Breast cancer specialists' perspective on their role in their patients' return to work: A qualitative study

OBJECTIVES: This study aimed to explore the views of breast cancer (BC) specialists as to their role in the return-to-work (RTW) process of their BC patients. METHODS: A qualitative study using semi-structured interviews was conducted in a sample of 20 BC specialists selected according to age, gender, medical specialty (medical oncology, radiation oncology, gynecological surgery), and healthcare organization (regional cancer center, university or private hospital). All interviews were audiotaped and transcribed for qualitative thematic content analysis. RESULTS: BC specialists had heterogeneous representations and practices regarding their role in their patients` RTW process, ranging from non-involvement to frequent discussion. Most BC specialists had concerns regarding the ?right time and right way? to address patient`s RTW. They hardly mentioned workplace and job factors as potential barriers but rather stressed motivation. The main reported barriers to involvement in the RTW process were lack of time, lack of knowledge, lack of skills, and a professional attitude exclusively focused on cancer care issues. CONCLUSION: While our study showed varying representations and practices among BC specialists, participants consistently identified barriers in supporting BC survivors` RTW. The results will guide the development of an intervention to facilitate the role of BC specialists in the RTW process as part of a multicomponent intervention to facilitate BC survivors` RTW

Echographie et effet Doppler, une methode originale pour une appreciation precoce et dynamique du cal osseux

The authors describe an original and simple method for monitoring hone healing, based upon ultrasonography and the Doppler effect. They present four cases of diaphyseal fractures followed by this method and correlated with clinical findings. This noninvasive and inexpensive method of investigation is full of prospect for the monitoring of bone healing after fracture.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

MRI, MRA and cerebral fungal vasculitis

Abstractinfo:eu-repo/semantics/publishe

Needle length and injection technique for efficient intramuscular vaccine delivery in infants and children evaluated through an ultrasonographic determination of subcutaneous and muscle layer thickness

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Magnetic resonance imaging and angiography in cerebral fungal vasculitis.

We report on an 11-year old girl treated for leukemia who developed infarcts in the right lentiform nucleus and temporal lobe. Magnetic resonance angiography (MRA) showed mild intraluminal irregularities in the right carotid syphon and stenosis of the right proximal middle cerebral artery, suggesting vasculitis. Magnetic resonance imaging (MRI) follow-up showed evolution of the initial infarct into an abscess. Stereotactic biopsy disclosed filaments of aspergillus. This report emphasizes the fact that cerebral aspergillosis should be considered if MRA and MRI are indicative of vasculitis and cerebral infarction in immunosuppressed children.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe

Hepatic regenerating nodules: A mimic of recurrent cancer in children

Background. Pseudometastatic lesions of the liver may be discovered incidentally in children previously treated for malignant tumour. Objective. To describe the radiological pattern of these lesions and to analyse their pathogenesis. Materials and methods. Nine children, 2-12 years' old at the time of diagnosis, are described in this retrospective multicentre report. The primary tumours were: nephroblastoma (n = 2), neuroblastoma (n = 2), Ewing's tumour/PNET (n = 2), non-Hodgkin's lymphoma (n = 1), and osteosarcoma (n = 2), treated by surgery (8/9), chemotherapy (9/9), intensive chemotherapy and bone-marrow transplantation (5/9), and radiotherapy (7/9). Three children suffered veno-occlusive disease (VOD) during treatment. The hepatic assessment was performed by sonography (8/9), Doppler (7/9), multiphase spiral CT (8/9) and MRI (7/9). Results. Lesions were discovered 15 months to 16 years after completing treatment. CT was the most sensitive modality for diagnosis. Lesions were multiple in eight cases, measured 2-50 mm, and appeared hypervascular on the arterial phase of CT and/or MRI in every case. Metastases were excluded on the basis of histological verification (n = 2) and clinical and radiological follow-up. Conclusion. Pseudometastatic hypervascular hepatic nodules can appear after treatment of a malignant tumour in children. The hypothesis of benign regenerative lesions secondary to treatment and/or VOD is considered.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Faciliter et soutenir le retour au travail après un cancer du sein : partenariat chercheurs-acteurs dans un processus de modélisation d'une intervention

Introduction :La reprise du travail après un cancer favorise le rétablissement de la participation sociale mais se heurte à différents obstacles. Le projet FASTRACS vise à développer, implanter et évaluer une intervention pour faciliter le maintien en emploi après un cancer du sein. Le développement de l?intervention repose sur le protocole de l?Intervention Mapping. L?objectif de cet article est de décrire les contributions du partenariat chercheurs-acteurs dans le processus de modélisation de l?intervention durant les étapes du protocole de l?Intervention Mapping.Méthodes :Le processus de développement de l?intervention est reconstitué de façon chronologique en décrivant les méthodes mobilisées et les résultats obtenus à chaque étape du protocole grâce au partenariat chercheurs-acteurs.Résultats :Les membres du Comité stratégique (COS) ont été choisis par échantillonnage théorique parmi quatre catégories d?acteurs concernées. Une charte a été coécrite pour structurer durablement le partenariat. Les membres du COS ont contribué à l?échantillonnage des participants à l?enquête qualitative d?évaluation des besoins et à l?interprétation des résultats. Les objectifs de l?intervention ont été hiérarchisés selon leur importance et leur faisabilité perçues. Les chercheurs et membres du COS ont évalué les outils de l?intervention et débattu sur le modèle logique de l?intervention. Les professionnels de santé participant au COS ont facilité l?adhésion des équipes d?oncologie participant à l?intervention.Discussion :La construction du partenariat a permis de modifier les représentations des chercheurs. L?établissement de relations de confiance a nécessité du temps et de partager ses limites. Il a été difficile d?intégrer des patientes socialement défavorisées. Le recours accru à des patientes-expertes devrait être encouragé.Conclusion :La construction d?un partenariat de recherche collaborative entre chercheurs et acteurs nécessite du temps, des méthodes, et des financements dédiés. Cet investissement est de nature à améliorer la pertinence, l?acceptabilité, la légitimité et la pérennité des interventions développées

Limited Resection Versus Pancreaticoduodenectomy for Duodenal Gastrointestinal Stromal Tumors? Enucleation Interferes in the Debate: A European Multicenter Retrospective Cohort Study

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