Dynamics of the birational maps arising from F0F_0 and dP3dP_3 quivers

The dynamics of the maps associated to $F_0$ and $dP_3$ quivers is studied in detail. We show that the corresponding reduced symplectic maps are conjugate to globally periodic maps by providing explicit conjugations. The dynamics in \Rb^N_+ of the original maps is obtained by lifting the dynamics of these globally periodic maps and the solution of the discrete dynamical systems generated by each map is given. A better understanding of the dynamics is achieved by considering first integrals. The relationship between the complete integrability of the globally periodic maps and the dynamics of the original maps is explored

How secure is the secure base? Romantic attachment, emotion regulation, and psychotherapists’ role as secure base figures

In 1988, Bowlby posited that the emotional availability of psychotherapists in establishing a secure base environment is influenced by their personal relational history. Despite the acknowledged influence of the therapist’s attachment on therapeutic processes and outcomes, the therapist’s role as a secure base figure has received insufficient attention. This study delves into the connection between psychotherapists’ attachment organization and their self-perceived roles as secure base figures within clinical contexts. Additionally, we explore the mediating role of emotion regulation processes in this context. The dataset comprises self-reports from 384 psychotherapists with diverse theoretical orientations. Our analysis reveals both direct and indirect effects of psychotherapists’ attachment on the provision of a secure base. Emotion regulation, specifically through the dimension of clarity, emerges as a significant mediator in this relationship. This study offers a distinctive contribution to deepening our understanding of the relational dynamics inherent to psychotherapeutic practice. It sheds light on the nuanced relation between attachment and emotion regulation, influencing the psychotherapist’s role as a secure base figure in psychotherapy. The discussion of the results additionally emphasizes key implications for clinical practice and therapists’ training

We stick together!: COVID-19 and psychological adjustment in youth residential care

The COVID-19 pandemic had a great impact also on residential care institutions. These contexts were forced to introduce many adaptations to their regular functioning in order to serve children and families throughout such unpredictable times. According to the literature adolescents in residential care have an increased risk of developing psychological, behavioral and social problems compared with general population rearing with their biological families. Our purpose was to examine the effects of cohesion on adolescents’ psychological adjustment over the COVID pandemic. We tested whether adolescents` perception of cohesion in residential care mitigates the emergency of adolescents` psychological adjustment during the current pandemic situation on previous association. Participants were 243 adolescents 12 to 18 aged, living in 21 different residential care institutions. The results suggested a moderating role of cohesion on the stability of adolescents’ emotional distress across time. Lower levels of cohesion were related with higher emotional distress stability across time. On the contrary, as cohesion increased, the association between adolescents’ emotional distress at T0 and T1 decreased. Results are discussed considering the impact of the COVID-19 pandemic on the psychological adjustment of adolescents living in residential care.Communication presented at XVI European Scientific Association on Residential & Family Care for Children and Adolescents Conference (EUSARF). This work was funded by Portuguese National funds FCT - Fundação para a Ciência e a Tecnologia, I.P (PTDC/PSI-ESP/28653/2017)

A perspetiva da imprensa portuguesa sobre os cuidadores no acolhimento residencial de crianças/jovens: uma análise documental dos últimos 5 anos

Resumo O acolhimento residencial (AR) em Portugal tem sido objeto de um importante escrutínio. Considerando a relevância que a comunicação social assume na opinião pública, este estudo incidirá sobre os principais temas abordados no âmbito do AR em diários e semanários nos últimos 5 anos. A análise documental incidiu num primeiro momento sobre conteúdos noticiosos do AR e num segundo momento nos cuidadores. Os resultados serão discutidos tendo em conta a cobertura noticiosa comparativa e a produção científica neste domínio.This work was funded by Portuguese National funds FCT - Fundação para a Ciência e a Tecnologia, I.P (PTDC/PSI-ESP/28653/2017)

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030