caused by medications like heart or stomach medication tumors are another possibility. here in various shapes and sizes of doctors distinguish between two major subtypes of the disorder. cited there s a distinction between true gynecomastia and pseudo gynecomastia true gynecomastia involves an increase in glandular breast tissue pseudo gynecomastia means an increase in fatty tissue due to weight gain for example. going to can be diagnosed with a visual examination but it s important to identify any underlying causes these might be medication the patient is taking or underlying conditions like hormonal imbalance and other chronic disorder or tumors for unilateral gynecomastia patients usually have a mammogram to rule out male breast cancer if an underlying cause is found
sizes doctors distinguish between two major subtypes of the disorder. there s a distinction between true gynecomastia and pseudo gynecomastia true gynecomastia involves an increase in glandular breast tissue pseudo gynecomastia means an increase in fatty tissue due to weight gain for example. going to can be diagnosed with a visual examination but it s important to identify any underlying causes these might be medication the patient is taking or underlying conditions like hormonal imbalance and other chronic disorder or tumors for unilateral gynecomastia patients usually have a mammogram to rule out male breast cancer if an underlying cause is found treatment can begin. the causes are known as with idiopathic gallica must year it s
the current situation in the philippines is unusual in that compared to the rest of the world really been having an explosive epidemic this train is not new actually it is a strain that is more common in southeast asia in ireland as a matter of fact but what is so unusual about the philippines was we had not seen the strain being up a dominant strain in the philippines and all of a sudden it flips and becomes a dominant strain we don t know too much about the strains because they are what we call non be subtypes which are less studied compared to be so types that are seen in the united states in western europe and we re seeing some alarming rates of drug resistance among these new strains or we ve seen major advances also in treatment of h.i.b. in recent years and there was a general perception perception that this was now manageable could this is this new
typed we re now seeing up to five percent of this strain slowly getting into the into the hiv population so what in your opinion needs to be done to limit the spread of this non b. type of hiv virus. well i think we need to look at viruses better because even though subtype b. which is the western subtype only accounts for twelve percent of the total number of hiv in the world most of the research on treatment ninety percent of the research on treatment is for a subtype b. but the genetic difference between some be and the other subtypes can be as much as twenty five to thirty five percent of its whole genetic material so that s that s you know that s really far that s like the difference between a coral end and maybe a dog so it s a very big genetic distance and so it s it i think it s dangerous to assume
that the treatment that works for some type b. works just this well for ninety subtypes i think we really need to take a look at more research in this area so that we don t see a second epidemic thank you for your insights dr bonna there talking to us from manila in the philippines thank you very much the next story follows the money trail linked to one of the biggest uncut diamonds in the world neary only a year ago miners in sierra leone dug up what became known as the peace diamond the government promised the poor some of the profits from that rock back into development projects but the villagers who found the precious stone say that hasn t happened a dream creech has this exclusive report. foreheads traveled for an hour through the jungle of sierra leone. wanted to show us the mine