Results: Patients in the intervention group
showed statistically significant reduction in cancer-related fatigue (F = 76.510, p < 0.001, eta(2) = 0.248). Secondary outcomes also showed significant improvements in all measures, including quality of life (F = 29.607, p < 0.001, eta(2) = 0.113), general self-efficacy (F = 27.680, p < 0.001, eta(2) = 0.107), exercise self-efficacy (F = 49.230, p < 0.001, eta(2) = 0.175), physical activity (F = 8.036, p < 0.001, eta(2) = 0.033), anxiety (F = 33.194, p < 0.001, eta(2) = 0.125), depression (F = 24.604, p < 0.001, eta(2) = 0.096), and fatigue knowledge (F = 5-Fluoracil purchase 55.157, p <0.001, eta(2) = 0.192).
Conclusion: The selleckchem program was effective in reducing perceived fatigue as well as further outcomes. Practice implications: This newly developed education program has the potential to fill a gap in the care of cancer survivors. The program needs further evaluation in other countries employing a control group of patients receiving equal time and attention as the intervention group. (C) 2012 Elsevier
Ltd. All rights reserved.”
“Background: With the increase in use of point-of-care diagnostic tests for malaria and other diseases comes the necessity of storing the diagnostic kits and the drugs required for subsequent management, in remote areas, where temperatures are high and electricity supply is unreliable or unavailable.
Methods: To address the lack of temperature-controlled storage during the introduction of community-based malaria management in Cambodia, the Cambodian National Centre for Parasitology, Entomology and Malaria Control (CNM) developed prototype evaporative cooling boxes (Cambodian Cooler Boxes – CCBs) for storage of perishable medical commodities in remote clinics. The performance of these CCBs for maintaining suitable storage temperatures was evaluated over selleck compound two phases in 2005 and 2006-7, comparing conditions in CCBs using water as designed, CCBs with no water for evaporation, and ambient storage room temperatures.
Temperature and humidity was monitored, together with the capacity of the RDTs recommended for storage between 2 to 30 degree Celsius to detect low-density malaria parasite samples after storage under these conditions.
Results: Significant differences were recorded between the proportion of temperatures within the recommended RDT storage conditions in the CCBs with water and the temperatures in the storage room (p < 0.001) and maximum temperatures were lower. RDTs stored at ambient temperatures were negative when tested with parasitized blood (2,000 parasites per micro litre) at 210 days, while the field RDTs kept in CCBs with water gave positive results until 360 days.
Discussion and Conclusions: The CCB was an effective tool for storage of RDTs at optimal conditions, and extended the effective life-span of the tests.