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The alfalfa weevil Hypera postica Gyllenhal (Coleoptera: Curculionidae) is one of the most destructive alfalfa pests in the world, resulting in substantial economic losses. However, the amount of damage can be reduced by larval parasitoids of the genus Bathyplectes Förster (Hymenoptera: Ichneumonidae) as a conservation biological control strategy. Parasitoids are currently identified by morphological body characteristics, cocoon morphology, and/or DNA analysis, but geometric morphometrics (GM) applied to the wing vein arrangement may also reveal differences between specimens. We distinguished 61 B. anurus (Thomson) and 41 B. curculionis (Thomson) specimens, based on the appearance of the cocoon. GM revealed statistically significant differences in wing vein patterns and fore wing shapes between species, but not between sexes within the same species. The 1 M + 1R1 cell, also known as the horsehead cell, was revealed to be an easy and reliable morphological character for species differentiation. Despite the New World literature, this is the first European report providing a visual method to differentiate B. anurus from B. curculionis. This study highlights the importance of precise species identification methods, such as geometric morphometry. It can contribute to a better implementation of biological control strategies against the alfalfa weevil in Spain and other Mediterranean countries.
This study reports on a set of experiments designed to clarify the impact of the rotational transform on confinement quality at the TJ-II stellarator. For this purpose, the net plasma current is controlled using external coils, resulting in the modification of the rotational transform profile. Significant and systematic variations of the edge electron density gradients (up to $50\,\%{-}60\,\%$) and the plasma energy content ($20\,\%{-}30\,\%$) are achieved. The explanation of this behaviour relies on the placement of low-order rational surfaces in relation to the edge gradient region, which affect local turbulence fluctuation levels, facilitating the formation of zonal flows and concomitant transport barriers. This hypothesis is confirmed experimentally on the basis of a broad array of diagnostic measurements. Calculations based on a resistive magnetohydrodynamic turbulence model provide qualitative support for this hypothesis, clarifying the impact on confinement of specific rational surfaces and highlighting the complex nature of magnetically confined fusion plasmas.
It is often postulated that natural systems are expected to suffer an increasing risk of infectious disease outbreaks as climate change accelerates. In the northern Argentine Sea, the rise of ocean temperature has produced a tropicalization of demersal megafauna since 2013. This rapidly warming hotspot provides an excellent model to test whether fish parasites have increased, declined, or remained stable in the region. Cardiocephaloides physalis a parasite of penguins Spheniscus magellanicus as adult and suspected to parasitize anchovies Engraulis anchoita as larvae is here used to compare their occurrence and abundance between samples composed by 1752 fish of variable age caught at different latitudes during 1993–1995 and 2022 and between 20 juvenile birds and literature data. In the present work, the identity of metacercariae as C. physalis is confirmed genetically, as well as a net decline of population parameters of the parasite to its effective disappearance in anchovies from northern areas and to extremely low levels in fish from southern regions and penguins. After analysing possible causes for such changes in a scenario of rapid regional tropicalization, a direct effect of increasing temperature on parasites arose as the main causal candidate for the observed decline in their populations over the last decades. Beyond the biological and ecological consequences of global change on them, parasites offer excellent systems for measuring and monitoring such effects. The almost local extinction of C. physalis in a marine hotspot of global warming seems to be one of the first examples of such processes.
Substance use and substance use disorders run in families. While it has long been recognized that the etiology of substance use behaviors and disorders involves a combination of genetic and environmental factors, two key questions remain largely unanswered: (1) the intergenerational transmission through which these genetic predispositions are passed from parents to children, and (2) the molecular mechanisms linking genetic variants to substance use behaviors and disorders. This article aims to provide a comprehensive conceptual framework and methodological approach for investigating the intergenerational transmission of substance use behaviors and disorders, by integrating genetic nurture analysis, gene expression imputation, and weighted gene co-expression network analysis. We also additionally describe two longitudinal cohorts — the Brisbane Longitudinal Twin Study in Australia and the Lifelines Cohort Study in the Netherlands. By applying the methodological framework to these two unique datasets, our future research will explore the complex interplay between genetic factors, gene expression, and environmental influences on substance use behaviors and disorders across different life stages and populations.
Self-perceived health (SPH) is an epidemiologically used variable, recognized as a subjective yet predictive indicator of mortality (Bopp et al. Plos One 2012; 7:e30795) SPH, among other subjective indicators, such as quality of life, contributes to understanding an individual’s overall experience and well-being. While health information, including medical diagnoses given by physicians, forms a substantial part of an individual’s subjective health (Falconer & Quesnel-Vallée, 2017; 190 227-236) the World Health Organization (WHO, 2014) defines health not only by the absence of somatic diseases but also encompasses components of social and mental well-being.
Objectives
This study aims to explore factors associated with a poorer level of self-perceived health in inpatients due to non-psychiatric conditions with a focus on mental health and substance use-related factors.
Methods
We recruited 800 patients during their hospital stay for various pathologies in cardiology, pneumology, internal medicine, and gastroenterology units. Self-reported sociodemographic variables and well-being-related variables, such as SPH, were collected during admission. The MINI Neuropsychiatric Interview was administered to screen for psychiatric conditions, the ASSIST scale assessed the risk related to the use of various substances. Data on the frequency and quantity of substance use, in the three months prior to admission, were also recorded by timeline follow-back. Information on the severity of somatic comorbidity was gathered using the Charlson Comorbidity Index. Non-parametric tests compared SPH in different groups, and variables showing significant differences were included in a multivariate linear regression analysis. This study obtained approval from the ethics committee.
Results
Significant and clinically relevant differences were found in the SPH of patients with anxiety disorders, depressive disorders, and bipolar disorders. These patients reported lower SPH than those without these comorbidities. Patients scoring medium or high risk on the ASSIST scale for tobacco, alcohol, and cannabis also demonstrated lower SPH compared to those with low-risk scores. In the multivariate analysis, accounting for confounding factors, including comorbidity severity, patients with depressive disorders maintained statistically significant lower levels of SPH (ß = -13.391, p < 0.001), as did those with bipolar disorders (ß = -6.096, p = 0.019).
Conclusions
Patients with anxiety, depressive, or bipolar disorders, as well as those with higher-risk use of tobacco, alcohol, and cannabis, exhibited lower SPH. After adjusting for other relevant factors, such as diagnosed somatic pathology, patients with affective disorders continued to score lower in SPH levels. Proper attention and management of psychiatric comorbidities and substance use are crucial in medical hospital settings.
Disclosure of Interest
M. Pons-Cabrera Employee of: This work has been funded by Contractes Clínic de Recerca “Emili Letang - Josep Font” 2021 granted by Hospital Clínic of Barcelona, E. Caballería-Lamora: None Declared, L. Navarro-Cortés: None Declared, M. Balcells-Oliveró: None Declared, L. Pintor-Pérez: None Declared, H. López-Pelayo: None Declared
Cannabis use poses a significant risk to the psychological wellbeing of youth, affecting academic performance and potentially triggering the onset of mental health issues. Providing young people with comprehensive information about patterns of cannabis use and specific factors that increase an individual’s health risks is crucial. The ability to critically assimilate this information is known as health literacy (HL).
Objectives
To design a psychoeducational intervention to increase HL on risky cannabis use among students aged 16-25, and to assess its usability and feasibility.
Methods
We designed a psychoeducational intervention based on the outcomes of a 3-hour co-creation session involving healthcare professionals and students. 29 university students and 25 high-school students completed this intervention and assessed its usability and feasibility with the SUS (System Usability Scale), PSSUQ (Post-Study System Usability Questionnaire) and additional open questions regarding the most and less-liked aspects of the intervention.
Results
The design phase resulted in an informative website (http://www.cahlyclinic.cat/) and a 1-hour structured onsite educator-facilitated session, comprising 3 group activities (completed on paper or online) addressing three dimensions of cannabis HL: searching for, interpreting and applying reliable information. Usability of the intervention was rated as excellent (SUS mean score>80). PSSUQ results indicate that students were satisfied with the intervention; found the HL information clear, relevant, and adequate for their needs; found the interface of the digital version pleasant and usable without support; and would recommend it to other students.
Conclusions
We propose an innovative structured and usable intervention, designed using a participatory approach, which aims to disseminate information on risky cannabis use to a key target population, namely young people.
The stacking order of a 14.30-Å Mg-vermiculite from Santa-Olalla, Spain, has been determined from Weissenberg photographs. The results prove that the Mg-vermiculite structure is not a 2-layer polytype structure, but a semi-ordered one. Because the structure is semi-ordered, its resolution needed a dual approach: (1) a direct approach using an electron density projection along the y axis in conjunction with a one-dimensional electron-density projection onto the z axis; and (2) an indirect approach in which the observed intensities along the (0,k) and (1,k) reciprocal rods were compared to the calculated intensities given by model defect structures. The semi-ordered structure of the Mg-vermiculite results from ±b/3 shifts in the stacking of the silicate layers. The shifts are randomly either along +b or -b.
The conversion of Malawi vermiculite into K-vermiculite by treatment with bi-ionic K-Mg solutions of 1 N total ion concentration (KCl and MgCl2 mixed solutions of ionic strength equal to 0.5) was studied by following the 00l X-ray powder diffraction (XRD) reflections. Flakes of Mg-saturated samples were treated at 160°C during 24 hr with bi-ionic solutions, with the K concentration varying from zero to pure 1 N KCl solution. The K-Mg interlayer exchange began at a critical value xK = .0196 (K/Mg = 1/100) of the molar fraction of K in the solution. Above the critical concentration and extending to pure 1 N KCl, the XRD diagrams were characteristic of a 10-Å/14-Å interstratification that had a marked tendency towards regularity. Experiments with KCl and MgCl2 mixed solutions of ionic strength equal to 0.75 and 1.0 showed that the exchange began at the same critical value xK as the experiments with ionic strength equal to 0.5, if the K added was equivalent. X-ray fluorescence analysis further showed that the amount of K adsorbed was proportional to the molar fraction xK and to the proportion of K-saturated layers (10 Å) in the interstratification. To explain the mechanism of this quasi-regular interstratification, a crystallochemical rather than a thermodynamic mechanism is proposed.
This Element explores the role of pragmatics, and its relationship with meaning and grammar, in second language acquisition. Specifically, this Element examines the generative paradigm, with its focus on purely linguistic aspects, in contrast with, and complemented by, the view of language adopted in the wider perspective on communication that Relevance Theory offers. It reviews several theoretical standpoints on how linguistic phenomena that require combining semantic, pragmatic and syntactic information are acquired and developed in second languages, illustrating how these perspectives are brought together in analysing data in different linguistic scenarios. It shows that the notion of procedural meaning casts light on the range of interpretative effects of grammatical features and how they vary across languages, suggesting ways to complete the picture of the interface factors that affect second language development.
Sickness insurance companies were developed in Spain by doctors and healthcare professionals, remaining outside the interests of general insurance companies. Their management was hardly professional, with limited actuarial techniques and they only accounted for a small percentage of total insurance business premiums. From the 1970s onwards, various factors changed this situation, driving processes of concentration, with numerous takeovers and mergers, first reducing the number of local and regional companies to the benefit of companies of national scope. Subsequently, the growth in demand for this type of coverage sparked the interest of national general insurance companies and multinationals, leading to a restructuring of the sector which has progressively acquired greater weight within the insurance business and become increasingly internationalised. This last stage immersed the health sector in Spain in the great processes of globalisation of the sector, characterised by a financialisation of capital promoted by the bank investment funds. These processes are little known and are the focus of analysis of this paper, with the aim of enabling comparison at international level.
In order to understand the influence of salt concentration and temperature on the behavior and properties of clays used in drilling muds, we studied montmorillonite supensions (4 g clay/100 g solution) in 0.1, 0.5 and 1 M NaCl and KCl solutions. A fraction of each sample was heated to 200 °C in a closed vessel for 7 d, then cooled at room temperature (RT, 25 °C). Small-angle X-ray scattering (SAXS) spectra were recorded, for all the samples, at RT. The structure of the clay particles was determined by comparing the experimental intensity with the theoretical intensity computed from a model that took into account the number of layers per particle, the hydration state of the layers (0, l, 2, 3 or 4 water layers) and the order in the succession of these states. With this set of parameters, we can compute the mean statistical parameters M¯ (mean number of layers per particle), d¯ (mean interlayer distance) and δ¯2/d¯2 (parameter describing the disorder of the distribution of interlayer distances). The evolution of these parameters shows that:
1) At low concentration (0.1 M NaCl or KCl), the samples do not consist of particles but of isolated layers (M = 1). The suspensions form gel-like structures. The difference between Na and K suspensions, or between heated and nonheated samples, is unnoticeable at the studied scale (5–500 Å).
2) An increase in salt concentration (from 0.1 to 0.5 M) brings the sample in a granular state: we notice the appearance of particles at 0.5 M (M¯ ≥ 25). Differences appear between NaCl and KCl suspensions, and the temperature effect becomes visible. Thus, we noticed that in NaCl suspensions, particles are composed of hydrated layers (1, 2, 3 or 4 water layers) and internal porosity (d > 30 Å), whereas suspensions in KCl are characterized by the presence of interlayer distances of 10 Å, that is, of collapsed layers. Particles in the KCl suspensions are much thicker than in the NaCl corresponding ones, and also less hydrated at the interlayer level as well as at the internal porosity level. Further increase in salt concentration (0.5 to 1 M) amplifies this effect. As far as temperature is concerned, its effect is to promote the clay dispersion by breaking up the particles, dehydrating and disordering them. This effect is more important for low salt concentration, that is, when the system is less stressed.
This report consists of a study of l-ornithine hydrochloride-vermiculite and of benzylammonium hydrochloride-vermiculite complex. The evolution of these organo-vermiculite structures upon heating is studied by X-ray diffraction (XRD) as well as infrared spectroscopy.
After heating vermiculite saturated with 1-ornithine cations, it shows condensation of interlayer ornithine molecules (peptide complexes). The stacking mode, opposing ditrigonal cavities, is not modified between aminoacid complex and peptide complex.
For vermiculite saturated with benzylammonium cations, the stacking sequence changes through heating by changing benzylammonium to NH4+. This transformation implies a sliding of the layers over each other. The ditrigonal surface cavities become face to face, as in the original mica. There are no random translations as in the starting complex.
The stacking order of a bi-ionic K/Mg vermiculite from Malawi (Nyasaland), has been determined from Weissenberg data. The sample corresponds to a K/Mg interstratified vermiculite containing 50% K layers (dK = 1.01 nm) and 50% Mg layers with two layers of water (dMg = 1.44 nm). The observed intensities along (0, 0), (h, 0), (0, k) and (1, k) reciprocal rods were compared to the calculated intensities given by model defect structures. It was found that: 1) The (h, 0), (0, k) and (1, k) rods reveal the interstratification phenomenon which was previously observed on the (0, 0) rod; 2) The exchange of Mg by K does not occur randomly in a single interlayer, but occurs in interlayer domains sufficiently extensive to allow the reorganisation of the layer stacking and development of the ordered K-vermiculite structure from the semi-ordered structure characteristic of magnesium vermiculites; 3) For this sample, the interlayer water of the Mg phase occurs in two coexisting configurations; one configuration has water molecules forming octahedral coordination around the Mg2+, the other has water which is not linked to the Mg2+ cation forming two planes.
Using theoretical profiles of diffracted X-ray intensity for interstratification between layers having d-spacings around 14.3 Å and 10.1 Å, a series of diagrams was derived from which the proportion of 14.3 Å layers (W14) and the probability of passing from a 14.3 Å layer to a 10.1 Å layer (P14/10) can be derived. W14 can be derived independently of P14/10 using the angular distance between reflections situated at 18.2° and 25.4° 2θ (CuKα). Once W14 is determined, P14/10 may be obtained using the angular width of the diffuse reflections between 27° and 34° 2θ. In this case, two different diagrams are proposed for P14/10 determination because experimental X-ray patterns show either one or two diffuse reflections. Comparison of five experimental patterns with theoretical patterns calculated using W14 and P14/10 obtained using these diagrams indicates that the method can be useful for determining W14 and P14/10 in unknown samples. Moreover, the method described is independent of the Lorentz polarization factor and the layer type. The d-spacings associated with the two kinds of layers, however, should be similar (± 1%) to those for which the determinative diagrams were calculated.
A comparative crystallochemical study was performed on natural and synthetic hydrotalcite-like compounds with similar compositions. The nature of the brucite-like sheet stacking was addressed by means of powder X-ray diffraction. From the resulting electron diffraction patterns it was possible to establish the order-disorder of the cations in the brucite-like sheet. The results show that a natural sample from Snarum is an intergrowth of hydrotalcite (3R1 polytype) and manasseite (2H1 polytype) at a ratio of 77:23 (wt.%). An aluminian serpentine is associated with the hydrotalcite and manasseite minerals. The structure of a synthetic sample, Mg:Al = 2:1, was determined as space group . For a few crystals in this sample, the octahedral cation distribution is compatible with the observed supercell (a = a′ √3). A second synthetic sample showed the presence of stacking faults and was described as a random layer sequence of two polytypes (3R and 2H).
Frequent attenders to emergency services are challenging and costly. We report the case of a woman in her mid-twenties who stands out for a total of 1447 emergency visits.
Objectives
Our primary objective was to describe the emergency visits of our patient. Secondary objectives were to assess her use of other healthcare services and to calculate her health expenditure.
Methods
This is a clinical case report. We reviewed the patient’s electronic medical records for sociodemographic and clinical data. We obtained detailed information of psychiatric ED visits (length, most frequent times and days) regarding the second most-visited hospital. We assessed the efficacy of hospitalizations in reducing ED visits with a paired samples t Test, comparing the number of visits 30 days pre- and post-hospitalization. We estimated the health expenditure using the regional public health system prices, including three direct costs: emergency visits, hospitalizations and ambulance transportation. We obtained written informed consent from the patient’s legal guardian.
Results
A 26-year-old woman from Barcelona (Catalonia, Spain), diagnosed with mild intellectual disability, made 1447 emergency visits between 2009 and 2021 (figure 1). 946 visits (65%) took place in psychiatric emergency departments (EDs), whilst 353 (24%) in non-psychiatric EDs and 148 (10%) in urgent primary care. She attended 24 hospitals (ranking number one the closest to the patient’s home, with 387 visits) and seven primary care centers, distributed across 17 cities in Catalonia. Most visits were self-referred, being the main presenting problems anxiety and instrumental suicidal behaviour. Saturday was her favorite day for hospital visits (24,1%), while she seeked care on Tuesdays much less often (4.5%). She made 73.5% of consultations between 1pm and 6pm, with a median length per visit of 2.8 hours (range 0.33-20.9 hours). Regarding other therapeutic approaches, she attended day hospitals, psychiatric rehabilitation programs and family therapy, among others (figure 2), for which she showed low adherence and scarce benefit. She had ten acute hospitalizations, interventions that did not reduce ED visits (t=-0.9835, p=0.36). Health expenditure reached 410.035€.
Image:
Image 2:
Conclusions
The most common definition of frequent attendance is a patient who has five or more visits per year. Many times, but not always, repeat visits are also inappropriate. The case we report is a grotesque example of both frequent and inappropriate attendance, which has been resistant to all kinds of interventions and has quality-of-care, financial and ethical implications. As of today, it is still a pending case. Maybe it is worth considering residential treatment?
When completing the medical record of a patient with bipolar disoder (BD), hardly anything is more impacting than a family history of completed suicide (FHS). In fact, FHS is a main risk factor for personal suicide attempts and death in this population. There are few modifiable protective factors against suicide in BD, such as lithium treatment and absence of substance abuse.
Objectives
We aimed to explore the relationship between a FHS and clinical characteristics in patients with BD. Given the impact that FHS has on the individual and on healthcare professionals, we hypothesized that it would modify behaviors towards a higher prevalence of the modifiable protective factors against suicide, namely more treatment with lithium and less drug addiction.
Methods
This is a cross-sectional study that included all patients with BD that were followed up in a specialised unit between 1998 and 2020. Only subjects with complete information on FHS were retained for the analysis. We assessed sociodemographic and clinical data and described it with measures of frequency, central tendency and dispersion. Differences between subjects with and without FHS were calculated with χ², Fisher’s exact test and Student’s t-test as appropriate. We set the significance level at p≤0.05. All tests were two-tailed.
Results
The sample consisted of 480 subjects with a mean age of 45.9 years (standard deviation 14.4, range 18-88), of which 54.4% (n=261) were women. 69.2% (n=332) had a diagnosis of BD type I and 30.8% (n=148) of BD type II. 77 subjects (16%) had a FHS. Regarding differences between groups, those with relatives who had committed suicide did not show statistically significant differences in terms of sociodemographic variables (age, gender, civil status, employment) or key clinical features (type of BD, illness duration, psychotic features, predominant polarity, rapid cycling, number of lifetime manic and depressive episodes, comorbid personality disorder), neither did they have a higher use of lithium (55.8% vs 59.3%, p=0.572) nor lower substance use disorder (10.9% vs 15.5%, p=0.34). Predictably, people with FHS had a higher prevalence of family history of mental and affective disorders (96.1% vs 70.9%, p<0.001; 86.3% vs 56.3%, p<0.001) and of stressful life events (71.6% vs 58.9%, p=0.05). Personal lifetime suicide attempts also tended to be higher (36.4% vs 26.7%, p=0.088).
Conclusions
Contrary to our hypothesis, in our sample of subjects with BD a FHS was not associated with a higher prevalence of the modifiable protective factors against suicide. Therefore, although suicide has a major impact both in families and healthcare professionals, our results suggest it does not modify attitudes towards prevention in a real-life scenario. The main limitation of our study is its cross-sectional design, which does not allow for causal inference. In conclusion, there is room for improvement in the fight against suicide.