Saturday, October 24, 2015

कैंसर के लक्षण *****Os sintomas do câncer-***** Symptoms of Cancer*****کینسر کی علامات

The following symptoms may also signal some types of cancer:
  • Persistent headaches.
  • Unexplained loss of weight or loss of appetite.
  • Chronic pain in bones or any other areas of the body.
  • Persistent fatigue, nausea, or vomiting.
  • Persistent low-grade fever, either constant or intermittent.
  • Repeated infection.

مندرجہ ذیل علامات بھی کینسر کی کچھ اقسام اشارہ کر سکتے ہیں:

     مسلسل سر درد.
     وزن یا بھوک میں کمی کے نامعلوم نقصان.
     ہڈیوں یا جسم کے کسی بھی دیگر علاقوں میں دائمی درد.
     مسلسل تھکاوٹ، متلی، قے یا.
     مسلسل یا وقفے وقفے سے تو مسلسل کم گریڈ بخار،.
     بار بار انفیکشن.



Os seguintes sintomas também pode sinalizar alguns tipos de cancro:
  •      Dores de cabeça persistentes.
  •      Perda inexplicada de peso ou perda de apetite.
  •      A dor crônica nos ossos ou quaisquer outras áreas do corpo.
  •      Persistente fadiga, náuseas ou vômitos.
  •      Febre baixa persistente, constante ou intermitente.
  •      A infecção repetida.        

निम्नलिखित लक्षणों में भी कैंसर के कुछ प्रकार के संकेत हो सकता है:
  •      लगातार सिर दर्द।
  •      वजन या भूख की कमी के अस्पष्टीकृत नुकसान
  •      हड्डियों या शरीर के किसी भी अन्य क्षेत्रों में पुराने दर्द
  •      लगातार थकान, मिचली, उल्टी या
  •      निरंतर या रुक-रुक कर सकते हैं या तो लगातार कम ग्रेड बुखार,।
  •      बार-बार संक्रमण

Thursday, October 22, 2015

must watch it: CANCER AWARENESS VIDEO BY MANAVTA CANCER FOUNDATION OF INDIA

 must watch it:




source:https://www.youtube.com/watch?v=dG_u3qyLCGM

Sankshema Charitable Trust | donation for cancer patients in India

About SANKSHEMA:

Sankshema was registered as a Charitable Trust in March 1990. After a brief socio-economic survey, the trustees decided that the primary aim for the trust should be Medicare, specially focused on cancer awareness, detection and treatment. In addition to Medicare, the trustees decided to provide scholarships to the economically deprived rural students to help them pursue higher education. All capital expenditure of the trust is met through donations from individuals and organizations.


Our Mission:
  • To educate poor of the preventive measures to be taken against cancer and the importance of early detection by organizing regular camps.
  • Providing scholarships to meritorious students from poor background.
  • All donations fund, cancer detection camps, hospital infrastructure and scholarships.

Contact:

head office

Sankshema Charitable trust
Sushruta Cancer Therapy and Research Institute
Saraswathinagar, Karimnagar – 505001
Tel: + 91-0878-2278744, 2278586

regional office

Plot No - 26,
Krishna Puri Colony,
West Maredpally, Main Road
Secunerabad-26 500015, india
Tel: +91-40-27803962

Canberra lights up landmark buildings for breast cancer awareness month .

The National Breast Cancer Foundation in Australia teamed up with Estee Lauder for Global Illuminations 2015 and has lit the city in pink as part of Breast Cancer Awareness Month.
The National Carillon lights up pink for Breast Cancer Awarness Month in October.

National Breast Cancer Foundation chief executive Jackie Coles said the Illumination initiative had been running in Canberra for a decade and had been very successful.

Parliament House 

"Over the last 10 years that Illuminations has been running in Canberra, we've raised over $1 million for breast cancer research," she said.
For the month of October, Old Parliament House, the Carillon and the Captain Cook Memorial, New Parliament House, the Royal Australian Mint, the National Portrait Gallery and the National Gallery of Australia have been illuminated.
The National Museum of Australia will light up pink next week. 
The Global Illumination initiative seeks to raise awareness about breast cancer by lighting up monuments, buildings and landmarks around the world.

Old Parliament House. 

"We're very proud to be the Australian partner of Global Illuminations," Ms Coles said.

"It's a great initiative that brightens up our cities, and it's lovely to see all these buildings awash in pink light."

The initiative officially launched October as Pink Ribbon month, which is recognised globally as breast cancer awareness month.

During October each year thousands of individuals, community groups, schools and businesses raise funds for research into the prevention, detection and treatment of breast cancer.

Seven women die from breast cancer every day in Australia and Ms Coles said only 50 per cent of women get mammograms.

However, the National Breast Cancer Foundation hopes by 2030 there will be no deaths from breast cancer.

"Early detection is absolutely critical and raising awareness as well as fundraising encourages women to go for their mammograms," Ms Coles said.

"The job is not done on breast cancer, there's still a lot of research to be done so we can treat it and prevent it."

Ms Coles said hosting a Pink Ribbon Breakfast for Breast Cancer Awareness Month is also a great way to raise money for breast cancer prevention and research.

"We encourage people to have the breakfast the way it suits them, you can do it in your home, as a group, or if you own a café do something there," she said.

"There's around 45 Pink Ribbon breakfasts set for the ACT this year."

A "Think Pink" dinner will also be held on October 22 at the Hyatt Hotel, to raise funds for breast cancer research.

source:http://www.canberratimes.com.au/



Saturday, October 10, 2015

Ways To Reduce Risk of Cancer

Below are four primary habits that everyone should adopt. These steps are more than a call to action — they are the keys to leading a longer, healthier life. Integrate these steps into your daily life gradually, share them with family, support friends in the midst of these life changes — it’s never too late to make simple, yet lifesaving, lifestyle changes. 

  • Eat Healthy
  • Be Active
  • Don't Smoke
  • Get Screened
Of course, the four lifestyle choices above are not the only ways to prevent cancer. To learn more, visit the Prevent Cancer Foundation Blog that provides cancer prevention and early detection news and information or have prevention strategies at your fingertips by clicking on the image below and printing the Seven Steps to Prevent Cancer card. 


Healthy Weight Tips Infographic

Maintaining a healthy weight is an important step we can take to greatly reduce the possibility of developing certain forms of cancer. The infographic below shows safe and effective healthy weight tips to help you and your loved ones improve your health and help us all Stop Cancer Before it Starts!





source:http://preventcancer.org/prevention/reduce-cancer-risk/ways-to-reduce-risk/                      

Doctors find cancer while treating shark attack victim

Eugene Finney, of Fitchburg, Mass., has always considered the ocean a big part of his life. But when a shark attack in early July led him to see a doctor, who then discovered Stage 1 cancer in his kidney, the body of water’s significance to Finney took on an even bigger meaning.

“The incident with the shark was a message from God, a message from someone,” Finney told the San Jose Mercury News.

The newspaper reported that Finney, 39, had been at Huntington Beach in Orange County, Calif., with his girlfriend and two children, his 6-year-old son, Turner, and his 10-year-old daughter, Temple, to visit his parents. While his girlfriend, Emeline McKeown, was on the beach with Turner, Finney was in the water with Temple, amid waves that soared 7 to 9 feet high. As he and Temple dove into a crest, Finney clutched his daughter tightly, protecting her from the strong current. As they plummeted 20 feet underwater, Finney felt a strong force pummel into his back.

Dizzy and dazed, Finney mustered up the energy to walk back to shore with Temple, who alerted her father to the long gash in his back that was bleeding. When he looked out into the water, he saw a pair of fins. Lifeguards began pulling people out of the water, the San Jose Muercury News reported.

When Finney returned to work in Massachussets at the Fitchburg Art Museum less than a week later, a coworker told him he didn’t look good and insisted him to go to the doctor.

Finney checked himself into St. Elizabeth’s Medical Center in Brighton, which is near McKeown’s Newton home, in case his condition was severe, he said.


source: http://www.foxnews.com/health/2015/10/09/doctors-find-cancer-while-treating-shark-attack-victim/

Why elephants rarely get cancer - and what we can learn from them ???

Dr. Joshua D. Schiffman, a pediatric oncologist, was on a normal trip to Salt Lake City's Hogle Zoo in 2012 with his three children when he stumbled across an unlikely source of inspiration that would feed his current cancer research - elephant blood. The zoo's elephant caretaker Eric Peterson was explaining how the animals flap their large ears in order to circulate blood throughout the body when a light bulb went off in Schiffman's head.

Schiffman had previously been thinking about Peto's Paradox, which questions why large animals - like elephants - get cancer at significantly lower rates than smaller animals. Given the fact that large mammals like whales and elephants have more cells, the likelihood should be higher for them to develop cancer. But the opposite is true. An elephant can live to 70 years old and possesses 100 times as many cells as a person. Despite this, elephants experience a cancer death rate of less than 5 percent compared to a human cancer mortality rate of between 11 and 25 percent.

Schiffman had previously discussed the possibility of studying the genetics of these large creatures to better understand cancer with Carlo C. Maley, an associate professor at Arizona State University. When he was at the zoo, everything fell into place. He approached Peterson and asked if he could have access to some elephant blood for research.

Flash forward three years, and Schiffman is the co-senior author of a Journal of the American Medical Association study released on Thursday that looks into why elephants rarely get cancer and what that could mean for human cancer treatment.

"I think the real takeaway for me is essentially that evolution had over 55 million years to figure out how to prevent cancer in elephants, and now the challenge is to learn how to apply that knowledge to our own human patients," Schiffman told CBS News.

The study - a collaboration between the zoo, Huntsman Cancer Institute at the University of Utah, where Schiffman works, Primary Children's Hospital, and the Ringling Bros. Center for Elephant Conservation - found that elephants have 38 additional modified copies, or alleles, of a gene that encodes p53, a tumor suppressor. By comparison, humans only have two of these alleles.

Schiffman and his research team found that the elephant is something of a cancer-fighting super animal. Elephants kill damaged, cancer-prone cells at a rate double that of humans. Schiffman's lab works closely with patients who have Li-Fraumeni Syndrome, a rare hereditary disorder that increases the risk of developing certain cancers, like breast and a kind of bone cancer called osteosarcoma.

The researchers compared the cells of people with Li-Fraumeni Syndrome, healthy, cancer-free people, and elephants. Elephants killed pre-cancerous cells at a rate five times greater than people with the syndrome.

Schiffman said the findings are surprising, and that further elephant study could potentially lead to new developments in human cancer treatments. He added that there is a line of thinking that humans develop cancer so frequently because they "don't live the lifestyles they were evolved to live." From the lack of exercise to eating unhealthy foods, he said that modern humans have put themselves on a somewhat unnatural track.

After presenting some of his early findings at a conference, Schiffman was approached by another unlikely collaborator - the circus. The Ringling Bros. Center for Elephant Conservation reached out to Schiffman to see if he would like to analyze the samples of their herd of Asian elephants, the largest in North America. Schiffman had previously studied blood samples from African elephants and this gave him the opportunity to see if this cancer-fighting genetic capability extended beyond the sample group he was studying. The answer was yes, and Thursday, the circus's parent company, Feld Entertainment, announced a new funding effort to support this continued elephant research.

The circus has also pledged to donate $10,000 to the local children's hospital or treatment center in the next 50 cities it tours through. The Ringling Bros. Children's Fund will then match each donation with an additional $10,000 to the Primary Children's Hospital Pediatric Cancer Research Program.

The partnership is something of a win-win between Schiffman's team and the circus. The exposure surrounding this cancer research also underscores the importance of elephant conservation, Schiffman added.

Moving forward, what's next? Schiffman said it could be interesting to study the blood of other large animals, like whales and the naked mole rat that reportedly display low risks for cancer. Ultimately, Schiffman - who is a childhood cancer survivor himself - added that it is important to continue to find treatments and possible solutions for those with the disease.

"Ironically, the zoo is less than a mile from where I live and not much more than a couple miles from where I work," Schiffman said. "Every day I would drive by the zoo without realizing that the potential secrets to cancer prevention were right behind the zoo walls."

source:http://www.cbsnews.com/news/elephants-rarely-develop-cancer-could-hint-at-future-breakthroughs/

Saturday, October 03, 2015

Taller people at higher risk of developing cancer : Study

Taller people may be at a higher risk of developing different types of cancer, including breast cancer and melanoma, according to the largest study of its kind which examined 5.5 million men and women in Sweden.

The research is the largest long-term study carried out on the association between height and cancer in both genders. 

Researchers from the Karolinska Institutet and University of Stockholm examined 5.5 million men and women in Sweden, born between 1938 and 1991and with adult heights ranging between 100 cm and 225 cm. 

They followed the group of individuals from 1958 or from the age of 20 until the end of 2011, and found that for every 10 cm of height, the risk of developing cancer increased by 18% in women and 11% in men. 

Additionally , taller women had a 20% greater risk of developing breast cancer, while the risk of developing melanoma increased by approximately 30% per 10 cm of height in both men and women. Previous studies have also shown the same association between height and cancer.


SOURCE:http://timesofindia.indiatimes.com/home/science/Taller-people-at-higher-risk-of-developing-cancer-Study/articleshow/49202172.cms

Saturday, September 05, 2015

Music composer Aadesh Shrivastava succumbs to cancer, dies at 49



Bollywood music composer and singer Aadesh Shrivastava, who was battling with cancer, passed away here on Saturday.
His cancer relapsed for the third time and he was in critical condition for over 40 days. Shrivastava breathed his last a day after he turned 49.
His brother-in-law and music composer Lalit Pandit, from the Jatin-Lalit duo, confirmed the news to IANS over a text message.
“Aadesh passed away at 12.30 am,” the message read.
The singer, who earlier battled with cancer in 2010, was undergoing treatment in Kokilaben Dhirubhai Ambani Hospital here.
Shrivastava composed music for films like “Chalte Chalte”, “Baabul”, “Baghban”, “Kabhi Khushi Kabhie Gham” and “Raajneeti”.
He was married to actress and playback singer Vijayata Pandit. He is survived by his wife and two children.
Lalit had earlier told IANS that despite doctors trying their best to help Shrivastava overcome his illness, the treatment remained ineffective on him. Lalit had also noted that they need everyone’s prayers.
As the news of his illness surfaced in the media, members of film fraternity like Lata Mangeshkar and A. R. Rahman expressed shock and hope for healthy recovery while others like Amitabh Bachchan and Shah Rukh Khan met him at the hospital.


source: https://in.celebrity.yahoo.com/post/128378188967/music-composer-aadesh-shrivastava-succumbs-to










Thursday, September 03, 2015

FOR GETTING INSPIRATION FROM LISA RAY AGAINST CANCER , VISIT THEIR BLOG AND SOCIAL MEDIA SITES...





Click here for Lisa Ray's official website:

www.lisaraniray.com/


Click here for Lisa Ray's official blog:

blog.lisaraniray.com/


Click here for Lisa Ray's official twitter account:


https://twitter.com/Lisaraniray


Click here for Lisa Ray's official facebook account:

https://www.facebook.com/lisaraniray





How Lisa Ray defeated cancer and found herself again ...... :)

Imagine having a successful career as a model and actor in Bollywood and Hollywood with a life full of excitement and media attention. And then suddenly; being plunged from the limelight into the darkness. That was what happened to the beautiful Lisa Ray; but she refused to bow before her dreaded illness and came out a survivor and an inspiration to all cancer patients. ... 

Lisa Ray’s real life story runs like a Bollywood plot. An internationally acclaimed performer, philanthropist and actor with a reputation for taking on challenging issue-oriented films, Lisa was raised in Canada by an Indian father and a Polish mother.  While on vacation in India, she was discovered by the modeling world and went on to become not only one of the most successful cover models in India but also an acclaimed, award-winning actor who starred in Canada’s Oscar-nominated film Water. 

During the summer of 2009, Lisa scanned for multiple myeloma (a type of cancer). “I knew something was wrong for a long time, but I was such a triple type A personality that nothing less than a diagnosis of cancer would have made me make the changes in life that were needed,” says Lisa. She was in shock initially, which was followed by denial but she never lost hope and  tried to transform the experience into something which could help others.

“My father’s love and support were unconditional and overwhelming. He slept in my hospital room in a cot while I was going through my stem cell transplant. I owe this remarkable man everything,” Lisa says. Besides this, the love and support she received from people around the world – particularly India – motivated her to overcome myeloma. “I believe in the power of prayers,” she emphasises. 

Lisa has a basic belief that life is for her; not against her. “I’m stubborn. It never occurred to me that I might die; however, I knew it was not going to be easy. I worked hard – using meditation, positive affirmations and healers to reframe my cancer as an experience from which a lesson had to be learnt. I didn’t think of it as a bout of bad karma or a death sentence,” she says .

In July 2010, Lisa was finally declared a survivor. Beating myeloma isn’t easy but it is possible, stresses Lisa. Going through treatment was very tough at times but humour and writing helped. “And sometimes just crying and letting my grief out helped too,” she adds. She also researched a lot about alternative therapies and approaches to healing as well as letting her grief out; all of which helped as well. 

When asked how she feels about beating cancer and bouncing back into her earlier avatar, Lisa says, “I simply feel more comfortable with myself. Work and validation is not important. I have always marched to my own tune. I think you have to look inside yourself to find your truth and passion. I love acting but it is not the be all and end all of my life. I love writing as well as entrepreneurial activities. Remember I’ve been working since I was 16 and it is very hard to have such a long career in this business. I think what I am doing right is making up my own rules as I go along,” she says. 

“At times I feel I’ve packed several lifetimes of experiences into this current life, and perhaps I should take it easy now. But then there’s always something fresh to explore,” she adds. At present, she is juggling her yoga studio in Toronto, investing in properties around the world, renovating a home in Mumbai, working on an upcoming film and writing a column for DNA; besides modelling and giving inspirational talks entitled ‘More Beautiful for Having Been Broken’.

She’s also the global brand ambassador for Insight Vacations and promotes travel in India. Her national cancer campaign – Beauty Gives Back – has just been launched in Canada .

Besides all this, Lisa has been doing a lot of awareness and fundraising for cancer patient in Canada over the last few years. However, she feels even more work needs to be done in India. “I’m speaking to several individuals about a Cancer Institute and we are formulating a vision first,” she adds. Basically spreading awareness has become part of the fabric of her life. She sees it as paying it forward as so many people helped her during her treatment. 

Lisa is also working on her book which is to be published by Harper Collins and touches on her life experiences. Describing her reason behind writing the book she says, “I believe I’m a writer at heart but it was my diagnosis that prompted me to write ‘The Yellow Diaries’ and that was so well received that I was offered this publishing deal.” 


source: http://her.yourstory.com/lisa-ray-0204

Saturday, July 18, 2015

10 facts about cancer by WHO

Cancer affects everyone – the young and old, the rich and poor, men, women and children – and represents a tremendous burden on patients, families and societies. Cancer is one of the leading causes of death in the world, particularly in developing countries.



Yet, many of these deaths can be avoided. Over 30% of cancer can be prevented by 
healthy life style or by immunization against cancer causing infections ( HBV, HPV). Others can be detected early, treated and cured. Even with late stage cancer, the suffering of patients can be relieved with good palliative care.

Fact 1
There are more than 100 types of cancers; any part of the body can be affected.



Fact 2
In 2008, 7.6 million people died of cancer - 13% of all deaths worldwide.



Fact 3
About 70% of all cancer deaths occur in low- and middle-income countries.



Fact 4
Worldwide, the 5 most common types of cancer that kill men are (in order of frequency): lung, stomach, liver, colorectal and oesophagus.


Fact 5
Worldwide, the 5 most common types of cancer that kill women are (in the order of frequency): breast, lung, stomach, colorectal and cervical. In many developing countries, cervical cancer is the most common cancer.



Fact 6
Tobacco use is the single largest preventable cause of cancer in the world causing 22% of cancer deaths



Fact 7
One fifth of all cancers worldwide are caused by a chronic infection, for example human papillomavirus (HPV) causes cervical cancer and hepatitis B virus (HBV) causes liver cancer.



Fact 8
Cancers of major public health relevance such as breast, cervical and colorectal cancer can be cured if detected early and treated adequately.


Fact 9
All patients in need of pain relief could be helped if current knowledge about pain control and palliative care were applied.


Fact 10
More than 30% of cancer could be prevented, mainly by not using tobacco, having a healthy diet, being physically active and moderating the use of alcohol. In developing countries up to 20% of cancer deaths could be prevented by immunization against the infection of HBV and HPV.

source by @www.who.int

4-year-old cancer patient "marries" favorite nurse in hospital ceremony

The bride wore a white dress, black leggings, a veil and carried a bouquet of pink and purple flowers. The groom wore a tuxedo T-shirt with a boutonnière, and had to get on one knee to take pictures with his bride, who is all of 4 years old.

In less than 24-hours, the Melodies Center at Albany Medical Center in New York pulled off a "wedding" ceremony for their childhood cancer patient, Abby, who had been telling her mother all week she wanted to get married to her favorite nurse, Matt Hickling. Abby has Pre-B Cell Acute Lymphoblastic Leukemia, according to her Facebook page.



"We are both in awe from today's visit and smiling ear to ear," she said.

The ceremony included wedding cake, donated flowers from a local florist, Enchanted Gardens, and even a special toy car reading "Just Married" that Matt pushed Abby in before returning for photos and cake.

"This day will hopefully be one our patient and her family can always look back on and smile when days are tough!" Matt wrote on Facebook. "I know I will!"

Abby's mother thanked everyone on her Facebook page, especially, Nurse Matt.

"Blessed to have all these people in our lives," she wrote.



--- source from @http://www.cbsnews.com/

Coal India to set up cancer detection centres in 5 states

Coal India Ltd will set up five cancer detection centres in the mining belts of five states, power and coal minister Piyush Goyal said today. 

















                            "Coal India will set up five cancer detection centres, one each at the coal mining belts of Jharkhand, Chhattisgarh, West Bengal, Odisha and Madhya Pradesh, for the benefit of the people staying in remote areas and facing lot of troubles to get access to quality treatment for critical ailments like cancer," Goyal said here. 

He was in the city to inaugurate 'Premashraya', a home for cancer patients and their relatives, set up by Tata Medical Center at Rajarhat, Newtown. 

Wednesday, July 01, 2015

After Losing His Wife to Breast Cancer, Wisconsin Man Rents Billboards to Save Other Women's Lives

"In doubt? Listen. Please get a 2nd opinion. Start testing at age 40," reads a billboard on a main stretch of road on the northwest side of Milwaukee, Wisconsin. 

The message doesn't come from a hospital or a non-profit organization, it comes from 79-year-old Jack Maier, who lost his wife, Myrna, to breast cancer in February 2010. 

"She was diagnosed in 1999 and had all the treatments and a mammogram done every year," Jack tells PEOPLE. "They'd always say everything was okay – like hell it was. In 2010, we found out the cancer had spread all over her body. She lived about 11 months after doctors told us it was too late."

As he mourned the loss of his beloved wife, Jack decided to turn his grief into something to help others. He used his earnings from a local lottery win to rent billboard spaces around the Milwaukee area to broadcast messages for breast cancer awareness. 

"I want to honor her memory," Jack says of his wife, whom he met on a blind date and was married to for 39 years. "She was a beautiful lady. She was an outstanding wife and mother to our two young boys. I can't say enough about her."



"Now I'm just trying to help the young ladies out there – please get a test and screening done," he adds. 

In the past year, Jack has rented three billboard spaces, each one costing $2,200 a month, according to the Milwaukee-Wisconsin Journal Sentinel

Jack pays for the billboards with the money he won from a SuperCash jackpot win in 2006, which earned him a couple hundred thousand dollars. 


by,, http://www.people.com/article/wisconsin-man-rents-breast-cancer-billboards-after-wife-death

Implantable Devices at Risk During During Cancer Radiotherapy

Pacemakers, implantable cardioverter-defibrillators most affected

Cancer patients with cardiovascular implantable electronic devices (CIEDs) who require radiotherapy may be at increased risk of a single-event upset malfunction when higher energy neutron-producing radiotherapy is used, a study now shows.

The retrospective analysis, one of the largest cohorts in which contemporary CIEDs were exposed to photon- and electron-based radiotherapy, demonstrated that more than 10 MV of neutron-producing radiotherapy resulted in a device compromise rate of 21%.

In 178 courses of non-neutron-producing radiotherapy, however, the device compromise rate was 0%, Jonathan D. Grant, MD, department of radiation oncology, University of Texas MD Anderson Cancer Center, Houston, and colleagues said in an online report in JAMA Oncology.
Single-event upsets also occurred during neutron-producing radiotherapy at a rate of 10% in pacemakers and 34% in implantable cardioverter-defibrillators per course, Grant said.
Based on these findings, the investigators recommend that non-neutron-producing radiotherapy be used whenever possible. In cases where higher radiotherapy energies are of clinical benefit, however, they emphasized that "error rates and outcomes that we report will aid clinicians in weighing the risks of using neutron-producing radiotherapy."
Grant noted the resilience of the contemporary CIEDs to radiotherapy. "The contemporary CIEDs in our series tolerated a consistent range of incident radiotherapy doses up to 5.4 Gy with no increase in malfunction risk," he said. "Given the associated expense and potential morbidity, it may be safe to decrease the number of relocations performed."
The resilience of the contemporary CIEDs to direct radiotherapy exposure is in keeping with ex vivo studies reporting malfunction thresholds of up to 150 and 30 Gy for directly incident 6- and 18-MV photons, respectively, said Grant.
Interestingly, among the neutron-producing radiotherapy group, body region was a significant predictor of malfunction, said Grant. Abdominal and/or pelvic radiotherapy was correlated with a higher risk of single-event upset when compared with sites in the head/neck and chest (hazard ratio 5.2, 95% CI 1.2-22.6; P=0.03). "The mechanism behind this finding is presently unclear and is the subject of ongoing investigation," said Grant.
CIED malfunction was characterized as single-event upset such as data loss, parameter resets, and unrecoverable resets. Delayed effects such as signal interference, pacing threshold changes, and premature battery depletion were also included.
Device malfunction was not correlated with incident CIED dose, and no delayed malfunctions were directly attributed to radiotherapy. Signal interference was uncommon and transient, said Grant.
"Basically, these events represent device compromise due to a change in the memory state of the circuitry," said Charles R. Thomas, Jr. MD, PhD, professor and chairman of the department of radiation medicine at Oregon Health and Science University (OHSU) in Portland, Ore., in an accompanying editorial. He also noted that the retrospective analysis did not involve real time or monitoring of cardiac rhythms.
"Hence," said Thomas, who is also chief of radiation oncology services at OHSU Healthcare, "there exists an opportunity to design trials that incorporate next-generation and commercially available electronic monitoring devices in this patient population ... to detect more subtle dysrhythmias, device sensor adjustments, and/or transient threshold alterations."
The study cohort included all patients with a functioning CIED who underwent radiotherapy between August 2005 and January 2014. Some 249 courses of photon- and electron-based radiotherapy were identified in 215 patients. In this group, there were 123 pacemakers (57%) and 92 implantable cardioverter-defibrillators (43%). In 71 courses (29%), substantial neutron production was generated.
Three-dimensional conformal radiotherapy was associated with a higher incidence of single-event upset than intensity-modulated radiotherapy (P=0.001), said Grant. When the cohort was limited to neutron-producing radiotherapy (P>0.99), this association disappeared, he added.
In 203 patients, external-beam photon-only therapy was used; both photon- and electron-based treatments were given in 22 plans. Ten patients were treated with GammaKnife. Therapeutic energies ranged from 6 to 16 MeV for electron-only therapies (n=14), with most of the treatments delivering 6- or 9-MeV energies.
Twenty-three patients received two separate courses of radiotherapy; four patients received three courses; and one patient received four courses. In 176 cases, dosimeter measurement was used to determine incident dose to the CIED, while treatment-planning software was used to determine this in 22 patients and reference data in 51.
Clinical symptoms developed in six patients with a CIED parameter reset, and three patients experienced hypotension and/or bradycardia. Two patients experiencedabnormal chest ticking (pacemaker syndrome) and one developed cardiac failure.
Single-event upsets in CIEDs caused by high-energy radiation were first described in 1998, noted Grant.
When high-energy photons (>10 MV) interact with material in a linear accelerator, neutrons are emitted throughout the treatment room. Thermal neutrons then interact with boron found in the metal oxide semiconductor components contained in contemporary CIEDs and disrupt electric currents.

Sunday, June 21, 2015

Father's day wishes in different language...

English:
A Father means so many things.. An understanding heart, A source of strength and support right from the very start..

Arabic:
أب يعني أشياء كثيرة .. قلب فهم، A مصدر قوة ودعم حق منذ البداية ..

Bengali:
বাবা অনেক কিছু .. বুদ্ধিমান, ডান খুব শুরু থেকে শক্তি এবং উৎসাহ ও সমর্থনের উৎস মানে ..

Chinese:
一個父親意味著很多事情。一個了解心臟,力量和支持的權利從一開始就源..

Dutch:
Een Vader betekent zoveel dingen .. Een verstandig hart, een bron van kracht en steun vanaf het begin .....

French:
Un Père signifie tant de choses .. Un cardiaques compréhension, une source de force et de soutien dès le début .....


Happy Father's day to All....!!!


Friday, June 19, 2015

Former ABC7 News reporter Laura Marquez died on June 18, 2015



Laura Marquez joined ABC7 News in 1989, just before the Loma Prieta Earthquake. She was one of first reporters on the scene in San Francisco's Marina District, not knowing she was one of those who had lost her home.

Marquez became one of the Bay Area's top political reporters. In 2004, she joined ABC News in Washington as a correspondent.

She bravely battled cancer for 16 years, and never lost her bright spirit and sense of joy and optimism for life. She was great reporter, but an even better person and a dear friend.