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9. The use of complementary and alternative medicines among patients with locally advanced breast cancer – a descriptive study

Author

Rakovitch Eileen, Dranitsaris George, Verma Sunil, Fitzgerald Barbara, Chui Betty K, Chin Stephen, Helyer Lucy K, and Clemons Mark

Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Abstract Background Complementary and alternative medicine (CAM) use is common among cancer patients. This paper reviews the use of CAM in a series of patients with locally advanced breast cancer (LABC). Methods Women with LABC attending a specialist clinic at a single Canadian cancer centre were identified and approached. Participants completed a self-administered survey regarding CAM usage, beliefs associated with CAM usage, views of their risks of developing recurrent cancer and of dying of breast cancer. Responses were scored and compared between CAM users and non-users. Results Thirty-six patients were approached, 32 completed the questionnaire (response rate 89%). Forty-seven percent of LABC patients were identified as CAM users. CAM users were more likely to be younger, married, in a higher socioeconomic class and of Asian ethnicity than non-users. CAM users were likely to use multiple modalities simultaneously (median 4) with vitamins being the most popular (60%). Motivation for CAM therapy was described as, "assisting their body to heal" (75%), to 'boost the immune system' (56%) and to "give a feeling of control with respect to their treatment" (56%). CAM therapy was used concurrently with conventional treatment in 88% of cases, however, 12% of patients felt that CAM could replace their conventional therapy. Psychological evaluation suggests CAM users perceived their risk of dying of breast cancer was similar to that of the non-Cam group (33% vs. 35%), however the CAM group had less severe anxiety and depression. Conclusion The motivation, objectives and benefits of CAM therapy in a selected population of women with LABC are similar to those reported for women diagnosed with early stage breast cancer. CAM users display less anxiety and depression and are less likely to believe they will die of their breast cancer. However the actual benefit to overall and disease free survival has yet to be demonstrated, as well as the possible interactions with conventional therapy. Consequently more research is needed in this ever-growing field.

Published
2006
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12. Psychologic Maturation

Author

Fitzgerald, Barbara Ann, Buchsbaum, Herbert J., editor, Lavery, J. Patrick, editor, and Sanfilippo, Joseph S., editor

Published
1985
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17. Approach to inflammatory breast cancer

Author

Molckovsky, Andrea, Fitzgerald, Barbara, Freedman, Orit, Heisey, Ruth, and Clemons, Mark

Subjects
Adult, Practice, Primary Health Care, Physicians, Family, Breast Neoplasms, Comorbidity, Mastitis, Adenocarcinoma, Prognosis, Combined Modality Therapy, Diagnosis, Differential, Humans, Female, Family Practice, Physician's Role, Referral and Consultation, Aged
Abstract

To review the definition, clinical presentation, and management of inflammatory breast cancer in primary care.Relevant research and review articles, as well as personal experience of the authors practising in a specialized locally advanced breast cancer program at a comprehensive cancer centre. Evidence is levels II and III.Inflammatory breast cancer is a rare disease that typically presents with a rapidly enlarging erythematous breast, often with no discernable breast mass. Identification of warning signs and recognition of clinical symptoms are crucial to prompt diagnosis and appropriate referral. Management in the primary care setting includes treatment of symptoms, psychosocial support, regular surveillance and follow-up, as well as palliative care.Family physicians are usually the entry point to the health care system and are well positioned to assess inflammation of the breast and recognize the warning signs of an underlying inflammatory breast cancer. They are also important members of the team that provides support for breast cancer patients and their families during treatment, follow-up, and end-of-life care.

Published
2009

19. Children's mental health: Is poverty the diagnosis?

Author

Jakovljevic, Ivana, Miller, Ashley P., and Fitzgerald, Barbara

Subjects
CHILD psychology, MENTAL health, POVERTY & psychology, CHILDREN with attention-deficit hyperactivity disorder
Abstract

The case of a 6-year-old boy who was referred to a physician by his school counselor for investigation of anxiety and possible attention deficit hyperactivity disorder illustrates the need to consider the role of poverty when addressing mental health concerns. After determining that income insecurity could be contributing to the boy's symptoms, the physician used a poverty intervention tool to screen for the effects of poverty and make recommendations to prevent adverse health outcomes. Mental health and behavioral concerns are common in children and youth presenting with undifferentiated complaints in both pediatric and primary care settings. Psychiatric disorders are frequently multifactorial and require a comprehensive assessment of the patient's environmental context, including the family's socioeconomic status. Poverty is a risk factor for mental health conditions in childhood and is associated with lower academic achievement and impaired cognitive development secondary to direct effects on the developing hypothalamic-pituitary-adrenal axis and indirect effects on a child's environment. British Columbia's childhood poverty rate is well above the national average and is compounded by significant unmet core housing need and widening provincial income disparity. We recommend screening for poverty with office-based interventions and accounting for income insecurity in all mental health diagnoses and treatment plans. We also strongly recommend implementing a national poverty reduction strategy to address social determinants of health in the early years and improve the health of future generations. [ABSTRACT FROM AUTHOR]

Published
2016

26. Cancer-related Pain Management

Author

Green, Esther, primary, Zwaal, Caroline, additional, Beals, Carole, additional, Fitzgerald, Barbara, additional, Harle, Ingrid, additional, Jones, Janice, additional, Tsui, Julianna, additional, Volpe, Jocelyne, additional, Yoshimoto, Dineke, additional, and Wiernikowski, Jennifer, additional

Published
2010
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29. Well-Organized Crime

Author

Fitzgerald, Barbara

Subjects
Gang violence -- Analysis -- Statistics, Gang members -- Statistics -- Analysis
Abstract

IF your image of the most prevalent crime organization in New Jersey is the Soprano family, consider some of the gang-related violence in the early part of last year: A […]

Published
2004

30. Association of low tumor RNA integrity with response to chemotherapy in breast cancer patients

Author

Parissenti, Amadeo M., primary, Chapman, Judy-Anne W., additional, Kahn, Harriette J., additional, Guo, Baoqing, additional, Han, Lei, additional, O’Brien, Patti, additional, Clemons, Mark P., additional, Jong, Roberta, additional, Dent, Rebecca, additional, Fitzgerald, Barbara, additional, Pritchard, Kathleen I., additional, Shepherd, Lois E., additional, and Trudeau, Maureen E., additional

Published
2009
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31. Rethinking the Death Penalty

Author

Fitzgerald, Barbara

Abstract

THE rain was falling softly outside as David Kaczynski talked about the day he had to tell his mother that F.B.I. agents suspected her eldest son of being the Unabomber. […]

Published
2003

32. A Campaign Without Big Guns

Author

Fitzgerald, Barbara

Abstract

WHEN New Jersey voters talk about the election, more often than not they are referring to Arnold and California -- or perhaps to the passel of Democratic presidential contenders -- […]

Published
2003

33. Reflections on a Glass Ceiling

Author

Fitzgerald, Barbara

Abstract

TRENTON WHEN state Senator Nia Gill walked into a postelection party at the Montclair Women's Club on the night of the Democratic primary, the usual cadre of party supporters was […]

Published
2003

34. An Olive Branch For Zulima Farber

Author

Fitzgerald, Barbara

Abstract

Hispanics angered by Governor McGreevey's refusal to nominate Zulima Farber, a lawyer from North Bergen of Cuban descent, for the state Supreme Court can take some solace that the governor […]

Published
2003

35. You Mean Hudson County Is Actually Counting Votes?

Author

Fitzgerald, Barbara

Abstract

Unofficial election results from the primary election on Tuesday show that the longtime Democrat leader Joseph V. Doria lost his Assembly seat by a razor-thin margin of 500 votes to […]

Published
2003

36. They Love a Parade, So They Can Watch

Author

Fitzgerald, Barbara

Abstract

The Millburn/Short Hills Democratic Committee says it feels as though it has been put on double secret probation when it comes to the local Memorial Day parade this weekend. Although […]

Published
2003

37. A Former Security Adviser And a Tale of Job Insecurity

Author

Fitzgerald, Barbara

Abstract

Will New Jersey's former security adviser and close friend of Governor McGreevey, Golan Cipel, be deported this summer? So far, Mr. Cipel has struck out in jobs with two lobbying […]

Published
2003

38. Who Wants To Take On McGreevey?

Author

Fitzgerald, Barbara

Abstract

GOVERNOR MCGREEVEY and his inner circle, embattled though they may be -- and more often than they would like -- think they have an insurance policy. They call him Bret […]

Published
2003

39. McGreevey Is Feeling Like a Pinata

Author

Fitzgerald, Barbara

Abstract

If polls show that Governor McGreevey is having his troubles -- which they do -- then imagine what a survey of the Hispanic community would show. Last week, the Hispanic […]

Published
2003

40. And a Team in Pennsauken Loses Its Owner

Author

Fitzgerald, Barbara and Strauss, Robert

Abstract

Speaking of sports arenas, check your score cards. George E. Norcross III, the political boss of South Jersey who has been flexing his muscle the length and breadth of the […]

Published
2003

41. Bennett and Christie Try Out Some Exchanges

Author

Fitzgerald, Barbara

Abstract

There were plenty of interesting moments at the annual North Ward Center dinner put on by Steve Adubato Sr. But one of the highlights occurred when the United States attorney […]

Published
2003

42. Some Say He Has Already Slain the Messenger

Author

Fitzgerald, Barbara

Abstract

Some reporters might not come running to cover this campaign. Paul Aronsohn, who was the director of communications for Governor McGreevey during his first year in office, is reportedly considering […]

Published
2003

43. State Colleges Feel the Squeeze

Author

Fitzgerald, Barbara

Subjects
New Jersey
Abstract

PRESIDENTS of the state's colleges, facing record cuts in aid next year, say that they are quickly running out of space to accommodate New Jersey's swelling population of high school […]

Published
2003

44. Paying the Price For New Port Director

Author

Fitzgerald, Barbara

Abstract

It raises few eyebrows when Democrats, who are in the midst of raising about $15 million for their party this year, say they plan to spend whatever it takes to […]

Published
2003

45. Some Are Questioning Poritz's Judicial Restraint

Author

Fitzgerald, Barbara

Abstract

The decision by Chief Justice Deborah Poritz of the State Supreme Court to recuse herself on the question of legislative redistricting -- which is headed the court's way -- has […]

Published
2003

46. Will the Arts Survive? The Alarms Are Sounding

Author

Fitzgerald, Barbara

Abstract

Governor McGreevey's proposal to suspend all financing for arts and cultural programs is a bit like a college dean saying he is going to expel the most well-connected, smartest student […]

Published
2003

47. A Justice Delayed May Not Be Denied

Author

Fitzgerald, Barbara

Abstract

State Supreme Court Justice Peter Verniero may soon be able to extract a bit of political revenge -- if only by proxy. A former law clerk of Mr. Verniero plans […]

Published
2003

48. A Party at Odds With Itself

Author

Fitzgerald, Barbara

Subjects
Republican Party (United States)
Abstract

THERE they stood beneath the gold dome of the State House the leadership triumvirate of the state Republican Party -- announcing with all the combativeness they could muster that they […]

Published
2003

49. Immortality Has Its Price. In This Case, It's $15,000

Author

Fitzgerald, Barbara

Subjects
DiFrancesco, Donald T.
Abstract

Their faces line the walls of the State House, sporting smiles and bushy eyebrows from bygone eras and evoking snickers from young students on tours. Now former acting Gov. Donald […]

Published
2002

50. Who Is Dina Matos McGreevey?

Author

Fitzgerald, Barbara

Subjects
New Jersey
Abstract

DINA MATOS McGREEVEY was seated in the lobby of the state library surrounded by a group of elementary school children who listened intently as she read 'How Do Dinosaurs Say […]

Published
2002

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