In Mali, local governments do not directly manage curative services, but instead delegate management to community health associations.
This is an important consideration for men faced with the choice between conservative management and curative treatment.
The remaining 1074 (84%) patients had surgical management with curative intent; 328 of whom (30.5%) were screen detected.
The effect of adjuvant chemotherapy outside of East Asia is uncertain, and standard management following curative surgery is heterogeneous throughout the world [ 18].
Surgical management with curative intention was possible for 23 patients (65.7%), 17 of which in group A, and consisted either of exeresis of the recurrent neoplasm (10 cases), re-resection (7 cases) or Miles operation (6 cases).
As a result, the diseases' management, both curative and palliative, is complex and involves many different professional groups including surgeons, gastroenterologists, oncologists, palliative care physicians, radiologists, nurse specialists and dieticians [ 4- 7].
Although the Scandinavian trial provides the best available data comparing conservative management and curative treatment, there are very major differences between Scandinavian practice during the early 1990s and contemporary clinical practice.
Curative management includes surgery to cut out a cancer or radiotherapy to burn cancer cells; both are performed with the intent of eradicating the cancer.
However, there no official recommendations on the preventive or curative management of those erlotinib-related skin effects (ERSE).
Taking this watershed as a practical example, we compare curative management measures, such as pond introduction, and preventive measures, namely conversion to organic farming practices, using model simulations.
