F. Master

Case 2: acute asthma – significance of the “art of observation” (remedy: Bryonia) This timeline is where you’ll spend most of your time, getting instant updates about what matters to you. Brandi Sillerud who has been invited to participate as a panelist at the MN-HFMA Women of Influence Conference on January 23, 2019. we believe in fair trade instead of aid as an effective tool to promote a sustainable socio-economic development in Africa. The project, which is being implemented by the Gesellschaft für Internationale Zusammenarbeit (GIZ), aims to promote moringa as a dietary supplement for pregnant and breastfeeding women and children under the age of […]

Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer. Vaginal brachytherapy versus pelvic external beam radiotherapy for patients with endometrial cancer of high-intermediate risk (PORTEC-2): an open-label, non-inferiority, randomised trial. Omitting adjuvant radiotherapy in endometrial cancer increases the rate of locoregional recurrences but has no effect on long-term survival: the Danish Endometrial Cancer Study. Adjuvant radiotherapy for stage I endometrial cancer: an updated Cochrane systematic review and meta-analysis. The role of postoperative radiation therapy for endometrial cancer: Executive summary of an American Society for Radiation Oncology evidence-based guideline.

Medical oncological rehabilitation aims to specifically treat the sequelae of disease and therapy. All patients must be offered palliative care after receiving a diagnosis of incurable disease, irrespective of whether tumor-specific therapy is carried out or not. The patient must be informed about the option of contacting self-help groups. Informing and educating the patient must start early, and the information must be conveyed in accordance with the basic principles of patient-centered communication, which encourages participatory decision-making. If the patient needs several consultations for this, then she must be offered further consultations.

The indications for psycho-oncological interventions must be based on the patientʼs ascertained individual needs, the respective setting, and the stage of disease (primary diagnosis, surgery, adjuvant therapy, recurrence-free period, recurrence phase, palliative phase) and must take the wishes of the patient into account. Topical application of estrogen after primary therapy for endometrial cancer may be considered if the results of treatment with an inert lubricant jelly or cream were unsatisfactory.

Parental behaviors, most notably overcontrol, lack of warmth and expressed anxiety, have been implicated in models of the development and maintenance of anxiety disorders in children and young people. The QoL of patients with GERD is reduced by anxiety and depression. Anxiety and depression may play an important role in the occurrence of GERD and especially that of NERD. The scores for anxiety, depression and QoL of the two groups were analyzed. All of the participants were evaluated with the Zung Self-Rating Anxiety Scale (ZSAS), the Zung Self-Rating Depression Scale (ZSDS) and the SF-36 questionnaire.

In describing the case of a child with acute leukaemia, he shows how important it is to find out what condition the patient was in before he developed cancer. As a German company engaged in long-term trade relations with Tanzania, africrops! The lively discussion centred around the European Union’s free trade agreements with African countries – the so-called Economic Partnership Agreements – and possibilities for direct intervention of German Development Cooperation in the African private sector. we notice the same development, responding to an ever-increasing demand for baobab, not only as a bulk product but also for our “The Essence of Africa” baobab powder, which is available in major German supermarkets such as Rewe, Edeka and Alnatura.

The level of recommendation expresses the degree of certainty that the expected benefit of the intervention will outweigh the possible damage caused (net benefit) and that the expected positive effects will be big enough to make a relevant difference to the patient. This system classifies studies according to various clinical questions (benefit of therapy, prognostic value, diagnostic validity). Identified trials used in this guideline were assessed using the 2011 version of the system developed by the Oxford Centre for Evidence-based Medicine.

A detailed description is also available in the long version of the S3-guideline on endometrial cancer (an english version will be available soon) When administering systemic therapy, all the necessary supportive measures described in the S3-guideline “Supportive Therapie bei onkologischen PatientInnen” (long version 1.1 [currently only available in German], April 2017, AWMF registry number: 032/054OL, It is important to note that these chemotherapies have not been approved for the adjuvant therapy of endometrial cancer and that using them to treat these indications constitutes an off-label use. Patients with stage pT4a or M1 endometrial cancer who have had surgery and have no evidence of residual macroscopic tumor or who have a residual tumor with a maximum diameter of less than 2 cm should be given adjuvant chemotherapy.

Physicians of the Competence Oncology Center of the National Association of Statutory Health Insurance Funds (Kompetenz Centrum Onkologie des GKV-Spitzenverbandes) and the Medical Service of German Health Funds (MDK-Gemeinschaft) were involved in an advisory capacity during the formulation of specific aspects of this S3-guideline which were relevant for social medicine. , German Cancer Society – Certification Department (coordinated the compilation of quality indicators) The guideline was compiled with the direct participation of two patient representatives. The complete long version including a list of all conflicts of interest of all authors, a short version, the guideline report and the external literature search are available in German on the homepage of the Oncology Guidelines Program under: Recommendations are given for the follow-up care of endometrial cancer, recurrence and metastasis.

“Without these projects, climate protection is going to stagnate,“ warns Professor Dr Gerd Jäger, Chairman of the VGB Board of Directors. Consequently, the construction of wind-, biomass-fired and solar power plants, nuclear power plants and state-of-the-art fossil-fired power stations is being pushed. The effect of physical exercise on cancer-related fatigue during cancer treatment: a meta-analysis of randomised controlled trials. Maintenance of effects of a home-based physical activity program among breast cancer survivors. A 4-week home-based aerobic and resistance exercise program during radiation therapy: a pilot randomized clinical trial.

Dottir is two-time consecutive CrossFit Games Champion Katrin Davidsdottir’s inspiring and poignant memoir. Join Hercule Poirot, Christopher Parker Pyne, Harley Quin and James Bond on this special holiday-themed collection, and take a dip into these short stories, perfect for killing time on the beach, by the pool – or at home, when planning to get away from it all. After his wartime experiences in Italy and a prison sentence for a crime he didn’t commit, Archer is looking for a fresh start and a peaceful life. Kate suspects that her husband is having an affair, and that the other woman is one of her best friends. One of these women is willing to sacrifice years of friendship and destroy her family. One of Jane Austen’s most beloved works, Pride and Prejudice, is vividly brought to life by Academy Award nominee Rosamund Pike ( Gone Girl).

on supportive therapy in the long version of the guideline (an english version will be available soon) Careful questioning of the patient to obtain her medical history, carefully targeted inquiries about symptoms, and a clinical gynecologic exam using a speculum and including rectovaginal palpation should be carried out every 3 to 6 months in the first 3 years after completing primary therapy and every 6 months in the 4th and 5th years. Adjuvant chemotherapy for endometrial cancer should consist of carboplatin and paclitaxel. It is important to note that these chemotherapies have not been approved as adjuvant therapies for endometrial cancer and that their use to treat these indications constitutes an off-label use.

dr gerd wesselmann

Patients treated for endometrial cancer who develop urinary incontinence must be offered appropriate therapy as outlined in the German-language S2e-guideline on incontinence: “Interdisziplinäre S2e-Leitlinie für die Diagnostik und Therapie der Belastungsinkontinenz der Frau” Patients with stage pT1pNX (all grades) endometrial cancer with “substantial LVSI” (the highest stage of the three-stage grading system for lymph node invasion) may be treated with percutaneous pelvic radiotherapy instead of vaginal brachytherapy. Patients with type I (stage pT1b pNX G3 or stage pT2 pNX) endometrioid endometrial cancer should be given vaginal brachytherapy; alternatively they may be treated with percutaneous radiotherapy.

dr gerd wesselmann

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