We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The increased severity and frequency of bushfires accompanying human-induced global warming have dire implications for biodiversity conservation. Here we investigate the response of a cryptic, cool-climate elapid, the mustard-bellied snake Drysdalia rhodogaster, to the extensive Black Summer fires of 2019/2020 in south-eastern Australia. The species is categorized as Least Concern on the IUCN Red List (last assessed in 2017), but because a large part of its range was burnt during the Black Summer and little was known about its ecology, D. rhodogaster was identified as a priority species for post-fire impact assessment. We evaluated three lines of evidence to assess the impact of the Black Summer fires on D. rhodogaster. Habitat suitability modelling indicated that c. 46% of the predicted range of the species was affected by bushfire. Field surveys conducted 9–36 months post-fire and collation of records from public databases submitted 0–24 months post-fire indicated that D. rhodogaster persisted in burnt landscapes. Fire severity and proportion of the landscape that was burnt within a 1,000-m radius of survey sites were poor predictors of site occupancy by D. rhodogaster. Although conclusions regarding the effects of fire on D. rhodogaster are limited because of the lack of baseline data, it is evident that the species has persisted across the landscape in the wake of extensive bushfires. Our work highlights the need for baseline knowledge on cryptic species even when they are categorized as Least Concern, as otherwise assessments of the impacts of catastrophic events will be constrained.
There is a strong link between our capacity to cope with negative emotional states and their associated negative thoughts and substance use relapse. When individuals use substances as a coping mechanism this strategy may be effective in the short term and but proves maladaptive in the long run. The use of drugs provides both negative reinforcement (namely, the reduction of painful feelings via self-medication), and positive reinforcement (that is, the pleasant experience of being high via positive outcome expectancies). The self-medication hypothesis applies when the individual is using a substance to cope with negative emotions, conflict, or stress (negative reinforcement). From a positive outcome expectancy perspective, the person is focusing on the positive aspects and euphoria of using a substance (positive reinforcement), while ignoring the negative consequences. Therefore, an essential component of recovery is learning healthy ways to self-soothe and cope with stress and painful emotions, and the negative thoughts and rumination associated with them. Without healthy coping skills, a key component of recovery capital, individuals in recovery will continue to seek dysfunctional ways to self-regulate. In this chapter the reader is introduced to one of the causes behind negative rumination and over-compensatory behaviour that accompanies it, which perpetuates the cycle of addiction.
High-risk situations can be understood as events and situations that, if not effectively managed, pose a potential risk for relapse. What is important to note is that it is chiefly the individual’s subjective perception of “risk” that plays a significant role in whether a situation is high risk or not. A high-risk situation poses a threat to one’s perceived ability (what psychology calls “self-efficacy”) to handle the challenging situation at hand. Therefore, by developing more effective coping skills, thereby increasing perceived self-efficacy, one can learn to manage a high-risk situation without defaulting to substance use. This chapter provides practices that enables the reader to effectively deal with high-risk situations. The focus of this workbook is not to provide an exhaustive set of relapse prevention skills and tools but to help the reader to unlock their innate resilience through developing a Recovery Resilience Practice, so that they can effectively apply them.
In this chapter there is a focus on the expectations or Requirements that sustain an addictive lifestyle. It highlights that in addition to fueling resentments, Requirements also affect how one relates to potential high-risk situations, triggers, and stressful events in general. Chapter 1 of this workbook highlighted that oftentimes it is not the situation or event itself that creates emotional distress, but the Requirements individuals have (often automatically and out of awareness) for the situation or event that activate their I-Systems. Thus, a Recovery Resilience Practice does not focus on changing any given situation (crucial insofar as many distressful situations or triggers may be unavoidable) but focuses instead on changing the “who” one brings to that situation – the Natural Functioning self or I-System Functioning self.
Research points out that one reason that many individuals fail to achieve and/or maintain sobriety is that they have inadequate coping skills for dealing with stressful situations and painful feelings. Therefore, the key to preventing relapse is to gain and practice new skills for coping with both anticipated and potentially unforeseen challenges. Yet, simply acquiring these coping skills does not guarantee sustained recovery. One also needs to effectively practice these skills and work a sustainable recovery program. This is evidenced by the fact that addiction treatment and relapse prevention programs have high rates of relapse, despite individuals having a plethora of skills available to them and often being highly motivated for recovery. What the authors highlight in the workbook is that there is a mind-body system, called the I-System, that hinders individuals in recovery from effectively applying these skills and recovery practices, saps their motivation, and causes them to veer off their chosen recovery pathways. From a psychological standpoint, the I-System serves as a regulatory mechanism that maintains psychic balance and prevents psychic disintegration. The approach outlined in the workbook teaches the reader how to recognize and “befriend” this hindrance – so that instead of it being an impediment, it can serve as a compass that guides them through their activities of daily living to stay true to their chosen recovery pathways. The practices in the workbook centers on discerning mind-body practices that support regulation of both mental and physical health, preserving the inherent resilience of our true self. The introduction provides an overview of the workbook and brief introduction to the theory that informs the workbook. The workbook is structured progressively, with each section building on information provided previously. The exercise questions are easy to understand and apply, aiming to heighten the reader’s self-awareness of the dynamics that underlie their addictive behaviour in several key areas of life. The workbook is divided into six sections, each detailing an aspect of a Recovery Resilience Practice and outlining various exercises to help foster their recovery resilience and well-being. Initial exercises aim to unearth what might be hindering their resilience, ultimately resulting in diminished mental and physical functioning. The authors equip readers with a baseline measurement to monitor progress as they gradually introduce various practices and exercises in a systematic way.
In this chapter the workbook’s previous chapters are integrated into an explanation of the dynamics that underlie the cycle of addiction. It highlights that when the I-System becomes hyperactive, individuals forfeit their innate capabilities for creative thought, open-mindedness, and resilience, exhibiting instead overly stringent expectations or assumptions about themselves, others, and circumstances. By presenting examples of thought patterns that obstruct resilience, the authors demystify the nature of problematic and unrealistic “I-System Requirements” or “the shoulds” in life that often breed frustration, physical tension, shame, or withdrawal. The reader is then guided on how to neutralize these negative thoughts or what the authors term the Depressor Storyline. They describe a self-perpetuating cycle often created between a Depressor Storyline and the Fixer Storyline, which involves the Depressor generating negative thoughts that snowball into a Storyline, while the Fixer incessantly devises stories on how to rectify self, others, or circumstances. The objective is to find means to deactivate the hyperactive I-System Requirements, which is crucial to freeing individuals from restrictive and repetitive patterns to attain a state of Natural Functioning.
It is often stated that cravings are a formidable adversary to those on a recovery pathway and that cravings are one of the major factors related to relapse. Individuals who lack effective coping responses and/or the confidence (self-efficacy) to deal with cravings and the situations that trigger them are at high risk for relapse. In this chapter the authors assist the reader to enhance their ability to manage cravings and highlight that it is a pivotal coping skill needed for their sustained recovery from addiction. In this chapter it is highlighted that a Recovery Resilience Practice supports regulation of both mental and physical health, preserving the inherent resilience of our true self. The theoretical underpinning of the practices is based on the notion that the true self, or our genuine essence, can be reclaimed or further nurtured once deeply entrenched defensive patterns, developed to offset feelings of shame and inadequacy, are consciously recognized, understood, and neutralized. It highlights how these patterns are malleable and can be effectively deconstructed through various means to encourage authentic functioning, characterized by creativity, optimism, spontaneity, and resilience.
In the last chapter the authors provide an overview of all aspects of a Recovery Resilience Practice that will contribute towards a sustainable recovery-oriented lifestyle. In this chapter the reader will consolidate their Recovery Resilience Practice and see how to use it to support any recovery program or pathway. As highlighted throughout the workbook, the central aim of a Recovery Resilience Practice is to remove the hindrance that obstructs one’s capacity to access Recovery Capital and apply recovery skills as well as provide a practice that can help one deal moment by moment with stress, high-risk situation, triggers, or any troubling situations. In short, a Recovery Resilience Practice removes the hindrance to one’s innate resilience and capacity for flourishing and assists in achieving recovery and life goals. The last chapter provides an overview of how the workbook assists individuals in recovery to have greater self-awareness of their unhealthy and healthy coping styles and prompts them to evolve to a place of greater self-awareness so that they can make more informed decisions about their lives and efficaciously deal with life’s challenges.
The first workbook written for individuals progressing through the Recovery Resilience Program, a person-centered, strength and resiliency-based relapse prevention and recovery-oriented intervention designed for individuals in addiction recovery. The book presents practices derived from the I-System Model and the evidence-based intervention Mind-Body Bridging that enhance 'recovery resilience' – a term we use to refer to an individual's capacity to effectively apply coping and self-regulation skills in dealing with cravings, triggers, stress, and high-risk situations without reverting to substance use. Each chapter introduces various Recovery Resilience Practices and explains how they can positively augment any recovery pathway. Readers can learn to use these practices through various exercises, which they can complete before moving on to the next chapter. The program helps individuals to draw upon and use their recovery capital (for example, skills, tools, knowledge, etc.), remove barriers along the way, and strengthen their internal resources, and ultimately reach recovery and life goals.
In situ elemental imaging of planetary surface regolith at a spatial resolution of 100s to 1000s of microns can provide evidence of the provenance of rocks or sediments and their habitability, and can identify post-depositional diagenetic alteration affecting preservation. We use high-resolution elemental maps and XRF spectra from MapX, a flight prototype in situ X-ray imaging instrument, to demonstrate this technology in rock types relevant to astrobiology. Examples are given for various petrologies and depositional/diagenetic environments, including ultramafic/mafic rocks, serpentinites, hydrothermal carbonates, evaporites, stromatolitic cherts and diagenetic concretions.
Additional well-crystallized kaolin from Washington County, Georgia, has been supplied to the Clay Minerals Society Source Clay Repository to replace the exhausted supply of KGa-1. This kaolin is called KGa-1B and is from a geographic location and stratigraphic position close to where KGa-1 was collected. Slight mineralogical and chemical differences are observed between KGa-1 and KGa-1B. KGa-1B crude appears slightly better crystalline than KGa-1, and it has a slightly higher titania content than KGa-1. The Al2O3, SiO2, Fe2O3, alkali, and alkaline earth contents appear similar for both samples. KGa-1 has a slightly coarser particle size than KGa-1B crude. More intensive post-depositional alteration may have cleansed and crystallized the KGa-1B material to a slightly greater degree than the KGa-1 material.
This article takes stock of the 2030 Agenda and focuses on five governance areas. In a nutshell, we see a quite patchy and often primarily symbolic uptake of the global goals. Although some studies highlight individual success stories of actors and institutions to implement the goals, it remains unclear how such cases can be upscaled and develop a broader political impact to accelerate the global endeavor to achieve sustainable development. We hence raise concerns about the overall effectiveness of governance by goal-setting and raise the question of how we can make this mode of governance more effective.
Technical Summary
A recent meta-analysis on the political impact of the Sustainable Development Goals (SDGs) has shown that these global goals are moving political processes forward only incrementally, with much variation across countries, sectors, and governance levels. Consequently, the realization of the 2030 Agenda for Sustainable Development remains uncertain. Against this backdrop, this article explores where and how incremental political changes are taking place due to the SDGs, and under what conditions these developments can bolster sustainability transformations up to 2030 and beyond. Our scoping review builds upon an online expert survey directed at the scholarly community of the ‘Earth System Governance Project’ and structured dialogues within the ‘Taskforce on the SDGs’ under this project. We identified five governance areas where some effects of the SDGs have been observable: (1) global governance, (2) national policy integration, (3) subnational initiatives, (4) private governance, and (5) education and learning for sustainable development. This article delves deeper into these governance areas and draws lessons to guide empirical research on the promises and pitfalls of accelerating SDG implementation.
Social Media Summary
As SDG implementation lags behind, this article explores 5 governance areas asking how to strengthen the global goals.
To estimate cost savings after implementation of customized electronic duplicate order alerts.
Design:
Alerts were implemented for microbiology tests at the largest public hospital in Victoria, Australia. These alerts were designed to pop up at the point of test ordering to inform the clinician that the test had previously been ordered and to suggest appropriate reordering time frames and indications.
Results:
In a 6-month audit of urine culture (our most commonly ordered test) after alert implementation, 2,904 duplicate requesters proceeded with the request and 2,549 tests were cancelled, for a 47% reduction in test ordering. For fecal polymerase chain reaction (PCR), our second most common test, there was a 54% reduction in test ordering. For our most commonly ordered expensive test, hepatitis C PCR, there was a 42% reduction in test ordering: 25 tests were cancelled.
Cancelled tests resulted in estimated savings of AU$52,382 (US$33,960) for urine culture, AU$34,914 (US$22,442) for fecal PCR, AU$4,506 (US$2,896) for hepatitis C PCR. For cancelled hepatitis B PCR and Epstein-Barr virus (EBV) and cytomegalovirus (CMV) serology, the cost savings was AU$8,472 (US$5445). The estimated financial cost saving in direct hospital costs for these 6 assays was AU$100,274 (US$67,925) over the 6-month period. Environmental waste cost saving by weight was estimated to be 280 kg. Greenhouse gas footprint, measured in carbon dioxide equivalent emissions for cancelled EBV and CMV serology tests, resulted in a saving of at least 17,711 g, equivalent to driving 115 km in a standard car.
Conclusion:
Customized alerts issued at the time of test ordering can have enormous impacts on reducing cost, waste, and unnecessary testing.
To evaluate random effects of volume (patient days or device days) on healthcare-associated infections (HAIs) and the standardized infection ratio (SIR) used to compare hospitals.
Design:
A longitudinal comparison between publicly reported quarterly data (2014–2020) and volume-based random sampling using 4 HAI types: central-line–associated bloodstream infections, catheter-associated urinary tract infections, Clostridioides difficile infections, methicillin-resistant Staphylococcus aureus infections.
Methods:
Using 4,268 hospitals with reported SIRs, we examined relationships of SIRs to volume and compared distributions of SIRs and numbers of reported HAIs to the outcomes of simulated random sampling. We included random expectations into SIR calculations to produce a standardized infection score (SIS).
Results:
Among hospitals with volumes less than the median, 20%–33% had SIRs of 0, compared to 0.3%–5% for hospitals with volumes higher than the median. Distributions of SIRs were 86%–92% similar to those based on random sampling. Random expectations explained 54%–84% of variation in numbers of HAIs. The use of SIRs led hundreds of hospitals with more infections than either expected at random or predicted by risk-adjusted models to rank better than other hospitals. The SIS mitigated this effect and allowed hospitals of disparate volumes to achieve better scores while decreasing the number of hospitals tied for the best score.
Conclusions:
SIRs and numbers of HAIs are strongly influenced by random effects of volume. Mitigating these effects drastically alters rankings for HAI types and may further alter penalty assignments in programs that aim to reduce HAIs and improve quality of care.
Psychotic disorders and schizotypal traits aggregate in the relatives of probands with schizophrenia. It is currently unclear how variability in symptom dimensions in schizophrenia probands and their relatives is associated with polygenic liability to psychiatric disorders.
Aims
To investigate whether polygenic risk scores (PRSs) can predict symptom dimensions in members of multiplex families with schizophrenia.
Method
The largest genome-wide data-sets for schizophrenia, bipolar disorder and major depressive disorder were used to construct PRSs in 861 participants from the Irish Study of High-Density Multiplex Schizophrenia Families. Symptom dimensions were derived using the Operational Criteria Checklist for Psychotic Disorders in participants with a history of a psychotic episode, and the Structured Interview for Schizotypy in participants without a history of a psychotic episode. Mixed-effects linear regression models were used to assess the relationship between PRS and symptom dimensions across the psychosis spectrum.
Results
Schizophrenia PRS is significantly associated with the negative/disorganised symptom dimension in participants with a history of a psychotic episode (P = 2.31 × 10−4) and negative dimension in participants without a history of a psychotic episode (P = 1.42 × 10−3). Bipolar disorder PRS is significantly associated with the manic symptom dimension in participants with a history of a psychotic episode (P = 3.70 × 10−4). No association with major depressive disorder PRS was observed.
Conclusions
Polygenic liability to schizophrenia is associated with higher negative/disorganised symptoms in participants with a history of a psychotic episode and negative symptoms in participants without a history of a psychotic episode in multiplex families with schizophrenia. These results provide genetic evidence in support of the spectrum model of schizophrenia, and support the view that negative and disorganised symptoms may have greater genetic basis than positive symptoms, making them better indices of familial liability to schizophrenia.