88,569 results match your criteria Palliative Medicine[Journal]


Validated screening tools for the assessment of cachexia, sarcopenia, and malnutrition: a systematic review.

Am J Clin Nutr 2018 Dec;108(6):1196-1208

Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Background: There is great overlap between the presentation of cachexia, sarcopenia, and malnutrition. Distinguishing between these conditions would allow for better targeted treatment for patients.

Objectives: The aim was to systematically review validated screening tools for cachexia, sarcopenia, and malnutrition in adults and, if a combined tool is absent, make suggestions for the generation of a novel screening tool. Read More

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December 2018
1 Read

Cardiotoxicity with trabectedin in the treatment of advanced soft tissue sarcoma.

Anticancer Drugs 2019 Jan;30(1):110-115

Department of Oncology, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.

Trabectedin is used routinely in the palliative management of patients with advanced soft tissue sarcoma. It is not generally considered to be cardiotoxic, and there is no specific caution for its use in patients with a history of cardiac disease or risk factors. Here, we report six cases from a single academic centre where life-threatening cardiotoxicity occurred acutely during treatment with trabectedin. Read More

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January 2019

Perceptions of a Good Death in Children with Life-Shortening Conditions: An Integrative Review.

J Palliat Med 2018 Dec 11. Epub 2018 Dec 11.

2 International Observatory on End of Life Care, Lancaster University , Lancaster, United Kingdom .

Background: For children with life-shortening illness, achieving a "good death" can be a tacit goal. There is little understanding of how different stakeholders perceive what a "good death" might be.

Objective: To review empirical literature to construct an understanding of a "good death" for children with life-shortening conditions. Read More

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December 2018
1 Read

Surgical treatment of gastric cancer: a 10-year experience in a high-volume university hospital.

Clinics (Sao Paulo) 2018 Dec 10;73(suppl 1):e543s. Epub 2018 Dec 10.

Instituto do Cancer do Estado de Sao Paulo (ICESP), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.

Objectives: Surgery remains the cornerstone treatment modality for gastric cancer, the fifth most common type of tumor in Brazil. The aim of this study was to analyze the surgical treatment outcomes of patients with gastric cancer who were referred to a high-volume university hospital.

Methods: We reviewed all consecutive patients who underwent any surgical procedure due to gastric cancer from a prospectively collected database. Read More

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December 2018

Spiritual needs experienced by the patient's family caregiver under Oncology palliative care.

Rev Bras Enferm 2018 ;71(suppl 6):2635-2642

Universidade Federal Fluminense, Aurora de Afonso Costa Nursing School. Niterói, Rio de Janeiro, Brazil.

Objective: To understand the spiritual needs of the patients' family caregiver under Oncology palliative care.

Method: A descriptive, qualitative study with 20 family caregivers of patients hospitalized in an Oncology palliative unit. The data were collected through a phenomenological interview, and analyzed by the method of Amadeo Giorgi supported in the Merleau-Ponty's Phenomenology of Perception. Read More

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January 2018

Application of palliative care in demented patients: the caregivers' point of view.

Acta Biomed 2018 Dec 7;89(7-S):78-88. Epub 2018 Dec 7.

Università di Parma.

Background: The 38/2010 law has widened the supply of palliative care for patients with chronic and degenerative illness. Dementia is a chronic and debilitating illness and it requires specific, complex and constant assistance, involving the health professionals' community and family, and should also benefit from palliative care. But what do the caregivers of these patients think about it?

Aim: To explore the point of view of caregivers accompanying dementia patients regarding palliative care and the accompaniment of the medical team. Read More

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December 2018

People With Advanced Cancer: The Process of Living Well With Awareness of Dying.

Qual Health Res 2018 Dec 12:1049732318816298. Epub 2018 Dec 12.

1 Universidad de Navarra, ICS, Grupo ATLANTES, Pamplona, Spain.

Literature suggests that it is possible to live well with advanced cancer but little is known about the process. In this article, we present a secondary analysis of experiences of living with advanced cancer ( n = 22) that refines the theory of "Living Well with Chronic Illness" for a different context and population. The refined theory explains the experience of living well with advanced cancer illuminating a five-phase iterative process: struggling, accepting, living with advanced cancer, sharing the illness experience, and reconstructing life. Read More

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December 2018

Engaging the African American Church to Improve Communication About Palliative Care and Hospice: Lessons From a Multilevel Approach.

J Palliat Care 2018 Dec 12:825859718810718. Epub 2018 Dec 12.

1 Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Background:: As the spiritual family for many African Americans, the church presents an opportunity to improve communication about palliative care and hospice (PCH). However, sustainable change in church-based, practices related to PCH requires a compreshensive, multilevel approach.

Objectives:: Our primary goal was to encourage churches to embrace palliative care and hospice as acceptable alternatives for end-of-life care by creating venues to improve communications about PCH. Read More

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December 2018

Immunotherapy in Lung Cancer: A New Age in Cancer Treatment.

Adv Exp Med Biol 2018 ;995:65-95

Thoracic Oncology Program, University of Maryland Greenebaum Comprehensive Cancer Center, Baltimore, MD, USA.

The management of Non-Small Cell Lung Cancer (NSCLC) has changed dramatically in the last 10 years with an increase in the understanding of the biology and with the development of new and multiple treatments. Chemotherapy being the first systemic treatment used in the setting of advanced disease, proving benefit for patients over palliative care. With the identification of oncogenic drivers, innovative targeted therapies were developed and tested, leading to important changes in the management of certain patients and giving to some of them the possibility to be treated in first line with oral inhibitors. Read More

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January 2018

A Rare Case of an Advanced Gastric Adenocarcinoma in a Teenage Syrian Boy.

Case Rep Oncol Med 2018 14;2018:9140593. Epub 2018 Nov 14.

Faculty of Medicine, University of Aleppo, Aleppo, Syria.

In this report, we describe a case of a gastric cancer in young age group with delayed diagnosis and poor prognosis. We report a rare case of a 16-year-old teenager with an advanced moderately differentiated gastric adenocarcinoma without any relevant history. He presented mainly with dysphagia, postprandial vomiting, and eventually hematemesis. Read More

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November 2018

Rediscovery of old drugs: the forgotten case of dermorphin for postoperative pain and palliation.

J Pain Res 2018 23;11:2991-2995. Epub 2018 Nov 23.

Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.

The repurposing of old drugs for new indications is becoming more accepted as a cost-efficient solution for complicated health problems. However, older drugs are often forgotten when they are not repositioned. This analysis makes a case for re-exploration of dermorphin for intrathecal use in postoperative pain and in a palliative context, with the goal of re-establishing this compound. Read More

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November 2018
2 Reads

Needs of older adults living in long-term care institutions: an observational study using Camberwell Assessment of Need for the Elderly.

Clin Interv Aging 2018 21;13:2389-2395. Epub 2018 Nov 21.

Laboratory of Neuropsychobiology, Department of Psychiatry, Poznan University of Medical Sciences, Poznan, Poland.

Introduction: No comprehensive needs assessment is performed routinely in Poland.

Purpose: The goal of the study was to investigate the patterns of needs in older individuals living in long-term care institutions (LTCIs) using the Camberwell Assessment of Need for the Elderly (CANE) questionnaire, based on a previously published study protocol.

Participants And Methods: The study included 306 LTCI residents (age: ≥75 years) with the a Mini-Mental State Examination (MMSE) score of at least 10 points. Read More

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November 2018

Recurrent Retroperitoneal Liposarcoma: a Case Report and Literature Review.

Indian J Surg Oncol 2018 Dec 19;9(4):640-643. Epub 2018 May 19.

Department of Surgical Oncology, Vikram Hospital, Bangalore, India.

This is a case report of a 61-year-old male patient, presented with fifth recurrence of retroperitoneal liposarcoma and operated for six times. Literature review on retroperitoneal liposarcoma biology, recurrence pattern, role of surgery in primary tumor, and recurrent tumor, adjuvant therapy, role of multivisceral resection, and palliative surgery. Read More

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December 2018

Pelvic Exenteration Put into Therapeutical and Palliative Perspective: It Is Worth to Try.

Indian J Surg Oncol 2018 Dec 20;9(4):552-557. Epub 2018 Jul 20.

22nd Department of Surgery, Attikon Hospital, University of Athens Medical School, 1 Rimini Str, 124 10 Chaidari, Greece.

Pelvic exenteration (PE) is one of the most drastic operations in surgical oncology, associated with severe morbidity and mortality. The objective of our study was to review our experience of PE in terms of surgical characteristics, complications, and overall survival. All patients who had PE surgery between January 1999 and December 2015 were identified. Read More

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December 2018

Safety and Efficacy of Low-Dose Single-Agent Capecitabine in Inoperable Gallbladder Cancer with Jaundice Post-Single-System Single-Catheter External Biliary Drainage: a Pilot Study from a Highly Endemic Area.

Indian J Surg Oncol 2018 Dec 31;9(4):530-537. Epub 2018 Jul 31.

1Department of General Surgery, King George's Medical University, Lucknow, UP India.

Gallbladder cancer (CaGB) in the subcontinent belongs to low socioeconomic status, and at the time of diagnosis, a large number is unresectable or inoperable so the palliative treatment remains the only option. In the present study, attempt was made to see the effect and safety profile of single-agent oral capecitabine in inoperable CaGB in presence of low levels of jaundice post-single-catheter transhepatic external biliary drainage. In  = 35 of inoperable jaundiced CaGB, post-biliary drainage capecitabine in low dose was started when their total bilirubin levels fell to 10 mg% or below. Read More

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December 2018

Clinical Utility of Staging Laparoscopy for Advanced Obstructing Rectal Adenocarcinoma: Emerging Tool.

Indian J Surg Oncol 2018 Dec 2;9(4):488-494. Epub 2018 Aug 2.

1Department of Gastrointestinal Surgery and Colorectal Surgical Oncology, Tata Memorial Hospital, Dr Ernest Borges Marg, Parel, Mumbai, Maharashtra 400012 India.

The multimodal treatment for advanced rectal adenocarcinoma mandates accurate preoperative staging with contrast-enhanced computed tomography (CECT) of the thorax, abdomen, and pelvis, and magnetic resonance imaging (MRI) of the pelvis. Unlike gastric cancer, the role of staging laparoscopy (SL) in advanced colorectal cancer has not been evaluated. This study aims to evaluate the clinical value of SL in treatment decision-making for advanced rectal cancer (RC) with near or complete obstructing tumors. Read More

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December 2018

Improving palliative care with deep learning.

BMC Med Inform Decis Mak 2018 Dec 12;18(Suppl 4):122. Epub 2018 Dec 12.

Center for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.

Background: Access to palliative care is a key quality metric which most healthcare organizations strive to improve. The primary challenges to increasing palliative care access are a combination of physicians over-estimating patient prognoses, and a shortage of palliative staff in general. This, in combination with treatment inertia can result in a mismatch between patient wishes, and their actual care towards the end of life. Read More

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December 2018

Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis of a national incident-reporting database.

Palliat Med 2018 Dec 12:269216318817692. Epub 2018 Dec 12.

1 Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.

Background:: Patients receiving palliative care are often at increased risk of unsafe care with the out-of-hours setting presenting particular challenges. The identification of improved ways of delivering palliative care outside working hours is a priority area for policymakers.

Aim:: To explore the nature and causes of unsafe care delivered to patients receiving palliative care from primary-care services outside normal working hours. Read More

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December 2018

Specialized pediatric palliative care services for children dying from cancer: A repeated cohort study on the developments of symptom management and quality of care over a 10-year period.

Palliat Med 2018 Dec 12:269216318818022. Epub 2018 Dec 12.

1 Paediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.

Background:: About one quarter of children affected with cancer die. For children and their families, the end-of-life period is highly distressing.

Aim:: This study focused on how end-of-life care in pediatric cancer patients changed over a period of 10 years and if changes in pediatric palliative care structures were associated with quality of care. Read More

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December 2018

Cooperation between Heart Failure Center of Hiroshima University Hospital and a regional medical facility: Option for an end-of-life heart failure patient receiving palliative care.

J Cardiol Cases 2014 Feb 13;9(2):75-79. Epub 2013 Dec 13.

Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, Japan.

A 64-year-old woman with recurrent mitral valve stenosis was hospitalized 30 years after open commissurotomy. Severe right cerebral embolism occurred at age 58, with left hemiparesis. She was debilitated with cardiac cachexia. Read More

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February 2014

Electrochemotherapy in the Treatment of Breast Cancer Metastasis to the Skin and Subcutaneous Tissue - Multicenter Experience.

Oncol Res Treat 2018 Dec 12;42(1-2). Epub 2018 Dec 12.

Introduction: Breast cancer is responsible for more than 50% of cutaneous metastases. One of the treatment options is electrochemotherapy (ECT). It is an effective method of local tumor ablation through the application of electroporation. Read More

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December 2018
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Palliative Care in Patients with Hematological Malignancies.

Authors:
Karin Oechsle

Oncol Res Treat 2018 Dec 12;42(1-2). Epub 2018 Dec 12.

Patients with hematologic malignancies (HM) nowadays rarely receive palliative or hospice care, and studies on potential effects of integrated palliative care are rare. This narrative review provides a comprehensive overview on their current end-of-life care, first data on integrated specialist palliative care (SPC) and potential barriers. Symptom burden and distress in patients with HM seem to be comparable to other cancer patients, but their performance status and specific symptoms are even worse. Read More

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December 2018

Evaluation of the Measuring and Improving Quality in Palliative Care Survey.

J Oncol Pract 2018 Dec;14(12):e834-e843

Johns Hopkins Bloomberg School of Public Health; Johns Hopkins School of Medicine, Baltimore, MD; University of Cincinnati College of Medicine, Cincinnati, OH; Duke Cancer Institute and Duke Fuqua School of Business, Duke University, Durham, NC; Veterans Affairs Greater Los Angeles Health System, University of California, Los Angeles, Los Angeles; Stanford School of Medicine, Stanford, CA; Temmy Latner Centre for Palliative Care, Sinai Health System; University of Toronto; and Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Purpose:: To evaluate the reliability, content validity, and variation among sites of a survey to assess facilitators and barriers to quality measurement and improvement in palliative care programs.

Methods:: We surveyed a sample of diverse US and Canadian palliative care programs and conducted postcompletion discussion groups. The survey included constructs addressing educational support and training, communication, teamwork, leadership, and prioritization for quality measurement and improvement. Read More

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December 2018

Impact of Closed Facebook Group Participation on Female Hematology/Oncology Physicians.

J Oncol Pract 2018 Dec;14(12):e758-e769

Sarah Cannon Cancer Institutes at HCA Midwest Health, Overland Park, KS; University of Florida College of Medicine; Malcom Randall Veterans Affairs Medical Center, Gainesville; Florida Cancer Specialists, Deland, FL; University of Texas Southwestern Medical Center, Dallas, TX; and Cleveland Clinic Akron General, Akron, OH.

Purpose:: Meaningful connections are an important aspect of career satisfaction. The Hematology Oncology Women Physician Group (HOWPG) is a private Facebook (FB) group of 936 women who practice within the hematology/oncology (H/O) field. We hypothesized that HOWPG adds value to education, emotional wellness, and practice of oncology for its membership. Read More

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December 2018
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1-2-3 Project: A Quality Improvement Initiative to Normalize and Systematize Palliative Care for All Patients With Cancer in the Outpatient Clinic Setting.

J Oncol Pract 2018 Dec;14(12):e775-e785

Memorial Sloan Kettering Cancer Center, New York, NY.

Background:: Prior work to integrate early palliative care in oncology has focused on patients with advanced cancer and primarily on palliative care consultation. We developed this outpatient clinic initiative for newly diagnosed patients at any stage, emphasizing primary (nonspecialist) palliative care by oncology teams, with enhanced access to palliative care specialists.

Methods:: We piloted the project in two medical oncology specialty clinics (for patients with myelodysplastic syndrome and GI cancer, respectively) to establish feasibility. Read More

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December 2018

Outcomes of Peer Review for Radiotherapy Treatment Plans With Palliative Intent.

J Oncol Pract 2018 Dec;14(12):e794-e800

Southlake Regional Health Centre, Newmarket; and University of Toronto, Toronto, Ontario, Canada.

Purpose:: Peer review of a proposed treatment plan is increasingly recognized as an important quality activity in radiation medicine. Although peer review has been emphasized in the curative setting, applying peer review for treatment plans that have palliative intent is receiving increased attention. This study reports peer review outcomes for a regional cancer center that applied routine interprofessional peer review as a standard practice for palliative radiotherapy. Read More

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December 2018

Comparison of Quality Oncology Practice Initiative Metrics in Solid Tumor Oncology Clinic With or Without Concomitant Supportive Oncology Consultation.

J Oncol Pract 2018 Dec;14(12):e786-e793

Icahn School of Medicine at Mount Sinai, New York, NY; and The Everett Clinic, Providence Regional Medical Center, Everett, WA.

Purpose:: The Quality Oncology Practice Initiative (QOPI) is a quality measurement and improvement program designed to assess practice performance for various consensus-based and evidence-based measures. In this study, we evaluated differences in QOPI metrics met among patients with advanced solid cancer receiving routine oncologic care alone (routine care) compared with patients receiving integrated oncology and specialty-level palliative care (supportive care).

Methods:: We conducted a retrospective chart review of 100 randomly selected patients treated between June 2013 and June 2015 from our supportive care group and matched these patients to 100 routine care group patients on the basis of tumor type and initial oncology visit date. Read More

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December 2018

Predictors of Advance Care Planning in Older Women: The Nurses' Health Study.

J Am Geriatr Soc 2018 Dec 10. Epub 2018 Dec 10.

Department of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee.

Background/objectives: Relatively little is known regarding predictors of advance care planning (ACP) in former nurses. We aimed to evaluate potential predictors of ACP documentation and discussion.

Design: Cross-sectional study, 2012-2014. Read More

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December 2018

Opioids are rarely prescribed for children with acute non-procedural pain in Italian emergency departments.

Acta Paediatr 2018 Dec 8. Epub 2018 Dec 8.

Director of Paediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padua, Italy.

Pain is a major cause of admissions to pediatric emergency departments, but is often inappropriately managed (1). The findings of the Pain Practice in Italian Pediatric Emergency Departments on the appropriate use of paracetamol and ibuprofen have previously been reported (1,2). This multicentre, retrospective study evaluated the prescription of opioids given to patients up to the age of 14 with acute non-procedural pain by 18 Italian emergency departments between October 2014 and January 2015. Read More

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December 2018

Pharmacotherapy in Older Adults with Cardiovascular Disease: Report from an American College of Cardiology, American Geriatrics Society, and National Institute on Aging Workshop.

J Am Geriatr Soc 2018 Dec 7. Epub 2018 Dec 7.

Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, Missouri.

Objectives: To identify the top priority areas for research to optimize pharmacotherapy in older adults with cardiovascular disease (CVD).

Design: Consensus meeting.

Setting: Multidisciplinary workshop supported by the National Institute on Aging, the American College of Cardiology, and the American Geriatrics Society, February 6-7, 2017. Read More

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December 2018

A survey demonstrates limited palliative care structures in paediatric nephrology from the perspective of a multidisciplinary healthcare team.

Acta Paediatr 2018 Dec 11. Epub 2018 Dec 11.

Department of Paediatric Gastroenterology, Nephrology and Metabolic Diseases, Charité - Universitätsmedizin Berlin, Germany.

Aim: Children and adolescents with end stage renal disease face a high morbidity and mortality. Palliative care provides a multidisciplinary approach to reduce disease burden and improve quality of life. This study evaluated concepts and current structures of palliative care from the perspective of a multidisciplinary paediatric nephrology team including physicians, nurses and psychosocial health professionals. Read More

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December 2018

Oxygen-ozone therapy as support and palliative therapy in 50 cancer patients with fatigue - A short report.

Eur Rev Med Pharmacol Sci 2018 Nov;22(22):8030-8033

Tumor Center, CFS, Fibromyalgia and Oxygen Ozone Therapy Unit, Mede Clinic, Sacile (PN), Italy.

Objective: Fatigue may be cause by all cancer treatments, maybe because the tissue damage or the build-up of dead cells derived products.

Patients And Methods: At the Mede Clinic in Sacile, Pordenone, Italy, from February 2016 to May 2018 we studied 50 patients with cancer and fatigue (15 with breast cancer, 12 with lung cancer, 11 with colon cancer, 5 with renal cancer, 3 with prostate cancer, 2 with melanoma and 2 hepatocellular carcinoma). Patients were treated with Auto Hemotransfusion (GAE) according to the SIOOT (Scientific Society of Oxygen Ozone Therapy) protocols, two times a week for one month and then twice monthly as maintenance therapy. Read More

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November 2018
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Pain in patients with newly diagnosed or relapsed acute leukemia.

Support Care Cancer 2018 Dec 8. Epub 2018 Dec 8.

Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, 610 University Ave., 16-712, Toronto, Ontario, M5G 2M9, Canada.

Purpose: Acute leukemia (AL) is associated with substantial morbidity and mortality. We assessed the prevalence and correlates of pain in patients with newly diagnosed or relapsed AL.

Methods: Patients with newly diagnosed or relapsed AL admitted to a comprehensive cancer center completed the Memorial Symptom Assessment Scale (MSAS), which assesses prevalence, severity, and distress associated with pain and other symptoms. Read More

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December 2018

Short- and long-term results of common peroneal nerve injuries treated by neurolysis, direct suture or nerve graft.

Eur J Orthop Surg Traumatol 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopaedic Surgery and Sports Traumatology, Grenoble South University Hospital, 38130, Echirolles, France.

Introduction: Damage to the common peroneal nerve is the most frequent nerve injury in lower limb traumas. Our objective was to assess the motor and sensory recovery levels and the functional outcomes after remedial surgery for common peroneal nerve trauma, through either neurolysis, direct suture or nerve graft.

Methods: This is a transversal, observational study of a monocentric cohort of 20 patients who underwent surgery between January 2004 and June 2016, which included 16 men and 4 women whose median age was 35 ± 11 years. Read More

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December 2018

Advance care planning for patients with cancer in the palliative phase in Dutch general practices.

Fam Pract 2018 Dec 10. Epub 2018 Dec 10.

Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.

Background: Advance care planning (ACP) is a crucial element of palliative care. It improves the quality of end-of-life care and reduces aggressive and needless life-prolonging medical interventions. However, little is known about its application in daily practice. Read More

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December 2018

[Extrapyramidal adverse reactions to metoclopramide. A pharmacovigilance survey].

Rev Med Chil 2018 Jul;146(7):876-884

Servicio de Farmacia, Hospital La Ligua, La Ligua, Chile.

Background: In 2013 the Chilean regulatory sanitary agency issued a warning concerning dose adjustment and use restriction to avoid severe adverse effects of metoclopramide such tardive dyskinesia.

Aim: To study dyskinesia type adverse effects in a population using metoclopramide.

Material And Methods: A cross sectional observational study was conducted among patients pertaining to palliative care and diabetes mellitus programs and consuming 10 mg/day or more of metoclopramide. Read More

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Clinical Operations Research: A New Frontier for Inquiry in Academic Health Systems.

J Hosp Med 2018 Nov 28. Epub 2018 Nov 28.

Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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November 2018

Ketamine for pain management.

Pain Rep 2018 Sep-Oct;3(5):e674. Epub 2018 Aug 9.

Perioperative, Intensive Care and Pain Medicine, University of Helsinki and Pain Clinic, Helsinki University Hospital, Helsinki, Finland.

Supplemental Digital Content is Available in the Text. Read More

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The theory of a co-creative process in advanced palliative home care nursing encounters: A qualitative deductive approach over time.

Nurs Open 2019 Jan 8;6(1):175-188. Epub 2018 Oct 8.

Department of Health Care Science/Palliative Research Centre Ersta Sköndal Bräcke University College Stockholm Sweden.

Aims And Objectives: The aim of this study was to test the theoretical conceptualization of the co-creative process in home care nursing encounters over time.

Method And Design: This was a multiple case study with a deductive analysis of qualitative data over time, using interviews and observations collected from three cases.

Results: The co-creative process was complex and contained main, sub- and micro-processes. Read More

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January 2019

Clinical Results of Minimally Invasive Spine Stabilization for the Management of Metastatic Spinal Tumors Based on the Epidural Spinal Cord Compression Scale.

Biomed Res Int 2018 8;2018:1258706. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo 173-8610, Japan.

Purpose: Minimally invasive spine stabilization (MISt) using percutaneous pedicle screws plays a significant role in palliative surgery for metastatic spinal tumors. However, few studies have investigated surgical outcomes based on the epidural spinal cord compression scale (ESCCS). The purpose of this study was to examine outcomes of metastatic spinal tumors as evaluated by ESCCS in patients treated by MISt. Read More

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November 2018

Breast Squamous Cell Carcinoma Following Breast Augmentation.

Cureus 2018 Oct 3;10(10):e3405. Epub 2018 Oct 3.

Radiation Oncology, Northwell Health, Sleepy Hollow, USA.

Breast augmentation is the most common cosmetic surgery in the United States. Squamous cell carcinoma (SCC) of the breast raises suspicion of possibly metastatic origin. Here, we report an unusual case of implant-associated SCC of the breast post silicone gel breast implant. Read More

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October 2018
1 Read

Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool.

J Glob Oncol 2018 Dec(4):1-9

Chika R. Nwachukwu, Lynn Million, Shruti Sheth, Hope Qamoos, and Ami S. Bhatt, Stanford University School of Medicine; Michele Barry, Center for Innovation in Global Health, Stanford University, Stanford; Omobola Mudasiru, University of California Berkley, Berkeley, CA; Joseph O. Onah, Anita Okemini, and Mojisola Rhodes, Clinton Health Access Initiative, Nigeria Country Office; Adekunbiola A. Banjo and Muhameed Habeebu, Lagos University Teaching Hospital, Lagos; Anita Okemini, ONE Campaign, Nigeria Country Office, Abuja; and Tajudeen A. Olasinde, Amadu Bello University Teaching Hospital, Zaira, Nigeria.

Purpose: Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Read More

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December 2018

Evaluation of a staff well-being program in a pediatric oncology, hematology, and palliative care services group.

J Healthc Leadersh 2018 15;10:67-85. Epub 2018 Nov 15.

Oncology Services Group, Queensland Children's Hospital, Brisbane, QLD, Australia,

Purpose: Challenges experienced by staff in the Oncology Services Group at Queensland Children's Hospital led to issues with staff retention, well-being, and stress on team culture. Therefore, a customized program was developed through a needs analysis to improve the well-being and resilience of oncology staff, enabling them to cope with stressors and critical incidents inherent in their everyday work and to flourish. The program included education, on-site counselors, mindfulness sessions, debriefing, well-being resources, and improved engagement, support, and communication. Read More

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November 2018

Needs analysis and development of a staff well-being program in a pediatric oncology, hematology, and palliative care services group.

J Healthc Leadersh 2018 15;10:55-65. Epub 2018 Nov 15.

Nursing Learning and Workforce Development, Queensland Children's Hospital, South Brisbane, QLD, Australia.

Purpose: Around 170 multidisciplinary staff of the Oncology Services Group at Queensland Children's Hospital, Brisbane, care for children with oncology, hematology, and palliative care needs from throughout Queensland and northern New South Wales. A series of challenges impacted staff resilience and retention, and strategies were needed to improve staff well-being and enable them to flourish despite the inherent work stressors.

Methods: A needs analysis was conducted using themes from Discovery Interviews with 51 staff, surveys related to "The Work Stressors Scale - Pediatric Oncology" and "The Work Rewards Scale - Pediatric Oncology" completed by 59 staff, and an organizational staff survey responded to by 51 staff. Read More

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November 2018

End of Life and Palliative Care in Neurology: Does Autonomy Matter?

Ann Indian Acad Neurol 2018 Oct-Dec;21(4):239-241

Department of Palliative Medicine, Karunashraya, Bengaluru, Karnataka, India.

The recent supreme court of India judgment on autonomy makes it necessary for all practicing neurologists to appraise themselves of the changing legal framework for End-of-Life decision-making in India. A pathway has been prescribed for advance care planning and medical futility decision-making. This is an evolving landscape and in a diverse country may vary substantially by geography. Read More

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December 2018

Indian resuscitation council cardiopulmonary resuscitation guidelines: The way ahead!

Indian J Anaesth 2018 Nov;62(11):924-925

Department of Onco-Anaesthesiology and Palliative Medicine, Dr. BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.

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November 2018

[Postura de la Academia Nacional de Medicina de México en relación con las decisiones sobre el final de la vida].

Gac Med Mex 2018 ;154(6):732-736

Universidad Nacional Autónoma de México, Facultad de Veterinaria y Zootecnia. Ciudad de México, México.

There are decisions at the end of life that currently are relevant as humanistic values. Respect for human life and dignity are part of human rights. The National Academy of Medicine of Mexico declares its posture about end-of-life decisions that include treatment refusal, limitation of the therapeutic effort, advance directives and palliative sedation, among others, with the purpose to favor a peaceful death. Read More

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January 2018

[Malignant obstructive jaundice management via external biliary drainage followed by bile examination].

Khirurgiia (Mosk) 2018 (10):44-50

South Ural State Medical University of Healthcare Ministry of the Russian Federation, Chelyabinsk, Russia.

Aim: To determine optimal terms of biliary decompression and bile reinfusion into gastrointestinal tract in patients with malignant obstructive jaundice.

Material And Methods: 179 medical records of patients with obstructive jaundice were analyzed to identify risk factors of postoperative complications. Prospective research included bile examination in 34 patients with malignant obstructive jaundice. Read More

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January 2018

Gamma knife radiosurgery for local recurrence of glioblastoma.

Neuro Endocrinol Lett 2018 Oct 12;39(4):281-287. Epub 2018 Oct 12.

Department of Medical Physics, Na Homolce Hospital, Prague, Czech Republic.

Objective: Local recurrence of glioblastoma is observed in most patients after standard oncologic treatment (surgery, chemotherapy and radiotherapy). Stereotactic radiosurgery with the Leksell Gamma Knife (SRS with LGK) was used to treat recurrent tumors in selected cases, and retrospective analysis of treatment outcome was performed.

Methods: Altogether 126 patients were treated for glioblastoma at our center from 1992-2014. Read More

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October 2018

How Can Faith Be Integrated into Palliative Home-Based Care?

Authors:
Briana Rotter

J Christ Nurs 2019 Jan/Mar;36(1):59

Briana Rotter, DNP, FNP-C, CNE is an assistant professor at the University of Portland in Portland, Oregon. Briana is a nurse practitioner at Housecall Providers in Portland, providing home-based primary and palliative care services.

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December 2018