Adapting the Role of Doulas to Enhance Supports for Perinatal People with Substance Use Disorders.

Purpopse: There is a gap in the current literature regarding how doula care may be implemented into existing systems in Montana to best address the needs of individuals with substance use disorders (SUDs) during the perinatal period. Doulas may be particularly well positioned to reach a diverse range of patients, allowing them to feel supported and advocated for within the medical system. This study aims to illustrate the perspectives and experiences of doulas, individuals who have experienced perinatal SUDs, and maternal and mental health providers.

Right-sizing expectations for hand hygiene observation collection.

Background: Hand Hygiene (HH) monitoring is essential for patient and staff safety, but the optimal number of observations remains elusive. This project aimed to determine a statistically comparable number below the current standard of 100 to 200 per month per unit.

Methods: HH observations from various hospitals were grouped in strata by facility, unit, and month, then resampled into sets of 25, 50, 100, and 150 for comparison with 200.

Alcohol use as a risk factor for Clostridioides difficile.

Background: Clostridioides difficile (C. diff) is a pathogen of concern. Several risk factors are known, but patients without these risk factors continue to develop the disease.

Acceptability of an organ inventory for cancer screening across gender identity and intersex status.

Objectives: To evaluate the acceptability and performance of an organ inventory as an alternative to asking about gender and/or sex assigned at birth in cancer screening.

Methods: We fielded an online, self-administered survey to a convenience sample of English- or Spanish-speaking transgender and gender-diverse (TGD), intersex, and cisgender people (>/=15 years) in the US. The survey contained an organ inventory developed with community input and questions regarding acceptability.

Correlation of Anti-Müllerian hormone serum concentration measured in proestrus and estrus with the litter size as a fertility marker in bitches.

The use of the anti-Müllerian hormone (AMH) serum concentration as a fertility marker has been shown in cows, sheep and mares and has been indicated in one study in female dogs. The aim of this study was to investigate the connection between the AMH serum concentration, taken at two defined time points during the bitch`s heat, and the litter size to investigate whether AMH can be used as a practical measurement for the individual breeding bitch to predict litter size. The study was carried out on 27 healthy female dogs presented for pre-breeding examination, considering all previously known influencing factors on AMH in the bitch such as age, body weight and estrous cycle phase at the time the sample was taken.