Required data elements and requirements of a teleoncology system to provide treatment plans for patients with breast cancer

Background: Teleoncology refers to the use of telemedicine for remotely providing multiple specialized services in clinical oncology processes, including screening, diagnosis, treatment planning, consultation, supportive care, pathology, surgery, and follow-up services. Objectives: The aim of this study was to identify the required data elements and elicitation of requirements for developing a telemedicine system that aims at providing treatment plans for patients with breast cancer. Methods: In this study, the required data elements for the teleoncology system were identified through both the investigation of clinical guidelines and review of patients� medical records. Identified data elements were determined by breast cancer specialists through the questionnaire. Besides, an interview method was applied to elicit the requirements of this system. Results: The identified data elements were categorized into 20 groups (e.g., clinical data, breast physical examinations, pathological results, tests, imaging results, etc.). From the 182 data elements included within the questionnaire, 125 were recognized to be necessary (n = 32, 100). The lowest mean percentage were observed in magnesium blood test (Mg) (n = 21, 65.63) and protein test (Pr) (n = 21, 65.63). Other data elements with a minimum mean of 71.87 and a maximum mean of 100 were recognized necessary. In general, 2 major themes, 9 categories, and 45 related sub-categories were extracted from analyzing the findings of the interviews related to the system requirements. Conclusions: The findings of the present study can be used as a basis for developing teleoncology systems that aim at providing treatment plans for patients with breast cancer. © 2020, Author(s)

Metachronous diffuse large b-cell lymphoma of the breasts: A case report and literature review

Introduction: PBL is a rare form of extranodal lymphoma. The most common pathology is diffuse large B cell lymphoma and most patients are diagnosed at stages 1 and 2. The therapeutic options undertaken so far include surgery, radiotherapy, and chemotherapy Case Presentation: The patient was a 54-year old woman with localized primary breast DLBCL. The patient underwent 6 courses of chemotherapy with an RCHOP regimen followed by radiotherapy of the breast and regional lymph nodes with a 40 Gy dose. The patient was in complete remission on PET scan 3 months later. Around one year after, the patient experienced relapse in the contralateral breast. Conclusions: In the pattern of relapse of patients, there is a tendency for extranodal relapse. In some studies maximum level of relapse occurring in CNS and some advocate CNS prophylaxis in these patients. The best outcome is for patients treated with chemotherapy including rituximab followed by radiation. We reviewed some studies in the aspect of treatment modalities and site of relapsed. © 2021, Author(s)

Association between pathological complete response and tumor location in patients with rectal cancer after neoadjuvant chemoradiotherapy, a prospective cohort study

Background: Colorectal cancers are the third common malignancies after lung and breast neoplasms. Some contributing factors for pathological complete response (pCR) to neoadjuvant therapy of rectal cancer have been defined. Despite various studies in this era, there are few studies on the location of tumors. Objectives: Regarding the high prevalence of colorectal cancer in Iran and the importance of neoadjuvant chemoradiation for survival and morbidity, this study was carried out to determine the association between pathologic complete response and tumor location in patients with rectal cancer after neoadjuvant chemoradiotherapy. Methods: In this prospective cohort, 100 cases with rectal adenocarcinoma from 2017 to 2019 were enrolled. Distance between anal verge and tumor was measured by clinical examination, colonoscopy, endo-sonography, and MRI. Tumors were defined as distal (less than 5 cm from the anal verge) and none distal (more than 5 cm from the anal verge). Another subdivision was inferior (0-4.99 cm), middle (5-9.99 cm), and superior (10-15 cm). The pathological response was compared across the groups. Results: In this study, the pCR was seen in 30. In univariate analysis body mass index (BMI), grade, N-stage, and distance from anal verge were related to pCR. In cases with BMI over 25 kg/m2 and in tumors with low to medium grade N0/N1, and distance less than 5 cm from the anal verge (low lying tumors) the pCR to neoadjuvant treatment was higher. In multivariate analysis tumor grade, N stage, and distance from anal verge were still related to pCR. Conclusions: According to the obtained results in this study, there may be some association between rectal tumor location and pathologic complete response. © 2021, Author(s)

Accounting students and communication apprehension: a study of Spanish and UK students

Accounting is about measuring and communicating. Accounting bodies and employers have expressed opinions, which have been supported by research results, advocating that greater emphasis is placed on the development of communication skills throughout the education and training of accountants. Consequently, an increasing number of accounting programmes now include communication skills as educational objectives or learning outcomes, and have integrated activities into the curriculum specifically to develop these skills. It is important to recognise that certain factors can severely restrict the development of communication skills; a major factor is communication apprehension. Research suggests that the existence of high levels of communication apprehension will make efforts to improve communication skills ineffective. Previous research findings indicate that accounting students have high levels of communication apprehension. This paper compares and contrasts the levels and profiles of communication apprehension exhibited by accounting students at the (UK University) and those at the (ESP University). The levels of communication apprehension are also compared with those of students from other disciplines at the same institutions. The results confirm the high levels of communication apprehension in European accounting students. There are notable differences between the two countries however in certain underlying factors.</p

The passage of food through the gut of rats and its uptake of fluid

Stomachs and small intestines were examined and weighed up to 6 h after rats had been allowed to eat for 30 min without water available. A meal of commercial rat food left the stomach with a time constant of about 4 h. Each gram of food eaten attracted approximately 1 ml of additional fluid into the gut. The time course of this fluid movement and of electrolyte absorption is such that much of the drinking associated with meals in conditions of ad lib intake of food and water seems to be in anticipation of changes in the body fluids, rather than in response to them

Awareness of Female Cancer Patients about the Risk of Impaired Fertility

Purpose: To evaluate awareness of female cancer patients about fertility impairment following cancer treatment. Patients and Methods: This cross-sectional study was conducted in Imam Hossein Hospital between March 2014 and July 2015. Women of childbearing age with cancer who were treated in an oncology clinic and referred for follow-up were asked to fill out the questionnaire designed for this purpose. The process of filling out the questionnaire was managed by a resident of clinical oncology during patient interviews. Results: Two hundred forty-seven patients with mean age of 35.5 years were included. The most common cancers were breast cancer (61.9) and gynecologic cancer (10.9). Among all patients, 22.7 had received information about infertility risk. The likelihood that women would have received information about fertility varied by cancer type. Among women with gynecologic cancers, only 59.3 had received information about the effects of treatment on fertility despite having cancers of the reproductive system. Moreover, 19.6 of women with breast cancer and 18.5 of those with other cancers had received fertility information (p < 0.001). Significance of Results: Knowledge and awareness of female cancer patients of childbearing age about the impact of cancer treatment on fertility and fertility preservation are limited. A structured program is required to provide complete information regarding the risk of fertility impairment following cancer treatment and increase the knowledge of these patients to enable them to make a proper decision about fertility preservation. © Copyright 2019, Mary Ann Liebert, Inc., publishers 2019

When the Going Gets Tough: Implications of Reactance for Interpretations of Experienced Difficulty in the Classroom

The motivational impact of messages about how to interpret experienced difficulty with schoolwork was tested in two studies. Students read that experienced difficulty with schoolwork is a signal either of the importance or of the impossibility of succeeding in school, rated how much they agreed, and completed a difficult task (Raven’s Progressive Matrices). In the absence of reactance (Study 1, N = 93), students’ performance reflected an assimilation of the interpretation of experienced difficulty message to which they were randomly assigned. In the presence of conditions conducive to reactance (Study 2, N = 181), the effect on performance was more complex, reflecting contrast with or assimilation to message content depending on message acceptance. Contrast (rejecting the message) bolstered performance if the message was that experienced difficulty implies that the task is impossible, whereas assimilation (accepting the message) bolstered performance if the message was that experienced difficulty implies that the task is important

When the Going Gets Tough: Implications of Reactance for Interpretations of Experienced Difficulty in the Classroom

The motivational impact of messages about how to interpret experienced difficulty with schoolwork was tested in two studies. Students read that experienced difficulty with schoolwork is a signal either of the importance or of the impossibility of succeeding in school, rated how much they agreed, and completed a difficult task (Raven’s Progressive Matrices). In the absence of reactance (Study 1, N = 93), students’ performance reflected an assimilation of the interpretation of experienced difficulty message to which they were randomly assigned. In the presence of conditions conducive to reactance (Study 2, N = 181), the effect on performance was more complex, reflecting contrast with or assimilation to message content depending on message acceptance. Contrast (rejecting the message) bolstered performance if the message was that experienced difficulty implies that the task is impossible, whereas assimilation (accepting the message) bolstered performance if the message was that experienced difficulty implies that the task is important

Benefits of being ambivalent: The relationship between trait ambivalence and attribution biases

Ambivalence refers to the experience of having both positive and negative thoughts and feelings at the same time about the same object, person, or issue. Although ambivalence research has focused extensively on negative consequences, recently, scholars turned their lens to the positive effects of ambivalence, demonstrating beneficial effects on judgements and decision-making processes. So far, this work has focused on state ambivalence, which is ambivalence as a direct response to a specific stimulus. However, there are substantial individual differences in ambivalence: Some people are just more ambivalent than others. Taking a first step in understanding how these individual differences relate to judgement and decision-making, we examine the relationship between trait ambivalence and cognitive bias in social judgements tasks. Specifically, we look at two of the most pervasive and consequential attribution biases in person perception: correspondence bias and self-serving bias. We find a negative relationship between trait ambivalence and correspondence bias. The higher individuals are in trait ambivalence, the smaller their bias towards attributing behaviour to a person's disposition (Study 1A and B). We find the same for self-serving bias (Study 2A and B). In sum, we show that trait ambivalence is negatively related to cognitive bias in person perception