Lyngephilipsen2435

The objective of the study was to assess the performance of CT Perfusion in comparison to CECT for preoperative detection of metastases to lymph nodes in squamous cell cancers of oral cavity.

Twenty-five patients with squamous cell cancers of oral cavity underwent CECT and CTP. Two radiologists evaluated CECT and CTP parameters independently. Surgery and post-operative histopathology was performed in all patients.

Level wise analysis of the largest node was done. 102 lymph nodes on CECT and 82 lymph nodes on CTP were correlated with post-operative histopathological findings. CECT had a sensitivity, specificity and accuracy of 75 %, 98.6 % and 91.2 %(p-value <0.001) respectively in differentiating benign from metastatic nodes. Mean transit time[MTT] was significantly the most accurate CTP parameter and carried a sensitivity, specificity, accuracy and AUC of 90.5 %, 93.4 %, 92.7 % and 0.96 (p < 0.001). The sensitivity of MTT was higher than the sensitivity of overall CECT.

CTP is a promising tool for detection of metastatic cervical nodes in squamous cell cancers of the oral cavity.

CTP is a promising tool for detection of metastatic cervical nodes in squamous cell cancers of the oral cavity.Home chemotherapy is a service administered by oncology and home healthcare (HHC) nurses which provides a package of care to support the administration of chemotherapy to patients in their homes. The coronavirus disease 2019 (COVID-19) pandemic and new normal situation have shifted home chemotherapy administration from hospitals and become indispensable for patient care. Many cancer centers and hospitals in Thailand ad hoc home chemotherapy during the COVID-19 and new normal situation to maintain the effectiveness of chemotherapy for cancer patients at home; preventing COVID-19 disease infection is the most important concern. The purpose of this article is to describe the lessons learned for delivering home chemotherapy to cancer patients from oncology nurses during the COVID-19 pandemic and the new normal situation in Thailand. Nurses are at the forefront of the current pandemic and are taking a proactive approach with multidisciplinary teams to participate in the pandemic planning within their health organizations. The role of nurses in home chemotherapy in the new normal must be stricter than usual. Both oncology and HHC nurses play a different role for home chemotherapy, but cooperation is important to improve the quality of life and maintain the quality of care with effective treatment. Therefore, the lessons learned regarding home chemotherapy during the new normal in Thailand is a good example for other countries to develop appropriate care for cancer patients in the pandemic situation from the perspective of nurses' role.

Fatigue, sleep disturbance, and depression (FSD) are highly prevalent among breast cancer (BC) patients undergoing adjuvant chemotherapy, constituting a common symptom cluster (i.e., FSD cluster). Exercise is effective in relieving fatigue, alleviating sleep disturbance, and improving the quality of life (QoL) during adjuvant chemotherapy among these women. Therefore, this study aimed to assess the feasibility and acceptability of a dance program with social support elements for managing this symptom cluster.

A prospective randomized controlled design combined with a semi-structured interview was utilized. Twenty consented eligible participants were randomly assigned to a dance group or an attention control group after baseline assessment but before chemotherapy. The feasibility of recruitment, retention, intervention, and data collection procedures and the acceptability of exercise modality, hospital-based instruction, and home-based practice were collected by retrieving information from research documen and promoting QoL.

Caring for patients living with cancer requires the support of family caregivers. Literature reports experiences of diverse burdens and health effects among caregivers. This study examined the burden, physical, psycho-social, and financial outcomes of caregiving among caregivers of patients living with cancer.

This cross-sectional descriptive study was conducted in the University College Hospital, Ibadan, Nigeria, between January and March 2019. A convenient sample of 201 caregivers who were direct family relatives were selected to complete a validated Zarit Burden Interview (ZBI) Questionnaire (r = 0.994) and perceived outcomes of caregiving questionnaire. The burden scale score ranged from 0 to 20 (no burden) to 61-88 (severe burden). Other outcomes of caregiving were measured on a Likert scale 0-4 (where 2.00 is the threshold score of effect of caregiving experienced), to determine the strength of the effect of caregiving on each variable of interest. The factors that contributed to the health outcomes systemic assessment with standardized instruments, for early identification and intervention.

Reported burden of care was mild; although negative health outcomes were noted. Health-care professionals can ameliorate such effects through a regular systemic assessment with standardized instruments, for early identification and intervention.

Many women with breast cancer refuse adjuvant treatments. How they arrive at their respective decisions and whether they are passively or actively involved in making decisions is less known. We explored the different decision-making behaviors of women who received treatments (receivers) after being diagnosed with breast cancer and those who refused (decliners).

Seven women (four receivers and three decliners) were recruited from the Breast Cancer Integrative Oncology Study. We conducted an inductive content analysis based on in-depth semi-structured interviews with open-ended questions.

Receivers reported that doctors and family members influenced their decision-making. Decliners perceived their doctors as supportive of their decisions and reported that the experience of adjuvant therapy of family and friends, the results of Oncotest, and concerns about side effects influenced their decision-making. read more Receivers expressed discomfort about their decisions, relied on books, whereas decliners used various sources to find information.