Colorectal cancer ranked among the top ten most common cancers and happened among man in Malaysia. According WHO, more than 70 % patients of cancer have pain and can be controlled by simple opiods.Pain in cancer can due itself and results from chemotherapy .Many of cancer colorectal patient gets adequate pain management and unrelieved after pain management is given. This research carried out to the Female and male Oncology patient in Hospital Kuala Lumpur. Had a permission letter from Pengarah Hospital Kuala Lumpur, Head of Department of radiotherapy and oncology, Area matron and all sisters of Oncology ward. The study was carried out in September 2008 within 1 week from 23rd September 2008 to 29th September 2008.The technique used in this study was a self administered questionnaire. Having consent from the respondents’ .The type of data research is qualitative data: these are collected in the form of words and pictures. After this study done, the determination of difference before and after pain management given was analyze and the study showed pain management still inadequate because the daily functions was interfere. From demographic, pain management was showed that male is the
Health informatics is the field that concerns itself with the information processing, and communication tasks of medical practice, education, and research, including the information science and the technology to support these tasks. but this culture does not exist in Pakistan. we explores the ideas or ways for implementation of an electronic medical record system at different hospitals of Pakistan. Statistical Suit for colorectal cancer patients record (SSCC) is introducing as a way to facilitate a centralized colorectal cancer patient information repository. Benefits realized by this system included improvements in colorectal cancer patient’s care, clinical research, and patient service and satisfaction. The tool excluded the need of statistician on routine basis in a hospital setting and the doctor have information of lengthy follow up patients, one click away. We also highlight the influence of gender and age on the occurrence of this malignancy in patients in local population by comparing analysis of the data from two largest Tertiary Care Cancer Hospital in Pakistan to give an estimate of the disease burden in heavily populated areas.
Accurate prediction of the risk of colorectal cancer in a patient visiting their family doctor with certain bowel or other symptoms and signs is the key to early diagnosis and treatment which directly affects patient survival. The traditional method of identifying so called 'high risk' symtoms and signs and using these for 'fast-tracking' these patients to the hospital has been the cornerstone of the 'Two-Week-Wait' referral system currently in use in the National Health Service (NHS) in the United Kingdom. This book reviews this system and its successes and shortcomings. The results of a project validating an alternative computer software-based questionnaire system are reviewed and discussed. The results show this system to be significantly more specific leading to fewer unnecessary fast-track referrals and better, more effective use of limited resources. The book also reviews colorectal cancers presenting as an emergency which appear to be a totally different breed altogether and right sided colon cancers which can be difficult to diagnose. Colorectal cancers in the immigrant asian population are also discussed.
Colorectal Cancer (CRC) sites among 5 top cancers in Kashmir (North India) owing to peculiar dietary habits and life style. In this book author has tried to summarize colorectal cancer and its etio-pathology. Author has studied various genes and their relationship with the development of CRC. Significant role of reduced expression of Axin in the development of CRC has been found and multistep model of CRC carcinogenesis has been supported in which alteration of DCC is late event and that of Axin an early event. Various genetic factors responsible for the development of colorectal cancer have been discussed. This book will be helpful for the students as well as researcher working in the field of cancer genetics interested in the study of CRC cancer.
Peroxisome proliferator activated receptor gamma (PPAR gamma), a nuclear receptor, plays important role in adipocyte differentiation, inflammation and cancer such as colorectal cancer. Its still controversial issue whether PPAR gamma acts as tumor suppressor in colon carcinogenesis and its agonists' role in tumor growth inhibition or proliferation. However, in my book, I have shown PPAR gamma expression is lower in cancer cell-line compared to normal colon epithelial cell. This result also correlates with cancer tissue sample where most of the cases PPAR gamma expression is lower compared to the distant normal colon tissue sample of the patient. In another part of my work, I have investigated if PPAR gamma agonist, rosiglitazone can inhibit cancer cell proliferation, growth arrest and apoptosis. It was unexpected that both normal and cancer cell proliferation was inhibited at higher concentration of rosiglitazone (100mM). This was not previously shown whether PPAR gamma activation by its agonist has deleterios effect on colon epithelial cell proliferation. I have not seen any major difference in apoptotic cell Death or cell cycle arrest in both normal and cancer cell.
Mass screening for colorectal cancer (CRC) and removal of precursor lesions dramatically reduces both incidence and mortality from CRC. Most of the eligible U.S. population has not been screened. Disparity of screening exists within populations across the domains of race/ethnicity, gender and age. This research describes the patients eligible for colorectal cancer screening and the practice of provider ordering and patient refusal of colorectal cancer screening in one Veteran’s Affairs Healthcare setting (VA). This is a descriptive cross sectional study utilizing secondary analysis of data from VA electronic medical record system. 4,315 men and women aged 50 years and older eligible for screening between 2004 - 2005. Independent variables: demographic characteristics age, gender, race. Dependent variables: provider order, type of screening, screening not indicated, patient refusal of screening. Conclusions: Providers determined screening was not indicated primarily due to patient chronic health problems. A significant number of patients refused provider recommendations for screening. The reasons for patient refusal are unclear. Young black men refused more than any other group.
The development in radiotherapy has grown fast, so patient care staff must deal with this development and the new aspect on care of cancer patient. The basic structures in patient care have not changed, that is; the patient and his care staff must be seen as one team in the hospital. The patient is the reason for the existence of this health organization as a whole, which has no life, no purpose, and no value without him. This makes the patient the most important person in the hospital. As the hospital personnel share the common purpose of being there to serve patients, so patients have in common the feature of being in need of help. This book teaches some principals of radiotherapy and chemotherapy and gives an introduction to care of cancer patients. It gives a basic introduction to the concepts of psychological aspects of cancer, as well as the basics of side effects and toxicity of radiation and Chemotherapy treatment and a comprehensive overview of how to treat them.
This book is interesting in bladder carcinoma. It describes the types of cancer bladder, causes, pathogenesis and pathology. How patient complaints and method of diagnosis? The art of management including; role of Surgery, Radiotherapy, and Chemotherapy. Treatment of invasive bladder cancer remains a triple challenge: first, the eradication of local disease, second, the elimination of potential micrometastases, and third, the maintenance of the best possible quality of life without compromising survival. Drawbacks and complications of each therapy should be considered. How can cure cancer with preserving the natural bladder? Are all patients candidate for bladder preserving approach? Targeting therapy and high technology of radiotherapy like IMRT and proton therapy are promising treatments and may consider the spine of treatment in the future.
A Physician?s Guide to Pain and Symptom Management in Cancer Patients 2e
Colorectal carcinomas are the most common gastrointestinal tract tumors. 50-60% of colorectal carcinomas originate in rectum and sigmoid colon. Colorectal carcinoma is a frequent disease. New and improved surgical techniques and the implementation of adjuvant and neoadjuvant therapy have improved the 5 year survival rate significantly. Accurate preoperative assessment of tumor extent is essential for choosing the appropriate therapeutic strategy, and thus for patient prognosis.
A Physician?s Guide to Pain and Symptom Management in Cancer Patients 2e
This work deals with colorectal cancer, especially with its primary prevention. The theoretical part deals with the epidemiology of colorectal cancer, the function of the colon and the diagnosis of colorectal cancer. The main attention is focused on factors of primary prevention which are divided into three groups: risk, protective and chemopreventive. The practical part of this work explores how much is a sample of healthy population informed about elements of primary and secondary prevention.
A Physician?s Guide to Pain and Symptom Management in Cancer Patients