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Both childhood adversity (CA) and first-episode psychosis (FEP) have been linked to alterations in cortical thickness (CT). The interactive effects between different types of CAs and FEP on CT remain understudied.
Methods
One-hundred sixteen individuals with FEP (mean age = 23.8 ± 6.9 years, 34% females, 80.2% non-affective FEP) and 98 healthy controls (HCs) (mean age = 24.4 ± 6.2 years, 43% females) reported the presence/absence of CA <17 years using an adapted version of the Childhood Experience of Care and Abuse (CECA.Q) and the Retrospective Bullying Questionnaire (RBQ) and underwent magnetic resonance imaging (MRI) scans. Correlation analyses were used to assess associations between brain maps of CA and FEP effects. General linear models (GLMs) were performed to assess the interaction effects of CA and FEP on CT.
Results
Eighty-three individuals with FEP and 83 HCs reported exposure to at least one CA. CT alterations in FEP were similar to those found in participants exposed to separation from parents, bullying, parental discord, household poverty, and sexual abuse (r = 0.50 to 0.25). Exposure to neglect (β = −0.24, 95% CI [−0.37 to −0.12], p = 0.016) and overall maltreatment (β = −0.13, 95% CI [−0.20 to −0.06], p = 0.043) were associated with cortical thinning in the right medial orbitofrontal region.
Conclusions
Cortical alterations in individuals with FEP are similar to those observed in the context of socio-environmental adversity. Neglect and maltreatment may contribute to CT reductions in FEP. Our findings provide new insights into the specific neurobiological effects of CA in early psychosis.
The objective of this work was to study mortality increase in Spain during the first and second academic semesters of 2020, coinciding with the first 2 waves of the Covid-19 pandemic; by sex, age, and education.
Methods:
An observational study was carried out, using linked populations and deaths’ data from 2017 to 2020. The mortality rates from all causes and leading causes other than Covid-19 during each semester of 2020, compared to the 2017–2019 averages for the same semester, was also estimated. Mortality rate ratios (MRR) and differences were used for comparison.
Results:
All-cause mortality rates increased in 2020 compared to pre-covid, except among working-age, (25–64 years) highly-educated women. Such increases were larger in lower-educated people between the working age range, in both 2020 semesters, but not at other ages. In the elderly, the MMR in the first semester in women and men were respectively, 1.14, and 1.25 among lower-educated people, and 1.28 and 1.23 among highly-educated people. In the second semester, the MMR were 1.12 in both sexes among lower-educated people and 1.13 in women and 1.16 in men among highly-educated people.
Conclusion:
Lower-educated people within working age and highly-educated people at older ages showed the greatest increase in all-cause mortality in 2020, compared to the pre-pandemic period.
The plant Carduncellus matritensis (Cardueae, Compositae) was formerly known from only a single locality: Cerro Negro in Madrid Province, Spain. It is one of the six endemic species of the Spanish flora considered to be extinct. The causes of its presumed extinction were anthropogenic: the growth of the city of Madrid subsumed the locality into the city, such that Cerro Negro is now a railway station. During 2021–2022 we discovered three new populations c. 50 km south of the type locality, with 130–166 mature individuals. Habitat fragmentation and degradation are the most significant threats facing the three populations. We categorize the conservation status of the species as Critically Endangered according to the IUCN Red List criteria. To avoid the loss of this species, we recommend both in situ (creation of micro-reserves) and ex situ (seed storage) conservation measures.
The Spanish Ministry of Health asked us about the efficiency of extending the current rotavirus vaccination strategy to all newborns. The current strategy is to vaccinate only to high-risk newborns (premature and those qualified as high-risk by a pediatrician). The objective of this research was to compare three strategies: no-vaccination, vaccination of high-risk newborns and universal vaccination, considering the two vaccines available in Spain: RotaTeq® and Rotarix®.
Methods
A cost-utility analysis, based on a de novo Markov model, was carried out both from a societal and a healthcare system perspective. The model follows a cohort of newborns during their life-course. The cycle length is annual and a half-cycle correction was applied. A discount rate of 3 percent was applied in the base case both to costs and utilities. Most of the incidence, probabilities and costs data were Spanish. The Quality Adjusted Life Year (QALY) data were taken from international literature. We assumed a willingness to pay threshold of EUR 25,000 per QALY gained. We performed deterministic one-way sensitivity analysis.
Results
Compared to no-vaccination, the high-risk vaccination strategy is cost-effective assuming the above- mentioned threshold only with Rotarix® from a societal perspective (RotaTeq® EUR 32,008 per QALY; Rotarix® EUR 23,368 per QALY). Universal vaccination is not cost-effective either compared to no-vaccination or compared to the high-risk vaccination strategy and with both perspectives. Vaccine prices and efficacy data are highly sensitive variables. We find that universal vaccination would be cost-effective with a discount of 44.6 and 36.9 percent of the current price of RotaTeq® and Rotarix®, respectively.
Conclusions
Universal vaccination would not be a cost-effective strategy for Spain with either of the two vaccines at current prices. Vaccination of high-risk newborns would be cost-effective at current prices and from a societal perspective only with Rotarix®. Substantial vaccines price reductions could make the universal vaccination a cost-effective option in Spain.
LiDAR coverage of a large contiguous area within the Mirador-Calakmul Karst Basin (MCKB) of northern Guatemala has identified a concentration of Preclassic Maya sites (ca. 1000 b.c.–a.d. 150) connected by causeways, forming a web of implied social, political, and economic interactions. This article is an introduction to one of the largest, contiguous, regional LiDAR studies published to date in the Maya Lowlands. More than 775 ancient Maya settlements are identified within the MCKB, and 189 more in the surrounding karstic ridge, which we condensed into 417 ancient cities, towns, and villages of at least six preliminary tiers based on surface area, volumetrics, and architectural configurations. Many tiered sites date to the Middle and Late Preclassic periods, as determined by archaeological testing, and volumetrics of contemporaneously constructed and/or occupied architecture with similar morphological characteristics. Monumental architecture, consistent architectural formats, specific site boundaries, water management/collection facilities, and 177 km of elevated Preclassic causeways suggest labor investments that defy organizational capabilities of lesser polities and potentially portray the strategies of governance in the Preclassic period. Settlement distributions, architectural continuities, chronological contemporaneity, and volumetric considerations of sites provide evidence for early centralized administrative and socio-economic strategies within a defined geographical region.
Consumption of high-energy-yielding diets, rich in fructose and lipids, is a factor contributing to the current increase in non-alcoholic fatty liver disease prevalence. Gut microbiota composition and short-chain fatty acids (SCFAs) production alterations derived from unhealthy diets are considered putative underlying mechanisms. This study aimed to determine relationships between changes in gut microbiota composition and SCFA levels by comparing rats featuring diet-induced steatohepatitis with control counterparts fed a standard diet. A high-fat high-fructose (HFHF) feeding induced higher body, liver and mesenteric adipose tissue weights, increased liver triglyceride content and serum transaminase, glucose, non-HDL-c and MCP-1 levels. Greater liver malondialdehyde levels and glutathione peroxidase activity were also observed after feeding the hypercaloric diet. Regarding gut microbiota composition, a lowered diversity and increased abundances of bacteria from the Clostridium sensu stricto 1, Blautia, Eubacterium coprostanoligenes group, Flavonifractor, and UBA1819 genera were found in rats featuring diet-induced steatohepatitis, as well as higher isobutyric, valeric and isovaleric acids concentrations. These results suggest that hepatic alterations produced by a hypercaloric HFHF diet may be related to changes in overall gut microbiota composition and abundance of specific bacteria. The shift in SCFA levels produced by this unbalanced diet cannot be discarded as potential mediators of the reported hepatic and metabolic alterations.
The aim of the present study was to develop and validate a test to evaluate dietitian's clinical competence (CC) about nutritional care in patients with early chronic kidney disease (CKD). The study was conducted through five steps: (1) CC and its dimensions were defined; (2) test items were elaborated, and choice of response format and scoring system was selected; (3) content and face validity were established; (4) test was subjected to a pilot test and those items with inadequate performance were removed; (5) criterion validity and internal consistency for final validation were established. A 120-items test was developed and applied to 207 dietitians for validation. Dietitians with previous CKD training obtained higher scores than those with no training, confirming the test validity criterion. According to item analysis, Cronbach's α was 0⋅85, difficulty index 0⋅61 ± 0⋅22, discrimination index 0⋅26 ± 0⋅15 and inter-item correlation 0⋅19 ± 0⋅11, displaying adequate internal consistency.
This paper presents an experimental study of the influence of heat losses on the onset of thermoacoustic instabilities in methane–air premixed flames propagating in a horizontal tube of diameter, $D = 10$ mm. Flames are ignited at the open end of the tube and propagate towards the closed end undergoing strong oscillations of different features owing to the interaction with acoustic waves. The frequency of oscillation and its axial location are controlled through the tube length $L$ and the intensity of heat losses. These parameters are respectively modified in the experiments by a moveable piston and a circulating thermal bath of water prescribing temperature conditions. Main experimental observations show that classical one-dimensional predictions of the oscillation frequency do not accurately describe the phenomena under non-adiabatic real scenarios. In addition to the experimental measurements, a quasi-one-dimensional analysis of the burnt gases is provided, which introduces the effect of heat losses at the wall of the tube on the interplay between the acoustic field and the reaction sheet. As a result, this analysis provides an improved description of the interaction and accurately predicts the excited flame-oscillation harmonics through the eigenvalues of the non-adiabatic acoustics model. Unlike the original one-dimensional analysis, the comparison between the flame oscillation frequency provided by the non-adiabatic extended theory and the frequencies measured in our experiments is in excellent agreement in the whole range of temperatures considered. This confirms the importance of heat losses in the modulation of the instabilities and the transition between different flame oscillation regimes.
This paper examines the effectiveness of forward guidance shocks in the US. We estimate a New Keynesian model with imperfect central bank credibility and heterogeneous expectations using Bayesian methods and survey data from the Survey of Professional Forecasters (SPF). The results provide important takeaways: (1) The estimated credibility of the Fed’s forward guidance announcements is relatively high, but anticipation effects are attenuated. Accordingly, output and inflation do not respond as favorably as in the fully credible counterfactual. (2) The so-called “forward guidance puzzle” arises partly from the unrealistically large responses of macroeconomic variables to forward guidance under perfect credibility and homogeneous fully informed rational expectations, assumptions which are found to be jointly inconsistent with the observed US data. (3) Imperfect credibility provides a plausible explanation for the empirical evidence of forecasting error predictability based on forecasting disagreement found in the SPF data. Thus, we show that accounting for imperfect credibility and forecasting disagreements is important to understand the formation of expectations and the transmission mechanism of forward guidance.
The COVID-19 pandemic is a global challenge for humanity, in which a large number of resources are invested to develop effective vaccines and treatments. At the same time, governments try to manage the spread of the disease while alleviating the strong impact derived from the slowdown in economic activity. Governments were forced to impose strict lockdown measures to tackle the pandemic. This significantly changed people’s mobility and habits, subsequently impacting the economy. In this context, the availability of tools to effectively monitor and quantify mobility was key for public institutions to decide which policies to implement and for how long. Telefonica has promoted different initiatives to offer governments mobility insights throughout many of the countries where it operates in Europe and Latin America. Mobility indicators with high spatial granularity and frequency of updates were successfully deployed in different formats. However, Telefonica faced many challenges (not only technical) to put these tools into service in a short timing: from reducing latency in insights to ensuring the security and privacy of information. In this article, we provide details on how Telefonica engaged with governments and other stakeholders in different countries as a response to the pandemic. We also cover the challenges faced and the shared learnings from Telefonica’s experience in those countries.
Habitat specialists are particularly vulnerable to extinction when habitat conditions are altered. Information on the habitat use of such species is thus important because it provides insight into factors that influence distribution and abundance, which is crucial for conservation. Here, we aimed to identify factors that influence the patterns of presence and abundance of the Endangered volcano rabbit Romerolagus diazi, a rare leporid with a patchy distribution. Through exhaustive sampling of its range in the Sierra Chichinautzin and Sierra Nevada volcanic fields, Mexico, and using generalized linear models, we found that the probability of patch occupancy was higher where bunchgrass cover exceeded 75%, rock cover exceeded 5%, no cattle grazing was observed and human settlements were at least 7 km away. Patches with greater relative abundance were those with similar characteristics, but located at elevations > 3,600 m, and with rock cover < 15%. Cattle grazing was identified as a major threat to local populations of the volcano rabbit, particularly in the Sierra Chichinautzin. Because of the significance of bunchgrasses for this species, the protection of the mountain grasslands is required in both volcanic fields.
Patients with schizophrenia spectrum disorders (SSD) tend to lack insight, which is linked to poor outcomes. The effect size of previous treatments on insight changes in SSD has been small. Metacognitive interventions may improve insight in SSD, although this remains unproved.
Methods
We carried out a systematic review and meta-analysis of randomized controlled trials (RCTs) to examine the effects of metacognitive interventions designed for SSD, namely Metacognitive Training (MCT) and Metacognitive Reflection and Insight Therapy (MERIT), on changes in cognitive and clinical insight at post-treatment and at follow-up.
Results
Twelve RCTs, including 10 MCT RCTs (n = 717 participants) and two MERIT trials (n = 90), were selected, totalling N = 807 participants. Regarding cognitive insight six RCTs (n = 443) highlighted a medium effect of MCT on self-reflectiveness at post-treatment, d = 0.46, p < 0.01, and at follow-up, d = 0.30, p < 0.01. There was a small effect of MCT on self-certainty at post-treatment, d = −0.23, p = 0.03, but not at follow-up. MCT was superior to controls on an overall Composite Index of cognitive insight at post-treatment, d = 1.11, p < 0.01, and at follow-up, d = 0.86, p = 0.03, although we found evidence of heterogeneity. Of five MCT trials on clinical insight (n = 244 participants), which could not be meta-analysed, four of them favoured MCT compared v. control. The two MERIT trials reported conflicting results.
Conclusions
Metacognitive interventions, particularly Metacognitive Training, appear to improve insight in patients with SSD, especially cognitive insight shortly after treatment. Further long-term RCTs are needed to establish whether these metacognitive interventions-related insight changes are sustained over a longer time period and result in better outcomes.
Climate change can cause geographic displacement of the ecological niche of a species, so that similar species that previously did not coexist could begin to face new interactions. Such geographic displacement and increased competition can also be exacerbated by anthropic intervention. Until less than 100 years ago, Vultur gryphus and Coragyps atratus did not coexist. Nowadays, possibly as a result of climate change, changes in the distributions of both species created areas where they are now sympatric. Through ecological niche modeling, we evaluated the possible effects that future scenarios of climate change and human influence would have on the distribution and sympatry between the two species. Our models predict that the current distribution of V. gryphus will be reduced between 18% and 24% by 2050 and between 21% and 32% by 2070. Additionally, they predict that the distribution of C. atratus will be reduced by 31–52% by the year 2050 and 15–60% by 2070. The two algorithms predict a reduction in the areas of sympatry. However, for the northern Andes the overlap between the two species will increase, reaching up to 70% in the year 2070. The distribution of C. atratus will move towards higher areas in the altitudinal gradient, and this will generate an increase in the current sympatry between both species. No clear trend was observed on the effect of human influences on the areas of overlap between the scenarios evaluated. The possible effects of climate change and anthropic intervention in future scenarios found in this study highlight the need to include these effects in future analyses and conservation programs of V. gryphus and other threatened vultures.
Infertility is defined as a failure of spontaneous conception after one year of regular sexual intercourse in the absence of contraceptive measures [1]. This entity represents a rising medical complaint since one out of eight couples find it difficult to conceive a child for the first time, and up to one in six find it difficult to conceive twice. Currently, 70 million couples of reproductive age suffer from infertility worldwide, accounting for an estimated overall prevalence of 15% [2].
Triclosan (TCS) adsorption behavior by a modified zeolite with Cetyl Trimethyl Ammonium Bromide (CTAB) was evaluated factoring in pH, contact time, and TCS initial concentration in a batch system. Natural clinoptilolite-type zeolite from Sonora, Mexico was conditioned with a sodium chloride solution, and, subsequently, modified with CTAB. All the zeolites were characterized by X-ray Diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM), Electron Dispersive Spectroscopy (EDS), and the Zero Point Charge (pHZPC). It was found that the morphological and structural properties of natural zeolite were not affected after treatment with cationic surfactant. Furthermore, adsorption process efficiency was enhanced by the presence of CTAB, obtaining TCS maximum adsorption capacity at an optimal pH of 9.0. In this context, the positively charged surface of the modified zeolite and the anionic triclosan species present were decisive. Kinetics data were well adjusted to a pseudo-second order model with a TCS adsorption capacity of 1.430 ± 0.051 mg g-1 at an equilibrium time of 18 h. Isotherm results were best adjusted to the Langmuir model with a qmax = 2.027 mg g-1 using an initial Co concentration of 18.0 mg L-1, and reaching an equilibrium Ce concentration of 0.559 mg L-1. The mechanism for the adsorption of TCS by CTAB-modified zeolite was proposed to be electrostatic attractions between the group of partial positive charge of CTAB and the anionic species of triclosan. Consequently, CTAB-modified zeolites could be used as effective adsorbents for triclosan removal.
The diet and habitat of Leptomeryx sp. from the Late Uintan Yolomécatl Formation of NW Oaxaca, SE Mexico were inferred using dental enamel carbon and oxygen isotopic relationships, and compared with those of congeneric species from temperate North America. Results show that Leptomeryx sp. fed on C3 plants and lived in open forest or forest/savanna ecotone. The palynoflora and co-occurrence of perissodactyls and artiodactyls that live in an environment like that of Leptomeryx support this interpretation. Further, both records disclose that in NW Oaxaca (southern North America) tropical conditions prevailed at that time, unlike that of temperate North America.
Objectives: The methodological quality of an economic evaluation performed alongside a clinical trial can be underestimated if the paper does not report key methodological features. This study discusses methodological assessment issues on the example of a systematic review on cost-effectiveness of physiotherapy for knee osteoarthritis.
Methods: Six economic evaluation studies included in the systematic review and related clinical trials were assessed using the 10-question check-list by Drummond and the Physiotherapy Evidence Database (PEDro) scale.
Results: All economic evaluations were performed alongside a clinical trial but the studied interventions were too heterogeneous to be synthesized. Methodological quality of the economic evaluations reported in the papers was not free of drawbacks, and in some cases, it improved when information from the related clinical trial was taken into account.
Conclusions: Economic evaluation papers dedicate little space to methodological features of related clinical trials; therefore, the methodological quality can be underestimated if evaluated separately from the trials. Future economic evaluations should follow more strictly the recommendations about methodology and the authors should pay special attention to the quality of reporting.
The Atlantic–Mediterranean transition zone between the Alborán Sea and the Gulf of Cádiz constitutes the most prominent marine geographic barrier in European waters and includes known phylogeographic breaks such as the Strait of Gibraltar and the Almería-Oran Front. A genetic shift in this area has been previously documented for the European littoral shrimp Palaemon elegans. Here we carried out a phylogeographic analysis with the congeneric and sympatric species Palaemon serratus to test for similar intraspecific genetic differentiation and geographic structure. This littoral prawn is distributed in the Northeastern Atlantic Ocean, the Mediterranean Sea and the Black Sea. We compared DNA sequences from the mitochondrial genes Cox1 and to a lesser extent from 16S rRNA of several Atlantic and Mediterranean populations. Furthermore, sequences from the nuclear gene Enolase were included for corroborating differences between Mediterranean and Atlantic individuals. A pronounced genetic differentiation was detected between the Mediterranean and Atlantic populations, amounting to 10.14% in Cox1 and 2.0% in 16S, indicating the occurrence of two independent evolutionary lineages. Interestingly, specimens from the Atlantic Gulf of Cadiz cluster together with the Mediterranean individuals, indicating that a biogeographic barrier appears to be located west of the Strait of Gibraltar.