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A Rank Forum was convened to discuss the evidence around food insecurity (FIS), its impact on health, and interventions which could make a difference both at individual and societal level, with a focus on the UK. This paper summarises the proceedings and recommendations. Speakers highlighted the growing issue of FIS due to current economic and social pressures. It was clear that the health implications of FIS varied geographically since food insecure women in higher income regions tend to be living with overweight or obesity, in contrast to those living in low-to-middle income countries. This paradox could be due to stress and/or metabolic or behavioural responses to an unpredictable food supply. The gut microbiota may play a role given the negative effects of low fibre diets on bacterial diversity, species balance and chronic disease risk. Solutions to FIS involve individual behavioural change, targeted services and societal/policy change. Obesity-related services are currently difficult to access. Whilst poverty is the root cause of FIS, it cannot be solved simply by making healthy food cheaper due to various ingrained beliefs, attitudes and behaviours in target groups. Person-centred models, such as Capability-Opportunity-Motivation Behavioural Change Techniques and Elicit-Provide-Elicit communication techniques are recommended. Societal change or improved resilience through psychological support may be more equitable ways to address FIS and can combine fiscal or food environment policies to shift purchasing towards healthier foods. However, policy implementation can be slow to enact due to the need for strong evidence, consultation and political will. Eradicating FIS must involve co-creation of interventions and policies to ensure that all stakeholders reach a consensus on solutions.
To examine if the current taught undergraduate psychiatry syllabus at an Irish University relates to what doctors in psychiatry consider to be clinically relevant and important.
Methods:
Doctors of different clinical grades were invited to rate their views on 216 items on a 10-point Likert scale ranging from ‘0 = not relevant’ to ‘10 = very relevant’. Participants were invited to comment on topics that should be excluded or included in a new syllabus. Thematic analysis was conducted on this free-text to identify particular themes.
Results:
The doctors surveyed rated that knowledge of diagnostic criteria was important for medical students. This knowledge attained high scores across all disorders with particularly high scores for a number of disorders including major depressive disorder (mean = 9.64 (SD = 0.86)), schizophrenia (mean = 9.55 (SD = 0.95)) and attention deficit hyperactivity disorder (Attention Deficit Hyperactivity Disorder (ADHD); mean = 9.26 (SD = 1.40)). Lower scores were noted for less frequently utilised management strategies (transcranial magnetic stimulation (mean = 4.97 (SD = 2.60)), an awareness of the difference in criteria for use disorder and dependence from psychoactive substances (mean = 5.56 (SD = 2.26)), and some theories pertaining to psychotherapy (i.e. Freud’s drive theory (mean = 4.59 (SD = 2.42)).
Conclusions:
This study highlights the importance of an undergraduate programme that is broad based, practical and relevant to student’s future medical practice. An emphasis on diagnosis and management of major psychiatry disorders, and knowledge of the interface between mental health services, other medical specialities and support services was also deemed important.
A Bayesian procedure is given for estimation in unrestricted common factor analysis. A choice of the form of the prior distribution is justified. It is shown empirically that the procedure achieves its objective of avoiding inadmissible estimates of unique variances, and is reasonably insensitive to certain variations in the shape of the prior distribution.
The global population and status of Snowy Owls Bubo scandiacus are particularly challenging to assess because individuals are irruptive and nomadic, and the breeding range is restricted to the remote circumpolar Arctic tundra. The International Union for Conservation of Nature (IUCN) uplisted the Snowy Owl to “Vulnerable” in 2017 because the suggested population estimates appeared considerably lower than historical estimates, and it recommended actions to clarify the population size, structure, and trends. Here we present a broad review and status assessment, an effort led by the International Snowy Owl Working Group (ISOWG) and researchers from around the world, to estimate population trends and the current global status of the Snowy Owl. We use long-term breeding data, genetic studies, satellite-GPS tracking, and survival estimates to assess current population trends at several monitoring sites in the Arctic and we review the ecology and threats throughout the Snowy Owl range. An assessment of the available data suggests that current estimates of a worldwide population of 14,000–28,000 breeding adults are plausible. Our assessment of population trends at five long-term monitoring sites suggests that breeding populations of Snowy Owls in the Arctic have decreased by more than 30% over the past three generations and the species should continue to be categorised as Vulnerable under the IUCN Red List Criterion A2. We offer research recommendations to improve our understanding of Snowy Owl biology and future population assessments in a changing world.
Prosody includes the pitch, timing and loudness in speech, which can convey meaning and emotion. This study examines whether prosodic categories affect novel noun learning and whether the referent characteristic influence learning. Previous research showed that emotional prosody interfered with adults’ noun learning (West et al., 2017), but it had no effect on children (West et al., 2022). However, these researchers varied their method across ages, including animacy and complexity of the referent, and it is unclear if the results extend beyond the three emotional prosodies tested. Participants in the current set of studies heard novel words presented in five prosodic categories (within-subject) in order to learn the label for either animate or inanimate objects (between-subject). Study 1 compared inanimate objects and aliens, with better noun learning performance for inanimate objects. Study 2 compared inanimate objects with the same objects with faces added, but there was no difference in noun learning by object type. Both studies showed differences in noun learning by the prosodic category, with warning less accurate than naming. These results demonstrate how extralinguistic factors like prosody, attention and referent complexity influence noun learning.
Calcium-sodium exchange on Wyoming bentonite in methanol, ethanol and acetone-water systems were investigated at 0.03 N Cl and at room temperature. Calcium-sodium exchange isotherms were plotted at cosolvent concentrations ranging from 0 to 70% wt./wt. using Ca and Na ionic activities before and after correction for CaCl+ formation. In both cases and in all treatments, a greater selectivity of bentonite surfaces for Ca ions was observed. When compared to water, different trends were observed among and within cosolvents. These trends varied depending on whether or not CaCl+ formation was accounted for. Ignoring the formation of CaCl+, the preference of bentonite for Ca increased in methanolwater systems with increased percent methanol at low equivalent Ca fraction (<0.2). At higher Ca fractions, this preference matched that of water. In ethanol-water, no increased preference of the surface for Ca was observed. In acetone-water, increasing cosolvent concentration decreased the preference of the surface for Ca. The magnitude of this decrease was larger at low equivalent Ca fraction (<0.2). After correction for CaCl+, both in solution and on the surface, the preference of bentonite for Ca2+ was larger in methanol- and ethanol-water systems. In acetone-water, increased surface preference for Ca was only apparent at low acetone fractions (<50%). At higher acetone fractions, there was evidence of increased Na loading but no increase in Ca2+ selectivity. Clearly, ion-pair formation and its effects on Ca-Na exchange reactions cannot be ignored in mixtures of aqueous-organic solvents. After accounting for this effect, Ca-Na exchange in the studied solvents appears to be more of a surface- than a solution-controlled phenomenon that involves both electrostatic and specific solvent-surface types of interactions that have not been elucidated.
This chapter opens with an introduction of a theoretical framework for understanding reading and its development, which is generally consistent across languages. In so doing, the central role of oral language development is emphasized in terms of its role in shaping later reading success. Furthermore, the complex layering of factors that shape instruction and learning is discussed in the light of the amount of variability we can attribute to teachers, by drawing on research carried out from a social policy perspective. It is shown that the answer to the question of teacher effects is hugely affected by the context in which learning occurs. In well-resourced countries, effects of teachers and teaching are important, but relatively subtle, whereas they are much more obvious in countries with few resources or substantial social challenges. In addition, the role of teachers in supporting acquisition of the language skills required for reading comprehension is discussed as we draw on a relatively small set of studies from around the world that examine the nuances of teacher-child conversations in a detailed manner.Finally, we turn to what many consider to be the heart of reading instruction – teaching children to translate printed words into meaning.
Zooanthropy (delusional beliefs of turning into an animal) is a rare but well recognised psychiatric phenomenon. This case describes the presence of kynanthropic delusions (delusional beliefs of turning into a dog). Multiple other psychotic symptoms were also evident including unusually the additional presence of delusions of vampirism. Delusional beliefs in this case were associated with behavioural changes including growling and barking, and less commonly an expressed craving for biting people’s necks to suck human blood. Symptom intensity was associated with increased psychosocial stressors for this patient, with some benefit noted from very high doses of anti-psychotic medications. Brief admissions to the acute psychiatric inpatient unit and thus removal from environmental stressors has been associated with an amelioration in symptomatology.
George has asked me to write a short piece about my grandfather, and of course I am happy to do so given all that George has done to honor Robert Russell Bennett's musical heritage. I’ll get to the heritage aspect in a moment, and particularly Victory at Sea, but I’d like to start out by talking about Grandpa's love of sports and games.
He loved baseball. Perhaps the love went back to when he played ball for a Kansas semi-pro team. At first, I didn't know whether to believe him about his baseball career because, you see, he contracted polio as a young boy, and lost considerable muscle and strength in both legs as a lifelong condition. Why the initial doubt? He told me he played catcher.
He loved the New York Giants; he disliked the Dodgers and hated the Yankees. He applauded the Dodgers’ “scram” to Los Angeles and was saddened by the Giants’ move to San Francisco. He disliked changes to the game that were meant to broaden the sport's appeal, and on occasion when I would rhapsodize about such-and-so's home-run prowess, he would correct me by saying that in the era of shortened fences and lighter balls, there were no more home runs, only home “trots.” In my teens I’d dismiss this kind of remark as the older generation defending their ways from encroachments by the younger generation, but I came to see them as the reflection of his artistry, his devotion to true accomplishment as distinguished from showy gambits, no matter how popular. The idea that a ball should fly over a fielder's head to be a home run, rather than have the player stop at the fence and see the ball just make it over the fence has more force with me now.
He loved tennis and played well into his seventies. He played doubles, being unable to cover the court well in singles. He could hold his own against an average player in singles, but that was not his game. He was formidable in doubles against excellent players because of good ground strokes and a formidable serve. With his tall stature, long arms, big hands, and sinewy strength he could hit it. I heard veterans on several occasions warn newbies to ignore Grandpa's limp getting to the service line. As with all things, but especially tennis, he played to win.
To examine if the COVID-19 pandemic is associated with a differential effect over a 2-year time period in relation to its psychological and social impact on patients with established anxiety disorders.
Methods:
Semi-structured interviews were conducted with 21 individuals attending the Galway-Roscommon Mental Health Services in Ireland with an ICD-10 diagnosis of an anxiety disorder. Interviews occurred at three time-points over a 2-year period to determine the impact of the COVID-19 pandemic and associated restrictions on anxiety and depressive symptoms, social and occupational functioning, and quality of life.
Results:
No statistical difference in symptomatology was noted between the three time-points in relation to anxiety symptoms as measured utilising psychometric rating scales (Beck Anxiety Inventory (BAI), Hamilton Anxiety Rating Scale (HARS) or Likert Scale measures). The greatest impact of COVID-19 at all time-points related to social functioning and quality of life. Significant variability was noted for individual participants. Qualitative analysis noted a tentative optimism for the future in the setting of vaccination and societal re-opening. Fear of re-emerging anxiety symptoms with the removal of societal restrictions was noted.
Conclusions:
No significant overall change in symptomatology or functioning over time was noted for individuals with pre-existing anxiety disorders, however variability was demonstrated, with some individuals describing ongoing anxiety, social isolation and concern for their future. A strong theme of hope for the future and less concern regarding the COVID-19 pandemic was evident; however tailored supports including the utilisation of tele-psychiatry is suggested, particularly for those experiencing increased anxiety with the removal of societal restrictions.
Obesity is highly prevalent and disabling, especially in individuals with severe mental illness including bipolar disorders (BD). The brain is a target organ for both obesity and BD. Yet, we do not understand how cortical brain alterations in BD and obesity interact.
Methods:
We obtained body mass index (BMI) and MRI-derived regional cortical thickness, surface area from 1231 BD and 1601 control individuals from 13 countries within the ENIGMA-BD Working Group. We jointly modeled the statistical effects of BD and BMI on brain structure using mixed effects and tested for interaction and mediation. We also investigated the impact of medications on the BMI-related associations.
Results:
BMI and BD additively impacted the structure of many of the same brain regions. Both BMI and BD were negatively associated with cortical thickness, but not surface area. In most regions the number of jointly used psychiatric medication classes remained associated with lower cortical thickness when controlling for BMI. In a single region, fusiform gyrus, about a third of the negative association between number of jointly used psychiatric medications and cortical thickness was mediated by association between the number of medications and higher BMI.
Conclusions:
We confirmed consistent associations between higher BMI and lower cortical thickness, but not surface area, across the cerebral mantle, in regions which were also associated with BD. Higher BMI in people with BD indicated more pronounced brain alterations. BMI is important for understanding the neuroanatomical changes in BD and the effects of psychiatric medications on the brain.
Cybervetting is the widespread practice of employers culling information from social media and/or other internet sources to screen and select job candidates. Research evaluating online screening is still in its infancy; that which exists often assumes that it offers value and utility to employers as long as they can avoid discrimination claims. Given the increasing prevalence of cybervetting, it is extremely important to probe its challenges and limitations. We seek to initiate a discussion about the negative consequences of online screening and how they can be overcome. We draw on previous literature and our own data to assess the implications of cybervetting for three key stakeholders: job candidates, hiring agents, and organizations. We also discuss future actions these stakeholders can take to manage and ameliorate harmful outcomes of cybervetting. We argue that it is the responsibility of the organizations engaged in cybervetting to identify specific goals, develop formal policies and practices, and continuously evaluate outcomes so that negative societal consequences are minimized. Should they fail to do so, professional and industry associations as well as government can and should hold them accountable.
Maize is the primary staple crop cultivated during the monsoon season in eastern India. However, yield gaps are large because of multiple factors, including low adoption rates of good agronomic management practices. This study aimed to narrow the maize yield gap using diverse agronomic and varietal interventions through field experiments over 2 years (2013–2014) in the rainfed plateau region of Odisha. As a result, maize yield increased by 0.9, 0.74, and 0.17 Mg ha−1 under optimum plant population, fertilizer management, and herbicide-based weed management, respectively, over farmers’ current practices (Check). Moreover, when all three interventions were combined (‘best’ management practice), grain yields increased by 1.7 Mg ha−1 in conservation tillage and 2.2 Mg ha−1 in conventional tillage. We also observed that the combination of long-duration hybrids and best management practices (BMPs) increased grain yield by 4.0 Mg ha−1 and profitability by $888 ha−1 over farmers’ current practices. In addition, Nutrient Expert decision support tool-based fertilizer management along with BMPs increased grain yield by 1.7 Mg ha−1 and profitability by $314 ha−1 over farmers’ fertilizer practices (Check). These results suggest that the combination of maize hybrids and BMPs can improve the productivity and profitability of rainfed maize in the plateau region of Odisha. However, these entry points for intensification need to be placed in the context of varying investment requirements, input and output market conditions, and matched with farmer preferences and risk.
There has been an increasing interest in intergenerational activities where young people and older adults work together in the exchange of knowledge, new ideas, methodologies and ways of thinking. With the leading international climate change conference in Glasgow in Nov. 2021, this paper presents an intergenerational co-design COP26 project where co-design pairs designed and made Glasgow COP26 souvenirs, exhibited and sold them in a COP26 ‘pop-up’ shop. The project delivered important learning and teaching including project launch, studio sessions, external design reviews, and prototyping.
To overcome grass supply shortages on the main grazing block, some pasture-based dairy farmers are using zero-grazing (also known as ‘cut and carry’), whereby cows are periodically housed and fed fresh grass harvested from external land blocks. To determine the effect of zero-grazing on cow performance, two early-lactation experiments were conducted with autumn and spring-calving dairy cows. Cows were assigned to one of two treatments in a randomized complete block design. The two treatments were zero-grazing (ZG) and grazing (G). The ZG group were housed and fed zero-grazed grass, while the G group grazed outdoors at pasture. Both treatments were fed perennial ryegrass (Lolium perenne L.) from the same paddock. In experiment 1, 24 Holstein Friesian cows (n = 12) were studied over a 35-day experimental period in autumn and offered fresh grass, grass silage, ground maize and concentrates. In experiment 2, 30 Holstein Friesian cows (n = 15) were studied over a 42-day experimental period and offered fresh grass and concentrates. Average dry matter intake and milk yield was similar for ZG and G in both experiments. Likewise, ZG did not have an effect on milk composition, body condition or locomotion. Zero-grazing had no effect on total nitrogen excretion or nitrogen utilization efficiency in either experiment, or on rumen pH and ammonia concentration in experiment 1. While zero-grazing may enable farmers to supply fresh grass to early-lactation cows in spring and autumn, results from this study suggest that there are no additional benefits to cow performance in comparison to well-managed grazed grass.
To characterize and compare severe acute respiratory coronavirus virus 2 (SARS-CoV-2)–specific immune responses in plasma and gingival crevicular fluid (GCF) from nursing home residents during and after natural infection.
Design:
Prospective cohort.
Setting:
Nursing home.
Participants:
SARS-CoV-2–infected nursing home residents.
Methods:
A convenience sample of 14 SARS-CoV-2–infected nursing home residents, enrolled 4–13 days after real-time reverse transcription polymerase chain reaction diagnosis, were followed for 42 days. After diagnosis, plasma SARS-CoV-2–specific pan-Immunoglobulin (Ig), IgG, IgA, IgM, and neutralizing antibodies were measured at 5 time points, and GCF SARS-CoV-2–specific IgG and IgA were measured at 4 time points.
Results:
All participants demonstrated immune responses to SARS-CoV-2 infection. Among 12 phlebotomized participants, plasma was positive for pan-Ig and IgG in all 12 participants. Neutralizing antibodies were positive in 11 participants; IgM was positive in 10 participants, and IgA was positive in 9 participants. Among 14 participants with GCF specimens, GCF was positive for IgG in 13 participants and for IgA in 12 participants. Immunoglobulin responses in plasma and GCF had similar kinetics; median times to peak antibody response were similar across specimen types (4 weeks for IgG; 3 weeks for IgA). Participants with pan-Ig, IgG, and IgA detected in plasma and GCF IgG remained positive throughout this evaluation, 46–55 days after diagnosis. All participants were viral-culture negative by the first detection of antibodies.
Conclusions:
Nursing home residents had detectable SARS-CoV-2 antibodies in plasma and GCF after infection. Kinetics of antibodies detected in GCF mirrored those from plasma. Noninvasive GCF may be useful for detecting and monitoring immunologic responses in populations unable or unwilling to be phlebotomized.
Repeated antigen testing of 12 severe acute respiratory coronavirus virus 2 (SARS-CoV-2)–positive nursing home residents using Abbott BinaxNOW identified 9 of 9 (100%) culture-positive specimens up to 6 days after initial positive test. Antigen positivity lasted 2–24 days. Antigen positivity might last beyond the infectious period, but it was reliable in residents with evidence of early infection.