Women with mutations in the BRCA1 or BRCA2 genes can significantly reduce their risk of certain types of cancer by having their ovaries removed, according to a study in the July 12 issue of JAMA. Women with a harmful mutation in the BRCA1 or BRCA2 gene have a high lifetime risk of ovarian cancer (range, 15 percent-54 percent), and mutations in either of these genes increase susceptibility to cancers of the ovary, fallopian tube, and peritoneum (abdominal lining), according to background information in the article. Women with this mutation are often advised to undergo preventive oophorectomy (surgical removal of the ovaries). The effectiveness of this intervention has not been prospectively evaluated in a large group of patients. Steven A. Narod, M.D., of the Toronto-Sunnybrook Regional Cancer Center, Toronto, Ontario, and colleagues conducted a study to determine the absolute risks for developing ovarian, fallopian tube, and peritoneal cancers in a group of BRCA1 and BRCA2 mutation carriers and estimated the risk reduction associated with salpingo-oophorectomy (surgical removal of the ovaries and fallopian tubes). Women known to carry a BRCA1 or BRCA2 mutation were identified from an international registry between 1992 and 2003. A total of 1,828 carriers at 1 of 32 centers in Canada,discount trx suspension trainer, the United States, Europe, and Israel completed questionnaires at baseline and follow-up. Participants were observed from the date of study entry until: diagnosis of ovarian, fallopian tube, or peritoneal cancer; death; or the date of the most recent follow-up. After an average follow-up of 3.5 years, 50 new ovarian, fallopian tube, and peritoneal cancer cases were reported in the group. Of the 1,828 women, 555 (30 percent) underwent preventive removal of the ovaries and tubes prior to study entry, 490 (27 percent) underwent the procedure after entering the study, and 783 (43 percent) did not undergo the procedure. There were 32 new cancers diagnosed in women with intact ovaries,trx training bands. The estimated cumulative incidence of peritoneal cancer is 4.3 percent at 20 years after oophorectomy. The overall (adjusted) reduction in cancer risk associated with bilateral oophorectomy is 80 percent. The researchers estimated the risk of ovarian cancer to be 62 percent for BRCA1 carriers and 18 percent for BRCA2 carriers in women up to age 75 with both ovaries intact. "Women who carry a mutation in the BRCA1 gene are asked to consider prophylactic bilateral salpingo-oophorectomy at age 35 or thereabouts,weider x factor home gym, in order to reduce the risk of ovarian, fallopian tube, and breast cancer. Our observations support this recommendation. It may be reasonable to wait until a time closer to menopause to prevent ovarian and fallopian tube cancer in BRCA2 carriers but this delay will diminish the level of protection offered against breast cancer in this subgroup," the authors write. "We estimate the magnitude of the risk reduction [from preventive removal of the ovaries and tubes] to be approximately 80 percent and the residual risk of 4 percent of peritoneal cancer is not sufficiently high to recommend against the procedure. It is important that both the fallopian tubes and ovaries be removed because either site may be the origin of cancer and both organs should be examined in fine detail to rule out the presence of microscopic disease," the researchers conclude. (JAMA,trx wall mount. 2006;296:185-192.) ### Editor's Note: This work was supported by a grant from the Canadian Breast Cancer Research Alliance and from the National Institutes of Health. Contact: Steven A,suspension exercise straps. Narod, M.D. JAMA and Archives Journals Tea beverage and tea drinking the same but taboo HPV Screening, Vaccination Efforts Should Be Unified, Women'

Low testosterone levels may be associated with a higher risk of falling in older men, according to a report in the October 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. The level of testosterone in a man's blood--including the amount that is bioavailable,aerosling suspenstion trainer, or able to be used by the body--declines as he ages,trx at home, according to background information in the article. Some researchers have speculated that this decline in sex hormone levels contributes to health conditions associated with aging; however, few studies support this notion. Muscle weakness and muscle loss are two adverse events that often occur with age and are known to increase the risk of falling among older adults. Eric Orwoll, M.D,trx shop., Oregon Health & Science University, Portland,trx force training kit, and colleagues studied 2,587 men age 65 to 99 (average age 73) who enrolled in the Osteoporotic Fractures in Men (MrOS) Study between 2000 and 2002. At the beginning of the study, blood samples were taken and participants filled out questionnaires about their medical history, medications and lifestyle habits. The men completed several physical performance tests, including those assessing grip strength, leg power and balance. Every four months, they reported whether they had fallen and if so, how many times. During the course of the study, which continued until March 2005, 56 percent of the men fell at least once. Those with lower bioavailable testosterone levels were significantly more likely to fall and to fall multiple times than those with higher levels--among the one-fourth of participants with the lowest testosterone levels, the risk for falling was 40 percent higher than among the one-fourth with the highest testosterone levels. The association was stronger in younger men (ages 65 to 69) and not apparent in men older than 80. The association remained the same when the researchers factored in the scores on physical performance tests. "Bioavailable testosterone concentration is associated with measures of physical performance, but the association of testosterone level to the risk of falling is apparent regardless of physical performance," the authors write. "Thus, the mechanisms by which testosterone level affects the propensity to fall may involve other pathways." For example, low testosterone levels could impair vision, thinking processes or coordination, increasing the risk for falls. "These findings strengthen the link between testosterone and the health of older men, suggesting that the effects of testosterone on fall risk may be via novel mechanisms and provide insight into how testosterone measurements might be useful for identifying men at higher risk for adverse events," the authors conclude. "Moreover, these results provide additional justification for trials of testosterone supplementation in older men and should aid in the design of those studies." ### (Arch Intern Med. 2006,trx pro;166:2124-2131.) The MrOS Study is supported by the National Institutes of Health. The following institutes provide support: the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the National Institute on Aging, the National Institute for Dental and Craniofacial Research, the National Cancer Institute and the National Center for Research Resources. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc. Contact: Jonathan Modie JAMA and Archives Journals Tea beverage and tea drinking the same but taboo HPV Screening, Vaccination Efforts Should Be Unified, Women'

5 (1 votes) The Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR), a joint effort of the American Society for Gastrointestinal Endoscopy (ASGE) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), announces the completion of the first transoral and transvaginal cholecystectomies (gallbladder removal) using Natural Orifice Translumenal Endoscopic Surgery (NOTES) in a multicenter human trial in the United States,trx wholesale. Santiago Horgan, MD, at the University of California, San Diego School of Medicine, removed the gallbladder of a patient through the mouth and John Romanelli, MD, Baystate Medical Center in Springfield,trx suspension trainer force kit, Mass., removed the gallbladder of a patient through the vagina as part of the NOSCAR®,x factor door; human trials. NOTES is performed by using the patient's natural openings for surgery. These human trials are the first in the world comparing oral and transvaginal NOTES to traditional laparoscopy. "NOSCAR congratulates Drs. Horgan and Romanelli for these major accomplishments. These are the first NOTES transoral and transvaginal cholecystectomies in a U.S. multicenter human trial and are a big step forward in the evolution of this revolutionary procedure,cheap trx bands," said Michael L. Kochman, MD, NOSCAR Research Subcommittee co-chair. Cholecystectomy or gallbladder removal is one of the most common surgeries in the U.S.; approximately 750,000 are performed annually. This study uses the mouth or vagina as routes to the gallbladder. Rather than making up to five incisions in the abdominal wall, tools are passed down the mouth and through a hole created in the stomach (transgastric) or through the vagina (transvaginal). Dr. Horgan opted to make a tiny incision in the stomach, requiring no stitches, to pass a camera and to inflate the abdomen for optimal safety and visibility. The actual gallbladder removal was performed entirely through the mouth. Dr. Romanelli also made a small abdominal incision for similar reasons as Dr. Horgan, to ensure the safety of the procedure. He extracted the gallbladder through the vagina. "We are excited to announce the completion of the first transoral and transvaginal cholecystectomies in the NOTES human trials. UCSD and Baystate Medical Center are at the forefront of NOTES research and their participation in these human trials is providing invaluable knowledge that is taking NOTES to the next level,trx pro pack p2," said Steven D. Schwaitzberg, MD, NOSCAR Research Subcommittee co-chair. The human trials were announced last summer and began earlier this year. The prospective multicenter trial compares NOTES cholecystectomy versus conventional laparoscopic cholecystectomy. NOSCAR has granted funds to selected institutions to conduct these trials. Institutions participating in the trial have demonstrated a strong commitment to developing the basic science that forms the foundation of NOTES and have already performed human NOTES cases under an Institutional Review Board protocol; approximately 200 patients will be enrolled in the clinical trial. Until now, NOSCAR research efforts have focused on basic research. Continuing research commitments from industry partners Ethicon Endo-Surgery, Olympus America Inc., Stryker Medical and KARL STORZ Endoscopy-America are providing funds to support the human study in this emerging transdisciplinary therapy. ACI, a Clinical Research Organization based in Pennsylvania, has been retained to provide data collection and report preparation services for the study. Source: Anne Brownsey American Society for Gastrointestinal Endoscopy MLB Teams With Greater Circadian Advantage Are More Likely T Boost Fitness, Pediatrics West To Help Fight Obesity In Area

China's Ministry of Health in a recent statement that it will regulate the country's fertility sector to reduce the illegal use of surrogate mothers and sperm donors, Reuters reports. According to the health ministry, the move is to ensure that fertility clinics are not putting profits ahead of public health. "There are cases of illegal trade in embryos from time to time," the health ministry statement said, adding, "The lack of management over the issue will slow down the development of technology and also harm people's right to health,trx force kit." State media recently reported that stress, pollution,where to buy trx, smoking and women undergoing multiple abortions were leading to an increase in infertility,trx force training kit, which could potentially affect 10% of Chinese couples, Reuters reports. Health officials "should take concrete measures to prevent the technology used for human fertility and sperm banks from being commercialized and industrialized," the statement said. It added that the "numbers of the places that can use this technology should be strictly controlled" and that people who collect or provide sperm without authorization should be "severely punished" (Reuters [1], 6/1). Chinese Vocational School Ends Compulsory Pregnancy Tests for Students In related news, a vocational college in Urumqi, China, has stopped requiring compulsory pregnancy tests for its students due to privacy concerns, state media reported Friday,trx on sale, Reuters reports,trx suspension training system. College officials defended the policy arguing that it is the school's responsibility to the students and their parents. According to Reuters, 80% of new students at the school are ages 17 and 18. The college previously gathered groups of female students in the hallways to provide urine samples to physicians. Headmaster Wang Hongli said the school felt it was necessary to limit the number of unplanned pregnancies, adding that none of the parents opposed the policy. Wang said the college will end the requirement because of privacy considerations, adding, "Public pressure is just too great" (Reuters [2], 6/1). "Reprinted with permission from You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved. Atrial Fibrillation A Risk Factor In Later Life For Middle-A V-DAY, UNICEF Call For End To Rape, Sexual Torture Against G

1 (1 votes) The following highlights recently released journal articles on women's health issues. Pregnancy & Childbirth "Neonatal Mortality and Morbidity Rates in Term Twins With Advancing Gestational Age," American Journal of Obstetrics and Gynecology: Jennifer Soucie and colleagues at the University of Ottawa's OMNI Research Group examined the records of 60,443 twins born between 1995 and 1997 in the U.S. after at least 37 weeks' gestation (BBC News, 8/11). The study finds that infants born after 40 weeks' gestation are more than 2.5 times as likely to die as twins born at 37 weeks' gestation. In addition, twins born after 40 weeks' gestation have a 74% higher chance of having low Apgar scores -- which measures heart rate, breathing, muscle tone, color and response to stimulus -- as twins born at 37 weeks' gestation. There is no significant change in the mortality rates of infants born at 38 or 39 weeks' gestation, compared with those born at 37 weeks' gestation. In addition, infants born during week 39 of gestation are 17% less likely than infants born at 37 weeks to require breathing assistance. The researchers concluded that twin infants should be delivered at less than 40 weeks' gestation but that there is not "compelling evidence" that they should be delivered at less than 38 weeks' gestation (Reuters Health, 8/10),trx trainer for sale. "Cost-Effectiveness Analysis of Levonorgestrel Intrauterine System and Thermal Balloon Ablation for Heavy Menstrual Bleeding," BJOG: P,trx suspension for sale.M. Brown of the University of Auckland and colleagues compared the cost-effectiveness of levonorgestrel intrauterine system and thermal balloon ablation in 79 women seen at a menstrual disorders clinic at National Women's Hospital in Auckland, New Zealand, for the treatment of heavy menstrual bleeding. Forty women received the levonorgestrel-releasing IUD, and 39 women underwent thermal ablation -- a procedure that involves inserting into the uterus a balloon, which is then inflated and heated to destroy endometrial tissue lining the uterus. The study finds that women who receive the IUD system have better "quality of life" and report less bleeding than those who undergo thermal ablation, Reuters Health reports. In addition, the study finds that cost for the IUD therapy is $869, compared with $1,693 for the thermal ablation treatment. According to the researchers, the IUD system showed "better outcomes ... although the differences are slight." The IUD system "should be considered an effective alternative for the treatment of heavy menstrual bleeding," the researchers concluded (Reuters Health, 8/11),trx straps for sale. "Risk of Stress Urinary Incontinence Twelve Years After the First Pregnancy and Delivery," Obstetrics & Gynecology: Lars Viktrup of Eli Lilly and the University of Copenhagen and colleagues asked 241 women during their first pregnancy and 12 years after to complete questionnaires about stress urinary incontinence, or urine loss as a result of stresses, such as laughing or coughing. The researchers found that 102 of the women, or 42%, reported incontinence 12 years after their first pregnancy. About 56% of the women who had incontinence during their first pregnancy had incontinence 12 years later, compared with 78% who experienced incontinence shortly after delivery and 30% who had no initial symptoms. The study finds that although it is unclear what causes incontinence during or after a pregnancy, women who experience it during or shortly after their first pregnancy have a greater risk of developing the condition in the long term (Reuters Health, 8/14). Preterm birth, Proceedings of the National Academy of Sciences: Jerome Strauss, dean of Virginia Commonwealth University's School of Medicine, and colleagues discovered a variant in a gene that directs the production of collagen and is a found in the amniotic sac that lines the uterus of a pregnant woman. Women who are carriers of the variant gene are more apt to rupture the amniotic sac, the Chicago Tribune reports. According to Roberto Romero,trx fitness training, chief of perinatology research at NIH's National Institute for Child Health and Human Development, the "premature rupture of membranes" causes about 40% of premature births in the U.S. The study finds that the variant gene and sac ruptures are more common in black women. "We're not saying this gene causes prematurity," Strauss said, adding, "But it could be a contributor, along with other genetic and environmental factors" (Graham, Chicago Tribune, 8/22). Public Health "Increased Breast Calcifications in Women With ESRD on Dialysis: Implications for Breast Cancer Screening," American Journal of Kidney Disease: Mario Castellanos of the Staten Island University Hospital and colleagues compared the mammograms of 45 women who were on hemodialysis with a control group of 86 age-matched women with normal kidney function (Reuters Health, 8/21). Researchers reported a "statistically significan[t] increase" in the total number of breast calcifications in the group with decreased kidney function, compared with the control group (American Journal of Kidney Diseases, 8/21). Among women in the dialysis group, 84.4% developed breast calcifications, compared with 59.0% of women in the control group, the study finds. The researchers concluded, "Every woman on dialysis therapy should be referred for screening mammography, and the physician taking care of these patients should be aware of the slightly increased risk for workup and possibly resultant psychological stress after screening dialysis patients" (Reuters Health, 8/21). "Tobacco Control Policies: Do They Make a Difference for Low SES Women and Girls?" Journal of Epidemiology and Community Health: Policies that aim to reduce secondhand smoke exposure have been less effective for girls and women of lower economic status than for people of higher economic statues, the report finds. The American Legacy Foundation in the report finds that tobacco control polices have led to a reduction in secondhand smoke exposure for many U.S. residents, and policies such as higher prices have helped to reduce smoking among lower-income women. The report also says women who do not complete high school or who have "blue-collar" jobs are less likely than other women to live in homes without smoke, CQ HealthBeat reports (Abruzzese, CQ HealthBeat, 8/11). "Optimism, Distress, Health-Related Quality of Life, and Change in Cancer Antigen 125 Among Patients With Ovarian Cancer Undergoing Chemotherapy," Psychosomatic Medicine: Janet de Moor of the Ohio State University School of Public Health and colleagues examined the outlook of 90 women with epithelial ovarian cancer at the beginning and end of chemotherapy. De Moor, who conducted the study while at the Dana-Farber Cancer Institute, analyzed the participants' self-reported feelings of optimism and distress, as well as aspects of health-related quality of life among the women, and compared their findings with the women's cancer antigen 125 levels (de Moor et al., Psychosomatic Medicine, 8/1). Decreases in CA 125 levels are used to determine the probability of remission and survival in women with ovarian cancer, Reuters Health reports (Rauscher, Reuters Health, 8/15). According to the study, women who reported higher levels of optimism at the start of chemotherapy experienced greater decreases in anxiety, distress and CA 125 levels than those who reported lower levels of optimism (Psychosomatic Medicine, 8/1). "It is important for health care providers to identify patients who feel less optimistic about life and their cancer and treatment because this population may be vulnerable to distress, diminished quality of life and suboptimum clinical outcomes," de Moor said, adding, "Patients who are less optimistic may benefit from interventions to help them cope with their cancer diagnosis" (Reuters Health,x factor door, 8/15). "Reprinted with permission from You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved. Blood Pressure In Postmenopausal Women May Be Improved By So Miracle Athlete Shad Ireland Set To Become First Dialysis Pa

5 (1 votes) A 3 gram reduction in a person's dietary intake of salt would result in over a 20% drop in deaths from stroke and over a 15% fall in deaths from heart disease As heart disease and stroke are the world's number one killer, causing 17.5 million deaths every year, eating half a teaspoon less of salt each day could save millions of lives. High blood pressure or hypertension is the biggest single risk factor for heart disease and stroke and currently affects more than a billion people worldwide. However by the year 2025 it is estimated more than 1.5 billion people, or nearly one in three adults over the age of 25, will have high blood pressure. This is why this year's World Heart Day taking place on Sunday 28th September is urging people to take action and visit their health-care professional to "Know Your Risk!" "I know my heart is the strongest, most important muscle in my body and a winning performance depends on its vitality," said Stefano Baldini, Olympic marathon gold medal winner. "Having a healthy diet will help keep my heart young and my career long." There are several factors which increase the risk of developing high blood pressure, including the excessive consumption of salt. "However, by adopting lifestyle changes hypertension is controllable," says Professor Shahryar Sheikh, President of the World Heart Federation. Avoiding foods high in salt, refraining from adding salt and being aware of the salt content of food in restaurants and processed foods, could potentially reduce salt consumption by 3 grams a day. Risk factors for heart disease and stroke include high blood pressure, cholesterol and glucose levels, smoking,suspension training straps, inadequate intake of fruit and vegetables, overweight, obesity and physical inactivity. Taken together, these major risk factors account for around 80% of deaths from heart disease and stroke. "Not enough of us are aware whether our own lifestyle and heritage could be contributing to our risk of developing heart disease and stroke. It is never too early and never too late to start taking care of your heart," says Professor Sheikh. Commenting on why using World Heart Day as a catalyst for change is so important, Danica Patrick, who recently won her first IndyCar series race said: "I have probably taken more risks than most, driving in IndyCar races. However I've never taken any risks with my heart and I have a check-up on a regular basis and I would urge everyone to do the same." Professor Sheikh adds: "By finding out your level of risk you are taking a simple but significant step towards living a longer and better life." It is possible to develop high blood pressure at any age and there are no obvious symptoms. The only way to know if you are at risk is to visit a health-care professional for a check-up. This is why this year's World Heart Day taking place on Sunday 28th September is urging people to visit their health-care professional to "Know Your Risk!" In its ninth year, World Heart Day is run by the World Heart Federation's member organizations in over 100 countries with many thousands of people expected to join in events this year. World Heart Day activities will include health checks, organized walks, runs and fitness sessions, public talks, stage shows, scientific forums, exhibitions, concerts, carnivals, and sports tournaments. Heart disease and stroke cause the equivalent of more than one death every two seconds, as many deaths as HIV/AIDS, tuberculosis, malaria and diabetes, all forms of cancer and chronic respiratory disease combined. There is a vast public misperception and disproportional lack of attention paid to people's risk of heart disease and stroke in relation to more sensational health issues. As a result, people tend to overestimate the number of deaths from rarer and infrequent risks while underestimating those from more common causes such as heart disease and stroke. This is also why Scott Dixon, this year's winner of the Indianapolis 500, is supporting World Heart Day. Scott said: "As an IndyCar Series driver I go wheel to wheel every Sunday at 220 mph but I don't want to take risks with my heart health and I therefore see my health-care professional for regular check-ups. World Heart Day is a great initiative and I'm pleased to be a part of it." For more information about World Heart Day 2008 and events happening near you, visit: How to reduce salt in your diet The UK Food Standard Agency ( provides the following dietary tips to make sure people do not consume excess salt and to help protect them from heart disease and stroke. Hidden salt When most people think of salt, they think of shaking it on their food, or adding a pinch to cooking. However, you also need to be careful about the salt you can't see. The World Health Organization recommends a maximum quantity of 5 grams of salt a day, which is about a teaspoonful. This is not a large amount, especially when you consider that 75% of the salt we eat is already in the food we buy. Therefore, before you assume that you don't eat too much salt, take a look at what you're buying, as well as how you use salt at home. Tips on reducing salt in your diet There are a lot of simple ways to reduce the amount of salt you eat, whether you're cooking or choosing food at the shops. Try not to add salt automatically when you're cooking or about to eat. Often people only use salt out of habit. When you cook, there are lots of ways to add flavor to your cooking without using any salt. - Add fresh herbs, use black pepper, garlic, ginger, chili and lime in stir fries. - Marinate meat and fish in advance to give them more flavor. - Roast vegetables such as red peppers,trx resistance training, courgettes, fennel, parsnips and squash to bring out their flavor. When you eat, there are lots of ways to eat less salt. - Choose healthier breakfast cereals. Try puffed wheat, wheat biscuits or muesli with no added salt. - Snack on plain popcorn or unsalted nuts and seeds, instead of crisps or crackers. - Go easy with ketchup, soy sauce, mustard, pickles and mayonnaise - these can all be high in salt. - When you have a salad, use only as much dressing as you need. Some dressings can be high in salt. When you buy food, find out the amount of salt in foods, you normally eat. You will then discover how easy it can be to eat more than 5 grams,trx force kit. One of the simplest ways to cut down on salt is to compare foods and choose those which have a lower salt content whenever you can. A quick way to tell if a food is high in salt is by looking at the nutritional information on the label: - High is more than 1,trx discounts.5 grams salt per 100 grams (or 0,trx suspension trainer pro.6 grams sodium). - Low is 0.3 grams salt or less per 100 grams (or 0.1 grams sodium). About the World Heart Federation The World Heart Federation is a nongovernmental organization based in Geneva Switzerland dedicated to the prevention and control of heart disease and stroke, with a focus on low- and middle-income countries. It comprises 196 member societies of cardiology and heart foundations from over 100 countries covering the regions of Asia-Pacific, Europe, East Mediterranean, the Americas and Africa. 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The American College of Sports Medicine (ACSM) today released an updated Position Stand, Exercise and Fluid Replacement, placing emphasis on customized or individualized hydration regimens and offering details on hydration before, during, and after exercise. The official ACSM pronouncement is published in the February 2007 issue of Medicine & Science in Sports & Exercise, the official journal of the American College of Sports Medicine. The new guidelines represent a summary of research and knowledge of fluid replacement (fluid-electrolyte needs) and the impact of fluid replacement on exercise performance and health. New to this version, a Strength of Recommendation Taxonomy (SORT) is included to document the strength of evidence for each conclusion and recommendation. Exercise and Fluid Replacement replaces the prior statement published in 1996. "One hydration guide does not fit every person, sport, or event," said Michael Sawka, Ph.D., FACSM, writing group chairman of the revised Position Stand. "This latest recommendation from ACSM provides tools to create customized fluid replacement programs that prevent excessive dehydration and hyponatremia." Among other recommendations, the Position Stand emphasizes: -- Considerable variability exists among individuals, different physical activities,trx suspension trainer pro, and environmental conditions,trx best price. Each person will have different and variable water electrolyte losses, so each person should customize their hydration strategies. Sweat rates and electrolyte losses vary based on individual characteristics including, but not limited to, body weight, genetic predisposition, and metabolism. Also, air temperature, humidity, clothing, and the type of activity are factors in determining sweat losses and rehydration needs. Specific formulas and calculations are offered to guide individuals in assessing these factors. -- Fluid replacement before exercise, if needed, is meant to start the physical activity at "normal" body water and electrolyte levels. Fluid should be consumed several hours before exercise to enable fluid absorption and allow urine output to return to normal levels. ACSM recommends consuming beverages with sodium and/or salted snacks to help stimulate thirst or retain fluids. -- Fluid replacement during exercise is meant to prevent excessive dehydration (> 2% body weight reductions from baseline body weight) and avoid excessive changes in electrolyte balance to avert compromised performance,trx suspension for sale. The amount and rate will depend on the individual and the activity (accounting for opportunity to drink). The guidelines note that consuming beverages containing electrolytes and carbohydrates often provides more benefits than consuming water alone. -- Fluid replacement after exercise is meant to fully replace any fluid and electrolyte losses,trx rip. If time permits, regular meals and beverages will restore normal hydration levels. The speed with which rehydration is needed and the magnitude of fluid-electrolyte deficits will determine if an aggressive rehydration program is merited,trx suspension trainer for sale. The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world. More than 20,000 international, national, and regional members are dedicated to advancing and integrating scientific research to provide educational and practical applications of exercise science and sports medicine. Medicine & Science in Sports & Exercise is the official journal of the American College of Sports Medicine, and is available from Lippincott Williams & Wilkins at 1-800-638-6423. Visit ACSM online at The conclusions outlined in this news release are those of the researchers only, and should not be construed as an official statement of the American College of Sports Medicine. Public health surveillance - HEALTH, BEAUTY & FITNESS Double The Suicide Rate Among Young Women Veterans Compared

The Senate Appropriations Committee on Thursday approved its fiscal year 2010 spending bill (HR 3293) for health,trx rip trainer workouts, education and labor programs,exercise equipment cheap, CQ Today reports. The bill does not include funding for abstinence-only sex education, instead providing $104.5 million for a comprehensive "Teen Pregnancy Prevention" program,trx xmount. The recently passed House version of the bill takes a similar approach, according to CQ Today. The committee voted 29-1 to approve the $730 billion bill, with abstinence-only advocate Sen. Sam Brownback (R-Kan.) being the sole opponent (Wolfe, CQ Today, 7/30). In related news,trx rip training, Sen. Arlen Specter (D-Pa.) in the FY 2010 spending bill did not request funding for abstinence-only sex education programs in his home state, despite routinely requesting such funds as a Republican, CQ Politics reports. When he was a Republican, Specter sponsored 22 earmarks totaling $550,trx bands for sale,000 for abstinence-only programs in the FY 2009 version of the bill. Specter's aides said that he wanted to focus earmark requests on hospitals and universities in the FY 2010 version of the bill. However, the "likely" explanation for the absence of abstinence-only earmark requests is the senator's 2009 switch to the Democratic Party, which often advocates for comprehensive sex education programs as a way to reduce teen pregnancy, CQ Politics reports (Clarke, CQ Politics, 7/29). Reprinted with kind permission from You can view the entire Daily Women's Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women's Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. 2009 The Advisory Board Company. All rights reserved. Exercise May Ease Menopausal Symptoms Women Bear Care Giving Responsibility In Cases Of Dependency

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The "diabetes clock" may start ticking in women years in advance of a medical diagnosis of the disease, new research has shown. Epidemiologists at the University at Buffalo have found that newly identified risk factors for diabetes found in the blood, such as markers of endothelial dysfunction, chronic sub-acute inflammation and blood clotting factors, are present early on in women who eventually progress from normal glucose status to the pre-diabetic condition. Pre-diabetes is diagnosed when blood sugar levels are higher than normal (between 100-125 mg/deciliter of blood), but not high enough to indicate full-blown diabetes (over 125 mg/deciliter of blood). The markers weren't associated with progression from normal to pre-diabetic status in men. Results of the study appear in the February 2007 issue of Diabetes Care. "This is one of the first reports to show that otherwise healthy women are more likely than men to show elevated levels of endothelial factors and other markers of progression to pre-diabetes," said lead author Richard Donahue, Ph.D., professor of social and preventive medicine and associate dean for research in UB's School of Public Health and Health Professions. "Because these pre-diabetic markers are not routinely assessed, and because diabetes is strongly linked with coronary heart disease, the study may help explain why the decline in death rates for heart disease in diabetic women lags behind that of diabetic men,the human trainer," he said. "Previous research had shown that hypertension and cholesterol were elevated among women who later developed diabetes. However, current findings that these novel risk factors [markers of endothelial dysfunction, chronic sub-acute inflammation and blood clotting factors] are elevated among women even earlier than previously recognized does suggest that the 'diabetes clock' starts ticking sooner for women than for men,trx force kit." The study involved 1,455 healthy participants originally enrolled in the Western New York Study, a case-control investigation of patterns of alcohol consumption and risk of cardiovascular disease conducted from 1996-2001. In the current study all participants were free of pre-diabetes, type 2 diabetes and known cardiovascular disease. They received a physical examination when they entered the study and again for this six-year follow-up. Standard measures -- height, weight, waist girth, blood pressure -- were taken,suspension trainer, plus blood samples to determine concentrations of fasting glucose and insulin, specific proinflammatory markers, C-reactive protein and markers of dysfunction in the endothelial tissue, the tissue lining blood vessels. Results showed that 52 women and 39 men had progressed from normal blood glucose levels to pre-diabetic status during the previous six years. Donahue said the question of what explains the sex difference remains to be determined, and he plans to study this in the future. Meanwhile, he suggested that women whose blood glucose increases over time, even if it doesn't reach diabetic levels, should be screened more intensively for cardiovascular disease. ### Karol Rejman, Lisa Rafalson, Jacek Dmochowski, Ph.D., Saverio Stranges, M.D., Ph.D,trx straps., and Maurizio Trevisan, M.D., all from the UB Department of Social and Preventive Medicine, contributed to the study. Dmochowski also is affiliated with the University of North Carolina,trx suspension trainer, Charlotte. The research was supported by a grant from the National Institutes of Health. The University at Buffalo is a premier research-intensive public university, the largest and most comprehensive campus in the State University of New York. The School of Public Health and Health Professions is one of five schools that constitute UB's Academic Health Center. Contact: Lois Baker University at Buffalo Phase III Trials Of Cellulose Sulfate Microbicide For HIV Pr 5 Easy Ways to Be More Active

4 (1 votes) Why antenatal classes should Not be cut Cuts in antenatal classes could have a severe effect on expectant mums and the quality of the birth of babies,trx force kit, says the Royal College of Midwives. Antenatal classes set out what happens in labour and what options women have about how to give birth, as well as offering breastfeeding advice and information on what to expect in the first few weeks as a parent. The National Service Framework on maternity services,suspension training straps, published in 2004, said good antenatal care should include providing access to parenting education and preparation for birth. Whether or not services are provided depends on local primary care trusts, who pay the local hospital to provide them. Melanie Every, Regional Manager South, of the Royal College of Midwives, said: "We understand that many antenatal classes are being withdrawn." "Classes are beneficial in preparing mothers and their partners for the forthcoming birth,suspension trainer. Preparation is important both mentally and physically,trx pro pack. It helps to give parents confidence. They also enable mothers to get to know the midwives they will be seeing when they have their babies, and give them the opportunity to meet and talk to other expectant mums." "While private and paid-for classes may be available in some areas from other sources, it is in danger of denying an important service to a vast section of the community." The birth of a child is one of the most important moments in the life of a couple. "There should not be any shortcuts to make this event as happy and stress-free as possible,trx system," added Melanie. 5 Easy Ways to Be More Active Sleep More to Lose Weight Men's Health News

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UroToday.com - Vesicovaginal fistula has been a medical and social problem and remains a surgical challenge,weider x factor plus, especially when it requires re-operation, presents large size, involves the ureter and is associated with radiotherapy. In this paper, we describe our experience with complex urogenital fistulas. We retrospectively evaluated patients with complex vesico vaginal fistulas, including those with fistula size greater than 2 cm, previous history of radiotherapy, infectious or laceration at the fistula site and vesicovaginal fistula associated with ureteral fistula. The vaginal approach was the first choice for all patients, except for those patients with concomitant ureteral fistula requiring ureteral reimplantation or bladder augmentation. The vaginal approach was carried out as described by Raz S. and abdominal approach was carried out as described by O'Connor. Out of 23 patients, 16 were treated by vaginal approach and 6 by abdominal approach. Hysterectomy was the major etiology (72.7%) and 9 patients had at least 1 previous abdominal surgery. The vaginal approach allowed early hospital discharge. There were no major intraoperative or early postoperative complications, such as bleeding, blood transfusion or infection. The main reason for the longest hospitalization in those patients with abdominal approach was related to recovering from paralyzed ileum and pain,x factor workout. Dyspareunia occurred after 3 months only in women who submitted to the vaginal approach. All patients had some sort of tissue interposition (peritoneum, omentum or Martius flap). Complex vesicovaginal fistulas are a big challenge for the urologist and there is not a gold standard surgical approach. Surgeons' experience with surgical technique and anatomy seems to be the main factor for treatment success,trx suspension trainer. The evaluation of fistulas must be done with care to prevent recurrence. The majority of complex vaginal fistula can be successfully managed by vaginal repair. However, some situations may require abdominal or even combined intervention,trx bands for sale. As the vaginal approach is a minimally invasive procedure,trx suspension trainer pro pack, with low costs, easy learning curve and high cure rates, new approaches such as laparoscopic or robotic surgery must be carefully evaluated before being suggested as an alternative. Written by João Paulo Zambon, MD, Nelson S. S. Batezini, MD, Eduardo R. S. Pinto, MD, Milton Skaff, MD, Marcia E. Girotti, MD and Fernando G. Almeida, MD as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations, etc., of their research by referencing the published abstract. UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice. To access the latest urology news releases from UroToday, go to: www.urotoday.com Copyright 2010 - UroToday Sessions At APA Annual Meeting To Highlight DSM-5 Developmen Statehealthfacts.org Updates Women's Health Data

3 (1 votes) The Medical Institute - 'Prevention through Education' - has started a new project: "Your Hygiene - Your Health" via its Health Information Centers in South Africa. Another project, run by four students from the Technical University (TU) Delft (NL), closely links to the MKI-project. The TU Delft project investigates possibilities to increase "the acceptance, the availability and the affordability of menstrual hygienic means for women and girls in developing countries". The students - Suze Gehem, Floor van Goudoever, Albertien Greijdanus and Judith van der Werf - are master students of Industrial Design at the TU Delft. They found this challenging development project for their 'Integral Design Project' thanks to the Vrouw & Verband Foundation (roughly translated: the Women & Bandage/ Connection Foundation). For years now this foundation, currently also involved in this project as subject matter expert, demands attention for and research problems that girls and women experience in regard of menstrual hygiene. According to Dr. Harold Robles, President of the MKI, the current situation around this issue of menstrual hygiene is far from optimal. "Due to a lack of knowledge woman also use unhygienic solutions to get them through their menstruation. Many times this leads to vaginal infections and inflammations, sometimes with death as a result. Furthermore, women are restricted in running their everyday life during their menstruation period. "We have found disturbing results during our preliminary investigations", state the students from Delft, "for example that girls are missing school because menstrual protection is simply too expensive,x factor workout; a package of sanitary towels charged at European prices. Also many times the sanitary facilities are in such a poor state which causes the changing of,x factor supplement, or hygienic use of menstrual means difficult. Many children have to make a choice: being mortified or missing school",trx suspension training. During a menstruation period,weider x factor st, one out of ten African schoolgirls do not attend school. The sanitary facilities at schools are poor and often the girls do not posses the means to protect themselves. When a girl stays home for four days out of every four weeks, it results in an absence of 10 - 20 percent of the total schooldays. This problem also occurs for women, causing them not to be able to work for five days per month, while most people need this most. The students are very motivated to deal with this menstruation problem in a social and economically durable manner. It will be investigated through education how girls and women can be made aware of this problem. At the same time the students will research how and in what form the girls and women can obtain affordable and available means for their hygienic care,trx suspension trainer. A solution could be that the target group, aided by a simple machine and local materials, can manufacture those aids themselves. This line of thought links up perfectly with the objectives and the work of the Medical Knowledge Institute that has years of experience in the field of knowledge transfer around health care in southern Africa. Among other things, through four MKI Health Information Centers and through a growing number of Health Information Satellites (the latter in cooperation with Clover Mama Africa). Early March, the four students left for Africa for two months in order to do extensive research in cooperation with the local population and through the Health Information Centers of the MKI. In the end, this has to lead to effective and affordable solutions to the current problems. Source Medical Knowledge Institute, 'Prevention through Education' Los Angeles Times Examines Increase In Caesarean Births, Rel Tenderloin health - HEALTH, BEAUTY & FITNESS

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3 (1 votes) FDA has given final approval to Hologic's Adiana permanent contraception system, the Boston Herald reports. The company hopes to market the procedure as an alternative to tubal ligation surgery for the roughly 700,000 U.S. women who undergo the procedure each year,trx force kit tactical. Adiana is similar to Conceptus' Essure, which has been on the market since 2002. Adiana involves a two-step procedure that can be performed in about 15 minutes in a doctor's office. The process consists of inserting a catheter into the fallopian tubes and delivering a low level of radio frequency energy to make a small lesion on the inside lining of each tube,trx fitness. The catheter then implants silicone polymer inserts,trx bands for sale, about the size of a grain of rice, on top of the lesions. The tubes become blocked as healthy cell tissue attaches to the inserts (McConville, Boston Herald, 7/9). Reprinted with kind permission from You can view the entire Daily Women's Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women's Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. ©,trx force; 2009 The Advisory Board Company,rip 60 sale. All rights reserved. PTSD Less Common Than Depression And Alcohol Misuse Amongst Newsweek Examines Issue Of Gender Rating In Health Reform De

5 (1 votes) EmpowHer, the home of women's health online,x factor supplement, and NARSAD, the world's leading charity dedicated to mental health research, are working together in a formal collaboration to spread awareness of the importance of funding brain and behavior disorder research. Through an innovative online partnership, EmpowHer and NARSAD will work together to provide the public with essential information and resources on the many psychiatric brain disorders that impact much of our population,cheap trx, from patients to caregivers. Together, the two health organizations will provide state-of-the-art multimedia content that includes articles and videos of experts discussing the latest in brain research and treatments. The health conditions covered in this partnership include anxiety, mental health, obsessive compulsive disorders,trx force kit tactical, posttraumatic stress disorder, schizophrenia and social phobias. To view the videos click here. "In addition to raising funds to support critically needed research on severe mental illnesses, NARSAD works to provide the public with reliable, up-to-the-moment information on these disorders, available treatments and latest findings from research. We are most appreciative of the opportunity to share this information with EmpowHer's audience," said Joel Gurin, NARSAD's Acting President. "EmpowHer is thrilled to partner with NARSAD," said Michelle King Robson, Founder and Chairman of EmpowHer,trx suspension training. "Their world-renowned research and education efforts on brain and mental disorders will add tremendous value to our core audience of women." About NARSAD NARSAD's mission is to alleviate suffering from mental illness by supporting leading-edge scientific research on mental health disorders. Formerly known as the National Alliance for Research on Schizophrenia and Depression,suspension training straps, NARSAD is the largest donor-supported organization in the world dedicated to finding the causes, improved treatments and cures for a wide range of mental illnesses. Source EmpowHer Complete children s health - HEALTH, BEAUTY & FITNESS Sens. Harkin, Specter Remove Spending Bill Provision That Wo

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