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Introduction to Skin Cancer An Introduction to Skin Cancer And Related Topics ________________________________________________________ Daily UV Forecast Recent News News Search . . . Site Index . Reusable UV Card $4.95 NEW! Digital UV Monitor $29.95 About This Page What Causes Skin Cancer? Sunburn, Sunlight, and Tanning Heredity Environment What is Skin Cancer? Basal Cell & Squamous Cell Melanoma How can I determine my personal risk? Are there precautions that will reduce my risk? The UV Index Daily Forecast for 30 U.S. Cities Ultra Violet Sensometer Diagnosis and Treatment Information A Glossary of Terms Additional Information Always consult a physician with your questions concerning the health effects of UV exposure About This Page Our intention is to provide a general introduction to Skin Cancer, with links to specific information available around the Net. Please send us your comments, suggestions, and information about sites not listed here. E-mail form here. We would like to make this page a gathering place for all available information about skin cancer and related subjects. Your help will make it as complete as possible. What Causes Skin Cancer? Sunburn and Sunlight Very simply, sunburn and UV light can damage your skin, and this damage can lead to skin cancer. There are of course other determining factors, including your heredity and the environment you live in. However, both the total amount of sun received over the years, and overexposure resulting in sunburn can cause skin cancer. Most people receive 80% of their lifetime exposure to the sun by 18 years of age. The message to parents from this is to protect your children. Tanning is your skin's response to UV light. It is a protective reaction to prevent further injury to your skin from the sun. However, it does not prevent skin cancer. Remember, skin cancer is very slow to develop. The sunburn you receive this week may take 20 years or more to become skin cancer. Heredity If there is a history of skin cancer in your family, you are probably at a higher risk. People with fair skin, with a northern European heritage appear to be most susceptible. Environment The level of UV light today is higher than it was 50 or 100 years ago. This is due to a reduction of ozone in the earth's atmosphere (the Ozone Hole). Ozone serves as a filter to screen out and reduce the amount of UV light that we are exposed to. With less atmospheric ozone, a higher level of UV light reaches the earth's surface. Other influencing factors include elevation, latitude, and cloud cover. Ultra Violet light is stronger as elevation increases. The thinner atmosphere at higher altitudes cannot filter UV as effectively as it can at sea level. The rays of the sun are also strongest near the equator, as you might guess. But even in Antarctica, Chile, and New Zealand, the UV level is much higher than normal especially in the springtime due to the ozone hole in the southern hemisphere. One factor that actually reduces UV is cloud cover. Climates and micro-climates with regular cloud cover may have a 50% lower level of UV light. The actual amount is affected by the density of the clouds. September 1995 Measurements of Antarctic Ozone The latest HALOE data in the form of a 100 mb surface cross section of column ozone (DU) is available. Please consult the data interpretation page for more information about the sampling pattern of HALOE. United Nations World Meteorological Organization (WMO) Press Release Measurements of the Ozone Hole this year show it "was so far the most rapid depletion on record." An area the size of Europe received significantly higher levels of ultra violet exposure. Environmental Protection Agency - Ozone Depletion Page This web site contains information about the science of ozone depletion, regulations in the US designed to protect the ozone layer, flyers about the UV index, information for consumers, and other topics. What is Skin Cancer? (From the National Cancer Institute PDQ Statement) Skin cancer is a disease in which cancer (malignant) cells are found in the outer layers of your skin. Your skin protects your body against heat, light, infection, and injury. It also stores water, fat, and vitamin D. The skin has two main layers and several kinds of cells. The top layer of skin is called the epidermis. It contains three kinds of cells: flat, scaly cells on the surface called squamous cells; round cells called basal cells; and cells called melanocytes, which give your skin its color. BASAL CELL & SQUAMOUS CELL (From the National Cancer Institute PDQ Statement) There are several types of cancer that start in the skin. The most common are basal cell cancer and squamous cell cancer, which are covered in this PDQ patient information statement. Skin cancer is more common in people with light colored skin who have spent a lot of time in the sunlight. Skin cancer can occur anywhere on your body, but it is most common in places that have been exposed to more sunlight, such as your face, neck, hands, and arms. Skin cancer can look many different ways. The most common sign of skin cancer is a change on the skin, such as a growth or a sore that won't heal. Sometime there may be a small lump. This lump can be smooth, shiny and waxy looking, or it can be red or reddish brown. Skin cancer may also appear as a flat red spot that is rough or scaly. Not ail changes in your skin are cancer, but you should see your doctor if you notice changes in your skin. Full Text Available Here MELANOMA (From the National Cancer Institute PDQ Statement) Melanoma is a disease of the skin in which cancer (malignant) cells are found in the cells that color the skin (melanocytes). Melanoma usually occurs in adults, but it may occasionally be found in children and adolescents. Your skin protects your body against heat, light, infection, and injury. It is made up of two main layers: the epidermis (the top layer) and dermis (the inner layer). Melanocytes are found in the epidermis and they contain melanin, which gives the skin its color. Melanoma is sometimes called cutaneous melanoma or malignant melanoma. Melanoma is a more serious type of cancer than the more common skin cancers, basal cell cancer or squamous cell cancer, which begin in the basal or squamous cells of the epidermis. If you have basal cell or squamous cell cancer of the skin, refer to the patient information statement for skin cancer. Like most cancers, melanoma is best treated when it is found (diagnosed) early. Melanoma can spread (metastasize) quickly to other parts of the body through the lymph system or through the blood. (Lymph nodes are small, bean-shaped structures that are found throughout the body; they produce and store infection-fighting cells.) You should see your doctor if you have any of the following warning signs of melanoma: change in the size, shape, or color of a mole; oozing or bleeding from a mole; or a mole that feels itchy, hard, lumpy, swollen, or tender to the touch. Melanoma can also appear on the body as a new mole. Men most often get melanoma on the trunk (the area of the body between the shoulders and hips) or on the head or neck; women most often get melanoma on the arms and legs. If you have signs of skin cancer, your doctor will examine your skin carefully. If a mole or pigmented area doesn't look normal, your doctor will cut it out (called local excision) and look at it under the microscope to see if it contains cancer. This is usually done in a doctor's office. It is important that this biopsy is done correctly. Full Text Available Here How can I determine my personal risk? It is estimated that 1 out of 7 people in the United States will develop some form of this cancer during their lifetime. One serious sunburn can increase the risk by as much as 50%. The effect UV light has on your skin is dependent both upon the intensity and the duration of your exposure. How your skin reacts to the amount of exposure received is related to your genetic background. Even if you rarely sunburn however, sensitive areas such as your lips, nose, and palms of the hands should be protected. Details about determining your skin type and accompanying risk can be found at: THE EXPERIMENTAL ULTRAVIOLET INDEX FACTSHEET: EXPLAINING THE INDEX TO THE PUBLIC Are there precautions that will reduce my risk? The following six steps have been recommended by the American Academy of Dermatology and the Skin Cancer Foundation to help reduce the risk of sunburn and skin cancer. Minimize your exposure to the sun at midday and between the hours of 10:00AM and 3:00PM. Apply sunscreen with at least a SPF-15 or higher, to all areas of the body which are exposed to the sun. Reapply sunscreen every two hours, even on cloudy days. Reapply after swimming or perspiring. Wear clothing that covers your body and shades your face. (Hats should provide shade for both the face and back of the neck.) Avoid exposure to UV radiation from sunlamps or tanning parlors. Protect your children. Keep them from excessive sun exposure when the sun is strongest (10:00AM and 3:00PM), and apply sunscreen liberally and frequently to children 6 months of age and older. Do not use sunscreen on children under 6 months of age. Parents with children under 6 months of age should severely limit their children's sun exposure. The UV Index The UV Index provides a forecast of your likely UV exposure at noon. This forecast can help you determine what level SPF sunscreen will best protect your skin. The forecast is based on a scale of 1 (low) to 15 (high). Here is an explanation of how the UV Index works. Forecast for 30 U.S. Cities The United States Environmental Protection Agency recently began issuing a daily UV FORECAST for 30 metropolitan areas around the country. This rating is also broadcast by weather radio, and on local television weather programs. The Ultra Violet Sensometer You may also determine the UV level for your area and conditions with a measuring device such as the Ultra Violet Sensometer . The Sensometer is an inexpensive, credit card sized device that measures UV light. As with the UV Forecast, you may then determine the proper SPF sunscreen. The Sensometer can also be used to test the effectiveness of your sunscreen, and when it is time to apply more sunscreen. Diagnosis and Treatment Information ALWAYS see your personal physician or dermatologist with any questions you may have about skin cancer, it's causes, diagnosis, and treatment. The following sites may provide supplemental reading. Skin Cancers - A Medical Education Service for the Public By Singapore National Skin Centre - With Photos The National Cancer Institute PDQ Statement - Basal And Squamous Cell The National Cancer Institute PDQ Statement - Melanoma The National Cancer Institute PDQ Statement - Screening for Skin Cancer CancerGuide - Treatment of Melanoma Welcome to Cancer Links Many of the links included here are from cancer-faq. Maintained by E. Loren Buhle, Jr. Ph.D. Co-Creater of ONCOLINK, buhlel01@mcrcr6.med.nyu.edu This list is updated monthly in usenet group - sci.med.diseases.cancer and subsequetially posted world wide in BBS, Echos, Usenet Groups, gophers and Home Pages. This list is recommended and available from many of the sources listed. ________________________________________________________ Always consult a physician with your questions concerning the health effects of UV exposure. ________________________________________________________ Hawaii HoneymoonHawaii Honeymoon packages, Hawaii Honeymoon Vacations, Kauai, Maui, Lanai, Molokai, Oahu, Big Island Bride & Groom Guests & Gifts Log In | Sign-Up -- Shopping Bag | | What do you think? What is your favorite diamond cut? Princess Marquise Round Asscher Emerald Hawaii Lush greenery, sparkling ocean, and spectacular sunsets... say "Aloha" to the honeymoon of your dreams in Hawaii. Click to View Top Honeymoon Spots Kauai Lanai Maui Molokai Oahu Things to Do The Big Island Featured Destinations Princeville Resort Nestled in a honeymooner's paradise, on the shore of Kauai, honeymoon at the Princeville Resort. 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Experience the ultimate in romance at The Westin St. John with seven nights deluxe accommodations, couples massages, a bottle of champagne upon arrival, full daily breakfast, and more. MAUNA KEA BEACH HOTEL Golden sunsets and swaying palm trees make Mauna Kea Beach Hotel the most perfect and romantic paradise on the Big Island of Hawaii. Experience our Romance Package and enjoy luxurious accommodations, exquisite dining and warm island hospitality. Sponsored Links buy a link PHOTO CREDITS: Susan and Andrew: John Riedy Debbie and Ivan / Rebecca and Alan: Stewart Pinsky Katie and Greg: Robert Evans Molokai. Shaped somewhat likeKalaupapa, Molokai, Hawaii - Father Damien. Some 2,200 miles (3540km) southwest of California, in the heart of the Hawaiian islands, is the island of Molokai. Shaped somewhat like a fish (the locals say a shark) with its head facing east, its tail in the west and a dorsal fin rising from its back on the north shore. That dorsal fin is the nearly flat, ten-square-mile (25.9 sq km) Makanalua Peninsula which juts into the Pacific below the world's highest sea cliffs. A place of stunning beauty, it's been blessed by nature's grandeur, and cursed by humanity's ignorance and fear. While this area is generally referred to as Kalaupapa, in fact, Makanalua Peninsula is divided into three districts: The Kalawao district on the eastern edge; Kalaupapa and the settlement of Kalaupapa to the west; with Makanalua in the center. Inhabited from about 650 AD, the Hawaiians fished the rough surrounding ocean by outrigger canoe with nets and spears for over 1200 years . They also farmed the land, coaxing sweet potatoes, onions and taro from the harsh volcanic soil. With the vines of the sweet potato, their main vegetable, they fed their pigs, which in turn they used to barter with other villagers in the eastern valleys. While the peninsula was not largely settled, it was traveled much and used extensively. The entire area is divided and subdivided by low rock walls that continue for mile after mile, creating thousands of small lots of every imaginable shape. There is no written history of the people who built them; historians theorize that they were constructed as pens for raising pigs, as windbreaks for growing crops and possibly as property boundaries and land divisions. The early Hawaiians built fishing shrines called heiau as places to make offerings for their safety while fishing in the rough waters that surrounded the peninsula. These heiau were platforms built of stone in circular and square shapes. Some of their surfaces are filled with coral, while others have elaborate enclosures lined with flat rocks on which offerings of fish or shells were placed. Today, the trail from Topside Molokai to Kalaupapa is traveled by mule, by hikers, and on foot by some of the workers at the settlement. Hugging the nearly perpendicular cliffs, the trail is over three miles (5km) long and descends 1,600 feet (488m) to the peninsula. Along its course are 26 switchbacks that corkscrew in and out of canyons and ravines. There is also a small airstrip at the northern edge of the peninsula, used daily to bring in food, supplies and visitors. Once a year in the summer, when the seas are calm, a barge from Honolulu anchors at Kalaupapa, delivering thousands of pounds of rice, cases of beer, drums of gasoline and supplies to stock the grocery store and hospital. More Kalaupapa photos . Kalaupapa's reputation as a leprosy colony is well-known. Hansen's disease, the proper term for leprosy, is believed to have spread to Hawaii from China. The first documented case of leprosy occurred in 1848. Its rapid spread and unknown cure precipitated the urgent need for complete and total isolation. Surrounded on three sides by the Pacific ocean and cut off from the rest of Molokai by 1600-foot (488m) sea cliffs, Kalaupapa provided the environment. In early 1866, the first leprosy victims were shipped to Kalaupapa and existed for 7 years before Father Damien arrived. The area was void of all amenities. No buildings, shelters nor potable water were available. These first arrivals dwelled in rock enclosures, caves, and in the most rudimentary shacks, built of sticks and dried leaves. Taken after Damien had constructed most of the houses seen here, this photo shows the stark, barren peninsula and settlement at Kalawao in the 1880s. Folklore and oral histories recall some of the horrors: the leprosy victims, arriving by ship, were sometimes told to jump overboard and swim for their lives. Occasionally a strong rope was run from the anchored ship to the shore, and they pulled themselves painfully through the high, salty waves, with legs and feet dangling below like bait on a fishing line. The ship's crew would then throw into the water whatever supplies had been sent, relying on currents to carry them ashore or the exiles swimming to retrieve them. In 1873, Father Damien deVeuster, aged 33, arrived at Kalaupapa. A Catholic missionary priest from Belgium, he served the leprosy patients at Kalaupapa until his death. A most dedicated and driven man, Father Damien did more than simply administer the faith: he built homes, churches and coffins; arranged for medical services and funding from Honolulu, and became a parent to his diseased wards. Shown here in a rare pencil sketch from December, 1888, Damien contracted the disease, and after 16 years of selfless service, died in 1889. In 1886, Brother Joseph Dutton arrived at Kalaupapa to assist Father Damien. Dutton, an energetic and dedicated missionary priest, assumed many of the duties Damien was unable to perform as his leprosy progressed. Mother Marianne, another revered servant, devoted 29 years on the peninsula as an administrator, nurse and educator. She spent her life on the go, even as her age climbed well into the seventies. She died in 1918. In 1977, Pope Paul VI declared Father Damien to be venerable, the first of three steps that lead to sainthood. Pope John Paul II declared Damien blessed in 1995, the second step before canonization as a saint. With the advent of sulfone drugs in the 1940s, the disease was put in remission and the sufferers are no longer contagious. The fewer than 100 former patients remaining on the peninsula are free to travel or relocate elsewhere, but most have chosen to remain where they have lived for so long. The few cars on the peninsula travel at a top speed of five miles per hour, as there is nowhere to go and no reason to hurry. A broad smile and a friendly wave of the hand are commonplace and integral to the lifestyle. At Kalaupapa are the administration building, post office, book store, fire station, never-used jail and of course the hospital which, considering the size of the population, is one of the best staffed and equipped in Hawaii. In the center of the village stands the large town meeting hall, with a big blackboard nailed on its front and some chalk hanging nearby, just in case a message for someone needs to be written. While Kalaupapa is now a National Historic Site, it is also the home of the few former patients who chose to remain there. So access, is by law, strictly regulated. Unless you are invited by one of the residents, you must take the tour offered by Damien Tours of Kalaupapa (about $40.00). The peninsula can be reached by air or by way of the trail from upper Molokai. Visitors can hike in and out or ride one of the Molokai mules. Visitors must be at least 16 years old. Home | Photo Tour | Maps | Kalaupapa | FAQ | History | Activities Events | Molokai Ranch | Climate | Feedback Visitor Center Hawaiian Jewelry > 4Hawaiian Heirloom 14k Gold Bracelet Jewelry from Hawaii [Contact Us] [Ordering Information] [FAQ] [Our Guarantee] [View Cart] Hawaii City > Shopping > Hawaiian Jewelry > 4 Piece Sets > SET-8S 8 mm Sterling Silver Hawaiian Jewelry 4 Piece Set Base Price - $249.00 Description - 8mm width sterling silver bracelet, ring and vertical pendant using 2.0mm heavy weight thickness solid 14k sterling silver. Free 18" 1.5mm silver chain You may request design only, black enamel lettering, or engraved lettering (additional charges) for the outside of your Hawaiian jewelry set Order Number - SET-8S U.S. Orders - Free U.S. Priority Mail Shipping for this item and no sales tax Return Policy - This Hawaiian jewelry set is custom made when you order - no return or refund for this item. Want to mail/fax in your order or manually complete our online order form? 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Example: Ring inside: Love John Secure Online Ordering - Order now using Visa, Mastercard, American Express, Discover, JCB How to order now: 1) Select your bracelet and ring size 2 ) Select your ring and bracelet design 3 ) Select your ring and bracelet lettering type 4) Enter your outside custom lettering for your bracelet and ring 5) Select your pendant flower option 6) Select your pendant lettering type 7) Select your pendant outside custom lettering 8) Select your chain length 9 ) Click on the "Order Now" button on the bottom of the page The price at the bottom of the screen will update each time you select a new option for your new bracelet. Bracelet Size: Size 7 Size 7.25 Size 7.50 Size 7.75 Size 8.0 Size 8.25 + $2.50 Size 8.50+ $5.00 Size 8.75 + $7.50 Size 9.0 + $10.00 Size 9.25 + $12.50 Size 9.50 + $15.00 Size 9.75 + $17.50 Size 10.0 + $20.00 There is a $2.50 charge for each 1/4 size above size 8.0. 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