Multivariable-adjusted regression models identified that being homebound (odds ratio [OR] 3.49, 95% CI 2.03, 6.00), frail (OR 9.50, 95% CI 4.92-18.37), and experiencing community disability (OR 5.19, 95% CI 3.90-6.90) was associated with food insecurity.
 
  Food insecurity among older adults is broader than lacking adequate financial resources to obtain food; it is also associated with social and functional limitations. A more comprehensive conceptualization will aid future study on the impact of food insecurity on health status, utilization, and outcomes to inform senior nutrition program targeting and services.
 Food insecurity among older adults is broader than lacking adequate financial resources to obtain food; it is also associated with social and functional limitations. A more comprehensive conceptualization will aid future study on the impact of food insecurity on health status, utilization, and outcomes to inform senior nutrition program targeting and services.The efficacy and safety of dry and wet formulations of three nonsynthetic compounds, oxalic acid (OA), thymol (T), and oregano oil (OO), for the control of Varroa destructor Anderson and Trueman infestations in honey bee (Apis mellifera Linnaeus) colonies were determined. The treatments were OA in dust, OA diluted in glycerin solvent embedded in a towel, T in dust, T in glycerin solvent and towel, OO in dry microcapsules, OO in glycerin solvent and towel, and the control. The treatments were applied weekly for 4 wk during the fall season. The rates of acaricide efficacy, weekly mite fall, bee mortality, colony survivorship, and strength, were determined for each of the treatments. All formulations, with the exemption of OO microcapsules, were effective at controlling infestations of V. destructor. The most effective formulations were T dust (96.6%), T glycerin (92.4%), and OA glycerin (79%). More than 85% of the mites were killed during the first 2 wk of treatment with T formulations, compared to less than 30% for the OA glycerin formulation. The lowest efficacy rate was for OO microcapsules (21.3%), and the only treatment that significantly increased bee mortality was OA glycerin. The rates of winter colony survival and honey bee populations were related to the varroacidal efficacy of the formulations. The implications of these findings are discussed.
  The role of cognition is central to the fear avoidance (FA) model of chronic pain (CP), which emphasizes the importance of catastrophic pain interpretations and has been shown to be applicable to pediatric CP populations. However, while we know that pain catastrophizing plays a distinct role in influencing outcomes for children with CP, we know little about the specifics of how young people with CP experience catastrophizing and worry, as well as their general pain beliefs.
 
  To qualitatively explore beliefs about and experiences of worry and pain among a purposeful sample of adolescents with CP.
 
  Individual semistructured interviews with 12 adolescents (aged 12-17) with varying forms of CP attending an outpatient pain clinic in a general children's hospital. Relevant psychometric measures were administered orally to further inform the data.  https://www.selleckchem.com/products/lenalidomide-s1029.html  Data were analyzed using critical realist thematic analysis.
 
  Three themes and one subtheme were identified. Themes were 1) the worry ripple mind, body, and behavior (subtheme worry content personal competence and health); 2) the pain mystery living in a "scribble of black"; and 3) the resist or avoid conundrum.
 
  The findings highlight the need for psychological interventions targeting acceptance of uncertainty and also informing education on mind/body connections in adolescents with CP.
 The findings highlight the need for psychological interventions targeting acceptance of uncertainty and also informing education on mind/body connections in adolescents with CP.
  Immediate surgical repair for type A aortic dissection is gold standard and at most centres is performed by the surgeon on call during night-time and weekends. The objective was to evaluate whether emergency surgery during night-time or weekends has an influence on 30-day mortality.
 
  In 319 patients undergoing surgery for type A aortic dissection, skin incision was documented. Patients were divided into 2 groups according to the time point of skin incision (0500 a.m. to 0700 p.m. = daytime group; 0701 p.m. to 0459 a.m. = night-time group). We also noted whether their surgeries were started on weekdays (Monday 0000 to Friday 2359) or weekends (Saturday 0000 to Sunday 2359).
 
  The median age was 61 years (interquartile range 49-70) and 69.6% (n = 222) were male. Almost 50% (n = 149) of patients presented in a critical preoperative state. Forty-one percent of patients (n = 131) underwent night-time surgery. There were no differences in baseline data, time from onset of symptoms to surgery or surgical treatment between groups, except from preferred femoral access for arterial cannulation during night-time. Advanced age [odds ratio 1.042, 95% confidence interval (CI) 1.014-1.070], preoperative malperfusion syndrome (odds ratio 2.542, 95% CI 1.279-5.051) and preoperative tamponade (odds ratio 2.562, 95% CI 1.215-5.404) emerged as risk factors for 30-day mortality. Night-time or weekend surgery did not have any impact on 30-day mortality when covariates were considered.
 
  Based on the natural course of the disease and our results, surgery for type A aortic dissection should be performed as an emergency surgery regardless of time and day.
 Based on the natural course of the disease and our results, surgery for type A aortic dissection should be performed as an emergency surgery regardless of time and day.
  Aortic stenosis or regurgitation that requires operations in children often results from unicuspid valve morphology. In all paediatric patients with this anomaly, we have performed unicuspid valve repair by bicuspidization, creating a new commissure via adding patch material. This study reviewed our experience with this procedure.
 
  All patients with a unicuspid aortic valve who underwent bicuspidization at ≤18 years of age between 2003 and 2018 were evaluated. Autologous pericardium had initially been used for cusp augmentation. Since 2014, decellularized xenogeneic tissue or expanded polytetrafluoroethylene membrane has been applied.
 
  There were 60 consecutive patients. The median operative age was 13 (1-18) years. Thirty patients had prior surgical or catheter valvuloplasties. Aortic regurgitation, aortic stenosis and their combination were present in 22, 11 and 27 patients, respectively. Autologous pericardium decellularized tissue and expanded polytetrafluoroethylene were used in 45, 11 and 4 patients, respectively, without intraoperative conversion to valve replacement.