Working conditions and mental illness among nursing workers.

The growth of mental illness has aroused the interest of the occupational health area in the study of the relationship between work and mental health. Among health workers, nursing represents the largest contingent of workforce in the sector and, due to frequent exposure to numerous stressors, they present a significant increase in work-related mental illness. The objective of this study was to identify the most frequent illness and mental distress processes among nursing professionals in Brazil and relate them to working conditions and coping strategies described in recent scientific literature.

Emergency Department Treatment of Elevated Blood Pressure in the Headache Patient.

Headache accounts for 1 - 3% of emergency department (ED) visits globally and is associated with elevated blood pressure (BP). It is unclear if anti-hypertensive therapy provides benefits. This retrospective study assessed effects of anti-hypertensive therapy in ED headache patients on rescue analgesic need, hospital admissions, and length of stay (LOS).

Equivalence in osteoporosis workup and management after femoral neck fracture fixation and vertebral compression fracture cement augmentation: A single-center retrospective study highlighting persistent Underdiagnosis and Undertreatment.

Background: The purpose of this study was to evaluate pre- and post-fracture medical management of osteoporosis among patients who underwent surgical fixation of femoral neck fractures (FNF) and vertebral compression fractures (VCF), and to investigate if there is a difference in treatment, management, and subsequent fractures between FNF and VCF patients.

Methods: Patients who underwent surgical fixation of FNF or VCF were retrospectively reviewed at a minimum 1 year follow up. Patients were excluded if their fracture was caused by high energy trauma or malignancy, <50 years-old, deceased, or lost to follow up.

Antihypertensive prescription is associated with improved 30-day outcomes for discharged hypertensive emergency department patients.

Background: Hypertension (HTN) is common in discharged emergency department (ED) patients, yet the short-term outcomes of treating HTN at ED discharge are unclear. This study aimed to investigate whether emergency physician (EP) prescription of oral antihypertensive therapy at ED discharge for hypertensive patients is associated with a decreased 30-day risk of the severe adverse events (AEs), death, and revisits to the ED.

Methods: We conducted an observational cohort study assessing the 30-day outcomes of discharged ED patients with HTN, comparing outcomes based on whether antihypertensive therapy was prescribed.

Transient attention does not alter the eccentricity effect in estimation of duration.

Previous research investigating the influence of stimulus eccentricity on perceived duration showed an increasing duration underestimation with increasing eccentricity. Based on studies showing that precueing the stimulus location prolongs perceived duration, one might assume that this eccentricity effect is influenced by spatial attention. In the present study, we assessed the influence of transient covert attention on the eccentricity effect in duration estimation in two experiments, one online and one in a laboratory setting.

Acute-on-chronic liver failure is independently associated with higher mortality for cirrhotic patients with acute esophageal variceal hemorrhage: Retrospective cohort study.

Background: Acute esophageal variceal hemorrhage (AEVH) is a common complication of cirrhosis and might precipitate multi-organ failure, causing acute-on-chronic liver failure (ACLF).

Aim: To analyze if the presence and grading of ACLF as defined by European Society for the Study of the Liver-Chronic Liver Failure (EASL-CLIF) is able to predict mortality in cirrhotic patients presenting AEVH.

Methods: Retrospective cohort study executed in Hospital Geral de Caxias do Sul.

Thermoregulatory ability and mechanism do not differ consistently between neotropical and temperate butterflies.

Climate change is a major threat to species worldwide, yet it remains uncertain whether tropical or temperate species are more vulnerable to changing temperatures. To further our understanding of this, we used a standardised field protocol to (1) study the buffering ability (ability to regulate body temperature relative to surrounding air temperature) of neotropical (Panama) and temperate (the United Kingdom, Czech Republic and Austria) butterflies at the assemblage and family level, (2) determine if any differences in buffering ability were driven by morphological characteristics and (3) used ecologically relevant temperature measurements to investigate how butterflies use microclimates and behaviour to thermoregulate. We hypothesised that temperate butterflies would be better at buffering than neotropical butterflies as temperate species naturally experience a wider range of temperatures than their tropical counterparts.

From circular strategies to actions: 65 European circular building cases and their decarbonisation potential.

The application of the circular economy (CE) in the building industry is critical for achieving the carbon reduction goals defined in the Paris Agreement and is increasingly promoted through European policies. In recent years, CE strategies have been applied and tested in numerous building projects in practice. However, insights into their application and decarbonisation potential are limited.

Cross-study safety analysis of risk factors in CAR T cell clinical trials: An FDA database pilot project.

The Chimeric Antigen Receptor (CAR) T Cell Safety Database Project explored the use of cross-study safety data to identify risk factors associated with severe cytokine release syndrome (sCRS) and severe neurological toxicities (sNTX) after CAR T cell administration. Sponsors voluntarily submitted data for 1,926 subjects from 17 phases 1 and 2 studies (six acute lymphocytic leukemia [ALL], five non-Hodgkin's lymphoma [NHL], and six multiple myeloma [MM] studies). Subjects with ALL had a higher risk for developing sCRS and sNTX compared with subjects with NHL or MM.

The Suprachiasmatic Nucleus Regulates Anxiety-Like Behavior in Mice.

Individuals suffering from mood and anxiety disorders often show significant disturbances in sleep and circadian rhythms. Animal studies indicate that circadian rhythm disruption can cause increased depressive- and anxiety-like behavior, but the underlying mechanisms are unclear. One potential mechanism to explain how circadian rhythms are contributing to mood and anxiety disorders is through dysregulation of the suprachiasmatic nucleus (SCN) of the hypothalamus, known as the "central pacemaker.

Increasing pupil size is associated with improved detection performance in the periphery.

Visible light enters our body via the pupil. By changing its size, the pupil shapes visual input. Small apertures increase the resolution of high spatial frequencies, thus allowing discrimination of fine details.

Close - but not distant - conditioned flanker emotion affects crowding.

Crowding is affected by conditioned stimulus emotion. This effect is clearly observed for conditioned flankers, but only marginally pronounced for conditioned targets. Studies on the processing of emotional stimuli suggest that the magnitude of the emotional effect depends on the presentation depth in that effects of emotion increase with decreasing distance to the observer in depth.

Direct voluntary control of pupil constriction and dilation: Exploratory evidence from pupillometry, optometry, skin conductance, perception, and functional MRI.

We present a single case who can change pupil size on command with dilation of pupil diameter of around 0.8 mm, and constriction of around 2.4 mm.

Evidence-based protocol for diagnosis and treatment of hepatorenal syndrome is independently associated with lower mortality.

Background: Hepatorenal syndrome (HRS) is the deadliest complication of cirrhosis. The purpose of this study is to analyze if the use of a protocol for HRS is associated with higher survival in these patients.

Methods: An evidence-based protocol for the diagnosis and treatment of HRS was instituted in 2013.

Case 282: Fishbone Pylephlebitis.

HistoryA 63-year-old woman with a history of left mastectomy for breast cancer and partial gastrectomy with Roux-en-Y reconstruction for nonhealing peptic ulcer presented to the emergency department and reported a 1-month history of abdominal distention, fevers, chills, and flu-like symptoms. She was initially suspected of having flu, and she completed a course of oseltamivir; however, she had continued to experience fatigue, fever, chills, abdominal bloating, and loss of appetite. She reported no contact with a sick person or recent travel.

Crowding Effects Across Depth are Fixation-Centered for Defocused Flankers and Observer-Centered for Defocused Targets.

Depth needs to be considered to understand visual information processing in cluttered environments in the wild. Since differences in depth depend on current gaze position, eye movements were avoided by short presentations in a real depth setup. Thus, allowing only peripheral vision, crowding was tested.

Rethinking the meaning of "landscape shocks" in energy transitions: German social representations of the Fukushima nuclear accident.

Sociotechnical sustainability transitions are understood to involve changes in cultural meaning, alongside a wide variety of other changes. One of the most popular conceptual models of such change, the multi-level perspective, exogenously locates slow-changing cultural factors in the 'sociotechnical landscape', viewing this landscape as periodically subject to 'shocks' that may support the break-through of niche innovations. Here we emphasise that shock to a sociotechnical system has social psychological dimensions, including meaning-related correlates.

Case 282.

HistoryA 63-year-old woman with a history of left mastectomy for breast cancer and partial gastrectomy with Roux-en-Y reconstruction for nonhealing peptic ulcer presented to the emergency department and reported a 1-month history of abdominal distention, fevers, chills, and flu-like symptoms. She was initially suspected of having flu, and she completed a course of oseltamivir; however, she had continued fatigue, fever, chills, abdominal bloating, and loss of appetite. She reported no contact with a sick person or recent travel.

[The nerve root syndrome in small animals - A review focussing on pathophysiology and therapy in the dog].

A large variety of etiologies is considered to be the cause of nerve root syndrome in dogs. Lateralized disc herniation, foraminal stenosis and malignant as well as benign nerve sheath tumors are some of the most important triggers described. The clinical signs of a nerve root syndrome are characterized by monoparesis in combination with progressive lameness, which may be accompanied by an elevation of the affected limb.

Imaging of the female urethra.

Female urethral pathology can be challenging to diagnose clinically due to non-specific symptoms. High-resolution MRI has become a powerful tool in the diagnosis of urethral lesions and staging of malignancy. Additionally, dynamic MRI, fluoroscopy or ultrasound can evaluate for pelvic floor prolapse and the effectiveness of surgical interventions.

Tracking the distribution of microfiber pollution in a southern Lake Michigan watershed through the analysis of water, sediment and air.

Microplastic waste is a worldwide problem, heavily afflicting marine and freshwater environments; the loading of this pollution in water, sediment and living organisms continues to escalate. Synthetic microfibers, resulting from the release of microscopic fibers from synthetic textiles, constitute the most prevalent type of microplastics pollution in aquatic environments. This study investigated the origin and distribution of synthetic microfibers in a representative Lake Michigan watershed in Indiana (USA) by analyzing water, sediment and air samples above and below wastewater treatment plant discharges, downstream in the watershed and water from the Lake Michigan shoreline.

East meets west in psychiatry: Yoga as an adjunct therapy for management of anxiety.

Purpose: Provide yoga for coping and symptom management in a locked, adult inpatient psychiatric unit.

Design: Hatha yoga was offered to inpatients with mood disorders and/or psychosis 3 times per week in this evidence-based practice change project. Impact on sleep was examined using recorded sleep hours.

Crowding with Negatively Conditioned Flankers and Targets.

Crowding refers to the phenomenon of increased difficulty in identifying a peripherally presented stimulus when it is surrounded by adjacent flankers compared to when it is presented in isolation. The aim of the present study was to investigate the influence of flanker and target emotion on crowding effects. Therefore, Landolt rings with certain opening directions were conditioned with neutral or negative pictures.

Crowding in depth for binocular and monocular observation.

Crowding refers to the phenomenon of reduced recognition performance for peripherally presented targets that are flanked by similar stimuli. Crowding is known to vary with lateral distances (i.e.