Journal of Cerebral Blood Flow & Metabolism (2011) 31, 1908-1918; doi:10.1038/jcbfm.2011.60; published online 11 May 2011″
“Background: Palliative care should be provided, irrespective of setting to all patients facing a life-threatening Selleck TPCA-1 illness and to their families. The situation and needs of order people differ from those of younger people since they often have several co-existing diseases and health complaints. This implies an extensive need for care and for longer periods of palliative care. The main providers of palliative care for older people are nurse assistants, who are also those with the shortest education.\n\nAim: The aim of this

study was to illuminate nurse assistants’ experience of palliative care for older people in residential care.\n\nDesign: The study had an explorative, descriptive design.\n\nSettings: Thirteen residential care units Anlotinib purchase in three different districts in a large city in southern Sweden.\n\nParticipants: Twenty-five nurse assistants selected to represent variations in age, gender workplace and work experience.\n\nMethods: Data were collected from six focus-group interviews and subjected to content analysis to gain an understanding of the phenomenon.\n\nResults: The nurse assistants described palliative

care as a contrast to the everyday care they performed in that they had a legitimate possibility to provide the care needed and a clear assignment in relation to relatives. Palliative care also meant having to face death and dying while feeling simultaneous that it was unnatural to talk about death and having to deal with their own emotions. They emphasised that they were in need of support and experienced leadership as invisible and opaque, but gained strength from being recognized.\n\nConclusion: In order to support nurse assistants in providing high quality end-of-life care, more focus is needed on the trajectory of older peoples’ dying, on the importance of involving relatives throughout the period of care

provision, and on support when encountering death and dying. There is also a need for engaged care leaders, both registered nurses and managers, to recognize the work of nurse assistants and to support care provision for older people within the framework of palliative care philosophy. (C) 2011 Elsevier Ltd. All rights reserved.”
“Eukaryotic GSK2245840 ic50 protein kinases (ePKs) evolved as a family of highly dynamic molecular switches that serve to orchestrate the activity of almost all cellular processes. Some of the functionally characterized ePKs from plants have been found to be components of signaling networks, such as those for the perception of biotic agents, light quality and quantity, plant hormones, and various adverse environmental conditions. To date, only a tiny fraction of plant ePKs have been functionally identified, and even fewer have been identified in maize [Zea mays (Zm)]. In this study, we have identified 1,241 PK-encoding genes in the maize genome.