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Problems with nuclear membrane play role in leukemia, heart disease and aging disorders

We put things into a container to keep them organized and safe. In cells, the nucleus has a similar role: keeping DNA protected and intact within an enveloping membrane. But a new study by Salk Ins…

Source: Problems with nuclear membrane play role in leukemia, heart disease and aging disorders

Problems with nuclear membrane play role in leukemia, heart disease and aging disorders

We put things into a container to keep them organized and safe. In cells, the nucleus has a similar role: keeping DNA protected and intact within an enveloping membrane.

But a new study by Salk Institute scientists, detailed in the November 2 issue of Genes & Development, reveals that this cellular container acts on its contents to influence gene expression.

“Our research shows that, far from being a passive enclosure as many biologists have thought, the nuclear membrane is an active regulatory structure,” says Salk Professor Martin Hetzer, who is also holder of the Jesse and Caryl Philips Foundation chair. “Not only does it interact with portions of the genome to drive gene expression, but it can also contribute to disease processes when components are faulty.”

Using a suite of molecular biology technologies, the Salk team discovered that two proteins, which sit in the nuclear envelope, together with the membrane-spanning complexes they form, actively associate with stretches of DNA to trigger expression of key genes. Better understanding these higher-level functions could provide insight into diseases that appear to be related to dysfunctional nuclear membrane components, such as leukemia, heart disease and aging disorders.

Historically, the nuclear membrane’s main purpose was thought to be keeping the contents of the nucleus physically separated from the rest of the cell. Complexes of at least thirty different proteins, called nucleoporins, form gateways (pores) in the membrane, controlling what goes in or out. But as the Hetzer lab’s work on nucleoporins shows, these nuclear pore complexes (NPCs), beyond being mere gateways into the nucleus, have surprising regulatory effects on the DNA inside.

“Discovering that key regulatory regions of the genome are actually positioned at nuclear pores was very unexpected,” says Arkaitz Ibarra, a Salk staff scientist and first author of the paper. “And even more importantly, nuclear pore proteins are critical for the function of those genomic sites.”

Curious about all the regions of DNA with which nucleoporins potentially interact, the team turned to a human bone cancer cell line. The scientists used a molecular biology technique called DamID to pinpoint where two nucleoporins, Nup153 and Nup93, came into contact with the genome. Then they used several other sequencing techniques to understand which genes were being affected in those regions, and how.

The Salk team discovered that Nup153 and Nup93 interacted with stretches of the genome called super-enhancers, which are known to help determine cell identity. Since every cell in our body has the same DNA, what makes a muscle cell different from a liver cell or a nerve cell is which particular genes are turned on, or expressed, within that cell. In the Salk study, the presence of Nup153 and Nup93 was found to regulate expression of super-enhancer driven genes and experiments that silenced either protein resulted in abnormal gene expression from these regions. Further experiments in a lung cancer cell line validated the bone cancer line results: Nucleoporins in the NPC were found to interact with multiple super-enhancer regions to drive gene expression, while experiments that altered the NPC proteins made related gene expression faulty, even though the proteins still performed their primary role as gatekeepers in the cell membrane.

“It was incredible to find that we could perturb the proteins without affecting their gateway role, but still have nearby gene expression go awry,” says Ibarra.

The results bolster other work indicating that problems with the nuclear membrane play a role in heart disease, leukemia and progeria, a rare premature aging syndrome.

“People have thought the nuclear membrane is just a protective barrier, which is maybe the reason why it evolved in the first place. But there are many more regulatory levels that we don’t understand. And it’s such an important area because so far, every membrane protein that has been studied and found to be mutated or mis-localized, seems to cause a human disease,” says Hetzer.


Connie’s comments: How do we keep strong membranes? whole foods, sleep, less stress, less infection or inflammatory substances (toxins, gum disease), keep healthy bacteria/microbiome in our guts with probiotics and healthy eating, do not smoke, do not over use drugs, alcohol and prescription meds, avoid air pollution/sugar and many other environmental factors and lifestyles not health promoting.


Join 25,000 people in helping redefine health with health concierge and precision medicine.

https://clubalthea.com/2016/10/14/your-complete-dna-sequence-will-help-shape-the-future-of-medicine/

Colorectal cancer, depression and genes

Bowel cancer or colorectal cancer patients experience depression before and for next 2 years after surgery.

The Colorectal Wellbeing (CREW) study follows more than 1,000 people with colorectal cancer from before their surgery until five years afterwards. Results showed that people with colorectal cancer saw a reduction in affection, social interaction and practical and emotional support after surgery – and for up to two years afterwards.

 Even more worryingly, those that lacked social support, such as having someone to talk to or help with practical tasks like household chores, were at a greater risk of a poor quality of life. For example, at diagnosis, 5% patients said they had little or no affection. Two years after diagnosis, this had almost trebled to 13%.

Inflammatory bowel disease

People with inflammatory bowel disease (ulcerative colitis and Crohn’s disease) are at increased risk of colon cancer.[20] The risk increases the longer a person has the disease,[21] and the worse the severity of inflammation.[22] In these high risk groups, both prevention with aspirin and regular colonoscopies are recommended.[21]People with inflammatory bowel disease account for less than 2% of colon cancer cases yearly.[22] In those with Crohn’s disease 2% get colorectal cancer after 10 years, 8% after 20 years, and 18% after 30 years.[22] In those with ulcerative colitis approximately 16% develop either a cancer precursor or cancer of the colon over 30 years.[22]

Genetics

Those with a family history in two or more first-degree relatives (such as a parent or sibling) have a two to threefold greater risk of disease and this group accounts for about 20% of all cases. A number of genetic syndromes are also associated with higher rates of colorectal cancer. The most common of these is hereditary nonpolyposis colorectal cancer (HNPCC or Lynch syndrome) which is present in about 3% of people with colorectal cancer.[15] Other syndromes that are strongly associated with colorectal cancer include Gardner syndrome,[23] and familial adenomatous polyposis (FAP). For people with these syndromes, cancer almost always occurs and makes up 1% of the cancer cases.[24] A total proctocolectomy may be recommended for people with FAP as a preventative measure due to the high risk of malignancy. Colectomy, removal of the colon, may not suffice as a preventative measure because of the high risk of rectal cancer if the rectum remains.[25]

Most deaths due to colon cancer are associated with metastatic disease. A gene that appears to contribute to the potential for metastatic disease, metastasis associated in colon cancer 1 (MACC1), has been isolated.[26] It is a transcriptional factor that influences the expression of hepatocyte growth factor. This gene is associated with the proliferation, invasion and scattering of colon cancer cells in cell culture, and tumor growth and metastasis in mice. MACC1 may be a potential target for cancer intervention, but this possibility needs to be confirmed with clinical studies.[27]

Epigenetic factors, such as abnormal DNA methylation of tumor suppressor promoters play a role in the development of colorectal cancer.[28]

Pathogenesis

Colorectal cancer is a disease originating from the epithelial cells lining the colon or rectum of the gastrointestinal tract, most frequently as a result of mutations in the Wnt signaling pathway that increase signaling activity. The mutations can be inherited or acquired, and most probably occur in the intestinal crypt stem cell.[29][30][31]The most commonly mutated gene in all colorectal cancer is the APC gene, which produces the APC protein. The APC protein prevents the accumulation of β-cateninprotein. Without APC, β-catenin accumulates to high levels and translocates (moves) into the nucleus, binds to DNA, and activates the transcription of proto-oncogenes. These genes are normally important for stem cell renewal and differentiation, but when inappropriately expressed at high levels, they can cause cancer. While APC is mutated in most colon cancers, some cancers have increased β-catenin because of mutations in β-catenin (CTNNB1) that block its own breakdown, or have mutations in other genes with function similar to APC such as AXIN1, AXIN2, TCF7L2, or NKD1.[32]

Beyond the defects in the Wnt signaling pathway, other mutations must occur for the cell to become cancerous. The p53 protein, produced by the TP53 gene, normally monitors cell division and kills cells if they have Wnt pathway defects. Eventually, a cell line acquires a mutation in the TP53 gene and transforms the tissue from a benign epithelial tumor into an invasive epithelial cell cancer. Sometimes the gene encoding p53 is not mutated, but another protective protein named BAX is mutated instead.[32]

Genes

According to The Cancer Genome Atlas Network, 16% of all CRC have been identified as hypermutated and among these, APC, TP53, KRAS, PIK3CA, FBXW7, SMAD4, TCF7L2 and NRAS were found to be the most frequently mutated genes. Moreover, CTNNB1 (β-catenin), SMAD2, FAM123B and SOX9 genes have also been found often mutated in CRC. Recent large scale sequencing analyses also have highlighted the predominance of large number of CRC patients carrying sequence variants in proteins involved in Wnt signaling pathway.

Identification of sequence variants in genes has advanced our understanding of how cancer develops, progresses and how these sequence variants can be targeted for a cure.

http://colonatlas.org/


TP53, a well-known tumour suppressor gene that encodes p53, is frequently inactivated by mutation or deletion in most human tumours1, 2. A tremendous effort has been made to restore p53 activity in cancer therapies3, 4, 5, 6, 7. However, no effective p53-based therapy has been successfully translated into clinical cancer treatment owing to the complexity of p53 signalling. Here we demonstrate that genomic deletion of TP53 frequently encompasses essential neighbouring genes, rendering cancer cells with hemizygous TP53 deletion vulnerable to further suppression of such genes. POLR2A is identified as such a gene that is almost always co-deleted with TP53 in human cancers. It encodes the largest and catalytic subunit of the RNA polymerase II complex, which is specifically inhibited by α-amanitin8, 9. Our analysis of The Cancer Genome Atlas (TCGA) and Cancer Cell Line Encyclopedia (CCLE) databases reveals that POLR2A expression levels are tightly correlated with its gene copy numbers in human colorectal cancer. Suppression of POLR2A with α-amanitin or small interfering RNAs selectively inhibits the proliferation, survival and tumorigenic potential of colorectal cancer cells with hemizygous TP53loss in a p53-independent manner. Previous clinical applications of α-amanitin have been limited owing to its liver toxicity10. However, we found that α-amanitin-based antibody–drug conjugates are highly effective therapeutic agents with reduced toxicity11. Here we show that low doses of α-amanitin-conjugated anti-epithelial cell adhesion molecule (EpCAM) antibody lead to complete tumour regression in mouse models of human colorectal cancer with hemizygous deletion of POLR2A. We anticipate that inhibiting POLR2A will be a new therapeutic approach for human cancers containing such common genomic alterations.

http://www.nature.com/nature/journal/v520/n7549/full/nature14418.html


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Diversity of Americans – 67 types of people in the USA per ESRI

Methodology

Esri uses the following methodology for Tapestry Segmentation:

Tapestry Segment summaries

The 67 distinct markets of Tapestry detail the diversity of the American population. Grouping the segments can simplify these differences by summarizing markets that share similar traits. There are 14 LifeMode groups and 6 Urbanization groups.

LifeMode groups

LifeMode groups represent markets that share a common experience—born in the same generation or immigration from another country—or a significant demographic trait, like affluence. Tapestry Segments are classified into 14 LifeMode groups. Click a link to view a PDF summary:

LifeMode

Segment ID and Name (PDF)

LifeMode 1 Affluent Estates

  • Established wealth—educated, well-traveled married couples
  • Accustomed to “more”: less than 10% of all households, with 20% of household income
  • Homeowners (almost 90%), with mortgages (70%)
  • Married couple families with children ranging from grade school to college
  • Expect quality; invest in time-saving services
  • Participate actively in their communities
  • Active in sports and enthusiastic travelers

1A Top Tier

1B Professional Pride

1C Boomburbs

1D Savvy Suburbanites

1E Exurbanites

LifeMode 2 Upscale Avenues

  • Prosperous married couples living in older suburban enclaves
  • Ambitious and hard-working
  • Homeowners (70%) prefer denser, more urban settings with older homes and a large share of townhomes
  • A more diverse population, primarily married couples, many with older children
  • Financially responsible, but still indulge in casino gambling and lotto tickets
  • Serious shoppers, from Nordstrom’s to Marshalls or DSW, that appreciate quality, and bargains
  • Active in fitness pursuits like bicycling, jogging and aerobics
  • Also the top market for premium movie channels like HBO and Starz

2A Urban Chic

2B Pleasantville

2C Pacific Heights

2D Enterprising Professionals

LifeMode 3 Uptown Individuals

  • Young, successful singles in the city
  • Intelligent (best educated market), hard-working (highest rate of labor force participation) and averse to traditional commitments of marriage and home ownership
  • Urban denizens, partial to city life, high-rise apartments and uptown neighborhoods
  • Prefer debit cards to credit cards, while paying down student loans
  • Green and generous to environmental, cultural and political organizations
  • Internet dependent, from social connections to shopping for groceries (although partial to showrooming)
  • Adventurous and open to new experiences and places

3A Laptops and Lattes

3B Metro Renters

3C Trendsetters

LifeMode 4 Family Landscapes

  • Successful young families in their first homes
  • Non-diverse, prosperous married-couple families, residing in suburban or semirural areas with a low vacancy rate (second lowest)
  • Homeowners (80%) with mortgages (second highest %), living in newer single-family homes, with median home value slightly higher than the U.S.
  • Two workers in the family, contributing to the second highest labor force participation rate, as well as low unemployment
  • Do-it-yourselfers, who work on home improvement projects, as well as their lawns and gardens
  • Sports enthusiasts, typically owning newer sedans or SUVs, dogs, and savings accounts/plans, comfortable with the latest technology
  • Eat out frequently at fast food or family restaurants to accommodate their busy lifestyle
  • Especially enjoy bowling, swimming, playing golf, playing video games, watching movies rented via Redbox, and taking trips to a zoo or theme park

4A Soccer Moms

4B Home Improvement

4C Middleburg

LifeMode 5 GenXurban

  • Gen X in middle age; families with fewer kids and a mortgage
  • Second largest Tapestry group, comprised of Gen X married couples, and a growing population of retirees
  • About a fifth of residents are 65 or older; about a fourth of households have retirement income
  • Own older single-family homes in urban areas, with 1 or 2 vehicles
  • Live and work in the same county, creating shorter commute times
  • Invest wisely, well-insured, comfortable banking online or in person
  • News junkies (read a daily newspaper, watch news on TV, and go online for news)
  • Enjoy reading, photo album/scrapbooking, playing board games and cards, doing crossword puzzles, going to museums and rock concerts, dining out, and walking for exercise

5A Comfortable Empty Nesters

5B In Style

5C Parks and Rec

5D Rustbelt Traditions

5E Midlife Constants

LifeMode 6 Cozy Country Living

  • Empty nesters in bucolic settings
  • Largest Tapestry group, almost half of households located in the Midwest
  • Homeowners with pets, residing in single-family dwellings in rural areas; almost 30% have 3 or more vehicles and, therefore, auto loans
  • Politically conservative and believe in the importance of buying American
  • Own domestic trucks, motorcycles, and ATVs/UTVs
  • Prefer to eat at home, shop at discount retail stores (especially Walmart), bank in person, and spend little time online
  • Own every tool and piece of equipment imaginable to maintain their homes, vehicles, vegetable gardens, and lawns
  • Listen to country music, watch auto racing on TV, and play the lottery; enjoy outdoor activities, such as fishing, hunting, camping, boating, and even bird watching

6A Green Acres

6B Salt of the Earth

6C The Great Outdoors

6D Prairie Living

6E Rural Resort Dwellers

6F Heartland Communities

LifeMode 7 Ethnic Enclaves

  • Established diversity—young, Hispanic homeowners with families
  • Multilingual and multigenerational households feature children that represent second-, third- or fourth-generation Hispanic families
  • Neighborhoods feature single-family, owner-occupied homes built at city’s edge, primarily built after 1980
  • Hard-working and optimistic, most residents aged 25 years or older have a high school diploma or some college education
  • Shopping and leisure also focus on their children—baby and children’s products from shoes to toys and games and trips to theme parks, water parks or the zoo

  • Residents favor Hispanic programs on radio or television; children enjoy playing video games on personal computers, handheld or console devices
  • Many households have dogs for domestic pets

7A Up and Coming Families

7B Urban Villages

7C American Dreamers

7D Barrios Urbanos

7E Valley Growers

7F Southwestern Families

LifeMode 8 Middle Ground

  • Lifestyles of thirtysomethings
  • Millennials in the middle: single/married, renters/homeowners, middle class/working class
  • Urban market mix of single-family, townhome, and multi-unit dwellings
  • Majority of residents attended college or attained a college degree
  • Householders have ditched their landlines for cell phones, which they use to listen to music (generally contemporary hits), read the news, and get the latest sports updates of their favorite teams
  • Online all the time: use the Internet for entertainment (downloading music, watching YouTube, finding dates), social media (Facebook, Twitter, LinkedIn), shopping and news
  • Leisure includes night life (clubbing, movies), going to the beach, some travel and hiking

8A City Lights

8B Emerald City

8C Bright Young Professionals

8D Downtown Melting Pot

8E Front Porches

8F Old and Newcomers

8G Hardscrabble Road

LifeMode 9 Senior Styles

  • Senior lifestyles reveal the effects of saving for retirement
  • Households are commonly married empty nesters or singles living alone; homes are single-family (including seasonal getaways), retirement communities, or high-rise apartments
  • More affluent seniors travel and relocate to warmer climates; less affluent, settled seniors are still working toward retirement
  • Cell phones are popular, but so are landlines
  • Many still prefer print to digital media: Avid readers of newspapers, to stay current
  • Subscribe to cable television to watch channels like Fox News, CNN, and The Weather Channel
  • Residents prefer vitamins to increase their mileage and a regular exercise regimen

9A Silver & Gold

9B Golden Years

9C The Elders

9D Senior Escapes

9E Retirement Communities

9F Social Security Set

LifeMode 10 Rustic Outposts

  • Country life with older families in older homes
  • Rustic Outposts depend on manufacturing, retail and healthcare, with pockets of mining and agricultural jobs
  • Low labor force participation in skilled and service occupations
  • Own affordable, older single-family or mobile homes; vehicle ownership, a must
  • Residents live within their means, shop at discount stores and maintain their own vehicles (purchased used) and homes
  • Outdoor enthusiasts, who grow their own vegetables, love their pets and enjoy hunting and fishing
  • Technology is cost prohibitive and complicated. Pay bills in person, use the yellow pages, read the newspaper and mail-order books

10A Southern Satellites

10B Rooted Rural

10C Diners & Miners

10D Down the Road

10E Rural Bypasses

LifeMode 11 Midtown Singles

  • Millennials on the move—single, diverse, urban
  • Millennials seeking affordable rents in apartment buildings
  • Work in service and unskilled positions, usually close to home or public transportation
  • Single parents depend on their paycheck to buy supplies for their very young children
  • Midtown Singles embrace the Internet, for social networking and downloading content
  • From music and movies to soaps and sports, radio and television fill their lives
  • Brand savvy shoppers select budget friendly stores

11A City Strivers

11B Young and Restless

11C Metro Fusion

11D Set to Impress

11E City Commons

LifeMode 12 Hometown

  • Growing up and staying close to home; single householders
  • Close knit urban communities of young singles (many with children)
  • Owners of old, single-family houses, or renters in small multi-unit buildings
  • Religion is the cornerstone of many of these communities
  • Visit discount stores and clip coupons, frequently play the lottery at convenience stores
  • Canned, packaged and frozen foods help to make ends meet
  • Purchase used vehicles to get them to and from nearby jobs

12A Family Foundations

12B Traditional Living

12C Small Town Simplicity

12D Modest Income Homes

LifeMode 13 Next Wave

  • Urban denizens, young, diverse, hard-working families
  • Extremely diverse with a Hispanic majority, the highest among LifeMode groups
  • A large share are foreign born and speak only their native language
  • Young, or multigenerational, families with children are typical
  • Most are renters in older multi-unit structures, built in the 1960s or earlier
  • Hard-working with long commutes to jobs, often utilizing public transit to commute to work
  • Spending reflects the youth of these consumers, focus on children (top market for children’s apparel) and personal appearance
  • Also a top market for movie goers (second only to college students) and fast food
  • Partial to soccer and basketball

13A International Marketplace

13B Las Casas

13C NeWest Residents

13D Fresh Ambitions

13E High Rise Renters

LifeMode 14 Scholars and Patriots

  • College and military populations that share many traits due to the transitional nature of this LifeMode Group
  • Highly mobile, recently moved to attend school or serve in military
  • The youngest market group, with a majority in the 15 to 24 year old range
  • Renters with roommates in nonfamily households
  • For many, no vehicle is necessary as they live close to campus, military base or jobs
  • Fast-growing group with most living in apartments built after 2000
  • Part-time jobs help to supplement active lifestyles
  • Millennials are tethered to their phones and electronic devices, typically spending over 5 hours online every day tweeting, blogging, and consuming media
  • Purchases aimed at fitness, fashion, technology and the necessities of moving
  • Highly social, free time is spent enjoying music and drinks with friends
  • Try to eat healthy, but often succumb to fast food

14A Military Proximity

14B College Towns

14C Dorms to Diplomas

All Segment Summaries

All Segment Summaries (88 MB)

Urbanization groups

Tapestry groups are also available as Urbanization summary groups, in which markets share similar locales, from the urban canyons of the largest cities to the rural lanes of villages or farms. Tapestry Segments are classified into 6 Urbanization groups. Click a link to view a PDF summary:

Urbanization

Segment ID and Name (PDF)

Principal Urban Centers

  • Young, mobile, diverse populations living in the most densely populated neighborhoods of the largest cities (populations of 2.5 million or more)
  • Traits shared by more than 2.5 million people: crowding, high cost of living, and full access to urban amenities, including jobs
  • Youngest, most diverse populations among the Urbanization groups
  • Households are renter occupied by singles or roommates
  • The most challenging market for auto sales: half the commuters use public transportation, bicycles or walk to work
  • Focus on style and image with liberal spending on apparel
  • Constantly connected, using the Internet for everything from finding jobs to finding dates

3A Laptops and Lattes

3B Metro Renters

3C Trendsetters

8D Downtown Melting Pot

11A City Strivers

13C NeWest Residents

13D Fresh Ambitions

13E High Rise Renters

Urban Periphery

  • City life for starting families in neighborhoods that fringe major cities
  • The earliest suburbs, built before 1970, primarily single-family housing with some apartments
  • Young families with children, diverse population
  • Homeowners living closer to the city, with below average vacancy rates
  • Leisure focuses on the children (visits to theme parks or water parks), sports (soccer, basketball, baseball) and movies
  • Spending also emphasizes the children—clothing, toys and baby products
  • Parents of small children favor family restaurants and fast food
  • Smartphones are popular, for social contacts, shopping and music

2C Pacific Heights

5D Rustbelt Traditions

7B Urban Villages

7C American Dreamers

7D Barrios Urbanos

7F Southwestern Families

8A City Lights

8C Bright Young Professionals

11C Metro Fusion

12A Family Foundations

12D Modest Income Homes

13A International Marketplace

13B Las Casas

Metro Cities

  • Affordable city life including smaller metropolitan cities or satellite cities that feature a mix of single-family and multiunit housing
  • Single householders seeking affordable living in the city: usually multi-unit buildings that range from mid- to high-rise apartments; average monthly rents and home value below the U.S. average
  • Consumers include college students, affluent Gen X couples, and retirement communities
  • Student loans more common than mortgages; debit cards more popular than credit cards
  • Residents share an interest in city life and its amenities, from dancing and clubbing to museums and concerts
  • Convenience and mobility favor cell phones over landlines
  • Many residents rely upon the Internet for entertainment (download music, play online games) and as a useful resource (job searches)

5B In Style

8B Emerald City

8E Front Porches

8F Old and Newcomers

8G Hardscrabble Road

9E Retirement Communities

9F Social Security Set

11B Young and Restless

11D Set to Impress

11E City Commons

12B Traditional Living

14B College Towns

14C Dorms to Diplomas

Suburban Periphery

  • Urban expansion: affluence in the suburbs or city-by-commute
  • The most populous and fast-growing among Urbanization groups, Suburban Periphery includes one-third of the nation’s population
  • Commuters value low density living, but demand proximity to jobs, entertainment and the amenities of an urban center
  • Well-educated, two-income households, accept long commute times to raise their children in these family-friendly neighborhoods. Many are heavily mortgaged in newly built, single-family homes
  • Older householders have either retired in place, downsized or purchased a seasonal home
  • Suburbanites are the most affluent group, working hard to lead bright, fulfilled lives
  • Residents invest for their future, insure themselves against unforeseen circumstances, but also enjoy the fruits of their labor

1A Top Tier

1B Professional Pride

1C Boomburbs

1D Savvy Suburbanites

1E Exurbanites

2A Urban Chic

2B Pleasantville

2D Enterprising Professionals

4A Soccer Moms

4B Home Improvement

5A Comfortable Empty Nesters

5C Parks and Rec

5E Midlife Constants

7A Up and Coming Families

9A Silver & Gold

9B Golden Years

9C The Elders

14A Military Proximity

Semirural

  • The most affordable housing—in smaller towns and communities located throughout the country
  • Single-family and mobile homes in the country, but still within reach of some amenities
  • Embrace a quiet, country lifestyle including country music and hunting
  • Prefer domestic products and vehicles, especially trucks
  • Shop at large department and discount stores like Walmart
  • Fast food and dinner mixes/kits are much more common than fine dining
  • Many make a living off the land through agriculture, fishing and forestry
  • Time off is spent visiting nearby family rather than flying to vacation destinations
  • When services are needed, the yellow pages are within reach

4C Middleburg

6F Heartland Communities

7E Valley Growers

9D Senior Escapes

10D Down the Road

12C Small Town Simplicity

Rural

  • Country living featuring single-family homes with acreage, farms and rural resort areas
  • Very low population density distinguishes this group—typically less than 50 people per square mile
  • Over half of all households are occupied by persons 55 years and older; many are married couples without children at home
  • The least diverse group, with over 80% non-Hispanic White
  • Mostly home owners (> 80%) , but rentals are affordable in single-family or mobile homes
  • Long trips to the store and to work—often driven alone in a truck or SUV, listening to country radio
  • Blue collar jobs dominate the landscape including manufacturing, agriculture, mining and construction
  • Many are self-employed, retired, or receive income from Social Security
  • Satellite TV and landline phones are necessary means to connect
  • More conservative in their spending practices and beliefs
  • Comfortable, established and not likely to move

6A Green Acres

6B Salt of the Earth

6C The Great Outdoors

6D Prairie Living

6E Rural Resort Dwellers

10A Southern Satellites

10B Rooted Rural

10C Diners & Miners

10E Rural Bypasses

Senior care and predictive medicine

 

anxiety-disorder-risk-scale

Anxiety risk scale and Senior care

The above anxiety risk scale is used by doctors to evaluate behavior health issues especially in older adults as brought about by trauma, sickness, chronic stress, death in the family, being divorced or widowed, other health issues.

  • When taking care of older adults, know the signs of any behavioral health issues and other health issues to ensure they are addressed early to prevent emergencies and to be proactive.
  • To fully help older adults with health issues, we need to mobilize an integrated care team to ensure that all areas are covered, a caregiver to take care 24/7 when needed, a podiatrists to care for the feet, an acupuncturists, a physical therapist, primary care doctor, a neurologists and other specialists or health care providers.
  • Ensure that medications are monitored for side effects and adverse reactions.
  • When transferring from nursing home to homes, ensure that oxygen tanks, medications and hospital beds are ready based on health requirements of the older adults.
  • And also to ensure that the house is seniors safe to avoid falls and other emergencies.

For 24/7 Alzheimer care in the bay area, call 408-854-1883 or email motherhealth@gmail.com

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Predictive medicine

In the future, predictive medicine can help us be more proactive.

Predictive medicine is a field of medicine that entails predicting the probability of disease and instituting preventive measures in order to either prevent the disease altogether or significantly decrease its impact upon the patient (such as by preventing mortality or limiting morbidity).[1] While different prediction methodologies exist, such as genomics, proteomics, and cytomics, the most fundamental way to predict future disease is based on genetics. Although proteomics and cytomics allow for the early detection of disease, much of the time those detect biological markers that exist because a disease process has already started. However, comprehensive genetic testing (such as through the use of DNA arrays or full genome sequencing) allows for the estimation of disease risk years to decades before any disease even exists, or even whether a healthy fetus is at higher risk for developing a disease in adolescence or adulthood. Individuals who are more susceptible to disease in the future can be offered lifestyle advice or medication with the aim of preventing the predicted illness.

Current genetic testing guidelines supported by the health care professionals discourage purely predictive genetic testing of minors until they are competent to understand the relevancy of genetic screening so as to allow them to participate in the decision about whether or not it is appropriate for them.[2] Genetic screening of newborns and children in the field of predictive medicine is deemed appropriate if there is a compelling clinical reason to do so, such as the availability of prevention or treatment as a child that would prevent future disease.


Why the need for complete DNA sequence at 50yrs of age?

This is the time that there is some damage in our DNA structure as a result of the environment, health issues and aging. We can use this genetic information to predict any health issues in the coming years.

Email motherhealth@gmail.com for gene-based diet for older adults and for senior concierge in the bay area.

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Gene-based diet

by Connie Dello Buono

A coworker cannot absorb iron in her diet because of one gene, MTHFR. As a result, she had been having chronic pain in the past. I recommended that she adds vinegar in her diet since vinegar helps in the absorption of minerals in whole foods.

Neck pain and MTHFR gene , folate , methionine

Most of us as we age have poor absorption of important nutrients in the whole foods that we eat, so we have to chew more and eat whole foods rich in digestive enzymes (in papaya and pineapple) and add probiotics (acidophilus, pickled veggies) in our diet.

Many mental health issues arise because of the unfriendly bacteria in our guts, so we have to eat more whole foods and avoid processed foods and sugar. And add probiotics supplementation or eat pickled veggies.

When our genes tell us that we are prone to infection or sensitive to allergens, we have to up our intake of Vitamin C rich foods and zinc.

When our genes tell us that we tend to have skin sensitivities, we need to take care of our liver with more greens, liver detox diet rich in Vit C (lemons, ginger) and less on preservatives and toxic substances in our environment.

Many of our genes can all tell us  that we are prone to weakened tissues, we then up our intake of red colored greens or whole foods as they are rich in nutrients to strengthen our membranes and tissues.

And more to come…