Jerry Ludwig: In some cases, it's OK to add a second layer of roof shingles - Rochester Democrat and Chronicle

Dear Jerry: I'm getting two different replies to my future project. We have a 1999 Skyline doublewide manufactured home, which has a roof that I will be replacing in the near future. The roof has one layer of supposedly 25- or 30-year-old shingles. The roof is 28 feet wide by 56 feet long.

We lost about five year's worth of the granules or stones off the roof due to a hailstorm. The roof still looks OK to me, but I am not qualified to know the answer.

My question is, here in the Victor area, would we need a tear-off first and then go with architectural shingles, or can one go over the existing first (layer) ...

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The Guardian: Michael Douglas DID say oral sex caused his cancer, and we ... - New York Daily News

After a rep for the "Beyond the Candelabra" actor insisted Douglas, 68, never said he contracted throat cancer from oral sex, the British newspaper has released audio of the interview to prove he did.

"He wants to make it very clear he never said that was the particular cause of his particular cancer," Douglas' publicist, Allen Burry, previously told the Daily News.

In a 32-second audio clip of the interview now posted to the Guardian's website, Douglas presents cunnilingus as the answer when the newspaper reporter, Xan Brooks, asks if smoking and drinking overloaded his system - in reference to the conversation about his throat cancer.

"Do you feel, in hindsight, that you overloaded your system?" Brooks asks. "Overloaded your system with drugs, smoking, drink?"

"No. No," Douglas replies. "Ah, without getting too specific, this particular cancer is caused by something called HPV, which actually comes about from cunnilingus."

Continued in the written article - Douglas, who has been married to actress Catherine Zeta-Jones since 2000 added, "I did worry if the stress caused by my son's incarceration didn't help trigger it. But yeah, it's a sexually transmitted disease that causes cancer."

Speaking at an American Cancer Society event on Monday night, Douglas attempted to downplay the media firestorm created by his comments.

"I've become, I think, in the past 24 hours a sort of poster boy for oral cancer, and just so you all understand, I think we would all love to know where our cancer comes from," he said.

"I simply, to a reporter, tried to give a little PSA announcement about HPV, a virus that can cause oral cancer, and is one of the few areas of cancer that can be controlled, and there are vaccinations that kids can get. So that was my attempt."

HPV causes a growing number of oral cancers - USA TODAY

Michael Douglas discussed his battle with throat cancer in an interview with The Guardian newspaper, in which doctors raised the point that some throat cancers can be caused by a sexually transmitted virus, HPV, related to cervical cancer.

But Douglas' spokesperson has rebutted the newspaper's headline saying that oral sex caused his cancer. The spokesperson said that the article simply included discussion of oral sex as a suspected cause of certain oral cancers.

Douglas, 68, had previously blamed his cancer — detected at stage 4, the most advanced kind — on years of smoking and drinking. And while tobacco has long been a leading cause of head and neck cancers, HPV now causes far more cases, says Lori Wirth, director of head and neck oncology at Massachusetts General Hospital.

Rates of HPV-related cancers have risen dramatically in recent years, even as lower smoking rates have reduced the incidence of many other cancers. In an interview with USA TODAY earlier this year, the American Cancer Society's Otis Brawley called it "one of the epidemics of the 21st century."

If trends continue, oral cancers will overtake cervical cancers as the leading cause of HPV-related tumors by 2020, according to the January report.

A. The proportion of HPV-related oral tumors has grown from 16% of all oral cancers in 1984 to 1989, to 72% of these tumors from 2000 to 2004, according to a January report from the American Cancer Society and Centers for Disease Control and Prevention.

A. More than 10% of men and 3.6% of women have a current oral HPV infection, according to a study of Americans ages 14 to 69 published last year in the Journal of the American Medical Association.

A. In an estimated 85% of cases, a person's immune system gets rid of the infection, just as it would eventually overcome a cold virus, says Eric Moore, an associate professor of otolaryngology at the Mayo Clinic in Minnesota. The immune system knocks out most HPV infections on the cervix, as well, before they cause harm.

While there are dozens of types of HPV, only a few cause cancer. HPV 16 and HPV 18 cause about 70% of cervical cancers. For oral cancer, the most dangerous subtype is HPV16.

A. About 7,100 people develop HPV-related oral cancers, according to the Centers for Disease Control and Prevention. HPV, the human papillomavirus, also causes cancers of the cervix, vagina, vulva, anus and penis.

Because men can transmit HPV to their sexual partners, increasing a woman's risk of cervical cancer, many spouses of those with oral cancer worry that they will also develop an oral cancer, too, Wirth says.

A new study, presented Saturday at the annual meeting of the American Society of Clinical Oncology, should reassure spouses, Wirth says.

The study, led by Gypsyamber D'Souza of the Johns Hopkins Bloomberg School of Public Health in Baltimore, found that 65% of men with HPV-related oral cancer had an active HPV infection.

But only 5% of female partners of men with oral cancer had an active HPV infection. That suggests these women are not at higher risk for oral cancer, D'Souza says. About 30% of male partners of men with oral cancer had active HPV infections, putting them at higher risk.

The CDC recommends that boys be vaccinated against HPV at age 11 or 12, in order to protect their future partners from cervical cancer.

A. Yes. D'Souza notes that, for reasons doctors don't fully understand, oral HPV infections are much more common among men than women.

Studies suggest that most women are infected with HPV by one of their first sexual partners. So D'Souza says it's possible that a woman's immune system may mount a vigorous response against the virus, inoculating her against further infections.

HPV-related oral cancers are actually more treatable than ones caused by smoking, Moore says. Although treatment can be extremely hard on patients, requiring months of surgery, radiation and chemotherapy, around 90% of nonsmokers with HPV-related oral cancers are cured. Cure rates are lower for smokers; about 70% of smokers with HPV-related oral cancer are cured. For those with smoking-related oral cancer, about 55% to 60% are cured, Moore says.

Doctors can look at the base of the tongue only with scopes inserted through the mouth or nose, which are quite uncomfortable, Wirth says.

In contrast, cervical cancers can be easily seen with a standard pelvic exam, Wirth says. Cervical cancer progresses through predictable precancerous phases, allowing doctors to study how it develops, and even prevent cancer by detecting and removing these lesions early.

In other interviews, Douglas has been quoted as saying that it took doctors a long time to diagnose the source of discomfort in his throat.

A. Doctors know relatively little about how HPV-related oral cancers develop, or how long it takes for an infection to cause a tumor, Wirth says.

Most patients with HPV-related oral cancers are diagnosed in their 50s. That's at least 10 years earlier than smoking-related oral cancers are diagnosed, Wirth says.

Given that cancers typically take decades to develop, it's likely that their original infection occurred in early life.

While the viruses can be found in saliva, HPV appears to be mostly spread through sex, rather than more casual contact such as kissing, according to the study in the Journal of the American Medical Association.

HPV is the most common sexually transmitted infection in the world, according to the National Cancer Institute, another co-sponsor of the January report. Most sexually active people become infected at some point.

Oral HPV infections were more than eight times more common among people who have had sex — defined as vaginal, oral or anal intercourse — than among people who have never had sex, according to the JAMA study. The infections were also more common in people who had more sex partners and who began having oral sex as teenagers. Fewer than 1% of people without sexual experience had an oral HPV infection, suggesting that the virus is not easily transmitted through deep kissing.

A. Yes. The new HPV vaccines — recommended for girls at age 11 or 12 — have been shown to protect against cervical, vaginal and vulvar cancers. One of the vaccines also protects against strains of HPV that cause genital warts. The Centers for Disease Control and Prevention recommends that boy receive this vaccine at age 11 or 12 to prevent genital warts and reduce the risk of spreading the virus to their future partners.

A. Researchers haven't tested HPV vaccines on oral cancers, and aren't likely to, Wirth says. Researchers would have to follow study participants for 30 or 40 years to detect any difference in oral cancer rates. Scientists were able to detect a reduction in cervical precancers, however, after only six or seven years.

Still, animal tests suggest that an HPV vaccine would likely work in oral cancer. That's because both approved vaccines block HPV 16, a subtype of the virus that causes most of of these cancers. Wirth says society may have to wait decades to see if oral cancer rates decline in communities with high HPV vaccination rates.

In an accompanying editorial in JAMA last year, Drexel University's Hans Schlecht wrote that doctors should counsel patients who have oral sex to use barrier protection, such as a condom or other device. Schlecht, an infectious-disease specialist, said doctors also should look out for early signs and symptoms of throat cancer.

Actor Michael Douglas' comments about throat cancer have thrown a spotlight on risks from HPV, a virus spread through sexual contact. Experts say HPV is a growing cause of certain types of oral cancer. (June 3)

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Venapro - Most beneficial Hemorrhoid Treatment Formula Available Online... - SBWire (press release).

Are generally, CA -- (SBWIRE) -- 05/22/2013 -- Your handmade jewelry has gained a critical popularity among customers since it acts faster and gives desired results within 5 days or weeks time. Venapro is become the best quality solution yet and long-lasting remedy against hemorrhoids. Made from natural ingredients, it is non violent and non irritant formula to remedy hemorrhoids. The product celebrating the country's success, offers free bottle on purchase with regard to customers.

Hemorrhoid is that swelling, itching, pain and bleeding with the lower rectum. It is the common condition these days and mostly adult people are enduring it.

Reported by a media "About one half or three fourth involving USA people develop hemorrhoids eventually in their lives"

Another media channel reported "hemorrhoid can occur in everyone and trigger problems found equally around both men and women" that further reported "this condition mostly occurs through the age 45 to 50"

Research and studies have found that this condition may happen as a result of problem in digestive track which can lead to colon problems. Experienced doctors suggest eating vegetables and fruit and consuming food with high degree of fibres. Many products can be purchased in market to treat hemorrhoids but do not require is a permanent method for this irritating condition. It is reported as a result of many customers that other products are taking several years to properly cure cures. This time may set off upto 4 months or higher.

Venapro is a medically tested product to relief hemorrhoid condition and it's also approved as 100% safe to make use of because it is purely made from natural ingredients.

The most important thing which makes it popular among customers is not wearing running shoes acts faster and gives best results within 5 days. Either hemorrhoid is external or internal, it manages both types effectively, start the swelling, pain together with itching conditions and car repairs damaged tissues. Containing Horse Chestnut, Fluoride of Limescale, Arnica, St. Mary's Thistle, Witch hazel, Shot Root, Muriatic Acid, Krameria'Mapato as its active ingredients, this is a 2 step formula consists of pills and a sublingual spray to remain consumed twice a moment.

Many customers are applying formula and reporting perfect results. To read customer reviews and doctor's verification concerning product, visit official internet site.

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Join in the race against childhood cancer at Time for them to Fly on June 22 - KARE.

E. PAUL, Minn. -- Help to provide the Children's Cancer Research Fund one step closer to to an end to childhood cancer by participating Time to Fly 2013. The event will take place upon Saturday, June 22 with Harriet Island Regional Meadow in St. Paul.

Time to Fly will feature various family friendly events including the 5K Walk to Cure Children's Cancer. There isn't an entry fee for this walk if participants sign-up before June 16. Chip-timed 10K and 5K running events is likewise available. Online registration for these events currently is open.

Time to Fly will also host a Kids' Fun Run as well as a family activity area showcasing Radio Disney. There 's no entry fee for your Kid's Fun Run if children are registered just before June 16. Each participant will receive a Time to Fly t-shirt, ribbon and various prizes.

Grilling season is a really challenge for those by means of diabetes - UPI. com.

DALLAS, May twenty-five (UPI) -- Picnics, parties as well outdoor events during cooking season can present a challenge for those with diabetes, some diabetes nutritional specialist claims.

"The goal is to maintain the carbohydrates down and encourage more of the protein-enriched foods to enrich satiety, " Dr. Deborah Clegg, a diabetes nutritional specialist for the University of Texas Southwestern within Dallas, said in your statement.

Those trying to regulate diabetes could bring their own individual favorite dishes or coordinate with best freinds and family with diabetes to make sure that the spread includes much better options, Clegg said.

Party hosts consist of healthy options such as salad, fruits and vegetables and fruits. Low-calorie and sugar-free possibilities can help diabetic friends and family control calories and carbohydrates and make sound options without much fuss.

-- A diverse array of salad solutions, including sugar-free and low-calorie dressings, including salad greens, mushrooms, onions, peppers, radishes in addition to tomatoes.

More Info: Alzheimer's Patients Mimic Emotions of Those Around Them: Study

Kniss speaks out on battle with breast cancer - Palo Alto Online

After surgery in April 2012, Kniss kept her diagnosis under wraps. Staying silent was important to her healing, albeit uncharacteristic for her extroverted personality, she said.

This March, she broke her silence at a fundraiser breakfast for the nonprofit Breast Cancer Connections in Palo Alto. The admission shocked people who were close to Kniss. Even her campaign manager did not know, she said.

Now, with actress Angelina Jolie's recent announcement of her preventative double-mastectomy raising awareness of breast cancer, Kniss has decided to speak openly about her own diagnosis and treatment. By coming forward, Kniss said she hopes to encourage women to get screened for the disease.

"This is not about me. It really is about everyone else. I'm one of so many. I feel like my story shouldn't be any more special than anyone else's," she said last Friday.

And she has a straightforward message for women: "Get your damn mammogram every year." Jolie has a gene mutation, BRCA1, which can cause an eight-fold increase in breast cancer risk. About 5 to 10 percent of breast cancer patients carry a BRCA gene -- 10 percent if they are Ashkenazi Jews.

Women with BRCA1 or a second mutation, BRCA2, have a 60 percent chance of developing breast cancer, according to the National Cancer Institute. The risk of breast cancer is about 12 percent for the general population.

About 36 percent of U.S. women with a BRCA mutation chose preventive mastectomies, a study by the Women's College Research Institute in Toronto found.

In addition to breast cancer, BRCA carriers have a 15 to 40 percent chance of developing ovarian cancer, compared to 1.4 percent for the general population, according to the National Cancer Institute. Kniss does not carry the BRCA gene. But one of her sisters died from breast cancer 10 years ago, she said. Still, that did not raise any red flags.

"The only thing I remember her saying is, 'It's not familial; don't worry about it,'" Kniss said. The diagnosis came as Kniss was gearing up for her campaign for City Council.

Dr. Diana Guthaner, a Palo Alto radiologist, had asked Kniss to return to her office after a routine mammogram in March 2012.

"Does this mean I won't see my grandkids grow up?" she said she asked herself. "I think you're stunned initially for about a week. Then you think, 'I hope I'll survive.'"

Kniss first underwent a lumpectomy on her left breast. Two weeks later, she returned for surgery to remove additional tissue. At the same time, she had a lumpectomy on her right breast. She did not undergo chemotherapy. After a carefully considered second opinion, she decided against radiation treatment, she said.

But whom to tell was one of the most difficult decisions to make, she said. She didn't want to be viewed as the candidate who needs sympathy or the candidate who is sick.

"That was a very hard one. I decided I could handle my disease better if I had a small support group -- if it was me handling it. I knew at some level I had to conserve my energy, and I couldn't spend it keeping a lot of people in the loop," she said.

After surgery, Kniss and her husband rented a motel room for three days where they could be anonymous. But she didn't put her life on hold. She viewed the cancer as a distraction that she didn't want to get in the way.

"I remember thinking, 'I have got to get done with this. May is a heavy budget month,'" she said, referring to her prior role as a Santa Clara County supervisor.

Kniss said she plans to help Breast Cancer Connections with fundraising and to spread the word about the importance of screening.

Most oncology organizations prefer women receive an annual mammogram beginning at age 40, said Dr. Allison Kurian, assistant professor of medicine at Stanford University and associate director of the Women's Cancer Genetics Clinic at the Stanford Women's Cancer Center.

Other tests, such as sonograms and magnetic resonance imaging, can refine detection and are helpful for women with dense breast tissue, which can sometimes hide a tumor. On April 1, California's so-called breast-density bill went into effect. The legislation requires medical professionals to notify women if they have dense breasts. The bill was introduced by former state Sen. Joe Simitian.

Frank delaRama, clinical nurse specialist in oncology and genomics at Palo Alto Medical Foundation, said factors such as a family history of breast or ovarian cancer, age at childbearing and lifestyle can be factors for getting the diseases.

Since Jolie's announcement, local organizations are seeing an uptick in concern. DelaRama said women who postponed physician-referred screenings are now calling his department for appointments. More women have inquired at Breast Cancer Connections about information related to BRCA, said Erika Bell, manager of medical-information services. The nonprofit serves women and men with breast cancer and has a research library, support groups for cancer patients and families, classes, a "buddy" system that pairs patients with cancer survivors and an early screening program for uninsured patients.

She reflected on how a simple screening may be responsible for two very different outcomes between sisters: Kniss is cancer-free, although she will continue her vigilance for the rest of her life. Her sister was diagnosed at age 47 and died at 52.