![]() ![]() So, we never even have access to the recorded audio, and Edge's / Chrome's / Android's (depending the one you use) privacy policy apply here. You may choose to delete the transcription results - once you do - no copy remains on our servers.įor dictation, the recording & recognition - is delegated to and done by the browser (Chrome / Edge) or operating system (Android).Only you have access to them - only if you sign in (or provide your secret credentials through the API) Transcription results are securely kept on our secure database.Our contract with Google / Microsoft (our speech engines providers) prohibits them from keeping any audio or results.Recordings are automatically deleted from our servers as soon as the transcription is done.Secure encrypted communications (https) with and between our servers.No passing your recording between PCs, emails, employees, etc. Our transcription service is probably the most private and secure transcription service available. Privacy - how are the recordings and results handled? - Transcription service We don't share it with 3rd parties, other than Google / Microsoft for the speech-to-text engine. We at Speechnotes, Speechlogger, TextHear, Speechkeys value your privacy, and that's why we do not store anything you say or type or in fact any other data about you - unless it is solely needed for the purpose of your operation. Fonts and colors all over the app were designed to be sharp and have excellent legibility characteristics. In addition to that, speaking instead of typing, enables you to think and speak it out fluently, uninterrupted, which again encourages creative, clear thinking. All other elements but the text itself are out of sight by fading out, so you can concentrate on the most important part - your own creativity. Speechnotes is especially designed to provide you a distraction-free environment.Įvery note, starts with a new clear white paper, so to stimulate your mind with a clean fresh start. No download, no install and even no registration needed, so you can start working right away. Works entirely online in your Chrome browser. We strive to provide the best online dictation tool by engaging cutting-edge speech-recognition technology for the most accurate results technology can achieve today, together with incorporating built-in tools (automatic or manual) to increase users' efficiency, productivity and comfort. Speechnotes is a powerful speech-enabled online notepad, designed to empower your ideas by implementing a clean & efficient design, so you can focus on your thoughts. Distraction-free, fast, easy to use web app for dictation & typing. Professional, accurate & free speech recognizing text editor. ![]()
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![]() ![]() These two understated neutrals fit beautifully within the woodsy background. Here, the asymmetrical stone on the ground floor sets off the jungle green vinyl siding on the upper story. To get the best results from your exterior walls, consider mixing textures as well as color. Jungle Green Vinyl Siding Credit: totalhomeconstruction The rood is made of red shingles with equally red brick used for the porch, chimney, and basement so this house is a wash of primary colors and organics.ģ. But you can recreate these colors in vinyl if you want to. Those bright yellow rows and vivid blue scallops? All timber. We’ve mentioned that siding was originally done in wood, and this is how it looks. The tiles and canopy are set vertically for contrast. So the walls have horizontal beige panels offsetting mahogany roofing tiles. In this house, the vinyl siding colors are based on a woodland theme. They just feel it would be more sophisticated and elegant to layer your hues and shades. Modern interior designers aren’t necessarily against monochromatic themes. Wood-Toned Vinyl Siding Credit: kaycansiding So look through this list and get inspired by these 33 vinyl siding colors. And it comes in gorgeous styles and designs. It’s a tough form of plastic that sturdy, weatherproof, waterproof, and pest-proof. These days, you can achieve that same rustic effect with vinyl siding. And given the basic functionality of those tools, it was just easier to cut the wood into narrow planks. At the time, construction was done with manual tools that may seem quaint in today’s age of nail guns and miter saws. Traditionally, buildings were made from wooden planks. ![]() ![]() ![]() Store any leftover pecan pie bars in an airtight container at room temperature for up to four days. Gluten-free pecan pie also tastes great with chocolate ice cream. Pecan pie bars are fabulous on their own, but try pairing these homemade gluten-free bars with vanilla ice cream and freshly whipped cream. Let's talk about bourbon pecan pie toppings. Don't cut the bars while they're still warm or the bourbon pecan filling will be liquidy. The bourbon pecan filling needs to be completely cool for it to set. Let the baked pecan pie bars cool completely before cutting. Pour the pecan mixture over the prepared pie crust and bake. Fold the pecan halves into the syrup mixture, careful not to break them. How to Make the FillingĬream eggs, sugar, and butter together using an electric mixer. Press the gluten-free crust mixture into the bottom of the baking dish evenly. Instructions How to Make the CrustĬombine dry ingredients in a food processor and pulse to combine. Powdered Sugar gives the shortbread a melt-in-your-mouth texture.Both of these blends are a 1-To-1 baking flour that acts almost the same as a regular all-purpose flour. I recommend using a blend with xanthan gum like King Arthur's Measure-for-Measure Gluten-Free Flour or Cup4Cup Gluten-Free Flour Blend. ![]() Gluten-Free Flour: Used for gluten-free shortbread.Omit the bourbon for a booze-free pecan pie bar recipe. Make sure the bourbon brand you choose is gluten-free. Bourbon: you may omit the bourbon in this recipe, but it adds rich flavor to the gluten-free bars.Coconut sugar or regular sugar are good substitutes for brown sugar. Brown Sugar: brown sugar is used instead of granulated white sugar in this recipe.Vanilla Extract: vanilla extract gives an extra oomph to this recipe.I like the look of whole pecans in this pecan pie bar recipe. Pecans: use whole pecans of pecan halves and pecan pieces.Do not use coconut oil instead of butter. Vegan butter is a good substitute for vegan bourbon pecan pie bars. Butter: use unsalted butter to control the amount of salt in the recipe.You may use an egg replacer instead of eggs to make vegan bourbon pecan pie bars instead. Eggs: three large eggs at room temperature are best.Dark corn syrup works, too, but I think the flavor is better with light corn syrup. Light Corn Syrup: I prefer to use light corn syrup, although most recipes for pecan pie filling call for dark corn syrup.The pecans will be caramelized around the edges and the top layer of the bars will be dark golden brown like typical pecan pie. The shortbread bakes for 20 minutes first, and then the filling and shortbread bake together in the oven for 40-50 minutes. The prep time for these pecan squares takes under 20 minutes. The baking process takes up most of the time. The entire bourbon pecan pie recipe takes about an hour and a half to make. How long do pecan pie bars take in the oven? Plus, who doesn't like switching recipes up?! And, these irresistible pecan pie bars are gluten-free, so they're safe for everyone to eat at your holiday table. Talk about a sticky, gooey, and delicious bourbon pecan bars! It's just like a gluten-free pecan pie, but in bar form so it's easier to cut and serve to a crowd. If you're looking for more gluten-free Thanksgiving recipes like this twist on a bourbon pecan pie recipe, check out my easy gluten-free sage and onion stuffing and my chai-spice snickerdoodle cookies. I think this recipe might even be better than typical pecan pie! Also, no pie dish is needed for this buttery flavor treat! The pecan squares are quick to put together and easy to serve a crowd for Thanksgiving or any other celebration. These gluten-free bourbon pecan pie bars are made with a simple shortbread crust instead of a pie crust recipe (no rolling out a pie crust required) and a gooey, maple-flavored pecan filling. I'm putting a modern twist on classic pecan pie with these pecan squares. You can also stay in touch with me through social media by following me on Instagram, Pinterest, and TikTok or by subscribing to my newsletter. Tried this recipe? Please leave a star ⭐️⭐️⭐️⭐️⭐️ rating below and/or a review in the comments section down the page. Gluten-free bourbon pecan pie bars are a tasty fall dessert that serves a crowd! The bars are easy to put together, require no pie dish, and are easier than typical pecan pie. ![]() ![]() ![]() ORCC’s POWR Ratings reflect its solid outlook. Shares of ORCC have gained 17.1% over the past six months and 16.3% year-to-date to close the last trading session at $13.69. Moreover, ORCC has surpassed the consensus revenue and EPS estimates in all four trailing quarters, which is impressive. Likewise, the consensus EPS estimate of $1.82 for the ongoing year indicates a 28.6% rise year-over-year. The consensus revenue estimate of $1.52 billion for the fiscal year (ending December 2023) reflects a 26.5% year-over-year improvement. In addition, the company’s total assets rose 3.6% year-over-year to $13.68 billion and its net asset value per share came in at $15.15, an increase of 1.8% year-over-year. The company’s net income increased 358.9% from the year-ago value to $201.84, while its net income per share was $0.52, up 372.7% year-over-year. The company’s dividend payouts have grown at an 11.2% CAGR over the past three years.įor the first quarter that ended March 31, 2023, ORCC’s net investment income grew 45.4% year-over-year to $177.86 million. Its four-year average dividend yield is 8.90%. ORCC pays a $1.32 per share dividend annually, which translates to a 9.64% yield on the current price. Likewise, the stock’s 47.45% trailing-12-month net income margin is 83% higher than the industry average of 25.93%. And its trailing-12-month EBIT margin of 73.79% is 261.1% higher than the 20.44% industry average. ORCC’s trailing-12-month gross profit margin of 100% is 69.8% higher than the 58.91% industry average. One of the major growth opportunities for the market lies in the growing demand for asset management solutions in developing nations. North America dominated the market and generated approximately 34% of the revenue share last year. Alternative investments represented more than $20 trillion of global AUM as of year-end 2022.Īccording to a report by Precedence Research, the global asset management market is expected to reach $7.55 billion, growing at a 35.1% CAGR. Moreover, asset managers consider entering an alternative space with high-growth opportunities and offering private market products for retail and institutional investments. For instance, asset management firms can leverage AI to examine data and provide insights into asset performance.Īlso, real-time tracking and monitoring of assets can be achieved with the use of IoT sensors. Furthermore, asset managers have been increasing their investment in digital transformation stimulated by the popularity of remote work, shifting investor preferences toward digital engagement, and opportunity to boost efficiency and growth.Īdditionally, rising interest from investors and regulators in sophisticated ESG data and the broader use cases for artificial intelligence (AI), the Internet of Things (IoT), data analytics, and cloud migration are resulting in increased investments in digital technology. Asset management firms continue to evolve their business models, either by scaling into new asset classes or through mergers and acquisitions (M&A). ![]() ![]() ![]() Julius Caesar is a thrilling new English-language premiere production, directed by Prague Shakespeare Company Artistic Director Guy Roberts starring professional PSC actors from Europe, the UK and North America. “The Ides of March” comes to Prague in Shakespeare’s classical play now celebrating its 400th anniversary from the date of its first publication as part of Shakespeare’s First Folio printed in 1623. Shakespeare’s political masterpiece has never felt more contemporary. After his assassination, civil war erupts on the streets. A small band of the educated elite, devoted to the country’s democratic traditions, decide to bring him down. Liviana Caesar, Julius Caesars younger sister, despises her brother for his fame. Popular with the common people, outspoken, and irreverent, he seems obsessed with his own authority and achieving absolute power. The Tragedy of Julius Caesar (First Folio title: The Tragedie of Iulius Cæsar) is a history play and tragedy by William Shakespeare, believed to have been written in 159. UBC’s acquisition of a First Folio ensures public access to one of the world’s most precious cultural treasures.įor All Time will be accompanied by an audio mobile guide featuring the voice of Christopher Gaze, Founding Artistic Director of Bard on the Beach Shakespeare Festival, along with a glimpse of UBC’s augmented and virtual reality projects that will come to life this year and in 2023.Julius Caesar, a force unlike any the city has seen, returns in triumph to Rome and the people pour out of their homes to celebrate. Of the estimated 235 copies that remain worldwide, there is only one other copy in Canada. The First Folio is the first complete collected edition of Shakespeares plays, published in 1623, seven years after his death. ![]() The First Folio thus not only gave us their first appearance in print but was also the means by which they were preserved and passed on to future generations.Ĭultural properties of the First Folio’s magnitude and capacity to engage the public’s imagination are not evenly distributed around the world. Eighteen plays-including The Tempest, Macbeth, As You Like It, The Winter’s Tale and Julius Caesar-remained unpublished in any form. For the 2007-08 season, the Education Department will publish First Folio Teacher Curriculum Guides for our productions of The Taming of the Shrew, Tamburlaine, Argonautika and Julius Caesar. When Shakespeare died in 1616, only about half of his works had appeared in print. approach is the publication of First Folio Teacher Curriculum Guides. It is the first collected edition of Shakespeare’s plays and the foundation of his enduring legacy and reputation. The First Folio, as it is also recognized, includes thirty-six of Shakespeare’s thirty-eight known plays, edited by his close friends, fellow writers and actors. In partnership with the Vancouver Art Gallery, this tangible piece of cultural heritage will be exhibited to the public along with three subsequent seventeenth-century Folio editions of Shakespeare’s plays, marking the first time all four Folios have been displayed in Vancouver. For All Time: The Shakespeare FIRST FOLIO celebrates the University of British Columbia Library’s recent acquisition of a first edition of William Shakespeare’s Comedies, Histories and Tragedies-an extremely rare book published in 1623, seven years after Shakespeare’s death, and credited with preserving almost half of his plays. ![]() ![]() ![]() ![]() The amount of weight you lose depends on your change in lifestyle habits. Sleeve gastrectomy can provide long-term weight loss. However, sleeve gastrectomy does not affect the absorption of calories and nutrients in the intestines. It also produces less of the appetite-regulating hormone ghrelin, which may lessen your desire to eat. This smaller stomach cannot hold as much food. The remaining section of the stomach is formed into a tubelike structure. In a sleeve gastrectomy, part of the stomach is separated and removed from the body. You may experience changes as your body reacts to the rapid weight loss in the first three to six months after sleeve gastrectomy, including: You may need laboratory testing, bloodwork and various exams. You'll have frequent medical checkups to monitor your health in the first several months after weight-loss surgery. You will be required to take a multivitamin twice a day, a calcium supplement once a day, and a vitamin B-12 injection once a month for life. After the procedureĪfter sleeve gastrectomy, your diet begins with sugar-free, noncarbonated liquids for the first seven days, then progresses to pureed foods for three weeks, and finally to regular foods approximately four weeks after your surgery. After surgery, you awaken in a recovery room, where medical staff monitors you for any complications. To perform a sleeve gastrectomy, the surgeon creates a narrow sleeve by stapling the stomach vertically and removing the larger, curved part of the stomach. Anesthesia is medicine that keeps you asleep and comfortable during surgery. You are given general anesthesia before your surgery begins. But sleeve gastrectomy is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. Some sleeve gastrectomies are done with traditional large (open) incisions in the abdomen. The specifics of your surgery depend on your individual situation and the hospital's or doctor's practices. Depending on your recovery, your hospital stay may last one to two nights. Sleeve gastrectomy is done in the hospital. For instance, arrange for help at home if you think you'll need it. ![]() Now is a good time to plan ahead for your recovery after surgery. Right before your procedure, you may have restrictions on eating and drinking and which medications you can take. In the weeks leading up to your surgery, you may be required to start a physical activity program and to stop any tobacco use. Very rarely, complications of sleeve gastrectomy can be fatal. Longer term risks and complications of sleeve gastrectomy surgery can include: Risks associated with sleeve gastrectomy can include: You may be required to participate in long-term follow-up plans that include monitoring your nutrition, your lifestyle and behavior, and your medical conditions.Ĭheck with your health insurance plan or your regional Medicare or Medicaid office to find out if your policy covers weight-loss surgery.Īs with any major surgery, sleeve gastrectomy poses potential health risks, both in the short term and long term. You must also be willing to make permanent changes to lead a healthier lifestyle. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems. Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea.Your body mass index (BMI) is 40 or higher (extreme obesity).In general, sleeve gastrectomy surgery could be an option for you if: Sleeve gastrectomy is typically done only after you've tried to lose weight by improving your diet and exercise habits. Sleeve gastrectomy is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including: ![]() ![]() The Yeti will pay for itself in that my wife seldom throws out and ounce of beer as it stays cold. After purchasing a skinny or tall Yeti can holder for the Mich Ultra or Bud Light Lime, I'm not even going to try the Cobalt stuff. The Cobalt beachtowel is amazing, but for that much money, it should be. I bought the seahorse hangers and most of the stuff I try to dry falls off unless wind is almost zero. Some of the tees I've purchased seem a little thin. Any suggestions on where else to look would be much appreciated! I tried the cobalt site and their stuff was pretty weak overall. Pretty simple idea, but check out our rough guidelines for finding the appropriate size coolers for your needs.I wanted to check in to see if anyone knows where to get some cool Cobalt gear.hats, shirts, etc? I am new cobalt owner(2016 220s) and love it! I would like to find some good stuff to rep the brand. So if you only have a small number of items to keep cool, you would want to choose a smaller ice chest and vice versa. Another thing to consider when choosing a size is that you want to fill the cooler with as much ice as possible, minimizing air space to achieve maximum ice retention. However, the quart size of the Tundra will be a bit lower due to the thickness of the walls and amount of insulation. The Tundra series matches closely (usually within an inch) with many popular coolers that have been on the market for years. Will my YETI keep my hot items hot?įor a full size breakdown, please see our dimension chart for measurements and capacity. If you use enough ice to chill the walls, YETI will most definitely outperform the competition. YETI Tundras have up to 3 inches of polyurethane foam insulation, which is significantly more than most common ice chests. This will sufficiently cool the insulation and inside of the cooler, which helps the thick polyurethane walls work for you, not against you. In addition, maximum ice retention can be attained by pre-chilling your cooler. In addition, if the ice chest starts out warm, a small amount of ice could initially melt faster in a YETI cooler than a thinner-walled cooler.īest ice retention results are achieved by filling the ice chest completely with high-quality ice, which means using block ice that’s well below freezing temperature. To maximize ice retention, fill your cooler to the top with ice and products. Can I use dry ice in my YETI?Ī small amount of ice is not a good indicator of how well your ice chest can retain ice due to excess air space within the cooler. But if you can minimize the negative variables that affect ice retention, YETI coolers can’t be beat. Beyond that, everything else is out of our control. In the end, the Tundra offers up to 3 inches of polyurethane foam insulation, combined with a freezer-style sealing gasket. Some customers have reported having ice after their two-week trip on the river while others have said that their “crappy brand X cooler will hold ice better.”īecause of the large number of variables, as well as the lack of an industry standard for measuring ice retention, claims that place a definite time (5, 10, 14 days) are often based on testing conditions and not real-life situations. ![]() Over the years, we’ve received many different reports from YETI users in the field regarding ice retention. Which is to say there’s a lot you can do to affect the longevity of your ice. Variables that can affect ice retention include the ice quality, ice quantity, type of ice (crushed, block, cube, dry), outside environment, exposure to direct sunlight, etc. There are many variables that will affect ice retention, so this is a difficult question for us to answer. ![]() ![]() Also, that which may constitute low-level waste in the nuclear industry might go entirely unregulated in another industry (see section below on recycling and NORM). ![]() This means that material which is considered radioactive waste in one context may not be considered so in another. However, there is as yet little consistency in NORM regulations among industries and countries. Over time, as potential NORM hazards have been identified, these industries have increasingly become subject to monitoring and regulation. ![]() However certain industries handle significant quantities of NORM, which usually ends up in their waste streams, or in the case of uranium mining, the tailings dam. However from the perspective of radiation doses to people, such a distinction is completely arbitrary.Įxposure to naturally occurring radiation is responsible for the majority of an average person’s yearly radiation dose (see also Nuclear Radiation and Health Effects paper) and is therefore not usually considered of any special health or safety significance. The term NORM exists also to distinguish ‘natural radioactive material’ from anthropogenic sources of radioactive material, such as those produced by nuclear power and used in nuclear medicine, where incidentally the radioactive properties of a material maybe what make it useful. These elements have always been present in the Earth's crust and atmosphere, and are concentrated in some places, such as uranium orebodies which may be mined. Long-lived radioactive elements such as uranium, thorium and potassium and any of their decay products, such as radium and radon are examples of NORM. Concentrations of actual radionuclides may or may not have been increased if they have, the term technologically-enhanced NORM (TENORM) may be used. However, the term is used more specifically for all naturally occurring radioactive materials where human activities have increased the potential for exposure compared with the unaltered situation. NORM potentially includes all radioactive elements found in the environment. Material giving rise to these enhanced exposures has become known as naturally occurring radioactive material (NORM). However, certain work activities can give rise to significantly enhanced exposures that may need to be controlled by regulation. For most human activities involving minerals and raw materials, the levels of exposure to these radionuclides are not significantly greater than normal background levels and are not of concern for radiation protection. The most important for the purposes of radiation protection are the radionuclides in the U-238 and Th-232 decay series. Radon in homes is one occurrence of NORM which may give rise to concern and action to control it, by ventilation.Īll minerals and raw materials contain radionuclides of natural origin.Uranium mining exposes those involved to NORM in the uranium orebody.NORM results from activities such as burning coal, making and using fertilisers, oil and gas production. ![]() Radioactive materials which occur naturally and where human activities increase the exposure of people to ionising radiation are known by the acronym 'NORM'.Naturally-Occurring Radioactive Materials (NORM) ![]() ![]() ![]() ![]() It's a secure and straightforward way to show your loved ones that you care. We take pride in our motto: Quality, Service, Selection, Complete Satisfaction. Welcome Since 1991, Union Supply Direct has given family members and friends the opportunity to send packages to inmates across the United States. With an online ordering process as simple as Click, Pay, Deliver, and live assistance readily available, we're here to guide you every step of the way. Making the process of sending packages to your friends and loved ones in prison quick and easy. Some facilities have variety packages made up of favorite snacks. Once you have found your loved one, browse our variety of options. Visit and search for your loved one by their facility and by name or ID. We strive to simplify the process of staying connected with your loved ones. iCare makes staying connected with your loved one simple and easy. All our inmate care package programs and fresh meals have been pre-approved by the facility, ensuring that your gifts reach their intended recipients. With ICGS, you'll find everything you need to send your love and care, securely and with peace of mind. Therefore, we provide an ideal solution for sending food packages to inmates, helping you to surmount the growing barriers to staying connected with your loved ones in incarceration. For general inquiries regarding commissary, please contact 1-21 or 1-80. The average processing and delivery time frame for Securepaks is five days. They provide emotional support, financial resources, and overall stability for the returning inmates. Care packages can be ordered through or 1-80. The Urban Institute's study on recidivism indicates that families are, perhaps, the most significant resource in re-entry planning. Research has shown that familial and friendly support is instrumental in preventing re-entry into the correctional system. ![]() Our program at ICGS provides a unique, secure, and user-friendly method to offer your loved ones the support they need, reminding them that they are always in your thoughts. CUSTOMER SERVICE 1-80 Automated phone systems are available 24 hours a day, seven days a week Live bilingual representatives are available Monday through Friday, 8:30 a.m.11:59 p.m. Our festive seasonal packages include an assortment of top-tier snack brands and gourmet-style meals, allowing you to express your love and support during the moments they need it the most. The City of Fawn Creek is located in the State of Kansas. Whether it's a birthday, holiday, or just another day, we have a variety of inmate care packages tailored to your needs. Customer service support for can be reached at (855) 836-3364. We realize that these times can be challenging, and our mission is to preserve the bonds you share with your loved ones by offering a secure and user-friendly way for you to send comfort and support directly from your home. At iCare Gifting Services, we're committed to bridging the distance between you and your incarcerated loved ones by offering a seamless method to send care packages to inmates. ![]() ![]() ![]() Taste loss tends to increase in proportion to the aggressiveness of treatment. Patients with damaged oral mucosa and reduced immunity are also prone to mouth infections. Chemotherapy and radiation therapy can affect the ability of cells to reproduce, slowing healing of the oral mucosa, often extending the duration of present mucositis. Mucositis is further complicated by the nausea and vomiting that often occur with treatment. Patients with oral mucositis and neutropenia (a type of white blood cell deficiency) have a relative risk of septicemia (a systemic, toxic illness caused by the invasion of the bloodstream by virulent bacteria coming from a local infection) more than 4 times that of patients with neutropenia only. Increase the use of antibiotics and narcotics The consequences of mucositis can be mild, requiring little intervention, but they can also be severe–such as hypovolemia, electrolyte abnormalities, and malnutrition–and even result in fatality. It is important that cancer patients be on the lookout for signs of mucositis, which should be treated as soon as possible once diagnosed. However, the healing of oral mucositis is also more rapid in the younger age group. This appears to be due to the more rapid rate of basal cell turnover noted in children. Younger patients tend to develop oral mucositis more often than older patients being treated for the same malignancy with the same regimen. Oral mucositis occurs independently of oral mucosal infections of viral and fungal etiology, but it may be exacerbated by such concomitant infections. The use of methotrexate for chronic GVHD prophylaxis may exacerbate lesions of oral mucositis, although this is less of a concern with newer prophylaxis regimens. Hyposalivation prior to and during treatment is associated with an increased risk of oral mucositis. ![]() This is to some extent related to the treatment regimens. Generally, patients with hematologic malignancies have an increased rate of oral mucositis compared with those with solid tumors. Chronic irritation from ill-fitting prostheses or faulty restorations can predispose patients to the development of oral mucositis due to local irritation and trauma. Diseases such as kidney disease, diabetes or HIV/AIDS. Gender (females appear to be more likely than males to develop mucositis) Smoking or chewing tobacco and drinking alcohol. When caused by chemotherapy, mucositis is usually due to the low white blood cell count when caused by radiation, mucositis is usually due to the necrotic and inflammatory effect of radiation energy on oral mucosa.įactors that can increase the likelihood of developing mucositis, or that can make it worse if it does occur, include: The majority of oral cancer patients receiving chemotherapy in combination with radiation will experience at least some degree of mucositis. The combination of mucus, excess saliva and pain can make it difficult or even impossible to eat. In a worst case, the mucous membrane of the patient’s entire mouth and tongue can be coated by a white mucus coating that is up to a millimeter thick. Increased mucus or thicker saliva in the mouthĪn extreme case of the condition is called confluent mucositis. Soft, whitish patches or pus in the mouth or on the tongue Feeling of dryness, mild burning, or pain when eating food Sores in the mouth or on the gums or tongue ![]() It has a significant effect on the patient’s quality of life and can be dose-limiting (i.e., requiring a reduction in subsequent chemotherapy doses). It can lead to several problems, including pain, nutritional problems as a result of inability to eat, and increased risk of infection due to open sores in the mucosa. Oral mucositis is probably the most common, debilitating complication of cancer treatments, particularly chemotherapy and radiation. The oral cavity is the most common location for mucositis. The part of this lining that covers the mouth, called the oral mucosa, is one of the most sensitive parts of the body and is particularly vulnerable to chemotherapy and radiation. Mucosal tissue, also known as mucosa or the mucous membrane, lines all body passages that communicate with the air, such as the respiratory and alimentary tracts, and have cells and associated glands that secrete mucus. Mucositis occurs when cancer treatments break down the rapidly divided epithelial cells lining the gastro-intestinal tract (which goes from the mouth to the anus), leaving the mucosal tissue open to ulceration and infection. ![]() |
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