Comparing Health-Related Quality of Life of Cancer Patients under Chemotherapy and of Their Caregivers

Introduction. Cancer is a major disorder physically and psychologically affecting both patients and their caregivers. In this study, health-related quality of life (HRQoL) of patient-caregiver dyads during the period of chemotherapy was assessed. Material and Methods. Two hundred twenty-two cancer patient-caregiver dyads were enrolled in the study, which was conducted from October 2008 to March 2009. HRQoL was evaluated with EQ-5D. Results. The mean age of the sample was 57.4 and 48.9 for patients and caregivers, respectively. The EQ-5D descriptive system indicates that female patients more frequently experience anxiety and depression than male patients. Male and higher-education caregivers had higher VAS scores, while demographic factors did not seem to influence patients' HRQoL. Anxiety and depression of caregivers were correlated with patients' problems in self-care and usual activities. Conclusions. Quality of life is highly influenced during the period of chemotherapy for both patients and caregivers and is often under reported. Interventions that can improve HRQoL, especially in the domain of mental health for both cancer patients and their caregivers, need to be implemented

European Union digital education framework : a quality standard to guide the design of healthcare apps

Digital Education Initiatives and Timely Solutions (DIG-IT) is an Erasmus+ project collaboration between university academics, clinical educators, industry partners, healthcare professionals, and technology experts over 5 European Union (EU) states. The objectives are to create digital educational capacity for academic faculty and mobile learning opportunities for continuing professional healthcare education. The first deliverable of this project was the innovative European Union Digital Education Quality Standards Framework and Toolkit or EU-DEF. This framework can be used to consider all principle and secondary aspects when designing, delivering, and evaluating digital education resources. In this article we explore the framework efficacy in collaboratively developing two open access, mobile healthcare apps, ECG Interpretation for Nurses and Nurse Leadership and Management. We describe the teamwork needed and steps taken during this process, and demonstrate the adaptability, usability, and value of this tool for other online development projects. The EU-DEF is an evidence-based, comprehensive framework that can be used as a starting point for individuals or teams when developing digital educational projects. Considering all variables helps focus the expertise required to produce robust end-products.peer-reviewe

Predictors of health-related quality of life in type II diabetic patients in Greece

<p>Abstract</p> <p>Background</p> <p>Diabetes Mellitus (DM) is a major cause of morbidity and mortality affecting millions of people worldwide, while placing a noteworthy strain on public health funding. The aim of this study was to assess health-related quality of life (HRQOL) of Greek Type II DM patients and to identify significant predictors of the disease in this patient population.</p> <p>Methods</p> <p>The sample (N = 229, 52.8% female, 70.0 years mean age) lived in a rural community of Lesvos, an island in the northeast of the Aegean Archipelagos. The generic SF-36 instrument, administered by trainee physicians, was used to measure HRQOL. Scale scores were compared with non-parametric Mann-Whitney and Kruskal-Wallis tests and multivariate stepwise linear regression analyses were used to investigate the effect of sociodemographic and diabetes-related variables on HRQOL.</p> <p>Results</p> <p>The most important predictors of impaired HRQOL were female gender, diabetic complications, non-diabetic comorbidity and years with diabetes. Older age, lower education, being unmarried, obesity, hypertension and hyperlipidaemia were also associated with impaired HRQOL in at least one SF-36 subscale. Multivariate regression analyses produced models explaining significant portions of the variance in SF-36 subscales, especially physical functioning (R²= 42%), and also showed that diabetes-related indicators were more important disease predictors, compared to sociodemographic variables.</p> <p>Conclusion</p> <p>The findings could have implications for health promotion in rural medical practice in Greece. In order to preserve a good HRQOL, it is obviously important to prevent diabetes complications and properly manage concomitant chronic diseases. Furthermore, the gender difference is interesting and requires further elucidation. Modifying screening methods and medical interventions or formulating educational programs for the local population appear to be steps in the correct direction.</p

Measurement of the KL−KSK_{L}-K_{S} mass difference using semileptonic decays of tagged neutral kaons

We report on a new measurement of the \kl--\ks\ mass difference \dm\ using the CPLEAR full data sample of neutral-kaon decays to \semi. The result is \dm = (0.5295 \pm 0.0020_{\stat} \pm 0.0003_{\syst}) \times 10^{10}\ \hbs. It includes earlier data reported in Ref. \cite{deltam1}. A measurement of the \dsdq\ violating parameter \rex\ is also obtained

The neutral kaon decays to π+π−π0\pi^+ \pi^- \pi^0: a detailed analysis of the CPLEAR data

A detailed analysis of neutral kaons decaying to \Pgpp \Pgpm \Pgpz\ is presented based on the complete data set containing half a million events. Time-dependent decay rate asymmetries are measured between initially tagged \PKz\ and \PaKz\ and for different regions of the phase space. These asymmetries, resulting from the interference between the CP-conserving decay amplitude of \PKzL\ and the decay amplitude of \PKzS\ -- either CP-violating or CP-conserving -- allow the determinationof the \PKzS\ parameters \etapmz\ (CP-violating) and \lampmz\ (CP-conserving), and also of the main i sospin components of the \PKzS\ decay amplitude. The branching ratio of \PKzS\ $\rightarrow$ \Pgpp \Pgpm \Pgpz\ (CP-conserving) is deduced directly from \lampmz . In addition, we extract the slope parameters describing the energy dependence of the \PKzL \rightarrow \Pgpp \Pgpm \Pgpz Dalitz plot. The whole set of our results fits well within the current phenomenological picture of the neut ral-kaon system including CP violation and Chiral Perturbation Theory (ChPT)

Measurement of the neutral kaon regeneration amplitude in carbon at momenta below 1 GeV/c

The neutral kaon regeneration amplitude in carbon at momenta between 250 and 750~MeV/$c$ was determined by measuring the interference of inherent and coherently regenerated \PKS\ amplitudes. This interference appears in the rates of initially pure (tagged) \PKz\ and \PaKz\ decaying to \Pgpp\Pgpm\ after crossing a carbon absorber

A determination of the CPT violation parameter Re(δ\delta) from the semileptonic decay of strangeness-tagged neutral kaons

We have improved by two orders of magnitude the limit currently available for the CPT violation parameter \red . To this purpose we have analyzed the full sample of neutral-kaon decays to \semi\ recorded in the CPLEAR experiment, where the strangeness of the neutral kaons was tagged at production and decay time. An appropriate function of the measured decay rates, including information from the analysis of \pip\pim\ decay channel, gives directly \red . The result $\red = (3.0 \pm 3.3_\mathrm{{stat}} \pm 0.6_\mathrm{{syst}}) \times 10^{-4}$ is compatible with zero. Values for the parameters \imd, \rexm and \imxp were also obtained

Contribution of CPLEAR to the physics of the neutral kaon system

We present the physics results of the CP-- and CPT--violation measurements performed by CPLEAR. CPLEAR has experimentally determined for the first time, the violation of T invariance and is able to disentangle all the CP-- and CPT--violating quantities from each other. This allows each of the CPT violating parameters to be determined with a precision of a few $10^{-4}$ and, in particular, the mass and width equality between the \kn and \knb to be tested down to the level of $10^{-19}$ GeV. Moreover, the precision of the CPLEAR measurements allows us to probe for the first time physics on a scale approaching the Planck mass