Enhancing father engagement in parenting programs: Translating research into practice recommendations

Objective Given the increasing research and practice interest in father engagement, this article aimed to develop a clinical narrative integrating the extant research literature to distil key practice recommendations for enhancing father engagement in parenting interventions for child wellbeing. Method A narrative review of research on father engagement in interventions for child wellbeing was conducted, to identify and distil evidence‐based policies and practices to enhance father engagement for practitioners and organisations. Results Six broad policy and practice recommendations are provided that pertain to: engaging the parenting team, avoiding a father deficit model, increasing father awareness of parenting interventions, ensuring father‐inclusive program content and delivery, increasing organisational support for father‐inclusive practice, and increasing professional father engagement training. Conclusion This review provides practitioners with guidelines for enhancing father engagement based on the available research. It also provides recommendations for further research regarding the effectiveness of strategies to enhance father engagement

New verified nonindigenous amphibians and reptiles in Florida, 1976 through 2015, with a summary of over 152 years of introductions

More nonindigenous species occur in Florida, USA, than any other region worldwide and may threaten many of Florida’s natural resources. The frequency of new reports mandates the need for regular updates. Herein, we use photographic and specimen vouchers in addition to literature records to provide updated information on verified nonindigenous amphibians and reptiles in Florida. Between our most recent summary in 2012 and the end of 2015, 38 additional species are known to have been intercepted (n = 2) or introduced (n = 36). We also update the invasion stage of seven species previously reported from Florida and report that five additional taxa are now established. In total, 191 independent known introductions of 180 herpetofaunal taxa led to the establishment of 63 taxa. This suggests that one in three introduced herpetofaunal species becomes established in Florida. The pet trade represents the most  common introduction pathway among these species animal importer in Hollywood, Broward County, is the probable source for introduction of a quarter of all herpetofauna introduced to Florida

New Verified Nonindigenous Amphibians and Reptiles in Florida through 2015, with a Summary of More Than 152 Years of Introductions.

More nonindigenous species occur in Florida, USA, than any other region worldwide and may threaten many of Florida’s natural resources. The frequency of new reports mandates the need for regular updates. Herein, we use photographic and specimen vouchers in addition to literature records to provide updated information on verified nonindigenous amphibians and reptiles in Florida. Between our most recent summary in 2012 and the end of 2015, 38 additional species are known to have been intercepted (n = 2) or introduced (n = 36). We also update the invasion stage of seven species previously reported from Florida and report that five additional taxa are now established. In total, 191 independent known introductions of 180 herpetofaunal taxa led to the establishment of 63 taxa. This suggests that one in three introduced herpetofaunal species becomes established in Florida. The pet trade represents the most common introduction pathway among these species and a single animal importer in Hollywood, Broward County, is the probable source for introduction of a quarter of all herpetofauna introduced to Florida

Peri-operative red blood cell transfusion in neonates and infants: NEonate and Children audiT of Anaesthesia pRactice IN Europe: A prospective European multicentre observational study

BACKGROUND: Little is known about current clinical practice concerning peri-operative red blood cell transfusion in neonates and small infants. Guidelines suggest transfusions based on haemoglobin thresholds ranging from 8.5 to 12 g dl-1, distinguishing between children from birth to day 7 (week 1), from day 8 to day 14 (week 2) or from day 15 (≥week 3) onwards. OBJECTIVE: To observe peri-operative red blood cell transfusion practice according to guidelines in relation to patient outcome. DESIGN: A multicentre observational study. SETTING: The NEonate-Children sTudy of Anaesthesia pRactice IN Europe (NECTARINE) trial recruited patients up to 60 weeks' postmenstrual age undergoing anaesthesia for surgical or diagnostic procedures from 165 centres in 31 European countries between March 2016 and January 2017. PATIENTS: The data included 5609 patients undergoing 6542 procedures. Inclusion criteria was a peri-operative red blood cell transfusion. MAIN OUTCOME MEASURES: The primary endpoint was the haemoglobin level triggering a transfusion for neonates in week 1, week 2 and week 3. Secondary endpoints were transfusion volumes, 'delta haemoglobin' (preprocedure - transfusion-triggering) and 30-day and 90-day morbidity and mortality. RESULTS: Peri-operative red blood cell transfusions were recorded during 447 procedures (6.9%). The median haemoglobin levels triggering a transfusion were 9.6 [IQR 8.7 to 10.9] g dl-1 for neonates in week 1, 9.6 [7.7 to 10.4] g dl-1 in week 2 and 8.0 [7.3 to 9.0] g dl-1 in week 3. The median transfusion volume was 17.1 [11.1 to 26.4] ml kg-1 with a median delta haemoglobin of 1.8 [0.0 to 3.6] g dl-1. Thirty-day morbidity was 47.8% with an overall mortality of 11.3%. CONCLUSIONS: Results indicate lower transfusion-triggering haemoglobin thresholds in clinical practice than suggested by current guidelines. The high morbidity and mortality of this NECTARINE sub-cohort calls for investigative action and evidence-based guidelines addressing peri-operative red blood cell transfusions strategies. TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02350348

Common, low-frequency, rare, and ultra-rare coding variants contribute to COVID-19 severity

The combined impact of common and rare exonic variants in COVID-19 host genetics is currently insufficiently understood. Here, common and rare variants from whole-exome sequencing data of about 4000 SARS-CoV-2-positive individuals were used to define an interpretable machine-learning model for predicting COVID-19 severity. First, variants were converted into separate sets of Boolean features, depending on the absence or the presence of variants in each gene. An ensemble of LASSO logistic regression models was used to identify the most informative Boolean features with respect to the genetic bases of severity. The Boolean features selected by these logistic models were combined into an Integrated PolyGenic Score that offers a synthetic and interpretable index for describing the contribution of host genetics in COVID-19 severity, as demonstrated through testing in several independent cohorts. Selected features belong to ultra-rare, rare, low-frequency, and common variants, including those in linkage disequilibrium with known GWAS loci. Noteworthily, around one quarter of the selected genes are sex-specific. Pathway analysis of the selected genes associated with COVID-19 severity reflected the multi-organ nature of the disease. The proposed model might provide useful information for developing diagnostics and therapeutics, while also being able to guide bedside disease management. © 2021, The Author(s)

Router performance characteristics at different air pressure levels

Router performance characteristics at different air pressure levels. The aim of this study was to determine influence of the air pressure on the performance characteristics of wood plunge router. Temperature increase, amplitude of vibrations and power consumption at different air pressure levels were examined in this paper. The advantageous results obtained indicate the need for further research.Charakterystyka wydajności frezarki przy różnych poziomach ciśnienia powietrza. Celem tego badania było określenie wpływu ciśnienia powietrza na charakterystyki pracy frezarki do drewna. W niniejszej pracy zbadano wzrost temperatury, amplitudę drgań i pobór mocy przy różnych poziomach ciśnienia powietrza. Uzyskane korzystne wyniki wskazują na potrzebę dalszych badań

Anticardiolipin Antibodies Are an Independent Risk Factor for Ischemic Stroke

Our Aim Was to Determine If Anticardiolipin Antibodies Are an Independent Risk Factor for Ischemic Stroke and to Determine their Influence on Stroke Type and Clinical Outcome. We Prospectively Studied 194 Consecutive Patients with Ischemic Stroke Admitted within 48 H of Stroke. a Control Group Consisted of 100, Age and Sex Matched, Healthy Individuals. Neurological and Functional Status Was Assessed on Admission, at 30 Days, and at 1 Year. IgG Anticardiolipin Antibodies Were Significantly More Frequent in Stroke Patients (25.3%) Than Controls (6%, P \u3c 0.05). a Multivariate Analysis Suggested that Anticardiolipin Antibodies Are an Independent Risk Factor for Ischemic Stroke in Addition to Hypertension and Atrial Fibrillation (RR = 2.94, P \u3c 0.05). Elevated IgG Anticardiolipin Antibodies Were Associated with Cognitive Impairment as Measured by the Mini Mental State Examination at 30 Days and at 1 Year. IgG Anticardiolipin Antibodies Did Not Correlate with Stroke Recurrence, or Mortality at 30 Days or 1 Year

Ischemic Strokes Are More Severe in Poland Than in the United States

Case Fatality Rates for Stroke Were Ascertained Prospectively in Two Regional Catchment Hospitals in Poland and 36 Teaching Hospitals in the US University Hospital Consortium. Case Fatality Rates in Poland (23.9%) Were Higher Than in the United States (7.5%). Angina, Atrial Fibrillation, and Congestive Heart Failure Were More Frequent in Polish Stroke Patients (40%, 26%, and 25%, Respectively) Than in US Patients (17%, 12%, and 10%). Stroke Severity as Indicated by Higher Frequencies of Hemiplegia, Disordered Consciousness, Dysphagia, and Aphasia Was Greater in Poland (19%, 39%, 28%, and 42%, Respectively) Than the United States (11%, 13%, 14%, and 26%)

Stroke Mortality Rates in Poland Did Not Decline between 1984 and 1992

Background and Purpose: Stroke Mortality Has Decreased in Most Industrialized Countries in Recent Decades. in Poland, as in Other Eastern European Countries, Mortality Rates for Stroke Remain High. Methods: The Warsaw Stroke Registry (WSR) Registered Patients in the Mokotow District of Warsaw from 1991 through 1992. the Warsaw Pol-MONICA Study Registered Stroke Patients in the North and South Praga Regions of Warsaw from 1984 through 1992. Stroke Incidence Rates, Case-Fatality Rates, and Stroke Mortality Rates Were Computed based on Both Studies and Compared with Published Mortality Rates based on Death Certificates. Eight-Year Trends of Stroke Incidence, Case-Fatality Rate, and Mortality Were Derived from the Warsaw Pol-MONICA Study. Results: The WSR and Warsaw Pol-MONICA Studies Showed Similar Incidence Rates, Mortality Rates, and 28-Day Case-Fatality Rates for Stroke. Mortality Rates from the WSR and the Warsaw Pol-MONICA Study Were Similar to Rates from Death Certificate Data. Mortality Rates in the Group Aged 35 to 64 Years Were Higher in Men (47.5 to 50/100 000 Per Year) Than in Women (30/100 000 Per Year). Conclusions: Two Different Population-Based Studies Suggest that Stroke Mortality is High in Poland Because of High 28-Day Case-Fatality Rates. Stroke Mortality Failed to Decline in Poland in the Period 1984 through 1992 Because Neither Case Fatality Nor Stroke Incidence Declined in This Period