cDCDD-NRP is consistent with US legal standards for determining death.

Donation after circulatory determination of death (DCDD) has increased organ donation rates in the US over the past decade within an established legal framework, which is consistent with and supports individual and family decisions regarding organ donation in the context of end-of-life care. A new application, controlled DCDD donation utilizing thoracoabdominal normothermic regional perfusion (NRP) protocols (cDCDD-NRP), provides the opportunity to maximize a donation decision by recovering additional organs for transplant, including the heart, and to limit the detrimental impact of warm ischemic time by perfusing organs in situ following the declaration of circulatory death. In this viewpoint, we narrate our rationale for why cDCDD-NRP is consistent within the existing legal framework for organ donation in the United States and recommend no changes to the Uniform Determination of Death Act.

Comparative effectiveness of prolonged exposure and cognitive processing therapy for military service members in an intensive treatment program.

OBJECTIVE: While the comparative efficacy of prolonged exposure (PE) and cognitive processing therapy (CPT) has been examined in outpatient settings, there is a dearth of literature on the relative effectiveness of these interventions when adapted for an intensive treatment format. In an expanded secondary analysis of a previous study, we sought to examine the comparative effectiveness of PE and CPT delivered in the naturalistic setting of an intensive treatment format including maintenance of outcomes through a 6-month follow-up period. METHOD: A sample of 296 veterans with posttraumatic stress disorder (PTSD) received either PE (n = 186) or CPT (n = 90), alongside other trauma-informed interventions, in a 2-week intensive clinical program. Treatment selection was determined collaboratively between patient and therapist. Our primary outcome was self-reported PTSD symptom severity (i.e., PTSD Checklist for DSM-5, PCL-5); secondarily, we examined self-reported depression (i.e., Patient Health Questionnaire) symptom severity outcomes. RESULTS: A mixed-model regression controlling for age and gender revealed a significant effect of time from baseline to endpoint (p < .001), 3-month (p < .001), and 6-month follow-up (p < .001) on PCL-5 scores but no significant effect of treatment or effect of treatment by time interaction (all ps > .05; model: Wald's χ² = 232.38, p < .001). Results were similar for depression outcomes. Attrition at posttreatment was not significantly different between groups: 7.2% for CPT and 6.5% PE (z score = 0.22). CONCLUSIONS: Both PE and CPT are associated with comparable improvements when delivered as part of a 2-week intensive outpatient program. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Genome Sequences of Cluster K Mycobacteriophages Deby, LaterM, LilPharaoh, Paola, SgtBeansprout, and Sulley.

Mycobacteriophages Deby, LaterM, LilPharaoh, Paola, SgtBeansprout, and Sulley were isolated from soil using Mycobacterium smegmatis mc2155. Genomic analysis indicated that they belong to subclusters K1 and K5. Their genomic architectures are typical of cluster K mycobacteriophages, with most variability occurring on the right end of the genome sequence.

Military and Veteran Caregivers' Perspectives of Stressors and a Mind-Body Program.

There are over one million post-9/11 military caregivers in the United States who face a variety of stressors inherent to caring for an incapacitated loved one. Mind-body interventions, such as the Stress Management and Resilience Training Relaxation Response Resiliency Program (SMART-3RP), have been shown to reduce stress and improve overall health and functioning. The present qualitative study aims to explore stressors experienced by military caregivers in their caregiving role and to assess attitudes towards the virtual delivery of the SMART-3RP. We conducted two focus groups with a total of 13 caregivers [M (SD) age = 41.25 (11.49); 92% female], and participants subsequently completed a survey on their caregiving experiences. Focus groups were conducted remotely via Google Hangouts by two doctoral-level clinicians, transcribed verbatim, and coded using inductive thematic analysis. Themes related to stressors of caregiving included: logistical stressors faced by caregivers, demands of the caregiving role, concerns about children, worries about the future, exacerbation of the caregiver's physical/mental health concerns, social dynamics, sacrifices made for their veteran in the caregiving role, and relationship dynamics between the veteran and caregiver. Military caregivers found the SMART-3RP logical and felt as though it could be helpful to them. Caregivers expressed interest in a brief, virtual version of the SMART-3RP. Using the findings from the current study, we are adapting the SMART-3RP to be administered virtually as a podcast-based intervention.

Correlates and program completion of family only and generally violent perpetrators of intimate partner violence / Correlatos y adherencia al tratamiento de maltratadores de pareja: agresores generalizados vs. sólo dentro de la familia

The present study examined correlates and program completion rates of Family only violent (FO) versus Generally violent (GV) male perpetrators of intimate partner violence mandated to batterer intervention programs. Probation records of 456 men sentenced to probation in Lake County, Illinois between 2006 and 2008 were examined, and the men were categorized as FO (n= 269) or GV (n= 187) by graduate student raters. GV men were younger, had more extensive criminal histories, greater substance use, and greater demographic risk factors related to education and employment. GV men were less likely to complete a mandated partner abuse intervention program and were deemed by probation officers to be at higher risk to reoffend as compared to FO men, even after controlling for racial differences. These findings highlight the utility of a reliable, easy to administer dichotomous categorization system for probation officers to use to differentiate between FO vs. GV men that had differential correlates and was associated with differential program completion rates. Implications for treatment of partner violent men are discussed

Se examinaron los correlatos y nivel de adherencia al tratamiento de agresores masculinos de violencia contra su pareja, clasificados como generalmente agresivos (GV) y agresivos sólo dentro de la familia (FO), sentenciados a completar programas de intervención. Se examinaron los archivos de 456 hombres en libertad condicionada en Lake County, Illinois, entre los años 2006 y 2008, y fueron categorizados como FO (n= 269) o GV (n= 187). Los hombres GV eran más jóvenes, con historiales criminales más extensos, mayor consumo de sustancias y factores demográficos de mayor riesgo relacionados con la educación y el empleo. Mostraron menos probabilidad de completar un programa de intervención obligatorio y mayor riesgo de reincidir en comparación a los hombres FO, aun cuando se controlaron diferencias de raza. Se resalta la utilidad de un sistema de categorización dicotómico, fiable y de uso sencillo para que oficiales de libertad condicionada distingan entre hombres FO y GV con correlatos diferenciados y asociados a distintos niveles de adherencia al tratamiento. Se discuten las implicaciones para la intervención con agresores de su pareja intima