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Prevalence of osteonecrosis of the jaw and oral characteristics of oncologic patients treated with bisphosphonates at the General Hospital of Mexico

  • Cuevas-Gonzalez, Maria Veronica;Diaz-Aguirre, Celia Minerva;Echevarria-y-Perez, Enrique;Cuevas-Gonzalez, Juan Carlos
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.6
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    • pp.365-369
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    • 2016
  • Objectives: To determine the prevalence and oral characteristics of cancer patients treated with bisphosphonates in the oncology and maxillofacial prosthesis departments of the General Hospital of Mexico between 2011 and 2013. Materials and Methods: This cross-sectional study included patients who received prior treatment with bisphosphonates; an intraoral examination was performed by 2 standardized examiners. Results: The prevalence of bisphosphonate-related necrosis in 75 patients was 2.6%; the most common malignancy was breast cancer (84.0%), followed by prostate cancer (16.0%). Exostosis was present in 9.3% of patients and the mean Decayed, Missing, Filled Teeth index was 4.64; 44.0% of the study group had a Community Periodontal Index value between 2 and 2.9 (mean, 0.60). Conclusion: A detailed intraoral assessment must be performed before initiating treatment with bisphosphonates to identify risk factors for osteonecrosis.

Mean Platelet Volume Could be a Possible Biomarker for Papillary Thyroid Carcinomas

  • Baldane, Suleyman;Ipekci, Suleyman H;Sozen, Mehmet;Kebapcilar, Levent
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2671-2674
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    • 2015
  • Thyroid cancer is the most prevalent endocrine cancer and is evident in nearly 5% of thyroid nodules. The correlation between mean platelet volume (MPV) and many other cancer types has been investigated previously. However, the correlation between papillary thyroid carcinoma (PTC) and MPV has not yet been studied in detail. The aim of this study was to examine whether MPV would be a useful inflammatory marker to differentiate PTC patients from cases of benign goiter and healthy controls. Preoperative MPV levels in patients with PTC were found to be significantly higher when compared with benign goiter patients and healthy controls ((respectively, 8.05 femtoliter (fl), 7.57 fl, 7.36 fl, p=0.001). After surgical treatment of PTC patients, a significant decrease in MPV levels was seen (8.05 fl versus 7.60 fl, p=0.005). ROC analysis suggested 7.81 as the cut-off value for MPV (AUC=0.729, sensitivity 60%, specificity 80%). In conclusion, maybe changes in MPV levels can be used as an easily available biomarker for monitoring the risk of PTC in patients with thyroid nodules, enabling early diagnosis of PTC.

Instrument Development for Patient Respect (환자 존중 측정도구 개발)

  • Yoo, Myoung-Ran;Hyeon, Jin-Suk;Choi, Yun-Jung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.162-168
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    • 2007
  • Purpose: Patients hope to receive 'respected nursing' which guarantees the right of privacy and treatment as a human being in hospitals. However, no specific tool has been developed to measure patients' perceived respect from nurses while staying in hospitals. This study was conducted to develop a tool to measure the respect that they experience in hospital. Method: A basic questionnaire was made based on research literature, pilot studies, and collected data via patients' interviews. The questionnaire was verified by 5 members of an expert group, a chief nurse in the clinical area and 10 patients. We distributed the questionnaires to 266 randomly selected inpatients and carried out analyses of factors and content to evaluate the validity and reliability of the questionnaire. Result: According to the results of factor analyses, three factors such as 'cordial treatment', 'consideration', and 'recognition' were extracted, which took up to 61 percent from all variants. Final questionnaires has 30 questions on a 4-point scale. Conclusion: The questionnaire which was designed through the study showed a high reliability and validity. We anticipate that this questionnaire will contribute to fostering nursing care with respect for patients.

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A Study of the Clinical Utility of the Four Square Step Test for Predicting Falls in Stroke Patients (뇌졸중 환자의 낙상 예측을 위한 Four Square Step Test의 활용에 관한 연구)

  • Kwon, Mi-Ji
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.1-6
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    • 2010
  • Purpose: This study was designed to evaluate the clinical utility of the Four square step test (FSST) for predicting falls in stroke patients, to compare the ability of the FSST test to discriminate between subgroups of fallers, and to determine if the test has any predictive value in identifying stroke patients who will fall. Methods: Stroke patients (N=37) who could walk at least 50 m with minimal assistance were recruited consecutively when attending a physical therapy session during their rehabilitation. Dynamic standing balance was measured using the FSST. The main outcome measures were FSST time and fall number. Numbers of falls were compared with FSST scores. Differences between the groups in FSST scores were examined using a t-test and 1-way analysis of variance. Post hoc analysis using the Tukey B procedure was used to identify specific group differences. Alpha was set at 0.05. Results: A total of 15 participants (40.5%) reported falls 6 had recurrent falls (2 falls) and 9 fell once. The mean FSST time differed significantly between groups with zero and multiple falls. A cutoff score of greater than 17 seconds on the FSST was associated with a sensitivity of 83% and a specificity of 84% for the identification of subjects with multiple risk factors for falls. Conclusion: The FSST is a feasible and valid clinical test of dynamic standing balance and can predict falls in post-stroke patients.

Reliability and Validity of the Postural Assessment Scale for Stroke in Chronic Stroke Patients (만성뇌졸중 환자의 Postural Assessment Scale for Stroke의 신뢰도와 타당도)

  • An, Seung-Heon;Lee, Je-Hoon
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.9-17
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    • 2009
  • Purpose: The purpose of this study was to determine reliability and validity of the Postural Assessment Scale for Stroke Patients (PASS) in chronic stroke patients. Methods: A total of 43 stroke patients, who had a stroke more than 6 months previously, participated in the study. Reliability was determined by the intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method and Cronbach's alpha by internal consistency. Validity was examined by correlation the PASS scores to the Berg Balance Scale (BBS), Trunk Control Test (TCT), and Fugl-Meyer Balance (FM-B) score. Results: The intra-rater reliability and the Absolute reliability of the PASS was good ICC$_{3,1}$=0.97 (95%CI 0.95$\sim$0.99) and excellent SEM=1.01 respectively. Cronbach's alpha value for PASS was found to be 0.94. There were significant correlations between the PASS and BBS, TCT, FM-B (r=0.65-0.96, p<0.01). Conclusion: The PASS provide reliable and valid instrument of the postural control assessment for chronic stroke patients.

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The Neutrophil to Lymphocyte Ratio is an Independent Prognostic Factor in Patients with Metastatic Gastric Cancer

  • Musri, Fatma Yalcin;Mutlu, Hasan;Eryilmaz, Melek Karakurt;Salim, Derya Kivrak;Gunduz, Seyda;Coskun, Hasan Senol
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1309-1312
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    • 2016
  • Inflammation can play an important role in cancer progression and the prognostic importance of neutrophil to lymphocyte ratio (NLR), a marker of inflammation, in cancer is a current investigation topic. In the present study, we aimed to determine whether there is a prognostic link between NLR and metastatic gastric cancer (mGC). A total of 143 patients from the Akdeniz University and Antalya Training and Research Hospital database were retrospectively analyzed. The median NLR value was 3.34. The median overall survival (OS) and median progression-free survival (PFS) were 11.6 and 7.9 months, respectively, in patients with NLR<3.34 while these values were 8.3 and 6.2 months respectively in patients with NLR>3.34 (p<0.001 and p=0.011, respectively). Our study showed that increased NLR is an independent prognostic factor associated with short survival in patients with mGC.

The Results of Yangdorak(良導絡) and D.I.T.I,, according to Deficiency or Excess(虛實) of Acne Patients (여드름 환자의 허실(虛實)에 따른 양도락(良導絡) 및 적외선체열진단 결과 분석)

  • Jung, Min-Young;Kim, Dae-Su;Park, Su-Yeon;Kim, Jong-Han;Choi, Jeong-Hwa;Park, Yong-Ho
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.20 no.2 s.33
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    • pp.171-178
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    • 2007
  • Objective : The aim of this study was to evaluate Yangdorak and D.I.T.I. for analysis of Symptom-complexes. Method : This study was selected 26 acne patients in Dongshin University Oriental Medical Hospital. We used Yangdorak (SME5800N, Sord Medicom Co., Korea) and D.I.T.I. (Digital Infrared Thermal Imaging 256, Dorex Inc, Orange CA, USA) and investigated the results of Yangdorak and D.I.T.I.. We made a comparison according to Deficiency or Excess(虛實) of acne patients. Result : In comparing Yangdorak results according to Deficiency or Excess(虛實) of acne patients, Triple-energizer(三焦), Intestine(大腸), Liver(肝), Stomach(胃) meridian in Excess group are higher than Deficiency group, and Kidney(腎) meridian in Deficiency group are lower than Excess group. D.I.T.I. reveald hyperthemia of face and chest on acne patients. The temperature of face and chest on Excess group is higher than Deficiency group. There is no statistically significant value compared with data of other group.

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ERCC1 Expression Can Predict Response to Platinum-Based Induction Chemotherapy in Head and Neck Cancer Cases

  • Ameri, Ahmad;Mortazavi, Nafiseh;Ahmadi, Helaleh Khoshbakht;Novin, Kambiz
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.87-91
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    • 2016
  • To investigate whether excision repair cross complementing-group1 (ERCC1) expression status could serve as a bio-predictor of response to platinum-based induction chemotherapy for head and neck cancers (HNCs) patients with a diagnosis of epithelial HNC were studied retrospectively. Paraffin embedded tumor samples of the patients were analyzed by reverse transcription-polymerase chain reaction (RT-PCR) to determine ERCC1 expression status and its correlation with response to platinum-based induction chemotherapy was investigated. Of 44 included patients, 33 were male (75%) and 11 were female (25%) with a mean age of 53 years. Some 36% of patients whose tumor samples had high ERCC1 expression showed no response to induction chemotherapy. The value for patients with low ERCC1 expression was 9% and the difference was statistically significant (p=0.03). The ERCC1 expression state did not significantly vary between patient groups according to sex, age, primary tumor site, and tumor and node stage. Our study indicates that ERCC1 expression status detected by RT-PCR might serve as a bio-predictor of response to platinum-based induction chemotherapy for epithelial HNCs.

Arthroscopic Debridement of the Knee Joint (슬관절의 관절경적 변연절제술)

  • Suh, Jeung Tak;Park, Byung Guk;Song, Jin Heon
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.159-163
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    • 1998
  • We reviewed the cases of 35 knees of 34 patients who had arthroscopic debridement for degenerative osteoarthritis of the knee. The patients were followed up for an average of 29 months (range: 13 months to 45 months). The mean age of the patients at operation was 54 years (range: 44 years to 75 years). At the time of follow up, the patients were evaluated using the nine-point scale by Baumgaertner et al. We divided the knee into 4 stages according to the classification system by Jackson et al. Satisfactory results were achieved in 80%(stage I), 75%(stage II), 55.6%(stage III) and 25%(stage IV) of the patients. Arthroscopic debridement is of significant value in the earlier stages of degenerative osteoarthritis (stage I and II) for the symptom relief as a simple procedure with rare complication as well as in the later stages(stage III and IV) as a time buying procedure before the total knee arthroplasty.

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Factors Influencing Resilience of Patients with Hematologic Malignancy (혈액암 환자의 회복탄력성에 영향을 미치는 요인)

  • Kwak, So Young;Byeon, Young Soon
    • Korean Journal of Adult Nursing
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    • v.25 no.1
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    • pp.95-104
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    • 2013
  • Purpose: The purpose of this study was to investigate the level of resilience, family support, anxiety and depression in patients with hematologic malignancy, and to determine modifiable psychosocial factors that affect their resilience. Methods: Data were collected from 104 patients undergoing curative therapy at 'S' hospital in Seoul. The data were collected from April to May, 2012. The questionnaires included Korean Version of Connor-Davidson Resilience Scale, Family Support Scale and Hospital Anxiety-Depression Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression. Results: Resilience had statistically significant correlation with family support (r=.43, p<.001), anxiety (r=-.49, p<.001) and depression (r=-.52, p<.001). Factors influencing resilience were depression, family support, anxiety and time since diagnosis with R-sq. value of 36%. Conclusion: The results of the study show that family support, anxiety and depression have important influences on resilience of patients with hematologic malignancy. Thus, family support needs to be reinforced when developing and implementing nursing intervention, and nurses need to intervene to reduce anxiety and depression of patients with hematologic malignancy.