The document discusses digestive health and diseases in Canada. It notes that about 20 million Canadians suffer from digestive ailments each year, costing $18 billion in healthcare costs and lost productivity. Common digestive diseases like irritable bowel syndrome and gastroesophageal reflux disease reduce the quality of life for millions of Canadians. While some digestive diseases can be fatal, most steal quality of life. The document advocates for greater prevention, treatment, and education about digestive health.
The Doctor and the Good Life - Introduction to Bioethics and Natural LawAmiel Villanueva
Second version of my lecture on medical ethics / bioethics to the Learning Unit II class of the UP College of Medicine as part of IDC 201: History of Medicine. This was presented last May 9, 2018.
Slide design by SlidesCarnival (slidescarnival.com)
- Irritable bowel syndrome (IBS) affects 7-21% of the general population and is the most commonly diagnosed gastrointestinal condition. It is defined by abdominal pain or discomfort with altered bowel habits in the absence of underlying disease.
- Factors that contribute to IBS include alterations in the gut microbiome, intestinal permeability, immune function, motility, sensation, brain-gut interactions, and psychosocial status. Dietary triggers and a history of infection or antibiotics can also play a role.
- IBS substantially reduces quality of life and productivity. While some patients improve over time, it is generally a chronic relapsing condition. Diagnosis involves symptom evaluation and exclusion of other diseases through selected testing. Management
This document discusses various methods for fighting world hunger including: 1) Improving agriculture to boost incomes by helping smallholder farmers gain skills and market access; 2) Teaching shared responsibility for health and nutrition through education on proper nutrition, sanitation, and hygiene; 3) Empowering women in agriculture by helping them start businesses to feed their families; 4) Managing natural resources and preparing for disasters by teaching sustainable practices and disaster preparedness; and 5) Meeting immediate needs through humanitarian assistance like food aid during crises. It also lists the top 10 world hunger solutions such as sustainable food projects, access to credit and education, food donations, transitioning families to self-sufficiency, and urban farming.
Final inflammatory bowel disease presentationAdina Georgiana
This document provides an overview of inflammatory bowel disease (IBD). IBD includes Crohn's disease and ulcerative colitis, which are chronic conditions that cause inflammation in the gastrointestinal tract. Some key points covered include: the genetics and environmental factors involved in IBD pathogenesis; common symptoms like abdominal pain and diarrhea; diagnostic tests used to distinguish IBD from other conditions; and treatments that aim to reduce inflammation and manage symptoms. While there is no cure currently, treatment options include medications, dietary changes, and sometimes surgery.
Fecal Transplants for treatment of Clostridium Difficile, Ulcerative Colitis ...hurstm78
A summary of information about Fecal Transplants which are used to treat and effectively cure infections of anti-biotic resistant Clostridium Difficile infections of the large intestine. In addition to helping treat c. diff there have been case studies reporting success for treating Ulcerative Colitis and Crohn's Disease as well. Unfortunately access to this treatment through doctors in the United States is currently limited by FDA restrictions which require doctors to first apply for an Investigational New Drug (IND) permit. This has lead to some patients doing fecal transplants themselves.
This document discusses the relationship between nutritional status and pressure ulcers. It provides epidemiological data showing that malnutrition is associated with increased risk of developing pressure ulcers. Experimental studies in animals also demonstrate impaired wound healing in malnourished subjects. However, clinical studies on the effect of nutritional supplementation on pressure ulcer prevention and treatment have shown mixed results, with some finding no effect of supplementation on ulcer outcomes. Overall, while malnutrition and pressure ulcers often coexist, the relationship is complex and a causal link has not been firmly established.
The Doctor and the Good Life - Introduction to Bioethics and Natural LawAmiel Villanueva
Second version of my lecture on medical ethics / bioethics to the Learning Unit II class of the UP College of Medicine as part of IDC 201: History of Medicine. This was presented last May 9, 2018.
Slide design by SlidesCarnival (slidescarnival.com)
- Irritable bowel syndrome (IBS) affects 7-21% of the general population and is the most commonly diagnosed gastrointestinal condition. It is defined by abdominal pain or discomfort with altered bowel habits in the absence of underlying disease.
- Factors that contribute to IBS include alterations in the gut microbiome, intestinal permeability, immune function, motility, sensation, brain-gut interactions, and psychosocial status. Dietary triggers and a history of infection or antibiotics can also play a role.
- IBS substantially reduces quality of life and productivity. While some patients improve over time, it is generally a chronic relapsing condition. Diagnosis involves symptom evaluation and exclusion of other diseases through selected testing. Management
This document discusses various methods for fighting world hunger including: 1) Improving agriculture to boost incomes by helping smallholder farmers gain skills and market access; 2) Teaching shared responsibility for health and nutrition through education on proper nutrition, sanitation, and hygiene; 3) Empowering women in agriculture by helping them start businesses to feed their families; 4) Managing natural resources and preparing for disasters by teaching sustainable practices and disaster preparedness; and 5) Meeting immediate needs through humanitarian assistance like food aid during crises. It also lists the top 10 world hunger solutions such as sustainable food projects, access to credit and education, food donations, transitioning families to self-sufficiency, and urban farming.
Final inflammatory bowel disease presentationAdina Georgiana
This document provides an overview of inflammatory bowel disease (IBD). IBD includes Crohn's disease and ulcerative colitis, which are chronic conditions that cause inflammation in the gastrointestinal tract. Some key points covered include: the genetics and environmental factors involved in IBD pathogenesis; common symptoms like abdominal pain and diarrhea; diagnostic tests used to distinguish IBD from other conditions; and treatments that aim to reduce inflammation and manage symptoms. While there is no cure currently, treatment options include medications, dietary changes, and sometimes surgery.
Fecal Transplants for treatment of Clostridium Difficile, Ulcerative Colitis ...hurstm78
A summary of information about Fecal Transplants which are used to treat and effectively cure infections of anti-biotic resistant Clostridium Difficile infections of the large intestine. In addition to helping treat c. diff there have been case studies reporting success for treating Ulcerative Colitis and Crohn's Disease as well. Unfortunately access to this treatment through doctors in the United States is currently limited by FDA restrictions which require doctors to first apply for an Investigational New Drug (IND) permit. This has lead to some patients doing fecal transplants themselves.
This document discusses the relationship between nutritional status and pressure ulcers. It provides epidemiological data showing that malnutrition is associated with increased risk of developing pressure ulcers. Experimental studies in animals also demonstrate impaired wound healing in malnourished subjects. However, clinical studies on the effect of nutritional supplementation on pressure ulcer prevention and treatment have shown mixed results, with some finding no effect of supplementation on ulcer outcomes. Overall, while malnutrition and pressure ulcers often coexist, the relationship is complex and a causal link has not been firmly established.
First inflammatory bowel disease presentation finished version (2)Adina Georgiana
Inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis, which are chronic conditions causing inflammation in the gastrointestinal tract. IBD has genetic and environmental risk factors and affects millions worldwide. Symptoms include abdominal pain, diarrhea, and weight loss. Doctors diagnose IBD through tests like colonoscopies, blood tests, and imaging. While there is no cure, treatments aim to reduce inflammation and relieve symptoms, ranging from medications to dietary changes and sometimes surgery.
This document discusses the dietary transition occurring in developing countries and the challenges this poses for preventing noncommunicable diseases. It notes that as countries develop, their populations experience changes in diet and physical activity patterns due to factors like urbanization, globalization and westernization of diets. This dietary transition is linked to rising rates of noncommunicable diseases. Specifically, it outlines how as countries transition from agricultural to industrial economies, their diets shift away from traditional plant-based foods to those higher in fats, sugars and salts. This unhealthy shift, combined with decreasing physical activity, increases risk for chronic diseases. Preventing noncommunicable diseases in developing nations requires addressing this nutrition transition through policy measures that promote healthy, traditional diets and
5.SANITATION VS VACCINATION- Vaccines Did Not Save Us- Charts and StatisticsAntonio Bernard
1) The document presents data showing that major declines in infectious diseases like measles, pertussis, and tuberculosis occurred before widespread vaccination efforts. This provides evidence that vaccines were not solely responsible for disease elimination.
2) Graphs and studies show artificial immunization is often ineffective or inconsequential for diseases like influenza, tuberculosis, measles and pertussis. In some cases, vaccination appeared to increase risks of disease or other health issues.
3) Data indicates increases in vaccine doses mandated for US children under 5 correlated with rising rates of infant mortality and deaths in children under 5. Studies also link vaccination to sudden infant death syndrome, inflammatory bowel diseases, diabetes and recent rises in autism diagnoses.
AIDS is defined as the most severe form of illness caused by HIV. HIV attacks CD4 T-cells, weakening the immune system and leaving the person vulnerable to opportunistic infections. Nursing interventions for patients with AIDS include assessing for signs of infection, maintaining skin integrity, managing diarrhea and pain, addressing nutritional issues, and providing emotional support.
This document discusses various diseases including infectious diseases, water-borne diseases, and cancer. It begins with an introduction to diseases and defines different types. It then focuses on infectious diseases, describing causes such as bacteria and viruses. Common infectious diseases and their transmission are listed. Water-borne diseases and their causes from contaminated water are also reviewed. Finally, cancer is discussed, including causes from genetic mutations and carcinogens. Preventative measures are suggested for infectious diseases, water-borne diseases, and reducing cancer risk.
Faecal transplantation for the treatment of c. defficle associated disease Anjum Hashmi MPH
This document discusses fecal microbiota transplantation (FMT) as a treatment for recurrent Clostridium difficile infection. It describes the screening process for stool donors, preparation of stool samples, and transplantation procedure. It then summarizes the results of FMT in 18 patients, finding that diarrhea resolved in most patients with one case of recurrence. It concludes that FMT is an effective and safe treatment for recurrent C. difficile infection.
Community medicine focuses on preventing disease and promoting public health rather than treating individual patients. It evolved from public health movements in the 19th century that emphasized sanitation and organized community efforts to improve health. Community medicine aims to keep populations healthy through measures like vaccination programs, vector control, and increasing access to resources like safe water and adequate nutrition. It has contributed greatly to reducing communicable diseases and improving health worldwide.
This document provides a critical review of the nutritional aspects of gastrointestinal wound healing. It discusses how recent advances have provided a better understanding of the roles that specific micronutrients, molecules, genes and proteins play in wound healing. However, more clinical research is still needed to translate these findings into improved care for patients with conditions like inflammatory bowel disease, ulcers, and those undergoing gastrointestinal surgery. The review emphasizes the importance of adequate preoperative nutritional status and supplementation in achieving successful wound healing and reducing complications.
This document discusses colonic diverticulitis, including risk factors, diagnosis, and management. Some key points:
- Risk factors for diverticulitis include increasing age, constipation, low fiber diet, and connective tissue disorders. The exact causes are still unclear.
- Diagnosis is usually made clinically based on symptoms, though imaging like CT scans can help. Common pathogens include various bacteria.
- Treatment typically involves antibiotics and hydration. Surgery is considered if symptoms are uncontrolled or fail to improve with medical treatment.
This document provides an overview of ulcerative colitis including its definition, epidemiology, etiology, pathogenesis, diagnosis, assessment, management, complications, and extra-intestinal manifestations. Some key points include:
- UC is a chronic inflammatory bowel disease that involves the colonic mucosa. It typically affects the rectum and may extend proximally in a continuous pattern.
- Diagnosis involves clinical features, lab tests, endoscopy, histology, and ruling out other causes. Disease extent and severity are also assessed.
- Management depends on disease severity and extent, and may include 5-aminosalicylates, corticosteroids, immunomodulators, biologics, or colect
This document is a letter from the Ancestral Health Team thanking attendees of the 2011 Ancestral Health Symposium and providing information about supporting the Ancestry nonprofit organization. It encourages donations to support future symposia and the development of the Ancestral Health Society, including an academic journal. It also provides contact information and websites to stay connected including AncestryFoundation.org, facebook.com/AncestralHealthSymposium, and the email ancestralhealth@gmail.com.
This short document promotes creating presentations using Haiku Deck, a tool for making slideshows. It encourages the reader to get started making their own Haiku Deck presentation and sharing it on SlideShare. In just one sentence, it pitches the idea of using Haiku Deck to easily create engaging slideshows.
Sunil S G has over 11 years of experience in project delivery, quality processes, and implementing software systems. He currently works as a Software Specialist at Hewlett Packard, Bangalore, where he has been implementing Agile Scrum practices as a Certified Scrum Master for the past 2 years. Prior to this, he spent 8 years implementing quality processes and testing in offshore locations for various projects. He seeks assignments with growth-oriented organizations where he can apply his expertise in areas like project management, quality analysis, software testing, and implementing new technologies like cloud and mobile.
The document is a 9 page newsletter providing information about an upcoming National Guild of Hypnotists convention in August 2016. It discusses setting up email newsletters, best practices for email marketing, and avoiding spam. It also briefly describes a hacking incident where some recipients received a malicious email impersonating the newsletter.
O documento discute a origem pagã de símbolos e tradições comumente associadas ao Natal e ao cristianismo, como obeliscos, a árvore de Natal e a pinha. Ele argumenta que essas tradições foram incorporadas da religião pagã e que a Bíblia proíbe práticas de adoração associadas a objetos da natureza.
This document proposes an active shooter emergency response plan for St. Henry Catholic School. It outlines the following key points:
1. The plan is designed to maximize survivability in the event of a violent attack on the school by designating evacuation routes and following the "Run, Hide, Fight" doctrine.
2. The plan includes immediate implementation of security measures from an earlier security report and outlines roles and procedures for teachers, staff, and students during a lockdown or active shooter situation.
3. In an active shooter situation, individuals should remember to remain calm, trust their instincts, act smart, make good decisions, and take care of themselves by running, hiding, or fighting as a last resort in line
The document provides information about Spain and the Andalusia region. It describes the 8 provinces of Andalusia, including their geography, climate, and important sites. It then focuses on Córdoba province, detailing the cities of Córdoba and Hornachuelos. It provides details about the school "Victoria Díez" located in Hornachuelos and describes cultural celebrations and traditions in Andalusia like Holy Week and gastronomy.
The document contains details of various construction projects including commercial buildings, residential apartments, and villas. It lists 27 projects with information on the project type, area in square meters, and number of floors. The projects range from commercial buildings to apartments to villas with areas ranging from 35 square meters to 600 square meters and floors ranging from ground floor to 4th floor. Contact information is provided at the end for Riham Abdullatif.
First inflammatory bowel disease presentation finished version (2)Adina Georgiana
Inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis, which are chronic conditions causing inflammation in the gastrointestinal tract. IBD has genetic and environmental risk factors and affects millions worldwide. Symptoms include abdominal pain, diarrhea, and weight loss. Doctors diagnose IBD through tests like colonoscopies, blood tests, and imaging. While there is no cure, treatments aim to reduce inflammation and relieve symptoms, ranging from medications to dietary changes and sometimes surgery.
This document discusses the dietary transition occurring in developing countries and the challenges this poses for preventing noncommunicable diseases. It notes that as countries develop, their populations experience changes in diet and physical activity patterns due to factors like urbanization, globalization and westernization of diets. This dietary transition is linked to rising rates of noncommunicable diseases. Specifically, it outlines how as countries transition from agricultural to industrial economies, their diets shift away from traditional plant-based foods to those higher in fats, sugars and salts. This unhealthy shift, combined with decreasing physical activity, increases risk for chronic diseases. Preventing noncommunicable diseases in developing nations requires addressing this nutrition transition through policy measures that promote healthy, traditional diets and
5.SANITATION VS VACCINATION- Vaccines Did Not Save Us- Charts and StatisticsAntonio Bernard
1) The document presents data showing that major declines in infectious diseases like measles, pertussis, and tuberculosis occurred before widespread vaccination efforts. This provides evidence that vaccines were not solely responsible for disease elimination.
2) Graphs and studies show artificial immunization is often ineffective or inconsequential for diseases like influenza, tuberculosis, measles and pertussis. In some cases, vaccination appeared to increase risks of disease or other health issues.
3) Data indicates increases in vaccine doses mandated for US children under 5 correlated with rising rates of infant mortality and deaths in children under 5. Studies also link vaccination to sudden infant death syndrome, inflammatory bowel diseases, diabetes and recent rises in autism diagnoses.
AIDS is defined as the most severe form of illness caused by HIV. HIV attacks CD4 T-cells, weakening the immune system and leaving the person vulnerable to opportunistic infections. Nursing interventions for patients with AIDS include assessing for signs of infection, maintaining skin integrity, managing diarrhea and pain, addressing nutritional issues, and providing emotional support.
This document discusses various diseases including infectious diseases, water-borne diseases, and cancer. It begins with an introduction to diseases and defines different types. It then focuses on infectious diseases, describing causes such as bacteria and viruses. Common infectious diseases and their transmission are listed. Water-borne diseases and their causes from contaminated water are also reviewed. Finally, cancer is discussed, including causes from genetic mutations and carcinogens. Preventative measures are suggested for infectious diseases, water-borne diseases, and reducing cancer risk.
Faecal transplantation for the treatment of c. defficle associated disease Anjum Hashmi MPH
This document discusses fecal microbiota transplantation (FMT) as a treatment for recurrent Clostridium difficile infection. It describes the screening process for stool donors, preparation of stool samples, and transplantation procedure. It then summarizes the results of FMT in 18 patients, finding that diarrhea resolved in most patients with one case of recurrence. It concludes that FMT is an effective and safe treatment for recurrent C. difficile infection.
Community medicine focuses on preventing disease and promoting public health rather than treating individual patients. It evolved from public health movements in the 19th century that emphasized sanitation and organized community efforts to improve health. Community medicine aims to keep populations healthy through measures like vaccination programs, vector control, and increasing access to resources like safe water and adequate nutrition. It has contributed greatly to reducing communicable diseases and improving health worldwide.
This document provides a critical review of the nutritional aspects of gastrointestinal wound healing. It discusses how recent advances have provided a better understanding of the roles that specific micronutrients, molecules, genes and proteins play in wound healing. However, more clinical research is still needed to translate these findings into improved care for patients with conditions like inflammatory bowel disease, ulcers, and those undergoing gastrointestinal surgery. The review emphasizes the importance of adequate preoperative nutritional status and supplementation in achieving successful wound healing and reducing complications.
This document discusses colonic diverticulitis, including risk factors, diagnosis, and management. Some key points:
- Risk factors for diverticulitis include increasing age, constipation, low fiber diet, and connective tissue disorders. The exact causes are still unclear.
- Diagnosis is usually made clinically based on symptoms, though imaging like CT scans can help. Common pathogens include various bacteria.
- Treatment typically involves antibiotics and hydration. Surgery is considered if symptoms are uncontrolled or fail to improve with medical treatment.
This document provides an overview of ulcerative colitis including its definition, epidemiology, etiology, pathogenesis, diagnosis, assessment, management, complications, and extra-intestinal manifestations. Some key points include:
- UC is a chronic inflammatory bowel disease that involves the colonic mucosa. It typically affects the rectum and may extend proximally in a continuous pattern.
- Diagnosis involves clinical features, lab tests, endoscopy, histology, and ruling out other causes. Disease extent and severity are also assessed.
- Management depends on disease severity and extent, and may include 5-aminosalicylates, corticosteroids, immunomodulators, biologics, or colect
This document is a letter from the Ancestral Health Team thanking attendees of the 2011 Ancestral Health Symposium and providing information about supporting the Ancestry nonprofit organization. It encourages donations to support future symposia and the development of the Ancestral Health Society, including an academic journal. It also provides contact information and websites to stay connected including AncestryFoundation.org, facebook.com/AncestralHealthSymposium, and the email ancestralhealth@gmail.com.
This short document promotes creating presentations using Haiku Deck, a tool for making slideshows. It encourages the reader to get started making their own Haiku Deck presentation and sharing it on SlideShare. In just one sentence, it pitches the idea of using Haiku Deck to easily create engaging slideshows.
Sunil S G has over 11 years of experience in project delivery, quality processes, and implementing software systems. He currently works as a Software Specialist at Hewlett Packard, Bangalore, where he has been implementing Agile Scrum practices as a Certified Scrum Master for the past 2 years. Prior to this, he spent 8 years implementing quality processes and testing in offshore locations for various projects. He seeks assignments with growth-oriented organizations where he can apply his expertise in areas like project management, quality analysis, software testing, and implementing new technologies like cloud and mobile.
The document is a 9 page newsletter providing information about an upcoming National Guild of Hypnotists convention in August 2016. It discusses setting up email newsletters, best practices for email marketing, and avoiding spam. It also briefly describes a hacking incident where some recipients received a malicious email impersonating the newsletter.
O documento discute a origem pagã de símbolos e tradições comumente associadas ao Natal e ao cristianismo, como obeliscos, a árvore de Natal e a pinha. Ele argumenta que essas tradições foram incorporadas da religião pagã e que a Bíblia proíbe práticas de adoração associadas a objetos da natureza.
This document proposes an active shooter emergency response plan for St. Henry Catholic School. It outlines the following key points:
1. The plan is designed to maximize survivability in the event of a violent attack on the school by designating evacuation routes and following the "Run, Hide, Fight" doctrine.
2. The plan includes immediate implementation of security measures from an earlier security report and outlines roles and procedures for teachers, staff, and students during a lockdown or active shooter situation.
3. In an active shooter situation, individuals should remember to remain calm, trust their instincts, act smart, make good decisions, and take care of themselves by running, hiding, or fighting as a last resort in line
The document provides information about Spain and the Andalusia region. It describes the 8 provinces of Andalusia, including their geography, climate, and important sites. It then focuses on Córdoba province, detailing the cities of Córdoba and Hornachuelos. It provides details about the school "Victoria Díez" located in Hornachuelos and describes cultural celebrations and traditions in Andalusia like Holy Week and gastronomy.
The document contains details of various construction projects including commercial buildings, residential apartments, and villas. It lists 27 projects with information on the project type, area in square meters, and number of floors. The projects range from commercial buildings to apartments to villas with areas ranging from 35 square meters to 600 square meters and floors ranging from ground floor to 4th floor. Contact information is provided at the end for Riham Abdullatif.
This document provides an overview of nature-inspired methods that have been used in the Semantic Web for tasks like information retrieval, extraction, clustering, and personalization. It discusses how genetic algorithms, neural networks, fuzzy logic, and rough sets have helped with problems in these areas by modeling complex relationships and uncertainty. The document also describes approaches for representing uncertainty in ontologies, including using Bayesian networks to quantify overlap between concepts.
PT. Putra Rajawali Capital dan PT. Putra Rajawali Energi adalah anak perusahaan dari Putra Rajawali Resources Group yang bergerak di bidang pertambangan dan jasa konsultasi sumber daya alam. Kedua perusahaan ini memberikan layanan investasi, akuisisi, konsultasi, dan pengembangan proyek pertambangan.
Michael Pattemore advocates for Bowel Cancer UK after losing his wife Lynda to the disease. The article discusses various gastrointestinal (GI) conditions including irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), coeliac disease, and food allergies. It emphasizes the importance of gut health and explains how lifestyle factors and diet can impact one's GI system.
This document discusses inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease. It covers the definitions, epidemiology, pathogenesis, clinical features, diagnosis, management, and impact of IBD. Key points include that IBD is a complex disorder that requires individualized management based on each patient's clinical data. Patient preferences should be considered in treatment decisions. IBD can negatively impact quality of life and society due to symptoms, treatments, and potential for lifelong illness often starting at a young age. Standards of care are needed to help improve access and quality of care for IBD patients.
The Ecology of Breast Cancer - The Promise of Prevention and the Hope for Hea...v2zq
This chapter discusses the history of perspectives on breast cancer and argues that an ecological or systems perspective is most appropriate. Breast cancer has been documented since ancient Egypt, but its causes were not well understood. Early theories focused on humoral imbalances or localized factors. Later, hormones and the host environment were recognized as important influences. Currently, some view cancer as a disease of aberrant cells while others argue it is a tissue-based disease involving changes in the cellular environment. An ecological perspective acknowledges cancer as a multi-factorial, multi-stage process resulting from interactions between genetic and environmental factors at multiple levels.
Inflammatory Bowel Disease And Industrialization EssayPatricia Viljoen
This document discusses inflammatory bowel disease (IBD) and ulcerative colitis. IBD refers to conditions where the immune system causes chronic inflammation in the gastrointestinal tract. The two main types of IBD are Crohn's disease and ulcerative colitis. Ulcerative colitis only affects the large intestine, causing ulcers, bleeding and diarrhea. A diagnosis involves evaluating symptoms, medical history, and using endoscopy and biopsy to examine the intestine. While there is no cure for IBD, treatments aim to reduce inflammation and symptoms.
Leaky Gut Syndrome--Hidden Modern Epidemic that is Killing YouRay Gebauer
This document discusses leaky gut syndrome, which affects over 100 million Americans and is caused by the overuse of pain medications and antibiotics. Leaky gut allows undigested foods and toxins to enter the bloodstream, overstimulating the immune system and leading to chronic inflammation and autoimmune diseases. While modern medicine focuses on treating symptoms, the root cause of leaky gut and many chronic diseases can be healed by consuming bovine colostrum. Colostrum contains antibodies and growth factors that can heal the intestinal lining and has been shown to successfully treat and prevent leaky gut in both animals and humans.
Can Food Diet Prevent and Be Efficient In Cancer Treatment?Sheldon Stein
In this paper Professor Jurasunas writes about food diet and nutrition in cancer prevention and treatment. He shares his knowledge about what he has learned about the role of food diet from his 50 years of clinical experience in cancer treatment, emphasizing the role of diet, nutrition, and antioxidants in naturopathic oncology. He also gives recipes for a juice cocktail, special soup and an energy drink. Good nutrition and a healthy food diet a useful adjunct and foundation for cancer prevention and treatment.
This document discusses risk factors for developing colorectal cancer. Having a family history of colorectal, ovarian, endometrial or breast cancer increases risk. Certain races like Black, White and Asian/Pacific Islander have higher rates than others. Being older, like 61 years old, increases risk over time. Environmental factors like diet, tobacco and lack of exercise also influence risk. Genetic conditions like familial adenomatous polyposis can contribute to development of colorectal cancer due to errors in the genetic code.
Learn about the causes of stomach cancer in young adults, including genetics, infection, diet, and lifestyle. Discover the challenges of diagnosing and treating this cancer in younger patients.
1) Modern chronic diseases like diabetes, heart disease, and Alzheimer's are increasingly prevalent, costly to treat, and largely preventable through lifestyle changes rather than just medical treatment of symptoms.
2) These "diseases of civilization" have emerged with the agricultural and industrial revolutions and are mismatched with our evolutionary biology due to poor diets and lack of physical activity.
3) While medicine has focused on curing infectious diseases, it has been less effective at preventing chronic diseases and their rising rates through the generations by not emphasizing lifestyle and environmental factors.
The document discusses a recent cancer study from Johns Hopkins University that found two-thirds of cancer cases are due to random cell mutations, while the remaining third are caused by environmental and lifestyle factors or inherited genes. It argues that while some cancer may be due to bad luck, 33% of cases can be avoided by making healthy lifestyle choices like diet, exercise, avoiding tobacco and limiting alcohol. The document recommends various natural supplements and therapies like RIFE frequency generators and biomagnetic therapy to destroy cancer pathogens and create an alkaline environment unsuitable for cancer growth.
Diabetes is a complex disease that affects many Canadians. It can lead to serious complications like strokes, heart attacks, kidney failure, and amputations. Advances in technology are helping people with diabetes better manage their condition through tools like insulin pumps and glucose monitors. Researchers are working on developing an artificial pancreas to more precisely deliver insulin. Dessi Zaharieva is a MMA fighter and type 1 diabetic who manages her condition through diet, exercise and medical devices while also pursuing research to help find better treatments for diabetes.
Healthcare organizations should develop disease prevention strategies for three main reasons:
1) Chronic conditions are increasing due to lifestyle changes, so prevention strategies are needed.
2) Healthcare organizations are best equipped to educate the public about disease prevention since they understand the causes of disease.
3) Developing prevention strategies aligns with healthcare organizations' duty to promote patient health.
Your microbiome may be key factor determining your health and longevitykirti betai
1. Your gut microbiome plays a key role in your health and longevity. A healthy microbiome can help prevent diseases like inflammatory bowel disease and diabetes, while an unhealthy one allows disease to take hold.
2. Certain bacteria in the gut, like Faecalibacterium prausnitzii, appear to have anti-inflammatory properties that can protect against conditions like Crohn's disease. Maintaining a diverse population of beneficial microbes is important for immune function.
3. Widespread antibiotic overuse has fueled deadly infections like Clostridium difficile, which causes life-threatening diarrhea. C. difficile infections are especially prevalent in hospitals and nursing homes.
This document introduces the concept of lifestyle medicine, which aims to manage lifestyle-related health problems through behavioral and environmental modifications rather than simply treating disease. Lifestyle medicine differs from conventional medicine in its focus on active patient participation and long-term lifestyle changes over simply treating individual risk factors. While no single discipline is fully equipped to practice lifestyle medicine alone, it typically involves teams of healthcare professionals including doctors, nurses, dietitians, exercise physiologists, and psychologists. The document outlines some of the evidence and frameworks that guide lifestyle medicine and discusses how care plans can help implement lifestyle interventions in clinical practice.
Final Project - Projet Technique et Scientifique.
A brief introduction to cancer; some major guidelines that may help fighting back cancer and an international questionnaire to assess general perception of oncologic diseases.
Sorbonne Université - 5th Year - 1st Semester - Master Biologie Intégrative et Physiologie.
The document discusses cancer-fighting foods according to the American Cancer Society and other sources. It states that certain whole foods like brown rice, green tea, and garlic can help boost the immune system and potentially fight cancer growth. Green tea and garlic in particular have been shown to stop and shrink tumors over time and reduce swelling. The summary encourages seeking medical advice over self-diagnosis and treatment.
The document discusses how to age gracefully through proper nutrition and lifestyle habits based on how our hunter-gatherer ancestors lived. It notes that 52% of women and 33% of men now spend their last years in nursing homes, compared to our ancestors who rarely died of lifestyle diseases. The key recommendations are to eat a diet of 20% proteins, 60% carbohydrates from fruits and vegetables, 20% fats focused on whole, natural foods; take supplements like fish oil, probiotics, and vitamin D; reduce stress; and improve posture.
1. AN INDEPENDENT SUPPLEMENT BY MEDIAPLANET TO THE NATIONAL POST
DIGESTIVE WELLNESS
personalhealthnews.ca
Understandingthesystemthatfuelsyourlife
T
he awesome gum to bum
journey. Every moment
of every day it works for
you. It feeds your major
organs, brain and body.
It helps fight infection and illness.It
plays host to trillions of microorgan-
isms. And, although it is often neg-
lected and under-appreciated, your
digestive tract is inarguably the most
importantsysteminyourbody.
Thatmiraculouscollectionofhollow
tubes and organs that connect gum to
bum,providesuswithwhatweneedto
survive and thrive.While the function
of the digestive tract can be reduced to
the intake of food and elimination of
waste,thereisawholelotofawesome-
nessthathappensinbetween.
Neglected and
underappreciated
With all that it does, you’d think we
would do everything we could to pro-
tect this remarkable system. Sadly,
this is not the case. Most of us take
our digestive health for granted and
it shows. About 20 million Canadians
suffer from digestive ailments every
year, and thousands die unnecessar-
ily. Misconceptions, self-reproach,
stigma,embarrassment,fear and lack
of understanding result in manyCan-
adians becoming ill because they ig-
noreorhidetroublesomesymptoms.
The rising cost
Digestive diseases represents more of
the total direct health-economic bu-
rden than almost any other disease
category, including respiratory dis-
ease and diabetes. We lose about 18
million work days every year to those
living with digestive illness.And,it is
estimated that digestive diseases rep-
resents $18 billion in healthcare costs
andlostproductivity.
Countless digestive diseases af-
fect people of all ages,races and socio-
economic positions.Their prevalence
is on the rise and we are challenged
to provide care to those who need it.
Add to this situation the fact that the
number of gastroenterologists,which
isalreadygrosslyinsufficient,isdrop-
ping,andwe have a recipe for a health
disaster. We already see evidence of
this lack of preparedness having a
potentiallydevastatingimpact.
Digestive diseases reduces
quality of life
While some digestive diseases rob
people of their lives,most steal some-
thing that is just as valuable – the
quality of life lived. Millions of Can-
adians suffer from irritable bowel
syndrome (IBS) and gastroesophageal
reflux disease (GERD) year after year.
CATHERINE MULVALE
EXECUTIVE DIRECTOR, CANADIAN
DIGESTIVE HEALTH FOUNDATION
editorial@mediaplanet.com
The painful and embarrassing symp-
toms of these ailments make work
and personal fulfillment difficult. On
average, 67 Canadians are diagnosed
with colon cancer every day and 26
die. This is tragic when this disease
is essentially preventable with prop-
er screening. Canada has one of the
highest rates of inflammatory bowel
disease(IBD)intheworld. Thisdebili-
tating and expensive disease gener-
ally strikes young people in the most
productive years of their lives. About
110,000Canadiansarediagnosedwith
celiacdiseasebutwesuspectthereare
at least double that number who re-
main undiagnosed.The list of digest-
iveafflictionsgoeson,andon.
Prevention and treatment
The good news is that 42 percent of
digestive diseases are preventable
and nearly all diseases of the gastro-
PHOTO:PETETHOMPSONPHOTOGRAPHY
LIFE AFTER DIAGNOSIS
How Robert Hill’s IBD diagnosis and ostomy sugery took him
from the brink of death to the top of the Seven Summits.
Featuring
CERTIFIED
GLUTEN-FREE
Making the
informed choice
NHL ALUMNI
THEO FLEURY
Overcoming obstacles
of Crohn’s
THE
MICROBIOME
Understanding your
body’s ecosystem
intestinal tract are treatable. There
are safe tests and effective therapies
to diagnose digestive diseases ear-
ly on.We have over-the-counter and
prescription medications to cure or
haltdiseaseprogression. Wecanpro-
actively protect our digestive – and
overall – health by making good food
and lifestyle choices, maintaining a
healthy weight, taking proven pro-
biotics, and adhering to treatment
recommendations.
Your digestive tract has the
power to keep you strong, healthy
and resilient. It is worthy of your
attention and respect. Learn more
about protecting and enhancing it
today so that you can live better and
healthier tomorrow.
2. CHALLENGES
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readers with high-quality editorial content that
motivates them to act.
C
anada has among
the highest reported
prevalence (num-
ber of people) and
incidence (num-
ber of new cases per
year) of IBD in the world. Crohn’s
disease, one of the two main forms
of IBD, causes inflammation in the
gastrointestinal tract, particular-
ly the lower part of the small bowel
and the colon,disrupting the body’s
ability to digest food, absorb nutri-
ents, and eliminate waste. While
there currently is no cure,there are
a variety of treatment options avail-
able, and so it is especially import-
ant that Canadians with Crohn’s
disease understand the wealth of
choices available to them.
“The main issue to understand is
that IBD expresses itself differently
in different individuals,” says Aida
DIGESTIVE WELLNESS
FIRST EDITION, MARCH 2015
Publisher: Carlo Ammendolia
Business Developer: Richard Liorti
Managing Director: Martin Kocandrle
Production Manager: Sonja Draskovic
Lead Designer: Matt Senra
Designer: Mishelle Menzies
Contributors:
D.F McCourt, Robert Hill,
Joe Rosengarten, Catherine Mulvale,
Remo Panaccione
Send all inquiries to
editorial@mediaplanet.com
Distributed within:
The National Post, March 2015
This section was created by Mediaplanet
and did not involve the National Post or its
Editorial Departments.
Photo credit: All images are from Getty
Images unless otherwise accredited.
Fernandes, Chief Science
and Education Officer for
Crohn’s and Colitis Can-
ada.As a result,it’s import-
ant to match the available
treatment options to the lifestyle
and needs of the patient.A particu-
lar treatment may be well indi-
cated by medical factors, but if it
doesn’t fit into the individual’s life
and routine,it is unlikely to be suc-
cessful. This is why it’s so import-
ant that Canadians with Crohn’s
be educated about the full range
of treatment options and thus be-
come empowered to play an active
role in shaping their regimen.
The power of science in
treating Crohn’s disease
Biologics,medicationsthathavebeen
engineered to target specific activ-
ity in the immune system without
disturbing other vital functions, are
one of the biggest scientific advance-
ments in treating chronic illnesses
like Crohn’s disease in the past dec-
ade. “Biologicshavereallyrevolution-
ized treatment options for patients,”
says Fernandes.“Some people are re-
sponding extremely well to biologics
and seeing great improvements in
theirqualityoflife.”
Other important advancements
in managing Crohn’s disease in-
clude a non-invasive test to mon-
itor intestinal inflammation lev-
els, and the use of a trans-abdom-
inal ultrasound, which can be
performed quickly and involves no
exposure to x-rays.
The
importance of
early diagnosis
and proper
intervention
It is especially critical that
those suffering from Crohn’s disease
receive early diagnosis and proper
intervention.New Canadian research
from the Robarts Research Institute
has shown that patients who receive
aggressive treatment earlier in the
progressionofthediseaseseeareduc-
tion in hospitalization and surgery
rates compared to those treated with
thecurrentstandardofcare.
Unfortunately, the wide range
of symptoms presented in Crohn’s
can delay diagnosis and make it
difficult to assess when treatment
regimens are working. “The symp-
toms that usually bring a patient
in to see a gastroenterologist in-
clude digestive issues like diarrhea
and abdominal pain,” says gastro-
enterologist Dr.Brian Bressler.“But
people also present with less ob-
vious symptoms such as fatigue,
weight loss,and fever.”
WithCrohn’sdiseaseitisvitalthat
treatment focus is not just on the ef-
fects,but on the root cause.“It’s not
just about alleviating the symp-
toms,” says Dr. Bressler. “It’s about
controlling the underlying inflam-
mation.” Providing relief from un-
comfortable symptoms is obvious-
ly beneficial to the patient but,if the
inflammationpersists,thecondition
can worsen invisibly, resulting in a
need for surgery.
D.F. MCCOURT
editorial@mediaplanet.com
Robert Hill
FOUNDER OF INTESTINAL
DISEASE EDUCATION AND
AWARENESS SOCIETY (IDEAS)
ClimbingmountainsforostomyandCrohn’sdisease
R
obertHillwasdiagnosedwithan
aggressive form of Crohn’s dis-
easeasayoungman,resultingin
the removal of his large intestine and
permanent use of an ostomy bag. In-
steadoffeelingsorryforhimselfheset
out on a mission to rebuild himself —
mentallyand physically— and inspire
awarenessbyclimbingtheSevenSum-
mitsoftheworld.
Mediaplanet: What
where the circumstances
of your surgery?
Robert Hill: I was given the option
of ostomy or death.I choose life with
an ostomy.And,man —what a life!
MP: How did you prepare for
what came next?
RH: I was lucky,before surgery I had
theopportunitytospeakwithmyaunt
and a couple others who had ostomy
surgery,wetalkedabouttheproduct—
howtochangeitandhowitgavethem
thechancetolivetheirlives.
MP: What helped you flip the
stigma switch and be able to
talk about your situation?
RH: Knowledge was a key — under-
standing the illness; knowing the
physical “why” of my ostomy surgery
became my corner stone. In reality,
living with IBD and an ostomy is not
just physical — it is mental,emotion-
al,and spiritual aswell.I needed to ad-
dress all these components. My new
understanding lead to me presenting
to my classmates a business propos-
al to climb the Seven Summits to raise
awareness of IBD and ostomy surgery.
Itwas the first time I opened up about
myillnessandonlyfoundaweandsup-
port—whyhadIwaitedsolong?
MP: What inspired the
idea to climb the world’s
tallest mountains?
RH: It started off wanting to inspire
people the same way I had been in-
spiredbyTerryFoxandRickHansen.My
climbingwasgettingtothepointwhere
Iwasspendingmoretimeinthemoun-
tains, so why not take my passion for
climbing and love of the outdoors and
turnthatintosomethingpositive.
MP: How did No Guts Know
Glory resemble living with
Crohn’s Disease and an
Ostomy?
RH: The No Guts,part is easy — I lost
mine to Crohn’s disease.KnowGloryis
more about how strong we are as hu-
man beings.From the brink of death,
to the summit of the tallest moun-
tains around the world — it is about
thejourneyandhoweachstepmakes
us stronger.
MP: Do you have any advice
for those facing Crohn’s
disease or ostomy surgery?
RH:Again,knowledge is key!And,on
those darks days,find that one thing
that you can hold on to. For me that
wasclimbing.Itjusthastobeenough
to get you through.Know that there
are others out here that have walked
the path you are on,and that you are
not alone. Although your illness or
ostomy is a part of you — never let it
definewhoyou are.
LIVE LIFE
TO THE FULLEST!
Dedicated to all people with an ostomy and their families,
helping them to live life to the fullest, through support,
education, collaboration and advocacy.
VISIT
OSTOMYCANADA.CA
Crohn’s is a lifelong condition, so
the time you spend educating and
empowering yourself in the ear-
ly days of your diagnosis will pay
off for the rest of your life.With the
help of your healthcare professional,
you can shape and choose the right
treatment regimen for your individ-
ual lifestyle and needs, creating a
path to successful long-term man-
agement of the disease.With Crohn’s
disease,it is up to you to take charge
of your own quality of life.
editorial@mediaplanet.com
DATE
location
Ostomy Care • ConvaTec.ca
Improving the
lives of children
with Crohn’s.
PAGE8
EDITOR’S
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SHAW CENTRE
Inflammatory bowel disease
(IBD) is a group of conditions
in which sections of the
gastrointestinal tract become
inflamed and ulcerated. This is
caused by an abnormal response
of the body’s immune system.
Crohn’s disease (CD) and
ulcerative colitis (UC), the two
main forms of IBD, are lifelong
diseases that often start in early
adulthood, but can also begin in
childhood, in otherwise healthy,
active individuals.
IBD
UC
CD
Approximately
129,000
CANADIANS
live with CD
Canada has the
HIGHEST CD
PREVALENCE
in the world
The economic
cost of IBD in
Canada in 2012 was
$2.8 BILLION
SOURCE:GASTROINTESTINALSOCIETY
The many treatment paths
for Crohn’s disease
A PERSONAL
CHOICE
“Biologics have
reallyrevolutionized
treatment options for
patients,some people
are responding
extremelywell to
biologics and seeing
great improvements
in their quality
of life.”
OCTOBER 26
BURLINGTON
ROYAL BOTANICAL GARDENS
TO READ MORE FROM ROBERT HILL,
GO TO PERSONALHEALTHNEWS.CA
4. NEWS
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I
t’s been a little over a hundred
years since Nobel Prize winner
Élie Metchnikoff,the grandfather
of probiotics, first theorized that
the consumption of active mi-
crobial cultures could have sub-
stantial health benefits.Metchni-
koffhadobservedthatpeopleinrural
populations with diets heavy in bac-
teria-rich fermented milk products
were unusually healthy and long
lived. So confident was Metchnikoff
in this theory that,for the rest of his
life,fermented milk made up a large
part of his diet.
Inthecentury
since,the sci-
ence of pro-
b i o t i c s
has pro-
g r e s s e d
dramatic-
ally, though
the most prom-
ising research has
largely happened in the last two dec-
ades.“Sciencemovesalongatpacewith
technology,”explainsDr.RichardFedor-
ak,President of the Canadian Digestive
Health Foundation (CDHF). “So, while
werecognizedahundredyearsagothat
gutbacteriawereimportant,wehadno
wayofmeasuringthem.”
The microbiome
Now that the technology to better
examine human gut flora exists,the
findings are astounding.The average
person has trillions of beneficial mi-
crobes,from hundreds or even thou-
sands of different species, living in
their digestive tract.In fact,you have
morethantentimesasmanymicrob-
ial cells inyour gut thanyou have hu-
man cells in your entire body. And
these microbes provide vital auto-
immune function, being implicated
in the prevention and management
of conditions as varied as asthma,al-
lergies,certain cancers,IBS,and IBD.
“We’ve only recently begun to recog-
nize that our gut microbiome is an
organ,no different from the heart or
liver,” says Dr. Fedorak. “It plays an
essential role in overall health.”
The CDHF refers to these gut mi-
crobes as protective superheroes and,
in healthy adults, these superheroes
have the diversity and balance re-
quired to keep us safe against harm-
ful pathogens.“The gut is representa-
tive of 70 to 80 percent of our immune
system,” explains alternative medi-
cine expert Bryce Wylde.But in times
of stress or illness,particularly when
travelling, it is easy for this microbi-
ome to become unbalanced, which
can result in diarrhea, lowered auto-
immune function, and negative im-
pacts throughout the entire body.Re-
storingthesuperheroesinthesecases
can be as easy as taking a supplement
or introducing probiotic foods likeyo-
gurt into the diet, but choosing the
rightproductisessential.
Not all yogurts are
created equal
“In 2003, if you asked someone on
the street,or even a dean of medicine
at any major university,what a pro-
bioticwas,theywould have looked at
you like you had two heads,” says Dr.
Gregor Reid of the Canadian Centre
for Human Microbiome and Probiot-
ic Research. “Then,in 2004,Danone
launched Activia in Canada and put
the word ‘probiotic’ into the vocabu-
lary of Canadian households.Shortly
thereafter all the other major brands
followed with competing probiotic
yogurts of their own.”
It may seem strange that yogurt
has been providing probiotic health
benefits for thousands of years and
yet none of the yogurt products at
the grocery store in 2003 contained
any probiotics at all. The reason is
that commercial yogurt was being
heat treated to prolong shelf life and,
before the probiotic revolution of the
early 2000s, the fact that this also
killed off all the active cultures was
seen as a plus. And so, modern pro-
bioticyogurts have carefullyreintro-
duce the beneficial microbes that an-
cient populations had been enjoying
for millennia. Showing that some-
times you have to take a step back-
wards to go forwards.
It’s incredible that something as
simpleaseatingfunctionalfoodslike
probiotic yogurt can have such a pro-
found effect on wellness but, a hun-
dred years after Metchnikoff,the sci-
ence is finally catching up and show-
ing that indeed, a healthy gut is the
keyto healthybodyand a happylife.
Probiotic Yogurt: Thousands of years
old, and still a gutsy topic of research
D.F. MCCOURT
editorial@mediaplanet.com
See if it works for you too!
Sign up for the Challenge at activia.ca
Activia may help reduce the frequency of minor digestive issues like: bloating, gas, discomfort and
rumbling when consumed twice* per day for 4 weeks as part of a balanced diet and healthy lifestyle.
* 2 x 100 g
“We’ve only
recently begun
to recognize
that our gut
microbiome is
an organ, no
different from
the heart
or liver.”
You have more than
ten times as many
microbial cells in your
gut than you have human
cells in your entire body.
Constantly evolves
from birth, to our
environment, and what
we ingest.
The microbiome aids in
food digestion to fuel
your body
The microbiome
influences your
mood and
energy levels
Helps you adapt to your
surroundings to protect
against harmful
organisms
10X
THE
HUMAN
MICRO-
BIOME
There are more than
5,000 species living
in the gut
FEED YOUR
MICROBIOME:
Fibres: fruit and
root vegetables;
Grains: barley, rye,
and whole grains;
Fermented foods:
yogurt and honey.
WHAT IS THE
MICROBIOME?
A hidden organ
comprised of
100 trillion+
living organisms
(bacteria)
SOURCE: CANADIAN DIGESTIVE HEALTH FOUNDATION
!When your
microbiome becomes un-
balanced it
can cause
inflammation
7. INSPIRATION
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NHL Alumni Theo Fleury talks hockey,
perseverance and Crohn’s disease
T
here is no cure for
Crohn’s disease. This,
combined with general
poor public understand-
ing of the disease,can make receiv-
ing a Crohn’s diagnosis overwhelm-
ing. It is easy to look at the disease
and think first and foremost about
the things it will prevent you from
doing in your life.The truth is that,
though Crohn’s disease is a very ser-
ious condition, with proper man-
agement it need never hold anyone
back from anything.Just ask retired
NHL superstarTheo Fleury.
Overcoming obstacles
to success
Fleury was diagnosed with Crohn’s
disease in 1995, at age 27, after six
seasons with the Calgary Flames.
Rather than letting the disease
end his NHL career, Fleury went
on to become the captain of the
Flames and to win a gold med-
al playing for Team Canada at the
2002 Winter Olympics in Salt Lake
City.“I never really thought of it as
a disease,” Fleury says. “I just had
this attitude where, like anything
else in my life, it was just another
obstacle I had to overcome.”
Outside of the world of hockey,
Theo’s accomplishments are just as
remarkable. His philanthropic work
includes helping to raise funds for
Crohn’s and Colitis Canada in Cal-
gary.“The reason I got involved with
the Foundation in Calgary,” Theo
says, “is that they have a research
lab at the University of Calgary and
every single dollar we raised went
directly to research. That’s a rarity
when it comes to raising funds.They
do as cutting edge of research here in
Calgaryas anywhere in theworld.”
He has also recently followed up
a bestselling autobiography ‘Play-
ing with Fire’ with a new book en-
titled ‘Conversations with a Rattle-
snake.’ Known as an unstoppable
ball of lightning on the ice, he has
proven to be just as indomitable
with skates off.
Finding the right
treatment for you
Crohn’s disease is a complex gastro-
intestinal disorder that manifests
Increasing rates of IBD
IfwelookatUConitsown,over125,000
Canadians live with this condition.
This number is on the rise with 4,500
newcasesdiagnosedeachyear.
A leader in Canadian, and indeed
international, IBD research is Dr.
Remo Panaccione, Professor in the
Department of Medicine at the Uni-
versity of Calgary and Director of
the IBD Clinic. “While the onset of
UC is generally between 15-45 years,
it affects people of all ages. There is
such a large unmet medical need to
help Canadians with this disease
which is why it makes sense that
Canada is the leader in world-class
research for IBD.”
The University of Calgary IBD
Clinic and Clinical Trials Unit
is ranked among the top five in
the world. In the last three years
A
s Canadians we are de-
fined by many things:
cultures, languages
and our national sport
to name a few. If we
wanted to go so far as to name a
“national disease,” inflammatory
bowel disease (IBD) would be a
strong contender.
It’s not something that should
make us swell with pride as with an
Olympic gold, but Canada unfortu-
nately is a world leader in IBD,with
one of the highest prevalence rates
in the world. IBD results in the in-
testines becoming inflamed and
ulcerated, and is caused by an ab-
normal immune system response.
Crohn’s disease (CD) and ulcerative
colitis (UC) are two separate forms
of IBD.The exact cause is unknown
and there is no known cure.
With over 125,000 Canadians living with ulcerative colitis,
leading expert,Dr.Remo Panaccione,addresses research in Canada
and the evolution of treatments in this field.
Tacklingtheburden
ofulcerativecolitis
editorial@mediaplanet.com
they have tested three new agents
which have been approved or are
on the cusp of being approved for
the treatment of IBD. The goal is
to continue to develop therapies
that will improve patients’ qual-
ity of life, and allow patients ex-
panded choices.
Improving access to
personalized treatment
“We have come a long way in the
past 10 or 15 years in our under-
standing of UC and having addi-
tional treatments available has
made a large positive impact on the
lives of patients and their families,”
said Dr.Panaccione.“One of the ma-
jor objectives of research now is to
find treatments that are precise in
their action, not only for the dis-
ease, but also for the patient.We’re
heading in the direction we want to
be which is having the right ther-
apy available for the right patient,
given at the right time and in the
right manner. IBD is a difficult
disease to treat, but we are slowly
getting there with more effective
and more targeted treatment. The
physician community is looking
forward to novel agents being avail-
able in the near future that will fur-
ther help treat patients suffering
from IBD.”
Dr. Panaccione is encouraged by
the significant progress that has
been made in IBD in recent years
and while there is more work to
do, he is very optimistic that good
progress will be made.
D.F. MCCOURT
editorial@mediaplanet.com
IBD
FACTS
DR. REMO PANACCIONE
Highlights the strides in ulcerative colitis
research being made in Canada, providing
patients with more options than ever before.
“We have come a
long way in the past
10 or 15 years in our
understanding of UC
and having additional
treatments available
has made a large
positive impact on the
lives of patients and
their families.”
Theo Fleury
NHL ALUMNI, AUTHOR OF “PLAYING
WITH FIRE” AND “CONVERSATIONS
WITH A RATTLESNAKE”
in many ways, including severe ab-
dominal pains, diarrhea, as well as
affecting organs outside the gut,ul-
cers, rashes, and depression. It has
its challenges, Fleury acknowledg-
es,but it’s all about finding the right
treatment regimen for you to man-
age the disease.
While most Crohn’s disease suf-
ferers require lifelong medical ther-
apy,Theo is part of the 20 percent of
patients who have a very mild ver-
sion of the disease that can be man-
aged conservatively.
It’s well known that there is a cor-
relation between stress and Crohn’s
disease flare-ups.That’s why,Theo’s
two biggest pieces of advice for
those newly diagnosed with Crohn’s
disease are to keep stress levels
down and to not get frustrated if
progress is slow.
“You have to be patient,” Fleury
says, “because there is a trial and
error process until you find what
works for you and your body.”
“You have to be
patient…there is
a trial and error
process until
you find what
works for you
and your body.”
SOURCE: CROHN’S AND COLITIS CANADA
Canada has among
the HIGHEST
REPORTED RATES
of IBD in the world
IBD is a
LIFE-LONG,
chronic disease
THE TWO MAIN
DISEASES OF IBD
CROHN’S
DISEASE
ULCERATIVE
COLITIS
CD
UC
abdominal pain
and cramps,
diarrhea, rectal
bleeding, diminished
appetite and weight
loss, fever, anemia
and fatigue
During a flare-up,
44% OF
SUFFERERS
describe their
pain as agonizing
and debilitating or
steady pain that
lasts for hours
39%
WHO HAD
SURGERY
required an ostomy
(meaning they must
excrete waste into a
bag through a hole
in their stomach)
have had an
accident in public
because they could
not get to the
bathroom in time
44%
SYMPTOMS
INCLUDE
8. INSIGHT
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A growing problem
Since 1995,the number of new cases
of Crohn’s disease in Canadian chil-
dren has almost doubled. Approxi-
mately 20 to 30 percent of patients
with Crohn’s disease display symp-
toms before the age of 20. In fact,
Canada has one of the highest rates
of pediatric Crohn’s in the world.
As well as experiencing the typ-
ical gastrointestinal symptoms of
Crohn’s, children and teens affect-
ed often experience growth fail-
ure, malnutrition, and pubertal de-
lay.For a child who just wants to go
to school, play with their buddies,
and be “normal” Crohn’s can create
some real problems.
“Crohn’s disease can have a pro-
found effect on a child’s life,” says Dr.
BobIssenman,ProfessorofPediatrics
at McMaster University and Chief of
Pediatric Gastroenterology and Nu-
trition at McMaster Children’s Hos-
pital. “During the diagnostic phase,
there are many doctors appoint-
mentsandproceduresthatcanresult
in missed school and missed social
and extra curricular activities.”
Pediatric Crohn’s patients can also
miss large chunks of school after the
diagnostic phase,when they have to
attend doctors’ appointments, have
further tests,or make visits to a clinic
forinfusiontreatment.
Robbie’s Rainbow
After numerous visits to the doctor,
andaseriouscollapseathome,Robbie
Murray was diagnosed with Crohn’s
disease.“That was when I crumbled,”
his mother,Kate,says.“Finally,some-
body was realizing how sick my son
was–butwestillhadalongwaytogo.”
Robbie was tried on a few treat-
ments, but nothing was working.
After a while he was given a bio-
logic therapy. It worked, and after
a few treatments he began to show
signs of remission. “It was miracu-
lous,” says Kate. “The boy that we
once knew came back to us, it was
like he was waking up.”
WhenRobbieandKateencountered
a child whose family couldn’t afford
the adequate treatment, they knew
they had to do something. They sat
down as a family and had a conversa-
tionthatledtothecreationofRobbie’s
Rainbow,a charitythat gives children
access to expensive drug treatments
not covered by private or provincial
health plans and provides families
withfactualandreliableinformation.
Over the last five years, Robbie’s
Rainbow has raised over $300,000,
which has helped over 127 children re-
ceive critical treatments and care.The
charity has also teamed up with the
CanadianDigestiveHealthFoundation
to create resource guides to provide
parentsandteacherswithalloftherel-
evant information about Crohn’s.“The
‘Blackboards and Bathrooms’ guide
educates teachers and provides them
withsometipsonhowtocreateaposi-
tive environment for children with
Crohn’sdisease,”Katesays.
Another helpful resource is ‘You,Me
and IBD’,an educational magazine for
children,teensandparentsthatshares
inspirational stories, educational in-
formationandcelebratesinspirational
youthwithinthecommunity.
Treatments offer hope for
pediatric Crohn’s
There are some effective treatments
currently available to treat Crohn’s
disease, and a child or teen affected
can achieve a good state of health as
theytransitionintoadultlife.
Treatments can be nutritional or
medical and may include an anti-
inflammatory pill; steroids, which
are effective for short-term con-
trol of a flare-up and are used to in-
duce remission but not to maintain
remission as they can often inhib-
it growth; immunosuppressants;
or biologics, which are usually pre-
scribed after all other drugs have
been tried and have not been suc-
cessful,or the disease is very severe.
“The biologic treatments are just so
effective,theyhelpkidsgetbacktoa
normal quality life,” says Dr.Issen-
man.“It has an enormous impact on
everydomainofachild’slifewhenthe
diseaseisfullytreated.”
Biologic treatments also reduce the
needforhospitalizationandsurgeryin
childrenaffectedbyCrohn’sdisease.
Don’t let Crohn’s disease
hold you back
Clinton Shard was 12 when he was
diagnosed with Crohn’s disease. For
a youngster who was into all kinds of
sports and outdoor activities, the ill-
ness had a devastating effect.His low-
est point came over Christmas and
New Year’s in 2007,when he was hos-
pitalizedfortwomonths.
In March 2009, Clinton was pre-
scribed a biologic medication and
things started to look up: he was
feeling fit and healthy again. He
enrolled in his school’s Outdoor
Leadership program, and when he
heard that fellow Crohn’s patient
Rob Hill was planning to climb
Mt. Kilimanjaro to raise funds and
awareness for the disease, Clinton
knew he had to be involved.
“It was an arduous seven day trek
up the mountain, but my strug-
gle with Crohn’s disease definite-
ly prepared me mentally,” Clinton,
now 22,says.“Reaching the summit
was such an emotional experience.
It was at that point that I realized
I wasn’t just doing this for other
people, it was also to show myself
how far I’d come.”
After the Kilimanjaro expedition,
ClintontrekkedwithRobHilltoEver-
est base camp,and he continues to do
whatever he can to raise awareness
and funds for Crohn’s disease.“Most
importantly, though, people need
to know that there’s life after being
diagnosedwith Crohn’s disease.”
“The biologic
treatments
are just so
effective,
they help
kids get back
to a normal
quality life.”
JOE ROSENGARTEN
editorial@mediaplanet.com
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Biologicmedicationshavebecomeagame-changer
forCanadianyouthaffectedbyCrohn’sdisease
ROBBIE’S RAINBOW
A charity dedicated to improving the lives of
children living with IBD.
PHOTO: ROBBIE’S RAINBOW