HS 200 Turn in at front table: Service Project (Attach rubric to the front) Online reading Quiz Today: Finish Cardiovascular Disease (Ch. 12) Alcohol Use and Abuse ((Ch. 8) 1 Introduction • Cardiovascular disease (CVD) is the ___leading cause of death in the U.S. • ___American dies from CVD every 33 seconds • Nearly ___ %of all Americans will die from CVD • CVD is the ________cause of death for both men and women 2 Cardiovascular System • Heart, blood vessels, hormones, enzymes and wastes. • Four chambers (size of a fist). – Upper chambers (Atriums). – Lower chambers (Ventricles). – Vena cava- Largest Vein – Aorta- Largest Artery 3 p. 279 Text 4 Major Forms of Cardiovascular Disease • Hypertension - may cause damage even before it is ever detected. • Atherosclerosis - narrowed by fatty deposits. • Heart Attack - Vessels in the heart become blocked. • Stroke - Impeded blood supply to a part of the brain. • Congestive Heart Failure - Blood backs up in the veins leading to the heart. Cont>>>> 5 Major Forms of Cardiovascular Disease cont…. • Angina Pectoris - Chest pain; heart doesn’t get enough O2. (Kehr’s sign.). • Arrhythmia’s - Abnormal Heartbeat - Disruption of the electrical system - can lead to sudden death. 6 Risk Factors • Contributing Risk Factors • Six Major Risk Factors that can be changed. – Tobacco use. – Physical inactivity. – Obesity – High blood pressure. – Diabetes (Doubles the risk of CVD) – High levels of cholesterol. • LDL’s and HDL’s 7 Protecting Yourself Against CVD • • • • • • Total Fats less than 30% Low Saturated Fats Increased Dietary Fiber Moderation of Alcohol No smoking Omega-3 fatty acids, vitamin E, folic acid, vitamin B-6 & B-12,soy protein, and total calories. » Continued…… 8 Protecting Yourself Against CVD • • • • Moderate physical activity Blood pressure monitored twice a year Control Cholesterol levels Effective means of controlling stress 9 Practice Diaphragmic Breathing Pay attention to your thoughts Practice MINDFULNESS 10 11 12 How Cancer Spreads • Metastasis: Primary tumor – Definition: the spreading of cancer cells, occurs because cancer cells do not stick to each other as strongly as normal cells. • Cells break away from primary tumor and invade surrounding tissues or travel through the blood and lymphatic system. • Secondary tumor or metastases 13 14 Types of Cancer • Malignant Tumors – Classified according to the types of cells. • Initially retain some of the original properties of the host cell. • Carcinomas - most common - start from the epithelial tissue that cover body surfaces. Linings, tubes, cavities and secretion glands. 15 Malignant Tumors • Sarcomas: arise in connective and fibrous tissues. Bone, muscle, cartilage and membranes covering muscle or fat. • Lymphomas: Cancers of the lymph nodes. • Leukemia: cancer of the blood-forming cells in bone marrow. 16 The Incidence of Cancer • 1.3 million Americans are diagnosed yearly • More than half will be cued. • About 40% will die as a result of cancer. • 1 in 2 men and 1 in 3 women will be develop cancer during their lifetime. 17 18 Common Cancers • Lung Cancer: Most common cancer. – Risk Factors • Tobacco smoking contributes to 87%. – Combined with environmental carcinogens multiply by 10. – Detection and Treatment (Difficult to detect) • Symptoms are not detected until cancer has reached the invasive stage. • Persistent cough, chest pain, or recurring bronchitis. • Diagnosis - chest x-ray or sputum examination - fiberoptic bronchosectomy. 19 Common Cancers • Lung Cancer treatment: – Difficult to treat. – Surgery- removal of involved cells. – Typically- cancer cells have already spread. – Very resistant to chemotherapy. 20 Common Cancers • Colon and Rectal- second most prevalent cancer. – Risk Factors • Directly linked to diet and genetic predisposition. • Mostly occurs after 50 yr. of age.Diet low in fat and High in fiber - best defense. • Up to 1/3 of the population is genetically prone. – Detection and Treatment 21 Common Cancers • Breast Cancer - Second most common cancer in women; 1:9 American women will have it during her lifetime. – Risk Factors • Most common in women over 50 • 5 year survival rate is 79% • “Disease of Civilization” • Common causes: Genetic predisposition; High fat, High calorie diet and Sedentary lifestyle, Alcohol use, early onset of menstruation, First child after 30 and obesity • Estrogen -cancer in estrogen-responsive sites – Detection and Treatment 22 Common Cancers • Breast Cancer -. – Three part program for early detection. • Monthly breast self-exam for all women over 20. • Clinical breast exam by a physician every 3 yr. • Mammography- Every 1-2 years 40-50 yr. old. – Over 50 every year. – New Strategies for Treatment and Prevention 23 Common Cancers • Prostate Cancer - Most common cancer in men. Third leading cause of cancer deaths in men – Risk Factors - Age, diet, lifestyle and genetic predisposition – Early detection is key. PSA Blood test – Treatment - surgical removal of the prostate and radiation 24 Common Cancers • Female Reproductive Tract: Uterus, Cervix or Ovaries. – Cervical cancer - sexually transmitted. • 80% stems from infection by the papillomavirus transmitted by unprotected sex. • PAP Test – Cervical cancer most common in women in their 20’s and 30’s. • Factors: sexual intercourse before 18, multiple sex partners, cigarette smoking and low socioeconomic status. 25 Common Cancers • Uterine, or Endometrial: – Occurs after 55 – Determined by Pelvic Exam – Treatment is surgery • Ovarian Cancer: Difficult to detect and diagnosis, No warning signs – Family history or genetic factors – Determined by Pelvic Exam – Treatment is surgery & radiation 26 Common Cancers • Skin Cancer: Most common form – – – – Easily detected and highly curable Exposure to ultraviolet rays during childhood Common cause - sunburns and suntans Types: • Basal and Squamous • Melanoma - more dangerous form – Prevention – Detection and Treatment 27 28 Common Cancers • • • • • • • Oral Cancer Testicular Cancer Pancreatic Cancer Stomach Cancer Bladder Cancer Kidney Cancer Brain Cancer 29 Common Cancers • Leukemia: – Cancers of the blood forming tissues – Abnormal production of immature white blood cells; rapidly growing cells displace red blood cell precursors – Immature WBC’s cannot fight off infections – Risk factors are unknown 30 Common Cancers • Lymphoma – Arising from the lymph cells • Hodgkin’s disease • Non-Hodgkin’s disease • Multiple Myeloma – Malignant plasma cells produce tumors in the bone marrow. • Leads to anemia, excessive bleeding and decreased resistance to infection 31 The Cause of Cancer • The Role of DNA – Each cells has 23 pairs of chromosomes • Each controls the way a cell will work • A gene • DNA Mutations and Cancer – – – – Changes the way the cells function Mutagens Oncogenes Tumor suppressor genes • Hereditary Risks 32 Links to Cancer • Foods: – Both carcinogens and compounds that provide protection • • • • Dietary Fat and Meat (Saturated Fats) Alcohol Dietary Fiber Fruits and Vegetables – Anticarcinogens – Carotenoids – Antioxidants versus Free radicals • Phytochemicals • Sulforaphane 33 Foods That Contain CancerPreventing• Substances Kale • • • • • • • • • • Broccoli Brussels sprouts Cabbage Cauliflower Carrots Red peppers Tomato Sweet potato Collard greens Green Tea • • • • • • • • • Spinach Apricot Cantaloupe Grapefruit Orange Papaya Peach Plum Watermelon 34 Links to Cancer • Inactivity and Obesity – Linked to colon cancer • Benefits of Physical Activity 35 Carcinogens in the Environment • Ingested Chemicals • Environmental and Industrial pollution • Radiation 36 Detecting, Diagnosing, and Treating Cancer • Detecting – Self-monitoring • Diagnosing – Biopsy – Magnetic resonance imaging (MRI) – Computed tomography (CT) – Ultrasonography 37 Detecting Cancer • • • • • Self Monitoring is Essential C Change in bowel or bladder habits A A sore that does not heal U Unusual bleeding or discharge T Thickening or lump in breasts or elsewhere • I Indigestion or difficulty in swallowing • O Obvious change in a wart or mole • N Nagging cough or hoarseness 38 39 Detecting, Diagnosing and Treating Cancer • Treatment: – Surgery – Chemotherapy – Radiation Therapy • New and Experimental – Gene therapy – Bone marrow and Stem Cell transplants – Biological therapies 40 Cancer Survivors • • • • Must live with fear of recurrence Face prejudice from health insurers Psychological support is important Financial impact 41 Prevention • Lifestyle choices – Avoid tobacco – Control diet and weight – Regular exercise – Protecting skin from the sun – Avoiding environmental and occupational carcinogens – Regular self exams – Medical screenings – Be aware of the early signs and symptoms 42 Thanks!!!!!!! 43