To provide insights into what promotes and challenges inner strength and willpower in formerly critically ill patients back home after a long-term ICU stay.

Critically ill patients demand great resources during an ICU stay, some experience great challenges after discharge from hospital. Knowledge about how health professionals can promote former long-term critically ill patients’ inner strength and willpower after discharge is essential, but still missing.

A qualitative, hermeneutic-phenomenological approach using in-depth interviews with former long-term ICU patients.

Seventeen long-term ICU patients were interviewed 6-20months after ICU discharge. The consolidated criteria for reporting qualitative research was used (COREQ,2007).

Back home after hospital discharge, some former patients coped well while others suffered heavy burdens mentally and physically, along with economic problems. They handled their challenges differently some found comfort and insight by reading their diary written by their rogramme along with a cell phone app.

To describe and synthesize scientific literature on nurse managers’ competencies.

The key strategy for the success of health organisations currently resides in the capacity of the nurse manager to develop advanced competencies in management. However, there is a lack of systematic reviews that synthesize knowledge about nurse managers’ competencies.

A scoping review was conducted using electronic databases including Web of Science, Scopus, PubMed and Cumulative Index to Nursing and Allied Health Literature.

After the first analysis, 392 competencies were observed from 76 studies. Finally, 53 competencies were grouped according to their characteristics. Selleckchem Adavosertib The two most-cited competencies were communication and finance.

Knowing the competencies required by nurse managers can help organisations create strategies to develop competent managers. In addition, from the results we can infer what might be the core competencies, since 22 main competencies from the total number were identified.

The competencies identified constitute the body of knowledge necessary for nurse managers. In addition, it is possible to generate a pathway for learning and professional development for nurses before they work at the microlevel of management. The starting point for this pathway could be the 22 core competencies.

The competencies identified constitute the body of knowledge necessary for nurse managers. In addition, it is possible to generate a pathway for learning and professional development for nurses before they work at the microlevel of management. The starting point for this pathway could be the 22 core competencies.The condition of Lake Zirahuén was evaluated before and after a significant algal bloom took place. The state of the lake was tracked using measurements of chlorophyll-a concentration from a fluorometer attached to a conductivity, temperature, and depth (CTD) profiler and complemented with the use of satellite images from Sentinel-2. It was found that the current state of the lake is in transition from an oligotrophic to a mesotrophic level with some evidence of deterioration, but still being considered as a clear lake. With the use of empirical algorithms to retrieve chlorophyll-a from satellite data it was found that the images presented an acceptable feasibility (R2 = 0.64). The observed algal bloom was detected one month before the algae reached its major extent, being the reflectiveness of the green band a good indicator of the onset of the algal bloom event. Favorable conditions for the algal bloom were also recorded two months before its major extend through a chain of thermistors. PRACTITIONER POINTS The trophic state of Lake Zirahuén was evaluated before and after a significant algal bloom took place. The lake is classified as being in transition from oligotrophic to mesotrophic. Nonetheless, it continues to have good clarity. Satellite images improve in the description of the spatial-temporal variability of the lake. In particular, the green band reflectiveness.

Antiphospholipid antibodies (aPLs) are a group of autoantibodies associated with a variety of pregnancy complications, but the impact of aPL on the outcomes of assisted fertility treatment (ART) is controversial. This systematic review and meta-analysis were designed to explore the association between aPL and ART outcomes and to explore in which stages does aPL play a role.

PubMed and Cochrane database were systematically retrieved, and odds ratios (ORs) or risk ratios (RRs) with 95% confidence intervals (CIs) were calculated in a random-effect model or fixed-effect model according to the heterogenicity assessed by the Cochran Q and I

statistic test. Of 246 records identified by the search, 10 case-control studies and 13 cohort studies that explored the association between aPL and in vitro fertilization (IVF) and/or intracytoplasmic sperm injection (ICSI) were analyzed.

The results showed that aPL positive rate was higher in females who failed in IVF/ICSI than those who succeeded in IVF/ICSI (OR 3.62, 95% CI 1.95-6.74). This study also indicated that females positive for aPL have a higher miscarriage rate (RR 1.68, 95% CI 1.24-2.28) than those negative for aPL, but live birth rate, biochemical pregnancy rate, and clinical pregnancy rate were similar between two groups (RR 1.01, 95% CI 0.91-1.12; RR 1.18, 95% CI 0.57-2.43 and RR 0.95, 95% CI 0.80-1.13).

There was higher aPL prevalence in females with adverse IVF/ICSI outcomes. It seems that aPL mainly affects the miscarriage rate, but has little effect on live birth rate, biochemical pregnancy rate, and clinical pregnancy rate. Routine detection of aPL before IVF/ICSI treatment is meaningful.

There was higher aPL prevalence in females with adverse IVF/ICSI outcomes. It seems that aPL mainly affects the miscarriage rate, but has little effect on live birth rate, biochemical pregnancy rate, and clinical pregnancy rate. Routine detection of aPL before IVF/ICSI treatment is meaningful.

This study examined the influence of pandemic fatigue on clinical nurses’ mental health, sleep quality and job contentment, with resilience as a mediator.

Pandemic fatigue is an emerging health concern among frontline clinical nurses as a consequence of the ongoing coronavirus pandemic and the various measures implemented to slow the spread of infection. As yet, no studies have investigated the link between pandemic fatigue and resilience, mental health, sleep quality and job contentment in frontline clinical nurses.

This was a descriptive, cross-sectional study involving 255 frontline clinical nurses in the Philippines. The Pandemic Fatigue Questionnaire, Brief Resilience Scale, Job Contentment Scale and the Sleep Quality Scale were used to collect data through an online survey.

The mean pandemic fatigue score was 3.086 (out of 5). Being vaccinated (β=0.231, p<.001) and increased staffing levels (β=-0.488, p<.01) were associated with decreased pandemic fatigue in clinical nurses. Resilience partially mediated the relationships between (a) pandemic fatigue and mental health (β=-0.