Addressing pain in people living with cystic fibrosis: Cystic fibrosis foundation evidence-informed guidelines.

Even as many outcomes for people living with cystic fibrosis (PLwCF) improve, individuals still experience extensive symptom burdens. From birth, many PLwCF experience both pain as a symptom of their CF disease and procedural pain, posing detriments to health, functioning, and quality of life. Despite its prevalence and impact, there is no CF-specific guidance for the assessment and management of pain.

Energy Efficient Neuro-Inspired Phase-Change Memory Based on Ge Sb Te as a Novel Epitaxial Nanocomposite.

Phase-change memory (PCM) is a promising candidate for neuro-inspired, data-intensive artificial intelligence applications, which relies on the physical attributes of PCM materials including gradual change of resistance states and multilevel operation with low resistance drift. However, achieving these attributes simultaneously remains a fundamental challenge for PCM materials such as Ge Sb Te , the most commonly used material. Here bi-directional gradual resistance changes with ≈10× resistance window using low energy pulses are demonstrated in nanoscale PCM devices based on Ge Sb Te , a new phase-change nanocomposite material .

Integrating specialist palliative care to improve care and reduce suffering: cystic fibrosis (InSPIRe:CF) - study protocol for a multicentre randomised clinical trial.

Introduction: Cystic fibrosis (CF) is a life-limiting genetic disorder estimated to affect more than 160 000 individuals and their families worldwide. People living with CF commonly experience significant physical and emotional symptom burdens, disruptions to social roles and complex treatment decision making. While palliative care (PC) interventions have been shown to relieve many such burdens in other serious illnesses, no rigorous evidence exists for palliative care in CF.

Satisfaction and effectiveness of opioid pain management among adults with cystic fibrosis: A mixed methods study.

Background: Chronic pain is common among people living with cystic fibrosis (CF) and associated with worse clinical outcomes. Despite this, little is known about how pain is managed and how opioids are used to treat pain. The purpose of this convergent mixed methods study was to examine self-reported satisfaction and effectiveness of pain management strategies among a sample of adults with CF who are prescribed opioids.

Assessing Practices, Beliefs, and Attitudes about Palliative Care among People with Cystic Fibrosis, Their Caregivers, and Clinicians: Results of a Content Analysis.

Individuals with cystic fibrosis (CF) experience symptoms affecting quality of life and may benefit from palliative care (PC). To present results of content analysis from open-ended survey questions assessing knowledge and experiences with PC among CF stakeholders. Online surveys were sent to CF stakeholders through CF-specific listservs predominantly in the United States.

Palliative care skills in CF: Perspectives of adults with CF, caregivers, and CF care team members.

Background: The role of cystic fibrosis (CF) care team members in delivering palliative care (PC) remains undefined. We aimed to understand the PC skills of CF care teams.

Methods: CF care team members ("clinicians"), adults with CF ("patients"), and family caregivers ("caregivers") rated the ability of CF clinicians to provide aspects of PC using a five-point scale ("poor" to "excellent").

Palliative Care Needs of Individuals with Cystic Fibrosis: Perspectives of Multiple Stakeholders.

Studies suggest palliative care may be different in cystic fibrosis (CF) than in other conditions. To provide quality palliative care to individuals with CF, unique needs must be understood. To examine perceptions of how palliative care may be different in CF, top palliative needs of individuals with CF, and barriers to palliative care in CF.

Percutaneous Fasciotomies versus Traditional Keystone Flap: Evaluating Tension in Complex Wound Closure.

Background: The keystone flap is a popular reconstructive option for closure of cutaneous defects. Traditionally, this is a perforator-based fasciocutaneous advancement flap that uses both skin incision and fascial release. We propose a limited skin incision technique that utilizes percutaneous fasciotomies to accomplish wound closure.

"How Do Those Danish Bastards Sleep at Night?"*: Fan Labor and the Power of Cuteness.

This article considers LEGO's fans and how their labor was mobilized to create . Many aspects of this film make it a compelling case study for ludic economies, such as the film's self-conscious humor that suggests an awareness on of the company's brand-growing strategies. My argument will address fans' response to how LEGO has farmed their labor and the lack of resistance encountered in the extraction thereof.

Defining palliative care in cystic fibrosis: A Delphi study.

Background: The goal of palliative care is to improve quality of life for people with serious illness. We aimed to create a cystic fibrosis (CF)-specific definition of palliative care.

Methods: A working group of 36 CF care providers, researchers, palliative care providers, quality improvement experts, individuals with CF, and CF caregivers completed a series of questionnaires to rate the value of each of 22 attributes of palliative care, rank top attributes to construct definitions of palliative care, and then rate proposed definitions.

End-of-life practice patterns at U.S. adult cystic fibrosis care centers: A national retrospective chart review.

Background: There are many challenges to providing end-of-life care (EOLC) to people with cystic fibrosis (CF).

Methods: Chart abstraction was used to examine EOLC in adults with CF who died between 2011 and 2013.

Results: We reviewed 248 deaths from 71 CF care centers.

Pre-expanded Internal Mammary Artery Perforator Flap.

Internal mammary artery (IMA)-based pedicled perforator flaps can be used to reconstruct defects of the neck and anterior chest wall. Pre-expansion causes a possible delay phenomenon, improves flap survival, and decreases donor site morbidity. It also increases the area that can be covered.

COMPUTED TOMOGRAPHIC FINDINGS IN 24 DOGS WITH LIPOSARCOMA.

Computed tomography (CT) continues to become more widely available for assessment of tumors in dogs, yet there are no studies describing the CT appearance of canine liposarcomas. In this retrospective, multicenter study, CT images of dogs with histologically confirmed liposarcomas were reviewed for size, location, attenuation, contrast enhancement, border definition, internal homogeneity, local infiltration, and mineralization. A total of 24 dogs with 26 liposarcomas were sampled.

CF healthcare workers feel unprepared in providing suitable end of life care and desire more education: Results of a nationwide survey.

Introduction: Little is known about the depth of knowledge and preparedness of CF caregivers in delivering end of life and palliative care to CF patients and families.

Method: Nationwide survey questionnaires for CF care providers using the CF Foundation Listserv electronic web-based tool.

Results: The majority of non-physician CF care providers (55%) had more than 15 years of experience in their discipline and 84% of physician had greater than 15 years of experience.

Advance care planning in cystic fibrosis: Current practices, challenges, and opportunities.

Background: Studies in cystic fibrosis (CF) report late attention to advance care planning (ACP). The purpose of this study was to examine ACP with patients receiving care at US adult CF care programs.

Methods: Chart abstraction was used to examine ACP with adults with CF dying from respiratory failure between 2011 and 2013.

Simple computed tomography-based calculations of orbital floor fracture defect size are not sufficiently accurate for clinical use.

Purpose: The precise computed tomography-based calculation of the size of an orbital floor (OF) fracture defect is tedious and time-consuming. The aims of this study were to evaluate the accuracy of simple, rapid methods of calculating OF fracture defect size and to determine their suitability for clinical use.

Materials And Methods: A retrospective review of the electronic medical records of patients with OF fractures presenting to Baylor Scott and White Hospital between October 2009 and April 2013 was performed.

Use of ultrasound to locate retained testes in dogs and cats.

Ultrasound was used to locate undescended testes in 30 dogs and 4 cats where the final testicular location was determined surgically. Time between ultrasound and surgery ranged between 0 and 17 days. Forty-three testes (63.

Radiographic appearance of confirmed pulmonary lymphoma in cats and dogs.

Herein we describe the thoracic radiographic appearance of confirmed pulmonary lymphoma. Patients with thoracic radiographs and cytologically or histologically confirmed pulmonary lymphoma were sought by contacting American College of Veterinary Radiology members. Seven cats and 16 dogs met the inclusion criteria, ranging in age from 4 to 15 years.

Computed tomographic findings of fungal rhinitis and sinusitis in cats.

The computed tomographic (CT) findings of fungal rhinitis/sinusitis in cats were characterized. The CT images of 10 cats ranging in age from 7 to 13 years were examined. The mean age was 10.

Emigrant psychoanalysts in the USA and the FBI archives.

Interest in the fate of the German psychoanalysts who had to flee Hitler's Germany and find refuge in a new nation, such as the United States, has increased. The "émigré research" shows that several themes recur: (1) the theme of "loss" of one's culture, homeland, language, and family; and (2) the ambivalent welcome these émigrés received in their new country. We describe the political-social-cultural context that existed in the United States during the 1930s, 1940s, and 1950s.