Assuntos
Plexo Celíaco/anatomia & histologia , Bloqueio Nervoso , Adulto , Feminino , Humanos , Pneumopatias Obstrutivas/complicações , Masculino , Melanoma/complicações , Pessoa de Meia-Idade , Agulhas , Dor Intratável/tratamento farmacológico , Neoplasias Pancreáticas/complicações , Tomografia Computadorizada por Raios XRESUMO
PURPOSE: To identify issues affecting the quality of life (QoL) in women receiving palliative therapy for ovarian cancer. METHODS: Twenty women with advanced recurrent ovarian cancer were interviewed to establish what issues affect QoL. All patients were receiving palliative chemotherapy or other palliative therapy in the department of Gynecologic Oncology at the Massachusetts General Hospital, and were felt to have a life expectancy of 1 year or less by best clinical estimate. RESULTS: Twenty patients with an average age of 56.7 years participated. Psychosocial issues were more common than physical ones, and patients were more likely to mention issues that positively impact on QoL rather than those with a negative effect. Most patients noted that a sense of hope, enhanced appreciation for day to day life, and a strong support system had a significantly positive effect on QoL. Issues negatively impacting QoL included fear of their disease (90%) and concern for family and friends (100%), particularly children. Most common physical symptoms impacting QoL included fatigue (100%) and anorexia (55%). CONCLUSIONS: Little research has been done into QoL issues for ovarian cancer patients receiving palliative care. Available QoL studies tend to focus on the physical aspects of a disease or its treatment. This pilot study suggests that women with advanced, recurrent ovarian cancer feel that psychosocial issues play a greater role in determining QoL than do physical issues. Further QoL studies for these patients should include assessment of psychosocial realms. This information can then be used to design interventions to improve QoL.
RESUMO
An otherwise healthy 11-month-old boy presented with bilateral abdominal masses. Imaging findings, differential diagnosis, histological findings, and pertinent discussion are presented.
Assuntos
Neoplasias Renais/diagnóstico por imagem , Rim/diagnóstico por imagem , Lesões Pré-Cancerosas/diagnóstico por imagem , Tumor de Wilms/diagnóstico por imagem , Diagnóstico Diferencial , Humanos , Lactente , Rim/patologia , Neoplasias Renais/patologia , Masculino , Lesões Pré-Cancerosas/patologia , Radiografia , Ultrassonografia , Tumor de Wilms/patologiaRESUMO
Retrospective review of 457 breech deliveries failed to reveal a significant improvement in neonatal mortality and morbidity rates for those delivered by cesarean section vs. vaginal delivery. A slight but insignificant improvement in salvage was found for the 1,000 to 1,500 gram weight category when delivery was by cesarean section. Most of the deaths in the less than 1,500 gram breech presentation were associated with hyaline membrane disease or congenital defects incompatible with life and sepsis rather than directly related to the manner of breech delivery.
Assuntos
Apresentação Pélvica , Cesárea , Parto Obstétrico , Mortalidade Infantil , Apresentação no Trabalho de Parto , Adolescente , Adulto , Fatores Etários , Índice de Apgar , Criança , Feminino , Humanos , Doença da Membrana Hialina/mortalidade , Recém-Nascido de Baixo Peso , Recém-Nascido , Paridade , GravidezRESUMO
Internal intrapartum fetal monitoring has been implicated as a source of maternal and fetal sepsis. We report water-borne contamination of a component of the intrauterine pressure transducer and suggest that this may be a potential source of nosocomial infection.
