Exploring OB/GYN provider knowledge, practice and confidence levels before and after ACEs training

Trauma-informed training on ACEs improves provider confidence on screening and treating their prenatal patients.https://knowledgeconnection.mainehealth.org/lambrew-retreat-2021/1056/thumbnail.jp

Stickstoff und Schwefel im ökologischen Landbau. Praxis-Ratgeber für eine optimierte Versorgung von Ackerkulturen

Nicht selten mangelt es in vielen Ökobetrieben an einer ausreichenden Versorgung der Ackerkulturen mit Stickstoff. Die Lage erscheint umso schwieriger, je stärker die Betriebe spezialisiert sind, also nicht dem klassischen Leitbild eines ökologischen Gemischtbetriebes mit Rinderhaltung entsprechen. Vorgestellt und diskutiert werden jüngste Forschungsergebnisse zu den Möglichkeiten einer verbesserten Stickstoffbereitstellung, insbesondere über einen erfolgreichen Anbau von Futterleguminosen. Es wird begründet, warum Klee, Luzerne oder Leguminosen-Gras-Gemenge nach wie vor in jede Ökofruchtfolge gehören. Zudem wird bewiesen, dass eine Schwefeldüngung auf Schwefelmangelstandorten zur Verdopplung der Luftstickstoffbindung der Futterleguminosen beitragen kann. Anbauempfehlungen für Leguminosen in Haupt- und Zwischenfruchtstellung werden unter Bezug auf die nötige Einhaltung von Anbaupausen und die Möglichkeiten ihrer Verwendung abgeleitet

An intervention to reduce care‐resistant behavior in persons with dementia during oral hygiene: a pilot study

The primary purpose of this pilot study was to test the feasibility of an intervention designed to reduce care‐resistant behaviors (CRBs) in persons with moderate‐to‐severe dementia during oral hygiene activities.The intervention, Managing Oral Hygiene Using Threat Reduction (MOUTh), combined best oral hygiene practices with CRB reduction techniques. Oral health was operationalized as the total score obtained from the Oral Health Assessment Tool (OHAT). CRB was measured using a refinement of the Resistiveness to Care Scale. Seven nursing home residents with dementia received twice daily mouth care for 14 days. The baseline OHAT mean score of 7.29 (SD = 1.25) improved to 1.00 (SD = 1.26, p < .001); CRB improved from 2.43 CRBs/minute (SD = 4.26) to 1.09 CRBs/minute (SD = 1.56, t = 1.97, df 41, p= .06).The findings from this pilot study suggest that the MOUTh intervention is feasible and reduced CRBs, thus allowing more effective oral care.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110640/1/j.1754-4505.2011.00190.x.pd

A bacterial symbiont is converted from an inedible producer of beneficial molecules into food by a single mutation in the gacA gene

Stable multipartite mutualistic associations require that all partners benefit. We show that a single mutational step is sufficient to turn a symbiotic bacterium from an inedible but host-beneficial secondary metabolite producer into a host food source. The bacteria\u27s host is a farmer clone of the social amoeba Dictyostelium discoideum that carries and disperses bacteria during its spore stage. Associated with the farmer are two strains of Pseudomonas fluorescens, only one of which serves as a food source. The other strain produces diffusible small molecules: pyrrolnitrin, a known antifungal agent, and a chromene that potently enhances the farmer\u27s spore production and depresses a nonfarmer\u27s spore production. Genome sequence and phylogenetic analyses identify a derived point mutation in the food strain that generates a premature stop codon in a global activator (gacA), encoding the response regulator of a two-component regulatory system. Generation of a knockout mutant of this regulatory gene in the nonfood bacterial strain altered its secondary metabolite profile to match that of the food strain, and also, independently, converted it into a food source. These results suggest that a single mutation in an inedible ancestral strain that served a protective role converted it to a domesticated food source

Livestock abundance predicts vampire bat demography, immune profiles, and bacterial infection risk

Human activities create novel food resources that can alter wildlife–pathogen interactions. If resources amplify or dampen, pathogen transmission probably depends on both host ecology and pathogen biology, but studies that measure responses to provisioning across both scales are rare. We tested these relationships with a 4-year study of 369 common vampire bats across 10 sites in Peru and Belize that differ in the abundance of livestock, an important anthropogenic food source. We quantified innate and adaptive immunity from bats and assessed infection with two common bacteria. We predicted that abundant livestock could reduce starvation and foraging effort, allowing for greater investments in immunity. Bats from high-livestock sites had higher microbicidal activity and proportions of neutrophils but lower immunoglobulin G and proportions of lymphocytes, suggesting more investment in innate relative to adaptive immunity and either greater chronic stress or pathogen exposure. This relationship was most pronounced in reproductive bats, which were also more common in high-livestock sites, suggesting feedbacks between demographic correlates of provisioning and immunity. Infection with both Bartonella and haemoplasmas were correlated with similar immune profiles, and both pathogens tended to be less prevalent in high-livestock sites, although effects were weaker for haemoplasmas. These differing responses to provisioning might therefore reflect distinct transmission processes. Predicting how provisioning alters host–pathogen interactions requires considering how both within-host processes and transmission modes respond to resource shifts

The effect of GLP-1RA exenatide on idiopathic intracranial hypertension:a randomized clinical trial

Therapeutics to reduce intracranial pressure are an unmet need. Preclinical data have demonstrated a novel strategy to lower intracranial pressure using glucagon-like peptide-1 (GLP-1) receptor signalling. Here, we translate these findings into patients by conducting a randomized, placebo-controlled, double-blind trial to assess the effect of exenatide, a GLP-1 receptor agonist, on intracranial pressure in idiopathic intracranial hypertension. Telemetric intracranial pressure catheters enabled long-term intracranial pressure monitoring. The trial enrolled adult women with active idiopathic intracranial hypertension (intracranial pressure &gt;25 cmCSF and papilloedema) who receive subcutaneous exenatide or placebo. The three primary outcome measures were intracranial pressure at 2.5 h, 24 h and 12 weeks and alpha set a priori at less than 0.1. Among the 16 women recruited, 15 completed the study (mean age 28 ± 9, body mass index 38.1 ± 6.2 kg/m2, intracranial pressure 30.6 ± 5.1 cmCSF). Exenatide significantly and meaningfully lowered intracranial pressure at 2.5 h -5.7 ± 2.9 cmCSF (P = 0.048); 24 h -6.4 ± 2.9 cmCSF (P = 0.030); and 12 weeks -5.6 ± 3.0 cmCSF (P = 0.058). No serious safety signals were noted. These data provide confidence to proceed to a phase 3 trial in idiopathic intracranial hypertension and highlight the potential to utilize GLP-1 receptor agonist in other conditions characterized by raised intracranial pressure.</p

Testing various pre-treatments on artificially waterlogged and pitch-contaminated wood for strontium isotope analyses

Strontium isotope ratios (87Sr/86Sr) are commonly used in archeological and forensic studies to assess if humans and fauna are local to the place they were found or not. This approach is largely unexplored for wooden artifacts recovered in archeological contexts, as wood – in the rare instances it does survive – is often poorly preserved. One of the most common ways wood is preserved is through the anoxic conditions found in waterlogged contexts. A more unusual form of preservation is through submergence in natural pitch. These depositional media contribute their own strontium values to the in vivo 87Sr/86Sr wood values, which needs to be removed prior to analysis. Here we test several pre-treatment methods to remove potential strontium contamination from wood samples that were artificially immersed in seawater and pitch from Trinidad’s Pitch Lake. Water rinses and acid-leaching tests were carried out with hydrochloric acid and acetic acid to remove exogenous strontium from experimentally waterlogged wood. These tests removed large amounts of strontium from the samples and did not enable the recovery of the endogenous 87Sr/86Sr signal. For samples artificially immersed in pitch, the pre-treatments tested were based on radiocarbon dating procedures and carried out with and without the aqueous-based acid-base-acid (ABA) step. The use of organic solvents alone (methanol and toluene) removed exogenous strontium originating from the pitch. However, the ABA step eliminates large amounts of in vivo strontium from the samples. These tests show that 87Sr/86Sr values of wood are altered by the presence of pitch and water. With adequate pre-treatment using exclusively organic solvents, it may be possible to remove this contamination for samples immersed in pitch. However, the aqueous-based ABA pre-treatment should be avoided. The removal of contamination from waterlogged samples was unsuccessful with the current pre-treatment protocols and more research is needed. More importantly, and unexpectedly, 87Sr/86Sr values may extend outside of the mixing line between the wood’s endogenous strontium and the water. These results indicate the need for extreme caution when attempting to determine the provenance of waterlogged wood

Terminal Investment: Individual Reproduction of Ant Queens Increases with Age

The pattern of age-specific fecundity is a key component of the life history of organisms and shapes their ecology and evolution. In numerous animals, including humans, reproductive performance decreases with age. Here, we demonstrate that some social insect queens exhibit the opposite pattern. Egg laying rates of Cardiocondyla obscurior ant queens increased with age until death, even when the number of workers caring for them was kept constant. Cardiocondyla, and probably also other ants, therefore resemble the few select organisms with similar age-specific reproductive investment, such as corals, sturgeons, or box turtles (e.g., [1]), but they differ in being more short-lived and lacking individual, though not social, indeterminate growth. Furthermore, in contrast to most other organisms, in which average life span declines with increasing reproductive effort, queens with high egg laying rates survived as long as less fecund queens

Luminiscente dating of fluvial deposits in the rock shelter of Cueva Antón, Spain.

The fluvial sediments at Cueva Antón, a Middle Palaeolithic rock shelter located in the valley of the River Mula (Southeast Spain), produced abundant lithic assemblages of Mousterian affinities. Radiocarbon dates are available for the upper part of the archaeological succession, while for the middle to lower parts chronometric data have been missing. Here we present luminescence dating results for these parts of the succession. Quartz OSL on small aliquots and single grain measurements yield ages ranging from 69 ± 7 ka to 82 ± 8 ka with a weighted mean of 72 ± 4 ka for sub-complexes AS2 to AS5. Equivalent dose estimates from large aliquots were highest and inconsistent with those from single grains and small multiple grain aliquots. This is probably caused by the presence of oversaturating grains, which have been quantified by single grain measurements. Additional post-IR IRSL measurements on coarse grained feldspar give strong support to a well-bleached quartz OSL signal. While independent chronometric control is missing, the results are within the expected age range and support the notion of a rapid accumulation of the fluvial deposits