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We examined the impact of COVID-19 on bullying prevalence rates in a sample of 6578 Canadian students in Grades 4 to 12. To account for school changes associated with the pandemic, students were randomized at the school level into two conditions (1) the pre-COVID-19 condition, assessing bullying prevalence rates retrospectively before the pandemic, and (2) the current condition, assessing rates during the pandemic. Results indicated that students reported far higher rates of bullying involvement before the pandemic than during the pandemic across all forms of bullying (general, physical, verbal, and social), except for cyber bullying, where differences in rates were less pronounced. Despite anti-Asian rhetoric during the pandemic, no difference was found between East Asian Canadian and White students on bullying victimization. Finally, our validity checks largely confirmed previous published patterns in both conditions (1) girls were more likely to report being bullied than boys, (2) boys were more likely to report bullying others than girls, (3) elementary school students reported higher bullying involvement than secondary school students, and (4) gender diverse and LGTBQ + students reported being bullied at higher rates than students who identified as gender binary or heterosexual. These results highlight that the pandemic may have mitigated bullying rates, prompting the need to consider retaining some of the educational reforms used to reduce the spread of the virus that could foster caring interpersonal relationships at school such as reduced class sizes, increased supervision, and blended learning.

Cardiac implantable electronic device (CIED) therapy contributes to an improvement in morbidity and mortality across all patient demographics. Patient age is a recognized risk factor for unfavorable outcomes in invasive procedures. This is the largest series of non-laser transvenous lead extraction (TLE) evaluating the association between patient age and procedure outcomes.

Data of 2205 (3849 leads) patients was collected retrospectively from six European TLE centers between January 2005-December 2018 in the PROMET study. Of these, 153 patients with 319 leads were excluded for incomplete data. A comparison of outcomes was performed between the age groups young [<50 years], young intermediate [50-69 years], older intermediate [70-79 years], and octogenarian [≥80 years].

Infection was most common indication for TLE in the octogenarian cohort, less common in the younger population (60.1%vs. 33.2%, respectively, p<.01). High-voltage leads were extracted most frequently from young patients, less frequently from octogenarians (31.6%vs. 10%, p<.001), while the opposite was evident for pacemaker leads (p<.001). Rotational sheath use was equally prevalent across all patient groups (p=.79). Minor and major complications across all the age groups were statistically similar, as was procedural success; the 30-day mortality was most significant in the octogenarian and least in the young patients (4.9%vs. 0.4%, p=.005). Propensity matching multivariate analysis found systemic infection, lead dwell time, and patient age (p=.013, OR 1.064 [1.013-1.116]) increased risk of 30-day mortality.

TLE is safe and effective across all age groups. 30-day mortality risk is significantly higher in the older patients.

TLE is safe and effective across all age groups. 30-day mortality risk is significantly higher in the older patients.In this study we examined how people perceive social-sexual behavior of women and men, and how these perceptions were associated with beliefs about the outcomes of the #MeToo movement, sexism, traditional values, and gender equality. In addition, we examined the effect of having experienced sexual harassment on such perceptions. Analyses were performed on a Norwegian snowball social media sample covering 321 women and 168 men, aged 18-59 (M = 33.1). Outcome variables covered perceptions of scenarios that described opposite-sex social-sexual behaviors performed by female and male actors within the workplace environment. Path analysis showed that negative beliefs about the outcomes of the #MeToo movement was the principal predictor for perception of female and male social-sexual behavior as sexual harassment for women and men participants. Traditional values, gender equality, and hostile sexism toward women were all associated with perception of social-sexual behavior as sexual harassment, however the effects of these variables were only indirect and fully accounted for by the effect of negative #MeToo beliefs. For women, having experienced sexual harassment was associated with hostile sexism toward men, but had no effect on the perceptions over and above the effect of the other variables in the model. The predictors on participants' perceptions were highly similar for women and men and for evaluations of female and male actors. Theoretical and methodological implications are discussed.

We aim to evaluate the effectiveness of the Integrated Palliative Care Outcome Scale for people with dementia-based case studies to improve the caring quality for people with dementia in nursing homes by frontline staff and family members.

Swiss nursing homes mostly care for people with dementia. This population is at high risk of receiving little to no palliation for their complex needs. selleckchem The majority of Swiss frontline healthcare staff do not systematically report on the needs of their residents. Additionally, family members do not routinely participate in assessment processes.

We will conduct a stepped-wedge cluster randomized trial of repeated assessment using the Integrated Palliative Care Outcome Scale for people with dementia (IPOS-Dem) and subsequent case studies. Clusters will consist of Swiss nursing homes randomly assigned to one of three sequential intervention time points.

The study population will consist of people with dementia living in nursing homes with and without specialized dementiperson-centred care for people with dementia. Collaboration between healthcare staff and family members will be systematically developed and built upon thorough assessment using the IPOS-Dem and related case studies. The use of IPOS-Dem will offer all frontline staff a systematic approach to have an independent voice within the nursing process, regardless of their qualification or grade.

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