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Study: Higher risk of breast cancer overdiagnosis in women over 70 through screening


A new study is raising fresh questions about the value of breast cancer screening in older women, finding that those 70 and older who underwent mammograms were more apt to be diagnosed with tumors posing no threat to their health than those who did not screen.

The study by researchers at Yale Medical School, published on Monday in the journal Annals of Internal Medicine, tracked 54,635 US women 70 and older who received a mammogram – an X-ray of the breast – in 2002. Women who opted for continued screening were compared to those who chose not to be screened.

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The researchers found that among women ages 70 to 74, up to 31 percent of breast cancer cases found among those who underwent mammograms were overdiagnosed – defined as the diagnosis of a medical condition, typically through screening, that otherwise would not have led to symptoms or problems in a person’s lifetime.

As age increased, so did overdiagnosis, the study found. In women ages 74 to 84, that jumped to 47 percent – and to 54 percent in those 85 and older.

The study also did not find statistically significant reductions in breast cancer deaths associated with screening.

The rationale for screening is to catch a disease at an earlier stage to improve the chances of successful treatment. Overdiagnosis might lead to unnecessary treatments and the accompanying financial and emotional burdens.

A concern of continued screening in older women is detecting breast cancers that would never become symptomatic, according to study lead researcher Dr. Ilana Richman, an internal medicine physician at Yale Medical School.

“At some point, it’s unlikely that knowing about breast cancer earlier is going to make much of a difference,” Richman said.

The US Preventive Services Task Force, an expert panel that makes recommendations about clinical preventive measures, has recommended that women ages 50 through 74 undergo screenings every two years. But it has said there is not enough evidence to assess the harms and benefits of mammograms for women ages 75 and up. The task force is reviewing a draft recommendation to lower the starting age for regular mammograms to 40.

The American Cancer Society has recommended screening women over 55 if their life expectancy is more than 10 years, whereas the American College of Physicians has recommended discontinuing screening women over 74 for women whose life expectancy is 10 years or less.

“It’s critical for older women who are thinking, ‘Should I continue screening,’ to understand what is the full range of risks and benefits,” Richman said, adding, “I’m interested in what can we do to help women understand their options.”

Oncologists Dr. Otis Brawley and Dr. Rohan Ramalingam from Johns Hopkins University wrote in an editorial accompanying the study that physicians need new tools to objectively identify the stage and severity of cancer.

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ABU DHABI NATIONAL HOTELS PRESENTS SEPTEMBER OFFERS

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Central Avenue Dubai exclusive UAE residents offer. Get 10% off the best flexible rate, and
enjoy a complimentary breakfast prepared by expert chefs. Delight in luxurious
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Arabian Saluki Beauty Contest at ADIHEX 2024: A celebration of ancestral elegance

The Abu Dhabi International Hunting and Equestrian Exhibition (ADIHEX) announce the return of the prestigious Arabian Saluki Beauty Contest, a unique initiative aimed at highlighting the significance of purebred hunting dogs and fostering a connection between the new generation and their rich ancestral heritage.
Under the esteemed patronage of H.H. Sheikh Hamdan bin Zayed Al Nahyan, Ruler’s Representative in Al Dhafra Region and Chairman of the Emirates Falconers’ Club (EFC), this iconic event is scheduled from 31st August to 8th September, 2024, at ADNEC Centre Abu Dhabi, celebrating the blending of deep Emirati cultural traditions with cutting-edge innovation and technology across 11 diverse sectors.
A highlight of this year’s event is the Arabian Saluki Beauty Contest. One of the world’s oldest and most revered dog breeds, the Arabian Saluki stands as a symbol of wild hunting and desert traditions in the Middle East. Known for its grace, speed, and intelligence, this distinctive breed has been a faithful companion to the Bedouin people for over 5,000 years, serving as both a hunter and guardian. The Saluki’s agility and loyalty have made it an integral part of hunting and racing traditions, especially within the Arabian Peninsula.
The Arabian Saluki Centre was established in Abu Dhabi in 2001 alongside the Emirates Falconers’ Club, marking the first facility of its kind in the Arabian Gulf region and the Middle East, to revive the tradition of desert hunting using Saluki dogs, a cherished aspect of desert heritage.
ADIHEX was the first cultural event in the Arab region to honour the bond between Man and his loyal companion, which has been by our side for thousands of years. The Arabian Saluki Beauty Contest is a unique initiative designed to promote interest in purebred hunting dogs and to strengthen the new generation’s connection to their ancestral heritage and traditions and to serve as a testament to this unique bond.
With its origin steeped in history, this fascinating dog’s name is believed to be derived from the city of Saluk in Yemen or the Bani Saluk tribe. Renowned for its endurance and elegance, the Saluki can reach speeds up to 75 kilometres per hour, maintaining this pace over distances up to almost five kilometres. The breed is cherished for its unique physical characteristics, including a slender body, deep chest, long legs, and two distinct coat types: ‘Al Hoss’ (smooth) and ‘Aryash’ (feathery).
The Arabian Saluki Beauty Contest, held during ADIHEX, is more than a beauty pageant. It celebrates the essence of the Saluki by focusing on the dog’s personality, skills, reflexes, and sensory response. Unlike typical dog competitions, this contest evaluates the Saluki’s breed characteristics, behaviour, overall appearance, structure, hunting skills, and psychological traits. Judging criteria include the dog’s gait, head, eyes, mouth, ears, coat, colour, and general impression.
The Arabian Saluki Beauty Contest is an integral part of ADIHEX’s mission to preserve and promote the cultural heritage of the UAE and the wider Arab world. This contest not only showcases the beauty and abilities of the Saluki but also plays a vital role in raising awareness about the importance of preserving traditional hunting practices and the Saluki’s role in them.
This year’s competition will feature four categories: ‘Smooth (Hoss) Males,’ ‘Feathery (Aryash) Males,’ ‘Smooth (Hoss) Females,’ and ‘Feathery (Aryash) Females.’ The event is scheduled to take place during ADIHEX 2024, and, per the rules, participants must ensure their dogs are healthy, microchipped, and vaccinated.
The Saluki’s enduring legacy is celebrated through this competition, which draws participants and spectators from across the region and beyond. It provides a platform for Saluki enthusiasts to connect, share their passion, and celebrate a breed that has remained virtually unchanged for millennia, reflecting the diverse hunting landscapes and traditions of the Middle East.
Aside from the alluring Arabian Saluki Beauty Contest, as the largest edition of ADIHEX to date, the 21st edition will showcase thousands of brands across 11 diverse sectors, offering a dynamic platform for new business opportunities and captivating audiences of all ages. This exhibition celebrates the thrill of an adventurous outdoor lifestyle, allowing visitors to explore falconry, hunting, equestrian sports, veterinary products, fishing and marine sports, environmental preservation, cultural heritage, arts and crafts, and the latest in technology and innovation across all the represented sectors.

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Sharjah Ruler directs allocation of beach for women in Khorfakkan’s Al Luluyah area

H.H. Dr. Sheikh Sultan bin Muhammad Al Qasimi, Supreme Council Member and Ruler of Sharjah, has ordered the allocation of a 500-metre beach for women in Al Luluyah area of Khorfakkan, providing them with complete privacy. The project will include a service building that includes a cafe, a medical clinic and a prayer room for women. His Highness the Ruler of Sharjah also directed the construction of a pedestrian bridge linking Al Bardi 6 and Al Batha areas in Khorfakkan, to facilitate the movement of citizens, and modifications will be implemented on the internal roads in the Hayawa area.

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