Pre-crastination across physical and cognitive tasks.

Pre-crastination refers to the tendency to begin a task as soon as possible, even at the cost of additional effort. This phenomenon is consistently observed in tasks in which participants are asked to select one of two buckets to carry to a target. Surprisingly, on a high proportion of trials participants choose the bucket that is closer to them (and further from the target) as opposed to the bucket that is further from them (and closer to the target). In other words, participants tend to complete the task of picking up a bucket as soon as possible, even when this requires additional physical effort. The purpose of the current experiment was to test whether an individual's tendency to pre-crastinate is stable across tasks. Participants performed a physical load task where they selected one of two buckets to carry to a target. The same participants performed a cognitive load task where they picked up number strings at one of the two bucket locations and mentally carried the number string to a target. We found that participants pre-crastinated in both tasks and this tendency was reduced as task difficulty increased. Importantly, we found a significant association between an individual's tendency to pre-crastinate in the physical load task and their tendency to pre-crastinate in the cognitive load task. Thus, an individual's tendency to pre-crastinate is consistent across tasks and suggests that this is a stable characteristic of how individuals choose to order tasks.

Complementary and Integrative Medicine in Pancreatic Cancer.

PURPOSE OF REVIEW: Pancreatic cancer has high mortality and morbidity rates, associated with the issues of typically late diagnosis and the limited effectiveness of current treatments. Patients tend to experience multiple symptoms that can include anxiety, fear, depression, fatigue, weakness, peripheral neuropathy, and abdominal pain, which reduce quality of life (QoL) and may compromise the treatment continuum. Many of those symptoms are amenable to complementary and integrative medicine (CIM) therapies as a part of supportive and palliative care. This article reviews research findings on the beneficial effect of use of CIM modalities in regard to pancreatic cancer, with emphasis on pancreatic ductal adenocarcinoma (PDAC). RECENT FINDINGS: Given the often-poor prognosis of the disease, patients with PDAC often seek integrative therapies to help manage the disease itself, to provide support through cancer treatment and its symptoms, and to provide emotional stress relief. Data is accumulating in the past few years on the potential benefits of CIM to the management of pancreatic cancer symptoms and treatment side effects, in order to augment supportive care. This data reveal that nutrition counselling; digestive enzyme therapy; microbiome support; dietary supplements; lifestyle interventions (physical activity and circadian health/sleep hygiene) appear to improve QoL of these patients through reduced symptom burden and meeting psychological needs, such as distress and fatigue. Acupuncture, mindfulness, yoga, reflexology, massage, and homeopathy may also contribute to symptom reduction, both physical and psychological, in all stages of the disease. There is supporting evidence that some CIM modalities may alleviate side effects and symptoms related to pancreatic cancer and its treatment, suggesting that practitioners might consider integrating these modalities in certain situations encountered in the treatment of pancreatic cancer. Further investigation is needed to define the optimal integration of CIM into the treatment and supportive care of patients affected by pancreatic cancer.

Acupuncture and integrative oncology for taxane-induced peripheral neuropathy: a randomized multicentered study.

OBJECTIVE: To compare the effectiveness of acupuncture alone or with additional integrative oncology modalities for taxane-induced peripheral neuropathy-related symptoms in patients with gynecological and breast cancer. METHODS: The study was a prospective evaluation of patients undergoing twice-weekly treatments with either acupuncture alone (single-modality, group A) or with additional manual-movement and mind-body therapies (multimodality, group B), for 6 weeks. Symptom severity was assessed at baseline, 6 weeks, and 9 weeks using the Functional Assessment of Cancer Therapy-Taxane (FACT-Tax) tool; and von Frey perception thresholds. Additional symptoms were also assessed with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the Measure Yourself Concerns and Wellbeing (MYCaW) study tool. RESULTS: For the 120 participants (60 in each study arm), baseline to 6-week scores were similar in both groups for improved FACT-Tax physical wellbeing and scores for hand numbness/tingling; EORTC physical functioning and global health status; and MYCaW scores. FACT-Tax taxane subscales and scores for foot numbness/tingling improved only in group A (p=0.038), while emotional wellbeing FACT-Tax (p=0.02) and EORTC pain (p=0.005) improved only in group B. Group B showed greater improvement for FACT-Tax neuropathy-related concerns than group A at 24 hours (p=0.043) and 7 days (p=0.009) after the first treatment. CONCLUSION: Acupuncture alone or with additional integrative oncology modalities may help reduce neuropathy-related symptoms. The single-modality group demonstrated greater improvement for foot numbness/tingling, and the multimodality group demonstrated improvement for pain and improved emotional wellbeing and neuropathy-related concerns in the first week of treatment. TRIAL REGISTRATION NUMBER: NCT03290976.

Impact of acupuncture and integrative therapies on chemotherapy-induced peripheral neuropathy: A multicentered, randomized controlled trial.

BACKGROUND: To explore the impact of acupuncture with other complementary and integrative medicine (CIM) modalities on chemotherapy-induced peripheral neuropathy (CIPN) and quality of life (QoL) in oncology patients. METHODS: In this prospective, pragmatic, and patient-preference study, patients with CIPN were treated with acupuncture and CIM therapies (intervention group) or standard care alone (controls) for 6 weeks. Patients in the intervention arm were randomized to twice-weekly acupuncture-only (group A) or acupuncture with additional manual-movement or mind-body CIM therapies (group B). Severity of CIPN was assessed at baseline and at 6 weeks using the Functional Assessment of Cancer Therapy-Taxane (FACT-Tax) tool. Other QoL-related outcomes were assessed with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC); and the Measure Yourself Concerns and Well-being questionnaire. Von Frey measurements examined perception thresholds. RESULTS: Of 168 participants, 136 underwent the study intervention (group A, 69; group B, 67), with 32 controls. Baseline-to-6-week assessment scores improved significantly in the intervention arm (vs controls) on FACT-Tax (p = .038) and emotional well-being (p = .04) scores; FACT-TAX scores for hand numbness/tingling (p = .007) and discomfort (p < .0001); and EORTC physical functioning (p = .045). Intervention groups A and B showed improved FACT-Tax physical well-being (p < .001), FACT-TAX total score (p < .001), FACT-TAX feet discomfort (p = .003), and EORTC pain (p = .017) scores. CONCLUSIONS: Acupuncture, with or without CIM modalities, can relieve CIPN-related symptoms during oncology treatment. This is most pronounced for hand numbness, tingling, pain, discomfort, and for physical functioning.

Cancer-Related Fatigue-Is There a Role for Complementary and Integrative Medicine?

PURPOSE OF REVIEW: This review aims to assess recent data on possible effective and safe complementary and integrative medicine (CIM) modalities that can be of help to patients affected by cancer that suffer from cancer-related fatigue (CRF). RECENT FINDINGS: Cancer-related fatigue (CRF) is one of the most common, persistent, and challenging symptoms among cancer patients and survivors. Many world-leading cancer centers incorporate CIM into routine cancer care including integrating multiple approaches to address CRF. Approaches that are supported by clinical evidence on the use of CIM during and following conventional oncology treatments are being discussed in this review. The review suggests that some CIM modalities might have a potential role in alleviating cancer-related fatigue. These modalities include acupuncture, touch therapies, nutrition, nutritional supplements, stress reduction, homeopathy, and circadian rhythm management. Additional research is still needed to better support the process of integrating CIM into a routine approach to cancer-related fatigue.

Thermodynamic factors in partitioning and rejection of organic compounds by polyamide composite membranes.

The paper analyzes the mechanism of partitioning and rejection of organic solutes by polyamide membranes for reverse osmosis and nanofiltration. The partitioning of homologous series of alcohols and polyols, in which polarity changes with size in opposite ways, was measured using attenuated total reflection IR spectroscopy. The results show that the partitioning of polyols monotonously decreases with size, whereas for alcohols it is not monotonous and slightly decreases for small C1-C3 alcohols followed by a sharp increase for larger alcohols. These results may be explained by assuming a heterogeneous structure of polyamide comprising a hydrophobic polyamide matrix and a polar internal aqueous phase. The partitioning data could consistently explain the results of rejection in standard filtration experiments. They clearly demonstrate that high/low partitioning may play a significant role in achieving a low/high rejection of organics. In particular, this points to the need to account for the partitioning effect while using molecular probes such as polyols or sugars for estimating the effective "pore" size or molecular weight cutoff of a membrane and for choosing/developing organic-rejecting membranes.

Use of attenuated total reflection infrared spectroscopy for analysis of partitioning of solutes between thin films and solution.

The paper examines attenuated total reflection (ATR) spectroscopy as a tool for quantifying the partitioning of small molecular species between a solution and a thin film, while the film is directly exposed to the solution for equilibration. For the case of a thin film having a thickness substantially smaller than the decay length of the evanescent wave, we developed suitable linear relationships that relate the measured absorption of the characteristic band to the concentration of the species under study in the film and in solution. In the application of ATR-Fourier transform infrared spectroscopy, the method is particularly suitable for films a few tens to hundreds of nanometers thick and for solutes that preferentially partition into the film. As an example, the partitioning isotherm of 1-pentanol between water and a thin polyamide film separated from a reverse osmosis membrane was determined experimentally, and the limitations of the method are discussed.