Those electing full code status on admission to hospice are at high risk of live hospice discharge after short enrollments, particularly nonwhite enrollees.

Recognition of corticosteroid induced adverse effect profiles and possible management strategies is crucial to optimal symptom management in palliative care patients.

Determining which vegetation types organisms perceive similarly and classifying these types into groups that function as similar habitats are necessary steps toward expanding the focus of conservation strategies from single species to ecosystems. Therefore, the methods used to determine these habitat classifications are crucial to the successful design and implementation of these conservation strategies. Typically, this process has been accomplished through best professional judgement. We used quantitative techniques to group vegetation types into habitats based on the occurrence of breeding wildlife species (n = 420) in Oregon. After calculating faunal similarities among all regional vegetation types (n = 130), we used cluster analysis to group vegetation types into wildlife habitats. We classified the original 130 vegetation types into 30 wildlife habitat types that we believe function similarly. We tested this classification to assess whether vegetation types could be correctly classified into habitat types based on wildlife species composition. Discriminant analysis correctly classified 95% of the vegetation types into their wildlife habitat types, strengthening our confidence in this approach. This approach for classifying habitat types allows consistent development of conservation strategies at coarse resolutions and aids in identifying vegetation types where additional btodiverstty surveys are needed. Finally, this approach can be refined continuously as the precision of vegetation mapping and our understanding of organism-habitat associations improve.La utilizaci6n de comunidades silvestres para mejorar la clasificaci6n de la vegetaci6n para la conservaci6n de la biodiversidad Resumen: Determinar que tipos de vegetact6n son percibldos en forma similar por los organtsmos y clasificar estos tipos en grupos que funcionan como h~bitats similares, constitutyen pasos necesarios para expandir el foco de las estrategias de conservaci6n, pasando de especies tndividuales a ecosistemas. Por consiguiente, los m#todos utilizados para determinar la clasificaci6n de estos hdbitats resultan cruciales para el dise~o e implementaci6n de estas estrategias de conservaci6n. Tfptcamente, este proceso ha sido llevado a cabo a trav#s del mejor juicio profesional. Utilizamos tdcnicas cuantitativas para agrupar los tipos de vegetaci6n en h~bitats, basadas en la ocurrencia de especies silvestres durante el perfodo relYroductivo (n = 420) en Oregon. Despuds de calcular las similitudes faunisticas entre todos los tipos regionales (n = 130), utilizamos andaisis de agrupamiento para agrupar los tipos de vegetaci6n en h~bttats de vida silvestre. Ciasiflcamos los 130 tipos vegetales originales en 30 tipos de hdbitats de vida sllvestre, que nosotros consideramos funcionan en forma semejante. Probamos esta clasificaci6n para evaluar si los tipos de vegetaci6n pueden ser clasificados correctamente en tipos de h~bttats basados en la composici6n de espectes sllvestres. El an~lisis discriminante clasific6 correctamente un 95% de los tipos de v...

Complex wounds are common complications in hospice and palliative medicine (HPM), especially in patients with aggressive malignancies. Myiasis, or an infestation of maggots, is a rare but significant complication of such wounds. While uncommon in the United States, many HPM patients have multiple risk factors and comorbidities that increase their vulnerability to this condition. Currently, there are no standard diagnostic or treatment guidelines for wound myiasis. In addition, common management strategies may not be easily accessible in HPM settings. We present this case of a patient with malignant squamous cell carcinoma of the neck complicated by myiasis while in hospice, and our experience diagnosing and managing her infestation. We also reflect on special considerations for HPM patients when addressing the physical and psychological symptoms of wound myiasis.