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A recent study suggests that people who donate blood regularly may have genetic changes in their blood that could in fact reduce the risk of developing cancer. It is conducted by the researchers at the Francis Crick Institute, and the study has now provided new insights into how and why blood cancers develop. The study is published in the journal Blood and was conducted by the scientists from Heidelberg and the German Red Cross blood donation center. There is yet a need for further research to confirm these findings.
The researchers examined the blood of two groups of healthy male donors in their 60s:
The goal was to analyze genetic mutations in their blood and assess whether frequent donation had any impact on their genetic makeup.
As and when people age, their blood and other cells naturally develop mutations and some of them can also increase the risk of cancer. When anyone donates blood, his or her body compensates by producing new blood cells, which can influence the genetic diversity of stem cells in the bone marrow. The study also found that both groups had a similar number of mutations. For instance the frequent donors had 217 mutations, while the irregular donors had 212 mutations.
However, the nature of these mutations differed. In the frequent donors, 50% of the mutations were of a type not associated with a high risk of blood cancers, compared to only 30% in the irregular donors.
Further laboratory analysis showed that these specific mutations behaved differently from those linked to leukemia, a type of blood cancer. When human blood stem cells with these mutations were injected into mice, they were found to be highly effective at producing red blood cells, which is considered a positive outcome.
Dr. Hector Huerga Encabo, one of the study authors, emphasized that these mutations do not indicate an increased risk of leukemia. The findings suggest that regular blood donation may influence how stem cells evolve, but whether this translates into a lower cancer risk remains uncertain.
Read More: Who Can Donate Blood To Whom?
One notable disadvantage is the "healthy-donor effect"—because blood donors are often healthier than the general population, their lower cancer risk could be unrelated to blood donation.
Dominique Bonnet, senior researcher and head of a stem-cell laboratory at the Francis Crick Institute, stressed the need for larger studies with female volunteers to confirm the findings.
Despite ongoing research into potential health benefits for donors, the primary goal of blood donation remains saving lives. NHS Blood and Transplant emphasized that while the study is interesting, further research is required to draw firm conclusions. The organization also noted that blood supplies are currently critically low and encouraged eligible individuals to donate.
Also Read: How Long After a Tattoo or Piercing Can I Donate Blood?
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For someone who has been hospitalized with heart failure, going home from the hospital can feel like a turning point. The breathlessness may have eased, the swelling may have reduced, and normalcy returns slowly. But feeling better does not mean that the condition has been cured. However, heart failure is a chronic and progressive condition in which the heart is unable to pump blood effectively enough to meet the body's needs.
The course of heart failure can include periods when patients feel stable and periods when their condition worsens. A worsening episode may require hospitalization or additional treatment, but even after the immediate episode has been stabilized and the patient is discharged, the underlying heart failure remains. The months following discharge from the hospital are a crucial period, when continued treatment, follow-up and attention to changes in symptoms can make a meaningful difference.
People who have recently experienced a heart failure episode are at higher risk of their condition worsening again. The period after discharge should therefore not be viewed simply as a return to normal life, but as a phase when continued monitoring, follow-up and treatment remain important.
The risk is reflected in the outcomes after discharge. Within one year, studies have reported a heart failure readmission rate of nearly 30%, while all-cause mortality was 37%. This highlights why the months following hospitalization require particular attention, even when symptoms have improved.
A heart failure hospitalisation is also an important marker of future outcomes. In patients with recurrent multiple heart failure hospitalizations, the risk of cardiovascular death and all-cause mortality is six times higher in patients with four or more heart failure hospitalisations compared with patients with no heart failure hospitalizations.
This makes preventing another worsening episode an important part of long-term heart failure management.
For example, a patient may return home after treatment feeling less breathless and able to resume a daily routine. If, after some time, the same person begins to struggle with a regular walk, develops increasing ankle swelling, or takes longer to recover from everyday activity, these changes should not be ignored. They may indicate that heart failure is worsening again and should prompt a timely conversation with the doctor.
Recognizing this period of increased vulnerability is not intended to create fear, but to encourage timely care. Patients should take their medicines exactly as prescribed and keep their follow-up appointments. Patients and their families should also be aware of the warning signs that indicate the condition may be worsening. This includes symptoms such as breathlessness; swelling of the legs or ankles; reduced ability to exercise; lack of appetite; nausea; increased heart rate; weight gain from fluid build-up; dizziness; or lightheadedness.
If familiar symptoms return, become more frequent or severe, or begin to affect everyday activities, the doctor should be consulted promptly. Regular follow-ups also provide an opportunity to assess whether the condition remains stable and treatment continues to meet the patient's needs.
Even when patients are stable with current treatment, the risk of hospitalization or serious cardiovascular outcomes can remain. Timely and appropriate treatment, including newer therapeutic approaches where suitable, can help reduce this risk.
Hospitalization following heart failure should not be seen as an episode to recover from, but as a reminder of the need for continued care in the months to follow. Patients and families who understand the warning signs, stay consistent with treatment and follow-up, and consult with the doctor regularly are better placed to manage the risk.
By Dr KV Srikanth, Consultant Interventional Cardiologist, KIMS Hospital, Electronic City, Bengaluru
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Chronic pelvic pain in adulthood may have warning signs that appear much earlier in life. A new study suggested that reproductive and gynecological health problems during adolescence could identify people at higher risk years before chronic pain develops.
The study, carried by The Lancet Regional Health – Americas, analysed health data of nearly half a million people in Ontario, Canada, following them from adolescence into adulthood.
The researchers found that after 10 years into adulthood, chronic pelvic pain affected 28% of people who had sought healthcare for gynecological or reproductive health problems during their teenage years, compared to about 15% among those without such health issues during adolescence.
In a nutshell, the rate of chronic pelvic pain was 41% higher among people who had earlier gynecological or clinical visits due to reproductive issues.
Also read: High BP in Pregnancy Linked to 42,000 Maternal Deaths, 500,000+ Stillbirths, Newborn Deaths: WHO
The researchers used population-based health data held by ICES and followed people from adolescence into adulthood. The analysis also considered other health problems and healthcare use during adolescence.
The findings also indicated that teenagers who had sought care for gynecological or reproductive problems were also more likely to have gastrointestinal problems, mental health conditions and chronic pain in other parts of the body.
“We asked a simple question: Were there signs, years earlier, that someone was on a path toward chronic pelvic pain? This study shows that indeed, the gap between those affected by CPP was already visible early in adulthood and grew over time,” said lead author Shay Freger, a PhD candidate in McMaster University's Department of Obstetrics and Gynecology.
Also read: Childhood Fitness Linked To Lower Risk Of Depression In Adulthood: 30-Year Study
Chronic pelvic pain refers to persistent pain in the lower abdomen or pelvic region that can continue for months or years.
It can affect everyday life, education, work, relationships and mental health. Researchers also identified that pelvic and menstrual symptoms during adolescence can sometimes be dismissed as a normal part of growing up, even when the pain is severe or persistent. This could discourage a person to seek medical help.
The findings suggest that these symptoms could offer doctors and healthcare experts a key opportunity to identify patterns of certain health conditions earlier in life.
“What is important about this study is that the warning signs were not limited to reproductive health alone,” said Mathew Leonardi, senior author and associate professor in McMaster’s Department of Obstetrics and Gynecology.
“It suggests that adolescent menstrual and pelvic health may be part of a broader health picture that deserves earlier attention and more integrated care.”
The study just noticed an association, but it does not establish that adolescent gynecological or reproductive problems are the direct reasons behind chronic pelvic pain decades later in life.
Instead, the researchers say the findings indicate that healthcare providers may already be seeing patterns during adolescence that could be linked with greater vulnerability to chronic pain and other disorders in adulthood.
The researchers also said that recognising these patterns earlier could help shift pelvic pain care from treating to identifying and addressing problems before they become persistent.
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As pollution season creeps back in Delhi, N95 masks outdoors and air purifiers are once again most likely to become the primary go-to protective measures for the public.
Both are known to lower exposure to harmful particles significantly, but neither can completely nullify the health risks of polluted air. So before you invest in an air purifier or buy a dozen N95 masks, understand how much you will be protected as you step out during smog everyday.
Also read: Delhi Pollution: What Are The Different Types Of Anti-Pollution Masks?
A properly fitted N95 respirator can filter at least 95% of airborne particles under standard environment. That makes it substantially more protective against fine particulate matter like PM2.5 than regular surgical or cloth masks.
But just wearing an N95 does not mean you are breathing toxins-free air. Its effectiveness depends heavily on fit. Gaps around the nose, cheeks or chin can let polluted air to bypass the filter.
An N95 also does not protect equally against every pollutant. It is designed primarily to filter particles, not gases like nitrogen dioxide or ozone. So if you spend most of your time outdoors during severe pollution, wear a well-fitted, certified respirator to reduce exposure.
Protection from PM2.5 is key as these particles are small enough to seep deep into your lungs and, in some circumstances, even cross over to enter the bloodstream. Long-term exposure to PM2.5 has been associated with cardiovascular disease, respiratory disease and other serious health problems.
The effectiveness of an air purifier depends significantly on the purifier, the size of the room and how it is used. A purifier equipped with a HEPA filter can remove fine particles from indoor air. When outdoor PM2.5 levels are high and polluted air enters homes through windows, doors and ventilation systems, this could be one of the best ways to protect yourself.
However, simply switching on a purifier in a large room does not guarantee clean air. The purifier needs to have sufficient clean air delivery rate (CADR) for the size of the room.
Keeping doors and windows closed during periods of extreme outdoor pollution can also help reduce the amount of polluted air entering. Filters need to be replaced according to the manufacturer's recommendations because a heavily loaded filter can reduce performance.
Also read: Delhi Air Pollution Is Back: What Days Of Poor AQI Can Do to Your Lungs
One of the limitations is that HEPA filtration primarily addresses particles. A purifier needs additional technologies, like an activated-carbon filter, to reduce some gaseous pollutants, and even then it cannot remove every pollutant completely.
For Delhi's pollution season, these two measures address different exposure issues. N95 masks help reduce inhalation of polluted particles while outdoors. Air purifiers help lower indoor concentrations of particulate matter. Using both can therefore provide greater protection than relying on either measure alone.
People with asthma, COPD, heart disease or other respiratory and cardiovascular conditions, as well as children and older adults, can be more vulnerable to the effects of air pollution.
Even healthy people can experience symptoms like coughing, throat irritation, wheezing, eye irritation and breathing discomfort when pollution levels rise.
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