Thinking Through the Chemo-Fog: Occupational Therapy’s Role in Promoting Participation in Adults with Breast Cancer

Breast cancer is currently the most common type of cancer in women (American Cancer Society, 2012). In 2012, 2,971,610 women in the United States were breast cancer survivors (American Cancer Society, 2012). Chemotherapy is often used to effectively treat breast cancer but can cause chemobrain, or chemotherapy-related cognitive impairments (CRCI), including decreased attention, concentration, memory, and difficulty learning new skills and completing routine tasks (American Cancer Society, 2013). CRCI can persist for years and may impact an individual’s occupational performance in daily activities and occupations. Occupational therapy practitioners currently work with this population in other areas including cancer-related fatigue management, lymphedema, physical limitations post-surgery, and psychosocial distress. However, the increasing number of breast cancer survivors and prevalence of CRCI highlight the importance for expanding and defining occupational therapy’s role with this population. The purpose of this presentation is to present the results of a systematic review on interventions within occupational therapy’s scope of practice that can be used to improve CRCI in adults with breast cancer, and to discuss the implications for clinical practice. A comprehensive literature review was performed to understand the role of occupational therapy in treating individuals with chemobrain. CINAHL, Medline and Cochrane databases were used to conduct the review following inclusion criteria (literature published after 2003, and adults with breast cancer who have received chemotherapy) and exclusion criteria. To minimize bias, all articles were critiqued by a primary and secondary reviewer. Thirteen articles were reviewed. The literature review determined health professionals tend to not acknowledge the presence of CRCI, and there is a need for health care professionals to address the symptoms of CRCI. Current interventions that fit within the scope of occupational therapy are being implemented primarily by other disciplines, such as memory strategies and training, and running support groups. The lack of high quality evidence supporting the role of occupational therapy highlights the need for further research and the development of evidence-based interventions that include using compensatory, remedial, psychosocial, and patient education interventions. References: American Cancer Society. (2012). Cancer treatment and survivorship facts & figures 2012-2013. Retrieved from http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-033876.pdf. American Cancer Society. (2013). Chemo brain. Retrieved from http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/chemotherapyeffects/chemo-brai

Perspectivas de investigación sobre estudiantes en Gran Bretaña e Irlanda, 1800-1945

Historians of Britain and Ireland have long been interested in universities and students. They have acknowledged the importance of these institutions and individuals within the history of elites, the history of the state, intellectual history, the history of science, of social movements and of politics and political thought. Yet, for many years much of this research has centred around higher education institutions themselves rather than the student body that they cater for. Following the expansion of the higher education sector and the growth of the student movement in the 1960s the quantity and quality of literature on British and Irish students, rather than the institutions that they studied at, has grown substantially and has become a burgeoning historical field. This article surveys the development of this historiography and the key research perspectives on students in Britain and Ireland from 1800-1945, focusing on five thematic areas: student culture, student representation and politics, student life during war, students race and empire, and student women - to track the progress, development and connections between the different strands of this historiography over the past fifty years and to offer insights into potential avenues for further research.Los historiadores de Gran Bretaña e Irlanda se han interesado durante mucho tiempo en las universidades y los es­tudiantes. Han reconocido la importancia de estas instituciones e individuos dentro de la historia de las élites, la historia del Estado, la historia intelectual, la historia de la ciencia, de los movimientos sociales y de la política y el pensamiento político. Sin embargo, durante muchos años, gran parte de esta investigación se ha centrado en las propias instituciones de educación superior y no en el alumnado al que atienden. Tras la expansión del sector de la educación superior y el crecimiento del movimiento estudiantil en la década de 1960, la cantidad y la calidad de la literatura sobre estudiantes británicos e irlandeses, en lugar de las instituciones en las que estudiaron, ha crecido sustancialmente y se ha convertido en un floreciente campo histórico. Este artículo analiza el desarrollo de esta historiografía y las perspectivas de investigación clave sobre los estudiantes en Gran Bretaña e Irlanda en­tre 1800 y 1945, centrándose en cinco áreas temáticas: cultura estudiantil, representación y política estudiantil, vida estudiantil durante la guerra, raza e imperio estudiantil y mujeres estudiantes, para rastrear el progreso, el de­sarrollo y las conexiones entre las diferentes corrientes de esta historiografía durante los últimos cincuenta años y ofrecer información sobre posibles vías para futuras investigaciones

Radiation-Hydrodynamics of Hot Jupiter Atmospheres

Radiative transfer in planetary atmospheres is usually treated in the static limit, i.e., neglecting atmospheric motions. We argue that hot Jupiter atmospheres, with possibly fast (sonic) wind speeds, may require a more strongly coupled treatment, formally in the regime of radiation-hydrodynamics. To lowest order in v/c, relativistic Doppler shifts distort line profiles along optical paths with finite wind velocity gradients. This leads to flow-dependent deviations in the effective emission and absorption properties of the atmospheric medium. Evaluating the overall impact of these distortions on the radiative structure of a dynamic atmosphere is non-trivial. We present transmissivity and systematic equivalent width excess calculations which suggest possibly important consequences for radiation transport in hot Jupiter atmospheres. If winds are fast and bulk Doppler shifts are indeed important for the global radiative balance, accurate modeling and reliable data interpretation for hot Jupiter atmospheres may prove challenging: it would involve anisotropic and dynamic radiative transfer in a coupled radiation-hydrodynamical flow. On the bright side, it would also imply that the emergent properties of hot Jupiter atmospheres are more direct tracers of their atmospheric flows than is the case for Solar System planets. Radiation-hydrodynamics may also influence radiative transfer in other classes of hot exoplanetary atmospheres with fast winds.Comment: 25 pages, 4 figures, accepted for publication in ApJ (minor revisions

The WiggleZ Dark Energy Survey: Survey Design and First Data Release

The WiggleZ Dark Energy Survey is a survey of 240,000 emission line galaxies in the distant universe, measured with the AAOmega spectrograph on the 3.9-m Anglo-Australian Telescope (AAT). The target galaxies are selected using ultraviolet photometry from the GALEX satellite, with a flux limit of NUV<22.8 mag. The redshift range containing 90% of the galaxies is 0.2<z<1.0. The primary aim of the survey is to precisely measure the scale of baryon acoustic oscillations (BAO) imprinted on the spatial distribution of these galaxies at look-back times of 4-8 Gyrs. Detailed forecasts indicate the survey will measure the BAO scale to better than 2% and the tangential and radial acoustic wave scales to approximately 3% and 5%, respectively. This paper provides a detailed description of the survey and its design, as well as the spectroscopic observations, data reduction, and redshift measurement techniques employed. It also presents an analysis of the properties of the target galaxies, including emission line diagnostics which show that they are mostly extreme starburst galaxies, and Hubble Space Telescope images, which show they contain a high fraction of interacting or distorted systems. In conjunction with this paper, we make a public data release of data for the first 100,000 galaxies measured for the project.Comment: Accepted by MNRAS; this has some figures in low resolution format. Full resolution PDF version (7MB) available at http://www.physics.uq.edu.au/people/mjd/pub/wigglez1.pdf The WiggleZ home page is at http://wigglez.swin.edu.au

Healthy Links – Addressing Social Determinants of Health and Improving Cardiac Health with Medically Tailored Meals

Introduction: • Social determinants of health (SDOH) strongly influence risk factors for cardiac disease, especially in rural areas • Medically-tailored meals have shown promising results for reducing hospitalizations • Some state insurance programs are covering medically-tailored meals given beneficial outcome studies • This project builds upon prior Healthy Links programs to expand our reach to rural patientshttps://knowledgeconnection.mainehealth.org/lambrew-retreat-2023/1010/thumbnail.jp

Symposium: Giving Korematsu v. United States A Sober Second Thought

We are elated to present Professor Mark Killenbeck’s thought provoking article, Sober Second Thought? Korematsu Reconsidered. Killenbeck dives into the Korematsu opinion and its history with great care to determine whether it truly “has no place in law under the Constitution” as Chief Justice John Roberts declared in Trump v. Hawaii.1 While Korematsu’s result provides an understandable “impulse to condemn” it, Killenbeck shows us that focusing solely on the case’s result “stands apart from and in stark contrast to its most important place in the constitutional order: articulation of precepts and terminology that provide the foundations for strict scrutiny.

Unusual presentation of canine Mycobacterium avium infection

This short communication describes the clinical and morphological findings, diagnosis, and treatment of a case of Mycobacterium avium infection in a golden retriever that presented with a progressive nasal swelling and lymphadenopathy. Although well documented in cats, where cutaneous lesions are frequently recognised, canine M. avium infection is less commonly reported, and cutaneous lesions are rare. To the authors’ knowledge this is the first documented case of canine M. avium infection that presented with a cutaneous lesion but no systemic clinical signs. It occurred in a dog with nopreviously reported breed predisposition and highlights that in cases of cutaneous histiocytic infiltrate in dogs M. avium should remain a differential diagnosis, even in the absence of suggestive organisms on histopathological examination