196,166 research outputs found
Continuous sedation until death: The everyday moral reasoning of physicians, nurses and family caregivers in the UK, The Netherlands and Belgium
No full textCopyright © 2014 Raus et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited.Background - Continuous sedation is increasingly used as a way to relieve symptoms at the end of life. Current research indicates that some physicians, nurses, and relatives involved in this practice experience emotional and/or moral distress. This study aims to provide insight into what may influence how professional and/or family carers cope with such distress.
Methods - This study is an international qualitative interview study involving interviews with physicians, nurses, and relatives of deceased patients in the UK, The Netherlands and Belgium (the UNBIASED study) about a case of continuous sedation at the end of life they were recently involved in. All interviews were transcribed verbatim and analysed by staying close to the data using open coding. Next, codes were combined into larger themes and categories of codes resulting in a four point scheme that captured all of the data. Finally, our findings were compared with others and explored in relation to theories in ethics and sociology.
Results - The participants’ responses can be captured as different dimensions of ‘closeness’, i.e. the degree to which one feels connected or ‘close’ to a certain decision or event. We distinguished four types of ‘closeness’, namely emotional, physical, decisional, and causal. Using these four dimensions of ‘closeness’ it became possible to describe how physicians, nurses, and relatives experience their involvement in cases of continuous sedation until death. More specifically, it shined a light on the everyday moral reasoning employed by care providers and relatives in the context of continuous sedation, and how this affected the emotional impact of being involved in sedation, as well as the perception of their own moral responsibility.
Conclusion - Findings from this study demonstrate that various factors are reported to influence the degree of closeness to continuous sedation (and thus the extent to which carers feel morally responsible), and that some of these factors help care providers and relatives to distinguish continuous sedation from euthanasia.The Economic and Social Research
Council (UK), the Research Foundation Flanders
(BE), the Flemish Cancer Association (BE), the Research Council of Ghent
University (BE), the Netherlands Organization for Scientific Research (NL) and
the Netherlands Organization for Health Research and Development (NL)
N = 2 supersymmetric S-folds
No full textMulti-parametric families of AdS4 vacua with various amounts of supersymmetry and residual gauge symmetry are found in the [SO (1, 1) × SO(6)] ⋉ ℝ12 maximal supergravity that arises from the reduction of type IIB supergravity on ℝ × S5. These provide natural candidates to holographically describe new strongly coupled three-dimensional CFT’s which are localised on interfaces of N = 4 super-Yang-Mills theory. One such AdS4 vacua features a symmetry enhancement to SU(2) × U(1) while preserving N = 2 super- symmetry. Fetching techniques from the E7(7) exceptional field theory, its uplift to a class of N = 2 S-folds of type IIB supergravity of the form AdS4× S1× S5 involving S-duality twists of hyperbolic type along S1 is presented.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
M & L Jaargang 5/1
No full textGeneriekMarc Dubois Gaston Eysselinck en zijn meesterwerk: het Oostendse postgebouw (1945-1953). [Gaston Eysselinck and his masterpiece: the post-office building at Ostend (1945-1953)]Door de Koninklijke Commissie voor Monumenten en Landschappen op nog geen mensenleven tijd eerst verguisd en dan gelauwerd: of hoe architect Gaston Eysselinck met het Oostends Postgebouw (1945-1953) meteen het beste van zijn kunnen gaf. Architect Marc Dubois, een vaste waarde van M&L en zelf lid van de Provinciale Commissie voor Monumenten en Landschappen, doet ons bij wijze van primeur op de kortelings te verschijnen Eysselinck-monografie haarfijn uit de doeken hoe dit monument tot stand kwam.Madeleine Manderyck en Mark Van Strydonck Een toepassing van de radiokoolstofdateringstechniek: het Karbonkelhuis in Antwerpen. [An application of the radio-carbon dating technique: the Karbonkelhuis at Antwerp.]Voor Madeleine Manderyck, Inspecteur bij het Bestuur voor Monumenten en Landschappen, leed de authenticiteit van het Antwerps Karbonkelhuis nimmer twijfel. Haar kunsthistorische analyse van dit uitzonderlijk 16de-eeuwse pand, wordt thans op basis van radiokarboondateringen bevestigd door de Heer Mark Van Strydonck, medewerker van het Koninklijk Instituut voor het Kunstpatrimonium.Edgard Goedleven De nieuwe Vlaamse regering en de monument- en lanschapszorg. [The new Flemish government and the care for monuments and landscapes.]De gereputeerde non-profit monumenten en landschappen overleefden niet alleen de Staatshervorming, meer nog: bij de voorbije verkiezingscampagne maakten ze een opgemerkte verschijning in de partijpolitieke programma\u27s. Edgard Goedleven, Adviseur-hoofd van Dienst van het Bestuur voor Monumenten en Landschappen, zet alle standpunten netjes op een rij en borstelt in enkele vegen een beeld van de vernieuwde bevoegdheden en structuren terzake.Johan Sterckx Het Martelaarsplein in Brussel. [The Martelaarsplein in Brussels.]Het classicistische Brusselse Martelaarsplein bleef tot voor kort een onontgonnen terrein voor architectuurhistorici ... De perikelen die tot zijn ontstaan leidden, de overheersende rol van de \u27Brusselse Voet\u27 in Fisco\u27s ontwerp of de herhaalde metamorfoses: dit illustreert architect Johan Sterckx met - in enkele gevallen onuitgegeven - historische documenten.SummaryM&L Binnenkrant en M&L-Inhoudsoverzicht 1981-198
Dr. Duane M. Jackson, Morehouse College, July 2011
No full textThis video is a conversation with Dr. Duane M. Jackson. Dr. Jackson talks about his paper, "Recall and the Serial Position Effect: The Role of Primacy and Recency on Accounting Students' Performance." Jackie Daniel, AUC Woodruff Library, is the interviewer
"Reflections on the subject of Emigration from Europe with a view to Settlement in the United States" By M. Carey.
No full text"Reflections on the subject of Emigration from Europe with a view to Settlement in the United States: containing bried sketches of the moral and political character of those states.
By M. Carey, member of the American philosophical, and of the American Antiquarian Society, and author of The Olive Branch, Cindiciae Hibernicae, essays on banking, on political economy, and on internal improvement.
To which are now added the English editor's comments on the subject; together with Important Advice to Emigrants, and Cautions Against Impositions Practiced in the Outports
Dispelling the Myths Behind First-author Citation Counts
No full textWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
Dr. Glendon Swarthout
No full textHosted by Roger M. Busfield, MSU Assistant Professor of Speech and Theater, Meet the Author is designed to introduce a general audience to a contemporary author and their work through in-depth interviews. This episode features a conversation between Dr. Glendon Swarthout, prolific author and English professor at MSU, and assistant professors Sam S. Baskett and Theodore B. Strandness
Simulation of thermal plant optimization and hydraulic aspects of thermal distribution loops for large campuses
No full textFollowing an introduction, the author describes Texas A&M University and its utilities system. After that, the author presents how to construct simulation models for chilled water and heating hot water distribution systems. The simulation model was used in a $2.3 million Ross Street chilled water pipe replacement project at Texas A&M University. A second project conducted at the University of Texas at San Antonio was used as an example to demonstrate how to identify and design an optimal distribution system by using a simulation model. The author found that the minor losses of these closed loop thermal distribution systems are significantly higher than potable water distribution systems. In the second part of the report, the author presents the latest development of software called the Plant Optimization Program, which can simulate cogeneration plant operation, estimate its operation cost and provide optimized operation suggestions. The author also developed detailed simulation models for a gas turbine and heat recovery steam generator and identified significant potential savings. Finally, the author also used a steam turbine as an example to present a multi-regression method on constructing simulation models by using basic statistics and optimization algorithms. This report presents a survey of the author??s working experience at the Energy Systems Laboratory (ESL) at Texas A&M University during the period of January 2002 through March 2004. The purpose of the above work was to allow the author to become familiar with the practice of engineering. The result is that the author knows how to complete a project from start to finish and understands how both technical and nontechnical aspects of a project need to be considered in order to ensure a quality deliverable and bring a project to successful completion. This report concludes that the objectives of the internship were successfully accomplished and that the requirements for the degree of Degree of Engineering have been satisfied
Intern experience at CH���M Hill, Inc.: an internship report
No full textIncludes author's vita"Submitted to the College of Engineering of Texas A&M University in partial
fulfillment of the requirement for the degree of Doctor of Engineering."Includes bibliographical referencesA review of the author's internship experience with CH���M HILL, Inc.
during the period September 1975 through May 1976 is presented. During this nine month
internship the author worked as an Engineer II in the Industrial Processes discipline of this
large consulting engineering firm... The author's prime responsibility was as one of three
lead design engineers on the design of a large wastewater treatment facility for a pulp mill
in Hoquiam, Washington owned by ITT Rayonier Inc. The work generally consisted of the design
of individual treatment units and associated piping and pumping. The purpose of the project
was to provide wastewater treatment capabilities that would satisfy the effluent limitations
(standards) imposed upon the mill by the State of Washington Department of Ecology and the
U.S. Environmental Protection Agency. The author's assignment also entailed necessary
interaction with the project manager and other CH���M HILL design engineers and support staff
members, the client's representatives, and representatives of two other consulting engineering
firms working on the project. Thus, the internship position at CH���M HILL provided considerable
experience coordinating the author's work with the work of other engineers, guiding the design
and administrative efforts of a support staff, and interacting regularly with the client and
other consulting firms. This broad exposure to a variety of engineering and organizational
problems provided a valuable educational experience
Transition to turbulence in a qblique shock-wave/boundary-layer interaction at M=15
No full textDirect numerical simulations are carried out for different forcing techniques to trigger transition during the interaction between an oblique shock-wave and a laminar boundary-layer at M = 1.5. Three forcing methods are used: a) forcing of oblique unstable modes, whose shape and behaviour are determined by the local linear stability theory, b) broadband free-stream acoustic disturbances, and c) a cold plasma flow control device. While the oblique-mode breakdown is dominant for low-amplitude forcing, long streaky structures drive the transition process in a high-amplitude disturbance environment. LES are also performed on the experimental setup by the Institute of Theoretical and Applied Mechanics (ITAM) from Novosibirsk State University with cold plasma actuation. As well as the disturbance type, the effect of Reynolds number and forcing amplitude will be investigated
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