Implementation and Evaluation of a Trainee Orientation Manual in an Intensive Care Unit Rotation.

Background: The intensive care unit (ICU) rotation places trainees in a fast-paced, high-intensity environment that requires complex patient care and multidisciplinary coordination. Trainees seek continuous medical knowledge acquisition while tasked with learning ICU-specific workflows, procedures, and policies. The unfamiliarity with rotation logistics and administrative roles and expectations could hinder the ICU rotation learning experience.

Which Came First, the Money or the Sex? Bidirectional, Indirect Associations between Financial Management Behaviors and Sexual Satisfaction among Newlywed Couples.

Scholars have established connections between how married couples navigate their finances and their sexual relationship. For example, financial management behaviors are associated with sexual satisfaction among newlywed couples. However, we know very little about the direction of the association between financial management behaviors and sexual satisfaction.

Bedtime and the Budget: Longitudinal, Actor-Partner Connections between Sleep Quality and Financial Management Behaviors in Newlywed Couples.

Research from the American Psychological Association suggests that approximately 67% of U.S. adults are getting more or less sleep than desired, and over 80% of U.

Money lies and extramarital ties: Predicting separate and joint occurrences of financial deception and extramarital infidelity.

Introduction: Although spouses frequently financially deceive each other (MFD; i.e., marital financial deception), few studies have examined this relationship behavior.

Systemic antibiotics for chronic suppurative otitis media.

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammation and infection of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Systemic antibiotics are a commonly used treatment option for CSOM, which act to kill or inhibit the growth of micro-organisms that may be responsible for the infection.

Ten Years of Marriage and Cohabitation Research in the Journal of Family and Economic Issues.

I reviewed the 36 marriage and cohabitation studies from the articles published between 2010-2019. Nearly all of the studies used quantitative methods, and two-thirds of them used publicly available nationally-representative data. The studies fell into roughly five, unevenly sized groups: family structure, relationship quality, division of labor/employment, money management, and an "other" category.

Skin Carotenoid Response to a High-Carotenoid Juice in Children: A Randomized Clinical Trial.

Background: Previous studies have shown an increase in serum carotenoid status among children when fed carotenoids. This study looked at the effect and dose-response of a known amount of carotenoid consumption on change in skin carotenoid status among children.

Methods: Participants were children aged 5 to 17 years from Cache County, UT (n=58).

Admixture between historically isolated mitochondrial lineages in captive Western gorillas: recommendations for future management.

Although captive populations of western gorilla have been maintained in the United States for over a century, little is known about the geographic origins and genetic composition of the current zoo population. Furthermore, although previous mitochondrial analyses have shown that free-range gorilla populations exhibit substantial regional differentiation, nothing is known of the extent to which this variation has been preserved in captive populations. To address these questions, we combined 379 pedigree records with data from 52 mitochondrial sequences to infer individual haplogroup affiliations, geographical origin of wild founders and instances of inter-breeding between haplogroups in the United States captive gorilla population.

Complete mitochondrial genome sequence of the Eastern gorilla (Gorilla beringei) and implications for african ape biogeography.

The Western and Eastern species of gorillas (Gorilla gorilla and Gorilla beringei) began diverging in the mid-Pleistocene, but in a complex pattern with ongoing gene flow following their initial split. We sequenced the complete mitochondrial genomes of 1 Eastern and 1 Western gorilla to provide the most accurate date for their mitochondrial divergence, and to analyze patterns of nucleotide substitutions. The most recent common ancestor of these genomes existed about 1.

Lifestyle behavior pattern is associated with different levels of risk for incident dementia and Alzheimer's disease: the Cache County study.

Objectives: To identify distinct behavioral patterns of diet, exercise, social interaction, church attendance, alcohol consumption, and smoking and to examine their association with subsequent dementia risk.

Design: Longitudinal, population-based dementia study.

Setting: Rural county in northern Utah, at-home evaluations.

Fatherhood and Men's Lives at Middle Age.

This paper uses data on 2,024 men who were followed through the third wave of the National Survey of Families and Households to examine the implications of fatherhood experiences for men's involvement in altruistic social activities at middle age. We find that middle-aged men (ages 45-65) who at some point in their lives become fathers are significantly more likely to have altruistically oriented social relationships and be involved in service organizations compared to men who have never become fathers. Furthermore, it appears that the defining aspect of the effect of fatherhood is the level of engagement with children while they are growing up.

The Role of Religion in Adolescence for Family Formation in Young Adulthood.

This paper examines the role of religion in adolescence for shaping subsequent family formation. Data were drawn from the National Longitudinal Study of Adolescent Health (n=13,895). We explored the role of three dimensions of religious life-affiliation, attendance, and religious fervor, both singly and in combination for the transition to either marriage or cohabitation.

Assessing benthic community condition in Chesapeake Bay: does the use of different benthic indices matter?

Federal and state environmental agencies conduct several programs to characterize the environmental condition of Chesapeake Bay. These programs use different benthic indices and survey designs, and have produced assessments that differ in the estimate of the extent of benthic community degradation in Chesapeake Bay. Provided that the survey designs are unbiased, differences may exist in the ability of these indices to identify environmental degradation.

Leiomyosarcoma of the inferior vena cava: surgical management and clinical results.

Leiomyosarcoma of the inferior vena cava (IVC) is a rare lesion with less than 300 cases reported. Optimal management and long-term outcomes are not well described. From August 1984 to June 2004, eight patients with leiomyosarcoma of the IVC were treated at our institution.

A cohort study of topical vaginal estrogen therapy in women previously treated for breast cancer.

Objective: To estimate the risk of recurrence of breast cancer associated with the use of topical vaginal estrogen therapy in the management of vaginal atrophy in women previously treated for breast cancer.

Methods: The study group comprised 1472 women with histologically confirmed breast cancer. In 69 of these subjects (4.

Tamoxifen, hormone receptors and hormone replacement therapy in women previously treated for breast cancer: a cohort study.

Objective: To determine the risk of recurrence of breast cancer associated with the use of hormone replacement therapy (HRT) in the management of menopausal symptoms in women previously treated for breast cancer who were taking concurrent tamoxifen or who were estrogen receptor-positive.

Methods: The study group comprised 1472 women with histologically confirmed breast cancer, of whom 342 subjects (23.2%) elected to use hormonal therapy in the management of their menopausal symptoms.

A cohort study of hormone replacement therapy given to women previously treated for breast cancer.

Unlabelled: Women who have been previously treated for breast cancer are usually advised to avoid hormone therapy for fear of increasing their risk of tumor recurrence. However, for some women, menopausal symptoms are so severe that their quality of life is poor. Because ethic committees are reticent to permit a double-blind randomized trial, we performed a cohort study of hormone therapy after breast cancer.

The significance of pelvic ultrasound abnormalities detected on routine ultrasound scanning prior to assisted reproduction.

Objective: To determine the benefit of screening patients with pelvic ultrasound before commencing treatment with in vitro fertilization or gamete intra-fallopian transfer, as well as before each subsequent treatment cycle was performed.

Subjects And Setting: Seven hundred and seventy-nine patients who were enrolled in the Royal Hospital for Women Fertility Group assisted reproduction program.

Method: A retrospective analysis was performed.

The influence of advanced age on the outcome of assisted reproduction.

Purpose: Our purpose was to determine the influence of age on the outcome of assisted reproduction, with particular interest in women aged 40 years or older.

Methods: A retrospective review of the 779 patients enrolled in the Royal Hospital for Women Fertility Group fertility program between 1987 and 1994 was performed. The results for women aged 40 years or older were compared with those for women between 36 and 39 years and those younger than 36 years.

The significance of mild squamous atypia on cytology.

Between January, 1991 and February, 1993 inclusive, 396 Papanicolaou smears were reported to show Mild Squamous Atypia with or without Human Papilloma Virus (MSA +/- HPV). All women with MSA +/- HPV smears were routinely recalled for colposcopy. To determine the significance of MSA +/- HPV on routine smear screening, the records of all patients were reviewed.

Gynaecological complications of women treated with tamoxifen for breast cancer.

We present 6 cases illustrating some of the gynaecological complications associated with tamoxifen treatment of women with breast cancer. The first 2 represent cases of myometrial hypertrophy secondary to tamoxifen use, a postmenopausal woman and a premenopausal women with recurrent carcinoma of the breast. The third is a case of probable ovulation induction in a perimenopausal women with recurrent breast cancer who was commenced on tamoxifen 20 mg daily.

An adult developmental study of the encoding of spatial location.

The present study was designed to test the hypothesis that there is a differential deficit in the ability to encode contextual information with increasing age. Young, middle-aged, and elderly adults were shown target words in various quadrants of a computer screen (contexts) and were told to either (a) remember the words and their locations, (b) remember the words, or (c) tell whether the words referred to something that was alive or not. Following presentation of the words, subjects were given a recognition test for the words and were asked to identify the quadrant in which each word had been presented.