Quality-of-life among head and neck cancer survivors at one year after treatment – A systematic review

Abstract Background: The importance of quality-of-life (QoL) research has been recognised over the past two decades in patients with head and neck (H&N) cancer. The aims of this systematic review are to evaluate the QoL status of H&N cancer survivors one year after treatment and to identify the determinants affecting their QoL. Methods: Pubmed, Medline, Scopus, Sciencedirect and CINAHL (2000–2011) were searched for relevant studies, and two of the present authors assessed their methodological quality. The characteristics and main findings of the studies were extracted and reported. Results: Thirty-seven studies met the inclusion criteria, and the methodological quality of the majority was moderate to high. While patients of the group in question recover their global QoL by 12 months after treatment, a number of outstanding issues persist – deterioration in physical functioning, fatigue, xerostomia and sticky saliva. Age, cancer site, stage of disease, social support, smoking, feeding tube placement and alcohol consumption are the significant determinants of QoL at 12 months, while gender has little or no influence. Conclusions: Regular assessments should be carried out to monitor physical functioning,degree of fatigue, xerostomia and sticky saliva. Further research is required to develop appropriate and effective interventions to deal with these issues, and thus to promote the patients’ QoL.

Strongly minimal triangulations of (S (3) x S (1))(#3) and (S (3) x S (1))(#3)

A triangulated d-manifold K, satisfies the inequality for da parts per thousand yen3. The triangulated d-manifolds that meet the bound with equality are called tight neighbourly. In this paper, we present tight neighbourly triangulations of 4-manifolds on 15 vertices with as an automorphism group. One such example was constructed by Bagchi and Datta (Discrete Math. 311 (citeyearbd102011) 986-995). We show that there are exactly 12 such triangulations up to isomorphism, 10 of which are orientable.

森林生态效益经济补偿综合评估(英文)

长期以来人们忽视了森林产品的非市场价值,从经济角度上来看, 这将导致保护森林资源的难度加大。本文在以前研究的基础之上,综合了恩格尔系数和逻辑斯谛曲线构造了补偿系数,计算了长白山地区森林生态效益的经济补偿值。结果表明,1999 年应支付的总补偿值为637.93 元/公顷,其中70%将直接支付给当地居民和其它相关利益者。这一数值远远高于现有的补偿值。从当前的形势看,中央政府不可能承担所有的森林保护费用和支付所有的保护森林的开支。本文提出可以利用当地政府的财政投资以及将补偿费用纳入到现行财政体系中解决方法。图1 表2参17。