scholarly journals Factors Influencing Resilience in Primary Brain Tumor Patients

2018 ◽  
pp. 1-6
Author(s):  
Shu-Yuan Liang ◽  
Hung-Fu Lee ◽  
Shu-Yuan Liang
Keyword(s):  
Brain Tumor ◽  
Data Collection ◽  
Karnofsky Performance Status ◽  
Performance Status ◽  
Primary Brain Tumor ◽  
Cross Sectional Survey ◽  
Tumor Patients ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Baseline Characteristics

Objective: The purpose of the present study was to evaluate the factors influencing resilience in primary brain tumor patients in Taiwan. Methods: A total of 95 participants completed the cross-sectional survey. All of the participants had undergone surgical, chemotherapy, or radiotherapy treatments for their brain tumors at least one month prior to data collection. The instruments that were used in data collection included the Resilience Scale (RS), a baseline characteristics datasheet, and the Karnofsky Performance Status (KPS) scale. Result: KPS score correlated significantly and positively with resilience (r = .49, p < .01). Moreover, financial means (t = 3.31, p < .01), mode of tumor treatment (t = 2.10, p < .05), and tumor recurrence status (t = -2.03, p < .05) were found to be significant predictors of resilience, accounting for 11% (R2 inc= .11, p< 0.01), 5% (R2 inc= .05, p< 0.05), and 12% (R2 inc= .12, p< 0.001) of the total variance, respectively. Conclusion: Health professionals may use the findings of the present study to assess the relevant baseline characteristics and physical abilities of their patients in order to better identify the presence of significant protective or risk factors for resilience.

Validation of the M. D. Anderson symptom inventory (MDASI-BT)

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 1546-1546
Author(s):  
T. S. Armstrong ◽  
T. Mendoza ◽  
I. Gning ◽  
C. Coco ◽  
M. R. Gilbert ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Symptom Severity ◽  
Karnofsky Performance Status ◽  
Demographic Data ◽  
Performance Status ◽  
Primary Brain Tumor ◽  
Related Factor ◽  
Tumor Patients ◽  
Neurologic Symptoms ◽  
Symptom Inventory

1546 Background: The occurrence of symptoms has been shown to predict treatment course and survival in a number of solid tumor patients. Primary brain tumor patients are unique in the neurologic symptoms that occur. Currently, no instrument exists that measures both neurologic and cancer-related symptoms. Methods: Patients diagnosed with Primary Brain Tumors (PBT) participated in this study. Data collection tools included a patient completed demographic data sheet, an investigator completed clinician checklist, and the core M.D. Anderson Symptom Inventory to which 18 neurologic symptoms were added (M.D. Anderson Symptom Inventory-Brain Tumor Module, MDASI-BT). The study evaluated the reliability and validity of the MDASI-BT in primary brain tumor patients. Results: 201 patients participated in this study. Mean symptom severity of items as well as cluster analysis was used to reduce the number of total items to 22. Regression analysis showed more than half (56%) of the variability in symptom severity was explained by the 9 remaining brain tumor items. Factor analysis was then performed to determine the underlying constructs being evaluated by the remaining items. The 22 item MDASI-BT measures six underlying constructs including affective, cognitive, focal neurologic deficit, constitutional, generalized symptom, and a gastrointestinal related factor. The internal consistency (reliability) of the sets of items comprising the six factors and also the interference scale were .87, .82, .72, .81, .69, .67 and .91 respectively). Test-retest reliability was good in a subset of 19 patients completing the instrument at two points in time. The MDASI-BT was sensitive to disease severity based on Karnofsky performance status (KPS) based on mean symptom severity (1.7 versus 3.8, p < .001) and mean symptom interference (2.2 versus 6.1, p < .001). Conclusions: The 22 item MDASI-BT demonstrated validity and reliability in patients with PBT. This instrument can be used to describe symptom occurrence throughout the disease trajectory and to evaluate interventions designed for symptom management. [Table: see text]

scholarly journals A STUDY OF FACTORS INFLUENCING JOB STRESS AMONG NIGERIAN WORKERS

2021 ◽  
Vol 9 (04) ◽  
pp. 460-463
Author(s):  
Jacinta N. Ugwu ◽  
◽  
Monday D. Aribido ◽  
Keyword(s):  
Data Collection ◽  
Job Stress ◽  
Workplace Stress ◽  
The Other ◽  
Federal State ◽  
Contributory Factor ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Male And Female ◽  
Factors Influencing

The study was conducted to examine workplace stress based on delayed promotion and workplace welfare packages. The study adopted a cross-sectional survey. Workers from Federal, state, and private sectors were drawn from ministries, agencies, and departments as the research participants. The participants included a total of one hundred and thirty-eight (138) workers comprising male and female. A self-developed scale was used for data collection. The findings revealed that delayed promotion in the workplace does not necessarily predict workplace stress.On the other hand, the result also found that workplace welfare packages significantly predicted job stress. The current study concludes that workers observed non-promotion in work is not a contributory factor in job stress among workers. However, workplace welfare packages are implicated in job stress. Therefore, the study recommends that functional workplace welfare packages be established in the workplace.

scholarly journals Medical residency: factors relating to "difficulty in helping" in the resident physician-patient relationship

2011 ◽  
Vol 129 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Mario Alfredo De Marco ◽  
Vanessa Albuquerque Cítero ◽  
Maria Cezira Fantini Nogueira-Martins ◽  
Latife Yazigi ◽  
Lawrence Sagin Wissow ◽  
...  
Keyword(s):  
Karnofsky Performance Status ◽  
Performance Status ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Patient Questionnaire ◽  
Depression And Anxiety ◽  
Physician Patient Relationship ◽  
Cross Sectional Survey ◽  
Karnofsky Performance Status Scale ◽  
Cross Sectional

CONTEXT AND OBJECTIVE: Previous studies have attempted to understand what leads physicians to label patients as 'difficult'. Understanding this process is particularly important for resident physicians, who are developing attitudes that may have long-term impact on their interactions with patients. The aim of this study was to distinguish between patients' self-rated emotional state (anxiety and depression) and residents' perceptions of that state as a predictor of patients being considered difficult. DESIGN AND SETTING: Cross-sectional survey conducted in the hospital of Universidade Federal de São Paulo (Unifesp). METHODS: The residents completed a sociodemographic questionnaire and rated their patients using the Hospital Anxiety and Depression Scale (HADS) and Difficulty in Helping the Patient Questionnaire (DTH). The patients completed HADS independently and were rated using the Karnofsky Performance Status scale. RESULTS: On average, the residents rated the patients as presenting little difficulty. The residents' ratings of difficulty presented an association with their ratings for patient depression (r = 0.35, P = 0.03) and anxiety (r = 0.46, P = 0.02), but not with patients' self-ratings for depression and anxiety. Residents from distant cities were more likely to rate patients as difficult to help than were residents from the city of the hospital (mean score of 1.93 versus 1.07; P = 0.04). CONCLUSIONS: Understanding what leads residents to label patients as having depression and anxiety problems may be a productive approach towards reducing perceived difficulty. Residents from distant cities may be more likely to find their patients difficult

EPID-23. THE PAKISTAN BRAIN TUMOR EPIDEMIOLOGY STUDY: PAVING THE WAY FOR A NATIONAL BRAIN TUMOR REGISTRY

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi90-vi91
Author(s):  
Mashal Shah ◽  
Erum Baig ◽  
Mohammad Hamza Bajwa ◽  
Altaf Ali Laghari ◽  
Saad Bin-Anis ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Data Collection ◽  
Brain Tumors ◽  
Private Sector ◽  
Cancer Registries ◽  
Cross Sectional Study ◽  
Tumor Patients ◽  
Cross Sectional ◽  
Pineal Tumors ◽  
The Public

Abstract INTRODUCTION In Pakistan, brain tumor epidemiology has been examined in single-centre studies or as part of general cancer registries, which are limited by catchment area, age group, or are not specific to brain tumors. The Pakistan Society of Neuro-Oncology conducted a nationwide study to assess the distribution of brain tumor distribution and associated risk factors. This unfunded study explores data from across Pakistan and serves as a potential model for LMICs to emulate. METHODS A cross-sectional study was designed to include patients diagnosed with brain tumors in major neurosurgical centers in Pakistan retrospectively from January-December 2019. Patients, both alive and deceased, with a radiological diagnosis of a brain tumor were included. Data were recorded on a comprehensive online form from 35 centers, encompassing an estimated 85% of all the brain tumor patients seeking initial treatment by a neurosurgeon from the public and private sectors. Data collection was split into three regions: Sindh and Balochistan; Punjab; and Khyber Pakhtunkhwa and Islamabad. Data collection occurred between August 2020 and January 2021. RESULTS A total of 2750 brain tumor cases were recorded of which 1897 (69%) were diagnosed in the private sector hospitals. MRIs were a more common radiological study compared to CT scans. 2666 surgeries were performed, 174 individuals underwent chemotherapy and 479 underwent radiation therapy; approximately two-thirds of the patients that require adjuvant treatment are not able to receive it. Gliomas were the most common tumor, while pineal tumors were the least common. Findings indicate a low metastasis frequency and few females seeking care. CONCLUSION The study shows that brain tumors are mostly diagnosed and operated on in the private sector; the public sector should be more engaged. The study also highlights that despite inconsistencies in hospital records for brain tumor patients, reliable information can be collected in LMIC settings.

scholarly journals QLIF-20. A CROSS-SECTIONAL STUDY OF DISTRESS THROUGHOUT THE DISEASE TRAJECTORY IN PRIMARY BRAIN TUMOR PATIENTS

2016 ◽  
Vol 18 (suppl_6) ◽  
pp. vi160-vi160
Author(s):  
Dina Randazzo ◽  
Frances McSherry ◽  
James Herndon ◽  
Mary Lou Affronti ◽  
Eric Lipp ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Cross Sectional Study ◽  
Primary Brain Tumor ◽  
Sectional Study ◽  
Tumor Patients ◽  
Cross Sectional ◽  
Disease Trajectory

Swallowing assessment in primary brain tumor patients with dysphagia

Neurology ◽  
1994 ◽  
Vol 44 (10) ◽  
pp. 1927-1927 ◽  
Author(s):  
H. B. Newton ◽  
C. Newton ◽  
D. Pearl ◽  
T. Davidson
Keyword(s):  
Brain Tumor ◽  
Primary Brain Tumor ◽  
Tumor Patients ◽  
Swallowing Assessment

scholarly journals STMO-12 Efforts for safe malignant brain tumor surgery at our hospital

2021 ◽  
Vol 3 (Supplement_6) ◽  
pp. vi13-vi13
Author(s):  
Yusuke Kobayashi ◽  
Yosuke Satou ◽  
Takashi Kon ◽  
Daisuke Tanioka ◽  
Katsuyoshi Shimizu ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Pyramidal Tract ◽  
Removal Rate ◽  
Karnofsky Performance Status ◽  
Premotor Cortex ◽  
Performance Status ◽  
Motor Evoked Potential ◽  
Malignant Brain Tumor ◽  
Tumor Surgery ◽  
Brain Tumor Surgery

Abstract Although maximal safe resection is the current standard for glioblastoma surgery, its safety and removal rate conflict with each other. Electrophysiological monitoring, such as motor evoked potential monitoring and awake craniotomy, can be utilized as safety measures; not all facilities can perform them. Herein, we present a representative case report on our efforts for a safe malignant brain tumor surgery. Case: A 77-year-old woman with glioblastoma in the premotor cortex presented with seizure of the upper left lower limb. Her pyramidal tract ran from the medial bottom to the posterior of the tumor. We performed excision from the site using the lowest gamma entropy. We then removed all parts of the tumor, with the exception of the pyramidal tract infiltration, and no paralysis was observed. She was definitively diagnosed with glioblastoma and is currently on maintenance chemotherapy. As a preoperative examination, we performed cerebrovascular angiography. We then performed various other tests to ascertain the patient’s condition. Considering lesions that affect language, Wada tests were performed regardless of laterality. For all patients with epilepsy onset, preoperative 256-channel electroencephalogram measurement and intraoperative the gamma entropy analysis were performed to confirm epileptogenicity. Considering lesions that affect eloquence, subdural electrodes were placed and brain function mapping was performed the next day. Based on the results, the safest cortical incision site and excision range were determined, and excision was performed on the following day. Of the 14 operated glioblastoma cases after November 2018, more than 85% of the contrast-enhanced lesions were completely removed in 7 cases, partially removed in 5 cases, and underwent biopsy in 2 cases. Postoperative Karnofsky performance status scores remained unchanged in 11 cases, improved in 1 case, and deteriorated in 2 cases. Our efforts have resulted in safe and sufficient removal of malignant brain tumors during surgery.

scholarly journals The four weeks before lockdown during the COVID-19 pandemic in Germany: a weekly serial cross-sectional survey on risk perceptions, knowledge, public trust and behaviour, 3 to 25 March 2020

2021 ◽  
Vol 26 (42) ◽  
Author(s):  
Cornelia Betsch ◽  
Lars Korn ◽  
Tanja Burgard ◽  
Wolfgang Gaissmaier ◽  
Lisa Felgendreff ◽  
...  
Keyword(s):  
Data Collection ◽  
Risk Perceptions ◽  
Online Survey ◽  
Adult Population ◽  
Healthcare Sector ◽  
Federal State ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Variables ◽  
Trust In Institutions

Background During the COVID-19 pandemic, public perceptions and behaviours have had to adapt rapidly to new risk scenarios and radical behavioural restrictions. Aim To identify major drivers of acceptance of protective behaviours during the 4-week transition from virtually no COVID-19 cases to the nationwide lockdown in Germany (3–25 March 2020). Methods A serial cross-sectional online survey was administered weekly to ca 1,000 unique individuals for four data collection rounds in March 2020 using non-probability quota samples, representative of the German adult population between 18 and 74 years in terms of age × sex and federal state (n = 3,910). Acceptance of restrictions was regressed on sociodemographic variables, time and psychological variables, e.g. trust, risk perceptions, self-efficacy. Extraction of homogenous clusters was based on knowledge and behaviour. Results Acceptance of restrictive policies increased with participants’ age and employment in the healthcare sector; cognitive and particularly affective risk perceptions were further significant predictors. Acceptance increased over time, as trust in institutions became more relevant and trust in media became less relevant. The cluster analysis further indicated that having a higher education increased the gap between knowledge and behaviour. Trust in institutions was related to conversion of knowledge into action. Conclusion Identifying relevant principles that increase acceptance will remain crucial to the development of strategies that help adjust behaviour to control the pandemic, possibly for years to come. Based on our findings, we provide operational recommendations for health authorities regarding data collection, health communication and outreach.

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