Using pressure and seismological broadband ocean data model shear wave velocities in the North Atlantic

EGU2010-10518 Seafloor compliance is the transfer function between pressure and vertical displacement at the seafloor Infragravity waves in the oceanic layer have long periods in the range of 30 – 500 s and obey a simple frequencywavenumber relation. Seafloor compliance from infragravity waves can be analyzed with single station recordings to determinate sub-seafloor shear wave velocities. Previous studies in the Pacific Ocean have demonstrated that reliable near-surface shear wave profiles can be derived from infragravity wave compliance. However, these studies indicate that, beside the water depth the compliance measurements are limited by instrument sensitivity, calibration uncertainties and possibly other effects. In this work seafloor compliance and infragravity waves are observed at two different locations in the Atlantic Ocean: the Logatchev hydrothermal field at the Mid Atlantic Ridge and the Azores (Sao Miguel Island). The data was acquired with the broadband ocean compliance station developed at the University of Hamburg as well as ocean station from the German instrument pool for amphibian seismology (DEPAS) equipped with broadband seismometers and pressure sensors. Vertical velocity and pressure data were used to calculate power spectral densities and normalized compliance along two profiles (one in each location). Power spectral densities show a dominant peak at low frequencies (0.01-0.035Hz) limited by the expected cut-off frequency, which is dependent on the water depth at each station. The peak has been interpreted as a strong infragravity wave with values between 10-14 and 10-11 (m/s2)2/Hz and 104 and 106 (Pa2)2/Hz for acceleration and pressure respectively. The results show compliance values between 10-10 and 10-8 1/Pa and its estimations take into account the coherence between seismic and pressure signals in order to confirm that the seismic signals in the infragravity waves are caused by pressure sources. Shear wave velocity models, with depth resolution from 200 to 2500 m for the deep water stations, were derived from compliance. Preliminary results indicate shear wave velocity increasing from 200 to 3500 m/s

Cancer nurses, are we really contributing to reduce burden via cancer prevention?

From the wisdom of experience and years, our grandparents used to say: 'Prevention is better than cure'. Nurses also want to prevent rather than cure cancer and follow that old said. Cancer is one of the leading causes of mortality in the world and the incidence is expected to keep increasing every year[1]. And while there is an improvement in cancer survival due to developments on treatments; the diagnosis, treatment and survivorship entails a high burden for patients, for communities and for health systems

Educational Programme for Cancer Nurses in Genetics, Health Behaviors and Cancer Prevention: A Multidisciplinary Consensus Study

(1) Background: Most common hereditary cancers in Europe have been associated with lifestyle behaviors, and people affected are lacking follow up care. However, access to education programmes to increase knowledge on cancer and genetics and promote healthy lifestyle behaviors in people at high risk of cancer is scarce. This affects the quality of care of people with a hereditary risk of cancer. This study aimed to reach a multidisciplinary consensus on topics and competencies and competencies that cancer nurses need in relation to cancer, genetics, and health promotion. (2) Methods: A two-round online Delphi study was undertaken. Experts in cancer and genetics were asked to assess the relevance of eighteen items and to suggest additional terms. Consensus was defined as an overall agreement of at least 75%. (3) Results: A total of 74 multiprofessional experts from all around the world participated in this study including healthcare professionals working in genetics (39%), researchers in cancer and genetics (31%) and healthcare professionals with cancer patients (30%). Thirteen additional items were proposed. A total of thirty-one items reached consensus. (4) Conclusions: This multidisciplinary consensus study provide the essential elements to build an educational programme to increase cancer nurses' skills to support the complex care of people living with a higher risk of cancer including addressing lifestyle behaviors. All professionals highlighted the importance of cancer nurses increasing their skills in cancer and genetics

Lifestyle behavior interventions for preventing cancer in adults with inherited cancer syndromes: systematic review

Background: The link between lifestyle behaviors and cancer risk is well established, which is important for people with personal/family history or genetic susceptibility. Genetic testing is not sufficient motivation to prompt healthier lifestyle behaviors. This systematic review aims to describe and assess interventions for promoting healthy behaviors in people at high risk of cancer. (2) Methods: The review was performed according to PRISMA guidelines using search terms related to hereditary cancer and health education to identify studies indexed in: CINAHL, MEDLINE, PubMed, Cochrane Library, Scopus, and Joanna Briggs, and published from January 2010 to July 2022. (3) Results: The search yielded 1558 initial records; four randomized controlled trials were eligible. Three included patients with and without a personal history of cancer who were at increased risk of cancer due to inherited cancer syndromes, and one included people undergoing genetic testing due to family history. Interventions targeted diet, physical activity, and alcohol. (4) Conclusions: There is a paucity of research on interventions for promoting healthy lifestyle behaviors in people with a high risk of cancer. Interventions produced positive short-term results, but there was no evidence that behavioral modifications were sustained over time. All healthcare professionals can actively promote healthy behaviors that may prevent cancer

Early Recognition and Management of Side Effects Related to Systemic Anticancer Therapy for Advanced Breast Cancer

Objectives: Advances in science and technology have meant there are numerous treatment options available for people with advanced breast cancer (ABC). However, each therapeutic approach can cause side effects or adverse events, which can significantly affect the person's quality of life, overall well-being, and, in some instances, safety. This report presents an overview of the common side effects of systemic anticancer therapy and ways to manage them. Data Sources: Data sources include peer-reviewed articles sourced in electronic databases and national and international best practice guidelines (ESMO, ASCO, and MASCC guidelines). Conclusion: Systemic anticancer therapies have side effects that healthcare professionals need to know about to monitor and manage them in early stages. Nurses play an important role in patient education, early identification, monitoring, and management of treatment side effects. Implications for Nursing Practice: People with ABC face many challenges during their treatment journey. Oncology nurses, specialist nurses, and nurse practitioners can be of support by providing preventive measures and side effects management at an early stage. Nurses need to have a good understanding of toxicity management but also advanced tumor-specific cancer knowledge of the different subtypes of ABC and holistic assessment skills. They are also key to providing support and enhancing self-management and early recognition of side effects. (c) 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/

Advanced breast cancer education for cancer nurses: A systematic review

Background: Access to comprehensive, integrated, multidisciplinary care is one of the most urgent and actionable recommendations of the Advanced Breast Cancer Global Alliance. However, access to specialist breast care units, and specialist breast cancer nurses is variable, influenced by access to specialist education and role recognition. To date, there has not been a synthesis of evidence regarding educational programmes related to advanced breast cancer education for nurses. Objectives: The aim of this review was to determine the content, mode of delivery, assessment and outcomes of education programmes related to advanced breast cancer for nurses. Review methods: A systematic review was undertaken, according to the Joanna Briggs Institute's mixed methods review methodology. Data sources: MEDLINE, PUBMED, CINAHL, Scopus, PsycInfo, Joanna Briggs Institute, Web of Science and grey literature sources were systematically searched. Eleven publications met the inclusion criteria. Data relating to programme content, mode of delivery, assessment and outcomes were extracted and analysed. Results: This review identifies a limited number of educational programmes within this specialist area of nursing practice. Shortcomings in the development, implementation and evaluation of advanced breast cancer education programmes included limited use of educational standards, theoretical frameworks and patient and public involvement to inform programme development. Evaluation of education programmes related to advanced breast cancer relied predominantly on self-reported learning, with limited consideration of the impacts of education on service delivery, patient experience or quality of care. Conclusions: Future development of advanced breast cancer education programmes must consider the alignment of programme content and learning outcomes with existing educational and competency standards. Evaluation of educational programmes in this field must endeavour to enhance rigour of methods, incorporating standardised questionnaires, and multiple methods and sources of data to evaluate the broader impacts of advanced breast cancer education for nurses

Estrategia y objetivo de promoción de ventas utilizando las ventas personales y marketing directo

El tema de estudio es mezcla de marketing y el subtema es el análisis de las decisiones sobre promoción de los productos dando énfasis a las ventas personales y marketing directo. La mezcla de marketing es un conjunto de variables controlables que se combinan para lograr un determinado resultado en el mercado meta, el cual está conformado por las 4 P’s: Producto, Precio, Plaza y Promoción. El objetivo general del seminario es analizar las decisiones sobre la promoción de los productos, a través de los elementos derivados de la mezcla de marketing para dar énfasis a las ventas personales y marketing directo en función de la publicidad. La importancia de las ventas personales entre vendedor y comprador mediante la presentación de las funciones de las fuerzas de ventas va con el propósito de llevar a cabo las ventas y crear una buena relación con los clientes. La relación de la publicidad en la mezcla de marketing radica en la manera efectiva de llegar al consumidor, poder conocer sus gustos preferencias y cubrir las necesidades del cliente. Este documento se elaboró en base a la normativa para seminario de graduación con la aplicación de normas APA 6 y orientaciones del Departamento de Administración de Empresas, ya que es una investigación documental se trabajó con el uso de fuentes secundaria

Current and emergent trends in advanced breast cancer care

No abstract available

Early recognition and management of side effects related to systemic anticancer therapy for advanced breast cancer

Objectives: Advances in science and technology have meant there are numerous treatment options available for people with advanced breast cancer (ABC). However, each therapeutic approach can cause side effects or adverse events, which can significantly affect the person's quality of life, overall well-being, and, in some instances, safety. This report presents an overview of the common side effects of systemic anticancer therapy and ways to manage them. Data Sources: Data sources include peer-reviewed articles sourced in electronic databases and national and international best practice guidelines (ESMO, ASCO, and MASCC guidelines). Conclusion: Systemic anticancer therapies have side effects that healthcare professionals need to know about to monitor and manage them in early stages. Nurses play an important role in patient education, early identification, monitoring, and management of treatment side effects. Implications for Nursing Practice: People with ABC face many challenges during their treatment journey. Oncology nurses, specialist nurses, and nurse practitioners can be of support by providing preventive measures and side effects management at an early stage. Nurses need to have a good understanding of toxicity management but also advanced tumor-specific cancer knowledge of the different subtypes of ABC and holistic assessment skills. They are also key to providing support and enhancing self-management and early recognition of side effects

An Innovation in Cancer Nursing Education Across Europe: A Pilot Evaluation

The European Oncology Nursing Society (EONS) is a pan-European not for profit society involving approximately 28,000 cancer nurses from 32 countries in the region. The European College of Cancer Nursing (ECCN) exists under the umbrella of EONS and was established in 2020 with a strategic priority to develop, promote and deliver educational opportunities for nurses across Europe. ECCN introduced a pilot on-line education programme for 20 nurses in January 2023. This study evaluated participating nurses' views and experience of learning on the pilot programme. The study adopted a mixed method approach guided by the four levels of the Kirkpatrick theoretical framework. A dominant focus on qualitative data was used with supplementary quantitative data. The Standards for Reporting Qualitative Research (SRQR) was followed. Eleven nurses completed the pre-pilot online questionnaire (response rate 65%) and seven (n = 7) completed the post-pilot questionnaire (41% response rate). Five (n = 5) nurses participated in two focus group interviews. Data analysis resulted in the development of four overarching themes: A wider world of cancer nursing; Shapeless mentorship; Impact on Practice; Learning online and what now? On commencement of online education programmes, nurses value a structured timetable and support from nursing management to maximise engagement with the learning materials