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Glomus tumor of uncertain malignant potential of the brachial plexus: A case report

World Journal of Clinical Cases 2019年第18期7卷 2815-2822页

作者： Pichaya Thanindratarn Thanapon Chobpenthai Termphong Phorkhar Scott D Nelson Department of Orthopedic Surgery Chulabhorn hospitalHRH Princess Chulabhorn College of Medical ScienceChulabhorn Royal AcademyLak SiBangkok 10210Thailand Department of Orthopedic Surgery Sarcoma Biology LaboratoryDavid Geffen School of MedicineUniversity of CaliforniaLos AngelesCA 90024United States Department of Pathology University of CaliforniaLos AngelesCA 90404United States

BACKGROUND Glomus tumor is an uncommon benign tumor usually presenting with a small mass occurring in the dermis or soft tissue of an extremity, especially subungual region. However, intraneural glomus tumor is sporadic. While most of the glomus tumors are benign, atypical glomus tumors with unusual features can be occasionally found, leading to distinctive malignant potential required different therapeutic approaches. Glomus tumor of uncertain malignant potential is one type of atypical glomus tumor with limited criteria for malignancy and without metastasis. CASE SUMMARY Herein, we report a case of a 48-year-old Thai male with a large painful mass in his axilla for one year without apparent neurological deficit. Magnetic resonance imaging showed a large heterogeneous mass encasing entire posterior cord of left brachial plexus and axillary artery. The tumor tissue from core needle biopsy histologically demonstrated the sheets and cords of relatively uniform tumor cells with foamy cytoplasm and round to oval hyperchromatic nuclei without atypia. The mitotic count was 0 per 50 high power field. A final diagnosis of glomus tumor of uncertain malignant potential was rendered. Complete surgical resection was performed, followed by adjuvant radiation due to positive margin. Neither local recurrence nor distant metastasis was observed at 2-year follow up. Unfortunately, postoperative incomplete brachial plexopathy without signs of reinnervation by electromyography was persisted. Later nerve grafting reconstruction was performed, followed by ongoing neurological rehabilitation. CONCLUSION Glomus tumor of uncertain malignant potential is exceedingly rare, especially around brachial plexus. Although the prognosis is good, careful histological diagnosis and treatment are needed to achieve an optimal outcome with lower morbidity.

关键词： Glomus tumor Glomus tumor of uncertain malignant potential Brachial plexus Case report

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Depressive symptoms, social support, cognitive function, and stigma: predictors of resilience in caregivers of children with intellectual disabilities

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Frontiers of Nursing 2022年第4期9卷 361-369页

作者： Wattana Tejakum Thitipong Tankumpuan Wanich Suksatan Jirapan Saboonma Supapak Phetrasuwan Tamar Rodney Boromarajonani college of Nursing BangkokBangkok 10400Thailand Faculty of Nursing Mahidol UniversityBangkok NoiBangkok 10700Thailand Faculty of Nursing HRH Princess Chulabhorn College of Medical ScienceChulabhorn Royal AcademyBangkokBangkok 10210Thailand Department of Mental Health Ministry of Public HealthRajanukul InstituteNonthaburiNonthaburi 11000Thailand School of Nursing Johns Hopkins UniversityBaltimoreMaryland 21205-2110United States

Objective:Family plays an important role in taking care of children with intellectual disabilities(IDs).Resilience supports coping strategies for caregivers with their children ***,factors influencing the resilience of caregivers with ID in Thailand are yet to be ***,the aim of this study was to identify the predictors of resilience in caregivers of children with moderate to severe ***:A cross-sectional study was implemented in caregivers of children with ID aged 18 years and older who had children diagnosed with ID aged 6–18 years and classified as moderate to severe *** statistic and multiple linear regression were used for data ***:The study sample consisted of 85 caregivers who took care of their children older than 5 years(95.30%).Depression,social support,cognitive function,and stigma could predict the resilience(F[4,80]=26.79,P<0.001)and explain the variability of resilience by 57.3%.Conclusions:Caregivers have to take care of their children for a long period,which could develop a burden to the *** resilience and influencing factors should be monitored and managed by developing a campaign to promote caregivers’health and well-being.

关键词： caregiver cognitive function depressive symptoms intellectual disability social support stigma

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Calibration of a neutron dose rate meter in various neutron standard fields

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Nuclear science and Techniques 2020年第6期31卷 75-82页

作者： Tuan Khai Nguyen Hoai-Nam Tran Quynh Ngoc Nguyen Thi My Linh Dang Van Loat Bui Thiansin Liamsuwan Ngoc-Thiem Le Vietnam Agency for Radiation and Nuclear Safety 113 Tran Duy HungHanoi 100000Vietnam Institute of Fundamental and Applied sciences Duy Tan UniversityHo Chi Minh 700000Vietnam Faculty of Natural sciences Duy Tan University3 Quang TrungDa Nang 550000Vietnam Institute for Nuclear science and Technology VINATOM179 Hoang Quoc VietHanoi 100000Vietnam Faculty of Physics VNU University of Science334 Nguyen TraiHanoi 100000Vietnam Nuclear Research and Development Division Thailand Institute of Nuclear TechnologyOngkharakNakorn NayokThailand 7 Faculty of Medicine and Public HealthHRH Princess Chulabhorn College of Medical ScienceChulabhorn Royal AcademyBangkokThailand

This paper presents the calibration of a neutron dose rate meter and the evaluation of its calibration factors(CFs)in several neutron standard fields(i.e.,two standard fields with bare sources of252Cf and241Am-Be,and five simulated workplace fields with241Am-Be moderated sources).The calibration in standard fields with bare sources was conducted by following the recommendations of the ISO 8529 *** measured total neutron ambient dose equivalent rates,denoted as H*(10)tot,were analyzed to obtain direct components,denoted as H*(10)dir,using a reduced fitting *** CF was then calculated as the ratio between the conventional true value of the neutron ambient dose equivalent rate in a free field,denoted as H*(10)FF,and the value of H*(10)*** contrast,in the simulated workplace neutron fields,the calibration of the neutron dose rate meter was conducted by following the ISO 12789 *** CF was calculated as the ratio between the values of H*(10)totmeasured by a standard instrument(i.e.,Bonner sphere spectrometer)and the neutron dose rate *** CF values were obtained in the range of 0.88–*** standard uncertainties(k=1)of the CFs were determined to be in the range of approximately 6.6–13.1%.

关键词： Neutron standard fields Neutron dose rate meter Calibration factor 252Cf source 241AmBe source

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Predictors of diabetes self-management among type 2 diabetics in Indonesia:Application theory of the health promotion model

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International Journal of Nursing sciences 2017年第3期4卷 260-265页

作者： Anggraini Dwi Kurnia Anchaleeporn Amatayakul Sirikul Karuncharernpanit Nursing Department Faculty of Health ScienceUniversity of Muhammadiyah MalangIndonesia Faculty of Nursing H.R.H Princess Chulabhorn's College of Medical ScienceThailand Boromarajonani college of Nursing Chakriraj Thailand

Objective:This study aimed to identify factors predicting diabetes self-management among adults with type 2 diabetes mellitus in Malang City,East Java,***:A cross-sectional design was used in this *** were selected from five primary health centers in Malang City,East Java,Indonesia using the multistage sampling method.A total of 127 adults with type 2 diabetes mellitus were *** were collected by questionnaires which were the general diabetes knowledge,the Beliefs of Treatment Effectiveness,the Diabetes Distress Scale,the Self-efficacy for Diabetes Scale,the brief Chronic Illness Resources Survey,the Situational Questionnaire and the Summary of Diabetes Self-care Activities.A self-administered questionnaire was used to collect the *** linear regression with stepwise method was used toanalyze the ***:The scores of seven questionnaires(i.e,diabetes knowledge,perceived benefit of diabetes self-management,diabetes distress,perceived self-efficacy,social support,situational influence,and diabetes self-management)were 13.75±3.59,34.9±4.89,3.03±0.86,3.60±0.53,27.79±5.56,3.27±0.58,3.81±1.08,*** significant predictors of diabetes self-management were treatment,perceived self-efficacy,and situational *** variables explained 20.8%(adjusted R^(2)=0.208)of the variance in diabetes self-management among adults with type 2 diabetes mellitus in Malang ***:Diabetes self-management among adults with type 2 diabetes mellitus could be improved by enhancing their perceived self-efficacy to achieve their self-management behavior,such as having a healthy diet,exercising regularly,actively monitoring blood glucose level,taking medication and foot care,and providing support to promote good situational influence.

关键词： Diabetes mellitus,2 Self-management Patient Influence factor

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Common molecular subtypes among Asian hepatocellular carcinoma and cholangiocarcinoma

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Cancer Biology & Medicine 2018年第S1期15卷 10-11页

作者： Jittiporn Chaisaingmongkol Anuradha Budhu Hien Dang Siritida Rabibhadana Benjarath Pupacdi So Mee Kwon Marshonna Forgues Yotsawat Pomyen Vajarabhongsa Bhudhisawasdi Nirush Lertprasertsuke Anon Chotirosniramit Chawalit Pairojkul Chirayu UAuewarakul Thaniya Sricharunrat Kannika Phornphutkul Suleeporn Sangrajrang Maggie Cam Ping He Stephen M.Hewitt Kris Ylaya Xiaolin Wu Jesper B.Andersen Snorri S.Thorgeirsson Joshua J.Waterfall Yuelin J.Zhu Jennifer Walling Holly S.Stevenson Daniel Edelman Paul S.Meltzer Christopher A.Loffredo Natsuko Hama Tatsuhiro Shibata Robert H.Wiltrout Curtis C.Harris chulabhorn Mahidol Mathuros Ruchirawat Xinwei Wang Laboratory of Human Carcinogenesis Center for Cancer ResearchNational Cancer InstituteBethesdaMarylandUSA Laboratory of Chemical Carcinogenesis Chulabhorn Research InstituteBangkokThailand Center of Excellence on Environmental Health and Toxicology Office of Higher Education CommissionMinistry of EducationBangkokThailand Faculty of Medicine Khon Kaen UniversityKhon KaenThailand Faculty of Medicine Chiang Mai UniversityChiang MaiThailand hrh princess chulabhorn college of medical science BangkokThailand chulabhorn Hospital BangkokThailand Rajavej Hospital Chiang MaiThailand National Cancer Institute BangkokThailand Center for Cancer Research National Cancer InstituteBethesdaMarylandUSA FDA Silver SpringMarylandUSA Laboratory of Pathology Center for Cancer ResearchNational Cancer InstituteBethesdaMarylandUSA Frederick National Laboratory for Cancer Research FrederickMarylandUSA Biotech Research and Innovation Center(BRIC) Department of Health and Medical SciencesUniversity of CopenhagenCopenhagenDenmark Genetics Branch Center for Cancer ResearchNational Cancer InstituteBethesdaMarylandUSA Georgetown University medical Center WashingtonDCUSA Division of Cancer Genomics National Cancer Center Research InstituteThe University of TokyoTokyoJapan Laboratory of Molecular Medicine Human Genome CenterThe Institute of Medical ScienceThe University of TokyoTokyoJapan Cancer Inflammation Program Center for Cancer ResearchNational Cancer InstituteBethesdaMarylandUSA

Objective:Intrahepatic cholangiocarcinoma(ICC)and hepatocellular carcinoma(HCC)are clinically disparate primary liver cancers with etiological and biological *** Thailand,both cancer types represent the primary cause ... 详细信息

关键词： Common molecular subtypes

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