Just Sit for a Bit: A Moment of Caring

Background: Research shows that time spent sitting at the bedside promotes trust, which ultimately improves nurse satisfaction, patient satisfaction and patient outcomes. Patient satisfaction scores have been below benchmark for several months on an adult medical unit at an academic medical center. Overview: The purpose of this project was to improve patient satisfaction in the areas of nursing courtesy, friendliness, and listening. Nurses were asked to sit down for at least 5 minutes per shift with each patient, engaging in a “moment of caring”. Nurse surveys were given and both pre and post implementation. These surveys assessed whether or not nurses physically sit down at least for 5 minutes per shift. Survey also assessed the importance nurses placed on this implementation. Results: Post-intervention, an increased percentage of surveyed nurses reported sitting at the bedside for at least 5 minutes a shift. Additionally, an increased percentage of surveyed nurses reported that physically sitting down with patients as extremely important. Conclusion: The findings show some evidence for improved nurse behaviors and attitudes toward sitting down at the bedside. Time constraints notwithstanding, Press-Ganey results might be evaluated over a longer period to determine the effects of the intervention on patient satisfaction

Safety training and positive safety attitude formation in the Australian construction industry

© 2018 Elsevier Ltd Poor safety is a perennial problem for the construction industry worldwide. While there has been a large amount of research on construction safety training and its importance in developing positive safety attitudes, much of the evidence has been anecdotal. To address this gap in knowledge, this paper presents the results of an attitudinal survey of 228 construction employees from a variety of professional and trade backgrounds operatives in Australia who went through mandatory site safety training. It was found that the training was largely ineffective in changing workers’ safety attitudes. The minor change in safety attitudes that did occur were largely cognitive and behavioural in nature while the affective component of safety attitudes remained virtually unchanged. In other words, construction operatives emerged from the training with a slightly better knowledge of safety risks, a better intention to behave safely but not caring any more about safety as an issue. It was also found that gender, age and education are potential mediators in the safety attitude formation process. It is recommended that when developing safety training programs in the future, more attention should be paid to tailoring programs to the demographic characteristics of the people being trained and to the use of new interactive and immersive technologies and learner-centric andragogical pedagogies

Health-Related Quality of Life, Mental Health and Psychotherapeutic Considerations for Women Diagnosed with a Disorder of Sexual Development: Congenital Adrenal Hyperplasia

Little is known about the long-term health-related quality of life (HRQL) and mental health outcomes for women diagnosed with congenital adrenal hyperplasia (CAH), a disorder of sex development. Though recommendations for therapists exist, no research has empirically investigated women's experiences in therapy or their recommendations for therapy. Thus the purpose of the study was to investigate HRQL, mental health concerns of women with CAH, and patients' recommendations for therapists. A qualitative methodology, consensual qualitative research, was used to answer these questions. Eight women with CAH participated in the study. Results from their interviews revealed six domains: physical functioning, psychological functioning, interpersonal processes and relationships, healthcare experiences of women with CAH, recommendations for health care professionals, and systemic considerations. Domains were further broken down into categories with results yielding implications for both medical and mental health professionals and shedding light on issues related to normalcy, concerns both related and unrelated to CAH, sex, and gender, and highlighting effective supports and therapeutic interventions

Alcohol-related suicide across Australia : a geospatial analysis

Background: The acute effects of alcohol consumption are a major risk factor for suicide. Positive blood alcohol concentrations are present in almost one-third of all suicides at time of death. These suicides are defined as alcohol-related suicides. This cross-sectional study examines the geospatial distribution/clustering of high proportions of alcohol-related suicides and reports on socioeconomic and demographic risk factors. Methods: National Coronial Information System (NCIS) data were used to calculate proportions of suicides with alcohol present at the time of death for each level 3 statistical areas (SA3) in Australia. A density analysis and hotspot cluster analysis were used to visualise and establish statistically significant clustering of areas with higher (hotspots) and lower (coldspots) proportions. Subsequently, socioeconomic and demographic risk factors for alcohol use and suicide were reported on for hot and cold spots. Results: Significant clustering of areas with higher proportions of alcohol-related suicide occurred in northern Western Australia, the Northern Territory and Queensland, as well as inland New South Wales and inland Queensland. Clustering of SA3s with significantly lower proportions occurred in major city and inner regional Sydney and Melbourne. Conclusion and implications for public health: Results from this study identify areas in which prevention strategies should target alcohol use and can be used to inform prevention strategy design. Additionally, hotspots and coldspots identified in this study can be used for further analysis to better understand contextual risk factors for alcohol-related suicide

A superadditivity and submultiplicativity property for cardinalities of sumsets

For finite sets of integers A1, . . . ,An we study the cardinality of the n-fold sumset A1 + · · · + An compared to those of (n − 1)-fold sumsets A1 + · · · + Ai−1 + Ai+1 + · · · + An. We prove a superadditivity and a submultiplicativity property for these quantities. We also examine the case when the addition of elements is restricted to an addition graph between the sets

Numerical modeling of 3.5mu m dual-wavelength pumped erbium-doped mid-infrared fiber lasers

Date of publication September 19, 2016The performance of mid-infrared Er³+-doped fiber lasers has dramatically improved in the last few years. In this paper, we present a numerical model that provides valuable insight into the dynamics of a dual-wavelength pumped fiber laser that can operate on the 3.5- and 2.8-μm bands. This model is a much needed tool for optimizing and understanding the performance of these laser systems. Comparisons between simulation and experimental results for three different systems are presented.Andrew Malouf, Ori Henderson-Sapir, Martin Gorjan, and David J. Ottawa

B-type natriuretic peptide clinical activation in aortic stenosis : impact on long-term survival

Objectives : This study was conducted to define the association between serum B-type natriuretic peptide (BNP) activation and survival after the diagnosis of aortic stenosis (AS).Background : In AS, the link between BNP levels and clinical outcome is in dispute. Failure to account for the normal shifting of BNP ranges with aging in men and women, not using hard endpoints (survival), and not enrolling large series of patients have contributed to the uncertainty.Methods : A program of prospective measurement of BNP levels with Doppler echocardiographic AS assessment during the same episode of care was conducted. BNP ratio (measured BNP/maximal normal BNP value specific to age and sex) >1 defined BNP clinical activation.Results : In 1,953 consecutive patients with at least moderate AS (aortic valve area 1.03 ± 0.26 cm2; mean gradient 36 ± 19 mm Hg), median BNP level was 252 pg/ml (interquartile range: 98 to 592 pg/ml); BNP ratio 2.46 (interquartile range 1.03 to 5.66); ejection fraction (EF) 57% ± 15%, and symptoms present in 60% of patients. After adjustment for all survival determinants, BNP clinical activation (BNP ratio >1) independently predicted mortality after diagnosis (p 2 (HR: 0.56; 95% CI: 0.47 to 0.66; p < 0.0001).Conclusions : In this large series of patients with AS, BNP clinical activation was associated with excess long-term mortality incrementally and independently of all baseline characteristics. Higher mortality with higher BNP clinical activation, even in asymptomatic patients, emphasizes the importance of appropriate clinical interpretation of BNP levels in managing patients with AS