Search

Objective: The aim of this meta-analysis was to evaluate the effects of yoga on psychologic function and quality of life (QoL) in women with breast cancer. Design: A systematic search of PubMed, EMBASE, the Cochrane Library, the Chinese Biomedical Literature Database, and the Chinese Digital Journals Full-text Database was carried out. Randomized control trials (RCTs) examining the effects of yoga, versus a control group receiving no intervention, on psychologic functioning and QoL in women with breast cancer were included. Methodological quality of included RCTs was assessed according to the Cochrane Handbook for Systematic Reviews of Interventions 5.0.1, and data were analyzed using the Cochrane Collaboration's Review Manager 5.1. Results: Six (6) studies involving 382 patients were included. The meta-analysis showed that yoga can improve QoL for women with breast cancer. A statistically significant effect favoring yoga for the outcome of QoL was found (standard mean difference = 0.27, 95% confidence interval [0.02, 0.52], p = 0.03). Although the effects of yoga on psychologic function outcomes--such as anxiety, depression, distress and sleep--were in the expected direction, these effects were not statistically significant (p>0.05). Fatigue showed no significant difference (p>0.05). Conclusions: The present data provided little indication of how effective yoga might be when they were applied by women with breast cancer except for mildly effective in QOL improvement. The findings were based on a small body of evidence in which methodological quality was not high. Further well-designed RCTs with large sample size are needed to clarify the utility of yoga practice for this population. [ABSTRACT FROM AUTHOR]

After converting cropland to forest, carbon is sequestered in the aggrading biomass of the new forests, but the question remains, to what extent will the former arable soil contribute as a sink for CO2? Quantifying changes in soil carbon is an important consideration in the large-scale conversion of cropland to forest. Extensive field studies were undertaken to identify a number of suitable sites for comparison of soil properties under pasture and forest. The present paper describes results from a study of the effects of first rotation larch on soil carbon in seven stands in an afforestation chronosequence compared with adjacent Korean pine, pasture, and cropland. An adjacent 250-year-old natural forest was included to give information on the possible long-term changes in soil carbon in northeast China in 2004. Soil carbon initially decreased during the first 12 yr before a gradual recovery and accumulation of soil carbon occurred. The initial (0–12 yr) decrease in soil carbon was an average 1.2% per year among case studies, whereas the increase in soil carbon (12–33 yr) was 1.90% per year. Together with the carbon sequestration of forest floors, this led to total soil carbon stores of approximately 101.83 Mg/hm2 over the 33-year chronosequence. Within the relatively short time span, carbon sequestration occurred mainly in tree biomass, whereas soil carbon stores were clearly higher in the 250-year-old plantation (184 Mg/hm2). The ongoing redistribution of mineral soil carbon in the young stands and the higher soil carbon contents in the 250-year-old afforested stand suggest that nutrient-rich afforestation soils may become greater sinks for carbon (C) in the long term. (Managing editor: Ya-Qin Han) [ABSTRACT FROM AUTHOR]

Community health nursing in China is an emerging specialty. A multi-component collaborative endeavor between the Schools of Nursing of Tianjin Medical University, China, and the University of Ottawa, Canada is described. This project, funded by the Canadian International Development Agency, commenced in 1989. It has laid the groundwork for an expanded role for community health nurses in Tianjin, a municipality of 11 million people located in Northeast China. The historical context for the evolution of community health nursing in China and the emergence of community health nursing as a priority area within the project are described. Major project activities are highlighted, illustrating several underlying principles for strengthening the educational preparation of baccalaureate nurses who can apply community health skills. These include creating a critical mass of faculty who can teach community health nursing, modelling classroom and clinical teaching of community health nursing, bridging the gap between nursing in the community and nursing in the hospital, and developing a prototype for baccalaureate community health nursing experience. Lessons learned from this initiative are summarized. [ABSTRACT FROM AUTHOR]