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Many Survivors (many + survivor)

Distribution by Scientific Domains

Medical Sciences	60%

Selected Abstracts

Screening Strategies for Group B Streptococcus in the Third Trimester of Pregnancy

JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 12 2002
APRN-BC, FAANP, Lorna Schumann PhD
Purpose To identify the best screening protocol to prevent neonatal group B streptococcal (GBS) sepsis through literature review. Data Sources Selected research articles, texts, and Internet sources. Conclusions Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), American College of Obstetricians and Gynecologists (ACOG), and American College of Nurse Midwives (ACNM) have issued guidelines describing methods to identify pregnant women at risk of intrapartum transmission of GBS to their babies. Studies have been conducted to discover the superiority of one prevention method over the other but no consensus has been reached. Implications for Practice Before widely used prevention methods, approximately 8,000 babies each year became infected with GBS; of those, 400 died and many survivors suffered life-long sequelae. Adoption of an appropriate protocol can prevent transmission of GBS from a colonized mother to her infant. Clinicians should implement either universal culture-based or risk factor-based screening guidelines for prenatal diagnosis and intrapartum prophylaxis of GBS disease. [source]

Cancer survivorship and psychological distress in later life

PSYCHO-ONCOLOGY, Issue 6 2002
Gary T. Deimling
Recent research in psychosocial oncology has pointed to the traumatic nature of the stress experienced by cancer survivors. Most of this research has focused on children, young adults survivors and their families. This investigation proposes a conceptual model for understanding general psychological distress (anxiety, hostility and depression) and symptoms of posttraumatic stress (hyper-arousal, avoidance and intrusiveness) that may be associated with cancer survivorship among older adults. Findings from a survey of 180 older adult, long-term cancer survivors are used to illustrate the key features of this model. Results of multivariate analysis show that most older adult long-term cancer survivors do not demonstrate clinical levels of posttraumatic stress disorder (PTSD), although over 25% evidence clinical levels of depression. However, many survivors display important symptoms of psychological distress that are related to the continuing effects of cancer and its treatment. Current cancer-related symptoms are the strongest predictors of depression (beta=0.27, p=0.046) and the PTSD sub-dimension of hyper-arousal (beta=0.377, p=0.004). These effects persist even when the effects of other stressors and non-cancer illness symptoms are statistically controlled. Additionally, it appears in this sample that symptoms of PTSD are significantly correlated with traditional measures of psychological distress. Copyright © 2002 John Wiley & Sons, Ltd. [source]

Disastrous Rites: Liminality and Communitas in a Flood Crisis

ANTHROPOLOGY & HUMANISM, Issue 1 2001
Linda Jencson
A sense of communitas, well noted by social scientists, occurs in human societies during times of natural disaster. Using the Red River Valley Flood of 1997 as a case example, it is found that disaster communitas has similarities to ritual communitas specifically because people consciously ritualize and mythologize their actions during disaster. While this sacralization of practical action serves to optimize disaster response, it also creates an expanded sense of self, community, and purpose that can leave many survivors of disaster with a sense that they have undergone a profoundly meaningful peak experience. [source]

Religious and Non-Religious Pathways to Stress-Related Growth in Cancer Survivors

APPLIED PSYCHOLOGY: HEALTH AND WELL-BEING, Issue 3 2009
Crystal L. Park
While religiousness and spirituality are important to many cancer survivors, relations of religiousness and spirituality with the stress-related growth commonly reported by survivors have not been well documented. In the present study, we examined the linkages between personal religiousness, religious control appraisals for the cancer, and religious coping with subsequent stress-related growth, and compared them with a parallel secular pathway, hope, self-control appraisals, and active coping. In all, 172 young to middle-aged adult survivors (113 women, 59 men, mean age = 45 years) of a variety of types of cancer who had been diagnosed approximately 2.5 years prior were assessed twice across a 1-year period. A structural equation model indicated that while both pathways predicted stress-related growth, the religious pathway was a much stronger predictor of subsequent stress-related growth than was the secular pathway. We suggest that more attention should be given to the influence of multiple dimensions of religiousness and spirituality on growth to better understand the transformative processes reported by many survivors. [source]

Hypocortisolism in survivors of severe acute respiratory syndrome (SARS)

CLINICAL ENDOCRINOLOGY, Issue 2 2005
Melvin Khee-Shing Leow
Summary Objective, Following the severe acute respiratory syndrome (SARS) outbreak, many survivors were observed to suffer from psychosomatic symptoms reminiscent of various endocrine disorders. Hence, we sought to determine the existence of any chronic endocrine sequelae in SARS survivors. Design, patients, measurements, Sixty-one survivors of SARS prospectively recruited were analysed for hormonal derangements 3 months following recovery. Patients with pre-existing endocrine disorders were excluded. Any endocrine abnormalities diagnosed were investigated and treated where indicated up to a year. Serial evaluation facilitated characterization of trends and prognostication of any endocrinological aberrations. Results, Twenty-four (39·3%) patients had evidence of hypocortisolism. The hypothalamic,pituitary,adrenal (HPA) axis dysfunction of the majority resolved within a year. Two (3·3%) of the hypocortisolic cohort had transient subclinical thyrotoxicosis. Four (6·7%) were biochemically hypothyroid, being comprised of three with central hypothyroidism and one with primary hypothyroidism. Two of the three with central hypothyroidism had concomitant central hypocortisolism. Eight had subnormal DHEAS levels. Conclusions, These preliminary findings highlight a possible aetiologic role of SARS-associated coronavirus in causing a reversible hypophysitis or direct hypothalamic effect, with the HPA axis affected more frequently than the HPT axis. [source]