সোমবার, ৭ ডিসেম্বর, ২০১৫

Need 11 Medical Technologist( Lab,Radiotherapy,Physiotherapy) in Shahid Tajuddin Ahmed Medical College Hospital, Gajipur.

Need 11 medical technologist in Gajipur..
canndidate have to complete 3/4 years diploma from any govt supported medical technology institute..

Serum Lipid Profile Test

Total Cholesterol (TC) Directly linked to risk of heart and blood vessel disease. Goal values:75-169 mg/dL for those age 20 and younger100-199 mg/dL for those over age 21Preparation:This test may be measured any time of the day without fasting. However, if the test is drawn as part of a total lipid profile, it requires a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check cholesterol levels. Cholesterol is a type of fat, found in your blood. It is produced by your body and also comes from the foods you eat (animal products). Cholesterol is needed by your body to maintain the health of your cells. Too much cholesterol leads to coronary artery disease. Your blood cholesterol level is related to the foods you eat or to genetic conditions (passed down from other generations of family members).High Density Lipoprotein (HDL) “Good cholesterol”High levels linked to a reduced risk of heart and blood vessel disease. The higher your HDL level, the better.Goal value:Greater than 40 mg/dL Preparation:This test may be measured any time of the day without fasting. However, if the test is drawn as part of a total lipid profile, it requires a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check HDL levels. HDL is a lipoprotein (a combination of fat and protein) found in the blood. It is called "good" cholesterol because it removes excess cholesterol from the blood and takes it to the liver. A highHDL level is related to lower risk of heart and blood vessel disease. Low Density Lipoprotein (LDL) “Bad cholesterol”High levels are linked to an increased risk of heart and blood vessel disease, including coronary artery disease, heart attack and death. Reducing LDL levels is a major treatment target for cholesterol-lowering medications. Goal values:Less than 70 mg/dL for those with heart or blood vessel disease and for other patients at very high risk of heart disease (those with metabolic syndrome)Less than 100 mg/dL for high risk patients (e.g., some patients who have multiple heart disease risk factors)Less than 130 mg/dL for individuals who are at low risk for coronary artery disease Preparation:Blood should be collected after a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check LDL levels. LDL is a lipoprotein (a combination of fat and protein) found in the blood. It is called "bad" cholesterol because it picks up cholesterol from the blood and takes it to the cells. A high LDL level is related to a higher risk of heart and blood vessel disease. Triglycerides (TG)Elevated in obese or diabetic patients. Level increases from eating simple sugars or drinking alcohol. Associated with heart and blood vessel disease. Goal value:Less than 150 mg/dl Preparation:Blood should be collected after a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check triglyceride levels. Triglycerides are a type of fat found in the blood. The blood level of this type of fat is most affected by the foods you eat (such as sugar, fat or alcohol) but can also be high due to being overweight, having thyroid or liver disease and genetic conditions. High levels of triglycerides are related to a higher risk of heart and blood vessel disease.

Genetic Test Helps Some Women with Breast Cancer Avoid Chemotherapy

A 21-genetest is accurate in predicting which women diagnosedwith certain types of breast cancer will do well with hormone therapy alone and can forego chemotherapy, according to a recent study in theNew England Journal of Medicine. The ongoing study, called the Trial Assigning IndividuaLized Options for Treatment (Rx), or TAILORx, provides new evidence on the test called Oncotype DX.The test, already on the market in the United States and other countries, examines the activity of 21 genes in tumor samples taken from women during breast cancer surgery. The results are used to calculate a score between 0 and 100. The lower the score, the lower the chance the cancer will spread if only hormone therapy is prescribed, such as the drug tamoxifen.The clinical trial was conducted at multiple medical centers and enrolled over 10,000 women. The women all had a type of breast cancer that would likely respond to hormone therapy (ER/ PR positive, HER2/neu negatives) and their cancer had not spread to the lymph nodes. (Cancer spread to lymph nodes is usually a reason to have chemotherapy.) However, the women's tumors had other features (large size, intermediate or high grade) that indicated that chemotherapy might be needed in addition to hormone therapy.Women in the trial whose tumors scored 10 or lower on the Oncotype DX test received standard hormone therapy but did not undergo chemotherapy. Almost 16% of the women in the study had a score of 10 or lower. They were monitored closely for five years. At that point, the researchers determined that overall survival rate was 98% for this group and the risk that the cancer would return was 6% at five years."This should provide a lot of reassurance to women and their physicians," says the study's senior author, Kathy S. Albain M.D., Professor of Medicine at the Loyola University School of Medicine. "In women whose breast cancer scored low on the multigene test, there was outstanding survival with endocrine (hormone) therapy alone. The test provides us with greater certainty of who can safely avoid chemotherapy," said Albain.A question was raised about difference in the "low-risk" cutoff value used in the study and the standard one used in clinical practices currently. In an editorial that appeared in the same issue ofNew England Journal of Medicine, Clifford Hudis, MD, head of the Breast Cancer Service at Memorial Sloan Kettering Cancer Center wrote, "For patients in this new 'lower risk' group, it is clearly helpful, if broadly anticipated. However, for the many physicians already using the test, the gap between this cutoff point of 10 and the higher 'standard' cutoff point of 18 may be a concern."Hudis adds that while more tests, and less expensive tests, for this use are likely to be developed, "For now, however, this assay is the most rigorously tested option and provides proof of the principle that we can develop reproducible predictive tests to select patients who should not receive chemotherapy. In that regard, it is one more step toward precision, there are more steps ahead."An additional 68% of women in the study had a mid-range score of 11 to 25. This second set of women were randomly assigned to receive either hormone therapy plus chemotherapy or hormone therapy alone. These women are still being followed and results are not yet available.
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