Prostate cancer impacts on the daily lives of men, particularly their physical and emotional health, relationships and social life. This paper highlights how men cope with disease and treatment and the strategies they employ to manage their diagnosis alongside daily life. Twenty-seven men were interviewed at different stages in their disease pathway: nine men prior to radiotherapy, eight men at 6-8 months post radiotherapy and 10 men at 12-18 months post radiotherapy. A grounded theory approach was used to collect and analyse the data. Regardless of the point at which they were interviewed four areas emerged as important to the men: the pathway to diagnosis; the diagnosis; the impact of prostate cancer and its treatment on daily life; and living with prostate cancer. Prostate cancer was diagnosed using the prostate-specific antigen (PSA) test, rectal examination and biopsy. Many men did not understand the consequences of a high PSA reading before they undertook the test. Painful investigative biopsies were viewed as the worst part of the disease experience. Radiotherapy was considered less invasive than other treatments, although preparatory regimes were associated with stress and inconvenience. Men used various strategies to deal with treatment-induced threats to their masculinity in the long term.

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Forty-eight patients who provided 2 consecutive blood samples that tested positive for cytomegalovirus DNA by polymerase chain reaction (PCR) were randomized to receive either full-dose ganciclovir (5 mg/kg intravenously [iv] twice daily) or half-dose ganciclovir (5 mg/kg iv once daily) plus half-dose foscarnet (90 mg/kg iv once daily) for 14 days. In the ganciclovir arm, 17 (71%) of 24 patients reached the primary end point of being CMV negative by PCR within 14 days of initiation of therapy, compared with 12 (50%) of 24 patients in the ganciclovir-plus-foscarnet arm (P = .12). Toxicity was greater in the combination-therapy arm. In patients who failed to reach the primary end point, baseline virus load was 0.77 log10 higher, the replication rate before therapy was faster (1.5 vs. 2.7 days), and the viral decay rate was slower (2.9 vs. 1.1 days) after therapy. Bivariable logistic regression models identified baseline virus load, bone-marrow transplantation, and doubling time and half-life of decay as the major factors affecting response to therapy within 14 days. This study did not support a synergistic effect of ganciclovir plus foscarnet in vivo.

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Restoration of native plant communities through direct seeding often experience low seedling establishment success rates, partly due to competition with invasive weed species. To improve seeding success, herbicides can be applied to control weed competition, however, this can have negative impacts on the seeded species. Activated carbon (AC) can be incorporated into newly developed seed enhancement technologies to adsorb herbicides and increase seedling tolerance. This study expands upon research completed to date, by developing new formulations of extruded pellets containing AC, aiming to provide increased protection to seeded species and increase herbicide selectivity. We tested six extruded pellet formulations, which included two pellet formula variations, and three quantities of AC, to examine the impact on emergence (without herbicide) and mortality (with herbicide) of Lolium rigidum Gaudin (annual ryegrass). Extruded pellet formulations containing a superabsorbent polymer (3%) and AC (10%) did not impede emergence (79%), in the absence of herbicide, similar to the non-pelleted seeds (81%). This extruded pellet formulation increased seedling tolerance to Simazine (a pre-emergent, soil applied herbicide) application, with mortality reduced from 96% in non-pelleted seeds, and 77% in pellets containing no AC, to 22% in pellets containing AC. The results from this study demonstrate that AC extruded pelleting can be used as a restoration seeding technology by protecting seeds from the negative effects of pre-emergent herbicide applications. Field evaluations with native seeds will mark an important step forward to ensure seed enhancement technology options, such as AC extruded pelleting, are available for restoring natural plant communities in restoration programs.