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1.
Phys Rev Lett ; 101(8): 083201, 2008 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-18764612

RESUMEN

We report the direct observation of interference effects in a Young's double-slit experiment where the interfering waves are two spatially separated components of the de Broglie wave of single 1.3 MeV hydrogen atoms formed close to either target nucleus in H++H2 electron-transfer collisions. Quantum interference strongly influences the results even though the hydrogen atoms have a de Broglie wavelength, lambda_{dB}, as small as 25 fm.

2.
N Engl J Med ; 342(5): 326-33, 2000 Feb 03.
Artículo en Inglés | MEDLINE | ID: mdl-10655532

RESUMEN

BACKGROUND: Cancer is the second leading cause of death in children, after accidents. Little is known, however, about the symptoms and suffering at the end of life in children with cancer. METHODS: In 1997 and 1998, we interviewed the parents of children who had died of cancer between 1990 and 1997 and who were cared for at Children's Hospital, the Dana-Farber Cancer Institute, or both. Additional data were obtained by reviewing medical records. RESULTS: Of 165 eligible parents, we interviewed 103 (62 percent), 98 by telephone and 5 in person. The interviews were conducted a mean (+/-SD) of 3.1+/-1.6 years after the death of the child. Almost 80 percent died of progressive disease, and the rest died of treatment-related complications. Forty-nine percent of the children died in the hospital; nearly half of these deaths occurred in the intensive care unit. According to the parents, 89 percent of the children suffered "a lot" or "a great deal" from at least one symptom in their last month of life, most commonly pain, fatigue, or dyspnea. Of the children who were treated for specific symptoms, treatment was successful in 27 percent of those with pain and 16 percent of those with dyspnea. On the basis of a review of the medical records, parents were significantly more likely than physicians to report that their child had fatigue, poor appetite, constipation, and diarrhea. Suffering from pain was more likely in children whose parents reported that the physician was not actively involved in providing end-of-life care (odds ratio, 2.6; 95 percent confidence interval, 1.0 to 6.7). CONCLUSIONS: Children who die of cancer receive aggressive treatment at the end of life. Many have substantial suffering in the last month of life, and attempts to control their symptoms are often unsuccessful. Greater attention must be paid to palliative care for children who are dying of cancer.


Asunto(s)
Neoplasias/complicaciones , Neoplasias/terapia , Cuidados Paliativos , Estrés Psicológico , Anorexia/etiología , Anorexia/terapia , Boston , Niño , Estreñimiento/etiología , Estreñimiento/terapia , Diarrea/etiología , Diarrea/terapia , Disnea/etiología , Disnea/terapia , Fatiga/etiología , Fatiga/terapia , Encuestas de Atención de la Salud , Servicios de Atención de Salud a Domicilio , Humanos , Modelos Logísticos , Dolor/etiología , Manejo del Dolor , Cuidados Paliativos/normas , Cuidados Paliativos/estadística & datos numéricos , Padres , Médicos , Calidad de la Atención de Salud , Calidad de Vida , Encuestas y Cuestionarios , Cuidado Terminal , Privación de Tratamiento
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