Rest evaluation within emergency nurses department

Neuroticism, agreeableness, and openness to experience were not significantly related to sleep.
The study's results highlight the importance of personality in sleep research, with implications for sleep health promotion efforts.
The study's results highlight the importance of personality in sleep research, with implications for sleep health promotion efforts.
Bed sharing is common practice across the global population. However, the vast majority of research on bed sharing has focused solely on mother-infant bed sharing.
Here, we provide a holistic review of research on bed sharing. Articles investigating the relationship between bed sharing and sleep were identified in 4 dyad categories (1) parent and child, (2) couples, (3) siblings, and (4) pet owners and pets. Of interest was whether sleep-promoting factors such as psychological comfort were generalizable across bed-sharing dyads; alternatively, sleep-demoting factors such as movement or heat may be commonalities.
We found that, across dyad types, in general, subjective reports of sleep quality were better when bed sharing despite generally worse objective measures of sleep.
Understanding bed sharing is important to treating sleep disturbances, given the prevalence of shared beds. This scoping review points to critical gaps in our understanding of bed sharing that motivate future research.
Understanding bed sharing is important to treating sleep disturbances, given the prevalence of shared beds. This scoping review points to critical gaps in our understanding of bed sharing that motivate future research.Sleep-wake regulation is established during early childhood and contributes to life-long health. The family context is critical to the development of child sleep-wake regulation. The primary aim of this systematic review was to elucidate family-level constructs (outside of bedtime parenting) that contribute to early childhood (age 0-5 years) sleep health. We identified empirical research articles that investigate these relationships through systematically searching PubMed, Web of Science, and PsycINFO databases. The transactional model of sleep-wake regulation guided the selection of family-level search terms, including socioeconomic status (SES), family structure, household chaos, marital, co-parenting, and social relationships. Sleep search terms included sleep problems, duration, timing, and variability. We searched sleep and family terms in combination with infant, toddler, or preschool developmental age. Sixteen studies satisfied criteria for inclusion. Results indicated that the presence of household chaos and poor quality marital relationships were directly associated with early childhood sleep problems and variable sleep timing. Higher marital satisfaction and the presence of household routines were positively associated with sleep duration. Several, but not all, studies showed an association between lower SES and poor child sleep health. There were no significant direct associations for family structure and limited findings for the role of perceived social support and co-parenting relationship quality. Overall, operationalization and measurement of family and sleep constructs varied across studies, decreasing our ability to make comparisons and draw robust conclusions. Future research should identify modifiable family-level factors that can be targeted, in addition to bedtime parenting, to improve sleep-wake regulation development.
Surveillance systems make it possible to analyze the trends of infections associated with hip arthroplasty. The aim of this study is to determine risk factors associated with surgical site infection (SSI) and mortality following total hip arthroplasty (THA) or hemiarthroplasty (HHA).
Observational study including individuals ≥18years who underwent THA or HHA between January 2007 and December 2017. Incidences of SSI were compared with the national rates according to NNIS indexes. Risk factors for SSI and mortality were evaluated using multiple logistic regression model.
In THA, an association with a higher risk of SSI was found with Hospital Stay (OR 1.08; 95%CI 1.02-1.15; P=.007). In HHA, hospital stay was associated with a higher risk of SSI (OR 1.05; 95%CI 1.02-1.08, P=.001), as also happened with obesity (OR 13.28; 95%CI 2.68-65.74; P=.002), while inadequate antibiotic prophylaxis was associated with a higher risk of mortality (OR 4,69; 95%CI 1.01-21.74; P=.048) CONCLUSION In THA, hospital stay was associated with an increased risk of SSI. In HHA this association is found with hospital stay and obesity, while inadequate antibiotic therapy was associated with mortality.
In THA, an association with a higher risk of SSI was found with Hospital Stay (OR 1.08; 95%CI 1.02-1.15; P=.007). In HHA, hospital stay was associated with a higher risk of SSI (OR 1.05; 95%CI 1.02-1.08, P=.001), as also happened with obesity (OR 13.28; 95%CI 2.68-65.74; P=.002), while inadequate antibiotic prophylaxis was associated with a higher risk of mortality (OR 4,69; 95%CI 1.01-21.74; P=.048) CONCLUSION In THA, hospital stay was associated with an increased risk of SSI. Selleckchem BGB 15025 In HHA this association is found with hospital stay and obesity, while inadequate antibiotic therapy was associated with mortality.
Immediate autologous tissue breast reconstruction after skin- and nipple-sparing mastectomy, is becoming increasingly popular, while the benefits are evident, the concern is in leaving breast tissue under the skin envelope, which could potentially lead to a higher chance of recurrence. We aim to determine the incidence and study the management of loco-regional recurrence (LR) of breast cancer following immediate autologous free flap reconstruction (AFFR) from a 10-year database at a single tertiary breast unit.
This is a retrospective analysis of a prospectively maintained database of consecutive patients who underwent AFFR between July 2008 and December 2018. All patients undergoing delayed reconstruction and risk-reducing surgery were excluded, leaving a total of 216 patients. Statistical analysis was performed to determine significance in the prediction of LR. Management and outcome of the LR was also studied.
LR was found in 7/216 cases (3.25%). The median age at surgery for patients with LR, was 45 (range 31-54).