Spiritual Attitudes and Values in Young Children

Research has shown that spirituality is an important function of a child’s social, emotional, and personal development. Nevertheless, minimal research exists on spiritual attitudes and values in young children. This study examined children’s development and spirituality using a modified version of the Attitudes and Values Questionnaire (AVQ). The Australian Council for Educational Research (ACER) developed the AVQ with the dimensions of Conscience, Compassion, Social Growth, Emotional Growth, Service to Others, Commitment to God, and Commitment to Jesus. Commitment to God and Commitment to Jesus were optional dimensions later added by ACER to focus specifically on Christian principles. Following permission from ACER to adapt the AVQ for younger children, the questionnaire was modified using the Flesch-Kincaid Readability Scale to allow for better question comprehension among the young participants, ages 5–14. Researchers contacted family members and various Christian schools in their home states across the eastern United States and asked if they would be willing to administer the modified AVQ to their students. The intention was to expand upon knowledge about young children’s attitudes and values related to Christian spirituality. Specifically, the researchers were trying to find if there may be relationships among children’s view of self, view of others, and spirituality. Correlations were run in order to determine if different dimensions, particularly the social growth dimensions and the Christian dimensions, were significantly related. A correlation chart compared all variables and the results indicated that there were strong correlations among the dimensions

Improving alcohol and mental health treatment for lesbian, bisexual and queer women: identity matters

Abstract Objective: Lesbian, bisexual and queer (LBQ) women experience substantial unmet alcohol and mental health treatment needs. This paper explores the way in which sexual identity shapes experience, and needs, in relation to alcohol and mental health treatment, and presents key messages for improving treatment. Methods: Twenty‐five in‐depth interviews were undertaken with same‐sex attracted Australian women, aged 19–71. Interview transcripts were analysed thematically. Results: Key messages offered by participants focused on language, disclosure and practitioner training. Variation in sexual identity did not alter treatment expectations or needs; however, we noted an important difference with respect to identity salience, with high LBQ identity salience linked with preference for disclosure and acknowledgement of sexual identity in treatment interactions, and low identity salience linked with a preference not to disclose and for sexual identity not to require acknowledgement in treatment. Conclusions: Treatment providers may find it useful to gather information about the centrality of sexual identity to LBQ women as a means of overcoming treatment barriers related to heteronormative conventions and discrimination, language and disclosure. Implications for public health: Treatment providers should adopt more inclusive language, seek information about identity salience and the importance of sexual identity to the current treatment, and regularly pursue LBQ‐related professional development upskilling

Ventilatory settings in the initial 72 h and their association with outcome in out-of-hospital cardiac arrest patients: a preplanned secondary analysis of the targeted hypothermia versus targeted normothermia after out-of-hospital cardiac arrest (TTM2) trial

International audienc

Oxygen targets and 6-month outcome after out of hospital cardiac arrest: a pre-planned sub-analysis of the targeted hypothermia versus targeted normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial

International audienceAbstract Background Optimal oxygen targets in patients resuscitated after cardiac arrest are uncertain. The primary aim of this study was to describe the values of partial pressure of oxygen values (PaO 2 ) and the episodes of hypoxemia and hyperoxemia occurring within the first 72 h of mechanical ventilation in out of hospital cardiac arrest (OHCA) patients. The secondary aim was to evaluate the association of PaO 2 with patients’ outcome. Methods Preplanned secondary analysis of the targeted hypothermia versus targeted normothermia after OHCA (TTM2) trial. Arterial blood gases values were collected from randomization every 4 h for the first 32 h, and then, every 8 h until day 3. Hypoxemia was defined as PaO 2  300 mmHg. Mortality and poor neurological outcome (defined according to modified Rankin scale) were collected at 6 months. Results 1418 patients were included in the analysis. The mean age was 64 ± 14 years, and 292 patients (20.6%) were female. 24.9% of patients had at least one episode of hypoxemia, and 7.6% of patients had at least one episode of severe hyperoxemia. Both hypoxemia and hyperoxemia were independently associated with 6-month mortality, but not with poor neurological outcome. The best cutoff point associated with 6-month mortality for hypoxemia was 69 mmHg (Risk Ratio, RR = 1.009, 95% CI 0.93–1.09), and for hyperoxemia was 195 mmHg (RR = 1.006, 95% CI 0.95–1.06). The time exposure, i.e., the area under the curve (PaO 2 -AUC), for hyperoxemia was significantly associated with mortality ( p = 0.003). Conclusions In OHCA patients, both hypoxemia and hyperoxemia are associated with 6-months mortality, with an effect mediated by the timing exposure to high values of oxygen. Precise titration of oxygen levels should be considered in this group of patients. Trial registration : clinicaltrials.gov NCT02908308 , Registered September 20, 2016