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Design: Prospective cohort. Sampled were patients and nurses caring for patients enrolled in SUPPORT (1989-91), a multicenter study of seriously-ill hospitalized adults at four U.S. hospitals.

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Methods: Information about patient preferences was obtained by interviews with patients and their designated surrogates. For selected patients, nurses were interviewed prospectively about their understanding of patients' preferences and whether they discussed these preferences with their patients. Nurse demographic information was obtained by questionnaire. Additional patient data were obtained by interview and chart review. Logistic regression was used to identify independent correlates of nurse-patient communication and nurses' understanding of patients' preferences.

Conclusions: In this sample of seriously ill hospitalized adults, discussions between patients and nurses about CPR were infrequent. Nurses' understanding of patients' preferences for care was similar to that of physicians and patients' surrogate decision-makers. Educational interventions should focus on increasing the frequency of nurse-patient discussions about end-of-life care and improving nurses' understanding of patients' preferences for care.

Bray, Dennis and Grit Martinez 2011: A survey of the perceptions of regional political decision makers concerning climate change and adaptation in the German Baltic Sea region. International BALTEX Secretariat Publications, Publication No. 50. Geesthacht.

Ten percent of all addressed stakeholders participated in the opinion poll. The analysis of the poll shows that climate change at the German Baltic Sea Coast is being recognized as a problem and that the need for pro-active and quick adaptation measures at the community level is being acknowledged. In order to have a better understanding of possible options for action, the regional stakeholders are in need of further and easily understandable research as well as information on regional issues and needs.

The questionnaire was conducted by Ecologic Institute Berlin and Helmholtz-Zentrum Geesthacht, previously GKSS and supported by BALTEX (the Baltic Sea Experiment). Results have been published in German and English. The opinion poll is part of the project RADOST (Regional adaptation measures for the Germany Baltic Sea Coast), which is headed by Ecologic Institute and sponsored within the research program "KLIMZUG-Climate Change in regions" of the German Federal Ministry of Education and Research.

Regional political decision makers in other Baltic Sea states will also be interviewed. In this context, meetings with community actors in the coastal regions in Poland, Lithuania, Latvia and Estonia will take place in autumn 2011. Further information is available at Cirum Mare Balticum. Community stakeholders of Baltic communities in Sweden, Denmark and Finland will be addressed by an online-survey.

Martinez, Grit; Daniel Blobel; Livia Bizikova and Rob Swart 2011: "Emerging Climate Change Coastal Adaptation Strategies and Case Studies around the World", in: Gerald; Hofstede Schernewski, Jacobus; Neumann, Thomas (ed.): Global Change and Baltic Coastal Zones Coastal Research Library, Vol. 1]. Berlin and Heidelberg: Springer-Verlag GmbH, 249-273.

A microbrewery, textiles studio, furniture store, property developer and a community centre are all in line for business skills support from Marks & Spencer and a cash grant of up to 10,000 after reaching the final of the Plymouth leg of the M&S Community Business Challenge.

Over the coming weeks the community businesses will be supported to create a short video about their work and encouraged to garner support across social media, ahead of presenting their work at a prestigious celebration event at Devonport Guildhall on Thursday, May 30, where the size of their grant and the nature of the business skills support will be confirmed. The event is open to the public and is free to attend, but spaces are limited. Anyone interested should sign up on Eventbrite here [add link].

The M&S Community Business Challenge opened in Liverpool in 2018 and will run heats in Bristol and Bradford later in 2019. For more information about the programme, search #CBChallenge on Youtube and Twitter or visit www.communitybusinesschallenge.co.uk

About Power to Change: Power to Change is the independent trust that supports community businesses in England. Community businesses are locally rooted, community-led, trade for community benefit and make life better for local people. The sector is worth 1.05 billion, and comprises 7,800 community businesses across England who employ 33,600 people (Source: Community Business Market 2018).

From pubs to libraries; shops to bakeries; swimming pools to solar farms; communitybusinesses are creating great products and services, providing employment and training and transforming lives. Power to Change received its endowment from the National Lottery Community Fund in 2015.

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