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The productivity of dairy animals is heavily reliant on the timely access to sufficient, high-quality fodder. This study analyzes the ex-post impact of Model Fodder Villages on the livelihood security of dairy farmers in Bundelkhand region of central India. The study used cross-sectional data from 437 farmers and employed the inverse-propensity-weighting regression adjustment (IPWRA) method for impact evaluation and verified the robustness of the results through matching methods. The findings show that dairy farmers in model fodder villages are 14–19% more likely to improve habitat security, 19–21% more likely to enhance economic security, and 13–16% more likely to increase food security. Our findings also indicate that factors such as age, education, household size, dependency ratio, off-farm income, adult cattle units, and access to roads, markets, credit, and training play significant roles in adopting improved fodder practices. The study's methodology provides a reliable approach to evaluating the impact of interventions that improve access to fodder and related resources, aiming to enhance the livelihoods of dairy farmers and agricultural communities.
We surveyed SHEA Research Network institutions in the U.S. to characterize penicillin allergy delabeling practices. Although most institutions reported active delabeling programs, we found substantial variability in these initiatives. Reported barriers included minimal electronic health record (EHR) integration and time constraints. Expanding non-allergist-led programs and EHR integration are critical to optimizing and advancing delabeling.
This paper explores self-exile as a form of feminist resistance within the Iranian diaspora, focusing on feminist activists in Germany during the Jin, Jiyan, Azadî uprising of 2022–2023. Drawing on biographical interviews and Sara Ahmed’s concept of willfulness, the study examines how activists chose visible political engagement despite the risk of permanently losing the possibility of return to Iran. Self-exile is conceptualized as a complex act of agency: simultaneously disempowering due to physical separation from the place of origin and empowering through bodily autonomy, political consciousness, and resistance to fear. The testimonies highlight the ambivalence of self-exile—its empowering and transformative dimensions alongside profound emotional loss and turmoil. By framing self-exile as a deliberate feminist stance, this research contributes to understanding exile and diaspora as evolving, overlapping categories, foregrounding the embodied, affective, and political complexities of feminist subjectivity across borders.
People experiencing psychosis in acute crisis should be offered cognitive behavioural therapy for psychosis (CBTp); however, there are few crisis-focused CBTp-informed models to underpin formulation development for people experiencing psychosis and receiving inpatient mental health care.
Aims:
This paper draws on existing CBTp and crisis theories to conceptualise a psychotic crisis from a cognitive behavioural perspective to inform the delivery of therapy in inpatient settings.
Method:
Previous literature is reviewed, critiqued, and synthesised. It draws upon relevant crisis and CBTp theories to outline how to best formulate a psychotic crisis.
Discussion:
Drawing on existing research and theory, this paper outlines how a psychotic crisis can develop and be maintained. It highlights the importance of the person’s context including the social, political, and cultural context, interpersonal context and trauma, and previous and current inpatient experience. It then outlines the key triggers, cognitive, behavioural, and emotional components of the crisis, and personal strenghts, values and resources. A crisis-focused CBTp-informed approach is outlined, which can be used to underpin formulation and brief therapy strategies for people experiencing a psychotic crisis. More research is required to explore the efficacy of such therapies.
The fungus Beauveria bassiana (Unioeste 76) was tested against the soybean pest Euschistus heros in laboratory, greenhouse, and field. In the laboratory, insects were sprayed with pure conidia (TC) suspended in distilled water or in an oil dispersion formulation (OD; vegetable oil) at a concentration of 109 conidia/mL. The UV-B radiation and heat tolerance of the conidia were also assessed. After 12 days, the mortality rates in the laboratory were 70% for the TC treatment and 80% for the OD treatment. In the greenhouse pre-infestation bioassay, which used soybean plants in cages, the fungal treatments resulted in 52% and 47% mortality for the TC and OD formulations, respectively. In the post-infestation bioassay, both fungal treatments caused 83% mortality. In the field trial conducted on soybean plots (14 × 18 m), the treatments included: (i) biological: OD (109 conidia/mL); (ii) chemical insecticide; (iii) biological + chemical, all applied at 150 L/ha. Insect numbers were evaluated using beating-sheet sampling. In the final population sample, the biological treatment showed a population density similar to the chemical treatment (0.94 and 0.83 insects/m, respectively), both below the economic threshold. Conidia tolerance to UV-B radiation was similar across both treatments, but conidia in oil were less tolerant to heat. These results suggest that strategically combining both approaches (B. bassiana with chemical insecticides), with careful consideration of application intervals, could provide a sustainable and effective method for managing natural populations of E. heros.
Hospital sinks are reservoirs for epidemiologically important pathogens (EIPs), yet practical, effective strategies for sustained decontamination are lacking.
Methods:
We conducted a randomized controlled trial of 30 in-room sinks (15 intervention, 15 control) in a newly renovated hospital unit to evaluate the efficacy of a hydrogen peroxide/peracetic acid foamed disinfectant in reducing sink contamination. Intervention sinks received foamed disinfectant to sink drains three times weekly; control sinks underwent standard daily surface cleaning. Weekly sampling was performed from three sink locations (top surface, tail pipe, P-trap) over 35 weeks. The primary outcome was sink conversion events (SCEs), defined as first detection of ≥1 EIP, defined as Pseudomonas aeruginosa, Stenotrophomonas spp., or Acinetobacter spp., and ESBL-producing or carbapenem-resistant Enterobacterales, in previously negative sinks.
Results:
A total of 2880 samples were collected. All sinks were negative at baseline for study pathogens. Nearly all sinks (29/30) experienced an SCE during the study period. However, only 44 (9%) intervention sink samples were positive for EIPs, compared to 270 (47%) in control sinks (p < 0.00001). EIPs were recovered from 4% versus 24% of P-traps and 4% versus 39% of tail pipes; sink top/handle contamination was rare and similar (3% vs 4%). The most frequent EIPs were Acinetobacter spp. and Stenotrophomonas spp. Intervention sinks experienced a delayed time to SCE (p = 0.0001). Items were stored on/in sinks in 93% of observations.
Conclusion:
Regular application of a foamed disinfectant reduced and delayed EIP contamination in renovated hospital sinks. Foam-based protocols may help mitigate environmental reservoirs of multidrug-resistant organisms.
The association of hypoplastic left heart syndrome with pulmonary valvular abnormalities such as dysplasia, stenosis, or insufficiency is rare and not well defined in the literature. We report a rare case of hypoplastic left heart syndrome with a thickened four-leaflet, four-sinus pulmonary valve. After stage I palliation, this neo-aortic valve developed clinically significant insufficiency in the setting of increased pulmonary blood flow.
The main objective of this article is to examine history textbooks as sites of discursive contestation regarding the treatment of the 1986 Jeltoqsan protests, a pivotal moment in post-independence Kazakhstani collective memory. This research analyzes the multilayered and inter-discursive domains of Jeltoqsan across the History of Kazakhstan textbooks published between 1992 and 2024. It focuses on four key contested themes between official narratives and those of protest mourners and sufferers: the portrayal of Dinmukhamed Qonaev, whose dismissal sparked the protests; the role of former President Nursultan Nazarbaev in handling the aftermath; the framing of Jeltoqsan as either an ordinary event or an uprising for significant political change; and ethnic or non-ethnic dimension of the protests. The findings reveal discursive competition and conflict in articulating the official and protestor narratives.
This paper examines Cyrenaica’s capacity for cereal production, focusing on Cyrene’s wheat output supporting the Greek cities. It also explores the region’s favourable agricultural conditions and presents local Hellenistic inscriptions that document cereal cultivation over three centuries. The paper argues that the wheat sent from Cyrene to the Greeks during the Hellenistic period was offered as a donation rather than exported for profit. This argument is supported by three main points: first, the quantities mentioned represent only a quarter, or possibly less, of Cyrene’s annual wheat production; second, a Greek poetic inscription from Cyrene (second or early third century AD) praises the city for donating one hundred ships of grain to aid the Greeks; and, third, literary references describe Cyrenaica and Cyrene as renowned for cereal production, particularly wheat. Literary references, together with epigraphic evidence, also reflect the ongoing demand for wheat among both Greeks and Romans. It concludes that Cyrene was one of the important sources of wheat for these nations, and that it was widely known as a provider of free wheat shipments during times of hardship. It also suggests that Cyrene commemorated the Hellenistic wheat consignment because it was given as a gift.
Improving udder health on dairy farms requires knowledge about the prevailing mastitis pathogens in order to take appropriate measures. The aim of this research communication was to evaluate the association between two sampling approaches for determining the prevalence of mastitis pathogens in dairy herds. Sampling approaches tested included (a) bacteriological investigation of randomly selected cows independent from stage of lactation (random sampling) and (b) sampling of cows two weeks prior to drying off (dry-off sampling). Using linear regression, the prevalence of mastitis pathogens were compared on herd-level for groups of specific pathogens. Associations between the prevalence estimated by the two approaches were found for Staphylococcus aureus, Streptococcus dysgalactiae, Streptococcus uberis and Gram-negative bacteria but not for other esculin-positive streptococci. This study indicated that both sampling approaches provide farmers with an overview of the prevalence of mastitis pathogens in their herds, with the dry-off results also being used to target antibiotic use to infected quarters.
Autistic adolescents are at higher risk of self-harm, suicidal behaviours, and emotion dysregulation compared with their non-autistic peers. Dialectical behaviour therapy (DBT) is an evidence-based treatment for self-harm and suicidal behaviour with emerging literature of the application of DBT for autistic populations. Despite this, no qualitative research has investigated the experiences of autistic adolescents of standard DBT. Therefore, this study aimed to explore autistic adolescents’ experiences of non-adapted DBT. Ten adolescents who had or were seeking an autism diagnosis, and were in a DBT programme, completed semi-structured interviews. Qualitative data from the interviews were analysed using reflexive thematic analysis. Themes were generated for each objective. Objective 1 included themes about the lived experience of autistic adolescents accessing DBT, including: ‘The impact of invalidation’, ‘Fostering acceptance and understanding’, ‘What does autism mean to me?’, and ‘Autism and mental health difficulties’. The themes regarding Objective 2 were about the experiences of the various modes of DBT and were organised by each client-facing mode. Objective 3 included themes highlighting the experience of utilising DBT skills in daily life, which included: ‘Barriers to skills use’, ‘Supporting skills use’, and ‘Skills practice or masking?’. Finally, Objective 4 included themes regarding the recommendations participants had for optimising DBT for autistic people: ‘Improving written materials’ and ‘General accessibility advice’. These findings suggest for DBT therapists to embody cultural humility, curiosity, validation, and flexibility when building neuro-affirmative competencies for supporting autistic individuals. Results are discussed in relation to the application and acceptability of DBT for this group.
Key learning aims
(1) Recent publications (e.g. Keenan et al., 2023) have explored the experience of autistic adults accessing DBT and highlighted the need for clinicians to work collaboratively with clients and make reasonable adjustments to improve autistic adults’ understanding and adherence to DBT.
(2) To date, no qualitative studies have explored the experience of autistic adolescents accessing the Rathus and Miller (2015) Adolescent DBT model. The current study explores the views of autistic adolescents on how autism is discussed and considered by clinicians when supporting them to access different components of DBT when describing the strengths and barriers they experience.
(3) Adopting a bottom-up approach, we identify key themes from adolescents’ perspectives on how to support them to access and engage with different DBT components, ranging from making environmental adaptations to meet individual sensory needs to improve accessibility, to providing more opportunities for personalised learning using neuro-affirmative examples that can improve generalisability of skills in everyday life. We provide recommendations for clinicians to consider on ways of adapting the process and content of DBT to increase accessibility and engagement for autistic adolescents in treatment.
We offer a novel analysis of conspiracy theorizing, according to which conspiracy theory communities are engaged in collective projects of storytelling. Other recent accounts start by analyzing individual conspiracy theorists’ psychologies. We argue that a more explanatorily unifying account emerges when we start by analyzing conspiracy theorizing as a social practice. This helps us better account for conspiracy theorists’ psychological heterogeneity. Some individual theorists care about uncovering the truth, while others incorporate truth into their theorizing in subtler ways; viewed as a social phenomenon, though, the function of conspiracy theorizing is not to discover the truth, but to tell good stories.
Few village-born social movements have influenced international relations as much as the campaign against Myitsone Dam in Burma (Myanmar). This village-born resistance led in 2011 to the suspension of a major Burmese and Chinese infrastructure project. This suspension became a symbol of democratization in Burma and a much-discussed setback of Chinese development-investment abroad. However, research literature on the Myitsone Dam has tended to conflate the local rural resistance with the broader ethnic Kachin and Burmese anti-dam movements. In contrast, this study focuses specifically on the local villages directly affected by the project, exploring their diverse stories and responses to the mega-project. Combining diverse published sources with ethnographic fieldwork and interviews done since 2010, it tells a story of displacement, resistance, social divisions, and complex relations with outsiders. This is a two-part article series. Another article – Part 1 – explores the Myitsone Dam’s rural story from its earliest days until the mega-project’s fall. This article – Part 2 – examines what has occurred after the mega-project’s suspension. It explores local village experiences after most residents had been resettled into relocation villages, from 2010 until now. This story begins with a bomb attack against the project and traces the village struggles until a post-coup gold mining boom.