Handbook of Palliative Radiation Therapy is the first practical guide to palliative care in radiation oncology. The editors have assembled an international team of leading radiation oncologists to write this state-of-the-art volume on planning and administering single-fractionated, hypofractionated, and conventional radiation therapy for end-of-life cancer care. The handbook begins with several chapters on the background and efficacy of palliative radiation therapy, along with crucial information on patient selection and assessment of life expectancy. Following these introductory chapters, the bulk of the book contains chapters on site-specific malignancies, containing comprehensive literature reviews, treatment plans, toxicity information, and symptom management. More than 20 color figures enhance the chapter text and illustrate best practices. Written for radiation oncologists, physicists, and other radiation therapy team members, this indispensable text explains how short course regimens can be used to provide better quality care, increase quality of life and convenience, and relieve pain and suffering for advanced stage and end-of-life cancer patients. Key Features: Chapters contain self-assessment questions, clinical cases, clinical pearls, and other elements to bring out key points in the text Discusses strategies for delivering radiation to patients with significant symptoms, such as bleeding, dysphagia, airway obstruction, and other painful and debilitating side effects Includes reviews of tools for assessing life expectancy including Recursive Partitioning Analysis, the TEACHH tool, and other predictive models such as Number of Risk Factors score Explains appropriate considerations when combining palliative radiation therapy with analgesics
The world's most revered and eloquent interpreter of evolutionary ideas offers here a work of explanatory force unprecedented in our time--a landmark publication, both for its historical sweep and for its scientific vision. With characteristic attention to detail, Stephen Jay Gould first describes the content and discusses the history and origins of the three core commitments of classical Darwinism: that natural selection works on organisms, not genes or species; that it is almost exclusively the mechanism of adaptive evolutionary change; and that these changes are incremental, not drastic. Next, he examines the three critiques that currently challenge this classic Darwinian edifice: that selection operates on multiple levels, from the gene to the group; that evolution proceeds by a variety of mechanisms, not just natural selection; and that causes operating at broader scales, including catastrophes, have figured prominently in the course of evolution. Then, in a stunning tour de force that will likely stimulate discussion and debate for decades, Gould proposes his own system for integrating these classical commitments and contemporary critiques into a new structure of evolutionary thought. In 2001 the Library of Congress named Stephen Jay Gould one of America's eighty-three Living Legends--people who embody the "quintessentially American ideal of individual creativity, conviction, dedication, and exuberance." Each of these qualities finds full expression in this peerless work, the likes of which the scientific world has not seen--and may not see again--for well over a century.
Handbook of Palliative Radiation Therapy is the first practical guide to palliative care in radiation oncology. The editors have assembled an international team of leading radiation oncologists to write this state-of-the-art volume on planning and administering single-fractionated, hypofractionated, and conventional radiation therapy for end-of-life cancer care. The handbook begins with several chapters on the background and efficacy of palliative radiation therapy, along with crucial information on patient selection and assessment of life expectancy. Following these introductory chapters, the bulk of the book contains chapters on site-specific malignancies, containing comprehensive literature reviews, treatment plans, toxicity information, and symptom management. More than 20 color figures enhance the chapter text and illustrate best practices. Written for radiation oncologists, physicists, and other radiation therapy team members, this indispensable text explains how short course regimens can be used to provide better quality care, increase quality of life and convenience, and relieve pain and suffering for advanced stage and end-of-life cancer patients. Key Features: Chapters contain self-assessment questions, clinical cases, clinical pearls, and other elements to bring out key points in the text Discusses strategies for delivering radiation to patients with significant symptoms, such as bleeding, dysphagia, airway obstruction, and other painful and debilitating side effects Includes reviews of tools for assessing life expectancy including Recursive Partitioning Analysis, the TEACHH tool, and other predictive models such as Number of Risk Factors score Explains appropriate considerations when combining palliative radiation therapy with analgesics
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