Objective:Cancer patients and survivors need to cope with various stressful situations and problems even after treatment. In this study, we sought to investigate psychological stress and coping in recently discharged postsurgical cancer patients.Methods:A mail-in questionnaire survey about stress response, perceived illness-related demands, and coping strategies and styles was administered to postsurgical Japanese cancer patients. The questionnaires were returned a week after the patients’ discharge from the hospital. Descriptive and nonparametric statistical analyses were used.Results:Forty-two patients completed the questionnaire; their average age was 58.1 years, and 61.9% were female. The stress response scale-18 (SRS-18) score was lower than that reported among the general population. The proportion of patients who were concentrating coping on social support or positive reappraisal was high. The scores for problem- and emotion-focused coping were nearly identical. SRS-18 scores were weakly correlated with those for emotion-focused coping (r = 0.38, P = 0.014). The demographic data were not significantly associated with any of the stress or coping variables. However, SRS-18 scores for patients who had adjuvant therapy and physical, functional disorders were significantly higher than those for patients who did not (P = 0.004 and P = 0.008, respectively).Conclusions:Most of the patients had a low-stress response and used appropriate coping strategies. However, the findings suggest that attention must be paid to stress-coping in patients who have a physical, functional disorder as well as in those receiving adjuvant therapy.
A collision tumor is a rare clinical condition where two different tumors occur synchronically within a lesion. Pancreatic collision tumors with mantle cell lymphoma (MCL) are extremely rare and have only been reported in one case to date. We herein report an elderly patient with MCL and adenocarcinoma of the pancreas with Ann Arbor stage IV and Union for International Cancer Control stage IIB, respectively. The patient received palliative therapy and died 23 months after the diagnosis. Further research and case studies are required to investigate whether or not MCL-derived cyclin D1 overexpression affects the occurrence/growth of adenocarcinomas.
Purpose The aim of this study was to examine the cross-sectional relationship between cancer survivors’ return-to-work (RTW) status and health-related quality of life (HR-QOL) following cancer diagnosis and treatment. Methods A questionnaire survey, which included three standardized HR-QOL instruments, was carried out among Japanese cancer survivors at their first follow-up appointment following hospital discharge. Participants were recruited by nurse investigators from 2016 to 2017 at their respective inpatient units. Statistical analyses were performed on the gathered data. Results Analysis of 94 returned questionnaires showed that symptom-related interference, physical function, mental function, and health and functioning, which were indicators of HR-QOL, and the factor “work category” were significantly associated with RTW status although symptoms, subjective well-being, and the other social background factors showed no statistically significant relationship with RTW status. Multinomial logistic regression analysis revealed that only the factor “work category,” which consisted of “physical” and “mental” work, had a significant effect on RTW status. Conclusions RTW status was associated with work category, symptom-related interference, physical function, mental function, and health and functioning; however, only the factor “work category” had significant influence. This study suggests that helping cancer survivors return to work considering the work category they are engaging is important. At that time interventions that are focused on the individual health functioning including physical and mental functions in preference to social background factors may get to be valuable.
Water-soluble dietary fiber was prepared by alkali extraction from corn hull, a by-product of corn starch manufacturing. The fiber was shown to be composed mainly of arabinose and xylose. Four-week-old male Wistar rats were fed experimental diets containing 5% cellulose or soluble dietary fiber. A fiber-free diet was used as a control diet. There were no differences in food intake or body weight gain among the three dietary groups. The soluble-fiber diet lowered the serum cholesterol concentration compared with both the fiber-free and cellulose diets in both groups fed cholesterol-free and cholesterol-containing diets. Hepatic total lipid and cholesterol contents were lowered only in the group fed the atherogenic diet. These results show that water-soluble fiber from corn hull has excellent characteristics as a dietary fiber.
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