Exercise: a path to wellness during adjuvant chemotherapy for breast cancer?

Background: Breast cancer treatment can represent a threat to a patient’s wellness. The role of exercise in perceived wellness in women with breast cancer merits further study. Objective: The objective of this study was to describe how exercise is perceived by women to influence their physical and psychosocial wellness at the time they were receiving chemotherapy. Methods: Five focus group interviews with a total of 27 women with early-stage breast cancer were conducted. Prior to the focus groups, the women had participated in an exercise intervention during chemotherapy treatment. Results: Three themes emerged from the analysis: exercise shapes feelings of psychological wellness; exercise stimulates feelings of physical wellness; and exercise influences social wellness. The women reported feeling stronger in a psychological sense after exercising, that the strength exercise improved their upper-limb functioning, and that engaging in exercise triggered social support and interactions. Conclusions: Exercise during breast cancer treatment is perceived to enhance the patients’ wellness on several dimensions and in particular psychological wellness. Exercise might support the patients’ efforts to restore their sense of wellness and enhance their level of daily life functioning. Implications for Practice: Cancer nurses should promote exercise as a wellness-fostering intervention during chemotherapy treatment. Focusing on how exercise can contribute to feelings of wellness may help women with breast cancer choose exercise as a health-promoting activity that contributes to their recovery

Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study

Aims and objectives. To explore factors influencing exercise adherence among women with breast cancer while following an exercise programme. Background. Earlier research shows that women with breast cancer decrease physical activity following the cancer diagnosis and that adhering to exercise interventions can be a challenge. Research is needed to identify motivational factors and barriers for exercise adherence among women during treatment for breast cancer. Design. This was a qualitative study to explore patient’s perceptions of the challenges to exercise adherence during a randomised, controlled trial. Methods. Twenty-seven women with early-stage breast cancer were purposively sampled for focus group interviews during 2011–2012 from their participation in the exercise intervention group during 2010–2012. Five focus groups were performed, and data analysis was completed using the systematic text condensation method. Results. During the focus group study, five main themes were identified, which described factors participants perceived to influence their adherence to exercise during chemotherapy: ‘side effects of breast cancer treatment as a barrier to exercise’, ‘restoring and maintaining normality in daily life motivates exercise’, ‘other valued activities compete with exercise’, ‘constructive support enhances exercise’ and ‘positive beliefs about efficacy and outcomes motivate exercise’. Conclusion. Adherence to exercise in women with breast cancer is challenged by internal and external conditions and may be improved by attention to the impact of treatment side effects and by supporting patient self-efficacy towards changing health behaviour. Relevance to clinical practice. Nurses should be aware that exercise adherence could be a challenge among women with breast cancer. They should help identify obstacles to exercise for women and ways to overcome them, as well as support them in their beliefs that they are capable of changing their health behaviou

Leucemia linfocítica crónica y su respuesta al tratamiento en un perro

Se presenta un caso clínico de leucemia linfocítica crónica en una perra, describiendo el curso de la enfermedad, los métodos diagnósticos empleados y su respuesta al tratamiento quimioterápico.A case of chronic lymphocytic leukemia in a bitch is presented. In this paper we describe the evolution of the disease, the diagnosis protocol and the response to a chemotherapeutic treatment

Trajectory subgroups of perceived emotional support from teachers: Associations with change in mastery climate and intentions to quit upper secondary school

The aims of this three-wave longitudinal study were to identify and describe trajectories of perceived emotional support from teachers and investigate whether these trajectories were related to the development of intentions to quit upper secondary school via change in perceived mastery climate. Among 1379 Norwegian upper secondary school students, three trajectory subgroups were identified: stable high (84.9%), decreasing (7.8%), and low increasing (7.3%). The subgroups differed in levels of achievement ambition and academic self-concept. Further, a parallel process latent growth curve model revealed essential associations with change in intentions to quit school. Specifically, students with high probabilities of membership in the decreasing emotional support subgroup appeared to be at particular risk, perceiving a decrease in mastery climate that was related to a worrying development of intentions to quit school. The results are discussed considering the importance of a sustained supportive learning environment for late adolescents.publishedVersio

Growth and optical properties of GaN/AlN quantum wells

We demonstrate the growth of GaN/AlN quantum well structures by plasma-assisted molecular-beam epitaxy by taking advantage of the surfactant effect of Ga. The GaN/AlN quantum wells show photoluminescence emission with photon energies in the range between 4.2 and 2.3 eV for well widths between 0.7 and 2.6 nm, respectively. An internal electric field strength of $9.2\pm 1.0$ MV/cm is deduced from the dependence of the emission energy on the well width.Comment: Submitted to AP

High intensity and space charge problems at GANIL

http://accelconf.web.cern.ch/AccelConf/c86/papers/g-04.pdfInternational audienceWe routinely accelerate up to micro-amperes of ionsat energies ranging from 25 to 95 MeV / A. Already atthese levels, space charge (S.C) problems drasticallyaffect the bunching efficiency between the ECRexternal ion-source and our Co compact injector.Moreover in the "2.5" version of GANIL we expectcurrents above 50 e\l A (Ar+6 for instance) and S.Ceffects will be of prime importance during accelerationin the injector and even in our first SSC. Wepresent our computer codes and our first results

Estudio numérico para consolidación mediante fijación de fracturas verticales en cuello de fémur

Las fracturas del cuello femoral (FNF) son un problema creciente en ortopedia y traumatología, afectando a personas de todas las edades y géneros. El sistema de clasificación Pauwels divide estas fracturas en tres tipos según la verticalidad de ella, siendo la de tipo III (ángulo >50º) las más difíciles de tratar. La elección del tratamiento o sistema de fijación, sigue siendo un desafío debido a la falta de guías estandarizadas. Este estudio se enfoca en comparar tres tipologías de sistemas de fijación interna, CS y XCS tipo 1 y tipo 2, a partir de 24 modelos numéricos, evaluando su efecto en la rigidez del sistema, así como de las tensiones tanto en el sistema óseo como en el propio sistema de fijación. El reducido número de investigaciones en esta línea de trabajo resalta la importancia de esta investigación para mejorar el conocimiento, el tratamiento de las FNF y la calidad de vida de los pacientes afectados.Queremos dar las gracias a la Sociedad Española de Ingeniería Biomédica y a la Universidad de Alicante por darnos la oportunidad de participar en los premios SEIB- FENIN, así como en el congreso anual de la Sociedad Española de Ingeniería Biomédica

Imagen ecográfica de la obstrucción biliar extrahepática en el perro : descripción de 7 casos

Se realizó un estudio ecográfico en siete perros que presentaban un cuadro de ictericia por obstrucción biliar extrahepática. Esta técnica permitió llegar al diagnóstico en seis de los casos. Se estudió la imagen ecográfica de la dilatación de las vías biliares intra y extrahepáticas, así como los signos asociados, tales como la presencia de una masa en el área pancreática, que pudiesen orientar sobre el origen de la obstrucción.An ultrasonographic examination was carried in out 7 dogs with icterus due to an extrahepatic biliary obstruction. This technique allowed the diagnosis in 6 of the dogs. The sonographic appearance of the dilated intra and extrahepatic biliary tree was assessed, as well as the associated lesions, such as the presence of a mass in the pancreatic area, which could guide towards the origin of the obstruction

The Discreteness-driven Relaxation of Collisionless Gravitating Systems: Entropy Evolution in External Potentials, N-dependence, and the Role of Chaos

We investigate the old problem of the fast relaxation of collisionless N-body systems that are collapsing or perturbed, emphasizing the importance of (noncollisional) discreteness effects. We integrate orbit ensembles in fixed potentials, estimating the entropy to analyze the time evolution of the distribution function. These estimates capture the correct physical behavior expected from the second law of thermodynamics, without any spurious entropy production. For self-consistent (i.e., stationary) samples, the entropy is conserved, while for non-self-consistent samples, it increases within a few dynamical times, stabilizing at a maximum (even in integrable potentials). Our results make transparent that the main ingredient for this fast collisionless relaxation is the discreteness (finite N) of gravitational systems in any potential. Additionally, in nonintegrable potentials, the presence of chaotic orbits accelerates the entropy production. Contrary to the traditional violent relaxation scenario, our results indicate that a time-dependent potential is not necessary for this relaxation. For the first time, in connection with the Nyquist–Shannon theorem, we derive the typical timescale T tcr » 0.1N 1 6 for this discreteness-driven relaxation, with slightly weaker N-dependencies for nonintegrable potentials with substantial fractions of chaotic orbits. This timescale is much smaller than the collisional relaxation time even for small-N systems such as open clusters and represents an upper limit for the relaxation time of real N-body collisionless systems. Additionally, our results reinforce the conclusion of Beraldo e Silva et al. that the Vlasov equation does not provide an adequate kinetic description of the fast relaxation of collapsing collisionless N-body systems.MTM2017-82160-C2-2-P. FAPESP (2009/54006-4) and the INCT-A. FAPESP (2014/23751-4 and 2017-01421-0). W.dS.P. is CNPq (308337/2017-4). HST-AR-13890.001, NSF award AST-1515001, NASA-ATP award NNX15AK79G. FAPESP (2017/25620-2) FAPESP (2017/22340-9), by the Basque Government (IT641-13)