Survivorship care plans in cancer: a systematic review of care plan outcomes.

Background: Eight years after the Institute of Medicine recommended survivorship care plans (SCPs) for all cancer survivors, this study systematically reviewed the evidence for their use.

Methods: Studies evaluating outcomes after implementation of SCPs for cancer survivors were identified by searching databases (MEDLINE, EMBASE and Cochrane). Data were extracted and summarised.

Pituitary metastasis from breast cancer presenting as diabetes insipidus.

An 83-year-old woman developed pituitary metastasis while being treated for metastatic breast cancer. She presented with visual disturbance and headache followed by thirst, nocturia and polyuria. A visual field defect was present.

Simultaneous measurement of δ2H, δ17O, and δ18O in H2O using a commercial cavity ringdown spectrometer.

We demonstrate that a commercial instrument that provides measurements of (18)O/(16)O and D/H ratios in water samples can be modified to also provide measurements of (17)O/(16)O. This additional capability and associated precision allows for the discernment between conventional mass-dependent processes, such as isotope exchange and evaporation and mass-independent processes that arise from non-equilibrium chemical and photochemical processes. We demonstrate this resolution by performing a series of experiments including evaporation and reservoir-mixing with (17)O enriched water samples followed by evaporation.