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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.
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 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.
During the second half of the 20th century, the Antarctic Peninsula region has undergone a long and sustained warming period, followed by a shorter but also sustained cooling period, and then a very recent return to warming conditions. All of these have profoundly impacted the glaciers peripheral to the Antarctic Peninsula. This paper focuses on the analysis of the surface mass balance monitoring of such glaciers by the glaciological method, complemented by the analysis of mass-balance estimates by geodetic methods, as well as frontal ablation estimates. We aim to summarize the current knowledge and outline the main challenges faced by investigating the mass balance of such peripheral glaciers and their current contribution to sea-level rise.
This systematic literature review aimed to provide an overview of the characteristics and methods used in studies applying the disability-adjusted life years (DALY) concept for infectious diseases within European Union (EU)/European Economic Area (EEA)/European Free Trade Association (EFTA) countries and the United Kingdom. Electronic databases and grey literature were searched for articles reporting the assessment of DALY and its components. We considered studies in which researchers performed DALY calculations using primary epidemiological data input sources. We screened 3053 studies of which 2948 were excluded and 105 studies met our inclusion criteria. Of these studies, 22 were multi-country and 83 were single-country studies, of which 46 were from the Netherlands. Food- and water-borne diseases were the most frequently studied infectious diseases. Between 2015 and 2022, the number of burden of infectious disease studies was 1.6 times higher compared to that published between 2000 and 2014. Almost all studies (97%) estimated DALYs based on the incidence- and pathogen-based approach and without social weighting functions; however, there was less methodological consensus with regards to the disability weights and life tables that were applied. The number of burden of infectious disease studies undertaken across Europe has increased over time. Development and use of guidelines will promote performing burden of infectious disease studies and facilitate comparability of the results.
The burden of depression is increasing worldwide, specifically in older adults. Unhealthy dietary patterns may partly explain this phenomenon. In the Spanish PREDIMED-Plus study, we explored (1) the cross-sectional association between the adherence to the Prime Diet Quality Score (PDQS), an a priori-defined high-quality food pattern, and the prevalence of depressive symptoms at baseline (cross-sectional analysis) and (2) the prospective association of baseline PDQS with changes in depressive symptomatology after 2 years of follow-up. After exclusions, we assessed 6612 participants in the cross-sectional analysis and 5523 participants in the prospective analysis. An energy-adjusted high-quality dietary score (PDQS) was assessed using a validated FFQ. The cross-sectional association between PDQS and the prevalence of depression or presence of depressive symptoms and the prospective changes in depressive symptoms were evaluated through multivariable regression models (logistic and linear models and mixed linear-effects models). PDQS was inversely associated with depressive status in the cross-sectional analysis. Participants in the highest quintile of PDQS (Q5) showed a significantly reduced odds of depression prevalence as compared to participants in the lowest quartile of PDQS (Q1) (OR (95 %) CI = 0·82 (0·68, 0·98))). The baseline prevalence of depression decreased across PDQS quintiles (Pfor trend = 0·015). A statistically significant association between PDQS and changes in depressive symptoms after 2-years follow-up was found (β (95 %) CI = −0·67 z-score (–1·17, −0·18). A higher PDQS was cross-sectionally related to a lower depressive status. Nevertheless, the null finding in our prospective analysis raises the possibility of reverse causality. Further prospective investigation is required to ascertain the association between PDQS and changes in depressive symptoms along time.
The forgiveness within the framework of social-political conflict is a factor that affects the coexistence and welfare. In the Colombian Caribbean, there are a significant number of people who have been victims of land dispossession and/or forced displacement.
The aim of this study is to compare the forgiveness ability between men and women who have been displaced and are in the process of lands restitutions. Displaced and in restitutions process people were participated (n = 38), which 20 of them were women and 18 were men (Mean = 57.81; SD = 13.86). The CAPER Scale, was administered. A cross sectional and comparative design was carried out. The comparison was performed using a t-test for independent samples (Table 1).
Conclusions
A greater tendency was observed in women for forgiveness himself, noneless a statistically significant gender difference was not identified. It was a greater tendency in men toward forgiveness to others, however there are no statistical differences between the two groups. In forgiveness situations, a similar trend is evident in gender. As for beliefs, it was observed that men scored higher, this allowed statistically significant differences were observed [F (1, 38) = 6.271; P > 0.05].
Table 1
Means and SD – Caper Scale
1. Women; 2. Men
n
Mean
SD
Standard error of mean
Forgiveness himself
1
20
28.00
4.899
1.095
2
18
26.00
4.229
0.997
Forgiveness to others
1
20
28.35
5.402
1.208
2
18
29.11
4.129
0.973
Forgiveness situations
1
20
28.00
5.016
1.122
2
18
28.00
3.757
0.886
Beliefs
1
20
11.80
2.821
0.631
2
18
13.33
1.188
0.280
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Because individuals develop dementia as a manifestation of neurodegenerative or neurovascular disorder, there is a need to develop reliable approaches to their identification. We are undertaking an observational study (Ontario Neurodegenerative Disease Research Initiative [ONDRI]) that includes genomics, neuroimaging, and assessments of cognition as well as language, speech, gait, retinal imaging, and eye tracking. Disorders studied include Alzheimer’s disease, amyotrophic lateral sclerosis, frontotemporal dementia, Parkinson’s disease, and vascular cognitive impairment. Data from ONDRI will be collected into the Brain-CODE database to facilitate correlative analysis. ONDRI will provide a repertoire of endophenotyped individuals that will be a unique, publicly available resource.
Structural brain magnetic resonance imaging (MRI) traits share part of their genetic variance with cognitive traits. Here, we use genetic association results from large meta-analytic studies of genome-wide association (GWA) for brain infarcts (BI), white matter hyperintensities, intracranial, hippocampal, and total brain volumes to estimate polygenic scores for these traits in three Scottish samples: Generation Scotland: Scottish Family Health Study (GS:SFHS), and the Lothian Birth Cohorts of 1936 (LBC1936) and 1921 (LBC1921). These five brain MRI trait polygenic scores were then used to: (1) predict corresponding MRI traits in the LBC1936 (numbers ranged 573 to 630 across traits), and (2) predict cognitive traits in all three cohorts (in 8,115–8,250 persons). In the LBC1936, all MRI phenotypic traits were correlated with at least one cognitive measure, and polygenic prediction of MRI traits was observed for intracranial volume. Meta-analysis of the correlations between MRI polygenic scores and cognitive traits revealed a significant negative correlation (maximal r = 0.08) between the HV polygenic score and measures of global cognitive ability collected in childhood and in old age in the Lothian Birth Cohorts. The lack of association to a related general cognitive measure when including the GS:SFHS points to either type 1 error or the importance of using prediction samples that closely match the demographics of the GWA samples from which prediction is based. Ideally, these analyses should be repeated in larger samples with data on both MRI and cognition, and using MRI GWA results from even larger meta-analysis studies.
The Balearic Shearwater Puffinus mauretanicus is considered one of the most threatened seabirds in the world, with the breeding population thought to be in the range of 2,000–3,200 breeding pairs, from which global population has been inferred as 10,000 to 15,000 birds. To test whether the actual population of Balearic Shearwaters is larger than presently thought, we analysed the data from four land-based census campaigns of Balearic Shearwater post-breeding migration through the Strait of Gibraltar (mid-May to mid-July 2007–2010). The raw results of the counts, covering from 37% to 67% of the daylight time throughout the migratory period, all revealed figures in excess of 12,000 birds, and went up to almost 18,000 in two years. Generalised Additive Models were used to estimate the numbers of birds passing during the time periods in which counts were not undertaken (count gaps), and their associated error. The addition of both counted and estimated birds reveals figures of between 23,780 and 26,535 Balearic Shearwaters migrating along the north coast of the Strait of Gibraltar in each of the four years of our study. The effects of several sources of bias suggest a slight potential underestimation in our results. These figures reveal the urgent need to reformulate the population viability analysis for the species, and then if necessary reconsider its conservation status.
Nitrogen-doped multiwalled carbon nanotube (CNT) bundles exhibiting pine-tree-like morphologies were synthesized on silicon–silicon oxide (Si/SiO2) substrates using a pressure-controlled chemical vapor deposition process. Electron field emission (FE) measurements showed a notable emission improvement at low turn-on voltages for the CNT pine-like morphologies (e.g., 0.59 V/µm) in comparison with standard aligned N-doped CNTs (>1.5 V/µm). We envisage that these pine-tree-like structures could be potentially useful in the fabrication of efficient FE and photonic devices.
Traditionally, colonies of encrusting epiphytic bryozoans have been regarded as biotic factors reducing photosynthetic performance in benthic algae. In this study we determined under laboratory conditions the effects of Membranipora tuberculata on the photosynthetic efficiency of the rhodophyte Gelidium rex.
Encrusting bryozoans reduce to 44% the incident light reaching the algal thallus. However, concentrations of chlorophyll a and other accessory pigments are significantly higher in encrusted than in non-encrusted thalli. Consequently, photosynthetic efficiency is almost identical in both types of thalli. Although non-encrusted thalli showed a higher photosynthetic V due to higher levels of light reaching the algae, encrusted thalli exhibited a compensatory effect at low photon flux density and reached a similar P value. The detrimental effect of M. tuberculata on photosynthesis could be partially compensated by CO released from bryozoan cells, as G. rex preferred CO over HCO3 as a source of photosynthetic inorganic carbon. These results suggest that physiological interaction between bryozoans and algae, involving the interchange of metabolic substances, are likely to be important.
Despite decades of intensive research iron aluminides remain characterised by relatively poor ductility at room temperature and low strength at high temperatures, especially under slow strain rate or creep conditions. A variety of strengthening particles has been tested for improving high temperature strength, but each has serious limitations: typical carbide precipitates are unable to resist dissolution or coarsening at high temperatures; as-solidified iron aluminides with sufficient amounts of transition elements such as Nb or Mo show heavy solidification segregation and are embrittled by a network of Laves phase; mechanical milling with stable oxides appears an excessively expensive processing route. A new iron-aluminium alloy has been developed with Zr and Cr additions that forms fine coherent precipitates even after extended annealing at temperatures as high as 900ºC. These precipitates have a complex Fe3Zr structure and form in a cube-on-cube orientation relationship in the bcc matrix. The low solubility and diffusivity of the solute, as well as the low energy, near-coherent interface ensures excellent stability of these intermetallic precipitates. Interesting strengthening is possible for this material under the relevant high temperature creep conditions.
We report a novel, simple, and inexpensive method for preparing efficient carbon nanotube-based hydrogen sensors. Sensor devices were fabricated by simply spraying single-walled carbon nanotube (SWNT) dispersions on alumina substrates. Pd-functionalization of the employed SWNTs enabled increasing the device sensitivity to hydrogen. The effect of aging, thermal processing, and the employed carrier gases on the sensor performance is here described. The fabricated thin film sensors exhibited good sensitivity to hydrogen at room temperature in reversible and reproducible detection processes.
The electrophoretic karyotype (EK) of 24 strains of Botryotinia fuckeliana was resolved to determine the extent of chromosomal polymorphism among them. Based on EK variation, nine different profiles with a number of bands ranging from 5 to 8 were found. Those profiles were not related to the origins of the strains, hosts, or year of isolation. Inheritance of chromosomal bands was studied by analyzing the EK of the progeny from crosses between sexually compatible B. fuckeliana strains that had different karyotype. The EKs of 44 monoascospore strains showed 12 new EK profiles, suggesting that chromosomal rearrangements generated after meiotic recombination provides EK variability in this fungus. Also, we report here that the degree of EK variability indicates that sexual reproduction under natural conditions might be quite important in the life cycle of B. fuckeliana. Hybridization analysis showed that, in most strains, the rDNA is located in both a chromosomal band of high molecular weight and different size depending on the strain and a band of low molecular weight, revealing evidence for chromosome rearrangements in this plant pathogen.
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