Cancer treatment and the field of reproductive technology have each made impressive advancements in the last decade. Improved cancer treatment and survival rates have increased the number of cancer survivors, who might benefit from an array of fertility preservation strategies provided by emerging and advanced assisted conception technology. The challenge becomes bridging the gap between these two separate disciplines to ultimately improve the quality of life for cancer survivors. This paper discusses the issues and process involved with bringing these two teams of health-care professionals together. This model provides a framework for coordinating efforts in providing fertility preservation options to patients undergoing treatment for cancer. Effective multidisciplinary teams that include: oncologists, nurses in the specialties of oncology and infertility, social workers, reproductive endocrinology and infertility specialists, andrologists, and embryologists are required to work together in order to achieve success. The result of this unique team approach is not only a cancer survivor, but one whose quality of life might be enhanced by being able to have a child of his or her own in the future.
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http://dx.doi.org/10.1111/j.1440-172X.2009.01755.x | DOI Listing |
J Gen Intern Med
January 2025
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Background: Active surveillance (AS) is the guideline-recommended treatment for low-risk prostate cancer and involves routine provider visits, lab tests, imaging, and prostate biopsies. Despite good uptake, adherence to AS, in terms of receiving recommended follow-up testing and remaining on AS in the absence of evidence of cancer progression, remains challenging.
Objective: We sought to better understand urologist, primary care providers (PCPs), and patient experiences with AS care delivery to identify opportunities to improve adherence.
Nat Rev Gastroenterol Hepatol
January 2025
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
In patients with disorders of gut-brain interaction (DGBI), overlapping non-gastrointestinal conditions such as fibromyalgia, headaches, gynaecological and urological conditions, sleep disturbances and fatigue are common, as is overlap among DGBI in different regions of the gastrointestinal tract. These overlaps strongly influence patient management and outcome. Shared pathophysiology could explain this scenario, but details are not fully understood.
View Article and Find Full Text PDFBMJ Open Qual
January 2025
Trauma & Orthopaedics, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
Never events in the operating room are a surgeon's nightmare, with an incidence rate of 54%. These events are highly stressful for theatre staff and significantly compromise patient safety. The aim of this project is to avoid never events in trauma and orthopaedic theatres by ensuring that theatre staff adhere to the surgical pause and imaging pause protocols through regular audits.
View Article and Find Full Text PDFSci Rep
January 2025
School of Mathematics and Statistics, Shaoguan University, Shaoguan, 512005, China.
Recently, deep latent variable models have made significant progress in dealing with missing data problems, benefiting from their ability to capture intricate and non-linear relationships within the data. In this work, we further investigate the potential of Variational Autoencoders (VAEs) in addressing the uncertainty associated with missing data via a multiple importance sampling strategy. We propose a Missing data Multiple Importance Sampling Variational Auto-Encoder (MMISVAE) method to effectively model incomplete data.
View Article and Find Full Text PDFSci Rep
January 2025
Computational Learning Theory Team, RIKEN-Advanced Intelligence Project, Fukuoka, 819-0395, Japan.
Providing continuous wireless connectivity for high-speed trains (HSTs) is challenging due to their high speeds, making installing numerous ground base stations (BSs) along the HST route an expensive solution, particularly in rural and wilderness areas. This paper proposes using multiple unmanned aerial vehicles (UAVs) to deliver high data rate wireless connectivity for HSTs, taking advantage of their ability to fly, hover, and maneuver at low altitudes. However, autonomously selecting the optimal UAV by the HST is challenging.
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