Relevant bibliographies by topics / Fungating

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Fungating'

Author: Grafiati
Published: 19 February 2023

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Journal articles on the topic "Fungating"

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Okajima, Koichi, Hiroshi Kobayashi, Tomotake Okuma, Sho Arai, Liuzhe Zhang, Toshihide Hirai, Yuki Ishibashi, et al. "Prognosis and surgical outcome of soft tissue sarcoma with malignant fungating wounds." Japanese Journal of Clinical Oncology 51, no. 1 (October 10, 2020): 78–84. http://dx.doi.org/10.1093/jjco/hyaa176.

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Abstract Objective Malignant fungating wounds are ulcerating tumors that infiltrate the overlying skin. Little evidence exists regarding the prognosis or treatment of malignant fungating wound in soft tissue sarcoma. This study aimed to reveal the prognosis and outcome of surgical treatment of malignant fungating wound in soft tissue sarcoma. Methods We retrospectively reviewed 26 patients with malignant fungating wound in high-grade soft tissue sarcoma between 2005 and 2018. The patients’ characteristics, treatments, surgical wound complications, local recurrences and prognoses were analyzed. Overall survival was analyzed using the Kaplan–Meier method and compared with that of the control cohort, consisting of 236 consecutive patients with non-malignant fungating wound high-grade soft tissue sarcoma treated during the same period. Results Among the 26 patients, undifferentiated pleomorphic sarcoma was the most common subtype. Twenty-three patients, including 20 (87%) and 3 (13%), underwent limb-salvage surgery and amputation, respectively. Among the 20 patients who underwent limb-salvage surgery, 4 (20%) had surgical wound complications, which required additional surgical procedures. Excluding the patients who underwent palliative surgery, local recurrence occurred in 2 patients (11%). The 5-year overall survival rate for all high-grade malignant fungating wound and non-malignant fungating wound patients was 26.0 and 67.3% (P < 0.0001), respectively. Conclusions Malignant fungating wounds in soft tissue sarcoma were significantly associated with a poor prognosis; however, the incidence of surgical complications and local recurrence after limb-salvage surgery was comparable to that of general soft tissue sarcoma cases. Limb-salvage surgery should be considered, if possible, to preserve the patient’s quality of life because of the dismal prognosis of patients with malignant fungating wound in soft tissue sarcoma.
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Nabi, G., and P. N. Dogra. "Fungating Scrotal Mass." Urologia Internationalis 69, no. 3 (2002): 236–37. http://dx.doi.org/10.1159/000063934.

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Nazarko, Linda. "Malignant fungating wounds." Nursing and Residential Care 8, no. 9 (September 2006): 402–6. http://dx.doi.org/10.12968/nrec.2006.8.9.21726.

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Chan, Y., V. Selvaratnam, and N. Garg. "A fungating spica." Case Reports 2015, jan21 1 (January 21, 2015): bcr2014206901. http://dx.doi.org/10.1136/bcr-2014-206901.

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Langemo, Diane K., Julie Anderson, Darlene Hanson, Susan Hunter, and Patricia Thompson. "Managing Fungating Wounds." Advances in Skin & Wound Care 20, no. 6 (June 2007): 312–14. http://dx.doi.org/10.1097/01.asw.0000276420.58577.c2.

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Potter, Benjamin K., Sheila C. Adams, Rabah Qadir, J. David Pitcher, and H. Thomas Temple. "Fungating Soft-Tissue Sarcomas." Journal of Bone and Joint Surgery-American Volume 91, no. 3 (March 2009): 567–74. http://dx.doi.org/10.2106/jbjs.h.00071.

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Williams, Clare. "Management of fungating wounds." British Journal of Community Health Nursing 2, no. 9 (October 1997): 423–26. http://dx.doi.org/10.12968/bjch.1997.2.9.16055.

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Williams, Clare. "Management of Fungating Wounds." Practice Nursing 8, no. 13 (August 1997): 35–37. http://dx.doi.org/10.12968/pnur.1997.8.13.35.

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Schultzel, Matthew, Ranjeet Kalsi, and Faith Goldman. "Fungating malignant phyllodes tumor." Cancer Treatment Communications 2, no. 2-3 (2014): 30–33. http://dx.doi.org/10.1016/j.ctrc.2014.08.001.

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Singh, Ningombam Jiten, Sudhiranjan TH, Lailyang T, and Anita N. "Papillary thyroid carcinoma presenting with cutaneous fungating mass complicated with myiasis: a case report." International Journal of Otorhinolaryngology and Head and Neck Surgery 1, no. 2 (October 4, 2015): 85. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20150906.

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<p class="abstract">Papillary Thyroid Carcinoma (PTC) is the most common type of thyroid malignancy making upto 70-80% of all thyroid malignancies. PTC presenting with extrathyroidal cutaneous fungating mass is unusual. We report the management of a neglected fungating PTC which was complicated with myiasis. Such a case has not been reported earlier in the English literature. Preoperatively myiasis was managed conservatively following which she underwent total thyroidectomy with en-bloc resection of the fungating mass along with adequate skin margin and ipsilateral selective neck dissection. Postoperative period was uneventful and the patient was given radioiodine ablation therapy 4 weeks later.</p>
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Dissertations / Theses on the topic "Fungating"

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Grocott, Patricia Rosalind. "An evaluation of the palliative management of fungating malignant wounds, within a multiple-case study design." Thesis, King's College London (University of London), 2000. https://kclpure.kcl.ac.uk/portal/en/theses/an-evaluation-of-the-palliative-management-of-fungating-malignant-wounds-within-a-multiplecase-study-design(7e17b403-4f4e-4614-b756-76e9c9d20c81).html.

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Ekestubbe, Anita, and Louise Göransson. "Att leva med maligna tumörsår : En litteraturstudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-37184.

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Upplevelsen av att leva med maligna tumörsår är unik för varje patient och fysiska symtom som smärta, lukt, läckage, blödning och klåda kan ge upphov till depression och social isolering. Syftet med litteraturstudien var att belysa patienters upplevelse av att leva med maligna tumörsår. En allmän litteraturstudie genomfördes med sju vetenskapliga resultatartiklar som tolkades i en innehållsanalys. Tre teman kunde urskiljas: Leva med en förlorad kropp, Leva med strategier för att hantera lidandet och Leva med en förändrad självbild och livsvärld. Resultatet påvisade en förnekelse över sårets existens hos patienten och ett behov av att dölja såret för sin omgivning. En ständig oro för att såret skulle synliggöras gjorde att patienten medvetet valde bort att uppsöka vård. Upplevelser av skam och att förlora kontrollen över den fysiska kroppen gav upphov till en förändrad självbild hos patienten. Genom samtal kunde patienten återta kontrollen över sin livssituation och bryta isoleringen från omvärlden. Hopp var en stark strategi som bidrog till att patienten återfick sin livskraft. Inom vetenskapen omvårdnad kan sjuksköterskan öka kunskapsunderlaget om existentiella mänskliga behov och begär i patienters levda värld med maligna tumörsår genom akademisk utbildning och forskning som minskar patienters lidande och främjar en evidensbaserad omvårdnadsprocess.
Living with malignant fungating wounds is a unique experience and physical symptoms can lead to depression and social isolation. The aim of the study was to illuminate patients' experiences of living with malignant fungating wounds. A general literature study was conducted by content analysis of seven qualitative articles. Three themes emerged: Living with a lost body, Living with strategies to deal with suffering and Living with a new identity and lifeworld. The result showed a denial of the wound's existence and a need to conceal the wound from its surroundings. A constant concern that the wound would be made visible meant that the patient deliberately chose not to seek care. Experiences of shame and loss of control of the physical body gave rise to a change in the patient's self-identity. Through conversations, the patient was able to regain control over their life situation and break the isolation from the outside world. Hope was a strategy that helped restore the patient's vitality. Within the nursing tradition, the registered nurse can require more knowledge and increase understanding on the existential human needs in these patients' unique lifeworld through further research and academic education to alleviate suffering and promote an evidence-based nursing process.
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(9776663), Susan Alexander. "A phenomenological exploration of the lived experience of malignant wounds from the perspective of client, caregivers and nursing staff." Thesis, 2010. https://figshare.com/articles/thesis/A_phenomenological_exploration_of_the_lived_experience_of_malignant_wounds_from_the_perspective_of_client_caregivers_and_nursing_staff/13459535.

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Investigates the lived experience from the perspectives of patient, caregivers and nursing staff of dealing with a malignant wound. Interviews were conducted with patients, caregivers and nursing staff.

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Ázera, Joana Vaz. "Feridas malignas : caraterística e qualidade de vida." Master's thesis, 2014. http://hdl.handle.net/10400.14/18285.

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Introdução: Com o aumento das doenças oncológicas há igualmente um aumento do risco de complicações intrínsecas a estas, como é o caso das feridas malignas, sendo imprescindível que os profissionais de saúde saibam atuar perante estas situações, uma vez que a abordagem a estas feridas difere em alguns aspetos da abordagem das restantes feridas crónicas. Metodologia: Surgiu, assim, a necessidade de desenvolver este estudo que teve como questão de investigação: “Quais as caraterísticas dos doentes oncológicos com feridas malignas nos hospitais da Região Autónoma dos Açores?” e, como objetivo, caraterizar os doentes oncológicos com feridas malignas nos hospitais da Região Autónoma dos Açores, bem como a sua qualidade de vida. Este baseou-se num estudo qualitativo, descritivo envolvendo a participação de três indivíduos, decorrendo a colheita de dados entre julho de 2013 e agosto de 2014. Resultados: Os dados obtidos demonstraram que estas feridas são, maioritariamente, ulcerativas e irregulares, incorporando quer sintomas físicos (dor, infeção, odor, hemorragia, exsudado e prurido) quer psicossociais (alteração da imagem corporal e isolamento social). A qualidade de vida e a saúde em geral destes utentes, apesar dos problemas e sintomas associados é boa, tendo em conta o questionário de qualidade de vida EORTC QLQ-C30. Conclusão: Como estudos futuros seria interessante dar continuidade a este trabalho, de forma a tirar ilações sobre a prevalência e influência das caraterísticas das feridas malignas na qualidade de vida nesta região, podendo também ser interessante acrescentar alguns itens de forma a avaliar outras questões relacionadas com esta temática, bem como introduzir nos planos educativos formação nesta área.
Introduction: With the increasing of oncologic diseases there is also an increasing of the risk of intrinsic complications to these diseases, like malignant fungating wounds, being indispensable that the health professional know how to act face of this situation, since the approach to this wounds differs in some aspects from the approach of other chronic wounds. Methodology: So, emerged the need to develop this study which had the follow research question: “What are the characteristics of the oncologic patients with malignant fungating wounds in the hospitals of the Autonomous Region of Azores?” and as objective, characterize the oncologic patients with malignant fungating wounds in the hospitals of the Autonomous Region of Azores, as well as they quality of life. This study was based on a qualitative study, descriptive, involving participation of three subjects, occurring data collection between July 2013 and August 2014 Results: The data showed that those wounds are mostly ulcerative and irregular, incorporating either physical symptoms (pain, infection, odor, bleeding and itching) either psychosocial (change in body image and social isolation). The quality of life and the overall health of these patients, despite the problems and associated symptoms, is good, taking into account the questionnaire of quality of life EORTC QLQ-C30. Conclusion: As future studies it will be interesting to continue this work, in order to draw conclusions about prevalence and the influence of the characteristics of malignant fungating wounds in the quality of life in this region, it may also be interesting to add some itens in order to assess other questions related to this theme, well as introduce in educational plans formation in this area.
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Brazão, Vera Cristina Esteves. "Ferida maligna : prevalência e qualidade de vida em oncologia." Master's thesis, 2014. http://hdl.handle.net/10400.14/17109.

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Introdução. O avanço científico e tecnológico tem contribuído para a redefinição do cancro como doença crónica, exigindo mudanças na abordagem de cuidados ao doente em oncologia. Estimam-se que 5% dos doentes oncológicos desenvolvem ferida maligna. Metodologia. O estudo observacional analítico transversal pretende dar a conhecer a prevalência de feridas malignas, caracterizando e avaliando sua influência na qualidade de vida da população oncológica. Neste sentido, dezanove doentes adultos (amostra não probabilística acidental) foram recrutados em dez serviços (regime de internamento e ambulatório) de um Instituto Português de Oncologia do País. A recolha de dados, por intermédio da aplicação do formulário e questionário EORTC QLQ-C30 v.3.0 aos sujeitos de investigação, decorreu num período de três dias, em Outubro de 2013. Resultados. Das tipologias tumorais identificadas, por órgão/sistema, destacaram-se: Pele; Cabeça e Pescoço; Linfoma Non-Hodgkin; Sistema Digestivo; Ginecológico; Mama e Tecidos Moles. A prevalência de feridas malignas foi de 4,9%, com média de 1,6 feridas/doente; sendo enquadrada predominantemente no contexto de recidiva loco-regional e metastização. Maioritariamente, registou-se baixa sintomatologia relativa à ferida. Influência psicossocial negativa da ferida foi atribuída às actividades de vida, imagem corporal e grau de autonomia/independência do doente; e positiva, no sentido de conforto e segurança associado ao penso realizado à ferida. A qualidade de vida (score final) da população oncológica em estudo apresentou média de 78%. Face a este indicador, correlações estatisticamente significativas positivas foram associadas à idade, ao Karnofsky Performance Status, à duração do tratamento à ferida e às funções (física, de desempenho, cognitiva, social) do doente; e negativas, à fadiga, dor, anorexia e obstipação. Conclusão. A complexidade e unicidade do significado multidimensional do cancro e da ferida maligna determinam o impacto na qualidade de vida do doente/família; exigindo uma actuação interdisciplinar holística, realista e assertiva
Background. Advances in science and technology have contributed to the redefinition of cancer as a chronic disease and as a consequence changes are required in the approach to patient care in Oncology. It is estimated that 5% of cancer patients develop malignant wounds. Methodology. This cross-sectional study aims not only to provide data on the prevalence of malignant wounds but also characterise and assess their influence on the quality of life of cancer patients. In view of that, nineteen adult patients of a Portuguese Institute of Oncology (accidental non-probability sample) were recruited from ten treatment services (inpatient and outpatient care). Data were collected using the questionnaire EORTC QLQ-C30 v. 3.0 and structured interviews took place in October 2013 during a three-day period. Results. The typology of malignant tumours was identified by the following organs/systems: Skin; Head and Neck; Non-Hodgkin Lymphoma; Digestive System; Gynaecological; Breast and Soft Tissue. The prevalence of malignant wounds among patients was 4.9%, with an average of 1.6 wounds per patient; the majority of them were seen in the context of recurrent cancer and metastatic spread. In most cases, there was a low symptom response to the wounds. The psychosocial negative effect of the wound was predominantly associated with patient’s life activities, body image and individual patient’s capacity for autonomy and independence; while the positive effect was more related to the wound bandaging process itself, thus promoting comfort and a sense of safety. The life quality of the population under study (final score) was 78% on average. Statistically significant and positive correlations were establish with age, Karnofsky Performance Status, duration of local wound care and patient functioning (physical, role, cognitive, social); and negatives with fatigue, pain, appetite loss and constipation. Conclusion. The complexity and uniqueness of the multidimensional meaning of cancer and malignant wound, determine the impact on the quality of life for patients/families; thus requiring a holistic, realistic and assertive interdisciplinary action.
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Books on the topic "Fungating"

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Sims, Ruth. Community nursing management of patients with ulcerating/fungating malignant breast disease. London: Royal College of Nursing, 1985.

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Laboratory, Surgical Materials Testing, ed. Current practices in the management of fungating lesions and radiation damaged skin. Bridgend: Surgical Materials Testing Laboratory, 1992.

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Hain, Richard D. W., and Satbir Singh Jassal. Skin symptoms. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198745457.003.0014.

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Skin symptoms are commonly seen in paediatric palliative medicine. This chapter covers important skin symptoms, including epidermolysis bullosa, pruritus, fungating tumours, and pressure sores. Detail is provided on managing these conditions, including information on appropriate dressings and pharmacological treatment.
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Grocott, Patricia, Georgina Gethin, and Sebastian Probst. Skin problems in palliative care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0111.

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Nursing aspects of palliative wound care are driven by patient and family goals integrated with three components of wound management: the management or palliation of the underlying cause of the wound, management of wound-related symptoms, and management of the wound and peri-wound skin. Wounds most commonly found include pressure ulcers, fungating malignant wounds, and fistulae. Patients with blistering skin conditions, inherited and acquired, have extensive longstanding wounds and palliative care needs. In addition, meticulous skin care for patients of all ages with debilitating long-term conditions is crucial to prevent unnecessary skin breakdown. The symptoms and local problems associated with broken skin and wounds include odour, exudate, excoriation, maceration, bleeding, pain, and pruritus, and key clinical interventions include the application of wound dressings and skin care products. Unless these are managed effectively and consistently, body image and feelings of self-worth are affected together with the ability to socialize and maintain employment.
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Book chapters on the topic "Fungating"

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Harmer, Victoria. "Fungating Wounds." In Breast Cancer Nursing Care and Management, 232–50. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118784921.ch12.

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Damodharan, Karthikeyan, Nanda Venkatanarasimha, Kristen Alexa Lee, and Sivanathan Chandramohan. "Bleeding Solutions for Fungating Masses." In Interventional Radiology in Palliative Care, 235–39. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-65463-4_22.

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Harmon, Laura C. "Fungating Wounds and the Palliative Care Patient." In Case Studies in Palliative and End-of-Life Care, 220–28. West Sussex, UK: John Wiley & Sons, Inc.,, 2013. http://dx.doi.org/10.1002/9781118704707.ch28.

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Gowshall, Kate. "The nursing management of malignant fungating breast lesions." In Breast Cancer Nursing, 170–85. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-3388-1_12.

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Finegan, Wesley C., Angela McGurk, Wilma O’Donnell, Jan Pederson, and Elizabeth Rogerson. "Fungating wounds." In Care of the Cancer Patient, 145–48. CRC Press, 2018. http://dx.doi.org/10.4324/9781315378527-33.

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"Skin problems in palliative care." In Oxford Handbook of Palliative Care, edited by Max Watson, Rachel Campbell, Nandini Vallath, Stephen Ward, and Jo Wells, 407–20. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198745655.003.0012.

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This chapter discusses skin disorders. Skin disorders affect patients with early and advanced malignant and non-malignant disease. In addition to distressing physical symptoms, the appearance of pressure sores, malignant wounds, and lymphoedema impact on patients’ social functioning, mood, and quality of life. Meticulous and prompt management of symptoms can make a huge difference. There is a growing body of research into drug treatments for pruritus in palliative care, and interventions for managing lymphoedema and wounds more effectively. Key principles in the management of wound care, lymphoedema, and pruritus are examined. Skin wounds are common in advanced malignancy. Pressure ulcers are most frequently seen, affecting an estimated one-third or more of patients in palliative care units. Malignant/fungating wounds occur in approximately 5–10% patients with metastatic cancer and are associated with significant physical and psychological distress. Loco-regional skin involvement (e.g. breast fungation) should be distinguished from generalized skin metastases which imply advanced disease.
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Lee, Christine U., and James F. Glockner. "Case 12.11." In Mayo Clinic Body MRI Case Review, edited by Christine U. Lee and James F. Glockner, 585–86. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199915705.003.0309.

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58-year-old man with a history of a fungating penile mass that has grown slowly over 2 to 3 years Axial fat-suppressed FSE T2- weighted images (Figure 12.11.1) and sagittal postgadolinium 3D SPGR images (Figure 12.11.2) reveal a large mass involving the penis, scrotum, and perineum with multiple frondlike projections demonstrating mild heterogeneous enhancement....
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Lee, Christine U., and James F. Glockner. "Case 15.1." In Mayo Clinic Body MRI Case Review, edited by Christine U. Lee and James F. Glockner, 729–30. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199915705.003.0384.

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71-year-old woman with a right breast mass and trouble using her right arm The MIP image at peak enhancement with CAD color overlay (Figure 15.1.1A) demonstrates a large fungating mass in the right breast that has marked enhancement and involves the right side of the chest wall and right axilla. These findings are also evident on the MIP image without the CAD color overlay (...
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"Adult care provision." In Oxford Handbook of Primary Care and Community Nursing, edited by Judy Brook, Caroline McGraw, and Val Thurtle, 503–96. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198831822.003.0010.

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This chapter covers the provision of primary care to adults. This includes urinary incontinence, catheter care, constipation and incontinence, stoma care, spinal cord injury, the prevention of pressure ulcers, wound infection and debridement, malignant fungating wounds, wound dressings, leg ulcers and their dressing, compression therapy for venous ulcers, and lymphoedema. It also covers palliative care, including services for the dying patient, pain assessment and management, nausea, breathlessness, fatigue, depression, and spiritual care, and caring for patients in the dying phase. Emergencies, assisted dying, legal issues around the end of life, and bereavement are all covered. Common technical procedures including the care of central venous catheters, injections, venepuncture, recording a 12 lead electrocardiogram, tracheostomy care, and ear irrigation are also described.
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Probst, Sebastian, and Georgina Gethin. "Skin problems in palliative care." In Oxford Textbook of Palliative Medicine, edited by Nathan I. Cherny, Marie T. Fallon, Stein Kaasa, Russell K. Portenoy, and David C. Currow, 613–21. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198821328.003.0060.

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Nursing aspects of palliative wound care are driven by patient and family goals integrated with three components of wound management: the management or palliation of the underlying cause of the wound, management of wound-related symptoms, and management of the wound and peri-wound skin. Wounds most commonly encountered include pressure ulcers, fungating malignant wounds, and fistulae. Patients with blistering skin conditions, inherited and acquired, have extensive long-standing wounds and palliative care needs. In addition, meticulous skin care for patients of all ages with debilitating long-term conditions is crucial to prevent unnecessary skin breakdown. The symptoms and local problems associated with broken skin and wounds include odour, exudate, excoriation, maceration, bleeding, pain, and pruritus. Key clinical interventions include the application of wound dressings and skin care products. Unless these are managed effectively and consistently, body image and feelings of self-worth are affected together with the ability to socialize and maintain function, including, for some people, employment.
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Conference papers on the topic "Fungating"

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Stamper, Mandy, Laura Green, and Louise Wem. "P-130 A taboo symptom? assessing malodour from malignant fungating wounds." In Leading, Learning and Innovating, Hospice UK 2017 National Conference, 22–24 November 2017, Liverpool. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjspcare-2017-hospice.155.

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Shirasu, M., K. Touhara, A. Ochiai, R. Hayashi, and S. Nagai. "Dimethyl Trisulfide as a Characteristic Odor Associated with Fungating Breast Cancer Wounds." In Abstracts: Thirty-Second Annual CTRC‐AACR San Antonio Breast Cancer Symposium‐‐ Dec 10‐13, 2009; San Antonio, TX. American Association for Cancer Research, 2009. http://dx.doi.org/10.1158/0008-5472.sabcs-09-5042.

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Aparecida da Costa Ferreira, Suzana, and Vera lúcia Conceição de Gouveia Santos. "Topical therapy for pain control in malignant fungating wounds: a scoping review protocol." In JBI BRASIL SIIES 2019 – I SIMPóSIO INTERNACIONAL DE IMPLEMENTAçãO DE EVIDêNCIAS EM SAúDE (SIIES). Galoa, 2019. http://dx.doi.org/10.17648/siies-2019-103789.

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Sharma, Vijsy, and Richa Sharma. "IDDF2019-ABS-0274 Rare case of gastroduodenal intussusception with gastric fungating growth, ascites and bowel ischaemia in an elderly female." In International Digestive Disease Forum (IDDF) 2019, Hong Kong, 8–9 June 2019. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2019. http://dx.doi.org/10.1136/gutjnl-2019-iddfabstracts.218.

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