Implementing complementary therapies.
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Prostate cancer prevention and therapies were reviewed in a recent update. Finasteride, a 5alpha reductase inhibitor, shows promise as a preventative; however, it may increase the incidence of high-grade cancer. There are ongoing studies regarding the positive effects of antioxidant therapy (vitamin E, selenium, and lycopene) on the prevention of prostate cancer; initial results are promising. Lipid-lowering drugs are associated with a statistically significant reduction in prostate cancer incidence, a 46% reduction in risk of high-grade or high-stage prostate cancer, and a 66% reduction in mortality from prostate cancer. Overexpression of transcription factors is caused by translocation of the promoter of the TMPRSS2 gene, which may be a primary event in prostate cancer. Immunomic profiling with use of autoantibodies directed against prostate-specific antigens may be used to identify cases of prostate cancer.
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A group of patients with retinal detachments was selected whose characteristics allowed the employment of much less traumatizing surgical techniques, such as localized plombs, cryotherapy or diathermy. Once the patient was operated and the retina flattened out itself completely, usually after 1 or 2 days, we proceeded to photocoagulate the degenerative areas of the retina which were usually present with argon laser. Also, a laser barrier was performed, generally at the equatorial level in order to avoid manipulative techniques in the operating room as much as possible. The study comprises the main clinical features of the detachment, the surgical technique employed, and the commented results. The follow-up time of the group in study ranged from 6 months to 2 years.
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Endoscopic sclerotization of esophageal wall has been performed in 48 patients with bleeding of esophageal varices. The mortality rate in the acute bleeding was 29,2%. There was no mortality, if sclerotherapy was done in the non hemorrhagic interval. Of the 48 patients 25 are still alive, 8 more than 2 years without bleeding. In 12 cases we performed transhepatic obliteration of the V. coronaria ventriculi. Only in 3 of them no further hemorrhage occurred within 6 months. Fibrosclerotization seems to be superior to the transhepatic obliteration, because the primary mortality and complications are lower and long term results better.
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The element germanium is widely distributed in nature. It is used in industry as a semiconductor and there have been a few attempts to use it in medicine. In the past few years 20 patients have been described in the literature as suffering from germanium overdosage. Like laboratory animals affected by the element, they suffer from renal failure and injury to other organs. We describe a 52-year old man given germanium to prevent recurrence of a brain tumor. He developed multiple organ dysfunction syndrome and died of intractable hyperdynamic shock. We call for caution regarding morbidity resulting from treatments believed safe.
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Coronary artery bypass graft (CABG) surgery to bypass blocks in the vascular pipeline can correct an acute problem, but it doesn't treat the underlying disease. This cardiac surgical team from a leading medical center explains why and how music therapy, aromatherapy, hypnosis, diet, and other modalities can be used to complement and extend the effect of the surgical repair.