77 research outputs found
At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine
The interviews we conducted with GPs suggest that an engagement with HIV medicine enables clinicians to develop
strong and long-term relationships with and expertise
about the care needs of people living with HIV ‘at the
coalface’, while also feeling connected with a broader
network of medical practitioners and other professionals
concerned with and contributing to the ever-changing
world of science: ‘the cutting edge’. The general practice
HIV prescriber is being modelled here as the interface between these two worlds, offering a rewarding opportunity
for general practitioners to feel intimately connected to
both community needs and scientific change
Clinical development of new drug-radiotherapy combinations.
In countries with the best cancer outcomes, approximately 60% of patients receive radiotherapy as part of their treatment, which is one of the most cost-effective cancer treatments. Notably, around 40% of cancer cures include the use of radiotherapy, either as a single modality or combined with other treatments. Radiotherapy can provide enormous benefit to patients with cancer. In the past decade, significant technical advances, such as image-guided radiotherapy, intensity-modulated radiotherapy, stereotactic radiotherapy, and proton therapy enable higher doses of radiotherapy to be delivered to the tumour with significantly lower doses to normal surrounding tissues. However, apart from the combination of traditional cytotoxic chemotherapy with radiotherapy, little progress has been made in identifying and defining optimal targeted therapy and radiotherapy combinations to improve the efficacy of cancer treatment. The National Cancer Research Institute Clinical and Translational Radiotherapy Research Working Group (CTRad) formed a Joint Working Group with representatives from academia, industry, patient groups and regulatory bodies to address this lack of progress and to publish recommendations for future clinical research. Herein, we highlight the Working Group's consensus recommendations to increase the number of novel drugs being successfully registered in combination with radiotherapy to improve clinical outcomes for patients with cancer.National Institute for Health ResearchThis is the final version of the article. It first appeared from Nature Publishing Group via http://dx.doi.org/10.1038/nrclinonc.2016.7
Impact of hypofractionation and tangential beam IMRT on the acute skin reaction in adjuvant breast cancer radiotherapy
What is urban nature and how do we perceive it?
This chapter discusses the complexities and apparent contradictions in defining ‘nature’ and ‘urban nature’ in the context of human-nature interactions. It explains why urban nature is so important to human health and well-being at this point in the twenty first century, focusing particularly on why considering nature perception is crucial if we are to plan, design and manage urban nature to prioritise people’s aesthetic appreciation, health and well-being. Nature-perceptions are then framed in relation to diversity in nature: the role of varying biodiversity, perceived biodiversity and different aesthetics of nature (specifically flowering and colour , structure and care). The significance of varying socio-cultural and geographical contextual factors in nature perception is then highlighted. The chapter closes by addressing implications for policy and practice and future research directions in relation to urban nature perception . The author draws extensively from her own and related research
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