Methods Patients in a linked study were asked to
invite a partner or other close family member to complete a self-administered postal questionnaire. Data were analysed by cancer site and time since diagnosis. Matched comparisons were made between cancer patients in the linked study and their partners. Results An expression of interest was received from 330 partners/family members, and 257 questionnaires (77.9%) were returned. Health status and levels of anxiety and depression were comparable with population norms. Respondents reported an average of 2.7 unmet needs from 34 possible options. Hospital parking, information about familial risk, help managing fear of recurrence and coordination of care were the most cited unmet needs. There was little variation in health status, psychological morbidity and unmet needs check details by cancer site or time since diagnosis. Concordance between patients and partners was low NU7026 ic50 for anxiety but higher with respect to positive outcomes and some unmet needs. Conclusions Most partners/family members of long-term cancer survivors report few ongoing issues. However, a small proportion (<10%) have high levels of anxiety and/or
moderate or strong unmet needs. Strategies for identifying this group and addressing their needs are required, while allowing the majority to resume normal life. Copyright (c) 2011 John Wiley & Sons, Ltd.”
“Objective To compare the haemodynamic effects of three premedicant regimens during propofol-induced isoflurane anaesthesia. Study design Prospective, randomized cross-over study. Animals Eight healthy purpose-bred beagles aged 4years and weighing mean 13.6 +/- SD 1.9kg. Methods The dogs were instrumented
whilst under isoflurane anaesthesia prior to each experiment, then allowed to recover for 60minutes. Each dog was treated with three different premedications given intravenously (IV): medetomidine 10 mu gkg(-1) (MED), medetomidine 10 mu gkg(-1) with selleck chemicals llc MK-467 250 mu gkg(-1) (MMK), or acepromazine 0.01mgkg(-1) with butorphanol 0.3mgkg(-1) (AB). Anaesthesia was induced 20minutes later with propofol and maintained with isoflurane in oxygen for 60minutes. Heart rate (HR), cardiac output, arterial blood pressures (ABP), central venous pressure (CVP), respiratory rate, inspired oxygen fraction, rectal temperature (RT) and bispectral index (BIS) were measured and arterial and venous blood gases analyzed. Cardiac index (CI), systemic vascular resistance index (SVRI), oxygen delivery index (DO2I), systemic oxygen consumption index (VO2I) and oxygen extraction (EO2) were calculated. Times to extubation, righting, sternal recumbency and walking were recorded. The differences between treatment groups were evaluated with repeated measures analysis of covariance.