By John R. Evans M.D., D.Phil. (Oxon.), F.A.C.P., F.R.C.P.(C) (auth.), John O. Godden M.D., C.M., M.Sc.(Med.), F.R.C.P.(C), M.A.(Educ. Th.) (eds.)
Viewed as contributions to carrying on with clinical schooling, many clinical conferences disappoint simply because, even though application committees plan with care, collect first-class college and reveal them to their friends, to different physicians and to deal with employees. the influence is evanescent. conferences fritter away a lot specialist time and public cash to stimulate the particularly few who attend. for that reason the dictum "Hold a symposium and succeed in a couple of hundred; stream a complaints and achieve the realm. " regardless of this dictum, many organizers of medical conferences turn away from the booklet of court cases. insisting that academics won't take part in the event that they need to arrange publishable manuscripts and, in the event that they do comply with arrange them, will hold up for months or, sometimes, won't come via in any respect. even though, this can be a question of association and backbone: e. g . . a few software chairmen make the check of expenditures and honoraria contingent upon receipt of a publishable manuscript. Cox and his colleagues in Australia went one larger: they prepared the 1st overseas melanoma convention in Sydney in November 1972 and released a two-volume lawsuits ("Melanoma and dermis melanoma" and 'The Nature of Leukemia") earlier than the conferences begun. As Dr. Cox notes, "This preprinting of the entire papers freed every one speaker from the need of recounting huge amounts of information in order that each one paper might be opened extra swiftly and provocatively after which defended in dialogue" (Report of the foreign melanoma convention, Med J an inventory, I: 12-33, June 24, 1972).
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Extra resources for Cancer in Childhood
Sample text
This study would not be possible without the contributions they make, and the co-ordinating and administrative assistance supplied by the American Academy of Pediatrics which sponsors the Study. REFERENCES LADD, W. : Embryoma of the kidney (Wilms' tumor). Ann Surg, 108:885, 1938. 2 GROSS, R. E. and NEUHAUSER, E. B. : Treatment of mixed tumors of the kidneys in childhood. Pediatrics, 6: 843, 1950. : Chemotherapy in the treatment of leukemia and Wilms' tumor. JAMA, 198:826,1966. 4 WOLFF, 1. , NEWTON, W.
When the whole abdomen was radiated, the normal kidney was shielded in the posterior t1eld and received approximately one-half the tumor dose. 33 It seems likely that a major reason for the poor survival of children in Group III before 1957 was the failure to adequately irradiate all of the tumor, and, that the change in radiotherapy was responsible, at least in part, for the improved survival in Group III since 1957. The effect of the change in radiotherapy cannot be properly evaluated because only a small number of children were treated with the enlarged field before actinomycin-D was added to the regimen.
Twenty-four per cent had residual tumor in the abdomen after operation (Group Ill), 10% had distant metastases at diagnosis (Group IV), and 3% presented with bilateral tumors (Group V). One patient who had bilateral tumors and lung metastases, has been included only in Group IV. d I II lor II III IV 24} 20 51 Per cent 63 19 V Not stated 39 7 1 1 24 10* 3 100% 100% - *One case had bilateral tumors as well. SURVIVAL Since 1957 the survival has improved in every group (Table III). In Groups I and II, the five-year survival has almost doubled from 40% to 75%; and in Group III, , it soared from 5% to 52%.