The Role of Multimodality Images Toward the Detection of Synchronous Breast Cancer (SBC) on a Woman with a Family History of Breast Cancer: a Case Report

Dilaporkan sebuah kasus wanita 47 tahun dengan riwayat kanker payudara bilateral sinkron. Didapatkan temuan radiologi yang berbeda. Riwayat keluarga dengan kanker payudara merupakan salah satu faktor risiko utama. Dilakukan pencitraan radiologi meliputi mamografi, ultrasonografi, dan resonansi magnetik. Masing-masing modalitas memiliki kelebihan dan kekurangan. Biopsi core dipandu ultrasonografi pada lesi payudara kiri menunjukkan adanya kanker payudara duktal invasif. Biopsi dengan bantuan vakum stereotaktik pada mikrokalsifikasi payudara kanan menunjukkan adanya kalsifikasi Maligna dan nekrosis komedo. Meskipun demikian, tidak didapatkan adanya tanda-tanda kanker payudara intraduktal invasif

A Pilot Study: The Beneficial Effects of Combined Statin-exercise Therapy on Cognitive Function in Patients with Coronary Artery Disease and Mild Cognitive Decline.

Objective Hypercholesterolemia, a risk factor in cognitive impairment, can be treated with statins. However, cognitive decline associated with "statins" (HMG-CoA reductase inhibitors) is a clinical concern. This pilot study investigated the effects of combining statins and regular exercise on cognitive function in coronary artery disease (CAD) patients with prior mild cognitive decline. Methods We recruited 43 consecutive CAD patients with mild cognitive decline. These patients were treated with a statin and weekly in-hospital aerobic exercise for 5 months. We measured serum lipids, exercise capacity, and cognitive function using the mini mental state examination (MMSE). Results Low-density lipoprotein cholesterol levels were significantly decreased, and maximum exercise capacity (workload) was significantly increased in patients with CAD and mild cognitive decline after treatment compared with before. Combined statin-exercise therapy significantly increased the median (range) MMSE score from 24 (22-25) to 25 (23-27) across the cohort (p<0.01). Changes in body mass index (BMI) were significantly and negatively correlated with changes in the MMSE. After treatment, MMSE scores in the subgroup of patients that showed a decrease in BMI were significantly improved, but not in the BMI-increased subgroup. Furthermore, the patients already on a statin at the beginning of the trial displayed a more significant improvement in MMSE score than statin-naïve patients, implying that exercise might be the beneficial aspect of this intervention as regards cognition. In a multivariate logistic regression analysis adjusted for age >65 years, sex, and presence of diabetes mellitus, a decrease in BMI during statin-exercise therapy was significantly correlated with an increase in the MMSE score (odds ratio: 4.57, 95% confidence interval: 1.05-20.0; p<0.05). Conclusion Statin-exercise therapy may help improve cognitive dysfunction in patients with CAD and pre-existing mild cognitive decline

Ultrasound-modulated optical tomography using four-wave mixing in photorefractive polymers

Ultrasound-modulated optical tomography uses a well focused ultrasound beam to modulate diffuse light inside soft biological tissues. This modality combines the advantages of ultrasound resolution with optical contrast. However, because of the low ultrasound modulation efficiency, the large background of un-modulated photons gives a low signal-to-noise ratio. Here we report a technique for detection of ultrasound-modulated light using a phase conjugated signal generated by four-wave mixing in a photorefractive polymer. The experimental results demonstrate the potential of this method to detect ultrasound-modulated optical signals in a highly scattering media with an excellent signal-to-noise ratio

The impact of Behçet's disease on intimate relationships in women: A qualitative study.

OBJECTIVE: Behçet's disease is a rare and incurable condition where the body's immune system attacks healthy tissue. Behçet's can cause blood clots and ulcerations to form in every organ and system in the body, including deep and painful genital ulceration. The psychological impact of the disease on intimacy and relationships is unexplored. This study aimed to explore how the disease impacts on female patients' intimate partner relationships. METHODS: Participants were seven female, UK patients with Behçet's disease who were in committed relationships. In depth, semi-structured interviews lasting approximately 80 minutes were conducted via video conferencing about participants' sexual functioning and intimate relationships. Data was analysed using Interpretative Phenomenological Analysis. RESULTS: Patients' sexual relationships and intimacy were impacted by issues due to lack of knowledge of symptoms (misdiagnosis of herpes), issues due to symptoms (genital manifestations, painful sex, exhaustion), difficulties communicating with medical professionals, medication, partner support, and support from fellow Behçet's patients. DISCUSSION: Female Behçet's patients are at risk of developing psychological problems with intimacy due to symptoms, lack of knowledge of symptoms, and negative impacts of medication. Intimacy needs to be discussed in medical consultations so these issues can be addressed before a lack of intimacy negatively impacts relationships

Understanding Patient Experience in Biliary Tract Cancer: A Qualitative Patient Interview Study

Cáncer del tracto biliar; Estudio de entrevista; Investigación cualitativaCàncer del tracte biliar; Estudi d'entrevista; Recerca qualitativaBiliary tract cancer; Interview study; Qualitative researchIntroduction Patients living with biliary tract cancer (BTC) experience a decline in health-related quality of life (HRQoL). This study aimed to obtain a comprehensive understanding of the patient experience of BTC-related signs/symptoms and the impacts of these on daily functioning and HRQoL. Methods Patients with BTC participated in qualitative semi-structured concept elicitation interviews. Signs/symptoms and impacts of BTC were initially explored by targeted literature searches and interviews with five clinicians. Patient interviews were transcribed and coded using qualitative research software. Concept saturation was assessed over five interview waves. A sign/symptom or impact was defined as “salient” if mentioned by ≥ 50% of patients, with a mean disturbance rating of ≥ 5 (0–10 scale). A conceptual model of the patient experience of BTC-related signs/symptoms and impacts was produced. Results Twenty-three patients from the USA (78% women; median age: 54 years), diagnosed as having early (n = 3), locally advanced (n = 11) or metastatic (n = 9) disease, were interviewed. Sixty-six signs/symptoms and 12 impacts were identified. Of these, 46 signs/symptoms and 8 impacts were not identified from the targeted literature or clinician interviews. Concept saturation was reached by the fourth of five interview waves. Fourteen disease-related signs/symptoms (including fatigue/lack of energy, abdominal pain, lack of appetite, insomnia and diarrhoea) and three impacts (physical, emotional and cognitive impacts) were deemed “salient”. The conceptual model included 50 signs/symptoms and 12 impacts. Conclusion Patients with BTC reported a range of signs/symptoms and impacts that negatively affect daily functioning and HRQoL.This project was funded by AstraZeneca, Gaithersburg, MD, USA. Research and publication fees are funded by the study sponsor

キョウエイ ガクエン タンキ ダイガク ジョウキョ ガッカ ショウシ

共栄学園短期大学住居学科は、2005年3月に第20回目の卒業生を送り出した。住居学科の20年間を、1)生活学科住居学専攻時代:家政学の基盤の上の住居学(1984-93)、2)改組・住居学科2ルート制時代:建築ルート+インテリアルート(1994-2001)、3)カリキュラム改訂・住居学科3ルート制時代:建築+インテリア+福祉住環境(2002-2005)の3期に分けて、カリキュラムと教育内容の変遷を辿る。住居学科データ集やカリキュラム改訂資料のほか、各年毎の学生作品集や学科パンフレットなどを基本資料としている。さらに、住居学科に関する諸データの中から、入学者数の動向、入学志望動機の分析、卒業後の進路について分析を加え、住居学科の最近の動向を補足している

Anterior relapse or posterior drift after intraoral vertical ramus osteotomy

This study aimed to evaluate the factors contributing to postoperative anterior relapse or posterior drift of the distal segment after intraoral vertical ramus osteotomy. A retrospective cohort study was conducted which included 31 patients who underwent setback surgery for mandibular prognathism by the intraoral vertical ramus osteotomy technique. Uni- and multivariate analyses were performed to determine the association of potential explanatory variables (sex, age, magnitude of setback, differences in setback magnitude between sides (right/left), duration of splint use, Angle’s classification of malocclusion, mandibular angle, and tightness of occlusion of the molars) with positional changes in the distal segment. The setback magnitude was only significant factor affecting (P = 0.015) for posterior drift, with significant posterior in setback magnitudes of less than 7.25 mm. Posterior drift after intraoral vertical ramus osteotomy is less likely if setback magnitude exceeds 7.25 mm. For setbacks less than 7.25 mm, posterior drift should either be carefully corrected postoperatively, or an alternative surgical technique should be used. The setback magnitude showed a significant association with the risk of posterior drift following intraoral vertical ramus osteotomy, and the determined cut-off value may serve as a predictor for postoperative outcomes

Ultrasound-modulated optical tomography using four-wave mixing in photorefractive polymers

Ultrasound-modulated optical tomography uses a well focused ultrasound beam to modulate diffuse light inside soft biological tissues. This modality combines the advantages of ultrasound resolution with optical contrast. However, because of the low ultrasound modulation efficiency, the large background of un-modulated photons gives a low signal-to-noise ratio. Here we report a technique for detection of ultrasound-modulated light using a phase conjugated signal generated by four-wave mixing in a photorefractive polymer. The experimental results demonstrate the potential of this method to detect ultrasound-modulated optical signals in a highly scattering media with an excellent signal-to-noise ratio