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Kaur M, Kaur J, Kaur A, Kamal P. Sex differences in minutiae frequencies of thumbprint with respect to dermatoglyphic patterns. Clin Ter 2023; 174:257-260. [PMID: 37199361 DOI: 10.7417/ct.2023.2531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Abstract
Abstract The present study is an attempt to study the sex differences in minutiae frequencies of thumbprint with respect to dermatoglyphic patterns. A sample of 100 subjects (50 males and 50 females) were gathered from Shimla, Himachal Pradesh (North India). In regards to pattern type, maximum number of minutiae was present in loop pat-tern followed by whorls and least minutiae were in the arches in the right hand of both the sexes and left hand of females only, whereas in left hand of the males highest frequency of minutiae were noticed in whorls followed by loops and lowest in the arches, thereby indicating the lessened bimanual symmetry in males. It can be inferred from the present study that the simple pattern (arch) has less discontinuance in the regular flow of the ridges, while the complex patterns (loops and whorls) exhibited more interruptions in the dermal ridges.
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Affiliation(s)
- M Kaur
- Assistant Professor, Department of Anthropology, Panjab University, Chandigarh-160014, India
| | - J Kaur
- Research Scholar, Department of Anthropology, Panjab University, Chandigarh-160014, India
| | - A Kaur
- Department of Anthropology, Panjab University, Chandigarh-160014, India
| | - P Kamal
- Associate Professor, Department of Economics, Post Graduate Government College for Girls, Chandigarh-160036, India
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Bauer SR, Jin C, Kamal P, Suskind AM. Association Between Lower Urinary Tract Symptoms and Frailty in Older Men Presenting for Urologic Care. Urology 2020; 148:230-234. [PMID: 33049232 DOI: 10.1016/j.urology.2020.09.041] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 09/16/2020] [Accepted: 09/29/2020] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To evaluate the association between non-neurogenic lower urinary tract symptoms (LUTS) and frailty among treatment-seeking older men. METHODS This is a cross-sectional study of male patients age 65 years and older presenting to an academic urology practice between December 2015 and March 2019. Men with cancer, neurologic disease, indwelling catheter, or continuous leakage were excluded. Participants completed a Timed-Up-and-Go-Test (TUGT) which was used to categorize men as fast (≤10 seconds), intermediate (11-14 seconds), or slow (≥15 seconds). Participants with the following diagnoses were identified using billing codes extracted from the electronic medical record: overactive bladder (OAB), benign prostatic hyperplasia (BPH), mixed OAB/BPH, or non-LUTS urologic condition. Multivariable associations were evaluated using multinomial logistic regression models adjusted for age, race, and body mass index. RESULTS Among 2206 men included in our sample, 64% were fast (mean TUGT time: 8.3 ± 1.2 seconds), 25% were intermediate (mean TUGT time: 12.0 ± 1.0 seconds), and 11% were slow (mean TUGT time: 18.5 ± 4.7 seconds). Subjects with slow TUGT times were more likely to be older, non-White, and have LUTS. Compared to non-LUTS conditions, OAB (odds ratio [OR] = 2.62, 95% CI 1.74, 3.93), BPH (OR = 1.70, 95% 1.14, 2.55), and mixed OAB/BPH (OR = 1.82, 95% 1.14, 2.92) were all associated with increased odds of slow TUGT time. LUTS diagnosis was not significantly associated with intermediate TUGT time. CONCLUSION LUTS diagnosis, particularly OAB, is associated with increased odds of slow TUGT time, a surrogate of frailty, compared to non-LUTS conditions. Frailty is common among older men with LUTS and should be considered during the initial urological evaluation.
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Affiliation(s)
- Scott R Bauer
- Department of Medicine, University of California, San Francisco, CA; Department of Urology, University of California, San Francisco, CA; Veterans Affairs Medical Center, San Francisco, CA.
| | - Chengshi Jin
- Department of Urology, University of California, San Francisco, CA
| | - Puneet Kamal
- Department of Urology, University of California, San Francisco, CA
| | - Anne M Suskind
- Department of Urology, University of California, San Francisco, CA
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Song S, Jin C, Kamal P, Suskind AM. The association between frailty and detrusor overactivity in older adults. Neurourol Urodyn 2020; 39:1584-1591. [PMID: 32483874 DOI: 10.1002/nau.24414] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 04/25/2020] [Accepted: 05/21/2020] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To explore the relationship between frailty, age, and detrusor overactivity (DO) in older adults presenting to an academic urology practice. MATERIALS AND METHODS This study uses the University of California, San Francisco Geriatric Urology Database to examine all adults ages ≥65 years who underwent urodynamic testing from December 2015 to April 2019. All subjects had a timed up and go test (TUGT) as a measure of frailty and were categorized as fast (≤10 seconds), intermediate (11-14 seconds), or slow (≥15 seconds), corresponding to not frail, pre-frail, and frail, respectively. Urodynamic studies were reviewed for the presence of DO. Univariate and multivariate logistic regression were used to examine the relationship between frailty, age, and the presence of DO. RESULTS In total, 549 older adults underwent urodynamics during the study period, and 48.5% had a study that demonstrated DO. Individuals with DO tended to be older (18.4% vs 11.0% were ≥80 years; P = .01) and more frail (19.5% vs 13.4% with TUGT ≥5 seconds; P < .01). Multivariate regression demonstrated that DO was associated with both pre-frail and frail TUGT times (adjusted odds ratio [aOR], 2.1; 95% confidence interval [CI], 1.3-3.4; P < .01 for TUGT 11-14 seconds, and aOR, 2.1; 95% CI, 1.1-4.0; P = .02 for TUGT ≥15 seconds). Age was not found to be significantly associated with DO (P's > .05). CONCLUSIONS Frailty, not age, is associated with DO among older adults undergoing urodynamics. Further research on the role of frailty in the evaluation and management of older adults with DO is warranted to best serve the needs of this population.
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Affiliation(s)
- Sikai Song
- Department of Urology, University of California-San Francisco, San Francisco, California
| | - Chengshi Jin
- Department of Biostatistics and Epidemiology, University of California-San Francisco, San Francisco, California
| | - Puneet Kamal
- Department of Urology, University of California-San Francisco, San Francisco, California
| | - Anne M Suskind
- Department of Urology, University of California-San Francisco, San Francisco, California
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Cohen AJ, Patino G, Kamal P, Ndoye M, Tresh A, Mena J, Butler C, Washington S, Breyer BN. Perspectives From Authors and Editors in the Biomedical Disciplines on Predatory Journals: Survey Study. J Med Internet Res 2019; 21:e13769. [PMID: 31471960 PMCID: PMC6743260 DOI: 10.2196/13769] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 04/24/2019] [Accepted: 05/07/2019] [Indexed: 11/21/2022] Open
Abstract
Background Predatory journals fail to fulfill the tenets of biomedical publication: peer review, circulation, and access in perpetuity. Despite increasing attention in the lay and scientific press, no studies have directly assessed the perceptions of the authors or editors involved. Objective Our objective was to understand the motivation of authors in sending their work to potentially predatory journals. Moreover, we aimed to understand the perspective of journal editors at journals cited as potentially predatory. Methods Potential online predatory journals were randomly selected among 350 publishers and their 2204 biomedical journals. Author and editor email information was valid for 2227 total potential participants. A survey for authors and editors was created in an iterative fashion and distributed. Surveys assessed attitudes and knowledge about predatory publishing. Narrative comments were invited. Results A total of 249 complete survey responses were analyzed. A total of 40% of editors (17/43) surveyed were not aware that they were listed as an editor for the particular journal in question. A total of 21.8% of authors (45/206) confirmed a lack of peer review. Whereas 77% (33/43) of all surveyed editors were at least somewhat familiar with predatory journals, only 33.0% of authors (68/206) were somewhat familiar with them (P<.001). Only 26.2% of authors (54/206) were aware of Beall’s list of predatory journals versus 49% (21/43) of editors (P<.001). A total of 30.1% of authors (62/206) believed their publication was published in a predatory journal. After defining predatory publishing, 87.9% of authors (181/206) surveyed would not publish in the same journal in the future. Conclusions Authors publishing in suspected predatory journals are alarmingly uninformed in terms of predatory journal quality and practices. Editors’ increased familiarity with predatory publishing did little to prevent their unwitting listing as editors. Some suspected predatory journals did provide services akin to open access publication. Education, research mentorship, and a realignment of research incentives may decrease the impact of predatory publishing.
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Affiliation(s)
- Andrew J Cohen
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - German Patino
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Puneet Kamal
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Medina Ndoye
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Anas Tresh
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Jorge Mena
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Christi Butler
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Samuel Washington
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
| | - Benjamin N Breyer
- Department of Urology, University of California-San Francisco, San Francisco, CA, United States
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Cedars B, Lisker S, Borno HT, Kamal P, Breyer B, Sarkar U. An electronic registry to improve adherence to active surveillance monitoring among men with prostate cancer at a safety-net hospital: protocol for a pilot study. Pilot Feasibility Stud 2019; 5:101. [PMID: 31428442 PMCID: PMC6694525 DOI: 10.1186/s40814-019-0482-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Accepted: 07/29/2019] [Indexed: 12/02/2022] Open
Abstract
Background The evidence-based practice of active surveillance to monitor men with favorable-risk prostate cancer in lieu of initial definitive treatment is becoming more common. However, there are barriers to effective implementation, particularly in low-resource settings. Our goal is to assess the efficacy and feasibility of a health information technology registry for men on active surveillance at a safety-net hospital to ensure patients receive guideline-recommended care. Methods We developed an electronic registry for urology clinic staff to monitor men on active surveillance. The health information technology tool was developed using the Systems Engineering Initiative for Patient Safety model and iteratively tailored to the needs of the clinic by engaging providers in a co-design process. We will enroll all men at Zuckerberg San Francisco General Hospital and Trauma Center who choose active surveillance as a treatment strategy. The primary outcomes to be assessed during this non-randomized, pragmatic evaluation are number of days delayed beyond recommended date of follow-up testing, the proportion of men who are lost to follow-up, the cancer stage at active treatment, and the feasibility and acceptability of the clinic-wide intervention with clinic staff. Secondary outcomes include appointment adherence within 30 days of the scheduled date. Discussion Use of a customized electronic approach for monitoring men on active surveillance could improve patient outcomes. It may help reduce the number of men lost to follow-up and improve adherence to timely follow-up testing. Evaluating the adoption and efficacy of a customized registry in a safety-net setting may also demonstrate feasibility for implementation in diverse clinical contexts. Trial registration ClinicalTrials.gov identifier NCT03553732, An Electronic Registry to Improve Adherence to Active Surveillance Monitoring at a Safety-net Hospital. Registered 11 June 2018.
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Affiliation(s)
- Benjamin Cedars
- 1Department of Urology, School of Medicine, University of California San Diego, 200 West Arbor Drive, San Diego, CA 92103 USA
| | - Sarah Lisker
- 2Center for Vulnerable Populations, University of California San Francisco, 2789 25th Street, San Francisco, CA 94110 USA.,3Department of Medicine, School of Medicine, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143 USA
| | - Hala T Borno
- 3Department of Medicine, School of Medicine, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143 USA
| | - Puneet Kamal
- 4Department of Urology, School of Medicine, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA 94110 USA
| | - Benjamin Breyer
- 4Department of Urology, School of Medicine, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA 94110 USA.,5Department of Epidemiology and Biostatistics, School of Medicine, University of California San Francisco, 550 16th Street, San Francisco, CA 94158 USA
| | - Urmimala Sarkar
- 2Center for Vulnerable Populations, University of California San Francisco, 2789 25th Street, San Francisco, CA 94110 USA.,3Department of Medicine, School of Medicine, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143 USA
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Cedars BE, Cohen AJ, Fergus KB, Baradaran N, Ndoye M, Kamal P, Breyer BN. Qualitative Analysis of the Content Found in Online Discussion Boards for Urethral Stricture Disease and Urethroplasty. Urology 2019; 130:155-161. [DOI: 10.1016/j.urology.2019.03.033] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 03/22/2019] [Accepted: 03/29/2019] [Indexed: 12/11/2022]
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Mena JD, Ndoye M, Cohen AJ, Kamal P, Breyer BN. The landscape of urological retractions: the prevalence of reported research misconduct. BJU Int 2019; 124:174-179. [DOI: 10.1111/bju.14706] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jorge D. Mena
- Department of Urology; University of California-San Francisco; San Francisco CA USA
| | - Medina Ndoye
- Department of Urology; University of California-San Francisco; San Francisco CA USA
| | - Andrew J. Cohen
- Department of Urology; University of California-San Francisco; San Francisco CA USA
| | - Puneet Kamal
- Department of Urology; University of California-San Francisco; San Francisco CA USA
| | - Benjamin N. Breyer
- Department of Urology; University of California-San Francisco; San Francisco CA USA
- Department of Biostatistics and Epidemiology; University of California-San Francisco; San Francisco CA USA
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Cohen AJ, Washington S, Butler C, Kamal P, Patino G, Tresh A, Mena J, Ndoye M, Breyer BN. Altruistic donation to improve survey responses: a global randomized trial. BMC Res Notes 2019; 12:113. [PMID: 30819217 PMCID: PMC6396474 DOI: 10.1186/s13104-019-4146-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 02/21/2019] [Indexed: 12/04/2022] Open
Abstract
Objective Web-based platforms have revolutionized the ability for researchers to perform global survey research. Methods to incentivize participation have been singularly focused on European and North American participants with varied results. With an ever increasing proportion of biomedical research being performed in non-western countries, assessment of novel methods to improve global survey response is timely and necessary. To that end, we created a three-arm nested randomized control trial (RCT) within a prospective cohort study to assess the impact of incentives on survey responsiveness in a global audience of biomedical researchers. Results Email invitations were sent to authors and editors involved in online publishing totaling 2426 participants from 111 countries. Overall we observed a 13.0% response rate: 13.3% for the control group, 14.4% for a group entered to win a gift card, and 11.1% for a group whose participation lead to donation to charity (p = 0.17). Year of publication nor country impacted response rate. Within subgroups, editors were significantly less likely to respond to the survey as compared to authors (6.5% vs. 18.9%; p-value < 0.01). With power to detect a 4.8% difference among groups, we could not detect an impact of incentives on global survey response.
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Affiliation(s)
- Andrew J Cohen
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Sam Washington
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Christi Butler
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Puneet Kamal
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - German Patino
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Anas Tresh
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Jorge Mena
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Medina Ndoye
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA
| | - Benjamin N Breyer
- Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA. .,Department of Biostatistics and Epidemiology, University of California-San Francisco, San Francisco, CA, USA.
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Abstract
e21594 Background: Survivorship concerns–including sexual function–move increasingly to the foreground in cancer patient care as systemic therapies improve response and survival. Patients are often committed to long-term treatment with tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors (ICI) despite poor characterization of their effects on sexual function. We sought to assess sexual activity and function in patients receiving TKI or ICI. Methods: A cohort of men receiving TKI/ICI at the UCSF Helen Diller Family Comprehensive Cancer Center were retrospectively identified. Eligible men were on ongoing TKI/ICI therapy. Detailed questionnaires addressing cancer history, treatment history, and sexual activity/function while receiving therapy were completed. Results: Between January 2013 to September 2016, 51 men completed questionnaires. Mean age was 46 years (SD 12, range 21-72). Most (61%) were CML patients, with 12% RCC, 10% GIST, 6% melanoma, and NET, oligodendroglioma, and HCC comprising remaining histologies. 96% were treated with TKI, and 4% with ICI (pembrolizumab). 32% identified as being married or in a domestic partnership, and 18% identified as single. Only 14% reported no attempted sexual activity. Sexual desire was described as low or very low to none in 29%, average in 39%, and high or very high in 29%. Since cancer diagnosis, 21 (41%) of patients noted a reduced amount of semen upon ejaculation, and all but 5 of those patients noted this as at least somewhat bothersome. 35% of patients reported feeling at least somewhat distressed from sexual experiences since cancer diagnosis, including concern that their time to ejaculation may leave their partners feeling unfulfilled (45%), decreased sensation of orgasm (35%), difficulty maintaining erection until completion of intercourse (23%), and pain/discomfort upon ejaculation (12%). Conclusions: The majority of men on TKI or ICI remain sexually active, with a significant portion reporting sexual dysfunction. These findings highlight the need for oncology care providers to proactively manage sexual dysfunction to improve quality of life for cancer patients. Retrospective and prospective studies are ongoing to further characterize this cohort.
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Affiliation(s)
- Katy K. Tsai
- Division of Hematology/Oncology, University of California, San Francisco, San Francisco, CA
| | - Puneet Kamal
- Department of Urology, University of California, San Francisco, San Francisco, CA
| | - Joris Ramstein
- University of California, San Francisco, San Francisco, CA
| | - Alain Patrick Algazi
- University of California, San Francisco Medical Center- Mt. Zion, San Francisco, CA
| | - Adil Daud
- University of California, San Francisco, San Francisco, CA
| | - James F Smith
- Department of Urology, University of California, San Francisco, San Francisco, CA
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Tsai KK, Kamal P, Ramstein J, Algazi AP, Daud A, Smith JF. Patient attitudes toward oncofertility care in male cancer patients receiving targeted and immune therapies. J Clin Oncol 2017. [DOI: 10.1200/jco.2017.35.15_suppl.e21593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e21593 Background: Tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors (ICI) have resulted in durable response for many cancer patients. The impact of these agents on future fertility are not well described, and patients are often committed to long-term treatment without adequate oncofertility counseling. We sought to better characterize patient attitudes toward oncofertility and challenges faced by male cancer patients undergoing treatment with TKI or ICI. Methods: Men receiving TKI/ICI at the UCSF Helen Diller Family Comprehensive Cancer Center were retrospectively identified. Eligible men had received at least one dose of TKI/ICI. Detailed questionnaires addressing cancer history, possible effects of treatment on fertility, and obstacles to fertility preservation were completed. Results: Between January 2013 to September 2016, 51 men with a mean age of 46 years (SD 12, range 21-72), 65% white, completed questionnaires. Most (61%) were CML patients, with 12% RCC, 10% GIST, 6% melanoma, and NET, oligodendroglioma, and HCC comprising remaining histologies. 96% were treated with TKI, and 4% with ICI. At the time of diagnosis, 35% of patients indicated a desire to father future children, and 53% believed that cancer treatment might affect their fertility. Despite this, 45% were not asked whether having children was important to them, and 47% did not receive information from any provider on their oncology care team about the possible risks of TKI/ICI to future fertility. The majority of patients felt there was inadequate discussion of how treatment might affect testosterone levels (73%) and their ability to father a child (53%), yet only 14% recalled adequate referrals to a fertility specialist. Conclusions: These data demonstrate that male cancer patients perceive treatment-related infertility risks as important, yet have few opportunities to discuss these concerns with providers. Care plans to address oncofertility needs, especially as TKI/ICI are increasingly used in multiple cancer types, are needed as part of the diagnosis, treatment, and follow up of these patients. Larger retrospective and prospective studies are ongoing to further characterize this patient cohort.
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Affiliation(s)
- Katy K. Tsai
- Division of Hematology/Oncology, University of California, San Francisco, San Francisco, CA
| | - Puneet Kamal
- Department of Urology, University of California, San Francisco, San Francisco, CA
| | - Joris Ramstein
- University of California, San Francisco, San Francisco, CA
| | - Alain Patrick Algazi
- University of California, San Francisco Medical Center- Mt. Zion, San Francisco, CA
| | - Adil Daud
- University of California, San Francisco, San Francisco, CA
| | - James F Smith
- Department of Urology, University of California, San Francisco, San Francisco, CA
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Ramstein J, Kamal P, Tsai K, Smith J. PD13-10 BARRIERS IN ACCESS TO MALE ONCOFERTILITY CARE AMONG MEN RECEIVING TARGETED CANCER THERAPY. J Urol 2017. [DOI: 10.1016/j.juro.2017.02.698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Jackson C, Bosio P, Habiba M, Waugh J, Kamal P, Dixon-Woods M. Referral and attendance at a specialist antenatal clinic: a qualitative study of women’s views. BJOG 2007; 114:375; author reply 375. [PMID: 17313389 DOI: 10.1111/j.1471-0528.2006.01222.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
OBJECTIVE To explore women's views on being referred to and attending a specialist antenatal hypertension clinic. DESIGN Qualitative interview study. SETTING A pregnancy hypertension clinic in a large teaching hospital in the East Midlands. POPULATION Twenty-one women (aged 18 years and above) attending the pregnancy hypertension clinic for the first time during their current pregnancy. METHODS Women who had been referred to and attended a specialist antenatal clinic participated in semi-structured interviews. Data analysis was based on the constant comparative method. MAIN OUTCOME MEASURES Women's experiences and perceptions of being referred to and attending a specialist antenatal clinic. RESULTS Being referred to the clinic conferred an 'at risk' status on women. Some women welcomed the referral but others experienced it as unsettling. Many were unclear about why they had been identified as being at risk or had difficulties in accepting the legitimacy of the reason for referral. Women were often inadequately informed about why they were referred to the clinic, what they could expect and the benefits of attending the clinic over management in the community. Although attendance at the clinic was cited as a source of reassurance, the reassurance was often made necessary by concern raised by the initial referral. CONCLUSIONS Women's accounts suggest that the interface between community and secondary antenatal services needs improvement to minimise possible adverse effects from identifying women as being 'at risk' during pregnancy.
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Affiliation(s)
- C J Jackson
- Department of Health Sciences, University of Leicester, Leicester, UK
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Kamal P, Gautam S. Family environment of psychiatric patients : study of a north Indian sample. Indian J Psychiatry 1992; 34:231-5. [PMID: 21776125 PMCID: PMC2982075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The study aimed at finding out the relationship of family environment to schizophrenia, affective disorders and neurosis in comparison to control group matched on socio-economic status in a North Indian Sample. 600 subjects-150 schizophrenic patients, 150 patients with affective disorders, 150 neurotics, diagnosed according to ICD-9, were studied. Results (one way ANOVA) revealed that there exists a significant difference in family environment of three categories of patients with psychiatric disorders as well as in comparison to control group. Significantly low scores of cohesiveness, independence, expressiveness, active-recreational orientation and organization, control and moral religious emphasis were found in schizophrenics. Similarly in the families of patients with affective disorders there were less cohesion and control and more expressiveness, conflict, independence and moralrelegious emphasis, while the family of neurotics had low levels of cohesion, intellectual-cultural orientation, active-recreational orientation, organisation and control.
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Affiliation(s)
- P Kamal
- Research Psychologist, Psychiatric Centre, S.M.S. Medical College, Janta Colony, Jaipur - 302 004
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Gupta ID, Gautam S, Kamal P. General practitioners' attitude towards psychiatric disorders and psychiatric patients: a survey of jaipur city. Indian J Psychiatry 1992; 34:140-4. [PMID: 21776114 PMCID: PMC2981048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
A survey of 40 randomly selected general practitioners was carried out to find out their attitudes towards psychiatric disorders and psychiatric patients by administering a specially designed proforma which recorded sociodemographic characteristics as well as attitudes. Majority of GPs were of the opinion that psychiatric disorders are inherited, can occur in any normal person living under stress, are treatable. They had positive attitude towards psychiatric illness but showed more social distance with mentally ill-person. Results are discussed and their implications are highlighted.
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Affiliation(s)
- I D Gupta
- Assistant Professor, Psychiatric Centre, S.M.S. Medical College, Janta Colony, Jaipur - 302 004
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Gautam S, Kamal P. A study of impact of stressful life-events in neurotic patients. Indian J Psychiatry 1990; 32:356-61. [PMID: 21927491 PMCID: PMC2990853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Stressful life events preceding neurotic disorders, their impact on neurotic patients in comparison to normal subjects and relationship of impact of stressful life-events to depression and anxiety scores were studied prospectively in 100 consecutive neurotic patients, diagnosed according to ICD-9 and 100 matched normal subjects in psychiatric O.P.D. of S.M.S. Hospital, Jaipur, by administering presumptive stressful life event scale, Beck's depression inventory and Max Hamilton anxiety rating scale. It was found that number of stressful life events was higher in neurotic patients and their impact was also perceived significantly higher in them. Significantly higher depression and anxiety scores had positive corelation to number and impact of stressful life events in-neurotic patients. Cause and effect relationship of impact of stressful life events to neuroses has been discussed.
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Affiliation(s)
- S Gautam
- Associate Professor, Psychiatric Centre, S.M.S. Medical College, Jaipur
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Kamal P, Gupta ID. Feeling of crowding and psychiatric disorders. Indian J Psychiatry 1988; 30:85-9. [PMID: 21927288 PMCID: PMC3010818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Relationship of high population density to mental illness has been well known. The feeling of crowding has also been found to have a causal influence on individual's mental health. Recently, it has been reported that even in high population density, the individuals w ho have a high feeling of crowding are more prone to mental illness. However, no attempt has been made by Indian researchers to study whether the amount of feeling of crowding which is supposed to be a cause of mental illness in high dense areas differs in various, psychiatric disorders. Thus, a prospective study which included 150 psychiatric patients suffering from schizophrenia, affective disorders and neuroses and 50 normal subjects, selected from high dense area of Bikaner city was taken up to find out (1) whether the amount of feeling of crowding differs in schizophrenia, affective disorders, neuroses and normal, and (2) whether the severity of illness in these subjects has any relationship of the feeling of crowding experienced by them. Results revealed that feeling of crowding differs in schizophrenics, patients with affective disorders, neurotics and normal subjects. The scores of feeling of crowding and severity of illness of all these subjects had a positive relationship. Results and their implications are discussed.
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Affiliation(s)
- P Kamal
- Ex-Research Scholar, Department of Psychology, University of Rajasthan, Jaipur-302 004
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Gautam S, Nijhawan M, Kamal P. Standardisation of hindi version of goldbergs general health questionnaire. Indian J Psychiatry 1987; 29:63-6. [PMID: 21927210 PMCID: PMC3172429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Goldberg's GHQ was translated into Hindi. An emphasis was made to have the language of common use. The reliability of GHQ Hindi version (GHQ-H) was tested by translation - retranslation method and split-half method using the scores of 500 patients attending psychiatric out-patient department and 500 normal subjects. The tool was found to be sensitive and reliable. The tool differentiates normal population (mean score 4.9) from the patient population (mean score 30.64) statistically (p < 0.01) indicating a high validity. Details of methodology are described and its subsequent use is advocated.
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Affiliation(s)
- S Gautam
- Associate Professor, Department of Psychiatry, S.M.S. Medical College Jaipur
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Gautam S, Kamal P. Family typology and family interaction in psychiatric disorders. Int J Soc Psychiatry 1986; 32:27-31. [PMID: 3818205 DOI: 10.1177/002076408603200404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Kaur K, Kaur H, Kamal P, Singla SP. Rupture uterus in primigravida. J Indian Med Assoc 1985; 83:355-6. [PMID: 3833977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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