Evidence-based management of chemotherapy-induced nausea and vomiting: a position statement from a European cancer nursing forum

Chemotherapy-induced nausea and vomiting (CINV) is a common, but now often overlooked side effect of cancer treatment, and one that can be largely prevented through the implementation of international evidence-based guidelines. The European CINV Forum, comprising nurses from France, Germany, Portugal, Spain and the UK, discussed the use of CINV preventive strategies in routine practice, and the factors that affect optimal delivery of antiemetic therapies. Based on these discussions, they developed a series of recommendations for optimal, evidence-based management of CINV. These state that all patients receiving chemotherapy should undergo full assessment of their risk of CINV and receive appropriate prophylactic treatment based on guidelines from the Multinational Association of Supportive Care in Cancer (MASCC) and the National Comprehensive Cancer Network (NCCN), which were both updated in 2011. Other recommendations, aimed at raising awareness of CINV and its management, include timely updates of relevant local practice guidelines and protocols, translation of the MASCC and NCCN guidelines into all European languages and their dissemination through accessible articles in nursing journals and newsletters and via nursing conferences and study days, improved training for nurses on CINV, collaboration between the European Oncology Nursing Society and national nursing organisations to promote consistent practice, the development of a CINV toolkit, information provision for patients, local audits of CINV management, and a survey of CINV management between and within European countries

Evidence-based management of chemotherapy-induced nausea and vomiting: a position statement from a European cancer nursing forum

Chemotherapy-induced nausea and vomiting (CINV) is a common, but now often overlooked side effect of cancer treatment, and one that can be largely prevented through the implementation of international evidence-based guidelines. The European CINV Forum, comprising nurses from France, Germany, Portugal, Spain and the UK, discussed the use of CINV preventive strategies in routine practice, and the factors that affect optimal delivery of antiemetic therapies. Based on these discussions, they developed a series of recommendations for optimal, evidence-based management of CINV. These state that all patients receiving chemotherapy should undergo full assessment of their risk of CINV and receive appropriate prophylactic treatment based on guidelines from the Multinational Association of Supportive Care in Cancer (MASCC) and the National Comprehensive Cancer Network (NCCN), which were both updated in 2011. Other recommendations, aimed at raising awareness of CINV and its management, include timely updates of relevant local practice guidelines and protocols, translation of the MASCC and NCCN guidelines into all European languages and their dissemination through accessible articles in nursing journals and newsletters and via nursing conferences and study days, improved training for nurses on CINV, collaboration between the European Oncology Nursing Society and national nursing organisations to promote consistent practice, the development of a CINV toolkit, information provision for patients, local audits of CINV management, and a survey of CINV management between and within European countries

Use of lapillus otolith microchemistry as an indicator of the habitat of Genidens barbus from different estuarine environments in the southwestern Atlantic Ocean

The marine catfish Genidens barbus is an anadromous species from South America. The aim of the present study was to evaluate the use of lapillus otolith microchemistry (Sr:Ca; Ba:Ca andMg:Ca ratios) as an indicator of changes in habitat use and identify the potential breeding areas and fish stocks of G. barbus populations from the Plata Basin (Paraná River Delta and De la Plata River estuary-Argentina) and Lagoa dos Patos coastal lagoon (southern Brazil). Sr:Ca, Ba:Ca and Mg:Ca ratios were measured in the core area (inner 4 rings) and external area (outer 3–4 rings) of the otoliths by ICP-OES. The Sr:Ca ratio tended to be higher in the otolith external area than in the core area, while the Ba:Ca ratio followed the opposite pattern. This suggests the displacement of fish toward higher salinity areas. The Sr:Ca, Ba:Ca,Mg:Ca ratios in the core and external areas of the otoliths from the Plata Basin differed significantly from those of the otoliths from Lagoa dos Patos. This may indicate the occurrence of two different breeding sites and at least two fish stocks in the study region

A global Continuous Plankton Recorder programme

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