Gender differences in health-related quality of life following total laryngectomy

Background: The impact of a total laryngectomy on an individual's life has primarily been measured from a male viewpoint reflecting the demographics of a diagnosis of laryngeal cancer. A small number of studies have looked specifically at females, but very few are comparison studies. Consequently, there is little consistent research regarding any potential gender differences. Aims: To investigate whether there are gender differences in perceptions of health-related quality of life and functional abilities following total laryngectomy. Methods & Procedures: A total of 43 participants (22 males, 21 females), who had undergone a total laryngectomy procedure at least one year previously, took part in the study. They completed The European Organisation for Research and Treatment of Cancer Core Questionnaire Version 3.0 (EORTC QLQ-C30) in conjunction with the disease-specific Head & Neck Cancer Module (QLQ-H&N35). Outcomes & Results: There were no significant differences between males and females on demographic and disease-related variables, except for the following: significantly more females lived alone and changed their employment status following surgery. Males had a significantly higher global health status/quality of life than females (p < 0.05) and significantly higher levels of physical (p = 0.01), emotional (p < 0.01), cognitive (p < 0.05) and social functioning (p < 0.05). After adjusting for differences in living arrangements and change in employment status, differences in emotional and social functioning remained significant. There was a general trend for females to have higher symptom/impairment levels and to report more treatment-related problems, but the majority of these differences were not significant. Conclusions & Implications: Following total laryngectomy, females appear to be worsely affected in aspects of quality of life than males. Emotional and social functioning are particularly vulnerable. The findings imply that rehabilitation programmes after total laryngectomy need to evaluate quality of life and address these specific areas in order to improve patient-reported long-term outcomes

Talon cusp affecting primary dentition in two siblings: a case report

The term talon cusp refers to a rare developmental dental anomaly characterized by a cusp-like structure projecting from the cingulum area or cement-enamel junction. This condition can occur in the maxillary and mandibular arches of the primary and permanent dentitions. The purpose of this paper is to report on the presence of talon cusps in the primary dentition of two southern Chinese siblings. The 4 years and 2 months old girl had a talon cusp on her maxillary right primary central incisor, while her 2 years and 9 months old brother had bilateral talon cusps on the maxillary primary central incisors. The presence of this rare dental anomaly in two siblings has scarcely been reported in the literature and this may provide further evidence of a hereditary etiology.Article Link: http://www.rjme.ro/RJME/resources/files/540113211213.pd

Effect of grid system on finite element calculation

Detailed parametric studies of the effect of grid system on finite element calculation for potential flows were made. These studies led to the formulation of a design criteria for optimum mesh system and the development of two methods to generate the optimum mesh system. The guidelines for optimum mesh system are: (1) the mesh structure should be regular; (2) the element should be as regular and equilateral as possible; (3) the distribution of size of element should be consistent with that of flow variables to insure maximum uniformity in error distribution; (4) for non-Dirichlet boundary conditions, smaller boundary elements or higher order interpolation functions should be used; and (5) the mesh should accommodate the boundary geometry as accurately as possible. The results of the parametric studies are presented

Life cycle assessment of nanocellulose-reinforced advanced fibre composites

The research and development of nanocellulose-reinforced polymer composites have dramatically increased in the recent years due to the possibility of exploiting the high tensile stiffness and strength of nanocellulose. In the work, the environmental impacts of bacterial cellulose (BC)- and nanofibrillated cellulose (NFC)-reinforced epoxy composites were evaluated using life cycle assessment (LCA). Neat polylactide (PLA) and 30% randomly oriented glass fibre-reinforced polypropylene (GF/PP) composites were used as benchmark materials for comparison. Our cradle-to-gate LCA showed that BC- and NFC-reinforced epoxy composites have higher global warming potential (GWP) and abiotic depletion potential of fossil fuels (ADf) compared to neat PLA and GF/PP even though the specific tensile moduli of the nanocellulose-reinforced epoxy composites were higher than neat PLA and GF/PP. However, when the use phase and the end-of-life of nanocellulose-reinforced epoxy composites were considered, the “green credentials” of nanocellulose-reinforced epoxy composites were comparable to that of neat PLA and GF/PP composites. Our life cycle scenario analysis showed that the cradle-to-grave GWP and ADf of BC- and NFC-reinforced epoxy composites could be lower than neat PLA when the composites contains more than 60 vol.-% nanocellulose. Our LCA model suggests that nanocellulose-reinforced epoxy composites with high nanocellulose loading is desired to produce materials with “greener credentials” than the best performing commercially available bio-derived polymer

Studying Diquark Structure of Heavy Baryons in Relativistic Heavy Ion Collisions

We propose the enhancement of $\Lambda_c$ yield in heavy ion collisions at RHIC and LHC as a novel signal for the existence of diquarks in the strongly coupled quark-gluon plasma produced in these collisions as well as in the $\Lambda_c$. Assuming that stable bound diquarks can exist in the quark-gluon plasma, we argue that the yield of $\Lambda_c$ would be increased by two-body collisions between $ud$ diquarks and $c$ quarks, in addition to normal three-body collisions among $u$, $d$ and $c$ quarks. A quantitative study of this effect based on the coalescence model shows that including the contribution of diquarks to $\Lambda_c$ production indeed leads to a substantial enhancement of the $\Lambda_c/D$ ratio in heavy ion collisions.Comment: Prepared for Chiral Symmetry in Hadron and Nuclear Physics (Chiral07), Nov. 13-16, 2007, Osaka, Japa