Context:As breast cancer treatment going forward, need for supportive strategies grows. That creates an important call to summarize what has been done regionally.Objectives: In this study, we systematically reviewed articles that proceeded rehabilitation and supportive care in breast cancer patients in Iran to present a research map of rehabilitation research in the past 10 years in Iran.Data Sources: All articles published from January 2006 to October 2015 were included. All of the breast cancer studies in Iran were searched in 3 English (Web of Science, PubMed, and Scopus) and 2 Persian databases (SID and IranMedex).Study Selection: All papers related to rehabilitation in breast cancer were included and categorized into 5 subgroups including qualitative, instrument, lymphedema, interventional, and observational studies. Three reviewers (two surgeons and an epidemiologist) screened the primary search and divided it into subgroups.Data Extraction: Two reviewers used a checklist to critically appraise the full text of the selected articles. The necessary information of retrieved articles was extracted and recorded in the designed data extraction spreadsheet in Excel software.Results: A total of 194 articles (102 in English and 92 in Persian) were assessed for eligibility of inclusion in the review, of which, 121 were excluded, and 73 studies were kept. The included studies consisted of 14 on qualitative design, 5 studies in the translation and validation of research instruments, 7 articles in the field of lymphedema, 20 articles about different intervention modalities on breast cancer patients (including education, social status, psychological, exercise, etc.), and 27 observational studies about anxiety, depression, quality of life, sexual function, emotional distress, complementary medicine, lifestyle, etc.Conclusions: Most of the reviewed studies insisted on a prevalence of physical, psychological, functional, and spiritual problems of breast cancer survivors and their caregivers. Designing a mega project to offer a palliative and rehabilitation service package according to the needs of Iranian patients may become a priority in their health care system.
The finding of intranasal ectopic or supernumerary tooth although have been reported in the past, is still considered a rare presentation. It may remain silent for a long period of time, before manifesting with nasal symptoms. We report the case of a 33-year-old lady with an ectopic pre-molar tooth in the floor of her right nostril, presenting with intermittent epistaxis and foul-smelling nasal discharge. She was referred for a rhinolith in her nose. The tooth was successfully extracted via intranasal endoscopic approach. DOI: http://dx.doi.org/10.3329/bjms.v13i3.19157 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.336-339
Introduction: Breast cancer could adversely affect the self-esteem of women, family performance, sexual role, and quality of life. Sources of support are considered as one of the most effective coping strategies against problems and consequences of breast cancer. The current study aimed at evaluating different supportive sources and their impact on coping behavior of patients with breast cancer. Methods: The current descriptive, analytic, cross-sectional study included 100 patients with breast cancer. The instruments consisted of a questionnaire designed to measure the sources of support and another questionnaire on coping behavior with the disease. The data were analyzed by the Pearson correlation, linear regression, and descriptive statistics (mean and standard deviation) with SPSS version 14. Results: The mean age of the patients was 45.59 ± 9.1 years. Overall, 69% of the study subjects were married and 77% were housewives. There was a positive and significant correlation between the received supportive sources and the disease coping behavior (P=0.049). In addition, the mean score of supportive source received from mothers and sisters was the highest in women with breast cancer (3.86). Conclusions: Results of the current study indicated that women with breast cancer had the highest rate of coping behavior when their mothers and sisters supported them. This emphasizes the importance of required advice for all sources of support available for patients; therefore, the patients with breast cancer could deal with their disease more desirably.
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