An Investigation of the Benefits of Palliative Care for Patients with Chronic Heart Failure at a Novel Hospital-Based Palliative Care Service.

INTRODUCTION: Heart failure is a chronic cardiac condition that would benefit from palliative care and yet palliative care is still mainly provided for people with cancer or HIV. Patients with end-stage heart failure experience similar clinical symptoms as patients with advanced cancer with significant physical and emotional suffering. This research study investigated and assessed the benefits of palliative care in this vulnerable population at a district hospital in Cape Town and emphasized the importance of a hospital-based palliative care facility. METHODOLOGY: A cross-sectional descriptive qualitative study was conducted with in-depth interviews of people living with heart failure using thematic analysis of patient interviews. The study was conducted at a palliative care facility at a government district hospital. Purposive sampling was used for patient selection. A total of 12 participants were interviewed until data saturation. RESULTS: The mean age of the 7 men and 5 women interviewed was 52 years, the youngest participant was aged 27 years old and the eldest was 78. Analysis of these 12 semi- structured interviews produced five main themes. The first theme that emerged focused on issues of high service usage due to recurrent hospitalizations in the group, the second on communication factors in palliative care. The third theme was on information and education, the fourth on the importance of resources in palliative care and the last theme was on the Abundant Life Palliative Care Programme. DISCUSSION: Findings from this study supports the importance of palliative care for people with heart failure. Palliative care early in the disease aims to improve the quality of life for such patients and their families. The data supports the fact that early referral for palliative care resulted in greater symptom control and benefit to the patient long before hospice care is needed. Previous studies have also proven to reduce re-hospitalization rates of this population while reducing costs to the healthcare system

Senegalese Women: A Comparative Analysis of Economic Development in Sine-Saloum and Dakar

The complex nexus of Dependency theories, Self-Reliance, and Afro-centric feminisms frame this exploration into economic development strategies Senegalese women deploy in the peanut and fishing sectors to ensure the survival of their families and communities

The spatial flux of Earth's meteorite falls found via Antarctic data

© 2020 The Authors. Contemporary calculations for the flux of extraterrestrial material falling to the Earth's surface (each event referred to as a "fall") rely upon either short-duration fireball monitoring networks or spatially limited ground-based meteorite searches. To date, making accurate fall flux estimates from the much-documented meteorite stranding zones of Antarctica has been prohibited due to complicating glacial ice dynamics and difficulties in pairing together distinct meteorite samples originating from the same fall. Through glaciological analysis and use of meteorite collection data, we demonstrate how to overcome these barriers to making flux estimates. Furthermore, by showing that a clear latitudinal variation in fall frequencies exists and then modeling its mathematical form, we are able to expand our Antarctic result to a global setting. In this way, we hereby provide the most accurate contemporary fall flux estimates for anywhere on Earth. Inverting the methodology provides a valuable tool for planning new meteorite collection missions to unvisited regions of Antarctica. Our modeling also enables a reassessment of the risk to Earth from larger meteoroid impacts-now 12% higher at the equator and 27% lower at the poles than if the flux were globally uniform

Taro leaf blight - A threat to food security

Taro leaf blight (caused by the Oomycete Phytophthora colocasiae) is a disease of major importance in many regions of the world where taro is grown. Serious outbreaks of taro leaf blight in Samoa in 1993 and in the last few years in Cameroon, Ghana and Nigeria continue to demonstrate the devastating impact of this disease on the livelihoods and food security of small farmers and rural communities dependent on the crop. The spread of the disease to new geographical areas also poses a major threat to neighbouring countries and taro growing regions still free from the disease. Past research, particularly in the Pacific, has demonstrated that management measures such as chemical and cultural control are largely ineffective and that breeding for disease resistance is the most sustainable approach to manage the disease. Recently, the Pacific and South-east Asian regional taro networks have made excellent progress in developing cultivars resistant to taro leaf blight through enhanced utilization of taro genetic resources and close collaboration between farmers and researchers in breeding programs. These programs have secured vital taro genetic resources for future use. This paper provides an overview of the disease, its origin, distribution, biology, epidemiology, management and global impact. The paper will largely focus on breeding strategies to address the disease including challenges, opportunities and constraints. It also discusses how these breeding experiences and outputs can be scaled up to other geographical areas where the disease has been recently introduced or under threat of introduction. (Résumé d'auteur

The Grizzly, February 4, 2016

Ursinus to Host Popular Author • Clearing the Path to a Career • Companies and Grad Schools Seek Out Ursinus Alumni • International Perspective: Cultural Differences in Parties • Businesses Offer Student Discounts • Talking About Depression with Nuance • Fighting Off the Freshman Fifteen • Ups and Downs of Being an RA in Reimert • New Face on Campus • Opinion: The Elephants Aren\u27t in the Room: Poll Probes Pupils on Pressing Politics • From Across the Atlantic • Dynamic Duohttps://digitalcommons.ursinus.edu/grizzlynews/1681/thumbnail.jp

Patients\u27 and Caregivers\u27 Needs, Experiences, Preferences and Research Priorities in Spiritual Care: A Focus Group Study Across Nine Countries.

Background: Spiritual distress is prevalent in advanced disease, but often neglected, resulting in unnecessary suffering. Evidence to inform spiritual care practices in palliative care is limited. Aim: To explore spiritual care needs, experiences, preferences and research priorities in an international sample of patients with life-limiting disease and family caregivers. Design: Focus group study. Setting/participants: Separate patient and caregiver focus groups were conducted at 11 sites in South Africa, Kenya, South Korea, the United States, Canada, the United Kingdom, Belgium, Finland and Poland. Discussions were transcribed, translated into English and analysed thematically. Results: A total of 74 patients participated: median age 62 years; 53 had cancer; 48 were women. In total, 71 caregivers participated: median age 61 years; 56 were women. Two-thirds of participants were Christian. Five themes are described: patients’ and caregivers’ spiritual concerns, understanding of spirituality and its role in illness, views and experiences of spiritual care, preferences regarding spiritual care, and research priorities. Participants reported wide-ranging spiritual concerns spanning existential, psychological, religious and social domains. Spirituality supported coping, but could also result in framing illness as punishment. Participants emphasised the need for staff competence in spiritual care. Spiritual care was reportedly lacking, primarily due to staff members’ de-prioritisation and lack of time. Patients’ research priorities included understanding the qualities of human connectedness and fostering these skills in staff. Caregivers’ priorities included staff training, assessment, studying impact, and caregiver’s spiritual care needs. Conclusion: To meet patient and caregiver preferences, healthcare providers should be able to address their spiritual concerns. Findings should inform patient- and caregiver-centred spiritual care provision, education and research

The Lantern Vol. 12, No. 2, March 1944

• Save in His Own Country • Philosopher and Soldier • Soap Bubbles • Who is my Brother? • A Real Sea-Captain • Quatrain on Solitude • Wind Ahead • Jewel Song • The Sail, a Translation • They Also Serve • Ever the Twain • After the Rain • The Low-Down on Electronics • Sing, My Heart • Interlude • Unconquerable Soul • The Covenant • The Lost Warriors • Fragment • Arrivalhttps://digitalcommons.ursinus.edu/lantern/1032/thumbnail.jp

‘Fire Burn and Cauldron Bubble’: Iron Age and Early Roman Cauldrons of Britain and Ireland

‘A man can live to 50 but a cauldron will live to 100’ – Old Kazakh sayingThis paper presents a re-examination of Iron Age and early Roman cauldrons, a little studied but important artefact class that have not been considered as a group since the unpublished study of Loughran of 1989. Cauldrons are categorised into two broad types (projecting-bellied and globular) and four groups. New dating evidence is presented, pushing the dating of these cauldrons back to the 4th centurybc. A long held belief that cauldrons are largely absent from Britain and Ireland between 600 and 200bcis also challenged through this re-dating and the identification of cauldrons dating from 600–400bc. Detailed examination of the technology of manufacture and physical evidence of use and repair indicates that cauldrons are technically accomplished objects requiring great skill to make. Many have been extensively repaired, showing they were in use for some time. It is argued that owing to their large capacity cauldrons were not used every day but were instead used at large social gatherings, specifically at feasts. The social role of feasting is explored and it is argued that cauldrons derive much of their significance from their use at feasts, making them socially powerful objects, likely to be selected for special deposition.This is the author's accepted manuscript. The final version is published by CUP in Proceedings of the Prehistoric Society: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9392057&fileId=S0079497X14000073