Colonoscopy screening has reduced incidence of colorectal cancer

Colonoscopy is the most commonly employed screening method for colorectal cancer (CRC) in the United States. Researchers affiliated with Stanford University conducted a study to determine whether the procedure would reduce the incidence of new colorectal cancers. They published their findings in the November issue of the journal Gastroenterology.

The researchers examined United States trends in rates of resection for proximal vs. distal CRC, which reflect CRC incidence, in the context of national CRC screening data, before and since Medicare's 2001 decision to pay for screening colonoscopy. Proximal CRC refers to the upper portion of the colon (cecum, ascending colon, and transverse colon); distal CRC refers to the lower portion of the colon (descending colon, sigmoid colon, rectosigmoid, and rectum)).

The study comprised data from more than 2 million patients collected from 1993 to 2009. The researchers used the Nationwide Inpatient Sample, which is the largest US all-payer inpatient database, to estimate age-adjusted rates of resection for distal and proximal CRC in adults. They found that the rate of resection for distal CRC decreased from 38.7 per 100,000 persons to 23.2 per 100,000 persons from 1993 to 2009, with annual decreases of 1.2% from 1993 to 1999, followed by larger annual decreases of 3.8% from 1999 to 2009. In contrast, the rate of resection for proximal CRC decreased from 30.0 per 100,000 persons to 22.7 per 100,000 persons from 1993 to 2009; however, significant annual decreases of 3.1% occurred only after 2002. Rates of resection for CRC decreased for adults ages 50 years and older; however, the rates increased for younger adults.

The authors concluded that their findings support the hypothesis that population-level decreases in rates of resection for distal CRC are associated with screening, in general, and that implementation of screening colonoscopy, specifically, might be an important factor that contributes to population-level decreases in rates of resection for proximal CRC.

Colon cancer screening:
Colon cancer screening can detect polyps and early cancers. Such screening can detect changes that can be treated before symptoms develop. Regular screenings may decrease deaths and prevent pain caused by colorectal cancer. Several tools may be used, either alone or in combination, to screen for colon cancer:
The first method is stool tests that examine your bowel movements to check for blood. Polyps in the colon and smaller cancers often cause small amounts of bleeding that cannot be seen with the naked eye. The most common one used is the fecal occult blood test (FOBT). Newer stool tests are called the fecal immunochemical test (FIT) and stool DNA test (sDNA).
The second method is a sigmoidoscopy exam. This test uses a flexible small scope to look at the lower part of your colon. Because it only looks at the last one-third of the large intestine (colon), it may miss some cancers. Most healthcare providers recommend that the stool test and sigmoidoscopy be used together.
The third method is a colonoscopy exam. A colonoscopy is similar to a sigmoidoscopy, but it allows the entire colon to be viewed. You will usually be mildly sedated during a colonoscopy.

Screening recommendations for average-risk individuals:

• There is not enough evidence to determine which screening method is best. Discuss with your doctor which test is most appropriate for you.
• Beginning at age 50, both men and women should have a screening test. Some healthcare providers recommend that African Americans begin screening at age 45.

Screening options for patients with an average risk for colon cancer:

• Colonoscopy every 10 years.
• Double-contrast barium enema every 5 years.
• Fecal occult blood test (FOBT) every year - if results are positive, a colonoscopy is needed.
• Flexible sigmoidoscopy every 5 - 10 years, usually with stool testing FOBT done every 1 - 3 years.
• Virtual colonoscopy every 5 years. Virtual colonoscopy combines MRI or CT scans with sophisticated computer software to produce three-dimensional images of the colon and rectum. The test is less invasive than conventional colonoscopy; however, it does involve exposure to ionizing radiation.
• A test called capsule endoscopy (swallowing a small, pill-sized camera) is also being studied, but it is not yet recommended for standard screening at this time.

People with certain risk factors for colon cancer may need earlier (before age 50) or more frequent testing. More common risk factors are:

• A family history of inherited colorectal cancer syndromes, such as familial adenomatous polyposis (FAP) or hereditary nonpolyposis colorectal cancer (HNPCC).
• A strong family history of colorectal cancer or polyps. This usually means first-degree relatives (parent, sibling, or child) who developed these conditions younger than age 60.
• A personal history of colorectal cancer or polyps.
• A personal history of chronic inflammatory bowel disease (for example, ulcerative colitis or Crohn's disease).

Reference: Gastroenterology

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Source: http://www.emaxhealth.com/11306/colonoscopy-screening-has-reduced-incidence-colorectal-cancer

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Human rights group, Christian Bale honour blind Chinese activist with award in US

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Mental Health 101: One woman's search for peace | Health X Pert ...

A decade ago, researchers shocked women around the world when they abruptly halted a landmark clinical trial on hormone therapy, a drug regimen widely used to relieve hot flashes, night sweats, and other unpleasant symptoms of menopause. Just five years in, the study results suggested that hormone therapy increased the risk of several serious health conditions, including breast cancer, heart disease, and stroke. A follow-up study soon added Alzheimer's disease to the list, after finding that women taking hormones had higher rates of dementia than women taking placebo. Since then, however, doctors have begun to reexamine hormone therapy and the conclusions of the trial, known as the Women's Health Initiative. In the latest such study, published today in the journal Neurology, researchers report that taking hormones may actually lower, not raise, the risk of developing Alzheimer's disease. But there's a catch: The timing of therapy appears to be key. The study participants who initiated therapy within five years of starting menopause were 30% less likely than women who never took hormones to develop Alzheimer's later in life. Outside that timeframe, by contrast, hormone therapy increased Alzheimer's risk by a statistically insignificant 3%. Health.com: 25 signs and symptoms of Alzheimer's disease "Among women who started to take hormone therapy around this critical window around menopause, we observed a subsequent reduction in Alzheimer's disease 20 to 30 years later," says senior author Peter P. Zandi, Ph.D., an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, in Baltimore. "But among women who initiated hormone therapy for the first time later in life, we started to see a trend towards increased risk." The new evidence shouldn't be seen as an endorsement of hormone therapy, as the risks associated with the drugs continue to outweigh the benefits for many women. On Monday, in fact, the United States Preventive Services Task Force, an independent panel of experts that advises the federal government on preventive care, restated its recommendation that hormone therapy not be used to prevent chronic conditions, most notably osteoporosis. The panel was silent on the use of hormones for hot flashes and other so-called vasomotor symptoms. Health.com: Can supplements ease menopause symptoms? The new study isn't "a green light to use hormone therapy for Alzheimer's or dementia prevention," says Dr. Victor W. Henderson, M.D., an epidemiologist and professor of neurology at the Stanford University School of Medicine, in Stanford, California. "It does provide some reassurance that if a woman is considering hormone therapy for moderate to severe vasomotor symptoms, concerns about Alzheimer's disease should not impact [her] decision." The study followed 1,768 women in Utah for 11 years, during which time they were screened for dementia on three separate occasions. All of the participants, who were at least 65 years old when the study began, had already passed through menopause but provided detailed information about their hormone use and age at menopause. The idea of a critical timeframe in which hormone therapy may help, rather than hurt, is emerging as a leading hypothesis to explain the seemingly contradictory results of past studies on hormone use. Health.com: Mistakes women make in middle age If the sudden depletion of estrogen associated with menopause weakens the aging brain, potentially paving the way for dementia,taking hormone drugs "may have some softening effect on that transition and?the pathologic chain of events leading to Alzheimer's," Zandi says. But later in life, as Alzheimer's starts to set in, the brain may be a vastly different landscape that responds negatively to hormone therapy, Zandi adds. The timing hypothesis has also been used to explain a similar pattern in the study results on hormone use and heart disease, a condition that appears to share some risk factors and mechanisms with Alzheimer's. Evidence suggests that the effect of estrogen on the cardiovascular system may depend on the system's underlying health, says Henderson, who coauthored an editorial accompanying the new study. Health.com: 7 ways to defy your age, inside and out Timing probably isn't the only factor involved, however. The duration of therapy and the type of hormones used also may play an important role. In this study, the risk of developing Alzheimer's was lowest in women who started hormone therapy early and also continued it for a decade or more. On the other end of the spectrum, the Alzheimer's risk associated with starting therapy later in life seemed to be highest among women who took estrogen plus progestin (common practice for women who still have a uterus), rather than estrogen alone. Finally, hormone therapy in any form may reflect a healthier overall lifestyle, which could have shaped the study results. Although the authors controlled for an array of health measures and behaviors, this type of study, known as an observational study, can't entirely rule out extenuating factors unrelated to hormone therapy. "Women taking hormone therapy were more health conscious in ways we didn't measure and account for," Zandi posits. "That could be a very reasonable explanation." Filed under: Alzheimer?s , Health.com Tagged: Amanda Gardner ? Health.com

Source: http://healthxpert.org/mental-health-101-one-womans-search-for-peace/

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Country duo Love and Theft start over, yet again

NASHVILLE, Tenn. (AP) ? The members of country duo Love and Theft view the last few years as addition by subtraction.

First, they lost their record label. Then Brian Bandas, the third member of their trio, quit. But with a new deal with Sony Music Nashville imprint RCA Nashville and a single chugging up the charts, Eric Gunderson and Stephen Barker Liles love their new lives.

"We're both on the same page," Liles said. "We're way closer friends than either of us were with Brian. We musically have the same influences. We have the same goals and visions with what we want to do with our band."

"And let's be honest," Gunderson joked, "it doesn't take a genius to realize that if you split money two ways instead of three ways, you make more money."

You can't blame Gunderson, 27, and Liles, 28, for feeling nervous upon the release of their self-titled second album, which came out last week. They've been to this point before and had everything fall apart ? twice.

Originally signed by Disney Music Group to Carolwood Records, that imprint was shuttered just a few months after the release of their debut album, "World Wide Open." They moved to Disney's Lyric Street, which was already home to another trio you might have heard of, Rascal Flatts. That label closed in 2010, leaving the band to start over from scratch. They didn't even have the rights to re-record their own music.

"At the time, we were like (the closure) is awesome," Gunderson said. "We don't have to pay anything back. We can go get a fresh start and we've already done all the legwork. But then we kind of realized, oh, it's really not as easy as we thought it would be to go find a label home."

Executives at Sony had looked closely at the band early on and were again interested in signing a deal last year. But on the day the offer came through, Bandas called Gunderson and Liles and told them he was quitting.

They weren't about to give up, though, and tried to convince label executives they were still viable as a duo. As it turns out, Sony agreed.

"I think when you hear Stephen's and Eric's voices together that's the answer right there," Sony Music Nashville President and CEO Gary Overton said.

When Overton first heard the group's work as a trio, he said he liked the music but didn't know who was singing what part. As a duo, Liles and Gunderson still trade off on vocals ? sometimes mid-song ? but there was something more distinctive about Love and Theft's newest incarnation.

"They love to perform," Overton said. "And I talked to our radio staff here and they said they checked them out at radio and radio loves them. But really it just comes down to that music piece. I spent a little time with those guys and I told them I don't care if you're a duo or a trio or anything else, it's just what I love. And they have not disappointed."

Fans have responded, making lead single "Angel Eyes" into a top five hit that's approaching No. 1 and gold sales status. They're making the rounds on television, supporting Brad Paisley on tour and doing all the things they thought they'd be doing three years ago.

Yet, they admit they're having difficulty getting past the feeling that something catastrophic might happen any minute.

"Definitely, after what we've been through," Liles said. "We thought we were out of the tunnel three or four times. We're a little more protective, but we do feel pretty good. We do feel like we're on top of something."

___

Online:

http://www.loveandtheft.com

___

Follow www.twitter.com/AP_Country for the latest country music news from the Associated Press. And follow Music Writer Chris Talbott at www.twitter.com/Chris_Talbott.

Source: http://news.yahoo.com/country-duo-love-theft-start-over-yet-again-104548328.html

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Social Security Column? Take Your Parents On A Meaningful Tour ...

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The 39 Hidden Belief Systems of the Most Successful, Wealthy, and ...

rawksoup.com WARNING: If you have any health problems, especially diabetes, do NOT attempt any of the experiments in this video. See rawksoup.com for the 39 hidden beliefs of the most successful, powerful, wealthy, and happy people on earth. Similar: Tony Robbins Topics: Psychology Self Hypnosis NLP Advanced ?tony robbins? ?anthony robbins? Psychology Self Hypnosis NLP Advanced growth ?self help? ?self improvement? ?personal development?
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Source: http://healthbits.info/2012/08/the-39-hidden-belief-systems-of-the-most-successful-wealthy-and-happy-people-on-earth/

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Irving Mega-Meals: Don't Eat The Whole Thing! | Grand Prairie TX ...

It?s no wonder that many Grand Prairie children and teens struggle with weight issues. What is considered a ?normal? food portion has been getting bigger and bigger. In some cases, as with gargantuan Grand Prairie fast food soft drinks and Irving Costco muffins-on-steroids, it is absolutely ridiculous. And extremely unhealthy.

The findings from three large national surveys demonstrate:

?Hamburgers have expanded by 23 percent; a plate of Mexican food is 27 percent bigger; soft drinks have increased in size by 52 percent, snacks, whether they be potato chips, pretzels or crackers, are 60 percent larger.?¹

Grand Prairie restaurants and Irving food and beverage manufacturers are not the only ones sabotaging our children. Portion sizes have increased in homes, also.

If Grand Prairie parents are going to help their children maintain a healthy weight, learning proper portion sizes is critical. If we don?t know the size of a healthy portion, how can we teach our children?

The Mayo Clinic website has a great slide show that helps Irving parents and other children?s health advocates understand what ?4 ounces? or a ?half cup? actually looks like. You can see it here: http://www.mayoclinic.com/health/portion-control/NU00267

To order a terrific nutritional product for Irving kids, call me today!

JJ Birden?? 480.824.8318?? jjbirden320@adampaulgreen.com

¹John McKenzie, ?Food Portion Sizes Have Grown, A Lot,? ABC News, Jan. 21, 2011, http://abcnews.go.com/WNT/story?id=129685&page=1, accessed on June 28, 2011

Join TeamX88 today!

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TeamX88 is also a fantastic Xocai Powerhouse Cookie home-based business in the Irving area. Texas entrepreneurs can supplement their income by cashing in on a high-demand Texas healthy artisan chocolate market. To learn more about TeamX88, visit http://www.jjbirden.com/.

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Source: http://oractypesofchocolate.jjbirden.com/2012/08/01/irving-mega-meals-dont-eat-the-whole-thing/

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