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Experience report about extension project of clinical and home care to oncological patients
This extension project aims to adjust oral cavity of patients with oral cancer who were or will be treated by radiotherapy and chemotherapy. Students participated in training workshops about oral cancer; after the initial phase there was the realization of seminars and production of material used for field activities, such as lectures, posters, pamphlets, dental records, besides the adjust of oral cavity, or treatment of sequelae in the community assisted in the clinic of dentistry. The community action activities to track potentially cancerous lesions benefited more than 80 patients, 14 permanent treatments were performed...
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - August 31, 2020 Category: ENT & OMF Authors: MAYSSA GALVAO PIMENTEL, ARTHUR ERIC COSTA WANDERLEY, INGRID FERREIRA LEITE, RUBIA REIS FONSECA AMARAL SOUTO, MARIA ALICE DE VASCONCELOS SOUZA, CAMILA MARIA BEDER RIBEIRO GIRISH PANJWANI, FERNANDA BRAGA PEIXOTO Tags: 20190807 Source Type: research

Use of decision aid to improve informed decision-making and communication with physicians on the use of oral complementary and alternative medicine (CAM) among cancer patients on chemotherapy treatment: a randomised controlled trial
ConclusionOur DA did not reduce DCS among cancer patients on chemotherapy. DA that provides more evidence-based information on CAM, and non-judgemental discussion initiated by oncologists to discuss CAM, may improve its effectiveness.
Source: Supportive Care in Cancer - November 14, 2020 Category: Cancer & Oncology Source Type: research

Palpable Pulsus Paradoxus in Primary Care Clinic
A 52-year-old man with recently diagnosed metastatic carcinoma of unknown primary site presented to primary care clinic for evaluation of lightheadedness. Two days prior, the patient presented to the emergency department (ED) after an episode of near syncope while standing. Initially hypotensive, he received a one-liter bolus of normal saline, his blood pressure improved, and he no longer felt lightheaded. His symptoms were presumed to be secondary to poor oral intake, and he was discharged home.
Source: The American Journal of Medicine - January 11, 2021 Category: General Medicine Authors: Scott L Hagan, Stephen D Farris Tags: Clinical communication to the editor Source Type: research

The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer: A quasi-experimental case-control study
Objectives: The purpose of this study is to investigate the effect of the comprehensive oral care program on oral health status and symptoms in head and neck cancer (HNC) patients undergoing radiotherapy. Methods: This was a quasi-experimental study using a non-equivalent control group in non-synchronized design. All participants including control and experimental group were asked for the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire H&N35 (EORTC QLQ-H&N35) and given an oral health education 4 times at baseline, immediate postradiotherapy, 3 months after radiotherapy,...
Source: Medicine - April 23, 2021 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

Survey of experiences and barriers to dental care post head and neck cancer
As the population of patients with head and neck cancer (HNC) treated with radiation therapy (RT) increases, along with increased longevity, the oral health of patients posttreatment merits increased attention. Patients with HNC experience changes to the oral cavity and surrounding structures, putting them at increased risk of oral disease, transiently or permanently, after RT. Thus, consistent, comprehensive dental care is crucial to maintaining oral health and to preventing or treating oral complications after RT treatment.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - April 15, 2022 Category: ENT & OMF Authors: E. Jackson Threet, Joel J. Napenas, Cathleen M. Petersen, Becca Mitchell, Leslie Long-Simpson, Ryann Shadick, Cynthia Rybczyk, Kimberly C. Valentino, Jo-Ann Blake, Makeda Culley Brown, Rajesh V. Lalla, Michael T. Brennan Source Type: research

Direct health care costs of lip, oral cavity, and oropharyngeal cancer in brazil
The aim of this study was to estimate the health care costs of oral cancer (OC) in Brazil (2008-2016).
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - August 17, 2022 Category: ENT & OMF Authors: Vanessa Milani, Ana Laura De Sene Am âncio Zara, Everton Nunes Da Silva, Larissa Barbosa Cardoso, Maria Paula Curado, Rejane Faria Ribeiro-Rotta Source Type: research

Oral cancer: study about awareness and knowledge among dental students and primary health care dentists in brazil
The aim of this study was to assess the knowledge and awareness of dental students and primary health care dentists about oral cancer.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - August 17, 2022 Category: ENT & OMF Authors: Yuri De Lima Medeiros, Gabriela De Matos Silveira, Vit ória Batista Clemente, Leticia Drumond De Abreu Guimarães, Isabel Cristina Gonçalves Leite, Eduardo Machado Vilela Source Type: research

Cancer-associated thrombosis in palliative care
Although cancer-associated thrombosis (CAT) is a common complication of cancer, and its treatments. The risk increases with disease progression and may affect up to 50% of palliative care patients. These patients have a particularly high risk of bleeding and recurrent thrombosis whilst on anticoagulation and management should be tailor made for each individual.The mainstay of anticoagulation over the past 15 years has been subcutaneous low-molecular-weight heparins, however in recent years direct-acting oral anticoagulation have offered an alternative treatment option in selected patients.
Source: Medicine - October 31, 2022 Category: Internal Medicine Authors: Nikki Pease, Simon Noble Tags: Physical problems Source Type: research

Statins for extension of disability-free survival and primary prevention of cardiovascular events among older people: protocol for a randomised controlled trial in primary care (STAREE trial)
Introduction The world is undergoing a demographic transition to an older population. Preventive healthcare has reduced the burden of chronic illness at younger ages but there is limited evidence that these advances can improve health at older ages. Statins are one class of drug with the potential to prevent or delay the onset of several causes of incapacity in older age, particularly major cardiovascular disease (CVD). This paper presents the protocol for the STAtins in Reducing Events in the Elderly (STAREE) trial, a randomised double-blind placebo-controlled trial examining the effects of statins in community dwelling o...
Source: BMJ Open - April 3, 2023 Category: General Medicine Authors: Zoungas, S., Curtis, A., Spark, S., Wolfe, R., McNeil, J. J., Beilin, L., Chong, T. T.-J., Cloud, G., Hopper, I., Kost, A., Nelson, M., Nicholls, S. J., Reid, C. M., Ryan, J., Tonkin, A., Ward, S. A., Wierzbicki, A., On behalf of STAREE investigator group Tags: Open access, Cardiovascular medicine Source Type: research

The dentist's role in the multidisciplinary team of an oncological intensive care unit: case report of oral candidiasis
Oral candidiasis is a common fungal infection in cancer patients admitted to the intensive care unit (ICU). Poor oral hygiene and immunosuppression can lead to this condition. A 77-year-old male patient was admitted to the ICU after craniotomy to resect a high grade glioma and was submitted to dental physical examination, revealing the presence of white scraped off plaques on the buccal mucosa, floor, and dorsum of the tongue and upper alveolar ridge. After scraping, he presented an erythematous bed.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - June 15, 2023 Category: ENT & OMF Authors: Raissa Caroline MARTINS, Oldeir DIGNO Ribeiro de Souza, Ana Beatriz AIELO Franco, Victor TIEGHI Neto, F ábio Luiz CORACIN, Luciana Coelho SANCHES, Ana Luiza Ribeiro de Oliveira AVI Source Type: research

Non pharmacological interventions and non-fentanyl pharmacological treatments for breakthrough cancer pain: a systematic and critical review
Background: Oral opioids or other pharmacological or non-pharmacological interventions are often suggested in the management of breakthrough cancer pain (BTcP). The aim of this systematic and critical review was to analyse and critically comment the evidence of any non-fentanyl therapies proposed for BTcP.
Source: Critical Reviews in Oncology Hematology - December 22, 2017 Category: Cancer & Oncology Authors: Sebastiano Mercadante Source Type: research

Oral Health in Adult Patients Receiving Palliative Care: A Mixed Method Study
CONCLUSION: Oral disease was highly prevalent in PRPC, yet its overall impact was modest. In the absence of painful symptoms, most participants reported limited desire to seek treatment for oral health conditions. However, given the serious impacts of untreated oral diseases, oral healthcare decision should not be based solely on self-reported symptoms or distress.PMID:33792405 | DOI:10.1177/10499091211007449
Source: The American Journal of Hospice and Palliative Care - April 1, 2021 Category: Palliative Care Authors: Xi Chen Violet D'Souza Timothy A Thomsen Stephanie Gilbertson-White Jirakate Madiloggovit Chandler Pendleton Arshi Munjal Xie Xianjin Source Type: research

Can Community Health Centers Fill The Health Care Void Left By Defunding Planned Parenthood?
House Speaker Paul Ryan has stated that the House bill to repeal the Affordable Care Act (ACA), like its 2016 Congressional predecessor vetoed by President Obama, will include a provision that excludes certain providers that furnish abortions (other than those permitted under the Hyde Amendment) from the Medicaid program. Not only would such providers be excluded for family planning services; their exclusion would extend to the full range of Medicaid-covered services furnished in primary and preventive settings, such as breast and cervical cancer screening, mammograms, diagnosis and treatment of sexually transmitted diseas...
Source: Health Affairs Blog - January 27, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Costs and Spending Featured Organization and Delivery Population Health Quality Community Health Centers Congress Paul Ryan Planned Parenthood Primary Care Republicans Women's Health Source Type: blogs