This study takes an affiliative coping theory perspective to examine whether working adults reactivated dormant ties with individuals they had not contacted for at least 3 years to cope with stressors experienced due to the COVID-19 pandemic. Stressors originating in the workplace (job insecurity and remote work) and in the family (stressful familial social ties) were examined in a sample of 232 working adults in the southeastern United States. Individuals were more likely to reactivate their dormant ties when their job was insecure, and the magnitude of the reactivations was greater among individuals experiencing stressful social ties with family members than those not experiencing those stressors. We also found that there was a significant interaction between remote work and having a stressful tie within the household in dormant tie reactivation. Although previous theory has focused mostly on the benefits of frequent, active social relationships for coping, our results suggest that reactivating dormant ties might be a coping mechanism as well. Our study also suggests that workplace dormant tie research should broaden its focus beyond exchanged instrumental support to consider emotional support that might be transferred during reactivation.
to prevent wrong person, wrong procedure, and wrong site surgery in all surgical and nonsurgical invasive procedures (1). These guidelines have been applied specifically to the practice of interventional radiology (IR) (2); however, a pre-procedure checklist tailored to IR may further improve patient safety and outcomes.Recent interest has evolved in developing a surgical or time-out checklist to reduce morbidity and mortality caused by human errors. For example, Haynes et al (3) demonstrated that implementation of a 19-item surgical checklist adopted from the World Health Organization (4) reduced the rate of death associated with surgery from 1.5% to 0.8% in a global population. Inpatient complications also were reduced from a baseline of 11% to 7%. Corso et al (5) showed that use of a 20-item time-out checklist derived from the Cardiovascular and Interventional Radiological Society of Europe (6) eliminated adverse events associated with IR procedures in the first year of use. Such positive results with the use of checklists have also been confirmed in other studies (7-9). However, other studies have failed to duplicate significant improvements in patient safety following widespread implementation of pre-procedure checklists (10,11). These failures could reflect issues with checklist design or its implementation. A well-designed checklist should include items that effectively address the underlying failure modes for the adverse events that occur in any particular operational environment. In addition, the checklist should be designed to facilitate reliable execution of the control strategy for those failure modes. Creating a checklist that addresses the cause of every conceivable adverse event would result in a checklist so long as to be impractical. Rather, patient safety is better served by allowing local teams to build a checklist from a list of items that matches the operational requirements of their working environment and case mix. A series of potential checklist items is provided along with their rationale.
Arteriovenous malformations (AVM) of the uterus can cause life-threatening hemorrhage. Unexplained, heavy vaginal bleeding in a reproductive age woman should raise suspicion for an AVM. Here a 37-year-old woman had increasingly severe vaginal bleeding for 15 days. Serum β-hCG was elevated. Two-dimensional transvaginal ultrasound suggested retained products of conception. Before dilation and curettage (D&C), color Doppler and three-dimensional (3D) power Doppler demonstrated findings indicative of uterine AVM. A bilateral uterine artery embolization was performed without complications. Three months after uterine artery embolization, 3D power Doppler ultrasonography found complete resolution of the AVM. This case illustrates the importance of assessing both gray-scale and 3D power Doppler, and the ability of postprocedure Doppler to assess resolution.
Full text of this article is not available in the repositoryOral and intravenous replacement of minerals such as magnesium and calcium are usually straightforward in clinical practice, the choice generally being governed by the preparation most readily available. There are very few data comparing efficacy and absorption profiles of different magnesium salts. This case report highlights the importance of considering alternative preparations of oral magnesium salts in patients who appear unresponsive to one preparation, rather than moving on to chronic intravenous therapy via a Hickman line. In the case of patients with small bowel shortening, the use of magnesium oxide should be considered
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