Various treatments for hyperthyroidism were not found to be associated with significant differences in risk of death from solid cancers, according to the results of a large, multicenter cohort study published in JAMA Network. The study included data on 31,363 patients with hyperthyroidism who were part of the Cooperative Thyrotoxicosis Therapy Follow up Study, which was a cohort study of patients who were treated for hyperthyroidism at US and UK medical centers between January 1, 1946, and December 31, 1964. Treatments included radioactive iodine, antithyroid drugs, surgery, or a combination of therapies. US patients were followed through December 31, 2014, translating to a median follow up of 26 years. Most patients 71.3% were treated with an antithyroid drug alone or in combination; radioactive iodine alone or in combination and surgery alone or in combination were used less frequently (62.5% and 43.6%, respectively). Baseline characteristics for each treatment group varied by age, underlying diagnosis, and comorbidities. The analysis initially showed that patients treated with antithyroid drug only appeared to have increased mortality rates for solid cancer (standardized mortality ratio SMR 1.31; 95% CI, 1.11 1.53), breast cancer (SMR 1.85; 95% CI, 1.31 2.62), and nonbreast solid cancer (SMR 1.22; 95% CI, 1.01 1.46). However, when patients with prior cancers were excluded from analysis, these risks were attenuated. The elevated risks were found to be restricted to the first 5 years of follow up and disappeared when patients with prior cancers were excluded from the analysis.Continue ReadingIn an adjusted analysis, the hazard ratio (HR) of solid cancer death did not differ by treatment when patients with prior cancers were excluded. The analysis did, however, reveal a modest positive association between risk of solid cancer death and total administered activity among patients treated with radioactive iodine (HR 1.08 per 370 MBq; 95% CI, 1.03 1.13; P .001). After accounting for known sources of bias, we observed no significant differences in risk across treatment groups based on external and internal cohort comparisons, the study authors concluded. Notably, we found no evidence of an increased risk of solid cancer death associated with use of antithyroid drugs . Disclosure: A study author declared affiliations with the pharmaceutical industry. Please see the original reference for a full list of authors disclosures. Reference Kitahara CM, Preston DL, Sosa JA, Berrington de Gonzalez A. Association of radioactive iodine, antithyroid drug, and surgical treatments with solid cancer mortality in patients with hyperthyroidism. JAMA Netw Open. Published online July 23, 2020. doi:10.1001 jamanetworkopen.2020.9660
There are many ways of treating lung cancer. But the procedure that a doctor will ultimately adopt depends on a lot of things like the type of lung cancer and how far it has spread. People with non small cell lung cancer are often treated with surgery, chemotherapy, radiation therapy and targeted therapy. Sometimes, a combination of these treatments may also be used. People with small cell lung cancer are usually treated with radiation therapy and chemotherapy. Today, on the occasion of World Lung Cancer Day, it is important to raise awareness about the various treatments options that are available to people today. It is an ongoing effort of scientists to develop better treatment procedures that will lead to better outcomes. Also Read World Lung Cancer Day 2020: Types and symptoms of lung cancerBut it is important to know that early detection and timely treatment is essential. According to Dr Surender Kumar Dabas, Senior Director amp; HOD, Surgical Oncology amp; Robotic Surgery, BLK Super Specialty Hospital, Due to the COVID 19 scare, patients with lung cancer symptoms are avoiding visiting the hospitals. This comes in the way of an early diagnosis. At the same time, those recently diagnosed are postponing their treatment commencement and those already on treatment are either skipping their chemotherapy or delaying their surgery. He goes on to add that the situation is further compounded by the overlap of symptoms of lung cancer vis a vis COVID 19. This, in turn, means that an early stage curable cancer will eventually advance to a later stage incurable one due to lack of timely treatment intervention. Also Read World Lung Cancer Day 2020: Can diabetes increase your risk of this condition?
Women receiving treatment for ovarian, uterine, and cervical cancers in New York City are not at increased risk of hospitalization or death during COVID 19, according to a study. The study showed that 54% of the women required hospitalization and among these, 25% died, for an overall death rate of 14%. The researchers noted these data are comparable to the results of another study, which showed a 21% death rate among all 5,700 hospitalized patients with COVID 19 in the city, who were mostly male (60%) and at greater risk of the disease, researchers say. Moreover, the results further showed having late stage gynecologic cancer, cancer surgery, or high dose chemotherapy also did not increase a woman s risk of dying from COVID 19.According to a study, the rate of overscreening for certain cancers is high, notably for women living in metropolitan areas. Women living in metropolitan areas were more likely to be overscreened for colorectal cancer, cervical cancer, and breast cancer. Overscreening was more common among women with a usual source of care, compared to those who did not have one, for cervical cancer and breast cancer. Women with good, very good, or excellent self reported health, compared to those with fair or poor self reported health, also had higher rates of overscreening for cervical cancer and breast cancer. Other factors associated with overscreening for cervical and breast cancers were an educational attainment greater than a high school diploma, compared to a high school diploma or less, and being married or living as married, compared to other marital status.
Fortunately, Aditya MK, a transman from Bengaluru, could avail sex re assignment surgery in 2017 by utilising his company, a leading IT consulting firm;s insurance policy, that covered the cost up to Rs 3 lakh. ;I came out to my company at the end of December 2016 around the same time when they started introducing wellness policies that included the trans community. They supported me and I did not face any harassment,; said the 30 year old who quit to join another firm two months ago.It is only recently that the corporates have begun to expand their employee welfare schemes, aptly named #8216;diversity and inclusion policies ', to include employees from the LGBTQ spectrum. In a step forward for the LGBT community, such policies extend medical coverage, leave benefits besides establishing gender neutral washrooms and mandatory sensitisation drives.
The decision stoked hopes that old taboos about gender identity in China are slowly being laid to rest.Gao worked as a product director at the e commerce platform Dangdang. Then a man, she underwent gender change surgery in July 2018 to become a woman and was subsequently fired for taking two months off work to recuperate.
Former Madhya Pradesh Cricket Association life member Sanjeev Gupta had filed a conflict of interest complaint against Mayank Parikh last year for owning six clubs academies in MumbaiMotoGP champion Marc Marquez is hoping to return this season, but it is too early to say when he will be fit after surgery.
The court said that when pregnant women go for deliveries they cannot wait five to six days for carrying out the tests and declaration of the results. ;Immediately requests should be accepted and immediately results should be given,; the bench said.The Delhi government told the court that as per the advisory issued by the Indian Council of Medical Research (ICMR), the tests results would be declared within an hour. The advisory was however silent on the timeline regarding processing of requests for testing, the Delhi government said, adding that it has issued a notification which states all applications for tests would be processed within 48 hours.The bench asked the Delhi government to place the advisory and notification before it and listed the matter for hearing on Thursday, July 9. The court also asked it whether negative outcome of a rapid test was acceptable or whether an RT PCR test result also be required before admitting a pregnant woman.The Delhi government counsel sought time to take instructions on the query raised by the bench. The court was hearing a PIL by a lawyer who has sought that test results of pregnant women be given priority.The high court on June 22 had remarked that 5 7 days cannot be taken for getting COVID 19 results for pregnant women prior to admitting them in hospitals for child birth and asked the ICMR and Delhi government to look at expediting it.Thereafter, Delhi government filed an affidavit stating that prior COVID 19 test was not mandatory for admitting pregnant women in hospitals for in patient interventions, including surgery and deliveries, and in emergent situations, treatment would not be denied for want of test results.The test can be conducted simultaneously with the treatment and if the result comes out to be positive, the pregnant woman would ideally be transferred to a dedicated COVID 19 hospital for further management, the Delhi government had told the high court.It had also said that it has "expanded " the use of Rapid Antigen Testing at hospitals to ensure availability of test results in quick time and this will further take care of difficulties being faced by people patients, including pregnant women.ICMR, in its response filed through central government standing counsel Vivek Goyal, had said it has issued guidelines for management of pregnant women during the COVID 19 pandemic and there are no restrictions for testing pregnant women for COVID l9 symptoms.
Shushruta specialised in ophthalmic surgery (extraction of Cataracts). Shushruta was one of the first to study the human anatomy. In the Shusruta Samahita he has described in detail the study of anatomy with the aid of a dead body. Shusruta s forte was rhinoplasty (Plastic surgery) and ophthalmialogy (ejection of cataracts). Shushruta has described surgery under eight heads Chedya (excision), Lekhya (scarification), Vedhya (puncturing), Esya (exploration), Ahrya (extraction), Vsraya (evacuation) and Sivya (Suturing). The practice of surgery has been recorded in India around 800 B.C. This need not come as a surprise because surgery (Shastrakarma) is one of the eight branches of Ayurveda the ancient Indian system of medicine. The Ayurvedic practitioner was called vaidya, meaning a person of profound knowledge, who made use of what is called rational therapy. He examined the individual as a whole and not just his disease, took a careful note of the patient s innate physiology, mental state, and other factors such as age, food habits, and season of occurrence of disease. The vaidya conducted a thorough examination using both direct perception (pratyaksha) and inference (anumana). In addition, oral or written testimony of the personal experience of Ayurvedic experts was also accepted as a diagnostic tool (aptopadesha). The vaidya was also expected to question the patient in great detail (prashna), conduct a thorough physical examination using all his five senses (panchendriya pariksha), and confirm or negate his diagnosis through experimentation (yukti). Laying much emphasis on the vaidya s knowledge of drugs, he was supposed to keep in mind both its therapeutic and adverse effects. The Vaidyas laid equal emphasis on the cure of disease as well as prevention and health promotion. They prescribed a daily and seasonal routine as well as attention to nutrition for maintenance of a balanced state of health.Ayurvedic preceptors conceived the role of a physician as much more than mere treatment of diseases. He was to help an individual reach the ultimate spiritual goal of self emancipation, which would not be possible without a healthy mind and body. He was to educate the people about health and disease, and be able to communicate with the lay public and the scholars alike. This required wisdom and skilled communication. Charaka says this about the goal of the vaidya, Not for self, not for the fulfillment of any earthly desire or gain, but solely for the good of suffering, should you treat your patients and so excel all. Those who sell the treatment of diseases as merchandise gather dust and neglect gold. The ancient texts talk in detail about the doctor patient relationship. A vaidya was expected to be friendly and sympathetic toward his patients so that they do not fear him. Charaka recommends that the vaidya keep his conclusions to himself to avoid potential harm. Ayurvedic texts prohibit physicians from private conversations or indulging in jest with women.
Biopsy or screening is the initial step to diagnosing cancer, followed by treatment with three arms of care, namely systemic therapy, surgery, radiation either alone or in combination. These procedures may get difficult for people mainly due to the fear of the treatment, the financial burden, access to the latest diagnostic and therapeutic modalities, etc.Taking a step towards self care
Tahiana Brown it was one of the soldiers who fought in the The war of the Falkland islands. For 18 years, recently completed, was a part of the group, a C. Ing 9, which had its headquarters in Sarmiento (Chubut). He was born with Klinefelter syndrome ;XXY;, and for a number of years, he has carried out a testosterone treatment. After getting married and having two children, she became a reassignment surgery, genital.
Cancer typesCancers in general
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”The more portion of the stomach we preserve, the better the quality of life for patients after the surgery, ” it said. ”We have confirmed that excising above one centimeter above the stomach has no difference in safety and recurrence rate. ” When gastric cancer develops, cancer cells can spread along the lymph nodes and blood vessels. Therefore, hospitals have to cut out the cancer affected areas and part of the duodenum where the small intestine begins.
London UK , June 29 (ANI): The United Kingdom''s General Medical Council (GMC) has suspended the medical practice licence of a British Pakistani doctor after he claimed that Covid 19 was a conspiracy to control the world.The GMC, which maintains the official list of medical practitioners in the UK, has removed Dr Iqbal Adil''s reference number from its website, Geo News reported."This person has been suspended from the Medical Register and may not practise as a doctor in the UK," the website said, adding that he was neither on the General Practioner (GP) register nor the specialist one."This doctor is not subject to revalidation (as) only doctors holding full registration with a licence to practise are subject to revalidation," the website said.Dr Adil worked in the UK as a specialist in colorectal and emergency surgery and laparoscopy, having graduated from Bahauddin Zakaria University in Pakistan''s Multan city in 1986.The doctor has peddled various conspiracy theories about coronavirus on social media platforms and in online interviews, claiming that the virus "orchestrated by the elite and is indeed a hoax".So far, over 10 million people have been infected with Covid 19 worldwide, while the number of fatalities crossed the 500,000 mark, according to Johns Hopkins University.In an interview to a news outlet, Dr Adil said he had been working for the National Health Service (NHS) in the UK for almost 30 years and was dismissed because of political victimisation, according to Geo News.The doctor, in various social media posts and YouTube videos, claimed that a vaccine was not a cure for Covid 19 while physical distancing was of no help as well to combat the virus. Almost all of his controversial videos have been taken down by YouTube.Following the suspension of his medical practice license, the doctor set up a petition at Change.org, which has got over 300 signatures so far. It says that he "is Chairman of All Pakistan Medical Association and Global Nishtarian Organisation (GNO) with a large number of medical graduates worldwide"."Mr Adil has a family with 3 children to support. NHS UK need doctors to work. It would not be in the best interest of the public and health system to lose experienced and highly qualified surgeon like him," it added while stressing that it was "an injustice" to suspend his license over "his personal point of view on Covid 19"."We request to the GMC to revoke his unfair 12 months suspension ... and allow him fair chance to work in this country (for the benefit of) the health system, communities and medical graduates at large," the petition further states. (ANI)
Between 2000 and 2016, 629 men with biochemical recurrence underwent salvage radical prostatectomy at 18 tertiary referral centres. The authors retrospectively collected pre , intra and post surgery clinical and histological data. A follow up lt;6 months, pre salvage radical prostatectomy castration resistant disease, laparoscopic approach, or unavailability of the data with no revision were adopted as exclusion criteria. A post operative PSA gt;0.2 ng ml was used to define biochemical recurrence. Outcomes included grading, local staging, surgical margins at final pathology report, prostate specific antigen (PSA) persistence rate after salvage radical prostatectomy, biochemical recurrence rate at 5 years, cancer specific survival at 5 years and overall survival. A multivariable logistic regression model was used to test the predictor of biochemical recurrence and positive surgical margins. There was a total of 414 cases included, with a median PSA of 4.2 ng ml. Primary treatment was represented by radiotherapy (63.5%), brachytherapy (25.7%) or other treatment (13.6%). Before primary treatment, 10% had Gleason 7 disease, and 11.5% had had cT2c disease. The median age at salvage radical prostatectomy was 66 years of age (IQR 62 70) and the median PSA was 4.2 ng mL (IQR 2.5 7.3). At confirmatory biopsy before salvage surgery, more than half of the patients had Gleason score 7 (45.5%) and organ confined, node negative disease at imaging (93.3%). Final pathology showed higher grading in 39.7% (Gleason 9 27.6%) of patients, with more than half having non organ confined disease ( pT3, 52.9%); pN1 was present in 16% of patients. Nearly 1 out of 3 patients had positive surgical margins (29.7%), and 26.9% were severely incontinent at 6 months, with a major complication rate of 18%. The 5 year biochemical recurrence free survival rate was 56.7%, cancer specific survival rate was 97.7%, and overall survival (OS) rate was 92.1%: On multivariate analysis: positive surgical margins were predicted by pT staging (pT3a OR 2.9, 95% CI 1.5 5.9; pT3b OR 2.4, 95% CI 1.3 4.4) and nodal disease (pN1 OR 2.9, 95% CI 1.5 5.9); biochemical recurrence was associated with pT staging T3b (OR 2.3 95% CI 1.3 4.1) and tumor grading (Gleason score gt; 8 OR 7.3, 95% CI 1.9 27.1).
When our mother goes to the Mayo Clinic for cancer surgery, our family all stays in a house, found on VRBO, several blocks away. Beautified by the magic of real estate photography, it looked like a sumptuous abode, with a sprawling green lawn, an ultra modern kitchen and trendy decor.When we get there, we realize the lawn is the size of a pocket square and studded with dandelions, and although the furniture looks inviting there isn t a comfortable place to sit in the entire house. Something is wrong with the cable, so there is little to watch besides a non stop marathon of Golden Girls on the Hallmark Channel.
Caught in a cataclysmic situation, he went helter skelter looking for the right treatment. Salil, who had earlier lost his sister to breast cancer due to inadequate treatment, didn t want the mistake to recur.In the days that followed, he discovered the best way forward for him was to go for robotic surgery in a Bengaluru hospital.
Latest market study on Global Cancer Immunotherapy Market Forecast to 2027 - Covid 19 Impact and Global Analysis - By Therapy (Monoclonal Antibodies, Immune Checkpoint Inhibitors, Immune System Modulators, Cancer Vaccines); Application (Lung Cancer, Colorectal Cancer, Breast Cancer, Prostate Cancer, Melanoma, Head and neck cancer, Ovarian cancer, Others); End User (Hospitals, Ambulatory Surgery Centers, Cancer Research Centers, Specialty Clinics) .The research report provides deep insights into the global market revenue, parent market trends, macro economic indicators, and governing factors, along with market attractiveness per market segment. The report provides an overview of the growth rate of the Cancer Immunotherapy market during the forecast period, i.e., 2020 2027. Most importantly, the report further identifies the qualitative impact of various market factors on market segments and geographies. The research segments the market on the basis of product type, application, technology, and region. To offer more clarity regarding the industry, the report takes a closer look at the current status of various factors including but not limited to supply chain management, niche markets, distribution channel, trade, supply, and demand and production capability across different countries.
Ross dealt an injury during spring practice; at the time, Clemson believed the discomfort wasn;t too serious. Clemson said Ross was suffering from ;stinger symptoms,; but was doing mostly fine. However, it was later revealed by an X ray that Ross was born with congenital fusion. Ross isn;t in discomfort, but the issue will keep him out for the 2020 season, at a minimum, according to Dabo Swinney.Surgery was set for Friday; on the afternoon beforehand, Ross took to Twitter.