ty.Environmental disasters affecting Brazilian rivers have been frequent recently, especially involving mining activities. Two recent dam-rupture events suddenly released millions of cubic meters of iron tailings downstream into two major Brazilian watersheds. These events generated major losses to the environment and human life. Additionally, the biodiversity in both watersheds was still incompletely known. Two new species of the armoured catfish genus Hypostomus were discovered in the Rio Paraopeba and surrounding rivers of the Rio São Francisco Basin. The species share some main characteristics including a depressed body, large dark spots on a clearer background and the absence of keels on flanks. However, while one species (Hypostomus freirei sp. n.) has a large mandibular ramus and numerous slender teeth, the other (Hypostomus guajupia sp. n.) has a shorter mandibular ramus and few robust teeth. The discovery of these two new mid-sized fish species emphasizes the presumption that the effects of major environmental disasters cannot be fully estimated as local biodiversity is not completely known. This discovery in a recently devastated area also shows that tough environmental laws for the protection, supervision and mitigation of major impacts are urgently needed in developing countries.Research on nurse-patient relationships with the schizophrenia population is sparse. The current study piloted a survey to explore therapeutic relationships. Fifty-one psychiatric nurses completed an online survey on therapeutic relationships with the schizophrenia population.  https://www.selleckchem.com/products/leupeptin-hemisulfate.html  Factor and chi-square analysis yielded preliminary findings. Fifteen of 16 survey items loaded onto four factors at ≥0.4. A significant association between level of education and professional certification and comfort working with patients with schizophrenia was found. Survey modifications and a larger sample size may generate useful information and clarify the relationship among education, certification, and comfort. [Journal of Psychosocial Nursing and Mental Health Services, 59(4), 21-29.].Open dialogue (OD) is a family-oriented approach that has demonstrated good outcomes in treatment of first-episode psychosis. OD focuses on communication as a joint process of constructing meaning among patients, their social networks, and professionals. The current study investigates how 42 participants experienced a training program in OD. The study comprises a cohort with a longitudinal design. Data were collected by means of semi-structured questionnaires and contained quantitative and qualitative data. Descriptive analysis was performed to analyze quantitative data and thematic analysis for qualitative data. Findings show that participants' learning outcomes and confidence with using OD with patients, social networks, and professionals increased significantly throughout the training program. Reflection and role play were essential learning methods. Participants defined themselves as in-progress and considered the training program educational, engaging, and varied. Three main themes arose from the data Developing an OD Training Program, Competence Development "From Novice to Expert," and Participation and Commitments. [Journal of Psychosocial Nursing and Mental Health Services, 59(5), 38-47.].Caregivers are a source of support for family members with disabilities. However, caregivers are at risk for caregiver burden, which can erode self-care skills and lead to poor physical and mental health outcomes. Caregiver Wellness Self-Care, developed to address that risk, is a 5-week group program in which participants learn about strategies that cultivate their inner resources, while connecting with others for support. Wellness, self-care, mindfulness, and yoga-based information and practices are taught in the sessions and included in participant handouts. Self-reflection and planning activities with facilitated discussions further support awareness and personal transformation. Designed by and for people providing care to an adult family member with a mental health disorder and a developmental/intellectual disability, the program was piloted three times. The current article describes the development of the program through caregiver involvement, participant and facilitator feedback, and implications for future efforts to build caregiver wellness self-care skills. Implications for nurses are highlighted. [Journal of Psychosocial Nursing and Mental Health Services, 59(5), 25-32.].Individuals with mental health conditions are increasingly presenting to emergency departments (EDs) for mental health treatment and crisis stabilization. Several factors contribute to this trend, including increasing numbers of individuals diagnosed with mental health conditions and limited availability of psychiatric providers. Models of care exist within EDs and in off-site settings to serve this population. Many of these models have shown promising outcomes, particularly in off-site settings. Opportunities now exist to improve care of patients with psychiatric emergencies within EDs by the effective use of peer support specialists (PSSs). Such use of PSSs within EDs has shown promising recovery-related outcomes. The current article describes a hospital in suburban Chicago that recently implemented the use of PSSs in their ED. Preliminary outcomes are summarized, and opportunities to optimize the use of PSSs in ED settings are discussed. [Journal of Psychosocial Nursing and Mental Health Services, 59(5), 33-37.].
  Although dietary advice has long been a cornerstone of a healthy lifestyle, how sleep quality and quantity may interact with dietary intake or eating behaviors remains unclear.
 
  To consider a bidirectional relationship between sleep and diet in children aged 6-12 years via a systematic review following PRISMA guidelines.
 
  Relevant trials and observational studies were identified by searching the PubMed, Medline, Embase, and CENTRAL databases up to June 1, 2019, without language or date restrictions and supplemented with hand searching. Recognized procedures and reporting standards were applied.
 
  Data on participant characteristics, study parameters, diet measures, sleep measures, and findings of study quality assessment criteria were collected.
 
  Forty-five articles involving 308 332 participants on a diverse range of topics were included. Meta-analyses were planned but were impossible to perform due to high study heterogeneity. Most studies (82%) were cross-sectional, which prevented examining directionality of the observed associations.