Cyclicality and the relationship between neuroticism, communication, and relationship satisfaction in cohabiting couples

Master of ScienceDepartment of Family Studies and Human ServicesJared R. AndersonAmber V. VennumThe present study sought to extend the research on cyclical, or on-again/off-again relationships, by examining whether a history of cyclicality moderated the association between neuroticism and relationship satisfaction. A second goal of this study was to examine the direct and indirect effects of neuroticism on relationship satisfaction through communication. The sample consisted of cohabiting cyclical (n = 1,055) and noncyclical (n = 2,527) couples from a larger dataset collected by the RELATE Institute. Results showed that cyclical partners reported higher levels of neuroticism, higher levels of conflict, lower levels of positive communication, and lower levels of relationship satisfaction than noncyclical couples. Direct actor paths from neuroticism to satisfaction were significant for cyclical and noncyclical females and males. Only the direct partner path from female neuroticism to male satisfaction was significant, and was only significant for cyclical couples. All indirect actor and partner paths were significant for cyclical and noncyclical females and males. Further, a history of cyclicality significantly moderated the direct paths from male communication to male and female relationship satisfaction, indicating this relationship is stronger for cyclical couples

“Not Being Able to Talk Was Horrid”: A Descriptive, Correlational Study of Communication During Mechanical Ventilation

Objectives: The purpose of this study was to describe the patient experience of communication during mechanical ventilation. Research methodology: This descriptive study is a secondary analysis of data collected to study the relationship between sedation and the MV patients’ recall of the ICU. Interviews, conducted after extubation, included the Intensive Care Experience Questionnaire. Data were analysed with Spearman correlation coefficients (rs) and content analysis. Setting: Participants were recruited from a medical-surgical intensive care unit in the Midwest United States. Results: Participants (n = 31) with a mean age of 65 ± 11.9 were on the ventilator a median of 5 days. Inability to communicate needs was associated with helplessness (rs = .43). While perceived lack of information received was associated with not feeling in control (rs = 41) and helplessness (rs = 41). Ineffective communication impacted negatively on satisfaction with care. Participants expressed frustration with failed communication and a lack of information received. They believed receipt of information helped them cope and desired a better system of communication during mechanical ventilation. Conclusion: Communication effectiveness impacts patients’ sense of safety and well-being during mechanical ventilation. Greater emphasis needs to be placed on the development and integration of communication strategies into critical care nursing practice

The Use of Low-Calorie Sweeteners by Children: Implications for Weight Management123

The rise in pediatric obesity since the 1970s has been well established in the United States and is becoming a major concern worldwide. As a potential means to help slow the obesity epidemic, low-calorie sweeteners (LCS) have gained attention as dietary tools to assist in adherence to weight loss plans or prevention of excess weight gain. Observational studies tend to show positive correlations between LCS consumption and weight gain in children and adolescents. Although the data are intriguing, these epidemiologic studies do not establish that LCS cause weight gain, because there are likely many lifestyle and genetic differences between children and families who choose to consume LCS and those who do not. Short-term randomized controlled trials have shown LCS use to be BMI neutral or to have modest weight-reducing effects in overweight and obese adolescents. The long-term effects of LCS in children and adolescents are unknown. Some compelling research is currently underway and may provide needed insight into the potential role of LCS in weight management. The paucity of data regarding the effects of LCS use in children and adolescents creates challenges in decision-making for health care providers and parents

Auditory Integration Interventions for Children with Autism and Developmental Disabilities: An Evidence-Based Practice Project

After extensive review of select auditory integration interventions including Auditory Integration Therapy (AIT), The Listening Program (TLP), and Therapeutic Listening (TL), we can conclude that many of these interventions have not been examined for use with children and adolescents with autism spectrum disorder (ASD). Although some the research we found showed slight improvements in our investigated outcomes, many of them did not analyze the primary long-term outcomes of interest for occupational therapy including performance, participation, and engagement. Specialized training is required for therapists to facilitate AIT, TLP, and TL with their clients. Courses are costly ranging from $365-$2400, which further detracts the practicality of these interventions. All three of our auditory interventions were either not reviewed by the expert review groups or were investigated but not recommended. Additionally, some insurance companies and the United States Federal Drug Administration do not approve of some of the interventions and equipment required due to safety concerns and lack of evidence (UnitedHealthcare, 2016). Our preliminary recommendations are that these interventions are a Level 5. A Level 5 means that the treatment is designated as an untested/experimental treatment and/or is potentially harmful (WI Department of Health Services, 2014). Additionally, the results may not be a direct outcome of AIT, TLP, and TL due to a variety of limitations and gaps in research. Because of these gaps and limitations we can conclude that the existing research is of poor quality. Given the chosen study design in a majority of these articles, we cannot make definite conclusions that these interventions caused the differences in the outcomes. Also, due to case study designs and small sample sizes, the results cannot be generalized to the larger population. Conflicting recommendations exist for further on these auditory integration interventions. Therefore, individuals interested in conducting research should be aware of these cautions

PUFA omega-3 and omega-6 biomarkers and sleep : a pooled analysis of cohort studies on behalf of the Fatty Acids and Outcomes Research Consortium (FORCE)

Background: n-3 and n-6 PUFAs have physiologic roles in sleep processes. but little is known regarding circulating n-3 and n-6 PUFA and sleep parameters. Objectives: We sought to assess associations between biomarkers of n-3 and n-6 PUFA intake with self-reported sleep duration and difficulty falling sleeping in the Fatty Acids and Outcome Research Consortium. Methods: Harmonized, de novo. individual-level analyses were performed and pooled across 12 cohorts. Participants were 35-96 y old and from 5 nations. Circulating measures included alpha-linolenic acid (ALA), EPA, docosapentaenoic acid (DPA), DHA, EPA + DPA DHA, linoleic acid, and arachidonic acid. Sleep duration (10 cohorts. n = 18.791) was categorized as short (= 9 h). Difficulty falling asleep (8 cohorts, n = 12,500) was categorized as yes or no. Associations between PUFAs, sleep duration, and difficulty falling sleeping were assessed by cross-sectional multinomial logistic regression using standardized protocols and covariates. Cohort-specific multivariable-adjusted ORs per quintile of PUFAs were pooled with inverse-variance weighted meta-analysis. Results: In pooled analysis adjusted for sociodemographic characteristics and health status, participants with higher very long-chain n-3 PUFAs were less likely to have long sleep duration. In the top compared with the bottom quintiles. the multivariable-adjusted ORs (95% CIs) for long sleep were 0.78 (95% CI: 0.65, 0.95) for DHA and 0.76 (95% CI: 0.63, 0.93) for EPA + DPA + DHA. Significant associations for ALA and n-6 PUFA with short sleep duration or difficulty falling sleeping were not identified. Conclusions: Participants with higher concentrations of very long-chain n-3 PUFAs were less likely to have long sleep duration. While objective biomarkers reduce recall bias and misclassification, the cross-sectional design limits assessment of the temporal nature of this relation. These novel findings across 12 cohorts highlight the need for experimental and biological assessments of very long-chain n-3 PUFAs and sleep duration.Peer reviewe

Global Oceans

Global Oceans is one chapter from the State of the Climate in 2019 annual report and is avail-able from https://doi.org/10.1175/BAMS-D-20-0105.1. Compiled by NOAA’s National Centers for Environmental Information, State of the Climate in 2019 is based on contr1ibutions from scien-tists from around the world. It provides a detailed update on global climate indicators, notable weather events, and other data collected by environmental monitoring stations and instru-ments located on land, water, ice, and in space. The full report is available from https://doi.org /10.1175/2020BAMSStateoftheClimate.1

Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System A Report From the Workshop Convened by the World Heart Federation

Major scholars in the field, based on a 3-day consensus, created an in-depth review of current knowledge on the role of diet in CVD, the changing global food system and global dietary patterns, and potential policy solutions. Evidence from different countries, age/race/ethnicity/socioeconomic groups suggest the health effects studies of foods, macronutrients, and dietary patterns on CVD appear to be far more consistent though regional knowledge gaps are highlighted. There are large gaps in knowledge about the association of macronutrients to CVD in low- and middle-income countries (LMIC), particularly linked with dietary patterns are reviewed. Our understanding of foods and macronutrients in relationship to CVD is broadly clear; however major gaps exist both in dietary pattern research and ways to change diets and food systems. Based on the current evidence, the traditional Mediterranean-type diet, including plant foods/emphasizing plant protein sources, provides a well-tested healthy dietary pattern to reduce CV

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

“It’s complicated:” the continuity and correlates of cycling in cohabiting and marital relationships

Given previous research on the risks associated with cycling in young adult dating relationships, the present study examines the frequency with which cyclical dating relationships (relationships that end and renew) persist into cohabitation and marriage, the characteristics of these relationships, and the constraints associated with cycling during these stages using a nationally representative sample of cohabiting (n = 323) and married (n = 752) couples. Using retrospective accounts, results suggest that over one-third of cohabiters and one-fifth of spouses have experienced a breakup and renewal in their current relationship. Additionally, partners who have experienced cycling are at greater risk for further cycling and experiencing greater constraints to permanently ending the relationship, greater uncertainty in their relationship’s future, and lower satisfaction