108 research outputs found
End of life care in chronic obstructive pulmonary disease: in search of a good death
No full textAnna Spathis, Sara BoothPalliative Care Service, Cambridge University Hospitals NHS Foundation Trust, Cambridge, England, UKAbstract: Chronic obstructive pulmonary disease (COPD) is an incurable, progressive illness that is the fourth commonest cause of death worldwide. Death tends to occur after a prolonged functional decline associated with uncontrolled symptoms, emotional distress and social isolation. There is increasing evidence that the end of life needs of those with advanced COPD are not being met by existing services. Many barriers hinder the provision of good end of life care in COPD, including the inherent difficulties in determining prognosis. This review provides an evidence-based approach to overcoming these barriers, summarising current evidence and highlighting areas for future research. Topics include end of life needs, symptom control, advance care planning, and service development to improve the quality of end of life care.Keywords: chronic obstructive pulmonary disease (MeSH), palliative care (MeSH), dyspnoea (MeSH), advance care planning (MeSH
sj-pdf-1-pmj-10.1177_02692163221097309 – Supplemental material for Medical communication and decision-making about assisted hydration in the last days of life: A qualitative study of doctors experienced with end of life care
No full textSupplemental material, sj-pdf-1-pmj-10.1177_02692163221097309 for Medical communication and decision-making about assisted hydration in the last days of life: A qualitative study of doctors experienced with end of life care by Arjun Kingdon, Anna Spathis, B�rbara Antunes and Stephen Barclay in Palliative Medicine</p
Online Identification of Last-Mile Throughput Bottlenecks on Home Routers
No full textSupervisors: Renata Teixeira (Inria) , Promethee Spathis (UPMC)Advisors: Anna-Kaisa Pietilainen (Inria) , Srikanth Sundaresan (Samsara Networks/ICSI), Nick Feamster (Princeton University)International audienceWe develop a system that runs online on commodity home routers to locate last-mile throughput bottlenecks to the home wireless network or the access ISP. Pinpointing whether the home wireless or the access ISP bottlenecks Internet through-put is valuable for home users who want to better troubleshoot their Internet experience; for access ISPs that receive numerous calls from frustrated home customers; and for informing the debate on regulating the residential broadband market. Developing such a system is challenging because commodity home routers have limited resources. The main contribution of this thesis is to develop a last-mile throughput bottleneck detection algorithm that relies solely on lightweight metrics available in commodity home routers. Our evaluation shows that our system accurately locates last-mile bottlenecks on commodity home routers with little performance degradation
16 To drip or not to drip: inadequate evidence to guide practice. A systematic literature review and narrative synthesis
No full text
O-13 How do doctors communicate and make decisions about assisted hydration near the last days of life? A qualitative interview study
No full text20 To explore the utility of the breathing, thinking, functioning (BTF) clinical model in managing breathlessness through a practical workshop aiming to equip professionals
No full text
- …
