Assessing the Acceptability and Feasibility of Leveraging Emergency Department Social Workers' Advanced Communication Skills to Assess Elderly Patients' Goals and Values.

The Emergency Department (ED) has increasingly been recognized as an important site of care for older adults with unmet palliative care needs. Despite this, no clear model of care delivery has emerged. To assess the acceptability and feasibility of a scripted palliative care communication intervention in the ED directed by social workers.

Parental experiences with a hospital-based bereavement program following the loss of a child to cancer.

Objective: The death of a child from cancer is an intense and life-changing loss for a parent. Guided by the principles of patient- and family-centered care, hospital-based caregivers developed a program to provide bereavement support for parents through phone calls and mailings. The aim of the present qualitative phenomenological study was to understand how parents experienced participating in this bereavement program.

Screening for domestic violence in an oncology clinic: barriers and potential solutions.

Purpose/objectives: To evaluate the implementation of a domestic violence screening protocol in an oncology clinic.

Design: A retrospective review of a random sample of clinic medical records and qualitative surveys of nursing staff.

Setting: A gynecologic oncology clinic in a large teaching hospital.

[Clinical study on the pharmacological treatment of hemorrhoids with 0.25% oxethacaine chlorhydrate].

In this clinical study, the authors refer to a thirty-six month treatment of Grades I and II haemorrhoids (pharmacological treatment) with a group of 75 patients (45 females and 30 males) and treatment for Grades III and IV haemorrhoids (Pharmacological and surgical treatment) on a second group of 23 patients for a total of 98 patients treated and observed. For the pharmacological treatment, a rectal cream containing 0.25% Oxethacaine chlorhydrate (Emoren, produced by Novasorel, srl) was used on all patients.

Sexuality and cancer: conversation comfort zone.

Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH.

A staff dialogue on a socially distanced patient: psychosocial issues faced by patients, their families, and caregivers.

Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH.

Spirituality and quality of life in gynecologic oncology patients.

Purpose: The inclusion of spiritual well-being in healthcare assessments can provide insight into patients' needs and coping resources. This study explored the relationship between spiritual well-being and quality of life (QOL) in gynecologic oncology patients in an attempt to clarify the significance of spiritual well-being in the assessment process.

Description Of Study: Eighteen women with gynecologic cancer completed a self-administered questionnaire that obtained sociodemographic, medical, spiritual, and functional information.

[Spigelian hernia. Clinical and anatomo-surgical considerations].

The authors describe a case of Spigelian hernia observed and treated. This hernia is uncommon, although the true incidence is probably greater than the small number of patients reported in literature. The signs and symptoms of the hernia are not always characteristic and then a correct diagnosis can be difficult.

[Usefulness of esophageal ECG as a study method for the differential diagnosis of perforated ulcers and myocardial infarct].

The Authors have examined 100 patients with suspected perforated ulcer and have executed besides the usual examination also an oesophageal ECG with modified method and a polygraphic examination. In 9 patients it is possible to identify to the oesophageal ECG and infarct of the myocardium, which interested the upper part of left ventricle's posterior wall, from the Authors indicated as "underconnectional", is not explorable by traditional ECG. Oesophageal ECG examination is important for to settle the doubtful chances of the perforated ulcer from the myocardium infarct.

[Plasma renin activity in hypertensive subjects after posture changes and beta receptor blocking].

The Authors have esecuted a study about the manners of the PRA in 20 subjects, 10 hypertensive and 10 sound. The dosages have effected with indirect radioimmunology method and the patterns have proportioned in the mg/ml/h. The results obtained indicate that the situation changes, produce, in hypertensive subjects, increment of the PRA without variations of the pressure and that the block of the Beta receivers produces significant changes of the PRA.