We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
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.
Continental paleoclimate proxies with near-global coverage are rare. Land snail δ18O is one of the few proxies abundant in Quaternary sediments ranging from the tropics to the high Arctic tundra. However, its application in paleoclimatology remains difficult, attributable in part to limitations in published calibration studies. Here we present shell δ18O of modern small (<10 mm) snails across North America, from Florida (30°N) to Manitoba (58°N), to examine the main climatic controls on shell δ18O at a coarse scale. This transect is augmented by published δ18O values, which expand our coverage from Jamaica (18°N) to Alaska (64°N). Results indicate that shell δ18O primarily tracks the average annual precipitation δ18O. Shell δ18O increases 0.5–0.7‰ for every 1‰ increase in precipitation δ18O, and 0.3–0.7‰ for every 1°C increase in temperature. These relationships hold true when all taxa are included regardless of body size (ranging from ~1.6 to ~58 mm), ecology (herbivores, omnivores, and carnivores), or behavior (variable seasonal active periods and mobility habits). Future isotopic investigations should include calibration studies in tropical and high-latitude settings, arid environments, and along altitudinal gradients to test if the near linear relationship between shell and meteoric precipitation δ18O observed on a continental scale remains significant.
This paper presents the results of an investigation of the flow around rectangular and chamfered cavities at high subsonic and low supersonic speeds. Pressures measured on the faces of the cavities are integrated to find the pressure drag of the cavities. The types of cavity tested range from simple sawcuts to cavities so long that the two ends can be regarded as independent and the results for these are compared with the sum of the drags of isolated forward and rear facing steps.
Although the Reynolds numbers of the tests are similar to those in flight conditions the maximum depth of the cavities tested is only 6 mm so that the pressure resolution on the vertical faces of the cavities is limited. In spite of this it is estimated that the maximum error in the drag of any particular cavity is less than the skin friction drag on a smooth surface equal in area to half the plan area of the cavity.
Associations between specific parent and offspring mental disorders are likely to have been overestimated in studies that have failed to control for parent comorbidity.
Aims
To examine the associations of parent with respondent disorders.
Method
Data come from the World Health Organization (WHO) World Mental Health Surveys (n = 51 507). Respondent disorders were assessed with the Composite International Diagnostic Interview and parent disorders with informant-based Family History Research Diagnostic Criteria interviews.
Results
Although virtually all parent disorders examined (major depressive, generalised anxiety, panic, substance and antisocial behaviour disorders and suicidality) were significantly associated with offspring disorders in multivariate analyses, little specificity was found. Comorbid parent disorders had significant sub-additive associations with offspring disorders. Population-attributable risk proportions for parent disorders were 12.4% across all offspring disorders, generally higher in high- and upper-middle- than low-/lower-middle-income countries, and consistently higher for behaviour (11.0–19.9%) than other (7.1–14.0%) disorders.
Conclusions
Parent psychopathology is a robust non-specific predictor associated with a substantial proportion of offspring disorders.
To determine the prevalence and resistance profile of bacterial pathogens present in the middle ear of children with otitis media with effusion, and to report beta-lactamase-negative, ampicillin-resistant bacteria for the first time in Lebanese children.
Method:
We included 62 patients younger than 12 year (107 ears), who underwent myringotomy with tympanostomy tube placement for persistent otitis media with effusion. Bacteria were identified by Gram staining and biochemical tests, and antibiotic sensitivities tested by the disc diffusion method and via minimum inhibitory concentration (E-test).
Results:
The commonest pathogen was Haemophilus influenzae (62 per cent), followed by Streptococcus pneumoniae (26 per cent). The H influenzae resistance profile was highest for amoxicillin (81.0 per cent) and lowest for cefotaxime (19.0 per cent). There was a high risk of developing H influenzae antibiotic resistance among children with a history of smoking exposure (p = 0.001), recurrent upper respiratory tract infection (p = 0.001) or previous antibiotic treatment (p = 0.005). Fifty-two per cent of H influenzae colonies were found to be beta-lactamase-negative and ampicillin-resistant.
Conclusion:
In these children with persistent otitis media with effusion, H influenzae was the most prevalent bacteria. It showed a high incidence of resistance to the antibiotics most commonly prescribed to treat acute otitis media.
Prior research on whether marriage is equally beneficial to the mental health of men and women is inconsistent due to methodological variation. This study addresses some prior methodological limitations and investigates gender differences in the association of first marriage and being previously married, with subsequent first onset of a range of mental disorders.
Method
Cross-sectional household surveys in 15 countries from the WHO World Mental Health survey initiative (n=34493), with structured diagnostic assessment of mental disorders using the Composite International Diagnostic Interview 3.0. Discrete-time survival analyses assessed the interaction of gender and marital status in the association with first onset of mood, anxiety and substance use disorders.
Results
Marriage (versus never married) was associated with reduced risk of first onset of most mental disorders in both genders; but for substance use disorders this reduced risk was stronger among women, and for depression and panic disorder it was confined to men. Being previously married (versus stably married) was associated with increased risk of all disorders in both genders; but for substance use disorders, this increased risk was stronger among women and for depression it was stronger among men.
Conclusions
Marriage was associated with reduced risk of the first onset of most mental disorders in both men and women but there were gender differences in the associations between marital status and onset of depressive and substance use disorders. These differences may be related to gender differences in the experience of multiple role demands within marriage, especially those concerning parenting.
We investigated the interactions of water soluble single-walled carbon nanotubes (SWNT) with unicellular organisms, in particular a ciliated protozoan (Tetrahymena thermophila) and a bacteria (Escherichia coli), which are common constituents of natural fresh water. The ciliates could effectively incorporate SWNT into natural organic matter (NOM), and therefore into normal ecological processes. Further, SWNT induced the ciliates to egest viable bacteria in membrane-enclosed vesicles. The egested bacteria aggregates had escaped digestion by the protozoan and were able to proliferate and resist antibiotic/disinfectant treatments, which may have important implications to public health. This work highlights the importance of studies on nanoparticle ecotoxicology.
Phosphorus (P) is an essential nutrient in livestock production, involved in most metabolic processes in the body, and with an impact on bone development and growth. Diet supplementation with P can improve productivity, but at excess levels the P utilization can be low, and the high P excretion will lead to environmental pollution (Tamminga, 2003). P supplementation also adds substantially to the cost of feed. Using the isotopic dilution technique (Vitti et al., 2000), we have studied the effect of different P levels in diet on P absorption and excretion in Brazilian sheep, and identified the level at which true P absorption saturates.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.