https://www.selleckchem.com/products/dl-ap5-2-apv.html oup methods-while considering socio-economic situations. Implications for Practice Mental health nurses should provide targeted biopsychosocial interventions targeting psychosocial and physical problems and promoting the use of community resources to reduce PPW's suicidal ideation.Prognosis has dramatically improved among children with congenital heart disease (CHD), and the median survival for severe CHD is currently 25 years (ie, into adulthood). However, additional cardiac surgeries are often necessary in adults with CHD, whose unique cardiovascular anatomy and physiology necessitate specialized management by experts in adult CHD (ACHD) during the perioperative period. ACHD is characterized by a combination of congenital cardiac lesions, intervention-related anomalies that have developed over time, comorbidities caused by long-standing CHD, and comorbidities related to various syndromes and lifestyle factors. The present educational review discusses the transition from pediatric to adult cardiac care, comorbidities that develop as a result of ACHD, the assessments necessary for patients with ACHD prior to both cardiac and noncardiac surgeries, and the key ACHD lesions relevant to perioperative management.As the economy diversifies and stratifies, more mothers of young children experience job instability. To advance understanding of the implications of this trend, this study examines the role of job instability in maternal sensitivity, an important component of child development, during their children's first 3 years of life. Structural equation models with longitudinal multimethod data from the NICHD Study of Early Child Care and Youth Development (n = 1,211; 1991-1994) revealed that mothers' involuntary job loss, but not other job transitions, was negatively associated with sensitivity. This association was most pronounced among mothers with less education. Mediation analyses found that the association was e