Systemic treatments and outcomes in CIC-rearranged Sarcoma: A national multi-centre clinicopathological series and literature review

CIC‐rearranged sarcoma is a recently established, ultra‐rare, molecularly defined sarcoma subtype. We aimed to further characterise clinical features of CIC‐rearranged sarcomas and explore clinical management including systemic treatments and outcomes.

How Do Clients Benefit from Snoezelen? An Exploratory Study

An exploratory study involved observation of four clients of the Botleys Park Sensory/Snoezelen Environment (SSE) in both the SSE and the villa. The clients were not known to the observer and were selected at random. The aim of the study was to explore the hypothesis that a designed change in care will give rise to an observable change in the behaviour of the recipients of that care. The results indicated that there was an apparent difference in the behaviour of the four clients observed between the villa and the SSE. It was concluded that although the study did not allow proof of the hypothesis, it did indicate that there was an observable change in behaviour, which provided evidence that the hypothesis could withstand a design that would allow the hypothesis to be tested.

Predictors of distress and poorer quality of life in High Grade Glioma patients

OBJECTIVE

To determine High Grade Glioma (HGG) patients' levels of distress and QOL during combined chemoradiotherapy, explore predictors of distress and QOL and prioritize patients' supportive care needs.

METHODS

Patients diagnosed with HGG who were referred for combined chemoradiotherapy were recruited. Participants completed demographics and questionnaires assessing distress, function, and supportive care needs. Descriptive statistics, correlation coefficients, t-tests and linear and logistic regression analyses were performed.

RESULTS

116 participants completed the questionnaire. Participants scored lower for QOL in physical, functional and emotional domains than the general Australian population. Poor physical function, lower education levels, loss of employment and financial impact associated with diagnosis were consistently linked with multiple domains of distress, poor QOL and high unmet needs. Having a carer who was their partner predicted lower emotional well-being.

CONCLUSION

Patients with HGG experience a poor QOL, increased levels of distress and high unmet needs when commencing chemoradiotherapy. Patients who experience a financial impact and those with lower education levels may report higher levels of distress and increased unmet needs.

PRACTICE IMPLICATIONS

Poor function, lower education and limited financial resources may help identify those who require additional screening and may benefit from additional information and psychological support at this time.

Constrained deconvolution of SPECT liver tomograms by direct digital image restoration

Several techniques for performing digital image restoration are reviewed and the problems associated with evaluating image processing are discussed. An application of constrained deconvulution to images of the liver produced by single-photon emission computed tomography is presented. Specific evaluation criteria are suggested and based on these, the choice of conditions best suited for processing liver images is proposed. Typically cold tumor contrast can be improved by a factor of greater than 2 whilst image mottle increases negligibly.