Palliative Care Initiated in the Emergency Department: A Cluster Randomized Clinical Trial.

Importance: The emergency department (ED) offers an opportunity to initiate palliative care for older adults with serious, life-limiting illness.

Objective: To assess the effect of a multicomponent intervention to initiate palliative care in the ED on hospital admission, subsequent health care use, and survival in older adults with serious, life-limiting illness.

Design, Setting, And Participants: Cluster randomized, stepped-wedge, clinical trial including patients aged 66 years or older who visited 1 of 29 EDs across the US between May 1, 2018, and December 31, 2022, had 12 months of prior Medicare enrollment, and a Gagne comorbidity score greater than 6, representing a risk of short-term mortality greater than 30%.

Injector port acylation of γ-hydroxybutyrate (GHB): Condition optimisation, source adjustments, and characterisation of the derivatives.

For several years, gas chromatography-mass spectrometry (GC-MS) has been used to identify gamma-hydroxybutyrate (GHB) in forensic toxicology cases. However, under injector port conditions GHB can dehydrate into gamma-butyrolactone (GBL). Therefore, it is important for GHB to undergo a derivatisation reaction before an analysis to avoid the production of GBL; various analytical methods have been developed for the analysis of GHB but very few methods use acylation as a form of derivatisation.

Working towards health: A model of cervical cancer screening and treatment for factory employees in Haiti.

Objective: In Haiti, cervical cancer continues to cause high levels of mortality and morbidity due to lack of resources and political unrest. Haitian women employed in factories are especially vulnerable because they are unable to take time away from work to access health resources. We aimed to describe a low-cost intervention which successfully addressed this need.

The Perspectives of Haitian Parents on Heritage Language Maintenance.

Purpose: The study sought to understand Haitian parents' perspectives on heritage language maintenance with typically developing children.

Method: Semistructured interviews were conducted with 10 Haitian parents of typically developing children. A thematic analysis was conducted to determine recurring themes.

Avoidance-Endurance Model in Older Black Men with Low Back Pain: Exploring Relationships.

Objective: The objective of the study was to investigate functional performance and pain intensity outcomes for associations with negative cognitive orientations, avoidance behaviors, and fear of pain in older Black men with low back pain (LBP).

Methods: Sixty Black men aged 60 and older (70 years[Formula: see text]) with LBP completed the Short Physical Performance Battery (SPPB), the 400-m walk test, and subjective measures of avoidance behaviors, back performance, pain intensity, and pain catastrophizing (i.e.