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Music intervention associated with improved quality of life in patients with breast cancer after mastectomy

Por: Amadi · G. P. · Fenton · J. J.

Commentary on: Chuang C, Chen C: Effects of music intervention on quality of life, anxiety and fatigue among patients with breast cancer: a randomized controlled trial, Oncol Nurs Forum, 2024;51(5):467-482.

Implications for practice and research

  • Music intervention may improve perceived quality of life in patients who have recently received a mastectomy for breast cancer.

  • High-quality research is needed to determine whether and how music intervention can help patients during cancer treatment.

  • Context

    Music intervention is a complementary treatment that aims to ameliorate symptoms related to a medical condition. Music intervention is distinct from music therapy in that it is a solo listening experience rather than an active or therapist-guided session. Music intervention is thought to be a low-risk and convenient treatment with potentially positive effects on patients with breast cancer as measured by self-assessed symptom or quality of life scores or pain treatment...

    Public versus private clinical radiography training in Lagos State, Nigeria: a comparative cross-sectional survey of associations with graduate self-perceived competence and practice readiness

    Por: Udo · E. O. · Emordi · O. R. · Kalu · E. I. · Enebeli · U. U. · Uzochukwu · B. · Kalu · F. A. · Igwe · P. C. · Kalu · J. J. · Kalu · B. O. · Cherima · Y. J. · Nwokenna · U. S. · Hassan · R. K. · Amadi · A. N.
    Objectives

    To compare clinical radiography training experiences (structure, resources, participation, feedback) and self-perceived competence/practice readiness between public and private radiography centres in Lagos State, Nigeria.

    Design

    Comparative cross-sectional survey design from August to October 2025 using a validated self-administered questionnaire distributed in person during departmental seminars and clinical debriefings at University of Lagos-affiliated centres.

    Setting

    Centre-based settings at public and private radiodiagnostic centres.

    Participants

    A total of 260 final-year students and recent graduates, 130 each from public and private radiodiagnostic centres. Inclusion criteria included: age ≥18 years, with ≥6 months clinical exposure, from centres affiliated to the University of Lagos. All participants completed the self-administered questionnaire. There were no interventions.

    Primary and secondary outcome measures

    The primary outcome was the self-perceived competence/practice readiness, and the secondary was participation, extent and feedback mechanisms, measured as planned without protocol deviations. All variables were measured using validated items in the questionnaire.

    Results

    Private centres significantly outperformed public centres in hands-on practice and feedback, with higher self-perceived competence (mean 35.6±5.7 vs 32.8±6.4; p=0.001). There were no significant differences in training structure (p=0.78). Public centres reported higher patient loads (86.2% vs 68.5%; p=0.001) but lower equipment availability (47.7% vs 72.3%; p

    Conclusions

    Private centres were associated with higher self-perceived competence and readiness, better resources and feedback, while public centres offered greater patient volumes. Hybrid placements and targeted infrastructure investment are recommended to help address disparities in perceived readiness.

    Nutritional knowledge, attitudes and practices and their determinants among pregnant women attending healthcare centres in southern Tehran

    Por: Rajaeieh · G. · Bakhtiari · A. · Gholami · M. · Ghavidel · F. · Mostafavi · H. · Zabihi · M. · Mohamadi · E. · Olyaeemanesh · A. · Takian · A.
    Objectives

    To assess nutrition-related knowledge, attitudes and practices among pregnant women, and identify socioeconomic and healthcare determinants.

    Design

    A cross-sectional study on maternal nutrition during pregnancy.

    Setting

    Pregnant women attending primary healthcare centres in the south of Tehran from December 2022 to March 2024.

    Participants

    1535 pregnant women of all ages living in the south of Tehran (both Iranian and non-Iranian).

    Measures

    Pregnant women were systematically selected from primary healthcare centres. Data were collected via validated questionnaires and electronic health records. Statistical analyses included multivariate logistic regression (adjusted ORs (aORs) with 95% CIs) and generalised linear mixed models.

    Results

    The findings revealed that a majority of pregnant women (83.3%; 95% CI 81.2% to 85.3%) exhibited low levels of nutritional knowledge (scores below 12), whereas 14% demonstrated moderate knowledge (scores between 12 and 17), and only 2.7% (95% CI 1.9% to 3.8%) possessed high nutritional knowledge (scores above 18). In terms of attitudes, 36.9% of respondents expressed positive views toward nutrition, with higher education significantly associated with positive attitudes (aOR=1.8; 95% CI 1.3 to 2.5, comparing higher vs lower education levels). Dietary variety was consistently reported by 65.4% of participants, while 8.5% lacked dietary variety. Statistically significant associations were observed between educational attainment, socioeconomic status and nutrition-related practices (p

    Conclusion

    As a cross-sectional study, these findings highlight substantial gaps in nutrition knowledge among pregnant women in Tehran, with socioeconomic status and education playing crucial roles in shaping dietary behaviours. Improving nutritional education through healthcare interventions is essential for enhancing maternal and fetal health outcomes.

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