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Solved: Add total number of pages in the bottom-of- page of...
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greater than 95% and 80%, respectively That said, radiation therapy carries substantial morbidity and many early tumors (T1 and T2 lesions, without involved nodes) and selected advanced tumors (T3 and T4) may be treated with partial laryngectomy if at least one cricoarytenoid unit can be preserved Five-year locoregional cure rates exceed 80 90% with surgery, and patient-reported satisfaction is excellent In supraglottic tumors, even when clinically N0, elective limited neck dissection is indicated following surgical resection because of the high risk of neck node involvement For very advanced tumors, cisplatin-based chemoradiation protocols are used Twenty-five years ago, total laryngectomy was often recommended for such patients However, the 1994 VA study (with induction cisplatin and 5-fluorouracil followed by irradiation alone in responders) demonstrated that two-thirds of patients could preserve their larynx Since that study, cisplatin-based chemotherapy concomitant with radiation therapy has been shown to be superior to either irradiation alone or induction chemotherapy followed by radiation However, chemoradiation is associated with prolonged gastrostomy-dependent dysphagia This high rate of chemoradiation-associated dysphagia has prompted a reevaluation of the role of extended, but less-than-total, laryngeal surgery for selected advanced laryngeal carcinoma in which at least one cricoarytenoid unit is intact In addition, overall success in the treatment of larynx cancer has declined in parallel with the increase in organ preservation chemoradiation therapy Some experts have proposed that this decline is the direct result of the shift in management of advanced laryngeal cancer away from surgery Organ preservation surgery should be considered and discussed as an alternative to chemoradiation Patient comorbidities and patient choice, after thorough discussion, play an important role in the choice between surgery and chemoradiation The patient and treating clinicians must carefully consider different side effects and complications associated with different treatment modalities The presence of malignant adenopathy in the neck affects the prognosis greatly Supraglottic tumors metastasize early and bilaterally to the neck, and this must be included in the treatment plans even when the neck is apparently uninvolved Glottic tumors in which the TVCs are mobile (T1 or T2) have less than a 5% rate of nodal involvement; when a cord is immobile, the rate of ipsilateral nodal involvement climbs to about 30% An involved neck is treated by surgery or chemoradiation, or both This decision will depend on the treatment chosen for the larynx and the extent of neck involvement Total laryngectomy is largely reserved for patients with far-advanced resectable tumors with extralaryngeal spread or cartilage involvement, for those with persistent tumor following chemoradiation, and for patients with recurrent or second primary tumor following previous radiation therapy Voice rehabilitation via a primary (or at times secondary) tracheoesophageal puncture produces intelligible and serviceable speech in about 75 85% of patients Indwelling prostheses that are changed every 3 6 months are a common alternative to patient-inserted prostheses, which need changing more frequently.



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7. Sept. 2017 ... In a recent project I needed to add header and footer text (like page ... You can find the total number of pages within the returned jsPDF -Object ...

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Generating PDFs from Web Pages on the Fly with jsPDF — SitePoint
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of significant tobacco use, and often with alcohol SCC is usually seen in men age 50 70 years; about 13,000 new cases are seen in United States each year A change in voice quality is most often the presenting complaint, although throat or ear pain, hemoptysis, dysphagia, weight loss, and airway compromise may occur Neck metastases are not common in early glottic (true vocal cord [TVC]) cancer in which the vocal cords are mobile, but a third of patients in whom there is impaired cord mobility will also have involved lymph nodes at neck dissection Supraglottic carcinoma (false vocal cords, aryepiglottic folds, epiglottis), on the other hand, often metastasizes to both sides of the neck early in the disease Complete head and neck examination, including laryngoscopy, by an experienced clinician is mandated for any person with the concerning symptoms listed under Essentials of Diagnosis





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Adding Footer to pdf using jsPDF - Stack Overflow
Using "Total page number " plugin available in jspdf v1.0+ ... 0) { footer = footer[0]; //bad hack to get height of footer //creat dummy out and check ...

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toDataURL(" image /png", 1.0); var width = onePageCanvas.width; var height ... setPage(i+1); //! now we add content to that page ! pdf.

RADIUS Remote Authentication Dial-In User Service (RADIUS) is the better known of the two AAA standards and, as its name implies, was created to support ISPs with thousands of modems in hundreds of computers to connect to a single central database RADIUS consists of three devices: the RADIUS server that has access to a database of user names and passwords, a number of Network Access Servers (NASs) that control the modems, and a group of systems that dial into the network (Figure 11-23)

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pageCount; // Total page number plugin only available in jspdf v1.0+ if (typeof doc.putTotalPages === 'function') { str = str + " of " + totalPagesExp; } str = str + ".

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Radiologic evaluation by CT or MRI is helpful in assessing tumor extent Imaging evaluates neck nodes, tumor volume, and cartilage sclerosis or destruction A chest CT scan is indicated if there are level VI enlarged nodes (around the trachea and the thyroid gland) or IV enlarged nodes (inferior to the cricoid cartilage along the internal jugular vein) or if a chest film is concerning for a second primary lesion or metastases Laboratory evaluation includes complete blood count and liver function tests Formal cardiopulmonary evaluation may be indicated, especially if partial laryngeal surgery is being considered A positron emission tomography (PET) scan or CT-PET scan may be indicated to assess for distant metastases when there appears to be advanced local or regional disease

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Diagnosis is made by biopsy at the time of laryngoscopy At that time, true cord mobility and arytenoid fixation, as well as surface tumor extent, can be evaluated Most otolaryngologists recommend flexible esophagoscopy and flexible bronchoscopy at that time to exclude synchronous primary tumor Although an FNA biopsy of an enlarged neck node may have already been done, it is generally acceptable to assume radiographically enlarged neck nodes (> 1 15 cm) or nodes with necrotic centers are neck metastases Open biopsies of nodal metastases should be discouraged because they may lead to higher rates of tumor treatment failure

Staging is helpful in discussing laryngeal cancer, but a number of factors that are not included in the TNM staging are also important in deciding treatment recommendations

Treatment of laryngeal carcinoma has four goals: cure, preservation of safe effective swallowing, preservation of useful voice, and avoidance of a permanent tracheostoma For early glottic and supraglottic cancers, radiation therapy is the standard of care since cure rates are

Long-term follow-up is critical in head and neck cancer patients In addition to the 3 4% annual rate of second tumors and monitoring for recurrence, psychosocial aspects of treatment are common Dysphagia, impaired communication, and altered appearance, may result in patient difficulties adapting to the workplace and to social interactions In addition, smoking cessation and alcohol abatement are common challenges Nevertheless, about 65% of patients with larynx cancer are cured, most have useful speech, and many resume their prior livelihoods with adaptations

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How to Add Multiple Image to PDF Using JSPDF Javascript Code
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24 Dec 2018 ... jsPDF provides a very useful API, addPage(), we can add a page of ... not displayed (var PDF = new jsPDF ('','pt','a4'); the size of A4 paper in ...












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