Cultural Differences in the Levels of Rewards Between Adolescents from America, Australia, Tanzania, Denmark, Honduras, Korea, and Spain

The intent of this study is to determine what items are reinforcing for high school students from different regions of the world including America, Australia, Tanzania, Denmark, Honduras, Korea, and Spain. Additionally, the researchers sought to determine if there is a difference in the levels of rewards between individuals from America and individuals from these other countries. Seven hundred and fifty high school students from seven countries participated in this study. The only requirement for inclusion in the study was current enrollment in high school in their native country. Subject ages ranged from 12 to 19 years, with a mean of 15.52 years. Students were administered a 63-item survey of reward preference called the SORT-2. The SORT-2 is in English (SORT-2-EV), Spanish (SORT-2-SV), and Korean (SORT-2-KV) versions. Multiple between-subjects analysis of variance (ANOVA) was performed on data reflecting the effects of region. The ANOVA was significant for region in 24 of the 25 items in the sports domain, 22 of the 30 items in the activity domain, and in all of the eight items in the school activity domain. The bivariate analysis indicated that participants from America were most different from those in Honduras, Tanzania, and Spain. The least amount of difference was noted in comparisons with Australia and Denmark

Identification of sex hormone-binding globulin in the human hypothalamus

Gonadal steroids are known to influence hypothalamic functions through both genomic and non-genomic pathways. Sex hormone-binding globulin ( SHBG) may act by a non-genomic mechanism independent of classical steroid receptors. Here we describe the immunocytochemical mapping of SHBG-containing neurons and nerve fibers in the human hypothalamus and infundibulum. Mass spectrometry and Western blot analysis were also used to characterize the biochemical characteristics of SHBG in the hypothalamus and cerebrospinal fluid (CSF) of humans. SHBG-immunoreactive neurons were observed in the supraoptic nucleus, the suprachiasmatic nucleus, the bed nucleus of the stria terminalis, paraventricular nucleus, arcuate nucleus, the perifornical region and the medial preoptic area in human brains. There were SHBG-immunoreactive axons in the median eminence and the infundibulum. A partial colocalization with oxytocin could be observed in the posterior pituitary lobe in consecutive semithin sections. We also found strong immunoreactivity for SHBG in epithelial cells of the choroid plexus and in a portion of the ependymal cells lining the third ventricle. Mass spectrometry showed that affinity-purified SHBG from the hypothalamus and choroid plexus is structurally similar to the SHBG identified in the CSF. The multiple localizations of SHBG suggest neurohypophyseal and neuroendocrine functions. The biochemical data suggest that CSF SHBG is of brain rather than blood origin. Copyright (c) 2005 S. Karger AG, Base

Land–Atmosphere Interactions: The LoCo Perspective

Land–atmosphere (L-A) interactions are a main driver of Earth’s surface water and energy budgets; as such, they modulate near-surface climate, including clouds and precipitation, and can influence the persistence of extremes such as drought. Despite their importance, the representation of L-A interactions in weather and climate models remains poorly constrained, as they involve a complex set of processes that are difficult to observe in nature. In addition, a complete understanding of L-A processes requires interdisciplinary expertise and approaches that transcend traditional research paradigms and communities. To address these issues, the international Global Energy and Water Exchanges project (GEWEX) Global Land–Atmosphere System Study (GLASS) panel has supported “L-A coupling” as one of its core themes for well over a decade. Under this initiative, several successful land surface and global climate modeling projects have identified hot spots of L-A coupling and helped quantify the role of land surface states in weather and climate predictability. GLASS formed the Local Land–Atmosphere Coupling (LoCo) project and working group to examine L-A interactions at the process level, focusing on understanding and quantifying these processes in nature and evaluating them in models. LoCo has produced an array of L-A coupling metrics for different applications and scales and has motivated a growing number of young scientists from around the world. This article provides an overview of the LoCo effort, including metric and model applications, along with scientific and programmatic developments and challenges

Exploring the genetics of irritable bowel syndrome: A GWA study in the general population and replication in multinational case-control cohorts

OBJECTIVE: IBS shows genetic predisposition, but adequately powered gene-hunting efforts have been scarce so far. We sought to identify true IBS genetic risk factors by means of genome-wide association (GWA) and independent replication studies. DESIGN: We conducted a GWA study (GWAS) of IBS in a general population sample of 11\u2005326 Swedish twins. IBS cases (N=534) and asymptomatic controls (N=4932) were identified based on questionnaire data. Suggestive association signals were followed-up in 3511 individuals from six case-control cohorts. We sought genotype-gene expression correlations through single nucleotide polymorphism (SNP)-expression quantitative trait loci interactions testing, and performed in silico prediction of gene function. We compared candidate gene expression by real-time qPCR in rectal mucosal biopsies of patients with IBS and controls. RESULTS: One locus at 7p22.1, which includes the genes KDELR2 (KDEL endoplasmic reticulum protein retention receptor 2) and GRID2IP (glutamate receptor, ionotropic, delta 2 (Grid2) interacting protein), showed consistent IBS risk effects in the index GWAS and all replication cohorts and reached p=9.31 710(-6) in a meta-analysis of all datasets. Several SNPs in this region are associated with cis effects on KDELR2 expression, and a trend for increased mucosal KDLER2 mRNA expression was observed in IBS cases compared with controls. CONCLUSIONS: Our results demonstrate that general population-based studies combined with analyses of patient cohorts provide good opportunities for gene discovery in IBS. The 7p22.1 and other risk signals detected in this study constitute a good starting platform for hypothesis testing in future functional investigations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions

Midwifery tutors' capacity and willingness to teach contraception, post-abortion care, and legal pregnancy termination in Ghana

<p>Abstract</p> <p>Background</p> <p>Ghana has a high maternal mortality rate of 540 per 100 000. Although abortion complications usually are treatable, the risks of morbidity and death increase when treatment is delayed. Delay in care may occur when women have difficulty accessing treatment because health care providers are not trained, equipped, or willing to treat the complications of abortion. Gaps in the midwifery tutors' knowledge on comprehensive abortion care (CAC) have resulted in most midwives in Ghana not knowing the legal indications under which safe abortion care can be provided, and lacking the skills and competencies for CAC services. The aim of this study is to assess the capacity and willingness of midwifery tutors to teach contraception, post abortion care and legal termination in Ghana.</p> <p>Methods</p> <p>This study focused on all 14 midwifery schools in the country. A total of 74 midwifery tutors were interviewed for this study. Structured self-administered questionnaires were used for data collection. The data were entered and checked for consistencies using Epiinfo 6.04 and analyzed using Stata 8. Descriptive analysis was used and frequencies reported with percentages.</p> <p>Results</p> <p>In total, 74 midwifery tutors were interviewed. Of these, 66 (89.2%) were females. The tutors had mainly been trained as midwives (51.4%) and graduate nurses (33.8%). Respondents were predominantly Christians (97.3%).</p> <p>The study discovered that only 18.9% of the tutors knew all the legal indications under which safe abortion care could be provided. The content of pre-service training of tutors did not include uterine evacuation with manual vacuum aspirator (MVA).</p> <p>The study also highlighted some factors that influence midwifery tutors' willingness to teach comprehensive abortion care. It was also revealed that personal and religious beliefs greatly influence teaching of Comprehensive Abortion Care.</p> <p>Conclusion</p> <p>The findings of this survey suggest that the majority of tutors did not know the abortion law in Ghana as well as the Ghana Health Service Reproductive Health Standards and Protocol. Thus, there is a need to enhance their capacities to teach the present pre-service students the necessary skills to offer CAC after school and to understand related issues such as related legal matters.</p

Spontaneous Splenic Rupture: A Rare Complication of Acute Pancreatitis in a Patient with Crohn's Disease

Crohn's disease (CD) is an idiopathic inflammatory bowel disease which can involve any part of the gastrointestinal tract. It frequently involves the ileum, colon and the anorectum. Although rare, acute pancreatitis as a complication of CD involving the duodenum has been described in the literature. We describe a 37-year-old male with CD presenting with acute pancreatitis and spontaneous splenic rupture. The potential mechanisms associated with acute pancreatitis along with spontaneous rupture of the spleen in this patient population and its treatment will be discussed. Common complaints such as upper abdominal pain in a patient with CD should undergo workup to exclude less commonly involved sites such as the pancreas and spleen. Close monitoring in the critical care setting is recommended in carefully selected and hemodynamically stable patients with splenic rupture. Surgical treatment is considered as the standard of care in hemodynamically unstable patients

Land-Atmosphere Interactions: The LoCo Perspective

Land-atmosphere (L-A) interactions are a main driver of Earth's surface water and energy budgets; as such, they modulate near-surface climate, including clouds and precipitation, and can influence the persistence of extremes such as drought. Despite their importance, the representation of L-A interactions in weather and climate models remains poorly constrained, as they involve a complex set of processes that are difficult to observe in nature. In addition, a complete understanding of L-A processes requires interdisciplinary expertise and approaches that transcend traditional research paradigms and communities. To address these issues, the international Global Energy and Water Exchanges project (GEWEX) Global Land-Atmosphere System Study (GLASS) panel has supported 'L-A coupling' as one of its core themes for well over a decade. Under this initiative, several successful land surface and global climate modeling projects have identified hotspots of L-A coupling and helped quantify the role of land surface states in weather and climate predictability. GLASS formed the Local L-A Coupling ('LoCo') project and working group to examine L-A interactions at the process level, focusing on understanding and quantifying these processes in nature and evaluating them in models. LoCo has produced an array of L-A coupling metrics for different applications and scales, and has motivated a growing number of young scientists from around the world. This article provides an overview of the LoCo effort, including metric and model applications, along with scientific and programmatic developments and challenges

Evaluation of a Salt-Reduction Consumer Awareness Campaign Targeted at Parents Residing in the State of Victoria, Australia

From 2015 to 2020 a state-wide salt-reduction initiative was launched in Victoria, Australia, including an awareness campaign focused on parents with children <18 years of age. To evaluate the impact of the campaign on salt-related knowledge, attitudes and behaviors (KABs) we have assessed trends in salt-related KAB pre- and post-delivery of the campaign in parents, as well as within the wider adult population. Cross-sectional surveys of adults aged 18–65 years were undertaken pre- (2015: n = 821 parents; n = 1527 general sample) and post-campaign (2019: n = 935 parents; n = 1747 general sample). KABs were assessed via an online survey. Data were analyzed with regression models and adjusted for covariates. Among parents, around one-quarter of salt-related KABs shifted in a positive direction, but changes were small: there was a 6% (95% CI 2, 11%) increase in the percentage who knew the main source of salt in the diet and reductions in the percentage who reported placing a salt shaker on the table (−8% (95%CI −12, −3)) and that their child added salt at the table (−5% (95% −9, −0.2)). Among the wider adult sample, even fewer shifts in KAB were observed, with some behaviors worsening at follow-up. These findings indicate that this consumer awareness campaign had minimum impact

Follow-Up of Patients With Axial Spondyloarthritis in Specialist Health Care With Remote Monitoring and Self-Monitoring Compared With Regular Face-to-Face Follow-Up Visits (the ReMonit Study) : Protocol for a Randomized, Controlled Open-Label Noninferiority Trial

Funding Information: The ReMonit study and the qualitative substudy received funding from the South-Eastern Norway Regional Health Authority (funding number 2021062) and the Centre for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Norway (funding number 328657).Peer reviewe