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Structural changes in model oxide catalysts studied by operando XAFS
Bridging the pressure gap between surface science studies and industrial processes requires a combination of well-studied reactions, model systems as catalysts, and advanced techniques capable of detecting structural changes under realistic pressure conditions. Observations from such studies provide helpful insight into the present phases of the gas-surface boundary and transitions that happen dur
Analysis of the Horometer Instrument in Peter Apian's Instrument Buch
The Horometer instrument in Peter Apian's 1533 Instrument Buch is described and analyzed. This paper is illustrated by several examples of how to manipulate and set up the instrument using the Sun, the Moon and stars to determine time. The paper also contains an Appendix on the mathematics behind its construction.
What is in the Syringe? : Principles of early integrated palliative care
What's in the Syringe? offers a succinct overview of the psychological skills of outpatient palliative care, teaching clinicians how to help patients live well and acknowledge end of life as patients meet five challenges of serious illness. It explores how to help patients develop prognostic awareness, through which they pair hopes and worries and see themselves with clarity and empathy. The book
Exploring the Psychological Aspects of Palliative Care : Lessons Learned from an Interdisciplinary Seminar of Experts
Palliative care has been shown to help patients live well with serious illness, but the specific psychological factors that contribute to this benefit remain investigational. Although support of patient coping has emerged as a likely factor, it is unclear how palliative care helps patients to cope with serious illness. The therapeutic relationship has been proposed as a key element in beneficial p
Best Practices for Teaching Clinicians to Use a Serious Illness Conversation Guide
With the palliative care workforce shortage and changes in advance care planning reimbursement, many institutions are requesting that palliative care specialists provide serious illness communication training across their institution's workforce. Based on our experience training clinicians to use the Partners Serious Illness Conversation Guide, a structured guide to teach basic palliative care com
Here, but Apart During COVID-19 : Bringing Connection and Empathy to the Socially Distant Family Meeting
Neurology clinicians' views on palliative care communication: "How do you frame this?"
BACKGROUND: The communication process of preparing patients and families facing progressive neurodegenerative diseases for future illness has not been empirically elucidated; the goal of this qualitative study was to explore neurology interdisciplinary health professionals' communication experiences, including current approaches, facilitators, and challenges.METHODS: Three focus groups were conduc
PSST! I Need Help! Development of a Peer Support Program for Clinicians Having Serious Illness Conversations During COVID-19
The Experience of Emergency Department Providers With Embedded Palliative Care During COVID
CONTEXT: Although the importance of palliative care (PC) integration in the emergency department (ED) has long been recognized, few formalized programs have been reported, and none have evaluated the experience of ED clinicians with embedded PC.OBJECTIVES: We evaluate the experience of ED clinicians with embedded PC in the ED during the coronavirus disease pandemic.METHODS: ED clinicians completed
Implementing Automated Triggers to Identify Hospitalized Patients with Possible Unmet Palliative Needs : Assessing the Impact of This Systems Approach on Clinicians
Background: Understanding patients' goals and values is important to ensure goal-concordant care; however, such discussions can be challenging. Little is known about the impact of having these discussions on hospitalists. Objective: To assess the impact on hospitalists of a system that reminds them to have serious illness conversations with their patients identified with potential unmet palliative
Emergency Department-Based Palliative Care during COVID
Case 19-2020 : A 74-Year-Old Man with Acute Respiratory Failure and Unclear Goals of Care
Investigating building permit processes across Europe: characteristics and patterns
Building permit processes serve as crucial gatekeepers for urban development, regulating compliance with building codes, land use policies, and safety and environmental standards. However, their complexity can lead to inefficiencies and hinder economic growth. While existing studies have made significant contributions to building permit process research, they often focus on individual countries or
An Exploratory Study of Afghan Tazkera Ownership
The tazkera (national ID) is Afghanistan’s most important identity document and necessary to receive a variety of government services (e.g. education), employment, or even other identity documents such as passports or driver’s licenses. While the most commonly held identification by Afghans, certain groups own tazkeras far less than do others, especially women and rural, displaced and nomadic popu
Quantification and Profiling of Early and Late Differentiation Stage T Cells in Mantle Cell Lymphoma Reveals Immunotherapeutic Targets in Subsets of Patients
With the aim to advance the understanding of immune regulation in MCL and to identify targetable T-cell subsets, we set out to combine image analysis and spatial omic technology focused on both early and late differentiation stages of T cells. MCL patient tissue (n = 102) was explored using image analysis and GeoMx spatial omics profiling of 69 proteins and 1812 mRNAs. Tumor cells, T helper (TH) c
Solutions to Statelessness in Central Asia : Background Paper commissioned by UNHCR for the for the International Conference on Migration and Statelessness, 23-24 June 2014, Ashgabat, Turkmenistan
This paper was produced to provide some background for the discussion on a pathway towards ending statelessness and the High Level International Conference on Migration and Statelessness, 23-24 June 2014, Ashgabat, Turkmenistan, hosted by IOM, UNHCR and the Government of Turkmenistan.
Breathe in...breathe out... How difficult can it be in patients with asthma or allergy?
Rapid imaging of intravenous gadolinium-based contrast agent (GBCA) entering ventricular cerebrospinal fluid (CSF) through the choroid plexus in healthy human subjects
BACKGROUND: Pathways for intravenously administered gadolinium-based-contrast-agents (GBCAs) entering cerebrospinal-fluid (CSF) circulation in the human brain are not well-understood. The blood-CSF-barrier (BCSFB) in choroid-plexus (CP) has long been hypothesized to be a main entry-point for intravenous-GBCAs into CSF. Most existing studies on this topic were performed in animals and human patient
