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Submitted by: K Bakhru
Breasts in a woman may be small. There is a misconception that unusually small breasts may not be normal, and it is seen that females, especially young unmarried girls, take hormonal treatment (oestrogens) unnecessarily which has severe adverse side-effects.
If a woman has normal menstruation and the secondary sex characters are normally developed, such small breasts should be taken within normal limits, and no treatment is required. However, the woman may also be checked up by a gynaecologist for any pathology in the uterus/ovaries, etc.. A simple per vaginal (PV) examination, and transvaginal sonography is all that may be required. But in spite of this, the woman with small breasts usually feels perturbed, which may be due to cosmetic considerations.
In a young girl, who felt constantly disturbed, and was taking hormones, of course, with no signs of improvement. She was asked to stop the hormones immediately, and was examined by a gynaecologist, who reported that she was perfectly all right, the only finding was that she had very small breasts. In spite of repeated assurances, the girl hardly felt satisfied, and was not convinced that her breasts were normal, though smaller in size.
This is not unusual. It seems to be analogous to other conditions in which a normal person has an organ that does not develop quite as much as would be expected. In some men, the penis is smaller than usual, although they are perfectly normal. We have found that when a woman is endocrinologic ally normal, i.e., all other secondary sex structures are normally developed and ovulation and menstruation are normal, there isn’t much that can be done about small breasts. The explanation seems to be that there is an individual variation in responsiveness of the tissues. The breasts simply do not respond in the usual amount to normal hormone values. It is generally found that they will not have significant growth of the breasts even though large amounts of oestrogen are given. Perhaps there is some difference in the levels of the other factors than oestrogen that are important for normal breast development. Some of these women have considerable growth of the breasts when they become pregnant and lactate. Probably this is due to the influence of pituitary or placental lactogenic substances…”
Hence it is obvious that probably there is an individual variation that in some females breasts remain small, while in others they are normal and even large. However, such small breasts will not in any way affect the health or growth of the female concerned. Many of such cases which we could follow, showed that their breasts worked in a normal way i.e. for lactation following delivery, and the breasts also, to some extent, increased in size.
There is a word of great caution that a female should not take hormones indiscriminately. These should only be taken with the advice of a specialist for the period specified. Even when the woman is on an oral contraceptive, a regular check-up of blood pressure is required, as all oral contraceptives cause a significant rise in blood pressure. Even a heart attack/stroke may be precipitated with the use of hormones. Also, the hormones may cause an increase in blood sugar levels, various blood lipids and body weight. Likewise, blood coagulability may also be increased with their continuous usage. Hence the need for precaution at every step.
In older women, while administering hormones, say to tide over the troublesome period of menopause, it must be ensured that she has no hidden malignancy. It is, therefore, advisable that the breasts are examined for any lump, and mammography of both the breasts is done. At the same time, a Pap smear and an ultrasonographic examination of the uterus must be carried out to exclude the malignancy of the uterus, especially of the cervix. It should be noted that hormones increase the risk of cancer of the uterus and breast. Hence awareness in this respect is an important step in the prevention of cancer of these parts of the body.
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Sunday, December 5, 2010
Much of the interior of New South Wales, Australia continues to be affected by floods caused by heavy rains. With more rain predicted, the Australian Bureau of Meteorology has issued a flood watch for all western flowing rivers in New South Wales from the Namoi River in the north of the state to the Murrumbidgee River in the south.
Coonamble, in the central-western plains district of New South Wales, has been isolated by major flooding of the Castlereagh River. The State Emergency Service estimates that around 2,760 people are currently trapped in Coonamble. Mudgee, Canowindra, Eugowra, Dubbo, Wellington, and Young have also been severely affected.
A number of major highways in Western districts of the state have been closed or had diversions put in place, including the Newell Highway near Mirrool Bridge, the Castlereagh Highway between Gilgandra and Walgett, the Oxley Highway between Gilgandra and Warren, and the Lachlan Valley Way between 28km north of Cowra and 6km South Of Gooloogong. A number of local roads have also been affected.
Emergency Management NSW has declared the local government areas of Mid-Western Region, Weddin, Wellington, Warrumbungle, Cootamundra, Coonamble, Harden, and Young as natural disaster areas where significant damage to property and infrastructure has occurred.
Evacuation orders have been issued for parts of Wagga Wagga and parts of Coonamble due to flooding.
The SES is advising people who require assistance due to flooding to call 132 500 and to contact 000 for life threatening emergencies. For road closure information, residents are encouraged to contact their local council.
Monday, June 7, 2010
Last weekend, an eight-year-old boy died after falling into the River Wharfe in North Yorkshire, England. The river is known for its depth and strong undercurrent. The accident took place on Aaron Page’s birthday, following celebrations with over twenty family members.
Page made his way to the river near Skipton around 3pm BST (1400 UTC) on Saturday; his brother, aged thirteen, was the first to call for assistance after spotting Aaron in the water. Emergency services subsequently assisted in searching for Aaron; the body was recovered at approximately 6:25 pm the same day. Members of the ambulance service failed to resuscitate him, pronouncing him dead at the scene.
| No matter how safe a river seems sometimes there are inherent dangers. | ||
“This was a happy family day out to celebrate a birthday at a local beauty spot […] and unfortunately this young boy has got into difficulty in an area of water,” stated Inspector Kevin Franks of North Yorkshire Police. “Despite efforts from members of the public and some quite sterling efforts from the emergency services and everyone else there, sadly we’ve been unable to bring him out alive.”
Inspector Mike Woodhall of Harrogate police cautioned; “[n]o matter how safe a river seems sometimes there are inherent dangers.”
Friday, December 11, 2009
New York’s Metropolitan Transportation Authority is proposing to make service cuts to close its expected US$343 million (€234m, GBP £211m) budget deficit. The plan includes the elimination of multiple bus lines in The Bronx, Manhattan, Queens and Brooklyn, the elimination of the W (Astoria, Queens to Lower Manhattan) and the Z (Jamaica, Queens to Lower Manhattan via Brooklyn) train services. Also included in the plan are cuts of nighttime bus and train service.
“We’re not going to rely on anyone else to do anything for us. We’re going to rely on ourselves.” MTA board member Mitchell Pally said, commenting on the New York state’s budget plan cutting $143 million of tax revenue from the agency. MTA Chairman Jay Walder has said in the past that he would not raise fares ahead of schedule.
Gene Russianoff of the Straphangers Campaign, a commuter advocacy group, said that the agency should take money from its current construction and maintenance fund, and put it into maintaining these services.
Sunday, August 7, 2005
The 60th anniversary of the first use of an atomic bomb against people has been remembered in a ceremony yesterday in Hiroshima, Japan.
The atomic bomb, code-named “Little Boy“, was dropped on Hiroshima at precisely 08:15 on August 6, 1945 by the specially converted United States Army Air Force B-29 Superfortress Enola Gay.
The recommendation to drop the atomic bomb without warning was made by an eight-man committee headed by George Harrison who was Secretary of War Henry Stimson’s special assistant for matters relating to the development of the atomic bomb. Both Harrison and Stimson were members of Skull and Bones
Three days later, another atomic bomb “Fat Man“, was dropped on nearby Nagasaki.
The Japanese Government surrendered unconditionally on 15 August, and signed the formal surrender on the USS Missouri on 2 September in Tokyo Bay.
The dropping of the bomb has been condemned by critics and anti-nuclear campaigners, who say other methods could have been used to end the war. Advocates, however, say that an invasion of Japan — to be known as Operation Downfall — would have cost millions of Allied and Japanese lives, citing the ferocity of fighting experienced during the Battle of Okinawa, and that the bombings avoided this.
Approximately 140,000 people died within days from the initial blast and during the following year from radiation. The total death toll was almost half of Hiroshima’s population.
“As the years go by so many of my friends and relatives die. This must not be forgotten.” Sunao Tsuboi, a survivor of the bombing, said. Now he is 80, and he recounted some of the details of what he witnessed that day:
“We were all barefoot. One woman’s skin was hanging from her chest, another woman’s eye was hanging from its socket and resting on her chin, and one young girl’s guts had spilled out.”
Tsuboi saw people jumping into a river which was already full of bodies. He said, “I was thinking that if I die here, I would feel so sad and alone. Everyone had given up; no help was coming.We were beyond pain.” Tsuboi has since lost skin on his forehead and nose as well as part of his ears. He still goes to hospital every two weeks for treatment.
Friday, December 12, 2008
A US$14 billion bailout package deal for the “Big Three” United States automakers — Chrysler, Ford, and General Motors — has been rejected in the United States Senate after failing a procedural vote.
The bill was rejected after bipartisan discussions on the bailout broke down when Republican Party leaders insisted that the United Auto Workers (UAW) union agree to increase wage cuts by next year in order to bring their pay into line with those of Japanese automobile companies in the United States. The UAW refused to meet the demands.
The final vote count in the Senate was 52-35, eight short of the 60 needed to pass. Only ten Republicans joined forty Democrats and two independents in voting for the bill. Three Democrats voted with thirty-one Republicans against it.
Senate Majority leader Harry Reid said that he was “terribly disappointed” by the failure of the bill to pass. “I dread looking at Wall Street tomorrow. It’s not going to be a pleasant sight,” Reid said. “Millions of Americans, not only the auto workers but people who sell cars, car dealerships, people who work on cars are going to be directly impacted and affected.”
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Republican Senator Bob Corker was also unhappy about the rejection. “We were about three words away from a deal. We solved everything substantively and about three words keep us from reaching a conclusion,” he said.
Some Democrats now want U.S. President Bush to reserve a portion of the $700 billion bailout package earmarked for Wall Street to assist the flagging car industry.
Stock markets worldwide fell dramatically on the news, with Japan’s Nikkei average losing 484.68 points, or 5.6 percent, reaching a level of 8253.87 points. Shares in the auto companies Toyota, Nissan and Honda all dropped by no less than 10 percent apiece. European stocks, such as those in the United Kingdom and Germany, also lost ground, with the FTSE-100 index of leading shares falling 176.3 points to a level of 4,211 at midday.
Thursday, July 26, 2012
An AS532 Cougar helicopter has crashed in the south-east of France, killing all six occupants onboard. The aircraft, owned by manufacturing company Eurocopter, descended in the Verdon Gorge — located in the department of Alpes-de-Haute-Provence — at roughly 13:30 CEST (1130 UTC) yesterday. Police lieutenant Benoit Gounine told Reuters “[t]he accident occurred in a place that’s very difficult to access, which is complicating our work”.
A spokesperson for Eurocopter said the occupants of the helicopter were company engineers and test pilots. The aircraft, which launched from a heliport near Marseille, was being taken on a test flight and was due to be delivered to a customer later. Gilles Bruniaux, security development director at Eurocopter, said the helicopter occupants were “hardened professionals”.
Although investigations into the cause of the incident are ongoing, initial examinations by police and witness reports suggest the helicopter impacted with an electricity cable before descending. The owner of a restaurant close to the impact site told Agence France-Presse “customers having lunch on the terrace started yelling — there was an explosion and lots of black smoke”.
Verdon Gorge, one of the most famous in Europe, has a depth of 700 metres (2300 feet). The gorge is notable for its popularity with hikers.