Jefferson's Cancer Survivorship Program will help you understand what it means to be a cancer survivor and what to expect from your cancer diagnosis, treatment and follow-up care. This Program is for current patients, cancer survivors and loved ones who have lived with a cancer diagnosis or have undergone cancer treatment at Jefferson.
2014 Cancer Survivorship Conference at Jefferson University Hospitalsjeffersonhospital
This document summarizes a presentation about cancer survivorship care plans. It discusses the growing number of cancer survivors and challenges they face after treatment. Standards for survivorship care plans have been recommended, including treatment summaries and follow-up care plans covering surveillance, late effects management, and coordination of care. However, few cancer centers provide complete survivorship care plans meeting all recommended elements. Future work is needed to evaluate how survivorship care plans can benefit patients and providers, and to determine optimal ways to implement high-quality survivorship care planning.
Cancer Survivorship: longer term issues and the role of primary care - Prof E...Irish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Cancer Survivorship: longer term issues and the role of primary care - Prof Eila Watson (Oxford Brookes University).
This document provides information about cancer survivorship from the American Society of Clinical Oncology. It defines survivorship as beginning at diagnosis and discusses the challenges survivors may face after treatment, both psychological and physical. It emphasizes the importance of follow-up care, lifestyle changes, asking questions, and utilizing survivorship resources to help adjust to life after cancer treatment.
Jefferson University Hospitals' April 2013 Cancer Survivorship Conference Pre...jeffersonhospital
At Jefferson University Hospitals' Cancer Survivorship Conference on April 12, 2013, Mary McCabe of Memorial Sloan-Kettering Cancer Center gave the keynote address. Jefferson's new Survivorship platform includes biannual conferences featuring keynote speakers and several breakout sessions to give cancer patients, survivors and caregivers a better understanding of survivorship and what comes next after a cancer diagnosis. This is a free event open to all cancer patients and survivors. Learn more: http://www.jeffersonhospital.org/departments-and-services/kimmel-cancer-center/cancer-survivorship-program
This document discusses older adult survivorship issues. Key points include: the aging population is growing and older adults account for over half of cancer cases; physiological changes in aging can impact cancer treatment and outcomes; comprehensive geriatric assessments should be conducted prior to treatment; guidelines recommend adjusting treatment based on goals and function rather than age alone; and common geriatric syndromes like falls, polypharmacy, and pain management need special consideration in older cancer survivors.
Don’t miss our upcoming webinars: Subscribe today!
In this webinar:
Our presenter, Filomena Servidio, will be reviewing the results of CCSN’s National Prostate Cancer Survey based on the recently released Prostate Cancer Survey Report. Join us as we learn more about the prostate cancer journey, and the need to better inform and support prostate cancer patients and their caregivers in Canada.
View the video:
https://youtu.be/RHwIsZx6x4A
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
2014 Cancer Survivorship Conference at Jefferson University Hospitalsjeffersonhospital
This document summarizes a presentation about cancer survivorship care plans. It discusses the growing number of cancer survivors and challenges they face after treatment. Standards for survivorship care plans have been recommended, including treatment summaries and follow-up care plans covering surveillance, late effects management, and coordination of care. However, few cancer centers provide complete survivorship care plans meeting all recommended elements. Future work is needed to evaluate how survivorship care plans can benefit patients and providers, and to determine optimal ways to implement high-quality survivorship care planning.
Cancer Survivorship: longer term issues and the role of primary care - Prof E...Irish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Cancer Survivorship: longer term issues and the role of primary care - Prof Eila Watson (Oxford Brookes University).
This document provides information about cancer survivorship from the American Society of Clinical Oncology. It defines survivorship as beginning at diagnosis and discusses the challenges survivors may face after treatment, both psychological and physical. It emphasizes the importance of follow-up care, lifestyle changes, asking questions, and utilizing survivorship resources to help adjust to life after cancer treatment.
Jefferson University Hospitals' April 2013 Cancer Survivorship Conference Pre...jeffersonhospital
At Jefferson University Hospitals' Cancer Survivorship Conference on April 12, 2013, Mary McCabe of Memorial Sloan-Kettering Cancer Center gave the keynote address. Jefferson's new Survivorship platform includes biannual conferences featuring keynote speakers and several breakout sessions to give cancer patients, survivors and caregivers a better understanding of survivorship and what comes next after a cancer diagnosis. This is a free event open to all cancer patients and survivors. Learn more: http://www.jeffersonhospital.org/departments-and-services/kimmel-cancer-center/cancer-survivorship-program
This document discusses older adult survivorship issues. Key points include: the aging population is growing and older adults account for over half of cancer cases; physiological changes in aging can impact cancer treatment and outcomes; comprehensive geriatric assessments should be conducted prior to treatment; guidelines recommend adjusting treatment based on goals and function rather than age alone; and common geriatric syndromes like falls, polypharmacy, and pain management need special consideration in older cancer survivors.
Don’t miss our upcoming webinars: Subscribe today!
In this webinar:
Our presenter, Filomena Servidio, will be reviewing the results of CCSN’s National Prostate Cancer Survey based on the recently released Prostate Cancer Survey Report. Join us as we learn more about the prostate cancer journey, and the need to better inform and support prostate cancer patients and their caregivers in Canada.
View the video:
https://youtu.be/RHwIsZx6x4A
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Don't miss our upcoming webinars: Subscribe today!
In this webinar:
Dr. Krista Noonan is a medical oncologist specializing in thoracic and genitourinary malignancies at BC Cancer, Surrey Centre. Her research interests focus on thoracic and genitourinary malignancies and health services research. On Thursday, February 27, join Dr. Noonan as she: - Reviews the advancements in systemic therapy in lung cancer over the past decade - Highlights how the advancements in systemic therapy have dramatically improved quality of life and length of life.
View the video: https://youtu.be/3DaUwQ8ab44
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
This document provides information about an oncology social worker and their role. It discusses what an oncology social worker sees, hears, and feels in working with cancer patients. It outlines the types of support oncology social workers provide, including emotional support, practical assistance, information, and advocacy. It also summarizes the standards and scope of practice for oncology social work according to the Association of Oncology Social Work. Finally, it discusses common issues cancer survivors face and encourages patients to take advantage of oncology social work services.
The document discusses survivorship care plans (SCPs), which are recommended by the Institute of Medicine to provide cancer patients completing primary treatment with a comprehensive care summary and follow-up plan. SCPs aim to prevent and detect new cancers, coordinate care, and address late or long-term effects of cancer treatment. Several organizations have developed SCP templates, and the Commission on Cancer requires SCPs to be implemented by 2015. However, literature reviews show limited evidence that SCPs improve patient outcomes. Barriers to implementing SCPs include the length of time needed to create them and lack of resources. Providers, patients, and oncologists agree SCPs are important in summarizing cancer care, but more
This document is a curriculum vitae for Dr. Erez Dayan. It summarizes his education, including plastic surgery residency at Harvard and general surgery residency at Mount Sinai. It lists his awards, leadership positions, publications, and presentations. He has expertise in plastic and reconstructive microsurgery, with a focus on lymphedema treatment and facial reanimation.
This document provides an overview of palliative radiation therapy for cancer patients. It discusses the fundamentals of how radiation works and advances that have allowed it to more effectively treat cancer. It then focuses on how palliative radiation can effectively relieve symptoms from bone metastases, lung cancer, bleeding, and other cancers in 1-3 fractions rather than longer courses of treatment. Studies show short fractionation schedules provide pain relief comparable to longer schedules with fewer side effects and greater convenience. The document provides guidance on discussing palliative radiation options with radiation oncologists to help simplify the process for hospice patients.
This multi-year study analyzed end-of-life discussions at a cancer center over four years. On average, 113 patients expired each year, with 60 expiring seven or more days after admission. Lung cancer was the most common cause of death. While palliative care consultations occurred for only 25.5% of patients on average, the study found no correlations between variables like timing of discussions, location, attendance, and palliative care involvement. Without interventions between years, the study could not measure performance improvement directly. Future research would require implementing interventions to gauge their impact over multiple years.
How We Do Harm: A Webinar by SHARE with Dr. Otis Brawleybkling
Dr. Otis Brawley, author of How We Do Harm, pulls back the curtain on how health care is really practiced in American. Hosted by SHARE: Self-help for Women with Breast or Ovarian Cancer.. www.sharecancersupport.org. If you would like to watch the full webinar, visit www.sharecancersupport.org/brawley.
This document summarizes a study examining the impact of squamous cell carcinoma of the head and neck (SCCHN) on patient weight status over 5 weeks of radiation therapy treatment. The study found an average weight loss of 3.12% (2.38 kg) over 5 weeks, though the results did not reach statistical significance. Multiple linear regression identified age, gender, and tumor site as explanatory variables for 13.44% of weight change. The document provides background on SCCHN incidence, treatment complications, weight loss studies, and the importance of nutrition for cancer patients. It concludes that SCCHN causes significant nutritional problems and weight loss, which are associated with decreased survival, and identifies a need for additional research on preventing
Presented at American Association for Cancer Research (AACR) at New Orleans 2016 annual conference. Fight Colorectal Cancer and Cancer Research Institute joint effort.
Presented by
Al B. Benson III, MD FACP FASCO
Professor of Medicine
Associate Director for Cooperative Groups Robert H. Lurie Comprehensive Cancer Center of Northwestern University
Don’t miss our upcoming webinars: Subscribe today!
The CanRehab Team brings together a large group of patients, researchers, and clinicians at four Canadian centres and includes three concurrent projects focused on improving access to effective, appropriate, and timely cancer rehabilitation (CanRehab Team).
The objectives of the presentation are: 1) to provide a background on cancer rehabilitation; 2) to introduce the CanRehab Team projects; and 3) to provide an overview of the team structure including a call for interest to the Patient Advisory Committee.
View the YouTube video: https://youtu.be/B2tcIsrw4WE
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Communicating hope and truth: A presentation for health care professionalsbkling
This document discusses improving cancer communication between doctors and patients. It begins with some cancer epidemiology statistics in the US. The main points are:
- The language used in oncology, such as "war on cancer", can imply meanings that increase patient anxiety and imply blame.
- Terms like "early detection" and "screening saves lives" may give patients a false sense of prevention or cure.
- Doctors should acknowledge patient emotions, use plain language, present information in bite-sized chunks, and encourage participation in decision making.
- When discussing risks, benefits, and the future, doctors should address patient concerns directly and not minimize their experiences. The goal is to provide trust and hope while still being honest.
The document discusses a study on the impact of the COVID-19 pandemic on cancer patients and their ability to receive treatment. Key findings include:
1) Over half of cancer patients had appointments cancelled or postponed, leading to delays in treatment and increased mental stress and anxiety.
2) Clinical trial participation was also impacted, with many trials being put on hold.
3) While doctors provided virtual consultations, concerns about receiving in-person care remain high, especially among recently diagnosed patients and those with late-stage cancer.
4) Fears for the future and anxiety levels rose during the pandemic and remain elevated as some restrictions are lifted.
Palliative surgery aims to relieve symptoms for patients with incurable malignancy. The roles of palliative surgery include initial disease evaluation, local disease control, controlling discharge or hemorrhage, pain control, and reconstruction/rehabilitation. While palliation may be achievable in selected patients, the duration of symptom relief is often limited by the development of new symptoms. Current literature provides limited data to guide sound clinical decisions about palliative surgery. More comprehensive prospective studies are needed to better define palliative surgery and establish standards to evaluate outcomes beyond just morbidity and mortality.
Geriatric Oncology
1. Relationship between aging and cancer
2. Constructs of frailty and multimorbidity
3. Evidence for geriatric assessment in older adults living with cancer
Don't miss our upcoming webinars: Subscribe today!
In this webinar:
Dr. Paula Gordon will share information on when individuals should start screening for breast cancer, and how often to screen - in order for cancer to be found as early as possible, and to allow the least aggressive options for treatment. Dr. Gordon will also discuss how to screen for recurrence in women who’ve had cancer, explain why these methods are not always offered, and suggest what you can do to improve access to optimal screening.
View the video: https://youtu.be/7uFksz6_4Zk
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Statistics show that as of 2017, more than one million Canadians have survived cancer for more than 10 years. Yet, the physical rehabilitation needs of cancer survivors in Canada have received little attention and few services.
Dr. Jennifer M. Jones, PhD, is a senior Scientist and Director of the Cancer Rehabilitation & Survivorship Program at the Princess Margaret Cancer Centre in Toronto. Along with her colleague Stephanie Phan, Clinical Lead for the program, they provided an overview of her program, one of the best in the world and the only one of its kind in Canada.
Canadian Cancer Survivor Network staff Allison MacAlister and Jaymee Maaghop joined in the conversation to discuss the current national landscape, and what CCSN is doing to raise awareness for cancer rehabilitation in Canada.
Tolson, jennifer mental health services and weight loss surgery nfjca v4... (1)William Kritsonis
Dr. William Allan Kritsonis has served as an elementary school teacher, elementary and middle school principal, superintendent of schools, director of student teaching and field experiences, professor, author, consultant, and journal editor. Dr. Kritsonis has considerable experience in chairing PhD dissertations and master thesis and has supervised practicums for teacher candidates, curriculum supervisors, central office personnel, principals, and superintendents. He also has experience in teaching in doctoral and masters programs in elementary and secondary education as well as educational leadership and supervision. He has earned the rank as professor at three universities in two states, including successful post-tenure reviews.
This document describes a study that examined the effects of exercise on quality of life outcomes in women undergoing radiation therapy for breast cancer. 45 women participated in the study, completing surveys on their exercise habits and quality of life before and after radiation therapy. While no significant differences were found between groups that exercised more or less, the researchers observed trends of improved quality of life and less fatigue in the group that exercised more vigorously. However, the sample size may have been too small to detect statistically significant differences.
This document discusses relevant endpoints for clinical trials involving patients with advanced breast cancer. It notes that these patients are a heterogeneous population with different disease characteristics and needs. While traditional endpoints like progression-free survival are important, patient-reported outcomes that measure symptom control, physical functioning, and quality of life are also critical given the focus on long-term management of the disease. The document recommends that phase III trials incorporate patient-reported outcomes to better assess new treatments' impact on symptoms and functioning from the patient perspective.
Living with Advanced Breast Cancer: Challenges and Opportunitiesbkling
- Metastatic breast cancer poses significant challenges as it is incurable and can recur even after early-stage treatment, with over 500,000 deaths worldwide annually. Living with metastatic disease differs profoundly from early-stage experiences.
- Two surveys of over 1,000 metastatic breast cancer patients across countries found high levels of fear, confusion and depression upon diagnosis. While most received family support, many felt stigma and isolation. Information seeking helped patients cope.
- More research funding and clinical trials inclusive of quality of life are needed. Counting metastatic cases is important to assess needs and allocate resources for supportive care and treatments that meaningfully extend survival and quality of life for these patients. Guidelines can help patients navigate a still deadly disease.
Don't miss our upcoming webinars: Subscribe today!
In this webinar:
Dr. Krista Noonan is a medical oncologist specializing in thoracic and genitourinary malignancies at BC Cancer, Surrey Centre. Her research interests focus on thoracic and genitourinary malignancies and health services research. On Thursday, February 27, join Dr. Noonan as she: - Reviews the advancements in systemic therapy in lung cancer over the past decade - Highlights how the advancements in systemic therapy have dramatically improved quality of life and length of life.
View the video: https://youtu.be/3DaUwQ8ab44
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
This document provides information about an oncology social worker and their role. It discusses what an oncology social worker sees, hears, and feels in working with cancer patients. It outlines the types of support oncology social workers provide, including emotional support, practical assistance, information, and advocacy. It also summarizes the standards and scope of practice for oncology social work according to the Association of Oncology Social Work. Finally, it discusses common issues cancer survivors face and encourages patients to take advantage of oncology social work services.
The document discusses survivorship care plans (SCPs), which are recommended by the Institute of Medicine to provide cancer patients completing primary treatment with a comprehensive care summary and follow-up plan. SCPs aim to prevent and detect new cancers, coordinate care, and address late or long-term effects of cancer treatment. Several organizations have developed SCP templates, and the Commission on Cancer requires SCPs to be implemented by 2015. However, literature reviews show limited evidence that SCPs improve patient outcomes. Barriers to implementing SCPs include the length of time needed to create them and lack of resources. Providers, patients, and oncologists agree SCPs are important in summarizing cancer care, but more
This document is a curriculum vitae for Dr. Erez Dayan. It summarizes his education, including plastic surgery residency at Harvard and general surgery residency at Mount Sinai. It lists his awards, leadership positions, publications, and presentations. He has expertise in plastic and reconstructive microsurgery, with a focus on lymphedema treatment and facial reanimation.
This document provides an overview of palliative radiation therapy for cancer patients. It discusses the fundamentals of how radiation works and advances that have allowed it to more effectively treat cancer. It then focuses on how palliative radiation can effectively relieve symptoms from bone metastases, lung cancer, bleeding, and other cancers in 1-3 fractions rather than longer courses of treatment. Studies show short fractionation schedules provide pain relief comparable to longer schedules with fewer side effects and greater convenience. The document provides guidance on discussing palliative radiation options with radiation oncologists to help simplify the process for hospice patients.
This multi-year study analyzed end-of-life discussions at a cancer center over four years. On average, 113 patients expired each year, with 60 expiring seven or more days after admission. Lung cancer was the most common cause of death. While palliative care consultations occurred for only 25.5% of patients on average, the study found no correlations between variables like timing of discussions, location, attendance, and palliative care involvement. Without interventions between years, the study could not measure performance improvement directly. Future research would require implementing interventions to gauge their impact over multiple years.
How We Do Harm: A Webinar by SHARE with Dr. Otis Brawleybkling
Dr. Otis Brawley, author of How We Do Harm, pulls back the curtain on how health care is really practiced in American. Hosted by SHARE: Self-help for Women with Breast or Ovarian Cancer.. www.sharecancersupport.org. If you would like to watch the full webinar, visit www.sharecancersupport.org/brawley.
This document summarizes a study examining the impact of squamous cell carcinoma of the head and neck (SCCHN) on patient weight status over 5 weeks of radiation therapy treatment. The study found an average weight loss of 3.12% (2.38 kg) over 5 weeks, though the results did not reach statistical significance. Multiple linear regression identified age, gender, and tumor site as explanatory variables for 13.44% of weight change. The document provides background on SCCHN incidence, treatment complications, weight loss studies, and the importance of nutrition for cancer patients. It concludes that SCCHN causes significant nutritional problems and weight loss, which are associated with decreased survival, and identifies a need for additional research on preventing
Presented at American Association for Cancer Research (AACR) at New Orleans 2016 annual conference. Fight Colorectal Cancer and Cancer Research Institute joint effort.
Presented by
Al B. Benson III, MD FACP FASCO
Professor of Medicine
Associate Director for Cooperative Groups Robert H. Lurie Comprehensive Cancer Center of Northwestern University
Don’t miss our upcoming webinars: Subscribe today!
The CanRehab Team brings together a large group of patients, researchers, and clinicians at four Canadian centres and includes three concurrent projects focused on improving access to effective, appropriate, and timely cancer rehabilitation (CanRehab Team).
The objectives of the presentation are: 1) to provide a background on cancer rehabilitation; 2) to introduce the CanRehab Team projects; and 3) to provide an overview of the team structure including a call for interest to the Patient Advisory Committee.
View the YouTube video: https://youtu.be/B2tcIsrw4WE
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Communicating hope and truth: A presentation for health care professionalsbkling
This document discusses improving cancer communication between doctors and patients. It begins with some cancer epidemiology statistics in the US. The main points are:
- The language used in oncology, such as "war on cancer", can imply meanings that increase patient anxiety and imply blame.
- Terms like "early detection" and "screening saves lives" may give patients a false sense of prevention or cure.
- Doctors should acknowledge patient emotions, use plain language, present information in bite-sized chunks, and encourage participation in decision making.
- When discussing risks, benefits, and the future, doctors should address patient concerns directly and not minimize their experiences. The goal is to provide trust and hope while still being honest.
The document discusses a study on the impact of the COVID-19 pandemic on cancer patients and their ability to receive treatment. Key findings include:
1) Over half of cancer patients had appointments cancelled or postponed, leading to delays in treatment and increased mental stress and anxiety.
2) Clinical trial participation was also impacted, with many trials being put on hold.
3) While doctors provided virtual consultations, concerns about receiving in-person care remain high, especially among recently diagnosed patients and those with late-stage cancer.
4) Fears for the future and anxiety levels rose during the pandemic and remain elevated as some restrictions are lifted.
Palliative surgery aims to relieve symptoms for patients with incurable malignancy. The roles of palliative surgery include initial disease evaluation, local disease control, controlling discharge or hemorrhage, pain control, and reconstruction/rehabilitation. While palliation may be achievable in selected patients, the duration of symptom relief is often limited by the development of new symptoms. Current literature provides limited data to guide sound clinical decisions about palliative surgery. More comprehensive prospective studies are needed to better define palliative surgery and establish standards to evaluate outcomes beyond just morbidity and mortality.
Geriatric Oncology
1. Relationship between aging and cancer
2. Constructs of frailty and multimorbidity
3. Evidence for geriatric assessment in older adults living with cancer
Don't miss our upcoming webinars: Subscribe today!
In this webinar:
Dr. Paula Gordon will share information on when individuals should start screening for breast cancer, and how often to screen - in order for cancer to be found as early as possible, and to allow the least aggressive options for treatment. Dr. Gordon will also discuss how to screen for recurrence in women who’ve had cancer, explain why these methods are not always offered, and suggest what you can do to improve access to optimal screening.
View the video: https://youtu.be/7uFksz6_4Zk
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Statistics show that as of 2017, more than one million Canadians have survived cancer for more than 10 years. Yet, the physical rehabilitation needs of cancer survivors in Canada have received little attention and few services.
Dr. Jennifer M. Jones, PhD, is a senior Scientist and Director of the Cancer Rehabilitation & Survivorship Program at the Princess Margaret Cancer Centre in Toronto. Along with her colleague Stephanie Phan, Clinical Lead for the program, they provided an overview of her program, one of the best in the world and the only one of its kind in Canada.
Canadian Cancer Survivor Network staff Allison MacAlister and Jaymee Maaghop joined in the conversation to discuss the current national landscape, and what CCSN is doing to raise awareness for cancer rehabilitation in Canada.
Tolson, jennifer mental health services and weight loss surgery nfjca v4... (1)William Kritsonis
Dr. William Allan Kritsonis has served as an elementary school teacher, elementary and middle school principal, superintendent of schools, director of student teaching and field experiences, professor, author, consultant, and journal editor. Dr. Kritsonis has considerable experience in chairing PhD dissertations and master thesis and has supervised practicums for teacher candidates, curriculum supervisors, central office personnel, principals, and superintendents. He also has experience in teaching in doctoral and masters programs in elementary and secondary education as well as educational leadership and supervision. He has earned the rank as professor at three universities in two states, including successful post-tenure reviews.
This document describes a study that examined the effects of exercise on quality of life outcomes in women undergoing radiation therapy for breast cancer. 45 women participated in the study, completing surveys on their exercise habits and quality of life before and after radiation therapy. While no significant differences were found between groups that exercised more or less, the researchers observed trends of improved quality of life and less fatigue in the group that exercised more vigorously. However, the sample size may have been too small to detect statistically significant differences.
This document discusses relevant endpoints for clinical trials involving patients with advanced breast cancer. It notes that these patients are a heterogeneous population with different disease characteristics and needs. While traditional endpoints like progression-free survival are important, patient-reported outcomes that measure symptom control, physical functioning, and quality of life are also critical given the focus on long-term management of the disease. The document recommends that phase III trials incorporate patient-reported outcomes to better assess new treatments' impact on symptoms and functioning from the patient perspective.
Living with Advanced Breast Cancer: Challenges and Opportunitiesbkling
- Metastatic breast cancer poses significant challenges as it is incurable and can recur even after early-stage treatment, with over 500,000 deaths worldwide annually. Living with metastatic disease differs profoundly from early-stage experiences.
- Two surveys of over 1,000 metastatic breast cancer patients across countries found high levels of fear, confusion and depression upon diagnosis. While most received family support, many felt stigma and isolation. Information seeking helped patients cope.
- More research funding and clinical trials inclusive of quality of life are needed. Counting metastatic cases is important to assess needs and allocate resources for supportive care and treatments that meaningfully extend survival and quality of life for these patients. Guidelines can help patients navigate a still deadly disease.
This document discusses integrative oncology and comprehensive care for cancer patients. It defines integrative medicine as combining biomedical care with complementary therapies to heal the whole person - body, mind and spirit. The document notes high rates of complementary and alternative medicine use among cancer patients and barriers to discussing these therapies with oncologists. It emphasizes treating the individual patient and their disease, and the importance of lifestyle factors like diet, exercise and weight in cancer prevention and survival.
Breast cancer is the second leading cause of death and second most common cancer in women. It occurs when abnormal cells in the breast grow in an uncontrolled way and form tumors. The breasts contain lobes and lobules which produce milk, connected by ducts. The two main types are ductal carcinoma, originating in the ducts, and lobular carcinoma, originating in the lobules. Risk factors include gender, age, family history, obesity, lack of exercise, alcohol consumption, and hormone therapy. Screening methods include breast self-exams, clinical exams by a doctor, and mammography. Treatment options depend on cancer stage and may involve surgery, radiation, chemotherapy, and hormone therapy. With early detection and treatment, the
The document provides examples of standard, boring presentation templates and encourages the creation of unique, visually appealing templates instead. It emphasizes using fewer words and more images per slide, varying fonts and colors, and breaking content into multiple slides to keep audiences engaged. Inspiration sources like design blogs and galleries of infographics and slide designs are recommended for making impactful presentations that attract and impress audiences.
1. The document discusses using vitamins, supplements, and herbs to support hormone health, specifically in augmenting bioidentical hormone replacement therapy (BHRT).
2. It provides examples of nutraceuticals and their roles in supporting estrogen metabolism, thyroid function, and liver detoxification which are important for hormone balance.
3. The document emphasizes that estrogen metabolism is important and outlines strategies like diet, exercise, and supporting the liver and bowel to help metabolize and clear estrogens in a healthy way.
Omega-3 Polyunsaturated Fatty Acids and Metabolic Syndrome Josh Nooner
This document reviews metabolic syndrome and the role of omega-3 fatty acids. It summarizes early studies showing omega-3's positive effects on cardiovascular health. Two supporting studies and one main study are discussed. Supporting Study 1 found fish oil reversed metabolic abnormalities in rats. Supporting Study 2 found omega-3 supplements improved cardiovascular risk factors in humans with metabolic syndrome. The main study found omega-3's improved endothelial function and arterial stiffness in metabolic syndrome patients, with anti-inflammatory effects. Overall, increasing omega-3 intake may benefit reversing metabolic syndrome. Future research on optimal ratios and long-term effects is recommended.
Presentation - Omega-3 PUFAs and Metabolic SyndromeJosh Nooner
1) Two supporting studies found that omega-3 fatty acid supplements significantly improved multiple metabolic abnormalities and markers of cardiovascular risk in subjects with metabolic syndrome.
2) The main article was a double-blind, placebo-controlled study that found omega-3 fatty acid supplements improved endothelial function and arterial stiffness while reducing inflammatory markers in adults with metabolic syndrome.
Weight Loss and Pharmanex TR90: What You Need to KnowLouis Cady, MD
Dr. Cady reviews the science and the facts of weight gain, weight loss, and the new genomically focused weight loss program from Pharmanex: TR90. In this program, Dr. Cady relentlessly dissects the errors of the "low fat" way to eat, targets high glycemic eating and protein deficient diets as the main culprits in our society's weight gain, and proposes a common-sense and rational way to eat to achieve any of the following goals: (a) not gain any more weight, (b) maintain your current weight, (c ) lose weight.
The genomic science behind the technology used by Pharmanex to develop TR-90 is reviewed. TR90 is the only genomically focused, nutritionally sound weight management available for sale today. The genomic science behind this product is established. Multiple scientific papers (one of which is referenced in this presentation) unequivocally show that what you eat in your diet alters gene expression.
As of the release of this slide deck on 4/19/2014, the three month TR90 system will only be available for sale in the US for one day on April 23rd at 11 a.m. CST. It is estimated that the entire manufactured run available for the US will sell out in 60 - 90 minutes. It will not be available for sale in this country for six months after this date. Please contact the office at Cady Wellness Institute if you are interested in securing a three month supply. (812) 429-0772.
This document discusses lifestyle medicine and the formation of a lifestyle medicine interest group at UCSF. It provides background on lifestyle medicine, including its focus on using lifestyle interventions like nutrition, exercise, and stress management to treat and manage disease. It summarizes evidence that lifestyle factors account for the majority of chronic disease risk and that lifestyle changes can significantly reduce risks. The interest group aims to help members develop expertise in lifestyle medicine, practice healthy living themselves, and do outreach and coaching to others. Meetings will include discussions, speakers, and health education on various topics related to lifestyle and chronic disease.
This document discusses different types of dietary fats and their effects on heart health. It outlines the differences between unsaturated, saturated, and trans fats, and notes that unsaturated fats like omega-3 fatty acids can help lower the risk of heart disease while saturated and trans fats increase risk. Clinical trials are cited showing that increased intake of omega-3 fatty acids through supplements or fish oil reduces the risk of major cardiac events. Food sources of different types of fats are also provided.
This document discusses diet and nutrition recommendations for those living with HIV. It summarizes that highly active antiretroviral therapy (HAART) has shifted concerns from wasting to lipodystrophy and increased risk of heart disease. A study found those with HIV-related fat redistribution syndrome ate less calories, protein and fiber. HAART treatment can raise cholesterol levels from pre-infection levels. Cholesterol plays many important roles in the body and some studies found lower cholesterol associated with greater HIV infection risk. Long-term recommendations focus on maintaining a healthy weight, choosing high-quality fats, increasing omega-3s, reducing refined carbs and trans fats, exercising, and considering natural therapies before drugs to manage cholesterol.
INTRODUCTION TO NUTRIGENETICS- GENES AND ITS FUNCTIONSAgilandeswariAT
1. The document provides an introduction to concepts in nutrigenetics including how genes influence an individual's response to nutrients. It discusses DNA variations like SNPs and how these variations make each person unique.
2. Key concepts covered include the roles of nutrigenomics, nutrigenetics, epigenetics and how environmental factors like nutrition can influence gene expression and impact health. Several gene-nutrient interactions are examined like genes involved in appetite regulation and weight management.
3. The document analyzes specific genes like FTO, ADIPOQ and APOE and how variants in these genes may impact traits like obesity risk, cholesterol levels and response to different diets. It stresses the potential for nutrigenet
Rheumatoid arthritis is a chronic inflammatory disease that causes pain, stiffness, and swelling in the joints. If left untreated, it can lead to joint damage, deformity, disability, and reduced life expectancy. The document discusses the epidemiology, etiology, pathogenesis, clinical presentation, diagnosis, and treatment of RA including both conventional and biologic disease-modifying antirheumatic drugs. Lifestyle modifications including exercise, diet, supplements, sleep, and stress management can help improve symptoms of RA.
You can not change your genome but can influence how it is used by healthy food patterns and lifestyle. This talk focuses on the gut as a primary gatekeeper between foods, the microbiota and the immuno-metabolic system of the host. The underlying biology is complex but well regulated if the system is not chronically overloaded.
Benefits of Physical Activities (PA) in Cancer SurvivorsRajat Chauhan
On 4th March 2012, I had the privelege of talking at Asian Breast Cancer Conference. But I wasn't planning on going there and be a yes man.
I took the oncology fraternity to task. If they have known for a long time that exercise and physical activity reduces cancer risk by 25-50% and side effects in survivors from inactivity is as bad as disease itself, then why don't they talk and promote more about it. Only a quarter bring up exercise to their patients. I was looking to get a reaction, whether it be a shoe thrown at me or saying, wow... Let's work together on this... But the audience was very sedated... courtesy the pharmaceutical industry that sponsors conferences like these. There was no response. I finished my talk by saying "my role model is Lance Armstrong, a man who did amazing things in world of sports after he was diagnosed, treated and then survived cancer."
Enjoy the presentation.
This document discusses the health benefits of various foods and food components. It notes that organic milk contains higher levels of vitamins E, beta carotene, and lutein/zeaxanthine compared to conventional milk. Various fruits like blueberries, strawberries, raspberries, cranberries, and apples are highlighted for their antioxidant properties. Seafood is described as rich in vitamins D and iodine, as well as omega-3 fatty acids. Fermented dairy is said to contain beneficial bacteria, enzymes, vitamins, and minerals that support immunity and bone health. Overall, the document promotes the health advantages of traditional, whole foods diets compared to modern Western diets.
The document discusses healthy eating patterns for chronic kidney disease (CKD). It notes that healthy eating patterns with adequate fruits and vegetables and limited alcohol and sodium may delay CKD progression and improve survival. The U.S. Dietary Guidelines recommend a diet including vegetables, fruits, whole grains, low-fat dairy, and protein sources like seafood, nuts, and legumes, while limiting saturated fat, added sugars, and sodium. For people with CKD, such a diet can help reduce risks from the disease.
Cancer Survivorship Challenges and OpportunitiesGaynorOncology
This document discusses cancer survivorship challenges and opportunities. It provides statistics on cancer survivors such as over 60% being over age 65 and the most common cancer sites being breast, prostate, and colorectal. It then discusses trends in improved 5-year survival rates for many cancer sites from 1975-2003. The document outlines goals for cancer survivors including monitoring biomarkers, maintaining wellness through lifestyle factors like nutrition and exercise, and becoming active participants in their care. Biomarkers discussed include fasting insulin levels, IGF-1, and drug metabolism biomarkers. The roles of lifestyle factors like meditation, yoga, exercise, music, spirituality, and nutrition including soy and vitamin D are also summarized.
This document provides an overview of topics to be covered in an introductory nutrition class from a functional medicine perspective. The class will cover nutrition basics including the six classes of nutrients and their absorption; functional imbalances related to digestion, detoxification and more; biochemical individuality and the importance of personalized nutrition approaches; and how functional medicine views food as containing elements to support health and vitality rather than just avoiding problems. The functional medicine model focuses on restoring health through addressing underlying imbalances.
Predimed study is one of the few truly long term randomized trials with disease and mortality outcomes. It is unique in many ways and will have a strong and lasting impact
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Dr. Kenneth Dickie from Royal Centre of Plastic Surgery in Barrie, Ontario explained Age Management. He discussed the signs and symptoms of aging, dementia, metabolic syndrome, diet and more.
If you have any questions, please contact Dr. Kenneth Dickie at http://royalcentreofplasticsurgery.com/
Anti-Obesity Pharmacotherapy: Where are we now? Where are we going?InsideScientific
Obesity is a treatable chronic disease. With nearly 2 billion individuals worldwide classified as being overweight and 650 million as having obesity, it is critical to optimize implementation of existing treatment interventions and develop novel therapies to mitigate the obesity pandemic. Anti-obesity medications are one of the essential tools in our medical toolbox to help patients achieve their health and weight goals.
In this webinar, Dr. Jastreboff discusses current use of anti-obesity pharmacotherapy, mechanisms involved, and agents in various stages of development with considerations for next steps. The presentation aims to inspire development of innovative therapeutics while optimizing use of existing agents to address the urgent need to effectively and sustainably treat millions of individuals with obesity around the world.
Key Topics Include:
- Understand the role of anti-obesity pharmacotherapy in the treatment of obesity
- Describe current anti-obesity pharmacotherapy
- Discuss anti-obesity medications under development
Similar to 2013 Cancer Survivorship Conference at Jefferson University Hospitals (20)
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
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Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
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Gemma Wean- Nutritional solution for Artemiasmuskaan0008
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Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
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2013 Cancer Survivorship Conference at Jefferson University Hospitals
1. Cancer Survivorship and Integrative
Cancer Care
Daniel A. Monti, M.D.
Professor and Director
Myrna Brind Center of Integrative Medicine
Thomas Jefferson University and Hospital
3. Our Survivorship Model
• You and your primary KCC specialists (medical, radiation
and surgical oncology) are at the helm
• Focus on Proactive Lifestyle Management (diet, activity
level and stress management) to support and enhance
care plan
• Phenotype = Genotype + Life
4. The Goals of Integrative Cancer
Survivorship Care
Reduction of Risk
Symptom Management
Quality of Life
Decrease Stress
Test Adjunctive therapies
5. Trend Modification:
• Lifestyle
• Environment
• Nutrition
*Will account for up to 75% of health and
life expectancy after 40
Murray and Lopez (1997)
6. Highest male healthy life expectancy
Lancet, 2012
•
•
•
•
•
•
•
•
•
•
Rank (95% uncertainty intervals)
Japan 1 (1–2)
Singapore 2 (1–6)
Switzerland 3 (2–10)
Spain 4 (2–8)
Italy 5 (3–14)
Australia 6 (4–15)
Canada 7 (4–18)
Andorra 8 (2–28)
Israel 9 (3–18)
South Korea 10 (4–18)
7. Highest female healthy life expectancy
Lancet, 2012
•
•
•
•
•
•
•
•
•
•
Rank (95% uncertainty intervals)
Japan 1 (1–1)
South Korea 2 (2–7)
Spain 3 (2–6)
Singapore 4 (2–17)
Taiwan 5 (2–16)
Switzerland 6 (2–22)
Andorra 7 (2–33)
Italy 8 (5–18)
Australia 9 (6–19)
France 10 (7–26)
8. Nutrition is a key element of
Integrative Oncology
-Food is an important factor in
gene expression.
-Food is emphasized over
supplements.
-Food affects cancer risk.
-Food affects cancer outcomes.
9. Let your food be your medicine
And your medicine be your food
Hippocrates
10. Body Fat Increases CA Risk
• Body fat secretes cytokines that promote
inflammation
• Too much body fit triggers insulin
resistance, raising levels of insulin and
growth factors that promote cancer
• Fat increases estrogen production
• Increase in body fat may impair immunity
11.
12. Obesity Trends* Among U.S. Adults
BRFSS, 1990, 2000, 2010
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2000
1990
2010
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
13. Obesity Rates (OECD, 2012)
35%
30%
Rate of obesity
25%
20%
Hungary
Ireland
England
15%
Canada
USA
10%
Spain
Italy
France
5%
Switzerland
Korea
0%
1970
1975
1980
1985
1990
Year
1995
2000
2005
2010
14. Insulin and IGF-1 and Cancer
Gallagher and LeRoith, Trends in Endo and Metab, 2010
15. Obesity-Associated Malignancies
• Breast (postmenopausal)
• Endometrium
• Prostate
• Kidney
• Colon
• Esophagus
• Pancreas
• Gallbladder
AICR report
estimates
that obesity-related
excesses
of these 7 cancers
account for approx
105,000
preventable deaths
a year in the US
16. WCRF/AICR Dietary Recommendations to
Reduce Cancer Risk 2007
• Limit consumption of red meats (beef, pork and
lamb) and avoid processed meats
17. Nutritional Risk Reduction Strategies
Eat More:
•
Phytoestrogens
– Soy foods
•
•
•
•
•
•
– Flaxseed
Cruciferous vegetables
Garlic and onions
Turmeric and ginger
Green tea
Omega 3 fatty acids
Vitamin D
18. Estrogen Adducts,Cancer,
Dietary Effects
*Compelling evidence supports the hypothesis that specific
estrogen metabolites, predominantly catechol estrogen-3,4
quinones, react with DNA to form depurinating estrogen-DNA
adducts (review: Pruthi et al, 2012)
*I3C and DIM (found in cruciferous veggies) are potent inducers
of steroid-metabolizing enzymes such as 2-hydroxylating
cytochrome (cyp1A1) that converts circulating estradiol, a
mitogenic estrogen, to a 2-hydroxy metabolite that correlates
with lower risk of breast and gynecological cancers and may
enhance chemo in pancreatic cancer (Banerjee et al 2009)
19. Chronic Inflammation
• Mood Disorders
•
•
•
•
•
•
Autoimmune Disorders
Cancer
Cardiovascular Disease
Psoriasis
Alzheimer’s Disease
Type I and II diabetes mellitus
20. Nutrition and Inflammation
Foods that increase
inflammation
Red meat, eggs
Foods that decrease
inflammation
Omega-3 fats
Sugar
Spices and herbs
turmeric,,rosemary,ginger,
Hot peppers
alcohol
Green tea
High-Glycemic Foods
like Soda Pop
Low-Glycemic Foods
like Green Veggies
21. Chronic Inflammation
The Gut is an important variable
• GALT > Nitric Oxide > intestinal permeability > liver
alarm system : Kuppfer Cells > message to whole
body : red alert, man your battle stations!
• Anti-inflammatory Armor: FOOD, pro-biotics/
supplements, Sleep, Stress Reduction
22. Omega-3 fat
• Highly promising for supporting:
– Physical health
– Mental health
– Disease prevention
*Sources of Omega-3 fats include cold water fish, flax
seeds, raw walnuts, and others
23. Metabolic Pathways of Essential Fatty Acids
Omega-6 Fatty Acids
Omega-3 Fatty Acids
(e.g. corn, safflower, sunflower oil)
(e.g. canola, flaxseed oil, fish oils)
Linoleic acid (LA)
Alpha-linoleic acid (LNA)
delta-6-desaturase
delta-6-desaturase
Gamma-linolenic acid (GLA)
Steridonic acid
(e.g. evening primrose, borage,
and black currant seed oils)
Eicosapentaenoic acid
Dihomo-gamma-linolenic acid (DGLA)
delta-5-desaturase
PGE1
(e.g. fish oils)
delta-5-desaturase
Arachidonic acid
cyclooxygenase
PGE2
DHA
EPA
(anti-inflammatory)
lipoxigenase
LTB4
cyclooxygenase
PGE1
(anti-inflammatory)
(e.g. Mg, Zn)
lipoxigenase
LTB5
(anti-inflammatory)
(pro-inflammatory)
(pro-inflammatory)
*Factors thought to impair delta-6-desaturase activity include Mg, Zn, and B1 deficiency; aging,
alcohol, trans fatty acids; and high cholesterol levels.
24. Transformation of food chain
from 1960 to 2000
x20
Omega-6
/Omega-3
x15
x10
x6
Butter
Pork
Beef
Eggs
Ailhaud et al., Prog. Lip. Res., 2006
25.
26.
27. Traditional Dietary approaches such as
Fasting and Dietary Cleanses may have a
scientific basis
“Fasting vs dietary restriction in cellular protection
and cancer treatment: from model organisms to patients”
Lee and Longo: Oncogene (2011) 30, 3305-3316
28. Multivitamins in the Prevention
of Cancer in Men:
The Physicians’ Health Study II
JAMA, 2012
Conclusion: In this large prevention trial of male
physicians, daily multivitamin supplementation
modestly but significantly reduced the risk of total cancer.
- Adds to evidence that low-dose vitamins (versus high
dose) can have a protective effect
- Underscores need to study long-term effects, which also
was seen in the WHI Vit D and calcium study showing
total reduction in cancer (J Bone Miner Research, 2012)
29. LTR Hypomethylated
LTR Hypermethylated
Maternal
Supplements
with
zinc, methionine
betaine, choline,
folate, B12
Or
Genistein
Yellow Mouse
High risk cancer, diabetes,
obesity & reduced lifespan
Agouti Mouse
Lower risk of cancer, diabetes,
obesity and prolonged life
Cooney et al. J Nutr 132:2393S (2002); Dolinoy et al. Envir. Health Perspect 114: 567 (2006)
30. Rickets
Osteoporosis / Osteopenia
Cancer
Skin
GI / Celiac
Mood Disorders
Neurological:
MS / PD / ALS
Cardiovascular
TIGHT JUNCTIONS
Vitamin D Research www.vitamindcouncil.com accessed July 6, 2009
34. Acupuncture for Symptom
Management
• Acupuncture Prevents Radiation-induced
Xerostomia in Head and Neck Cancer
patients (Meng et al 2011, Cancer)
• Acupuncture Treats Xerostomia
• Acupuncture relieves chemo-induced
nausea
• Acupuncture may reduce cancer-related
pain and improve sleep
38. Biology of Stress:
Immune/inflammatory
Variables
• Cytokines and Chemokines (such as IL-1
and -, IL-2, TNF-, IL-8, IL-10, and others)
• Nuclear Factors, such as NF-B
• Functional activities of leukocytes, such as
NK cell activity and receptor changes
39. Individual and group mindbody interventions
• Classic examples include: mindfulnessmeditation, NET, Yoga, biofeedback,
qigong, tai chi, expressive arts therapies,
others
40. Mindfulness-based Stress
Reduction (MBSR)
• MBSR is a well-researched, standardized eight-week program
that utilizes mindfulness meditation techniques and gentle Hatha
Yoga to teach participants the skills to better cope with life stressors.
• Learn to be present, in the moment, non-judgmentally. Learn
how to breath, learn how to relax.
• Use mindfulness to facilitate connection to that which has personal
meaning
41. Mindfulness-Based Art Therapy
(MBAT) for Cancer Patients
• Uses standard 8-week mindfulness-based
stress reduction (MBSR) curriculum
• Incorporates playful art tasks that allow
for nonverbal expression of stressful
experiences
• Group format allows for camaraderie and
sharing
42. MBAT Outcomes
Health Related Quality of Life
Figure 2. SF-36 General Health
p = 0.008
Adjusted Mean: Wk 8 - Wk 1
Changes in the General
Health Subscale, on the
SF-36, in MBAT
participants as compared
to wait-list controls.
Adjusted mean
differences for each
group pre and post
intervention are shown (p
= 0.008).
(Monti et al, 2006, PsychoOncology)
15
10
5
0
-5
Treatment
Control
MBAT
-0.59
7.97
43. MBAT Outcomes
Psychological Distress
(Monti et al, 2006,
Psycho-Oncology)
Figure 1. SCL-90-R Global Severity Index
p < 0.001
Adjusted Mean: WK 8 - Wk 1
Changes in the
SCL-90-R
Global Severity
Index in MBAT
participants as
compared to
controls (p <
0.001).
0.05
-0.05
-0.15
-0.25
-0.35
Treatment
Control
MBAT
-0.04
-0.20
44. Desensitizing Distressing
Cancer-related Events
• Objective
To assess treatment effects of Neuro-Emotional
Technique (NET), a 3-5 session, individualized
program for reducing traumatic stress symptoms.
Specific endpoints include:
- Distress and QOL measures,
- Autonomic reactivity
- fMRI imaging in response to stressful cue
- Genomics testing
45. Differences between Post-training and Pre-training resting scans
Monti et al, Stress & Health (2012)
MBAT group (p<0.001)
Control group (p<0.005)
46. Stressor task post minus stressor pre-training program
Monti et al, Stress & Health (2012)
MBAT group (p<0.005)
Control group (p<0.005)
47. NET for Distressing Events
– Distressing cancer-related recollection
lasting at least 6 months
– NET is a mind-body technique that quickly
addresses distress in a few short sessions
– Distressing memory causes autonomic
reactivity
– Our preliminary data shows highly
encouraging results!
48. JeffQuit
- Three week program
- High success rate
-
Study participation costs
less than a week’s
worth of cigarettes!
49. JEFFQuit Smoking Cessation
Study
• Inclusion criteria
– History of cancer diagnosis
– Current tobacco use
– No medical or psychiatric issue
that would interfere with
program participation
– 18 years or older
50.
51. Healthy Living, Healthy You
• Overview
– 8 week program (one hour per week)
– Each session has a nutrition module and
fitness training
– Participants keep daily food journals and
are encouraged to practice exercises
– Evaluate QOL measures and basic
health measures (e.g., weight, BMI) pre
and post program
55. Ascorbic acid (Vitamin C)
and other nutrients are
being studied at Jefferson
for anti-cancer effects
56. Vit C plus Standard Chemo for
Pancreatic Cancer (Monti et al, 2013)
•
•
•
•
•
•
•
•
•
Ascorbate concentrations were reached safely
Minimal adverse events attributed to ascorbate
8 of 9 patients with decreased size of primary tumor
Metastases stable or improved in 7 subjects, including all 3 at
highest dose
7 of 9 patients had stable disease by RECIST criteria
Target concentrations of 30 mM ascorbate achieved
Deaths due to advancing underling disease
Ascorbate effects appear more gradual than cytotoxic chemo
Next study step: phase II, longer duration disease progression,
more patients.
57.
58. Thrive throughout
Survivorship
•
An Integrative plan that focuses on improved lifestyle
can have a significant positive impact on survivorship
•
Today we have a scientific basis to modify gene
expression through lifestyle interventions
•
Complementary therapies integrated within a medical
treatment plan can may have a role
•
The Jefferson Kimmel Cancer Center in partnership
with the Jefferson Myrna Brind Center provides a
comprehensive range of survivorship tools
59. Thank you!
No industry support, conflicts of
interest or disclosures to report
daniel.monti@jefferson.edu