Attention To Cancer Patients Research Articles

Malnutrion In Patient Cancer

Nutrition is an important part on the implementation of cancer, both in patients who are undergoing therapy, restoration of the therapy, in a State of remission or to prevent a recurrence. Nutritional status in cancer patients is known to correlate with response therapy, prognosis and quality of life. More or less 30-87% of cancer patients experiencing malnutrition before undergoing therapy. The incidence of malnutrition vary depending on the origin of cancer, for example in patients with pancreatic cancer and gaster are experiencing malnutrition to 85%, 66% in lung cancer, and 35% in breast cancer. One of the problems of nutrients that need attention in cancer patients is the kaheksia. The malnutrition common in advance because the nutrition component of the intake not as recommended.

Reasons and Associated Factors for Emergency Room Visits of Cancer Patients in a Tertiary Hospital, Thailand

Objective: To investigate the reasons leading cancer patients to visit an emergency room (ER) and the associated factors, which will suggest policies to reduce unnecessary ER visits.Material and Methods: A cross-sectional study was done in Songklanagarind Hospital, the major referral center in Southern Thailand. The data of cancer patients aged 18 years or older diagnosed during 2011 to 2018 were retrieved from our Hospital Information System. The reasons for the ER visits were defined and classified using the “chief complaints” from doctors’ notes. A negative binomial regression model was used to assess factors associated with the ER visits.Results: A total of 42,574 cancer patients were identified during the study period. 8,307 (19.5%) had visited the ER at least once. The most common cancer type was of the digestive organs (28.1%). The top 5 reasons for an ER visit were pain (25.4%), dyspnea (11.5%), abdominal discomfort (6.0%), fever (5.9%), and stoma and catheter device-related problems (5.2%). The most common factors associated with ER visits were age, metastasis, palliative chemotherapy or radiotherapy, previous hospitalization, years with cancer, type of cancer and healthcare scheme.Conclusion: Pain and dyspnea were the two most common chief complaints leading cancer patients to visit the ER. These two symptoms should be given special attention in cancer patients, especially those receiving chemotherapy or radiation, to ensure they are well controlled and do not lead to unnecessary ER visits.

Cancer Patient with Malnutrition

Nutrition is an important part on the implementation of cancer, both in patients who are undergoing therapy, restoration of the therapy, in a State of remission or to prevent a recurrence. Nutritional status in cancer patients is known to correlate with response therapy, prognosis and quality of life. More or less 30-87% of cancer patients experiencing malnutrition before undergoing therapy. The incidence of malnutrition vary depending on the origin of cancer, for example in patients with pancreatic cancer and gaster are experiencing malnutrition to 85%, 66% in lung cancer, and 35% in breast cancer. One of the problems of nutrients that need attention in cancer patients is the kaheksia. The malnutrition common in advance because the nutrition component of the intake not as recommended.

THE EFFECT OF OPHIOCEPHALUS STRIATUS EXTRACT ON SERUM LEPTIN LEVEL OF CANCER CACHEXIA PATIENTS

Cancer is a disease caused by the abnormal growth of tissue cells that turn into cancer cells. Cancer can cause severe adverse effects for nutritional status. One of the nutritional problems that need attention in cancer patients is cachexia. The pathophysiology of cancer cahexia is multifactorial and not fully understood. Until now, the inflammation is a common concept raised by several studies on cancer cachexia. Leptin is a hormone produced by adipose tissue and is a member of adipocytokines that play a role in adipose tissue signaling hormones. Leptin plays an important role in signaling that regulates energy homeostasis is both central and peripheral, reduce appetite, adipose tissue mass and body weight. Cork fish or Snakehead (Family Channidae) are known to contain higher protein than other fish species. Cork fish is a potential source of albumin. This study was conducted with the aim to determine the effect of cork fish extract on serum leptin levels in cancer cahexia patients. This study is an open label clinical trial with one group pretest-posttest design. The study was conducted in July - December 2019 at the Haji Adam Malik Hospital in Medan with the approval of the USU FK Research Ethics Commission. Data were analyzed using SPPS program where p <0.05 was considered significant. This study showed that there was a significant difference in the serum leptin levels of the subjects before and after receiving Ophiocephalus striatus extract for two weeks.

THE EFFECT OF PERCUTANEOUS CORONARY INTERVENTION (PCI) WITH DES ON ANTITHROMBIN-III (AT-III) AND THROMBIN ANTITHROMBIN COMPLEX (TAT) IN CORONARY HEART DISEASE PATIENTS AT HAJI ADAM MALIK GENERAL HOSPITAL

Cancer is a disease caused by the abnormal growth of tissue cells that turn into cancer cells. Cancer can cause severe adverse effects for nutritional status. One of the nutritional problems that need attention in cancer patients is cachexia. The pathophysiology of cancer cahexia is multifactorial and not fully understood. Until now, the inflammation is a common concept raised by several studies on cancer cachexia. Leptin is a hormone produced by adipose tissue and is a member of adipocytokines that play a role in adipose tissue signaling hormones. Leptin plays an important role in signaling that regulates energy homeostasis is both central and peripheral, reduce appetite, adipose tissue mass and body weight. Cork fish or Snakehead (Family Channidae) are known to contain higher protein than other fish species. Cork fish is a potential source of albumin. This study was conducted with the aim to determine the effect of cork fish extract on serum leptin levels in cancer cahexia patients. This study is an open label clinical trial with one group pretest-posttest design. The study was conducted in July - December 2019 at the Haji Adam Malik Hospital in Medan with the approval of the USU FK Research Ethics Commission. Data were analyzed using SPPS program where p <0.05 was considered significant. This study showed that there was a significant difference in the serum leptin levels of the subjects before and after receiving Ophiocephalus striatus extract for two weeks.

Malnutrion In Patient Cancer

Nutrition is an important part on the implementation of cancer, both in patients who are undergoing therapy, restoration of the therapy, in a State of remission or to prevent a recurrence. Nutritional status in cancer patients is known to correlate with response therapy, prognosis and quality of life. More or less 30-87% of cancer patients experiencing malnutrition before undergoing therapy. The incidence of malnutrition vary depending on the origin of cancer, for example in patients with pancreatic cancer and gaster are experiencing malnutrition to 85%, 66% in lung cancer, and 35% in breast cancer. One of the problems of nutrients that need attention in cancer patients is the kaheksia. The malnutrition common in advance because the nutrition component of the intake not as recommended.

Malnutrion In Patient Cancer

Nutrition is an important part on the implementation of cancer, both in patients who are undergoing therapy, restoration of the therapy, in a State of remission or to prevent a recurrence. Nutritional status in cancer patients is known to correlate with response therapy, prognosis and quality of life. More or less 30-87% of cancer patients experiencing malnutrition before undergoing therapy. The incidence of malnutrition vary depending on the origin of cancer, for example in patients with pancreatic cancer and gaster are experiencing malnutrition to 85%, 66% in lung cancer, and 35% in breast cancer. One of the problems of nutrients that need attention in cancer patients is the kaheksia. The malnutrition common in advance because the nutrition component of the intake not as recommended.

Significance of muscle mass decreasing on prognosis after pancreatic cancer surgery

Aim: The relationship between preoperative sarcopenia and its prognosis has been drawing attention in cancer patients. We examined the influence of postoperative muscle mass change in patients with pancreatic cancer. Methods: In 71 patients of pancreatic cancer surgery between January 2011 and June 2016, 63 patients who underwent CT imaging at 3 months after surgery were evaluated the rate of decrease of preoperative muscle mass to postoperative muscle mass using L3 level skeletal muscle area (cm2) on CT imaging. The survival of high grade muscle change rate (High MCR group: 31 cases) in whom muscle mass decreased significantly after surgery, and low grade muscle change rate (Low MCR group: 32 cases) in whom decreased slightly were compared and examined. Results: The median rate of decrease in muscle mass at 3 months after pancreatic cancer surgery was 10.9%. There was no significant difference in background, perioperative factor, treatment outcome and cumulative survival rate between the two groups (High MCR group 358 days vs. Low MCR group 456 days, p = 0.463). In a subgroup analysis of 21 patients of distal pancreatectomy (DP), the survival was significantly poor in the low muscle group (High MCR group 456 days vs. Low MCR group 1014 days, p = 0.044). Conclusion: Pancreatic cancer patients had muscle mass decreasing more than 10.9% in 3 months after surgery. In DP, postoperative muscle mass decreasing may contribute to survival.

Dysfunction of the neural network associated with sustained attention in cancer patients with clinically significant depressive symptoms

Introduction: A breast cancer diagnosis is a major stressor in women that might mediate disabling depressive symptoms. Dysfunction of the neural network associated with attentive processing of emotional information has been considered an important pathophysiologic mechanism of depression. Attention deficit and related brain abnormalities in patients with clinically significant depressive symptoms were investigated by comparing patients without clinically significant depressive symptoms when they were diagnosed with breast cancer. Methods: Twelve breast cancer patients with clinically significant depressive symptoms and 12 breast cancer patients without clinically significant depressive symptoms participated in this study. A psychiatric assessment and attention task were performed during a positron-emission tomography (PET) scan. Independent-samples t-tests, Pearson correlation, and statistical parametric mapping analyses were performed. Results: The performance during the sustained attention task was worse in the depressed group than in the nondepressed group, with the behavioral performance being negatively correlated with the severity of depressive symptoms. The regional glucose metabolism during the task was markedly reduced in four brain regions, including bilateral dorsolateral prefrontal cortices. Regional [F-18] fluoro-2-deoxyglucose uptake in the right dorsolateral prefrontal cortex was significantly correlated with behavioral performance. Discussion: Deficit in sustained attention and related brain abnormalities were found in breast cancer patients with significant depressive symptoms in this study. As a reactive change to a psychosocial stressor, depressive symptoms might be associated with brain dysfunction after a cancer diagnosis. Prefrontal dysfunction may play an important role in the pathophysiology of attention deficit in depressive disorder.

Development of an intervention to restore attention in cancer patients

Developing interventions to maintain or restore attentional capacity during demanding phases of illness will help promote effective functioning in people with cancer. This study tested the effects of an experimental intervention aimed at maintaining or restoring attentional capacity in 32 women during the 3 months after surgery for localized (Stage I or II) breast cancer. The intervention was designed to minimize or prevent attentional fatigue through regular participation in activities that engage fascination and have other restorative properties. Attentional capacity was assessed using objective and subjective measures at four time points, approximately 3, 18, 60, and 90 days after breast cancer surgery. After the first observation, subjects were randomly assigned to receive the intervention (n = 16) or not to receive intervention (n = 16). Repeated measures ANOVA showed a significant interaction of experimental intervention and time on attentional capacity. Specifically, subjects in the intervention group showed significant improvement in attentional capacity over the four time points, while the nonintervention group showed a pattern of inconsistent performance over time. Findings suggest that nurses can intervene to maintain or restore attentional capacity in women after surgery for localized breast cancer. The theoretical basis for further development of attention-restoring interventions in patients with cancer is discussed.