Barbers as community mental health advocates for African American men: A.D.A.A.M.-QR web design to address social determinants of depression and access to culturally-relevant resources

Depression is one of the costliest and most disabling illnesses worldwide (WHO, 2018). The World Health Organization (WHO) estimates that over 350 million people worldwide are affected by depression, leading to over 800,000 suicides each year (WHO, 2018). Major depression symptoms include memory loss, lack of focus, irritability and cognitive dysfunction, leading to substantial societal and economic costs (McIntyre et al., 2013; Probst et al., 2007). The direct cost of depression rose from approximately $173.2 billion to$210.5 billion between 2005 and 2010 (Greenberg et al., 2015), and the estimation is expected to be higher when chronic diseases related to depression are considered (Hankerson, Lee, et al., 2015; Hankerson, Suite, & Bailey, 2015; Penner et al., 2010). Individuals suffering from depression-associated symptoms are less productive at work and in their personal lives, have decreased energy, feel they receive inadequate support from supervisors, and have lower concentration when trying to perform job-related tasks (Bertilsson et al., 2013)

Classification of non-indigenous species based on their impacts: Considerations for application in marine management

Assessment of the ecological and economic/societal impacts of the introduction of non-indigenous species (NIS) is one of the primary focus areas of bioinvasion science in terrestrial and aquatic environments, and is considered essential to management. A classification system of NIS, based on the magnitude of their environmental impacts, was recently proposed to assist management. Here, we consider the potential application of this classification scheme to the marine environment, and offer a complementary framework focussing on value sets in order to explicitly address marine management concerns. Since existing data on marine NIS impacts are scarce and successful marine removals are rare, we propose that management of marine NIS adopt a precautionary approach, which not only would emphasise preventing new incursions through pre-border and at-border controls but also should influence the categorisation of impacts. The study of marine invasion impacts requires urgent attention and significant investment, since we lack the luxury of waiting for the knowledge base to be acquired before the window of opportunity closes for feasible management

Diversity and patterns of marine non‐native species in the archipelagos of Macaronesia

Aims The present study is the first attempt to grasp the scale and richness of marine biological invasions in Macaronesia. We pioneered a comprehensive non-native species (NNS), inventory in the region to determine their diversity patterns and native distribution origins. NNS were defined here as the result of both introductions and range expansions. We also used statistical modelling to examine relationships among NNS richness, anthropogenic activities, demographic and geographical variables across Macaronesia. Location Macaronesia. Methods A comprehensive literature search was conducted for marine NNS records in Macaronesia, registering the first record's location and year from 1884 to 2020. We used univariate and multivariate analyses to evaluate differences and similarities in community composition. By applying a Generalized Linear Model (GLM), we tested hypotheses regarding NNS richness as a function of anthropogenic activities, demographic and geographical variables. Results A total of 144 marine non-native species (NNS) were recorded for the whole of Macaronesia. The highest NNS richness was registered in the Canary Islands (76 NNS), followed by the Azores (66 NNS), Madeira (59 NNS) and finally Cabo Verde (18 NNS). Some differences amongst archipelagos were observed, such as the high number of non-native macroalgae in the Azores, fishes in the Canary Islands and tunicates in Cabo Verde. Overall, macroalgae, tunicates and bryozoans were the predominant taxonomic groups in the Macaronesian archipelagos. Madeira and Canary Islands were the archipelagos with more similarity in marine NNS, and Cabo Verde the most divergent. Finally, GLM suggested that non-native richness patterns across Macaronesia were dependent on the considered archipelago and strongly affected by (1) minimum distance to the mainland, (2) the total number of ports and marinas and (3) total marinas area (km2). Conclusions The model results and NNS listing in the present study will likely raise the awareness and response regarding marine NNS in the whole Macaronesia region, serving as a baseline for future research as well as implementing and enforcing regulations related to the introduction of marine NNS in oceanic islands

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Introduced and cryptogenic marine and estuarine species of South Africa

The introduction history, systematics, transport vectors and distribution patterns of 85 introduced and 39 cryptogenic marine or estuarine animals and plants of South Africa are presented. This represents an addition of 93 species compared with previous lists. Taxa covered include protists, dinoflagellates, sponges, cnidarians, annelids, crustaceans, pycnogonids, insects, molluscs, brachiopods, bryozoans, echinoderms, ascidians, fish, algae and higher plants. For each species a justification motivating its inclusion as an introduction into South African shores or its cryptogenic status, is provided. Challenges associated with this type of inventory work are explored and major patterns of bioinvasion within the region are summarized briefly

Revealing the scale of marine bioinvasions in developing regions: a South African re-assessment

As recently as 2009 the number of introductions recorded for South Africa comprised 22 marine and estuarine species. This review aims to reassess the diversity and scale of introduced marine and estuarine species in the region. Accurate taxonomic and systematic work, broad review of historical records and new sampling surveys across selected marine habitats conducted by a team of local and international experts has effectively revealed the presence of previously misidentified, overlooked, or new introductions. A total of 86 introduced and 39 cryptogenic species are recognized, increasing known numbers four and twofold respectively within 1 year, although the current assessment is far from fully comprehensive. Additional species were revealed within the historic literature (76%), from surveys conducted post-2005 (11%) and following taxonomic resolution (13%). Temporal analyses confirmed discovery rates were increasing over time. Ship fouling and ballast water were the dominant vector pathways, accounting for 48 and 38% respectively. Spatial analyses revealed patterns of bioinvasion to be significantly higher on the west coast compared to the other coastal regions. Overall, 53% of introductions were concentrated within harbour areas with only 4 open-coast invaders detected at present. Introduced species found in the cool and warm-temperate provinces of the west and south coast mainly originated from the northern hemisphere (65%). In contrast, introductions located in the sub-tropical and tropical provinces of the east coast mainly originated from the southern hemisphere (18%), with the remaining 17% of introduced species being of unknown origin. The research approach described has proven pivotal, contributing massively toward revealing the true scale and patterns of bioinvasion for a developing region within a relatively short period of time