1.Research on Empathy Ability among Surgical Oncology Doctors and the Enlightenment
Dongze HOU ; Denggao YAN ; Ningxi YANG
Chinese Medical Ethics 2017;30(4):471-475
Objective:To investigatethe empathy ability among surgical oncology doctors in Three-A hospitals in Shenyang,and analyze the effects of demographic factors on their empathy ability.Methods:Cluster random sampling method was used to conduct a questionnaire survey in order to investigate the empathy ability of surgical oncology doctors in six Three-A hospitals in Shenyang.Results:The average empathy score of surgical oncology doctors was(42.12 ± 11.19),and each item scored(1.91 ±0.51).The empathy ability of surgical oncology doctors was significantly different in gender,educational background,professional title,and employment type (P <0.05),while no difference was observed in age,marital status,working experience,department and whether one child or not (P >0.05).Conclusions:The empathy ability of surgical oncology doctors was at a relative low level,which was influenced by gender,educational background,professional title and employment type.Hospital managers should attach great importance to enhance the doctors' empathy ability.In order to improve the doctors' humanistic competency,targeted training for them is necessary.Through the cultivation of empathy ability,the surgical oncology doctors can provide warmer treatment for the patients,and eventually improve patients' quality of life.
2.Three-dimensional radiographic features of calcifying odontogenic cyst and calcifying epithelial odontogenic tumor
Xiaotong LING ; Liuyang QU ; Danni ZHENG ; Jing YANG ; Xuebing YAN ; Denggao LIU ; Yan GAO
Journal of Peking University(Health Sciences) 2024;56(1):131-137
Objective:To analyze the three-dimensional radiographic characteristics of calcifying odon-togenic cyst and calcifying epithelial odontogenic tumor using spiral computed tomography(CT)and cone-beam computed tomography(CBCT).Methods:Clinical records,histopathological reports,and CBCT or non-enhanced spiral CT images of 19 consecutive patients with calcifying odontogenic cyst(COC)and 16 consecutive patients with calcifying epithelial odontogenic tumor(CEOT)were retrospec-tively acquired,and radiographic features,including location,size,expansion,internal structure and calcification,were analyzed.Results:Among the 19 COC cases(12 males and 7 females,with an average age of 27 years),89.5%(17/19)of the lesions originated from the anterior and premolar areas,100.0%of them exhibited cortex expansion,and 78.9%had discontinued cortex.Among the 16 CEOT cases(3 males and 13 females,with an average age of 36 years),81.3%(13/16)of the lesions were in the premolar and molar areas,56.3%of them exhibited cortex expansion,and 96.8%had discontinued cortex.According to the distribution of internal calcifications,these lesions were divided in-to:Ⅰ(non-calcification type):absence of calcification;Ⅱ(eccentric marginal type):multiple calcifi-cations scattered along one side of the lesion;Ⅲ(diffused type):numerous calcifications diffusely dis-tributed into the lesion;Ⅳ(plaque type):with a ≥ 5 mm calcified patch;V(peri-coronal type):multiple calcifications clustered around impacted teeth.Calcifications were present in 73.7%of COC le-sions,including 9 type Ⅱ,3 type Ⅲ and 2 type Ⅳ lesions,and 42.8%of CEOT lesions had calcifica-tion images,including 2 type Ⅲ and 5 type V lesions.Six COC lesions had odontoma-like images.Moreover,8 of 9 type Ⅰ CEOTs were histologically Langerhans cell-rich subtype,which had a smaller size(with an average mesiodistal diameter of 17.8 mm)and were not associated with impacted teeth.Conclusion:COC lesions tended to originate from the anterior part of the jaw and exhibit cortex expan-sion,and were sometimes associated with odontoma.CEOT commonly occurred in the posterior jaw and had discontinued cortex.Two lesions had significantly different calcification map.Over 70%of COC le-sions had calcification images,which were mostly scattered along one side of the cysts,far from the im-pacted teeth.Approximately 60%of CEOT lesions exhibited smaller size and non-calcification,and the remaining CEOT cases often had calcification images clustered around the impacted teeth.
3. Imaging analysis of ameloblastoma, odontogenic keratocyst and dentigerous cyst in the maxilla using spiral CT and cone beam CT
Yuan MENG ; Yaqiong ZHANG ; Xin YE ; Yaning ZHAO ; Yan CHEN ; Denggao LIU
Chinese Journal of Stomatology 2018;53(10):659-664
Objective:
To analyze the radiolographic features of ameloblastoma (AM), odontogenic keratocyst (OKC) and dentigerous cyst (DC) in the maxilla by spiral CT (SCT) and cone-beam CT (CBCT), and to provide useful information for the differential diagnosis of benign radiolucent lesions in the maxilla.
Methods:
Clinical records, histopathological reports and SCT or CBCT imaging of 85 patients with primary maxillary AM, OKC or DC admitted to Peking University School and Hospital of Stomatology from December 2012 to May 2017 were collected. Radiographic characteristics including site, size, shape, cortex expansion, internal structure and effects on neighboring tissue were analyzed. For OKC and DC, the relationship between cysts and enveloped teeth was classified as centripetal, eccentric and adherent.
Results:
The 85 patients included 56 males and 29 females, aged from 8 to 84 years old. Eighty-three patients had a single lesion, whereas 2 patients had bilateral cysts. In total, 87 lesions were analyzed, comprising 22 AM, 45 OKC and 20 DC. Among the 22 AM, 11 lesions were desmoplastic type, 16 were round-like in shape and 18 presented with buccal expansion. The shapes of the 45 OKC varied as round-like (