Psychosocial Distress Screening in a Community Cancer Center: An Exploratory Study of Distress Screening Across the Cancer Treatment Continuum

Purpose: The primary goal of this exploratory study is to demonstrate that distress screening across the course of cancer treatment is possible and provides valuable information about patient needs over time. Distress screening is aligned with guidelines from national accrediting organizations and may lead to improved health-related quality of life, satisfaction with medical care, and possibly survival.Methods: Medical, surgical, and radiation oncology patients completed a screening instrument before their appointments during a six-month period. Patients indicated their level of distress on four domains (practical, emotional, health and social concerns). De-identified data was collected, aggregated and descriptive statistics were analyzed.Results: Approximately 3000 screens were collected and 1500 cancer patients were screened. Of patients who indicated distress, 54% demonstrated a distress level of five or greater. Distress level eight was the most frequent level of distress indicated. The Cancer Dietitian was the most commonly requested healthcare team provider. The Health Concern domain was most frequently endorsed.Conclusion: NCCN, IOM and COC guidelines recommend distress screening in all cancer treatment centers, however implementation has proven difficult. This study adds to the literature about distress in cancer patients, demonstrates the feasibility of repeated distress screening and provides a model program demonstrating the implementation of repeated distress screening at a community cancer center. Findings highlight the importance of supportive oncology services due to the prevalence of high levels of distress. Findings demonstrate the importance of the Cancer Dietitian in supportive cancer care. Additionally, the research reveals a potential perceived stigma in seeking psychosocial oncology services.

Uso ornamental tradicional de la ‘Blanca de l’hivern’ (Iberis semperflorens L.) en la comarca del Matarraña (Teruel)

Se presentan varias citas del carraspique leñoso localmente denominado ‘Blanca de l’hivern’ (Iberis semperflorens L.), que no había sido citado expresamente en localidades españolas. Se encuentra principalmente distribuido en el 80% de las poblaciones del Matarraña aragonés, como una importante planta cultivada en macetas de floración invernal. Se ha constatado el cuidado y formas de multiplicación tradicionales, así como el valor de las plantas con más años, que son transferidas como un tesoro entre distintas generaciones de mujeres.

Gestión del tratamiento dietético cuali-cuantitativo en el sobrepeso y la obesidad: metodología y una nueva perspectiva de asesoramiento individualizado

%WL: porcentaje de pérdida de peso; %FL: porcentaje de pérdida de grasa. Objetivo: describir la metodología en la gestión del tratamiento dietético cuali-cuantitativo en el sobrepeso y la obesidad. Método: se llevaron a cabo 4.625 consultas con 616 pacientes mayores de 25 años con sobrepeso y obesidad, en el sur-este de España, durante los años 2006-12. Se utilizó una dieta equilibrada, hipocalórica, cuali-cuantitativa con alimentos de la zona. Se describió la metodología del tratamiento dietético en la pérdida y el mantenimiento. Se trató qué unidades de medida son adecuadas para la expresión del éxito en la pérdida; una nueva visión del asesoramiento individualizado y el tratamiento multidisciplinar. Resultados: el 80% de los pacientes obtienen un %FL ≥ 5% (22,6 ± 11,8 - 11,2 ± 7,4), y asistieron a la consulta más de mes y medio. Conclusión: se presenta un esquema de la metodología del tratamiento dietético; se han recomendado las unidades de medidas a utilizar en consulta y en la publicación de ensayos clínicos, creando un precedente con grado de evidencia de cómo determinar la pérdida exitosa; se recomienda medir los perímetros de cadera y cintura, e incorporar el estudio de la imagen corporal; se presenta una nueva visión del asesoramiento individualizado y una atención multidisciplinar avanzada, independiente de la edad, el estado de gestación y las minusvalías físicas. La postura del sanitario debe de ser considerada como el gestor encargado de determinar qué técnicas podrían ser más efectivas en dicha pérdida.

Salaries & grants voted, 1804 October 5

One folio-sized leaf containing a handwritten copy of certain votes of the Harvard Corporation on October 5, 1804 related to salaries, grants, and appointments.

College Book 7, 1750-1778

This volume contains a fair copy of minutes from Corporation meetings held from Sept. 17, 1750 through April 23, 1778. It begins with an alphabetical index and contains entries related to a wide range of topics, including the challenges of operating the Charlestown ferry (due to the river freezing, fear of smallpox, and other issues); increases in "pecuniary mulcts" (fines) for breaches of specific College laws; the establishment of the Dudleian lecture; the selection and financial support of missionaries to various Indian tribes; honorary degrees awarded to Benjamin Franklin and George Washington; gifts to the library as it was rebuilt in the wake of the fire of 1764 (many entries provide the title and author of books donated); the management of land and property belonging to Harvard; Treasurers' reports and other financial accounts; changes in the College laws; gifts to the College, ranging from two Egyptian mummies to a solar microscope; the construction of the First Parish Meeting House in Cambridge and the use of adjacent College property by parishoners; rules of endowed professorships; salaries and appointments; closures due to the threat of smallpox; rules governing Commons and the College Library; reports of various Visiting Committees; class schedules, according to subject; student disorders; the establishment of a designated museum space to display "Curiosities"; the effects of the Revolutionary War on Harvard, including repeated requests to the General Court after the war for compensation for damage to College buildings; the cost of various foods and changes in what was served at Commons; and the danger of the chapel's roof, built of too-heavy slate, falling in. Also of interest are minutes from a May 5, 1761 meeting, which note that the General Court voted to pay for Hollis Professor John Winthrop to travel to Newfoundland to observe the transit of Venus "over the Suns disc."

Papers of David Sewall, 1753-1756

Three letters written to David Sewall (Harvard AB 1755). The first letter, written on September 21, 1753 by Samuel Sewall in York, to his brother at Harvard sends general news, asks after a hat sent to David, and requests he have a wig made for him. The second letter, written by Harvard student David Wyer on August 28, 1756, enthusiastically thanks Sewall for his past advice. The third letter, also sent from his brother Samuel in York on December 9, 1766, offers David advice on love. The two later letters were sent to Sewall while he was a schoolmaster in Wells, Maine.

Eficiência do metotrexato na artrite psoriática

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Beyond individuals: a more effective structure for the Commission. EPC Commentary, 9 September 2014

In recent days, Brussels has been excited by the circulation of diagrams showing a re-organisation and allocation of posts in the new European Commission, reputedly coming from somewhere within Jean-Claude Juncker’s team. Many have pointed out that some of the appointments seem unlikely, also noting that the diagram seems to miss the Enterprise and Single Market portfolios, where it is difficult to envisage their complete merger into other portfolios, given their size and importance. In addition, not only is the source of the document unknown, it could have been leaked for a specific purpose, for example to test out the reactions in some Member States or to push individual EU countries into action, for example by appointing a woman to get a better portfolio.

Judicial Selection, Lay Participation, and Judicial Culture in the Czech Republic: A Study in a Central European (Non)Transformation. College of Europe Research Paper in Law 03/2014

Introduction. The idea that “merit” should be the guiding principle of judicial selections is a universal principle, unlikely to be contested in whatever legal system. What differs considerably across legal cultures, however, is the way in which “merit” is defined. For deeper cultural and historical reasons, the current definition of “merit” in the process of judicial selections in the Czech Republic, at least in the way it is implemented in the institutional settings, is an odd mongrel. The old technocratic Austrian judicial heritage has in some aspects merged with, in others was altered or destroyed, by the Communist past. After 1989, some aspects of the judicial organisation were amended, with the most problematic elements removed. Furthermore, several old as well as new provisions relating to the judiciary were struck down by the Constitutional Court. However, apart from these rather haphazard interventions, there has been neither a sustained discussion as to how a new judicial architecture and system of judicial appointments ought to look like nor much of broader, conceptual reform in this regard. Thus, some twenty five years after the Velvet Revolution of 1989, the guiding principles for judicial selection and appointments are still a debate to be had.

The Weekly notes

Editor: 1895-1935, Sir Frederick Pollock, bart

The physician capacity utilization surveys : a report on the telephone resurvey /

Prepared under contract no. HRA-231-75-0023 from Health Resources Administration

Journal of the Philippine commission : being the inaugural session of the first Philippine Legislature, begun and held at the city of Manila October 16, 1907 [to February 1, 1908].

Included also in the entry for the numbered session.

Register of the Department of the interior. Containing appointees of the President and of the Secretary of the Interior, 1877-1909.

November 15, 1899, "Extract from the "Official register of the United States" of July 1, 1899, corrected to November 15, 1899 as to the offices in Washington, D. C., and all residential appointments."

Evaluation of a Post Discharge Intervention on 30-Day Re-admission and Emergency Room Use in Patients with Diabetes A Pilot Program

Thesis (Master's)--University of Washington, 2016-06

Equity in access to outpatient rehabilitation services for children with traumatic brain injury and public insurance

Thesis (Master's)--University of Washington, 2016-06