Action Consultancy offers change management facilitation services to individuals and SMEs based on action learning, action research and action science. Our services include:-

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Journal articles on mesothelioma: cancer information for patients and families fatal pneumonitis associated with intensity-modulated radiation therapy for mesothelioma tuesday, june 6th, 2006. International journal of radiation oncology, biology, physics. 2006 jul 1;65(3):640-645. [link] allen am, czerminska m, janne pa, sugarbaker dj, bueno r, harris jr, court l, baldini eh. Department of radiation oncology, dana-farber cancer institute and brigham and women’s hospital, boston, ma. Abstract purpose: to describe the initial experience at dana-farber cancer institute/brigham and women’s hospital with intensity-modulated radiation therapy (imrt) as adjuvant therapy after extrapleural pneumonectomy (epp) and adjuvant chemotherapy. Methods and materials: the medical records of patients treated with imrt after epp and adjuvant chemotherapy were retrospectively reviewed. Imrt was given to a dose of 54 gy to the clinical target volume in 1. 8 gy daily fractions. Treatment was delivered with a dynamic multileaf collimator using a sliding window technique. Eleven of 13 patients received heated intraoperative cisplatin chemotherapy (225 mg/m2). Two patients received neoadjuvant intravenous cisplatin/pemetrexed, and 10 patients received adjuvant cisplatin/pemetrexed chemotherapy after epp but before radiation therapy. All patients received at least 2 cycles of intravenous chemotherapy. The contralateral lung was limited to a v20 (volume of lung receiving 20 gy or more) of 20% and a mean lung dose (mld) of 15 gy. All patients underwent fluorodeoxyglucose positron emission tomography (fdg-pet) for staging, and any fdg-avid areas in the hemithorax were given a simultaneous boost of radiotherapy to 60 gy. Statistical comparisons were done using two-sided t test. Results: thirteen patients were treated with imrt from december 2004 to september 2005. Six patients developed fatal pneumonitis after treatment. The median time from completion of imrt to the onset of radiation pneumonitis was 30 days (range 5–57 days). Thirty percent of patients (4 of 13) developed acute grade 3 nausea and vomiting. One patient developed acute grade 3 thrombocytopenia. The median v20, mld,. buy generic viagra cheap viagra uk next day delivery generic for viagra viagra pills online viagra for sale online cheapest viagra online buy viagra overnight delivery buy viagra on the internet best place to buy viagra online An independent view

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