Knowing your way around ‘the big C’ in veterinary practice

2020 ◽  
Vol 11 (2) ◽  
pp. 88-95
Author(s):  
Mairead Currie

When people hear the word cancer in relation to a loved one, the wave of emotion that follows can be devastating. Due to the complexity of oncology, a suspected or confirmed diagnosis often leads to large volume of information detailing the next steps and possible options. Pets are no exception and when owners are required to make emotive decisions with limited time to deliberate, it is the responsibility of the veterinary surgeons and nurses to provide up-to-date knowledge, guiding them to make the best decision both for themselves and their pets. This article explores the prevalence of neoplasia and the role of the first-opinion practice in diagnosis and treatment of neoplasms in pets. It also looks at the recognition of paraneoplastic syndromes in cancer patients and the importance of implementing gold-standard chemotherapy protocols. Understanding key aspects of the most common neoplasms in dogs and cats and their potential treatments helps to manage owner expectation in the practice setting. However, the ability to empathise and convey the importance of quality of life is also fundamental when supporting an owner and their animal through their cancer journey.

2006 ◽  
Vol 33 (4) ◽  
pp. 470-487 ◽  
Author(s):  
Derek M. Griffith ◽  
Ernest Moy ◽  
Thomas M. Reischl ◽  
Elizabeth Dayton

The elimination of racial and ethnic health inequities has become a central focus of health education and the national health agenda. The documentation of an increasing gap in life expectancy and other health outcomes suggests the need for more effective strategies to eliminate health inequities, which can be informed by better monitoring and evaluation data. Although the sophistication and volume of health data available have increased dramatically in recent years, this article examines the quality of the current data collected to achieve the goal of eliminating racial and ethnic health inequities. This article explores several key aspects of data to inform addressing inequities including terminology, the role of data, and explanations of the problem. The authors conclude with recommendations for refining data collection to facilitate the elimination of racial and ethnic health inequities and suggest how the Society for Public Health Education can become a more central figure in our national efforts


Author(s):  
D. Zawieska ◽  
J. Markiewicz ◽  
M. Łuba

<p><strong>Abstract.</strong> In the community historical objects play the role of witnesses of the past history. This creates an obligation to preserve and reconstruct them for future generations. Photogrammetric methods have been applied for those purposes for many years. In the process of development of inventory documentation, the key aspects related to the selection of appropriate measuring methods for particular objects and the creation of appropriate working conditions. At present, digital measuring techniques allow developing 3D photogrammetric documentation which is particularly valuable both, for conservators of historical objects, as well as for creating virtual museums. Particular attention should be paid to the utilisation of macro photography for that purpose which allows for recreating small fragments of historical details. The objective of this paper is to present possible use of macro photography for inventory of historical patterns engraved in brick walls of one of the cellars of the Royal Castle in Warsaw (Poland); they are called engravings or house marks. The cellar walls were made of bricks (20<span class="thinspace"></span>&amp;times;<span class="thinspace"></span>10<span class="thinspace"></span>cm) on the stone foundations, where a prison was located in the 17th century. Prisoners left their drawings of signs and crests. Bricks are destroyed, some of them are moss-grown, so many engravings are hardly visible and their depths vary between 3 and 5<span class="thinspace"></span>mm. The Canon 5D Mark II camera with the 50 mm macro lens was used to inventory engravings together with the shadow-free flash, mounted on the lens and a special frame with bolts, being the photogrammetric control network. To ensure the high quality of the 3D model, a network of photographs were acquired from two different distances; they were processed with the use of SfM/MVS algorithms implemented in Agisoft PhotoScan software. The aim of this paper is to discusses the impact of selection of control points on the accuracy of the orientation process, the impact of the point cloud density on correct projection of the digital surface, the influence of the DSM resolution on details of projection of shapes and selection of orthorectification and mosaicking parameters on the accuracy of orthoimage generation.</p>


2020 ◽  
Vol 22 (2) ◽  
pp. 16-21
Author(s):  
VLADIMIR А. PUCHKOV ◽  

The article analyzes the promising directions of development of social movements to support the innovative evolution of the population’s life safety system. The key aspects of the activities of veterans organizations aimed at the transfer of life and professional experience are considered. The assessment of practical experience and prospects of joint actions of volunteers in areas of large-scale disasters with the use of the latest innovative technologies is carried out. The role of social movements in the implementation of modern approaches in the education of younger generations, increasing the involvement of all segments of Russian society in the formation of a culture of life safety and improving the new quality of socio-economic development of the country’s regions is studied. Based on his own practical experience, the author comes to the conclusion about the absolute effectiveness of cooperation between the state and public organizations, involving volunteers in ensuring the safety of life. The analysis of the necessary measures on the part of the state to ensure full cooperation with volunteer movements is carried out, and a set of measures to achieve these goals is proposed. Creation of stimulating conditions for public voluntary fire protection associations at the level of the Russian Federation’s regions as a unique public-rescue institution is noted.


2021 ◽  
Vol 26 (6) ◽  
pp. 272-277
Author(s):  
Salma Balhi ◽  
Rym Baati Arfaouni ◽  
Ali Mrabet

Intermittent catheterisation (IC) has been in practice for more than 40 years and is considered the gold standard in the management of urinary retention in the neurological bladder. IC has many advantages over indwelling urethral or suprapubic catheterisation, including reducing the risk of infection, protecting the bladder and improving quality of life. However, complications can be caused by the practice of this technique, the most common of which is infection. This review discusses some of the common complications that can occur with the use of intermittent catheterisation, including urinary tract infection (UTIs) and urethral complications. It also highlights the role of the nurse in the management of its complications.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 330-331
Author(s):  
James M. Tracy ◽  
Roger H. Koabayshi

Racial minorities admitted for asthma were less likely to have received maximally effective preventive therapy. Marked differences in the quality of care planned after hospital discharge differed significantly when comparing white patients with black and Hispanic patients. In an era of health care reform, attention should focus on the area of high quality care for underserved children who are already at high-risk for asthma-related morbidity. [See table in the PDF file]


Rheumatology ◽  
2019 ◽  
Vol 58 (Supplement_5) ◽  
pp. v3-v9 ◽  
Author(s):  
Eduardo J F Santos ◽  
Catia Duarte ◽  
José A P da Silva ◽  
Ricardo J O Ferreira

Abstract Fatigue is one of the most important symptoms for patients with RA, and imposes a great burden on patients’ lives, being associated with significantly reduced health-related quality of life. Although being recognized by the rheumatology community as a major gap in the current management of the disease, fatigue has not been easy to measure and conceptualize. Part of the problem seems to reside in the multidimensional causality of this phenomenon, which may warrant dedicated measures and interventions. Although there are several instruments available to measure it, no consensus has yet been reached to recommend a ‘gold-standard’. This review aims at synthesizing the role of fatigue in the global impact of RA; describing validated instruments and their psychometric properties as measures of fatigue among patients with RA; and finally proposing a clinically meaningful, valid and feasible process to measure fatigue in clinical practice.


2021 ◽  
Author(s):  
◽  
Jakob Pfender

<p>In recent years, Information-Centric Networking (ICN) has emerged as a promising candidate for a future Internet architecture. While originally designed with the traditional Internet in mind, it has also been identified as a potential replacement for current Internet of Things (IoT) networking solutions. However, applications in the IoT face a number of unique challenges due to the constrained nature of the hardware. One of these challenges is that available memory is often extremely limited.  This thesis aims to evaluate the feasibility of using ICN in-network caching on IoT devices in order to achieve efficient content delivery. It evaluates the performance of existing approaches on constrained hardware and explores how the technology can be improved and tailored towards that environment. Existing strategies are found to be lacking in key aspects, particularly the fact that the effects of network topology are often not considered when making caching decisions. It is shown that approaches based on network centrality are promising, but existing implementations are not suited for constrained hardware. Therefore, a lightweight in-network caching strategy called Approximate Betweenness Centrality (ABC) is proposed that takes the specific requirements of IoT into consideration and allows for efficient cache placement regardless of network topology. Then, a modular solution for load balancing through off-path caching is presented to address potential shortcomings of the centrality-based caching approach. It allows the network to make more efficient use of available caching resources without introducing additional overhead. Furthermore, solutions for ensuring Quality of Service (QoS) are discussed. The expanded role of caching strategies under such QoS constraints is explored and their performance is evaluated.  This thesis shows that it is possible to design and deploy lightweight, low-overhead solutions on constrained hardware. Using a realistic deployment of physical IoT devices, it is demonstrated that these approaches can reach satisfactory levels of performance.</p>


2018 ◽  
Vol 12 (2) ◽  
pp. 241-259 ◽  
Author(s):  
Eva-Maria Düringer

Abstract It is often claimed that we cannot desire fictional states of affairs when we are aware of the fact that we cannot interact with fictional worlds. But the experiences we have when we read an engaging novel, watch a horror film or listen to a gripping story are certainly very similar to desires: we hope that the lovers get together, we want the criminal to get caught, we long for the hero to make his fortune. My goal in this paper is to outline the reasons why we might find it difficult to call these experiences genuine desires and to argue that they are not good reasons. In the second section I look at three reasons in particular: first, the reason that, if we genuinely desired fictional outcomes, we would act in silly or dangerous ways; second, the reason that, if we genuinely desired fictional outcomes, we would change plot lines if we had the chance, which in fact, however, we would not; and third, the reason that, if we genuinely desired fictional outcomes, we would not think it impossible to interact with fictional worlds, which, however, we do. I will dismiss the first two reasons right away: depending on how we interpret the first reason, either it does not have much weight at all, because we have many desires we never act on, or it rests on a functionalist definition of desires that wrongly takes it to be the functional role of desires to bring about action. I will dismiss the second reason by arguing that, if we desire a particular fictional outcome that we could bring about by changing the plot line, whether or not we would do it turns on our assessment of the cost of interference; and this, in turn, depends on the perceived quality of the literature. There is nothing that speaks against taking both the desire for a particular fictional outcome and the desire for a work of literature to remain what it is as genuine desires. I turn to possible ways of dealing with the third and strongest reason in the third section. The claim that, if I desire that p, I must not think that there is nothing I could possibly do to bring it about that p, is plausible. And of course, I do think that there is nothing I could possibly do to bring about a fictional state of affairs. I will argue that there are three possible ways of dealing with this problem. The first is to point to partners in crime such as the desire that one is reunited with a loved one who has recently passed away. I take these to be genuine and ordinary desires, even though they are accompanied by thoughts, indeed agonising thoughts, that there is nothing we could possibly do to bring about the desired end. Secondly, I will look at Maria Alvarez’s recent account of desires as multi-track dispositions. Alvarez claims that desires are dispositions not only to actions, but also to certain thoughts, feelings, and expressive behaviours and that they need to have had at least one manifestation in order to exist. Modifying this view a little, I argue that desires need to have manifested at least once in action preparations and show how, on this picture, the thought that I can do nothing to bring about the desired end is not in unbearable tension with the existence of the desire. Finally, I will point to the distinction between physical and metaphysical possibility and argue that, even if we accept the claim that a mental attitude cannot be a desire if it is accompanied by the thought that there is nothing one could possibly do to bring about the desired end, then this is only a problem for desires about fictional states of affairs if we think that metaphysical possibility is at play. However, there is no problem for desires about fictional states of affairs if they are accompanied by thoughts about the physical impossibility of bringing them about. I begin the paper by describing in the first section how desires enter into the controversies surrounding the classic Paradox of Fiction, which is the puzzle about whether and how we can have emotions about fictional characters, and by providing some examples designed to feed the intuition that we do, indeed, have genuine desires about fictional states of affairs.


Author(s):  
Muhammad Shahid Iqbal ◽  
Fahad I. Al-Saikhan ◽  
Nehad J. Ahmed ◽  
Muhammad Zahid Iqbal

Introduction: The role of community pharmacists (CPs) has kept on changing. Due to the evolving role of CPs, it is important to know its impact on the health-related quality of life (HRQoL) among CPs. Besides, the literature on the HRQoL of CPs is not being enriched, there is an urge to carry out a study to evaluate the HRQoL among CPs. This study aimed to examine the association between the socio-demographic factors and the HR QoLamong CPs. Methodology: A set of questions related to the HRQoL has been adopted from a pre-validated questionnaire, the Duke Health Profile and contextualized it to measure study outcomes. The target population in this study was the registered CPs that were practicing. The site of the study included all the chain and independent pharmacies. Statistical Package for Social Science (SPSS) version 22.0 was used to analyze the data and the significance level was set at p≤ 0.05. Various domains of the Duke Health Profile (DHP) were calculated using the provided formula. Results: A total of 172 respondents were included in this study. Several HRQoL domains were significantly associated with socio-demographic factors. The univariate analysis illustrated that mental and general health state had significant associations with age, practice setting was significantly associated with the mental health state, the salary was significantly associated with self-esteem and mental health was significantly associated with length of service and practice setting. Dysfunction dimensions of anxiety, anxiety-depression, and pain were significantly associated with gender. Conclusion: Gender, age, length of service, salary and practice setting were the risk factors for  HRQoL among CPs.


2018 ◽  
Vol 12 (2) ◽  
pp. 39-47
Author(s):  
A. G. Mamontova ◽  
Е. N. Usoltseva

Vasomotor symptoms are most common signs of the menopausal syndrome. Frequent episodes of flushes and hyperhidrosis affect sleep, mood, and quality of life. Menopausal hormone therapy (MHT) remains the «gold standard» of treatment. However, some women have contraindications to MHT, and others refuse to take hormones due to personal reasons. In such cases, alternative therapy may become an option. This article presents a review of the literature regarding the role of alternative therapy in the treatment of vasomotor symptoms. We searched Russian and international data bases for pharmacological products (natural and synthetic) used to relieve menopausal flushes. The review presents medication registered in the Russian Federation as well as products used abroad.


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