Palliative and end-of-life care conversations in COPD: A systematic literature review

Chronic obstructive pulmonary disease (COPD) is a chronic life-limiting disorder characterised by persistent airflow obstruction and progressive breathlessness. Discussions/conversations between patients and clinicians ensure palliative care plans are grounded in patients’ preferences. This systematic review aimed to explore what is known about palliative care conversations between clinicians and COPD patients.  A comprehensive search of all major healthcare-related databases and websites was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were quality assessed, employing widely used quality-assessment tools, with only papers scoring moderate-to-high quality included. All relevant data were extracted. A narrative synthesis was used to analyse, process and present the final data.  The findings indicated that the frequency and quality of palliative care conversations is generally poor. Patients and physicians identified many barriers and important topics were not discussed. Patients and clinicians reported tension between remaining hopeful and the reality of the patients’ condition. When discussions did happen, they often occurred at an advanced stage of illness and in respiratory wards and intensive care units.  In conclusion, current care practices do not facilitate satisfactory conversations about palliative care between COPD patients and clinicians. This impacts upon the fulfilment of patients’ preferences at the end of life

Integration and evaluation of a near-infrared camera utilizing a HgCdTe NICMOS3 array for the Mt. Palomar 200-inch Observatory

In this paper we describe the main subsystems that constitute the Mt. Palomar Prime Focus InfraRed Camera (PFIRCAM), together with some of the characterization data obtained for the focal plane array. This camera is currently a facility instrument at the 200-inch Mt. Palomar Observatory. It helps to satisfy the observational needs of astronomers in the spectral range of 1 micrometers to 2.5 micrometers by utilizing a HgCdTe NICMOS3 array. The camera has a plate scale of 0.54 arcsec/pixel for an overall FOV of 138 X 138 arcsec

Groups of Galaxies in the Two Micron All-Sky Redshift Survey

We present the results of applying a percolation algorithm to the initial release of the Two Micron All-Sky Survey Extended Source Catalog, using subsequently measured redshifts for almost all of the galaxies with K < 11.25 mag. This group catalog is based on the first near-IR all-sky flux-limited survey that is complete to |b| = 5 deg. We explore the dependence of the clustering on the length and velocity scales involved. The paper describes a group catalog, complete to a limiting redshift of 10,000 km/s, created by maximizing the number of groups containing 3 or more members. A second catalog is also presented, created by requiring a minimum density contrast of 80 to identify groups. We identify known nearby clusters in the catalogs and contrast the groups identified in the two catalogs. We examine and compare the properties of the determined groups and verify that the results are consistent with the UZC-SSRS2 and northern CfA redshift survey group catalogs. The all-sky nature of the catalog will allow the development of a flow-field model based on the density field inferred from the estimated cluster masses.Comment: Accepted for publication in ApJ (29 pages including 13 figures). A version with high-resolution figures is available at http://www.cfa.harvard.edu/~acrook/preprints

The 6dF Galaxy Survey

The 6dF Galaxy Survey (6dFGS) is a spectroscopic survey of the entire southern sky with $|b|>10\deg$, based on the 2MASS near infrared galaxy catalog. It is conducted with the 6dF multi-fiber spectrograph attached to the 1.2-m UK Schmidt Telescope. The survey will produce redshifts for some 170,000 galaxies, and peculiar velocities for about 15,000 and is expected to be complete by June 2005.Comment: 8 pages, 4 figures, IAU 8th Asian-Pacific Regional Mettin

Infrared-Faint Radio Sources: A New Population of High-redshift Radio Galaxies

We present a sample of 1317 Infrared-Faint Radio Sources (IFRSs) that, for the first time, are reliably detected in the infrared, generated by cross-correlating the Wide-Field Infrared Survey Explorer (WISE) all-sky survey with major radio surveys. Our IFRSs are brighter in both radio and infrared than the first generation IFRSs that were undetected in the infrared by the Spitzer Space Telescope. We present the first spectroscopic redshifts of IFRSs, and find that all but one of the IFRSs with spectroscopy has z > 2. We also report the first X-ray counterparts of IFRSs, and present an analysis of radio spectra and polarization, and show that they include Gigahertz-Peaked Spectrum, Compact Steep Spectrum, and Ultra-Steep Spectrum sources. These results, together with their WISE infrared colours and radio morphologies, imply that our sample of IFRSs represents a population of radio-loud Active Galactic Nuclei at z > 2. We conclude that our sample consists of lower-redshift counterparts of the extreme first generation IFRSs, suggesting that the fainter IFRSs are at even higher redshift.Comment: 23 pages, 17 figures. Submitted to MNRA