Holding Curative and Palliative Intentions.

When a patient is diagnosed with an advanced head and neck cancer, a decision about whether to have surgery can dominate what remains of that patient's life: prospective benefits can be limited, and complication risks can be high. Realizing dual curative and palliative intention with a single operation can be a reasonable surgical oncological care goal. In such cases, differentiating between the curative and palliative potential of surgery is key to developing dual intentional clarity.

Female Veterans' Experiences With VHA Treatment for Military Sexual Trauma.

Provider validation and support for females' experiences as well as a range of therapies are essential treatments for female veterans with military sexual trauma.

The Annual Gynecologic Examination Updated for the 21st Century.

The concept of an annual gynecologic screening visit to identify disease at an early stage has long been an established component of women's health care. Women and their health care providers have historically accepted the schedule of an annual gynecologic examination with cervical cancer screening and a pelvic examination. Recently, researchers questioned the value of the annual breast and pelvic examinations in asymptomatic women and re-established the intervals for Pap test screening with the addition of human papillomavirus co-testing to establish cervical cancer risk.

Arthritis, Infectious Tenosynovitis, and Tendon Rupture in a Patient With Rheumatoid Arthritis and Psoriasis.

Multiple comorbidities, advanced age, tobacco use, and alcohol abuse made a proper diagnosis difficult in a patient with polyarticular septic arthritis, infectious tenosynovitis, and ruptures in the tendons of both thumbs.

Are exercise programs effective for improving health-related quality of life among cancer survivors? A systematic review and meta-analysis.

Purpose/objectives: To evaluate the effectiveness of exercise interventions on overall health-related quality of life (HRQOL) and its domains among cancer survivors who have completed primary treatment.

Data Sources: 11 electronic databases were searched from inception (dates varied) to October 2011. The authors also identified eligible trials through a search of additional sources.

Cancer-focused molecular imaging.

Molecular imaging, based largely on recent advances in genetics, genomics and high-throughput computational analysis, uses isotope-labeled probes to target specific cell surface molecules, tumor proteins and enzymes. This cross-disciplinary imaging modality undoubtedly will make profound changes in medical, surgical and radiologic practice. Physiology-based imaging modalities naturally are relevant for molecular studies.

The many faces of dementia.

Dementia is a progressive and incurable condition that in one way or another affects nearly everyone. Examples of specific types of dementia include Alzheimer disease, vascular dementia, frontotemporal dementia and dementia with Lewy bodies. Age is the primary risk factor for dementia and the long-term social and economic effects of dementia are immense.

Providing health care for children in foster care: a role for advanced practice nurses.

Children placed in foster care remain one of the country's most medically underserved groups. At the same time, health care problems are increasingly common in this population. The child welfare system is in a crisis as it struggles to place greater numbers of children with increasingly complex health care needs into limited foster care settings.