Necrotizing Soft-Tissue Infection of the Thigh in a Diabetic Male.

Necrotizing soft-tissue infections are a devastating infection that is rarely caused by spp. A 45-year-old obese previously healthy male presented to the emergency department with diabetic ketoacidosis. The patient developed systemic signs of infections and right medial thigh pain subsequently diagnosed as a necrotizing soft-tissue infection.

Efficacy and Safety of Appetite-Stimulating Medications in the Inpatient Setting.

Background: Hospitalized patients are subject to acute illness and stress which may impact appetite or weight. Loss of appetite may lead to increased morbidity or mortality. Medications such as dronabinol, megestrol, and mirtazapine are used for weight gain in the outpatient setting; however, there is limited information about safety or effectiveness when initiated inpatient.

An Older Adult Study of Concurrent Visual Feedback in Learning Continuous Balance.

This investigation manipulated concurrent visual feedback for older adults learning to perform a continuous balance task. We randomly assigned 21 older adults to one of three knowledge of results (KR) groups with varying concurrent but always 100% terminal feedback percentages during acquisition: 100% Concurrent and Terminal (100% C&T), 50% Concurrent and 100% Terminal (50% C & 100% T), and 0% Concurrent and 100% Terminal (0% C & 100% T). The continuous balance task involved learning to maintain balance on a circular platform that moved simultaneously on both anterior/posterior and medial/lateral axes.

Factor Structure of the CVLT-II Short Form: Evidence From a Trauma-Exposed Sample.

The current study sought to investigate the factor structure of the California Verbal Learning Test-Second Edition (CVLT-II) Short Form in a trauma-exposed sample. We used confirmatory factor analysis to test four competing models proposed by Donders in a study investigating the CVLT-II Standard Form. Consistent with Donders, a four-factor model consisting of Attention Span, Learning Efficiency, Delayed Memory, and Inaccurate Memory was supported.

Dynamics of Interorganizational Public Health Emergency Management Networks: Following the 2015 MERS Response in South Korea.

We investigated public health emergency management networks during the recent outbreak of Middle East respiratory syndrome coronavirus that affected more than 17 000 people in South Korea. We administered a survey to 169 organizations in order to map the pattern of communication and response networks during the Middle East respiratory syndrome outbreak. We also conducted 11 semistructured interviews with national, regional, and local government officials to comprehend inhibiting and facilitating factors in risk communication and response to the system.

The Psychology of the Politics of Rape: Political Ideology, Moral Foundations, and Attitudes Toward Rape.

Previous research has found that conservatives and liberals emphasize different moral foundations. The purpose of these two studies was to investigate whether moral foundations mediate the relationship between political ideology and attitudes toward rape among U.S.

Bulimic Symptomatology Among Male Collegiate Athletes: A Test of an Etiological Model.

We tested Petrie and Greenleaf's psychosocial model in relation to male athletes' bulimic symptomatology. Through structural equation modeling, we cross-sectionally examined the direct and indirect effects of general and sport-specific appearance pressures, internalization, body satisfaction, drive for muscularity, negative affect, and dietary restraint on bulimic symptomatology. Participants were U.

Direct Oral Anticoagulants in Cardioversion: A Review of Current Evidence.

Objective: Direct oral anticoagulants (DOACs) are recommended for the prevention of stroke or systemic embolism in nonvalvular atrial fibrillation. Dabigatran, rivaroxaban, apixaban, and edoxaban represent possible alternatives to warfarin in the setting of cardioversion. A literature review was conducted to evaluate the safety and efficacy of DOAC use pericardioversion.

Implementation of a New Clinic-Based, Pharmacist-Managed PCSK9 Inhibitor Consultation Service.

Background: The proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors alirocumab and evolocumab were approved by the FDA in 2015. In anticipation of provider interest and a potential increase in referrals to the on-site specialty pharmacy, we created a pharmacist-managed consultation service.

Program Description: The development of a clinic-based pharmacist-managed consultation service for the management of the PCSK9 inhibitor agents alirocumab and evolocumab is described.

Assessment of Apixaban Prescribing Patterns for Nonvalvular Atrial Fibrillation in Hospitalized Patients.

Background: Apixaban is a direct oral anticoagulant (DOAC) for the prevention of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). Other DOACs require renal dose adjustments based solely on creatinine clearance. Apixaban differs in that its dose adjustments are more complex, potentially leading to prescribing errors.

Advancing the Certified in Public Health Examination: A Job Task Analysis.

Objectives: In 2014, the National Board of Public Health Examiners performed a job task analysis (JTA) to revise the Certified in Public Health (CPH) examination. The objectives of this study were to describe the development, administration, and results of the JTA survey; to present an analysis of the survey results; and to review the implications of this first-ever public health JTA.

Methods: An advisory committee of public health professionals developed a list of 200 public health job tasks categorized into 10 work domains.

Religious Affiliation, Religiosity, Gender, and Rape Myth Acceptance: Feminist Theory and Rape Culture.

Rape myths are false beliefs about rape, rape victims, and rapists, often prejudicial and stereotypical. Guided by feminist theory and available empirical research, this study aimed to examine the influences of gender, religious affiliation, and religiosity on rape myth acceptance of U.S.

Toward a Better Understanding of Patient Health Literacy: A Focus on the Skills Patients Need to Find Health Information.

While many health literacy assessments exist, this area of research lacks an instrument that isolates and reflects the four components driving this concept (abilities to find, understand, use, and communicate about health information). The purpose of this study was to determine what abilities comprise the first component, how a patient finds health information. Low ( n = 13) and adequate ( n = 14) health literacy patients, and health professionals ( n = 10) described their experiences when looking for health information and the skills they employed to complete these tasks.

Dodging Self-Incriminations: An Examination of Feigned Miranda Abilities on the SAMA.

Forensic assessments must always consider whether examinees are putting forth genuine effort or seeking to feign legally relevant incapacities. Miranda abilities are no exception when a putatively invalid Miranda waiver might result in the full suppression of an outright confession. Using a within-subjects simulation design, jail detainees were administered a representative Miranda warning and two Standardized Assessment of Miranda Abilities (SAMA) measures: Miranda Vocabulary Scale and Miranda Quiz.

Validity and Representative Data of the MRCI With Legally Involved Juveniles.

Recognized for nearly four decades, most juvenile suspects waive their Miranda rights and almost immediately provide self-incriminating evidence. Miranda-specific measures were eventually developed to understand their capacities and limitations. With extensive revisions, the Miranda Rights Comprehension Instruments (MRCI) were normed and validated.

The Utility of the Family Empowerment Scale With Custodial Grandmothers.

The Family Empowerment Scale (FES) was developed specifically to assess empowerment in families with emotional disorders. Its relevance to custodial grandfamilies is reflected in the difficulties in grandchildren's social, emotional, and behavioral functioning, wherein such difficulties may be explained via either reactions to changes in their family structure or in their responses to the newly formed family unit. Utilizing 27 items derived from the 34-item version of the FES, which had represented differential levels of empowerment (family, service system, community) as indexed by one's attitudes, knowledge, and behavior, we explored the factor structure, internal consistency, construct, and convergent validity of the FES with grandparent caregivers.

Feigned Adjudicative Incompetence.

Psychological assessments are highly dependent on the forthrightness and sincere efforts of examinees. In particular, evaluations in forensic settings must consider whether feigning or other response styles are utilized to intentionally distort the clinical presentation. The current study examines the effectiveness of the Inventory of Legal Knowledge (ILK) at detecting feigned incompetency within a sample of jail detainees.

Social Determinants of Married Women's Attitudinal Acceptance of Intimate Partner Violence.

Informed by the social determinants of health (SDH) framework, this study examined whether women's attitudinal acceptance of intimate partner violence (IPV) varies according to material circumstances, such as characteristics of their communities. Data were obtained from the sixth Bangladesh Demographic Health Surveys (BDHS) of 2011, a cross-sectional and secondary population-based study that covers the entire population residing in noninstitutional dwelling units in Bangladesh. The sample included 16,480 married women living in 600 communities who were 15 to 49 years old.

PSYCHOSOCIAL PREDICTORS OF FEMALE COLLEGE STUDENTS' MOTIVATIONAL RESPONSES: A PROSPECTIVE ANALYSIS.

According to social cognitive theory, group cohesion and self-efficacy have been identified as important environmental and individual elements in students' physical activity. This study examined the correlations among group cohesion, exercise self-efficacy, perceived interest, and physical activity among 143 female college students (M age = 21.2 yr.

Simultaneous quantification of mitochondrial DNA copy number and deletion ratio: a multiplex real-time PCR assay.

Mitochondrial dysfunction is implicated in a vast array of diseases and conditions, such as Alzheimer's disease, cancer, and aging. Alterations in mitochondrial DNA (mtDNA) may provide insight into the processes that either initiate or propagate this dysfunction. Here, we describe a unique multiplex assay which simultaneously provides assessments of mtDNA copy number and the proportion of genomes with common large deletions by targeting two mitochondrial sites and one nuclear locus.