The Women’s Health Initiative (WHI) is a long-term, prospective, experimental study that addresses the use of HRT for the primary prevention of CHD among healthy, postmenopausal women. Data collection was recently suspended in the continuous combined HRT group (CEEs 0.625 mg/day with MPA 2.5 mg each day) after 5.2 years, and the results of this [...]
The Postmenopausal Estrogen/Progestin Interventions (PEPI) trial was an experimental study primarily designed to evaluate the effect of HRT on cardiovascular disease. This randomized, double-blind, placebo-controlled trial compared estrogen monotherapy with continuous or cyclic estrogen-plus-pro-gestin combination therapy. Two forms of progestins were assessed, medroxyprogesterone acetate (MPA) and micronized progesterone (MP). This study confirmed that all HRT [...]
The administration of HRT has been shown to counteract many of these negative effects of menopause that increase the risk of CHD. However, the combination of hormones, dosage, and route of administration can affect the outcomes (Table 1).
INTRODUCTION
Historically, heart disease has been viewed as a health problem of middle-aged men, and misperceptions concerning the prevalence of cardiovascular disease among women still exist. However, cardiovascular disease is a significant health problem among women. The incidence of cardiovascular disease in men and women equalizes after the age of 65, and the prevalence among women [...]
The optimal management of clinically localized prostate cancer remains controversial. The technique of ultrasound-guided transperineal radioactive seed implants has rapidly gained popularity in the treatment of early-stage prostate cancer with a five-year disease-specific survival of 90%. This methodology has several potential advantages to external beam radiotherapy or other implantation techniques, such as (1) pre-treatment planning; [...]
Intensity-modulated radiation therapy (IMRT) is a revolutionary new technology in the planning and delivery of external radiation. This methodology varies the intensity of the radiation beam across the treatment field, enabling the radiation oncologist to deliver high doses of radiation to volumes that tightly conform to irregular tumor geometries. Nearby, normal structures benefit from less [...]
Stereotactic radiosurgery (SRS) is a specialized application of 3-D conformal treatment planning for treatment of an assortment of brain tumors and arteriovenous malformations. The technique delivers a high dose with millimeter tolerances, with a sharp dose gradient. Dr. Lars Leksell, from the Karolinska Institute in Stockholm, Sweden, first described SRS in 1949. However, practice of [...]