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Saturday, May 22, 2021

Breast cancer prevention: How to reduce your risk

Breast cancer prevention starts with healthy habits — such as limiting alcohol and staying physically active. Understand what you can do to reduce your breast cancer risk.

If you're concerned about developing breast cancer, you might be wondering if there are steps you can take to help prevent breast cancer. Some risk factors, such as family history, can't be changed. However, there are lifestyle changes you can make to lower your risk.

What can I do to reduce my risk of breast cancer?

Research shows that lifestyle changes can decrease the risk of breast cancer, even in women at high risk. To lower your risk:

Limit alcohol. The more alcohol you drink, the greater your risk of developing breast cancer. The general recommendation — based on research on the effect of alcohol on breast cancer risk — is to limit yourself to no more than one drink a day, as even small amounts increase risk.

Maintain a healthy weight. If your weight is healthy, work to maintain that weight. If you need to lose weight, ask your doctor about healthy strategies to accomplish this. Reduce the number of calories you eat each day and slowly increase the amount of exercise.

Be physically active. Physical activity can help you maintain a healthy weight, which helps prevent breast cancer. Most healthy adults should aim for at least 150 minutes a week of moderate aerobic activity or 75 minutes of vigorous aerobic activity weekly, plus strength training at least twice a week.

Breast-feed. Breast-feeding might play a role in breast cancer prevention. The longer you breast-feed, the greater the protective effect.

Limit postmenopausal hormone therapy. Combination hormone therapy may increase the risk of breast cancer. Talk with your doctor about the risks and benefits of hormone therapy. You might be able to manage your symptoms with nonhormonal therapies and medications. If you decide that the benefits of short-term hormone therapy outweigh the risks, use the lowest dose that works for you and continue to have your doctor monitor the length of time you're taking hormones.

Can a healthy diet prevent breast cancer?

Eating a healthy diet might decrease your risk of some types of cancer, as well as diabetes, heart disease and stroke. For example, women who eat a Mediterranean diet supplemented with extra-virgin olive oil and mixed nuts might have a reduced risk of breast cancer. The Mediterranean diet focuses on mostly on plant-based foods, such as fruits and vegetables, whole grains, legumes, and nuts. People who follow the Mediterranean diet choose healthy fats, such as olive oil, over butter and eat fish instead of red meat.

Maintaining a healthy weight also is a key factor in breast cancer prevention.

Is there a link between birth control pills and breast cancer?

There's some evidence that hormonal contraception, which includes birth control pills and IUDs that release hormones, increases the risk of breast cancer. But the risk is considered very small, and it decreases after you stop using hormonal contraceptives.

A recent study that showed an association between hormonal contraceptive use and breast cancer determined one additional breast cancer could be expected for every 7,690 women who use hormonal contraception for at least one year.

Discuss your contraceptive options with your doctor. Also consider the benefits of hormonal contraception, such as controlling menstrual bleeding, preventing an unwanted pregnancy, and reducing the risk of other cancers, including endometrial cancer and ovarian cancer.

What else can I do?

Be vigilant about breast cancer detection. If you notice any changes in your breasts, such as a new lump or skin changes, consult your doctor. Also, ask your doctor when to begin mammograms and other screenings based on your personal history.

Friday, May 21, 2021

Chronic Kidney Disease: Symptoms and Causes

 


Chronic kidney disease, also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then excreted in your urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body.


In the early stages of chronic kidney disease, you may have few signs or symptoms. Chronic kidney disease may not become apparent until your kidney function is significantly impaired.

Treatment for chronic kidney disease focuses on slowing the progression of the kidney damage, usually by controlling the underlying cause. Chronic kidney disease can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or a kidney transplant.


Symptoms

Signs and symptoms of chronic kidney disease develop over time if kidney damage progresses slowly. Signs and symptoms of kidney disease may include:

o    Nausea

o    Vomiting

o    Loss of appetite

o    Fatigue and weakness

o    Sleep problems

o    Changes in how much you urinate

o    Decreased mental sharpness

o    Muscle twitches and cramps

o    Swelling of feet and ankles

o    Persistent itching

o    Chest pain, if fluid builds up around the lining of the heart

o    Shortness of breath, if fluid builds up in the lungs

o    High blood pressure (hypertension) that's difficult to control

Signs and symptoms of kidney disease are often nonspecific, meaning they can also be caused by other illnesses. Because your kidneys are highly adaptable and able to compensate for lost function, signs and symptoms may not appear until irreversible damage has occurred.


When to see a doctor


Make an appointment with your doctor if you have any signs or symptoms of kidney disease.

If you have a medical condition that increases your risk of kidney disease, your doctor is likely to monitor your blood pressure and kidney function with urine and blood tests during regular office visits. Ask your doctor whether these tests are necessary for you.

 

Causes

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Chronic kidney disease occurs when a disease or condition impairs kidney function, causing kidney damage to worsen over several months or years.


Diseases and conditions that cause chronic kidney disease include:

o    Type 1 or type 2 diabetes

o    High blood pressure

o    Glomerulonephritis (gloe-mer-u-low-nuh-FRY-tis), an inflammation of the kidney's filtering units (glomeruli)

o    Interstitial nephritis (in-tur-STISH-ul nuh-FRY-tis), an inflammation of the kidney's tubules and surrounding structures

o    Polycystic kidney disease

o    Prolonged obstruction of the urinary tract, from conditions such as enlarged prostate, kidney stones and some cancers

o    Vesicoureteral (ves-ih-koe-yoo-REE-tur-ul) reflux, a condition that causes urine to back up into your kidneys

o    Recurrent kidney infection, also called pyelonephritis (pie-uh-low-nuh-FRY-tis)

Risk factors

Factors that may increase your risk of chronic kidney disease include:

o    Diabetes

o    High blood pressure

o    Heart and blood vessel (cardiovascular) disease

o    Smoking

o    Obesity

o    Being African-American, Native American or Asian-American

o    Family history of kidney disease

o    Abnormal kidney structure

o    Older age

Complications

Chronic kidney disease can affect almost every part of your body. Potential complications may include:

o    Fluid retention, which could lead to swelling in your arms and legs, high blood pressure, or fluid in your lungs (pulmonary edema)

o    A sudden rise in potassium levels in your blood (hyperkalemia), which could impair your heart's ability to function and may be life-threatening

o    Heart and blood vessel (cardiovascular) disease

o    Weak bones and an increased risk of bone fractures

o    Anemia

o    Decreased sex drive, erectile dysfunction or reduced fertility

o    Damage to your central nervous system, which can cause difficulty concentrating, personality changes or seizures

o    Decreased immune response, which makes you more vulnerable to infection

o    Pericarditis, an inflammation of the saclike membrane that envelops your heart (pericardium)

o    Pregnancy complications that carry risks for the mother and the developing fetus

o    Irreversible damage to your kidneys (end-stage kidney disease), eventually requiring either dialysis or a kidney transplant for survival

Prevention

To reduce your risk of developing kidney disease:

o    Follow instructions on over-the-counter medications. When using nonprescription pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) and acetaminophen (Tylenol, others), follow the instructions on the package. Taking too many pain relievers could lead to kidney damage and generally should be avoided if you have kidney disease. Ask your doctor whether these drugs are safe for you.

o    Maintain a healthy weight. If you're at a healthy weight, work to maintain it by being physically active most days of the week. If you need to lose weight, talk with your doctor about strategies for healthy weight loss. Often this involves increasing daily physical activity and reducing calories.

o    Don't smoke. Cigarette smoking can damage your kidneys and make existing kidney damage worse. If you're a smoker, talk to your doctor about strategies for quitting smoking. Support groups, counseling and medications can all help you to stop.

o    Manage your medical conditions with your doctor's help. If you have diseases or conditions that increase your risk of kidney disease, work with your doctor to control them. Ask your doctor about tests to look for signs of kidney damage.

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NNPC Speaks On New Price Of Petrol After Governors Recommended N385 Per Litre

The Nigerian National Petroleum Corporation (NNPC) has stated that the pump price of petrol remains unchanged after the recent recommendation by the Nigeria Governors Forum for total deregulation and recommended price of N385 per liter of petrol.

The NNPC in its response says the negotiation to determine the new cost of petrol per litre in Nigeria is still ongoing between the government, organized labour, and other stakeholders.

The NNPC in a reaction by its Group General Manager, Group Public Affairs Division, Dr. Kennie Obateru said there is no official announcement on petrol price hike and Nigerians need not resort to panic buying.

It was recalled Nigerian governors have recommended an increase in the pump price of petrol from the current price to not less than N385 per litre with a total deregulation of the petroleum sector.

It is understood that the price increase is part of recommendations by a committee headed by Kaduna State Governor, Nasir El-Rufai which was set up by the Nigeria Governors’ Forum (NGF).

The six-man committee was set up to review the pump price of petrol in the country.

The governors gave the recommendation at its 30th teleconference meeting which held on Wednesday according to a communique released after the meeting by NGF Chairman, Ekiti State Governor, Kayode Fayemi.

But NNPC in its reaction has stated that the governors don’t control petrol pricing and until the negotiations are concluded, no decision can be taken on adjusting the pump price of petrol in the country.

“I can’t react to that. You know how the thing runs: it is not the state governments that will determine what we do in our Corporation. It is a government (Federal) thing.

“And as far as I am concerned, negotiation is ongoing; so when it is communicated to the appropriate quarters. That is when we will respond. For now we don’t have any official communication,” Obateru said during a telephone interview with The Nation.

He assured the general public that the NNPC had petrol stock sufficiency of 40 days and Nigerians shouldn’t nurse any fears about scarcity.

Our plan is always to have over 40 days of sufficiency,” he stressed.

Meanwhile, two people have been confirmed dead in an explosion at the Olusegun Obasanjo presidential library in Abeokuta, the Ogun state capital.

It was gathered that the explosion occurred around 11:23 am at the Marque event centre within the premises of the library, on Thursday.

According to witnesses, the explosion was triggered when technicians were topping up gas into the Air Conditioner at the event centre.

You goofed, Akeredolu, others chide Malami on open grazing comments

It was a barrage of condemnation, yesterday, after the Attorney-General of the Federation and Minister of Justice, Abubakar Malami proclaimed the ban on open grazing by southern governors unconstitutional.

Malami, who spoke on Channels Television’s Politics Today programme on Wednesday evening, said the decision of the governors “does not align with the provisions of the Constitution, hence it does not hold water.

“For example, it is as good as the northern governors coming together to say they prohibit spare parts trading in the north. Does it hold water for a northern governor to come and state expressly that he now prohibits spare parts trading in the north?”

He, however, advised the governors to work towards the amendment of the 1999 Constitution in their move to prohibit open grazing. “If you are talking of constitutionally guaranteed rights, the better approach to it is to perhaps go back to ensure the Constitution is amended. It is a dangerous provision for any governor in Nigeria to think he can bring any compromise on the freedom and liberty of individuals to move around,” he said.

It was a cacophony of reactions and bashing that countered the AGF’s submission. First to flay the Justice Minister was Ondo State Governor, Oluwarotimi Akeredolu, who as the Chairman of Southwest Governors’ Forum, asserted that: “Our decision is irreversible and will be enforced.”

Akeredolu said: “It is most unfortunate that the AGF is unable to distill issues as expected of a Senior Advocate. Nothing can be more disconcerting. This outburst should, ordinarily, not elicit response from reasonable people who know the distinction between a legitimate business that is not in anyway injurious and a certain predilection for anarchy.

“Clinging to an anachronistic model of animal husbandry, which is evidently injurious to harmonious relationship between the herders and the farmers as well as the local populace, is wicked and arrogant.

“Comparing this anachronism, which has led to loss of life, farmlands and property and engendered untold hardship on the host communities, with buying and selling of auto parts is not only strange. It, annoyingly, betrays a terrible mindset.

“Mr Malami is advised to approach the court to challenge the legality of the laws of the respective states banning open grazing and decision of the Southern Governors’ Forum taken in the interest of their people. We shall be most willing to meet him in court.” Without mincing words, Ondo Governor declared that: “The decision to ban open grazing stays. It will be enforced with vigour.”

Also rising in stout defence of the resolutions by the 17 Southern governors now termed ‘Asaba Accord’ yesterday was Ebonyi State Governor, Dave Umahi, who declared that those who oppose the idea of a ban on open grazing actually want the killings to continue. Umahi made the remark at the Presidential Villa, Abuja, where he had gone to feature on the Presidential Ministerial Press Briefing.

Asked to respond to the claim by the AGF that banning opening grazing in the south was like banning the sale of spare parts in the north, the governor said those who hold that view lacked understanding of the situation.

Umahi, who pointedly declared that the south has no grazing routes, argued that allowing cows to freely roam would mean trespassing on other peoples’ property.

He said it was the development that gave rise to crises and killings, which has also resulted in the setting up of the Eastern Security Network (ESN).

Similarly, the pro-Yoruba social and political group, Afenifere, said the comment by Malami was not only sectarian but also described it as emotional vituperation. Secretary General of the body, Chief Sola Ebiseni, said the AGF is an “agent provocateur,” adding that his comment “did not come to discerning Nigerians as a surprise.

“It only pitiably exposed him as being most unfit for the office of an Attorney General having always allowed his sectarian disposition becloud his eminent qualifications.

“Any time Malami perceives a threat to the interests of Fulani herdsmen, he is quick to latch on to constitutional provisions, which are not relevant to the object of discourse. He was readily on hand to vehemently denounce the Amotekun South West regional security initiative as being targeted against Fulani herdsmen and so declared it unconstitutional. When challenged to approach the court, he had since developed cold feet.

“For the attention of Malami, most of the states already have laws banning open grazing and the pronouncement of the governors was merely to give effect to an existing law. It is the animal that is being prohibited from grazing openly and being moved by foot except Malami intends to extend the inalienable human rights in the Constitution to animals in the defence of a culture, which gives more care to cattle than human beings.

“Malami was mischievously playing the role of an agent provocateur when he was inciting Northern governors to place a ban on spare parts trading in which southerners are involved. In deference to their religious and cultural sensibilities, some of the northern states made laws banning trading in alcoholic substances and have been seen destroying such wares in their millions notwithstanding that they share in the VAT collected on those goods and no one is crying over it.”

Apex Igbo socio-cultural organisation, Ohanaeze Ndigbo, yesterday chided the AGF, describing him as a “chief law officer that twists the law at will.”

Ohanaeze Ndigbo, in a statement by its National Publicity Secretary, Chief Alex Chiedozie Ogbonnia, restated support for the position reached by the southern governors in their meeting at Asaba.

“Malami knows that there has never been a report of a clash between the Southern motor spare parts sellers and the indigenous Northerners. The motor spare parts sellers render their services to the populace from a shop or a shade and are in no way comparable to the Fulani herders who invade farmlands, destroy crops, debauch women, maim, abduct and kill. ”

EMINENT lawyers also faulted the position of the AGF on the recent ban of open grazing by the Southern governors. Constitutional lawyer and Senior Advocate of Nigeria (SAN), Chief Mike Ahamba, said it is within the authority of the governors to stop the danger of open grazing in their states.

According to him, if the way cattle are being grazed now does not fit the safety and security of the states they are ruling, they have the right to call the state Assemblies to make laws to control the situation and there is nothing emotional about it.”

He urged the state Houses of Assembly to immediately come up with laws to put the resolution in paper. Similarly, human rights lawyer, Ebun Adegboruwa (SAN), disagreed with the position of the AGF. He stressed that since the proponents of open grazing support it with the right to freedom of movement granted under section 41 of the Constitution, this section cannot be interpreted to violate other constitutional provisions, especially section 43 that grants the right to private or public property.

According to him, “you cannot deploy the right to movement of person and cattle to violate the right of another citizen to own property, such as land or farmland, or else you become a trespasser.”

Another SAN, Oladipo Olasope, said Malami was wrong for that stance. “The land within the state belongs to the state government under the Land Use Act. Therefore, the state governors have the rights to what land is used for. So, Malami should not say that. He cannot have any force of law. Let him go to court and see if the court will grant his claim to say so. The land is held in trust by the governor for the people. Malami is very wrong.”

A former Nigerian Ambassador to Philippines, Dr. Yemi Farounbi, said the statement is bereft of logical reasoning and lack of understanding of law. He added that his qualification as the Chief Law Officer of the country is moot .

Ambassador Farounbi said: “The Attorney General of the Federation in declaring that the governors have no right to make laws for the orderly governance of their states has contributed so much mental poverty that one begins to wonder if he really has the so much qualification that entitles him to be Attorney General. A governor of a state has the responsibility of good governance for the provisions of security of life and property. In pursuance of that, the governor said there would be no open grazing and the Attorney General who is supposed to be the chief law officer of the federation begins to doubt the constitutional responsibility of the governor to govern the state. There is something very wrong.”

REACTING, Senate spokesman, Ajibola Basiru, has charged President Muhammadu Buhari to immediately remove the AGF for comparing open grazing of cattle to auto spare parts business. The lawmaker said equating the activities of “archaic nomadic herdsmen destroying peoples means of livelihood with others who legitimately carry on businesses by selling spare parts in their shops stands logic on its head.”

The Senator noted that the statement of the Attorney General is one capable of derailing the unity, peace and progress of Nigeria and therefore called for the immediate removal from office of the AGF saying “anyone who cannot rise above primordial sentiments and pursuit of parochial ethnic agenda needs not occupy position of trust especially at this time of sectional agitations.”

Also, a Fulani leader and patron of the Miyetti Allah Cattle Breeders Association of Nigeria (MACBAN), Senator Walid Jibrin, has supported the call for the ban on open grazing of cattle in the country. Açcording to Jibrin, who is the Sarkin Fulani Nasarawa, Nigeria is far behind other countries that have modernised grazing of cattle.

He said: “With the current international concern on cattle rearing in Africa, especially Nigeria, there is need to look at how best this practice will be carried out successfully. We must note that land in Nigeria is being owned by individuals, families, federal, and state governments.”

Jibrin added: “As a full blooded Fulani man, Sarkin Fulani, and Patron Miyetti Allah Cattle Breeders Association of Nigeria, I have a free mind on anyone recommending a ban on open grazing, free movement of herders, and cattle in Nigeria because the practice is getting outdated internationally and is therefore necessary for Nigeria, especially Fulani race, to study critically the traditional open grazing.”

Afenifere Condemns IGP’s Shoot-on-sight Order In Southeast

The Yoruba socio-political organisation, Afenifere, has condemned the shoot-at-sight order by the Inspector General of Police, Usman Alkali Baba, in the South East

In a statement on Thursday by its acting National leader, Chief Ayo Adebanjo, the organisation described the order as reckless and undemocratic.

He noted that the order endangers the fate of people in the Southeast, who he posited seem endangered under President Muhammadu Buhari’s administration.

Adebanjo, who said the situation should be a source of concern to well-meaning Nigerians, said the order was targeted at protesting Igbo youths instead of embracing dialogue.

The Afenifere acting leader observed that the same fate does not apply to Buhari’s Fulani ethnic group.

He said: “Whereas Buhari allows his Fulani people to roam freely, killing, maiming, raping while protecting and prevaricating to the Fulani herders without a restraining order, the Igbo youths he orders his mainly northern military to kill on sight.”

Adebanjo said as one of the leaders of the Southern and Middle Belt Forum, he observed the killing of some people in Benue State recently.

The Afenifere leader noted that he observed first-hand the positive identification of the killers by the Benue State Government.

He asserted that despite the incontrovertible identity of the killers, President Buhari asked Governor Samuel Ortom to accommodate the Fulani herdsmen.

Simon Ekpa arrested in Finland over alleged 'terrorism activities'

Simon Ekpa, a Finnish-Nigerian has been arrested in Finland alongside four other individuals for alleged terror-related offenses.  Ekpa is a...