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2018年7月28日 星期六

專家警告:愛滋再次流行 全球恐陷前所未有危機


https://tw.mobi.yahoo.com/news/專家警告-愛滋再次流行-全球恐陷前所未有危機-081023452.html

http://www.unaids.org/en



專家警告:愛滋再次流行 全球恐陷前所未有危機



Kairos
風向新聞
全球各國代表昨(23日)參加在荷蘭首都阿姆斯特丹的國際愛滋病大會。專家提出警告,愛滋病(AIDS)再次面臨流行,疫情可能迅速惡化以致失控,呼籲全球挹注更多額外經費投入防範與治療。
根據英國《每日郵報》報導,全球各國大約1萬8,000名的代表參加阿姆斯特丹國際愛滋病大會。美國愛滋病研究者馬克·狄布(Mark Dybul)指出,新的感染人數急速驟升,再加上各國年輕人罹病增加,傳播加速恐帶來前所未有的危機。
2016年感染愛滋病毒的人數下降,死亡人數也降至1百萬以下,2017年更是持續下滑到94萬,但世界部份地區的新病例卻大幅飆升。專家警告,不要降低警愓性。特別是缺乏資金的非洲國家,感染情況嚴重,甚至失控。
狄布表示,捐獻資金和美國資助預算已經大幅減少,聯合國愛滋防治計畫(UNAIDS)每年的資金缺口接近60億美元。「如果資金持續減少,世界可能將邁向史無前例的危機」。
大會報告的數據顯示,全球有50個國家的愛滋病感染率正在攀升,其中以東歐及中亞地區激增的幅度逾1倍。專家警告,若要實現聯合國在2030年終止愛滋病威脅的目標,2020前必須要控制感染人數在全球每年50萬人。但不幸的是,去年有180萬新感染病例,專家憂心地說:「除非有變革性的事件產生,不然全球很難達到聯合國的目標。」。
據估計,全球有3,670萬人(包括成人及兒童)感染愛滋病毒,其中英國近9萬人、美國則有100萬人左右。(艾以琳/綜合外電報導)

2018年1月6日 星期六

無痛大腸鏡不是人人可做哦 防大腸癌腸鏡檢查該注意的重點請看!




https://tw.news.yahoo.com/翁-074050942.html

無痛大腸鏡不是人人可做哦 防大腸癌腸鏡檢查該注意的重點請看!

國人飲食西化,大腸癌發生率愈來愈高,另方面也是因為落實篩檢被檢出才致罹病人口增加,很多人想了解自己的腸道健康,馬上就想到大腸鏡,到底大腸鏡能檢查什麼?真的要麻醉嗎?

好心肝門診中心專任主治醫師、台大醫院內科部兼任主治醫師翁贏雪指出,簡單來講,大腸鏡的作用就是檢查大腸裡面有沒有病兆,例如出血、發炎或者是有息肉甚至是腫瘤等,造成大腸阻塞等等;而做大腸鏡檢查不僅可以做診斷,對一般的息肉或是早期癌症也可以在檢查時進行治療。
檢視相片
做大腸鏡檢查人人都可以做無痛腸鏡嗎?
很多人害怕這項侵入性檢查,翁贏雪醫師指出,大腸鏡的檢查是用一根內視鏡的管子從肛門進去檢查大腸內的情況,做的過程會把整斷大腸幾乎都看完,另外,有一些特殊情況可能還會檢查到最末端的一段小腸,「接受大腸鏡檢查不必緊張,只要全程放輕鬆交給醫師就對了。」
至於要不要麻醉,翁贏雪指出,雖然大部分的病人都會問說:「做大腸鏡會不會很痛,或是詢問是否要選擇無痛大腸鏡」,但是如果你沒有一些病史,選擇做無痛大腸鏡是可以的,但是如果有心臟、有心血管方面疾病或者是肺部疾病,或是年紀比較大的人,會比較建議不要做無痛的腸鏡檢查,「因為畢竟麻醉還是有風險。」
但也不是沒有這些病史的人就一定要選擇無痛腸鏡,「還是可以試看看一般的腸鏡,也不一定會痛,有些人全程做完還是沒有什麼感覺,就算有息肉或是有病兆要做切片,在處理的當下也是無痛的。」
有些人認為痔瘡或息肉跟罹腸癌聯想在一起,翁醫師表示,痔瘡跟腸癌沒有關係,倒是息肉跟腸癌有關,才會建議病人,如果之前已經有息肉病史,「一定要定期追蹤、接受大腸鏡的檢查。」因為息肉久了它就是一個癌前病變!

大腸鏡檢查若有切除息肉勿出遠門

提醒接受腸鏡檢查的民眾,如果做的過程中有被發現息肉,並予切除處置者,建議兩個禮拜內最好不要出國。因為有部分的病人就算就是是做的當下息肉切好了、傷口也都很漂亮,但有些人還是會山現延遲性的出血,因此臨床上會建議「兩個禮拜內不要跑太遠」,例如不要出國,以防可能在飛機上或者是在國外時,傷口突然流血,卻無法立即做處理。
全民健康基金會網站刊載的《台灣每年上萬人罹病!別再忽視大腸癌》文章中,針對大腸癌的問題也有詳細說明,以下是內文提醒的腸癌危險因子。

大腸癌危險因子

1. 飲食西化,平日肉類食用過多,尤其紅肉,蔬果類攝取太少。
2. 好發於50歲以上民眾。
3. 有家族病史或有遺傳基因缺陷者。
4. 曾罹患慢性腸發炎者。
5. 曾因結腸直腸癌開過刀者,剩餘腸子的部位,也可能引發大腸癌。
6. 有大腸息肉者。
檢視相片
好心肝門診中心專任主治醫師、台大醫院內科部兼任主治醫師翁贏雪。

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2015年4月9日 星期四

Happy eating: Ingredient to a long life, in your cereal bowl


http://www.cnn.com/2015/03/27/health/cereal-long-life/index.html



Happy eating: Ingredient to a long life, in your cereal bowl

Story highlights

  • An observational study found people who ate at least 10.22 grams of cereal fiber had a 19% lower risk of death
  • People who ate at least 34g of whole wheat and fiber reduced risk of death by 17%
  • Early studies have shown eating a diet rich in cereal fiber can help reduce risk for diabetes, cancer, inflammation and obesity
(CNN)There's good news for those of you who wake up to a bowl of cereal every morning, especially if your go-to choice is high in fiber. Hidden in that favorite box may be a prize better than a plastic toy. It just might hold the key to a longer life, according to a new study.
No, this study wasn't done by Snap, Crackle or Pop. Tony the Tiger was not involved in the making of this research.
Study: Eat more cereal fiber, live longer
Study: Eat more cereal fiber, live longer 01:03
PLAY VIDEO
Some scientists at the Harvard School of Public Health have been researching the impact of cereal fiber on diet for years. They found that people who reported in surveys a diet rich in cereal fiber lived longer than those who chose less well in the morning. They had a 19% reduced risk of death, compared to those who ate the least amount of cereal fiber.
Crunching the numbers even further, the authors found that high fiber cereal eaters had a 34% lower risk of death from diabetes and a 15% reduced risk of death from cancer. People who ate a lot of whole grains and dietary fiber had a 17% lower risk of all-cause mortality.
Cereal fiber, they conclude, is one "potentially protective component" of a really healthy, premature death-preventing diet.
    The study was published in the latest issue of BMC Medicine.
    It drew from the NIH-AARP Diet and Health Study and included more than 566,000 AARP members ageds 50 to 71 from six states and two large cities. It excluded individuals who reported extreme-energy intake, which is common, since scientists believe these survey takers are not totally accurate in what they report. That left them with over 367,000 people.
    This new study builds on others that have shown that cereal fiber and whole grains have apositive impact on your life if you want to avoid cancersinflammation and obesity as well.
    Does that mean that eating a daily bowl of your favorite purple horseshoe marshmallow-sprinkled cereal is doing your body right?
    Well, don't court the leprechaun quite yet, dietitians say. Those cereals have sugar among their top ingredients, so dietitians suggest you avoid those.
    If you want to get the daily serving that these researchers say showed a difference in risk reduction, you need to eat at least 10.22 grams of cereal fiber per day based on a 1,000 kcal daily diet.
    If you want to get your fill with just one serving of cereal, aim for those that have "fiber" in the title or list at least 10 grams of fiber per serving on the label. Fiber One lists 14g per serving. Kashi GoLean lists 10g. Mini-Wheats lists 8g.
    If you can't stand the taste of high-fiber cereals, don't worry. Other popular cereals such as Cheerios have about 3g of fiber per serving, as do Honey Bunches of Oats. Oatmeal is a good source of fiber too.
    Whole grains and regular dietary fiber also may help reduce your mortality risks, the study found, and those can be found in a large number of products.
    Consider oatmeal or a non-high fiber cereal (3 to 5 grams), eat a piece of wheat bread (about 5 grams) or a whole wheat tortilla (about 5 grams). Black beans are a rich source for dietary fiber (19.5 grams). And add even some fruit like apples (a large one has 4.5 grams) or a half a cup of blackberries (4.4 grams) all of that would add up to this 'higher' total that may improve your odds of living a longer life.
    And if you don't want to spend hours reading labels at the grocery store, dietitian Lori Zanini said she tells her clients this fiber rule of thumb: "No animal product will naturally have this," Zanini said. "Plants are where you should go to find fiber. It only comes from the cell walls of plants."
    Most Americans, she said probably don't get the amount of cereal fiber or whole grains recommended as advantageous in this study. "But once you consciously seek it out, it does become easier," Zanini said "And with the wide variety of ways you can get fiber into your diet it isn't hard, especially if you know it may help your health."
    The operative word is "may," study author Dr. Lu Qi said. Keep in mind the study looks at connections; it doesn't show causality. To definitively show cereal is the key to long life, the professor at the Harvard medical school and Harvard's school of public health said, you'd need a clinical trial that would look at this specific issue.
    That said, Qi personally is a believer in the breakfast food. He said he eats cereal regularly to start his day. Harvard even provides breakfast for free to the faculty. And if it's good enough for doctors at Harvard, they may just be on to something.














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