Physical and Pharmacologic Restraint in Hospitalized Children With Autism Spectrum Disorder.

Objectives: Children with autism spectrum disorder (ASD) have high rates of cooccurring conditions and are hospitalized longer and more frequently than children without ASD. Little is known about use of involuntary physical or pharmacologic restraint in hospitalized children with ASD. This study compares use of restraint because of violent or self-injurious behavior during inpatient pediatric hospitalization in children with ASD compared with typical peers.

Pilot assessment of an on-demand telehealth 'left without being seen' follow-up programme.

Introduction: On-demand telehealth can have a high rate of patients requesting visits and dropping off without being seen by a provider, especially during the COVID-19 pandemic.

Methods: On-demand telehealth requests made to a large healthcare system in the USA between 15 March 2020 and 31 May 2020 were included for analysis with a focus on patients who were defined as left without being seen (LWBS). As part of a pilot program a registered nurse attempted to call LWBS patients within 24 hours of their telehealth request and asked if they were ok, if they sought care for their original visit reason, what that care was, or if they still needed guidance.

A descriptive analysis of an on-demand telehealth approach for remote COVID-19 patient screening.

Introduction: COVID-19 requires methods for screening patients that adhere to physical distancing and other Centers for Disease Control and Prevention guidelines. There is little data on the use of on-demand telehealth to meet this need.

Methods: The functional performance of on-demand telehealth as a COVID-19 remote patient screening approach was conducted by analysing 9270 patient requests.

Monitoring intrathoracic impedance in heart failure patients: implications for inpatient use.

Monitoring of intrathoracic impedance to evaluate heart failure status has been used for some years in the outpatient setting. Recent technological advances in pacemaker and internal cardioverter-defibrillator design allow for easier access to that same information in the inpatient setting. This has implications for earlier and more precise recognition and treatment of heart failure in the hospitalized patient and for reducing hospital length of stay.

The relationship of adult attachment constructs to object relational patterns of representing self and others.

This study examined the relation between attachment constructs assessed by self-report and object relations constructs assessed from narratives. Young adult participants (N = 65; median age 28) completed the Reciprocal Attachment Questionnaire (West, Sheldon, &Reiffer, 1987), provided a set of interpersonal narratives rated using the Social Cognition and Object Relations Scale (SCORS; Westen, Barends, Leigh, Mendel, &Silbert, 1994), and completed other relationship-related measures. Results suggest some conceptual convergence between internal working models and representations of self, others, and relationships; for example, individuals who perceive significant others as offering a secure base for emotional connection tend to have complex, well-differentiated representations of self and others.