The current system for assessing and publicly notifying concerns about publication integrity is slow, inefficient, inconsistent, inadequate, and opaque. Readers are, therefore, left unaware of potential issues about publications or are given inadequate information to assess publication integrity. We propose a new process for dealing with publication integrity involving the establishment of independent panel(s) that assess publication integrity and transparently report the outcomes of those assessments, independent of the assessment of any misconduct.

The objective of this discussion paper is to deepen the discourse on the complex interrelationship between “healing architecture” and “safe architecture,” here labeled ”

,” for the benefit of those who want to make informed decisions in the design of future psychiatric wards.

Today’s psychiatric care sets the patient at the forefront. As a part of this ambition, the discussion regarding the patient’s physical environment has also advanced. At the same time, staff are exposed to increasing threats and violence in their everyday work, which can lead to severe personal psychological suffering as well as physical injuries. The requirements of patients and staff are sometimes conflicting which has ethical implications.

The reasoning and arguments presented here mainly derive from discussions and dialogue with psychiatric facility management and other healthcare professionals in multidisciplinary working groups during the design process.

Offering patients and staff a healing and safe environment is the most important architectural challenge in the design of psychiatric wards. How architects, management, and staff evaluate and balance the two aspects will have a crucial impact on the building’s final design and atmosphere and thereby influence staff and patient safety as well as civil protection.

In everyday practice, it is up to the multidisciplinary design teams and management to become better informed in order to make “the right decisions to the best of their ability” as evidence is still limited when it comes to ”

.”

In everyday practice, it is up to the multidisciplinary design teams and management to become better informed in order to make “the right decisions to the best of their ability” as evidence is still limited when it comes to “The healing and safety complex.”

Emotional exhaustion is considered to be the key symptom of burnout. Although it has been defined that emotional exhaustion rather results from work-related experience than from other life domains, this has rarely been studied empirically. The study aimed to investigate the role of different life domains in predicting emotional exhaustion. More precisely, we examined whether daily uplifts and hassles from different life domains were related to emotional exhaustion beyond work-related uplifts and hassles.

A diary study was conducted over the course of 14 consecutive days.

141 beginning teachers provided information about their daily hassles and uplifts as well as their daily emotional exhaustion.

Results of multilevel analyses showed that work-related uplifts were negatively and work-related hassles were positively related to emotional exhaustion. Autophagy activator Additionally, private uplifts were associated with a statistically significant decrease and private hassles with an increase in emotional exhaustion beyond work-related events.

Although the variance in emotional exhaustion that was explained by private events was small, the present study suggests that burnout symptoms might not be completely independent from individuals’ daily lives outside work.

Although the variance in emotional exhaustion that was explained by private events was small, the present study suggests that burnout symptoms might not be completely independent from individuals’ daily lives outside work.Latino populations are disproportionately impacted by health disparities and face both connectivity and health literacy challenges. As evidenced by the current global pandemic, access to reliable online health-related information and the ability to apply that information is critical to achieving health equity. Through a qualitative study on how Latino families collaborate to access online health resources, this work frames health literacy as a family-level mechanism. Interviews with parent-child dyads combined with online search tasks reveal how families integrate their individual skillsets to obtain, process, and understand online information about illnesses, symptoms, and even medical diagnoses. As they engage in intergenerational online health information searching and brokering, families creatively navigate information and communication technologies (ICTs) to address a range of health needs. Bilingual children help immigrant parents obtain urgent and non-urgent health information needed to care for other family members. When children are tasked with addressing a health need critical to their parent’s wellbeing, they collaborate with their parents to obtain, interpret, and apply online health information. Intergenerational online health information searching and brokering thus reveals family-level strengths that can be leveraged to promote both health and digital literacy among marginalized populations.

Large-scale randomized comparison of drug-eluting stents (DES) based on durable polymer versus biodegradable polymer technology is currently insufficient in patients with acute coronary syndrome (ACS). The present study aimed to prove the noninferiority of the durable polymer DES (DP-DES) compared with the biodegradable polymer DES (BP-DES) in such patients.

The HOST-REDUCE-POLYTECH-ACS (Harmonizing Optimal Strategy for Treatment of Coronary Artery Diseases-Comparison of Reduction of Prasugrel Dose or Polymer Technology in ACS Patients) trial is an investigator-initiated, randomized, open-label, adjudicator-blinded, multicenter, noninferiority trial comparing the efficacy and safety of DP-DES and BP-DES in patients with ACS. The primary end point was a patient-oriented composite outcome (a composite of all-cause death, nonfatal myocardial infarction, and any repeat revascularization) at 12 months. The key secondary end point was device-oriented composite outcome (a composite of cardiac death, target-vessel myocardial infarction, or target lesion revascularization) at 12 months.