Early diagnosis is of paramount importance to the subsequent prognosis, treatment, quality of life and ultimate survival of cancer patients.

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While a number of studies show corticosteroids and progestational agents cause an increase in appetite and even weight gain, these studies have not shown that they improve quality of life or survival.

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"I doubt whether we should have a system whereby the quality of the bar drives student choice and student choice drives the survival of our institutions in higher education, " she said.

BBC: Reforms 'could cause some universities to fail'

Both Xtandi and Zytiga, which are pills, have similar overall survival benefit relative to placebo, and quality-of-life data.

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Eagles hit the post with a powerful drive and Steven Fletcher had a goal contentiously ruled out for offside as Burnley demonstrated once again that the spirit and quality they show at home will be the bedrock of their battle for Premier League survival this season.

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In truth, the survival of dinosaurs like TEPCO owes more to their political clout than the quality of service they deliver.

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Other specialities will have to follow cardiothoracic surgery and fertility treatment in coming up with quality indicators: survival rates for individual heart surgeons have recently begun to be published and the success rates of IVF clinics are released.

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