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22 Ocak 2017 Pazar

Hypothermia: why most deaths are preventable

Earlier this month the cold snap across Europe claimed more than 60 lives. In Poland temperatures fell to below -30°C in some regions and 10 people died of the cold on 8 January alone. Meanwhile in Greece and Turkey refugees and homeless people suffered greatly in the unseasonably heavy snow. The sad thing is that almost all of these deaths were preventable.


Every winter hypothermia extends its icy grip, causing 25,000 extra deaths per year in England for example. A decrease in air temperature of 1°C causes a 1.35% increase in mortality across Europe, and added up over the years, cold weather has caused far more deaths than any single heatwave event.


Medically, hypothermia is defined as when the body’s core temperature drops below 35°C, bringing about changes in the composition of the blood and raising the risk of cardiovascular diseases, among other things. Older people are particularly vulnerable, along with children and people suffering from other diseases. So how can we better protect people?


A new study carried out in the Lublin region of Poland has analysed what kind of interventions seemed to have the greatest effect. The results, published in the journal Weather, show that it isn’t just the severe cold snaps that we need to worry about. In fact around 70% of cases in their study occurred early in the winter (between October and December), which they speculate may relate to people being less adapted to the cold, and less prepared.


All of us need to dig out our hats, gloves and winter woollies far earlier, and European health authorities need to start taking preventative action from September, they suggest.



Hypothermia: why most deaths are preventable

4 Ekim 2016 Salı

8 Preventable Habits that Can Shrink Our Brain

When you think about it, every thought and action we have is controlled by our brain. These include sleep, digestion, memories, movement and so on.  In my book, Path to a Healthy Mind & Body, I have found preventable habits that can shrink brain size and solutions to this universal problem.  According to Dr. Daniel Amen, “when we are obese, we can have a smaller brain”.  When we are balanced and fit, we have a balanced brain. When we invite health into our gut, we do the same to the brain.  If we have a sedentary lifestyle, our brain will suffer. But, that’s not all.


There are habits we do before age seventy that cause the brain to shrink!  To make matters worse, these same poor habits and toxic exposures can trigger autoimmune disorders. “The brain directly communicates with the gastrointestinal system through the vagus nerve.”(1) This means what we ingest is either feeding or poisoning our brain.


In a Hurry to Lose Our Mind


*Americans eat approximately150 pounds of sugar a year, which can cause decline in brain function. Insulin resistance and obesity has increased in the last two decades not only in adults but in children, with high blood sugar levels decreasing our children’s brain size. Interestingly enough, insulin resistance is found to begin in the brain first.(2) Roundup Ready™glyphosate, along with a western diet has the ability to induce disorders such as obesity, Alzheimer’s and depression.(3) About 422 million people suffer from the depilation effects from diabetes. Diabetes is related to changes in cognitive function and smaller brain size. (4) Advanced Glycation End products result from a domino effect set in motion anytime blood glucose increases. Dr. Agnes Flöel said:  “…even for people within the normal range of blood sugar, lowering their blood sugar levels could be a promising strategy for averting memory problems and cognitive decline as they age.”


*Trans-fats exert an inflammatory effect within the body that creates a stiffening of the arteries and constricted blood vessels. Trans-fats can pass the blood brain barrier and harm our brain. This can lead to less blood flow to the skin and much more serious side effects, leaving our brains smaller. Trans-fats can be found in pie crust, deep fried foods, margarine, canned frosting, non-dairy creamers, popcorn, and much more.  The average human life span can be cut short with AGE’s in the diet from fried and processed foods. There is mounting evidence that Advanced Glycation End Products caused by processed foods may be implicated in the development of the chronic degenerative diseases associated with aging, such as Cardiovascular disease, Alzheimer’s disease and Diabetes.


*Alcohol is not a health food. According to Biological Psychiatry, “alcoholics tend to have smaller brains than nonalcoholics.”(5) A study shows that brain size in alcoholics is also affected by their parents’ drinking, even before the alcoholic’s dependence begins.(6)


*There are myths that disease is caused by a chemical imbalance. And, because of this we are given chemicals to ingest. According to Robert Whitaker, U S Science Journalist, from ‘Anatomy of an Epidemic’, “increasing use of drugs only keeps patients stuck in the SICK role.”  Antipsychotic medications are documented as being linked to brain shrinkage as well as killing brain cells.(7)


*When suffering from depression, the brain does’t lack serotonin. Anti-depressants are big business and offer dangerous side effects that are harmful, including suicide. SSRI’s are associated with and causing brain atrophy.


*Our brain needs cholesterol to thrive. Depression, statin medications and a high-sugar diet causes inflammation and disrupts cholesterol balance, paving the way to a smaller brain size.


*With a diet full of stimulants we have about 1 in 3 people suffering from insomnia. Insomnia decreases brain size (8) and undermines adrenal gland function.


*According to Dr. Joseph McCaffrey, “elevated homocysteine levels directly attack the lining of blood vessels.” One drug of concern is aspirin, that can be hiding out in your medicine cabinet. Aspirin depletes folate acid levels and can interrupt homocysteine levels. An elevated plasma homocysteine level has been reported to be associated with various neuropsychiatric diseases(9) and a smaller brain size.(10)


7 Exposures that Kill Brain Cells


*Exposure to toxins can kill brain cells. Tobacco products, including cigarettes and chewing tobacco called NNK (pro-carcinogen), cause white blood cells in the body’s central nervous system to attack healthy brain cells. (11)


*Ketamine, an anesthetic, has been linked to the death of neurons and neuronal toxicity.  And, believe it or not, Ketamine is currently being investigated as an alternative treatment for depression.(12)


*Taking steroids can lead to elevated levels of testosterone which in turn can kill brain cells. Steroids, an anti inflammatory drug, may be an ingredient in your asthma inhaler.


*Dr. Russell Blaylock, “excitotoxins can excite cells to death.” Aspartame can lead to neuronal destruction and damage by causing brain fluid to thicken.(13) Fluoride can induce DNA damage and cell death “cytotoxicity.”(14) Fluoride can also be linked to Alzheimer’s and Dementia.”(15)


*Oxidative stress is about free radicals that are highly reactive forms of oxygen have an ability to kill brain cells. Why? Because with oxidative stress the body has a hard time detoxifying. “With increased oxidative stress, dopamine dies.”(16) “Dopamine is a neurotransmitter in charge of the brains’ reward and pleasure centers.”(17)


*Chronic Sleep deprivation can cause cell death.(18)


*A poor diet and toxic chemical exposures increases cancer risk. Statistics show 1 in 2 people will be diagnosed with cancer sometime in their life. (19) The drug of choice is Chemotherapy. Chemotherapy kills brain cells.(19a)


Consuming a daily dose of toxins, chemicals, genetically modified foods, refined sugar and poor choices of fats alters our energy and frequency at the cellular level and can lead to early signs of brain disorders and brain atrophy.  The sad news is, research suggest, a sick-brain is now quite common in age groups from 15-44.


The good news is: we can change our brains function and structure throughout our entire life. The Magic of the Mind by Connie Rogers: http://www.lifecoachradionetworks.com/articles/2014/5/28/the?rq=we%20can%20change


Connie Rogers is a Certified Integrative Nutritional Health Coach and Author of Path to a Healthy Mind & Body


Websites: www.bitesizepieces.net


www.thehealthguru.net


Facebook:  www.facebook.com/bitesizepieces


footnotes:


1- http://neurosciencenews.com/lymphatic-system-brain-neurobiology-2080/


2- http://www.sciencedirect.com/science/article/pii/S0006295212003504


3- http://www.mdpi.com/1099-4300/15/4/1416


4- http://www.ncbi.nlm.nih.gov/pubmed/22933440


5- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1940091/


6- http://europepmc.org/abstract/MED/17306776


7- http://www.nature.com/npp/journal/v32/n6/abs/1301233a.html


8- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1978381/


9- https://www.ncbi.nlm.nih.gov/pubmed/21709607


10- https://www.ncbi.nlm.nih.gov/pubmed/18474741


11- http://www.sciencedaily.com/releases/2009/06/090623090400.htm


12- http://www.ncbi.nlm.nih.gov/pubmed/19580862


13- http://universitynaturalmedicine.org/wp-content/uploads/Aspartame-and-Neuordegenerative_Diseases.pdf


14- http://www.hindawi.com/journals/isrn/2012/403835/


15- Fluoride: The hidden poison in the national organic standards by Ellen & Paul Connett Ph.D


16- http://www.ncbi.nlm.nih.gov/pubmed/16475001


17- https://www.psychologytoday.com/basics/dopamine


18- http://www.thecrimson.com/flyby/article/2011/3/25/sleep-yoo-brain-study/


19- http://www.medicalnewstoday.com/articles/288916.php


19a- http://www.urmc.rochester.edu/news/story/index.cfm?id=1312



8 Preventable Habits that Can Shrink Our Brain

23 Eylül 2016 Cuma

Indigenous health: a third of disease suffered is preventable, says study

More than a third of the burden of disease experienced by Indigenous Australians could be prevented, with tobacco and alcohol use, high body mass, physical inactivity, high blood pressure and diet contributing to their illnesses, data released by the Australian Institute and Health and Welfare shows.


The institute examined the number of years of healthy life lost through living with an illness or injury, described as the non-fatal burden, and the number of years of life lost through dying prematurely from an illness or injury, described as the fatal burden.


Using 2011 data from the Northern Territory, Western Australia, New South Wales and Queensland, it found that chronic diseases such as diabetes and heart disease caused 64% of the total disease burden among Indigenous Australians.


Mental and substance use disorders were responsible for 19% of this burden followed by injuries including self-harm (15%), cardiovascular diseases (12%), cancer (9%) and respiratory diseases (8%).


Assoc Prof Aunty Kerrie Doyle from RMIT University’s school of health and biomedical sciences said it was “disturbing” that the third most common cause of deathfor Indigenous people were injuries, such as through suicide, violence including domestic violence, and alcohol poisoning.


“We must address this, it’s just so sad,” she said. “We need to address mental health and social determinants of health, certainly through looking at things like social inclusion, community inclusion.


“We need to think about how we can foster resilience in our Indigenous youth, and we need more mental health clinicians and, specifically, Indigenous mental health clinicians who are trained to the same standards as everyone else.”


While the gap in disease burden between Indigenous and non-Indigenous Australians remained significant, Friday’s report found that between 2003 and 2011 the total burden of disease in the Indigenous population fell by 5%, with an 11% reduction in the fatal burden.


Infant death rates have fallen, which Doyle said was thanks to a reduction in maternal smoking rates, better access to healthcare and effective maternal education programs.


But there was a 4% increase in the non-fatal burden over the same period, suggesting a shift from dying prematurely to living longer with disease.


Prof Ian Anderson, the foundation chair in Indigenous health at the University of Melbourne, said the report was “critical” because it highlighted where governments needed to invest. “Until 2008 there hadn’t been a significant investment in Australia in anti-smoking programs for Indigenous Australians at a national level,” he said.


“Based on an earlier analysis of burden of diseases it was obvious smoking was a major factor in diseases, and as a result the investment was made.”


The Heart Foundation’s spokesman for Aboriginal and Torres Strait Islander heart health, Simon Dixon, said the report highlighted that many barriers existed in regard to service access and delivery of best-practice care. More than one in four Aboriginal and Torres Strait Islander people had problems accessing health services, he said.


“For historical, geographical and cultural reasons, healthcare services remain under-utilised by Aboriginal and Torres Strait Islander peoples,” Dixon said. “As a result, poorer health and lower quality of life become the ‘norm’ until a critical event like a heart attack happens, which, unfortunately, is too late for many.


“It has been estimated that if Aboriginal and Torres Strait Islander peoples achieved the same level of cardiovascular health as non-Indigenous Australians, this mortality gap could be closed by 6.5 years.”


The NT and WA had higher rates of Indigenous burden of disease than NSW and Queensland, the report also found.



Indigenous health: a third of disease suffered is preventable, says study

21 Ağustos 2016 Pazar

May’s obesity ‘plan’ betrays children who face a rising tide of preventable cancer | Harpal Kumar

A year ago the government promised action to tackle the staggeringly high levels of child obesity across the country. A third of our children leave primary school overweight, with a fifth already obese. Obesity in childhood almost always leads to obesity in adulthood.


The government vowed to produce a game-changing strategy that would make a real difference to our children’s health. Just a few weeks ago, following years of joint working with charities and professionals, it was close to launching this strategy. But now, instead of plans to regulate industry, address unhealthy promotions and stop junk food being advertised on primetime TV, we have a 13-page document with few details, a preponderance of voluntary measures and a blatant disregard for the evidence.


Related: The Tories must tackle the real cause of obesity: inequality | Polly Toynbee


The new prime minister entered Downing Street with a pledge to tackle health inequality and to champion the needs of the individual in preference to the “mighty”. Obesity has a disproportionate impact on the poorest in our society. Health inequalities are some of the starkest in the country, and obesity illustrates that perfectly: the poorer you are, the more likely you are to be obese. The new government faced its first test of this pledge with a chance to address inequality and protect the next generation from diseases such as cancer. This plan fails that test. There can be little doubt that cancer prevention has fallen victim to economic scaremongering and industry lobbying.


Last year I was asked to lead a taskforce which developed a strategy to improve cancer services in the NHS. It was clear that one of the first things we needed to do was to reduce the rapidly growing numbers of people diagnosed with cancers that are preventable. Obesity is second only to smoking as the biggest preventable cause of cancer; action on both is needed to have a real impact on the four in 10 cancers that are preventable. If this country doesn’t start tackling obesity now, we will face a burden of disease that we will be unable to cope with. Cancer Research UK has shown that if nothing is done, obesity could cause 670,000 new cases of cancer over the next 20 years in the UK, and millions more cases of other diseases.


An effective strategy needs to be multi-faceted, since obesity is a complex problem. A strong consensus exists on the range of measures necessary. One critical omission in the latest plan is junk food advertising. Academics, medical professionals and health charities have provided the government with clear evidence: children who see junk food adverts are more likely to eat unhealthy food. And if restrictions were in place before the 9pm watershed, children’s exposure to advertising would be more than halved.


Related: Cancer taskforce tells NHS: get up to date and save 30,000 lives a year


The reasons why these adverts are so successful are clear. A range of tactics is used to promote junk food, including cartoon characters, celebrity endorsement and movie tie-ins. Marketing junk food influences both what food children ask their parents to buy and the brands they prefer – setting them up for a lifetime of unhealthy choices.


Some will say parents should be responsible for what their children eat. Parents clearly have a key role, but as a father I know the pitfalls of pester power and how hard it can be for families to shun the tempting junk and ensure healthy food is always on the table. The bombardment of junk food advertising on TV doesn’t help.


The government readily acknowledges that junk food marketing is a problem. It’s already removed junk food adverts during children’s programming. Public Health England’s evidence review is clear that all forms of marketing influence children.


There are elements of the plan we welcome. It does re-affirm a commitment to the soft drinks industry levy, a measure that is tried, tested and popular – and that we want brought in without delay. Increased exercise and healthier eating in schools is also to be applauded. There is a welcome attempt to reduce the amount of sugar that children consume.


But warm words mean nothing without action. And voluntary commitments with no penalties or enforcement will not protect our next generation from cancers or other illnesses. Nor will they reduce the crippling burden of obesity on the NHS. The chief executive of NHS England has said that obesity could “bankrupt the NHS”. This warning has gone unheeded, and children across the UK will be let down.


This plan was delayed by a year, with the government stating it wanted to look at “everything that contributes to a child becoming overweight and obese”. To ignore the impact of marketing and in-store promotions is inexcusable. We need the game-changing strategy we were promised. As it stands, our children will suffer from a rising tide of ill-health due to obesity well into the future.



May’s obesity ‘plan’ betrays children who face a rising tide of preventable cancer | Harpal Kumar

19 Mayıs 2014 Pazartesi

Doctor"s Diary: asthma and preventable death

The Royal College’s report neither cites Prof Turner-Warwick’s paper nor discusses these two unstable kinds of asthma, which are often resistant to treatment and thus a major contributory element to the concern it addresses. This surprising omission would, one particular may think, invalidate its sensationalist conclusion that conscientious medical doctors are to blame for these deaths.


——————


Prolonged reside the ‘queen of poisons’


The limited efficacy of, and daytime sedation soon after taking, medicines for the treatment of neuropathic pain, lately talked about in this column, has prompted a reader to report his encounter with the homeopathic treatment aconite, the “Queen of poisons”, which in big doses “causes nearly instantaneous death” – but is a lot favoured by practitioners as a remedy for sciatica, trigeminal neuralgia and related complaints.


“I have in no way actually believed in homeopathic treatments,” he writes, but he was impressed by aconite’s effectiveness when taken as two tablets every single two hours, in suppressing the “deep, electric-shock-kind pain in my feet”. His signs and symptoms gradually worsened (“at evening, I felt as if a sparkler was exploding beneath my toes”), warranting therapy with the anti-epileptic drug carbamazepine, but the aconite he still finds assists to control exacerbations: “This is no placebo effect.”


———————


Mystery blurring


The girl whose near-sight, initially impaired 1st issue in the morning (so she is unable to go through her copy of The Every day Telegraph), improves later in the day, has prompted a couple of achievable explanations. First, this can be a side-impact of the beta-blocker eye drops timolol, prescribed for decreasing the raised intra-ocular pressure of glaucoma.


Subsequent – and importantly, since it is not broadly recognised – this transient visual blurring is a characteristic signal of Fuchs’ Corneal Endothelial Dystrophy (FCED), named after the Austrian ophthalmologist who first described it. The blurring is due to swelling of the cornea with fluid while asleep, which slowly evaporates during the day – a method that can be facilitated by directing the warm air of a hairdryer, held at arm’s length, at the encounter.


———————–


A quesion of timing


Lastly, a more suggestion on politely but firmly rebuffing those unsolicited dementia-screening interrogations. Just lately, when going to his nearby practice, 1 of our much more senior and distinguished columnists was requested to “answer a handful of questions” – starting up with “the date of the present year”.


“That depends on what calendar yr you are employing,” he responded. “By the Islamic calendar, it is 1434”.


E-mail health-related queries confidentially to Dr James LeFanu at drjames@telegraph.co.uk. Solutions will be published on the Telegraph web site each and every Friday, at telegraph.co.uk/overall health



Doctor"s Diary: asthma and preventable death

13 Mart 2014 Perşembe

Re-Engineering Healthcare To Remove Preventable Deaths

Joe Kiani is a hectic man.  As the founder, Chairman, and CEO of Masimo Corporation, a worldwide medical device manufacturer, Kiani has been a leader in patient safety and healthcare innovation for much more than twenty many years.  Under his leadership, Masimo has grown from a “garage start off-up” into a productive, publicly traded firm employing much more than 3,000 men and women around the world.


Kiani is also the founder of the non-revenue Patient Safety Movement Basis, with a mission to significantly minimize the much more than 200,000 preventable patient deaths that arise in U.S. hospitals every year from medical mistakes and hospital acquired infections (HAI).


With an engineering schooling, Kiani brings a slightly various, and refreshing, viewpoint to the complicated challenges facing the healthcare business.  This diverse viewpoint is what offers him hope that a lot of the essential adjust is achievable and can leverage what has presently been achieved by other industries.  Below are the highlights of my interview with Mr. Kiani.


Joe Kiani, Massimo CEO and Founder of the Patient Safety Movement Foundation.

Joe Kiani, Masimo CEO and Founder of the Patient Safety Motion Foundation (Image Supply: Masimo)



Szczerba:  The lack of interoperability of medical products in clinical environments has been blamed (both rightly or wrongly) for each increased fees and decreased good quality of care.  What do you feel the major impediments to interoperability have been? 


Kiani:  Any time you are dealing with a complex socio-technical system such as health information technological innovation (IT), you’re going to have substantial obstacles to accurate interoperability.


In healthcare, some of the roadblocks contain the sheer range of products, units, and technologies in the patient care method.  From patient diagnostic and monitoring gear, to administrative and electronic overall health record techniques, there are so numerous components that go into the patient care continuum that it is daunting to get so many varied factors to interoperate.


Likewise, varied clinical environments pose a challenge to interoperability.  The demands of a physician’s workplace, an emergency division, a health-related-surgical floor, and house health care are diverse.  Nevertheless, the identical patient may possibly knowledge all of individuals environments for the duration of the program of care.


Nevertheless, some of these issues can be conquer if the healthcare engineering businesses would be ready to share the information that their products collect.  That’s why the Patient Security Motion Basis has called on healthcare technological innovation firms to signal public pledges that they will share their data and make it the patient’s information, which will support develop a “Patient Information Super Highway” for every single patient.


If we can bring the monitors, therapeutic gadgets, and IT all together with intelligent, predictive algorithms in this Patient Data Super Highway, then doctors, along with sufferers and their households, can be informed of dangerous trends lives can be saved and the method of care can be improved substantially, even more lowering cost.


Szczerba:  The classic “blame game” for gadget interoperability issues has companies blaming gadget producers and gadget makers blaming regulatory agencies.  Do you really feel that companies bear some of the accountability with this issue?  If so, what role do you truly feel they need to play going forward?


Kiani:  The regulators are not the difficulty.  And, while I feel suppliers could workout their acquiring electrical power to dictate interoperability, in the long run the health care engineering organizations want to come with each other and supply interoperability answers.  Some healthcare technology organizations and suppliers pursue purchasing practices that create walled gardens, which block information sharing among their goods and distinct techniques.


We’ve been suggesting that Congress must grant the Workplace of the Nationwide Coordinator for Health Info Technologies (ONC) the authority to investigate and decertify merchandise that pursue information-blocking practices.  Whilst respectful of patient privacy laws beneath HIPAA, we should not give incentives or reimbursement to suppliers for purchasing products that do not openly share data with hospitals, sufferers, and all parties that can use the information to enhance patient security.


Technological innovation solutions need to openly share info, specifically when patients’ lives are dependent on it.


Szczerba:  What does the term “integrated clinical system” suggest to you?  Do you think the healthcare sector has a common understanding of what an integrated clinical system is, a lot much less how to develop and validate it?


Kiani:  An integrated clinical method is one particular that accomplishes sets of duties with each other, and offers choice help to all stakeholders.   In a healthcare setting, health care gadgets would report to every other so that the central electronic overall health record and relevant data would be offered to clinicians for the advantage of sufferers.



Re-Engineering Healthcare To Remove Preventable Deaths

2 Şubat 2014 Pazar

Cervical Cancer: Detectable And Preventable


Cancer prevention is a cornerstone of public overall health initiatives. As an example, cervical cancer–if detected early in its course–can be preventable, as effectively as curable.



The United States Congress has designated January as Cervical Wellness Awareness month–and females should be aware that they can get an energetic component in protecting themselves by knowing the methods to the two detect and stop the spread of this sort of cancer.


Vaccination remains the essential prevention of cervical cancer, even though testing for the human papilloma virus (HPV)- a causative agent for cervical cancer- and standard Pap smears represent the techniques to detect and monitor its improvement and progression.


670px-Adenosquamous_carcinoma_high_mag


According to the Nationwide Cervical Cancer Coalition, there are practically twenty million Americans living with HPV, which occurs to be the most common sexually transmitted disease.  HPV is also acknowledged to be a key cause of cervical cancer.




“Cervical cancer screening and prevention has been a single of the excellent triumphs in cancer screening, and in North America has greatly decreased the possibility that a woman will get cervical cancer in her lifetime,” mentioned Dr. Elizabeth Poynor, a gynecologic oncologist and pelvic surgeon at Lenox Hill Hospital in New York City.




Poynor explains that “molecular testing for the human papilloma virus (HPV) has further refined screening algorithms”, and emphasizes that “vaccination for prevention of transmission of HPV has the prospective to additional lower the burden of cervical cancer and its precursors.”


Cervical Cancer: Information and Implications


Cervical cancer develops in the cervix, anatomically defined as the decrease segment or extension of the uterus connecting with the vagina. It is triggered by at least 4 principal subtypes of the human papillomavirus (HPV). In the US, in accordance to information from the Nationwide Cancer Institute (NCI) from 2013, there had been about twelve,000 new cases of cervical cancer and 4,000 deaths.


HPV Testing and Pap Smears


In accordance to the CDC, the Pap smear and HPV check are the two techniques to detect and display for cervical cancer. The Pap smear examines cells from the cervix for specific irregularities and abnormalities that could later produce into cervical cancer if not managed appropriately.


If a Pap smear demonstrates any abnormalities, further follow-up and additional testing is needed. This could involve an HPV test to search for specific subtypes of HPV most probably to lead to cancer as well as a specific type of biopsy of the cervix. It need to be noted that there are far more than 100 particular subtypes of HPV, but not all of the subtypes lead to cancer or infection.


An crucial principle to note is that cervical cancer that is identified earlier is drastically easier to deal with.  Simply because cervical cancer is usually painless it is feasible to be unaware that you have it. As a result,   early detection and evaluation gets to be quite crucial to make certain a woman’s well being.


It is critical to know that the Pap smear is not one hundred% sensitive for detection of cervical cancer.  The smear may not detect cervical cancer in a modest percentage of sufferers.  But, in reality, it usually will take many many years for abnormal cells to turn into cancerous. The excellent information is that typical Pap smears ought to recognize any atypical cells which could turn into cancerous–and consequently the significance of standard screening.  Guidelines have been updated in 2012 and endorsed by The American Cancer Society American Cancer Society, the American Society for Clinical Pathology, and the American Society for Coloposcopy and Cervical Pathology (ASCCP).


In the traditional and originally described Pap smear,  cells scraped from the opening of the cervix are placed onto a glass slide and examined under a microscope.  A a lot more latest technique—which has in huge part replaced the authentic test–involves an automated, so-known as liquid-based mostly Pap assay, whereby the sample is placed in a liquid just before the cells are deposited on a glass slide and examined underneath a microscope.  There are two FDA-authorized liquid-based mostly tests on the marketplace.



Cervical Cancer: Detectable And Preventable