Syncope along with Cardiac Tamponade Multimodality Imaging associated with Major Cardiovascular Lymphoma
An ecological framework is useful for understanding how individual, relationship, community, and societal level factors can affect women's vulnerability to sexual assault. However, most studies have focused on examining individual and relationship factors only, due to measurement challenges and a lack of data at the societal level. The purpose of this study was to use data from a nationally representative victimization survey to identify salient predictors of sexual assaults not committed by common-law or marital partners among women across all levels of the ecological framework. Out of 16,738 female respondents, 1.9% (n = 319) experienced one or more incidents of non-spousal sexual assault in the 12 months preceding the survey. Logistic regression modeling indicated that at the individual level, statistically significant factors associated with non-spousal sexual assault included age, Indigenous status, marital status, mental disability, education, main activity, and homelessness or precarious housing. Relationship level predictors of non-spousal sexual assault were a history of child sexual abuse and witnessing violence between parents. Community level predictors were a weak sense of belonging in the local community, low likelihood that neighbors would contact police if they witnessed family violence in the respondents' home, and high likelihood that neighbors would contact police if they witnessed other criminal behavior. Societal level factors were perceptions that local police do a poor job promptly responding to calls, perceptions that local police do a poor job treating people fairly, and having experienced discrimination in the previous 5 years. The results demonstrated that community and societal level factors are critical components of an ecological framework and are important to understanding and addressing the many factors which are independently associated with vulnerability to sexual assault.
As individuals age, the prevalence of neurocognitive and mental health disorders increases. Current biomedical treatments do not completely address the management of these conditions. Despite new pharmacological therapy the challenges of managing these diseases remain.There is increasing evidence that the Gut Microbiome (GM) and microbial dysbiosis contribute to some of the more prevalent mental health and neurocognitive disorders, such as depression, anxiety, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), schizophrenia, bipolar disorder (BP), and dementia as well as the behavioural and psychological symptoms of dementia (BPSD) through the microbiota-gut-brain axis.
Scoping review about the effect of gut microbiota on neurocognitive and mental health disorders.
This scoping review found there is an evolving evidence of the involvement of the gut microbiota in the pathophysiology of neurocognitive and mental health disorders. click here This manuscript also discusses how the psychotroptheir antimicrobial effect.
The aim of this article is to describe the modification of an instrument to secure cultural validity using cognitive interviewing to adequately examine and address health issues in a diverse population.
Cultural experts (
= 8) on the Lakota reservation were identified to provide input on cultural items of an instrument. Two rounds of cognitive interviewing ensued with each expert. The instrument items (
= 40) were reviewed and revised as indicated.
The results of this project were twofold; a culturally valid instrument was developed, and a process was delineated to ensure cultural validity. Content validity was supported by the 100% consensus among the Lakota cultural experts on every item.
This article describes how cognitive interviewing was applied for instrument modification to obtain cultural validity resulting in a relevant instrument which may useful to researchers when working with diverse populations that have unique needs.
This article describes how cognitive interviewing was applied for instrument modification to obtain cultural validity resulting in a relevant instrument which may useful to researchers when working with diverse populations that have unique needs.A new nonlinear rotor model supported by the rolling bearing is established under the consideration of the bearing with waviness fault, the unbalanced excitation, the nonlinear Hertz contact force, the varying compliance vibration, and, especially, the physical nonlinear stiffness of the shaft material. The expression with cubic nonlinear terms is adopted to characterize the physical nonlinear stiffness of the shaft material, and the sinusoidal wave is applied to describe the shape characteristics of the waviness fault. The dynamic equations of motion for the new model are developed, and the calculation example of the rotor system supported by the bearing JIS6306 is solved by the variable step-size Runge-Kutta methods to study the effect of the waviness, the clearance, the mass eccentricity on the dynamic behavior. The research results show that growth of the amplitude for the waviness changes the energy distribution of the vibration process; the enlargement of bearing clearance will reduce the stability of the system; the increase in the number of the waviness will make the order of the frequency components changed; for the nonlinear stiffness bearing-rotor system with waviness fault, the augment of mass eccentricity will enhance the impact of the nonlinear stiffness on the system.
Migrant care workers are a growing portion of the aged care workforce in high-income countries. This study investigated the impacts of acculturation stress on the well-being of migrant care workers.
A cross-sectional national survey was conducted among migrant care workers (
= 272) across five Australian states and one territory using the Riverside Acculturation Stress Inventory (RASI) and Depression Anxiety Stress Scale (DASS 21).
Acculturation stress was high (
= 38.4;
= 14.1; 38.9% scored ≥40 out of 75), but respondents scored in the normal to mild ranges (85% to 93%) on the DASS 21 scale. Enrolled and registered nurses had the highest acculturation stress levels when compared with other occupational roles. Ethnicity,
(4, 254) = 11.0,
< .001; occupational roles,
(3, 254) = 3.0,
= .03; and self-reported English proficiency,
(1, 254) = 4.17,
= .04, were statistically significant.
Addressing acculturation stress may improve job satisfaction and retention among migrant care workers.