Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK

Objectives: Employment following illness is associated with better physical and psychological functioning. This study aimed to assess the feasibility and acceptability of a theoretically led workbook intervention designed to support patients with cancer returning to work. Design: Parallel-group randomised controlled trial with embedded qualitative interviews. Setting: Oncology clinics within four English National Health Service Trusts. Participants: Patients who had received a diagnosis of breast, gynaecological, prostate or colorectal cancer and who had been receiving treatment for a minimum of two weeks. Intervention: A self-guided WorkPlan workbook designed to support patients with cancer to return to work with fortnightly telephone support calls to discuss progress. The control group received treatment as usual and was offered the workbook at the end of their 12-month follow-up. Outcome measures: We assessed aspects of feasibility including eligibility, recruitment, data collection, attrition, feasibility of the methodology, acceptability of the intervention and potential to calculate cost-effectiveness. Results: The recruitment rate of eligible patients was 44%; 68 participants consented and 58 (85%) completed baseline measures. Randomisation procedures were acceptable, data collection methods (including cost-effectiveness data) were feasible and the intervention was acceptable to participants. Retention rates at 6-month and 12-month follow-up were 72% and 69%, respectively. At 6-month follow-up, 30% of the usual care group had returned to full-time or part-time work (including phased return to work) compared with 43% of the intervention group. At 12 months, the percentages were 47% (usual care) and 68% (intervention). Conclusions: The findings confirm the feasibility of a definitive trial, although further consideration needs to be given to increasing the participation rates among men and black and ethnic minority patients diagnosed with cancer

A feasibility randomized controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK

Objectives: Employment following illness is associated with better physical and psychological functioning. This study aimed to assess the feasibility and acceptability of a theoretically-led workbook intervention designed to support cancer patients returning to work. Design: Parallel-group randomized controlled trial with embedded qualitative interviews Setting: Oncology clinics within four English National Health Service Trusts Participants: Patients who had received a diagnosis of breast, gynecological, prostate or colorectal cancer and who were at least 2 weeks post-treatment initiation. Intervention: A self-guided WorkPlan workbook designed to support cancer patients to return to work with fortnightly telephone support calls to discuss progress. The control group received treatment as usual, and were offered the workbook at the end of their 12-month follow-up. Outcome measures: We assessed aspects of feasibility including eligibility, recruitment, data collection, attrition, feasibility of the methodology, acceptability of the intervention and potential to calculate cost-effectiveness. Results: The recruitment rate of eligible patients was 44%; 68 participants consented and 58 (85%) completed baseline measures. Randomization procedures were acceptable, data collection methods (including cost-effectiveness data) were feasible and the intervention was acceptable to participants. Retention rates at six and 12 months follow-up were 72% and 69% respectively. At 6-month follow-up 30% of the usual care group had returned to full or part-time work (including phased return to work) compared to 43% of the intervention group. At 12-months the percentages were 47% (usual care) and 68% (intervention). Conclusions: The findings confirm the feasibility of a definitive trial, although further consideration needs to be given to increasing the participation rates among men and Black and ethnic minority patients diagnosed with cancer

Discrete population balance models of random agglomeration and cleavage in polymer pyrolysis

The processes of random agglomeration and cleavage (both of which are important for the development of new models of polymer combustion, but are also applicable in a wide range of fields including atmospheric physics, radiation modelling and astrophysics) are analysed using population balance methods. The evolution of a discrete distribution of particles is considered within this framework, resulting in a set of ordinary differential equations for the individual particle concentrations. Exact solutions for these equations are derived, together with moment generating functions. Application of the discrete Laplace transform (analogous to the Z-transform) is found to be effective in these problems, providing both exact solutions for particle concentrations and moment generating functions. The combined agglomeration-cleavage problem is also considered. Unfortunately, it has been impossible to find an exact solution for the full problem, but a stable steady state has been identified and computed

Cancer Survivors’ Social Context in the Return to Work Process:Narrative Accounts of Social Support and Social Comparison Information

Purpose: Returning to work is a process that is intertwined with the social aspects of one’s life, which can influence the way in which that person manages their return to work and also determines the support available to them. This study aimed to explore cancer patients’ perceptions of the role of their social context in relation to returning to work following treatment. Methods: Twenty-three patients who had received a diagnosis of either urological, breast, gynaecological, or bowel cancer participated in semi-structured interviews examining general perceptions of cancer, work values and perceptions of the potential impact of their cancer diagnosis and treatment on work. Interviews were analysed using the iterative process of Framework Analysis. Results: Two superordinate themes emerged as influential in the return to work process: Social support as a facilitator of return to work (e.g. co-workers’ support and support outside of the workplace) and Social comparison as an appraisal of readiness to return to work (e.g. comparisons with other cancer patients, colleagues, and employees in other organisations or professions). Conclusions: Two functions of the social context of returning to work after cancer were apparent in the participants’ narrative: the importance of social support as a facilitator of returning to work and the utilisation of social comparison information in order to appraise one’s readiness to return to work. The role of social context in returning to work has largely been absent from the research literature to date. The findings of this study suggest that social support and social comparison mechanisms may have a significant impact on an individual’s successful return to the workplace

Temporomandibular joint arthritis: Possible etiologic factors and arthritis classification

Aim: The aim of this paper was to classify the signs of the various types of arthritis that are related to the TMJ according to the etiologic factors. TMJ Arthritis classification is presented according to the levels of inflammation, in order to summarize current knowledge about the inflammatory theory, with emphasis on recent research on pathophysiology and radiographic differential diagnosis of TMJ arthritis types: Osteoarthritis (low- inflammatory arthritic condition), results from increased pressure on a particular joint or fragility of the cartilage matrix and represents a destructive process by which the bony articular surfaces of the condyle and fossa become altered. Osteoarthrosis (non-inflammatory arthritic condition) is an adaptive stage, involving morphologic changes of the articular structures, not associated with significant alterations in the mechanical joint function. Altered articular surfaces of the TMJ may be considered as normal adaptive responses to increased loading, rather than pathological degenerative changes. Polyarthritis or polyarticular arthritis (high-inflammatory arthritic conditions), present similar symptoms and clinical findings as osteoarthritis but have different causes. The classic type of high-inflammatory arthritis is rheumatoid arthritis. Conclusion: The clinician must be aware of the various systemic conditions that may affect the TMJ and the stomatognathic system as a whole. In this way the proposed dental treatment plan can and should be adjusted to the needs of the patient taking under consideration the manifestations of the disease in the stomatognathic system. © 2020 ARIESDUE

Iterative methods for model reduction by domain decomposition

To appearInternational audienc

Cross-sectional study on childhood obesity and central obesity on a rural Greek Island

Objective. We aimed to investigate the prevalence of obesity and visceral obesity (VO) within children living on the s mall Greek island of Tinos and their associatedfactors. Methods. Three hundred and fifty two healthy children and pre-adolescents (54% boys) attending the primary schools of Tinos island were evaluated, aged (mean±SD) 8.53±1.72 years (range 6-11), from which 286 (81.25%) were of Greek origin and 65 (18.46%) foreign immigrants. Body weight, height and waist circumference (WC) were measured, plus BMI and WC percentiles were calculated. Children with WC > 90th percentile were categorized as having VO. Results. Among our patients, 235 (66.76%) were of normal weight, 88 (25%) overweight and 29 (8.2%) obese. Obese children, as opposed to their normal weight counterparts, were more likely to be of younger age (p=0.009). VO was found in 65 (18.47%) children, with a higher prevalence among the obese than overweight ones (96.43% vs. 42%, p<0.001). There was no difference in the prevalence of VO between children and pre-adolescents. However, foreign immigrants had lower frequency of overweight and obese children (p=0.026) and less viscerally obese children (9.09% vs. 20.63%, p=0.018) than the Greek participants. Conclusions. The prevalence of childhood obesity in rural Tinos was 8.24%, which was lower than the reported national prevalence of obesity in Greece, whilst almost all of the obese and 42% of the overweight children presented VO. The low prevalence of childhood obesity and VO on this small island could possibly be attributed to a more healthy diet and natural way of life. © 2015, Editura Academiei Romane. All rights reserved