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Bowel Cancer Australia pushes to expand home testing program as cases detected in wider age range – ABC News

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Australians aged 40 to 84 years should be given free bowel cancer self-screening kits to help address rising cases, a leading charity for the disease says.

Bowel Cancer Australia is calling on the federal government to expand the eligible age group, currently 50 to 74 years, for the National Bowel Cancer Screening Program, where people receive free home testing kits in the mail every two years.

It comes after Cancer Council Australia, with the federal government, launched the national campaign Get2it, to increase participation in the screening program, which sits at about 43 per cent.

Bowel Cancer Australia chief executive Julien Wiggins said research showed 75 per cent of all young-onset cases were diagnosed between the age of 40 and 49.

“Furthermore, a recent study demonstrated a steep increase in bowel cancer incidence between ages 49 and 50, with most cases diagnosed at an invasive stage among patients 50 years old, specifically,” he said.

In Australia, one in 14 men and one in 15 women will develop bowel cancer in their lifetime, but when detected early, about nine out of 10 cancers can be treated successfully.

Health and Aged Care Minister Mark Butler says anyone who has concerns should see their GP.(ABC News: Che Chorley)

Health Minister Mark Butler said the bowel cancer screening program, including its age range, was currently being reviewed.

“Anyone who is concerned about bowel cancer or notices changes to bowel habits should discuss this with their GP,” he said.

“Free bowel screening tests are available to persons of any age at the discretion of their GP.”

Early detection key

As a fit and healthy 37-year-old, Robbie Barnes was caring for his mother with breast cancer and keeping up with the demands of everyday life.

The Sydney resident shrugged off symptoms including blood in his stool, a change in bowel habits, fatigue and significant bloating that had crept up on him over time.

Robbie Barnes in hospital room standing with black cap, glasses, facial hair, navy shirt
Robbie Barnes says symptoms of bowel cancer crept up on him slowly.(Supplied: Robbie Barnes)

“The main thing is I lost about 17 kilos … without really doing much to try to lose that weight,” he said.

“Having it all off so quickly over about an 18-month to two-year period is a bit quicker than normal.

“I should have got checked up sooner.”

When he went to his GP, Mr Barnes was sent to specialists straight away. After blood tests, an endoscopy and colonoscopy, they found a 61mm tumour in his bowel.

He has since completed six weeks of radiation and is now undergoing chemotherapy, before doctors plan to surgically remove parts of his bowel.

The treatment is expected to take 18 months.

Mr Barnes shared his story in the hope of inspiring others to see their doctor if they have even the slightest symptom, and to encourage the government to ramp up bowel cancer screening.

Why expand screening?

Bowel Cancer Australia medical director Graham Newstead said the country had almost the best screening program in the world but it was not perfect.

Dr Graham Newstead
Dr Graham Newstead says cancers which occur from polyps can take about five years to develop.(Supplied: Bowel Cancer Australia)

He said increases in bowel cancers detected in those aged below 50 and above mid-70s were increasing, while cancers in those aged 55 to 70 were less frequent because more polyps were being detected and removed.

One in 10 bowel cancers were found to occur in people aged under 50.

With Australia’s ageing population meaning people are more likely to live to their mid-80s, Dr Newstead said expanding the program could catch more cases earlier.

One in 13 chance

General and colorectal surgeon Bradley Morris said bowel cancer had a one in 13 chance of affecting Australians in their lifetime.

“The causes can be multi-factorial, there are genetic dispositions, which is why family history is a very important consideration,” he said. 

“On an individual level, we know some broad causes, but determining a precise cause for most people is not possible.

“Many people don’t have any risks at all.”

He said health and lifestyle related risk factors included smoking, consuming increased amounts of red meat, processed food and alcohol, and being overweight or obese.

Dr Morris said symptoms included blood in a person’s stool — which should not be dismissed as related to haemorrhoids without seeking medical care.

Fatigue and loss of energy, a persistent change in bowel habits for more than about two to three weeks, and a change in frequency, size, shape, colour or consistency of stools, were other symptoms, he said.

Dr Morris said in later stages, people could experience abdominal pain, abdominal distension, weight loss and loss of appetite.

An image of Lidia and Lana standing infront of grey wall with trees in far left background. Both have brown hair, smiling.
Lidia Nancovski and Lana Klimovski are on a mission to improve preventative health care.(Supplied: doctors.com.au)

Online quizzes

Cancer Council Australia has a national partnership with doctors.com.au, a platform aiming to increase preventative care by reminding current and new patients to see their GP, determine their risk for disease and to get checked if needed.

Lidia Nancovski co-founded the platform with her sister Lana and said the service focused on preventative health, helping people to manage check-ups, appointments and screenings.

“We develop quizzes so people can do a quiz to find out if they’ve got a higher risk profile … and then we send them a recommendation,” she said.

“It’s determining their risk and also if they’re in the age of 50 and up and we send them reminders to do the test.”

The screening questions and recommendations were reviewed and approved by Cancer Council.

More than 80k lives could be saved

Cancer Council Australia chief executive Tanya Buchanan said by improving participation among the Australians already eligible for the bowel cancer test, 84,000 lives could be saved by 2040.

A profile image of Tanya Buchanan who has light brown hair, smilling, crossing arms, wearing black with yellow daffodil broach,
Cancer Council chief executive Tanya Buchanan says more than 80,000 lives could be saved if more people did the at-home screening.(Supplied: Cancer Council )

“What we’re trying to do with this campaign is get six in 10 Australians doing the program when they receive the kit in the mail,” she said.

“What we’ve found is actually most people intend to do it but don’t get around to it.

“So that’s why this campaign Get2it is encouraging Australians to take that kit, as soon as they receive it in the mail, pop it in the bathroom, set a reminder on their phone and just don’t put it off, get to it as soon as it arrives.”

This article is general in nature and anyone who is concerned about their health should seek medical advice from their general practitioner.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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