I recently read this article, which states that children undergoing leukemia treatment generally have lower than average marks in school, particularly those who underwent cranial radiation. This was not because they missed school from being in a hospital -- they were provided with education whether at home or in the hospital. Still, the results are a relief to researchers because the majority of children who had undergone treatment did complete their basic education, albeit with a bit more difficulty than their healthy peers.

What do you think about this? I'm no education expert, but I think it's important that kids with leukemia should have some sort of extra educational help available to them -- maybe a tutoring program that can help them in the learning process. Afterall, they've gone through enough with their illness -- they shouldn't have to suffer through the humiliation of falling behind in class too.

Today, my oldest child begins first grade. I can't tell you how sad and happy this makes me. I'm sad because I realize my first baby boy is truly on his way to growing up. School has him now; I don't. I can't help but predict he will need me less and less as he takes on the world in his own independent way. This makes me happy too. I am eager to see how he fares on his own, how he develops, grows, and soars. And I must admit, I am pretty thrilled about having five mornings per week all to myself -- my youngest little boy begins school today too.

On Friday, we went to six-year-old Joey's elementary school for a meet-the-teacher event. Joey was right at home. He sat at his assigned desk, did a little drawing, and snuggled up in a pile of pillows in the reading corner. I felt right at home too, after reading a parent memo about public school physical education.

Fitness has become an everyday ritual for me. Along with eating right, it's my weapon for staying healthy and keeping cancer far away. I want this same ritual for my boys. It looks like Joey will get to embrace this way of life not only at home but while in the care of his teacher too.

It's been one year since I began writing for The Cancer Blog. According to statistics generated by this site, I've written 27,381 words and 793 posts. If you've been reading for this entire time, you surely know a lot about me. Not only do my posts reflect current news and issues, but they feature all sorts of personal stuff too. When considered together, my work here reflects just about every piece of my cancer journey, my inner most thoughts, my morals and values, my take on the world. But for those of you who haven't been reading for long, for those who have forgotten how I fit into the cancer puzzle, for those who want a recap, here's a rundown on me: Jacki Donaldson.

I was born and raised in Ohio but have also lived in Nevada, Virginia, and Florida -- my current home. My life always went pretty much according to plan -- I lived happily with my parents and one sister, faithfully attended school, went to college, got married, had two baby boys and a series of good jobs, and had just begun commenting to my family members about how lucky our family was not to have been affected by cancer. It seems just as I spoke this aloud, cancer arrived.

Ovarian cancer is difficult to detect. There are no great screening tests to pick up on its presence in the body, and by the time symptoms appear, the disease has often progressed into an advanced stage. But a ray of light has recently emerged in the study of ovarian cancer -- and it could help in the prevention and early detection of this deadly disease.

Think about this, from the April 2007 issue of Woman's Day magazine:

Researchers at the University of Washington School of Medicine have identified a simple checklist of six symptoms associated with an increased risk of the disease and three of them -- if they occur at least 12 times per month and are present for less than one year -- were present 57 percent of the time in a study of women with early-stage disease.

And the three symptoms are: abdominal and pelvic pain, bloating and difficulty eating, and feeling full quickly.

If you experience these problems, especially if they are frequent or new, contact your doctor because identifying ovarian cancer quickly is key. In its early stages, the cure rate is 90 percent. But for advanced cancer, it's only 20 percent.

All Samantha Kuehn had on her mind when she wore her new t-shirt to school -- with the slogan save the ta-tas plastered across the front -- was her mom, who was diagnosed with breast cancer last month and just received a mastectomy two weeks ago.

But officials at Oklahoma Union High School in Nowata County are not happy about the senior student's decision to wear such a shirt to school. The moment they saw it, in fact, they sent her home. And they told her not to return until she changed the shirt.

Kuehn and her mom, Michelle Bishop, are stunned that the shirt caused such an uproar.

"I was so surprised that my shirt would cause so much trouble," said Samantha. "Other girls wear low cut shirts or belly shirts and the boys wear shirts with put downs on them and no one bothers them. My shirt isn't really vulgar or offensive at all, and it means something to me. The principal told me 'It could be taken the wrong way'."

Principal Steven Barth believes he made the right call.

"If you check the Web site, the clothing sold there is suggestive," explained Barth. "I feel for the condition of her mother, but the shirt was inappropriate to wear to school."

Kuehn and her mom plan to take the matter to a Board of Education meeting on April 11. And you can bet Kuehn will be wearing her shirt.

Visit savethetatas.com for more information on this breast cancer initiative. Sales of all clothing items -- pick your size, slogan and color -- benefit the fight against the disease.

Researchers have found that when cells become cancerous, they become 100 times more likely to genetically mutate than non-cancerous cells. This explains why tumor cells have so many mutations. Good news on the research front. But bad news on the treatment front -- because therapies that target a certain gene may be largely ineffective in controlling cancer.

"This is very bad news, because it means that cancer cells in a tumor will have mutations that protect them from therapeutics," says lead researcher Dr. Lawrence Loeb, professor of pathology and biochemistry at the University of Washington School of Medicine in Seattle, who presented his findings February 18 at the meeting of the American Association for the Advancement of Science in San Francisco.

Loeb says chemotherapy drugs target specific oncogenes -- genes that affect the malignancy of a cell -- but if cancer cells are mutator cells, then a single tumor may have cells with all sorts of oncogenes. And while chemotherapy may kill some cancerous cells, millions of others will live on.

It's not all bad news, though, says Loeb who believes this research may help doctors determine the stage and malignancy of tumors by testing the number of mutations. It may also help researchers understand what makes a cancer cell a mutator and how to slow the rate of mutation.

"The idea is that if you might normally get exposed to something in the environment at 20 years old that would give you cancer by age 55, then if we cut the mutation rate in half, you might not get cancer until age 90, and you may even die of something else before that," Loeb explained.

Farrah Fawcett turned 60 on Friday. And she's been celebrating this milestone along with a very important message she just received -- she is cancer-free.

Fawcett, former star of the hit 1970s TV drama Charlie's Angels, was diagnosed with anal cancer four months ago and has been enduring an aggressive treatment protocol to treat the disease -- a treatment that appears to have worked.

Her physician, Dr. Gary Gitnick at the University of California, Los Angeles, medical school reports Fawcett "has had a full and complete response to treatment." Recent tests show her cancer is gone -- and Gitnick calls her prognosis excellent.

Fawcett calls the whole experience a hopeful one.

"In the face of excruciating pain and uncertainty, I never lost hope," she said. "I hope that my news might offer some level of inspiration to others who unfortunately must continue to fight the disease."

This year alone, 215,000 women will be diagnosed with breast cancer. And sadly, not all of them will be treated equally.

Researchers reported last Tuesday that breast cancer patients who are either obese or poor are more likely to receive lower doses of chemotherapy. This might be why some women relapse and others do not, according to the researchers whose findings appear in the Journal of Clinical Oncology.

This treatment discrepancy seems to stem from doctors who mean well and want to save certain women from severe side effects of chemotherapy. Doctors may be under-dosing obese patients, for example, because a larger dose based on weight could lead to worse side effects. There is no evidence this is true, however.

As for socioeconomic status, researchers report doctors are assuming less-educated patients won't stick with a tough course of treatment -- and so they prescribe less, in hopes patients will complete the regimen.

Researchers found that severely obese women were four times more likely to get less chemotherapy than they need. Women with less than a high school education were three times more likely to receive low doses of chemotherapy. And women living in the South were almost six times more likely to come up short on the drugs they need to save their lives.

"We have new therapies and cures out there for many forms of cancer and sadly, sometimes we're not curing people because they are not getting the full doses that should be standard," says Dr. Gary Lyman who led the study at the University of Rochester Medical Center in New York.

We all know breast cancer strikes women -- a lot of women -- but about 1,700 men also develop the disease each year in the United States. And while their risk of diagnosis is much more hopeful than the reality facing women, men with breast cancer face their own version of a not-so-rosy reality.

According to researchers at the University of California, Irvine, men treated for breast cancer face a very real chance of getting cancer again. Their study found that 11.5 percent of men with breast cancer develop second primary cancers -- mostly in the breast, stomach, and skin -- within two months following initial treatment.

"Even more disturbing, we found that men with breast cancer are diagnosed with later-stage disease and that patients with onset of the disease at a young age are even more likely to develop a second cancer," said Hoda Anton-Culver, chief of epidemiology in the UCI School of Medicine.

In light of these findings, researchers recommend men with breast cancer be closely monitored for a second onset of cancer.

Nearly a decade ago, women in Long Island began to worry about their high rates of breast cancer. So they advocated and lobbied and pushed until a public law was passed that allowed for the creation of the Long Island Breast Cancer Project. Funded by both the National Cancer Institute and the National Institute of Environmental Health Sciences, great data has emerged from this project -- like the data linking breast cancer and household pesticides.

Although much research has linked cancer with pesticides in work and industrial settings, few studies have investigated what these chemicals can do in households -- until now, thanks to research conducted as part of The Long Island Breast Cancer Project.

Published online in the December 13 American Journal of Epidemiology, researchers found an association between lifetime residential pesticide use and breast cancer risk in a sample of 1,508 Long Island women diagnosed with breast cancer between 1996 and 1997. These women were compared to 1,556 random controls. All women were asked to self-report their pesticide exposure and to offer blood samples for the study of organochlorine compound levels -- found in lawn and garden products.

As expected, researchers found an increased breast cancer risk for women whose blood samples showed the highest levels of organochlorine compounds. They also found it hard to find women who did not use lawn and garden pesticides to some degree.

Use of household pesticides has infiltrated our society, says researcher Susan Teitelbaum, assistant professor in the department of community medicine at Mount Sinai School of Medicine in New York, who reports she is happy to see a movement toward use of alternative methods, like integrated pest management.

Teitelbaum has just one recommendation as result of this study. It's quite simple really -- stop using pesticides.

Lee Hemming was diagnosed with malignant melanoma at the age of 18. She says she was never desperate for a tan and only would get a sunburn twice a year - on the days of her school swimming and athletics carnivals.

Even though we know that genetics plays an important role in skin cancer, the total amount of time a person spent in the sun and the intensity of the UV rays at the time were also key factors.

Some professionals think it goes as far as saying schools that allow children to become sun burnt are guilty of exposing them to injury. Schools need to provide a safe environment for their students.

The World Health Organization says that when ultraviolet radiation is extreme it is often between the hours of 10am and 2pm.

Maybe it would beneficial to move outdoor activities to a time in the day that does not fall into the killer hours. They advise slapping on that sunscreen for outdoor activities and stay indoors if the index is eight or above!

Researchers from Dartmouth Medical School say they have a new way of identifying a deadly form of breast cancer that plagues 17 to 37 percent of all breast cancer patients and mostly premenopausal black women.

Identification comes in the form of locating the marker nestin -- a long filamentous protein indicating the presence of basal epithelial tumors -- which makes this type of cancer hard to diagnose and hard to treat. It also puts patients at high risk for recurrence, marked by a very short time between treatment and relapse.

"Ideally, a marker like nestin would enable clinicians to monitor these patients through frequent tests of a biomarker and, in doing so, detect the cancer before it has a chance to come back," says one professor.

Researchers must now find an effective means of detecting nestin in a clinical screening setting. It won't be as simple as a blood test -- but a non-invasive collection of mammary duct samples may enable the development of a screening tool for at-risk patients.

Women with ovulation disorders -- and related infertility problems -- have a lower risk of developing breast cancer, according to a study of more than 116,000 women.

Researchers from the Harvard School of Public Health in Boston studied data from the Nurses' Health Study II and evaluated female nurses aged 25 to 42, tracking them every two years beginning in 1989 and ending in 2001.

Results of the study, reported in the Archives of Internal Medicine, revealed 1,357 diagnosed cases of invasive breast cancer. Overall, women with ovulation disorders had a 25 percent less chance of developing this disease than those without the disorder.

Also detected was an even lower risk of breast cancer for women who experienced induced ovulation for treatment of infertility. This is potentially great news -- pending more research, of course -- for women worried about breast cancer implications of infertility treatment.

Bubble bubble boil and trouble, look what the soft drink industry scientists have conjoured up as a way to boost the sagging sales of the sugary calorie-laden beverages an emerging weight conscious nation has begun to reject in favor of healthier choices in quenching thirst.

Hoping to appeal to the battle-of-the-bulge crowd and school administrators looking to ban soft drinks from school vending machines, beverage makers like Coca-Cola, Nestle, Snapple and Celsius are hoping consumers will be drawn to try drinks said to boost metabolism and burn up to a 100 calories per drink. Made with green tea and caffeine, the new product does not come cheap. A four-pack of Celsius costs $6.99, according to the price quoted in the LA Times New soft drinks claim to speed up metabolism.

Granted, based on previous research findings, the antioxidant epigallo catechin gallate (EGCG) found in green tea holds some promise in cancer prevention, but loose-leaf green tea is far less expensive than the new soft drinks being marketed as a replacement to obesity-inducing soft drinks. The new drinks are also causing some scientific eyebrow raising as to the true weight loss the consumer might realistically expect to experience.

I am not against healthier drinks, but in this case, it seems as if the simple exercise of moving more, eating less and drinking eight ounces of water a day might be as effective, if not more effective, in maintaining a healthy weight. For the antioxidant benefit of EGCG, a cup or two of green tea. I could be wrong about the new soft drinks, but at this point in time, I remain hesitant to embrace negative-calorie magic bullets.

I am curious: Will you try the new drinks? Do you think they are worth the price?

Stapling the stomach of an obese child is a last resort, but the National Institute for Health and Clinical Excellence (NICE) has issued a stamp of approval for bariatric surgery as part of a national guideline aimed at reducing obesity in children and minimizing the long-term adverse health effects that being overweight has on health.

This is the NICE organization's effort to find solutions to England's rising obesity epidemic where the number of overweight and obese people in the last quarter century has tripled.

Stomach stapling is not the only solution, but it is now an approved option. Other recommendations include the following: local authorities working with local partners, such as industry and voluntary organizations, to create safe spaces for physical activity; providing cycling and walking routes, cycle parking, area maps and safe play areas; creating pedestrian-friendly streets; designing building and spaces to encourage more physical activity; requiring schools to provide an environment that promotes healthy eating and physical exercise; healthcare professionals taking the time to educate and give advice on how to maintain a healthy weight; raising public awareness and encouraging daily physical activities such as walking, cycling, swimming, aerobics or gardening.

Obesity cannot go unchecked and it is a threat to the health and welfare of children and adults alike, as obesity is linked to greater increased risks for a number of life-threatening diseases like heart disease, diabetes and cancer. But, it is uncomfortable to think that one of the solutions to childhood obesity is a scalpel. The NICE press release New NICE guideline calls for urgent action to stem the rising tide of obesity in England and Wales is available as a pdf document here.