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Use of the electronic health record (EHR) has become increasingly widespread. Higher EHR burden is associated with burnout, but this has not been specifically investigated among gastroenterology (GI) providers. We retrospectively collected measures of EHR use for outpatient GI providers during a 6-month period. We compared metrics across provider sex, subspecialty, and training (physicians vs nonphysician providers [NPPs]). Data collected represented more than 16,000 appointments from 41 providers across the Division of Gastroenterology and Hepatology. Inflammatory bowel disease (IBD) and hepatology specialists spent more time per appointment in the EHR, clinical review, and outside regular hours compared with other subspecialists. NPPs spent more EHR time than physicians. IBD and hepatology specialists and NPPs may have disproportionally high EHR burden. More work is needed to understand differences in provider workload to combat burnout.

Studies suggest that the introduction of electronic health records (EHRs) has decreased the efficiency of clinical practice and increased clinician workload for US-based physicians. Most studies involve clinicians in primary care settings. Less is known about other health care settings, subspecialist clinicians, or whether markers of efficiency and workload change over time. This study aimed to describe 2 common metrics of after-hours use of the EHR (pajama time and time outside scheduled hours [TOSH]) among diverse specialists and track these parameters longitudinally in a Canadian setting. In this longitudinal descriptive study, medical and surgical specialists were observed starting from the introduction of a system-wide EHR in 2019 to 2022 at a large quaternary teaching hospital in Edmonton, Alberta. Pajama time and TOSH were extracted from the EHR on an Epic system platform and monitored over time. Clinicians were stratified according to clinical group (medical and surgical) and workload (clinical full-time equivalent). A total of 71 medical and surgical specialists participated in this study, spending approximately 24 to 40 minutes per day on pajama time and 32 to 55 minutes per day on TOSH depending on clinician grouping. Both metrics increased over the observation period, as reflected in the longitudinal plots and the higher values observed at the end vs the beginning of follow-up. After-hours EHR use in this Canadian cohort of medical and surgical specialists was similar to what is reported in the US literature, although the drivers may be different. Perhaps surprisingly, these markers increased over time despite presumed improved familiarity with the EHR. The extent to which this affects clinician well-being and work-life integration cannot be determined from these results, although there may be cause for concern.

Far infrared (FIR)-based clothing may alleviate sleep disturbance. This study aimed to explore the effects of FIR-emitting pajamas on sleep quality. This was a pilot randomized, sham-controlled trial. Forty subjects with poor sleep quality were randomized to FIR-emitting-pajamas and sham-pajamas groups in a 1:1 ratio. The primary outcome measure was the Pittsburgh Sleep Quality Index (PSQI). Other measures included the Insomnia Severity Index, and 7 day sleep diary, the Multidimensional Fatigue Inventory (MFI), the Hospital Anxiety and Depression Scale, the Epworth Sleepiness Scale, and the Satisfaction with Life Scale. Outcomes were measured at baseline and weeks 2, 4, and 6. Both groups showed within-group improvements in the PSQI score, but there was no significant difference between the two groups. However, FIR-emitting pajamas appeared to perform better than sham pajamas in reducing the MFI-physical score, with large effect sizes at three time points (dppc2 = 0.958, 0.841, 0.896); however, the differences were statistically insignificant. The intervention compliance was satisfactory. The effects of FIR-emitting pajamas on sleep quality were not superior to those in the control group. However, these pajamas may improve physical fatigue in adults with poor sleep quality, which warrants further exploration.

End PJ Paralysis is a patient and clinician engagement model that originated from the National Health Service (NHS) in the United Kingdom and was adapted to the Australian context by Western Health (WH). The model aims to reduce functional decline by encouraging patients to get up, dressed in everyday clothes, and moving. End PJ Paralysis is a nurse-led initiative, implemented in all five WH hospitals with a focus on acute and subacute ward beds (approximately 500 beds) and included both patient and nurse education campaigns. The initiative was launched with a very successful whole of organisation 'wear pyjamas to work' day, including the CEO, executives and senior clinicians. We found that the initiative reduced the number of falls, the number of hospitalacquired pressure injuries and patient's length of stay; and improved patient experiences: the patients reported that they felt 'better' and 'more like themselves' when they were dressed in their own clothes. Nurses and midwives also reported positive experiences. End PJ Paralysis is an effective and acceptable way to reduce the impact of immobility associated with staying in bed, by supporting hospital inpatients to get up and get moving.

The concentrations of a considerable number of trace elements (Ag, Al, As, B, Ba, Be, Bi, Cd, Co, Cr, Cu, Fe, Hg, Mg, Mn, Mo, Ni, Pb, Sb, Sc, Se, Sm, Sn, Sr, Ti, Tl, V and Zn) were determined in various skin-contact clothes (T-shirts, blouses, socks, baby pajamas and bodies) from the Catalan (Spain) market. In addition, migration experiments with artificial acidic sweat were conducted in order to establish the migration rates of these elements. High levels of Zn (186–5749 mg/kg) were found in zinc pyrithione labeled T-shirts, while high concentrations of Sb and Cr were found in polyester and black polyamide fabrics, respectively. An environmental scanning electron microscope (ESEM) confirmed the presence of Ag and Ti particles and aggregates in several clothing items. The use of the ESEM complemented the results of the elemental analysis and migration experiments. Dermal exposure to trace elements was subsequently calculated, and the human health risks were assessed. Antimony showed the highest mean hazard quotient (HQ = 0.4) for male and female adults wearing polyester clothes; for one of the examined items (polyester T-shirt) the HQ was even above the safety limit (HQ > 1). Exposure to Sb from polyester textile could mean potential health risks in subpopulation groups who frequently wear these clothes, and for long time periods. The migration experiments with artificial sweat showed to be essential for establishing the exposure to trace elements through cloth with direct contact with skin.

Coverage of the alt-right that emphasises its extremism has the potential to obscure both its links to mainstream conservatism and the appeal of its potentially persuasive new brand of masculinity politics. This article argues that the alt-right's lack of a fixed political agenda or goal is indicative of its structure as a digital coalition of identity politics for straight white American men. This is evidenced by looking at discourses centred on masculinity in the primarily internet-based networks that comprise the alt-right, such as GamerGate, white nationalist and 'Red Pill' communities. The alt-right's positions on race and national security are linked to their more implicit anxieties about the evolving nature of American masculinity, as seen in reactions to the 'Pajama Boy' image. It has created an idealised avatar of white masculinity in opposition to what they perceive as the inherent savagery of Islam and the emasculated figure of the Millennial. Trump's version of right-wing masculinity is much closer to the alt-right than previous Republican presidents or candidates. This article contextualises the alt-right's digital visions of masculinity within the shifting political landscape of modern conservatism.

Empirically, little is known about the individual reception of films about the Holocaust, but this has rarely prevented intense speculation about the impact of films on Holocaust knowledge, memory and consciousness. This article presents key findings from a qualitative study with viewers of recent films. It argues that researching actual audiences rather than mere textual analysis is required to understand the complexities of the reception process and the relationship between history, film and memory. It demonstrates that while the impact of feature films about the Holocaust on viewers has been overstated and the role of preconceptions underestimated, the film “text” nonetheless matters for individual film reception.

The present work is about preparation and characterization of RF sputtered Cu films on cotton by the usage of a Magnetron Sputter Source and 99.995% purity Cu target at room temperature. Cotton fabric samples of 1, 2 and 4 min of sputtering time at discharge pressure of 1×10−2 Torr and distance between target and sample of 8 cm were used. The main goal was to qualitatively test the antimicrobial action of copper on fabrics. For that purpose, a reference strain of Escherichia Coli ATCC 35218 that were grown in TSA plates was implemented. Results indicated a decrease in the growth of bacteria by contact with Cu; for fabric samples with longer sputtering presented lower development of E. coli colonies. The scope of this research focused on using these new textiles in health field, for example socks can be made with this textile for the treatment of athlete's foot and the use in pajamas, sheets, pillow covers and robes in hospital setting for reducing the spread of microorganisms.