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Background: Disturbances in the thermoregulatory system can precipitate inadvertent hypothermia in patients undergoing surgeries lasting over 60 min, causing serious complications in the recovery process. Cutaneous thermal protection is relevant for the control of temperature of patients in the perioperative setting. The standard thermal protection widely utilized is an electric forced warm air blanket. This study compared a new layered textile blanket with the standard protection. The hypothesis posited that the textile blanket could provide cutaneous thermal protection comparable to that of the standard protection (forced-air warming blanket), in terms of temperature variation and safety. Methods: This randomized controlled trial was conducted at a Portuguese orthopedic hospital from October 2018 to January 2019, comprising 124 adult patients undergoing elective total knee arthroplasty. Participants were randomly allocated to either the intervention group, receiving the textile blanket, or to the control group, receiving standard measures. Tympanic temperature, shivering, and thermal comfort perception were evaluated at six time points. Comfort dimensions and ergonomic aspects were also assessed. Parametric statistics were performed, and independent samples t-tests and repeated measures were used to compare temperature variations and thermal comfort. Results: No statistically significant differences were found between groups in mean temperature variation, visual perception of thermal comfort, and thermal and perioperative comfort scales. The intervention group (n = 65) scored significantly higher in ergonomic evaluations compared to the control group (n = 59) for: fit to body and general comfort (p = 0.004), touch (p = 0.005), and feeling of comfort with the inner layer texture and shape (p < 0.001). Conclusion: The tested blanket had a comparable performance to the standard protection, suggesting it as a potential sustainable alternative to the recommended measures for thermal protection. However, further investigations across diverse contexts and populations are needed to validate these findings. [ABSTRACT FROM AUTHOR]

Summary: Sleepwear and bedding materials can affect sleep quality by influencing the skin and body temperature and thermal comfort. This review systematically evaluates the impact of sleepwear or bedding of different fibre types on sleep quality. A systematic search was conducted in six data bases plus Google Scholar and manual searches. Original articles that compared human sleep quality between at least two fibre types of bedding or sleepwear were included, resulting in nine eligible articles included in the review. The fibre types included cotton, polyester, wool, and blended materials for sleepwear; cotton, duck down, goose down, polyester and wool for duvet; and linen and a combination of cotton and polyester for bedding. The interplay between fibre materials and sleep quality is complex. Blended sleepwear demonstrated potential benefits for specific populations. Wool sleepwear showed benefits for sleep onset in adults (cool conditions) and in older adults (warm conditions). Linen bedsheets improved sleep quality under warm conditions in young adults. Goose down‐filled duvets increased slow‐wave sleep under cool conditions in young adults. However, a systematic comparison of fibre types is challenging due to the diverse nature of the studies evaluating sleep quality. Further research employing standardised methodologies with standard fibre samples in different populations and in different temperature conditions is imperative to elucidate comprehensively the effects of fibre choices on sleep quality. Despite the limitations and heterogeneity of the included studies, this analysis offers valuable insights for individuals seeking to optimise their sleep experiences and for manufacturers developing sleep‐related products. [ABSTRACT FROM AUTHOR]

Aim: This study aims to investigate the effects of the white noise, swaddling and white noise + swaddling methods on pain and physiological parameters associated with orogastric tube insertion procedure. Methods: This was a randomized controlled trial. A total of 132 preterm infants were randomly assigned to four groups as white noise group (n = 33), swaddling group (n = 33), white noise + swaddling group (n = 33) and control group (n = 33). Interventions were initiated 5 min before the orogastric tube insertion procedure and continued during and up to 5 min after the procedure. Results: White noise intervention alone did not have a significant effect on reducing pain associated with orogastric tube insertion (p > 0.05). Compared with the control group, the preterm infants in the swaddling group experienced 0.587 times less pain, and those in the white noise + swaddling group experienced 0.473 times less pain. Conclusions: Findings indicate the swaddling and the combination of white noise + swaddling may be a useful intervention in reducing the invasive pain experienced by preterm infants during and after orogastric tube insertion and in improving the physiological parameters associated with pain. Summary statement: What is already known about this topic? It is known that orogastric tube placement is a painful procedure for preterm infants.Non‐pharmacological methods may contribute to reducing procedural pain in preterm infants. What this paper adds? The result of this randomized controlled trial provides evidence that swaddling method and the combination of white noise + swaddling may contribute in reducing the orogastric tube insertion related pain.White‐noise intervention alone did not show beneficial effects on procedural pain in this study. The implications of this paper: This study contributes to the literature on white noise and swaddling methods to manage pain associated with orogastric tube insertion in premature infants.Nurses should be aware that orogastric tube insertion procedure caused pain in preterm infants and should take non‐pharmacological interventions to reduce procedural pain. [ABSTRACT FROM AUTHOR]

The study investigated the effects of housing conditions and temperature-humidity index (THI) during the dry period on total bacteria counts of bedding material, animal cleanliness, and teat bacterial contamination on 212 cows from three farms. Additionally, milk yield, quality, total somatic cells, and leucocyte fractions were evaluated in the subsequent lactation on a subgroup of 119 cows. The results showed a relationship between persistent high THI, teat bacterial contamination, and pathogens on teat skin. Somatic cell count (SCC) in milk at the beginning of the next lactation was not affected by THI during the dry period. Multiple correlation analysis revealed a relationship among high milk SCC, high percentage of neutrophils, high bacterial count of bedding during the dry period, and high milk production at dry-off. The study confirms that critical environmental conditions, such as high THI and poor bedding hygiene, during the dry period, can affect teat bacterial contamination and increase the risks for high SCC in the next lactation. High milk production at dry-off may be another risk factor. HIGHLIGHTS: Temperature and humidity in the barn during the dry period affect total bacterial and pathogen contamination on teats. Bedding bacterial count during dry period, milk production at dry-off, and post-calving somatic cell counts were positively associated. [ABSTRACT FROM AUTHOR]

[Purposes] In order to better understand the permeability changes of coal measure bedded sandy mudstone under stress, the mechanical characteristics and permeability of bedded sandy mudstone were studied by discrete element simulation on the basis of the stress seepage coupling laboratory tests. [Methods] First, the failure mode and the relationship between the full stress-strain loading process and the permeability of sandy mudstone were studied by the stress-seepage coupling laboratory tests in the bedding directions of parallel and perpendicular rock bedding. Second, in the discrete element software PFC2D, a method to characterize the flow field by solving the finite difference method is proposed for the first time, which can well reflect the stress-strain response and permeability changes of sandy mudstone, and the simulated stress-strain and permeability curves obtained are consistent with experimental results, with the fluid flowing intensively along the main fracture. Finally, according to the calibrated parameters, the stress and permeability of rock samples at different bedding angles are simulated, and the relationships between the maximum permeability or peak strength and bedding angles are explored. [Findings] The results show that the strength and permeability of layered sandy mudstone are anisotropic. The flow field direction, flow rate, and contact force chain in the rock sample are closely related to the crack, and the strong contact force chain is concentrated near the shear zone at the joint of the sample. With the increase of the bedding angle α, the peak intensity changes in a“ U” shape, and the maximum permeability decreases linearly. [Conclusions] This numerical simulation method fully takes into account the influence of rock mechanics and seepage characteristics, which provides a theoretical basis for the surrounding rock seepage prevention and reinforcement project, and a new idea for the fluid-structure interaction of discrete element simulation.

Pakistan's textile industry, a cornerstone of the national economy, stands at a pivotal juncture. While recent export figures bring optimism, the sector grapples with significant challenges that threaten its long-term [...]

Coal seam water injection is an effective technique for dust reduction in coal mines. Imbibition is an important means of water transport in coal seams and is influenced by coal bedding. The spatial distribution of water in the seepage process was obtained, and the spontaneous seepage characteristics and water transport mechanisms of coals containing different layered angles were revealed by NMR. Results show that the bedding mainly serves as the water flow channels in the imbibition. When the angle increases, the imbibition rate of adsorption pores and seepage pores in the early stage decreases. The imbibition is firstly transported to the top quickly along the bedding flow channel, 1.5h for 0° bedding coal sample, 24h for 90°, when the water reached its apex, the curve no longer changed and imbibition proceeded slowly. With the increase of bedding angle, the imbibition equilibrium time increased from 3h to 30h, up to 9 times more, the maximum imbibition rate decreases significantly, reduced from 5.64 g/h to 1.13 g/h, the flow resistance increases, and the remaining capillary force after equilibrium increases from 0.007 Pa to 5.24 Pa. When the capillary force cannot overcome the flow resistance, the imbibition reaches equilibrium. [ABSTRACT FROM AUTHOR]

Context: Manure deposition during livestock export voyages contributes to air ammonia levels, potentially affecting human and animal health if not managed. Mitigation strategies may include increased air change rates and application of bedding. Aim: This study examined the effect of bedding application rate (BAR) and air change rate (ACH) on air ammonia (NH3) concentrations and pad properties, including pad surface condition, pH, moisture, and pad ammonium (NH4+) concentrations, for intensively housed beef cattle. Methods: Six 7-day runs were conducted with 72 Bos indicus cross steers (mean liveweight ± s.d. = 338 ± 32 kg) housed in respiration chambers by using a 3 × 3 factorial design. The BARs were set to 0%, 50%, and 100% of the Australian Standards for the Export of Livestock (ASEL), and ACH were varied at 20, 35, and 52. Air NH3 was measured twice daily at three heights. Pad surface condition was collected with the first air NH3 measurement. Video footage captured standing and lying behaviours for each steer. Pad samples were collected on the final day for pad chemical analysis. Key results: The ACH of 20 changes per hour resulted in higher air NH3 concentration than ACH of 35 and 52. Higher BAR led to lower pad pH and moisture, with slightly lower pad NH4+ concentration in 100% and 50% BAR than 0% BAR. Although air NH3 concentration on Day 7 was positively correlated with pad NH4+ concentration, BAR had no marked effect on air NH3 concentration (within the temperature range of this experiment). Drier and firmer pad surfaces were associated with each high BAR and high ACH. Moreover, high BAR increased the frequency of lying behaviour in steers. Conclusions: These findings indicated that NH3 can be mitigated by optimising air changes to minimise air NH3 concentration and utilising bedding to minimise pad NH4+. This offers practical solutions for intensively housed beef cattle, such as livestock export voyages to improve human and animal welfare onboard. Implications: The study results emphasised the importance of optimising ACH to maintain low air NH3 concentrations in livestock export conditions. Although there was no evidence that BAR affects air NH3 directly, it reduced pad NH4+ and improved pad conditions for overall animal comfort and environmental quality in confined housing with sufficient air changes. Manure deposition on livestock export voyages contributes to air ammonia (NH3), impacting human and animal health. This study examined how bedding application rate (BAR) and air change rate (ACH) affect air NH3 and pad NH4+ levels in housed beef cattle. Higher BAR improved pad conditions by reducing pH, moisture, and NH4+, while increased ACH lowered air NH3. Optimising air changes and bedding use can effectively mitigate NH3, offering practical solutions to enhance human and animal welfare during livestock transport. [ABSTRACT FROM AUTHOR]

Background: The use of forced-air warming (FAW) blankets is widely recognized for preventing shivering and hypothermia in patients under general anesthesia. Various types of products are currently available for hospitals, and we have conducted a preliminary evaluation of insulation equipment based on expert opinions and initial parameters. However, we lack real-world experiments and accurate clinical data to validate these parameters and the accuracy of our decision-making results. This study aims to confirm the effectiveness of different FAW systems by assessing the thermal protection and operational characteristics of the equipment in both experimental and clinical settings, thereby enhancing our evaluation database. Methods: In the manikin test, we conducted six tests including heat distribution and heating rate, heater outlet temperature stability, etc. In the clinical study, patients were randomly assigned to four groups [Group A (Bair Hugger Therapy, 3 M, St. Paul, MN, USA; 63500); Group B (EQUATOR® level I, Smith Medical ASD, MN, USA; Snuggle Warm, SW-2013); Group C (Jiang Men Da Cheng Medical Devices Co., Ltd, China; IOB-006); and Group D (Shang Hai Nest Tech Medical Materials Co., Ltd, China; BH-017)], with each group comprising 30 individuals. At the start of anesthesia induction, the FAW blanket was activated and set to 43 °C until the completion of surgery. The primary endpoint was the average core body temperature during surgery. Secondary endpoints included hemodynamic and surgical variables, adverse events, and recovery metrics. Results: In the manikin test, the observed results of the experimental parameters (heat distribution, air pressure difference, and hole observation test) for Group A are superior to those of the other groups. In the clinical study, although the mean perioperative core body temperature remained above 36 °C across all groups [Group A: 36.31 ± 0.04; Group B: 36.26 ± 0.06; Group C: 36.17 ± 0.03; Group D: 36.25 ± 0.05], patients in Group A maintained higher temperatures compared to the other groups (p < 0.001). Conclusions: Among patients undergoing laparoscopic radical resection of colorectal cancer with general anesthesia, all four FAW systems effectively prevented perioperative hypothermia. However, the system in Group A minimized heat loss more effectively than the others, providing superior thermal protection. Trial registration: ChiCTR2200065394, 03/11/2022. [ABSTRACT FROM AUTHOR]

Purpose: Massively bleeding trauma patients often arrive to intensive care units hypothermic. Active warming blankets have shown promise in reducing hypothermia in the pre-hospital setting, but less is known about their in-hospital use. The aim of this pilot evaluation was to understand the feasibility of the Ready-Heat® blanket in a level 1 trauma centre to improve the management of hypothermia in massively bleeding trauma patients. Methods: This was a prospective, observational, feasibility study of 15 patients performed at a single level 1 trauma centre. Patients were eligible for enrollment if they presented to the trauma bay and a massive hemorrhage protocol was activated. Primary outcome measures (feasibility) included: blanket applied to the patient; temperature recording in the trauma bay, and next phase or final phase of care; and blanket remaining on patient upon arrival to the subsequent phase of care.Secondary outcome measures (safety) included skin irritation and cold discomfort. Use of the Ready-Heat® blanket was considered feasible if 10 of 15 patients met all four criteria for feasibility. Results: The Ready-Heat® blanket was placed on all patients with mean time to blanket application of 24 (± 13.4) minutes. Thirteen patients (86.7%) met all four criteria for feasibility. Initial challenges were identified in the first five patients including proper blanket application, keeping the blanket on the patient through subsequent phases of care, and failure to obtain temperature recordings. Conclusion: The Ready-Heat® blanket proves feasible for this patient population. A larger study focusing on hypothermia prevention and treatment is warranted. Trial registration number: NCT04399902. Date of registration: May 22, 2020. [ABSTRACT FROM AUTHOR]

To determine the impact of a weighted blanket on acute pain and anxiety in trauma patients, a preliminary prospective/retrospective study at a level-one trauma center (n = 24 patients) was conducted. In this study, 12 patients using weighted blankets for five consecutive days were compared to a matched retrospective cohort of 12 patients not using a blanket. The change in morphine milligram equivalents (MME) and alprazolam milligram equivalents (AME) over five days were compared. There was a significant difference of MME per day between the intervention group (mean MME change = −22.9) and matched controls (mean MME change = 6.2; p = 0.0072) by blanket use. Total MMEs in the intervention group decreased by 275.5 and in the control group increased by 75 between day 1 and day 5. There was no significant difference in AME change between groups (p = 0.3227). The majority of patients who took a post-intervention questionnaire reported less pain and less anxiety with blanket use compared to those without blanket use (78% and 56% of patients, respectively). To summarize, trauma patients in acute pain had less opioid use and reported less pain and anxiety when using a weighted blanket for five consecutive days compared to a control group who did not use a blanket. [ABSTRACT FROM AUTHOR]

Background: Babies spend a lot of their time with sleeping thus they need to have a safe sleep. Inadequate sleeping arrangements might heighten the likelihood of Sudden Unexpected mortality in Infancy (SUDI), including SIDS and lethal sleeping mishaps, which continue to be the most prevalent cause of mortality for individuals aged 1 to 1 year. Objective: The study aimed to assess safe baby sleep practices and associated factors among women receiving immunizations at government healthcare facilities in Dessie Town. Design: An institution-based cross-sectional study Methods: We conducted interviews with a total of 392 mothers using semi-structured questionnaires at public health facilities of Dessie town, in 2021. After the data were entered into the EPI data version 3.1, SPSS 23 was utilized for the analysis. Additionally, multivariate and binary logistic regression analyses were carried out. In multivariate analysis, a P -value less than.05 indicate a significant association. Results: About 38.3%, 21.9%, and 14.7% had safe infant sleep practice regarding sleep position, no soft-bedding and sleep arrangement respectively. Significant association was observed between safe infant sleep position with baby age less than 3 months (AOR = 2.96, 95% CI = 1.50-5.84), baby age of 7 to 9 months (AOR = 3.84, 95% CI = 2.15-6.85), maternal level of education(AOR = 4.48, 95% CI = 1.87-10.76), relative/friend as their source of information (AOR = 1.98, 95% CI = 1.14-3.44), grandmother as their source of information (AOR = 1.89, 95% CI = 1.00-3.57).Additionally, baby age 4 to 6 months (AOR = 0.93, 95% CI = 0.19-0.94) and maternal level of education (AOR = 0.19, 95% CI = 0.04-0.92) shows a significant safe infant bed arrangement practice. Furthermore, baby age of 10 to 12 months (AOR = 0.49, 95% CI = 0.25-0.98) and maternal education level of college and above (AOR = 3.44, 95% CI = 1.18-10.03) also shows significant association with safe soft-bedding practice. Conclusion: Mothers' safe infant sleep practices were found to be low in Dessie town. Therefore, efforts should be made to enhance mothers' attentiveness and engagement. This will help them follow healthy infant sleep practices. [ABSTRACT FROM AUTHOR]

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Importance: Sleep disorders are associated with a range of health conditions, with poor sleep often further exacerbating individuals' health, well-being, and ability to participate in daily occupations. Weighted blankets offer a potentially simple nonpharmacological sleep intervention option. Objective: To summarize available literature on instrumentation and outcomes associated with overnight use of weighted blankets for therapeutic purpose. Evidence Review: A scoping review following the PRISMA review guidelines was conducted. Sources included MEDLINE, Cochrane Library, CINAHL, PsycINFO, Scopus, Embase, and Google. Included studies reported on overnight use of weighted blankets. Critical appraisal of studies was conducted with standardized tools. Findings: Eighteen studies met the inclusion criteria. Positive outcomes were reported for adults, including improved sleep, reduction in medication use, and improved mood. Sleep outcomes were mixed for children and adolescents but included improved occupational performance. Methodological quality of included studies regarding effectiveness was variable. Ten studies included details of the intervention, whereas only one study reported on implementation. No specific guidelines for use were included. Conclusions and Relevance: Weighted blankets are used as a sleep intervention for individuals across the life span experiencing a range of health conditions. Currently, there is more evidence of effectiveness with adults, although parents are favorable regarding weighted blanket use for children. Implementation and recommendation of weighted blankets are typically led by occupational therapists, with knowledge of the intervention facilitating use. This review provides information to inform occupational therapists' clinical decision-making and continued implementation of weighted blankets for individuals with sleep problems. Plain-Language Summary: This scoping review summarizes what is known about the use of weighted blankets as a sleep intervention for people of all ages. There is more evidence for overnight use of weighted blankets for adults, with improvements reported in sleep, mood, medication use, and pain. Although there is little evidence of improvement in sleep for children, some children show improvement in everyday functioning, and parents report positive outcomes from overnight use of weighted blankets. These findings suggest that occupational therapists should consider offering or recommending weighted blankets as a sleep intervention option for people of all ages, alongside consideration of individuals' preferences. Development of practice guidelines that incorporate current research findings is urgently needed to support occupational therapists' use of weighted blankets. The findings of this scoping review suggest that occupational therapists should consider recommending weighted blankets as a sleep intervention option for people of all ages. [ABSTRACT FROM AUTHOR]

Endoscopy patients often face an uncertain, cold, anxious and thirsty wait for their procedure. Managing patient temperature is not a central concern of endoscopy nurses, whose attention and efforts are drawn to multiple other priorities. However, inadvertent hypothermia, defined as a non-intentional loss of body heat resulting in core temperature less than 36 degrees, increases morbidity, mortality and psychological distress in surgical patients. Little is known about the impact of inadvertent peri-procedural hypothermia during endoscopy procedures, however, there is potential for similar negative impacts on mental and physical health. Further, traditional practice norms mean that warmed cotton blankets remain the primary source of temperature management in many endoscopy units, despite evidence showing they are ineffective in increasing or maintaining patient's core temperature. Endoscopy patient outcomes and experiences could be improved by managing core temperature. Endoscopy nurses can take simple, evidence-based actions to support patients to maintain core temperature, resulting in a more comfortable procedural experience. Potential actions include increasing ambient temperatures in waiting and procedural areas, monitoring temperature, encouraging patients to speak up if cold, providing dressing gowns or encouraging patients to bring and wear personal warm clothing pre and post-procedure, initiating active warming if patients are hypothermic, express feelings of cold or are experiencing long wait times, assess for potential long procedures and utilise active peri-procedural warming, minimise body exposure during the procedure and prioritise active warming in the post-sedation recovery period. Whilst changing practice may have financial and environmental costs, a shift away from ineffective warmed cotton blankets will minimise the climate impacts associated with cloth blankets whilst improving patient comfort and potentially physical and psychological health. [ABSTRACT FROM AUTHOR]

To explore the effect of bedding and initial confining pressure on the energy evolution characteristics of shale during the unloading process, samples were drilled with different bedding angles, unloading tests were conducted under different initial confining pressures, and the mechanical and energy evolution characteristics of shale during the unloading process were analyzed. The results show that the stress–strain curve of the unloading test can be divided into the linear elasticity stage, the stable crack growth stage, the accelerated crack growth stage, and the post-failure stage. Critical confining pressure can show the relative strength of the rock samples. The elastic modulus and Poisson's ratio increase with an increase in axial preset load. The elastic modulus increases with the bedding angle, and the effect of the bedding angle on the Poisson's ratio is insignificant. The energy evolution of the unloading test can be divided into three stages: energy accumulation, energy dissipation, and energy release. The larger the axial preset load, the higher the critical confining pressure, the higher the elastic modulus, and the higher the Poisson's ratio. The total energy, elastic energy, and dissipation energy all increase with the increase in the initial confining pressure, and the correlation is high. Confining pressure enhances the ability of the shale sample to store elastic energy and improves the ability of the shale sample to resist internal crack propagation. The total energy, elastic energy, and dissipated energy of the samples in the failure point decrease first and then increase with the increase in the bedding angle. The maximum value can be obtained when the bedding angle is 0°. The elastic energy and dissipated energy of shale are highly heterogeneous due to bedding, and the effects of bedding should be taken into account when exploring the law of rock deformation and failure from an energy perspective.

Purpose This study aimed to determine the effective swaddling methods for stabilizing premature infants during transition. Methods The study included 12 premature infants during the transition period following admission to the NICU/GCU, with parental consent. The following data were collected: physiological indicators (heart rate, breathing rate, oxygen saturation), and a behavioral indicator (frowning behavior). Data was collected at rest and up to 20 minutes after nursing care. Evaluations were made at rest and at "0 to less than 5 minutes", "5 to less than 10 minutes", "10 to less than 15 minutes", and "15 to less than 20 minutes". Repeated measures analysis of variance were performed to reveal the effect of swaddling on the stability of premature infants. Furthermore, the Mann-Whitney U test was conducted to compare our findings to swaddling methods as defined in the literature to identify the differences. Results After nursing care, swaddling was carried out in 48 situations, and the effect of swaddling on stability was shown by heart rates that were significantly closer to the resting heart rate (p<0.001). Stability did not differ significantly between those who were compliant or noncompliant with swaddling. However, when comparing the swaddling method, the "upper limb restriction group" showed more "frowning behavior" than the "no upper limb restriction group" at 0 to less than 5 minutes after care (p=0.040) and 10 to less than 15 minutes after care (p=0.024). Conclusion The effect of swaddling of premature infants during transition was shown by heart rates that were significantly closer to the resting heart rate. The swaddling method without restriction of the upper limbs was also suggested to be effective in stabilizing infants. [ABSTRACT FROM AUTHOR]

Skin tears are a major problem for patients and the health care professionals who treat them. Although opinions on their prevalence differ, it is estimated that they are encountered more frequently than pressure sores but are overlooked. Recommendations based on strong evidence were presented for the prevention and treatment of skin tears as classified by the International Skin Tear Advisory Panel. This case series includes the clinical status of 3 patients who developed skin tears while receiving care in the hospital, and the corrective and preventive practices related to skin tears. This article will contribute to raising the awareness of health care professionals in predicting, preventing, evaluating, and treating skin tears. [ABSTRACT FROM AUTHOR]

Background. The World Health Organization recognizes that participation is important to individuals’ well being; yet, autistic children participate in fewer activities compared to neurotypical children. This article aims to describe the role of autism assistance dogs (AADs) in promoting participation and engagement in occupations and activities of daily living (ADLs) for autistic children. Method. A qualitative interpretative phenomenological design was used. Two semi-structured interviews from a narrative perspective were conducted with each participant. Four volunteer parents and primary handlers of their child’s AAD participated in the study. Inductive analysis was used to interpret openended questions. Following transcription, Creswell’s thematic analysis was used to develop codes and theoretical perspectives to better understand the lived experience of AAD users. Results. The single overarching theme identified in this study was: The Multi-Factored Role of Autism Assistance Dogs. Conclusion. AADs are a valuable, alternative form of adaptive equipment for autistic children that can serve a broad purpose in increasing participation in daily life. This area of practice is an appropriate location for occupational therapists to concentrate interventions when working with families with autistic children. This is a novel research topic that is important and deserves further study. [ABSTRACT FROM AUTHOR]

Background: Laryngoscopy and intubation remain critical in pediatric patients as compared to adult patients due to different anatomy. This study was conducted to compare the Cormack and Lehane grade (CL) of laryngoscopy, percentage of glottic opening (POGO) score, and the efficacy of backward upward rightward pressure (BURP) maneuver to improve laryngoscopy grade with or without the use of intubation pillow. Subjects and Methods: A randomized controlled trial was done from January 2020 to July 2020 on 68 children with 34 children in Group 1 (with intubation pillow) and 34 patients in Group 2 (without intubation pillow). Children between 5 and 12 years of age (the American Society of Anesthesiologists class I and II) planned for surgery under general anesthesia with endotracheal tube were included in this study. Pillow of 4 cm size was used in 5–9 years and 6 cm pillow in 9–12 years of age group. Macintosh laryngoscope was used for intubation. CL grading and POGO score were assessed. BURP maneuver was given in cases of difficult laryngoscopy of CL grade above 2 and its effect on improvement in CL grading was measured. Results: Group 1 children had significantly more CL grade I (83.3% vs. 16.7%); significantly lesser CL Grade IIb (23.1% vs. 76.9%, P = 0.001); and significantly more POGO score (97% vs. 86%, P < 0.05) than Group 2. The use of BURP maneuver significantly improved the laryngoscopy view in both the groups. Conclusions: The use of intubation pillow in children between 5 and 12 years of age facilitated better laryngoscopy view and POGO score. [ABSTRACT FROM AUTHOR]

BACKGROUND: Adults with cancer experience a significantly higher level of anxiety compared with the general population. Anxiety is reported at diagnosis and throughout the cancer trajectory, and it is particularly heightened at the initiation of infusion treatments. In 2020, the COVID-19 pandemic exacerbated anxiety levels in patients receiving cancer treatments. OBJECTIVES: This evidence-based practice project evaluated the feasibility and effectiveness of using medical-grade weighted blankets to reduce anxiety in patients with cancer receiving the first two infusion treatments in the ambulatory setting. METHODS: Patients completed a modified version of the Visual Analog Scale for Anxiety to self-report anxiety pre- and postimplementation. Patients and nurses completed feasibility surveys. FINDINGS: Patients reported reduced anxiety after using a weighted blanket and described weighted blankets as comforting and soothing. More than 90% of surveyed patients agreed or strongly agreed that the blanket was comfortable, not too heavy, and easy to put on, and did not interfere with nursing care or their own activities. Nurses valued the ease of use and adherence to infection control standards. [ABSTRACT FROM AUTHOR]

Insomnia is prevalent in patients suffering from depression and may itself exacerbate the disability associated with depression and impede the path to recovery. Although crucial in ensuring meaningful interactions and interventions for patients, research on patients' experiences of depression-related insomnia and its treatment is limited. The purpose of this study was therefore to investigate how adult patients with depression-related insomnia experience sleeping with a weighted Protac Ball Blanket®, focusing on how the blanket feels and works and contributes to their subjective sleep quality experience. An inductive content analysis approach was adopted. Semi-structured interviews were conducted with 13 patients. Four categories were identified: 1) Deep and dynamic touch pressure from the plastic balls induced calmness; 2) Changing sensory impressions from the rolling balls distracted attention from distressing thoughts and emotions; 3) The ball blanket improved the quality and quantity of sleep, which increased daily well-being; 4) Sleeping with the ball blanket was associated with positive as well as negative experiences depending on personal preferences for sensory stimulation. This study explains how the Protac Ball Blanket® as a potential non-pharmacological sleep-intervention improved the sleep of adult patients with depression-related insomnia. The blanket was found meaningful for coping with sleeplessness and with mental and physical unrest. [ABSTRACT FROM AUTHOR]

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Abstract In order to study the failure mode and fracture evolution characteristics of red shale in Kaiyang Phosphorus mining area, conventional triaxial compression mechanical tests of red shale with different bedding dip angles were carried out by using DSTD-1000 electro-hydraulic servo rock mechanics experiment system. Based on the laboratory test results, the conventional triaxial particle flow simulation of red shale samples with different bedding dip angles was carried out using discrete element PFC2D. The results show that: (1) the failure mode of red shale is controlled by bedrock when the bedding dip angle is 0° and 60° ~ 90°. When the bedding dip angle is 15° ~ 45°, the rock failure mode is controlled by bedding. The compressive strength of rock is the minimum when the bedding dip angle is 30°and the maximum at 0°, which is about 2 times of the minimum. (2) In the failure process of red shale, the cracks with different bedding dip angles show slow growth stage, accelerated growth stage and stable stage with axial strain. The whole failure process is dominated by tensile cracks, accompanied by a few shear cracks. (3) The type of displacement field varies with the bedding dip angle: tensile failure and shear failure are the main displacement field types at 15° ~ 45°, and mixed failure is often the main mode at 60° ~ 90°and 0°. The research results provide the basis and reference for the safety control of red shale roadway.