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Palliative care is a crucial component in improving peoples' end‐of‐life period. It is important to understand the wishes of people at the end of life and the perceptions of their healthcare providers regarding these wishes. As nurses play a key role in patient care, in this study we set out to determine nurses' perceptions regarding what constitutes a “good death”, comparing what they thought their older patients would prefer to their own preferences for their own end‐of‐life care. Questionnaires asking about various options of end‐of‐life care were distributed to nurses, and they were asked how they thought older people would respond to each of the questions and what their own preferences would be if they were terminally ill. In total, 656 participants were enrolled and they rated relief from suffering as the most important component, both for themselves and for those in their care. More than 80% of nurses agreed with all of the statements on the questionnaire. However, some of the nurses' preferences for their own end of life differed from those they expected their patients to value.  相似文献   
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The purpose of this study was to examine the immunophenotype of canine lymphomas according to the updated Kiel classification adapted for canine species and to relate the immunophenotype to the anatomical classification, clinical stage, and the malignancy. Forty formalin-fixed embedded tissue sections from dogs affected with lymphoma during 2002–2008 at the Department of Veterinary Pathology, Faculty of Veterinary Science, Chulalongkorn University were retrospectively studied. Results indicated that the prevalence of canine lymphoma occurred at the average age of 7.6 years old. Of the total 40 samples, 67.5 % (27/40) and 32.5 % (13/40) were found among pure breeds and mixed breeds, respectively. The tumors were classified by anatomical locations: multicentric (25/40, 62.5 %), mediastinal (2/40, 5.0 %), alimentary (2/40, 5.0 %), extranodal (7/40, 17.5 %), and cutaneous (4/40, 10.0 %). The clinical stages are divided as 7.5 % (3/40), 17.5 % (7/40), 17.5 % (7/40), 45.0 % (18/40), and 12.5 % (5/40) in stages I–V, respectively. Histopathology categorization of the lymphomas into low and high grade was accounted for 34 % (17/40) and 46 % (23/40) cases, in that order. Both immunophenotyping cases were 50 % (20/40) of T-cell (CD3 expression) and B-cell (IgM expression) lymphomas. T-cell phenotype showed higher malignancy than B-cell phenotype.  相似文献   
3.
International Journal of Diabetes in Developing Countries - Diabetes is an important chronic disease. Many studies from Western countries found that both maternal environment during pregnancy and...  相似文献   
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