Family presence during resuscitation: nurses’ perceptions of their self-confidence.

Family presence during resuscitation (FPDR) remains a controversial topic among healthcare providers. Nurses’ lack of self-confidence has repeatedly been identified as one of the barriers as to why families are not being offered the option to be present during resuscitation of their loved ones. The purpose of this quality improvement project is (1) to explore whether nurses’ selfconfidence perception when experiencing FPDR is greater after an educational intervention; and (2) to further explore nurses’ perceived benefits and risks related to FPDR. This prospective project gained a baseline knowledge of the perception of self-confidence, benefits, and risks in regard to FPDR of emergency department nurses at University of Louisville Hospital. Nurses completed the Family Presence Risk Benefit Scale (FPR-BS) and the Family Presence Selfconfidence Scale (FPS-CS) pre and post educational intervention. Paired t-tests revealed a statistically significant increase in post-test mean scores on both the FPS-CS (pre-test M=3.7 (SD=.75), post-test M=4.0 (SD=.73), t(34) = -3.202, (p = .003) and the FPR-BS (pre-test M=3.3 (SD=.52) post-test M=3.5 (SD=.73), t(34) = -2.118, (p = .042), indicating that the mean scores were higher on both scales after the educational intervention. The educational intervention positively impacted the nurses as nurse participants perceived greater self-confidence with FPDR and believed there were more benefits and fewer risks to family presence than initially perceived prior to the educational intervention

Functions of spontaneous and voluntary future thinking: Evidence from subjective ratings

Future thinking is defined as the ability to withdraw from reality and mentally project oneself into the future. The primary aim of the present study was to examine whether functions of future thoughts differed depending on their mode of elicitation (spontaneous or voluntary) and an attribute of goal-relatedness (selected-goal-related or selected-goal-unrelated). After producing spontaneous and voluntary future thoughts in a laboratory paradigm, participants provided ratings on four proposed functions of future thinking (self, directive, social and emotional regulation). Findings showed that spontaneous and voluntary future thoughts were rated similarly on all functions except the directive function, which was particularly relevant to spontaneous future thoughts. Future thoughts classed as goal-related (selected-goal-related) were rated higher across all functions, and there was largely no interaction between mode of elicitation and goal-relatedness. A higher proportion of spontaneous future thoughts were selected-goal-related compared with voluntary future thoughts. In general, these results indicate that future thinking has significant roles across affective, behavioural, self and social functions, and supports theoretical views that implicate spontaneous future thought in goal-directed cognition and behaviour

Calling in retirement: A mixed methods study

This mixed methods study aimed to examine the experiences of a calling in retirement with a sample of 196 retired adults. First, a qualitative analysis explored the types of activities participants experienced as a calling as well as the types of barriers that participants perceived as keeping them from living their calling. ‘Helping Others’ emerged as the largest category of calling that participants endorsed and ‘No Resources to Live Calling’ emerged as the most frequently endorsed barrier. Building on our qualitative findings, we conducted a quantitative analysis to examine the relation of perceiving a calling with well-being. Consistent with prior research with working adult populations and in support of our hypotheses, perceiving a calling related to life meaning and life satisfaction, and structural equation modeling demonstrated that life meaning and living a calling (via life meaning) fully mediated the perceiving calling–life satisfaction relation. Implications for research and practice are discussed

Make it safe at night or teach women to fight? Sexism predicts views on men’s and women’s responsibility to reduce men’s violence toward women

The current study explores associations among sexism, gender, and support for two approaches to reduce men’s violence toward women targeting (a) men’s behavior to reduce male violence toward women and (b) women’s behavior so that they can avoid male violence. The associations between sexism and support for these two interventions were examined in 21,937 participants in the New Zealand Attitudes and Values Survey. For both women and men, hostility toward nontraditional women (hostile sexism) was associated with lower support for targeting men to reduce men’s violence against women. To a lesser degree, stronger attitudes that women who adhere to traditional feminine roles should be rewarded (benevolent sexism) were associated with greater support for targeting men to reduce men’s violence. In contrast, both hostile and benevolent sexism were positively associated with support for targeting women to avoid men’s violence. These complex and nuanced relationships could suggest that sexism perpetuates the idea that women are responsible for keeping themselves safe from men’s violence while excusing men from accountability. This possibility has implications for addressing how society can be best engaged in the campaign against men’s violence toward women

Efficacy of Mentalization-Based Group Therapy for adolescents:A pilot randomised controlled trail

oai:ojs.pkp.sfu.ca:article/2647Background: Suicide is the leading cause of death in adolescents. Furthermore, up to one quarter of adolescents who self-harm will repeat self-harm within one year, highlighting the need for evidence-based prevention and treatment services. Mentalization Based Therapy (MBT) has yielded promising outcomes for individuals who self-harm, however to date only one study has examined MBT in adolescents, wherein the treatment protocol consisted of individual and family therapy. Currently, there has been no development or examination of MBT-A in a group format for adolescents. Methods/Design: The present study is a randomised controlled single blind feasibility trial that aims to (1) adapt the original explicit MBT introductory group manual for an adolescent population (MBT-Ai) and to (2) assess the feasibility of MBT-Ai through examination of consent rates, attendance, attrition and self-harm. Participants are adolescents presenting to Child and Adolescent Mental Health Services (CAMHS) with self-harming behaviors within the last 6 months. Young people will be randomised to a 12-week MBT-Ai group plus treatment as usual (TAU) or TAU alone. Participants will be assessed at baseline and at 12-, 24- and 36-weeks post-baseline. Discussion: This paper describes the development of a treatment manual and the protocol of a randomised controlled feasibility trial of MBT-Ai aimed at treating adolescents who self-harm. Further investigation of a full-scale trial will be necessary to instill benefits if pilot results suggest efficacy. Trial registration: NCT0277169

Accurate typing of Human Leukocyte Antigen class I genes by Oxford nanopore sequencing

Oxford Nanopore Technologies’ MinION has expanded the current DNA sequencing toolkit by delivering long read lengths and extreme portability. The MinION has the potential to enable expedited point-of-care human leukocyte antigen (HLA) typing, an assay routinely used to assess the immunological compatibility between organ donors and recipients, but the platform’s high error rate makes it challenging to type alleles with accuracy. Here, we developed and validated accurate typing of HLA by Oxford nanopore (Athlon), a bioinformatic pipeline that i) maps nanopore reads to a database of known HLA alleles, ii) identifies candidate alleles with the highest read coverage at different resolution levels that are represented as branching nodes and leaves of a tree structure, iii) generates consensus sequences by remapping the reads to the candidate alleles, and iv) calls the final diploid genotype by blasting consensus sequences against the reference database. Using two independent datasets generated on the R9.4 flow cell chemistry, Athlon achieved a 100% accuracy in class I HLA typing at the 2-field resolution

Depression and looming cognitive style: Examining the mediating effect of perceived control

Background Individuals with a looming cognitive style (LCS) bias display a tendency to interpret threat representations as rapidly approaching and rising in risk. The present study is the first to investigate whether the relationship between LCS and depression is mediated by perceived control (over evading threats). Methods After completing mood questionnaires, participants recorded future-self threats (feared possible selves) and rated their threat representations on a measure of perceived control. LCS was measured using an adapted version of the looming maladaptive style questionnaire. In total 74 participants were recruited through university research participation. Results Perceived control was significantly related to depression (r = -.3, p = .011) and LCS (r =-.27, p = .019) but not to anxiety (r =-.14, p = .223). Mediation analyses revealed that control mediated the relationship between depression and LCS, when anxiety was entered as a covariate 95 % CI [.03, .79]. Limitations The present study used a measure of symptom severity rather than clinical diagnoses of anxiety and depression. Also, the sample consisted of 81 % female and 100 % university students which limits the generalisability of the findings. Finally, the cross-sectional study design does not imply causation. Conclusion The present study provided evidence for a potential mechanism through which LCS maintains depression. The analyses have important implications for interventions designed to prevent depression comorbidity. Future studies should apply longitudinal methods to investigate how changes in perceived control influences depression

Genotype data not consistent with clonal transmission of sea turtle fibropapillomatosis or goldfish schwannoma.

Recent discoveries of transmissible cancers in multiple bivalve species suggest that direct transmission of cancer cells within species may be more common than previously thought, particularly in aquatic environments. Fibropapillomatosis occurs with high prevalence in green sea turtles ( Chelonia mydas) and the geographic range of disease has increased since fibropapillomatosis was first reported in this species. Widespread incidence of schwannomas, benign tumours of Schwann cell origin, reported in aquarium-bred goldfish (Carassius auratus), suggest an infectious aetiology. We investigated the hypothesis that cancers in these species arise by clonal transmission of cancer cells. Through analysis of polymorphic microsatellite alleles, we demonstrate concordance of host and tumour genotypes in diseased animals. These results imply that the tumours examined arose from independent oncogenic transformation of host tissue and were not clonally transmitted. Further, failure to experimentally transmit goldfish schwannoma via water exposure or inoculation suggest that this disease is unlikely to have an infectious aetiology