Prostate cancer treatment options include active surveillance, surgery, external beam radiation therapy, brachytherapy, proton therapy, and stereotactic body radiation therapy. The document discusses each treatment option in detail, covering procedures and recovery times, as well as potential side effects like erectile dysfunction and urinary issues. Surgery involves removing the prostate gland, while radiation therapies like external beam and brachytherapy use targeted radiation to destroy cancer cells. Active surveillance involves monitoring the cancer without immediate treatment.
Changing landscape in the treatment of advanced prostate cancer Alok Gupta
This presentation describes how the treatment of stage 4 prostate cancer has improved over last 100 years. This was presented at URO ONCOLOGY UPDATE meeting of Delhi Urological Society on 18th March 2017
Changing landscape in the treatment of advanced prostate cancer Alok Gupta
This presentation describes how the treatment of stage 4 prostate cancer has improved over last 100 years. This was presented at URO ONCOLOGY UPDATE meeting of Delhi Urological Society on 18th March 2017
Presentation on Spinal Metastases Scorng system and Decision making
By
Dr.SHASHIDHAR B K
Bangalore Spine Specialist Clinic
www.spinesurgeonbangalore.com
drshashidharbk@gmail.com
Presentation on Spinal Metastases Scorng system and Decision making
By
Dr.SHASHIDHAR B K
Bangalore Spine Specialist Clinic
www.spinesurgeonbangalore.com
drshashidharbk@gmail.com
Prostate cancer is among the leading causes of cancer death among American men, second only to lung cancer. Learn more about prostate cancer and how New Jersey CyberKnife's noninvasive treatment may work for you.
It is not for practicing, only general description of prostate cancer.......of my presentation . for explanation study authentic books also .....and webs.
Unfortunately, many patients develop an increasing PSA after surgery or radiation therapy. Because standard imaging techniques are so inadequate, it has been impossible to find the cancer until PSA levels exceed 20 ng/ml. In our talk, we will first review what are the current standard treatment options: prostate bed radiation therapy and hormonal therapy. We will then discuss new imaging techniques that have dramatically improved our ability to locate the cancer. These imaging techniques allow radiation to be highly focused on actual sites of disease and both increase cancer control and reduce side effects. Finally, we talk about approaches that can arrest the progression of the cancer and can thus avoid both radiation and hormonal therapy.
New Jersey CyberKnife presents the American Cancer Society Facts and Figures 2013 annual report outlining the estimated numbers of new cancer cases and deaths in 2013 as well as current cancer incidence, mortality, and survival statistics and information on cancer symptoms, risk factors, early detection and treatment.
Austin CyberKnife presents the American Cancer Society Facts and Figures 2013 annual report outlining the estimated numbers of new cancer cases and deaths in 2013 as well as current cancer incidence, mortality, and survival statistics and information on cancer symptoms, risk factors, early detection and treatment.
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Hot Selling Organic intermediates
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. PROSTATE
CANCER
ì
TREATMENT
OPTIONS
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2. PROSTATE
CANCER
OVERVIEW
ì The
prostate
is
located
in
a
man’s
lower
abdomen
and
controls
the
flow
of
urine
and
semen.
ì Second
only
to
lung
cancer,
prostate
cancer
is
the
leading
cause
of
cancer
death
among
American
men.
ì According
to
the
American
Cancer
Society,
an
esEmated
238,590
cases
of
prostate
cancer
will
occur
in
the
U.S.
during
2013.
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3. TREATING
PROSTATE
CANCER
Prostate
cancer
treatments
differ
primarily
in
technical
nature
and
potenEal
side
effects.
Treatment
options
can
depend
on
the
following:
ì The
stage
of
the
cancer
ì Whether
the
cancer
is
recently
diagnosed
or
recurring
ì The
patient’s
age
and
health
ì The
patient’s
prostate-‐specific
ì The
patient’s
Gleason
Score
—
antigen
(PSA)
levels
—
PSA
is
a
This
determines
how
likely
it
is
substance
made
by
the
prostate
that
a
tumor
will
spread
that
may
be
found
in
an
increased
amount
in
the
blood
of
men
who
have
prostate
cancer
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4. TREATMENT
OPTIONS
ì Prostate
cancer
treatment
options
include:
ì Active
Surveillance
ì Surgery
ì External-‐Beam
Radiation
Therapy
ì Brachytherapy
ì Proton
Therapy
ì Stereotactic
Body
Radiation
Therapy
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5. ACTIVE
SURVEILLANCE
ì The
concept
of
acEve
surveillance
has
emerged
as
a
viable
opEon
for
men
who
decide
not
to
undergo
immediate
surgery
or
radiaEon
therapy.
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6. SURGERY
Radical
Retropubic
Prostatectomy:
Surgery
in
which
the
prostate
gland
is
removed
and
that
may
include
biopsies
of
nearby
lymph
nodes;
may
be
done
robotically.
ì Procedure
&
Recovery
Time
ì Procedure
lasts
3
–
4
hours
ì Requires
general
anesthesia
and
a
three-‐
day
hospital
stay
ì Recovery
usually
requires
a
few
weeks
at
home
ì Potential
side
effects
ì Urinary
incontinence
ì Erectile
dysfunction
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7. EXTERNAL-‐BEAM
RADIATION
THERAPY
Intensity
Modulated
Radiation
Therapy
or
IMRT:
IMRT
targets
radiation
beams
to
the
location
of
the
patient’s
tumor.
ì Procedure
&
Recovery
Time
ì Approximately
40
daily
radiaEon
treatments
over
a
period
of
seven
to
eight
weeks
ì Treatment
takes
approximately
15
minutes
ì Outpatient
procedure
that
allows
most
patients
to
return
to
their
normal
routine
ì Potential
side
effects
ì Temporary
rectal
and
urinary
irritation
ì Erectile
dysfunction
ì Lacks
the
ability
to
correct
for
movement
of
the
prostate
during
treatment,
resulting
in
possible
damage
to
healthy
tissue
surrounding
the
prostate
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8. BRACHYTHERAPY
Brachytherapy:
Small
radioactive
seeds
are
implanted
within
the
prostate
gland
and
give
off
radiation
to
the
immediate
surrounding
area
over
the
course
of
several
months.
After
a
year,
the
radioactive
material
degrades,
and
the
seeds
that
remain
are
harmless.
ì Procedure
&
Recovery
Time
ì One-‐Eme
procedure
that
requires
paEents
to
remain
in
the
hospital
for
several
hours
ì PaEents
are
usually
allowed
to
return
home
on
the
same
day
ì Potential
side
effects
ì Erectile
dysfunction
ì Urinary
irritation,
frequency
and
obstruction
ì Rectal
injury
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9. PROTON
THERAPY
Proton
Therapy:
Noninvasive
treatment
that
uses
a
particle
accelerator
to
deliver
a
focused
ray
of
proton
particles
that
destroy
cancer
cells.
ì Procedure
&
Recovery
Time
ì Treatment
is
usually
delivered
five
days
a
week
for
approximately
eight
weeks
ì PaEents
are
usually
able
to
return
to
their
normal
rouEne
aVer
treatment
ì Potential
side
effects
ì Rectal
and
urinary
irritation
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10. STEREOTACTIC
BODY
RADIATION
THERAPY
Stereotactic
Body
Radiation
Therapy:
Noninvasive
procedure
that
delivers
targeted
radiation
beams
to
the
prostate
without
incision
or
sedation
using
CyberKnife®
technology.
ì Procedure
&
Recovery
Time
ì Five
or
fewer
outpaEent
sessions
over
the
course
of
one
to
two
weeks
ì Treatment
procedures
take
about
30-‐90
minutes
ì PaEents
are
usually
able
to
return
to
their
normal
rouEne
aVer
treatment
ì Recovery
is
often
immediate
ì Potential
side
effects
ì Rectal
and
urinary
irritation
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11. CYBERKNIFE
TREATMENT
PROCESS
Prior
to
stereotactic
body
radiosurgery
treatment
with
CyberKnife,
small
tissue
markers
known
as
fiducials
are
implanted
in
the
prostate
to
help
the
CyberKnife
pinpoint
the
tumor
location
throughout
each
treatment,
so
the
radiation
beams
can
be
locked
on
the
tumor.
About
a
week
later,
patients
are
fitted
with
a
custom
body
mold
of
soft
material
that
they
lie
on
during
treatments.
The
fitting
process
is
painless.
The
treatment
process
includes:
ì Consultation
appointment
ì Pretreatment
procedures
ì CyberKnife
treatment
ì Follow-‐up
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12. NEW
JERSEY
CYBERKNIFE
TESTIMONIAL
“Convenience
was
extremely
important
to
me.
CyberKnife
treatment
took
five
sessions
versus
the
35
to
45
sessions
I
would
have
needed
with
other
opEons.
I
travel
for
work
and
there’s
no
way
I
could
be
in
the
middle
of
treatment
and
go
away
for
a
week,
come
back
and
resume
with
the
level
of
faEgue
I’ve
heard
people
can
have
with
other
treatments.
When
I
looked
into
CyberKnife,
I
saw
the
accuracy
and
number
of
treatments,
and
when
I
found
out
the
side
effects
were
so
minimal,
I
thought
it
was
the
only
way
to
go.
The
New
Jersey
CyberKnife
team
was
phenomenal.
They
were
so
courteous
and
its
almost
like
checking
into
a
hotel
every
day.
I
wouldn’t
have
chosen
anything
else.”
-‐
Gene
G.,
New
Jersey
CyberKnife
PaEent
13. OUR
CENTER
Opened
in
2011,
New
Jersey
CyberKnife
at
the
J.
Phillip
Citta
Regional
Cancer
Center
is
active
in
clinical
research.
Our
state-‐of-‐the-‐art
technology
offers
hope
to
patients
in
New
Jersey
and
beyond.
New
Jersey
CyberKnife
opened
aclinical
trialsin
collaboration
with
the
University
of
Pittsburgh
to
evaluate
stereotactic
body
radiation
therapy
for
low,
intermediate
and
high-‐risk
prostate
cancer
patients.
Results
from
the
trial
will
add
to
the
body
of
clinical
research
examining
stereotactic
body
radiation
therapy
for
prostate
cancer
and
will
help
doctors
analyze
effects
and
outcomes
to
improve
prostate
treatment
protocols.
Medical
Director
Dr.
David
D’Ambrosio
has
also
published
several
peer-‐reviewed
research
papers
on
prostate
cancer.
Our
center
provides
the
only
CyberKnife
technology
in
Ocean
County,
New
Jersey.
Medical
Director:
Dr.
David
Ambrosio
Chairman
of
Radiation
Oncology
at
Community
Medical
Center:
Dr.
Rajesh
Iyer
CyberKnife
Nurse:
Debbie
Moriarty,
RN,
MSN,
OCN
Connect
With
Us
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