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Positive symptoms are a useful predictor of aggression in schizophrenia. Although a similar pattern of abnormal brain structures related to both positive symptoms and aggression has been reported, this observation has not yet been confirmed in a single sample.
To study the association between positive symptoms and aggression in schizophrenia on a neurobiological level, a prospective meta-analytic approach was employed to analyze harmonized structural neuroimaging data from 10 research centers worldwide. We analyzed brain MRI scans from 902 individuals with a primary diagnosis of schizophrenia and 952 healthy controls.
The result identified a widespread cortical thickness reduction in schizophrenia compared to their controls. Two separate meta-regression analyses revealed that a common pattern of reduced cortical gray matter thickness within the left lateral temporal lobe and right midcingulate cortex was significantly associated with both positive symptoms and aggression.
These findings suggested that positive symptoms such as formal thought disorder and auditory misperception, combined with cognitive impairments reflecting difficulties in deploying an adaptive control toward perceived threats, could escalate the likelihood of aggression in schizophrenia.
The late Eocene mantis genus and species Protohierodula crabbi can be attributed to the extant clade Artimantodea incertae sedis sit. nov., but its original placement in the Manteidae is not supported. It remains the oldest reliable described Artimantodea.
OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION: Thirty in-depth interviews were conducted with Black women living with HIV who receive care at an academic HIV primary care clinic in the Southern region of the United States to elicit stressful events influencing adherence to HIV care. Semi-structured interview guides were used to facilitate discussion regarding stressful events and adherence to HIV care. Interviews were audiotaped and transcribed verbatim. Transcripts were independently coded using a theme-based approach by two experienced coders, findings were compared, and discrepancies were resolved by discussion. RESULTS/ANTICIPATED RESULTS: Participants described frequently experiencing incident stressful events including death or serious illness of a close friend or family member, and relationship, financial, and employment difficulties. Furthermore, participants reported experiencing traumatic events such as sexual and physical abuse during childhood and adolescents. While experiencing traumatic events such as sexual and physical abuse during childhood and adolescence may be distressing, these events did not influence adherence to HIV care. However, incident stressful events as defined above did influence adherence to HIV care for some participants, but not for others. For participants who reported that stressful events did not influence adherence to HIV care, factors such as personal motivation, access to social support, and adaptive coping strategies facilitated their engagement in care. DISCUSSION/SIGNIFICANCE OF IMPACT: Experiencing stressful events, incident or traumatic, is common among Black WLWH and have the potential to negatively influence adherence to HIV care. Thus, Interventions aimed at identifying and addressing stress, social support, and coping are essential to improve adherence to HIV care behaviors.
The present paper presents a fundamentally novel approach to model individual differences of persons with the same biologically heterogeneous mental disorder. Unlike prevalent case-control analyses, that assume a clear distinction between patient and control groups and thereby introducing the concept of an ‘average patient’, we describe each patient's biology individually, gaining insights into the different facets that characterize persistent attention-deficit/hyperactivity disorder (ADHD).
Using a normative modeling approach, we mapped inter-individual differences in reference to normative structural brain changes across the lifespan to examine the degree to which case-control analyses disguise differences between individuals.
At the level of the individual, deviations from the normative model were frequent in persistent ADHD. However, the overlap of more than 2% between participants with ADHD was only observed in few brain loci. On average, participants with ADHD showed significantly reduced gray matter in the cerebellum and hippocampus compared to healthy individuals. While the case-control differences were in line with the literature on ADHD, individuals with ADHD only marginally reflected these group differences.
Case-control comparisons, disguise inter-individual differences in brain biology in individuals with persistent ADHD. The present results show that the ‘average ADHD patient’ has limited informative value, providing the first evidence for the necessity to explore different biological facets of ADHD at the level of the individual and practical means to achieve this end.
Innovation platforms are fast becoming part of the mantra of agricultural research for development projects and programmes. Their basic tenet is that stakeholders depend on one another to achieve agricultural development outcomes, and hence need a space where they can learn, negotiate and coordinate to overcome challenges and capture opportunities through a facilitated innovation process. Although much has been written on how to implement and facilitate innovation platforms efficiently, few studies support ex-ante appraisal of when and for what purpose innovation platforms provide an appropriate mechanism for achieving development outcomes, and what kinds of human and financial resource investments and enabling environments are required. Without these insights, innovation platforms run the risk of being promoted as a panacea for all problems in the agricultural sector. This study makes clear that not all constraints will require innovation platforms and, if there is a simpler and cheaper alternative, that should be considered first. Based on the review of critical design principles and plausible outcomes of innovation platforms, this study provides a decision support tool for research, development and funding agencies that can enhance more critical thinking about the purposes and conditions under which innovation platforms can contribute to achieving agricultural development outcomes.
Evidence suggests that skin picking disorder (SPD) could be a prevalent condition associated with comorbidity and psychosocial dysfunction. However, just a few studies have assessed the prevalence and correlates of SPD in samples from low- and middle-income countries. In addition, the impact of SPD on quality of life (QoL) dimension after multivariable adjustment to potential confounders remains unclear.
Data were obtained from a Brazilian anonymous Web-based research platform. Participants provided sociodemographic data and completed the modified Skin Picking–Stanford questionnaire, the Hypomania Checklist (HCL-32), the Patient Health Questionnaire-9 (PHQ-9), the Fagerström Test for Nicotine Dependence, Alcohol Use Disorder Identification Test (AUDIT), Symptom Checklist-90-Revised inventory (SCL-90R), early trauma inventory self report–short form, and the World Health Organization quality of life abbreviated scale (WHOQOL-Bref). Associations were adjusted to potential confounders through multivariable models.
For our survey, 7639 participants took part (71.3% females; age: 27.2±7.9 years). The prevalence of SPD was 3.4% (95% CI: 3.0–3.8%), with a female preponderance (P<0.001). In addition, SPD was associated with a positive screen for a major depressive episode, nicotine dependence, and alcohol dependence, as well as suicidal ideation. Physical and psychological QoL was significantly more impaired in participants with SPD compared to those without SPD, even after adjustment for comorbidity.
In this large sample, SPD was a prevalent condition associated with co-occurring depression, nicotine, and alcohol dependence. In addition, SPD was independently associated with impaired physical and psychological QoL. Public health efforts toward the early recognition and treatment of SPD are warranted.
There is little evidence to guide pharmacological treatment in adults with Down syndrome and Alzheimer's disease.
To investigate the effect of cholinesterase inhibitors or memantine on survival and function in adults with Down syndrome and Alzheimer's disease.
This was a naturalistic longitudinal follow-up of a clinical cohort of 310 people with Down syndrome diagnosed with Alzheimer's disease collected from specialist community services in England.
Median survival time (5.59 years, 95% CI 4.67–6.67) for those on medication (n = 145, mainly cholinesterase inhibitors) was significantly greater than for those not prescribed medication (n = 165) (3.45 years, 95% CI 2.91–4.13, log-rank test P<0.001). Sequential assessments demonstrated an early effect in maintaining cognitive function.
Cholinesterase inhibitors appear to offer benefit for people with Down syndrome and Alzheimer's disease that is comparable with sporadic Alzheimer's disease; a trial to test the effect of earlier treatment (prodromal Alzheimer's disease) in Down syndrome may be indicated.
Declaration of interest
A.S. has undertaken consulting for Ono Pharmaceuticals, outside the submitted work. Z.W. has received a consultancy fee and grant from GE Healthcare, outside the submitted work.
FFQ, food diaries and 24 h recall methods represent the most commonly used dietary assessment tools in human studies on nutrition and health, but food intake biomarkers are assumed to provide a more objective reflection of intake. Unfortunately, very few of these biomarkers are sufficiently validated. This review provides an overview of food intake biomarker research and highlights present research efforts of the Joint Programming Initiative ‘A Healthy Diet for a Healthy Life’ (JPI-HDHL) Food Biomarkers Alliance (FoodBAll). In order to identify novel food intake biomarkers, the focus is on new food metabolomics techniques that allow the quantification of up to thousands of metabolites simultaneously, which may be applied in intervention and observational studies. As biomarkers are often influenced by various other factors than the food under investigation, FoodBAll developed a food intake biomarker quality and validity score aiming to assist the systematic evaluation of novel biomarkers. Moreover, to evaluate the applicability of nutritional biomarkers, studies are presently also focusing on associations between food intake biomarkers and diet-related disease risk. In order to be successful in these metabolomics studies, knowledge about available electronic metabolomics resources is necessary and further developments of these resources are essential. Ultimately, present efforts in this research area aim to advance quality control of traditional dietary assessment methods, advance compliance evaluation in nutritional intervention studies, and increase the significance of observational studies by investigating associations between nutrition and health.
In November–December 2002, a joint airborne experiment by Centro de Estudios Cientifícos and NASA flew over the Antarctic ice sheet to collect laser altimetry and radio-echo sounding data over glaciers flowing into the Amundsen Sea. A P-3 aircraft on loan from the Chilean Navy made four flights over Pine Island, Thwaites, Pope, Smith and Kohler glaciers, with each flight yielding 1.5–2 hours of data. The thickness measurements reveal that these glaciers flow into deep troughs, which extend far inland, implying a high potential for rapid retreat. Interferometric synthetic aperture radar data (InSAR) and satellite altimetry data from the European Remote-sensing Satellites (ERS-1/-2) show rapid grounding-line retreat and ice thinning of these glaciers. Using the new thickness data, we have reevaluated glacier fluxes and the present state of mass balance, which was previously estimated using ice thicknesses deduced largely from inversion of elevation data assuming hydrostatic equilibrium. The revised total ice discharge of 241 ± 5km3 a–1 exceeds snow accumulation by 81 ± 17 km3 a–1 of ice, equivalent to a sea-level rise of 0.21 ± 0.04 mma–1. This magnitude of ice loss is too large to be caused by atmospheric forcing and implies dynamic thinning of the glaciers. This is confirmed by ice-flow acceleration observed with InSAR. We attribute the flow acceleration and ice thinning to enhanced bottom melting of the ice shelves by a warmer ocean, which reduces buttressing of the glaciers, and in turn accelerates them out of balance.
We report measurements of ice surface elevation, ice thickness and surface area for Glaciar Tyndall, Patagonia, made in 1999–2002. The measurements, together with previously published observations, show acceleration over the last few decades of the rates of thinning and retreat of the main calving front. The acceleration of shrinkage appears to be driven by a combination of climate and feedback processes, the dominant feedback being increased melting associated with lowering of the glacier surface (elevation feedback). The melting capacity in the main terminus lake is now too small to be a major factor accelerating the retreat. The glacier bed has low slope and remains below the elevation of the lake spillway for >14 km upstream from the 2000 calving front, indicating the potential for extensive retreat under the influence of strong elevation feedback and increasing interaction with the lake as it enlarges.
Despite their importance as freshwater reservoirs for downstream river systems, few glaciers in central Chile have been comprehensively surveyed. This study presents ground-penetrating radar (GPR) and field-based observations for characterizing the englacial and basal conditions of Glaciar Olivares Alfa (33°110 S, 70°130 W), central Chilean Andes. Using a 50 MHz radar mounted onto a helicopter platform, data were collected covering large portions of the glacier accumulation and ablation zones. The radar data revealed boundaries of a temperate-ice layer at the base of the eastern body of Glaciar Olivares Alfa which appears to be covered by colder ice that extends throughout large parts of the glacier. The thickness of the temperate ice layer is highly variable across the glacier, being on average 40% of the total ice thickness. Radar data analyses reveal regions of cold ice at the bottom/base of the glacier and also patterns of highly saturated sediments beneath the glacier. Using GPR data, this study represents the most exhaustive analysis of glacier ice structure performed in the central Chilean Andes. The results will enable improved estimations of the glacier’s mass balance and ice dynamics, helping us to understand its further development and its impact on water availability.
The Willwood Fm. of the southern Bighorn Basin of Wyoming, U.S.A., comprises 700 m of lower Eocene alluvial molasse, nearly all of which contains relict pedogenic features. These rocks are grouped into pedofacies–alluvial sediment prisms, thick with immature paleosols proximal to streams and thinner with mature paleosols distally. Pedofacies are bounded by either trunk-stream channel or crevasse-splay deposits, which represent time-stratigraphic markers. The floodplain widths of the Willwood rivers varied from 15 to 20+ km. Paleosols occur throughout the Willwood Formation and the most mature paleosols required about 60 Ka to form whereas the least mature, required 0.5 to 1.0 Ka. Paleosol thicknesses vary from about 0.3–8.0 m and are directly related to net sediment accumulation rate (NSAR) and profile maturity. Pedofacies also reflect NSAR controls; pedofacies are continuously superposed, 15–35-m-thick, and represent time intervals of 30–60 Ka.
In the earliest Eocene, paleosol maturity rose sharply, and NSAR plummeted (Fort Union Fm./Willwood Fm. contact), after which maturity gradually declined (and NSAR rose) throughout the early Eocene. This decline was punctuated by two episodes of severe decline, each corresponding with major increases in NSAR, increased tectonism, and episodes of faunal turnover (“Biohorizons” A and B). Above the biohorizons, species earlier tied to particular paleosol maturities were replaced by closely related though more generalized species with no marked paleosol preferences. Time-stratigraphic reconstruction of the Willwood Fm. shows that “Biohorizons” B and C record the same faunal event; B the extinctions, and C the immigrations.
The 1,300 Willwood fossil vertebrate localities, which are distributed throughout the entire formation, occur in the surface horizons of cumulative alluvial paleosols. All fossil accumulations in paleosols are attritional and formed during pedogenesis. The most complete remains occur in immature paleosols, whereas the most abundant remains are found in mature paleosols. Within the large-scale Willwood ecologic setting, studies of discrete (m's to tens of m's thick) stratigraphic intervals suggest that the paleontology and sedimentology of these intervals can be significantly influenced by lateral differences in paleosol hydromorphy (soil wetness) and maturity (lateral position of a fossil-bearing paleosol with respect to an ancient river channel). These smaller-scale controls on fossil occurrences are important for distinguishing between real and apparent changes in faunal compositions over time and emphasize the value of three-dimensional stratigraphic analysis for interpreting paleontologic events.
Supported by National Geographic Society grant 3985-89.
Although randomized interventions trials have been shown to reduce the incidence of disorganized attachment, no studies to date have identified the mechanisms of change responsible for such reductions. Maternal sensitivity has been assessed in various studies and shown to change with intervention, but in the only study to formally assess mediation, changes in maternal sensitivity did not mediate changes in infant security of attachment (Cicchetti, Rogosch, & Toth, 2006). Primary aims of the current randomized controlled intervention trial in a high-risk population were to fill gaps in the literature by assessing whether the intervention (a) reduced disorganization, (b) reduced disrupted maternal communication, and (c) whether reductions in disrupted maternal communication mediated changes in infant disorganization. The results indicated that, compared to controls (n = 52), both infant disorganization and disrupted maternal communication were significantly reduced in the intervention group (n = 65) that received regular home-visiting during pregnancy and the first year of life. Furthermore, reductions in disrupted maternal communication partially accounted for the observed reductions in infant disorganization compared to randomized controls. The results are discussed in relation to the societal cost effectiveness of early attachment-informed interventions for mothers and infants, as well as the importance of formally assessing underlying mechanisms of change in order to improve and appropriately target preventive interventions.
To date, the spatial distribution pattern and density of Brazil nut trees in logged forest stands is unclear across the Amazon basin. We asked the following questions: (1) What are the densities and spatial distributions of Brazil nut juveniles (10 ≤ dbh < 40 cm) and adults (≥ 40 cm dbh) in three selectively logged Brazil nut concessions (1413 ha sampled) in Madre de Dios, Peru; (2) What is the spatial relationship between adults and juveniles (10 ≤ dbh < 30 cm); and (3) What is the spatial relationship between juveniles (10 ≤ dbh <30 cm) and cut stumps (≥ 10 y)? Spatial analyses were conducted using statistics derived from Ripley's K function. Juveniles were aggregated in all three concessions. Results for adult populations rejected the null hypothesis of a random distribution among trees ≥ 40 cm dbh. We did not find an attraction between juveniles and cut-stump locations, nor between adults and juveniles. The strong peaks of aggregation for juveniles and adult Brazil nuts in this study occurred at long distances (300–900 m), suggesting multiple tree canopy gaps as drivers of spatial distribution patterns, either via natural or anthropogenic sources. Our data contribute to a more thorough understanding of Brazil nut population structure in disturbed forests in south-western Amazonia.