When It’s More Than the Winter Blues

By Stacy Simon The gifts have been opened, the holiday meals eaten, the visitors gone home, and the decorations put away for another year. As the fun and festivities become memories, this is the time of year many people feel a little let down or sad. Treating yourself to a movie, spending time with friends, doing volunteer work, or participating in physical activities you enjoy can help you cheer up and regain your emotional balance. RESOURCES: Depression in cancer patients But for some people, it isn’t that easy. Sadness that doesn’t go away or keeps you from enjoying things you usually like could be a sign of clinical depression. One type of clinical depression, seasonal affective disorder (SAD), is more common around this time of year when the days are shorter and the nights are longer. Treatment for SAD usually involves light therapy, and can also include talk therapy or prescription medication. Other kinds of clinical depression may be caused by a tragic event, a period of stress, an illness, changes in the brain that affect mood, or for reasons that nobody understands. Getting help is important, because treatment, including medicines, counseling, or a combination of both, can reduce the suffering that comes along with depression and improve quality of life. What to Look for Ongoing sad or “empty” mood for most of the day Loss of interest or pleasure in almost all activities most of the time Major weight loss (when not dieting) or weight gain...
Source: American Cancer Society :: News and Features - Category: Cancer & Oncology Tags: Coping with Cancer Source Type: news

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Authors: Ibrahim E, Sultan W, Helal S, Abo-Elwafa H, Abdelaziz A Abstract BACKGROUND: Conscious sedation is usually required during flexible bronchoscopy. Sedation should be achieved without respiratory depression or loss of consciousness. The present study was designed to evaluate the effect of pregabalin pre-medication on reducing the amount of sedatives and to show its advantages for patients undergoing flexible bronchoscopy with dexmedetomidine. METHODS: Seventy patients undergoing elective flexible bronchoscopy were randomly divided into two groups of 35 patients each. All patients received premedication o...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Publication date: Available online 20 July 2018Source: European UrologyAuthor(s): Felix Preisser, Elio Mazzone, Sebastiano Nazzani, Marco Bandini, Zhe Tian, Michele Marchioni, Thomas Steuber, Fred Saad, Francesco Montorsi, Shahrokh F. Shariat, Hartwig Huland, Markus Graefen, Derya Tilki, Pierre I. KarakiewiczAbstractCytoreductive radical prostatectomy (CRP) may offer a survival advantage, according to several retrospective analyses. However, few data are available regarding the morbidity of radical prostatectomy in the metastatic setting. We addressed intra- and postoperative complications of CRP relative to radical prosta...
Source: European Urology - Category: Urology & Nephrology Source Type: research
Publication date: Available online 20 July 2018Source: European UrologyAuthor(s): Ilaria Cavarretta, Nicasio Mancini, Andrea Salonia
Source: European Urology - Category: Urology & Nephrology Source Type: research
Publication date: Available online 20 July 2018Source: European UrologyAuthor(s): Atiqullah Aziz, Matthias May, Oliver W. Hakenberg, Sabine D. Brookman-May
Source: European Urology - Category: Urology & Nephrology Source Type: research
CONCLUSIONThe significance of BDR for pT2 or higher advanced GBC without biliary infiltration was equivocal because the patients received no survival benefit by undergoing BDR.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Publication date: Available online 20 July 2018Source: European Journal of Surgical OncologyAuthor(s): Maria Anna Smolle, Michael Parry, Lee Jeys, Seggy Abudu, Robert GrimerAbstractObjectivesSynovial sarcoma, a distinct subtype of soft tissue sarcomas (STS), is typically found in young patients. Long history of symptoms and heterogeneous clinical presentation sometimes delays diagnosis. Children have been reported to have a better prognosis than adults in some series.The main emphasis of this study was to determine differences between children and adults and to investigate prognostic factors regarding cancer specific survi...
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
ConclusionTPE is an invasive treatment for rectal cancer with high 30-day mortality in elderly patients. Oncological outcomes are similar in elderly and younger patients. Therefore, TPE should not be withheld because of high age only, but careful patient selection is needed.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
ConclusionsThe nomograms were able to more accurately predict 3- and 5-year OS and CSS of patients with GISTs than were existing models.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
Publication date: Available online 20 July 2018Source: The Lancet Respiratory MedicineAuthor(s): Sanjeevan Muruganandan, Maree Azzopardi, Deirdre B Fitzgerald, Ranjan Shrestha, Benjamin C H Kwan, David C L Lam, Christian C De Chaneet, Muhammad Redzwan S Rashid Ali, Elaine Yap, Claire L Tobin, Luke A Garske, Phan T Nguyen, Christopher Stanley, Natalia D Popowicz, Christopher Kosky, Rajesh Thomas, Catherine A Read, Charley A Budgeon, David Feller-Kopman, Nick A MaskellSummaryBackgroundIndwelling pleural catheters are an established management option for malignant pleural effusion and have advantages over talc slurry pleurode...
Source: The Lancet Respiratory Medicine - Category: Respiratory Medicine Source Type: research
Authors: Wirz-Justice A, Ajdacic V, Rössler W, Steinhausen HC, Angst J Abstract The prevalence of autumn/winter seasonality in depression has been documented in the longitudinal Zurich cohort study by five comprehensive diagnostic interviews at intervals over more than 20 years (N = 499). Repeated winter major depressive episodes (MDE-unipolar + bipolar) showed a prevalence of 3.44% (5× more women than men), whereas MDE with a single winter episode was much higher (9.96%). A total of 7.52% suffered from autumn/winter seasonality in major and minor depressive mood states. ...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
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