Blog


Genom Att Använda Ivf Befruktas En Donors Ägg 2

Att fa manga agg lattillgangliga for IVF kommer att oka de sannolikheter som du far forvanta dig.

  • Att ha manga agg tillgangliga for IVF kommer att oka de odds du kommer att fa forvanta dig.
  • Uppleva manga agg tillgangliga for IVF kommer att oka chansen att du far vanta en baby.
  • Att ha manga agg tillgangliga for IVF okar sannolikheten att du blir gravid.
  • Uppleva manga agg avsedda for IVF kommer att oka de sannolikheter som du far vanta pa en bebis.
  • Att ha manga agg som ar tillgangliga for IVF kommer att oka de chanser du kommer att fa forvanta dig.
  • Att fa manga agg lattillgangliga for IVF kommer att oka chansen att du kommer att bli forvantan.

Exakt vad ar In Vitro Fertilization?

Varje gang nagra vill bli gravid, men inte kan genomfora det naturligt, finns det nagra alternativ som erbjuds. En infertilitetsexpert kan hjalpa alskare att hitta alternativ till moderskap och hjalpa dem att gora ett forsok att bli gravid. Ett bra satt att lakare kommer att hjalpa moderskap ar genom in vitro fertilization (IVF). Information om huruvida behandlingen passar dig kan ses over av fertilitetskonsulenten.

Langs vagen for IVF befruktas kvinnornas agg utanfor systemet och det befruktade agget, som kallas ett embryo, kommer att aterinsattas i kvinnans livmoder. Flera embryon satts ofta pa en gang och varje provkorning av placerade embryon kallas rutin. Eftersom det inte bara ar en helt vanlig form att bli gravid anses in vitro-fertilisering vara en slags “assisterad reproduktionsteknik”.

Nar anvands in vitro fertilization (IVF)?

For partners som vill ha stod blir gravid, ar in vitro fertilization (IVF) en utmarkt ersattare. De flesta alskare som definitivt inte lyckas forsoka bli gravid har kommit overens om att vara gravida problem av manga goda skal, inklusive: infertil sad, minskad s?dtal, endometrios och svarigheter med kvinnans livmoder, aggledarror eller formaga att agglossa. Det finns ocksa problem som kan uppsta mellan din spermas formaga att komma till agget.

En fertilitetsspecialist kommer ofta att uppmuntra par att prova andra typer av assisterad reproduktion fore graviditet genom in vitro fertilisering. IVF ar en dyr metod, sa det ar vanligtvis ett sista alternativ for par som forsoker bli en biologisk liten.

Exakt vad ar framgangsgraden for in vitro fertilisering (IVF)?

Info visar att framgangsgraden brukar paverkas av att kvinnans alder blir gravid. Eftersom hon blir aldre okar den potentiella risken for en valmaende att bli gravid, sarskilt aldre an 40. Pa grund av den stora aterhamtningsgraden bland ungdommeliga kvinnor har IVF blivit den vanligaste typen av hjalpt reproduktion. Dessutom ar kostnaderna for framgang saval som missfall av normala uppfattningar ungefar lika med IVF. Information om priserna pa bra resultat for dina personliga distinkta scenarier kan avslojas for dina behov fran din infertilitet professionell.

Keen Mobi Ticwatch 2, Installing Apps and Android Wear Watch Faces

{In it we run through why it’s important and how to get your app listing optimized. All of their resources are focused on creating exceptional products. Send them an email and ask them for 5 or 10 minutes of their time. With a cumulative total of over 11 million Twitter followers, over 6 million Facebook fans and tens of millions of unique visitors per month, features on any of these websites can mean lots and lots of downloads for your app. See the types available below. It’s also really improve ios app marketing highest quality easy to get started with competitor research through platforms like App Annie where you can search something like “healthy recipes for women” and see what apps show up and their ranking. If you get reviewed by a popular app blog like AppAdvice, you can expect a similar amount of traffic to flow through to your website and App Store listing. Once you get the attention in the app store you will get more organic downloads and can decrease your spending on marketing. Just like search engine optimization, app store optimization focuses on keyword relevance, search relevance and the keyword density in your description. Many of them have shared stories of investing large amounts of time and money to make their app the best it can be.

Promote Your Apps

Posters should have been placed all over the city, a large opening ceremony followed by a press release, and a dedicated social media campaign to let everyone know of his grand opening. If you get reviewed by a popular app blog like AppAdvice, you can expect a similar amount of traffic to flow through to your website and App Store listing.

Proceed with the most accurate market research and analysis the niche indicating the most efficient media sources for your further promotion considering countries and marketplaces available there. All it has done to promote itself is place a sign outside its door saying “Come on in!”. In it we run through why it’s important and how to get your app listing optimized. Meaning you have to convince the website that your app is good enough to be reviewed by them and therefore featured on their site. His restaurant should have been a smashing success. Meaning you have to convince the website that your app is good enough to be reviewed by them and therefore featured on their site. Everything from strategically placing the most relevant widgets, beautifully crafted layout designs, and engaging educational content. |Spending cash to buy google play store reviews and ratings makes it worth while if you’re guaranteed the website in which you got it is reliable. The main reason? com, Samsung app store, and so forth. Promoting in-app purchases may also encourage downloads of your app. Buy app store reviews and ratings which could increase the prospect of app users to find you app within the Play Store. Our customer care team is able to advise you regarding any question or problem through Live change massanger and Email ticket Support. Also we’re focusing on exploring and stopping any cheating behaviors. The outdoors PR firm can concentrate on the iPhone app solely.

keyword installs

Even set a regular limit so that you can develop points and obtain a steady flow of reviews. The conventional retention campaigns are fast and incredibly affordable which makes them ideal for new apps or games that need immediate exposure as quickly as possible permanently early rankings. Like a marketer, it’s important to understand your audience’s mobile usage to make sure possible you when, how and where they’re searching for your business around the device of the choice. When customers notice a guide, they’ll have the ability to comprehend the product and just what value it offers. The main reason? Our customer care team is able to advise you regarding any question or problem through Live change massanger and Email ticket Support. That is why we recommend getting an app user acquisition strategy in position just before launch and also to address it while you would any traditional affiliate marketing. Some developers buy downloads from company after which stop buying having seen an impressive increase of ranking of app, that is totally wrong. Essentially, you’re in a position to bid for relevant keywords to ensure that whenever a user is trying to find apps utilizing a particular term, your app seems first. These steps is only going to set you back time and we’re certain that should you follow them, you’ll have a significant increase in many supporters and downloads then you’ve now. Your day goes by and also the owner is confused. Doubt starts to crawl its means by and all of a sudden we’re wondering if maybe creating an app would be a wrong move from the beginning. Promotion Apps are unique, quick-to-build, custom tabs for the web, mobile and Facebook Pages. The issue more often than not isn’t the app itself, rather, it’s the crucial step so frequently missed following the app is produced, promotion. In the end, you need to make certain that anything you are building, will probably be just satisfactory You can start to achieve to your clients beginning with creating listing of everyone you’ve ever offered to as well as individuals who’ve only agreed to your e-newsletter. Incentivize your clients by providing them a unique discount, or some type of educational content.

Top 5 Tracking Application – Best Monitor Apps Reviews Phone Track Reviews

Cellular Phone Spy Tool Testimonials

  • Cellphone Spy Application Critiques
  • Cellphone Spy Software Feedback
  • Hand Phone Spy Software Program Reviews
  • Mobiles Spy Application Review Articles
  • Mobile Phone Spy Applications Feedbacks
  • Mobiles Spy Software Application Critiques

People who actually feel they may have a special would like to know what things to do take put on a phone, and at what time these things to do are taking place will have ways to learn this. When you should consider the precise whole entire basic fact around the activities over a smart phone, now you can spy on it with a brand new hybrid technological innovation termed android spy software.

The cell phone best free hidden spy applications for android mobile phone can retailer with the telephone calls texting, setting and telephone numbers then sends it into the machine so that you could look at information in the foreseeable future.

Currently being in the dark with regard to the whole condition could be the justification you do not only *look and feel* powerless, but you truly *are* powerless concerning the whole predicament.

In the first place, you’ll have to get hold of the cellphone of your better half (or even the man or woman you prefer spy in). Once you have that mobile device, obtain the cell phone free of charge android spy save application web based. They can be easily available on the web.

It used to be that mobile device Gps device traffic monitoring was just on the market to police force, catastrophe staff, and personalized investigators. But today’s know-how you will discover all sorts of information regarding a particular person Phonetrack-reviews.com by just making use of their cellular phone as well as software on your computer. Here’s the way to cellphone Gps unit following to know wherever your boyfriend is.

That is a word of caution hint that has been surprisingly easy to pick up on. As mentioned above, a BlackBerry spyware app can run inside experience. As a result furthermore you will get little results difficulties, nevertheless, you also will understand that your BlackBerry contains a reduced battery life. If you feel oneself managing to grab your battery charger more often than right before, or when you notice that one can not necessarily allow it to be through the day time on one require, then this is definitely a distinct warning sign you could possibly employ a BlackBerry spy app with regards to your smartphone.

Watch out also in selecting how to install. You can find several agencies on-line promoting this kind of software packages. It is best to however check for user critical reviews to figure out what type is the most beneficial.

Seeking Aid To For Background Work Papers essays24

Seeking Aid To For Background Work Papers essays24

What sort of summer months or element time work for lecturers are out there? You could tutor, but usually that can be a inconvenience with obtaining a position to meet for the tutoring, though many of my close friends completed have perfectly. I’ve often favored to do a little something completely unique from my regular occupation when earning added funds. This can help you to remain contemporary when you reenter the classroom. Jobs that leave you drained are not the best summer time or element time employment for teachers.

custom PowerPoint presentation

Offer entire facts. Strive to provide your viewers with total, in depth article critique facts so you can successfully educate them. Do not go away any stone unturned when doing your investigation and current write my thesis statement all the information that your audience have to have to know in a incredibly uncomplicated to understand manner.Debra: Of course, I’ve generally been a sucker for these forms of stories, in fact. I like “The Prince and the Pauper” (Twain is 1 of the finest American authors, in my viewpoint), as nicely as numerous other tales using that very same concept.

There was a novel penned by Mary Stewart some time again, identified as “The Ivy Tree” and Shakespeare’s “A Comedy of Glitches” makes use of twins how to write a critique hilarious influence. In “Duke” I in particular relished using the method of having two individuals with an identical visual appearance, but they’re totally various underneath the pores and skin. In addition there’s the pleasurable of obtaining other people offer with unforeseen conduct.The hour-long Owl Pellet Detective method will commence at 3:45 PM. The party will educate college students in grades four to 8 all about owls, their pellets, and the things inside their pellets! Registration is needed for this application, and there is a 20 human being limit.Keep your article content centered.

Keep away from inserting irrelevant information and facts on your posts so you will not confuse your viewers. Adhere with your major subject and make sure that every knowledge you present in your post is closely linked to it.Using these strategies will aid you create efficient kids’s tales. Yet another vital resource to use in your writing instrument belt is signing up for a small children’s writing a critique. No subject how long you’ve been creating, you can normally use a further set of eyes.You will also require a microphone to converse your articles into. I have also downloaded a nifty minimal piece of software program to dictate my article content into termed Article Notepad which you can get on the internet for free.To study more about these strategies, and understand about the firm I learned them from, you will want to go to my link at the conclude of this paragraph. The company, Acme Folks Research, has taken me from about to quit this small business, to about to quit my nine to 5, in a handful of brief months. They worth education, and they do not give you hype.

This is not a established it and ignore it sort of procedure. If you want to understand how to generate, and consider gain of a single of the biggest, and fastest expanding niches, persons connected searches, Go Right here Now!

The key reason why would someone Asian Females and Ladies Are the Firm up of Tibet

Today, most of the male singles flipping towards finding Asian wives for them selves. The reason being Hard anodized cookware wives are considered to be the world’s best and adoring wives. There are so many examples of American males married to Asian females. Asian women never forget their culture, dignity for elders and convention, no matter wherever they go.

Asian females with oriental features are experiencing expressionless face structure. For that reason they have an air of unpredictability and enigma. Adult males mostly love this deceptive feature and admire the idea.

Most of the People today in america, British people love to manage to get thier body tattooed with emotional and religious symbols from Japan, China and India. They feel it appears hip and quiet spectral. Asian kitchenware girls always keep their custom and beliefs on the earliest place.

There is no doubt about this truth. If you will say an Asian female that the girl with beautiful, she will give you a smile in a respectful way. It’s not possible in case of most of the north west women. This is because it is on their culture and tradition to help you smile and treat each one with gratitude.

They give complete support and be an aid to their spouse. Great program, encouragement, peace, loves and care is what ordered to provide by every single male everywhere over the world. She will make your entire day and night superb and full of beautiful moments. Cookware women can also prepare meals you love to eat. What are the significant traits that make Asian wives better than western wives?

Numerous western people are remarkably attracted and captivated on the culture, history, exotic looks, and color of Tibet. In back few years, The japanese has attained the situation of trendier place as opposed to the western countries.

A great Asian female is a mixture of exotic oriental features, very difficult bodies, petite structure, mind blowing skin and silky locks. These are some things which every male wants for his wife. This solution is completely irresistible.

For an example, visit Philippines provinces, people so poor but still they will welcome you with a have fun. Another fact is that Asian kitchenware females are shyer as opposed to the western females but at one time you will treat them within a friendly manner, they will always welcome you with dignity.

Take out time and go to the home which is managed just by an Asian wife. You will realize complete cleanliness around. Everything will be well managed and organized. Asian girls come to feel proud in managing his or her’s homes and family. They will love to cook food themselves and also love to keep every chore as clean as is feasible.

It has been world wide acclaimed that Asian females give more priority to their home than the western females. They may remain loyal towards you around their life. They will try everything to solve the problem and definately will always try their best to prevent things that can create relationship issues.

Go through more: thetechspider.com

How To Write A Research Paper Thesis

Benefits Of Taking Cooking Classes

If you livin an area wherthsoiis moisand theris a loof underground water, you mighhavto instala French drain to redirecwater from onspoto another. Thdownward slopof thdrain wiltransfer thmoisturand water from a damp spowherwater has been accumulating to a garden irrigation system lika dry well, or a rain garden. This protects thfoundation of a homfrom damagcaused by damp and water accumulation. When thwater is moisand thclimatdoes nopermithready evaporation of thwater in thsoil, French drains havto binstalled to keep thtop soifrefrom wespots.

Nutrition musalso ba parof your plan. Plan ouwhato eafor each day in order to avoid getting cramps and in order to build up your energy. You should probably consider eating 6 smaller meals than thusua3 fulmeals during training days. Whilresting, eaa loof protein. Plan to easofter, easily digested foods shortly beforyou go training.

Homework Help Answers Questions

Mosof thCulinary Arts schools offer thsamcourses, buin thtop schools, thteachers armuch different. Thtop schoograduates aralso soughoumoroften download writing homework images homework help cpm geometry University of Colorado at Denver by hiring managers of top restaurants.

  • Homework Help Integrated 2
  • Quizlet Live
  • Quizlet
  • Quizlets Live
  • Homework Help Discord
  • Quizlet
  • Quizlets Live
  • Quizlet

A speed workouroutininvolves running faslaps, alternated with slower ones. Thimportanthing to remember is noto overdo thfaslaps alaoncto preveninjuries. You can try doing 5 sets of 400 meters each, firsaa slow pacand then slowly build up through thweeks. This method can increasthaerobic potentiaof your exercises and can help improvyour musclstrength.

If you’vbeen reading any of my articles, you’vprobably figured ouI’m a Tea TreOinut. usTea TreOifor jusaboueverything. And yes, usTea TreOito treamy acne. I’vbeen using ifor abouten years. receivcompliments aboumy skin althtime. Thamakes mfeegreat! My skin isn’always clear.havrosacea, and constantly fighoily skin and blackheads. When thospesky zits pop up, know how to gerid of them quickly.

Well, therarthrevarious sporting events involved in thtriathlon. You’lneed to plan on how to preparfor every of them. You as welhavto plan in “bricks”, or days when you train on 2 of thseverasporting events thayou wilbtransitioning between in thactuatriathlon. So, you’lhavto plan on days wheryou do swimming, then Cycling. You’lplan on days wheryou bike, then run. You havto bfully appareled for every practicsporon thosdays, as well. Do ilikyou arperforming ion thactuarace.

Thfirslocation is Ada’s Famous Delwhich is located a14 south Wabash Avenue, Chicago Illinois 60603. Thtelephonnumber is 312-214-4282. They aropen daily from 6:00am unti12:00am. You havthoption of parking on thstreeor parking in thlot. On thmenu you wilfind greatasting sandwiches to choosfrom. Onof thmospopular is thcorned beef and thMontcristo sandwiches of course. You can calyou order in so iwilbready when you pick iup. You also havthoption of faxing in your order to thdeli. Thprices araffordabland very reasonablfor tharea.

usa faciamask every week to help clean oumy pores and pulouthimpurities. havused severadifferenbrands. havused French Clay Masks and Grapeseed Masks. My husband was a sweethearand hboughma Dead Sea Mud Mask. This cosaround $36.00, bulovit. You don’havto buy an expensivmask to bgood results. You can gemasks for under $10.00. You only usionca week so a jar lasts awhile.

can’emphasizenough: kids arkids. They do nolearn in a vacuum; neither do they excewhen unsupervised. Even if parents know nothing abouthsubjecmatter (i.e. a second language), thashould nokeep them from being involved in thlearning. Passing thtorch to a distanteacher does noquitgeyou off thhook. Thateacher’s influence, however valuable, is limited. It’s stilup to thparento keep thchild engaged and on schedule.

To somparents, such habits may seem annoying, bukids who show a keen interesin acquiring scientific knowledgearly in lifeventually becomintelligent, inquisitivteens and adults who don’taka simpl”yes” or “no” for an answer. Their curious minds wiltakthem far!

When you know whayou wanyour of a soap finding thperfecmatch is jusa matter of looking around. Remember to suppora locacompany and you wilsmelgood and feegood.

THE BIG WAR AGAINST CANCER IN NIGERIA: HOPE IN THE HORIZON

WCD 2017

February 4 every year is set aside as World Cancer Day, the universally designated day to promote ways to ease the global burden of cancer.

World Cancer Day for the three years 2016-2018 is taking place under the tagline ‘We can. I can’ and explores how everyone can collectively or individually do their part to reduce the global burden of cancer.

This is important, given the fact that cancer is a global epidemic. The global cancer epidemic is not only huge but is set to rise. Currently, one out of every three persons will be diagnosed with cancer in their lifetime and it is projected that by 2030, one in every two persons will be diagnosed of the disease in their lifetime. More than 14 million people develop cancer every year, and this figure is projected to rise to over 21 million by 2030.

World Health Organization (W.H.O.) latest data shows that worldwide, cancer is now responsible for almost 1 in 6 deaths globally. Each year 8.8 million people die from cancer. Sadly, about two-thirds of these deaths occur in developing countries like Nigeria.

According to the WHO, over 100,000 Nigerians are diagnosed with cancer annually, and about 80,000 die from the disease; this comes to 240 Nigerians every day or 10 Nigerians every hour, dying from cancer. The Nigerian cancer death ratio of 4 in 5 is one of the worst in the whole world.

The good news is that many cancers can be prevented by avoiding exposure to common risk factors, such as tobacco smoke, excessive alcohol intake, sedentary lifestyle, obesity, unhealthy diet, infectious diseases like Hepatitis B & C as well as Human Papillomavirus among others. In addition, a significant proportion of cancers can be cured, especially if they are detected early.

To combat the cancer menace in Nigeria, the National Cancer Prevention Programme (NCPP), a nongovernmental initiative of mass medical mission, is currently scaling up its impact by establishing a structured and organized, mobile system of preventive cancer care and health promotion, through the use of Mobile Cancer Centres (MCC). The MCC will not only tackle the common cancers but will also target several common diseases that are risk factors for cancer, including Diabetes, Renal Disease, Obesity, Malaria, Schistosomiasis, Helicobacter pylori, Hepatitis, HIV/AIDS, Human papillomavirus and Hypertension. Cancer and these ten related diseases kill more people in Nigeria than all other causes of death combined.

The pilot phase of this campaign will commence in the second half of this year in four of the old regions of Nigeria, namely: East (Port Harcourt), Mid-West (Asaba), North (Abuja) and West (Lagos). The first set of Mobile Cancer Centres for this phase has been ordered from the United States of America and is being expected whilst the base centres from which the MCCs will operate has been established. When the pilot phase commences, each of the states would be divided into smaller units such that every community in the state would be reached by the Mobile Cancer Centre at least once a year. The schedule for the community outreach would be communicated to the general public in due course.

mobile cancer centre

M C C       MOBILE CANCER CENTRE

This significant and monumental achievement in the Big War Against Cancer in Nigeria was made possible due to the united and concerted actions of public-spirited Nigerians, especially the several ‘Centurions’ (National Philanthropists), Mr. Jim Okechukwu Ovia (Nigeria’s only Titanic Centurion), Chief Modupe and Mrs.  Folorunsho Alakija, Dame Winifred Nwaukpo Akpani, Mr. Tonye Patrick Cole, Sir Kessington Adebukunola Adebutu, and others, under the auspices of the Committee Encouraging Corporate Philanthropy (CECP-Nigeria). Several political leaders also rallied round this cause, including, His Excellency, Prof Yemi Osibanjo, SAN, GCON, the Vice President of the Federal Republic of Nigeria and His Excellency, Mr. Akinwunmi Dapo Ambode, FCA, the Governor of Lagos State.

As we mark World Cancer Day 2017, these philanthropists are shining examples of the fact that ‘We can; I can’ make a difference to the BIG WAR Against Cancer, if we join hands together.

The short-term goal of the BIG WAR is to acquire and deploy 37 Mobile Cancer Centres, one for each state and FCT Abuja, whilst the long-term goal is to establish one Comprehensive Cancer Centre in each of Nigeria’s geopolitical zones.

Together, We can; I can take action to reduce the cancer burden in Nigeria!!!

KIDNEY CANCER: IMPROVING SURVIVAL IN NIGERIA

WELCOME TO CECP-NIGERIA'S BLOG

WELCOME TO CECP-NIGERIA’S BLOG

March is the awareness month for Kidney Cancer, Colorectal Cancer and Multiple Myeloma. Last year, this writer focused on colorectal cancer (article available at www.cecpng.org blog page). This article will focus on Kidney Cancer.

KidneyCancer-AWARE

Kidney cancer is also known as renal cancer. It is a cancer that starts in the kidneys. The kidneys are a pair of bean-shaped organs, each about the size of a fist. They are attached to the upper back wall of the abdomen, with one on either side of the backbone. The lower rib cage protects the kidneys. The kidneys’ main function is to remove excess water, salt, and waste products from the blood in form of urine. The kidneys also help control blood pressure and ensure that the body has enough red blood cells.

KIDNEY

Although, the survival rate for kidney cancer is very high if found at an early stage, kidney cancer is among the most fatal cancers in Nigeria, with over 900 new cases and about 800 deaths yearly, according to WHO. This implies that two Nigerians die every day of this disease, with a death rate of over 80%, compared to the much lower global mortality rate of 40%. In the United States of America, the death rate of kidney cancer is about 25% with more than 200,000 kidney cancer survivors currently living in USA.

Given the high potential for survival with this disease, it is imperative for all Nigerians to be kidney cancer aware. This will greatly enhance survivorship in Nigeria.

Risk factors that could make an individual more likely to develop kidney cancer, include: lifestyle-related and job-related risk factors such as smoking, obesity, workplace exposure to certain substances, including certain herbicides, and organic solvents. Genetic and hereditary conditions, such as Sickle cell disease can also increase the tendency to develop certain types of kidney cancer. However, genetic factors account for only a small portion of cases overall.

Age and gender are also risk factors of kidney cancer. Globally, kidney cancer is more common in men than women. However, in Nigeria, the reverse is the case. The risk of kidney cancer increases with age. The average age at diagnosis is 64 in whites, in whom kidney cancer is rare under age 45. However, in Nigeria, kidney cancer tends to occur earlier, with the average age of occurrence being in the forties. A certain type of kidney cancer known as Wilms tumor (nephroblastoma) almost always occurs in children, being the second most common cancer in Nigerian children.

Other risk factors include: high blood pressure and advanced kidney disease especially those needing dialysis as well as family history of kidney cancer. The long-term, regular use of certain drugs, such as non-aspirin anti-inflammatory pain killers and diuretics (water pills) also increase the risk. Therefore, long-term use should only be undertaken after consultation with a doctor, who can appropriately evaluate benefits / risks and monitor treatment closely. Individuals placed on these medications should not panic but should observe the other preventive measures stated below.

It is important to note that having a risk factor, or even several risk factors, does not mean that one will get the disease. Conversely, some people who get the disease may have few or no known risk factors. This is illustrated by the case of Mrs. Vera Williams (not her real name) who was recently diagnosed with stage III kidney cancer at the age of thirty (30). This young nursing mother had none of the risk factors outlined above.

The risk of kidney cancer can be reduced by life-style modification. These include quitting smoking, maintaining a healthy weight, exercising, choosing a diet high in fruits and vegetables, as well as getting treatment for high blood pressure. Avoiding workplace exposure to harmful substances such as cadmium and organic solvents may also reduce the risk for renal cancer.

 QUIT SMOKE

Early kidney cancers do not usually cause any signs or symptoms, but larger ones might. Kidney cancers can sometimes grow quite large without causing any problems. In addition, because the kidneys are deep inside the body, small kidney tumors cannot be seen or felt during a physical examination. The most common symptom of kidney cancer is painless urination of blood, a condition known as haematuria. Other possible signs and symptoms of kidney cancer include: low back or flank pain or pressure on one side (not caused by injury), presence of a mass, a hard lump or a thickening or bulging under the skin that can be seen or felt on the side or lower back. Tiredness, loss of appetite, weight loss not caused by dieting, and unexplained fever are also symptoms of kidney cancer.

bloody urine

It is noteworthy, that these signs and symptoms can also be caused by other diseases apart from kidney cancer. For example, blood in the urine is most often caused by a bladder or urinary tract infection or a kidney stone. Still, presence of any of these symptoms should prompt evaluation by a doctor so that the cause can be found and treated.

Although, there are no universal screening tests for kidney cancer risk, a urine test which should be part of routine medical checkup, may find small amounts of blood in the urine of some people with early kidney cancer. This is known as microscopic haematuria. Imaging tests such as Ultrasound Scan, Computed Tomography (CT) Scans and Magnetic Resonance Imaging (MRI) scans can often find small kidney cancers. With increasing use of these imaging test in the evaluation of nonspecific abdominal complaints in developed countries, most cases of kidney cancers are often found accidentally when they are causing no symptoms.

kidney cancer image

People at increased risk of kidney cancer should get regular imaging tests (CT, MRI, or ultrasound scans) to look for kidney tumors. Kidney cancers that are found early with these tests can often be cured. In addition, it is expedient that any one that passes blood in the urine, even if it occurs only once, should have an imaging test done to determine the cause before instituting treatment. Health practitioners should not merely prescribe antibiotics or anti-schistosomal drugs for patients with haematuria, without fully evaluating them.

Treatment options for kidney cancer include: surgery, ablation (e.g. cryotherapy) and other local therapies, radiation therapy, targeted therapy, immunotherapy (biologic therapy) and chemotherapy. In some cases, a combination of more than one type of treatment might be used. However, surgery which could be partial or total, is the main treatment for most kidney cancers. The chances of surviving kidney cancer without having surgery are small.

Unfortunately, Nigerians are often afraid of surgery. Those that present with early stage disease, often default after being informed of the need for surgery. They then opt for traditional / spiritual / alternative treatment, only to present much later with incurable disease.

At this point, we must note that the kidneys are important, but a person actually needs less than one complete kidney to function. Many people in the United States are living normal, healthy lives with just one kidney. So people should not be afraid of undertaking surgery.

Clearly, the key to improved kidney cancer survival is prevention and early detection. Regrettably, the diagnostic imaging tests are expensive, not widely available and out of the reach of most people in Nigeria.

The good news is that with a routine urine test, kidney cancer could be picked up early. However, most Nigerians do not have the culture of carrying out routine medical screening. Some elderly Nigerians pride themselves in never having any need to visit the hospital. Often such people’s first visit to hospital would be when they are rushed there, moribund. This culture is fueled by the absence of a national system of health promotion and the dearth of preventive medical facilities, especially in the rural areas.

One way of ensuring early detection of kidney cancer is by taking advantage of existing opportunities for routine screening, for instance during pregnancy. Mrs. Vera Williams had regular urine test during Antenatal Care (ANC). However, the form of urine testing carried out at ANC is often limited to checking for glucose and protein. Her case calls for a review of the current practice. Routine urine test should be more comprehensive so as to include test for blood. If this had been done for Vera, she could have been diagnosed at a curable stage.

There remains an urgent need for an accessible and organized system of cancer prevention and health promotion. A mobile system of preventive health care is the best solution. The Collaborative Research-USA Network of Mobile Clinics, posits that “The mobile clinic sector is an untapped resource for helping the nation reduce health disparities while improving care, improving health and saving healthcare costs”.

This is why the current focus of Committee Encouraging Corporate Philanthropy (CECP-Nigeria) is to acquire and deploy Mobile Cancer Centres (MCC) across the country. Because the MCC contains facilities for imaging (ultrasonography) and comprehensive urine test, it would greatly facilitate the early diagnosis of kidney cancer in Nigeria.  The operational partner of CECP is the National Cancer Prevention Programme (NCPP), a non-governmental initiative. NCPP has been at the forefront of efforts towards the establishment of effective system of nation-wide cancer control in Nigeria. The MCC would make holistic preventive health care accessible at the grassroots.

mobile cancer centre

CECP hereby uses this opportunity to appreciate all the Nigerian philanthropists who have identified with this cause, by pledging to contribute towards the MCC.  CECP invites every person of goodwill to support this initiative as we work towards deploying the first set of MCCs by the October Cancer Awareness Month.

According to the Union for International Cancer Control, ‘Together we can take action to make a difference’. We can! I can! 

This article was published in the Guardian Newspaper on Thursday, March 24, 2016

© 2016 Committee Encouraging Corporate Philanthropy (CECP- Nigeria)

 

FACES OF PHILANTHROPY IN NIGERIA: CALL FOR NOMINATION

 

CK-PMB-GIN

INTRODUCTION

In 2012, the United Nations Foundation introduced #GivingTuesday, a global day to engender and celebrate generosity.  #GivingTuesday is observed world-wide, supported by business, political, and social leaders, who jointly champion fund-raising for community development.

The Presidents and Heads of Government of many nations have become patrons of this philanthropic movement, a universally recognized way for patriotic citizens to contribute to the developmental efforts of government.

THE GRAND PATRON AND NATIONAL PATRON OF #GIVINGTUESDAY IN NIGERIA

The Grand Patron of #GivingTuesday in Nigeria (#GivingTuesdayNg) is His Excellency, President Mohammadu Buhari, GCFR; President and Commander-in-Chief of the Armed Forces of the Federal Republic of Nigeria.

The National Patron is His Excellency, Prof. Yemi Osinbajo, SAN, GCON; Vice-President of the Federal Republic of Nigeria.

ANCHOR: Dr Christopher Kolade, CON

THE FACES OF PHILANTHROPY IN NIGERIA

The Face of Philanthropy is a special honour for philanthropy, conferred annually.

The ‘Face of Philanthropy’ is a man or woman who is investing his or her resources to create positive change and make life better for the masses, through the practice of massive, exceptional and far-reaching philanthropy, particularly at the grassroots.

A person honoured as a ‘Face of Philanthropy’ would be entitled to the use of the post-nominal letters ‘PhiN’ which stands for ‘Philanthrope Nationale’ (French for ‘National Philanthropist’).

To mark #GivingTuesday each year, CECP shall issue a special publication titled ‘Philanthropy in Nigeria’ which would contain the profile of the Faces of Philanthropy in Nigeria.

The final list of honorees will be unveiled at a Presidential event which would be broadcast live by the Broadcasting Organizations of Nigeria (BON).

THE BENEFITS TO THE NATION

  1. Encouragement: By celebrating them, Nigerians who practice life-changing philanthropy would be motivated to do more
  2. Challenge: The initiative would challenge and inspire potential and future philanthropists
  3. Documentation: The book ‘Philanthropy in Nigeria’ would provide a one-stop documentation of philanthropy/corporate social investment (CSI) as practiced in Nigeria and/or by Nigerians
  4. National Image: The initiative will make a positive impact on the image of Nigeria in the comity of nations

NOMINATION PROCESS

Nominate the number one philanthropist in your Local Government Area of origin or domicile, for this honour, by sending the following information about your nominee to faces@cecpng.org or by sms only to 08095553555.

- Name of your nominee

- Home town and Local Government Area of your nominee

- Direct GSM Number of your nominee

- Contact Address of your nominee

- The THREE major Philanthropic achievements of your nominee

YOU SHOULD CONCLUDE THE NOMINATION BY STATING YOUR NAME AND GSM NUMBER.

NYSC YOUTH CORP MEMBERS SHOULD ALSO STATE THEIR PLACE OF PRIMARY ASSIGNMENT, CALL UP NUMBER AND STATE CODE NUMBER 

IMPORTANT NOTES

1. Each participant is entitled to only one nominee

2. Participants cannot nominate themselves

3. Nomination closes at 12 noon on February 29, 2016.

DEMYSTIFYING CERVICAL CANCER

WELCOME TO CECP-NIGERIA'S BLOG

WELCOME TO CECP-NIGERIA’S BLOG

“These findings bring into sharp focus the need to implement the tools already available for cervical cancer, notably HPV vaccination combined with well-organized national programmes for screening and treatment”. - Dr Christopher Wild, Director of International Agency for Research on Cancer (IARC)

CervicalCancer Awareness Month

January is cervical cancer awareness month. Cervical cancer, or cancer of the cervix, is cancer of the neck of the womb. The baby grows in the body of the womb (the upper part). The cervix connects the body of the womb to the vagina (birth canal). In other words, the cervix is the door of life. Sadly, when cervical cancer occurs, this door of life becomes the door to death. Cervical cancer is the easiest of all cancers to prevent; yet it is the second most common cancer killer in Nigerian women.

cervical cancer

This high mortality is partly due to some misunderstandings and false believes surrounding the disease. To mark this year’s Cervical Cancer Awareness Month, this article would attempt to demystify cervical cancer with focus on 20 common myths.

MYTH 1: We do not know the cause of cervical cancer. TRUTH: Infection with the Human Papillomavirus (HPV), is an absolute requirement for cervical cancer to develop. HPV is the root cause of more than 5% of cancers, including cervical cancer and cancers at other sites such as vagina, vulva (the outer part of the female genital organs), penis, scrotum, perineum, anus, head/neck, mouth, throat, nose, tonsil, skin, nail-bed, and conjunctiva (eye). There are over 150 types of HPV but the 4 that cause most of the diseases are Types 6, 11, 16 and 18. HPV is the most common sexually transmitted infection (STI) in the world, with the highest prevalence in sub-Saharan Africa.

virus_papiloma_humano

MYTH 2: I am not promiscuous, so I can’t have cervical cancer. TRUTH: Although HPV can be spread during sex − including vaginal intercourse, anal intercourse, and oral sex − sex doesn’t have to occur for the infection to spread. All that is needed to pass HPV from one person to another is skin-to-skin contact with an area of the body infected with HPV. Therefore, even never having sex doesn’t guarantee that one cannot get infected.   Recently, a woman presented at the National Cancer Prevention Programme (NCPP) with complaint of post-coital bleeding (bleeding after sexual intercourse). She was investigated and confirmed to have cervical cancer. The news was received by her with utter disbelief, because she has had only one sexual partner – her husband. This story buttresses the point that having only one partner does not preclude one from being infected with HPV. However, it is important to note that women who get sexually exposed at an early age and those with multiple sexual partners have higher risk of developing the disease.

MYTH 3: Cervical cancer cannot be prevented. TRUTH: Cervical cancer is virtually 100% preventable, through screening and vaccination. Vaccines are now available to protect against HPV infection. Preventing HPV infection dramatically reduces a woman’s risk of cervical cancer. In addition, cervical cancer usually develops slowly after persistent infection with HPV and will first appear as a precancerous condition called dysplasia or cervical intraepithelial neoplasia (CIN). It usually takes several years for cervical pre-cancer to change to cervical cancer, but it can happen in less than a year. Cervical Screening detects these precancerous conditions which could be effectively treated to prevent cervical cancer from developing.

HPV VACCINE

Other protective measures include sexual discipline, non-smoking, balanced diet, and optimal feminine hygiene. Each of these behaviours relate to known risk factors for this disease.

MYTH 4: I don’t have intercourse, so I don’t need the HPV vaccine. TRUTH: to get the most out of the HPV vaccine, it needs to be taken before any type of sexual contact with another person and therefore, exposure to HPV. The recommended age-range for routine immunization against HPV is 9 years to 26 years. However, studies have shown that Gardasil also protects women between 27 years and 45 years.

MYTH 5: Cervical Cancer prevention does not concern men. TRUTH: As noted earlier, the disease is caused by infection with the sexually transmitted HPV. This implies that men are involved with its transmission. Besides, every woman that is affected by cervical cancer is a man’s wife, sister, aunt, daughter or niece. Therefore men should encourage and support their female relatives to take advantage of the available preventive measures.

MYTH 6: HPV vaccine is meant for females alone. TRUTH: There are three types of HPV vaccines – a bivalent vaccine (Cervarix), a quadrivalent vaccine (Gardasil) and a 9-valent vaccine (Gardasil 9).  The bivalent vaccine protects against only 2 types of HPV (16 and 18) and is recommended for females alone for prevention of cervical cancer. The quadrivalent vaccine protects against 4 types of HPV (6, 11, 16 and 18). Gardasil 9 protects against the same 4 types of HPV as the quadrivalent vaccine, plus 5 other high risk types: 31, 33, 45, 52 and 58. The Gardasils thus prevent most cases of cervical cancer, and other cancers caused by HPV infection, including a proportion of genital, anal, oral and throat cancers. The Gardasils also prevent genital warts and Recurrent Respiratory Papillomatosis (RRP). The Gardasils are approved for both males and females. Vaccinating boys against HPV might also help protect girls from the virus by decreasing transmission. The vaccines are usually given in three doses over six months. The US Centre for Disease Control (CDC) recommends that people should get the same vaccine brand for all three doses i.e. Cervarix and Gardasil should not be used interchangeably.

new_gardasil

MYTH 7: I use condoms during sex, so I don’t need HPV vaccine. TRUTH: The use of condom does not give full protection against HPV, since it could be transmitted through skin – skin contact. A person can get infected with HPV even with the correct use of condom. Condoms are more effective in protecting against other STIs like HIV/AIDS.

MYTH 8, I have had HPV vaccine, I do not need to get screened for cervical cancer. TRUTH: HPV vaccine does not protect against all the types of HPV that can cause cervical cancer, so it’s still important to continue regular screenings. According to the American Cancer Society, the most important thing you can do to prevent cervical cancer is to be screened.

MYTH 9:  Family planning increases cervical cancer risk. TRUTH: The Intrauterine Device (IUD or coil) reduces the risk of cervical cancer. Conversely, Oral contraceptive pill can increase the risk of cervical cancer. The hormones in oral contraceptives may change the susceptibility of cervical cells to HPV infection, affect their ability to clear the infection, or make it easier for HPV infection to cause changes that progress to cervical cancer. However, cervical screening can detect cervical changes before they develop into full-blown cancers. And in women who have had HPV vaccination, the vaccine reduces the risk of developing cervical cancer by helping prevent infection by HPV.

MYTH 10: I don’t have symptoms of cervical cancer, so I don’t need cervical cancer screening. TRUTH: Cancer screening means testing for cancer before symptoms develop. Moreover, cervical cancer is usually asymptomatic in the early stage, hence it is known as the silent killer. Therefore, the fact that a woman is asymptomatic is not an excuse for not carrying out screening.

MYTH 11, I’m too young to worry about cervical cancer and its screening. TRUTH: Cervical cancer kills more 24-35years old women in developing countries than any other cancer in any other part of the world. HPV infection and the precancerous condition are common in younger women. In Nigeria, therefore, a woman’s first cervical screening should be done when she turns 18 or three years after she begins having sex, whichever comes first. We have seen teenagers with cervical cancer in Nigeria.

MYTH 12, I’m too old to need a cervical screening any longer. TRUTH: There is an increase in cancer incidence including cervical cancer in older populations.

MYTH 13, I can’t go for screening because if cancer is diagnosed, I can’t deal with it. TRUTH: Cervical screening can pick up the precancerous stages of cervical cancer which could be effectively treated with cryosurgery, a 15 minutes procedure. Screening can also pick up the early stages of cancer, which is also curable.

MYTH 14, I have been screened for cervical cancer, I don’t need to repeat the screening. TRUTH, in our environment, Cervical Cancer Screening should be repeated yearly. Although, some western countries no longer routinely carry out yearly screening, they used to, until they recorded significant decrease in cervical cancer death rate. The new guideline by the American Cancer Society is that women should have cervical cancer screening every 3 years. However, they recommended that women who are at high risk for cervical cancer may need to be screened more often.

Women in developing countries like ours, should be regarded as high risk since sub-Saharan Africa has the highest prevalence of HPV, and 26% of women in Nigeria are positive for the virus. Furthermore, low socioeconomic status has proven to be a significant risk factor for invasive cervical cancer. Besides, with longer intervals between screenings, there is the risk of women forgetting and missing their screening.

A case that illustrates the importance of yearly screening in our environment is that of a young lady in her thirties, who had been complying with her yearly cervical cancer screening at the NCPP centre since 2008. Her screening results were normal until 2013, when she had an abnormal screening result. Cervical biopsy revealed that she had the precancerous cervical changes. She was subsequently treated with cryosurgery. All her follow-up test have been normal since then.

MYTH 15: My cervical screening was abnormal, which means I must have cancer. TRUTH: This is not necessarily so. There is need for follow-up tests, including colposcopy and a biopsy to test for cancerous cells. An abnormal screening could indicate a precancerous condition that can be treated. Conversely, a negative screening does not always mean a woman is cancer-free. About 10 percent of all cervical screening return a false negative result, meaning the test did not identify a problem that is there. If there are problems such as bleeding or pain, further evaluation is necessary even if the screening was normal. This small chance of having a false negative result, also buttresses the importance of yearly screening in our environment.

MYTH 16: My cervical screening was abnormal; Vaccination can treat the problem. TRUTH: HPV vaccination helps to prevent pre-cancers and cancers of the cervix but does not treat HPV infection or the abnormal changes.

MYTH 17: Cervical cancer has no symptoms. TRUTH: While cervical cancer may show no symptoms at the early stage. Symptoms will occur later. These include bleeding after intercourse, bleeding between menstrual periods or bleeding after menopause. Other symptoms include an abnormal discharge or pain in the pelvic region. In 2012, a medical doctor presented at the NCPP centre with complaint of persistent vaginal discharge for which she had to be using panty liners. The discharge had persisted in spite of treatment with several medications. On evaluation, it turned out that she had cervical cancer. The lesson: not all vaginal discharge is “toilet infection”.

MYTH 18: If I am diagnosed with cervical cancer, I am going to die. TRUTH: Survival after cervical cancer caught in its earliest stage is 92 percent. The later it is diagnosed, the lower the chance of survival. Survival is lower in developing countries because of inadequate screening. Regular screening will help ensure cervical cancer is caught at an early, treatable stage.

MYTH 19: After I finish treatment, I will live the rest of my life worried about cancer returning. TRUTH: In most cases early cervical cancer never returns, once it is properly treated. However, if cervical cancer is going to recur, it is most likely to happen in the first two years after treatment. The risk of recurrence is extremely low after five years following treatment. However, it is important to continue regular screening.

MYTH 20: I must have a hysterectomy (surgery that removes the cervix and womb) to treat cervical cancer. TRUTH: It is true that early cervical cancer is typically treated with a hysterectomy. However, it is not the only option. Radiation and chemotherapy are used to treat more advanced disease and may also be options for women with early stage disease who cannot have surgery. Some women with early cervical cancer can also avoid hysterectomy with procedures such as a cone biopsy that removes only the cancerous tissue and a small margin of surrounding healthy tissue, or a procedure called radical trachelectomy, which removes the cervix but not the uterus.

More importantly, all of these expensive and traumatic procedures can be avoided by regular screening to pick up the precancerous stage which could be treated with cryosurgery.

Unfortunately, even if our women are aware of all these truths, most of them cannot take action because of the lack of adequate facilities for screening, diagnosis & follow-up in Nigeria, particularly in the rural areas. Obviously, there is an urgent need for a well-organized national system of cancer prevention that is accessible to all Nigerians.

To address this need, the National Cancer Prevention Programme (NCPP), a non-governmental initiative, pioneered community-based mass cervical cancer screening campaign in Nigeria, in 2007. Since then; over 100,000 Nigerians have been directly screened, vaccinated and treated so far, and through the awareness created, the NCPP is helping to protect millions of Nigerians from cancer.

This sacrificial effort has contributed to a 15% reduction of cervical cancer deaths in Nigeria from 26 women dying daily to 22 daily between 2008 and 2012 (World Health Organization data). The significance of this modest improvement is underlined by the fact that W.H.O. had projected a 25% increase in cervical cancer deaths within ten years, in the absence of widespread intervention.

However, we can do much better than that! The improvement in cervical cancer survivorship in Nigeria is proof positive that we can beat Cancer, if we could scale up the effort.

The BIG WAR Against Cancer is the current focus of Committee Encouraging Corporate Philanthropy (CECP-Nigeria). It is designed to establish the infrastructure for efficient and effective cancer prevention and treatment in the country. The short-term goal of the BIG WAR is to acquire and deploy 37 Mobile Cancer Centres (MCC), one for each state and FCT, Abuja; these will take cancer prevention and early treatment to the grassroots, by energizing the impact of NCPP. As a longer-term goal, the CECP is committed to spearheading the establishment of one Comprehensive Cancer Centre in each of Nigeria’s geopolitical zones.

According to the USA Network of Mobile Clinics, “The mobile clinic sector is an untapped resource for helping the nation reduce health disparities while improving care and saving healthcare costs.” A study by the Harvard Medical School found that for every dollar invested in the operation of the mobile clinic, $20 was saved in terms of management of chronic illnesses, avoided hospital visits, and prevention of diseases.

A single MCC in a state of Nigeria could make a huge positive difference. That state would be divided into smaller units such that every community would be reached by the MCC at least once a year.

We cannot achieve this unless we ACT! (Attack Cancer Together!). Fortunately, two Nigerian philanthropists have already pledged to donate the first Mobile Cancer Centre. This is a clarion call for all Nigerians of goodwill to support this movement and prevent unnecessary cancer deaths of our beloved compatriots. Together, we can! Yes, I can!

This article was published in BusinessDay Newspaper of Friday January 22, 2016, Guardian Newspaper of Thursday, January 28, 2016 and ThisDay Newspaper of Thursday, January 28, 2016

© 2016 Committee Encouraging Corporate Philanthropy (CECP- Nigeria)