Our findings highlighted the need for PPD care among Hispanic women in rural areas. Early assessment and intervention for symptoms of PPD are needed to enhance health equity and promote better health for women who live in rural communities.

Background: The unprecedented nationwide outbreak of the Middle East Respiratory Syndrome Coronavarius (MERS-CoV) from June to July in 2015 took the Korean healthcare system unexpectedly and created physical and psychological stress and trauma to Registered Nurses unprepared to deal with the viral outbreak. Purpose: We investigated the effects of Middle East Respiratory Syndrome Coronavirus (MERS-CoV), post-traumatic stress disorder (PTSD) and burnout among Korean registered nurses (RNs). Methods: A descriptive cross sectional design using a self-administered survey of a convenience sample of 112 Korean RNs. The Impact of Event Scale-Revised-Korean version (IES-R-K) for PTSD and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) for burnout were utilized. Results: Overall prevalence for symptoms of PTSD was 50.0%. PTSD was significantly correlated to burnout (r = .480, p = .000), especially two burnout subscales, emotional exhaustion (r = .533, p = .000), and depersonalization (r = .497, p = .000). Conclusions: Future anticipatory guidance and management of traumatic outbreak or disaster should be considered for nurses' mental health. Public health and safety at the national level must address quality health outcomes for both patients and healthcare professionals alike.

Pediatric severe traumatic brain injury treatment guidelines for nutrition indicate that "there are insufficient data to support a treatment guideline for this topic" (P. D. Adelson et al., 2003). Based on adult studies, the guideline provided an option for practitioners to start nutritional support within 72 hours of admission and full replacement by day 7. This retrospective, descriptive correlation study examined the timing of nutritional supplement initiation and the timing of achieving full caloric intake in relation to length of stay (LOS) in the intensive care unit (ICU) and patient disposition status at discharge from hospital in children 8-18 years old. Median time to initiation of nutrition was 1.5 days (0.02-11.9 days), and full caloric goals were achieved in 3.4 days (0.5-19.6 days). Median ICU LOS was 2.1 days (0.01-97.9 days). Overall, 48% of patients were discharged home; 28% experienced mild, moderate, or severe disability; and 24% either died or survived in a vegetative state. Early initiation and achieving full caloric intake were both positively correlated with shorter LOS in the ICU (p < .01, Spearman's rho correlational matrix) and better disposition status at discharge from the hospital (p < .05, Kruskal-Wallis test).