When people fall prey to a chronic disease they develop their own formulations about the disease. Patients often hold a variety of beliefs about causes, consequences, control and outcomes of the disease. This study examines illness beliefs and health seeking behaviour of educated, uneducated, rural and urban women suffering from the cancer of cervix. A control group (of non-patients) was also studied. The findings revealed that individual and psychosocial causes were more strongly represented in the belief system of patients than environmental or supernatural causes. The perceived consequence of illness was negatively correlated with the degree of social support available to patients. Patients characterised by a high level of social support strongly believed that their disease was in control of either "self " or "doctor". They resorted more to "approach-coping" strategy, experienced lesser pain and severity of illness, and expressed greater hope for a disease free life than patients characterised by low social support.
Background and purpose:This prospective study aimed to assess the profiles of elderly cancer patient to optimize cancer care in Indian setup. The profiles have been compared with that of younger patients in terms of epidemiological, clinical data, co-morbidity, treatment, toxicity, clinical outcome, and survival pattern.Materials and Methods:The study comprised cancer patients attending radiotherapy outdoor (November 2005 to June 2006). There were 104 patients of age ≥60 years (elderly group) and 121 patients of 45-59 years (younger group).Results:Elderly group had median age 65 years (60-88 years) with M:F = 1:1. The younger group had median age 50 years (45-59 years) with M:F = 1:2. Elderly had higher proportion of gastrointestinal and genito-urinary tract malignancies. Younger group had higher proportion of breast, lymphoma, and brain tumor. 13% had co-morbidity, 50% received treatment, 27% were treated with radiotherapy with or without surgery, and two-third of these cases belong to elderly group. Majority tolerated treatment well. 10% had significant grade of toxicity. 57% of elderly patients did not accept and one-fourth of all cases did not complete the prescribed treatment. 88% cases were responders of which 70% showed complete response. There were no differences between two groups. At 12 months 35% of treated patients came for follow-up. At first 12 months, 60-70% were alive without disease.Conclusion:There were differences between two groups in terms of performance status, treatment acceptance, and treatment modality prescribed. Elderly patients deserve same opportunity as younger patients for treatment and survival options from the oncologist.
Seven teenaged patients with primary oesophageal carcinoma, treated at our hospital in the last 6 years are presented and their management discussed. Five patients had localised disease. Three of them underwent total oesophagectomy, one was given radical radiotherapy, and one was lost to follow-up. Two patients had metastatic disease at presentation. The primary oesophageal carcinoma in this age group may not be so rare as reported in the literature and must be considered in the differential diagnosis of dysphagia. Like their older counterparts, the outcome depends on the stage of the disease and is not influenced by age per se.
This study is a comparison between revised Manchester Point A and International Commission on Radiation Units and measurements (ICRU) 89 reporterecommended Point A absorbed-dose reporting in intracavitary brachytherapy for patients with cervical carcinoma.
METHODS AND MATERIALS:The retrospective dosimetric study is based on the data of 32 patients with cervical carcinoma treated with high-dose-rate brachytherapy. Patients received 21 Gy in three fractions (7.0 Gy X three fractions) to Point A (A flange , revised Manchester definition). All the patients were replanned with a new Point A (A icru89 ) defined on CT images as per the American Brachytherapy Society/ICRU-89. The data collected were compared with the data obtained from Point A (A flange ). RESULTS: When using the A flange plan normalization method, the mean dose of 0.1 cc, 1 cc, and 2 cc bladder volumes was 820.79
The morphological plasticity of plant roots is a key factor in their ability to tolerate a wide range of edaphic stresses. There are many unanswered questions relating to nanotechnology and its potential uses for sustainable agriculture. The main purpose of this study was to examine the effects of salinity-induced morphogenic responses and zinc oxide nanoparticles (ZnO-NPs) on root characteristics, growth, MDA content, antioxidant enzymatic activity, and root ion accumulation in rice (Oryza sativa L.). The experiment was conducted in a hydroponic culture containing 50 mg/L of ZnO-NPs and different concentrations (60, 80, and 100 mM) of NaCl for 14 days. The results indicated a decrease in rice root growth due to exposure to salinity (length, fresh, and root dry weight). The results showed that salinity caused a reduction in rice root growth (length, fresh, and root dry weight). Higher root sodium (Na+) accumulation, MDA content, and potassium level decreased with increasing salinity. Root length, root fresh weight, root dry weight, root K+ content, and root antioxidant enzymatic activity were all enhanced by applying 50 mg/L ZnO-NPs often in salinity. SEM analysis revealed that ZnO-NPs treatments significantly improved root morphology. There was a notable decrease in root Na+ content as a result, which improved the K+/Na+ ratio in the rice’s root system. These findings suggest that O. sativa, when treated with ZnO-NPs, can thrive under salt-stress conditions, opening up the possibility of cultivating the plant in extreme climates.
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