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The Human Papilloma Virus, so-called HPV, is one of the most
widespread sexually transmitted diseases in America, with more than
20 million infected now and more than 6 million new cases detected
each year. It is estimated that at least 50 percent of all sexually
active people will be infected during their lifetimes. And while
the "silent" disease may cause no symptoms in most cases, two
strains of HPV cause some 70 percent of all cervical cancer, which
strikes more than 10,000 women in the United States alone each
year. So it is with great fanfare that an HPV vaccine, tested
around the world and approved by the US government in 2006, is
being marketed. But controversy surrounds the vaccine, which is
being recommended for girls as young as 9 and may be mandated by
state governments. In this timely book, Shobha Krishnan, M.D., of
Barnard College at Columbia University, explains in layterms both
the disease and the vaccine to parents, youths, women and men. A
longtime gynecologist and family physician - as well as the mother
of a young daughter - Krishnan also addresses the controversy,
legislative aims to require the vaccine, and includes the pros and
cons of anyone being inoculated. Krishnan also raises the issue of
whether boys should be inoculated. Coverage across the book is
comprehensive and spotlights the pros and cons of this new
preventative medicine. Parents, teenagers, and young adults
considering the HPV vaccine will find all of the answers to their
questions in this book, which also features a chapter listing all
of the questions asked, and answers given, when Krishnan ran an
informational clinic for college students curious about the disease
and the vaccine. The book alsoaddresses the need for vaccine
booster shots, what is known about side effects, and whether or not
it can protect boys from contracting or transmitting the virus, or
getting genital warts. In addition, a final chapter highlights some
of the personal stories and anecdotes of cervical cancer from women
in developing countries, and the role the vaccines could play in
those countries.
Handbook of Supportive and Palliative Radiation Oncology serves as
a practical tool and rapid reference to assist radiation oncology
practitioners in direct patient care with common palliative care
issues. Containing the most recent advances in translational
palliative care research, each chapter is organized in a succinct
fashion to discuss major symptom burdens, suggested assessment, and
various management options. Each symptom and disease section is
written to be a rapid, practical guide for clinicians on the floor.
The book starts with general approaches in palliative radiation
oncology that are followed by a section that focuses on common
symptoms in palliative care and their management. The next section
of the book is devoted to site and disease-specific evaluation,
intervention, and management. This handbook provides general
guidelines and management recommendations for common clinical
vignettes encountered by palliative radiation oncology
practitioners and supported by palliative radiation oncology
research. Concise references are cited to support treatment
recommendation.
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