Most critical care nurses have good baseline knowledge of non-pharmacological measures to prevent ventilator-associated pneumonia. Failure to comply with these measures is probably more related with behavioural, structural and organizational aspects than with nursing workload. Interventions to improve compliance might be more effective if they focus on factors such as work climate and professionals' attitudes.
With the advent of more and deeper sky surveys, the discovery of interstellar small objects entering into the Solar System has been finally possible. In October 19, 2017, using observations of the Pan-STARRS survey, a fast moving object, now officially named 1I/2017 U1 ('Oumuamua), was discovered in a heliocentric unbound trajectory suggesting an interstellar origin. Assessing the provenance of interstellar small objects is key for understanding their distribution, spatial density and the processes responsible for their ejection from planetary systems. However, their peculiar trajectories place a limit on the number of observations available to determine a precise orbit. As a result, when its position is propagated ∼ 10 5 − 10 6 years backward in time, small errors in orbital elements become large uncertainties in position in the interstellar space. In this paper we present a general method for assigning probabilities to nearby stars of being the parent system of an observed interstellar object. We describe the method in detail and apply it for assessing the origin of 'Oumuamua. A preliminary list of potential progenitors and their corresponding probabilities is provided. In the future, when further information about the object and/or the nearby stars be refined, the probabilities computed with our method can be updated. We provide all the data and codes we developed for this purpose in the form of an open source C/C++/Python package, iWander which is publicly available at
Depression is a common and impairing disorder which is a serious public health problem. For some individuals, depression has a chronic course and is recurrent, particularly when its onset is during adolescence. The purpose of the current paper was to review the clinical trials conducted between 1980 and 2020 in adolescents with a primary diagnosis of a depressive disorder, excluding indicated prevention trials for depressive symptomatology. Cognitive behavioral therapy (CBT) is the pre-eminent treatment and is well established from an evidence-based treatment perspective. The body of research on the remaining treatments is smaller and the status of these treatments is varied: interpersonal therapy (IPT) is well established; family therapy (FT) is possibly effective; and short-term psychoanalytic therapy (PT) is experimental treatment. Implementation of the two treatments that work well—CBT and IPT—has more support when provided individually as compared to in groups. Research on depression treatments has been expanding through using transdiagnostic and modular protocols, implementation through information and communication technologies, and indicated prevention programs. Despite significant progress, however, questions remain regarding the rate of non-response to treatment, the fading of specific treatment effects over time, and the contribution of parental involvement in therapy.
La pandemia del COVID-19 y las medidas de distanciamiento social han supuesto un impacto negativo en la salud mental. El objetivo principal es estudiar el papel de la resiliencia como factor protector, ante el impacto de la pandemia y el confinamiento del COVID-19. La muestra fue de 179 participantes con una media de edad de 40,85 años (DE = 13,7). Los análisis indican que la resiliencia predice de forma muy significativa el bienestar psicológico y el estado de ánimo y es un factor protector ante el estrés postraumático. En menor medida para la facilidad de llevar la pandemia que puede estar mediado por otros factores. Los efectos de la pandemia y el confinamiento parecen haber elevado de forma muy significativa los síntomas de estrés postraumático. Las mujeres presentan más estrés postraumático y menos bienestar psicológico. El grupo de edad más afectado es el de los jóvenes (18-25 años).
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