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Exposure to adversity during the perinatal period has been associated with cognitive difficulties in children. Given the role of the nucleus accumbens (NAcc) in attention and impulsivity, we examined whether NAcc volume at age six mediates the relations between pre- and postnatal adversity and subsequent attention problems in offspring. 306 pregnant women were recruited as part of the Growing Up in Singapore Towards Healthy Outcomes Study. Psychosocial stress was assessed during pregnancy and across the first 5 years postpartum. At six years of age, children underwent structural MRI and, at age seven years, mothers reported on their children’s attention problems. Separate factor analyses conducted on measures of pre- and postnatal adversity each yielded two latent factors: maternal mental health and socioeconomic status. Both pre- and postnatal maternal mental health predicted children’s attention difficulties. Further, NAcc volume mediated the relation between prenatal, but not postnatal, maternal mental health and children’s attention problems. These findings suggest that the NAcc is particularly vulnerable to prenatal maternal mental health challenges and contributes to offspring attention problems. Characterizing the temporal sensitivity of neurobiological structures to adversity will help to elucidate mechanisms linking environmental exposures and behavior, facilitating the development of neuroscience-informed interventions for childhood difficulties.
The European Clozapine Task Force is a group of psychiatrists and pharmacologists practicing in 18 countries under European Medicines Agency (EMA) regulation, who are deeply concerned about the underuse of clozapine in European countries. Although clozapine is the most effective antipsychotic for people with treatment-resistant schizophrenia, a large proportion of them do not have access to this treatment. Concerns about clozapine-induced agranulocytosis and stringent blood monitoring rules are major barriers to clozapine prescribing and use. There is a growing body of evidence that the incidence of clozapine-induced agranulocytosis is very low after the first year of treatment. Maintaining lifelong monthly blood monitoring after this period contributes to unjustified discontinuation of clozapine. We leverage recent and replicated evidence on the long-term safety of clozapine to call for the revision and updating of the EMA’s blood monitoring rules, thus aiming to overcome this major barrier to clozapine prescribing and use. We believe the time has come for relaxing the rules without increasing the risks for people using clozapine in Europe.
To investigate COVID-19 disparities between Hispanic/Latino persons (H/L) and non-H/L persons in an agricultural community by examining behavioral and demographic differences.
Methods
In September 2020, we conducted Community Assessments for Public Health Emergency Response in Wenatchee and East Wenatchee, Washington, to evaluate differences between H/L and non-H/L populations in COVID-19 risk beliefs, prevention practices, household needs, and vaccine acceptability. We produced weighted sample frequencies.
Results
More households from predominately H/L census blocks (H/L-CBHs) versus households from predominately non-H/L census blocks (non-H/L-CBHs) worked in essential services (79% versus 57%), could not telework (70% versus 46%), and reported more COVID-19 cases (19% versus 4%). More H/L-CBHs versus non-H/L-CBHs practiced prevention strategies: avoiding gatherings (81% versus 61%), avoiding visiting friends/family (73% versus 36%), and less restaurant dining (indoor 24% versus 39%). More H/L-CBHs versus non-H/L-CBHs needed housing (16% versus 4%) and food assistance (19% versus 6%). COVID-19 vaccine acceptance in H/L-CBHs and non-H/L-CBHs was 42% versus 46%, respectively.
Conclusions
Despite practicing prevention measures with greater frequency, H/L-CBHs had more COVID-19 cases. H/L-CBHs worked in conditions with a higher likelihood of exposure. H/L-CBHs had increased housing and food assistance needs due to the pandemic. COVID-19 vaccine acceptability was similarly low (<50%) between groups.
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle
Edited with Introduction and Notes by
Peter Sabor, McGill University, Montréal,Richard Terry, Northumbria University, Newcastle,Helen Williams, Northumbria University, Newcastle