Nurses must be knowledgeable about social determinants of health SDH to provide holistic care with improved patient outcomes When evaluating the Baccalaureate of Science in Nursing curriculum, it is unclear if SDH are adequately identified, assessed, and discussed, or if students grasp their importance To move to a population health approach, faculty need to be more inclusive of community and public health For purposes of this study, the factors comprising SDH were identified as childhood experiences, housing, education, social support, family income, employment, communities, and access to health services These eight factors were used to categorize participants' qualitative responses to baseline and completion surveysToday's health care environment requires registered nurses to be prepared for an array of practice settings, providing care outside the hospital and directly in the community There is increasing focus on wellness, prevention, access to care, and mental health services for an aging and more diverse population  https//wwwselleckchemcom/products/cyclophosphamide-monohydratehtml  To improve alignment of education with increasingly complex needs, donor-advised funding supported four prelicensure nursing schools to transform their curricula Selected schools were guided through a curriculum redesign process emphasizing community and continuum of care This innovation was consistent with meeting challenges to realize the Institute of Medicine's 2011 Future of Nursing recommendations
  Lotrafilcon B lenses packaged in and cared for with block copolymer-containing polyoxyethylene-polyoxybutylene; EOBO lens care solutions resulted in lower cholesterol extraction than each of the habitual silicone hydrogel lens/multipurpose solution MPS regimens tested
 
  This study aimed to compare the extracted cholesterol of lotrafilcon B lenses packaged in and cared for with EOBO-containing lens care solutions with the extracted cholesterol of habitual silicone hydrogel lenses cared for with MPS not containing EOBO
 
  In this prospective, randomized, observer-masked parallel study, habitual wearers of senofilcon C, senofilcon A, comfilcon A, and samfilcon A contact lenses using a non-EOBO MPS were randomized 11 to lotrafilcon B lenses packaged in and cared for with EOBO-containing solutions or to their habitual lenses and MPS Subjects randomized to lotrafilcon B were further randomized to one of two EOBO-containing lens care solutions, OPTI-FREE PUREMOIST or CLEAR CARE PLUS with HydraGlyde Alcon Lalyoxyethylene-polyoxybutylene MPS
 Cholesterol sorption was significantly lower in wearers of lotrafilcon B lenses cared for with polyoxyethylene-polyoxybutylene-containing lens care solutions than in users of habitual silicone hydrogel lenses cared for with non-polyoxyethylene-polyoxybutylene MPS
  To judge the feasibility of virtual reality VR headsets for vision testing and treatment of binocular vision disorders and low vision, angular resolution logMAR and field of view must be known and may not be reliably provided This is the first study to measure the limitations of VR systems for eye care applications
 
  This study aimed to measure, in a sample of VR headsets, eye-to-screen distance and other physical and optical characteristics needed to calculate minimum angular resolution in logMAR and field of view in determining feasibility for vision applications
 
  Eye-to-screen distance was measured, and logMAR, field of view, and maximum convergence demand were calculated for two standalone VR devices, Oculus Rift DK2 and HTC Vive, and, for four smartphone VR headsets, Zeiss VR1, Samsung Gear VR, VR Box, and SunnyPeak, each paired with four high-resolution smartphones, Samsung Galaxy S7/S8, iPhone X, and LG VR30
 
  On average, the smallest letter that could be displayed in VR was 041 ± 009 20/during movie watching or gaming is about half that reported by manufacturers but adequate for some types of visual field testing Use for vergence testing and training is a concern for headsets with long eye-to-screen distance or interpupillary distances less then 60 mm
  Standardized guidelines that are clinically practical are needed to assist the prescriber in minimizing the risk of conveying infection through multiuse diagnostic contact lens use and reuseContact lens prescribers face the specter of transferring potential pathogens from one patient to another when reusing diagnostic trial contact lenses on multiple patients because infectious organisms have been recovered from worn contact lenses, although there is no evidence of transmission through this mechanism These pathogens can be introduced into the system from one patient to another, or they may be introduced by clinician lens handling, storage, or both These pathogens can cause acute or chronic systemic or ocular infection that can lead to significant morbidity temporary or permanent that includes vision loss
 Standardized guidelines that are clinically practical are needed to assist the prescriber in minimizing the risk of conveying infection through multiuse diagnostic contact lens use and reuseContact lens prescribers face the specter of transferring potential pathogens from one patient to another when reusing diagnostic trial contact lenses on multiple patients because infectious organisms have been recovered from worn contact lenses, although there is no evidence of transmission through this mechanism These pathogens can be introduced into the system from one patient to another, or they may be introduced by clinician lens handling, storage, or both These pathogens can cause acute or chronic systemic or ocular infection that can lead to significant morbidity temporary or permanent that includes vision loss
  In missed Monteggia fracture MMF cases, ulnar angulation and lengthening by osteotomy are required to reduce the dislocated radial head This study aimed to clarify the abnormal discrepancy in length between the radius and ulna in MMF We tested the hypothesis that the increase in the abnormal discrepancy in length between the radius and ulna relates with the duration of radial head dislocation
 
  In total, 24 patients with MMF were studied and classified into 2 groups, according to the duration of radial head dislocation, including the early group n=9, within 3 y and the long-standing group n=15, older than 3 y The lengths of the radius Lr and ulna Lu were measured The difference in length between the ulna and radius DL=Lu-Lr was calculated on both the affected DLaff and normal DLnor sides DLnor-DLaff, which represented an abnormal discrepancy in both bones, was analyzed for correlation with the duration of radial head dislocation and the age at initial injury
 
  The affected and normal sides had no differences in the Lr of both the groups and in the Lu of the early group However, in the long-standing group, Lu was significantly smaller in the affected side than in the normal side P=0001 In the long-standing group, DLaff was significantly smaller, owing to decreased length of the ulna, than DLnor P=0003 The DLnor-DLaff was positively correlated with the duration of radial head dislocation and was negatively correlated with the age at injury
 
  In chronic MMF cases, the length of the ulna was shorter in the affected side than in the normal side Therefore, ulnar lengthening is necessary to resolve this abnormal discrepancy and reduce the radial head Because excessive ulnar lengthening has risks of postoperative complications, one of the surgical options is gradual ulnar lengthening or shortening osteotomy of the radius
 
  Level III-Prognosis study
 Level III-Prognosis study
  Since its original description, the triple pelvic osteotomy has undergone several modifications and refinements most often utilizing 3 or 2 incisions Recently, a single-incision extraperiosteal technique has been described; however, little data exist on the outcomes of this procedure
 
  All patients undergoing single-incision triple osteotomy from 2 centers were retrospectively reviewed Demographic data, underlying diagnosis, and preoperative radiographic data were recorded Intraoperative details including estimated blood loss and type of postoperative immobilization were noted Over the follow-up period, complications were recorded as were radiographic outcomes including lateral center edge angle, acetabular index, migration percentage, continuity of Shenton's line, and time to union
 
  Twenty-eight hips in 24 patients underwent surgery at a mean age of 93 years range, 65 to 138 y Diagnoses included Trisomy 21 9, developmental dysplasia of the hip 5, Charcot-Marie-Tooth 3, and neuromuscula retrospective series, the single-incision triple innominate osteotomy was extremely effective for improving acetabular coverage and stabilizing unstable hips in a variety of underlying diagnoses with an acceptably low rate of complications
 
  Level IV-case series
 Level IV-case series
  There is debate regarding the timing of procedural sedation and analgesia PSA in relation to fasting status Point-of-care ultrasound POCUS provides the ability to measure gastric content and is being used as a surrogate for aspiration risk in anesthesia We sought to evaluate the gastric content of pediatric emergency department PED patients undergoing PSA using POCUS
 
  We performed a prospective observational study using a convenience sample of pediatric patients undergoing PSA between July 1, 2018, and June 30, 2019 Following a brief history, gastric content was measured using POCUS in both supine and right lateral decubitus positions at 2-hour intervals until the time of PSA Qualitative content and calculated volume were classified based on the Perlas Model of anesthesia "Risk" assessment
 
  Ninety-three patients were enrolled with 613 male and mean age of 65 years Gastric content was determined in 92 patients There were 793 that had "high risk" content at the time of PSA, with a median fasting time of 625 hours and no serious adverse events Fasting duration had a weak to moderate ability to predict "risk" category area under the curve = 073, with no patient n = 17 who underwent multiple evaluations awaiting PSA progressing from "high" to "low risk"
 
  The majority of PED patients undergoing PSA at our institution had "high risk" gastric content with no clinically significant change occurring during serial evaluations This calls into question the utility of delaying PSA based upon fasting status and lends support to a more comprehensive risk-benefit approach when planning pediatric PSA
 The majority of PED patients undergoing PSA at our institution had "high risk" gastric content with no clinically significant change occurring during serial evaluations This calls into question the utility of delaying PSA based upon fasting status and lends support to a more comprehensive risk-benefit approach when planning pediatric PSA
  Because of the growing concern about the potential effects of traumatic brain injuries TBIs on a *****'s developing brain and the potential impact of lifetime depression and risk behaviors associated with TBI, further exploration is warranted
 
  Data N = 4917 from the 2017 North Carolina Behavioral Risk Factors Surveillance System BRFSS
 
  Cross-sectional
 
  Examine whether a lifetime history of TBI with loss of consciousness LOC or having a history of TBI with LOC prior to 18 years of age was associated with a greater likelihood of lifetime depression, current binge drinking, and current cigarette and e-cigarette smoking
 
  Respondents with a history of TBI with LOC had 21 95 CI, 16-28 times higher odds of lifetime depression and 17 to 18 95 CI, 102-297 times higher odds of all risk behaviors than those without a lifetime history of TBI with LOC There were no statistical differences between age of first TBI with LOC and lifetime depression, binge drinking, cigarette smoking, and e-cigarette use after controlling for key demographics