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D. Gokcek J.-D. Tran A. Gonzalez-Aguilar A. Alentorn A. Liou J.-Y. Delattre A. Idbaih 《Revue neurologique》2013
Introduction
Nutritional status is a major clinical parameter in multiple cancers. Indeed, nutritional status is a prognostic factor and a predictor of response and toxicity to treatments in breast and lung cancers for instance. To our knowledge, in patients suffering from malignant primary brain tumors, nutritional status has been poorly investigated.Methods
Nutritional status of 26 glioblastoma patients relapsing after a first line of treatment was studied. The body mass index (BMI), the prognostic inflammatory and nutritional index (PINI) and the instant nutritional score (INS) were assessed.Results
The BMI was abnormal in 12 patients, two were malnourished while 10 were overweight. The BMI was not correlated to age of patients. Overweight status did not impact patient survival but it was associated with reduced performance status. The PINI was abnormal in three patients. Finally, the INS was abnormal in 24 patients, noted 2 (n = 22) or 4 (n = 4).Conclusions/discussion
Our results were not in favor of systematic nutritional support in patients with recurrent glioblastoma after a first line of treatment. Being overweight does not influence prognosis but may influence performance status. Steroid therapy and chemotherapy (inducing sodium and water retention and lymphopenia) weaken the relevance of BMI and INS for nutritional assessment in patients with recurrent glioblastoma. Further studies using additional nutritional tests in larger, independent and prospective cohorts of patients are warranted to obtain more details. 相似文献44.
Yu-Li Tsai Shiow-Chwen Tsai Sang-Hue Yen Kai-Lin Huang Pei-Fan Mu Hueh-Chun Liou Tai-Tong Wong I-Chun Lai Pin Liu Hsiao-Ling Lou I-Tsun Chiang Yi-Wei Chen 《Child's nervous system》2013,29(7):1123-1129
Objective
External beam radiotherapy (EBRT) is frequently used to improve disease control for pediatric brain tumor patients. However, to facilitate the radiotherapy (RT) procedure, “forced” type interventions including conscious sedation or general anesthesia are frequently used to manage patients’ fear and anxiety. The aim of this study was to investigate the effects of therapeutic play (TP) in reducing anxiety for pediatric brain tumor patients treated by EBRT.Methods
Between April 1st and September 30th, 2009, 19 young brain tumor patients, aged 3–15 years and recommended for RT, were recruited: ten to a control group and nine to the study intervention group. The study group was introduced with TP during EBRT. The Beck Youth Anxiety Inventory and the Faces Anxiety Scale were used to evaluate patients’ psychological levels of anxiety. The heart rate variability and salivary cortisol concentrations were used to indicate the patients’ physical levels of anxiety. Both the psychological and physiological tests were administered to all subjects before and after the RT procedure.Results
The study group had significantly lower anxiety scores and expressed fewer negative emotions than did the control group before EBRT.Conclusions
TP can not only improve the quality of medical services but can also reduce costs and staffing demands. In addition, it can help lower young patients’ anxiety and fear during medical procedures. As a result, it further decreases the potential negative impacts of hospitalization on these young patients. 相似文献45.
Chu-Sui Lin Shu-Hui Chang Wen-Ying Liou Yu-Show Tsai 《Research in developmental disabilities》2013,34(10):3553-3565
This study aimed to provide early childhood special education professionals with a standardized and comprehensive language assessment tool for the early identification of language learning characteristics (e.g., hyperlexia) of young children with autism. In this study, we used computer technology to develop a multi-media online language assessment tool that presents auditory or visual stimuli. This online comprehensive language assessment consists of six subtests: decoding, homographs, auditory vocabulary comprehension, visual vocabulary comprehension, auditory sentence comprehension, and visual sentence comprehension. Three hundred typically developing children and 35 children with autism from Tao-Yuan County in Taiwan aged 4–6 participated in this study. The Cronbach α values of the six subtests ranged from .64 to .97. The variance explained by the six subtests ranged from 14% to 56%, the current validity of each subtest with the Peabody Picture Vocabulary Test-Revised ranged from .21 to .45, and the predictive validity of each subtest with WISC-III ranged from .47 to .75. This assessment tool was also found to be able to accurately differentiate children with autism up to 92%. These results indicate that this assessment tool has both adequate reliability and validity. Additionally, 35 children with autism have completed the entire assessment in this study without exhibiting any extremely troubling behaviors. However, future research is needed to increase the sample size of both typically developing children and young children with autism and to overcome the technical challenges associated with internet issues. 相似文献
46.
Nationwide epidemiology and prognosis of dialysis‐requiring acute kidney injury (NEP‐AKI‐D) study: Design and methods 下载免费PDF全文
Chih‐Chung Shiao Pei‐Chen Wu Vin‐Cent Wu Jui‐Hsiang Lin Heng‐Chih Pan Ya‐Fei Yang Tai‐Shuan Lai Tao‐Min Huang Che‐Hsiung Wu Wei‐Shun Yang Chih‐Jen Wu Chih‐Chin Kao Chiao‐Yin Sun Chun‐Te Huang Kuo‐Hua Lee Chan‐Yu Lin Te‐Chuan Chen Fu‐Chang Hu Hung‐Hsiang Liou Kuo‐Cheng Lu Kuo‐Liong Chien Jian‐Jhong Wang Wei‐Chih Kan Feng‐Chi Kuo Hugo You‐Hsien Lin Cheng‐Min Chen Zi‐hong You Jen‐Pi Tsai Chih‐Jen Weng Hung‐Yuan Chen Chao‐Fu Chang Wen‐Ding Hsu Mai‐Szu Wu Chiu‐Ching Huang Kwan‐Dun Wu 《Nephrology (Carlton, Vic.)》2016,21(9):758-764
47.
Miniscrew placement has achieved widespread acceptance in orthodontic practice. However, selecting a suitable miniscrew system from among the available brands is not easy. The aim of this article is to help the clinician better understand the features of miniscrew systems currently available on the market and provide a useful guideline for their clinical use. The authors find that the ideal miniscrew design should include biocompatibility, bone-density-guided insertion, immediate loading, and compatibility with modern orthodontic accessories for 3-dimensional orthodontic control. 相似文献
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