Novel Hepatitis E Virus Genotype in Norway Rats, Germany

Human hepatitis E virus infections may be caused by zoonotic transmission of virus genotypes 3 and 4. To determine whether rodents are a reservoir, we analyzed the complete nucleotide sequence of a hepatitis E–like virus from 2 Norway rats in Germany. The sequence suggests a separate genotype for this hepatotropic virus

Efficacy and cost-effectiveness of Internet-based selective eating disorder prevention: study protocol for a randomized controlled trial within the ProHEAD Consortium

Background: The development of efficacious, cost-effective, and widely accessible programs for the prevention of eating disorders (EDs) is crucial in order to reduce the ED-related burden of illness. Programs using dissonance-based and cognitive behavioral approaches are most effective for the selective prevention of ED. Internet-based delivery is assumed to maximize the reach and impact of preventive efforts. However, the current evidence for Internet-based ED prevention is limited. The present trial evaluates the efficacy and cost-effectiveness of two new interventions (based on dissonance theory and principles of cognitive behavioral therapy (CBT)) that are implemented as add-ons to the existing Internet-based ED prevention program ProYouth. Methods: The trial is one of five sub-projects of the German multicenter consortium ProHEAD. It is a three-arm, parallel, randomized controlled superiority trial. Participants will be randomized to (1) the online program ProYouth (active control condition) or (2) ProYouth plus a structured dissonance-based module or (3) ProYouth plus a CBT-based chat group intervention. As part of ProHEAD, a representative school-based sample of N = 15,000 students (≥ 12 years) will be screened for mental health problems. N = 309 participants at risk for ED (assessed with the Weight Concerns Scale (WCS) and the Short Evaluation of Eating Disorders (SEED)) will be included in the present trial. Online assessments will be conducted at baseline, at end of intervention (6 weeks), at 6 months follow-up, and — as part of ProHEAD - at 12 and 24 months follow-up. The primary outcome is ED-related impairment (assessed with the Child version of the Eating Disorder Examination-Questionnaire (ChEDE-Q)) at the end of the intervention. Secondary outcomes include ED-related symptomatology at follow-up, ED-related stigma, ED-related help-seeking, and acceptance of and compliance with the interventions. For the health economic evaluation data on costs of the interventions, healthcare utilization and health-related quality of life will be assessed. Discussion: This is the first study augmenting a flexible prevention approach such as ProYouth with structured evidence-based modules in order to overcome some of the key limitations in the current practice of ED prevention. Trial registration: German Clinical Trials Register (DRKS), DRKS00014679. Registered on 25 April 2018

Powersharing and Democratic Survival

Democracy is often fragile, especially in states that have recently experienced civil conflict. To protect emerging democracies, many scholars and practitioners recommend political powersharing institutions. Yet there is little empirical research on whether powersharing promotes democratic survival, and some concern that it can limit electoral accountability. To fill this gap, we differentiate between inclusive, dispersive, and constraining powersharing and analyze their effects on democratic survival using a new global dataset. We find sharp distinctions across types of powersharing and political context. Inclusive powersharing, such as ethnic quotas, promotes democratic survival only in post-conflict settings. In contrast, dispersive institutions such as federalism destabilize post-conflict democracies. Only constraining powersharing consistently facilitates democratic survival in societies both with and without recent conflict. Our results suggest that institution-builders and international organizations should prioritize institutions that constrain leaders, including independent judiciaries, civilian control of the armed forces, and constitutional protections of individual and group rights

Identification of genetic variants associated with Huntington's disease progression: a genome-wide association study

Background Huntington's disease is caused by a CAG repeat expansion in the huntingtin gene, HTT. Age at onset has been used as a quantitative phenotype in genetic analysis looking for Huntington's disease modifiers, but is hard to define and not always available. Therefore, we aimed to generate a novel measure of disease progression and to identify genetic markers associated with this progression measure. Methods We generated a progression score on the basis of principal component analysis of prospectively acquired longitudinal changes in motor, cognitive, and imaging measures in the 218 indivduals in the TRACK-HD cohort of Huntington's disease gene mutation carriers (data collected 2008–11). We generated a parallel progression score using data from 1773 previously genotyped participants from the European Huntington's Disease Network REGISTRY study of Huntington's disease mutation carriers (data collected 2003–13). We did a genome-wide association analyses in terms of progression for 216 TRACK-HD participants and 1773 REGISTRY participants, then a meta-analysis of these results was undertaken. Findings Longitudinal motor, cognitive, and imaging scores were correlated with each other in TRACK-HD participants, justifying use of a single, cross-domain measure of disease progression in both studies. The TRACK-HD and REGISTRY progression measures were correlated with each other (r=0·674), and with age at onset (TRACK-HD, r=0·315; REGISTRY, r=0·234). The meta-analysis of progression in TRACK-HD and REGISTRY gave a genome-wide significant signal (p=1·12 × 10−10) on chromosome 5 spanning three genes: MSH3, DHFR, and MTRNR2L2. The genes in this locus were associated with progression in TRACK-HD (MSH3 p=2·94 × 10−8 DHFR p=8·37 × 10−7 MTRNR2L2 p=2·15 × 10−9) and to a lesser extent in REGISTRY (MSH3 p=9·36 × 10−4 DHFR p=8·45 × 10−4 MTRNR2L2 p=1·20 × 10−3). The lead single nucleotide polymorphism (SNP) in TRACK-HD (rs557874766) was genome-wide significant in the meta-analysis (p=1·58 × 10−8), and encodes an aminoacid change (Pro67Ala) in MSH3. In TRACK-HD, each copy of the minor allele at this SNP was associated with a 0·4 units per year (95% CI 0·16–0·66) reduction in the rate of change of the Unified Huntington's Disease Rating Scale (UHDRS) Total Motor Score, and a reduction of 0·12 units per year (95% CI 0·06–0·18) in the rate of change of UHDRS Total Functional Capacity score. These associations remained significant after adjusting for age of onset. Interpretation The multidomain progression measure in TRACK-HD was associated with a functional variant that was genome-wide significant in our meta-analysis. The association in only 216 participants implies that the progression measure is a sensitive reflection of disease burden, that the effect size at this locus is large, or both. Knockout of Msh3 reduces somatic expansion in Huntington's disease mouse models, suggesting this mechanism as an area for future therapeutic investigation

Effect of MAOA Genotype on Resting-State Networks in Healthy Participants

Up to now, it remains unclear how monoamine oxidase A (MAOA), which has been repeatedly linked to aggression, affects brain activity within resting-state networks (RSN). Here, we used functional mag-netic resonance imaging (fMRI) to test whether the MAOA genotype might influence activity within the common RSN. Our results demon-strate that during rest, participants with the low-activity genotype (MAOA-L) exhibit more activity within frontoparietal and temporal parts of the default mode network (DMN) and the cerebellum. The executive control and salience RSN revealed reduced activity for the MAOA-L group in several areas related to executive control, namely the right middle frontal gyrus (BA 6 and BA 9), and the dorsal part of the anterior cingulate cortex. Participants with the high-activity genotype (MAOA-H) showed increased activity in the posterior cingulate part of the DMN. Taken together, we found widespread hyperactivity within the DMN and reduced activity in brain areas related to executive and inhibitory control for the MAOA-L group. We discuss how these first results examining the influence of MAOA on the resting brain might be related to previous findings regarding the genetics of aggression, while ac-knowledging that this is an exploratory study which needs further con-firmation

Politesse et violence verbale détournée

L’objectif du présent numéro est de (ré)interroger les rapports entre la politesse, l’impolitesse et la violence verbale tels qu’ils ressortent aujourd’hui de certaines pratiques médiatiques, journalistiques ou institutionnelles. Ces notions peuvent entretenir des relations de proximité ou de complémentarité, malgré leur (apparente) antinomie. Si la politesse amène à se contrôler, à se faire violence à soi-même afin de protéger la face de l’autre, la violence verbale vise à dominer l’autre et à exercer une force pour le contraindre à (ré)agir. Sur cette base, ce numéro s’intéresse aux situations de communication où la politesse cache une violence verbale qu’elle ne désamorce pas forcément mais, au contraire, spectacularise ou rhétoricise. Les corpus exploités relèvent, pour la plupart, des genres régis par différentes contraintes : si les principes de la politesse sont relégués au second plan, toutes les attaques ne sont pas permises (il y a un seuil d’acceptabilité qu’il ne faut franchir) et la violence se pare d’autant plus des marques de la pseudo-politesse qu’elle se manifeste dans les arènes médiatisées et institutionnalisées. Ainsi, les sept contributions de ce numéro mettent en exergue les stratégies langagières qui allient courtoisie et agressivité allant de l’ironie, la satire, à la polirudesse et l’attaque courtoise, examinant la façon dont la politesse et la violence s’intriquent dans le discours et, à la fois, s’interrogeant sur leur légitimité, leurs effets et fonctionnements pragmatiques