The relationship between perceived social support and psychological distress in carers of older relatives: A longitudinal cross-lagged analysis

BACKGROUND AND OBJECTIVES: Although a large body of research has examined the relationship between social support and psychological health of family carers of frail older people, the exact nature and direction of this relationship is not well understood with most research to date being cross-sectional. This longitudinal study explored the relationship between perceived social support and psychological distress in carers of older relatives. METHODS: We used data from two longitudinal cohorts which included a total of 332 family carers of frail older people. We used cross-lagged panel analysis to investigate the longitudinal association between perceived social support and carer psychological distress controlling for a number of covariates over time. RESULTS: Fully-adjusted Generalised Estimating Equations (GEE) and cross-lagged models indicated that higher social support was significantly associated with lower carer psychological distress over time (regression coefficient [B] = -0.178, standard error [SE] = 0.028), with levels of perceived social support exerting an effect on psychological distress rather than vice versa (β = 0.03, p = 0.32). LIMITATIONS: All observations were based on self-report data, and there may be other variables that may explain the results that we did not account for. DISCUSSION AND IMPLICATIONS: Our study finds that the directionality of the relationship appears to be from perceived social support to carer psychological distress suggesting that social support directly affects carer psychological health but not vice versa. This finding has important implications for the provision of social support interventions for carers of frail older people at risk of experiencing psychological distress

Laser-induced chemical transformation of freestanding graphene oxide membranes in liquid and gas ammonia environments

Laser-induced chemical conversion of graphene oxide (GO) is an effective way to modify its properties and expand its potential use for numerous applications. In this work, a mechanically stable and flexible free-standing GO membrane is synthesized and further processed by ultraviolet laser radiation in gas and liquid ammonia-rich environments. Electron and atomic force microscopy, as well as X-ray photoelectron spectroscopy analysis, reveal that laser irradiation in gas leads to a large defect-induced morphology modification and high deoxygenation process, accompanied by the slight incorporation of nitrogen functionality to the reduced GO structure. Conversely, irradiation in liquid provokes significant integration of nitrogen groups, essentially amines, into a partially reduced GO structure, without evident modification of the morphology. Electrical measurements on the macro- and nano-scale point to a complex contribution of morphology and oxidized regions to the overall resistance of the rGO.The authors acknowledge the financial support of the Spanish Ministry of Economy and Competitiveness under the project ENE2014-56109-C3-3-R, in addition to the Romanian National Authority for Scientific Research and Innovation, CNCS – UEFISCDI, under the Grants PN-II-ID-PCE-2012-4-0292 and PNII- RU-TE-2014-4-1194. ICMAB acknowledges financial support from the Spanish Ministry of Economy and Competitiveness, through the “Severo Ochoa” Programme for Centres of Excellence in R&D (SEV-2015-0496).Peer reviewe

The mediating role of sense of coherence on mental health outcomes in carers of older dependent relatives: a longitudinal study

Background: Sense of coherence (SOC) is an important protective factor for carer well‐being but research to date remains cross‐sectional, focusing primarily on the direct effects of SOC on carers’ mental health. The study's aim was to investigate the mediating role of SOC in the longitudinal relationship between caregiver strain and carers’ psychological health, and its stability over time. / Methods: Prospective longitudinal study conducted in Jaén (Spain) with a probabilistic sample of 132 carers of older people, with data collected at baseline and at one‐year follow‐up. We measured SOC, caregiver strain, anxiety and depressive symptoms, and several care recipient characteristics and intensity of care provided. We used multiple linear regression modelling and the Sobel test to analyse mediation effects. / Results: SOC was significantly negatively longitudinally associated with both anxiety (β= ‐0.38, p= 0.001) and depressive symptoms (β= ‐0.28, p= 0.023), after controlling for several confounders. SOC mediated both the relationship between caregiver strain and anxiety and caregiver strain and depressive symptoms (Sobel test; p< 0.001 for anxiety and p< 0.001 for depressive symptoms). Differences between baseline and one‐year follow‐up SOC scores were not statistically significant (p= 0.617). / Conclusions: SOC appears to buffer the impact of caregiver strain on symptoms of depression and anxiety in informal carers of older people. Our data showed that SOC is an important psychological resource for carers that remained relatively stable under non‐experimental conditions over a period of one year in this sample. Findings suggest that interventions aimed at strengthening SOC may protect carer psychological well‐being

Subjective caregiver burden and anxiety in informal caregivers: a systematic review and meta-analysis

There is increasing evidence that subjective caregiver burden is an important determinant of clinically significant anxiety in family carers. This meta-analysis aims to synthesise this evidence and investigate the relationship between subjective caregiver burden and anxiety symptoms in informal caregivers. We searched PubMed, CINAHL and PsycINFO up to January 2020. Combined estimates were obtained using a random-effects model. After screening of 4,312 articles, 74 studies (with 75 independent samples) were included. There was a large, positive association between subjective caregiver burden and anxiety symptoms (r = 0.51; 95% CI = 0.47, 0.54; I2 = 0.0%). No differences were found in subgroup analyses by type of study design (cross-sectional vs. longitudinal), sampling, control of confounders or care-recipient characteristics. Subjective caregiver burden is an important risk factor for anxiety in informal caregivers. Targeting subjective caregiver burden could be beneficial in preventing clinically significant anxiety for the increasing number of family carers worldwide

Defining a roadmap for harmonizing quality indicators in Laboratory Medicine: A consensus statement on behalf of the IFCC Working Group "laboratory Error and Patient Safety" and EFLM Task and Finish Group "performance specifications for the extra-analytical phases"

The improving quality of laboratory testing requires a deep understanding of the many vulnerable steps involved in the total examination process (TEP), along with the identification of a hierarchy of risks and challenges that need to be addressed. From this perspective, the Working Group \u201cLaboratory Errors and Patient Safety\u201d (WG-LEPS) of International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) is focusing its activity on implementation of an efficient tool for obtaining meaningful information on the risk of errors developing throughout the TEP, and for establishing reliable information about error frequencies and their distribution. More recently, the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) has created the Task and Finish Group \u201cPerformance specifications for the extraanalytical phases\u201d (TFG-PSEP) for defining performance specifications for extra-analytical phases. Both the IFCC and EFLM groups are working to provide laboratories with a system to evaluate their performances and recognize the critical aspects where improvement actions are needed. A Consensus Conference was organized in Padova, Italy, in 2016 in order to bring together all the experts and interested parties to achieve a consensus for effective harmonization of quality indicators (QIs). A general agreement was achieved and the main outcomes have been the release of a new version of model of quality indicators (MQI), the approval of a criterion for establishing performance specifications and the definition of the type of information that should be provided within the report to the clinical laboratories participating to the QIs project

Tratamiento de las fracturas complejas del fémur: nuestra experiencia con el clavo de Brooker-Wills

Se estudian 26 casos de fracturas de fémur tratadas con clavo de Brooker-Wills. De ellas, 22 fueron cerradas y 4 abiertas. El trazo de fractura fue simple en 8 casos y con cominución en 18. El tipo de montaje realizado fue dinámico, con encerrojado distal, en 13 casos (50%) y estático en 12 (46%). En un caso no se practicó ninguna clase de bloqueo. En 5 pacientes (19%) ocurrió alguna complicación peroperatoria relacionada con la técnica. Eos resultados obtenidos valorados según los criterios de Thoresen han sido: 17 excelentes (65%), 6 buenos (23%), 2 regulares (8%) y 1 malo (4%). Hubo una rotura del clavo relacionada con una pseudoartosis. En nuestra experiencia el clavo de Brooker-Wills se ha mostrado como un dispositivo eficaz en el tratamiento de las fracturas complejas de la diálisis femoral capaz de prevenir el acortamiento, las angulaciones y la rotación de los fragmentos.We studied 26 femoral fractures treated with Brooker-Wills nail. There were 22 closed and 4 open fractures. Eight were simple fractures and 18 conminuted. We performed distal (dynamic) locking in 13 cases (50%) and static locking in 12 (46%). One case had no locking. In 5 cases (19%) we had some complications, all of them related with the technique. Following the Thoresen's criteria, the results obtained were excelent in 17 cases (65%), good in 6 (23%), fair in 2 (8%) and poor in one (4%). We found a broken nail in a case who developed a pseudarthrosis. In our experience Brooker-Wills nail was found to be an effective device for the treatment of complex femoral shaft fractures, being able to avoid shortening, angulation and rotation of the fragments

Quadrature nonreciprocity: unidirectional bosonic transmission without breaking time-reversal symmetry

Nonreciprocity means that the transmission of a signal depends on its direction of propagation. Despite vastly different platforms and underlying working principles, the realisations of nonreciprocal transport in linear, time-independent systems rely on Aharonov-Bohm interference among several pathways and require breaking time-reversal symmetry. Here we extend the notion of nonreciprocity to unidirectional bosonic transport in systems with a time-reversal symmetric Hamiltonian by exploiting interference between beamsplitter (excitation preserving) and two-mode-squeezing (excitation non-preserving) interactions. In contrast to standard nonreciprocity, this unidirectional transport manifests when the mode quadratures are resolved with respect to an external reference phase. Hence we dub this phenomenon quadrature nonreciprocity. First, we experimentally demonstrate it in the minimal system of two coupled nanomechanical modes orchestrated by optomechanical interactions. Next, we develop a theoretical framework to characterise the class of networks exhibiting quadrature nonreciprocity based on features of their particle-hole graphs. In addition to unidirectionality, these networks can exhibit an even-odd pairing between collective quadratures, which we confirm experimentally in a four-mode system, and an exponential end-to-end gain in the case of arrays of cavities. Our work opens up new avenues for signal routing and quantum-limited amplification in bosonic systems.Comment: Includes: Main Text (7 pages, 4 figures), Methods & References (5 pages, 1 figure), Supplementary Information (14 pages, 2 figures

NGC 6705 a young α\alpha-enhanced Open Cluster from OCCASO data

The stellar [$\alpha$/Fe] abundance is sometimes used as a proxy for stellar age, following standard chemical evolution models for the Galaxy, as seen by different observational results. In this work we show that the Open Cluster NGC6705/M11 has a significant $\alpha$-enhancement [$\alpha$/Fe]$>0.1$ dex, despite its young age ($\sim$300 Myr), challenging the current paradigm. We use high resolution (R$>65,000$) high signal-to-noise ($\sim$70) spectra of 8 Red Clump stars, acquired within the OCCASO survey. We determine very accurate chemical abundances of several $\alpha$ elements, using an equivalent width methodology (Si, Ca and Ti), and spectral synthesis fits (Mg and O). We obtain [Si/Fe]=$0.13\pm0.05$, [Mg/Fe]=$0.14\pm0.07$, [O/Fe]=$0.17\pm0.07$, [Ca/Fe]=$0.06\pm0.05$ and [Ti/Fe]=$0.03\pm0.03$. Our results place these cluster within the group of young [$\alpha$/Fe]-enhanced field stars recently found by several authors in the literature. The ages of our stars have an uncertainty of around 50 Myr, much more precise than for field stars. By integrating the cluster's orbit in several non-axisymmetric Galactic potentials, we establish the M11's most likely birth radius to lie between 6.8-7.5 kpc from the Galactic center, not far from its current position. With the robust Open Cluster age scale, our results prove that a moderate [$\alpha$/Fe]-enhancement is no guarantee for a star to be old, and that not all $\alpha$-enhanced stars can be explained with an evolved blue straggler scenario. Based on our orbit calculations, we further argue against a Galactic bar origin of M11.Comment: 10 pages, 6 figures, accepted in A&