Eight-month Period Research Articles

Influence of street outreach work on the lives of marginalised people

ABSTRACT This study aims to examine whether social street work (SSW), in the first eight months of contact, managed to link clients to services, influenced their self-mastery and stress, considering the working relationship and provided practical support, given clients’ characteristics and SSW metrics. At three-time points, in an eight-month period, questionnaires were filled in (n = 276). Linear mixed model analyses were performed. SSW linked 70% of clients to services. At all three-time points, clients perceived moderate levels of self-mastery and stress. The working relationship was not longitudinally associated with self-mastery or with stress. A small significant positive longitudinal association was found for practical support and stress; a small significant negative longitudinal association was found for practical support and self-mastery. In the first eight months of contact, SSW succeeds in linking most clients to services but does not influence clients’ self-mastery and stress. In this period, workers are able to establish a working relationship with clients and provide practical support, being essential conditions to solve the complex issues in the lives of their clients who frequently avoided the confrontation with their problems for years.

Assessing Atlantic Kelp Forest Restoration Efforts in Southern Europe

Kelp forests are essential marine ecosystems increasingly compromised by human activities. Effective reforestation strategies are urgently needed, and the “green gravel” method is a viable tool already used in some European regions. This study aimed to assess the success of this method using the native Kelp species Laminaria ochroleuca on the Portuguese coastline. Cultures of green gravel were reared until the specimens reached a size of approximately 3 cm. The gravel was then deployed at selected sites in Peniche, Berlengas, and Cascais. Over an eight-month period, scientific scuba divers monitored the integration of Kelp, along with associated fish, invertebrate, and algae communities. Nutrient availability, temperature, water movement, substrate type, and Rugosity Index (RI) were also measured. The highest success rate was 12% in Consolação, with Elefante and Galos (Berlengas) reaching 7% and 4%, respectively. By the end of the monitoring period, Cascais had no remaining Kelp on green gravel. Present data suggest that higher success is dependent on less rugged and higher RI topography. Higher grazing pressure, rougher terrain, and unexpected sedimentation appear to be the main obstacles to deployment success. Solid knowledge (biologic and topographic) on the restoration site, starting restoration actions near already established Kelp forests, and significantly scaling up restoration efforts could substantially improve the success of the green gravel method in future reforestation campaigns.

Secondary students’ beliefs about English L2 speaking fluency

Research findings on beliefs in second language acquisition (SLA) suggest that beliefs can have a great impact on language learners’ approach to learning, the manner in which they complete language learning tasks, and their ability to complete those tasks and achieve their goals (Griffiths &Soruç 2020). This study explores secondary students’ beliefs about English L2 speaking fluency, their own performance on argumentative dialogues, and possible changes in these beliefs over an eight-month period. Speaking fluency is a multifaceted construct and it is a widely used term in both everyday and research contexts (Tavakoli& Wright 2020). These factors might result in the coexistence of multiple conceptualisations of fluency in a given context. This study argues that this coexistence might also entail inconsistent and even contradictory beliefs about speaking fluency and the components that need to be developed to achieve it. Moreover, these beliefs might change over time. The participants were twelve secondary students in an English bilingual programme (16-year-olds: 11 females and 1 male) who audio-recorded their English L2 argumentative dialogues throughout a school year (10-13 discussions over the eight months). They completed reflective journals in Hungarian, in which they answered questions on how they felt during the dialogues, what areas they felt good and bad at, and what and how they wanted to develop in the future. In addition, they completed a qualitative questionnaire at the beginning and end of the research which focused on their conceptualisation of speaking fluency, the factors they considered important, and their language learning habits and background. The findings showed that the participants had diverse and sometimes contradictory beliefs about speaking fluency and the components that are important to develop, and that these beliefs also changed over time for some participants. / Keywords: beliefs about speaking fluency, introspective methods, reflective journals, experience sampling

A-141 Ferritin Test Utilization to Differentiate Microcytic Anemia

Abstract Background Mean corpuscular volume (MCV) of the Red Blood Cells (RBC) is a component test of the commonly ordered Complete Blood Count (CBC) panel and is an important parameter when evaluating a patient diagnosed with anemia. MCV is used to classify anemia as microcytic (low MCV), normocytic (normal MCV), or macrocytic (high MCV). Microcytic anemia occurs most commonly from iron deficiency or from an inherited blood disorder caused when the body does not produce enough hemoglobin (thalassemia trait), often resulting in iron overload. Clinical management for each of these microcytic anemia contributors varies greatly and requires appropriate differentiation. Laboratory testing of serum ferritin level helps to distinguish iron deficiency from thalassemia and is therefore the first laboratory test recommended in the evaluation of microcytosis. However, initial laboratory findings indicate that ferritin tests do not always accompany low MCV results. The objective of this study was to quantify the frequency of ferritin orders proximate to abnormally low MCV results across two hospitals to assess utilization of ferritin testing for differentiating microcytic anemia. Methods A retrospective study was performed on the ordering patterns of MCV and ferritin tests at two different hospitals. Abnormally low MCV values were selected from both adult and pediatric populations during an eight-month period from March through October. All ferritin values from January through December of that same calendar year were selected and joined with the MCV data. Patients with a ferritin test 60 days before or after the MCV test were considered to have a ferritin order associated with the abnormally low MCV. The ratio of the total count of these ferritin orders to the total count of low MCV values was calculated as a percent. Results Results showed that 46% (619/1351) of all abnormal low MCV values at Hospital One (Pediatric) had a ferritin ordered within 60 days. An additional 57 cases had a ferritin ordered beyond 60 days, and 675 lacked ferritin orders during the calendar year. During that same period and using the same criteria, Hospital Two (Adult) had ferritin ordered 43% (2301/5320) of the time. An additional 135 had a ferritin ordered beyond 60 days, and 2884 lacked ferritin orders during the calendar year. Conclusions Establishing test utilization benchmarks can be a useful stewardship tool for clinical laboratories. The data presented here suggested an underutilization of ferritin testing in the presence of abnormally low MCV values across two healthcare organizations. This study lays the groundwork to further assess MCV and ferritin ordering patterns and a standardized means to quantify these observations across diverse healthcare settings to establish a more robust benchmark.

Assessing the awareness and knowledge of the adverse ocular side effects associated with oral contraceptives among women between the ages of 16 and 40 in Benin-city, Edo state, Nigeria

PurposeOral contraceptives are routinely used by women, because they are effective birth control methods, but few women are aware of their adverse ocular side effects. This study was carried out to determine the level of awareness and knowledge of the adverse ocular side effects associated with oral contraceptive use among women in Benin-City, Edo State, Nigeria. MethodThis was a cross-sectional study conducted over an eight-month period from February 2023 to September 2023, including 402 women (n = 402). The study employed both self-administered online and printed questionnaires. ResultsThe mean age of the participants was 27.76 ± 7.03. A total of 196 had tertiary education, 131 had secondary education and 75 had no educational background. Two-hundred thirty-seven participants were users of oral contraceptives, while 165 had never used them. Of the participants that were users of oral contraceptives, 44 had previously experienced visual problems as a side. The study results reveal that 289 participants (71.9%) were not aware of the potential adverse effects of oral contraceptives, while only 82 participants (20.4%) were aware. ConclusionThe results of this study show that there is poor awareness of the side effects of oral contraceptives, more specifically, the adverse effects on the eyes. It is recommended that more public health awareness campaigns be initiated, with the goal of accurately educating women about the ocular pathologic risks associated with oral contraceptives. Furthermore, healthcare workers should effectively communicate the risks associated with oral contraceptives to their patients. This can help women looking for contraception options make informed decisions about using oral contraceptives.

Assessing the VlX's lmpact on SPY Returns in Response to the Federal Reserve's 2022 Rate Hike

This study examines the relationship between the CBOE Volatility Index (VIX) and the returns of the SPDR S&P 500 ETF (SPY) before and after the Federal Reserve's first interest rate hike in 2022. The analysis covers an eight-month period, centered on the date of interest rate changes. The reason to use this period because it is the first hike after the pandemic. A time series approach is used, constructing multi-linear regressions to evaluate the pre-hike and post-hike periods. The pre-hike model did not find any significant predictors, suggesting that market dynamics and the role of VIX were not aligned with SPY returns. However, after the interest rate hike, the VIX rate became significant indicators, reflecting the market's increased sensitivity due to the new interest rate environment. This transformation highlights the crucial role of the VIX as a gauge of market sentiment and risk perception in response to significant monetary policy actions.

A mixed methods, longitudinal study: characterizing the differences in engagement and perceived learning of medical students in online and in-person team-based learning classes

Background The rapid transition from in-person to online delivery of medical curriculum has facilitated the continuation of medical education during the COVID-19 pandemic. Whilst active learning approaches, including Team-Based Learning (TBL), are generally more supportive of the learner’s needs during such transition, it remains elusive how different learning environments affect a learner’s motivation, engagement, and perceived learning over a prolonged period. We leveraged on the Self-Determination Theory (SDT) and key learners’ characteristics to explore the levels of student’s engagement and perceived learning in two TBL learning environments, online and in-person, over an extended period. We hypothesize that students’ self-reported perceptions of engagement and learning will be lower in online compared to in-person TBL classes. Methods This is a mixed methods study with 49 preclinical graduate medical students completing the same questionnaire twice for each learning environment, online TBL and in-person TBL, over an eight-month period. Quantitative data were collected on learners’ characteristics, basic psychological needs satisfaction, motivation, student’s engagement and perceived learning. Additionally, the final questionnaire also explored the participants’ perception on which learning environment better supported their learning. Results We found that autonomy support, perceived competence and needs satisfaction, and perceived learning were higher in-person than online. Additionally, most learners felt that in-person TBL was better for learning, as the concepts of learning space and the community of practice were mediated by being in-person. Conclusions TBL, being an active instructional method, can maintain students’ engagement because it supports many aspects of SDT constructs and perceived learning. However, online TBL is unable to fully support the students’ needs and perceived learning. Hence, we strongly advocate for any in-person opportunities to be included in a course, as in-person classes best support students’ engagement and perceived learning.

Non-Invasive Sensors Integration for NCDs with AIoT Based Telemedicine System.

Thailand's hospitals face overcrowding, particularly with non-communicable disease (NCD) patients, due to a doctor shortage and an aging population. Most literature showed implementation merely on web or mobile application to teleconsult with physicians. Instead, in this work, we developed and implemented a telemedicine health kiosk system embedded with non-invasive biosensors and time-series predictors to improve NCD indicators over an eight-month period. Two cohorts were randomly selected: a control group with usual care and a telemedicine-using group. The telemedicine-using group showed significant improvements in average fasting blood glucose (148 to 130 mg/dL) and systolic blood pressure (152 to 138 mmHg). Data mining with the Apriori algorithm revealed correlations between diseases, occupations, and environmental factors, informing public health policies. Communication between kiosks and servers used LoRa, 5G, and IEEE802.11, which are selected based on the distance and signal availability. The results support telemedicine kiosks as effective for NCD management, significantly improving key NCD indicators, average blood glucose, and blood pressure.

Drought mediates the response of soil fungal communities post-wildfire in a Californian grassland and coastal sage scrubland

There is a knowledge gap surrounding how drought and wildfire, two increasingly frequent disturbances, will alter soil fungal communities. Moreover, studies that directly compare ambient and drought-treated soil fungal communities in the context of wildfire are exceptionally scarce. We assessed the response and recovery of soil fungal communities and functional guilds in two sites – a grassland and a coastal sage shrubland – after a severe wildfire burned a long-term drought experiment. We collected soil samples at four collection dates over an eight-month period after wildfire and amplified fungal DNA. We predicted that fungal communities within the drought and ambient treatments would differ significantly across collection dates owing to differing responses to post-wildfire conditions. Richness was stable across collection dates, regardless of precipitation treatment, in both sites. Differences between treatments were significant at every collection date with respect to taxonomical community composition. Differences in community composition between collection dates within each treatment were also significant. Additionally, the monotonic trends of drought and ambient communities over time differed in strength and direction. Differences in shrubland functional guild composition across collection dates and contrasting trends suggest a drought-dependent shift after the fire. Overall, we conclude that drought mediates how soil fungal communities respond after a wildfire in the long term, however drought effects may differ across ecosystems.

Fostering societal participation of marginalised people in street-outreach services in the Netherlands

Abstract Marginalisation is a multilevel phenomenon in society depriving people from essential rights, resources, and opportunities. Street-outreach services in the Netherlands, like social street work (SSW), support these marginalised people in fostering their participation in society as an answer to their marginalised position in society. We followed 927 clients in SSW over an eight-month period. Clients filled in a questionnaire at three timepoints. We examined whether clients’ perceived belongingness, self-esteem, strengths, and informal support (outcome measures) were associated with the working relationship, over time. Results showed the establishment of a working relationship with clients at all three timepoints. An evolving working relationship was associated with an increase in clients’ perceived belongingness, self-esteem, strengths, and informal support over time. This study showed the ability of workers to establish a working relationship with clients in their living environment and underscored the necessity of establishing a working relationship in street-outreach services to foster clients’ participation in society. This study encourages policymakers to reflect on current street-outreach services, to deviate from demanding short-term and measurable results from professionals’ efforts, and to opt for a better fit between performance and financing conditions and daily practices of street-outreach services.

Histological features of the gastrointestinal tract of elongate tigerfish, Hydrocynus forskahlii (Cuvier, 1819), from Lake Albert

BackgroundThe tigerfish (Hydrocynus forskahlii) is an important food fish in different regions of Africa. As such, interest in its performance and nutritional requirements as a potential candidate for aquaculture is increasing. Characterization of the morpho-histological features and functions of the gut provides valuable insights into the feeding physiology and digestive system of fish species.ResultAn investigation of the morpho-histological features of the gastrointestinal tract of H. forskahlii captured from Lake Albert was conducted over an eight-month period. The digestive tract of H. forskahlii is characterised by a short oesophagus, well-developed and distensible stomach and moderately long intestine. The oesophagus had a higher abundance of mucous-secreting goblet cells compared to other digestive tract tissues. The stomach had a bag-like shape for swallowing large prey and was distinguishable into the cardiac, fundic and pyloric regions. Both the cardiac and fundic regions of the stomach had numerous gastric glands, whereas the pyloric region had large compound folds consisting of pseudo-stratified columnar epithelium. Many goblet cells were also observed in the mid and posterior regions of the intestine. The relative length of the gut of the H. forskahlii was 1.27 ± 0.03 cm, and it had a total of 20–22 pyloric caeca. The liver was observed to be divided in lobules by a central vein contained within connective sheets. Irregular cords of hepatocytes were also visible throughout the parenchyma.ConclusionsThe histological features of the H. forskahlii gut observed in the present study are consistent with those of carnivorous and omnivorous fish.

Innovative design and field performance evaluation of a desert-adapted PV module for enhanced solar energy harvesting and reliability in harsh arid environments

The aim of this study is to present and evaluate the performance of a novel photovoltaic (PV) module configuration introduced as the “Desert Module,” developed to enhance the production and efficiency of PV power plants operating in harsh desert locations. This innovative module has been constructed by incorporating various technological solutions to address desert climate conditions such as high temperatures, soiling, and intense UV radiation. To assess the performance of the developed “Desert Module,” a comprehensive evaluation was conducted by comparing its performance to that of a conventional module. The study encompasses three main aspects: (i) indoor characterization, including flash and electroluminescence tests; (ii) performance assessment in a hot semi-arid climate over an eight-month period; and (iii) economic analysis to benchmark the costs of electricity produced from the proposed configuration against conventional alternatives. The results indicate that the Desert Module outperforms the conventional module across all performance metrics, enhancing the average efficiency by 0.5%. In addition, the performance ratio for the Desert Module stands at 0.87, surpassing the 0.82 achieved by the conventional module. Throughout the experiment, the average energy yield was enhanced by 5.8% and the conversion efficiency by 1.95%. Notably, during the hottest period (between July and August), the deviations on the energy yield and the conversion efficiency exceed 7% and 3%, respectively, in favor of the Desert Module, highlighting its resilience to the high temperatures characterizing desert locations. Furthermore, the Desert Module demonstrates a 4.44% reduction in the levelized cost of electricity compared to the conventional module, positioning it as a more economically viable option for large-scale energy generation in desert environments.

Helicobacter pylori Infection in Children With Cerebral Palsy: A Cross-Sectional Study

BackgroundChildren with cerebral palsy (CP) frequently have associated disorders and complications, including gastrointestinal problems. Helicobacter pylori is a common infection worldwide, frequently associated with gastrointestinal manifestations. MethodsTo estimate the prevalence of H. pylori infection in children with CP, a cross-sectional study over an eight-month period was performed in the pediatric neurology outpatient clinic of Tanta University Hospital. The study included 100 patients with CP aged two to 17 years. All patients were tested for H. pylori antigen in stool by enzyme-linked immunosorbent assay. ResultsThe mean age of studied children with CP was 7.03 ± 4.1 years; there were 57 males and 43 females. Spastic quadriplegic CP was the most common type of CP (34%). Forty-five children with CP were positive for H. pylori antigen in stool. Intellectual disability (ID), low sociodemographic scoring system, semisolid diet, and Eating and Drinking Ability Classification System (EDACS) levels 4 and 5 were significant predictors of H. pylori infection (odds ratio of 1.86, 2.63, 12, and 1.77, respectively, P < 0.05). Vomiting, abdominal pain, and gastrointestinal tract bleeding were significantly more frequent in H. pylori-infected children with CP than noninfected children with CP (P value < 0.05) ConclusionH. pylori is a relatively common infection among children with CP. The main risk factors for H. pylori infection were low socioeconomic level, ID, semisolid diet, and EDACS levels 4 and 5.

Atmospheric deposition studies of microplastics in Central Germany

AbstractEmission of microplastics (MP) to the atmosphere, airborne transport, and subsequent deposition are now recognized. However, the temporal and spatial resolution of data on MP pollution and knowledge of their atmospheric behaviour and fate is still very limited. Hence, we investigated MP wet and dry deposition in Central Germany and examined the role of weather conditions on MP contamination levels. Monthly samples of dry and wet deposition were taken over an eight-month period (05/2019-12/2019) and analysed by micro-Fourier-Transform Infrared spectroscopy (µFTIR) down to 11 μm particle size and one dry deposition sample was subjected to Raman analysis to determine plastic particles down to a size of 0.5 μm. MP in a size range from 11 μm to 130 μm were detected in all wet deposition samples and in 4 out of 8 dry deposition samples by µFTIR. Polypropylene particles were found most frequently and accounted for 62% and 54% of all particles in wet and dry deposition samples, respectively. Over the eight-month period, wet deposition of MP slightly dominated at the study site and comprised 59% of the total MP deposition. The MP mean total (wet + dry) deposition flux (DF) was 17 ± 14 MP m− 2 day− 1. Extensive Raman analyses of an exemplary dry deposition sample revealed additional plastic particles in the extended size range from 1 to 10 μm resulting in a deposition flux of 207 MP m− 2 day− 1. Our results suggest that MP analysis by µFTIR down to 11 μm may underestimate DF at least by an order of magnitude. More comprehensive studies on submicron plastics and nanoplastics are needed to fully assess air pollution by plastic particles.

Rewet without regret? Nutrient dynamics in fen peat exposed to different rewetting degrees

All over the world, peatlands have been drained, often for agricultural purposes, resulting in CO2 emissions, soil subsidence and biodiversity loss. To combat these negative effects, drained peatlands are being rewetted, but knowledge of the effects of rewetting on peat biogeochemistry is still incomplete, especially since a variety of rewetting methods and rewetting degrees exists. We conducted a mesocosm experiment in which we exposed 100 intact agricultural fen peat cores (80 cm, 20 cm Ø) to five different water levels (0, 20, 40, 60 cm and variable—surface), two nutrient application levels to mimic continued agricultural use, and two water origins. Over an eight-month period, we harvested above-ground plant biomass five times and sampled pore water at two depths each month. Samples were analysed for nutrients. Our results show increased phosphate and ammonium availability upon fully rewetting (0 cm—surface) and less so under partially rewetted circumstances (20 cm—surface). Above-ground biomass was strongly affected by nutrient application, especially in the high water level treatments. Vegetation was primarily N-limited, and N in the vegetation decreased with increasing water levels, indicating stronger nitrogen limitation upon rewetting. We conclude that nature restoration under fully rewetted conditions will likely be challenging as a result of the large release of nutrients from the system which may also affect surrounding nature areas. Furthermore, we conclude that partial rewetting combined with low-intensity agricultural use can be a solution to slow down the adverse effects of drainage, although this will lead to decreased agricultural production.

Falls From Beds Among Elderly Outpatients: Injuries and Outcomes.

Introduction Falls from beds (FFBs) among outpatient elderly individuals are a prevalent issue, particularly for those aged 65 and above. This presents a notable health challenge with consequences that extend beyond personal well-being, placing a considerable strain on healthcare systems. Fall-related injuries often result in reduced independence, increased morbidity, and, in severe instances, fatalities. It is crucial to address these outpatient falls to safeguard the health and independence of the elderly population. Methods This review presents data sourced from a trauma registry covering admissions from March 31, 2016, to December 27, 2021, at Desert Regional Medical Center, a Level 1 Trauma Center in Palm Springs, USA. Over this period, 3,148 patients sought emergency care following falls. The study specifically investigates cases following FFBs, revealing 164 admissions out of the total. Furthermore, it contrasts patient demographics, injury types, and outcomes with existing literature. Results This retrospective analysis found that, among the 164 patients admitted to the emergency department over a five-year and eight-month period due to FFBs, 143 were classified as elderly, aged 65 and above. The mean age of those admitted was 76, whereas those not admitted had a mean age of 71. A significant majority, 87%, were hospitalized; within this group, 16% required intensive care. Surgical intervention was necessary for 27 individuals, and there were three fatalities. Soft tissue hematomas were the most common injuries, representing 24% of injuries at admission, closely followed by upper extremity fractures at 21%. Over half of these patients could not return home post-hospitalization, with 41% being transferred to skilled nursing facilities (SNF). Conclusions As the aging population in the United States continues to grow, the incidence of falls is on the rise, resulting in injuries like fractures and head trauma. The objectives of this review are to provide an overview of the current literature on FFBs, as well as to emphasize the significant impact of such injuries on the elderly population. Additionally, it includes an analysis of a dataset detailing injuries resulting from bed-related falls, offering a comparison to existing research.

The use of antenatal corticosteroids in preterm labour for the prevention of perinatal mortality in hospitals in Tanzania.

Antenatal corticosteroids (ACS) are given to pregnant women at risk of preterm delivery to hasten the maturation of the lungs, lowering the risk of newborn respiratory distress syndrome (RDS) and perinatal mortality. The aim of this study was to determine whether exposure to ACS was associated with lower rates of perinatal mortality and RDS in preterm infants delivered by women with preterm labour. This is a secondary analysis of data from four hospitals in Mwanza, Tanzania. All singletons and twins born to women who were in preterm labour between July 2019 and February 2020 and delivered in-hospital between 24 and 34 weeks of gestation were included. Data were recorded from participants' medical records and analysed using STATA Version 14. Over an eight-month period, 588 preterm infants were delivered to 527 women. One hundred and ninety (36.1%) women were given ACS. Infants who were exposed to ACS in utero had a lower rate of perinatal mortality (6.8% vs 19.1%) and RDS (12.3% vs 25.9%) compared to those not exposed to ACS. In adjusted multivariable models, ACS exposure was related to a lower risk of perinatal mortality, aRR 0.23 (95% CI 0.13 - 0.39), and RDS, aRR 0.45 (95% CI 0.30 - 0.68). ACS significantly reduced the risk of perinatal mortality and RDS among preterm infants exposed to ACS in utero and delivered by women in preterm labour. The use of ACS should be encouraged in low-resource settings where preterm birth is prevalent to improve perinatal outcomes.

A longitudinal study on the effect of labor values on benign/malicious envy: the mindfulness reperceiving model

This study investigates the relationship between labor values and two forms of envy—benign and malicious—as well as the potential mediating role of mindfulness using a mindfulness reperceiving model. Two thousand three hundred sixty three Chinese teenagers participated in a longitudinal study over an eight-month period, completing questionnaires measuring labor values, benign envy, malicious envy, and mindfulness. The cross-sectional data showed that labor values had an immediate negative effect on malicious envy, with mindfulness partially mediating this relationship. Additionally, labor values had an immediate positive effect on benign envy, but mindfulness did not mediate this relationship. Longitudinal data analysis revealed that the delayed effect of labor values on later benign/malicious envy was similar to its immediate effect. However, mindfulness only played a mediating role in the relationship between labor values and later malicious envy. Cross-gender stability was found in both the immediate effect model and the delayed effect model. Overall, this study sheds light on the influence of labor values on the development of social emotions and the potential mediating role of mindfulness in the Chinese cultural context.

The Stability of Mental Health During War: Survey Data from Ukraine

Identifying psychological resources that can protect against the impact of war on mental health is an important endeavor. The aim of this study was to determine the stability of correlations between positive and negative indicators of mental health in a sample of Ukrainian citizens during the ongoing war, and to assess possible gender differences. A total of 359 respondents aged 18–61 from all regions of Ukraine completed self-reported surveys at two time points eight months apart (June–July 2022 and February–March 2023). Surveys included three scales reflecting positive aspects of mental health (resilience, self-efficacy, and hardiness) and two reflecting negative aspects (PTSD symptoms and pressure of physical complaints). Significant negative correlations (r values ranged from −.23 to −.47; p < .001) between two positive indicators (resilience and self-efficacy) and the two negative indicators remained practically unchanged over the eight-month period. These relationships were almost equally stable in men and women. Findings expand current knowledge on the consequences of war for mental health and highlight resilience and self-efficacy as potential protective factors against the deterioration of civilian mental health during war.

The Evaluation of In-Hospital Transportation of Emergency Room Critically Ill Patients

Backround/Aims:The overcrowding of emergency departments, insufficient bed capacity in these units, lack of integrated radiology units, and the distance of other departments and intensive care units from the emergency department make it inevitable to transport patients within the hospital for either short-term or long-term purposes. Patients can be transported at least once for diagnostic and treatment procedures to radiology units, operating rooms, or intensive care units for admission. However, even during short-term patient transport in critical situations, complications may arise. Methods:This study evaluates the data obtained prospectively by examining the transport information of 588 patients who met the study criteria in an eight-month period in the emergency department of a university hospital in 2020. The study is designed to assess survival, disability, and the safe transport process of critically ill patients transported from the emergency department to hospital imaging, interventional procedures, surgery, and admission units. For statistical analysis of the data, independent sample t-test was used for normally distributed variables, Mann-Whitney U test when the normality assumption was not met, chi-square, ANOVA tests for the comparison of categorical variables. The significance level for all hypothesis tests was set at 0.05. Results:Of the 588 patients included in the study, 36.9% were female and 63.1% were male, with an average age of 61.9 years. The average transport time for patients transferred for examination, admission, or interventional procedures was 18.5 minutes. 63.3% of the transferred patients sought medical attention during the night shift. During transport, 51.7% of patients experienced problems. Among the issues encountered during transport, 48.3% were related to the system, 27% were related to equipment, and 24.7% were related to human factors. The most common problem, accounting for 23.0%, was waiting in radiology units or corridors for radiology examinations and interventional procedures. Conclusion:In critically ill patients in the emergency department, the most common transport problems occur when planned examinations take place outside the emergency department. Therefore, the necessity of these requests should be carefully evaluated to reduce complications that may occur during transfer. The physical organization of emergency departments should be designed to facilitate the transfer of critical patients as quickly as possible to prevent problems that arise due to prolonged transfer times.