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Cancer during pregnancy is rare, but is becoming more common. Here’s what researchers think is behind the increase

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Former Alone Australia winner Gina Chick diagnosed from breast cancer just days after checking out she was pregnant. She describes in his last book her experience with chemotherapy and what got here after it.

Fortunately, cancers diagnosed during pregnancy and in the 12 months after delivery are rare. But such cases are becoming more and more common in parts With world, including Australia. Scientists aren’t entirely sure why.

Here’s what scientists know thus far and treatment options.

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Gina Chick talks about life, loss and loneliness in Australia on ABC TV’s Australian Story.

How rare is this?

New South Wales test found that in 1994, for each 100,000 women giving birth, roughly 94 cancers were diagnosed during pregnancy or inside one 12 months of birth. In 2013, this number increased to around 163 per 100,000. Although these statistics are over a decade old, they’re the latest and most rigorous data available in Australia.

Swede from 2023 test pregnancies in the years 1973–2017 showed similar results.

Both studies found that a couple of quarter of pregnancy-related cancers are diagnosed before birth, with the rest diagnosed a 12 months after birth.

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What variety of cancer are we talking about?

First in the UK comprehensive assessment cancer during pregnancy – a review of diagnoses from 2016–2020.

This study, the NSW study and others found that breast and skin cancer (often melanoma) are the most typical cancers related to pregnancy. In this group, there was also a high percentage of thyroid cancer, gynecological cancer (especially cervical and ovarian cancer) and blood cancer.

A UK study found that around 92% of cancers were recent diagnoses and around 82% had symptoms. The majority (81%) were treated with curative intent, and roughly 82% of pregnancies related to a cancer diagnosis resulted in a live birth.

However, 20% of the moms died before the end of the five-year study period. Gastrointestinal cancers were particularly concerning. They were characterised by the highest mortality rate of roughly 46% and were related to diagnosis at a more advanced stage of cancer.

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This could also be because lots of the symptoms of gastrointestinal cancers, resembling abdominal pain, fatigue and acid reflux disorder, overlap with those of pregnancy. In other words, some cancer symptoms may be confused with pregnancy symptoms, “masking” or delaying the diagnosis of cancer.

Breast cancer is considered one of the most ceaselessly diagnosed cancers today.
Production “My Ocean” / Shutterstock

Why are there more and more such cases?

The big selection of cancers that occur during and after pregnancy suggest that there are various aspects involved.

In countries with high socioeconomic status, women have children later in life, and the biggest risk factor for a lot of cancers is age. However, the evidence that age is a serious risk factor for pregnancy-related cancers is inconclusive. This may explain some, but not all, cases.

Another factor could also be increasing usage prenatal genetic testing in early pregnancy. They analyze DNA from the mother’s blood to detect chromosomal abnormalities in the developing fetus. But these tests may also provide details about the mother’s chromosomes. This has led to the diagnosis of Hodgkin’s disease, breast and colorectal cancer in pregnant women without symptoms.

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Estrogen and progesterone are two hormones essential for the growth and development of breast tissue and supporting other points of a healthy pregnancy. They may also contribute to cancer developmentespecially breast cancer. However, it is unclear whether this is related to the increase in pregnancy-related cancers.

Other cancers, resembling skin cancer, have been linked to environmental aspects resembling exposure to UV radiation. Of note, melanoma was the leading pregnancy cancer in the New South Wales study, reflecting the high rate of skin cancer in the local population. Other environmental aspects, resembling smoking and human papillomavirus, have been linked to cervical cancer. Again, we will not be sure whether such aspects are related to the increase in the incidence of pregnancy-related cancers.

Healthcare worker wearing gloves examining the back of a patient with moles
In a study in New South Wales, the most typical was skin cancer.
African Studio/Shutterstock

What happens after the diagnosis is made?

Pregnancy complicates the diagnosis of cancer because any potential treatment for the mother may jeopardize the health and viability of the fetus. So some points of treatment may require adjustment.

Surgery can often be performed in any trimester of pregnancy, depending on the location of the cancer.

Radiotherapy requires careful planning because the effects of radiation on the fetus rely upon the developmental stage at which radiation is administered to the body and on the dose.

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Chemotherapy must be avoided in the first trimester of pregnancy on account of its potential toxic effects on the fetus. It can often be given in the second and third trimester of pregnancy. Chemotherapy must be avoided inside three weeks of birth to cut back the risk of bleeding and infection in the newborn, who might also have a weakened immune system consequently of chemotherapy.

More targeted immunotherapies are typically given to the mother after delivery. Depending on her treatment, she could also be advised to not breastfeed. This is because the medicine can pass from mother to baby through breast milk.

What’s happening to the children?

Reassuringly, data from New South Wales showed no increase in the rate of perinatal deaths given to moms with pregnancy-related cancer.

However, there have been more planned premature births. This is because women are offered induction of labor and/or cesarean section to make it easier for the mother to undergo cancer treatment while also reducing the risks of treatment for the unborn baby.

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There was also the next percentage of babies born with low birth weight and low Apgar scores (indicators of a baby’s condition soon after birth), which were probably related to premature birth.

What do researchers need to know?

We have lots to study why pregnancy-related cancers are rising and what women diagnosed with this cancer can expect.

We also have to mix cancer and obstetrics data in national databases. This would allow us to find out which areas must be prioritized for further research, provide clinical guidelines for cancer screening during and after pregnancy, and help assess responses to screening programs or therapies in the future.

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This article was originally published on : theconversation.com
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Health and Wellness

Why wearing sweat and playing in sudoku can be good measures of your overall health

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While aging is inevitable, good aging is something that we can influence. It isn’t just concerning the number of candles on the birthday cake – whether you’ve got a puff to blow them up, balance to wear a cake and memory to recollect why you’re celebrating.

How we age Our bodies change. Muscle mass shrinks, bones weaken, slow response times. But this doesn’t mean that we’re all intended for the longer term of walks and daytime television.

Aging isn’t about staying free from wrinkles-it will remain independent, mobile, acute mental and social. In gerontology, There is a saying: We wish to add life to years, not only for years of life. This means specializing in quality – the power to do what you’re keen on, move freely, think clearly and enjoy sometimes with others.

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There is not any universal definition, but some easy home tests can provide you with a good idea. It doesn’t require a elaborate laboratory – only a toothbrush, a stopwatch and a way of humor.



Oscillate

One funny (and surprisingly useful) way of testing the balance is to face on one leg when brushing teeth. If you can do it for 30 seconds or longer (eyes open), that is an incredible sign of lower body force, coordination and stability of posture.

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https://www.youtube.com/watch?v=SJ46e0w0w

Found a study 2022 The incontrovertible fact that individuals who couldn’t balance one leg for ten seconds had an 84% higher risk of death in comparison with the median statement of seven years than those that could. As such, balance is like superpower for healthy aging – it reduces falls, supports mobility and can be improved at any age.

Grip

The strength of adhesion is greater than just opening jars. It is a strong overall health indicator, predicting heart health, cognitive functions and even a risk of mortality.

Studies show that for each 5 kg it reduces the strength of grip, risk of death For all reasons, it increased by 16%.

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You can test the grip power using a manual dynamometer (many gyms or clinics have them) or just concentrate to on a regular basis tasks-the bottles, moving food or tools turn into harder?

Floor feat for the feet

Can you sit on the ground and stand up without using your hands? This test is an actual measure of the strength and flexibility of the lower body, that are vital for each day activities and reduce the chance of falls. If you can do it, you’re in great shape.



If it is simply too difficult, try the SIT-to-Stand test. Using a chair (armless), see how much Transition to the Setting on Stand You can do in 30 seconds. This task is a good measure Lower limb function, muscle balance and strengthIt can also predict people threatened with falls AND Cardiovascular problems.

Mental sharpness

Cognitive functions can be measured in alternative ways, but some basic home tests are surprisingly eloquent. Try to call as many animals as possible in 30 seconds. Less than 12 may indicate anxiety; Over 18 is a good sign.

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Try the spelling “world” back or bring a brief list of three elements after a number of minutes. This skill is a vital strategy Increase memory in the elderly. Add a challenge for puzzles, sudoku or learning a brand new skill. This kind of “verbal liquidity” and memory reminder tests are easy ways to detect early changes in brain health – but don’t panic whether it is empty sometimes. Everyone forget where they generally left the keys.

Lifestyle matters

There is not any magic ball for good aging – but when it existed, it might probably be a mixture of exercises, weight loss program, sleep and social connections.

https://www.youtube.com/watch?v=si_tjyyzy0

Hi Best studied strategies activate:

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Daily movement: Walking, resistance training, swimming or tai chi maintain a powerful balance of muscles and bones and supporting the balance and health of the center.

Healthy nutrition: AND Diet in the Mediterranean style – wealthy in full grains, fruits, vegetables, fish, olive oil and nuts – is related to higher brain and heart health.

To sleep: Seven to nine hours of prime quality sleep bracket, resistance and mood.

Connection: Some studies suggest that loneliness is just as harmful as smoking 15 cigarettes a day. Stay involvedJoin the club, volunteer or simply raise your phone to your friend.

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If you can balance one leg when brushing your teeth, wear a potato bag up the steps and name 20 animals under pressure, you’re doing thoroughly. If not (yet), it’s okay, these are skills that you just can construct in time. Aging means a proactive approach to health: making small, consistent decisions that lead to raised mobility, clearer considering and richer social connections.

So tonight give a challenge for one leg to your teeth. Your future self can thanks, especially in the event that they still have all teeth.

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This article was originally published on : theconversation.com
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Health and Wellness

Chloe and Halle Bailey hit St. Lucia – with a children’s halo in the mix

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Chloe and Halle Bailey hit St. Lucia - with a children's halo in the mix

Instagram/@Hallebiley

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They may not sing together now, but Chloe and Halle Bailey are still doing every little thing different together, including for a very needed vacation. The sisters packed their bags and went to Happy Place Chloe, St. Islands Lucia. But it wasn’t just a sister’s escape. Halle took her one -year -old son, Hello, to enjoy the sun and sand (and sleep, after they show photos). They stopped in the wonderful Landing Windjammer center, surrounded by transparent blue waters and greenery. “It was our first sister journey from a minute and we both just wrapped our films, feeling more blessed than ever,” she wrote. Chloe also explained that the center is a personal favorite for her.

“I feel free again in my house, st lucia !!!! Oh, how I missed you !!!” she wrote. “Thank you @windjammerlanding for always taking care of your girlfriend.”

During the holidays, Halle opened to something that many ladies are struggling with – weight gain. The 25-12 months-old singer, who wore swimwear on the pictures of the journey, jumped on Snapchat to debate what she feels about her body after the birth of the child.

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“I’m a bit thicker at the moment than usual. And I do not really know – it’s a bit uncertain of it.

The actress gave birth to her charming twin Halo Granberry in December 2023 with rapper and YouTuber DDG. The former couple separated lower than a 12 months after Halo. During her conversation, Snapchat Bailey shared how her weight hesitated after delivery.

“So I felt like my body was coming back to the place … I thought I did it then, but it was still very free. Now I am 25 years old, I just have the impression:” Oh, the burden is more holding. “Okay.” I did not have time – that is my first break.

Then Bailey shared how recently Tiktok did with her sister Chloe during the journey, she caused a part of her uncertainty about her weight and body weight gain.

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“Yesterday, me and Chloe, we were on the beach and we did the fun of Tiktok and then a little bit of it. Smelling with this text and I asked:” Hey, can you are taking it off because I feel really bad due to my body, “she said. “Some people ask,” Why is it removed? “It’s due to me.

The star then stated that she was going to work to embrace her body and lean into love for himself.

“But today I say,” I’ll feel higher. ” I will not be too much because I was working on a really nice job that I just finished. “So my message for today that I tell myself:” Enjoy the moment. Don’t be too difficult for myself and let yourself live a little and have fun. “

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This article was originally published on : www.essence.com
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Health and Wellness

Black MDS question removing Dei from the criteria of the medical school

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Black doctors, medicaid, low-income patiens


On May 19, the Medical Education Committee (LCME) voted in favor of removing the partnership and variety programs from the assessment criteria for medical schools awarding “MD” degrees, citing growing repression at the level of diversity, equality and integration.

According to the Committee indicated That these repression is contrary to the standards of the accreditation body, and the abandonment of the standards of diversity would allow them to find out “a single set of accreditation expectations with which all schools, regardless of their location and the current legislative environment, must be consistent.”

A spokesman for the liaison committee also said from the market that the committee made a call after “caring and careful consideration and discussion”, but regardless of what made them come to eliminate diversity from assessment criteria, doctors who worked on increasing the diversity in the field of medicine said that this was determining their efforts.

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Dr. Virginia Caine, president of the National Medical Association, a corporation representing black doctors, said that the decision made “stunned”.

“We are simply stunned by this decision made by LCME,” she said, then pointed to research indicating that black patients often have higher health results and are involved more once they are treated by black primary care physicians.

“We have such a rich and amazing story of talented black doctors,” Caine, who can also be the director of the Public Health Department at Marion County, Indiana; He told about the mouth. “If we knock out access before they enter medical schools or academic schools, we will simply be a nation that is not so creative, not so innovative and is not so successful.”

According to numbers from the Medical College Association, although the percentage of black doctors increased from 2.6% in 2019 to five.2% in 2022.

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On May 22, also National Medical Association issued an announcement Convonance of attacks on diversity, equality and inclusion by the federal government.

“Dissemination of federal administration limitation of diversity, equality and integration (DEI) negatively affect access to medical education for the next generation of black doctors. Medical education liaison committee (LCME), ancient medical education schemes, resulting in a physician of medicine, and jointly sponsored by the Association of American medical universities and American universities Medical Association, and voting to eliminate its various programs in the scope of these changes.

In addition, although there are over 150 medical schools in the United States, medical schools at Four Hbcus, Howard University College of Medicine, Morehouse School of Medicine, Charles R. Drew University of Medicine and Science and Meharry University they mainly exceed white institutions As for the production of black doctors, which further emphasizes the Caine point.

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According to Dr. Osose Obeh, who graduated from staying in internal medicine at Johns Hopkins University after graduating from the Michigan State University, the transition from LCME together with the repression of diversity, equality and inclusion is “discouraging”.

“There is an attack on something that is really good,” said Obah. “The variety has been renamed as it gives the opportunity to uncouled people, while in reality exposure to qualified people increases.”

Confirming Dr. Caine’s previous statements about how black patients engage with black doctors, Dr. Obah told about the case when she had to present black patients bad news.

“They (patient’s family) were very grateful that I received it from me,” said Obah. “They understood why we were taking the steps we are taking and why we intend to conduct the interventions we intended to do. They felt as if nobody explained it to them.”

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(Tagstranslate) National Medical Association (T) Medical Field (T) Diversity

This article was originally published on : www.blackenterprise.com
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