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Post Mastectomy Radiotherapy in Ca Breast a Comparison of Three Protocols

Thesis Info

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Author

Shahid, Dr. Abubaker

Program

PhD

Institute

University of the Punjab

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2010

Thesis Completion Status

Completed

Subject

Natural Sciences

Language

English

Link

http://prr.hec.gov.pk/jspui/handle/123456789/1643

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676726973187

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This trial was designed to compare three hypofractionated protocols in postmastectomy cancinoma breast in terms of local control, toxicity & work load. A total of three hundred patients suffering from ca breast stage T2-4 , N any, M0 were randomized into three arms after mastectomy. All the patients were treated with four fields on Co60 i.e. two tangential portals for chest wall, one anterior supraclavicular & axillary field & a posterior axillary boost and were randomized into three arms i.e. 2700 CGy in 5 fractions (one week) arm A, 3500 CGy in 10 fractions (2 weeks) arm B and 4000 CGy in 15 fractions (3 weeks) arm C. Skin, cardiac, pulmonary and hematological toxicities & lymphedema were compared in addition to local control and work load. The locoregional relapses were 11%, 12% and 10% in arms A, B & C respectively. 26%, 24% & 28% patients developed metastatic disease and 17%, 18% & 20% died in the three arms. G3 & G4 skin toxicities were 37%, 28% & 14%. G2 and G3 lymphedema was 21%, 22% & 27%. Cardiac toxicity was 5%, 6% & 5% while pulmonary toxicity was 4%, 5% & 5% respectively. All the differences except skin toxicity were statistically insignificant. There were no cases of hematological depression or rib fractures. All the three short protocols were equally effective in locoregional disease control and toxicity was also comparable. They were helpful in reducing the work load and can be safely recommended for routine clinical use.
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ام المومنین حضرت سودہؓ

ام المومنین حضرت سودہ ؓ
حضرت سودہ ؓ کے والد کا نام زمعہ اور والدہ کا نام شموس بنت قیس تھا ۔ آپ کے نانا قیس نبی پاکﷺ کے پردادا حضرت ہاشم کی بیوی ام سلمیٰ کے بھائی تھے ۔ ان کا تعلق مدینہ کے قبیلہ بنو نجار سے تھا ۔ حضرت سودہ ؓ کی پہلی شادی چچا زاد سکران بن عمرو(سقران) سے ہوئی ۔ حضرت خدیجہ ؓ کے انتقال کے بعد گھر کے انتظام کرنے میں تبدیلی آئی ۔ نگہداشت کرنے والا بچیوں کے لیے نہیں تھا ۔ دو چھوٹی بچیاں ام کلثوم اور حضرت فاطمہ ؓ تھیں ۔ حضرت خولہ ؓ نے خود کو آنحضرت ﷺ کی خدمت کے لیے مخصوص کر رکھا تھا ۔ انہوں نے ایک دن ادباََ درخواست کی کہ آپ شادی کر لیں ۔ آپ ﷺ نے فرمایا ! کس سے ؟ حضرت خولہ ؓ نے کہا ایک بیوہ سودہ بنت زمعہ اور ایک کنواری حضرت عائشہ ؓ بنت ابو بکر صدیق ؓ ہے ۔ آپ نے فرمایا ’’ دونوں کے لیے پیغام لے جائو ‘‘ ۔ بالآخر دونوں یکے بعد دیگرے آپ ﷺ کے عقد میں آئیں ۔
اعتراض نمبر۱۰۳
حضرت سودہ ؓ کو بوڑھی ہونے کے سبب آپ ﷺ نے طلاق دے دی ۔
جواب: عبدالدائم دائم ( سید الوریٰ ۔۳۔۳۷۸۔۳۷۷) فرماتے ہیں ’’ بعض کتب میں مذکور ہے کہ جان دو عالم ﷺ نے ان کو طلاق کہلا بھیجی ۔ حضرت سودہ ؓ کو حد سے زیادہ قلق ہوا اور وہ اس راہ پر بیٹھ گئیں جس سے آپ ﷺ حضرت عائشہ ؓ کے پاس آیا جایا کرتے تھے ۔ جب آپ نے جان دو عالم ﷺ کو دیکھا تو عرض کی ! میں آپ کو اس ذات کو واسطہ دیتی ہوں اور پوچھتی ہوں ، جس نے آپ پر کتاب اتاری اور اپنی...

Empirical Study and Analysis of Forced Marriages and Uneducated Spouse in Sindh Province: A Case Study of Hyderabad District

The aim of this study is to recognize that how many divorced men and women are agreed that forced marriages and uneducated spouse are the causes of divorce in Hyderabad district. This study is based on primary data, and the data are collected through questionnaires from 400 respondents (200 divorced men and 200 divorced women) by using stratified sampling. Results indicate that both men and women are highly agreed that divorce occurs due to forced marriages and uneducated spouse in Hyderabad district. The hypotheses of this study have been accepted and there is no association between the variables of chi-square test.

Synthesis of Titanium Based Nitride Thin Films by Plasma Focus System

The present research is motivated by the remarkable mechanical, thermal and electronic properties of titanium based nitride thin films that have many applications ranging from coatings on cutting tools to diffusion barrier microelectronic applications. This work reports the first successful attempt to grow titanium based nitride thin films, specifically TiAlN, nc- TiN/ a-Si 3 N 4 , nc- (Ti, Al) N/ a-Si 3 N 4 and Ti-Si-N using plasma focus device. The synthesize of these films using different deposition techniques have been reported earlier but the use of plasma focus technique is one of the prospective hybrid deposition method which is not only economical, simple, efficient but also provide high deposition rate and good adhesion SS in less time compared to other available thin film synthesize techniques. The results of these experiments show the successful growth of titanium based nitride thin films using plasma focus device of energy 2.3 kJ. The following four types of different experiments were performed: In the first experiment, the sputtered titanium ions and energetic nitrogen ions emitted from Mather-Type plasma focus device were used to synthesize nanocrystalline TiN/amorphous-Si 3 N 4 thin films. The crystallite size analysis showed strong dependence on the number of focus shots. The crystallinity of TiN thin films wasfound to increase with increasing the number of focus shots. SEM results showed net like structure ofthe film deposited for 15 numbers of shots, which are in the form of elongated grains of Si 3 N 4 embedded in TiN crystals. The average surface roughness calculated from AFM images indicated that the average surface roughness increased for films deposited with increased number of focus shots. In the second experiment, a plasma focus device was used to prepare thin films of nc-(Ti,Al)N/a-Si 3 N 4 at room temperature. The plasma focus device, fitted with copper anode encapsulated with Ti 0.5 Al 0.5 anode, operated with nitrogen as the filling gas was used. Films were deposited with various number of focus shots, at 90 mm from top of the anode and at zero angular position with respect to anode axis. XRD patterns showed the growth of polycrystalline (Ti, Al) N thin films with orientations in the (111), (200), (220) and (311) crystallographic planes. Behavior of lattice constant, grain size and film roughness of xvideposited film as a function of variation in number of focus shots was discussed. SEM micrographs of film deposited with 15 number of focus shots exhibited well-developed net like structure of nc-(Ti,Al)N/a-Si 3 N 4 and possibly nc-(Ti,Al)N/a-Si 3 N 4 /a-AlN or nc-TiN/a- Si 3 N 4 /a-AlN. Surface Roughness ranging 64 nm to 89 nm was also observed. In the third experiment, TiAlN coatings were synthesized by a dense plasma focus deposition system. The effect of focus shots on the crystallography, microstructure, surface morphology, roughness and hardness was investigated. The X-ray diffraction (XRD) data showed TiAlN coatings crystallized in the cubic NaCl B1 structure with orientations in the (111), (200), (220) and (311) crystallographic planes.SEM micrographs showed dense and SS uniformly spread film with fine-grained morphology with hardly any void. Grain size and roughness were found to decrease, whereas thickness and hardness were found to increase, with increasing focus shots. In the fourth and the last experiment, a plasma focus device was used to prepare thin films of Ti-Si-N. XRD patterns showed the growth of polycrystalline TiN thin films. The results revealed that the grain size was correlated to the amount of silicon added. SEM results showed Ti–Si–N film exhibited a denser and amorphous compact structure almost without obvious defects due to addition of Si content in TiN structure. The surface roughness of synthesized thin films was much smoother compared to Plasma focus deposited thin films reported previously, the average surface roughness ranged from 0.23 nm to 9.39 nm.