Implementing the commission on cancer standards for survivorship care plans.

The number of adult cancer survivors in the United States has exceeded 13 million and continues to rise, yet care for these survivors continues to be poorly coordinated and their needs remain inadequately addressed. As one solution to this growing problem, the Institute of Medicine in 2006 recommended the delivery of a survivorship care plan (SCP) to each patient completing active treatment. The American College of Surgeons Commission on Cancer subsequently published its Program Standard 3.

Navigating the seasons of survivorship in community oncology.

Nurses have an important role in the development, implementation, and evaluation of cancer survivorship programs. Growing numbers of cancer survivors challenge community oncology practices to incorporate survivorship care according to new standards and guidelines. In response, one community-based oncology clinic created an advanced practice nurse (APN)-led survivorship program using the concept of Seasons of Survival as a guide.

Serious infections after unrelated donor transplantation in 136 children: impact of stem cell source.

How the infection risks compare after umbilical cord blood (UCB) and bone marrow (BM) transplantation is not known. Therefore, we compared serious infections in the 2 years after pediatric myeloablative unrelated donor transplantation with unmanipulated BM (n = 52), T cell-depleted (TCD) BM (n = 24), or UCB (n = 60) for the treatment of hematologic malignancy. Overall, the cumulative incidence of 1 or more serious infections was comparable between groups (BM, 81%; TCD, 83%; UCB, 90%; P = .

Chemosensory stimuli for the walking legs of the crayfish Procambarus clarkii.

Studies of chemoreception in crustaceans have shown that flesh-eating species can detect amino acids, nucleotides and derivatives, and amines, while most herbivorous and omnivorous species are additionally sensitive to carbohydrates. We used extracellular recording techniques to evaluate the effectiveness of a range of nitrogen-containing compounds (mostly amino acids), bile acids, and carbohydrates in stimulating chemoreceptor cells present in the second and third pereopods of the omnivorous crayfish Procambarus clarkii. When applied at a final concentration of approximately 100 microM, effective stimuli were trehalose, leucine, cellobiose, glycine, sucrose, maltose, and ammonium (from most to least effective).