Anti Angiogenesis - Can We Eat To Starve Cancer?

http://www.ted.com/talks/lang/zh-cn/william_li.html 

(English version with Chinese subtitle)

Over 40% of cancers due to lifestyle, says review - BBC news

Sources : http://www.bbc.co.uk/news/health-16031149

Over 40% of cancers due to lifestyle, says review

By Michelle RobertsHealth reporter, BBC News

Booze, cigarettes and inactivity are collectively bad

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Nearly half of cancers diagnosed in the UK each year - over 130,000 in total - are caused by avoidable life choices including smoking, drinking and eating the wrong things, a review reveals.

Tobacco is the biggest culprit, causing 23% of cases in men and 15.6% in women, says the Cancer Research UK report.

Next comes a lack of fresh fruit and vegetables in men's diets, while for women it is being overweight.

The report is published in the British Journal of Cancer.

Its authors claim it is the most comprehensive analysis to date on the subject.

Lead author Prof Max Parkin said: "Many people believe cancer is down to fate or 'in the genes' and that it is the luck of the draw whether they get it.

"Looking at all the evidence, it's clear that around 40% of all cancers are caused by things we mostly have the power to change."

Weighty matters

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We didn't expect to find that eating fruit and vegetables would prove to be so important in protecting men against cancer”

Prof Max Parkin

For men, the best advice appears to be: stop smoking, eat more fruit and veg and cut down on how much alcohol you drink.

For women, again, the reviews says the best advice is to stop smoking, but also watch your weight.

Prof Parkin said: "We didn't expect to find that eating fruit and vegetables would prove to be so important in protecting men against cancer. And among women we didn't expect being overweight to be more of a risk factor than alcohol."

In total, 14 lifestyle and environmental factors, such as where you live and the job you do, combine to cause 134,000 cancers in the UK each year.

About 100,000 (34%) of the cancers are linked to smoking, diet, alcohol and excess weight.

One in 25 of cancers is linked to a person's job, such as being exposed to chemicals or asbestos.

Some risk factors are well established, such as smoking's link with lung cancer.

But others are less recognised.

For example, for breast cancer, nearly a 10th of the risk comes from being overweight or obese, far outweighing the impact of whether or not the woman breastfeeds or drinks alcohol.

And for oesophageal or gullet cancer, half of the risk comes from eating too little fruit and veg, while only a fifth of the risk is from alcohol, the report shows.

For stomach cancer, a fifth of the risk comes from having too much salt in the diet, data suggests.

Some cancers, like mouth and throat cancer, are caused almost entirely by lifestyle choices.

But others, like gall bladder cancer, are largely unrelated to lifestyle.

The researchers base their calculations on predicted numbers of cases for 18 different types of cancer in 2010, using UK incidence figures for the 15-year period from 1993 to 2007.

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By making small changes we can cut our risk of serious health problems ”

Public Health Minister Anne Milton

In men, 6.1% (9,600) of cancer cases were linked to a lack of fruit and vegetables, 4.9% (7,800) to occupation, 4.6% (7,300) to alcohol, 4.1% (6,500) to overweight and obesity and 3.5% (5,500) to excessive sun exposure and sunbeds.

In women, 6.9% (10,800) were linked to overweight and obesity, 3.7% (5,800) to infections such as HPV (which causes most cases of cervical cancer), 3.6% (5,600) to excessive sun exposure and sunbeds, 3.4% (5,300) to lack of fruit and vegetables and 3.3% (5,100) to alcohol.

Dr Rachel Thompson, of the World Cancer Research Fund, said the report added to the "now overwhelmingly strong evidence that our cancer risk is affected by our lifestyles".

The president of the Royal College of Physicians, Sir Richard Thompson, said the findings were a wake-up call to the government to take stronger action on public health.

"The rising incidence of preventable cancers shows that the 'carrot' approach of voluntary agreements with industry is not enough to prompt healthy behaviours, and needs to be replaced by the 'stick' approach of legislative solutions," he said

The government said it was intending to begin a consultation on plain packaging by the end of this year.

Public Health Minister Anne Milton said: "We all know that around 23,000 cases of lung cancer could be stopped each year in England if people didn't smoke.

"By making small changes we can cut our risk of serious health problems - give up smoking, watch what you drink, get more exercise and keep an eye on your weight."

Have you been affected by cancer? What is your reaction to the findings of this report? Send your comments to the BBC using the form below:

Why Singapore's healthcare cost is lower than Malaysia?

Question Time - Why Singapore's healthcare cost is lower than Malaysia?

Perceptions -

1. Sing Dollar is 2.5 times of RM. It is definitely more costly to seek treatment in Singapore.

2. Except for certain major operations e.g certain transplant ops..., most of illness can be treated in Malaysia.

3. A substantial number of doctors in Singapore are Malaysian. Thus, it does not make sense to get a Malaysian doctors to treat you in foreign land.

Facts - ...

- No facts. But just puzzled about the stories

1. why certain patients take months to get his or her illness treatment but failed. Yet, he or she got recovered after seeking treatment in S'pore.

2. why one has to pay RM1k for the ambulance service to s'pore but just paid RM650 back from S'pore

3 why ... why...

still pondering the root cause...

Having any experience in hiring private nurse?

Private nurse service seemed to be a blooming business nowadays due to the following reasons

- Increased number of severe stroke patients? Malaysia are getting richer ??

- More bed-ridden patients due to aging population, improved drugs which prolong life but not ....??? ,...

- Maids seemed to be playing the role of care giver for bed-ridden patients. However, due to lack of knowledge in home nursing, most of their patients will likely sufferred bed-sore or pressure-sore, which is really a nightmare to the patient and family members....

Yet, there a very few private nurse agents in Malaysia. Those good ones are usually very expensive while the less expensive one are either being secured by lucky employer or having quality issue. It is difficult to differentiate those 'private nurse' is 'foreign maid re-trained as nurse or real qualified nurse. Well, there could be no better choice for suffering patient or patient family members because the illness happened so sudden that it cause them unprepared. Strong faith will definitely count then...

As of now, home nursing services is only available in Klang Valley while it is still rarely available in small town due to affordability and mindset... Nursing home seemed to the first choice ...

...

To those who have gone through the above painful experience, do share.

To those who is going through the above painful experience, do hang on there. Life will be better and more meaningful once you overcome the challenge. You are not alone or unlucky.

To those who have not gone through the above painful experience, please 'ignore' as you will not understand those painful experience until you personally experienced it. You are just too busy to think about it. In fact, many of those who suffered the above, wished that they spend more efforts and $ on prevention measures ,.....

Ambulance Service to Singapore

Refer to Item 7 : Ground Transfer - S'pore to JB Hospital or vice versa

Private Ambulance Services and Other Charges [in SGD]

All prices shown are provided by the respective Private Ambulance Operators.*

S/N	Chargeable Service	Charges	Abella Agency	Amb Medical Services Pte Ltd	AME Amb Services	Carewell Ambulance Services Pte Ltd	CIVIC Amb Services P/L	ECON Amb Services P/L	ER Amb & Services P/L	Green Crescent Mobile Healthcare Services	HOPE Amb Service P/L	Islandwide Amb & Transportation Services	Lentor Amb P/L	Life International Amb Service P/L	Emergencies First Aid & Rescue (EFAR) Pte Ltd	"A" Team Medic	MW Medical
1	Provision of Additional Oxygen Supply	Min	$7	$10	$10-$20	$10	$20	$10	$10	$20	$20	$15	$10	$10	$10	$10	$10
		Max	$15	$20	$50-$60	$20	$50	$20	$20	$40	$30	$30	$20	$20	$20	$20	$20
2	Maternity Cases	Min	$100	$150	$150	$150	$100	$150	$150 (Price includes Amb Transfer, Medic & Oxygen more than 4litres)	Negotiable	$150	$200	$150	$50	$200	$150	NA
		Max	$200	$300	$300	$250	$300	$300	$300 (Price includes Amb Transfer, Medic & Oxygen max. 4litres)	Negotiable	$300	$300	$300	$100	$300	$300	NA
3	Psychiatric Cases	Min	$80	$150	$150	$150	$150	$150	$150 (Price includes Amb Transfer, Medic & Oxygen max. 4litres)	$150	$150	$150	$150	$80	$150	$150	$140
		Max	$100	$300	$300	$300	$300	$300	$300	$300	$300	$300	$300	$250	$300	$300	$280
4	Disposables - bandages, dressings, diapers, etc	Min	No charge	NA	$10	$5	$10	$5	Call Office 62222995	$20	$5	$10	$5	$10	$10	$10	$10
		Max	No charge	NA	$60	$30	$30	$20		$30	$20	$20	$20	$30	$30	$30	$30
5	Resuscitation per session	Flat Rate	No charge	$100	NA	Case to case basis	$100-$300	NA	Call Office 62222995	No charge	Case to Case Basis	$50	$60 ($300 With AED)	$50	Case to case basis	NA	From $85 onwards
6	Ready Pack Dressing Set	Flat Rate	No charge	NA	NA	$10	$5	$10	$20 (Price includes Dressing Pack & Dressing for simple wound)	Negotiable	$10	1 set $10	$5	$10	$10	NA	$10
7	Ground Transfer - S'pore to JB Hospital or vice versa	Min	$100	$200	$150	$300	$100	$100	$100 (Price includes Amb Transfer, Medic & Oxygen)	Negotiable	Call for quotation	$250	$150	$100	$300	$150	NA
		Max	$150	$200	$400	$500	$300	$500	$250 (Price includes Amb Transfer, Medic & Oxygen)			$500	$500	$300	$500	$500	NA
8	Nursing Procedures e.g. insertion of tube feeding, urinary catheterization, simple wound dressing, giving injection, etc	Min	Call for Quotation - dependent on type of procedure requested	$80	NA	Depend on type of procedure	$40	$40	$50	Negotiable	Call for quotation	$100	$80	$50	Call for Quotation - dependent on type of procedure requested	$80	From $85 onwards
		Max	$80	$120		Depend on type of procedure	$90	$90	$100			$150	$250	$70	NA	$150	From $85 onwards
9	Provision of ambulance transfers from hospitals to airport/seaport or vice versa	Flat Rate	Call for Quotation - dependent on type of procedure requested	$150	NA	$350-$350	$100-$300	Call for quotation	$100-$250 (Price includes Amb Transfer, Medic & oxygen only. Terminal or Tarmac case)	Negotiable	Call for quotation	$300	$200	$80-$280	Call for Quotation - dependent on type of transport and equipment required during patient transfer	$100-$500 (Tarmac)	$300
10	Discharge from hospital	Flat Rate	$35 (Working Hours) $45 (After Working Hours)	$40	$50-$70	$50 (Working Hours) $60 (After Working Hours)	$35-$50	$40 (Working Hrs) $60 (After Working Hrs)	$40 (Working Hrs) $60 (After Working Hrs)	$40-$60	$50 (Working Hrs) $70 (After Working Hrs)	$50	$50 (Working Hrs) $70 (After Working Hrs)	$40	$50 (Working Hrs) $70 (After Working Hrs)	$35-$50	$60
11	Staff Nurse with ventilator, monitoring equipment, syringe drivers / pumps oxygen, etc to fetch patient from hospital to home or vice versa	Min	Call for Quotation - dependent on type of procedure requested	$100	NA	Depend on type of procedure	$300	$150	Call Office 62222995	NA	Call for quotation	$150	$150	$200	Call for Quotation - dependent on type of procedure requested	$200	$200
		Max	NA	$430		NA	$800	$500				$200	$500	NA	NA	$500	$450

1777 Non-Emergency Private Ambulance Operators and Basic Charges

All prices shown are provided by the respective Private Ambulance Operators.*

Private Ambulance Operator (PAO)	No. of Amb	Capabilities (Yes/No)				Working Hours Mon-Fri 8am-6pm Sat 8am-1pm		After Working Hours
		Automated External Defibrillator	Basic Cardiac Life Support	First Aid	Spinal Management	1-way	2-way	1-way	2-way
Abella Agency (Office) 6744 8978 (Fax) 6744 8978	3	Yes	Yes	Yes	Yes	$60	$70	$60	$80
Ambulance Medical Services Pte Ltd (Office) 6281 8111 (Fax) 6440 9311	12	11	Yes	Yes	Yes	$80	$100	$80	$100
AME Ambulance Services (Office) 6247 7080 (Fax) 6284 0027	3	No	Yes	Yes	Yes	$60	$80	$80	$100
Carewell Ambulance Services Pte Ltd (Office) 6858 0700 (Fax) 6858 0601	3	No	Yes	Yes	Yes	$60	$80	$80	$100
CIVIC Ambulance Services Pte Ltd (Office) 6333 3000 (Fax) 6287 6940	30	In 7 Ambs	Yes	Yes	Yes	$60	$80	$80	$100
ECON Ambulance Services Pte Ltd (Office) 6382 8888 (Fax) 6464 6781	5	In 2 Ambs	Yes	Yes	Yes	$60	$80	$80	$100
Emergencies First Aid & Rescue Pte Ltd (Office) 6560 6060 (Fax) 6562 3812	2	Yes	Yes	Yes	Yes	$100	$120	$100	$120
ER Ambulance & Services Pte Ltd (Office) 6222 2995 (Fax) 6222 2991	5	In all Ambs	Yes	Yes	Yes	$80	$100	$100	$100
Green Crescent Mobile Healthcare Services (Office) 6788 8911 (Fax) 6344 0774	5	No	Yes	Yes	Yes	$80	$100	$100	$120
HOPE Ambulance Service Pte Ltd (Office) 6100 1911 (Fax) 6546 2616	10	In all Ambs	Yes	Yes	Yes	$80	$120	$100	$140
Islandwide Ambulance & Transportation Services (Office) 6366 6909 (Fax) 6482 5606	3	No	Yes	Yes	Yes	$80	$80	$100	$100
Lentor Ambulance Pte Ltd (Office) 6100 1777 (Fax) 6450 3614	8	In 3 Ambs	Yes	Yes	Yes	$60	$80	$80	$100
Life International Ambulance Service Pte Ltd (Office) 6272 6018 (Fax) 6273 1131	8	In 3 Ambs	Yes	Yes	Yes	$60	$80	$80	$100
MW Medical (Office) 6250 0625 / 9642 1803 (Fax) 6250 0665	2	Yes	Yes	Yes	No	$60	$80	$70	$100
"A" Team Medic (Office) 6255 4434 (Fax) 6386 4434	6	In all Ambs	Yes	Yes	Yes	$80	$80	$100	$100