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Never too Late - Cancer Centers push Patients to Quit Smoking

When cancer patients stop smoking, they heal faster, experience fewer side effects from treatment and lower their chances of tumors returning. Now, top cancer hospitals are helping patients quit as evidence mounts that it’s never too late.

The newest research, reported Monday, shows lung cancer patients who stopped smoking gained nearly two years of life compared to those who continued to smoke.

“It is a huge effect,” said Dr. Mahdi Sheikh, who led the study for the World Health Organization’s cancer research agency in Lyon, France. In lung cancer, he said, quitting smoking is “as necessary as the treatments.”

In the U.S., many cancer centers offer proven quit strategies: phone counseling, nicotine patches and pills that ease the urge to smoke. More cancer doctors are talking to their patients about quitting.

For some patients, the shock of a cancer diagnosis can be highly motivating.

“It’s the biggest reason I’ve ever had in my life to quit,” said Preston Browning, an electrician in Ridgetop, Tennessee, who quit cigarettes last month while recovering from cancer surgery.

Browning, now 20 years old, had smoked a pack a day since he was 14. He credits the stop-smoking drug Chantix and support from tobacco treatment specialists at the Vanderbilt-Ingram Cancer Center. Nurse Lesa Abney listened to Browning’s reasons for smoking — he described smoking as “me time” and “a little reward” — and suggested strategies he could use: Eat breakfast instead of lighting up each morning. Reach for a toothpick after lunch. Treat yourself with dessert.

“If it wasn’t for Lesa, I think it would have been harder,” Browning said.

Browning had sarcoma in his leg, a rare cancer of unknown cause.

In contrast, lung cancer is largely linked to tobacco use, so smokers may feel shame, despair and hopelessness after diagnosis, experts say. It can be welcome news to hear from doctors that they, too, can benefit from quitting.

In Monday's study, researchers followed 517 Russian lung cancer patients who smoked, checking annually to see whether they’d quit. After five years, nearly 60% of those who quit smoking were alive, compared to about 47% of those who continued smoking.

The effect held up regardless of tumor stage, how much the patient smoked or how long after diagnosis they quit, researchers reported in the journal Annals of Internal Medicine.

“Doctors at every visit should encourage their lung cancer patients to quit smoking,” Sheikh said.

A $27 million National Cancer Institute program is helping 53 cancer centers integrate tobacco treatment into care. It has reached more than 50,000 patients since 2018.

“We’ve already learned a tremendous amount from this,” said Director Dr. Ned Sharpless. “With relatively modest support — these are not huge, expensive programs — you can markedly increase the number of patients you reach.”

The next step, he said, is spreading the know-how to smaller cancer clinics.

In California, the Stanford Cancer Institute phones patients who use tobacco to offer support from specialists and stop-smoking medication

“If you’ve got life-saving treatment it should be provided to all patients,” said Judith Prochaska who directs Stanford's tobacco program, which received the federal funds.

At Stanford’s cancer clinics, about 1 in 4 patients who accept tobacco treatment remain tobacco free after two years, Prochaska said.

Mike Fulton, 71, a retired bank president in San Jose, California, smoked a pack a day for decades before he was diagnosed with throat cancer last year. After successful radiation and chemotherapy, he said, he still sneaked occasional cigarettes, thinking, “This is crazy. The cancer’s cured, but I know I’m hurting myself because I can feel it.”

He sought help, and began weekly phone chats with a Stanford counselor. A tip he followed: Make your cigarettes harder to reach. He moved them farther and farther away, starting from a drawer in the bedroom.

"Finally, I put them on the roof in a gutter. To reach it, I needed a metal ladder. Which I climbed once, and had a puff from a pack that had seven cigarettes in it.”

“Now,” Fulton said, “they’re gone.”

Nicotine gum and a twice-a-day pill help with cravings.

In Houston, more than 1,000 patients a year at the MD Anderson Cancer Center take part in tobacco treatment, receiving counseling alone or with medications. It's not enough to refer someone to a quit line, said program director Diane Beneventi

“I wish every person who has cancer who smokes knew they stand to gain a great deal if they quit,” Beneventi said. “It’s more important now than it’s ever been in their life.”

Browning, the Tennessee patient, had tried to quit smoking twice before. He believes  it will stick this time.

“Smoking with cancer? I feel like that’s tempting fate.”

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16 Critical Things to Get Straight Before Creating a Digital Marketing Strategy

 Planning a digital marketing campaign isn’t a simple process. Many factors impact the creation of an effective strategy, and it’s important for everyone involved to be on the same page. However, there are a few aspects of a digital campaign that marketers may not always consider prior to creating a strategy.

As leaders in the communication space, the members of Forbes Communications Council are intimately familiar with what goes into crafting effective digital marketing campaigns. Below, 16 of them share important aspects that marketers should consider before diving into strategizing one.

Forbes Communications Council members share things to get straight before creating a digital marketing strategy.

Photos courtesy of the individual members.

1. Your Lookalike Audience

Most digital marketing campaigns involve some version of creating a lookalike audience, and most will create a lookalike audience of their entire customer database, but this is a mistake. You don’t want to target all of your customers; you only want to target your “best” customers. When you create these lookalike audiences, only mirror the top 10% to 20% of your customers, not the entire list. - John Huntinghouse, TAB Bank

2. Your Purpose And Success Metrics

Ensure there is a clearly defined purpose with the right success measures in place, then look at it strategically, using data from the entire customer lifecycle. This isn’t just a short-term campaign; it’s about enhancing business performance based on a lifetime of customer experiences that are recorded, analyzed and fed back into the brand’s data ecosystem to build personal experiences and lasting relationships. - Azlan Raj, Merkle

3. Alignment With The Overall Marketing Strategy

“How does this campaign align with our overall marketing strategy, and how will it help in delivering the business strategy?” These are two questions I ask my team before starting any campaign, digital included. Another important aspect of digital campaigns includes measurements, and not just the digital metrics, but also how we capture sales metrics aligned with a specific campaign. - Raghunath Koduvayur, IQM Quantum Computers

4. The Customer Journey

What is the customer journey that you want your users to experience? What do you have today? How far is the experience from where you want to be? How do you need to get your experience ready for visitors before investing in inviting people in? - Sarah Falcon, Object Edge

5. Your Customer Profile

Definitely start with your customer profile. Having a really good understanding of the digital habits of your ideal customer is often overlooked, but it’s one of the best ways to influence the content and behavior of your own digital marketing. - Amanda Davis, Zii Technologies

Forbes Communications Council is an invitation-only community for executives in successful public relations, media strategy, creative and advertising agencies. Do I qualify?

6. Previous Campaign Performance and Processes

When teams begin planning a digital marketing campaign, they often view the project as a “fresh start” and throw all of the previous campaigns out the window. However, an assessment of previous campaigns in terms of performance and process should be at the heart of planning any new digital marketing campaign. Learn from what you’ve done and keep trying new things. - Alfie Dawson, Datasine

7. Your Target Audiences

It’s important to be aware of and define your target audience for each campaign. In the digital world, one campaign could have multiple audiences, which in turn calls for multiple ads. People are hungry for personalization, so you have to be very diligent and think through all of the different touch points within a campaign to ensure the message is speaking to the proper audience. - Emily Burroughs, BGSF

8. Contextual Targeting Through Other Channels

In light of recent changes to the availability of consumer data, digital marketers need to acknowledge the increasing importance of contextual targeting and consider other channels in the wider mix. Unlike in the online world, out-of-home advertising is one-to-many, and context has always been king. With the advancement of programmatic digital out-of-home (DOOH) media, marketers now have far greater control to deliver contextual messages globally and at scale. - Nikki Hawke, Hivestack

9. Testing Budget

Testing budget isn’t really something that many digital marketers talk about. View it and use it as you would money when you go to a casino: You are taking a risk, but it’s money that you can lose, and it won’t break the bank. Unlike gambling, though, if you have a great creative team you will probably get that ROI back! - Philip Kushmaro, Usercentrics

10. Purchase Behavior

Marketers should consider purchase behavior targeting. Rather than targeting a campaign at a specific age group, profession or gender, you should aim to reach people who have purchased similar products in the past and are therefore more likely to buy them again. Here, targeting is based on proof, not an assumption. Marketers can expect conversion rates to rise and the bottom line to increase. - Anil Malhotra, Bango

11. How You Can Leverage Chatbots

Digital marketing campaigns have to be omnichannel and provide the right information to customers at their point of interaction. Real-time conversation via chatbots can help turn visitors into prospects and customers. Be sure to add chatbots to the strategy and think through how the campaign message can be personalized and delivered via these intelligent tools. - Parna Sarkar-Basu, Brand and Buzz Marketing, LLC.

12. First-Party Data

Knowing how to use first-party data is a critical first step. In our cookie-less world, it’s increasingly expensive to acquire new customers. To maintain the ROI of digital programs, marketers must focus on creating long-term customer engagements that increase the lifetime value of any customer they do acquire. And the best way to do that is to use first-party data to create unique, engaging experiences. - Christian Selchau-Hansen, Formation

13. Where The Target Is In The Sales Funnel

As marketers, we need to evaluate where the target is in the funnel and align our strategy accordingly. Are you not only looking for buzz and to create amplification for your brand, but also to potentially bring a number of unqualified contacts, leads or visitors to your website? Or is it something more product-focused to engage with people who already know about the brand but are still discovering what you do? - Alison Bringé, Launchmetrics

14. The Follow-Up Communication Plan

Assuming the basics—goal, audiences, content, visuals, channels and measurement—are defined, the digital marketing campaign funnel and follow-up communication plan are critical for monetization purposes. This should be based on a mix of segmentation buckets with clear goals to convert leads, boost activity and build loyalty. Growth acquisition, support and loyalty-team dialogue are key here. - João Mendes-Roter, Itamar-Medical

15. Other Internal Viewpoints And Ideas

As a marketer, you should have multiple brainstorming sessions with your internal teammates. This should include sales and other teams that are impacted by the campaign. Another very important part is to create messaging that embodies your solution. - Alex Cox, Opsani

16. The Cost Of Doing It Right

Many don’t consider what it costs to do it right. As a product-based company, we need multiple studio shots, videos and blackouts to create the right digital imagery. These upfront costs are more expensive to commit to consistently than the fairly transparent ad-buying CPC and ACoS metrics that you will track and optimize to define the winners after the initial investment. - Edwin Bender, Broan-NuTone

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Trying to Lose Weight? - Drinks to Consume all Day

 If you’re looking to lose weight, you probably spend a lot of time thinking about what you're eating, focusing in on consuming more vegetables, fruits, whole grains, legumes, and lean proteins and less processed or high-in-added sugar foods. But you should pay as much attention to the items you choose to drink. There is such thing as the best drinks to help with weight loss goals.

“Weight loss ultimately comes down to burning more calories than you eat,” says registered dietitian and certified personal trainer Gabbi Berkow. “So, to maximize calories from food, we want to minimize our calories from drinks.”

Berkow therefore says to be very mindful of what you're drinking, as items like soda and alcohol are really just “empty calories," she adds. Meaning, they provide calories and sugar, but no beneficial nutrients. The worry is that added sugar in drinks can cause blood sugar to rise and fall, a rollercoaster that can enhance sugar cravings.

Artificial sweeteners can be a little risky, too. People who regularly consume artificial sweeteners may also grapple with increased sugar cravings, which can make it harder to stick to a healthy eating plan. What's more, most drinks don’t have fiber in them, so there's not that satiation factor that keeps you full like eating a meal would.

In the end, overconsumption of calorie-containing beverages can counteract efforts to lose weight. But don’t stress—there are definitely some low-cal beverages filled with a host of other health benefits that you can add to your diet. Below are the top 12 RD-approved drinks that can also help you lose weight.

Water

Eh, a little boring right? Not so fast. Water is imperative for losing weight, according to Berkow. “Staying hydrated is also really key for weight loss—and of course health in general. Water is needed for metabolism, circulation, energy, digestion, and every function in your body," she explains. Plus, you've probably heard that it's easy to scramble hunger and thirst signals, and that's true. You might actually be thirsty if you feel hungry. Berkow recommends drinking a full glass of water before eating to properly gauge your appetite. Aim for at least eight cups (64 ounces) a day, and even more if you’ve been super active or sweat a lot. To make it fun, add any sliced fruit you have in the fridge.

Green Tea

Unsweetened green tea has zero calories, and studies have suggested that it can also help speed up your metabolism. “This is because of the caffeine content in the green tea, and also because green tea contains catechins, which are antioxidants that can support fat burning,” says Berkow. Though, some perspective here: You need a calorie deficit to lose weight, so you can't rely on catechin-containing beverages to majorly increase your metabolic rate.

Smoothies

“Smoothies, when done right, are a great option for weight loss, but you have to make sure they are filling enough to be used as a meal or snack replacement,” explains Berkow. “You should also remember they will not keep you as full as solid food would, so be careful not to overdo fruits and sugars.”

Berkow suggests using her formula to create filling and balanced smoothies that have plenty of protein, fiber, unsaturated fat, vitamins, and minerals: Combine at least 20 grams of protein (from protein powder or plain 0% Greek yogurt), one or two fruit servings (e.g. bananas, berries), a handful of spinach or another green of choice, one serving of unsaturated fat (e.g. one to two level tablespoons of nut butter, ¼ avocado, or 1 tablespoon of chia seeds), and one cup of water or non-dairy milk/skim milk for liquid.

Herbal Tea

“People love herbal teas for a bit of flavor and a non-caffeinated break in the middle of the day,” says Berkow. Depending on the type of tea you choose, it can have different benefits: For instance, lavender and chamomile teas are great for relaxation or peppermint tea can help digestion. Other perks include being low-calorie and hydrating.

Green Juice

Green juice can pack in the vitamins, minerals, and antioxidants, but it doesn’t have the same fiber as eating the vegetables whole, which is why you need to be mindful of the kinds of juices you consume, according to Berkow. That said, a green juice can be a refreshing and hydrating drink when you're aiming to lose weight. “When selecting a green juice, make sure to get ones that contain only vegetables, or are made with one fruit like an apple,” she says. “Those with too many fruits can be really high in sugar and calories, and can actually leave you craving more sugar later on.”

Coffee

According to Berkow, coffee can be a great option to add to your diet. “Black coffee would be ideal because it doesn’t contain any calories, and caffeine can speed your metabolism a bit,” she says. (Although this metabolic bump isn't enough to cause weight loss on its own.)

“Coffee and tea become high in calories and problematic when tons of sugar and cream or milk are added," says Berkow. Think flavored frappuccinos and lattes. If you take your coffee with sugar and cream or milk, no problem. She recommends a plant-based sugar substitute like stevia or monk fruit, as these won't raise your blood sugar. Stick with a small portion of milk or cream. Oh, and don't forget to drink water, too. It can be easy to sip coffee throughout the day and forget to hydrate with plain H20.

Apple Cider Vinegar Drinks

It's tangy and puckery, but many people like to incorporate a little apple cider vinegar (ACV) into a daily drink or sip on a ready-made bottled version, which are easier to find in grocery stores now. “ACV is linked to many health benefits, such as aiding in blood sugar regulation and helping with weight management by enhancing fullness,” explains New York City-based Marissa Meshulam, RD. In addition, raw, unfiltered ACV (the kind where you can see the cloudy-looking 'mother' in the bottle) is a source of probiotics, which can benefit immune and gut health, she says.

Add ACV in water or sparkling water for a zero calorie option, but if that's too powerful and zingy, you can try a bottled ACV drink, just make sure that what you choose doesn't have added sugar or artificial sweeteners.

Nut Milk

“Nut milks are super low calorie and depending on the milk you choose, can be a great source of iron, vitamin E, and antioxidants,” says Berkow. If fortified, nut milks also provide calcium and vitamin D. “They’re also lactose-free, gluten-free, and vegan.” Your best option is unsweetened nut milks. Sweetened varieties are loaded with extra sugar.

Coconut Water

There's nothing like sipping a fresh coconut on a beach somewhere, right? Okay, you're probably sipping yours from a single-serve box you bought at the store, but that can be just as refreshing, too.

Coconut water is full of electrolytes, which is great to rehydrate the body, says Meshulam. “Coconut water is a good source of vitamin C, magnesium, manganese, and potassium,” she explains. These vitamins and minerals play a role in immunity and collagen production in the skin (vitamin C, we're looking at you), manage blood pressure (hats off you to, potassium), and provide disease-fighting antioxidants (thanks, manganese). Coconut water does contain some sugar though, so be sure to balance out coconut water consumption with regular plain water.

Kombucha

“Kombucha is a fermented tea,” explains Meshulam. “During the fermentation process, health-promoting probiotics are formed, plus it's made from tea, so it contains antioxidants from the tea leaves." However, kombucha naturally contains sugar, so read the label and purchase those that have less than 15 g of sugar per bottle. When poured into a fancy glass, it can make a nice substitute for an alcoholic bev.

Ginger Tea

Ginger tea is one of several teas that show up on this list. “Ginger is known to ease stomach upset, specifically nausea, and reduce gas/bloating," says Meshulam. That can help you feel good throughout the day. When it comes to weight loss, ginger tea contains almost no calories and can add variety to your drink rotation. Try it as a mid-day sip instead of running out to get a sugary coffee drink as a pick-me-up.

Protein Shakes

For weight loss, Berkow recommends consuming at least one gram of protein per pound of body weight. That can be a tall order for the day, but protein shakes can help you get there. (Or, at the very least, get your protein intake up if it's lagging.) She recommends a protein drink made from a protein powder (supplying 20 grams of protein) mixed with water, a non-dairy milk, or skim/low-fat milk. However, pre-made protein shakes can also work, provided you examine their calorie and sugar content before sipping. Berkow recommends Core Power Fusion for a dairy option, and Owyn for a non-dairy option.

Sheffield woman suffers Heart attack after Breast implants removed

The 62-year-old from Mosborough, who asked to be known simply as Tina, now accuses the NHS of 'negligence' for not giving her the treatment she deserves following her ordeal that started almost two years ago.

She said it all began when she decided to have the breast implants taken out for health reasons – after watching a TV programme cautioning people of the side effects of breast augmentation.

Tina, who had breast implants since she was 25 and had them replaced over time, said: "I knew breast implants needed changing every 10 years, but after watching the TV programme, I didn't want them anymore. I wanted them out.

Sign up to our daily newsletter The i newsletter cut through the noise "They said if you have breast implants, symptoms might start to show between four and six years."

She said she had the second set of breast implants in 2003 and admitted that they should have been removed a long time ago, before she felt something amiss with her chest.

She also claimed that a tube was found during the removal surgery.

She added: "I felt a big lump above my breast and I was told to get the implants out. And ever since they were removed, I came home, it was hurting, it felt like my chest was ripping out.

"I've been suffering, and puking all the time and I lost a lot of weight. If I moved about, I'd still puke and now I have to double my medication intake."

Tina, who is already diabetic and on insulin, said she now has chronic asthma, bronchitis and rippled bones, to name a few conditions, due to steroid medication she has been taking over the years.

And now that a heart attack has joined the long list of illnesses, she said the NHS has not been helpful despite complaints.

"They only took some blood from me last year before Christmas but this has been going on for two years,” she said.

"I have been on sickness tablets. This is pure negligence, it's disgusting. This should've been sorted two years ago but they have not sorted me out. They dragged it on and dragged on.

"I am still in this pain and I’ve been throwing up a lot and I can no longer walk long distances. Otherwise, I’d fall. I’d need my walking stick with me.

"I shouldn't have done it, as I realise what it's done to me now. I regret it now,” she added.

She said she has booked an appointment with a cardiac doctor at the Northern General Hospital on July 28 to get further medical assistance.

She said she previously requested to have her breasts rebuilt by using some fat from her backside, but this was turned down by the hospital as it would be a risky procedure given that she is diabetic.

"If given a choice, I’d like that. I really would. But the NHS said I couldn’t do it because I am diabetic. It would be too risky for me – that’s why I had the breast implants in.”

In response, Dr David Hughes, medical director at Sheffield Teaching Hospitals NHS Foundation Trust said Tina has had a number of appointments since her surgery in July 2019 and has been seen by several clinical specialists, who have explained her clinical condition in detail.

He said: “She has also had extensive diagnostics, including a mammogram and ultrasound in the past 12 months. She attended A&E in April 2020. After triage, a series of tests and seeing a doctor the decision was taken to admit her for further investigations but she chose to leave before being admitted.

"She was given a follow-up appointment to determine if she required any further treatment or care. She has further treatment planned to take place. We are very sorry that she has felt cause to complain and we will provide a full response to her questions and offer her another opportunity to discuss any aspects of her care which she still has concerns about.

"We will also confirm again that a tube was not found in her breast during implant removal surgery. The shape on the scans was part of the rupture she had experienced and was removed successfully during surgery.”

Sensual photo Stills of Sexy Sunny Leone

I know many of you are fan to Evergreen Sex Queen Sunny Leone. From our recent study we found Sunny Leone as one of the most searched actress from Film Industry. The real name of hottest Sunny Leone is Karenjit Kaur Vohra. She born on 13th may 1981 at Sarnia, Ontario to Sikh Panjabi parents. In the young age of sunny leone she was very athletic & She love to play with boys.

Before Sunny Joined into pron industry, She started her career in German bakery farm. Later she worked for tax & retirement firm. 

In these days due to financial problems Sunny is looking for some better opportunity. By time finally she mate her friend who is a exotic dancer. With the request & interest of Sunny she introduced sunny leone to John Steven. Who is a photographic agent to Penthouse Magazine. 

She suggested Sunny Leone to start her career as adult star. hottest Sunny agree to the proposal and poses for penthouse magazine. In 2001 march issue of penthouse Sunny get the award as the pet for the month. 

With this growing reputation Sunny get offered from Vivid Entertainment (an adult network). She signed the Contract for 3 years with Vivid entertainment. Here from Sunny get known as a hottest pornographic actress. 

Her first pron movie released in December 2005. Due to beautiful Sensual and hottest activities the movies of Sunny Leone get very good sales. 

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Leone was engaged to Matt Erikson, a vice-president of marketing at Playboy Enterprises but their relationship broken in 2008. In 2011 Sunny get married with Daniel Weber. In 2010, Leone’s father died of cancer. Her mother was dead in 2008.

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