Background: Structured advance care planning (ACP) program is an important service in the end-of-life for patients with advanced medical illness. We pioneered a structured and coordinated ACP malignancies end-stage organ failure Hong Kong. This study investigated impact of on concordance rate patients’ final wishes, patient/family satisfaction, number acute admissions (AA) length stay (LOS) hos...

With the increasing uncertainty of customer demand, order management that takes into account demand is important in supply chain between distribution bases (distribution centers, RDCs, etc.) and large retailers. A multisite delivery planning system recommended to scale past handle a single product. Aiming at logistics problem consumer electronic products, attributed multiobjective optimization ...

OBJECTIVE To audit the process of stroke care. DESIGN Retrospective case record evaluation using an audit package designed by the Royal College of Physicians of London. SETTING Institute of Neurology, National Hospital of Sri Lanka, Colombo. PATIENTS 263 patients with stroke admitted over a period of 3 years. MEASUREMENTS Documentation of 60 audit items related to 13 aspects of stroke c...

Measures of functional disability typically contain items that reflect limitations in performing activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Combining IADL and ADL items together in the same scale would provide enhanced range and sensitivity of measurement. This article presents psychometric justification for a combined ADL/IADL scale. Data come from 2,...

This research examined the effects of planning and executive functions on young children's (ages 3-to 5-years) strategies in changing scripts. Young children (N = 77) performed a script task (doll task), three executive function tasks (DCCS, red/blue task, and nine box task), a planning task, and a receptive vocabulary task. In the doll task, young children first enacted a "changing clothes" sc...

This paper describes a stress management training program used with a 26-year-old schizophrenic man attending an outpatient day care program. In a seven-session program the patient was taught to use various techniques in muscle relaxation and biofeedback to decrease anxiety and to cope with stress. The patient's improvement on 7 of the 20 items of the State-Trait Anxiety Inventory demonstrated ...

Cancer patients experience positive as well as adverse consequences from diagnosis and treatment. The study reported here examined longer term reverberations of such experiences. A set of benefit-finding items along with measures of well-being were completed by 230 early-stage breast cancer patients in the year postsurgery. Four to 7 years later, 96 of them again completed measures of well-bein...