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Misunderstandings about prognosis : an approach for palliative care consultants when the patient does not seem to understand what was said

Called in after discussions about prognosis between referring clinicians and patients, palliative care consultants sometimes find that the patient does not seem to understand what the referring clinician believes he or she explained. However, holding a more explicit discussion about prognosis may compromise the palliative care clinician's rapport with both the patient and the referring clinician.

Components of early outpatient palliative care consultation in patients with metastatic nonsmall cell lung cancer

BACKGROUND: Although palliative care consultation is recommended early in the course of oncology treatment, little evidence exists to guide the nature of this intervention. We describe a clinical practice of early palliative care consultation that improved quality of life, mood, and survival in a randomized clinical trial.METHODS: As part of a randomized trial of early palliative care versus stand

Development of a cognitive model for advance care planning discussions : results from a quality improvement initiative

BACKGROUND: Residents struggle with advance care planning (ACP) discussions in the inpatient setting, and may not be aware of newer models for ACP that stress the importance of giving prognostic information and making a recommendation about cardiopulmonary resuscitation to patients and families.METHODS: A controlled study of a cognitive model for ACP embedded in a quality improvement (QI) project.

Distinguishing symptoms of grief and depression in a cohort of advanced cancer patients

Several studies have shown that the symptoms of grief are different from symptoms of depression among bereaved family members. This study is an attempt to replicate this finding among advanced cancer patients and examine clinical correlates of patient grief and depression. Analyses were conducted on data from interviews with 123 advanced cancer patients. Grief was measured using symptoms from the

Early palliative care for patients with metastatic non-small-cell lung cancer

BACKGROUND: Patients with metastatic non-small-cell lung cancer have a substantial symptom burden and may receive aggressive care at the end of life. We examined the effect of introducing palliative care early after diagnosis on patient-reported outcomes and end-of-life care among ambulatory patients with newly diagnosed disease.METHODS: We randomly assigned patients with newly diagnosed metastati

A communication approach for oncologists : understanding patient coping and communicating about bad news, palliative care, and hospice

Oncologists frequently approach patients to discuss difficult topics, such as bad news about cancer progression and referrals to palliative care and hospice. To communicate effectively in these difficult situations, it is helpful to assess what the patient knows and wants to know about their disease in general and, specifically, their prognosis. Although some patients fully accept the diagnosis of

Registry study of cardiovascular death in Sweden 2013–2019 : Home as place of death and specialized palliative care are the preserve of a minority

Background: Palliative care needs in patients with cardiovascular diseases (CVD) are expected to increase. For the planning of equitable palliative care, it is important to understand where people with CVD die. The aim was to examine trends in place of death, associated factors including utilization of specialized palliative services, and to what extent longitudinal development is influenced by na

Development of “clean label” gluten-free breads fortified with flaxseed slurry and sesame cake : Implications on batter rheology, bread quality and shelf life

Following the recently emerged trends for products without additives and valorization of food processing by-products, “clean label” gluten-free (GF) breads were developed using a flaxseed slurry (FS) at 3% or 4.5% level (flaxseed basis), instead of the commonly used structurant in GF doughs, methylcellulose, and 3 or 6% (flour mixture basis) sesame cake (SC) for further product nutritional improve

Flaxseed and sprouted lentil seeds as functional ingredients in the development of nutritionally fortified “clean-label” gluten-free breads

A “clean-label” gluten-free bread (GFB) was developed by replacing the commonly used hydrocolloid additive, methylcellulose, with an aqueous flaxseed slurry (FSS), known for its structure-forming properties, at 3 or 4.5 % levels into GFB formulations; for further nutritional improvement of GFB, the inclusion of 5 or 10 % roasted-sprouted lentil flour (SLF) was also investigated. FSS and SLF additi

Human milk oligosaccharides are associated with maternal genetics and respiratory health of human milk-fed children

Breastfeeding provides many health benefits, but its impact on respiratory health remains unclear. This study addresses the complex and dynamic nature of the mother-milk-infant triad by investigating maternal genomic factors regulating human milk oligosaccharides (HMOs), and their associations with respiratory health among human milk-fed infants. Nineteen HMOs are quantified from 980 mothers of th

Mosasaur (Reptilia, Mosasauridae) remains from the Upper Cretaceous of Colombia, including the first occurrence of the genus Globidens

Isolated mosasaur teeth and vertebrae recovered from beds of the Guadalupe Group of central Boyacá, Colombia, are reported. A partial tooth crown identified as Globidens sp., found in the Labor-Tierna Formation (Maastrichtian), represents the first report of this genus from northern South America and its most equatorial occurrence. A tooth crown recovered from the Plaeners Formation (upper Campani

Vertical growth rate of planted vegetation controls dune growth on a sandy beach

The integration of coastal dunes planted with vegetation and dikes combines traditional infrastructure with dynamic aeolian sediment and ecological processes to enhance coastal resilience. The functioning of such dune-dike hybrid Nature-based Solution strongly depends on aeolian sediment transport and the vertical growth rate of vegetation. We used the AeoLiS numerical model to investigate the rel

Early adaptive schemas, emotional regulation, and cognitive flexibility in eating disorders : subtype specific predictors of eating disorder symptoms using hierarchical linear regression

Purpose: Understanding how early adaptive schemas, cognitive flexibility, and emotional regulation influence eating disorder (ED) symptoms, and whether this differs across diagnostic subtypes is critical to optimising treatment. The current study investigated the relationship between these variables and ED symptomology in individuals self-reporting an ED diagnosis and healthy controls. Methods: A

Regulation of organic solar cells performance through external electric field : From charge transfer mechanisms to photovoltaic properties

In organic solar cells (OSCs), comprehending the charge transfer mechanism at D/A interfaces is crucial for photoinduced charge generation and enhancing power conversion efficiency (PCE). The charge transfer mechanism and photovoltaic performance of the parallel stacking interface configuration of the PTQ10 polymer donor and T2EH non-fullerene acceptor (NFA) are systematically studied at the micro

Velocity extrema in ocean gyre flows

Ocean gyres are modelled by the two-dimensional vorticity equation for inviscid flow on a rotating sphere, since their flow is governed by the tangential velocity components, whereas the vertical velocity component is negligible. From the vorticity equation we derive nonlinear elliptic equations for the square of the meridional velocity component as well as for the azimuthal velocity component. Us

Prolactin's paradox : Friend, foe, or both in immune regulation?

Over 100 diseases have been recognized as autoimmune in nature, collectively affecting ∼20 % of the population in industrialized countries. These conditions are more prevalent among women of childbearing age, reflecting the potential association between alterations in the immune-neuroendocrine network, on the one hand, and autoimmune conditions, on the other. Prolactin (PRL), a polypeptide hormone

Concerto di Göran Söllscher, chitarra

The concert was part of ZIP VENICE GUITAR FESTIVAL 2024, a format created within the Guitar School of the Benedetto Marcello Conservatory of Music in Venice.Programme Marsilio Ficino (1433-1499) Music is nothing but a decoration of silence Johann Ssebastian Bach (1685-1750) Sarabande and 2 Gavottes from cello suite No 6,BWV 1012 Heitor Villa-Lobos (1887-1959) Mazurka-chôroBach Sarabande from lute

Star formation in cosmological simulations of Milky Way-like galaxies

Detailing how the cosmological environment surrounding a galaxy (large-scale structure) influences the local star-forming regions (small-scale structure) in the galaxy, and viceversa, remains an open question in the field of galaxy formation and evolution. Observations of massive star-forming galactic discs at extremely high redshifts have made this problem all the more pressing, putting current s