Michael T Claessens

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In some intensive care units (ICUs), fewer patients who die now undergo attempts at cardiopulmonary resuscitation (CPR), and many more have life support actively withdrawn prior to death than did a decade ago. To determine the frequency of withdrawal of life support, we contacted every American postgraduate training program with significant clinical(More)
CONTEXT Many are calling for patients with advanced chronic obstructive pulmonary disease (COPD) to receive hospice care, but the traditional hospice model may be insufficient. OBJECTIVE To compare the course of illness and patterns of care for patients with non-small cell lung cancer and severe COPD. DESIGN Prospective cohort study of seriously ill,(More)
OBJECTIVE To characterize chronic obstructive pulmonary disease (COPD) over patients' last 6 months of life. STUDY DESIGN A retrospective analysis of a prospective cohort from the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT). SETTING Hospitalization for exacerbation of COPD at five US teaching hospitals.(More)
BACKGROUND Alleviating the problems faced by dying persons and their families has drawn substantial public attention, but little is known about the experience of dying. OBJECTIVE To characterize the experience of dying from the perspective of surrogate decision makers, usually close family members (89%). DESIGN Prospective cohort study. SETTING Five(More)
PURPOSE To assess knowledge and associated factors in palliative care. METHODS Self-administered survey of 88 internal medicine house officers in 1996. RESULTS Twenty-one interns and 36 residents completed the survey for a response rate of 65%. Most house officers reported 1-5 hours of prior formal training in palliative care, 1-5 hours in pain(More)
Transverse tubule (TT) membrane vesicles have been isolated from the skeletal muscle of normal and malignant hyperthermia-susceptible (MHS) pigs. MHS and normal TT did not differ in the distribution of the major proteins, cholesterol, or phospholipid content, (Na+ + K+)-ATPase activity, [3H]ouabain binding, Ca2+-ATPase activity, Mg2+-ATPase activity, or(More)
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