring for parents. '

Non-contact activities are most appropriate for children with hemophilia, but with limited contact sports can also be fine. "Contact sports should be avoided, but in countries where prophylaxis [prevention] administration of clotting factor is available, coagulation factor immediately preceding the contact and collision sports reduces the risk of bleeding," Broderick said.

"Of course, the sports in which there is a high risk of direct trauma to the head or vital organs, such as boxing, avoid the consequences of bleeding in the brain or other vital organs could be catastrophic" Mr. Broderick.

Preventive treatment with coagulation proteins and measures of fitness can really level the playing field for children with hemophilia who want to exercise, said Dr. Marilyn Manco-Johnson, a pediatric hematologist at the University of Colorado Children Hospital of Colorado at Denver.

"We have come a long way in the development of quality products, safe and effective so that we can make the most of the risks for these children," said Manco-Johnson, who wrote an editorial accompanying the study. "We can replace blood proteins to reduce the risk of bleeding due to injury, and the second risk is an injury that may require surgery or joint or muscle damage in the future."

Proper training can help reduce these risks, as Manco-Johnson. "Children with hemophilia to work a little harder to build muscle and strength," he added. People with hemophilia do not heal as well after surgery to repair damaged muscles or joints than their peers without coagulation disorder.

Exercise is good for children, another expert.

"The key is moderate exercise is very important and helps children with hemophilia tighten the muscles and joints and is highly recommended, but vigorous activity is the question mark," said Dr. Ziad Khatib, a pediatric hematologist Miami Children's Hospital. "If anyone loves the sport, I do not recommend letting the prevention itself, can do well."

Limits exist, Khatib said. "Children with severe hemophilia never be at a football or a college or a team of professional basketball," he said. "Most will be happy to mild to moderate exercise for fun."

Check your baby's teeth

Check your baby's teeth

 

Healthy teeth are colored. If you see spots or stains on your teeth, take your baby to the dentist. Clean your baby's teeth as soon as they arrive with a soft, clean cloth or a toothbrush. Clean teeth at least once a day. It is better to clean them before bedtime.
Around age 2, the child must have more teeth theirs. At this age, you can start brushing your teeth with a small drop of fluoride toothpaste. Very young children can not brush their teeth by themselves. Until children are about 7 years old, you should brush your teeth after they do.
Feed your baby healthy food
Choose foods that are high in sugar. Give your child fruits and vegetables instead of candy and cookies.
Preventing baby bottle tooth decay
Do not put your baby to bed with a bottle at night or during naps. (If you put your baby to bed with a bottle, fill it with water only). Milk, formula, juices and other sugary drinks like soda have sugar in them. Sucking on a bottle filled with a liquid with sugar can cause tooth decay. Decayed teeth can cause pain and extra trips to the dentist.
During the day, do not give your baby a bottle of sugary drinks for use as a pacifier.
If your child uses a pacifier, do not dip it in anything sweet like sugar or honey.
Near the first anniversary of your child, you should teach your child to drink from a cup instead of a bottle.
Take your child to the dentist
 
Ask your dentist when to take your child to his first dental visit. Usually, the dentist will have to see a child between 1 and 2 years. During this first visit, the dentist will examine your child's teeth.

What is a breast biopsy?

What is a breast biopsy?

A biopsy is a procedure in which all or part of the growth suspicious breast is removed and examined, usually the presence of cancer. Growth sample is drawn through a needle or a cut through surgery. The sample is then examined and evaluated under a microscope by a pathologist to identify non-cancerous (benign) or cancerous (malignant).

Terms used to designate the abnormal area or growth before and after diagnosis can include lump, mass, lesions and tumors.

What is the purpose of a breast biopsy?

The fundamental objective of a breast biopsy is to determine whether or not a worrisome tumor is cancer and, if it is cancer, what kind. When no cancer is detected, the diagnosis of a benign or harmless tumor is reassuring.



What specialties of the doctors and professional breast biopsies?

Many doctors and health care professionals may be involved in the evaluation of a woman for a breast biopsy.
For example, abnormalities of the breast can be seen during a physical examination by a doctor of family, internist, gynecologist or nurse. Women themselves are often the first to detect abnormalities in her breasts.
Radiologists are specialized in the interpretation of x-rays such as mammograms, as well as other imaging studies. Radiologists or surgeons usually perform the procedure to get the sample of breast tissue.
Anaesthetists (specialists in the administration of anesthesia and monitoring of vital signs of the patient) are sometimes needed during surgical procedures.
Pathologists are specialists of the doctor who examined, identified under the microscope, the type of cells in samples and determine if cancer is present.

Who should have a breast biopsy?

Anyone, female or male, with a growth of suspicious breast or other symptoms of breast cancer should undergo a biopsy. Ninety-nine percent of all breast cancers occur in women, however, men can and suffering from breast cancer. Therefore, men should regularly examine their breasts like females for bumps or other symptoms of cancer. (Men with the gene disorder Klinefelter syndrome, which is associated with the development of breast augmentation surgery, they have about the same risk of developing cancer of the breast than women).


In what environment does the breast biopsy?

Breast biopsy are performed in the doctor's Office, outpatient clinic or in the center of the Hospital operating room. The setting depends on the size and location of the growth, the overall health of the patient and the type of biopsy performed. Because doctors can perform biopsies in short time with minimal risk of serious complications, the patient usually must remain hospitalized at night unless an underlying health problem required careful monitoring.


What can indicate a benign outcome?

The most common benign tumors of the breast are cysts (sacks filled with liquid or semi-solid material), intraductal Papilloma (wart small tumors that project over a surface of fabric) and bulges formed by fat necrosis (death of tissue, often as the result of trauma to the chest). A fibroadenoma is the most common type of benign (non-cancerous) breast cancer tumor found in young women


How to find a suspicious breast augmentation?

Growth of suspicious breast self examination of the patient, the clinical examination by a doctor, or procedure of projection as a mammogram by can be found.

Patients who discovered a lump in a breast should consult a doctor for the test. Also see a doctor if you find a piece in the armpit or above collarbone (any can indicate the presence of spread of the cancer). Finally, see a doctor if you have:

Skin red or irritated MOM,
scaly skin in the chest,
dimple in the skin of the chest,
swelling of the skin of the chest,
nipple discharge that is not milk,
retraction of the nipple or the investment
nipple, itching,
a change in the size or shape of a breast, or
Breast pain.
Do not forget that these signs and symptoms does not necessarily indicate the presence of cancer.


Do if the patient reveals to the doctor on growth?

The patient should inform the physician during growth, which was its size at the time relative to its current size and location. The patient must also indicate the family history of breast cancer, and human history

High blood pressure facts

High blood pressure facts

 

High blood pressure (hypertension) is designated as essential (primary) hypertension, and secondary hypertension and is defined as one constant high blood pressure more than 140/90 mm Hg.

High blood pressure is called "the silent killer" because it does not often cause no symptoms for many years, even decades, until finally damage critical organs.

At the end of poorly controlled blood pressure can cause damage to blood vessels in the eye, a thickening of the muscle and heart attacks, hardening of the arteries (arteriosclerosis), kidney failure, heart and stroke.

More antihypertensive drugs may be used alone or in combination. Some are only used in combination. Some are better than others in certain medical situations. And some are not used (contraindicated) in other situations.

Several classes of antihypertensive drugs are available, including ACE inhibitors, ARB drugs, beta-blockers, diuretics, calcium channel blockers, peripheral vasodilators and alpha blockers.

The goal of treatment for hypertension, lower your blood pressure below 140/85 in the general population and to even lower levels in people with diabetes, African Americans and people with chronic kidney disease.

High blood pressure (hypertension) during pregnancy may cause pre-eclampsia or eclampsia (toxemia of pregnancy). Pregnant women should be monitored closely by the obstetrician to the complications of high blood pressure.

Adjustments in diet and exercise lifestyle and respect for drug plans are important factors in the determination of results for people suffering from high blood pressure....

High salt, obesity, lack of regular exercise, alcohol abuse or consumption of coffee and smoking can affect the prospects for the health of a person with high blood pressure.

What geographic areas at high risk of acquiring dengue?

What geographic areas at high risk of acquiring dengue?

 

Dengue fever is common in tropical and subtropical regions. Outbreaks have occurred recently in the Caribbean, including Puerto Rico, the Virgin Islands, Cuba and Central America. Cases have also been imported via tourists returning from regions where dengue widespread, including Tahiti, Singapore, South, Southeast, West Indies, India and South-East Asia Pacific (similar distribution to the regions of the world which are home to malaria and yellow fever). Dengue is now the leading cause of acute febrile illness in US travellers returning from the Caribbean, South America and Asia.

In 2011, Bolivia, Brazil, Colombia, Costa Rica, El El Salvador, Honduras, Mexico, Peru, Puerto Rico and at the Venezuela reported a large number of cases of dengue fever. Paraguay has reported an outbreak of fever of dengue in 2011, the worst since 2007. Hospitals were overcrowded and patients had canceled elective surgeries because of the epidemic.

The U.S. Centers for Disease Control and Prevention (CDC) does that not from 1946 to 1980 report, has reported no cases of dengue in the continental zone of the United States. Since 1980, U.S. business locally purchased some along the border of Texas and the Mexico, temporarily associated with large outbreaks in the neighboring towns of Mexican have been confirmed.

 

An outbreak of dengue in Key West, Florida, 2009 showed that three patients who cannot travel outside the United States has contracted the virus. The following tests of the city of Key West has shown that up to 55 people living in the region has antibodies against dengue. In total, 28 people have been diagnosed with dengue fever in the outbreak.

Dengue is common in at least 100 countries in Asia, the Pacific, the Americas, Africa and the Caribbean. Thailand, Viet Nam, Singapore and the Malaysia have reported an increase in cases.

According to the CDC, there are about 100 million cases of dengue fever with several 100,000 cases of dengue hemorrhagic fever which require hospitalization each year. Almost 40% of the world's population lives in an endemic area of dengue. The World Health (who) Organization has estimated that 22,000 deaths occur every year, mostly in children.