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Knowledge of sex differences in risk factors for posttraumatic stress disorder (PTSD) can contribute to the development of refined preventive interventions. Therefore, the aim of this study was to examine if women and men differ in their vulnerability to risk factors for PTSD.
Methods
As part of the longitudinal AURORA study, 2924 patients seeking emergency department (ED) treatment in the acute aftermath of trauma provided self-report assessments of pre- peri- and post-traumatic risk factors, as well as 3-month PTSD severity. We systematically examined sex-dependent effects of 16 risk factors that have previously been hypothesized to show different associations with PTSD severity in women and men.
Results
Women reported higher PTSD severity at 3-months post-trauma. Z-score comparisons indicated that for five of the 16 examined risk factors the association with 3-month PTSD severity was stronger in men than in women. In multivariable models, interaction effects with sex were observed for pre-traumatic anxiety symptoms, and acute dissociative symptoms; both showed stronger associations with PTSD in men than in women. Subgroup analyses suggested trauma type-conditional effects.
Conclusions
Our findings indicate mechanisms to which men might be particularly vulnerable, demonstrating that known PTSD risk factors might behave differently in women and men. Analyses did not identify any risk factors to which women were more vulnerable than men, pointing toward further mechanisms to explain women's higher PTSD risk. Our study illustrates the need for a more systematic examination of sex differences in contributors to PTSD severity after trauma, which may inform refined preventive interventions.
The Ending the HIV Epidemic initiative aims to decrease new HIV infections and promote test-and-treat strategies. Our aims were to establish a baseline of HIV outcomes among newly diagnosed PWH in Washington, DC (DC), a ‘hotspot’ for the HIV epidemic. We also examined sociodemographic and clinical factors associated with retention in care (RIC), antiretroviral therapy (ART) initiation and viral suppression (VS) among newly diagnosed PWH in the DC Cohort from 2011–2016. Among 455 newly diagnosed participants, 92% were RIC at 12 months, ART was initiated in 65% at 3 months and 91% at 12 months, VS in at least 17% at 3 months and 82% at 12 months and 55% of those with VS at 12 months had sustained VS for an additional 12 months. AIDS diagnosis was associated with RIC (aOR 2.99; 1.13–2.28), ART initiation by 3 months (aOR 2.58; 1.61–4.12) and VS by 12 months (aOR4.87; 1.69–14.03). This analysis contributes to our understanding of the HIV treatment dynamics of persons with recently diagnosed HIV infection in a city with a severe HIV epidemic.
Exhibition 58: Modern Architecture in England, held between 10 February and 7 March 1937 at the Museum of Modern Art in New York (MoMA), was a notable event. Amidst claims that ‘England leads the world in modern architectural activity’, the exhibition ‘amazed New Yorkers’ and equally surprised English commentators. However, it has not subsequently received any extended investigation. The present purpose is to look at it as a multiple sequence of events, involving other exhibitions, associated publications and the trajectories of individuals and institutions, through which tensions came to the surface about the definition and direction of Modernism in England and elsewhere. Such an analysis throws new light on issues such as the motives for staging the exhibition, the personnel involved and associated questions relating to the role of émigré architects in Britain and the USA, some of which have been misinterpreted in recent commentaries.Hitchcock's unequivocal claim for the importance of English Modernism at this point still arouses disbelief, and raises a question whether it can be accepted at face value or requires explaining in terms of some other hidden intention.
Cadbury-Brown's design principles are examined through a text, buildings and projects, and the case presented for alternative readings of both his work and of English post-war modernism.
An historical data set, collected in 1958 by Southward and Crisp, was used as a baseline for detecting change in the abundances of species in the rocky intertidal of Ireland. In 2003, the abundances of each of 27 species was assessed using the same methodologies (ACFOR [which stands for the categories: abundant, common, frequent, occasional and rare] abundance scales) at 63 shores examined in the historical study. Comparison of the ACFOR data over a 45-year period, between the historical survey and re-survey, showed statistically significant changes in the abundances of 12 of the 27 species examined. Two species (one classed as northern and one introduced) increased significantly in abundance while ten species (five classed as northern, one classed as southern and four broadly distributed) decreased in abundance. The possible reasons for the changes in species abundances were assessed not only in the context of anthropogenic effects, such as climate change and commercial exploitation, but also of operator error. The error or differences recorded among operators (i.e. research scientists) when assessing species abundance using ACFOR categories was quantified on four shores. Significant change detected in three of the 12 species fell within the margin of operator error. This effect of operator may have also contributed to the results of no change in the other 15 species between the two census periods. It was not possible to determine the effect of operator on our results, which can increase the occurrence of a false positive (Type 1) or of a false negative (Type 2) outcome.
We introduce order conserving embeddings as a more general form of order preserving embeddings between finite dimensional nest algebras. The structure of these
embeddings is determined, in terms of order indecomposable decompositions, and
they are shown to be determined up to inner conjugacy by their induced maps on
K0. Classifications of direct systems and limit algebras are obtained in terms of
dimension distribution groups.
The lengths of chthamalid cyprids collected during August 1996 on six rocky shores in County Cork, Ireland are reported. The lengths showed a bimodal distribution. The smaller length mode corresponded well with the length range of laboratory-reared cyprids of Chthamalus montagui (Crustacea: Cirripedia), whilst the larger length mode was greater than the length range reported for laboratory-reared C. stellatus. Size may be a useful means to identify Chthamalus cyprids in field investigations.
A nest representation of a strongly maximal $\text{TAF}$ algebra $A$ with diagonal $D$ is a representation $\pi $ for which $\text{Lat}\,\pi \left( A \right)$ is totally ordered. We prove that $\ker \,\pi$ is a meet irreducible ideal if the spectrum of $A$ is totally ordered or if (after an appropriate similarity) the von Neumann algebra $\text{ }\!\!\pi\!\!\text{ }{{\left( D \right)}^{\prime \prime }}$ contains an atom.
Attached cypris larvae and less than one month old metamorphs of Chthamalus stellatus and C. montagui (Crustacea: Cirripedia) were sampled from random quadrats on two shores in County Cork, Ireland, from July 1996 to June 1997. Cyprids of C. stellatus were much more abundant than those of C. montagui, but the relative abundance of metamorphs of the two species did not differ significantly. Cyprid abundance predicted metamorph recruitment intensity during peak settlement in C. stellatus but not in C. montagui.
‘When one meets most famous men, it is with a certain sense of disappointment; they so frequently appear to be less than their work, but Adshead seems greater.’ Perhaps this comment by the late Christian Barman explains why the importance of Stanley Davenport Adshead (1868–1947) may be underestimated in the current reassessment of early twentieth-century English architecture. His work as an architect is limited in extent, and as a planner, his achievement was more in preventing change than in causing it. He did not have the reputation as a teacher enjoyed by his self-promoting colleagues C. H. Reilly (1874–1947) and A. E. Richardson (1880–1964), but they and many other notable figures acknowledged his influence and guidance. In the Edwardian classical revival, Adshead introduced a scholarly approach to architecture appropriate to the needs of the time, and as a teacher and practitioner of planning, his attention to the visual qualities of places was exceptional.
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