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Stomach lymphoma at high-risk regarding perforation efficiently maintained together with chemotherapy on it's own.
Rationale, aims and objectives Three-dimensional (3D) medical images are shown to patients during clinical consultations about certain health conditions. However, little is known about patients' experience of viewing them. The aim of this qualitative study was to explore the impact of sharing 3D medical images with patients during a clinical consultation about hip surgery, from the perspective of patients, health care professionals, and lay representatives. Method Interviews were conducted with 14 patients who were shown their own 3D medical images during their clinical consultation and four health care professionals conducting consultations within one orthopaedic outpatient clinic. In addition to interviews, 31 lay representatives participated in six focus groups. The focus groups aimed to gain a broader understanding of the advantages and concerns of showing patients their medical images and to compare 3D and two-dimensional (2D) medical images. Interviews and focus groups were audio-recorded, transcribed verbatim, and analysed using thematic analysis. Results Three themes were developed from the data (a) the truthful image, (b) the empowering image, and (c) the unhelpful image. Focus group participants' preference for 3D or 2D images varied between conditions and groups, suggesting that the experience of viewing images may differ between individuals and conditions. Conclusions When shown to patients during an orthopaedic clinical consultation, 3D medical images may be an empowering resource. However, in this study, patients and focus group participants perceived medical images as factual and believed they could provide evidence of a diagnoses. This perception could result in overreliance in imaging tests or disregard for other forms of information.Guideline authors, researchers and pharmaceutical companies may find it helpful to have access to information about the use of the Dermatology Life Quality Index (DLQI) in national and international guidelines and disease registries. In 2008 we identified only two countries using the DLQI in national guidelines or registries, the UK and Sweden1 .This number has since greatly increased, influenced by the Rule of Tens concept2 , a simple way to define current psoriasis disease severity.A supramolecular/synthetic method has been devised to affix a sterically hindered substituent onto a fullerene guest encapsulated in a tubular host. A two-wheeled complex of (C59 N)-(C59 N) with a tubular host was oxidatively bisected to afford a C59 N+ cation captured in the tube. The C59 N+ cation in the tube was then trapped by ethanol or water, which led to an oxy substituent pinned on the guest. The guest motions within the tube were modulated by the pinned substituent, and up-and-down flipping motions were halted by an ethoxy substituent. A hydroxy substituent, however, was ineffective in halting the flipping motions, despite the tight-fitting relationship between the tubular host and the spherical guest. Theoretical calculations of the dynamics revealed that the flipping motions were assisted by OH-π hydrogen bonds between the guest and the carbon-rich wall and that sliding motions of the OH group were also facilitated by deformations of the tube.The ethanolic extracts of many plants have been used in alternative medicine. The present study aimed at evaluating the antioxidant, cytotoxicity, and anticancer potential of cactus and lupin ethanolic extracts compared to utoral drug (UT) on the colon Caco-2 cancer cell line. Bioactive components, cytotoxicity of Caco-2 cell cycle, and gene regulation of apoptosis genes were studied by HPLC, flow cytometer, and RT-PCR, respectively. Lupin extract (LE) contained high bioactive components and antioxidant potential. The predominant phenol, flavonoid, and sterol in LE were rosmarinic acid (2,004.8 μg/ml), quercetin (9,912 µg/g), and ergosterol (2.77 µg/g). Cerdelga LE and its mixture with utoral showed high cytotoxicity and effective potential in regulation of gene expression of proapoptotic and antiapoptotic genes in Caco-2 cells. In conclusion, LE and cactus extract (CE) could be considered as natural preparations with high anticancer properties against Caco-2 cells. LE had the highest anticancer potential among the tested preparations. PRACTICAL APPLICATIONS The study demonstrated that lupine and cactus extracts have high potential as anticancer substances. These natural extracts can be used to prepare therapeutic mixtures or foods.Triple-stranded helicates were obtained by metal-templated multicomponent reactions of bispyridyloxime ligands with arylboronic acids. The helicates feature two hexa-coordinated MII ions (M=Fe, Zn, or Mn), which are embedded in a macrobicyclic ligand framework, and two arylboronate ester capping groups. The latter can be used to introduce functional groups such as pyridines, aldehydes, nitriles, and carboxylic acids in apical position. The functionalized helicates have the potential to be used as nanoscale building blocks for more complex assemblies, as evidenced by the synthesis of a 3 nm-sized trianglimine.Pain is common and refractory in spinal cord injury (SCI). Currently, most studies evaluated pain in male-predominant traumatic-SCI. Also, concomitant secondary pain syndromes and its temporal evolution were seldom reported. We aimed to prospectively describe the main and secondary pain and its associated factors in inflammatory-SCI evaluating neuromyelitis optica (NMO) patients. In-remission NMO patients underwent neurological, imaging and autoantibody evaluations. Questionnaires detailing main and secondary pains, functional state, mood, catastrophising, quality of life (QoL) and "non-motor symptoms" were used at two time points. Pain was present in 53(73.6%) of the 72 patients included. At-level neuropathic pain was the most common main pain syndrome, affecting 32 subjects (60.4% of those with pain). Over 70% (n=38) of this cohort reported two pain syndromes. Those without pain were significantly younger (26.1±12.7 y.o. in those without pain and 40.1±12.5, 37.2±11.4 y.o. in those whose main pain was neuropathic and non-neuropathic, respectively, p=0.001), and no differences in the inflammatory status were observed between groups. On follow-up, one-fifth (n=11) had a different main pain syndrome from the first visit. Pain impacted QoL as much as disability and motor strength. Pain is a prevalent and disabling non-motor symptom in NMO-SCI. Most patients experience more than one pain syndrome which can change in time even in the absence of clinical relapse. Age of the inflammatory-SCI was a major determinant of pain. Acknowledging temporal changes and multiplicity of pain syndromes in NMO-SCI may give insights into more precise designs of clinical trials and general management of pain in SCI.
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