Religious Couples Re-Storying After Infidelity: Using Narrative Therapy Interventions with a Focus on Attachment

Attachment-focused narrative interventions used with religious couples of the Abrahamic faiths (Judaism, Christianity and Islam) dealing with the effects of infidelity is discussed in this article. With religious couples, the couple attachment bond is commonly harmed after infidelity. The attachment bond with God can also be affected with one or both partners. Partners who once felt close and connected with God can feel angry and distant because of infidelity. Since the Abrahamic faiths are narrative-based religions, and an attachment bond with God is essential, attachment-focused narrative interventions can help couples re-story their relationship with each other and with God. Attachment-based narrative interventions are also illustrated using case-examples to help practitioners collaborate with religious couples to co-author new narratives and journey toward empowered futures

O perfil epidemiológico do transporte aéreo neonatal / The epidemiologycal profile of the air transportation of the newborns

O transporte inter-hospitalar é realizado em aeronaves com infraestrutura de Unidade de Terapia Intensiva (UTI) e presta atendimento a todas faixas etárias. No presente artigo, nosso objetivo foi avaliar o perfil epidemiológico das aerorremoções inter-hospitalares neonatais, dos gemelares e fazer algumas considerações sobre as especificidades do transporte aéreo neonatal. Trata-se de um estudo retrospectivo, quantitativo, descritivo, realizado na Unimed Aeromédica em Belo Horizonte- MG, Brasil. A coleta de dados foi de janeiro de 2013 a maio de 2016, a amostra foi constituída de 414 recém-nascidos e os dados foram obtidos através de banco de dados e da análise das fichas de voo. O estudo foi aprovado pelo Comitê de Ética e Pesquisa sob parecer no03/2016. A incidência de voos gemelares teve a média de 2,15% anual, faixa etária com mediana de 2 dias, maioria sexo masculino 57,8% e mesma incidência entre as categorias diagnósticas de prematuridade e aparelho cardiovascular (34%). O trabalho realizado com equipe experiente, especializada e equipamentos de primeira geração otimiza as chances de sobrevida dos neonatos

Response to reduced nicotine content cigarettes among smokers differing in tobacco dependence severity

This study examines whether tobacco dependence severity moderates the acute effects of reducing nicotine content in cigarettes on the addiction potential of smoking, craving/withdrawal, or smoking topography. Participants (N = 169) were daily smokers with mild, moderate, or high tobacco-dependence severity using the Heaviness of Smoking Index. Following brief abstinence, participants smoked research cigarettes varying in nicotine content (0.4, 2.4, 5.2, 15.8 mg nicotine/g tobacco) in a within-subject design. Results were analyzed using repeated measures analysis of co-variance. No main effects of dependence severity or interactions with nicotine dose were noted in relative reinforcing effects in concurrent choice testing or subjective effects on the modified Cigarette Evaluation Questionnaire. Demand for smoking in the Cigarette Purchase Task was greater among more dependent smokers, but reducing nicotine content decreased demand independent of dependence severity. Dependence severity did not significantly alter response to reduced nicotine content cigarettes on the Minnesota Tobacco Withdrawal Scale nor Questionnaire of Smoking Urges-brief (QSU) Factor-2 scale; dependence severity and dose interacted significantly on the QSU-brief Factor-1 scale, with reductions dependent on dose among highly but not mildly or moderately dependent smokers. Dependence severity and dose interacted significantly on only one of six measures of smoking topography (i.e., maximum flow rate), which increased as dose increased among mildly and moderately but not highly dependent smokers. These results suggest that dependence severity has no moderating influence on the ability of reduced nicotine content cigarettes to lower the addiction potential of smoking, and minimal effects on relief from craving/withdrawal or smoking topography