關於 cancer surgery ，我們在網路上蒐集到這些相關的討論、資訊與評價

│ 在搜尋論文時，發現有趣的問題，有研究但尚無統合分析，加以整理統合，就是一篇很好的臨床統合分析論文。 │
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【統合分析工作坊 │ 快訊🎊 】蔡宗佑醫師團隊，關於鼻咽癌患者影像預後價值之統合分析，獲 Oral Oncology 刊登！
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鼻咽癌的患者，如果在影像上看到疾病侵犯到淋巴結以外的範圍（rENE），是否意味著較差的預後呢？雖然概念上有可能，但目前尚無統合分析做定論，蔡醫師團隊預計針對這個問題回答。
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研究收入 9 篇共 7532 位受試者，其中 7 篇研究是未分級的 rENE，而 3 篇是很清楚且毫不模糊的明確晚期 rENE。分析結果發現，未分級的 rENE 與較差的總死亡率，以及無轉移死亡率有關。明確晚期 rENE 也是一樣，而且風險比更高。作者總結認為，鼻咽癌患者，如果在影像上看到疾病侵犯淋巴結以外的區域，意味著預後的確不好。
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此為蔡醫師開始參加新思惟研究課程課後的第四篇論文，也是上過《統合分析工作坊》課後發表的第二篇統合分析論文，恭喜蔡醫師！
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【關於期刊】
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Oral Oncology 是原在 1965 年創刊的 European journal of cancer. Part B, Oral oncology，在 1997 年改名而成，目前為 International Association of Oral Pathologists、European Association of Oral Medicine、International Academy of Oral Oncology 三個學會的官方期刊。
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此期刊的 2020 年 impact factor 為 5.337，在 Oncology 領域為 Q2(82/242) 期刊，在 Dentistry, Oral Surgery & Medicine 則為 Q1(7/91) 期刊。這類在不同分類，有顯著排名差距的期刊，值得關注。
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在許多大學升等的規定中，除了 impact factor 之外，有時頂尖期刊還有加分，像是本期刊在 Dentistry, Oral Surgery & Medicine 不只是 Q1，甚至是 top 10% 期刊，若貴校升等計分，有針對 top 10% 期刊加分的話，這本就很值得考慮。
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🎯 克服經費與資源稀少的困境，帶您踏入統合分析的領域。
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☑ 統合分析研究規劃技巧
☑ 正確拆解論文架構
☑ 必學的重要專有名詞
☑ 互動實作：完成一套 Meta-analysis 圖表
☑ 以發表為導向的搜尋文獻
☑ Meta-analysis 圖表優化重點
☑ 給初學者的起步建議
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🔸 11/7（日）統合分析工作坊 #全新梯次
➠ 免收案、免 IRB，突破資源缺乏困境的機會！
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🗣️ 課後學員心得
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「事實證明課前煩惱都是多餘的，從上課的第一分鐘到課程的最後一秒，我的注意力未曾中斷，上課的流程很明顯是不斷被優化過的，沒有一絲時間上的浪費，所有在寫作中可能會遇到的，或是無法避免的困境，都一樣樣被列舉出來，並一行行被打破。對生物統計基本上只記得 p 值的我，也可以在半小時內理解最實用的統合分析方式並實際操作。」
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「上完整套的課程後，好像經歷一整天的精神時光屋，了解好多研究的訣竅以及該注意的地方，對於我這種研究新手十分友善，課中疑問或是實作卡關都能及時解決，不讓你把疑問帶回家，課後覺得自己離發表研究更近一步！」

𝘽𝙡𝙤𝙤𝙙, 𝙎𝙬𝙚𝙖𝙩 𝙖𝙣𝙙 𝙏𝙚𝙖𝙧𝙨 🩸💦💧

To express without baby’s latch is really challenging. But I’m grateful to those who shared their tips, videos, and one particular nurse (Fazilah) in NICU who is taking care of our lil sweetheart. I wanted to have the lactation nurse to watch (me) if I’m doing it right bcs I wasn’t been able to yield excellent volume according to baby’s needs. But bcs the PIC was off, Fazilah agreed to help. She shared with me the technique and what works for her and most importantly, it’s very relaxing and not painful at all. ❤️

Initially I thought I was going to miss this chance (to harvest the colostrum) since baby was not with me and I wasn’t performing up to expectation. When I asked for guidance from the lactation nurse in my ward, all I rmber was how hard she squeeze my nipples n I was alr on the verge of crying. 😭 She told me this is the way to do and that’s the pain level I need to meet. 😵‍💫😵🤯🤬🥵😡 So I just did exactly what she said and for the first few days of “stimulation exercise”, I was in so much pain n misery. 🙇🏻‍♀️ It was hell of a torture 🧨💣🔪💥🔥and it makes me wonder why do mothers have to go through such suffering when the body were still recovering from the horrific labor pain; mentally and physically 🤒
But really, thanks God for sending us Fazilah just when we need it the most ❤️‍🔥❤️‍🩹💓

Bae visits the hospital daily. Already very popular among the guards and NICU staff 😅 He was always there to bring me things I need (and don’t need eg: sinful snacks) to make sure I have a pleasant stay. 🥰 He’ll push me on wheelchair all the way from my ward to baby’s at NICU. And we’ll both spend our quality time with our lil sweetheart 👶🏻. And you’re right, I don’t rmber the pain anymore when I see her, but if u ask if I’m ready for No.2, I can firmly tell you, I AM NOT LAH 😅😂🤣

I was ideally, expecting for natural birth VAB so I don’t risk for any complications or them touching my existing scars but 𝙄𝙏 𝘿𝙄𝘿𝙉’𝙏 𝙃𝘼𝙋𝙋𝙀𝙉.. CSEC on my midline scar with 100% epidural 💢

I was ideally, expecting for 10cm dilation, so I practiced an active lifestyle throughout pregnancy with hiking, swimming and walking but 𝙄𝙏 𝘿𝙄𝘿𝙉’𝙏 𝙃𝘼𝙋𝙋𝙀𝙉.. I have to endure 6 hours of contraction pain and labor still did not happen, hence, emergency C - SEC 🆘

I was ideally, expecting ok maybe if it end up with CSEC, it’ll be a fast and smooth surgery like cancer days and just recuperate at home for 2 weeks and I’ll be back on my feet again but 𝙄𝙏 𝘿𝙄𝘿𝙉’𝙏 𝙃𝘼𝙋𝙋𝙀𝙉.. I end up have to be readmitted due to infection and inflammation on my incision with on/off fever and was constantly in severe pain despite being prescribed pain killer 💊

I was ideally, expecting baby will be home with me right after birth but 𝙄𝙏 𝘿𝙄𝘿𝙉’𝙏 𝙃𝘼𝙋𝙋𝙀𝙉.. little did I expect, she’ll be admitted to NICU for Congenital Pneumonia and Jaundice (this is well aware bcs both of us are O+) 🩸

Yes, as I’m writing this, I’m back in the hospital (again) but feeling much better; 𝒃𝒆𝒕𝒕𝒆𝒓 not because of the 100 positive things that has happened. ⚠️ 𝘽𝙪𝙩 𝙗𝙘𝙨 𝙤𝙛 𝙩𝙝𝙚 𝙊𝙉𝙀 𝙥𝙤𝙨𝙞𝙩𝙞𝙫𝙚 𝙩𝙝𝙞𝙣𝙜 𝙩𝙝𝙖𝙩 𝙝𝙖𝙥𝙥𝙚𝙣 𝙙𝙚𝙨𝙥𝙞𝙩𝙚 99 𝙣𝙚𝙜𝙖𝙩𝙞𝙫𝙚 𝙚𝙫𝙚𝙣𝙩 𝙩𝙝𝙖𝙩 𝙩𝙧𝙞𝙚𝙨 𝙩𝙤 𝙧𝙪𝙞𝙣 𝙞𝙩. ㊗️ This time, I’m referring to my colostrum harvesting! They’re all hand express 😜 I am not born strong but I choose to learn on how to be one. I know how tough pregnancy n motherhood journey can be but I choose to ride on it bcs that’s exactly what I wanted. 𝙄’𝙢 𝙛𝙞𝙣𝙖𝙡𝙡𝙮 𝙧𝙚𝙖𝙙𝙮 𝙛𝙤𝙧 𝙖 𝙛𝙖𝙢𝙞𝙡𝙮. 👨‍👩‍👦 It’s definitely tough, and sometimes one might feels like giving up but I’m thankful n grateful to have a very supportive n understanding husband and fam. It makes the journey less lonely and more encouraging ❤️

Now I understand why we need to 𝙘𝙚𝙡𝙚𝙗𝙧𝙖𝙩𝙚 𝙈𝙤𝙩𝙝𝙚𝙧’𝙨 𝘿𝙖𝙮 𝙬𝙞𝙩𝙝 𝙥𝙧𝙚𝙢𝙞𝙪𝙢 𝙗𝙪𝙧𝙜𝙚𝙧 𝙖𝙣𝙙 𝙧𝙤𝙩𝙞 𝙠𝙤𝙨𝙤𝙣𝙜 𝙛𝙤𝙧 𝙁𝙖𝙩𝙝𝙚𝙧’𝙨 𝘿𝙖𝙮 😂😂😂

P/S: Baby and Mummy will continue to be admitted until further notice 🚸

#breastfeedingjourney #pregnancyjourney #jennslifeaftercancer #spreadlovecreatehope #babydiverinthemaking #cancersurvivor #ovariancancer #stage3

It took alot of progress in the past month to finally be able to go back to working out almost normally after surgery, but I am almost there. And the same goes for recovery from cancer, I can't applaud all cancer survivors enough for battling the Big-C and coming out winning the battle. Although the journey is long and sometimes difficult, but you are a survivor and you should be proud of that. To all cancer survivors, Happy National Cancer Survivors Day ❤

#nationalcancersurvivorsday #cancerawareness #cancersurvivor

肝癌 － 張文龍臨床腫瘤科專科醫生＠FindDoc.com

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（一）肝癌有什麼治療選擇？ 00:06

（二）標靶藥物是什麼？有什麼好處和副作用？ 00:55

（三）是否每個肝癌患者都適合使用口服標靶藥治療？ 02:36

（四） 標靶藥物費用昂貴有沒有藥物津貼？ 03:13

(本短片作健康教育之用，並不可取代任何醫療診斷或治療。治療成效因人而異，如有疑問，請向專業醫療人士諮詢。)

參考資料：
1. Liu, C. Y., Chen, K. F., & Chen, P. J. (2015). Treatment of Liver Cancer. Cold Spring Harbor perspectives in medicine, 5(9), a021535. https://doi.org/10.1101/cshperspect.a021535
2. M., Kudo; K.-H., Han; S.-L., Ye; J., Zhou; Y.-H., Huang; S.-M., Lin; et al. (2020): Supplementary Material for: A Changing Paradigm for the Treatment of Intermediate-Stage Hepatocellular Carcinoma: Asia- Pacific Primary Liver Cancer Expert Consensus Statements. Karger Publishers. Dataset. https://doi.org/10.6084/m9.figshare.12293318.v1
3. Kudo, M., Finn, R. S., Qin, S., Han, K. H., Ikeda, K., Piscaglia, F., Baron, A., Park, J. W., Han, G.,
Jassem, J., Blanc, J. F., Vogel, A., Komov, D., Evans, T., Lopez, C., Dutcus, C., Guo, M., Saito, K., Kraljevic, S., Tamai, T., … Cheng, A. L. (2018). Lenvatinib versus sorafenib in first-line treatment of patients with unresectable hepatocellular carcinoma: a randomised phase 3 non-inferiority trial. Lancet (London, England), 391(10126), 1163–1173. https://doi.org/10.1016/S0140-6736(18)30207-1
4. Xie, F., Feng, S., Sun, L., & Mao, Y. (2018). The first-line treatment for unresectable hepatocellular carcinoma patients: lenvatinib versus sorafenib, or beyond?. Hepatobiliary surgery and nutrition, 7(3), 221–224. https://doi.org/10.21037/hbsn.2018.06.06
5. OncoLink. (2020). Lenvatinib (Lenvima®). Retrieved from https://www.oncolink.org/cancer- treatment/oncolink-rx/lenvatinib-lenvima-r






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益生菌專題 －張世華腸胃肝臟科專科醫生＠FindDoc.com

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（一）街訪：有聽過什麼是益生菌嗎？ 00:00

（二）醫生解話：什麼是益生菌？ 00:32

（三）街訪：什麼食物會含有益生菌？ 01:01

（四）醫生解答：益生菌經過胃酸還能生存嗎？1:15

（五）醫生解答：如何選擇益生菌產品？01:33

（六）醫生解答：日常飲食能補充益生菌嗎？01:48

（七）醫生解答：應該補充多少益生菌？02:18

（八）醫生解答：年紀大壞菌會變多，所以更需要吃益生菌？02:29

（九）醫生解答：益生菌能當補品吃嗎？02:57

(本短片作健康教育之用，並不可取代任何醫療診斷或治療。治療成效因人而異，如有疑問，請向專業醫療人士諮詢。)

參考資料：
1. Magro, F., Gionchetti, P., Eliakim, R., Ardizzone, S., Armuzzi, A., Acosta, M. B., …Raine, T. (2017). ECCO Guideline / Consensus Paper Third European Evidence-based Consensus on Diagnosis and Management of Ulcerative Colitis . Part 1 : Definitions , Diagnosis , Extra-intestinal Manifestations , Pregnancy , Cancer Surveillance , Surgery , and Ileo-anal Pouch Disorders, Journal of Crohn’s and Colitis, 11(6), 649–670. doi: 10.1093/ecco-jcc/jjx008
2. Allen, SJ., Martinez, E. G., Gregorio, G. V., & Dans, L. F.(2010) Probiotics for treating acute infectious diarrhoea. Cochrane Database of Systematic Reviews 2010, (11). doi: 10.1002/14651858.CD003048.pub3
3. Didari, T., Mozaffari, S., Nikfar, S., and Abdollahi, M. (2015). Effectiveness of probiotics in irritable bowel syndrome: Updated systematic review with meta-analysis. World journal of gastroenterology, 21(10), 3072–3084. doi:10.3748/wjg.v21.i10.3072


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The minutes didn't matter. The Denver Nuggets were just encouraged to see a uniform draping Nene's beefy body again, and that great smile splashed across his face once more.

The big Brazilian forward played the final 77 seconds of the Nuggets' 118-105 win over the Dallas Mavericks on Thursday night, marking his return to the court 2 1/2 months after surgery to remove a malignant testicular tumor.

"Everybody was excited to see Nene back out there, just to see him back in his uniform, seeing him smile again after the stuff he's been through," said Carmelo Anthony, who scored 32 points and keyed the decisive run in the Nuggets' fourth straight win.

Nene had been out since Jan. 11, and it's been just over a month since he underwent chemotherapy.

In the locker room afterward, Nene never stopped smiling. He said he's still full of nerves, still absent enough stamina but certainly not lacking any strength.

"I survived, I'm still here," he said. "I'm a new man, stronger than ever, I just say, 'Thank you, everybody.' "

Allen Iverson added 31 points for the Nuggets, who are a half-game behind Golden State for the eighth and final playoff spot, and one game behind the Mavericks. The Warriors visit the Pepsi Center on Saturday night for another big matchup.

The Warriors visit the Pepsi Center on Saturday night for another big matchup.

"That game's bigger than this game," suggested Anthony.

But this game will long be remembered, too.

When Nene stripped off his warmups and finally entered the game with 1:17 left, he was given a rousing standing ovation and teammate Kenyon Martin embraced him in a bear hug.

"George Karl said, 'Go ahead, enjoy your party,' " Nene said of Denver's coach. "It's a special moment in my life."

Nene had hoped to play about 5 minutes, but those aspirations were dashed when the Nuggets fell behind by 15 points early on.

Besides, it's not as though the Nuggets were looking for a major contribution or even an emotional lift.

"It's not about how he plays," Karl, a fellow cancer survivor, said before tip-off. "We're just happy he's back and we're going to celebrate his health, we're going to celebrate his coming off of major cancer surgery, and we're just going to celebrate. This has nothing to do with basketball. We're just happy he's with us."

Iverson said this was a night he'll remember forever.

"He's a teammate, and he's somebody we care about and we want around, but life is so much bigger than basketball," Iverson said. "When it happened to him, it put it more in perspective for me that it's not just about this game, it's about life. It was just a good feeling and I was happy to be a part of it."

Karl said he wanted to cry when Nene got into the game.

"It's worthy of tears," Karl said. "To see him come back, he's a hell of a person and to help him through this, if we can help him play this year, it will be a great story, it'll be a great feeling, it will be a great building block for the character and chemistry of our team."

Anthony also chipped in 10 boards and eight assists, helping Denver overcame a 30-point night by Josh Howard and 19 points and 15 assists from Jason Kidd.

The Mavericks are 10-9 since acquiring Kidd from New Jersey, but none of the wins was against teams with winning records. Six of their final 10 games are against teams above .500, including two against Golden State.

Dallas fell to 1-1 since losing MVP Dirk Nowitzki indefinitely with knee and ankle injuries.

But the Mavs controlled the tempo for much of the game. Kidd was left unguarded on the left elbow and swished a 3-pointer in the third quarter to give the Mavericks a 79-71 lead.

The Nuggets responded with an 18-2 run, with Anthony scoring half of the points. His breakaway slam dunk gave Denver its first lead since the opening minutes.

Anthony sank four free throws with 3:17 left in the third quarter for an 86-81 lead after Dallas coach Avery Johnson and Howard received technicals for arguing a personal foul on Howard.

"Geez, I'm the only guy in the league that gets a technical by saying one word," Johnson complained. "It wasn't even a bad word. I was asking for a clarification. They have to get some tougher skin."

The Nuggets built their lead to 94-86 after three quarters and weren't threatened again.

Howard surpassed his scoring average of 19.6 points with a 22-point first half, leading Dallas to a 70-60 lead at the break. But without Nowitzki, the Mavericks couldn't keep repelling Denver's runs.

"I don't know if there was a void. Guys stepped up," Kidd said. "We just couldn't keep them off the boards and didn't take care of the ball in that second half."

Game notes

Anthony (23 years, 303 days) scored his 9,000th career point. Only LeBron James reached that milestone at a younger age (22 years, 352 days). ... The Mavericks are 1-2 without Nowitzki this season and 16-12 (.571) without him for his career. They're 495-255 (.660) with him.