Showing posts with label Pancreatic cancer. Show all posts
Showing posts with label Pancreatic cancer. Show all posts

Tuesday, December 21, 2021

Losing a loved one inspired doctor to start a grief support network

Losing a loved one inspired doctor to start a grief support network

https://www.straitstimes.com/singapore/losing-a-loved-one-inspired-her-to-start-a-grief-support-
network

Malavika Menon
2021-12-21
 
Causes Week 2021: Losing a loved one inspired doctor to start a grief support network

Causes Week, which is into its tenth iteration, runs this year from Dec 21 to 25. It shines a light on various individuals and groups, and shows how they are making a difference through their chosen causes within the community, for children and youth, in sports and arts, among others.

SINGAPORE - After completing her medical studies in 2018, Dr Chia Lingyi was looking forward to the next chapter of her professional life.

But things changed drastically when her mother was diagnosed with stage two pancreatic cancer the following year.

After a long fight with the illness, Ms Ng Geok Khim died in January at the age of 56.

As Dr Chia took time off work over the next few months to grieve, she felt lost without her mother around.

Dr Chia, now 28, said: "It was a difficult time to get through, and during that period, I came upon the idea of building a community where others like me could share their grief about a loved one they had lost or their worries about someone who was ill. I felt like I had found a new purpose."

Creating a website from scratch in March, Dr Chia put together information and advice online to help readers better cope with grief, share their thoughts with others, and find resources on end-of-life affairs such as creating a lasting power of attorney or procuring a death certificate.

The initiative - Before Beyond - also gave Dr Chia the chance to draw from the experiences of others who had lost loved ones as well.

Following her initial diagnosis, Ms Ng, who was an executive at the Employment and Employability Institute, underwent major surgery and several months of chemotherapy, which sent her cancer into remission.

But less than a year later, it was back and had spread. A cure was no longer possible.

"After receiving the bad news, my mother remained calm and told me: 'Do not cry. I have led a good life.' She gave me instructions on what to do upon her death: the type of funeral she wanted, how to distribute her belongings, and how to look after my family members," Dr Chia said.

In the following months, mother and daughter shared heartfelt conversations.
"We spent our time saying 'Thank you', 'I'm sorry' and 'I love you'." There were many dark and painful moments, but they were interspersed with dear memories. Love always guided our actions and it filled our days with meaning," Dr Chia recalled.

Dr Chia's 23-year-old sister and father would buy Ms Ng her favourite meals and the family spent time together on activities like painting.

Her mother requested a simple funeral and a burial at sea, which were carried out according to her wishes by the family.

"Her willingness to discuss matters like her funeral and finances made it possible for us to fulfil her wishes at every step of the way, but we still found it difficult to settle end-of-life matters after her passing because of the many processes," Dr Chia said.

By initiating conversations on mortality and other topics not often discussed and providing basic resources to followers, Dr Chia hopes others can avoid difficulties navigating end-of-life matters like funeral arrangements or legal processes.

Before Beyond now has 10 volunteers from the healthcare sector who edit and review content before it is put out and are developing a mobile app for the initiative.

The team is also in the midst of publishing a book about grief support, and has set up a channel through instant messaging and communication platform Discord to spur conversation among followers.

"Whether it is a domestic worker mourning the loss of an employer she has known for a very long time, or someone who is coming to terms with the death of their beloved pet, grief can manifest in many ways, and I want to create a space that is unconventional where people can discuss grief," Dr Chia said.
While she is excited to reach out to more followers, Dr Chia is mindful of her mother's advice.

"Before her death, she told me: 'Don't work so hard.' I have to try and heed her words. There are days when I spend the only two hours I have left after work on Before Beyond, but I hope by showing my vulnerability to people as someone who is still grieving, they will feel motivated to be vulnerable too," she added.

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Sunday, November 16, 2014

Monday, September 16, 2013

The Healthy Eating Index 2005 and Risk for Pancreatic Cancer in the NIH-AARP Study. (From ncbi.nlm.nih.gov)

The Healthy Eating Index 2005 and Risk for Pancreatic Cancer in the NIH-AARP Study.

Info source:
http://www.ncbi.nlm.nih.gov/m/pubmed/23949329/

AuthorsArem H, et al. Show all Journal

J Natl Cancer Inst. 2013 Sep 4;105(17):1298-305. doi: 10.1093/jnci/djt185. Epub 2013 Aug 15.

Affiliation
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Affiliations of authors: Yale School of Public Health, New Haven, CT (HA, HR, STM); Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD (HA, JS, RZS-S); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD (JR); Baylor College of Medicine, Houston, TX (LJ); AARP, Washington, DC (ARH); Yale Cancer Center, New Haven, CT (HR, STM).

Abstract
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BACKGROUND: Dietary pattern analyses characterizing combinations of food intakes offer conceptual and statistical advantages over food- and nutrient-based analyses of disease risk. However, few studies have examined dietary patterns and pancreatic cancer risk and none focused on the 2005 Dietary Guidelines for Americans.

 We used the Healthy Eating Index 2005 (HEI-2005) to estimate the association between meeting those dietary guidelines and pancreatic cancer risk.

METHODS: 
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We calculated the HEI-2005 score for 537 218 men and women in the National Institutes of Health-American Association of Retired Persons Diet and Health Study using responses to food frequency questionnaires returned in 1995 and 1996. 

We used Cox proportional hazards regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for risk of pancreatic cancer according to HEI-2005 quintiles and explored effect modification by known risk factors. P interaction values were calculated using the Wald test. All statistical tests were two-sided.

RESULTS: 
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We identified 2383 incident, exocrine pancreatic cancer cases (median = 10.5 years follow-up). Comparing participants who met the most dietary guidelines (Q5) with those who met the fewest guidelines (Q1), we observed a reduced risk of pancreatic cancer (HR = 0.85, 95% CI = 0.74 to 0.97). Among men there was an interaction by body mass index (P interaction = .03), with a hazard ratio of 0.72 (95% CI = 0.59 to 0.88) comparing Q5 vs Q1 in overweight/obese men (body mass index ≥25kg/m(2)) but no association among normal weight men.

CONCLUSIONS: 
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Our findings support the hypothesis that consuming a high-quality diet, as scored by the HEI-2005, may reduce the risk of pancreatic cancer.

PMID 23949329 [PubMed - in process]
PMCID PMC3760780 [Available on 2014/9/4]
Full text: HighWire

Monday, August 19, 2013

Healthy Diet Linked to Lower Risk of Pancreatic Cancer

Healthy Diet Linked to Lower Risk of Pancreatic Cancer

Info source:

Article date: August 16, 2013

By Eleni Berger

People who most closely follow healthy eating guidelines may have a lower risk of pancreatic cancer, according to a new study. 

Researchers from the National Cancer Institute and other institutions studied more than 500,000 people (ages 50-71) who were already taking part in a long-term study that tracked their eating habits. They compared participants’ eating habits with the federal government’s 2005 Dietary Guidelines for Americans. 


Those guidelines recommended eating plenty of fruits, vegetables and beans; whole grains instead of refined grains; and low-fat or fat-free dairy. They also recommended limiting fat and added sugars. (The government updated these guidelines in 2010.)

After about 10 years of follow-up, 2,383 people in the study developed pancreatic cancer. The researchers found that people who most closely followed the 2005 dietary guidelines had a 15% lower risk of developing pancreatic cancer than the people who followed the guidelines least closely. The effect was stronger in men than in women, and stronger among overweight or obese men compared to normal-weight men. The analysis accounted for smoking, alcohol use, and diabetes, all of which raise pancreatic cancer risk

The study was published in the Journal of the National Cancer Institute.

The researchers say previous studies of diet and pancreatic cancer risk have had mixed results, and these new findings would need to be confirmed before anyone could say for sure that certain eating habits could lower pancreatic cancer risk. That’s because people who eat well also tend to have other healthy habits, like getting exercise and not smoking, that also could lower their risk. 

Of course, eating well has numerous other health benefits. 

The American Cancer Society’s Guidelines on Nutrition and Physical Activity for Cancer Prevention recommend:

  • (1) eating at least 2 ½ cups of vegetables and fruits every day

  • (2) eating whole gains instead of refined grains

  • (3) limiting how much red meat (beef, pork, lamb) and processed meat (bacon, sausage, hot dogs, cold cuts) you eat

  • (4) drinking no more than 1 alcoholic drink per day for women and 2 for men

(5) Staying at a healthy weight and getting plenty of physical activity also are important.
 

Citation: "The Healthy Eating Index 2005 and Risk of Pancreatic Cancer in the NIH-AARP Study." Published online August 15, 2013  in the Journal of the National Cancer Institute. First author: Hannah Arem, PhD, National Cancer Institute, Bethesda, Maryland.

Reviewed by: Members of the ACS Medical Content Staff


ACS News Center stories are provided as a source of cancer-related news and are not intended to be used as press releases. For reprint requests, please contact permissionrequest@cancer.org.