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Thus, the measurement structures of the TCDFS-2 were quite different between the schizophrenic patients and healthy subjects. The flow states experienced by the schizophrenic patients might not entirely be the same as those of the healthy subjects.

Thus, the measurement structures of the TCDFS-2 were quite different between the schizophrenic patients and healthy subjects. The flow states experienced by the schizophrenic patients might not entirely be the same as those of the healthy subjects.

To describe clinical practice interventions aimed at providing Family-Centred Care in intensive care units during the COVID-19 pandemic.

A systematic review was carried out following the PRISMA recommendations in various databases PubMed, Cinahl, Web of Science, Scopus, and Google Scholar were consulted, as well as within the grey literature found on the web pages of official organizations related to Intensive Care Medicine and Nursing.

Adult intensive care unit.

The search yielded 209 documents of which 24 were included in this review eight qualitative studies, seven protocols and recommendations from official bodies, one mixed-method studies, five descriptive studies, one cross-sectional study, one pilot program and one literature review. A thematic analysis revealed four major themes the use of communication systems, multidisciplinary interventions; the promotion of family engagement and family support. The results show different strategies that can be implemented in clinical practice to solve the difficulties encountered in Family-Centred Care in critical care units during the COVID-19 pandemic.

There is a great variety in the nature of the interventions developed, with the use of telecommunication systems in daily practice being the most repeated aspect. Future research should aim to assess whether the interventions implemented increase the quality of patient and family care by meeting their needs.

There is a great variety in the nature of the interventions developed, with the use of telecommunication systems in daily practice being the most repeated aspect. Future research should aim to assess whether the interventions implemented increase the quality of patient and family care by meeting their needs.

Post-pyloric feeding tubes are used for intensive care patients unable to tolerate gastric feeding. The Kangaroo Feeding Tube with IRIS Technology (‘IRIS’) uses real-time visualisation of anatomical markers to guide bedside placement, however limited studies currently explore post-pyloric insertions in mechanically ventilated patients. We describe a case series of ‘IRIS’ post-pyloric placements performed by trained intensivists and dietitians.

This was a prospective, single-centred clinical effectiveness study of mechanically ventilated adults referred for bedside post-pyloric tube placement between May 2020 and May 2021. The feasibility, success rates, anatomical visualisation using ‘IRIS’ and nutritional outcomes were documented.

Twelve patients were included in total. The primary indication for post-pyloric placement was gastric feeding intolerance, with a median of 3.5 (IQR 0-6) days with inadequate nutrition prior to placement. All tubes were inserted within 24h of referral as there was always a trequired to confirm these findings and explore the effectiveness of ‘IRIS’ in achieving deep small-intestinal placement.This overview summarises the current evidence on efficacy and safety of single-fraction stereotactic ablative body radiotherapy (SABR) for primary lung cancers and lung metastases, in comparison with the more widely adapted multi-fraction SABR regimens. A literature search using the Medline database through PubMed was carried out using the following key words (‘stereotactic’ or ‘sabr’ or ‘sbrt’), (‘radiotherapy’ or ‘radiation therapy’), (‘lung’ or ‘thorax’ or ‘thoracic’ or ‘chest’), (‘cancer’ or ‘metasta-‘ or ‘oligometasta-‘), alongside (i) (‘single-fraction’ or ‘single-dose’) to identify trials and cohort studies with single-fraction SABR to lung malignant tumours and (ii) (‘fraction’ or ‘schedule’) limiting the search to ‘clinical trial’ and ‘randomized controlled trial’ to ensure thorough capture of lung SABR trials comparing different fractionations. The review discusses the radiobiological, technical and organ at risk considerations of single-fraction SABR to the lung.

The study aimed to evaluate the morphologic changes in the pharyngeal airway after bimaxillary surgery in skeletal Class III malocclusion patients with or without asymmetry. We also analyzed the correlation between positional changes in the menton, hyoid bone, and changes in the dimensions of the pharyngeal airway.

We included 32 patients with skeletal Class III malocclusion who underwent bimaxillary surgery. There were 16 subjects in the symmetry group (10 male, 6 female; mean age, 22.44 ± 5.14 years), and 16 in the asymmetry group (10 male, 6 female; mean age, 21.38 ± 4.62 years). Preoperative and postoperative (2 months after surgery) cone-beam computed tomography scans were taken and then analyzed by comparing postoperative changes in each group.

The anteroposterior lengths at the uvula level (P2L) and epiglottis level (P3L) were significantly decreased in the symmetry group. The P2L was also significantly decreased in the asymmetry group, and a difference in the P3L was observed. However, there wassurgery was observed in both the symmetry and asymmetry groups. Bimaxillary surgery with a mandibular setback in patients with skeletal Class III malocclusion worsened morbidity of the elliptical structure of the pharyngeal airway. However, it worsened less in the asymmetry group than in the symmetry group.

Childhood adversity is associated with poorer health and lower academic achievement later in life. Poor math skills in particular place individuals at higher risk for physical and mental illness, unemployment, and incarceration, suggesting math achievement may be one explanatory mechanism linking adversity to later functioning. While it is well documented that children’s adversity is associated with lower academic achievement, it is also plausible that adversity mothers experience across their lifetime may affect the child’s academic achievement.

Determine whether adversity children directly experience and adversity mothers experience in their own childhood and/or adulthood is related to children’s kindergarten math skills.

91 Mothers completed the Assessment of Parent and Child Adversity questionnaire, and their kindergartners completed the KeyMath-3 Diagnostic Assessment.

Maternal childhood adversity, but not adulthood adversity, was negatively related to children’s numeration (β = -0.27, 95% CI [-0.48, -0.05], p = .015) and addition/subtraction abilities in kindergarten (β = -0.25, 95% CI [-0.46, -0.04], p = .023). Maternal childhood maltreatment and other adversity were together related to their child’s numeration only (R

 = 0.08, 95% CI [0.02, 0.23], p = .026). Prevalence of children’s direct adversity was low and not related to their kindergarten math skills.

Our findings suggest that adversity impacts children’s math skills as early as kindergarten via the intergenerational transmission of maternal adversity. Mothers that experienced early-life adversity and their children may benefit from early intervention to level the playing field at school entry.

Our findings suggest that adversity impacts children’s math skills as early as kindergarten via the intergenerational transmission of maternal adversity. Mothers that experienced early-life adversity and their children may benefit from early intervention to level the playing field at school entry.

Throughout my graduate coursework, several classes focused on trauma. Considering my experiences, I searched to gain insight into group level trauma adoptees face due to our unique status and common societal factors that influence adoption. Exploring the trauma literature, I found that none of the terms quite represented the complex characteristics of adoption.

Realizing the limitations of current trauma definitions, I sought to name group trauma for adoptees and thereby legitimize and validate my and other adoptees’ experiences.

I am the sole participant. The research was conducted in St. Louis, Missouri.

In this autoethnography, I recount academic experiences that have shaped my emerging and interconnected identities as an adoptee and social worker. I analyze the traumatic and empowering impacts of gaining more information about adoption as a politically and economically influenced system.

Examining my intertwined adoption and academic journeys, I propose a trauma and healing of consciousness framrventions that can provide hope and enable people to move forward.

Low socioeconomic status and neighborhood context has been linked to poor health care outcomes after total knee arthroplasty (TKA). The area deprivation index (ADI) addresses this relationship by ranking neighborhoods by socioeconomic disadvantage. We examined the following relationships of the ADI among TKA recipients (1) patient demographics, (2) lengths of stay (LOS), (3) nonhome discharges, and (4) 90-day readmissions, emergency department visits, and reoperations.

We reviewed a consecutive series of primary TKAs from 2018 through 2020 at a tertiary health care system. A total of 3928 patients who had complete ADI data were included. A plurality of patients (14.9%) were categorized within ADI 31-40, below the national median ADI of 47. Associations between the national ADI decile and 90-day postoperative health care utilization metrics were evaluated using multivariate regressions (adjusted for patient demographics and comorbidities).

The 91-100 ADI cohort was disproportionately African American, female, younger, and smokers. MST312 Compared with ADI 31-40 (reference), the ADI 61-70 cohort was associated with higher odds of LOS ≥3 days (odds ratio [OR]= 1.6 [1.08-2.36], P= .019) and nonhome discharges (OR= 1.73 [1.08-2.75], P=.021). The ADI 91-100 cohort was associated with the highest odds of prolonged LOS (OR= 2.27; [1.47-3.49], P < .001), nonhome discharges (OR= 3.49 [2.11-5.78], P < .001), and all-cause readmissions (OR 1.79, [1.02-3.14], P= .044). No significant associations were found between the ADI and 90-day emergency department visits or reoperations (P > .05).

A higher ADI was associated with prolonged LOS, nonhome discharge status, and 90-day readmissions after TKA. This index highlights potential areas of intervention for assessing health care outcomes.

A higher ADI was associated with prolonged LOS, nonhome discharge status, and 90-day readmissions after TKA. This index highlights potential areas of intervention for assessing health care outcomes.

We investigated whether surgical skill and procedure were related to oncological outcomes in cervical cancer patients who underwent Laparoscopic Radical Hysterectomy (LRH).

We previously assessed data of LRH from 251 patients with FIGO stage (2009) IA2, IB1and IIA1 cervical cancer collected for JGOG 1081s study. 1) The JGOG 1081s cohort study was re-examined to refine the surgical details and extend the follow-up period as chart review. 2) Unedited videos for recurrent cases and matched non-recurrent control cases were newly compared by experts for various surgical skills and surgical procedures using the modified Objective Structured Assessment of Technical Skills (OSATS) tool, without awareness of the recurrence status as video review.

After a median follow-up of 46 months, tumors had recurred in 31 of the 251 patients. The five-year Recurrence-Free Survival rate was 86.9% (81.8-90.6) and five-year Overall Survival rate was 93.7% (87.5-96.8). Multivariate analysis from chart reviews found that an experience with LRH of less than 20 cases per institution was an independent prognostic factor for recurrence (Hazard Ratio (HR) 2.