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1
Tong, Ka-keung, and 唐家強. "Cancer Treatment Centre." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31983066.
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Karnas, Diana Maria Girardi. "The psychology of the environment in children's health care setting : James Whitcomb Riley Hospital for Children - Cancer Unit." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845987.
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Hospitals are constantly evolving to keep pace with the latest medical technologies. Whether it is a refurbishment of an existing facility or the addition of a new unit, the design process usually focuses on the technological requirements rather than the human elements of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new Cancer Unit. By balancing the technological requirements with the physical and psychological needs of the pediatric bone marrow transplant and hematology/oncology patients, one can create a healing environment more conducive to a rapid recovery.Department of Architecture
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Saillant, Francine. "Les aspects culturels de l'expérience du cancer en contexte clinique moderne /." Thesis, McGill University, 1986. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=70357.
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This thesis focuses on the cultural construction of cancer experience in a modern clinical context. A French Canadian center, specializing in cancer treatment, was the main source of information for this study. Facts obtained from this setting served for the analysis. The first step in the proposed method, consisted of an ethnographic description of the clinical milieu observed. Next, five additional steps in the analysis indicated the principal elements of this cultural encounter with cancer. These steps included: (1) An analysis of the staff exchange; (2) An analysis of the patient's exchange; (3) An analysis of the documents on Terry Fox and Johnny Rougeau, heroic victims of cancer; (4) An exploration of the patients' lay knowledge on cancer; (5) A life story of a cancerous patient where by the dialectic trends between exchange, knowledge and experience are analysed.The resultant three hypotheses deal with the emergence of a new exchange on cancer with an emphasis on hope and god morale, the homology of cancer exchanges in the clinical and social spheres, and finally concerning the nature of the layman's knowledge on cancer as making sense out of a troubling experience of liminality and alienation as well as the more open and dynamic character of the layperson's knowledge of cancer.
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Champlin, Anne. "Doing time : an ethnographic study of waiting in the cancer treatment experience /." Access Digital Full Text version, 1995. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11750832.
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Thesis (Ed.D.)--Teachers College, Columbia University, 1995.Includes appendices. Typescript; issued also on microfilm. Sponsor: Elizabeth Tucker. Dissertation Committee: Herve Varenne. Includes bibliographical references (leaves 126-132).
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Chalfant, Cheryl Lynn. "Design guidelines for therapeutic gardens serving cancer patients." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1231344.
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A growing body of research suggests that certain environmental conditions may positively contribute to the healing process. Consequently, the medical and design professions are now exploring how the medical environment - both indoors and out - can better support the health and well being of its patients and their caregivers. Landscape architects and environmental psychologists are contributing to the growing interest in healing environments by exploring the relationship between nature, therapeutic gardens, and patient healing.One result of this interest has been the formulation of design recommendations for therapeutic gardens serving specific populations such as those with Alzheimer's Disease, AIDS or psychiatric illnesses. However, little attention has been given to therapeutic gardens designed to meet the needs of cancer patients even though a number of such gardens already exist. The purpose of this project is to identify design guidelines for therapeutic gardens that support the health and well being of cancer patients and to use these guidelines to design a model garden.The research for this project focused on two areas. First, literature review and interviews with employees of Ball Memorial Hospital were used to establish a base knowledge of cancer, including the emotional, physical and psychological characteristics associated with it. Next, characteristics of healing environments for cancer patients were determined through literature review, review of case studies and interviews with Ball Memorial Hospital employees. Based upon this research, design guidelines were established for therapeutic gardens serving cancer patients and applied in a design for Ball Memorial Hospital's soon to be completed CancerCenter.Department of Landscape Architecture
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Wu, Po-man, and 胡寶文. "Statistical analysis of cancer of cervix patients at Queen Mary Hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31976815.
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Wan, Yin Xie Yang. "Examine the effect of geographic distance on breast cancer patients' utilization of high volume hospitals." [Iowa City, Iowa] : University of Iowa, 2009. http://ir.uiowa.edu/etd/446.
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Wan, Yin. "Examine the effect of geographic distance on breast cancer patients' utilization of high volume hospitals." Thesis, University of Iowa, 2009. https://ir.uiowa.edu/etd/446.
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Volume has been suggested as a surrogate quality indicator for breast cancer surgeries by several researchers. It is crucial to understand the underlying reasons as to why there is a disparity in utilization of high volume hospitals. However, the studies that investigated the mechanism underlying the disparity in high volume hospital utilization are very limited.
The objectives of this study include: 1) examine the relationship between geographic differential distance and utilization of high volume hospitals; 2) investigate other demographic, socioeconomic and clinical factors that may affect patients' utilization of high volume hospitals. Multivariate logistic regressions were used to evaluate factors that impact patients' utilization of high volume hospitals.
The study results showed that geographic distance is a significant factor that impedes patients' utilization of high volume hospitals, independent of patients' clinical, demographic, and socioeconomic characteristics. It was also found that white, non-Hispanic women, patients with higher education level are more likely to be admitted in high volume hospitals compared to low volume hospitals. These factors are also significant to patients' choice of medium vs. low volume hospitals.
Geographic proximity is an important factor that affects patients' choice of hospital, and directing more patients to high volume hospitals should anticipate negative effects, such as increasing the cost of seeking care at high volume hospitals. Alternative strategies need to be developed to improve surgical outcomes without increasing patients' traveling related cost, such as enhancing the network between high volume hospitals and low volume hospitals, establishing radiation centers in rural areas.
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Webster, Elizabeth Natalie. "Health care Facilities as a Predictor of Breast Cancer Survival Rates." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6145.
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The disparity between survival rates for Black and White women with breast cancer is well documented and has been examined in terms socioeconomics, environment, tumor type, and genetics. However, there is little examination of the role of health care facilities in cancer disparities. Health care facilities are representative of societal norms and beliefs that include location, quality of care, finance, policies, and staffing; therefore, they are a proxy for social justice and social change. The purpose of this study was to examine correlations between health care facility type; social determinants of cancer such as poverty, culture, and social justice; and breast cancer survival rates. Using the social determinants of cancer theoretical framework, the breast cancer survival rate of 4,087 Black and White women in Georgia between the ages of 45 and 69 was studied. The relationship between breast cancer survival and predictors including race, income, health care facility type, grade, and tumor type (4 sub-variables) were examined using the Kaplan-Meier Method, log-rank test, and Cox proportional hazard model. The log-rank test suggested no statistically significant difference in the survival functions among patients in different health care facilities (Ï?2(2) = 0.0150, p = 0.9926). The Cox proportional hazard model suggested no statistically significant relationship between breast cancer survival and health care facility type, after controlling for other predictors (Ï?2(2) = 0.3647, p = 0.8333). This result indicates that healthcare facilities do not influence breast cancer survival rates, however, given the persistent health outcome disparities further research in the area is warranted.
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Spencer, Patricia L. "The influence of specialized cancer hospitals in Florida on mortality, length of stay, and charges of care." [Tampa, Fla] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002725.
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Miller, Lakisha Chitique. "Medical Resident Turnover and Its Association with Inpatient Mortality in Patient Discharges with a Primary Diagnosis in the Heart Disease, Cancer, or Stroke Diagnostic Groups at U.S. Teaching Hospitals, 2002." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1239044238.
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Simionatto, Katiele. "Mudanças, incertezas e significados: vivências de adolescentes com câncer no contexto hospitalar." Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/12334.
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This clinical-qualitative-approach work aimed to investigate the meanings attributed
by adolescents to their cancer experiences in the hospital environment. The research scenario
was a Treatment Center for children with cancer, from a public hospital located in the interior
of Rio Grande do Sul. The participants were adolescents between 12 and 18 years old, going
through the treatment process. The participants were adolescents between 12 and 18 years old, going through the treatment process and the instrument used to collect data was semidirected
interviews. The study had a total of nine participants, which was delimited based on
saturation criteria, besides, the instrument of data collection was a semi-directed interview.
The interviews were recorded in audio and fully transcribed, being analyzed by the technique
of Content Analysis. The categories, from the analysis, were organized in two articles. The first one is about the adolescent's diagnosis of cancer, demonstrating how overwhelming the news can be for the subjects, who had never faced such a threatening disease, as well as the rupture of daily life, since it exposes the significant changes that occurs in the routine of the adolescents, evidencing the consequences of their estrangement concerning social relations.
Another issue approached in the first article is the repercussions of illness, as well as the impact of the other's look on the adolescent, in other words, the stigmatization of the disease and the difficulty of having to bear the other's look considering the changes caused by the treatment (as hair loss or mask use). The first article also discusses the hospitalization of adolescents with children, in the same place. This way, the treatment center can be seen as a space that does not contemplate the psychosocial needs of hospitalized adolescents. The
second article deals specifically with school dropout, finding that, due to treatment, long
hospitalizations, as well as the implications of the disease and the care required, adolescents had to move away from school activities. It also explores the perception of adolescents about the hospital class - a service offered at the treatment center, which serves as a support for
adolescents to continue their studies. Finally, the second article explored the difficulty of reinsertion in school environment, concerning adolescents with cancer after treatment. It is worth to highlight that the consequences of diagnosis, treatment and hospitalization, when
experienced during adolescence period, may become a double problematic, since the adolescent needs to go through two complex processes: adolescence and illness. It is possible to conclude that there is a need for improvements regarding public policies and services for
adolescents with cancer.O presente estudo, de abordagem clínico-qualitativa, objetivou investigar os significados atribuídos por adolescentes às suas vivências de câncer no ambiente hospitalar. O cenário da pesquisa foi um Centro de Tratamento de crianças com câncer, de um hospital público localizado no interior do Estado do Rio Grande do Sul. Participaram nove adolescentes entre 12 e 18 anos, os quais estavam em processo de tratamento. O número de participantes foi delimitado pelo critério de saturação e o instrumento de coleta de dados foi uma entrevista semidirigida. As entrevistas foram gravadas em áudio e integralmente transcritas, sendo analisadas pela técnica de análise de conteúdo. As categorias, oriundas da análise, foram organizadas em dois artigos. O primeiro aborda o recebimento do diagnóstico de câncer pelo adolescente, demonstrando o quanto tal notícia foi avassaladora para os sujeitos, os quais nunca haviam estado diante de uma doença tão ameaçadora, bem como a ruptura do cotidiano, uma vez que expõe as mudanças significativas que ocorreram na rotina dos adolescentes, evidenciando as consequências do seu afastamento das relações sociais. Outro assunto abordado no primeiro artigo são as repercussões do adoecimento, assim como o impacto do olhar do outro sobre o adolescente, isto é, a questão da estigmatização da doença e da dificuldade de ter que suportar o olhar do outro sobre as mudanças acometidas pelo tratamento (por exemplo, alopecia, uso de máscara). O primeiro artigo aborda também a internação do adolescente junto a crianças, assinalando que o centro de tratamento pode ser visto como um espaço que não contempla as necessidades psicossociais dos adolescentes internados. Já o segundo artigo trata especificamente da questão do afastamento da vida escolar, verificando que, devido ao tratamento, à longas internações, às implicações da doença e aos cuidados exigidos, os adolescentes tiveram que se afastar das atividades escolares. Aprofunda-se, ainda, a respeito da percepção dos adolescentes sobre a classe hospitalar – um serviço ofertado no centro de tratamento, que serve de apoio para que os adolescentes continuem os estudos. Por fim, o segundo artigo explorou a dificuldade de reinserção, no ambiente escolar, do adolescente com câncer após o tratamento. Destaca-se que as consequências do diagnóstico, do tratamento e da hospitalização, quando vivenciadas durante a adolescência, tornam-se uma dupla problemática, pois o adolescente necessita passar por dois processos complexos: o adolescer e o adoecer. Conclui-se que existe a necessidade de melhorias no que diz respeito às políticas públicas e aos serviços voltados aos adolescentes com câncer.
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Ferreira, Cintia Bragheto. ""Representações sociais de mulheres frente à admissão hospitalar para a realização da cirurgia por câncer de mama"." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-16082004-174730/.
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Por existirem poucos estudos sobre o momento da internação hospitalar para a realização da cirurgia por câncer de mama, decidiu-se melhor compreender este momento a partir do referencial da teoria das representações sociais e da teoria do enfrentamento, buscando-se em um grupo de mulheres a identificação do significado da admissão hospitalar necessária para a realização da cirurgia, bem como as estratégias de enfrentamento por elas utilizadas nesse momento. A coleta de dados foi realizada numa amostra composta por 10 mulheres e pelos principais profissionais envolvidos em suas admissões. Com as mulheres foram realizadas observações participantes com a utilização do diário de campo e entrevistas semi-estruturadas, analisadas qualitativamente; e os profissionais foram observados com a utilização de um instrumento aberto-fechado, analisado qualitativa e quantitativamente. Em relação às mulheres, foram identificadas as seguintes categorias: perda da mama, medo da morte, cura, cuidado enquanto estratégia de retorno à saúde e dia normal. As estratégias de enfrentamento identificadas foram: médicos, Deus, ela própria, crenças próprias, família, namorado, outros que passaram pela mesma experiência, coragem, confiança, força de vontade, oração, não pensar e convivência com pessoas brincalhonas capazes de passar energia boa. A análise conjunta das representações sociais com as estratégias de enfrentamento evidenciou que em 70% das participantes houve relação entre o significado atribuído à admissão hospitalar e as estratégias de enfrentamento utilizadas. A relação entre as representações sociais e as estratégias de enfrentamento mostrou que as categorias: cura, cuidado enquanto estratégia de retorno à saúde e dia normal foram as mais eficazes no enfrentamento da admissão hospitalar. O instrumento utilizado com os principais profissionais que realizaram as admissões hospitalares mostrou que 100% dos principais responsáveis pelas admissões hospitalares foram enfermeiras; 100% delas tentaram estabelecer um vínculo positivo com as mulheres no momento do chamamento; 80% não se apresentaram às mulheres que receberam; 90% utilizaram preferencialmente o termo senhora no período em que permaneceram com as mulheres; 100% demonstraram preocupação com o ambiente físico relacionado à admissão hospitalar; 70% mostraram-se dispostas a ouvir as mulheres recebidas; 80% receberam as mulheres na posição ereta e, 60% das admissões hospitalares ocorreram com a presença de uma enfermeira e uma auxiliar de enfermagem. Alguns desses dados permitiram verificar que esses profissionais forneceram suporte às mulheres, mas ao mesmo tempo outros dados mostraram que estes mesmos profissionais se distanciaram de um cuidado capaz de contemplar os aspectos físicos, mentais e espirituais dessas mulheres. Pontua-se, a partir desta análise, a necessidade do estabelecimento da subjetividade no momento da internação como forma de identificação das necessidades das mulheres com câncer de mama. Para tanto, sugere-se a construção de um complemento para o protocolo de admissão hospitalar atualmente utilizado na enfermaria, onde os dados deste estudo foram coletados.For existing few studies on the moment of the hospital internment for the accomplishment of the surgery for breast cancer, it was more good decided to understand this moment from the referencial of the theory of the social representations and the theory of coping, searching in a group of women the identification of the meaning of the necessary hospital admission for the accomplishment of the surgery. The collect of data was carried through in a composed sample for 10 women and the main involved professionals in its admissions. With the women were done participant observations with utilization of field notes and semi-structured interviews that were qualitative analyzed, and the professionals were observed with utilization of open-closed instrument, that was analyzed in a qualitative and quantitative way. In relation to the women, were identified these categories: loss of the breast, fear of the death, cure, care while return strategy the health and normal day. The strategies of coping identified were: physicians, God, herself, own believes, family, boyfriend, others that had passed for the same experience, courage, confidence, will-power, prayer, dont think and stay together of joking people that are capable to pass good energy. The analyze of social representations and strategies of coping together showed that in 70% of participants were relation between the meaning attributed to he hospital admission and the strategies of coping used. The relation between social representations and strategies of coping showed that the categories: cure, holistic care and normal day were the most effective in the coping of hospital admission. The instrument used with the main professionals who had carried through the hospital admissions showed that 100% of these professionals were nurse; 90% had used the term preferential lady in the period where they had remained with the women; 100% had demonstrated concern with the related physical environment to the hospital admission; 70% had revealed made use to hear the received women; 80% had received the women in erect position e, 60% of the hospital admissions had occurred with the presence of a nurse and one nurse aid. Some of these data had allowed to verify that these professionals had supplied support to the women, but at the same time other data had shown that these same professionals were distant of a care capable to contemplate the physical aspects, mental and spirituals of these women. From this analyze the necessity of the establishment of subjectivity in the moment of admission is emphasized as form of identification of the necessities of the women with breast cancer. For this, it is suggested construction of a complement for the protocol of hospital admission currently used in the infirmary, where the data of this study had been collected.
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Opincariu, Marius. "Counseling the terminally ill patients with cancer in hospital." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.
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Childs, Tawanna. "Trend Analysis of Hospital Admission for Pediatric Femur Cancer." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1460447130.
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Fan, Sheung Tat, and 范上達. "Hepatectomy for hepatocellular carcinoma: towards a zero hospital mortality." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31981653.
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Pinto, Ana Catarina da Costa Pereira. ""Assessing the Information Given to Cancer Patients Attenging day Hospital in a Comprehensive Cancer Centre"." Dissertação, Instituto de Ciências Biomédicas Abel Salazar, 2010. http://hdl.handle.net/10216/57215.
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Pinto, Ana Catarina da Costa Pereira. ""Assessing the Information Given to Cancer Patients Attenging day Hospital in a Comprehensive Cancer Centre"." Master's thesis, Instituto de Ciências Biomédicas Abel Salazar, 2010. http://hdl.handle.net/10216/57215.
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Sithole, Nomfuneko. "Cancer profile in an urban hospital of the Eastern Cape Province." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/4236.
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Magister Public Health - MPHThe availability of information on profile and trends of cancer in South African populations is important for the development of appropriate cancer control strategies, as well as monitoring the efficacy of the existing cancer control programmes. Yet, generally there is a scarcity of systematically analysed reports on hospital cancer cases in South Africa, even for urban hospitals. The aim of this study was to describe the cancer profile of patients diagnosed at Frere Hospital‟s Oncology and Radiation Department and estimate the incidence of cancer among Buffalo City (BFC) urban area residents, for the 19-year period 01 January 1991 to 31 December 2009 based on the clinical administrative data system maintained by the department. The study was a descriptive case series study based on a retrospective review of Frere Hospital‟s Oncology and Radiation Department patient records from 1991 to 2009. Permission was obtained to retrieve records of cancer cases for the 19-year period from the database. Data were extracted from the customized administrative system to an excel spread sheet. Variables for each case retrieved included: socio-demographic details; age at diagnosis, sex, race, place of residence and medical aid information, tumor information; site and date of diagnosis. Data cleaning incorporated techniques such as checking of completeness and accuracy of patient information details. Dates were formatted into month-day-year sequence and checked so that the date of birth precedes the date of diagnosis of the patient and the date last seen. Age less than zero and greater than ninety nine was replaced as missing. Geographical areas were coded according to the South African Population Census. Duplicates and cases with missing diagnosis were excluded.
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Ma, Lai-chong. "The adjustment process of patients suffering from neoplasm of nasopharynx throughout the course of illness : a panel study in Hong Kong /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14038663.
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Ibekwe, Chidiebere Maquincy. "Factors influencing cervical cancer screening uptake among women attending Mahalapye district hospital in Botswana-use of the health belief model." Thesis, University of Limpopo ( Medunsa Campus ), 2009. http://hdl.handle.net/10386/227.
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Thesis (MPH)--University of Limpopo, 2009.Cervical cancer is the second highest form of cancer among women in Botswana, with breast cancer being the commonest (Ferlay et al, 2002), and is currently the highest cause of cancer deaths in Botswana (Ferlay et al, 2002). Cervical cancer screening using Pap smear provides an appropriate way for early detection and prevention of cervical cancer if appropriately implemented. Cervical cancer screening was introduced in Botswana in 2003 free of charge to all women of age greater than 18 years attending government hospitals. Despite this step by the government to decrease the mortality and morbidity rates resulting from cervical cancer, the uptake of cervical cancer has remained low among women in Botswana (Botswana central statistic report, 2009). Aim of the study; The study was aimed at identifying and describing factors influencing cervical cancer screening uptake among women greater than 18 years attending Mahalapye District Hospital in Botswana using the Health Belief Model. Methodology; This study was a cross sectional survey in which a questionnaire was used to interview 300 participants in order to assess their perceived susceptibility to cervical cancer, their perceived severity of cervical cancer, their perceived benefits of doing cervical cancer screening and their perceived barriers of seeking cervical cancer screening. Descriptive statistics was used to identify and describe factors influencing cervical cancer screening uptake among women attending Mahalapye District Hospital, Botswana using the Health Belief Model construct. Each question in the questionnaire was scored using a 5-point Likert scale ranged from strongly agree (5) to disagree (1). Negatively worded questions had their scales reversed and scores for each construct of the Health Belief Model was added to get an average. Analysis compared women who had ever had „cervical cancer screening‟ with women who had never had „cervical cancer screening‟. Chi-square statistic was used to test for association of selected variables and binary logistic regression was used to measure the associations for the aggregate score of health belief model constructs. Results; Cervical cancer screening rates was 39%. Participants were aware of the perceived severity of cervical cancer (average response 2.58-3.60), perceived benefits of cervical cancer 6 screening (average response 3.10-4.33) and perceived barriers to seeking cervical cancer screening (average response 2.0-3.44) but these were not significantly associated with screening. The highest predictor of cervical cancer screening was perceived susceptibility and those with high perceived susceptibility were 3.2 times more likely to do cervical cancer screening than those with low perceived susceptibility. Main socio-demographic characteristics significantly associated with perceived susceptibility were employment, monthly income and residential area while perceived severity was significantly associated with monthly income and residential area. Conclusions; Perceived susceptibility to cervical cancer was significantly associated with cervical cancer screening. Educational programs geared towards increasing perceived susceptibility to cervical cancer can significantly improve the uptake of cervical cancer screening in Botswana as well as address issues of barriers and misconceptions associated with low uptake of cervical cancer screening.
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Pacheco, Hugo Miguel Teixeira Pinto Ferreira. "Análise de conformidade em processos de saúde : estudo do cancro colorretal no Hospital da Luz de Lisboa." Master's thesis, Instituto Superior de Economia e Gestão, 2020. http://hdl.handle.net/10400.5/20099.
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Mestrado em Métodos Quantitativos para a Decisão Económica e EmpresarialEste relatório foca a descrição da metodologia usada para executar a análise de conformidade em processos de saúde para o Cancro Colorrectal no Hospital da Luz de Lisboa. Esta metodologia foi desenvolvida com o objetivo de potenciar uma compreensão mais eficiente do processo de tratamento a que cada paciente é sujeito nesta instituição e, principalmente, para estimar a conformidade entre processos de tratamento individuais (entre 2017 e 2018) e o processo de tratamento padrão atualmente aplicado na instituição supracitada. Adicionalmente, pretende relacionar o nível de conformidade e o custo inerente ao tratamento de cada doente para avaliar o impacto da conformidade na eficiência de custos. Os custos apresentados não são reais devido a legislação relativa à proteção de dados, contudo as relações entre os dados espelham a realidade. Este estudo surge no seguimento de anteriores neste campo promovidos pelo Hospital da Luz de Lisboa, para apoiar uma futura aplicação da teoria de Value Based Healthcare. Pretende-se com esta abordagem alcançar não só uma melhoria dos serviços prestados, mas também dos resultados clínicos dos utentes aliado a custos mais justos para ambas as partes.
This final report aims at describing the methodology used to perform a conformance analysis in the healthcare process for the colorectal cancer in the Hospital da Luz de Lisboa. This methodology was developed enable a better understanding of the treatment process a patient undergoes in this institution and mainly to assess the conformity of the individual treatment process (in 2017 and 2018) and the standard treatment processes currently in place at the aforementioned institution. In addition, focus is also given to relate the conformity calculated and the costs related to each patient, in order to evaluate the impact of the conformity in the cost efficiency. The costs provided in the study are not real due to the data protection legislation, nevertheless the relations between the data mirrors reality. This is yet another study on this field promoted by the Hospital da Luz de Lisboa to support a future establishment of the Value based Healthcare. The aim is to improve not only the services, but also the outcomes of patients and to make the pricing fairer to the patient and to the institution.
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Althumairi, Arwa Abdulrahman. "Describing the variation in hospital activity following diagnosis with cancer for childhood and adolescent cancer in Yorkshire." Thesis, University of Leeds, 2016. http://etheses.whiterose.ac.uk/16673/.
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This study aimed to provide a comprehensive assessment of hospital utilisation among children and young people (CYP), addressing recommendations emerging from the Children and Young People’s Health Outcomes Forum that emphasised the importance of improving the health of young people. The burden of care for CYP with cancer on local and national healthcare systems is unknown and lack of data limits the ability to inform and improve service delivery. Therefore, I used a specialist population-based cancer register in CYP from Yorkshire, linked to hospital admissions data, to analyse healthcare utilisation after diagnosis and treatment for cancer. Additionally, clinical and sociodemographic factors that contributed to hospital utilisations during and after treatment were identified and discussed. The study included 3,151 cases of cancer aged 0-29 years diagnosed in Yorkshire during 1996-2009, and admitted to hospital during 1997-2011. The study observed a steady increase in admissions over the period. Children had higher median number of admissions (median=25, Interquartile range (IQR): 8-44) than teenagers and young adults (TYA) (median=10, IQR: 3-20), and spent longer in hospital on average with median duration of three and one days per 100 person-days respectively. However, TYA with leukaemia experienced longer stays in hospital on average than children, with a median duration of eight and four days, respectively. Factors that influenced the pattern of admissions varied by cancer type, however relapse status, type of initial treatment and year of diagnosis were significantly related to hospitalisation independently. Cancer survivors had a significantly higher risk of morbidity compared with the general population after treatment completion (standardised hospitalisation rate (SHR) = 2.37, 95% CI:2.26-2.49). Findings from this work demonstrate the variation in hospital activity by cancer type and age group, as well as the independent predictors of hospitalisation. This aids the continued development of high-quality cancer services to meet the needs of young people with regard to short-term and long-term care.
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Yuen, Hang-yuk. "A study of sexual dysfunction in female breast cancer patients /." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470794.
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McIlfatrick, Sonja Jayne. "Exploring patients', caregivers' and nurses' experience of day hospital chemotherapy : a phenomenological study." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272334.
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Chaudhry, Ruhee. "Breast cancer survival by teaching status of the initial treating hospital." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0006/MQ45401.pdf.
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Lindqvist, Rikard. "Hospital length of stay : register-based studies on breast-cancer surgery /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-312-4/.
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Arrus, Soldi Jose Antonio Martin. "Nefrectomia radical laparoscopica por cancer renal. hospital nacional Guillermo Almenara Irigoyen." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2002. https://hdl.handle.net/20.500.12672/1866.
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Se realizó el presente estudio descriptivo retrospectivo con el objetivo de reportar los casos de Nefrectomía Radical Laparoscópica (NRL) por cáncer renal realizados en el Servicio de Urología del Hospital Nacional Guillermo Almenara Irigoyen, evaluando así nuestra experiencia en el manejo laparoscópico de la neoplasia renal.
Se consideraron todos los pacientes que fueron sometidos a NRL por nuestro Servicio, durante el período comprendido entre Enero 2000 y Marzo 2002.
Durante el período de estudio, 14 pacientes con diagnóstico preoperatorio de cáncer renal localizado (100% Estadío I) fueron sometidos a NRL, 35.7% por vía Transperitoneal, y 64.3% por Mano Asistida, no habiéndose intentado aún la vía Retroperitoneal. La edad promedio fue de 65.9 años, predominando el sexo femenino (57.1%). 42.9% eran pacientes asintomáticos con diagnóstico incidental. 64.3% de riñón derecho y 64.3% dependientes de polo inferior. El tiempo operatorio promedio y el sangrado intraoperatorio estimado para la NRL Transperitoneal fue de 3.9 horas y 290 mls, y de 2.9 horas y 277.8 mls para la NRL Mano Asistida. La extracción de la pieza operatoria fue íntegra en la totalidad de los casos. 92.9% fueron confirmados como carcinoma de células renales, 14.3% en Estadío II. Peso promedio de la pieza operatoria: 452.9 gramos, tamaño tumoral promedio: 5.7 cms. La estancia intrahospitalaria promedio fue de 8.1 días, y el período de convalecencia promedio de 18.6 días.
35.7% presentó complicación intraoperatoria y 42.9% complicación postoperatoria. La tasa de conversión a cirugía abierta fue de 7.1%. Hasta el momento no se han evidenciado recidivas ni progresión de la enfermedad.Tesis de segunda especialidad
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Mbuka-Ongona, Deogratias. "The knowledge and practice of patients suffering from cancer of the breast about their disease at Princess Marina Hospital (PMH) Gaborone, Botswana." Thesis, University of Limpopo (Medunsa Campus), 2009. http://hdl.handle.net/10386/205.
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Thesis (M Med. (Family Medicine))-- University of Limpopo, 2009.Introduction Inspired by the late presentation for care and consequently the diagnosis of breast cancer done at an advanced stage of the disease in majority of cases, this study aimed to explore the knowledge and practices related to breast cancer from patients presenting at Princess Marina Hospital (PMH) for care. Methodology The descriptive qualitative method using interviews (free attitude) was chosen to understand the trend of late presentation among participants, with following opening questions: 1. Can you please tell me all you know about the cancer of the breast? 2. How have you been treating your breast condition (growth/wound/pain) before you decided to come to PMH? Sampling was purposeful with a sample of twelve. Out of eleven interviews done with breast cancer patients fulfilling the criteria of inclusion, ten were used in the final analysis. Interviews were recorded (audiotape), transcribed verbatim and translated. Emerging themes were identified and coded into different categories Results This study noted a poor knowledge and understanding of patients about cancer of the breast. The knowledge and practice of the common well established screening methods like self breast examination (SBE) was equally poor. In majority, participants delayed going to the hospital as a result of the preceding( poor knowledge and understanding about Ca breast ), as well as the influence of lays beliefs and advices received from the surrounding. In some cases however advices from the surrounding resulted in timely medical consultation. Unexpectedly, Poor clinical practice of health worker in some cases and decision maker‟s inadequate involvement on issue of cancer awareness were other important themes which emerged during analysis of the results. Conclusions Cancer awareness together with consistent use of early detection measures by adhering to screening methods should be taken seriously and done throughout the country for the benefit of all potential victims, to address the poor knowledge, misconceptions and inappropriate health seeking behavior encountered in case of breast cancer.
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Ñaupari, Jara Silvana Rosario Steffanie. "Factores Asociados a Cáncer Colorrectal Mucinoo y no Mucinoso. Hospital Nacional Edgardo Rebagliati Martins, años 2002 - 2008." Bachelor's thesis, Universidad Ricardo Palma, 2010. http://cybertesis.urp.edu.pe/handle/urp/206.
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El presente trabajo es un estudio correlacional de tipo retrospectivo, de casos y controles, siendo 39 pacientes con cáncer colorrectal del tipo histológico mucinoso los que conforman el grupo de los casos y dos grupos de 117 pacientes cado uno, el primero de pacientes con cáncer colorrectal de otro tipo histológico y el segundo de pacientes con patología digestiva benigna, que conforman los controles; coleccionados entre los años 2002 y 2008 en el Hospital Nacional Edgardo Rebagliati Martins.
Se determinó la asociación de los factores de riesgo como: la edad, el género, de riesgo el consumo de tabaco, el consumo de alcohol, la irradiación pélvica, la colecistectomía, el tipo de dieta, la obesidad, otros tipos de cáncer previos, la raza, algunas características clínicopatológicas tales como: la localización del tumor, el grado de diferenciación, el estadio de la enfermedad al momento del diagnóstico y la respuesta al tratamiento recibido; y el cáncer colorrrectal de tipo histológico mucinoso.
Al analizar las varaibles mencionadoas se determino que la edad cada vez mayor es una factor de riesgo asociado con mayor probabilidad de cáncer no mucinoso, en tanto la variable obesidad es un factor asociado con mayor probabilidad al cáncer mucinoso.
En cuanto a la localización del tumor existe asociación entre el cáncer colorrectal de tipo histológico mucinoso y la localización proximal del colon.
El grado de diferenciación moderado y el estadio IIA se encontraron con más frecuencia en este estudio.
La sobrevida para los tumores de tipo mucinoso es menor que para los otros tipos histológicos a pesar que la diferencia no llegue a ser significativa.
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George, Allison M., and Erin N. Baguley. "Clinical and Economic Characteristics of Inpatient Esophageal Cancer Mortality in the United States." The University of Arizona, 2010. http://hdl.handle.net/10150/623745.
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Class of 2010 AbstractOBJECTIVES: To assess disease-related and resource consumption characteristics of esophageal cancer mortality within hospital inpatient settings in the United States from 2002 to 2006. METHODS: This retrospective investigation of adults aged 18 years or older with diagnoses of malignant neoplasms of the esophagus (ICD-9: 150.x) utilized nationally-representative hospital discharge records from the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample. Cases resulting in inpatient death were analyzed with respect to patient demographics, payer, hospital characteristics, number of procedures and diagnoses, Deyo-Charlson disease-based case-mix risk adjustor, and predominant comorbidities. RESULTS: Overall, 168,450 inpatient admissions for esophageal cancer were observed between 2002 and 2006, averaging 66.3 + or - 11.9 years, length of stay of 10.3 + or - 15.2 days, and charge of $51,600 + or _ 92,377. Predominant comorbidities within these persons included: secondary malignant neoplasms; disorders of fluid, electrolyte, and acid-base balance; pneumonia; respiratory failure/collapse or insufficiency; sepsis; anemia; hypertension; cardiac arrhythmias; obstructive pulmonary disease; acute or chronic renal disease; and heart failure. Significant predictors of increased charges included longer lengths of stay, higher numbers of diagnoses and procedures, median annual family income over $45k, urban hospital location, and presence of heart failure, chronic pulmonary disease, fluid and electrolyte disorders, or metastatic cancers (P< or = 0.05). Longer lengths of stay were associated with higher total charges, female sex, larger number of diagnoses and procedures, Medicaid, black race, increased case-mix severities, and fluid and electolyte disorders (P< or = 0.05). CONCLUSIONS: Patient mortality occurs in over one-tenth of esophageal cancer hospital admission cases. Further research is warranted to understand the impact of various comorbidities or treatment approaches and to assess potential disparities in lengths of stay.
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Malton, Samuel R. "Assessing the risk of chemotherapy toxicity and hospital admission due to toxicity: A study of acute chemotherapy toxicity and related hospital admission in a large UK teaching hospital, based on proactive telephone assessment patients." Thesis, University of Bradford, 2018. http://hdl.handle.net/10454/17448.
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Introduction: Acute chemotherapy toxicity is common and can have negative
effects for the patient and health economy and hospitalisation can be
necessitated.
Aims: To identify the incidence of toxicity and admission, and predictors of
toxicity occurrence, severity, hospitalisation and length of stay.
Method: Data was obtained from a proactive telephone assessment of acute
toxicity 24 hours after administration of a first cycle of chemotherapy to patients
in a large UK NHS teaching hospital.
Results: 1539 patients were studied and the overall incidence of toxicity was
35.6% (530 patients). Disease site and number of chemotherapy agents given
were shown to predict toxicity, with breast and upper gastrointestinal cancers
having a higher likelihood of toxicity. Disease was predictive of toxicity grade,
with urology, gynaecology and lung cancer patients experiencing higher grades
of toxicity than other tumour sites. The rate of hospital admission due to toxicity
was 13.1% (203 patients) and median length of stay 3 days (1-28). The risk of
admission had some risk factors in common with toxicity. Disease and the
number of drugs in the regimen affected the risk of admission, with
gynaecology, head and neck and lung cancer patients and patients who
received 3 drugs having a higher likelihood of admission. Predictors in the subgroups
of breast, colorectal and lung cancer patients did not differ greatly from
the whole population and the number of drugs was shown to be a predictor of
nausea, vomiting and fatigue when explored as secondary outcomes.
Conclusion: The research partly addressed the main aim and highlighted
areas where further research is required.
Keywords
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Esteves, Arinete Veras Fontes. "Compreendendo a criança e o adolescente com câncer em tratamento quimioterápico durante a utilização do brinquedo." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-10052010-110007/.
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O brincar é uma atividade essencial na vida da criança, mas negligenciada durante a doença e hospitalização. Quando a criança adoece de uma doença grave crônica como o câncer, há uma mudança significante em sua vida, tirando-a do convívio de brincadeiras, do meio familiar e social. Ela sofre tratamentos agressivos, internações freqüentes, e seu estado psicológico nem sempre é considerado. Brinquedos nem sempre lhe são oferecidos para minimizar o estresse da doença e da hospitalização. O objetivo do presente estudo foi compreender os modos de ser-no-mundo da criança e do adolescente com câncer em tratamento quimioterápico diante da utilização do brinquedo durante a quimioterapia. Neste contexto, trata-se de uma pesquisa qualitativa de inspiração fenomenológica em Psicologia. As entrevistas foram gravadas e transcritas em sua íntegra garantindo assim a sua fidedignidade e foram iniciadas a partir das questões norteadoras: Brincar é importante? Como é brincar no hospital?. Foram realizadas 16 entrevistas, sendo oito participantes do gênero feminino, com a idade entre seis a 14 anos e oito masculinos na faixa etária de 10 a 14 anos, todos acometidos por algum tipo de Leucemia em diferentes fases de tratamento. Através da análise de seis entrevistas foi possível observar que para as crianças brincar, neste ambiente é muito importante, pois sentem-se felizes durante essa atividade e esquecem-se dos efeitos colaterais causados pelo tratamento agressivo com os quimioterápicos. Relatam que a ausência de atividades as deixa tristes. A partir dessa análise foi possível organizar as categorias temáticas que possibilitaram a compreensão do fenômeno estudado. Os discursos obtidos durante o estudo possibilitaram identificar que o brinquedo e a atividade de brincar auxiliam a minimizar o estresse da criança causado pelo tratamento quimioterápico e seus efeitos colaterais. Os profissionais que atuam na área da saúde e todos aqueles que trabalham com crianças devem compreender que a criança é vida, liberdade, e o brincar faz parte de sua existência, e não pode ser desvinculado de sua rotina diária só por estarem doentes e hospitalizadas. As crianças são autênticas em todos os seus momentos de existir no mundo.Playing is an essential activity in the life of a child, ignored during sickness and hospitalization. When a child falls sick with a serious, chronic disease such as cancer, his/her life changes significantly, removing him/her from his playing ambient and from his family and social environment. He/she undergoes aggressive treatments and frequent hospitalization, but his/her psychological state is not always taken into consideration and toys are not always offered to minimize the stress caused by the disease and the hospitalization. The objective of the present study was to understand the ways of being-in-the-world of the child and adolescent with cancer undergoing chemotherapy when a toy is used during the chemotherapy session. Thus this represents qualitative research of phenomenological inspiration in psychology. The interviews were taped and transcribed in their entirety, thus guaranteeing their trustworthiness, and started with the following leading questions: Is playing important? How do you find playing in hospital? Sixteen interviews were carried out, with 8 female participants between 6 and 14 years old and 8 male participants between 10 and 14 years old, all suffering from some form of leukaemia and in different phases of treatment. The analysis of six interviews showed that it was very important for the children to play in this environment, since they felt happy during this activity and forgot about the side effects caused by the aggressive treatment with therapeutic drugs. They reported that the lack of activity made them sad. As from this analysis it was possible to organize the thematic categories that made it possible to understand the phenomenon under study. The discourses obtained during this study made it possible to identify the fact that the toy and the activity of playing helped to minimize the stress caused in the child by the chemotherapy treatment and its side effects. The professionals working in the health area and all those working with children should understand that the child is alive and free and that playing is part of his/her existence and cannot be separated from his/her daily routine just because of his/her sickness and hospitalization. Children are authentic at every moment of their existence in the world.
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Ortiz, Zayas Jonnell. "Educating Oncology Nurses About the Emotional Impact of Cancer Diagnosis." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6083.
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Anxiety and depression are common mood disorders in cancer patients, regardless of mental state prior to diagnosis. A gap in the education of oncology nurses in an eastern Caribbean island was discovered regarding their ability to identify anxiety and depression symptoms and to help patients who suffered from these disorders. The purpose of this project was to improve oncology nurses' assessment skills by reviewing appropriate use of the Hospital Anxiety and Depression Scale (HADS) tool and familiarizing nurses with resources to help patients who score high on the HADS. The Levine conservation model was the theoretical framework for this project. The research question addressed whether a staff education module regarding the use of the HADS tool would improve staff knowledge about screening cancer patients for mood disorders in a clinic setting. This project involved a staff education module with a pretest/posttest assessment and evaluation of the responses and levels of improvement. A total of 10 oncology nurses with varying academic degrees and years of experience participated in the project. The pretest showed that many had inadequate knowledge of the HADS tool. Based on posteducation assessment scores, all participants understood how to use the tool to screen for mood disorders. The implication of this study for positive social change is that oncology nurses will be able to use a screening tool to identify undiagnosed anxiety and depression symptoms in cancer patients and provide patients with appropriate resources.
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Devia, Flores Bernardita. "Centro infantil de sanación integral contra el cancer : Hospital Roberto del Río." Tesis, Universidad de Chile, 2009. http://www.repositorio.uchile.cl/handle/2250/115768.
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Owusu, Miriam Sekyere. "Lymphedema, post breast cancer treatment at Komfo Anokye Teaching Hospital, Kumasi, Ghana." Thesis, Cape Peninsula University of Technology, 2011. http://hdl.handle.net/20.500.11838/2262.
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Thesis (MTech (Nursing))--Cape Peninsula University of Technology, 2011.To determine the incidence, risk factors and the treatment of lymphedema after breast cancer treatment at the oncology unit of KATH, Kumasi, Ghana from 01 January 2005 to 31 December 2008. Descriptive retrospective survey was used. Using a data capture sheet, data was collected from the medical records of the breast cancer patients. Breast cancer and lymphedema-related variables were collected. Data was analyzed as descriptive statistics. Chi-square test was applied to determine whether or not two variables are independent variables. Among 313 patients treated for breast cancer between 2005 and 2008, 31 (9.9%) developed lymphedema after treatment. A chi-square test showed that axillary lymph node dissection was statistically a significant risk factor of lymphedema (Chi-square test value=7.055, P value=0.008). Radiation and late stage of breast cancer diagnosis may have contributed in development of lymphedema despite having P value> 0.05. Age, body mass index (BMI) and hypertension were also not associated with lymphedema.
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Saleh, Dorina. "Epidemiology of oesophageal cancer at Groote Schuur Hospital : a case control study." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/10626.
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Includes bibliographical references.For this study we collected demographic information on women with oesophageal cancer being treated at Groote Schuur Hospital in Cape Twon, South Africa. The data formed part of a general cancer database in shich cases of cancer confirmed by histopathology were collected. The majority of patients originated from Eastern Cape province of South Africa and lived in rural areas.
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Viana, Danilo Vilela 1975. "Historia familial de cancer nos pacientes com diagnostico de cancer de colon e reto no Hospital de Clinicas da Unicamp." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309743.
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Orientador: Iscia Teresinha Lopes-Cendes, Carmen Passos LimaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-06T07:38:24Z (GMT). No. of bitstreams: 1 Viana_DaniloVilela_M.pdf: 17449794 bytes, checksum: 5628cf41f1e3b3dae3d2ad85bb64f5d4 (MD5) Previous issue date: 2006
Resumo: O câncer de cólon e reto é a quinta causa de mortalidade por câncer no Brasil. Sua taxa de mortalidade vem apresentando um aumento contínuo desde 1979. Entre os fatores de risco mais importantes para essa doença está a história familial de câncer de cólon e reto ou de pólipos adenomatosos. O propósito do presente estudo foi investigar a qualidade das histórias familiais (HF) registradas nos prontuários médicos e estimar a freqüência dos agregados familiais e das síndromes hereditárias de câncer nos pacientes com diagnóstico de câncer de cólon e reto atendidos no Hospital de Clínicas da UNICAMP. Um estudo retrospectivo foi delineado para avaliar os prontuários dos pacientes que tinham confirmação histopatológica do diagnóstico de adenocarcinoma de cólon ou reto. Inicialmente, 415 prontuários que apresentavam codificação para a doença foram selecionados a partir do livro de cirurgias e de uma lista de pacientes atendidos nos ambulatórios de oncologia clínica, radioterapia e proctologia. Foram excluídos 104, sendo realizada a revisão de 311 prontuários. Numa segunda fase do estudo todos esses pacientes foram convocados para um entrevista com médico geneticista para obtenção de nova história familial, e comparação subseqüente dos dados, na qual a história familial previamente registrada foi classificada como completa ou incompleta. Dentre os 311 prontuários revisados, 193 (62%) tinham HF de câncer registrada. No total, 95 pacientes compareceram à entrevista, dos quais 66 tinha HF registrada no seu prontuário para que fosse feita comparação. Dessas 66 HF, 21 (32%) puderam ser consideradas completas e 45 (68%) incompletas. Pelo menos um critério clínico para câncer hereditário foi preenchido por 39 pacientes. Agregação familiar de CCR foi encontrada em 19% dos indivíduos entrevistados. Estes achados demonstram que a coleta e o correto preenchimento das histórias familiais nos prontuários dos pacientes com câncer são freqüentemente negligenciados, o que poderia influenciar negativamente na qualidade da assistência médica a eles prestada. As formas hereditárias de câncer hereditário, em especial a síndrome de Lynch (câncer colorretal hereditário sem polipose - HNPCC), são subdiagnosticadas, impossibilitando que medidas preventivas e diagnóstico precoce sejam oferecidos às suas famílias.
Abstract: Colorectal cancer is the 5th mortality cause by cancer in Brazil, and has been showing a continuous increase in mortality since 1979. Among the most important risk factors for this disease is family history of CRC or adenomatous polyps. The purpose of the present study was to investigate family histories (FH) recorded in medical charts for completeness and accuracy and to estimate the frequency of cancer aggregates and cancer syndromes in colorectal cancer patients treated in a general hospital. A retrospective study was assembled to evaluate archived charts of patients with pathological diagnosis of colorectal adenocarcinoma. Four hundred and fifteen medical records with ICD-10 coding of colorectal cancer were selected from the list of pacients who had had consultation in the clinical oncology, radiation oncology or proctology clinics, from which 104 were excluded because of misclassification or unconfirmed diagnosis. 311 charts were fully reviewed, and these patients invited for a personal interview by a medical geneticist. FH obtained from chart reviews were compared to data obtained from personal interviews and subsequently classified as complete or incomplete. Among the 311 charts, 193 (62%) had FH of cancer recorded. Overall, 95 patients attended the interviews, 66 of whom had a FH recorded in their hospital charts allowing accuracy comparisons. Of these, 21/66 (32%) FH could be considered complete and 45/66 (68%) incomplete. Thirty-nine patients met at least one criterion for hereditary cancer. Familial aggregates of colorectal cancer were found in 18 families (19%). In conclusion, the data in this study showed that FH in medical charts were often flawed or carried important omissions, which could influence negatively medical attention delivered to patients, and that hereditary forms of cancer, especially hereditary non-polyposis colorectal cancer, were underdiagnosed, making it impossible to extend the benefits of early diagnosis and preventive measures to at risk family members.
Mestrado
Genetica Medica
Mestre em Ciências Médicas
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ISHIGAKI, TAKEO, YASUNORI OBATA, TAKAYUKI MURAO, YOSHlYUKI ITO, YOSHIMI HORlKAWA, TETSUYA YAMADA, TSUYOSHI KODAIRA, and HIDETOSHI KOBAYASHI. "18 YEARS OF CONFORMATION RADIOTHERAPY AT NAGOYA UNIVERSITY HOSPITAL." Nagoya University School of Medicine, 1996. http://hdl.handle.net/2237/16097.
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Okore, Ogbonnaya. "The Use of health promotion to increase the uptake of cervical cancer screening program in Nyangabgwe Hospital, Botswana." Thesis, University of Limpopo (Medunsa Campus), 2011. http://hdl.handle.net/10386/462.
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Thesis (MPH)--University of Limpopo (Medunsa Campus), 2011.BACKGROUND: In Botswana, cervical cancer is the most common cancer among women (18), and the Southern Africa regional prevalence rate of cervical cancer is 15.5% (25). In Nyangabgwe Referral Hospital, cervical cancer is the most common malignancy admitted in the gynecology ward, contributing 73% and 78% of all malignancy admissions in 2007 and 2008 respectively. It is estimated that 200,000 to 300,000 women die from cervical cancer every year, mostly in poor countries (1). The study intends to create more awareness on the importance cervical cancer screening in Nyangabgwe Referral Hospital and catchment areas. Purpose: The purpose of the study is to improve the uptake of cervical cancer screening by integrating a health promotion component to the standard program. Methods: The study was an interventional quantitative research. Two populations were selected for the study namely women attending Nyangabgwe Referral Hospital and the clinics in Francistown (the research group) and women attending Princess Marina Hospital (the control group). The population of women attending Nyangabgwe Referral Hospital was exposed to health promotion. The second population of women attending Princess Marina Hospital was unexposed to the health promotion intervention. A pre-test quantitative trend of cervical cancer screening patterns was collected from June to September 2009 in the health facilities before the intervention from October 2009 to January 2010. Intervention was conducted in the study sites and was followed by a post - test quantitative measure of cervical cancer screening trends in both the research group and the control groups. Instruments for the health promotion were; flyers with translations in English and Setswana given to participants, posters which were posted at various strategic positions in the hospital and as well as in female wards. The population of study was all women attending Nyangabgwe Referral Hospital and its catchment clinics (the study site). Interactive health education sessions were provided to the population. Questionnaires which had Setswana translation were administered to respondents who were screened for cervical cancer in the study and control sites. Results: The analysis of finding revealed that the total uptake of Pap smear test was higher during the period of intervention than in the pre-intervention period in all the sites and for all the age groups. Among the health promotion activities, the effect of health education talks in the hospital and clinics was greater (67%), than the effects of flyer or pamphlets (35%) and posters in hospitals and clinics (17%) in escalating uptakes of cervical cancer screening services. Conclusions: The standard cervical cancer screening program alone as designed and executed by health care workers is not enough to stimulate the desired response of increase access to cervical cancer screening services, because many women usually are left out. Recommendations: The study results call for the need of instituting a visible and accountable comprehensive health promotion component to the standard cervical cancer screening program in order to sustain a steady cervical cancer screening uptake that will result in the expected decline in morbidity and mortality due to cervical cancer disease.
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Wagganer, Andrea. "Feminine Beauty and the Cancerous Beast: Appearance Management at the Cancer Hospital Salon." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001541.
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Padilla, Liza L. "Transitioning with an Ostomy: The Experience of Patients with Cancer Following Hospital Discharge." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/24291.
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The study aim was to describe the lived experience of patients with an ostomy due to cancer following hospital discharge, using a Heideggerian phenomenological lens. Colaizzi’s (1978) process guided a thematic analysis of nine unstructured interviews. The overall essence of patients’ transition experience was Adjusting to a New Way of Living. Four major themes emerged, Some Things are Different, Always on my Mind, Moving Towards Independence, and I’m Not Alone. Results suggest that the transition involves: adjusting to the ostomy and cancer; financial implications; changes in self, physical being, lifestyle, and social aspects of life; and psychological acceptance and preparation for the unexpected. Home care nurses and patients’ support network facilitated meeting their comprehensive care needs; while cancer treatments, the role of the significant other in the loss of privacy, funding inconsistencies, and temporary ostomy status were barriers. Patients need a comprehensive care approach to better facilitate the transition process.
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Gromelsky, Ljungcrantz Emily. "Immediate breast reconstruction in breast cancer patients2018 at the University Hospital of Örebro." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-81526.
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Introduction: To save lives, mastectomy is an essential intervention, but it can also causephysical and psychological trauma. An important step in restoring breast cancer patient’squality of life is to offer reconstruction. Immediate breast reconstruction (IBR) is thealternative that provides highest patient-reported life quality post surgery. However, not allpatients are suitable for the procedure, besides surgical contraindications; both patient’s andsurgeon’s opinion on surgery may influence the frequency.Data from 2016 revealed low frequency of IBR in the County of Örebro, below nationaltargets. Since then, improvement work has been implemented to improve frequency.Aim: To investigate the current frequency of IBR in 2018 and compare with data from 2016.Method: Data on mastectomy and IBR frequency in breast cancer patients was extractedfrom casebooks. Patients with male gender, neoadjuvant radiotherapy and other purposes forsurgery than cancer were excluded. Using SPSS statistics, population characteristics wascompared between IBR and mastectomy alone patients, and with data from 2016.Results: It was evident that the frequency of IBR 2018 (12.66 %) was higher than in 2016(4.85 %), which match our hypothesis. Further, there was no significant difference incharacteristics between the mastectomy alone and IBR group except for “waiting time forsurgery”, “discussion at MDK on IBR” and “age”.Conclusion: IBR surgeries have increased since 2016. Future focus to improve frequencyshould be on shortening the waiting time and addressing patient’s opinion on surgery, asseveral patients declined.
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Verboux, Dorian. "Variabilités des pratiques et inégalités d’accès aux soins en France : le cas de la cancérologie." Thesis, Paris Est, 2016. http://www.theses.fr/2016PESC0065/document.
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Cette thèse s’intéresse d’une part à la question des variabilités des pratiques dans la prise en charge des cancers, et d’autre part à l’étude des déterminants des inégalités sociales et spatiales d’accès aux soins avec un regard particulier sur les personnes souffrant d’un cancer.Ces dernières années, les autorités publiques constatent de fortes variabilités dans les taux de recours à certaines prises en charges. Le premier chapitre de cette thèse pose la question des déterminants des différences de recours à la prostatectomie en tant que prise en charge du cancer de la prostate. Les résultats montrent une forte influence positive des variables relatives à l’offre de soins, aussi bien au niveau du département que de la région.La lutte contre les inégalités sociales de santé se fait également grâce à des dispositifs comme celui de l’ALD. Le deuxième chapitre s’intéresse aux déterminants du recours aux médecins généralistes et spécialistes, en différenciant pour ces derniers les visites liées ou non à la pathologie ALD. Pour les visites chez le généraliste, les résultats montrent qu’un statut socio-économique défavorisé semble être associé à un plus haut recours aux soins. Concernant les spécialistes, les résultats indiquent un net gradient social en faveur des personnes à haut statut socio-économique, surtout pour les visites non liées aux pathologies ALD.Enfin, depuis 2004, un programme de dépistage organisé du cancer du sein a été mis en place pour toutes les femmes âgées de 50 à 74 ans. L’objectif du dernier chapitre est d’examiner l’influence potentielle de la densité de médecins généralistes et spécialistes sur les taux de recours à ce dépistage sur la période 2005-2012. Il apparaît qu’une densité plus forte de médecins généralistes est significativement associée à un plus haut taux de recours. A l’inverse, une augmentation de la densité de spécialistes tend à avoir une incidence négative. Les estimations soulignent également un effet spatial ; les densités médicales dans les départements voisins ayant également un effet sur le recours au dépistage organiséThis thesis addresses several issues: on the one hand we focus on medical practice variations; one the other hand we examine determinants of social and spatial inequalities in access to care for individuals with cancer.In recent years, high practice variations are noted by health public authorities. The first chapter wonders about the determinants of variations in the use of prostatectomy as prostate cancer management. Results indicate a strong positive influence of supply-side factors in both régions and départements.Reducing social inequalities in access to care is also achieved thanks particular scheme as the LTI system. The second chapter focuses on the determinants of health care utilization, i.e. GP and specialist physicians. For those, we differentiate between visits related (or not) to LTI conditions. Concerning GP visits, individuals with lower socio-economic status tend to have greater GP visits. Regarding specialist visits, results point out a clear influence of financial factors, especially for non LTI-related visits.Finally, since 2004 organized breast cancer screening program invites all women 50-74 to be screened. The aim of this chapter is to examine the potential influence of supplied-side factors (GP and specialist physician density) on the use of organized cancer screening in France between 2005 and 2012. Results show that a higher GP density is associated with higher screening rates. On the contrary, a higher specialist density tends to diminish the participation rate to organized screening. Results also underline the presence of a spatial effect which means that neighboring behavior in terms of cancer screening has an impact on the cancer screening rate in the observed area
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Babiker, Samah Abdelaziz Elsheikh. "Awareness and knowledge of oral cancer among dental patients visiting Khartoum dental teaching hospital." University of the Western Cape, 2018. http://hdl.handle.net/11394/6634.
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Magister Scientiae Dentium - MSc(Dent)Background: Oral cancer is a major global healthcare problem. Its prevalence is increasing, and late-stage presentation is common. More than 500,000 patients are estimated to have oral cancer worldwide. Oral cavity squamous cell carcinoma (SCC) accounts for 90-94% of oral cancers. Survival rates for oral cancer are very poor, at around 50% and has not improved considerably in the previous decades even with advances in therapeutic interventions. Screening programs have been introduced for a number of major cancers and have demonstrated a compelling effect in their early detection. It’s now well established that the early detection of the malignancies is a competent way of improving the clinical outcome for patients. It’s believed that to reduce death and morbidity from this disease it is important to detect it at an early stage, when lesions are localized. Aim: To assess the level of awareness and knowledge of oral cancer among dental patients visiting Khartoum dental teaching Hospital. Method: A cross- sectional survey using a self-administered questionnaire with 18 questions was distributed to 193 patients between 18 and 65 years to collect the information. Results: The results indicate that there were more females (107; 55%) than males (86; 45%). There was a non-significant difference between alcohol consumption and awareness of oral cancer. However, the frequency results revealed that the majority of participants (98; 92 %), who reported they has heard about oral cancer, were females, while almost a quarter of participants (18; 21%) who had never heard about it, were males. This suggested that female patients were more aware of oral cancer than males. Participants, who declared hearing about oral cancer were more highly qualified educationally, whereas a quarter of them who declared they had never heard about it, were poorly qualified educationally.
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McIntyre, Rosemary. "Nursing support for relatives of dying cancer patients in hospital : improving standards by research." Thesis, Glasgow Caledonian University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.308329.
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De, Pomeroy-Legg Jeanita. "Prevalence of side-effects and change in nutritional status during radical radiotherapy for head and neck malignancies at Tygerberg Academic Hospital, Western Cape, South Africa." Thesis, Link to the online version, 2008. http://hdl.handle.net/10019/1492.
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Fletcher, Emily A., and Robert S. Lawson. "Characteristics of Hospital Inpatient Charges, Length of Stay, and Inpatient Mortality in Patients with Ovarian Cancer from 2002-2005." The University of Arizona, 2009. http://hdl.handle.net/10150/623991.
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Class of 2009OBJECTIVES: To determine and characterize the relative impact of patient demographics on hospital inpatient charges, length of stay, and inpatient mortality in patients with ovarian cancer from 2002-2005. METHODS: A retrospective database analysis of AHRQ’s Health Care Cost and Utilization Project (HCUP) Nationwide Inpatient Sample databases was conducted spanning from January 1, 2002, to December 31, 2005.Data were collected regarding age, race, payer status, median household income, location of hospital (urban/rural), comorbidities, procedures, total charges, length of stay, and inpatient mortality. Multivariate and gamma regression methods were utilized to examine incremental risks associated with length of stay, total charges, and inpatient mortality, after controlling for all other variables. RESULTS: Overall, data from 246,012 hospital admissions were obtained. The average length of stay of patients was 6.58 days (SD = 7.22), the average number of diagnoses was 7.18 (SD = 3.36), the average number of procedures performed was 2.71 (SD = 2.66). A total of 14,485 (5.9%) patients died during hospitalization. The average total charge was $29,698 (SD = $42,951). The IRR was 0.886 (95%CI, -0.105 to -0.04) for patients who were Hispanic, and 1.089 (95%CI, 0.017–0.153) for patients who were Black compared to patients who were white. When compared to patients who lived in large, metropolitan areas, the IRR was 0.88 (95%CI, -0.146 to - 0.109) for patients located in smaller, metropolitan areas, and the IRR was 0.74 (95%CI, -0.335 to -0.268) for patients located in non- urban areas. CONCLUSIONS: Patient demographics were found to have associations, both directly and indirectly, with length o
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Melin-Johansson, Christina. "Patients' quality of life : living with incurable cancer in palliative homecare /." Göteborg : Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University, 2007. http://hdl.handle.net/2077/7316.
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Santos, João Paulo Franco dos. "Prevalência de critérios para avaliação genética em pacientes com câncer de mama atendidos no hospital universitário de Santa Maria." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/143202.
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Objetivo: Até 10% dos casos de câncer de mama estão associados com uma síndrome genética de predisposição ao câncer. A identificação de possíveis portadores dessas síndromes e o consequente encaminhamento para aconselhamento genético permitem a adoção de estratégias direcionadas de prevenção e rastreamento capazes de diminuir morbidade e mortalidade. O objetivo do presente estudo foi avaliar a proporção de pacientes com câncer de mama atendidos no Hospital Universitário de Santa Maria (HUSM) que necessitariam ser encaminhados para avaliação genética. Métodos: Pacientes com câncer de mama que iniciaram tratamento oncológico no HUSM durante o ano de 2014 foram considerados elegíveis. Uma entrevista foi conduzida com cada paciente para coleta de dados e exame físico dirigido. O questionário FSH-7 (Family Story Screening 7) e os critérios do NCCN (National Comprehensive Cancer Network) foram utilizados para identificar os pacientes que deveriam ser encaminhados para avaliação genética. Estes pacientes foram então avaliados quanto à indicação de teste genético - de acordo com as recomendações do NCCN para teste genético – e à probabilidade de mutações nos genes BRCA1 e BRCA2 através de modelos de predição de risco (BOADICEA, Penn II, sistema de escore de Manchester e tabelas da Myriad). Resultados: Dentre os 114 participantes do estudo, 65 (57%) preenchiam critérios de encaminhamento para avaliação genética de acordo com as diretrizes do NCCN. O questionário FHS-7 apresentou uma sensibilidade de 90% para identificar estes pacientes, com uma especificidade de 85%. A presença de história pessoal ou familiar de câncer de mama antes dos 50 anos foi o critério mais comum para indicar avaliação genética. Em relação aos testes genéticos, 52 pacientes (45%) deveriam ser testados para mutações nos genes BRCA1 e BRCA2 e 4 pacientes (3,5%) possuíam indicação de teste para mutações em TP53, de acordo com as recomendações do NCCN. Utilizando os modelos de predição de risco, 10,2% a 57,1% dos pacientes apresentavam uma probabilidade ≥ 10% de mutações em BRCA1 ou BRCA2. Conclusão: Este estudo revelou que a maioria dos pacientes com câncer de mama atendidos no HUSM possui indicação de encaminhamento para avaliação genética. A utilização de um questionário simples e rápido poderia identificar 90% destes pacientes.Objective: Up to 10% of breast cancers are associated with a hereditary cancer syndrome. The identification of possible carriers of these syndromes and the subsequent referral for genetic counselling allow the adoption of tailored screening and prevention strategies capable of reducing morbidity and mortality. The aim of this study is to assess the proportion of patients with breast cancer treated at the University Hospital of Santa Maria (HUSM) that would need to be referred for genetic evaluation. Methods: Breast cancer patients who began cancer treatment at HUSM during the year 2014 were eligible. An interview was conducted with each patient for data collection and targeted physical examination. The FSH-7 (Family Story Screening 7) questionnaire and the NCCN (National Comprehensive Cancer Network) criteria were used to identify patients who should be referred for genetic evaluation. Then these patients were assessed for genetic testing criteria - according to the NCCN recommendations for genetic testing - and the likelihood of BRCA1 and BRCA2 mutations through risk prediction models (BOADICEA, Penn II, Manchester score system and Myriad tables). Results: Among the 114 study participants, 65 (57%) meet referral criteria for genetic evaluation according to the NCCN guidelines. The FHS-7 questionnaire showed a sensitivity of 90% to identify such patients with a specificity of 85%. The presence of personal or family history of breast cancer before age 50 was the most common criteria to indicate genetic evaluation. With respect to genetic testing, 52 patients (45%) should be tested for BRCA1 and BRCA2 mutations and 4 patients (3.5%) had test indication for TP53 mutations in accordance with the recommendations of the NCCN. Using risk prediction models, 10.2% to 57.1% of patients had a BRCA1 or BRCA2 mutations probability ≥ 10%. Conclusion: This study showed that most of the patients with breast cancer treated at HUSM have referral indication for genetic evaluation. The use of a fast and simple questionnaire could identify 90% of these patients.