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Posttraumatic stress disorder (PTSD) has been associated with advanced epigenetic age cross-sectionally, but the association between these variables over time is unclear. This study conducted meta-analyses to test whether new-onset PTSD diagnosis and changes in PTSD symptom severity over time were associated with changes in two metrics of epigenetic aging over two time points.
Methods
We conducted meta-analyses of the association between change in PTSD diagnosis and symptom severity and change in epigenetic age acceleration/deceleration (age-adjusted DNA methylation age residuals as per the Horvath and GrimAge metrics) using data from 7 military and civilian cohorts participating in the Psychiatric Genomics Consortium PTSD Epigenetics Workgroup (total N = 1,367).
Results
Meta-analysis revealed that the interaction between Time 1 (T1) Horvath age residuals and new-onset PTSD over time was significantly associated with Horvath age residuals at T2 (meta β = 0.16, meta p = 0.02, p-adj = 0.03). The interaction between T1 Horvath age residuals and changes in PTSD symptom severity over time was significantly related to Horvath age residuals at T2 (meta β = 0.24, meta p = 0.05). No associations were observed for GrimAge residuals.
Conclusions
Results indicated that individuals who developed new-onset PTSD or showed increased PTSD symptom severity over time evidenced greater epigenetic age acceleration at follow-up than would be expected based on baseline age acceleration. This suggests that PTSD may accelerate biological aging over time and highlights the need for intervention studies to determine if PTSD treatment has a beneficial effect on the aging methylome.
It is often said that religious disaffection is largely the result, not so much of intellectual doubts, as of the experiential sense of the world's suffering and injustice. Much of the Enlightenment polemic revolved around the problem of the theodicy and, according to a survey of the attitudes of German proletarians in 1906, the majority's religious disbelief appeared to stem from the failure of religious systems to cope adequately with the “‘injustice’ of the order of the world.”
In the same essay, however, Weber distinguishes three radical attempts to answer the problems posed by the world's imperfections. These, he claimed, “...give rationally satisfying answers for the basis of the incongruity between destiny and merit, the Indian doctrine of Kharma, Zoroastrian dualism, the predestination decree of the deus absconditus. These solutions are rationally closed; in pure form, they are found only as exceptions.”
To identify and quantify general practitioner (GP) preferences related to service attributes of clinical consultations, including telehealth consultations, in Australia.
Background:
GPs have been increasingly using telehealth to deliver patient care since the onset of the 2019 coronavirus disease (COVID-19) pandemic. GP preferences for telehealth service models will play an important role in the uptake and sustainability of telehealth services post-pandemic.
Methods:
An online survey was used to ask GPs general telehealth questions and have them complete a discrete choice experiment (DCE). The DCE elicited GP preferences for various service attributes of telehealth (telephone and videoconference) consultations. The DCE investigated five service attributes, including consultation mode, consultation purpose, consultation length, quality of care and rapport, and patient co-payment. Participants were presented with eight choice sets, each containing three options to choose from. Descriptive statistics was used, and mixed logit models were used to estimate and analyse the DCE data.
Findings:
A total of 60 GPs fully completed the survey. Previous telehealth experiences impacted direct preferences towards telehealth consultations across clinical presentations, although in-person modes were generally favoured (in approximately 70% of all scenarios). The DCE results lacked statistical significance which demonstrated undiscernible differences between GP preferences for some service attributes. However, it was found that GPs prefer to provide a consultation with good quality care and rapport (P < 002). GPs would also prefer to provide care to their patients rather than decline a consultation due to consultation mode, length or purpose (P < 0.0001). Based on the findings, GPs value the ability to provide high-quality care and develop rapport during a clinical consultation. This highlights the importance of recognising value-based care for future policy reforms, to ensure continued adoption and sustainability of GP telehealth services in Australia.
The formation of iddingsite by the oxidative weathering of Fo80 olivine begins by solution of Mg from planar fissures, 20 Å wide and spaced 200 Å apart, parallel to (001). Oxidation of Fe within the remaining olivine provides nuclei for the topotactic growth of goethite. Cleavage cracks < 50 Å in diameter allow Na, Al, and Ca from adjacent minerals, particularly plagioclase, to enter the altering olivine while Mg and Si diffuse away. In the early stages of weathering, strips of Fe-rich smectite (saponite), 20–50 Å wide and 1–7 layers thick, form bridges 50–100 Å long across the planar fissures. Dioctahedral smectite crystallizes on the margins of wider cleavage-controlled fissures; with further weathering halloysite is formed away from the fissure walls. In the ultimate stages of alteration, the saponite and dioctahedral smectite are lost, leaving a porous, oriented aggregate of goethite crystals each measuring about 50 × 100 × 200 Å (X, Y, Z, respectively), with sporadic veins of halloysite crossing the pseudomorph.
Background: Carbapenem-resistant Acinetobacter baumannii (CRAB) has emerged as a major cause of bloodstream infection among hospitalized patients in low- and middle-income countries (LMICs). CRAB infections can be difficult to treat and are devastating in neonates (~30% mortality). CRAB outbreaks are hypothesized to arise from reservoirs in the hospital environment, but outbreak investigations in LMICs seldom incorporate whole-genome sequencing (WGS). Methods: WGS (Illumina NextSeq) was performed at the National Institute for Communicable Diseases (South Africa) on 43 preserved A. baumannii isolates from a 530-bed referral hospital in Gaborone, Botswana, from March 2021–August 2022. This included 23 blood-culture isolates from 21 unique patients (aged 2 days–69 years) and 20 environmental isolates collected at the 36-bed neonatal unit in April–June 2021. Infections were considered healthcare-associated if the culture was obtained >72 hours after hospital arrival (or sooner in inborn infants). Blood cultures were incubated using an automated system (BACT/ALERT, BioMérieux) and were identified using manual methods. Environmental isolates were identified using selective or differential chromogenic media (CHROMagarTM). Taxonomic assignment, multilocus sequence typing (MLST), antimicrobial resistance gene identification, and phylogenetic analyses were performed using publicly accessible analysis pipelines. Single-nucleotide polymorphism (SNP) matrices were used to assess clonal lineage. Results: All 23 blood isolates and 5 (25%) of 20 environmental isolates were confirmed as A. baumannii; thus, 28 A. baumannii isolates were included in the phylogenetic analysis. MLST revealed that 22 (79%) of 28 isolates were sequence type 1 (ST1), including all 19 healthcare-associated blood isolates and 3 (60%) of 5 environmental isolates. Genes encoding for carbapenemases (blaNDM-1, blaOXA-23) and biocide resistance (qacE) were present in all 22 ST1 isolates; colistin resistance genes were not identified. Phylogenetic analysis of the ST1 clade demonstrated spatial clustering by hospital unit. Related isolates spanned wide ranges in time (>1 year), suggesting ongoing transmission from environmental sources (Fig. 1). An exclusively neonatal clade (0–2 SNPs) containing all 8 neonatal blood isolates was closely associated with 3 environmental isolates from the neonatal unit: a sink drain, bed rail, and a healthcare worker’s hand. Conclusions: WGS analysis of clinical and environmental A. baumannii revealed the presence of unit-specific CRAB clones, with evidence of ongoing transmission likely driven by persistent environmental reservoirs. This research highlights the potential of WGS to detect hospital outbreaks and reaffirms the importance of environmental sampling to identify and remediate reservoirs (eg, sinks) and vehicles (eg, hands and equipment) within the healthcare environment.
This paper presents a public outreach program developed by the Department of Classics at the University of Florida to introduce school-age children to Classics. The main goal is to emphasise the value of Classics and the practical skills it teaches by engaging students with hands-on exercises and materialising connections between the past and the present. The paper focuses on the importance of Classics and the humanities in the development of engaged citizens, the types of programs and their content, and ways to ensure the sustainability of such initiatives through the involvement of graduate students, faculty, and administrators.
In early September 1953, Hollywood's newest star Audrey Hepburn graced the cover of Time magazine. A sketch of her youthful face stood out against a background of Rome's Trevi Fountain and a cone of gelato, Italy's version of American ice cream. The occasion was her movie debut in William Wyler's Roman Holiday (1953). The film offered a light, but also subtle, even sad, romance involving Hepburn's character, an innocent princess visiting Rome who escapes from her uptight guardians to explore the city. Out on her own, she meets an American newspaper man played by Gregory Peck. Together they spend a day and night wandering the sites of Rome and falling in love, only to realize the princess–commoner romance can never last.
Critics and audiences embraced the film. The New York Times called Roman Holiday a “delightfully romantic and wistful comedy.” Newsweek called it one of “the most original, and endearing comedies to be credited to Hollywood in recent years.” Variety approvingly wrote, “William Wyler makes his first venture into comedy since 1935 and the switch from heavy drama is all to the good.” Al Hine, writing in Holiday, noted the movie was “a return to an older tradition of light comedy … that will stick in your memory for a long time.” The Hollywood Reporter remarked on the film's box office success enjoying crowds both in the US and particularly overseas. Referencing an executive from Paramount, the studio responsible for the film, the trade paper stated, “Besides its boxoffice [sic] performance ‘Roman Holiday’ is doing more than any film in years to advance the general prestige of Hollywood films abroad.”
Paramount Pictures emphasized the film as completely made in the Eternal City. Life magazine, in fact, described Roman Holiday as a “first-rate travelogue.” The film was the latest, and most successful, instance of American moviemakers decamping to Italy after the war. Taking advantage of low labor costs, restricted money from profits that could not be sent back to the US, and the allure of a city in the midst of revival, Hollywood producers found Rome an attractive city to make movies.
Whiteite-(MnMnMn), Mn2+Mn2+Mn2+2Al2(PO4)4(OH)2⋅8H2O, is a new whiteite-subgroup member of the jahnsite group from the Foote Lithium Company mine, Kings Mountain district, Cleveland County, North Carolina, USA. It was found in small vugs of partially oxidised pegmatite minerals on the East dump of the mine, in association with eosphorite, hureaulite, fairfieldite, mangangordonite, whiteite-(CaMnMn) and jasonsmithite. It occurs as sugary aggregates of blade-like crystals up to 0.1 mm long and as epitaxial overgrowths on whiteite-(CaMnMn). The crystals are colourless to very pale brown, with a vitreous lustre and a white streak. The blades are flattened on {001} and elongated along [010], with poor cleavage on {001}. The calculated density is 2.82 g⋅cm–3. Optically it is biaxial (–) with α = 1.599(2), β = 1.605(2), γ = 1.609(2) (white light); 2V (calc.) = 78.2°, having no observable dispersion or pleochroism, and with orientation X = b. Electron microprobe analyses and structure refinement gave the empirical formula (Mn2+0.59Ca0.38Na0.03)Σ1.00Mn1.00(Mn2+1.04Fe3+0.58Fe2+0.23Zn0.16Mg0.08)Σ2.09Al2.04(PO4)3.89(OH)3.18(H2O)7.26. Whiteite-(MnMnMn) is monoclinic, P2/a, a = 15.024(3) Å, b = 6.9470(14) Å, c = 9.999(2) Å, β = 110.71(3)°, V = 976.2(4) Å3 and Z = 2. The crystal structure was refined using synchrotron single-crystal data to wRobs = 0.057 for 2014 reflections with I > 3σ(I). Site occupancy refinements confirm the ordering of dominant Mn in the X, M1 and M2 sites of the general jahnsite-group formula XM1(M2)2(M3)2(H2O)8(OH)2(PO4)4. A review of published crystallochemical data for jahnsite-group minerals shows a consistent chemical pressure effect in these minerals, manifested as a contraction of the unit-cell parameter, a, as the mean size of the X and M1 site cations increases. This is analogous to negative thermal expansion, but with increasing cation size, rather than heating, inducing octahedral rotations that result in an anisotropic contraction of the unit cell.
Do restricting reforms work? We investigate the effects of rules reforms and procedural reforms on districting outcomes. First, we investigate the effects of common “fair districting” criteria – that is, rules that require (or prohibit) certain outcomes in districting. We find little evidence that adding additional criteria will prevent partisan bias in districting. In many cases, such as district compactness requirements, it appears that districting authorities frequently ignore the rules. The biggest drawback with rules-based reforms is that they depend upon the judiciary for enforcement. We then evaluate the effects of “procedural reforms,” like citizen redistricting commissions. We find systemically less bias in districting when the maps are drawn by citizens and other independent bodies. Although the design and mechanics of commissions vary widely, we find the least bias in the maps drawn by redistricting bodies that forbid membership by politicians. This suggests that independent redistricting commissions represent an effective solution against partisan gerrymandering, provided they are staffed by citizens or independent public officials.
What lessons can we draw from the study of 2011 state legislative redistricting? We find that, on the one hand, predicting partisan gerrymandering is relatively simple: gerrymandering occurs when one party can monopolize redistricting and has an incentive to draw biased maps. One the other hand, our investigations of racial segregation and political geography reveal the intimate links between racial gerrymandering and political gerrymandering and suggest that the Republican Party in 2011 was willing to use racial vote dilution in many states in order to achieve extreme bias. We conclude with an assessment of redistricting reforms in Virginia and “best practices” in preventing partisan gerrymandering.
Is partisan gerrymandering widespread in the state legislatures? We assess state legislative redistricting maps approved by state governments in 2011. We find results that are similar to estimates of districting bias in the US House. On average, partisan bias increased after redistricting. State governments approved more than forty state legislative redistricting plans that gave one party an extreme electoral advantage. Although we find a few examples of Democratic gerrymanders with modest levels of bias, most of the extremely biased maps favor the Republican Party. In total, there are nearly two dozen maps that award Republicans 20 percent more of the seats than Democrats when the vote is close. These extreme partisan gerrymanders give Republicans a considerable structural advantage in state legislative elections. We estimate that, in the average state legislative assembly, Republican candidates can expect to win about 9 percent more seats than Democratic candidates would for a given share of the vote, between 45 percent and 55 percent of the vote.
We investigate the impact of Voting Rights Act reforms that have required states to draw “majority-minority” districts and to abandon the use of multimember state legislative districts. Have these changes led to more bias in districting, as is often claimed? Our findings show that Republican bias is not an unavoidable outcome of minority districting. When Republicans are in charge, we often find more bias in states with large and geographically segregated Black and Latinx populations. In this regard, Republican gerrymanderers appear to use majority-minority districting as a tool for creating partisan advantage. But we do not see the same outcomes when Democrats, both parties, or independent actors are in charge. We also find that among the handful of states that still use multimember districts to elect state legislators, the average district magnitude in a state legislature imposes a ceiling on the level of bias achievable. However, when partisans are not in charge, multimember districts do not appear to limit partisan bias. Once again, the key variable in predicting the occurrence of bias in districting is whether or not one party controlled redistricting.
We investigate the political and social consequences of the 2010 election and the gerrymandering that followed. We show that many of the governing parties that drew extremely biased maps also enacted greater restrictions on voter eligibility and ballot access prior to the 2016 presidential election. Furthermore, we find evidence that the level of partisan bias present in state legislatures influenced policy outcomes, distinct from partisan control of the legislatures. Many state legislatures, including those in crucial swing states, have effectively insulated themselves from public accountability at the same time that their constituents face growing public health challenges, such as the COVID-19 pandemic.