Friday, June 29, 2012

Cover Up and Protect with SPF Clothing



Colleen Bronstein is a melanoma and breast cancer survivor, mother, artist, entrepreneur and a contributor to the Focus On Cancer blog. After her melanoma diagnosis in 1999, Colleen started her own business, Sun Threadz, which promotes skin cancer awareness and protection with clothing designed to protect skin from the sun’s harmful rays.

As a melanoma survivor I understand the need to protect myself when I am exposed to the sun.

I love the beach and everything associated with the beach - swimming, sailing, beachcombing.

But when I was diagnosed with melanoma in 1999, my world was shaken to say the least. I was afraid I could no longer do the things I loved so much, and I was worried I would be homebound during my favorite sunny seasons.

To keep doing all these things that I loved, I had to be well protected from the sun. That meant I needed to do more than just apply sunscreen.

I researched sun protection clothing in 1999 and the clothing was very generic and unisex. Since I would have to wear this clothing out in public for the rest of my life, I wanted something stylish and feminine. I was disappointed in what I saw, so I decided to design some key pieces for myself.

Shirt and skirt from Sun Threadz
The design part was easy, but finding fabric that had sufficient SPF was not. After years of searching I did find a supplier and my clothing line, Sun Threadz, was launched Memorial Day weekend, 2008.

My clothing can be found at Faith & Hope Boutique at the Perelman Center for Advanced Medicine and on my website, www.sunthreadz.com. 

On my website, you will find SPF clothing for babies, women and men. I have hats, gloves, scarves, bathing suits and jewelry from my sea, sun and sand collection.

Recently, Sun Threadz was invited to be part of the Go Sun Smart Program sponsored by San Diego State University and Klein Buendel. This project is to educate vacationing Americans about comprehensive sun safety techniques and skin cancer prevention. The study is funded by the National Cancer Institute, and has the potential to reach a significant portion of the US population when they are most vulnerable to skin damage from the sun. Employees of the project will be outfitted in sun safe attire and will visit the resorts and interface with vacationers from a nationwide market.

You will always find me and my clothing at the Abramson Cancer Center’s Focus on Melanoma Conference which is held annually in May. I’ll be there to answer your questions, show pieces from my sun-safe collection, and share my own story.

Thursday, June 28, 2012

10 Farmers Markets in Philadelphia and New Jersey


A diet rich in a variety of fresh fruits and vegetables is important for cancer prevention, not to mention it’s trendy too.

An increasing number of farmers have been making their way to Philadelphia and its surrounding areas as a part of a nation-wide movement to buy local.

Did you know most of the fresh fruits and vegetables you purchase in your supermarket have already spent as many as seven to 14 days in transit? Once produce is picked, it stops receiving nutrients from the source plant, but it is still alive. Produce loses heat and moisture over time through a process called respiration, which is one way nutrients and flavor are lost.

Asparagus, broccoli, mushrooms, and spinach have very high respiration rates and will lose moisture, flavor and nutrients quicker than an apple or onion, which have low respiration rates.

Spinach, for example loses up to 50 to 90 percent of its vitamin C content within 24 hours of being picked.

This is why local food is fresher and tastes better than food shipped long distances from other states or countries.

Should You Shop Local?

Although, farmer’s markets appear to be more expensive than supermarkets, food at local farmer’s markets may be more nutritious.

Most of the farmers’ markets accept Farmers' Market Nutrition Program paper vouchers, issued to seniors or WIC recipients. Farm to City, with its partner the Reading Terminal Market Corporation, has terminals that enable farmers to accept SNAP, debit, and credit cards, promoting fresh and local produce to everyone.

Buying local food keeps your dollars circulating in your community.

Shopping Local is a Fun Family Experience

Buy local because it’s fun for the whole family!

Shopping at farmer’s markets is a great way for kids to learn more about the fruits and vegetables on their plates. The farmers are knowledgeable and eager to share information with their customers.

Plus, many farmers sell homemade sausage, eggs, yogurt, cheese, jams, spreads, and baked goods in addition to fruits and vegetables.

To learn more visit www.buylocalpa.org and www.pasafarming.org

Farmers Markets in the Philadelphia Area


Clark Park Farmers Market
The Food Trust Farmers' Markets
43rd and Baltimore Avenue, Philadelphia, PA 19104
Tel: 215-568-0830
Contact: The Food Trust
contact@thefoodtrust.org
http://www.thefoodtrust.org
Saturdays, 10 am- to 2pm

Cliveden Park Farmers Market
The Food Trust Farmers' Markets
Chew Avenue & Johnson Street, Philadelphia, PA 19107
Tel: 215-568-0830
Contact: The Food Trust
contact@thefoodtrust.org
http://www.thefoodtrust.org
Wednesdays, 2 pm to 6 pm

Fairmount Farmers' Market
22nd Street and Fairmount Avenue, Philadelphia, PA 19107
Tel: 215-568-0830
Contact: The Food Trust
contact@thefoodtrust.org
http://www.foodtrustmarkets.org/markets.html
Thursdays, 3 pm to 7 pm

Headhouse Farmers' Market
The Food Trust Farmers' Markets
2nd and Lombard Streets, Philadelphia, PA 19147
Tel: 215-575-0444
Fax: 215-575-0466
contact@thefoodtrust.org
http://www.thefoodtrust.org/php/headhouse/
Sundays, 10 am to 2 pm

Overbrook Farms Farmers' Market
The Food Trust
Lancaster Avenue at City Avenue, (Overbrook Presbyterian Church), Philadelphia, PA 19103
Tel: 215-575-0444
Fax: 215-575-0466
contact@thefoodtrust.org
http://www.foodtrustmarkets.org/markets.html
Saturdays, 9 am to 1 pm

Farmers Markets in Southern New Jersey

Collingswood Farmers’ Market
Between Collings and Irvin Avenues, Collingswood
http://www.collingswoodmarket.com/
Saturdays, 8 am to Noon

Camden Community Farmers Market
http://www.camden-ahec.org/ahecservices/camdencommunityfarmersmarket.html

Our Lady of Lourdes Community Farmers Market
1600 Haddon Avenue
July 1 to October 28
Wednesdays, 2 pm to 5 pm

Camden Farmers Market
Walter Rand Transportation Center, Broadway
June 23 to October 27
Tuesdays, 10 am to 3 pm

Virtua Health Farmers Market
Atlantic & Mt. Ephriam Aves.
Thursdays 11 am to 3 pm
June 18 to October 29

Wednesday, June 27, 2012

Diagnosing and Staging Lymphedema

Cancer-related lymphedema is characterized as secondary lymphedema since it is ‘secondary to’ known damage to the lymphatic system due to surgery and/or radiation associated with the treatment of cancer.

There are very few medical tests that are valuable in the diagnosis of lymphedema. The diagnosis is made primarily based on an extensive and accurate medical history and physical examination.

Lymphoscinitgraphy is one diagnostic test that may be performed. In this test, radioactive labeled protein is injected beneath the surface of the skin, and the uptake and transport of the labeled protein is observed over several hours. This test can characterize the impairment of the lymphatic system’s ability to transport proteins and fluid, but is rarely necessary to plan and provide appropriate treatment.

Stages of Lymphedema

The stage of lymphedema is determined as part of the diagnosis. Lymphedema can be successfully treated in all stages, but the best and most rapid results occur when the lymphedema is identified and treated early.
  • Stage 0: Achiness, heaviness, increased warmth, sensation of fullness
  • Stage 1: Visible swelling that is soft and ‘pits’ if pressed and may disappear with elevation or overnight in bed
  • Stage 2: Swelling that doesn’t go away with elevation. Often the tissue is becoming more firm and less likely to be indented or ‘pit’ with pressure
  • Stage 3: Hard swelling associated with other changes in the skin- callus formations or small mushroom-like growths called papillomas.

Tuesday, June 26, 2012

Treating Lymphedema in Lower Extremities

Lymphedema is a possible complication of cancer treatment. While it is a well known complication after breast cancer treatment with swelling in the arm or chest wall, lymphedema can also occur in the lower half of the body after treatment for cancers in abdomen and pelvis.

 

 

What is lymphedema?

The body’s lymphatic system performs several important functions.
  • Drains protein and excessive fluid from the tissues
  • Helps to digest fat
  • Works as part of the immune system to protect against infection and cancer
Lymphedema is the accumulation of protein-rich fluid causing swelling, or edema, in the soft tissues. This edema irritates the tissues causing inflammation that can lead to thickening and hardening of the tissue. Lymph node sampling (removal) or radiation therapy, as part of treatment for cancer, are two known risk factors for the developing lymphedema after cancer.

Early signs and symptoms of lymphedema include:
  • Achiness
  • Heaviness
  • Increased warmth
  • Swelling
  • Unusual sensation in the limb
Swelling in the region of surgery is normal after a surgical procedure, but swelling that persists for extended periods of time may be cause for concern.

Lymphedema in Lower Extremities

Cardiac disease, nutritional abnormalities or blood clots (deep vein thrombosis or DVT) are all conditions that can cause swelling in the legs. It’s important to have any swelling evaluated by a physician to determine the cause.

If it is determined that the swelling is caused by lymphedema it’s important to be evaluated by a health professional with expertise in lymphedema management. Only a few physicians in the United States have expertise in lymphedema diagnosis and management, but many specialists in oncology or physical medicine and rehabilitation recognize this condition and make referrals to specialists in lymphedema management.

Friday, June 22, 2012

A Sister’s Journey: Cancer Treatment

Caroline (left) with her sister.
Cassandra Hogue is a guest contributor to the Focus On Cancer blog. Cassandra’s sister was treated at Penn’s Abramson Cancer Center. Through her sister’s surgery, several rounds of chemotherapy, radiation therapy and most recently, proton therapy, Cassandra has been a solid source of support and comfort for her sister.

My sister Caroline began cancer treatment at Penn’s Abramson Cancer Center, two months after she was diagnosed with cancer. Those were two of the longest, strangest and scariest months I can remember.

Her doctors explained thoroughly and patiently that mapping studies were needed before radiation therapy could begin, surgery was needed to place the chemotherapy port, and even more diagnostic tests had to be done before anything else could be scheduled.

When her treatment finally began, I was simultaneously relieved and worried. This was totally foreign territory shadowed by my own fear and every horror story I’ve heard about cancer treatment.

How sick would she be? Would she need blood transfusions? What constituted an “emergency?” All of the staff, especially her physicians, gave so much of their time to answer every “what if” question that we could ask.

And so began six weeks of daily trips to Penn, and weekly visits by nurses to change the chemo infusion pack that Caroline had to wear 24 hours a day. My constant anxiety slowly diminished, and my resilience slowly grew. I focused on my Buddhist meditation practice with new fervor, now suddenly realizing the truth of impermanence.

When Caroline began radiation treatment, the Perelman Center for Advanced Medicine at Penn had just opened. We became friendly with the receptionists, the parking lot attendants, and of course her oncology and radiation technicians and nurses. In a very real way, having a normal conversation with kind and considerate people made it so much easier.

Caroline tolerated the chemotherapy and radiation treatments incredibly well. She was even allowed a single weekly glass of wine, that we often enjoyed together Friday nights outside on the deck.

Major life-changing surgery was ahead for Caroline. But for now, she was feeling well. She even accompanied me to Barcelona on a business trip. As I worked, she visited art museums, strolled the Ramblas, and sipped espresso in outdoor cafes in the September sunshine. She seemed to enjoy every moment with a quiet strength.

A week before her surgery was scheduled, she and I planted dozens of tulip bulbs, in shades of wine red and golden yellow. We didn’t talk much that day; we had had many amazing talks over the weeks of her treatment. We had spoken of so many things that only sisters can share: childhood memories, adult disappointments, accomplishments and happiness.

We planted those 50 bulbs on a chilly day in October, trusting that spring would come.

Thursday, June 21, 2012

Cancer-fighting Foods: Rosemary-Lemon White Bean Dip

This cancer-fighting recipe for Rosemary-Lemon White Bean Dip is perfect to take to a summer picnic or party. And, it's healthy.

Limonene, a compound shown to have anti-cancer properties in laboratory animals, is found in the rind of the lemon.

Rosemary and garlic have a number of phytochemicals with bacteria killing and cancer-fighting properties.

Cannellini beans are a high in fiber and protein. They also contain B6, which may contribute to maintenance of healthy immune function.

 

 

Rosemary-Lemon White Bean Dip

Yields 2 cups


Ingredients
  • 2 cups cooked white beans (i.e. cannellini), drained but moist
  • 1 to 3 cloves garlic
  • ¼ cup + 1 tbsp extra virgin olive oil
  • 2 tsp minced fresh rosemary
  • The zest of 2 lemons

Directions
  1. Put the beans in the container of a food processor with 1 clove of garlic, along with a pinch of salt, blend and add the ¼ cup olive oil in a steady stream to the mixture, until smooth. Add more garlic, to taste.
  2. Beat in the rosemary, lemon zest and remaining tbsp of olive oil, add more salt and pepper as needed.
  3. Use immediately, can be refrigerated for up to 3 days.

Nutrition Facts/serving: 65 kcals; 4 grams of fat; 2 grams of protein; 1.5grams of fiber; 5 grams of carbohydrates


Recipe credit: Mark Bittman, author of Food Matters Cook Book (2010)

Wednesday, June 20, 2012

Who is at Risk for Pancreatic Cancer?

Christine Wilson, cancer survivor, shares her experiences from the Abramson Cancer Center’s Focus On Pancreatic Cancer Conference. In this blog, she recaps the conference. You can view the conference in its entirety, including presentations here.

Approximately five to 10 percent of pancreatic cancer is considered to be familial, or hereditary.  For those who have a family history of pancreatic cancer or one of several genetically linked syndromes that predispose them to pancreatic cancer, it is very important to identify that risk and get appropriate screening and intervention. 

Anyone who has had at least one parent or sibling (first-degree relative) with pancreatic cancer should meet with a certified genetic counselor to develop a comprehensive family history, and discuss their own risk for developing pancreatic cancer.  A genetic counselor can also help identify conditions such as hereditary pancreatitis that can significantly increase the risk of developing pancreatic cancer, as well as specific genetic mutations that increase the risk of developing other cancers.

The gene mutation BRCA1, for example, is associated with a high incidence of breast cancer, and has also been linked to increases in pancreatic cancer. 

It is important to realize not all risks are equal. By learning family history, every person can understand their own personal risk level. That information can be used to make decisions about screenings and tests as well as medical interventions that may reduce the chance of someone developing pancreatic cancer. 

The Abramson Cancer Center’s Gastrointestinal Cancer Risk Evaluation Program offers complete genetic testing and can provide clinical, genetic and research services for people with concerns about their risk for developing pancreatic as well as other GI cancers.

View the Focus on Pancreatic Cancer Conference to learn more about your risk for pancreatic cancer.

Tuesday, June 19, 2012

Learn About New Treatment Options for Prostate Cancer

Join Penn Medicine and 6 ABC News for a webchat about advances in prostate cancer treatment, and treatment options for prostate cancer available at Penn Medicine.

Chief of the Division of Urology Alan Wein, MD, PhD (Hon), and Chief of Genitourinary Service, Department of Radiation Oncology Neha Vapiwala, MD, will discuss proton therapy for prostate cancer, as well as the many options for prostate cancer treatment at Penn Medicine.

Date: Thursday, June 21
Time: 5 to 6 pm EST
Register here

Register for this webchat about prostate cancer treatment options at Penn Medicine, and submit your questions to Drs. Wein and Vapiwala.

If you or a loved one would like a consultation for prostate cancer treatment, you can schedule an appointment with a Penn clinician to learn about your specific treatment options.

About Prostate Cancer Treatment at Penn

Penn Medicine has one of the few programs in the nation to offer all the available options for cancer treatment.

During this one-hour live event, participants will be able to get answers to questions like:
  • What are all the treatment options for prostate cancer?
  • How do you choose the right treatment plan?
  • What is proton therapy, and how is it effective?
  • Is proton therapy right for everyone?
  • What are the latest research discoveries in prostate cancer treatment?
Register here for the live webchat about prostate cancer treatment options. 

Monday, June 18, 2012

"Good Morning America" Host Reveals She Has Blood Disorder

Last week, "Good Morning America" host Robin Roberts revealed Monday she has myelodysplastic syndrome (MDS) a blood and bone marrow disorder characterized by the production of blood cells.

The 51-year-old co-host says she developed MDS after treatment for breast cancer in 2007.

MDS-Treatment-Penn-Selina-Luger
Selina Luger, MD, is director of the leukemia program at Penn Medicine. She says previous cancer treatment with chemotherapy or radiation can be a risk factor for developing MDS. Dr. Luger is not treating Robin Roberts but has experience treating patients with this disease.

“Most people who develop MDS have not had prior chemotherapy or radiation treatment for cancer,” says Dr. Luger. “However, there is a small percentage of people who may develop MDS 18 to 24 months or 5 to 7 years after their treatment for cancer, depending on the type of treatment they received.”

What is MDS?

To understand MDS, it’s helpful to understand how it affects the body. In the body, there are three main types of cells that circulate in the blood:
  1. Red blood cells carry inhaled oxygen from the lungs to the rest of the body, and carry carbon dioxide from the body to the lungs to be exhaled.
  2. Platelets help blood clot.
  3. White blood cells help the body fight off infection.

Blood cells originate in the spongy material inside the bones called bone marrow. In people with MDS, bone marrow stem cells do not mature properly. They create immature blood cells called blasts, which are not capable of becoming fully functional white blood cells, red blood cells or platelets. If left untreated, the number of normal blood cells continue to decrease, resulting in significant impairment of quality of life or an increase in the number of blasts resulting in progression to acute leukemia.

In either case patients are at risk of life threatening complications most often because of infections or bleeding that cannot be controlled.

“When bone marrow is not functioning properly, blood counts become low and people have symptoms or complications related to those low blood counts,” says Dr. Luger. “Most people learn they have MDS after going to their doctor because they are tired. They may be anemic, and tests might reveal abnormalities.”

Treatment of MDS can either manage symptoms of the disease if the disease is not aggressive, or can be very aggressive if the disease warrants it.

“Most patients are treated for low blood counts with transfusions and other medications that provide supportive care, but those provide only temporary benefits,” says Dr. Luger. “In patients with an aggressive MDS, a bone marrow transplant offers the only chance for a cure.”

Bone Marrow Transplant for MDS

In the past the only treatment option, other than supportive care, available for patients with MDS was a traditional myeloablative bone marrow transplant from a donor (allogeneic). The patient receives massive doses of chemotherapy with or without radiation to destroy existing abnormal cells. The patient then receives bone marrow from a donor – if possible someone related. Those cells populate the body, replacing the unhealthy bone marrow cells with healthy donor bone marrow cells. Also, the bone marrow and blood cells bring with them a new immune system, which continues long term to fight off abnormal cells in a way that the patient’s immune system hadn’t previously done. Unfortunately, however, sometimes the new immune system also sees the patient’s body as foreign and tries to attack it, causing something called ‘graft versus host disease” which can be life threatening.

Although the only potentially curative option, a traditional bone marrow transplant is risky, and limited to patients under age 55 because the risks increase with age. Until recently, many patients with MDS did not have any treatment options other than supportive care, since the majority of patients are over age 60.

“Over the last five to 10 years, we have developed significant advances in the treatment of MDS. We now know that transplants don’t have to be myeoablative (irreversibly destroy the bone marrow) in order to be successful. We now do ‘mini’ or ‘reduced intensity’ transplants that are suitable for patients up to 75 years of age,” says Dr. Luger.

In a reduced intensity-transplant, less aggressive chemotherapies which don’t kill off the patient’s bone marrow cells, are used to prepare the patient’s body to accept the donor cells. Once the transplant takes place, the new marrow engrafts and over time the donor’s immune system destroys the cancer cells that are there. This is also referred to as a “graft versus tumor” effect.

Also, thanks to research and clinical trials that have been done, there are new drugs available for patients with MDS. Some of them have been shown to improve the blood counts and as a result improve quality of life of these patients, while others, while not curative have been shown to improve survival in patients with aggressive MDS.

Treatment for MDS at Penn

Penn hematologists/oncologists are national leaders in the treatment of MDS and other blood and bone marrow cancers as well as in bone marrow and stem cell transplant.

The Abramson Cancer Center also has one of the few hematologic malignancy research programs in the country approved and funded by the National Cancer Institute.

“Patients at Penn have access to the best treatment available for MDS as well as the latest clinical trials for MDS and leukemia,” says Dr. Luger..”

Learn more about bone marrow transplant for MDS at the Abramson Cancer Center.

Learn more about MDS at Oncolink.

Friday, June 15, 2012

This Father's Day: Forever Filled With Gratitude

proton-therpay-philadelphia-prostate-cancer
Frank Jr., and his dad.
In 2010, Frank McKee was diagnosed with prostate cancer. He chose to have proton therapy at Penn Medicine for prostate cancer, and today, lives a full life with his family and friends. In this blog post, his son, Frank McKee, Jr., talks about what it was like to watch his father overcome prostate cancer with proton therapy treatment at Penn.

I’ll never forget the moment my dad told me he had prostate cancer. I was leaving work, getting ready to get in my car when he called. There was something ominous about his voice that told me I shouldn’t start the car – that I was about to hear some news that would affect me deeply.

He told me he had prostate cancer, and that it was found very early. He sounded calm and collected as he told me he was researching treatments for prostate cancer and had a good chance of overcoming cancer.

Despite his optimism, my heart began to sink. His diagnosis would forever change my world.

Choosing Proton Therapy for Prostate Cancer

My dad was very confident, and after meeting with Stephen Hahn, MD, he chose Penn Medicine for proton therapy. I was confident in Penn Medicine, and was ready to be there for him to support him every step of the way.

Except, he really didn’t need it! He’d drive himself to receive proton therapy treatments nearly every day – rarely accepting an offer for a ride from me or my family. He went to work everyday too. His treatment made him a little tired, but it was nothing that stopped him from his daily routine.

His life didn’t have to stop just because he had prostate cancer.

As a son watching his father go through cancer treatment, it was challenging to be strong for him. He made it easier though, because he had a great spirit about him and was always very optimistic.

At his last treatment, our entire family came with him to celebrate with noisemakers and signs. It was a great feeling to see him at the finish line.

He finished proton therapy for prostate cancer, and today, I’d say his experience changed him for the better. He is living his life to the fullest, and has adopted a healthy lifestyle.

This Father’s Day – and every Father’s Day since his diagnosis, will be filled with gratitude.

Happy Father’s Day, Dad.


Diagnosed with prostate cancer?

Have you or a loved one been diagnosed with prostate cancer?

Penn Medicine is one of only 10 centers in the United States to offer proton therapy. Proton therapy treats prostate cancer with external beam radiotherapy in which protons are directed at a tumor. The radiation dose that is given through proton therapy is very precise, and limits the exposure of radiation to normal tissues. This reduced exposure leads to the possibility of decreased toxicity, side effects and complications for patients.

Learn more about proton therapy for prostate cancer, and how proton therapy offers potentially less side effects for men with prostate cancer.

Thursday, June 14, 2012

This Father's Day: The Hardest Thing I’ve Had to Do


Robert Lustig, MD, is professor of radiation oncology at Penn Medicine, prostate cancer survivor and proton beam therapy patient. At Penn, Dr. Lustig was able to have proton therapy for prostate cancer at the Abramson Cancer Center. In this blog, he discusses his diagnosis, and how difficult it was to tell his kids he had cancer.

A few years ago I went to the urologist for a problem unrelated to my prostate. I was not at all concerned about prostate cancer as my prostate-specific antigen (PSA) was less than 1.

While my presenting problem was minor, the urologist felt a scar on my prostate and recommended a biopsy. Two days after the biopsy, I read the diagnosis, prostatic intraepithelial neoplasia (PIN).

PIN can be a precursor of prostate cancer or may actually regress spontaneously. Six months later, a repeat biopsy confirmed my prostate was normal, and I let out a great sigh of relief.

I continued to monitor my PSA, which increased slightly but remained below 1. Two years later at a follow-up appointment, my urologist recommend a repeat biopsy, as some of the newest data recommended a repeat biopsy to confirm there was no malignancy.

I expected the third biopsy to be normal, but instead, I learned I had prostate cancer.

I checked to see that it was my report, and I read it again.

Now, how to tell my family?

My wife is a social worker in the medical field and has spent many years working with cancer patients, so telling her my diagnosis and discussing my feelings was easy. But how do I tell my children? How would they feel? How scared would they be? Their father’s mortality would suddenly jump out at them. My wife and I spent some time talking about how to tell the children.

I have two daughters, and at the time they were 27 and 33.

My youngest came home for a family discussion, and I explained to her that I had a low grade prostate cancer diagnosed at a very early stage with a very high rate of cure. I told her I would be receiving proton beam therapy at Penn, and I did not expect to miss a day of work. I assured her I would be around for a long time.

While I do not believe in keeping health secrets, the three of us agreed not to tell my eldest daughter as she was due with her first child in less than a month. This health secret was only temporary and absolutely necessary.

About a month after her delivery we again sat down as a family and told her that I would be treated for early stage prostate cancer. She obviously had similar concerns as my youngest but at least they could talk to each other.

Today, I am one year post proton beam radiation therapy for my prostate cancer.

My PSA is 0.28. I never missed a day of work.I still have the “what if the cancer comes back” thoughts, but less frequently.

Telling my children I had cancer was one of the most difficult things I ever had to do. Difficult situations occur in life. But they pass and life goes on.

Read more about Dr. Lustig’s story, and watch a video in which he discusses his experience with proton therapy at Penn Medicine. Get 10 tips for talking to kids about cancer.

Diagnosed with prostate cancer?

Have you or a loved one been diagnosed with prostate cancer?

Penn Medicine is one of only 10 centers in the United States to offer proton therapy. Proton therapy treats prostate cancer with external beam radiotherapy in which protons are directed at a tumor. The radiation dose that is given through proton therapy is very precise, and limits the exposure of radiation to normal tissues. This reduced exposure leads to the possibility of decreased toxicity, side effects and complications for patients.

Learn more about proton therapy for prostate cancer, and how proton therapy offers potentially less side effects for men with prostate cancer.



Wednesday, June 13, 2012

Should You Tell Your Child About Your Cancer Diagnosis?

Ruth Steinman, MD, is a clinical associate professor of psychiatry at the Abramson Cancer Center. Here, Dr. Steinman discusses ways to tell children of all ages about a cancer diagnosis.

Many parents feel overwhelmed about their cancer diagnosis and how it affects their families, especially their children. They may wonder what they should tell their children, or how their children will react to their cancer diagnosis.

Each child copes with a parent’s cancer according to his or her phase of development and his or her coping style. Children can cope far better than parents imagine if there is an understanding of their developmental needs and how to maximize an important support system for their children.

Children old enough to speak should be told about a parent’s cancer diagnosis. Below are recommendations for how to tell children of any age group about a cancer diagnosis and what a parent can expect at certain ages and stages of development.

Infants (age 0 to 2)
Babies and very young children are sensitive to changes in their routine and may respond with increased fussiness to the change in emotional tone in the household. Increased difficulty with separation in not uncommon and sleep may become an issue.
Maintaining consistency in caregiving is very important.

Pre-school children (age 3 to 6)
Preschoolers do not need a lot of detailed information. Magical thinking is common: “My sister was born and then mommy got cancer so my sister caused mommy’s cancer” or “I made my mommy angry and that is what made her sick.” It’s important for parents to tell their children that they did not cause cancer.

Under stress, preschoolers can regress and problems can manifest around separation, toileting and bedtime. Maintaining routine is essential with familiar toys, sippy-cups, and a consistent bedtime routine. These routines may help lower anxiety and worry.

School-aged children (age 7 to 12)
School-aged kids can cope with more information, but they too need to be reminded that they are in no way are responsible for their parent’s cancer. These children often cope by fact-finding so they tend to ask a lot of questions. They worry about how the illness affects them socially. Support consistent engagement in school activities and friendships. Anger often shows before sadness.

Adolescents (age 13 to 20)
Adolescents can understand more abstract concepts about prognosis and uncertainty. Some may stay close and other’s may withdraw, show little emotion and become occupied with peer relationships and activities. Try to limit how much extra responsibility is given to teenagers and continue to maintain as much routine as possible. Support and foster relationships teenagers have with trustworthy adults.

What if they ask if I’m going to die?
If children ask about dying, tell them you are doing everything you can to get better. Reassure them you will be honest with them along the way and that when they have concerns, they should talk to you: “From what I’ve been told, I don’t expect to die from this cancer, but if there are any changes, I’ll talk to you about it.”

Help them learn the difference between when the treatment is making you sick and when symptoms are caused by cancer: “Many people are made better by these treatments but the cancer cells are pretty nasty and I need really strong medicine to make me better,” or “The treatment is making my hair fall out and making me so tired all the time—not the cancer.”

Learn more about talking to your child about your cancer diagnosis.

Tuesday, June 12, 2012

Young Friends Fund Young Faculty



Dr. Julia Tchou with son at a Young Friends event.
Chef Daniel Stern has helped lead the revolution in Philadelphia’s restaurant scene as chef at some of the city’s premier restaurants — Le Bec Fin, Gayle, Rae, R2L and Mid-Atlantic.

Together with wife, Jennifer, co-chairs Robert Blumenthal, Jonathan Feinberg, David Goldstein, Maria Papadakis, and honorary co-chairs, Judy Abramson Felgoise, Marcy A. Shoemaker, and Nancy A. Wolfson, Stern is now leading the charge to support young faculty members at Penn’s Abramson Cancer Center.

The Young Friends of the Abramson Cancer Center supports young faculty members and researchers with funds and resources to help them develop the next generation of cancer therapies, treatments and preventive measures.

Through philanthropy and fundraising events, the group supports clinicians and scientists whose research is often underfunded.

“The Young Friends bring a different perspective to cancer philanthropy,” says Stern. “Cancer affects so many families, and it’s a cause that is very meaningful to me and my family.”

Group members encompass a wide range of ages and interests – from recent college graduates, to men and women with careers in business, real estate and design. Every member of the group has a personal desire to eradicate cancer and improve the lives of those afflicted with the disease.

Support the Young Friends of the Abramson Cancer Center, learn more about the organization here or get involved here,  or email michalg@upenn.edu.

Monday, June 11, 2012

Understanding How Pancreatic Cancer Spreads

Christine Wilson, cancer survivor, shares her experiences from the Abramson Cancer Center’s Focus On Pancreatic Cancer Conference. In this blog, she recaps the conference. You can view the conference in its entirety, including presentations here.

The ability of cancer cells to invade neighboring tissue and spread to distant organs, called metastasis, is what makes pancreatic cancer such a dangerous and potentially deadly disease. How does metastasis occur? When do cancer cells start to spread?

Metastasis is a very complex, multistep process that requires a gradual accumulation of changes in the cells, or mutations. At the cellular level, metastasis is actually very rare. Only a very few cells in a tumor ever develop the ability to spread, which makes it difficult to study.

At the Focus On Pancreatic Cancer conference, Ben Stanger, MD, PhD, likened the challenge to that of "finding Waldo." Stanger's research aims to understand which cells metastasize and how and when they do.

Early results of his research indicate in pancreatic cancer, the process may begin much earlier than previously thought. Even some pre-malignant cells appear to begin moving away from their site of origin and taking on the characteristics of the cells that surround them, which are critical steps in metastasis. Dr. Stanger’s work provides important clues as to why pancreatic cancer is so difficult to treat effectively, and it could potentially lead to the development of new therapies.

Using the Immune System to Fight Pancreatic Cancer

Greg Beatty, MD, PhD, is taking another approach to understanding how pancreatic cancers interact with normal cells in the body. His research centers on the ways in which pancreatic cancer "teaches our immune systems to help them grow and spread, cloaking themselves to avoid detection."

The body’s immune system has the ability to identify cancer cells as enemies and destroy them. But in many cases this doesn't occur and the cancer cells actually are able to interact with surrounding tissue and the immune system to help promote their growth.

Dr. Beatty calls this "bad education," and is working on approaches to send the immune system "back to school," re-educating it to attack and destroy cancer cells. Pre-clinical research has yielded positive results, and a clinical trial that utilizes an antibody known as CD40 to treat metastatic pancreatic cancer is under way at Penn.

View the Focus on Pancreatic Cancer Conference to learn more about pancreatic cancer research being done at the Abramson Cancer Center

Saturday, June 9, 2012

Mangkuraga Surga Krupuk

 
















 Mangkuraga , di kenal sebagai surganya kerupuk , tak heran disetiap jalan kalian akan melihat Kerecek ( bahan mentah dari kerupuk ) karena sebagian besar masyarakat mangkuraga jual kerupuk .

yah sekilas jika kalian hanya sekedar jalan melewati jalan Buyut/ Mangkuraga di benat kalian pasti artikel ini bercerita Bohong , Oh tidak... yang kalian lihat itu hanyalah pabrik pabrik Induknay.
dan saya katakan kebanyakan masyarakat mangku itu jual kerupuk memang benar , jika kalian survei pagi pagi sekali antara Pukul 01.00 WIB sampai 07.00 pasti kalian akan melihat pedagang-pedagang keliling yang menjajakannya dengan motor .
dan mereka akan berdagang ditempat tempat yang tak mungkin anda terpikirkan seperti di : Pasar Arjawinaggun , Pasar Jamblang , Pasar Bode , Pasar Minggu , dan masi banyak lagi , Itu baru yang pake Motor , ada juga yang pakai sepeda ,
nah jika yang sepeda ini jualannya keliling kemana mana tak menentu , mereka hanya berfikir Barang dagangannya Habis terjual.
Dan setiap pabribk pabrik pasti ada perbedaan penyajian kerupuknya .
Yah njelasinnya susah . Tapi jika anda berminat untuk menikmati kerupuk Mangkuraga , anda bisa dapatkan di Mangkuraga . Banyak dah Tempat kerupuknay .
bagi pelancong/ pembeli saya sarankan jangan berhenti di satu tempat saja , anda harus masuk kedalam mangkuraga dan temukan beberapa tempat kerupuk . hehehe
saya mau Promosi , jika anda berminat mencicipi krupuk mangku anda bisa beli di Jaln Mangkuraga no170 Rt/18 Rw/06 Lurah -Plumbon-Cirebon-45155 (mang Ja'i dan Bu Dawiyah ) itu Embah saya . mampir ya .
(Um)

Thursday, June 7, 2012

Botol Ajaib

Botol Ajaib

Hey kawan sobat islam bagaimana kabarnya nih , Cerita Ini Lumayan Buat ngakak Sejenak
tapimasih ada benang merahnay Loh cari sendiri dah .  ayo lanjutkan cerita Abu Nawas

Botol Ajaib

Tidak ada henti-hentinya. Tidak ada kapok-kapoknya, Baginda selalu
memanggil Abu Nawas untuk dijebak dengan berbagai pertanyaan atau tugas
yang aneh-aneh. Hari ini Abu Nawas juga dipanggil ke istana.
Setelah tiba di istana, Baginda Raja menyambut Abu Nawas dengan sebuah
senyuman.
"Akhir-akhir ini aku sering mendapat gangguan perut. Kata tabib pribadiku, aku
kena serangan angin." kata Baginda Raja memulai pembicaraan.
"Ampun Tuanku, apa yang bisa hamba lakukan hingga hamba dipanggil." tanya
Abu Nawas.
"Aku hanya menginginkan engkau menangkap angin dan memenjarakannya."
kata Baginda.
Abu Nawas hanya diam. Tak sepatah kata pun keluar dari mulutnya. la tidak
memikirkan bagaimana cara menangkap angin nanti tetapi ia masih bingung
bagaimana cara membuktikan bahwa yang ditangkap itu memang benar-benar
angin.
Karena angin tidak bisa dilihat. Tidak ada benda yang lebih aneh dari angin.
Tidak seperti halnya air walaupun tidak berwarna tetapi masih bisa dilihat.
Sedangkan angin tidak.

Baginda hanya memberi Abu Nawas waktu tidak lebih dari tiga hari. Abu Nawas
pulang membawa pekerjaan rumah dari Baginda Raja. Namun Abu Nawas tidak
begitu sedih. Karena berpikir sudah merupakan bagian dari hidupnya, bahkan
merupakan suatu kebutuhan. la yakin bahwa dengan berpikir akan terbentang
jalan keluar dari kesulitan yang sedang dihadapi. Dan dengan berpikir pula ia
yakin bisa menyumbangkan sesuatu kepada orang lain yang membutuhkan
terutama orang-orang miskin. Karena tidak jarang Abu Nawas menggondol
sepundi penuh uang emas hadiah dari Baginda Raja atas kecerdikannya.
Tetapi sudah dua hari ini Abu Nawas belum juga mendapat akal untuk
menangkap angin apalagi memenjarakannya. Sedangkan besok adalah hari
terakhir yang telah ditetapkan Baginda Raja. Abu Nawas hampir putus asa. Abu
Nawas benar-benar tidak bisa tidur walau hanya sekejap.
Mungkin sudah takdir; kayaknya kali ini Abu Nawas harus menjalani hukuman
karena gagal melaksanakan perintah Baginda. la berjalan gontai menuju istana.
Di sela-sela kepasrahannya kepada takdir ia ingat sesuatu, yaitu Aladin dan
lampu wasiatnya.
"Bukankah jin itu tidak terlihat?" Abu Nawas bertanya kepada diri sendiri. la
berjingkrak girang dan segera berlari pulang. Sesampai di rumah ia secepat
mungkin menyiapkan segala sesuatunya kemudian menuju istana. Di pintu
gerbang istana Abu Nawas langsung dipersilahkan masuk oleh para pengawal
karena Baginda sedang menunggu kehadirannya.
Dengan tidak sabar Baginda langsung bertanya kepada Abu Nawas.

"Sudahkah engkau berhasil memenjarakan angin, hai Abu Nawas?"
"Sudah Paduka yang mulia." jawab Abu Nawas dengan muka berseri-seri sambil
mengeluarkan botol yang sudah disumbat. Kemudian Abu Nawas menyerahkan
botol itu.
Baginda menimang-nimang botol itu.
"Mana angin itu, hai Abu Nawas?" tanya Baginda.
"Di dalam, Tuanku yang mulia." jawab Abu Nawas penuh takzim.
"Aku tak melihat apa-apa." kata Baginda Raja.
"Ampun Tuanku, memang angin tak bisa dilihat, tetapi bila Paduka ingin tahu
angin, tutup botol itu harus dibuka terlebih dahulu." kata Abu Nawas
menjelaskan. Setelah tutup botol dibuka Baginda mencium bau busuk. Bau
kentut yang begitu menyengat hidung.
"Bau apa ini, hai Abu Nawas?!" tanya Baginda marah. "Ampun Tuanku yang
mulia, tadi hamba buang angin dan hamba masukkan ke dalam botol. Karena
hamba takut angin yang hamba buang itu keluar maka hamba
memenjarakannya dengan cara menyumbat mulut botol." kata Abu Nawas
ketakutan.
Tetapi Baginda tidak jadi marah karena penjelasan Abu Nawas memang masuk
akal. Dan untuk kesekian kali Abu Nawas selamat.
oo000oo

Catur

Catur Ilustration

 Catur itu sebenarnay Olahraga yang menyenangkan dan tentunya dapat terjangkau oleh masyarakat Umum . Nah diwaktu Nganggur ini jika kalian males belajar kalian bisa cari teman untuk mengasah Otak anda .
karena catur  / dengan bermain catur membuat otak kita berfikir / dan lebih waspada dan pasti akan bisa mengerti dalam kehidupan tentang arti Resiko yang akan di dapat apabila salah langkah .
dan saya sarankan jika kalian ingin mencari lawan untuk mengasah Otak anda carilah lawan yang sekiranya Kuat/susah untuk kau kalahkan , karena semakin kuat musuhnya maka kita juga akan mengikutinya , tapi apabila kita sudah hebat tapi terus saja bertanding sama yang biasa biasa saja itu membuat dirinya tertinggal Setrategi .
jadi Intinya Lawan sama siapa saja ( saran yang paling kuat jika tidak ada pilih yang sepantaran atau diantara mereka yang terkuat) asalkan bisa memunculkan setrategi baru . (um)

Cara Menghilangkan Navbar

Cara Menghilangkan Navbar
Masi ada Navbar


Navbar itu bagian yang diatas Blog yang ada share , Report Abuse, Next Blog , ( Gmail/Yahookamu >jika sudah Login) , Dashboard , Sign Out . Menurut saya Navbar itu kurang penting enggak tau alesannay pokoknya saya kurang suka sama Navbar hehe.. mau tau caranya Lanjut Donk
Nah begini Caranya Di Tampilan Blogger Yang Baru ajah yah
1. Login Bloggermu
2. masuk ke Templete Design > Pilih Ubahsesuaikan/Costumesize
3.pilih Advanced / Tingkat Lanjutkan
4. kebawah terus pilih Add CSS masukkan Kode di bawah ini Copy Paste ajah .


#navbar-iframe {
display: none !important;
}

selamat Mencoba (Um)

The Benefits of Protein

In this video, Debra DeMille, MS, RD, CSO, registered dietitian and nutritional counselor at the Joan Karnell Cancer Center, discusses the benefits of eating protein and offers tips for choosing and cooking meat, fish and other sources of protein.

Cara Membuat Social Plug in Facebook

Cara Membuat Social Plugin Facebook
Umar-Kun


Anda Blogger Sejati , Bikin Blogmu menjadi Keren dengan memasang akun Like Facebook , Like Book , Send Button , Live stream, registration dll.
Caranya begitu Mudah Kok , anda cukup kunjungi
Facebook Develop .setelah itu anda akan masuk ke Core concepts > Social Plugin > ( Pilih Plugin apa yang mau elo pake )
setelah itu isi dah pengaturannya , Kalu udah seneng dengan tampilannya Ambil Code dan Copy Paste. Saran saya nanti akan Tampil 2 Code biar gak Repot make gadget ajah , Lalu Taruh semua Code itu di Gadget Html Java Script . Lalu lihatlah Di Blognya.
masi Bingung Leave Coment . :) Thanks



(Um)

Cara Membaut Plug in Twitter

Cara Membaut Plug in Twitter
Umar-Kun

apakah anda Blogger ? yah yah. . semoga artikel ini bermanfaat , sebenernya tujuan saya sendiri menjoinkan Blogger saya ke Twitter atau sebaliknya supaya Followers twit saya bertambah banyak . dan supaya para Followers dapat dengan mudah mengetahi perkembangan terkini dari Umar-Kun.
Plug in Twitter ini sanagt menarik , mau tau Caranya . Sini.
cara menjoinkan Plugin Twitter ke Blog anda , dengan cara ini mungkin akan mengembangkan Plugin Baru (Jika Anda Kreative)

1. Buka Blog Anda .
2. Masuk ke Twitter > Profil
3. Profil> Pengaturan
4. Pilih di bawah "situs Web" Anda juga dapat menambahkan Twitter ke situs Anda di sini.
5. Anda akan masuk di Plugin Twitter . Klik disini
6. lalu pergi ke Sumber Daya . Klik Disini
7. Happy seting dah, Terus Copy dan Paste Codenya pada Html Java Script Blog Anda
terimakasih (Um)

Wednesday, June 6, 2012

Asmara Memang Aneh


Secara tak terduga Pangeran yang menjadi putra marikota jatuh sakit. Sudah
banyak tabib yang didatangkan untuk memeriksa dan mengobati tapi tak
seorang pun mampu menyembuhkannya. Akhirnya Raja mengadakan
sayembara. Sayembara boleh diikuti oleh rakyat dari semua lapisan. Tidak
terkecuali oleh para penduduk negeri tetangga.
Sayembara yang menyediakan hadiah menggiurkan itu dalam waktu beberapa
hari berhasil menyerap ratusan peserta.
Namun tak satu pun dari merekaberhasil mengobati penyakit sang pangeran. Akhirnya sebagai sahabat dekatAbu Nawas, menawarkan jasa baik untuk menolong sang putra mahkota.
Baginda Harun Al Rasyid menerima usul itu dengan penuh harap. Abu Nawas
sadar bahwa dirinya bukan tabib. Dari itu ia tidak membawa peralatan apa-apa.
Para tabib yang ada di istana tercengang melihat Abu Nawas yang datang tanpa
peralatan yang mungkin diperlukan. Mereka berpikir mungkinkah orang macam
Abu Nawas ini bisa mengobati penyakit sang pangeran? Sedangkan para tabib
terkenal dengan peralatan yang lengkap saja tidak sanggup. Bahkan
penyakitnya tidak terlacak. Abu Nawas merasa bahwa seluruh perhatian tertuju
padanya. Namun Abu Nawas tidak begitu memperdulikannya.
Abu Nawas dipersilahkan memasuki kamar pangeran yang sedang terbaring. la
menghampiri sang pangeran dan duduk di sisinya.
Setelah Abu Nawas dan sang pangeran saling pandang beberapa saat, Abu
Nawas berkata, "Saya membutuhkan seorang tua yang di masa mudanya sering
mengembara ke pelosok negeri."
Orang tua yang diinginkan Abu Nawas didatangkan. "Sebutkan satu persatu
nama-nama desa di daerah selatan." perintah Abu Nawas kepada orang tua itu.
Ketika orang tua itu menyebutkan nama-nama desa bagian selatan, Abu Nawas
menempelkan telinganya ke dada sang pangeran. Kemudian Abu Nawas
memerintahkan agar menyebutkan bagian utara, barat dan timur. Setelah

semua bagian negeri disebutkan, Abu Nawas mohon agar diizinkan mengunjungi
sebuah desa di sebelah utara. Raja merasa heran.
"Engkau kuundang ke sini bukan untuk bertamasya." "Hamba tidak bermaksud
berlibur Yang Mulia." kata Abu Nawas.
"Tetapi aku belum paham." kata Raja.
"Maafkan hamba, Paduka Yang Mulia. Kurang bijaksana rasanya bila hamba
jelaskan sekarang." kata Abu Nawas. Abu Nawas pergi selama dua hari.
Sekembali dari desa itu Abu Nawas menemui sang pangeran dan membisikkan
sesuatu kemudian menempelkan telinganya ke dada sang pangeran. Lalu Abu
Nawas menghadap Raja.
"Apakah Yang Mulia masih menginginkan sang pangeran tetap hidup?" tanya
Abu Nawas.
"Apa maksudmu?" Raja balas bertanya.

"Sang pangeran sedang jatuh cinta pada seorang gadis desa di sebelah utara
negeri ini." kata Abu Nawas menjelaskan.
"Bagaimana kau tahu?"
"Ketika nama-nama desa di seluruh negeri disebutkan tiba-tiba degup
jantungnya bertambah keras ketika mendengarkan nama sebuah desa di bagian
utara negeri ini. Dan sang pangeran tidak berani mengutarakannya kepada
Baginda."
"Lalu apa yang harus aku lakukan?" tanya Raja.
"Mengawinkan pangeran dengan gadis desa itu."
"Kalau tidak?" tawar Raja ragu-ragu.
"Cinta itu buta. Bila kita tidak berusaha mengobati kebutaannya, maka ia akan
mati." Rupanya saran Abu Nawas tidak bisa ditolak. Sang pangeran adalah putra
satu-satunya yang merupakan pewaris tunggal kerajaan.

Abu Nawas benar. Begitu mendengar persetujuan sang Raja, sang pangeran
berangsur-angsur pulih. Sebagai tanda terima kasih Raja memberi Abu Nawas
sebuah cincin permata yang amat indah.
oo000oo

Maintain Oral Health During Cancer Treatment

Elizabeta Evtimovska, DDS, MS, is a maxillofacial prosthodontist at Penn. In this article, she discusses complications from treatments for head and neck cancer, and how patients can prevent long-term side effects of head and neck cancer treatment.

Head and neck radiation and chemotherapy can cause a range of short and long-term oral complications.

The acute complications such as mucositis (sores) and infections, as well as others are managed by the oncology team during the treatment. Some of the long-term complication, such as xerostomia (dry mouth) and osteoradionecrosis (ORN), is a serious complication of radiation therapy for head and neck cancer that occurs in a small percentage of patients as result of head and neck radiation treatment.

Osteoradionecrosis is bone that has died. Because radiation works to destroy cancerous cells through the deprivation of oxygen and vital nutrients, it inevitably destroys normal cells as well, damaging small arteries and reducing circulation to the area of the mandible (jaw bone).

As there is no treatment for ORN, the focus is on prevention. This means, avoiding extractions of teeth from the radiated parts of the jaws and making sure that dentures fit properly and don’t cause any sores. It most often occurs in the setting of tooth extraction from the radiated parts of the jaws, but can also occur spontaneously. In both cases, there is exposed bone in the mouth which can be asymptomatic or it can be further complicated by infections, pain, and/or malodor.

Preparing for head and neck cancer therapy

Patients who are planning to undergo chemotherapy or radiation should be evaluated by a dentist prior to the start of treatment.

During this appointment, the patient’s oral condition is evaluated and it is determined if any teeth need to be extracted prior to the start of radiation treatment. This visit is also a perfect time to go over good oral health care.

In our practice, I advise patients to do the following during and after radiation:
  • Maintain excellent oral hygiene by flossing and brushing every morning and evening and after every meal. If dry mouth develops, it is especially crucial to brush teeth after every meal and only drink water between meals, as opposed to sugary drinks or snacks.
  • Use fluoride to prevent caries (when xerostomia, dry mouth, is present, the patient has increased risk of caries). Fluoride is especially important to prevent extracting teeth from the radiated parts of the jaws and therefore prevent osteoradionecrosis.
  • Visit a local dentist regularly for regularly scheduled maintenance visits (cleanings), as well as any other routine dental treatment.
The severity of oral complications from chemoradiation differs depending on the diagnosis, the type of treatment administered, the amount and location of the delivered radiation, etc. Therefore, it is best to consult with a dentist prior to and after radiation in terms of the above discussed needs and recommended treatment.

Learn about managing cancer treatment side effects.

Learn about the Abramson Cancer Center Center’s Center for Head and Neck Cancer.

Tuesday, June 5, 2012

Peringatan Aneh



Suatu hari Abu Nawas dipanggil Baginda.
"Abu Nawas." kata Baginda Raja Harun Al Rasyid memulai pembicaraan.
"Daulat Paduka yang mulia." kata Abu Nawas penuh takzim.
"Aku harus berterus terang kepadamu bahwa kali ini engkau kupanggil bukan
untuk kupermainkan atau kuperangkap. Tetapi aku benar-benar memerlukan
bantuanmu." kata Baginda bersungguh-sungguh.
"Gerangan apakah yang bisa hamba lakukan untuk Paduka yang mulia?" tanya
Abu Nawas.
"Ketahuilah bahwa beberapa hari yang lalu aku mendapat kunjungan
kenegaraan dari negeri sahabat. Kebetulan rajanya beragama Yahudi. Raja itu
adalah sahabat karibku. Begitu dia berjumpa denganku dia langsung
mengucapkan salam secara Islam, yaitu Assalamualaikum (kesejahteraan buat
kalian semua) Aku tak menduga sama sekali. Tanpa pikir panjang aku
menjawab sesuai dengan yang diajarkan oleh agama kita, yaitu kalau mendapat
salam dari orang yang tidak beragama Islam hendaklah engjau jawab dengan
Wassamualaikum (Kecelakaan bagi kamu) Tentu saja dia merasa tersinggung.
Dia menanyakan mengapa aku tega membalas salamnya yang penuh doa
keselamatan dengan jawaban yang mengandung kecelakaan. Saat itu sungguh
aku tak bisa berkata apa-apa selain diam. Pertemuanku dengan dia selanjutnya
tidak berjalan dengan semestinya. Aku berusaha menjelaskan bahwa aku hanya

melaksanakan apa yang dianjurkan oleh ajaran agama Islam. Tetapi dia tidak
bisa menerima penjelasanku. Aku merasakan bahwa pandangannya terhadap
agama Islam tidak semakin baik, tetapi sebaliknya. Dan sebelum kami berpisah
dia berkata: Rupanya hubungan antara. kita mulai sekarang tidak semakin baik,
tetapi sebaliknya. Namun bila engkau mempunyai alasan lain yang bisa aku
terima, kita akan tetap bersahabat." kata Baginda menjelaskan dengan wajah
yang amat murung.
"Kalau hanya itu persoalannya, mungkin, hamba bisa memberikan alasan yang
dikehendaki rajaf sahabat Paduka itu yang mulia." kata Abu Nawas meyakinkan
Baginda.
Mendengar kesanggupan Abu Nawas, Baginda amat riang. Beliau berulang-ulang
menepuk pundak Abu Nawas. Wajah Baginda yang semula gundah gulana
seketika itu berubah cerah secerah matahari di pagi hari.
"Cepat katakan, wahai Abu Nawas. Jangan biarkan aku menunggu." kata
Baginda tak sabar.
"Baginda yang mulia, memang sepantasnyalah kalau raja Yahudi itu
menghaturkan ucapan salam keselamatan dan kesejahteraan kepada Baginda.
Karena ajaran Islam memang menuju keselamatan (dari siksa api neraka) dan
kesejahteraan (surga) Sedangkan Raja Yahudi itu tahu Baginda adalah orang
Islam. Bukankah Islam mengajarkan tauhid (yaitu tidak menyekutukan Allah
dengan yang lain, juga tidak menganggap Allah mempunyai anak. Ajaran tauhid
ini tidak dimiliki oleh agama-agama lain termasuk agama yang dianut Raja
Yahudi sahabat Paduka yang mulia. Ajaran agama Yahudi menganggap Uzair

adalah anak Allah seperti orang Nasrani beranggapan Isa anak Allah. Maha Suci
Allah dari segala sangkaan mereka.Tidak pantas Allah mempunyai anak.
Sedangkan orang Islam membalas salam dengan ucapan Wassamualaikum
(kecelakaan bagi kamu) bukan berarti kami mendoakan kamu agar celaka.
Tetapi semata-mata karena ketulusan dan kejujuran ajaran Islam yang masih
bersedia memperingatkan orang lain atas kecelakaan yang akan menimpa
mereka bila mereka tetap berpegang teguh pada keyakinan yang keliru itu,
yaitu tuduhan mereka bahwa Allah Yang Maha Pengasih mempunyai anak." Abu
Nawas menjelaskan.
Seketika itu kegundahan Baginda Raja Harun Al Rasyid sirna. Kali ini saking
gembiranya Baginda menawarkan Abu Nawas agar memilih sendiri hadiah apa
yang disukai. Abu Nawas tidak memilih apa-apa karena ia berkeyakinan bahwa
tak selayaknya ia menerima upah dari ilmu agama yang ia sampaikan.
oo000oo

Menjebak Pencuri

kisah abu Nawas Umar-Kun

Pada zaman dahulu orang berpikir dengan cara yang amat sederhana. Dan
karena kesederhanaan berpikir ini seorang pencuri yang telah berhasil
menggondol seratus keping lebih uang emas milik seorang saudagar kaya tidak
sudi menyerah.
Hakim telah berusaha keras dengan berbagai cara tetapi tidak berhasil
menemukan pencurinya. Karena merasa putus asa pemilik harta itu
mengumumkan kepada siapa saja yang telah mencuri harta miliknya merelakan
separo dari jumlah uang emas itu menjadi milik sang pencuri bila sang pencuri
bersedia mengembalikan. Tetapi pencuri itu malah tidak berani menampakkan
bayangannya.
Kini kasus itu semakin ruwet tanpa penyelesaian yang jelas. Maksud baik
saudagar kaya itu tidak mendapat-tanggapan yang sepantasnya dari sang
pencuri. Maka tidak bisa disalahkan bila saudagar itu mengadakan sayembara

yang berisi barang siapa berhasil menemukan pencuri uang emasnya, ia berhak
sepenuhnya memiliki harta yang dicuri.
Tidak sedikit orang yang mencoba tetapi semuanya kandas. Sehingga pencuri
itu bertambah merasa aman tentram karena ia yakin jati dirinya tak akan
terjangkau. Yang lebih menjengkelkan adalah ia juga berpura-pura mengikuti
sayembara. Tidak berlebihan bila dikatakan bahwa menghadapi orang seperti
ini bagaikan menghadapi jin. Mereka tahu kita, sedangkan kita tidak. Seorang
penduduk berkata kepada hakim setempat.
"Mengapa tuan hakim tidak minta bantuan Abu Nawas saja?"
"Bukankah Abu Nawas sedang tidak ada di tempat?" kata hakim itu balik
bertanya.
"Kemana dia?" tanya orang itu.
"Ke Damakus." jawab hakim
"Untuk keperluan apa?" orang itu ingin tahu.

"Memenuhi undangan pangeran negeri itu." kata hakim.
"Kapan ia datang?" tanya orang itu lagi.
"Mungkin dua hari lagi." jawab hakim.
Kini harapan tertumpu sepenuhnya di atas pundak Abu Nawas.
Pencuri yang selama ini merasa aman sekarang menjadi resah dan tertekan. la
merencanakan meninggalkan kampung halaman dengan membawa serta uang
emas yang berhasil dicuri. Tetapi ia membatalkan niat karena dengan
menyingkir ke luar daerah berarti sama halnya dengan membuka topeng dirinya
sendiri. la lalu bertekad tetap tinggal apapun yang akan terjadi.
Abu Nawas telah kembali ke Baghdad karena tugasnya telah selesai. Abu Nawas
menerima tawaran mengikuti sayembara menemukan pencuri uang emas. Hati
pencuri uang emas itu tambah berdebar tak karuan mendengar Abu Nawas
menyiapkan siasat.
Keesokan harinya semua penduduk dusun diharuskan berkumpul di depan
gedung pengadilan. Abu Nawas hadir dengan membawa tongkat dalam jumlah

berkata-kata Abu Nawas membagi-bagikan tongkat-tongkat yang dibawanya
dari rumah.
Setelah masing-masing mendapat satu tongkat, Abu Nawas berpidato, "Tongkattongkat
itu telah aku mantrai. Besok pagi kalian harus menyerahkan kembali
tongkat yang telah aku bagikan. Jangan khawatir, tongkat yang dipegang oleh
pencuri selama ini menyembunyikan diri akan bertambah panjang satu jari
telunjuk. Sekarang pulanglah kalian."
Orang-orang yang merasa tidak mencuri tentu tidak mempunyai pikiran apaapa.
Tetapi sebaliknya, si pencuri uang emas itu merasa ketakutan. la tidak
bisa memejamkan mata walaupun malam semakin larut. la terus berpikir keras.
Kemudian ia memutuskan memotong tongkatnya sepanjang satu jari telunjuk
dengan begitu tongkatnya akan tetap kelihatan seperti ukuran semula.
Pagi hari orang mulai berkumpul di depan gedung pengadilan. Pencuri itu
merasa tenang karena ia yakin tongkatnya tidak akan bisa diketahui karena ia
telah memotongnya sepanjang satu jari telunjuk. Bukankah tongkat si pencuri
akan bertambah panjang satu jari telunjuk? la memuji kecerdikan diri sendiri
karena ia ternyata akan bisa mengelabui Abu Nawas.
Antrian panjang mulai terbentuk. Abu Nawas memeriksa tongkat-tongkat yang
dibagikan kemarin. Pada giliran si pencuri tiba Abu Nawas segera mengetahui
karena tongkat yang dibawanya bertambah pendek satu jari telunjuk. Abu
Nawas tahu pencuri itu pasti melakukan pemotongan pada tongkatnya karena ia
takut tongkatnya bertambah panjang.

Pencuri itu diadili dan dihukum sesuai dengan kesalahannya. Seratus keping
lebih uang emas kini berpindah ke tangan Abu Nawas. Tetapi Abu Nawas tetap
bijaksana, sebagian dari hadiah itu diserahkan kembali kepada keluarga si
pencuri, sebagian lagi untuk orang-orang miskin dan sisanya untuk keluarga Abu
Nawas sendiri.
oo000o

Pemusnahan Ekstasi

 Pemusnahan Ekstasi

Bandung - Hampir 50 ribu gram atau 50 kg zat adiktif dimusnahkan dengan dibakar. Barang-barang tersebut merupakan barang bukti dari 399 perkara di Kejaksaan Negeri (Kejari) Bandung sejak Maret 2011 hingga Januari 2012.
Barang haram itu terdiri dari 34.934,43 gram ganja, 2.046,15 gram heroin, 1.421,181 gram sabu-sabu, 1.206 tablet pil lexotan dan 1.364 tablet pil ekstasi.

Pemusnahan dilakukan di Rupbasan Klas I Bandung dengan disaksikan oleh Kepala Kantor Wilayah Kementrian Hukum dan HAM Jabar Nasir Almi, Kapolrestabes Bandung Kombes Pol Abdul Rakhman Baso, Kepala Pengadilan Negeri (PN) Bandung Singgih Budi Prakoso, Kepala Kejari Bandung, Kepala Rupbasan dan Kepala Lapas Sukamiskin di Lapangan Samping Rupbasan Bandung Jalan Arcamanik, Rabu (6/6/2012).

"Kami dari Kejari Bandung berterimakasih pada Rupbasan Bandung yang selama ini telah memberikan ruang untuk penyimpanagan barang bukti. Serta memfasilitasi pemusnahan barang bukti yang telah inkrah," ujar Kepala Kejari Bandung Febrie dalam sambutanannya sebelum pemusnahan dilakukan.

Ia menuturkan, pemusnahan barang bukti merupakan akhir proses panjang penanganan perkara. Tujuannya, agar masyarakat mengetahui keseriusan penegak hukum dalam pengentasan kasus kejahatan.

"Yang kita musnahkan hari ini diantaranya adalah barang-barang kejahatan sistematis, yaitu narkoba yang merupakan isu yang kritis dan rumit. Yang tidak bisa diselesaikan dari 1 pihak saja," katanya.

Upaya untuk meminmalisir peredaran narkoba di lingkungan rutan dan lapas, diantaranya dengan memperketat barang masuk, memberikan hukuman berat pada yang melakukan pengedaran.

Selain narkoba, barang bukti yang dimusnahkan hari ini yaitu obat-obatan, makanan impor, jamu dan kosmetika ilegal yang berasal dari 7 perkara.

Pantauan detikbandung, barang bukti narkoba dan barang ilegal dipisahkan dalam dua gunungan yang berbeda. Narkoba ditempatkan dalam tong yang telah dibelah, sementara barang-barang ilegal ditumpuk sekitar 2 meter dari lokasi narkoba, dengan ketinggian 2 meter. Pemusnahan, dilakukan dengan dibakar, dengan menggunakan bambu panjang dengan api penyulut diujungnya.source

Facebook Diprediksi Bakal Tutup Tahun 2020

 Facebook Diprediksi Bakal Tutup Tahun 2020



Harga saham Facebook yang tak kunjung menggembirakan telah memicu munculnya prediksi gelap tentang masa depan perusahaan tersebut.
Salah satunya datang dari pendiri Ironfire Capital, Eric Jackson, dalam acara "Squawk on The Street" di stasiun CNBC, Senin (4/6/2012) lalu.
"Dalam lima hingga delapan tahun (2017-2020), mereka (Facebook) bakal lenyap, seperti Yahoo," ujar Jackson, seperti dikutip oleh Mashable.

Jackson mengacu pada Yahoo! yang nilai perusahaannya berkurang hingga tinggal sepersepuluh dari nilai ketika perusahaan tersebut sedang berada di puncak kejayaannya tahun 2000-an, meskipun sampai sekarang masih mampu menghasilkan profit.

Lalu, mengapa Facebook bisa mengalami nasib serupa? Menurut Jackson, hal tersebut dapat terjadi karena Facebook tak mampu beradaptasi dengan tren penggunaan internet yang mulai bergeser ke arah perangkat mobile.

Dalam deskripsi 35 "faktor risiko" yang diterangkan sebelum melakukan penawaran saham perdananya, Facebook memang mengakui bahwa makin banyak penggunanya yang makin mengakses situs jejaring sosial tersebut dari perangkat mobile, seperti smartphone dan tablet.

Hal tersebut menjadi masalah besar karena Facebook tidak bisa menghasilkan uang dari platform mobile miliknya yang bebas iklan.

Situs jejaring sosial ini belakangan diketahui sibuk mencari cara untuk mengapitalisasi basis pengguna mobile-nya. Langkah yang telah dilakukan termasuk mengakuisisi Instagram yang dipandang sebagai rival potensial Facebook pada April lalu.

Sampai sekarang, Facebook masih menganggap pengguna mobile sebagai batu sandungan dalam usahanya mencapai pertumbuhan yang dapat dipertahankan (sustainable).

Mengenai hal ini, Jackson mengatakan, "Facebook bisa saja membeli sejumlah perusahaan mobile, tetapi mereka tetaplah website yang 'gemuk', tidak seperti aplikasi mobile."

Jackson menyamakan kesulitan Facebook dalam beradaptasi terhadap tren penggunaan mobile dengan hambatan yang dihadapi Google dalam membuat jejaring sosial.

Facebook melakukan penawaran saham perdananya (initial public offering/IPO) pada hari Jumat, 18 Mei lalu, dengan harga 38 dollar AS per lembar. Pada penutupan perdagangan Senin (4/6/2012) lalu, harga sahamnya sudah melemah hingga mencapai angka 26,90 dollar AS per lembar.source

Olahraga Bukan Obat Depresi

Olahraga Bukan Obat Depresi

Sebuah riset menemukan bahwa memadukan olahraga dengan perawatan konvensional untuk mengatasi depresi tidak membantu proses penyembuhan.



Olahraga tidak berpengaruh pada penyembuhan depresi
Dalam studi yang dibiayai Institut Nasional Riset Kesehatan Inggris (NHS) dan dipublikasian di British Medical Journal, sejumlah pasien diberikan bantuan untuk meningkatkan tingkat aktivitas mereka selain menerima terapi atau obat anti depresi.

Setelah satu tahun, 361 pasien mengalami penurunan gejala-gejala depresi, tetapi tidak ada perbedaan di antara kelompok yang berolahraga atau yang tidak.

Panduan dasar saat ini menyarankan agar penderita depresi berolahraga tiga kali seminggu.

Institut Nasional Kesehatan dan Klinis (Nice) memberikan saran itu pada 2004.

Saat itu Nice mengatakan bahwa berdasarkan riset, peningkatan aktivitas fisik dapat membantu penderita depresi ringan.


Keuntungan fisik


Studi terbaru yang dilakukan oleh tim dari Universitas Bristol dan Exeter ini melihat dampak olahraga secara klinis.

Seluruh pasien yang mengikuti uji coba mendapat perawatan konvensional sesuai tingkat depresi mereka.

Namun selama delapan bulan, beberapa peserta disarankan untuk meningkatkan tingkat aktivitas mereka.

Tetapi di akhir tahun, para peneliti tidak melihat adanya penurunan gejala depresi di kelompok yang lebih aktif.

Prof John Campbell, dari Peninsula College of Medicine and Dentistry, yang juga ikut dalam studi itu mengatakan, "Banyak pasien depresi memilih tidak mengonsumsi obat anti depresi, dan lebih menyukai jenis terapi non obat.

"Olahraga dan aktivitas sepertinya menjadi terapi yang menjanjikan, tetapi riset ini telah menunjukkan bahwa olahraga tidak efektif untuk mengobati depresi."

Temuan ini kemungkinan akan menjadi masukan bagi Nice saat menyusun panduan kesehatan mereka berikutnya.source

Elpiji 3 Kg Langka, Pertamina Operasi Pasar di 3 Daerah

Elpiji 3 Kg Langka, Pertamina Operasi Pasar di 3 Daerah
Jakarta - PT Pertamina (Persero) bekerjasama dengan Himpunan Wirausaha Pengusaha Minyak dan Gas Bumi (Hiswana Migas) dan Pemda melakukan operasi pasar elpiji 3 kg di tiga daerah guna mencegah kelangkaan.
Pada daerah pertama Cimahi, operasi pasar dilakukan dengan menggelontorkan pasokan elpiji 3 kg di tiga titik dengan masing-masing titik dialokasikan sebanyak 560 tabung. Operasi pasar di Cimahi berlokasi di Kelurahan Cibeureum dan SPBU 3440521 Jl. Raya Barat 560, Rancabelut, dan Alun-alun dengan harga jual sesuai harga eceran tertinggi (HET) Rp 12.750 per tabung.

Vice President Corporate Communication Pertamina M.Harun mengatakan selain melakukan operasi pasar, Pertamina terus melanjutkan program penataan distribusi elpiji 3 kg untuk memastikan bahan bakar bersubsidi tersebut dikonsumsi oleh masyarakat yang berhak.

"Kami juga bertekad untuk meminimalisasi ruang gerak pelaku penyelewengan elpiji 3 kg, seperti tindakan pengoplosan yang membahayakan masyarakat," Kata Harun dalam siaran pers, Rabu (6/6/2012).

Adapun, daerah kedua adalah Cimanggis Kota Depok. Di daerah tersebut digelontorkan sebanyak 560 tabung elpiji 3 kg dengan harga jual Rp 12.750 per tabung.

Operasi pasar ketiga dilakukan di Tangerang di 3 Titik SPBU dengan total elpiji 3 kg yang disalurkan sebanyak 2.520 tabung per hari. Operasi pasar tersebut dilakukan di SPBU No 34.15.509 Jalan Raya Kutabumi, Sepatan, Kabupaten Tangerang, dengan penjualan 1.120 tabung per hari, SPBU 34.15.112 JL. KH. Hasyim Ashari No. 11 Cipondoh, Kota Tangerang dengan penjualan 1.400 tabung per hari, dan SPBU 34.15.502 Jl. Raya Pasar Kemis, Kutajaya, Kec. Ps. Kemis, Kabupaten Tangerang dengan penjualan 400 tabung per hari.source