Advance care planning (ACP) is a complex and iterative communication process between patients, surrogates and clinicians that defines goals of care that may include, but is not limited to, documentation of advance directives. The aim of ACP is to promote patient-centred care tailored to the patient's clinical situation through informed preparation for the future and improved communication between patient, clinicians and surrogates, if the latter need to make decisions on patient's behalf.

The aim of this article is to review research related to ACP in acute and chronic respiratory failure, regarding the process, communication, shared decision-making, implementation and outcomes.

Research has produced controversial results on ACP interventions due to the heterogeneity of measures and outcomes, but positive outcomes have been described regarding the quality of patient–physician communication, preference for comfort care, decisional conflict and patient–caregiver congruence of preferences and improved documentation of ACP or advance directives.

The main barriers to ACP in chronic respiratory failure are the uncertainty of prognosis (particularly in the organ failure trajectory), the choice of the best timing for initiation and the lack of training of healthcare workers. In acute respiratory failure, the ACP process can be very short, should include the patient whenever possible, and is based on a discussion of treatments appropriate to the patient's functional status prior to the event (e.g. assessment of frailty) and clear communication of the likely consequences of possible options.

All healthcare worker dealing with patients with serious illnesses should have training in communication skills to promote engagement in ACP discussions.

Extracellular vesicles (EVs) released by various cells play crucial roles in intercellular communication within the respiratory system. This review explores the historical context and significance of research into extracellular vesicles. Categorised into exosomes (sized 30–150 nm), microvesicles (sized 50–1000 nm) and apoptotic bodies (sized 500–2000nm), based on their generation mechanisms, extracellular vesicles carry diverse cargoes of biomolecules, including proteins, lipids and nucleic acids. Respiratory ailments are the primary contributors to both mortality and morbidity across various populations globally, significantly impacting public health. Recent studies have underscored the pivotal role of extracellular vesicles, particularly their cargo content, in mediating intercellular communication between lung cells in respiratory diseases. This comprehensive review provides insights into extracellular vesicle mechanisms and emphasises their significance in major respiratory conditions, including acute lung injury, COPD, pulmonary hypertension, pulmonary fibrosis, asthma and lung cancer.

The e684 Helmet has been added to the e3000 Powered Air Purifying Respiratory system.

The Honeywell North Primair 900 (PA900) Series Headgear offers users an all-in-one eye, face, head and respiratory safety solution, as well as ANSI-certified and NIOSH-approved protection for a range of applications.

Salem, OR – A new comprehensive guide from Oregon OSHA intends to help small-business owners and managers develop respiratory protection programs.

What are respirator fit tests?

How do I know if I should wear a powered air purifying respirator or a supplied air respirator while welding?

When it comes to respiratory protection, what important lessons have been learned from COVID-19?

The Power Air Respiratory System e3000 is specially designed for operator protection during high-grit grinding and polishing operations.

Built off the Z-Link platform, the RPB T-Link is a cost-effective replacement/disposable hood option.

Chicago — Health care workers commonly carry respiratory viruses on their hands, clothing and personal protective equipment after administering care to patients, accentuating the need to practice “complete hand hygiene and use other PPE to prevent dissemination,” results of a recent study suggest.

Berkeley, CA — Cannabis industry workers may be at increased risk of respiratory problems as a result of on-the-job exposure to various hazards, results of a recent study led by a University of Washington professor indicate.

Washington — A new guidance document from the National Institute of Environmental Health Sciences is intended to help prevent respiratory illnesses and infections in the workplace.

Washington – A new toolkit from OSHA and NIOSH aims to help protect health care workers from transmissible diseases and other respiratory hazards.

Compliance with OSHA’s Respiratory Protection Standard (1910.134) could prevent hundreds of deaths and thousands of illnesses every year, according to the agency. Below, experts highlight new technologies being used in the respiratory protection industry and offer tips.

Washington — Staffing agencies and host employers share responsibility for protecting temporary workers from respiratory and noise hazards, according to separate bulletins recently released by OSHA as part of its Temporary Worker Initiative.

Alexandria, VA — The American Staffing Association, through an alliance with OSHA, is set to host a webinar on Nov. 9 to discuss how to protect temporary workers from exposure to airborne contaminants.

Washington — OSHA area offices must apply a four-part test before issuing General Duty Clause citations for respiratory hazards that do not have a permissible exposure limit, the agency states in a memorandum sent to regional administrators.

Washington — In recognition of 100 years of efforts to advance workplace respirator awareness, NIOSH has marked Sept. 3-6 as its inaugural Respiratory Protection Week.

Dallas — The OSHA Region 6 Training Institute Education Centers has developed a webinar on the proper implementation of a respiratory protection program during the COVID-19 pandemic.

Tumwater, WA — A new e-tool from the Washington State Department of Labor & Industries is intended to help employers and workers choose the appropriate mask, facial covering or respirator based on the COVID-19 exposure risk level of specific job duties.

Pittsburgh — NIOSH’s National Personal Protective Technology Laboratory has marked Sept. 7-10 as its annual Respiratory Protection Week, an event intended to promote proper respiratory protection practices through the sharing of related research findings and educational tools.

Washington — Knowing how to select, use and maintain NIOSH-approved respirators can help promote proper respiratory protection practices and protect construction workers from unsafe airborne contaminants, according to a new toolbox talk published by the agency and CPWR – The Center for Construction Research and Training.

Washington — The National Academies of Sciences, Engineering and Medicine is calling for two separate respiratory protection frameworks – one for workers, and one for the public – amid the COVID-19 pandemic and beyond, in a recently published report.

Washington — Officials from OSHA and NIOSH joined stakeholders from industry and labor groups in a series of recent webinars to discuss a National Academies of Sciences, Engineering and Medicine report calling for separate respiratory protection frameworks for workers and the public.

Washington — Nonfatal work-related injuries and illnesses in the U.S private sector, as well as the nonfatal injury and illness rate, decreased slightly in 2020. However, estimated injuries and illnesses that resulted in at least one day of lost work soared by nearly a third amid the COVID-19 pandemic, data released by the Bureau of Labor Statistics shows.

This free app allows industrial hygienists and safety professionals to quickly access answers to frequently asked respiratory questions; check the 3M respirator selection guide; identify 3M facepieces, cartridges and filters; walk through an overview of qualitative fit-testing protocols; and conduct fit tests.

Washington — Employers can help prevent the spread of common respiratory viruses indoors by ensuring proper workplace ventilation and limiting the use of small, shared spaces, the Environmental Protection Agency says.

Atlanta — Emissions from 3D printers may contain fine and ultrafine particles that can damage airway cells and negatively affect respiratory health, result of a recent study show.

Can respirators help protect a person from the virus that causes H1N1/09 influenza?

Knowing which type of respirator to use – and how use it properly – is crucial to protecting chimney sweeps from exposure to airborne hazards, NIOSH says in a fact sheet.

How are powered air-purifying systems protecting frontline health care workers from COVID-19?

As an employer, what are my responsibilities to protect my workers from respiratory hazards? What responsibilities do my employees have?

Pittsburgh — Respiratory Protection Week, intended to promote proper respiratory protection practices via the sharing of related research findings and educational tools, is set for Sept. 3-6.

How can emergency responders best be prepared with proper respiratory protection this hurricane season?

In 2012, exposure to harmful substances resulted in 110 work-related deaths and more than 15,000 cases with days away from work, according to the 2015 edition of the National Safety Council chartbook, “Injury Facts.”

Complex I (proton-pumping NADH:ubiquinone oxidoreductase) is the first component of the mitochondrial respiratory chain. In recent years, high-resolution cryo-EM studies of complex I from various species have greatly enhanced the understanding of the structure and function of this important membrane-protein complex. Less well studied is the structural basis of complex I biogenesis. The assembly of this complex of more than 40 subunits, encoded by nuclear or mitochondrial DNA, is an intricate process that requires at least 20 different assembly factors in humans. These are proteins that are transiently associated with building blocks of the complex and are involved in the assembly process, but are not part of mature complex I. Although the assembly pathways have been studied extensively, there is limited information on the structure and molecular function of the assembly factors. Here, the insights that have been gained into the assembly process using cryo-EM are reviewed.

Scientific evidence links mold and other factors related to damp conditions in homes and buildings to asthma symptoms in some people with the chronic disorder, as well as to coughing, wheezing, and upper respiratory tract symptoms in otherwise healthy people, says a new report from the Institute of Medicine of the National Academies.

Limitations in existing health studies have resulted in insufficient evidence to determine whether U.S. troops’ exposure to burn pit emissions and other airborne hazards in Southwest Asia are linked to adverse respiratory health outcomes, says a new report from the National Academies of Sciences, Engineering, and Medicine.

One of the most common OSHA violations is respiratory protection. Let’s dive into why and what’s required to be compliant.

The OSHA standard on respiratory protection, general industry is one of the top 10 most frequently penalized OSHA standards for FY 2022.

The danger presented by airborne contaminants, though very real, is sometimes not immediately obvious, which is why respiratory protection in contaminated environments must mean more than throwing on whatever mask is handy.

The hierarchy of controls for respiratory protection is a system designed to minimize or eliminate exposure to airborne contaminants.

This Partnership is a significant milestone in 1st Class Medical's commitment to advancing respiratory health awareness, education, and support for individuals affected by chronic obstructive pulmonary disease (COPD) and other lung conditions.

Pawprint Oxygen Steps up by Offering a 25% Discount

The Nebraska Supreme Court upheld an award of benefits to a housekeeper for a respiratory injury brought on by wearing a used face mask during the COVID-19 pandemic. Case: Prinz v.

Respiratory tract infections (RTIs) are one of the major public health concerns around the world, and public health officials agree that accurate test

In this report, we highlight that direct PCR, an extraction-free workflow: Can serve as an alternative to an extraction-based workflow for simpler, streaml

Event Begins: Wednesday, November 13, 2024 1:00pm
Location:
Organized By: University Career Center

You are invited to an interview with Mayo Clinic's Respiratory Care department on Wednesday, Nov. 13th! Our hiring leaders will be conducting virtual interviews between 11:00 AM - 1:00 PM CST. Consider joining our Respiratory Care department in Southwest MN! We are currently offering a $10,000 sign-on bonus and offer relocation assistance, in addition to ourimpressive benefits package!If you are interested in interviewing, please complete the two steps below and someone from Mayo Clinic Recruitment Team will reach out to you to confirm your appointment: 
Formally Apply Here
Schedule Interview Time Here
 Want to learn more about this opportunity? Listen to quick video about the Mayo Clinic: Why join the Mayo Clinic respiratory care team Please contact Jenna Kidd at Kidd.Jenna@mayo.edu with any questions.

Event Begins: Wednesday, November 13, 2024 1:00pm
Location:
Organized By: University Career Center

You are invited to an interview with Mayo Clinic's Respiratory Care department on Wednesday, Nov. 13th! Our hiring leaders will be conducting virtual interviews between 11:00 AM - 1:00 PM CST. Consider joining our Respiratory Care department in Austin, MN! We are currently offering a $10,000 sign-on bonus and offer relocation assistance, in addition to our impressive benefits package!If you are interested in interviewing,please complete the two steps below and someone from Mayo Clinic Recruitment Team will reach out to you to confirm your appointment: 
Formally Apply Here
Schedule Interview Time Here
 Want to learn more about this opportunity? Listen to quick video about the Mayo Clinic: Why join the Mayo Clinic respiratory care team Please contact Jenna Kidd at Kidd.Jenna@mayo.edu with any questions.