COVID-19 Management in Pediatrics.

Coronavirus disease 2019 (COVID-19) is a deadly global pandemic, with scientific efforts improving our understanding of this novel coronavirus. No proven disease-specific therapies exist, although 2 vaccines have been recently approved by the United States Food and Drug Administration under emergency use authorization, and several others are in development or phase III clinical trial testing. COVID-19 presents in greater severity in the medically fragile, obese, elderly, and socially disadvantaged, and children in general are less affected. All children are at risk, but those with comorbidities and neonates are more susceptible. The multisystem inflammatory syndrome is a severe version which can present in any child with a recent COVID-19 infection. The face of the pandemic has been changing in the last few months, with recent increasing cases, virus mutations, and onset of vaccination. This article provides COVID-19 management for children and adolescents and implications for nursing and advanced practice providers.

Emergency C-section, maternal satisfaction and emotion regulation strategies: effects on PTSD and postpartum depression symptoms.

OBJECTIVE: This cross-sectional study aimed to investigate the relationship between a mother's current emotion regulation strategy (antecedent-focused vs. response-focused), her satisfaction with childbirth, and posttraumatic and/or depressive symptoms after unplanned C-section. BACKGROUND: The mother's and baby's health is considered a priority during childbirth. As a result, situations in which an unplanned C-section is required may not allow mothers to express their needs and emotions. This may lead to feelings of dissatisfaction regarding the childbirth experience. METHODS: Fifty French participants aged 18-35 (M = 27.10; S.D. = 3.99) who had a C-section were recruited on social networking groups and completed four self-report measures online, up to two years after childbirth. These measures assessed emotion regulation strategies currently used, birth satisfaction, postpartum depression symptoms and PTSD symptoms. RESULTS: Main results indicate (1) Mothers who use expressive suppression, a response-focused strategy, are less satisfied with childbirth. (2) Emotion regulation, when combined with maternal satisfaction, shows a negative association with posttraumatic stress score and depression score. CONCLUSION: This study provides interesting data for further research. Follow-up studies about emotion regulation, postpartum depression and posttraumatic stress symptoms should be conducted in the future in order to provide clinical recommendations.

A study of the Repeated Actions Diary in patients suffering from obsessive compulsive disorder.

The structured Repeated Action Diary (RAD) collects in vivo data on compulsions and their various characteristics. Certain compulsions (i.e., those ending because the patient feels certain that it is safe to stop) are then compared with uncertain compulsions. The compulsion profile in patients with obsessive compulsive disorder (OCD) was assessed by using the RAD. Thirty-two patients from two sources participated in the study. Before pooling the two subgroups, we checked that they did not differ significantly with regard to demographic and clinical variables. Patients reported several categories of compulsion. The most frequently reported compulsions were washing and checking. In a given person, checking compulsions (in contrast to washing compulsions) were often produced by several different obsessions. Almost all the patients reported repeating the compulsions because of a need to feel sure. There were far more "certain" compulsions than "uncertain" compulsions. The number of repetitions was significantly lower for certain compulsions than for uncertain compulsions. The person felt greater relief from guilt and responsibility and a greater decrease in discomfort at the end of a compulsive episode for certain compulsions than for uncertain compulsions. In conclusion, the need to ritualize (prompted by uncertainty, i.e., potential danger) might explain the maintenance (or posttreatment recurrence) of OCD in many patients. The need for certainty in the completion of a compulsion may be worth considering as a therapeutic tool. The development of an approach based on the need for certainty might help to improve treatment outcomes.

Assessing for and managing chronic insomnia in primary care settings.

Chronic insomnia is the most common sleep disorder. Improper or delayed diagnosis can lead to serious health problems. Early accurate assessment is essential to guide and provide safe treatment. This article reviews assessment and management of insomnia in the primary care setting.

Psychometric Properties of the French Version of the Young Schema Questionnaire - Short Form 3 (YSQ-S3).

The purpose was to assess the psychometric properties of the French version of the Young Schema Questionnaire - Short Form 3 (YSQ-S3). The main non-clinical sample (N = 605, M = 20.63, 78% women) was divided into two subsamples: One was used for exploratory factor analyses (EFA) and the other was used for confirmatory analyses. Next, internal consistency, convergent validity and criterion-related validity were studied. The EFA to each of the five domains was similar to the theoretical structure postulated by Young. The confirmatory analysis of each of the five domains appeared to favor our solution over a single-factor solution and Young's solution. The confirmatory factor analyses of high-order structures did not give fully satisfactory results but appeared to favor our solution (RMSEA =.11, CFI =.76, TLI =.71, SRMR =.07, AIC = 58,566.44). In our best model, the reliability (> .70) was satisfactory for fourteen schemas. The relationships between the schemas and the neuroticism, extraversion and psychoticism scores went in the expected directions. Detrimental parental rearing behaviors were linked to high scores for the various schemas. Lastly, 4 schemas differentiated between the clinical and non-clinical groups. In conclusion, the overall psychometric qualities of the French version of the YSQ-S3 allow its use in clinical populations.

Effectiveness of non-pharmacological strategies for managing delirium in hospitalized postoperative adults: an umbrella review protocol.

REVIEW QUESTION/OBJECTIVE: The question of this review: What is the effectiveness of non-pharmacological strategies for the management of delirium in hospitalized adult postoperative patients?The objective of this umbrella review is to determine the effectiveness of non-pharmacological strategies for the management of delirium in adult postoperative patients, 18 years and over, in an acute care hospitalized setting.More specifically, the review aims to identify which non-pharmacological strategy/strategies, provided as a single strategy or combined as two or more strategies, is the most effective for management of delirium in hospitalized postoperative adult patients?

Cognitive factors and post-partum depression: What is the influence of general personality traits, rumination, maternal self-esteem, and alexithymia?

OBJECTIVES: The objective was to assess the impact of cognitive factors on post-partum depression (PPD) symptoms. Because most of the literature data concern the immediate post-partum period or the first year post-partum, we notably sought to assess the longer term impact of cognitive factors on the symptoms of PPD. METHODS: Two studies were performed. In a pilot study, 1-month post-partum, 63 women filled out a sociodemographic information sheet and completed the abbreviated, revised Eysenck Personality Questionnaire, the Ruminative Responses Scale, the Maternal Self-Report Inventory, and the Edinburgh Post-Natal Depression Scale. In the main study, 124 women additionally completed the Toronto Alexithymia Scale. The main study population was divided into 2 subgroups: women in the first year post-partum (n = 74) and those in the second year post-partum (n = 50). RESULTS: In the pilot study performed 1-month post-partum, brooding rumination and low self-esteem were significant predictors of the PPD symptom intensity. Neuroticism, brooding rumination, and low maternal self-esteem were also significant predictors of the PPD symptoms reported in the first year post-partum. Lastly, ruminative thoughts and alexithymia were significant predictors of the PPD symptoms reported in the second year post-partum. CONCLUSIONS: Our results suggest that alexithymia may be an important predictor of the incidence of this condition. The observation of differences in the PPD models as a function of the post-partum period may open up opportunities for developing novel PPD prevention/treatment programs.

A graphene Zener-Klein transistor cooled by a hyperbolic substrate.

The engineering of cooling mechanisms is a bottleneck in nanoelectronics. Thermal exchanges in diffusive graphene are mostly driven by defect-assisted acoustic phonon scattering, but the case of high-mobility graphene on hexagonal boron nitride (hBN) is radically different, with a prominent contribution of remote phonons from the substrate. Bilayer graphene on a hBN transistor with a local gate is driven in a regime where almost perfect current saturation is achieved by compensation of the decrease in the carrier density and Zener-Klein tunnelling (ZKT) at high bias. Using noise thermometry, we show that the ZKT triggers a new cooling pathway due to the emission of hyperbolic phonon polaritons in hBN by out-of-equilibrium electron-hole pairs beyond the super-Planckian regime. The combination of ZKT transport and hyperbolic phonon polariton cooling renders graphene on BN transistors a valuable nanotechnology for power devices and RF electronics.

Psychometric properties of the French version of the Young Schema Questionnaire - Short Form 3 (YSQ-S3)

The purpose was to assess the psychometric properties of the French version of the Young Schema Questionnaire - Short Form 3 (YSQ-S3). The main non-clinical sample (N = 605, M = 20.63, 78% women) was divided into two subsamples: One was used for exploratory factor analyses (EFA) and the other was used for confirmatory analyses. Next, internal consistency, convergent validity and criterion-related validity were studied. The EFA to each of the five domains was similar to the theoretical structure postulated by Young. The confirmatory analysis of each of the five domains appeared to favor our solution over a single-factor solution and Young's solution. The confirmatory factor analyses of high-order structures did not give fully satisfactory results but appeared to favor our solution (RMSEA =.11, CFI =.76, TLI =.71, SRMR =.07, AIC = 58,566.44). In our best model, the reliability (> .70) was satisfactory for fourteen schemas. The relationships between the schemas and the neuroticism, extraversion and psychoticism scores went in the expected directions. Detrimental parental rearing behaviors were linked to high scores for the various schemas. Lastly, 4 schemas differentiated between the clinical and non-clinical groups. In conclusion, the overall psychometric qualities of the French version of the YSQ-S3 allow its use in clinical populations

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Intrusive thoughts in patients with obsessive compulsive disorder and non-clinical participants: a comparison using the International Intrusive Thought Interview Schedule.

The International Intrusive Thought Interview Schedule (IITIS) was used to assess and compare the unwanted intrusive thoughts (UITs) reported in a group of patients with obsessive compulsive disorder (OCD) and a non-clinical group. Although all participants reported at least one type of intrusion, OCD patients experienced more intrusive thoughts than non-clinical participants, and this difference was statistically significant. In the OCD group, intrusive thoughts were more frequent, interfered more with daily life, were considered to be more important to get out of the mind, and were more difficult to stop than in non-clinical participants. The two groups did not differ significantly in terms of five appraisals of the most distressing intrusive thought. One appraisal (importance) was used far more by the OCD group than the non-clinical group. For three appraisals (intolerance of anxiety, need to control, and intolerance of uncertainty), the difference was smaller. Only two of the strategies for controlling the most upsetting intrusive thought (ritual and avoidance) were of value in differentiating between the two groups. The IITIS (an instrument used to assess intrusions in non-clinical samples) appears to be of value for the assessment of patients with OCD.

[Psychogenic NonEpileptic Seizures: Current Knowledge and Contributions of the Study of Emotions]. / Crises psychogènes non épileptiques : état des connaissances et apports de l'évaluation des traitements émotionnels.

Psychogenic nonepileptic seizures (PNES) are paroxysmal attacks that can imitate epileptic seizures but do not have a neurological origin. There has been mounting interest these last few years to unravel psychological and neuronal factors that contribute to the development of PNES. The objective of this review is twofold. First, we examine recent contributions of clinical and researches studies to define the main features of PNES. Then, we focus on the possible link between changes in processing of emotional information and the onset of PNES. In this article, we identify promising directions for future research and argue that affective neuroscience may provide original findings to better understand this disease.

Fatigue and breastfeeding: an inevitable partnership?

Postpartum fatigue is a normal condition that most women experience. Breastfeeding is often associated in women's minds as contributing to the feeling of overall perceived fatigue, and many women indicate that they have ceased breastfeeding because of fatigue. However, the relationship between feeding choice and perceived fatigue has never been established. Two hundred and fifty-three women participated in a study examining whether perceived fatigue differed for bottle-feeding and breastfeeding women at 3 different times during the postpartum period (2-4 days, 6 weeks, and 12 weeks postpartum). Results showed no significant differences for these 2 groups, suggesting that perceived fatigue during the postpartum period is not dependent on feeding choice. Additional analyses examining other variables with a potential effect were nonsignificant. Because perceived physical fatigue does not appear to be dependent on feeding choice, women should be prepared for the feeling of perceived fatigue during the postpartum period while at the same time be reassured that feeding choice is not correlated.