Social Determinant of Unconventional Resilience: Tactical Engagement with Family Formations.

Building off our operational model, we will discuss findings from our ethnographic study titled, "The Impact of Catastrophic Injury Exposure on Resilience in Special Operations Surgical Teams (SOST)," to establish that optimal family formations compose and coordinate momentum. We will use qualitative quotes to explore the constellation of various family formations. To achieve our goals, we will: 1) define the social determinant of family formations and provide background on how we merge family systems theory with military formations; 2) thematize various types of family formations that optimize or degrade unconventional resilience; and 3) relate tactical engagement with family formations to our metaphor of bag sets.

Functional dysphagia: Developing a framework for assessment and treatment.

Purpose: Functional dysphagia is complex, affecting physical health as well as wellbeing. In this expert opinion paper with associated exemplar case series, we propose a framework for understanding functional dysphagia.

Method: A literature review of approaches to understanding and treating functional dysphagia are presented, moving beyond the predominant medical model to encompass psychosocial aspects of the condition.

Investing in U.S. forests to mitigate climate change.

In recent years several U.S. federal policies have been adopted to support forest-based climate mitigation actions.

Associations with Resolution of ST-Segment Elevation Myocardial Infarction Criteria on Out-of-Hospital 12-lead Electrocardiograms Following Resuscitation from Cardiac Arrest.

Introduction: A previous study found that following out-of-hospital cardiac arrest (OHCA), 67% of out-of-hospital 12-lead electrocardiograms (ECGs) diagnostic for ST-segment elevation myocardial infarction (STEMI) changed to non-STEMI on repeat emergency department (ED) ECG. Here we evaluated associations with resolution of STEMI on ED ECG.

Methods: In this secondary analysis of a previous retrospective study, adults (≥18 years) with return of spontaneous circulation (ROSC) following OHCA, at least 1 out-of-hospital and ED ECG and transport to the study hospital were entered.