Notes

Acute T temperature inside third trimester having a baby.
Those over 65 were more likely than others to respond to all protocols, especially for the mail-only protocols. Respondents without email addresses were older, less educated, and reported worse health than those who provided email addresses. After adjusting for respondent differences, those in the combined protocol differed significantly from the mail (postal) only respondents on 2 measures of patient experience; those in the web-only protocol differed on one. Those not providing an email address differed from those who did on one measure.

If web-based protocols are used for HCAHPS surveys, adjustments for a mode of data collection are needed to make results comparable.
If web-based protocols are used for HCAHPS surveys, adjustments for a mode of data collection are needed to make results comparable.The premature turnover of newly licensed registered nurses is a costly problem prompting leaders to consider new orientation approaches. This article describes the "Best Fit Orientation"-an innovative approach for onboarding newly licensed registered nurses. It features centralized hiring, individualized orientation on diverse units, and realistic job preview tenets promoting self-evaluation, change management, relationship building, and "best fit" unit selection. Positive evaluations, high retention, and minimal added costs make this program very attractive.Representatives of three international associations reviewed literature published from 2009 to 2018 to ascertain the effectiveness of simulation use in transition to practice programs for newly licensed registered nurses (NLRNs). A review of nine quantitative studies demonstrated that simulation positively influences NLRN self-perception of skills, competence, readiness for practice, and confidence. However, evidence of objective measures of NLRN competence and the impact of simulation on patient and organizational outcomes was lacking.Clinical nurse competency can be well supported through the institution of competency-based nurse orientation programs. The aims of this quality improvement project are twofold to develop an orientation checklist that contains competency-based education techniques and assessment tools and to evaluate the usability of the competency-based orientation checklist by nursing staff. The project used a pre-post survey design to assess usability. The findings demonstrate that competency-based education and assessment increase checklist usability and increase staff satisfaction.
This study aimed to investigate whether patients with juvenile-onset type 1 diabetes mellitus (T1DM) have poorer sustained attention than their counterparts with adult-onset T1DM, and whether there is a relationship between diabetes-related variables and sustained attention.

This study included 76, 68, and 85 participants with juvenile-onset and adult-onset T1DM, and healthy controls (HCs), respectively. All participants completed the Sustained Attention to Response Task, Beck Depression Inventory-II, and the Chinese version of the Wechsler Adult Intelligence Scale.

The juvenile-onset group showed more omission errors (p = .007) than the adult-onset group and shorter reaction time (p = .005) than HCs, while the adult-onset group showed no significant differences compared with HCs. Hierarchical linear regression analysis revealed that the age of onset was associated with omission errors in T1DM participants (β = -0.275, t = -2.002, p = .047). In the juvenile-onset group, the omission error rate were asso hypoglycemia and fasting blood glucose levels are factors associated with sustained attention impairment. Early diagnosis and treatment in juvenile patients are required to prevent the detrimental effects of diabetes.
Lifestyle medicine is increasingly important in psychiatry for its efficacy as a transdiagnostic treatment, its preventative potential and its increased tolerability compared to first-line strategies. While the impact of lifestyle medicine is strong across many psychiatric illnesses, our understanding of the effectiveness of lifestyle interventions in treating obsessive-compulsive and related disorders (OCRDs) is minimal. We aimed to conduct a systematic review examining the effect of lifestyle interventions (targeting diet, exercise, sleep, stress management, and tobacco/alcohol use) on OCRDs symptoms.

We systematically searched four electronic databases for published randomized controlled trials reporting on lifestyle interventions for OCRDs. We qualitatively synthesized results of eligible studies and calculated mean changes in symptom severity from baseline to end-point and standardized between-groups effect-sizes.

We identified 33 eligible studies. Poor efficacy was noted across a number of rigoroulan to move the lifestyle interventions for OCRDs field forward. Further high quality lifestyle interventions are required to improve the certainty of findings and to inform clinical treatment guidelines.Review registration numberCRD42020151407.
To examine the association of mother's loss of a close relative before or during pregnancy with intellectual disability (ID) in the offspring.

We performed a nationwide population-based cohort study based on Danish national registries. All live-born singletons born in Denmark during 1978-2016 (n = 2,) were followed started from birth until up to 38 years of age. Log-linear Poisson Regression was used to estimate the association between maternal bereavement (the death of an older child, a partner, or a parent one year before or during pregnancy) and the risk of ID in the offspring.

Maternal bereavement during or before pregnancy was associated with an increased risk of ID (IRR = 1.15; 95%CI 1.04-1.28). The risk of ID was increased by 27% when maternal bereavement occurred during pregnancy (IRR = 1.27; 95%CI 1.08-1.49). When stratifying on the child's sex, we also observed an increased risk of ID associated with maternal bereavement during pregnancy both for male (IRR = 1.25; 95%CI 1.02-1.53) and for female (IRR = 1.31; 95%CI 1.02-1.69), respectively. The IRRs for unnatural death of a relative were also elevated (IRR = 1.22; 95%CI 0.91-1.64) in general, although the difference was not statistically significant.

Our findings suggest that prenatal stress due to maternal loss of a close relative may increase the risk of offspring's ID of both sexes, in particular when the loss happened during pregnancy.
Our findings suggest that prenatal stress due to maternal loss of a close relative may increase the risk of offspring's ID of both sexes, in particular when the loss happened during pregnancy.
The purpose of this study was to assess the association between changes in goal-striving stress (GSS) and changes in sleep duration in African Americans (AAs) and to determine if the association varies by sex, age, and/or educational attainment.

We completed a longitudinal analysis using exam 1 (2000-2004, n = 5306) and exam 3 (2009-2013, n = 3819) data from the Jackson Heart Study (JHS), with a final sample of 3500. Changes in GSS and changes in sleep duration were calculated by subtracting exam 1 GSS from exam 3 GSS. Mean differences [β(beta (standard error-SE)) between changes in GSS and changes in sleep duration were assessed using linear regression models that adjusted for length of follow-up, socio-demographics, health behaviors/risk factors, and stressors.

In the fully-adjusted models, the increase in GSS from exam 1 to exam 3 was associated with a decrease in sleep duration (minutes) from exam 1 to exam 3 in the overall cohort [β = -7.72 (2.44), p < 0.002], in high school graduates [β = -21.23 (5.63), p < 0.001], and in college graduates [β = -7.57 (3.75), p = 0.044] but not in those with less than a high school education [β = 1.49 (8.35), p = 0.86] or those who attended college but did not graduate [β = 0.44 (4.94), p = 0.93].

Changes in GSS were inversely associated with changes in sleep duration over a mean period of 8 years in AA subgroups. Interventions that reduce stress related to goal striving should be considered to help improve sleep health in AAs.
Changes in GSS were inversely associated with changes in sleep duration over a mean period of 8 years in AA subgroups. Interventions that reduce stress related to goal striving should be considered to help improve sleep health in AAs.
Neighborhood risk in childhood is associated with poor health across the lifespan. However, many people who are reared in risky neighborhoods remain healthy in adulthood. In the context of high-risk neighborhoods, controlling parenting practices might promote better physical health outcomes later in life. The current study utilized a viral challenge paradigm to examine whether parental control throughout childhood moderated the association between recalled neighborhood risk and cytokine-mediated cold susceptibility.

A sample of 209 healthy adults completed questionnaires to assess recalled neighborhood risk and parental control over the first 15 years of life, were exposed to a common cold virus, and were quarantined for six days. Researchers assessed nasal proinflammatory cytokine production and objective markers of illness. PD123319 mouse Participants were diagnosed with a clinical cold if they met infection and objective illness criteria.

A significant Neighborhood Risk × Parental Control interaction emerged to predict proinflammatory cytokine production. Further, parental control moderated the cytokine-mediated association between neighborhood risk and cold diagnosis (index = -.073, 95% CI [-.170, -.016]), likelihood of infection (index = -.071, 95% CI [-.172, -.015]), and meeting objective symptom criteria (index = -.074, 95% CI [-.195, -.005]). Specifically, there was a negative association between neighborhood risk and objective cold diagnosis and infection status at higher levels of parental control, but a nonsignificant association at lower levels of parental control.

Findings suggest that the degree to which recalled neighborhood risk is related to adult health varies as a function of parental control throughout childhood.
Findings suggest that the degree to which recalled neighborhood risk is related to adult health varies as a function of parental control throughout childhood.
Optimism is modifiable and may be associated with healthy ageing. We aim to investigate whether dispositional optimism is associated with all-cause mortality in adults aged 70 years and older.

Between 2010 and 2014, older adults free of serious cardiovascular disease and dementia were recruited through primary care physicians, and enrolled in the Aspirin Reducing Events in the Elderly (ASPREE) clinical trial. Australian ASPREE participants were invited to participate in the ASPREE Longitudinal Study of Older Persons (ALSOP) that was running in parallel to ASPREE. Optimism was assessed at baseline using the Life Orientation Test - Revised (LOT-R). The association between optimism, divided into quartiles, and all-cause mortality was assessed using Cox Proportional Hazard models.

11,701 participants (mean age 75.1 years, SD 4.24; 46.6% men) returned the ALSOP Social questionnaire and completed the LOT-R. During the median 4.7 years follow-up, 469 deaths occurred. The fully adjusted model was not significant (HR 0.
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