609 research outputs found

    846440_supp_mat – Supplemental material for Aromatherapy, massage and reflexology: A systematic review and thematic synthesis of the perspectives from people with palliative care needs

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    Supplemental material, 846440_supp_mat for Aromatherapy, massage and reflexology: A systematic review and thematic synthesis of the perspectives from people with palliative care needs by Megan Armstrong, Kate Flemming, Nuriye Kupeli, Patrick Stone, Susie Wilkinson and Bridget Candy in Palliative Medicine</p

    Supplementary_materials – Supplemental material for The effectiveness of aromatherapy, massage and reflexology in people with palliative care needs: A systematic review

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    Supplemental material, Supplementary_materials for The effectiveness of aromatherapy, massage and reflexology in people with palliative care needs: A systematic review by Bridget Candy, Megan Armstrong, Kate Flemming, Nuriye Kupeli, Patrick Stone, Victoria Vickerstaff and Susie Wilkinson in Palliative Medicine</p

    EAPC Researcher Awards 2016 – reflections on winning

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    This year the European Association for Palliative Care redesigned its Researcher Awards, formerly known as the Early Researcher Awards and now comprising three categories: Early Researcher, Clinical Impact and Post Doc. They were presented in June at the 9th EAPC World Research Congress in Dublin to Martin Loucka, Kirsten Wentlandt and Bridget Candy. Here the winners reflect on their careers so far, and tell us how they feel about receiving this recognition by the international palliative care community

    Does current UK research address priorities in palliative and end-of-life care?

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    The Palliative and end of life care Priority Setting Partnership uncovered 83 unanswered research questions. Florence Todd Fordham, Bridget Candy, Stevie McMillan and Sabine Best show that, as current UK research starts to address some of these questions, UK open grant data have the potential to encourage collaboratio

    sj-pdf-1-pmj-10.1177_02692163221122955 – Supplemental material for How best to capture the impact of complementary therapies in palliative care: A systematic review to identify and assess the appropriateness and validity of multi-domain tools

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    Supplemental material, sj-pdf-1-pmj-10.1177_02692163221122955 for How best to capture the impact of complementary therapies in palliative care: A systematic review to identify and assess the appropriateness and validity of multi-domain tools by Lucy Mitchinson, Christina Chu, Andrea Bruun, Ali-Rose Sisk, Megan Armstrong, Cecilia Vindrola-Padros, Nuriye Kupeli, Bridget Candy and Patrick Stone in Palliative Medicine</p

    Laxatives for the management of constipation in palliative care patients

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    Background: constipation is a common problem for palliative care patients which can generate considerable suffering for patients due to both the unpleasant physical symptoms and psychological preoccupations that can arise. There is uncertainty about the 'best' management of constipation in palliative care patients and variation in practice between palliative care settings.Objectives: to determine the effectiveness of laxative administration for the management of constipation in palliative care patients, and the differential efficacy of the laxatives used to manage constipation.Search strategy: we searched The Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue four, 2005), MEDLINE (1966 to January 2005), EMBASE (1980 to January 2005), CANCERLIT, PUBMED, Science Citation Index, CINAHL, The Cochrane Library, SIGLE, NTIS, DHSS-DATA, Dissertation Abstracts, Index to Scientific and Technical Proceedings and NHS-NRR and reference lists of articles.Selection criteria: randomised controlled trials (RCTs) comparing laxatives for constipation in palliative care patients.Data collection and analysis: two review authors independently assessed trial quality and extracted patient-reported data measuring changes in stool frequency and ease of passing stools, using objective and validated scales. Tolerance or adverse effects of laxatives used were also sought. The appropriateness of synthesizing data from the controlled trials depended upon the clinical and statistical homogeneity of studies identified. If the controlled trials were homogeneous, a meta-analysis would be attempted.Main results: four trials involving 280 people were included. Between these trials, the laxatives lactulose; senna; danthron combined with poloxamer (Co-danthramer); Misrakasneham; magnesium hydroxide combined with liquid paraffin (Milpar) were evaluated. All four trials included number and frequency of bowel movements and relative ease of defecation as part of the assessment of laxative efficacy. All of the laxatives demonstrated a limited level of efficacy, although a significant number of participants required rescue laxatives in each of the studies. The only significantly different treatments were in the trial where lactulose plus senna were more effective than danthron combined with poloxamer. Patient preference did not favour either treatment option. Other related systematic reviews have similarly identified that there is a lack of evidence to support the use of one laxative, or combination of laxatives, over another.Authirs' conclusions: the treatment of constipation in palliative care is based on inadequate experimental evidence, such that there are insufficient RCT data. Recommendations for laxative use can be related to costs as much as to efficacy. There have been few comparative studies, equally there have been few direct comparisons between different classes of laxative and between different combinations of laxatives. There persists an uncertainty about the 'best' management of constipation in this group of patient

    Living Books

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    One of the most delightful experiences I have had in a long time. There are two modes for experiencing this program. One runs through the twelve pages one by one, with plenty of animation and music for each event in the story. The other is especially entertaining. The viewer can play with each page, clicking on various objects in the individual picture. Rows of carrots turn into dancers, and tomatoes on the vine turn into a vocal group. Other carrots take off like space missiles. Click on the water and you are liable to see a fish jump up and fly around a bit before bringing the program and picture back to the starting point. Gives new meaning for me to the word interactive. I love it! The boxed CD-ROM comes with a booklet by the same title.This is a hardbound book (hard cover)Language note: English and SpanishProduct Managers: Todd Power and Liza Weiman. English and Spanish. Product Design: Mark Schlichting. Art Direction: Bridget Erdman

    Effects of thermal processing on antioxidant, phenolic and anthocyanin levels in blackcurrant juice

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    Health and Wellness continues to be a major driver for consumers within the current marketplace. Given this climate, superfruits such as blackcurrant (Ribes nigrum) are gaining interest among beverage manufacturers due to their high content of antioxidants and anthocyanins. Blackcurrant juice, while very popular in Europe, is just beginning to gain acceptance in the domestic marketplace. Various thermal processes are required throughout the production of a shelf stable juice product at both the raw material and finished beverage stages. The goal of this research is to evaluate the effect of these thermal processes on the retention of heat sensitive compounds such as phenolics, anthocyanins and overall antioxidants in the final consumer beverage. To this end, bulk samples of 13 brix flash pasteurized and 65 brix concentrated blackcurrant juice were obtained and further processed at beverage scale. The beverage scale processing entailed the three key thermal processes utilized by retail manufacturers: aseptic, hotfill and tunnel pasteurization. The raw material juices and fully processed samples were then analyzed for anthocyanin content, total phenolic content and antioxidant capacity to understand retention of these nutrients in the post process beverage. The findings of this study show marked losses at the raw material level of all measured components with a reduction in Phenolic Content of approximately 35%, a reduction of Antioxidant Capacity by 48% and, most significantly, a reduction of Anthocyanin Content of approximately 80% in the concentrated juice as compared to the flash pasteurized Not From Concentrate (NFC) juice. The anthocyanin content was seen to undergo additional degradation (40-50%) by further processing the juice at beverage level, while little or no further change in either antioxidant capacity or phenolic content was seen. There was little to no difference in the impact of aseptic, hotfill or tunnel pasteurization as compared to each other. Understanding the relationship between process and retention will allow industry to leverage the proper processes required to deliver the desired health benefits to consumers.M.S.Includes bibliographical references (p. 53-56)by Bridget A. Skahil

    726443_Supp_mat – Supplemental material for Living and dying with advanced dementia: A prospective cohort study of symptoms, service use and care at the end of life

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    Supplemental material, 726443_Supp_mat for Living and dying with advanced dementia: A prospective cohort study of symptoms, service use and care at the end of life by Elizabeth L Sampson, Bridget Candy, Sarah Davis, Anna Buylova Gola, Jane Harrington, Michael King, Nuriye Kupeli, Gerry Leavey, Kirsten Moore, Irwin Nazareth, Rumana Z Omar, Victoria Vickerstaff and Louise Jones in Palliative Medicine</p
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