Medication-Assisted Treatment for Pregnant Women: A Systematic Review of the Evidence and Implications for Social Work Practice

Evidence-based practice with pregnant clients who are opioiddependent can be especially challenging because pregnant women are rarely included in clinical trials. The paper synthesizes systematic reviews on the outcomes of medication-assisted treatment for opioid dependent pregnant women and compares the effectiveness of methadone and buprenorphine. We explore evidence on maternal and neonatal outcomes, the safety of breastfeeding, and discuss the implications for social work practice. Searches were conducted in 6 databases. Ten reviews met the inclusion criteria. Results suggest medication-assisted treatment with either methadone or buprenorphine are equally effective in reducing maternal substance use, although methadone may offer slightly higher treatment retention rates when flexible dosing is implemented. Physical parameters and Apgar scores at birth show no significant differences in neonates exposed to methadone versus buprenorphine. Rates of treatment for neonatal abstinence syndrome also do not differ. However, when treatment is required burprenorphine may produce a shorter duration of withdrawal. Data on long-term developmental outcomes following in-utero exposure to opioid maintenance medications is inconclusive. Results suggest that there is minimal transmission of either methadone or buprenorphine to the neonate in breast milk. Conclusions are limited by missing data on broader psychosocial and maternal health outcomes. Evidence on long-term developmental outcomes for neonates is also confounded by prenatal drug exposure and environmental factors. Social workers engage with opioid-dependent pregnant women in many settings and can play an important role in ensuring access to treatment, and in addressing misconceptions around medication-assisted treatment for pregnant women with family members, peer supports, and other health care providers

Promote Ergonomic Health

A wide array of interventions and therapies is available to help dental hygienists stay healthy and reduce pain

Age, physical activity motivation and perceived stress in minority girls

Background: Physical activity in childhood and adolescence helps support physical and emotional health. Purpose: The study aimed to investigate if age was related to motivation for physical activity in minority girls, and whether the relationship may be potentially mediated by psychological or physiological stress. Methods: This cross-sectional observational study recruited Latino and African American girls ages 8 – 12 years (n = 79) in Tanner stage 1 or 2 via purposive sampling. Intrinsic motivation and perceived stress were measured by self-report survey; morning salivary cortisol samples were taken to calculate cortisol awakening response to estimate biological stress reactivity. Results: Increased age was related to higher intrinsic motivation to engage in physical activity. Lower perceived stress and lower awakening cortisol response were associated with higher intrinsic motivation. Bootstrapped mediation results indicated perceived stress may be a pathway through which age impacts intrinsic motivation for physical activity. Conclusion: While motivation to engage in physical activity may increase with age, perceived stress may dampen this motivation, resulting in decreased physical activity. Interventions to help increase pre-adolescent girls’ engagement in active behaviors may benefit from reducing children’s perceptions of stress

NASA Ames DEVELOP Interns Collaborate with the South Bay Salt Pond Restoration Project to Monitor and Study Restoration Efforts using NASA's Satellites

In the past, natural tidal marshes in the south bay were segmented by levees and converted into ponds for use in salt production. In an effort to provide habitat for migratory birds and other native plants and animals, as well as to rebuild natural capital, the South Bay Salt Pond Restoration Project (SBSPRP) is focused on restoring a portion of the over 15,000 acres of wetlands in California's South San Francisco Bay. The process of restoration begins when a levee is breached; the bay water and sediment flow into the ponds and eventually restore natural tidal marshes. Since the spring of 2010 the NASA Ames Research Center (ARC) DEVELOP student internship program has collaborated with the South Bay Salt Pond Restoration Project (SBSPRP) to study the effects of these restoration efforts and to provide valuable information to assist in habitat management and ecological forecasting. All of the studies were based on remote sensing techniques -- NASA's area of expertise in the field of Earth Science, and used various analytical techniques such as predictive modeling, flora and fauna classification, and spectral detection, to name a few. Each study was conducted by a team of aspiring scientists as a part of the DEVELOP program at Ames

Central Africa Energy: Utilizing NASA Earth Observations to Explore Flared Gas as an Energy Source Alternative to Biomass in Central Africa

Much of Central Africa's economy is centered on oil production. Oil deposits lie below vast amounts of compressed natural gas. The latter is often flared off during oil extraction due to a lack of the infrastructure needed to utilize it for productive energy generation. Though gas flaring is discouraged by many due to its contributions to greenhouse emissions, it represents a waste process and is rarely tracked or recorded in this region. In contrast to this energy waste, roughly 80% of Africa's population lacks access to electricity and in turn uses biomass such as wood for heat and light. In addition to the dangers incurred from collecting and using biomass, the practice commonly leads to ecological change through the acquisition of wood from forests surrounding urban areas. The objective of this project was to gain insight on domestic energy usage in Central Africa, specifically Angola, Gabon, and the Republic of Congo. This was done through an analysis of deforestation, an estimation of gas flared, and a suitability study for the infrastructure needed to realize the natural gas resources. The energy from potential natural gas production was compared to the energy equivalent of the biomass being harvested. A site suitability study for natural gas pipeline routes from flare sites to populous locations was conducted to assess the feasibility of utilizing natural gas for domestic energy needs. Analyses and results were shared with project partners, as well as this project's open source approach to assessing the energy sector. Ultimately, Africa's growth demands energy for its people, and natural gas is already being produced by the flourishing petroleum industry in numerous African countries. By utilizing this gas, Africa could reduce flaring, recuperate the financial and environmental loss that flaring accounts for, and unlock a plentiful domestic energy source for its people. II. Introduction Background Africa is home to numerous burgeoning economies; a significant number rely on oil production as their primary source of revenue. Relative to its size and population density, the continent has a wealth of natural resources, including oil and natural gas deposits. The exploration of these resources is not a new endeavor, but rather one that spans decades, up to a century in some places. Their resources, if realized, could provide a great means of economic and social mobility for the people of Africa. Currently, Africa represents about 12 % of the energy market, yet at the same time, consumes only 3 % of the world's energy (Kasekende 2009). The highe

Clerkship Modifications for Rural and Urban Underserved Program Scholars

Clinical clerkship directors and coordinators together with the Rural and Urban Underserved Program (RUUP) have created targeted opportunities for RUUP Scholars during 3rd year clerkships. These opportunities aim to build Scholars’ clinical experience, knowledge and skills working with medically underserved groups. RUUP Scholars now have the option of spending part of their clerkships at hospitals and clinics in Shiprock, Gallup, Espanola, and Alamogordo for a portion of their OB/Gyn, Surgery, and Pediatric rotations. In addition, Scholars have options for unique outpatient experiences as part of their Pediatrics and Psychiatry clerkships, and for selected placements for Family Medicine clerkship. We will be sharing reports of experiences from the first two classes of RUUP Scholars to have these options, as well as descriptions of operational processes and hurdles. These innovative clinical experiences can be a key step to help program participants to be leaders in the care of underserved communities

The antisense oligonucleotide nusinersen for treatment of spinal muscular atrophy

Spinal muscular atrophy (SMA) is a rare, autosomal recessive neuromuscular degenerative disease characterized by loss of spinal cord motor neurons leading to progressive muscle wasting. The most common pathology results from a homozygous disruption in the survival motor neuron 1 (SMN1) gene on chromosome 5q13 via deletion, conversion, or mutation. SMN2 is a near duplicate of SMN1 that can produce full-length SMN mRNA transcripts, but its overall production capability of these mRNA transcripts is lower than that seen in SMN1. This leads to lower levels of functional SMN protein within motor neurons. The FDA approved nusinersen in December 2016 to treat SMA associated with SMN1 gene mutation. It is administered directly to the central nervous system by intrathecal injection. An antisense oligonucleotide (ASO) drug, nusinersen, provides an upcoming and promising treatment option for SMA and represents a novel pharmacological approach with a mechanism of action relevant for other neurodegenerative disorders. Nusinersen begins with four initial loading doses that are followed by three maintenance doses per year. Three major studies (CHERISH, ENDEAR, and NURTURE) have shown to improve motor function in early and late-onset individuals and reduce the chances of ventilator requirements in pre-symptomatic infants. Studies investigating the timing of drug delivery in mouse models of SMA report the best outcomes when drugs are delivered early before any significant motor function is lost. Nusinersen is a novel therapeutic approach with consistent results in all three studies and is proof of the novel concept for treating SMA and other neurodegenerative disorders in the future

SPAG17 Mediates Nuclear Translocation of Protamines During Spermiogenesis

Protamines (PRM1 and PRM2) are small, arginine-rich, nuclear proteins that replace histones in the final stages of spermiogenesis, ensuring chromatin compaction and nuclear remodeling. Defects in protamination lead to increased DNA fragmentation and reduced male fertility. Since efficient sperm production requires the translocation of protamines from the cytoplasm to the nucleus, we investigated whether SPAG17, a protein crucial for intracellular protein trafficking during spermiogenesis, participates in protamine transport. Initially, we assessed the protein-protein interaction between SPAG17 and protamines using proximity ligation assays, revealing a significant interaction originating in the cytoplasm and persisting within the nucleus. Subsequently, immunoprecipitation and mass spectrometry (IP/MS) assays validated this initial observation. Sperm and spermatids fro

CMB-S4 Science Book, First Edition

This book lays out the scientific goals to be addressed by the next-generation ground-based cosmic microwave background experiment, CMB-S4, envisioned to consist of dedicated telescopes at the South Pole, the high Chilean Atacama plateau and possibly a northern hemisphere site, all equipped with new superconducting cameras. CMB-S4 will dramatically advance cosmological studies by crossing critical thresholds in the search for the B-mode polarization signature of primordial gravitational waves, in the determination of the number and masses of the neutrinos, in the search for evidence of new light relics, in constraining the nature of dark energy, and in testing general relativity on large scales