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Curative radiotherapy/chemo-radiotherapy for head and neck cancer (HNC) may result in severe acute and late side effects, including tube feeding dependence.
With the intent of debating policy implications, the aims of this study were to advance the knowledge in the field of feeding dependence prevalence and predictors in Italy, a country where life expectancy is among the highest in the World.
Among others, feeding dependence is one of the most complex needs to satisfy: behind the attempt to personalise meals with individual preferences and clinical regimens, all residents require help at the same moment and for long periods of time, three or more times a day.
The purpose of this prospective cohort study was to develop a multivariable normal tissue complication probability (NTCP) model for tube feeding dependence 6 months (TUBEM6) after definitive radiotherapy, radiotherapy plus cetuximab or concurrent chemoradiation based on pre-treatment and treatment characteristics.
Feeding dependence poses an increased risk for aspiration and related complications in patients with dysphagia due to factors such as rapid and uncontrolled presentation of food by feeders.
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Xiomara's feeding tube, dependence on supplemental oxygen and ever-present huge emergency medical bag were no longer the defining parts of her identity.
Andy Fisher, a co-founder of an antihunger organization, maintains that Feeding America's dependence on corporations for donations is preventing it from doing the type of advocacy work, in areas like the minimum wage and health care, that could help eliminate some of the root causes of hunger and poverty.
This rate is considerably lower than the rates of late feeding tube dependence (24 – 50%) in other series.
The study was designed to evaluate the relationship between dopamine and serotonin release in these hypothalamic areas and their dependence on feeding status.
Based on the optimum content, the photocatalytic dependence on feeding dosage of catalyst shows that the STH efficiency will reach the highest value of 1.5% at the dosage of 100 mg.
Further primary research on how best to feed back nicotine dependence assessments is needed to test this hypothesis.
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