QUOTE FOR THE WEEKEND:

“Your appendix is a thin tube in your lower right abdomen. It sits where your small intestine meets your large intestine.

Your appendix is a 4-inch-long tube. It’s attached to the first part of your large intestine. Its exact function is unclear. Some people believe that it’s an evolutionary holdover that provides no benefits to your health.

This conventional wisdom has led to the widespread use of appendectomies to prevent and treat disease.”

Healthline

QUOTE FOR FRIDAY:

“A risk factor is anything that affects your chance of getting a disease such as cancer.

The only way to prevent some soft tissue sarcomas is to avoid exposure to risk factors whenever possible. Still, most sarcomas develop in people with no known risk factors. At this time, there’s no known way to prevent this cancer.

Injury and lifestyle factors such as smoking, diet, and exercise are NOT linked to the risk for soft tissue sarcoma . But the injury issue has caused some confusion in the past. One reason is that an injured area might swell. That swelling could look like a tumor, but it isn’t one. Also, when you are injured, the pain may draw your attention to the injured area. A doctor may check the area, and x-rays or other imaging studies may be done. This can make it more likely that any sarcoma that’s there will be discovered, even though it may have been there for some time.

Still, scientists have found a few risk factors that make a person more likely to develop soft tissue sarcomas.”

American Cancer Society

 

QUOTE FOR THURSDAY:

“Sarcoma is a type of cancer that can occur in various locations in your body.

Sarcoma is the general term for a broad group of cancers that begin in the bones and in the soft (also called connective) tissues (soft tissue sarcoma). Soft tissue sarcoma forms in the tissues that connect, support and surround other body structures. This includes muscle, fat, blood vessels, nerves, tendons and the lining of your joints.

There are more than 70 types of sarcoma. Treatment for sarcoma varies depending on sarcoma type, location and other factors.”.

MAYO CLINIC

QUOTE FOR THE WEDNESDAY:

“Many people who have been burned in fires have also inhaled smoke. Sometimes people inhale smoke without sustaining skin burns.

Inhaling small amounts of smoke usually causes no serious, lasting effects. However, if the smoke contains certain poisonous chemicals or is unusually dense or if inhalation is prolonged, serious problems can develop. Even common household materials such as plastics and fabrics can produce poisonous chemicals (toxic products of combustion) when they burn.

Smoke inhalation can cause problems in several ways:  Suffocating the body with carbon monoxide,  Poisoning the body with toxic chemicals, Damaging the windpipe, breathing passages, and/or lungs from toxic chemicals,  Burning the mouth and throat from hot gases, Carbon monoxide is a gas produced in many fires. When inhaled, carbon monoxide prevents the blood from carrying oxygen so tissues do not get enough oxygen.”.

MERCK MANUAL

Exposure to fire inhalation!

The smoke released by any type of fire (forest, brush, crop, structure, tires, waste or wood burning) is a mixture of particles and chemicals produced by incomplete burning of carbon-containing materials. All smoke contains carbon monoxide, carbon dioxide and particulate matter (PM or soot). Smoke can contain many different chemicals, including aldehydes, acid gases, sulfur dioxide, nitrogen oxides, polycyclic aromatic hydrocarbons (PAHs), benzene, toluene, styrene, metals and dioxins. The type and amount of particles and chemicals in smoke varies depending on what is burning, how much oxygen is available, and the burn temperature.

Exposure to high levels of smoke should be avoided. Individuals are advised to limit their physical exertion if exposure to high levels of smoke cannot be avoided. Individuals with cardiovascular or respiratory conditions (e.g., asthma), fetuses, infants, young children, and the elderly may be more vulnerable to the health effects of smoke exposure.

Inhaling smoke for a short time can cause immediate (acute) effects. Smoke is irritating to the eyes, nose, and throat, and its odor may be nauseating. Studies have shown that some people exposed to heavy smoke have temporary changes in lung function, which makes breathing more difficult. Two of the major agents in smoke that can cause health effects are carbon monoxide gas and very small particles (fine particles, or PM2.5 ). These particles are two and one half (2.5) microns or less in size (25,400 microns equal an inch) and individual particles are too small to be seen with the naked eye.

Inhaling carbon monoxide decreases the body’s oxygen supply. This can cause headaches, reduce alertness, and aggravate a heart condition known as angina. Fine particles are able to travel deeply into the respiratory tract, reaching the lungs. Inhaling fine particles can cause a variety of health effects, including respiratory irritation and shortness of breath, and can worsen medical conditions such as asthma and heart disease. During increased physical exertion, cardiovascular effects can be worsened by exposure to carbon monoxide and particulate matter. Once exposure stops, symptoms from inhaling carbon monoxide or fine particles generally diminish, but may last for a couple of days.

More than half of fire-related deaths result from smoke inhalation, according to the Burn Institute. Smoke inhalation occurs when you breathe in harmful smoke particles and gases. Inhaling harmful smoke can inflame your lungs and airway, causing them to swell and block oxygen. This can lead to acute respiratory distress syndrome and respiratory failure.

Smoke inhalation commonly happens when you get trapped in a contained area, such as a kitchen or home, near a fire. Most fires occur in the home, often from cooking, fireplaces and space heaters, electrical malfunctions, and smoking.

Avoiding smoky situations is the best way to avoid exposure. If your age or health status places you at greater risk from smoke exposure you should speak with your doctor about alternative steps you can take when encountering smoky situations. Anyone with persisting or frequent symptoms that they think are associated with smoke exposure should see their health care provider. Additional information on carbon monoxide and fine particles can be found at the web addresses listed at the end of this fact sheet.

There is also the potential for chronic health effects from exposure to the components of smoke. Long term exposure to ambient air containing fine particles has been associated with increases in cardiovascular disease and mortality in populations living in areas with higher fine particulate air pollution. Frequent exposure to smoke for brief periods may also cause long-term health effects. Firefighters, who are exposed frequently to smoke, have been examined for long-term health effects (for example, cancer, lung disease, and cardiovascular disease) of repeated smoke exposures. The findings from these studies are not consistent or conclusive. Some studies show an increased frequency of these diseases among firefighters compared to similar male reference populations (e.g., male policemen, white males in the general population), while others do not.

When it is necessary to work in heavy smoke, use appropriate respiratory protection to reduce exposure to the particles and gases in smoke.

QUOTE FOR TUESDAY:

“We don’t know for sure what causes cleft lip and palate. They may be caused by a combination of things, like genes and things in your environment, like what you eat or drink and medicines you take. Genes are parts of your body’s cells that store instructions for the way your body grows and works. Genes are passed from parents to children.”

March of Dimes (https://www.marchofdimes.org/find-support/topics/birth/cleft-lip-and-cleft-palate)

QUOTE FOR MONDAY:

“July is National Cleft and Craniofacial Awareness Month. The American Cleft Palate-Craniofacial Association (ACPA; https://acpa-cpf.org/) Craniofacial anomalies (CFA) are a diverse group of deformities in the growth of the head and facial bones. Anomaly is a medical term meaning “irregularity” or “different from normal.” These abnormalities are present at birth (congenital) and there are numerous variations. Some are mild and some are severe and need surgery. Some craniofacial anomalies are associated with anomalies elsewhere in the body, which can be serious..”

The American Cleft Palate-Craniofacial Association (ACPA; https://acpa-cpf.org/)

QUOTE FOR THE WEEKEND:

“When your baby is born, the blood left inside the umbilical cord is very special. It contains powerful hematopoietic stem cells, which have a 30-year history of helping to save lives through transplant medicine. There’s also exciting research using cord blood for regenerative medicine, which aims to harness the powerful cells inside to help the body heal itself. Both cord blood and cord tissue are rich sources of powerful stem cells. Newborn stem cell preservation is the process of saving the blood and tissue from the umbilical cord, after birth, for potential future use. Cord blood stem cells have been used in the treatment of over 80 conditions as part of a stem cell transplant. Today, stem cell research continues to evolve, bringing new hope to patients and their families. In fact, more than 500 CBR families have already used their preserved cord blood in a stem cell transplant or investigational setting.”

CBR Blog (https://blog.cordblood.com/2019/06/cord-blood-awareness-month-help-spread-the-word/)

QUOTE FOR FRIDAY:

“There is no single test that doctors can use to diagnose JIA. However, they may suspect that a child has the disease if he or she is younger than age 16 and has unexplained joint pain, stiffness, or swelling that has lasted for at least 6 weeks. Doctors usually diagnose JIA by ruling out other conditions that have similar features.  The goals of treatment are directed on control inflammation, reduce pain and stiffness, prevent joint and organ damage, preserve and improve joint function, promote physical and psychosocial growth and development, and achieve remission.  Most children with JIA need a combination of medicines and a healthy lifestyle, including a balanced diet and exercise, to reach these goals. The specific treatment plan will depend on the child’s age, the type of JIA, and on other factors, such as disease severity. In general, doctors will treat the disease aggressively early on, tapering off medications once remission is reached.”

National Institute of Arthritis and Musculoskeletal and Skin diseases – NIH (https://www.niams.nih.gov/health-topics/juvenile-arthritis/diagnosis-treatment-and-steps-to-take)

Part III Juvenile Arthritis (JIA) – How its diagnosed and treated!

How Juvenile Arthritis (JIA) is Diagnosis:

Diagnosis of juvenile idiopathic arthritis can be difficult because joint pain can be caused by many different types of problems. No single test can confirm a diagnosis, but tests can help rule out some other conditions that produce similar signs and symptoms.

1. Blood tests

Some of the most common blood tests for suspected cases include:

  • Erythrocyte sedimentation rate (ESR). The sedimentation rate is the speed at which your red blood cells settle to the bottom of a tube of blood. An elevated rate can indicate inflammation. Measuring the ESR is primarily used to determine the degree of inflammation.
  • C-reactive protein. This blood test also measures levels of general inflammation in the body but on a different scale than the ESR.
  • Antinuclear antibody. Antinuclear antibodies are proteins commonly produced by the immune systems of people with certain autoimmune diseases, including arthritis. They are a marker for an increased chance of eye inflammation.
  • Rheumatoid factor. This antibody is occasionally found in the blood of children who have juvenile idiopathic arthritis and may mean there’s a higher risk of damage from arthritis.
  • Cyclic citrullinated peptide (CCP). Like the rheumatoid factor, the CCP is another antibody that may be found in the blood of children with juvenile idiopathic arthritis and may indicate a higher risk of damage.

In many children with juvenile idiopathic arthritis, no significant abnormality will be found in these blood tests.

2. Imaging scans

X-rays or magnetic resonance imaging may be taken to exclude other conditions, such as fractures, tumors, infection or congenital defects.

Imaging may also be used from time to time after the diagnosis to monitor bone development and to detect joint damage.

Juvenile Arthritis (JIA) Treatment:

Treatment for juvenile idiopathic arthritis focuses on helping your child maintain a normal level of physical and social activity. To accomplish this, doctors may use a combination of strategies to relieve pain and swelling, maintain full movement and strength, and prevent complications.

1. Medications

The medications used to help children with juvenile idiopathic arthritis are chosen to decrease pain, improve function and minimize potential joint damage.

Typical medications include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs). These medications, such as ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve), reduce pain and swelling. Side effects include stomach upset and, much less often, kidney and liver problems.
  • Disease-modifying antirheumatic drugs (DMARDs). Doctors use these medications when NSAIDs alone fail to relieve symptoms of joint pain and swelling or if there is a high risk of damage in the future.DMARDs may be taken in combination with NSAIDs and are used to slow the progress of juvenile idiopathic arthritis. The most commonly used DMARD for children is methotrexate (Trexall, Xatmep, others). Side effects of methotrexate may include nausea, low blood counts, liver problems and a mild increased risk of infection.
  • Biologic agents. Also known as biologic response modifiers, this newer class of drugs includes tumor necrosis factor (TNF) blockers, such as etanercept (Enbrel, Erelzi, Eticovo), adalimumab (Humira), golimumab (Simponi) and infliximab (Remicade, Inflectra, others). These medications can help reduce systemic inflammation and prevent joint damage. They may be used with DMARDs and other medications.Other biologic agents work to suppress the immune system in slightly different ways, including abatacept (Orencia), rituximab (Rituxan, Truxima, Ruxience), anakinra (Kineret) and tocilizumab (Actemra). All biologics can increase the risk of infection.
  • Corticosteroids. Medications such as prednisone may be used to control symptoms until another medication takes effect. They are also used to treat inflammation when it is not in the joints, such as inflammation of the sac around the heart.These drugs can interfere with normal growth and increase susceptibility to infection, so they generally should be used for the shortest possible duration.

2. Therapies

Your doctor may recommend that your child work with a physical therapist to help keep joints flexible and maintain range of motion and muscle tone.

A physical therapist or an occupational therapist may make additional recommendations regarding the best exercise and protective equipment for your child.

A physical or occupational therapist may also recommend that your child make use of joint supports or splints to help protect joints and keep them in a good functional position.

3. Surgery

In very severe cases, surgery may be needed to improve joint function.

***Parents or caregivers help limit the arthritis in your children by doing the following:

  • Getting regular exercise. Exercise is important because it promotes both muscle strength and joint flexibility. Swimming is an excellent choice because it places minimal stress on joints.
  • Applying cold or heat. Stiffness affects many children with juvenile idiopathic arthritis, particularly in the morning. Some children respond well to cold packs, particularly after activity. However, most children prefer warmth, such as a hot pack or a hot bath or shower, especially in the morning
  •  Eating Well. Some children with arthritis have poor appetites. Others may gain excess weight due to medications or physical inactivity. A healthy diet can help maintain an appropriate body weight.Know adequate calcium in the diet is important because children with juvenile idiopathic arthritis are at risk of developing weak bones due to the disease, the use of corticosteroids, and decreased physical activity and weight bearing.