Is it feasible for a quality test to recognize whether a prostate that is sound today makes certain to create disease not far off? What’s more, should consequences of such a test be the reason for expelling an apparently sound prostate organ? Those are questions raised by late press reports of a British man who had his prostate organ evacuated in light of the fact that he conveyed a defective quality called BRCA2. The 53-year-elderly person was partaking in a prostate disease preliminary led by the Institute of Cancer Research.
Hereditary testing has been utilized to control disease treatment for quite a long while. However, it arrived at another stature when on-screen character Angelina Jolie uncovered in The New York Times that she had both of her bosoms evacuated. She did this not on the grounds that she had bosom disease, but since she conveyed a quality called BRCA1 that put her at high danger of creating bosom malignancy in her lifetime. Jolie wasn’t the principal lady to do this, yet was positively the most well known one up until now.
In spite of the fact that press reports compared the British man’s choice to Jolie’s, it’s significant that men comprehend that the examination isn’t altogether substantial.
For a certain something, expulsion of the man’s prostate was not simply preventive, on the grounds that a biopsy had just demonstrated the nearness of early prostate disease. He likewise had a family ancestry of prostate and bosom disease, further raising his hazard over that of the normal man. Under these conditions, numerous men in the United States—and their primary care physicians—may have thought about treatment, regardless of whether they had the BRCA changes or not.
Jolie, conversely, settled on her choice to have the two bosoms evacuated dependent on her BRCA quality status. No biopsy had demonstrated the nearness of beginning time bosom malignancy.
BRCA1 and BRCA2
BRCA1 and BRCA2 have a place with a class of qualities known as tumor silencers. They make proteins that some way or another smother the birth or endurance of disease cells. These qualities were found in genetic BReast CAncer cells, which is the means by which they got their names. From that point forward, transformations in the BRCA1 and BRCA2 qualities have additionally been connected to an assortment of different malignant growths, including ovarian, cervical, uterine, pancreatic, testicular, and prostate tumors. (You can become familiar with BRCA1 and BRAC2 at the National Cancer Institute’s site.)
Results from a global clinical preliminary distributed recently in the Journal of Clinical Oncology found that men with the BRCA2 quality transformation are bound to create forceful and lethal prostate malignant growths.
Should testing for BRCA2 manage whether a man have his prostate evacuated? In spite of the fact that it isn’t presently the sole bit of proof, it might add to the basic leadership process. “In the setting of a solid family ancestry, this could be one extra information guide utilized toward land at a choice,” says Dr. Marc B. Garnick, clinical educator of drug at Harvard-subsidiary Beth Israel Deaconess Medical Center in Boston, and manager of the Harvard Medical School Annual Report on Prostate Diseases. “However, we are not even close to giving any authoritative answers on this inquiry in 2013.”
Attempting to anticipate the advancement of malignant growth before it happens is still in its early stages. Nobody knows whether recognizable proof of a BRCA transformation pursued by prostate expulsion avoids passing and incapacity. “On the off chance that a man chooses to experience prostatectomy or other treatment because of the probability of creating prostate disease proposed by a BRCA test, there are positively no practical information to help such a choice,” Dr. Garnick says. “We have to consider this in more prominent profundity to comprehend the dangers and advantages of such a methodology.”
Such early recognition is particularly tricky for prostate malignant growth. Numerous more seasoned men—maybe most of them—have some malignant growth cells in their prostate organs. In any case, these cells will in general develop so gradually that they never undermine wellbeing or life span. In the event that techniques to wipe out malignancy cells, for example, expelling the prostate or murdering disease cells with radiation, were totally sheltered and powerful, at that point early cautioning would bode well. Be that as it may, they aren’t. Treatment can cause erectile brokenness, incontinence, and others issues. These must be weighed against the theoretical advantage of “preventive” treatment. What’s so extraordinary about fish oil? It’s stacked with omega-3 unsaturated fats. These must originate from sustenance, since our bodies can’t make them.
The two key omega-3 unsaturated fats are docosahexaenoic corrosive (DHA) and eicosapentaenoic corrosive (EPA). Greasy fish like salmon, mackerel, and sardines are wealthy in these omega-3s. A few plants are wealthy in another sort of omega-3 unsaturated fat, alpha-linolenic corrosive, which the body can change over to DHA and EPA. Great wellsprings of these are flaxseeds, chia seeds, pecans, pumpkin seeds, and canola oil.
Omega-3 unsaturated fats assume significant jobs in mind work, typical development and improvement, and aggravation. Inadequacies have been connected to an assortment of medical issues, including cardiovascular malady, a few diseases, mind-set issue, joint pain, and that’s only the tip of the iceberg. In any case, that doesn’t mean taking high portions means better wellbeing and sickness anticipation.
Fish oil enhancements have been elevated as simple approach to ensure the heart, ease aggravation, improve psychological well-being, and protract life. Such claims are one motivation behind why Americans spend more than $1 billion per year on over-the-counter fish oil. What’s more, nourishment organizations are adding it to drain, yogurt, grain, chocolate, treats, juice, and several different sustenances.
Be that as it may, the proof for improving heart wellbeing is blended. In November 2018, an investigation announced in the New England Journal of Medicine found that omega-3 unsaturated fat enhancements did nothing to lessen cardiovascular failures, strokes, or passings from coronary illness in moderately aged people with no realized hazard factors for coronary illness. Prior research detailed in a similar diary in 2013 additionally announced no advantage in individuals with hazard factors for coronary illness.
Be that as it may, when scientists took a gander at subgroups of individuals who don’t eat any fish, the outcomes proposed they may decrease their cardiovascular hazard by taking a fish oil supplement.
Proof connecting fish oil and disease has been everywhere. Most research, including the 2018 investigation refered to above, has not demonstrated any diminished danger of disease. Be that as it may, some previous research recommended counts calories high in greasy fish or fish oil enhancements may diminish the danger of specific malignant growths.
Bring home message
How nourishment, and its segment particles, influence the body is to a great extent a riddle. That utilizes supplements for something besides treating an insufficiency sketchy.
Regardless of this one examination, you should at present think about eating fish and other fish as a sound methodology. On the off chance that we could totally, emphatically state that the advantages of eating fish comes altogether from omega-3 fats, at that point bringing down fish oil pills would be an option in contrast to eating fish. Yet, almost certainly, you need the whole ensemble of fish fats, nutrients, minerals, and supporting particles, instead of the solitary notes of EPA and DHA.
Similar remains constant of different sustenances. Taking even a bunch of enhancements is not a viable alternative for abundance of supplements you get from eating organic products, vegetables, and entire grains.
What would it be a good idea for you to do on the off chance that you presently take fish oil? On the off chance that your primary care physician endorsed them—they are an affirmed and viable treatment for individuals with high blood triglyceride levels—adhere to their guidelines until you can have a discussion about fish oil.
On the off chance that you are taking them all alone in light of the fact that you accept they are beneficial for you, it’s an ideal opportunity to reconsider that methodology. On the off chance that you don’t eat fish or other fish, you may profit by a fish oil supplement. Likewise you can get omega-3s from ground flaxseed or flaxseed oil, chia seeds, pecans, canola oil, and soy oil. One to two servings for each day can enable you to stay away from an insufficiency of omega-3s. Throughout the years, I’ve composed and altered numerous articles for restorative diaries. I need to state I’m presently thinking that its somewhat odd to be on the other side as the subject of such an article (alongside 285 other individuals). Two or three years back, I volunteered to partake in a clinical preliminary testing whether an old, headache medicine like medication called salsalate could help control glucose in individuals with sort 2 diabetes. The consequences of that preliminary, called TINSAL-T2D, are accounted for in the present issue of Annals of Internal Medicine.
Each of the 286 volunteers were given blue pills to take each day for almost a year. Half of us got pills containing salsalate; the others got fake treatment pills. Through the span of the preliminary, those in the salsalate gathering had lower glucose levels, and some were even ready to diminish measurements of different diabetes meds they were taking.
“We were exceptionally satisfied with the discoveries of the TINSAL-T2D study,” said lead creator Dr. Allison B. Goldfine, partner educator of prescription at Harvard-associated Joslin Diabetes Center. “They show that salsalate, a medication that has been promoted for more than 40 years for the treatment of joint pain, could be a cheap extra restorative choice to treat patients with diabetes.”
Aggravation and diabetes
Salsalate is an old medication that is firmly identified with headache medicine. Utilization of these medications and their common antecedent use can be followed back in any event 3,500 years. Today, salsalate is utilized to treat joint pain torment. One bit of leeway it has over headache medicine and other nonsteroidal calming medications is that it doesn’t aggravate the stomach related tract.
Nobody knows precisely how salsalate enables control to glucose. Yet, its viability bolsters that aggravation assumes a job in sort 2 diabetes. Notwithstanding improving glucose control, salsalate brought down checks of white platelets associated with irritation. It additionally helped degrees of adiponectin, a conceivably heart-ensuring protein made by fat cells.
Not prepared for prime time
The TINSAL-T2D results are promising. Salsalate enables lower to glucose. It has a decent wellbeing profile. It has been utilized for a considerable length of time for different purposes. Also, it is moderately reasonable. Be that as it may, it won’t be recommended at any point in the near future for individuals with sort 2 diabetes.
Three wellbeing blips showed up during the preliminary. 1) Those taking salsalate increased a normal of two pounds during the preliminary while those taking the fake treatment lost about a pound. After some time, additional weight can prompt more unfortunate glucose control. 2) Harmful LDL cholesterol ascended around 10 in the salsalate gathering, contrasted with no adjustment in the fake treatment gathering. 3) The measure of a protein called egg whites discharged in the pee was higher in the salsalate gathering. That could be an indication of possibly troubling changes in the kidneys.
What we truly need to think about another or repurposed medication is the manner by which its long haul advantages and dangers stack facing one another. The generally short length of the TINSAL-T2D preliminary and the moderately modest number of volunteers don’t give enough data on that. As per the scientists, more work is required before salsalate can be prescribed for across the board use by individuals with sort 2 diabetes.
A portion of that work is as of now in progress. The TINSAL-CVD study is trying salsalate’s impacts on cholesterol-filled plaque in the corridors that feed the heart. (Coronary illness is the main source of death among individuals with sort 2 diabetes.) If that review demonstrates that salsalate eases back the development or spread of plaque, “a bigger and longer result study would be required before the FDA would give another sign to the utilization of salsalate past its present sign for agony the executives in patients with joint pain,” said Dr. Goldfine.
An individual note
I never saw if I was taking salsalate or a fake treatment. It never truly made a difference. In any case, I got a great deal out of partaking in TINSAL-T2D. I got astounding diabetes care from a connected with diabetes expert (Dr. Goldfine) and preliminary facilitator (Kathy Foster). I encountered direct a few tests I’ve frequently expounded on. I discovered that I had a late-beginning sort 1 diabetes called inactive immune system diabetes of the grown-up, as opposed to type 2 diabetes. What’s more, it felt great to participate in therapeutic research, not simply expound on it.
The story revolves round Madison and her family, having different destinies, fate and view about life, they rally for personal interests, little did they realise they were only running round a globe.
Segregated by religion, Madison and Hassan were forced to call off their blissful relationship, it was indeed a painful quit, but they had little or no option, both families were against them-a flower can’t flourish in a dam of thorns.
Madison was an american lady whose family resided in Nigeria, hassan on the other hand was the Emir of kano’s first son.
After the painful breakup, Madison together with her family left for their home country where she discovered she was pregnant.
Nine months after which she gave birth to a set of identical twins.
The glass was already shattered! She had to raise her kids alone, without hassan’s knowledge.
She named them Michael and Gabriel, they bore her last name; Robertson.
She eventually found love again! This time, a black american.
Everything happened so fast, the got married.
Her new husband died few years into their union, she was once again left alone to cater for her mulattoes- Michael, Gabriel and Nathan.
An american CIA who woke up one morning only to get a burn notice.
An underground crime syndicate operating in Nigeria absorbed him, knowing he was a great asset.
His skills and expertise won him the trust of his boss, love of katarina and jealousy the of a colleague.
Michael fell into a trap, a trap carved out of jealousy, he was killed in a bomb explosion, it was all a set up!
Who was the architect?
The most naive of his brothers, a loving, caring and soft hearted fellow whose identity carved a pain in his neck.
Gabriel had the same physiological make up with Michael, even their mother always mistook one for the other.
The syndicate didn’t believe Michael was dead, Gabriel was mistaken for Michael, he had no option but to replace Michael in the syndicate.
His sole mission was to avenge his brother’s death and sell out the syndicate.
He was drowned by love, lust and power, all which he inherited from Michael’s past.
Would he be able to let go of all these and avenge Michael’s death?
Would the murderer be fished out?
Only he and Michael knew his father was assassinated!
Consumed by grieve, quest for revenge and hurts, he set out to kill everyone involved in his father’s death, he believe his step brother was murdered for a significant reason.
He later found out Gabriel was working for the same syndicate that murdered his dad
Geez! He was working with the police, would he watch the only brother he had left go to jail?
He found himself climbing up the political pinnacle, he found success at the polls, he was sworn in as the president of the republic, his people loved him, but he had enemies within!
In order to clear their coast, they planned to assassinate him.
t was a stormy and thundrous afternoon in the city of Kano.
The cloud was pitch black, threatening to cry. The sun found canopy under the thick cloud, warm but heavy wind blew from the south, tossing away any material that dare stand in its way.
Ranty sounds of thunder permeated the magnificiently designed room, Hassan’s heart beats weren’t helping matters, they seem to be in rythme with the thunder.
Each pump of blood pervaded fear within his being. He swallowed hard for the umpteenth time, boils of sweat tickled down his skin, defying the cold atmosphere.
Hassan paced around like someone whose wife is experiencing her maiden labour.
Its high time he let his father know about his decision to renounce islam- a religion his ancestors had practiced so faithfully.
Yes he knew it won’t be easy but the squeaky wheel gets the grease.
He stuck his legs into his slipper, took in a big gulp of air and reached for the door knob.
He turned it slowly and walked out to the hallway, heading to his father, to meet his fate.
Hassan Abdul-Azeez was first born son of the prominent Abdul-Azeez Usaini xvi the 21st century emir of kano.
The emir so much loved his son that he didn’t want anything to separate them, he had Hassan pass through western education here in Nigeria so he could teach him all there is to know about royalty, his plans was for Hassan to succeed him!
He didn’t want royalty transfered to another family.
Hassan opened the palace door with shaky hands and trembling feet. He had never felt like this before! He spent all his life in the modern palace, why was he having this strange feeling now?
His facial expression script it all, he was greatly worried.
His dad sat on the high and mighty throne with two body guards standing by his right and left respectively.
Four chiefs occupied the chairs below the throne.
The palace was well furnished, it looked nothing less of a modern palace, most of its decos were imported.
“sannun ku” he greeted breathlessly, with his head slightly bowed in respect.
“salama alaikum” the chiefs chorused, meaning “peace be unto you”
Hassan sat on one of the chairs by his right.
The Emir knew the kind of son he had in Hassan, hassan was a core introvert, he wouldn’t show in the palace by this time of the day if he had nothing important to discuss.
“is anything troubling the prince? The emir asked on noticing Hassan’s countenance.
“i request to speak with my dad….alone” came the reply from hassan.
The Emir motioned the brown horse tail he was holding.
Action speaks louder than voice, the guards and chiefs deserted the palace as commanded.
Hassan stared blankly at his dad, he was battling how best to present this to his father.
He sighed. ” father, i want to make an important request”
“go ahead son, you know i’ll do anything and everything for you” replied the king who was oblivious of his son’s request.
Hassan threw his father another quick glance; beyond the royal attaire, he saw a man who had a blazing passion for Islam and wishes all his family members to follow in is footprints.
For a moment, Hassan thought of aborting his plans, he thought against it when he remembered the promise he made to Madison.
No! He can’t afford to loss her…..
“father,,, i….i uhm…..i wish to convert to christianity” he found himself stammering.
At the drop of a hat, the tender smile Emir Abdul was wearing drifted to a heart crushing frown.
Hassan could swear he saw real fire replacing his father’s pupils.
“what did you just say?
The emir got up angrily.
Hassan’s heart skipped, he also got up. “calm down dad…..i…”
“shut up” the Emir shouted, and got into a session of loud coughs.
His heart ached badly, Hassan wished he could swallow back his words, too late to cry when the trigger is pulled.
The Emir fell to the floor helplessly, he had been managing cardiovascular attacks for the past few month now.
Hassan grew red with regret.
he screamed, a guard ran in almost immediatley.Two reports released this week shed light on the current state of type 2 diabetes in this country, and their conclusions are both promising and sobering. First, the good news: An article in The New England Journal of Medicine shows that rates of diabetes-related problems like heart attack, stroke, and lower-limb amputation are down by more than 50% over the last two decades.
Now the bad news: during the same time period, the number of people with diabetes has soared, according to a report in the Annals of Internal Medicine. In the early 1990s, 5.5% of adults had diabetes. By 2010, the number had nearly doubled, to 9.3%. That translates into about 21 million American adults living with diabetes.
Although Americans are doing a better job of controlling their diabetes, they’re falling far short at preventing it. “The major reason why the prevalence of diabetes is going up is an increase in the number of people who are overweight and obese,” explains Dr. Osama Hamdy, medical director of the Obesity Clinical Program at the Harvard-affiliated Joslin Diabetes Center and author of The Diabetes Breakthrough, a newly published book from Harvard Health Publishing.
Nearly 70% of Americans are overweight or obese. And unless something is done to reverse this trend, millions more could edge closer to diabetes.
The obesity–diabetes connection
To describe how being overweight contributes to type 2 diabetes, Dr. Hamdy uses an automotive analogy. “You have more tissue in your body, so you require more glucose [sugar]. Just as if you have a bigger car, you need more gas,” he says. Insulin—the hormone that moves glucose from the blood into the tissues for use and storage—is like the key to that car.
The more sugar that enters the blood, the more insulin is needed to drive it to its intended destination. The pancreas can pump out extra insulin to meet the need, but over time, the body becomes increasingly less sensitive to it and the pancreas eventually reaches its insulin-producing limit. “Then you get diagnosed with type 2 diabetes,” Dr. Hamdy says.
The upside is that the process can be reversed. When you lose weight, you have less tissue, which means you need less sugar—and therefore less insulin. “You become more efficient, like a hybrid car,” says Dr. Hamdy.
In his own research, he’s found that losing just 7% of your body weight can improve insulin sensitivity by about 57%—more than diabetes drugs can usually do. “What we have seen is that once people start to lose weight in the very early stages of diabetes, they can actually reverse the entire course of the disease,” Dr. Hamdy says.
Minor changes, big results
The ability to reverse diabetes might seem dramatic, but the lifestyle changes needed to achieve it aren’t. The cornerstones of diabetes prevention—diet and exercise—can be easily incorporated into even the most hectic schedule.
Take exercise, for example. “Most people don’t know that if you do short bouts of exercise it is even more efficient than if you do longer bouts,” says Dr. Hamdy. People who can’t carve out time to get to the gym could actually see greater results just by incorporating three 10-minute exercise sessions into their everyday routine.
Here’s a sample schedule:
In the morning when you wake up, stretch for 10 minutes.
After you eat lunch, take a brisk 10-minute walk.
After dinner, strength train with light hand weights or an exercise band for 10 minutes.
Those three 10-minute sessions provide stretching, aerobics, and strength training—all essential components of a well-rounded workout. And if you do them every day, they add up to 210 minutes of activity a week.
An unhealthy diet can also be transformed with a couple of basic fixes. One is to divide your plate into three sections:
Fill one with lean protein—fish, legumes, beans, tofu, or skinless chicken
Fill another with green vegetables—spinach, broccoli, kale, or Brussels sprouts
Fill the third with whole grains—whole-wheat bread, brown rice, quinoa, etc.
The other part of the diet fix is learning how to listen to hunger and satisfaction cues to control portion sizes. Dr. Hamdy recommends assessing your hunger based on a five-point scale:
The goal should be to sit down to a meal when you’re hungry, and stop eating when you’re satisfied.
Preventing diabetes can be done, but it takes a real commitment to change. And until more people are willing to change their eating and exercise habits—and pass those habits on to their children—the obesity and diabetes rates will continue to rise.
A huge number of clinical preliminaries are needing volunteers. On the off chance that you are keen on taking an interest in one, investigate ClinicalTrials.gov, set up together by the National Institutes of Health. It records the almost 70,000 clinical preliminaries now in progress in the United States.