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Our results support the decision to use this questionnaire. IMPLICATION FOR NURSING MANAGEMENT The adapted German MISSCARE will allow both monitoring of performed and missed nursing care over time and benchmarking of hospitals. This article is protected by copyright. All rights reserved.Discoid lupus erythematosus (DLE) is a chronic autoimmune skin disease that usually causes disfiguring scarring, dyspigmentation, and atrophy. Despite a range of available topical and systemic therapies, the treatment of DLE remains a therapeutic challenge, especially in some refractory cases. Here, we reported three male patients with long-term chronic lesions of unilateral facial localized DLE, who failed to have their disease controlled with many previous topical/systemic treatments, showed rapid and well response to intralesional injections of betamethasone (2 mg/mL, 0.2 mL/site) monontherapy once every two weeks for 2, 2, and 4 times of treatment, respectively. Intralesional betamethasone may provide a safe and effective alternative in the management of refractory localized DLE skin lesions. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.The use of dexamethasone plus thalidomide in combination with a continuous infusion of cisplatin, doxorubicin, cyclophosphamide, and etoposide (DTPACE) was first described in relapsed myeloma (MM) and showed effectiveness as induction therapy before autologous stem cell transplant (ASCT)1 . The addition of bortezomib to DTPACE (VTDPACE) led to improved outcomes2,3 . Historical indications for DPACE-based therapies include salvage treatment of aggressive MM, plasma cell leukaemia, and initial presentation with extra-medullary disease. Infusional chemotherapy continues to play a role, especially as a bridge to ASCT or as a method of rapid tumour de-bulking4 . This article is protected by copyright. All rights reserved.There is a paucity of investigations to determine if patients will respond to spinal cord stimulation. We seek to highlight investigations that may better determine patient response to SCS, and what the neuromodulation community can continue to do to improve patient selection. This article is protected by copyright. All rights reserved.Psychiatric symptoms in dermatology practice are increasingly being recognized. The use of psychiatric medications by dermatologist is dealt with caution and uncertainty in several psychodermatological conditions. Several skin conditions are associated with anxiety, depression, and obsessive-compulsive symptoms. Some conditions such as delusion of parasitosis require antipsychotic medication treatment. Keeping in mind the importance of psychotropic medications and its use in dermatology, following brief review will familiarize dermatologists about the ease of understanding and prescribing psychotropic medications to help their patients with psychiatric symptoms and increase the compliance in treatment. © 2020 Wiley Periodicals LLC.BACKGROUND There is no consensus whether the pre-emptive administration of analgesics reduces trans and postoperative pain in primary molar extraction. AIM Investigate whether the pre-emptive administration of ibuprofen and paracetamol reduces trans and postoperative pain on primary molars extraction compared to placebo. DESIGN A parallel, placebo-controlled, triple-blind, randomized clinical trial was conducted. Forty-eight children who needed primary molar tooth extraction were selected and treated under local anesthesia and pre-emptive administration of placebo or analgesics. Self-reported pain was evaluated during the anesthesia, extraction and 2, 6 and 24 hours of postoperative period, using a Visual Analogue Scale (VAS). Children's baseline anxiety, behavior during the procedure, parents' anxiety and postoperative analgesia were also assessed. Data analysis included descriptive statistics and multiple linear regression. RESULTS No association was found between the use of pre-emptive analgesic and lower scores of trans and postoperative pain compared to placebo. Children who presented negative behavior reported greater pain during anesthesia (p=0.04) regardless of preemptive analgesia group. Children from the placebo group were more likely to need postoperative analgesia at 2 hours of follow-up (p=0.03). CONCLUSION The pre-emptive administration of analgesics did not significantly reduce trans and postoperative pain in children after primary molars extraction. This article is protected by copyright. this website All rights reserved.AIMS Anaplastic carcinoma arising in a mucinous tumor of the ovary and rarely in the retroperitoneum is an uncommon neoplasm with three morphologic patterns; rhabdoid, sarcomatoid and pleomorphic. We investigated expression of switch/sucrose nonfermentable (SWI/SNF) chromatin remodeling complex components and claudin-4 expression. METHODS AND RESULTS 22 ovarian and 3 retroperitoneal mucinous tumors were investigated using antibodies against SMARCB1, SMARCA4, SMARCA2, ARID1A and claudin-4. Loss of nuclear staining for any SWI/SNF protein was observed in the anaplastic component of 9 of 25 (36%), with retained expression within the mucinous component of all tumors. Five (56%) showed loss of more than one protein, with dual loss of SMARCA4 and SMARCA2 in two, loss of SMARCA2 and ARID1A in two, and loss of SMARCB1 and SMARCA2 in one. Retained expression of claudin-4 was seen in 39% of the anaplastic carcinomas and within the mucinous component of all tumors. Rhabdoid morphology was associated with poor prognosis (stage III or IV disease (6/6, 100% vs 4/14, 29%; p=0.0108) and death from disease (3/4, 75% vs 1/13, 8%; p=0.0223)). Although loss of a SWI/SNF protein was not significantly associated with death from disease (3/5, 60% vs 1/12, 8%; p=0.0525), it showed a trend in correlation with poor prognosis and was often noted in tumors with rhabdoid morphology within this small cohort. CONCLUSIONS Our report adds to the growing list of female genital tract malignancies with loss of SWI/SNF proteins, underlining their broad differential diagnosis and the importance of careful, context-dependent interpretation of SWI/SNF protein loss. This article is protected by copyright. All rights reserved.

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