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Analyzing classroom teacher-student consultations: a systemic-multimodal perspective ...
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Analyzing classroom teacher-student consultations: a systemic-multimodal perspective ...
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Non-routine Mathematical Problem-Solving: Creativity, Engagement, and Intuition of STEM Tertiary Students
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The anesthetic approach for endovascular recanalization therapy depends on the lesion site in acute ischemic stroke
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In: Neuroradiology (2021)
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Lesion site and therapy time predict responses to a therapy for anomia after stroke: a prognostic model development study
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In: Sci Rep (2021)
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Lesion site and therapy time predict responses to a therapy for anomia after stroke: a prognostic model development study
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Lesions that do or do not impair digit span: a study of 816 stroke survivors
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In: Brain Commun (2021)
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Damage to Broca’s area does not contribute to long-term speech production outcome after stroke
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In: Brain (2021)
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Changes in Community Clinicians’ Attitudes and Competence following a Transdiagnostic Cognitive Behavioral Therapy Training
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In: Implement Res Pract (2021)
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Brain regions that support accurate speech production after damage to Broca’s area
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In: Brain Commun (2021)
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Evaluating the Impact of Puzzle-based Learning on Creativity, Engagement and Intuition of STEM Tertiary Students
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CorCenCC: Corpws Cenedlaethol Cymraeg Cyfoes – the National Corpus of Contemporary Welsh ...
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Novel Computational Linguistic Measures, Dialogue System and the Development of SOPHIE: Standardized Online Patient for Healthcare Interaction Education ...
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Multimodal estimation and communication of latent semantic knowledge for robust execution of robot instructions
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In: Prof. Roy (2020)
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Patterns of Multidisciplinary Care of Head and Neck Squamous Cell Carcinoma in Medicare Patients
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Hansen, Chase C.; Egleston, Brian; Leachman, Brooke K.; Churilla, Thomas M.; DeMora, Lyudmila; Ebersole, Barbara; Bauman, Jessica R.; Liu, Jeffrey C.; Ridge, John A.; Galloway, Thomas J.
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In: JAMA Otolaryngol Head Neck Surg (2020)
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Abstract:
IMPORTANCE: Multidisciplinary care (MDC) yields proven benefits for patients with cancer, although it may be underused in the complex management of head and neck squamous cell carcinoma (HNSCC). OBJECTIVE: To characterize the patterns of MDC in the treatment of HNSCC among elderly patients in the US. DESIGN, SETTING, AND PARTICIPANTS: This nationwide, population-based, retrospective cohort study used Surveillance, Epidemiology, and End Results (SEER)–Medicare linked data from January 1, 1991, to December 31, 2011, to identify patients 66 years or older diagnosed with head and neck cancer and determine the dates of diagnosis, oncology consultations, treatment initiation, and speech therapy evaluation in addition to MDC completion. Multidisciplinary care was defined in a stage-dependent manner: localized disease necessitated consultations with radiation and surgical oncologists, and advanced-stage disease also included a medical oncology consultation, all before definitive treatment. Data were analyzed between December 2016 and September 2020. MAIN OUTCOMES AND MEASURES: Rates of MDC across all subsites of head and neck cancer as measured by the presence of an evaluation for each oncologist on the MDC team and its effect on treatment initiation. RESULTS: This cohort study assessed 28 293 patients with HNSCC (mean [SD] age, 75.1 [6.6] years; 67% male; 87% White) from the SEER-Medicare linked database. The HNSCC subsites included larynx (40%), oral cavity (30%), oropharynx (21%), hypopharynx (7%), and nasopharynx (2%). Overall, the practice of MDC significantly increased over time, from 24% in 1991 to 52% in 2011 (P < .001). For patients with localized (stage 0-II) tumors, 60% received care in the multidisciplinary setting, whereas 28% of those with advanced-stage disease did. A total of 18 181 patients (64%) were treated with initial definitive nonsurgical therapy across all stages. Regardless of stage and subsite, few patients (2%) underwent evaluation by a speech-language pathologist before definitive therapy. Multidisciplinary care prolonged the time to initiation of definitive treatment by 11 days for localized disease and 10 days for advanced disease. CONCLUSIONS AND RELEVANCE: This cohort study found that most elderly patients with localized HNSCC received MDC, whereas few patients with advanced-stage disease received such care, although a significant proportion received adjuvant therapy. Multidisciplinary care may prolong time to initiation of definitive treatment with an uncertain impact. Consultation with a speech-language pathologist before definitive therapy was rare.
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Keyword:
Original Investigation
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URL: http://www.ncbi.nlm.nih.gov/pubmed/33090191 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7582229/ https://doi.org/10.1001/jamaoto.2020.3496
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Black holes, gravitational waves and fundamental physics: a roadmap
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In: Class.Quant.Grav. ; https://hal.archives-ouvertes.fr/hal-01833690 ; Class.Quant.Grav., 2019, 36 (14), pp.143001. ⟨10.1088/1361-6382/ab0587⟩ (2019)
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Pathogenic variants in USP7 cause a neurodevelopmental disorder with speech delays, altered behavior, and neurologic anomalies.
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In: Genetics in medicine : official journal of the American College of Medical Genetics, vol 21, iss 8 (2019)
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Black holes, gravitational waves and fundamental physics: a roadmap
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