3D Technology for Autologous Breast Reconstruction: Increased Aesthetic Outcomes and Quality of Life Using Patient-Specific Templates.

Background: In autologous breast reconstruction accomplishing aesthetically pleasing outcomes represents an integral challenge. 3-dimensional technology may aid in accurate flap shaping and subsequent breast appearance.

Objectives: The aim of this study was to evaluate the applicability of 3-dimensional technology for surgical planning and its influence on outcomes for breast reconstruction.

Impact of physical activity and exercise training on health-related quality of life in older adults: an umbrella review.

Health-related quality of life (HRQoL) is inversely associated with all-cause mortality in older adults and may be improved with physical activity and exercise training. The objective of this umbrella review was to determine the impact of physical activity and exercise training on HRQoL in younger-old (average age ≤ 75 years) and older-old (average age > 75 years) adults. Our umbrella review (CRD42023481145) included 39 systematic reviews (21/39 with meta-analysis) including 113 unique individual studies of 13391 unique participants.

Meeting international self-report muscle strengthening guidelines is associated with better cardiovagal baroreflex sensitivity in adults.

Engaging in muscle strengthening activities (e.g., resistance training) at least twice/week is promoted by (Inter)national movement guidelines.

Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report.

Critical congenital heart disease (CCHD) screening was added to the US Recommended Uniform Screening Panel in 2011 and adopted by all US states and territories by 2018. In addition to reviewing key developments in CCHD screening since the initial American Academy of Pediatrics (AAP) endorsement in 2011, this clinical report provides 3 updated recommendations. First, a new AAP algorithm has been endorsed for use in CCHD screening.

[The Effect of Therapists' Interpersonal Skills on Therapeutic Alliance].

Objective: Therapists' interpersonal skills play a significant role in outcome differences between therapists. Similarly, the strength of the therapeutic alliance is influenced by therapist characteristics. Therefore, the aim of this study was to capture therapist differences in the alliance and to examine the effect of therapists' interpersonal skills on the therapeutic alliance.

Projections of future heat-related emergency hospitalizations for asthma under climate and demographic change scenarios: A Japanese nationwide time-series analysis.

Background: There is growing concern about climate impacts on human health. However, empirical evidence is lacking regarding future projections of heat-related asthma hospitalizations. This study aimed to project excess emergency hospitalizations for heat-related asthma exacerbation in Japan.

Multidrug Resistant in Clinical Settings: A Review of Resistance Mechanisms and Treatment Strategies.

is causing increasing concern among clinicians due to its high mortality and resistance rates. This bacterium is responsible for various infections, especially in hospital settings, affecting some of the most vulnerable patients. has developed resistance through multiple mechanisms, making treatment challenging.

Does the Traditional Band Picture Correctly Describe the Electronic Structure of n-Doped Conjugated Polymers? A TD-DFT and Natural Transition Orbital Study.

Doped conjugated polymers have a variety of potential applications in thermoelectric and other electronic devices, but the nature of their electronic structure is still not well understood. In this work, we use time-dependent density functional theory (TD-DFT) calculations along with natural transition orbital (NTO) analysis to understand electronic structures of both p-type (e.g.

Data-informed psychological therapy, measurement-based care, and precision mental health.

Measurement-based care, that is, incorporating data-informed decision support for therapists into psychological therapy, has undergone significant advancements over the past 2 decades. Technological innovations such as computerized data assessment and feedback tools have facilitated its widespread adoption across various settings. For instance, clinicians can utilize psychometric data to personalize therapeutic approaches, strategies, or modules and track a patient's response to therapy in real time (e.

Outcome prediction in psychological therapy with continuous time dynamic modeling of affective states and emotion regulation.

Objective: To date, many prediction studies in psychotherapy research have used cross-sectional data to predict treatment outcome. The present study used intensive longitudinal assessments and continuous time dynamic modeling (CTDM) to investigate the temporal dynamics of affective states and emotion regulation in the early phase of therapy and their ability to predict treatment outcome.

Method: Ninety-one patients undergoing psychological treatment at a university outpatient clinic took part in a 2-week ecological momentary assessment (EMA) period.

How to Probe Hydrated Dielectrons Experimentally: Simulations of the Absorption Spectra of Aqueous Dielectrons, Electron Pairs, and Hydride.

In the radiation chemistry of water, two hydrated electrons () can react to form H and OH. Experiments and simulations suggest that this reaction occurs through a mechanism involving colocalization of two 's into the same solvent cavity, forming a hydrated dielectron intermediate, with aqueous hydride (H) as a subintermediate. However, there has been no direct experimental observation of either or H.

Neurological hospitalisations in childhood cancer survivors treated before 2001: findings from the French Childhood Cancer Survivor Study cohort.

Purpose: Childhood cancer survivors (CCS) have an increased risk of developing late chronic diseases, which can be influenced by the cancer type and its treatment. These chronic diseases can be severe and disabling, typically emerging years to decades after treatment. These deficits negatively impact quality of life, intelligence quotient, and memory.

Learning from our patients: An exploratory study to inform the development of a case tracking dashboard for internal medicine subspecialty fellows.

Background: Case tracking (following-up prior patient encounters) can help inform future clinical decisions and supplement experiential learning. Internal medicine subspecialty fellows see a high volume of patients and need to become subject matter experts within a short time frame, yet little is known about their specific needs and motivations around case tracking.

Objective: The objective of this study was to explore internal medicine subspecialty fellows' motivations, preferences, and practices around case tracking.

EchoSee: An Assistive Mobile Application for Real-Time 3D Environment Reconstruction and Sonification Supporting Enhanced Navigation for People with Vision Impairments.

Improving the quality of life for people with vision impairments has been an important goal in the research and design of assistive devices for several decades. This paper seeks to further that goal by introducing a novel assistive technology platform that leverages real-time 3D spatial audio to promote safe and efficient navigation for people who are blind or visually impaired (PVI). The presented platform, EchoSee, uses modern 3D scanning technology on a mobile device to construct a live, digital 3D map of a user's environment as they move about their surroundings.

Healthcare providers' knowledge and attitudes about overdose prevention sites in Colorado.

Background: Overdose prevention sites (OPS) are a harm reduction strategy that offer people who use drugs a variety of resources including but not limited to sterile supplies, linkage to healthcare resources, and intervention if an overdose occurs. OPS operate in over 120 countries and evidence has demonstrated they are an effective harm reduction strategy. Despite their success elsewhere, OPS remain federally illegal in the United States and thus there is limited research on their implementation and outcomes in the United States.

Simulating the Competitive Ion Pairing of Hydrated Electrons with Chaotropic Cations.

Experiments show that the absorption spectrum of the hydrated electron () blue-shifts in electrolyte solutions compared with what is seen in pure water. This shift has been assigned to the 's competitive ion-pairing interactions with the salt cation relative to the salt anion based on the ions' positions on the Hofmeister series. Remarkably, little work has been done investigating the 's behavior when the salts have chaotropic cations, which should greatly change the ion-pairing interactions given that the is a champion chaotrope.