BACKGROUND: Malignant bowel obstruction is experienced by 15% of people with advanced cancer, preventing them from eating and drinking and causing pain, nausea and vomiting. Surgery is not always appropriate. Management options include tube or stent drainage of intestinal contents and symptom control using medication. Published literature describing palliative interventions uses a broad range of outcome measures, few of which are patient-relevant. This hinders evidence synthesis, and fails to consider the perspectives of people undergoing treatment. AIMS: To develop a Core Outcome Set for the assessment of inoperable malignant bowel obstruction with clinician, patient and caregiver involvement, using COMET methodology (Core Outcome Measures in Effectiveness Trials). METHODS: A systematic review of clinical trials and observational studies, a rapid review of the qualitative literature and in-depth patient and clinician interviews were conducted to identify a comprehensive list of outcom
Following a contentious July meeting, Reno-based attorney Joey Gilbert was hired by the Douglas County School Board against an overwhelming “no” from the public and other board members. One of the reasons the public and other board members did not agree with the hiring was the steep increase in retainer costs and hourly costs required by Gilbert.
Joey Gilbert charges Douglas Schools $35K in August alone; 'Concerning' policy changes proposed to limit public involvement | Carson City Nevada News carsonnow.org - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from carsonnow.org Daily Mail and Mail on Sunday newspapers.
Editor Spotlight: Lindsay Bottoms plos.org - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from plos.org Daily Mail and Mail on Sunday newspapers.
Unveiling the Detrimental Impact: How the Productivity Commission Undermines Scientific Literacy – ictsd.org ictsd.org - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from ictsd.org Daily Mail and Mail on Sunday newspapers.