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Veterinary technicians report in a survey how futile veterinary treatments contribute to their moral distress and impact their professional and personal lives.
J Am Vet Med Assoc
January 2025
3Center for Bioethics, Harvard Medical School, Harvard University, Boston, MA.
Objective: To document veterinary technicians' (VTs') experiences with medical futility and its subsequent impact on moral distress and attrition from the profession.
Methods: A cross-sectional study using a 56-question web-based, confidential and anonymous survey was distributed through the National Association of Veterinary Technicians in America between January 19 and February 15, 2023.
Results: There were 1,944 responses from approximately 8,500 members (22% response rate).
Futile care in COVID-19: how ICU nurses' resilience impacts turnover intention? A cross-sectional descriptive study.
BMC Health Serv Res
December 2024
Department of Public Health, School of Allied Medical Sciences, Maragheh University of Medical Sciences, Maragheh, Iran.
Background: Futile care is a set of actions without creating a reasonable chance of benefiting critically ill patients. In the COVID-19 pandemic, there is a need to discuss futile care perception. This may cause unbearable pressure for nurses in terms of resilience and turnover intention.
View Article and Find Full Text PDFA 'good death' needs good cooperation with health care professionals - a qualitative focus group study with seniors, physicians and nurses in Germany.
BMC Palliat Care
December 2024
Department of General Practice, University Medical Center Göttingen, Humboldtallee 38, Göttingen, 37073, Germany.
Background: Studies investigating notions of a 'good death' tend to focus on specific medical conditions and specific groups of people. Therefore, their results are often poorly comparable, making it difficult to anticipate potential points of conflict in practice. Consequently, the study explores how to achieve a good death from the perspective and experience of physicians, nursing staff, and seniors.
View Article and Find Full Text PDFKetamine induces plasticity in a norepinephrine-astroglial circuit to promote behavioral perseverance.
Neuron
December 2024
Janelia Research Campus, Howard Hughes Medical Institute, Ashburn, VA 20147, USA. Electronic address:
Transient exposure to ketamine can trigger lasting changes in behavior and mood. We found that brief ketamine exposure causes long-term suppression of futility-induced passivity in larval zebrafish, reversing the "giving-up" response that normally occurs when swimming fails to cause forward movement. Whole-brain imaging revealed that ketamine hyperactivates the norepinephrine-astroglia circuit responsible for passivity.
View Article and Find Full Text PDFThe Aachen ACLF ICU score predicts ICU mortality in critically ill patients with acute-on-chronic liver failure.
Sci Rep
December 2024
Medical Department III, RWTH Aachen University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany.
Article Synopsis
- ACLF is a complex condition characterized by acute worsening of liver disease and organ failure, prompting this study to create a machine learning model to predict patient mortality in the ICU.
- The research analyzed data from 206 ICU patients at RWTH Aachen University Hospital and developed a predictive model using logistic regression, achieving an impressive accuracy with an AUROC of 0.96.
- The resulting Aachen ACLF ICU (ACICU) score outperforms existing mortality predictors and provides a user-friendly tool for assessing the likelihood of mortality in critically ill patients with ACLF.
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