Zamoralamb9201
This study aimed to investigate the effects of a violence-prevention education program using empathy (VPEP-E) on elementary school students. This quasi-experimental design examined fifth-grade students' (a) empathy level, (b) perception of violence, and (c) permissive and negligent attitudes toward violence, using a pre- and post-test design. A total of 101 students participated the experimental group (n = 48) received eight sessions of VPEP-E, whereas the control group (n = 53) received violence prevention education through classroom lectures. Significant differences were observed between the groups' empathy level (t = 6.81, p less then .001), perception of violence (t = 2.79, p = .006), and permissive and negligent attitudes toward violence (t = -2.21, p = .030; t = -2.02, p = .046). Thus, a school-based VPEP-E may help elementary school students. Long-term studies evaluating behavioral changes from VPEP-E implementation are needed for establishing the effects on violent behavior.Water-soluble conjugated polymers (WS-CPs) have found widespread use in bioapplications ranging from in vitro optical sensing to in vivo phototherapy. Modification of WS-CPs with specific molecular functional units is necessary to enable them to interact with biological targets. These targets include proteins, nucleic acids, antibodies, cells, and intracellular components. WS-CPs have been modified with covalently linked sugars, peptides, nucleic acids, biotin, proteins, and other biorecognition elements. The objective of this article is to comprehensively review the various synthetic chemistries that have been used to covalently link biofunctional groups onto WS-CP platforms. These chemistries include amidation, nucleophilic substitution, Click reactions, and conjugate addition. Different types of WS-CP backbones have been used as platforms including poly(fluorene), poly(phenylene ethynylene), polythiophene, poly(phenylenevinylene), and others. Example applications of biofunctionalized WS-CPs are also reviewed. These include examples of protein sensing, flow cytometry labeling, and cancer therapy. The major challenges and future development of functionalized conjugated polymers are also discussed.
This study examined the natural history of antipsychotic medication treatment for men with a psychotic disorder who entered the North Carolina prison system in 2016-2017.
The authors used prison records to identify individuals with a psychotic illness who were prescribed an index antipsychotic medication on prison entry (N=245). Data were analyzed to determine persistence of antipsychotic therapy and potential associations with treatment discontinuation.
About 28% of the patients had stopped their antipsychotic medication by day 50; the median time until stopping was 248 days (95% confidence interval=147-355). Younger patients and those not continuing a preincarceration medication regimen discontinued treatment sooner than their respective counterparts.
The early weeks of incarceration are a period of increased risk for antipsychotic discontinuation, particularly among younger individuals and those prescribed a new medication. These findings may help guide prison systems in implementing interventions that reduce antipsychotic treatment interruptions.
The early weeks of incarceration are a period of increased risk for antipsychotic discontinuation, particularly among younger individuals and those prescribed a new medication. These findings may help guide prison systems in implementing interventions that reduce antipsychotic treatment interruptions.
This study aimed to update findings on the continuum of care for hepatitis C virus (HCV) infection with follow-up data for individuals with serious mental illness and to identify predictors of decisions to decline vaccination.
The screening, testing, immunization, risk reduction, and referral (STIRR) intervention has been shown to increase testing and immunization rates. Prevalence of HCV diagnoses, HCV continuum of care, and hepatitis A (HAV) and B (HBV) vaccination were evaluated with laboratory results and chart review.
The prevalence of HCV was 15% (N=40 of 270 African Americans receiving the STIRR intervention). Of the 40 individuals identified as having HCV, 75% (N=30) accepted referral to treatment, of whom 47% (N=14) achieved sustained virologic response. Nearly 68% (N=155) of those eligible received at least partial HAV/HBV vaccination.
The STIRR intervention facilitated access to treatment for HCV and high acceptance of hepatitis vaccination. Avoidance proved to be a significant factor in decisions to decline vaccination.
The STIRR intervention facilitated access to treatment for HCV and high acceptance of hepatitis vaccination. Avoidance proved to be a significant factor in decisions to decline vaccination.This column describes the implementation of a multidisciplinary, team-based model of care within an outpatient psychiatry practice at a large urban academic medical center. The authors outline the process by which the innovative team-based care model was selected, funded, and implemented to address long patient wait times, lack of clinical supports, and dissatisfaction of clinical providers. This column also describes the organizational norms that had to be adjusted or sustained to achieve the intended outcomes of reduced intake wait times and financial sustainability, while ensuring that patients continued to receive high-quality care.Patients' perception of care is complex and is often assessed with patient-reported outcome measures (PROMs). The authors report that a PROM developed with service users' input captured patients' perceptions of mental health care better than a conventional measure developed without such input.COVID-19 is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus affecting the world population. Early detection has become one of the most successful strategies to alleviate the epidemic and pandemic of this contagious coronavirus. Surveillance testing programs have been initiated in many countries worldwide to prevent the outbreak of COVID-19. In this study, we demonstrated that our previously established clustered regularly interspaced short palindromic repeats (CRISPR)-Cas12a-based assay could detect variants of concern during 2021 in Thailand, including Alpha, Beta, and Delta strains as well as Omicron strain in early 2022. In combination with the newly designed saliva collection funnel, we established a safe, simple, economical, and efficient self-collection protocol for the COVID-19 screening process. We successfully utilized the assay in an active case finding with a total number of 578 asymptomatic participants to detect the SARS-CoV-2 in saliva samples. We finally demonstrated that the validation and evaluation in a large-scale setting could provide valuable information and elaborate the practicality of the test in real-world settings. Our optimized protocol yielded effective results with high sensitivity, specificity, and diagnostic accuracy (96.86%). In addition, this study demonstrates COVID-19 active case findings in low-resource settings, which would be feasible and attractive for surveillance and outbreak prevention in the future.The reaction of alkali metal acetates, M(OAc)·nH2O (M = Li, Na, K), with thermally and hydrolytically unstable di-tert-butylphosphate ((tBuO)2PO2H, dtbp-H) in a 11 molar ratio in MeOH at room temperature leads to clean formation of group 1 metal phosphates [Li(μ-dtbp)]n (1), [Na(μ-dtbp)]n (2), and [K4(μ-dtbp)4(μ-H2O)3]n (3). All three compounds are essentially M/L 11 complexes. Owing to the presence of larger potassium ions, additional coordinated water molecules are found in 3, which has been further employed as a precursor for the synthesis of a mixed-metal phosphate polymer [CaK(μ-H2O)3(μ-dtbp)3]n (4) by reacting 3 with Ca(OAc)2. Compounds 1-4 have been characterized by various analytical and spectroscopic techniques. Molecular structures of 1-4 have been established in the solid state by single-crystal X-ray diffraction studies, which reveal them to be one-dimensional polymers, where the adjacent metal centers are connected through -O-P-O- bridges formed by the dtbp ligand. These complexes are rare examples of analytically pure alkali metal alkyl phosphates bearing no additional N-donor ligands (other than dtbp ligands, only water molecules are coordinated to the metal centers). Therefore, these compounds can be employed as single-source precursors (SSPs) for nano-sized ceramic phosphates. The thermogravimetric analysis of 1-4 reveals the loss of thermally labile tert-butyl substituents of the organophosphate ligands to form organic-free phosphate materials in the temperature range 300-500 °C. find more Solvothermal decomposition of 1-3 in boiling toluene leads to the formation of corresponding dihydrogen phosphates M(H2PO4) (M = Li, Na, and K). The thermal decomposition of heterometallic 4 in the temperature range 400-800 °C leads to the formation of phase-pure mixed-metal calcium potassium metaphosphate CaK(PO3)3.
We investigated the potential benefits of automated insulin delivery (AID) among individuals with type 1 diabetes (T1D) in sub-populations of baseline device use determined by continuous glucose monitor (CGM) use status and insulin delivery via multiple daily injections (MDI) or insulin pump.
In a six-month randomized, multicenter trial, 168 individuals were assigned to closed-loop control (CLC, Control-IQ, Tandem Diabetes Care), or sensor-augmented pump (SAP) therapy. The trial included a two- to eight-week run-in phase to train participants on study devices. The participants were stratified into four subgroups insulin pump and CGM (pump+CGM), pump-only, MDI and CGM (MDI+CGM), and MDI users without CGM (MDI-only) users. We compared glycemic outcomes among four subgroups.
At baseline, 61% were pump+CGM users, 18% pump-only users, 10% MDI+CGM users, and 11% MDI-only users. Mean time in range 70-180 mg/dL (TIR) improved from baseline in the four subgroups using CLC pump+CGM, 62% to 73%; pump-only, 61% to 70%; MDI+CGM, 54% to 68%; and MDI-only, 61% to 69%. The reduction in time below 70 mg/dL from baseline was comparable among the four subgroups. No interaction effect was detected with baseline device use for TIR (
= .67) or time below (
= .77). On the System Usability Questionnaire, scores were high at 26 weeks for all subgroups pump+CGM 87.2 ± 12.1, pump-only 89.4 ± 8.2, MDI+CGM 87.2 ± 9.3, MDI 78.1 ± 15.
There was a consistent benefit in patients with T1D when using CLC, regardless of baseline insulin delivery modality or CGM use. These data suggest that this CLC system can be considered across a wide range of patients.
There was a consistent benefit in patients with T1D when using CLC, regardless of baseline insulin delivery modality or CGM use. These data suggest that this CLC system can be considered across a wide range of patients.This paper explores the recent phenomenon of adolescents presenting en masse (both online and in clinical settings) with symptoms seemingly acquired from viewing illness-related content posted by social media influencers. The most frequently reproduced illnesses have included Dissociative Identity Disorder (DID) and Tourette Syndrome. It discusses evidence that the recent spate of new-onset, severe tics are a form of Mass Psychogenic Illness facilitated by social media networks (a phenomenon labeled Mass Social Media Induced Illness). It then suggests that many of those self-diagnosed with DID may be manifesting a similar, technologically-facilitated conversion phenomenon. It then explores another explanatory model that these simulacra of DID and Tourette Syndrome may also arise via a mechanism more closely resembling social media facilitated Factitious Disorder. Similar presentations, of individuals falsifying cancer, have previously been labeled Munchausen's by Internet. It then proposes an overarching construct, Social Media Associated Abnormal Illness Behavior (SMAAIB), that is agnostic regarding phenomenology.