5 results on '"Rim, Rachel"'
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2. “Powerful Strangers”: A Reflection on Spirituality and the Chaplain–Doctor Partnership
- Author
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Rim, Rachel, primary
- Published
- 2023
- Full Text
- View/download PDF
3. Partners in Healing, Part II: Adapting & Disseminating An Interdisciplinary Curriculum on Spirituality & Medicine.
- Author
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Douglas, TJ, Rim, Rachel, Adelman, Ronald D., Overvold, Jon, and Walsh, Jean
- Subjects
- *
INTERDISCIPLINARY education , *HEALING , *SPIRITUALITY , *PSYCHOLOGICAL distress , *PATIENT-centered care , *WIDOWHOOD - Abstract
1. Drawing on a brand new curriculum syllabus, this poster presentation will enable participants to demonstrate the goals, methods and outcomes of an interdisciplinary curriculum focused on spiritual care in the hospital setting, and equip them to implement it at their specific institutions. 2. Equip participants to evaluate the benefits of a creative, reflective, multi-discipline learning environment, and its relevance to clinical care. By investigating the connection between being present to another's humanity and being present in their own, participants will gain recognition of the need for holistic spiritual care -for patients and themselves. Last year at AAHPM, TJ Douglas received a standing ovation following their presentation about an innovative, interdisciplinary spirituality curriculum inaugurated at New York Presbyterian, partnering physicians and chaplains in a creative learning environment addressing the human spirit in medicine. This year they return with results from new adaptations / applications of the curriculum, and means for implementation at other institutions. Spiritual care is a key domain of quality Palliative care. Such care requires that medical teams address the human spirit, yet medical training overlooks care for the human spirit, making it challenging to identify and mitigate patients' spiritual distress. Spiritual needs are always culturally located; thus, appropriately addressing them leads to more holistic, sensitive patient care. The aims of our curriculum were: (1) Increase clinicians' spiritual generalist skills; (2) Equip them to work collaboratively with chaplains as spiritual specialists; (3) foster reflective space to connect to self and meaning in life and work. The authors designed a 16-hour curriculum in four sessions: (1) meanings of spirituality and relevance in clinical context (2) spiritual assessment models and the role of the chaplain (3) suffering in illness; (4) death and dying. Each session consisted of a case study, large group didactic, small group discussion, creative reflection, and cross-discipline partnered reflections. This year, we have three more result pools to share. Authors conducted post-program interviews using a questionnaire addressing changes in skills, awareness & knowledge, and welcomed narrative feedback. Physicians reported increases in the following: awareness of chaplain's role; frequency of chaplaincy referrals; understanding the importance of a patient's spirit in their care plan; skill in conducting spiritual screenings / histories; ability to traverse existential terrain with patients; awareness of how spiritual distress manifests; recognizing importance of caring for their own spirit in their work. Chaplains reported greater integration into the interdisciplinary team. This curriculum enhanced the competence of participants in navigating spiritual distress and fostered meaningful connection between disciplines. It suggests that cross-discipline learning facilitates greater integration of the human spirit in medicine (both patient and clinician), strengthening comprehensive patient-centered care and mitigating clinician burnout. It is a valuable resource for any patient-centered institution. Managing Suffering and Distress; Loss, Grief, Bereavement [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. Tocotrienols inhibit human glutathione S-transferase P1-1
- Author
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Grmm Guido Haenen, Rim Rachel van Haaften, Aalt Bast, Cta Chris Evelo, Farmacologie & Toxicologie, RS: NUTRIM School of Nutrition and Translational Research in Metabolism, and Computational Biology
- Subjects
Models, Molecular ,Antioxidant ,Protein Conformation ,medicine.medical_treatment ,Clinical Biochemistry ,SDG 3 – Goede gezondheid en welzijn ,Biochemistry ,Antioxidants ,chemistry.chemical_compound ,Inhibitory Concentration 50 ,SDG 3 - Good Health and Well-being ,Genetics ,medicine ,Dinitrochlorobenzene ,Humans ,Tocopherol ,Molecular Biology ,Glutathione Transferase ,chemistry.chemical_classification ,Binding Sites ,biology ,Dose-Response Relationship, Drug ,Molecular Structure ,Vitamin E ,Tocotrienols ,food and beverages ,Cell Biology ,Glutathione ,Isoenzymes ,Enzyme ,Glutathione S-transferase ,chemistry ,Glutathione S-Transferase pi ,biology.protein ,Tocotrienol - Abstract
Tocotrienols inhibit human glutathione S-transferase P1-1.van Haaften RI, Haenen GR, Evelo CT, Bast A.Department of Pharmacology and Toxicology, Faculty of Medicine, Universiteit Maastricht, The Netherlands. R.vanHaaften@farmaco.unimaas.nlTocopherols and tocotrienols are food ingredients that are believed to have a positive effect on health. The most studied property of both groups of compounds is their antioxidant action. Previously, we found that tocopherols and diverse tocopherol derivatives can inhibit the activity of human glutathione S-transferase P1-1 (GST P1-1). In this study we found that GST P1-1 is also inhibited, in a concentration-dependent manner, by alpha- and gamma-tocotrienol. The concentration giving 50% inhibition of GST P1-1 is 1.8 +/- 0.1 microM for alpha-tocotrienol and 0.7 +/- 0.1 microM for gamma-tocotrienol. This inhibition of GST P1-1 is noncompetitive with respect to both substrates CDNB and GSH. We also examined the 3D structure of GST P1-1 for a possible tocopherol/tocotrienol binding site. The enzyme contains a very hydrophobic pit-like structure where the phytyl tail of tocopherols and tocotrienols could fit in. Binding of tocopherol and tocotrienol to this hydrophobic region might lead to bending of the 3D structure. In this way tocopherols and tocotrienols can inhibit the activity of the enzyme; this inhibition can have far-reaching implications for humans
- Published
- 2002
5. Saltwater Hope.
- Author
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Rim, Rachel
- Subjects
- SALTWATER Hope (Poem), RIM, Rachel
- Abstract
The poem "Saltwater Hope" by Rachel Rim is presented. First Line: Sometimes you can choke to death on the; Last Line: belongs to Hope?
- Published
- 2014
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