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Australian Capital Territory, Australia

Foote A.,Calvary Hospital | Foote A.,Australian National University
Journal of Obstetrics and Gynaecology Research | Year: 2015

Aim Recently a miniature version of the Monarc suburethral sling has been introduced. This paper aims to evaluate the postoperative recovery, effectiveness and complications of these two types of suburethral sling. Methods This was a prospective randomized series of 50 female patients with stress incontinence who underwent either a Monarc or Miniarc suburethral sling. Results The only significant intraoperative difference was a shorter operation time for the Miniarc (18.8 vs 22.4 min). The success rates were similar at 6 weeks and 6 months. Conclusion There were no significant differences between the Miniarc and Monarc, except for a significantly shorter Miniarc sling operating time. © 2014 The Author. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology. Source

Brennan F.,Calvary Hospital
American Journal of Hospice and Palliative Medicine | Year: 2013

Carson McCullers was one of the greatest American writers of the 20th century. For much of her adult life she struggled with illness. In her final novel, Clock Without Hands, a central character was diagnosed with a serious illness. Themes of illness, mortality, and creativity are examined in the physical and psychospiritual journey of both the character and the author herself. Reflections are made on the practice of palliative care. © The Author(s) 2012. Source

Brennan F.,Calvary Hospital
Progress in Palliative Care | Year: 2014

The concept of human dignity is complex. Its meaning and emphasis have shifted over time. It is a concept that occupies a central place in two disciplines - palliative care and human rights law. This article examines the evolution of the meaning of dignity, the nature of intrinsic and extrinsic dignity and its place in palliative care and human rights law (especially as it pertains to the international right to health care). The thesis of this article is that the recognition of and response to the inherent dignity of the human person is a unifying concept for the two disciplines and forms part of the theoretical foundation of the assertion that palliative care is a fundamental human right. © W. S. Maney & Son Ltd 2014. Source

Rosenfeld B.,Fordham University | Pessin H.,Sloan Kettering Cancer Center | Marziliano A.,Sloan Kettering Cancer Center | Jacobson C.,The College of New Rochelle | And 5 more authors.
Social Science and Medicine | Year: 2014

Understanding why some terminally ill patients may seek a hastened death (a construct referred to as "desire for hastened death" or DHD) is critical to understanding how to optimize quality of life during an individual's final weeks, months or even years of life. Although a number of predictor variables have emerged in past DHD research, there is a dearth of longitudinal research on how DHD changes over time and what factors might explain such changes. This study examined DHD over time in a sample of terminally ill cancer patients admitted to a palliative care hospital. A random sample of 128 patients completed the Schedule of Attitudes toward Hastened Death (SAHD) at two time points approximately 2-4 weeks apart participated. Patients were categorized into one of four trajectories based on their SAHD scores at both time points: low (low DHD at T1 and T2), rising (low DHD at T1 and high DHD at T2), falling (high DHD at T1 and low DHD at T2) and high (high DHD at T1 and T2). Among patients who were low at T1, several variables distinguished between those who developed DHD and those who did not: physical symptom distress, depression symptom severity, hopelessness, spiritual well-being, baseline DHD, and a history of mental health treatment. However, these same medical and clinical variables did not distinguish between the falling and high trajectories. Overall, there appears to be a relatively high frequency of change in DHD, even in the last weeks of life. Interventions designed to target patients who are exhibiting subthreshold DHD and feelings of hopelessness may reduce the occurrence of DHD emerging in this population. © 2014 Elsevier Ltd. Source

Brennan F.,Calvary Hospital
American Journal of Hospice and Palliative Medicine | Year: 2011

H. L. Mencken (1880-1956) was a brilliant American writer and journalist. He wrote the classic 3-volume The American Language. One topic he explored was the nature of death. This article examines Mencken's thoughts on death and dying, Mencken's own death, and the parallels between Mencken's writing and the discipline of Palliative Care. © SAGE Publications 2011. Source

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