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New frontiers in prostate cancer treatment with Actinium-225

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Prostate cancer is one of the most widespread malignant tumors in men. The pathology is successfully
treated in the first three stages, when the tumor can be removed or destroyed by radiation, but the disease at the metastatic stage becomes incurable. Surgery is usually not performed in such patients, and the main methods of treatment are hormonal and chemotherapy.

At a certain point this treatment stops working. 177Lu-PSMA-617 – Lutetium radiotargeted therapy,
becomes the next stage of treatment. A less common method of radiotargeted therapy is the treatment of prostate cancer with Actinium-225. It allows for a good outcome even in patients who have not responded to Lutetium therapy. In addition, the possibility of combined use of Actinium and Lutetium as part of tandem therapy is being investigated.

Principle of the method

Prostate cancer cells express a protein called prostate-specific membrane antigen (PSMA), which is not found in other tissues. PSMA is a target for the radiopharmaceutical. Once injected into the body, the drug accumulates only in tissues with high levels of PSMA because it binds to this protein. This results in a selective effect on the tumor and its metastases with minimal side effects.

Various radionuclides can be attached to ligands that target PSMA. The first such radionuclide was
Lutetium-177, which was synthesized in Germany in 2010, and its efficacy was first confirmed in trials in 2015. The good results were subsequently confirmed in a large study involving 13 university hospitals in Germany.

In recent years, Actinium-225 has been used instead of Lutetium. It destroys cancer cells with alpha
radiation.

Advantages and disadvantages of Actinium-225

Lutetium-177 is still considered the mainstay of radiotargeted therapy for castration-resistant prostate
cancer. However, Actinium is also used in certain situations, usually in patients with advanced cancer who have not responded to Lutetium treatment or when the efficacy of 177Lu-PSMA-617 has decreased after several courses (cancer progression has resumed).

Advantages of Actinium-225 over Lutetium-177:

● More pronounced effect due to alpha radiation causing double-strand breaks in DNA strands
● Less toxic effect on bone marrow and hematopoietic function due to shorter recovery time
● Works even in cases where the cancer is progressing against the background of Lutetium therapy

However, it is worth considering the disadvantages of this method:

● Limited evidence base compared to Lutetium
● Higher incidence of side effects, especially dry mouth

Who is a candidate for Actinium therapy

Radiotargeted therapy with Actinium is considered a novel treatment. The technique is indicated for
patients with metastatic castration-resistant prostate cancer (MCRPC) who:

● Have received Lutetium radiotargeted therapy but have not responded to it
● Have responded to Lutetium radiotargeted therapy, but have stopped responding after several
courses of treatment
● As part of tandem therapy: when Actinium and Lutetium are used in reduced doses

In summary, Actinium therapy is one of the last treatment options. It is used when chemotherapy, hormone therapy, radiotargeted therapy with Lutetium, and possibly targeted therapy (in the case of BRCA mutations, which occur in 28% of patients with metastatic prostate cancer) have already been tried. In addition, the choice of treatment tactics takes into account the location of the metastases. In the presence of predominantly bone metastases and pain syndrome, radionuclide therapy with Radium-223 is preferred, and in the presence of predominantly organ metastases, radiotargeted therapy with Lutetium or Actinium is performed.

If you want to undergo innovative treatment in Germany, visit Booking Health website. Our team will find a clinic for you and organize your trip.

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Top 5 Canadian Cities with Entertaining Nightlife

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Canada is renowned for its breathtaking landscapes, bustling cities, and vibrant culture. However, many people are unaware of the country’s thriving nightlife scene, from interesting clubs to cultural venues to gambling havens.

Whether you enjoy concerts, night shows, dance floors, entertainment parks, or brick-and-mortar casinos, Canada offers a diverse range of options to cater to your needs. These are the top seven fun destinations, highlighting the best nightlife experiences Canada has to offer.

1. Niagara Falls, Ontario

Niagara Falls is home to one of Canada’s most exciting entertainment hubs. Placed between Lake Erie and Lake Ontario, near the border of Canada and the US, this town offers dozens of venues where people can spend a cozy evening or go for some energizing partying. 

Want to hear some live country music? There’s the Big Texas venue. Fond of Italian culture and music? Club Italia hosts frequent concerts and other events. 

At the Copacabana venue, you can enjoy listening to Latin rhythms and sounds. Thanks to the melting-pot community, the multicultural atmosphere prevails in Niagara Falls. 

For a longer night out, Jacks Cantina and 365 Club are pleasant places. Dance, chat your night away, or just spend some cozy time with your friends

If you want to try your luck there’s the Fallsview Casino Resort, the city’s gaming flagship.

2. Vancouver, British Columbia

Granville Entertainment District – remember this toponym if you want to spend a wonderful night out in Vancouver. Situated in the middle of downtown Vancouver, it’s populated with nightclubs, bars, international restaurants, and live gigs from almost all parts of the world. 

The Commodore Ballroom and The Roxy are two notable venues for those who like disco and pop music dance floors, while Steamworks is a nice place to start your night by trying dozens of beer flavors (but not on the same occasion, as this might be the first and last place you’ll visit that night). 

Also, Vancouver is an important comedy center, with several venues that host stand-up comedy, and other comedy genres (The Improv Center and The Comedy Department, to name a few). 

A night out without tossing a dice or playing a game of cards is incomplete for many. Hence, think about visiting Parq Vancouver Casino – the successor of the once-popular casino destination Edgewater Casino. As an alternative, think about online gambling platforms. While British Columbia only has one state-run option for players, many players opt for offshore instant withdrawal casino platforms. These casino sites allow players to enjoy high betting limits, instant withdrawals, and wager-free cashback deals (source: https://www.techopedia.com/gambling/canada). The shift towards online gambling is a growing trend in Canada, with Canadians spending $1.4 billion wagering at offshore casinos due to the convenience and variety of games.

3. Montreal, Quebec

Montreal is perhaps the most alluring town in terms of nightlife in Canada. For starters, it hosts one of the largest carnivals in North America, The Montreal World Carnival. If you’re, by any chance, planning to visit Montreal this November, make in the period 19-21 November, as this is when this year’s carnival is going to take place. Compared to those in Rio and Venice, it displays the wealth of ethnic groups and customs from different regions of the world. 

While already there, don’t miss the New City Gas – a unique industrial-like place with various fun areas for different tastes. The Club Unity is another venue that deserves your attention, together with dozens of classy restaurants. Remember that Montreal is in Quebec, which is highly influenced by French heritage, both in terms of customs and cuisine. In combination with a rich immigrant melting pot, this city is a unique experience for people living in Canada and foreign visiteurs

4. Calgary, Alberta

Alberta doesn’t sound like the most partying region in the world, and this isn’t a wrong assumption. Better known as the host of the 1988 Winter Olympics than for crazy parties, its biggest town Calgary still has something to offer to its visitors. 

For starters, it’s the annual Calgary Stampede – a unique event that exercises country-music concerts, numerous rodeo events, and plenty of accompanying acts all day long, with numerous events that unfold deep in the night. The next event will be held in the period 4-13 July 2025. Shania Twain has already confirmed her concert within the festival, with many other country stars expected to book their concerts. 

If you want to move away from country music and visit something different, The Commonwealth Bar is the best place for house and techno lovers, while The Twisted Element is the most inclusive club in Calgary. And if you want to feel some heat on cold Calgary nights, the Pepi’s Club offers a mix of Latin rhythms and drinks. 

5. Ottawa, Ontario

As Canada’s capital and a major tourist destination, Ottawa has its gems for entertainment and interesting nights out. 

For beer lovers, there’s Beyond The Pale bar on the premises of the eponymous brewing company. From craft beers to classic mass-produced counterparts, there’s a wide range of options for every kind of taste buds. 

As you warm up here, you might want to hit one of the jazz lounge clubs, such as The Earl of Sussex or the Options Jazz Lounge. You can even have a nice meal while listening to jazz standards and the sounds of modern jazz. 

To dance the night away, go to Babylon or The Mercury Lounge. Disco, house, power pop, you’ll find different types of music fun at these places.

If you happen to come to Ottawa in September, don’t miss the Latin Sparks Festival, where you can have loads of fun and dance long into the night. 

Conclusion

This is the end of our tour of the most appealing nightlife town in Canada. Let’s mention the elephant in the room, as well: we didn’t cover Toronto because it’s a safe bet for exciting nightlife, and most guides have already dived deep into the festivals, venues, and other places that make the capital of Ontario unique. 

As you’ve seen, Canada’s towns offer a diverse range of nightlife experiences across major cities. From Niagara Falls to Vancouver, each location provides a unique combination of fun options, highlighting the country’s local cultures and attractions. 

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Why Flying Private From Calgary Is Better Than Commercial

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This is a guide to flying privately from Calgary, offering everything from cost-saving tips to the perks that you can expect. 

Flying privately has always been considered a privilege of the ultra-rich. Until now. While it’s not cheap, it’s much more affordable than it has been before, thanks to a wide range of options arriving on the market and soaring airfares in the commercial sector. 

With a host of private jet services on offer at YYC Calgary International Airport, flying in style and comfort has never been more accessible — now, there are fixed-based operators, empty-leg flights, and a host of charter services you can choose from. Whether you’re hopping over to Vancouver for the weekend or flying halfway around the world, there’s a private service for you at YYC Calgary International Airport. 

Let’s get into all the reasons why flying private from Calgary is better than commercial travel. 

Calgary International Airport Can Get Too Busy 

We’re talking about Canada’s fourth-largest airport here, which processed some 18.5 million passengers in 2023 alone. If you’re travelling during the holiday season, then you can expect long queues at the check-in desk, more queues at the security checks, and longer waiting times at the gate. This can be pretty frustrating and stressful, especially if you’re travelling with children or in large groups. 

Flying in an aircraft charter from Calgary removes all of these concerns. Arrive at the airport within thirty minutes of departure, be whisked off to the private lounge at your chosen fixed-base operator, enjoy your seamless private check-in, and board your jet. It takes all the stress out of flying while elevating the most luxurious and exciting components. 

As soon as your vacation or business trip is over, all you want to do is get home and relax. Flying privately all but guarantees that you arrive on time and enjoy a hassle-free experience as soon as you land. Say goodbye to tiring customs checks or the risk of lost baggage and long delays for connecting flights. 

Flying Privately Is Easier (and Cheaper) Than You Think

Flying privately has always been seen as the ultimate flex for the ultra-wealthy — and let’s be honest, private jet ownership still is. But swapping narrow seats and crying kids for serenity at 45,000 ft is more accessible than it used to be. Thanks to some clever cost-saving innovations and rising commercial airfares, private jet travel is starting to look like a surprisingly affordable option for more people.

If you bought your own jet, you’re talking about a minimum purchase price of a few million plus nearly half a million in annual running costs. This puts ownership out of reach for most people, but there are other options. With empty-leg flights (where jets are repositioning and would otherwise fly empty), you can snag luxury flights for prices that won’t break the bank. Think hundreds instead of thousands — assuming you’re a little flexible with your schedule.

For frequent fliers, membership programs or fractional jet ownership are absolute game changers. For a flat fee, you can access planes when you need them, minus the hassle of maintenance or storage costs.

And let’s not forget charter services. Whether it’s a quick hop to a neighbouring city or a transcontinental trip, renting a jet can be cost-effective if you’re travelling with a group — remember, you’re paying for the plane, not the seat. A light jet might set you back $1,300 per hour, but divide that by a group of four travellers for a 6-hour flight, and you’re suddenly rethinking that commercial first-class ticket.

Luxury That Fits Your Schedule

YYC Calgary International Airport has 71 gates and averages almost 200 departures every day. With so much activity, cancellations and long delays are not uncommon. These can occur due to anything from maintenance issues to crew shortages. This year alone, WestJet, which operates out of Calgary, has been plagued with strikes and supply chain issues. Air Canada and WestJet also performed poorly in a list of North American airlines ranked by on-time departures. 

Why risk the doom and gloom of commercial air travel at YCC Calgary when you can just fly privately? Fly on your own schedule, guarantee swift take-offs, and arrive at your destination on time. This is even more pertinent for business travellers who can’t risk being late when important meetings and deadlines are at stake. It doesn’t just have to be for work — there are times that require quick actions and getting to places faster to be with family and friends for crucial moments, and flying privately can save you from both the bureaucracy and the wait times.

Fly Private, Fly Better

Flying private from Calgary is less about getting from A to B and more about air travel on your terms. Everything that you’ve ever hated about flying can disappear with the click of your fingers and a call to your jet broker. No matter the occasion — business trips, weekend getaways, intergenerational family vacations — private travel prioritizes the journey’s aesthetics and practicality as much as the destination. 

Once you’ve skipped the lines, breezed through customs, and sipped a coffee in your own space at 30,000 feet, you’ll never look at commercial travel the same way again. Go on, make the switch with confidence.

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