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Investigators Explore Impact of Cigarette Smoking and Alcohol Consumption on Black Breast Cancer Survivors

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Rutgers Cancer Institute of New Jersey Results Published in JAMA Network Open
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Newswise — New Brunswick, N.J. – Investigators from Rutgers Cancer Institute of New Jersey, the state’s  only National Cancer Institute-designated Comprehensive Cancer Center, together with RWJBarnabas Health, found that a higher risk of mortality in Black breast cancer survivors is associated with a history of cigarette smoking along with regular alcohol consumption at the time of diagnosis. The work, led by Nur Zeinomar, PhD, MPH, associate member of the Cancer Prevention and Control Program at Rutgers Cancer Institute, along with senior author Elisa V. Bandera, MD, PhD of Rutgers Cancer Institute, Rutgers School of Public Health  and Rutgers Robert Wood Johnson Medical School,is published in JAMA Network Open (doi:10.1001/jamanetworkopen.2022.52371)

There is limited data about how lifestyle factors are associated with breast cancer prognosis in Black women, as the majority of evidence is based on studies in white breast cancer survivors.

Maintaining a healthy lifestyle, which includes limited alcohol consumption and avoiding smoking, has been associated with improved survival following a breast cancer diagnosis (Li Q et al. Breast Cancer. 2022 Nov;29(6):957-966.). In this population-based cohort study of 1,926 Black breast cancer survivors, researchers found that those who smoked at the time of breast cancer diagnosis had a 52 percent increased risk for death due to any cause, compared with those who never smoked. This association was most pronounced for women with greater ‘pack-years’ of smoking and who regularly consumed alcohol, suggesting that smoking at the time of diagnosis is associated with a higher risk of mortality among Black breast cancer survivors, report the authors.

“Our findings add to the evidence of the detrimental health impacts of smoking and underscore the need of tailored and targeted survivorship care for breast cancer survivors, particularly Black women and those with heavier levels of smoking,” notes Dr. Zeinomar, who is also an assistant professor of medicine at Rutgers Robert Wood Jonson Medical School. “According to the American Cancer Society, there is a 40 percent increased risk of death for Black women diagnosed with breast cancer compared to non-Hispanic white women, thus better understanding how these modifiable risk factors are associated with prognosis is important for clinical recommendations and management following a breast cancer diagnosis.”

The authors note limitations of the study include limited information on cigarette smoking and alcohol consumption after diagnosis, as well as data on other types of smoking including passive smoking and e-cigarette use. Additionally, both alcohol consumption and smoking could potentially be underreported as both exposures in the study were based on self-reporting. The investigators say future studies should examine the role of continued smoking after a cancer diagnosis as well as smoking cessation in breast cancer survivorship.

Author acknowledgements, disclosures and other information can be found here 

About Rutgers Cancer Institute of New Jersey  As New Jersey’s only National Cancer Institute-designated Comprehensive Cancer Center, Rutgers Cancer Institute, together with RWJBarnabas Health, offers the most advanced cancer treatment options including bone marrow transplantation, proton therapy, CAR T-cell therapy and complex surgical procedures. Along with clinical trials and novel therapeutics such as precision medicine and immunotherapy – many of which are not widely available – patients have access to these cutting-edge therapies at Rutgers Cancer Institute of New Jersey in New Brunswick, Rutgers Cancer Institute of New Jersey at University Hospital in Newark, as well as through RWJBarnabas Health facilities. To make a tax-deductible gift to support Rutgers Cancer Institute, call 848-932-8013 or visit www.cinj.org/giving

Source: Rutgers Cancer Institute of New Jersey

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How to reduce gift-giving stress with your kids – a child psychologist’s tips for making magic and avoiding tears

Reduce gift-giving stress with kids: A child psychologist shares practical rules for stress-free gift giving with kids—how many gifts to give, what holds attention, and how to avoid holiday tears.

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Last Updated on January 9, 2026 by Daily News Staff

Reduce gift-giving stress with kids: A child psychologist shares practical rules for stress-free gift giving with kids—how many gifts to give, what holds attention, and how to avoid holiday tears.
’Tis the season … for gift-buying stress. Photo by Ryan Miller/Invision/AP

How to reduce gift-giving stress with your kids – a child psychologist’s tips for making magic and avoiding tears

Angela J. Narayan, University of Denver As a child, I loved being the center of attention. So it was a problem when my baby brother was born a day before my birthday. For years, I would beg my parents for a birthday gift “one day early.” My laid-back brother remembers thinking, “I don’t care about presents. Just give her mine!” As an associate professor and child psychologist at the University of Denver who studies child development and parenting, I’ve come to learn about these types of challenges associated with gift giving. The holidays, while a magical time, can also be stressful. Society places an expectation on parents to buy gifts, regardless of their financial circumstances, and children themselves often feel a variety of complex emotions. How children react to getting presents is partially linked to temperament, which is the variety of ways that children experience, perceive and interact with the world. Temperament is the precursor to personality – some people are introverts, while others are extroverts. Temperament is partially heritable. That means an introverted parent who feels social pressure to buy many gifts for their shy and easily overwhelmed child may be inadvertently causing stress. Faced with this holiday conundrum, I’m often asked questions like “Is there a magic number of gifts to give my kids?” or “What gifts will hold my child’s attention the longest?” While there isn’t an easy answer to either question, these tips and tricks can help parents be more thoughtful and intentional about gift giving, especially for children who are young.

The age rule

Young children cannot focus on a lot of things at once. A good rule of thumb is that a 1-year-old can focus only on one thing at a time. A 2-year-old can maybe focus on two things at most, and a 3-year-old maybe three things, and so on. Stop at five. Very few children actually need more than five gifts, so feel free to go lower.

The attention rule

I have often searched for the magical gift that will keep my children occupied for hours, and so far I haven’t found it. What I have found is that my children – ages 5 and 7 – get excited about the things that I get excited about. So I try to buy things that I think are fun. Ask yourself what you would like to play with if you got to be a child again. I bet your children would be eager to join you in those things.

The games rule

Card and board games are great gifts, often inexpensive, fun for many ages – excepting babies, of course – and capable of holding attention for a long time. Plus, they usually don’t take up much storage space. I love giving my kids games that are not only fun but also teach them helpful skills. Collaborative games for preschoolers and early school-age children like the Fairy Game and Outfoxed teach problem-solving, teamwork and early reasoning skills. Games for elementary-age children, such as Sorry and Battleship, teach kids how to manage difficult situations, like not always being in the lead, being a good sport even if you’re behind, and losing gracefully. Timeless card games like Uno and Memory, and newer ones like Sleeping Queens and Exploding Kittens, are great for using working memory, thinking flexibly, persisting and strategizing. Most importantly, playing games together supports positive family time, which is an excellent antidote to stress, bad moods or boredom.

The pressure rule

Imagine the holiday experience through the eyes of each of your children. Some children relish receiving gifts, like I did. Others, however, may feel self-conscious, overwhelmed by the sensory overload – all the textures, commotion and bright colors, not to mention people staring at them. The elements of surprise combined with the unspoken social pressure to be gracious and well regulated are challenging for any young child. We expect small children to contain their excitement, delay gratification and react positively to the surprise. And then come up with a polite response. These are all complex requests, rarely directly or explicitly taught. It’s no wonder that many children show negative emotions, have tantrums, or even just say, “I’m tired!” during holiday celebrations. That’s why beyond the precise nature of “the perfect gift,” we shouldn’t lose sight of what we should be doing. And that is investing in togetherness and helping kids learn skills like being patient and taking turns, strengthening memory capacities, planning ahead, not giving up, and that being a team player will pay off later. These skills pave the way for longer sustained attention, focus and concentration, as well as confidence. My 7-year-old is becoming a skillful chess player because we have taught him the rules and strategy and helped him practice. Maybe this is the real magical gift – not the purchase itself, but the decision to invest in time with your child early. Angela J. Narayan, Associate Professor, Clinical Child Psychology Ph.D. program, University of Denver This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Finding Your Rhythm Again: Reestablishing Routines in the New Year

Routines in the New Year: After weeks of excitement, travel and inconsistent schedules, the transition back to structure can feel daunting. However, with a thoughtful approach, parents can help their children ease back into their daily rhythms, and in the process, restore calm for the entire family.

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Finding Your Rhythm Again: Reestablishing Routines in the New Year

Finding Your Rhythm Again: Reestablishing Routines in the New Year

(Family Features) The holiday season is special, fun and often a bit chaotic, filled with family gatherings and joyful celebrations. Once the decorations come down and chaos subsides in the new year, many families face a familiar challenge: getting children back into their regular routines. After weeks of excitement, travel and inconsistent schedules, the transition back to structure can feel daunting. However, with a thoughtful approach, parents can help their children ease back into their daily rhythms, and in the process, restore calm for the entire family. Dr. Lauren Loquasto, senior vice president and chief academic officer at The Goddard School, provides this insight and guidance for parents. Understand Why Routines Matter Children thrive on predictability. Routines provide a sense of security, reduce stress and support emotional regulation. Children feel safe, even proud, when they know what comes next. Routines also help them develop independence and self-control. After the holidays, reestablishing these patterns is essential for a smooth return to school and everyday life. 17758 detail embed2Start with Sleep For young children, sleep is the foundation of a successful routine. Consistent sleep supports focus, tolerance and cooperation. For optimal brain repair and growth, preschoolers typically need 10-13 hours of sleep per night, but seasonal festivities can disrupt sleep schedules, frequently leaving children overly tired. Begin by gradually adjusting bedtime by moving it earlier in 15-minute increments each night until you resume your regular schedule. Pair this with calming pre-bedtime rituals like reading or quiet play to signal it’s time to wind down. The morning routine is equally important. Strive for consistent wake-up times, even on the weekends. If your child is resistant, teach them how their sleep routine helps their body and mind. For example: “Your body relaxes and grows stronger when you get enough sleep, so you feel good afterward.” Reintroduce Standard Mealtimes Holiday snacking and large meals at family gatherings can disrupt normal eating habits. Reinstate regular meal and snack times to help your child feel grounded. Offer balanced options and involve them in planning or preparing meals, as they’re more likely to embrace healthy choices when they have a role in the process. Prioritize Physical Activity After extended periods of lounging indoors – and likely an overdose of screen time – children need movement to burn energy and boost their moods. Coordinate outdoor play and family walks. If the weather isn’t cooperative, move around indoors with hide-and-seek and dance sessions. Physical activity not only supports health but also helps regulate sleep and behavior. Strategically Provide Choices When children have a voice, they are more likely to stay engaged and stick to their routines. As your child settles back into familiar patterns, this is an ideal moment to assess where you can ease your grip just enough to support their growing autonomy. This doesn’t mean relinquishing full decision-making power; rather, it’s about offering structured, intentional choices that help them feel a sense of control over their day. You know your child best, so you can determine when to be flexible. For example, it may not matter if they change into their pajamas right after dinner or just before bed but shifting when they go to the bathroom could completely disrupt their routine and, in turn, your day. Model Behavior Children learn by example and they are always watching their parents. If you reestablish and consistently maintain your own routines – healthy meals, quality sleep and physical activity among them – your child is more likely to follow suit. Make it a family effort rather than a set of rules imposed on them, and make it fun. To help routines stick, consider sticker charts to track progress and incentivize independence and accountability. Resetting routines isn’t about perfection; it’s about creating a supportive environment where children feel secure and prepared for what’s ahead. With patience, consistency and a positive attitude, you can help your child start the new year on the right foot. For more parenting guidance and insights, including a blog and webinar series, visit the Parent Resource Center at GoddardSchool.com.   Photos courtesy of Shutterstock collect?v=1&tid=UA 482330 7&cid=1955551e 1975 5e52 0cdb 8516071094cd&sc=start&t=pageview&dl=http%3A%2F%2Ftrack.familyfeatures SOURCE:
https://stmdailynews.com/why-i-never-gave-my-small-dog-rawhide-chews-a-pet-parents-perspective/
https://stmdailynews.com/why-i-never-gave-my-small-dog-rawhide-chews-a-pet-parents-perspective/

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What loving-kindness meditation is and how to practice it in the new year

Learn what loving-kindness meditation is and how to practice it with simple phrases—starting with yourself, then expanding to others and the world.

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Learn what loving-kindness meditation is and how to practice it with simple phrases—starting with yourself, then expanding to others and the world.
Loving-kindness, the feeling cultivated in metta meditation, is very different from romantic love. Anna Sunderland Engels

What loving-kindness meditation is and how to practice it in the new year

Jeremy David Engels, Penn State A popular New Year’s resolution is to take up meditation – specifically mindfulness meditation. This is a healthy choice. Regular mindfulness practice has been linked to many positive health benefits, including reduced stress and anxiety, better sleep and quicker healing after injury and illness. Mindfulness can help us to be present in a distracted world and to feel more at home in our bodies, and in our lives. There are many different types of meditation. Some mindfulness practices ask meditators simply to sit with whatever thoughts, sensations or emotions arise without immediately reacting to them. Such meditations cultivate focus, while granting more freedom in how we respond to whatever events life throws at us. Other meditations ask practitioners to deliberately focus on one emotion – for example, gratitude or love – to deepen the experience of that emotion. The purpose behind this type of meditation is to bring more gratitude, or more love, into one’s life. The more people meditate on love, the easier it is to experience this emotion even when not meditating. One such meditation is known as “metta,” or loving-kindness. As a scholar of communication and mindfulness, as well as a longtime meditation teacher, I have both studied and practiced metta. Here is what loving-kindness means and how to try it out for yourself:

Unbounded, universal love

Loving-kindness, or metta, is the type of love which is practiced by Buddhists around the world. Like many forms of meditation today, there are both secular and religious forms of the practice. One does not need to be a Buddhist to practice loving-kindness. It is for anyone and everyone who wants to live more lovingly. Loving-kindness, the feeling cultivated in metta meditation, is very different from romantic love. In the ancient Pali language, the word “metta” has two root meanings: The first is “gentle,” in the sense of a gentle spring rain that falls on young plants, nourishing them without discrimination. The second is “friend.” Metta is limitless and unbounded love; it is gentle presence and universal friendliness. Metta practice is meant to grow people’s ability to be present for themselves and others without fail.
A guided loving-kindness meditation practice.
Metta is not reciprocal or conditional. It does not discriminate between us and them, rich and poor, educated and uneducated, popular or unpopular, worthy and unworthy. To practice metta is to give what I describe in my research as “the rarest and most precious gift” – a gift of love offered without any expectation of it being returned.

How to practice loving-kindness meditation

In the fifth century, a Sri Lankan monk, Buddhaghosa, composed an influential meditation text called the “Visuddhimagga,” or “The Path of Purification.” In this text, Buddhaghosa provides instructions for how to practice loving-kindness meditation. Contemporary teachers tend to adapt and modify his instructions. The practice of loving-kindness often involves quietly reciting to oneself several traditional phrases designed to evoke metta, and visualizing the beings who will receive that loving-kindness. Traditionally, the practice begins by sending loving kindness to ourselves. It is typical during this meditation to say:
May I be filled by loving-kindness May I be safe from inner and outer dangers May I be well in body and mind May I be at ease and happy
After speaking these phrases, and feeling the emotions they evoke, next it’s common to direct loving-kindness toward someone – or something – else: It can be a beloved person, a dear friend, a pet, an animal, a favorite tree. The phrases become:
May you be filled by loving-kindness May you be safe from inner and outer dangers May you be well in body and mind May you be at ease and happy
Next, this loving-kindness is directed to a wider circle of friends and loved ones: “May they …” The final step is to gradually expand the circle of well wishes: including the people in our community and town, people everywhere, animals and all living beings, and the whole Earth. This last round of recitation begins: “May we …” In this way, loving-kindness meditation practice opens the heart further and further into life, beginning with the meditator themselves.

Loving-kindness and mindful democracy

Clinical research shows that loving-kindness meditation has a positive effect on mental health, including lessening anxiety and depression, increasing life satisfaction and improving self-acceptance while reducing self-criticism. There is also evidence that loving-kindness meditation increases a sense of connection with other people. The benefits of loving-kindness meditation are not just for the individual. In my research, I show that there are also tremendous benefits for society as a whole. Indeed, the practice of democracy requires us to work together with friends, strangers and even purported “opponents.” This is difficult to do if our hearts are full of hatred and resentment. Each time meditators open their hearts in metta meditation, they prepare themselves to live more loving lives: for their own selves, and for all living beings. Jeremy David Engels, Liberal Arts Endowed Professor of Communication, Penn State This article is republished from The Conversation under a Creative Commons license. Read the original article.

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