Long Term Life Support for Space Exploration

1990 ◽  
Author(s):  
John D. Rummel
2007 ◽  
Vol 30 (4) ◽  
pp. 65
Author(s):  
K. Mukhida

How do parents cope when their child is ill or dying, when he or she experiences constant pain or suffering? What do parents think of the contributions that medical professionals make to the care of their chronically or terminally ill child? Is it possible for a parent to love a child so much that the child is wished dead? The purpose of this paper is to explore those questions and aspects of the care of chronically or terminally ill children using Mourning Dove’s portrayal of one family’s attempt to care for their ill daughter. A play written by Canadian playwright Emil Sher, Mourning Dove is based on the case of Saskatchewan wheat farmer Robert Latimer who killed his 12 year old daughter Tracy who suffered with cerebral palsy and lived in tremendous pain. Rather than focusing on the medical or legal aspects of the care of a chronically ill child, the play offers a glimpse into how a family copes with the care of such a child and the effects the child’s illness has on a family. Reading and examination of non-medical literature, such as Mourning Dove, therefore serve as a useful means for medical professionals to better understand how illness affects and is responded to by patients and their families. This understanding is a prerequisite for them to be able to provide complete care of children with chronic or terminal illnesses and their families. Nuutila L, Salanterä S. Children with long-term illness: parents’ experiences of care. J Pediatr Nurs 2006; 21(2):153-160. Sharman M, Meert KL, Sarnaik AP. What influences parents’ decisions to limit or withdraw life support? Pediatr Crit Care Med 2005; 6(5):513-518. Steele R. Strategies used by families to navigate uncharted territory when a child is dying. J Palliat Care 2005; 21(2):103-110.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 786-786
Author(s):  
Sarah Neller ◽  
Gail Towsley ◽  
Bob Wong

Abstract Me & My Wishes are person-centered videos of long term care residents (ages 65-95) living with dementia discussing their preferences for care including end-of-life (EOL) medical intervention. We evaluated the congruence of six EOL treatment preferences between the residents’ personal videos, medical records (e.g. advance directive), and surveys of family (n= 49) and staff (n=37; 118 responses) knowledge of their preferences. Results were highly discordant. Treatments with the most discordance when comparing videos to comparison groups were IV fluids (medical record, 57.1%) and life support (family, 69.4%; staff, 82.2%). Residents reported EOL treatments were considered acceptable if they were temporary, would relieve suffering, or enabled a return to baseline health. These caveats may lead to discordance if they are not conveyed to family or staff. Our findings highlight the need for conversations among residents living with dementia and their caregivers to improve understanding, congruence and adherence of resident EOL preferences.


2018 ◽  
Vol 35 (2) ◽  
pp. 227-235 ◽  
Author(s):  
Valentina Di Leo ◽  
Paolo Biban ◽  
Federico Mercolini ◽  
Francesco Martinolli ◽  
Andrea Pettenazzo ◽  
...  

2021 ◽  
Vol 3 (4) ◽  
pp. e0390
Author(s):  
Marietou Daou ◽  
Claire Lauzon ◽  
E. Caroline Bullen ◽  
Irene Telias ◽  
Eddy Fan ◽  
...  

2018 ◽  
Vol 7 (4) ◽  
pp. 182-192
Author(s):  
Viktor Alekseevich Zakh

Landscapes of the Tobol-Ishim interfluve were not stable in the Holocene and varied from forests and drowned floodplains at the beginning of the V and III millennia BC to steppificated territories with a lowered water level at the beginning of the Atlantic Period and in the middle of the Subboreal Period, which determined the main types of economic activities, one of them was fishing. Changes in hydrological regime of water bodies influenced the methods of fishing, including the use of different traps. Thus, in the Neolithic, when the water level decreased, the location of settlements in the system river-creek-lake (for example, Mergen 6), a large number of fish bones, bone harpoons, fishing spears, fishing tackles for catching pike and a total absence of plummets were indicative of individual fishing for large fish and, perhaps, of stop net fishery, which was facilitated by a decrease in the width of watercourses and tombolos. Stop net (stake net) fishery led to a settled lifestyle of the population, collective activities and the emergence of long-term settlements with deep foundation pits of dwellings. When the water level in rivers and lakes increased and floods became more frequent, the life support system changed, the population began to develop coasts more widely, its mobility increased, and they started to build framed above-ground dwellings. Following those changes, biconic, cigar-shaped, and corniculate plummets emerged in the Tobol River Basin and on the adjacent western and north-western territories in the III and early II millennium BC. When the water level was high, it was efficient to fish using traps, seines and, probably, nets, although the latter could also be used in drive hunting for shedding geese and ducks. Subrectangular plummets with one or two ties for fastening, and disk-shaped plummets with a tie in the center had been prevailing since the beginning of the II millennium BC; they existed until the first third of the I millennium BC. This period, the transition time from the Bronze Age to the Early Iron Age, is characterized by the absence of clay plummets, while there are large accumulations of fish scales and bones in the settlement layers. We can suppose that the population of that time (local Late Bronze Age population, mixed with northern migrants who made utensils with cross ornamentation) switched from net fishing to stop net fishing.


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