A voice that wraps around the body--communication problems in the advanced stages of non-small cell lung cancer

INTRODUCTION: Significant problems in clinician-patient communication have been described in the oncology literatures. Advanced stage non-small lung cancer a devastating disease, can cause the communication between survivors, significant others, and clinicians to falter. To date, however, no studies have used qualitative methods to examine experiential aspects of living with non-small cell lung cancer. Nor have any studies evaluated the tools survivors might use to repair some of the damage caused by living with this disease. METHODS: Exploratory, two-part qualitative design. RESULTS: Survivors of non-small cell lung cancer live with multiple fears and losses. These include a diminished sense of self, the loss of health, fears of pain in a future tainted by the threat of death, and increased feelings of alienation due to the loss of previous sources of meaning in life. These experiences significantly affect cancer survivors abilities to communicate with clinicians and significant others. CONCLUSIONS: Survivors of non-small cell lung cancer often have difficulty sharing their experiences with others not suffering a similar affliction. Through their narratives with other survivors, however, patients are better able to initiate a biopsychosocial mechanism which enables them to create a cognitive map. This cognitive map helps survivors share their experiences with others, thereby repairing some of the damage caused by this disease, including the harm done to their communication with other people.     

The Dietary Supplement Chondroitin-4-Sulfate Exhibits Oncogene-Specific Pro-tumor Effects on BRAF V600E Melanoma Cells

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The Probability of a Negative Linear Combination of Independent Mean Squares

SATTERTHWAITE'S (1941) approximation of the distribution of a linear combination, of independent mean squares is a commonly used technique in the analysis of variance. Confidence intervals and test statistics based on this approximation require that be positive. In this article, the probability that will be negative is considered in situations in which the mean squares are associated with a general balanced mixed model. Expressions are given for exact and approximate values of this probability in terms of the expected values and degrees of freedom of the mean squares. An example is presented to illustrate the implementation of the proposed methodology.     

Electrochemical potentials of potassium in skeletal muscle under different metabolic states.

Intracellular potassium and membrane potential were measured simultaneously by means of double-barrelled liquid ion-exchange microelectrodes in single fibers of rat thigh muscle in vivo in rats maintained in seven different metabolic states. The K+ equilibrium potential (EK) was more negative than the simultaneously measured membrane potential (Em) in the normal state by 18.4 mV. K+ loading, acute and chronic, resulted in depolarization of Em due to increased serum K+ (hyperkalemia) with no increase in intracellular K+. K+ depletion resulted in hyperpolarization of Em as plasma K+ decreased proportionately more than intracellular K+. Low Na+ diet had no effect. Intracellular K+ was decreased in acute acidosis but not in the chronic state. Thus K+ depletion and acute acidosis are associated with intracellular K+ decrease. The fact that hyperpolarization exists in the former and not the latter is a reflection that hypokalemia accompanies the former condition. The hyperpolarizing states of K+ depletion and chronic acidosis are accompanied by decreased excitability and muscle weakness.     

Nodal segments or microtubers as explants for in vitro microtuber production of potato

Experiments on recycling small microtubers back into tissue culture revealed that they have a great advantage over nodal segments when used as explants in vitro. They produced plantlets ready for micropropagation in one-half the time it took nodal segments to do so. They did not require a fixed daylength (either long or short days) for this, nor were they dependent on the presence of sucrose in the culture medium. Small microtubers were more suitable than large because the latter produced very many branches which senesced more rapidly. When maintained in culture, these plantlets from microtubers themselves produced microtubers of a similar array of sizes and fresh weights to nodal explants, but at a much faster rate. For this, the presence of a high level of sucrose (8%) was beneficial, and slightly larger microtubers produced a higher yield. The microtubers produced from these plantlets were identical to those from nodal segments, and had a similar period af dormancy.