Simultaneous positron emission tomography and MRI (PET/MRI) is an emerging technology that offers the benefits of MRI, including excellent soft tissue contrast, lack of ionizing radiation, and functional MRI techniques, with the physiologic information provided by PET. Although most PET/MRI systems are currently installed in tertiary care centers, PET/MRI technology is becoming increasingly widespread. The usefulness of PET/MRI varies by tumor type and organ system and has been shown to have utility in evaluation of primary and secondary hepatic neoplasms. Understanding the appropriate applications, techniques and relevant imaging findings is important for practicing radiologists considering or currently utilizing PET/MR for the evaluation of primary liver neoplasms, including hepatocellular carcinoma (HCC), as well as staging of biliary neoplasms including cholangiocarcinoma and gallbladder cancer, identification of liver metastases, and staging of neuroendocrine tumor.The assessment of care in homecare today is complex. Nurses have to decide on care for clients with multiple health problems. Technological innovations promise solutions for support of self-management of older people. We do not know, however, how and when nurses assess eHealth. A qualitative study design was used, in which 43 homecare nurses participated in focus groups and think aloud interviews. The study shows that nurses believe a trusting relationship necessary in order to suggest eHealth interventions. Nurses say they need home visits for the assessment of eHealth. Nurses also have some strong opinions on eHealth, like the notion that eHealth isn't a fitting option for frail older people. It becomes clear that nurses need to see eHealth interventions fit for clients in a person-centred way and in close connection to health problems they've prioritised in order to assess it. Implications for practice and further research are to focus on how nurses can be convinced to assess and use eHealth in a person-centred way and how to discuss this with their clients. Next to that training and a tool that provides up to date information linked to frequently seen health problems are recommended.Cultural competence is a viewed as a necessary set of skills within nursing, and there is a need for student support in this area.  https://www.selleckchem.com/products/act001-dmamcl.html  This is particularly important in mental health care, with two skills considered crucial for providing quality care therapeutic relationship skills and positive attitudes. With the objective of initiating an educational collaboration between two educational institutions, this study examined Australian and Indian undergraduate nursing student's perceived therapeutic relationship skills and stigma attitudes associated with mental illness. Participants were five hundred and fifty-five (n = 555) undergraduate nursing students from two different universities in Indian and Australia. The modified version of the Scale To Assess Therapeutic Relationship (STAR-C) and the Social Distance Scale (SDS) were both used to examine student's perceived therapeutic relationship skills and stigma attitudes. Australian nursing students indicated lower levels of stigma with lower levels of self-reported therapeutic relationships skills, as compared with the Indian nursing student cohort. However, Indian nursing students indicated higher levels of stigma with higher self-reported therapeutic relationship skills. The results of this study may reflect cultural differences and meanings attached to mental illness.Formative feedback is widely considered best pedagogic practice to develop and support deep learning, however evidence to support its use and impact on academic achievement is limited. This module evaluation used formative work submitted to Blackboard©, actual student feedback provided and examination board results detailing final achievement, for 353/115 students on one core module in a UK based undergraduate (UG) programme. Quantitative data was analysed using descriptive statistics and the χ2 test, whilst qualitative data from written feedback provided by academic staff was analysed using thematic content analysis. Findings for this group of students indicates those who submitted formative work were significantly more likely to obtain an A grade while students not submitting formative work were more likely to fail. However both quantitative and qualitative analysis indicated this was independent of the amount of feedback, the nature of feedback or the member of academic staff who provided the feedback. This has interesting implications, if students who submit formative work achieve higher summative grades irrespective of formative feedback provision or individual academic staff member, the value of providing written formative feedback must be questioned, and reasons behind this initial finding require more in depth exploration.
  In order to minimise the risk of breast cancer patients for COVID-19 infection related morbidity and mortality prioritisation of care has utmost importance since the onset of the pandemic. However, COVID-19 related risk in patients undergoing breast cancer surgery has not been studied yet. We evaluated the safety of breast cancer surgery during COVID-19 pandemic in the West of Scotland region.
 
  A prospective cohort study of patients having breast cancer surgery was carried out in a geographical region during the first eight weeks of the hospital lockdown and outcomes were compared to the regional cancer registry data of pre-COVID-19 patients of the same units (n=1415).
 
  188 operations were carried out in 179 patients. Tumour size was significantly larger in patients undergoing surgery during hospital lockdown than before (cT3-4 16.8% vs. 7.4%; p<0.001; pT2 - pT4 45.5% vs. 35.6%; p=0.002). ER negative and HER-2 positive rate was significantly higher during lockdown (ER negative 41.3% vs. 17%, p<0.001; HER-2 positive 23.4% vs. 14.8%; p=0.004). While breast conservation rate was lower during lockdown (58.6% vs. 65%; p<0.001), level II oncoplastic conservation was significantly higher in order to reduce mastectomy rate (22.8% vs. 5.6%; p<0.001). No immediate reconstruction was offered during lockdown. 51.2% had co-morbidity, and 7.8% developed postoperative complications in lockdown. There was no peri-operative COVID-19 infection related morbidity or mortality.
 
  breast cancer can be safely provided during COVID-19 pandemic in selected patients.
 breast cancer can be safely provided during COVID-19 pandemic in selected patients.