Ganja Vibes Blog

Presidential debate Round 2: Fantastic theater but not decisive politics

By Jon HealeyOctober 16, 2012, 8:36 p.m.
President Obama's performance in Tuesday's second presidential debate was dramatically better than his outing in the first one earlier this month. Unfortunately for Democrats, Obama's Republican rival, former Massachusetts Gov. Mitt Romney, didn't crumble in the face of the newly energized and forceful president. Instead, the debate at Hofstra University in New York played more like a brutal exchange of punches between heavyweights, ending with both men battered but standing. Intense throughout, even riveting at times, it was fantastic theater -- but not decisive politics. Unlike his reserved, accommodating approach in the first debate, Obama spent much of the night attacking Romney's record and proposals, forcing his rival to spend more time defending himself and less time dissecting Obama's presidency. Obama was also much sharper and quicker when responding to Romney's attacks. The more moderate-sounding Romney from the first debate was again on display, as he pledged his support for college grants and loan programs, clean energy, green cards for high-skilled immigrants and even contraceptive coverage for female employees. But he veered into new, socially conservative territory when he argued that one way to reduce gun violence is to decrease the number of out-of-wedlock births. DEBATE LOG: Second Presidential Debate Romney was effective again when faulting Obama's handling of the economy and laying out the small-government philosophy behind his economic plan. But he stumbled when pressed to show how the numbers add up on his plan to cut tax rates by 20% without raising the deficit, declaring, "Of course they add up!" He might as well have said, "Trust me!" Romney also fumbled his criticism of how the administration responded to the attack on the U.S. consulate in Benghazi, Libya. That should have been debate gold for Romney, but he came across as opportunistic, petty and misinformed about what Obama said the morning after the attack. In fact, after Romney all but accused Obama of lying about his remarks, moderator Candy Crowley of CNN backed up Obama's version of events -- a twist that will certainly have fact-checkers parsing the transcript. For his part, Obama broke no new ground in critiquing Romney's tax plan, nor did he present much of a plan for the next four years. He did, however, articulate more clearly why his approach to the economy would help the country (because by raising taxes on high-income Americans, Washington could afford to keep investing in the physical and human resources needed to compete in a global economy). And as noted above, he gave voters more reasons than before to doubt Romney. ELECTION 2012: The central issues The policy discussions often devolved into "yes it would/no it wouldn't" kinds of exchanges, and at times the debate cried out for a mediator instead of a moderator. So it isn't likely to change minds on that front. The main effect will probably be to reassure Obama supporters that their candidate is engaged and capable of holding his own against Romney, while convincing Romney supporters that their candidate can take whatever Obama dishes out. On to Round 3. source: http://www.latimes.com/news/opinion/opinion-la/la-ol-presidential-debate-two-winner-20121016,0,3767518.story

Male Breast Cancer

What is male breast cancer?

Men possess a small amount of nonfunctioning breast tissue (breast tissue that cannot produce milk) that is concentrated in the area directly behind the nipple on the chest wall. Like breast cancer in women, cancer of the male breast is the uncontrolled growth of the abnormal cells of this breast tissue. Breast tissue in both young boys and girls consists of tubular structures known as ducts. At puberty, a girl's ovaries produce female hormones (estrogen) that cause the ducts to grow and milk glands (lobules) to develop at the ends of the ducts. The amount of fat and connective tissue in the breast also increases as girls reach puberty. On the other hand, male hormones (such as testosterone) secreted by the testes suppress the growth of breast tissue and the development of lobules. The male breast, therefore, is made up of predominantly small, undeveloped ducts and a small amount of fat and connective tissue.  

How common is male breast cancer?

Male breast cancer is a rare condition, accounting for only about 1% of all breast cancers. The American Cancer Society estimates that in 2010, about 1,970 new cases of breast cancer in men would be diagnosed and that breast cancer would cause approximately 390 deaths in men (in comparison, almost 40,000 women die of breast cancer each year). Breast cancer is 100 times more common in women than in men. Most cases of male breast cancer are detected in men between the ages of 60 and 70, although the condition can develop in men of any age. A man's lifetime risk of developing breast cancer is about 1/10 of 1%, or one in 1,000.

15 Cancer Symptoms Men Ignore

What are male breast cancer symptoms and signs?

By Kathleen Doheny WebMD Feature Reviewed by Louise Chang, MD Some men are notorious foot-draggers, especially when it comes to scheduling doctor visits. That's unfortunate. Routine preventive care can find cancerin men and other diseases in the early stages, when there are more options for treatment and better chances of a cure. Some men, though, would never go to the doctor except for the women in their life. According to Leonard Lichtenfeld, MD, deputy chief medical officer for the national office of the American Cancer Society, women are often the ones who push men to get screened for cancer. Experts say that men could benefit greatly by being alert to certain cancer symptoms that indicate a trip to the doctor's office sooner rather than later. Some of those cancer symptoms in men are specific. They involve certain body parts and may even point directly to the possibility of cancer. Other symptoms are more vague. For instance, pain that affects many body parts could have dozens of explanations and may not be cancer. But that doesn't mean you can rule out cancer without seeing a doctor. If you're like most men, you've probably never considered the possibility of having breast cancer. Although it's not common, it is possible. "Any new mass in the breast area of a man needs to be checked out by a physician," Lichtenfeld says. In addition, the American Cancer Society identifies several other worrisome signs involving the breast that men as well as women should take note of. They include:
  • Skin dimpling or puckering
  • Nipple retraction
  • Redness or scaling of the nipple or breast skin
  • Nipple discharge
When you consult your physician about any of these signs, expect him to take a careful history and do a physical exam. Then, depending on the findings, the doctor may order a mammogram, a biopsy, or other tests.
Read about more cancer symptoms that men ignore »
Reviewed by Dennis Lee, MD on 3/7/2011
 
 

Women’s Health: Breast cancer surgery women ‘risk more operations’

JULY 14, 2012 BY 

BBC News Health

One in five women with breast cancer who has part of the breast removed, rather than the whole breast, ends up having another operation, a BMJ study suggests.

The reoperation rate increases to one in three for women whose early-stage cancer is difficult to detect.

In England, 58% of women with breast cancer have breast-conserving surgery.

Women should be told of the risk of further operations when choosing surgery, researchers say.

The study, led by researchers from the London School of Hygiene and Tropical Medicine and published in the British Medical Journal, looked at data collected on 55,297 women with breast cancer in England.

They all underwent breast-conserving surgery, rather than a mastectomy, on the NHS between 2005 and 2008. All the women were aged 16 or over.

They then looked at procedures carried out in the three months following the first breast operation.

The researchers took tumour type, age, socio-economic deprivation and other health problems into account.

When combined with radiotherapy, the study says that breast-conserving surgery is as effective as mastectomy, particularly for patients with an obvious, invasive tumour.

‘Emotional distress’

However, because some pre-invasive cancers called ‘carcinoma in situ’ are difficult to detect, because they don’t form a lump, breast conserving-surgery may not remove the cancer completely.

This could result in another operation.

The study says that additional operations put women’s lives on hold while they wait for more surgery. It can delay their return to work, cause emotional distress and result in the need for reconstructive surgery to the breast.

Out of the 55,297 women who underwent breast-conserving surgery, 45,793 (82%) were suffering from isolated invasive cancer, 6,622 (12%) had isolated carcinoma in situ (pre-cancerous disease), and 2,882 (6%) had both types of cancer.

Another operation was more likely among women with pre-cancerous disease (29.5%) compared with those with isolated invasive disease (18%).

Around 40% of women who had a reoperation underwent a mastectomy.

Further results suggest that a repeat operation is less likely in older women and women from more deprived areas.

‘Empowering patients’

Prof Jerome Pereira, study author and consultant breast surgeon at James Paget University Hospitals in Great Yarmouth, said the findings would help women to make decisions about their treatment.

“Patients should feel reassured that clinicians can now advise them more clearly.

“We all have a different attitude to risk but this is empowering patients to make the right decision for themselves.”

Prof Pereira said the study results would help surgeons too.

“This research focuses surgeons and challenges us to try and reduce reoperation rates.

“We need to refine imaging techniques to make this happen – and this opens up more areas for more research.”

‘Increase survival’

Ramsey Cutress, Cancer Research UK breast cancer surgeon at the University of Southampton, said it was standard practice to discuss the possibility of further surgery with patients.

“It’s important for patients to fully understand the pros and cons of surgery. The ultimate aim of these repeat operations after breast-conserving surgery is to reduce the chance that breast cancer will return in the breast, and increase survival from the disease.

“Rates of breast cancer recurrence are also reduced by other treatments such as radiotherapy, hormone therapy and chemotherapy where appropriate.

“There’s an ongoing need to better identify those at high risk of breast cancer recurrence, and to carefully select those who would benefit the most from further surgery.”

Women’s Health – LadyRomp.  

California NORML's conference marking the 100th anniversary of marijuana prohibition in California

  All are invited to California NORML's conference marking the 100th anniversary of marijuana prohibition in California.   Cannabis in California: Ending the 100 Year War January 26 & 27, 2013 Ft. Mason Conference Center, San Francisco All are invited to California NORML's conference marking the 100th anniversary of marijuana prohibition in California. This two-day event, held January 26 & 27, 2013 at Ft. Mason Conference Center in San Francisco, will explore the history, causes and costs of the war on cannabis, and strategies for ending it. Speakers at this historic conference will include leading experts on cannabis, reform movement leaders, public officials, attorneys, scientific and medical experts. Following up on Cal NORML's "Next Steps" conferences of 2011, we will discuss concrete measures to reform California's cannabis laws, both medical and otherwise, through legislation, litigation and ballot initiatives. Special early bird CalNORML Member Registration is $65 for both days. Non-Member Earlybird Registration is $75. The Radisson at Fisherman's Wharf is offering a special room rate for attendees. Call 415-392-6700 and ask for the California NORML group rate. Proposals for participation and sponsorship are invited at: conference@canorml.org or (415) 563-5858.    
 
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