Coping with and self-management of chronic painful chemotherapy-induced peripheral neuropathy:A qualitative study among cancer survivors

PurposePatients with chronic painful chemotherapy-induced peripheral neuropathy (CIPN) may experience a negative impact of CIPN on daily life. They can use various coping (i.e., dealing with symptoms and resulting impairments in general) and self-management (i.e., practical actions to reduce symptoms) strategies to live with their limitations. This paper aimed to examine experienced helpful coping and self-management strategies of patients with chronic painful CIPN.MethodsSemi-structured interviews were conducted with twelve patients with chronic painful CIPN. We applied a hybrid deductive-inductive coding approach. ATLAS.ti was used for coding.ResultsGenerated from the data were two themes and nine codes for coping and four themes and 31 codes for self-management strategies. Coping of patients often included active strategies like planning, seeking social support, and acceptance. Additionally, patients often used passive strategies such as focusing on and venting emotions and suppressing competing activities. The most common self-management strategies were mostly passive (i.e., medication, deliberate choice of shoes, resting, sitting, and consulting healthcare professionals) but also active (i.e., exercising) strategies.ConclusionPatients exhibit a great variety of coping and self-management strategies that they perceive as helpful to deal with chronic painful CIPN. However, research has shown that certain strategies are not that helpful or even come with aversive effects. More research into the effectiveness and implementation of psychosocial interventions is needed since it may help patients adopting helping strategies. In addition, healthcare professionals need to refer patients with CIPN in a timely manner to physical therapists, occupational therapists, or rehabilitation teams to reduce or prevent (further) impairments.Implications for Cancer SurvivorsPatients can consult one of their healthcare providers in case of problems in dealing with their symptoms, to get proper guidance and possible referral.<br/

The Archives and the Community

The Community and the archive – preservation, ownership and dissemination. Archives had been thought of remote ivory tower spaces with dim vaults and dusty shelves. However archives have been changing as what is archives has changed from state documents to include audio visual documents and cultural expressions. With this change , there is also the shift of who such an archive is for and who uses it and for what. The relationship of archives to the communities that it interacts with is one that has been undergoing change in the past decade, as the concept of the community comes to the centre of the discourse in many areas. The UNESCO Convention for the Safeguarding of Intangible Cultural Heritage places the community and its rights at the centre in many of its directives, WIPO works on community rights for archives, libraries and museums, and so forth. These are not initiatives of large international bodies. The concept of heritage has gone from that of 'high art' to cultural expressions, Masterpieces have been replaced by Representative Lists, the voice of the subaltern, the concept of “bottom up” approaches are at the centre of discussion in many areas, and community archives is not a term that is uncommon any more. I plan to discuss some of these issues as they relate to archives, and trace the path taken by an ethnomusicology archive through its development and its changing aims and profile

Reduction of radiation dose using 80 kV tube voltage: a feasible strategy?

Cardiolog

Performance of a GridPix detector based on the Timepix3 chip

A GridPix readout for a TPC based on the Timepix3 chip is developed for future applications at a linear collider. The GridPix detector consists of a gaseous drift volume read out by a single Timepix3 chip with an integrated amplification grid. Its performance is studied in a test beam with 2.5 GeV electrons. The GridPix detector detects single ionization electrons with high efficiency. The Timepix3 chip allowed for high sample rates and time walk corrections. Diffusion is found to be the dominating error on the track position measurement both in the pixel plane and in the drift direction, and systematic distortions in the pixel plane are below 10 $\mu$m. Using a truncated sum, an energy loss (dE/dx) resolution of 4.1% is found for an effective track length of 1 m.Comment: To be published in Nuclear Instruments and Methods in Physics Research Section

Advances in the Development of Micropattern Gaseous Detectors with Resistive Electrodes

We describe the most recent efforts made by various groups in implementing resistive electrodes in micropattern gaseous detectors with the aim to combine in the same design the best features of RPCs (for the example, their robustness and spark protection property) with the high granularity and thus the good position resolution offered by microelectronic technology. In the stream of this activity, we have recently developed two novel detectors with resistive electrodes: one was based on resistive micromeshes and the second one is a MSGC with resistive electrodes. We have demonstrated that the resistive meshes are a convenient construction element for various designs of spark protective detectors: RPCs type, GEM type and MICROMEGAS type. These new detectors enable to considerably enhance the RPC and micropattern detectors applications since they feature not only a high position resolution but also a relatively good energy resolution (25-30 persent FWHM at 6 keV) and, if necessary, they can operate in cascaded mode allowing the achievement of a high overall gas gain. The main conclusion from these studies is that the implementation of resistive electrodes in micropattern detectors makes them fully spark protected; on this basis we consider this direction very promising

Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study

Objective: The aim of this study was to explore mental health care utilization patterns in primary and specialized mental health care of people with unexplained or explained physicalnsymptoms. Methods: Data were derived from the first wave of the Netherlands Mental Health Surveyband Incidence Study-2, a nationally representative face-to-face cohort study among the general population aged 18–64 years. We selected subjects with medically unexplained symptoms (MUS) only (MUSonly; n=177), explained physical symptoms only (PHYonly, n=1,952), combined MUS and explained physical symptoms (MUS + PHY, n=209), and controls without physical symptoms (NONE, n=4,168). We studied entry into mental health care and the number of treatment contacts for mental problems, in both primary care and specialized mental health care. Analyses were adjusted for sociodemographic characteristics and presence of any 12-month mental disorder assessed with the Composite International Diagnostic Interview 3.0. Results: At the primary care level, all three groups of subjects with physical symptoms showed entry into care for mental health problems significantly more often than controls. The adjusted odds ratios were 2.29 (1.33, 3.95) for MUSonly, 1.55 (1.13, 2.12) for PHYonly, and 2.25 (1.41, 3.57) for MUS + PHY. At the specialized mental health care level, this was the case only for MUSonly subjects (adjusted odds ratio 1.65 [1.04, 2.61]). In both the primary and specialized mental health care, there were no significant differences between the four groups in the number of treatment contacts once they entered into treatment. Conclusion: All sorts of physical symptoms, unexplained as well as explained, were associated with significant higher entry into primary care for mental problems. In specialized mental health care, this was true only for MUSonly. No differences were found in the number of treatment contacts. This warrants further research aimed at the content of the treatment contacts

Psychological impact of lymphoma on adolescents and young adults:Not a matter of black or white

Contains fulltext : 171302.pdf (publisher's version ) (Open Access)PURPOSE: The purpose of the study is to examine differences in perceived impact of cancer (IOC) between adolescents and young adults (AYAs; 18-35 years at cancer diagnosis), adults (36-64 years) and elderly (65-84 years) with a history of (non-)Hodgkin lymphoma. Furthermore, to investigate the association of socio-demographic, clinical and psychological characteristics with IOC; and the association between IOC and health-related quality of life (HRQoL) among AYAs only. METHODS: This study is part of a population-based PROFILES registry survey among lymphoma patients diagnosed between 1999 and 2009. Patients (n = 1.281) were invited to complete the IOCv1 and EORTC-QLQ-C30 questionnaires. Response rate was 67 % (n = 861). RESULTS: AYA lymphoma survivors scored higher on the positive IOC summary scale, compared to adult and elderly patients (p < 0.001), while no significant differences were observed for negative IOC. Among AYAs, females, survivors with a partner, and survivors with elevated psychological distress levels scored significantly higher on the negative IOC summary scale. The negative IOC summary scale was negatively associated with all EORTC QLQ-C30 functioning scales (beta ranging from -0.39 to -0.063; p < 0.05). The positive IOC summary scale was negatively associated with the EORTC QLQ-C30 subscale 'Emotional functioning' (beta = -0.24; p < 0.05). CONCLUSION: AYA, adult and elderly with a history of (non-)Hodgkin lymphoma experienced different types of IOC in terms of positive and negative aspects. IMPLICATIONS FOR CANCER SURVIVORS: Although AYAs experience a more positive IOC compared to older survivors, some AYAs experience more negative IOC and may require developmentally appropriate interventions to address their specific concerns