Religious leaders\u27 perceptions of advance care planning: a secondary analysis of interviews with Buddhist, Christian, Hindu, Islamic, Jewish, Sikh and Bahai leaders

Background: International guidance for advance care planning (ACP) supports the integration of spiritual and religious aspects of care within the planning process. Religious leaders’ perspectives could improve how ACP programs respect patients’ faith backgrounds. This study aimed to examine: (i) how religious leaders understand and consider ACP and its implications, including (ii) how religion affects followers’ approaches to end-of-life care and ACP, and (iii) their implications for healthcare. Methods: Interview transcripts from a primary qualitative study conducted with religious leaders to inform an ACP website, ACPTalk, were used as data in this study. ACPTalk aims to assist health professionals conduct sensitive conversations with people from different religious backgrounds. A qualitative secondary analysis conducted on the interview transcripts focussed on religious leaders’ statements related to this study’s aims. Interview transcripts were thematically analysed using an inductive, comparative, and cyclical procedure informed by grounded theory. Results: Thirty-five religious leaders (26 male; mean 58.6-years-old), from eight Christian and six non-Christian (Jewish, Buddhist, Islamic, Hindu, Sikh, Bahá’í) backgrounds were included. Three themes emerged which focussed on: religious leaders’ ACP understanding and experiences; explanations for religious followers’ approaches towards end-of-life care; and health professionals’ need to enquire about how religion matters. Most leaders had some understanding of ACP and, once fully comprehended, most held ACP in positive regard. Religious followers’ preferences for end-of-life care reflected family and geographical origins, cultural traditions, personal attitudes, and religiosity and faith interpretations. Implications for healthcare included the importance of avoiding generalisations and openness to individualised and/ or standardised religious expressions of one’s religion. Conclusions: Knowledge of religious beliefs and values around death and dying could be useful in preparing health professionals for ACP with patients from different religions but equally important is avoidance of assumptions. Community-based initiatives, programs and faith settin

Global Alfven Wave Heating of the Magnetosphere of Young Stars

Excitation of a Global Alfven wave (GAW) is proposed as a viable mechanism to explain plasma heating in the magnetosphere of young stars. The wave and basic plasma parameters are compatible with the requirement that the dissipation length of GAWs be comparable to the distance between the shocked region at the star's surface and the truncation region in the accretion disk. A two-fluid magnetohydrodynamic plasma model is used in the analysis. A current carrying filament along magnetic field lines acts as a waveguide for the GAW. The current in the filament is driven by plasma waves along the magnetic field lines and/or by plasma crossing magnetic field lines in the truncated region of the disk of the accreting plasma. The conversion of a small fraction of the kinetic energy into GAW energy is sufficient to heat the plasma filament to observed temperatures.Comment: Submitted to ApJ, aheatf.tex, 2 figure

Food System Transformation: Integrating a Political-Economy and Social-Ecological Approach to Regime Shifts.

Sustainably achieving the goal of global food security is one of the greatest challenges of the 21st century. The current food system is failing to meet the needs of people, and at the same time, is having far-reaching impacts on the environment and undermining human well-being in other important ways. It is increasingly apparent that a deep transformation in the way we produce and consume food is needed in order to ensure a more just and sustainable future. This paper uses the concept of regime shifts to understand key drivers and innovations underlying past disruptions in the food system and to explore how they may help us think about desirable future changes and how we might leverage them. We combine two perspectives on regime shifts-one derived from natural sciences and the other from social sciences-to propose an interpretation of food regimes that draws on innovation theory. We use this conceptualization to discuss three examples of innovations that we argue helped enable critical regime shifts in the global food system in the past: the Haber-Bosch process of nitrogen fixation, the rise of the supermarket, and the call for more transparency in the food system to reconnect consumers with their food. This paper concludes with an exploration of why this combination of conceptual understandings is important across the Global North/ Global South divide, and proposes a new sustainability regime where transformative change is spearheaded by a variety of social-ecological innovations

Physical regularization for the spin-1/2 Aharonov-Bohm problem in conical space

We examine the bound state and scattering problem of a spin-one-half particle undergone to an Aharonov-Bohm potential in a conical space in the nonrelativistic limit. The crucial problem of the \delta-function singularity coming from the Zeeman spin interaction with the magnetic flux tube is solved through the self-adjoint extension method. Using two different approaches already known in the literature, both based on the self-adjoint extension method, we obtain the self-adjoint extension parameter to the bound state and scattering scenarios in terms of the physics of the problem. It is shown that such a parameter is the same for both situations. The method is general and is suitable for any quantum system with a singular Hamiltonian that has bound and scattering states.Comment: Revtex4, 5 pages, published versio

Behaviour of biofilms formed by Pseudomonas fluorescens under different flow regimes when exposed to surfactants : role of the biofilm mechanical stability

The effectiveness of cetyltrimethyl ammonium bromide (CTAB) and sodium dodecyl sulfate (SDS) to control biofilms formed by Pseudomonas fluorescens on stainless steel slides under laminar and turbulent conditions, using a flow cell reactor, is compared in this study. The antimicrobial action of the surfactants was evaluated in terms of the activity of the biofilm, the biofilm mass that remained on the surface after treatment and the biofilm morphological characteristics. The mechanical stability of the biofilm was also assessed using a bioreactor rotating device. For comparative purpose, the action of the surfactants against bacterial suspended cultures was also evaluated. The interference of proteins (bovine serum albumin-BSA), acting as soil, on the action of the surfactants was also investigated. Turbulent P. fluorescens biofilm seemed to be more difficult to inactivate, by CTAB treatment, than the laminar biofilm. However, the total inactivation of the cells within the biofilms was not achieved for both types of biofilms. Concerning SDS, higher concentrations promoted significant biofilm inactivation. Biofilms formed under turbulent and laminar flow had analogous susceptibility to SDS application. Regarding biofilm removal, both surfactants appeared to have poor effect, independently of the flow regime under which biofilms were formed. It was also seen that, the structure of biofilms was changed after the application of both surfactants. The mechanical stability of the biofilm was differently conditioned depending on the surfactant used: CTAB increased the biofilm removal regardless of the concentration tested; whereas, SDS, for concentrations far from the critical micellar concentration promoted biofilm strengthening, since the amount of biomass that remained attached to the surface, after submission to the different shear stresses, increased with SDS application. As expected, the toxic action of the surfactants was more pronounced in suspended bacteria, than in biofilms. This toxic action was significantly reduced when BSA was added to the suspended cultures, emphasizing that these surfactants react strongly with proteins. From this study, it can be stated that chemical treatment is far from being a tool that induces massive detachment of P. fluorescens biofilms and even the synergistic chemical and mechanical treatment did not promoted total biofilm removal, emphasizing the need of care in choosing the correct procedure for biofilm control and the recalcitrant properties of biofilms

Influence of wood storage time in the paper properties of Eucalyptus globulus

In this work we studied the effect of moisture and chip pile storage time of Eucalyptus globulus wood, regarding the impact in kraft cooking and papermaking. Experimentally, chip samples were collected with different storage times (0, 15, 30, 60 and 90 days) from two distinct piles (wet and dry). The cooked chips after disintegration, screening and washing were submitted to a bleaching stage, in ECF sequence following five stages (D0E1D1E2D2). The pulps were beaten in a PFI mill at 1000, 2000 and 3000 revolutions. For the cooking results we observed higher yield and lower alkali consumption for the wet pile chips and lower storage time (15 days). The results showed that storage time is a significant factor (ANOVA results) for almost paper properties studied and influenced mainly the internal fibre links. For what paper properties are concerned, the difference between piles isn’t so evident, the major differences are observed for the lower storage time (15 days)

Non universality of entanglement convertibility

Recently, it has been suggested that operational properties connected to quantum computation can be alternative indicators of quantum phase transitions. In this work we systematically study these operational properties in 1D systems that present phase transitions of different orders. For this purpose, we evaluate the local convertibility between bipartite ground states. Our results suggest that the operational properties, related to non-analyticities of the entanglement spectrum, are good detectors of explicit symmetries of the model, but not necessarily of phase transitions. We also show that thermodynamically equivalent phases, such as Luttinger liquids, may display different convertibility properties depending on the underlying microscopic model.Comment: 5 pages + references, 4 figures - improved versio