October 3, 2019

Surrogate Embryo Transfer: Subtleties

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Indications for surrogacy in Ukraine are regulated by Order of the Ministry of Health of Ukraine No. 787 from 09.09.2013.

Indications for surrogacy in Ukraine are regulated by Order of the Ministry of Health of Ukraine No. 787 from 09.09.2013. The order lists the reasons for the procedure for a childless couple. These include all sorts of pathologies of the female genital organs, physiology, health status, as well as more than 4 failed IVF attempts. In any case, whatever the diagnosis, the family’s unsatisfied desire to have a child is a great tragedy. And only a woman who knows the joy of motherhood can understand this. Therefore, compassion is the main motive making Ukrainians participate in programs of surrogate embryo transfer offered by international IVF clinics in Europe.

It will be legal if a surrogate mother becomes a citizen of both Ukraine and another state. In this case, she just needs to present additional documents translated into Ukrainian and notarized. Often, foreigners use this right, since the laws in Ukraine are much more protective for surrogate mothers than in any other country, including Russia, Georgia, Kazakhstan and other popular surrogacy destinations.

What Cannot Be Done after Embryo Transfer?
The surrogate embryo transfer procedure is the final stage of such a crucial path as an IVF international protocol. Embryo transfer to surrogate mother implies that in 4 days it will be implanted in the uterine and continue to develop there (in case of blastocyst implantation – in 2 days). That is why it is recommended for a surrogate mother to remain at bed rest during the first few days after the procedure to give the embryo the opportunity to gain a foothold in the uterus. However, starting from the fourth day the surrogate mother can return to her usual way of life, with the exception of some things that she can’t do:
  • lift something heavier than 2 kg (otherwise, there is a high risk of miscarriage)
  • run and jump
  • have sex before the expected date of her next menstruation
  • go to a steam bath or take hot baths
  • spend a long time in hot or cold rooms
  • take medication without her doctor permission
  • expose herself to stress and serious emotional experiences
Embryo Transfer Results
Within 2 weeks of the transfer, an hCG test will show whether the woman is pregnant or not. A positive result means that the embryo is fixed, and the pregnancy is developing. However, in any case, she will need to come for an ultrasound scan within 3 weeks after the transfer (one week after the test). The ultrasound investigation will reveal the location of the fetus to exclude an ectopic pregnancy.

Even if hCG is low, the woman needs to repeat the test in a few days to know for sure. If the attempt was unsuccessful, she can repeat it after 3 menstrual cycles. 
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September 30, 2019

Germany Offers Novel Options For Treatment Of Colon Cancer

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German hospitals permanently take part in clinical trials aimed at prolonging life of patients with advanced colon cancer and increasing cure rates in patients with resectable tumors. Large clinical trials are evaluating combinations of currently available therapies, like treatment of colon cancer with chemotherapy added to immunotherapy or targeted therapy.

German hospitals permanently take part in clinical trials aimed at prolonging life of patients with advanced colon cancer and increasing cure rates in patients with resectable tumors. Large clinical trials are evaluating combinations of currently available therapies, like treatment of colon cancer with chemotherapy added to immunotherapy or targeted therapy. Smaller studies are evaluating new agents and techniques. At the present time preference is given to sparing and localized procedures along with medicamentous support.

Endoscopic surgical procedures
Endoscopic interventions serve for both diagnosis making and treatment performing. Their effectiveness is maximal at the early stages of colon cancer. Endoscopic procedures are more advantageous comparing to the conventional ones due to lower surgical risks.

1. Snare polypectomy is removing of the malignant or suspicious polyps with the help of wire loop. It is used in patients with pedunculated and sessile lesions of 0.5-2.0 centimeters in the diameter. According to the data of National Polyp Study, polypectomy can serve as the prophylactic measure as well.

2. Endoscopic mucosal resection is used for removing lesions of mucosa or submucosa that are not likely to affect nearby lymphatic nodes. Basically, endoscopic mucosal resection combines polypectomy with submucosal fluid injection and local mucosa removing.

3. Endoscopic submucosal dissection is used for the en-bloc resection of large intestinal lesions. These include areas of high-grade dysplasia or early cancer. The technique is applied in patients without deep submucosal invasion of the process.

Sparing and localized radiation therapy
Radiation therapy is applied in a number of treatment schemes: before or after the surgery, along with chemotherapy, as a symptomatic treatment in advanced cancer. In Germany, sparing techniques are applied for reducing irradiation of healthy tissues.
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1. Radioembolization is introducing coated with radioactive substances emboli in the tumor vessels. In addition to the irradiation of the neoplasm, embolization reduces the blood flow, so tumor receives less oxygen and nutrients.

2. Endocavitary radiotherapy is placing of the radioactive source inside the intestine for the certain time period. Usual treatment course includes up to 4 procedures, with about 2 weeks interval between them. Positioning of the radioactive source is performed under the US control.

3. Interstitial brachytherapy is mainly applied in rectal cancer. In this case irradiation is delivered by few tiny sources, the co-called “seeds”. Seeds are implanted near the tumor. Due to the short path of radiation in the tissues, its maximal dosage is concentrated exactly at the tumor.

Pharmacotherapy with chemotherapeutic and targeted agents
Chemotherapy kills cancer cells of the primary tumor and distant metastases. Treatment of colon cancer with chemotherapy in Germany is performed in the adjuvant and neoadjuvant modes. The most efficient medications are capecitabine (Xeloda), 5-fluorouracil, oxaliplatin (Eloxatin), irinotecan (Camptosar), and combination drug containing trifluridine and tipiracil (Lonsurf).
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Targeted therapy is mainly used in patients with stage IV metastatic cancer and bad response to the chemotherapy. Targeted therapy may supplement chemotherapeutic drugs or serve as the monotherapy. Schemes with panitumumab (Vectibix), cetuximab (Erbitux), and bevacizumab (Avastin) may be considered.

Immunotherapy is also mainly aimed for patients with unresectable and metastatic tumors. It may be performed as the single-agent treatment with pembrolizumab (Keytruda) or nivolumab (Opdivo). Immunotherapy can also be used in the subsequent lines of therapy in biomarker-positive patients.

Receiving treatment in German hospitals with Booking Health
Receiving medical services in Germany becomes easier with assistance of Booking Health, the certified medical tourism provider. Specialists of Booking Health help patients in:
  • Choosing the clinic based on the objective information and reviews.
  • Establishing preliminary communication with treating physician and elaboration of the necessary medical program.
  • Booking the appointment for inpatient or outpatient therapy.
  • Excluding overpricing and providing reasonable costs (saving up to 50%).
  • Buying and forwarding of medications.
  • Arrangement of follow-up examinations and distant communication with the clinic.
  • Translation of medical reports, services of medical interpreter in the hospital.
  • Booking hotels and plane tickets, transfer.
Leave your request on the website bookinghealth.com and you will receive a call from medical professional the same day. Booking Health supports you during the whole process of restoring your health.
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September 21, 2019

Best Adult Birthday Party Ideas You Have to Try

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Birthday parties are important rites of passage for children. They help them feel loved, accepted, and special. But for adults, these events tend to not get as much recognition. We seem to phase out of having birthday parties into our late teens or early twenties, but research suggests this isn’t a good thing. Rituals are shown to positively affect a person’s mental and physical health, no matter how old they are. Birthday celebrations are some of the most desired. The question is, how do you throw your favorite grown up a birthday party? Dinner and drinks seem a little mundane, and clowns and balloons feel a little immature. So, what kind of party should you throw? Here are just a few of the best ideas.

Scavenger hunt

Scavenger hunts are great activities to get everyone out and about while enjoying each other’s company, and there are several ways to do this. One is a citywide scavenger hunt. To do this, begin by making a list of items guests can find and where they’re located. You won’t usually tell them where they’re located, but you should keep the information in case you need to give hints. Assign each item a certain number of points. You can give them each one point to make it simple, or you can assign higher points to the ones that are harder to find. Next, you’ll divide the party group into teams. You can have as many teams as you want, but the winning team should get a prize. They can photograph the found items and text them to you as they find them. That way, you will know who got them first in case of a tie.

Decade party

A party that pays tribute to a particular decade can be a lot of fun for someone who grew up in it. Seventies and eighties parties are the most popular since there were so many significant fashion and pop culture fads in each one. Seventies parties can include disco balls and wild floral decals for decoration. You can also serve fondue and vintage drinks for snacks. Most importantly, though, don’t forget to ask everyone to wear their favorite seventies attire. They might wear bell bottoms and headbands, or sundresses and bare feet. 

Eighties parties usually include plenty of video games and geometric prints. Of course, you’ll need to tell people to dress the part, too, with big hair, leg warmers, and risky business sunglasses. No matter what decade you decide to celebrate, be sure to capture the moments. A photo booth rental Long Island is the perfect way to catch your friends and family in their retro best. You can add fun props and backgrounds to make the photos unique. Be sure to give everyone a hashtag so they can be easily shared on social media.

Dinner party

Even though having a simple dinner can be pretty boring and overdone for a birthday, a lavish dinner party at your house has a classier twist. That is, of course, if it’s something you don’t do too often. For an elegant dinner party, you can serve fancy hors d'oeuvres and signature martinis while everyone mingles. Then, you can serve a meal you either cooked yourself or hire caterers. Obviously, these types of parties are centered around the food, so just make sure your menu is something out of the ordinary. The second element to a dinner party is attire. To make the event special, make it a black tie event and go all out on the decor. You can play fine music in the background and possibly even designate an area to dance.

Birthday parties can get a bit typical, especially when they are meant for adults. The next time you throw a festive gathering, take it upon yourself to spice things up. Whether you plan a physical activity of some sorts or add a twist to a traditional party format, your guests are sure to enjoy your creative approach!
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September 9, 2019

How to Boost Your Studying Potential with Nootropics

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For a lot of people, studying can be difficult. It requires conentration, brainpower, and alertness. Read more about other tips about studying in this link here. Most of them study for an hour and drop the activity because they can feel tired or sleepy. After all, it is hard to remember all the things that you have learned, and it is harder to motivate yourself.

For people who want to improve their brainpower, the good news is that there are nootropics that can help them. Nootropics or most commonly known as “smart drugs” help students increase their attention, memory, and focus.

Nootropics or noots serve as food for the brain. It can be natural or in the form of over the counter supplements that you can buy at your local drug store. These capsules are commonly made up of phytochemicals, antioxidants, lipids, and vitamins that will quickly improve your cognitive functions.
So, if you are looking for a way on how to study tons of books in a short period, then noots can be an option for you.

Boost your Studying with these Nootropics

Creatine is known to improve some functions of the brain because it boosts the body’s adenosine triphosphate or ATP. ATP serves as the cells’ energy and it is needed when you are trying to do complicated tasks. A boost of the ATP with the help of creatine means that you can increase your dopamine levels and your brain will function at its best.

Creatine is often found in meats. Meat lovers can rejoice because studies show that they can improve their studying potential by 50% and have higher scores in intelligence test because of a surge of creatine. Read more about creatine in this link here: https://www.healthline.com/nutrition/what-is-creatine.

Other individuals who use supplements with creatine can significantly improve their recall ability and memory. Note that creatine is also used by bodybuilders to improve their muscles while doing gym exercise. So, if you want to be fit while improving your cognitive function, then this might be the best nootropic for you.

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This drug was first made by scientist to develop astronauts’ resilience in space. As there’s no gravity in space, more cosmonauts need to boost their energy and brainpower while doing complicated tasks in an oxygen-deprived environment.

Nowadays, phenylpiracetam is considered a part of the racetam family of nootropics. More and more people see the wide range of benefits that it offers. It relieves stress, and it is known to prevent depression. This also serves as a tonic to the central nervous system because it reduces anxieties by optimizing the neural flow of information.

Most students find out that they can improve their memories better when using this nootropic. They can immediately access stored information which can significantly improve their scores. The focus and attention that this drug provides are unrivaled. One cosmonaut said that his body and brain are working well with each other when he takes this noot.

This is a popular drug that reduces sleepiness and was used to cure sleep apnea. Most students find that they are more wakeful then taking modafinil. Most employees who want to have a good sleep routine use this nootropic so that they can be more wakeful during their work shifts.

Most people see an increase in productivity when they feel wakeful in times that they need to work. Most students who are studying for exams that are worthy of admission in Silicon Valley companies use this to increase their focus.

To get the most benefit out of this nootropic, you may need to consult a medical practitioner first. The effect of modafinil depends on your lifestyle if you are taking other kinds of drugs for other illnesses, and a lot of other factors. Take this nootropic as prescribed and you’ll be fine.

Many say that noopept is the drug of choice for many biohackers and this statement has some truth to it. Check more about noopepts in sites such as nootropics professor. Many people who want to enhance their brain function use this to enhance their sights and increase awareness. Some people said that reds become redder and greens become greener. Their conversations with their friends become more pronounced and they can hear sounds better. Their sense of touch also heightened as well.

When it comes to studying, noopepts are said to offer a subtle hint of creativity. Most people who use this for a few days report that their senses were enhanced to a higher degree. The process of noopept involves sensitizing the acetylcholine which in turn, improves the brain’s neurons. It also increases neurotrophin production which prevents Alzheimer’s disease in the long run.

Noopept is part of the racetam family that is manufactured in laboratories. You can get it in capsule form or powdered form. When you choose the powdered one, you can stack it with another natural nootropic which is black tea. This will keep you awake while making your focus clearer while you are studying pages of scientific discoveries.

This is a naturally occurring choline compound that can be found in the brain. Some studies show that alpha-GP is used to prevent Alzheimer’s disease. Participants who experienced a recent stroke were given doses of alpha-GPC three times a day for five months. The results were patients have experienced rapid cognitive recovery than those who were not given any alpha-GPC dose.

One of the brain’s chemical called acetylcholine increases when users take alpha-GPC. Read more about acetylcholine in this site here. Acetylcholine is a useful brain chemical that improves learning. Most students find that they increase their thinking skills and learn better when they use a good dose of this nootropic.

The effectiveness of this noot depends on several factors such as the user’s health, age, other medicines that he is taking, and others. For the appropriate range of alpha-GPC, it is better to consult a healthcare professional. There are specific directions that you need to follow when it comes to nootropics especially when you are using stacks. 

A Final Word
Desk, Book, Candle, Clock, Table, Study, Old Book

Aside from those mentioned above, there are other nootropics out there that can help you with your studying. All the mentioned nootropics were known to improve learning abilities and cognitive function. As a student, it is better to consult first with a doctor before taking any smart drugs. If you are using them in the right way, expect that you can score better when it comes to tests and you will be able to memorize a lot in a short period.
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August 15, 2019

Neurological Rehabilitation: Choosing Phase and Healthcare Facility

Neurological rehabilitation in Germany is the obligatory part of treatment in patients with injuries of spinal cord or brain. In the acute phase of the pathology every effort is made in order to save patient’s life, and this is natural. However, only the subsequent rehabilitation will restore patient’s quality of life, which is significant as well.

When the neurological rehabilitation is suitable

  • Tumors of brain and spinal cord.
  • Stroke.
  • Traumatic brain injuries.
  • Polyneuropathy due to the alcohol intoxication, diabetes, etc.
  • Cerebral palsy.
  • Amyotrophic lateral sclerosis.
  • Multiple sclerosis.
  • Parkinson's disease and essential tremor.

Phases of neurorehabilitation

  • Phase A – treatment in the acute phase of the pathology (e.g. stroke) when a patient stays in the intensive care unit of a hospital.
  • Phase B – early rehabilitation that is carried out in patients with the Barthel index < 25. It includes inpatient procedures, but the patient stays in a usual room (not in the ICU).
  • Phase C – follow-up rehabilitation that is recommended to patients with the Barthel index of 35-65. In phase C a patient does not need to stay in the hospital or rehabilitation center.
  • Phase D – supportive rehabilitation that is carried out in patients with the Barthel index of 70-100. It consolidates results of the previous therapy and is followed by the maintenance therapy at home.

Leading healthcare facilities for the neurological rehabilitation in Germany

  1. Neurological Rehabilitation Clinic Godeshöhe, Bonn, with over 30 years of experience in the rehabilitation of phases B, C and D.
  2. St. Mauritius Therapy Clinic, Meerbusch, that offers individualized pediatric, general and gerontological neurorehabilitation.
  3. Neurological Rehabilitation Clinic RehaNova, Cologne, with the international certificate DIN EN ISO 9001:2008 in the relevant medical field.
  4. Rehabilitation Clinic Benedictus Krankenhaus, Feldafing, that offers the whole spectrum of measures (phases A, B, C, D) and has certificate EN ISO 9001-2008.

Undergoing treatment abroad with Booking Health
Neurological rehabilitation in Germany is the obligatory part of treatment in patients with injuries of spinal cord or brain. In the acute phase of the pathology every effort is made in order to save patient’s life, and this is natural. However, only the subsequent rehabilitation will restore patient’s quality of life, which is significant as well. Rehabilitation restores or improves ability to walk, speak, fulfill activities of daily living and be engaged in social life. It is also a helpful addition to the pharmacotherapy in patients with Alzheimer's disease and Parkinson's disease.

Neurorehabilitation is the significant part of recovery after surgeries on the nervous system (brain and spinal cord). It is also performed in autoimmune and traumatic pathologies:

Restorative rehabilitation programs are typically used in adults. Neurorehabilitation in children and teenagers pursues somewhat different aims, as doctors primarily focus on physical growth and intellectual development. Young patients acquire basic skills, not restore them. This process is challenging and has certain peculiarities. Fortunately, child's brain is plastic enough to cope with it successfully.

Based on the neurological examination, neurophysiological examinations, CT and MRI data, and Barthel index calculation, neurorehabilitation is divided into several phases:

Restorative treatment in Germany is carried out in specialized healthcare institutions that collaborate with relevant departments of university or academic hospitals. According to the annual qualification profile, success rates, equipment, doctors’ qualifications and level of comfort, list of the best hospitals include:

Travelling abroad may be difficult for a person with a nervous system pathology or acute neurological disease in the anamnesis. For such patients it is more convenient to undergo neurological rehabilitation in Germany with the help of the certified medical tourism provider – Booking Health.

Certified doctors of Booking Health will help to choose rehabilitation center and explain to you the preliminary program. Travel specialists will facilitate visa issuing, book the appointment, take care about accommodation, flight and transfer. While staying in the hospital, you will be accompanied by medical interpreter. Medical reports will be translated into your native language as well.

Financial specialists of Booking Health will protect you financial interests – exclude additional fees for the foreigners, double-check final calculation and cost of medical services. Should you leave the request on the Booking Health website, qualified specialist will contact you the same day and guide through further steps.
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July 28, 2019

The Lion King (2019)

It was 1994 when the animated The Lion King movie was released. After twenty-five years, Disney made a remake of the movie, but this time, in real-life action.
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Since we made a promise to our little boy, we watched the film last Sunday.

I must admit, I was excited since I wanted to see if there are changes from the original story.

As the movie goes, I carefully reminisce the scenes and the story. Nothing has changed. Even the soundtracks are still the same – Can You Feel the Love Tonight, Hakuna Matata, Circle of Life and others.

Here is a summary of the story:

Simba admires his father, King Mufasa, the leader of the Pride Lands of Africa. He wanted to be like his father when he grows up and become the king. But behind all the excitement, there is one that is not happy with the arrival of Simba. Scar, Mufasa's brother, who happens to be the former heir to the throne, is doing plans to take the lead.

Scar made connivance with the hyenas to kill Mufasa and put all the blame to Simba. He forced Simba to leave the Pride Land and never return.

Simba collapses in the dessert where Timon (meerkat) and Pumba (warthog) saved him. Simba grew up in the jungle with his friends.

One day, Simba saved his two friends from a hungry lioness, Nala, Simba’s childhood friend.

Nala, escaped from the Pride Land to seek help to save their home. She encouraged Simba to return and take back the throne.

Simba refuses but he was urged by Rafiki. He told Simba that his father’s spirit lives in him. Without a second thought, he runs and returns to Pride Land.

With the help of Simba's friend, he reached the Pride Rock and confronts Scar and saved his mother, Sarabi, from Scar’s attack.

During the fight, Scar, reveals that he saw the same scenario at the edge of the rock where he killed Mufasa. Scar tried to defend himself and blame the hyenas in Mufasa’s death.

With the help of Timon, Pumba, Rafiki, Zazu, Nala and the rest of the lioness, they managed to out thrown the hyenas.

Scar was cornered by Simba. He tries to beg and ask what he can do to forgive him. Simba ordered him to leave the Pride Land and never return.

Scar tries to attack Simba but he was thrown from the top of the rock. He survived but was attacked and killed by hyenas.

Simba became the king and made Nala his queen.

Later in the Pride Rock, Rafiki presented Simba and Nala’s cub to the other animals in the Pride Land.

After watching the movie, our little boy keeps on singing Hakuna Matata. He cannot forget the funny duo of Timon and Pumba.

Have you watched The Lion King too?
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July 5, 2019

Sectoral Resection Of Breast Cancer

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Breast cancer (BC) is an extremely common disease, the causes of which are well studied. According to the WHO, the total morbidity with of all types of breast cancer is 25% of all female cancer diseases.

Breast cancer (BC) is an extremely common disease, the causes of which are well studied. According to the WHO, the total morbidity with of all types of breast cancer is 25% of all female cancer diseases.

Heredity plays a large role in the emergence of a dangerous disease, so patients with an unfavorable family history are at high risk.

Predisposing factors are also obesity, hormonal imbalance, organ trauma, old age, the bad condition of the immune system.

Many forms of the disease respond well to treatment at their early stages, so mammography has great importance for women over 35 years old. The best prevention of breast cancer is a healthy lifestyle, sports, high-quality nutrition, lack of stress, well-chosen underwear.

Breast Cancer Symptoms

Symptoms of BC can manifest themselves in different forms, depending on the form and stage of the tumor process. There is an urgent need to register an appointment with a doctor in such cases:
● development of nodules under the skin;
● changed breast shape;
● red areas of skin;
● secretions from the nipples.

In the initial stages of BC there is no pain, so you should carefully monitor the slightest changes.
There are four classified stages of breast cancer with taking into account zero cycle characterized by minimal tissue damage and the absence of the fully formed tumor lesion.

Stages of Breast Cancer

The main stages are: 

1. New growth up to 2 cm in diameter.
2. Growth from 2 to 5 cm in diameter, possible spread of the process to the nearest lymph nodes.
3. The affection of the nearest and distant lymph nodes, the size of the tumor exceeds 5 cm.
4. The process has spread to other organs and tissues, the patient has signs of severe intoxication.

The prognosis of treatment depends not only on the stage of the cancer, but also on its type (there are highly aggressive and moderately aggressive forms of the disease).

According to the histological classification of tumors, there are two types of cancer, namely highly differentiated and low-differentiated cancers. In the first case, the cure is more favorable.

In case of the non-invasive process a tumor does not affect the surrounding tissue for a long time, whereas the invasive one spreads rapidly by affecting the nearest organs and lymph nodes.

The rapidly progressing types of breast cancer include:
● Hypothyroid. It is mostly diagnosed in young women up to 35 years. Patients with endocrine diseases, obesity are at high risk of disease. The disease is rapidly developing by forming metastasis in all organs.
● Ovary. It develops with appendage dysfunction, very often occurs due to the ovarian cysts, during the postpartum period. Like hypothyroid cancer, the disease is characterized by high aggressiveness and rapid development.
● Hypertension-adrenal cancer develops after the age of 48–65 years when the level of cortisol is too high. The pathology is as dangerous as the previous two.
● Tumors during pregnancy and lactation are the result of strong hormonal changes. They develop rapidly and require urgent treatment.

Types of Treatment
Like all cancers, breast cancer is treated according to this complex scheme:
● surgery;
● chemotherapy;
● postoperative radiotherapy;
● hormonal therapy;
● immunotherapy.

The main strategy is the removal of the tumor and the affected lymph nodes, destruction of residual cancer cells with the help of medicines and radiation.

The selection of the surgical technique depends on the form and stage of cancer. Today, along with radical mastectomy, doctors widely use sector resection, in the course of which they remove the tumor mass, part of the mammary gland (one quarter of the organ) and axillary lymph nodes.
The use of sectoral resection provides a high percentage of successful treatment and allows for the achievement of an acceptable aesthetic result.

For example, German hospitals offer the simultaneous remodeling (reconstruction) of the mammary gland or planned plastic surgery in the long-term period, with a persistent absence of relapses

Individual Treatment Programs for Breast Cancer
The bookinghealth.com service will help ease the selection of a medical center abroad, which treats cancer on the basis of the individually developed schemes. Therapeutic programs are compiled on the received diagnostic data from leading oncologists and doctors of related specialties. This approach leads to high chances of cure and reduction of the recovery period.

Sectoral resection relieves women from severe stress, which favorably affects the psychological condition of the patient in the postoperative period.

Attentive staff and comfortable living conditions in the hospitals are the additional benefits of treatment abroad.

The average cost of the operation is 6,000 euros, a course of chemotherapy costs 8,000 euros, while the price of radiation therapy reaches 10,000 euros. The prices are approximate, in different hospitals of the same country they vary in a wide range. The cost of treatment can be influenced by the stage and form of the disease, the types of surgical techniques used, the number of additional medical services selected by the patient in the postoperative period.
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June 20, 2019

Lutetium PSMA Therapy: Cost, Indications, and Specialized Centers

Prostate-specific membrane antigen therapy with Lutetium-177 (Lutetium-177 PSMA therapy) is the easily administered targeted therapy for metastatic prostate cancer. The procedure was elaborated by a group of urologists, oncologists, and radiologists from the University Hospital Heidelberg and German Cancer Research Center.

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Prostate-specific membrane antigen therapy with Lutetium-177 (Lutetium-177 PSMA therapy) is the easily administered targeted therapy for metastatic prostate cancer. The procedure was elaborated by a group of urologists, oncologists, and radiologists from the University Hospital Heidelberg and German Cancer Research Center.

As a result of the coordinated scientific work, specialists have created the unique molecule – PSMA-617. PSMA-617 is able to recognize prostatic cells, delivering the radiopharmaceutical exactly to the necessary location. Clinical trials show that over 80% of patients with advanced cancer have demonstrated significant response to therapy.

Role of PSMA therapy with Lutetium-177 in the prostate cancer treatment

Treatment of the prostatic cancer rarely starts from the PSMA therapy with Lutetium-177 administration. The initial measures usually include:
  • Surgery (i.e. radical prostatectomy) – removal of the whole tumor and neighboring tissues. Performed at the early disease stage, this is the most efficient therapy.
  • Primary radiotherapy – irradiation of the tumor that leads to its destruction.
  • Androgen deprivation therapy – deprived from the hormonal stimulation, tumor stops its progression.
  • Chemotherapy – makes tumor and its metastases shrink, giving additional months of life.

PSMA therapy with Lutetium-177 is a last-line treatment option, as it can be successfully performed is patients with drug-resistant metastatic cancer. Precisely irradiating remains of the primary tumor and metastases (including the bone ones), Lutetium-177 the same time spares healthy tissues.

Therapy is well tolerated by patients, who are already debilitated by the oncologic process. Although careful observation is required during the procedure, a patient can leave hospital on the same day or the day after.

What affects the costs of Lutetium-177 PSMA therapy?

Lutetium-177 PSMA therapy is performed according to the approved international protocols. Nevertheless, cost of the procedure is not the same in all hospitals. The final price depends on a number of factors:
  1. Preliminary diagnostic program. The patient needs PSMA PET-CT imaging, kidneys functional tests, and osteoscintigraphy.
  2. Quantity of the Lutetium-177 solution. It is calculated based on the patient’s height and weight, age, and kidney function.
  3. Duration of the course. Number of the procedures is determined by localization of metastases, size of the tumor, and response to treatment.
  4. Country and hospital. For example, medical program at the University Hospital Muenster, Germany will cost 14,083 €. Cost of the same therapy at the Charite University Hospital Berlin, Germany will reach 19,952 €.
  5. Presence of the comorbidities. A patient may need simultaneous therapy for managing cardiac symptoms, diabetes mellitus, etc.

Moreover, Lutetium PSMA therapy cost for the international patients may include extra fees and additional coefficients.

Undergoing treatment with Lutetium-177 in the world’s leading hospitals

PSMA therapy with Lutetium-177 is available in a limited number of hospitals, as the procedure is carried out in accordance with the protocol of radiation protection. In addition, radiopharmaceutical is manufactured individually for the patient, as it is unstable and cannot be stored.

Hospitals of Germany, the country-founder of the PSMA therapy, offer high-quality medical services at affordable prices. If you are not a German citizen, you still can apply for receiving the Lutetium-177 PSMA therapy in one of the leading healthcare institutions. In this case, it is better to use help of Booking Health.

Booking Health is a certified medical tourism operator that assists patients from 75 countries in undergoing therapy abroad. Specialists of Booking Health will give you the professional advice in hospital selection, book urgent appointment, exclude overpricing and additional fees, take care about accommodation and interpreter, and stay in touch with you 24/7.

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June 12, 2019

Isla Sugbu Seafood City, Cebu City

During our stay in Cebu for the Chemistry Congress, one of our suppliers invited us to a dinner in a nearby restaurant – Isla Sugbu Seafood City.
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City

From the name itself, you can already know that foods served here are seafood.

Upon entering the place, it is not just an ordinary restaurant pala, there is fresh seafood corner where you can pick all you want and ask them to cook.

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Different kinds of fish

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Fresh Oysters

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

There are crews that will assist you while picking and they are also suggesting what dish is the best.

After picking the seafood and waiting for it to be served, there is a buffet table where you can have soup, grilled pork, fried chicken, rice and pancit.
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Finally, the food is being served.
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Spicy Crabs

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Steamed Shrimps

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Adobong Pusit
The food tastes great and this is recommended for those who will visit Cebu City. Hindi masasayang ang ibabayad. The price for unlimited paluto is 799 per head.

Isla Sugbu Seafood City is located at Grand Convention Center of Cebu, Archbishop Reyes Avenue, Cebu City.

It opens at 11am to 2pm and reopens at 6pm.
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