Core-collapse supernovae are dramatic explosions marking the catastrophic end of massive stars. The only means to get direct information about the supernova engine is from observations of neutrinos emitted by the forming neutron star, and through gravitational waves which are produced when the hydrodynamic flow or the neutrino flux is not perfectly spherically symmetric. The multidimensionality of the supernova engine, which breaks the sphericity of the central core such as convection, rotation, magnetic fields, and hydrodynamic instabilities of the supernova shock, is attracting great attention as the most important ingredient to understand the long-veiled explosion mechanism. Based on our recent work, weCCSNe are now about to start even another astronomy, Gravitational-Wave Astronomy.
and involved 58 specialist palliative care services. RESULTS: Among the 2426 patients recruited, 2069 patients were analyzed for this study: 1582 receiving hospital-based palliative care and 487 receiving home-based palliative care. A total of 1607 patients actually died in a hospital, and 462 patients died at home. The survival of patients who died at home was significantly longer than the survival of patients who died in a hospital in the days' prognosis group (estimated median survival time, 13 days [95% confidence interval (CI), 10. Original Article hazards analysis revealed that the place of death had a significant influence on the survival time in both unadjusted (hazard ratio [HR], 0.86; 95% CI, 0.78-0.96; P <.01) and adjusted models (HR, 0.87; 95% CI, 0.77-0.97; P 5.01). CONCLUSIONS: In comparison with cancer patients who died in a hospital, cancer patients who died at home had similar or longer survival. Cancer 2016;122:1453-60.
The modified PiPS was successfully validated and can be useful in palliative care units, hospital-based palliative care teams, and home-based palliative care services.
We investigate neutrino oscillations from core-collapse supernovae that produce magnetohydrodynamic (MHD) explosions. By calculating numerically the flavor conversion of neutrinos in the highly non-spherical envelope, we study how the explosion anisotropy has impacts on the emergent neutrino spectra through the Mikheyev-Smirnov-Wolfenstein effect. In the case of the inverted mass hierarchy with a relatively large θ 13 (sin 2 2θ 13 10 −3 ), we show that survival probabilities ofν e and ν e seen from the rotational axis of the MHD supernovae (i.e., polar direction), can be significantly different from those along the equatorial direction. The event numbers ofν e observed from the polar direction are predicted to show steepest decrease, reflecting the passage of the magneto-driven shock to the so-called high-resonance regions. Furthermore we point out that such a shock effect, depending on the original neutrino spectra, appears also for the low-resonance regions, which could lead to a noticeable decrease in the ν e signals. This reflects a unique nature of the magnetic explosion featuring a very early shock-arrival to the resonance regions, which is in sharp contrast to the neutrino-driven delayed supernova models. Our results suggest that the two features in theν e and ν e signals, if visible to the Super-Kamiokande for a Galactic supernova, could mark an observational signature of the magnetically driven explosions, presumably linked to the formation of magnetars and/or long-duration gammaray bursts.
A significant number of bereaved families regarded the timing of referrals to home hospices as late, and the perceived timing was associated with the family-perceived quality of care and quality of death and dying. Systematic strategies to overcome the barriers related to perceived late referrals are necessary.
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