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To explore the relationships between Chinese nurses’ knowledge, perceptions, and attitudes and their behavior and actual implementation of safety measures when handling antineoplastic drugs (ADs) in their daily work.

Aim: This study utilized latent profile analysis to investigate care needs subgroups among older adults with urinary incontinence. Methods: The "Elderly Urinary Incontinence Care Needs Inventory" surveyed 510 participants in two Guangzhou City hospitals from July 2022 to June 2023. Latent profile analysis created a classification model, and variance and correlation analysis assessed influencing factors. Results: A total of 510 older adults with urinary incontinence participated. The standardized total care needs score was 78.77 ± 5.03, with variations across dimensions: social participation needs scored (71.16 ± 10.32), daily life care needs (78.80 ± 5.51), medical care needs (77.33 ± 12.17), psychological comfort needs (76.97 ± 6.51) and health education needs scored highest (82.67 ± 6.77). Three distinct profiles emerged: "medium," "high SPN‐PCN" and "high DLCN‐MCN‐HEN". The majority belonged to the "high SPN‐PCN" profile. Significant correlations were found with age, education, leaks and frequency of micturitions. Conclusion: Research findings showed the existence of three distinct categories, with a notable majority of participants belonging to the "high SPN‐PCN" group. The significance of having these classes identified lies in the move away from a one‐size‐fits‐all approach to a more nuanced understanding of care needs. Customized nursing interventions can be devised based on specific factors, such as age, education level, urinary incontinence‐related symptoms and potential category. For instance, for the "high SPN‐PCN" group, our nursing strategy can encompass heightened psychological support and expanded opportunities for social engagement.Furthermore, in the training and education of healthcare professionals, recognizing and meeting the needs of each potential category of older adults might require more attention. Geriatr Gerontol Int 2024; 24: 758–765. [ABSTRACT FROM AUTHOR]

Background and Aims: Acute liver failure is a multisystem disorder with a high mortality and frequent need for emergency liver transplantation. Following massive innate immune system activation, soluble markers of macrophage activation are released during liver damage and their association with disease severity and prognosis requires exploration. Methods: Patients ALF from the United States Acute Liver Failure Study Group (USALFSG, n = 224) and King's College Hospital (n = 40) together with healthy controls (HC, n = 50) were recruited. Serum from early (Days 1–3) and late (>Day 3) time points were analysed for MAMs by enzyme‐linked immunosorbent assay correlated to markers of illness severity and 21‐day spontaneous survival. Surface expression phenotyping was performed via Flow Cytometry on CD14+ monocytes. Results: All MAMs serum concentrations were significantly higher in ALF compared to controls (p <.0001). sCD206 concentration was higher in early and late stages of the disease in patients with bacteraemia (p =.002) and infection in general (p =.006). In MELD‐adjusted multivariate modelling, sCD206 and sCD163 were independently associated with mortality. CD14+ monocyte expression of CD206 (p <.001) was higher in patients with ALF compared with controls and correlated with SOFA score (p =.018). sCD206 was independently validated as a predictor of infection in an external cohort. Conclusions: sCD206 is increased in serum of ALF patients with infections and poor outcome and is upregulated on CD14+ monocytes. Later measurements of sCD163 and sCD206 during the evolution of ALF have potential as mechanistic predictors of mortality. sCD206 should be explored as a biomarker of sepsis and mortality in ALF. [ABSTRACT FROM AUTHOR]

Purpose: To explore care requirements of older adults with urinary incontinence (UI) and contributing factors. Method: This cross-sectional study used the Older Adults Urinary Incontinence Care Needs Inventory to survey participants with UI in three large-scale tertiary hospitals located in Guangzhou City, China, from January 2023 to November 2023. Statistical analyses, including analysis of variance, t tests, correlation analyses, and linear regression models, were conducted to assess factors influencing participants' care needs. Results: A total of 530 older adults with UI participated in the survey and mean standardized score for overall care needs was 78.65 (SD = 5.01), with mean scores for each dimension ranging from 70.88 (SD = 10.55) for social participation needs to 82.45 (SD = 7.11) for health education needs. Factors that were found to influence incontinence care needs in older adults included age, literacy level, number of leaks, and type of disease (F = 37.07, adjusted R2 = 0.290, p < 0.001). Conclusion: Comprehensive care for older adults with UI, encompassing physiological, psychological, and social aspects, is crucial. It is essential to tailor care to individual needs and characteristics, taking into account factors, such as age and education, to ensure effective care. [Journal of Gerontological Nursing, 50(5), 43–49.] [ABSTRACT FROM AUTHOR]

A metal‐ and oxidant‐free procedure for the three‐component haloazidation/cyclization of phenyl‐linked 1,6‐enynes with TMSN3 and N‐iodo(bromo)succinimide under the irradiation of visible light was described. Moreover, this reaction involved a radical addition/5‐exo‐dig cyclization/radical coupling process, and realized simultaneous construction of C−N, C−C, and C−X (I, Br) bonds in one step. [ABSTRACT FROM AUTHOR]

Comprehensive Summary: Aryl sulfonyl radical triggered cascade cyclization of phenyl‐linked 1,6‐enynes for the synthesis of biologically important indenes containing alkenyl C—X bonds and 10a,11‐dihydro‐10H‐benzo[b]fluorines is presented. In these radical cascade processes, three new chemical bonds, including C—S, C—C, and C—X bonds, and three C—C bonds are formed in one step. The method is attractive and valuable due to its metal‐free, mild reaction conditions, broad substrate scope and good functional group tolerance. [ABSTRACT FROM AUTHOR]