Rehab Centers: Health-Related Quality of Life in Breast Cancer Patients With Lymphedema Who Survived More Than One Year After Surgery.

Health-related quality of life in breast cancer patients with lymphedema who survived more than one year after surgery.

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J Breast Cancer. 2012 Dec; 15(4): 449-53
Lee SH, Min YS, Park HY, Jung TD

To identify the influence of lymphedema on health-related quality of life (HRQOL) more than 1 year after breast cancer surgery.Ninety-six breast cancer patients who survived more than 1 year after surgery and 104 members of the general population were recruited. Patients were divided into 2 groups according to the presence of lymphedema. HRQOL was evaluated with the Short-Form 36-Item Health Survey.THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES IN ANY SCALES BETWEEN GROUPS: groups of breast cancer survivors with and without lymphedema. Compared with the general population, breast cancer survivors had lower quality of life scores in all scales, although the vitality and mental health scales did not differ from chance variation at the 5% level.In this study, the presence of lymphedema in breast cancer patients who survived over 1 year after surgery might not affect the quality of life. However quality of life of breast cancer survivors is lower than in general population except for some mental health components.
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Management of oropharyngeal Dysphagia in laryngeal and hypopharyngeal cancer.

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Int J Otolaryngol. 2012; 2012: 157630
Granell J, Garrido L, Millas T, Gutierrez-Fonseca R

On considering a function-preserving treatment for laryngeal and hypopharyngeal cancer, swallowing is a capital issue. For most of the patients, achieving an effective and safe deglutition will mark the difference between a functional and a dysfunctional outcome. We present an overview of the management of dysphagia in head and neck cancer patients. A brief review on the normal physiology of swallowing is mandatory to analyze next the impact of head and neck cancer and its treatment on the anatomic and functional foundations of deglutition. The approach proposed underlines two leading principles: a transversal one, that is, the multidisciplinary approach, as clinical aspects to be managed in the oncologic patient with oropharyngeal dysphagia are diverse, and a longitudinal one; that is, the concern for preserving a functional swallow permeates the whole process of the diagnosis and treatment, with interventions required at multiple levels. We further discuss the clinical reports of two patients who underwent a supracricoid laryngectomy, a function-preserving surgical technique that particularly disturbs the laryngeal mechanics, and in which swallowing rehabilitation dramatically conditions the functional results.
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Praxis and autism: the psychomotor regulation sensory processing dimension-a report from the field.

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Front Integr Neurosci. 2012; 6: 129
Berger KA

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