Sleep Disturbance in Older Adults With or Without Mild Cognitive Impairment and Its Associated Factors Residing in Rural Area, China.

Aims: To evaluate the prevalence of sleep disturbance in older adults with or without mild cognitive impairment (MCI) and associated factors among residents in rural central China.

Methods: A cross-sectional survey was conducted in adults in rural areas of the Hunan province aged≥60 years. Study participants (N = 1213) included 479 individuals meeting the criteria for MCI and 734 with normal cognitive abilities.

Resilience and affect balance of empty-nest older adults with mild cognitive impairment in poor rural areas of Hunan province, China.

Aim: To evaluate the prevalence of mild cognitive impairment (MCI) within the empty-nest older adults population in poor rural areas of the Hunan province of China, and to explore the effects of resilience and affective balance on cognitive functioning within this specific population.

Methods: A cross-sectional, multistage, random cluster survey was administered to participants from March 2013 to December 2014 in the Hunan province. There were a total of 1164 participants.

Laser in situ keratomileusis flap stability in an aviator following aircraft ejection.

Unlabelled: We present the case of a 28-year-old male F/A-18F Super Hornet naval flight officer who ejected from an aircraft at 13 000 feet at a speed in excess of 350 knots 7 years after uneventful laser in situ keratomileusis (LASIK). The patient was evaluated the day after the ejection. No LASIK flap complications or epithelial defects were found, and the corrected distance visual acuity was 20/15 in both eyes.

Effects of Progressive Muscle Relaxation Intervention in Extremity Fracture Surgery Patients.

The purpose of this study was to evaluate the impact of progressive muscle relaxation on state anxiety and self-efficacy in hospitalized patients admitted for an extremity fracture receiving elective surgery. Eighty four patients met the inclusion criteria and all were randomly assigned to either the progressive muscle relaxation group or the control group. The control group received standard orthopedic nursing care, and the experimental group received standard care along with daily progressive muscle relaxation throughout their hospitalization.

Client attachment orientations, working alliances, and responses to therapy: a psychology training clinic study.

The authors examined the associations between client attachment orientations, working alliance, and progress in therapy. Ninety-five clients at two university-based training clinics completed measures of adult attachment, attachment to therapist, and working alliance immediately preceding the third counseling session with therapists-in-training. A standardized measure of progress in therapy was administered at intake, third counseling session, and termination.