00:00October will also be called September because this year has increased programming,
00:08and it will have increased programming in the previous year and
00:21We are here at the University of Medical Science in the National Institute of Medical Science,
00:28Professor Dr. Shakul Qumar.
00:31Hello everyone.
00:33Thank you very much.
00:34Thank you very much for talking about this important subject.
00:37Thank you very much.
00:40and I also tell them that in the outside of the country,
00:45the outside of Kishmir, which is our state,
00:48there is a breast cancer in the 40th century.
00:54But in Kishmir, there is a lot of evidence that
00:58in the 40th century, there is a breast cancer in the 40th century.
01:02What is the reason?
01:04And why is this breast cancer in Kishmir?
01:08And why is this breast cancer in Kishmir?
01:11No doubt, the majority of the patients,
01:14I will tell you how many patients are in the year.
01:18No doubt, the majority of the patients are in the 40th century.
01:22But in recent years, a couple of years,
01:26they are also in the 30th century.
01:28In fact, recently, last month,
01:30we have seen 23-25 year old women.
01:34We have seen females.
01:36What is already documented is the hormonal imbalance.
01:41Especially, we say,
01:43what is estrogen levels in females,
01:47what is estrogen levels high,
01:50or disbalance,
01:51I would say.
01:52Because there are many more female hormones.
01:55When it is disproportionate or disbalance,
01:58especially estrogen levels high,
02:01there are chances that circulating
02:04is a major cause,
02:06like causative agent.
02:09We do not have high risk.
02:13We also say that most people are doing high risk.
02:13Like in this past,
02:15we always say that
02:16the obesity of our obese.
02:17We say that the obesity are a big issue.
02:20The obesity is a big issue.
02:21Because the obesity is a huge issue.
02:24The obesity is our habits.
02:39in the private sector, they are over occupied.
02:43So they get less time to reach home and to cook that.
02:48Even the young girls prefer ready made food.
02:52So this means food, coffee, and the high-fat content?
02:55Exactly.
02:56Where there is high fat content, especially in foods,
02:59which you will see in the junk food.
03:03Pizzas, sandwiches, which is a kind,
03:09but taking it on a routine basis.
03:12So we have to think over what we are eating.
03:14So I think food is also a contribution,
03:18but it's not that whole sum I will say food.
03:21There are many more things.
03:22Like your lifestyle, how much you are doing,
03:26how much you are doing your body,
03:28how much you are doing your exercises,
03:30how much you are doing your movements,
03:31how many times you are sitting in your office place.
03:34that all this and top on that environmental conditions,
03:39environmental pollutants,
03:40etc.
03:41There is also a lot of research.
03:44But we are not reaching to a particular conclusion
03:47that it will happen.
03:48There are many things coming up.
03:50But as of now, I would say that
03:52hormonal imbalance,
03:53because of that,
03:54all the high fat diet is also a source of your hormonal imbalance.
03:59Now, because we have seen a lot of such people,
04:01who eat food at home,
04:03fast food,
04:04or other activities,
04:06who live together,
04:08they also have breast cancer,
04:10and they do not have genetic factors.
04:12Why do you think?
04:12This is multifactorial.
04:14Multifactorial means that
04:16there is no one reason.
04:18Yes, there is one lady who is lean,
04:20who is not fat,
04:20who is healthy diet,
04:22but that doesn't mean that
04:24it will not happen.
04:25But,
04:26if you have obese population,
04:30compare it to the healthy population.
04:32In obese population,
04:34you will see the maximum number of cancer patients,
04:37especially when we talk about breast cancer.
04:39Compared to the lean,
04:40you are saying,
04:42why are they in the lean?
04:43If it is a small number,
04:45then why are they in the lean?
04:45There are many more factors.
04:47As I have said,
04:48genetics is not a sub,
04:49but it contributes
04:5010 to 15% genetic contribution,
04:53especially family history,
04:57or some genes are dysfunctional.
05:00We have to test certain genes.
05:03For example,
05:04patients who are young,
05:05who are routine age,
05:06who are very low,
05:07a decade or two decades,
05:08or later,
05:08they have to manifest.
05:10And these are families
05:10who are young.
05:12Similarly,
05:13if there is family history,
05:14who is a mother,
05:15who is a daughter,
05:16who is a daughter,
05:17who is a daughter,
05:17in families,
05:18although we know
05:19that there is not genetic mutation,
05:21but families are young.
05:23So those people are also added.
05:24High risk.
05:25My point is,
05:27that there is not a condition
05:29cause it evasion.
05:30Because we have tried to get you a skin,
05:32then many patients
05:33have to see them.
05:34So what kind of patients
05:37are they in their hearts,
05:39and how many patients
05:40that have taken care of their needs?
05:41And it just happens to them.
05:41Because here,
05:41we see instead of these patients,
05:46are there also
05:46if they see their patients
05:47who are the same person,
05:49or else they see other things,
05:50or they see their other problems
05:50that they see.
05:51Then they haveea,
05:51to go to the doctor?
05:54See, since we've been in this profession for 10 years,
05:59when we used to be students,
06:01if you tell us what changes have been done,
06:04in that way I can answer that
06:06at that time there was no more awareness
06:09because probably there was no telecommunication
06:13or Google,
06:15but today there will be something that happens
06:16that you put on Google
06:17and it will answer many of the questions.
06:21Majority, we get to stage 2 onwards.
06:26I would still say stage 1,
06:28patients come very well.
06:30And stage 1,
06:31they are so aware,
06:33the majority, we say,
06:35how did they pick up?
06:36So they tell us that
06:38we have seen ourselves,
06:40we thought that something is abnormal.
06:42But if we take that lot,
06:45that is very small.
06:46That is why early,
06:47they are now at a low level,
06:51compared to 2, 3 onwards.
06:54So there is a subgroup,
06:55that are ignorant.
06:58Maybe they are not literate that enough,
07:01or they have a social stigma,
07:04that is not a stigma.
07:04Sometimes,
07:05sometimes,
07:05some lady knows something is going wrong.
07:09But still,
07:10she prefers to hide.
07:11Like,
07:12you know,
07:13that a teacher was well educated.
07:15Why she needed to hide her disease?
07:19There is also a social stigma.
07:21But,
07:22having said that,
07:2310-12 years old,
07:25there is a lot of awareness,
07:27and there is a lot of sophisticated treatment,
07:30which was not before.
07:32in her eyes.
07:35The more intense,
07:35we have to talk about
07:37is not important
07:38because of the human rights,
07:40so there is no need.
07:40Is it the way for the indigenous people?
07:43Yes,
07:47that the leading people in thei've done it?
07:50that that there is no need,
07:50the domestic people in thei.
07:52That,
07:53the only place for sure.
07:54we have to tell all on thei's job,
07:54that we do not have a lot of patients,
07:55the many patients are given.
07:57But,
07:57many patients are given,
08:00the other side,
08:01there are a lot of patients
08:01such as Anantanag, Sopor. So we need to see a collaboration in which the population cancer registry is already in
08:10place.
08:10There is no research in this regard.
08:12No, there is no need to do more research.
08:14No, there is no need to do more research.
08:16There is no need to do more research.
08:18But as of now it is too early to say that the city is in the city and the towns
08:22are not in the city.
08:23When we compare to the other countries in Kashmir, where do you get to breast cancer in Kashmir?
08:31It is at par with the rest of the country and the rest of the world.
08:36Now, how much population is in the population?
08:39Accordingly, we will get the patients.
08:41It depends on how much population is in the overall population.
08:44Overall, we see the scenario, it is at par with the national figures.
08:48level of age.
08:49Now, the downward trend is a bit more of a worry.
08:53We were looking at 40 more than beyond, but now we are looking at 40 more than below.
08:57Especially at 30 years, we are seeing the females in the 30s,
09:00that we are seeing those moreately things that are seeing from them.
09:03Those were not first of them.
09:05They were not watching.
09:05So, in the 20s, some patients are in the same place.
09:07So that is something worrisome.
09:10But I said this, we are seeing from a couple of years.
09:15We have to collaborate with other areas of the other areas.
09:18we can collaborate with the rest of the country to ideal how many data
09:24pata chalega what is the actual scenario
09:26aqsa abha mobile phone to use the access use bad effects but as of now there is no documented
09:44research by mobile use but kuch kuch aisi mynhe bola jashe kuch research ne kuch dkhaya kuch
09:52negate it. We have seen it. Yes, it is happening. The same research has been done in other areas.
09:58He said there is no effect. But because it is bad for our eyes, our ears, you should keep them
10:05away from you when you sleep and you should try to use them minimum possible.
10:11So, what do you use in the food system so that it can be saved from the cancer? The first
10:21thing I will say about two things.
10:24One is a risk for a female as a gender. It is one risk. It is one risk for a
10:30female.
10:32If there is no risk factor for a female, it is a standard risk.
10:37We are not saying that it is 100% safe because your food is good, exercise, body weight is maintained.
10:47But 60% of the diseases, especially different cancers, 60% of the cancers can be curtailed down
10:56if your habitual habits of eating and drinking lifestyle are healthy.
11:01But there are many more factors. So, 100% surety is not there.
11:07So, these things? Yes. So, there are some things that can be used in food.
11:10So, there are fruits and consume, provided you are not diabetic, you are not like vegetables, healthy diet.
11:18So, you should try to try to like, your routine, you should add on.
11:25And you should know that my calorie consumption is how much of my calorie consumption is.
11:30And how much I have to take in.
11:33I am eating more and consuming less. So, that again gives you the put-on.
11:39So, your body weight increases. So, you have to balance the diet.
11:43Okay, when we are looking at some people, PECOS is also increasing.
11:46Is there any relation to this?
11:49Yes, now PECOS is in young females. There are hormonal imbalances and hormonal effects in circulation.
12:01But, I have told you that there are many researches.
12:04Our director, our director, researches, if you are aware about that.
12:08And in the coming years, inshallah, we will be doing the researches in that direction.
12:14To see whether there is any link between PECOS and the rest.
12:18Okay, when we talk about screening facilities, the screening facilities are similar to Sikmizora.
12:24And what is going to be done so that the person has to feel that there is no problem with
12:32this,
12:32what should be done with the female?
12:35I think that in the 20s, if they will take care of their lifestyle modification, nothing else.
12:43Because they are too young but they are educated.
12:46They have to insist on their breast health examination.
12:51Like 7 days after the periods, and if there are not periods in post-menopausal,
12:55they will fix their calendar.
13:00Then they will remind themselves that they have to examine.
13:04Examination is the best part.
13:06Now, I don't have a routine here because hospitals are already overburdened with the cases.
13:15Diagnosed cases.
13:16But we are trying our best to get more equipment to cater the whole population of the Juma and Kashmir.
13:25Screening is done.
13:27If there is no symptoms, there will be proper guidelines in the future.
13:33So that they will follow that protocol to be on the safer side as far as the breast cancer is
13:39concerned.
13:39Thank you very much.
13:43Thank you very much.
13:43Thank you very much.
13:44Thank you very much.
13:44Thank you very much.
13:44This was the University of Medical Sciences in the SORA in the SORA,
13:49Professor of Irradiation Oncology, Dr. Shakul Kumar,
13:52who has said that the breast cancer is a great treatment.
13:56It is necessary to come into the first stage.
13:57It is necessary to protect the breast cancer.
14:01It is necessary to protect the breast cancer.
14:03It is necessary to protect the breast cancer.
14:03Video Journalist Sajjah Damien,
14:04Parvizuddin,
14:05ETV,
14:06Bharat,
14:06Srinagar.
