A Central Clearing Clinic to Provide Mental Health Services for Refugees in Germany

Objective: To determine migration related distress pattern in refugees and feasibility of a de novo established, central low-threshold outpatient clinic serving more than 80,000 newly arrived refugees in the metropole of Berlin. Methods: In an observational cohort study the relative prevalence of major psychiatric disorders by age, place of living within berlin, language and region of origin were assessed in a refugee cohort from 63 nationalities speaking 36 languages. Findings: Within 18 months, a total of 3,096 cases with a mean age of 29.7 years (11.7) have been referred from all 12 districts and 165 of 182 subdistricts of Berlin to the CCC. 33.7% of the patients were female. The three most frequent diagnoses were unipolar depression (40.4%), posttraumatic stress disorder (24.3%), and adjustment disorder (19.6%). Conclusion: The present data gives insight into the distribution of mental disorders in a large sample of refugees and provides evidence that a CCC is an effective service to quickly and broadly provide psychiatric consultations and thus to overcome classical barriers refugees usually experience in the host communities. In Berlin, Germany, and Europe treatment resources for this population should focus on stress and trauma related disorders

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Neuromarketing : how to successfully use neuroscience to affect the buying behaviour

Neuromarketing ist derzeit ein vielbesprochenes und kontroverses Teilgebiet des Marketings, in dem psychologische und neurophysiologische Erkenntnisse für das Marketing untersucht und interpretiert werden. Erkenntnisse aus dem Neuromarketing belegen, dass Kunden meist emotional entscheiden und die Entscheidungsfindung überhaupt nichts mit Rationalität zu tun hat. Sie können daher bewusst in ihrer Kaufentscheidung beeinflusst und in eine gewisse Richtung gelenkt werden. Diese Arbeit behandelt die Analyse von verschiedenen Kaufverhalten, Möglichkeiten, Grenzen und zukünftige Entwicklungen sowie spezielle Anwendungsgebiete des Neuromarketings

Preordeninge van teorieë geïnduseer deur semantiese informasie

Ph.D. (Mathematics)Please refer to full text to view abstrac

The ART of amphibian conservation: linking in-situ and ex-situ populations of endangered species through genome banking

Limited breeding success in captive breeding programs has necessitated the development of assisted reproductive technologies (ART) to preserve and increase genetic variation and population numbers of both captive and wild amphibian groups. ART has been shown to be successful in numerous anuran species, and current studies focus on the application of ART in ex-situ populations. The focus of this project is to show that linking in-situ and ex-situ amphibian populations through sperm cryopreservation, genome banking, and in-vitro fertilization is possible, with the goal of increasing gene diversity throughout groups in order to produce self-sustaining, wild populations in the future. Specific objectives include developing a sperm-cryopreservation methodology using sperm from the model species Anaxyrus fowleri, applying this protocol to the cryopreservation of spermatozoa from two other threatened anurans to determine protocol transmissibility, and linking in-situ and ex-situ populations of an endangered species using cryopreserved sperm form wild males to produce viable offspring

Assessing hybrid vigor using the thermal sensitivity of physiological trade-offs in tiger salamanders

&lt;ol&gt; &lt;li&gt;Hybridization between species affects biodiversity and population sustainability in numerous ways, many of which depend on the fitness of the hybrid relative to the parental species. Hybrids can exhibit fitter phenotypes compared to the parental lineages, and this 'hybrid vigor' can then lead to the extinction of one or both parental lines.&lt;/li&gt; &lt;li&gt;In this study, we analyzed the relationship between water loss and gas exchange to compare physiological performance among three tiger salamander genotypes – the native California tiger salamander (CTS), the invasive barred tiger salamanders (BTS), and CTS x BTS hybrids across multiple temperatures (13.5°C, 20.5°C, and 23.5°C). We developed a new index of performance, the water-gas exchange ratio (WGER), which we define as the ratio of gas exchange to evaporative water loss (µL VO&lt;sub&gt;2&lt;/sub&gt;/µL H&lt;sub&gt;2&lt;/sub&gt;O). The ratio describes the ability of an organism to support energetically costly activities with high levels of gas exchange while simultaneously limiting water loss to lower desiccation risk. We used flow-through respirometry to measure the thermal sensitivity of metabolic rate and resistance to water loss of each salamander genotype to compare indices of physiological performance.&lt;/li&gt; &lt;li&gt;We found that temperature had a significant effect on metabolic rate and resistance to water loss, with both traits increasing as temperatures warmed. Across genotypes, we found that hybrids have a higher WGER than the native CTS, owing to a higher metabolic rate despite having a lower resistance to water loss.&lt;/li&gt; &lt;li&gt;These results provide greater insight into the physiological mechanisms driving hybrid vigor and offer a potential explanation for the rapid spread of salamander hybrids. More broadly, our introduction of the WGER may allow for species- or lineage-wide comparisons of physiological performance across changing environmental conditions, highlighting the insight that can be gleaned from multi-trait analysis of organism performance.&lt;/li&gt; &lt;/ol&gt;&lt;p&gt;Funding provided by: National Science Foundation&lt;br&gt;Crossref Funder Registry ID: http://dx.doi.org/10.13039/100000001&lt;br&gt;Award Number: &lt;/p&gt;&lt;p&gt;Funding provided by: University of Tennessee, Knoxville&lt;br&gt;Crossref Funder Registry ID: http://dx.doi.org/10.13039/100014455&lt;br&gt;Award Number: &lt;/p&gt

Near-Infrared Spectroscopy (NIRS) as a Method for Biological Sex Discrimination in the Endangered Houston Toad (<i>Anaxyrus houstonensis</i>)

Biological sex is one of the more critically important physiological parameters needed for managing threatened animal species because it is crucial for informing several of the management decisions surrounding conservation breeding programs. Near-infrared spectroscopy (NIRS) is a non-invasive technology that has been recently applied in the field of wildlife science to evaluate various aspects of animal physiology and may have potential as an in vivo technique for determining biological sex in live amphibian species. This study investigated whether NIRS could be used as a rapid and non-invasive method for discriminating biological sex in the endangered Houston toad (Anaxyrus houstonensis). NIR spectra (N = 396) were collected from live A. houstonensis individuals (N = 132), and distinct spectral patterns between males and females were identified using chemometrics. Linear discriminant analysis (PCA-LDA) classified the spectra from each biological sex with accuracy ≥ 98% in the calibration and internal validation datasets and 94% in the external validation process. Through the use of NIRS, we have determined that unique spectral signatures can be holistically captured in the skin of male and female anurans, bringing to light the possibility of further application of this technique for juveniles and sexually monomorphic species, whose sex designation is important for breeding-related decisions

Sperm Cryopreservation as a Tool for Amphibian Conservation: Production of F2 Generation Offspring from Cryo-Produced F1 Progeny

Sperm cryopreservation and biobanking are emerging as tools for supporting genetic management of small and threatened populations in amphibian conservation programs. However, there is little to no evidence demonstrating reproductive maturity and viability of offspring generated with cryopreserved sperm, potentially limiting widespread integration of these technologies. The purpose of this report is to demonstrate that amphibian sperm can be cryopreserved and thawed to successfully produce individuals of an F1 generation that can reach adulthood and reproductive maturity, to generating viable gametes and an F2 generation. Species-specific exogenous hormones were administered to both F0 and F1 adults to stimulate spermiation and oviposition in the eastern tiger salamander (Ambystoma tigrinum), dusky gopher frog (Lithobates sevosa), and Puerto Rican crested toad (Peltophryne lemur). Sperm cells collected non-lethally from F0 adults were cryopreserved, thawed, and used for in vitro fertilization (IVF) to produce F1 offspring. Individuals of the F1 generation are shown to reach adulthood, express viable gametes, and produce offspring through facilitated breeding, or IVF. The production of amphibian F2 generations shown here demonstrates that amphibian sperm collected non-lethally can be banked and used to generate reproductively viable animals of subsequent generations, thus maintaining valuable genetic linages and diversity in threatened amphibian species. The incredible value that cryopreservation of sperm has for long-term genetic management aids in the sustainability of both in situ and ex situ conservation efforts for this taxon

Effects of wild, semi‐captive, and captive management on male Chiricahua leopard frog sperm quality with implications for conservation breeding programs

Abstract The Chiricahua leopard frog (Lithobates chiricahuensis) is a threatened species endemic to the southwestern United States and Northern Mexico. Captive breeding programs were established to support reintroduction efforts, yet reproductive output has been lower than needed for recovery of the species. This study aimed to evaluate the effects of captivity on amphibian reproduction by (1) determining if captive, semi‐captive, and wild male L. chiricahuensis produce sperm at similar rates and concentration in response to hormone treatment; and (2) evaluating the quality of sperm obtained over time from these populations. Males from captive, semi‐captive, and wild locations were administered a combination of human chorionic gonadotropin and gonadotropin‐releasing hormone to stimulate sperm production and release. A high percentage of males in the captive (60%), semi‐captive (100%), and wild (95.3%) populations produced sperm following treatment. Sperm quality (forward progressive motility and total sperm motility) did not differ between groups. However, sperm quantity (sperm/ml) differed (p < .05) between populations, with semi‐captive and wild males producing higher concentrations of sperm than captive males. These results suggest that Chiricahua leopard frog sperm quantity, but not quality, may become negatively impacted by long‐term captivity in indoor, controlled settings