Evaluation of Community Baby Showers to Promote Safe Sleep

Background. In recent years, Kansas has ranked 40th among all states for worst infant mortality rates. For African American infant mortality, Kansas had the highest rate in the nation. Because of these statistics, initiatives have been implemented to reduce these rates by the KIDS Network, in partnership with the Black Nurses Association and the National Association of Hispanic Nurses. The purpose was to describe participants’ knowledge and intentions regarding safe sleep following a Community Baby Shower. Methods. The Community Baby Shower was targeted to African American women via black churches, physician offices, clinics, black sororities, word of mouth, radio, and print. All Baby Shower participants were asked to complete a brief survey following the shower. Results. The majority were African American (61%) with a high school diploma or less schooling (63%). Nearly all (97%) planned to place their baby supine for sleep. However, less than half (47%) planned to have the baby sleep in the parents’ room in a separate crib. Attendees exhibited high levels of safe sleep knowledge, stated intentions to utilize most safe sleep recommendations, and reported babies would have slept in unsafe environments without the portable crib. Conclusions. Our Baby Showers were attended by the target audience, who exhibited high levels of safe sleep knowledge, and stated intentions to utilize most safe sleep recommendations following the Shower. However, some participants were resistant to following at least some of the recommendations. Additional venues and other educational strategies may be needed to maximize the uptake of these recommendations

Personalised service? Changing the role of the government librarian

Investigates the feasibility of personalised information service in a government department. A qualitative methodology explored stakeholder opinions on the remit, marketing, resourcing and measurement of the service. A questionnaire and interviews gathered experiences of personalised provision across the government sector. Potential users were similarly surveyed to discuss how the service could meet their needs. Data were analysed using coding techniques to identify emerging theory. Lessons learned from government librarians centred on clarifying requirements, balancing workloads and selective marketing. The user survey showed low usage and awareness of existing specialist services, but high levels of need and interest in services repackaged as a tailored offering. Fieldwork confirmed findings from the literature on the scope for adding value through information management advice, information skills training and substantive research assistance and the need to understand business processes and develop effective partnerships. Concluding recommendations focus on service definition, strategic marketing, resource utilisation and performance measurement

Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study

Background: Mental disorders and alcohol misuse are common in families but their effects on the physical health of children are not known. We investigated the risk of emergency hospital admissions during childhood associated with living with an adult who has a mental health disorder, or who had an alcohol-related hospital admission. Methods: We did this cohort study in a total population electronic child cohort in Wales, UK, which includes all children who live in Wales or with a mother who is resident in Wales. We used Cox regression to model time to first emergency hospital admission during the first 14 years of life associated with living with an adult who has a mental health disorder, or who had an alcohol-related hospital admission. We adjusted our results for social deprivation and perinatal risk factors.Findings: We included data for 253 717 children with 1 015 614 child-years of follow-up. Living with an adult with a mental disorder was associated with an increased risk of emergency admission for all causes (adjusted hazard ratio [aHR] 1·17, 95% CI 1·16–1·19), for injuries and external causes (1·14, 1·11–1·18), and childhood victimisation (1·55, 1·44–1·67). Children living with a household member who had an alcohol-related hospital admission had a significantly higher risk of emergency admissions for injuries and external causes (aHR 1·13, 95% CI 1·01–1 ·26) and victimisation (1·39, 1·00–1·94), but not for all-cause emergency admissions (1·01, 0·93–1·09).Interpretation: The increased risk of emergency admissions in children associated with mental disorders and alcohol misuse in the household supports the need for policy measures to provide support to families that are affected.Funding: Economic and Social Research Council, Medical Research Council, Alcohol Research UK, Public Health Wales

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

M&A performance in post-acquisition: Influence of process and organizational integration

The study focuses on the post-acquisition process, specifically where process and organizational integration contribute to successful acquisition performance. This analysis defines acquisition performance by the objectives of the acquisition. This often equates to short-term or long-term financial performance but can also represent other measures.M&A Performance in Post-Acquisition: Influence of Process and Organizational Integration Sheila Dempsey Chickene [email protected] Keywords: Consolidation & merger of corporations Mergers & acquisitions Post-acquisition or post acquisition Organizational performance Success in business or business failure• The study focuses on the post-acquisition process, specifically where process and organizational integration contribute to successful acquisition performance. • This analysis defines acquisition performance by the objectives of the acquisition. This often equates to short-term or long-term financial performance (King et al, 2004) but can also represent other measures (Zollo & Meier, 2008). • Does post-acquisition integration of process and human resource elements lead to successful acquisition performance? • Does partial achievement of process integration occur prior to and assist in the completion of organizational integration? • Does successful organizational integration enable completion of process integration and achievement of planned synergies?• It is critical that the acquisition success rate of ~50% improve from an average proposition to an activity expected to succeed in achieving the performance objectives. • Research must assist industry in providing answers for increasing the expectation that this process moves from one of chance to one defined more often as a “sure thing”. • The expectation is that both corporate management and the employees within the companies affected by M&A benefit from improved acquisition success.Birkinshaw, J., Bresman, H., & Håkanson, L. (2000). Buono, A. F., & Bowditch, J. L. (1989). Cartwright, S., & Cooper, C. L. (1990). Cartwright, S., & Cooper, C. L. (1995). King, D. R., Dalton, D. R., Daily, C. M., & Covin, J. G. (2004). Marks, M. L., & Mirvis, P. H. (1992). Schraeder, M., & Self, D. R. (2003). Schweiger, D. M., & Denisi, A. S. (1991). Stahl, G. K., & Voigt, A. (2008). Zollo, M. & Meier, D. (2008). Literature ThemeDerived PropositionPre-acquisition variablesP1: Pre-acquisition variables influence post-acquisition integration because they determine what dynamics to consider and plan into a successful process.Post-Acquisition IntegrationP2a: The post-acquisition integration process creates the highest threat to as well as the greatest opportunity for acquisition success due to its ability to moderate a successful outcome irrespective of pre-acquisition factors.Leadership in IntegrationP3: Leaders who convey a clear a compelling vision are able to focus employees on the transition plan.Leadership, Communication, and CultureP4a: Leadership coupled with a strong communication plan work together to influence the creation of and the employee identification with a new organizational culture.Employee-Level DynamicsP5: Employees who identify with the post-acquisition organization have higher levels of employee satisfaction and engagement in the integration process.Organizational CultureP6a: Entry of post-acquisition members and development of a combined culture creates alignment of beliefs and values in the new organization.Transition ManagementP7: Initial process integration occurs to meet immediate business needs while complete process integration is dependent on the speed at which cultural integration of the combined company occurs.Organizational IntegrationP8: Positive employee-level dynamics and a combined culture allow for the completion of the organizational integration.Acquisition SynergiesP9: Successful completion of integration processes leads to realization of expected acquisition synergies.Conceptual Model In mergers and acquisitions, process and organizational integration moderate the pace of the other and are, in combination, antecedents of successful post-acquisition performance.• Use search criteria to include and exclude studies (see next slide) • Review included study titles and abstracts for applicability • Appraise remaining studies for quality in the context of the research question using assessment criteria tool • Include studies with a minimum score of 80% • Synthesize information • Report findingsSearch Criteria Primary Theme Excluded Theme Secondary Theme CMOC = [consolidation & merger of corporations] OR [mergers and acquisitions] OR [post acquisition] OR [postacquisition] OR [post-acquisition] CBA = [cross border acquisition] CMOC = [consolidation & merger of corporations] OR [mergers and acquisitions] OR [post acquisition] OR [postacquisition] OR [post-acquisition] CBA = [cross border acquisition] OP = [organizational performance] OR [organizational effectiveness] OR [success in business] OR [business failure] CMOC = [consolidation & merger of corporations] OR [mergers and acquisitions] OR [post acquisition] OR [postacquisition] OR [post-acquisition] CBA = [cross border acquisition] OK = "acculturation" OR "cultural" OR "culture" OR "integration" OR "organizational change" OR "process" OR "psychological" OR "social" CMOC = [consolidation & merger of corporations] OR [mergers and acquisitions] OR [post acquisition] OR [postacquisition] OR [post-acquisition] CBA = [cross border acquisition] CS = [case study] OR [case studies]• Few studies that research more than one perspective (e.g., human resources v. process perspective) • Post-merger management is key to successful performance outcome. • Organizations underestimate the impact of organizational integration on process integration and the resulting achievement of synergies.• M&A becomes more than a speculative proposition to a “sure thing” •Corporate management and the employees within the companies affected by M&A benefit from improved acquisition success. •Organizational integration, as is the case with process integration, a standard part of the post-acquisition process.Future Trends & Research Agendas • Post-acquisition plans that include both process and organizational integration elements. • Case study research of the post-acquisition integration process and resulting performance to provide practice evidence of findings

AN EXAMINATION OF THE CONSTRUCT VALIDITY OF EGO INTEGRITY IN LATE ADULTHOOD

This study was a preliminary investigation into the construct validity of Erikson\u27s ego integrity in late adulthood. Empirical definition of ego integrity was approached through correlational assessment of convergent and discriminant validity and through estimation of the developmental progression of the salience of Integrity dimensions in middle and late adulthood. Developmental change was investigated through assessment of self-perceived change in levels of hypothesized Integrity dimensions compared to self-perceived levels of hypothesized Nonintegrity (nonchange-oriented) dimensions among middle-aged and old-aged participants. Regarding correlational data, all predictions of convergent and discriminant validity were supported in general by data from the total sample and various sample subsets. Concerning predictions of convergent validity, the hypothesized Integrity variables of Acceptance, Meaning, and Death Anxiety tended to interrelate significantly as hypothesized. Concerning discriminant relationships, again, as predicted, the Integrity variables of Acceptance, Meaning, and Death Anxiety tended to not relate significantly to the hypothesized Nonintegrity dimensions of Order, Abasement, and Social Adroitness. Thus, correlational results of this study contributed in part to the empirical definition and construct validation of ego integrity. In relation to the multivariate analysis of variance procedure used to estimate developmental change, the prediction of self-perceived change in the importance of proposed Integrity dimensions was not supported. Specifically, while there were some sex differences found, the proposed Integrity indices of Acceptance, Meaning, and Death Anxiety were not found to be more salient, i.e., were not manifested in a more positive direction for the target age or temporal focus of old age than for the target age or temporal focus of middle age. No self-perceived developmental change was predicted in the salience of the proposed Nonintegrity dimensions of Order, Abasement, and none was found. Overall, the data on estimating convergent and discriminant validity and self-perceived change of hypothesized Integrity variables offered only partial support for the validity of the ego integrity construct in late adulthood, as operationalized in this study. Future research was suggested to focus on overcoming possible methodological and conceptual limitations of the area

A Comparison of Community and Clinic Baby Showers to Promote Safe Sleep for Populations at High Risk for Infant Mortality

Community baby showers have provided education and free portable cribs to promote safe sleep for high-risk infants. We evaluated knowledge gained at these showers and the effectiveness of holding baby showers at a primary care clinic as an alternative to traditional community venues. Participants at the community venue were more likely to exhibit risk factors associated with unsafe sleep and to report an unsafe sleep location for their infant without the provided portable crib. Following the showers, both groups showed improvement in knowledge and intentions regarding safe sleep. However, to connect with the highest risk groups, showers held at community venues appeared to be preferable to those held at high-risk clinics