221 chapter xxviii—direct laryngoscopy in diseases of the larynx
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 1) pps
... dihydrotestosterone in the gland The periurethral portion of the gland increases in size during puberty and after the age of 55 due to the growth of nonmalignant cells in the transition zone of the prostate ... (SRD5A2) gene have also been implicated in the variations in incidence The incidence of autopsy-detected cancers is similar around the world, while the incidence of clinical disease varies Thus, environmental ... survival in prospective randomized trials The paradox of management is that although the disease remains the second leading cause of cancer deaths in men, only man in with prostate cancer will die of...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 2) pot
... based on the tempo of the illness as it unfolds in the individual, relative to the riskto-benefit ratio of the therapy being considered No Cancer Diagnosis Prevention Several agents are under investigation ... control, in which the tempo of the illness is altered and symptoms controlled until the patient dies of other causes These can be equivalent therapeutically from a patient standpoint if the patient ... proviso that the risks and benefits of the performance of these tests are not defined The National Comprehensive Cancer Network advises testing at age 40, tailoring additional testing to the age-specific...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 3) docx
... Each core of the biopsy is examined for the presence of cancer, and the amount of cancer is quantified based on the length of the tumor within the core and the percentage of the core involved ... changed the clinical spectrum of the disease Now, 95–99% of newly diagnosed cancers are clinically localized, 40% are not palpable, and of these, 70% are pathologically organ-confined The downside of ... ongoing Until the results of these studies are available, men are advised to make an informed decision about whether to undergo testing A diagnostic algorithm based on the DRE and PSA findings...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 4) potx
... to the extent of the disease within the gland, the presence or absence of capsular invasion, involvement of seminal vesicles, and extension of disease to lymph nodes Because of the inadequacy of ... staging, the staging system was modified to include the results of imaging studies Unfortunately, no single test has proven to indicate accurately the stage or the presence of organ-confined ... histologic grade) often determines biologic behavior The presence or absence of perineural invasion and extracapsular spread are also recorded Prostate Cancer Staging The TNM staging system includes categories...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 5) pot
... undetectable in the blood within weeks, based on the PSA half-life in the blood of days If PSA remains detectable, the patient is considered to have persistent disease After radiation therapy, in contrast, ... to assess The more advanced the disease, the lower the probability of local control and the higher the probability of systemic relapse More important is that within the categories of T1, T2, ... rates range from 25 to 89% Part of the variability relates to how the complication is defined and whether the patient or physician is reporting the event The time of the assessment is also important...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 6) docx
... further shaping of the dose, allowing the delivery of still higher doses to the prostate and a further reduction in normal tissue exposure These advances have enabled the safe administration of doses ... with intensity-modulated radiation therapy (IMRT) to maximize the dose to the prostate and to minimize the exposure of the surrounding normal structures The addition of IMRT has permitted further ... disruption of the vascular supply and not the nerve fibers Neoadjuvant hormone therapy has also been studied in combination with radiation therapy The aim is to decrease the size of the prostate...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 7) potx
... waiting, or deferred therapy, is a policy of monitoring the illness at fixed intervals with DREs, PSA measurements, and repeat biopsies of the prostate as indicated, but with no therapeutic intervention(s) ... disease on scan For these patients the central issue is whether the rise in PSA results from persistent disease in the primary site, systemic disease, or both In theory, disease in the primary site ... estimated that 10–15% of patients had "insignificant" cancers Given the multifocality of the disease, a concern is the limited ability to predict pathologic findings on the basis of a needle biopsy,...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 8) docx
... potency The initial rise in testosterone may result in a clinical flare of the disease These agents are therefore contraindicated in men with significant obstructive symptoms, cancer-related pain, ... disease at the same time intervals was 23, 32, and 53%, vs 47, 69, and 79% if the doubling time was short (
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 9) pdf
... first 2–4 weeks of treatment to protect against the flare Intermittent Hormone Therapy Another way to reduce the side effects of androgen depletion is to administer hormones on an intermittent basis ... differentiation pathway In this way, the surviving cells that are allowed to proliferate in the presence of androgen will retain sensitivity to subsequent androgen depletion Applied in the clinic, androgen ... normal in 60–70% of patients, and measurable disease regression occurs in 50%; improvements in bone scan occur in 25% of cases, but the majority remains stable Duration of survival is inversely...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 11) pdf
... act by relaxing the smooth muscle of the bladder neck and increasing peak urinary flow rates No data show that these agents influence the progression of the disease Surgical approaches include TURP, ... Always the time after you finished urinating? Over the 5 how often past month, have you had to urinate again less than h after you finished urinating? Over the past month, how often have you found ... regardless of the size of the gland, while those with an inability to urinate, gross hematuria, recurrent infection, or bladder stones may require surgery In patients with symptoms, uroflowmetry...
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báo cáo khoa học: " Diseases of the salivary glands in infants and adolescents" ppt
... in 66.7% of cases, and in 33.3% they were localized outside the gland in the vicinity of the hilus and of the distal portion of the excretory duct Following submandibulectomy or slitting of the ... a dominance of non-epithelial tumors in the first years of life In still another study [40] the non-epithelial tumors were the most frequent benign neoplasms in the parotid region (50%) in newborns ... group of patients, since they presented at our clinic for operative therapy in well-defined cases Concrements were located intraglandularly or found in Page of the proximal portion of the Wharton’s...
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research on working conditions, health and diseases of the crew on oceangoing ships of 02 vietnamese ocean shipping companies in 2011-2012
... Applying intervention solution Intentionally choosing total 104 deck officers among 600 crews under the study who had not taken part in training course of maritime medicine to join the training ... conducted the intervention applying one in the main proposed measures namely "strengthening maritime medicine training programs for companies’ deck officers under the provisions of the STCW Convention/2010 ... practice (intensive training for weeks at the Center for Marine Medicine Training subordinate Vietnam National Institute of Maritime Medicine) The students were evaluated in terms of knowledge...
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HIV infections rise in women of the Mekong
... Newspaper : VN Express Date : December 1, 2012 Page/Link : http://vnexpress.net/gl/suc-khoe/2012/12/nhung-nan-nhan-vo-toi-cua-hiv/ The innocent victims of HIV Những nạn nhân vô tội HIV Nhận viên thuốc ... khám biết mắc bệnh”, bà Sáu kể Theo tư vấn bác sĩ, Trâm điều trị ngoại trú cách mang thuốc nhà uống tái khám theo lịch Việc chữa trị kéo dài chưa đến năm cô học sinh lớp phải bỏ học để nhập viện ... thiết Sinh viên TP Cần Thơ tuyên truyền thông điệp "Xét nghiệm HIV để bảo vệ người thân" mittinh hưởng ứng Ngày Thế giới phòng chống HIV/AIDS Ảnh: Phượng Hoàng “Người lớn có khả điều trị theo nhu...
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Tài liệu Investigation of Organic Chemicals Potentially Responsible for Mortality and Intersex in Fish of the North Fork of the Shenandoah River, Virginia, during Spring of 2007 ppt
... observations of intersex in fish have been increasing in regularity in the Shenandoah River and Potomac River basins in Virginia (Blazer and others, 2007) The fish kills and observations of intersex ... rate-limiting barriers allowing the use of the same models to determine ambient water concentrations Previous data indicate that many chemicals of interest remain in the linear phase of sampling for ... triolein represented 20 percent of the mass of the SPMDs conforming to a “standard SPMD” as defined by Huckins and others (2006) Two of the four SPMDs in each deployment canister and two of the...
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Tài liệu In Search of the Unknown docx
... peering ahead into the dusky sea of pines Fresher and fresher came the wind from the sea, in puffs, in mild, sweet breezes, in steady, freshening currents, blowing the feathery crowns of the pines, ... note of the male bird, the fainter responses of the female, the thin plaints of the chicks, huddling under her breast; I heard 17 their flipper-like, embryotic wings beating sleepily as the birds ... again it darted into the surf, and, when I leaned out into the chilling drizzle, I saw nothing save the flat ebb crawling on the coast—I heard nothing save the purring of bubbles on seething...
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Tài liệu Live Red in support of the Heart and Stroke Foundation of Manitoba pdf
... lesser of 10% of the value of the gift and $75, then the value of the advantage is considered to be zero For example, if the price to attend the benefit dinner is $200 and the value of the dinner ... for the value of an item before taxes HSFM requests that organizations donating a gift -in- kind provide an invoice stating the value (not cost) of the item as of the date of the donation A gift -in- kind ... to these goods and services received in exchange for a gift as the Advantage In the above example the advantage is the value of the dinner, i.e $40 In situations where the cost or portion of the...
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Tài liệu Infectious Diseases of the Head and Neck pptx
... begins in the gut of the sandfly, but the organism completes its life cycle in the host following the fly bite The sandfly inoculates the host with the organisms in the promastigote stage Once the ... weapon There are major forms of infection with the organism: cutaneous, inhalation, and gastrointestinal.93 The details of these forms of anthrax will not be discussed with the exception of gastrointestinal ... with inflammatory cells including neutrophils and eosinophils The presence of allergic mucin in a sinonasal specimen should alert pathologists to the possibility of AFS B, The fungi in the allergic...
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Tài liệu The Color Line A Brief in Behalf of the Unborn pptx
... that the development of the Negro and White proceeds on different lines While with the latter the volume of the brain grows with the expansion of the brain-pan, in the former the growth of the ... always innate, a gift of Nature, and expressed in the magnitude and weight of the brain and the development of the CHAPTER THREE 34 convolutions, either in the whole or in the single parts In it, ... one only the path of Selection, of the preservation of favoured individuals and of favoured races The deadly enemy of the whole process of uplifting, of the Drang nach oben, of the course of history...
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Tài liệu Báo cáo khoa học: A novel c-N-methylaminobutyrate demethylating oxidase involved in catabolism of the tobacco alkaloid nicotine by Arthrobacter nicotinovorans pAO1 ppt
... [31,33] The similarity of the C-terminal domain of MABO to other proteins of the sarcosine dehydrogenase and oxidase family may indicate that this is the site of attachment of tetrahydrofolate to the ... mutagenesis of the MABO gene The amino acid substitutions in the MABO protein were made with the aid of the Quick Change site-directed mutagenesis kit (Stratagene), according to the instructions of the ... protein with covalently attached flavin, synthesized only in bacteria grown in the presence of nicotine The DNA carrying the sarcosine dehydrogenase-like ORF63, corresponding to a protein of 813...
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Tài liệu Báo cáo khoa học: The molecular surface of proteolytic enzymes has an important role in stability of the enzymatic activity in extraordinary environments pptx
... with the amino group of the main chain at Glu268 The oxygen of the main chain at Asp266 was bound to amino groups of main chain of Tyr269 and Ala270 by hydrogen bonds The interactions should maintain ... temperature indicates the stability of the structure of the protein The difference of the increments between the inactive temperature and the Tm should indicate that the mutations improved the stability ... surrounding residues of the depression, and the side chain of the mutated residue might restrain the mobility of the N-terminal region on the surface by interaction with the main chain of Lys26 by van...
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