This document discusses a primary prevention strategy to reduce binge drinking and subsequent risks of breast and upper aerodigestive tract (UADT) cancers in New Jersey males and females aged 18-24. It finds this age group has the highest binge drinking rates and discusses how alcohol education programs in high schools and colleges could discourage binge drinking habits before they form and reduce cancer risks later in life. The strategy aims to lower incidence rates of these cancers, as over 25% of UADT cancers and 4% of breast cancers are attributed to alcohol consumption.
Cancer sites associated with tobacco form 35 to 50% of all
cancers in men and about 17% of cancers in women. These cancers
are amenable to primary prevention and can be controlled to a large
extent.
Studies have shown that older women receive less aggressive screening and treatment for breast cancer. Geriatric Oncologist, Meghan Karuturi, of MD Anderson Cancer Center joins us in this webinar to discuss age bias and how it affects older patients.
A new report from Doximity finds that there is a looming shortage of oncologists in the U.S., and that this shortage is likely to hit women especially hard. Here’s more:
•Retiring oncologists: The shortage is partly driven by the number of physicians approaching retirement. Miami, St. Louis, and San Francisco are among the 15 cities with the most oncologists — more than 25% —above retirement age.
•Cities at risk: Miami and New York are among the cities at highest risk of an oncologist shortage, while Houston and Portland, Ore., have the least risk.
•Women at risk: Buffalo, N.Y., and Hartford, Conn., which are among the cities at most risk of a shortage, also have a high number of women with breast cancer. Buffalo also has a high proportion of women with lung cancer, which is also the most fatal cancer type
Cancer sites associated with tobacco form 35 to 50% of all
cancers in men and about 17% of cancers in women. These cancers
are amenable to primary prevention and can be controlled to a large
extent.
Studies have shown that older women receive less aggressive screening and treatment for breast cancer. Geriatric Oncologist, Meghan Karuturi, of MD Anderson Cancer Center joins us in this webinar to discuss age bias and how it affects older patients.
A new report from Doximity finds that there is a looming shortage of oncologists in the U.S., and that this shortage is likely to hit women especially hard. Here’s more:
•Retiring oncologists: The shortage is partly driven by the number of physicians approaching retirement. Miami, St. Louis, and San Francisco are among the 15 cities with the most oncologists — more than 25% —above retirement age.
•Cities at risk: Miami and New York are among the cities at highest risk of an oncologist shortage, while Houston and Portland, Ore., have the least risk.
•Women at risk: Buffalo, N.Y., and Hartford, Conn., which are among the cities at most risk of a shortage, also have a high number of women with breast cancer. Buffalo also has a high proportion of women with lung cancer, which is also the most fatal cancer type
Two major factors and prevention methods for gastric cancer huatengDoriaFang
The largest genome-wide association study (GWAS) of gastric cancer in the Chinese population shows that genetic risk and lifestyle are the two major factors leading to the high incidence of gastric cancer in Chinese people.
Understanding how intermittent fasting may not only help weight loss but have multiple other health benefits including life prolongation, preventing cancer and dementia
World Cancer Day - 4th February 2018 - CHETNA NGODr. Malhar Patel
4th February is celebrated as "World Cancer Day" across the world. Center for Health, Education, Training and Nutrition Awareness (CHETNA) has invited me to give a cancer awareness to talk to their field workers so they can learn and educate the general population at grass root level.
A new research paper published by Dr. Suheil Simaan and Dr. Feras Al JerfCancer Care Specilties
A new research paper published by Dr. Suheil Simaan and Dr. Feras Al Jerf in the International Journal of Cancer and Treatment under the leadership of the oncology team at Al Zahra Oncology Center in Dubai.
cancer in india, cancer trends, trends in cancer in india, economics of tobacco, tobacco economics in india, cancer demographics, cancer demographics in india, tobacco consumption in india, tobacco related cancer deaths, tobacco related cancers, population based cancer registry statistics, comparison of cancer trends in india 1994 vs 2004 vs 2011,
Cancer is the 3rd leading cause of death in the Emirate of Abu Dhabi. It accounts for 16% of total deaths. Cancer is a silent disease you might not even notice any symptoms initially. But ‘Cancer’ can be detected early by regular health checkup and it can be surely treated better, incurring less physical, mental and financial suffering.
So on 4th February people around the world come together to celebrate world Cancer day to raise awareness of Cancer. This World Cancer Day let’s come together to fight against cancer.
This World Cancer Day Indus Health Plus offering best preventive health checkup packages including cancer screening tests at 50% less than market price with same day reports.
Get avail health checkup packages at https://goo.gl/b8KCvv
Call Us: 800-035-702-975
Two major factors and prevention methods for gastric cancer huatengDoriaFang
The largest genome-wide association study (GWAS) of gastric cancer in the Chinese population shows that genetic risk and lifestyle are the two major factors leading to the high incidence of gastric cancer in Chinese people.
Understanding how intermittent fasting may not only help weight loss but have multiple other health benefits including life prolongation, preventing cancer and dementia
World Cancer Day - 4th February 2018 - CHETNA NGODr. Malhar Patel
4th February is celebrated as "World Cancer Day" across the world. Center for Health, Education, Training and Nutrition Awareness (CHETNA) has invited me to give a cancer awareness to talk to their field workers so they can learn and educate the general population at grass root level.
A new research paper published by Dr. Suheil Simaan and Dr. Feras Al JerfCancer Care Specilties
A new research paper published by Dr. Suheil Simaan and Dr. Feras Al Jerf in the International Journal of Cancer and Treatment under the leadership of the oncology team at Al Zahra Oncology Center in Dubai.
cancer in india, cancer trends, trends in cancer in india, economics of tobacco, tobacco economics in india, cancer demographics, cancer demographics in india, tobacco consumption in india, tobacco related cancer deaths, tobacco related cancers, population based cancer registry statistics, comparison of cancer trends in india 1994 vs 2004 vs 2011,
Cancer is the 3rd leading cause of death in the Emirate of Abu Dhabi. It accounts for 16% of total deaths. Cancer is a silent disease you might not even notice any symptoms initially. But ‘Cancer’ can be detected early by regular health checkup and it can be surely treated better, incurring less physical, mental and financial suffering.
So on 4th February people around the world come together to celebrate world Cancer day to raise awareness of Cancer. This World Cancer Day let’s come together to fight against cancer.
This World Cancer Day Indus Health Plus offering best preventive health checkup packages including cancer screening tests at 50% less than market price with same day reports.
Get avail health checkup packages at https://goo.gl/b8KCvv
Call Us: 800-035-702-975
nejm obesidad en adolescente. 2102062.pdfmedineumo
obesidad en adolescente: suscríbase a nuestro canal de YouTube _MediNeumo_
La obesidad durante la adolescencia (10 a 19 años de edad) está asociada con consecuencias para la salud que incluyen prediabetes y diabetes tipo 2, enfermedad del hígado graso no alcohólico, dislipidemia, síndrome de ovario poliquístico (SOP), apnea obstructiva del sueño, y salud mental trastornos y estigma social. demás, la obesidad durante la adolescencia es un factor de riesgo de complicaciones y muerte por enfermedad coronaria , así como de muerte por cualquier causa en la edad adulta, incluida la edad adulta temprana.
RunningHead: PICOT Question 1
RunningHead: PICOT Question 7
PICOT Question
Avery Bryan
NRS-433V
Professor Christine Vannelli
May 19, 2019
Clinical Problem
A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes.
PICOT Question.
The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites.
Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education.
Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
Knowledge Discovery from Breast Cancer Databaseiosrjce
In this paper, we study various factors leading to breast cancer and also a few symptoms that act as
biomarkers for the occurrence of breast cancer in women. Totally 18 factors are taken for study. Statistical
techniques are used to analyze the influence of various factors towards the disease and test for significance of
factors is also done. Besides association rule mining is attempted to generate possible factors that may lead to
breast cancer. An attempt to classify the given dataset using information gain techniques and CHAID
techniques was done. Clustering was also done to predict the occurrence of breast cancer. The results show
that there is more possibility of developing breast cancer among married working women who have breast fed less than 2.5 years in total.
Crimson Publishers_Oral Contraceptives and Breast Cancer Risk: A Study among ...CrimsonPublishers-SBB
Oral Contraceptives and Breast Cancer Risk: A Study among the Bengalee Females of West Bengal, India by Abhishikta Ghosh Roy in Significances of Bioengineering & Biosciences
Primary Prevention Efforts to Reduce the Incidence of Breast and Upper Aerodigestive Tract Cancers
1. Rutgers University
Primary Prevention on Binge Drinking: Efforts to Reduce the Incidence of Breast and Upper
Aerodigestive Tract Cancer
Betty Kui
Cancer and Society 10:832:405
Professor Abruzzi
May 6, 2016
2. Despite being a social custom, drinking alcohol is a behavior that can endanger one's
health by putting one at higher risk for developing certain cancers. This includes cancers of the
mouth, esophagus, larynx, pharynx, liver, colorectal and breast. Although in this paper, I will
analyze how binge drinking is a risk factor for developing breast and upper aero digestive tract
(UADT) cancer. I will present incidence data on alcohol intake raises the relative risk of breast
and UADT cancer and propose a primary prevention strategy to reduce the exposure of binge
drinking in New Jersey males and females18-24 years of age.
Alcohol abuse has been casually linked and most apparent in the development of UADT
cancers which are cancers of the oral cavity, esophagus, larynx, and pharynx. It has been
estimated that 25%–68% of all UADT cancers are attributed to alcohol and up to 80% of these
tumors can be prevented by abstaining from alcohol ("Alcohol and Cancer" 1). In particular,
there is a significant higher incidence found in men developing UADT cancers than women (1).
This is most apparent in older age groups such as from ages 30 and onward ("Oral Cancer
Incidence New Cases by Age, Race, and Gender" 1)
("Oral Cancer Incidence New Cases by Age, Race, and Gender" 1)
3. In this figure extracted from a larger table produced by the National Institute of Health (NIH),
the incidence of UADT cancer found in men compared to that found in women is 2.7 times
higher from ages 40-49 and 3.3 times higher from ages 50-59 (1). Surveys like the Behavioral
Risk Factor Surveillance Survey (BRFSS) even show higher rates of chronic drinking among
men 4.8% compared with women 0.7% (BRFSS Prevalence Index 1). With 6.9 times more men
chronic drinking than women, there is exists a correlation between the frequency and amount of
drinks one has and the risk of developing UADT cancer (1). Also, this figure indicates that there
is no apparent difference in the incidence of UADT between men and women in age groups 0-29
indicating latency period when symptoms of the cancer are not as apparent ("Oral Cancer
Incidence New Cases by Age, Race, and Gender" 1). In one study, the latency period for UADT
cancer was estimated to be 12.3 to 16.4 years ("Alcohol Use and Cancer" 1). These findings
support the data compiled by the NIH in Table 1 ("Oral Cancer Incidence New Cases by Age,
Race, and Gender" 1). The first significant difference in the incidence of UADT cancers in men
and women are shown in the age group 30 to 39 years of age (1). This would mean that
behaviors of binge drinking may have began around ages 14-27. A more recent study indicated a
significant dose-response relationship with 90% of all patients with UADT cancers consumed
alcohol regularly in quantities double the amount of a control group ("Alcohol Use and Cancer"
1). Assuming individuals consuming 25 grams of alcohol daily had a risk factor of 1, individuals
consuming 100 grams of alcohol or more daily had a risk factor that spiked to 32 (1). If this type
of behavior were to presume continuously, it would put one at great risk of easily developing
UADT cancer.
While the predicted breast cancer incidence within the U.S. due to alcohol intake, 4%, is
not as high as that of UADT cancer within the U.S. due to alcohol intake, 25%–68%, data
4. support that alcohol intake is a risk factor for breast cancer ("Alcohol and Cancer" 1). In one
meta analysis, 84% of 69 case–control and 76% of 21 cohort studies published data indicating a
positive association between ethanol intake and breast cancer ("Long-Term Alcohol
Consumption and Breast, UADT and Colorectal Cancer Risk" 1). From this study, it was
calculated that 4% of all newly diagnosed breast cancer cases in the US are primarily due to
alcohol (1). Much like the dose-response relation found in heavy drinkers who developed UADT
cancer, a dose-response relation is also found in women drinking more grams of alcohol
developing breast cancer. women involved. One study found a 9% increase in risk for each 10
grams of alcohol which is equivalent to one drink a day ("Alcohol and Cancer" 1). The same
study estimated the relative risk for breast cancer to be 1.24 among women consuming around 26
grams of alcohol per day and 1.41 for women consuming 30g to 59 g per day (1).
After examining the relation between alcohol consumption and risk in developing breast
cancer and UADT cancer, I would like to discuss plausible methods of primary prevention to
reduce the incidence of these cancers. Specifically, I would like to address the New Jersey
female and male population of 18-24 years of age as I believe this is the demographic that has
the highest chance of
developing binge drinking
habits putting them at
greater risk for
developing these cancers
later in life.
Table 2
(BRFSS Prevalence Index 1)
5. Table 2 illustrates that the age group most prone to binge drinking within New Jersey are
males and females that fall within the age 18-24 category (BRFSS Prevalence Index 1).
Considering that the latency period of UADT cancer and breast cancer are around 12.3-16.4
years and 8-15 years respectively and that relative risks of UADT increases significantly after 30
years of age in Table 1, there is strong evidence that habits of binge drinking begins within the
18-24 age group (1). Consequently , the method of primary prevention I would suggest to this
demographic is alcohol abuse and cancer education programs in high school and college. The
same kind of education should also be given by physicians as this is the age group when many
young adults in America can legally drink and consequently can develop an addiction to alcohol
as well as binge drink. Although, I would put more emphasis in supplying this education to
school institutions because drinking is social behavior of students particularly those who are in
environments such as college. According to the NIH, in 2014, 37% of college students ages 18-
22 binge drink within the past month compared with 33.5% of people of the same age ("Alcohol
Use and Cancer" 1). Consequently, educating young adults the potential dangers of binge
drinking can discourage them from following that behavior and drink in moderation. Another
method of primary prevention to reduce the incidence of UADT and breast cancer is to increase
the alcohol tax in New Jersey to discourage young adults from buying an abundance of alcohol.
Although the issue with this idea is that the public may protest against this. Commercial host
liability is another method which is holding an alcohol retail establishment liable for any harm
caused by the illegal selling of alcohol to under aged or intoxicated customers. However, the
issue with this idea is that there are under aged people who have access to a fake ID card or
friend of legal age to purchase alcohol.
6. As a result, no method of primary prevention is guaranteed to be highly effective.
However, considering that one of the most effective ways to combat cancer is to reduce one's
risk of developing it in the first place, primary prevention is essential. Early prevention is a key
component of public health and helps reduce the incidence of illnesses like cancer. Consequently,
to reduce the incidence of UADT and breast cancer, I would choose to implement a primary
prevention strategy geared towards the 18-24 years of age demographic even though this specific
population would not as frequently exhibit symptoms of these cancers. A primary prevention
strategy for this demographic within New Jersey would be highly beneficial as in 2013, 7,500
women were diagnosed with breast cancer and 1,492 men and women were diagnosed with
UADT in New Jersey alone (NJ Cancer Burden Report 2013 1). A good percentage of those who
developed UADT may have been able to prevent it if they changed regulated their drinking
habits which has shown to attribute to 25%–68% of all UADT cases in one meta analysis
("Alcohol and Cancer" 1). The same applies to those who developed breast cancer even though
only 4% of all new cases were attributed to binge drinking in another study. Consequently,
primary prevention represents the foundation of public health by promoting healthy behaviors
and lifestyle choices extending and saving lives.
7. Bibliography
1. "Alcohol and Cancer." Alcohol and Alcoholism. N.p., n.d. Web. 04 May 2016.
2. "Alcohol Consumption and Breast Cancer in the Epidemiologic Follow-up Study
of the First National Health and Nutrition Examination Survey NEJM."
New England Journal of Medicine. N.p., n.d. Web. 04 May 2016.
3. "Alcohol Use and Cancer." Alcohol Use and Cancer. N.p., n.d. Web. 04 May
2016.
4. BRFSS Prevalence Index. Centers for Disease Control and Prevention, 17 Mar.
2016. Web. 04 May 2016.
5. "Long-Term Alcohol Consumption and Breast, UADT and Colorectal Cancer Risk: A
Systematic Review and Meta-Analysis." Alcohol and Cancer. N.p., n.d. Web. 04
May 2016.
6. NJ Cancer Burden Report 2012 (n.d.): n. pag. Web. 4 May 2016.
7. "Oral Cancer Incidence New Cases by Age, Race, and Gender." N.p., n.d. Web. 04 May
2016.