Anesthesia in the Radiation Oncology Suite

2011 ◽  
pp. 143-150
Author(s):  
Eric A. Harris ◽  
Keith Candiotti
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Radiation Oncology ◽  
Care Physician ◽  
Medical Team ◽  
Multimodal Approach ◽  
Radiation Oncologist ◽  
Vital Component ◽  
Developed World

Cancer continues to be a leading cause of death in the developed world, with physicians and scientists constantly devising new weapons to combat it. Chemotherapy, surgery, nutrition, and holistic medicine all have a place in the multimodal approach that can prolong longevity and ameliorate quality of life. As part of this armamentarium, radiation therapy (XRT) has proven to be a safe and effective technique for the management of various malignant (and occasionally nonmalignant) lesions. XRT can be used for both curative and palliative purposes; in the latter case, patients benefit from decreased pain, preserved organ function, and the maintenance of lumen patency in hollow organs.1 The medical team, led by a radiation oncologist, often includes a physicist, a dosimetrist, several radiation therapists (technologists), and the patient’s primary care physician.2 Anesthesiologists are increasingly being asked to join this team, as our services are recognized as a vital component for patient safety and comfort.

The aging methadone maintenance patient: Treatment adjustment, long-term success, and quality of life

2018 ◽  
Vol 5 (1) ◽  
pp. 27 ◽  
Author(s):  
Ranjit Rajaratnam, MD ◽  
David Sivesind, PhD ◽  
McWelling Todman, PhD ◽  
David Roane, MD ◽  
Randy Seewald, MD
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Primary Care Physician ◽  
Methadone Maintenance ◽  
Well Being ◽  
Care Physician ◽  
Satisfaction With Life Scale ◽  
Medical Problems ◽  
Regular Contact

Objective: To evaluate the features and modes of adaptation to aging among Methadone Maintenance Treatment (MMT) enrollees.Setting: Beth Israel Medical Center in New York City.Participants: A sample of 156 MMT enrollees (103/66 percent males and 53/34 percent females) age 24-68 years. Twenty-nine percent of participants were aged 55 or older.Design: A cross-sectional, multivariate, correlational design.Outcome Measures: Participants were administered the MMSE, ASI, BSI, as well as measures of impulsiveness and quality of life (QOL).Results: Older adults were more likely to have had longer periods of treatment (p < 0.01), less likely to report current heroin use (p < 0.05) and overall drug use (p < 0.05), but were more likely to have a history of comorbid alcohol misuse (p < 0.01). Advanced age was also associated with less impulsiveness, hostility, paranoia, and interpersonal sensitivity (p < 0.01), more chronic medical problems (p < 0.05), greater use of medication for medical problems (p < 0.05), and more liberal take home medicine schedules (p < 0.01). However, no differences were found between older and younger participants with respect to their scores on the Overall Social Support scale (p > 0.05), the Personal Well-Being Index (p > 0.05) and the Satisfaction with Life Scale (p > 0.05), suggesting comparable levels of QOL. Furthermore, the rate of contact for older participants with medical professionals did not differ significantly from that of younger participants (p > 0.05). Only 7.1 percent of older participants reported regular contact with a primary care physician; a rate that is slightly lower than the rate in the overall population.Conclusions: The findings from the present study highlight at least two underappreciated challenges that clinicians are increasingly likely encounter in their work with the aging MMT population. These challenges are: (1) that despite numerous medical and psychiatric complaints, only a small proportion of MMT patients have regular contact with a primary care physician and the rate of contact does not appear to increase with age and (2) even with age-related declines in psychiatric comorbidity and illicit substance use, the suboptimal level of QOL that is characteristic of the MMT population as a whole does not improve with aging and length of tenure in MMT.

scholarly journals Approach to contraception in the primary health care: barrier, behavioral and pharmaceutical methods

2021 ◽  
Author(s):  
Shada Omar Baoum ◽  
Zainab Abduljabbar Almomen ◽  
Fatmah Abdullah Alotaibi ◽  
Rawan Ayedh Almohaiya ◽  
Amani Abdullah Alharbi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Family Planning ◽  
Care Physician ◽  
Primary Health ◽  
Potential Benefits ◽  
The Individual ◽  
Educational Campaigns ◽  
And Control

Contraception is a critical tool in achieving favorable family planning, which has been reported with remarkable outcomes on the individual and country-based levels. Using contraceptive approaches has been reported to be cost efficacious with minimal side effects. It gives couples more freedom, privacy and control over their lives, which might also enhance the quality of life of these individuals. In the present study, we have reviewed evidence from current studies in the literature about the different approaches to contraception in primary care. We have discussed the different barrier and non-barrier approaches that have been validated in the literature as efficacious approaches that can achieve contraception. We also reviewed the safety profiles for the different modalities and whether they can be used or not. Overall, couples should consult with the primary care physician before approaching any modality to give them a better judgment about the potential benefits and risks of each suitable contraception tool. We suggest that educational campaigns should also be conducted to increase awareness and attitude about family planning and using contraceptive modalities to expand the application and favorable outcomes of using these tools.

scholarly journals Malaysian clinical practice guidelines for management of diabetic foot: A synopsis for the primary care physician

2021 ◽  
Vol 16 (1) ◽  
pp. 103-113
Author(s):  
Tharumaraja Thiruselvam ◽  
Aminudin Che-Ahmad ◽  
Ping Foo Wong ◽  
Afiza Hanun Ahmad@ Hamid ◽  
Mohd Idham Hasan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Clinical Practice ◽  
Practice Guidelines ◽  
Diabetic Foot ◽  
Multimodal Treatment ◽  
Care Physician ◽  
Careful Attention ◽  
Dedicated Team

Diabetic foot requires careful attention and coordinated management by a dedicated team. Screening, prevention, adequate assessment, and appropriate referral are crucial to prevent complications. Multimodal treatment and rehabilitation are recommended to ensure a better quality of life and reduction of amputation rate in people with diabetic foot.

scholarly journals Perceptions Surrounding Onychomycosis in the Health Professions Student Population: The Disease, Treatments, and Quality of Life

2020 ◽  
Vol 110 (5) ◽  
Author(s):  
John Martucci ◽  
Tracey C. Vlahovic
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Fungal Infections ◽  
Health Professions ◽  
Care Physician ◽  
Student Population ◽  
Health Concern ◽  
Medical Professionals

Background Discolored toenails is a common complaint presented to podiatric physicians, dermatologists, and primary-care physicians. Although various local and systemic conditions influence changes in nails, nearly 50% is due to fungal infections. We surveyed the health professions student population to gain insight into how future medical professionals may approach this condition and to explore perceptions of onychomycosis, treatments, and effects on quality of life. Methods The primary outcome measure was a self-reported online Google Forms survey developed by the authors and sent to podiatric, allopathic, and osteopathic medical students and nursing students in Philadelphia, Pennsylvania. Results Of the 245 respondents, 92% agreed that toenail fungus is both a health and a cosmetic concern. Seventy-seven percent of respondents said “yes” when asked if they would seek treatment, and 67% would wait 1 month to 1 year to see a medical professional. When seeking treatment, 57% reported that they would see a primary-care physician initially, and 27% and 5% would seek care from a podiatric physician or dermatologist, respectively. A total of 91% would spend up to $300 annually for treatment, with only 4% willing to spend more than $500 per year. Respondents' greatest concern would be physical appearance. Conclusions Although agreement exists among the health professions students surveyed that toenail fungus presents both a cosmetic and a health concern, inconsistencies regarding time to treatment, treating professional, and effects on quality of life persist. It is not reasonable for all medical professionals to effectively recognize and treat nail disease, but it is paramount that patients are directed to medical professionals who can accurately exclude other conditions to alleviate social and financial burdens patients may face due to onychomycosis.

scholarly journals Migraine Education Improves Quality of Life in a Primary Care Setting

2010 ◽  
Vol 50 (4) ◽  
pp. 600-612 ◽  
Author(s):  
Timothy R. Smith ◽  
Robert A. Nicholson ◽  
James W. Banks
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting
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