To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
We describe the results of carbapenem-resistant Enterobacteriaceae (CRE) screening as part of an outbreak investigation of New Delhi metallo-β-lactamase–producing CRE at a tertiary care university teaching hospital. The manual method for CRE screening was useful for detecting patients with asymptomatic CRE carriage but was time-consuming and costly.
Objective: The purpose of this study was to describe quality
of life (QOL) and psychosocial and spiritual issues among patients
receiving hospice care.
Methods: A questionnaire addressing QOL, spirituality,
optimism, loss, fears about the terminal process and death anxiety was
administered to 66 adults receiving care from 14 hospices. The physical
components of QOL (physical symptoms and physical well-being) were
rated lower than the psychosocial and spiritual aspects (support,
existential well-being, psychological symptoms).
Results: Respondents had a strong spiritual connection and a
strong sense of hope. Although these individuals did not express
anxiety or fear about death, there were concerns about the dying
process itself. Also, although most felt at ease with their current
situation, respondents were concerned about how their illness was
affecting their family. Financial and legal issues did not concern most
of these individuals.
Significance of results: There were few significant
associations between patient characteristics and the QOL or other
psychosocial or spiritual issues addressed. Among this older terminally
ill population receiving hospice care, whose functional status was fair
and for whom physical symptoms were troublesome, QOL persisted and a
positive outlook prevailed.
The influence of small (subgrain) misorientation interfaces on the mechanical behavior of metals and alloys deforming within the creep regime has been intensively studied over the past several decades. Controversies have existed, but some new experiments suggest, contrary to the general opinion, that low-angle boundaries are not associated with the rate controlling process for plasticity and do not affect strength. The new evidence will be discussed in terms of other established experimental trends. Large-angle boundaries may have a smaller effect on elevated temperature strength than at ambient temperatures and do not appear to dramatically affect elevated temperature strength. Superplastic effects are not addressed.
Email your librarian or administrator to recommend adding this to your organisation's collection.