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We examined the association of generational status and age at immigration with later life cognitive outcomes in a diverse sample of Latinos and Asian Americans.
Baseline data were obtained from the Kaiser Healthy Aging and Diverse Life Experiences (KHANDLE) study, and a prospective cohort is initiated in 2017.
Older adults in Northern California.
Our cohort consisted of Asians (n = 411) and Latinos (n = 340) who were on average 76 years old (SD = 6.8).
We used multivariable linear regression models to estimate associations between generational status and age at immigration (collapsed into one five-level variable) with measures of verbal episodic memory, semantic memory, and executive function, adjusting for age, gender, race and ethnicity, and own- and parental education.
Generational status and age at immigration were associated with cognitive outcomes in a graded manner. Compared to third-generation or higher immigrants, first-generation immigration in adulthood was associated with lower semantic memory (β = −0.96; 95% CI: −1.12, −0.81) than immigration in adolescence (β = −0.68; 95% CI: −0.96, −0.41) or childhood (β = −0.28; 95% CI: −0.49, −0.06). Moreover, immigration in adulthood was associated with lower executive function (β = −0.63; 95% CI: −0.78, −0.48) than immigration in adolescence (β = −0.49; 95% CI: −0.75, −0.23). Similarly, compared to third-generation individuals, first-generation immigrants had lower executive functioning scores.
Our study supports the notion that sociocontextual influences in early life impact later life cognitive scores. Longitudinal studies are needed to further clarify how immigration characteristics affect cognitive decline.
Previous genetic association studies have failed to identify loci robustly associated with sepsis, and there have been no published genetic association studies or polygenic risk score analyses of patients with septic shock, despite evidence suggesting genetic factors may be involved. We systematically collected genotype and clinical outcome data in the context of a randomized controlled trial from patients with septic shock to enrich the presence of disease-associated genetic variants. We performed genomewide association studies of susceptibility and mortality in septic shock using 493 patients with septic shock and 2442 population controls, and polygenic risk score analysis to assess genetic overlap between septic shock risk/mortality with clinically relevant traits. One variant, rs9489328, located in AL589740.1 noncoding RNA, was significantly associated with septic shock (p = 1.05 × 10–10); however, it is likely a false-positive. We were unable to replicate variants previously reported to be associated (p < 1.00 × 10–6 in previous scans) with susceptibility to and mortality from sepsis. Polygenic risk scores for hematocrit and granulocyte count were negatively associated with 28-day mortality (p = 3.04 × 10–3; p = 2.29 × 10–3), and scores for C-reactive protein levels were positively associated with susceptibility to septic shock (p = 1.44 × 10–3). Results suggest that common variants of large effect do not influence septic shock susceptibility, mortality and resolution; however, genetic predispositions to clinically relevant traits are significantly associated with increased susceptibility and mortality in septic individuals.
A subcommittee of the Hawaii Governor's Joint Task Force on Rat Lungworm Disease developed preliminary guidelines for the diagnosis and treatment of neuroangiostrongyliasis (NAS) in 2018 (Guidelines, 2018). This paper reviews the main points of those guidelines and provides updates in areas where our understanding of the disease has increased. The diagnosis of NAS is described, including confirmation of infection by real-time polymerase chain reaction (RTi-PCR) to detect parasite DNA in the central nervous system (CNS). The treatment literature is reviewed with recommendations for the use of corticosteroids and the anthelminthic drug albendazole. Long-term sequelae of NAS are discussed and recommendations for future research are proposed.
Women's parties have a unique and important role to play in the representation of women and women's issues and interests. They are neither a new nor a rare phenomenon and have emerged in a variety of contexts across time and space. And yet we know relatively little about them. This article argues that women's parties matter and that the study of women's parties matters. We contend that women's parties constitute a discrete party family; while there is a diverse range of women's parties, they can be viewed as a coherent group with similar origins, ideology, and naming patterns. This article offers the first research framework for the comparative study of women's parties. Building our knowledge of women's parties, we argue, is important for those interested in gender and politics, particularly those concerned with the representation of women's issues and interests.
Objectives: The Wisconsin Card Sorting Test (WCST) is a complex measure of executive function that is frequently employed to investigate the schizophrenia spectrum. The successful completion of the task requires the interaction of multiple intact executive processes, including attention, inhibition, cognitive flexibility, and concept formation. Considerable cognitive heterogeneity exists among the schizophrenia spectrum population, with substantive evidence to support the existence of distinct cognitive phenotypes. The within-group performance heterogeneity of individuals with schizophrenia spectrum disorder (SSD) on the WCST has yet to be investigated. A data-driven cluster analysis was performed to characterise WCST performance heterogeneity. Methods: Hierarchical cluster analysis with k-means optimisation was employed to identify homogenous subgroups in a sample of 210 schizophrenia spectrum participants. Emergent clusters were then compared to each other and a group of 194 healthy controls (HC) on WCST performance and demographic/clinical variables. Results: Three clusters emerged and were validated via altered design iterations. Clusters were deemed to reflect a relatively intact patient subgroup, a moderately impaired patient subgroup, and a severely impaired patient subgroup. Conclusions: Considerable within-group heterogeneity exists on the WCST. Identification of subgroups of patients who exhibit homogenous performance on measures of executive functioning may assist in optimising cognitive interventions. Previous associations found using the WCST among schizophrenia spectrum participants should be reappraised. (JINS, 2019, 25, 750–760)
Disarticulated human remains were recovered from a first-century fort ditch at Vindolanda on the north-west frontier of the Roman Empire. Ancient DNA analysis revealed the skeleton to be that of a male individual and forensic taphonomic analysis suggested a primary deposition of the body in a waterlogged environment with no obvious evidence of formal burial. Occurrences of disarticulated human remains outside a cemetery context are often overlooked in Roman bioarchaeology. This discovery adds to the growing body of literature regarding alternative funerary practice in the Empire, highlighting that the concept of burial and disposal of the dead is more complex than ancient historical sources suggest. Details of the DNA analysis are provided in the Supplementary Material available at https://doi.org/10.1017/S0068113X1900014X.
In 2014, the Southeastern Archaeological Conference (SEAC) conducted a sexual harassment survey of its membership. The survey's goal was to investigate whether sexual harassment had occurred among its members, and if so, to document the rate and demographics of harassment. Our findings include a high (66%) level of harassment, primarily among women, with an additional 13% of respondents reporting sexual assault. This article provides an overview of the survey and responses. Additionally, we analyze survey data aimed at capturing change over time in harassment and assault, correlation between field and non-field tasks and harassment and assault, and correlation between gender of supervisor and harassment and assault. We also discuss the effects of harassment and assault on careers. We conclude with suggestions for decreasing the rate of harassment and assault and urge professional archaeological organizations to document sexual harassment and assault to mitigate the effects on their members and on the discipline as a whole.
The Batocrinidae are characteristic faunal elements in Lower Mississippian shallow-marine settings in North America. Recent delineation of objectively defined genera allows a reexamination of batocrinid species and their distribution in the Fort Payne Formation (early Viséan, late Osagean), a well-studied array of carbonate and siliciclastic facies. The Fort Payne batocrinid fauna has 14 species assigned to six genera, plus hybrid specimens. Magnuscrinus spinosus (Miller and Gurley, 1895a) is reassigned to its original placement in Eretmocrinus. Hybrid specimens (Ausich and Meyer, 1994) are regarded as Eretmocrinus magnificus×Eretmocrinus spinosus. Macrocrinus casualis is the dominant species of Macrocrinus in the Fort Payne, and M. mundulus and M. strotobasilaris are recognized in the Fort Payne Formation for the first time. Magnuscrinus cumberlandensis n. sp. is named, 13 species are designated as junior synonyms, the name for the hybrid specimens is changed to Eretmocrinus magnificus×Eretmocrinus spinosus, and the previous occurrences of two species in the Fort Payne are rejected. The Eastern Interior Seaway was a mixed carbonate-siliciclastic setting with both shallow- and deep-water epicontinental sea facies ranging from relatively shallow autochthonous green shales to deep-water turbidite facies. Dizygocrinus was restricted to shallow-water carbonate and siliciclastic facies, Eutrochocrinus was restricted to shallow-water carbonate facies, and Magnuscrinus was restricted to deep-water facies. Species distributions varied from Abatocrinus steropes, Alloprosallocrinus conicus, Macrocrinus mundulus, and Uperocrinus nashvillae, which occurred throughout the Eastern Interior Seaway, to species that were restricted to a single facies. Eretmocrinus magnificus, Alloprosallocrinus conicus, and Uperocrinus robustus were the dominant batocrinids in the Fort Payne Formation.
Little is known about potential harmful effects as a consequence of self-guided internet-based cognitive behaviour therapy (iCBT), such as symptom deterioration rates. Thus, safety concerns remain and hamper the implementation of self-guided iCBT into clinical practice. We aimed to conduct an individual participant data (IPD) meta-analysis to determine the prevalence of clinically significant deterioration (symptom worsening) in adults with depressive symptoms who received self-guided iCBT compared with control conditions. Several socio-demographic, clinical and study-level variables were tested as potential moderators of deterioration.
Randomised controlled trials that reported results of self-guided iCBT compared with control conditions in adults with symptoms of depression were selected. Mixed effects models with participants nested within studies were used to examine possible clinically significant deterioration rates.
Thirteen out of 16 eligible trials were included in the present IPD meta-analysis. Of the 3805 participants analysed, 7.2% showed clinically significant deterioration (5.8% and 9.1% of participants in the intervention and control groups, respectively). Participants in self-guided iCBT were less likely to deteriorate (OR 0.62, p < 0.001) compared with control conditions. None of the examined participant- and study-level moderators were significantly associated with deterioration rates.
Self-guided iCBT has a lower rate of negative outcomes on symptoms than control conditions and could be a first step treatment approach for adult depression as well as an alternative to watchful waiting in general practice.
Texture-engineered ceramics enable access to a vast array of novel texture-property relations leading to property values ranging between those of single crystals and isotropic bulk ceramics. Recently developed templated grain growth and magnetic alignment texturing methods yield high quality crystallographic texture, and thus significant advances in achievable texture-engineered properties in magnetic, piezoelectric, electronic, optical, thermoelectric, and structural ceramics. In this paper, we outline the fundamental basis for these texture-engineered properties and review recent contributions to the field of texture-engineered ceramics with an update on the properties of textured lead-free and lead-based piezoelectrics. We propose that further property improvements can be realized through development of processes that improve crystallographic alignment of the grain structure, create biaxial texture, and explore a wider array of crystallographic orientations. There is a critical need to model the physics of texture-engineered ceramics, and more comprehensively characterize texture, thus enabling testing of texture orientation-property relations and materials performance. We believe that in situ measurements of texture evolution can lead to a more fundamental and comprehensive understanding of the mechanisms of texture development.
The error-related negativity (ERN) is a negative deflection in the event-related potential occurring when individuals make mistakes, and is increased in children with internalizing psychopathology. We recently found that harsh parenting predicts a larger ERN in children, and recent work has suggested that variation in the brain-derived neurotrophic factor (BDNF) gene may moderate the impact of early life adversity. Parents and children completed measures of parenting when children were 3 years old (N = 201); 3 years later, the ERN was measured and diagnostic interviews as well as dimensional symptom measures were completed. We found that harsh parenting predicted an increased ERN only among children with a methionine allele of the BDNF genotype, and evidence of moderated mediation: the ERN mediated the relationship between parenting and internalizing diagnoses and dimensional symptoms only if children had a methionine allele. We tested this model with externalizing disorders, and found that harsh parenting predicted externalizing outcomes, but the ERN did not mediate this association. These findings suggest that harsh parenting predicts both externalizing and internalizing outcomes in children; however, this occurs through different pathways that uniquely implicate error-related brain activity in the development of internalizing disorders.
Cognitive behavioural therapy (CBT) for major depression is an effective treatment, but outcomes for complex cases, with co-occurring biological, psychological and social factors, are variable. Complexity factors can cause treatment to become diffuse, disorganized and over-complicated. At Step 3, disorder-specific protocols should be provided with therapy kept as simple as possible and delivered responsively, e.g. barriers to treatment should be tackled, ensure the client is well-prepared and seek to form a strong therapeutic alliance. At Step 4, if disorder-specific protocols have been ineffective, the priority is to formulate how complexity factors are interacting with the client's depression. An individualized formulation is used to carefully target these interactions. The treatment is still evidence-based and simple at the point of delivery, but there is greater emphasis on case-level interactions that are unique to each individual. Case examples are used to illustrate both approaches.
The Actinocrinitidae were among the most abundant crinoids worldwide during the Lower Mississippian. Recent systematic revisions of the family allow a revised genus- and species-level understanding of these crinoids globally and a more precise means by which to understand the temporal and facies distribution of genera and species in this important Mississippian family. Two genera with a total of five species of Actinocrinitidae (and five additional forms left in open nomenclature) are recognized from the Fort Payne Formation, including Actinocrinites jugosus (Hall, 1859), Actinocrinites spp. indeterminate, Thinocrinus gibsoni (Miller and Gurley, 1893), Thinocrinus lowei (Hall, 1858), Thinocrinus probolos (Ausich and Kammer, 1991), Thinocrinus akanthos new species, Thinocrinus sp. aff. T. gibsoni, Thinocrinus spp. indeterminate, and two taxa recognized as only Actinocrinitidae genus and species indeterminate. Actinocrinites tripus Ehlers and Kesling, 1963 is recognized as a junior synonym of Thinocrinus gibsoni. Thinocrinus, rather than Actinocrinites as previously thought, is the dominant Fort Payne Formation actinocrinitid. Fort Payne Formation carbonate buildup facies (wackestone buildups and crinoidal packstone buildups) each have characteristic species of Thinocrinus. Actinocrinites is relatively rare in the Fort Payne Formation, but occurs preferentially in crinoidal packstone buildups.
The most recent work at Vindolanda has produced some startling results which both support and challenge our standing interpretations of some aspects of the frontier zone in Roman Britain. These include the timeline for the development of forts on the frontier, the foundation of extramural settlements and the relationship between fort and extramural settlement. The work raises questions not only about Vindolanda but more generally about the formation of the frontier itself and the interpretation of the archaeology of other sites.