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Focal therapy is a promising option for selected patients who have
localized low or intermediate-risk prostate cancer, providing a
compelling alternative between active surveillance and radical
therapies by targeting the index lesion and preserving as much
tissue as possible. Numerous cohort studies have already
investigated multiple focal techniques, such as cryotherapy,
high-intensity focused ultrasound, brachytherapy, photodynamic
therapy, laser therapy, irreversible electroporation and cyberknife
methods, all of which have demonstrated positive oncological
outcomes with 70 to 90 % negative follow-up biopsy. These various
ablative techniques have produced only minor side-effects
concerning urinary function, a low rate of erectile dysfunction,
and have demonstrated a limited rectal toxicity. As a result, the
primary end-point has now shifted and a new strategy needs to be
established for patient follow-up and for defining treatment
failure. Written by international experts in the field, this book
is mainly focused on new techniques, all of which are amply
illustrated. Technical Aspects of Focal Therapy in Localized
Prostate Cancer will be of great practical value to all urologists
and oncologists.
The United States has had a bitter set of experiences with
insurgencies and counterinsurgency operations, but it is by no
means alone in having to confront such threats and challenges.
Indeed, according to Russian President Dmitry Medvedev, the
greatest domestic threat to Russia's security is the ongoing
insurgency in the North Caucasus. This insurgency grew out of
Russia's wars in Chechnya and has gone on for several years, with
no end in sight. Yet, it is hardly known in the West and barely
covered even by experts. In view of this insurgency's strategic
importance and the fact that the U.S. military can and must learn
from other contemporary wars, the Strategic Studies Institute
brings attention to the war in this book, to shed more light upon
both sides, the Islamist (and nationalist) rebels and Russia, as
they wage either an insurgency or counterinsurgency campaign.
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