Embed Size (px)
Citation preview
Breast cancer: Windows of Susceptibility. NIH grant 1U01ES019480
PINK RIBBON GIRLS
Mammography...............................1Q&A&S.........................................2
Coffee Talks..................................5
Crossword puzzles...10..foods......7Nutrient density...............................9Kids crossword puzzle.................10Wordsearch puzle...flax seed.....11Yoga Pose......................................13BrCa ribbon x-stitch ornament.....14Chocolate cookies.......................18
TO PREVENT the occurrence of BCa through RESEARCH and EDUCATION
TO ENCOURAGE and SUPPORT BCa survivors, friends and families.
Contacts
January 2014 Issue 38Breast Cancer
MYTHs,FACTs,CHOICEsand
COMMUNITY PARTNERS
INDEXRESEARCH PARTNERS
Mammogram
Windows ofSusceptibility& Breast
self breastexam reminder
December2013
Cancer Risk
Mammography is controversial, politically and emotionally charged - what is its role in screening for breast cancer? Some comments to consider follow:
1) Overdiagnosis of breast cancer is about 25%
2) Biennial vs annual screening has an impact was for obese women who had larger tumor size with biennial screening than annual screening
3) Annual screening was not beneficial in women of normal weight
4) Women at higher risk for breast cancer should seek advise about screening before 40
5) Some studies did not find an effect of mammography on total cancer mortality (including breast cancer) at 10 years
6) Numbers of lumpectomies and mastectomies were significantly larger in groups who were screened.
7) Finding suspicious areas by screening 2500 women and subjecting 5-10 women unnecessarily may save ONE life
8) With average risk, begin screening at 40 (NCI)
9) The critical factor is early detection
10) The onslaught of negative media will be to support the medical equipment industry (politics and big business)
11) 3D mammorgraphy has twice the radiation and twice the time spend being "squeezed" - little data on efficacy
12) Traditional mammography causes about 20 cases of breast cancer for every 100,000 mammograms, 1 cancer caused for every 2 lives saved
13) If 3D mammography adds 2 more exposures for each screening
1
When and how often?
(New England Journal of Medicine editorial). karen beintraub http://commonhealth.wbur.org/2011/08/how-many-mammograms
RESEARCH PARTNERS
QUESTION:
SOLUTION:
What unbiased information is there that
will help me decide when to get mammograms.
Mountains of information are out there to help one decide if mammography screening is right for them. Personality, politics
and economics all drive the interpretation of the current data - the source of the information needs to be considered before you make a decition. Medical equipment providers want to continue in their lucrative businesses, health care providers make money on this procedure. Hospitals derive revenue to help offset costly care giving for other conditions. Radiation causes cancer. Would a "tailored" regimen of screening make more sense.
Below are some samples of the types of data to be found. To save one individual = 25,000 screenings and 5-10 women have to
undergo treatement for breast cancer unnecessarily. Consider, in contrast, a staggering benefit of 40% reduction in breast cancer risk by adopting a vegetable, fruit and grain diet with exercise.
It is advisable to make a list of suggestions from a few dozen sources noting their possible motives, perspectives and
biases.
"According to breast surgeon Susan Love of UCLA, at least 30 percent of tumors found on mammograms would go away if you did absolutely nothing. These tumors appear to be destined to stop growing on their own, shrink, and even go away completely.
Nearly everyone has cancerous and pre-cancerous cells in their bodies by middle age, but not everyone develops cancer. The better you take care of your immune system, the better it will take care of you." (ed, but it is also true that the body can detect bacteria and viruses and parasites easier than its own cancer cells and so may not detect and destroy them all). "One way to strengthen your immune system is to minimize your exposure to mammograms and other sources of ionizing radiation, especially mega sources such as these new 3D scans and CTs. But you can also build up your immune system DAILY by making good diet and lifestyle choices".(Far more breast cancers will be eliminated by healthful living than by mammography.)
ANSWER:
Breast cancer screening: Controversy of impact. Donald A. Berry, Department of Biostatistics, The University of Texas M.D. Anderson Cancer Center, 1400 Pressler Street, 4-5062 Pickens Academic Tower, Houston, TX 77030-1402, USASusan G. Komen breast cancer website does not endorce self-breast exam as a cancer detection tool
The NCI has consulted with a variety of experts in the field to determine whether a change in its position on mammography is warranted. After careful consideration, the NCI continues to recommend that:Beginning at age 40, women with an average risk of breast cancer should be screened annually with mammography.Women who are at higher than average risk of breast cancer should seek expert medical advice about: Whether they should begin screening before age 40At the same time, the NCI will continue to address the uncertainties surrounding screening mammograms.
2
Wikipedia (paraphrased by ed): For the average woman, the U.S. Preventive Services Task Force (2009) recommended mammography every two years for women ages 50 - 74. The Canadian Task Force on Preventive Health Care (2012) and the European Cancer Observatory (2011) recommend mammography every 2–3 years between 50- 69.
These reports point out that unnecessary surgery, anxiety, more frequent radiation from mammograms yield a small but significant increase in breast cancer. The Cochrane Collaboration (2011) concluded that mammograms reduce mortality from breast cancer by an absolute amount of 0.05% or a relative amount of 15%, but also result in unnecessary surgery and anxiety, It is not clear whether mammography screening does more good or harm.
Breast self-exam1) In the Shower: Using the pads of your fingers, move around your entire breast and armpit area in a circular pattern moving from the outside to the center. Check both breasts each month feeling for any lump, thickening, or hardened knot. Get changes and lumps evaluated by your healthcare provider.
2) In Front of a Mirror: Visually inspect your breasts with your arms at your sides and with your arms raised high overhead looking for changes in contour, swelling, dimpling of the skin, or changes in the nipples. Then rest your palms on your hips and press firmly to flex your pectoralt muscles while looking for dimpling, puckering, or changes.
3) Lying Down: Place a pillow under your right shoulder and your right arm behind your head. Using your left hand, move the pads of your fingers around your right breast gently in small circular motions covering the entire breast area and armpit area with light, medium, and firm pressure. Squeeze the nipple to check for discharge and lumps. Repeat for the left side.
excerpted from: http://www.nationalbreastcancer.org/breast-self-exam
The Nordic Cochrane Center (comments paraphrased by ed)
An evidence-based leaflet for lay people is available in several languages on www.cochrane.dk. Because of substantial advances in treatment and greater breast cancer awareness since the trials were carried out, it is likely that the absolute effect of screening today is smaller than in the trials. Observations show more overdiagnosis and very little or no reduction in the incidence of advanced cancers with mammographic screening.
Screening for breast cancer with mammography. Gøtzsche PC, Jørgensen KJ. The Nordic Cochrane Centre, Rigshospitalet, Copenhagen, Denmark. [email protected]. Cochrane Database Syst Rev. 2013 Jun 4;6:CD001877. doi: 10.1002/ 14651858.CD001877 .pub5.
RESEARCH PARTNERS
3
25,000 mammograms are required to save one life, yet we can cut the breast cancer rate almost in half by each of us changing our life style.
(The American Institute of Cancer Research estimated that about 40 percent of US breast cancer cases could be prevented if people made wiser lifestyle choices).
http://www.thedoctorwillseeyounow.com/content/cancer/art4170.html
http://articles.mercola.com/sites/articles/archive/2012/03/03/experts-say-avoid-mammograms.aspx
Clinical Breast exams are an important part of early detection. Although most lumps are discovered through breast self-exams, an experienced professional may notice a suspicious place that fails to register as a warning in the patient’s mind.
4
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2625805
Paraphrased from links above, it is IMPORTANT how you do your self breast exam.YOU DETERMINE the efficacy of your exams.
: spend at least 2 minutes on the exam: examine clavicle sternum ribcage armpit
: with your own breast tissue: increased awareness of changes
http://www.medscape.com/viewarticle/408932_2http://www.nationalbreastcancer.org/clinical-breast-examhttp://en.wikipedia.org/wiki/Mammographyhttp://ww5.komen.org/BreastCancer/BreastSelfExam.html
TIMEAREAFAMILIARITYREPETITION
RESEARCH PARTNERS
COMMUNITYPARTNERS
Pink Ribbon GirlsCoffee Talk December 16, 2013
10:00 - 12:00pm
Magnificent scenery
5
Stage IV Coffee Talk Book Bums 8992 Cincinnati-Dayton Rd, West Chester, OH 45069
Coffee Talk with Dr. Susan Pinney, Cancer Epidemiology, who shared information how environmental exposure to certain chemicals can impact your health. This was a very helpful discussion on how to make some small changes to impact your health. Dr. Pinney also reviewed information from the toolkits developed by the Breast Cancer and Environment Research Program. Those toolkits are available online: HERE
COMMUNITY PARTNERS
Next Coffee Talk, Dr. Shuk-mei Ho
Book Bums, 8992 Cincinnati-Dayton Road, West Chester,
OH 45069Sunday, 26 January 2014 07:00
- 09:00 PM
6
WORD CLUEs
Across
BreastCancerRisk
Windows ofSusceptibility
UNIVERSITY OF
CincinnatiDept of Env Hlth
10 Healthful Foods
1. One of the foods with the highest amount of beneficial flavinoids is dark-________,2. The blue color in blueberries is an _________ which helps fight memory loss and cancer and heart disease,3. The monosaturated fats in this fruit help lower cholesterol,4. Epicatechins in _______ help prevent urinary tract infections,5. Chocolate treated with alkali called ______ chocolate has lost its flavinoids,6. Sulfur containing compounds are in the cloves of this root which are believed to have anticancer benefit,7. Dark chocolate can also help _____ insulin resistance helping to stave off type 2 diabetes,8. There is a big difference in the nutritional value of ____ chocolate and chocolate milk versus dark chocolate,9. The magnesium in legumes helps _____ the smooth muscle cells in arteries helping to lower blood pressure,10. The _______ in sulphorophane in broccoli is one of the great anticancer phytochemicals,
1. Broccoli is a great source of ______ for bones and potassium and vitamins C and A,2. Avocados contain the __________ compound glutathione a powerful antioxidant,3. Avocados are also high in beta-sitosterol which______ the absorption of cholesterol from food,4. High on the list of cancer fighting foods is this bulky green vegetable called ________,5. Legumes are packed with soluble _____ which soaks up cholesterol before it is absorbed,6. This seed is rich in lignans which act to bind to estrogen receptors blocking some cancers,
Down
playonline
7
7. Broccoli can cut your lung and breast cancer risk by as much as ____,8. This family of plants provides us with dozens and dozens of high protein vegetables,9. Chocolate milk is treated with alkali and therefore has lots its antioxidant potential,10. Flaxseed has a lot of alpha-linolenic acid which the body uses to make _____ fatty acids,11. Just two servings of this fish per week can reduce your risk cardiovascular disease by 17 percent and heart attack by 27 percent,12. This leafy green vegetable is a good source of potassium and magnesium and folate which can help keep blood pressure low,13. The fiber in blueberries is soluble and brings _____ to the intestines thus being great for controlling constipation,14. White chocolate does not have cocoa solids but just cocoa butter and does not have the beneficial flavinoids,15. This cultured food helps balance the probiotic flora in our intestines that help reduce the populations of other non beneficial flora,
Answers10 Healthful Foods
But, in 1999, the EU at least resolved the fat issue by allowing up to 5% of chocolate's content to be one of 5 alternatives to cocoa butter: illipe oil, palm oil, sal, shea butter, kokum gurgi, or mango kernel oil.[15]
A recent workaround by the US confection industry has been to reduce the amount of cocoa butter in candy bars without using vegetable fats by adding polyglycerol polyricinoleate (PGPR), which is an artificial castor oil-derived emulsifier that simulates the mouthfeel of fat. Up to 0.3% PGPR may be added to chocolate for this purpose.[16]
8
nutrient denSe f d
i cal rS o
:1 220nutrient S
9
@220
morenutrient dense
less caloriedense
:1 220
nutrient S
50% fat, high omega-6loss of flavinols, especially
in "dutch" chocolate,higher satirated fat,
higher sodium and sugar,lower fiber content
i cal rS o
fewerphytonutrientdensem but
about thesame number
of calories
Dark chocolate contains oleic acid, palmitic acid and stearic acid. Oleic acid is a mono-unsaturated fat, the wholesome kind present in olive oil. Palmitic acid is a saturated fat that tends to raise low density lipoprotein (LDL) cholesterol. Stearic acid is a saturated fat that does not increase or decrease cholesterol levels.
DARK CHOCOLATE
Dutch and milkchocolate
medium bar 70-80% cacao solids (for comparison, a plum has about the sane amount of flavinols and
proanthocyanidins as chocolate for 1/3 the calories.
a large % of rdi of iron, magnesium, manganese,
phosphorus, copper, potassium, zinc, selenium,
fiber50% fat, high in calories,
high omega-6 (therefore is inflammatory)
flavinols,
@220
10
1. High on the list of cancer fighting foods is this bulky green vegetable called ________,2. One of the foods with the highest amount of beneficial flavinoids is dark-________,3. This seed is rich in lignans which act to bind to estrogen receptors blocking some cancers,4. Sulfur containing compounds are in the cloves of this root which are believed to have anticancer benefit,5. This family of plants provides us with dozens and dozens of high protein vegetables,6. Just two servings of this fish per week can reduce your risk cardiovascular disease by 17 percent and heart attack by 27 percent,7. This leafy green vegetable is a good source of potassium and magnesium
1. The monosaturated fats in this fruit help lower cholesterol,2. Epicatechins in _______ help prevent urinary tract infections,3. This cultured food helps balance the probiotic flora in our intestines that help reduce the populations of other non beneficial flora
WORD CLUEs
Across
kids! 10 GreatFoods
playonline
Down
Answers
http://www.fitnessandfreebies.com/fitness/chocolate.html
Note: The same results do not apply to white or milk chocolate or chocolate coatings, cake or ice cream. Actually, none of them were tested so I guess that means the jury is still out.
Wordsearch about flax
comfort foods"Ghosts of Holidays Past"
Mark Goldman, associate director of the U.S. National Institute on Alcohol Abuse and Alcoholism, calls “traces retrieved from memory,” give form to
these ghosts
playonline
11
Life changes usSometimes change
makes life better
Answers
benefit brownclothcottoncultivatedediblefibersflaxenflowersfruitglucosideslinoleumlinseedmedicinalnutrients
paperprairiesprehistoricstraight
Nutritional benefits of flax seeds are being investigated Flax seeds can be yellow or brown
Flax cloth was manufactured in neolithic times Flax - the most used vegetable based cloth until 1800s
Flax cultivated in the fertile crescent The oil of flax is a nutritional supplement Fibers from the plant are stronger than cotton Parallel golden fibers from flax Flax flower are pale blue or red
Flax fruit is round dry and contains glossy brown seeds Flax contains natural phenolic glucosides
Floor coverings made from flax A common name for flax
Flax can be used medicinally as tea Flax seeds contain an abundance of omega 2, fiber
and lignans Flax is used for making fine linen paper
Canadian prairies grow flax Flax was used by humans at least 30,000 years ago
Flax fibers are naturally smooth and straight
TubeYou
http://www.webmd.com/cancer/features/seven-easy-to-find-foods-that-may-help-fight-cancer
FacebookWindows of Susceptibility
12
Crossword and wordsearch puzzles to help reduce breast cancer risk
RELEASE STRESS
REDUCE CANCER RISK
GAIN STRENGTH
Yogaand
and
are the
sameconcept
mindfulnessbased
stressreduction
mindfulness based
cognitive therapy
13
?Are pharmaceutical
companiespreying on
suggestibility?
Mindfulness-based stress reduction (MBSR) is a behavioral medicine program devised by Jon Kabat-Zinn that uses the psychological concept of mindfulness to help people cope better and be more at ease in their life.[1] It is thought to have potential for helping people cope with stress and chronic illness, and research has shown it having a useful effect. While MBSR has its roots in spiritual teachings, the program itself is secular. Called by many names, then, the basic tennent is the same though the techniques vary from singing, chanting, stretching, prayer, repetitious motions or movements, quoting scriptures, even playing an instrument.
The spiritual roots are linked to all the major nonotheisms and those which are meditation based as well. It becomes quite clear, though research efforts have not produced quantities of data for analysis yet, that these ancient techniques were developed out of observations in past cultures that they "WORKED". Yoga combines the spirituality aspect but also the main "the body has a head" concept. That is - that body and mind can work together tower stress, pain, emotional ups and downs, where the monotheisms do not.
Previous issues of this newsletter provided steps which can be taken by virtually anyone, carried out on a regimen of several times a week. The benefits for both mind and body can be amazing.
DMC color names, are all basedon my computer monitor andmonitors are differentbut close matches will work just fine.
818
3804
777
700
819
444
white
73 baby pink
63 dark cyclamen
65 very dark raspberry
211 bright green
271 light baby pink
2
291 dark lemon
white 1677 (stitch only if desired)
colors are suggestions only
color DMC Anchor
112
289
237
252
361
26
1677
@stitchcount
Act
ual s
ize
14 count aida cloth = about 3.5 x 3 inch ornament
Variation 1: one side cross stitchvariation 2: two sides cross stitchvariation 3: open pocket ornament two sides cross stitch and lining
xst breast cancer christmas stocking ornament
14
enla
rged r
ight and le
ft s
ides
15
Variation 1 (single sided).Choose which direction you want the ornament. Cross stitch that pattern, then cut ONE pattern the toe pointing the opposite direction from backing fabric (see last page for pattern). Right sides together, sew the ornament together leaving top OPEN. Turn right sides out, fold under the top seam allowance. Add ribbon hanger or other hanger, and whip stitch closed.
Variation 2 (closed top, two sides cross stitched)
Make 2 stockings, one in mirror image of the other (see mirror image enlarged patterns). Put right sides of the stockings together and sew together leaving top open. Trim off excess aida cloth, then turn right side out.
Attach ribbon hanger and/or bells in the upper corner of the stocking top, or the toe. Then whip stitch the top closed.
Variation 3 (stocking lined with soft fabric and left open at the top to receive tiny box or gift).
Trace the outline of the two mirror image stockings that you have cross stitched. Add 1/4 inch seam allowance on all sides (or use mirrored patterns on last page)(cut one each). Put right sides of lining fabric together and sew stocking leaving TOP OPEN. Leave the right sides together. Turn down the seam allowance at the top toward the outside.
Sew the cross stitch pattern right sides together leaving TOP OPEN. Trim away excess aida cloth, and turn right sides outTurn cross stitched stocking right side out, and turn top to inside, and baste.
Nestle lining stocking into the cross stitch stocking, keeping turned down edges even at the top.
(hint, choose the lining material of aweight fabric that makes you comfortablewith the stiffness of the final product).
Add ribbon hanger, and/or or ells to top of stocking, or on toe..
Optional: Add a row of braid, or beadsaround the edge and top to finish.
16
COMMUNITY PARTNERS
Lining Patterns -cut on red line
turn over line
sew ondotted line
cut 1 each for variation 3 patternopen pocket stocking(actual size patterns on next page)
cut 1 for backing asingle sided stocking(variation 1) (be sureto make the backinga mirror image ofyour cross stitchstocking.
17
COMMUNITY PARTNERS
Healthy Peanut Butter Chocolate Chip Quinoa Cookies (vegan & raw & gf option)Print Recipe
1/2 cup Natural Peanut Butter2 Tablespoons Applesauce1/4 cup Raw Honey or Agave1 Tablespoon Pure Vanilla Extract1/2 teaspoon Sea or Pink Salt1/3 cup Whole Wheat Flour or Gluten-Free Flour Mix1 1/2 cups cooked Quinoa (about 1/2 cup of uncooked quinoa) OR 1/2 cup soaked Quinoa1/4-1/3 cup Dark Chocolate Chips
In a small bowl, combine the peanut butter, applesauce, honey, vanilla and salt. Add the rest of the ingredients and mix until combined. Spoon rounded tablespoons of cookies on a cookie sheet lined with parchment or wax paper. Place in the freezer to set, about 20 minutes. Enjoy as a power snack, breakfast or a healthy dessert! Store any leftovers in an airtight container.
http://www.naturalsweetrecipes.com/healthy-quinoa-cookies/
Almond Butter Chocolate Chip Oatmeal Cookies (gluten free, flourless & vegan!)Print Recipe
1 cup Natural Almond Butter1/2 cup plus 1 Tablespoon Coconut Sugar1/4 cup Applesauce1 Tablespoons Ground Flax1/2 teaspoon Salt2 teaspoons Pure Vanilla Extract1 teaspoon Baking Sodagenerous 3/4 cup Oats (gluten free will work)1/2-2/3 cup Chocolate Chips
In a small dish, combine the applesauce and flax and set aside. Preheat the oven to 350 degrees.
If your almond butter is super hard, microwave it for a few seconds to get it soft and stirrable. In a small mixing bowl, combine the almond butter, coconut sugar, vanilla and applesauce mixture. Mix in the baking soda and oats. Add the chocolate and mix until combined.
Scoop out about 1 tablespoon amount of dough and shape into balls onto a parchment lined baking sheet. Bake at 350 degrees for 8-9 minutes. Cookies will firm more when cooled, so don’t over bake!
http://www.naturalsweetrecipes.com/almond-butter-chocolate-chip-oatmeal-cookies/
COMMUNITY PARTNERS
18
