This paper explores the intersection of physical health and recovery-oriented approaches in psychosis, offering a unique perspective through autoethnography. By combining personal experience with a broader analysis of existing mental health frameworks, the paper highlights the often overlooked importance of physical health in the recovery process for individuals with psychosis. The autoethnographic narrative reveals the complex challenges posed by antipsychotic medications, including weight gain and metabolic complications, and their impact on overall well-being. It emphasizes the dual stigma of mental health challenges and weight gain, highlighting the need for a more integrated, holistic approach to mental health care. Recommendations include enhanced education for healthcare providers, personalized care plans, and a multidisciplinary approach aimed at bridging the gap between physical and mental health in psychosis recovery.

Psychotic disorders have sex-specific differences in their onset, symptoms and course. The early intervention in psychosis model represented the first step toward personalised psychosis care, recognising stage-specific care needs. Incorporating knowledge about sex-specific differences in care programmes should be the next evolution of personalised psychosis care.

Precolumbian Maya graffiti is challenging to document because it is complex, multilayered, and difficult to see with the naked eye. In the Maya Lowlands, precolumbian graffiti occurs as etched palimpsests on parts of substructures such as stucco walls of residences, palaces, and temples that are frequently only accessible through dark and narrow tunnel excavations. Experienced iconographers or epigraphers with advanced drawing skills are the most qualified researchers to accurately record, analyze, and interpret precolumbian Maya graffiti. Because these scholars have a vast knowledge of conventions and styles from multiple time periods and sites, they are less likely to document the complex and seemingly chaotic incisions incorrectly. But as with many specialists in Maya archaeology, iconographers and epigraphers are not always available to collaborate in the field. This raises the question, how might an archaeologist without advanced training in iconography accurately record graffiti in subterranean excavations? Advances in digital applications of archaeological field recording have opened new avenues for documenting graffiti. One of these is Reflectance Transformation Imaging (RTI), a method that uses a moving light source and photography in order to visualize, interact with, and analyze a three-dimensional object in a two-dimensional image. With practice, RTI images can easily be produced in the field and later shared with specialists for the purposes of analysis and interpretation. Performed on a series of 20 unique graffiti from the Maya archaeological site of Holtun (two examples are presented here), RTI shows promise as a viable technique for documenting and preserving graffiti as cultural heritage.

Large stratovolcanoes in the Cascade Range have high equilibrium-line altitudes that support glaciers whose Holocene and latest Pleistocene advances are amenable to dating. Glacier advances produced datable stratigraphic sequences in lateral moraines, which complement dating of end moraines. New mapping of glacial deposits on Mount Rainier using LIDAR and field observations supports a single latest Pleistocene or early Holocene advance. Rainier R tephra overlies deposits from this advance and could be as old as >11.6 ka; the advance could be of Younger Dryas age. Radiocarbon ages on wood interbedded between tills in the lateral moraines of Nisqually, Carbon, and Emmons glaciers and the South Tahoma glacier forefield suggest glacier advances between 200 and 550 CE, correlative with the First Millennium Advance in western Canada, and during the Little Ice Age (LIA) beginning as early as 1300 CE.

These results resolve previous contradictory interpretations of Mount Rainier's glacial history and indicate that the original proposal of a single pre-Neoglacial cirque advance is correct, in contrast to a later interpretation of two advances of pre- and post-Younger Dryas age, respectively. Meanwhile, the occurrence of the pre-LIA Burroughs Mountain Advance, interpreted in previous work as occurring 3–2.5 ka, is questionable based on inherently ambiguous interpretations of tephra distribution.

This study investigates the capacity of pre/perinatal factors to predict attention-deficit/hyperactivity disorder (ADHD) symptoms in childhood. It also explores whether predictive accuracy of a pre/perinatal model varies for different groups in the population. We used the ABCD (Adolescent Brain Cognitive Development) cohort from the United States (N = 9975). Pre/perinatal information and the Child Behavior Checklist were reported by the parent when the child was aged 9–10. Forty variables which are generally known by birth were input as potential predictors including maternal substance-use, obstetric complications and child demographics. Elastic net regression with 5-fold validation was performed, and subsequently stratified by sex, race/ethnicity, household income and parental psychopathology. Seventeen pre/perinatal variables were identified as robust predictors of ADHD symptoms in this cohort. The model explained just 8.13% of the variance in ADHD symptoms on average (95% CI = 5.6%–11.5%). Predictive accuracy of the model varied significantly by subgroup, particularly across income groups, and several pre/perinatal factors appeared to be sex-specific. Results suggest we may be able to predict childhood ADHD symptoms with modest accuracy from birth. This study needs to be replicated using prospectively measured pre/perinatal data.

When people are given quantified information (e.g., ‘there is a 60% chance of rain’), the format of quantifiers (i.e., numerical: ‘a 60% chance’ vs. verbal: ‘it is likely’) might affect their decisions. Previous studies with indirect cues of judgements and decisions (e.g., response times, decision outcomes) give inconsistent findings that could support either a more intuitive process for verbal than numerical quantifiers or a greater focus on the context (e.g., rain) for verbal than numerical quantifiers. We used two pre-registered eye-tracking experiments (n(1) = 148, n(2) = 133) to investigate decision-making processes with verbal and numerical quantifiers. Participants evaluated multiple verbally or numerically quantified nutrition labels (Experiment 1) and weather forecasts (Experiment 2) with different context valence (positive or negative), and quantities (‘low’, ‘medium’, or ‘high’ in Experiment 1 and ‘possible’, ‘likely’, or ‘very likely’ in Experiment 2) presented in a fully within-subjects design. Participants looked longer at verbal than numerical quantifiers, and longer at the contextual information with verbal quantifiers. Quantifier format also affected judgements and decisions: in Experiment 1, participants judged positive labels to be better in the verbal compared to the equivalent numerical condition (and to be worse for negative labels). In Experiment 2, participants decided on rain protection more for a verbal forecast of rain than the equivalent numerical forecast. The results fit the explanation that verbal quantifiers put more focus on the informational context than do numerical quantifiers, rather than prompting more intuitive decisions.

After a decade of debt crisis and severe economic decline, countries throughout Latin America are seeking radical new treatments for their economic ills. Under pressure from internal political actors, international lending and aid agencies, or some combination of these, many Latin American countries are turning to outward-looking development strategies to stabilize their balance of payments and revitalize economic growth. Serving as the centerpiece for the new strategies is the promotion of “nontraditional” exports.

In the 1980s, students and practitioners of the political economy of development in Latin America became enthralled with East Asia's spectacular economic performance. Researchers wrote cross-regional comparisons trying to discover where Latin America had gone wrong and how it could catch up to the “four dragons,” meaning South Korea, Taiwan, Singapore, and Hong Kong (see Deyo 1987; Gereffi and Wyman 1990; Haggard 1990). This quest to determine the key ingredients of East Asia's growth held particular policy relevance as many Latin American countries sought to escape from the “lost decade.” The best-known attempts to describe the political basis for East Asia's successful turn toward policies stressing export-led growth have emphasized two factors: initiative of state leadership and highly capable technocracies insulated from societal interference (Haggard 1990; Wade 1990). Among Latin America countries, Chile, the region's premier exporter, seemed to confirm these ideas.

In this article, we evaluate whether Latin American participation in international arenas reinforces traditional divides between state and society in global politics or transforms state-society relations in ways compatible with the concept of global civil society. We examine the participation and interaction of Latin American nongovernmental organizations and states at three recent United Nations conferences: the 1992 UN Conference on Environment and Development, the 1993 World Conference on Human Rights, and the 1995 Fourth World Conference on Women. We conclude that Latin Americans are full participants in any emerging global civil society. Their experiences at the 1990s issue conferences closely track those of NGOs of the Northern Hemisphere, notwithstanding the much more recent appearance of NGOs in Latin America. At the same time, Latin Americans bring a regional sensibility to their participation in global processes that reflects recent political developments and debates in the region.

Psychotic experiences (PE) are common in the general population, in particular in childhood, adolescence and young adulthood. PE have been shown to be associated with an increased risk for later psychotic disorders, mental disorders, and poorer functioning. Recent findings have highlighted the relevance of PE to many fields of healthcare, including treatment response in clinical services for anxiety & depression treatment, healthcare costs and service use. Despite PE relevance to many areas of mental health, and healthcare research, there remains a gap of information between PE researchers and experts in other fields. With this review, we aim to bridge this gap by providing a broad overview of the current state of PE research, and future directions. This narrative review aims to provide an broad overview of the literature on psychotic experiences, under the following headings: (1) Definition and Measurement of PE; (2) Risk Factors for PE; (3) PE and Health; (4) PE and Psychosocial Functioning; (5) Interventions for PE, (6) Future Directions.

Background: Postacute sequelae of SARS-CoV-2 (PASC) include fatigue, dyspnea, anxiety, and cognitive impairment. Few studies have explored the prevalence or presentation of PASC among nursing home (NH) residents. Method: A case–control study was conducted at 1 NH in Michigan in December 2021. Cases were defined as residents with SARS-CoV-2 infection between November 2, 2020, and October 8, 2021. Controls lived at the same NH during this interval and never tested positive for SARS CoV-2. Patient characteristics were compared between cases and controls using the Fisher exact test and Wilcoxon rank-sum test. Primary outcomes were functional decline, cognition, and adverse health outcomes. Outcomes were assessed by comparing measures on last observation to observations before COVID-19 diagnosis (cases) or to earliest observation (controls). Multivariable logistic regression assessed correlation between COVID-19 diagnosis and outcomes. Results: In total, 152 residents were identified for inclusion (147 included in final analyses, 76 cases, 71 controls); 5 were excluded due to insufficient data. We collected the following resident characteristics: 66% were aged ≥80 years; 73% were female; 95% were non-Hispanic white; 82% were long-stay residents; median of 3 comorbidities (IQR, 2–4). The mean number of follow-up observations was 2.60 (SD, 1.25). No significant differences in population characteristics were detected between cases and controls. Moreover, 106 patients (46 cases and 60 controls) had at least 1 follow-up visit and were thus included in the analyses to evaluate long-term outcomes. Among them, cases experienced significant declines in completing transfers (OR 5.65, p Conclusions: Nursing home residents with COVID-19 are more likely to enter hospice and have a higher mortality rate in the year following infection. Survivors experience significant functional decline in basic activities of daily living, specifically in the ability to transfer and dress. Larger studies are needed to further characterize our findings and to design interventions that can help overcome these long-term sequelae from COVID-19.

Funding: None

Disclosures: None

There are fewer Certified Organic producers in the Mid-South US (southern half of Missouri, western Kentucky and Tennessee, northern Arkansas and eastern Oklahoma) than in other regions of the country such as the Upper Midwest, West Coast, or Northeastern US. Taus et al. (2013) The Professional Geographer 65, 87–102, posit that these clusters suggest regional characteristics impact adoption of organic agriculture and admit that regional studies lack consensus on the role of factors that drive adoption. This paper seeks to understand if there are regionally distinct challenges and opportunities for organic production in the region. Fourteen certified organic producers in Missouri were interviewed and areas of challenges and opportunities specific to their certification were identified within the three a priori themes of (1) biophysical characteristics, (2) marketing infrastructure and (3) financial feasibility. We suggest directions for future policy support from the National Organic Program (NOP) and bolstered feedback structures within the National Organic Standards Board to address regional disparities.

Partial equilibrium models have been used extensively by policy makers to prospectively determine the consequences of government programs that affect consumer incomes or the prices consumers pay. However, these models have not previously been used to analyze government programs that inform consumers. In this paper, we develop a model that policy makers can use to quantitatively predict how consumers will respond to risk communications that contain new health information. The model combines Bayesian learning with the utility-maximization of consumer choice. We discuss how this model can be used to evaluate information policies; we then test the model by simulating the impacts of the North Dakota Folic Acid Educational Campaign as a validation exercise.