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Prenatal diagnosis of congenital heart disease (CHD) often leads to anxiety, depression, and traumatic stress in expectant mothers, with long-term implications for the child and family. However, psychosocial intervention is rarely incorporated into prenatal care. HEARTPrep is a virtually delivered psychosocial intervention aimed at reducing distress and social isolation and increasing parenting self-efficacy and hope for mothers expecting a baby with CHD to promote long-term child/family well-being. This study evaluated the feasibility and acceptability of HEARTPrep. Participants were mothers receiving cardiology care for a fetal CHD diagnosis. Partners could participate with the mother. HEARTPrep was delivered through a mobile app and telehealth. Feasibility was assessed through enrollment/retention rates. Acceptability was assessed through 20 Likert-scale and five open-ended questions. Of 39 recruited mothers, 35 (90%) enrolled. Half of partners (48%) also participated. Twenty-seven of 35 enrolled mothers (77%) completed HEARTPrep. On a scale from 0 (Not at All) to 4 (Very), mean item acceptability scores ranged from 3.5 to 3.9. Mothers reported HEARTPrep helped them feel less distressed (mean: 3.74), less alone (3.84), more prepared (3.89), and more hopeful (3.84). Opportunities to process emotions, develop coping skills, learn with their partner, navigate relationships, understand they are not alone, connect with peer support, access resources, and prepare for stressors were described as helpful. HEARTPrep is feasible and acceptable for mothers expecting a baby with CHD. Future research will evaluate its efficacy in preventing/reducing maternal mental health problems and improving postnatal clinical outcomes. [ABSTRACT FROM AUTHOR]

Purpose of Review: Pregnancy-associated breast cancer (PABC) can be challenging to manage, requiring the balance of appropriate oncologic therapy with maternal fetal risk. Multidisciplinary collaboration is integral, and this review aims to evaluate current practices and management options for PABC. Recent Findings: Imaging evaluation favors ultrasound and mammogram during pregnancy. Staging imaging is also feasible with thoughtful consideration of the risks, benefits, and fetal radiation exposure. Treatment options for PABC vary with gestational age, and careful planning for surgery, systemic therapy, and radiation therapy should account for the timing of therapy to minimize the risks to mother and baby. Breastfeeding may be contraindicated while on select systemic therapies. Summary: Treatment options for PABC are evolving, but further study is warranted in this population. With ongoing advances in imaging, surgery, and systemic therapy, emerging recommendations and guidelines should be integrated into the current understanding of PABC management. [ABSTRACT FROM AUTHOR]

Previous research suggests that organisms allocate more attention to stimuli associated with higher reinforcer rates. This finding has been replicated several times when stimuli are trained together as compounds, but not in other procedures. Thus, the generality of the relation between relative reinforcer rates and divided attention is not well established. Therefore, we investigated whether relative reinforcer rates determine attention allocation when stimuli are trained separately and then encountered together. Pigeons learned to associate two colors and two frequencies of key light on/off alternation with a left or right comparison key in a symbolic 0-s delayed matching-to-sample task. Across conditions, we varied the probability of reinforcement associated with each stimulus dimension during training. After training, we introduced test trials in which a color and flash-frequency stimulus were presented simultaneously. During sample-stimulus presentation in test trials, all pigeons preferred the stimulus associated with the higher reinforcer rate, suggesting that more attention was allocated to that stimulus. Interestingly, such attention allocation did not result in preference for the comparison that matched that stimulus. Instead, all pigeons preferred the comparison that was physically closer to the stimulus associated with the higher reinforcer rate, suggesting that comparison choice was controlled by the location of that stimulus. Nevertheless, overall, our results provide the first evidence that relative reinforcer rates determine divided attention between separately trained stimuli and thus demonstrate the generality of the relation between relative reinforcement and attention allocation. We suggest several avenues for future research to establish further the generality of this relation. [ABSTRACT FROM AUTHOR]