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Physical inactivity is a leading cause globally of noncommunicable diseases such as diabetes, heart attacks, and strokes. Here, we present the results from a 4-week-long experimental test of a nudge designed to promote physical activity among 206 seniors in Abu Dhabi, United Arab Emirates—a population with one of the highest rates of physical inactivity in the world. We find that the “Forever Fit” nudge—a booklet containing a simple exercise program and information about the health benefits of physical activity—has a large positive effect on 93 previously inactive seniors. The nudge increases the time previously inactive participants spend being physically active from about 5 to about 15 minutes per day.
It remains unclear which individuals with subthreshold depression benefit most from psychological intervention, and what long-term effects this has on symptom deterioration, response and remission.
Aims
To synthesise psychological intervention benefits in adults with subthreshold depression up to 2 years, and explore participant-level effect-modifiers.
Method
Randomised trials comparing psychological intervention with inactive control were identified via systematic search. Authors were contacted to obtain individual participant data (IPD), analysed using Bayesian one-stage meta-analysis. Treatment–covariate interactions were added to examine moderators. Hierarchical-additive models were used to explore treatment benefits conditional on baseline Patient Health Questionnaire 9 (PHQ-9) values.
Results
IPD of 10 671 individuals (50 studies) could be included. We found significant effects on depressive symptom severity up to 12 months (standardised mean-difference [s.m.d.] = −0.48 to −0.27). Effects could not be ascertained up to 24 months (s.m.d. = −0.18). Similar findings emerged for 50% symptom reduction (relative risk = 1.27–2.79), reliable improvement (relative risk = 1.38–3.17), deterioration (relative risk = 0.67–0.54) and close-to-symptom-free status (relative risk = 1.41–2.80). Among participant-level moderators, only initial depression and anxiety severity were highly credible (P > 0.99). Predicted treatment benefits decreased with lower symptom severity but remained minimally important even for very mild symptoms (s.m.d. = −0.33 for PHQ-9 = 5).
Conclusions
Psychological intervention reduces the symptom burden in individuals with subthreshold depression up to 1 year, and protects against symptom deterioration. Benefits up to 2 years are less certain. We find strong support for intervention in subthreshold depression, particularly with PHQ-9 scores ≥ 10. For very mild symptoms, scalable treatments could be an attractive option.
Disaster response plans play a major role in mitigating the impact of climate-related disasters on community food access. This study examined existing disaster response plans in 5 US locations that experienced the costliest hurricanes since 2017 (states: Florida, Texas, Louisiana; territories: Puerto Rico, US Virgin Islands) to assess how existing disaster response plans and response efforts address food-related issues across 4 key domains: availability, accessibility, agency, and acceptability.
Methods
A content analysis of disaster response plans was conducted. Disaster response plans were complemented by a review of gray literature and media sources examining the post-hurricane aftermaths. Disaster plans were coded using a deductive analysis approach guided by the Disaster Food Security Framework.
Results
The analysis revealed significant disparities in planning and resources between territories and states. Findings highlight political and structural drivers of disparities in food access, particularly in US territories. State-mandated procedures resulted in a consistent level of effectiveness in their food distribution strategies.
Conclusions
These disparities underscore the need for targeted policy reforms and enhanced federal support to ensure equitable food security during disasters.
Anti-Müllerian hormone (AMH) is a dimeric glycoprotein belonging to the superfamily of the transforming growth factor-β. Due to the discovery of AMH functions, relative to the ovarian function, it is being postulated as being a highly important marker in studies on mammalian reproduction. Therefore, the objective of this review was to describe the role of this hormone in different reproductive aspects of female mammals, taking women, cows, and mares as reference species. The relationship between ovarian reserve and AMH was analysed, and it has been verified that there is a relationship between the latter, the antral follicle count, and the number of primary follicles. AMH concentration has been associated with parameters like the age of the individual, fertility, superovulation treatments and embryo production, and to the reproductive hormone concentration. Also, an association between AMH and female reproduction system diseases, and the fact that AMH is a heritable feature in the cow have also been proven. Recent studies have analysed the role of AMH receptor type 2 since it appears that, together with gonadotropin-releasing hormone, it controls the secretion of gonadotropins. Despite the considerable amount of bibliography on AMH, more studies are needed to complete the information that we have on it, in order to reveal the unknown elements in its action mechanisms.
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.
Objectives: Latin American longitudinal studies in family carers of people living with dementia (PLWD) are scarce. This study aimed to determine the trajectories of depressive and anxious symptomatology in Chilean family carers of PLWD over two years.
Methods: A telephone survey was conducted with 300 family caregivers of PLWD at baseline (T1) who responded to a survey about themselves, characteristics of the PLWD, and social factors. In the second wave, 208 carers participated (T2), and 155 in the third wave (T3). Latent Growth Curve and Latent Class Growth Mixture analyses were performed.
Results: Both depressive and anxious symptomatology increased significantly over time (p < 0.001). Ninety-five percent of carers, regardless of the level of depressive symptomatology at baseline, showed statistically significant trajectories of increase in depressive symptomatology (p < 0.001). In addition, 67% of carers (with low and high baseline levels) showed a significant progressive increase in anxious symptomatology (p < 0.005) and 33% remained at a moderate level of depressive symptomatology (p = 0.07). Finally, it was found that anxious symptomatology increased by 0.82 points more in women compared to men (p = 0.01).
Conclusions: The results emphasize the importance of ongoing screening for depressive and anxious symptomatology in carers over time, particularly in women. Health professionals in primary care should be capacitated to assess and offer timely and appropriate support to family carers of PLWD in order to improve their mental health. Finally, interventions for carers should be an essential part of national dementiaplans.
From early on, infants show a preference for infant-directed speech (IDS) over adult-directed speech (ADS), and exposure to IDS has been correlated with language outcome measures such as vocabulary. The present multi-laboratory study explores this issue by investigating whether there is a link between early preference for IDS and later vocabulary size. Infants’ preference for IDS was tested as part of the ManyBabies 1 project, and follow-up CDI data were collected from a subsample of this dataset at 18 and 24 months. A total of 341 (18 months) and 327 (24 months) infants were tested across 21 laboratories. In neither preregistered analyses with North American and UK English, nor exploratory analyses with a larger sample did we find evidence for a relation between IDS preference and later vocabulary. We discuss implications of this finding in light of recent work suggesting that IDS preference measured in the laboratory has low test-retest reliability.
The genus Ornithodoros is notably diverse within the family Argasidae, comprising approximately 134 species distributed among 4 subgenera, 1 of which is the subgenus Pavlovskyella. In an earlier study, we identified distinct soft ticks as Ornithodoros (Pavlovskyella) sp., which were collected from animal shelters in Khyber Pakhtunkhwa, Pakistan. Providing additional collections from that same locality and a comprehensive analysis involving detailed morphological and mitogenome-based comparisons with closely related species, this study formally designates a novel species for these specimens. Adults and late-instar nymphs of the new species display a dorsoventral groove, small cheeks not covering the capitulum, 5 small even humps on tarsus I and a transverse postanal groove intersecting the median postanal groove perpendicularly. It also lacks a tuft of setae on the ventral surface of the hood which separates the novel species from Ornithodoros papillipes. Ventral chaetotaxy of tarsus IV indicates 4–7 setal pairs in nymphs and 5–7 pairs in adults that separate the new species from Ornithodoros tholozani sensu stricto and Ornithodoros crossi, 2 morphologically closely related species that occur in geographical proximity. Phylogenetic analyses of the full-length mitochondrial genome and the 18S and 28S ribosomal RNA genes, combined with pairwise nucleotide comparisons of cox1, cox2, atp8, atp6, cox3, nad3, nad5, nad4, nad4L, nad6, cytb, nad1, nad2, 12S rDNA, 16S rDNA, 18S rDNA and 28S rDNA further support that the new species belongs to the Pavlovskyella subgenus, clustering with O. tholozani, Ornithodoros verrucosus and Ornithodoros tartakovskyi.
Empathy is an essential skill in the doctor-patient relationship since it contributes to improve aspects of health care and patient satisfaction. Nevertheless, burnout research projects have been developed in recent years.
Objectives
To examine the predictive capacity that empathy has on burnout syndrome in health professionals.
Methods
A non-experimental, cross-sectional design was proposed. The type of study was correlational-descriptive since it was sought out to explore a functional relation through the prognosis of a criterion variable. Sample: 200 (100 female and 100 male).
Results
First, the variance of cognitive and Affective Empathy was dug out in the emotional exhaustation criterion scale. Results accounted for 15% of variability in emotional exhaustation. (Corrected R 2 = .15, F = 17,56, p = 0,00). The best predictor of emotional exhaustation refers to Cognitive Empathy. (B = -.27, p = 0.00). It does not seem that Affective Empathy acts as a predictor variable of Emotional Exhaustation. (Table 1).Table 1
Multiple linear regression analysis considering Emotional Exhaustation as a criterion.
TECA
Corrected R2
F
B
p
Cognitive Empathy
.15
17,5
-.27**
0,00
Affective Empathy
-.14
.13
The predictive capacity of Empathy in relation to Depersonalization was estimated (Corrected R 2 = .20, F = 25,4, p = 0.00). Cognitive and affective empathy were included as predictor variables and MBI as a criterion variable (Table 2). On one hand, the best predictor of Depersonalization is the Cognitive Empathy. On the other hand, regarding Affective Empathy, it does not act as a predictor of Depersonalization.Table 2
Multiple linear regression analysis considering Depersonalization as a criterion.
TECA
Corrected R2
F
B
p
Cognitive Empathy
.20
25,4
-.32**
0,00
Affective Empathy
-.15
.84
Lastly, the predictive capacity of Empathy in relation to Personal Achievement was figured out. (Corrected R 2 = .19, F = 23,4, p = 0.00). Cognitive Empathy is the best predictor for Personal Fulfillment (Table 3).Table 3
Multiple linear regression analysis considering Personal Fullfilment as a criterion.
TECA
Corrected R2
F
β
p
Cognitive Empathy
.20
25,4
.43**
0,00
Affective Empathy
.00
.96
Conclusions
It was noticed that through a linear multiple regression analysis, the variable that best explains Emotional Exhaustation is Cognitive Empathy. Those results are replicated for Depersonalization and Personal Fullfilment.
According to Bisquerra Alzina (2003),competencies are defined as a set of knowledge, capabilities, skills and attitudes, necessary to understand, express and regulate emotional phenomena appropriately and which are fundamental in the teaching profesion since they are closely related to students´performance and mental health.
Objectives
compare socio-emotional skills in two groups of participants: female and male
Methods
A non-experimental,cross-sectional design was proposed for this study. The scope of this research is descriptive, in the sense,that it seeks to establish measures in regard to specific variables. Sample (100 female and 100 male).
Results
Results revealed that the evaluated teachers show average level of socio-emotional competencies, (Table 1).The highest scores were encountered in relation to the optimism competence. It suggests that teachers have the ability to obtain favorable balances from adverse situations presented in their daily lives.Table 1:
Distribution of socio-emotional competency levels in the professionals evaluated
LOW %
MEDIUM %
HIGHT %
EMOTIONAL AWARENESS
19
80
1
SELF EFFICACY
32
66
2
EMOTIONAL REGULATION
17
81
2
EMOTIONAL EXPRESSION
6
85
9
PROSOCIALITY
6
85
9
ASSERTIVENESS
6
82
12
OPTIMISM
0
21
79
EMOTIONAL AUTONOMY
25
71
4
EMPATHY
8
85
7
Findings showed that there exists a statiscally significative difference (P=0,000) in the empathy and self-efficacy dimensions. Women obtained higher scores in these two abilities in regard to men. (Table 2). No differences were observed in the rest of the competences evaluated.Table 2:
Differences according to men and women
FEMALE
MALE
SELF EFFICACY
1,78
1,61
EMPATHY
2,02
1,96
Conclusions
Although teachers´s socio-emotional competences were classified in medium levels, it is necessary to implement an intervention design that allows to streghten those dimensions since they could improve not only the relationships with their students but also teachers´ mental health.
Prosocial behaviors are voluntary behaviors that are performed for the benefit of other people and promote harmonious relationships with others. This type of enhanced behavior could reduce physical and verbal aggressive acts in adolescents.
Objectives
analyze the association between aggressive and prosocial behaviors in adolescents
Methods
The study was non-experimental of a transactional - correlational type, two evaluation instruments validated in the context were applied to 500 adolescents attending school in the department of Córdoba. The type of sampling was non-probabilistic.
Results
A Pearson correlation was performed, previously verifying the normality of the data, which showed a statistically significant, negative association between the prosocial behaviors and the aggressive behaviors of those evaluated (Table 1).Table 1:
Correlation between prosocial behavior and aggressive behavior.
PROSOCIAL BEHAVIOUR
AGGRESSIVEBEHAVIOR
Pearson correlation
-,197**
Sig. (bilateral)
,004
N
500
Conclusions
Negative associations were identified between the two variables under study, that is, as prosocial behavior increases, aggressive behaviors could decrease. This finding serves as a basis for carrying out future intervention strategies in adolescents in the department of Córdoba.
Emotional competencies, according to Bisquerra Alzina & Escoda (2007), refer to “knowledge, skills and attitudes necessary to understand, express and appropriately regulate emotional phenomena” (p. 22) in the management of emotions with oneself and with the other.
Objectives
Measure the emotional competencies Empathy, Emotional Expression and Emotional Regulation in health professionals in healthcare centers.
Methods
Quantitative descriptive. The Inventory of Emotional Competencies for Adults (Mikulic, Crespi, Radusky, 2015) was applied to 30 participants (doctor, psychologist, nurse, dentist).
Results
The grouped measurements show skills at a medium and high level.Table 1.
Measurement of empathy capacity, emotional regulation capacity and emotional expression capacity
Frequency
Porcent
Empathy
Medium
27
90,0
High
3
10,0
Emotional Regulation
Medium
15
50,0
High
15
50,0
Emotional Expression
Medium
26
86,7
High
4
13,3
Total
30
100,0
The emotional reaction of congruence with the emotional state of the other, empathy, shows a medium level (Table 1), a result consistent with the study by Ruiz González (2019), in the Colombian population, where a medium level of empathy is observed in doctors.
In the strategy for management, support, increase and suppression of the current affective state to self-soothe and find a state of relaxation, it is at an average value between medium and high (table 1.)
In the ability to start and maintain conversations, express one’s own thoughts and feelings clearly, both in verbal and non-verbal communication, and demonstrate to others that they have been well understood, the level is mostly medium (table 1.)
Conclusions
The levels of emotional competencies evaluated are mostly in the middle in the assessment by dimensions, empathy registered a lower level in contrast to other dimensions.Taking into consideration professional practice, response to organic and mental human vulnerability, it is a field for promoting the well-being of the health professional.
Relative to the numerous studies focused on mammalian schistosomes, fewer include avian schistosomatids particularly in the southern hemisphere. This is changing and current research emerging from the Neotropics shows a remarkable diversity of endemic taxa. To contribute to this effort, nine ducks (Spatula cyanoptera, S.versicolor, Netta peposaca), 12 swans (Cygnus melancoryphus) and 1,400 Physa spp. snails from Chile and Argentina were collected for adults and larval schistosomatids, respectively. Isolated schistosomatids were preserved for morphological and molecular analyses (28S and COI genes). Four different schistosomatid taxa were retrieved from birds: Trichobilharzia sp. in N. peposaca and S. cyanoptera that formed a clade; S.cyanoptera and S. versicolor hosted Trichobilharzia querquedulae; Cygnus melancoryphus hosted the nasal schistosomatid, Nasusbilharzia melancorhypha; and one visceral, Schistosomatidae gen. sp., which formed a clade with furcocercariae from Argentina and Chile from previous work. Of the physid snails, only one from Argentina had schistosomatid furcocercariae that based on molecular analyses grouped with T. querquedulae. This study represents the first description of adult schistosomatids from Chile as well as the elucidation of the life cycles of N.melancorhypha and T. querquedulae in Chile and Neotropics, respectively. Without well-preserved adults, the putative new genus Schistosomatidae gen. sp. could not be described, but its life cycle involves Chilina spp. and C. melancoryphus. Scanning electron microscopy of T. querquedulae revealed additional, undescribed morphological traits, highlighting its diagnostic importance. Authors stress the need for additional surveys of avian schistosomatids from the Neotropics to better understand their evolutionary history.
The mycosis histoplasmosis is also considered a zoonosis that affects humans and other mammalian species worldwide. Among the wild mammals predisposed to be infected with the etiologic agent of histoplasmosis, bats are relevant because they are reservoir of Histoplasma species, and they play a fundamental role in maintaining and spreading fungal propagules in the environments since the infective mycelial phase of Histoplasma grows in their accumulated guano. In this study, we detected the fungal presence in organ samples of bats randomly captured in urban areas of Araraquara City, São Paulo, Brazil. Fungal detection was performed using a nested polymerase chain reaction to amplify a molecular marker (Hcp100) unique to H. capsulatum, which revealed the pathogen presence in organ samples from 15 out of 37 captured bats, indicating 40.5% of infection. Out of 22 Hcp100-amplicons generated, 41% corresponded to lung and trachea samples and 59% to spleen, liver, and kidney samples. Data from these last three organs suggest that bats develop disseminated infections. Considering that infected bats create environments with a high risk of infection, it is important to register the percentage of infected bats living in urban areas to avoid risks of infection to humans, domestic animals, and wildlife.
The effect of ageing of adults of Echinostoma friedi (Trematoda: Echinostomatidae) on the infectivity of miracidia yielded was analysed. Miracidia were obtained after hatching of eggs obtained from adult worms of E. friedi collected weekly during the course of experimental infections in golden hamsters. Miracidial infectivity, measured in terms of percentage of infection in Lymnaea peregra, was significantly influenced by the age of the adult worms from which the miracidia were derived. Infective miracidia only were obtained from adult worms in the age range from 4 to 9 weeks post-infection. Infectivity was maximal in those miracidia derived from adults collected 8 and 9 weeks post-infection. The results suggest that adult worms producing viable eggs require additional maturation to be able to yield eggs containing infective miracidia.
The infectivity of Echinostoma friedi (Trematoda: Echinostomatidae) miracidia was studied experimentally in a range of laboratory-reared snails that coexist in the same natural locality, namely Radix peregra, Lymnaea fuscus, L. truncatula (Lymnaeidae), Gyraulus chinensis, Helisoma duryi (Planorbidae) and Physella acuta (Physidae), and snails from different geographical origins acting naturally or experimentally as intermediate hosts of Schistosoma spp., namely Planorbarius metidjensis (from Málaga, Spain), Biomphalaria glabrata (Guadeloupe), B. alexandrina (Egypt) (Planorbidae), Bulinus cernicus (Mauritius), B. globosus (Zambia), B. natalensis (South Africa) and B. truncatus (Niger) (Bulinidae). Six species of snails were found to be susceptible, with the rate of infection ranging from 0 to 36.7%. The highest infection was detected in R. peregra. The low host specificity of E. friedi might have an epidemiological significance as a requisite for a recent establishment in a new geographical area.
The survival characteristics of the cercariae of Hypoderaeumconoideum and Euparyphiumalbuferensis (Trematoda: Echinostomatidae) at 20°C and 30°C are described, and the age dependency of their infectivity at 20°C is studied to determine their respective transmission efficiencies. Cercarial survival was found to be age-dependent and was higher at 20°C. For both cercariae, the maximum life-span was 26 h at 20°C and 16 h at 30°C, and their respective times to 50% mortality were similar at each temperature. Both cercariae seem to be well adapted to transmission in their natural habitat, though cercarial infectivity of H. conoideum was higher than that of E. albuferensis, this being correlated with their prevalences in nature. The age-dependency of cercarial survival may be related to steadily diminishing endogenous energy levels, though the delay in attaining maximum infectivity suggests that other factors not related to energy considerations are involved in the delimitation of the cercarial infective period. However, this latter observation may constitute an adaptative mechanism allowing cercarial dissemination.
A ferrous saponite (griffithite) from Griffith Park (California, USA) was treated with solutions of HCl (0.62, 1.25 and 2.5% by weight) at 25°C for 2, 6, 24 and 48 hours. The resulting solids were characterized by XRD, FT-IR spectroscopy, thermal analyses, SEM, TEM and nitrogen adsorption isotherms at 77 K, showing the destruction of silicate structure by the treatments. The free silica generated by these treatments was digested and determined in all samples. Several samples had specific surface areas up to 250 m2/g, with maximum values which are 10 times higher than the surface area of natural saponite (35 m2/g). A sudden decrease in specific surface areas was observed when free silica was digested, which indicates that free silica makes a very important contribution to the surface area of leached samples.
Two series of pillared clays were prepared from a purified montmorillonite (95%) from La Serrata of Nijar, Spain, and polycations of Al and Zr using various methods. The effect of both the pillaring cation and the procedure of preparation on the physicochemical characteristics of the resulting materials was studied. Changes in texture were determined by X-ray diffraction (XRD) and N2 adsorption at 76 K and changes in acidity were determined by thermogravimetry following pyridine adsorption at room temperature and further desorption at a constant heating rate of 10 K min−1 in the range of 298–623 K. The relation between the size and charge (n/q) of the pillaring cation, which is dependent on the degree of cation hydrolysis, is the main factor affecting pore size and acidity of the synthesized materials. The pH of the pillaring solution affects the stability of the parent clay and the properties of the pillared clay. Below a pH of 3 and depending on contact time, the montmorillonite may delaminate and partially dissolve to produce products that affect the properties of the resulting materials. Microporosity increases for both Al or Zr-pillared clays. For Zr-pillared clays, microporosity is accompanied by changes in the mesoporosity and macroporosity as a result of clay delamination. Acidity dramatically increases by pillaring, especially strong acidity, and the acid strength distribution depends on starting salt concentration, aging time, and temperature.