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Cancer and Air Pollution: The Delhi Dilemma
Cancer and air pollution are deeply intertwined in Delhi, where pollution levels rank among the highest globally. Prolonged exposure to particulate matter and carcinogenic toxins in the air increases the risk of respiratory and lung cancers. The city's residents face a significant health burden, particularly vulnerable groups like children and the elderly. Addressing this challenge requires stringent pollution control measures, public health awareness, and policy interventions. The Delhi dilemma underscores the urgent need for sustainable urban planning and environmental regulations to protect public health.
About the Speaker
Dr. Pradeep Kumar Karumanchi
Consultant Radiation Oncologist, Yashoda Hospitals, Hyderabad
Dr. Pradeep Kumar Karumanchi is one of the best Radiation Oncologists in Hyderabad with expertise in treating all types of cancers. He has been trained in High Precision Radiotherapy Techniques like Cyberknife, Tomotherapy, SRS, SBRT, VMAT, IGRT, IMRT, TBI and HDR Brachytherapy. He has been trained at prestigious Institutes in India and abroad. He also received specialty training in Urologic Oncology and GI Oncology from world renowned Memorial Sloan-Kettering Cancer Center(MSKCC), USA. He received training in Thoracic Oncology from Univ. of Michigan, USA and Precision Oncology from Univ. de Geneve, Switzerland. He is actively involved in clinical research and has scientific publications in International journals. He believes in the ‘Quality-of-LIfe’ concept and treats patients with special consideration in improving their quality of life. He has special interest in Radiomics and Radio-genomics with Active Precision Oncology Research in the imaging space and the usage of artificial intelligence in prognosticating and predicting the outcomes and side-effects of cancer. He specializes in radiotherapy for Head and Neck cancers , Brain tumors, Breast cancer, Lung cancer, Prostate cancer and Gynecological cancers.
Upcoming Case Discussions
Clinician’s Approach to Multiple Fractures
A clinician's approach to multiple fractures involves a systematic assessment to prioritize life-threatening injuries and stabilize the patient. This typically includes evaluating the severity and location of fractures, considering any associated complications like hemorrhage or organ injury, and determining the best course for surgical or conservative management. Early intervention, pain management, and multidisciplinary coordination are key to optimizing recovery and preventing long-term disability.
Diabetes Type 2 Early Intervention
Early intervention in Type 2 diabetes focuses on lifestyle changes, such as improved diet and regular physical activity, to prevent or delay the onset of the disease. Timely management, including monitoring blood sugar levels and addressing risk factors, can significantly reduce complications and improve long-term health outcomes.
Approach to Non-Alcoholic Fatty Liver Disease
The approach to Non-Alcoholic Fatty Liver Disease (NAFLD) primarily focuses on lifestyle modifications, including weight loss through a balanced diet and regular physical activity, as these are key factors in reducing liver fat and improving liver function. Management also involves controlling associated conditions like diabetes, hypertension, and hyperlipidemia through medication and dietary adjustments. Regular monitoring of liver enzymes, imaging, and in some cases, liver biopsy, helps assess disease progression. Early intervention can prevent the development of more severe liver conditions, such as non-alcoholic steatohepatitis (NASH) and cirrhosis.
Approach to Cardiopulmonary Bypass
The approach to cardiopulmonary bypass (CPB) involves temporarily taking over the function of the heart and lungs during open-heart surgery, allowing the heart to be still while vital procedures are performed. The CPB machine circulates blood and oxygenates it, maintaining systemic circulation and oxygen delivery to tissues. Proper management of CPB requires careful monitoring of hemodynamics, blood gas levels, and coagulation status to minimize complications. Key challenges include managing the inflammatory response, preventing organ dysfunction, and ensuring proper weaning from the bypass machine once surgery is completed. Advances in CPB technology and techniques continue to improve patient outcomes, with a focus on reducing risks such as stroke, bleeding, and renal injury.
Approach to Severe Respiratory Distress in ED
In the emergency department, the approach to severe respiratory distress begins with a rapid assessment to determine the underlying cause, including airway obstruction, pulmonary pathology, or cardiovascular issues. Immediate interventions, such as oxygen supplementation, nebulized bronchodilators, intubation, or non-invasive ventilation, are implemented based on the severity and etiology, with close monitoring for signs of deterioration.