Implementation of a Meaning-Centered Psychotherapy training (MCPT) program for oncology clinicians: a qualitative analysis of facilitators and barriers.

The Meaning-Centered Psychotherapy training program (MCPT) is a multimodal, intensive, in-person program that trains cancer care providers in the evidence-based psychosocial treatment Meaning-Centered Psychotherapy (MCP). This analysis aimed to identify barriers and facilitators to clinical implementation (CI) at 1 year post-training. Trainee feedback regarding CI was collected via a mixed-methods questionnaire, including rating the ease of CI and free-text response identifying facilitators and barriers to CI.

Don't Shoot the Messenger: Experiences of Delivering Prognostic Information in the Context of Advanced Cancer.

The study of prognostic understanding is imperative as the trend toward individualized medicine continues. However, without guidelines for discussing prognosis, palliative care clinicians face challenges presenting prognostic information in a way that optimizes patient understanding, psychological adjustment, and decision-making. The present study draws on the experiences of experts in the field of palliative care in order to examine the communication of prognostic information.

Characterization and deposition of various light-harvesting antenna complexes by electrospray atomization.

Photosynthetic organisms have light-harvesting complexes that absorb and transfer energy efficiently to reaction centers. Light-harvesting complexes (LHCs) have received increased attention in order to understand the natural photosynthetic process and also to utilize their unique properties in fabricating efficient artificial and bio-hybrid devices to capture solar energy. In this work, LHCs with different architectures, sizes, and absorption spectra, such as chlorosomes, Fenna-Matthews-Olson (FMO) protein, LH2 complex, and phycobilisome have been characterized by an electrospray-scanning mobility particle-sizer system (ES-SMPS).

Detection of sleep apnea with the forced oscillation technique compared to three standard polysomnographic signals.

Background: The forced oscillation technique (FOT) allows analysis of the upper airway impedance and, hence, detection of obstructive sleep apnea.

Objective: To evaluate FOT with respect to sensitivity and to specificity in online detection of sleep-disordered breathing patterns and to compare algorithmic onset detection time with manual onset time markers of staff physicians.

Methods: We compared the absolute value mid R:Zmid R: of the impedance with three routinely obtained polysomnographic signals - nasal airflow V(nasal), thoracic excursion Thox and esophageal pressure P(es) - by retrospective analysis of the diagnostic polysomnograms of 51 patients.

Detection of obstructive sleep apnea by analysis of phase angle using the forced oscillation signal.

Pharyngeal collapse in patients with obstructive sleep apnea syndrome (OSAS) is linked to decreased upper airway muscle activity. We hypothesised that decreased muscle activity causes decreased stiffness of the upper airway wall and assumed that a decrease in wall stiffness would result in a change point (CP) of the morphology of phase angle time series phi(t) obtained by forced oscillation technique (FOT). We developed an algorithm to detect CPs in φ(t) and investigated phi(t) data measured in parallel to all-night polysomnography in seven patients.