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#35045530   2022/01/17 To Up

Psychometric validation of the Persian version of the Mental Health Knowledge Schedule.

Determining the reliability and validity of the Mental Health Knowledge Schedule (MAKS-P) in Iran was the purpose of this study. We translated the MAKS into Persian and back into English. The validation process included linguistic validation, face validity, internal consistency, test-retest reliability, and construct validity. We perform multiple linear regressions to test the association between mental health knowledge and independent variables. A total of 384 people completed the Persian version of the questionnaire. In total, 64.6% of the respondents were women. The majority of respondents (51.6%) were married and did not have a full-time job (67.7%). The linguistic validation was confirmed. All the items of the questionnaire had acceptable face validity, except question number one, which was deleted due to incompatibility with the Iranian culture. Good internal consistency and reliability were shown by an overall Cronbach's alpha coefficient of 0.77. The test-retest approach was performed and the Cronbach's alpha was 0.845. Eigenvalues and the scree plot supported a 2-factorial nature of the translated survey form. The first and the second factors explained 33.14 and 14.92% of the variance, respectively. Age, education, and working status can be considered possible predictors of the MAKS-P score. The MAKS-P is a trustworthy questionnaire to assess stigma-related mental health knowledge in Persian-speaking societies.
Bahareh Hakimi, Fateme Farhoudi, Ehsan Abedini

1176 related Products with: Psychometric validation of the Persian version of the Mental Health Knowledge Schedule.

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#35045522   // To Up

[A Case of Internal Hernia Incarceration of a Mesenteric Defect following Laparoscopic Ileocecal Resection].

A 75-year-old man underwent laparoscopic ileocecal and partial small bowel resections for the management of appendiceal cancer. The pathological diagnosis was cecal cancer(T4b[ileum, abdominal wall],N0[0/13], M0, pStage Ⅱc). After 4 months of surgery, he suddenly experienced abdominal pain and vomiting and was presented to our emergency room. He was diagnosed with bowel obstruction following which, conservative treatment was initiated through a nasogastric ileus tube implantation; however, he did not show any improvement. Subsequently, he underwent experimental laparotomy on the 18th day of the disease. Intraabdominal examination revealed herniated small intestine through a mesenteric defect, which was closed following repositioning of the herniated small intestine. The postoperative course was good, and the patient was discharged on the 10th day after surgery. No recurrence of intestinal obstruction has been observed after 1 year and 6 months. Closure of the mesenteric defect, although not commonly performed in laparoscopic colorectal surgery, is worth considering because of the risk of developing an internal hernia requiring surgical treatment, as in our case.
Hideki Osawa, Yoshihito Ide, Rennosuke Nakamoto, Masayuki Yoshida, Hiroto Seto, Kazuhiro Yoneda, Tomofumi Ohashi, Kohei Murakami, Koichi Demura, Osakuni Morimoto, Teruo Iwasaki, Nobutaka Hatanaka, Toshiro Nishida

1343 related Products with: [A Case of Internal Hernia Incarceration of a Mesenteric Defect following Laparoscopic Ileocecal Resection].

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#35045515   // To Up

[A Case of Hepatocellular Carcinoma with Extrahepatic Growth-A Difficult Preoperative Diagnosis].

A 75-year-old man was admitted to our hospital for breathing difficulty. CT showed a 20 cm mass with clear boundaries and internal non-uniformity, which we suspected to be a gastrointestinal stromal tumor(GIST). Surgical resection was been considered to be risky because the mass was close to surrounding organs, such as the stomach, liver and diaphragm. Thus, we chose imatinib therapy. After 2 months, he was admitted to our hospital for anemia. CT showed the size of mass to be smaller, but the area of low density with internal non-uniformity had increased. We diagnosed intratumoral bleeding, and chose surgical resection. The mass was under the omentum, and had infiltrated the extrahepatic area and lesser curvature of the stomach. We diagnosed the mass derived from the stomach, and performed partial gastrectomy with partial liver resection. Pathological diagnosis was extrahepatically growing hepatocellular carcinoma(HCC, pT3N0M0, pStage Ⅲ).
Soichiro Harada, Noriko Wada, Yusuke Akamaru, Takahiro Shimaoka, Satoshi Eguchi, Ryo Ikeshima, Koji Munakata, Daisuke Takiuchi, Naoki Hama, Hirofumi Ota, Hiroshi Ohashi, Kunitaka Shibata

2333 related Products with: [A Case of Hepatocellular Carcinoma with Extrahepatic Growth-A Difficult Preoperative Diagnosis].



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#35045507   // To Up

[A Case of Advanced Esophageal Cancer Discovered Due to Suffocation, Which Was Invasive to the Trachea and Internal Carotid Artery and Treated by Chemotherapy].

A 51-year-old male presented with dyspnea due to upper airway obstruction. We decided to perform a cricothyroidotomy due to difficulty in performing orotracheal intubation. A CT scan revealed a massive tumor infiltrating into the right side of the neck, which penetrated the internal carotid artery. An upper gastrointestinal tract endoscopy was performed, and the patient was diagnosed with advanced esophageal cancer(stage Ⅳ, cT4N4M0). We initiated palliative chemotherapy of FOLFOX as first-line chemotherapy. After the fourth course, the patient was evaluated as having progressive disease(PD)due to regrowth of lymph node metastasis around the lower esophagus. Although we changed the treatment to nivolumab as second-line chemotherapy, there was a gradual exacerbation of airway obstruction, and the head and upper limb edema emerged due to superior vena cava syndrome. After the first course of nivolumab, we diagnosed the patient as having clinically PD. After the first course of docetaxel(DTX)as third-line chemotherapy, he suddenly died of massive hemorrhage caused by the intubation tube on day 136. Airway management is difficult to perform in patients with a poor response to chemotherapy due to obstruction by a tumor. On the other hand, excessive response to chemotherapy is also associated with a risk of massive hemorrhage due to arterial perforation, as observed in this case.
Tomoyasu Hayashi, Nozomu Ogura, Mai Hoshino, Gen Sakai, Shin Hashino, Shutaro Suda, Takahiro Shoji, Yosaku Torii, Rinako Endo, Keisuke Yoshihama, Yasuhide Okamoto, Kazuhiko Sekine, Shigemichi Hirose, Shinsuke Funakoshi

2856 related Products with: [A Case of Advanced Esophageal Cancer Discovered Due to Suffocation, Which Was Invasive to the Trachea and Internal Carotid Artery and Treated by Chemotherapy].



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#35045479   // To Up

[A Case of Undifferentiated Carcinoma of Gallbladder with Five Year Recurrence-Free Survival after Radical Resection].

A woman in her 60s realized heart palpitations and was pointed out anemia. CT revealed a tumor measuring 7 cm, with internal necrosis, originating from the gallbladder and invading the liver, and diagnosed as gallbladder cancer. There existed no distant metastasis and we performed cholecystectomy with partial resection of segment 4a+5 of the liver and lymph node resection. Histopathological examination revealed highly atypical cells with large nuclei and polynuclear cells and poor cell junctions in the specimen, and the tumor was histologically diagnosed as an undifferentiated carcinoma. Metastases were not detected in dissected lymph nodes, and this case was diagnosed as undifferentiated carcinoma of gallbladder, T3a, N0, M0, Stage ⅢA(JSHBPS 6th). She was discharged at 13 days after the operation with no apparent postoperative complications. Postoperative adjuvant chemotherapy with administration of TS-1 was conducted for half a year. Now over 5 years have passed since the operation, and she is alive without recurrence.
Takefumi Itami, Hisateru Komatsu, Yujiro Nishizawa, Akira Inoue, Yoshinori Kagawa, Yasuhiro Miyazaki, Akira Tomokuni, Hiroaki Fushimi, Masaaki Motoori, Kazumasa Fujitani, Kazuhiro Iwase

2669 related Products with: [A Case of Undifferentiated Carcinoma of Gallbladder with Five Year Recurrence-Free Survival after Radical Resection].



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#35045426   // To Up

[A Case of Intraductal Papilloma of the Male Breast].

Male breast cancer accounts for approximately 1% of the overall incidence of breast cancer. We report a rare case of intraductal papilloma(intracystic papilloma)in a 73-year-old man, which was suspected to be breast cancer as it presented as an approximately 6 cm mass below the left nipple in various imaging studies. The patient was aware of a mass measuring a few millimeters below the left nipple for 5 years, but had not sought treatment. He visited our department 3 months after redness and pain were noted around the nipple; the mass had enlarged. Palpation revealed a 6 cm smooth-surfaced mass as well as nipple retraction; diagnostic imaging showed a cystic tumor with a solid internal structure. Fine-needle aspiration cytology and core needle biopsy did not indicate a definitive diagnosis, and a left mastectomy and sentinel lymph node biopsy were performed based on a preoperative diagnosis of breast cancer. Pathological examination confirmed the diagnosis of intraductal papilloma, based on findings such as infarction-induced hemorrhagic necrosis, stromal and epithelial proliferation, apocrine metaplasia, and squamous epithelial metaplasia. Reports of a large-diameter intraductal papilloma(intracystic papilloma)suspicious for breast cancer in men are rare; therefore, surgical resection and detailed histopathological exploration of the whole tumor were required.
Yoshinari Makino, Hajime Hikino, Yoko Murata, Hiroshi Miura

1800 related Products with: [A Case of Intraductal Papilloma of the Male Breast].



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#35045364   2022/01/16 To Up

Bilateral Regional Nodal Irradiation using Volumetric Modulated Arc Therapy (VMAT): Dosimetric analysis and feasibility.

Dosimetric and technical challenges often limit radiotherapy (RT) target coverage for breast cancer patients who require bilateral breast/chest wall and regional nodal irradiation (RNI). We evaluated the feasibility of using volumetric modulated arc therapy (VMAT) to administer bilateral comprehensive RNI including the internal mammary nodes.
Michael B Bernstein, Katherine Walker, Erin Gillespie, Boris Mueller, John Cuaron, Amy Xu, Beryl McCormick, Atif Khan, Oren Cahlon, Simon Powell, Lior Z Braunstein

1666 related Products with: Bilateral Regional Nodal Irradiation using Volumetric Modulated Arc Therapy (VMAT): Dosimetric analysis and feasibility.

100ul1 module1 module 15 ml 1,000 tests100ul1 module1 module1 mg1 module1 module

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#35045341   2022/01/16 To Up

Prediction of Poststroke Urinary Tract Infection Risk in Immobile Patients Using Machine Learning: a observational cohort study.

Urinary tract infection (UTI) is one of major nosocomial infections significantly affecting the outcomes of immobile stroke patients. Previous studies have identified several risk factors, but it's still challenging to accurately estimate personal UTI risk.
Chen Zhu, Zidu Xu, Yaowen Gu, Si Zheng, Xiangyu Sun, Jing Cao, Baoyun Song, Jingfen Jin, Yilan Liu, Xianxiu Wen, Shouzhen Cheng, Jiao Li, Xinjuan Wu

2826 related Products with: Prediction of Poststroke Urinary Tract Infection Risk in Immobile Patients Using Machine Learning: a observational cohort study.

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