No description available.

Thesis (M. Nurs.)--University of Hong Kong, 2009. / Includes bibliographical references (p. 78-83).

A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / Introduction: Thousands of people die from influenza or its complications each year despite the fact that it is one of the few vaccine preventable diseases. Immunocompromised cancer patients are among the most vulnerable to this infection and flu‐related complications, and therefore vaccination is highly recommended in these patients; however, current vaccination rates and attitudes towards vaccination remain unknown. We hypothesize that immunization rates are lower than the 100% recommendation rate, and hope to understand the reasoning behind the discrepancy. The purpose of this study is to assess cancer patient attitudes towards influenza vaccination in an effort to minimize barriers to vaccination and eventually increase vaccination rates in this immunocompromised population. Methods: Cancer patients enrolled in phase I clinical oncology trials at the Virginia G Piper Cancer Center at Scottsdale Healthcare were invited to participate in a voluntary survey. The 15‐item survey consisted of demographic information, knowledge regarding the flu vaccine, vaccination status after cancer diagnosis and while on treatment, and general attitudes towards vaccination. A total of 84 cancer patients completed the survey. Results were stratified by age, gender, education level, and vaccination status. As this was a descriptive study, no statistical analyses were performed. Results: A total of 84 (n=84) advanced cancer patients enrolled in phase I clinical oncology trials completed the survey. Results indicate that although 71% of patients received the vaccine prior to cancer diagnosis, only 58% of patients have received the vaccine since their cancer diagnosis, and only 48% have been vaccinated while on cancer treatment. Of those vaccinated since cancer diagnosis, 94% reported doctor recommendation of the vaccine and most vaccinate to protect themselves from the virus. Of those not vaccinated since cancer diagnosis, only 37% report their doctor recommends the vaccine and the majority avoid vaccination because they believe the vaccine can cause the flu, they do not feel at risk of infection, and they do not believe the vaccine is effective. Conclusion: Our findings suggest that although the CDC strongly recommends influenza vaccination in cancer patients due to the risk of secondary complications and even death in these immunocompromised individuals, vaccination rates remain low. Our data demonstrates that patients who receive a doctor recommendation for the vaccine are more likely to be vaccinated, but not all doctors recommend the vaccine. Furthermore, false information regarding the vaccine, its efficacy, and its ability to cause infection continues to deter patients from vaccination. Together, this information offers profound insight into the cancer patient population and suggests the need for increased physician and patient education regarding the benefits of annual influenza vaccination to improve vaccination rates and decrease influenza infection and complications in the future.

Bakgrund: Cancer är ett hälsoproblem som är stort över hela världen och mer än var tredje person riskerar att bli drabbad under sin livstid. Varje år ökar antalet människor som drabbas av cancer, men även överlevnaden ökar. Syfte: Att beskriva hur vuxna personer med obotlig cancersjukdom hanterar sin livssituation med hjälp av coping strategier vid livets slutskede samt metodologiskt granska hur undersökningsgrupp och urvalsmetod är beskrivet i granskade artiklar. Metod: En litteraturstudie med deskriptiv design som baserades på 10 artiklar med både kvalitativ och kvantitativ ansats. Artiklarna hittades i databasen Pubmed. Huvudresultat: Familj, vänner och trosuppfattning var viktiga källor för att personer med obotlig cancer sjukdom skulle kunna hantera faktumet att livets slut var nära. Socialt stöd och religiös tro var nyckelkomponenterna för att personer som levde sin sista tid i livet skulle klara av att hantera sin livssituation, antingen genom att finna en mening i den pågående situationen eller genom stöd från sina nära och kära. Resultatet baserades på fyra kvantitativa artiklar och sex kvalitativa artiklar. I granskningen av de ingående artiklarnas datainsamlingsmetod framkom både urvalsmetod och undersökningsgrupp. I studierna förekommer semistrukturerade intervjuer, strukturerade intervjuer och enkäter. Slutsats: Coping strategier i form av socialt stöd och religiöst stöd var nyckelkomponenter för att personer med obotlig cancersjukdom skulle klara av att hantera sin sista tid i livet. Personerna såg olika på komponenterna, vilka coping strategier de använde och vilka som fungerade, men även vilket stöd som var av betydelse. De flesta personerna upplevde att stöd från familj och anhöriga var viktigt för att kunna hantera livets slutskede, men likaså stödet från en religiös bakgrund. / Background: Cancer is a major health problem worldwide and more than every third person has got the risk to get cancer during their lifetime. The number of people getting diagnosed with cancer is increasing, but the survival rate is increasing as well. Aim: To describe how adults with incurable cancer manage their lives with the help of coping strategies at the end of life as well as methodologically review how the selection of the study group and the selection method in the reviewed articles were described. Method: A literature study with a descriptive design based on ten articles with both qualitative and quantitative approach. The articles were found in the database PubMed. Findings: Family, friends and religious beliefs were important sources for people with terminally ill cancer to cope with the fact that life was about to come to an end. Social support and religious beliefs were the main important facts for the people who were facing end of life to be able to cope with their situation, either trying to find meaning in the current situation or through support from loved ones. The findings were based on four quantitave articles and six qualitative articles. The selection of the study group and the selection method in the reviewed articles were described in each article. The data collection methods that the included articles used were semistructed interwievs, unstructed interwievs and surveys. Conclusion: Coping strategies as in social support and religious support were the main facts for people to cope with end of life. People had different views on both of the facts, which coping strategies they used and which ones that worked, but also what kind of support that was more important. Most of the people felt that support from family and friends were important to have so that they could cope with the end of life, but religious support was just as much important.

Aim: The aim of this study was to determine whether or not there is evidence for the usage of ginger as an antiemetic in patients experiencing chemotherapy related nausea, based on available scientific literature. Methods: The original articles were found by using search engines PubMed and CINAHL. The selected articles were then analyzed based on their content, quality and results. Based on the results from the content analysis the articles were placed in four different themes. Results: In the first theme two of the articles found that ginger had significant effect on chemotherapy related nausea, when used in combination with regular antiemetic treatment. Two other articles said that it does not. In the second theme four studies found that different forms of ginger lessens nausea, in contrast two other articles found that it does not have any increased effect on said nausea. In the third theme one article found that ginger has significant effect in quelling nausea whilst another article says that it does not show any difference in effect to 5HT3-receptorantagonist metoclopramide. The fourth theme contains one article that find that ginger in combination with high protein diet have antiemetic effect. Conclusions: The conclusion of this literary overview is that there is good evidence that using ginger as an antiemetic in combination with 5HT3-receptor antagonist in patients experiencing chemotherapy related nausea, mainly when given cisplatin.

This thesis describes research carried out to explore the needs, expectations and experiences of the increasing number of women with a family history of breast cancer who present to primary care. This work was intended to inform clinical practice and policy, and to directly address women's needs where possible. Although a great deal of research has looked at the experiences of women with a family history of breast cancer in a specialist setting, when this work began, no research had yet been published on women's needs in primary care. This is particularly important, as general practitioners (GPs) are the first port of call, and often the main source of information, advice and support. A qualitative interview study was used for the preliminary work exploring women's subjective experiences of consulting primary care about a family history of breast cancer and understanding their primary care consultation needs (Chapter 2). This work was further elaborated upon using a prospective descriptive study to quantify the extent to which women shared the same views or experiences, and therefore, would benefit from certain changes in health care provision (Chapter 3). The qualitative and quantitative research showed that women's main primary care consultation needs were to discuss their risks of breast cancer with their GP and to receive verbal as well as take-home information. When this work was being carried out, no patient information was available suitable for a general population of women with breast cancer in the family who present to primary care. For this reason, a leaflet was developed based on women's information needs and the best available evidence (Chapter 4). The leaflet entitled Breast and/or Ovarian Cancer in the Family: Learning More about Your Risks and Options was evaluated with almost 200 women to ensure that it met their needs (Chapter 5). Over 90% of women were glad to have received the leaflet and felt that it provided the information they wanted to know. The implications of the work described in this thesis are that GPs could greatly assist their patients by acknowledging family history concerns as a legitimate reason for presenting to primary care, by providing verbal and take-home information and by inviting patients to return for future discussions if needed. Nationally accepted management guidelines for breast cancer family history and accompanying educational materials for use in primary care will also be instrumental in meeting patient needs and promoting informed choice in this new and difficult area of medicine.

Thesis (M.P.H.)--Georgia State University, 2008. / Title from file title page. Russ Toal, committee chair; Karen Wasilewski-Masker, committee member. Description based on contents viewed July 7, 2009. Includes bibliographical references (p. 68-72).

Thesis (Ed.D.)--Teachers College, Columbia University, 1995. / Includes appendices. Typescript; issued also on microfilm. Sponsor: Elizabeth Tucker. Dissertation Committee: Herve Varenne. Includes bibliographical references (leaves 126-132).

Thesis (M.A.)--Bowling Green State University, 2006. / Document formatted into pages; contains v, 55 p. Includes bibliographical references.

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 66-68).