Who Are Hospice Patients and What Care Is Provided in Hospices?: A Pilot Study

Background: Hospices provide multidimensional care. In the Netherlands, patients with <3 months estimated life expectancy have access to hospice care. Insight into patients admitted to hospices and the care provided is lacking. In preparation for a national multicenter study, a pilot study was performed. Objective: The primary objective was to test the appropriateness of the study procedures and the availability of hospice patient records (HPRs), and patient and care characteristics. Method: A cross-sectional pilot study was performed using a descriptive exploratory design. Sixteen hospices were invited to participate, and HPRs from 8 deceased patients per hospice were selected. Data were collected using self-developed electronic case report forms. Outcomes: (1). Appropriateness of procedures: availability of HPRs and identified barriers and strategies. (2) Availability of patient and care characteristics in HPRs. Results: In total, 104 HPRs of patients from 13 hospices were enrolled. Various types of HPRs were found with different availabilities: nurses’ records were most available (98%) compared to volunteers’ records (62%). Overarching barriers were as follows: ethical issues, lack of knowledge, and lack of communication. Information about the illness was most available (97%), whereas descriptions of experienced symptoms were least available (10%). Conclusion: Collecting HPRs is difficult and time-consuming. Specifically, data from separate records of home care nurses and general practitioners were difficult to come by. Patient and care characteristics were alternately present, which led to an extension of data collection in HPRs to 3 time periods. Piloting is essential to adjust study procedures and outcome measures to ensure a feasible national multicenter hospice study

Mental fatigue after very severe closed head injury: Sustained performance, mental effort, and distress at two levels of work-load in a driving simulator

In patients with very severe closed head injury (CHI), returning to work is often problematic. The present study focuses on a persistent complaint of these patients, viz. mental fatigue. To study this, the effect of sustained workload is assessed in a continuous dynamic divided attention task. Three types of measures are employed: performance loss with time-on-task, and subjective reports and cardiovascular measures of mental effort and distress. Eight very severe CHI patients (mean post-traumatic amnesia duration 51 days, mean age 23 years, (SD 6.4) and eight hospital controls (mean age 29 years, (SD 5.9) were tested. No differences were found between the patients and controls in the effects of task load on performance and the amount of mental effort, even in very demanding simulated work conditions. This parallels previous findings in less demanding laboratory tasks of sustained attention. Effects of CHI were found on both subjective and physiological indicators of distress. Compared to the controls, patients showed stronger effects on systolic blood pressure and subjectively experienced load

Principled Syntactic Code Completion using Placeholders

Principled syntactic code completion enables developers to change source code by inserting code templates, thus increasing developer efficiency and supporting language exploration. However, existing code completion systems are ad-hoc and neither complete nor sound. They are not complete and only provide few code templates for selected programming languages. They also are not sound and propose code templates that yield invalid programs when inserted. This paper presents a generic framework that automatically derives complete and sound syntactic code completion from the syntax definition of arbitrary languages. A key insight of our work is to provide an explicit syntactic representation for incomplete programs using placeholders. This enables us to address the following challenges for code completion separately: (i) completing incomplete programs by replacing placeholders with code templates, (ii) injecting placeholders into complete programs to make them incomplete, and (iii) introducing lexemes and placeholders into incorrect programs through error-recovery parsing to make them correct so we can apply one of the previous strategies. We formalize our framework and provide an implementation in Spoofax.Programming Language