Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women’s well-being and ensure healthcare system preparedness during future public health crises.

Drawing on ethical and legal frameworks in the Netherlands, the United States and France, we examine whether physicians are expected to inform patients about potentially relevant opportunities for expanded access to investigational drugs. While we found no definitive legal obligation, we argue that physicians have a moral obligation to discuss opportunities for expanded access with patients who have run out of treatment options to prevent inequality, to promote autonomy, and to achieve beneficence.

We present a new tool for the analysis of the optical emission lines of the gas in the Narrow Line Region (NLR) around Active Galactic Nuclei (AGNs). This new tool can be used in large samples of objects in a consistent way using different sets of optical emission-lines taking into the account possible variations from the O/H - N/O relation. The code compares certain observed emission-line ratios with the predictions from a large grid of photoionization models calculated under the most usual conditions in the NLR of AGNs to calculate the total oxygen abundance, nitrogen-to-oxygen ratio and ionization parameter. We applied our method to a sample of Seyfert 2 galaxies with optical emission-line fluxes from the literature. Our results confirm the high metallicity of the objects of the sample and provide consistent values with the direct method. The usage of models to calculate precise ICFs is mandatory when only optical emission lines are available to derive chemical abundances using the direct method in NLRs of AGN.

There is a long history of exploitation of the South American river turtle Podocnemis expansa. Conservation efforts for this species started in the 1960s but best practices were not established, and population trends and the number of nesting females protected remained unknown. In 2014 we formed a working group to discuss conservation strategies and to compile population data across the species’ range. We analysed the spatial pattern of its abundance in relation to human and natural factors using multiple regression analyses. We found that > 85 conservation programmes are protecting 147,000 nesting females, primarily in Brazil. The top six sites harbour > 100,000 females and should be prioritized for conservation action. Abundance declines with latitude and we found no evidence of human pressure on current turtle abundance patterns. It is presently not possible to estimate the global population trend because the species is not monitored continuously across the Amazon basin. The number of females is increasing at some localities and decreasing at others. However, the current size of the protected population is well below the historical population size estimated from past levels of human consumption, which demonstrates the need for concerted global conservation action. The data and management recommendations compiled here provide the basis for a regional monitoring programme among South American countries.

We investigated whether neurobehavioral markers of risk for emotion dysregulation were evident among newborns, as well as whether the identified markers were associated with prenatal exposure to maternal emotion dysregulation. Pregnant women (N = 162) reported on their emotion dysregulation prior to a laboratory assessment. The women were then invited to the laboratory to assess baseline respiratory sinus arrhythmia (RSA) and RSA in response to an infant cry. Newborns were assessed after birth via the NICU Network Neurobehavioral Scale. We identified two newborn neurobehavioral factors—arousal and attention—via exploratory factor analysis. Low arousal was characterized by less irritability, excitability, and motor agitation, while low attention was related to a lower threshold for auditory and visual stimulation, less sustained attention, and poorer visual tracking abilities. Pregnant women who reported higher levels of emotion dysregulation had newborns with low arousal levels and less attention. Larger decreases in maternal RSA in response to cry were also related to lower newborn arousal. We provide the first evidence that a woman's emotion dysregulation while pregnant is associated with risks for dysregulation in her newborn. Implications for intergenerational transmission of emotion dysregulation are discussed.

Introduction: Acute aortic syndrome (AAS) is a time sensitive aortic catastrophe that is often misdiagnosed. There are currently no Canadian guidelines to aid in diagnosis. Our goal was to adapt the existing American Heart Association (AHA) and European Society of Cardiology (ESC) diagnostic algorithms for AAS into a Canadian evidence based best practices algorithm targeted for emergency medicine physicians. Methods: We chose to adapt existing high-quality clinical practice guidelines (CPG) previously developed by the AHA/ESC using the GRADE ADOLOPMENT approach. We created a National Advisory Committee consisting of 21 members from across Canada including academic, community and remote/rural emergency physicians/nurses, cardiothoracic and cardiovascular surgeons, cardiac anesthesiologists, critical care physicians, cardiologist, radiologists and patient representatives. The Advisory Committee communicated through multiple teleconference meetings, emails and a one-day in person meeting. The panel prioritized questions and outcomes, using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess evidence and make recommendations. The algorithm was prepared and revised through feedback and discussions and through an iterative process until consensus was achieved. Results: The diagnostic algorithm is comprised of an updated pre test probability assessment tool with further testing recommendations based on risk level. The updated tool incorporates likelihood of an alternative diagnosis and point of care ultrasound. The final best practice diagnostic algorithm defined risk levels as Low (0.5% no further testing), Moderate (0.6-5% further testing required) and High ( >5% computed tomography, magnetic resonance imaging, trans esophageal echocardiography). During the consensus and feedback processes, we addressed a number of issues and concerns. D-dimer can be used to reduce probability of AAS in an intermediate risk group, but should not be used in a low or high-risk group. Ultrasound was incorporated as a bedside clinical examination option in pre test probability assessment for aortic insufficiency, abdominal/thoracic aortic aneurysms. Conclusion: We have created the first Canadian best practice diagnostic algorithm for AAS. We hope this diagnostic algorithm will standardize and improve diagnosis of AAS in all emergency departments across Canada.

We disagree with Rahnev & Denison (R&D) that optimality should be abandoned altogether. Rather, we argue that adopting a normative approach enables researchers to test hypotheses about the brain's computational goals, avoids just-so explanations, and offers insights into function that are simply inaccessible to the alternatives proposed by R&D.

OBJECTIVES/SPECIFIC AIMS: The University of Puerto Rico-Medical Sciences Campus and Universidad Central del Caribe, through the Title V Cooperative Project, devised a clinical and translational research (CTR) platform to pipeline students/faculty of undergraduate health sciences programs into CTR. Educational interventions in CTR—introductory intervention (II) and Annual Symposium (AS)—were designed to promote awareness, stimulate interest of students and faculty in CTR. METHODS/STUDY POPULATION: In the II the participants (n=159) were surveyed before and after a presentation and panel discussion about CTR. In addition, after the sessions—plenary, panel, and workshop—about CTR, the participants of AS (n=42) were surveyed for satisfaction and learning experience in CTR. RESULTS/ANTICIPATED RESULTS: Most participants of the II, 134 (84.3%) were students. In total, 58 (58, 36.5%) completed the post II survey. Of these, 53.4% satisfactorily defined the CTR concept Versus only 31.0% that could define CTR in the pre survey, 47 (81.7%) were unable to identify a CTR researcher and 45 (78.3 %) expressed interest in learning about CTR. In total, 28 (28, 66.7%) participants of the AS completed the satisfaction survey, out of which 17 (60.6%) were students. One hundred percent (100%) agreed that the AS served as a vehicle to increase their knowledge in CTR. DISCUSSION/SIGNIFICANCE OF IMPACT: The educational interventions demonstrated to be an effective strategy to promote awareness and stimulate interest of students and faculty in CTR. In addition, the results obtained, provided valuable baseline information for the planning—development of training cycles in CTR.

Based on the nature of the links and interactions existing at the hybrid interface, hybrid materials can be broadly classified in two main designations: a) Hybrid compounds Class I, that include all systems with electrostatic forces, hydrogen bonding or Van der Waals interactions and b) Hybrid compounds Class II, showing that the inorganic and organic components are linked through strong covalent or ionic-covalent bonds. The physico–chemical properties of nanostructured copolymer acrylates based on butyl acrylate (BA), methyl methacrylate (MMA) and acrylic acid (AA) has been investigated employing un-modified SiO2 (Class I) and modified SiO2 particles (Class II) using 3-(trimethoxysilyl) propyl methacrylate (MPS) as compatibilizing agent. The synthesis was carried out using seeded batch emulsion polymerization system. Metastable nanostructured emulsions containing 1 wt% nanoparticles were obtained. Films casted from the in-situ nanostructured latex exhibited excellent optical transparency suggesting good nanoparticles dispersion. However, the mechanical properties showed by SiO2-MPS nanocomposite, are better than the Class I hybrid compounds. Therefore, SiO2-MPS surface treatment prior to polymerization enhances the physical properties of copolymer BA-MMA-AA film. The mass loss derivative traces for the polyacrylic nanocomposites and the neat polymer obtained by thermogravimetric analysis showed that the onset temperature for thermal decomposition was shifted towards a higher temperature than the neat polyacrylic, indicating the enhancement of thermal stability of the un-modified SiO2 nanocomposite. However, there is a decrease of 40°C in the decomposition temperature for the modified polyacrylic nanocomposite. The results obtained so far have shown that weak Van der Waals and H-bonding interactions may be sufficient to enable improvement of the physical properties of the acrylate nanocomposites.

The field of composites materials has evolved from the use of traditional fillers (e.g. carbon and glass fibers) to nanoscale fillers that add unique and often multifunctional properties to the neat polymer. Because nanoparticles have extremely high surface to volume ratios, that alter the mobility of polymer chains near their interfaces, even a small addition of nanoparticles. These components have the potential to drastically transform the properties of the host polymers. While the last decade has observed several advances in the field of nanocomposites, some recent reviews have made it clear that definitive structure-property relationships are insufficient in the literature. The influence of inorganic TiO2 nanoparticles on the dynamic mechanical properties and microstructure of copolymer based on Butyl acrylate - Methyl methacrylate - Acrylic Acid has been investigated. The mechanical relaxations of the reinforced copolymer/TiO2 composites were studied under tension mode. Addition of TiO2 nanoparticles to acrylic copolymer produced a decrease in the glass transition temperature. Dynamic mechanical analysis (DMA) showed that the local motions associated with the alpha-transition (40°C) are enhanced as the frequency of oscillation increases, i.e. the tan d maximum increases at higher frequencies. The addition of TiO2 nanoparticles reduces significantly the strength of the alpha-transition. Thus, the cooperative molecular motions involving segments of the molecular chains associated with the alpha-transition were compromised by the presence of TiO2 nanoparticles resulting in a decrement of the storage modulus.

The origin of endothermic homeothermy and of high metabolic rate in mammals is currently believed to be the result of early (Mesozoic) selection in advanced cynodont therapsids and/or early mammals for either (1) enhanced thermoregulatory capacity or (2) increased powers of endurance and stamina. Selective factors underlying the origin of specialized respiration/ventilation-support systems in mammals are possible indices of the validity of these two hypotheses. One such support structure is the diaphragm, a specialized muscle that facilitates lung ventilation. We tested capacity for maintenance of resting metabolic rate, thermoregulation, and for extended, intense exercise in laboratory rats (Rattus rattus) in which diaphragm function had been completely ablated. The results were virtual elimination of aeroboic scope (active metabolic rate — resting metabolic rate) but resting metabolic rate was unaffected. Thermoregulatory capacity was unimpaired to at least 8° below lower critical temperature. These and other data suggest that the origin of the mammalian diaphragm, as well as mammalian metabolic rates, may have been related to selection for greater levels of sustainable activity rather than for functions associated with thermoregulation.

We document evidence of endophytic oviposition on fossil compression/impression leaves from the early Eocene Laguna del Hunco and middle Eocene Rio Pichileufu floras of Patagonia, Argentina. Based on distinctive morphologies and damage patterns of elongate, ovoid, lens-, or teardrop-shaped scars in the leaves, we assign this insect damage to the ichnogenus Paleoovoidus, consisting of an existing ichnospecies, P. rectus, and two new ichnospecies, P. arcuatum and P. bifurcatus. In P. rectus, the scars are characteristically arranged in linear rows along the midvein; in P. bifurcatus, scars are distributed in double rows along the midvein and parallel to secondary veins; and in P. arcuatum, scars are deployed in rectilinear and arcuate rows. In some cases, the narrow, angulate end of individual scars bear a darkened region encompassing a circular hole or similar feature indicating ovipositor tissue penetration. A comparison to the structure and surface pattern of modern ovipositional damage on dicotyledonous leaves suggests considerable similarity to certain zygopteran Odonata. Specifically, members of the Lestidae probably produced P. rectus and P. bifurcatus, whereas species of Coenagrionidae were responsible for P. arcuatum. Both Patagonian localities represent an elevated diversity of potential fern, gymnosperm, and especially angiosperm hosts, the targets of all observed oviposition. However, we did not detect targeting of particular plant families. Our results indicate behavioral stasis for the three ovipositional patterns for at least 50 million years. Nevertheless, synonymy of these oviposition patterns with mid-Mesozoic ichnospecies indicates older origins for these distinctive modes of oviposition.