Executive summary Pollution is the largest environmental cause of disease and premature
death in the world today. Diseases caused by pollution were responsible for an estimated 9 …

Importance The use of palliative care programs and the number of trials assessing their
effectiveness have increased. Objective To determine the association of palliative care with …

Effective communication skills enable physicians to improve patients' understanding of their
illnesses, improve patient adherence to treatment regimens, use time efficiently, avoid …

There is a clear need for brief, but sensitive and specific, cognitive screening instruments as
evidenced by the popularity of the Addenbrooke's Cognitive Examination (ACE). Objectives …

From the Publisher: As software systems become increasingly large and complex, the need
increases to predict and control the effects of software changes. Software Change Impact …

Background Few studies have assessed the efficacy of communication skills training for
postgraduate physician trainees at the level of behaviors. We designed a residential …

ContextTransplantation has become the therapy of choice for patients with organ failure.
However, the low rate of consent by families of donor-eligible patients is a major limiting …

Shared decision making for advanced heart failure has become both more challenging and
more crucial as duration of disease and treatment options have increased. High-quality …

The prevalence, severity, and clinical significance of physical and emotional symptoms in
patients who are on maintenance hemodialysis remain incompletely characterized. This …

Advance care planning (ACP) has emerged during the last 30 years as a potential response
to the problem of low-value end-of-life care. The assumption that ACP will result in goal …