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Strategy 1.1: Identify available and recommended information and educational resources to promote informed treatment decision-making, to facilitate access to state-of-the-science cancer treatment and IRB-approved clinical trials, and to promote improved quality of life post-treatment. Such resources should include print materials, websites, telephone information systems and other resources provided by the National Cancer Institute, the American Cancer Society, the National Coalition for Cancer Survivorship, the Lance Armstrong Foundation and other recommended and authoritative sources.
Strategy 1.2: Where gaps exist in available information and educational resources for cancer survivors, develop new information and educational resources to fill these gaps.
Strategy 1.3: Conduct professional educationl programs and other outreach efforts to increase the number of cancer resource centers at hospitals, medical centers and clinics.
Strategy 1.4. Form partnerships with public libraries, worksites and other community-based organizations to make these information and educational resources available to cancer survivors in their local communities.
Strategy 1.5. Continue to support and expand interactive decision-making support tools available on the CCC website and other vetted websites.
Strategy 1.6. Efforts by the CCC to increase the number of information and education resources for cancer survivors should include, as a high priority, resources that will effectively respond to the needs of low literacy and culturally diverse populations. Such efforts should include developing partnerships with organizations and other intermediaries that can provide access to underserved communities.
Strategy 1.7. CCC should include, as a high priority, increasing the number of information and educational resources that specifically focus on the critically important and distinct areas of rehabilitation, palliative care and end-of-life care.
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Strategy 2.1. Create a centralized resource directory and clearinghouse of information and educational resources that can be accessed by the diverse populations of cancer survivors in Colorado (e.g., print, electronic and telephone; low literacy and non-English speaking cancer survivors).
Strategy 2.2. Expand the Colorado Coalition website to include links to other authoritative and approved websites that provide information and educational resources for cancer survivors.
Strategy 2.3. For newly diagnosed patients or patients with a recurrence, provide an oncology practice locator service to help match the patient to the provider organization most appropriate to treat the patient based on the patient’s medical profile and geographic proximity to the patient.
Strategy 2.4. For newly diagnosed patients or patients with a recurrence, provide a locator service for IRB-approved clinical trials based on the patient’s medical profile and geographic proximity of the trial to the patient.
Strategy 2.5. Conduct professional educational programs, including CME-accredited courses, to increase awareness of these information and educational resources by physicians, nurses, community and clinical navigators and other health professionals, and to encourage referrals to these resources for cancer survivors.
Strategy 2.6. Conduct cancer summits, educational seminars, workshops and other outreach efforts in the community to promote use of these information and educational resources by cancer survivors.
Strategy 2.7. Develop and implement a systematic and on-going campaign to promote use of these information and educational resources by cancer survivors using both traditional media and new social media technology.
Strategy 2.8. Drawing upon the substantial expertise that already exists in Colorado, conduct training workshops to promote the development and implementation of cancer resource centers in hospitals, medical centers and clinics statewide, as well as in public libraries, worksites and other community venues.
Strategy 2.9. Form a “Colorado Association of Cancer Survivorship Information Programs” to continue strategic planning, implementation and dissemination of community-based information and educational programs for cancer survivors statewide.
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Strategy 3.1. Identify available and recommended service programs for cancer survivors, including patient navigator programs, cancer support groups, behavioral programs for cancer survivors, cancer survivorship clinics, rehabilitation programs, and palliative care and end-of-life programs.
Strategy 3.2. Where gaps in geography exist in access to these programs and services, conduct workshops and training programs to either implement such programs at hospitals, medical centers and clinics to minimize or eliminate these gaps, and/or to promote referral patterns that would likewise minimize or eliminate these gaps for cancer survivors.
Strategy 3.3. Efforts by the CCC to increase the number of sustainable service programs for cancer survivors should include, as a high priority, efforts to develop and extend the reach of effective and sustainable evidence-based programs for low literacy and culturally diverse populations.
Strategy 3.4. Similar efforts by CCC should likewise include, as a high priority, efforts to develop and extend the reach of effective and sustainable evidence-based programs in the critically important areas of rehabilitation, palliative care and end-of-life care.
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Strategy 4.1. Create a centralized resource directory and clearinghouse of cancer survivor programs that can be accessed by the diverse populations of cancer survivors in Colorado (e.g., print, electronic and telephone; low literacy and non-English speaking cancer survivors).
Strategy 4.2. Conduct professional educational programs targeting physicians, nurses, clinical and community navigators and other health professionals, including CME-accredited courses, to increase awareness of these service programs and to promote referrals and access to these programs.
Strategy 4.3. Conduct cancer summits, educational seminars, workshops and other outreach efforts in the community to promote use of these service programs by cancer survivors.
Strategy 4.4. Develop and implement a systematic and on-going campaign to promote use of these programs by cancer survivors using both traditional media and new social media technology.
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Strategy 5.1. Identify available treatment summaries and care plans or tools to create such documents that are either currently being used in Colorado or are recommended for use by authoritative sources in cancer survivorship.
Strategy 5.2 . Create a centralized resource or clearinghouse of these treatment summaries and care plans, and promote the use of this clearinghouse by oncology specialists, primary care physicians, navigators and cancer survivors.
Strategy 5.3. Provide an evaluation tool for treatment summaries and care plans that will assess their comprehensiveness based on recommendations of the IOM. For those treatment summaries and care plans that do not adequately address all components, encourage oncology specialists to include this information, and primary care physicians and cancer survivors to request this information.
Strategy 5.4. Encourage, facilitate and collaborate in an expert review of existing treatment summaries and care plan templates regarding their utility for low literacy and culturally diverse populations. Based on this review, promote and collaborate in efforts to revise or develop new treatment summary and care plan templates as appropriate for low literacy and culturally diverse populations that address all key components recommended by the IOM.
Strategy 5.5. Conduct professional educational programs targeting physicians, nurses, clinical and community navigators and other health professionals, including CME-accredited courses, to increase awareness of the importance of treatment summaries and coordinated care plans with primary care practitioners, and to provide these summaries and care plans to cancer survivors post-treatment. These professional education efforts should include, as a high priority, promoting the use of cancer treatment summaries and care plans that are vetted and approved by CCC for low literacy and culturally diverse populations.
Strategy 5.6. Conduct cancer summits, educational seminars, workshops and other outreach efforts in the community to encourage and empower cancer survivors to request and receive a treatment summary and a coordinated care plan post-treatment. These outreach efforts should also include, as a high priority, promoting the use of cancer treatment summaries and care plans that are vetted and approved by CCC for low literacy and culturally diverse populations.
Strategy 5.7. Develop and implement a systematic and on-going campaign, using traditional media and new social media technology, to encourage cancer survivors to request and receive a treatment summary and a coordinated care plan post-treatment.
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Introduction
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"Women internalize things -- they tend to blame themselves first, thinking it's because they have done something wrong, or that they are no longer attractive to their partner. In fact, the first thing a woman thinks when a man can't get an erection is that it's her fault, and nothing could be further from the truth," says Andrew McCullough, MD, director of sexual health and male infertility at NYU Medical Center in New York City.
Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. In March 1998, the Food and Drug Administration (FDA) approved Viagra, the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness.
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Nerve or spinal cord damage: Damage to the spinal cord and nerves in the pelvis can cause erectile dysfunction. Nerve damage can be due to disease, trauma, or surgical procedures. Examples include injury to the spinal cord from automobile accidents, injury to the pelvic nerves from prostate surgery, multiple sclerosis (a neurological disease with the potential to cause widespread damage to nerves), and long-term diabetes mellitus.
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Q. Is it difficult to persuade a man to inject his penis?
Meanwhile, the federal government announced last month that it is giving $30 million to researchers across the country over the next two years in an aggressive push to advance knowledge about BPA and end the debate about its safety.
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Erectile Dysfunction At A Glance
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The problem does not go away with self-care measures -- effective treatments are available
A. Patients typically achieve an erection within 20 minutes. The erection can last between 30 and 90 minutes, becoming more rigid with sexual stimulation. However, the erection does not always disappear immediately after ejaculation. If too much of the drug has been administered, priapism - an unwanted, prolonged erection that lasts for longer than three or four hours - can develop. This painful and dangerous medical condition is named for Priapus, the Greek god of procreation. It can lead to the destruction of erectile tissue if left untreated. Thankfully, this serious condition can be reversed by injecting an adrenaline-like drug into the penis.
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Steven G. Hentges of the American Chemistry Council, which represents the chemical industry, said the new study has little meaning for consumers. "Although this study presents interesting information, it has little relevance to average consumers who are exposed to trace levels of BPA," he said.
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This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. Doctors may inject a "contrast agent" into the patient's bloodstream that causes vascular tissues to stand out against other tissues. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies. Aside from the IV used to introduce the contrast material into the bloodstream, magnetic resonance angiography is noninvasive and painless.
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Erectile dysfunction, sometimes called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word "impotence" may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm. Using the term erectile dysfunction makes it clear that those other problems are not involved.
One variation of the vacuum device involves a semirigid rubber sheath that is placed on the penis and remains there after erection is attained and during intercourse.
HealthDay Reporter
While there are medications that can help treat erectile dysfunction, both Mydlo and Lipshultz advocated a healthy lifestyle for maintaining good sexual health.
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