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Dr. Sai B. Gandham, glaucoma specialist at the Lions Eye Institute of Albany Medical Center, checks the eye pressure of Albany resident Nancy Fischer, who has glaucoma. Photographer: Marc Schultz Gov. David Patersons recent diagnosis and treatment for acute-angle closure glaucoma drew attention to the importance of early detection and treatment of this disease. While glaucoma is one of the leading causes of blindness in the United States, when it is caught early, proper treatment by an ophthalmologist can nearly always prevent the loss of vision associated with the disease. Paterson was diagnosed with acute angle-closure glaucoma, which causes severe pain as one of its symptoms. However, the more common types of glaucoma usually cause no symptoms, which is why they are so dangerous. Glaucoma refers to a group of eye diseases that damage the optic nerve, and over time, can lead to loss of vision. Glaucoma is often referred to as the “silent thief of sight, ” because most types typically cause no pain. “There are several different kinds of glaucomas, ” said Dr. Gandham, associate professor of ophthalmology and glaucoma specialist at the Lions Eye Institute of Albany Medical Center. Less common type Only about 10 percent of the population with glaucoma has acute-angle closure. Symptoms occur suddenly and can include blurry vision, halos around lights, intense eye pain, nausea and vomiting. If you have those symptoms, make sure you immediately see an eye care practitioner or visit the emergency room so steps can be taken to prevent permanent vision loss. Open-angle glaucoma is much more common, ” said Gandham. “Some 90 percent of glaucomas in the United States belong to this category. ” Open-angle glaucoma (also called chronic open-angle or primary open-angle) is the most common type of glaucoma. With this type, even though the anterior structures of the eye appear normal, aqueous fluid builds within the anterior chamber, causing intraocular pressure to become elevated. Left untreated, this may result in permanent damage of the optic nerve and retina. “Most open-angle glaucomas are picked up by routine eye checkups, including eye pressure checks and optic nerve examinations, ” said Gandham. Everyone is at risk for glaucoma, from babies to senior citizens. Older people are at higher risk, but babies can be born with glaucoma. Approximately one out of every 10, 000 babies born in the United States is born with glaucoma. Young adults can get glaucoma, too. Blacks in particular are susceptible at a younger age. It is estimated that more than 4 million Americans have glaucoma, but only half of those know they have it. Approximately 120, 000 are blind from glaucoma, accounting for 9 to 12 percent of all cases of blindness in the United States. About 2 percent of the population ages 40 to 50 and 8 percent over age 70 have elevated intraocular pressure. Glaucoma is the second-leading cause of blindness in the world, according to the World Health Organization, and it is the leading cause of blindness among black Americans, who have a risk that is six to eight times greater than Caucasians. Other high-risk groups include people over 60, family members of those already diagnosed, diabetics, and people who are severely nearsighted. Estimates put the total number of suspected cases of glaucoma at around 65 million worldwide. Glaucoma accounts for over seven million visits to physicians each year. “In the United States, one in two patients are diagnosed with glaucoma, ” said Gandham. “That means for every patient that is diagnosed one is undiagnosed. In other countries, including Africa, China and India, only one in 10 are diagnosed because health care development is not as good. ” Early diagnosis can be made by a periodic eye examination, said Dr. Robert Kennedy, chief of the department of ophthalmology at Ellis Hospital. During a painless examination, the eye physician will determine the pressure of the eye, and using a special instrument, will examine the back of the eye to see if the optic nerve is healthy and that no damage is occurring. “Traditionally, we use a variety of medications in the forms of drops that either help make the filtering system more efficient by letting fluid out of the eye or by turning off the gland to let less fluid in, ” said Kennedy. Most patients with glaucoma require only medication to control eye pressure. Sometimes, several medications that complement each other are necessary to reduce the pressure adequately. Surgery is indicated when medical treatment fails to lower the pressure satisfactorily. There are several types of procedures, some involve laser and can done in the office. Others must be performed in the operating room. The objective of any glaucoma operation is to allow fluid to drain from the eye more efficiently. “Once the optic nerve is damaged, any nerve cells that are lost are irretrievably lost and can never be recovered, ” said Kennedy. “So once patients start to have vision loss from glaucoma, it can never be restored. The whole goal of treatment at that point is to maintain whatever vision remains. ” However, the goal of medical therapy is to identify patients before any such damage has occurred so no vision loss will ever develop. To protect your vision, have your eyes examined on a regular basis. “Its a very insidious disease, ” said Kennedy. “The only way to detect glaucoma is to walk into an eye physicians office and have your eyes examined. “Screening is key. Even if you are a poorly sighted person like Governor Paterson or an elderly patient who is legally blind with macular degeneration, you still need to have your eyes examined for glaucoma. ”.

CSIRO recognises the importance of studies like the report Access Economics recently released; “ Making Choices – Future Dementia Care: Projections, Problems and Preferences ”, for it informs planning in strategic research. The leader of dementia research in CSIROs Preventative Health National Research Flagship, Dr Cassandra Szoeke, says the report highlights the challenge the nation faces with the number dementia sufferers predicted to double to 465, 000 by 2030. “About 80 per cent of dementia in Australia is caused by Alzheimers disease, ” Dr Szoeke, says. “Early diagnosis is crucial if we are to begin managing this crisis more effectively. ” “By the time sufferers show symptoms of memory loss, severe irreversible brain cell death may have already occurred. ” “In Australia every week another 1000 people are being diagnosed with dementia. It is only by early diagnosis that treatment can be effective, preserving memory and brain. ” “With the initiation of the AIBL (Australian Imaging, Biomarker and Lifestyle) cluster study the combined institutions have potentially brought forward the detection of Alzheimers disease by 18 months, ” Dr Szoeke says. “Early detection can not only aid with future treatment options but it can also help with the planning and delivery of dementia care services in Australia. ” Released earlier this week, the Access Economics report also found that investment in dementia research is a key strategy for addressing the epidemic. “There is no question that research is the key to reducing the burden of the disease on the community for the future and CSIRO and its partners will continue to seek effective, new approaches to prevention, diagnosis and treatment of these diseases, ” Dr Szoeke says.   * The Australian Imaging, Biomarker and Lifestyle (AIBL) Flagship Study of Ageing is a collaboration initiated by the CSIRO Preventative Health National Research Flagship. AIBL is a joint activity between the Flagship, the University of Melbourne, Edith Cowan University – Western Australia, Neurosciences Australia, the Mental Health Research Institute of Victoria and the National Ageing Research Institute. National Research Flagships CSIRO initiated the National Research Flagships to provide science-based solutions in response to Australias major research challenges and opportunities. The nine Flagships form multidisciplinary teams with industry and the research community to deliver impact and benefits for Australia. Download image at:  Dementia: early detection is key. Fast facts CSIRO recognises the importance of studies like the report Access Economics recently released; “ Making Choices – Future Dementia Care: Projections, Problems and Preferences ”, for it informs planning in strategic research The report highlights the challenge the nation faces with the number dementia sufferers predicted to double to 465, 000 by 2030 About 80 per cent of dementia in Australia is caused by Alzheimers disease Early diagnosis is crucial if we are to begin managing this crisis more effectively.

Early detection is key for cancer treatment. Why is early detection key to prostate cancer. Early detection is key in breast cancer. Early detection is key. Breast cancer early detection is key. Early Detection Is keys. Early Detection Is key lime. The epidemic of a new coronavirus is a stark reminder of the threat infectious diseases pose, but theres one encouraging development. Within weeks of the viruss being reported, scientists in China quickly isolated and sequenced the virus and shared the data with the international research community, accelerating global efforts to develop diagnostics, vaccines and therapies. The world got a head start because the Chinese scientific community had a robust disease-monitoring network in place to detect emerging flu strains, and had experienced SARS. This wasnt the case with the Ebola virus epidemic that ravaged West Africa from 2014 to 2016. The world wasnt looking. By the time the virus was detected, it had already been circulating for months. The same holds true for the Zika virus, which we now believe was circulating in South America for more than a year before being detected. Viruses have a molecular “clock” that allows us to estimate when they first jumped to humans or entered a particular human population–genomics version of carbon dating. Based on the limited initial genetic diversity seen in the 2019-nCoV genome, we believe that scientists in China detected this outbreak within weeks of its start. That speed of detection is unprecedented and crucial. Time is of the essence when it comes to responding to outbreaks. For Ebola and SARS, too much time had passed: the viruses mutated and became potentially more dangerous. All three recent outbreaks demonstrate the power of genomics in guiding our response to these emerging threats. Current genomics technologies can tell us about the viruss origins, spread and underlying biology. They also make it possible to have working diagnostics shared around the world within days. But we need to leverage these genomic tools and dramatically increase our capabilities. China achieved near real-time response because it had the infrastructure in place; most countries in the Global South, which are disproportionately impacted by viral outbreaks, do not. Most countries and most U. S. states still do not have the capability to detect 2019-nCoV on-site. The 2019-nCoV epidemic not only underscores the need to increase our investment in genomics, diagnostics and information technology, but also the importance of incorporating them into our routine health practices. Were still a long way from controlling 2019-nCoV, and a painful human toll may still lie ahead. And while the world pays close attention to 2019-nCoV, around 100 or more other outbreaks are reported every year, and Ebola is still devastating the Democratic Republic of Congo. Lets hope that we all learn from this experience to build the worldwide systems we need to react quickly, no matter the threat. Sabeti, a TIME 100 honoree, is a member of the Broad Institute of MIT and Harvard This appears in the February 17, 2020 issue of TIME. Contact us at.

Oral cancer early detection is key. Early Detection Is keywords. Is early detection key for breast exams. Early Detection Is key. Early detection is the key to successful treatment of cancer. Samantha Grant, attorney with Sheppard Mullin in Los Angeles, and Joseph M. Sellers, attorney with Cohen Milstein in Washington, D. C., speak at the 2019 SHRM Employment Law & Legislative Conference. HR professionals probably agree that the best workplace compliance scenario is when employers can prevent legal issues before they ever happen, said Ari Melber, chief legal correspondent for MSNBC. So Melber put this question to a panel of employment attorneys at the 2019 Society for Human Resource Management Employment Law & Legislative Conference: How can employers identify and address risk factors before they turn into complaints or lawsuits? Employers need to stop problems before they start, the panelists responded. When matters result in complaints or litigation, there's already a loss of trust and an impact on work relationships, said Joseph M. Sellers, a plaintiffs' attorney with Cohen Milstein in Washington, D. C.   Find the Risks The Equal Employment Opportunity Commission's select task force on the study of harassment in the workplace identified the following risk factors: Homogenous workforces. If most of the employees in a work group come from similar backgrounds, there may be an elevated risk of employees who don't conform to workplace norms feeling excluded or vulnerable, Sellers said. Workplaces where some workers don't conform to workplace norms. Cultural and language differences in the workplace. Coarsened social discourse outside the workplace. Workforces with many young workers. Workplaces with "high-value" employees who may think workplace rules don't apply to them. Workplaces with significant power disparities. Workplaces that rely on customer service or client satisfaction. Workplaces where work is monotonous or consists of low-intensity tasks. Isolated workspaces. Workplace cultures that tolerate or encourage alcohol consumption. Decentralized workplaces. Focus more attention on the work groups with more risk factors and try to anticipate problems before employees feel so desperate that they make a complaint or file a lawsuit, Sellers said. Go Beyond Legal Requirements Workplace legal requirements set the basic standards, but employers can do more to create an inclusive workplace. Create a diversity and inclusion program to ensure everyone feels welcome, said Samantha Grant, a management attorney with Sheppard Mullin in Los Angeles. Make sure job descriptions are tailored to the actual job being performed and have a hiring process in place that involves multiple people who review candidates, she added. [SHRM members-only toolkit:  Managing Equal Employment Opportunity] Importantly, employees should understand that everyone plays a role in preventing discrimination and harassment, from the chief executive officer to the front-line employees, she said. When it comes to harassment-prevention training, some employers cover only what's necessary to comply with the law, but simply watching a harassment-prevention video may not be effective for every work environment, Grant said. "Target training to your particular workforce and include real-life examples. Employers also may want to develop a civility code, which goes beyond legal requirements and focuses on treating employees respectfully, she said. Grant noted that state laws may afford more legal protections to employees than federal law. For example, California law protects workers from discrimination based on sexual orientation and gender identity, while federal courts' and agencies' views are "all over the map. The U. S. Supreme Court has yet to decide whether to review several cases addressing sex discrimination under Title VII of the Civil Rights Act of 1964 and whether the act protects sexual orientation and gender identity. Beware of Retaliation Each federal equal employment opportunity (EEO) law prohibits employers from retaliating against employees and job applicants who engage in protected activity—such as making a harassment complaint or serving as a witness in an EEO matter. Employers have to be very careful not to treat an employee who complains differently from how they treated that employee before the complaint, Sellers said. Retaliation cases are the hardest to defend in court, Grant noted. An employee may lose the underlying discrimination or harassment claim but still win a retaliation claim. Once the employee is treated differently, it's hard for an employer to show that the difference in treatment was not retaliatory. Be careful about moving the person who complained to another location or shift, Grant said. It's a good practice to ask the employee who complained what he or she would like to happen while the complaint is being investigated, she added. Make sure to document the response. "If you learn nothing else from me today: document, document, document...

Following the Startup Lessons Learned conference, I had the Founder/CEO of a startup tell me that she finally ran the customer development survey. She was thrilled to discover that more than 40% of her users considered her product to be a “must have. ” She had avoided running the survey earlier for fear of a disappointing number. But now that she has run it, she can confidently start planning the steps needed to scale her business ( see Startup Pyramid post. Her fear is common among many startup founders. We have so much invested in the vision (especially emotionally) that we dread an inconvenient truth standing in the way of our dream. The fear reminds me of one of my personal life missions. Over the last five years Ive strongly encouraged my friends to get physical exams – especially entrepreneurs consumed by their startups. I know how hard it is to make time.  At perhaps the most intense period of scaling LogMeIn I was putting off a routine physical exam. I felt healthy, so why worry? But I gave up half of a day anyway and finally got a complete checkup. It turned out that I had the very early stages of bladder cancer. A simple procedure removed the cancer and I havent had any signs since. But if I had waited just a few more months, my doctor explained that the prognosis would have been a lot scarier. If you havent had a physical exam recently, please make the time. It could save your life. And on a much lighter note, if you havent run the customer development survey on, just do it (its free. If too few people consider your product a “must have”, youll want to pivot/course correct as early as possible.

Ovarian cancer is a rare but often deadly disease that can strike at any time in a woman's life. It affects one in 70 women and in the past was referred to as a silent killer, but researchers have found there are symptoms associated with ovarian cancer that can assist in early detection. Experts at Northwestern Memorial say the best defense is to make use of preventive methods, understand the risks and recognize potential warning signs of ovarian cancer. "Currently, there is no reliable screening test to identify early ovarian cancer. Women need to focus on good health habits, listen to their bodies and tell their doctor if a change occurs. said Diljeet Singh, MD, gynecological oncologist and co-director of the Ovarian Cancer Early Detection and Prevention Program at Northwestern Memorial Hospital. Catching ovarian cancer early increases five-year survival odds from 30 percent to more than 90 percent. But the symptoms of ovarian cancer often mimic other less dangerous conditions making it difficult to recognize. Singh says women should be aware of possible early warning signs which include: Bloating Pelvic or abdominal pain Difficulty eating or feeling full quickly Urinary symptoms (urgency or frequency) Increased abdominal size (pants getting tighter around waist) Singh comments that the frequency and number of symptoms is important and women who experience a combination of these symptoms almost daily for two to three weeks should see their doctor. Doctors say it is not clear what causes ovarian cancer but there are factors that increase the odds of developing the disease including carrying a mutation of the BRCA gene, having a personal history of breast cancer or a family history of ovarian cancer, being over the age of 45 or if a woman is obese. If a woman is high-risk, doctors recommend screening begin at age 20 to 25, or five to 10 years earlier than the youngest age of diagnosis in the family. In addition, there are genetic tests available that can identify women who are at a substantially increased risk. While ovarian cancer is difficult to detect, specialized centers such as the Northwestern Ovarian Cancer Early Detection and Prevention Program, a collaborative effort between the hospital and the Robert H. Lurie Comprehensive Cancer Center of Northwestern University, have strategies for monitoring women at risk. Patients are monitored with physical examinations, ultrasound and blood tests every six months. "The goals of the program are to help women understand their personal risks and what they can do to decrease their risk, to help develop methods of early detection and prevention and to identify women who would benefit from preventive surgery. said Singh, also an associate professor at the department of obstetrics and gynecology at Northwestern University Feinberg School of Medicine and member of the Lurie Cancer Center. Studies have shown there are ways to reduce the risk of developing the disease. Women who use birth control pills for at least five years are three-times less likely to develop ovarian cancer. In addition, permanent forms of birth control such as tubal ligation have been found to reduce the risk of ovarian cancer by 50 percent. In cases where women have an extensive family history of breast or ovarian cancer, or who carry altered versions of the BRCA genes, may receive a recommendation to remove the ovaries and fallopian tubes which lowers the risk of ovarian cancer by more than 95 percent. "Eating a diet rich in fruits and vegetables, getting regular exercise, maintaining a normal body weight and managing stresses are all ways women can help decrease their risk of ovarian cancer. added Singh. Treatment for ovarian cancer usually begins with surgery to determine if the cancer has spread. Doctors at Northwestern Memorial also use a form of chemotherapy called intraperitoneal chemotherapy, which is injected directly into the abdominal cavity and has been linked to a 15-month improvement in survival. "The best scenario would be to prevent this cancer entirely but until that day comes women need to focus on good health behaviors, listen to their bodies and know their family history" stated Singh. Story Source: Materials provided by Northwestern Memorial Hospital. Note: Content may be edited for style and length.

Early detection is the key to. Nasopharyngeal cancer: Early detection is key. Dyslexia is a learning disorder characterized by persistent difficulty with learning to read that sometimes also manifests as difficulty with language in general. Dyslexia in children is currently one of the most commonly diagnosed disorders. In fact, one in five children will be diagnosed with some form of dyslexia. In the past, dyslexia identification and intervention began around the third grade, but research now shows that earlier intervention may more effectively close the dyslexia achievement gap. Once children begin to think reading is difficult, they develop a resistance to it and lose confidence. Developing this attitude toward reading during the formative years makes it difficult to reverse later. To prevent this, teachers need to reach these students in kindergarten and first grade. Studies show that there is little to no difference between the reading abilities of average children and dyslexic children when intervention occurs early. Many educators have been afraid to identify what they think is dyslexia because most have not undergone training to accurately identify the disorder. Dyslexia in children comes in many forms, so it can be difficult to recognize. Teachers working toward a master's degree in special education may be ideally positioned to help these teachers and students. Special education offers dyslexic children the time and practice they need to learn to manage the disorder. Currently, many states are categorizing dyslexia as a learning disability, which will make it much easier to get students into early intervention under special education law. In a longitudinal study, researchers found that students with dyslexia struggled with reduced literacy throughout their school years; they were not able to overcome the disorder on their own. Intervention is the key to making sure students build a toolkit of strategies to help them keep pace with general education students. The following are challenges that children with dyslexia face: Synthesizing instructions. Concept building. Automated processing. Early intervention includes strategies to strengthen or supplant memory skills, which are critical to the other skills dyslexic students must learn in order to manage the disorder. A master's degree in special education online can help teachers understand the best practices for working with dyslexia in children over time and helping them close this educational gap before it is too late. Learn more about A-State's online Master of Science in Education in Early Childhood Education. Sources: Education Week: Dyslexia Signs Can Show Up Before Early Reading Science World Report: Dyslexia: Could an Early Intervention Narrow the Achievement Gap? Education Week: It's Fine For Districts to 'Say Dyslexia. According to New E. Dept. Guidance.

What is considered early detection. First-time parents have many fears and anxieties about their newborns health, but the thought that your baby could be born with clubfoot is rarely one of them. When this becomes a reality, it can be daunting, trying to imagine the future for your little one and how they will grow up. Clubfoot is a condition where feet grow inwards and the child is unable to walk properly. This not only looks painful but is a pain that the little ones have to bear. The feet of a young sufferer develop abnormally during the second trimester of the mothers pregnancy. When Cape Town mother Karen Moss gave birth to her son Alex in 2003, the joy of the moment was fraught with panic because the child was born with this birth defect. Moss says she will never forget what the doctor said and the panic that set in when she was told the news: “I dont like your sons feet. They dont look normal”, she recalls. “Alex had bilateral clubfoot - it affected both feet. I had so many questions and so little information to help my panic. I wondered if my child would every walk and fully function” says Moss. Treatment at a local specialist started when Alex was just eight days old. “It was awful, the doctor would force Alexs feet into position while he screamed in pain. I sobbed through it, ” she says. Clubfoot - which afflicts about 200000 infants a year around the world, and about 2000 in South Africa - is a disabling birth defect in which one or both feet are turned inward and down, and untreated, compels the victim to walk clumsily on the sides of their feet. Today is World Clubfoot Day - a day to raise awareness about clubfoot disability and its prevention using a non-surgical treatment that includes gentle manipulation of the feet followed by the application of plaster casts and temporary bracing. Back in 2005, non-invasive treatment was not available in South Africa, so Moss flew to the US for her sons treatment. Alexs treatment involved casts set every fifth day. “I could see a huge difference from the first cast. We did three rounds of treatment and Alexs feet were just about perfect. All we had to do was ensure he slept in a pair of specialised shoes until he turned four” says Moss. After being frustrated by the trouble she had to go through to find help, she started Steps - a non-profit organisation which she formed in 2005 “to spread the application of a far-reaching and relatively inexpensive non- surgical treatment for clubfoot”. Today, the organisation focuses on four areas: training, run in partnership with the Department of Health; clinic support, by capturing data and supplying equipment; importing and selling clubfoot braces; and advocacy, reducing stigma around clubfoot and educating parents about treatment. A mother who is assisted by Steps, Nomzamo Batyi, 35, says for the first week when her son was born she hid his sons feet. “I was shy and I didnt want to be answering questions about why his feet looked like that, ” says Batyi. It was only when she met other mothers that she realised she had nothing to worry about - that having a child with clubfoot was nothing to be ashamed off and that the child could get help and live a normal life.

What is early detection. Over 22, 000 women will be diagnosed with ovarian cancer this year, a disease that is notorious for being difficult to detect in its early stages. Early detection is key, however, as the cancer is very aggressive once it spreads. The incredible news is, caught in its earliest stages, 90% of women survive at least five years. Helen C. shares her story with us about Star Wellness early detection of her ovarian cancer. A patient of advancing age, Helen C. kept up with annual visits, including her annual PAP exam. “I remember being concerned that my bad cholesterol may be borderline high but was prepared to share with hubby that my good cholesterol was off the charts and with historically low blood pressure and no daily medications, my doctors tell me I will outlive them all. ” Despite being pleased overall with her results from her doctors visit, her pragmatic husband suggested she participate in the advanced wellness screenings offered at his company; there was a discount for the tests, which are not readily available from your doctor, and he believed the couple should take advantage of the information. At home, following the tests, “I received a call from Star Wellness, suggesting I immediately call my gynecologist. ” While she had no symptoms, the additional testing offered by Star Wellness showed an indicator for ovarian cancer was greatly elevated. Following the advice, she scheduled a visit with her gynecologist. Sure enough, the doctor noted something previously missed. Helen had a tumor on her ovary that had gone undetected. It was the size of a softball. Her CA 125 protein levels were found by Star Wellness tests to be elevated in her blood possibly signaling a major problem. The screening her husband had suggested would turn out to be one of the most important tests of Helens life. Preparations for surgery began immediately. “It turns out the CA 125 test caught my cancer so early that we did not have to endure chemotherapy nor radiation. Within 3 weeks from the test results, I was in surgery. My doctor is well known for treating ovarian cancer; and he tells me he shares my story whenever appropriate. Had it not been for the VAP testing offered to employees and spouses of my husbands employer in 2013, I probably would have … an advanced stage of ovarian cancer, or worse. ” Many women like Helen are not alerted to this type of cancer. Symptoms of ovarian cancer are often confused with less serious, non-cancerous ailments or common digestive issues. Testing for CA 125 is a simple process, but it does have a substantial rate of “false-positives. ” Endometriosis, uterine fibroids, even normal menstruation can cause an elevated CA 125 level. But in the cases of advancing age or family history of ovarian cancer, testing should definitely be considered, as it is effective for early detection of cancer. “Since our good news, a number of our friends have themselves paid for the CA 125 exam. No false positives yet and no cancer. We hope you will continue to offer this as part of your program. I am grateful to my husband, his employer and to Star Wellness for offering this service. Thank you! ” Contact Star Wellness to learn more.

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