Ductal carcinoma in situ (DCIS) of the breast represents a heterogeneous group of neoplastic lesions in the breast ducts. The goal for management of DCIS is to prevent the development of invasive breast cancer. This manuscript focuses on the NCCN Guidelines Panel recommendations for the workup, primary treatment, risk reduction strategies, and surveillance specific to DCIS.

https://www.unitypoint.org/desmoines/filesimages/Cancer%20Education/Oncology%20Nursing%20Conference/2015/2014%20NCCN%20Clin%20Pract%20Guidelines%20Male%20Sex%20Dysf.pdf

Clinical practice guidelines in oncology

https://uroweb.org/wp-content/uploads/14-Male-Sexual-Dysfunction_LR1.pdf

Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation.

If written concisely and unrepetitively, this book would occupy about one-third the space, be considerably clearer, and correspondingly less impressive. Part of its impressiveness is its style: not a personal pronoun anywhere; only the Foundation. The language is somewhat simpler than its earlier companion piece, Human Sexual Response , but it is still virtually unreadable. Sample: "Women entering therapy in a state of non-orgasmic return reflected complete failure of any effective alignment of their biophysical and psychosocial systems of influence." Meaning? The convoluted phraseology, contradictions, and reifications strike a familiar note. Like the Madison Avenue ad men who gave us "midriff bulge" and "tattletale grey," Dr. Masters offers an assortment, representative of which are "sensate focus," "endpoint release," and "coital opportunity"—joining earlier creations like "orgasmic platform." The book contains a 56-page bibliography, but the text does not show that the listed material has been utilized within the book, in the usual

Human Sexual Inadequacy

Erectile dysfunction is a common clinical entity that affects mainly men older than 40 years. In addition to the classical causes of erectile dysfunction, such as diabetes mellitus and hypertension, several common lifestyle factors, such as obesity, limited or an absence of physical exercise, and lower urinary tract symptoms, have been linked to the development of erectile dysfunction. Substantial steps have been taken in the study of the association between erectile dysfunction and cardiovascular disease. Erectile dysfunction is a strong predictor for coronary artery disease, and cardiovascular assessment of a non-cardiac patient presenting with erectile dysfunction is now recommended. Substantial advances have occurred in the understanding of the pathophysiology of erectile dysfunction that ultimately led to the development of successful oral therapies, namely the phosphodiesterase type 5 inhibitors. However, oral phosphodiesterase type 5 inhibitors have limitations, and present research is thus investigating cutting-edge therapeutic strategies including gene and cell-based technologies with the aim of discovering a cure for erectile dysfunction.

Erectile Dysfunction

Erectile Dysfunction: AUA Guideline.

The Princeton Consensus (Expert Panel) Conference is a multispecialty collaborative tradition dedicated to optimizing sexual function and preserving cardiovascular health. The third Princeton Consensus met November 8 to 10, 2010, and had 2 primary objectives. The first objective focused on the evaluation and management of cardiovascular risk in men with erectile dysfunction (ED) and no known cardiovascular disease (CVD), with particular emphasis on identification of men with ED who may require additional cardiologic work-up. The second objective focused on reevaluation and modification of previous recommendations for evaluation of cardiac risk associated with sexual activity in men with known CVD. The Panel's recommendations build on those developed during the first and second Princeton Consensus Conferences, first emphasizing the use of exercise ability and stress testing to ensure that each man's cardiovascular health is consistent with the physical demands of sexual activity before prescribing treatment for ED, and second highlighting the link between ED and CVD, which may be asymptomatic and may benefit from cardiovascular risk reduction.

/pdf/the-princeton-iii-consensus-recommendations-for-the-2tee8nsl63.pdf

The Princeton III Consensus Recommendations for the Management of Erectile Dysfunction and Cardiovascular Disease

Thyroid lodohormones in the plasma of the rooster (Gallus domesticus)

Introd.action The challenge in the field of sexual medicine is to develop evidence-based principles for clinical evaluation and create a uniform, widely accepted diagnostic and treatment approach for all sexual problems and dysfunctions, for both genders. Airn. 'To provide recommendations for the broad approach for assessing sexual problems in a medical practice setting; to develop an evidence-based diagnostic and treaffnent algorithm for men and women with sexual dysfunctions. Metbods- The PubMed literature was reviewed. Expert opinion was based on the grading of evidence-based medical literature and the Delphi consensus process. Reslallrl,, The Committee determined three principles for clinical evaluation and management: (i) adoption of a parient-centered framework, with emphasis on cultural competence in clinical practice; (ii) application of evidencebased medicine in diagnostic and treaunent planning; (iii) use of a unified management approach in evaluating and trearing sexual problems in both men and women. The International Consultation in Sexual Medicine-5 stepwise diagnostic and treatrnent algorithm was developed for that purpose. According to this algorithm, sexual, medical, and psychosocial history is mandatory whereas physical examination and laboratory tests are highly recommended in most cases. Furthermore, the Brief Sexual Slnnptom Checklist (BSSC) for Men and BSSC for Women, and more recently the Sexual Complaina Screener (SCS) for Men and SCS for Women, were all endorsed for screening purposes. A classification system was also defined; clinically, sexual dysfunctions are categorized in three qpes according to their etiology ($pe I: psychogenic; Type II: organic; Type III: mixed). Final recommendations on specialized diagnostic tests were based on level of evidence. Conclusions. A unified diagnostic and management strategy in sexual medicine, irrespective of condition and gendeq would improve parients' sexual well-being. It would also lead to the development of academic curricula to provide practicing physicians across specialties with the needed skills to meet contemporary patients' needs in sexual medicine health-care delivery. Hatzichristou D, Rosen RC, Derogatis LR, LowWY, Meuleman EJH, Sadovsky R, and S;rrnonds Tl Recomrnendations for the clinical evaluation of rnen and women with sexual dysfunction. J Sex Med 2OlO;72337-348.

Richard Sadovsky

Papers

The Princeton III Consensus Recommendations for the Management of Erectile Dysfunction and Cardiovascular Disease

Thyroid lodohormones in the plasma of the rooster (Gallus domesticus)

with Sexual Dysfunction