Isr Med Assoc J
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Early referral to palliative care services in patients with advanced cancer is widely accepted. In addition, the use of futile intervention at the end of life is a pivotal aspect of assessing quality of care at that time. ⋯ Many aggressive interventions were given during the last month of life. EOL discussions were documented in the medical charts of most patients and the rates increased with time.
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Adherence to treatment by adolescents and adults with cystic fibrosis (CF) is often poor. ⋯ The CF My Way problem-solving intervention increased adherence to medical treatments by removing barriers directly related to the needs and goals of young adults with CF.
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Fibromyalgia is characterized by diffuse musculoskeletal pain at the time of diagnosis, but many patients report their initial symptoms as being focal or local. ⋯ Pain in fibromyalgia patients usually presents as focal and symmetrical. Bilateral hand pain, followed by back pain, was the most common reported area of initial pain among fibromyalgia patients.
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Letter Biography Historical Article
George Van Ness Dearborn MD PhD (1869-1938): A forgotten American neuropsychiatrist and physiologist.