Reasons People Do not Want to Stop Smoking

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Most people know that smoking can endanger the health of himself and others, but not a few people who remained stubborn. Here it is the reasons people stay in recalcitrant smokers.

"From upstream to downstream Rooms all contain toxins, and in the long term the resulting diseases can really spend money," said Dr. Sally Aman Nasution, SpPD-KKV, FINASIM in a press conference about smoking in the Secretariat PAPDI PAPDI PB, Cikini , Jakarta, Friday (4/2/2011).

Dr Sally said there are cases of a man an 80-year-old son brought a heart disease. The man was known as a smoker and he often dodged that he was just a heart disease and smoking did not feel healthy.

"But not everyone is as lucky person, maybe now he does not have a heart attack but we do not know how later on," said deputy Secretary PB PAPDI (Indonesian Society of Internal Medicine Physician).

Some of the reasons often leveled by the smoker to continue to perform the activity. The reasons expressed by the smokers are usually:
  1. He considers himself in good health
  2. Not exposed to attack or heart disease even though he was active smoking
  3. Smoking or not smoking he would die too
"Risk factors for heart disease is multifactorial, and one of them are smokers. Some of the known risk factors can be modified or changed such as lifestyle and smoking, while other risk factors can not be modified such as gender and genetics," says Dr Sally.

Dr Sally also revealed there are some patients who had heart by pass surgery or heart attack but still smokes. Though the risk of heart attack again he will increase and the possibility of attacks that occur will be far more fatal.

Thus, to people who have never had a heart attack the first thing to do is to quit smoking, it also applies to people yabng ever stroke.

While Dr. Ari Fahrial H-Sham SpPD KGEH, MMB, FINASIM said cigarettes can also increase 2-3 times the risk of pancreatic cancer, increased 2-fold risk of colon cancer, increased risk of cancer of the esophagus (throat) and also make his ulcer disease not heal. Lung cancer is the dominant factor is caused by smoking.

"If it's addiction or the addiction is difficult to stop smoking, unless there is a consciousness of itself to quit smoking or it could be because've learned my lesson," he said.

There are several things you can do for someone to quit smoking that is not familiar with the term repeat cigarettes, keep all things related to smoking such as ashtrays or other items and a definitely must resist the temptation.

5 Signs Heart Attack will Appear

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Heart attack (coronary heart disease) is now not only attacks the elderly but also young people. A heart attack is not sudden since before the attack appeared already there are signs that conveyed the body.

But these signs are often ignored. In fact, according to research from MIDAS in Milan, Italy in 2006, almost about 52 percent of patients with coronary heart disease did not experience chest pain or often referred to as silent ischemia.

Reporting from mayoclinic, Saturday (02/05/2011) coronary heart disease is a disease caused by narrowing or blockage of coronary arteries, the blood vessels that will drain blood to carry nutrients and oxygen needed to function of heart muscle to pump blood whole body.

Human heart pumps blood around the body secra constant at around 4-5 liters of blood per minute. Therefore, if blood flow is not smooth can cause damage to heart muscle that causes the heart pumps disorders (heart failure) and death.

Triggering a heart attack include excessive exercise, which spend a lot of emotional upset or other activities done to excess.

According to Dr M. Taufik Arifin Pohan, SpJP as quoted from his writings in detikHealth, at least there are 5 signs of a heart attack to watch out for:
  1. Stress (load seemed to be overwritten, pain, pinched and burned), which causes shortness of breath and choking on the neck.
  2. The pain may spread to the left arm, neck and back.
  3. The pain can last about 15-20 minutes and occur continuously.
  4. Arise in a cold sweat, weak body, heart palpitations and even fainting.
  5. The pain can be reduced when it is resting, but will gain weight if you're on the move.
Some ways you can do to prevent heart attacks, such as keeping cholesterol levels of blood fats, keeping blood pressure for control, stop smoking, avoid fatty foods, replenish fruit and vegetable consumption, exercise regularly, lose weight and reduce stress.

Beware of Liver Cancer

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Liver, including the vital organs in the human body given the task is complicated by the continuity of all functions of the body. One of the deadly disease that attacks the organ is liver cancer.

Globally, liver cancer is a type of cancer in the third highest cause of death. In Indonesia alone, there were 13,238 cases of liver cancer according to research data GLOBOCAN 2008 with the death toll reached 12,825.

Most liver cancer is diagnosed in middle and advanced stage because at this early stage of development of this disease do not show typical symptoms. In general, symptoms of liver cancer are weight loss, stomach feels full, the hard mass on the right just below the rib cavity, skin and eyes become yellow green, unusual fatigue, or discomfort in abdominal upper right.

Statistics show that this disease affects more men with a ratio of 3:1 with a female.

According to Solomon Prof.dr.Ali, Sp.PD-KGEH, liver cancer can be detected through blood tests, ultrasound examination of CT scans, MRI, or biopsy.

"Ultrasound is a simple and inexpensive. If there are any bumps in the liver or an increase in new tumor marker such as a biopsy done further investigation," he said.

Treatment

Liver cancer treatment options depend on the type and stage of cancer. Ali explained that in general there are 3 options in the treatment of liver cancer cases, ie, resection or cutting of tissue with cancer, liver transplantation, as well as with radio frequency ablation.

"In the ablation technique, used radio frequency to produce vibrations that destroyed the tumor. Meanwhile, if the liver is still functioning properly, removal of the tumor to treatment options," he explained.

For patients in advanced stage, the selected treatment is palliative in nature or extend the patient's age. One of the palliative therapy that can be selected is the target of therapy.

Targeted therapy works by inhibiting a specific molecule that helps the growth and development of cancer. "The signals or blood vessels supplying the cancer growth will be inhibited so that cancer can not be food and eventually shrink," he said.

Sorafenib is the first oral medication to treat advanced stage liver cancer. In Indonesia, patients receiving these drugs could be extended an average age of 9-11 months.

Currently liver cancer patients who are less able to get sorafenib NexPAP program sponsored by Bayer HealthCare with Indonesia Cancer Foundation. Those who qualify medically and economically able to get treatment free of charge for 12 months.

Spinach Can Strengthen Muscles!

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Legendary cartoon character "Popeye the Sailor" had a weapon that makes it very powerful in an instant, that is a can of spinach. Not only in the cartoon story, the efficacy of spinach to strengthen muscles has now been scientifically proven.

Recent research conducted by experts from the Karolinska Institutet in Sweden found that spinach contains certain compounds that are able to strengthen muscles. Compounds of iron that was not as expected so far, but nitrate.

For muscle cells, nitrate is able to stimulate mitochondrial energy or kitchen to be able to work more efficiently. The cells in the muscle mitochondria to be able to produce energy in larger amounts, although with the amount of oxygen less.

Improving the ability of mitochondria to produce energy efficiently can be felt only within 3 days. With regular nitrate consumption of 300 grams / day, the muscles need for oxygen decreases significantly, ie between 3-5 percent.

"The function of nitric similar fuel additive aka octan booster on vehicle engines. The compound is able to make the muscles work more smooth and efficient," said Dr. Eddie Weitzberg, who led the study, as quoted by the Telegraph on Wednesday (02/02/2011).

Benefits of spinach for muscle popularized by the cartoon character "Popeye the Sailor 'popular since the 1930s. The film is initially lifted from the comic story is part of a campaign to eat vegetables in the United States at the time and claimed success increase vegetable consumption among children by 33 percent.

Initially, many suspect that the benefits of spinach are located on the iron content. Because of garanya in a study in 1870, Dr E von Wolf misplaced commas, so people think that spinach contains iron in the amount of 10 times more than the actual

Efficacy of Shark Fins

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Eating shark fin soup has become a tradition in Chinese culture to celebrate important events and is considered beneficial for some diseases. Actually, whether the efficacy of this shark fin?

Intake of shark fins has become an industry worth billions of dollars because the soup is considered a luxury food, classy and a menu of honor in a wedding, birthday or other important events.

Based on Chinese medical book known to benefit from this shark fin include skin rejuvenation, increased appetite, useful for energy, for kidney, lung, bone and other body parts, as quoted from FAO.org, Wednesday (2 / 2 / 2011).

Presumably these health benefits derived from shark fins and snout made of cartilage. Sharks are known to have strong resistance to infection and immunity against cancer. Scientists trying to link this with proteins and minerals in shark fin cartilage.

Some other health benefits are also thought to be derived from this shark fin, such as treating diseases artrithis. Researchers from the University of Maryland Medical Center said one of the sources of non-human chondroitin is a shark fin. Chondroitin helps the body by stimulating the growth of cartilage to relieve symptoms associated with osteoarthritis.

While the American Cancer Society reported anti-cancer drug under development in June 2010 using cartilage from shark fins. Researchers write this shark fin cartilage can prevent or slow the growth of new blood vessels in the human body.

In addition, studies conducted in 1995 Italian researchers showed that the shark fin cartilage acts as an anti-inflammatory drugs (anti-inflammatory). This cartilage contains one active acid (eicosapentaenoic acid) in the fatty tissue that attacks the body's tissues are inflamed.

Despite the alleged shark fins have health benefits, but in 2009, WildAid report disclosed if people continue to eat shark fin extinction will occur and cause widespread ecological disturbances and affect the economic loss and reduced food security.

The arrest and killing of sharks that occur due to a massive increase in demand will threaten the existence of sharks. More than 100 million sharks are killed each year, mostly just diambli fins only. Own shark populations have declined by 80 percent in the last 50 years, as reported by China Daily.

Shark fin is one of the seafood products in the world's most expensive and most consumers of shark fin is China and Japan. One bowl of shark fin soup range from U.S. $ 50 to U.S. $ 1,000.

But now experts advise people to be more wise in choosing the food menu and a campaign to save the shark population.

Peanuts Can Be Media Trigger Liver Cancer

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Liver cancer is one type of cancer with high mortality rates. It turned out that in addition to disease caused by hepatitis, liver cancer can also be caused by eating moldy peanuts.

Peanut is kind of nuts that many mixed at various kinds of food. But people should be more careful in choosing and consuming peanuts, especially if there is mold.

"Better not eat peanuts that have been rotten, moldy or has an odd taste when eaten," said Prof. Dr. H. Ali Sulaiman, PhD, SpPD, KGEH, FACG in the show 'Depth of Life Expectancy Liver Cancer Patients with Therapeutic Target' at the Hotel Intercontinental , Jakarta, Tuesday (01/02/2011).

Peanuts are already rotten, moldy or has an odd taste better disposed should not even be forced to eat.

Prof Ali said storage of peanuts is not good as stacked in a pile and humid conditions can lead to fungus which is known to contain alfatoksin (toxin peanuts).

If someone is eating fungus on peanut continuously or in the long run, it could be a risk factor or trigger the occurrence of liver cancer.

"People should choose and cook their own peanuts that will be consumed, separate the peanuts are already rotten and discarded it better," said the doctor who is a Professor of Faculty of medicine of this.

Liver cancer occurs when cells in liver growth and self-division that does not stop, so he formed a collection of cells called tumors. If these tumors are malignant, such as spread to other areas or destroy healthy tissue, it is called with cancer. The time it takes to be a long liver cancer is about 15-25 years.

"Liver cancer is the sixth most common cancer in the world, but a third cause of death. And the countries in Asia is the largest contributor to liver cancer in the world," he added.

Prof. Ali reveal symptoms of liver cancer are nausea, vomiting, weight loss that many in a short time, the pain on the right just below the rib cavity and itching.

"The easiest way to diagnose it is to do an ultrasound or an ultrasound, if found in the bulge can conduct AFP (Alpha-fetoprotein) is a tumor marker in the blood," said the doctor was born in Serang 71 years ago

Liver Cancer Suffered By Most Men Than Women

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Currently known more men suffering from liver cancer compared with women. Why is that?
"Asia is the largest contributor to liver cancer in the world and more male than female taxable ratio of 3:1 to 5:1 for men," said Prof. Dr. H. Ali Sulaiman, PhD, SpPD, KGEH, FACG in the event 'Levels of Life Expectancy with Liver Cancer Patients Targeted Therapy' at the Hotel Intercontinental, Jakarta, Tuesday (01/02/2011).
Prof Ali said for the countries in the Asia Pacific region as much as 70 percent of liver cancer due to hepatitis B, while for countries in Europe, America and Japan, mostly due to hepatitis C.
Until now the exact cause of why more men suffer from liver cancer is not yet clear. Some things thought to be the cause such as:
  1. The existence of hormonal differences 
  2. Men are more often exposed to cause hepatitis, as more outside the home
  3. There is also a say because women have immune systems are stronger than men
"But it's unknown hepatitis B and C disease is most prevalent in men than women," said the doctor who received his PhD from Kobe Japan in 1989.
Travel to be fairly long liver cancer, hepatitis B virus initially enters the body and cause damage and stimulate cells beraktivasi. The result will arise nodules (bumps) on the liver if ongoing can cause cirrhosis of the liver to become cancerous.
"If the family history there who have hepatitis or cancer, the disease should be wary, because of inherited genes that can accelerate the emergence of abnormal nodules which become cancerous talent," said Prof. Ali.
Apart from hepatitis B and C, several other conditions can also be a risk factor for liver cancer such as obesity, fatty liver (fatty liver), diabetes, long-term exposure alfatoksin (toxin in peanuts), smoking and alcohol consumption as well as long-term use of anabolic steroids .
Then how to treat liver cancer?
"To determine liver cancer treatment options (hepatocelluler carcinoma / HCC) should consider several things such as stage, size of tumor, liver function and overall health status," he added.
If the condition of the patient as a whole is well known, then treatment can be done to heal (cureable) for early-stage cancer and is palliative for advanced-stage cancer.
Several treatment options for liver cancer can be done such as:
Treatments that are heal
  1. Resection, ie by cutting the nodules or remove the tumor and surrounding jaingan. This technique is performed if the tumor-owned small (less than 2-3 cm) and located in one location. 
  2. Liver transplantation, namely by lifting all the liver tissue and replacing it with a new liver. This technique is performed for small tumors but had severe cirrhosis.
  3. Radiofrequency ablation (RFA), which is using high-frequency power to destroy tumor cells. This technique uses ultrasound guidance and using electric vibration tumors can become damaged and destroyed.
Treatment is palliative
  1. TACE (Transarterial chemoembolisation), namely by inhibiting the blood supply to the tumor using chemotherapy drugs are injected directly into tumors. If the blood supply is inhibited, the tumor can not get food intake so that the tumor will shrink.
  2. Sorafenib, which is a drug that works by targeting tumor cells and tumor blood vessels are given to patients with advanced liver cancer who have inoperable. Sorafenib has been approved by more than 90 countries as a treatment for liver cancer and advanced stage kidney cancer. In Indonesia, sorafenib has been approved in 2008.
"Development of sorafenib is also used in patients awaiting liver transplantation process to prevent progression of disease, as well as an additional therapy in patients who had resection to prevent recurrence and prolong survival," he said.
Prof. Ali advised for people not to underestimate the disease hepatitis, should the disease get good treatment to prevent cirrhosis and liver cancer.

Marine, Colon Cancer Detection Dogs

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A keen sense of smell dogs do not be doubted. That is why some dogs have trained ability to detect various diseases, one of which is a Marine, a dog trained to detect colon cancer.
Japanese scientists have discovered that dogs can distinguish people with colorectal cancers. A dog types labrador retriever named Marine were trained to sniff out colon cancer with amazing accuracy and as accurate as high-tech diagnostic tools.
9 year old female dog was able to identify people with bowel cancer after being given the breath and feces samples of colon cancer patients.
The findings are published in the British Medical Journal shows that the chemical compounds associated with certain cancers, circulating in the body, opening up opportunities for the development of tests for various types of cancer that can be applied even in the early stages of disease.
However, the researchers said is impractical and expensive to employ animals can live and train him to screen patients. Instead, sensors will be developed 'electronic nose' that can sniff out certain chemicals produced by cancer cells and circulate in the bloodstream.
Marine trained at St. Sugar Cancer Sniffing Dog Training Centre in Chiba, Japan. Since 2003, Marine trained as rescue dogs to rescue people drowning by dragging it to the beach.
But in 2005, his training was changed to cancer detection. For four years he learned to distinguish the smell of a dozen different types of cancers, including breast, stomach, prostate cancer, bladder and skin.
In a recent study of colon cancer, Marine completed the 74 tests, each consisting whiff 5 samples of breath or feces, one sample of cancer patients.
"He might react with unique smell cancer. If we can identify the ingredients that cause the smell, then this could be used for early detection of cancer," said Hideto Sonoda from Kyushu University, as reported by the Independent, Tuesday (01/02/2011).
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