Publications by authors named "Claudia Roldan"
Neurologic illnesses present multiple challenges to patients and their families from the time of initial diagnosis and throughout their illness trajectory, including challenges related to accepting the diagnosis and its various impacts and anxiety about future living with their illness. Often patients and their families rely on their spirituality to cope with and to maintain meaning and dignity in the midst of disease. As a result, spiritual care provision is a critical component of holistic medical care to patients with neurologic illness.
View Article and Find Full Text PDFContext: There is a paucity of data describing patients' expectations of goals of palliative radiotherapy (RT) and overall prognosis.
Objectives: To explore patients' perceptions of and preferences for communication surrounding goals of palliative RT and cancer prognosis.
Methods: We conducted a qualitative study utilizing semi-structured interviews with seventeen patients with either bone or lung metastases receiving their first course of palliative RT at a comprehensive cancer center.
Background: Early specialty palliative care (PC) integration improves oncologic outcomes. We aimed to examine longitudinal relationships between specialty PC and palliative radiotherapy (RT), temporal distribution of symptoms, and predictors of earlier specialty PC.
Methods: We retrospectively reviewed 135 patients with metastatic cancer who received palliative RT at our institution (7/2017-2/2018) and who had died by final study follow-up (6/2021).
We describe characteristics of patient and treatment recommendations from a spinal tumor board at one institution, including representation from palliative care. The impact of prospective multidisciplinary input for patients with spinal tumors is poorly understood despite their increasing complexity. We retrospectively reviewed 622 cases sequentially discussed at a weekly spinal tumor board, and abstracted patient and treatment information from the medical record and meeting minutes.
View Article and Find Full Text PDFPurpose: Although local control is an important issue for longer-term survivors of spinal metastases treated with conventional external beam radiation therapy (EBRT), the literature on radiographic local failure (LF) in these patients is sparse. To inform clinical decision-making, we evaluated rates, consequences, and predictors of radiographic LF in patients with spinal metastases managed with palliative conventional EBRT alone.
Methods And Materials: We retrospectively reviewed 296 patients with spinal metastases who received palliative EBRT at a single institution (2006-2013).
Context: Hospice and palliative medicine (HPM) physicians frequently care for patients with substance use disorders (SUDs), but there is no consensus on which primary addiction medicine (AM) skills are essential.
Objectives: Identify key primary AM skills that physicians should acquire during an ACGME-accredited HPM fellowship program.
Methods: A modified Delphi study consisting of 18 experts on SUD in HPM and medical education.
Context: Patient-provider communication impacts how patients with cancer make decisions about treatment.
Objectives: To examine patient perceptions of discussions, decision-making, and psychosocial burdens related to receiving palliative radiotherapy (RT), in order to inform best practices for communication about palliative RT.
Methods: We conducted an exploratory qualitative study using oral questionnaires and semi-structured interviews.
Context: Palliative radiation therapy (RT) is frequently used to ameliorate cancer-associated symptoms and improve quality of life.
Objectives: To examine how palliative care (PC) as a specialty is integrated at the time of RT consultation for patients with advanced cancer.
Methods: We retrospectively reviewed 162 patients with metastatic cancer who received palliative RT at our institution (7/2017-2/2018).
Article Synopsis
- Fasciola hepatica, a liver parasite affecting ruminants, primarily relies on the freshwater snail Galba truncatula for its life cycle and is more common in lowland areas of Europe.
- In a study from 2008 to 2019 in the National Game Reserve of Freser-Setcases, various species including Pyrenean chamois and domestic sheep were tested for antibodies against F. hepatica, revealing a higher prevalence in domestic cattle and sheep, with some chamois also showing signs of infection.
- The research found F. hepatica DNA in only one snail sample collected at a high altitude, indicating the parasite can complete its life cycle in alpine regions, highlighting potential impacts of climate change on parasite distribution in
Objectives: To investigate the prognostic impact of primary tumor-specific growth rate (TSGR) on treatment outcomes after definitive radiation therapy (RT) for nonoropharyngeal squamous cell carcinoma (non-OPSCC).
Methods: The diagnostic tumor and nodal volumes of 39 non-OPSCC patients were contoured and compared to corresponding RT planning scan volumes to determine TSGR. Overall survival (OS), disease-free survival (DFS), and local recurrence-free survival were evaluated according to the Kaplan-Meier method; and hazard ratios (HR) were estimated using Cox regression.
Uranium mobility and accumulation along the Rio Paguate, Jackpile Mine in Laguna Pueblo, NM.
Environ Sci Process Impacts
April 2017
The mobility and accumulation of uranium (U) along the Rio Paguate, adjacent to the Jackpile Mine, in Laguna Pueblo, New Mexico was investigated using aqueous chemistry, electron microprobe, X-ray diffraction and spectroscopy analyses. Given that it is not common to identify elevated concentrations of U in surface water sources, the Rio Paguate is a unique site that concerns the Laguna Pueblo community. This study aims to better understand the solid chemistry of abandoned mine waste sediments from the Jackpile Mine and identify key hydrogeological and geochemical processes that affect the fate of U along the Rio Paguate.
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