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Stress reactivity moderates the association between early experiences of unpredictability and emotional problems in adolescents.
Neurobiol Stress
January 2025
Stanford University, Department of Psychology, 450 Jane Stanford Way, Stanford, CA, 94305, USA.
Researchers have documented that exposure to different kinds of psychosocial stressors can lead to emotional difficulties and, further, that heightened reactivity to stress can moderate these associations. Recently, investigators have distinguished among threat, deprivation, and unpredictability as different dimensions of early life stress (ELS). It is not clear, however, whether reactivity in specific stress response systems functions as a diathesis to lead to emotional difficulties following exposure to these dimensions of ELS.
View Article and Find Full Text PDFDevelopment of a patient-oriented transfer tool for transition from the intensive care unit to the ward: a mixed methods study.
Can J Anaesth
January 2025
Department of Medicine, Sinai Health and University of Toronto, Toronto, ON, Canada.
Purpose: The use of patient/family-centred written summaries to supplement verbal information may be useful to improve knowledge and reduce anxiety related to patient transfer from the intensive care unit (ICU) to a hospital ward. We aimed to identify essential elements to include in an ICU-specific patient-oriented discharge summary tool (PODS-ICU).
Methods: We conducted a mixed methods study.
The Impact of Interactions with Nonsurgical Staff on the Surgical Resident Experience in the Nonoperative Clinical Learning Environment: A Qualitative Study.
J Surg Educ
December 2024
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin; Clement J Zablocki Veterans Affairs Hospital Milwaukee, Milwaukee, Wisconsin 53226. Electronic address:
Objective: Residents interact, collaborate with, and learn from nurses, advanced practice providers, and physicians in multiple specialties. Both positive and negative experiences in the clinical workspace can affect residents' well-being, their ability to learn, and their development into effective, independent physicians. The aim of this study is to evaluate the general surgery resident experience in the nonsurgical clinical learning environment to identify how interactions outside of the operating room affect resident well-being and their ability to learn.
View Article and Find Full Text PDFImproving early initiation and exclusive breastfeeding practice through PDSA framework: the experience at a private hospital in Tanzania.
BMJ Open Qual
December 2024
Paediatrics, Aga Khan Hospital, Dar es Salaam, Tanzania, United Republic of.
Article Synopsis
- Optimal breastfeeding can save over 800,000 children's lives annually, with WHO guidelines recommending initiation within the first hour, exclusive breastfeeding for six months, and continued breastfeeding up to two years.
- In Tanzania, the study aimed to raise early initiation and exclusive breastfeeding rates to 80% through a quality improvement project using the Plan-Do-Study-Act (PDSA) framework, implementing policies, staff training, and antenatal education.
- Results showed significant improvements in early breastfeeding initiation (from 22% to 84%) and exclusive breastfeeding rates (from 45% to 90%) after three PDSA cycles, demonstrating the effectiveness of a comprehensive approach involving policies and support.
Lung ultrasound score and diaphragm ultrasound in weaning from mechanical ventilation: are they different in patients with and without COVID-19?
J Bras Pneumol
December 2024
. Centro de Terapia Intensiva, Hospital Moinhos de Vento, Porto Alegre (RS) Brasil.
Objective: To compare pre-extubation physiological characteristics and ultrasound variables between patients intubated for COVID-19 compared to a clinical population and those intubated for other reasons.
Methods: This was a secondary analysis of a prospective cohort study of patients undergoing invasive mechanical ventilation (IMV) for more than 48 h. Patients were divided into two groups: those intubated for COVID-19-induced ARDS and those intubated for other clinical reasons.
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