Ductal carcinoma in situ (DCIS) of the breast represents a heterogeneous group of neoplastic lesions in the breast ducts. The goal for management of DCIS is to prevent the development of invasive breast cancer. This manuscript focuses on the NCCN Guidelines Panel recommendations for the workup, primary treatment, risk reduction strategies, and surveillance specific to DCIS.

https://www.unitypoint.org/desmoines/filesimages/Cancer%20Education/Oncology%20Nursing%20Conference/2015/2014%20NCCN%20Clin%20Pract%20Guidelines%20Male%20Sex%20Dysf.pdf

Clinical practice guidelines in oncology

'The NHS Plan means that by April 2003 all employees in the health service will have the right to work for an organisation that can show it has adopted flexible working practices.

Time for a change

With cancer incidence increasing over time, attention to the burden of related psychiatric and psychosocial consequences of the disease and treatment is a major topic for both cancer patien...

The burden of psychosocial morbidity related to cancer: patient and family issues.

Summit on Medical School Education in Sexual Health: Report of an Expert Consultation

BACKGROUND

IVF treatment is usually stressful for patients, but individual differences in emotional response do exist. Differences in the stress response may be related to reproductive outcomes as well as to the development of psychiatric problems. This review collates research exploring which psychosocial factors (e.g. personality traits and coping strategies) are associated with the emotional adjustment of IVF patients. The aim is to reveal what is currently known about risk and protective factors for coping with the stress of IVF treatment and where further enquiry would be most beneficial.
METHODS

The databases, MEDLINE/PUBMED (US National Library of Medicine), PsycINFO (American Psychological Association), Web of Science (Social Sciences Citation Index) and EMbase, were searched from 1978 to September 2012 using relevant key words. All published peer-reviewed studies exploring associations between psychosocial factors and emotional adjustment outcomes were considered for inclusion.
RESULTS

There were 23 studies identified for review. One-third of the psychosocial factors explored were found to be significantly related to emotional adjustment outcome measures. Neuroticism and the use of escapist coping strategies were positively associated with distress by multiple studies. Social support was negatively associated with distress by several studies. A number of other psychosocial variables appear to be associated with distress, including self-criticism, dependency, situation appraisals and attachment style, but these have only been explored by one or two studies at most. There is a paucity of research using positive emotional outcome measures (e.g. well-being, positive affect, happiness or life satisfaction) to quantify emotional adjustment.
CONCLUSIONS

Whilst some psychosocial variables appear to be consistently associated with distress for IVF patients, two-thirds of the variables tested to date do not appear to be associated with emotional adjustment. This review highlights key psychosocial factors to assist the identification of patients at high risk of psychological distress. These findings highlight at least two psychological factors that may be amenable to alteration with psychological or educational interventions. Future work should explore whether experimental manipulation of such psychosocial factors can provide effective stress reduction in this clinical context.

A systematic review of psychosocial factors associated with emotional adjustment in in vitro fertilization patients

Objective
This study aims to determine how residents are being educated regarding sexual health, and it assesses attitudes toward sexual education and barriers to evaluating patients’ sexuality.

Survey of sexual education among residents from different specialties

In natural cycles of attempted conception, stress has been shown to predict lower conception rates. The objective of this article is to determine whether stress affects the outcome of assisted reproductive technology (ART) as well. In addition, this article analyzes the effect that psychosocial interventions targeting the reduction of stress have on ART outcomes. This review examined available PubMed articles published in the past 15 years, and 28 articles were included. Looking specifically at numbers of women studied, stress appears to negatively affect ART outcome; interventions targeting stress reduction appear beneficial. Because stress appears to negatively affect ART outcome, and psychosocial interventions do not have detrimental effects, screening for stress should occur and some type of intervention considered during the ART process.

The impact of stress and psychosocial interventions on assisted reproductive technology outcome.

Although Huntington's disease is classically considered a motor disease, psychiatric, behavioral, and cognitive symptoms are often presenting signs of illness. Even in isolation, these comorbidities can lead to impairment in function and significant distress for patients and their families. Intended for treating psychiatrists, this review discusses the clinical presentation and treatment of Huntington's disease.

Huntington's disease: looking beyond the movement disorder.

Objective
The authors compared the importance of items related to professional behavior among medical students rotating through their psychiatry clerkship, psychiatry residents, and attending psychiatrists.

Survey of the importance of professional behaviors among medical students, residents, and attending physicians.

Almost any diagnosis of cancer, but particularly those primarily affecting areas related to sexual function, can lead to sexual impairment. Multiple phases of sexuality are impacted, and various dysfunctions result. Both biological and psychosocial mechanisms are involved in sexual difficulties after cancer. This chapter principally focuses on the detrimental effects of breast, cervical, vulvar, ovarian, prostate and testicular cancer on the sexual health of survivors. When applicable, pharmacologic and psychosocial treatment for sexual dysfunction is discussed.

Mary K. Morreale

Papers

Survey of sexual education among residents from different specialties

The impact of stress and psychosocial interventions on assisted reproductive technology outcome.

Huntington's disease: looking beyond the movement disorder.

Survey of the importance of professional behaviors among medical students, residents, and attending physicians.

The impact of cancer on sexual function.