Quality of life measurement in women with cervical cancer: implications for Chinese cervical cancer survivors

<p>Abstract</p> <p>Background</p> <p>Women with cervical cancer now have relatively good 5-year survival rates. Better survival rates have driven the paradigm in cancer care from a medical illness model to a wellness model, which is concerned with the quality of women's lives as well as the length of survival. Thus, the assessment of quality of life among cervical cancer survivors is increasingly paramount for healthcare professionals. The purposes of this review were to describe existing validated quality of life instruments used in cervical cancer survivors, and to reveal the implications of quality of life measurement for Chinese cervical cancer survivors.</p> <p>Methods</p> <p>A literature search of five electronic databases was conducted using the terms <it>cervical/cervix cancer</it>, <it>quality of life</it>, <it>survivors</it>, <it>survivorship</it>, <it>measurement</it>, and <it>instruments</it>. Articles published in either English or Chinese from January 2000 to June 2009 were searched. Only those adopting an established quality of life instrument for use in cervical cancer survivors were included.</p> <p>Results</p> <p>A total of 11 validated multidimensional quality of life instruments were identified from 41 articles. These instruments could be classified into four categories: generic, cancer-specific, cancer site-specific and cancer survivor-specific instruments. With internal consistency varying from 0.68-0.99, the test-retest reliability ranged from 0.60-0.95 based on the test of the Pearson coefficient. One or more types of validity supported the construct validity. Although all these instruments met the minimum requirements of reliability and validity, the original versions of these instruments were mainly in English.</p> <p>Conclusion</p> <p>Selection of an instrument should consider the purpose of investigation, take its psychometric properties into account, and consider the instrument's origin and comprehensiveness. As quality of life can be affected by culture, studies assessing the quality of life of cervical cancer survivors in China or other non-English speaking countries should choose or develop instruments relevant to their own cultural context. There is a need to develop a comprehensive quality of life instrument for Chinese cervical cancer survivors across the whole survivorship, including immediately after diagnosis and for short- (less than 5 years) and long-term (more than 5 years) survivorship.</p

Prevalence and impact of clinical violence towards nursing students in Hong Kong: a cross-sectional study

Objectives: Studies of violence towards nursing students (NSs) have been scattered mainly in the West and Middle East, but to date there have been no studies in Eastern countries. Differences in nursing education systems and cultures might have contributed to variations in incidences of clinical violence. The purpose of this study was to investigate the prevalence, associated factors and impact of clinical violence to NSs.Methods: This was a cross-sectional survey study. Convenience sampling was used to recruit university NSs from March to June 2012 in classroom settings in Hong Kong. A valid and reliable questionnaire was used to collect the data. 1297 questionnaires were distributed and 1017 NSs completed questionnaires, with a response rate of 78.41%.Results: Of the 1017 NSs, 37.3% (n=379) reported having experienced clinical violence during their nursing studies. The prevalence of verbal abuse (30.6%) was significantly greater than that of physical violence (16.5%). The perpetrators of verbal abuse were predominantly patients (66.8%), hospital staff (29.7%), university supervisors (13.4%) and patients’ relatives (13.2%). Patients (91.0%) were the greatest source of physically violent assaults. Compared with those who had experienced physical violence, the NSs who had experienced verbal abuse were more likely not to take action, and not to stop or report the incident, but were also more likely to tell their friends/families. Although the negative effects on emotions, clinical performance and the extent to which they were disturbed by the violence were significantly greater for verbal abuse than that for physical violence, their intention to leave the nursing profession after experiencing either verbal or physical violence was significantly higher after than before the experience (p<0.001).Conclusions: Our results found a moderately high prevalence of clinical violence among NSs. Provision and/or reinforcement of appropriate training about clinical violence in the nursing curricula is necessary

A Marketing plan for 1993 of the Metro Ferry

The Pasig River Transit Co., Inc. owns and operates the Metro Ferry, a water transport system which ferries people from Escolta to Guadalupe and vice-versa using the Pasig river. At present, the company has seven riverbuses or vessels in Metro Manila. These operate from 7 am to 7 pm with 30 minute intervals during peak hours and hourly intervals during slack hours. To utilize the riverbuses during slack hours, the company has introduced the Pasig River Educational Tour which takes in students on a charter basis and provides an educational, guided tour of Pasig river aboard the Metro Ferry. The Metro Ferry as a public transport service is being positioned as an alternative mode of transportation in Metro Manila. This mode of transportation is fast, economical and generally pollution-free (from smoke belchers). There is also no long lines, no overcrowding and no traffic. Meanwhile, the Pasig River Educational Tour is positioned as a supplement for classroom learning as it provides students with a historical and ecological experience of the Pasig river. The marketing plan for 1993 focuses on both the Metro Ferry as a public transport system and as a charter service for the Pasig River Educational Tour. Short term objectives include increasing regular passenger ridership by 20% and increasing charter ridership by 50%. A 30% increase in product awareness is also expected. The main thrust of the marketing plan is to increase ridership. To do this, there should be an improvement of the people\u27s image of the Metro Ferry. Hence, an improvement of the quality of service is the main concern. This includes improvements of the Metro Ferry, the crew, the operations, boat signages and the stations. Meanwhile, itineraries, annotations, tour costs, summer packages will be improved to increase the usership of charter services. An increase in tour costs for charter services is recommended to increase the revenues generated from these activities. Likewise, the plan includes the increase of sales force, the provision of sales trainings, the use of sales brochures, clear books and other sales paraphernalia as part of the sales and distribution strategies. It is also recommended that Metro Ferry go into advertising and promotional activities to increase product awareness and usership. Print and radio ads will be used throughout the year. The advertising concept will emphasize Metro Ferry as an alternative mode of transportation where people can avail of a comfortable, economic, fast and hassle-free ride. A series of PR activities have also been prepared to supplement the radio and print ads throughout the year. The PR objective is to create a more favorable image for Pasig river and consequently, for Metro Ferry. Total investments for the marketing plan will amount to P 2,160,408 but profits of P 306,012.46 can be expected. Evaluations will be done quarterly and annually by the marketing and operations manager

SON is a spliceosome-associated factor required for mitotic progression

The eukaryotic RNA splicing machinery is dedicated to the daunting task of excising intronic sequences on the many nascent RNA transcripts in a cell, and in doing so facilitates proper translation of its transcriptome. Notably, emerging evidence suggests that RNA splicing may also play direct roles in maintaining genome stability. Here we report the identification of the RNA/DNA-binding protein SON as a component of spliceosome that plays pleiotropic roles during mitotic progression. We found that SON is essential for cell proliferation, and that its inactivation triggers a MAD2-dependent mitotic delay. Moreover, SON deficiency is accompanied by defective chromosome congression, compromised chromosome segregation and cytokinesis, which in turn contributes to cellular aneuploidy and cell death. In summary, our study uncovers a specific link between SON and mitosis, and highlights the potential of RNA processing as additional regulatory mechanisms that govern cell proliferation and division

Thrombotic and hemorrhagic complications of COVID-19 in adults hospitalized in high-income countries compared with those in adults hospitalized in low- and middle-income countries in an international registry

Background: COVID-19 has been associated with a broad range of thromboembolic, ischemic, and hemorrhagic complications (coagulopathy complications). Most studies have focused on patients with severe disease from high-income countries (HICs). Objectives: The main aims were to compare the frequency of coagulopathy complications in developing countries (low- and middle-income countries [LMICs]) with those in HICs, delineate the frequency across a range of treatment levels, and determine associations with in-hospital mortality. Methods: Adult patients enrolled in an observational, multinational registry, the International Severe Acute Respiratory and Emerging Infections COVID-19 study, between January 1, 2020, and September 15, 2021, met inclusion criteria, including admission to a hospital for laboratory-confirmed, acute COVID-19 and data on complications and survival. The advanced-treatment cohort received care, such as admission to the intensive care unit, mechanical ventilation, or inotropes or vasopressors; the basic-treatment cohort did not receive any of these interventions. Results: The study population included 495,682 patients from 52 countries, with 63% from LMICs and 85% in the basic treatment cohort. The frequency of coagulopathy complications was higher in HICs (0.76%-3.4%) than in LMICs (0.09%-1.22%). Complications were more frequent in the advanced-treatment cohort than in the basic-treatment cohort. Coagulopathy complications were associated with increased in-hospital mortality (odds ratio, 1.58; 95% CI, 1.52-1.64). The increased mortality associated with these complications was higher in LMICs (58.5%) than in HICs (35.4%). After controlling for coagulopathy complications, treatment intensity, and multiple other factors, the mortality was higher among patients in LMICs than among patients in HICs (odds ratio, 1.45; 95% CI, 1.39-1.51). Conclusion: In a large, international registry of patients hospitalized for COVID-19, coagulopathy complications were more frequent in HICs than in LMICs (developing countries). Increased mortality associated with coagulopathy complications was of a greater magnitude among patients in LMICs. Additional research is needed regarding timely diagnosis of and intervention for coagulation derangements associated with COVID-19, particularly for limited-resource settings