Indian Journal of Palliative Care
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A new beginning to excel
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Bhatnagar SushmaIndian Journal of Palliative Care 2009 15(1):1-1
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Bhatnagar Sushma Source Type: journals
Communication with relatives and collusion in palliative care: A cross-cultural perspective
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Chaturvedi Santosh K, Loiselle Carmen G, Chandra Prabha SIndian Journal of Palliative Care 2009 15(1):2-9Handling collusion among patients and family members is one of the biggest challenges that palliative care professionals face across cultures. Communication with patients and relatives can be complex particularly in filial cultures where families play an important role in illness management and treatment decision-making. Collusion comes in different forms and intensity and is often not absolute. Some illness-related issues may be discussed with the patient, whereas others are left unspoken. Particularly in palliative ca...
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Chaturvedi Santosh K, Loiselle Carmen G, Chandra Prabha S Source Type: journals
The palliative care movement in India: Another freedom struggle or a silent revolution?
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Koshy CherianIndian Journal of Palliative Care 2009 15(1):10-13The message of palliative care in India has become a movement in several parts of India in a short span of time. The past two decades have seen palpable changes in the mindset of health care providers, and policy makers with respect to the urgency in providing palliative care. With a population of over a billion spread over a vast geo-political mosaic, the reach and reliability of palliative care programmes may appear staggering and insurmountable. Nonetheless we have reasons to be proud in that we have overcome several hurdles and is presently in a 'con...
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Koshy Cherian Source Type: journals
Breakthrough cancer pain: Review of prevalence, characteristics and management
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Mishra Seema, Bhatnagar Sushma, Chaudhary Prakash, Rana Shiv Pratap SinghIndian Journal of Palliative Care 2009 15(1):14-18Breakthrough pain has been associated with a reduced likelihood of adequate pain control. Despite the large and variable incidence of this phenomenon due to varied definitions of this type of pain, only a few studies have been conducted to assess and effectively treat breakthrough pain though the importance of managing breakthrough pain has been acknowledged by all. A large number of drugs from various classes and novel methods of administration like nasal and transmucosal buccal route, as in the case ...
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Mishra Seema, Bhatnagar Sushma, Chaudhary Prakash, Rana Shiv Pratap Singh Source Type: journals
Fatigue in cancer: A review of literature
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Narayanan Vijayakumar, Koshy CherianIndian Journal of Palliative Care 2009 15(1):19-25Fatigue is a common symptom of advanced cancer limiting one's activity and affecting the quality of life. It is a multidimensional symptom complex with subjective and objective components. Hence, its definition and assessment seems arbitrary, incomplete, and elusive. Components of fatigue often merge with other 'disease states' as anemia, depression and so on, compounding difficulty to assess it separately. Fatigue has a high prevalence rate, and lasts longer in chronic diseases like cancer. Its association with treat...
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Narayanan Vijayakumar, Koshy Cherian Source Type: journals
Dental expression and role in palliative treatment
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Saini Rajiv, Marawar P P, Shete Sujata, Saini Santosh, Mani AmeetIndian Journal of Palliative Care 2009 15(1):26-29World Health Organization defines palliative care as the active total care of patients whose disease is not responding to curative treatment. Palliative care for the terminally ill is based on a multidimensional approach to provide whole-person comfort care while maintaining optimal function; dental care plays an important role in this multidisciplinary approach. The aim of the present study is to review significance of dentist's role to determine whether mouth care was effectively assessed and implemen...
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Saini Rajiv, Marawar P P, Shete Sujata, Saini Santosh, Mani Ameet Source Type: journals
Treatment decisions in advanced disease: A conceptual framework
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Broeckaert Bert, The Flemish Palliative Care FederationIndian Journal of Palliative Care 2009 15(1):30-36This English translation, made by a professional translator in close cooperation with the author and kindly proofread by Dr. Phil Larkin, follows the original text as closely as possible. However, though we thought it was wise to maintain the official (but not unproblematic) Dutch/Belgian definition of euthanasia in the original text (written for Belgian readers), the English texts offers a new and clearer definition of euthanasia. From the very beginning of the Belgian euthanasia debate in 1999, the Flemish Palliative ...
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Broeckaert Bert, The Flemish Palliative Care Federation Source Type: journals
Role of percutaneous nephrostomy in advanced cervical carcinoma with obstructive uropathy: A case series
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Conclusion: </b> In spite of inherent, albeit manageable complications, PCN is a simple and safe technique. One of the major benefits observed was ability to administer either curative/palliative radiotherapy or chemotherapy in 85% of patients (11 out of 13 with disease). There was no active disease in remaining 2 patients. Therefore, the decision to attempt PCN in carefully selected cervical cancer patients is justified.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Mishra Kamlesh, Desai Ava, Patel Shilpa, Mankad Meeta, Dave Kalpana Source Type: journals
Palliative care physicians' religious / world view and attitude towards euthanasia: A quantitative study among flemish palliative care physicians
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Conclusions:</b> In our research we noted that physicians who have a strong belief in God and express their faith through participation in prayer and rituals, tend to be more critical toward euthanasia. Physicians who deny the existence of a transcendent power and hardly attend religious services are more likely to approve of euthanasia even in the case of minors or demented patients. In this way this study confirms the influence of religion and world view on attitudes toward euthanasia.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Broeckaert B, Gielen J, Iersel T Van, den Branden S Van Source Type: journals
Palliative care in <i>Parkinson's disease</i>: Role of cognitive behavior therapy
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Conclusion: </b> CBT has a strong evidence base for its use and has proven to be an effective treatment in management of people with chronic pain, fatigue syndrome, depression and sleep disturbances, with efficacy that lasts beyond the duration of treatment. Although PD patients suffer from these complications, there are only a few studies on administration of CBT on them. Considering its effectiveness, CBT can be used as an option for palliative care for PD patients, directed toward improving the patient's functional status, clinical disability and quality of life. Further studies are required in this area.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Mallick Samput Source Type: journals
The functional status of patients with AIDS attending antiretroviral treatment center
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Conclusion:</b> Fifty per cent of the AIDS patients are disabled and need support and care. As AIDS is a growing problem, community-based palliative care for AIDS patients should be strengthened in India.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Thejus T J, Jeeja M C, Jayakrishnan T Source Type: journals
Breaking bad news issues: A survey among radiation oncologists
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Conclusion:</b> Observing the widely varied beliefs and practices for disclosing bad news, it is recommended that such training be a regular part of medicine curriculum, especially in the Oncology setting.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Kumar Milind, Goyal Shikha, Singh Karuna, Pandit Subhas, Sharma D N, Verma Arun K, Rath G K, Bhatnagar Sushma Source Type: journals
Prevalence of pain in patients with HIV/AIDS: A cross-sectional survey in a South Indian state
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Conclusions:</b> Pain is a common and debilitating symptom of HIV/AIDS. It is however, under-estimated and under treated.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Nair Shoba N, Mary Theophin Regina, Prarthana S, Harrison Preethy Source Type: journals
Role of palliative radiotherapy in brain metastases
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Conclusion:</b> External beam radiotherapy in the dose of 30 Gy over two weeks achieved good palliation in terms improvement in their performance status in 88% of patients. Addition of concurrent and adjuvant Timozolamide may improve the results.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Bilimagga Ramesh S, Nirmala S, Rishi Karthik S, Janaki M G, Ponni Arul, Rajeev A G, Kalyan Suman Source Type: journals
Palliative care services for Indian migrants in Australia: Experiences of the family of terminally Ill patients
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Conclusion: </b> Despite the successful implementation of palliative care services across Australia, there are still problems in accessing and receiving the services among minority and disadvantaged groups like various cultural groups.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Shanmugasundaram Sujatha, O'Connor Margaret Source Type: journals
Pain management in pediatric age group
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Namrata R, Ramamani P V, Saroja GIndian Journal of Palliative Care 2009 15(1):84-85The management of pain in palliative care of children is somewhat different from that in adults.The use of opioids in pediatric palliative care presents some unique challenges. Confident and rational use of opioids, illustrated by WHO Guidelines is essential for adequate management of pain in children with life limiting conditions.
Source: Indian Journal of Palliative Care - July 17, 2009 Category: Palliative Care Authors: Namrata R, Ramamani P V, Saroja G Source Type: journals
From the desk of the editor
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Alexander JacobIndian Journal of Palliative Care 2008 14(2):55-55
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Alexander Jacob Source Type: journals
Mind over matter: A qualitative examination of the coping resources used by women with cancer
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Schneider Margaret A, Fletcher Paula C, Snider HannahIndian Journal of Palliative Care 2008 14(2):56-70<b>Aim:</b> This exploratory study investigates the coping resources used by six women diagnosed with cancer.
<b> Objective:</b> The purpose of this study was to provide these women with the opportunity to discuss their cancer experiences along with the specific coping methods they found to be helpful throughout their journey.
<b> Methods:</b> The participants, ranging in age from 25 to 63, completed a...
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Schneider Margaret A, Fletcher Paula C, Snider Hannah Source Type: journals
Attitudes towards euthanasia and physician-assisted suicide among Pakistani and Indian doctors: A survey
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Conclusion:</b> We conclude that only a minority of the doctors support euthanasia. This group belongs to a younger age group. In Pakistan, they were more likely to be males. The religion of the doctors did not appear to be a determining factor.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Abbas Syed Qamar, Abbas Zafar, Macaden Stanley Source Type: journals
Palliative care in advanced cancer patients in a tertiary care hospital in Uttarakhand
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Conclusion:</b> The result gives insight into the varied symptomatology of patients with advanced cancer. Polypharmacy was quite common in patients with advanced cancer, predisposing them to complicated drug interactions and adverse drug reactions.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Bisht Manisha, Bist S S, Dhasmana D C, Saini Sunil Source Type: journals
A survey of the domiciliary situation of urban and rural patients of a palliative care unit in south India
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Conclusion:</b> Economic status was a strong predictor of the various facilities available to the patient. A significant proportion of this population lived in deprived circumstances. A knowledge and understanding of the social conditions of the palliative care patients helps provide better-tailored care.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Kandasamy Ramu, George Reena, Egbert Neha, Jeba Jenifer Source Type: journals
Palliative care in advanced gynecological cancers: Institute of palliative medicine experience
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Conclusions:</b> The number of gynecological malignancy cases attending the Pain and Palliative Care Clinic is small. Pain is the most common and distressing symptom, with only 32% of the patients achieving adequate pain relief. Poor drug compliance, incomplete assessment of pain and the lack of awareness of morphine therapy were identified as the most common causes for poor pain control.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Pathy Sushmita, Raheja Saveena G, Rakhi S Source Type: journals
Quality of life assessment with different radiotherapy schedules in palliative management of advanced carcinoma esophagus: A prospective randomized study
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Conclusion:</b> In comparison with external radiotherapy alone, external radiotherapy with intraluminal brachytherapy has shown a trend toward better QOL and consistent dysphagia relief without significant difference in adverse effects.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Mehta Shaveta, Sharma Suresh C, Kapoor Rakesh, Kochhar Rakesh, Mehta Vipin Source Type: journals
Evaluation of a combination of low-dose ketamine and low-dose midazolam in terminal dyspnea-attenuation of "double-effect"
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Conclusion: </b> The author concludes that a combination of low-dose ketamine and midazolam can be safely used in the palliation of terminal dyspnea, with excellent results. The duration of action of this combination in providing symptomatic relief is however short-lived, being 36.7 minutes on an average (SD 5.23), thus necessitating intermittent IV top-ups. No adverse reports were obtained in the study.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Dam Abhijit Kanti Source Type: journals
Disease process providing a path for palliation
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Dam Abhijit KantiIndian Journal of Palliative Care 2008 14(2):102-103The author describes a novel approach of insertion of a feeding tube though a malignant fistulous tract in the buccal mucosa with excellent palliation.
Source: Indian Journal of Palliative Care - February 11, 2009 Category: Palliative Care Authors: Dam Abhijit Kanti Source Type: journals
The palliative care needs of patients with stage 3 and 4 HIV infection
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Jameson CIndian Journal of Palliative Care 2008 14(1):1-6
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Jameson C Source Type: journals
Palliative treatment of painful bone metastases: Does fractionation matter?
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Sharma Kuldeep, Bahadur AK, Mohanta PK, Singh K, Rathi AKIndian Journal of Palliative Care 2008 14(1):7-15
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Sharma Kuldeep, Bahadur AK, Mohanta PK, Singh K, Rathi AK Source Type: journals
Parental concerns in children requiring palliative care
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Dighe Manjiri, Jadhav Sunita, Muckaden Mary Ann, Sovani AnuradhaIndian Journal of Palliative Care 2008 14(1):16-22
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Dighe Manjiri, Jadhav Sunita, Muckaden Mary Ann, Sovani Anuradha Source Type: journals
Adverse psychosocial consequences: Compassion fatigue, burnout and vicarious traumatization: Are nurses who provide palliative and hematological cancer care vulnerable?
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Sabo Brenda MIndian Journal of Palliative Care 2008 14(1):23-29
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Sabo Brenda M Source Type: journals
Keeping hospice palliative care volunteers on board: Dealing with issues of volunteer attrition, stress, and retention
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Claxton-Oldfield Stephen, Claxton-Oldfield JaneIndian Journal of Palliative Care 2008 14(1):30-37
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Claxton-Oldfield Stephen, Claxton-Oldfield Jane Source Type: journals
Nurses' workplace stressors and coping strategies
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Lambert Vickie A, Lambert Clinton EIndian Journal of Palliative Care 2008 14(1):38-44
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Lambert Vickie A, Lambert Clinton E Source Type: journals
Emotion management in children's palliative care nursing
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Maunder Eryl ZacIndian Journal of Palliative Care 2008 14(1):45-50
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Maunder Eryl Zac Source Type: journals
Showing the way forward: Pain and Palliative Care Policy of the Government of Kerala
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Paleri Anil KumarIndian Journal of Palliative Care 2008 14(1):51-54
Source: Indian Journal of Palliative Care - July 17, 2008 Category: Palliative Care Authors: Paleri Anil Kumar Source Type: journals
Broadening our perspective on spirituality and coping among women with breast cancer and their families: Implications for practice
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Schneider Margaret AIndian Journal of Palliative Care 2007 13(2):25-31
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Schneider Margaret A Source Type: journals
Palliative care and spirituality
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Narayanasamy AruIndian Journal of Palliative Care 2007 13(2):32-41
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Narayanasamy Aru Source Type: journals
Care of the spirit that transcends religious, ideological and philosophical boundaries
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Hegarty MegIndian Journal of Palliative Care 2007 13(2):42-47
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Hegarty Meg Source Type: journals
Spiritual issues at end of life
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Chaturvedi Santosh KIndian Journal of Palliative Care 2007 13(2):48-52
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Chaturvedi Santosh K Source Type: journals
Spiritual perspectives and practices at the end-of-life: A review of the major world religions and application to palliative care
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Bauer-Wu S, Barrett R, Yeager KIndian Journal of Palliative Care 2007 13(2):53-58
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Bauer-Wu S, Barrett R, Yeager K Source Type: journals
End-of-life care in the Indian context: The need for cultural sensitivity
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Shubha RIndian Journal of Palliative Care 2007 13(2):59-64
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Shubha R Source Type: journals
Spiritual care in a multi-religious setting revisited
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Lunn Rev. JohnIndian Journal of Palliative Care 2007 13(2):65-67
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Lunn Rev. John Source Type: journals
Facing death: Awakening a passion for life
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Grassman DeborahIndian Journal of Palliative Care 2007 13(2):68-71
Source: Indian Journal of Palliative Care - January 29, 2008 Category: Palliative Care Authors: Grassman Deborah Source Type: journals
Palliative care research and the IJPC
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Alexander JacobIndian Journal of Palliative Care 2007 13(1):1-2
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Alexander Jacob Source Type: journals
Treatment of carcinoma of unknown primary
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Yadav BS, Sharma SC, Patel FD, Ghoshal S, Kapoor R, Kumar RIndian Journal of Palliative Care 2007 13(1):3-7
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Yadav BS, Sharma SC, Patel FD, Ghoshal S, Kapoor R, Kumar R Source Type: journals
Denial as an experiential phenomenon in serious illness
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Chandra Prabha S, Desai GeethaIndian Journal of Palliative Care 2007 13(1):8-14
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Chandra Prabha S, Desai Geetha Source Type: journals
Dealing with death: Perspectives of two students on palliative care
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Damodaran Omprakash, Chan ConanIndian Journal of Palliative Care 2007 13(1):15-16
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Damodaran Omprakash, Chan Conan Source Type: journals
A lifetime in palliative care
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Sutton PamelaIndian Journal of Palliative Care 2007 13(1):17-18
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Sutton Pamela Source Type: journals
The psychiatry of palliative medicine: The dying mind
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Chaturvedi Santosh KIndian Journal of Palliative Care 2007 13(1):19-20
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Chaturvedi Santosh K Source Type: journals
A position statement by Indian Association of Palliative Care
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Indian Association of Palliative CareIndian Journal of Palliative Care 2007 13(1):21-21
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Indian Association of Palliative Care Source Type: journals
Palliative care
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Koshy CherianIndian Journal of Palliative Care 2007 13(1):22-22
Source: Indian Journal of Palliative Care - November 28, 2007 Category: Palliative Care Authors: Koshy Cherian Source Type: journals
Palliative radiotherapy in head and neck cancers: Evidence based review
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Talapatra Kaustav, Gupta Tejpal, Agarwal Jai Prakash, Laskar Sarbani Ghosh, Shrivastava Shyam Kishore, Dinshaw Ketayun ArdeshirIndian Journal of Palliative Care 2006 12(2):44-50Squamous cell carcinoma of head and neck (SCCHN) is one of the commonest cancers seen in India, constituting up to 25% of their overall cancer burden. Advanced SCCHN is a bad disease with a poor prognosis and patients usually die of uncontrolled loco-regional disease. Curative intent management of loco-regionally advanced SCCHN has become more evidence-based with active clinical research in the form of large prospective randomized controlled ...
Source: Indian Journal of Palliative Care - February 8, 2007 Category: Palliative Care Authors: Talapatra Kaustav, Gupta Tejpal, Agarwal Jai Prakash, Laskar Sarbani Ghosh, Shrivastava Shyam Kishore, Dinshaw Ketayun Ardeshir Source Type: journals
