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Numerous oligochaete cocoons, previously interpreted as cladoceran crustaceans, are described from the upper Permian (Lopingian) freshwater Karaungir Lagerstätte in eastern Kazakhstan. The cocoons appear as small, wrinkled, ovoid capsules, prolonged into a neck at one pole and a long slender stalk at the other; both extensions are covered with minute ridges forming a striated pattern. By their size range and distinct (although limited) morphological features, the cocoons are identical to those of the extant freshwater genus Rhynchelmis Hoffmeister, 1843 (Oligochaeta: Lumbriculidae) and thus represent the oldest undoubted record of the Clitellata. We interpret Archedaphnia Smirnov, 1970 (= Propleuroxus Smirnov, 1970, n. syn.) as a genus for fossil microdrile oligochaete cocoons similar to those of Rhynchelmis, and synonymize all five species described in Archedaphnia and Propleuroxus under Archedaphnia kazakhstanica Smirnov, 1970 sensu lato.
Resilience is conceptualized as a dynamic developmental process encompassing the attainment of positive adaptation despite the exposure to or the experience of significant threat, severe adversity, or trauma that typically constitute major assaults on the processes underlying biological and psychological development (Luthar, Cicchetti & Becker, 2000; Masten & Cicchetti, 2016). The notion of an average expectable environment for promoting normal development connotes that there is a species-specific range of environmental conditions that elicit normal development in humans. Concerns about how childhood adversity impacts developmental processes and mechanisms have captured deep concerns in researchers in the fields of developmental and clinical psychology, developmental psychopathology, evolutionary psychology, molecular genetics, and neuroscience. Child maltreatment exemplifies a pathogenic relational environment that is far beyond the range of what is normally encountered and engenders substantial risk for maladaptation across domains of biological and psychological development. Child maltreatment is implicated in the disruption of multiple biological systems, including neuroendocrine and immunological functioning, neurobiology, and physical and mental health outcomes. Nonetheless, even though there is strong scientific evidence for maladaptation associated with maltreatment, the absence of an average expectable environment does not condemn maltreated children to negative developmental outcomes later in life. Resilience is possible across the life course.
This study longitudinally examined associations between parent and peer relationships, childhood maltreatment, and adolescents’ psychopathology. We expected lower perceived parental relationship quality to predict greater symptomatology and higher perceived friendship quality to buffer this association, with greater buffering effects for maltreated participants. We assessed 545 participants (295 maltreated, 250 non-maltreated; 60.2% male; 52.8% Black, 27.5% White, 12.8% Bi-racial, 13.4% Latin@) across two timepoints (Wave 1, Mage = 13.8 years, Wave 2,Mage = 16.2 years). Department of Human Services records indicated maltreatment status prior to Wave 1. Adolescents self-reported Wave 1 parental relationship and friendship quality and Wave 2 internalizing/externalizing symptoms. Parental relationship quality did not predict psychopathology, and this association did not differ by maltreatment status. We found a significant three-way interaction between maternal relationship quality, maltreatment, and friendship quality on internalizing (β = .10, p = .037) and externalizing (β = .12, p = .010) symptoms. For non-maltreated adolescents, parental relationships and friendship quality differentially predicted symptomatology. Maltreated adolescents with low maternal relationship and friendship quality exhibited the most symptoms, whereas those with low maternal relationship quality and high friendship quality exhibited the least. Findings invite inquiry into parent and peer relationships’ differential roles in adolescents’ psychopathology.
Obsessive–compulsive disorder (OCD) is associated with an increased risk of cardiometabolic disorders. We developed a lifestyle intervention, named LIFT, aimed at improving lifestyle habits (physical activity, diet, alcohol and tobacco use, stress, sleep) and reducing cardiometabolic risk factors in OCD.
Aims
This study aimed to establish the feasibility and acceptability of LIFT, evaluate its preliminary efficacy and explore experiences of participation.
Method
Individuals with OCD and at least three cardiometabolic risk factors (e.g. physical inactivity, unhealthy diet, overweight/obesity, dyslipidaemia) were offered LIFT, consisting of one individual session to set individual goals, six educational group sessions and 12 exercise group sessions, delivered over 3 months. We collected baseline, post-intervention and 3-month follow-up measures. Preliminary efficacy variables were analysed with linear mixed models and within-group effect sizes. Qualitative interviews were conducted.
Results
Out of 147 screened individuals, 25 were included (68% women, mean age 37.4, s.d. = 10.9). Credibility and satisfaction were high, attrition rates were low (16%) and the programme was generally safe. Recruitment and adherence to the intervention were challenging. Statistically significant improvements were observed in dietary habits, alcohol consumption, stress, OCD symptom severity and general functioning (within-group effect sizes ranging from 0.27 to 0.56). No changes were observed in physical activity, sleep or any physiological or laboratory measures.
Conclusions
Overall, LIFT was a feasible intervention for individuals with OCD. Effects on lifestyle habits, mental health and functioning are promising. Fully powered randomised controlled trials are needed to evaluate its efficacy and cost-effectiveness.
To evaluate potential modifications to the Centers for Disease Control and Prevention (CDC)’s Adult Sepsis Event (ASE) definition aimed at mitigating variable blood culturing practices, better-capturing cases where timely care may have prevented deterioration, and improving clinical credibility.
Design:
Retrospective observational study
Setting:
5 US hospitals
Patients:
Hospitalized adults, 2015–2022
Methods:
We assessed the impact of potential ASE modifications on community-onset sepsis incidence and mortality and reviewed 280 charts to assess positive predictive value (PPV) for clinical sepsis.
Results:
Among 1,101,252 hospitalized adults, 51,712 (4.7%) met community-onset ASE criteria (16.1% mortality). Expanding infection criteria to include present-on-admission infection codes when blood cultures were not drawn, non-blood clinical cultures, and discharge alive on antibiotic day three increased incidence by 15.0%, 12.2%, and 4.9%, respectively; all led to mild decreases in mortality rates. Expanding organ dysfunction criteria to include hypotension increased ASE incidence by 32.3% and decreased mortality by 18.5%. Broadening respiratory failure criteria to include noninvasive ventilation and high-flow oxygen had minimal impact. On chart review, original ASE criteria had 80% PPV for clinical sepsis. PPV was similar when identifying infection using present-on-admission infection codes instead of blood cultures and when including patients discharged alive on antibiotic day three. PPV decreased to 50% when using non-blood clinical cultures to identify infection, 17% when using single hypotension values alone to indicate organ dysfunction, and 30% when all ASE components occurred exactly 2 days vs within +/-1 day from the blood culture day.
Conclusions:
Our findings inform modifications to ASE to optimize its utility for national epidemiologic monitoring and quality measurement.
Depression, a leading cause of global disability, arises from a multifaceted combination of genetic and environmental components. This study explores the relationship between major depressive disorder (MDD) polygenic scores (PGS), characteristics and symptoms of depression, and community-shared socioeconomic factors derived from postal code data in a cohort of 12,646 individuals from the Australian Genetics of Depression Study (AGDS). Our findings reveal that people living in areas with relatively higher socioeconomic advantages and education/occupation scores are more likely to report experiencing fewer depressive symptoms during their worst depressive period, as well as fewer number of lifetime episodes. Additionally, participants who reported depression onset later in life tend to currently reside in wealthier areas. Interestingly, no significant interaction between genetic and socioeconomic factors was observed, suggesting their independent contribution to depression outcomes. This research underscores the importance of integrating socioeconomic factors into psychiatric evaluation and care, and points to the critical role of public policy in addressing mental health disparities driven by socioeconomic factors. Future research should aim to further elucidate the causal relationships within these associations and explore the potential for integrated genetic and socioeconomic approaches in mental health interventions.
One of the most devastating and costly consequences of CM is that it persists across generations. Yet, we know little about whether there is intergenerational continuity of diverse dimensions of CM exposure (e.g., chronicity, multi-subtype) or unique patterns of exposure. This is a critical gap, given evidence that different forms of CM confer unique consequences. To enhance our understanding of intergenerational continuity of CM, the current study applied a multidimensional framework to be the first to investigate whether unique forms of CM exposure (characterized by the subtypes and whether multi-type exposure occurred) exhibited homotypic/heterotypic patterns of intergenerational continuity. Latent class analysis (LCA) was used to identify patterns of CM exposure in mothers and their offspring (aged 8–13) who were part of a high-risk, economically disadvantaged sample of maltreated and nonmaltreated youth (N = 1240). Four distinct classes of CM exposure were identified in both mothers (“Single-Subtype without Sexual Abuse”; “Sexual Abuse”, “Multi-Subtype Exposure”; and “No Maltreatment”) and offspring (“No Maltreatment”; “Single Type-Neglect”; “Single Type-Abuse”; and “Chronic, Multi-type”). Patterns of homotypic and heterotypic intergenerational continuity were identified, with a pattern of multi-type exposure emerging as an enduring form of exposure across generations. Implications for preventive interventions are discussed. Intergenerational continuity of multidimensional patterns of child maltreatment exposure: A person-centered approach
How did activists on the colonial “margins” of the United States and the domestic environmental movement fight environmental battles? And how did these contests relate to the politics of decolonization? This article takes up these questions through a comparative exploration of two environmental movements at opposite ends of the U.S. overseas colonial empire during the 1970s. In Puerto Rico and Palau, plans for two petroleum “superports” threatened massive environmental destruction in service of state programs of energy security and industrialization. This article examines how Puerto Rican and Palauan activists developed novel environmental critiques and movement strategies to oppose them. Through an examination of these two anti-superport movements, this article reveals the innovative ways that activists waged environmental campaigns from the colonial “periphery” of both the U.S. polity and its domestic environmental movement.
This paper reviews efforts to meet the climate goals of the Paris Agreement: to limit global warming to well below 2°C and ideally to 1.5°C above pre-industrial levels. The paper shows how the likelihood of breaching these thresholds presents the need for additional measures, in mitigation and intervention. Three climate actions are discussed: emissions reduction, greenhouse gas removal, and solar radiation modification. These actions differ in timescale and current state of knowledge. Progress must intensify if they are to aid in securing a safe and stable climate for future generations.
Technical summary
Current assessments of global greenhouse gas emissions suggest the Paris Agreement temperature thresholds of 1.5°C and 2°C warming above pre-industrial levels could be breached. The impacts on humans and ecosystems could be severe. Global trends suggest a prolonged reliance on fossil fuels. Additional measures to limit global warming are therefore needed. Here, we review three climate actions: emissions reduction, greenhouse gas removal (GGR), and solar radiation modification (SRM). Emissions reduction requires shifting energy production away from fossil fuels (the primary contribution of anthropogenic greenhouse gas emissions), reducing energy use in key sectors, and optimising land management. GGR efforts must scale sustainably in the near term. The scale-up of novel methods is constrained by economic and technological challenges and, in some cases, limited knowledge. SRM has received growing attention, given the immediate impacts of global warming and the protracted timescales of emissions reduction and GGR. Robust research and governance frameworks are needed to assess the risks posed by SRM, alongside the risks of forgoing SRM. These three actions could enable society to fulfil the Paris Agreement, limiting global warming and its impacts while atmospheric greenhouse gas concentrations are reduced to sustainable levels.
Social media summary
The progress of climate mitigation and intervention towards securing a sustainable future in a safe and stable climate.
This chapter charts the profound transformations undergone by diplomacy, both secular and papal, in an age of dramatic intellectual, political and military upheaval. Considering both scholarship and practice, the chapter assesses the rise of ‘resident diplomacy’ and highlights the new structures that were put in place in order to manage longer missions. The investigation of the right to send ambassadors reveals persistent traits of pluralism in early modern Europe, while the plurality of diplomatic envoys and roles is taken into account to make the complexity of the notion of diplomatic status more apparent: this status, in fact, cannot be reduced to that of a fully fledged ambassador exclusively committed to the object of their official mission. Information-gathering, negotiation and mediation are singled out as the most significant diplomatic functions. Changes in the conception of diplomatic inviolability and immunity are also considered, and include the emergence of the idea of extraterritoriality concerning both the person of the ambassador and diplomatic premises.
In the Argentinian Atlantic Forest (AAF) of Misiones, opossums comprise 13% of the wild mammalian diversity. The white-eared opossum, Didelphis albiventris, and the southern black-eared opossum, D. aurita are sympatric marsupials, and the most frequent mammals in the northern Misiones. In this study, we describe the helminth assemblages from both D. albiventris and D. aurita in the northern AAF. We found a total of 15 species of helminths: 2 trematodes, 1 cestode, 11 nematodes and 1 acanthocephalan. The specific richness in D. albiventris was 12, while in D. aurita was it 13. Both opossum’s species share 10 helminth species; D. albiventris presented Capillaria sp. 2 and Globocephalus marsupials, absent in D. aurita; while D. aurita presented Trichuris didelphis, Capillaria sp. 1, and Travassostrongylus orloffi, absent in D. albiventris. Cruzia tentaculata registered the highest prevalence in both opossum species. Seven out of the 12 helminth species identified in D. albiventris have an indirect life cycle. Similarly, in D. aurita, 5 out of 13 helminth species exhibit an indirect life cycle. This suggests that nearly half of the assemblage of helminth in both opossum species need an intermediate host acquired through the diet. We also present new records for Argentina including Trichuris minuta, G. marsupialis, Viannaia viannai, T. orloffi and T. callis. This is the first time the helminth assemblage has been described for D. aurita in Argentina.
Objectives/Goals: To reduce cervical cancer in the USA, it is essential to identify the reasons underlying the low HPV vaccination rates. This study aims to identify knowledge and beliefs about HPV vaccination among women in rural areas. The knowledge gained from this study will directly lead to developing an education tool tailored specifically for women in rural areas. Methods/Study Population: We conducted a cross-sectional study from November 2022 to July 2023. We recruited women (n = 141) who visited a mobile health unit in rural North Louisiana. The inclusion criteria were women aged 25–64 years who spoke English, had not undergone a total hysterectomy, and had no history of cervical cancer. Data collected included sociodemographic characteristics, sexual history, awareness and knowledge of HPV infection, cervical cancer, genital warts, and HPV vaccination, the perceived risk of acquiring genital HPV infection and developing cervical cancer, and the willingness to receive an HPV vaccine. Descriptive statistics were used to evaluate participant responses. Written informed consent was obtained before completing the self-administered questionnaire. Results/Anticipated Results: Our findings showed significant gaps in HPV vaccine knowledge and uptake. Approximately 40% of the participants were unaware of the HPV vaccine, 96.5% had never received it, and 91.4% had never been offered it. However, 42% indicated a willingness to consider vaccination if it were offered. Factors influencing their decision to vaccinate against HPV included a family history of cervical cancer (44.7%), having multiple sexual partners (48%), and engaging in unprotected sex (61.7%). Furthermore, there was significant uncertainty surrounding the vaccine, with 65.2% of participants unsure about its safety, 66% unaware of potential health risks, and 47.5% uncertain about its effectiveness in preventing HPV. Discussion/Significance of Impact: Our research emphasizes the need for tailored behavioral interventions to address knowledge gaps about the HPV vaccine. Low HPV vaccination rates in rural areas contribute to health disparities in cervical cancer. Implementing educational interventions in healthcare settings can enhance vaccination rates and mitigate the risk of cervical cancer.
This chapter chronicles the professional trajectory of Dante Cicchetti from his undergraduate years as a psychology major at the University of Pittsburgh through obtaining his PhD in Clinical and Developmental Psychology at the University of Minnesota. It describes his longitudinal research on the organization of development in infants and children with Down Syndrome. Subsequently, while an Assistant Professor of Psychology at Harvard, his first academic job, he began groundbreaking longitudinal research on the etiology, intergenerational transmission, and developmental sequelae of child maltreatment. He also initiated theoretical work on the discipline of developmental psychopathology. At the Mt. Hope Family Center in the Department of Psychology at the University of Rochester, genetic, epigenetic, and biological research were implemented and linked to psychosocial and resilient functioning of child maltreatment and the offspring of depressed mothers. Evidence-based preventive interventions were conducted and shown to improve the functioning of maltreated youngsters and young offspring of depressed caregivers.
The yellownose skate (Dipturus chilensis) and roughskin skate (Dipturus trachyderma) are the only two elasmobranch species targeted by commercial fishing operations in Chile. Despite their importance, much of their biology and ecology remain poorly understood. This research aimed to evaluate the feasibility of tagging these species. In 2021, a pilot study was conducted at two locations, utilizing Petersen discs, acoustic transmitters, and pop-up satellite transmitters on both species. The results revealed a 6% recovery rate from the 50 skates tagged with Petersen discs, while 29.4% of those tagged with acoustic transmitters were successfully detected. Additionally, data from all ten satellite transmitters were successfully transmitted and recovered. The results revealed a maximum horizontal movement of 35.9 km, with the duration of liberty ranging from 8 to 275 days. Stocks of both species are currently depleted, and fishery management relies on closures and total allowable catches, where fishing effort is concentrated in short spatial and temporal windows. These particularities present significant challenges for implementing a national tagging programme, especially in terms of tag recovery. The main conclusion of this research is that the implementation of a tagging programme for both species is feasible. Satellite tagging provides the best results, but its higher implementation cost and limitations in use for relatively small skates could be mitigated by combining it with Petersen discs. Establishing a long-term tagging programme is essential for enhancing the understanding of distribution and migration patterns, which is crucial for enhancing conservation and management efforts for these skates in Chile.
The field of healthcare epidemiology is increasingly focused on identifying, characterizing, and addressing social determinants of health (SDOH) to address inequities in healthcare quality. To identify evidence gaps, we examined recent systematic reviews examining the association of race, ethnicity, and SDOH with inpatient quality measures.
Methods:
We searched Medline via OVID for English language systematic reviews from 2010 to 2022 addressing race, ethnicity, or SDOH domains and inpatient quality measures in adults using specific topic questions. We imported all citations to Covidence (www.covidence.org, Veritas Health Innovation) and removed duplicates. Two blinded reviewers assessed all articles for inclusion in 2 phases: title/abstract, then full-text review. Discrepancies were resolved by a third reviewer.
Results:
Of 472 systematic reviews identified, 39 were included. Of these, 23 examined all-cause mortality; 6 examined 30-day readmission rates; 4 examined length of stay, 4 examined falls, 2 examined surgical site infections (SSIs) and one review examined risk of venous thromboembolism. The most evaluated SDOH measures were sex (n = 9), income and/or employment status (n = 9), age (n = 6), race and ethnicity (n = 6), and education (n = 5). No systematic reviews assessed medication use errors or healthcare-associated infections. We found very limited assessment of other SDOH measures such as economic stability, neighborhood, and health system access.
Conclusion:
A limited number of systematic reviews have examined the association of race, ethnicity and SDOH measures with inpatient quality measures, and existing reviews highlight wide variability in reporting. Future systematic evaluations of SDOH measures are needed to better understand the relationships with inpatient quality measures.
Maternal insensitivity to children’s emotional distress (e.g., expressions of sadness or fearfulness) is one mechanism through which maternal alcohol dependence may increase children’s risk for psychopathology. Although emotion dysregulation is consistently associated with psychopathology, it remains unclear how or why alcohol dependence’s effects on caregiving responses to children’s distress may impact children’s emotion regulation over time, particularly in ways that may engender risks for psychopathology. This study examined longitudinal associations between lifetime maternal alcohol dependence symptoms, mothers’ insensitivity to children’s emotional distress cues, and children’s emotional reactivity among 201 mother-child dyads (Mchild age = 2.14 years; 56% Black; 11% Latino). Structural equation modeling analyses revealed a significant mediational pathway such that maternal alcohol dependence predicted increases in mothers’ insensitivity to children’s emotional distress across a one-year period (β = .16, p = .013), which subsequently predicted decreases in children’s emotional reactivity one year later (β = −.29, p = .009). Results suggest that mothers with alcohol dependence symptoms may struggle to sensitively respond to children’s emotional distress, which may prompt children to suppress or hide their emotions as an adaptive, protective strategy. The potential developmental benefits and consequences of early, protective expressive suppression strategies are discussed via developmental psychopathology frameworks.
Childhood adversity represents a robust risk factor for the development of harmful substance use. Although a range of empirical studies have examined the consequences of multiple forms of adversity (i.e., childhood maltreatment, parental alcohol use disorder [AUD]), there is a dearth of information on the relative effects of each form of adversity when considered simultaneously. The current study utilizes structural equation modeling to investigate three unique and amplifying pathways from parental AUD and maltreatment exposure to offspring alcohol use as emerging adults: (1) childhood externalizing symptomatology, (2) internalizing symptomatology, and (3) affiliation with substance-using peers and siblings. Participants (N = 422) were drawn from a longitudinal follow-up study of emerging adults who participated in a research summer camp program as children. Wave 1 of the study included 674 school-aged children with and without maltreatment histories. Results indicated that chronic maltreatment, over and above the effect of parent AUD, was uniquely associated with greater childhood conduct problems and depressive symptomatology. Mother alcohol dependence was uniquely associated with greater affiliation with substance-using peers and siblings, which in turn predicted greater alcohol use as emerging adults. Results support peer and sibling affiliation as a key mechanism in the intergenerational transmission of substance use between mothers and offspring.
Child maltreatment constitutes a significant environmental risk for children, with carryover effects into future generations. There is a need to characterize protective factors that may buffer against the intergenerational transmission of maltreatment. The current study addresses this gap through two primary aims: 1) the development and validation of a novel measure assessing resolution of maternal childhood maltreatment trauma using narrative coding methods and 2) the evaluation of maternal maltreatment trauma resolution as a buffering factor that may moderate associations between maternal neglect histories and sensitive parenting of offspring. Results of reliability analyses from this sample of 210 diverse, low-income mothers suggest the novel childhood maltreatment trauma resolution measure is highly reliable. Furthermore, results highlight the generalizability, criterion validity, and concurrent and predictive validity of the measure. Results from cross-sectional analyses show that trauma resolution moderates associations between maternal physical neglect histories and sensitive parenting, such that under high maternal trauma resolution, there is no longer a negative association between neglect histories and sensitive parenting. Results from longitudinal analyses also show a protective effect of maternal trauma resolution, such that trauma resolution has a protective-enhancing effect on maternal sensitivity. Implications for research and clinical practice with families are discussed.