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Nursing in hospice and terminal care research and practice pdf

Nursing in Hospice and Terminal Care: Research and Practice
Barbara Petrosino, David M Dush

Publisher : Routledge
Release Date :

ISBN : 0866565671
Author : Barbara Petrosino, David M Dush
Download Here
http://eap-books.club/readonline/?item=0866565671&lan=en

A unique volume reflecting the state of the art in hospice nursing, Nursing in Hospice and Terminal
Care addresses the special concerns of nurses--the primary professional caregivers in a hospice--in
caring for terminally ill patients and in comforting their families. Experts highlight the major
components of hospice nursing and address the enormous need for research that will help hospice
nurses improve the quality of nursing care they are able to provide. Each valuable chapter is
presented from a scientific base and offers practical applicability to nursing in various health care
settings.
Download Here
http://eap-books.club/readonline/?item=0866565671&lan=en

Download Here
http://eap-
books.club/readonline/?item=0866565671&lan=en
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We explore different scenarios to explain the chemical difference found in the remarkable giant-giant binary system HD138202+CD−3012303. For the first time, we suggest how to distinguish these scenarios by taking advantage of the extensive convective envelopes of giant stars. Methods. We carried out a high-precision determination of stellar parameters and abundances by applying a full line-by-line differential analysis on GHOST high-resolution spectra. We used the FUNDPAR program with ATLAS12 model atmospheres and specific opacities calculated for an arbitrary composition through a doubly iterated method. Physical parameters were estimated with the isochrones package and evolutionary tracks were calculated via MIST models. Results. We found a significant chemical difference between the two stars (∆[Fe/H]∼0.08dex), which is largely unexpected considering the insensitivity of giant stars to planetary ingestion and diffusion effects. We tested the possibility of engulfment events by using several different combinations of stellar mass, ingested mass, metallicity of the engulfed object and different convective envelopes. However, the planetary ingestion scenario does not seem to explain the observed differences. For the first time, we distinguished the source of chemical differences using a giant-giant binary system. By ruling out other possible scenarios such as planet formation and evolutionary effects between the two stars, we suggest that primordial inhomogeneities might explain the observed differences. This remarkable result implies that the metallicity differences that were observed in at least some main-sequence binary systems might be related to primordial inhomogeneities rather than engulfment events. We also discuss the important implications of finding primordial inhomogeneities, which affect chemical tagging and other fields such as planet formation. We strongly encourage the use of giantgiant pairs. They are a relevant complement to main-sequence pairs for determining the origin of the observed chemical differences in multiple systems.

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Past civilisations have nurtured small populations of those trying to understand and manipulate nature to some advantage in materials, tools, weapons, food, and wealth. However, they never formed communities and lacked the means of recording, communicating, and sharing successes and failures. They also lacked a common framework/philosophy to qualify them as scientists, but that all began to change in the 16th Century. In this lecture we consider the progression to a philosophy of science, and the underlying principles and assumptions that now guide scientific inquiry.We also examines the nature of scientific knowledge, the methods of acquisition, evolution, and significance over past centuries, and reflect on the value to society. In the struggle to solve problems, deliver understanding, and reveal the truth about our universe, science had to suffer and survive: ignorance, bigotry, established superstitions, and the ‘diktats’ of religions and politics, and latterly, falling education standards mired by social media. We chart that ‘scientific’ journey emphasising the importance of observation, experimentation, and the search for universal laws. Ultimately, this essentially Aristotelian perspective was challenged and overtaken by the rise of empiricism, which emphasised the importance of sensory experience and the limitations of human knowledge. Science continues to evolve and provide us with the best truths attainable with our leading edge technologies of observation and experimentation. Today, it stands as the greatest and richest contributor to human knowledge, understanding, progress, and wellbeing. In turn, debates and controversies are ongoing, shaping the field and philosophy which remains essential for understanding the nature of scientific knowledge and the models it creates. But unlike any belief system, the answers and models furnishers by science are not certain and invariant, they tend to be stochastic and incomplete - ‘the best we can do’ at a given time.

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Context. WASP-76 b has been a recurrent subject of study since the detection of a signature in high-resolution transit spectroscopy data indicating an asymmetry between the two limbs of the planet. The existence of this asymmetric signature has been confirmed by multiple studies, but its physical origin is still under debate. In addition, it contrasts with the absence of asymmetry reported in the infrared (IR) phase curve. Aims. We provide a more comprehensive dataset of WASP-76 b with the goal of drawing a complete view of the physical processes at work in this atmosphere. In particular, we attempt to reconcile visible high-resolution transit spectroscopy data and IR broadband phase curves. Methods. We gathered 3 phase curves, 20 occultations, and 6 transits for WASP-76 b in the visible with the CHEOPS space telescope. We also report the analysis of three unpublished sectors observed by the TESS space telescope (also in the visible), which represents 34 phase curves. Results. WASP-76 b displays an occultation of 260±11 and 152±10 ppm in TESS and CHEOPS bandpasses respectively. Depending on the composition assumed for the atmosphere and the data reduction used for the IR data, we derived geometric albedo estimates that range from 0.05 ± 0.023 to 0.146 ± 0.013 and from <0.13 to 0.189 ± 0.017 in the CHEOPS and TESS bandpasses, respectively. As expected from the IR phase curves, a low-order model of the phase curves does not yield any detectable asymmetry in the visible either. However, an empirical model allowing for sharper phase curve variations offers a hint of a flux excess before the occultation, with an amplitude of ∼40 ppm, an orbital offset of ∼−30◦ , and a width of ∼20◦ . We also constrained the orbital eccentricity of WASP-76 b to a value lower than 0.0067, with a 99.7% confidence level. This result contradicts earlier proposed scenarios aimed at explaining the asymmetry observed in high-resolution transit spectroscopy. Conclusions. In light of these findings, we hypothesise that WASP-76 b could have night-side clouds that extend predominantly towards its eastern limb. At this limb, the clouds would be associated with spherical droplets or spherically shaped aerosols of an unknown species, which would be responsible for a glory effect in the visible phase curves.

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Understanding circumstellar disks is of prime importance in astrophysics, however, their birth process remains poorly constrained due to observational and numerical challenges. Recent numerical works have shown that the small-scale physics, often wrapped into a sub-grid model, play a crucial role in disk formation and evolution. This calls for a combined approach in which both the protostar and circumstellar disk are studied in concert. Aims. We aim to elucidate the small scale physics and constrain sub-grid parameters commonly chosen in the literature by resolving the star-disk interaction. Methods. We carry out a set of very high resolution 3D radiative-hydrodynamics simulations that self-consistently describe the collapse of a turbulent dense molecular cloud core to stellar densities. We study the birth of the protostar, the circumstellar disk, and its early evolution (< 6 yr after protostellar formation). Results. Following the second gravitational collapse, the nascent protostar quickly reaches breakup velocity and sheds its surface material, thus forming a hot (∼ 103 K), dense, and highly flared circumstellar disk. The protostar is embedded within the disk, such that material can flow without crossing any shock fronts. The circumstellar disk mass quickly exceeds that of the protostar, and its kinematics are dominated by self-gravity. Accretion onto the disk is highly anisotropic, and accretion onto the protostar mainly occurs through material that slides on the disk surface. The polar mass flux is negligible in comparison. The radiative behavior also displays a strong anisotropy, as the polar accretion shock is shown to be supercritical whereas its equatorial counterpart is subcritical. We also f ind a remarkable convergence of our results with respect to initial conditions. Conclusions. These results reveal the structure and kinematics in the smallest spatial scales relevant to protostellar and circumstellar disk evolution. They can be used to describe accretion onto regions commonly described by sub-grid models in simulations studying larger scale physics.

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Nursing in hospice and terminal care research and practice pdf

1. Nursing in Hospice and Terminal Care: Research and Practice Barbara Petrosino, David M Dush

2. Publisher : Routledge Release Date :

3. ISBN : 0866565671 Author : Barbara Petrosino, David M Dush Download Here http://eap-books.club/readonline/?item=0866565671&lan=en

4. A unique volume reflecting the state of the art in hospice nursing, Nursing in Hospice and Terminal Care addresses the special concerns of nurses--the primary professional caregivers in a hospice--in caring for terminally ill patients and in comforting their families. Experts highlight the major components of hospice nursing and address the enormous need for research that will help hospice nurses improve the quality of nursing care they are able to provide. Each valuable chapter is presented from a scientific base and offers practical applicability to nursing in various health care settings. Download Here http://eap-books.club/readonline/?item=0866565671&lan=en

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