Liaquat National Journal of Cancer Care最新文献_第4页

Limited Wedge Resection of a Duodenal Gist in a Patient with Intermittent Melena 间歇性黑黑症患者有限楔形切除十二指肠Gist 1例

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.2.3

引用次数: 0

Determinants of sleep quality in cancer patients: a tertiary center experience from Punjab, Pakistan 癌症患者睡眠质量的决定因素:巴基斯坦旁遮普三级中心的经验

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.4.3

{"title":"Determinants of sleep quality in cancer patients: a tertiary center experience from Punjab, Pakistan","authors":"","doi":"10.37184/lnjcc.2789-0112.4.3","DOIUrl":"https://doi.org/10.37184/lnjcc.2789-0112.4.3","url":null,"abstract":"Background: \u0000Cancer diagnosis and treatment can trigger and/or worsen insomnia. This is a double-edged sword as sleep disturbances then exacerbate cancer symptoms. \u0000\u0000Objectives: \u0000To determine the sleep quality in cancer patients as well as the relationship of sleep quality with socioeconomic status, financial burden, marital status, Eastern Cooperative Oncology Group (ECOG) performance status, pain, use of analgesia, and type of cancer.\u0000\u0000Materials and Methods:\u0000 An analytical cross-sectional study was carried out with 100 adult and pediatric cancer patients presenting to Mayo Hospital, Lahore. The Urdu version of the Pittsburg Sleep Quality Index (PSQI-U), Numerical Rating Scale (NRS), and Eastern Cooperative Oncology Group (ECOG) score were used to determine the quality of sleep, the intensity of pain, and performance status respectively. Statistical analysis was carried out using SPSS software version 26. Binary logistic regression was used to assess factors associated with sleep quality (defined by a cutoff value of ≥5 on the PSQI scale). Variables with p-value <0.25 were used to build the final multivariable regression model.\u0000\u0000Results:\u0000A total of 100 participants, with a mean age of 40.2 ± 19.7 years, and a male gender predilection (88%) were enrolled in the study. Non-hematological malignancies accounted for 62% of all patients while 80% of the participants were suffering from stage 4 cancer. The mean PSQI score was 11.56 ± 5.70. Sleep quality was associated with increasing age, marital status, employment status, pain incidence, increasing ECOG status, and undergoing chemotherapy on univariate analysis. On the multivariable model, increasing age and increasing ECOG scores were independent predictors of sleep quality. \u0000\u0000Conclusion:\u0000Cancer patients have poor sleep quality which is linked with advanced disease, aging, pain, and poor performance status. Medical, behavioral, and psychological interventions can help in alleviating the sleep problems faced by these patients.","PeriodicalId":363682,"journal":{"name":"Liaquat National Journal of Cancer Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129329224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

End- of- Life Care: Beneficence Undermines Patient’s Autonomy 临终关怀:慈善破坏了病人的自主权

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.3.5

{"title":"End- of- Life Care: Beneficence Undermines Patient’s Autonomy","authors":"","doi":"10.37184/lnjcc.2789-0112.3.5","DOIUrl":"https://doi.org/10.37184/lnjcc.2789-0112.3.5","url":null,"abstract":"End-of-life care is a decision-making process in which health care providers, patients, and their families play a crucial role in easing the suffering of the patients and their families. Usually, end-of-life decision-making takes place in a critical situation of the patient; therefore, health care providers, particularly, physicians and nurses play a major role in making a decision for the patient’s life with regards to updated knowledge and practice. In this view, health care providers face many challenges in end-of-life decision-making due to controversy among equally unfavorable solutions; particularly between two ethical principles i.e., patient autonomy and beneficence. Health care providers often overweigh beneficence over autonomy regarding less suffering for the patient and his/her family. This approach of health care providers raises a question for undermining patients' autonomy and violating the basic ethical right of a patient. To overcome these kinds of ethical challenges, it is imperative to equip health care providers with updated knowledge of advance directives for patients. In addition, patients and their families should be well informed from the beginning to the end stage of the patient stay in the hospital. Besides, each hospital should have an ethical expert committee including nurses to analyze the entire situation and to make the decision in the best interest of the patient and his/her family.","PeriodicalId":363682,"journal":{"name":"Liaquat National Journal of Cancer Care","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114816877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethnic Differences in the Expression of Her-2/neu Positive Breast Cancer Phenotype Her-2/neu阳性乳腺癌表型表达的民族差异

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.4.15

引用次数: 0

Is Health a Right or Family’s Property? 健康是权利还是家庭财产?

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.2.5

Zainish Zafarullah Hajiani, A. Hirani, S. Verasiya, Nasreen Rafiq, Shyrose Sultan

引用次数: 0

Robotics: The Way Forward 机器人技术:未来之路

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.4.5

引用次数: 0

Ethnic Differences in the Expression of Her2/neu phenotype among women with breast cancer 乳腺癌女性Her2/neu表型表达的种族差异

Liaquat National Journal of Cancer Care Pub Date : 1900-01-01 DOI: 10.37184/lnjcc.2789-0112.4.14

{"title":"Ethnic Differences in the Expression of Her2/neu phenotype among women with breast cancer","authors":"","doi":"10.37184/lnjcc.2789-0112.4.14","DOIUrl":"https://doi.org/10.37184/lnjcc.2789-0112.4.14","url":null,"abstract":"Background: Her2/neu plays a vital role in the management of breast cancer. Studies have shown differences in the expression of her2/neu as per ethnicity.\u0000\u0000Objectives: To assess the association of HER2/neu positive breast cancer with various ethnicities in Karachi, Sindh, Pakistan. \u0000\u0000Methodology: A prospective observational study was conducted at the Department of Oncology, Jinnah Postgraduate Medical Centre between June 2019 to January 2022. All patients referred to the oncology department from the outpatient department and emergency department for the management of breast cancer were eligible to partake in the study. Diagnosis of breast cancer was made on histopathology. Patients' socio-demographics including age, gender, occupation, education, ethnicity (Urdu speaking, Sindhi, Punjabi, Balochi, Pushtoons, and others), and clinical parameters including the site of the tumor, stage, and grade at presentation, and first-line treatment were documented. \u0000\u0000Results: A total of 550 patients were included. Overall her2neu positivity was seen at the rate of 34.7%(191/550), however as per ethnicity he2neu expression was the most in Pushtoons at the rate of 44.9%, with significant differences seen between the Pushtoons and the Balochis (p= <0.05).\u0000\u0000Conclusion: We found the highest rate of HER2neu positivity in Pushtoons and the least in Balochis, however further studies are warranted in larger study populations.","PeriodicalId":363682,"journal":{"name":"Liaquat National Journal of Cancer Care","volume":"19 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120818573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1