2012年4月22日星期日

She admits that she falls for it too

The study, of 218 women treated for early louis vuitton sunglasses breast cancer, found that almost one-third had "cancer-related fatigue" at the end of treatment. But far fewer -- six percent -- still had the problem a year later. That suggests for most women with the disease post-treatment fatigue will fade with some time, the researchers report in the Journal of Clinical Oncology. It's well known that cancer patients often suffer fatigue. And some studies have concluded it's common for that weariness to last for years after treatment ends. Among Ray ban sunglasses breast cancer survivors, researchers have found that more than one-third have fatigue two to three years after treatment. The reasons, though, have not been clear. And the new findings support the idea that some cases of chronic fatigue in earlier studies may have had causes other than the cancer itself. Past studies have often been "cross-sectional," meaning they studied people at one time-point. So it's possible to catch some bouts of fatigue that are related to various causes, explained Dr. David Goldstein, who led the new study. That could mean lingering fatigue from a viral illness, for example, or fatigue related to depression, according to Goldstein, of Prince of Wales Hospital in Randwick, Australia. "There are cancer survivors with true post-cancer fatigue," Goldstein said in an email. It's just that the number may be "less than previously thought." That may be true at least with early-stage breast cancer -- and possibly some other early cancers, Goldstein said -- but not necessarily more-advanced cancer. "The fatigue associated with advanced cancer is burberry handbags a much more complex issue -- tied up with the biology of an active tumor and its many physical effects, as well as the drugs used (for treatment)," Goldstein explained. The findings are based on 218 women who were treated for early-stage breast cancer with surgery and some type of "adjuvant" therapy, usually radiation, chemotherapy or both. The women answered questions about their physical and psychological health every few months for a year after treatment. Overall, Goldstein's team found, 11 percent persistently had fatigue at the six-month mark, while six percent still had symptoms a year after treatment ended. Goldstein said the study used a questionnaire that distinguished between physical and psychological symptoms, which some past studies have not done. And women who had persistent fatigue at six months were evaluated to rule out "alternative" causes -- like low thyroid hormone levels or depression. It's not clear why some women treated for early breast cancer remain fatigued for months or longer, according to Goldstein. Some recent research, he noted, has hinted that some patients could have a genetic predisposition to an "exaggerated bodily response" to chemotherapy, for example. Other work has suggested that chronic, body-wide inflammation could play a role. As for fatigue treatment, there's evidence that good sleep habits and regular exercise can help, if people can keep those habits up. Based on research into chronic fatigue, a combination of exercise plus cognitive behavioral therapy might help some patients, according to Goldstein. He said he and his colleagues are currently studying that approach. Cognitive behavioral therapy is a form of talk therapy focused on changing the thought patterns and behaviors that seem to be feeding physical or mental symptoms. One recent study also found that breast cancer survivors who got more omega-3 fats in their diets were less likely to have long-lasting fatigue than survivors who ate less. (See Reuters Health story of March 29, 2012) Omega-3 fats, which are thought to fight inflammation, burberry ties are largely found in oily fish like salmon, mackerel and tuna. Those findings, though, do not prove that omega-3 directly affects the long-term risk of fatigue. And the researchers said it was too soon for cancer survivors to be taking fish oil to battle fatigue. They noted, though, that eating fish a couple times a week -- something that's already recommended for general health -- could be a good idea. Imagine walking around with a tube that goes louis vuitton handbags through your nose and passes through your esophagus, right down into your stomach. A nasogastric tube, or feeding tube, provides nourishment. It’s usually reserved for patients with medical challenges. But now, feeding tubes are the new dietary rage. Last week, the New York Times ran a story about crash-dieting brides willing to undergo the 10-day K-E diet that costs $1,500 and requires a doctor’s supervision. It’s an eyebrow-raising trend, but oakley sunglasses we know where it stems from. The pressure on brides and women in general to look a certain way is not imaginary. When I was planning my wedding, every magazine had a get-fit-quick plan for brides. Looking a certain way was an ongoing dialogue. There was no escape from the endless pictures of Kate Discount louis vuitton bracelets for women classic best outlet silvery Middleton and even short-term bride Kim Kardashian. There’s nothing wrong with losing weight healthfully, but magazines, TV, runways and society seem to scream, “Lose weight. Look perfect.” Perfection is expected of women, not just by men, but by other women, because this is the culture of thinspiration and bodysnarking. We feel so insecure about our own image that we pick on others. I am no exception. I’ve been picked on for being too skinny and having acne. But I’ve also scoffed at the girls in too-short skirts and v-necks down to there. It’s the bullied becomes the bully complex. This is why Ashley Judd’s puffy face became beats by dr dre a thing to talk about recently. We all wondered if she was a victim of botched plastic surgery or a crazy beauty treatment. I shamefully admit I gave her face the questioning side-eye. And I know better. Still, it’s easy to get caught up in the crazy talk. In her essay for the Daily Beast, the actress blames the puffiness on steroids she was prescribed for an illness and takes us all to task over our obsession. “The Conversation about women happens everywhere, publicly and privately,” she wrote. “We are described and detailed, our faces and bodies analyzed and picked apart, our worth ascertained and ascribed based on the reduction of personhood to simple physical objectification. Our voices, our personhood, our potential, and our accomplishments are regularly minimized and muted.” She admits that she falls for it too. It’s one of those things in which none of us is completely innocent. And we must do better by our little girls and women. Judd says men and boys face the same pressure when it comes to fulfilling an image of masculinity. I think there are unfair expectations for guys. But I don’t think it’s the same as what women go through. On TV you can see a chubby, balding guy like “Modern Family’s” Jay Pritchett with the curvy and gorgeous Gloria. There is no reverse of that, not even in cartoon land with “Family Guy.” As long as a guy is funny, charming or talented, it almost doesn’t matter how he looks. Adele, one of the most talented singers in the world, was called fat by designer Karl Lagerfeld. But Ruben Studdard, once “American Idol’s” winner, was considered a “teddy bear.” Rapper Rick Ross, a Billboard regular known for his big belly, graced the cover of Vibe magazine’s sex issue last summer, shirtless. He has been called a sex symbol. But Jessica Simpson bares her naked, pregnant body on the cover of Elle and gets criticized for her weight. It’s called pregnant. There is no way for women to mold themselves into Monster Beats Studio NFL New Orleans Saints this image of perfection the media pushes. But there is a way for us to quit feeding into this unhealthy diet of body shaming and accept ourselves as well as one another. We cannot be reduced to our bodies, our faces and our clothes. We are much more than that. And it should be reflected in our conversations.

没有评论:

发表评论