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  • Kaya Parks posted an update 3 days, 18 hours ago

    Professional identity among psychiatric nurses was at a moderate level. Salary and social status and ability of nursing manager positively contributed to their professional identity. These results may indicate the directors to construct better work environments for psychiatric nursing to improve professional identity.

    Professional identity among psychiatric nurses was at a moderate level. Salary and social status and ability of nursing manager positively contributed to their professional identity. These results may indicate the directors to construct better work environments for psychiatric nursing to improve professional identity.

    Distinguishing between the two broad categories of diabetic retinopathy (DR), nonproliferative DR (NPDR) and proliferative DR (PDR), is significant, as the therapeutic strategies for each are completely different.

    To characterize the ocular blood flow (OBF) of DR patients and evaluate the potential utility of OBF values in categorizing DR.

    Prospective.

    A total of 41 DR patients (82 eyes) were recruited in our study. Group 1 comprised 48 eyes with NPDR, and Group 2 comprised 34 eyes with PDR.

    3D pseudocontinuous arterial spin labeling (3D-pcASL) with two postlabeling delays (PLDs) was acquired at 3.0T MR.

    OBF values were independently obtained by two doctors from the OBF map.

    OBF values and clinical characteristics were compared between the groups using two-sample t-tests and chi-square tests. Receiver operating characteristic (ROC) curves were obtained, and the area under the curve (AUC) was calculated. The consistency of OBF values reported by the two doctors was evaluated using the intraclass correlation coefficient (ICC).

    OBF values at PLDs of 1.5 seconds and 2.5 seconds were significantly lower in Group 2 than in Group 1 (P < 0.05 for both PLDs). The OBF values of Group 2 showed a greater increase than those of Group 1 from PLD 1.5 to 2.5 seconds. The AUC of OBF at the 1.5 seconds PLD was 0.90, with a cutoff of 7.73 mL/min/100 g, and the AUC of the OBF at the 2.5 seconds PLD was 0.75, with a cutoff of 8.44 mL/min/100 g. The ICC between the two observers was 0.844 for the OBF at 1.5 seconds PLD and 0.872 for the OBF at 2.5 seconds PLD.

    PDR can be differentiated from NPDR by the value of OBF as measured by 3D-pcASL.

    1 TECHNICAL EFFICACY STAGE 1.

    1 TECHNICAL EFFICACY STAGE 1.

    Parents offer a unique perspective as they may view literacy instruction through the lens of its direct impact on their child’s daily life. Further, they are likely to provide insight into the interactions between the perceived effectiveness of instruction and their expectations for their child’s success. The purposes of the current investigation were to explore perceptions of parents of children with intellectual disability (ID) related to their child’s literacy instruction in schools and understand parental expectations for their child’s literacy performance.

    In the current investigation, we surveyed 211 parents of children with ID in one state within the USA to identify their perceptions related to their child’s literacy outcomes and instruction. The survey instrument contained 25 items including 9 multiple-choice, 12 multiple-selection, 2 open-response and 2 rank order items.

    Data indicated significant differences across grade bands related to the type of skills students engage in learning, the impo served as barriers to literacy for elementary students, and a lack of instructional time served as a barrier to writing for high school students.

    While parents across grade bands reported the importance of literacy skills for students with ID and instruction in reading comprehension, listening comprehension and vocabulary, some differences were noted. Only half the parents reported an increased focus on literacy instruction, including on essential skills (e.g. Tamoxifen chemical structure decoding), in the earlier grades. Problem behaviour and motivation served as barriers to literacy for elementary students, and a lack of instructional time served as a barrier to writing for high school students.

    To explore whether poor sleep is associated with post-stroke anxiety (PSA) in Chinese patients with acute ischemic stroke (AIS) and to verify whether poor sleep is a predictor of PSA.

    A total of 327 patients with AIS were enrolled and followed up for 1month. Sleep quality within 1month before stroke was evaluated using the Pittsburgh Sleep Quality Index (PSQI) at admission. The patients were divided into the poor sleep group (PSQI>7, n=76) and good sleep group (PSQI≤7, n=251). One month after stroke, patients with obvious anxiety symptoms and a Hamilton Anxiety Scale score >7 were diagnosed with PSA.

    Eighty-seven patients (26.6%) were diagnosed with PSA. Compared to the good sleep quality group, the incidence of PSA in patients with poor sleep quality was higher (42.1% vs. 21.9%, p=.001). Poor sleep quality is more common in patients with PSA (35.6% vs. 18.8%, p=.001). A logistic regression analysis indicated that poor sleep quality was significantly associated with PSA (OR 2.265, 95% CI 1.262-4.067, p=.003). After adjusting for conventional and identified risk factors, poor sleep quality was found to be independently associated with PSA (OR 2.676, 95% CI 1.451-4.936, p=.001).

    Poor sleep quality before stroke was associated with PSA and may be an independent risk factor of PSA 1month after AIS onset.

    Poor sleep quality before stroke was associated with PSA and may be an independent risk factor of PSA 1 month after AIS onset.Caryolanes, known as β-caryophyllene alcohols, are widely occurring sesquiterpenes in plants. From the cultures of marine Streptomyces sp. AH25, two new caryolane sesquiterpenes, micaryolanes A and B (1 and 2), together with caryolan-1,9β-diol (3) were isolated. Their structures were elucidated by extensive analyses of HR-MS and NMR spectroscopic data. The absolute configurations were assigned via the CD data of the in situ formed [Rh2 (OCOCF3 )4 ] complex and supported by comparison of experimental and calculated specific rotation values. Compounds 1-3 exhibited no activities against Hep3B or MG-63 cell lines or against Gram-positive and Gram-negative bacteria. The results not only enriched the caryolane family, but also proved bacteria as a productive source of terpene metabolites.

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