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Results. A total of 7 hospitals completed both baseline and post simulation sessions. We observed improved critical task (total 14) completion in the admission scenarios where pre training task completion was 8.2 ± 2.6, while after remote training was 11.2 ± 1.8, P = .01. In rounding scenarios, compliance to standard of care guidelines improved overall from 45% to 95% (P  less then  .01). Conclusion. We observed an improvement in compliance for measures determined as best practice guidelines in simulation rounding and overall improvement in critical tasks for simulated admission cases after remote training.As health service providers, nurses are at a high risk of COVID-19 infection, as are their family members who live with them. This study aimed to explore nurses’ actions to protect their families from COVID-19 in Indonesia. This qualitative descriptive study included seventeen nurses who were chosen using the snowball sampling technique. The semi structured interviews explored nurses’ actions and behavior, and comparative analysis was performed to analyze the data. The study identified four themes nurses modified their behavior and environments to protect their families, provided supplements and nutritious food, enhanced their families’ knowledge and awareness of COVID-19, and protected their families from social stigma. Nurses play active roles in the health of their family members. The government should support nurses in their roles so that they can remain healthy while caring for COVID-19 patients, and not transmit COVID-19 to their own families.Evidence indicates that aerobic performance is degraded either by environmental heat stress or sleep deprivation. However, whether these conditions interact to produce more significant performance impairment deserves further investigation. Therefore, this study investigated the effects of experimental sleep deprivation (24 h or 96 h) on aerobic performance and thermoregulatory responses in rats exercised on a treadmill at different environmental conditions. Adult male Wistar rats were subjected to rapid eye movement sleep deprivation (RSD) using the modified multiple platform method and were then subjected to an incremental-speed exercise until they were fatigued. Treadmill running was performed in a temperate (24°C) or warm (31°C) environment, and the colonic temperature (an index of core body temperature; TCORE) and the tail-skin temperature (TSKIN; an index of cutaneous heat loss) were recorded. 24-h and 96-h RSD produced small magnitude reductions in aerobic performance (Cohen’s d = 0.47-0.58) and minor changes in thermoregulation. Relative to control rats, sleep-deprived rats showed a higher TCORE at the exercise initiation and a higher threshold for activating cutaneous heat loss, but unchanged TCORE and TSKIN at fatigue. Exercise at 31°C induced large reductions in performance (d = 0.82-1.29) and marked changes in thermoregulation, as evidenced by higher TCORE and TSKIN at fatigue, compared to exercise at 24°C. Interestingly, none of the effects induced by RSD were exacerbated by environmental heat stress and vice-versa, indicating that both conditions did not interact. We conclude that RSD and heat stress modulate aerobic performance and thermoregulatory responses by acting independently.Reflex cutaneous vasodilation during heating is attenuated in healthy human aging secondary to blunted increases in efferent skin sympathetic nervous system activity (SSNA) and reductions in end-organ sensitivity. Whether age-related alterations in the mean body temperature ( T – b) threshold for increasing SSNA and/or the sensitivity of responses are evident with aging have not been examined. We tested the hypotheses that the Tb threshold for SSNA and cutaneous vascular conductance (CVC) would be increased, but the sensitivity would be reduced, with aging. Reflex vasodilation was induced in 13 young (23 ± 3 y) and 13 older (67 ± 7 y) adults using a water-perfused suit to systematically increase mean skin and esophageal temperatures. SSNA (peroneal microneurography) and red cell flux (laser Doppler flowmetry) in the innervated dermatome were continuously measured. SSNA was normalized to baseline; CVC was normalized as a percentage of maximal CVC. Baseline T – b was lower in older adults (36.0 ± 0.4°C vs 36.4 ± 0.3°C; p = 0.005). selleck compound During passive heating, the ∆ T – b thresholds for increasing SSNA and CVC were greater (1.3 ± 0.4°C vs 0.9 ± 0.3°C; p = 0.007 and 1.3 ± 0.4°C vs 0.8 ± 0.3°C; p = 0.002, respectively) in older adults. The slope of the relation between both SSNA (0.31 ± 0.23 vs 0.13 ± 0.10 V⋅s⋅°C -1; p = 0.01) and CVC (87.5 ± 50.1 vs 32.4 ± 18.1%max⋅°C-1; p = 0.002) vs T – b was lower in older adults. The relative T – b threshold for activation of SSNA and the initiation of reflex cutaneous vasodilation is higher in older adults, and once activated, the sensitivity of both responses is diminished, supporting the concept that the efferent component of the thermoregulatory reflex arc is impaired in healthy aging. Abbreviations CI confidence interval; CVC cutaneous vascular conductance; SSNA skin sympathetic nervous system activity; T – b mean body temperature; Tes esophageal temperature; T – sk mean skin temperature.Valid body core temperature measurements are essential for diagnosing and monitoring athletes with exertional heat stroke (EHS). Experts question the validity of body temperature sites that vary by >±0.27°C from the gold standard, rectal temperature (TREC). No research has established the validity of body temperature sites when American football uniforms (PADS) are worn during simulated EHS scenarios. Thirteen men (age, 22 ± 2 y; mass, 77.5 ± 8.8 kg; height, 181.3 ± 5.7 cm) donned PADS and entered an environmental chamber (38.7 ± 0.8°C, 38.9 ± 2.4% relative humidity). We compared TREC to a forehead liquid crystal temperature monitor (TFHD), axillary (TAXL), oral (TORL), and aural temperatures (TEAR) 34 times over four consecutive periods 10-minutes of rest; exercise until participants TREC was between 39.7°C and 39.8°C; cold-water immersion (CWI, 10.0 ± 0.1°C) until all temperature sites indicated ≤38°C; and a 15-minute post-immersion recovery period. Body temperatures varied between sites during all periods (F36,432 ≥ 2.