Multi-level barriers to equitable postpartum permanent contraception.

Background: There are several barriers to fulfillment of desired postpartum permanent contraception (PC). Prior research has primarily focused on the federal Medicaid sterilization policy as a barrier to PC; however, other barriers need to be examined.

Objectives: To explore the levels and intersections of barriers to postpartum PC that exist external to the Medicaid policy.

Acute kidney injury detection with additional point-of-care creatinine vs central laboratory serum creatinine measurement in critically ill patients.

Background: Serum creatinine measured by point-of-care testing (CrP) correlates with central laboratory serum creatinine (CrC) measurement and can be performed frequently, which might lead to an earlier diagnosis of acute kidney injury (AKI). We aimed to test whether the combination of CrP and CrC measurement would achieve earlier and more freuent AKI diagnosis than routine CrC testing alone.

Methods: Retrospective study of critically ill patients with two or more CrP measurements 24 h before an AKI was diagnosed on CrC.

Postpartum Patient Perspectives on the US Medicaid Waiting Period for Permanent Contraception.

Objective: The Medicaid Consent to Sterilization policy is a known barrier to permanent contraception (PC) fulfillment and is associated with disparities in fulfillment. While physician perspectives regarding the policy are well described, knowledge of how patients with Medicaid seeking PC perceive this waiting period is limited.

Study Design: We interviewed 81 participants with a documented desire for PC at discharge from their hospital-based delivery at four medical centers across the United States.

The psychology of thermoregulation: A coordinating mechanisms approach.

Temperature is more than just the background setting of daily life-it shapes what we think, feel, and do. Drawing from the theory of emotions as coordinating mechanisms, we propose that thermal affect influences key psychological systems such as attention, memory, perception, and motivation in service of solving critical thermal challenges. Through an evolutionary task analysis, we generate a variety of testable predictions regarding the interplay of temperature, human cognition, and behavior.