BackgroundSurgical scars are crucial cosmetic problem, especially when in exposed areas such as the anterior neck following thyroidectomy.ObjectiveTo evaluate the impact of post-thyroidectomy scars on quality of life (QoL) of thyroid cancer patients and identify the relationship between scar characteristics and QoL.MethodsPatients with post-thyroidectomy scars on the neck were recruited. QoL was measured using the Dermatology Life Quality Index (DLQI). Scar characteristics were graded according to Vancouver scar scale (VSS) score.ResultsNinety-seven patients completed a battery of questions at the time of enrollment. Post-thyroidectomy scars were classified according to morphology as linear flat scars, linear bulging scars, hypertrophic scars or adhesive scars. There were 32 patients (33.0%), 9 patients (9.3%), 41 patients (42.3%) and 15 patients (15.5%), respectively, in each group. The mean total DLQI score was 9.02. Domain 2 (daily activities, 2.87 points), which includes questions about clothing, was the most greatly impacted among patients. The total DLQI scores of patients who have experienced scar-related symptoms were significantly higher than those of patients without symptoms (p<0.05). The VSS scores were 3.09 for linear flat scars, 6.89 for linear bulging scars, 6.29 for hypertrophic scars and 5.60 for adhesive scars. However, the DLQI scores did not significantly differ among scar types or VSS scores.ConclusionPost-thyroidectomy scars on the neck affect the QoL of thyroid cancer patients regardless of scar type. Therefore, clinicians should pay attention to the psychological effects of scars on patients and take care to minimize post-thyroidectomy scar.
Activated carbon (AC) amendments to sediments were tested for nontoxic, secondary effects on survival, weight change, and energetic biomarkers of the deposit feeder Neanthes arenaceodentata. The tests employed silica sand, reference sediments, and contaminated sediments. Survival was not affected by the sediment type, the AC dose (20% versus 5%), or the AC particle size. Without additional food supply, exposure to untreated and AC-amended sediments resulted in similar reduction of weight and lipid content, with no difference between ingestible and noningestible AC. Overall, whether with or without AC, the organisms showed signs of starvation, as the organisms would most likely rely on organic surface deposits for their diet in the environments from which the sediments were collected. When additional food was supplied, the organisms grew significantly and maintained higher lipid and glycogen contents. However, when feeding on fish food, organisms grew less in AC amendments with slightly lower lipid and glycogen contents relative to organisms exposed to untreated sediment. Batch tests show that AC did not sorb sediment-associated nitrogen but sorbed nitrogen from fish food. Despite some effects of AC on these deposit feeders, absolute effects of AC amendments on growth and energy reserves were not significant.
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