SkyBlue Cross Alternative Health Blog

Saturday 19 January 2013

Abdominal Chemo Increases Ovarian Cancer Survival Rate

 Abdominal Chemo Increases Ovarian Cancer Survival Rate
By http://www.skybluecross.com

A large clinical test shows that giving chemotherapy directly into the stomach, as well as into a vein, can improve survival of women with advanced ovarian cancer by about sixteen months. The results of the study, which pop up in this week's issue of the New England Journal of Medicine, prompted the National Cancer Institute to issue a statement supporting doctors to employ this plan of attack for appropriate patients.

Why is this new treatment reigmine so important? Ovarian cancer is the fourth greatest reason of cancer demises in women, affecting more than 22,000 women and killing more than 16,000 in 2005. Although this disease is super treatable when saw ahead of time, virtually all cases are not noticed until they have dispersed beyond the ovaries. Because so many ovarian cancer patients are diagnosed at a later stage, it is crucial to find ways to better treatments for further progressed disease.

What is already known about ovarian cancer? virtually all women with advanced ovarian cancer get chemotherapy after surgery to get rid of the tumor. That chemotherapy is usually given into a vein and moves through the bloodstream to reach tumor cells in the stomach. Doctors have also experimented with rendering the chemotherapy straight into the abdomen through a catheter, a system called intraperitoneal (IP) chemotherapy. Eight clinical trials of this approach have been done, and most showed a gain to IP chemotherapy. But this technique is not widely wore, according to the study's author, Deborah Armstrong, MD.

"There has been a prejudice against IP therapy in ovarian cancer because it's an old idea, it requires skill and experience for the surgery and for the chemotherapy, and it's additional complicated than IV chemotherapy," said Armstrong, who is a medical oncologist and associate professor at the John Hopkins Kimmel Cancer Center in Baltimore.

How this study was done: Women with stage III ovarian cancer were randomly assigned to get either standard chemotherapy in a vein (210 women), or a combination of chemotherapy in a vein and IP chemotherapy (205 women). The women had already had surgery that successfully removed all or most of the tumor; none had tumors remaining that were larger than 1 cm in diameter. All the women were treated with the same drugs, cisplatin and paclitaxel. Six cycles of chemotherapy were planned for both groups.

What was found? Women who had IP chemo operated long without their cancer coming back and lived longest overall. Women who had traditional chemotherapy in a vein survived about 4 years after treatment, while those who got chemotherapy in the stomach as well as a vein stomach an median of nearly 5 ½ years after treatment.

That improvement is "one of the largest benefits ever observed for a new therapy in gynecologic oncology," based on data from Stephen A. Cannistra, MD, who composed an editorial published with the study. He is a professor at Harvard Medical School and managing director of the division of gynecologic medical oncology at Beth Israel Deaconess Medical Center in Boston.

Nonetheless, the IP treatment was very much more difficult on the patients. Women who had this treatment had many additional terrible or life-threatening side effects, including low white blood cell counts, infection, tiredness, and anguish. Many side effects were associated to the catheters that must be introduced into the stomach to deliver the chemotherapy. These problems were so serious that fewer than half of the women designated to undergo IP chemotherapy finished all six designed treatment cycles. That makes the survival advance that good deal supplementary noteworthy, Cannistra composed.

Women who got IP therapy also reported significantly worse caliber of life during and just after treatment. By one year out, nonetheless, both groups described similar quality of life.


Friday 18 January 2013

Cancer Therapies Right On Target

Cancer Therapies Right On Target
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 With today's new advancements in prevention, detection and treatment, a diagnosis of cancer no longer necessarily means facing a terminal disease.
Cancer has always been synonymous with loss and fear. With today's new advancements in prevention, detection and treatment, a diagnosis of cancer no longer necessarily means facing a terminal disease. Rather, as new advances provide more treatment options, cancer increasingly takes on the shape of a chronic condition.

Recently, the National Cancer Institute (NCI) announced that leading cancer organizations report that Americans' risk of dying from cancer continues to decline, indicating that progress in prevention, early detection, and newer treatments appear to be helping in the fight against this disease.

The next revolution in cancer therapy will likely find its roots in the ongoing Cancer Genome Atlas (TCGA), a pilot project initiated by the National Cancer Institute (NCI) and the National Human Genome Research Institute (NHGRI). Scientists have begun to discover that numerous genes play a role in cancer, but they have only uncovered a small portion of these genes. The Cancer Genome Atlas is aimed at helping to accelerate the understanding of the genetic make-up of cancer. Researchers hope that a better understanding of how cancer develops and spreads, will lead to new tests to detect cancer in its early, most treatable stages; new therapies to target cancer; and, ultimately, new strategies to prevent cancer.

Understanding of the genetic basis for cancer has already allowed researchers to develop the first drugs that target faulty genes, which are making a difference in the lives of patients. Just ask Bob Ferber. In July of 1999, the Los Angeles attorney was diagnosed with Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML), a malignant cancer of the bone marrow and blood.

Ferber tried many futile attempts at treatment before entering a clinical trial for a drug now called Gleevec (imatinib mesylate) tablets to help fight his disease. Gleevec, approved by the FDA in 2001, is one of the first "targeted therapies" and works by turning off the specific cause of Ph+ CML, something The Cancer Genome Atlas hopes to make possible for many more cancers. Within months, Ferber's white blood cell counts were within normal range and his disease was in remission.

"My CML diagnosis was a real scare. But, I'm grateful now. I'm grateful for every new day I have."

Sadly, not everyone's story is as positive as Ferber's. Hopefully, with the continued advancement of cancer awareness and research, preventative treatment and The Cancer Genome Atlas, cancer patients will one day be able to breathe a sigh of relief and agree with Ferber when he says, "Every time I challenge this cancer, emotionally or physically-and survive-that's a victory for me."

Researchers have developed the first cancer-fighting drugs that target faulty genes.

Note to Editors: About Gleevec Tablets: Gleevec (imatinib mesylate) tablets are indicated for the treatment of newly diagnosed adult patients with Philadelphia chromosome−positive (Ph+) chronic myeloid leukemia (CML) in chronic phase. Follow-up is limited. Gleevec tablets are also indicated for the treatment of patients with Ph+ CML in blast crisis, in accelerated phase or in chronic phase after failure of interferon-alpha (IFN-a) therapy.

Important Safety Information1: Severe (NCI Grades 3/4) neutropenia (3%&#8722;48%), anemia (<1%&#8722;42%), thrombocytopenia (<1%&#8722;33%), hemorrhage (1%&#8722;19%), fluid retention (<1%&#8722;8%) (eg, pleural effusion, pulmonary edema, and ascites) and superficial edema (1%&#8722;6%), musculoskeletal pain (1%&#8722;9%), and hepatotoxicity (3%&#8722;8%) were reported among Gleevec® recipients. Patients should be weighed and monitored regularly for signs and symptoms of edema, which can be serious or life-threatening. There have also been reports, including fatalities, of cardiac tamponade, cerebral edema, increased intracranial pressure, papilledema, and gastrointestinal perforation. Bullous dermatologic reactions (eg, erythema multiforme and Stevens-Johnson syndrome) have also been reported. In some cases, the reaction recurred upon rechallenge. Several foreign postmarketing cases note a resolution or improvement of bullous reaction following dose reduction with or without supportive care. Dose adjustments may be necessary due to hepatotoxicity, other nonhematologic adverse events, or hematologic adverse events. Therapy with Gleevec was discontinued for adverse events in 3% to 5% of patients. Patients with severe hepatic impairment should be treated at a starting dose of 300mg/day and should be closely monitored. Gleevec is metabolized by the CYP3A4 isoenzyme and is an inhibitor of CYP3A4, CYP2D6, and CYP2C9. Dosage of Gleevec Tablets should increase by at least 50% and clinical response should be carefully monitored in patients receiving Gleevec Tablets with a potent CYP3A4 inducer such as rifampin or phenytoin. Examples of commonly used drugs that may significantly interact with Gleevec include acetaminophen, warfarin, erythromycin, and phenytoin. Please see enclosed full prescribing information for other potential drug interactions. For daily dosing of 800mg and above, dosing should be accomplished using the 400mg tablets to reduce exposure to iron. Use of Gleevec Tablets is contraindicated in patients with hypersensitivity to imatinib or to any other component of Gleevec Tablets. Women of childbearing potential should be advised to avoid becoming pregnant while taking Gleevec Tablets. Because of the potential for serious adverse reactions in nursing infants, women should be advised to avoid breast-feeding while taking Gleevec Tablets.

Common Side Effects of Gleevec Tablets1: The majority of the approximately 1700 adult patients who received Gleevec in clinical studies experienced adverse events at some time, but most were mild to moderate in severity. The most frequently reported adverse events were superficial edema (58%&#8722;81%), nausea (47%&#8722;74%), diarrhea (39%&#8722;70%), muscle cramps (28%&#8722;62%), vomiting (21%&#8722;58%), rash (36%&#8722;53%), fatigue (30%&#8722;53%), musculoskeletal pain (30%&#8722;49%), and abdominal pain (30%&#8722;40%).* Supportive care may help management of most mild-to-moderate adverse events so that prescribed dose can be maintained whenever possible. Gleevec tablets should be taken with food and a large glass of water to minimize gastrointestinal (GI) irritation. Gleevec tablets should not be taken with grapefruit juice.


1 Gleevec® (imatinib mesylate) tablets prescribing information. East Hanover, NJ: Novartis Pharmaceuticals Corporation; 2005.

* Numbers indicate the range of percentages in 4 studies among adult patients with Ph+ CML in blast crisis, accelerated phase, and chronic phase.



Thursday 17 January 2013

A Healthy Colon Is Imperative For Keeping The Body Healthy And Detoxified

A Healthy Colon Is Imperative For Keeping The Body Healthy And Detoxified
http://www.skybluecross.com/

We place significant importance on the products we use to brush our teeth, wash our hair, and cleanse our bodies. Find out as much information as possible, and speak to people who have actually used colon cleansing products and services. Having a healthy colon is the key to long term health and finding good colon healthy recipes is one way to help keep your body healthy.


Keywords:
healthy colon, healthy food for colon cancer, benefits a healthy colon, benefits of a healthy colon, are colon cleanses healthy.


Article Body:
With today's active life style's and less than adequate eating habits a healthy colon is imperative for keeping the body healthy and detoxified.
Part of the reason so many Americans have an unhealthy colon is the lack of fiber benefits to their diet. Having a healthy colon is the key to long term health and finding good colon healthy recipes is one way to help keep your body healthy. Constipation, digestive distress, and mucous in your stools are just a few signs that your colon might not be completely healthy, and a healthy colon is absolutely necessary for a healthy body.

Don't let an unhealthy colon become a breeding ground for toxic poisons, parasites, disease and death. Colon therapy can also help rid the body of
parasites without a need for the heavy drugs usually prescribed to treat them. There are a number of colon cleansing products on the market today
that will cleanse the colon as well as expel parasites.

Diets of saturated fats, meats, sugars and processed foods contribute to impacted feces along the inside of the colon wall. However, eating a diet with insufficient fiber is like cleansing dishes without a sponge. A healthy diet full of fiber and probiotics (good bacteria and yeast),
plenty of rest and water, and regular exercise keeps your colon healthy. The problem is that no one who eats a "normal" diet is able to escape
the gradual formation of caked deposits and build-ups on the lining of the colon. Many people might be amazed and disgusted at what actually comes
out of an average "healthy" person during a colonic treatment.

If you want to prevent colon toxicity, chronic disease and premature aging, cleansing your colon is essential. Colon cleansing is the best defense
against colon toxicity developing, as well as maintaining a healthy diet and active lifestyle. Take charge of this important bodily function: Get
started cleaning your colon today. There are several products that we believe work very well for getting and keeping a clean and healthy colon and digestive tract. A colon cleansing can actually assist in weight loss as well, in fact some have reported up to a twenty five (25) pound loss almost over night.

A normal healthy colon is the cornerstone of a sound nutritional program assuring normal assimilation of nutritional supplements as well as dietary
food nutrients. A healthy colon is truly essential to one's overall health, especially when you consider that literally everything you eat ends up in your bowels as toxins. One of the most important things you can do to keep a healthy colon is to cleanse your body of toxins, pollutants and impacted fecal matter. The recommended amount of fiber everyone needs to maintain a healthy colon is generally between 20 and 35 grams of fiber a day.

We place significant importance on the products we use to brush our teeth, wash our hair, and cleanse our bodies. Find out as much information as possible, and speak to people who have actually used colon cleansing products and services. The elimination of undigested food and other waste products are as important as the proper digest and assimilation of food stuffs. Psyllium husk and bentonite clay based herbal colon cleansing products are safe and we recommend them as part of your overall getting healthy plan.



Wednesday 16 January 2013

Adherence With Oral Meds-An Issue In Breast Cancer "Drugs don't work in patients who don't take them.

Adherence With Oral Meds-An Issue In Breast Cancer "Drugs don't work in patients who don't take them.
By: http://www.skybluecross.com/

In the battle against breast cancer, patients are increasingly prescribed oral medications, such as hormonal therapy, to limit the risk of disease recurrence, but many patients do not take their medication. It is important that health care providers understand why women make that decision.

In the battle against breast cancer, patients are increasingly prescribed oral medications, such as hormonal therapy, to limit the risk of disease recurrence. Research has indicated that patients should stay on these drugs for five years to gain maximum benefits.

But recently, the healthcare community has started to ask a question once limited to managing common colds, not cancer: Do breast cancer patients take their medications as prescribed?

According to the American Cancer Society, more than 200,000 new cases of breast cancer are diagnosed every year in the U.S. Of those, approximately 100,000 have cancer types that are likely to respond to hormonal therapy. Taking the therapy as prescribed for the full five years can reduce their risk of recurrence.

Easier Said than Done

Based on findings from a recent symposium on medication adherence among breast cancer patients, candidates for hormonal therapy-some 500,000 women in the U.S.-may not be reaping the full benefits of their drug regimens. According to some research studies, non-compliance rates have reached as high as 40 percent.

The Symposium, called the Compliance Strategic Initiative (CSI), addressed issues that lead to medication non-compliance among breast cancer patients, and it identified possible solutions to these issues. Representatives from leading patient advocacy organizations and professional healthcare associations, as well as oncology experts and survivors from across the nation, gathered to share their perspectives. The CSI was led by a Steering Committee which included representatives from the American Cancer Society, CancerCare, the National Surgical Adjuvant Breast and Bowel Project (NSABP), and Y-ME National Breast Cancer Organization.

"Through research, we know that five years of adjuvant hormonal therapy in women with estrogen receptor-positive breast cancer prolongs survival and reduces recurrence," said D. Lawrence Wickerham, MD, associate chairman of the National Surgical Adjuvant Breast and Bowel Project. "And yet, studies also show that not all patients stay on hormonal therapy as prescribed. It is important that healthcare providers understand why women make that decision, so we can address the issue with the information, resources and support needed to help them through this part of their treatment."

Based on results of the meeting, participants gained a better understanding of the factors that contributed to non-compliance. Among those factors: patients often do not feel empowered to talk with their doctors about tough issues, such as side effects; doctors and other healthcare professionals aren't equipped with resources to assist patients in coping with or eliminating side effects; and after their acute phase of treatment, women may often feel they are left to manage therapy on their own. Physicians are under increasing pressures of time and performance and may not always have the skill set to listen well to their patients, or, simply not realize their patients may not be taking their medication. These factors combine to create communication gaps through which compliance issues can fall.

In conclusion, breast oncology advocates and experts who attended the symposium agreed that patient support mechanisms can and must be improved. Healthcare providers and patients each play pivotal roles. Through education and communication, they can begin to take the steps that will help some breast cancer patients reduce their risk of recurrence.

Two in five breast cancer patients don't take their medication properly.



Tuesday 15 January 2013

A 10-Year Drive To Put The Brakes On Breast Cancer

A 10-Year Drive To Put The Brakes On Breast Cancer
By: http://www.skybluecross.com/
Breast cancer is a highly treatable disease that now has a survival rate of 85 percent. Since early diagnosis is an important key to successful treatment, doctors say it's important that all women over the age of 18 do a Breast Self-Exam (BSE) every month, two or three days after their menstrual cycle.
Breast cancer is a highly treatable disease that now has a survival rate of 85 percent. Yet more than 212,000 women are still diagnosed with the condition each year.

Since early diagnosis is an important key to successful treatment, doctors say it's important that all women over the age of 18 do a Breast Self-Exam (BSE) every month, two or three days after their menstrual cycle. In addition, women between 20 and 39 should have a clinical breast exam at least every three years and women 40 and older should have a mammogram every year.

For the past 10 years, BMW of North America has worked with The Susan G. Komen Breast Cancer Foundation-the largest fund-raiser for breast cancer research in America-to help spread the message of early detection and to help ensure that breast cancer research continues. The groups' Ultimate Drive program has raised millions to help fund the efforts.

The initiative, fully underwritten by BMW, consists of two fleets of specifically badged BMWs making a cross-country trek, stopping in communities along the way to hold daylong events. People will be invited to test-drive the cars-at no cost to the participants-to raise money for breast cancer research, education and screening treatment programs.

The car company donates $1 directly to the Komen Foundation for each mile driven, along with whatever other proceeds are received from the program. Upon completion of every drive, each participant adds his or her own name to the Signature Vehicle-this year, a BMW 3-Series.

This year's goal is to raise over $1 million, bringing the program's 10-year total up to over $10 million. To help celebrate the initiative's 10th anniversary, the 240-stop cross-country trek has been expanded to include Alaska.

People can test-drive the cars to help fight breast cancer. They can also:

&#8226; Regularly conduct BSEs, have clinical exams and mammograms

&#8226; Stop smoking and stressing

&#8226; Get more exercise

&#8226; Cut or reduce their alcohol consumption

&#8226; Watch their diet. Try to eat plenty of olive oil, fruits, vegetables, grains, fresh fish and poultry.



Monday 14 January 2013

Increasing Awarness of Asbestos Cancer Spurs Mesothelioma Lawsuits

Increasing Awarness of Asbestos Cancer Spurs Mesothelioma Lawsuits

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Mesothelioma is caused by asbestos exposure. Asbestos is a substance found naturally. It is made of strong flexible fibres. It was used extensively in industry because the fibres are not affected by heat or chemicals and a poor conductor of electricity. It is estimated that over 5,000 products have or had asbestos in them.

Of the six types of asbestos, only four are used commercially. These are chrysotile, crocidolite, amosite and anthrophyllite. Of these, crysotile or white asbestos accounts for 99% used in USA.  In it natural state or well contained and maintained in products, asbestos do not pose a real hazard. It is when asbestos is broken down and fibres are released that there is concern.

Asbestos fibres are very thin and sharp. The fibre is 2,000 times thinner than a human hair. It measures under 0.3 microns or one millionth of a millimetre in diameter and five microns in length. It is not visible with the naked eye or through a microscope.
When released, the fibres remain in the atmosphere for a long time and can be carried great distances. When the fibres are inhaled, they stick to the lung tissue and are not expelled by breathing out or coughing. Some remain in the lungs, others gravitate into the pleural lining.

Asbestos exposure can lead to disease and develops over a long period of time. Asbestos related diseases are asbestosis, pleural plaques and lung cancers. The lung cancer can be either cancer of the lung itself or mesothelioma, a cancer of the lung lining. These cancers can take between 20 and 50 years to develop.
A recent article in a UK Newspaper highlighted the case of a Hospital Consultant who developed mesothelioma. He cannot recall any exposure to asbestos. It may well be that he was inadvertently exposed to asbestos without his knowledge i.e. such as living in the vicinity of a factory that leaked asbestos into the atmosphere.

Professor Peto has shown that new cases of mesothelioma will continue to increase in the early part of the twenty first century. He also said, “Every single person in the UK has asbestos in their lungs. It is the level of exposure that is important.”

We also know that people who has a history of asbestos exposure has a greater risk of lung cancer if they smoked. In a survey in 1992, 2602 individuals with lung cancer were interviewed. One in eight was exposed to asbestos and of these a third still smoked. A US study suggested that non-smokers exposed to asbestos have a five times greater risk of lung cancer. If they smoked, then the risk increased by a factor of 11. Smoking and asbestos exposure increases the risk of developing lung cancer to 52 times that of the general population.

At present no one knows how many lung cancers are due to asbestos exposure because of the long latency period and that cigarette smoking remains the major cause. Mesothelioma, however, is caused by asbestos exposure and this has been the basis of numerous high value legal claims.

As for the future, in the USA and Europe, asbestos related diseases will gradually increase to a peak. Of concern, however, are areas of conflict. In the Middle East, when a building was bombed, or when numerous buildings were bombed during the invasion of Iraq, do we have any idea how much asbestos was released into the atmosphere?

We are, however, certain that during the 9/11 disaster, asbestos fibres were released. When the Twin Tower collapsed, there were 400 tons of asbestos in the structure. The toxic cloud that hung over Manhattan, contained high level of asbestos. It is estimated that over 100,000 people suffered asbestos exposure. The greatest exposure was amongst first responders. Deborah Reeve was the first to die from asbestos related disease after 9/11. She was a first responder and paramedic. She died in March 2005 from mesothelioma. This concerned experts because mesothelioma takes a very long time to develop. They concluded that her exposure must have been excessive.

A study result showed that 70% of recovery and rescue workers who were active during and after the World Trade Centre collapse had some form of respiratory problem. A six year follow up study showed that sufferers with respiratory problems continue to have the same ailments.
“In the six years since the attacks,” Nadler said, “We have accumulated a mountain of evidence that thousands of those exposed are suffering from chronic respiratory disease and, increasingly, a variety of rare cancers.”

Hopefully, as experts predict, within the next few years asbestos related diseases will peak and the annual new cases will drop. If not, could it be a sleeping dragon about to wake up?


Saturday 12 January 2013

Understanding The Relation Between Asbestos Exposure And Mesothelioma Lung Cancer

Understanding The Relation Between Asbestos Exposure And Mesothelioma Lung Cancer

http://www.skybluecross.com/

An understanding of asbestos is necessary before we try to understand mesothelioma lung cancer. Asbestos, a natural fibrous mineral, used commonly in construction process and manufacturing industries is detrimental to human health. Continuous inhalation of its fibers enhances the susceptibility to respiratory disorders and can lead to many dangerous diseases. A leading example of such dangerous disease is Mesothelioma lung cancer. Actually, mesothelioma lung cancer is misnomer because mesothelioma cancers affect the lining of lungs (pleura) and abdomen and not the lungs. Since mesothelioma cancers mostly affect the lining of the lungs, it is generally called mesothelioma lung cancer. The workers who had worked in industries such as shipbuilding, asbestos mining, and asbestos production are vulnerable to mesothelioma cancers.

Mesothelioma and the Role of Carcinogens:

What is mesothelioma cancer and how does the lining of the lung become cancerous? Cancer is a tumor that is malignant in nature. Tumor is formed when there is abnormal cell division and cell multiplication in the cancerous cells. Exposure to carcinogens or cancer-causing material like cigarette smoke, asbestos and silica dust is instrumental in this abnormal cell division and formation of tumor.

Mesothelioma cancer is directly linked to asbestos exposure. However, those already exposed to asbestos have a greater chance of developing lung cancer if they are exposed to other carcinogens such as cigarette smoke. A study reports that the workers with a history of asbestos exposure and cigarette smoke are more prone to lung cancer than the non-smokers and those with no history of asbestos exposure.

Complications Associated with Mesothelioma Cancer:

Normally, the latency stage for asbestos-related diseases in general and mesothelioma cancers of the lining of lung in particular, 20-50 years, which makes detection of Mesothelioma a complicated issue. This situation is further aggravated particularly where the worker is also addicted to cigarette smoking. By the time, the disease shows its symptoms, a considerable exposure to additional carcinogens linked to cigarette smoking has already taken place. This makes a worker more vulnerable to lung cancer besides the vulnerability to mesothelioma cancers.

Mesothelioma Cancers and Legal Redress:

The Government is conscious of the ill effects of asbestos exposure and the seriousness of mesothelioma cancer. The employees working in factories with significant risk of asbestos exposure are eligible for Mesothelioma compensation, if the exposure is the cause of Mesothelioma. There has been a spate of lawsuits for seeking compensation for mesothelioma and lung cancers. In many cases, the courts have awarded heavy sums as compensation against the asbestos manufacturing companies.



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