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Assess healthcare workers’ (HCW) attitudes toward universal masking, and gowns and gloves used as part of transmission-based precautions.
Design:
Cross-sectional survey.
Setting:
Academic, tertiary care medical center in Baltimore, Maryland.
Participants:
HCW who work in patient care areas and have contact with patients.
Methods:
In May 2023, a 15-question web-based survey was distributed by the hospital’s communications team via email. The survey contained questions to assess HCW perceptions of universal masking policies prior to the availability of COVID-19 vaccines and at the time of the survey, and the use of gowns and gloves for transmission-based precautions. Descriptive statistics were used to summarize data. Differences in agreement with universal masking over time, level of agreement with gown and glove policies, and with all PPE types across respondent characteristics were assessed.
Results:
257 eligible respondents completed the survey. Nurses and patient care technicians (43%) and providers (17%) were the most commonly reported roles. Agreement with universal mask use decreased from 84% early in the pandemic to 55% at the time of the survey. 70% and 72% of HCW agreed masks protect themselves and others, respectively. 63% expressed any level of annoyance with mask wearing, the most often due to communication challenges or physical discomfort. 75% agreed with gown use for antibiotic-resistant bacteria compared with 90% for glove use.
Conclusions:
The majority of HCW agree with the use of PPE to prevent pathogen transmission in the healthcare setting. Agreement with universal mask use for patient care shifted during the COVID-19 pandemic.
During the COVID-19 pandemic, mental health problems increased as access to mental health services reduced. Recovery colleges are recovery-focused adult education initiatives delivered by people with professional and lived mental health expertise. Designed to be collaborative and inclusive, they were uniquely positioned to support people experiencing mental health problems during the pandemic. There is limited research exploring the lasting impacts of the pandemic on recovery college operation and delivery to students.
Aims
To ascertain how the COVID-19 pandemic changed recovery college operation in England.
Method
We coproduced a qualitative interview study of recovery college managers across the UK. Academics and co-researchers with lived mental health experience collaborated on conducting interviews and analysing data, using a collaborative thematic framework analysis.
Results
Thirty-one managers participated. Five themes were identified: complex organisational relationships, changed ways of working, navigating the rapid transition to digital delivery, responding to isolation and changes to accessibility. Two key pandemic-related changes to recovery college operation were highlighted: their use as accessible services that relieve pressure on mental health services through hybrid face-to-face and digital course delivery, and the development of digitally delivered courses for individuals with mental health needs.
Conclusions
The pandemic either led to or accelerated developments in recovery college operation, leading to a positioning of recovery colleges as a preventative service with wider accessibility to people with mental health problems, people under the care of forensic mental health services and mental healthcare staff. These benefits are strengthened by relationships with partner organisations and autonomy from statutory healthcare infrastructures.
This paper proposes a novel origami-inspired adult diaper design that improves discretion by reducing sag and increasing wicking across the entire diaper pad. While other diapers rely on supporting elastics to reduce the sag of the diaper as a whole, this paper proposes an absorbent core that uses liquid activated shaping to take a specified shape. Origami-based folds are also incorporated into the diaper design to increase wicking performance. The paper introduces a disposable compliant mechanism waistband used to deploy the diaper, making it easier to put onto one’s body.
This chapter addresses the basic problem of improving emergency department flow and reducing trauma and dissatisfaction for consumers and staff alike. The Six Sigma system of improvement utilizes experts in the quality improvement process. The process begins with executive management commitment to the process and establishment of the organization's goals. The follow-up telephone interview assessed patient satisfaction with emergency department (ED) care, self-reported problems with the process of care, and discharge instructions. After reviewing the data on results and satisfaction, each hospital was allowed to organize its own quality improvement project. A number of efforts have been mounted to change ED systems of care. The atmosphere and culture in many EDs can actually, and inadvertently, encourage destabilization in people who appear with behavioral health problems. The Institute for Behavioral Healthcare Improvement (IBHI) is a not-for-profit organization dedicated to improving the quality and outcome of behavioral health care.
The material culture of Mayapan (ca. A.D. 1250–1400), the last great capital city of the northern Maya lowlands, has often been described as “decadent.” Such descriptions, however, are highly subjective. In this chapter, we consider poverty and wealth at Mayapan from a perspective based in modern economics. We find that, as in modern societies, wealth (as measured by house size) at Mayapan fits a Pareto distribution. Nevertheless, compared to two Classic-period sites in Mexico—Palenque and Sayil—the distribution of wealth was more equal at Mayapan, suggesting that economic inequality was less extreme at the Postclassic city. One cause for the decadent material culture of Mayapan, therefore, was that the city was impoverished when compared to its Classic predecessors.
In this essay we analyze the magnitude and distribution of wealth at Mayapan and explore the implications of our findings for the general interpretation of the economy, society, and culture of that city. Mayapan, Yucatan, Mexico, is the largest and most important Maya archaeological site dating to the Late Postclassic period, and therefore inspires a lot of curiosity among archaeologists. Their interest is piqued because, founded by the legendary Kukulcan, Mayapan was the political capital of the largest and most powerful Maya state of its period. Because of its size and power, Mayapan also served as the social and cultural capital of the northern lowlands at the same time. Because it was a late prehistoric site, Mayapan was discussed in many historical chronicles from the early colonial period, and so we possess unusually detailed information about it.
By
Kevin J. Lourie, Ph.D., L.M.H.C., Director of Youth and Family Services, East Greenwich, RI, USA,
Maryland Pao, M.D., Deputy Clinical Director, Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA,
Larry K. Brown, M.D., Professor, Bradley/Hasbro Research Center, Department of Psychiatry, RI Hospital and Brown University, Providence, RI,
Heather Hunter, B.A., Department of Psychology, University of Kansas, Lawrence, KS, USA
Human immunodeficiency virus (HIV) transmission now occurs at a higher rate among women and youth than other groups. Worldwide, about 2.7 million children under age 15 and more than 10 million aged 15–24 are afflicted, and half of all new infections occur among young people (UNAIDS, 2001). In the USA, for example, there are at least three HIV-seropositive youths for every known case of adolescent AIDS, and the number of reported pediatric HIV cases more than doubled from 2000 to 2001 (Centers for Disease Control and Prevention, 2001).
More than 90% of pediatric infections occur through vertical (mother-to-child) transmission. Most adolescents (ages 13–24) who become infected acquire HIV through sexual transmission, followed by injection drug use (Centers for Disease Control and Prevention, 2001).
Despite improvements in antiretroviral therapies, child mortality due to AIDS remains significant. As of 2000, more than 4.3 million children under 15 had died of AIDS, and more than 13 million had lost their mothers or both parents to AIDS (UNAIDS, 2000). Fortunately, recent developments in antiretroviral therapy have helped decrease the incidence of vertical transmission, and reduce the treatment burden on those infected, more than doubling their life expectancy. More children with HIV are living past 10–15 years of age. Even without medical treatment, many HIV-infected children may remain asymptomatic for as long as a decade.
Worldwide, more than one million children are infected with human immunodeficiency virus (HIV) and in the United States it has become the sixth leading cause of death among 15–24-year-olds. Despite the trend of increasing rates of infection, advances in therapies have led to survival past 5 years of age for more than 65% of infected children. This global health threat will therefore continue to have a significant impact on child and adolescent psychiatry and psychology. This paper reviews current studies and reports on the consequences of the acquired immunodeficiency syndrome (AIDS) epidemic in the psychiatric care and development of children and adolescents infected by HIV. From a search of all the English-language-based literature on pediatric AIDS, 140 studies are reviewed which address HIV infection and its psychological and social implications. Several topics of mental health significance are examined: (1) the epidemiology of HIV, (2) neurocognitive development among those infected, (3) psychological impact of infection, and (4) the family and social context of HIV. The transition of HIV from an acute, lethal disease to a subacute, chronic disease has enormous implications for the neurocognitive and psychosocial development of children and families. As children and adolescents infected with HIV continue to live longer, normal developmental milestones and educational needs will take on new significance. Many children will continue to be adversely impacted by non-HIV factors such as poverty, inadequate medical services, and a lack of social support. This review outlines recent developments that hold promise to effectively reduce the treatment burden on the infected, their families, and health care providers and to decrease the incidence of transmission to the uninfected.
Carboxylate-alumoxanes are organic substituted alumina nano-particles synthesized from boehmite in aqueous solution which are an inexpensive and environmentally benign precursor for the fabrication of nano-, meso-, and macro-scale aluminum based ceramics. The use of carboxylate-alumoxanes as a novel high surface area alumina support for heterogeneous catalysis will be discussed. The ability to perform further chemistry on the organic ligands of the carboxylate-alumoxanes allows for attachment of catalysts. During calcination, the organic ligands are burned out, leaving behind the catalyst in a well-dispersed manner. To demonstrate this concept, the metathesis of C16 olefins using a molybdenum oxide catalyst supported on alumina will be discussed using the carboxylate-alumoxane method.
A three-dimensional model of the [O III] λ5007 line-emitting gas in the Crab Nebula has been developed from imaging spectroscopy taken with the Goddard Fabry-Perot Imager mounted on the McGraw-Hill 1.3m telescope of Michigan-Dartmouth-MIT Observatory. Several interesting morphological features revealed in three-dimensional isophotal displays are discussed.
The Goddard Fabry-Perot Imager (GFPI) is an optical scanning interferometer and CCD imaging system developed at the Goddard Space Flight Center’s Laboratory for Astronomy and Solar Physics for use at various astronomical observatories. Besides being transportable, its most notable characteristic is the relatively low spectral resolution (3 – 30Å bandpass). The instrument may be used in scanning mode for objects with a large range of velocities but is most often employed to match the observed wavelength of a Doppler shifted emission feature for objects with any velocity.
Objective -To examine the safety and efficacy of alprazolam as an outpatient detoxification agent. Mehtod - Two-year, prospective, uncontrolled study of detoxification from alcohol employing alprazolam in a North Wicklow day centre. The HAD scale was used to measure emotional change. Results -Detoxification was completed in 26 cases. Adverse effects were mild or absent. Significant changes were recorded in both HAD scale scores. Client and staff satisfaction ratings were both high. Conclusions - Alprazolam is a safe and effective detoxification agent in outpatients. The HAD scale provided an objective measure of changes in anxiety and depression in this group of alcoholics. The treated population were older and more often employed than were alcoholics treated in the parent psychiatric hospital.