Exploring Personality and Readiness to Change in Patients With Substance Use Disorders With and Without ADHD

Objective: To explore personality and readiness to change among substance use disorders (SUD) patients with and without ADHD. Method: SUD + ADHD versus SUD − ADHD patients consecutively entering treatment between 2010 and 2012 were compared concerning personality (Temperament and Character Inventory) and readiness to change (Stages of Change Readiness and Treatment Eagerness Scale). Results: Among 103 SUD patients (76 men, age M = 43.3, SD = 11.1), 16 (15.5%) were diagnosed with ADHD. SUD + ADHD patients reported significantly elevated eagerness to effort (p = .008) compared with SUD − ADHD patients, who reported significantly elevated fear of uncertainty (p Conclusion: The distinct characteristics found in SUD + ADHD and SUD − ADHD patients underline the need for differentiated treatment interventions.</p

Genetic Linkage and Association Analysis for Loneliness in Dutch Twin and Sibling Pairs Points to a Region on Chromosome 12q23–24

We obtained evidence from a large study in Dutch twins (N = 8387) and siblings (N = 2295) that variation in loneliness has a genetic component. The heritability estimate for loneliness, which was assessed as an ordinal trait, was 40% and did not differ between males and females. There were 682 sibling pairs with genotypic (around 400 microsatellite markers) data. We combined phenotypic and genotypic data to carry out a genome scan to localize QTLs for loneliness. One region on chromosome 12q23.3-24.3, showed near suggestive linkage. Genetic association tests within this region revealed significant association (p-value 0.009) with one of the alleles of marker D12S79 and with one of the alleles of neighbouring marker D12S395 (p-value 0.043). We review evidence for linkage in this region for psychiatric disorders and discuss our findings within this context. © 2006 Springer Science+Business Media, Inc

Skin cancer screening participation and impact on melanoma incidence in Germany – an observational study on incidence trends in regions with and without population-based screening

Background: The SCREEN (Skin Cancer Research to provide Evidence for Effectiveness of Screening in Northern Germany) project involved population-wide skin cancer screening with whole-body examination by general physicians and dermatologists. It was conducted in the German state of Schleswig-Holstein (July 2003–June 2004), but not in the German state of Saarland. Methods: The population-based registries of Schleswig-Holstein and Saarland provided data on melanoma incidence before, during, and after SCREEN to assess the association of skin cancer screening with incidence. Results: Approximately 19% of the Schleswig-Holstein population participated in SCREEN (women: 27%, men: 10%). A total of 52% of all melanomas diagnosed during SCREEN in Schleswig-Holstein were detected as part of the project. Melanoma incidence increased during SCREEN (invasive melanoma in women: +8.9 per 100 000 (95% confidence intervals (CI): 6.1; 11.7); men: +4.0 per 100 000 (95% CI: 1.6; 6.4)) and decreased afterwards (women: −10.6 per 100 000 (95% CI: −13.3; −7.9); men: −4.1 per 100 000 (95% CI: −6.5; −1.7)). Similar changes were not observed in Saarland that had no such project. The differences between the two states were greatest among women, the group with the greater SCREEN participation. Conclusion: The SCREEN project had a substantial impact on melanoma incidence. This is consistent with the impact of effective screening for other cancers

Discovery of a Novel Invasive Rodent Species on Wake Atoll with a Desert Southwest USA Origin

Invasive species, particularly omnivorous rodents, have damaged island ecosystems around the world. The unique flora and fauna of island systems have typically not evolved with omnivorous rodents and are heavily impacted by their introduction. Wake Atoll of the southern Pacific Ocean is a 707-hectare coral island complex of three islands managed by the United States Department of Defense (DoD). DoD restricts civilian access to the atoll but aircraft and seacraft regularly visit the island to transport military equipment and to sustain the year-round military and contractor personnel stationed on the atoll. Wake Atoll had been invaded by Rattus rattus complex rats and R. exulans (Pacific rats). A 2012 eradication effort successfully removed the larger-bodied R. rattus complex species but the smaller-bodied R. exulans escaped eradication and continue to be numerous. During routine small mammal monitoring in February 2022, two individuals of another species of rodent were discovered and in August 2022 a pregnant female of this larger-bodied species was captured. Here, we report the mitochondrial DNA-based identification of the three individuals discovered on Wake Atoll in 2022. Based on mtDNA, we were able to ascertain that these individuals are likely Neotoma albigula, a species whose native range is restricted to the south-central United States and Mexico. All three Wake Atoll specimens shared the same mtDNA haplotype, which had 99–100% sequence similarity to several N. albigula specimens collected in south-central New Mexico. We propose that one or more live N. albigula may have been transported from one of the active military bases that routinely supply operations conducted on Wake Island. This work highlights that novel invasive species are an ongoing problem and can arise from species not formerly known to be invasive. Further, management of this problem must focus on biosecurity efforts to reduce the probability of novel or recurring invasions

Global surveillance of cancer survival 1995-2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2)

BACKGROUND: Worldwide data for cancer survival are scarce. We aimed to initiate worldwide surveillance of cancer survival by central analysis of population-based registry data, as a metric of the effectiveness of health systems, and to inform global policy on cancer control. METHODS: Individual tumour records were submitted by 279 population-based cancer registries in 67 countries for 25·7 million adults (age 15-99 years) and 75,000 children (age 0-14 years) diagnosed with cancer during 1995-2009 and followed up to Dec 31, 2009, or later. We looked at cancers of the stomach, colon, rectum, liver, lung, breast (women), cervix, ovary, and prostate in adults, and adult and childhood leukaemia. Standardised quality control procedures were applied; errors were corrected by the registry concerned. We estimated 5-year net survival, adjusted for background mortality in every country or region by age (single year), sex, and calendar year, and by race or ethnic origin in some countries. Estimates were age-standardised with the International Cancer Survival Standard weights. FINDINGS: 5-year survival from colon, rectal, and breast cancers has increased steadily in most developed countries. For patients diagnosed during 2005-09, survival for colon and rectal cancer reached 60% or more in 22 countries around the world; for breast cancer, 5-year survival rose to 85% or higher in 17 countries worldwide. Liver and lung cancer remain lethal in all nations: for both cancers, 5-year survival is below 20% everywhere in Europe, in the range 15-19% in North America, and as low as 7-9% in Mongolia and Thailand. Striking rises in 5-year survival from prostate cancer have occurred in many countries: survival rose by 10-20% between 1995-99 and 2005-09 in 22 countries in South America, Asia, and Europe, but survival still varies widely around the world, from less than 60% in Bulgaria and Thailand to 95% or more in Brazil, Puerto Rico, and the USA. For cervical cancer, national estimates of 5-year survival range from less than 50% to more than 70%; regional variations are much wider, and improvements between 1995-99 and 2005-09 have generally been slight. For women diagnosed with ovarian cancer in 2005-09, 5-year survival was 40% or higher only in Ecuador, the USA, and 17 countries in Asia and Europe. 5-year survival for stomach cancer in 2005-09 was high (54-58%) in Japan and South Korea, compared with less than 40% in other countries. By contrast, 5-year survival from adult leukaemia in Japan and South Korea (18-23%) is lower than in most other countries. 5-year survival from childhood acute lymphoblastic leukaemia is less than 60% in several countries, but as high as 90% in Canada and four European countries, which suggests major deficiencies in the management of a largely curable disease. INTERPRETATION: International comparison of survival trends reveals very wide differences that are likely to be attributable to differences in access to early diagnosis and optimum treatment. Continuous worldwide surveillance of cancer survival should become an indispensable source of information for cancer patients and researchers and a stimulus for politicians to improve health policy and health-care systems

In situ evaluation of an automated aerial bait delivery system for landscape-scale control of invasive brown treesnakes on Guam

After decades of biodiversity loss and economic burden caused by the brown treesnake invasion on the Pacific island of Guam, relief hovers on the horizon. Previous work by USDA Wildlife Services (WS) and its National Wildlife Research Center (NWRC) demonstrated that brown treesnake numbers in forested habitats can be dramatically suppressed by aerial delivery of dead newborn mouse (DNM) baits treated with 80 mg of acetaminophen. However, manual bait preparation and application is impractical for landscape-scale treatment. WS, NWRC, and the US Department of the Interior have collaborated with Applied Design Corporation to engineer an automated bait manufacturing and delivery system. The core technology is an aerially delivered biodegradable “bait cartridge” designed to tangle in the tree canopy, making the acetaminophen bait available to treesnakes and out of reach of terrestrial non-target organisms. When mounted on a rotary- or fixed-wing airframe, the automated dispensing module (ADM) unit can broadcast 3,600 bait cartridges at a rate of four per second and can treat 30 hectares of forest at a density of 120 acetaminophen baits per hectare within 15 minutes of firing time. We conducted the first in situ evaluation of the ADM in July 2016. Initial acetaminophen bait deployment rates (proper opening of the bait cartridge for canopy entanglement) were low, and mechanism jams were frequent due to internal friction and wind forces; on-site remedial engineering improved these performance measures. Bait cartridge placement and spacing were accurate (average 8.9 m along 9 m swaths) under various flight heights and speeds. Canopy entanglement of properly-deployed acetaminophen baits was high (66.6%). Although only a small proportion (5.9%) of radio transmitter-equipped acetaminophen baits were confirmed to have been taken by brown treesnakes, the baiting density was high enough to make it likely that a significant proportion of brown treesnakes in the area had taken acetaminophen baits. With subsequent improvements in system reliability, the automated bait cartridge manufacturing and delivery system is poised to transition from research and development to operational field implementation. Applications include reduction of brown treesnake numbers around transportation infrastructure and within core habitats for the reintroduction of native birds extirpated by this troublesome invasive predator

In situ evaluation of an automated aerial bait delivery system for landscape-scale control of invasive brown treesnakes on Guam

After decades of biodiversity loss and economic burden caused by the brown treesnake invasion on the Pacific island of Guam, relief hovers on the horizon. Previous work by USDA Wildlife Services (WS) and its National Wildlife Research Center (NWRC) demonstrated that brown treesnake numbers in forested habitats can be dramatically suppressed by aerial delivery of dead newborn mouse (DNM) baits treated with 80 mg of acetaminophen. However, manual bait preparation and application is impractical for landscape-scale treatment. WS, NWRC, and the US Department of the Interior have collaborated with Applied Design Corporation to engineer an automated bait manufacturing and delivery system. The core technology is an aerially delivered biodegradable “bait cartridge” designed to tangle in the tree canopy, making the acetaminophen bait available to treesnakes and out of reach of terrestrial non-target organisms. When mounted on a rotary- or fixed-wing airframe, the automated dispensing module (ADM) unit can broadcast 3,600 bait cartridges at a rate of four per second and can treat 30 hectares of forest at a density of 120 acetaminophen baits per hectare within 15 minutes of firing time. We conducted the first in situ evaluation of the ADM in July 2016. Initial acetaminophen bait deployment rates (proper opening of the bait cartridge for canopy entanglement) were low, and mechanism jams were frequent due to internal friction and wind forces; on-site remedial engineering improved these performance measures. Bait cartridge placement and spacing were accurate (average 8.9 m along 9 m swaths) under various flight heights and speeds. Canopy entanglement of properly-deployed acetaminophen baits was high (66.6%). Although only a small proportion (5.9%) of radio transmitter-equipped acetaminophen baits were confirmed to have been taken by brown treesnakes, the baiting density was high enough to make it likely that a significant proportion of brown treesnakes in the area had taken acetaminophen baits. With subsequent improvements in system reliability, the automated bait cartridge manufacturing and delivery system is poised to transition from research and development to operational field implementation. Applications include reduction of brown treesnake numbers around transportation infrastructure and within core habitats for the reintroduction of native birds extirpated by this troublesome invasive predator

Worldwide comparison of survival from childhood leukaemia for 1995–2009, by subtype, age, and sex (CONCORD-2): a population-based study of individual data for 89 828 children from 198 registries in 53 countries

Background Global inequalities in access to health care are reflected in differences in cancer survival. The CONCORD programme was designed to assess worldwide differences and trends in population-based cancer survival. In this population-based study, we aimed to estimate survival inequalities globally for several subtypes of childhood leukaemia. Methods Cancer registries participating in CONCORD were asked to submit tumour registrations for all children aged 0-14 years who were diagnosed with leukaemia between Jan 1, 1995, and Dec 31, 2009, and followed up until Dec 31, 2009. Haematological malignancies were defined by morphology codes in the International Classification of Diseases for Oncology, third revision. We excluded data from registries from which the data were judged to be less reliable, or included only lymphomas, and data from countries in which data for fewer than ten children were available for analysis. We also excluded records because of a missing date of birth, diagnosis, or last known vital status. We estimated 5-year net survival (ie, the probability of surviving at least 5 years after diagnosis, after controlling for deaths from other causes [background mortality]) for children by calendar period of diagnosis (1995-99, 2000-04, and 2005-09), sex, and age at diagnosis (< 1, 1-4, 5-9, and 10-14 years, inclusive) using appropriate life tables. We estimated age-standardised net survival for international comparison of survival trends for precursor-cell acute lymphoblastic leukaemia (ALL) and acute myeloid leukaemia (AML). Findings We analysed data from 89 828 children from 198 registries in 53 countries. During 1995-99, 5-year agestandardised net survival for all lymphoid leukaemias combined ranged from 10.6% (95% CI 3.1-18.2) in the Chinese registries to 86.8% (81.6-92.0) in Austria. International differences in 5-year survival for childhood leukaemia were still large as recently as 2005-09, when age-standardised survival for lymphoid leukaemias ranged from 52.4% (95% CI 42.8-61.9) in Cali, Colombia, to 91.6% (89.5-93.6) in the German registries, and for AML ranged from 33.3% (18.9-47.7) in Bulgaria to 78.2% (72.0-84.3) in German registries. Survival from precursor-cell ALL was very close to that of all lymphoid leukaemias combined, with similar variation. In most countries, survival from AML improved more than survival from ALL between 2000-04 and 2005-09. Survival for each type of leukaemia varied markedly with age: survival was highest for children aged 1-4 and 5-9 years, and lowest for infants (younger than 1 year). There was no systematic difference in survival between boys and girls. Interpretation Global inequalities in survival from childhood leukaemia have narrowed with time but remain very wide for both ALL and AML. These results provide useful information for health policy makers on the effectiveness of health-care systems and for cancer policy makers to reduce inequalities in childhood survival

Wrack placement to augment constructed dunes: A field investigation

Natural and nature-based features have become increasingly popular in recent years for several reasons including reduced costs and maintenance, sustainability, and ecological benefits. One such nature-based feature which contributes to coastal resiliency is dune systems. Extensive research shows that dune systems provide great value for coastal protection, with vegetation and belowground biomass emerging as crucial factors for dune stability. Alternative dune construction and dune maintenance methods are needed to improve the resilience and stability of these dune systems. Wrack, vegetation and macroalgae that naturally washes up along the coast, is often removed during routine beach maintenance, but could serve to increase dune biomass, sand trapping, and overall dune resiliency. This manuscript documents preliminary results following the placement of wrack along constructed dunes on the Mississippi mainland coast. Terrestrial lidar surveys were used to evaluate morphological responses of a 550 m stretch of the beach, with varying raking and wrack management practices implemented in designated sections. Elevation and volumetric change calculated from these data were compared across storm erosion and fair-weather recovery periods to quantify the potential benefits of utilizing natural wrack material in the dunes and reducing beach raking