412 research outputs found

    Cirencester Church, South Entrance, Gloucestershire

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    'CIRENCESTER CHURCH; SOUTH ENTRANCE. Glocestershire. Engrav'd by R. Roffe, from a drawing by J. Burden, for the Beauties of England & Wales. London, Published by Vernor & Hood, Poultry. Sep. 1. 1804.

    King's College Chapel etc., Cambridge

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    'KING'S COLLEGE CHAPEL, &c. Engraved by J. Roffe, from a Drawing by F. Nash, for the Beauties of England and Wales. London Published by Vernor & Hood Poultry Dec[.]r 1 1804'

    Experiences of health changes and reasons for delay in seeking care: a UK study of the months prior to the diagnosis of lung cancer

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    The problem of ‘delay’ in diagnosing cancer as a result of late presentation by individuals who have symptoms, or through doctor or hospital system failures, are currently the subject of close attention as part of broader initiatives to reduce deaths from cancer. However, in lung cancer there has been a generally held view that ‘late’ diagnosis is inevitable because of the biomedical difficulties in detecting the disease at an early stage. Data about events recalled prior to diagnosis from an interview study with 22 individuals recently diagnosed with operable (early stage) and inoperable (late stage) lung cancer are reported. Findings reveal that individuals, regardless of their disease stage, or their social background failed to recognise symptoms that they experienced over many months prior to their eventual diagnosis as serious and warranting medical attention. Symptoms, even when severe, were instead attributed to everyday causes and were not interpreted as indicative of ill-health. There was a reluctance to seek help for symptoms among some because they were unsure whether what they were experiencing was normal or not, and in one case because as a smoker, the individual felt ‘unworthy’ of medical care. This study suggests that previous assumptions that focus on individual or psychological factors in the processes of delay in cancer diagnosis need revisiting and the broader social influences that may affect the timing of diagnosis among people with lung cancer should be considered

    A systematic review of guided imagery as an adjuvant cancer therapy

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    Aim: The aim of this paper is to summarise and critically evaluate the evidence available from controlled clinical trials regarding the use of guided imagery as a sole adjuvant therapy for cancer patients. Methods: Electronic searches for controlled clinical trials were carried out in eight databases and two clinical trial registers. Trials that featured guided imagery as a sole adjuvant therapy were included. No language restrictions were imposed. Data were extracted and validated independently by two researchers. Results: Six randomised clinical trials were included. Detailed results were available for four studies only. Poor reporting and heterogeneous populations, interventions and outcome measures across trials precluded statistical pooling of results. The methodological quality was on average low. Three studies reported significant differences in measures of anxiety, comfort or emotional response to chemotherapy for patients who received guided imagery over the control groups. Two studies showed no differences between guided imagery and other interventions in any of the outcome measures. Conclusion: Guided imagery, as a sole adjuvant cancer therapy may be psycho-supportive and increase comfort. There is no compelling evidence to suggest positive effects on physical symptoms such as nausea and vomiting. The data seem sufficiently encouraging for the use of guided imagery as an adjuvant cancer therapy to merit further research

    The history and antiquities of the abbey church of St. Peter, Westminster : including notices and biographical memoirs of the abbots and deans of that foundation /

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    Includes indexes.Vol. 2 printed for Hurst, Robinson and Co., 1823.The 61 plates were etched by C. Armstrong, Miss E. Byrne, J. Byrne, J. Carter, John Cleghorn, G. Cooke, Henry LeKeux, John LeKeux, J. Lewis, T. Matthews, H. Moses, W. Radclyffe, J. Roffe, R. Roffe, R. Sands, John Scott, W.R. Smith, W. D. Taylor, J. Tingle, C. Varrall, W. Woolnoth. Drawings supplied by J.P. Neale, some measurements by J.R. Thompson. Wood-engraved arms of George IV at second dedication by John Byfield after Thomas Willement.Mode of access: Internet.Bookplates of A.R. Pannett, Haywards Heath

    Psychosocial implications of living 5 years or more following a cancer diagnosis: a systematic review of the research evidence

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    Mortality associated with cancer remains high, but more people are surviving cancer. Some people experience long-term problems associated with cancer and its treatment, and there is a need to know how to support them. This systematic literature review explores primary research for psychosocial implications of long-term survival (>or=5 years) following a cancer diagnosis and interventions designed to address psychosocial problems in the long term. A systematic search of BIDS, BNI, Cancer.gov, CINAHL, Medline, PsychINFO and Web of Science was conducted to identify research publications from 1960 to 2006. Papers were selected on the basis of pre-defined criteria and rated by three independent coders. Forty-three studies met the eligibility criteria. These indicated that most people experience few problems five or more years after their diagnosis of cancer. However, 20-30% of survivors consistently reported problems associated with cancer and its treatment including physical problems, poorer quality of life, psychological distress, sexual problems, problems with social relationships and financial concerns. Not all cancer types are represented in this review. Only two intervention studies met the eligibility criteria. Research is needed to establish appropriate interventions to support those experiencing problems in the long term to enhance well-being

    Synthesis of unsymmetrical NCN′ and PCN pincer palladacycles and their catalytic evaluation compared with a related SCN pincer palladacycle

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    1-(3-(Pyridin-2-yl)phenyl)methanamine derivatives have been synthesized and underwent C–H bond activation to afford unsymmetrical NCN′ pincer palladacycles, which were characterised in the solid state. 2-Pyridinyl-phenol and -benzyl alcohols were then used as precursors to unsymmetrical PCN pincer palladacycles. Catalytic applications, where the palladacycle remains in the Pd(II) state, have been carried out and show good activity and selectivity

    Supplemental material for Antibiotic treatment for pneumonia complicating stroke: Recommendations from the pneumonia in stroke consensus (PISCES) group

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    Supplemental material, Supplemental Material for Antibiotic treatment for pneumonia complicating stroke: Recommendations from the pneumonia in stroke consensus (PISCES) group by Amit K Kishore, Adam R Jeans, Javier Garau, Alejandro Bustamante, Lalit Kalra, Peter Langhorne, Angel Chamorro, Xabier Urra, Mira Katan, Mario Di Napoli, Willeke Westendorp, Paul J Nederkoorn, Diederik van de Beek, Christine Roffe, Mark Woodhead, Joan Montaner, Andreas Meisel and Craig J Smith in European Stroke Journal</p

    Patterns of complementary and alternative medicine use among patients undergoing cancer treatment

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    This study aimed to assess the prevalence of complementary and alternative medicine (CAM) use in a representative cancer population prior to and within 6 months of diagnosis. A total of 304 newly diagnosed cancer patients from two UK cancer centres completed a postal survey. Of them, 100 patients (32.9%) used CAM before their cancer diagnosis, 59 of these CAM users continued post diagnosis. Twenty-nine individuals who had not used CAM before began to use it after their cancer diagnosis, creating a total of 88 (28.9%) CAM users in this sample. Reasons for not using CAM included lack of interest, lack of information or endorsement from professionals and satisfaction with conventional care. For those using CAM before diagnosis but not afterwards, the most common reason was a lack of expert guidance on what was safe to use. The use of CAM medicines bought from health food and other retail outlets was high. Complementary and alternative medicine use in cancer patients is common and demonstrates a complex pattern, but CAM use is not significantly greater than in the general population. Some patients purchase CAM medicines without seeking medical advice, thus risking drug interactions. Research to generate information on safety and efficacy of CAM is required.<br/
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