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如果您剛剛進行了昂貴的購買,那麼在您是否做出正確選擇上就經常發生衝突。我應該買車還是房子?換個房子或汽車會是更好的選擇嗎?這種現象通常被稱為買方的mor悔或認知失調。<br /><br /><br />在醫療保健中也會發生同樣的反應。在這種情況下,這就是決定性遺憾。達納-法伯癌症研究所放射腫瘤學臨床研究副主席Paul Nguyen醫學博士說,在接受前列腺癌治療的男性中這尤其常見,這是美國男性中最常見的癌症。 /布萊根婦女癌症中心和波士頓哈佛醫學院放射腫瘤學副教授。<br />Nguyen博士說:“與許多其他癌症不同,前列腺癌是一種疾病,患者可以接受廣泛的治療選擇,從主動監測到各種形式的放射,有無雄激素剝奪療法,到開放或機器人手術。<br />Nguyen繼續說道:“選擇的好處是患者可以自由選擇偏好。” “不同尋常的結果是,選擇會導致您擔心選擇不當,從而導致決策後悔。”<br />導致決策後悔的主要原因:信息不足在2018年1月發表於Urologia Internationalis的一項研究中,來自法國尼姆大學醫院和蒙彼利埃大學的泌尿科和男科學系的研究人員研究了患有精神分裂症的男性的決策後悔前列腺癌。<br />為了評估尿毒症的發生率以及治療後影響患者滿意度和決定性後悔的因素,研究人員向接受前列腺治療的法國國家前列腺癌患者協會成員進行了一項調查。<br />226名受訪者中的大多數分為四類:110名僅接受手術治療的患者,29名接受放射治療加激素治療的患者,28名僅接受放射治療的患者和49名接受其他聯合治療的患者。平均而言,他們在治療近五年後回答了問卷。<br />研究人員發現“做出決定性遺憾的主要原因是,患者收到的前列腺癌信息不完整(佔40%),治療的結果影響了泌尿系統(佔34%)。”<br /><br /><br />經根治性前列腺切除術治療的患者尿失禁發生率達34.5%,接受放射療法和激素治療的患者發生尿失禁的發生率為10.3%,僅接受放射治療的患者發生尿失禁的發生率為17.8%,接受其他聯合療法的患者發生率為38.7%。<br />32.3%的滿意組和經歷過決策後悔的組中的14.3%認為所收到的有關癌症的信息完整。關於尿失禁,每組分別收到的信息的完成率分別為41.4%和17.4%。<br />作者寫道:“與單獨手術組相比,放療加激素治療組的患者認為自己對潛在的泌尿並發症的了解不足。” “這促使我們鼓勵放射治療師在最初的諮詢期間付出更多的努力來解釋對患者的潛在副作用。”<br />研究人員得出結論:“前列腺癌治療的泌尿後遺症很普遍,並影響生活質量。患者需要明確的信息,以便能夠參與治療性決策並避免隨後的決策後悔。<br />他們說:“但是,患者對自己沒有收到完整信息的感覺並不總是與醫療團隊溝通不暢有關。這是一個多因素的問題,考慮到自這項研究中患者接受前列腺癌治療以來的平均平均時間為4.5年,因此應考慮其他因素,特別是患者的回憶。”<br />他們補充說,“此外, [https://yourbookmark.stream/story.php?title=%EF%BB%BF%E4%BA%8C%E5%8D%81%E5%A4%9A%E6%AD%B2%E7%9A%84%E9%97%9C%E7%AF%80%E7%82%8E-noelia%E7%9A%84%E6%95%85%E4%BA%8B#discuss https://yourbookmark.stream/story.php?title=%EF%BB%BF%E4%BA%8C%E5%8D%81%E5%A4%9A%E6%AD%B2%E7%9A%84%E9%97%9C%E7%AF%80%E7%82%8E-noelia%E7%9A%84%E6%95%85%E4%BA%8B#discuss] 。據記錄,在治療決策過程中發揮積極作用的患者幾乎總是報告對他們的決策感到滿意。”<br />阮說,法國的新研究與關於決策後悔和前列腺癌的其他研究一致。他說:“ [決定性後悔]通常與您在做出決定時感覺信息不完整有關,或者與您選擇的治療方法引起的並發症或不良結果有關。”<br />2017年7月,愛荷華城愛荷華大學的研究人員報告說,在對近1,000名男性的研究中,患有局部前列腺癌的15%的人後悔了他們的治療選擇。遺憾的最常見原因是與治療有關的性功能障礙。<br />“遺憾的是,局部前列腺癌的長期倖存者中相對較少報導結局;然而,我們的結果表明,更好地向男性介紹治療方案,尤其是保守治療,可能有助於減輕長期的後悔。”醫學博士,該研究的合著者Richard Hoffman總結說,該研究發表在《臨床腫瘤學雜誌》上。 “這些發現對於鼓勵低風險癌症的男性考慮積極監測是及時的。”<br />預防後悔:下一步為避免後悔,Nguyen建議治療這些患者的醫療團隊“必須確保患者與外科醫生,放射腫瘤科醫生和內科腫瘤醫生進行充分的多學科諮詢,並聽取所有觀點並充分了解所有情況選擇,這樣他們以後不太可能後悔自己的選擇。”<br />他補充說,遺憾的問題在前列腺癌患者中尤其明顯。 Nguyen說:“乳腺癌在[完全]乳房切除術,乳房切除術+放射治療之間做出選擇。通常,選擇不像前列腺癌那樣痛苦,但是仍然存在類似的問題。”<br />約翰&middot;麥金太爾(John MacIntyre)醫師是安大略省沃特頓(Waterdown)的一名全科醫生,他將該法國研究引起了Everyday Health的注意,他認為“這項研究是由患者協會發起的,而不是泌尿科醫師發起的。”他說,關於決策後悔的研究缺失了患者在做出最初選擇時的想法。根據MacIntyre博士的說法,不僅是面對這些遺憾的前列腺癌患者,而且還有那些正在接受高血壓,血脂異常,乳腺癌和結直腸癌治療的患者。<br />麥金太爾說:“關於決定性後悔與個人對治療的期望之間的聯繫,並沒有說。 “根據我過去40多年的經驗,患者總體上不知道要問什麼問題。我經常想知道患者不滿意的頻率與他們只是不了解自己所要進入的事物的感覺有關,通過理解我的意思是他們根據個人的生活價值觀和期望將問題歸結為自己的思想,並感到有能力問適當的問題。 “知情同意”應圍繞患者自身的問題而非醫生的概念和對問題的理解而建立。”<br />底線:在開始任何推薦的前列腺癌治療方案之前,請務必與您的醫生交談並獲得有關潛在治療方案的任何問題的答案。請您的醫生解釋風險和益處,並儘可能使用數字。這應該包括與使用一種療法來預防一種前列腺癌死亡所需的治療次數(NNT)與引起一種副作用(如失禁或勃起功能障礙)所需的傷害次數(NNH)相比的討論。與您的醫生進行討論可以幫助您切實地設定自己的期望。<br />前列腺癌中常見的常見問題關於已擴散到骨頭的前列腺癌的常見問題如何讓您的配偶或伴侶參與晚期前列腺癌的護理8晚期前列腺癌的症狀及其治療方法<br /><br />
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[https://diggersupply23.bravejournal.net/post/2021/01/21/Seven-knives-fit-for-survival#pings how to close a pocket knife] is just a specified, however, a grasp which matches the measurements and contour of someone's hands is a significant factor that lots of dwelling painters may not get while interested in getting yourself a chef's knife (especially online ).<br /><br />McManus recommends steering off from knife grips that prescribe a specific direction of keeping them. &quot;Lots of chef's knives possess very special shapes in to those grips which is often supposed to develop into ergonomic, but the task is that you just don't ever necessarily grasp the knife exactly the exact very same manner as you're working&quot; She explained.<br /><br />To get some thing as easy as having a pest, as an example, you are keeping your knife in various ways. &quot;You have flat cuts at that you're keeping the knife degree towards the plank, you are utilizing the secret once trimming on it and you're cutting across the onion as well as the stomach with the knife,&quot; McManus clarified.<br /><br />McManus likens the assortment of practical experiences to wizards selecting their wands from Ollivanders from the Harry Potter novels. &quot;There really is a feeling that you've if you decide up your knifeit basically pops right in your own hands feels exactly like it is a part of you personally&quot;<br /><br />Suitable storage and regular upkeep are typical keys.<br />Anything you choose to dedicate to the chef's knife, a few simple treatment advice can support one to make sure it functions you for several decades.<br /><br /><br /><br />For [https://www.zotero.org/groups/2724671/lakecheck89121 pocket knife sharpener] , even Santos recommends chilling your knives out onto a wall socket, and also it is possible to find a great deal of magnetic knife strips out there which hit that. &quot;Throwing your knives at a drawer isn't only horrendous for your knives unless you've got a wood cover to these,&quot; Santos explained. &quot;Butcher cubes can dull your knives and also the cube occupies much a Lot of space within the counter&quot;<br /><br />Sharpening is crucial for the health of one's knives. &quot;you need to at the lowest demeanor on the knife on the steel each and every time you apply it,&quot; Santos stated. &quot;The most optimal/optimally method to keep a border would be by adjusting it well every single time you use it. Honing makes up about the micro-edge and causes it to be possible for your blade to cut on the back cleaner additionally enables the life length of this edge to survive longer. Then, whenever you move to automate it takes less effort for back it again to exactly wherever it should become.&quot;<br /><br />Santos recommends learning just how so how you can sharpen your knives sharpening stone. &quot;Sharpening stones are somewhat inclined to become less disagreeable from the metal compared to a mechanical sharpener,&quot;&quot; he clarified. &quot;If you sharpen your knife you are wearing off metallic. The greater you have together with rock together with their nice self indulgent that the much-less you devote on away your knife&quot;<br /><br />For luxury knives that cost tens of thousands of dollars, and you're going to desire to simply take exclusive maintenance in sharpening out since their blades are often very fragile and thin.&quot;&quot; You always have the choice to muster an inexpensive knife onto an exceptional sharpening rock, nevertheless, you ought to keep away from utilizing an inexpensive sharpener on a great knife,&quot; Ochoa explained. &quot;For your regular residence cook, then I would suggest an electrical sharpener or perhaps even a whetstone. Under Consideration, have your knives with an expert with expertise that is practical&quot;<br />

Revision as of 01:19, 22 January 2021

how to close a pocket knife is just a specified, however, a grasp which matches the measurements and contour of someone's hands is a significant factor that lots of dwelling painters may not get while interested in getting yourself a chef's knife (especially online ).

McManus recommends steering off from knife grips that prescribe a specific direction of keeping them. "Lots of chef's knives possess very special shapes in to those grips which is often supposed to develop into ergonomic, but the task is that you just don't ever necessarily grasp the knife exactly the exact very same manner as you're working" She explained.

To get some thing as easy as having a pest, as an example, you are keeping your knife in various ways. "You have flat cuts at that you're keeping the knife degree towards the plank, you are utilizing the secret once trimming on it and you're cutting across the onion as well as the stomach with the knife," McManus clarified.

McManus likens the assortment of practical experiences to wizards selecting their wands from Ollivanders from the Harry Potter novels. "There really is a feeling that you've if you decide up your knifeit basically pops right in your own hands feels exactly like it is a part of you personally"

Suitable storage and regular upkeep are typical keys.
Anything you choose to dedicate to the chef's knife, a few simple treatment advice can support one to make sure it functions you for several decades.



For pocket knife sharpener , even Santos recommends chilling your knives out onto a wall socket, and also it is possible to find a great deal of magnetic knife strips out there which hit that. "Throwing your knives at a drawer isn't only horrendous for your knives unless you've got a wood cover to these," Santos explained. "Butcher cubes can dull your knives and also the cube occupies much a Lot of space within the counter"

Sharpening is crucial for the health of one's knives. "you need to at the lowest demeanor on the knife on the steel each and every time you apply it," Santos stated. "The most optimal/optimally method to keep a border would be by adjusting it well every single time you use it. Honing makes up about the micro-edge and causes it to be possible for your blade to cut on the back cleaner additionally enables the life length of this edge to survive longer. Then, whenever you move to automate it takes less effort for back it again to exactly wherever it should become."

Santos recommends learning just how so how you can sharpen your knives sharpening stone. "Sharpening stones are somewhat inclined to become less disagreeable from the metal compared to a mechanical sharpener,"" he clarified. "If you sharpen your knife you are wearing off metallic. The greater you have together with rock together with their nice self indulgent that the much-less you devote on away your knife"

For luxury knives that cost tens of thousands of dollars, and you're going to desire to simply take exclusive maintenance in sharpening out since their blades are often very fragile and thin."" You always have the choice to muster an inexpensive knife onto an exceptional sharpening rock, nevertheless, you ought to keep away from utilizing an inexpensive sharpener on a great knife," Ochoa explained. "For your regular residence cook, then I would suggest an electrical sharpener or perhaps even a whetstone. Under Consideration, have your knives with an expert with expertise that is practical"