chapter 12 conclusion and the future of the cloud
Chapter 091. Benign and Malignant Diseases of the Prostate (Part 1) pps
... converted by the enzyme 5αreductase to 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 ... and Pathology The prostate is located in the pelvis and is surrounded by the rectum, the bladder, the periprostatic and dorsal vein complexes that are responsible for erectile function, and the ... produced in the epithelial cells Both prostate epithelial cells and stromal cells express androgen receptors and depend on androgens for growth Testosterone, the major circulating androgen, is...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 2) pot
... 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 has not ... death, the states model allows a distinction between cure the elimination of all cancer cells, the primary therapeutic objective when treating most cancers and cancer control, in which the tempo of ... surgically remains in the state of localized disease as long as the PSA remains undetectable The time within a state becomes a measure of the efficacy of an intervention, though the effect may not...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 3) docx
... palpable, and of these, 70% are pathologically organ-confined The downside of widespread PSA screening is the detection and treatment of cancers with such a low malignant potential that they would ... 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 ... course of antibiotics before biopsy Men with an abnormal PSA and negative biopsy are advised to undergo a repeat biopsy Each core of the biopsy is examined for the presence of cancer, and the amount...
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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 ... identified solely on the basis of an abnormal PSA (T1c), those that are palpable but clinically confined to the gland (T2), and those that have extended outside the gland (T3 and T4) (Table 91-1) ... for 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...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 5) pot
... 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, and T3 disease ... radiation therapy, or active surveillance Choice of therapy requires the consideration of several factors: the presence of symptoms, the probability that the untreated tumor will adversely affect the ... of outcomes of various forms of therapy is limited by the lack of prospective trials, referral bias, and differences in the outcomes used The primary outcomes are cancer control and treatment-related...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 6) docx
... 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 shaping of the dose, ... radiation therapy The aim is to decrease the size of the prostate and, consequently, to reduce the exposure of normal tissues to full-dose radiation, to increase local control rates, and to decrease the ... pretreatment, the dose administered, and the time of assessment Postradiation erectile dysfunction is related to a disruption of the vascular supply and not the nerve fibers Neoadjuvant hormone therapy...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 7) potx
... surgery and/ or radiation therapy By definition, patients have no evidence of disease on scan For these patients the central issue is whether the rise in PSA results from persistent disease in the ... undergone radiation therapy The decision to recommend radiation therapy after prostatectomy is often made on the basis of the pathologic findings at surgery, as imaging studies such as CT and bone scan ... 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 9) pdf
... Outcomes of Androgen Depletion The antiprostate cancer effects of the various androgen depletion strategies are similar, and the clinical course is predictable: an initial response, then a period of ... quality of life Combined androgen blockade the administration of an antiandrogen plus a GnRH analogue or surgical orchiectomy—was designed to inhibit both testicular and adrenal androgens at the ... patients treated with radiation therapy and years of androgen depletion relative to radiation alone, was criticized for the poor outcomes of the control group Another showing a survival benefit...
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Chapter 091. Benign and Malignant Diseases of the Prostate (Part 11) pdf
... at bedtime) 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 ... Over 5 how often past month, the have you found it difficult to postpone urination? Over the past month, how often have you had a weak urinary stream? Over the (No (1 (2 (3 (4 (5 how often past ... 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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Tutorial: ISE 12.2 and the Spartan3e Board
... connect the USB cable between the Spartan3E and your PC Then when you turn on the power, the PC should recognize the Xilinx cable/board and install the drivers 16 Once the PC has recognized the USB ... bypass for the other chips (the xcf04s and the xc2c64) The summary looks like this: 21 In the iMPACT screen you should now see the following window that shows the programmable chips and the associated ... to get all the details of the pins correct as they’re described in the manual! The switches won’t function properly without the pullup, for example, and the LEDs really need to have the drive...
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Chapter 12 - Security in the IMS docx
... the HSS and the ISIM have to show to each other that they know the secret key The S-CSCF assigned to the user takes the role of the authenticator, delegated from the HSS The S-CSCF uses the Diameter ... base64 encoding of the RAND and the AUTN The value of the algorithm parameter is set to AKAv1-MD5 Figure 12.8 shows the contents of the WWW-Authenticate header field WWW-Authenticate: Digest realm="domain.com", ... 12.8: WWW-Authenticate header field When the terminal receives the 401 (Unauthorized) response (10) it deduces the RAND and the AUTN from the nonce The ISIM verifies the AUTN using the SQN and its...
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Tài liệu Security Threats to Business, the Digital Lifestyle, and the Cloud docx
... further expand opportunities for cybercriminals and other threat actors to gain profit, steal information, and sabotage their targets’ operations Our 2013 forecasts: The volume of malicious and ... of deployment 10 Africa will become a new safe harbor for cybercriminals 1 The volume of malicious and high-risk Android apps will hit million in 2013 The number of malicious and high-risk Android ... Microsoft Windows Google has made improvements to the Android platform’s security App scanning in the form of Bouncer was first introduced in February and integrated into devices with the use of the...
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The Tower and the Cloud pdf
... governance of IT and encourage realignment of those structures with the reality of a networked world (and institution) The collection then turns to the heart of the academy—scholarship and teaching, and ... The premise of this volume is that the spectacular success of the network, the persistent interconnection of billions of people, the emergence of English as the global language of commerce, and ... University of Chicago, Walter Weir of the University of Nebraska, and Khalil Yazdi of the University of Mary Washington If authors are the architects of books, then the editorial and production...
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Plant physiology - Chapter 17 Phytochrome and Light Control of Plant Development pptx
... maximum at the end of the day, when LHY and CCA1 are at their minimum TOC1 then either directly or indirectly stimulates the expression of LHY and CCA1, and the cycle begins again The two MYB ... been inferred from the effects of red and far-red light on the surface potential of roots and oat (Avena) coleoptiles, where the lag between the production of Pfr and the onset of measurable potential ... at the end of each photoperiod (called the end -of- day far-red response) Both of these responses are likely to involve perception of the Pfr:Ptotal ratio and occur in the low-fluence region of the...
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Chapter 078. Prevention and Early Detection of Cancer (Part 1) pps
... concerns the identification and manipulation of the genetic, biologic, and environmental factors in the causal pathway of cancer Education and Healthful Habits Public education on the avoidance of ... about the hazards of smoking, the features of a healthy lifestyle (including diet and exercise), use of proven cancer screening methods, and sun avoidance Smoking Cessation Tobacco smoking is the ... cancer Lung cancer and cancers of the larynx, oropharynx, esophagus, kidney, bladder, pancreas, and stomach are all tobacco-related The degree of smoke exposure, meaning the number of cigarettes smoked...
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Chapter 078. Prevention and Early Detection of Cancer (Part 2) ppt
... 9.8% of women in the low-fat diet group compared to 12.4% of women on the standard diet In observational studies, dietary fiber lowers the risk of colonic polyps and invasive cancer of the colon ... for cancers of the breast, colon, prostate, and endometrium These cancers have their highest incidence and mortalities in western culture where fat comprises an average of 40–45% of the total calories ... protective effects of increasing fiber and lowering dietary fat have not been proven in the context of a prospective clinical trial The putative protective mechanisms are complex and speculative...
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Chapter 078. Prevention and Early Detection of Cancer (Part 3) doc
... gas Cancer of the lung, head and neck, nasal sinuses Nickel dust Cancer of the lung, nasal sinuses Phenacetin Cancer of the renal pelvis and bladder Polycyclic hydrocarbons Cancer of the lung, ... such as androgens, linked to prostate cancer, and estrogen, linked to breast and endometrial cancer The distinction between an initiator and promoter is sometimes arbitrary; some components of cigarette ... Burkitt's lymphoma, nasal T cell lymphoma Estrogens Cancer of the endometrium, liver, breast Ethyl alcohol Cancer of the liver, esophagus, head and neck Helicobacter pylori Gastric cancer, gastric...
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Chapter 078. Prevention and Early Detection of Cancer (Part 4) pdf
... taking placebo and of per 1000 subjects per year for those taking β-carotene The ATBC and CARET results demonstrate the importance of testing chemoprevention hypotheses thoroughly before their widespread ... women taking placebo Of >16,600 women randomized and followed for a median of 5.6 years, 43 invasive colorectal cancers occurred in the hormone group and 72 in the placebo group The positive effect ... piroxicam, sulindac, and aspirin, may prevent adenoma formation or cause regression of adenomatous polyps The mechanism of action of NSAIDs is unknown, but they are presumed to work through the cyclooxygenase...
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Chapter 078. Prevention and Early Detection of Cancer (Part 5) pdf
... cervical and head and neck cancer, and Helicobacter pylori is associated with gastric cancer and lymphoma Vaccines to protect against these agents may reduce the risk of their associated cancers The ... placebo After years of therapy, the incidence of prostate cancer was 18.4% in the finasteride arm and 24.8% in the placebo arm, a statistically significant difference However, the finasteride group ... infection with any of the four component strains (6, 11, 16, 18) The vaccine is recommended for girls and women ages 9–26 years Reduction in these HPV types could prevent >70% of the cervical cancers...
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