Prostate cancer is for many men a chronic disease with a long life expectancy after treatment. The impact of prostate cancer therapy on men has been well defined, however, explanation of the ...consequences of cancer treatment has not been modelled against the wider variables of long-term health-care provision. The aim of this study was to explore the parameters of unmet supportive care needs in men with prostate cancer in relation to the experience of nursing care.
A survey was conducted among a volunteer sample of 1001 men with prostate cancer living in seven European countries.
At the time of the survey, 81% of the men had some unmet supportive care needs including psychological, sexual and health system and information needs. Logistic regression indicated that lack of post-treatment nursing care significantly predicted unmet need. Critically, men's contact with nurses and/or receipt of advice and support from nurses, for several different aspects of nursing care significantly had an impact on men's outcomes.
Unmet need is related not only to disease and treatment factors but is also associated with the supportive care men received. Imperative to improving men's treatment outcomes is to also consider the access to nursing and the components of supportive care provided, especially after therapy.
Labile non-bridging ligands modify coordination polymer structure and provide a route to the preparation of materials with vacant metal coordination sites.
•New 1D chain coordination polymers ...prepared with porous structure.•Labile aqua ligands lead to materials with open metal sites.•Faster water binding by Co-bpy 1D chains than 2D bilayer due to open metal sites.
The inclusion of labile non-bridging ligands in coordination polymers can be used to modify their topology and provide a route to the preparation of materials with vacant metal coordination sites. The reaction of Co(NO3)2 and 4,4′-bipyridine (bpy) in ethanol is known to produce a 2D coordination polymer Co2(bpy)3(NO3)4n, 1. The inclusion of non-bridging aqua ligands produces new coordination polymer structures, 1D chains of Co(bpy)(H2O)2(NO3)2n, 2, and Ni(bpy)(H2O)2(NO3)2n, 3. The structures of the 2 and 3 were determined by single-crystal X-ray diffraction, which showed that they had the same packing motif, layers of parallel chains stacked in an ABAB pattern along the c axis. The crystals had 4Å channels running parallel to the c axis. The disordered guest molecules in the channels of 2 were removed by heating at 90°C, along with the two aqua ligands. This produced a coordination polymer with vacant metal coordination sites that had a high selectivity for the adsorption of water and its coordination to the Co. Aqua ligands also bound to the Co when 1 adsorbed water and, but the process was much slower due to the larger structural changes this required in the 2D framework and the lack of vacant coordination sites.
We report the case of a 97 year old woman suffering from a voluminous diverticle of the cervical esophagus with important comorbidities and a very poor quality of life. A diverticulectomy under ...general anesthesia implied a high level of risk. Regional anesthesia was chosen, i.e. an intermediate cervical plexus block, with mild sedation allowing to maintain contact with the patient. The procedure was carried out without complications and the patient's and surgical staff satisfaction were optimal.
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