People are always looking for new jobs, but they sometimes look beyond their reach. This is one of the first aspects you will deal with when you are going to use a regular job site so you can find a position in a specific field. If you do not want to deal with bogus competition for certain jobs, you have to find sites that specialize in your field.For instance, if you are looking for medical jobs, should you turn to a regular site to find a position that will meet your demands? Should you deal with all the other people that will apply for the same job even if they do not have the skill or the training for it? If you are looking for accurate results, you have to use specialized sites for the task.A site that specializes in medical jobs from secretaries to brain surgeons will always filter through the results you will get. If you turn to a regular job site, you will get the wrong impression that there are many other people who are up for the same challenge. In reality only a very small part of the applicants will be called at an interview for the job.If you will turn to a site that specializes in ads for medical jobs will keep the bogus competition away. This is where you will only find people who have been trained for a position in a medical office or the ones that already have the experience needed for the task. This is where you will find out how many other candidates you will compete with.One of the things you have to keep in mind is that you do not have to go through med school so you can occupy medical front office jobs. You will need a little more training than just a regular secretary course, but you will need to focus on your skills before you will apply. This is going to play the most important role in the decision you make.If you know the terms you will deal with and you have excellent skills when it comes to organization, the medical front office jobs will be available on the spot. Once you find the positions that will meet your demands, you should apply and then you must wait for their call. If they like your resume they will surely organize an interview for you.Always be sure to include all the right details that will help you get the medical front office jobs. The experience you have in the field and the training you have been through so you can occupy such a position should be at the top of the list. There are several other aspects that might help you get the interview, but pointless details will not have any impact on the employers. The site of doctorcpr.com will help you connect with the offices that are hiring.

Submitted by: P Nagpal Nagpal

Wilms Tumo

Overview

Wilms’ Tumo

Wilms’ tumor is a rare type of kidney cancer that affects children. It causes a tumor on one or both kidneys. Having certain genetic conditions or birth defects can increase the risk of developing Wilms’ tumor. Children who are at risk should be screened for Wilms’ tumor every three months until they turn eight.

Possible signs of a kidney tumor include a lump in the abdomen and blood in the urine. The tumor is usually diagnosed and removed in surgery. Other treatments include chemotherapy, radiation, biologic therapy or a combination. Biologic therapy, or immunotherapy, boosts your body’s own ability to fight cancer. Most children with Wilms’ tumor can be cured.

What causes Wilms’ tumor?

The causes of all Wilms’ tumor are not known. However, some of these tumors appear to result from changes in one or more of several genes. In the majority of cases, the genetic changes occur only in the kidney cells and not in other cells of the body. However, in some cases, other parts of the body are also affected. Some patients with Wilms’ tumor are born with certain congenital anomalies, including absence of the iris of the eye (aniridia) or abnormalities of the urinary tract. Although it is rare, Wilms’ tumor sometimes runs in families, which further supports a genetic connection.

Diagnosis

Several tests are used to confirm a Wilms tumor diagnosis and determine the stage of the disease.

Tests that might be used include: –

* Ultrasonography (ultrasound or US), usually the first tool used to diagnose the condition, uses sound waves instead of X-rays to generate an image of the area doctors wish to view.

* Computed tomography (CT or CAT scan) produces a detailed cross-sectional view of an organ through X-rays. It is extremely useful in detecting tumors and determining whether cancer has spread to other areas.

* Magnetic resonance imaging (MRI) uses radio waves and strong magnets to produce detailed pictures of the internal parts of the body. This provides more intricate images that allow doctors to see if the cancer has invaded any major blood vessels near the kidney.

* X-rays are used to look for any metastasized areas, especially in the lungs.

* Bone scans use small amounts of radioactive material to highlight areas of diseased bone, if any exist.

* Laboratory tests such as blood tests and urinalysis check the general health of a patient and to detect any adverse side effects (such as low red or white blood cell counts) of the treatment.

Signs and symptoms of Wilms’ tumo

The most common signs and symptoms of Wilms’ tumor include: –

* A lump or mass in the abdomen of an otherwise well child

* Abdominal pain

* Blood in the urine

* High blood pressure

* Feve

* Diarrhea

* Weight loss

* Urogenital infections

* Anemia

* Shortness of breath

* A general feeling of being tired and unwell

* Nausea and vomiting (these are rare)

Treatment

Treatment is determined by many factors, the most important being the stage of the cancer at diagnosis, and the condition, or histology, of the cancer cells when observed under a microscope. “Favorable” histology is associated with a good chance of a cure; tumors with “unfavorable” histology are more aggressive and difficult to cure. About 95% of Wilms tumors have favorable histology.

Doctors use a staging system to describe the extent of a metastasized tumor. It is extremely useful in determining prognosis (possibility for a cure) and the best course of treatment. For example, a child with very aggressive disease should be given an intensive regimen of medication to achieve the best chance for a cure. A child with less-invasive disease should be given the least amount needed to reduce long-term side effects from toxicity.

The stages are: –

* Stage I: – Cancer is found in one kidney only and can be completely removed by surgery. About 41% of all Wilms tumors are stage I.

* Stage II: – Cancer has spread beyond the kidney to the surrounding area, but can be completely removed by surgery. About 23% are stage II.

* Stage III: – Cancer has not spread beyond the abdomen, but cannot be completely removed by surgery. About 23% are stage III.

* Stage IV: – Cancer has spread to distant parts of the body; most commonly, the lungs, liver, bone, and/or brain. About 10% are stage IV.

* Stage V: – Cancer is found in both kidneys at diagnosis (also called bilateral tumors). About 5% are stage V.

Surgery is most often used to treat Wilms tumor. For stages I through IV, a radical nephrectomy ? removal of the cancer along with the entire kidney, ureter (tube that carries urine from the kidney to the bladder), adrenal gland (hormone-producing gland that sits on top of the kidney), and surrounding fatty tissue ? is done.

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