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  1. Sodergren SC, Hurley-Wallace A, Vassiliou V, Alkhaffaf B, Batsaikhan B, Darlington AS, et al.
    Gastric Cancer, 2024 Apr 26.
    PMID: 38668819 DOI: 10.1007/s10120-024-01492-8
    BACKGROUND: The EORTC QLQ-STO22 (QLQ-STO22) is a firmly established and validated measure of health-related quality of life (HRQoL) for people with gastric cancer (GC), developed over two decades ago. Since then there have been dramatic changes in treatment options for GC. Also, East Asian patients were not involved in the development of QLQ-STO22, where GC is most prevalent and the QLQ-STO22 is widely used. A review with appropriate updating of the measure was planned. This study aims to capture HRQoL issues associated with new treatments and the perspectives of patients and health care professionals (HCPs) from different cultural backgrounds, including East Asia.

    METHODS: A systematic literature review and open-ended interviews were preformed to identify potential new HRQoL issues relating to GC. This was followed by structured interviews where HCPs and patients reviewed the QLQ-STO22 alongside new issues regarding relevance, importance, and acceptability.

    RESULTS: The review of 267 publications and interviews with 104 patients and 18 HCPs (48 and 9 from East Asia, respectively) generated a list of 58 new issues. Three of these relating to eating small amounts, flatulence, and neuropathy were recommended for inclusion in an updated version of the QLQ-STO22 and covered by five additional questions.

    CONCLUSIONS: This study supports the content validity of the QLQ-STO22, suggesting its continued relevance to patients with GC, including those from East Asia. The updated version with additional questions and linguistic changes will enhance its specificity, but further testing is required.

  2. Krishnan S, Zulkapli NS, Din MFM, Majid ZA, Honda M, Ichikawa Y, et al.
    J Environ Manage, 2020 Feb 01;255:109890.
    PMID: 31790869 DOI: 10.1016/j.jenvman.2019.109890
    Water treatment plants generate vast amounts of sludge and its disposal is one of the most expensive and environmentally problematic challenges worldwide. As sludge from water treatment plants contains a considerable amount of titanium, both can create serious environmental concerns. In this study, the potential to recover titanium from drinking water treatment residue was explored through acid leaching technique. Statistical design for the optimization of titanium recovery was proposed using response surface methodology (RSM) based on a five-level central composite design (CCD). Three independent variables were investigated, namely the acid concentration (3 M-7 M), temperature (40 °C - 80 °C) and solid/liquid ratio (0.005-0.02 g/mL). According to the analysis of variance (ANOVA), the p-value (<0.0001) indicated the designed model was highly significant. Optimization using RSM gave the best fit between validated and predicted data as elucidated by the coefficient of determination with R2 values of 0.9965. However, acid concentration and solid/liquid ratio showed an initial increase in titanium recovery followed by recovery reduction with increasing concentration and ratio. Quadratic RSM predicted the maximum recovery of titanium to be 67.73% at optimal conditions of 5.5 M acid concentration, at a temperature of 62 °C with a solid/liquid ratio of 0.01 g/mL. The verification experiments gave an average of 66.23% recovery of titanium, thus indicating that the successfully developed model to predict the response. This process development has significant importance to reduce the cost of waste disposal, environmental protection, and recovery of economically valuable products.
  3. Ngoo KS, Honda M, Kimura Y, Yumioka T, Iwamoto H, Morizane S, et al.
    Int J Med Robot, 2019 Aug;15(4):e2018.
    PMID: 31115140 DOI: 10.1002/rcs.2018
    BACKGROUND: The aim of this study is to investigate the impact of robotic-assisted radical prostatectomy (RARP) on the health-related quality of life (HRQOL).

    METHODS: We prospectively reviewed HRQOL parameters using Short-Form Health Survey, patient self-reporting of urinary incontinence and International Index of Erectile Function, among patients who underwent RARP between 2010 and 2016.

    RESULTS: Among 249 men studied, all had significantly worse HRQOL domain scores at 1 month post operatively but 24 months after surgery, all domains reached or surpassed their baseline values. Only Bodily Pain, General Health, Role-Emotional, Mental Health domains, and Mental Health Composite were significantly improved. Improvement in urinary continence was mirrored by improvements in both Mental and Physical Component Scores.

    CONCLUSIONS: Within a 2-year post-operative period, men who underwent RARP had regained their overall quality of life. The recovery of urinary continence significantly impacted the mental, physical, emotional, and social well-being of those patients.

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