PMID- 32731696 OWN - NLM STAT- MEDLINE DCOM- 20200804 LR - 20200804 IS - 0043-5147 (Print) IS - 0043-5147 (Linking) VI - 73 IP - 4 DP - 2020 TI - Medical and psychological aspects of safety and adaptation of military personnel to extreme conditions. PG - 679-683 AB - OBJECTIVE: The aim: To determine the dynamics of adaptation resources and the level of psychological safety of the personality in service members of the National Guard of Ukraine who participated in combat operations in the East of Ukraine. PATIENTS AND METHODS: Materials and methods: To determine the peculiarities of military personnel adaptation to the combat activity, the "Adaptability-200" and "Disdaptability-45" methodologies were used. To determine the level of psychological safety of combatants we used "Diagnosis of psychological safety personality" and "Express diagnosis of psychological safety personality" Methodologies. The study was carried out during 2017, with 163 military participating. RESULTS: Results: Being 2-3 weeks in combat conditions, 54% service members revealed high, 32% - average level of adaptability, and in 14% of them signs of non-adaptability were detected. The data of adaptation resources of combatants correlates with the results of diagnostics of psychological safety of personality: in 43% of them high level, 42% - average and 15% - low level of psychological safety were revealed. CONCLUSION: Conclusions: The data obtained in the absolute majority of service members (86%) shows a good adaptability to combat conditions, and allows predicting adequate response to extreme conditions, high probability of preserving of the mental health and disability after the influence of vital factors. FAU - Prykhodko, Ihor I AU - Prykhodko II AD - National Academy of the National Guard of Ukraine, Kharkiv, Ukraine. FAU - Bielai, Serhii V AU - Bielai SV AD - National Academy of the National Guard of Ukraine, Kharkiv, Ukraine. FAU - Hrynzovskyi, Anatolii M AU - Hrynzovskyi AM AD - Bogomolets National Medical University, Kyiv, Ukraine. FAU - Zhelaho, Anatolii М AU - Zhelaho AМ AD - National Academy of the National Guard of Ukraine, Kharkiv, Ukraine. FAU - Hodlevskyi, Serhii O AU - Hodlevskyi SO AD - National Academy of the National Guard of Ukraine, Kharkiv, Ukraine. FAU - Kalashchenko, Svitlana I AU - Kalashchenko SI AD - Bogomolets National Medical University, Kyiv, Ukraine. LA - eng PT - Journal Article PL - Poland TA - Wiad Lek JT - Wiadomosci lekarskie (Warsaw, Poland : 1960) JID - 9705467 SB - IM MH - Adaptation, Physiological MH - Humans MH - Mental Health MH - *Military Personnel MH - Personality MH - Ukraine OTO - NOTNLM OT - adaptation OT - psychological safety OT - service members OT - extreme conditions EDAT- 2020/08/01 06:00 MHDA- 2020/08/05 06:00 CRDT- 2020/08/01 06:00 PHST- 2020/08/01 06:00 [entrez] PHST- 2020/08/01 06:00 [pubmed] PHST- 2020/08/05 06:00 [medline] PST - ppublish SO - Wiad Lek. 2020;73(4):679-683. PMID- 10151618 OWN - NLM STAT- MEDLINE DCOM- 19951205 LR - 20220408 IS - 0963-8172 (Print) IS - 0963-8172 (Linking) VI - 4 IP - 2 DP - 1995 Jun TI - Understanding adverse events: human factors. PG - 80-9 AB - (1) Human rather than technical failures now represent the greatest threat to complex and potentially hazardous systems. This includes healthcare systems. (2) Managing the human risks will never be 100% effective. Human fallibility can be moderated, but it cannot be eliminated. (3) Different error types have different underlying mechanisms, occur in different parts of the organisation, and require different methods of risk management. The basic distinctions are between: Slips, lapses, trips, and fumbles (execution failures) and mistakes (planning or problem solving failures). Mistakes are divided into rule based mistakes and knowledge based mistakes. Errors (information-handling problems) and violations (motivational problems) Active versus latent failures. Active failures are committed by those in direct contact with the patient, latent failures arise in organisational and managerial spheres and their adverse effects may take a long time to become evident. (4) Safety significant errors occur at all levels of the system, not just at the sharp end. Decisions made in the upper echelons of the organisation create the conditions in the workplace that subsequently promote individual errors and violations. Latent failures are present long before an accident and are hence prime candidates for principled risk management. (5) Measures that involve sanctions and exhortations (that is, moralistic measures directed to those at the sharp end) have only very limited effectiveness, especially so in the case of highly trained professionals. (6) Human factors problems are a product of a chain of causes in which the individual psychological factors (that is, momentary inattention, forgetting, etc) are the last and least manageable links. Attentional "capture" (preoccupation or distraction) is a necessary condition for the commission of slips and lapses. Yet, its occurrence is almost impossible to predict or control effectively. The same is true of the factors associated with forgetting. States of mind contributing to error are thus extremely difficult to manage; they can happen to the best of people at any time. (7) People do not act in isolation. Their behaviour is shaped by circumstances. The same is true for errors and violations. The likelihood of an unsafe act being committed is heavily influenced by the nature of the task and by the local workplace conditions. These, in turn, are the product of "upstream" organisational factors. Great gains in safety can ve achieved through relatively small modifications of equipment and workplaces. (8) Automation and increasing advanced equipment do not cure human factors problems, they merely relocate them. In contrast, training people to work effectively in teams costs little, but has achieved significant enhancements of human performance in aviation. (9) Effective risk management depends critically on a confidential and preferable anonymous incident monitoring system that records the individual, task, situational, and organisational factors associated with incidents and near misses. (10) Effective risk management means the simultaneous and targeted deployment of limited remedial resources at different levels of the system: the individual or team, the task, the situation, and the organisation as a whole. FAU - Reason, J AU - Reason J AD - Department of Psychology, University of Manchester, UK. LA - eng PT - Journal Article PL - England TA - Qual Health Care JT - Quality in health care : QHC JID - 9209948 MH - Accidents, Occupational/*prevention & control/psychology MH - Automation MH - Behavior MH - England MH - Health Personnel/*psychology MH - Health Services Research MH - Humans MH - Iatrogenic Disease/*prevention & control MH - Patient Care Team/standards MH - Psychology, Industrial MH - Risk Management/*standards PMC - PMC1055294 EDAT- 1995/05/08 00:00 MHDA- 1995/05/08 00:01 PMCR- 1995/06/01 CRDT- 1995/05/08 00:00 PHST- 1995/05/08 00:00 [pubmed] PHST- 1995/05/08 00:01 [medline] PHST- 1995/05/08 00:00 [entrez] PHST- 1995/06/01 00:00 [pmc-release] AID - 10.1136/qshc.4.2.80 [doi] PST - ppublish SO - Qual Health Care. 1995 Jun;4(2):80-9. doi: 10.1136/qshc.4.2.80. PMID- 38013921 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231129 IS - 2353-561X (Electronic) IS - 2353-4192 (Print) IS - 2353-561X (Linking) VI - 10 IP - 2 DP - 2022 TI - The model of psychological safety of a soldier's personality. PG - 112-122 LID - 10.5114/cipp.2021.108684 [doi] AB - BACKGROUND: From 2014 to the present, Ukrainian military personnel have been fighting in Eastern Ukraine against illegal armed formations of separatists. The resulting combat stress negatively affects servicemen's mental health status. This study aimed to examine the factor structure of a scale to assess the psychological safety of a soldier's personality (PSSP), taking into account changes in the conditions of military service to improve the professional and psychological training of military personnel. PARTICIPANTS AND PROCEDURE: The study involved 118 officers of the National Guard of Ukraine. The semantic differential method, expert judgment, and exploratory factor analysis were used to determine the factor structure of the PSSP. RESULTS: The PSSP model to maintain combat readiness in daily activities includes four components: "Moral and communicative", "Motivational and volitional", "Value and meaning of life" and "Inner comfort". For activities in extreme conditions (during combat deployment), the personality potential of four structural components is used: "Moral and volitional regulation", "Coping strategies", "Value and meaning of life" and "Post-traumatic growth/regression". CONCLUSIONS: The PSSP model consists of four components that have different content depending on the conditions for performance of professional tasks by military personnel. It is advisable to use the obtained results of the content of the PSSP model in the development of professional and psychological training programs for the purposeful formation of the resilience of military personnel, taking into account the conditions of their activities. CI - Copyright © Institute of Psychology, University of Gdansk. FAU - Prykhodko, Ihor AU - Prykhodko I AUID- ORCID: 0000-0002-4484-9781 AD - National Academy of the National Guard of Ukraine, Kharkiv, Ukraine. LA - eng PT - Journal Article DEP - 20210921 PL - Poland TA - Curr Issues Personal Psychol JT - Current issues in personality psychology JID - 101694413 PMC - PMC10653560 OTO - NOTNLM OT - combat readiness OT - extreme conditions OT - military personnel OT - military service OT - security EDAT- 2021/09/21 00:00 MHDA- 2021/09/21 00:01 PMCR- 2021/09/21 CRDT- 2023/11/28 03:56 PHST- 2021/03/14 00:00 [received] PHST- 2021/04/15 00:00 [revised] PHST- 2021/07/25 00:00 [accepted] PHST- 2021/09/21 00:01 [medline] PHST- 2021/09/21 00:00 [pubmed] PHST- 2023/11/28 03:56 [entrez] PHST- 2021/09/21 00:00 [pmc-release] AID - 140500 [pii] AID - 10.5114/cipp.2021.108684 [doi] PST - epublish SO - Curr Issues Personal Psychol. 2021 Sep 21;10(2):112-122. doi: 10.5114/cipp.2021.108684. eCollection 2022. PMID- 2700138 OWN - NLM STAT- MEDLINE DCOM- 19900717 LR - 20191029 IS - 0950-3552 (Print) IS - 0950-3552 (Linking) VI - 3 IP - 4 DP - 1989 Dec TI - Premenstrual syndrome. PG - 687-704 AB - The term premenstrual syndrome is often used to describe several clinical conditions. Only a full history covering not only reproductive but also psychological and social factors, combined with daily diaries which are kept prospectively for at least two months, can help clarify the problems the patient experiences. As it is the timing rather than the type of symptoms which is essential to a diagnosis, diaries are used to assess symptoms, make a diagnosis and monitor the effectiveness of therapy. Patients with premenstrual syndrome should therefore always keep a diary and bring it to every consultation. We do not know if patients complaining of premenstrual syndrome are at one extreme of a spectrum disorder or if they are a 'specific group'. Such patients may have classical premenstrual syndrome, perimenstrual distress, benign idiopathic oedema, dysmenorrhoea, cyclical benign breast disease or mood symptoms which are not significantly related to the menstrual cycle. There are many aetiological theories--biological, psychological, environmental and social, the syndrome being a complex psychosomatic disorder. For appropriate management an accurate diagnostic formation is required. Reassurance, stress management techniques, an improvement in general mental and physical well-being, information and education are the mainstays of therapy. Symptomatic relief of symptoms is often helpful. Many other managements have been tried with the aim of correcting the underlying aetiological case. These include vitamins, prostaglandin inhibitors and endocrine therapies. As the disorder is long-term, the safety of treatments should be carefully considered. FAU - Sampson, G A AU - Sampson GA LA - eng PT - Journal Article PT - Review PL - England TA - Baillieres Clin Obstet Gynaecol JT - Bailliere's clinical obstetrics and gynaecology JID - 8710782 SB - IM MH - Female MH - Humans MH - *Premenstrual Syndrome/psychology RF - 67 EDAT- 1989/12/01 00:00 MHDA- 1989/12/01 00:01 CRDT- 1989/12/01 00:00 PHST- 1989/12/01 00:00 [pubmed] PHST- 1989/12/01 00:01 [medline] PHST- 1989/12/01 00:00 [entrez] AID - 10.1016/s0950-3552(89)80060-4 [doi] PST - ppublish SO - Baillieres Clin Obstet Gynaecol. 1989 Dec;3(4):687-704. doi: 10.1016/s0950-3552(89)80060-4. PMID- 35998957 OWN - NLM STAT- MEDLINE DCOM- 20220825 LR - 20240903 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 12 IP - 8 DP - 2022 Aug 23 TI - Relationship between working conditions and psychological distress experienced by junior doctors in the UK during the COVID-19 pandemic: a cross-sectional survey study. PG - e061331 LID - 10.1136/bmjopen-2022-061331 [doi] LID - e061331 AB - OBJECTIVES: This paper explored the self-reported prevalence of depression, anxiety and stress among junior doctors during the COVID-19 pandemic. It also reports the association between working conditions and psychological distress experienced by junior doctors. DESIGN: A cross-sectional online survey study was conducted, using the 21-item Depression, Anxiety and Stress Scale and Health and Safety Executive scale to measure psychological well-being and working cultures of junior doctors. SETTING: The National Health Service in the UK. PARTICIPANTS: A sample of 456 UK junior doctors was recruited online during the COVID-19 pandemic from March 2020 to January 2021. RESULTS: Junior doctors reported poor mental health, with over 40% scoring extremely severely depressed (45.2%), anxious (63.2%) and stressed (40.2%). Both gender and ethnicity were found to have a significant influence on levels of anxiety. Hierarchical multiple linear regression analysis outlined the specific working conditions which significantly predicted depression (increased demands (β=0.101), relationships (β=0.27), unsupportive manager (β=-0.111)), anxiety (relationships (β=0.31), change (β=0.18), demands (β=0.179)) and stress (relationships (β=0.18), demands (β=0.28), role (β=0.11)). CONCLUSIONS: The findings illustrate the importance of working conditions for junior doctors' mental health, as they were significant predictors for depression, anxiety and stress. Therefore, if the mental health of junior doctors is to be improved, it is important that changes or interventions specifically target the working environment rather than factors within the individual clinician. CI - © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. FAU - Dunning, Alice AU - Dunning A AUID- ORCID: 0000-0001-5078-7567 AD - Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK alice.dunning@bthft.nhs.uk. FAU - Teoh, Kevin AU - Teoh K AUID- ORCID: 0000-0002-6490-8208 AD - Department of Organizational Psychology, Birkbeck University of London, London, UK. FAU - Martin, James AU - Martin J AD - Institute of Applied Health Research, University of Birmingham, Birmingham, UK. FAU - Spiers, Johanna AU - Spiers J AUID- ORCID: 0000-0002-3935-1997 AD - College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK. FAU - Buszewicz, Marta AU - Buszewicz M AD - Research Department of Primary Care and Population Health, University College London, London, UK. FAU - Chew-Graham, Carolyn AU - Chew-Graham C AUID- ORCID: 0000-0002-9722-9981 AD - School of Medicine, Keele University, Keele, UK. FAU - Taylor, Anna Kathryn AU - Taylor AK AUID- ORCID: 0000-0002-8149-3841 AD - School of Medicine, University of Leeds, Leeds, UK. FAU - Gopfert, Anya AU - Gopfert A AD - School of Medicine, Oxford University Hospitals NHS Trust, Oxford, UK. FAU - Van Hove, Maria AU - Van Hove M AD - London School of Hygiene & Tropical Medicine, London, UK. FAU - Appleby, Louis AU - Appleby L AD - Department of Psychiatry & Behavioral Sciences, The University of Manchester Faculty of Medical and Human Sciences, Manchester, UK. FAU - Riley, Ruth AU - Riley R AUID- ORCID: 0000-0001-8774-5344 AD - School of Health Sciences, University of Surrey, Guildford, UK. LA - eng GR - DH_/Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220823 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 SB - IM MH - *COVID-19/epidemiology MH - Cross-Sectional Studies MH - Depression/epidemiology/psychology MH - Humans MH - Pandemics MH - *Psychological Distress MH - State Medicine MH - United Kingdom/epidemiology PMC - PMC9402444 OTO - NOTNLM OT - COVID-19 OT - education & training (see medical education & training) OT - health & safety OT - human resource management OT - organisational development OT - quality in health care COIS- Competing interests: None declared. EDAT- 2022/08/24 06:00 MHDA- 2022/08/26 06:00 PMCR- 2022/08/23 CRDT- 2022/08/23 20:52 PHST- 2022/08/23 20:52 [entrez] PHST- 2022/08/24 06:00 [pubmed] PHST- 2022/08/26 06:00 [medline] PHST- 2022/08/23 00:00 [pmc-release] AID - bmjopen-2022-061331 [pii] AID - 10.1136/bmjopen-2022-061331 [doi] PST - epublish SO - BMJ Open. 2022 Aug 23;12(8):e061331. doi: 10.1136/bmjopen-2022-061331. PMID- 36648178 OWN - NLM STAT- MEDLINE DCOM- 20230118 LR - 20230126 IS - 0042-8833 (Print) IS - 0042-8833 (Linking) VI - 91 IP - 6 DP - 2022 TI - [Specialized vitamin-mineral supplements for persons in extreme conditions]. PG - 6-16 LID - 10.33029/0042-8833-2022-91-6-6-16 [doi] AB - Monitoring the actual nutrition of various groups of the population of the Russian Federation indicates the presence of pronounced deficiencies of essential micronutrients, and above all vitamins and biologically active compounds. Deficiency of many micronutrients is a risk factor for the development of a number of conditions (anxiety, depression, etc.) and non-communicable diseases (cardiovascular, cognitive and neuromuscular disorders). It reduces the effectiveness of the treatment of injuries and wounds, and also leads to a negative effect on the antioxidant protection of the body and a more pronounced response to stress. To prevent long-term consequences, the population is primarily provided with psychological assistance, not always paying due attention to healthy nutrition. The aim of the research was to substantiate and develop vitamin-mineral supplements (VMS) for special purposes to restore impaired functions in various population groups in extreme situations, including those located in the zones of a special military operation. Material and methods. A review of the literature on the problem in recent years was carried out using the databases of the RSCI, Google Scholar, ResearchGate, PubMed by the keywords "B vitamins", "vitamin-mineral supplement", "military personnel", "mood", "efficiency", "depression", "refugees", «multivitamin», «conflict», "efficiency". Results. In an emergency situation, under conditions of high physiological (physical and neuropsychiatric) stress, the requirements in micronutrients increase. An inverse association between micronutrient status and the development of symptoms of depression, sleep disturbance has been found. The analysis of the data on the administration of VMS with different composition in the nutrition of the population and law enforcement officers showed the effectiveness of its intake for all persons in the zone of military conflicts. At the same time, VMS should contain a complete set of vitamins, in doses for B vitamins 200-300% of the recommended daily intake (RDI), vitamin D and other vitamins in a dose of 100%, magnesium, zinc, iodine, iron - in doses up to 50% of RDI. The administration of such VMS for 1-6 months provides an increase in blood serum vitamin level and antioxidant activity, leads to an improvement in functional adaptation and military professional performance, increases self-esteem of health, reduces symptoms of stress and anxiety, improves the mood. Conclusion. The expediency of including VMS for special purposes in the nutrition of both military personnel and the entire population in the zone of military conflict has been proved. Enrichment of the diet with micronutrients is a reliable non-drug prevention of health disorders caused by stress in emergency. CI - Copyright© GEOTAR-Media Publishing Group. FAU - Kodentsova, V M AU - Kodentsova VM AUID- ORCID: 0000-0002-5288-1132 AD - Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation. FAU - Zhilinskaya, N V AU - Zhilinskaya NV AUID- ORCID: 0000-0002-1596-1213 AD - Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation. FAU - Salagay, O O AU - Salagay OO AUID- ORCID: 0000-0002-4501-7514 AD - Ministry of Health of the Russian Federation, 127051, Moscow, Russian Federation. FAU - Tutelyan, V A AU - Tutelyan VA AUID- ORCID: 0000-0002-4164-8992 AD - Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation. AD - I.M. Sechenov First Moscow State Medical University of Ministry of Healthcare of the Russian Federation (Sechenov University), 119435, Moscow, Russian Federation. LA - rus PT - English Abstract PT - Journal Article PT - Review DEP - 20221010 PL - Russia (Federation) TA - Vopr Pitan JT - Voprosy pitaniia JID - 2984870R RN - 0 (Minerals) RN - 0 (Vitamins) RN - 0 (Micronutrients) RN - 0 (Antioxidants) RN - 11103-57-4 (Vitamin A) RN - 12001-79-5 (Vitamin K) SB - IM MH - Humans MH - *Dietary Supplements MH - *Minerals MH - Vitamins MH - Micronutrients MH - Antioxidants MH - Vitamin A MH - Vitamin K OTO - NOTNLM OT - correction of micronutrient deficiencies OT - efficiency OT - military personnel OT - stress OT - vitamin-mineral supplements OT - vitamins COIS- The authors declare no overt and potential conflict of interest related to the publication of this article. EDAT- 2023/01/18 06:00 MHDA- 2023/01/19 06:00 CRDT- 2023/01/17 08:32 PHST- 2022/09/23 00:00 [received] PHST- 2022/10/10 00:00 [accepted] PHST- 2023/01/17 08:32 [entrez] PHST- 2023/01/18 06:00 [pubmed] PHST- 2023/01/19 06:00 [medline] AID - 10.33029/0042-8833-2022-91-6-6-16 [doi] PST - ppublish SO - Vopr Pitan. 2022;91(6):6-16. doi: 10.33029/0042-8833-2022-91-6-6-16. Epub 2022 Oct 10. PMID- 13678136 OWN - NLM STAT- MEDLINE DCOM- 20040224 LR - 20091119 IS - 0002-838X (Print) IS - 0002-838X (Linking) VI - 68 IP - 5 DP - 2003 Sep 1 TI - Failure to thrive. PG - 879-84 AB - Failure to thrive is a condition commonly seen by primary care physicians. Prompt diagnosis and intervention are important for preventing malnutrition and developmental sequelae. Medical and social factors often contribute to failure to thrive. Either extreme of parental attention (neglect or hypervigilance) can lead to failure to thrive. About 25 percent of normal infants will shift to a lower growth percentile in the first two years of life and then follow that percentile; this should not be diagnosed as failure to thrive. Infants with Down syndrome, intrauterine growth retardation, or premature birth follow different growth patterns than normal infants. Many infants with failure to thrive are not identified unless careful attention is paid to plotting growth parameters at routine checkups. A thorough history is the best guide to establishing the etiology of the failure to thrive and directing further evaluation and management. All children with failure to thrive need additional calories for catch-up growth (typically 150 percent of the caloric requirement for their expected, not actual, weight). Few need laboratory evaluation. Hospitalization is rarely required and is indicated only for severe failure to thrive and for those whose safety is a concern. A multidisciplinary approach is recommended when failure to thrive persists despite intervention or when it is severe. FAU - Krugman, Scott D AU - Krugman SD AD - Department of Pediatrics, Franklin Square Hospital Center, Baltimore, Maryland 21237, USA. scott.krugman@medstar.net FAU - Dubowitz, Howard AU - Dubowitz H LA - eng PT - Journal Article PT - Review PL - United States TA - Am Fam Physician JT - American family physician JID - 1272646 SB - IM CIN - Am Fam Physician. 2003 Sep 1;68(5):886. PMID: 13678137 MH - Child MH - Child Nutritional Physiological Phenomena MH - Child, Preschool MH - Diagnosis, Differential MH - Diet Records MH - *Energy Intake MH - Failure to Thrive/*diagnosis/diet therapy/etiology MH - Humans MH - Infant MH - *Parent-Child Relations MH - Referral and Consultation MH - Stress, Psychological RF - 26 EDAT- 2003/09/19 05:00 MHDA- 2004/02/26 05:00 CRDT- 2003/09/19 05:00 PHST- 2003/09/19 05:00 [pubmed] PHST- 2004/02/26 05:00 [medline] PHST- 2003/09/19 05:00 [entrez] PST - ppublish SO - Am Fam Physician. 2003 Sep 1;68(5):879-84. PMID- 34197293 OWN - NLM STAT- MEDLINE DCOM- 20210707 LR - 20210707 IS - 1929-6355 (Electronic) IS - 1910-622X (Linking) VI - 34 IP - 2 DP - 2021 Jun TI - An Academic Health Sciences Centre's Strategy to Enhance Nurse Resilience and Psychological Safety. PG - 39-44 LID - cjnl.2021.26531 [pii] LID - 10.12927/cjnl.2021.26531 [doi] AB - The rapid cadence of change and the fear of acquiring and spreading COVID-19 - coupled with moral distress exacerbated by fulfilling one's duty to care under extremely challenging conditions - continue to impact nurses' coping ability, resilience and psychological safety globally (McDougall et al. 2020). This paper provides an overview of how an academic health sciences centre (AHSC) has responded to the evolving waves of the COVID-19 pandemic. Specifically, we share our context and the strategies we used to build and enhance nurse resilience and psychological safety at the organizational, clinical team and individual levels. This is followed by a description of our nurses' achievements amid the pandemic. CI - Copyright © 2021 Longwoods Publishing. FAU - Jeffs, Lianne AU - Jeffs L AD - Research and Innovation Lead Scholar in Residence, Nursing and Health Disciplines, Senior Clinician Scientist, Lunenfeld-Tanenbaum Research, Sinai Health, Associate Professor, Bloomberg Faculty of Nursing, Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON. FAU - Merkley, Jane AU - Merkley J AD - Executive Vice President, Chief Nurse, Executive and Chief Operating Officer, Sinai Health, Toronto, ON. FAU - Greenberg, Rebecca AU - Greenberg R AD - Senior Bioethicist, Sinai Health, Associate Professor, Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON. FAU - Ginty, Leanne AU - Ginty L AD - Director, Professional Practice, Nursing, Sinai Health, Toronto, ON. FAU - Amaral, Nely AU - Amaral N AD - Director, Nursing, Quality and Performance, Magnet Program Director, Sinai Health, Toronto, ON. FAU - Maunder, Robert AU - Maunder R AD - Chair in Health and Behaviour, Deputy Psychiatrist-in-Chief and Head of Psychiatry Research, Sinai Health, Professor, Department of Psychiatry, University of Toronto, Toronto, ON. FAU - Wiesenfeld, Lesley AU - Wiesenfeld L AD - Psychiatrist-in-Chief Head, Geriatric Psychiatry Consultation, Liaison Service, Sinai Health, Associate Professor, Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON. FAU - Brown, Susan AU - Brown S AD - Executive Vice President, People & Culture, Chief Human Resources Officer, Sinai Health, Toronto, ON. FAU - Shing, Paula AU - Shing P AD - Interim Director, Professional Practice and Education, Nursing and Health Disciplines, Sinai Health, Toronto, ON. FAU - Ronald, Kara AU - Ronald K AD - Vice President, Professional Practice, Nursing and Health Disciplines, Sinai Health, Toronto, ON. LA - eng PT - Journal Article PL - Canada TA - Nurs Leadersh (Tor Ont) JT - Nursing leadership (Toronto, Ont.) JID - 101470760 MH - Academic Medical Centers/organization & administration MH - *Adaptation, Psychological MH - COVID-19/epidemiology/*nursing MH - Humans MH - Leadership MH - Nursing Staff, Hospital/*organization & administration/psychology MH - Pandemics MH - Patient Care Team/organization & administration MH - *Resilience, Psychological MH - SARS-CoV-2 EDAT- 2021/07/02 06:00 MHDA- 2021/07/08 06:00 CRDT- 2021/07/01 17:17 PHST- 2021/07/01 17:17 [entrez] PHST- 2021/07/02 06:00 [pubmed] PHST- 2021/07/08 06:00 [medline] AID - cjnl.2021.26531 [pii] AID - 10.12927/cjnl.2021.26531 [doi] PST - ppublish SO - Nurs Leadersh (Tor Ont). 2021 Jun;34(2):39-44. doi: 10.12927/cjnl.2021.26531. PMID- 37465334 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230720 IS - 2474-1949 (Electronic) IS - 2474-1949 (Linking) VI - 5 IP - 4 DP - 2020 Oct TI - Agitated Psychiatric Patient. PG - S59-S83 LID - 10.21980/J85352 [doi] AB - AUDIENCE: This scenario was developed to educate emergency medicine residents about the diagnosis and management of the agitated psychiatric patient. INTRODUCTION: The prevalence of agitation among patients in the emergency department is increasing, with an estimated 1.7 million events occurring annually in the United States.1 There are various methodologies for de-escalation, including verbal and chemical de-escalation and physical restraints. Chemical and/or physical restraints are sometimes necessary to ensure patient and staff safety when verbal de-escalation is ineffective, particularly since agitation is the leading cause of hospital staff injuries.2 Chemical restraints have been shown to be less physically traumatizing to patients.3 4 Adverse events associated with physical restraints include persistent psychological distress, blunt chest trauma, aspiration, respiratory depression, and asphyxiation leading to cardiac arrest.5 In regards to chemical restraints, adverse event reporting has been heterogeneous among studies, but the most consistent reported events involve respiratory compromise such as desaturation, airway obstruction, and respiratory depression.3 A study measuring QTc (corrected QT interval) after high-dose intramuscular ziprasidone or haloperidol did not demonstrate any QTc longer than 480 msec.6 Other events linked to chemical restraints include uncommon cardiovascular events and extrapyramidal side effects from medications.3 The main classes of medications utilized for chemical restraint include first-generation antipsychotics (eg, haloperidol and droperidol), second-generation antipsychotics (olanzapine, quetiapine, risperidone, aripiprazole, and ziprasidone), benzodiazipenes (eg, lorazepam and midazolam), and N-methyl-D-aspartic acid (NMDA) receptor antagonists (eg, ketamine).7,8 It is important to exclude other medical causes of agitation, consider the differential diagnoses, and then select a medication that is tailored to address underlying etiologies while remaining cognizant of the side effect profiles of these chemical agents.Educational Objectives: At the conclusion of the simulation session, learners will be able to: 1) Obtain a relevant focused history and physical examination on the agitated psychiatric patient. 2) Develop a differential for the agitated psychiatric patient, including primary psychiatric conditions and other organic pathologies. 3) Discuss the management of the agitated psychiatric patient, including the different options available for chemical sedation. 4) Prioritize safety of self and staff when caring for an agitated psychiatric patient. EDUCATIONAL METHODS: This session was conducted using simulation with a standardized patient, followed by a debriefing session and lecture on the presentation, differential diagnosis, and management of the agitated psychiatric patient. Debriefing methods may be left to the discretion of participants, but the authors have utilized advocacy-inquiry techniques. This scenario may also be run as an oral board examination case. RESEARCH METHODS: The residents are provided a survey at the completion of the debriefing session to rate different aspects of the simulation, as well as provide qualitative feedback on the scenario. This survey is specific to the local institution's simulation center. RESULTS: Feedback from the residents was overwhelmingly positive, although many stated that they felt some degree of intimidation or stress from the standardized patient who did not break from their role throughout the scenario.The local institution's simulation center feedback form is based on the Center of Medical Simulation's Debriefing Assessment for Simulation in Healthcare (DASH) Student Version Short Form9 with the inclusion of required qualitative feedback if an element was scored less than a 6 or 7. This session received mostly 7 scores (extremely effective/outstanding). DISCUSSION: This is a physically safe method for reviewing management of the agitated psychiatric patient. There are multiple potential presentations of the agitated psychiatric patient, as well as varying underlying etiologies. These scenarios may be tailored to the needs of the learner, including identifying agitation, pharmacologic review, and de-escalation techniques. TOPICS: Medical simulation, agitated psychiatric patient, chemical sedation, verbal de-escalation, emergency medicine, psychiatry. CI - © 2020 Pabst, et al. FAU - Pabst, Brooke M AU - Pabst BM AD - The Ohio State University, Department of Emergency Medicine, Columbus, OH. FAU - Leung, Cynthia AU - Leung C AD - The Ohio State University, Department of Emergency Medicine, Columbus, OH. FAU - Frey, Jennifer A AU - Frey JA AD - The Ohio State University, Department of Emergency Medicine, Columbus, OH. FAU - Yee, Jennifer AU - Yee J AD - The Ohio State University, Department of Emergency Medicine, Columbus, OH. LA - eng PT - Journal Article DEP - 20201015 PL - United States TA - J Educ Teach Emerg Med JT - Journal of education & teaching in emergency medicine JID - 101741448 PMC - PMC10332521 EDAT- 2020/10/15 00:00 MHDA- 2020/10/15 00:01 PMCR- 2020/10/15 CRDT- 2023/07/19 03:59 PHST- 2020/05/15 00:00 [received] PHST- 2020/09/10 00:00 [accepted] PHST- 2020/10/15 00:01 [medline] PHST- 2020/10/15 00:00 [pubmed] PHST- 2023/07/19 03:59 [entrez] PHST- 2020/10/15 00:00 [pmc-release] AID - jetem-5-4-s59 [pii] AID - 10.21980/J85352 [doi] PST - epublish SO - J Educ Teach Emerg Med. 2020 Oct 15;5(4):S59-S83. doi: 10.21980/J85352. eCollection 2020 Oct. PMID- 38526600 OWN - NLM STAT- MEDLINE DCOM- 20240729 LR - 20240829 IS - 1432-1254 (Electronic) IS - 0020-7128 (Print) IS - 0020-7128 (Linking) VI - 68 IP - 6 DP - 2024 Jun TI - The effects of extreme heat on human health in tropical Africa. PG - 1015-1033 LID - 10.1007/s00484-024-02650-4 [doi] AB - This review examines high-quality research evidence that synthesises the effects of extreme heat on human health in tropical Africa. Web of Science (WoS) was used to identify research articles on the effects extreme heat, humidity, Wet-bulb Globe Temperature (WBGT), apparent temperature, wind, Heat Index, Humidex, Universal Thermal Climate Index (UTCI), heatwave, high temperature and hot climate on human health, human comfort, heat stress, heat rashes, and heat-related morbidity and mortality. A total of 5, 735 articles were initially identified, which were reduced to 100 based on a set of inclusion and exclusion criteria. The review discovered that temperatures up to 60°C have been recorded in the region and that extreme heat has many adverse effects on human health, such as worsening mental health in low-income adults, increasing the likelihood of miscarriage, and adverse effects on well-being and safety, psychological behaviour, efficiency, and social comfort of outdoor workers who spend long hours performing manual labour. Extreme heat raises the risk of death from heat-related disease, necessitating preventative measures such as adaptation methods to mitigate the adverse effects on vulnerable populations during hot weather. This study highlights the social inequalities in heat exposure and adverse health outcomes. CI - © 2024. The Author(s). FAU - Kunda, Joshua Jonah AU - Kunda JJ AD - School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, UK. jonahkunda@gmail.com. FAU - Gosling, Simon N AU - Gosling SN AD - School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, UK. FAU - Foody, Giles M AU - Foody GM AD - School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, UK. LA - eng PT - Journal Article PT - Review DEP - 20240325 PL - United States TA - Int J Biometeorol JT - International journal of biometeorology JID - 0374716 SB - IM MH - Tropical Climate MH - Humans MH - Africa MH - *Extreme Heat MH - *Climate Change MH - *Heat Stress Disorders/mortality MH - Seasons PMC - PMC11108931 OTO - NOTNLM OT - Climate change. Extreme heat. Human health. Tropical Africa EDAT- 2024/03/25 12:45 MHDA- 2024/05/21 12:45 PMCR- 2024/03/25 CRDT- 2024/03/25 12:04 PHST- 2023/08/12 00:00 [received] PHST- 2024/03/04 00:00 [accepted] PHST- 2024/02/28 00:00 [revised] PHST- 2024/05/21 12:45 [medline] PHST- 2024/03/25 12:45 [pubmed] PHST- 2024/03/25 12:04 [entrez] PHST- 2024/03/25 00:00 [pmc-release] AID - 10.1007/s00484-024-02650-4 [pii] AID - 2650 [pii] AID - 10.1007/s00484-024-02650-4 [doi] PST - ppublish SO - Int J Biometeorol. 2024 Jun;68(6):1015-1033. doi: 10.1007/s00484-024-02650-4. Epub 2024 Mar 25. PMID- 37280014 OWN - NLM STAT- MEDLINE DCOM- 20240920 LR - 20241027 IS - 2633-3775 (Electronic) IS - 2633-3767 (Print) IS - 2633-3767 (Linking) VI - 170 IP - 5 DP - 2024 Sep 20 TI - Peer-based intervention for acute stress reaction: adaptations by five militaries. PG - 425-429 LID - 10.1136/military-2022-002344 [doi] LID - e002344 AB - Military service members need to be able to operate under conditions of extreme stress to ensure the success of their team's mission; however, an acute stress reaction (ASR) can compromise team safety and effectiveness by rendering an individual unable to function. Building on an intervention originally developed by the Israel Defense Forces, several countries have developed, tested, and disseminated a peer-based intervention to help service members manage acute stress in others. This paper reviews how five countries (Canada, Germany, Norway, the UK and the USA) adjusted the protocol to fit their organisational culture while retaining essential elements of the original procedure, suggesting there can be interoperability and mutual intelligibility in the management of ASR by military allies. Future research should examine the parameters of effectiveness for this intervention, the impact of intervention on long-term trajectories, and individual differences in managing ASR. CI - © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Adler, Amy B AU - Adler AB AUID- ORCID: 0000-0002-0886-5530 AD - Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA amy.b.adler.civ@health.mil. FAU - Gutierrez, I A AU - Gutierrez IA AUID- ORCID: 0000-0002-4880-7570 AD - Research Transition Office, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA. FAU - McCuaig Edge, H AU - McCuaig Edge H AUID- ORCID: 0009-0000-7195-0810 AD - Director General Military Personnel Research and Analysis, National Defence, Ottawa, Ontario, Canada. FAU - Nordstrand, A E AU - Nordstrand AE AUID- ORCID: 0000-0002-2012-0574 AD - Norwegian Armed Forces, Joint Medical Services, Oslo, Norway. FAU - Simms, A AU - Simms A AUID- ORCID: 0000-0002-1154-8085 AD - Academic Department of Military Mental Health, King's College London, London, UK. FAU - Willmund, G D AU - Willmund GD AD - Centre for Psychiatry and Psychotraumatology, Bundeswehrkrankenhaus Berlin, Berlin, Germany. LA - eng PT - Journal Article PT - Review DEP - 20240920 PL - England TA - BMJ Mil Health JT - BMJ military health JID - 101761581 SB - IM MH - Humans MH - *Military Personnel/psychology MH - *Peer Group MH - Canada MH - United Kingdom MH - Germany MH - Norway MH - United States MH - Stress, Psychological/therapy/psychology PMC - PMC11503197 OTO - NOTNLM OT - EDUCATION & TRAINING (see Medical Education & Training) OT - MENTAL HEALTH OT - TRAUMA MANAGEMENT COIS- Competing interests: None declared. EDAT- 2023/06/07 01:07 MHDA- 2024/09/21 16:19 PMCR- 2024/10/25 CRDT- 2023/06/06 20:42 PHST- 2023/01/03 00:00 [received] PHST- 2023/05/01 00:00 [accepted] PHST- 2024/09/21 16:19 [medline] PHST- 2023/06/07 01:07 [pubmed] PHST- 2023/06/06 20:42 [entrez] PHST- 2024/10/25 00:00 [pmc-release] AID - military-2022-002344 [pii] AID - 10.1136/military-2022-002344 [doi] PST - epublish SO - BMJ Mil Health. 2024 Sep 20;170(5):425-429. doi: 10.1136/military-2022-002344. PMID- 30860716 STAT- Publisher CTDT- 20230508 PB - StatPearls Publishing DP - 2025 Jan TI - Aerospace Assessment Of Fitness For Duty. BTI - StatPearls AB - Medical standards are put in place to prevent hazards during a flight that could be caused by the physical, medical, and psychological conditions held by the pilot or the crew. The International Civil Aviation Organization (ICAO) agreed at the Chicago Convention in 1944 to standardize practices where uniformity would improve air navigation. In subsequent annexes to the original convention, the regulations that standardize personnel licensing and rules of the air were established that guide the medical requirements for pilots and aircrew today. After evaluation of available data and the potential risks at different times during a flight, ICAO set a goal of less than 1% risk of pilot incapacitation per year to guide the standards for medical examinations. Gastrointestinal issues, earaches, faintness, headache, and vertigo are the most common causes of incapacitation. Less common but more dangerous debilitations such as alcohol intoxication and sudden cardiac death have been implicated in mishaps, so screening for these risks carries high importance. Mental health is also extremely important given mishaps like Germanwings Flight 9525 and other cases of suicide by aircraft. While some research has been done in the field of pilot incapacitation, there is not a significant evidence base for many recommendations, but rather it is a consensus of professional opinion. Member states, therefore, often have different interpretations of the guidelines and therefore different regulations. The Federal Aviation Administration (FAA) governs the standards in the United States for civilians, and the military has a separate set of directives for active-duty aviators, with military rules generally being more stringent. In general, military aviators have to be physically fit for duty as military officers as well as passing requirements for aviation. This article will discuss the major medical statutes as laid out by the FAA and any differences in requirements in the Navy, Army, and Air Force. The FAA lays out slightly different regulations for airline transport pilots and commercial pilots versus private pilots, with private pilots having less rigorous requirements. The military also distinguishes medical requirements for aviators versus aircrew or other individuals within the aviation community. All organizations have disqualifying conditions that are not conducive to aviation due to an adverse impact on safety and health, but many conditions may be considered for waiver. All initial physical exams for licensing and fitness for duty must be conducted by an Aviation Medical Examiner (AME) or its military equivalent. If the AME finds the candidate is medically disqualified, the candidate may be referred to a Federal Air Surgeon for evaluation for a Special Issuance of Medical Certificate. Air Transport Pilots require a first-class medical certificate valid for 12 months for those aged less than 40 and 6 months for those over 40. Commercial pilots and aircrew need a second-class certificate valid for 12 months for all ages. Private pilots require a third-class certificate valid for 24 months for those over 40 and 60 months for those under 30.  CI - Copyright © 2025, StatPearls Publishing LLC. FAU - Dhaliwal, Sukhmani AU - Dhaliwal S FAU - Carter, Rachel E AU - Carter RE AD - Naval Hospital Jacksonville LA - eng PT - Study Guide PT - Book Chapter PL - Treasure Island (FL) COIS- Disclosure: Sukhmani Dhaliwal declares no relevant financial relationships with ineligible companies. Disclosure: Rachel Carter declares no relevant financial relationships with ineligible companies. EDAT- 2023/05/08 00:00 CRDT- 2023/05/08 00:00 AID - NBK538481 [bookaccession] PMID- 12024958 OWN - NLM STAT- MEDLINE DCOM- 20021202 LR - 20051116 IS - 0019-5499 (Print) IS - 0019-5499 (Linking) VI - 46 IP - 1 DP - 2002 Jan TI - Sleep and performance--recent trends. PG - 6-24 AB - Sleep and sleep deprivation are intimately related to performance. Sleep management of people working in different sectors of the society like multi shift workers, nurses, doctors, students in professional schools and the armed forces has a great bearing on performance, health and safety of the subject population. The detrimental effects of sleep deprivation on psychological performance are indicated as increased lapsing, cognitive slowing, memory impairment, decrease in vigilance and sustained attention and shift in optimum response capability. Its effects on physical performance are manifested as decline in ability to perform maximal exercise, self-selected walking pace and increase in perceived exertion. Sleep deprivation appears to have no effect in respect of muscle contractile properties and maximum anaerobic power. At high altitude (HA), there is a reduction in NREM sleep with frequent awakening due to hypoxia as a physiological adaptive measure to prevent accentuation of hypoxemia due to sleep-hypoventilation. Total sleep deprivation for 48 hours at high altitude can affect the acclimatization status, thermoregulation efficiency and cognitive functions. The concept of 'sleepiness' has also been studied, as it is an emerging concept for better understanding of the effects of sleep deprivation and its effects on performance. A special mention of sustained operations in the armed forces has been made keeping in mind its uniqueness in challenging the normal sleep-work schedule and its deployment in extreme environment and operational condition. This article reviews in detail the functions of sleep, its requirement and the effects of sleep deprivation on human performance. FAU - Himashree, Gidugu AU - Himashree G AD - Defence Institute of Physiology and Allied Sciences, Lucknow Road, Timarpur, Delhi-110 054. FAU - Banerjee, P K AU - Banerjee PK FAU - Selvamurthy, W AU - Selvamurthy W LA - eng PT - Journal Article PT - Review PL - India TA - Indian J Physiol Pharmacol JT - Indian journal of physiology and pharmacology JID - 0374707 SB - IM MH - Circadian Rhythm/physiology MH - Humans MH - Psychomotor Performance/*physiology MH - Sleep/*physiology MH - Sleep Deprivation/physiopathology/psychology RF - 177 EDAT- 2002/05/25 10:00 MHDA- 2002/12/03 04:00 CRDT- 2002/05/25 10:00 PHST- 2002/05/25 10:00 [pubmed] PHST- 2002/12/03 04:00 [medline] PHST- 2002/05/25 10:00 [entrez] PST - ppublish SO - Indian J Physiol Pharmacol. 2002 Jan;46(1):6-24. PMID- 36281704 OWN - NLM STAT- MEDLINE DCOM- 20230428 LR - 20230508 IS - 1600-0447 (Electronic) IS - 0001-690X (Linking) VI - 147 IP - 5 DP - 2023 May TI - Challenges in diagnosis and management of delirium in Lewy body disease. PG - 475-480 LID - 10.1111/acps.13514 [doi] AB - BACKGROUND: Delirium is an acute onset and fluctuating impairment of cognition, attention and arousal, often precipitated by acute illness. Lewy body disease (LBD) is an umbrella term for a range of clinical conditions, including Parkinson's disease dementia (PDD) and dementia with Lewy bodies (DLB). People living with LBD seem to be more susceptible to delirium than those with other subtypes of dementia. AIM: To describe the challenges in clinical diagnosis and management of LBD. METHODS: A systematic review of published literature on diagnosis and management of delirium in LBD. RESULTS: Delirium is particularly challenging to diagnose in LBD as many of the clinical characteristics which define delirium such as inattention, fluctuating arousal, complex visual hallucinations and delusions, are also common to LBD. Distinguishing delirium from LBD can be very difficult clinically especially in the prodromal stages. Both under and over diagnosis of delirium, and under and over treatment of the symptoms have the potential to compromise the care and safety of people with a diagnosed or undiagnosed LBD. Clinicians are currently working with an extremely limited set of evidence-based management options for those with delirium in the context of a LBD diagnosis. For patients with LBD and their families this is an area of clinical practice that needs focused research. CI - © 2022 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd. FAU - Richardson, Sarah AU - Richardson S AD - AGE Research Group, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK. FAU - Lawson, Rachael A AU - Lawson RA AD - Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK. FAU - Price, Annabel AU - Price A AUID- ORCID: 0000-0002-5505-5231 AD - Department of Psychiatry, University of Cambridge School of Clinical Medicine, Cambridge, UK. AD - Department of Psychological Medicine, Cambridgeshire and Peterborough Foundation NHS Trust, Cambridge, UK. FAU - Taylor, John-Paul AU - Taylor JP AD - Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK. LA - eng GR - DH_/Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20221104 PL - United States TA - Acta Psychiatr Scand JT - Acta psychiatrica Scandinavica JID - 0370364 SB - IM MH - Humans MH - *Lewy Body Disease/therapy/drug therapy MH - *Dementia MH - *Parkinson Disease/complications/diagnosis MH - *Alzheimer Disease MH - Hallucinations MH - *Delirium/diagnosis/etiology/therapy OTO - NOTNLM OT - delirium OT - dementia OT - lewy EDAT- 2022/10/26 06:00 MHDA- 2023/04/28 06:42 CRDT- 2022/10/25 04:22 PHST- 2022/10/03 00:00 [revised] PHST- 2022/04/25 00:00 [received] PHST- 2022/10/20 00:00 [accepted] PHST- 2023/04/28 06:42 [medline] PHST- 2022/10/26 06:00 [pubmed] PHST- 2022/10/25 04:22 [entrez] AID - 10.1111/acps.13514 [doi] PST - ppublish SO - Acta Psychiatr Scand. 2023 May;147(5):475-480. doi: 10.1111/acps.13514. Epub 2022 Nov 4. PMID- 38853462 OWN - NLM STAT- MEDLINE DCOM- 20240711 LR - 20240715 IS - 1097-0274 (Electronic) IS - 0271-3586 (Linking) VI - 67 IP - 8 DP - 2024 Aug TI - Work-related suicide: Evolving understandings of etiology & intervention. PG - 679-695 LID - 10.1002/ajim.23624 [doi] AB - Previously published analyses of suicide case investigations suggest that work or working conditions contribute to 10%-13% of suicide deaths. Yet, the way in which work may increase suicide risk is an underdeveloped area of epidemiologic research. In this Commentary, we propose a definition of work-related suicide from an occupational health and safety perspective, and review the case investigation-based and epidemiologic evidence on work-related causes of suicide. We identified six broad categories of potential work-related causes of suicide, which are: (1) workplace chemical, physical, and psychosocial exposures; (2) exposure to trauma on the job; (3) access to means of suicide through work; (4) exposure to high-stigma work environments; (5) exposure to normative environments promoting extreme orientation to work; and (6) adverse experiences arising from work-related injury or illness. We summarise current evidence in a schema of potential work-related causes that can also be applied in workplace risk assessment and suicide case investigations. There are numerous implications of these findings for policy and practice. Various principle- and evidence-based workplace intervention strategies for suicide prevention exist, some of which have been shown to improve suicide-prevention literacy, reduce stigma, enhance helping behaviours, and in some instances maybe even reduce suicide rates. Prevailing practice in workplace suicide prevention, however, overly emphasises individual- and illness-directed interventions, with little attention directed to addressing the working conditions that may increase suicide risk. We conclude that a stronger emphasis on improving working conditions will be required for workplace suicide prevention to reach its full preventive potential. CI - © 2024 The Authors. Journal of Cellular Physiology published by Wiley Periodicals LLC. FAU - LaMontagne, Anthony D AU - LaMontagne AD AUID- ORCID: 0000-0002-5811-5906 AD - Institute for Health Transformation & School of Health & Social Development, Deakin University, Geelong, Victoria, Australia. FAU - Åberg, Maria AU - Åberg M AD - School of Public Health and Community Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden. FAU - Blomqvist, Sandra AU - Blomqvist S AD - Department of Psychology, Stress Research Institute, Stockholm University, Stockholm, Sweden. FAU - Glozier, Nick AU - Glozier N AD - Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia. FAU - Greiner, Birgit A AU - Greiner BA AD - School of Public Health, University College Cork, Cork, Ireland. FAU - Gullestrup, Jorgen AU - Gullestrup J AD - Institute for Health Transformation & School of Health & Social Development, Deakin University, Geelong, Victoria, Australia. FAU - Harvey, Samuel B AU - Harvey SB AD - Black Dog Institute, University of New South Wales, Randwick, New South Wales, Australia. FAU - Kyron, Michael J AU - Kyron MJ AD - Suicide Prevention and Resilience Research Center (SPARRC), School of Psychological Science, Perth, Western Australia, Australia. FAU - Madsen, Ida E H AU - Madsen IEH AD - National Research Centre for the Working Environment, Copenhagen, Denmark. AD - National Institute of Public Health, Copenhagen, Denmark. FAU - Hanson, Linda Magnusson AU - Hanson LM AD - Department of Psychology, Stress Research Institute, Stockholm University, Stockholm, Sweden. FAU - Maheen, Humaira AU - Maheen H AD - Centre for Health Policy, Melbourne School of Population Health, University of Melbourne, Melbourne, Victoria, Australia. FAU - Mustard, Cameron AU - Mustard C AD - Instutute for Work & Health, Toronto, Ontario, Canada. FAU - Niedhammer, Isabelle AU - Niedhammer I AD - Institut National de la Santé et de la Recherche Médicale (INSERM), Univ Angers, Angers, France. FAU - Rugulies, Reiner AU - Rugulies R AD - National Research Centre for the Working Environment, Copenhagen, Denmark. AD - Department of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark. FAU - Smith, Peter M AU - Smith PM AUID- ORCID: 0000-0001-8286-4563 AD - Instutute for Work & Health, Toronto, Ontario, Canada. FAU - Taouk, Yamna AU - Taouk Y AD - Centre for Health Policy, Melbourne School of Population Health, University of Melbourne, Melbourne, Victoria, Australia. FAU - Waters, Sarah AU - Waters S AD - School of Languages, Cultures and Societies, University of Leeds, Leeds, UK. FAU - Witt, Katrina AU - Witt K AD - Orygen Centre for Youth Mental Health, Parkville, Victoria, Australia. FAU - King, Tania L AU - King TL AD - Centre for Health Policy, Melbourne School of Population Health, University of Melbourne, Melbourne, Victoria, Australia. LA - eng GR - National Health and Medical Research Council/ PT - Journal Article PT - Review DEP - 20240609 PL - United States TA - Am J Ind Med JT - American journal of industrial medicine JID - 8101110 SB - IM MH - Humans MH - *Workplace/psychology MH - *Suicide/statistics & numerical data/psychology MH - Occupational Health MH - Suicide Prevention MH - Risk Factors MH - Occupational Exposure/adverse effects MH - Social Stigma MH - Risk Assessment OTO - NOTNLM OT - exposures OT - hazards OT - occupational OT - self‐harm OT - suicidal behaviours OT - suicide OT - work OT - work environment OT - working conditions OT - work‐related EDAT- 2024/06/10 06:42 MHDA- 2024/07/11 12:43 CRDT- 2024/06/10 02:23 PHST- 2024/05/24 00:00 [revised] PHST- 2024/01/25 00:00 [received] PHST- 2024/05/28 00:00 [accepted] PHST- 2024/07/11 12:43 [medline] PHST- 2024/06/10 06:42 [pubmed] PHST- 2024/06/10 02:23 [entrez] AID - 10.1002/ajim.23624 [doi] PST - ppublish SO - Am J Ind Med. 2024 Aug;67(8):679-695. doi: 10.1002/ajim.23624. Epub 2024 Jun 9. PMID- 37364085 OWN - NLM STAT- MEDLINE DCOM- 20230628 LR - 20230628 IS - 0043-5147 (Print) IS - 0043-5147 (Linking) VI - 76 IP - 5 pt 2 DP - 2023 TI - PSYCHOLOGICAL FACTORS OF STUDENTS' VITALITY DURING THE WAR IN UKRAINE. PG - 1279-1284 LID - 10.36740/WLek202305222 [doi] AB - OBJECTIVE: The aim: A theoretical analysis of the problem of the hardiness of a person who suddenly found himself in extreme conditions and an empirical study of his individual and psychological factors that contribute to the strengthening of this personal characteristic and mobilize the internal reserve of student youth. PATIENTS AND METHODS: Materials and methods: The following psychodiagnostic methods were used in the empirical study: "Methodology for the diagnosis of hardiness" by S. Muddy, "Test for the diagnosis of properties of the nervous system" by Y. Strelyau, "Methodology for the diagnosis of character accentuations" by K. Leonhard, "Mini-Mult Test", "Psychological Stress Scale", "Coping Behavior Questionnaire" by R. Lazarus, S. Folkman, "Test of Meaningful Life Orientations" by D. Leontiev, Life orientation test C. Scheyer, M. Carver. The study was conducted from September 2022 to January 2023. RESULTS: Results: It was established a direct connection of hardiness with a strong and mobile nervous system, hyperthymic and demonstrative accentuations of character. Inversely related to hardiness are pedantic, unbalanced, dysthymic, and exalted accentuations of character, all personality disorders. People with a high level of hardiness are characterized by expressed optimism, the meaningfulness of life, and the use of adaptive coping strategies. CONCLUSION: Conclusions: The study showed the high importance of hardiness for the full functioning of student youth during martial law and its conditioning by the properties of the nervous system and individual psychological characteristics. This emphasizes the need for making efforts to increase their level of vitality. FAU - Vasheka, Tetiana V AU - Vasheka TV AD - NATIONAL AVIATION UNIVERSITY, KYIV, UKRAINE. FAU - Lych, Oksana M AU - Lych OM AD - NATIONAL AVIATION UNIVERSITY, KYIV, UKRAINE. FAU - Palamar, Borys I AU - Palamar BI AD - BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE. FAU - Palamar, Svitlana P AU - Palamar SP AD - BORYS GRINCHENKO KYIV UNIVERSITY, KYIV, UKRAINE. FAU - Zhelanova, Victoria V AU - Zhelanova VV AD - BORYS GRINCHENKO KYIV UNIVERSITY, KYIV, UKRAINE. FAU - Safir, Tetiana Yu AU - Safir TY AD - INTERREGIONAL ACADEMY OF PERSONNEL MANAGEMENT, EDUCATIONAL AND SCIENTIFIC INSTITUTE OF INTERNATIONAL RELATIONS AND SOCIAL SCIENCES, KYIV, UKRAINE. FAU - Kurdil, Natalia V AU - Kurdil NV AD - SE «L.I. MEDVED'S RESEARCH CENTER OF PREVENTIVE TOXICOLOGY, FOOD AND CHEMICAL SAFETY OF THE MINISTRY OF HEALTH OF UKRAINE», KYIV, UKRAINE. LA - eng PT - Journal Article PL - Poland TA - Wiad Lek JT - Wiadomosci lekarskie (Warsaw, Poland : 1960) JID - 9705467 SB - IM MH - Adolescent MH - Humans MH - Ukraine MH - *Stress, Psychological/etiology MH - *Adaptation, Psychological MH - Personality OTO - NOTNLM OT - hardiness OT - psychological properties of personality OT - student youth EDAT- 2023/06/26 19:07 MHDA- 2023/06/28 06:42 CRDT- 2023/06/26 15:13 PHST- 2023/06/28 06:42 [medline] PHST- 2023/06/26 19:07 [pubmed] PHST- 2023/06/26 15:13 [entrez] AID - 10.36740/WLek202305222 [doi] PST - ppublish SO - Wiad Lek. 2023;76(5 pt 2):1279-1284. doi: 10.36740/WLek202305222. PMID- 34390631 OWN - NLM STAT- MEDLINE DCOM- 20210901 LR - 20210901 IS - 1066-2936 (Print) IS - 1066-2936 (Linking) VI - 48 IP - 3 DP - 2021 Third Quarter TI - Submarine medicine: An overview of the unique challenges, medical concerns, and gaps. PG - 263-278 AB - Submariners face many challenges. For example, they "live where they work" and can be called to duty anytime. They have limited access to open space, natural settings, fresh air, fresh food, sunlight, privacy, exercise, and outside communication. They support a wider range of missions than occur aboard most other Navy vessels. At sea or on shore, submariners work long hours under conditions with little margin for error. They may traverse remote or disputed areas of the ocean far from rescue assets, and must remain vigilant for potential encounters with hostile forces, onboard fires, anomalies in the breathing atmosphere, leaks, undersea collisions, or radiation exposures. If any of these factors cause casualties, the Independent Duty Corpsman (with intermittent advice from shore-based medical personnel), must be ready to provide aid as long as necessary. The challenges of submarine service led to the growth of the unique field of submarine medicine, which has maintained an excellent record of health and safety. This review introduces the field of submarine medicine as practiced in the U.S. Navy, describing its major concerns, giving an overview of the operation of a submarine medical department, and identifying several medical gaps that researchers are working to fill. Submarine medicine already has a stellar record in terms of radiation and atmospheric safety and has made strides in fatigue management. Ongoing work will deliver improved psychological screening and support tools. This report summarizes developments in these and other areas of submarine medicine. CI - Copyright© Undersea and Hyperbaric Medical Society. FAU - Beardslee, Luke A AU - Beardslee LA AD - Naval Submarine Medical Research Laboratory, Submarine Base New London, Groton, Connecticut, U.S. FAU - Casper, Erica T AU - Casper ET AD - Naval Submarine Medical Research Laboratory, Submarine Base New London, Groton, Connecticut, U.S. FAU - Lawson, Ben D AU - Lawson BD AD - Naval Submarine Medical Research Laboratory, Submarine Base New London, Groton, Connecticut, U.S. LA - eng PT - Journal Article PT - Review PL - United States TA - Undersea Hyperb Med JT - Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc JID - 9312954 SB - IM MH - Air Pollution, Indoor/prevention & control MH - *Delivery of Health Care/methods MH - Fatigue/complications MH - Humans MH - Mental Health MH - Metabolic Syndrome/diagnosis MH - *Military Personnel/psychology MH - Occupational Diseases/complications/prevention & control/therapy MH - Occupational Exposure MH - Radiation Exposure MH - Remote Consultation MH - *Ships MH - *Submarine Medicine/education/methods MH - Transportation of Patients/methods MH - United States MH - Workplace OTO - NOTNLM OT - extreme environment OT - isolated and confined environment OT - submarine medicine OT - submariner health OT - undersea medicine COIS- The authors of this paper declare no conflicts of interest exist with this submission. EDAT- 2021/08/15 06:00 MHDA- 2021/09/02 06:00 CRDT- 2021/08/14 17:07 PHST- 2021/08/14 17:07 [entrez] PHST- 2021/08/15 06:00 [pubmed] PHST- 2021/09/02 06:00 [medline] PST - ppublish SO - Undersea Hyperb Med. 2021 Third Quarter;48(3):263-278. PMID- 35871101 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20230228 LR - 20230228 IS - 1879-2022 (Electronic) IS - 0019-0578 (Linking) VI - 133 DP - 2023 Feb TI - Memory-augmented skip-connected autoencoder for unsupervised anomaly detection of rocket engines with multi-source fusion. PG - 53-65 LID - S0019-0578(22)00368-8 [pii] LID - 10.1016/j.isatra.2022.07.014 [doi] AB - To ensure the safety and stability of the rocket, it is essential to implement accurate anomaly detection on key parts such as the liquid rocket engine (LRE). However, due to the indistinct features of signals under the interference of extreme conditions and the weak distinguishing ability to exist unsupervised methods, it is difficult to distinguish abnormal samples from normal samples, which leads to the failure of reliable anomaly detection. Aiming at this problem, this paper proposed an unsupervised learning algorithm named Memory-augmented skip-connected deep autoencoder (Mem-SkipAE) for anomaly detection of rocket engines with multi-source data fusion. Unlike traditional autoencoders, the input embedding for the decoder is not generated by an encoder but by a combination of memory items that record prototypical patterns of normal samples. Besides, each layer of the encoder and decoder has a skip connection to fully extract the multi-scale features of the normal sample in multi-dimensional space and suppress over-fitting caused by the memory-augmented network. Compared with existing methods and ablation control groups, experiments on four test sets prove the excellent generalization and satisfactory performances of the proposed Mem-SkipAE. Furthermore, the comparison of the single-source model and multi-source model verifies the effectiveness of multi-source fusion. CI - Copyright © 2022 ISA. Published by Elsevier Ltd. All rights reserved. FAU - Yan, Haodong AU - Yan H AD - State Key Laboratory for Manufacturing and Systems Engineering, Xi'an Jiaotong University, Xi'an 710049, PR China. FAU - Liu, Zijun AU - Liu Z AD - Science and Technology on Liquid Rocket Engine Laboratory, Xi'an Aerospace Propulsion Institute, Xi'an 710100, PR China. FAU - Chen, Jinglong AU - Chen J AD - State Key Laboratory for Manufacturing and Systems Engineering, Xi'an Jiaotong University, Xi'an 710049, PR China. Electronic address: jlstrive2008@mail.xjtu.edu.cn. FAU - Feng, Yong AU - Feng Y AD - State Key Laboratory for Manufacturing and Systems Engineering, Xi'an Jiaotong University, Xi'an 710049, PR China. FAU - Wang, Jun AU - Wang J AD - Science and Technology on Liquid Rocket Engine Laboratory, Xi'an Aerospace Propulsion Institute, Xi'an 710100, PR China. LA - eng PT - Journal Article DEP - 20220714 PL - United States TA - ISA Trans JT - ISA transactions JID - 0374750 SB - IM MH - *Algorithms MH - Control Groups MH - *Generalization, Psychological OTO - NOTNLM OT - Anomaly detection OT - Liquid rocket engine OT - Memory network OT - Multi-source fusion OT - Skip-connection COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/07/24 06:00 MHDA- 2022/07/24 06:01 CRDT- 2022/07/23 23:45 PHST- 2021/08/13 00:00 [received] PHST- 2022/07/09 00:00 [revised] PHST- 2022/07/10 00:00 [accepted] PHST- 2022/07/24 06:00 [pubmed] PHST- 2022/07/24 06:01 [medline] PHST- 2022/07/23 23:45 [entrez] AID - S0019-0578(22)00368-8 [pii] AID - 10.1016/j.isatra.2022.07.014 [doi] PST - ppublish SO - ISA Trans. 2023 Feb;133:53-65. doi: 10.1016/j.isatra.2022.07.014. Epub 2022 Jul 14. PMID- 23568375 OWN - NLM STAT- MEDLINE DCOM- 20140116 LR - 20211021 IS - 1179-2035 (Electronic) IS - 0112-1642 (Linking) VI - 43 IP - 6 DP - 2013 Jun TI - Crawling to the finish line: why do endurance runners collapse? Implications for understanding of mechanisms underlying pacing and fatigue. PG - 413-24 LID - 10.1007/s40279-013-0044-y [doi] AB - Effective regulation of pace enables the majority of runners to complete competitive endurance events without mishap. However, some runners do experience exercise-induced collapse associated with postural hypotension, which in rare cases results from life-threatening conditions such as cardiac disorders, cerebral events, heat stroke and hyponatraemia. Despite the experience of either catastrophic system failure or extreme peripheral muscle fatigue, some runners persist in attempting to reach the finish line, and this often results in a sequence of dynamic changes in posture and gait that we have termed the 'Foster collapse positions'. The initial stage involves an unstable gait and the runner assumes the 'Early Foster' collapse position with hips slightly flexed and their head lowered. This unstable gait further degrades into a shuffle referred to as the 'Half Foster' collapse position characterized by hip flexion of approximately 90° with the trunk and head parallel to the ground. At this point, the muscles of postural support and the co-ordination of propulsion begin to be compromised. If the condition worsens, the runner will fall to the ground and assume the 'Full Foster' collapse position, which involves crawling forwards on knees and elbows towards the finish line, with their trunk angled such that the head is at a lower angle than the hips. Upon reaching the finish line, or sometimes before that, the runner may collapse and remain prone until recovering either with or without assistance or medical treatment. The Foster collapse positions are indicative of a final, likely primordial, protective mechanism designed to attenuate postural hypotension, cardiac 'pump' insufficiency or cerebral blood flow deficiency. Continuing to attempt to reach the finish line in this impaired state is also perhaps indicative of a high psychological drive or a variety of neurological and psychological pathologies such as diminished sensitivity to interoceptive feedback, unrealistic situational appraisal or extreme motivational drives. A better understanding of the physiological, neurological and psychological antecedents of the Foster collapse sequence remains an important issue with practical implications for runner safety and theoretical understanding of collapses during exercise. FAU - St Clair Gibson, Alan AU - St Clair Gibson A AD - Department of Sport and Exercise Sciences, Sport, Exercise and Wellbeing Research Centre, Faculty of Health and Life Sciences, Northumbria University, Northumberland Road, Newcastle upon Tyne, NE1 8ST, UK. a.stclairgibson@northumbria.ac.uk FAU - De Koning, Jos J AU - De Koning JJ FAU - Thompson, Kevin G AU - Thompson KG FAU - Roberts, William O AU - Roberts WO FAU - Micklewright, Dominic AU - Micklewright D FAU - Raglin, John AU - Raglin J FAU - Foster, Carl AU - Foster C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - New Zealand TA - Sports Med JT - Sports medicine (Auckland, N.Z.) JID - 8412297 SB - IM MH - Athletes/*psychology MH - Exercise/*physiology/psychology MH - Fatigue/*physiopathology/psychology MH - Humans MH - Physical Endurance/*physiology MH - Posture MH - Running/*physiology/psychology EDAT- 2013/04/10 06:00 MHDA- 2014/01/17 06:00 CRDT- 2013/04/10 06:00 PHST- 2013/04/10 06:00 [entrez] PHST- 2013/04/10 06:00 [pubmed] PHST- 2014/01/17 06:00 [medline] AID - 10.1007/s40279-013-0044-y [doi] PST - ppublish SO - Sports Med. 2013 Jun;43(6):413-24. doi: 10.1007/s40279-013-0044-y. PMID- 35379994 OWN - NLM STAT- MEDLINE DCOM- 20220408 LR - 20230315 IS - 1546-1726 (Electronic) IS - 1097-6256 (Print) IS - 1097-6256 (Linking) VI - 25 IP - 4 DP - 2022 Apr TI - Exome sequencing of individuals with Huntington's disease implicates FAN1 nuclease activity in slowing CAG expansion and disease onset. PG - 446-457 LID - 10.1038/s41593-022-01033-5 [doi] AB - The age at onset of motor symptoms in Huntington's disease (HD) is driven by HTT CAG repeat length but modified by other genes. In this study, we used exome sequencing of 683 patients with HD with extremes of onset or phenotype relative to CAG length to identify rare variants associated with clinical effect. We discovered damaging coding variants in candidate modifier genes identified in previous genome-wide association studies associated with altered HD onset or severity. Variants in FAN1 clustered in its DNA-binding and nuclease domains and were associated predominantly with earlier-onset HD. Nuclease activities of purified variants in vitro correlated with residual age at motor onset of HD. Mutating endogenous FAN1 to a nuclease-inactive form in an induced pluripotent stem cell model of HD led to rates of CAG expansion similar to those observed with complete FAN1 knockout. Together, these data implicate FAN1 nuclease activity in slowing somatic repeat expansion and hence onset of HD. CI - © 2022. The Author(s). FAU - McAllister, Branduff AU - McAllister B AUID- ORCID: 0000-0001-6308-2136 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Donaldson, Jasmine AU - Donaldson J AUID- ORCID: 0000-0001-6699-0674 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Binda, Caroline S AU - Binda CS AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Powell, Sophie AU - Powell S AUID- ORCID: 0000-0002-6507-6079 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Chughtai, Uroosa AU - Chughtai U AUID- ORCID: 0000-0001-8110-7114 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Edwards, Gareth AU - Edwards G AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Stone, Joseph AU - Stone J AUID- ORCID: 0000-0003-0767-385X AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Lobanov, Sergey AU - Lobanov S AUID- ORCID: 0000-0002-3126-1903 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Elliston, Linda AU - Elliston L AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Schuhmacher, Laura-Nadine AU - Schuhmacher LN AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Rees, Elliott AU - Rees E AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Menzies, Georgina AU - Menzies G AUID- ORCID: 0000-0002-6600-6507 AD - School of Biosciences, Cardiff University, Cardiff, UK. FAU - Ciosi, Marc AU - Ciosi M AUID- ORCID: 0000-0002-7663-4080 AD - Institute of Molecular, Cell and Systems Biology, University of Glasgow, Glasgow, UK. FAU - Maxwell, Alastair AU - Maxwell A AD - Institute of Molecular, Cell and Systems Biology, University of Glasgow, Glasgow, UK. FAU - Chao, Michael J AU - Chao MJ AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. FAU - Hong, Eun Pyo AU - Hong EP AUID- ORCID: 0000-0001-7789-686X AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. FAU - Lucente, Diane AU - Lucente D AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. FAU - Wheeler, Vanessa AU - Wheeler V AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. FAU - Lee, Jong-Min AU - Lee JM AUID- ORCID: 0000-0001-5799-0787 AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. AD - Medical and Population Genetics Program, Broad Institute, Cambridge, MA, USA. FAU - MacDonald, Marcy E AU - MacDonald ME AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. AD - Medical and Population Genetics Program, Broad Institute, Cambridge, MA, USA. FAU - Long, Jeffrey D AU - Long JD AUID- ORCID: 0000-0001-7181-9652 AD - Departments of Psychiatry and Biostatistics, University of Iowa, Iowa City, IA, USA. FAU - Aylward, Elizabeth H AU - Aylward EH AD - Seattle Children's Research Institute, Seattle, WA, USA. FAU - Landwehrmeyer, G Bernhard AU - Landwehrmeyer GB AD - Department of Neurology, University of Ulm, Ulm, Germany. FAU - Rosser, Anne E AU - Rosser AE AD - Brain Repair Group, Schools of Medicine and Biosciences, Cardiff University, Cardiff, UK. AD - Neuroscience and Mental Health Research Institute, Cardiff University, Cardiff, UK. CN - REGISTRY Investigators of the European Huntington’s disease network FAU - Paulsen, Jane S AU - Paulsen JS AD - University of Wisconsin, Madison, WI, USA. CN - PREDICT-HD Investigators of the Huntington Study Group FAU - Williams, Nigel M AU - Williams NM AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Gusella, James F AU - Gusella JF AD - Molecular Neurogenetics Unit, Center for Genomic Medicine, Massachusetts General Hospital and Department of Neurology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA. AD - Medical and Population Genetics Program, Broad Institute, Cambridge, MA, USA. FAU - Monckton, Darren G AU - Monckton DG AUID- ORCID: 0000-0002-8298-8264 AD - Institute of Molecular, Cell and Systems Biology, University of Glasgow, Glasgow, UK. FAU - Allen, Nicholas D AU - Allen ND AUID- ORCID: 0000-0003-4009-186X AD - School of Biosciences, Cardiff University, Cardiff, UK. FAU - Holmans, Peter AU - Holmans P AUID- ORCID: 0000-0003-0870-9412 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. FAU - Jones, Lesley AU - Jones L AUID- ORCID: 0000-0002-3007-4612 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. jonesl1@cardiff.ac.uk. AD - UK Dementia Research Institute at Cardiff, Cardiff University, Cardiff, UK. jonesl1@cardiff.ac.uk. FAU - Massey, Thomas H AU - Massey TH AUID- ORCID: 0000-0002-9804-2131 AD - Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK. masseyt1@cardiff.ac.uk. LA - eng GR - MR/P001629/1/MRC_/Medical Research Council/United Kingdom GR - U01 NS082079/NS/NINDS NIH HHS/United States GR - 109088/Z/15A/WT_/Wellcome Trust/United Kingdom GR - R01 NS040068/NS/NINDS NIH HHS/United States GR - R01 NS091161/NS/NINDS NIH HHS/United States GR - R01 NS049206/NS/NINDS NIH HHS/United States GR - R01 NS105709/NS/NINDS NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom GR - MC_EX_MR/N50192X/1/MRC_/Medical Research Council/United Kingdom GR - MR/L010305/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20220404 PL - United States TA - Nat Neurosci JT - Nature neuroscience JID - 9809671 RN - 0 (Huntingtin Protein) RN - 0 (Multifunctional Enzymes) RN - EC 3.1.- (Endodeoxyribonucleases) RN - EC 3.1.- (Exodeoxyribonucleases) RN - EC 3.1.- (FAN1 protein, human) SB - IM MH - Age of Onset MH - *Endodeoxyribonucleases/genetics/metabolism MH - *Exodeoxyribonucleases/genetics/metabolism MH - Exome/genetics MH - Genome-Wide Association Study MH - Humans MH - Huntingtin Protein/genetics MH - *Huntington Disease/genetics/metabolism MH - Multifunctional Enzymes/genetics/metabolism MH - *Trinucleotide Repeat Expansion/genetics MH - Exome Sequencing PMC - PMC8986535 COIS- V.C.W. is a scientific advisory board member of Triplet Therapeutics, a company developing new therapeutic approaches to address triplet repeat disorders such Huntington’s disease and myotonic dystrophy. V.C.W.’s financial interests in Triplet Therapeutics were reviewed and are managed by Massachusetts General Hospital and Mass General Brigham in accordance with their conflict of interest policies. V.C.W. is also a scientific advisory board member of LoQus23 Therapeutics and has provided paid consulting services to Alnylam. J.-M.L. is on the scientific advisory board of GenEdit. J.D.L. is a paid advisory board member for F. Hoffmann-La Roche and uniQure biopharma and is a paid consultant for Vaccinex, Wave Life Sciences, Genentech, Triplet Therapeutics and PTC Therapeutics. E.H.A. serves on a Data Safety Monitoring Board for Roche. G.B.L. has provided consulting services, advisory board functions, clinical trial services and/or lectures for Allergan, Alnylam, Amarin, AOP Orphan Pharmaceuticals, Bayer Pharma, the CHDI Foundation, GlaxoSmithKline, F. Hoffmann-La Roche, Ipsen, Isis Pharma, Lundbeck, Neurosearch, Medesis, Medivation, Medtronic, NeuraMetrix, Novartis, Pfizer, Prana Biotechnology, Sangamo/Shire, Siena Biotech, Temmler Pharma and Teva Pharmaceuticals. G.B.L. has also received research grant support from the CHDI Foundation, the Bundesministerium für Bildung und Forschung, the Deutsche Forschungsgemeinschaft and the European Commission (EU-FP7, JPND). His study site in Ulm has received compensation in the context of the observational Enroll-HD Study from Teva, Isis, F. Hoffmann-Roche and the Gossweiler Foundation. He receives royalties from Oxford University Press and is employed by the State of Baden-Württemberg at the University of Ulm. A.E.R. is chair of the European Huntington’s Disease Network executive committee and is the global PI for Triplet Therapeutics. J.S.P. has provided consulting services, advisory board functions and clinical trial services for Acadia, F. Hoffman-La Roche, Wave Life Sciences and the CHDI Foundation. J.F.G. is a scientific advisory board member and has a financial interest in Triplet Therapeutics. His National Institutes of Health-funded project is using genetic and genomic approaches to uncover other genes that significantly influence when diagnosable symptoms emerge and how rapidly they worsen in Huntington’s disease. The company is developing new therapeutic approaches to address triplet repeat disorders, such Huntington’s disease, myotonic dystrophy and spinocerebellar ataxias. His interests were reviewed and are managed by Massachusetts General Hospital and Mass General Brigham in accordance with their conflict of interest policies. J.F.G. has also been a consultant for Wave Life Sciences. Within the last 5 years, D.G.M. has been a scientific consultant and/or received honoraria/stock options/research contracts from AMO Pharma, Charles River Laboratories, LoQus23, Small Molecule RNA, Triplet Therapeutics and Vertex Pharmaceuticals. L.J. is a member of the scientific advisory boards of LoQus23 Therapeutics and Triplet Therapeutics. T.H.M. is an associate member of the scientific advisory board of LoQus23 Therapeutics. B.M., J.D., C.S.B., S.P., U.C., G.E., J.S., S.L., L.E., L.-N.S., E.R., G.M., M.C., A.M., M.J.C., E.P.H., D.L., M.E.M., N.M.W., N.D.A. and P.H. have nothing to disclose. EDAT- 2022/04/06 06:00 MHDA- 2022/04/09 06:00 PMCR- 2022/04/04 CRDT- 2022/04/05 05:33 PHST- 2021/05/06 00:00 [received] PHST- 2022/02/11 00:00 [accepted] PHST- 2022/04/06 06:00 [pubmed] PHST- 2022/04/09 06:00 [medline] PHST- 2022/04/05 05:33 [entrez] PHST- 2022/04/04 00:00 [pmc-release] AID - 10.1038/s41593-022-01033-5 [pii] AID - 1033 [pii] AID - 10.1038/s41593-022-01033-5 [doi] PST - ppublish SO - Nat Neurosci. 2022 Apr;25(4):446-457. doi: 10.1038/s41593-022-01033-5. Epub 2022 Apr 4. PMID- 7841817 OWN - NLM STAT- MEDLINE DCOM- 19950309 LR - 20151119 IS - 0895-0172 (Print) IS - 0895-0172 (Linking) VI - 6 IP - 4 DP - 1994 Fall TI - Neurosurgical treatment for refractory obsessive-compulsive disorder: implications for understanding frontal lobe function. PG - 467-77 AB - A minority of patients with obsessive-compulsive disorder (OCD) have a chronic course and extreme disability, with symptoms refractory to pharmacological and psychological treatment. Considerable uncontrolled evidence suggests such cases may respond to neurosurgical intervention. The authors update current stereotactic procedures and their efficacy, safety, and side effect profiles. The design of an ongoing placebo-controlled trial of Gamma Knife capsulotomy for refractory OCD is outlined. Drug treatment of OCD may be assumed to affect a proposed functional imbalance between the frontal lobes and other parts of the brain. As for neurosurgical treatments, both the effects and side effects may be viewed as expressions of their influence on this functional imbalance. FAU - Mindus, P AU - Mindus P AD - Department of Psychiatry and Psychology, Karolinska Institute, Stockholm, Sweden. FAU - Rasmussen, S A AU - Rasmussen SA FAU - Lindquist, C AU - Lindquist C LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Neuropsychiatry Clin Neurosci JT - The Journal of neuropsychiatry and clinical neurosciences JID - 8911344 SB - IM MH - Brain Mapping MH - Chronic Disease MH - Double-Blind Method MH - Follow-Up Studies MH - Frontal Lobe/*physiopathology MH - Humans MH - Neural Pathways/physiopathology MH - Neurocognitive Disorders/physiopathology/psychology/*surgery MH - Obsessive-Compulsive Disorder/physiopathology/psychology/*surgery MH - Postoperative Complications/physiopathology/psychology MH - Prospective Studies MH - *Psychosurgery MH - Radiosurgery MH - Treatment Outcome RF - 69 EDAT- 1994/01/01 00:00 MHDA- 1994/01/01 00:01 CRDT- 1994/01/01 00:00 PHST- 1994/01/01 00:00 [pubmed] PHST- 1994/01/01 00:01 [medline] PHST- 1994/01/01 00:00 [entrez] AID - 10.1176/jnp.6.4.467 [doi] PST - ppublish SO - J Neuropsychiatry Clin Neurosci. 1994 Fall;6(4):467-77. doi: 10.1176/jnp.6.4.467. PMID- 36149975 OWN - NLM STAT- MEDLINE DCOM- 20220928 LR - 20221207 IS - 1536-3708 (Electronic) IS - 0148-7043 (Linking) VI - 89 IP - 4 DP - 2022 Oct 1 TI - Long-Term Follow-up in Labiaplasty in 414 Women: A Single-Center Experience in China. PG - 353-357 LID - 10.1097/SAP.0000000000003264 [doi] AB - Women with labial hypertrophy may opt for labiaplasty. The aim of the study was to analyze the complications, long-term follow-up of clinical outcomes and satisfaction in this population over the past 10 years.All women who underwent labiaplasty with or without clitoral hood reduction at our center between January 2008 and August 2020 were retrospectively identified. Retrospective study was conducted, recording follow-up outcomes, motivations, techniques, postoperative complications, reasons requiring reoperation, and surgical satisfaction concerned different clinical characteristics. A concrete analysis of each specific outcome and a detailed knowledge of these procedures were performed.A total of 52.41% reported functional impairment, 20.25% cited aesthetics complains, and 27.34% were motivated by both the previously mentioned reasons. Women undergoing surgical correction sometimes mixed with various psychological aspects. A total of 91.06% reported that they were moderately (6.04%) or extremely (85.02%) satisfied with the outcomes after surgery, and 37 (8.94%) reported dissatisfied. Revision surgery was needed in a small number of patients (n = 7 of 414 patients, 1.69%) because of undesirable appearance. The most common complication in our patients was asymmetry (6.28%). Women requested labiaplasty in the last 2 reasons or procedures or without psychological distress were more likely feel satisfied with the results (satisfaction rate >90%). There was a significant difference in satisfaction among the 3 concerns as well as between the 2 kinds of psychological conditions ( P < 0.05). Satisfaction of patients with aesthetic complains compared with the other 2 worries was significantly lower ( P < 0.05). There was no significant difference among the 3 procedures in this comparison group ( P > 0.05). In addition, satisfaction in labiaplasty with or without clitoral hoodoplasty, neither of which was statistically different ( P > 0.05). Patients aged 30 to 39 years reported the lowest satisfaction in comparison with the other age groups.Labiaplasty of the labia minora is the most commonly performed genital cosmetic surgery procedure. This study on 414 patients demonstrated that it is associated with a high degree of patient satisfaction and low morbidity and provided evidence of safety and effectiveness preliminary, indicating that the procedure may be regarded as safe. CI - Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Qiang, Shuai AU - Qiang S AD - From the Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'An. FAU - Li, Feng Yong AU - Li FY AD - Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Zhou, Yu AU - Zhou Y AD - Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Cao, Yu Jiao AU - Cao YJ AD - Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Liu, Mei Chen AU - Liu MC AD - Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Li, Qiang AU - Li Q AD - Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. LA - eng PT - Journal Article DEP - 20220809 PL - United States TA - Ann Plast Surg JT - Annals of plastic surgery JID - 7805336 SB - IM MH - China MH - Clitoris/surgery MH - Female MH - Follow-Up Studies MH - Humans MH - Patient Satisfaction MH - *Plastic Surgery Procedures/methods MH - Retrospective Studies MH - *Vulva/surgery COIS- Conflicts of interest and sources of funding: none declared. EDAT- 2022/09/24 06:00 MHDA- 2022/09/28 06:00 CRDT- 2022/09/23 14:04 PHST- 2022/09/24 06:00 [pubmed] PHST- 2022/09/28 06:00 [medline] PHST- 2022/09/23 14:04 [entrez] AID - 00000637-202210000-00004 [pii] AID - 10.1097/SAP.0000000000003264 [doi] PST - ppublish SO - Ann Plast Surg. 2022 Oct 1;89(4):353-357. doi: 10.1097/SAP.0000000000003264. Epub 2022 Aug 9. PMID- 21956611 OWN - NLM STAT- MEDLINE DCOM- 20150120 LR - 20191210 IS - 1866-3370 (Print) IS - 1866-3370 (Linking) VI - 9 DP - 2012 TI - Brain processes in discounting: consequences of adolescent methylphenidate exposure. PG - 113-43 LID - 10.1007/7854_2011_156 [doi] AB - Traits of inattention, impulsivity, and motor hyperactivity characterize children diagnosed with attention-deficit/hyperactivity disorder (ADHD), whose inhibitory control is reduced. In animal models, crucial developmental phases or experimental transgenic conditions account for peculiarities, such as sensation-seeking and risk-taking behaviors, and reproduce the beneficial effects of psychostimulants. An "impulsive" behavioral profile appears to emerge more extremely in rats when forebrain dopamine (DA) systems undergo remodeling, as in adolescence, or with experimental manipulation tapping onto the dopamine transporter (DAT). Ritalin(®) (methylphenidate, MPH), a DAT-blocking drug, is prescribed for ADHD therapy but is also widely abused by human adolescents. Administration of MPH during rats' adolescence causes a long-term modulation of their self-control, in terms of reduced intolerance to delay and diminished proneness for risk when reward is uncertain. Exactly the opposite profile emerges when exogenous alteration of DAT levels is achieved via lentiviral transfection. Both adolescent MPH exposure and DAT-targeting transfection lead to enduring hyperfunction of dorsal striatum and hypofunction of ventral striatum. Together with upregulation of prefronto-cortical phospho-creatine, striatal upregulation of selected genes (like serotonin 7 receptor gene) suggests that enhanced inhibitory control is generated by adolescent MPH exposure. Operant tasks, which assess the balance between motivational drives and inhibitory self-control, are thus useful for investigating reward-discounting processes and their modulation by DAT-targeting tools. In summary, due to the complexity of human studies, preclinical investigations of rodent models are necessary to understand better both the neurobiology of ADHD-like symptoms' etiology and the long-term therapeutic safety of adolescent MPH exposure. FAU - Adriani, Walter AU - Adriani W AD - Section of Behavioural Neuroscience, Department of Cell Biology & Neurosciences, Istituto Superiore di Sanitá, Viale Regina Elena 299, I-00161, Rome, Italy, walter.adriani@iss.it. FAU - Zoratto, Francesca AU - Zoratto F FAU - Laviola, Giovanni AU - Laviola G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Germany TA - Curr Top Behav Neurosci JT - Current topics in behavioral neurosciences JID - 101535383 RN - 0 (Central Nervous System Stimulants) RN - 0 (Membrane Transport Proteins) RN - 207ZZ9QZ49 (Methylphenidate) SB - IM MH - Adolescent MH - Animals MH - Attention Deficit Disorder with Hyperactivity/drug therapy/*pathology MH - Brain/drug effects/*physiopathology MH - Central Nervous System Stimulants/*therapeutic use MH - Disease Models, Animal MH - Humans MH - Inhibition, Psychological MH - Membrane Transport Proteins/metabolism MH - Methylphenidate/*therapeutic use MH - Up-Regulation/drug effects/genetics EDAT- 2011/10/01 06:00 MHDA- 2015/01/21 06:00 CRDT- 2011/09/30 06:00 PHST- 2011/09/30 06:00 [entrez] PHST- 2011/10/01 06:00 [pubmed] PHST- 2015/01/21 06:00 [medline] AID - 10.1007/7854_2011_156 [doi] PST - ppublish SO - Curr Top Behav Neurosci. 2012;9:113-43. doi: 10.1007/7854_2011_156. PMID- 36273599 OWN - NLM STAT- MEDLINE DCOM- 20221205 LR - 20230131 IS - 1096-0953 (Electronic) IS - 0013-9351 (Print) IS - 0013-9351 (Linking) VI - 216 IP - Pt 2 DP - 2023 Jan 1 TI - Climate change and human health in the Eastern Mediterranean and Middle East: Literature review, research priorities and policy suggestions. PG - 114537 LID - S0013-9351(22)01864-3 [pii] LID - 10.1016/j.envres.2022.114537 [doi] LID - 114537 AB - Human health is linked to climatic factors in complex ways, and climate change can have profound direct and indirect impacts on the health status of any given region. Susceptibility to climate change is modulated by biological, ecological and socio-political factors such as age, gender, geographic location, socio-economic status, occupation, health status and housing conditions, among other. In the Eastern Mediterranean and Middle East (EMME), climatic factors known to affect human health include extreme heat, water shortages and air pollution. Furthermore, the epidemiology of vector-borne diseases (VBDs) and the health consequences of population displacement are also influenced by climate change in this region. To inform future policies for adaptation and mitigation measures, and based on an extensive review of the available knowledge, we recommend several research priorities for the region. These include the generation of more empirical evidence on exposure-response functions involving climate change and specific health outcomes, the development of appropriate methodologies to evaluate the physical and psychological effects of climate change on vulnerable populations, determining how climate change alters the ecological determinants of human health, improving our understanding of the effects of long-term exposure to heat stress and air pollution, and evaluating the interactions between adaptation and mitigation strategies. Because national boundaries do not limit most climate-related factors expected to impact human health, we propose that adaptation/mitigation policies must have a regional scope, and therefore require collaborative efforts among EMME nations. Policy suggestions include a decisive region-wide decarbonisation, the integration of environmentally driven morbidity and mortality data throughout the region, advancing the development and widespread use of affordable technologies for the production and management of drinking water by non-traditional means, the development of comprehensive strategies to improve the health status of displaced populations, and fostering regional networks for monitoring and controlling the spread of infectious diseases and disease vectors. CI - Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Neira, Marco AU - Neira M AD - Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus. Electronic address: m.neira@cyi.ac.cy. FAU - Erguler, Kamil AU - Erguler K AD - Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus. FAU - Ahmady-Birgani, Hesam AU - Ahmady-Birgani H AD - Faculty of Natural Resources, Urmia University, Urmia, Iran. FAU - Al-Hmoud, Nisreen DaifAllah AU - Al-Hmoud ND AD - Bio-Safety and Bio-Security Centre, Royal Scientific Society, Jordan. FAU - Fears, Robin AU - Fears R AD - European Academies Science Advisory Council (EASAC), Halle (Saale), Germany. FAU - Gogos, Charalambos AU - Gogos C AD - School of Medicine, University of Patras, Patras, Greece. FAU - Hobbhahn, Nina AU - Hobbhahn N AD - European Academies Science Advisory Council (EASAC), Halle (Saale), Germany. FAU - Koliou, Maria AU - Koliou M AD - University of Cyprus Medical School, Nicosia, Cyprus. FAU - Kostrikis, Leondios G AU - Kostrikis LG AD - Department of Biological Sciences, University of Cyprus, Nicosia, Cyprus; Cyprus Academy of Sciences, Letters, and Arts, Nicosia, Cyprus. FAU - Lelieveld, Jos AU - Lelieveld J AD - Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus; Max Planck Institute for Chemistry, Mainz, Germany. FAU - Majeed, Azeem AU - Majeed A AD - Department of Primary Care & Public Health, Imperial College London, London, United Kingdom. FAU - Paz, Shlomit AU - Paz S AD - Department of Geography and Environmental Studies, University of Haifa, Haifa, Israel. FAU - Rudich, Yinon AU - Rudich Y AD - Department of Earth and Planetary Sciences, The Weismann Institute of Science, Rehovot, Israel. FAU - Saad-Hussein, Amal AU - Saad-Hussein A AD - Environment and Climate Change Research Institute, National Research Centre, Cairo, Egypt. FAU - Shaheen, Mohammed AU - Shaheen M AD - Damour for Community Development - Research Department, Palestine. FAU - Tobias, Aurelio AU - Tobias A AD - Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain. FAU - Christophides, George AU - Christophides G AD - Climate and Atmosphere Research Center (CARE-C), The Cyprus Institute, Nicosia, Cyprus; Department of Life Sciences, Imperial College London, London, United Kingdom. Electronic address: g.christophides@cyi.ac.cy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20221021 PL - Netherlands TA - Environ Res JT - Environmental research JID - 0147621 SB - IM MH - Humans MH - *Air Pollution MH - Climate Change MH - *Communicable Diseases/epidemiology MH - Policy MH - Research PMC - PMC9729515 OTO - NOTNLM OT - Air pollution OT - Climate change OT - Eastern Mediterranean OT - Extreme heat OT - Health OT - Middle East OT - Population displacement OT - Vector-borne diseases OT - Water shortage COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/10/24 06:00 MHDA- 2022/12/01 06:00 PMCR- 2023/01/01 CRDT- 2022/10/23 19:33 PHST- 2022/08/01 00:00 [received] PHST- 2022/09/29 00:00 [revised] PHST- 2022/10/06 00:00 [accepted] PHST- 2022/10/24 06:00 [pubmed] PHST- 2022/12/01 06:00 [medline] PHST- 2022/10/23 19:33 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - S0013-9351(22)01864-3 [pii] AID - 114537 [pii] AID - 10.1016/j.envres.2022.114537 [doi] PST - ppublish SO - Environ Res. 2023 Jan 1;216(Pt 2):114537. doi: 10.1016/j.envres.2022.114537. Epub 2022 Oct 21. PMID- 26182920 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20161230 IS - 1896-494X (Electronic) IS - 1232-1087 (Linking) VI - 28 IP - 2 DP - 2015 TI - Rules and recent trends for setting health-based occupational exposure limits for chemicals. PG - 243-52 LID - 1960 [pii] LID - 10.13075/ijomeh.1896.00243 [doi] AB - The working environment is the special case of the non-natural environment created by man in which the increased production activity brings about the concentration of stimulators particularly aggressive to the human organism, such as chemical hazards, noise, vibration, extreme temperatures, and finally, intensified psychological and emotional stress. Depending on the nature and intensity, working environment factors have been classified into dangerous, harmful and annoying. The workers are more and more frequently exposed to dangerous chemicals in the working environment. The chemicals cause many diseases including, in the 1st place, respiratory insufficiency, inflammatory skin conditions, psychoneurological disorders and neoplastic diseases. Occupational exposure limit values (OELs), the main criteria for occupational exposure assessment, constitute an important factor for the safe use of chemicals in the working environment. In Poland, to date there are 524 chemical substances and 19 dusts for which maximum admissible concentrations (MAC) have been established. CI - This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license. FAU - Skowroń, Jolanta AU - Skowroń J AD - Central Institute for Labour Protection - National Research Institute, Warszawa, Poland (Department of Chemical, Aerosol and Biological Hazards). josko@ciop.pl. FAU - Czerczak, Sławomir AU - Czerczak S AD - Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Chemical Safety). LA - eng PT - Journal Article PT - Review PL - Poland TA - Int J Occup Med Environ Health JT - International journal of occupational medicine and environmental health JID - 9437093 RN - 0 (Carcinogens, Environmental) RN - 0 (Dust) RN - 0 (Hazardous Substances) SB - IM MH - *Carcinogens, Environmental MH - *Dust MH - Environmental Monitoring/legislation & jurisprudence MH - *Hazardous Substances MH - Humans MH - Maximum Allowable Concentration MH - Occupational Exposure/*legislation & jurisprudence/prevention & control MH - Occupational Health/*legislation & jurisprudence/*trends MH - Poland OTO - NOTNLM OT - MAC OT - OEL OT - chemicals OT - legislation OT - occupational exposure limit EDAT- 2015/07/18 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/07/18 06:00 PHST- 2015/07/18 06:00 [entrez] PHST- 2015/07/18 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 1960 [pii] AID - 10.13075/ijomeh.1896.00243 [doi] PST - ppublish SO - Int J Occup Med Environ Health. 2015;28(2):243-52. doi: 10.13075/ijomeh.1896.00243. PMID- 33527617 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 1467-789X (Electronic) IS - 1467-7881 (Linking) VI - 22 Suppl 2 DP - 2021 Mar TI - Pathogenesis of obesity and cardiometabolic diseases: From the legacy of Ancel Keys to current concepts. PG - e13193 LID - 10.1111/obr.13193 [doi] AB - Several areas of research into the prevention and treatment of obesity today can be traced to one or more of the scientific works pioneered by Ancel Keys between the 1930s to 1970s in fields that cut across the physiology of extremes and public health nutrition. These range from his classical studies into how body and mind respond to chronic exposure to hypoxia in "The Physiology of Life at High Altitudes" or to simulated famine under controlled laboratory conditions in "The Biology of Human Starvation", the impact of diet and lifestyle on cardiovascular morbidity and mortality in "The Seven Countries Study," to the "Indices of Relative Weight and Obesity" in which he identified what has since been the most widely utilized diagnostic tool to monitor obesity across populations worldwide and which he coined as the body mass index. The contribution of Ancel Keys to medical sciences through his observations, analytical approaches, and research output of his classic studies, and how these have (and continue) to impact on a plethora of current concepts in obesity research today, are embodied in the eight review articles that constitute this supplement reporting the proceedings of the 10th Fribourg Obesity Research Conference. The aim of this introductory paper is to put into perspective the legacy of Ancel Keys to current concepts that are encapsulated in these review articles that cover research areas that include (i) the diagnosis of obesity for health risks; (ii) the role of dietary fat types in the pathogenesis of obesity and cardiometabolic diseases; (iii) the rationale, efficacy and safety of low carbohydrate ketogenic diets, or the therapeutic potential of hypoxic conditioning, in weight management programs; (iv) the psychological and physiological basis of the "famine reaction" that counters therapeutic dieting and facilitates weight regain; and (v) the potential impact of weight cycling and yoyo dieting on risks for later obesity and cardiometabolic diseases. CI - © 2021 World Obesity Federation. FAU - Dulloo, Abdul G AU - Dulloo AG AUID- ORCID: 0000-0003-3877-6149 AD - Faculty of Science and Medicine, Department of Endocrinology, Metabolism and Cardiovascular System, University of Fribourg, Fribourg, Switzerland. FAU - Montani, Jean-Pierre AU - Montani JP AD - Faculty of Science and Medicine, Department of Endocrinology, Metabolism and Cardiovascular System, University of Fribourg, Fribourg, Switzerland. LA - eng PT - Journal Article PT - Review DEP - 20210201 PL - England TA - Obes Rev JT - Obesity reviews : an official journal of the International Association for the Study of Obesity JID - 100897395 SB - IM MH - Body Mass Index MH - *Cardiovascular Diseases/etiology MH - Diet MH - Humans MH - Life Style MH - *Obesity OTO - NOTNLM OT - body composition OT - dietary fats OT - hypoxia OT - starvation EDAT- 2021/02/03 06:00 MHDA- 2021/10/16 06:00 CRDT- 2021/02/02 06:19 PHST- 2020/12/04 00:00 [received] PHST- 2020/12/07 00:00 [accepted] PHST- 2021/02/03 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2021/02/02 06:19 [entrez] AID - 10.1111/obr.13193 [doi] PST - ppublish SO - Obes Rev. 2021 Mar;22 Suppl 2:e13193. doi: 10.1111/obr.13193. Epub 2021 Feb 1. PMID- 38197689 OWN - NLM STAT- MEDLINE DCOM- 20240111 LR - 20241216 IS - 2078-6204 (Electronic) IS - 2078-6190 (Print) IS - 2078-6190 (Linking) VI - 65 IP - 1 DP - 2023 Dec 22 TI - The psychological impact of COVID-19 on frontline doctors in Tshwane public hospitals. PG - e1-e10 LID - 10.4102/safp.v65i1.5807 [doi] LID - 5807 AB - BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic placed immense pressure on frontline doctors. Burnout is a psychological syndrome that develops in response to chronic work stress. It consists of emotional exhaustion (EE), depersonalisation (DP) and reduced personal accomplishment (PA). Burnout is associated with personal dysfunction and compromises the work profession and patient safety. International studies suggest burnout is exacerbated during a pandemic. METHODS: We conducted a descriptive cross-sectional observational study. Respondents included frontline doctors working in emergency medicine, family medicine and internal medicine during COVID-19 in Tshwane public hospitals. The survey included two validated questionnaires, the Maslach Burnout Inventory and the Depression, Anxiety, Stress Scale-21. The aim was to determine the prevalence and severity of burnout, psychological and somatic symptoms in frontline doctors. RESULTS: Of the 163 participants, we found clinical burnout to be present in 58.9% (n = 96) and extreme burnout in 19.6% (n = 32). Moderate to extremely severe levels of stress, anxiety and depression were present in 55.1% (n = 90), 43.6% (n = 71) and 22.1% (n = 36) of participants, respectively. We found significant correlations between burnout and psychological symptoms. Increased levels of burnout, anxiety, depression and stress were found to be meaningfully associated with adverse somatic symptoms. CONCLUSION: Our study demonstrated an insufferably high prevalence of burnout and psychosomatic symptoms in frontline doctors during COVID-19. In the event of future pandemics, more measures should be taken to support frontline doctors.Contribution: Pandemic-associated burnout and its psychophysical consequences have not been studied in frontline doctors in South Africa. FAU - Duffton, Juliet D AU - Duffton JD AD - Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria. drjulietreed@gmail.com. FAU - Heystek, Marthinus J AU - Heystek MJ FAU - Engelbrecht, Andreas AU - Engelbrecht A FAU - Rajan, Suma AU - Rajan S FAU - Du Toit, Renier A AU - Du Toit RA LA - eng PT - Journal Article PT - Observational Study DEP - 20231222 PL - South Africa TA - S Afr Fam Pract (2004) JT - South African family practice : official journal of the South African Academy of Family Practice/Primary Care JID - 9701104 RN - Maslach Burnout Inventory SB - IM MH - *COVID-19/epidemiology MH - Self Report MH - *Medically Unexplained Symptoms MH - Humans MH - Hospitals, Public MH - Psychological Tests MH - Cross-Sectional Studies PMC - PMC10784208 OTO - NOTNLM OT - COVID-19 OT - South Africa OT - anxiety OT - burnout OT - depression OT - doctors OT - frontline OT - pandemic OT - psychological OT - somatic symptoms OT - stress COIS- The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article. EDAT- 2024/01/10 12:43 MHDA- 2024/01/11 07:42 PMCR- 2023/12/22 CRDT- 2024/01/10 09:14 PHST- 2023/08/02 00:00 [received] PHST- 2023/10/18 00:00 [accepted] PHST- 2023/10/18 00:00 [revised] PHST- 2024/01/11 07:42 [medline] PHST- 2024/01/10 12:43 [pubmed] PHST- 2024/01/10 09:14 [entrez] PHST- 2023/12/22 00:00 [pmc-release] AID - SAFP-65-5807 [pii] AID - 10.4102/safp.v65i1.5807 [doi] PST - epublish SO - S Afr Fam Pract (2004). 2023 Dec 22;65(1):e1-e10. doi: 10.4102/safp.v65i1.5807. PMID- 33013090 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240801 IS - 0974-2700 (Print) IS - 0974-519X (Electronic) IS - 0974-2700 (Linking) VI - 13 IP - 2 DP - 2020 Apr-Jun TI - Face to Face with Coronavirus Disease 19: Maintaining Motivation, Psychological Safety, and Wellness. PG - 116-123 LID - 10.4103/JETS.JETS_27_20 [doi] AB - Emerging infectious diseases have the potential to spread across borders extremely quickly. This was seen during the severe acute respiratory syndrome (SARS) outbreak and now, coronavirus disease (COVID 19) (novel coronavirus) pandemic. For outbreaks and pandemics, there will be behavioral, affective, and cognitive changes and adaptation seen. This may be prominent in frontline workers and healthcare workers (HCWs), who work in high-risk areas, as well as people in general. What represents the psychology and mindset of people during a pandemic? What is needed to allay anxieties and instill calm? What will be needed to keep the motivation levels of people and HCW high so that they continue to function optimally? Which motivation theory can be used to explain this and how do employers and management utilize this in their approach/strategies in planning for an outbreak? Finally, the impact of culture, in the various contexts, cannot be overlooked in crisis and pandemic management. The author is a senior emergency physician in Singapore, who has been through SARS and now the COVID pandemic. She has been instrumental in sharing some of the changes and practices implemented in Singapore, since SARS 17 years ago, until now. Besides being a full-time practicing emergency physician, the author is also an elected Member of the Singapore Parliament for the last 14 years. She shares her views on an aspect often overlooked during a pandemic: psychological wellness and motivations of people, including for HCW at the frontline. CI - Copyright: © 2020 Journal of Emergencies, Trauma, and Shock. FAU - Lateef, Fatimah AU - Lateef F AD - Department of Emergency Medicine, Singapore General Hospital, Singapore. AD - Adjunct Professor, Duke NUS Graduate Medical School, Singapore. AD - Adjunct Professor, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. AD - Singhealth Duke NUS Institute of Medical Simulation, Singapore. AD - Founding and Board Member, World Academic Council in Emergency Medicine, Singapore. LA - eng PT - Journal Article DEP - 20200610 PL - India TA - J Emerg Trauma Shock JT - Journal of emergencies, trauma, and shock JID - 101493921 PMC - PMC7472823 OTO - NOTNLM OT - Coronavirus disease 19 OT - emerging infectious diseases OT - motivation OT - pandemic OT - psychological wellness COIS- There are no conflicts of interest. EDAT- 2020/10/06 06:00 MHDA- 2020/10/06 06:01 PMCR- 2020/04/01 CRDT- 2020/10/05 06:13 PHST- 2020/02/27 00:00 [received] PHST- 2020/03/31 00:00 [revised] PHST- 2020/03/12 00:00 [accepted] PHST- 2020/10/05 06:13 [entrez] PHST- 2020/10/06 06:00 [pubmed] PHST- 2020/10/06 06:01 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - JETS-13-116 [pii] AID - 10.4103/JETS.JETS_27_20 [doi] PST - ppublish SO - J Emerg Trauma Shock. 2020 Apr-Jun;13(2):116-123. doi: 10.4103/JETS.JETS_27_20. Epub 2020 Jun 10. PMID- 7039662 OWN - NLM STAT- MEDLINE DCOM- 19820624 LR - 20190503 IS - 0007-1072 (Print) IS - 0007-1072 (Linking) VI - 39 IP - 2 DP - 1982 May TI - Health implications of exposure to radiofrequency/microwave energies. PG - 105-19 AB - ABSTRACT The rapid development of and the increase in the number and variety of devices that emit microwave/radiofrequency (MW/RF) energies has resulted in a growing interest regarding the potential effects on health of these energies. The frequency ranges considered in this review are: 300 kHz to 300 MHz (radiofrequency) and 300 MHz to 300 GHz (microwaves). Investigations have shown that exposure to certain power densities for several minutes or hours can result in pathophysiological manifestations in laboratory animals. Such effects may or may not be characterised by a measurable rise in temperature, which is a function of thermal regulatory processes and active adaptation by the animal. The end result is either a reversible or irreversible change, depending on the irradiation conditions and the physiological state of the animal. At lower power densities, evidence of pathological changes or physiological alteration is non-existent or equivocal. Much discussion, nevertheless, has taken place on the relative importance of thermal or non-thermal effects of radiofrequency and microwave radiation. Several retrospective studies have been done on human populations exposed or believed to have been exposed to MW/RF energies. Those performed in the US have not shown any relationship of altered morbidity or mortality to MW/RF exposure. Reactions referrable to the central nervous system and cardiovascular effects from exposure of man to microwave energy have been reported mostly in Eastern European publications. Individuals suffering from various ailments or psychological factors may exhibit the same dysfunctions of the central nervous and cardiovascular systems as those reported to result from exposure to MW/RF; thus it is extremely difficult, if not impossible, to rule out other factors in attempting to relate MW/RF exposure to clinical conditions. There is a need to set limits on the amount of exposure to MW/RF energies that individuals can accept with safety. Operative protection standards have apparently provided adequate safety to workers and the general population to permit the use of MW/RF energies without harm or detriment. FAU - Michaelson, S M AU - Michaelson SM LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review PL - England TA - Br J Ind Med JT - British journal of industrial medicine JID - 0370637 SB - IM MH - Abnormalities, Radiation-Induced/etiology MH - Animals MH - Cardiovascular Diseases/etiology MH - Central Nervous System Diseases/etiology MH - Dogs MH - Europe, Eastern MH - Eye Diseases/etiology MH - Female MH - Humans MH - Male MH - Maximum Allowable Concentration MH - Mice MH - Microwaves/*adverse effects MH - Occupational Diseases/*etiology MH - Pregnancy MH - Rabbits MH - Radio Waves/*adverse effects MH - Rats MH - USSR MH - United States PMC - PMC1008955 EDAT- 1982/05/01 00:00 MHDA- 1982/05/01 00:01 PMCR- 1982/05/01 CRDT- 1982/05/01 00:00 PHST- 1982/05/01 00:00 [pubmed] PHST- 1982/05/01 00:01 [medline] PHST- 1982/05/01 00:00 [entrez] PHST- 1982/05/01 00:00 [pmc-release] AID - 10.1136/oem.39.2.105 [doi] PST - ppublish SO - Br J Ind Med. 1982 May;39(2):105-19. doi: 10.1136/oem.39.2.105. PMID- 36508603 OWN - NLM STAT- MEDLINE DCOM- 20221214 LR - 20230820 IS - 1537-8918 (Electronic) IS - 1537-890X (Linking) VI - 21 IP - 12 DP - 2022 Dec 1 TI - Assessing Performing Artists in Medical and Health Practice - The Dancers, Instrumentalists, Vocalists, and Actors Screening Protocol. PG - 460-462 LID - 10.1249/JSR.0000000000001022 [doi] AB - Training in the performing arts exposes individuals to often extreme physical and psychological demands, which are linked to high occupational injury rates. The intense demands of performing artists have been likened to those of sport athletes. However, distinct differences in these demands necessitate specialized approaches to the health care of performing artists. Through the Athletes and the Arts collaboration, the American College of Sports Medicine and Performing Arts Medicine Association identified that the creation of a specialized preparticipation screening tool for performing artists would likely enhance health care for performing artists significantly. Based on a thorough review of established assessments and an extensive consultation process with domain experts, a consensus best-practice screening tool was developed: the Dancer, Instrumentalist, Vocalist, Actor (DIVA) Preparticipation Screening. This screening tool is modeled on the athletic preparticipation examination (PPE) in its structure and 30-min target duration. However, DIVA diverges considerably from the PPE in its content to address the specific risks and needs of performing artists. In particular, screening questions and physical examination procedures focus strongly on musculoskeletal injuries and mental health conditions, in response to the preponderance and interactions of these conditions appearing in performing artists. The DIVA tool presented is intended as a "living tool," which can be modified in the future to include new effective assessment techniques as appropriate. Training in the DIVA preparticipation physical examination is included as a core component of the essentials of performing arts medicine continuing education course described in detail in a companion manuscript in this issue. CI - Copyright © 2022 by the American College of Sports Medicine. FAU - Ackermann, Bronwen J AU - Ackermann BJ FAU - Guptill, Christine AU - Guptill C AD - School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada. FAU - Miller, Clay AU - Miller C AD - Sports Medicine North, Peabody, MA. FAU - Dick, Randall AU - Dick R AD - Health and Safety Sports Consultants, LLC, Carmel, IN. FAU - McCrary, J Matt AU - McCrary JM LA - eng PT - Journal Article DEP - 20221201 PL - United States TA - Curr Sports Med Rep JT - Current sports medicine reports JID - 101134380 SB - IM MH - Humans MH - *Sports Medicine/methods MH - *Sports MH - *Occupational Injuries MH - Physical Examination MH - Delivery of Health Care EDAT- 2022/12/13 06:00 MHDA- 2022/12/15 06:00 CRDT- 2022/12/12 15:12 PHST- 2022/12/12 15:12 [entrez] PHST- 2022/12/13 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] AID - 00149619-202212000-00012 [pii] AID - 10.1249/JSR.0000000000001022 [doi] PST - epublish SO - Curr Sports Med Rep. 2022 Dec 1;21(12):460-462. doi: 10.1249/JSR.0000000000001022. PMID- 30095359 OWN - NLM STAT- MEDLINE DCOM- 20190724 LR - 20190724 IS - 1464-0678 (Electronic) IS - 1357-650X (Linking) VI - 24 IP - 3 DP - 2019 May TI - Atypical maternal cradling laterality in an impoverished South African population. PG - 320-341 LID - 10.1080/1357650X.2018.1509077 [doi] AB - Human studies consistently report a 60%-80% maternal left cradling preference. The dominant explanation points to an engagement of the emotionally more-attuned right brain. In contrast, we found equal incidences of left (31.3%), right (34.3%) and no-preference (34.3%) cradling in an impoverished South African population living under adverse conditions characterized by extreme dangers. We found striking differences on the Parenting Stress Index (PSI) between mothers with no cradling laterality preference and mothers with either a left or right preference. In several mammals a homologous left preference becomes stronger when acute threats prevail, rendering the rightwards shift we observed under dangerous conditions seemingly paradoxical. We propose this paradox can be resolved in terms of life-history strategy theory which predicts reduced parental investment in chronically dangerous environments. We interpret our high PSI score findings in no-preference cradlers as indicative of poorer, or at least ambivalent, maternal coping which many studies show is typically associated with reduced emotional sensitivity and responsiveness. We suggest that the latter may be a psychological mechanism mediating a partial withdrawal of parental investment in response to an enduringly adverse environment. To the best of our knowledge, this is the first study investigating cradling laterality preferences in an adverse socioeconomic environment. FAU - Morgan, Barak AU - Morgan B AUID- ORCID: 0000-0002-9380-431X AD - a Global Risk Governance Programme, Institute for Safety Governance and Criminology, Law Faculty , University of Cape Town , Cape Town , South Africa. FAU - Hunt, Xanthe AU - Hunt X AUID- ORCID: 0000-0001-7531-6665 AD - b Department of Psychology , Stellenbosch University , Stellenbosch , South Africa. FAU - Sieratzki, Jechil AU - Sieratzki J AD - c Human Communication Science , University College London , London , UK. FAU - Woll, Bencie AU - Woll B AUID- ORCID: 0000-0002-3300-4775 AD - d Division of Psychology and Language Sciences , University College London , London , UK. FAU - Tomlinson, Mark AU - Tomlinson M AUID- ORCID: 0000-0001-5846-3444 AD - e Department of Psychology , Stellenbosch University , Stellenbosch , South Africa. AD - f Institute of Child and Adolescent Health Research , Stellenbosch University , Stellenbosch , South Africa. LA - eng PT - Journal Article PT - Observational Study DEP - 20180810 PL - England TA - Laterality JT - Laterality JID - 9609064 MH - Arm MH - Bottle Feeding MH - Breast Feeding MH - Choice Behavior MH - Depression/epidemiology/physiopathology MH - *Functional Laterality MH - Humans MH - Infant MH - Infant, Newborn MH - Maternal Behavior/physiology/*psychology MH - Mothers/psychology MH - Motor Activity/physiology MH - Poverty/*psychology MH - Prevalence MH - Socioeconomic Factors MH - *Stress, Psychological/epidemiology/physiopathology OTO - NOTNLM OT - Cradling OT - infant OT - maternal OT - parenting stress index OT - poverty EDAT- 2018/08/11 06:00 MHDA- 2019/07/25 06:00 CRDT- 2018/08/11 06:00 PHST- 2018/08/11 06:00 [pubmed] PHST- 2019/07/25 06:00 [medline] PHST- 2018/08/11 06:00 [entrez] AID - 10.1080/1357650X.2018.1509077 [doi] PST - ppublish SO - Laterality. 2019 May;24(3):320-341. doi: 10.1080/1357650X.2018.1509077. Epub 2018 Aug 10. PMID- 23160939 OWN - NLM STAT- MEDLINE DCOM- 20130703 LR - 20220330 IS - 1179-1934 (Electronic) IS - 1172-7047 (Linking) VI - 27 IP - 1 DP - 2013 Jan TI - Risk of serious cardiovascular problems with medications for attention-deficit hyperactivity disorder. PG - 15-30 LID - 10.1007/s40263-012-0019-9 [doi] AB - Attention-deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder characterized by persistent symptoms of inattention, hyperactivity and/or impulsivity. The proportion of patients diagnosed with ADHD receiving pharmacological treatments has increased enormously in recent years. Despite the well established efficacy and the good safety and tolerability profile, there is concern about the potential for rare but serious cardiovascular adverse events, as well as sudden cardiac death, with pharmacotherapies used for treating ADHD in children, adolescents and adults. The present paper aims to comprehensively and critically review the published evidence on the controversial association between medications approved for treating patients with ADHD and the risk of serious cardiovascular problems, specifically the risk of corrected QT interval (QTc) prolongation, and the risk of sudden cardiac death. A comprehensive search of relevant databases (PubMed, EMBASE and PsychINFO) was conducted to identify studies published in peer-reviewed journals until 21 July 2012. Clinical reports, as well as retrospective or prospective population-based studies with children, adolescents or adults as participants, of pharmacotherapies for ADHD reporting cardiovascular adverse events were included. Stimulant medications for ADHD, including methylphenidate and amphetamine derivatives, are generally safe and well tolerated. Small but statistically significant increases in blood pressure (BP) and heart rate (HR) are among the adverse events of stimulant treatment in all age groups. Similarly, the non-stimulant medication atomoxetine has also been associated with increased HR and BP, although as is the case with stimulants, these are generally minor, time limited and of minor clinical significance in children, adolescents or adults. Growing evidence suggests that these medications do not cause sudden and unexpected cardiac death or serious cardiovascular problems including statistically or clinically significant increases in QTc, at therapeutic doses in ADHD patients across the lifespan. Small decreases in mean systolic BP, diastolic BP and HR have been observed in studies with guanfacine-extended release (-XR) or clonidine-XR, two α(2)-adrenergic receptor agonists, administered alone or in combination with psychostimulants to children and adolescents with ADHD. There are also no statistically or clinically significant increases in QTc associated with clonidine or guanfacine. There are no reports of torsades de pointes clearly and directly related to medications used for treating ADHD in patients of all age groups. The risk for serious cardiovascular adverse events, including statistically or clinically significant increases in QTc, and sudden cardiac death associated with stimulants, atomoxetine or α(2)-adrenergic agonists prescribed for ADHD is extremely low and the benefits of treating individual patients with ADHD, after an adequate assessment, outweigh the risks. However, great caution is advised when considering stimulant and non-stimulant medications for patients of any age with a diagnosis of ADHD and a personal or family history or other known risk factors for cardiovascular disease. FAU - Martinez-Raga, Jose AU - Martinez-Raga J AD - Teaching Unit of Psychiatry and Psychological Medicine, Medicine Department, University of Valencia, Valencia, Spain. martinez_josrag@gva.es FAU - Knecht, Carlos AU - Knecht C FAU - Szerman, Nestor AU - Szerman N FAU - Martinez, María I AU - Martinez MI LA - eng PT - Journal Article PT - Review PL - New Zealand TA - CNS Drugs JT - CNS drugs JID - 9431220 RN - 0 (Central Nervous System Stimulants) SB - IM MH - Adolescent MH - Adult MH - Animals MH - Attention Deficit Disorder with Hyperactivity/*drug therapy MH - Blood Pressure/drug effects MH - Cardiovascular Diseases/*chemically induced/etiology/physiopathology MH - Central Nervous System Stimulants/adverse effects/therapeutic use MH - Child MH - Death, Sudden, Cardiac/etiology MH - Humans MH - Long QT Syndrome/chemically induced MH - Risk Factors EDAT- 2012/11/20 06:00 MHDA- 2013/07/05 06:00 CRDT- 2012/11/20 06:00 PHST- 2012/11/20 06:00 [entrez] PHST- 2012/11/20 06:00 [pubmed] PHST- 2013/07/05 06:00 [medline] AID - 10.1007/s40263-012-0019-9 [doi] PST - ppublish SO - CNS Drugs. 2013 Jan;27(1):15-30. doi: 10.1007/s40263-012-0019-9. PMID- 25057582 STAT- Publisher ISBN- 0-309-07585-8 PB - National Academies Press (US) DP - 2001 BTI - Safe Passage: Astronaut Care for Exploration Missions AB - Safe Passage: Astronaut Care for Exploration Missions sets forth a vision for space medicine as it applies to deep space voyage. As space missions increase in duration from months to years and extend well beyond Earth’s orbit, so will the attendant risks of working in these extreme and isolated environmental conditions. Hazards to astronaut health range from greater radiation exposure and loss of bone and muscle density to intensified psychological stress from living with others in a confined space. Going beyond the body of biomedical research, the report examines existing space medicine clinical and behavioral research and health care data and the policies attendant to them. It describes why not enough is known today about the dangers of prolonged travel to enable humans to venture into deep space in a safe and sane manner. The report makes a number of recommendations concerning NASA’s structure for clinical and behavioral research, on the need for a comprehensive astronaut health care system and on an approach to communicating health and safety risks to astronauts, their families, and the public. CI - Copyright© 2001 by the National Academy of Sciences. All rights reserved. FED - Ball, John R ED - Ball JR FED - Evans, Charles H Jr ED - Evans CH Jr CN - Institute of Medicine (US) Committee on Creating a Vision for Space Medicine During Travel Beyond Earth Orbit LA - eng PT - Review PT - Book PL - Washington (DC) EDAT- 2001/01/01 00:00 CRDT- 2001/01/01 00:00 AID - NBK223783 [bookaccession] AID - 10.17226/10218 [doi] PMID- 39019134 OWN - NLM STAT- MEDLINE DCOM- 20240812 LR - 20240812 IS - 1873-507X (Electronic) IS - 0031-9384 (Linking) VI - 284 DP - 2024 Oct 1 TI - The neurological effects of acute physical exhaustion on inhibitory function. PG - 114641 LID - S0031-9384(24)00186-0 [pii] LID - 10.1016/j.physbeh.2024.114641 [doi] AB - OBJECTIVE: We aimed to investigate the neural mechanisms underlying the inhibitory function performance of maritime Search and Rescue (SAR) personnel in states of physical exhaustion. BACKGROUND: SAR missions pose serious challenges to the cognitive function of SAR personnel, especially in extreme environments and physical exhaustion. It is important to understand SAR personnel's cognitive performance and neural activity under exhaustion to improve the efficiency of task execution and ensure work safety. METHOD: Twenty-six maritime SAR personnel were recruited to simulate boat operations until they reached a self-imposed state of exhaustion. The exhaustion state was monitored by maximum heart rate and subjective fatigue scale. Two event-related potentials, N200 and P300, were measured during a Go-Nogo task before and after a session of acute exhaustive tasks. RESULTS: After exhaustion, a marked reduction in accuracy, a notable increase in N200 amplitude, and a substantial decline in P300 amplitude under the Nogo condition were observed compared to the baseline phase. Pre- and post-exhaustion comparisons using standardized low-resolution brain electromagnetic tomography revealed reduced activations in the right middle temporal gyrus's N200 component after exhaustion in SAR personnel during the Nogo condition. CONCLUSION: The results suggest that acute physical exhaustion significantly impacts the inhibition ability of SAR personnel, prolonging the conflict monitoring phase and weakening the response inhibition phase. These findings provide valuable insights into how physical exhaustion affects cognitive functions critical to the safety and effectiveness of SAR operations, and can inform strategies to improve training and equipment to enhance performance under extreme conditions. CI - Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Zhao, Shanguang AU - Zhao S AD - Department of Physical Education, Shanghai Maritime University, Shanghai, China. FAU - Ait-Belaid, Khaoula AU - Ait-Belaid K AD - Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, UK. FAU - Shen, Yanqing AU - Shen Y AD - School of Physical Education and Sport, Henan University, Kaifeng, China. Electronic address: 10250102@vip.henu.edu.cn. FAU - Zhou, Ke AU - Zhou K AD - School of Physical Education and Sport, Henan University, Kaifeng, China. LA - eng PT - Journal Article DEP - 20240715 PL - United States TA - Physiol Behav JT - Physiology & behavior JID - 0151504 SB - IM MH - Humans MH - Male MH - Adult MH - *Electroencephalography MH - *Inhibition, Psychological MH - Young Adult MH - *Fatigue/physiopathology MH - *Evoked Potentials/physiology MH - Heart Rate/physiology MH - Brain/physiology MH - Female MH - Psychomotor Performance/physiology OTO - NOTNLM OT - Event-related potentials OT - Inhibition function OT - Physical exhaustion OT - Search and rescue personnel OT - Standardized low-resolution brain electromagnetic tomography COIS- Declaration of competing interest All authors declare that they have no competing interests. EDAT- 2024/07/18 00:42 MHDA- 2024/08/12 06:43 CRDT- 2024/07/17 19:26 PHST- 2024/04/30 00:00 [received] PHST- 2024/07/11 00:00 [revised] PHST- 2024/07/13 00:00 [accepted] PHST- 2024/08/12 06:43 [medline] PHST- 2024/07/18 00:42 [pubmed] PHST- 2024/07/17 19:26 [entrez] AID - S0031-9384(24)00186-0 [pii] AID - 10.1016/j.physbeh.2024.114641 [doi] PST - ppublish SO - Physiol Behav. 2024 Oct 1;284:114641. doi: 10.1016/j.physbeh.2024.114641. Epub 2024 Jul 15. PMID- 24686997 OWN - NLM STAT- MEDLINE DCOM- 20150413 LR - 20140401 IS - 1827-1618 (Electronic) IS - 0026-4725 (Linking) VI - 62 IP - 2 DP - 2014 Apr TI - New perspectives for transcatheter aortic valve implantation: more than a "simple" alternative to surgery. PG - 193-203 AB - To date, the gold standard of aortic stenosis treatment is surgical valve replacement. However, in inoperable or high risk patients a valid alternative is transcatheter aortic valve implantation (TAVI). Several trials showed feasibility, efficacy and safety of TAVI, with a tailored strategy for these patients on the basis of their clinical and anatomical conditions. The selection of valve type (CoreValve® or Edwards Sapien®) and transcatheter approach (transfemoral, transapical, subclavian or direct aortic approach) is an important step in the management of aortic stenosis. However, mortality is high and it is mainly related to non-cardiac reasons, given the high clinical risk profile of these patients. Moreover, the less invasive approach, the faster recovery, the reduced morbidity and the improved psychological tolerance, typical of TAVI, suggest that this technique could be used in a broader spectrum of cases, becoming a valid therapeutic alternative even in patients with severe aortic stenosis with a low surgical risk or asymptomatics. The identification of aortic stenosis patients by the medical community and their assessment over time, before they become candidates only for "extreme" strategies, remains the main challenge. FAU - Niglio, T AU - Niglio T AD - Department of Advanced Biomedical Sciences Federico II University, Naples, Italy - gengalas@unina.it. FAU - Galasso, G AU - Galasso G FAU - Piccolo, R AU - Piccolo R FAU - Di Gioia, G AU - Di Gioia G FAU - Strisciuglio, T AU - Strisciuglio T FAU - Esposito, G AU - Esposito G FAU - Trimarco, B AU - Trimarco B FAU - Piscione, F AU - Piscione F LA - eng PT - Journal Article PT - Review PL - Italy TA - Minerva Cardioangiol JT - Minerva cardioangiologica JID - 0400725 SB - IM MH - Aortic Valve Stenosis/physiopathology/*surgery MH - *Heart Valve Prosthesis MH - Humans MH - Risk Factors MH - Severity of Illness Index MH - Transcatheter Aortic Valve Replacement/adverse effects/instrumentation/*methods EDAT- 2014/04/02 06:00 MHDA- 2015/04/14 06:00 CRDT- 2014/04/02 06:00 PHST- 2014/04/02 06:00 [entrez] PHST- 2014/04/02 06:00 [pubmed] PHST- 2015/04/14 06:00 [medline] AID - R05Y2014N02A0193 [pii] PST - ppublish SO - Minerva Cardioangiol. 2014 Apr;62(2):193-203. PMID- 23929092 OWN - NLM STAT- MEDLINE DCOM- 20131118 LR - 20211021 IS - 1535-7228 (Electronic) IS - 0002-953X (Print) IS - 0002-953X (Linking) VI - 170 IP - 10 DP - 2013 Oct TI - Response to learned threat: An FMRI study in adolescent and adult anxiety. PG - 1195-204 LID - 10.1176/appi.ajp.2013.12050651 [doi] AB - OBJECTIVE: Poor threat-safety discrimination reflects prefrontal cortex dysfunction in adult anxiety disorders. While adolescent anxiety disorders are impairing and predict high risk for adult anxiety disorders, the neural correlates of threat-safety discrimination have not been investigated in this population. The authors compared prefrontal cortex function in anxious and healthy adolescents and adults following conditioning and extinction, processes requiring threat-safety learning. METHOD: Anxious and healthy adolescents and adults (N=114) completed fear conditioning and extinction in the clinic. The conditioned stimuli (CS+) were neutral faces, paired with an aversive scream. Physiological and subjective data were acquired. Three weeks later, 82 participants viewed the CS+ and morphed images resembling the CS+ in an MRI scanner. During scanning, participants made difficult threat-safety discriminations while appraising threat and explicit memory of the CS+. RESULTS: During conditioning and extinction, the anxious groups reported more fear than the healthy groups, but the anxious adolescent and adult groups did not differ on physiological measures. During imaging, both anxious adolescents and adults exhibited lower activation in the subgenual anterior cingulate cortex than their healthy counterparts, specifically when appraising threat. Compared with their age-matched counterpart groups, anxious adults exhibited reduced activation in the ventromedial prefrontal cortex when appraising threat, whereas anxious adolescents exhibited a U-shaped pattern of activation, with greater activation in response to the most extreme CS+ and CS-. CONCLUSIONS: Two regions of the prefrontal cortex are involved in anxiety disorders. Reduced subgenual anterior cingulate cortex engagement is a shared feature in adult and adolescent anxiety disorders, but ventromedial prefrontal cortex dysfunction is age-specific. The unique U-shaped pattern of activation in the ventromedial prefrontal cortex in many anxious adolescents may reflect heightened sensitivity to threat and safety conditions. How variations in the pattern relate to later risk for adult illness remains to be determined. FAU - Britton, Jennifer C AU - Britton JC FAU - Grillon, Christian AU - Grillon C FAU - Lissek, Shmuel AU - Lissek S FAU - Norcross, Maxine A AU - Norcross MA FAU - Szuhany, Kristin L AU - Szuhany KL FAU - Chen, Gang AU - Chen G FAU - Ernst, Monique AU - Ernst M FAU - Nelson, Eric E AU - Nelson EE FAU - Leibenluft, Ellen AU - Leibenluft E FAU - Shechner, Tomer AU - Shechner T FAU - Pine, Daniel S AU - Pine DS LA - eng GR - K99 MH091183/MH/NIMH NIH HHS/United States GR - R00 MH091183/MH/NIMH NIH HHS/United States GR - Z99 MH999999/Intramural NIH HHS/United States GR - K99-MH-091183/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PL - United States TA - Am J Psychiatry JT - The American journal of psychiatry JID - 0370512 SB - IM MH - Adolescent MH - Adult MH - Anxiety Disorders/diagnosis/*physiopathology/psychology MH - Arousal/*physiology MH - Brain Mapping MH - Conditioning, Classical/*physiology MH - Discrimination, Psychological MH - Extinction, Psychological/physiology MH - Facial Expression MH - Fear/*physiology MH - Female MH - Humans MH - *Image Interpretation, Computer-Assisted MH - *Magnetic Resonance Imaging MH - Male MH - Mental Recall/physiology MH - Pattern Recognition, Visual/physiology MH - Prefrontal Cortex/*physiopathology MH - Young Adult PMC - PMC3790858 MID - NIHMS474482 COIS- Disclosures All authors report no competing interests. EDAT- 2013/08/10 06:00 MHDA- 2013/11/19 06:00 PMCR- 2014/10/01 CRDT- 2013/08/10 06:00 PHST- 2013/08/10 06:00 [entrez] PHST- 2013/08/10 06:00 [pubmed] PHST- 2013/11/19 06:00 [medline] PHST- 2014/10/01 00:00 [pmc-release] AID - 1725885 [pii] AID - 10.1176/appi.ajp.2013.12050651 [doi] PST - ppublish SO - Am J Psychiatry. 2013 Oct;170(10):1195-204. doi: 10.1176/appi.ajp.2013.12050651. PMID- 29060369 OWN - NLM STAT- MEDLINE DCOM- 20180810 LR - 20200928 IS - 2694-0604 (Electronic) IS - 2375-7477 (Linking) VI - 2017 DP - 2017 Jul TI - Wearable bio signal monitoring system applied to aviation safety. PG - 2349-2352 LID - 10.1109/EMBC.2017.8037327 [doi] AB - Pilots are required to have the ability to evaluate their own physical and psychological status to operate high performance aircrafts effectively. Existing studies have lacked consideration of applying bio signal of pilots in real time flight situation. The purpose of this study is to develop a wearable bio signal monitoring system that can measure the condition of pilots under an extreme flight environment to ensure flight safety. The wearable bio signal monitoring system consists of an algorithm for evaluating pilots' physiological stability, algorithms for detecting Gravity-induced Loss of Consciousness (G-LOC) prognosis, pilots' interaction module, and pilots' context awareness platform. The algorithm for evaluating pilots' physiological stability uses psychomotor cognitive test (PCT) and heart rate variability (HRV) to measure pilots' mission performance before flight. The algorithms for detecting G-LOC prognosis utilizes electromyogram (EMG) to generate warning signal during flight. The pilots' interaction module was developed for pilots to operate the system efficiently under flight environment. The pilots' context awareness platform was designed for the system to process multiple sensor signals in real time. This wearable bio signal monitoring system is expected to enhance flight safety and mission performance of pilots. FAU - Sungho Kim AU - Sungho Kim FAU - Booyong Choi AU - Booyong Choi FAU - Taehwan Cho AU - Taehwan Cho FAU - Yongkyun Lee AU - Yongkyun Lee FAU - Hyojin Koo AU - Hyojin Koo FAU - Dongsoo Kim AU - Dongsoo Kim LA - eng PT - Journal Article PL - United States TA - Annu Int Conf IEEE Eng Med Biol Soc JT - Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference JID - 101763872 SB - IM MH - Aerospace Medicine MH - Aircraft MH - Aviation MH - Awareness MH - Electromyography MH - *Wearable Electronic Devices EDAT- 2017/10/25 06:00 MHDA- 2018/08/11 06:00 CRDT- 2017/10/25 06:00 PHST- 2017/10/25 06:00 [entrez] PHST- 2017/10/25 06:00 [pubmed] PHST- 2018/08/11 06:00 [medline] AID - 10.1109/EMBC.2017.8037327 [doi] PST - ppublish SO - Annu Int Conf IEEE Eng Med Biol Soc. 2017 Jul;2017:2349-2352. doi: 10.1109/EMBC.2017.8037327. PMID- 25253521 OWN - NLM STAT- MEDLINE DCOM- 20150522 LR - 20220408 IS - 1882-6482 (Electronic) IS - 0021-5082 (Linking) VI - 69 IP - 3 DP - 2014 TI - [Mental health survey of truck drivers]. PG - 199-204 AB - OBJECTIVES: The health management of truck drivers has long been considered extremely important from the perspective of prevention of diseases and traffic accidents. Today, truck drivers may have various underlying health problems, including psychological burden caused by deregulation with the enforcement of the Trucking Business Act, rising fuel costs, and even economic stagnation. In this study, we investigated the mental health of individuals working in transportation and logistics sectors, which ensures the secure supply and sound development of safe and high-quality transportation services. METHODS: To ascertain the mental health status in this population, we used the General Health Questionnaire (GHQ30), an assessment of mental health and currently the general health questionnaire most widely used by the department of psychosomatic medicine and other clinical departments. RESULTS: Although the mean GHQ30 score of all the subjects in this study was below the cutoff point of 6-7, which separates individuals with mental health problems from those who without 30% of the subjects were classified as having mental health problems, revealing the need for routine screening of the mental health status and severity of symptoms of truck drivers. CONCLUSIONS: There is growing recognition of the importance of establishing mental healthcare services in the workplace because of the sharply increasing number of applications for workers' compensation due to suicides from overwork. In this study, 16.7% of truck drivers expressed suicidal thoughts, indicating that it is necessary to conduct follow-up surveys of the mental conditions of truck drivers in order to put in place appropriate mental health measures. FAU - Kaneko, Shin-ya AU - Kaneko SY AD - Kansai University Faculty of Safety Science. LA - jpn PT - Journal Article PL - Japan TA - Nihon Eiseigaku Zasshi JT - Nihon eiseigaku zasshi. Japanese journal of hygiene JID - 0417457 SB - IM MH - Adult MH - Aged MH - Automobile Driving/*psychology MH - Female MH - Health Surveys/statistics & numerical data MH - Humans MH - Japan MH - Male MH - Mental Health/*statistics & numerical data MH - Middle Aged MH - *Motor Vehicles MH - Occupational Health/*statistics & numerical data MH - *Stress, Psychological MH - Workplace/psychology EDAT- 2014/09/26 06:00 MHDA- 2015/05/23 06:00 CRDT- 2014/09/26 06:00 PHST- 2014/09/26 06:00 [entrez] PHST- 2014/09/26 06:00 [pubmed] PHST- 2015/05/23 06:00 [medline] AID - DN/JST.JSTAGE/jjh/69.199 [pii] AID - 10.1265/jjh.69.199 [doi] PST - ppublish SO - Nihon Eiseigaku Zasshi. 2014;69(3):199-204. doi: 10.1265/jjh.69.199. PMID- 22624283 OWN - NLM STAT- MEDLINE DCOM- 20120611 LR - 20220330 IS - 0004-5772 (Print) IS - 0004-5772 (Linking) VI - 59 Suppl DP - 2011 Dec TI - Cardiac rehabilitation after myocardial infarction. PG - 51-5 AB - Cardiac rehabilitation/secondary prevention programs are recognized as integral to the comprehensive care of patients with coronary heart disease (CHD), and as such are recommended as useful and effective (Class I) by the American Heart Association and the American College of Cardiology in the treatment of patients with CHD. The term cardiac rehabilitation refers to coordinated, multifaceted interventions designed to optimize a cardiac patient's physical, psychological, and social functioning, in addition to stabilizing, slowing, or even reversing the progression of the underlying atherosclerotic processes, thereby reducing morbidity and mortality. Cardiac rehabilitation, aims at returning the patient back to normal functioning in a safe and effective manner and to enhance the psychosocial and vocational state of the patient. The program involves education, exercise, risk factor modification and counselling. A meta-analysis based on a review of 48 randomized trials that compared outcomes of exercise-based rehabilitation with usual medical care, showed a reduction of 20% in total mortality and 26% in cardiac mortality rates, with exercise-based rehabilitation compared with usual medical care. Risk stratification helps identify patients who are at increased risk for exercise-related cardiovascular events and who may require more intensive cardiac monitoring in addition to the medical supervision provided for all cardiac rehabilitation program participants. During exercise, the patients' ECG is continuously monitored through telemetry, which serves to optimize the exercise prescription and enhance safety. The safety of cardiac rehabilitation exercise programs is well established, and the occurrence of major cardiovascular events during supervised exercise is extremely low. As hospital stays decrease, cardiac rehabilitation is assuming an increasingly important role in secondary prevention. In contrast with its growing importance internationally, there are very few cardiac rehabilitation centers in India at the present moment. FAU - Contractor, Aashish S AU - Contractor AS AD - Department Preventive Cardiology & Cardiac Rehabilitation, Asian Heart Institute, Bandra-Kurla Complex, Bandra (E), Mumbai-400051. LA - eng PT - Journal Article PL - India TA - J Assoc Physicians India JT - The Journal of the Association of Physicians of India JID - 7505585 SB - IM MH - Adaptation, Psychological MH - *Comprehensive Health Care MH - *Exercise Therapy MH - Guidelines as Topic MH - Humans MH - India MH - Myocardial Infarction/*psychology/*rehabilitation MH - Recovery of Function MH - Risk Factors MH - Risk Reduction Behavior MH - Secondary Prevention/*methods MH - Social Support EDAT- 2012/05/26 06:00 MHDA- 2012/06/12 06:00 CRDT- 2012/05/26 06:00 PHST- 2012/05/26 06:00 [entrez] PHST- 2012/05/26 06:00 [pubmed] PHST- 2012/06/12 06:00 [medline] PST - ppublish SO - J Assoc Physicians India. 2011 Dec;59 Suppl:51-5. PMID- 33600939 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20210630 IS - 1527-5418 (Electronic) IS - 0890-8567 (Print) IS - 0890-8567 (Linking) VI - 60 IP - 7 DP - 2021 Jul TI - Patterns of Youth Inpatient Psychiatric Admissions Before and After the Onset of the COVID-19 Pandemic. PG - 796-798 LID - S0890-8567(21)00081-2 [pii] LID - 10.1016/j.jaac.2021.02.006 [doi] AB - To slow the spread of severe acute respiratory syndrome coronavirus 2, the virus causing 2019 novel coronavirus disease (COVID-19), many state authorities enforced extreme social distancing measures, such as closing schools, implementing online instruction, canceling major events, and limiting social contact outside families. Such measures have promoted safety but also have severely disrupted the lives of children of all ages. Many youths have missed seminal milestones; have struggled with the challenges of virtual schooling; and have isolated at home with their families, which has eroded opportunities for peer social support, relaxation, and enjoyment. While the consequences of COVID-19 on mental health are still unfolding, the psychological toll of these prolonged social distancing measures in combination with economic hardships and increased parental stress has led to worldwide reports of increased rates of mental health problems,(1,2) trauma, abuse,(3,4) and predicted increases in suicide(5) in youths. CI - Copyright © 2021 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved. FAU - Ugueto, Ana M AU - Ugueto AM AD - The University of Texas Health Science Center at Houston (UTHealth) and McGovern Medical School, Houston, Texas. Electronic address: ana.ugueto@uth.tmc.edu. FAU - Zeni, Cristian P AU - Zeni CP AD - The University of Texas Health Science Center at Houston (UTHealth) and McGovern Medical School, Houston, Texas. LA - eng PT - Letter DEP - 20210215 PL - United States TA - J Am Acad Child Adolesc Psychiatry JT - Journal of the American Academy of Child and Adolescent Psychiatry JID - 8704565 SB - IM MH - Adolescent MH - *COVID-19 MH - Child MH - Humans MH - Inpatients MH - Mental Health MH - *Pandemics MH - SARS-CoV-2 PMC - PMC7954538 EDAT- 2021/02/19 06:00 MHDA- 2021/07/01 06:00 PMCR- 2021/02/15 CRDT- 2021/02/18 20:12 PHST- 2020/11/17 00:00 [received] PHST- 2021/01/10 00:00 [revised] PHST- 2021/02/09 00:00 [accepted] PHST- 2021/02/19 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2021/02/18 20:12 [entrez] PHST- 2021/02/15 00:00 [pmc-release] AID - S0890-8567(21)00081-2 [pii] AID - 10.1016/j.jaac.2021.02.006 [doi] PST - ppublish SO - J Am Acad Child Adolesc Psychiatry. 2021 Jul;60(7):796-798. doi: 10.1016/j.jaac.2021.02.006. Epub 2021 Feb 15. PMID- 35833316 OWN - NLM STAT- MEDLINE DCOM- 20220817 LR - 20221015 IS - 1600-079X (Electronic) IS - 0742-3098 (Print) IS - 0742-3098 (Linking) VI - 73 IP - 2 DP - 2022 Sep TI - The role of circadian phase in sleep and performance during Antarctic winter expeditions. PG - e12817 LID - 10.1111/jpi.12817 [doi] LID - e12817 AB - The Antarctic environment presents an extreme variation in the natural light-dark cycle which can cause variability in the alignment of the circadian pacemaker with the timing of sleep, causing sleep disruption, and impaired mood and performance. This study assessed the incidence of circadian misalignment and the consequences for sleep, cognition, and psychological health in 51 over-wintering Antarctic expeditioners (45.6 ± 11.9 years) who completed daily sleep diaries, and monthly performance tests and psychological health questionnaires for 6 months. Circadian phase was assessed via monthly 48-h urine collections to assess the 6-sulphatoxymelatonin (aMT6s) rhythm. Although the average individual sleep duration was 7.2 ± 0.8 h, there was substantial sleep deficiency with 41.4% of sleep episodes <7 h and 19.1% <6 h. Circadian phase was highly variable and 34/50 expeditioners had sleep episodes that occurred at an abnormal circadian phase (acrophase outside of the sleep episode), accounting for 18.8% (295/1565) of sleep episodes. Expeditioners slept significantly less when misaligned (6.1 ± 1.3 h), compared with when aligned (7.3 ± 1.0 h; p < .0001). Performance and mood were worse when awake closer to the aMT6s peak and with increased time awake (all p < .0005). This research highlights the high incidence of circadian misalignment in Antarctic over-wintering expeditioners. Similar incidence has been observed in long-duration space flight, reinforcing the fidelity of Antarctica as a space analog. Circadian misalignment has considerable safety implications, and potentially longer term health risks for other circadian-controlled physiological systems. This increased risk highlights the need for preventative interventions, such as proactively planned lighting solutions, to ensure circadian alignment during long-duration Antarctic and space missions. CI - © 2022 The Authors. Journal of Pineal Research published by John Wiley & Sons Ltd. FAU - Sletten, Tracey L AU - Sletten TL AUID- ORCID: 0000-0002-0005-7838 AD - Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Victoria, Australia. FAU - Sullivan, Jason P AU - Sullivan JP AD - Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA. FAU - Arendt, Josephine AU - Arendt J AD - Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK. FAU - Palinkas, Lawrence A AU - Palinkas LA AD - Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA. FAU - Barger, Laura K AU - Barger LK AD - Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Victoria, Australia. AD - Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA. FAU - Fletcher, Lloyd AU - Fletcher L AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Arnold, Malcolm AU - Arnold M AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Wallace, Jan AU - Wallace J AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Strauss, Clive AU - Strauss C AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Baker, Richard J S AU - Baker RJS AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Kloza, Kate AU - Kloza K AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Kennaway, David J AU - Kennaway DJ AUID- ORCID: 0000-0002-5864-3514 AD - Robinson Research Institute, School of Medicine, Discipline of Obstetrics and Gynaecology, University of Adelaide, Adelaide, South Australia, Australia. FAU - Rajaratnam, Shantha M W AU - Rajaratnam SMW AUID- ORCID: 0000-0001-7527-8558 AD - Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Victoria, Australia. AD - Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA. FAU - Ayton, Jeff AU - Ayton J AUID- ORCID: 0000-0003-4012-6719 AD - Polar Medicine Unit, Australian Antarctic Division, Kingston, Tasmania, Australia. FAU - Lockley, Steven W AU - Lockley SW AUID- ORCID: 0000-0001-5209-2881 AD - Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA. LA - eng GR - NASA Headquarters Moon and Mars Analog Mission Activities 2008 Research Opportunities in Space and Earth Sciences (ROSES) Planetary Science Division Research Program/ GR - Australian Antarctic Division/ GR - National Health and Medical Research Council Centre for Integrated Research and Understanding of Sleep/ GR - Australasian Sleep Association/ PT - Journal Article DEP - 20220725 PL - England TA - J Pineal Res JT - Journal of pineal research JID - 8504412 RN - JL5DK93RCL (Melatonin) SB - IM MH - Antarctic Regions MH - Circadian Rhythm/physiology MH - *Expeditions MH - *Melatonin MH - Sleep/physiology PMC - PMC9541096 OTO - NOTNLM OT - Antarctica OT - circadian OT - melatonin OT - performance OT - sleep OT - space analog COIS- Tracey L. Sletten reports her institution has received equipment donations or other support from Philips Lighting, Philips Respironics, Optalert™ and Compumedics. Dr. Sletten served as a Project Leader in the Cooperative Research Centre for Alertness, Safety, and Productivity. Laura K. Barger reports consulting fees from the University of Pittsburgh, CASIS, Puget Sound Pilots, the Centers for Disease Control and Prevention, Boston Children's Hospital, and Charles Czeisler. Shantha M.W. Rajaratnam reports that he has served as a consultant through his institution to Vanda Pharmaceuticals, Philips Respironics, EdanSafe, The Australian Workers' Union, National Transport Commission, and Transport Accident Commission, and has through his institution received research grants and/or unrestricted educational grants from Vanda Pharmaceuticals, Takeda Pharmaceuticals North America, Philips Lighting, Philips Respironics, Cephalon, and ResMed Foundation, and reimbursements for conference travel expenses from Vanda Pharmaceuticals. His institution has received equipment donations or other support from Optalert™, Compumedics, and Tyco Healthcare. He has also served as an expert witness and/or consultant to shift work organizations. Dr. Rajaratnam served as a Program Leader in the Cooperative Research Centre for Alertness, Safety, and Productivity. Jeff Ayton reports he serves as Chief Medical Officer and Program Lead for human biology and medicine research for the Australian Antarctic Program responsible for the health and medical care of participants in the study. Steven W. Lockley reports commercial interests from the last 3 years (2018‐2021). His interests are reviewed and managed by Brigham and Women's Hospital and Partners HealthCare in accordance with their conflict of interest policies. No interests are directly related to the research or topic reported in this paper but, in the interests of full disclosure, are outlined below. Steven W. Lockley has received consulting fees from BHP Billiton, EyeJust Inc., Noble Insights, Rec Room, Six Senses, Stantec, and Team C Racing; and has current consulting contracts with Akili Interactive; Apex 2100 Ltd.; Consumer Sleep Solutions; Headwaters Inc.; Hintsa Performance AG; KBR Wyle Services, Light Cognitive; Lighting Science Group corporation/HealthE; Mental Workout/Timeshifter and View Inc. He has received honoraria and travel or accommodation expenses from Bloxhub, Emory University, Estée Lauder, Ineos, MIT, Roxbury Latin School, and the University of Toronto, and travel or accommodation expenses (no honoraria) from IES, Mental Workout, Solemma, and Wiley; and royalties from Oxford University Press. He holds equity in iSleep pty. He has received an unrestricted equipment gift from F. Lux Software LLC, a fellowship gift from Stockgrand Ltd and holds an investigator‐initiated grant from F. Lux Software LLC, and a Clinical Research Support Agreement and Clinical Trial Agreement with Vanda Pharmaceuticals Inc. He is an unpaid Board Member of the Midwest Lighting Institute (non‐profit). He was a Program Leader for the CRC for Alertness, Safety and Productivity, Australia, through an adjunct professor position at Monash University (2015‐2019). He is a part‐time adjunct professor at the University of Surrey, UK. He holds patents for “Display screen or portion thereof with graphical user interface” (US USD897362S1, 2020, Published), “Method and system for generating and providing notifications for a circadian shift protocol” (US20190366032A1, pending), and “Method to shift circadian rhythm responsive to future therapy” (US 20210162164, 2021, pending). He has served as a paid expert in legal proceedings related to light, sleep, shiftwork, and health. The remaining authors declare no conflict of interest. EDAT- 2022/07/15 06:00 MHDA- 2022/08/18 06:00 PMCR- 2022/10/07 CRDT- 2022/07/14 04:03 PHST- 2022/06/23 00:00 [revised] PHST- 2022/03/23 00:00 [received] PHST- 2022/07/06 00:00 [accepted] PHST- 2022/07/15 06:00 [pubmed] PHST- 2022/08/18 06:00 [medline] PHST- 2022/07/14 04:03 [entrez] PHST- 2022/10/07 00:00 [pmc-release] AID - JPI12817 [pii] AID - 10.1111/jpi.12817 [doi] PST - ppublish SO - J Pineal Res. 2022 Sep;73(2):e12817. doi: 10.1111/jpi.12817. Epub 2022 Jul 25. PMID- 39292457 OWN - NLM STAT- MEDLINE DCOM- 20240918 LR - 20240921 IS - 2574-3805 (Electronic) IS - 2574-3805 (Linking) VI - 7 IP - 9 DP - 2024 Sep 3 TI - A Patient-Centered Perspective on Changes in Personal Characteristics After Deep Brain Stimulation. PG - e2434255 LID - 10.1001/jamanetworkopen.2024.34255 [doi] LID - e2434255 AB - IMPORTANCE: Deep brain stimulation (DBS) results in improvements in motor function and quality of life in patients with Parkinson disease (PD), which might impact a patient's perception of valued personal characteristics. Prior studies investigating whether DBS causes unwanted changes to oneself or one's personality have methodological limitations that should be addressed. OBJECTIVE: To determine whether DBS is associated with changes in characteristics that patients with PD identify as personally meaningful. DESIGN, SETTING, AND PARTICIPANTS: This cohort study assessed changes in visual analog scale (VAS) ratings reflecting the extent to which patients with PD manifested individually identified personal characteristics before and 6 and 12 months after DBS at a large academic medical center from February 21, 2018, to December 9, 2021. The VAS findings were tailored to reflect the top 3 individually identified personal characteristics the patient most feared losing. The VASs were scored from 0 to 10, with 0 representing the least and 10 the most extreme manifestation of the trait. Change scores were examined at the individual level. Content analysis was used to code the qualitative data. Qualitative and quantitative analyses were performed from January 12, 2019 (initial qualitative coding), to December 15, 2023. EXPOSURE: Deep brain stimulation. MAIN OUTCOMES AND MEASURES: The primary outcome variable was the mean VAS score for the top 3 personal characteristics. The secondary outcome was the incidence of meaningful changes on the patients' top 3 characteristics at the individual level. RESULTS: Fifty-two of 54 dyads of patients with PD and their care partners (96.3%) were recruited from a consecutive series approved for DBS (36 patients [69.2%] were male and 45 care partners [86.5%] were female; mean [SD] age of patients, 61.98 [8.55] years). Two patients and 1 care partner were lost to follow-up. Increases in the mean VAS score (indicative of greater manifestation of [ie, positive changes in] specific characteristics) were apparent following DBS for ratings of both the patients (Wald χ2 = 16.104; P < .001) and care partners (Wald χ2 = 6.746; P < .001) over time. The slopes of the changes for both the patient and care partners were correlated, indicating agreement in observed changes over time. The individual level analyses indicated that scores for most patients and care partners remained the same or increased. CONCLUSIONS AND RELEVANCE: In this cohort study, participants reported greater (more positive) manifestations of individually identified, valued characteristics after DBS. These findings may be relevant to informing decision-making for patients with advanced PD who are considering DBS. FAU - Merner, Amanda R AU - Merner AR AD - Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio. AD - Center for Bioethics, Harvard Medical School, Boston, Massachusetts. FAU - Frazier, Thomas W AU - Frazier TW AD - Department of Psychology, John Carroll University, University Heights, Ohio. AD - Department of Pediatrics, SUNY Upstate New York, Syracuse. AD - Department of Psychology, SUNY Upstate New York, Syracuse. FAU - Ford, Paul J AU - Ford PJ AD - Center for Bioethics, Cleveland Clinic, Cleveland, Ohio. AD - Department of Neurology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio. FAU - Lapin, Brittany AU - Lapin B AD - Department of Neurology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio. AD - Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio. AD - Center for Outcomes Research and Evaluation, Neurological Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Wilt, Joshua AU - Wilt J AD - Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio. FAU - Racine, Eric AU - Racine E AD - Montreal Clinical Research Institute, Montreal, Quebec, Canada. AD - Department of Medicine, Université de Montréal, Montreal, Quebec, Canada. AD - Department of Medicine, McGill University, Montreal, Quebec, Canada. FAU - Gase, Natalie AU - Gase N AD - Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio. FAU - Leslie, Essence AU - Leslie E AD - Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio. FAU - Machado, Andre AU - Machado A AD - Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio. AD - Department of Neurology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio. FAU - Vitek, Jerrold L AU - Vitek JL AD - Department of Neurology, University of Minnesota, Minneapolis. FAU - Kubu, Cynthia S AU - Kubu CS AD - Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio. AD - Department of Neurology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio. LA - eng PT - Journal Article DEP - 20240903 PL - United States TA - JAMA Netw Open JT - JAMA network open JID - 101729235 SB - IM MH - Humans MH - *Deep Brain Stimulation/methods MH - Male MH - Female MH - *Parkinson Disease/therapy/psychology MH - Middle Aged MH - Aged MH - Cohort Studies MH - Quality of Life/psychology MH - Patient-Centered Care MH - Visual Analog Scale PMC - PMC11411387 COIS- Conflict of Interest Disclosures: Dr Frazier reported owning an investor stake in Autism EYES LLC and iSCAN-R, owning stock options or equity in Quadrant Biosciences, MARABio, and Springtide Research Institute, and receiving funding from SynGAP and PTEN research funds outside the submitted work. Dr Frazier also reported receiving funding or research support, travel support, and/or speaker’s honoraria from or consulting for the PTEN Research Foundation, SynGAP Research Fund, Malan Syndrome Foundation, ADNP Kids Research Foundation, Quadrant Biosciences, Autism Speaks Inc, Impel NeuroPharma, F. Hoffman–La Roche AG Pharmaceuticals, the Cole Family Research Fund, Simons Foundation, Ingalls Foundation, Forest Laboratories, Ecoeos, IntegraGen, Kugona, Shire Development, Bristol Myers Squibb, Roche Pharma, MARAbio, Scioto Biosciences, the National Institutes of Health (NIH), and the Brain and Behavior Research Foundation. Dr Wilt reported receiving support from the Templeton Religion Trust, International Research Network for the Study of Science and Belief in Society, and John Templeton Foundation. Dr Machado reported receiving funding from the NIH BRAIN Initiative poststroke or post–traumatic brain injury rehabilitation; consulting for Abbott Laboratories and Novo Nordisk outside the submitted work; developing intellectual property licensed to Cardionomic Inc; participating in data safety monitoring boards of NIH-supported studies; and serving as chief scientific officer for Enspire and Ceraxis Health. Dr Vitek reported consulting for Boston Scientific Corporation, Medtronic, Abbott Laboratories, and University of Michigan, Grand Rounds, receiving grant support from the NIH, and having equity interest in and serving on the scientific advisory board for Surgical Information Sciences outside the submitted work. No other disclosures were reported. EDAT- 2024/09/18 12:50 MHDA- 2024/09/18 12:51 PMCR- 2024/09/18 CRDT- 2024/09/18 11:33 PHST- 2024/09/18 12:51 [medline] PHST- 2024/09/18 12:50 [pubmed] PHST- 2024/09/18 11:33 [entrez] PHST- 2024/09/18 00:00 [pmc-release] AID - 2823673 [pii] AID - zoi241021 [pii] AID - 10.1001/jamanetworkopen.2024.34255 [doi] PST - epublish SO - JAMA Netw Open. 2024 Sep 3;7(9):e2434255. doi: 10.1001/jamanetworkopen.2024.34255. PMID- 35956231 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220815 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 15 DP - 2022 Aug 8 TI - Mental Health Condition among University Students of Bangladesh during the Critical COVID-19 Period. LID - 10.3390/jcm11154617 [doi] LID - 4617 AB - Bangladesh's education sector has been in a state of flux since COVID-19. During the pandemic, all university campuses were closed. There was a mental health issue among the students. This study aims to examine the mental health condition and the determinants that contribute to adverse mental health conditions among university students of Bangladesh. A survey was performed online among university students in Bangladesh, in mid-June 2020 when averaging 3345 affected cases of the population daily. The convenience sampling technique was used and the survey gathered data from 365 university students. The relationship between general information and Depression, Anxiety, and Stress Scale 21 (DASS-21) subscales of university students was determined. The questionnaire was administered to respondents during the pandemic, which ensured fast replies. Linear regression models were used for statistical analysis. University students indicated normal levels of depression (30.41%), anxiety (43.29%), and stress (47.40%). However, a disproportionate number of extremely depressed, anxious, and stressed university students suggested a mental health status of concern. There were significant connections between the individual's opinion of social satisfaction, mental health concerns, and the present location's safety with an undesirable mental health condition. Female students were shown to be much more anxious and stressed than male students. Capital Dhaka city students were more depressed and anxious than students outside of Dhaka. Financial and psychological support for students may help mitigate the psychological impact. Authorities should make effective efforts to reduce mental health problems among these students. This research may aid organizations, health care providers, and social workers in their attempts to prepare for and respond to pandemics. FAU - Rahman, Md Mostafizur AU - Rahman MM AUID- ORCID: 0000-0002-0732-9437 AD - Department of Disaster Management and Resilience, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Asikunnaby AU - Asikunnaby AD - Department of Disaster Management and Resilience, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Khan, Saadmaan Jubayer AU - Khan SJ AD - Department of Disaster Management and Resilience, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Arony, Anuva AU - Arony A AD - Department of Disaster and Human Security Management, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Mamun, Zahid Al AU - Mamun ZA AD - Department of Disaster and Human Security Management, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Procheta, Nawwar Fatima AU - Procheta NF AD - Department of Disaster and Human Security Management, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Sakib, Mohammed Sadman AU - Sakib MS AD - Department of Disaster and Human Security Management, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Mirpur Cantonment, Dhaka 1216, Bangladesh. FAU - Aryal, Komal Raj AU - Aryal KR AUID- ORCID: 0000-0001-9980-4516 AD - Crisis and Disaster Management, Aston Business School, Aston University, Birmingham B4 7ET, UK. FAU - Rahman, Farzana AU - Rahman F AD - Department of Computer Science and Engineering, Independent University, Dhaka 1212, Bangladesh. FAU - Islam, Abu Reza Md Towfiqul AU - Islam ARMT AUID- ORCID: 0000-0001-5779-1382 AD - Department of Disaster Management, Begum Rokeya University, Rangpur 5400, Bangladesh. LA - eng PT - Journal Article DEP - 20220808 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9369879 OTO - NOTNLM OT - COVID-19 OT - lockdown OT - mental health OT - stress OT - tertiary education OT - university students COIS- The authors declare no conflict of interest. EDAT- 2022/08/13 06:00 MHDA- 2022/08/13 06:01 PMCR- 2022/08/08 CRDT- 2022/08/12 01:16 PHST- 2022/07/13 00:00 [received] PHST- 2022/08/04 00:00 [revised] PHST- 2022/08/05 00:00 [accepted] PHST- 2022/08/12 01:16 [entrez] PHST- 2022/08/13 06:00 [pubmed] PHST- 2022/08/13 06:01 [medline] PHST- 2022/08/08 00:00 [pmc-release] AID - jcm11154617 [pii] AID - jcm-11-04617 [pii] AID - 10.3390/jcm11154617 [doi] PST - epublish SO - J Clin Med. 2022 Aug 8;11(15):4617. doi: 10.3390/jcm11154617. PMID- 33903603 OWN - NLM STAT- MEDLINE DCOM- 20210510 LR - 20240401 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Apr 26 TI - Dual impacts of coronavirus anxiety on mental health in 35 societies. PG - 8925 LID - 10.1038/s41598-021-87771-1 [doi] LID - 8925 AB - The spread of coronavirus disease 2019 (COVID-19) has affected both physical health and mental well-being around the world. Stress-related reactions, if prolonged, may result in mental health problems. We examined the consequences of the COVID-19 pandemic on mental health in a multinational study and explored the effects of government responses to the outbreak. We sampled 18,171 community adults from 35 countries/societies, stratified by age, gender, and region of residence. Across the 35 societies, 26.6% of participants reported moderate to extremely severe depression symptoms, 28.2% moderate to extremely severe anxiety symptoms, and 18.3% moderate to extremely severe stress symptoms. Coronavirus anxiety comprises two factors, namely Perceived Vulnerability and Threat Response. After controlling for age, gender, and education level, perceived vulnerability predicted higher levels of negative emotional symptoms and psychological distress, whereas threat response predicted higher levels of self-rated health and subjective well-being. People in societies with more stringent control policies had more threat response and reported better subjective health. Coronavirus anxiety exerts detrimental effects on subjective health and well-being, but also has the adaptive function in mobilizing safety behaviors, providing support for an evolutionary perspective on psychological adaptation. FAU - Chen, Sylvia Xiaohua AU - Chen SX AD - The Hong Kong Polytechnic University, Hong Kong, China. ssxhchen@polyu.edu.hk. AD - Department of Applied Social Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong. ssxhchen@polyu.edu.hk. FAU - Ng, Jacky C K AU - Ng JCK AD - Hong Kong Shue Yan University, Hong Kong, China. FAU - Hui, Bryant P H AU - Hui BPH AD - The Hong Kong Polytechnic University, Hong Kong, China. FAU - Au, Algae K Y AU - Au AKY AD - The Hong Kong Polytechnic University, Hong Kong, China. FAU - Wu, Wesley C H AU - Wu WCH AD - The Hong Kong Polytechnic University, Hong Kong, China. FAU - Lam, Ben C P AU - Lam BCP AD - The University of New South Wales, Sydney, Australia. FAU - Mak, Winnie W S AU - Mak WWS AD - The Chinese University of Hong Kong, Hong Kong, China. FAU - Liu, James H AU - Liu JH AD - Massey University, Auckland, New Zealand. LA - eng GR - 1-ZE1L/Project of Strategic Importance, Hong Kong Polytechnic University/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210426 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Adaptation, Psychological MH - Adult MH - Aged MH - Aged, 80 and over MH - Anxiety/*etiology MH - COVID-19/epidemiology/*psychology/virology MH - Disease Outbreaks MH - Female MH - Humans MH - Internationality MH - Male MH - *Mental Health MH - Middle Aged MH - Pandemics MH - SARS-CoV-2/isolation & purification MH - Severity of Illness Index MH - Young Adult PMC - PMC8076265 COIS- The authors declare no competing interests. EDAT- 2021/04/28 06:00 MHDA- 2021/05/11 06:00 PMCR- 2021/04/26 CRDT- 2021/04/27 06:26 PHST- 2020/10/25 00:00 [received] PHST- 2021/03/30 00:00 [accepted] PHST- 2021/04/27 06:26 [entrez] PHST- 2021/04/28 06:00 [pubmed] PHST- 2021/05/11 06:00 [medline] PHST- 2021/04/26 00:00 [pmc-release] AID - 10.1038/s41598-021-87771-1 [pii] AID - 87771 [pii] AID - 10.1038/s41598-021-87771-1 [doi] PST - epublish SO - Sci Rep. 2021 Apr 26;11(1):8925. doi: 10.1038/s41598-021-87771-1. PMID- 21827293 OWN - NLM STAT- MEDLINE DCOM- 20120720 LR - 20220409 IS - 1745-7319 (Electronic) IS - 1745-7300 (Linking) VI - 19 IP - 1 DP - 2012 TI - A qualitative approach to the intangible cost of road traffic injuries. PG - 69-79 LID - 10.1080/17457300.2011.603155 [doi] AB - The consequences of fatal and non-fatal road traffic injuries (RTI) at the personal and household levels were analysed using qualitative interviews of 12 injured and of 12 relatives of people who died for this reason. Collisions change physical and mental health both of the injured and of their relatives. This leads to changes in daily activities and even to the redefinition of future life. RTI also changes the way people see and act in life, becoming an experience that teaches them. Survivors commonly transmit a road safety message afterwards. Changes in family life were evident (in extreme cases family's composition also changed), affecting intra-familial relationships. Associated unexpected and unplanned expenditures and loss of income have consequences in the short, medium and long term that unbalance household's economies and immerse people into a constant stress. Individuals and family's future plans are occasionally condition to whether they have or not debts. Household dependence in economic terms was sometimes observed, as well as uncertainty about future life and household's sustainability. Sometimes, households change and adapt their life to what they now are able to afford, having important repercussions in vital spheres. FAU - Pérez-Núñez, Ricardo AU - Pérez-Núñez R AD - Centro de Investigación en Sistemas de Salud del Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México. FAU - Pelcastre-Villafuerte, Blanca AU - Pelcastre-Villafuerte B FAU - Híjar, Martha AU - Híjar M FAU - Avila-Burgos, Leticia AU - Avila-Burgos L FAU - Celis, Alfredo AU - Celis A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110809 PL - England TA - Int J Inj Contr Saf Promot JT - International journal of injury control and safety promotion JID - 101247254 SB - IM MH - Accidents, Traffic/economics/*psychology MH - *Cost of Illness MH - Family Relations MH - Humans MH - Income MH - Interviews as Topic MH - *Life Change Events MH - Qualitative Research MH - Quality of Life/*psychology MH - Stress, Psychological/etiology MH - Survivors/psychology MH - Wounds and Injuries/economics/psychology EDAT- 2011/08/11 06:00 MHDA- 2012/07/21 06:00 CRDT- 2011/08/11 06:00 PHST- 2011/08/11 06:00 [entrez] PHST- 2011/08/11 06:00 [pubmed] PHST- 2012/07/21 06:00 [medline] AID - 10.1080/17457300.2011.603155 [doi] PST - ppublish SO - Int J Inj Contr Saf Promot. 2012;19(1):69-79. doi: 10.1080/17457300.2011.603155. Epub 2011 Aug 9. PMID- 22854151 OWN - NLM STAT- MEDLINE DCOM- 20121015 LR - 20220318 IS - 1488-2310 (Electronic) IS - 0008-428X (Print) IS - 0008-428X (Linking) VI - 55 IP - 4 DP - 2012 Aug TI - Is Canadian surgical residency training stressful? PG - S145-51 LID - 10.1503/cjs.002911 [doi] AB - BACKGROUND: Surgical residency has the reputation of being arduous and stressful. We sought to determine the stress levels of surgical residents, the major causes of stress and the coping mechanisms used. METHODS: We developed and distributed a survey among surgical residents across Canada. RESULTS: A total of 169 participants responded: 97 (57%) male and 72 (43%) female graduates of Canadian (83%) or foreign (17%) medical schools. In all, 87% reported most of the past year of residency as somewhat stressful to extremely stressful, with time pressure (90%) being the most important stressor, followed by number of working hours (83%), residency program (73%), working conditions (70%), caring for patients (63%) and financial situation (55%). Insufficient sleep and frequent call was the component of residency programs that was most commonly rated as highly stressful (31%). Common coping mechanisms included staying optimistic (86%), engaging in enjoyable activities (83%), consulting others (75%) and exercising (69%). Mental or emotional problems during residency were reported more often by women (p = 0.006), who were also more likely than men to seek help (p = 0.026), but men reported greater financial stress (p = 0.036). Foreign graduates reported greater stress related to working conditions (p < 0.001), residency program (p = 0.002), caring for family members (p = 0.006), discrimination (p < 0.001) and personal and family safety (p < 0.001) than Canadian graduates. CONCLUSION: Time pressure and working hours were the most common stressors overall, and lack of sleep and call frequency were the most stressful components of the residency program. Female sex and graduating from a non-Canadian medical school increased the likelihood of reporting stress in certain areas of residency. FAU - Aminazadeh, Nasser AU - Aminazadeh N AD - McMaster University, Hamilton, Ontario. aminazadeh@hotmail.com FAU - Farrokhyar, Forough AU - Farrokhyar F FAU - Naeeni, Amir AU - Naeeni A FAU - Naeeni, Marjan AU - Naeeni M FAU - Reid, Susan AU - Reid S FAU - Kashfi, Arash AU - Kashfi A FAU - Kahnamoui, Kamyar AU - Kahnamoui K LA - eng PT - Comparative Study PT - Journal Article PL - Canada TA - Can J Surg JT - Canadian journal of surgery. Journal canadien de chirurgie JID - 0372715 SB - IM MH - Adult MH - Canada MH - Cross-Sectional Studies MH - Education, Medical, Graduate/organization & administration MH - Female MH - General Surgery/education MH - Hospitals, Teaching MH - Humans MH - Internship and Residency/*organization & administration MH - Job Satisfaction MH - Male MH - Needs Assessment MH - Personal Satisfaction MH - Stress, Psychological/*epidemiology MH - Surveys and Questionnaires MH - Time Factors MH - Work Schedule Tolerance/*psychology MH - *Workload MH - Young Adult PMC - PMC3432247 EDAT- 2012/08/03 06:00 MHDA- 2012/10/16 06:00 PMCR- 2012/08/01 CRDT- 2012/08/03 06:00 PHST- 2012/08/03 06:00 [entrez] PHST- 2012/08/03 06:00 [pubmed] PHST- 2012/10/16 06:00 [medline] PHST- 2012/08/01 00:00 [pmc-release] AID - 10.1503/cjs.002911 [pii] AID - 055s145 [pii] AID - 10.1503/cjs.002911 [doi] PST - ppublish SO - Can J Surg. 2012 Aug;55(4):S145-51. doi: 10.1503/cjs.002911. PMID- 37463805 OWN - NLM STAT- MEDLINE DCOM- 20230721 LR - 20230724 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 13 IP - 7 DP - 2023 Jul 18 TI - Cannabis use among workers with work-related injuries and illnesses: results from a cross-sectional study of workers' compensation claimants in Ontario, Canada. PG - e072994 LID - 10.1136/bmjopen-2023-072994 [doi] LID - e072994 AB - OBJECTIVES: Little is known about how workers use cannabis following a work-related injury/illness, including whether they receive clinical guidance. The objective was to compare characteristics of workers using and not using cannabis after a work-related injury/illness and describe use patterns. DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: Workers who experienced a work-related physical injury/illness resulting in one or more days of lost time compensated by the workers' compensation authority in Ontario, Canada (n=1196). METHODS: Participants were interviewed 18 or 36 months after their injury/illness. Participants were asked about their past-year cannabis use, including whether use was for the treatment of their work-related condition. Sociodemographic, work and health characteristics were compared across cannabis groups: no past-year use; use for the work-related condition; use unrelated to the work-related condition. Cannabis use reasons, patterns, perceived impact and healthcare provider engagement were described. RESULTS: In total, 27.4% of the sample reported using cannabis (14.1% for their work-related condition). Workers using cannabis for their condition were less likely to be working (58.0%) and more likely to have quite a bit/extreme pain interference (48.5%), psychological distress (26.0%) and sleep problems most/all the time (62.1%) compared with those not using cannabis (74.3%, 26.3%, 12.0% and 38.0%, respectively) and those using cannabis for other reasons (74.2%, 19.5%, 12.0% and 37.1%, respectively) (all p<0.0001). No significant differences were observed in medical authorisations for use among those using cannabis for their condition (20.4%) or unrelated to their condition (15.7%) (p=0.3021). Healthcare provider guidance was more common among those using cannabis for their condition (32.7%) compared with those using for other reasons (17.1%) (p=0.0024); however, two-thirds of this group did not receive guidance. CONCLUSIONS: Cannabis may be used to manage the consequences of work-related injuries/illnesses, yet most do not receive clinical guidance. It is important that healthcare providers speak with injured workers about their cannabis use. CI - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Carnide, Nancy AU - Carnide N AUID- ORCID: 0000-0001-7892-5626 AD - Institute for Work and Health, Toronto, Ontario, Canada ncarnide@iwh.on.ca. AD - Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. FAU - Nadalin, Victoria AU - Nadalin V AUID- ORCID: 0000-0002-2337-3753 AD - Institute for Work and Health, Toronto, Ontario, Canada. FAU - Mustard, Cameron AU - Mustard C AUID- ORCID: 0000-0002-0747-8870 AD - Institute for Work and Health, Toronto, Ontario, Canada. AD - Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. FAU - Severin, Colette N AU - Severin CN AUID- ORCID: 0009-0006-3355-5442 AD - Institute for Work and Health, Toronto, Ontario, Canada. FAU - Furlan, Andrea D AU - Furlan AD AUID- ORCID: 0000-0001-6138-8510 AD - Institute for Work and Health, Toronto, Ontario, Canada. AD - Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada. AD - Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. FAU - Smith, Peter M AU - Smith PM AUID- ORCID: 0000-0001-8286-4563 AD - Institute for Work and Health, Toronto, Ontario, Canada. AD - Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. AD - Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. LA - eng GR - PJT-173241/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230718 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 SB - IM MH - Humans MH - Workers' Compensation MH - *Occupational Injuries/epidemiology MH - Ontario/epidemiology MH - *Cannabis MH - Cross-Sectional Studies PMC - PMC10357653 OTO - NOTNLM OT - epidemiologic studies OT - occupational & industrial medicine OT - public health COIS- Competing interests: ADF is a member of the Ontario Workplace Safety and Insurance Board’s Drug Advisory Committee. EDAT- 2023/07/19 01:06 MHDA- 2023/07/21 06:44 PMCR- 2023/07/18 CRDT- 2023/07/18 21:42 PHST- 2023/07/21 06:44 [medline] PHST- 2023/07/19 01:06 [pubmed] PHST- 2023/07/18 21:42 [entrez] PHST- 2023/07/18 00:00 [pmc-release] AID - bmjopen-2023-072994 [pii] AID - 10.1136/bmjopen-2023-072994 [doi] PST - epublish SO - BMJ Open. 2023 Jul 18;13(7):e072994. doi: 10.1136/bmjopen-2023-072994. PMID- 29226794 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20180802 IS - 1461-7471 (Electronic) IS - 1363-4615 (Linking) VI - 54 IP - 5-6 DP - 2017 Oct-Dec TI - Mental health of immigrants and refugees seeking legal services on the US-Mexico border. PG - 783-805 LID - 10.1177/1363461517746316 [doi] AB - The debates on the mental health benefits associated with immigration are mixed. On the one hand, immigrants are provided with more opportunities not available in their home countries. On the other hand, they are far away from home and may have been exposed to traumatic experiences on their journeys to the receiving country. Even after settling down in the receiving country, most continue to face legal battles associated with their immigration status, as shown in this study. This study examined the risk and protective factors associated with the mental health conditions in a sample of 39 immigrants and refugees seeking legal services on the US-Mexico border. Participants were recruited from a southwestern community agency serving the region's immigrant population over the past three decades. Negative mental health states including stress, sadness, and anxiety were frequently reported by the participants. Six themes were identified as significantly related to the participants' adjustment in the US: (1) political turmoil and safety issues; (2) economic hardship and extreme poverty; (3) trauma before and after resettlement; (4) immigration status; (5) family relational strain; and (6) identity struggle and acculturation. Overall, results demonstrate the complexity of issues pertaining to cross-country migration, cultural sensitivities, and mental health. FAU - Paat, Yok-Fong AU - Paat YF AD - The University of Texas at El Paso. FAU - Green, Rachel AU - Green R AD - Diocesan Migrant & Refugee Services, Inc., El Paso, Texas. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Transcult Psychiatry JT - Transcultural psychiatry JID - 9708119 SB - IM MH - Adult MH - Female MH - Humans MH - Legal Services MH - Male MH - Mental Health/*ethnology MH - Mexico/ethnology MH - Psychological Trauma/*ethnology MH - Refugees/legislation & jurisprudence/*psychology MH - United States/ethnology OTO - NOTNLM OT - immigrants OT - legal services OT - mental health OT - refugees EDAT- 2017/12/12 06:00 MHDA- 2018/07/22 06:00 CRDT- 2017/12/12 06:00 PHST- 2017/12/12 06:00 [entrez] PHST- 2017/12/12 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] AID - 10.1177/1363461517746316 [doi] PST - ppublish SO - Transcult Psychiatry. 2017 Oct-Dec;54(5-6):783-805. doi: 10.1177/1363461517746316. PMID- 39167410 OWN - NLM STAT- MEDLINE DCOM- 20240821 LR - 20240821 IS - 2574-3805 (Electronic) IS - 2574-3805 (Linking) VI - 7 IP - 8 DP - 2024 Aug 1 TI - Assessing Psychosocial Risk and Resilience to Support Readiness for Gene Therapy in Sickle Cell Disease: A Consensus Statement. PG - e2429443 LID - 10.1001/jamanetworkopen.2024.29443 [doi] AB - IMPORTANCE: The introduction of gene therapies into the clinical care landscape for individuals living with sickle cell disease (SCD) represents a momentous achievement with the potential to rewrite the story of the world's most prevalent heritable blood disorder. This disease, which was first described in 1910 and did not see a US Food and Drug Administration-approved therapeutic until 1998, is poised to be among the first to realize the promise of gene therapy and genome editing. However, the future of these treatments now rests on how evidence of safety, outcomes, and acceptance in clinical practice unfolds in SCD. Furthermore, historic injustices involving the exploitation of individuals from minoritized racial and ethnic groups in medical contexts necessitate extreme care in ensuring readiness among individuals with SCD considering genetic therapies. OBJECTIVE: To address a gap in resources focused on patient readiness for gene therapy. EVIDENCE REVIEW: The Cure Sickle Cell Initiative organized the Patient Readiness and Resilience Working Group in September 2020. Membership was comprised of behavioral health clinicians and scientists with expertise in SCD, adults with lived experience with SCD, and a caregiver. Over 2 years, the working group developed consensus recommendations and created resources to guide implementation of pregene therapy patient readiness assessments. Recommendations centered on strategies to enhance delivery of education about gene therapy and assess knowledge and understanding, interest and motivation, and psychosocial risk and resilience factors. FINDINGS: Five goals of a pregene therapy patient readiness assessment were identified: (1) gathering information about a patient's understanding of and perceived readiness for gene therapy; (2) encouraging an open dialogue; (3) providing a conceptualization of psychosocial factors that may influence participation in gene therapy; (4) identifying patient strengths that can be used to promote psychosocial well-being before, during, and after gene therapy; (5) identifying and addressing psychosocial risks. CONCLUSIONS AND RELEVANCE: Patient readiness and psychosocial factors will have tangible implications for the success of gene therapy at individual and collective levels. Health care institutions, industry, payers, policymakers, and clinicians all shoulder responsibility for ensuring that patients with SCD are adequately prepared for gene therapy and supported in ways that optimize readiness and access. Resources described here may be leveraged as a guide to support implementation of pregene therapy assessments of patient readiness and resilience in SCD. FAU - Hardy, Steven J AU - Hardy SJ AD - Center for Cancer and Blood Disorders, Children's National Hospital, Washington, DC. AD - Departments of Pediatrics and Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences, Washington, DC. FAU - Crosby, Lori E AU - Crosby LE AD - Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio. AD - Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. FAU - Porter, Jerlym S AU - Porter JS AD - Department of Psychology and Biobehavioral Sciences, St Jude Children's Research Hospital, Memphis, Tennessee. FAU - Sil, Soumitri AU - Sil S AD - Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia. AD - Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia. FAU - Valrie, Cecelia R AU - Valrie CR AD - Department of Psychology, Virginia Commonwealth University, Richmond, Virginia. FAU - Jonassaint, Charles R AU - Jonassaint CR AD - Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Bediako, Shawn M AU - Bediako SM AD - Center for the Advancement of Science Leadership and Culture, Howard Hughes Medical Institute, Chevy Chase, Maryland. FAU - Andrews, Clayton AU - Andrews C AD - Sickle Champions Men's Action Network, Atlanta, Georgia. FAU - Rivera, Maria AU - Rivera M AD - Sickle Cell Community Consortium, Cumming, Georgia. FAU - Woolford, Teonna AU - Woolford T AD - Sickle Cell Reproductive Health Education Directive, Baltimore, Maryland. FAU - Coleman-Cowger, Victoria H AU - Coleman-Cowger VH AD - The Emmes Company, Rockville, Maryland. LA - eng PT - Journal Article DEP - 20240801 PL - United States TA - JAMA Netw Open JT - JAMA network open JID - 101729235 SB - IM MH - Humans MH - *Anemia, Sickle Cell/therapy/genetics/psychology MH - *Genetic Therapy MH - *Resilience, Psychological MH - Consensus MH - Adult MH - Female MH - Male MH - Risk Assessment EDAT- 2024/08/21 17:42 MHDA- 2024/08/21 18:41 CRDT- 2024/08/21 11:34 PHST- 2024/08/21 18:41 [medline] PHST- 2024/08/21 17:42 [pubmed] PHST- 2024/08/21 11:34 [entrez] AID - 2822554 [pii] AID - 10.1001/jamanetworkopen.2024.29443 [doi] PST - epublish SO - JAMA Netw Open. 2024 Aug 1;7(8):e2429443. doi: 10.1001/jamanetworkopen.2024.29443. PMID- 35071804 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220430 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 8 IP - 1 DP - 2022 Jan TI - Mental health status of married women during COVID-19 pandemic in Bangladesh: A cross-sectional study. PG - e08785 LID - 10.1016/j.heliyon.2022.e08785 [doi] LID - e08785 AB - AIM: The uncontrolled spread of COVID-19 has demanded unparalleled measures, from the imposition of quarantine to the declaration as a public health emergency of international concern. COVID-19 poses a severe threat to our day-to-day life as well as physical and mental health. This study explores mental health status among married women that remain understudied in Bangladesh during the COVID-19 pandemic. METHODOLOGY: A cross-sectional study was conducted among 597 married women via face-to-face interview, maintaining all safety protocols. A semi-structured questionnaire was assembled that included socio-demographics and the DASS-21 scale. Descriptive analysis and logistic regression were performed to examine the associations between variables. RESULT: Almost 35% of the respondents had stress, 20% had anxiety, and 44% had depression ranging from mild to extremely severe. Metropolitan city inhabitants, being housewives, higher educational status, number of children, financial condition, comorbidities, family members assistance in household activities, relocation during COVID-19, social media use, concern about family, infected family members, tendency to get COVID-19 updates had been found significant in multivariable and univariate regression analysis with depression, anxiety, and stress. CONCLUSION: In this study, we found high rates of stress, anxiety, and depression among the study participants. These findings provide us with an epidemiological picture of the mental health status of our target population that could be a key benchmark for identifying high-risk groups and developing policies as well. Results could also be used to formulate psychological interventions that might be helpful during the COVID-19 period and later. CI - © 2022 The Authors. FAU - Sagar, Soumik Kha AU - Sagar SK AD - Nutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, 1212, Bangladesh. AD - Department of Public Health, North South University, Dhaka, 1229, Bangladesh. AD - Public Health Professional Development Society (PPDS). FAU - Nusrat, Farhana AU - Nusrat F AD - Sherpur Sadar Hospital, Sherpur, Mymensingh, 2100, Bangladesh. FAU - Rashid, Md Utba AU - Rashid MU AD - Nutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, 1212, Bangladesh. AD - Department of Public Health, North South University, Dhaka, 1229, Bangladesh. FAU - Ghosh, Prakash AU - Ghosh P AD - Nutrition and Clinical Services Division (NCSD), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, 1212, Bangladesh. FAU - Sultana, Maisha AU - Sultana M AD - Sylhet MAG Osmani Medical College, Medical Road, Kajolshah, Sylhet, 3100, Bangladesh. FAU - Ahsan, Alvee AU - Ahsan A AD - Mymensingh Medical College, Chorpara, Mymensingh, 2200, Bangladesh. FAU - Pinky, Susmita Dey AU - Pinky SD AD - Chattogram Medical College Hospital, Panchlaish, Chattogram, 4203, Bangladesh. FAU - Mahboob, Raisa Nawal AU - Mahboob RN AD - Mymensingh Medical College, Chorpara, Mymensingh, 2200, Bangladesh. FAU - Nayon, Sajibur Rahman AU - Nayon SR AD - Sylhet MAG Osmani Medical College, Medical Road, Kajolshah, Sylhet, 3100, Bangladesh. FAU - Shariful Islam, Sheikh Mohammed AU - Shariful Islam SM AD - Public Health Professional Development Society (PPDS). FAU - Hossain Hawlader, Mohammad Delwer AU - Hossain Hawlader MD AD - Department of Public Health, North South University, Dhaka, 1229, Bangladesh. LA - eng PT - Journal Article DEP - 20220119 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC8768011 OTO - NOTNLM OT - Bangladesh OT - COVID-19 OT - DASS-21 OT - Married women OT - Mental health COIS- The authors declare no conflict of interest. EDAT- 2022/01/25 06:00 MHDA- 2022/01/25 06:01 PMCR- 2022/01/19 CRDT- 2022/01/24 08:57 PHST- 2021/07/02 00:00 [received] PHST- 2021/07/25 00:00 [revised] PHST- 2022/01/14 00:00 [accepted] PHST- 2022/01/25 06:00 [pubmed] PHST- 2022/01/25 06:01 [medline] PHST- 2022/01/24 08:57 [entrez] PHST- 2022/01/19 00:00 [pmc-release] AID - S2405-8440(22)00073-1 [pii] AID - e08785 [pii] AID - 10.1016/j.heliyon.2022.e08785 [doi] PST - ppublish SO - Heliyon. 2022 Jan;8(1):e08785. doi: 10.1016/j.heliyon.2022.e08785. Epub 2022 Jan 19. PMID- 37278278 OWN - NLM STAT- MEDLINE DCOM- 20230607 LR - 20230621 IS - 1945-7243 (Electronic) IS - 0046-9580 (Print) IS - 0046-9580 (Linking) VI - 60 DP - 2023 Jan-Dec TI - The Relationship Between Stress and Resilience of Nurses in Intensive Care Units During the COVID-19 Pandemic. PG - 469580231179876 LID - 10.1177/00469580231179876 [doi] LID - 00469580231179876 AB - The coronavirus infection COVID-19 has been a risk to world health, particularly for individuals who are vulnerable to it. Critical care nurses have described experiencing extremely high levels of stress under these struggling conditions. This study aimed to assess the relationship between stress and resilience of intensive care unit nurses during the COVID-19 pandemic. A cross-sectional study was conducted on 227 nurses who are working in the intensive care units in the West Bank hospitals, Palestine. Data collection utilized the Nursing Stress Scale (NSS) and the Brief Resilient Coping Scale (BRCS). Two hundred twenty-seven intensive care nurses completed the questionnaire; (61.2%) were males, and (81.5%) had documented COVID-19 infection among their friends, family, or coworkers. Most intensive care nurses reported high levels of stress (105.9 ± 11.9), but low levels of resilience (11.0 ± 4.3). There was a moderate negative correlation between nurses' stress and their resilience (P < .05) and a small to moderate negative correlation between nurses' stress sub-scales and resilience (P < .05). Also, the results revealed a statistically significant difference between the stress score mean and the nurses who had documented COVID-19 infection among their friends, family, or coworkers (P < .05), and between the resilience mean score and the nurses' gender (P < .05). During the COVID-19 outbreak, intensive care nurses' stress levels were high, and their resilience was low. Thus, controlling nurses' stress levels and identifying possible stress sources related to the COVID-19 pandemic are important to maintain patients' safety and improve the quality of care. FAU - Aqtam, Ibrahim AU - Aqtam I AUID- ORCID: 0000-0001-6339-9176 AD - Nablus University for Vocational & Technical Education, Nablus, Palestine. FAU - Ayed, Ahmad AU - Ayed A AUID- ORCID: 0000-0003-2164-8183 AD - Arab American University, Jenin, Palestine. FAU - Toqan, Dalia AU - Toqan D AD - Arab American University, Jenin, Palestine. FAU - Salameh, Basma AU - Salameh B AUID- ORCID: 0000-0003-1372-7199 AD - Arab American University, Jenin, Palestine. FAU - Abd Elhay, Eman Sameh AU - Abd Elhay ES AD - Mansoura University, Mansoura, Egypt. FAU - Zaben, Kefah AU - Zaben K AD - Al-Quds University, Jerusalem, Palestine. FAU - Mohammad Shouli, Mustafa AU - Mohammad Shouli M AD - Nablus University for Vocational & Technical Education, Nablus, Palestine. LA - eng PT - Journal Article PL - United States TA - Inquiry JT - Inquiry : a journal of medical care organization, provision and financing JID - 0171671 SB - IM MH - Male MH - Humans MH - Female MH - *COVID-19/epidemiology MH - Cross-Sectional Studies MH - Pandemics MH - Intensive Care Units MH - Adaptation, Psychological PMC - PMC10247682 OTO - NOTNLM OT - COVID-19 OT - Palestine OT - intensive care unit and nurses OT - resilience OT - stress COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/06/06 06:42 MHDA- 2023/06/07 06:42 PMCR- 2023/06/06 CRDT- 2023/06/06 05:43 PHST- 2023/06/07 06:42 [medline] PHST- 2023/06/06 06:42 [pubmed] PHST- 2023/06/06 05:43 [entrez] PHST- 2023/06/06 00:00 [pmc-release] AID - 10.1177_00469580231179876 [pii] AID - 10.1177/00469580231179876 [doi] PST - ppublish SO - Inquiry. 2023 Jan-Dec;60:469580231179876. doi: 10.1177/00469580231179876. PMID- 21654620 OWN - NLM STAT- MEDLINE DCOM- 20110829 LR - 20211020 IS - 1940-087X (Electronic) IS - 1940-087X (Linking) IP - 51 DP - 2011 May 23 TI - Coherence between brain cortical function and neurocognitive performance during changed gravity conditions. LID - 2670 [pii] LID - 10.3791/2670 [doi] AB - Previous studies of cognitive, mental and/or motor processes during short-, medium- and long-term weightlessness have only been descriptive in nature, and focused on psychological aspects. Until now, objective observation of neurophysiological parameters has not been carried out--undoubtedly because the technical and methodological means have not been available--, investigations into the neurophysiological effects of weightlessness are in their infancy (Schneider et al. 2008). While imaging techniques such as positron emission tomography (PET) and magnetic resonance imaging (MRI) would be hardly applicable in space, the non-invasive near-infrared spectroscopy (NIRS) technique represents a method of mapping hemodynamic processes in the brain in real time that is both relatively inexpensive and that can be employed even under extreme conditions. The combination with electroencephalography (EEG) opens up the possibility of following the electrocortical processes under changing gravity conditions with a finer temporal resolution as well as with deeper localization, for instance with electrotomography (LORETA). Previous studies showed an increase of beta frequency activity under normal gravity conditions and a decrease under weightlessness conditions during a parabolic flight (Schneider et al. 2008a+b). Tilt studies revealed different changes in brain function, which let suggest, that changes in parabolic flight might reflect emotional processes rather than hemodynamic changes. However, it is still unclear whether these are effects of changed gravity or hemodynamic changes within the brain. Combining EEG/LORETA and NIRS should for the first time make it possible to map the effect of weightlessness and reduced gravity on both hemodynamic and electrophysiological processes in the brain. Initially, this is to be done as part of a feasibility study during a parabolic flight. Afterwards, it is also planned to use both techniques during medium- and long-term space flight. It can be assumed that the long-term redistribution of the blood volume and the associated increase in the supply of oxygen to the brain will lead to changes in the central nervous system that are also responsible for anaemic processes, and which can in turn reduce performance (De Santo et al. 2005), which means that they could be crucial for the success and safety of a mission (Genik et al. 2005, Ellis 2000). Depending on these results, it will be necessary to develop and employ extensive countermeasures. Initial results for the MARS500 study suggest that, in addition to their significance in the context of the cardiovascular and locomotor systems, sport and physical activity can play a part in improving neurocognitive parameters. Before this can be fully established, however, it seems necessary to learn more about the influence of changing gravity conditions on neurophysiological processes and associated neurocognitive impairment. FAU - Brümmer, Vera AU - Brümmer V AD - Institute of Movement and Neurosciences, German Sport University Cologne. bruemmer@dshs-koeln.de FAU - Schneider, Stefan AU - Schneider S FAU - Vogt, Tobias AU - Vogt T FAU - Strüder, Heiko AU - Strüder H FAU - Carnahan, Heather AU - Carnahan H FAU - Askew, Christopher D AU - Askew CD FAU - Csuhaj, Roland AU - Csuhaj R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Video-Audio Media DEP - 20110523 PL - United States TA - J Vis Exp JT - Journal of visualized experiments : JoVE JID - 101313252 SB - IM MH - Cerebral Cortex/*physiology MH - Cognition/*physiology MH - Electroencephalography/*methods MH - Frontal Lobe/physiology MH - *Gravity, Altered MH - Humans MH - Occipital Lobe/physiology MH - Spectroscopy, Near-Infrared/*methods MH - Temporal Lobe/physiology MH - Weightlessness PMC - PMC3197107 EDAT- 2011/06/10 06:00 MHDA- 2011/08/30 06:00 PMCR- 2013/05/23 CRDT- 2011/06/10 06:00 PHST- 2011/06/10 06:00 [entrez] PHST- 2011/06/10 06:00 [pubmed] PHST- 2011/08/30 06:00 [medline] PHST- 2013/05/23 00:00 [pmc-release] AID - 2670 [pii] AID - 10.3791/2670 [doi] PST - epublish SO - J Vis Exp. 2011 May 23;(51):2670. doi: 10.3791/2670. PMID- 39411990 OWN - NLM STAT- MEDLINE DCOM- 20241016 LR - 20241016 IS - 2081-3252 (Electronic) IS - 1641-9251 (Linking) VI - 75 IP - 3 DP - 2024 TI - Impact on seafarers of extreme events: A case study arising out of the situation in Ukraine. PG - 190-203 LID - 10.5603/imh.100443 [doi] AB - BACKGROUND: Maritime transportation is the lifeblood of the world's economy. However, seafarers are exposed to isolated, confined and particularly extreme environments. Maritime operations in the face of geopolitical conflicts profoundly impact seafarers' mental health, well-being and safety. MATERIALS AND METHODS: The study comprises 27 seafarer interviews and 21 stakeholder interviews covering 4 maritime education and training institutions, 11 crewing agencies, 4 medical facilities and 2 maritime authorities. An online questionnaire survey of seafarers who were affected by the conflict in Ukraine and had sailed in the conflict zone in the period 24 February 2022 to 30 September 2023 yielded 319 valid responses. RESULTS: The study suggests that seafarers in the conflict zone are exposed to constant imminent threats to personal safety, constant stress and anxiety, prolonged lack of sleep, limited opportunities of contact with families, and high risk to mental health among other things further exacerbated by a lack of mental health support from company, and anxiety resulting from loss of access to shore-based training facilities and uncertainty in updating competency certificates. CONCLUSIONS: The study presents rare insights on the psychological and emotional toll on seafarers who continue to serve the critical needs of the maritime transportation industry in a newly ordained role as keyworkers. This study underscores the need for improved mental health support and counselling services within the maritime industry, in particular, maritime stakeholders likely affected by geopolitical conflicts. HIGHLIGHTS: From the practical perspective, this is among the first studies to focus on the mental health and well-being of seafarers arising out of the situation in Ukraine since 24 February 2022. From the theoretical perspective, this is a maiden study attempting an exploration of social conditions in three different dimensions by integrating three distinct theoretical constructs namely, UN Human Security Framework, Holmes & Rahe Social Readjustment Rating Scale and ILO Maritime Labour Convention framework. FAU - Hebbar, Anish Arvind AU - Hebbar AA AUID- ORCID: 0000-0003-2214-733X AD - World Maritime University, Malmö, Sweden. ah@wmu.se. FAU - Khabeishvili, Teona AU - Khabeishvili T AD - World Maritime University, Malmö, Sweden. LA - eng PT - Journal Article PL - Poland TA - Int Marit Health JT - International maritime health JID - 100958373 SB - IM MH - Humans MH - Ukraine MH - Adult MH - Male MH - Female MH - *Mental Health MH - Naval Medicine MH - Middle Aged MH - Surveys and Questionnaires MH - Ships MH - Armed Conflicts MH - Anxiety MH - Occupational Health OTO - NOTNLM OT - Holmes & Rahe Social Readjustment Rating Scale OT - Holmes & Rahe Stress Scale OT - ILO Maritime Labour Convention OT - Russia-Ukraine conflict OT - UN Human Security Framework OT - extreme event OT - geopolitical conflict OT - maritime safety OT - mental health OT - seafarers OT - well-being EDAT- 2024/10/16 12:23 MHDA- 2024/10/16 12:24 CRDT- 2024/10/16 06:23 PHST- 2024/04/27 00:00 [received] PHST- 2024/05/15 00:00 [accepted] PHST- 2024/05/14 00:00 [revised] PHST- 2024/10/16 12:24 [medline] PHST- 2024/10/16 12:23 [pubmed] PHST- 2024/10/16 06:23 [entrez] AID - VM/OJS/J/100443 [pii] AID - 10.5603/imh.100443 [doi] PST - ppublish SO - Int Marit Health. 2024;75(3):190-203. doi: 10.5603/imh.100443. PMID- 31293848 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2168-9709 (Electronic) IS - 2168-9709 (Linking) VI - 9 IP - 4 DP - 2019 Jul TI - A review of citalopram dose restrictions in the treatment of neuropsychiatric disorders in older adults. PG - 280-286 LID - 10.9740/mhc.2019.07.280 [doi] AB - INTRODUCTION: Neuropsychiatric disorders affect millions of older adults. Despite this, there are relatively few older adults included in clinical trials evaluating treatments for psychiatric disorders. Citalopram has been evaluated in older adults with neuropsychiatric disorders and has largely been found beneficial, making the 2011 US Food and Drug Administration (FDA) safety advisory on citalopram extremely impactful. METHODS: A literature search was completed using the PubMed database. Results were limited to clinical trials conducted in older adults that were published in English. RESULTS: Review of the literature confirms the efficacy of citalopram in depression, anxiety, depression associated with Parkinson disease, and behavioral and psychological symptoms of dementia. Additionally, no adverse cardiac outcomes have been described related to citalopram. DISCUSSION: The FDA's evidence for applying this safety advisory to citalopram is minimal and largely based on surrogate markers, such as the QTc interval rather than clinical and safety outcomes. Citalopram is known to increase the QTc, but this increase has not been linked to adverse cardiac outcomes. The evidence for efficacy and against adverse outcomes suggests that a reevaluation of the dosing restrictions in older adults with neuropsychiatric disorders is needed. FAU - McCarrell, Jamie L AU - McCarrell JL AUID- ORCID: 0000-0003-3578-1348 FAU - Bailey, Trista A AU - Bailey TA AUID- ORCID: 0000-0003-2598-0626 FAU - Duncan, Nakia A AU - Duncan NA AUID- ORCID: 0000-0002-5962-4454 FAU - Covington, Les P AU - Covington LP AUID- ORCID: 0000-0003-0631-1515 FAU - Clifford, Kalin M AU - Clifford KM AUID- ORCID: 0000-0002-8898-6534 FAU - Hall, Ronald G AU - Hall RG AUID- ORCID: 0000-0002-5616-8246 FAU - Blaszczyk, Amie Taggart AU - Blaszczyk AT AUID- ORCID: 0000-0001-9530-3706 LA - eng PT - Journal Article DEP - 20190701 PL - United States TA - Ment Health Clin JT - The mental health clinician JID - 101728585 PMC - PMC6607952 OTO - NOTNLM OT - Food and Drug Administration (FDA) OT - anxiety OT - behavioral and psychological symptoms of dementia (BPSD) OT - citalopram OT - depression OT - neuropsychiatric disorders OT - safety EDAT- 2019/07/12 06:00 MHDA- 2019/07/12 06:01 PMCR- 2019/07/01 CRDT- 2019/07/12 06:00 PHST- 2019/07/12 06:00 [entrez] PHST- 2019/07/12 06:00 [pubmed] PHST- 2019/07/12 06:01 [medline] PHST- 2019/07/01 00:00 [pmc-release] AID - MHC-D-19-00003 [pii] AID - 10.9740/mhc.2019.07.280 [doi] PST - epublish SO - Ment Health Clin. 2019 Jul 1;9(4):280-286. doi: 10.9740/mhc.2019.07.280. eCollection 2019 Jul. PMID- 27280447 OWN - NLM STAT- MEDLINE DCOM- 20170727 LR - 20190213 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 6 DP - 2016 TI - Biologic Data of Cynomolgus Monkeys Maintained under Laboratory Conditions. PG - e0157003 LID - 10.1371/journal.pone.0157003 [doi] LID - e0157003 AB - The cynomolgus monkey (Macaca fascicularis) is a well-known non-human primate species commonly used in non-clinical research. It is important to know basal clinical pathology parameters in order to have a reference for evaluating any potential treatment-induced effects, maintaining health status among animals and, if needed, evaluating correct substantiative therapies. In this study, data from 238 untreated cynomolgus monkeys (119 males and 119 females of juvenile age, 2.5 to 3.5 years) kept under laboratory conditions were used to build up a reference database of clinical pathology parameters. Twenty-two hematology markers, 24 clinical chemistry markers and two blood coagulation parameters were analyzed. Gender-related differences were evaluated using statistical analyses. To assess the possible effects of stress induced by housing or handling involved in treatment procedures, 78 animals (35 males and 35 females out of 238 juvenile monkeys and four adult males and four adult females) were used to evaluate cortisol, corticosterone and behavioral assessment over time. Data were analyzed using a non-parametric statistical test and machine learning approaches. Reference clinical pathology data obtained from untreated animals may be extremely useful for investigators employing cynomolgus monkeys as a test system for non-clinical safety studies. FAU - Rosso, Marilena Caterina AU - Rosso MC AD - Department of Veterinary Science, University of Turin, Grugliasco (TO), Italy. AD - RBM SpA - Merck Serono, Ivrea, Italy. FAU - Badino, Paola AU - Badino P AD - Department of Veterinary Science, University of Turin, Grugliasco (TO), Italy. FAU - Ferrero, Giulio AU - Ferrero G AD - Department of Computer Science, University of Turin, Turin, Italy. AD - Department of Clinical and Biological Sciences, University of Turin, Orbassano, Turin, Italy. AD - Center for Molecular Systems Biology, University of Turin, Orbassano, Turin, Italy. FAU - Costa, Roberto AU - Costa R AD - RBM SpA - Merck Serono, Ivrea, Italy. FAU - Cordero, Francesca AU - Cordero F AD - Department of Computer Science, University of Turin, Turin, Italy. AD - Center for Molecular Systems Biology, University of Turin, Orbassano, Turin, Italy. FAU - Steidler, Stephanie AU - Steidler S AD - RBM SpA - Merck Serono, Ivrea, Italy. LA - eng PT - Journal Article DEP - 20160609 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Age Factors MH - Animals MH - Behavior, Animal MH - Blood Chemical Analysis/*veterinary MH - Female MH - Housing, Animal/*standards MH - Laboratories/*standards MH - Macaca fascicularis/*blood MH - Male MH - Sex Factors MH - Stress, Psychological PMC - PMC4900550 COIS- Competing Interests: The commercial affiliation to RBM research center does not alter the authors’ adherence to PLOS ONE policies on sharing data and materials. EDAT- 2016/06/10 06:00 MHDA- 2017/07/28 06:00 PMCR- 2016/06/09 CRDT- 2016/06/10 06:00 PHST- 2015/10/30 00:00 [received] PHST- 2016/05/23 00:00 [accepted] PHST- 2016/06/10 06:00 [entrez] PHST- 2016/06/10 06:00 [pubmed] PHST- 2017/07/28 06:00 [medline] PHST- 2016/06/09 00:00 [pmc-release] AID - PONE-D-15-46282 [pii] AID - 10.1371/journal.pone.0157003 [doi] PST - epublish SO - PLoS One. 2016 Jun 9;11(6):e0157003. doi: 10.1371/journal.pone.0157003. eCollection 2016. PMID- 36110760 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220917 IS - 0976-4879 (Print) IS - 0975-7406 (Electronic) IS - 0975-7406 (Linking) VI - 14 IP - Suppl 1 DP - 2022 Jul TI - A study of the COVID-19 pandemic's knowledge and impact on ongoing fixed orthodontic treatment in adults. PG - S534-S536 LID - 10.4103/jpbs.jpbs_122_22 [doi] AB - BACKGROUND: Due to the characteristics of dental practices and hospitals, all dental professionals, including orthodontists, are at an elevated peril of SARS-CoV-2 infection. If adequate safety actions are not taken, cross-contamination risk among dentists, orthodontists, and patients can be extremely high. For orthodontic patients, a high level of cognizance and consideration of the COVID-19 epidemic is required. The goal of this study was to assess adult patients' knowledge of the coronavirus disease 2019 (COVID-19) pandemic and its impact on their continuing fixed orthodontic treatment. METHODOLOGY: A cross-sectional in addition to a descriptive survey of 100 adult patients enduring fixed orthodontic treatment was done. All of the candidates were over the age of 18 years and were in lockdown due to the COVID-19 epidemic, with no therapy available. RESULTS: Among the patients, 35% were male and 65% were female; 22.3% were unaware that the COVID-19 virus unfurls speedily in a dental setting; 64.8% were unquestionably keen to disclose their status and undertake pretreatment screening; 71.3% were undeniably prepared to stick to stringent appointment timings for passable sanitization of the clinical area; 70% believed that skipping appointments all through the COVID-19 pandemic would be costly; 70% believed that skipping appointments during the pandemic would prolong the treatment; and 59% thought of financial burden. CONCLUSION: COVID-19 cross-infection was not known to all adult orthodontic patients. The vast majority were aware of the situation and eager to follow infection-prevention guidelines. COVID-19 had a psychological and financial impact on patients' perceptions of overall orthodontic therapy. CI - Copyright: © 2022 Journal of Pharmacy and Bioallied Sciences. FAU - Kumar, Barun D AU - Kumar BD AD - Department of Orthodontic and Dentofacial Orthopaedic, Dental Institute, RIMS, Ranchi, Jharkhand, India. FAU - Pragya, Prakhar AU - Pragya P AD - Consultant Orthodontist, Shimla, Himanchal Pradesh, India. FAU - Saurabh, Sandeep AU - Saurabh S AD - Department of Pedodontics, Vananchal Dental College and Hospital, Gharhwa, Jharkhand, India. FAU - Datta, Archita AU - Datta A AD - Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India. FAU - Sangal, Shikha AU - Sangal S AD - Department of Orthodontics, Teerthanker Mahaveer Dental College and Research Center, Guretha, Uttar Pradesh, India. FAU - Anjum, Afroz AU - Anjum A AD - Department of Periodontics and Oral Implantology, Dubai, UAE. FAU - Kumar, Amit AU - Kumar A AD - Associate Professor, Department of Public Health Dentistry, Clinical Practitioner, Mumbai, Maharashtra, India. FAU - Badiyani, Bhumika K AU - Badiyani BK AD - Associate Professor, Department of Public Health Dentistry, Clinical Practitioner, Mumbai, Maharashtra, India. LA - eng PT - Journal Article DEP - 20220713 PL - India TA - J Pharm Bioallied Sci JT - Journal of pharmacy & bioallied sciences JID - 101537209 PMC - PMC9469381 OTO - NOTNLM OT - Adult patients OT - COVID-19 pandemic OT - lockdown OT - ongoing fixed orthodontic treatment COIS- There are no conflicts of interest. EDAT- 2022/09/17 06:00 MHDA- 2022/09/17 06:01 PMCR- 2022/07/01 CRDT- 2022/09/16 02:36 PHST- 2022/01/24 00:00 [received] PHST- 2022/03/06 00:00 [accepted] PHST- 2022/09/16 02:36 [entrez] PHST- 2022/09/17 06:00 [pubmed] PHST- 2022/09/17 06:01 [medline] PHST- 2022/07/01 00:00 [pmc-release] AID - JPBS-14-534 [pii] AID - 10.4103/jpbs.jpbs_122_22 [doi] PST - ppublish SO - J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S534-S536. doi: 10.4103/jpbs.jpbs_122_22. Epub 2022 Jul 13. PMID- 36175130 OWN - NLM STAT- MEDLINE DCOM- 20230206 LR - 20230206 IS - 1449-8944 (Electronic) IS - 0156-5788 (Linking) VI - 47 IP - 1 DP - 2023 Feb TI - Worsening general health and psychosocial wellbeing of Australian hospital allied health practitioners during the COVID-19 pandemic. PG - 124-130 LID - 10.1071/AH22110 [doi] AB - Objective To describe self-reported general and psychological health for allied health practitioners at an Australian acute public health service over three time points within the coronavirus disease 2019 (COVID-19) pandemic. Methods This study collected data from cross-sectional online surveys at three time points: May-June 2020 (T 1 ), October-November 2020 (T 2 ) and November-December 2021 (T 3 ). The self-report questionnaire consisted of demographic questions, a general health question and the 21-item version of the Depression Anxiety Stress Scales (DASS-21). Results A total of 308 responses were received (T 1 n  = 135, T 2 n  = 78, T 3 n  = 95) from representatives of eight allied health professions. The proportion of allied health practitioners reporting poor general health significantly increased over time, as did mean scores on all DASS-21 sub-scales. General health status was also significantly associated with DASS-21 subscale scores. Anxiety scores increased significantly between T 1 and T 2 , while depression scores increased significantly between T 2 and T 3 . Significant increases in stress scores were recorded across all time intervals. Between T 1 and T 3 , the proportion of allied health practitioners reporting moderate, severe, or extremely severe symptoms increased for depression (10.3-30.9%), anxiety (5.2-18.2%) and stress (13.3-36.3%). Conclusion The general and psychological health of allied health practitioners appears to be worsening as the COVID-19 pandemic continues. Organisational strategies to support the health of the allied health workforce in acute care settings must address the cumulative effects of prolonged pressure on their general and psychosocial health. Support strategies need to be responsive to changes in psychological wellbeing at different phases of the pandemic. FAU - Hitch, Danielle AU - Hitch D AD - Allied Health, Western Health, St. Albans, Vic., Australia; and Occupational Science and Therapy, Deakin University, Geelong, Vic., Australia; and Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark. FAU - Booth, Sarah AU - Booth S AD - Allied Health, Western Health, St. Albans, Vic., Australia. FAU - Wynter, Karen AU - Wynter K AD - Nursing and Midwifery, Deakin University, Burwood, Vic., Australia; and Centre of Quality and Patient Safety Research in the Institute for Health Transformation - Western Health Partnership, Deakin University, Burwood, Vic., Australia. FAU - Said, Catherine M AU - Said CM AD - Allied Health, Western Health, St. Albans, Vic., Australia; and Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Vic., Australia; and Australian Institute of Musculoskeletal Science, St. Albans, Vic., Australia. FAU - Haines, Kimberley AU - Haines K AD - Allied Health, Western Health, St. Albans, Vic., Australia. FAU - Rasmussen, Bodil AU - Rasmussen B AD - Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; and Nursing and Midwifery, Deakin University, Burwood, Vic., Australia; and Centre of Quality and Patient Safety Research in the Institute for Health Transformation - Western Health Partnership, Deakin University, Burwood, Vic., Australia; and Faculty of Health Services, University of Southern Denmark, Odense M, Denmark. FAU - Holton, Sara AU - Holton S AD - Nursing and Midwifery, Deakin University, Burwood, Vic., Australia; and Centre of Quality and Patient Safety Research in the Institute for Health Transformation - Western Health Partnership, Deakin University, Burwood, Vic., Australia. LA - eng PT - Journal Article PL - Australia TA - Aust Health Rev JT - Australian health review : a publication of the Australian Hospital Association JID - 8214381 MH - Humans MH - *COVID-19 MH - Pandemics MH - Cross-Sectional Studies MH - SARS-CoV-2 MH - Depression/epidemiology/psychology MH - Australia/epidemiology MH - Surveys and Questionnaires MH - Health Status EDAT- 2022/09/30 06:00 MHDA- 2023/02/07 06:00 CRDT- 2022/09/29 21:40 PHST- 2022/05/04 00:00 [received] PHST- 2022/09/02 00:00 [accepted] PHST- 2022/09/30 06:00 [pubmed] PHST- 2023/02/07 06:00 [medline] PHST- 2022/09/29 21:40 [entrez] AID - AH22110 [pii] AID - 10.1071/AH22110 [doi] PST - ppublish SO - Aust Health Rev. 2023 Feb;47(1):124-130. doi: 10.1071/AH22110. PMID- 32341185 OWN - NLM STAT- MEDLINE DCOM- 20210917 LR - 20210917 IS - 1473-4257 (Electronic) IS - 0306-6800 (Linking) VI - 46 IP - 11 DP - 2020 Nov TI - Three scenarios illustrating ethical concerns when considering bariatric surgery in obese adolescents with Prader-Willi syndrome. PG - 738-742 LID - 10.1136/medethics-2019-106038 [doi] AB - Prader-Willi syndrome (PWS) is one of the 25 syndromic forms of obesity, in which patients present-in addition to different degrees of obesity-intellectual disability, endocrine disturbs, hyperphagia and/or other signs of hypothalamic dysfunction. In front of a severe/extreme obesity and the failure of non-invasive treatments, bariatric surgery is proposed as a therapeutic option. The complexity of the clinical condition, which could affect the long-term effects of bariatric surgery, and the frequent association with a mild to severe intellectual disability raise some ethical concerns in the treatment of obese PWS adolescents. This article analyses these issues referring to the principles of healthcare ethics: beneficence/non-maleficence (proportionality of treatments; minimisation of risks); respect of autonomy; justice. Based on these principles, three hypothetical scenarios are defined: (1) obese PWS adolescent, capable of making an autonomous decision; (2) obese PWS adolescent with a severe intellectual disability, whose parents agree with bariatric surgery; (3) obese PWS adolescent with a life-threatening condition and a severe intellectual disability, whose parents do not agree with bariatric surgery. The currently available evidence on efficacy and safety of bariatric surgery in PWS adolescents with extreme or severe obesity and the lack of adequate long-term follow-up suggests great caution even in a very life-threatening condition. Clinicians must always obtain a full IQ assessment of patients by psychologists. A multidisciplinary team is needed to analyse the clinical, psychological, social and ethical aspects and organise support for patient and parents, involving also the hospital ethical committee or, if necessary, legal authorities. CI - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Di Pietro, Maria Luisa AU - Di Pietro ML AD - Sezione di Igiene, Dipartimento Universitario di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy. FAU - Zaçe, Drieda AU - Zaçe D AD - Sezione di Igiene, Dipartimento Universitario di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy drieda.zace@unicatt.it. LA - eng PT - Journal Article DEP - 20200427 PL - England TA - J Med Ethics JT - Journal of medical ethics JID - 7513619 SB - IM MH - Adolescent MH - *Bariatric Surgery MH - Beneficence MH - Humans MH - Hyperphagia MH - *Pediatric Obesity/complications MH - *Prader-Willi Syndrome/complications OTO - NOTNLM OT - autonomy OT - clinical ethics OT - minors/parental consent OT - surgery COIS- Competing interests: None declared. EDAT- 2020/04/29 06:00 MHDA- 2021/09/18 06:00 CRDT- 2020/04/29 06:00 PHST- 2019/12/17 00:00 [received] PHST- 2020/03/31 00:00 [revised] PHST- 2020/04/07 00:00 [accepted] PHST- 2020/04/29 06:00 [pubmed] PHST- 2021/09/18 06:00 [medline] PHST- 2020/04/29 06:00 [entrez] AID - medethics-2019-106038 [pii] AID - 10.1136/medethics-2019-106038 [doi] PST - ppublish SO - J Med Ethics. 2020 Nov;46(11):738-742. doi: 10.1136/medethics-2019-106038. Epub 2020 Apr 27. PMID- 37559437 OWN - NLM STAT- MEDLINE DCOM- 20240319 LR - 20240716 IS - 1758-5341 (Electronic) IS - 0016-9013 (Linking) VI - 64 IP - 4 DP - 2024 Apr 1 TI - The Experiences of Skilled Nursing Staff in Memory Care Units During the COVID-19 Pandemic. LID - gnad108 [pii] LID - 10.1093/geront/gnad108 [doi] AB - BACKGROUND AND OBJECTIVES: The novel coronavirus disease 2019 (COVID-19) resulted in the need for multiple mitigation strategies. The impacts of these safety measures were felt more extremely by healthcare providers. This qualitative study focused on the experiences of staff in skilled nursing facilities, specifically in locked memory care units, during the first year of the COVID-19 pandemic. RESEARCH DESIGN AND METHODS: This study used a basic interpretive methodology. In-depth interviews were conducted with skilled nursing staff members who worked in a locked memory care unit during the 2020 calendar year. Thematic analysis was used to organize and interpret the data. RESULTS: A total of 11 participants provided data that resulted in themes around reasons for working on a locked memory care unit, experiences working with people who have behavioral and psychological symptoms due to dementia, training, outcomes of shared experiences, outcomes of policy changes, management support, and suggestions for a future pandemic. DISCUSSION AND IMPLICATIONS: The results of this study may have implications for skilled nursing facilities with locked memory care units that continue to grapple with the realities of providing care during a pandemic. Providing appropriate training, social support, and appropriate protective equipment are among the suggestions. CI - © The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Holmes, Patricia AU - Holmes P AUID- ORCID: 0000-0002-2050-9141 AD - Department of Interprofessional Health and Aging Studies, University of Indianapolis, Indianapolis, Indiana, USA. FAU - Santurri, Laura AU - Santurri L AD - Department of Interprofessional Health and Aging Studies, University of Indianapolis, Indianapolis, Indiana, USA. FAU - Ewen, Heidi H AU - Ewen HH AUID- ORCID: 0000-0002-4215-6551 AD - Department of Interprofessional Health and Aging Studies, University of Indianapolis, Indianapolis, Indiana, USA. FAU - Baggett, Sharron AU - Baggett S AD - Independent Researcher, Portland, Oregon, USA. LA - eng PT - Journal Article PL - United States TA - Gerontologist JT - The Gerontologist JID - 0375327 SB - IM MH - Humans MH - Nursing Homes MH - *COVID-19/epidemiology MH - Pandemics MH - *Dementia/psychology MH - *Nursing Staff MH - Qualitative Research OTO - NOTNLM OT - caregiver support OT - dementia OT - nursing care EDAT- 2023/08/10 06:43 MHDA- 2024/03/19 06:44 CRDT- 2023/08/10 02:14 PHST- 2023/03/29 00:00 [received] PHST- 2024/03/19 06:44 [medline] PHST- 2023/08/10 06:43 [pubmed] PHST- 2023/08/10 02:14 [entrez] AID - 7240175 [pii] AID - 10.1093/geront/gnad108 [doi] PST - ppublish SO - Gerontologist. 2024 Apr 1;64(4):gnad108. doi: 10.1093/geront/gnad108. PMID- 25923209 OWN - NLM STAT- MEDLINE DCOM- 20160125 LR - 20191210 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 4 DP - 2015 TI - Associations of Conflict-Related Trauma and Ongoing Stressors with the Mental Health and Functioning of West Papuan Refugees in Port Moresby, Papua New Guinea (PNG). PG - e0125178 LID - 10.1371/journal.pone.0125178 [doi] LID - e0125178 AB - Documentation is limited in relation to the mental health of the people of West Papua, a territory that has been exposed to decades-long political persecution. We examined associations of traumatic events (TEs) and current stressors with mental disorder and functioning, amongst 230 West Papuan refugees residing in six settlements in Port Morseby, Papua New Guinea (PNG). We used culturally adapted modules to assess exposure to TEs and mental disorders. Current stressors and functioning were assessed using modifications of measures developed by the World Health Organization (WHO). 129 of 230 respondents (56%) reported exposure to at least one traumatic event (TE), including: political upheaval (36.5%), witnessing or hearing about family members tortured and murdered (33.9%), and not being able to access medical care for family members (33%). One fifth of respondents (47, 20.4%) experienced exposure to high levels of TEs (16 to 23). 211 (91.7%) endorsed at least one or more ongoing stressors, including: exposure to illicit substance use in the community (91.7%), problems with safety and the protection of women (89.6%), no access to legal rights and citizenship (88.3%), and lack of adequate shelter and facilities (85.2%). A quarter (26.9%) met criteria for one or more current mental disorder, and 69.1% reported functional impairment ranging from mild to extreme. Mental disorder was associated with being male (adjusted odds ratio=2.00; 95% CI=1.01-3.97), and exposure to the highest category of ongoing stressors (AOR=2.89; 95% CI=1.08-7.72). The TE count showed a dose-response pattern in its relationship with functional impairment, the greatest risk (AOR=11.47; 95% CI=2.11-62.37) being for those experiencing the highest level of TE exposure (16-23 events). West Papuans living in settlements in Port Moresby reported a range of TEs, ongoing stressors and associated mental disorders characteristic of populations exposed to mass conflict and persecution, prolonged displacement, and ongoing conditions of extreme hardship. FAU - Tay, Alvin Kuowei AU - Tay AK AD - Psychiatry Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Sydney, Australia; South Western Sydney Clinical School, Liverpool Hospital, Faculty of Medicine, University of New South Wales, Sydney, Australia. FAU - Rees, Susan AU - Rees S AD - Psychiatry Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Sydney, Australia. FAU - Chen, Jack AU - Chen J AD - South Western Sydney Clinical School, Liverpool Hospital, Faculty of Medicine, University of New South Wales, Sydney, Australia; Simpson Centre for Health Services Research, Faculty of Medicine, University of New South Wales, Sydney, Australia. FAU - Kareth, Moses AU - Kareth M AD - Psychiatry Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Sydney, Australia. FAU - Lahe, Sylvester AU - Lahe S AD - Division of Public Health, School of Medicine and Health Sciences, University of Papua New Guinea (UPNG), Port Moresby, Papua New Guinea. FAU - Kitau, Russell AU - Kitau R AD - Division of Public Health, School of Medicine and Health Sciences, University of Papua New Guinea (UPNG), Port Moresby, Papua New Guinea. FAU - David, Kura AU - David K AD - Port Moresby General Hospital and School of Medicine and Health Sciences, University of Papua New Guinea (UPNG), Port Moresby, Papua New Guinea. FAU - Sonoling, Joyce AU - Sonoling J AD - Port Moresby General Hospital and School of Medicine and Health Sciences, University of Papua New Guinea (UPNG), Port Moresby, Papua New Guinea. FAU - Silove, Derrick AU - Silove D AD - Psychiatry Research and Teaching Unit, Liverpool Hospital, School of Psychiatry, University of New South Wales, Sydney, Australia. LA - eng PT - Journal Article DEP - 20150429 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adolescent MH - Adult MH - Anxiety Disorders/epidemiology MH - Australia MH - *Conflict, Psychological MH - Emergency Medicine MH - Female MH - Humans MH - Male MH - *Mental Health MH - Middle Aged MH - Papua New Guinea MH - *Refugees MH - Stress Disorders, Post-Traumatic/*epidemiology MH - Stress, Psychological/epidemiology PMC - PMC4414604 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/04/30 06:00 MHDA- 2016/01/26 06:00 PMCR- 2015/04/29 CRDT- 2015/04/30 06:00 PHST- 2014/06/02 00:00 [received] PHST- 2015/03/22 00:00 [accepted] PHST- 2015/04/30 06:00 [entrez] PHST- 2015/04/30 06:00 [pubmed] PHST- 2016/01/26 06:00 [medline] PHST- 2015/04/29 00:00 [pmc-release] AID - PONE-D-14-24453 [pii] AID - 10.1371/journal.pone.0125178 [doi] PST - epublish SO - PLoS One. 2015 Apr 29;10(4):e0125178. doi: 10.1371/journal.pone.0125178. eCollection 2015. PMID- 29338989 OWN - NLM STAT- MEDLINE DCOM- 20180906 LR - 20180906 IS - 1545-1534 (Electronic) IS - 1080-6032 (Linking) VI - 29 IP - 1 DP - 2018 Mar TI - Relations Between Self-Reported and Linguistic Monitoring Assessments of Affective Experience in an Extreme Environment. PG - 61-65 LID - S1080-6032(17)30258-2 [pii] LID - 10.1016/j.wem.2017.08.023 [doi] AB - INTRODUCTION: Approaches for monitoring psychosocial health in challenging environments are needed to maintain the performance and safety of personnel. The purpose of the present research was to examine the relationship between 2 candidate methods (self-reported and linguistics) for monitoring affective experience during extreme environment activities. METHODS: A single-subject repeated-measures design was used in the present work. The participant was a 46-year-old individual scheduled to complete a self-supported ski expedition across Arctic Greenland. The expedition lasted 28 days, and conditions included severe cold, low stimulation, whiteouts, limited habitability, and threats to life and limb. During the expedition, the participant completed a daily self-report log including assessment of psychological health (perceptions of control and affect) and a video diary (emotion). Video diary entries were subjected to linguistic inquiry and word count analyses before the links between self-report and linguistic data across the expedition period were tested. RESULTS: Similarities in the pattern of self-reported and linguistic assessments emerged across the expedition period. A number of predictable correlations were identified between self-reported and linguistic assessments of affective/emotional experience. Overall, there was better agreement between self-reports and linguistic analytics for indicators of negative affect/emotion. CONCLUSIONS: Future research should build on this initial study to further test the links between self-reported affect and emotional states monitored via linguistics. This could help develop methods for monitoring psychological health in extreme environments and support organizational decision making. CI - Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved. FAU - Smith, Nathan AU - Smith N AD - University of Northampton, Northampton, United Kingdom. Electronic address: nathan.j.smithphd@gmail.com. LA - eng PT - Journal Article DEP - 20180112 PL - United States TA - Wilderness Environ Med JT - Wilderness & environmental medicine JID - 9505185 SB - IM MH - *Extreme Environments MH - Greenland MH - Humans MH - *Linguistics MH - Male MH - *Mental Health MH - Middle Aged MH - Psychometrics/*methods MH - *Self Report MH - Skiing/*psychology MH - Surveys and Questionnaires OTO - NOTNLM OT - emotion OT - extreme environment OT - linguistic analysis OT - monitoring OT - self-reports EDAT- 2018/01/18 06:00 MHDA- 2018/09/07 06:00 CRDT- 2018/01/18 06:00 PHST- 2017/06/18 00:00 [received] PHST- 2017/08/17 00:00 [revised] PHST- 2017/08/31 00:00 [accepted] PHST- 2018/01/18 06:00 [pubmed] PHST- 2018/09/07 06:00 [medline] PHST- 2018/01/18 06:00 [entrez] AID - S1080-6032(17)30258-2 [pii] AID - 10.1016/j.wem.2017.08.023 [doi] PST - ppublish SO - Wilderness Environ Med. 2018 Mar;29(1):61-65. doi: 10.1016/j.wem.2017.08.023. Epub 2018 Jan 12. PMID- 33468146 OWN - NLM STAT- MEDLINE DCOM- 20210830 LR - 20220506 IS - 1476-069X (Electronic) IS - 1476-069X (Linking) VI - 20 IP - 1 DP - 2021 Jan 19 TI - Houston hurricane Harvey health (Houston-3H) study: assessment of allergic symptoms and stress after hurricane Harvey flooding. PG - 9 LID - 10.1186/s12940-021-00694-2 [doi] LID - 9 AB - BACKGROUND: In August 2017, Hurricane Harvey caused unprecedented flooding across the greater Houston area. Given the potential for widespread flood-related exposures, including mold and sewage, and the emotional and mental toll caused by the flooding, we sought to evaluate the short- and long-term impact of flood-related exposures on the health of Houstonians. Our objectives were to assess the association of flood-related exposures with allergic symptoms and stress among Houston-area residents at two time points: within approximately 30 days (T1) and 12 months (T2) after Hurricane Harvey's landfall. METHODS: The Houston Hurricane Harvey Health (Houston-3H) Study enrolled a total of 347 unique participants from four sites across Harris County at two times: within approximately 1-month of Harvey (T1, n = 206) and approximately 12-months after Harvey (T2, n = 266), including 125 individuals who participated at both time points. Using a self-administered questionnaire, participants reported details on demographics, flood-related exposures, and health outcomes, including allergic symptoms and stress. RESULTS: The majority of participants reported hurricane-related flooding in their homes at T1 (79.1%) and T2 (87.2%) and experienced at least one allergic symptom after the hurricane (79.4% at T1 and 68.4% at T2). In general, flood-exposed individuals were at increased risk of upper respiratory tract allergic symptoms, reported at both the T1 and T2 time points, with exposures to dirty water and mold associated with increased risk of multiple allergic symptoms. The mean stress score of study participants at T1 was 8.0 ± 2.1 and at T2, 5.1 ± 3.2, on a 0-10 scale. Participants who experienced specific flood-related exposures reported higher stress scores when compared with their counterparts, especially 1 year after Harvey. Also, a supplementary paired-samples analysis showed that reports of wheezing, shortness of breath, and skin rash did not change between T1 and T2, though other conditions were less commonly reported at T2. CONCLUSION: These initial Houston-3H findings demonstrate that flooding experiences that occurred as a consequence of Hurricane Harvey had lasting impacts on the health of Houstonians up to 1 year after the hurricane. FAU - Oluyomi, Abiodun O AU - Oluyomi AO AUID- ORCID: 0000-0002-6603-6941 AD - Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX, USA. oluyomi@bcm.edu. AD - Department of Family and Community Medicine, Environmental Health Service, Baylor College of Medicine, Houston, TX, USA. oluyomi@bcm.edu. FAU - Panthagani, Kristen AU - Panthagani K AD - Genetics and Genomics, Baylor College of Medicine, Houston, TX, USA. AD - Medical Scientist Training Program, Baylor College of Medicine, Houston, TX, USA. AD - Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, USA. FAU - Sotelo, Jesus AU - Sotelo J AD - Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX, USA. FAU - Gu, Xiangjun AU - Gu X AD - Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX, USA. FAU - Armstrong, Georgina AU - Armstrong G AD - Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX, USA. FAU - Luo, Dan Na AU - Luo DN AD - Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, USA. FAU - Hoffman, Kristi L AU - Hoffman KL AD - Department of Molecular Virology and Microbiology, Alkek Center for Metagenomics and Microbiome Research, Baylor College of Medicine, Houston, TX, USA. FAU - Rohlman, Diana AU - Rohlman D AD - Environmental and Occupational Health, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA. FAU - Tidwell, Lane AU - Tidwell L AD - Food Safety and Environmental Stewardship Program, Oregon State University, Corvallis, OR, USA. FAU - Hamilton, Winifred J AU - Hamilton WJ AD - Department of Family and Community Medicine, Environmental Health Service, Baylor College of Medicine, Houston, TX, USA. FAU - Symanski, Elaine AU - Symanski E AD - Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, One Baylor Plaza, Jewish Building, Room 607D, (MS BCM307), Houston, TX, USA. AD - Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, USA. FAU - Anderson, Kimberly AU - Anderson K AD - Food Safety and Environmental Stewardship Program, Oregon State University, Corvallis, OR, USA. FAU - Petrosino, Joseph F AU - Petrosino JF AD - Department of Molecular Virology and Microbiology, Alkek Center for Metagenomics and Microbiome Research, Baylor College of Medicine, Houston, TX, USA. FAU - Walker, Cheryl Lyn AU - Walker CL AD - Genetics and Genomics, Baylor College of Medicine, Houston, TX, USA. AD - Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX, USA. AD - Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA. FAU - Bondy, Melissa AU - Bondy M AD - Department of Epidemiology and Population Health, Stanford Cancer Institute, Stanford University, Stanford, CA, USA. LA - eng SI - figshare/10.6084/m9.figshare.13612580.v1 GR - R21 ES029460/ES/NIEHS NIH HHS/United States GR - L30 ES032256/ES/NIEHS NIH HHS/United States GR - P30 ES030285/ES/NIEHS NIH HHS/United States GR - P42 ES016465/ES/NIEHS NIH HHS/United States GR - R21 ES029616/ES/NIEHS NIH HHS/United States GR - R21 ES029690/ES/NIEHS NIH HHS/United States GR - R21ES029616/ES/NIEHS NIH HHS/United States GR - R21 ES029493/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Observational Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210119 PL - England TA - Environ Health JT - Environmental health : a global access science source JID - 101147645 SB - IM MH - Adolescent MH - Adult MH - Aged MH - *Cyclonic Storms MH - *Disasters MH - Environmental Exposure MH - Female MH - *Floods MH - Humans MH - Hypersensitivity/*epidemiology MH - Male MH - Middle Aged MH - Sociological Factors MH - Stress, Psychological/*epidemiology MH - Surveys and Questionnaires MH - Texas/epidemiology MH - Young Adult PMC - PMC7816385 OTO - NOTNLM OT - Disaster epidemiology OT - Environmental exposure assessment OT - Extreme weather events OT - Flooding OT - Geographic information system OT - Hurricanes OT - Post-disaster rapid response research OT - Post-flooding environmental stressors OT - Post-flooding respiratory outcomes COIS- Kimberly Anderson and Diana Rohlman disclose a financial interest in MyExposome, Inc., which is marketing products related to the research being reported. The terms of this arrangement have been reviewed and approved by Oregon State University in accordance with its policy on research conflicts of interest. The authors have no other competing interests to disclose. The other authors declare they have no actual or potential competing financial interests. EDAT- 2021/01/21 06:00 MHDA- 2021/08/31 06:00 PMCR- 2021/01/19 CRDT- 2021/01/20 05:37 PHST- 2020/05/19 00:00 [received] PHST- 2021/01/12 00:00 [accepted] PHST- 2021/01/20 05:37 [entrez] PHST- 2021/01/21 06:00 [pubmed] PHST- 2021/08/31 06:00 [medline] PHST- 2021/01/19 00:00 [pmc-release] AID - 10.1186/s12940-021-00694-2 [pii] AID - 694 [pii] AID - 10.1186/s12940-021-00694-2 [doi] PST - epublish SO - Environ Health. 2021 Jan 19;20(1):9. doi: 10.1186/s12940-021-00694-2. PMID- 19305501 OWN - NLM STAT- MEDLINE DCOM- 20090424 LR - 20211020 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 4 IP - 3 DP - 2009 TI - Psychological typhoon eye in the 2008 Wenchuan earthquake. PG - e4964 LID - 10.1371/journal.pone.0004964 [doi] LID - e4964 AB - BACKGROUND: On May 12, 2008, an earthquake measuring 8.0 on the Richter scale jolted Wenchuan, China, leading to 69,227 deaths and 374,643 injured, with 17,923 listed as missing as of Sept. 25, 2008, and shook the whole nation. We assessed the devastating effects on people's post-earthquake concern about safety and health. METHODOLOGY/PRINCIPAL FINDINGS: From June 4 to July 15, 2008, we surveyed a convenience sample of 2,262 adults on their post-earthquake concern about safety and health. Residents in non-devastated areas (Fujian and Hunan Provinces, and Beijing) and devastated areas (Sichuan and Gansu Provinces) responded to a questionnaire of 5 questions regarding safety measures, epidemic disease, medical workers, psychological workers, and medication. The ANOVAs showed a significant effect of residential devastation level on the estimated number of safety measures needed, the estimated probability of the outbreak of an epidemic, and the estimated number of medical and psychological workers needed (Ps<0.001). The post-earthquake concern decreased significantly as the level of residential devastation increased. Because of the similarity with the meteorological phenomenon of the eye of a typhoon, we dubbed these findings a "Psychological Typhoon Eye": the closer to the center of the devastated areas, the less the concern about safety and health a resident felt. CONCLUSIONS/SIGNIFICANCE: Contrary to common perception and ripple effect that the impact of an unfortunate event decays gradually as ripples spread outward from a center, a "Psychological Typhoon Eye" effect was observed where the post-earthquake concern was at its lowest level in the extremely devastated areas. The resultant findings may have implications for Chinese governmental strategies for putting "psychological comfort" into effect. FAU - Li, Shu AU - Li S AD - Institute of Psychology, Chinese Academy of Sciences, Beijing, China. FAU - Rao, Li-Lin AU - Rao LL FAU - Ren, Xiao-Peng AU - Ren XP FAU - Bai, Xin-Wen AU - Bai XW FAU - Zheng, Rui AU - Zheng R FAU - Li, Jin-Zhen AU - Li JZ FAU - Wang, Zuo-Jun AU - Wang ZJ FAU - Liu, Huan AU - Liu H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090323 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Child MH - China MH - *Data Collection MH - *Earthquakes MH - Emergency Medical Services MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Safety MH - Stress Disorders, Post-Traumatic MH - Stress, Psychological/*psychology MH - Surveys and Questionnaires MH - Young Adult PMC - PMC2654756 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2009/03/24 09:00 MHDA- 2009/04/25 09:00 PMCR- 2009/03/23 CRDT- 2009/03/24 09:00 PHST- 2008/10/24 00:00 [received] PHST- 2009/02/24 00:00 [accepted] PHST- 2009/03/24 09:00 [entrez] PHST- 2009/03/24 09:00 [pubmed] PHST- 2009/04/25 09:00 [medline] PHST- 2009/03/23 00:00 [pmc-release] AID - 08-PONE-RA-07006R1 [pii] AID - 10.1371/journal.pone.0004964 [doi] PST - ppublish SO - PLoS One. 2009;4(3):e4964. doi: 10.1371/journal.pone.0004964. Epub 2009 Mar 23. PMID- 39139755 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20241207 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 11 DP - 2024 TI - Cardiac rehabilitation patient perspectives during COVID-19 pandemic: quantitative and qualitative study. PG - 1373684 LID - 10.3389/fcvm.2024.1373684 [doi] LID - 1373684 AB - BACKGROUND: This study aimed to quantitatively assess stress, anxiety and obsessive thinking related to coronavirus disease-19 (COVID-19) and qualitatively appraise perceptions in patients after acute myocardial infarction (AMI) undergoing cardiac rehabilitation (CR) during the COVID-19 pandemic. METHODS: We used mixed-methods design in patients referred for CR in 2 centres which delivered uninterrupted service during COVID-19 pandemic. Coronavirus Anxiety Scale (CAS), Obsession with COVID-19 Scale (OCS), COVID-19 Stress Scale (CSS), Hospital Anxiety and Depression Scale (HADS), and in-person interviews (combination of a priori questions and probing) were used to evaluate patient experience and perceptions with COVID-19 and the healthcare services during pandemic. RESULTS: In total, 109 patients (mean age 59 ± 10, 20% women) were included in quantitative part and in 30 of them we conducted the in-person interviews. About a quarter of patients met HADS threshold for anxiety and depression while CAS and OCS results demonstrated extremely low possibility of coronavirus related dysfunctional thinking (3%) and anxiety (2%). The CSS indicated the most prevalent concerns were related to COVID-19 vaccines safety (60%) and fear of getting infected (60%). During interviews, patients perceived the CR as well as health care providers as safe, trustworthy and with enough support to avoid or manage COVID-19 related health risks. CONCLUSIONS: Overall, patients reported AMI affected their lives more than the COVID-19 pandemic. The COVID-19 related stress and anxiety were relatively low and mostly related to general views of infectious disease. CR was perceived safe and trustworthy in terms of primary disease and COVID-19. LAY SUMMARY: This mixed-method study included 109 patients with acute myocardial infarction who underwent cardiac rehabilitation during the COVID-19 and focused on their experience and perceptions with COVID-19 and the healthcare services during pandemic.-Patients reported acute myocardial infarction affected their lives more than the COVID-19 pandemic.-The COVID-19 related concerns were mostly related to general views of infectious disease (vaccine safety, fear of getting infected) whilst cardiac rehabilitation was perceived safe and trustworthy environment during COVID-19. CI - © 2024 Jug, Sedlar Kobe, Stojnic, Lainscak and Farkas. FAU - Jug, Borut AU - Jug B AD - University Medical Centre Ljubljana, Ljubljana, Slovenia. AD - Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. FAU - Sedlar Kobe, Natasa AU - Sedlar Kobe N AD - General Hospital Murska Sobota, Murska Sobota, Slovenia. FAU - Stojinic, Dejana AU - Stojinic D AD - University Medical Centre Ljubljana, Ljubljana, Slovenia. FAU - Lainscak, Mitja AU - Lainscak M AD - Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. AD - General Hospital Murska Sobota, Murska Sobota, Slovenia. FAU - Farkas, Jerneja AU - Farkas J AD - Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia. AD - General Hospital Murska Sobota, Murska Sobota, Slovenia. AD - National Institute of Public Health, Ljubljana, Slovenia. LA - eng PT - Journal Article DEP - 20240730 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC11319166 OTO - NOTNLM OT - acute myocardial infarction OT - cardiac rehabilitation OT - coronavirus disease OT - pandemic OT - patients OT - psychological experience COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. EDAT- 2024/08/14 06:42 MHDA- 2024/08/14 06:43 PMCR- 2024/01/01 CRDT- 2024/08/14 04:23 PHST- 2024/01/20 00:00 [received] PHST- 2024/07/11 00:00 [accepted] PHST- 2024/08/14 06:43 [medline] PHST- 2024/08/14 06:42 [pubmed] PHST- 2024/08/14 04:23 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2024.1373684 [doi] PST - epublish SO - Front Cardiovasc Med. 2024 Jul 30;11:1373684. doi: 10.3389/fcvm.2024.1373684. eCollection 2024. PMID- 35775959 OWN - NLM STAT- MEDLINE DCOM- 20221004 LR - 20221009 IS - 1440-1754 (Electronic) IS - 1034-4810 (Print) IS - 1034-4810 (Linking) VI - 58 IP - 10 DP - 2022 Oct TI - Parental perceptions on the impact of visiting restrictions during COVID-19 in a tertiary neonatal intensive care unit. PG - 1747-1752 LID - 10.1111/jpc.16079 [doi] AB - AIM: During the first wave of coronavirus disease 2019 (COVID-19), visiting guidelines in neonatal units changed to maintain the health and safety of staff, neonates, and families. In the neonatal intensive care unit/special care nursery (NICU/SCN), restrictions were placed on parental contact and extended family excluded. Our team was interested in evaluating the effect of these restrictions on parental stress and discharge confidence. METHODS: A prospective descriptive study utilising survey methodology was undertaken. The survey was developed and previously used by the NICU research group to evaluate parental knowledge and understanding, parental role, communication, and parental stress (admission/discharge). We have also included a section regarding COVID19 visiting restrictions (ETH.2020.LRE.00124). The survey used a five-level Likert scale. Statistical analysis was completed using SPSS version 21. RESULTS: Notably, 33 surveys were returned. Results showed visiting restrictions reduced social contact between partners 26/33 (84%), with their other children 14/16 (87.5%) and extended family 28/33 (84.8%). Parents indicated that they had high levels of confidence in understanding their babies' medical needs (78-93%) and gaining hands-on experience caring for their baby (87-100%). However, 11/33 (33%) of parents reported concerns with discharge processes and gaining consistent information as challenges during their baby's admission. Notably, 17/33 (51.5) stated their NICU/SCN experience had been very to extremely stressful. Parents openly described how the restrictions had affected their mental/emotional health identifying the need to treat parents as one unit, and a gap in the psychological support available for families. CONCLUSION: Support services and consistency of communication with NICU/SCN families need to be enhanced and prioritised during periods of restrictions, especially peri-discharge. CI - © 2022 The Authors. Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians). FAU - Broom, Margaret AU - Broom M AUID- ORCID: 0000-0001-8118-366X AD - Centenary Hospital for Women and Children, Canberra Hospital, Canberra, Australian Capital Territory, Australia. AD - SYNERGY: Nursing and Midwifery Research Centre, University of Canberra and ACT Health, Canberra, Australian Capital Territory, Australia. FAU - Cochrane, Tim AU - Cochrane T AD - Centenary Hospital for Women and Children, Canberra Hospital, Canberra, Australian Capital Territory, Australia. AD - College of Health and Medicine, Australian National University Medical School, Canberra, Australian Capital Territory, Australia. FAU - Cruickshank, Debbora AU - Cruickshank D AD - Centenary Hospital for Women and Children, Canberra Hospital, Canberra, Australian Capital Territory, Australia. FAU - Carlisle, Hazel AU - Carlisle H AD - Centenary Hospital for Women and Children, Canberra Hospital, Canberra, Australian Capital Territory, Australia. AD - College of Health and Medicine, Australian National University Medical School, Canberra, Australian Capital Territory, Australia. LA - eng PT - Journal Article DEP - 20220701 PL - Australia TA - J Paediatr Child Health JT - Journal of paediatrics and child health JID - 9005421 SB - IM MH - *COVID-19 MH - Child MH - Communication MH - Humans MH - Infant MH - Infant, Newborn MH - *Intensive Care Units, Neonatal MH - Parents/psychology MH - Patient Discharge PMC - PMC9350120 OTO - NOTNLM OT - COVID-19 OT - developmental OT - intensive care OT - neonatology OT - parent EDAT- 2022/07/02 06:00 MHDA- 2022/10/05 06:00 PMCR- 2022/07/01 CRDT- 2022/07/01 09:42 PHST- 2022/02/14 00:00 [revised] PHST- 2021/11/04 00:00 [received] PHST- 2022/06/06 00:00 [accepted] PHST- 2022/07/02 06:00 [pubmed] PHST- 2022/10/05 06:00 [medline] PHST- 2022/07/01 09:42 [entrez] PHST- 2022/07/01 00:00 [pmc-release] AID - JPC16079 [pii] AID - 10.1111/jpc.16079 [doi] PST - ppublish SO - J Paediatr Child Health. 2022 Oct;58(10):1747-1752. doi: 10.1111/jpc.16079. Epub 2022 Jul 1. PMID- 22337145 OWN - NLM STAT- MEDLINE DCOM- 20130314 LR - 20121005 IS - 1532-2149 (Electronic) IS - 1090-3801 (Linking) VI - 16 IP - 3 DP - 2012 Mar TI - Coping when pain is a potential threat: the efficacy of acceptance versus cognitive distraction. PG - 390-400 LID - 10.1002/j.1532-2149.2011.00019.x [doi] AB - This experiment investigated the impact of brief training in acceptance versus distraction-based pain management on experimental pain tolerance in conditions of lower and higher potential threats. One hundred fifty-one pain-free Chinese adults (93 women, 58 men) randomly assigned to acceptance, distraction or pain education control conditions engaged in a cold pressor test (CPT) after reading validated orienting information designed to prime either the safety of the CPT (lower threat) or symptoms and damaging effects of exposure to extreme cold (higher threat). A 2 (threat level) × 3 (training strategy) analysis of covariance, controlling for pre-intervention pain tolerance and education, indicated the acceptance group was more pain tolerant than other training groups. This main effect was qualified by an interaction with threat level: in the lower threat condition, acceptance group participants were more pain tolerant than peers in the distraction or pain education groups while no training group differences were found in the higher threat condition. Supplementary analyses identified catastrophizing as a partial mediator of training group differences in pain tolerance. In summary, findings suggested acceptance-based coping is superior to distraction as a means of managing experimental pain, particularly when pain sensations are viewed as comparatively low in potential threat. CI - © 2011 European Federation of International Association for the Study of Pain Chapters. FAU - Jackson, T AU - Jackson T AD - Key Laboratory of Cognition & Personality, Southwest University, Chongqing, China. toddjackson@hotmail.com FAU - Yang, Z AU - Yang Z FAU - Li, X AU - Li X FAU - Chen, H AU - Chen H FAU - Huang, X AU - Huang X FAU - Meng, J AU - Meng J LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20111219 PL - England TA - Eur J Pain JT - European journal of pain (London, England) JID - 9801774 SB - IM MH - *Adaptation, Psychological MH - Adolescent MH - Adult MH - *Attention MH - Female MH - Humans MH - Male MH - Pain/*psychology MH - Pain Measurement MH - Pain Threshold/*psychology MH - Patient Education as Topic EDAT- 2012/02/18 06:00 MHDA- 2013/03/15 06:00 CRDT- 2012/02/17 06:00 PHST- 2011/09/03 00:00 [accepted] PHST- 2012/02/17 06:00 [entrez] PHST- 2012/02/18 06:00 [pubmed] PHST- 2013/03/15 06:00 [medline] AID - 10.1002/j.1532-2149.2011.00019.x [doi] PST - ppublish SO - Eur J Pain. 2012 Mar;16(3):390-400. doi: 10.1002/j.1532-2149.2011.00019.x. Epub 2011 Dec 19. PMID- 12076457 OWN - NLM STAT- MEDLINE DCOM- 20020809 LR - 20231113 IS - 1469-493X (Electronic) IS - 1361-6137 (Linking) VI - 2002 IP - 2 DP - 2002 TI - Interventions for preventing eating disorders in children and adolescents. PG - CD002891 LID - CD002891 AB - BACKGROUND: Eating disorders represent an extremely difficult condition to treat and patients consume an enormous amount of mental health energy and resources. Being young, female, and dieting are some of the few identified risk factors that have been reliably linked to the development of eating disorders, and several prevention eating disorder prevention programs have been developed and trialed with children and adolescents. The purpose of this systematic review is to evaluate the effectiveness of eating disorder prevention programs for children and adolescents both in the general population and those determined to be at risk. OBJECTIVES: 1. To determine if eating disorder prevention programs are effective in promoting healthy eating attitudes and behaviours in children and adolescents; 2. To determine if eating disorder prevention programs are effective in promoting psychological factors that protect children and adolescents from developing eating disorders; 3. To determine if eating disorder prevention programs are effective in promoting satisfactory physical health in children and adolescents; 4. To determine if eating disorder prevention programs have a long-term, sustainable, and positive impact on the mental and physical health of children and adolescents; and, 5. To determine the safety of eating disorder prevention programs in terms of possible harmful consequences on the mental or physical health of children and adolescents. SEARCH STRATEGY: Relevant trials are identified through searching the Cochrane Controlled Trial Register (CCTR) and relevant biomedical and social science databases. All terms necessary to detect prevention programs and the participant groups are used. A strategy to locate randomised controlled trials is used. Other sources of information are the bibliographies of systematic and non-systematic reviews and reference lists from articles identified through the search strategy. In order to identify unpublished studies, experts in the field are contacted by letter and/or electronic mail. SELECTION CRITERIA: Randomised controlled trials (RCT) with a major focus on eating disorder prevention programs for children and adolescents, where there is no known DSM-IV diagnosis of an eating disorder, are eligible for inclusion in the review. Trials must include a control group and at least one objective outcome measure (eg. BMI) or a standardised psychological measure used with the intervention and control group, pre- and post-intervention. DATA COLLECTION AND ANALYSIS: A total of 1379 titles have been identified through the search to date. 13 studies were located that reported use of a randomised controlled trial methodology and were critically appraised by two independent reviewers. Five (5) studies were excluded as data were not reported in a useable form or useable data could not be obtained from the trial authors, one dissertation could not be obtained, one study had no "true" no-treatment or usual treatment control group, and one study did not use a pre-test outcome measure. Eight (8) studies met the selection criteria outlined above. MAIN RESULTS: Only one of eight pooled comparisons of two or more studies using similar outcome measures and similar intervention types demonstrated the statistically significant effect of a particular type of eating disorder prevention program for children and adolescents. Combined data from two eating disorder prevention programs based on a media literacy and advocacy approach indicate a reduction in the internalisation or acceptance of societal ideals relating to appearance at a 3- to 6-month follow-up (Kusel, unpublished; Neumark-Sztainer2000) [SMD -0.28, -0.51 to -0.05, 95% CI]. However, there is insufficient evidence to conclude that this approach also demonstrated a significant impact on awareness of societal standards relating to appearance. There is insufficient evidence to support the effect of four programs designed to address eating attitudes and behaviours and other adolescent issues on body weight, eating disorder symptoms, associated eating disorder psychopathology or general psychological and physical well-being in the general sample or those classified as being at high risk for eating disorder (Buddeberg-F 1998; Killen 1993/1996; Santonastaso 1999; Zanetti 1999). Given only one program used a psychoeducation approach to prevent bulimia nervosa (Jerome, unpublished) and only one program adopted a focus on self-esteem (O'Dea 2000), the effect of these approaches could not be evaluated via meta-analyses. In relation to potential harmful effects, there is not sufficient evidence to suggest that harm resulted from any of the prevention programs included in the review. REVIEWER'S CONCLUSIONS: The one significant pooled effect in the current review does not allow for any firm conclusions to be made about the impact of prevention programs for eating disorders in children and adolescents, although none of the pooled comparisons indicated evidence of harm. From a clinical perspective, the development and refinement of prevention programs is complicated by a lack of knowledge about risk factors associated with eating disorders and the need to strike a balance between delivering preventive interventions for eating disorders and considering the potential to cause harm. From a research perspective, the idea of "thresholds" for identifying young people at risk of developing eating disorders has been raised, and denial of concern or denial of illness represents a further issue complicating early identification in relation to eating disorder symptomatology. Longer-term effects of the intervention approaches will need to be monitored across development in order to demonstrate a decline in the incidence of eating disorders and associated risk factors. FAU - Pratt, B M AU - Pratt BM AD - Psychological Medicine, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW, Australia, 2145. FAU - Woolfenden, S R AU - Woolfenden SR LA - eng PT - Journal Article PT - Review PT - Systematic Review PL - England TA - Cochrane Database Syst Rev JT - The Cochrane database of systematic reviews JID - 100909747 SB - IM MH - Adolescent MH - Child MH - Feeding and Eating Disorders/*prevention & control/psychology MH - Humans MH - Program Evaluation MH - Psychotherapy PMC - PMC6999856 COIS- None. EDAT- 2002/06/22 10:00 MHDA- 2002/08/10 10:01 PMCR- 2003/04/22 CRDT- 2002/06/22 10:00 PHST- 2002/06/22 10:00 [pubmed] PHST- 2002/08/10 10:01 [medline] PHST- 2002/06/22 10:00 [entrez] PHST- 2003/04/22 00:00 [pmc-release] AID - CD002891 [pii] AID - 10.1002/14651858.CD002891 [doi] PST - ppublish SO - Cochrane Database Syst Rev. 2002;2002(2):CD002891. doi: 10.1002/14651858.CD002891. PMID- 22074008 OWN - NLM STAT- MEDLINE DCOM- 20120228 LR - 20111114 IS - 1473-0804 (Electronic) IS - 1369-7137 (Linking) VI - 14 Suppl 2 DP - 2011 Dec TI - Taking an integrated approach: managing women with phytoestrogens. PG - 2-7 LID - 10.3109/13697137.2011.626367 [doi] AB - An integrated approach can be employed when counselling women about menopausal management options, where lifestyle, complementary therapies and hormone replacement therapy (HRT) are discussed. Women might opt to use an alternative approach to HRT for a variety of reasons, e.g. fear of side-effects and risks or contraindications to HRT. There are many choices of dietary and herbal approaches for menopausal symptoms, which essentially divide into food supplements and herbal medicines. The choice can often be overwhelming and confusing for the woman. Of concern, the evidence for efficacy and safety of some of these complementary therapies can be extremely limited or non-existent. In order to enable women to make a fully informed choice, it is important that, when a recommendation is made regarding a specific complementary therapy, it should focus on preparations for which a significant dataset exists for efficacy and safety and in which there is ongoing research and development. One of the most extensively studied food supplements has been the phytoestrogenic preparation containing red clover isoflavones. There have been six randomized trials thus far studying the impact on vasomotor symptoms, three of which have shown a significant benefit compared to placebo. There are also data from small randomized and observational trials showing positive outcomes for surrogate markers of osteoporosis and cardiovascular disease. A recent study using validated depression scales has shown that women using red clover isoflavones may also derive psychological benefits. Safety data are reassuring for the endometrium and breast, although further studies would be welcome, particularly in women with significant medical risks. FAU - Panay, N AU - Panay N AD - Queen Charlotte's & Chelsea and Chelsea & Westminster Hospitals and Honorary Senior Lecturer, Imperial College London, London, UK. LA - eng PT - Journal Article PL - England TA - Climacteric JT - Climacteric : the journal of the International Menopause Society JID - 9810959 RN - 0 (Isoflavones) RN - 0 (Phytoestrogens) RN - 0 (Placebos) SB - IM MH - Breast MH - Cardiovascular Diseases MH - Complementary Therapies MH - Dietary Supplements MH - Endometrium MH - Female MH - Hot Flashes/drug therapy MH - Humans MH - Isoflavones/adverse effects/*therapeutic use MH - *Menopause/psychology MH - Osteoporosis, Postmenopausal MH - Phytoestrogens/adverse effects/*therapeutic use MH - Phytotherapy MH - Placebos MH - Randomized Controlled Trials as Topic MH - Trifolium/chemistry EDAT- 2011/12/07 06:00 MHDA- 2012/03/01 06:00 CRDT- 2011/11/15 06:00 PHST- 2011/11/15 06:00 [entrez] PHST- 2011/12/07 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] AID - 10.3109/13697137.2011.626367 [doi] PST - ppublish SO - Climacteric. 2011 Dec;14 Suppl 2:2-7. doi: 10.3109/13697137.2011.626367. PMID- 33962701 OWN - NLM STAT- MEDLINE DCOM- 20210511 LR - 20210511 IS - 1749-9216 (Print) IS - 1749-9216 (Linking) VI - 14 IP - 4 DP - 2021 Jan 1 TI - Hostile environment awareness training: Building individual awareness while addressing organisational resilience. PG - 310-332 AB - Humanitarian aid and development is a multibillion-dollar sector, representing millions of organisations, with hundreds of millions of employees and volunteers operating worldwide. The community is, by its very nature, drawn towards danger, supporting vulnerable parties in high-risk areas. In the face of complex global health emergencies, natural disasters and deteriorating security conditions, the imperative for individuals to deploy to, or work in, increasingly fragile and hostile environments is growing. At the same time, expectations regarding the sector's duty of care are mounting, and employees, families, donors and governments are holding organisations increasingly accountable for their actions. Where an organisation fails - or is perceived to have failed - the people it is supposed to protect, it can face catastrophic litigation and reputational harm. Hostile environment awareness training is part of the duty-of-care strategy for those working in, or travelling to, high to extreme-risk environments. It addresses tactical-level risks by raising the awareness and competency of the individual in identifying, controlling and reacting to security and safety risks. In doing so, it concurrently reduces enterprise-level risks to the organisation. This paper discusses what drives the increasing need for hostile environment awareness training (HEAT), the value it brings in terms of duty of care and organisational resilience, what technical content and immersive learning should be included within a HEAT curriculum, and the challenges organisations face when implementing instruction programme at the global and multicultural level. FAU - Blyth, Michael AU - Blyth M AD - Risk and Strategic Management Corp. FAU - Bosch, Donald S AU - Bosch DS AD - Humanitarian Psychological Services. FAU - Williams, Chris AU - Williams C AD - CARE Security Unit, CARE. FAU - Dreyer, Andries AU - Dreyer A AD - World Vision. FAU - Hales, Aidan AU - Hales A AD - Kingwood, TX 77345. FAU - Mallett, Simon AU - Mallett S AD - Risk and Strategic Management. LA - eng PT - Journal Article PL - England TA - J Bus Contin Emer Plan JT - Journal of business continuity & emergency planning JID - 101509784 SB - IM MH - *Disaster Planning MH - Global Health MH - Humans MH - Organizations EDAT- 2021/05/09 06:00 MHDA- 2021/05/12 06:00 CRDT- 2021/05/08 06:12 PHST- 2021/05/08 06:12 [entrez] PHST- 2021/05/09 06:00 [pubmed] PHST- 2021/05/12 06:00 [medline] PST - ppublish SO - J Bus Contin Emer Plan. 2021 Jan 1;14(4):310-332. PMID- 32315058 OWN - NLM STAT- MEDLINE DCOM- 20200512 LR - 20201022 IS - 1538-3598 (Electronic) IS - 0098-7484 (Print) IS - 0098-7484 (Linking) VI - 323 IP - 15 DP - 2020 Apr 21 TI - Prevalence of Continuous Pulse Oximetry Monitoring in Hospitalized Children With Bronchiolitis Not Requiring Supplemental Oxygen. PG - 1467-1477 LID - 10.1001/jama.2020.2998 [doi] AB - IMPORTANCE: US national guidelines discourage the use of continuous pulse oximetry monitoring in hospitalized children with bronchiolitis who do not require supplemental oxygen. OBJECTIVE: Measure continuous pulse oximetry use in children with bronchiolitis. DESIGN, SETTING, AND PARTICIPANTS: A multicenter cross-sectional study was performed in pediatric wards in 56 US and Canadian hospitals in the Pediatric Research in Inpatient Settings Network from December 1, 2018, through March 31, 2019. Participants included a convenience sample of patients aged 8 weeks through 23 months with bronchiolitis who were not receiving active supplemental oxygen administration. Patients with extreme prematurity, cyanotic congenital heart disease, pulmonary hypertension, home respiratory support, neuromuscular disease, immunodeficiency, or cancer were excluded. EXPOSURES: Hospitalization with bronchiolitis without active supplemental oxygen administration. MAIN OUTCOMES AND MEASURES: The primary outcome, receipt of continuous pulse oximetry, was measured using direct observation. Continuous pulse oximetry use percentages were risk standardized using the following variables: nighttime (11 pm to 7 am), age combined with preterm birth, time after weaning from supplemental oxygen or flow, apnea or cyanosis during the present illness, neurologic impairment, and presence of an enteral feeding tube. RESULTS: The sample included 3612 patient observations in 33 freestanding children's hospitals, 14 children's hospitals within hospitals, and 9 community hospitals. In the sample, 59% were male, 56% were white, and 15% were black; 48% were aged 8 weeks through 5 months, 28% were aged 6 through 11 months, 16% were aged 12 through 17 months, and 9% were aged 18 through 23 months. The overall continuous pulse oximetry monitoring use percentage in these patients, none of whom were receiving any supplemental oxygen or nasal cannula flow, was 46% (95% CI, 40%-53%). Hospital-level unadjusted continuous pulse oximetry use ranged from 2% to 92%. After risk standardization, use ranged from 6% to 82%. Intraclass correlation coefficient suggested that 27% (95% CI, 19%-36%) of observed variation was attributable to unmeasured hospital-level factors. CONCLUSIONS AND RELEVANCE: In a convenience sample of children hospitalized with bronchiolitis who were not receiving active supplemental oxygen administration, monitoring with continuous pulse oximetry was frequent and varied widely among hospitals. Because of the apparent absence of a guideline- or evidence-based indication for continuous monitoring in this population, this practice may represent overuse. FAU - Bonafide, Christopher P AU - Bonafide CP AD - Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. AD - Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. AD - Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. AD - Perelman School of Medicine, Department of Pediatrics, University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Xiao, Rui AU - Xiao R AD - Perelman School of Medicine, Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Brady, Patrick W AU - Brady PW AD - Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. AD - James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. AD - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio. FAU - Landrigan, Christopher P AU - Landrigan CP AD - Division of General Pediatrics, Boston Children's Hospital, Massachusetts. AD - Harvard Medical School, Boston, Massachusetts. FAU - Brent, Canita AU - Brent C AD - Section of Pediatric Hospital Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. FAU - Wolk, Courtney Benjamin AU - Wolk CB AD - Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania. AD - Leonard Davis Institute of Health Economics, Penn Implementation Science Center, University of Pennsylvania, Philadelphia. FAU - Bettencourt, Amanda P AU - Bettencourt AP AD - Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor. AD - National Clinician Scholars Program and TACTICAL Scholar, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor. FAU - McLeod, Lisa AU - McLeod L AD - Department of Pediatrics, Children's Hospital Colorado, Denver. AD - Array BioPharma, Boulder, Colorado. FAU - Barg, Frances AU - Barg F AD - Perelman School of Medicine, Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia. FAU - Beidas, Rinad S AU - Beidas RS AD - Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania. AD - Leonard Davis Institute of Health Economics, Penn Implementation Science Center, University of Pennsylvania, Philadelphia. AD - Perelman School of Medicine, Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia. FAU - Schondelmeyer, Amanda AU - Schondelmeyer A AD - Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. AD - James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. AD - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio. CN - Pediatric Research in Inpatient Settings (PRIS) Network LA - eng GR - K08 HS026763/HS/AHRQ HHS/United States GR - U01 HL143475/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PL - United States TA - JAMA JT - JAMA JID - 7501160 SB - IM CIN - JAMA. 2020 Apr 21;323(15):1449-1450. doi: 10.1001/jama.2020.4359. PMID: 32315041 CIN - JAMA. 2020 Oct 6;324(13):1349-1350. doi: 10.1001/jama.2020.12740. PMID: 33021661 MH - Bronchiolitis/*blood MH - Cross-Sectional Studies MH - Evidence-Based Medicine MH - Female MH - Hospitalization MH - Humans MH - Infant MH - Male MH - Medical Overuse/*statistics & numerical data MH - Monitoring, Physiologic/*statistics & numerical data MH - Oximetry/*statistics & numerical data PMC - PMC7175084 MID - NIHMS1587354 COIS- Conflict of Interest Disclosures: Dr McLeod reported participating in this project when she was a faculty member at Children’s Hospital Colorado and being currently employed by Array BioPharma, where her work is unrelated to this project. Dr Bonafide reported receiving grants from the National Institutes of Health/National Heart, Lung, and Blood Institute during the conduct of the study and grants from the Agency for Healthcare Research and Quality and National Science Foundation outside the submitted work. Dr Landrigan reported receiving personal fees having equity in I-PASS Institute outside the submitted work and receiving monetary awards, honoraria, and travel reimbursement from multiple academic and professional organizations for teaching and consulting on sleep deprivation, physician performance, handoffs, and safety and serving as an expert witness in cases regarding patient safety, handoffs, and sleep deprivation. Ms Brent reported receiving grants from the National Heart, Lung, and Blood Institute during the conduct of the study. Dr Wolk reported receiving grants from the National Institutes of Health during the conduct of the study and grants from the National Institutes of Health, Institute of Education Science, and Health Resources and Services outside the submitted work. Dr Bettencourt reported receiving grants from the National Heart, Lung, and Blood Institute during the conduct of the study. Dr Beidas reported receiving grants from the National Heart, Lung, and Blood Institute during the conduct of the study and royalties from Oxford University Press; personal fees from Merck Sharpe & Dohme, Camden Coalition of Healthcare Providers, and the Oregon Social Learning Center; and awards from the American Psychological Association and the Association for Behavioral and Cognitive Therapies outside the submitted work. Dr Schondelmeyer reported receiving grants from the National Heart, Lung, and Blood Institute and grants from Agency for Healthcare Research and Quality during the conduct of the study and grants from the Association for the Advancement of Medical Instrumentation Foundation outside the submitted work. No other disclosures were reported. EDAT- 2020/04/22 06:00 MHDA- 2020/05/13 06:00 PMCR- 2020/10/21 CRDT- 2020/04/22 06:00 PHST- 2020/04/22 06:00 [entrez] PHST- 2020/04/22 06:00 [pubmed] PHST- 2020/05/13 06:00 [medline] PHST- 2020/10/21 00:00 [pmc-release] AID - 2764708 [pii] AID - joi200026 [pii] AID - 10.1001/jama.2020.2998 [doi] PST - ppublish SO - JAMA. 2020 Apr 21;323(15):1467-1477. doi: 10.1001/jama.2020.2998. PMID- 38394526 OWN - NLM STAT- MEDLINE DCOM- 20240226 LR - 20240810 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 103 IP - 8 DP - 2024 Feb 23 TI - Prevalence of shoulder pain and its correlates in Jeju agricultural population: A retrospective cross-sectional study. PG - e37043 LID - 10.1097/MD.0000000000037043 [doi] LID - e37043 AB - The aim of this study was to investigate the prevalence of shoulder pain and analyze its association with socio-demographic factors, agricultural work-related conditions, and biomechanical factors among farmers on Jeju Island. We utilized initial survey data from the Safety for Agricultural Injury of Farmers' cohort study involving adult farmers on Jeju Island. The presence and characteristics of shoulder pain, socio-demographics, agricultural work-related conditions, and biomechanical factors were assessed using semi-structured questionnaires. A total of 1206 participants were analyzed for prevalence and associated risk factors using frequency and multivariate logistic regression analyses. The overall prevalence of shoulder pain was 17%. Multivariate logistic regression analysis, adjusted for significant socio-demographic and agricultural work-related condition variables, revealed that stress level, type of farming, and experiencing an agricultural injury within the preceding year were significantly associated with shoulder pain (stress level: "occasional," adjusted odds ratio [aOR], 1.581; 95% confidence interval [CI], 1.079-2.318; "frequent," aOR, 1.964; 95% CI, 1.205-3.200; and "extreme," aOR, 2.999; 95% CI, 1.480-6.074 vs "rarely"; type of farming: "orchard," aOR, 0.82; 95% CI, 0.597-1.124; "livestock," aOR, 0.225; 95% CI, 0.079-0.641 vs "field"; and experienced an agricultural injury within the past year: "yes," aOR, 2.078; 95% CI, 1.269-3.405). In addition, 3 biomechanical factors significantly contributed to shoulder pain: activities requiring significant power such as shoveling, pickaxing, and hammering; repetitive use of a particular body part; and constant elevation of the arm above the head. The findings highlight the importance of postural education, injury prevention, and psychological support in managing shoulder pain among farmers. CI - Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Lee, Hyun Jung AU - Lee HJ AD - Department of Physical Medicine and Rehabilitation, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Oh, Jung-Hwan AU - Oh JH AD - Department of Neurology, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Yoo, Jeong Rae AU - Yoo JR AD - Department of Internal Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Ko, Seo Young AU - Ko SY AD - Department of Emergency Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Kang, Jeong Ho AU - Kang JH AD - Department of Emergency Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Lee, Sung Kgun AU - Lee SK AD - Department of Emergency Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Jeong, Wooseong AU - Jeong W AD - Department of Internal Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Seong, Gil Myeong AU - Seong GM AD - Department of Internal Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Kang, Chul-Hoo AU - Kang CH AD - Department of Neurology, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Lim, Chaemoon AU - Lim C AD - Department of Orthopaedic Surgery, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Son, In Seok AU - Son IS AD - Department of Orthopaedic Surgery, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Yang, Hyun Ju AU - Yang HJ AD - Department of Psychiatry, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Oh, Min-Su AU - Oh MS AD - Department of Pediatrics, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. FAU - Song, Sung Wook AU - Song SW AUID- ORCID: 0000-0002-7056-6179 AD - Department of Emergency Medicine, College of Medicine, Jeju National University, Jeju, Republic of Korea. AD - Center for Farmers' Safety and Health, Jeju National University Hospital, Jeju, Republic of Korea. LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - IM MH - Adult MH - Humans MH - Cross-Sectional Studies MH - *Shoulder Pain/epidemiology MH - Retrospective Studies MH - Cohort Studies MH - Prevalence MH - *Agriculture MH - Risk Factors PMC - PMC11309677 COIS- The authors have no conflicts of interest to disclose. EDAT- 2024/02/23 18:42 MHDA- 2024/02/26 06:43 PMCR- 2024/02/23 CRDT- 2024/02/23 16:03 PHST- 2024/02/26 06:43 [medline] PHST- 2024/02/23 18:42 [pubmed] PHST- 2024/02/23 16:03 [entrez] PHST- 2024/02/23 00:00 [pmc-release] AID - 00005792-202402230-00045 [pii] AID - 10.1097/MD.0000000000037043 [doi] PST - ppublish SO - Medicine (Baltimore). 2024 Feb 23;103(8):e37043. doi: 10.1097/MD.0000000000037043. PMID- 21348048 STAT- Publisher PB - Oregon Health & Science University CTI - Drug Class Reviews DP - 2010 Jul BTI - Drug Class Review: Atypical Antipsychotic Drugs: Final Update 3 Report AB - PURPOSE: Atypical antipsychotic agents are used to treat the symptoms of schizophrenia and bipolar disorder. The purpose of this review is to help policy makers and clinicians make informed choices about their use. Given the prominent role of drug therapy in psychiatric disease, our goal is to summarize comparative data on efficacy, effectiveness, tolerability, and safety. Ten atypical antipsychotics are currently available in the United States and Canada. Clozapine, the prototypic atypical antipsychotic, was introduced in 1989. Since then, 9 other atypical antipsychotics have been brought to market: risperidone (1993), risperidone long-acting injection (2003), olanzapine (1996), quetiapine (1997), ziprasidone (2001), aripiprazole (2002), extended-release paliperidone (2006), asenapine (2009), iloperidone (2009), and paliperidone long-acting injection (2009). DATA SOURCES: To identify relevant citations, we searched the Cochrane Central Register of Controlled Trials (1st Quarter 2010), Cochrane Database of Systematic Reviews (4(th) quarter 2009), MEDLINE (1950 to week 4 January 2010), and PsycINFO (1806 to February week 1 2010) using terms for included drugs, indications, and study designs. We attempted to identify additional studies through searches of reference lists of included studies and reviews. We also searched the US Food and Drug Administration Center for Drug Evaluation and Research website for medical and statistical reviews of individual drug products. Finally, we requested dossiers of published and unpublished information from the relevant pharmaceutical companies for this review. REVIEW METHODS: Study selection, data abstraction, validity assessment, grading the strength of the evidence, and data synthesis were all carried out according to our standard review methods. RESULTS: Schizophrenia and Related Psychoses In patients with schizophrenia, while differences in short-term efficacy are not apparent among the atypical antipsychotics, clozapine and olanzapine have been found to result in lower rates of discontinuation of drug over periods of up to 2 years. Clozapine has reduced suicides and suicidal behavior in patients at high risk, but results in more discontinuations due to adverse events than the others. While risperidone and extended-release paliperidone resulted in higher rates of extrapyramidal symptoms in some studies, the majority of studies find no differences among the drugs. Risperidone was found to result in more frequent or more severe sexual dysfunction symptoms than quetiapine, but was similar to extended-release paliperidone or ziprasidone. Very limited evidence existed regarding atypical antipsychotics used for the treatment of schizophrenia in subgroup populations. Among adolescents with schizophrenia, quetiapine was not superior to placebo based on response rate, but was superior based on improvements measured by the Positive and Negative Syndrome Scale. Differences by race were not found, but women had greater improvements with clozapine on a global impression scale, and with olanzapine on a quality of life scale compared with men. Bipolar Disorder In adults with bipolar disorder, no significant differences were found between risperidone and olanzapine or asenapine and olanzapine in quality of life, remission, and response outcomes. Olanzapine resulted in greater mean weight gain compared with asenapine and risperidone, respectively, whereas asenapine resulted in a significantly higher rate of discontinuations due to adverse events than olanzapine. Otherwise, there were no significant differences between risperidone and olanzapine or between asenapine and olanzapine in extrapyramidal symptoms or between risperidone and olanzapine in discontinuations due to adverse events. In children and adolescents with bipolar disorder evidence is extremely limited; olanzapine and risperidone had similar response rates after 8 weeks of treatment and no significant differences in mean weight gain were found. Major Depressive Disorder In adults with major depressive disorder, the majority of studies evaluated the adjunctive use of atypical antipsychotics in patients with an inadequate response to prior treatment with standard antidepressants and generally provided insufficient evidence for determining their comparative effectiveness and efficacy. However, evidence from both observational studies and randomized controlled trials indicated that weight gain was greatest with adjunctive olanzapine. Behavioral and Psychological Symptoms of Dementia In patients with behavioral and psychological symptoms of dementia, the best evidence found similar rates of response and withdrawal, and no differences in clinical outcome measures for olanzapine, risperidone, and quetiapine. Children and Adolescents with Pervasive Developmental Disorders or Disruptive Behavior Disorders Compared with placebo, risperidone, aripiprazole, and olanzapine improved behavioral symptoms in children and adolescents with pervasive developmental disorders, and risperidone and quetiapine showed efficacy in children and adolescents with disruptive behavior disorders. Serious Harms Olanzapine resulted in greater weight gain compared with other atypical antipsychotics (6 to 13 pounds more), and an increased risk of new-onset diabetes (OR, 1.16; 95% CI, 1.0 to 1.31 compared with risperidone). Risperidone resulted in an increased risk of new-onset tardive dyskinesia (3% compared with 1% to 2% for others). While clozapine has been shown to be associated with increased risk of seizures and agranulocytosis, differences among the drugs in other serious harms have not been clearly shown. CONCLUSION: Few differences were seen among the atypical antipsychotics in short-term efficacy in patients with schizophrenia, bipolar disorder, or dementia. Differences in most effectiveness outcomes were also not clear, but uncertainty exists. In patients with schizophrenia, clozapine reduced suicides and suicidal behavior, but resulted in stopping drug due to adverse events more often than the others. However, clozapine and olanzapine resulted in lower rates of discontinuation of drug for any reason over periods of up to 2 years. In adults with bipolar disorder, asenapine resulted in a higher risk of stopping drug due to adverse events than olanzapine. Comparative evidence was not available for the use of the drugs in adults with major depressive disorder or children and adolescents with pervasive developmental disorders or disruptive behavior disorders. Olanzapine resulted in greater weight gain than the other drugs (6 to 13 pounds more) and a 16% increased risk of new-onset diabetes, while risperidone resulted in an increased risk of new-onset tardive dyskinesia. While clozapine has been shown to be associated with increased risk of seizures and agranulocytosis, differences among the drugs in other serious harms have not been clearly shown. Evidence on long-term harms for the newest drugs is lacking. CI - Copyright © 2010 by Oregon Health & Science University, Portland, Oregon 97239. All rights reserved. FAU - McDonagh, Marian AU - McDonagh M FAU - Peterson, Kim AU - Peterson K FAU - Carson, Susan AU - Carson S FAU - Fu, Rochelle AU - Fu R FAU - Thakurta, Sujata AU - Thakurta S LA - eng PT - Review PT - Book PL - Portland (OR) EDAT- 2010/07/01 00:00 CRDT- 2010/07/01 00:00 AID - NBK50583 [bookaccession] PMID- 34367026 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240403 IS - 1664-1078 (Print) IS - 1664-1078 (Electronic) IS - 1664-1078 (Linking) VI - 12 DP - 2021 TI - The Well-being and Instructional Experiences of K-12 Music Educators: Starting a New School Year During a Pandemic. PG - 701189 LID - 10.3389/fpsyg.2021.701189 [doi] LID - 701189 AB - In adapting to remote emergency teaching modes during pandemic-imposed conditions, teachers' instruction has changed dramatically. Early research indicates that the well-being of music teachers has suffered during the COVID-19 pandemic and that high levels of depression are widespread. The purpose of this survey study was to assess the continued psychological well-being of music teachers working amid a global pandemic based upon previous research we conducted during the Spring 2020 semester when most teachers in the United States were forced into emergency remote teaching. A secondary purpose was to explore the ways that pandemic conditions have affected music teachers' sense of safety at work and their current teaching situations. Our questionnaire consisted of sections pertaining to (1) demographic and institutional information, (2) well-being and depression, (3) instructional format and preparedness, (4) teaching efficacy compared to the start of the pandemic, and (5) potential positive outcomes of the pandemic-imposed adjustments. In total, 1,325 music teachers responded to our survey. Overall, the participants reported poorer well-being than both published norms and the sample of participants in our previous study. In addition, 17% reported mild depression, 25% reported moderate depression, and 24% reported severe extremely severe levels of depression. Summaries of the participants instructional experiences and their implications for music education are discussed within. CI - Copyright © 2021 Parkes, Russell, Bauer and Miksza. FAU - Parkes, Kelly A AU - Parkes KA AD - Teachers College, Columbia University, New York, NY, United States. FAU - Russell, Joshua A AU - Russell JA AD - The Hartt School, The University of Hartford, West Hartford, CT, United States. FAU - Bauer, William I AU - Bauer WI AD - School of Music, University of Florida, Gainesville, FL, United States. FAU - Miksza, Peter AU - Miksza P AD - Jacobs School of Music, Indiana University, Bloomington, IN, United States. LA - eng PT - Journal Article DEP - 20210721 PL - Switzerland TA - Front Psychol JT - Frontiers in psychology JID - 101550902 PMC - PMC8337047 OTO - NOTNLM OT - COVID-19 OT - DASS-21 OT - PERMA OT - depression OT - music education OT - music teachers OT - pandemic OT - well- and ill-being COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/08/10 06:00 MHDA- 2021/08/10 06:01 PMCR- 2021/07/21 CRDT- 2021/08/09 06:29 PHST- 2021/04/27 00:00 [received] PHST- 2021/06/17 00:00 [accepted] PHST- 2021/08/09 06:29 [entrez] PHST- 2021/08/10 06:00 [pubmed] PHST- 2021/08/10 06:01 [medline] PHST- 2021/07/21 00:00 [pmc-release] AID - 10.3389/fpsyg.2021.701189 [doi] PST - epublish SO - Front Psychol. 2021 Jul 21;12:701189. doi: 10.3389/fpsyg.2021.701189. eCollection 2021. PMID- 26627916 OWN - NLM STAT- MEDLINE DCOM- 20161019 LR - 20180426 IS - 1365-2346 (Electronic) IS - 0265-0215 (Linking) VI - 33 IP - 3 DP - 2016 Mar TI - High rate of burnout among anaesthesiologists in Belgrade teaching hospitals: Results of a cross-sectional survey. PG - 187-94 LID - 10.1097/EJA.0000000000000383 [doi] AB - BACKGROUND: Decisions by anaesthesiologists directly impact the treatment, safety, recovery and quality of life of patients. Physical or mental collapse due to overwork or stress (burnout) in anaesthesiologists may, therefore, be expected to negatively affect patients, departments, healthcare facilities and families. OBJECTIVES: To evaluate the prevalence of burnout among anaesthesiologists in Belgrade public teaching hospitals. DESIGN: A cross-sectional survey. SETTING: Anaesthesiologists in 10 Belgrade teaching hospitals. MAIN OUTCOME MEASURES: Burnout was assessed using Maslach Burnout Inventory-Human Services Survey. RESULTS: The response rate was 76.2% (205/272) with the majority of respondents women (70.7%). The prevalence of total burnout among anaesthesiologists in Belgrade teaching hospitals was 6.34%. Measured level of burnout as assessed by high emotional exhaustion, high depersonalisation and low personal accomplishment was 52.7, 12.2 and 28.8%, respectively. More than a quarter of the studied population responded in each category with symptoms of moderate burnout. We detected that sex, additional academic education, marital status and working conditions were risk factors for emotional exhaustion and depersonalisation. Ageing increased the likelihood of burnout by 21.3% with each additional year. Shorter professional experience and increased educational accomplishment increased the risk of total burnout by 272%. CONCLUSION: Burnout rates in Belgrade teaching hospitals among anaesthesiologists are higher than in foreign hospitals. Emotional and/or physical breakdowns can have serious effects when these individuals care for patients in extremely stressed situations that may occur perioperatively. Causes for burnout should be examined more closely and means implemented to reverse this process. FAU - Milenović, Miodrag AU - Milenović M AD - From the Center for Anesthesiology and Resuscitation, Emergency Center, Clinical Center of Serbia (MM, NP); Institute of Social Medicine, School of Medicine, University of Belgrade, Serbia (BM); Department of Statistics and Mathematics, Faculty of Economics, University of Belgrade, Serbia (VV); Icahn School of Medicine at Mount Sinai, New York, USA (EF); and University Children's Hospital, School of Medicine, University of Belgrade, Serbia (DS). FAU - Matejić, Bojana AU - Matejić B FAU - Vasić, Vladimir AU - Vasić V FAU - Frost, Elizabeth AU - Frost E FAU - Petrović, Nataša AU - Petrović N FAU - Simić, Dušica AU - Simić D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Anaesthesiol JT - European journal of anaesthesiology JID - 8411711 SB - IM CIN - Eur J Anaesthesiol. 2017 Jul;34(7):480-482. doi: 10.1097/EJA.0000000000000573. PMID: 28582365 MH - Adult MH - Anesthesiology/*trends MH - Burnout, Professional/diagnosis/epidemiology/*psychology MH - Cross-Sectional Studies MH - Female MH - Hospitals, Teaching/*trends MH - Humans MH - Male MH - Middle Aged MH - Physicians/*psychology/*trends MH - Serbia/epidemiology MH - Stress, Psychological/diagnosis/epidemiology/*psychology EDAT- 2015/12/03 06:00 MHDA- 2016/11/12 06:00 CRDT- 2015/12/03 06:00 PHST- 2015/12/03 06:00 [entrez] PHST- 2015/12/03 06:00 [pubmed] PHST- 2016/11/12 06:00 [medline] AID - 10.1097/EJA.0000000000000383 [doi] PST - ppublish SO - Eur J Anaesthesiol. 2016 Mar;33(3):187-94. doi: 10.1097/EJA.0000000000000383. PMID- 36781160 OWN - NLM STAT- MEDLINE DCOM- 20240530 LR - 20250128 IS - 1098-8785 (Electronic) IS - 0735-1631 (Print) IS - 0735-1631 (Linking) VI - 41 IP - S 01 DP - 2024 May TI - Perinatal Outcomes during versus Prior to the COVID-19 Pandemic and the Role of Maternal Depression and Perceived Stress: A Report from the ECHO Program. PG - e1404-e1420 LID - 10.1055/a-2033-5610 [doi] AB - OBJECTIVE: We sought to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on perinatal outcomes while accounting for maternal depression or perceived stress and to describe COVID-specific stressors, including changes in prenatal care, across specific time periods of the pandemic. STUDY DESIGN: Data of dyads from 41 cohorts from the National Institutes of Health Environmental influences on Child Health Outcomes Program (N = 2,983) were used to compare birth outcomes before and during the pandemic (n = 2,355), and a partially overlapping sample (n = 1,490) responded to a COVID-19 questionnaire. Psychosocial stress was defined using prenatal screening for depression and perceived stress. Propensity-score matching and general estimating equations with robust variance estimation were used to estimate the pandemic's effect on birth outcomes. RESULTS: Symptoms of depression and perceived stress during pregnancy were similar prior to and during the pandemic, with nearly 40% of participants reporting mild to severe stress, and 24% reporting mild depression to severe depression. Gestations were shorter during the pandemic (B =  - 0.33 weeks, p = 0.025), and depression was significantly associated with shortened gestation (B =  - 0.02 weeks, p = 0.015) after adjustment. Birth weights were similar (B =  - 28.14 g, p = 0.568), but infants born during the pandemic had slightly larger birth weights for gestational age at delivery than those born before the pandemic (B = 0.15 z-score units, p = 0.041). More women who gave birth early in the pandemic reported being moderately or extremely distressed about changes to their prenatal care and delivery (45%) compared with those who delivered later in the pandemic. A majority (72%) reported somewhat to extremely negative views of the impact of COVID-19 on their life. CONCLUSION: In this national cohort, we detected no effect of COVID-19 on prenatal depression or perceived stress. However, experiencing the COVID-19 pandemic in pregnancy was associated with decreases in gestational age at birth, as well as distress about changes in prenatal care early in the pandemic. KEY POINTS: · COVID-19 was associated with shortened gestations.. · Depression was associated with shortened gestations.. · However, stress during the pandemic remained unchanged.. · Most women reported negative impacts of the pandemic.. CI - Thieme. All rights reserved. FAU - McKee, Kimberly S AU - McKee KS AD - Department of Family Medicine, University of Michigan, Ann Arbor, Michigan. FAU - Tang, Xiaodan AU - Tang X AD - Department of Medical Social Sciences, Northwestern University, Chicago, Illinois. FAU - Tung, Irene AU - Tung I AD - Department of Psychology, California State University Dominguez Hills, Carson, California. FAU - Wu, Guojing AU - Wu G AD - Department of Epidemology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. FAU - Alshawabkeh, Akram N AU - Alshawabkeh AN AD - Department of Civil and Environmental Engineering, College of Engineering, Northeastern University, Boston, Massachusetts. FAU - Arizaga, Jessica A AU - Arizaga JA AD - Department of Psychiatry and Behavioral Sciences, University of California-San Francisco, San Francisco, California. FAU - Bastain, Theresa M AU - Bastain TM AD - Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California. FAU - Brennan, Patricia A AU - Brennan PA AD - Department of Psychology, Emory University, Atlanta, Georgia. FAU - Breton, Carrie V AU - Breton CV AD - Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California. FAU - Camargo, Carlos A Jr AU - Camargo CA Jr AD - Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. FAU - Cioffi, Camille C AU - Cioffi CC AD - Prevention Science Institute, University of Oregon, Eugene, Oregon. FAU - Cordero, Jose F AU - Cordero JF AD - Department of Epidemiology and Biostatistics, College of Public Health, Athens, Georgia. FAU - Dabelea, Dana AU - Dabelea D AD - Department of Epidemiology, Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado. FAU - Deutsch, Arielle R AU - Deutsch AR AD - Department of Pediatrics, Avera Research Institute, University of South Dakota School of Medicine, Sioux Falls, South Dakota. FAU - Duarte, Cristiane S AU - Duarte CS AD - Department of Psychiatry, Columbia University-NYSPI, New York, New York. FAU - Dunlop, Anne L AU - Dunlop AL AD - Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia. FAU - Elliott, Amy J AU - Elliott AJ AD - Department of Pediatrics, Avera Research Institute, University of South Dakota School of Medicine, Sioux Falls, South Dakota. FAU - Ferrara, Assiamira AU - Ferrara A AD - Division of Research, Kaiser Permanente Northern California, Oakland, California. FAU - Karagas, Margaret R AU - Karagas MR AD - Department of Epidemiology, Geisel School of Medicine, Lebanon, New Hampshire. FAU - Lester, Barry AU - Lester B AD - Center for the Study of Children at Risk, Brown University, Providence, Rhode Island. FAU - McEvoy, Cindy T AU - McEvoy CT AD - Department of Pediatrics, MCR Oregon Health and Science University, Portland, Oregon. FAU - Meeker, John AU - Meeker J AD - University of Michigan, Environmental Health Sciences, Global Public Health, Ann Arbor, Michigan. FAU - Neiderhiser, Jenae M AU - Neiderhiser JM AD - Department of Psychology, Pennsylvania State University, University Park, Pennsylvania. FAU - Herbstman, Julie AU - Herbstman J AD - Columbia Mailman School of Public Health, Environmental Health Sciences, New York, New York. FAU - Trasande, Leonardo AU - Trasande L AD - Department of Pediatrics, New York University, New York. AD - Department of Environmental Medicine, and Population Health, New York University Grossman School of Medicine and New York University School of Global Public Health, New York University, New York. FAU - O'Connor, Thomas G AU - O'Connor TG AD - Departments of Psychiatry, Psychology, Neuroscience, and Obstetrics and Gynecology, University of Rochester, Rochester, New York. FAU - Hipwell, Alison E AU - Hipwell AE AD - Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Comstock, Sarah S AU - Comstock SS AD - Department of Food Science and Human Nutrition, Michigan State University, East Lansing, Michigan. CN - program collaborators for Environmental influences on Child Health Outcomes LA - eng GR - UH3OD023253/Camargo/ GR - UH3 OD023285/OD/NIH HHS/United States GR - UH3OD023287/Breton/ GR - UH3OD023275/Karagas/ GR - UH3 OD023271/OD/NIH HHS/United States GR - UH3 OD023282/OD/NIH HHS/United States GR - UH3OD023318/Dunlop/ GR - UH3OD023289/Ferrara/ GR - UH3 OD023305/OD/NIH HHS/United States GR - UH3 OD023288/OD/NIH HHS/United States GR - UH3OD023347/Lester/ GR - UH3 OD023349/OD/NIH HHS/United States GR - U24 OD023382/OD/NIH HHS/United States GR - UH3 OD023313/OD/NIH HHS/United States GR - UH3OD023271/Karr/ GR - UH3 OD023289/OD/NIH HHS/United States GR - U2COD023375/Coordinating Center/ GR - T32 MH018261/MH/NIMH NIH HHS/United States GR - UH3 OD023249/OD/NIH HHS/United States GR - UH3 OD023389/OD/NIH HHS/United States GR - UH3 OD023290/OD/NIH HHS/United States GR - U2C OD023375/OD/NIH HHS/United States GR - P50 DA048756/DA/NIDA NIH HHS/United States GR - UH3 OD023275/OD/NIH HHS/United States GR - UH3OD023279/Elliott/ GR - P30 ES001247/ES/NIEHS NIH HHS/United States GR - UH3OD023248/Dabelea/ GR - UH3 OD023318/OD/NIH HHS/United States GR - UH3OD023313/Deoni/ GR - UH3 OD023248/OD/NIH HHS/United States GR - UH3 OD023287/OD/NIH HHS/United States GR - UH3OD023305/Trasande/ GR - UG3 OD023389/OD/NIH HHS/United States GR - K01 MH123505/MH/NIMH NIH HHS/United States GR - U24 OD023319/OD/NIH HHS/United States GR - UH3OD023328/Duarte/ GR - UH3OD023282/Gern/ GR - UH3 OD023253/OD/NIH HHS/United States GR - UH3OD023272/Schantz/ GR - UH3 OD023272/OD/NIH HHS/United States GR - UH3OD023288/McEvoy/ GR - U24OD023319/PRO Core/ GR - UH3OD023244/Hipwell/ GR - UH3OD023320/Aschner/ GR - UH3 OD023347/OD/NIH HHS/United States GR - UH3 OD023251/OD/NIH HHS/United States GR - UH3 OD023279/OD/NIH HHS/United States GR - UH3OD023389/Leve/ GR - UH3OD023337/Wright/ GR - U24OD023382/Data Analysis Center/ GR - UH3OD023290/Herbstman/ GR - UH3 OD023244/OD/NIH HHS/United States GR - UH3 OD023320/OD/NIH HHS/United States GR - UH3OD023251/Alshawabkeh/ GR - UH3OD023285/Kerver/ GR - UH3 OD023337/OD/NIH HHS/United States GR - UH3OD023249/Stanford/ GR - UH3OD023349/O‧Connor/ GR - UH3 OD023328/OD/NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20230213 PL - United States TA - Am J Perinatol JT - American journal of perinatology JID - 8405212 SB - IM MH - Humans MH - Female MH - Pregnancy MH - *COVID-19/psychology/epidemiology MH - *Stress, Psychological/epidemiology MH - Adult MH - *Depression/epidemiology MH - *Prenatal Care MH - *Pregnancy Outcome/epidemiology MH - SARS-CoV-2 MH - Pregnancy Complications/psychology/epidemiology MH - Infant, Newborn MH - United States/epidemiology MH - Gestational Age PMC - PMC11195909 MID - NIHMS1998365 COIS- C.M. served as Chair of the Data Safety Monitoring Board (DSMB) for an Aerogen-supported trial: A Partially-Blind, Randomized, Controlled, Parallel-Group Dose Ranging Study to Determine the Efficacy, Safety and Tolerability of AeroFactTM (SF-RI 1 surfactant for inhalation combined with a dedicated drug delivery system) in Preterm Infants at Risk for Worsening Respiratory Distress Syndrome; Chair of the DSMB for the NIH RCT evaluating Sildenafil in Preterm Infants with Pulmonary Hypertension. J.N. served on the Advisory Board for the Twin Life Study (Germany); received royalties or licenses from Macmillan and consulting fees from the University of Southern California. J.H. served on the New York State Drinking Water Quality Council. The other authors have no conflicts of interest to disclose. EDAT- 2023/02/14 06:00 MHDA- 2024/05/30 06:35 PMCR- 2024/06/24 CRDT- 2023/02/13 19:33 PHST- 2024/05/30 06:35 [medline] PHST- 2023/02/14 06:00 [pubmed] PHST- 2023/02/13 19:33 [entrez] PHST- 2024/06/24 00:00 [pmc-release] AID - 10.1055/a-2033-5610 [doi] PST - ppublish SO - Am J Perinatol. 2024 May;41(S 01):e1404-e1420. doi: 10.1055/a-2033-5610. Epub 2023 Feb 13. PMID- 26028181 OWN - NLM STAT- MEDLINE DCOM- 20160517 LR - 20150817 IS - 1873-4898 (Electronic) IS - 1477-5131 (Linking) VI - 11 IP - 4 DP - 2015 Aug TI - Self-cathing experience journal: Enhancing the patient and family experience in clean intermittent catheterization. PG - 187.e1-6 LID - S1477-5131(15)00113-8 [pii] LID - 10.1016/j.jpurol.2015.03.011 [doi] AB - OBJECTIVE: This pilot study evaluated the safety, feasibility, and usefulness of the Self-Cathing Experience Journal (SC-EJ), an online resource for patients and families to address issues and stigma surrounding clean intermittent catheterization (CIC). Modeled after previous assessments of the Cardiac and Depression Experience Journals (EJs), this project uniquely included patients and caregivers. We explored whether patients and caregivers would find the SC-EJ helpful in increasing their understanding of CIC, accepting the medical benefits of self-catheterization, improving hopefulness, and diminishing social isolation. METHODS: Patients seen in a tertiary urology clinic were asked to view the SC-EJ for 30 min and rate its safety and efficacy. The cross-sectional sample included 25 families: 17 surveys were completed by the patient and their caregiver, five by the patient only, and three by the caregiver only. Mean patient age was 15.7 ± 5.8 years (range 7-29 years). The patients were 64% female, and 72% used CIC due to neurological diagnoses. RESULTS: Mean overall patient satisfaction with the SC-EJ was moderately high (mean = 5, out of a 7-point Likert scale from 1 = not at all to 7 = extremely). Mean overall caregiver satisfaction was high (mean = 5.55) and was similar to caregiver satisfaction scores recorded in caregivers with children with congenital heart disease and depression (mean = 5.7 and mean = 5.75, respectively). No significant differences were noted in satisfaction between CIC patients and CIC caregivers or among caregivers of the three populations surveyed (CIC, Cardiac, and Depression). CIC patients and caregivers reported that SC-EJ viewing gave them a strong sense that others are facing similar issues (patient mean = 6.15, caregiver mean = 6.21) and that it was helpful to read about other families' CIC experiences (patient mean = 6, caregiver mean = 5.89). DISCUSSION: The SC-EJ appears to be safe, feasible, and useful to patients and families using CIC. Ratings from caregivers of CIC patients were similar to other cohorts of caregivers facing chronic childhood conditions. Despite beliefs that the EJ format best targets adults, high satisfaction ratings among patients suggest that the SC-EJ is acceptable and beneficial to children and adolescents. This web-based intervention can be a helpful clinical supplement in promoting healthy coping skills and a decreased sense of isolation among patients and families facing CIC. The unique integration of real patient and family experiences with accurate and vetted medical knowledge has the potential to enhance resiliency among viewers who use CIC. CI - Copyright © 2015 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. FAU - Holland, Jennifer E AU - Holland JE AD - Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA. FAU - DeMaso, David R AU - DeMaso DR AD - Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA. Electronic address: david.demaso@childrens.harvard.edu. FAU - Rosoklija, Ilina AU - Rosoklija I AD - Department of Urology, Boston Children's Hospital, Boston, MA, USA. FAU - Johnson, Kathryn L AU - Johnson KL AD - Department of Urology, Boston Children's Hospital, Boston, MA, USA. FAU - Manning, Diane AU - Manning D AD - Department of Urology, Boston Children's Hospital, Boston, MA, USA. FAU - Bellows, Alexandra L AU - Bellows AL AD - Department of Urology, Boston Children's Hospital, Boston, MA, USA. FAU - Bauer, Stuart B AU - Bauer SB AD - Department of Urology, Boston Children's Hospital, Boston, MA, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150421 PL - England TA - J Pediatr Urol JT - Journal of pediatric urology JID - 101233150 SB - IM CIN - J Urol. 2016 Jun;195(6):1884. doi: 10.1016/j.juro.2016.03.021. PMID: 27191113 MH - *Adaptation, Psychological MH - Adolescent MH - Adult MH - Child MH - Cross-Sectional Studies MH - Feasibility Studies MH - Female MH - Humans MH - Intermittent Urethral Catheterization/methods/*psychology MH - Male MH - Patient Compliance/psychology MH - Patient Education as Topic/*methods MH - *Patient Satisfaction MH - Pilot Projects MH - *Quality of Life MH - *Self Concept MH - Social Adjustment MH - Urinary Bladder, Neurogenic/*psychology/therapy MH - Young Adult OTO - NOTNLM OT - Bladder dysfunction OT - Clean intermittent catheterization OT - Patient education OT - Patient satisfaction OT - Pediatric urology EDAT- 2015/06/02 06:00 MHDA- 2016/05/18 06:00 CRDT- 2015/06/02 06:00 PHST- 2014/12/29 00:00 [received] PHST- 2015/03/17 00:00 [accepted] PHST- 2015/06/02 06:00 [entrez] PHST- 2015/06/02 06:00 [pubmed] PHST- 2016/05/18 06:00 [medline] AID - S1477-5131(15)00113-8 [pii] AID - 10.1016/j.jpurol.2015.03.011 [doi] PST - ppublish SO - J Pediatr Urol. 2015 Aug;11(4):187.e1-6. doi: 10.1016/j.jpurol.2015.03.011. Epub 2015 Apr 21. PMID- 18795171 OWN - NLM STAT- MEDLINE DCOM- 20081229 LR - 20220321 IS - 0091-6765 (Print) IS - 1552-9924 (Electronic) IS - 0091-6765 (Linking) VI - 116 IP - 9 DP - 2008 Sep TI - Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster. PG - 1248-53 LID - 10.1289/ehp.11164 [doi] AB - BACKGROUND: The World Trade Center (WTC) attacks exposed thousands of workers to hazardous environmental conditions and psychological trauma. In 2002, to assess the health of these workers, Congress directed the National Institute for Occupational Safety and Health to establish the WTC Medical Monitoring and Treatment Program. This program has established a large cohort of WTC rescue, recovery, and cleanup workers. We previously documented extensive pulmonary dysfunction in this cohort related to toxic environmental exposures. OBJECTIVES: Our objective in this study was to describe mental health outcomes, social function impairment, and psychiatric comorbidity in the WTC worker cohort, as well as perceived symptomatology in workers' children. METHODS: Ten to 61 months after the WTC attack, 10,132 WTC workers completed a self-administered mental health questionnaire. RESULTS: Of the workers who completd the questionnaire, 11.1% met criteria for probable post-traumatic stress disorder (PTSD), 8.8% met criteria for probable depression, 5.0% met criteria for probable panic disorder, and 62% met criteria for substantial stress reaction. PTSD prevalence was comparable to that seen in returning Afghanistan war veterans and was much higher than in the U.S. general population. Point prevalence declined from 13.5% to 9.7% over the 5 years of observation. Comorbidity was extensive and included extremely high risks for impairment of social function. PTSD was significantly associated with loss of family members and friends, disruption of family, work, and social life, and higher rates of behavioral symptoms in children of workers. CONCLUSIONS: Working in 9/11 recovery operations is associated with chronic impairment of mental health and social functioning. Psychological distress and psychopathology in WTC workers greatly exceed population norms. Surveillance and treatment programs continue to be needed. FAU - Stellman, Jeanne Mager AU - Stellman JM AD - Department of Psychiatry, Mount Sinai School of Medicine, New York, New York, USA. FAU - Smith, Rebecca P AU - Smith RP FAU - Katz, Craig L AU - Katz CL FAU - Sharma, Vansh AU - Sharma V FAU - Charney, Dennis S AU - Charney DS FAU - Herbert, Robin AU - Herbert R FAU - Moline, Jacqueline AU - Moline J FAU - Luft, Benjamin J AU - Luft BJ FAU - Markowitz, Steven AU - Markowitz S FAU - Udasin, Iris AU - Udasin I FAU - Harrison, Denise AU - Harrison D FAU - Baron, Sherry AU - Baron S FAU - Landrigan, Philip J AU - Landrigan PJ FAU - Levin, Stephen M AU - Levin SM FAU - Southwick, Steven AU - Southwick S LA - eng GR - U10 OH008232/OH/NIOSH CDC HHS/United States GR - U10 OH008239/OH/NIOSH CDC HHS/United States GR - U10 OH008275/OH/NIOSH CDC HHS/United States GR - U10 OH008223/OH/NIOSH CDC HHS/United States GR - U10 OH008216/OH/NIOSH CDC HHS/United States GR - 200-2002-00384/PHS HHS/United States GR - U10 UOH008239/PHS HHS/United States GR - U10 OH008225/OH/NIOSH CDC HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Environ Health Perspect JT - Environmental health perspectives JID - 0330411 SB - IM MH - Adult MH - Depression/*diagnosis/epidemiology MH - Female MH - Humans MH - Male MH - *Mental Health MH - Middle Aged MH - *Occupational Exposure MH - Panic Disorder/*diagnosis/epidemiology MH - Prevalence MH - *September 11 Terrorist Attacks MH - Stress Disorders, Post-Traumatic/*diagnosis/epidemiology MH - Surveys and Questionnaires MH - United States/epidemiology PMC - PMC2535630 OTO - NOTNLM OT - World Trade Center OT - depression OT - disaster workers OT - functional impairment OT - occupational health OT - post-traumatic stress disorder OT - stress EDAT- 2008/09/17 09:00 MHDA- 2008/12/30 09:00 PMCR- 2008/09/01 CRDT- 2008/09/17 09:00 PHST- 2007/12/12 00:00 [received] PHST- 2008/05/13 00:00 [accepted] PHST- 2008/09/17 09:00 [pubmed] PHST- 2008/12/30 09:00 [medline] PHST- 2008/09/17 09:00 [entrez] PHST- 2008/09/01 00:00 [pmc-release] AID - ehp-116-1248 [pii] AID - 10.1289/ehp.11164 [doi] PST - ppublish SO - Environ Health Perspect. 2008 Sep;116(9):1248-53. doi: 10.1289/ehp.11164. PMID- 21196446 OWN - NLM STAT- MEDLINE DCOM- 20120106 LR - 20211020 IS - 1522-9645 (Electronic) IS - 0195-668X (Print) IS - 0195-668X (Linking) VI - 32 IP - 8 DP - 2011 Apr TI - Stock volatility as a risk factor for coronary heart disease death. PG - 1006-11 LID - 10.1093/eurheartj/ehq495 [doi] AB - AIMS: The volatility of financial markets may cause substantial emotional and physical stress among investors. We hypothesize that this may have adverse effects on cardiovascular health. The Chinese stock markets were extremely volatile between 2006 and 2008. We, therefore, examined the relationship between daily change of the Shanghai Stock Exchange (SSE) Composite Index (referred as the Index) and coronary heart disease (CHD) deaths from 1 January 2006 to 31 December 2008 in Shanghai, the financial capital of China. METHODS AND RESULTS: Daily death and stock performance data were collected from the Shanghai Center for Disease Control and Prevention and SSE, respectively. Data were analysed with over-dispersed generalized linear Poisson models, controlling for long-term and seasonal trends of CHD mortality, day of the week, Index closing value, weather conditions, and air pollution levels. We observed a U-shaped relationship between the Index change and CHD deaths: both rising and falling of the Index were associated with more deaths and the fewest deaths coincided with little or no change of the index. We also examined the absolute daily change of the Index in relation to CHD deaths: in a 1-day lag model, each 100-point change of the Index corresponded to 5.17% (95% confidence interval: 1.71, 8.63%) increase in CHD deaths. Further analysis showed that the association was stronger for out-of-hospital CHD death than for in-hospital death. CONCLUSION: We found that CHD deaths fluctuated with daily stock changes in Shanghai, suggesting that stock volatility may adversely affect cardiovascular health. FAU - Ma, Wenjuan AU - Ma W AD - School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China. FAU - Chen, Honglei AU - Chen H FAU - Jiang, Lili AU - Jiang L FAU - Song, Guixiang AU - Song G FAU - Kan, Haidong AU - Kan H LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20101231 PL - England TA - Eur Heart J JT - European heart journal JID - 8006263 SB - IM MH - Adult MH - Aged MH - Cause of Death MH - China/epidemiology MH - Coronary Disease/economics/*mortality/psychology MH - Female MH - Humans MH - Investments/*statistics & numerical data MH - Male MH - Middle Aged MH - Risk Factors MH - Stress, Psychological/economics/*mortality MH - Urban Health PMC - PMC3076666 EDAT- 2011/01/05 06:00 MHDA- 2012/01/10 06:00 PMCR- 2012/04/01 CRDT- 2011/01/04 06:00 PHST- 2011/01/04 06:00 [entrez] PHST- 2011/01/05 06:00 [pubmed] PHST- 2012/01/10 06:00 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - ehq495 [pii] AID - 10.1093/eurheartj/ehq495 [doi] PST - ppublish SO - Eur Heart J. 2011 Apr;32(8):1006-11. doi: 10.1093/eurheartj/ehq495. Epub 2010 Dec 31. PMID- 31138694 OWN - NLM STAT- MEDLINE DCOM- 20200324 LR - 20200324 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 116 IP - 24 DP - 2019 Jun 11 TI - High sensitivity and interindividual variability in the response of the human circadian system to evening light. PG - 12019-12024 LID - 10.1073/pnas.1901824116 [doi] AB - Before the invention of electric lighting, humans were primarily exposed to intense (>300 lux) or dim (<30 lux) environmental light-stimuli at extreme ends of the circadian system's dose-response curve to light. Today, humans spend hours per day exposed to intermediate light intensities (30-300 lux), particularly in the evening. Interindividual differences in sensitivity to evening light in this intensity range could therefore represent a source of vulnerability to circadian disruption by modern lighting. We characterized individual-level dose-response curves to light-induced melatonin suppression using a within-subjects protocol. Fifty-five participants (aged 18-30) were exposed to a dim control (<1 lux) and a range of experimental light levels (10-2,000 lux for 5 h) in the evening. Melatonin suppression was determined for each light level, and the effective dose for 50% suppression (ED(50)) was computed at individual and group levels. The group-level fitted ED(50) was 24.60 lux, indicating that the circadian system is highly sensitive to evening light at typical indoor levels. Light intensities of 10, 30, and 50 lux resulted in later apparent melatonin onsets by 22, 77, and 109 min, respectively. Individual-level ED(50) values ranged by over an order of magnitude (6 lux in the most sensitive individual, 350 lux in the least sensitive individual), with a 26% coefficient of variation. These findings demonstrate that the same evening-light environment is registered by the circadian system very differently between individuals. This interindividual variability may be an important factor for determining the circadian clock's role in human health and disease. CI - Copyright © 2019 the Author(s). Published by PNAS. FAU - Phillips, Andrew J K AU - Phillips AJK AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - Vidafar, Parisa AU - Vidafar P AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - Burns, Angus C AU - Burns AC AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - McGlashan, Elise M AU - McGlashan EM AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - Anderson, Clare AU - Anderson C AUID- ORCID: 0000-0002-5086-4865 AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - Rajaratnam, Shantha M W AU - Rajaratnam SMW AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - Lockley, Steven W AU - Lockley SW AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. FAU - Cain, Sean W AU - Cain SW AUID- ORCID: 0000-0002-8385-1550 AD - Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia sean.cain@monash.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190528 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - JL5DK93RCL (Melatonin) SB - IM MH - Adult MH - Circadian Clocks/*physiology MH - Circadian Rhythm/*physiology MH - Female MH - Humans MH - Individuality MH - Light MH - Lighting/methods MH - Male MH - Melatonin/metabolism MH - Young Adult PMC - PMC6575863 OTO - NOTNLM OT - circadian disruption OT - circadian rhythms OT - evening light OT - light sensitivity OT - melatonin suppression COIS- Conflict of interest statement: C.A. has received a research award/prize from Sanofi-Aventis; contract research support from VicRoads, Rio Tinto Coal Australia, National Transport Commission, and Tontine/Pacific Brands; lecturing fees from Brown Medical School/Rhode Island Hospital, Ausmed, Healthmed, and TEVA Pharmaceuticals; and reimbursements for conference travel expenses from Philips Healthcare. C.A. has served as a consultant to the Rail, Bus, and Tram Union; the Transport Accident Commission; the National Transportation Committee; and Melius Consulting. C.A. has also served as an expert witness and/or consultant in relation to fatigue and drowsy driving. C.A. is a Theme Leader in the Cooperative Research Centre for Alertness, Safety, and Productivity. S.M.W.R. has served as a consultant through his institution to Vanda Pharmaceuticals, Philips Respironics, and Teva Pharma Australia and has, through his institution, received research grants and/or unrestricted educational grants from Vanda Pharmaceuticals, Takeda Pharmaceuticals North America, Philips Lighting, Philips Respironics, Cephalon, and ResMed Foundation, as well as reimbursements for conference travel expenses from Vanda Pharmaceuticals. S.M.W.R. serves as a Program Leader and consultant to the Cooperative Research Centre for Alertness, Safety, and Productivity. S.W.L. has had a number of commercial interests in the last 36 mo (2016–2019). None are directly related to the research reported in this paper but, in the interests of full disclosure, are outlined as follows. S.W.L. has received consulting fees from the Atlanta Falcons, Atlanta Hawks, BHP Billiton, Noble Insights, Slingshot Insights, and Team C Racing; honoraria and/or paid travel from BHP Billiton, DIN, Emory University, IES, Ineos, SLTBR, Solemma, and Teague; has current consulting contracts with Akili Interactive, Apex 2100 Ltd., Consumer Sleep Solutions, Headwaters Inc., Hintsa Performance AG, Light Cognitive, Lighting Science Group Corporation, Mental Workout, PlanLED, Six Senses, Stantec, and Wyle Integrated Science and Engineering; has received unrestricted equipment gifts from Bionetics Corporation and F. Lux Software LLC and royalties from Oxford University Press; and has served as a paid expert in legal proceedings related to light, sleep, and health. He holds a patent through Harvard University and Brigham and Women’s Hospital for “Systems and Methods for Determining and/or Controlling Sleep Quality.” EDAT- 2019/05/30 06:00 MHDA- 2020/03/25 06:00 PMCR- 2019/05/28 CRDT- 2019/05/30 06:00 PHST- 2019/05/30 06:00 [pubmed] PHST- 2020/03/25 06:00 [medline] PHST- 2019/05/30 06:00 [entrez] PHST- 2019/05/28 00:00 [pmc-release] AID - 1901824116 [pii] AID - 201901824 [pii] AID - 10.1073/pnas.1901824116 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2019 Jun 11;116(24):12019-12024. doi: 10.1073/pnas.1901824116. Epub 2019 May 28. PMID- 34130056 OWN - NLM STAT- MEDLINE DCOM- 20210824 LR - 20240908 IS - 1879-2057 (Electronic) IS - 0001-4575 (Print) IS - 0001-4575 (Linking) VI - 159 DP - 2021 Sep TI - Speeding through the pandemic: Perceptual and psychological factors associated with speeding during the COVID-19 stay-at-home period. PG - 106225 LID - S0001-4575(21)00256-6 [pii] LID - 10.1016/j.aap.2021.106225 [doi] AB - During the COVID-19 stay-at-home period there were observed increases in both the percentage of cars engaged in extreme speeding, and the percentage of cars traveling below the speed limit. These changes have been attributed to unusually low traffic volume during the stay-at-home period. We develop a novel theoretical account, based on existing empirical research, of perceptual and psychological processes that may account for changes in speeding behavior under low traffic volume conditions. These include impaired ability to accurately perceive and control speed due to change in visual information, decreased salience of certain norms about socially appropriate speeds, lower perceived risk of speeding, and increased boredom leading to risk-taking behaviors. Further, we consider that individual attitude functions may account for the observed split in speeding behavior. CI - Copyright © 2021 Elsevier Ltd. All rights reserved. FAU - Tucker, A AU - Tucker A AD - Conecticut Transportation Safety Research Center, Storrs Mansfield, CT, USA. Electronic address: andrew.tucker@uconn.edu. FAU - Marsh, K L AU - Marsh KL AD - University of Connecticut Psychological Sciences Department, USA. LA - eng PT - Journal Article DEP - 20210612 PL - England TA - Accid Anal Prev JT - Accident; analysis and prevention JID - 1254476 SB - IM MH - Accidents, Traffic MH - *Automobile Driving MH - *COVID-19 MH - Humans MH - Pandemics MH - Risk-Taking MH - SARS-CoV-2 PMC - PMC9746225 OTO - NOTNLM OT - COVID-19 OT - Motivation OT - Perception OT - Speeding COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/06/16 06:00 MHDA- 2021/08/25 06:00 PMCR- 2021/06/12 CRDT- 2021/06/15 20:16 PHST- 2020/08/17 00:00 [received] PHST- 2021/05/07 00:00 [revised] PHST- 2021/06/01 00:00 [accepted] PHST- 2021/06/16 06:00 [pubmed] PHST- 2021/08/25 06:00 [medline] PHST- 2021/06/15 20:16 [entrez] PHST- 2021/06/12 00:00 [pmc-release] AID - S0001-4575(21)00256-6 [pii] AID - 106225 [pii] AID - 10.1016/j.aap.2021.106225 [doi] PST - ppublish SO - Accid Anal Prev. 2021 Sep;159:106225. doi: 10.1016/j.aap.2021.106225. Epub 2021 Jun 12. PMID- 11537618 OWN - NASA STAT- MEDLINE DCOM- 19991024 LR - 20191027 IS - 0022-4650 (Print) IS - 0022-4650 (Linking) VI - 27 IP - 5 DP - 1990 Sep-Oct TI - Psychosocial effects of adjustment in Antarctica: lessons for long-duration spaceflight. PG - 471-7 AB - This paper examines the utility of remote, isolated Antarctic research stations as analogs for long-duration spaceflights from the perspective of psychosocial processes of adaptation and adjustment. Certain features of the physical and man-made environments found in Antarctica are similar to those that will be encountered in outer space. In both settings, men and women are likely to experience a number of physiological and psychological changes in response to the extreme environmental conditions and the prolonged isolation and confinement. Biomedical research in Antarctica provides an opportunity to study the causes of these changes and to develop strategies for reducing the risks to health and well-being before they pose a serious threat to crew safety and mission success. A number of lessons for long-duration spaceflight are examined, including screening and selection of personnel; training programs designed to facilitate individual adjustment and group adaptation and minimize group conflict; identification of optimal leadership characteristics for small, isolated groups; an understanding of social dynamics and group "microcultures" necessary for the organization and management of small but heterogeneous groups; organization of work activities; facility design; and support infrastructure. FAU - Palinkas, L A AU - Palinkas LA AD - University of California, San Diego, La Jolla 92093, USA. LA - eng GR - DPP-871461/DP/NCCDPHP CDC HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Spacecr Rockets JT - Journal of spacecraft and rockets JID - 100971401 MH - Adaptation, Physiological MH - *Adaptation, Psychological MH - Antarctic Regions MH - Ergonomics MH - Female MH - *Group Processes MH - Humans MH - Interpersonal Relations MH - Leadership MH - Male MH - Personnel Selection MH - Personnel Staffing and Scheduling MH - *Social Isolation MH - Space Simulation MH - Stress, Psychological OID - NASA: 00024235 EDAT- 1990/09/01 00:00 MHDA- 2001/09/11 10:01 CRDT- 1990/09/01 00:00 PHST- 1990/09/01 00:00 [pubmed] PHST- 2001/09/11 10:01 [medline] PHST- 1990/09/01 00:00 [entrez] AID - 10.2514/3.26167 [doi] PST - ppublish SO - J Spacecr Rockets. 1990 Sep-Oct;27(5):471-7. doi: 10.2514/3.26167. PMID- 19887168 OWN - NLM STAT- MEDLINE DCOM- 20100125 LR - 20220316 IS - 1879-2057 (Electronic) IS - 0001-4575 (Linking) VI - 42 IP - 1 DP - 2010 Jan TI - Determinants behind young motorcyclists' risky riding behavior. PG - 275-81 LID - 10.1016/j.aap.2009.08.004 [doi] AB - Young motorcyclists have traditionally been considered a high-risk population. Given the critical influence of riders' behaviors on traffic safety, identifying what riders think can help clarify the nature of accidents. Although psychological studies have explored the relationships among personality traits, attitudes and risky driving behavior, the primary difference this study makes from past studies is incorporating both positive and negative effects in a refined causal framework. This study adopts structural equation modeling to analyze data collected from 683 young motorcyclists aged between 18 and 28. The results conclude three primary personality traits of young motorcyclists, namely sensation seeking, amiability and impatience. While amiable riders represent a group of relatively mature and safe riders, the sensation-seeking riders are extremely self-confident, comfortable with unsafe riding and interested in the utility gained from it. Meanwhile, the sensation-seeking ones also are highly aware of traffic conditions, which may lower the chances of getting into an accident, but the accident could be extremely severe if it ever occurs. Impatient riders, having low riding confidence and traffic awareness deficiency, also seek utility from certain risky riding behaviors. However, their fear of an accident leads them to fail to observe surrounding traffic conditions. The result indicates various mental compromise mechanisms for young motorcyclists in conducting riding behaviors. Thus, corresponding countermeasures, including licensure system and ITS roadway development, should consider the heterogeneous characteristics of young riders. FAU - Wong, Jinn-Tsai AU - Wong JT AD - Institute of Traffic and Transportation, National Chiao Tung University, 4F, 118 Chung Hsiao W. Rd., Sec. 1, Taipei 10044, Taiwan. jtwong@mail.nctu.edu.tw FAU - Chung, Yi-Shih AU - Chung YS FAU - Huang, Shih-Hsuan AU - Huang SH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090828 PL - England TA - Accid Anal Prev JT - Accident; analysis and prevention JID - 1254476 SB - IM MH - Adolescent MH - Adult MH - Anger MH - Factor Analysis, Statistical MH - Humans MH - *Motorcycles/statistics & numerical data MH - *Personality MH - *Risk-Taking MH - Temperament MH - Young Adult EDAT- 2009/11/06 06:00 MHDA- 2010/01/26 06:00 CRDT- 2009/11/06 06:00 PHST- 2009/02/14 00:00 [received] PHST- 2009/07/22 00:00 [revised] PHST- 2009/08/04 00:00 [accepted] PHST- 2009/11/06 06:00 [entrez] PHST- 2009/11/06 06:00 [pubmed] PHST- 2010/01/26 06:00 [medline] AID - S0001-4575(09)00212-7 [pii] AID - 10.1016/j.aap.2009.08.004 [doi] PST - ppublish SO - Accid Anal Prev. 2010 Jan;42(1):275-81. doi: 10.1016/j.aap.2009.08.004. Epub 2009 Aug 28. PMID- 39183027 OWN - NLM STAT- MEDLINE DCOM- 20241124 LR - 20241124 IS - 1349-533X (Electronic) IS - 1341-0725 (Linking) VI - 66 IP - 6 DP - 2024 Nov 25 TI - [Exploring the reality of seafarers' deaths and injuries and preventive measures from the cases of overwork-related disorders]. PG - 314-328 LID - 10.1539/sangyoeisei.2024-018-E [doi] AB - OBJECTIVES: Till date, only few studies have detailed the reality of overwork-related disorders among seafarers. Therefore, in this study, we aimed to evaluate the prevalence of overwork-related disorders among seafarers and assess factors such as patient attributes, diseases diagnosed at the time of determination, workload factors, and other aspects, thereby suggesting relevant preventative measures. METHODS: Among all the patients identified with overwork-related disorders from April 2010 to March 2017, 2,280 cases of cerebrovascular and cardiovascular diseases and 3,517 cases of mental disorders were selected. To identify seafarer-related cases, keywords related to seafarers were extracted. Subsequently, 33 cases of cardiovascular disease and 19 cases of mental disorders were obtained. RESULTS: The average age of the patients with cerebrovascular and cardiovascular diseases was 56.7 years; for those with mental disorders, it was 45.2 years. The patients were most commonly engaged in fishing, transportation, and postal services. Most patients were employed in the deck department or were captains. The most common types of vessels were fishing and cargo ships. Among the diseases diagnosed at the time of determination, cerebrovascular diseases accounted for 20 cases (60.6%) and cardiovascular diseases accounted for 13 cases (39.4%), with cerebral and myocardial infarctions being the most frequent conditions. Among mental disorders, "mood disorders" accounted for 7 cases (36.8%), and "neurotic disorders, stress-related disorders, and somatoform disorders" accounted for 12 cases (63.2%), with major depressive episodes, post-traumatic stress disorder, and adjustment disorders being the most common. The most common workload factor for patients with cerebrovascular and cardiovascular diseases was "long-term excessive work", and among non-workload factors, "long working hours" and "irregular working hours" were prevalent. For mental disorders, 8 cases were attributed to "extreme psychological stress." Specific events leading to these diseases included "interpersonal relationships", "experiencing accidents or disasters", and "work quantity and quality". CONCLUSIONS: Both cerebrovascular and cardiovascular diseases, as well as mental disorders, showed a notable aging trend among seafarers. Thus, measures that consider the characteristics of elderly workers, such as their physical function, are important. Additionally, as seafarers are distributed across various industries and occupations, measures should be specifically tailored to their industry and job type. Our study confirmed that long working hours and irregular working hours were prevalent in both cases. Therefore, there is an urgent need for further efforts to prevent and mitigate overwork-related deaths among seafarers, including organizational support from onshore workplaces and enhancement of medical and operational support using information and communication technology. FAU - Iwaasa, Takumi AU - Iwaasa T AD - Faculty of Business Administration Ishinomaki Senshu University. FAU - Yoshikawa, Toru AU - Yoshikawa T AD - Research Center for Overwork-Related Disorders, National Institute of Occupational Safety and Health, Japan. FAU - Takahashi, Masaya AU - Takahashi M AD - Research Center for Overwork-Related Disorders, National Institute of Occupational Safety and Health, Japan. LA - jpn PT - English Abstract PT - Journal Article DEP - 20240824 PL - Japan TA - Sangyo Eiseigaku Zasshi JT - Sangyo eiseigaku zasshi = Journal of occupational health JID - 9507473 SB - IM MH - Humans MH - Middle Aged MH - *Cardiovascular Diseases/mortality/prevention & control MH - Male MH - *Mental Disorders/epidemiology MH - *Cerebrovascular Disorders/prevention & control/mortality/epidemiology MH - *Workload MH - Adult MH - Female MH - Occupational Diseases/prevention & control/epidemiology MH - Prevalence MH - Ships MH - Aged MH - Occupational Health EDAT- 2024/08/26 12:42 MHDA- 2024/11/25 01:25 CRDT- 2024/08/25 21:42 PHST- 2024/11/25 01:25 [medline] PHST- 2024/08/26 12:42 [pubmed] PHST- 2024/08/25 21:42 [entrez] AID - 10.1539/sangyoeisei.2024-018-E [doi] PST - ppublish SO - Sangyo Eiseigaku Zasshi. 2024 Nov 25;66(6):314-328. doi: 10.1539/sangyoeisei.2024-018-E. Epub 2024 Aug 24. PMID- 8893908 OWN - NLM STAT- MEDLINE DCOM- 19970312 LR - 20071114 IS - 0954-0121 (Print) IS - 0954-0121 (Linking) VI - 8 IP - 5 DP - 1996 Oct TI - Predicting dentists' willingness to treat HIV-infected patients. PG - 581-8 AB - Access to oral health care is extremely important for those infected with HIV, because oral findings can lead to early detection and improved staging and management of HIV infection. In addition, oral lesions associated with HIV infection are often debilitating, but can be managed effectively with proper oral health care. There is ample evidence that dentists have, at times, resisted accepting HIV positive patients (PHIV+). The intent of the research project described below was to develop and test a model predicting dentists' willingness to treat PHIV+. Data were collected from a sample of dentists practising in New York City. The dependent variable was a scale constructed of items measuring willingness to treat PHIV+ under varying conditions. Independent variables were entered into a multiple linear regression equation in iterative attempts to arrive at a model predicting dentists' willingness to treat PHIV+, which was both parsimonious and had explanatory power. The final model included five independent variables measuring: (1) perceived safety; (2) willingness to treat homosexuals; (3) perceived ethical obligation to treat PHIV +; (4) past experience; and (5) perceived norms of colleagues. Perceived safety and perceived norms of colleagues had by far the most predictive power of all independent variables. R2 for the model = 0.58. FAU - Sadowsky, D AU - Sadowsky D AD - Columbia University, School of Dental and Oral Surgery, New York, NY 10032, USA. FAU - Kunzel, C AU - Kunzel C LA - eng GR - DE 10301/DE/NIDCR NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - AIDS Care JT - AIDS care JID - 8915313 SB - IM MH - Attitude of Health Personnel MH - Dental Care for Chronically Ill/psychology/*statistics & numerical data MH - Dentists/*psychology/standards/statistics & numerical data MH - Ethics, Dental MH - HIV Infections/*psychology MH - Health Services Accessibility/*statistics & numerical data MH - Homosexuality MH - Humans MH - Linear Models MH - *Models, Psychological MH - Multivariate Analysis MH - New York City MH - Refusal to Treat/*statistics & numerical data MH - Safety MH - Sampling Studies MH - Social Perception OID - NRCBL: VF 9.5.6 OTO - KIE OT - Empirical Approach OT - Health Care and Public Health OT - Professional Patient Relationship GN - KIE: 40 refs. GN - KIE: KIE Bib: AIDS/health personnel EDAT- 1996/10/01 00:00 MHDA- 1996/10/01 00:01 CRDT- 1996/10/01 00:00 PHST- 1996/10/01 00:00 [pubmed] PHST- 1996/10/01 00:01 [medline] PHST- 1996/10/01 00:00 [entrez] AID - MFJY7AGNYUAFV2PW [pii] AID - 10.1080/09540129650125533 [doi] PST - ppublish SO - AIDS Care. 1996 Oct;8(5):581-8. doi: 10.1080/09540129650125533. PMID- 33351402 STAT- Publisher CTDT- 20230109 PB - StatPearls Publishing DP - 2025 Jan TI - New York State Child Abuse, Maltreatment, and Neglect. BTI - StatPearls AB - The World Health Organization (WHO) defines child abuse and child maltreatment as "all forms of physical and/or emotional ill-treatment, sexual abuse, neglect or negligent treatment or commercial or other exploitation, resulting in actual or potential harm to the child's health, survival, development or dignity in the context of a relationship of responsibility, trust or power." There are four main types of abuse: Neglect (physical or emotional). Physical abuse. Psychological or emotional abuse. Sexual abuse. There are significant morbidity and mortality associated with child abuse due to a child's inability to protect themselves. For the diagnosis of child abuse to be made, healthcare providers need to maintain a high index of suspicion. The New York State government has established a legal obligation of mandated reporters to intervene if there is evidence or suspicion of abuse, maltreatment, or neglect of a child less than 18 years of age. New York Legal Definitions for Abuse, Maltreatment, and Neglect (New York State Family Court Act) The purpose of the New York State law is to establish procedures to protect children from injury or mistreatment and safeguard their physical, mental, and emotional well-being. It provides due process for determining when the state, through its family court, may intervene against the wishes of a parent on behalf of a child so that the child's needs are appropriately met. The following is a summary of key definitions: "Respondent": any parent or other person legally responsible for a child's care who is alleged to have abused or neglected the child. "Child": any person or persons < 18 years of age. “Abused child": a child whose parent or another person legally responsible for his care: (i) inflicts or allows to be inflicted upon such child physical injury other than by accidental means which causes or creates a substantial risk of death, serious or protracted disfigurement, protracted impairment of physical or emotional health, or protracted loss or impairment of the function of any bodily organ; or (ii) creates or allows to be created a substantial risk of physical injury to such child by other than accidental means which would be likely to cause death or serious or protracted disfigurement, protracted impairment of physical or emotional health, or protracted loss or impairment of the function of any bodily organ; or (iii) (A) commits, or allows to be committed an offense against such child defined in article one hundred thirty of the penal law;  (B) allows, permits, or encourages such child to engage in any act described in sections 230.25, 230.30, 230.32, and 230.34-a of the penal law;  (C) commits any of the acts described in sections 255.25, 255.26, and 255.27 of the penal law;  (D) allows such child to engage in acts or conduct described in article two hundred sixty-three of the penal law;  or (E) permits or encourages such child to engage in any act or commits or allows to be committed against such child any offense that would render such child either a victim of sex trafficking or a victim of severe forms of trafficking in persons pursuant to 22 U.S.C. 7102 as enacted by public law 106-386 or any successor federal statute;  (F) provided, however, that (1) the corroboration requirements contained in the penal law and (2) the age requirement for the application of article two hundred sixty-three of such law shall not apply to proceedings under this article. “Neglected child” or “maltreated child”: a child: (i) whose physical, mental, or emotional condition has been impaired or is in imminent danger of becoming impaired as a result of the failure of his parent or other person legally responsible for his care to exercise a minimum degree of care (A) in supplying the child with adequate food, clothing, shelter or education in accordance with the provisions of part one of article sixty-five of the education law, or medical, dental, optometrical or surgical care, though financially able to do so or offered financial or other reasonable means to do so, or, in the case of an alleged failure of the respondent to provide education to the child, notwithstanding the efforts of the school district or local educational agency and child protective agency to ameliorate such alleged failure prior to the filing of the petition;  or (B) in providing the child with proper supervision or guardianship, by unreasonably inflicting or allowing to be inflicted harm, or a substantial risk thereof, including the infliction of excessive corporal punishment;  or by misusing a drug or drugs;  or by misusing alcoholic beverages to the extent that he loses self-control of his actions;  or by any other acts of a similarly serious nature requiring the aid of the court;  provided, however, that where the respondent is voluntarily and regularly participating in a rehabilitative program, evidence that the respondent has repeatedly misused a drug or drugs or alcoholic beverages to the extent that he loses self-control of his actions shall not establish that the child is a neglected child in the absence of evidence establishing that the child's physical, the mental or emotional condition has been impaired or is in imminent danger of becoming impaired as set forth in paragraph (i) of this subdivision;  or (ii) who has been abandoned, in accordance with the definition and other criteria set forth in subdivision five of section three hundred eighty-four-b of the social services law, by his parents or other person legally responsible for his care. The terms “maltreatment” and “neglect” are often used interchangeably but have different definitions. "Maltreatment" includes acts of omission and commission, whereas "neglect" only includes acts of omission. Maltreatment includes neglect, but neglect does not include maltreatment. “Person legally responsible": the child's custodian, guardian, or any other person responsible for the child's care at the relevant time. Custodian may include any person continually or at regular intervals found in the same household as the child when the conduct of such person causes or contributes to the abuse or neglect of the child. “Impairment of emotional health/condition”: a state of substantially diminished psychological or intellectual functioning in relation to, but not limited to, such factors as failure to thrive, control of aggressive or self-destructive impulses, ability to think and reason, or acting out or misbehavior, including incorrigibility, ungovernability or habitual truancy, provided, however, that such impairment must be clearly attributable to the unwillingness or inability of the respondent to exercise a minimum degree of care toward the child. “Child protective agency”: the child protective service of the appropriate local department of social services or such other agencies with whom the local department has arranged for the provision of child protective services under the local plan for child protective services or an Indian tribe that has entered into an agreement with the state department of social services pursuant to section thirty-nine of the social services law to provide child protective services. “Parent”: a person who is recognized under the laws of the state of New York to be the child's legal parent. “Relative”: any person who is related to the child by blood, marriage, or adoption and who is not a parent, putative parent, or relative of a putative parent of the child. “Suitable person”: any person who plays or has played a significant positive role in the child's life or the life of the child's family. Types of Abuse and Neglect: Physical neglect. Physical abuse. Emotional neglect. Emotional abuse. Sexual abuse. Physical Neglect Physical neglect is the most common form of abuse. It is the failure to provide a child with adequate food, shelter, clothing, education, hygiene, medical care, protection from hazards in the environment, basic needs, or supervision needed for normal growth and development. Physical Abuse Physical abuse of a child includes any non-accidental physical injury of a child inflicted by a parent or a caretaker resulting in or risking serious disfigurement, impairment of physical or emotional health, and loss of bodily function or death. Physical abuse includes beating, burning, biting, shaking, and excessive corporal punishment. Emotional Neglect Emotional neglect is the failure of a parent or caregiver to supply a child with the love and support necessary for healthy emotional development. Examples include failure to provide warmth, attention, supervision, affection, praise, or encouragement to a child. Emotional Abuse Emotional abuse is commonly defined as the non-physical maltreatment of a child that can seriously interfere with his or her positive emotional development. Patterns of abusive behavior can include constant rejection, terrorizing, exposing a child to corruption, violence or criminal behavior, irrational behavior, and verbal abuse (excessive yelling, belittling, and teasing). Emotional abuse has the potential to cause serious cognitive, affective, or other behavioral health problems. Sexual Abuse  Sexual abuse is the involvement of dependent, developmentally immature children in sexual activities that they do not fully comprehend, to which they are unable to give consent, or that violate the social taboos of family roles. Sexual abuse and maltreatment include situations in which the parent, caregiver, or another person legally responsible for a child under 18 years of age, commits or allows to be committed any one of the following activities: Touching a child’s mouth, genitals, buttocks, breasts or other intimate parts for the purpose of gratifying sexual desire; or forcing or encouraging the child to touch the caregiver, or other person legally responsible, in this way for the purpose of gratifying sexual desire. Engaging or attempting to engage the child in sexual intercourse or sodomy. Forcing or encouraging a child to engage in sexual activity with other children or adults. Exposing a child to sexual activity or exhibitionism for the purpose of sexual stimulation or gratification of another. Permitting a child to engage in sexual activity that is not developmentally appropriate and when such activity results in the child suffering from emotional impairment. Using a child in a sexual performance such as a photograph, play, motion picture, or dance regardless of whether the material itself is obscene. In addition, it is a crime to give indecent material to a child. Sexual abuse and maltreatment include such criminal offenses as rape, sodomy, other non-consensual sexual conduct, and prostitution. Social Service Laws Related to Care of Children in Residential Care Abused A person with a handicapping condition who is 18 years or older who is in residential care in one of the following facilities may be defined as an abused child: NYS School for the Blind (Batavia). NYS School for the Deaf (Rome). A private residential school which has been designed for special education. A special act school district or a state-supported school for the deaf or blind with a residential component. Neglected                                                     In New York State, a neglected child in residential care (including facilities operated by the Department of Social Services [DSS], Division for Youth [DFY], Office of Mental Health [OMH], Office for People with Developmental Disabilities [OPWDD], or the State Education Department [NYSED]) means a child whose custodian impairs, or places in danger of impairment, the child's physical, mental or emotional condition: By intentionally administering to the child, any prescription drug not ordered. Failing to adhere to standards for the provision of food, clothing, shelter, education, medical, dental, optometric, or surgical care, or the use of isolation or restraint. Failing to adhere to standards for the supervision of children by inflicting or allowing to be inflicted physical harm or risk of harm. Failing to conform to applicable state regulations for appropriate custodial conduct. Maltreated The Social Services Act includes a maltreated child 18 years of age or older, who is neglected and resides in one of the special residential care institutions previously listed. Abandoned Infant Protection Act First enacted in July 2000 and later amended in August 2010, the “New York State Abandoned Infant Protection Act” allows a person to abandon their infant in a safe manner. This law designates specific locations as "safe-havens" for parents to relinquish their unharmed newborns, ensuring that unwanted infants are surrendered to persons who can guarantee the child's safety and well-being. It also protects parents who feel that they have no other alternative to protect their child from harm. While the law protects those that relinquish unharmed infants, the abandonment of newborn infants in unsafe places is an example of extreme neglect with criminal penalties. Charges of abandonment may be incurred unless the following criteria are met: Infant < 30 days old. Intent that the infant be safe from physical injury and receive appropriate care. Infant left with an appropriate person or suitable location such as a hospital, police station, or fire department and notifies an appropriate person of the infant's location. Intent to abandon the infant by relinquishing responsibility for and rights wholly. Any mandated reporter who learns of abandonment must fulfill mandated responsibilities even if unsure of the name of the person abandoning the child. CI - Copyright © 2025, StatPearls Publishing LLC. FAU - Rizvi, Munaza Batool AU - Rizvi MB AD - Columbia Presbyterian, Morgan Stanley Children's Hospital FAU - Conners, Gregory P AU - Conners GP AD - Upstate Golisano Children's Hospital FAU - Rabiner, Joni AU - Rabiner J AD - Columbia University Medical Center- New York Presbyterian Morgan Stanley Children's Hospital LA - eng PT - Study Guide PT - Book Chapter PL - Treasure Island (FL) COIS- Disclosure: Munaza Batool Rizvi declares no relevant financial relationships with ineligible companies. Disclosure: Gregory Conners declares no relevant financial relationships with ineligible companies. Disclosure: Joni Rabiner declares no relevant financial relationships with ineligible companies. EDAT- 2023/01/09 00:00 CRDT- 2023/01/09 00:00 AID - NBK565843 [bookaccession] PMID- 24520910 OWN - NLM STAT- MEDLINE DCOM- 20141009 LR - 20211021 IS - 1471-2318 (Electronic) IS - 1471-2318 (Linking) VI - 14 DP - 2014 Feb 12 TI - German adaptation of the Resources for Enhancing Alzheimer's Caregiver Health II: study protocol of a single-centred, randomised controlled trial. PG - 21 LID - 10.1186/1471-2318-14-21 [doi] AB - BACKGROUND: Caring for a family member with dementia is extremely stressful, and contributes to psychiatric and physical illness among caregivers. Therefore, a comprehensive programme called Resources for Enhancing Alzheimer's Caregiver Health II (REACH II) was developed in the United States to enhance the health of Alzheimer's caregivers. REACH II causes a clear reduction of the stress and burdens faced by informal caregivers at home. The aim of this protocol is to adapt, apply, and evaluate this proven intervention programme in a German-speaking area for the first time. This newly adapted intervention is called Deutsche Adaption der Resources for Enhancing Alzheimer's Caregiver Health (DeREACH). METHODS: A total of 138 informal caregivers at home are recruited in a single-centred, randomised controlled trial. The intervention (DeREACH) consists of nine home visits and three telephone contacts over six months, all of which focus on safety, psychological well-being and self-care, social support, problem behaviour and preventive health-related behaviours. A complex intervention assessment on effectiveness will be adopted when the primary outcome - namely, the reduction of caregiver burden - and other secondary outcomes, including changes with regard to anxiety and depression, somatisation, health-related quality of life, and perceived social support, are measured at baseline, as well as immediately and three months after the intervention. The change from baseline to post-intervention assessment with regard to the primary outcome will be compared between treatment and control group using t-tests for independent samples. DISCUSSION: It is anticipated that this study will show that DeREACH effectively reduces caregiver burden and therefore works under the conditions of a local German health-care system. If successful, this programme will provide an effective intervention programme in the German-speaking area to identify and develop the personal capabilities of informal caregivers to cope with the burdens of caring for people with dementia. FAU - Heinrich, Stephanie AU - Heinrich S AD - Clinic and Policlinic for Psychiatry and Psychotherapy, Leipzig University, Semmelweisstr, 10, 04103 Leipzig, Germany. Stephanie.Heinrich@medizin.uni-leipzig.de. FAU - Berwig, Martin AU - Berwig M FAU - Simon, Anke AU - Simon A FAU - Jänichen, Jenny AU - Jänichen J FAU - Hallensleben, Nina AU - Hallensleben N FAU - Nickel, Witiko AU - Nickel W FAU - Hinz, Andreas AU - Hinz A FAU - Brähler, Elmar AU - Brähler E FAU - Gertz, Hermann-Josef AU - Gertz HJ LA - eng SI - ClinicalTrials.gov/NCT01690117 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140212 PL - England TA - BMC Geriatr JT - BMC geriatrics JID - 100968548 SB - IM MH - *Adaptation, Psychological MH - Alzheimer Disease/epidemiology/*psychology/*therapy MH - Caregivers/*psychology MH - Early Medical Intervention/*methods MH - Germany/epidemiology MH - Home Care Services/*standards MH - Humans PMC - PMC3925255 EDAT- 2014/02/14 06:00 MHDA- 2014/10/10 06:00 PMCR- 2014/02/12 CRDT- 2014/02/14 06:00 PHST- 2014/01/23 00:00 [received] PHST- 2014/02/10 00:00 [accepted] PHST- 2014/02/14 06:00 [entrez] PHST- 2014/02/14 06:00 [pubmed] PHST- 2014/10/10 06:00 [medline] PHST- 2014/02/12 00:00 [pmc-release] AID - 1471-2318-14-21 [pii] AID - 10.1186/1471-2318-14-21 [doi] PST - epublish SO - BMC Geriatr. 2014 Feb 12;14:21. doi: 10.1186/1471-2318-14-21. PMID- 29939392 OWN - NLM STAT- MEDLINE DCOM- 20181108 LR - 20181108 IS - 2081-3252 (Electronic) IS - 1641-9251 (Linking) VI - 69 IP - 2 DP - 2018 TI - Awareness of health risks and communicable diseases among undergraduate maritime students. PG - 142-148 LID - 10.5603/IMH.2018.0021 [doi] AB - BACKGROUND: In case of an emergency related to crew's health the first responsible person on board is the appointed officer of the ship. Sometimes these officers aren't just the only responsible person but also the only available option. Therefore, they are expected to handle various types of cases from disease outbreaks to food poisoning. However, officers on board aren't particularly trained or prepared for such extreme circumstances. Services like Telemedical Assistances may provide great help in such moments, but the first identification and contamination of various diseases might not be possible without previously acquired knowledge and awareness. This study aims to examine and discover the basic health knowledge and risk awareness of undergraduate maritime students and assess the needs for improved health training for future maritime officers. MATERIALS AND METHODS: The study was conducted by proposing an anonymous questionnaire to the undergraduate students of maritime faculties located in Turkey. Questionnaire form was adapted from the study of Grappasonni et al. This questionnaire examines the awareness of health risks and risks of contracting communicable diseases among seafarers. A total of 266 Turkish participants joined the study. RESULTS: Basic health knowledge of the maritime students seems to be well acquired expect for the communicable diseases and food hygiene. General risk perception for most health issues especially for the communicable diseases is low for all participants. Findings note that most maritime students get their health and disease information from Internet sources. Several differences between Marine Transportation Engineering and Marine Engineering students are found, related to concerns they feel on board for health issues. All maritime students are more concerned about the risks of psychological problems due to isolation. A risk, perception and in some cases awareness shift is observed between classes. All results are limited with participants' nationality. CONCLUSIONS: Seafarers should be educated and trained according the conditions they face on board. An improved training method should be adopted. This way, the future officers will be qualified to intervene in emergency situations. FAU - Türkistanlı, Taha Talip AU - Türkistanlı TT AD - Dokuz Eylül University Maritime Faculty, Tınaztepe Campus, 35035 İzmir, Turkey. t.turkistanli@hotmail.com. FAU - Sevgili, Coşkan AU - Sevgili C LA - eng PT - Journal Article PL - Poland TA - Int Marit Health JT - International maritime health JID - 100958373 SB - IM MH - Adolescent MH - Adult MH - *Communicable Diseases MH - Female MH - Food Safety MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Internet MH - Male MH - Naval Medicine MH - *Occupational Diseases MH - *Students MH - Surveys and Questionnaires MH - Turkey OTO - NOTNLM OT - awareness training OT - communicable diseases OT - food hygiene OT - health knowledge EDAT- 2018/06/26 06:00 MHDA- 2018/11/09 06:00 CRDT- 2018/06/26 06:00 PHST- 2018/04/27 00:00 [received] PHST- 2018/05/21 00:00 [accepted] PHST- 2018/06/26 06:00 [entrez] PHST- 2018/06/26 06:00 [pubmed] PHST- 2018/11/09 06:00 [medline] AID - VM/OJS/J/58235 [pii] AID - 10.5603/IMH.2018.0021 [doi] PST - ppublish SO - Int Marit Health. 2018;69(2):142-148. doi: 10.5603/IMH.2018.0021. PMID- 39324686 OWN - NLM STAT- MEDLINE DCOM- 20250203 LR - 20250205 IS - 1550-9397 (Electronic) IS - 1550-9389 (Print) IS - 1550-9389 (Linking) VI - 21 IP - 2 DP - 2025 Feb 1 TI - Sleep and long COVID: preexisting sleep issues and the risk of post-acute sequelae of SARS-CoV-2 infection in a large general population using 3 different model definitions. PG - 249-259 LID - 10.5664/jcsm.11322 [doi] AB - STUDY OBJECTIVES: Insomnia, poor sleep quality, and extremes of sleep duration are associated with COVID-19 infection. This study assessed whether these factors are related to post-acute sequelae of SARS-CoV-2 infection (PASC). METHODS: Cross-sectional survey of a general population of 24,803 United States adults to determine the association of insomnia, poor sleep quality, and sleep duration with PASC. Three definitions of PASC were used based on post COVID-19 clinical features: COVID-19 Outbreak Public Evaluation Initiative (COPE) (≥ 3), National Institute for Health and Care Excellence (NICE) (≥ 1), and Researching COVID to Enhance Recovery (RECOVER) (scoring algorithm). RESULTS: Prevalence rates of PASC were 21.9%, 38.9%, and 15.5% for COPE, NICE, and RECOVER PASC definitions, respectively. PASC was associated with insomnia in all 3 models after full adjustment with odds ratios and 95% confidence intervals (CIs) ranging from 1.30 (95% CI: 1.11-1.52, P ≤ .05, RECOVER PASC score) to 1.52 (95% CI: 1.34-1.71, P ≤ .001, NICE). Poor sleep quality was related to PASC in all models with adjusted odds ratios ranging from 1.77 (95% CI: 1.60-1.97, P ≤ .001, NICE) to 2.00 (95% CI: 1.77-2.26, P ≤ .001, COPE). Sleep < 6 hours was associated with PASC with adjusted odds ratios between 1.59 (95% CI: 1.40-1.80, P ≤ .001, RECOVER PASC score) and 1.70 (95% CI: 1.53-1.89, P ≤ .001, COPE). Sleep ≥ 9 hours was not associated with PASC in any model. Although vaccination with COVID-19 booster decreased the likelihood of developing PASC, it did not attenuate associations between insomnia, poor sleep quality, and short sleep duration with PASC in any of the models. CONCLUSIONS: Insomnia, poor sleep quality, and short sleep duration are cross-sectionally associated with PASC and may be potential risk factors. Further longitudinal studies should be conducted. CITATION: Quan SF, Weaver MD, Czeisler MÉ, et al. Sleep and long COVID: preexisting sleep issues and the risk of post-acute sequelae of SARS-CoV-2 infection in a large general population using 3 different model definitions. J Clin Sleep Med. 2025;21(2):249-259. CI - © 2025 American Academy of Sleep Medicine. FAU - Quan, Stuart F AU - Quan SF AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts. FAU - Weaver, Matthew D AU - Weaver MD AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts. FAU - Czeisler, Mark É AU - Czeisler MÉ AD - Francis Weld Peabody Society, Harvard Medical School, Boston, Massachusetts. AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia. AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. FAU - Barger, Laura K AU - Barger LK AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts. FAU - Booker, Lauren A AU - Booker LA AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - University Department of Rural Health, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia. FAU - Howard, Mark E AU - Howard ME AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia. AD - Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. FAU - Jackson, Melinda L AU - Jackson ML AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia. AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. FAU - Lane, Rashon I AU - Lane RI AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. FAU - McDonald, Christine F AU - McDonald CF AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. AD - Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia. AD - Faculty of Medicine, Monash University, Melbourne, Australia. FAU - Ridgers, Anna AU - Ridgers A AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. AD - Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia. FAU - Robbins, Rebecca AU - Robbins R AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts. FAU - Varma, Prerna AU - Varma P AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia. FAU - Wiley, Joshua F AU - Wiley JF AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia. FAU - Rajaratnam, Shantha M W AU - Rajaratnam SMW AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts. AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia. AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. FAU - Czeisler, Charles A AU - Czeisler CA AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts. AD - Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts. LA - eng GR - K01 HL150339/HL/NHLBI NIH HHS/United States GR - R01 OH011773/OH/NIOSH CDC HHS/United States PT - Journal Article PL - United States TA - J Clin Sleep Med JT - Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine JID - 101231977 SB - IM UOF - medRxiv. 2024 Jun 21:2024.06.20.24309263. doi: 10.1101/2024.06.20.24309263. PMID: 38947041 MH - Humans MH - *COVID-19/complications/epidemiology MH - Male MH - Female MH - Cross-Sectional Studies MH - *Post-Acute COVID-19 Syndrome MH - Middle Aged MH - Adult MH - *Sleep Initiation and Maintenance Disorders/epidemiology MH - United States/epidemiology MH - Sleep Quality MH - Aged MH - Prevalence MH - Risk Factors MH - Sleep Wake Disorders/epidemiology MH - SARS-CoV-2 MH - Young Adult PMC - PMC11789238 OTO - NOTNLM OT - PASC OT - insomnia OT - long COVID OT - poor sleep quality OT - post-acute sequelae of SARS-CoV-2 infection OT - sleep duration COIS- All authors have seen and approved the manuscript. Conflicts of Interest: M.D.W. reports institutional support from the United States Centers for Disease Control and Prevention, National Institutes of Occupational Safety and Health, and Delta Airlines as well as consulting fees from the Fred Hutchinson Cancer Center and the University of Pittsburgh. L.K.B. reports institutional support from the United States Centers for Disease Control and Prevention, National Institutes of Occupational Safety and Health, Delta Airlines, and the Puget Sound Pilots as well as honorariums from the National Institutes of Occupational Safety and Health, University of Arizona, and University of British Columbia. M.É.C. reported personal fees from Vanda Pharmaceuticals Inc., research grants or gifts to Monash University from WHOOP, Inc., Hopelab, Inc., CDC Foundation, and the Centers for Disease Control and Prevention. S.M.W.R. reported receiving grants and personal fees from Cooperative Research Centre for Alertness, Safety, and Productivity, receiving grants and institutional consultancy fees from Teva Pharma Australia and institutional consultancy fees from Vanda Pharmaceuticals, Circadian Therapeutics, BHP Billiton, and Herbert Smith Freehills. S.F.Q. has served as a consultant for Best Doctors, Bryte Foundation, Jazz Pharmaceuticals, Apnimed, and Whispersom. R.R. reports personal fees from SleepCycle AB; Rituals Cosmetics BV; Sonesta Hotels International, LLC; Ouraring Ltd; AdventHealth; and With Deep, LLC. C.A.C. serves as the incumbent of an endowed professorship provided to Harvard Medical School by Cephalon, Inc. and reports institutional support for a Quality Improvement Initiative from Delta Airlines and Puget Sound Pilots; education support to Harvard Medical School Division of Sleep Medicine and support to Brigham and Women’s Hospital from: Jazz Pharmaceuticals PLC, Inc., Philips Respironics, Inc., Optum, and ResMed, Inc.; research support to Brigham and Women’s Hospital from Axome Therapeutics, Inc., Dayzz Ltd., Peter Brown and Margaret Hamburg, Regeneron Pharmaceuticals, Sanofi SA, Casey Feldman Foundation, Summus, Inc., Takeda Pharmaceutical Co., Ltd., Abbaszadeh Foundation, CDC Foundation; educational funding to the Sleep and Health Education Program of the Harvard Medical School Division of Sleep Medicine from ResMed, Inc., Teva Pharmaceuticals Industries, Ltd., and Vanda Pharmaceuticals; personal royalty payments on sales of the Actiwatch-2 and Actiwatch-Spectrum devices from Philips Respironics, Inc.; personal consulting fees from Axome, Inc., Bryte Foundation, With Deep, Inc., and Vanda Pharmaceuticals; honoraria from the Associated Professional Sleep Societies, LLC for the Thomas Roth Lecture of Excellence at SLEEP 2022, from the Massachusetts Medical Society for a New England Journal of Medicine Perspective article, from the National Council for Mental Wellbeing, from the National Sleep Foundation for serving as chair of the Sleep Timing and Variability Consensus Panel, for lecture fees from Teva Pharma Australia PTY Ltd. and Emory University, and for serving as an advisory board member for the Institute of Digital Media and Child Development, the Klarman Family Foundation, and the United Kingdom Biotechnology and Biological Sciences Research Council. C.A.C. has received personal fees for serving as an expert witness on a number of civil matters, criminal matters, and arbitration cases, including those involving the following commercial and government entities: Amtrak; Bombardier, Inc.; C&J Energy Services; Dallas Police Association; Delta Airlines/Comair; Enterprise Rent-A-Car; FedEx; Greyhound Lines, Inc./Motor Coach Industries/FirstGroup America; PAR Electrical Contractors, Inc.; Puget Sound Pilots; and the San Francisco Sheriff’s Department; Schlumberger Technology Corp.; Union Pacific Railroad; United Parcel Service; Vanda Pharmaceuticals. C.A.C. has received travel support from the Stanley Ho Medical Development Foundation for travel to Macao and Hong Kong; equity interest in Vanda Pharmaceuticals, With Deep, Inc., and Signos, Inc.; and institutional educational gifts to Brigham and Women’s Hospital from Johnson & Johnson, Mary Ann and Stanley Snider via Combined Jewish Philanthropies, Alexandra Drane, DR Capital, Harmony Biosciences, LLC, San Francisco Bar Pilots, Whoop, Inc., Harmony Biosciences LLC, Eisai Co., LTD, Idorsia Pharmaceuticals LTD, Sleep Number Corp., Apnimed, Inc., Avadel Pharmaceuticals, Bryte Foundation, f.lux Software, LLC, Stuart F. and Diana L. Quan Charitable Fund. Dr. Czeisler’s interests were reviewed and are managed by the Brigham and Women’s Hospital and Mass General Brigham in accordance with their conflict of interest policies. No other disclosures were reported. Preprint Information: A preprint of this manuscript has posted on medRxiv. Funding Information: This work was supported by the Centers for Disease Control and Prevention. Dr. M. Czeisler was supported by an Australian-American Fulbright Fellowship, with funding from The Kinghorn Foundation. The salaries of Dr. Barger, Dr. Czeisler, Dr. Robbins, and Dr. Weaver were supported, in part, by National Institute for Occupational Safety and Health R01 OH011773 and National Heart, Lung, and Blood Institute (NHLBI) R56 HL151637. Dr. Robbins also was supported in part by NHLBI K01 HL150339. EDAT- 2024/09/26 12:42 MHDA- 2025/02/03 12:22 PMCR- 2026/02/01 CRDT- 2024/09/26 08:23 PHST- 2026/02/01 00:00 [pmc-release] PHST- 2025/02/03 12:22 [medline] PHST- 2024/09/26 12:42 [pubmed] PHST- 2024/09/26 08:23 [entrez] AID - jcsm.11322 [pii] AID - JC2400338 [pii] AID - 10.5664/jcsm.11322 [doi] PST - ppublish SO - J Clin Sleep Med. 2025 Feb 1;21(2):249-259. doi: 10.5664/jcsm.11322. PMID- 38947041 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20250203 DP - 2024 Jun 21 TI - Sleep and long COVID: Preexisting sleep issues and the risk of PASC in a large general population using 3 different model definitions. LID - 2024.06.20.24309263 [pii] LID - 10.1101/2024.06.20.24309263 [doi] AB - STUDY OBJECTIVES: Insomnia, poor sleep quality and extremes of sleep duration are associated with COVID-19 infection. This study assessed whether these factors are related to Post-Acute Sequelae of SARS-CoV-2 infection (PASC). METHODS: Cross-sectional survey of a general population of 24,803 U.S. adults to determine the association of insomnia, poor sleep quality and sleep duration with PASC. RESULTS: Prevalence rates of PASC among previously COVID-19 infected participants for three definitions of PASC were COPE (21.9%), NICE (38.9%) and RECOVER PASC Score (15.3%). PASC was associated with insomnia in all 3 models in fully adjusted models with adjusted odds ratios (aORs) and 95% confidence intervals (CI) ranging from 1.30 (95% CI: 1.11-1.52, p≤0.05, PASC Score) to 1.52 (95% CI: 1.34-1.71, p≤0.001, (NICE). Poor sleep quality was related to PASC in all models with aORs ranging from 1.77 (95% CI: 1.60-1.97, p≤0.001, NICE) to 2.00 (95% CI: 1.77-2.26, p≤0.001, COPE). Sleep <6 hours was associated with PASC with aORs between 1.59 (95% CI: 1.40-1.80, p≤0.001, PASC Score) to 1.70 (95% CI: 1.53-1.89, p≤0.001, COPE). Sleep ≥ 9 hours was not associated with PASC in any model. Although vaccination with COVID-19 booster decreased the likelihood of developing PASC, it did not attenuate associations between insomnia, poor sleep quality and short sleep duration with PASC in any of the models. CONCLUSIONS: Insomnia, poor sleep quality and short sleep duration are potential risk factors for PASC. Interventions to improve sleep may decrease the development of PASC. FAU - Quan, Stuart F AU - Quan SF AUID- ORCID: 0000-0002-9474-7679 AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, MA. FAU - Weaver, Matthew D AU - Weaver MD AUID- ORCID: 0000-0003-3578-336X AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, MA. FAU - Czeisler, Mark É AU - Czeisler MÉ AD - Francis Weld Peabody Society, Harvard Medical School, Boston, MA. AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia. AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. FAU - Barger, Laura K AU - Barger LK AUID- ORCID: 0000-0001-8547-7331 AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, MA. FAU - Booker, Lauren A AU - Booker LA AUID- ORCID: 0000-0002-0533-3715 AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - University Department of Rural Health, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia. FAU - Howard, Mark E AU - Howard ME AUID- ORCID: 0000-0001-7772-1496 AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia. AD - Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. FAU - Jackson, Melinda L AU - Jackson ML AUID- ORCID: 0000-0003-4976-8101 AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia. AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. FAU - Lane, Rashon I AU - Lane RI AUID- ORCID: 0000-0002-0612-1466 AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. FAU - McDonald, Christine F AU - McDonald CF AUID- ORCID: 0000-0001-6481-3391 AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. AD - Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia. AD - Faculty of Medicine, Monash University, Melbourne Australia. FAU - Ridgers, Anna AU - Ridgers A AUID- ORCID: 0000-0003-1360-9387 AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia. AD - Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. FAU - Robbins, Rebecca AU - Robbins R AUID- ORCID: 0000-0003-0288-2505 AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, MA. FAU - Varma, Prerna AU - Varma P AUID- ORCID: 0000-0001-5408-1625 AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia. FAU - Wiley, Joshua F AU - Wiley JF AUID- ORCID: 0000-0002-0271-6702 AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia. FAU - Rajaratnam, Shantha M W AU - Rajaratnam SMW AUID- ORCID: 0000-0001-7527-8558 AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. AD - School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia. AD - Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia. AD - Division of Sleep Medicine, Harvard Medical School, Boston, MA. FAU - Czeisler, Charles A AU - Czeisler CA AUID- ORCID: 0000-0002-7408-1849 AD - Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA. AD - Division of Sleep Medicine, Harvard Medical School, Boston, MA. LA - eng GR - K01 HL150339/HL/NHLBI NIH HHS/United States GR - R01 OH011773/OH/NIOSH CDC HHS/United States GR - R56 HL151637/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Preprint DEP - 20240621 PL - United States TA - medRxiv JT - medRxiv : the preprint server for health sciences JID - 101767986 UIN - J Clin Sleep Med. 2025 Feb 1;21(2):249-259. doi: 10.5664/jcsm.11322. PMID: 39324686 PMC - PMC11213061 OTO - NOTNLM OT - Long COVID OT - PASC OT - Post-Acute Sequelae of SARS-CoV-2 infection OT - insomnia OT - poor sleep quality OT - sleep duration COIS- MDW reports institutional support from the US Centers for Disease Control and Prevention, National Institutes of Occupational Safety and Health, and Delta Airlines; as well as consulting fees from the Fred Hutchinson Cancer Center and the University of Pittsburgh. LKB reports institutional support from the US Centers for Disease Control and Prevention, National Institutes of Occupational Safety and Health, Delta Airlines, and the Puget Sound Pilots; as well as honorariums from the National Institutes of Occupational Safety and Health, University of Arizona and University of British Columbia. MÉC reported personal fees from Vanda Pharmaceuticals Inc., research grants or gifts to Monash University from WHOOP, Inc., Hopelab, Inc., CDC Foundation, and the Centers for Disease Control and Prevention. SMWR reported receiving grants and personal fees from Cooperative Research Centre for Alertness, Safety, and Productivity, receiving grants and institutional consultancy fees from Teva Pharma Australia and institutional consultancy fees from Vanda Pharmaceuticals, Circadian Therapeutics, BHP Billiton, and Herbert Smith Freehills. SFQ has served as a consultant for Best Doctors, Bryte Foundation, Jazz Pharmaceuticals, Apnimed, and Whispersom. RR reports personal fees from SleepCycle AB; Rituals Cosmetics BV; Sonesta Hotels International, LLC; Ouraring Ltd; AdventHealth; and With Deep, LLC. CAC serves as the incumbent of an endowed professorship provided to Harvard Medical School by Cephalon, Inc. and reports institutional support for a Quality Improvement Initiative from Delta Airlines and Puget Sound Pilots; education support to Harvard Medical School Division of Sleep Medicine and support to Brigham and Women’s Hospital from: Jazz Pharmaceuticals PLC, Inc, Philips Respironics, Inc., Optum, and ResMed, Inc.; research support to Brigham and Women’s Hospital from Axome Therapeutics, Inc., Dayzz Ltd., Peter Brown and Margaret Hamburg, Regeneron Pharmaceuticals, Sanofi SA, Casey Feldman Foundation, Summus, Inc., Takeda Pharmaceutical Co., LTD, Abbaszadeh Foundation, CDC Foundation; educational funding to the Sleep and Health Education Program of the Harvard Medical School Division of Sleep Medicine from ResMed, Inc., Teva Pharmaceuticals Industries, Ltd., and Vanda Pharmaceuticals; personal royalty payments on sales of the Actiwatch-2 and Actiwatch-Spectrum devices from Philips Respironics, Inc; personal consulting fees from Axome, Inc., Bryte Foundation, With Deep, Inc. and Vanda Pharmaceuticals; honoraria from the Associated Professional Sleep Societies, LLC for the Thomas Roth Lecture of Excellence at SLEEP 2022, from the Massachusetts Medical Society for a New England Journal of Medicine Perspective article, from the National Council for Mental Wellbeing, from the National Sleep Foundation for serving as chair of the Sleep Timing and Variability Consensus Panel, for lecture fees from Teva Pharma Australia PTY Ltd. and Emory University, and for serving as an advisory board member for the Institute of Digital Media and Child Development, the Klarman Family Foundation, and the UK Biotechnology and Biological Sciences Research Council. CAC has received personal fees for serving as an expert witness on a number of civil matters, criminal matters, and arbitration cases, including those involving the following commercial and government entities: Amtrak; Bombardier, Inc.; C&J Energy Services; Dallas Police Association; Delta Airlines/Comair; Enterprise Rent-A-Car; FedEx; Greyhound Lines, Inc./Motor CoachIndustries/FirstGroup America; PAR Electrical Contractors, Inc.; Puget Sound Pilots; and the San Francisco Sheriff’s Department; Schlumberger Technology Corp.; Union Pacific Railroad; United Parcel Service; Vanda Pharmaceuticals. CAC has received travel support from the Stanley Ho Medical Development Foundation for travel to Macao and Hong Kong; equity interest in Vanda Pharmaceuticals, With Deep, Inc, and Signos, Inc.; and institutional educational gifts to Brigham and Women’s Hospital from Johnson & Johnson, Mary Ann and Stanley Snider via Combined Jewish Philanthropies, Alexandra Drane, DR Capital, Harmony Biosciences, LLC, San Francisco Bar Pilots, Whoop, Inc., Harmony Biosciences LLC, Eisai Co., LTD, Idorsia Pharmaceuticals LTD, Sleep Number Corp., Apnimed, Inc., Avadel Pharmaceuticals, Bryte Foundation, f.lux Software, LLC, Stuart F. and Diana L. Quan Charitable Fund. Dr Czeisler’s interests were reviewed and are managed by the Brigham and Women’s Hospital and Mass General Brigham in accordance with their conflict-of interest policies. No other disclosures were reported. Preprint Information: A preprint of this manuscript has posted on medRxiv: EDAT- 2024/07/01 06:41 MHDA- 2024/07/01 06:42 PMCR- 2024/06/28 CRDT- 2024/07/01 05:38 PHST- 2024/07/01 06:41 [pubmed] PHST- 2024/07/01 06:42 [medline] PHST- 2024/07/01 05:38 [entrez] PHST- 2024/06/28 00:00 [pmc-release] AID - 2024.06.20.24309263 [pii] AID - 10.1101/2024.06.20.24309263 [doi] PST - epublish SO - medRxiv [Preprint]. 2024 Jun 21:2024.06.20.24309263. doi: 10.1101/2024.06.20.24309263. PMID- 23106672 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20151119 IS - 1525-1470 (Electronic) IS - 0736-8046 (Linking) VI - 29 IP - 6 DP - 2012 Nov-Dec TI - Quality of life of parents living with a child suffering from atopic dermatitis before and after a 3-month treatment with an emollient. PG - 714-8 LID - 10.1111/j.1525-1470.2012.01817.x [doi] AB - Atopic dermatitis (AD) can be extremely disabling and may cause psychological problems for affected children and their families. Moisturizers and emollients are important in the baseline daily skin care of patients with AD. To assess the effect of a 3-month, twice-daily treatment with an emollient on the quality of life (QoL) of parents with a child with mild to moderate AD (SCORing Atopic Dermatitis [SCORAD] ≤ 30, a multicenter open trial was performed by eight dermatologists on 191 volunteers. Evaluation by the dermatologist of the child's clinical condition (SCORAD) and of the efficacy and overall safety of the treatment was associated with a QoL questionnaire completed by one parent of the atopic child. A self-assessment of the global QoL and of the efficacy and overall safety was also performed. During the study, mean SCORAD dropped from 28 to 12 (p < 0.001), with good improvement in skin dryness and pruritus criteria. At the same time, the self-assessment of the global parent QoL scores dropped from 4.4 to 2.1 (p < 0.001) with 60%, 48% and 79% favorable parent opinions regarding wellbeing or improvement of the health condition, quality of sleep, and efficacy of the emollient, respectively. This trial revealed the efficacy of the product in improving parent QoL (85% of parents noted improvement in QoL), and its global safety was considered to be very good or good, with 80% favorable opinions in parents' declarative judgements and dermatologists' assessments. The emollient evaluated improves the course of AD and can improve the QoL of patients and their families. CI - © 2012 Wiley Periodicals, Inc. FAU - Gelmetti, Carlo AU - Gelmetti C AD - Scienze Dermatologiche, Università degli Studi di Milano, Fondazione IRCSS Ospedale Maggiore Policlinico, Milan, Italy. carlo.gelmetti@unimi.it FAU - Boralevi, Franck AU - Boralevi F FAU - Seité, Sophie AU - Seité S FAU - Grimalt, Ramon AU - Grimalt R FAU - Humbert, Philippe AU - Humbert P FAU - Luger, Thomas AU - Luger T FAU - Stalder, Jean-Francois AU - Stalder JF FAU - Taïeb, Alain AU - Taïeb A FAU - Tennstedt, Dominique AU - Tennstedt D FAU - Garcia Diaz, Rita AU - Garcia Diaz R FAU - Rougier, André AU - Rougier A LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PL - United States TA - Pediatr Dermatol JT - Pediatric dermatology JID - 8406799 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Emollients) RN - 0 (Oleic Acids) RN - 0 (Plant Oils) RN - 0 (shea oleine) SB - IM MH - Administration, Topical MH - Adrenal Cortex Hormones/administration & dosage MH - Adult MH - Child MH - Child, Preschool MH - Dermatitis, Atopic/*drug therapy/*psychology MH - Emollients/*administration & dosage MH - *Family Health MH - Female MH - Humans MH - Infant MH - Male MH - Oleic Acids/*administration & dosage MH - Parent-Child Relations MH - Plant Oils/*administration & dosage MH - Quality of Life/*psychology MH - Severity of Illness Index MH - Surveys and Questionnaires MH - Treatment Outcome EDAT- 2012/10/31 06:00 MHDA- 2013/09/10 06:00 CRDT- 2012/10/31 06:00 PHST- 2012/10/31 06:00 [entrez] PHST- 2012/10/31 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] AID - 10.1111/j.1525-1470.2012.01817.x [doi] PST - ppublish SO - Pediatr Dermatol. 2012 Nov-Dec;29(6):714-8. doi: 10.1111/j.1525-1470.2012.01817.x. PMID- 29739433 OWN - NLM STAT- MEDLINE DCOM- 20190110 LR - 20231112 IS - 1744-8603 (Electronic) IS - 1744-8603 (Linking) VI - 14 IP - 1 DP - 2018 May 9 TI - "Because if we talk about health issues first, it is easier to talk about human trafficking"; findings from a mixed methods study on health needs and service provision among migrant and trafficked fishermen in the Mekong. PG - 45 LID - 10.1186/s12992-018-0361-x [doi] LID - 45 AB - BACKGROUND: Human trafficking in the fishing industry or "sea slavery" in the Greater Mekong Subregion is reported to involve some of the most extreme forms of exploitation and abuse. A largely unregulated sector, commercial fishing boats operate in international waters far from shore and outside of national jurisdiction, where workers are commonly subjected to life-threatening risks. Yet, research on the health needs of trafficked fishermen is sparse. This paper describes abuses, occupational hazards, physical and mental health and post-trafficking well-being among a systematic consecutive sample of 275 trafficked fishermen using post-trafficking services in Thailand and Cambodia. These findings are complemented by qualitative interview data collected with 20 key informants working with fishermen or on issues related to their welfare in Thailand. RESULTS: Men and boys trafficked for fishing (aged 12-55) were mainly from Cambodia (n = 217) and Myanmar (n = 55). Common physical health problems included dizzy spells (30.2%), exhaustion (29.5%), headaches (28.4%) and memory problems (24.0%). Nearly one-third (29.1%) reported pain in three or more areas of their body and one-quarter (26.9%) reported being in "poor" health. Physical health symptoms were strongly associated with: severe violence; injuries; engagement in long-haul fishing; immigration detention or symptoms of mental health disorders. Survivors were exposed to multiple work hazards and were perceived as disposable when disabled by illness or injuries. Employers struggled to apply internationally recommended Personal Protective Equipment (PPE) practices in Thailand. Non-governmental organizations (NGOs) encountered challenges when trying to obtain healthcare for uninsured fishermen. Challenges included fee payment, service provision in native languages and officials siding with employers in disputes over treatment costs and accident compensation. Survivors' post-trafficking concerns included: money problems (75.9%); guilt and shame (33.5%); physical health (33.5%) and mental health (15.3%). CONCLUSION: Fishermen in this region are exposed to very serious risks to their health and safety, and their illnesses and injuries often go untreated. Men who enter the fishing industry in Thailand, especially migrant workers, require safe working conditions and targeted protections from human trafficking. Survivors of the crime of sea slavery must be provided with the compensation they deserve and the care they need, especially psychological support. FAU - Pocock, Nicola S AU - Pocock NS AD - United Nations University International Institute of Global Health, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. nicola.pocock@unu.edu. FAU - Tadee, Reena AU - Tadee R AD - Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon District, Nakhon Pathom, 73170, Thailand. FAU - Tharawan, Kanokwan AU - Tharawan K AD - Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon District, Nakhon Pathom, 73170, Thailand. FAU - Rongrongmuang, Wansiri AU - Rongrongmuang W AD - Independent consultant, Bangkok, Thailand. FAU - Dickson, Brett AU - Dickson B AD - International Organization for Migration, Norodom Blvd, No. 281, 4th Floor, Sangkat Tonle Basac, Khan Chamkamorn, Phnom Penh, Cambodia. FAU - Suos, Soksreymom AU - Suos S AD - Independent consultant, Phnom Penh, Cambodia. FAU - Kiss, Ligia AU - Kiss L AD - Department of Global Health & Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, Kings Cross, London, WC1H 9SH, UK. FAU - Zimmerman, Cathy AU - Zimmerman C AD - Department of Global Health & Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, Kings Cross, London, WC1H 9SH, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180509 PL - England TA - Global Health JT - Globalization and health JID - 101245734 SB - IM MH - Adolescent MH - Adult MH - Cambodia/ethnology MH - Child MH - *Fisheries MH - *Human Trafficking MH - Humans MH - Male MH - Middle Aged MH - Myanmar/ethnology MH - *Needs Assessment MH - Qualitative Research MH - Survivors/*psychology/statistics & numerical data MH - Thailand MH - Transients and Migrants/*psychology/statistics & numerical data MH - Young Adult PMC - PMC5941587 OTO - NOTNLM OT - Cambodia OT - Fishing OT - Forced labour OT - Human trafficking OT - Migrant fishermen OT - Migrant health OT - Myanmar OT - Thailand OT - Trafficked fishermen COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: As noted in the Methods section, for quantitative data, written informed consent with trafficked fishermen using post-trafficking services in Thailand and Cambodia was obtained prior to interview. A strict ethics protocol based on the World Health Organization Ethical Recommendations for Interviewing Trafficked Women was followed [44]. Ethics approval was obtained from Institutional Review Boards at the Ministry of Social Development and Human Security in Thailand, the National Ethics Committee for Health Research in Cambodia and the London School of Hygiene and Tropical Medicine (LSHTM). The LSHTM IRB number is 5770. As noted in Methods, the port research site is not named to preserve the anonymity of participants interviewed for the qualitative component. Because of the small number of organizations and individuals working with migrant and trafficked fishermen, participants may be identifiable if the port research site is named. Written informed consent was obtained from each participant. Ethical approval was obtained from the LSHTM’s Observational Ethics Committee (IRB no. 8368) and from the Institute of Population and Social Research’s Institutional Review Board at Mahidol University (IRB No. 2014/1–1-22). COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER’S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/05/10 06:00 MHDA- 2019/01/11 06:00 PMCR- 2018/05/09 CRDT- 2018/05/10 06:00 PHST- 2017/09/14 00:00 [received] PHST- 2018/04/19 00:00 [accepted] PHST- 2018/05/10 06:00 [entrez] PHST- 2018/05/10 06:00 [pubmed] PHST- 2019/01/11 06:00 [medline] PHST- 2018/05/09 00:00 [pmc-release] AID - 10.1186/s12992-018-0361-x [pii] AID - 361 [pii] AID - 10.1186/s12992-018-0361-x [doi] PST - epublish SO - Global Health. 2018 May 9;14(1):45. doi: 10.1186/s12992-018-0361-x. PMID- 25558742 OWN - NLM STAT- MEDLINE DCOM- 20150316 LR - 20150106 IS - 1592-7830 (Print) IS - 1592-7830 (Linking) VI - 36 IP - 4 DP - 2014 Oct-Dec TI - [Risk factors in police activities: operational criticism in surveillance programs]. PG - 397-9 AB - The planning of specific health surveillance programs for police officers is extremely complex due to difficulty in predictability and variety of occupational hazards. Even in the case of conventional occupational risk factors clearly identified by current regulations, particular working conditions may require specific assessment to effectively identify and quantify the risk of occupational exposure. An extensive program of health surveillance, aimed at promoting overall health and effectiveness of the operators, would be really desirable, in order to help better address a number of risks that cannot be easily predicted. The progressive increase in the average age of the working population and the increasing prevalence of chronic degenerative diseases, may also suggest the need for health surveillance procedures designed to verify continued unqualified suitability to police service, providing for the identification of diversified suitability profiles in relation to age and state of health: accordingly, in regard to our field of interest, there is a close link between medico-legal eligibility and occupational medicine. FAU - Ciprani, Fabrizio AU - Ciprani F AD - Ministero dell'Interno - Dipartimento della Pubblica Sicurezza, Direzione Centrale Sanità. FAU - Moroni, Maria AU - Moroni M FAU - Conte, Giovanni AU - Conte G LA - spa PT - English Abstract PT - Journal Article PT - Review TT - Fattori di rischio nell'attività di Polizia: criticità operative nei protocolli di sorveglianza. PL - Italy TA - G Ital Med Lav Ergon JT - Giornale italiano di medicina del lavoro ed ergonomia JID - 9712708 RN - 0 (Hazardous Substances) SB - IM MH - Chronic Disease MH - Hazardous Substances/adverse effects MH - Humans MH - Italy MH - *Law Enforcement MH - Noise/adverse effects MH - Occupational Diseases/*epidemiology/prevention & control MH - Occupational Exposure MH - *Police/legislation & jurisprudence/statistics & numerical data MH - Population Dynamics MH - *Population Surveillance MH - Risk Assessment/legislation & jurisprudence MH - Risk Factors MH - Safety Management/*organization & administration MH - Stress, Psychological/epidemiology MH - Work Capacity Evaluation EDAT- 2015/01/07 06:00 MHDA- 2015/03/17 06:00 CRDT- 2015/01/07 06:00 PHST- 2015/01/07 06:00 [entrez] PHST- 2015/01/07 06:00 [pubmed] PHST- 2015/03/17 06:00 [medline] PST - ppublish SO - G Ital Med Lav Ergon. 2014 Oct-Dec;36(4):397-9. PMID- 23558730 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130408 LR - 20240418 IS - 2044-6055 (Print) IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 3 IP - 4 DP - 2013 TI - Juvenile Huntington's disease: a population-based study using the General Practice Research Database. LID - 10.1136/bmjopen-2012-002085 [doi] LID - e002085 AB - BACKGROUND: The juvenile form of Huntington's disease (HD) is a rare disorder. There are no population-based estimates of either its incidence or prevalence in any population in the world. The present study was undertaken to estimate the frequency of juvenile HD in the UK and to examine the range of pharmacological treatments used in its management. METHOD: The records of individuals under the age of 21 who had recorded diagnoses of HD were retrieved from the General Practice Research Database from 1990 through 2010. From these data estimates of incidence and prevalence were made as well as the specific treatments used in the treatment of its physical and psychological manifestations. RESULTS: 12 incident and 21 prevalent patients with juvenile HD were identified. The 21 prevalent cases included the 12 incident cases. The minimum population-based estimate of incidence is 0.70 (95% CI 0.36 to 1.22) per million patient-years. The minimum estimate of prevalence is 6.77/million (95% CI 5.60 to 8.12) per million patient-years. Patients were most frequently prescribed antidepressants, hypnotics, antipsychotics and treatments for motor abnormalities. CONCLUSIONS: In the UK, juvenile HD is an extremely rare and complex disorder. The prescribing data demonstrate that the clinical management of juvenile HD is undertaken with no formal evidence base for the efficacy or safety of the treatments used. Research into the safety and efficacy of appropriate therapies is urgently required to offset the haphazard nature of prescribing. Multinational collaboration will be necessary to enrol sufficient numbers. Exploratory studies, though, should begin now. FAU - Douglas, Ian AU - Douglas I AD - Department of Epidemiology, London School of Hygiene and Tropical Medicine, University of London, London, UK. FAU - Evans, Stephen AU - Evans S FAU - Rawlins, Michael D AU - Rawlins MD FAU - Smeeth, Liam AU - Smeeth L FAU - Tabrizi, Sarah J AU - Tabrizi SJ FAU - Wexler, Nancy S AU - Wexler NS LA - eng GR - Wellcome Trust/United Kingdom GR - 098504/Wellcome Trust/United Kingdom GR - G0802403/MRC_/Medical Research Council/United Kingdom GR - MR/K006584/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article DEP - 20130403 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 PMC - PMC3641420 EDAT- 2013/04/06 06:00 MHDA- 2013/04/06 06:01 PMCR- 2013/04/02 CRDT- 2013/04/06 06:00 PHST- 2013/04/06 06:00 [entrez] PHST- 2013/04/06 06:00 [pubmed] PHST- 2013/04/06 06:01 [medline] PHST- 2013/04/02 00:00 [pmc-release] AID - bmjopen-2012-002085 [pii] AID - 10.1136/bmjopen-2012-002085 [doi] PST - epublish SO - BMJ Open. 2013 Apr 3;3(4):e002085. doi: 10.1136/bmjopen-2012-002085. Print 2013. PMID- 19006026 OWN - NLM STAT- MEDLINE DCOM- 20090212 LR - 20151119 IS - 0022-9032 (Print) IS - 0022-9032 (Linking) VI - 66 IP - 10 DP - 2008 Oct TI - Psychological and clinical problems in young adults with implantable cardioverter-defibrillators. PG - 1050-8; discussion 1059-60 AB - BACKGROUND: Implantable cardioverter-defibrillators (ICD) are the most effective treatment in patients with the risk of sudden cardiac death. ICD improves patients' safety but is also the source of numerous inconveniences. Especially young people consider such ICD-related inconveniences as most unwelcome. AIM: To assess the quality of life and main psychological problems encountered in young adults with an ICD. METHODS: We studied 45 subjects aged 14-29 years (mean 21.2+/-4.3). ICDs were used in primary prevention in 22 patients, and in secondary prevention in 23 patients. Time elapsed from implantation ranged from 5 months to 11 years (4.3+/-2.7 years). Since the problems affecting this group were rather specific, the patients' quality of life was assessed with a special questionnaire addressing important issues and problems associated with living with an ICD. RESULTS: ICD discharges were observed in 67.4% of patients (primary prevention - 45.5%, secondary prevention - 82.6%), multiple shocks in 47.2%, and phantom shocks in 21.4%. Anxiety associated with an ICD discharge was reported by 84.4% of patients. In order to prevent ICD discharges, 53.3% of patients decreased their activity. Problems with memory were observed in 42.2% of patients, with concentration in 47.6%, and with sleep in 42.2%. Almost half of those over 18 years of age were active drivers. None of the subjects experienced an ICD discharge during sexual intercourse. None of the men reported any sexual problems, while seven (41.2%) women did. Almost a quarter of the patients claimed to have had complications after the implantation. Young adult patients generally were compliant to have their ICD checked and accepted their limitations and disease. Fewer people assessed their health status as bad. Some patients in the group studied found it extremely difficult to accept their disease and/or ICD and to adapt to the situation. As many as nine patients believed the ICD implantation had been unnecessary, seven did not accept the ICD, three patients thought negatively of follow-up visits, three were not compliant, 13 did not accept the limitations, four refused to accept the fact that their disease existed, and seven refused to do anything. At least four patients talked or thought about having the ICD removed. CONCLUSIONS: Patients with ICD have problems in different spheres of their activity (physical, psychological, and social). Such patients need to be informed appropriately about the ICD itself and its functioning. They should be granted psychological support from health professionals who are familiar with the specific problems of ICD recipients. FAU - Wójcicka, Mariola AU - Wójcicka M AD - Institute of Cardiology, 2nd Coronary Artery Disease Department, Warsaw, tel, Poland. mariolaw@orange.pl FAU - Lewandowski, Michał AU - Lewandowski M FAU - Smolis-Bak, Edyta AU - Smolis-Bak E FAU - Szwed, Hanna AU - Szwed H LA - eng PT - Journal Article PL - Poland TA - Kardiol Pol JT - Kardiologia polska JID - 0376352 SB - IM MH - *Activities of Daily Living MH - Adaptation, Psychological MH - Adolescent MH - Arrhythmias, Cardiac/*psychology/therapy MH - Defibrillators, Implantable/*psychology MH - Female MH - Humans MH - Male MH - Patient Compliance/*psychology MH - Poland MH - Professional-Patient Relations MH - *Quality of Life MH - Social Support MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - Young Adult EDAT- 2008/11/14 09:00 MHDA- 2009/02/13 09:00 CRDT- 2008/11/14 09:00 PHST- 2008/11/14 09:00 [pubmed] PHST- 2009/02/13 09:00 [medline] PHST- 2008/11/14 09:00 [entrez] AID - 11235 [pii] PST - ppublish SO - Kardiol Pol. 2008 Oct;66(10):1050-8; discussion 1059-60. PMID- 15353389 OWN - NLM STAT- MEDLINE DCOM- 20050124 LR - 20170607 IS - 1064-7481 (Print) IS - 1064-7481 (Linking) VI - 12 IP - 5 DP - 2004 Sep-Oct TI - A randomized, double-blind, crossover comparison of risperidone and haloperidol in Korean dementia patients with behavioral disturbances. PG - 509-16 AB - OBJECTIVE: Behavioral disturbances in dementia are extremely prominent and distressful, and often result in serious physical, social, and economic consequences. The authors compared the efficacy and tolerability of risperidone and haloperidol in the treatment of behavioral and psychological symptoms of dementia (BPSD) in institutionalized elderly Korean patients with Alzheimer disease, vascular dementia, or mixed dementia. METHODS: This was an 18-week double-blind, crossover study involving 120 patients who were randomly assigned to receive flexible doses (0.5-1.5 mg/day) of risperidone or haloperidol. BPSD were assessed using the Korean version of the Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD-K), the Korean version of the Cohen-Mansfield Agitation Inventory (CMAI-K), and the Clinical Global Impression of Change scale (CGI-C). Safety and tolerability assessments included the Extrapyramidal Symptom Rating Scale and the incidence of adverse events. RESULTS: Both risperidone and haloperidol were efficacious in alleviating BPSD. However, when receiving risperidone, patients showed significantly greater improvement than when receiving haloperidol in the total and subscale scores of the BEHAVE-AD-K, the total and subscale scores of the CMAI-K, and the scores on the CGI-C scale. Also, risperidone had an additional benefit on aggressiveness and anxieties/phobias. The risk of antipsychotic-induced parkinsonism throughout this study was significantly lower with risperidone than with haloperidol. CONCLUSION: Risperidone had a favorable efficacy and tolerability profile compared with haloperidol in the treatment of BPSD in this patient population. FAU - Suh, Guk-Hee AU - Suh GH AD - Department of Psychiatry, Hallym University Medical Center, Hangang Sacred Heart Hospital, 94-200 Yungdungpo-Dong, Seoul 150-030, Korea. suhgh@chollian.net FAU - Son, Hyun Gyun AU - Son HG FAU - Ju, Young-Su AU - Ju YS FAU - Jcho, Kyeong Hyeong AU - Jcho KH FAU - Yeon, Byeong Kil AU - Yeon BK FAU - Shin, Young Min AU - Shin YM FAU - Kee, Baik Seok AU - Kee BS FAU - Choi, Sung-Ku AU - Choi SK LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Geriatr Psychiatry JT - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry JID - 9309609 RN - 0 (Antipsychotic Agents) RN - J6292F8L3D (Haloperidol) RN - L6UH7ZF8HC (Risperidone) SB - IM MH - Aged MH - Aged, 80 and over MH - Antipsychotic Agents/adverse effects/*therapeutic use MH - Cross-Over Studies MH - Dementia/*complications/diagnosis/*ethnology MH - Double-Blind Method MH - Drug Tolerance MH - Female MH - Haloperidol/adverse effects/*therapeutic use MH - Humans MH - Korea MH - Male MH - Psychomotor Agitation/*complications/*drug therapy MH - Risperidone/adverse effects/*therapeutic use MH - Surveys and Questionnaires EDAT- 2004/09/09 05:00 MHDA- 2005/01/26 09:00 CRDT- 2004/09/09 05:00 PHST- 2004/09/09 05:00 [pubmed] PHST- 2005/01/26 09:00 [medline] PHST- 2004/09/09 05:00 [entrez] AID - S1064-7481(12)61223-8 [pii] AID - 10.1176/appi.ajgp.12.5.509 [doi] PST - ppublish SO - Am J Geriatr Psychiatry. 2004 Sep-Oct;12(5):509-16. doi: 10.1176/appi.ajgp.12.5.509. PMID- 19715638 OWN - NLM STAT- MEDLINE DCOM- 20100106 LR - 20090831 IS - 0001-7310 (Print) IS - 0001-7310 (Linking) VI - 100 IP - 7 DP - 2009 Sep TI - [An update on scalp psoriasis]. PG - 536-43 AB - Between 50 % and 80 % of patients with psoriasis have involvement of the scalp. The clinical presentation of scalp psoriasis can be very varied, with disease severity ranging from mild to extremely severe.The disease may have a major psychological impact. Treatment should be tailored to each individual in order to achieve a good clinical response or blanching that lasts for as long as possible, with a safe and convenient regimen. Many different treatments have been tried: phototherapy, pulsed magnetic fields, Grenz rays, keratolytics, coal tar, antifungals, dithranol, retinoids, vitamin D analogues, corticosteroids, and systemic treatment. Ideally, for scalp psoriasis, treatment should be effective; applied in the form of a lotion, foam, or emulsion; require few applications per week; and have proven long-term safety. One such treatment is potent corticosteroids and vitamin D3 analogues in combination, which has a fast onset of action and proven long-term safety. FAU - Sola-Ortigosa, J AU - Sola-Ortigosa J AD - Unidad de Psoriasis y Fototerapia, Unidad Docente de la Universidad de Barcelona. Barcelona. España. 38725jso@comb.es FAU - Sánchez-Regaña, M AU - Sánchez-Regaña M FAU - Umbert-Millet, P AU - Umbert-Millet P LA - spa PT - English Abstract PT - Journal Article PT - Review TT - Psoriasis del cuero cabelludo. PL - Spain TA - Actas Dermosifiliogr JT - Actas dermo-sifiliograficas JID - 0373062 SB - IM MH - Diagnosis, Differential MH - Humans MH - *Psoriasis/diagnosis/drug therapy MH - *Scalp Dermatoses/diagnosis/drug therapy RF - 29 EDAT- 2009/09/01 06:00 MHDA- 2010/01/07 06:00 CRDT- 2009/09/01 09:00 PHST- 2009/09/01 09:00 [entrez] PHST- 2009/09/01 06:00 [pubmed] PHST- 2010/01/07 06:00 [medline] AID - S0001-7310(09)71901-5 [pii] PST - ppublish SO - Actas Dermosifiliogr. 2009 Sep;100(7):536-43. PMID- 20027854 OWN - NLM STAT- MEDLINE DCOM- 20100304 LR - 20191027 IS - 0095-6562 (Print) IS - 0095-6562 (Linking) VI - 80 IP - 12 DP - 2009 Dec TI - Organizational pressures and mitigating strategies in small commercial aviation: findings from Alaska. PG - 1055-8 AB - INTRODUCTION: Recent attention has focused on the way in which organizational factors can erode safety in aviation, particularly in regions that have a high accident rate, such as Alaska. The present study builds on this work by examining the direct and indirect pressures that can be exerted on pilots by Alaskan operators. In addition, the paper examines ways in which organizations and individuals manage the effects of pressure. METHOD: Using the critical incident method to uncover situations where the pilot's skills had been challenged, 28 pilots who flew in Alaska were interviewed. A bottom-up qualitative analysis revealed a range of organizational pressures and mitigating strategies. RESULTS: Pilots in Alaska encountered both implicit and explicit norms and expectations to fly in marginal conditions. Pressure also arose from pilots' awareness of the need for their company to make money and from perceived job competition. Some Alaskan operators were able to mitigate the effects of pressure on their pilots and some pilots reported mitigating pressure to fly by managing their employer's expectations and re-emphasizing safety. DISCUSSION: Organizational factors were found to be an important source of pressure for pilots and are likely to contribute to the high accident rate in Alaska. Balancing the competing demands of safety and productivity may be extremely difficult for many small operators, which places a heavy reliance on the decision making of individuals. Both the subtle pressures on individual pilots and strategies for mitigating those pressures are, therefore, extremely important to safety and productivity in small-scale commercial aviation. FAU - Bearman, Chris AU - Bearman C AD - University of South Australia, Level 7, Playford Building, City East Campus, GPO Box 2471, Adelaide, South Australia 5001. chris.bearman@unisa.edu.au FAU - Paletz, Susannah B F AU - Paletz SB FAU - Orasanu, Judith AU - Orasanu J FAU - Brooks, Benjamin P AU - Brooks BP LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Aviat Space Environ Med JT - Aviation, space, and environmental medicine JID - 7501714 SB - IM MH - *Adaptation, Psychological MH - Adult MH - Aged MH - Alaska MH - Aviation/*organization & administration MH - Commerce MH - *Decision Making MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - Organizational Case Studies MH - *Organizational Culture EDAT- 2009/12/24 06:00 MHDA- 2010/03/05 06:00 CRDT- 2009/12/24 06:00 PHST- 2009/12/24 06:00 [entrez] PHST- 2009/12/24 06:00 [pubmed] PHST- 2010/03/05 06:00 [medline] AID - 10.3357/asem.2590.2009 [doi] PST - ppublish SO - Aviat Space Environ Med. 2009 Dec;80(12):1055-8. doi: 10.3357/asem.2590.2009. PMID- 25053606 OWN - NLM STAT- MEDLINE DCOM- 20150411 LR - 20151119 IS - 1541-3772 (Electronic) IS - 1048-2911 (Linking) VI - 24 IP - 1 DP - 2014 TI - Risks endemic to long-haul trucking in North America: strategies to protect and promote driver well-being. PG - 57-81 LID - 10.2190/NS.24.1.c [doi] AB - Long-haul truck drivers in North America function in a work context marked by excess physical and psychological workload, erratic schedules, disrupted sleep patterns, extreme time pressures, and these factors' far-reaching consequences. These work-induced stressors are connected with excess risk for cardiometabolic disease, certain cancers, and musculoskeletal and sleep disorders, as well as highway crashes, which in turn exert enormous financial burdens on trucking and warehousing companies, governments and healthcare systems, along with working people within the sector. This article: 1) delineates the unique work environment of long-haul truckers, describing their work characteristics and duties; (2) discusses the health hazards of long-haul trucking that impact drivers, the general population, and trucking enterprises, examining how this work context induces, sustains, and exacerbates these hazards; and (3) proposes comprehensive, multi-level strategies with potential to protect and promote the health, safety, and well-being of truckers, while reducing adverse consequences for companies and highway safety. FAU - Apostolopoulos, Yorghos AU - Apostolopoulos Y AD - Department of Public Health Education of the School of Health and Human Sciences, University of North Carolina Greensboro. FAU - Lemke, Michael AU - Lemke M AD - Community Psychology doctoral program, Wichita State University. FAU - Sönmez, Sevil AU - Sönmez S AD - Department of Marketing, Entrepreneurship, Hospitality, and Tourism, Bryan School of Business and Economics of the University of North Carolina Greensboro. LA - eng PT - Journal Article PL - United States TA - New Solut JT - New solutions : a journal of environmental and occupational health policy : NS JID - 9100937 RN - 0 (Air Pollutants, Occupational) SB - IM MH - Adult MH - Air Pollutants, Occupational/*adverse effects MH - *Automobile Driving MH - Cardiovascular Diseases/epidemiology MH - Causality MH - Fatigue/epidemiology MH - Female MH - *Health Status Indicators MH - Humans MH - Lung Diseases/epidemiology MH - Male MH - Mental Disorders/epidemiology MH - Middle Aged MH - *Motor Vehicles MH - Musculoskeletal Diseases/epidemiology MH - Neoplasms/epidemiology MH - North America/epidemiology MH - Obesity/epidemiology MH - Occupational Diseases/*chemically induced/epidemiology/*prevention & control MH - Sleep Wake Disorders/epidemiology OTO - NOTNLM OT - excess driver morbidity OT - highway safety OT - long-haul truckers OT - prevention and protection strategies OT - work environment EDAT- 2014/07/24 06:00 MHDA- 2015/04/12 06:00 CRDT- 2014/07/24 06:00 PHST- 2014/07/24 06:00 [entrez] PHST- 2014/07/24 06:00 [pubmed] PHST- 2015/04/12 06:00 [medline] AID - X431U7355NR44246 [pii] AID - 10.2190/NS.24.1.c [doi] PST - ppublish SO - New Solut. 2014;24(1):57-81. doi: 10.2190/NS.24.1.c. PMID- 22317184 OWN - NLM STAT- MEDLINE DCOM- 20141210 LR - 20191210 IS - 1875-9270 (Electronic) IS - 1051-9815 (Linking) VI - 41 Suppl 1 DP - 2012 TI - Whistleblowers: an essential resource for the sustainable prevention of risks in sociotechnical systems. PG - 3051-61 LID - 10.3233/WOR-2012-0563-3051 [doi] AB - Our world of industry and technology has, over the years, has seen undeniable successes in terms of safety and reliability. But major catastrophes and dramatic accidents continue, even today, to cause major human and material losses and to threaten the environment with pollution on a massive scale. Could these disasters and these accidents have been foreseen and avoided? Would it have been possible to anticipate their occurrence by detecting signals of potential hazards? It is unsettling to notice, through retrospective analysis of such events, that warnings had been issued long before the catastrophe or accident took place. This raises several questions, which we will attempt to address in this paper. Why are whistleblowers often not listened to, threatened, or simply ignored? Why are their warnings viewed as "bad omens" instead of essential resources to ensure safety? Do whistleblowers stand idly by, or do they implement individual and collective strategies to make themselves heard? Which managerial and organizational conditions are conducive to developing empowerment in whistleblowers? Based on four case studies, we attempt to address these questions, and offer a first level of analysis and explanation by proposing and defining two new concepts: operative resilience and strategic resilience. FAU - Benchekroun, Tahar Hakim AU - Benchekroun TH AD - Conservatoire National des Arts et Métiers, Centre de Recherche sur le Travail et Développement (CRTD), 41 rue Gay-Lussac, 75005 Paris, France. tahar-hakim.benchekroun@cnam.fr FAU - Pierlot, Sandrine AU - Pierlot S LA - eng PT - Journal Article PL - United States TA - Work JT - Work (Reading, Mass.) JID - 9204382 SB - IM MH - *Accident Prevention MH - Disasters/*prevention & control MH - Extreme Heat MH - Humans MH - Nuclear Power Plants MH - Organizational Culture MH - Power, Psychological MH - Resilience, Psychological MH - Seveso Accidental Release MH - Spacecraft MH - *Whistleblowing/psychology EDAT- 2012/02/10 06:00 MHDA- 2014/12/15 06:00 CRDT- 2012/02/10 06:00 PHST- 2012/02/10 06:00 [entrez] PHST- 2012/02/10 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - 8152U735668285W0 [pii] AID - 10.3233/WOR-2012-0563-3051 [doi] PST - ppublish SO - Work. 2012;41 Suppl 1:3051-61. doi: 10.3233/WOR-2012-0563-3051. PMID- 10723879 OWN - NLM STAT- MEDLINE DCOM- 20000327 LR - 20190831 IS - 0140-0118 (Print) IS - 0140-0118 (Linking) VI - 37 IP - 6 DP - 1999 Nov TI - Experimental analysis of the human perception threshold of a DC electric field. PG - 727-32 AB - To study the biological effects of extremely low frequency (ELF) electric fields, a fundamental study is conducted of the human perception threshold of an electric field. The perception threshold is measured with human subjects, and the results are analysed. It is clear that field perception is based on the movement of hair and not on other sensations. Variance in the perception threshold and its causes are investigated. The perception threshold decreases by almost 30% as the relative humidity increases from 50 to 90%. The perception threshold is also dependent on the physical condition (length and density) of the hair and the psychological condition (degree of awareness) of the subject. The dependence on these is much smaller than that on relative humidity. The cause of the gender difference in the threshold is ascribed to the difference in the physical condition of the hair. Through this study, some factors to be taken into account for the safety standard are made clear. FAU - Odagiri-Shimizu, H AU - Odagiri-Shimizu H AD - Hokkaido Institute of Technology, Sapporo, Japan. shimizu@hit.ac.jp FAU - Shimizu, K AU - Shimizu K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Med Biol Eng Comput JT - Medical & biological engineering & computing JID - 7704869 SB - IM MH - Adult MH - Awareness/physiology MH - *Electromagnetic Fields MH - Female MH - Hair/physiology MH - Humans MH - Male MH - Movement/physiology MH - *Sensory Thresholds MH - Static Electricity EDAT- 2000/03/21 09:00 MHDA- 2000/04/01 09:00 CRDT- 2000/03/21 09:00 PHST- 2000/03/21 09:00 [pubmed] PHST- 2000/04/01 09:00 [medline] PHST- 2000/03/21 09:00 [entrez] AID - 10.1007/BF02513374 [doi] PST - ppublish SO - Med Biol Eng Comput. 1999 Nov;37(6):727-32. doi: 10.1007/BF02513374. PMID- 22382190 OWN - NLM STAT- MEDLINE DCOM- 20120612 LR - 20220317 IS - 0971-5916 (Print) IS - 0971-5916 (Linking) VI - 135 IP - 1 DP - 2012 TI - Sex worker-led structural interventions in India: a case study on addressing violence in HIV prevention through the Ashodaya Samithi collective in Mysore. PG - 98-106 AB - BACKGROUND & OBJECTIVES: Structural interventions have the capacity to improve the outcomes of HIV/AIDS interventions by changing the social, economic, political or environmental factors that determine risk and vulnerability. Marginalized groups face disproportionate barriers to health, and sex workers are among those at highest risk of HIV in India. Evidence in India and globally has shown that sex workers face violence in many forms ranging from verbal, psychological and emotional abuse to economic extortion, physical and sexual violence and this is directly linked to lower levels of condom use and higher levels of sexually transmitted infections (STIs), the most critical determinants of HIV risk. We present here a case study of an intervention that mobilized sex workers to lead an HIV prevention response that addresses violence in their daily lives. METHODS: This study draws on ethnographic research and project monitoring data from a community-led structural intervention in Mysore, India, implemented by Ashodaya Samithi. Qualitative and quantitative data were used to characterize baseline conditions, community responses and subsequent outcomes related to violence. RESULTS: In 2004, the incidence of reported violence by sex workers was extremely high (> 8 incidents per sex worker, per year) but decreased by 84 per cent over 5 years. Violence by police and anti-social elements, initially most common, decreased substantially after a safe space was established for sex workers to meet and crisis management and advocacy were initiated with different stakeholders. Violence by clients, decreased after working with lodge owners to improve safety. However, initial increases in intimate partner violence were reported, and may be explained by two factors: (i) increased willingness to report such incidents; and (ii) increased violence as a reaction to sex workers' growing empowerment. Trafficking was addressed through the establishment of a self-regulatory board (SRB). The community's progressive response to violence was enabled by advancing community mobilization, ensuring community ownership of the intervention, and shifting structural vulnerabilities, whereby sex workers increasingly engaged key actors in support of a more enabling environment. INTERPRETATION & CONCLUSIONS: Ashodaya's community-led response to violence at multiple levels proved highly synergistic and effective in reducing structural violence. FAU - Reza-Paul, Sushena AU - Reza-Paul S AD - University of Manitoba, Department of Community Health Sciences, Winnipeg, Manitoba, Canada. rezapaul@cc.umanitoba.ca FAU - Lorway, Rob AU - Lorway R FAU - O'Brien, Nadia AU - O'Brien N FAU - Lazarus, Lisa AU - Lazarus L FAU - Jain, Jinendra AU - Jain J FAU - Bhagya, M AU - Bhagya M FAU - Fathima Mary, P AU - Fathima Mary P FAU - Venukumar, K T AU - Venukumar KT FAU - Raviprakash, K N AU - Raviprakash KN FAU - Baer, James AU - Baer J FAU - Steen, Richard AU - Steen R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - India TA - Indian J Med Res JT - The Indian journal of medical research JID - 0374701 SB - IM MH - Female MH - *HIV Infections/prevention & control/psychology/virology MH - Humans MH - India MH - Organizations MH - Police MH - Power, Psychological MH - Safe Sex MH - Sex Workers/education/*psychology MH - Sexual Behavior/*psychology MH - *Violence PMC - PMC3307193 EDAT- 2012/03/03 06:00 MHDA- 2012/06/13 06:00 PMCR- 2012/01/01 CRDT- 2012/03/03 06:00 PHST- 2012/03/03 06:00 [entrez] PHST- 2012/03/03 06:00 [pubmed] PHST- 2012/06/13 06:00 [medline] PHST- 2012/01/01 00:00 [pmc-release] AID - IndianJMedRes_2012_135_1_98_93431 [pii] AID - IJMR-135-98 [pii] AID - 10.4103/0971-5916.93431 [doi] PST - ppublish SO - Indian J Med Res. 2012;135(1):98-106. doi: 10.4103/0971-5916.93431. PMID- 33054614 OWN - NLM STAT- MEDLINE DCOM- 20210222 LR - 20210222 IS - 1545-0813 (Electronic) IS - 1059-924X (Linking) VI - 25 IP - 4 DP - 2020 Oct TI - Horticulture in Queensland Australia, COVID-19 Response. It Hasn't All Been Bad on Reflection. PG - 402-408 LID - 10.1080/1059924X.2020.1815620 [doi] AB - Australia and with that Queensland have been extremely fortunate with the impact of COVID-19. Queensland has only had 1,067 cases as of June 30, 2020, of which 78% have been overseas acquired. Australia and Queensland acted early to address COVID-19 by putting in place a range of strategies including travel bans (international and domestic), isolation measures, testing regimes, advice to business, economic support, and research funding. Agriculture was designated an essential business and as such has continued operating throughout the pandemic. They have however had to develop and implement COVID plans to keep workers safe. To help agricultural business establish plans information was developed by Safe Work Australia, National Farmers Federation and the Queensland Department of Workplace Health and Safety. Workforce issues were identified early, particularly seasonal workers (those who travel from their usual place of residence to another place to work). The Queensland Government enacted a directive about how seasonal workers were to be managed and also developed a guide specifically for horticulture to help manage their COVID-19 response. We provide two case studies demonstrating how agriculture has responded to COVID-19. Agriculture has successfully, in Queensland, adapted quickly to the changing work conditions due to COVID-19. This is due to all levels of government coming together with industry to find solutions. Some changes have had wider benefits such as improved sanitation, better communication and a greater recognition of seasonal worker needs. Being prepared and resilient has enabled agriculture to alleviate the impact on their businesses ensuring the health of all. FAU - Franklin, Richard C AU - Franklin RC AUID- ORCID: 0000-0003-1864-4552 AD - Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University , Townsville, Australia. FAU - O'Sullivan, Fiona AU - O'Sullivan F AD - Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University , Townsville, Australia. LA - eng PT - Journal Article DEP - 20201015 PL - England TA - J Agromedicine JT - Journal of agromedicine JID - 9421530 SB - IM MH - COVID-19/epidemiology/*psychology MH - Farmers/statistics & numerical data MH - *Horticulture/statistics & numerical data MH - Humans MH - *Occupational Health MH - Queensland/epidemiology MH - Resilience, Psychological OTO - NOTNLM OT - COVID-19 OT - Queensland OT - WHS OT - horticulture OT - resilience OT - safety EDAT- 2020/10/16 06:00 MHDA- 2021/02/23 06:00 CRDT- 2020/10/15 17:08 PHST- 2020/10/16 06:00 [pubmed] PHST- 2021/02/23 06:00 [medline] PHST- 2020/10/15 17:08 [entrez] AID - 10.1080/1059924X.2020.1815620 [doi] PST - ppublish SO - J Agromedicine. 2020 Oct;25(4):402-408. doi: 10.1080/1059924X.2020.1815620. Epub 2020 Oct 15. PMID- 11542719 OWN - NASA STAT- MEDLINE DCOM- 20000402 LR - 20191027 IS - 0265-9646 (Print) IS - 0265-9646 (Linking) VI - 5 DP - 1989 Aug TI - Crucial factor: human. Safely extending the human presence in space. PG - 201-16 AB - The concept of advanced manned space missions has captured the interest and imagination of spacefaring nations. However, the physiological and psychological effects of space flight increase in magnitude and significance in the 'extended time-in-space' context. The unencumbered weightless condition enjoyed during short flights might compromise crew productivity upon return to a gravity field and extremely effective countermeasures may be essential. Missions remote from Earth require careful consideration of the medical facilities, psychological support and life support needed. The author discusses pressing issues that must be resolved before the visions of bolder human missions can be realistically fulfilled. FAU - Garshnek, V AU - Garshnek V AD - Science Communications Studies, George Washington University, Washington, DC 20052, USA. LA - eng PT - Journal Article PL - England TA - Space Policy JT - Space policy JID - 100971283 MH - *Adaptation, Physiological MH - *Aerospace Medicine MH - Cosmic Radiation MH - Environmental Monitoring MH - Ergonomics MH - Humans MH - Life Support Systems MH - Safety MH - Space Flight/*trends MH - Task Performance and Analysis MH - Weightlessness/*adverse effects MH - *Weightlessness Countermeasures OID - NASA: 00024856 OTO - NASA OT - NASA Center HQS OT - NASA Discipline General Space Life Sciences FIR - Nicogossian, A E IR - Nicogossian AE IRAD- NASA HQS EDAT- 1989/08/01 00:00 MHDA- 2001/09/11 10:01 CRDT- 1989/08/01 00:00 PHST- 1989/08/01 00:00 [pubmed] PHST- 2001/09/11 10:01 [medline] PHST- 1989/08/01 00:00 [entrez] AID - 10.1016/0265-9646(89)90087-8 [doi] PST - ppublish SO - Space Policy. 1989 Aug;5:201-16. doi: 10.1016/0265-9646(89)90087-8. PMID- 18287908 OWN - NLM STAT- MEDLINE DCOM- 20080429 LR - 20191210 IS - 1550-5022 (Electronic) IS - 1078-4659 (Linking) VI - 14 IP - 2 DP - 2008 Mar-Apr TI - Effect of surgical masks worn concurrently over N95 filtering facepiece respirators: extended service life versus increased user burden. PG - E19-26 LID - 10.1097/01.PHH.0000311904.41691.fd [doi] AB - Growing concern over the availability of Respiratory protective devices (eg, filtering facepiece Respirators), in the face of the probable extreme demand brought on by a pandemic influenza, has prompted the suggestion that useful life of N95 filtering facepiece Respirator can be extended by the concurrent use of a surgical mask as an outer protective barrier over the Respirator. Personal protective equipment generally places a strain on the user, and the detrimental physiological and psychological burdens normally imposed by Respirator use could be magnified by the addition of an extra layer of protection such as a surgical mask. The issue of this potentially increased burden of the concurrent use of a surgical facemask with an N95 filtering facepiece Respirator is investigated to afford users the necessary information to make informed decisions Regarding the use of this Respiratory personal protective equipment in the face of large-scale outbreaks of Respiratory pathogens. FAU - Roberge, Raymond J AU - Roberge RJ AD - National Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Pittsburgh, PA 15236, USA. dtn0@cdc.gov LA - eng PT - Evaluation Study PT - Journal Article PL - United States TA - J Public Health Manag Pract JT - Journal of public health management and practice : JPHMP JID - 9505213 MH - Equipment Design MH - Filtration/instrumentation MH - Humans MH - Infection Control/instrumentation MH - Infectious Disease Transmission, Patient-to-Professional/*prevention & control MH - Inhalation Exposure/prevention & control MH - *Masks MH - Occupational Diseases/prevention & control MH - *Respiratory Protective Devices MH - Respiratory Tract Diseases/*prevention & control MH - Risk Factors EDAT- 2008/02/22 09:00 MHDA- 2008/04/30 09:00 CRDT- 2008/02/22 09:00 PHST- 2008/02/22 09:00 [pubmed] PHST- 2008/04/30 09:00 [medline] PHST- 2008/02/22 09:00 [entrez] AID - 00124784-200803000-00023 [pii] AID - 10.1097/01.PHH.0000311904.41691.fd [doi] PST - ppublish SO - J Public Health Manag Pract. 2008 Mar-Apr;14(2):E19-26. doi: 10.1097/01.PHH.0000311904.41691.fd. PMID- 27490260 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220131 IS - 1748-5908 (Electronic) IS - 1748-5908 (Linking) VI - 11 Suppl 2 IP - Suppl 2 DP - 2016 Aug 1 TI - Proceedings of the 8th Annual Conference on the Science of Dissemination and Implementation : Washington, DC, USA. 14-15 December 2015. PG - 100 LID - 10.1186/s13012-016-0452-0 [doi] LID - 100 AB - A1 Introduction to the 8(th) Annual Conference on the Science of Dissemination and Implementation: Optimizing Personal and Population Health David Chambers, Lisa Simpson D1 Discussion forum: Population health D&I research Felicia Hill-Briggs D2 Discussion forum: Global health D&I research Gila Neta, Cynthia Vinson D3 Discussion forum: Precision medicine and D&I research David Chambers S1 Predictors of community therapists’ use of therapy techniques in a large public mental health system Rinad Beidas, Steven Marcus, Gregory Aarons, Kimberly Hoagwood, Sonja Schoenwald, Arthur Evans, Matthew Hurford, Ronnie Rubin, Trevor Hadley, Frances Barg, Lucia Walsh, Danielle Adams, David Mandell S2 Implementing brief cognitive behavioral therapy (CBT) in primary care: Clinicians' experiences from the field Lindsey Martin, Joseph Mignogna, Juliette Mott, Natalie Hundt, Michael Kauth, Mark Kunik, Aanand Naik, Jeffrey Cully S3 Clinician competence: Natural variation, factors affecting, and effect on patient outcomes Alan McGuire, Dominique White, Tom Bartholomew, John McGrew, Lauren Luther, Angie Rollins, Michelle Salyers S4 Exploring the multifaceted nature of sustainability in community-based prevention: A mixed-method approach Brittany Cooper, Angie Funaiole S5 Theory informed behavioral health integration in primary care: Mixed methods evaluation of the implementation of routine depression and alcohol screening and assessment Julie Richards, Amy Lee, Gwen Lapham, Ryan Caldeiro, Paula Lozano, Tory Gildred, Carol Achtmeyer, Evette Ludman, Megan Addis, Larry Marx, Katharine Bradley S6 Enhancing the evidence for specialty mental health probation through a hybrid efficacy and implementation study Tonya VanDeinse, Amy Blank Wilson, Burgin Stacey, Byron Powell, Alicia Bunger, Gary Cuddeback S7 Personalizing evidence-based child mental health care within a fiscally mandated policy reform Miya Barnett, Nicole Stadnick, Lauren Brookman-Frazee, Anna Lau S8 Leveraging an existing resource for technical assistance: Community-based supervisors in public mental health Shannon Dorsey, Michael Pullmann S9 SBIRT implementation for adolescents in urban federally qualified health centers: Implementation outcomes Shannon Mitchell, Robert Schwartz, Arethusa Kirk, Kristi Dusek, Marla Oros, Colleen Hosler, Jan Gryczynski, Carolina Barbosa, Laura Dunlap, David Lounsbury, Kevin O'Grady, Barry Brown S10 PANEL: Tailoring Implementation Strategies to Context - Expert recommendations for tailoring strategies to context Laura Damschroder, Thomas Waltz, Byron Powell S11 PANEL: Tailoring Implementation Strategies to Context - Extreme facilitation: Helping challenged healthcare settings implement complex programs Mona Ritchie S12 PANEL: Tailoring Implementation Strategies to Context - Using menu-based choice tasks to obtain expert recommendations for implementing three high-priority practices in the VA Thomas Waltz S13 PANEL: The Use of Technology to Improve Efficient Monitoring of Implementation of Evidence-based Programs - Siri, rate my therapist: Using technology to automate fidelity ratings of motivational interviewing David Atkins, Zac E. Imel, Bo Xiao, Doğan Can, Panayiotis Georgiou, Shrikanth Narayanan S14 PANEL: The Use of Technology to Improve Efficient Monitoring of Implementation of Evidence-based Programs - Identifying indicators of implementation quality for computer-based ratings Cady Berkel, Carlos Gallo, Irwin Sandler, C. Hendricks Brown, Sharlene Wolchik, Anne Marie Mauricio S15 PANEL: The Use of Technology to Improve Efficient Monitoring of Implementation of Evidence-based Programs - Improving implementation of behavioral interventions by monitoring emotion in spoken speech Carlos Gallo, C. Hendricks Brown, Sanjay Mehrotra S16 Scorecards and dashboards to assure data quality of health management information system (HMIS) using R Dharmendra Chandurkar, Siddhartha Bora, Arup Das, Anand Tripathi, Niranjan Saggurti, Anita Raj S17 A big data approach for discovering and implementing patient safety insights Eric Hughes, Brian Jacobs, Eric Kirkendall S18 Improving the efficacy of a depression registry for use in a collaborative care model Danielle Loeb, Katy Trinkley, Michael Yang, Andrew Sprowell, Donald Nease S19 Measurement feedback systems as a strategy to support implementation of measurement-based care in behavioral health Aaron Lyon, Cara Lewis, Meredith Boyd, Abigail Melvin, Semret Nicodimos, Freda Liu, Nathanial Jungbluth S20 PANEL: Implementation Science and Learning Health Systems: Intersections and Commonalities - Common loop assay: Methods of supporting learning collaboratives Allen Flynn S21 PANEL: Implementation Science and Learning Health Systems: Intersections and Commonalities - Innovating audit and feedback using message tailoring models for learning health systems Zach Landis-Lewis S22 PANEL: Implementation Science and Learning Health Systems: Intersections and Commonalities - Implementation science and learning health systems: Connecting the dots Anne Sales S23 Facilitation activities of Critical Access Hospitals during TeamSTEPPS implementation Jure Baloh, Marcia Ward, Xi Zhu S24 Organizational and social context of federally qualified health centers and variation in maternal depression outcomes Ian Bennett, Jurgen Unutzer, Johnny Mao, Enola Proctor, Mindy Vredevoogd, Ya-Fen Chan, Nathaniel Williams, Phillip Green S25 Decision support to enhance treatment of hospitalized smokers: A randomized trial Steven Bernstein, June-Marie Rosner, Michelle DeWitt, Jeanette Tetrault, James Dziura, Allen Hsiao, Scott Sussman, Patrick O’Connor, Benjamin Toll S26 PANEL: Developing Sustainable Strategies for the Implementation of Patient-Centered Care across Diverse US Healthcare Systems - A patient-centered approach to successful community transition after catastrophic injury Michael Jones, Julie Gassaway S27 PANEL: Developing Sustainable Strategies for the Implementation of Patient-Centered Care across Diverse US Healthcare Systems - Conducting PCOR to integrate mental health and cancer screening services in primary care Jonathan Tobin S28 PANEL: Developing Sustainable Strategies for the Implementation of Patient-Centered Care across Diverse US Healthcare Systems - A comparative effectiveness trial of optimal patient-centered care for US trauma care systems Douglas Zatzick S29 Preferences for in-person communication among patients in a multi-center randomized study of in-person versus telephone communication of genetic test results for cancer susceptibility Angela R Bradbury, Linda Patrick-Miller, Brian Egleston, Olufunmilayo I Olopade, Michael J Hall, Mary B Daly, Linda Fleisher, Generosa Grana, Pamela Ganschow, Dominique Fetzer, Amanda Brandt, Dana Farengo-Clark, Andrea Forman, Rikki S Gaber, Cassandra Gulden, Janice Horte, Jessica Long, Rachelle Lorenz Chambers, Terra Lucas, Shreshtha Madaan, Kristin Mattie, Danielle McKenna, Susan Montgomery, Sarah Nielsen, Jacquelyn Powers, Kim Rainey, Christina Rybak, Michelle Savage, Christina Seelaus, Jessica Stoll, Jill Stopfer, Shirley Yao and Susan Domchek S30 Working towards de-implementation: A mixed methods study in breast cancer surveillance care Erin Hahn, Corrine Munoz-Plaza, Jianjin Wang, Jazmine Garcia Delgadillo, Brian Mittman Michael Gould S31Integrating evidence-based practices for increasing cancer screenings in safety-net primary care systems: A multiple case study using the consolidated framework for implementation research Shuting (Lily) Liang, Michelle C. Kegler, Megan Cotter, Emily Phillips, April Hermstad, Rentonia Morton, Derrick Beasley, Jeremy Martinez, Kara Riehman S32 Observations from implementing an mHealth intervention in an FQHC David Gustafson, Lisa Marsch, Louise Mares, Andrew Quanbeck, Fiona McTavish, Helene McDowell, Randall Brown, Chantelle Thomas, Joseph Glass, Joseph Isham, Dhavan Shah S33 A multicomponent intervention to improve primary care provider adherence to chronic opioid therapy guidelines and reduce opioid misuse: A cluster randomized controlled trial protocol Jane Liebschutz, Karen Lasser S34 Implementing collaborative care for substance use disorders in primary care: Preliminary findings from the summit study Katherine Watkins, Allison Ober, Sarah Hunter, Karen Lamp, Brett Ewing S35 Sustaining a task-shifting strategy for blood pressure control in Ghana: A stakeholder analysis Juliet Iwelunmor, Joyce Gyamfi, Sarah Blackstone, Nana Kofi Quakyi, Jacob Plange-Rhule, Gbenga Ogedegbe S36 Contextual adaptation of the consolidated framework for implementation research (CFIR) in a tobacco cessation study in Vietnam Pritika Kumar, Nancy Van Devanter, Nam Nguyen, Linh Nguyen, Trang Nguyen, Nguyet Phuong, Donna Shelley S37 Evidence check: A knowledge brokering approach to systematic reviews for policy Sian Rudge S38 Using Evidence Synthesis to Strengthen Complex Health Systems in Low- and Middle-Income Countries Etienne Langlois S39 Does it matter: timeliness or accuracy of results? The choice of rapid reviews or systematic reviews to inform decision-making Andrea Tricco S40 Evaluation of the veterans choice program using lean six sigma at a VA medical center to identify benefits and overcome obstacles Sherry Ball, Anne Lambert-Kerzner, Christine Sulc, Carol Simmons, Jeneen Shell-Boyd, Taryn Oestreich, Ashley O'Connor, Emily Neely, Marina McCreight, Amy Labebue, Doreen DiFiore, Diana Brostow, P. Michael Ho, David Aron S41 The influence of local context on multi-stakeholder alliance quality improvement activities: A multiple case study Jillian Harvey, Megan McHugh, Dennis Scanlon S42 Increasing physical activity in early care and education: Sustainability via active garden education (SAGE) Rebecca Lee, Erica Soltero, Nathan Parker, Lorna McNeill, Tracey Ledoux S43 Marking a decade of policy implementation: The successes and continuing challenges of a provincial school food and nutrition policy in Canada Jessie-Lee McIsaac, Kate MacLeod, Nicole Ata, Sherry Jarvis, Sara Kirk S44 Use of research evidence among state legislators who prioritize mental health and substance abuse issues Jonathan Purtle, Elizabeth Dodson, Ross Brownson S45 PANEL: Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and Additional Guidance Based on a Systematic Review and Reports from the Field - Hybrid type 1 designs Brian Mittman, Geoffrey Curran S46 PANEL: Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and Additional Guidance Based on a Systematic Review and Reports from the Field - Hybrid type 2 designs Geoffrey Curran S47 PANEL: Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and Additional Guidance Based on a Systematic Review and Reports from the Field - Hybrid type 3 designs Jeffrey Pyne S48 Linking team level implementation leadership and implementation climate to individual level attitudes, behaviors, and implementation outcomes Gregory Aarons, Mark Ehrhart, Elisa Torres S49 Pinpointing the specific elements of local context that matter most to implementation outcomes: Findings from qualitative comparative analysis in the RE-inspire study of VA acute stroke care Edward Miech S50 The GO score: A new context-sensitive instrument to measure group organization level for providing and improving care Edward Miech S51 A research network approach for boosting implementation and improvement Kathleen Stevens, I.S.R.N. Steering Council S52 PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - The value of qualitative methods in implementation research Alison Hamilton S53 PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - Learning evaluation: The role of qualitative methods in dissemination and implementation research Deborah Cohen S54 PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - Qualitative methods in D&I research Deborah Padgett S55 PANEL: Maps & models: The promise of network science for clinical D&I - Hospital network of sharing patients with acute and chronic diseases in California Alexandra Morshed S56 PANEL: Maps & models: The promise of network science for clinical D&I - The use of social network analysis to identify dissemination targets and enhance D&I research study recruitment for pre-exposure prophylaxis for HIV (PrEP) among men who have sex with men Rupa Patel S57 PANEL: Maps & models: The promise of network science for clinical D&I - Network and organizational factors related to the adoption of patient navigation services among rural breast cancer care providers Beth Prusaczyk S58 A theory of de-implementation based on the theory of healthcare professionals’ behavior and intention (THPBI) and the becker model of unlearning David C. Aron, Divya Gupta, Sherry Ball S59 Observation of registered dietitian nutritionist-patient encounters by dietetic interns highlights low awareness and implementation of evidence-based nutrition practice guidelines Rosa Hand, Jenica Abram, Taylor Wolfram S60 Program sustainability action planning: Building capacity for program sustainability using the program sustainability assessment tool Molly Hastings, Sarah Moreland-Russell S61 A review of D&I study designs in published study protocols Rachel Tabak, Alex Ramsey, Ana Baumann, Emily Kryzer, Katherine Montgomery, Ericka Lewis, Margaret Padek, Byron Powell, Ross Brownson S62 PANEL: Geographic variation in the implementation of public health services: Economic, organizational, and network determinants - Model simulation techniques to estimate the cost of implementing foundational public health services Cezar Brian Mamaril, Glen Mays, Keith Branham, Lava Timsina S63 PANEL: Geographic variation in the implementation of public health services: Economic, organizational, and network determinants - Inter-organizational network effects on the implementation of public health services Glen Mays, Rachel Hogg S64 PANEL: Building capacity for implementation and dissemination of the communities that care prevention system at scale to promote evidence-based practices in behavioral health - Implementation fidelity, coalition functioning, and community prevention system transformation using communities that care Abigail Fagan, Valerie Shapiro, Eric Brown S65 PANEL: Building capacity for implementation and dissemination of the communities that care prevention system at scale to promote evidence-based practices in behavioral health - Expanding capacity for implementation of communities that care at scale using a web-based, video-assisted training system Kevin Haggerty, David Hawkins S66 PANEL: Building capacity for implementation and dissemination of the communities that care prevention system at scale to promote evidence-based practices in behavioral health - Effects of communities that care on reducing youth behavioral health problems Sabrina Oesterle, David Hawkins, Richard Catalano S68 When interventions end: the dynamics of intervention de-adoption and replacement Virginia McKay, M. Margaret Dolcini, Lee Hoffer S69 Results from next-d: can a disease specific health plan reduce incident diabetes development among a national sample of working-age adults with pre-diabetes? Tannaz Moin, Jinnan Li, O. Kenrik Duru, Susan Ettner, Norman Turk, Charles Chan, Abigail Keckhafer, Robert Luchs, Sam Ho, Carol Mangione S70 Implementing smoking cessation interventions in primary care settings (STOP): using the interactive systems framework Peter Selby, Laurie Zawertailo, Nadia Minian, Dolly Balliunas, Rosa Dragonetti, Sarwar Hussain, Julia Lecce S71 Testing the Getting To Outcomes implementation support intervention in prevention-oriented, community-based settings Matthew Chinman, Joie Acosta, Patricia Ebener, Patrick S Malone, Mary Slaughter S72 Examining the reach of a multi-component farmers’ market implementation approach among low-income consumers in an urban context Darcy Freedman, Susan Flocke, Eunlye Lee, Kristen Matlack, Erika Trapl, Punam Ohri-Vachaspati, Morgan Taggart, Elaine Borawski S73 Increasing implementation of evidence-based health promotion practices at large workplaces: The CEOs Challenge Amanda Parrish, Jeffrey Harris, Marlana Kohn, Kristen Hammerback, Becca McMillan, Peggy Hannon S74 A qualitative assessment of barriers to nutrition promotion and obesity prevention in childcare Taren Swindle, Geoffrey Curran, Leanne Whiteside-Mansell, Wendy Ward S75 Documenting institutionalization of a health communication intervention in African American churches Cheryl Holt, Sheri Lou Santos, Erin Tagai, Mary Ann Scheirer, Roxanne Carter, Janice Bowie, Muhiuddin Haider, Jimmie Slade, Min Qi Wang S76 Reduction in hospital utilization by underserved patients through use of a community-medical home Andrew Masica, Gerald Ogola, Candice Berryman, Kathleen Richter S77 Sustainability of evidence-based lay health advisor programs in African American communities: A mixed methods investigation of the National Witness Project Rachel Shelton, Lina Jandorf, Deborah Erwin S78 Predicting the long-term uninsured population and analyzing their gaps in physical access to healthcare in South Carolina Khoa Truong S79 Using an evidence-based parenting intervention in churches to prevent behavioral problems among Filipino youth: A randomized pilot study Joyce R. Javier, Dean Coffey, Sheree M. Schrager, Lawrence Palinkas, Jeanne Miranda S80 Sustainability of elementary school-based health centers in three health-disparate southern communities Veda Johnson, Valerie Hutcherson, Ruth Ellis S81 Childhood obesity prevention partnership in Louisville: creative opportunities to engage families in a multifaceted approach to obesity prevention Anna Kharmats, Sandra Marshall-King, Monica LaPradd, Fannie Fonseca-Becker S82 Improvements in cervical cancer prevention found after implementation of evidence-based Latina prevention care management program Deanna Kepka, Julia Bodson, Echo Warner, Brynn Fowler S83 The OneFlorida data trust: Achieving health equity through research & training capacity building Elizabeth Shenkman, William Hogan, Folakami Odedina, Jessica De Leon, Monica Hooper, Olveen Carrasquillo, Renee Reams, Myra Hurt, Steven Smith, Jose Szapocznik, David Nelson, Prabir Mandal S84 Disseminating and sustaining medical-legal partnerships: Shared value and social return on investment James Teufel FAU - Chambers, David AU - Chambers D AD - Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850 USA FAU - Simpson, Lisa AU - Simpson L AD - AcademyHealth, Washington, DC 20036 USA FAU - Hill-Briggs, Felicia AU - Hill-Briggs F AD - Department of Medicine and Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD 21287 USA FAU - Neta, Gila AU - Neta G AD - Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850 USA FAU - Vinson, Cynthia AU - Vinson C AD - Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850 USA FAU - Chambers, David AU - Chambers D AD - Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20850 USA FAU - Beidas, Rinad AU - Beidas R AD - Psychiatry, University of Pennsylvania, Philadelphia, PA 19104 USA AD - Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Marcus, Steven AU - Marcus S AD - School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA 19103 USA FAU - Aarons, Gregory AU - Aarons G AD - Psychiatry, UC San Diego, La Jolla, CA 92083-0812 USA FAU - Hoagwood, Kimberly AU - Hoagwood K AD - Child & Adolescent Psychiatry, The Child Study Center at NYU Langone Medical Center, New York, NY, New York, NY 10016 USA FAU - Schoenwald, Sonja AU - Schoenwald S AD - Psychiatry and Behavioral Sciences, MUSC, Charleston, SC 29425 USA FAU - Evans, Arthur AU - Evans A AD - DBHIDS, City of Philadelphia, Philadelphia, PA 19104 USA FAU - Hurford, Matthew AU - Hurford M AD - DBHIDS, City of Philadelphia, Philadelphia, PA 19104 USA FAU - Rubin, Ronnie AU - Rubin R AD - CBH, City of Philadelphia, Philadelphia, PA 19104 USA FAU - Hadley, Trevor AU - Hadley T AD - Psychiatry, University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Barg, Frances AU - Barg F AD - Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19107 USA FAU - Walsh, Lucia AU - Walsh L FAU - Adams, Danielle AU - Adams D AD - Psychiatry, University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Mandell, David AU - Mandell D FAU - Martin, Lindsey AU - Martin L AD - Health Services Research & Development, Department of Veterans Affairs & Baylor College of Medicine, Houston, TX 77030 USA FAU - Mignogna, Joseph AU - Mignogna J AD - Treatment Core, Department of Veterans Affairs, Waco, TX 76711 USA FAU - Mott, Juliette AU - Mott J AD - National Center for PTSD, Executive Division, Department of Veterans Affairs, White River Junction, VT 05009 USA FAU - Hundt, Natalie AU - Hundt N AD - Health Services Research & Development, Department of Veterans Affairs & Baylor College of Medicine, Houston, TX 77030 USA FAU - Kauth, Michael AU - Kauth M AD - Health Services Research & Development, Department of Veterans Affairs & Baylor College of Medicine, Houston, TX 77030 USA FAU - Kunik, Mark AU - Kunik M AD - Health Services Research & Development, Department of Veterans Affairs & Baylor College of Medicine, Houston, TX 77030 USA FAU - Naik, Aanand AU - Naik A AD - Health Services Research & Development, Department of Veterans Affairs & Baylor College of Medicine, Houston, TX 77030 USA FAU - Cully, Jeffrey AU - Cully J AD - Health Services Research & Development, Department of Veterans Affairs & Baylor College of Medicine, Houston, TX 77030 USA FAU - McGuire, Alan AU - McGuire A AD - HSR&D, HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, IN 46202 USA AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202 USA FAU - White, Dominique AU - White D AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202 USA FAU - Bartholomew, Tom AU - Bartholomew T AD - Department of Psychiatric Rehabilitation and Counseling, Rutgers University, Newark, NJ 07107 USA FAU - McGrew, John AU - McGrew J AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202 USA FAU - Luther, Lauren AU - Luther L AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202 USA FAU - Rollins, Angie AU - Rollins A AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202 USA AD - Health Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202 USA FAU - Salyers, Michelle AU - Salyers M AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202 USA AD - IUPUI Department of Psychology, ACT Center of Indiana, Indianapolis, IN 46202 USA FAU - Cooper, Brittany AU - Cooper B AD - Human Development, Washington State University, Pullman, WA 99164 USA FAU - Funaiole, Angie AU - Funaiole A AD - Prevention Science, Washington State University, Pullman, WA 99164 USA FAU - Richards, Julie AU - Richards J AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA FAU - Lee, Amy AU - Lee A AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA FAU - Lapham, Gwen AU - Lapham G AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA FAU - Caldeiro, Ryan AU - Caldeiro R AD - Behavioral Health Services, Group Health, Seattle, WA 98101 USA FAU - Lozano, Paula AU - Lozano P AD - Preventive Care, Group Health, Seattle, WA 98101 USA FAU - Gildred, Tory AU - Gildred T AD - Behavioral Health Services, Group Health, Seattle, WA 98101 USA FAU - Achtmeyer, Carol AU - Achtmeyer C AD - Health Services Research & Development, Primary and Specialty Medical Care Service, VA Puget Sound, Seattle, WA 98108 USA FAU - Ludman, Evette AU - Ludman E AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA FAU - Addis, Megan AU - Addis M AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA FAU - Marx, Larry AU - Marx L AD - Behavioral Health Services, Group Health, Seattle, WA 98101 USA FAU - Bradley, Katharine AU - Bradley K AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA FAU - VanDeinse, Tonya AU - VanDeinse T AD - School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA FAU - Wilson, Amy Blank AU - Wilson AB AD - School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA FAU - Stacey, Burgin AU - Stacey B AD - School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA FAU - Powell, Byron AU - Powell B AD - Health Policy & Management, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27566-7411 USA FAU - Bunger, Alicia AU - Bunger A AD - College of Social Work, Ohio State University, Columbus, OH 43210 USA FAU - Cuddeback, Gary AU - Cuddeback G AD - School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA FAU - Barnett, Miya AU - Barnett M AD - Psychology, University of California, Los Angeles, Los Angeles, CA 90095 USA FAU - Stadnick, Nicole AU - Stadnick N AD - Psychiatry, University of California, San Diego, La Jolla, CA 92093 USA FAU - Brookman-Frazee, Lauren AU - Brookman-Frazee L AD - Psychiatry, University of California, San Diego, La Jolla, CA 92093 USA FAU - Lau, Anna AU - Lau A AD - Psychology, University of California, Los Angeles, Los Angeles, CA 90095 USA FAU - Dorsey, Shannon AU - Dorsey S AD - Psychology, University of Washington, Seattle, WA 98195 USA FAU - Pullmann, Michael AU - Pullmann M AD - Psychology, University of Washington, Seattle, WA 98195 USA AD - Department of Psychiatry and Behavioral Sciences, Division of Public Behavioral Health, University of Washington, Seattle, WA 98102 USA FAU - Mitchell, Shannon AU - Mitchell S AD - Social Research Center, Friends Research Institute, Baltimore, MD 21201 USA FAU - Schwartz, Robert AU - Schwartz R AD - Social Research Center, Friends Research Institute, Baltimore, MD 21201 USA FAU - Kirk, Arethusa AU - Kirk A AD - Pediatrics, Total Health Care, Baltimore, MD 21217 USA FAU - Dusek, Kristi AU - Dusek K AD - Social Research Center, Friends Research Institute, Baltimore, MD 21201 USA FAU - Oros, Marla AU - Oros M AD - The Mosaic Group, The Mosaic Group, Baltimore, MD 21210 USA FAU - Hosler, Colleen AU - Hosler C AD - The Mosaic Group, The Mosaic Group, Baltimore, MD 21210 USA FAU - Gryczynski, Jan AU - Gryczynski J AD - Social Research Center, Friends Research Institute, Baltimore, MD 21201 USA FAU - Barbosa, Carolina AU - Barbosa C AD - Behavioral Health Economics Program, RTI International, Chicago, IL 60606-4901 USA FAU - Dunlap, Laura AU - Dunlap L AD - Center for Interdisciplinary Substance Abuse Research, Research Triangle Institute, Rockville, MD 20852 USA FAU - Lounsbury, David AU - Lounsbury D AD - Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10467 USA AD - Division of Community Collaboration and Implementation Science, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY 10467 USA FAU - O’Grady, Kevin AU - O’Grady K AD - Department of Psychology, University of Maryland, College Park, College Park, MD 20742 USA FAU - Brown, Barry AU - Brown B AD - Psychology, University of North Carolina at Wilmington, Wilmington, NC 28403 USA FAU - Damschroder, Laura AU - Damschroder L AD - Department of Veterans Affairs, VA Center for Clinical Management Research, Ann Arbor, MI 48105 USA FAU - Waltz, Thomas AU - Waltz T AD - Department of Veterans Affairs, VA Center for Clinical Management Research, Ann Arbor, MI 48105 USA AD - Psychology, Eastern Michigan University, Ypsilanti, MI 48197 USA FAU - Powell, Byron AU - Powell B AD - Health Policy & Management, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27566 USA FAU - Ritchie, Mona AU - Ritchie M AD - VA QUERI Program for Team-Based Behavioral Health, Department of Veterans Affairs, North Little Rock, AR 72114 USA FAU - Waltz, Thomas AU - Waltz T AD - Psychology, Eastern Michigan University, Ypsilanti, MI 48197 USA AD - Health Services Research & Development, VA Center for Clinical Management Research, Ann Arbor, MI 48105 USA FAU - Atkins, David AU - Atkins D AD - Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98105 USA FAU - Imel, Zac E AU - Imel ZE AD - Educational Psychology, University of Utah, Salt Lake City, UT 84112 USA FAU - Xiao, Bo AU - Xiao B AD - Electrical Engineering, University of Southern California, Los Angeles, CA 90089 USA FAU - Can, Doğan AU - Can D AD - Computer Science, University of Southern California, Los Angeles, CA 90089 USA FAU - Georgiou, Panayiotis AU - Georgiou P AD - Electrical Engineering, University of Southern California, Los Angeles, CA 90089 USA FAU - Narayanan, Shrikanth AU - Narayanan S AD - Electrical Engineering & Computer Science, University of Southern California, Los Angeles, CA 90089 USA FAU - Berkel, Cady AU - Berkel C AD - REACH Institute, Arizona State University, Tempe, AZ 85284 USA FAU - Gallo, Carlos AU - Gallo C AD - Center for Prevention Implementation Methodology, Northwestern University, Chicago, IL 60611 USA FAU - Sandler, Irwin AU - Sandler I AD - REACH Institute, Arizona State University, Tempe, AZ 85284 USA FAU - Brown, C Hendricks AU - Brown CH AD - Center for Prevention Implementation Methodology, Northwestern University, Chicago, IL 60611 USA FAU - Wolchik, Sharlene AU - Wolchik S AD - REACH Institute, Arizona State University, Tempe, AZ 85284 USA FAU - Mauricio, Anne Marie AU - Mauricio AM AD - Psychology, Arizona State University, Tempe, AZ 85287 USA FAU - Gallo, Carlos AU - Gallo C AD - Center for Prevention Implementation Methodology, Northwestern University, Chicago, IL 60611 USA FAU - Brown, C Hendricks AU - Brown CH AD - Center for Prevention Implementation Methodology, Northwestern University, Chicago, IL 60611 USA FAU - Mehrotra, Sanjay AU - Mehrotra S AD - Industrial Engineering, Northwestern University, Chicago, IL 60611 USA FAU - Chandurkar, Dharmendra AU - Chandurkar D AD - Research, Sambodhi Research and Communications Private Limited, Noida, 201301 India FAU - Bora, Siddhartha AU - Bora S AD - Research, Sambodhi Research and Communications Private Limited, Noida, 201301 India FAU - Das, Arup AU - Das A AD - Monitoring and Evaluation, India Health Action Trust, Lucknow, 226001 India FAU - Tripathi, Anand AU - Tripathi A AD - Monitoring and Evaluation, India Health Action Trust, Lucknow, 226001 India FAU - Saggurti, Niranjan AU - Saggurti N AD - Monitoring, Learning and Evaluation, Bill and Melinda Gates Foundation, New Delhi, 110057 India FAU - Raj, Anita AU - Raj A AD - Division of Global Public Health, Department of Medicine, University of California, San Diego, San Diego, CA 92093 USA FAU - Hughes, Eric AU - Hughes E AD - Information Technology, MITRE, Bedford, MA 01730 USA FAU - Jacobs, Brian AU - Jacobs B AD - VP, CMIO, CIO, Children’s National Health System, Washington, DC, 20010 USA FAU - Kirkendall, Eric AU - Kirkendall E AD - Association CMIO, Cincinnati Children’s Hospital and Medical Center, Cincinnati, OH 45229 USA FAU - Loeb, Danielle AU - Loeb D AD - Department of Medicine/Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO 80045 USA FAU - Trinkley, Katy AU - Trinkley K AD - Department of Clinical Pharmacy, University of Colorado School of Pharmacy, Aurora, CO 80045 USA FAU - Yang, Michael AU - Yang M AD - University of Colorado School of Medicine, Aurora, CO 80045 USA FAU - Sprowell, Andrew AU - Sprowell A AD - University of Colorado School of Medicine, Aurora, CO 80045 USA FAU - Nease, Donald AU - Nease D AD - Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO 80238 USA FAU - Lyon, Aaron AU - Lyon A AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98115 USA FAU - Lewis, Cara AU - Lewis C AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405 USA FAU - Boyd, Meredith AU - Boyd M AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405 USA FAU - Melvin, Abigail AU - Melvin A AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405 USA FAU - Nicodimos, Semret AU - Nicodimos S AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98115 USA FAU - Liu, Freda AU - Liu F AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98115 USA FAU - Jungbluth, Nathanial AU - Jungbluth N AD - Psychology, University of Washington, Seattle, WA 98115 USA FAU - Lyon, Aaron AU - Lyon A AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98115 USA FAU - Lewis, Cara AU - Lewis C AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405 USA FAU - Boyd, Meredith AU - Boyd M AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405 USA FAU - Melvin, Abigail AU - Melvin A AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405 USA FAU - Nicodimos, Semret AU - Nicodimos S AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98115 USA FAU - Liu, Freda AU - Liu F AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98115 USA FAU - Jungbluth, Nathanial AU - Jungbluth N AD - Psychology, University of Washington, Seattle, WA 98115 USA FAU - Flynn, Allen AU - Flynn A AD - Learning Health Sciences, Medical School, University of Michigan, Ann Arbor, MI 48109 USA FAU - Landis-Lewis, Zach AU - Landis-Lewis Z AD - Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48109 USA FAU - Sales, Anne AU - Sales A AD - Learning Health Sciences, University of Michigan, Ann Arbor, MI 48109 USA AD - Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI 48109 USA FAU - Baloh, Jure AU - Baloh J AD - Department of Health Management and Policy, University of Iowa, Iowa City, IA 52242 USA FAU - Ward, Marcia AU - Ward M AD - Department of Health Management and Policy, University of Iowa, Iowa City, IA 52242 USA FAU - Zhu, Xi AU - Zhu X AD - Department of Health Management and Policy, University of Iowa, Iowa City, IA 52242 USA FAU - Bennett, Ian AU - Bennett I AD - Family Medicine, University of Washington, Seattle, WA 98105-6099 USA FAU - Unutzer, Jurgen AU - Unutzer J AD - Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195 USA FAU - Mao, Johnny AU - Mao J AD - Center for Clinical and Epidemiological Research, University of Washington, Seattle, WA 98101 USA FAU - Proctor, Enola AU - Proctor E AD - George Warren Brown School of Social Work, Washington University in St. Louis, Saint Louis, MO 63130 USA FAU - Vredevoogd, Mindy AU - Vredevoogd M AD - Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195 USA FAU - Chan, Ya-Fen AU - Chan YF AD - Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195 USA FAU - Williams, Nathaniel AU - Williams N AD - Social Work, Boise State University, Boise, ID 83725 USA FAU - Green, Phillip AU - Green P AD - School of Social Work, University of Tennessee, Knoxville, TN 37996 USA FAU - Bernstein, Steven AU - Bernstein S AD - Emergency Medicine, Yale University School of Medicine, New Haven, CT 06519 USA AD - Cancer Prevention and Control, Yale Cancer Center, New Haven, CT 06519 USA FAU - Rosner, June-Marie AU - Rosner JM AD - Emergency Medicine, Yale University School of Medicine, New Haven, CT 06519 USA FAU - DeWitt, Michelle AU - DeWitt M AD - Information Technology Services, Yale-New Haven Hospital, New Haven, CT 06510 USA FAU - Tetrault, Jeanette AU - Tetrault J AD - Medicine, Yale School of Medicine, New Haven, CT 06519 USA FAU - Dziura, James AU - Dziura J AD - Emergency Medicine, Yale University School of Medicine, New Haven, CT 06519 USA FAU - Hsiao, Allen AU - Hsiao A AD - Pediatrics and Emergency Medicine, Yale-New Haven Hospital, New Haven, CT 06510 USA FAU - Sussman, Scott AU - Sussman S AD - Medicine, Yale-New Haven Hospital, New Haven, CT 06510 USA FAU - O’Connor, Patrick AU - O’Connor P AD - Internal Medicine, Yale University School of Medicine, New Haven, CT 06520 USA FAU - Toll, Benjamin AU - Toll B AD - Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425 USA FAU - Jones, Michael AU - Jones M AD - Research, Shepherd Center, Atlanta, GA 30312 USA FAU - Gassaway, Julie AU - Gassaway J AD - Virginia C. Crawford Research Institute, Atlanta, GA 30309 USA FAU - Tobin, Jonathan AU - Tobin J AD - Community Engaged Research, Clinical Directors Network, Inc. & The Rockefeller University, New York, NY 10018 USA FAU - Zatzick, Douglas AU - Zatzick D AD - Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98104 USA FAU - Bradbury, Angela R AU - Bradbury AR AD - Division of Hematology-Oncology, Department of Medicine, The University of Pennsylvania, Philadelphia, PA 19104 USA AD - Department of Medical Ethics and Health Policy, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Patrick-Miller, Linda AU - Patrick-Miller L AD - Center for Clinical Cancer Genetics Department of Medicine, Hematology/Oncology, The University of Chicago, Chicago, IL 60637 USA FAU - Egleston, Brian AU - Egleston B AD - Biostatistics and Bioinformatics Facility, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Olopade, Olufunmilayo I AU - Olopade OI AD - Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL 60637 USA FAU - Hall, Michael J AU - Hall MJ AD - Clinical Genetics/Gastrointestinal Risk Assessment, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Daly, Mary B AU - Daly MB AD - Department of Clinical Genetics, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Fleisher, Linda AU - Fleisher L AD - Center for Injury Research and Prevention, The Children’s Hospital of Philadelphia, Philadelphia, PA 19104 USA FAU - Grana, Generosa AU - Grana G AD - Hematology and Medical Oncology, MD Anderson Cancer Center at Cooper, Camden, NJ 08043 USA FAU - Ganschow, Pamela AU - Ganschow P AD - Internal Medicine, John H. Stroger, Jr. Hospital, Chicago, IL 60612 USA FAU - Fetzer, Dominique AU - Fetzer D AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Brandt, Amanda AU - Brandt A AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Farengo-Clark, Dana AU - Farengo-Clark D AD - Cancer Genetics Program, MD Anderson Cancer Center at Cooper, Camden, NJ 08043 USA FAU - Forman, Andrea AU - Forman A AD - Department of Clinical Genetics, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Gaber, Rikki S AU - Gaber RS AD - Breast and Cervical Cancer Screening Program, John H. Stroger, Jr. Hospital, Chicago, IL 60612 USA FAU - Gulden, Cassandra AU - Gulden C AD - Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL 60637 USA FAU - Horte, Janice AU - Horte J AD - Cancer Genetics Program, MD Anderson Cancer Center at Cooper, Camden, NJ 08043 USA FAU - Long, Jessica AU - Long J AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Chambers, Rachelle Lorenz AU - Chambers RL AD - Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL 60637 USA FAU - Lucas, Terra AU - Lucas T AD - Cancer Screening Program, John H. Stroger, Jr. Hospital, Chicago, IL 60612 USA FAU - Madaan, Shreshtha AU - Madaan S AD - Comprehensive Cancer Risk and Prevention Clinic, The University of Chicago, Chicago, IL 60637 USA FAU - Mattie, Kristin AU - Mattie K AD - Cancer Genetics Program, MD Anderson Cancer Center at Cooper, Camden, NJ 08043 USA FAU - McKenna, Danielle AU - McKenna D AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Montgomery, Susan AU - Montgomery S AD - Department of Clinical Genetics, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Nielsen, Sarah AU - Nielsen S AD - Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL 60637 USA FAU - Powers, Jacquelyn AU - Powers J AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Rainey, Kim AU - Rainey K AD - Department of Clinical Genetics, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Rybak, Christina AU - Rybak C AD - Department of Clinical Genetics, The Fox Chase Cancer Center, Philadelphia, PA 19111 USA FAU - Savage, Michelle AU - Savage M AD - Emory Prevention Research Center, Emory University Rollins School of Public Health, Atlanta, GA 30322 USA FAU - Seelaus, Christina AU - Seelaus C AD - Breast and Cervical Cancer Screening Program, John H. Stroger, Jr. Hospital, Chicago, IL 60612 USA FAU - Stoll, Jessica AU - Stoll J AD - Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL 60637 USA FAU - Stopfer, Jill AU - Stopfer J AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Yao, Shirley AU - Yao S AD - Breast and Cervical Cancer Screening Program, John H. Stroger, Jr. Hospital, Chicago, IL 60612 USA FAU - Domchek, Susan AU - Domchek S AD - Division of Hematology-Oncology, Department of Medicine, The University of Pennsylvania, Philadelphia, PA 19104 USA FAU - Hahn, Erin AU - Hahn E AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101 USA FAU - Munoz-Plaza, Corrine AU - Munoz-Plaza C AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101 USA FAU - Wang, Jianjin AU - Wang J AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101 USA FAU - Delgadillo, Jazmine Garcia AU - Delgadillo JG AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101 USA FAU - Mittman, Brian AU - Mittman B AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101 USA FAU - Gould, Michael AU - Gould M AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA 91101 USA FAU - Liang, Shuting (Lily) AU - Liang S AD - Emory Prevention Research Center, Emory University Rollins School of Public Health, Atlanta, GA 30322 USA AD - Research Institute, Palo Alto Medical Foundation, Palo Alto, CA 94301 USA FAU - Kegler, Michelle C AU - Kegler MC AD - Emory Prevention Research Center, Emory University Rollins School of Public Health, Atlanta, GA 30322 USA AD - Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA 30322 USA FAU - Cotter, Megan AU - Cotter M AD - Behavioral Sciences and Health Education, Rollins School of Public Health, Emory Prevention Research Center, Atlanta, GA 30322 USA FAU - Phillips, Emily AU - Phillips E AD - Behavioral Sciences and Health Education, Rollins School of Public Health, Emory Prevention Research Center, Atlanta, GA 30322 USA FAU - Hermstad, April AU - Hermstad A AD - Behavioral Sciences and Health Education, Rollins School of Public Health, Emory Prevention Research Center, Atlanta, GA 30322 USA FAU - Morton, Rentonia AU - Morton R AD - Statistics and Evaluation Center, American Cancer Society, Atlanta, GA 30303 USA FAU - Beasley, Derrick AU - Beasley D AD - Behavioral Sciences and Health Education, Rollins School of Public Health, Emory Prevention Research Center, Atlanta, GA 30322 USA FAU - Martinez, Jeremy AU - Martinez J AD - Statistics and Evaluation Center, American Cancer Society, Atlanta, GA 30303 USA FAU - Riehman, Kara AU - Riehman K AD - Statistics and Evaluation Center, American Cancer Society, Atlanta, GA 30303 USA FAU - Gustafson, David AU - Gustafson D AD - Center for Health Enhancement Systems Studies, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - Marsch, Lisa AU - Marsch L AD - Center for Technology and Behavioral Health, Dartmouth College, Dartmouth, NH 03755 USA FAU - Mares, Louise AU - Mares L AD - Communication Arts, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - Quanbeck, Andrew AU - Quanbeck A AD - Industrial and Systems Engineering, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - McTavish, Fiona AU - McTavish F AD - Center for Health Enhancement Systems Studies, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - McDowell, Helene AU - McDowell H AD - Center for Health Enhancement Systems Studies, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - Brown, Randall AU - Brown R AD - Family Medicine, Population Health Sciences, University of Wisconsin School of Medicine & Public Health, Madison, WI 53715 USA FAU - Thomas, Chantelle AU - Thomas C AD - Access Community Health Center, Access Community Health Center, Madison, WI 53706 USA FAU - Glass, Joseph AU - Glass J AD - School of Social Work, University of Wisconsin – Madison, Madison, WI 54706 USA FAU - Isham, Joseph AU - Isham J AD - Center for Health Enhancement Systems Studies, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - Shah, Dhavan AU - Shah D AD - Communication Sciences, University of Wisconsin – Madison, Madison, WI 53706 USA FAU - Liebschutz, Jane AU - Liebschutz J AD - Clinical Addiction Research and Education (CARE) Unit, Boston Medical Center/Boston University School of Medicine, Boston, MA 02118 USA FAU - Lasser, Karen AU - Lasser K AD - Clinical Addiction Research and Education (CARE) Unit, Boston Medical Center/Boston University School of Medicine, Boston, MA 02118 USA AD - Boston University School of Public Health, Boston, MA 02118 USA FAU - Watkins, Katherine AU - Watkins K AD - RAND Corporation, RAND Corporation, Santa Monica, CA 90407 USA FAU - Ober, Allison AU - Ober A AD - RAND Corporation, RAND Corporation, Santa Monica, CA 90407 USA FAU - Hunter, Sarah AU - Hunter S AD - RAND Corporation, RAND Corporation, Santa Monica, CA 90407 USA FAU - Lamp, Karen AU - Lamp K AD - Venice Family Clinic, Venice Family Clinic, Venice, CA 90291 USA FAU - Ewing, Brett AU - Ewing B AD - RAND Corporation, RAND Corporation, Santa Monica, CA 90407 USA FAU - Iwelunmor, Juliet AU - Iwelunmor J AD - Kinesiology and Community Health, University of Illinois at Urbana Champaign, Champaign, IL 61822 USA FAU - Gyamfi, Joyce AU - Gyamfi J AD - Center for Healthful Behavior Change, New York University, New York, NY 10016 USA FAU - Blackstone, Sarah AU - Blackstone S AD - Kinesiology and Community Health, University of Illinois at Urbana Champaign, Champaign, IL 61822 USA FAU - Quakyi, Nana Kofi AU - Quakyi NK AD - Global Institute of Public Health, New York University, New York, NY 10003 USA FAU - Plange-Rhule, Jacob AU - Plange-Rhule J AD - Physiology, Kwame Nkrumah University of Science and Technology, Kumasi, 00000 Ghana FAU - Ogedegbe, Gbenga AU - Ogedegbe G AD - Center for Healthful Behavior Change, New York University, New York, NY 10016 USA AD - Population Health and Medicine, New York University, New York, NY 10016 USA FAU - Kumar, Pritika AU - Kumar P AD - Department of Population Health, New York University School of Medicine, New York, NY 10016 USA FAU - Van Devanter, Nancy AU - Van Devanter N AD - College of Nursing, New York University, New York, NY 10075 USA FAU - Nguyen, Nam AU - Nguyen N AD - Institute of Social and Medical Sciences, Institute of Social and Medical Sciences, Hanoi, Vietnam FAU - Nguyen, Linh AU - Nguyen L AD - Institute of Social and Medical Sciences, Institute of Social and Medical Sciences, Hanoi, Vietnam FAU - Nguyen, Trang AU - Nguyen T AD - Institute of Social and Medical Sciences, Institute of Social and Medical Sciences, Hanoi, Vietnam FAU - Phuong, Nguyet AU - Phuong N AD - Institute of Social and Medical Sciences, Institute of Social and Medical Sciences, Hanoi, Vietnam FAU - Shelley, Donna AU - Shelley D AD - Department of Population Health, New York University School of Medicine, New York, NY 10016 USA FAU - Rudge, Sian AU - Rudge S AD - Knowledge Exchange Division, Sax Institute, Ultimo, NSW 2007 Australia FAU - Langlois, Etienne AU - Langlois E AD - Alliance for Health Policy and Systems Research, World Health Organization, Geneva, 1211 Switzerland FAU - Tricco, Andrea AU - Tricco A AD - Dalla Lana School of Public Health/St Michael’s Hospital, University of Toronto, Toronto, ON M5B 1W8 Canada FAU - Ball, Sherry AU - Ball S AD - Research, Department of Veterans Affairs, Cleveland, OH 44106 USA FAU - Lambert-Kerzner, Anne AU - Lambert-Kerzner A AD - Research, Eastern Colorado Health Care System, Department of Veterans Affairs, Denver, CO 80220 USA AD - University of Colorado, Denver, CO 80204 USA FAU - Sulc, Christine AU - Sulc C AD - Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108 USA FAU - Simmons, Carol AU - Simmons C AD - Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108 USA FAU - Shell-Boyd, Jeneen AU - Shell-Boyd J AD - Research Service, Cleveland VA Medical Center, Cleveland, OH 44106 USA FAU - Oestreich, Taryn AU - Oestreich T AD - Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108 USA FAU - O’Connor, Ashley AU - O’Connor A AD - Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108 USA FAU - Neely, Emily AU - Neely E AD - Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108 USA FAU - McCreight, Marina AU - McCreight M AD - Research, Eastern Colorado Health Care System, Department of Veterans Affairs, Denver, CO 80220 USA FAU - Labebue, Amy AU - Labebue A AD - Denver-Seattle Center of Innovation, Eastern Colorado Health Care System, Aurora, CO 80045 USA FAU - DiFiore, Doreen AU - DiFiore D AD - Research, Cleveland VA Medical Center, Cleveland, OH 44106 USA FAU - Brostow, Diana AU - Brostow D AD - Denver-Seattle Center of Innovation, VA Eastern Colorado Health Care System, Denver, CO 80220 USA FAU - Ho, P Michael AU - Ho PM AD - Research, Eastern Colorado Health Care System, Department of Veterans Affairs, Denver, CO 80220 USA AD - University of Colorado, Denver, CO 80204 USA FAU - Aron, David AU - Aron D AD - Education Department, Louis Stokes Cleveland VA Medical Center, Cleveland, OH 44106 USA AD - Medicine, Case Western Reserve University School of Medicine, Cleveland, OH USA FAU - Harvey, Jillian AU - Harvey J AD - Health Professions, Medical University of South Carolina, Charleston, SC 29425 USA AD - Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC 29425 USA FAU - McHugh, Megan AU - McHugh M AD - Center for Healthcare Studies, Northwestern University, Chicago, IL 60611 USA FAU - Scanlon, Dennis AU - Scanlon D AD - Department of Health Policy and Administration, Pennsylvania State University, University Park, PA 16802 USA FAU - Lee, Rebecca AU - Lee R AD - College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ 85004 USA FAU - Soltero, Erica AU - Soltero E AD - Health & Human Performance, University of Houston, Houston, TX 77204 USA FAU - Parker, Nathan AU - Parker N AD - Health & Human Performance, University of Houston, Houston, TX 77204 USA FAU - McNeill, Lorna AU - McNeill L AD - Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030 USA FAU - Ledoux, Tracey AU - Ledoux T AD - Health & Human Performance, University of Houston, Houston, TX 77204 USA FAU - McIsaac, Jessie-Lee AU - McIsaac JL AD - School of Health and Human Performance, Dalhousie University, Halifax, NS B3H4R2 Canada FAU - MacLeod, Kate AU - MacLeod K AD - School of Health and Human Performance, Dalhousie University, Halifax, NS B3H4R2 Canada FAU - Ata, Nicole AU - Ata N AD - School of Health and Human Performance, Dalhousie University, Halifax, NS B3H4R2 Canada FAU - Jarvis, Sherry AU - Jarvis S AD - School of Health and Human Performance, Dalhousie University, Halifax, NS B3H4R2 Canada FAU - Kirk, Sara AU - Kirk S AD - School of Health and Human Performance, Dalhousie University, Halifax, NS B3H4R2 Canada FAU - Purtle, Jonathan AU - Purtle J AD - Health Management &Policy, Drexel University School of Public Health, Philadelphia, PA 19130 USA FAU - Dodson, Elizabeth AU - Dodson E AD - Institute for Public Health, Washington University, St. Louis, MO 63112 USA FAU - Brownson, Ross AU - Brownson R AD - Brown School and Prevention Research Center in St. Louis, Washington University in St. Louis, Saint Louis, MO 63130 USA FAU - Mittman, Brian AU - Mittman B AD - Research and Evaluation, Kaiser Permanente Southern Calif/US Dept of Veterans Affairs, Pasadena, CA 91101 USA FAU - Curran, Geoffrey AU - Curran G AD - Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Curran, Geoffrey AU - Curran G AD - Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Pyne, Jeffrey AU - Pyne J AD - Psychiatry and Behavioral Sciences, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Aarons, Gregory AU - Aarons G AD - Psychiatry, UC San Diego, La Jolla, CA 92083-0812 USA FAU - Ehrhart, Mark AU - Ehrhart M AD - Department of Psychology, San Diego State University, San Diego, CA 92182-4611 USA FAU - Torres, Elisa AU - Torres E AD - Psychiatry, UC San Diego, La Jolla, CA 92083-0812 USA FAU - Miech, Edward AU - Miech E AD - HSR&D, Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202 USA FAU - Miech, Edward AU - Miech E AD - HSR&D, Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202 USA FAU - Stevens, Kathleen AU - Stevens K AD - Improvement Science Research Network, University of Texas Health Science Center San Antonio, San Antonio, TX 78229 USA CN - I.S.R.N. Steering Council AD - Improvement Science Research Network, University of Texas Health Science Center San Antonio, San Antonio, TX 78229 USA FAU - Hamilton, Alison AU - Hamilton A AD - HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, Department of Veterans Affairs, Los Angeles, CA 90073 USA AD - UCLA Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA 90024 USA FAU - Cohen, Deborah AU - Cohen D AD - Family Medicine, Oregon Health & Science University, Portland, OR 97239 USA FAU - Padgett, Deborah AU - Padgett D AD - Silver School of Social Work, New York University, New York, NY 10003 USA FAU - Morshed, Alexandra AU - Morshed A AD - Brown School, Washington University in St. Louis, Saint Louis, MO 63130 USA FAU - Patel, Rupa AU - Patel R AD - Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO 63110 USA FAU - Prusaczyk, Beth AU - Prusaczyk B AD - Brown School, Washington University in St. Louis, Saint Louis, MO 63110 USA FAU - Aron, David C AU - Aron DC AD - Case Western Reserve University, Cleveland, OH USA AD - Department of Veterans Affairs, Medicine, Louis Stokes Cleveland Medical Center, Cleveland, OH 44106 USA FAU - Gupta, Divya AU - Gupta D AD - Research, Cleveland VA Medical Center, Cleveland, OH 44106 USA FAU - Ball, Sherry AU - Ball S AD - Research, Department of Veterans Affairs, Cleveland, OH 44106 USA FAU - Hand, Rosa AU - Hand R AD - Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, IL 60606 USA FAU - Abram, Jenica AU - Abram J AD - Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, IL 60606 USA FAU - Wolfram, Taylor AU - Wolfram T AD - Web Strategy, Academy of Nutrition and Dietetics, Chicago, IL 60606 USA FAU - Hastings, Molly AU - Hastings M AD - Center for Public Health Systems Science, Washington University in St. Louis, St. Louis, MO 63112 USA FAU - Moreland-Russell, Sarah AU - Moreland-Russell S AD - Center for Public Health Systems Science, Washington University in St. Louis, St. Louis, MO 63112 USA FAU - Tabak, Rachel AU - Tabak R AD - Brown School and Prevention Research Center in St. Louis, Washington University in St. Louis, Saint Louis, MO 63130 USA FAU - Ramsey, Alex AU - Ramsey A AD - School of Medicine, Washington University in St. Louis, St. Louis, MO 63110 USA FAU - Baumann, Ana AU - Baumann A AD - Brown School, Washington University in St. Louis, St. Louis, MO 63110 USA FAU - Kryzer, Emily AU - Kryzer E AD - Brown School, Washington University in St. Louis, St. Louis, MO 63110 USA FAU - Montgomery, Katherine AU - Montgomery K AD - Brown School, Washington University in St. Louis, St. Louis, MO 63110 USA FAU - Lewis, Ericka AU - Lewis E AD - Brown School, Washington University in St. Louis, St. Louis, MO 63110 USA FAU - Padek, Margaret AU - Padek M AD - Brown School and Prevention Research Center in St. Louis, Washington University in St. Louis, Saint Louis, MO 63130 USA FAU - Powell, Byron AU - Powell B AD - Health Policy & Management, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27566-7411 USA FAU - Brownson, Ross AU - Brownson R AD - Brown School and Prevention Research Center in St. Louis, Washington University in St. Louis, Saint Louis, MO 63130 USA AD - School of Medicine, Washington University in St. Louis, St. Louis, MO 63110 USA FAU - Mamaril, Cezar Brian AU - Mamaril CB AD - Health Management and Policy, University of Kentucky, College of Public Health, Lexington, KY 40536 USA FAU - Mays, Glen AU - Mays G AD - Department of Health Services Management, University of Kentucky, College of Public Health, Lexington, KY 40536 USA FAU - Branham, Keith AU - Branham K AD - Health Management and Policy, University of Kentucky, College of Public Health, Lexington, KY 40536 USA FAU - Timsina, Lava AU - Timsina L AD - Systems for Action National Program Office, University of Kentucky, College of Public Health, Lexington, KY 40536 USA FAU - Mays, Glen AU - Mays G AD - Department of Health Services Management, University of Kentucky, College of Public Health, Lexington, KY 40536 USA FAU - Hogg, Rachel AU - Hogg R AD - College of Health Sciences, University of Kentucky, Lexington, KY 40536 USA FAU - Fagan, Abigail AU - Fagan A AD - Department of Sociology and Criminology & Law, University of Florida, Gainesville, FL 32611 USA FAU - Shapiro, Valerie AU - Shapiro V AD - School of Social Welfare, UC Berkeley, Berkeley, CA 94720 USA FAU - Brown, Eric AU - Brown E AD - Department of Public Health Sciences, University of Miami, Miami, FL 33136 USA FAU - Haggerty, Kevin AU - Haggerty K AD - School of Social Work, University of Washington, Seattle, WA 98115 USA FAU - Hawkins, David AU - Hawkins D AD - School of Social Work, University of Washington, Seattle, WA 98115 USA FAU - Oesterle, Sabrina AU - Oesterle S AD - School of Social Work, University of Washington, Seattle, WA 98115 USA FAU - Hawkins, David AU - Hawkins D AD - School of Social Work, University of Washington, Seattle, WA 98115 USA FAU - Catalano, Richard AU - Catalano R AD - School of Social Work, University of Washington, Seattle, WA 98115 USA FAU - McKay, Virginia AU - McKay V AD - College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331 USA FAU - Dolcini, M Margaret AU - Dolcini MM AD - School of Social and Behavioral Health Sciences, Oregon State University, Corvallis, OR 97331 USA FAU - Hoffer, Lee AU - Hoffer L AD - Department of Anthropology, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Moin, Tannaz AU - Moin T AD - Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA 90024 USA AD - HSR&D Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073 USA FAU - Li, Jinnan AU - Li J AD - Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA 90024 USA FAU - Duru, O Kenrik AU - Duru OK AD - Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA 90024 USA FAU - Ettner, Susan AU - Ettner S AD - Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA 90024 USA AD - Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA 90095 USA FAU - Turk, Norman AU - Turk N AD - Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA 90024 USA FAU - Chan, Charles AU - Chan C AD - Actuarial Pricing, UnitedHealthcare, Minneapolis, MN 55343 USA FAU - Keckhafer, Abigail AU - Keckhafer A AD - Actuarial Pricing, UnitedHealthcare, Minneapolis, MN 55369 USA FAU - Luchs, Robert AU - Luchs R AD - Actuarial Pricing, UnitedHealthcare, Minneapolis, MN 55343 USA FAU - Ho, Sam AU - Ho S AD - Innovations, UnitedHealthcare, Minneapolis, MN 55343 USA FAU - Mangione, Carol AU - Mangione C AD - Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA 90024 USA FAU - Selby, Peter AU - Selby P AD - Addictions Program, Centre for Addiction and Mental Health, Toronto, ON M5T1P7 Canada AD - Family and Community Medicine, University of Toronto, Toronto, ON M5T1P7 Canada AD - Psychiatry, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T1P7 Canada FAU - Zawertailo, Laurie AU - Zawertailo L AD - Addictions Program, Centre for Addiction and Mental Health, Toronto, ON M5T1P7 Canada AD - Pharmacology and Toxicology, University of Toronto, Toronto, ON M5T1P7 Canada FAU - Minian, Nadia AU - Minian N AD - Addictions Medicine, Centre for Addiction and Mental Health, Toronto, ON M5S 3E3 Canada FAU - Balliunas, Dolly AU - Balliunas D AD - Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON M5T 1P7 Canada FAU - Dragonetti, Rosa AU - Dragonetti R AD - Addictions Medicine, Centre for Addiction and Mental Health, Toronto, ON M5S 3E3 Canada FAU - Hussain, Sarwar AU - Hussain S AD - Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON M5T 1P7 Canada FAU - Lecce, Julia AU - Lecce J AD - Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON M5T 1P7 Canada FAU - Chinman, Matthew AU - Chinman M AD - Health, RAND Corporation, Pittsburgh, PA 15213 USA AD - VISN 4 MIRECC, VA Pittsburgh Healthcare Center, Pittsburgh, PA 15206 USA FAU - Acosta, Joie AU - Acosta J AD - Health, RAND Corporation, Arlington, VA 22202-5050 USA FAU - Ebener, Patricia AU - Ebener P AD - Health, RAND Corporation, Santa Monica, CA 90407 USA FAU - Malone, Patrick S AU - Malone PS AD - Health, RAND Corporation, Pittsburgh, PA 15213 USA FAU - Slaughter, Mary AU - Slaughter M AD - Health, RAND Corporation, Pittsburgh, PA 15213 USA FAU - Freedman, Darcy AU - Freedman D AD - Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH 44106 USA AD - Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Flocke, Susan AU - Flocke S AD - Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH 44106 USA AD - Family Medicine, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Lee, Eunlye AU - Lee E AD - Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Matlack, Kristen AU - Matlack K AD - Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Trapl, Erika AU - Trapl E AD - Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Ohri-Vachaspati, Punam AU - Ohri-Vachaspati P AD - School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ 85004 USA FAU - Taggart, Morgan AU - Taggart M AD - Agreculture, St. Clair Superior Development Corporation, Cleveland, OH 44103 USA FAU - Borawski, Elaine AU - Borawski E AD - Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH 44106 USA FAU - Parrish, Amanda AU - Parrish A AD - Department of Health Services, University of Washington, Health Promotion Research Center, Seattle, WA 98105 USA FAU - Harris, Jeffrey AU - Harris J AD - Health Promotion Research Center, University of Washington, Seattle, WA 98105 USA FAU - Kohn, Marlana AU - Kohn M AD - Department of Health Services, University of Washington, Health Promotion Research Center, Seattle, WA 98105 USA FAU - Hammerback, Kristen AU - Hammerback K AD - Department of Health Services, University of Washington, Health Promotion Research Center, Seattle, WA 98105 USA FAU - McMillan, Becca AU - McMillan B AD - Partner Relationships, American Cancer Society, Seattle, WA 98109 USA FAU - Hannon, Peggy AU - Hannon P AD - Health Services, University of Washington, Seattle, WA 98105 USA FAU - Swindle, Taren AU - Swindle T AD - Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Curran, Geoffrey AU - Curran G AD - Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Whiteside-Mansell, Leanne AU - Whiteside-Mansell L AD - Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Ward, Wendy AU - Ward W AD - Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205 USA FAU - Holt, Cheryl AU - Holt C AD - Behavioral and Community Health, University of Maryland, College Park, MD 20742 USA FAU - Santos, Sheri Lou AU - Santos SL AD - Behavioral and Community Health, University of Maryland, College Park, MD 20742 USA FAU - Tagai, Erin AU - Tagai E AD - Behavioral and Community Health, University of Maryland, College Park, MD 20742 USA FAU - Scheirer, Mary Ann AU - Scheirer MA AD - Program Evaluation, Scheirer Consulting, Princeton, NJ 8540 USA FAU - Carter, Roxanne AU - Carter R AD - Community Ministry of Prince George’s County, Upper Marlboro, MD 20772 USA FAU - Bowie, Janice AU - Bowie J AD - Health Behavior and Society, Johns Hopkins University, Baltimore, MD 21205 USA FAU - Haider, Muhiuddin AU - Haider M AD - Maryland Institute for Applied Environmental Health, University of Maryland, College Park, MD 20742 USA FAU - Slade, Jimmie AU - Slade J AD - Community Ministry of Prince George’s County, Upper Marlboro, MD 20772 USA FAU - Wang, Min Qi AU - Wang MQ AD - Behavioral and Community Health, University of Maryland, College Park, MD 20742 USA FAU - Masica, Andrew AU - Masica A AD - Center for Clinical Effectiveness, Baylor Scott & White Health, Dallas, TX 75206 USA FAU - Ogola, Gerald AU - Ogola G AD - Center for Clinical Effectiveness, Baylor Scott & White Health, Dallas, TX 75206 USA FAU - Berryman, Candice AU - Berryman C AD - Center for Clinical Effectiveness, Baylor Scott & White Health, Dallas, TX 75206 USA FAU - Richter, Kathleen AU - Richter K AD - Center for Clinical Effectiveness, Baylor Scott & White Health, Dallas, TX 75206 USA FAU - Shelton, Rachel AU - Shelton R AD - Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY 10032 USA FAU - Jandorf, Lina AU - Jandorf L AD - Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029 USA FAU - Erwin, Deborah AU - Erwin D AD - Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, NY 14263 USA FAU - Truong, Khoa AU - Truong K AD - Public Health Sciences, Clemson University, Clemson, SC 29634 USA FAU - Javier, Joyce R AU - Javier JR AD - Department of Pediatrics, Division of General Pediatrics, Chidren’s Hospital Los Angeles/USC Keck School of Medicine, Los Angeles, CA 90027 USA FAU - Coffey, Dean AU - Coffey D AD - Department of Pediatrics, Division of General Pediatrics, Chidren’s Hospital Los Angeles/USC Keck School of Medicine, Los Angeles, CA 90027 USA FAU - Schrager, Sheree M AU - Schrager SM AD - Division of Hospital Medicine, Chidren’s Hospital Los Angeles, Los Angeles, CA 90027 USA FAU - Palinkas, Lawrence AU - Palinkas L AD - Social Work, University of Southern California, Los Angeles, CA 90089-0411 USA FAU - Miranda, Jeanne AU - Miranda J AD - Semel Institute for Neuroscience and Human Behavior, UCLA Center for Health Services and Society, Los Angeles, CA 90024 USA FAU - Johnson, Veda AU - Johnson V AD - Pediatrics, Emory University, Atlanta, GA 30303 USA AD - Pediatrics, PARTNERS for Equity in Child and Adolescent Health, Atlanta, GA 30303 USA FAU - Hutcherson, Valerie AU - Hutcherson V AD - Johns Creek, GA 30022 USA FAU - Ellis, Ruth AU - Ellis R AD - Pediatrics, Emory University, Atlanta, GA 30303 USA FAU - Kharmats, Anna AU - Kharmats A AD - International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205 USA AD - International Health, Global Obesity Prevention Center, Baltimore, MD 21205 USA FAU - Marshall-King, Sandra AU - Marshall-King S AD - Shawnee Christian Health Care Center, Louisville, KY 40212 USA FAU - LaPradd, Monica AU - LaPradd M AD - Shawnee Christian Health Care Center, Louisville, KY 40212 USA FAU - Fonseca-Becker, Fannie AU - Fonseca-Becker F AD - Health, Behavior, & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21202 USA FAU - Kepka, Deanna AU - Kepka D AD - Huntsman Cancer Institute, University of Utah, College of Nursing and Huntsman Cancer Institute, Salt Lake City, UT 84112 USA FAU - Bodson, Julia AU - Bodson J AD - Cancer Control and Population Sciences, Huntsman Cancer Institute & University of Utah, Salt Lake City, UT 84112 USA FAU - Warner, Echo AU - Warner E AD - Cancer Control and Population Sciences, Huntsman Cancer Institute & University of Utah, Salt Lake City, UT 84112 USA FAU - Fowler, Brynn AU - Fowler B AD - Cancer Control and Population Sciences, Huntsman Cancer Institute & University of Utah, Salt Lake City, UT 84112 USA FAU - Shenkman, Elizabeth AU - Shenkman E AD - Department of Health Outcomes and Policy, University of Florida College of Medicine, Gainesville, FL 32606 USA FAU - Hogan, William AU - Hogan W AD - Department of Health Outcomes and Policy, University of Florida College of Medicine, Gainesville, FL 32606 USA FAU - Odedina, Folakami AU - Odedina F AD - Department of Pharmaceutical Outcomes and Policy, University of Florida, Gainesville, FL 32606 USA FAU - De Leon, Jessica AU - De Leon J AD - Clinical and Translational Science Institute, Florida State University College of Medicine, Tallahassee, FL 32308 USA FAU - Hooper, Monica AU - Hooper M AD - Psychology, University of Miami, Miami, FL 33136 USA FAU - Carrasquillo, Olveen AU - Carrasquillo O AD - Department of Medicine, University of Miami, Miami, FL 33136 USA FAU - Reams, Renee AU - Reams R AD - Department of Pharmaceutical Sciences, Florida A & M University, Tallahassee, FL 32308 USA FAU - Hurt, Myra AU - Hurt M AD - College of Medicine, Florida State University, Tallahassee, FL 32308 USA FAU - Smith, Steven AU - Smith S AD - Translational Research Institute, Florida Hospital, Orlando, FL 32804 USA FAU - Szapocznik, Jose AU - Szapocznik J AD - Clinical and Translational Science Institute, University of Miami, Miami, FL 33136 USA FAU - Nelson, David AU - Nelson D AD - Clinical and Translational Science Institute, University of Florida, Gainesville, FL 32606 USA FAU - Mandal, Prabir AU - Mandal P AD - Biology, Edward Waters College, Jacksonville, FL 32309 USA FAU - Teufel, James AU - Teufel J AD - Public Health, Mercyhurst University, Erie, PA 16504 USA LA - eng GR - 001/WHO_/World Health Organization/International PT - Journal Article DEP - 20160801 PL - England TA - Implement Sci JT - Implementation science : IS JID - 101258411 SB - IM PMC - PMC4977475 EDAT- 2016/08/05 06:00 MHDA- 2016/08/05 06:01 PMCR- 2016/08/01 CRDT- 2016/08/05 06:00 PHST- 2016/08/05 06:00 [entrez] PHST- 2016/08/05 06:00 [pubmed] PHST- 2016/08/05 06:01 [medline] PHST- 2016/08/01 00:00 [pmc-release] AID - 10.1186/s13012-016-0452-0 [pii] AID - 452 [pii] AID - 10.1186/s13012-016-0452-0 [doi] PST - epublish SO - Implement Sci. 2016 Aug 1;11 Suppl 2(Suppl 2):100. doi: 10.1186/s13012-016-0452-0. PMID- 39877774 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20250130 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 16 IP - 12 DP - 2024 Dec TI - Effects of Low-Intensity Transcranial Magnetic Stimulation in Neuropsychological Development of Pediatric Subjects With Autism Spectrum Disorder: A Longitudinal Retrospective Approach. PG - e76569 LID - 10.7759/cureus.76569 [doi] LID - e76569 AB - BACKGROUND: Autism spectrum disorder (ASD) is a heterogeneous neurobiological condition characterized by behavioral problems and delayed neurodevelopment. Although transcranial magnetic stimulation (TMS) has been proposed as an alternative treatment for patients with ASD because of its promising benefits in reducing repetitive behaviors and enhancing executive functions, the use of high-intensity pulses (Hi-TMS) appears to be related to the side effects of the therapy. Low-intensity TMS (Li-TMS) has been partially investigated, but it may have clinical effects on ASD and simultaneously increase treatment safety. METHODS: In this study, the effects of combined intervention with Li-TMS and conventional therapies were evaluated in 35 patients from Ecuador (six female and 29 male), aged between three and seven years, with a confirmed diagnosis of ASD. Each subject received conventional therapies twice a week (for four weeks) provided at the research center (psychological, occupational, speech, and neuro-psychomotor therapies) alongside daily Li-TMS sessions at 1 Hz and 9 mT of intensity targeting the left dorsolateral prefrontal cortex (L-DLPFC) for 45 min for four weeks (16 sessions in total). The Battelle Developmental Inventory (BDI), first edition, was applied before and after Li-TMS therapy to evaluate its clinical effects in subjects with ASD. Weekly follow-up assessments and parent questionnaires were administered to identify any adverse events. RESULTS: In all BDI domains, a significant statistical difference was observed between the pre- and post-intervention averages, supported by extremely low p-values (less than 0.001 in all cases). The personal, social, motor, cognitive, and communicative skills of all the study participants increased after Li-TMS therapy. At the same time, the calculated maturational delay had a significant decrease, suggesting an improvement of ~7.78 months in the neurodevelopment of the ASD subjects. However, age was also found to be a possible cause for these changes in development and maturation. No adverse effects were observed. CONCLUSIONS: Both variants of TMS, Hi-TMS and Li-TMS, have proven to be promising treatments for subjects with ASD, improving social and cognitive abilities. This investigation suggests that the combination of conventional therapies and 16 sessions of Li-TMS as a treatment for individuals with ASD had significant clinical progress, specifically in maturation development according to BDI. In addition, the use of low-intensity magnetic fields may allow for safer pulse delivery in pediatric subjects, as no side effects were reported in this study. CI - Copyright © 2024, Espinosa Mendoza et al. FAU - Espinosa Mendoza, Thonny Augusto AU - Espinosa Mendoza TA AD - Neuropsychology, Centro de Especialidades Neuropsicológicas Neuroinnova, Guayaquil, ECU. FAU - Oviedo Lara, Alan R AU - Oviedo Lara AR AD - Research, Nibbot International, Mexico City, MEX. FAU - Henk Jordan, Gabriel AU - Henk Jordan G AD - Neurosciences, Centro de Especialidades Neuropsicologicas Neuroinnova, Guayaquil, ECU. FAU - Sampieri-Cabrera, Raúl AU - Sampieri-Cabrera R AD - Foresight, Centro de Ciencias de la Complejidad, Universidad Nacional Autónoma de México, Mexico, MEX. AD - Department of Physiology, Facultad de Medicina, Universidad Nacional Autónoma de México, México, MEX. FAU - Perez Martinez, Luz Erandi AU - Perez Martinez LE AD - Research, Nibbot International, Mexico City, MEX. LA - eng PT - Journal Article DEP - 20241229 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC11774318 OTO - NOTNLM OT - autism spectrum disorder (asd) OT - li-tms OT - low-intensity tms OT - neuro development treatment OT - neuro-rehabilitation OT - neurodevelopment disorders OT - noninvasive neuromodulation OT - pediatric rehabilitation OT - repetitive transcranial magnetic stimulation (rtms) OT - transcranial magnetic stimulation (tms) COIS- Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Agency for Quality Assurance of Health Services and Prepaid Medicine (ACESS) issued approval ACESS-2024-Z08-0215924. For the development of the Li-TMS clinical treatment, informed consent was obtained from the legal guardians of all participants. Additionally, the health center where all the study activities were carried out is authorized as a Specialized Center in Psychiatry by the Agency for Quality Assurance of Health Services and Prepaid Medicine (ACESS) of the Ministry of Public Health of Ecuador, with Operating Permit No. ACESS-2024-Z08-0215924. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. EDAT- 2025/01/29 06:19 MHDA- 2025/01/29 06:20 PMCR- 2024/12/29 CRDT- 2025/01/29 04:37 PHST- 2024/12/29 00:00 [accepted] PHST- 2025/01/29 06:20 [medline] PHST- 2025/01/29 06:19 [pubmed] PHST- 2025/01/29 04:37 [entrez] PHST- 2024/12/29 00:00 [pmc-release] AID - 10.7759/cureus.76569 [doi] PST - epublish SO - Cureus. 2024 Dec 29;16(12):e76569. doi: 10.7759/cureus.76569. eCollection 2024 Dec. PMID- 21970036 OWN - NLM STAT- MEDLINE DCOM- 20111107 LR - 20111005 IS - 0233-528X (Print) IS - 0233-528X (Linking) VI - 45 IP - 4 DP - 2011 Jul-Aug TI - [The cascade scheme as a methodical platform for analysis of health risks in space flight and partially and fully analog conditions]. PG - 3-10 AB - Space anthropoecology, a subsection of human ecology, studies various aspects of physiological, psychological, social and professional adaptation to the extreme environment of space flight and human life and work in partially- and fully analogous conditions on Earth. Both SF and simulated extreme conditions are known for high human safety standards and a substantial analytic base that secures on-line analysis of torrent of information. Management evaluation and response to germing undesired developments aimed to curb their impact on the functioning of the crew-vehicle-environment system and human health involve the complete wealth of knowledge about risks to human health and performance. Spacecrew safety issues are tackled by experts of many specialties which emphasizes the importance of integral methodical approaches to risk estimation and mitigation, setting up barriers to adverse trends in human physiology and psychology in challenging conditions, and minimization of delayed effects on professional longevity and disorders in behavioral reactions. FAU - Ushakov, I B AU - Ushakov IB FAU - Poliakov, A V AU - Poliakov AV FAU - Usov, V M AU - Usov VM LA - rus PT - English Abstract PT - Journal Article PL - Russia (Federation) TA - Aviakosm Ekolog Med JT - Aviakosmicheskaia i ekologicheskaia meditsina = Aerospace and environmental medicine JID - 9305904 SB - IM MH - *Adaptation, Physiological MH - Aerospace Medicine MH - *Astronauts MH - *Ecological Systems, Closed MH - Extraterrestrial Environment MH - Humans MH - Risk Assessment MH - *Safety MH - *Space Flight MH - Weightlessness/*adverse effects EDAT- 2011/10/06 06:00 MHDA- 2011/11/08 06:00 CRDT- 2011/10/06 06:00 PHST- 2011/10/06 06:00 [entrez] PHST- 2011/10/06 06:00 [pubmed] PHST- 2011/11/08 06:00 [medline] PST - ppublish SO - Aviakosm Ekolog Med. 2011 Jul-Aug;45(4):3-10. PMID- 12418281 OWN - NLM STAT- MEDLINE DCOM- 20021220 LR - 20151119 IS - 0033-2240 (Print) IS - 0033-2240 (Linking) VI - 59 IP - 6 DP - 2002 TI - [Social support and proper human relations in high school pupils in relation to psychosomatic disease prevention]. PG - 433-7 AB - The examination concerned 313 girls and boys from the second and third class of the secondary schools in Kraków. The translated German version questionnaire "Woman Self Image and Social Ideal" was used in the examination; mainly its parts such as: 1. "The social support" which includes 22 questions. 2. "Human Relations" which includes 64 questions. The five step scale of feeling was applied. One of the five possibilities was chosen by the examined persons and analysed. Stepwise regression was performed. More than half of the examined pupils have a good friend, who is helpful any time and who has never lets them down. They are relaxed with him, may discuss important problems and can give him charge over their home in their absence. 5% of the examined pupils could not share psychological problems with any friends and 10% could not count on house or flat care. 10% of pupils often felt as outsiders among other young people, while 1/3 did not experience such a feeling. The need of better understanding, care and support in the family and from close acquaintances was observed by 15%. Simultaneously only 14% claimed that relation in this matter were satisfactory. 19% of examined persons wanted more safety and friendship. Only 14% had a feeling of full safety. Juveniles most often claimed, that it is not difficult for them to buy a gift for another person (71% vs 2%), or cherish happiness of other people (67% vs 0.3%), and to express sympathy to others (65% vs 2.8%). More than half of the respondents judge themselves as non-aggressive against others, that they do not place their own needs above other peoples' needs, and that they are not afraid of contact with others. The frequency of choosing opposite extreme did not exceed 5% of the respondents. With the majority of questions we found a number of answers regarding discussed problem, ex. accepting orders from superiors (never--28%, sometimes--28%, average--21%, often--12%, very often--11%). In analogical proportions we found answers regarding such facts as a being strong and steady person, without bothering of hurting somebody's feelings or taking care of their own goals when anyone else is in need. We showed very differentiated, individual approach of examined adolescents to matters regarding their relations with people important for shaping their attitude towards life. It was also shown, that most of the 16-17 year old adolescents from Krakow enjoy a satisfactory relationship with people important in their lives, on the other hand, it is distressing that almost 20% of the examined pupils do not get enough support, care, safety and understanding either from their peers, families or adults. FAU - Kolarzyk, Emilia AU - Kolarzyk E AD - Zakład Higieny i Ekologii Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków. FAU - Ostachowska-Gasior, Agnieszka AU - Ostachowska-Gasior A FAU - Kwiatkowski, Jacek AU - Kwiatkowski J LA - pol PT - English Abstract PT - Journal Article TT - Wsparcie społeczne oraz prawidłowe relacje interpersonalne licealistów krakowskich w aspekcie prewencji chorób o podłozu psychosomatycznym. PL - Poland TA - Przegl Lek JT - Przeglad lekarski JID - 19840720R SB - IM MH - Adolescent MH - Adolescent Behavior/*psychology MH - Female MH - Friends MH - Humans MH - *Interpersonal Relations MH - Male MH - *Peer Group MH - Poland MH - Regression Analysis MH - *Self Concept MH - *Social Support MH - Students/*psychology MH - Surveys and Questionnaires EDAT- 2002/11/07 04:00 MHDA- 2002/12/21 04:00 CRDT- 2002/11/07 04:00 PHST- 2002/11/07 04:00 [pubmed] PHST- 2002/12/21 04:00 [medline] PHST- 2002/11/07 04:00 [entrez] PST - ppublish SO - Przegl Lek. 2002;59(6):433-7. PMID- 10371811 OWN - NLM STAT- MEDLINE DCOM- 19990722 LR - 20171116 IS - 0025-7818 (Print) IS - 0025-7818 (Linking) VI - 90 IP - 2 DP - 1999 Mar-Apr TI - [The environmental characteristics of patients' rooms and their interactions with the lifting of patients]. PG - 141-51 AB - The Law (Presidential Decree) of 14/1/97 requested the regions of Italy to define and develop procedures for the accreditation of their health facilities. Since accreditation promotes the quality of the system, the support of ergonomics can be fundamental. Ergonomics, whose quality objective is harmony of the environment-man-object relationship, is in a position to make a major contribution to the complete application of the procedures for quality certification (ISO regulation 9000) and of the regulations regarding mandatory safety regulations (Law 626/94). The present paper analyzes the tasks of health workers vis-a-vis patients, highlighting the improvement or worsening effect of environmental features which not only have a direct effect on movements and general activity but also have an indirect effect on psychological and behavioural conditions. The first requirement that should be taken into consideration in environments that are also used by patients is that everything that can facilitate or make their walking and access to facilities self-sufficient will certainly make the healthcare workers' tasks easier, which can then be limited to lifting required for treatment and washing. The ward, especially, is an area that is extremely important from the point of view of design because it is where the patient does practically everything and where the staff, too, are mainly engaged in hygiene/treatment tasks, involving both patients and their relatives. The bed must be able to be easily used by potentially disabled patients who have difficulty in walking and moving. The beds should therefore be equipped with or have close by handles and rails that assist the patient to lie down, get up and move from the bed; the bed should also have a manual or electrical device to adjust the height (from 40 to 70 cm) and have four wheels (that can each be blocked) to make it easier to move. The supporting legs should occupy as little space as possible and should not interfere with wheelchairs or other walking aids or with the movements of the staff. The head and foot-boards should have parts that can be used as grips. The space between both sides of the beds should be at least 90 cm and the space between headboard and wall 120 cm; bedside tables should be no deeper than 30 cm and be fitted with wheels. On the question of space distribution design, another important requirement is flexibility. Adequate flexibility of space distribution together with adaptable technological systems mean that the spaces and equipment of the ward can be easily adapted to the great variety of needs. FAU - Baglioni, A AU - Baglioni A AD - DI.Tec., Politeclinco di Milano. LA - ita PT - Journal Article TT - Caratteristiche ambientali del reparto di degenza e loro interazioni con la movimentazione del paziente. PL - Italy TA - Med Lav JT - La Medicina del lavoro JID - 0401176 SB - IM MH - *Environment, Controlled MH - Ergonomics/legislation & jurisprudence/standards MH - Humans MH - Interior Design and Furnishings/legislation & jurisprudence/standards MH - Italy MH - *Lifting MH - Lighting/legislation & jurisprudence/standards MH - *Patients' Rooms/legislation & jurisprudence/standards MH - Risk Factors EDAT- 1999/06/18 00:00 MHDA- 1999/06/18 00:01 CRDT- 1999/06/18 00:00 PHST- 1999/06/18 00:00 [pubmed] PHST- 1999/06/18 00:01 [medline] PHST- 1999/06/18 00:00 [entrez] PST - ppublish SO - Med Lav. 1999 Mar-Apr;90(2):141-51. PMID- 7290462 OWN - NLM STAT- MEDLINE DCOM- 19811221 LR - 20131121 IS - 0026-4806 (Print) IS - 0026-4806 (Linking) VI - 72 IP - 38 DP - 1981 Oct 6 TI - [The effects of small amounts of alcohol on in-flight activity]. PG - 2571-86 AB - Alcohol metabolism is described prior to an account of its effect on vigilance. The psychological and psychosomatic influence of alcohol is also illustrated in the light of experimental data indicating how it alters the response to stimuli. Alterations in various parameters following the administration of significantly small doses of alcohol were studied. Reaction time decreased, then increased, followed by a further decrease after about 1 1/2 hr. Even 1/8th litre depresses receptiveness of the reticular substance, and leads to lengthening of reaction times due to diminished ability to concentrate attention on a given task. CNS depression is also in proportion to the complexity of the performance required. This is particularly and dangerous in pilots, whose tasks are extremely precise and require close attention. Functional alterations induced by alcohol during flight may be numerous, due to disturbances connected with the specific conditions created by flying, and apparatuses whose physiological functions are susceptible to disturbance by flying itself. Alcohol, itself a harmful influence on piloting an aircraft, deteriorates these functions and conditions. Toxic substances present during flying and their potentiation by alcohol are considered. The effects of alcohol, added to these specific pathogenetic toxic effects, quickly and readily lead to a fall in overall psychophysical efficiency, and prejudice flight safety. the reason why a decrease in the limit intake doses to less than 2 cc/kg, equivalent to a blood value of 0.5 g 0/00, to ensure safe control of the plane, is desirable is explained. FAU - Dionisi, A AU - Dionisi A LA - ita PT - English Abstract PT - Journal Article TT - Effetti dell'assunzione di piccole dosi di alcool sulla attività di volo. PL - Italy TA - Minerva Med JT - Minerva medica JID - 0400732 RN - 0 (Gasoline) RN - 3K9958V90M (Ethanol) SB - IM MH - *Aerospace Medicine MH - *Alcohol Drinking MH - Awareness/drug effects MH - Central Nervous System/drug effects MH - Drug Synergism MH - Ethanol/*adverse effects/metabolism MH - Gasoline/toxicity MH - Humans MH - Reaction Time/drug effects EDAT- 1981/10/06 00:00 MHDA- 1981/10/06 00:01 CRDT- 1981/10/06 00:00 PHST- 1981/10/06 00:00 [pubmed] PHST- 1981/10/06 00:01 [medline] PHST- 1981/10/06 00:00 [entrez] PST - ppublish SO - Minerva Med. 1981 Oct 6;72(38):2571-86. PMID- 2267840 OWN - NLM STAT- MEDLINE DCOM- 19910213 LR - 20081121 IS - 0049-8610 (Print) IS - 0049-8610 (Linking) VI - 36 IP - 8 DP - 1990 Aug TI - [Effects of stress and strain on health status and traffic behavior in professional drivers]. PG - 421-4 AB - The paper is based on the expectation, that the short and middle term sequences of strain in connection with the job demands on professional motorists have an influence on the traffic safety. Increasing rush, higher pretensions on the carriers for instance just-in-time-production, 24-hours-service and the competition between the countries of the EEC raise the level of demands. New arrangements between the countries of the EEC allow longer shifts. In extreme cases 84 hours per week are possible. The aim of our examination consists in showing the real working-conditions of professional drivers and their effects on the attitude to car-driving and to get information on the psychosomatic state of the drivers. FAU - Frieling, E AU - Frieling E AD - Gesamthochschule Kassel, BRD. FAU - Kiegeland, P AU - Kiegeland P LA - ger PT - English Abstract PT - Journal Article TT - Auswirkungen von Belastung und Beanspruchung auf Befinden und Verkehrsverhalten von Berufskraftfahrern. PL - Germany TA - Z Gesamte Hyg JT - Zeitschrift fur die gesamte Hygiene und ihre Grenzgebiete JID - 0420111 SB - IM MH - *Arousal MH - Automobile Driving/*psychology MH - Humans MH - Occupational Diseases/*psychology MH - Physical Exertion MH - Stress, Psychological/*complications MH - Work Schedule Tolerance EDAT- 1990/08/01 00:00 MHDA- 1990/08/01 00:01 CRDT- 1990/08/01 00:00 PHST- 1990/08/01 00:00 [pubmed] PHST- 1990/08/01 00:01 [medline] PHST- 1990/08/01 00:00 [entrez] PST - ppublish SO - Z Gesamte Hyg. 1990 Aug;36(8):421-4.