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While it is well known that smoking causes lung cancer, heavy smokers with diabetes are also at increased risk of death from causes other than lung cancer, according to a study being presented next week at the annual meeting of the radiological society of north america (rsna).
Diabetes is a chronic illness in which there are high levels of glucose in the blood. More than 29 million people in the u. S. Have diabetes, up from the previous estimate of 26 million in 2010, according to a report released by the centers for disease control and prevention. One in four people with diabetes doesn't know he or she has it. Having diabetes can also put people at risk for numerous other health complications.
To determine the extent to which diabetes is associated with deaths from lung cancer, other cancers, and other causes among heavy smokers, researchers examined the risk for all-cause mortality among people with and without diabetes within the national lung screening trial (nlst), a massive, multicenter trial that compared low-dose helical ct with chest x-ray for early detection of lung cancer in current and former heavy smokers.
" in our study, we found a statistically significant link between diabetes and all-cause deaths, non-lung cancer deaths and lung cancer deaths in women" said kavita garg, m. D, professor of radiology from the university of colorado -- denver.
For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.
They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.
Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.
" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"
The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.
" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"
Is this necessary to boil amul milk to give 1 year baby or we can use it without boiling, Because baby is not drink boiled and cool after boiling, it only take directly from packet, is this harmful for her health. Please advice.
I am having lungs fibrosis I am taking wysolin 10 mg My lungs capacity is 17 % Daily 14 hour I am taking oxygen 2 litre. please help.
My daughter is 5 years old. She was hospitalised last 15 days ao with a digonose of UTI with mild fever. Now the fever is back again with vomiting. In fever only head got rise thw temp. Legs and hands get cold. When fever comes it is coming with bone severing cold.
My daughter is 9 years her both palms are always release sweat. It become wet and difficult while writing, books become wet. It happens in all seasons. She use hanky always to wipe the sweat.
My 2 yr 8 month old son has few non tender left cervical lymph nodes for last 3-4 months. Though he often suffers from urti, but these nodes persist even without infection. Should I be worried?
Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.
Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.
Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.
Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it’s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.
You can fix certain household roles, routines so that children can understand the do’s and dont’s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it’s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.
Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child’s future.
For any other further information, you can contact me on lybrate.com.
Hi sir. My daughter has allergy from wheat. She is 5 year's old. Give me advice. You have any treatment for him. What should I do?
My baby is 3 months old. She has constipation from birth. She takes 3 to 4 days to pass the motion. Can you suggest a solution for this?
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?
Respected Sir/Madam, I have a girl child of age 4 years. She has so many problem from her birth time. At the time of birth she cry after 5 minutes for birth aphasia. During 1st month she admitted several time at nursing home for dyreh, dehydration etc . From that time she has delayed milestone problem.Her neck stiffen after 6 months, she start crawling after 18th month & standup and start walking after 30th months. After 2years of her age we are go to Bangalore ,after so many test and MRI doctors are said she has brain sell damaged . Now my daughter can walk near about normally ,she can understand most our talk, she can follow most our instruction but she can not talk, only few word she can say, like ma,baba etc. For this we consult with speech therapist but Doctor said my daughter have lack of concentration ,so he just now are not able to help me for this. So please suggest me what can I do now , we have to maintain any special diet chart, we are doing physio therapy from the beginning also add dha supplement from her 2 years of age. So please send me reply with suggestion & advice at earliest as possible. Thanking you
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Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders presenting for treatment in children and adolescents. ADHD is often chronic with prominent symptoms and impairment spanning into adulthood. ADHD is often associated with co-occurring disorders including disruptive, mood, anxiety, and substance abuse. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry and neuropsychological data. Consideration of all aspects of an individual’s life needs to be considered in the diagnosis and treatment of ADHD.
Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for ADHD and comorbid problems. Pharmacotherapy including stimulants, noradrenergic agents, alpha agonists, and antidepressants plays a fundamental role in the long-term management of ADHD across the lifespan.
The management of ADHD includes consideration of two major areas: non-pharmacological (educational remediation, individual and family psychotherapy) and pharmacotherapy.
I personally support Psychotherapy. Specialized educational planning based on the child’s difficulties is necessary in a majority of cases. Since learning disorders co-occur in one-third of ADHD youth, ADHD individuals should be screened and appropriate individualised educational plans developed. Educational adjustments should be considered in individuals with ADHD with difficulties in behavioral or academic performance. Increased structure, predictable routine, learning aids, resource room time, and checked homework are among typical educational considerations in these individuals. Similar modifications in the home environment should be undertaken to optimize the ability to complete homework. For youth, frequent parental communication with the school about the child’s progress is essential.
Symptoms in children and teenagers
The symptoms of ADHD in children and teenagers are well defined, and they're usually noticeable before the age of six. They occur in more than one situation, such as at home and at school. The main signs of each behavioural problem are detailed below:
Inattentiveness: having a short attention span and being easily distracted making careless mistakes – for example, in schoolwork appearing forgetful or losing things being unable to stick at tasks that are tedious or time-consuming appearing to be unable to listen to or carry out instructions constantly changing activity or task having difficulty organising tasks
Hyperactivity and impulsiveness: being unable to sit still, especially in calm or quiet surroundings constantly fidgeting being unable to concentrate on tasks excessive physical movement excessive talking being unable to wait their turn acting without thinking interrupting conversations little or no sense of danger
These symptoms can cause significant problems in a child's life, such as underachievement at school, poor social interaction with other children and adults, and problems with discipline.
Related conditions in children and teenagers
Although not always the case, some children may also have signs of other problems or conditions alongside ADHD, such as:
anxiety disorder – which causes your child to worry and be nervous much of the time; it may also cause physical symptoms, such as a rapid heartbeat, sweating and dizziness
oppositional defiant disorder (ODD) – this is defined by negative and disruptive behaviour, particularly towards authority figures, such as parents and teachers
conduct disorder – this often involves a tendency towards highly antisocial behaviour, such as stealing, fighting, vandalism and harming people or animals
sleep problems – finding it difficult to get to sleep at night, and having irregular sleeping patterns
autistic spectrum disorder (ASD) – this affects social interaction, communication, interests and behaviour
epilepsy – a condition that affects the brain and causes repeated fits or seizures
Tourette’s syndrome – a condition of the nervous system, characterised by a combination of involuntary noises and movements called tics
learning difficulties – such as dyslexia Symptoms in adults In adults, the symptoms of ADHD are more difficult to define. This is largely due to a lack of research into adults with ADHD.
ADHD is a developmental disorder; it's believed that it can't develop in adults without it first appearing during childhood. But it's known that symptoms of ADHD often persist from childhood into a person's teenage years, and then adulthood. Any additional problems or conditions experienced by children with ADHD, such as depression or dyslexia, may also continue into adulthood. By the age of 25, an estimated 15% of people diagnosed with ADHD as children still have a full range of symptoms, and 65% still have some symptoms that affect their daily lives. The symptoms in children and teenagers, which are listed above, is sometimes also applied to adults with possible ADHD. But some specialists say that the way in which inattentiveness, hyperactivity and impulsiveness affect adults can be very different from the way they affect children. For example, hyperactivity tends to decrease in adults, while inattentiveness tends to get worse as the pressure of adult life increases. Adult symptoms of ADHD also tend to be far more subtle than childhood symptoms.
Some specialists have suggested the following list of symptoms associated with ADHD in adults:
carelessness and lack of attention to detail
continually starting new tasks before finishing old ones
poor organisational skills
inability to focus or prioritise
continually losing or misplacing things
restlessness and edginess
difficulty keeping quiet and speaking out of turn
blurting out responses and often interrupting others
mood swings, irritability and a quick temper
inability to deal with stress
taking risks in activities, often with little or no regard for personal safety or the safety of others – for example, driving dangerously
Additional problems in adults with ADHD As with ADHD in children and teenagers, ADHD in adults can occur alongside several related problems or conditions. One of the most common conditions is depression. Other conditions that adults may have alongside ADHD include:
personality disorders – conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others
bipolar disorder – a condition that affects your moods, which can swing from one extreme to another
obsessive-compulsive disorder (OCD) – a condition that causes obsessive thoughts and compulsive behaviour
The behavioural problems associated with ADHD can also cause problems such as difficulties with relationships, social interaction, drugs and crime. Some adults with ADHD find it hard to find and stay in a job. If you notice any of the above in your child or yourself , it is worth making the effort and spending some time and money to have your child and or yourself assessed on a priority basis as ADHD causes neural changes in the brain. If you wish to discuss about any specific problem, you can consult a psychologist.