Populations that evolved in the presence of alternating stressors may thus cope less well with each stressor, and their evolutionary response may be slower than for populations that evolved in response to a single stressor.
We speculate that increased volumes in relatively under-resourced centres would negatively impact the quality of patient education and support; patients for whom peritoneal dialysis is less socially appropriate may cope less well with the modality, and patients having to travel further for care may experience more rapid burn-out and need transfer to haemodialysis.
Thus, at this point we may conclude that for TPE, it would be more efficient to recruit the less motivated patients who are coping less well.
Instances of enabling other patients included sharing strategies used to self-manage passing on advice and experience to those coping less well.
The study findings would suggest that younger people were particularly vulnerable and were coping less well with the consequences of EI.
The factor was derived from the patient interviews, and is interesting as it relates to current self-management initiatives in the NHS, such as the Expert Patients Programme [ 88], and the Health Trainers initiative [ 89], which both rely on non-professionals to teach and empower patients who may be coping less well with their long-term conditions [ 46].
Partly, that's intentional: the trio of female scriptwriters have equated swearing with sophistication, so our leads spout a lot of incongruous raunch talk (Heigl copes with "cock" less well than, say, "Get me a warm saline and an intravenous CBC chem 7").
Sadly half of the patients with the most common, most aggressive brain tumour will die within six months of diagnosis, so a lot of time in clinic is spent talking to patients and exploring how they feel, and how they and their family are coping as they become less well.
Why do some families cope very well and others less well?
And the smoking ban, which comes into effect in England on July 1, is also an incentive to invest in restaurants rather than bars or pubs, which are generally less well placed to cope with the change.
For European countries, it should be apparent that recruiting health workers from overseas does not solve the global workforce crisis; it only shifts shortages to a country that is even less well situated to cope with the shortages, potentially inducing life-threatening situations in those countries.
