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Resilience is the dynamic process of adapting to or recovering from stressors, maintaining positive mental health. While most studies have investigated resilience after major life events, less is known about resilience in everyday life. To understand how individuals recover from everyday stressors, and associations with other psychosocial variables, well-being and mental health, we conducted a systematic review of studies to daily resilience, i.e., recovery from daily stressors, using the experience sampling method (ESM). Out of 36 included studies, 11 studies investigated daily resilience in youth (10.9–24.7 years) and 25 in adult samples. Daily resilience was operationalized either with self-report items adapted from trait measures (17 studies) or in terms of affective recovery from daily stressors (20 studies). The self-reported ability to recover from daily stressors reflects subjective experiences of coping with stressors, whereas daily resilience as recovery from daily stressors captures the dynamic process, but is understudied in youth. Daily resilience was associated with psychosocial variables, including better sleep quality and greater optimism. Furthermore, individuals with mental health problems consistently showed longer recovery times after daily stressors. Overall, ESM studies highlight that daily resilience could help to identify individuals at-risk for mental health problems. The findings may facilitate timely interventions.
While an abundance of scholarly work investigates how economic shocks influence the political behavior of affected individuals, we know much less about their collective effects. Exploiting the sudden onset of a plant disease epidemic in Puglia, Italy—where the plant pathogen Xylella fastidiosa devastated centuries-old olive groves—we explore the collective effects of economic shocks. By combining quantitative difference-in-differences analysis of municipal data with a novel case selection strategy for qualitative fieldwork, we document the hardship caused by the outbreak, and estimate a 2.2-percentage-point increase in far-right vote share. We show that preexisting public service deprivation moderates the shock’s political consequences through a community narrative of state neglect. These findings highlight that preexisting community conditions shape the political consequences of economic shocks, and that plant disease epidemics—which are becoming more prevalent due to climate change—have important political effects.
We investigate when the algebraic numerical range is a C-spectral set in a Banach algebra. While providing several counterexamples based on classical ideas as well as combinatorial Banach spaces, we discuss positive results for matrix algebras and provide an absolute constant in the case of complex $2\times 2$-matrices with the induced $1$-norm. Furthermore, we discuss positive results for infinite-dimensional Banach algebras, including the Calkin algebra.
Identifying early indicators of volcanic eruptions is a fundamental part of natural hazard management but is notoriously difficult. Here we consider whether monitoring changes in glacier velocity can help. We use satellite images to investigate changes in the surface velocity of Cone Glacier (Alaska) between November 2017 and January 2022, a period encompassing two eruptions of Mount Veniaminof on which the glacier sits. Our data show high glacier velocities months prior to these eruptions and low velocities immediately before, during and after the 2018 eruption, likely caused by volcanically triggered ice melt and associated changes in subglacial water pressures. Evidence for elevated velocities months prior to eruptions is particularly important and indicates that glacier speed-up might be an early indicator of volcanic unrest. Thus, glaciers could serve as tools for volcano monitoring and eruption forecasting since more than 2500 glaciers globally are located within 5 km of an active volcano.
While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site EIP programs in Africa, Asia and Latin America, (b) to examine the variability between programs located in low-and-middle income (LMIC) and high-income countries in similar regions and (c) to outline some of the challenges and provide recommendations to overcome existing obstacles.
Methods
EIP programs in Africa, Asia and Latin America were identified through experts from the different target regions. We performed a systematic search in Medline, Embase, APA PsycInfo, Web of Science and Scopus up to February 6, 2024.
Results
Most EIP programs in these continents are small-scale, single-site programs that serve a limited section of the population. Population-based programs with widespread coverage and programs integrated into primary health care are rare. In Africa, EIP programs are virtually absent. Mainland China is one of the only LMICs that has begun to take steps toward developing a population-based EIP program. High-income Asian countries (e.g. Hong Kong and Singapore) have well-developed, comprehensive programs for individuals with early psychosis, while others with similar economies (e.g. South Korea and Japan) do not. In Latin America, Chile is the only country in the process of providing population-based EIP care.
Conclusions
Financial resources and integration in mental health care, as well as the availability of epidemiological data on psychosis, impact the implementation of EIP programs. Given the major treatment gap of early psychosis in Africa, Latin America and large parts of Asia, publicly funded, locally-led and accessible community-based EIP care provision is urgently needed.
This paper discusses rowwise matrix correlation, based on the weighted sum of correlations between all pairs of corresponding rows of two proximity matrices, which may both be square (symmetric or asymmetric) or rectangular. Using the correlation coefficients usually associated with Pearson, Spearman, and Kendall, three different rowwise test statistics and their normalized coefficients are discussed, and subsequently compared with their nonrowwise alternatives like Mantel's Z. It is shown that the rowwise matrix correlation coefficient between two matrices X and Y is the partial correlation between the entries of X and Y controlled for the nominal variable that has the row objects as categories. Given this fact, partial rowwise correlations (as well as multiple regression extensions in the case of Pearson's approach) can be easily developed.
Lake sediment provides a valuable record of past environmental change. However, the controls on sedimentation in proglacial lakes and their relation to glacier retreat remain poorly understood. In this study we analyze glaciolacustrine sediment production and deposition in Canal de los Témpanos, Lago Argentino, Argentine Patagonia. We associate temporal changes in the sedimentologic and geochemical characteristics analyzed from Lago Argentino cores with Late Holocene fluctuations of the Perito Moreno and Ameghino glaciers. We show that the dominant sediment source at our study site switched from Ameghino to Perito Moreno Glacier after the recession of Ameghino Glacier and the formation of the marginal ice-contact lake into which it currently calves. Spectacular ice-dam rupture events generated by Perito Moreno Glacier redistribute large volumes of water through the lake system but do not leave a significant sedimentary signature. Our results demonstrate that a detailed analysis of sedimentologic, petrophysical, and geochemical changes in lake cores can provide insight into regional glacial dynamics and sedimentary processes even in complex systems with multiple competing glacial sources and that changing glacier geometries during retreat can provide insights into the provenience of the sediments.
We developed automated ablation stakes to measure colocated in situ changes in relative glacier-surface elevation and climatological drivers of ablation. The designs, refined over 10 years of development and deployments, implement open-source hardware and common building materials. The ablation stakes record distance to the snow/ice surface, air temperature and relative humidity every 1–15 min. Using these high-frequency data, we demonstrate that melt factors calculated using standard melt-rate vs temperature regressions converge over averaging windows of approximately 12 h or greater. Furthermore, we evaluate an integral approach to estimating temperature-index melt factors for ablation. In a test case on Glaciar Perito Moreno, Argentina, this integral approach reveals an overall positive-degree-day melt factor of 7.5 mm w.e. $^\circ$C−1 d−1. We describe four deployments with iteratively improved designs and provide a list of materials required to construct an automated ablation stake.
The Mediterranean-Dietary Approach to Stop Hypertension (DASH) Intervention for Neurodegenerative Delay (MIND) diet is a dietary pattern designed to prevent cognitive decline. Dietary adherence is assessed with the MIND diet scoring system, which is currently based on the American diet and serving sizes. It is known that serving sizes and consumed food products differ between countries. Existing literature lacks reporting on food products included within the MIND diet and weight or volume equivalents corresponding to MIND diet servings, impeding accurate comparisons across studies. This study sought to overcome these limitations by evaluating MIND food products consumed in the Dutch context and developing a scoring system based on consumed quantities in weight or volume amounts rather than in standard serving amounts. The third objective was to modify an existing Dutch brief FFQ (Eetscore-FFQ) to evaluate adherence to the MIND diet. We translated nine of the fifteen MIND food groups directly to grams and volumes using the United States Department of Agriculture measurement conversion table. For the remaining food groups, we employed indirect translation to align them as closely as possible to the original MIND diet. These translated quantities in weight and volumes amounts were subsequently rounded to the nearest Dutch household measures, resulting in the culturally adapted MIND-NL diet scoring. The development of the MIND-NL-Eetscore-FFQ, comprising seventy-two food items (forty-one questions), is described. Our adaption approach is reproducible and can be used to customize the MIND diet scoring system to other cultures.
Former refugee women’s entrepreneurial journeys are embedded in social, cultural, and legal environments in their home, transition, and host countries. Their multiple context embeddedness creates contradictions and identity issues. Thus, women adopt behaviours that make them visible or invisible simultaneously when navigating these contradictions. Using intersectionality and translocational positionality lenses, this study explored this phenomenon. We collected narrative data using semi-structured interviews from refugee women resettled in New Zealand. The findings illustrate that multi-country social processes, that is, ‘translocational’ experiences, create (in)visibility paradoxes for women entrepreneurs. Women dynamically create visibility for themselves through reliance on or defiance of ethnic, cultural or refugee identities in their ventures and by creating a business identity aligning with the host country’s values. In contrast, cultural conformity and playing a role behind the ‘shopfront’ make women invisible. This study synthesises these paradoxical entrepreneurial strategies, develops a conceptual framework and contributes to women’s entrepreneurial identity studies.
Sometimes the simplest forms are the most difficult to explain. Perhaps the reason for this is that one estimates the problems involved as being too simple, too obvious, and does not seek, therefore, to penetrate to their core. Besides, there is an aura of the primitive and underivative about a literary form we are used to considering as popular; we hardly dare profane it by dry, objective analysis. As the tradition of a community, it shares the anonymity of the latter. Seeking the traces of creative and tradition-conscious personages, we find only an amorphous mass of the unknown. No wonder that the riddle has been relegated back to prehistoric times, permitting us to conceal its problems behind a veil of mystery.
When a new method of scientific study comes to the fore in any field, its raison d’être can be explained only in relation to previous research. We shall try, then, to assess the value of nineteenth-century contributions to the knowledge of pagan religion among the Germanic peoples. At a first glance their value seems hardly to justify the tireless efforts of the illustrious scholars who devoted themselves to the task. The failure of so much scientific endeavor is no longer surprising, however, when we recall the character of that era. Opposing the bold and often fanciful syntheses of Romanticism, the nineteenth century advocated a rigorous analysis of the mythological tradition; it wanted first of all to discover what was authentic material in a confused mass of texts emanating from a period that was at once backward and colored by a long Christian tradition. A close examination, largely philological in nature, seemed to reveal that most of the myths and legends conserved in the rich literature of the Eddas consisted of mere fables or simple popular tales embellished with names of gods by adapting hands little concerned with the old pagan traditions.
The people of Iceland enriched the literature of the Middle Ages with a genre of epic prose that is found nowhere else in Europe. It takes the form of narratives depicting people and events belonging to a period of about one century, which begins in 930 and extends up to 1030. The Icelandic people had established themselves along the entire shore of the deserted island, and the settlers had divided among themselves the arable soil. During the first hundred years the population, composed of wealthy landowners who had left their native soil of Norway, bold adventurers and Vikings, tired of their unstable life of pillage, were looking for the stability that would be conducive to a permanent and ordered society. The settlers were rude, ambitious and avid for power; hence there were many instances of embittered and sometimes bloody clashes. This period abounds in personalities of great stature, fighting for their real or usurped claims. It can well be described as a heroic period, which gave men the opportunity to utilize all of their physical and mental faculties. Later on, in the thirteenth century, when the people of Iceland attempted to revive the memory of their ancestors from the earliest years of the country's history, their conception of them was magnified by the admiration of a generation of men who believed themselves to be the epigones of true heros.
Observational studies suggest that a healthy diet in combination with ample physical activity is associated with a lower prevalence of cancer-related fatigue. The SoFiT trial (SoFiT: Study on Fatigue: a lifestyle intervention among colorectal cancer survivors) will assess the effect of a personalised lifestyle programme on cancer-related fatigue in a randomised study. We designed a programme that aims to increase adherence to lifestyle recommendations on diet and physical activity. The programme was person-centred with regard to the lifestyle and personal characteristics of participants, to the determinants of behaviour of that participant, and to the preferences, opportunities and barriers of the participant. The effect of the programme was tested in the SoFiT trial: a two-armed, parallel, randomised controlled trial among adult stage I–III colorectal cancer survivors, who experience cancer-related fatigue after treatment completion; intended sample size n=184. Participants randomised to the intervention group received the personalised lifestyle programme. During 6 months, participants in the intervention group had individual sessions with a lifestyle coach of which four sessions were face-to-face and eight sessions were remote. After 6 months, participants randomised to the control group had access to two lifestyle coaching sessions and to the same materials that the intervention group also received. The primary endpoint of the trial is cancer-related fatigue. Secondary endpoints are sleep quality and duration, health-related quality of life, physical performance, depression and anxiety, skeletal muscle echo intensity and cross-sectional area, and gut microbiota composition. This trial will show the effects of a personalised lifestyle programme on cancer-related fatigue and on an extensive set of secondary outcomes. Clinicaltrials.gov: NCT05390398.
Wellbeing is relatively stable over the life span. However, individuals differ in this stability and change. One explanation for these differences could be the influence of different genetic or environmental factors on wellbeing over time.
Methods
To investigate causes of stability and change of wellbeing across the lifespan, we used cohort-sequential data on wellbeing from twins and their siblings of the Netherlands Twin Register (NTR) (total N = 46.885, 56% females). We organized wellbeing data in multiple age groups, from childhood (age 5), to adolescence, up to old age (age 61+). Applying a longitudinal genetic simplex model, we investigated the phenotypic stability of wellbeing and continuity and change in genetic and environmental influences.
Results
Wellbeing peaked in childhood, decreased during adolescence, and stabilized during adulthood. In childhood and adolescence, around 40% of the individual differences was explained by genetic effects. The heritability decreased toward old adulthood (35–24%) and the contribution of unique environmental effects increased to 76%. Environmental innovation was found at every age, whereas genetic innovation was only observed during adolescence (10–18 years). In childhood and adulthood, the absence of genetic innovation indicates a stable underlying set of genes influencing wellbeing during these life phases.
Conclusion
These findings provide insights into the stability and change of wellbeing and the genetic and environmental influences across the lifespan. Genetic effects were mostly stable, except in adolescence, whereas the environmental innovation at every age suggests that changing environmental factors are a source of changes in individual differences in wellbeing over time.
We determined the validity and reliability of the Spanish translation Sheffield Profile for Assessment and Referral for Care (SPARC-Sp) questionnaire to identify the palliative care (PC) needs of patients with chronic noncommunicable diseases (NCDs) in Colombia.
Methods
We developed a cross-sectional observational study of scale assessment in adults with the aim of determining the validity and reliability of the SPARC-Sp questionnaire to identify the PC needs of patients with NCDs receiving outpatient or inpatient care at the Hospital Universitario San Jose of Popayan – ESE, Colombia, from 2021 to 2022.
Results
We applied a questionnaire consisting of demographic, clinical data, and SPARC-Sp to 507 participants. The constructed model explained 75% of the variance with an adequate fit according to the root mean square residual (0.03), the comparative fit index (0.98), and acceptable reliability (McDonald’s total omega 0.4–0.9). Opportunities for improvement are the reformulation and inclusion of particular words to improve the representativeness and clarity of the domains of communication and information, religious, and spiritual issues.
Significance of results
This research represents the first validation of SPARC in Spanish. SPARC-Sp is an instrument that allows initiating a conversation of the patient’s main needs through a systematic assessment of the patients’ main needs. Its psychometric validation demonstrated good fit and acceptable reliability.
The development and strengthening of health technology assessment (HTA) capacity on the individual and organizational level and the wider environment is relevant for cooperation on HTAs. Based on the Maltese case, we provide a blueprint for building HTA capacity.
Methods
A set of activities were developed based on Pichler et al.’s framework and the starting HTA capacity in Malta. Individual level activities focused on strengthening epidemiological and health economic skills through online and in-person training. On the organizational level, a new HTA framework was developed which was subsequently utilized in a shadow assessment. Awareness campaign activities raised awareness and support in the wider environment where HTAs are conducted and utilized.
Results
The time needed to build HTA capacity exceeded the planned two years accommodating the learning progress of the assessors. In addition to the planned trainings, webinars supplemented the online courses, allowing for more knowledge exchange. The advanced online course was extended over time to facilitate learning next to the assessors’ daily tasks. Training sessions were added to implement the new economic evaluation framework, which was utilized in a second shadow assessment. Awareness by decision-makers was achieved with reports, posters, and an article on the current and developing HTA capacity.
Conclusions
It takes time and much (hands-on) training to build skills for conducting complex assessment such as HTAs. Facilitating exchange with knowledgeable parties is crucial for succeeding as well as the buy-in of local managers motivating staff. Decision-makers need to be on-boarded for the continued success of HTA capacity building.
We aimed to translate and linguistically and cross-culturally validate Sheffield Profile for Assessment and Referral for Care (SPARC) in Spanish for Colombia (SPARC-Sp).
Methods
The linguistic validation of SPARC followed a standard methodology. We conducted focus groups to assess the comprehensibility and feasibility. The acceptability was assessed using a survey study with potential users.
Results
The comprehensibility assessment showed that additional adjustments to those made during the translation-back-translation process were required to apply SPARC-Sp in rural and low-schooled populations. It also identified the need for alternative administration mechanisms for illiterate people. The acceptability survey showed that potential users found SPARC-Sp as not only acceptable but also highly desirable. However, they desired to expand the number of items in all domains.
Significance of results
Beyond the semantic and conceptual validity attained through the back-translation process, actual cultural validity could be acquired thanks to the comprehensibility tests. Although extending the instrument is something potential users would like to do, it would make it less feasible to utilize the SPARC-Sp in clinical settings. Nonetheless, the instrument might benefit from the inclusion of a domain that evaluates challenges encountered when accessing the health-care system. For communities lacking literacy, alternate administration methods must also be considered.
The thickness and health of the squamous epithelium of the vagina is strongly influenced by the presence of oestrogen during puberty, the reproductive period and particularly during pregnancy. At maturation the flaking off of dead cells at the surface and the subsequent release of glycogen from these cells is the power supply of Döderlein lactobacilli, which converts it into lactic acid and creates a low (acid) pH between 4 and 4.5. In children and after the menopause the pH is higher than 4.7, but during the fertile period it falls to less than 4.5 in healthy conditions.
Sexually transmitted infections (STIs) impose a lifelong threat and a large burden for sexually active women. Chlamydia, gonorrhoea and trichomoniasis can lead to irreversible infertility, pelvic inflammatory disease (PID) and life-threatening conditions such as ectopic pregnancy. Current risk groups for STIs especially include adolescents and young adults who have recently become sexually active. In this phase of life sexual partner change occurs more frequently and these young people may be inexperienced regarding safer-sex techniques. Obstetrician-gynaecologists need to have special attention for this age group.