COGNITIVE IMPAIRMENT IN PATIENTS WITH BREAST CANCER

Chemotherapy, radiation therapy, and targeted biological therapies are cancer treatments that can increase survivorship in patients with breast cancer, yet the associated cognitive side effects of therapy can significantly reduce quality of life (QOL). Cognitive Impairment has been identified by oncology nurses and patient's as one of the most difficult symptoms to manage. However, methods to detect cognitive impairment are inconsistent in the literature. The purpose of this study was to examine the effect of cancer treatment on cognitive impairment in women with breast cancer using self-reported instruments. A descriptive, correlational pilot study was used to compare healthy women of similar age and those women who receive surgery, radiation, and chemotherapy for breast cancer at six months or less of endocrine therapy. This study evaluated three-self reported tools on cognition (attention, memory, and executive function) in conjunction with self-reported tools on symptom burden, QOL, anxiety, and depression. Results showed a significant difference between groups in attention and executive function but not in memory. Women with breast cancer reported significantly more symptoms and demonstrated more anxiety and depression than the healthy women. The findings of this study corresponded with findings from previous studies. However, a larger scale study with a larger sample size needs to be completed to validate these findings

You are Your Sister\u27s Keeper: Gaudenzia Women\u27s Co-occuring Program

https://digitalcommons.pcom.edu/bridging_gaps2015/1001/thumbnail.jp

Inside Online Charter Schools

Online charter schools -- also known as virtual charters or cyber charters -- are publicly funded schools of choice that deliver student instruction via telecommunications. Today, about 200 online charter schools are operating in the United States, serving about 200,000 students at the elementary, middle, and high school grade levels. Although online instruction is increasing rapidly, there have been few studies of their operations and effects. In innovative new research funded by the Walton Family Foundation, the National Study of Online Charter Schools offers a rigorous analysis of online charter schools and their effects. Mathematica Policy Research's report provides the first nationwide data and analysis of the operations and instructional approaches of online charter schools, based on data collected in a survey completed by 127 principals of online charter schools across the country and public data from the U.S. Department of Education

Atenção integral à saúde da comuindade escolar - AISCE: atenção à fala do escolar

Anais do 35º Seminário de Extensão Universitária da Região Sul - Área temática: SaúdeEm uma aquisição típica de linguaguem do Português Brasileiro, a fonologia é estabilizada aos 5 anos de idade. Crianças que possuem alguma dificuldade na aquisição da fonologia, podem ser diagnosticadas com transtorno fonológico – substituições e omissões de fonemas na fala da criança. O objetivo do estudo é identificar crianças com transtorno fonológico e buscar uma possível ação para solucionar as suas dificuldades. A aquisição fonológica é verificada através do Instrumento de Avaliação Fonológica – IAF aplicado com os estudantes entre 5 e 10 anos de idade, de ambos os sexos, dos jardins e séries iniciais da Escola Municipal de Ensino Fundamental Décio Martins da Costa, em Porto Alegre. As falas foram caracterizadas em normal ou alterada, quando alterada, diferenciada entre Transtorno Fonológico ou Transtorno Fonético. Foram realizadas 229 coletas de fala, onde 41% (94 crianças) apresentaram alteração. A origem mais comum foi Transtorno Fonológico, sendo o processo fonológico mais comum Redução de Encontro Consonantal – REC. Através de ações como esta, busca-se a promoção e prevenção em saúde no contexto da escola, visando a melhoria de qualidade de vida em aspectos de educação e saúd

To what extent is marketing essential to the sustainability of maternity services within East Cheshire

The aim(s) of the research are: • To understand contemporary literature on marketing within the National Health Service (NHS) • To critically analyse the concept of marketing maternity services • To investigate a strategic marketing pathway in relation to the sustainability of maternity services within East Cheshire • To draw conclusions and make recommendations for future marketing strategies to ensure the sustainability of maternity services within East Cheshire Marketing within the NHS and specifically maternity services is not common place in a traditional sense although perhaps the concepts and strategies outlined by academics such as Porter, Kottler and Ansoff can be transferred to this area with a beneficial effect. This piece of work is guided by the research aims and looks to seek out relevant information regarding the selling of products in the market place and attempts to analyse its effectiveness within the NHS and maternity. By the author’s involvement in the real time implementation of a private midwifery service within an existing maternity service, a combination of deductive and inductive techniques are used demonstrating a phenomenological approach to the research. Through personal interviews and completion of a questionnaire, the author gained insight into the current practice within the organisation’s geographical area, essential in the decision making process of where to begin the implementation of the new service. Following implementation of the private midwifery service, the author evaluates the process utilised during the change management, discussing lessons learned and providing recommendations transferrable for future projects. Key findings in the provision of care, however, provide minimal data after one month as the private midwifery service is yet to 4 become fully functional due to delays in its implementation. Uptake, however, is good and two women are enrolled in the service due to success in marketing the new service

Launch Procedures for Offshore Flights

The Linn-Benton Community College Space Exploration Team held two successful offshore high-altitude balloon launches from the deck of the research vessel Pacific Storm. The payload filmed the umbra casted by the total eclipse as it passed across the Oregon coastline on August 21, 2017. Assigning roles and having a set procedure made the launch process operate more efficiently. Approximately ten onshore launches were conducted to rehearse procedures in preparation for the launch. During these launches, members became more familiar with their roles and the roles of others on the team to prepare for any and all situations that may occur. Completing an offshore flight differs from a standard onshore launch given that the sea produces various weather conditions such as; sizable waves, increased chance of precipitation, higher wind speed, and the possibility of limited visibility. Seasickness, internet accessibility, and offshore communication are among other factors. A sudden change in wind direction caused a tear in the latex of the balloon which caused the payload to not achieve the desired altitude. The launch did not achieve 28,000 meters, however the team learned from its successes and failures, and anticipate that the next launch will be successful

Ação preventiva em saúde triagem auditiva em escolares - AISCE

Anais do 35º Seminário de Extensão Universitária da Região Sul - Área temática: SaúdeOs programas de triagem auditiva visam identificar indivíduos com fator de risco para perda auditiva, a fim de que possam ser encaminhados para avaliação audiológica e otorrinolaringológica completa. A detecção precoce de perdas auditivas, bem como intervenção imediata em crianças, aumentam a probabilidade de otimizar o potencial de linguagem receptiva e expressiva, de alfabetização, desempenho escolar e desenvolvimento emocional e social. O presente trabalho tem como objetivo identificar crianças com risco para perda auditiva. A triagem auditiva está sendo realizada em escola pública do município de Porto Alegre (RS), com alunos do jardim ao terceiro ano da escola, totalizando uma amostra de 336 participantes. Passam as crianças cujas emissões otoacústicas transientes estão presentes em ambas as orelhas e falham as crianças que apresentam ausência de emissões em pelo menos uma orelha. Os resultados parciais indicam que foram avaliados 155 escolares, das turmas do jardim ao terceiro ano do ensino fundamental. Destes 63 do grupo I,42 meninos e 21 meninas, e 92 do grupo II, 41 meninos e 51 meninas. Cerca de 93% das crianças testadas do grupo I e 88% das crianças do grupo II passaram na primeira testagem realizada. Dos 155 alunos que foram triados, cerca de 9,7% não apresentaram EOAT presentes, sendo necessário ainda realizar o retest

Ultraluminous infrared galaxies: mergers of sub-L* galaxies?

A sample of 27 low-redshift, mostly cool, ultraluminous infrared galaxies (ULIRGs) has been imaged at 1.6 μm with the Hubble Space Telescope (HST) Near-Infrared Camera and Multi-Object Spectrometer (NICMOS). The majority (67%) of the sample's galaxies are multiple-nucleus galaxies with projected separations of up to 17 kpc, and the rest of the sample (33%) are single-nucleus galaxies, as determined by the NICMOS angular resolution limit. The average observed, integrated (host+nucleus) H magnitude of our HST H sample ULIRGs is -24.3, slightly above that of an L* galaxy (MH = -24.2), and 52% of the sample's galaxies have sub-L* luminosities. The ULIRGs in the HST H sample are not generated as a result of the merging of two luminous (i.e., ≥L*) spiral galaxies. Instead, the interactions and mergers occur in general between two, or in some cases more, less massive sub-L* (0.3-0.5L*) galaxies. Only one out of the 49 nuclei identified in the entire HST H sample has the properties of a bright quasar-like nucleus. On average, the brightest nuclei in the HST H sample galaxies (i.e., cool ULIRGs) are 1.2 mag fainter than warm ULIRGs and low-luminosity Bright Quasar Survey quasars (BQS QSOs) and 2.6 mag fainter than high-luminosity BQS QSOs. Since the progenitor galaxies involved in the merger are sub-L* galaxies, the mass of the central black hole in these ULIRGs would be only about (1-2) × 107 M☉, if the bulge-to-black hole mass ratio of nearby galaxies holds for ULIRGs. The estimated mass of the central black hole is similar to that of nearby Seyfert 2 galaxies but at least 1 order of magnitude lower than the massive black holes thought to be located at the center of high-luminosity QSOs. Massive nuclear starbursts with constant star formation rates of 10-40 M☉ yr-1 could contribute significantly to the nuclear H-band flux and are consistent with the observed nuclear H-band magnitudes of the ULIRGs in the HST H sample. An evolutionary merging scenario is proposed for the generation of the different types of ULIRGs and QSOs on the basis of the masses of the progenitors involved in the merging process. According to this scenario, cool ULIRGs would be the end product of the merging of two or more low-mass (0.3L*-0.5L*) disk galaxies. Warm ULIRGs and low-luminosity QSOs would be generated by a merger involving intermediate-mass (0.5 L*) disk galaxies. Under this scenario, warm ULIRGs could still be the dust-enshrouded phases of UV-bright low-luminosity QSOs, but cool ULIRGs, which are most ULIRGs, would not evolve into QSOs

O efeito da distração osteogênica mandibular na via aérea e na polissonografia em crianças com sequência de Robin

Introdução: A técnica cirúrgica ideal para o manejo de pacientes com sequência de Robin (SR) não está estabelecida. Uma das cirurgias mais comumente utilizadas, a distração osteogênica de mandíbula (DOM), ainda é controversa devido aos seus potenciais riscos e à falta de evidências claras de sua eficácia nesta população. Objetivos: Comparar a variação da permeabilidade da via aérea (VA), dos sintomas clínicos e dos parâmetros polissonográficos em crianças com SR submetidas a DOM. Métodos: Neste estudo de antes e depois prospectivo, 38 pacientes com SR foram avaliados pré e pós-DOM. A gravidade dos sintomas foi classificada conforme uma escala de manifestações clínicas da SR. Os pacientes foram submetidos a nasofibrolaringoscopia (NFL), e as imagens foram classificadas de acordo com duas escalas validadas de obstrução de VA por um pesquisador cegado. Os pacientes que não necessitavam de suporte ventilatório foram submetidos à polissonografia. Resultados: A média de idade dos pacientes é de 45 dias. Destes, 15 pacientes (39,5%) com SR isolada, 10 pacientes (26,3%) com SR plus e 13 pacientes (34,2%) com SR sindrômicos. Os sintomas dos pacientes melhoraram significativamente após a DOM, como evidenciado pela diminuição no escore da escala de manifestações clínicas de SR (escore pré-operatório de 2,20 versus escore pós-operatório de 0,81; P < 0,001). As duas escalas endoscópicas também apresentaram uma melhora pós-operatória estatisticamente significativa na obstrução de VA (escala de Yellon: escore pré-operatório de 1,56 versus escore pós-operatório de 0,92; escala de Sousa: escore pré-operatório de 2,19 versus escore pós-operatório de 1,16; P < 0,001 para ambas). Além disso, houve uma variação estatisticamente significativa nos seguintes parâmetros polissonográficos avaliados no pré e pós-operatório: índice de apneia-hipopneia, tempo de sono total, nadir de dessaturação e índice de dessaturação (P < 0,05). Conclusões: A DOM parece ser uma opção cirúrgica eficaz para crianças com SR, como evidenciado pela melhora pós-operatória dos sintomas clínicos, escalas endoscópicas e índices polissonográficos.Introduction: The optimal surgical technique for the management of patients with Robin Sequence (RS) has not been established. One of the most commonly used surgical techniques, mandibular distraction osteogenesis (MDO), is still controversial because of its potential risks and the lack of clear evidence of its efficacy. Objectives: To assess variations in airway patency, clinical symptoms, and polysomnographic parameters in children with RS who underwent MDO. Methods: In this prospective study, 38 patients with RS were evaluated before and after MDO. Symptom severity was classified using a grading scale for RS clinical manifestations. Patients underwent flexible fiberoptic laryngoscopy, and the images were classified by a blinded examiner using two validated grading scales for airway obstruction. Patients not requiring ventilatory support underwent a polysomnography. Results: Patients’ symptoms significantly improved after MDO, as shown by a decreased score in the grading scale for RS clinical manifestations (preoperative score of 2.20 vs. postoperative score of 0.81; P < 0.001). The two endoscopic grading scales also showed a statistically significant postoperative improvement in airway obstruction (first scale: preoperative score of 1.56 vs. postoperative score of 0.92; second scale: preoperative score of 2.19 vs. postoperative score of 1.16; P < 0.001 for both). Moreover, there was a statistically significant variation in the following polysomnographic parameters evaluated pre- and postoperatively: apnea-hypopnea index, total sleep time, oxygen desaturation nadir, and oxygen desaturation index (P < 0.05). Conclusions: MDO seems to be an effective surgical option for children, as shown by postoperative improvements in clinical symptoms, endoscopic grading scales, and polysomnographic parameters