Provider Opinions and Experiences Regarding Development of a Social Support Assessment to Inform Hospital Discharge: The Going Home Toolkit.

Purpose Of Study: Despite over three decades of research linking social support and optimal health outcomes, social support is not systematically assessed or addressed during clinical care. This study sought input from health care providers to inform the design of an intervention intended to facilitate assessment of social support in a way that could aid in anticipatory planning during the process of hospital discharge.

Primary Practice Setting(s): Using a purposive sampling strategy, data were collected from providers in two acute care settings serving rural patients, one academic and one community based.

Belaya smert: the white death.

In the late autumn of 1939, shortly after Second World War had commenced, the Soviet Union invaded Finland. This act of military aggression, henceforth known to history as the Winter War, was ostensibly carried out to secure a buffer state and better protect major urban areas such as St. Petersburg (then known as Leningrad).

Fighting in thin air: operational wilderness medicine in high Asia.

Objective: The current conflict in Afghanistan is the first major military action in which the United States and other North Atlantic Treaty Organization (NATO) forces have found themselves regularly engaged in combat at high altitudes. However, high altitude warfare is not a new concept in Asia by any means.

Methods: This article will offer a short general historical review of high altitude warfare in Asia and then specifically address some of the operational challenges faced by troops carrying out missions at high altitude in the ongoing conflict in Afghanistan.

Improving sleep at altitude: a comparison of therapies.

Objective: This study aimed to compare 3 treatment modalities during sleep at an altitude of 5300 m to identify strategies for reducing the incidence of periodic breathing at high altitude.

Methods: Fifteen trekkers, with identical ascent profiles and no signs or symptoms of altitude illness, served as subjects. All study participants arrived at 5300 m after a gradual ascent from 1300 m.

Mountain research and rescue on Denali: a short history from the 1980s to the present.

Alaska's Denali (Mt. McKinley), 6194 m, is the highest and perhaps most celebrated peak on the North American continent. The cold and stormy nature of this mountain just 3° of latitude south of the Arctic Circle enhances its legend as a challenging peak.

Raymond Greene: physician, mountaineer, and raconteur.

C. Raymond Greene (1901-1982) was a man of many talents. After graduating from medical school in 1927, he spent a decade in general practice.

Evaluation of sham-CPAP as a placebo in CPAP intervention studies.

Study Objectives: To evaluate the use of sham-continuous positive airway pressure (CPAP) treatment as a placebo intervention.

Design And Setting: Analysis of polysomnograms performed in fixed order without sham-CPAP and on the first night of the sham-CPAP intervention in participants in the CPAP Apnea Trial North American Program (CATNAP), a randomized, placebo controlled trial evaluating the effects of CPAP treatment on daytime function in adults with newly diagnosed mild to moderate obstructive sleep apnea (apnea hypopnea index (AHI) 5-30).

Participants: The first 104 CATNAP participants randomized to the sham-CPAP intervention arm.

Patterns of postnatal weight changes in infants with very low and extremely low birth weights.

Objective: To describe (1) short-term postnatal weight loss and gain patterns in infants with very low and extremely low birth weights and (2) the variables that may affect these weight change patterns.

Design: Descriptive, retrospective review.

Setting: University hospital in the intermountain western United States.