Opportunities and challenges of palliative care in the ICU discussed in expert roundtable

Public release date: 30-Jan-2012
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Contact: Vicki Cohn
vcohn@liebertpub.com
914-740-2100
Mary Ann Liebert, Inc./Genetic Engineering News

New Rochelle, NY -- If you think palliative care and the ICU don't go together, think again. The importance and potential benefits of palliative care to ease suffering and improve quality of life for patients being treated in hospital intensive care units (ICUs) has received increasing recognition but is not without significant challenges, as discussed in a Roundtable discussion in Journal of Palliative Medicine, a peer-reviewed journal published by Mary Ann Liebert, Inc. (http://www.liebertpub.com). Journal of Palliative Medicine is the Official Journal of the Center to Advance Palliative Care (CAPC) and an Official Journal of the Hospice and Palliative Nurses Association (HPNA). The Roundtable is available free online at http://www.liebertpub.com/jpm

Palliative care in the ICU requires a team effort. A multidisciplinary group of health care experts share their experiences, views, and advice as participants in a roundtable discussion, "Palliative Care in the ICU (http://online.liebertpub.com/doi/full/10.1089/jpm.2011.9599)," led by moderator Judith Nelson, MD, JD, Professor of Medicine and Project Director, The IPAL-ICU Project, Mount Sinai School of Medicine, New York, NY. The participants included: Elie Azoulay, MD, Hpital Saint-Louis, Universit Paris VII, France; J. Randall Curtis, MD, MPH, Harborview Medical Center, University of Washington, Seattle; Anne Mosenthal, MD, UMDNJ-NJMS, Newark, NJ; Colleen Mulkerin, MSW, LCSW, Hartford Hospital, CT; Kathleen Puntillo, RN, DNSc, University of California, San Francisco; and Mark Siegel, MD, Yale School of Medicine, Yale-New Haven Hospital, CT.

Patients in the ICU are often at high risk of dying and may be on life support or require intensive monitoring. There has been a significant shift in the critical care community toward increasing recognition of the needs of ICU patients and families and the potential for greater use of palliative care to ease their suffering and provide psychological support.

The IPAL-ICU Project of the Center to Advance Palliative Care is supported by the National Institutes of Health and is working to develop recommendations to guide the implementation of palliative care principles and practices in the ICU, focusing on the special issues affecting patients, families, and caregivers in the ICU environment.

"It seems clear that palliative care in the ICU improves the quality of care for both patients and their families. I suspect this will become standard of care in all hospitals in coming years," says Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine, and Provost, Institute for Palliative Medicine at San Diego Hospice.

###

Journal of Palliative Medicine, published monthly in print and online, is an interdisciplinary journal that reports on the clinical, educational, legal, and ethical aspects of care for seriously ill and dying patients. The Journal includes coverage of the latest developments in drug and non-drug treatments for patients with life-threatening diseases including cancer, AIDS, cardiac disease, pulmonary, neurological, and respiratory conditions, and other diseases. The Journal reports on the development of palliative care programs around the United States and the world and on innovations in palliative care education. Tables of content and a sample issue may be viewed online at http://www.liebertpub.com/jpm

Mary Ann Liebert, Inc. is a privately held, fully integrated media company known for establishing authoritative peer-reviewed journals in many promising areas of science and biomedical research, including AIDS Patient Care and STDs, Population Health Management, and Briefings in Palliative, Hospice, and Pain Medicine & Management, a weekly e-Newsletter. Its biotechnology trade magazine, Genetic Engineering & Biotechnology News (GEN), was the first in its field and is today the industry's most widely read publication worldwide. A complete list of the firm's 70 journals, newsmagazines, and books is available at http://www.liebertpub.com

Mary Ann Liebert, Inc.
140 Huguenot St., New Rochelle, NY 10801-5215
Phone: 914-740-2100
800-M-LIEBERT
Fax: 914-740-2101
http://www.liebertpub.com

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 30-Jan-2012
[ | E-mail | Share ]

Contact: Vicki Cohn
vcohn@liebertpub.com
914-740-2100
Mary Ann Liebert, Inc./Genetic Engineering News

New Rochelle, NY -- If you think palliative care and the ICU don't go together, think again. The importance and potential benefits of palliative care to ease suffering and improve quality of life for patients being treated in hospital intensive care units (ICUs) has received increasing recognition but is not without significant challenges, as discussed in a Roundtable discussion in Journal of Palliative Medicine, a peer-reviewed journal published by Mary Ann Liebert, Inc. (http://www.liebertpub.com). Journal of Palliative Medicine is the Official Journal of the Center to Advance Palliative Care (CAPC) and an Official Journal of the Hospice and Palliative Nurses Association (HPNA). The Roundtable is available free online at http://www.liebertpub.com/jpm

Palliative care in the ICU requires a team effort. A multidisciplinary group of health care experts share their experiences, views, and advice as participants in a roundtable discussion, "Palliative Care in the ICU (http://online.liebertpub.com/doi/full/10.1089/jpm.2011.9599)," led by moderator Judith Nelson, MD, JD, Professor of Medicine and Project Director, The IPAL-ICU Project, Mount Sinai School of Medicine, New York, NY. The participants included: Elie Azoulay, MD, Hpital Saint-Louis, Universit Paris VII, France; J. Randall Curtis, MD, MPH, Harborview Medical Center, University of Washington, Seattle; Anne Mosenthal, MD, UMDNJ-NJMS, Newark, NJ; Colleen Mulkerin, MSW, LCSW, Hartford Hospital, CT; Kathleen Puntillo, RN, DNSc, University of California, San Francisco; and Mark Siegel, MD, Yale School of Medicine, Yale-New Haven Hospital, CT.

Patients in the ICU are often at high risk of dying and may be on life support or require intensive monitoring. There has been a significant shift in the critical care community toward increasing recognition of the needs of ICU patients and families and the potential for greater use of palliative care to ease their suffering and provide psychological support.

The IPAL-ICU Project of the Center to Advance Palliative Care is supported by the National Institutes of Health and is working to develop recommendations to guide the implementation of palliative care principles and practices in the ICU, focusing on the special issues affecting patients, families, and caregivers in the ICU environment.

"It seems clear that palliative care in the ICU improves the quality of care for both patients and their families. I suspect this will become standard of care in all hospitals in coming years," says Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine, and Provost, Institute for Palliative Medicine at San Diego Hospice.

###

Journal of Palliative Medicine, published monthly in print and online, is an interdisciplinary journal that reports on the clinical, educational, legal, and ethical aspects of care for seriously ill and dying patients. The Journal includes coverage of the latest developments in drug and non-drug treatments for patients with life-threatening diseases including cancer, AIDS, cardiac disease, pulmonary, neurological, and respiratory conditions, and other diseases. The Journal reports on the development of palliative care programs around the United States and the world and on innovations in palliative care education. Tables of content and a sample issue may be viewed online at http://www.liebertpub.com/jpm

Mary Ann Liebert, Inc. is a privately held, fully integrated media company known for establishing authoritative peer-reviewed journals in many promising areas of science and biomedical research, including AIDS Patient Care and STDs, Population Health Management, and Briefings in Palliative, Hospice, and Pain Medicine & Management, a weekly e-Newsletter. Its biotechnology trade magazine, Genetic Engineering & Biotechnology News (GEN), was the first in its field and is today the industry's most widely read publication worldwide. A complete list of the firm's 70 journals, newsmagazines, and books is available at http://www.liebertpub.com

Mary Ann Liebert, Inc.
140 Huguenot St., New Rochelle, NY 10801-5215
Phone: 914-740-2100
800-M-LIEBERT
Fax: 914-740-2101
http://www.liebertpub.com

---

[ | E-mail | Share ]

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Source: http://www.eurekalert.org/pub_releases/2012-01/mali-oac013012.php

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iPad 3: Inside Apple's World of Secrecy

With the iPad 3 due to be announced in a matter of weeks, Adam Lashinsky has shed some light on Apple's extreme secrecy leading up to a product launch.

Lashinsky's book, Inside Apple, was released on January 25 and offers a never-before-seen insight into how Apple operates and how the company faces a future without its co-founder and former CEO, Steve Jobs.

"Apple employees know something big is afoot when the carpenters appear in their office buildings," Lashinsky writes. "New walls are quickly erected. Doors are added and new security protocols put into place."

Windows are frosted, some 'lockdown rooms' have no windows at all, select employees' electronic ID cards will no longer grant access to where they once did and operations are run strictly on a need to know basis.

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If the ever growing mountain of rumours and speculation surrounding the iPad 3 is to be believed, then the device is ready for release, will be announced by Apple in February and will go on sale in either March or early April.

Expected to feature a faster processor and a super-high resolution Retina display, the iPad 3 will not be a huge update, it will be to the iPad 2 what the iPhone 4S was to the 4, an evolution not a revolution, but one which will no doubt see the world's media pay close attention and lead to fans queuing up for hours to buy one.

Lashinsky - who spoke to countless former Apple employees while writing the book - continues: "You quite likely have no idea what is going on, and it's not like you're going to ask. If it hasn't been disclosed to you, then it's literally none of your business.

"All you can surmise is that a new, highly secretive project is under way, and you are not in the know. End of."

The borderline absurdity of Apple's secrecy is not lost on the company however, as the retail store at its Cupertino headquarters sells t-shirts with the message "I visited the Apple campus. But that's all I'm allowed to say."

Aside from the occasional blurry photograph of what claims to be a component of the iPad 3, everyone but select Apple employees are completely in the dark about the next generation tablet.

Even employees joining the company are hired in secrecy and, according to Lashinsky, "many employees are hired into so-called dummy positions, roles that aren't explained in details until after they join the company."

Apple will release an updated iPad and it will probably appear soon but, despite the never-ending torrent of rumour and gossip from sources who might as well be called Mr X, all anyone knows for sure is that Apple can create a whirlwind of hype and speculation by saying absolutely nothing.

To report problems or to leave feedback about this article, e-mail:
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Source: http://www.ibtimes.com/articles/288532/20120127/ipad-3-apple-secrecy.htm

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Video: Two GOP congressman back out of Obama?s speech

Despite mild flu season, don't skip shots

So far this year, there have been far fewer flu reports, including the fever, coughing, aches and pains that usually make winter so miserable. But that doesn't mean people should be complacent about getting their flu shots, experts say.

Source: http://www.msnbc.msn.com/id/3036697/vp/46122088#46122088

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Tim Thomas, Boston Bruins Star and Playoff MVP, Snubs Obama White House Visit

Congratulating the Boston Bruins on the 2011 Stanley Cup championship, President Barack Obama welcomed the team, with one notable omission, to the White House.

Goaltender Tim Thomas, the team's linchpin and only the second American player ever to win playoff MVP, having posted two shutouts in the Final, skipped the event.

Thomas said months ago he would not attend due to political and ideological differences with the Obama administration, and he stayed true to his word yesterday.

Bruins team president Cam Neely said he could've forced Tim Thomas to go, but did not do so, and feels the decision was Thomas' and the team honors his choice.

"Everybody has their own opinions and political beliefs. He chose not to join us," said Neely. "We certainly would have liked to have him but that's his choice."

"All the guys came except for Tim. It's his decision and his choice."

While his politics aren't common knowledge among many fans, Thomas hasn't hidden his leanings as an unabashed Glenn Beck fan and "true Tea Party patriot."

On the one hand, when the President asks you to visit the White House event, shouldn't you just go, regardless of political differences with the administration?

On the other hand, should Thomas be praised - whether you agree with his views or not - for using a unique moment to make a political statement of his own?

Thomas will no doubt lose a lot of supporters over this, but you have to at least respect an athlete who uses his fame or influence for something he believes in.

Right? Tell us if we're on point or off the mark in the comments.

Source: http://www.thehollywoodgossip.com/2012/01/tim-thomas-boston-bruins-snubs-obama-white-house-visit/

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Gingrich Cuts Romney Where It Hurts (ABC News)

Share With Friends: | | Politics - Top Stories News, RSS Feeds and Widgets via Feedzilla.

Source: http://news.feedzilla.com/en_us/stories/politics/top-stories/190123735?client_source=feed&format=rss

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Video: Matthews: Romney isn?t what the GOP wants

Eating out tonight? Choose these skinnier options

??For most people, eating out is a normal part of their weekend routine, and you don?t have to avoid restaurants just because you?re watching your weight. Click for more and to join Joy Bauer's 25,000 pound Weight-loss Challenge.

Source: http://www.msnbc.msn.com/id/3036697/vp/46077212#46077212

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Why bats, rats and cats store different amounts of fat

Friday, January 20, 2012

Animals differ in the amount of fat they carry around depending on their species, status and sex. However, the causes of much of this variation have been a mystery. The Bristol study shows that many differences can be understood by considering the strategies animals employ to avoid two causes of death: starvation and being killed by predators.

These causes of death often exert opposite pressures on animals, for example, storing lots of fat helps animals survive periods without food but also slows their running and so makes getting caught by a predator more likely. Animals can be stronger to compensate, but the energetic costs of extra muscle mean that the animal would starve quicker during a food shortage.

Led by Dr Andrew Higginson of Bristol's School of Biological Sciences, the researchers used mathematical models to explore how much muscle and fat animals should have in their body to give themselves the best chance of survival. They showed that an important consideration was how much carrying fat increases the energetic costs of movement. The models revealed that the size of this cost influenced whether larger animals should have more fat than smaller animals, or vice versa.

Dr Higginson said: "Our results explain differences between different families of mammal. For example, larger bats carry proportionally less fat than small bats but larger carnivores carry more fat than small carnivores. Among rodents, it's the medium-sized species that carry around the most fat! These differences agree with the models predictions if you consider the costs of carrying fat for these three groups. Bats fly and so have high costs of carrying extra weight, whilst carnivores spend much of their time resting and so will use less energy than busy scurrying rodents."

The work, published in The American Naturalist, also shows that much of the variation between animals in their amounts of fat and muscle can be explained by differences between the sexes, how much animals have to fight to get food, and the climate in which they live.

The researchers plan to put the theory to the test by looking in more detail at the amounts of fat stored by different animals. If their theory is correct, much of the mystery in how species and sexes differ in their amount of fat will have been solved.

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University of Bristol: http://www.bristol.ac.uk

Thanks to University of Bristol for this article.

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Source: http://www.labspaces.net/116911/Why_bats__rats_and_cats_store_different_amounts_of_fat

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