Survey of quality of life of patients with breast cancer among women at Shahid Beheshti University of Medical science and Health service 2017

Background and Aims: Breast cancer is the most common type of cancer diseases among women. The survival rate of breast cancer patients is long and, as a result, patients are greatly affected by cancer, its complications and consequences.Materials and Methods: The research design was descriptive – cross sectional. About 150 patients (women) with breast cancer were candidate for chemotherapy referred to the ward of Oncology in Shohada Tajrish and Taleghani Hospitals, both under the auspicious of Shahid Beheshti University of Medical science, 2017. The standard Quality of life Questionnaire (EROTC QLQ_C30) and its breastcancer supplementary measure (QLQ-BR 23) Questionnaire developed by the European Organization for Research and treatment of cancer were respectively used to measure the quality of life and for demography, within one stage. Finally, the data was analyzed using SPSS16 statistical software through ANOVA and Pearson tests. All ethical issues were considered throughout the study.Results: The average age of women whom surveyed was 47.81±8.21, which 74.7 percent of them were married. The average score of the global health status of respondents undergone the survey was 538818.20±. Among the functional scores, the highest score was related to cognitive indexes 68.77± 30.30. Economic difficulties showed the highest score of 69.11 27.33± among symptom scales. Physical,emotional and cognitive functioning, and also the disease symptoms such as fatigue, nausea and vomiting, pain, dyspnoea, insomnia, constipation and economic difficulties were among the variables demonstrating significance relationship with quality of life in Univariate Analysis.Conclusion: The results of this study show the inappropriate conditions regarding the quality of life in some general and specific symptom scales of the patients under the survey. Therefore, the importance of paying more attention to this matter and designing of suitable actions for enhancing the quality of theirlife is expected. Keyword: Breast cancer, Quality of life, Wome

Metastasis of femoral osteosarcoma to the abdominal wall detected on 99m Tc-MDP skeletal scintigraphy

Osteosarcoma is the most frequent primary malignancy of bone, and usually metastasizes to the lung and bones, while other sites are rare. In most reported cases, soft tissue metastasis of osteosarcoma is unusual, and only develops in the advanced stages of the disease, especially following multiple recurrences. We present a patient with recently diagnosed osteosarcoma of the right femur, showing abdominal wall metastasis diagnosed by technetium-99m-methylene diphosphonate (99m Tc-MDP) whole body bone scintigraphy and confirmed histologically. The present case highlights the importance of whole body imaging of patients with osteosarcoma for detecting unusual sites of metastasis, especially in soft tissue organs

COVID-19 pandemic and patients with cancer: The protocol of a Clinical Oncology center in Tehran, Iran

AimTo provide recommendations for the management of patients with cancer in the COVID-19 era.BackgroundThe current global pandemic of COVID-19 has severely impacted global healthcare systems. Several groups of people are considered high-risk for SARS-CoV-2 infection, including patients with cancer. Therefore, protocols for the better management of these patients during this viral pandemic are necessary. So far, several protocols have been presented regarding the management of patients with cancer during the COVID-19 pandemic. However, none of them points to a developing country with limited logistics and facilities.MethodsIn this review, we have provided a summary of recommendations on the management of patients with cancer during the COVID-19 pandemic based on our experience in Shohada-e Tajrish Hospital, Iran.ResultsWe recommend that patients with cancer should be managed in an individualized manner during the COVID-19 pandemic.ConclusionsOur recommendation provides a guide for oncology centers of developing countries for better management of cancer

بررسی کیفیت زندگی زنان مبتلا به سرطان پستان مراجعه کننده به بیمارستانهای تحت پوشش دانشگاه علوم پزشکی شهید بهشتی 1395

Background and Aims: Breast cancer is the most common type of cancer diseases among women. The survival rate of breast cancer patients is long and, as a result, patients are greatly affected by cancer, its complications and consequences.Materials and Methods: The research design was descriptive – cross sectional. About 150 patients (women) with breast cancer were candidate for chemotherapy referred to the ward of Oncology in Shohada Tajrish and Taleghani Hospitals, both under the auspicious of Shahid Beheshti University of Medical science, 2017. The standard Quality of life Questionnaire (EROTC QLQ_C30) and its breastcancer supplementary measure (QLQ-BR 23) Questionnaire developed by the European Organization for Research and treatment of cancer were respectively used to measure the quality of life and for demography, within one stage. Finally, the data was analyzed using SPSS16 statistical software through ANOVA and Pearson tests. All ethical issues were considered throughout the study.Results: The average age of women whom surveyed was 47.81±8.21, which 74.7 percent of them were married. The average score of the global health status of respondents undergone the survey was 538818.20±. Among the functional scores, the highest score was related to cognitive indexes 68.77± 30.30. Economic difficulties showed the highest score of 69.11 27.33± among symptom scales. Physical,emotional and cognitive functioning, and also the disease symptoms such as fatigue, nausea and vomiting, pain, dyspnoea, insomnia, constipation and economic difficulties were among the variables demonstrating significance relationship with quality of life in Univariate Analysis.Conclusion: The results of this study show the inappropriate conditions regarding the quality of life in some general and specific symptom scales of the patients under the survey. Therefore, the importance of paying more attention to this matter and designing of suitable actions for enhancing the quality of theirlife is expected.زمينه و اهداف: سرطان پستان، شايع‌ترين سرطان در ميان زنان است. کيفيت زندگي يک موضوع مهم در مطالعات بيماريهاي مزمن، به خصوص سرطان مي‌باشد. مواد و روش‌ها: اين مطالعه، يک مطالعه مقطعي (توصيفي-تحليلي) بوده كه به منظور تعيين كيفيت زندگي مبتلايان به سرطان پستان انجام شده است و با روش نمونه‌گيري تصادفي ساده، 150 بيمار مبتلا در بخش شيمي درماني بيمارستانهاي شهدا تجريش و طالقاني انتخاب شدند. جمع آوري اطلاعات بـا استفاده از دو پرسشنامه C30-QLQ و BR23-QLQ و پرسشنامه مشخصات فردي بود که توسط بيمار تکميل شدند. داده‌ها با استفاده از SPSS16 و از طريق آناليز واريانس و پيرسون مورد تجزيه و تحليل قرار گرفت. تمام مراحل تحقيق با رعايت موازين اخلاقي پژوهش انجام گرديد. يافته‌ها: ميانگين سن زنان مورد بررسي 8/21± 47/81سال بود که 74/7 درصد آنان متاهل بودند. ميانگين نمره كلي كيفيت زندگي در افراد تحت مطالعه 18/20±53/88بود. از بين شاخص‌هاي عملکردي بيشترين نمره مربوط به شاخص شناختي با 30/30±68/77 بود. از بين شاخص‌هاي علامتي، بيشترين نمره مربوط به شاخص مشکلات اقتصادي با 27/33±69/11بود. عملكرد جسماني، احساسي، شناختي و همچنين علائم بيماري نظير خستگي، تهوع و اسـتفراغ، درد، تنگي نفس، كاهش خواب، يبوست و مشكلات اقتصادي از جمله متغيرهايي بودند كه در تحليل تك متغيره ارتباط معني داري بـا كيفيـت زندگي نشان دادند. نتيجه‌گيري: نتايج مطالعه، نشان دهنده وضعيت نامناسب کيفيت زندگي در برخي شاخص‌هاي علامتي عمومي و اختصاصي بيماران مورد بررسي بود که ضرورت توجه بيشتر و طراحي اقداماتي مناسب به منظور ارتقاء کيفيت زندگي آنان را مطرح مي‌نمايد

Effect of Processed Honey and Royal Jelly on Cancer-Related Fatigue: A Double-Blind Randomized Clinical Trial

Background: Cancer-related fatigue (CRF) is experienced by 50% to 90% of cancer patients and can severely affect their quality of life and functional capacity. Several randomized trials have recommended various ways to alleviate the symptoms of CRF with or without recourse to medications. Objective: The aim of this study is to evaluate the effectiveness of processed honey and royal jelly on the symptoms of CRF in cancer patients who are undergoing hormone therapy, chemotherapy, chemo-radiation, or radiotherapy. Methods: Fifty-two participants from the patients who visited the oncology clinic of Shohada-e-Tajrish hospital in Tehran (Iran) between May 2013 and August 2014 were selected and divided into two groups. The study group (26 patients) received processed honey and royal jelly, while the control group received pure honey. Both groups were instructed to consume their 5mL supplement twice daily for 4 weeks. Both groups were assessed at the beginning of the study, after 2 weeks, and then at the end of 4 weeks of treatment. Fatigue was measured using a visual analogue fatigue scale (VAFS) and fatigue severity scale (FSS). The results were compared between the two arms of study, and equality of probability distributions was assessed using a Kolmogorov–Smirnov test. Results: The mean age of the 52 patients was 54.84. After two and four weeks of treatment with processed honey and royal jelly, VAFS and FSS due to treatment was better in the study group than in the control group, and the http://www.ephysician.ir Page 2476 differences were statistically significant (p<0.001, p<0.001, respectively). Conclusion: To the best of our knowledge, our study provided support for the use of processed honey and royal jelly to ameliorate CRF. The positive results of this study warrant further studies in this field. Clinical Trial Registration: The study was registered in the Iranian Clinical Trial Registry Center (http://www.irct.ir) with the registration code: IRCT2015081423426N1. Funding: The authors received no financial support for the research, authorship, and/or publication of this article