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Lifestyle affects risk of second breast cancer

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Lifestyle affects risk of second breast cancer

Surviving breast cancer is no guarantee that a new cancer won’t appear in the other breast. However, research now suggests that women can build their own personal armor to at least partially protect themselves from this occurring.

All it takes, says Dr. Christopher I. Li, is to “stay at a normal weight, don’t smoke, and drink in moderation.”

The research, headed up by Li at the Fred Hutchinson Cancer Center in Seattle, Washington, suggests that obesity, smoking and drinking too much are all risk factors for breast cancer in the opposite breast — also called the “contralateral” breast — of women who’ve had an “estrogen receptor-positive invasive breast cancer.”

That’s because estrogen can fuel these tumors’ growth, and both fat tissue and excessive alcohol use directly increase estrogen levels in the body, Li and his team propose. They believe that smoking contributes to the risk because of all the cancer-causing substances one inhales when smoking.

Until now, there haven’t been many studies regarding ways that women could protect themselves from second breast cancers, according to the report in the September 8th online issue of the Journal of Clinical Oncology.

The new study included 365 women with a first estrogen receptor-positive breast cancer and a second contralateral cancer and 726 control subjects. By reviewing medical charts and interviewing the women directly, the researchers determined body mass index (BMI) and alcohol and tobacco use. BMI is an estimate of a person’s relative body fat calculated from her height and weight.

Compared with normal weight women, those who were obese were almost half again – by 40% — as likely to develop a contralateral breast cancer. Consumption of 7 or more alcoholic drinks per week nearly doubled the risk compared with no alcohol use. Findings were similar for current smoking.

Women who both smoke and drink following diagnosis of the first cancer had an even greater risk of a second cancer. The study showed that consuming 7 or more alcoholic drinks per week coupled with current smoking increased the odds of contralateral breast cancer more than 7-fold.

In a related editorial, Dr. Jennifer A. Ligibel, from the Dana-Farber Cancer Institute in Boston, points out that the study by Li and his team took place before use of hormonal therapy for estrogen receptor-positive breast cancer became routine. Therefore, a more modern study examining the effect of modifiable lifestyle factors should involve patients treated according to current guidelines.

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Swine flu could overload U.S. hospitals: report

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Swine flu could overload U.S. hospitals: report

Fifteen states could run out of hospital beds and 12 more could fill 75 percent of their beds with swine flu sufferers if 35 percent of Americans catch the virus in coming weeks, a report released Thursday said.

The study, based on estimates from a computer model developed by the U.S. Centers for Disease Control and Prevention, shows the strain hospitals and health departments could face as a second wave of swine flu surges.

“Our point in doing this is not to cry Chicken Little but really to point out the potential even a mild pandemic can have and how readily that can overwhelm the healthcare delivery system,” Jeffrey Levi, director of Trust for America’s Health, which sponsored the report, said in a telephone briefing.

According to the report, the number of people hospitalized could range from 168,025 in California to 2,485 in Wyoming, and many states may face shortages of beds.

Some may need to cut back on hospitalizations for elective procedures.

“States around the country will also have to figure out how to manage the influx of people in doctors’ offices and ambulatory care settings, in addition to the surge in hospitalizations,” Levi said.

He said state and local health departments are scrambling to set up distribution systems for the H1N1 vaccine as it becomes available this month, but challenges remained.

“These systems are untested, and glitches are sure to arise along the way,” Levi said.

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Healthy Minnesota Food

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Healthy Minnesota Food

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Profile of Barth Anderson who purchases produce from local farmers for The Wedge Food Coop in Minneapolis, Minnesota.

Minnesota is a state in the Midwestern region of the United States. The twelfth largest state by area in the U.S., it is the twenty-first most populous, with just over five million residents. Minnesota was carved out of the eastern half of the Minnesota Territory and admitted to the Union as the thirty-second state on May 11, 1858. Known as the “Land of 10,000 Lakes”, the state’s name comes from a Dakota word for “sky-tinted water”. Those waters, together with forests, parks, and wilderness areas, offer residents and tourists a variety of outdoor recreational opportunities.

Etymology

The word Minnesota comes from the Dakota name for the Minnesota River: Mnisota. The root Mni (also spelled mini or minne) means, “water”. Mnisota can be translated as sky-tinted water or somewhat clouded water. Native Americans demonstrated the name to early settlers by dropping milk into water and calling it mnisota. Many locations in the state have similar names, such as Minnehaha Falls (“waterfall”), Minneiska (“white water”), Minnetonka (“big water”), Minnetrista (“crooked water”), and Minneapolis, which is a combination of mni and polis, the Greek word for “city”

Health

The people of Minnesota have a high rate of participation in outdoor activities; the state is ranked first in the percentage of residents who engage in regular exercise Minnesotans have the nation’s lowest premature death rate, third-lowest infant mortality rate, and the second-longest life expectancies. According to the U.S. Census Bureau, 91% of Minnesotans have health insurance, more than in any other state. These and other measures have led two groups to rank Minnesota as the fourth-healthiest state in the nation.

On October 1, 2007 Minnesota became the seventeenth state to enact a statewide smoking ban in restaurants and bars with the enactment of Freedom to Breathe Act.

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