Empathy and boundary turbulence in cancer communication.

Objectives: To describe and deepen our understanding of patient-centeredness, empathy, and boundary management in challenging conversations. Previous studies show frequent physician self-disclosure, while empathy and boundary management are infrequent.

Methods: Three standardized patients (SPs) portrayed cancer patients consulting a new community-based physician, resulting in 39 audio-recorded SP visits to 19 family physicians and 20 medical oncologists.

Physicians criticizing physicians to patients.

Background: Teamwork is critical to providing excellent healthcare, and effective communication is essential for teamwork. Physicians often discuss patient referrals from other physicians, including referrals from outside their primary institution. Sharing conflicting information or negative judgments of other physicians to patients may be unprofessional.

Effect of food intake on energy and protein metabolism in the skin of Romney sheep.

Sheep fed on either a low (500 g lucern (Medicago sativa) chaff/d; L) or high (1100 g lucerne chaff/d; H) intake had measurements made, using arterio-venous techniques, of blood flow and energy metabolite and cysteine utilization in the skin. Sheep on the H intake had significantly increased skin blood flow (P = 0.014) and oxygen uptake (P = 0.

Direct infusion of a variant of insulin-like growth factor-I into the skin of sheep and effects on local blood flow, amino acid utilization and cell replication.

In vivo effects of local infusion of a variant of insulin-like growth factor-I (IGF-I), long-R3-IGF-I, into the skin were investigated using six conscious sheep with food available ad libitum. An artery and vein on the abdominal flank of each animal, as well as the saphenous artery, were catheterized so that infusion of isotopically labelled amino acids, with or without IGF-I, could be used to determine amino acid uptake by arteriovenous difference in combination with blood flow determined by dye dilution. Measurements were made on each animal prior to IGF-I infusion, at hourly intervals for the 4 h of IGF-I infusion into the skin artery, then 2 and 4 h after IGF-I infusion ceased.

Comparison of several in vivo digestibility procedures to determine lysine digestibility in poultry diets containing heat treated meat and bone meals.

1. Three subsamples of a batch of meat and bone meal (MBM0) were heated at 150 degrees C for 1.5 h (MBM1.