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Breast carcinoma is a dreaded disease. The incidence of breast cancer, which appears to be increasing, is 1 in 1500 women with an annual death rate of 4,000 from this disease in the United States (1). It is a cancer which threatens its victims with mutilation as weIl as early death. Although response to therapy has not been good, improved methods for earlier and more complete diagnosis are providing hope for better results. When a woman presents herself for routine breast examination, what diagnostic procedures are indicated? If a breast mass is present, what diagnostic and therapeutic methods are employed? When the mass proves to be malignant, what then? Should biopsy and mastectomy be a combined procedure? Should a positive biopsy be followed by a complete diagnostic work-up before definitive therapy is undertaken? While some answers may seem obvious and others less obvious, common medical practices vary considerably in response to all of these situations. No easy formula exists. Each patient must be given individual consideration and her* treatment carefully planned to incorporate all the diagnostic findings. Experience to date indicates that some diagnostic and therapeutic procedures have established efficacy while others are not very helpful and still others need more evaluation before their usefulness can be . assessed fully. Traditionally, treatment of breast cancer has been surgical. Through the years poor results from surgery, along with acquisition of knowledge of the lymphatic spread of this malignancy, prompted more and more extensive surgical procedures.
"It is said that unto everything there is a season...these are the stories of a group of survivors during the season of the dead." Four individuals fight to survive as the zombie apocalypse crashes over the world in a wave of terror and destruction. Color, creed, and social standing mean nothing as the virus infects millions across the planet. Sharon: a zoologist from Nebraska, USA, has worked with the virus, and has seen the effects on the human mind. She knows more about the virus than nearly anybody alive, and far more than she wants to. Gerry: from Ontario, Canada, he gets his first taste of the virus from inside a prison cell. Locked up after an anti-government riot, his prison guard transforms before his eyes into a flesh craving zombie. Lucia: a chemist from Pittsburgh, USA, flees from a furry convention dressed as a giant squirrel, and escapes from the city in a Fed-Ex van. She's a girl who knows when to run and when to fight. Paul: thinks he can sit out the apocalypse in his apartment block in Dublin, Ireland, until the virus comes to visit, bursting his bubble and leaving him with no choice but to face reality or perish. All four begin perilous journeys in mind and body as they face daily trials to survive: Four stories, four different parts of the world, one apocalypse
Random Wisdom is a collection of thoughts and insights from some of the greatest minds of modern and ancient times, painstakingly collected and compiled by one man in his unquenchable thirst for knowledge. This collection of literary tidbits will educate, inspire, and entertain the reader with its wide range of subjects, wit, and timeless anecdotes. As the title suggests, the information presented is randomly organized and is meant to serve as an inspirational reference book. The thousands of entries are designed to inspire deeper thinking and inward reflection, with many offering a healthy dose of wit and humor as well.
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