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What questions should you ask when choosing a hospital for Breast cancer treatment?

Being diagnosed with cancer is a crushing situation for any patient. The news alone sparks a mental short circuit in the patient’s brain. You might have a million questions but at the same time doesn’t want to hear the answers for any. But the best chance for your survival is amassing information, so questions are inevitable for you to ask. Here are some questions you need to ask your hospital for Breast cancer treatment in India-

What type of Breast cancer do you have?

There are a number of ways breast cancer could spread. Doctors classify them in a number of ways. The origin of your cancer is by far the most crucial thing to start your treatment regime. About 70- to 80 percent of the total breast cancers are invasive ductal carcinomas, the type which starts in the milk ducts, breaks through the duct wall to multiply in the fatty tissue. The other 10 percent starts in the milk-producing gland and is named lobular carcinomas. The remaining types are non-invasive indicating they haven’t spread yet.

How big my tumor is?

After determining the type, you need to know how big your problem has become. A number of physical tests and examinations can help you determine the size of your tumor. An ultrasound or an MRI will provide a better picture.

Has cancer reached my lymph nodes yet?

Your lymph nodes determine the severity parameter for your cancer. Lymph Nodes are the filtering mechanism located in your armpits. Cancer which has spread is a severe condition that needs immediate attention and treatment.

What is my stage?

The stage is the standard representations of the severity of your condition. These stages range from 1 to 4, where a higher number means higher risk and lower chances of survival. This also means your cancer is spreading and the tumor is increasing with each stage. The stage you are in along with other factors helps doctor customize your treatment plan. The smaller stage might ease in a couple of chemo sessions where higher stages need a more aggressive approach.

Breast Cancer Treatment in India is one of the best in the entire world. They will help you gain a 100% insight about your condition and provide counters to remedy it. These questions will give you the basic knowledge about your condition, you can add more questions if you see fit.

To know more about breast cancer treatment alternatives and also for getting cancer treatment in delhi from best doctors across the world.
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what is career counselling
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بیماری های پوستی ناشی از کار
بیماری های پوستی ناشی از کار در این بخش با بیماریهای پوستی ناشی از عوامل فیزیکی، شیمیایی یا بیولوژیک است آشنا خواهید شد. ویژگی های عوامل ایجادکننده تعداد عوامل احتمالی ایجاد کننده بسیار زیاد بوده و تنها گروه های عمدہ مضرکه متداول هستند در این بخش معرفی می شوند: عوامل فیزیکی این عوامل شامل فشار یا اصطکاک، شرایط آب و هوایی یا جوی (باد، باران، سرما، تابش خورشید)، گرما، تشعشع (ماوراء بنفش، یونیزان) و الياف های معدنی می باشند. عوامل شیمیایی این عوامل خود به چهار دسته تقسیم میشوند الف) تحریک کننده های مقدماتی شامل اسیدها، بازها، حلال های چربی، دترژانت ها، املاح فلزی (آرسنیک ، جیوه و ....) ب) حساسیت زاها: فلزات و املاح آنها (کروم، نیکل، کبالت و ....)، ترکیبات مشتق شده از آنیلین P  (فنیلین دی یامین، آنودایز ....)، مشتقات نیتروژنی معطر حلقوی (تری نیترو تولوئن و ....) رزین ها (بویژه مونومره او افزودنی ها نظیر اپوکسی رزین ها، وینیل ها، آکریل ها مواد تولیدی پلاستیک ها) و ترکیبات شیمیایی لاستیک مثل دی متیل تيورام، دی سولفید، آنتی اکسید انت ها و ...) داروها و آنتی بیوتیک ها (مثل پروسیان، فنوتيازين ها، کلروتیازید، پنی سیلین)، موارد آرایشی، تربانتین ،گیاهان (مثل گل پامچال و گل داودی). ج) عوامل آکنه ژنیک - نفتالین های کلره و بی فنیلها، روغن های معدنی و غیره د) حسایت زاها به نور: آنتراسن، قیر، مشتقات امید آمینوبنزن، هیدروکربنهای معطر کلره، رنگ های آکریدین و  ... عوامل بیولوژیک میکروارگانیسم های متعدد (میکروب ها، قارچ ها)، انگل های پوستی، محصولات آنها باعث آسیب های پوستی می شوند. منابع تولید و مصارف این عوامل اکثرا در محیط های صنعتی بروز می کنند. تماس با شرایط اقلیمی یا جوی نزد افرادی که در هوای آزاد به کارهایی مانند کشاورزی و دریانوردی مشغول هستند یک حالت متداول است. برخی از عوامل شیمیایی می توانند به عنوان آلودگی های ناخواسته که از سایر مواد شیمیایی یا مواد بینابینی حاصل می شوند در محیط کار حضور داشته باشند (مانند کروم موجود در فرآورده سیمان و تتراکلروبنزودی اکسین در روند تولید پنتاکلروفنل). مشاغلی که احتمال تماس با عوامل ایجادکننده بیماری پوستی در آنها وجود دارد: بعضی از مهمترین گروه های در معرض عبارتند از: کشاورزان، شرایط جوی، گیاهان، عوامل بیماری های مشترک انسان و دام، حشره کش ها، آنتی بیوتیک ها یا سایر افزودنی های خوراکی حیوانات و ....)، کارگران تولید مصالح ساختمانی (سیمان و ...)، کارگران ساختمان (سیمان، الیاف معدنی، رنگ ها، پلاستیک ها و ....)، کارگران تولید مواد شیمیایی (نوع تماس برحسب نوع ماده موجود)، کارگران آبکاری فلزات (پاک کننده های چربی (حلال ها) ، اسیدها و املاح فلزی)، رنگرزان، کارگران تولید پلاستیک های شیشه ای (الیاف فلزی، رزین ها)، نقاشان (رنگها، املاح فلزی، حلال ها و ...) کارگران صنایع موتور (روغن های مخصوص برش و شتاب دهنده ها و ....)، پرسنل مراکز بهداشتی (داروها، آنتی بیوتیک ها، بیهوش کننده های موضعی، ضدعفونی کننده ها و....)، افراد مرتبط با حیوانات و قصابان (عوامل بیماریه ای مشترک انسان و دام). مکانیسم عمل عوامل فیزیکی باعث وارد آمدن آسیب های پوستی مستقیم مکانیکی، حرارتی یا تشعشعی می شوند. تقریبا علل اکثر آسیب های تحریکاتی پوست که مستقیم باعث آسیب می شوند عبارت از: الف) تغییر در پوست. ب) واکنش با پروتئین های پوستی (دناتوره شدن و تخریب پروتئین ها) ج) استخراج چربی ها از لایه بیرونی پوست د) پائین آوردن مقاومت پوستی الرژی پوستی ناشی از واکنش عمدتا از نوع واکنش افزایش حساسیتی تأخیری می باشد. عوامل حساسیت زا با پروتئین موجود در اپیدرم ترکیب شده و ایجاد کمپلکس هاپتن پروتئین می کنند که آنتی بادی ها علیه آن تولید می شوند. عوامل آکنه زا، غدد عرق و مجاری آن را مسدود می کنند و باعث التهاب موضعی می گردند. حساس کننده های به نورها، حساسیت پوست را نسبت به تشعشع ماوراء بنفش افزایش می دهند. سنجش تماس بیماری های پوستی شغلی در نتیجه برخورد مستقيم پوست با عوامل ایجادکننده حاصل می شود. بدین ترتیب تاریخچه شغلی و مدرک واضحی مبنی بر وجود عامل مورد نظر در موادی که کارگر با آنها در تماس است، یک عامل اساسی برای سنجش تماس است. تأثیرات کلینیکی درماتیت تماسی تحریکی مقدماتی: یکی از درماتیت های بسیار متداول شغلی می باشد. نوع حاد آن با علائم سرخی، ادم، پاپول، وزیکول ،که به شکل خطی روی دست ها، آرنج ها و صورت متمرکز می شوند، مشخص می گردد. آزمایش نوار پوستی با عوامل ایجاد کننده می تواند ضمن تحریک ، اثر محرک و اتیولوژی بیماری را تأیید نماید. علائم و نشانه های درماتیت تماسی تحریک مزمن مشابه علائم اکثر سایر درماتوزها نظیر اگزمای مزمن آلرژیک ،هیپرکراتوزو ... می باشد. علیرغم آنکه عوامل ایجادکننده درماتیت حاد تحریکی معمولا واضح و آشکار هستند. اما در درماتیت های مزمن، عامل ایجاد کننده اکثر نامعلوم هستند. جراحات و زخم های حاصله، اغلب بوسیله دترژانت ها، قلیاهای ضعیف، حلال های آلی یا ترکیبات شیمیایی ضعیف یا رقیق شده که تأثیرات آنها با تأخیر بروز می کند، (یعنی تنها پس از مدتی که قدرت مقاومت پوستی از بین رفت، خود را نشان می دهند)، ایجاد می گردد. علاوه بر تأثیرات مستقیم این عوامل ، تحریکات اولیه می تواند باعث آسیب پذیری پوست به عفونت وزخم شود، بویژه زخم حاصله از عوامل حساسیت زا. درماتیت تماسی آلرژیک (اگزما) (هر دو حالت حاد و مزمن) دارای همان اشکال کلینیکی که در اگزمای غیرشغلی وجود دارد، می باشد. شکل حاد آن مشابه درماتیت تحریکی حاد است و فرم مزمن آن با زگیلی شدن و چاک چاک شدن تشخیص داده می شود. آزمایش چسب، منطقه ای پوستی (patch test) در تشخیص افزایش حساسیت پوستی مفید است (آزمایش Patch عبارت است از بکار بردن غلظت های غیر تحریکی از آلرژن احتمالی در بخشی از پوست غیرآلوده و سالم بیمار به مدت 24 الى 48 ساعت که در موارد مثبت، درماتیت اگزمایی در محل پوشیده شده با نوار چسبی ایجاد می شود.) با فولیکول های عروقی مسدود و ضایعات چرکی مشخص می شود. با وجود آنکه آکنه پوستی ایجاد شده توسط روغن معدنی یا قطران زغال سنگ و قير، تنها در مناطقی از بدن ایجاد می شود که با عوامل ایجاد کننده تماس مستقیم دارند با این حال آکنه هایی که ناشی از ترکیبات معطر کلره هستند ممکن است در تمام بدن ایجاد گردد. ضایعات میکروتروماتیک این ضایعات توسط الیاف های معدنی ساخته شده یا طبیعی (شیشه و یا سایر سیلیکات ها) ایجاد شده و بطور مشخص باپاپول های ریز سفید رنگ یا صورتی که در مناطق تماس یافته متمرکز است، بویژه در بازوها تمیز داده می شود. درماتیت حاد پرتو خورشیدی به عنوان یک بیماری شغلی در نظر گرفته می شود، اگر بطور گسترده ای توسط ترکیبات فتودینامیک مورد مصرف در مشاغل تقویت شوند مثلا قير و مشتقات قیر، سولفونامیدها، فنوتیازین ها و یا تراسایکلین ها. منبع: بیماری های پوستی ناشی از کار
Ever Wondered How Malegra Tablets Can Help You Treat Erectile Dysfunction?
Ever Wondered How Malegra Tablets Can Help You Treat Erectile Dysfunction? Ever wondered how Malegra Tablets can help you treat erectile dysfunction (ED). If you are suffering from impotence in men, then definitely you would be very interested in knowing the answer to this. Male impotency, is something so common when it comes to sexual problems, that today, there are about 200 million men all over the world who suffer from this problem. And the sad news is that by the year 2025, it is predicted that about 320 million men will face this problem. What Is ED? ED is when a man is not able to get an erection, almost all the time. And even if due to some rarity, he is able to get hard, he is not able to keep that hardon long enough for him to have sex. On its own, ED is not harmful, except for the fact that you cannot have sex when you suffer from ED. But, if ED is neglected it can be dangerous, as it can be a warning sign to you that you are suffering from some illness - even one that can be fatal. For instance, ED could be a signal to you that something is seriously wrong with your heart. That is why, if you know you are seeing in yourself, the warning signs of erectile dysfunction, you need to seek treatment for this immediately. People Of What Age Suffer From ED? Though it is true that men who are elderly, tend to be more prone to suffer from weakness of man in bed, studies show that even young men can suffer from this. In f act, men of almost all ages can suffer from male impotency. Also, ED is a progressive condition and it affects different men at different levels, such as severe, moderate or mild. In the US alone, in the age group of 40-70 years, around 50% of men are affected by ED. With an increase in the age, the severity of ED increases by about 5% for men in the age group of 50, to around 15% for men in the age group of 70. Common Facts about ED ED is a very common sexual condition that is related to the age of a person, as well as to Secondary medical conditions like depression, hypertension, diabetes, cardiovascular diseases and dyslipedemia. ED was treated by sex therapists and urologists. But as a result of the introduction of world class oral drugs like Malegra, there has been a big change in the way men all over the world treat their ED problems. Why Men Find It Hard To Treat ED Symptoms ED is not something like a cough and a cold or a stomach upset, where a man can just walk into a clinic and tell the doctor that he has such a problem. Being treated for ED, is something that is very complex. This does not mean that the treatment methods of ED are complex. There are so many treatments that can be got to deal with ED, if one does not work, another will. And if that too does not work, then a combination of treatment methods are sure to work wonders to treat reason of weakness in man (ED). But, in spite of there being so many treatments that are available to deal with ED, there are so many men who just refuse to seek treatment for this problem. One of the main reasons why men do not seek treatment for male impotency, is because they are too embarrassed to go to the doctor and tell the doctor that they are unable to get an erection. What Causes Men to Become Impotent? There are a number of reasons why men become impotent and these are inclusive of: · Psychological Causes: These include depression, feelings of guilt about sexual performance, stress and worries about the prevalent sexual relationship. · Physical Causes: Included are smoking, obesity, high blood pressure, diabetes, side effects of some types of medicines, too much drinking and drug abuse. Reasons Why Men of Different Ages Suffer From ED Men of different ages can suffer from male impotency, due to different reasons and these are: · Men Who Are Old: Studies reveal that 70% of men, who are over the age of 70, are still active sexually. But as you grow older, the chances of you getting ED get stronger. This is quite likely associated with the deterioration of the arteries of the brain or the heart, as well as the deterioration of the blood vessels that are responsible for carrying of blood to the penis. · Men Who Are Middle Aged: Some of the most common reasons why men who are middle aged would suffer from ED are diabetes, guilt or stress and having sex with someone new, after years and years of monogamy. · Men Who Are Young: Young men tend to suffer from male impotency, primarily due to anxiety. These would be inclusive of things like worry about losing a hardon while putting on a condom, appearing to be inexperienced, getting the female pregnant and losing the hardon while trying to get the condom on. Why Is Malegra So Popular? Malegra is used by men all over the globe, in the treatment of sexual dysfunction symptoms and men who use it are very happy with it, as they get very powerful hardons which let them have sex for many hours. This is because Malegra has in it the active ingredient called Sildenafil Citrate. Sildenafil Citrate acts by increasing the blood flow into the penis and giving men very hard erections, letting them enjoy sex for many hours. How To Take Malegra The right way to take Malegra is with a glass of water, about 30 minutes prior to you wishing to have sex. The drug starts to take effect in about 15 to 30 minutes and its effects can last for up to as long as 5 hours. It is very important to take note that you can take this drug only once in 24 hours. Malegra Obtainable In Different Forms Malegra can be got in a number of forms and strengths which include: · Malegra 25 mg Tablet · Malegra 50 mg Tablet · Malegra 100 mg Tablet · Malegra 200 mg Tablet · Malegra Dxt · Malegra Fxt · Malegra FXT Plus · Malegra DXT Plus · Malegra Oral Jelly · Malegra Pro 100 mg Tablet Which is the right dose of Malegra for you, will be based on your age and also on your current and past medical condition. Get The Best Erectile Dysfunction Treatment. Get Malegra. If you are seeking world class male sexual dysfunction treatment, delivered to you right to your doorstep, wherever you are in the world, you are at the right place. We – TrustedMedsWorld, have been delivering all kinds of healthcare products and medicines, to people all over the world, since many years now. People recognize us as one of the most trusted generic drugstores in the world. If you are suffering from male sexual impotence and you want the best treatment in the world for this, get set to have the most sensual sexual experiences in your life, when you order from us Malegra! Frequently Asked Questions Q. How Long Do “Normal” Erections Last? According to a Sexual Medicine study of 500 couples across Europe and the US, the average erection during sex lasts 5.4 minutes. But “normal” erections can last anywhere from a few minutes to hours or even longer. That is 18 to 30-year-olds men’s during sex last average of 6.5 minutes. And 51+ year-olds men's during sex last average 4.3 minutes. But it’s important to point is that the study has some critical flaws. The study didn’t include any gay couples. Also, the clock only started at the beginning of vaginal penetration, ending with (male) orgasm. The study ignores foreplay completely, so take the results with a grain of salt. Q. Is it Normal to have erectile dysfunction(ED) in your 20’s? ED in Your 20’s. A Sexual Medicine study of over 400 men showed that nearly 1 in 4 new cases of erectile dysfunction occurs in men under the age of 40.... Erectile dysfunction is your body’s “check engine light” because ED can be an early symptom of serious health problems like high blood pressure, diabetes, high cholesterol, or low testosterone. The study says it assumes about 50% of men over 40+ and is even more usual as men age. “Many men are reluctant to bring it up with their doctor, “They should remember it is very common, and they are certainly not the first, nor will they be the last, to own this issue. We try to ask about it regularly, so they don’t have to bring up the topic. But, if we don’t know about it, we can’t help.” Q. How to Treat the Erection Problem in Men? Exercise regularly, lose more weight, stop smoking, drink less, and do not abuse drugs. Consider medicine to boost erections problems. Some medicines increase blood flow to the penis if taken an hour before sexual activity. They are sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). Q. Is Erectile Dysfunction Permanent? If you are feeling erectile dysfunction (ED), you are not alone. It is thought that over twenty- million men in the United States suffer from erectile dysfunction (one in five men). ED Causes can be physical like high blood pressure, diabetes, even old age, depression and psychological. There are natural treatments such as weight loss or the use of a penis pump or medicines prescribed by your doctor. But you may wonder if once a man is diagnosed with ED, it will remain an issue for life, or is there a chance for a full recovery? Be sure to consult your doctor about symptoms you may experience and which treatment options are right for you.
Traumatic Brain Injury (TBI) Symptoms
TBI EXPLAINED Traumatic Brain Injury, TBI, occurs in three general ways; the head being struck with force, the head striking an object, and/or the brain undergoing movement within the skull yet without visual trauma to the exterior of the head. TBI is sometimes broken down into two categories: closed head injury (CHI) and open head injury (OHI). CHI refers to damage to the brain that does not involve exterior trauma to the head. OHI is a visible injury where damage to the head and brain is much more evident. Regardless of the type of injury suffered, TBI is often a very serious condition that can have devastating effects for those who suffer the injury and their loved ones. In fact, brain injury is the leading cause of death and disability among children and young adults. When the brain is damaged at the point of impact, it is referred to as a coup injury. A contracoup injury refers to damage opposite the point of impact. The individual brain fibers are damaged when the brain moves inside the skull (known as shearing) and causes the fibers to stretch and tear. The fibers can also be damaged as a result of pressure changes caused by the movement of the brain in the closed skull cavity (referred to as cavitation). What are the causes of Traumatic Brain Injury, TBI? The most common cause of traumatic brain injury involves automobile or motor vehicle accidents (accounting for nearly ½ of all TBI cases). The second leading cause of traumatic brain injury deaths is from firearm-related occurrences. The second leading cause of non-fatal brain injury occurs when someone falls. While falls can occur in everyday life (such as with unsafe equipment or surfaces), the most common instance is during sports-related activities. Some of the more common activities include tackle football, rugby, skiing, skateboarding, bicycle riding, horseback riding, etc. While it is nearly impossible to predict or prevent when a traumatic injury will occur, the use of protective gear such as air bags, safety helmets, and alcohol abuse training can greatly reduce the occurrence of traumatic brain injury. Who’s At Risk for Traumatic Brain Injury, TBI? Practically speaking, anyone can befall an accident that results in traumatic brain injury. The leading cause of traumatic brain injury varies according to age and demographic group. TBI due to falling is most prevalent among younger children and older adults. Conversely, motor vehicle crashes more often involve individuals between the ages of 15 and 35. Within this demographic, males dominate the group. The typical TBI sufferer within this category is the adventurous, consumer of alcohol who drives fast and lives life on the edge. Causes of brain injury in children include falls, abuse, recreation accidents, and motor vehicle accidents. Very young children are most susceptible to "Shaken Baby Syndrome" can cause a closed head injury. Other examples include falls from shopping carts, accidents involving children in "walkers," and falls from windows. Elementary/school-aged children are most often injured in recreational accidents, playground falls, SUV rollover accidents and/or bicycle accidents. The severity of Traumatic Brain Injury, TBI The disability that an individual sustains depends upon the portion of the brain that was injured. Because the frontal and temporal lobes of the brain are exposed to the sharp protrusions of the inner aspect of the skull they are most prone to injury. Data from certain sources indicate that somewhere between 20 - 30% of traumatic brain injuries that occur each year are severe enough to result in lifelong disability. Symptoms of TBI Traumatic Brain Injury can have myriad effects on different individuals. Some of the most common outwards symptoms and effects include: Impulsive behaviour Loss of memory Impaired perception Personality changes Loss of taste and smell Diminished concentration Hearing and balance disorders Cognitive fatigue Concussion Coma Epilepsy Common Symptoms of Traumatic Brain Injury, TBI, Explained Common sequels to head injury include balance or equilibrium difficulties. These are tied to problems with vision and hearing. Head injury sufferers often experience post-trauma vision syndrome that often includes a subclassification known as midline shift syndrome. The effect of midline shift syndrome includes a constant sense of disequilibrium, difficulty with the maintenance of balance, and inappropriate posture and weight distribution on the balls of the feet, as well as an inappropriate gait and directional drift. Many patients who experience this complain that their perception of the world is a little off; they may perceive the horizon as slightly tilted, walls may be tilted or constantly compressing in upon them. Severe brain injury can often involve emotional ramifications such as alterations in mood and erratic behaviour. Patients often need to see a neuropsychiatrist (a psychiatrist specializing in brain-related disorders) in order to address these problems and/or obtain the appropriate medication to stabilize the mood of the brain injury sufferer. It is also very possible to become dis-inhibited towards social incidents and scenarios; this can include basic biological urges. Damage in certain areas of the brain, such as within the limbic system, can serve to increase a person’s sexual arousal. Other neurologic damage, especially in the areas of the frontal lobes, can result in a person becoming dis-inhibited in their language and action towards strangers. Brain injury sufferers often have difficulty processing information correctly -- making it difficult to attribute cause and effect to their actions or being unable to distinguish rational action due to competing stimuli in the brain. Communication skills such as the ability to handle the subtleties of language or interpret non-verbal signals may occur. Mild brain injuries can also reduce problem-solving skills of an individual. Traumatic Brain Injury, TBI Is not Always Cut and Dry Traumatic brain injury survivors oftentimes suffer minimal outward physical manifestations of injury (especially in the case of closed head injury). Physicians and other health care professionals often paint rosy outcomes for their recovery of the patient. The result is that many do not receive the care and treatment that they need to address the physical, cognitive, psychological, and social impairments that they’ve undergone. Generally speaking, the medical community is not well trained in neurobehavior and doctors often fail to diagnose the short-term and potentially chronic aspects of closed head injuries during a regular office visit. Outside of the regional head injury treatment centres, neurologists do not often treat trauma victims. For their part, neurosurgeons themselves have referred to only the most severe cases of acute disorders and coma.