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HCAs, TCAs, and switches form the Infiniband network fabric. From one edge of the Infiniband fabric, a server can seamlessly reach onto an Ethernet NIC or a graphic device connected at the other edge of the fabric, thus enabling dynamic allocation and sharing of assets within a data center (Figure 11.5). The Infiniband specification defines the management layers through which it is possible to manage dynamic allocation schema. Building upon standardized layers and abstractions, it is possible for Grid communities to virtualize the agile fabric and represent it as a Grid resource by way of Web Services and a stateful model such as the Web Services Resource Framework (WSRF) [28]. In Infiniband, the link layer protocol can yield strong guarantees of reliability and frame ordering. For this, it uses a credit-based style of flow control. It also uses the concept of a Virtual Lane (VL) to support multiple logical channels within an individual physical link. VLs mitigate the well-known syndrome of head-of-line blocking, wherein traffic is needlessly held back behind a frame whose transit or destination are momentarily precluded. With regard to routing a frame through a set of Infiniband switches, researchers [29] have explored adaptive routing formulations that increase throughput, resiliency, and utilization of the network. For the network layer, Infiniband has chosen to use an IPv6 header. This choice is meant to enable straightforward composition of fabrics of fabrics by way of



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Deeply unconscious patients whose respiration has to be maintained on a ventilator, whose coma is not caused by drug overdose, clearly have a worsening prognosis as each day goes by. Amongst this group of patients, there will be some who have a zero prognosis, whose brainstems have been damaged to such an extent that they will never breathe spontaneously again. Guidelines exist to help doctors identify patients who have undergone brainstem death whilst in coma which has been supported by intensive care and mechanical ventilation (Fig. 11.8). Testing for brainstem death must be done by two independent, senior and appropriately trained specialists if treatment is to be withdrawn.

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lacked a sense of strength and comfort from religion were more likely to die in the 6 months following open heart surgery as compared to their more religiously comforted counterparts (Oxman, Freeman, & Manheimer, 1995) Religious involvement or spirituality may influence health in medical patients by multiple pathways including enhanced social support through the fellowship of organized religious activities (attending services and praying together), less fear of death, a greater acceptance of the efficacy of selfregulation techniques, greater practice of health-enhancing behaviors (eg, adequate sleep and balanced diet), and a decreased likelihood of engaging in health-compromising lifestyle behaviors (eg, substance use; Jarvis & Northcott, 1987) Many behaviors associated with the patient s daily lifestyle may play a role in health preservation or adjustment to disease.

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These behaviors include alcohol use (Vaillant, Schnurr, Baron, & Gerber, 1991), illicit drug use (National Institute on Drug Abuse, 1990), overeating patterns (Brownell & Wadden, 1992), caffeine use (Lovallo et al, 1996), tobacco smoking (Epstein & Perkins, 1988), and physical exercise (Dubbert, 1992) Importantly, contextual factors such as life stressors may increase the likelihood of engaging in health-compromising behaviors such as smoking and drug use (Duberstein, Conwell, & Yeates, 1993; King, Beals, Manson, & Trimble, 1992) and may also decrease the frequency of health-promoting behaviors such as maintaining a balanced diet, engaging in adequate physical exercise, and adhering to medication regimes (A Baum, 1994; Epstein & Perkins, 1988) Stress moderator variables such as coping strategies (Marlatt, 1985; Myers, Brown, & Mott, 1993) and social support (S.

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Richter, Brown, & Mott, 1991) can mitigate these stress triggers because increases in negative health behaviors may be more likely in stressed individuals who use poor coping strategies or who are socially isolated Poor emotional adjustment to a chronic disease or to related treatment demands may also increase the risk of relapse of smoking and drug or alcohol use or may decrease a patient s ability to maintain a restricted nutritional regimen Identifying chronic disease populations at greatest risk for such negative health behaviors through the use of a comprehensive psychosocial assessment may be key in providing them access to psychosocial intervention Psychosocial interventions capable of modifying several of these psychosocial and behavioral processes may be associated with a decreased rate of clinical progression in conditions such as coronary heart disease (Frasure-Smith & Prince, 1989; Oldenberg et al, 1985; Ornish et al.

, 1998; Williams & Chesney, 1993), HIV infection (Antoni, 2003b; Ironson et al, 1994), breast cancer (Andersen, Kiecolt-Glaser, & Glaser, 1994; Classen, Sephton, Diamond, & Spiegel, 1998; Spiegel, Kraemer, Bloom, & Gottheil, 1989; van der Pompe et al, 1994), and malignant melanoma (Fawzy, Fawzy, et al, 1993), to name a few These studies underline the importance of identifying medical patients who would be most likely to benefit from interventions that modify psychosocial and behavioral factors associated with disease recurrence and survival Comprehensive psychosocial assessment plays a clear role in this mission.

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