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Knowledge of and Attitudes Towards End-of-Life Doulas Among Gynecologic Oncologists.
Am J Hosp Palliat Care
March 2025
Albany Medical College, Albany, NY, USA.
ObjectiveEnd-of-life doulas (EOLDs) offer non-medical support to patients and families, yet little is known regarding how knowledgeable and receptive gynecologic oncologists are to EOLDs.MethodsMembers of the New England Association of Gynecologic Oncologists (NEAGO) were surveyed regarding demographics and familiarity with and attitudes towards EOLDs. Descriptive statistics described demographics.
View Article and Find Full Text PDFBeliefs and attitudes of family caregivers of People with dementia toward advance care planning: A Q methodology study.
Dementia (London)
March 2025
Georgia Baptist College of Nursing, Mercer University, USA.
Family caregivers' perspectives for advance care planning (ACP) are critically important to reflect the end-of-life wishes of people with dementia. Culture can influence ACP practice and people's perspectives toward it. Little is known about family caregivers' perspectives toward ACP in Asian countries, especially in Korea.
View Article and Find Full Text PDFLow responsiveness of machine learning models to critical or deteriorating health conditions.
Commun Med (Lond)
March 2025
Department of Computer Science and Sanghani Center for AI and Data Analytics, Virginia Tech, Blacksburg, VA, USA.
Background: Machine learning (ML) based mortality prediction models can be immensely useful in intensive care units. Such a model should generate warnings to alert physicians when a patient's condition rapidly deteriorates, or their vitals are in highly abnormal ranges. Before clinical deployment, it is important to comprehensively assess a model's ability to recognize critical patient conditions.
View Article and Find Full Text PDFLeveraging circulating DNase I Activity to Detect Silent Coronary Artery Disease among Hypertensive Diabetes Individuals.
Am J Physiol Heart Circ Physiol
March 2025
Department of Biochemistry, AIIMS Raipur, Raipur, Chhattisgarh, India.
In individuals with diabetic hypertension, silent coronary artery disease (CAD) is common due to underlying chronic inflammation but there is no biomarker to monitor this high-risk group of individuals before noticeable symptoms emerge clinically. cfDNA from dying endothelial cells triggers chronic inflammation, leading us to hypothesize that enzymes that degrade cfDNA, DNase I and/or II, could serve as more sensitive biomarkers for silent CAD. To test this, we conducted a study with 30 hypertensive diabetic patients with clinical symptoms of CAD (CAD-HTN-DM) and 30 controls without CAD (HTN-DM).
View Article and Find Full Text PDFWho cares about the dying? - Unpacking integration of palliative care and oncology in the Danish context.
Health Sociol Rev
March 2025
Department of Health, VIVE - The Danish Center for Social Science Research, Copenhagen, Denmark.
Integrating palliative care into the trajectories of patients with incurable cancer has been a priority for years. Yet, the intended outcomes of this integration remain elusive. Many patients with advanced cancer continue to receive so-called aggressive treatments in the end-of-life phase or miss out on specialised palliative care entirely.
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