Ogłoszenie

Dear Friends,

It is with a heavy heart that we have decided to retire our beloved Forum Detroit. It has served the Polonia Detroit for over 10 years, and was a source of joy for many. However, after many months of inactivity, the time has come to bid it farewell.

Deepest and warmest thanks to all those who contributed to Forum discussions over the years, either by sharing their thoughts or reading those of others. Your presence and participation served as a building block of this online polish community.

Forum Detroit

#1 05.02.2008 06:18:26

Łukasz Witkowski
Były Administrator
Zarejestrowany: 02.18.2007
Posty: 1320

Radio Dla Ciebie

Co myślicie o tym radiu? Jakie są Wasze opinie?

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#2 06.17.2008 20:09:13

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Zadne (opinie)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#3 08.05.2008 21:55:33

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

OK, mam opinie. Dzisiaj wysłuchałem radia w całej jednogodzinnej rozciągłości. Zaczęło się bardzo ładnie z dynamicznym "opening", żeby po chwili przejść na ten sam miałki szablon którym jesteśmy męczeni od lat. W ciągu tej godziny słyszałem kilka reklam które przykuwają uwagę słuchacza. Były zrobione dokładnie tak jak powinny brzmieć. Profesjonalnie. Na ich tle reszta audycji była miałka. Dlaczego cala godzina nie może być zrobiona w taki sam sposób? Zastanawiam się nad motywacja ludzi którzy porywają się na radio bez przygotowania technicznego. Samo czytanie, gdzie jest tańsza kaszanka już nie wystarcza. Chce słuchać dynamicznej audycji! Jeśli nowe redaktorki nie potrafią tego dostarczyć - niech zapadnie kojąca cisza. Albo też przesunę podziałkę trochę w prawo, za porada jednej z lektorek.

Ostatnio edytowany przez zoomboy (08.05.2008 21:56:05)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#4 08.08.2008 09:10:40

Abacus
Totalnie Rozgadany
Od: Detroit
Zarejestrowany: 03.10.2007
Posty: 639
Serwis

Re: Radio Dla Ciebie

No cóż jakie środki takie radio, jak ze wszystkim. Miejmy nadzieję, że z biegiem czasu będzie coraz lepsze. Prowadzący powinni nabrać doświadczenia w tym co robią, dajmy im " dorosnąć ".


Małpa w koronie

wyslijkwiaty.com

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#5 08.08.2008 10:45:39

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Zycze im dobrze aczkolwiek wyrażam opinie ze zaczęły w złym formacie. To co robią, jest powielaniem tego co już jest albo było. Jest to po prostu nudne. Radio to dźwięk. Wiec powinien "wylewać" się z głośnika, atakować, przykuwać uwagę. Gdyby nie to, ze jest to radio etniczne nie ostałoby na antenie polowy tygodnia. Jedna z prowadzących jest weteranem w tej dziedzinie, wszakżeż zaczynała u Yurka, robiła BiM, czyli jest już "dorosła", czyż nie? Tak jak już napisałem powyzej, ostatnia audycja zaczęła się dynamicznym "jingle" i zaraz po tym wróciło do monotonnej papki przerywanej dobrze zrobionymi commercials o sixtwomedia. Programy pomagające zrobić prawie profesjonalna audycje nie są aż tak drogie. To jest niezbędna inwestycja. Bez tego nie pobija yurka, a nie sadze, ze Polonia potrzebuje drugiej kopii yurkowej stacji. Yurek wytrwa (jego czas też się kończy) jeszcze jakiś czas dzięki koneksjom z PAC, Unii i głownie przez tzw. zasiedzenie. Radio dla ciebie (dla mnie) powinno oferować to czego yurek nie potrafi. Powinno być adresowane do młodej polonijnej generacji dumnej ze swego pochodzenia. Wymaga to inwestycji tak czasowej jak i finansowej. Nie znam powodów kierujących obiema paniami przy tworzeniu tego radia. W momencie kiedy weszły na antenę, chcąc czy nie, stały się konkurencja dla już istniejącego radia i są z nim porównywane. W mojej opinii nie różnią się niczym od już istniejącego radia. Słucham tego jeśli pamiętam, i głównie dlatego, ze osobiście znam jedna z prowadzących. To, ze jestem starym polskim dinozaurem tez pewnie gra jakaś role.  Nie lodźcie się ani przez chwile, ze taka audycja przyciągnie młodych ludzi.
Kiedyś już to wspominałem: jeśli chcesz zrobić cokolwiek - rób to jak najlepiej. jeśli nie masz czasu, energii, szmalu - daj spokój. Oszczędzisz $300 tygodniowo.


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#6 09.16.2008 21:57:01

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Nic nowego, niestety. Ciągle ten sam "letko lesbijny" format. Pomiedzy nieistotnymi pogaduchami duzo euforii na temat federalnego zabezpieczenia kont do $100,000.00(chcialbym miec), przez Polish American PAC Federal Credit Union  . Każdy bank ma to samo zabezpieczenie. Chciałbym widzieć w jakiej kolejności fed's będą wypłacali te słynne 100 kołów. Nie chce być czarnowidzem ale przy obecnym zadłużeniu całego kraju, postarajcie się przyzwyczaić do przykrej wręcz myśli, ze w przypadku prawdziwej recesji zdrowiej będzie o szmalu zapomnieć.
Z niejaka ciekawością oglądałem tak zwany "core" radia dla Ciebie (dla mnie ?) na www.telewizjadetroit.com. Panie (obie blondaski) Małgosia i dwojga nazwisk, Agnieszka, nieprzekonująco próbowały uzasadnić istnienie swego radia, zapraszając wszystkich, którym jakikolwiek pomysł buja się pomiędzy uszami, zęby się skontaktowali z redaktorkami. Bylem pod wrażeniem, ze to redaktorka z podkasana spudniczka biega spocona po mieście w poszukiwaniu  tematu, często kontrowersyjnego.
Czekam z niejaka niecierpliwością na ciąg dalszy wywiadu.
Ciągle życzę im dobrze. Tak naprawdę wole je od naszych "mucho" chłopaków. Słabość we mnie taka.

Ostatnio edytowany przez zoomboy (09.16.2008 22:03:45)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#7 10.21.2008 20:07:51

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Opinia, tak jak dziura w pupie, każdy ja ma.

Read This Before You Have A Mammogram

In 2001, yet another mammography controversy was triggered by two Danish researchers who, after an in-depth assessment of all mammography-screening clinical trials, found the test leads to more aggressive treatment; increases the detection of cancers that do not progress; and might not save lives. In this review, conducted by Ole Olsen and Peter Gotzsche of the Nordic Cochrane Centre, mammography-screened women showed a slight increase in heart-related deaths. The deaths are believed to be related to radiation therapy, a standard treatment for early breast cancer. To read more about this review, click into: Olsen & Gotzsche Review  For a 2004 update on Summary of the Evidence. Another controversy is brewing among researchers over the cause of the slight increase in breast cancer deaths among women in their forties shown in all mammography screening trials. This topic was addressed in two interviews conducted in 2002 by Maryann Napoli.

Mammography's Risk to Younger Women

by Maryann Napoli

Last month, the Canadian National Breast Screening Study published follow-up results showing, once again, that mammography screening did not reduce the breast cancer death rate for women in their 40s (Annals of Internal Medicine, 9/3/02). The Study's findings have challenged the prevailing belief that early breast cancer detection saves lives. Worse, they show that mammography screening leads many more women to be treated unnecessarily with mastectomy or radiation therapy. Though 40 more cases of non-palpable invasive breast cancer were detected in the mammography-screened women, their breast cancer death rate was no different from that of the women who did not get mammograms. Similarly, there were 42 more cases of ductal carcinoma in situ, a non-invasive cancer, detected in the mammography-screened women. This shows that mammography screening causes a significant number of younger women to suffer treatment-related harm without reducing their odds of dying of breast cancer.


Mammography proponents have criticized the Canadian Study ever since it first published results more than a decade ago. The Study now has 11 to 16 years worth of follow-up for women in their 40s. Its deputy director, Cornelia J. Baines, MD, was interviewed about the fact that---in the early years of this trial---there were more breast cancer deaths among women given mammograms. This was initially thought to be a statistical fluke when it first showed up. Now some researchers are having second thoughts.


MN: When you published your seven-year results, there were more breast cancer deaths (38) in the mammography-screened women, compared with those in the control group who had no mammograms (28). Were there any surprises now that you have 11-16 year results?

Dr. Baines: No, I knew by 1983 that more breast cancer deaths were occurring in the mammography-screened group rather than the control group. Of course, that's not what we expected. When we started out, we were sure that we were going to show a major benefit. After all, the HIP Study [the first mammography trial conducted in the 1960s] had shown a benefit to women ages 50-69, and we assumed that the only reason a benefit wasn't shown for younger women was that the mammography was archaic by today's standards.

MN: When I interviewed you at the time you published the seven-year results, you said that the excess of ten breast cancer deaths was not statistically significant. I thought that meant it could be ignored.

Dr. Baines: You are quite right it's not statistically significant, but what is disturbing is that this excess has happened in all screening trials in three different countries. 1985 was a landmark year for mammography screening trials. A Swedish study headed by Laszlo Tabar was published in The Lancet (4/13/85). When you read the abstract [summary] of that study, it says that women ages 40-74 showed a 31% reduction in breast cancer deaths. But if you look in the text of the article, you see that the number of deaths in the [small subset of] women in their 40s given mammograms was higher than in the control group. Similar results were observed in the Stockholm and HIP trials. The consistency of this trend demands further evaluation.

MN: Is anyone looking into it?

Dr. Baines: When we published our first results in 1992, it never entered my head that the people who have been promoting mammography would try to completely destroy the credibility of our study and ignore this phenomenon which had been clearly shown in Tabar's study and which had also been shown in the HIP study. I started out saying that this needs investigating at the basic science level and believing that screening researchers would pay attention to these trends. Well, was I ever out to lunch. People, when they strongly believe in something, don't waste time looking at evidence that challenges their beliefs. That's just not human nature.

MN: Dr. Tabar is a recipient of an American Cancer Society award for his promotion of mammography screening and a teacher of Continuing Medical Education courses for American radiologists. He and the other mammography researchers might not want to look at the "why" behind the increase in breast cancer deaths, but haven't some researchers begun to investigate a possible underlying biological mechanism for the deaths?

Dr. Baines: Yes, Michael Retsky, PhD, at Harvard Medical School, and Romano Demicheli and William Hrushesky. They studied the relapse patterns of 251 premenopausal women with node-positive breast cancer who had been treated only with surgery only and followed for 16-20 years. Retsky and colleagues found that the breast cancer mortality rates show two peaks: one occurs three years after diagnosis, the other at nine years, and after that, women seem to survive quite well. This, of course, corresponds with what we have been observing in mammography screening trials. Increasingly, researchers like Michael Retsky and Michael Baum speculate that something associated with the biopsy or surgery stimulates growth factors. In some women with micrometastases [undetectable spread of cancer outside the breast], these growth factors may stimulate the micrometastases, and the woman goes on to die. This is consistent with the suggestion made along time ago by Bernard Fisher [America's leading breast cancer researcher]---that micrometastases has already occurred in 90% of all breast cancers before clinical or radiological detection.

MN: Are you talking only about women in their 40s?

Dr. Baines: The finding was more prominent in younger women, but Tabar's study showed a breast cancer mortality increase in older women as well.

(October 2002)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#8 10.21.2008 20:12:07

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Drogie Panie redaktorki, oto cześć druga.. "Black October," which is what I call Breast Cancer Awareness Month

Surgeon Who Headed a UK Mammography Program Becomes One of Its Strongest Critics

by Maryann Napoli


Michael Baum, MD, emeritus professor of surgery at University College in London, U.K., has been a breast cancer surgeon for 30 years. After leaving the Breast Screening Programme for the National Health Service in the southeast of England, Dr. Baum became an outspoken critic of mammography screening, particularly for women in their 40s.

In this interview, Dr. Baum was asked to comment on the Canadian Study results. In doing so, he argues for a new paradigm for how and why breast cancer spreads. Dr. Baum champions the ideas of the famed Boston-based researcher, Judah Folkman, who did the pioneering work on angiogenesis. This natural process, which is controlled by certain chemicals produced in the body, leads to the formation of new blood vessels. In adults, angiogenesis is involved in wound healing and menstruation. But angiogenesis can also have negative effects. The newly formed blood vessels bring the blood and oxygen that encourage tumor growth; they also provide the means for cancer cells to travel to distant organs and form new tumors.

MN: What do you make of the increase in breast cancer deaths shown in the women given mammograms in the Canadian Study?

Dr. Baum: I believe that it is a real phenomenon and not simply an artifact of this one study. It appears in all the studies.

MN: There were more than twice as many cases of ductal carcinoma in situ [Latin for cancer in place] in the mammogram group. What do you make of that?

Dr. Baum: I'm very influenced by Judah Folkman's work. He believes that in situ is probably not a good word, and we should call it latent cancer. These latent cancers, particularly in premenopausal women, are grossly over-represented in women given mammograms--something like five times more, compared to what you would expect. This suggests that if left to their own devices, these latent cancers might never trouble a woman. But if you identify these latent cancers and biopsy them, you have traumatized the area. You immediately trigger the natural healing mechanisms, and natural healing mechanisms involve angiogenesis. So, effectively, the biopsy could be considered an angiogenic switch. You take a latent cancer that would never hurt a woman, biopsy it, turn on the angiogenic switch, and it ceases to be latent. A latent disease becomes an aggressive disease.

MN: Is this true only for breast cancer?

Dr. Baum: You see this in other cancers. The most notorious is renal cell cancer. If you find a symptomless renal tumor by chance, and operate, [then] in no time the patient is riddled with metastasis. This happened to a dear friend of mine. I think that an angiogenic switch might be an explanation. It's really scary.

MN: And this is what you suspect happened to some women in the mammography trials.

Dr. Baum: My explanation sounds a bit farfetched, but it is strongly supported by basic science that is coming out of the work on angiogenesis. There are profound cyclical changes going on in the premenopausal breast, and these changes can also be seen in premenopausal breast cancer. So just by happenstance, you might get a surgical insult at a time in the menstrual cycle that favors the cancer cells. It's all quite alarming.

MN: In the Canadian Study, 71 cases of ductal carcinoma in situ (DCIS) were diagnosed in the mammogram group, compared to 29 in the no-mammogram group.

Dr. Baum: That tells you two things: 1) It emphasizes the quality of the study. If they had not detected so many cases of DCIS, then the screening zealots would say that the screening techniques in the Canadian Study were bad; 2) It demonstrates, yet again, that all screening programs will show an excess of cancers. And the excess is mostly DCIS. In women given a manual breast exam, only about 3% of cancers detected are DCIS; whereas in mammography-screened women, 20% of the cancers are DCIS.

MN: The breast cancer death rate was the same for both groups in the Canadian Study. Doesn't that indicate that early detection is of no benefit to any women with DCIS, even those with the type of DCIS destined to become invasive?

Dr. Baum: Yes, I think so. I don't know if any lives are saved by screening, frankly. But the one argument about which I cannot be shaken is that women invited to screening should know these things. I was one of the people given the job of setting up a screening program in 1987-88 in the U. K. Then it gradually dawned on me that this was state interference with public health, and it was coercion. I resigned in disgust from the National Screening Committee because they were intentionally deceiving women [about the harms]. They went on record saying, "We mustn't let women know this because it might deter them from coming to be screened." So I decided to work outside the system to inform women about the truth of screening. I can see how some women, fully informed, would accept screening over the age of 50, but to promote mammography to women under the age of 50 is absolutely unethical.

MN: The American Cancer Society has been promoting mammography starting at age 40 for over 30 years.

Dr. Baum: Either the ACS is funded by the screening industry, or they've backed themselves into a corner and can't admit they've been wrong all this time. The message is so seductive: "The secret to cancer is catching it early." That's rubbish. It's so naïve. The only thing that influences cancer mortality is better treatment, as far as I'm concerned. The word "early" has no meaning to a scientist.

MN: Do you have an equivalent to the ACS in your country overselling the early detection message?

Dr. Baum: No, but we have "Black October," which is what I call Breast Cancer Awareness Month, when lots of fine young women have these campaigns with runway models advising breast self-examination every month. And that gets across two false messages: 1) that self-examination is of any value; and 2) that the role model for breast cancer patients is a skinny girl of 23.

MN: Any parting thoughts about the current state of mammography research?

Dr. Baum: It ceases to be medical science now---it's egos. A proper scientist should learn that you go through life being humiliated again and again. You have to prepare yourself to admit you were wrong. That's the very mechanism of science. Scientific truths are only temporary expressions of reality that serve us for the time being. There's no such thing as scientific truth. It's all an approximation to reality. A true scientist has to accept that his version of reality will be overturned in the fullness of time. If you can't accept that, you're not a scientist.



(October 2002)

Ostatnio edytowany przez zoomboy (10.21.2008 20:13:31)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#9 10.21.2008 20:16:19

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Teraz, czas na rektum..

Surgery for Early Prostate Cancer
By Maryann Napoli

When a man is diagnosed with early prostate cancer, he faces several options but no clear answer to the most crucial of all questions: Is treatment better than no treatment at all? A new Swedish study showed that surgical removal of the prostate does, in fact, reduce a man's odds of dying of prostate cancer, but worsens his quality of life.

Unfortunately, the finding has little relevance to most American men because prostate cancer screening has become so popular in this country that the majority are diagnosed before they have any signs or symptoms of the disease. This was not true of the majority of the Swedish men who participated in the study published last month in The New England Journal of Medicine (9/12/02).

Americans Diagnosed Earlier

The term early means that the cancer has not spread beyond the prostate gland. But there are degrees of "early." The majority of the Swedish participants had tumors that could be felt by a digital rectal examination, and many had symptoms, such as difficulty urinating. Whereas 75% of American men with prostate cancer do not have a tumor that can be felt, nor do they have symptoms. They are diagnosed after a biopsy performed as a result of a PSA screening test. The Prostate-Specific Antigen (PSA) test identifies a protein in the blood that can indicate the presence of a cancer too small to be felt. Originally intended as a follow-up test for men who had been treated for prostate cancer, the PSA test has been promoted to symptomless men for over a decade.

The relatively small group of newly diagnosed American men who fit the profile of the 695 participants in the Swedish Study should take note: The results of this study are a wash. At six years, the men who had a prostatectomy (surgical removal of the prostate) had a lower death rate from prostate cancer, but it was canceled out by a higher death rate from other causes. If the aim is solely to reduce the odds of dying of prostate cancer within the next six years, then surgery is the way to go. Only 4.6% of the men died of prostate cancer after undergoing a radical prostatectomy; where 8.9% of the untreated men died of the disease.

If, however, the goal is to lower the odds of dying from any cause, then no treatment may be the way to go. The overall death rate in both groups was exactly the same. It is possible that the surgically treated men died of treatment-related causes, such as an infection. In that case, their deaths would not be counted as prostate cancer deaths. All the men were under the age of 75, with an average age of 64 years.


By counting the overall death rate-that is, the deaths from all causes-the authors of this study are following an important new trend in research. They are stepping back and looking at the big picture, as opposed to looking solely at the question of whether X medical treatment lowers the death rate from Y disease. Too often, the treatment itself will cause deaths, but they go uncounted by most researchers. Here is the conclusion of the Swedish study: "…there was no significant difference between surgery or watchful waiting in terms of overall survival," wrote Lars Holmberg, MD, and colleagues at the Scandinavian Prostatic Cancer Group Study.

The Swedish research team noted that there were 37 deaths from other causes in the surgically treated group and 31 in the untreated group. "This difference could be due to chance or to long-term but hitherto unknown adverse effects of prostatectomy."

While it is unusual for researchers to address the overall death rate in the conclusion of their study, the finding itself is not. There are already several examples of medical interventions that reduced the death rate from cancer but failed to lower the overall death rate. For example, several randomized controlled trials showed that screening tests for colon cancer reduce the rate of deaths from this disease, but inexplicably increase the death rate from heart disease. More recently, a review of all the best mammography clinical trials came to a similar conclusion about the overall death rate.

Symptoms Worsen After Surgery

Now for the question of quality of life. It's certainly possible that a prostatectomy could improve a man's life without prolonging it. Consequently, the Swedish research team sent questionnaires to the 326 men who had symptoms at the start of the study to see how they fared four years later. The percentage of men suffering the following symptoms was consistently higher among the surgically treated, as compared to the untreated: impotence (80% vs 45%), "distress from compromised sexuality" (55% vs 40%), urinary leakage (49% vs 21%), "distress from all urinary symptoms" (27% vs 18%).

The clinical trial with the most relevance to American men is currently in progress, and results will not be available until 2008. It is sponsored by the Department of Veterans Affairs, the National Cancer Institute and the U.S. Agency for Health Research and Quality. The 731 participants had cancer that was confined to the prostate, and most were diagnosed initially with a PSA test. The men were randomly assigned to have their prostates removed or to remain untreated. The lead researcher, Timothy J. Wilt of the Minneapolis VA Medical Center, recently told The New York Times that five years into the study, no survival advantage has been shown for either group.

Although there are other treatment options for men with localized prostate cancer, such as radiation therapy and radiation seed implants, no head-to-head comparison study has ever been done.

(October 2002)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#10 10.21.2008 20:23:01

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Rectum time -wink

PSA Screening Test for Prostate Cancer:
An Interview with Otis Brawley, MD

By Maryann Napoli

The prostate-specific antigen (PSA) screening test for early prostate cancer has been surrounded by controversy ever since it was introduced over 15 years ago. The test can indicate the presence of cancer, but many men have a form of prostate cancer that will remain dormant or is so slow-growing that it will never cause symptoms. Neither this test, nor any other can distinguish which prostate cancer will become lethal. Furthermore, there is no proof that the use of the PSA blood test to screen symptom-free men will spare anyone a prostate cancer death, yet it is associated with a considerable amount of unnecessary treatment with aftereffects that can be both severe and permanent. All of the treatments for early prostate cancer carry the risk of impotence and incontinence. In short, cancer researchers do not know whether PSA screening saves more lives than it ruins.

Otis W. Brawley, MD, is the brains behind the ongoing National Cancer Institute Prostate Cancer Prevention Trial, which is designed to answer questions about the effectiveness of screening and the causes of prostate cancer. After leaving the National Cancer Institute, Dr. Brawley became the Director of the Georgia Cancer Center and Professor of Medicine, Oncology, and Epidemiology at Emory University School of Medicine. He is interviewed about the ever-increasing use of PSA screening in the face of so much uncertainty about its value.

Napoli: Does the popularity of PSA screening concern you?

Dr. Brawley: First of all, I'm not against prostate cancer screening. I'm against telling people that it is well established; and that it works; and that it saves lives when the evidence that supports those statements simply does not exist. I'm a tremendous supporter of the real American Cancer Society (ACS) recommendation, which is: Within the physician-patient relationship, men should be offered PSA screening and should be informed of the potential risks, as well as the potential benefits and be allowed to make a choice.

Napoli: Do you think fully informing men about PSA screening happens very often?

Dr. Brawley: I think it rarely happens. Many doctors are uninformed, and that's a big problem. My great concern is people being misled. I routinely follow the prostate cancer screening recommendations of 18 organizations in the U.S., Canada, and Western Europe. The two most pro-screening recommendations are those of the ACS and the American Urologic Association. Both of whom say it should be offered to men; men should be informed of the potential risks and the potential benefits; and they be allowed to make a choice. The ACS does not recommend that men of normal risk be offered mass screening. There's a distinction between what is done within a doctor/patient relationship at a doctor's office and mass screening.

Napoli: What is the difference?

Dr. Brawley: Mass screening takes place at a booth at a mall where screening is offered to anyone who comes by and wants screening. In the last few years, there has been screening on the floor of the Republican National Convention, health fairs at the mall, [TV] channel this or channel that will have a health fair with prostate cancer screening. Yet there is no organization that endorses mass screening because of the concern that you can't have informed consent.

Napoli: If policy makers aren't promoting the test, who is?

Dr. Brawley: The British Medical Journal recently published an article about how several of the leading prostate cancer survivor organizations [based in the U.S.] that do a lot of the pushing of screening are funded by the makers of the PSA screening kits. And, indeed, [these survivor organizations] do things that the Food and Drug Administration won't let the manufacturers do--like make promises that there are only benefits from prostate cancer screening. Many of these prostate survivor organizations that I'm critical of--that take drug company money--offer mass screening.

Napoli: You were once quoted in The New York Times saying that 30-40% of men whose cancers appear to have been confined to the prostate at diagnosis will recur soon after treatment.

Dr. Brawley: Yes, this [brings up] one of the lies perpetrated about prostate cancer. If you look at the prostate cancer outcomes from a huge study conducted by the National Cancer Institute, close to 40% of men who undergo a radical prostatectomy will have a PSA relapse within two years. This means that they had disease that was outside of the prostate that was not obvious to the surgeon or the pathologist. It means that if the man lives long enough, metastatic disease will kill him.

Napoli: The public is always told that early detection is lifesaving. How true do you think that is for prostate cancer?

Dr. Brawley: If you have a group of men diagnosed as a result of PSA screening, 30-40% don't need to know that they have prostate cancer because it's meaningless in terms of risk to their health. And for somewhere between 30% and 40% of the men with prostate cancer, no matter what [treatment is given], the disease is not curable. And then maybe there are about 20% who actually benefit.

Napoli: And there's no way to know which type of prostate cancer you have.

Dr. Brawley: That's right.

Napoli: What about African American men, who as a group, are at a particularly high risk for prostate cancer? PSA testing is thought to be advisable for them at an earlier age.

Dr. Brawley: The proportion of black men in Rocky Feuer's paper [for the Journal of the National Cancer Institute] who don't need to know they have prostate cancer was over 40%, compared to 30% of white guys. The reason it's higher for black men is that they have so many other competing causes of death. The other issue is this: It's a principle of cancer screening that, unfortunately, many of the advocates of screening just don't comprehend, and that is, the more aggressive cancers are less likely to benefit from screening. There are people out there who say we must screen black men because they have more aggressive prostate cancer. [These screening proponents] do not realize that they are saying, in effect, because prostate cancer screening is less likely to benefit black men, then we must screen black men.

Napoli: You recently published a medical journal article about informed consent and the PSA test.

Dr. Brawley: Yes, the problem I have is that people are not open and honest about all the controversies, and this extends to people being not open and honest about the treatments, once prostate cancer is diagnosed. Men tend to get railroaded toward radical prostatectomy or to external-beam radiation, or to seed implants.

Napoli: Since there's no evidence that any one of these treatments is superior to another or superior to no treatment, for that matter, where do you suggest men go for unbiased information?

Dr. Brawley: First of all, I think we should tell men what is scientifically known and what is scientifically not known and what is believed and label them accordingly. [As for credible sources of information,] the National Cancer Institute's PDQ treatment statements at www.cancer.gov are good [call 800/4-CANCER]. So is the ACS's information. And by the way, we at Emory have figured out that if we screen 1,000 men at the North Lake Mall this coming Saturday, we could bill Medicare and insurance companies for $4.9 million in health care costs [for biopsies, tests, prostatectomies, etc]. But the real money comes later--from the medical care the wife will get in the next three years because Emory cares about her man, and from the money we get when he comes to Emory's emergency room when he gets chest pain because we screened him three years ago.

Napoli: You're saying that screening creates long-term customers. So, did Emory Healthcare decide to go ahead with the free PSA screening on Saturday?

Dr. Brawley: No, we don't screen any more at Emory, once I became head of Cancer Control. It bothered me, though, that my P.R. and money people could tell me how much money we would make off screening, but nobody could tell me if we could save one life. As a matter of fact, we could have estimated how many men we would render impotent...but we didn't. It's a huge ethical issue.

(May 2003)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#11 10.21.2008 20:56:20

ak
Niezaprzeczalna Legenda Forum
Zarejestrowany: 03.01.2007
Posty: 3134
Serwis

Re: Radio Dla Ciebie

Zoomboy,
jestes uwaznym sluchaczem Radia dla Ciebie!
I to sie liczy!
pozdrawiam doktorka!


"Friends are flowers in the garden of life"

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#12 11.25.2008 19:19:17

Look761
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Zarejestrowany: 04.27.2008
Posty: 2856

Re: Radio Dla Ciebie

Ha, Ha Zoomboy.Nie tak dawno "Radio dla Ciebie" bylo radiem "letko lesbijnym" a juz dzisiaj wystapiles w nim i nic nie powiedziales poza malymi pomrukami.Wyglada ze tylko w internecie masz duzo do powiedzenia.Ha ,Ha.


"Czy świat bardzo się zmieni , gdy z młodych gniewnych wyrosną starzy , wkurwieni"
                                                                                                               
                                                                                                       Jonasz Kofta

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#13 11.25.2008 22:28:14

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Dzisiaj bracie bylem gościem. Jesteś uważnym słuchaczem, to się chwali. Relacja była 3:1 -wink


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#14 11.26.2008 06:17:18

Fesia
Rozgadany
Zarejestrowany: 03.05.2007
Posty: 398

Re: Radio Dla Ciebie

Zoomboy troche zgani,osmieszy  niestety sporo w tym prawdy i racji.Kiedy przegina to przegina ale nie trzeba sie zaraz obrazac tylko sluchac uwag.Jak widac dziewczyny nie pogniewaly sie za to "letko lesbijskie" i jak sie okazuje Zoomboy we wlasnej osobie wystapil.Chyba przezyles co ? a moze dzis z tego powodu  kurujesz sie w klinice?
ps.musze sie na to zloto zapisac

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#15 11.26.2008 23:54:10

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Drogi Look761,
poniżej załączam cytaty z kawałka napisanego wcześniej i boleśnie przez Ciebie cytowanego. Boleśnie dla mnie oczywiście, kto lubi być kopany w fistuly za grzechy młodości?

Ciągle ten sam "letko lesbijny" format.
Ciągle życzę im dobrze. Tak naprawdę wole je od naszych "mucho" chłopaków. Słabość we mnie taka.


Jesteś wprawnym obserwatorem(ka). Bez zająknięcia zerwałeś(as) przysłowiowa czapkę niewidkę z mojej łysej teraz głowy. W czasie audycji nikt nie użył mego literackiego pseudonimu Zoomboy. Cwaniuszk jesteś, ot co. Tłumaczenia, dlaczego użyłem tych a nie innych slow będą niepotrzebna strata czasu. Zwróć uwagę na drugie zdanie w cytowanym kawałku.
Dziewczyny nie czuja się obrażone. I tylko to jest dla mnie istotne.
Oskarżenia mnie o pomrukiwanie są bezzasadne. Rylem sto lat jak szubienicznik jakiś. Wystarczająco głośno, żeby być słyszanym w odległym Paryżu.
Odwaga w internecie? W każdej chwili jestem gotowy wesprzeć swoje opinie w każdym innym medium. Co by cie zadowoliło?

Ostatnio edytowany przez zoomboy (11.27.2008 19:43:23)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#16 12.10.2008 07:14:28

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Look, who's talkin'

http://img03.picoodle.com/img/img03/3/12/10/f_Picture602m_13f2f3d.jpg

http://img03.picoodle.com/img/img03/3/12/10/f_Picture703m_ad63b32.jpg


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#17 12.10.2008 14:07:04

madmax
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Zarejestrowany: 03.09.2007
Posty: 4409

Re: Radio Dla Ciebie

ten pokoj  radiowy wyglada jak policyjna izba przesluchan


"Największą chlubą nie jest to, aby nigdy się nie potknąć, ale to, aby po każdym upadku dźwignąć się i stanąć na nogi."

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#18 12.10.2008 18:28:53

Łukasz Witkowski
Były Administrator
Zarejestrowany: 02.18.2007
Posty: 1320

Re: Radio Dla Ciebie

Zoomboy przesłuchuje? Jego widzę w okieneczku...

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#19 12.10.2008 19:06:45

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Spostrzegawczy jesteś. Wyśpiewały wszystko, nawet palki nie użyłem...


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#20 12.16.2008 14:19:10

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

http://img33.picoodle.com/img/img33/3/12/16/f_Picture001m_cd1a163.jpg

Wielkie dzieki dla Radia dla Ciebie od calej zalogi z Krystyna's European Spa.
Zalujcie, ze nie mogliscie widzieć jak dziewuszki walczyły o lepsze smakołyki-wink!

Ostatnio edytowany przez zoomboy (12.16.2008 18:15:11)


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#21 12.16.2008 17:18:51

Łukasz Witkowski
Były Administrator
Zarejestrowany: 02.18.2007
Posty: 1320

Re: Radio Dla Ciebie

zoomboy napisał:

Wielkie dzieki od calej zalogi!

?

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#22 12.17.2008 20:40:56

Fesia
Rozgadany
Zarejestrowany: 03.05.2007
Posty: 398

Re: Radio Dla Ciebie

zoomboy napisał:

Spostrzegawczy jesteś. Wyśpiewały wszystko, nawet palki nie użyłem...

Z ta paleczka to niezly pomysl,nie tylko dziewuszki wzielyby sie do roboty ale i ta cala reszta przetrzymywana po godzinie  w tej celce 5 lub 6 dni w tyg.

Ostatnio edytowany przez Fesia (12.18.2008 06:33:47)

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#23 02.14.2009 14:04:32

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

Wlasnie, ostatnio internet streaming nie pracuje.
Wysłałem mejla z zapytaniem, dlaczego?
Nie było odpowiedzi, wiec wysłałem następnego, mniej uprzejmego.
Odpowiedz przyszła następnego dnia, ze wiedza i pracują nad poprawa.
Bierze czas jak widać.
Birach lubi brać a nie wydawać.


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#24 03.03.2009 20:02:15

Zoomboy
Legendarny Mistrz Forum
Od: USA
Zarejestrowany: 07.09.2007
Posty: 13193

Re: Radio Dla Ciebie

łubu dubu, łubu dubu, niech nam żyje prezes klubu!!
I to tyle. Naprawdę.
W skrytości ducha marzyłem, ze redaktorki zawezwą przed mikrofon kontrkandydata(kę). Myślę, ze ktoś taki istnieje, bo poco są te wybory?


That’s all, folks
Przekażmy sobie znak pokoju.
Hasta la vista, Vaya con Dios
Я возвращусь, Ich werde zurück sein, Je reviendrai, Estarei de volta, Θα είμαι πίσω, I červnu se zpět, Leszek vissza, وحقوق عودة

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#25 03.03.2009 20:05:19

Łukasz Witkowski
Były Administrator
Zarejestrowany: 02.18.2007
Posty: 1320

Re: Radio Dla Ciebie

zoomboy napisał:

łubu dubu, łubu dubu, niech nam żyje prezes klubu!!
I to tyle. Naprawdę.
W skrytości ducha marzyłem, ze redaktorki zawezwą przed mikrofon kontrkandydata(kę). Myślę, ze ktoś taki istnieje, bo poco są te wybory?

Powoli, powoli. Ja troszkę nie halo.

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