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AIM To examine the previously untested relationship between the level of compassion fatigue (CF) in critical care nurses and the rates of three nurse-sensitive indicators in four critical care units in hospitals in Saudi Arabia. [https://www.selleckchem.com/products/nct-503.html NCT-503] BACKGROUND CF can manifest in nurses who provide direct, intimate care to patients with different levels of illness including nurses working in specialty areas such as critical care where they care for patients experiencing challenging illnesses. Pressure injuries, patient falls, and medication errors are key nurse-sensitive indicators that identify critical care nurses as the primary causal agent. These indicators also correlate with burnout and poor multidisciplinary team communication, both factors that govern CF. METHODS A multisite survey was conducted to collate and examine the number of reported pressure injuries, falls, and medication errors over 3&nbsp;months&nbsp;at four hospitals in two Saudi Arabian cities during 2018 to determine the relationship between the occurrence of these nurnsitive indicators. The results for rates of pressure injuries did vary among the hospitals, with the worst performing hospital reporting pressure injury rates of one in every 40 patients&nbsp;and the better performing hospital reporting no cases of pressure injuries after treating more than 100 patients. Patient falls and medication errors were rare occurrences and did not vary between hospitals. SIGNIFICANCE This study indicates that there is a possible issue contributing to the differential level of care between hospitals. The mode and length of time nurses spend on handover may also reflect communication issues that increase both the rate of nurse-sensitive indicators and the level of CF reported by nurses. Therefore, the implications of this study, in terms of improving nursing practice, occurs in handover to ensure that information on aspects of nonpatient critical care are fully covered, such as time of patient turning to avoid pressure injuries. Diabetes mellitus is a metabolic disorder of multiple etiology, characterized by chronic hyperglycaemia with disturbance of carbohydrate, fat, and protein metabolism resulting from defect in insulin secretion, insulin action or both. Improper lifestyle contributes to the increasing number of people affected with Type 2 diabetes mellitus (T2DM). Systematic reviews on the management of T2DM in adults through Yoga reported significant improvements in multiple modifiable indices of diabetes mellitus management including glycemic control, lipid levels, and body composition. Awareness levels of a condition among the population play a critical role in behaviour change. However, studies related to assessing the awareness and practice of Yoga for managing diseases are limited. Hence, this study was formulated with the objective of assessing the awareness level and extent of knowledge about diabetes mellitus and its management through yoga. A cross-sectional survey with a sample size of 317 was conducted using a structured questionnaire at 5 districts in Tamil Nadu and Kerala. 95% of the study population were aware of diabetes mellitus while 61.2% responded that diabetes can be prevented by regular exercise and healthy diet. 62.4% people perceived that yoga practices can prevent diabetes mellitus and 59% mentioned that regular yoga practice can help in controlling diabetes and prevent further complications. Only 13% reported to practice Yoga regularly at least three days a week. Identifying a qualified Yoga trainer was reported to be a limiting factor for regular yoga practice. The study suggested that there is a need to increase the access to qualified Yoga professionals at community level. Further large scale studies with random sampling method to assess the awareness level and practice of Yoga in different settings is indicated. BACKGROUND/PURPOSE Oral submucous fibrosis (OSF) is an oral precancerous disorder associated with the habit of areca nut chewing. MiR-10b has been shown to be upregulated in the oral cancer cells and induced by Twist. Our previous work has revealed that Twist participated in the pathogenesis of OSF and therefore we aimed to investigate whether Twist/miR-10b axis was involved in the activation of myofibroblast in the oral cavity. METHODS The expression levels of miR-10b in OSF tissues and fibrotic buccal mucosal fibroblasts (fBMFs) were examined. Besides, the expression of miR-10b was determined in fBMFs following knockdown of Twist or in BMFs after arecoline stimulation. Myofibroblast activities, including collagen gel contraction, migration and wound healing abilities, as well as the expression of α-SMA were measured in fBMFs treated with miR-10b inhibitor. Last, we investigated whether the effect of Twist overexpression could be reversed by suppression of miR-10b. RESULTS MiR-10b expression was overexpressed in both OSF tissues and fBMFs. The silence of Twist resulted in the downregulation of miR-10b in fBMFs and arecoline treatment led to an increase of miR-10b in a dose-dependent manner. Inhibition of miR-10b ameliorated the activation of myofibroblasts and the expression of α-SMA. Moreover, we demonstrated that suppression of miR-10b hindered the increased collagen gel contraction caused by Twist overexpression. CONCLUSION MiR-10b upregulation in OSF may be due to the stimulation of areca nut, leading to elevated myofibroblast activation. Our findings showed that the areca nut-induced expression of miR-10b was under the regulation of Twist and inhibition of miR-10b may provide a direction for treatment of OSF. V.OBJECTIVES To evaluate the feasibility and acceptability of a behavioral intervention and explore its impact on depression symptom burden among older spousally-bereaved adults. METHODS Participants were age ≥60 years, bereaved ≤8 months, and at high risk for depression. Participants were randomized to 12 weeks of digital monitoring of sleep, meals, and physical activity; digital monitoring plus health coaching; or enhanced usual care and followed for 9 months for new-episode depression. RESULTS We enrolled 57 participants, 85% of eligible adults and 38% of all adults screened. We observed high levels of adherence in both digital monitoring (90%) and health coaching (92%); 88% of participants were retained. In linear mixed-effects models, depression symptoms significantly decreased, but the interaction between time and intervention was not significant. CONCLUSION A behavioral intervention that uses both digital monitoring and motivational health coaching is feasible and acceptable to older bereaved adults.