Objectives lder adults frequently experience falls, at great cost to themselves and society. Older adults with cancer may be at greater risk for falls and have unique risk factors. Materials and Methods We undertook a systematic review of the available medical literature to examine the current evidence regarding factors associated with falls in older adults with cancer. PubMed, Embase, CINAHL, CENTRAL, DARE, Cochrane Database of Systematic Reviews and clinical trials.gov were searched using standardized terms for concepts of oncology/cancer, people 60 and older, screening, falls and diagnosis. Eligible studies included cohort or case-control studies or clinical trials in which all patients, or a subgroup of patients, had a diagnosis of cancer and in which falls were either the primary or secondary outcome. Results We identified 31 studies that met our inclusion criteria. Several studies suggest that falls are more common in older adults with a diagnosis of cancer than those without. Among the 11 studies that explored factors associated with outpatient falls, some risk factors for falls established in the general population were also associated with falls in older adults with cancer, including dependence in activities of daily living and prior falls. Other factors associated with falls in a general population, such as age, polypharmacy and opioid use, were not predictive of falls among oncology populations. Falls among older adults with cancer in the inpatient setting were associated with established risk factors for falls in people without cancer, but also with factors unique to an oncology population, such as brain metastases. Conclusions Falls in older adults with cancer are more common than in the general population, and are associated with risk factors unique to people with cancer. Further study is needed to establish methods of screening older adults with cancer for fall risk and ultimately implement interventions to reduce their risk of falls. Identifying which older adults with cancer are at greater risk for falls is a requisite step to ultimately intervene and prevent falls in this vulnerable population.
The literature reviewed indicates that resilience is a common response to cancer diagnosis or treatment. The proposed model supports the view of resilience as both an outcome and a dynamic process. Given the process of recalibration, a discussion is provided of interventions that might facilitate resilience in adults with cancer.
Objective: Alopecia is a common side effect of cancer treatment, affecting approximately 65% of patients. Healthcare providers and allied staff recognize that alopecia is distressing for people with cancer; however, they are often unaware of the extent of distress or the great efforts expended by patients to cope with hair loss. This study reviews the existing literature regarding the psychosocial impact of alopecia on cancer survivors and the coping strategies they use to manage hair loss.Methods: We searched for studies examining the psychosocial effects of alopecia on cancer survivors using PubMed and PsycInfo databases and Google Scholar.Results: A total of 36 peer-reviewed articles were deemed relevant to be included in this review. In this review, alopecia was consistently ranked as one of the most distressing side effects of cancer treatment. Survivors report that hair loss disrupts how they experience their bodies, interact with others, and conceptualize their body image beyond treatment. Although upsetting for both genders, the scarce literature that exists suggests that there may be some gender-specific aspects of experiencing cancer-related hair loss. Cancer survivors cope with alopecia in numerous ways and often rely on strategies such as concealment, social support, social avoidance, information seeking, and behavioral rehearsal.Conclusions: Treatment-induced alopecia negatively affects millions of survivors each year in unique and nuanced ways. We hope that survivors' healthcare providers and loved ones may better appreciate the psychosocial challenges they experience related to hair loss, as well as the strategies they use to cope. Further research is much needed to better understand cancer-related alopecia.
In this article, we argue for cognitive sociology as a framework for studying the sociology of race. Cognitive sociology concerns itself with classification, identity construction, meaning and collective memory and is thus centrally concerned with generic issues that apply well to racial category construction and maintenance. We, first, outline the cognitive sociology framework. We then elaborate on traditions in the sociology of race and racism that have implicit affinities to cognitive sociology. We argue that cognitive sociology provides a useful generic framework with which to look at specific issues in racial classification, the social construction of race, and to racist cognitions, while critical race theory and other sociology of race frameworks can compliment cognitive sociology by addressing issues of power and domination in cognitive frameworks.
There has been much research on gender inequality in higher education and the benefits of mentoring. However, since mentoring has been a predominantly male experience, most research with female students focuses on advising relationships. For women, there is a significant difference between experiences of advising and mentoring with problematic effects for them. Attrition rates are high for both men and women but the causes of female attrition are unique and possibly related to their mentoring experiences. Mentoring remains largely an informal activity in most graduate departments, and due to the patriarchal nature of graduate education, it has been a predominantly male experience (Lovitts 2001). In this paper, I provide an overview of the different types of advising/mentoring relationships for women in doctoral programs and the benefits of these for them. The paper concludes with a discussion of policy implications for graduate departments, suggestions for future research, and a call for developing and implementing feminist models of mentoring for all graduate students. 6 It is important for these studies to include larger sample sizes that cut across a wider swath of disciplines and include women that are diverse in terns of race, ethnicity, class, and sexual orientation. This is particularly important because most mentoring research consists of qualitative studies (and less frequently course-based surveys) that explore the experiences of white or African American female students in education, the humanities, and the social sciences.
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