NEOPLASIA 1/2010 by MAKNAcancer

Neoplasia Newsletter Cover 14.85cm (W) x 21cm (H)

Ne plasia ISSUE 01/2010 PP9164/ 08/ 2010 ( 025377)

Majlis Kanser Nasional â€¢ National Cancer Council

WORLD NO TOBACCO DAY World No Tobacco Day is observed around the world every year on 31 May Page 16

International Childhood Cancer Day Page 32

Darvin Raj: Hopeful for a Brighter Future Page 24

Sources of Protein Page 34

KALENDAR AKTIVITI 2010/ CALENDAR OF EVENTS 2010

Tarikh / Date: Mei / May

Acara / Event

Lokasi / Location

27 - 30

Exhibition & Fundraising

IKANO Power Centre

Volunteer Meeting & CSG

Hospital Ipoh

31 - 4

DDDP Roadshow

Majlis Bandaraya Ipoh

3-5

DDDP Roadshow

Hospital Serdang

31 - 6

DDDP Roadshow

Tesco Extra Seremban

3-7

DDDP Roadshow

Majlis Bandaraya Ipoh

31 - 6

DDDP Roadshow

Tesco Extra Cheras

3-9

DDDP Roadshow

Tesco Cheras Extra

Jun / June

5-8

MAKNA Continuous Education

Jerejak Rainforest Resort, Penang

1-3

DDDP Roadshow

PPUKM

Volunteer Cancer Awareness & Fundraising

Jabatan Pendaftaran, Sabah

Home Visit

Port Klang

Volunteer Cancer Awareness & Fundraising

Jabantan Pembangunan, Sabah

2–5

Home Visit

Selangor

Exhibition (Fiesta Nasi Lemak 1 Malaysia)

Putrajaya

Volunteer Cancer Awareness & Fundraising

Masjid Kg. Kulambai

4-6

Sens Saves Lives

Kg Kobusak, Penanpang, Sabah

Volunteer Meeting & Fundraising

Makna HQ

Volunteer Cancer Awareness & Fundraising

Jabatan Pelajaran, Sabah

Exhibition (Cancer Awareness Campaign)

Centrepoint, Bdr Utama

MY Card Presentation & Awareness Programme

KDCA Hall, Penampang

7-9

DDDP Roadshow

Mahkota Medical Centre

Volunteer Fundraising & Home Visit

Labuan International School

7 - 13

DDDP Roadshow

Hospital Raja Permaisuri Bainun

Volunteer Home Visit

Lawas, Sabah

7 - 13

DDDP Roadshow

Tesco Mutiara

Volunteer Meeting & Fundraising

Brunei Darussalam

7 - 13

DDDP Roadshow

Tesco Setia Alam

Volunteer Cancer Awareness & Home Visit

Limbang, Sarawak

7 - 16

Home Visit

Pahang

Volunteer Home Visit

Miri, Sarawak

9 - 11

DDDP Roadshow

Hospital Pantai Indah

Talk

KLCC

11 - 12

Cancer Awareness Exhibition

Putrajaya

Talk & Exhibition

Petronas Gas Segam

Stress and Emotional Management

UPM

18 - 19

Talk & Exhibition

Petronas Gas Kerteh

Exhibition (Juara Rakyat Bulan NGO)

Wangsa Maju

13 & 14

Volunteer Fundraising & Home Visit

Kuala Tatau, Bintulu, Sarawak

Exhibition (Free Medical Camp)

Tmn Sri Muda, Shah Alam

DDDP Roadshow

Majlis Perbandaran Subang Jaya

13 & 22

Home Visit

Johor

12 - 13

15 & 16

Volunteer Training & Cancer Awareness

SK Long Atip, Marudi

14 – 18

Home Visit

Melaka

Volunteer Fundraising & Home Visit

Beaufort & Kota Kinabalu, Sabah

14 – 20

DDDP Roadshow

Oceanic Mall

Volunteer Fundraising & Home Visit

Tambunan, Sabah

14 – 20

DDDP Roadshow

Tesco Ipoh

Volunteer Fundraising & Home Visit

Penampang, Sabah

14 – 20

DDDP Roadshow

Tesco Klang

24 - 25

Talk & Exhibition

Nilai Collage

14 – 20

DDDP Roadshow

Wangsa Walk Mall

24 - 30

DDDP Roadshow

Hospital Sungai Buloh

Exhibition & BSE

Shah Alam

24 - 30

DDDP Roadshow

Tesco Shah Alam

Talk & Exhibition

South City Plaza

24 - 30

DDDP Roadshow

Tesco Extra Ipoh

DDDP Roadshow

Lembaga Coco Malaysia Sabah

26 - 27

DDDP Roadshow

Carsem - Subang

Technical Activities

Makna HQ

26 - 29

DDDP Roadshow

Hospital Pusrawi

Exhibition (KL Monorail Blood Donation Drive)

Stesen Sambanthan

Talk & Exhibition

Bank Rakyat, Jalan Tangsi

22 – 24

Home Visit

Selangor

26 - 29

Exhibition & Fundraising

Astro

Talk & Exhibition (Pahang Breast Awareness)

Hospital Temerloh

KALENDAR AKTIVITI 2010/ CALENDAR OF EVENTS 2010 23

Talk

INSTUN @ Tanjung Malim

Exhibition

UKM

Talk & Exhibition

Dewan Perdana Felda

24 - 25

Talk & Exhibition

Summit Shopping Mall, USJ

Cancer Exhibition/Home Visit

Taiping/ Ipoh

Cancer Exhibition/Fundraising/HV

Bilik Seminar 2,HUKM-IKM

Basic Nursing - Stage 1

Makna HQ

Exhibition

International Islamic Collegeâ€“Batu Caves

Volunteer Meeting & Home Visit

Kampung Pauh Beseri, Perlis

Cancer Awareness

Jitra Kedah

KALENDAR AKTIVITI 2010/ CALENDAR OF EVENTS 2010 8

Exhibition & PG

LADA Langkawi

Exhibition & PG

UNIMP, Perlis

Cancer Awareness Exhibition/Vol. Meet

Changloon, Kedah

Exhibition & PG

UITM Arau

Makna Introductory Programme

HQ Makna

Medical Camp/Fundraising

Dewan Bandaran Kulim, Kedah

12 - 21

Home Visit

Perak

Cancer Awareness Exhibition /Fundraising

Bayan Lepas, Penang

15 - 16

Volunteer Training & Home Visit

USM Kubang Kerian

Cancer Awareness Exhibition & Home Visit

Rosmerah, Pasir Gudang, Johor

Vol. Meet & Fundraising

Kg. Morten, Melaka

Vol. meet & Fundraising

Pasir Gudang, Johor

Vol. Meet & Fundraising & Home Visit

Mount Austin, Johor

26 - 29

Home Visit

Selangor

1-8

Fundraising/Vol. Training/Fundraising

UTP, Perak

Community Outreach Programme

Kg. Telaga, Kudat

Cancer Support Group / Hosp. Visit

Hosp. Likas, Sabah

Cancer Awareness / Fundraising

Kota Belud, Sabah

Home Visit / Fundraising

Penampang, Sabah

6-7

Pulau Gaya, Kota Kinabalu

Community Outreach Programme

Volunteer Meeting & CSG

Makna HQ

28 - 3 July

DDDP Roadshow

Ipoh Parade

28 - 4 July

DDDP Roadshow

Tesco Setia Alam

28 - 4 July

DDDP Roadshow

Oceanic Mall

28 - 4 July

DDDP Roadshow

Tesco Extra Seremban

28 - 4 July

DDDP Roadshow

The Mall

Cancer Awareness

Pengkalan Hulu, Perak

Cancer Awareness

Grik, Perak

Talk & Exhibition

IIC, Gombak

DDDP MPAC & Volunteer Activity

Tesco Kepong

Hosp. Support Group & CSG

Hospital Selayang

1 - 10

Home Visit

Kedah

Home Visit/Fundraising

Mesilau, Kundasang

Vol. Meeting & Cancer Awareness/Home Visit

MARDI Cameron Highland

Volunteer Training/ Fundraising

Universiti Malaysia Sabah

Cancer Awareness Exhibition

Kg. Melayu Subang

Home Visit/Fundraising

Menggatal, Inanam Sabah

3-4

Fundraising

Tesco Kepong

13 - 14

Volunteer Training/ Home Visit

Labuan International School

5 - 15

DDDP Roadshow

Tesco Kepong

Recreational Activities

Makna HQ

5 - 11

DDDP Roadshow

Giant Hypermarket Muar

Technical Activities

Makna HQ

5 - 11

DDDP Roadshow

Tesco - Melaka

Basic Nursing Care - Stage 1

PPUKM-IKM

5 - 11

DDDP Roadshow

Tesco Ipoh

September

5 - 11

DDDP Roadshow

Tesco Kajang

Volunteer Meeting & CSG

Makna HQ

5 - 11

DDDP Roadshow

Tesco Village Kepong

Recreational Activities

Makna HQ

MAKNA Introductory Program

Makna HQ

Julai / July

Ogos / August

Cancer Awareness Exhibition & Fundraising

SMK.Gombak Setia

Cancer Awareness Exhibition/Fundraising

SM. Teknik Gombak

Basic Nursing Care - Stage 2

PPUKM-IKM

Cancer Awareness Exhibiton/Home Visit

MegDewa Kedah

183

Technical Activities

Makna HQ

ld or W NO TOBACCO

– Issue 1/2010

Ne plasia ISSUE 01/2010 PP9164/08/201

EDITOR’S NOTE

Faridah Hussein WORLD NO TOBACCO DAY World No Tobacco Day is observed around the world every year on 31 May Page 16

International od Cancer Day Childho Page 32

Penolong editor / Assistant editor

Darvin Hopeful for a Brighter Raj: Future Page 24

Sources of Protein

Lionel Lim

Page 34

7 8 9 10-14

Editor’s Note From the President’s Desk Your Buzz News/Happenings/Events • World Cancer Campaign • Cancer Research Award • Penghargaan kepada Staf MAKNA

COVER

Feature Story

24-25

• Childhood Cancer: Osteosarcoma

28-29

Health Focus

30-33

• Trip to Brazil • International Childhood Cancer Day

34-38

Eating Well

16-18

Cover Story

• Sources of Protein • Healthy Recipe

World No-Tobacco Day

Community Services

UKMMC-MAKNA Cancer Centre Monthly Statistics

• Suara Sukarelawan

20-23

Volunteers • Kerja Sukarela • What’s Coming Up

LADIES,

YOU THINK SMOKING IS GLAMOROUS? WELL…… THINK AGAIN

PG18

Kerja Sukarela PG20

TRADITIONAL CHINESE

MEDICINE

We are often bombarded with news of people being stricken or dying from various types of cancer or cancer-related ailments. My question when faced with such an overwhelming escalation in cancer figures is, why and what is the cause behind this increase? Is it food related or the environment we live in or even the lifestyle we lead? When we eat, do we always think about the basic nutrition facts? We rarely care; what’s more important to us and even to the food people serving us is the taste and the presentation of the meal. More often than not, many food operators have limited knowledge of how the body works, how diet and nutrition can help prevent diseases. Similarly, the impact of smoking to others around the smoker is something that is hard to ignore. Passive smokers are usually the most affected by the adverse effects of smoking. Contrary to many beliefs, cancer is a disease that can be prevented; this has been proven time and again. Cancer can be prevented if we lead a healthy lifestyle. It can be prevented if we take some time out of our busy schedule to perform all the necessary tests that can save our lives and lastly we can prevent cancer if we choose to eat healthily and quit smoking. At MAKNA, we organise cancer awareness programmes throughout the year as part of our role in preventive measures against cancer. On World Cancer Day, MAKNA launched its new touch-screen animation system, a computer-based programme to educate the public on breast cancer at Cancer Awareness Carnival, Universiti Putra Malaysia.

PG28

Medical Disclaimer In no way should this newsletter be considered as offering medical advice! The content in here is general in nature, and is provided for informational purposes only. Never disregard medical advice or delay in seeking it because of something you have read here. 6

Dato’ Mohd Farid Ariffin Puan Farahida Mohd Farid

26-27

Medical Update

International Chapter

• Colgate - Palmolive: Breast Cancer Month Campaign

Penasihat / Advisors

• Darvin Raj: Hopeful For a Brighter Future

• Traditional Chinese Medicine

Fundraising

EDITORIAL LINE-UP

Majlis Kanser N asional • Natio nal Cancer Cou ncil

Editor

Day 2010 PG16

0 (025377)

Despite all these precautions, cancer can still strike any one of us anytime. When a person is diagnosed with cancer his or her live undergoes a period of transformation, usually in a negative manner. The same goes for his/her family. At this point of time, a cancer support group can truly help to ease the sufferings and pain experienced by the patient. Live healthy and stay cancer-free. Faridah Hussein

Penyumbang / Contributors Vemanna Appannah, Daphnee Iglesias, Ayu Mohammad, Siti Shazwani Ismail, Zulkefli Ismail, E-Jen Liu, Jacobs Mathews

Foto muka depan / Cover photo Avik Bangalee

Diterbitkan oleh / Published by Majlis Kanser Nasional (MAKNA) BG 03A & 05, Ground Floor, Megan Ambassy, 225 Jalan Ampang 50450 Kuala Lumpur Tel: 03 - 2162 9178 Fax: 03 - 2162 9203 Email: makna@makna.org.my Website: www.makna.org.my

Dicetak oleh / Printed by Percetakan Jiwabaru Sdn Bhd No. 2, Jalan P/8, Kawasan MIEL Fasa 2 Bandar Baru Bangi, 43650 Bangi Selangor Darul Ehsan Tel: 03 - 8925 6688 Fax: 03 - 8925 1688

Rekacipta / Design MCK Creative Resources 730, Block B2, Leisure Commerce Square No. 9, Jalan PJS 8/9, Bandar Sunway 46150 Petaling Jaya, Selangor Darul Ehsan Tel: 03 - 7877 8355 Fax: 03 - 7877 8366 www.makna.com.my

FROM THE PRESIDENT’S DESK

YOUR BUZZ

Being an OUTLIER How many of us wish we were extraordinary? A majority of us perhaps but many still just get by day-by-day being mundanely ordinary. Nothing wrong with that BUT we are gifted with so much more and it is a shame that we don’t push ourselves to be great, just to be great at something, however small. Since the inception of MAKNA years ago, I’ve realised that the human spirit is a wondrous thing. It is strong, even unbreakable sometimes in the face of challenges. How extraordinary right? We would expect that when faced with devastating illnesses, most people would resort to despair. But surprisingly many fought back! I still see this everyday and continue to be amazed. Why? I do notice that fighters are often those who have people around them as emotional support like family, friends and our MAKNA volunteers. Being an avid reader with an inquisitive mind, I seek for answers in books. I recently read a book titled ‘Outliers’ by Malcolm Gladwell. In this book the author spoke about people who are outliers—in men and women who, for one reason or another, are so accomplished and so extraordinary and so outside of ordinary experience. In ‘Outliers’ Gladwell wrote about not focusing on just individual achievements like how you hear someone say of Bill Gates or 8

some rock star or some other outliers—”they’re really smart,” or “they’re really ambitious” Well, I know lots of people who are really smart and really ambitious and they aren’t worth 60 billion dollars. Perhaps now we understand success has been so skewed towards individual achievements for far too long. My wish is to take what is in ‘Outliers’ and try to put across to all MAKNA staff, volunteers and you dear readers is how much of a group project success is. When outliers become outliers it is not just because of their own efforts. It’s because of the contributions of lots of different people and lots of different circumstances— and that means that we, as a society, have more control about who succeeds—and how many of us succeed—than we think. That’s an amazingly hopeful and uplifting idea.

Warmest regards,

May God bless us with good health, peace and harmony... Salam 1Malaysia

Help to contribute financially to MAKNA, it does help to ease off the needy. God Blss ALL

Farid

Sabadin Kasim

Jay Jalilah www.makna.com.my

NEWS / HAPPENINGS / EVENTS

WORLD CANCER CAMPAIGN “CANCER CAN BE PREVENTED TOO” By Daphnee Iglesias

The International Union Against Cancer (UICC) initiated the World Cancer Campaign in 2005 in response to the Charter of Paris of 2000 established by World Health Organization/United Nations. It also earmarked 4th February as World Cancer Day. Since 2006, UICC has coordinated related activities for this special day supported by members, partners, the International Atomic Energy Agency, and other international bodies. In Malaysia, MAKNA is one of UICC’s associates. This year, the campaign’s motto was “Cancer can be prevented too”, focusing on how the risk of developing cancer can significantly be reduced through simple measures: • • • •

Stop tobacco use and avoid exposure to second-hand smoke Limit alcohol consumption Avoid excessive sun exposure Maintain a healthy weight, through eating healthily and exercising regularly • Protect against cancer-causing infections

Annually, over 12 million people receive a cancer diagnosis and 7.6 million die of the disease. The good news is that approximately 40% of cancers are potentially preventable. As for MAKNA, various cancer awareness efforts were carried out during the month of February. We broadcasted daily cancer statistics, prevention and healthy lifestyle habits on our social media sites, besides having a special section for it in our website. Additionally, we also conducted several exhibitions, volunteer events and home visits during the month. On World Cancer Day itself, MAKNA also celebrated the launch of its newly designed touch-screen animation system, a computerbased interactive programme developed to assist those wishing to know more about breast cancer. It was first exhibited during the Cancer Awareness Carnival/Karnival Kesedaran Kanser (3k) hosted jointly with Institut Biosains – Universiti Putra Malaysia.

Launching of our touch-screen 3D-animation system at Universiti Putra Malaysia. Dato’ Mohd Farid Ariffin, MAKNA President, and Prof Datuk Dr Nik Mustapha R. Abdullah, Vice Chancellor, UniPutra.

Throughout the day, forums were held featuring renowned academicians talking about the global burden of cancer and its preventive measures. UniPutra’s staff also performed a series of preventive medical exams such as breast-self examinations (BSE), pap-smear tests, blood pressure, body mass index (BMI), blood sugar and cholesterol tests.

The fight against cancer is global and permanent. Show your care by cultivating a healthy lifestyle and by signing the World Cancer Declaration at our website: http://makna.org.my. Our heartfelt thanks to you and good health always!

UICC sample e-cards available during World Cancer Month:

“If you love someone, show that you care”. 10

www.makna.com.my

NEWS / HAPPENINGS / EVENTS

PROMISING RESEARCHERS

RECEIVE GRANTS FROM MAKNA Three local talented researchers with the MOST PROMISING PROJECTS received a total of RM90,000 at the MAKNA Cancer Research Award 2009 to fund their individual projects in cancer. The trio, selected from more than 30 applications were Dr. Abhimanyu Veerakumarasivam (Mr), 30, Associate Prof Dr. Chong Pei Pei (Ms), 38 and Chuah Lay Hong (Ms), 24. The former two recipients are currently attached to the Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UniPutra) as lecturers while the Chuah is currently pursuing her doctorate in Pharmacy at University of Nottingham (Malaysia). Each of the researchers received RM30,000 at the event. The event was held and hosted by UniPutra at Serdang on 28 March 2001. The Vetting Committee for the award consisting of five members was headed by Prof. Emeritus Dr. Cheong Soon Keng, Department of Hematology (Universiti Kebangsaan Malaysia Medical Centre)

since its inception in 2001. For this award, the recipients were reviewed and selected based on the degree of relevance their research with the objective of the award and how promising it would be in terms of benefitting the scientific and medical community and the possibility of discovering a breakthrough in cancer research. Every recipient is also required to complete his or her project within two years and that it must be performed in Malaysia. Researchers are also required to submit a progress report every three months and to also present their findings in an appropriate forum in Malaysia within a year.

Recipients of the MAKNA 2009 Cancer Research Award with MAKNA President, Exco members, Academy of Sciences President and UniPutra representatives

Dato’ Farid handing over a symbolic cheque for next year’s Cancer Research Award

From 2001 to 2009, MAKNA allocated RM875,000 towards Cancer Research Award and last year, RM150,000 was awarded to five recipients. To-date, the program has funded 30 researchers in total. At the ceremony, President and CEO of MAKNA, Dato’ Mohd Farid Ariffin said that research was one of the various disciplines that MAKNA had set its sight on as its long-term goals. Besides operating a cancer ward, providing treatment, financial assistance, counselling, support, research is just as important as the others as it is aligned to the organisation’s corporate mission and objectives.

We cannot emphasise enough that our responsibility extends far beyond the everyday liaison and contact with patients under our care; whatever else we can do in making their lives better, including the promise of a cure is good enough for us to persevering for a positive outcome, said Dato’ Farid. “These researchers, very much like the ones before them who were awarded grants are a special breed of people as they could have chosen to research on something else but instead focused on cancer. I am sure they must have done a lot of “homework” to have embarked on such complex and difficult challenges and analyses”.

In his speech, Deputy Vice Chancellor for Research and Innovation, UniPutra Prof. Dato’ Dr. Abu Bakar Salleh said the Institute of Bioscience was set up for the specific purpose and function as the launching platform of research initiatives. In 2005, it began to house an additional laboratory facility that saw the start of the collaboration between MAKNA and UniPutra for cancer research. As a result, several breakthroughs have been achieved including “Development of Broad Spectrum Cancer Vaccines, using New Castle Disease Virus as Anti-Cancer Agent”, spearheaded by Prof. Datin Paduka Dr. Aini Ideris, the current Deputy Vice Chancellor for International and Academics Affairs of UniPutra, or projects which can potentially spur a wider range of activities such as the anticancer effects of Zerumbone from Zingiber Zerumet on human cervical cancer cells, jointly led by Dr. Ahmad Bustamam Abdul and Prof. Madya Dr. Sabariah Abdul Rahman, both of UniPutra. “All these research initiatives have huge potentials in helping cancer patients, not just here in Malaysia but also throughout the world. The mechanism created within the Innovation and Research Department is designed specifically to enable young researchers to pursue their dreams to the fullest, from the conception to consumption,” he continued. Present at the ceremony were Datin Paduka Prof. Dr. Khatijah bt Mohd Yusoff, Deputy Secretary General (Science), Ministry of Science, Technology and Innovation (MOSTI), Prof. Dato’ Dr Abu Bakar Salleh, Deputy Vice Chancellor, Universiti Putra Malaysia, Dr. Shukri Ab Wahab, Executive Director, Academy of Sciences, Malaysia Prof. Dr. Azhar Md. Zain, Dean, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia. www.makna.com.my

NEWS / HAPPENINGS / EVENTS

FUNDRAISING

COLGATE-PALMOLIVE

Cik Habiba Abdul Rahman Kecergasannya mengalahkan rakan sekerja yang jauh lebih muda. Itulah Cik Habiba Abdul Rahman berumur 63 tahun. Berasal dari Klang, wanita yang kecil molek dan berkulit hitam manis ini sentiasa perwatakan ceria. Mungkin ini ada kaitan dengan amalan hidup beliau yang sentiasa bersikap positif walau dalam apa keadaan sekalipun. Menyingkap kisah hidupnya pula, Habiba merupakan seorang bekas tenaga pengajar kebidanan selama 26 tahun di Kementerian Kesihatan Malaysia. Apabila MAKNA mula mengambil jururawat untuk wad kansernya di Hospital Universiti Kebangsaan Malaysia (kini dikenali sebagai Pusat Kanser Pusat Perubatan Universiti Kebangsaan MalaysiaMakna) pada tahun 1999, beliau adalah antara jururawat yang memohon untuk bertugas di wad MAKNA. Permohonan beliau berjaya dan beliau dilantik sebagai penyelaras jururawat, selepas bersara awal dari Kementerian Kesihatan.

By Daphnee Iglesias

Pada tahun 2004, beliau ditugaskan ke ibu pejabat MAKNA sebagai fasilitator “Program Outreach.” Antara tugas-tugas beliau adalah memberi ceramah kanser dan gaya hidup sihat. Kesungguhan Habiba dalam menjalankan tugasnya di MAKNA amat dikagumi. Keikhlasan beliau dalam membantu pesakit-pesakit kanser amat menyerlah sehingga tertubuhnya Kumpulan Sokongan Kanser MAKNA (MAKNA Cancer Support Group) yang antara lain memberi sokongan kepada pesakit kanser dan keluarga mereka dalam menghadapi kanser. Memandangkan komitmen tinggi yang ditunjukkan terhadap para pesakit kanser, beliau telah dilantik sebagai pengerusinya. Selain daripada itu, beliau juga akan membuat lawatan ke rumah pesakit untuk memberi kaunseling kepada mereka yang memerlukannya. Sebagai seorang fasilitator, beliau berkongsi maklumat dan pengalaman mengenai kanser, memberi ceramah mengenai gaya hidup sihat dan kesedaran kanser. Dalam ceramahceramah beliau, beliau memberi demonstrasi mengenai gejala-gejala atau simptom-simptom kanser seperti pemeriksaan sendiri payudara. Beliau juga sedia memberi sokongan mental dan emosi serta khidmat nasihat kepada pesakit kanser, keluarga dan rakan mereka untuk meringankan beban yang ditanggung. Selanjutnya beliau akan sekali-sekala menelefon pesakit berkenaan untuk mengetahui keadaan terkini pesakit dan member bantuan yang bersesuaian. Nampaknya, dalam kebanyakan kes, beliau berjaya meringankan beban pesakit kanser yang ditemui beliau. Syabas Habiba! Anda merupakan teladan buat kami semua.

Habiba menyambut hari jadinya dengan rakan-rakan kerja. (Dari kiri) Farah, Najidah, Habibah & Amy.

‘BREAST CANCER MONTH’ CAMPAIGN

MAKNA representatives with charity recipients and Colgate-Palmolive staff at the Softlan cheque handover ceremony

In conjunction with “Breast Cancer Month” in October 2009, Colgate-Palmolive launched a nationwide campaign in support of the early detection of breast cancer. For each bottle of Softlan Fabric Softener 2L purchased by the public, the company channelled 10 sen towards a fund to subsidise mammograms for less fortunate women. With the support of the public, Colgate-Palmolive raised RM 75,366. Three cancer organisations were the beneficiary of this campaign, namely MAKNA, National Cancer Society of Malaysia and the Breast Cancer Welfare Association. The cheques were presented to the recipients on 5 February 2010 in a special ceremony. The fund was distributed equally.

www.makna.com.my

COVER STORY

World

NO TOBACCO

Day 2010

Gender and tobacco with an emphasis on marketing to women Controlling the epidemic of tobacco among women is an important part of any comprehensive tobacco control strategy. World No Tobacco Day 2010 was designed to draw particular attention to the harmful effects of tobacco marketing towards women and girls. It also highlighted the need for the nearly 170 Parties to the WHO Framework Convention on Tobacco Control to ban all tobacco advertising, promotion and sponsorship in accordance with their constitutions or constitutional principles.

Women comprise about 20% of the world’s more than 1 billion smokers. However, this figure is bound to increase. Male rates of smoking have peaked, while female rates are on the rise. Women are a major target of opportunity for the tobacco industry, which needs to recruit new users to replace the nearly half of current users who will die prematurely from tobacco-related diseases.

Especially troubling is the rising prevalence of tobacco use among girls. The new WHO report, Women and health: today’s evidence, tomorrow’s agenda, points to evidence that tobacco advertising increasingly targets girls. Data from 151 countries show that about 7% of adolescent girls smoke cigarettes as opposed to 12% of adolescent boys. In some countries, almost as many girls smoke as boys. World No Tobacco Day 2010 gave overdue recognition to the importance of controlling the epidemic of tobacco among women. As WHO Director-General Margaret Chan wrote in the aforementioned report, “protecting and promoting the health of women is crucial to health and development – not only for the citizens of today but also for those of future generations”. The WHO Framework Convention, which took effect in 2005, expresses alarm at “the increase in smoking and other forms of tobacco consumption by women and young girls worldwide”. It is therefore important that tobacco control policies recognise and take into account gender norms, differences and responses to tobacco in order to “reduce tobacco use and improve the health of men and women worldwide”.

WHO’s call, governments can reduce the toll of fatal and crippling heart attacks, strokes, cancers and respiratory diseases that have become increasingly prevalent among women.

Protecting and promoting the health of women is crucial to health and development – not only for the citizens of today but also for those of future generations

The World Health Organization (WHO) selected “Gender and tobacco with an emphasis on marketing to women” as the theme for World No Tobacco Day, which took place on 31 May 2010. The WHO Framework Convention recognises “the need for gender-specific tobacco control strategies”, as well as for the “full participation of women at all levels of tobacco control policymaking and implementation of tobacco control measures”. On World No Tobacco Day 2010, and throughout the following year, WHO will encourage governments to pay particular attention to protecting women from the tobacco companies’ attempts to lure them into lifetimes of nicotine dependence. By responding to

Tobacco use could kill one billion people during this century. Recognising the importance of reducing tobacco use among women, and acting upon that recognition, would save many lives. Although the World No Tobacco Day 2010 campaign focused on tobacco marketing for women, it took into account the need to protect boys and men from the tobacco companies’ tactics. Source-World Health Organisation

www.makna.com.my

COVER STORY

COMMUNITY SERVICES

SUARA SUKARELAWAN

LADIES,

YOU THINK SMOKING IS GLAMOROUS? WELL…… THINK AGAIN

You’ll be subjecting yourself to.... LUNG and CERVICAL CANCER Respiratory and HEART problems, FERTILITY Problems MISCARRIAGES, PREMATURE & DEFORMED BIRTHS Smoking Causes 60,000 DEATHS of secondary women smokers worldwide. Or you may want to end up looking........ LIKE THIS

Saya merupakan seorang pelajar perubatan di Universiti Monash, Kampus Sunway. Pada bulan lalu saya merebut peluang mengikuti adik saya, Fatihah, seorang sukarelawan MAKNA melawat pesakit di Pasir Mas dan Rantau Panjang di Kelantan. Walaupun sebelum ini saya pernah menjadi sukarelawan dengan badan amal yang lain, namun pengalaman yang ditempuhi bersama program sukarelawan MAKNA amat berbeza dan lebih berharga. Setiap ahli kumpulan mempunyai tugas masing-masing. Kebebasan mengendalikan kes-kes yang diberikan tanpa sebarang pengawasan menjadikan saya lebih bertanggungjawab untuk membantu ahli-ahli kumpulan mendapatkan data yang diperlukan oleh pihak pengurusan MAKNA. Tambahan pula dengan kehadiran sukarelawan yang tidak ramai, walaupun secara bergilir-gilir, kami masih dapat menyiapkan tugasan dalam masa yang singkat. Dalam menjalankan tugas kerjasama amat dititikberatkan. Semakin lama menjalankan tugas kami, hubungan kami menjadi lebih akrab. Pada hari kedua, kami melawat seorang pesakit perempuan yang tinggal dengan anak lelaki dan ibunya yang telah uzur. Lawatan ini memang agak menyentuh hati saya. Kakak yang sakit itu terpaksa bekerja untuk menampung hidup sekeluarga dengan membantu kawan menjual baju. Saya dapat lihat betapa dia begitu gigih berusaha untuk menyekolahkan anaknya yang seorang, tanpa menghiraukan keadaan kesihatannya dan kesakitan yang dilalui. Dalam keadaannya yang demikian rupa, mungkin dia berfikir dia masih boleh cuba memberi yang terbaik kepada anaknya, menjaga supaya kebajikan anaknya tidak terabai. Saya perhatikan dia tidak pernah berputus asa malah sentisa tersenyum, dan sekali pandang, memang saya tidak akan sangka dia merupakan seorang penghidap kanser.

semangat di kalangan kenalan yang menghidap penyakit untuk memujuk pesakit lain menerima keadaan diri mereka sendiri di samping cuba mendapat rawatan sewajarnya. Dalam satu lawatan lain kami bertemu dengan seorang pesakit kanser kolon yang terpaksa menaiki motosikal dari Tanah Merah ke Kota Bharu seorang diri semata-mata untuk menerima rawatan. Kepayahan hidup kadang-kadang boleh membahayakan keselamatan diri sendiri contohnya apabila pesakit yang tidak larat selepas menerima rawatan terpaksa mengagahkan diri untuk berulang alik ke hospital. Sebagai seorang bakal doktor saya berasa amat yakin bahawa semua pengalaman yang saya perolehi dalam lawatan ini tidak terdapat dalam mana-mana buku ilmiah. Lebih menarik hati lagi ialah saya dapat mengaplikasikan segala ilmu semasa belajar kepada kerja-kerja kesukeralawanan. Saya bercadang untuk menekankan kesejahteraan pesakit secara mental dan emosi apabila menjadi doctor kelak. Seperti kata pensyarah saya, “pendekatan rawatan yang holistik adalah yang paling baik.” Di peringkat universiti, kami diajar bahawa proses penyembuhan penyakit banyak dipengaruhi faktor sekeliling, contohnya faktor sosial (jenis pekerjaan, pendapatan bulanan), faktor geografi dan keluarga. Oleh itu, kami percaya bahawa kami perlu berbekalkan maklumat latar belakang pesakit untuk seterusnya memberi opsyen kepada mereka yang tidak berkemampuan. Ini termasuk memperkenalkan mereka kepada kumpulan sokongan yang relevan seperti Jabatan Kebajikan Masyarakat atau badan bukan keuntungan seperti MAKNA. Cara ini dapat meringankan beban yang dihadapi, di samping mendedahkan mereka kepada pelbagai kemudahan seperti peluang pendidikan atau perumahan seperti program “People’s Poverty Eradication Programme” atau PPRT.

Kami juga sempat bertemu dengan Haji Hussin, seorang bekas pesakit kanser yang bersemangat kuat dan berfikiran terbuka. Kalau semua pesakit dapat menerima kenyataan seperti Hj Hussin, InsyaAllah pasti ramai lagi yang boleh sembuh dan dapat hidup dengan sihat bersama keluarga mereka. Tapi mengikut cerita Hj Hussin, ramai juga pesakit yang sanggup tinggal di rumah tanpa menerima rawatan. Mereka lebih rela memberi alasan seperti mempunyai fobia untuk ke hospital, masalah pengangkutan atau tidak sanggup meninggalkan anak keseorangan di rumah. Akibatnya keadaan pesakit semakin parah dan sel kanser mula merebak. Dalam keadaan ini, saya percaya sedikit kata-kata 18

Siti Shazwani Ismail, sukarelawan MAKNA bersama pesakit kanser yang dilawati

www.makna.com.my

VOLUNTEERS Setelah tiba ke rumahnya, harapan kami untuk membuat kejutan sempena kedatangan kami tidak kesampaian kerana beliau tiada di rumah. Walaupun begitu, kami masih ada aktiviti-aktiviti lain dan segera bergegas ke Kuala Perlis untuk beriadah. Terkenangkan kata-kata Mama Gie (Koordinator Sukarelawan Kanan MAKNA) yang sentiasa menekankan agar setiap program yang dijalankan harus mempunyai kesinambungan, teringat kami akan sebuah keluarga yang terdiri daripada tiga wanita cacat penglihatan yang tinggal di kawasan berhampiran. Kami pernah menyertai aktiviti lawatan sosial ke rumah tiga bersaudara ini bersama Mama Gie pada pertengahan tahun 2009. Kami pun bersepakat untuk bergegas ke rumah tiga bersaudara tersebut.

Setelah selesai mengemas bahagian dalam rumah, kami semua bergegas ke kawasan luar rumah dan bergotong-royong di sekitar kawasan laman rumah pula. Setelah itu, kami berlima sempat beramah mesra dengan jiran serta Mak Su sekeluarga sebelum pulang ke UUM. Demikianlah yang dimaksudkan bahawa kerja sukarelawan boleh dilakukan bila-bila masa sahaja. Hajat asal kami untuk ke rumah rakan sukarela dan beriadah bersempena cuti hari keputeraan Sultan Kedah ditambah lebih mesra dan

Sesampainya kami di rumah Makcik Zainah yang lebih dikenali dengan panggilan Mak Su, kami memberi salam namun begitu, setelah salam diberi beberapa kali, sahutan salam kami disambut oleh Mak Ngah dan Mak

Kerja Sukarela pada bila-bila masa.

Pada tanggal 17 Januari 2010 bersempena dengan Hari Keputeraan Sultan Kedah, saya bersama rakan-rakan sukarelawan MAKNA yang lain, iaitu Nana, Unes, Erni, dan Juli sempat merancang untuk membuat lawatan ke rumah salah seorang sukarelawan yang sudah lama tidak berhubung dengan kami iaitu Hafiz di samping bercadang untuk beriadah di Kuala Perlis. Kesibukan Hafiz berkhidmat sebagai pensyarah di Universiti Malaysia Perlis membuatkan beliau kurang masa untuk menyertai kami dalam program-program yang dirancang di kawasan utara. 20

Zulkefli dengan seorang rakan sedang melakukan kerja-kerja sukarela

Sebagai sukarelawan, kami tidak setakat menziarah sahaja tetapi turut dengan sukarela mengemas rumah dan melakukan sesuatu yang dapat membantu keluarga yang diziarah.

Njang, kedua kakak kepada Mak Su. Terpancar wajah kegembiraan dua bersaudara ini menyambut kedatangan kami. Mak Su tiada di rumah kerana dalam perjalanan pulang. Sebagai sukarelawan, kedatangan kami tidak setakat menziarah sahaja tetapi turut dengan sukarela mengemas rumah dan melakukan sesuatu yang dapat membantu keluarga yang diziarah. Ketika asyik mengemas, Mak Su yang pulang dari pekan Kangar kelihatan begitu gembira apabila mengetahui kami yang bangga dipanggil sebagai â€œanak-anak Mama Gieâ€? datang menyinggah ke rumahnya.

bermakna lagi dengan kunjungan ke rumah Mak Cik Zainab. Syabas kepada rakan-rakan saya yang turut dan terima kasih kami kepada Mama Gie berkongsi satu tunjuk ajar yang amat berguna untuk diteladani oleh kami semua.

Oleh Zulkefli Ismail (sukarelawan dari Universiti Utara Malaysia).

www.makna.com.my

VOLUNTEERS

A Meaning to

Life

14 July

Cancer Awareness Exhibition Venue: Bayan Lepas, Penang Time: 10.00 am - 3.00 pm Volunteer: En Zulkefli

16 July

Fundraising & Home Visit Venue: UNIMAP, Perlis Time: 9.00 am - 4.00 pm Volunteer: En Foizi

15 July

Cancer Awareness Exhibition & Home Visit Venue: Pengkalan Hulu Time: 9.00 am - 3.00 pm Volunteer: Pn Zaiton

17 July

Cancer Awareness Exhibition & Home Visit Venue: HUSM, Kelantan Time: 9.00 am - 3.00 pm Volunteer: Cik Fatihah

What’s Coming Up in

July & August 2010

18 July

Cancer Awareness Exhibtion, Fundraising & Home Visit Venue: SMK Bukit Rangin, Kuantan Time: 9.00 am - 5.00 pm Volunteer: Cik Ayu Tine

30 July – 1 Aug

Cancer Awareness & Fundraising Venue: Balai Bomba , Arau Time: 10.00 am - 3.00 pm Volunteer: En Zulkefli

19 July

Volunteers Meeting & Home Visit Venue: Kolej Profesional MARA Melaka Time: 2.00 pm - 6.00 pm Volunteer: Pn Salwa

30 July – 1 Aug

Volunteers Training & Fundraising Venue: SMK.Kudat, Sabah Time: 8.00 am - 8.00 pm Volunteer: Pn Zariana

20 July

Cancer Awareness Exhibition, Fundraising & Home Visit Venue: Pasir Gudang, Johor Bahru Time: 10.30 am - 3.00 pm Volunteer: En Mokhtar

1 – 8 Aug

Volunteers Training & Fundraising Venue: UTP, Perak Time: 9.30am - 4.00pm Volunteer: En Taufik/Pn Azlina

21 July

Fundraising & Home Visit Venue: Mount Austin, Johor Bahru Time: 10.00 am - 2.00 pm Volunteer: En Mokhtar

2 Aug

Community Outreach Programme Venue: Kg Telaga, Kudat Time: 10.00 am - 3.00 pm Volunteer: Pn Zariana

24 – 25 July

Fundraising & Cancer Awareness Venue: Bukit Beruntung, Selangor Time: 9.30 am - 4.30 pm Volunteer: Cik Ani Mayuni /Mdm Nining

3 Aug

Cancer Support Group / Hosp. Visit Venue: Hospital Likas, Sabah Time: 9.00 am - 3.00 pm Volunteer: Mdm Elizabeth

24 July

Fundraising & Cancer Awareness Venue: Taman Jumbo, K. K Sabah Time: 10.00 am - 3.00 pm Volunteer: Cik Hanisah

4 Aug

Cancer Awareness / Fundraising Venue: Kota Belud, Sabah Time: 9.00 am - 3.00 pm Volunteer: Pn Zariana

25 July

Fundraising & Home Visit Venue: Kota Kinabalu, Sabah Time: 9.30 am - 3.00 pm Volunteer: Ms Ilani

5 Aug

Fundraising & Home Visit Venue: Penampang, Sabah Time: 9.00 am - 3.00 pm Volunteer: Pn Zariana

26 July

Cancer Awareness & Home Visit Venue: Kg Padawan, Papar, Sabah Time: 9.30 am - 3.00 pm Volunteer: Mdm Elizabeth

6 – 7 Aug

Community Outreach Programme Venue: Pulau Gaya, Kota Kinabalu Time: 9.00 am - 4.00 pm Volunteer: Pn Saimah

27July

Cancer Awareness & Home Visit Venue: Kg Kelatuan, Papar, Sabah Time: 9.30am - 3.00pm Volunteer: Mdm Elizabeth

8 Aug

Fundraising & Home Visit Venue: Mesilau, Kundasang Time: 9.00 am - 4.30 pm Volunteer: Pn Zariana

28 July

Hospital Visit & Home Visit Venue: Hospital Keningau, Sabah Time: 9.30 am - 3.00 pm Volunteer: Mdm Elizabeth

9 Aug

Volunteers Training & Fundraising Venue: Universiti Malaysia Sabah Time: 9.30 am - 3.00 pm Volunteer: Mr Peter Voo

29 July

Cancer Awareness & Fundraising Venue: Balai Polis Kudat, Sabah Time: 9.30 am - 3.00 pm Volunteer: Pn Zariana

10 Aug

Fundraising & Home Visit Venue: Menggatal, Inanam Sabah Time: 9.00 am - 3.00 pm Volunteer: Pn Zariana

13 -14 Aug

Volunteers Training & Home Visit Venue: Labuan International School Time: 3.00 pm - 6.30 pm Volunteer: En Jeffri/ Pn Zariana

To participate in the above programmes, please contact Mama Gie (Senior Volunteer Coordinator) at 019-289 4717/03-21611645 or email her at mamagie@makna.org.my or Ms Monica (Volunteer Executive) at 014-8872026/03-21611645 or email her at monica@makna.org.my.

www.makna.com.my

FEATURED STORY However, fate dealt a cruel blow to Mr. Muniandy’s family. In August 2009, Darwin’s mother passed away. It was a huge setback for Mr. Muniandy. Not only that he lost his beloved wife, he now had to become both father and mother to his children, especially to Darvin is also very ill.

DARVIN RAAJ:

His other children’s love and support towards Darvin helped make his work much easier. His late wife had wished that Darvin’s elder brother to become a teacher and this wish soon became a reality as my friends helped him enroll in Seremban’s Raja Melewar Teacher Training College. Meanwhile, Darvin created history of his own in his school. After resuming studies in Standard Five, he sat for his UPSR Examination the next year and was among the eight students in school to score 7As. What an achievement! He managed all this, despite having missed out on his early education due to his illness and the death of his mother.

HOPEFUL FOR A BRIGHTER FUTURE Once in a while in life we meet someone who will either change our life or make us realise that despite all odds faced in life, we have everything to be grateful for. Mr Muniandy Sackari has three children - Darvin Raaj, the youngest was six when he was first diagnosed with leukaemia. After two months of attending school in Standard One, he had to stop to undergo a bone marrow transplant treatment. The donor was his own sister. To make matters more distressing was that Muniandy’s wife was a kidney patient who was undergoing dialysis three times a week. Having to care for two sick family members left Mr. Muniandy little time to continue working and be gainfully employed. My first encounter with Darvin Raaj was when his father was looking for help to settle the balance to his son’s medical bills. After meeting the hospital director where Darvin underwent treatment, he managed to get it reduced. At Darvin’s school sports day, I was given the honour to give away some prizes to the students. 24

The only regret Darvin had was that his dearest mother was not around to see his success. Not only Darvin’s father, other family members and his teachers were both shocked and overjoyed by his incredible achievement. Even MAKNA’s volunteers

including myself felt very inspired with his perseverance and determination. We pray that God will see him through his education and help fulfill his ambition to be a doctor so he can serve patients like him in the future.

We only have boundless of respect for Mr. Muniandy as he is a shining example of a father who has relentlessly sacrificed himself for his family especially towards his late wife and Darvin. He certainly is a source of inspiration to us all. by Jacobs Mathews, MAKNA volunteer

Darvin flanked by his father on his left and Puan Farahida (MAKNA GM) and Mr. Jacobs at the MAKNA Volunteer Appreciation 2009 Ceremony.

Darvin came up to me to receive his prize and instantly I hugged him. It caught the attention of a philanthropist who also happened to be the VIP at the meet. He immediately spoke to Darvin’s father and offered to bear the balance of Darvin’s and his mother’s medical treatment costs. www.makna.com.my

www.makna.com.my

MEDICAL UPDATE

CHILDHOOD CANCER:

KANSER DI PERINGKAT KANAK-KANAK:

Osteosarcoma is the most common type of bone cancer, and the sixth most common type of cancer in children. Although other types of cancer can eventually spread to parts of the skeleton, osteosarcoma is one of the few that actually begin in bones and sometimes spread (or metastasise) elsewhere, usually to the lungs or other bones.

Osteosarkoma merupakan kanser tulang yang keenam dan paling kerap berlaku di kalangan kanak-kanak. Berbeza dengan kanser lain, osteosarkoma merupakan di antara segelintir kanser yang bermula dalam tulang dan kadangkala akan merebak ke bahagian lain, terutama sekali ke paru-paru atau tulang yang lain.

OSTEOSARCOMA

Because osteosarcoma usually develops from osteoblasts (the cells that make growing bone), it most commonly affects teens who are experiencing a growth spurt. Boys are more likely to have osteosarcoma than girls, and most cases of osteosarcoma involve the knee. Most osteosarcomas arise from random and unpredictable errors in the DNA of growing bone cells during times of intense bone growth. There currently isn’t an effective way to prevent this type of cancer. But with the proper diagnosis and treatment, most kids with osteosarcoma do recover.

Risk for Childhood Osteosarcoma Osteosarcoma is most often seen in teenage boys, and evidence shows that teens who are taller than average have an added risk for developing the disease. Kids who have inherited one of the rare cancer syndromes also are at higher risk for osteosarcoma. These syndromes include retinoblastoma (a malignant tumor that develops in the retina, usually in children younger than age 2) and Li-Fraumeni syndrome (a kind of inherited genetic mutation). Because exposure to radiation is another trigger 26

OSTEOSARKOMA

Pada kebiasaannya osteosarkoma bermula dari osteoblas (sel yang membuat tulang membesar). Oleh itu osteosarkoma kerap berlaku di kebiasaannya remaja yang mengalamai kebantutan membesar. Juga, pada kebiasaannya remaja lelaki lebih kerap dihidapi osteosarkoma berbanding remaja perempuan dan dalam banyak kes ia melibatkan tulang di lutut.

for DNA mutations, children who have received radiation treatments for a prior episode of cancer are also at increased risk for osteosarcoma.

Dalam kebanyakan kes osteosarkoma berlaku kerana kesilapan yang rambang dan kesilapan DNA yang tidak boleh dipastikan, akibat tekanan semasa pembesaran sel tulang. Setakat ini tiada cara yang berkesan untuk menghalang berlakunya kanser jenis ini. Namun jika dapat dikesan dan seterusnya diberi rawatan yang betul, ramai kanak-kanak yang menghidapi oesteosarkoma boleh sembuh.

Symptoms of Osteosarcoma

Risiko Osteosarkoma di zaman kanak-kanak

The most common symptoms of osteosarcoma are pain and swelling in a child’s leg or arm. It occurs most often in the longer bones of the body — such as above or below the knee or in the upper arm near the shoulder. Pain may be worse during exercise or at night, and a lump or swelling may develop in the affected area up to several weeks after the pain starts. Pain that persistently wakes the child up at night or pain at rest are of particular concern. In osteosarcoma of the leg, the child may also develop an unexplained limp. In some cases, the first sign of the disease is a broken arm or leg, because the cancer has weakened the bone to make it vulnerable to a break.

Osteosarkoma kerap dilihat berlaku di kalangan remaja lelaki dan mereka yang ketinggiannya luar biasa mempunyai risiko yang lebih tinggi untuk mendapatnya. Remaja yang mewarisi salah satu daripada sindrom kanser yang jarang berlaku juga mempunyai risiko yang tinggi mendapat osteosarkoma. Ini termasuk sindrom retinoblastoma (ketumbuhan yang berbahaya di retina, biasanya dalam kanak-kanak yang berumur di bawah dua tahun) dan sindrom Li-Fraumensi (sejenis perubahan genetik yang diwarisi). Oleh kerana pendedahan kepada radiasi boleh menyebabkan perubahan DNA, kanak-kanak yang menerima rawatan radiasi untuk kanser yang pernah dialaminya juga berisiko tinggi mendapat osteosarkoma.

If your child or teen has any of the above symptoms, it’s important to see a doctor.

Tanda-tanda Osteosarkoma

sumber/source: kidshealth.com

berlaku dalam tulang yang lebih panjang dalam badan seperti d atas atau di bawah lutut atau di atas lengan berdekatan bahu. Kesakitan itu akan menjadi teruk ketika melakukan senaman atau pada waktu malam dan seterusnya bahagian yang terlibat akan membengkak sehingga beberapa minggu selepas kesakitan bermula. Kesakitan yang mengangggu kanak-kanak tersebut pada waktu malam atau kesakitan semasa rehat perlu diberi perhatian. Dalam osteosarkoma di bahagian kaki, kanak-kanak berkenaan mungkin menjadi tempang tanpa sebab. Dalam beberapa kes tanda awal penyakit tersebut adalah tangan atau kaki yang patah. Ini kerana kanser tersebut telah melemahkan tulang berkaitan dan mengakibatkan ia mudah patah.

Jika anak kecil atau anak remaja anda mengalami salah satu daripada tanda–tanda di atas, anda perlu berjumpa dengan doktor secepat mungkin.

Tanda-tanda biasa penyakit osteosarkoma ialah kesakitan dan kaki atau lengan kanak-kanak yang membengkak. Ia kerap www.makna.com.my

HEALTH FOCUS

TRADITIONAL CHINESE

The important roles that TCM plays are to:

MEDICINE Statistics show that about 7 million people succumbed to malignant tumours each year worldwide. In order to get better results for cancer patients, the latest research carried out on cancer treatment explores the combination of surgery, radiotherapy, chemotherapy, biological therapy, Chinese medicine therapy and so on.

Since 2007, there are acupuncture and Chinese herbal medicine treatment established in the T&CM unit in the six government hospitals, namely Hospital Kepala Batas in Pulau Pinang, Hospital Sultan Ismail in Johor, and Hospital Putrajaya and more recently, from December 2009, in Hospital Sultanah Zahirah in Terengganu, Hospital Umum Sarawak and Hospital Duchess of Kent, Sabah. Examples of effective herbal-based patent medicine for cancer treatment are Rg3 Ginseng Capsule, Wei Mai Ning capsule, Shen Qi Pian, Ruan Jiao Xiao Liu Pian, Jin Zheng Ping Gao, Yi Fei Qing Hua Ke Li, Jian Yi Ke Li, Fu Ke Xiao Liu Wan and others.

Anti-metastasis and anti-recurrence; Palliative care; Efficacy Enhanced and toxicity Reduced; and pre-cancerous Lesions.

Traditional Chinese Medicine (TCM) is a form of Oriental medicine, which originates from China and has been practised for thousands of years. The treatment by TCM is to restore health through the balancing of the Yin and Yang and vital energy in the body. TCM is proven to enhance and reduce toxicity for the following western medicine treatments:

•

Traditional and complementary medicine (T&CM – Chinese, Malay and Indian) are fast becoming very popular globally. In Malaysia, a recent survey showed that 70% of our population use T&CM. To develop and to support the practice of T&CM in Malaysia, the Ministry of Health has also devoted a great deal of effort in promoting the development of T&CM. MOH’s stand on T&CM is that it supports the practices of T&CM that have been proven safe, effective and of quality. This is to protect and safeguard the interest and safety of the public.

According to WHO, patients with proper treatment may result in 30% cure, 30% clinically controlled and 30% reduced suffering and life prolonged. The advantages of Chinese medicine as an adjunct treatment of tumours covers the following (i) (ii) (iii)

• • • •

I) Surgery treatment II) Radiotherapy III) Chemotherapy

Besides Chinese Herbal Medicine as complementary treatment for cancer, there are acupuncture, moxibustion and cupping for chronic pain and post stroke treatments. Acupuncture is seen as able to stimulate and enhance the body’s self-healing power. Acupuncture is physical stimulation, which creates a cascade of

Improve the sensitivity of tumour cells to radiotherapy. Alleviate patient’s suffering. Enhance and restore the immunity system. Reduce the side effects of radiotherapy, chemotherapy, surgery treatment. Enhance or improve rehabilitation.

positive changes inside the body to promote physiological functions, self-regulation and encourage the body’s selfhealing abilities. Moxibustion treats and prevents diseases by applying heat to acupoints or certain area of the human body. The material used is mainly “moxa-wool” in the form of a cone or stick. For centuries, moxibustion and acupuncture have been combined in clinical practice and these are usually referred together in TCM. Cupping is a therapy in which a jar is attached to the skin surface to cause local congestion through the negative pressure created by introducing heat using an ignited material. Cupping therapy has the function of warming and promoting the free flow of Qi and blood in channels, dispelling cold damp, diminishing swelling and pain. E-Jen Liu Genesis International Sdn Bhd genational@gmail.com www.makna.com.my

INTERNATIONAL CHAPTER For ten days, they learned and explored how Brazil deals with the sick and less fortunate. They also had the opportunity to be acquainted with a unique kind of Corporate Social Responsibility programme in the country, the very successful ‘Social Stock Exchange’, operated by Sao Paulo Stock Exchange (BM&FBovespa), the world’s third largest stock exchange.

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ee Ig

hn y Dap

The Exchange creates a pool of public projects run by not-forprofit organisations. Corporations and individuals can buy shares of each project to build their own portfolio. The shares are not intended to give any monetary return to the shareholder, but a social return instead. The Exchange regulates the transaction, prints and sends the receipts to the shareholders, supervises and provides feedback on the project through its webpage and several reports. The Programme is supported by the United Nations and has inspired four other stock exchanges in Africa and Europe to adopt similar projects of their own.

Today, Brazil is one of the world’s leaders in soya bean production. Jatai, a small town in the rural area of Goias, is the sole biggest producer in the country, with the highest productivity per acre. Dato’ Mohd Farid and Matheus visited three of the largest farms in the area to learn more about them. This information will be useful to MAKNA since it intends to be involved in the production of soya beans and its derivatives for therapeutic purposes. As the final stop, they visited Jatai’s Fight Against Cancer Association (Nucleo de Cancer de Jatai). Being a small town, Jatai does not have a proper centre to fully treat its own residents. Therefore, all the patients must travel to the closest cancer hospital, about 400 km away. The local bus operates four days a week and considering that it is a two-way trip, patients have to endure an eight-hour journey each time to receive medical attention. Imagine the gruelling journey just for medical treatment.

Between 27 November and 6 December last year, MAKNA President Dato’ Mohd Farid Ariffin went on an information gathering trip to Brazil to learn more about the social care system there. Our International Division Manager, Matheus Barrachi accompanied him. A soya bean plantation in Jatai, Goias.

Matheus (centre) and Dato’ Mohd Farid (right) with Araujo Jorge Cancer Hospital’s Corporate Relations staff, Alessandro Carneiro.

After Sao Paulo, the team headed to visit Goias’ Fight against Cancer Association (Associacao Goiana de Combate ao Cancer) in Goias, a mid-west state in Brazil. Although composed of a research institute and labs, the association is mostly known for its cancer hospital (Hospital Araujo Jorge) – the main institution for this kind of treatment in the region. It provides care to more than one million people from five different states.

This reality has opened our eyes and hearts on the possibility of helping the less fortunate cancer patients in other parts of the world such as Brazil when MAKNA goes international. www.makna.com.my

INTERNATIONAL CHAPTER

In the developed world, children on average have a 75% chance of surviving cancer, however the situation in low- and middleincome countries, which accounts for 80% of the global incidence of childhood cancer, is very different, with only 20% of those that do receive treatment surviving as appropriate treatment is not available or affordable.

“It is one of the saddest experiences to witness children and their parents in under-resourced wards unable and unmotivated to fight the battle any longer, just waiting in despair for the inevitable to happen, knowing that with funding from those able to help the outcome could be so different.” says a volunteer helping in a children’s cancer ward.

“The majority of children in the world who suffer from childhood cancer will die undiagnosed. This is largely due to the lack of awareness that some cancers are curable, poor access to information, late or no detection and lack of effective treatment”, says Benson Pau, Chairperson of ICCCPO.

Through the sharing of vital expertise and skills and the utilisation of valuable support from doctors in resource-rich countries, these combined efforts are already saving lives and reducing suffering. Julie Torode The International Confederation of Childhood Cancer Parent Organisations (ICCCPO), World Child Cancer and the International Union Against Cancer (UICC) issued a joint statement to coincide with International Childhood Cancer Day (15 February) highlighting the fact that these organisations are joining forces in the fight against a lack of awareness of childhood cancer. 32

15 FEBRUARY 2010 While there have been great advances made in the treatment of childhood cancer and subsequent improvements in survival rates, it is unfortunate that this has not reached the majority of children diagnosed with cancer annually. “To improve upon this situation, ICCCPO, World Child Cancer and UICC are developing international medical partnerships to improve diagnosis and treatment. Through the sharing of vital expertise and skills and the utilisation of valuable support from doctors in resource-rich countries, these combined efforts are already saving lives and reducing suffering.” says Julie Torode, deputy CEO, UICC.

“This year ICCCPO and UICC through the “My Child Matters” initiative and World Child Cancer supported more than 40 projects in resource-constrained countries that will concentrate on the training of medical staff, the provision of infrastructure and the support of the ill child and their family,” said Gordon Morrison, chair of World Child Cancer. On 15 February this year, organisations from across the globe participated in International Childhood Cancer Day, to raise awareness of the plight of children living with cancer and the imbalances that exist between the quality of care provided to children with cancer in the developed world as compared to the developing world.

Should you wish to help, contact can be made with the organisations as follows:

ICCCPO www.icccpo.org World Child Cancer www.worldchildcancer.org Source International Union Against Cancer (UICC)

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EATING WELL

sources of Source

sources of

protein

It was once believed that most people needed to combine protein sources at each meal to get “complete protein” as their dietary requirements. Now we know that protein combining at each meal is not necessary. In a Journal of The American Dietetic Association published in June 2003, it was stated that: “Research indicates that an assortment of plant foods eaten over the course of a day can provide all essential amino acids and ensure adequate nitrogen retention and use in healthy adults, thus complementary proteins do not need to be consumed at the same meal.”

The below listings are based on a 100 gram serving of each (the equivalent of 3.53 ounces), listed in a descending order from the highest amount of protein to the lowest amount of protein. We ended the table at a protein level of 4.5 grams, then added “Milk, Human” (breast milk) for comparison and added other foods with the same level of protein. Keep in mind, human milk contains the protein intended for infants to grow and develop. 34

The source of the data listed here is the USDA Nutrient Database: http://www.nal.usda.gov/fnic/cgi-bin/nut_search.pl.

As foods containing cholesterol may pose a threat to human health, all foods in the following chart containing cholesterol have had the amount of cholesterol highlighted in red. In addition, as fibre is important to human health, all foods with no fibre have had the fibre section highlighted in red.

Protein Cholesterol Calcium (g) (mg) (mg)

protein Fat (g)

Total

Saturated

Iron (mg)

Fibre (g)

Energy (kcal)

Soybeans, mature seeds, raw

36.490

0.000

277.000

19.940

2.884

15.700

9.300

416.000

Pork, fresh, leg (ham), rump half, separable lean only, cooked, roasted

30.940

96.000

7.000

8.140

2.870

1.140

0.000

206.000

Chicken, boilers or fryers, light meat, meat only and skin, cooked, roasted

30.910

85.000

15.000

4.510

1.270

1.060

0.000

173.000

Chicken, boilers or fryers, breast, meat and skin, cooked, roasted

29.800

84.000

14.000

7.780

2.190

1.070

0.000

197.000

Winged beans, mature seeds, raw

29.650

0.000

440.000

16.320

2.303

13.440

409.000

Turkey, all classes, breast, meat and skin, cooked, roasted

28.710

74.000

21.000

7.410

2.100

1.400

0.000

189.000

Lamb, domestic, leg, whole (shank and sirloin), separable lean only, trimmed to 1/4” fat, choice, cooked, roasted

28.300

89.000

8.000

7.740

2.760

2.120

0.000

191.000

Lentils, mature seeds, saw

28.060

0.000

51.000

0.960

0.135

9.020

30.500

338.000

Finfish, halibut, Atlantic and Pacific, cooked, dry heat

26.690

41.000

60.000

2.940

0.417

1.070

0.000

140.000

Peanuts, spanish, raw

26.150

0.000

106.000

49.600

7.642

3.910

9.500

570.000

Broadbeans (fava beans), mature seeds, raw

26.120

0.000

103.000

1.530

0.254

6.700

25.000

341.000

Finfish, salmon, chinook, cooked, dry heat

25.720

85.000

28.000

13.380

3.214

0.910

0.000

231.000

Beans, kidney, royal red, mature seeds, raw

25.330

0.000

131.000

0.450

0.065

8.700

24.900

329.000

Mungo beans, mature seeds, raw

25.210

0.000

138.000

1.640

0.114

7.570

18.300

341.000

Peanuts, virginia, raw

25.190

0.000

89.000

48.750

6.361

2.550

8.500

563.000

Seeds, pumpkin and squash seed kernels

24.540

0.000

43.000

45.850

8.674

14.970

3.900

541.000

Pumpkin and squash seed kernels

24.540

0.000

43.000

45.850

8.674

14.970

3.900

541.000

Beans, kidney, california red, mature seeds, raw

24.370

0.000

195.000

0.250

0.036

9.350

24.900

330.000

Nuts, walnuts, black

24.350

0.000

58.000

56.580

3.628

3.070

5.000

607.000

Yardlong beans, mature seeds, raw

24.330

0.000

138.000

1.310

0.339

8.610

11.000

347.000

Beef, ground, regular, cooked, broiled, medium

24.070

90.000

11.000

20.690

8.130

2.440

0.000

289.000

Peanut butter, chunk style

24.050

0.000

41.000

49.940

9.580

1.900

6.600

589.000

Nuts, pine nuts, pignolia, dried

24.000

0.000

26.000

50.700

7.797

9.200

4.500

566.000

Mung beans, mature seeds, raw

23.860

0.000

132.000

1.150

0.348

6.740

16.300

347.000

Beans, kidney, all types, mature seeds, raw

23.580

0.000

143.000

0.830

0.120

8.200

24.900

333.000

Beans, white, mature seeds, raw

23.360

0.000

240.000

0.850

0.219

10.440

15.200

333.000

Beans, cranberry (roman), mature seeds, raw

23.030

0.000

127.000

1.230

0.316

5.000

24.700

335.000

Mothbeans, mature seeds, raw

22.940

0.000

150.000

1.610

0.364

10.850

343.000

Seeds, sunflower seed

22.780

0.000

116.000

49.570

5.195

6.770

10.500

570.000

Beans, kidney, red, mature seeds, raw

22.530

0.000

83.000

1.060

0.154

6.690

15.200

337.000

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Beans, navy, mature seeds, raw

22.330

0.000

155.000

1.280

0.331

6.440

24.400

335.000

Soybeans, green, raw

12.950

0.000

197.000

6.800

0.786

3.550

4.200

147.000

12.580

424.000

50.000

10.610

3.267

1.190

0.000

155.000

Beef, variety meats and by-products, tongue, cooked, simmered

22.110

107.000

7.000

20.740

8.930

3.390

0.000

283.000

Egg, whole, cooked, hard-boiled

Beans, yellow, mature seeds, raw

22.000

0.000

166.000

2.600

0.671

7.010

25.100

345.000

Egg, whole, raw, fresh

12.490

425.000

49.000

10.020

3.100

1.440

0.000

149.000

Beans, great northern, mature seeds, raw

21.860

0.000

175.000

1.140

0.356

5.470

20.200

339.000

Nuts, pine nuts, pinyon, dried

11.570

0.000

8.000

60.980

9.377

3.060

10.700

629.000

Beans, black, mature seds, raw

21.600

0.000

123.000

1.420

0.366

5.020

15.200

341.000

Beans, pinto, immature seeds, frozen, unprepared

9.800

0.000

58.000

0.500

0.061

3.000

5.700

170.000

Lima beans, large, mature seeds, raw

21.460

0.000

81.000

0.690

0.161

7.510

19.000

338.000

Beans, pinto, immature seeds, frozen, cooked, boiled, drained, without salt

9.310

0.000

52.000

0.480

0.058

2.710

8.600

162.000

9.170

0.000

70.000

71.970

6.175

2.530

9.600

691.000

Nuts, almonds

21.260

0.000

248.000

50.640

3.881

4.290

11.800

578.000

Nuts, pecans

Nuts, pistachio nuts, dry roasted, without salt added

21.240

0.000

108.000

45.730

5.525

4.180

10.300

570.000

Lentils, sprouted, raw

8.960

0.000

25.000

0.550

0.057

3.210

106.000

Beans, small white, mature seeds, raw

21.110

0.000

173.000

1.180

0.304

7.730

24.900

336.000

Chickpeas (garbanzo beans, bengal gram), mature seeds, cooked, boiled, without salt

8.860

0.000

49.000

2.590

0.269

2.890

7.600

164.000

Beans, pink, mature seeds, raw

20.960

0.000

130.000

1.130

0.292

6.770

12.700

343.000

Tofu, firm, prepared with calcium sulfate and magnesium chloride

8.040

0.000

162.000

4.460

0.646

1.450

0.400

77.000

Beans, pinto, mature seeds, raw

20.880

0.000

121.000

1.130

0.235

5.880

24.400

340.000

Beans, fava, in pod, raw

7.920

0.000

37.000

0.730

0.118

1.550

88.000

Nuts, pistachio nuts, raw

20.480

0.000

107.000

43.190

5.286

4.270

10.000

551.000

Nuts, macadamia nuts, raw

7.910

0.000

85.000

75.770

12.061

3.690

8.600

718.000

Beans, adzuki, mature seeds, raw

19.870

0.000

66.000

0.530

0.191

4.980

12.700

329.000

Beans, navy, mature seeds, sprouted, cooked, boiled, drained, without salt

7.070

0.000

16.000

0.810

0.098

2.110

78.000

6.950

0.000

84.000

0.870

0.238

1.500

49.000

Seeds, Flax seeds

19.500

0.000

199.000

34.000

3.196

6.220

27.900

492.000

Winged beans, immature seeds, raw

Flax seed

19.500

0.000

199.000

34.000

3.196

6.220

27.900

492.000

MORI-NU, Tofu, silken, firm

6.900

0.000

32.000

2.700

0.406

1.030

0.100

62.000

Chickpeas (garbanzo beans, bengal gram), mature seeds, raw

19.300

0.000

105.000

6.040

0.626

6.240

17.400

364.000

Lima beans, immature seeds, raw

6.840

0.000

34.000

0.860

0.198

3.140

4.900

113.000

Beans, french, mature seeds, raw

18.810

0.000

186.000

2.020

0.221

3.400

25.200

343.000

Lima beans, immature seeds, cooked, boiled, drained, without salt

6.810

0.000

32.000

0.320

0.073

2.450

5.300

123.000

Tempeh

18.540

0.000

111.000

10.800

2.220

2.703

193.000

Tofu, soft, prepared with calcium sulfate and magnesium chloride

6.550

0.000

111.000

3.690

0.533

1.110

0.200

61.000

Tempeh, cooked

18.190

(0.000)

95.600

11.380

3.290

2.126

197.000

Garlic, raw

6.360

0.000

181.000

0.500

0.089

1.700

2.100

149.000

Seeds, sesame seeds

17.730

0.000

975.000

49.670

6.957

14.550

11.800

573.000

Nuts, Acorns, raw

6.150

0.000

41.000

23.860

3.102

0.790

387.000

6.150

0.000

15.000

0.700

0.085

1.930

67.000

Seeds, sesame butter, tahini

17.000

0.000

426.000

53.760

7.529

8.950

9.300

595.000

Beans, navy, mature seed, sprouted, raw

Oats

16.890

0.000

54.000

6.900

1.217

4.720

10.600

389.000

Milk, sheep

5.980

27.000

193.400

7.000

4.603

0.100

0.000

107.808

Tofu, raw, firm, prepared with calcium sulfate

15.780

0.000

683.000

8.720

1.261

10.470

2.300

145.000

Seaweed, spirulina, raw

5.920

0.000

12.000

0.390

0.135

2.700

26.000

Seeds, lotus seeds

15.410

0.000

163.000

1.970

0.330

3.530

332.00

Seaweed, laver, raw

5.810

0.000

70.000

0.280

0.061

1.800

0.300

35.000

Lotus seeds

15.410

0.000

163.000

1.970

0.330

3.530

332.00

Broadbeans, immature seeds, raw

5.600

0.000

22.000

0.600

0.138

1.900

4.200

72.000

Nuts, cashew nuts, dry roasted, without salt added

15.310

0.000

45.000

46.350

9.157

6.000

3.000

574.000

Peas, green, raw

5.420

0.000

25.00

0.400

0.071

1.470

5.100

81.000

Nuts, walnuts, English

15.230

0.000

104.000

65.210

6.126

2.910

6.700

654.000

Beans, pinto, mature seeds, sprouted, raw

5.520

0.000

43.00

0.900

0.109

1.970

62.000

Nuts, almond butter, plain, without salt added

15.080

0.000

270.000

59.100

5.602

3.700

633.000

Beans, kidney, mature seeds, sprouted, cooked, boiled, drained, without salt

4.830

0.000

19.000

0.580

0.083

0.890

33.000

4.800

0.000

128.000

0.630

1.030

7.700

109.000

Nuts, hazelnut or filberts

14.950

0.000

114.000

60.750

4.464

4.700

9.700

628.000

Wasabi, root, raw

Nuts, brazilnuts, dried, unblanched

14.340

0.000

176.000

66.220

16.154

3.400

5.400

656.000

Broadbeans, immature seeds, cooked, boiled, drained, without salt

4.800

0.000

18.000

0.500

0.142

1.500

3.600

62.000

Tomatoes, sun-dried

14.110

0.000

110.000

2.970

0.426

9.090

12.300

258.000

Fiddlehead ferns, raw

4.550

0.000

32.000

0.400

1.310

34.000

Egg, whole, cooked, fried

13.540

459.000

55.000

15.000

4.167

1.560

0.000

199.000

Milk, human

1.030

13.900

32.200

4.380

2.009

0.030

0.000

69.563

Quinoa

13.100

0.000

60.000

5.800

0.590

9.250

5.900

374.000

Carrots, raw

1.030

0.000

27.000

0.190

0.030

0.500

3.000

43.000

Soybeans, mature seeds, sprouted, raw

13.090

0.000

67.000

6.700

0.929

2.100

1.100

122.000

Bananas, raw

1.030

0.000

6.000

0.480

0.185

0.310

2.400

92.000

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EATING WELL

Healthy Recipe

INGREDIENTS

Prep Time: 5 Minu tes Ready In: 20 Minu tes DIRECTIONS: 2 teaspoons dash i granules 4 cups water 3 tablespoons miso paste 1 (8 ounce) packag e silken tofu, diced 2 green onions, sli ced diagonally int o 1/2 inch pieces In a medium sauc epan over mediumhigh heat, combine bring to a boil. Re dashi granules an duce heat to mediu d water; m, and whisk in Separate the layers the miso paste. Sti of the green onion r in tofu. s, and add them to 2 to 3 minutes be the soup. Simmer fore serving. gently for

“You can use ye llow, white, or red miso pas te for the soup, depending on you r preference. You will also ne ed dashi, which is made of dried ke lp (seaweed) and dried bonito (fish), an d can be purchas ed in granules or po wder form in conveniently-siz ed jars.”

CANCER STATISTCS

UKMMC-MAKNA CANCER CENTRE MONTHLY STATISTICS 2010 Report for Month End 31 May 2010

Tengku Ampuan Afzan Oncology Ward

Wad Pemindahan Sum-Sum Tulang

Number of Patients Admitted at Oncology Ward

Number of Patients Admitted at BMT Ward

Bilangan Kemasukan Pesakit di Wad Onkologi MONTH

MALE

FEMALE

Bilangan Kemasukan Pesakit di Wad BMT TOTAL

MONTH

MALE

FEMALE

TOTAL

January

February

March

105

March

April

May

June

July

August

September

October

November

December

TOTAL

241

212

Number of Patient Days at Oncology Ward

MONTH January March

TOTAL CASE (Patient Days)

616 499 597

April

473

May

434

June July August

December

453

Pusat Perkhidmatan Radioterapi MONTH

No. of New Patients

No of Treated Patients

TOTAL

Radiotherapy Services Centre

Bilangan Pesakit di dalam Wad Onkologi

February

Number of Patient Days at BMT Ward

Number of Transplant Patients

Bilangan Pesakit di dalam Wad BMT

Bilangan Pesakit Pemindahan Sum-Sum Tulang

No of Treated Cases

MONTH

TOTAL CASE

MONTH

TOTAL CASE

120

January

(Patient Days)

January

741

January

February

539

February

March

738

March

121

March

April

677

April

May

635

May

June

July

August

September

October

November

December

TOTAL

TOTAL 38

Bone Marrow Transplant Ward

Wad Onkologi Tengku Ampuan Afzan

December 195

237

3330

TOTAL

December 500

TOTAL

2619 www.makna.com.my

Dear Reader Our last newsletter carried a response slip requesting our readers to state their preferred type of medium - electronic or printed. Since then, we have received substantial requests for electronic (.pdf) format to be either emailed or downloaded from our website. Many readers do not mind the electronic version as it would help MAKNA reduce costs and wastages. Syabas! As the cost of postage has increased recently, there’s every reason to believe more readers would be willing to consider such a switch. If you are one of them, kindly email your request to pdfneoplasia@makna.org.my and provide us your name (as per NRIC) and NRIC No. The availability of the downloadable version will be announced in due course. Thank you very much.