9 research outputs found
Lymphoma survivors’ experiences at the end of treatment
No full textAims and Objectives To explore lymphoma survivors’ experiences on their end of treatment and follow‐up care at a large urban haematology centre in Ireland. Methods This was a qualitative study using semistructured interviews with lymphoma patients post‐treatment (n = 14). Thematic analysis guided the analysis of interview data. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines. Findings Five main themes were identified following analysis of the interview data: dealing with uncertainty, changed relationships, returning to work, extended recovery time and concerns for the future. Findings of note were that some participants were unaware that their treatment had ended, many experienced recurrent infections which prolonged recovery time, and many had no recall of discussions on healthy lifestyle behaviours or recommended screening programmes at their follow‐up visits. Conclusions The findings suggest that the period of transition from active treatment to survivorship can be challenging for lymphoma survivors, and they experience ongoing needs. While the challenges of survivorship in lymphoma mirror those of other cancers, this cohort of patients require focused preparation for the end of active treatment and the transition to follow‐up care. Moreover, this patient group requires repeated specific education on late effects and second cancers, education with regards to identifying the signs of cancer recurrence and promotion of healthy lifestyle practices. Relevance to clinical practice This study highlights the importance of a dedicated end of treatment visit with the clinical nurse specialist to confirm the completion of active treatment with lymphoma patients and focus on health promotion.peer-reviewed2019-09-0
Lymphoma survivors\u27 experiences at the end of treatment
No full textAims and Objectives
To explore lymphoma survivors’ experiences on their end of treatment and follow‐up care at a large urban haematology centre in Ireland.
Methods
This was a qualitative study using semistructured interviews with lymphoma patients post‐treatment (n = 14). Thematic analysis guided the analysis of interview data. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines.
Findings
Five main themes were identified following analysis of the interview data: dealing with uncertainty, changed relationships, returning to work, extended recovery time and concerns for the future. Findings of note were that some participants were unaware that their treatment had ended, many experienced recurrent infections which prolonged recovery time, and many had no recall of discussions on healthy lifestyle behaviours or recommended screening programmes at their follow‐up visits.
Conclusions
The findings suggest that the period of transition from active treatment to survivorship can be challenging for lymphoma survivors, and they experience ongoing needs. While the challenges of survivorship in lymphoma mirror those of other cancers, this cohort of patients require focused preparation for the end of active treatment and the transition to follow‐up care. Moreover, this patient group requires repeated specific education on late effects and second cancers, education with regards to identifying the signs of cancer recurrence and promotion of healthy lifestyle practices.
Relevance to clinical practice
This study highlights the importance of a dedicated end of treatment visit with the clinical nurse specialist to confirm the completion of active treatment with lymphoma patients and focus on health promotion.2019-09-0
On Technological Ground:The Art of Torsten Lauschmann
No full textThis essay considers the relationship between the work of contemporary artist Torsten Lauschmann and themes in a growing area of research: philosophy of technology. Themes considered include relations between technology and contemporary urban dwelling, technology and the “everyday”, and Heidegger’s problematic but canonical understanding of technology not as a set of “mere means” but as a “way of revealing.” I argue that Lauschmann’s art renders these themes relevant for our increasingly technologically mediated forms of everyday experience by engaging in a paradoxical practice of creating what McLuhan called “anti-environments.” Part one relates Lauschmann’s art to three concepts surfacing in McLuhan’s late work: “figure”, “ground”, and “anti-environment.” Part two relates Lauschmann’s art to Merleau-Ponty’s critique of photography in terms of the ontology of dynamic movement. Part three relates Lauschmann’s art to Heidegger, implying a form of “affective critique” that – by questioning the environmental conditions that constitute works of art – points beyond vexed aspects of Heidegger’s approach, such as its apparent pessimism and tendency to homogenize disparate technologies. The essay’s broader argument is that Lauschmann’s art, like the philosophical reflections to which it is related, is engaged in a practice of challenging settled common-sense notions regarding technologically mediated experience. <br/
A literature scoping review of eating practices and food environments in 1 and 2-person households in the UK, Australia and USA
No full text© 2018 Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/
This author accepted manuscript is made available following 24 month embargo from date of publication (March 2018) in accordance with the publisher’s archiving policyThe purpose of this article is to map the data currently available on the subject of eating practices and food environments in small (i.e. one- and two-person) households. Specifically, the enquiry is focused on commensality; the act of eating together. Research dates from the late 1980s, however, there are few recent publications on this subject. Searching Ovid MEDLINE, PsycINFO, CINAHL, Web of Science, Scopus, ProQuest and Google Scholar, 2949 papers were found, but only 457 discussed any element of the research questions. These were further distilled to a count of 117, by abstract reading to 53 at which point, quality, location and study focus eliminated a further 34 articles leaving 19 articles. After full reading, it was clear that only seven of these focused on the research question in detail and these are marked as four-star articles by bold text. The 19 articles are analysed for quality and their aspects of relevance to the central research question is discussed
Characterization of aerosols from RDD surrogate compounds produced by fast thermal transients
No full text<div><p>Experimental tests have been performed to characterize the aerosols representative of radiological dispersion devices (RDDs, a.k.a. “dirty bombs”) by applying to chosen surrogate compound rapid high temperature transients, vaporizing the sample and forming aerosols mainly by rapid cooling of the vapour. The materials, which were tested in their non-radioactive form, had been chosen from the radioactive sources widely used in industries and nuclear medicine applications, Co, CsCl, Ir and SrTiO<sub>3</sub>. Our analyses permitted the characterization of the inhalable fraction of the aerosols released, and the study of the influence of cladding materials on the aerosol release and on its characteristics.</p></div
Venetoclax Initiation in Chronic Lymphocytic Leukemia: International Insights and Innovative Approaches for Optimal Patient Care
No full textVenetoclax, a highly selective, oral B-cell lymphoma 2 inhibitor, provides a robust targeted-therapy option for the treatment of chronic lymphocytic leukemia (CLL), including patients with high-risk del(17p)/mutated-TP53 and immunoglobulin heavy variable region unmutated CLL and those refractory to chemoimmunotherapy across all age groups. Due to the potent pro-apoptotic effect of venetoclax, treatment initiation carries a risk of tumor lysis syndrome (TLS). Prompt and appropriate management is needed to limit clinical TLS, which may entail serious adverse events and death. Venetoclax ramp-up involves gradual, stepwise increases in daily venetoclax dosing from 20 mg to 400 mg (target dose) over 5 weeks; adherence to on-label scheduling provides a tumor debulking phase, reducing the risk of TLS. The key components of safe venetoclax therapy involve assessment (radiographic evaluation and baseline blood chemistry), preparation (adequate hydration), and initiation (blood chemistry monitoring). In addition to summarizing the evidence for venetoclax’s efficacy and safety, this review uses hypothetical patient scenarios based on risk level for TLS (high, medium, low) to share the authors’ clinical experience with venetoclax initiation and present global approaches utilized in various treatment settings. These hypothetical scenarios highlight the importance of a multidisciplinary approach and shared decision-making, outlining best practices for venetoclax initiation and overall optimal treatment strategies in patients with CLL
Twenty Years of Nurse-Led Research in Hemato-Oncology: A Mapping Review
No full textObjectivesNurse-led research in hemato-oncology is diverse, but its nature and extent are unknown. This review aimed to identify and map nurse-led research in hemato-oncology over 20 years (2004-2024) to highlight under-researched gaps, describe methodological and topic trends, and allow comparison between geographical regions.MethodsA mapping review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, Scoping Review (PRISMA-ScR) checklist. Five databases were systematically searched: Medline (Ovid), CINAHL (EBSCOhost), Embase (Elsevier), ProQuest, and Scopus (Elsevier). Independent screening and data extraction were undertaken on the web-based platform Covidence.ResultsA total of 1,916 sources were included (n = 1,618 journal publications; n = 262 published conference abstracts; n = 36 doctoral dissertations). The most common methodology was non-experimental (60.5%), followed by qualitative (19.2%), experimental (12.5%), evidence syntheses (6.3%), and mixed methods (1.5%). Most of the studies were undertaken by nurses working in the USA, followed by nurses in China, Türkiye, Canada, Australia and Iran. Studies in pediatric, adolescent, and young adult settings represented 42.4% of the included studies. A high number of studies undertaken in hematopoietic stem cell transplant settings were found.ConclusionsThe number of research studies led by nurses in hemato-oncology settings, particularly in the USA, is upward. Most of the research undertaken has adopted a descriptive quantitative methodology. More interventional research is needed to contribute meaningfully to scientific knowledge that enhances the quality of care for individuals affected by blood cancer across the disease trajectory.Implications for Nursing PracticeTo support more nurse-led interventional research, strategic investment in mentorship, protected research time, interdisciplinary collaboration, structured clinical-academic posts, and funding pathways is needed
Sex, Metaphysics, and Mental 'Dis-ease'
No full textThe ancient Greek philosopher Epicurus believed that our metaphysics determines our state of mind: a correct view of the nature of human and worldly existence brings inner peace and tranquillity; an incorrect view, inner turmoil. More recently, Australian philosopher John Bigelow lamented that, despite over 2000 years of theorizing, philosophers have yet to reach consensus on a correct metaphysics. This thesis posits the source of this metaphysical discontent to be the Platonic/Aristotelian conception of essence (or form) as a purely immaterial, male preserve, thereby reducing woman to the material source, (Logical) properties and (sexual) demise of man’s essential being; this phallocentric misconception impelling a history of further misconceptions of essence, and of the metaphysical theories and binary logic based upon it. Through the construction of a genealogy and critique of various historical (re)conceptions and permutations of essence, I theorize the existence of an originary spirogenetic essence that causes, determines and motivates the (whole) individual, species, and sexuate form, function, growth, and development of every human being, the metaphysical and symbolic denial of this essence resulting in, not just inner turmoil, but some forms of mental disorder.
Empirical research into female self-development and eating disorders yielded support for the hypothesis of a spirogenetic essence and essentially whole, subjective (sexual) female self, the metaphysically based, familialy/socially imposed denial, (de)construction and demonization of which is causing its fragmentation and loss, and the existential need to reconstruct this real, ‘de-formed’ sexual female self/body into the ideal feminine ‘form’ - the perfect pretend self - that will earn Paternal recognition, love, approval, and thus, ongoing subjective existence. While in modern, pre-feminist times, this perfect self was conceived and constructed as the sexual object of male desire, appropriation and control, in these post-feminist, post-modern times in which boys/men are reclaiming the feminine, girls/women have no option but to do what Plato advised, and ‘become a man’. That is, they must hide/erase their real sexual female self/body and attain the boyishly perfect form/function that promises (limited) imitative access to phallic subjectivities and identities.
Failure to attain or maintain this perfect, pretend (prophylactic) self, and a consequent state of existential distress, is resulting in eating and associated disorders, as an inner, self-adjudicated battle to control, punish, purify, desexualize, defeminize, and thus perfectly ‘re-form’, the real ('Eve-il') sexual female self, as a means of subjective survival. This understanding resituates current discursive approaches to anorexia/bulimia as part of its pathogenic origin; resolution of these and associated existential (dis)orders requiring the metaphysical/social/discursive recognition of what Plato/Aristotle denied: a sexed, spirogenetic essence that is the source of persisting sameness and difference, fixity and fluidity, unity and plurality, and thus, of an essentially whole, subjective fe/male self that can only fully exist, develop, and be constructed within enduring bonds of unconditional, intersubjective recognition and love. It is within this spirogenetic model of human and worldly existence - as it frees patriarchal man from his forbidden, feared, feminizing, ho(m)mosexual desires - that I glimpse that long-sought Epicurean state of peace, contentment, and ‘ease’
Plan de asignatura PA04
No full textLa asignatura historia de la arquitectura Caribe está enfocada a un espacio para el conocimiento, estudio y análisis de los periodos históricos relevantes en la historia del Caribe y cómo la arquitectura logra materializar los ideales socio-culturales en el tiempo. Además del desarrollo de la perspectiva histórica, la clase le apunta a desarrollar un bagaje cultural que se adquiere desde contenidos teóricos estudiados; pero también desde el conocimiento de las técnicas y formas de proyección de las arquitecturas, los aspectos de sensibilidad artística y creativa que las rigen; lo que permite formar un estudiante/arquitecto conocedor y capaz de identificar los aspectos de un momento histórico a partir de valores estéticos y sociales.Corporación Universidad de la Cost
