Do online gambling products require traditional therapy for gambling disorder to change? Evidence from focus group interviews with mental health professionals treating online gamblers

Online gambling has signifcantly altered the situational and structural characteristics of gambling products, to the extent that online gamblers might be substantially diferent from traditional ofine gamblers. A growing body of literature has identifed the evolving features of online gambling and the individuals who engage in it. However, beyond understanding the individual characteristics of this subgroup, relatively less efort has been made to examine whether existing cognitive-behavioural therapy (CBT) approaches are still entirely relevant for online problem gamblers, or whether changes are needed to adapt according to gambling mode of access. To understand what kind of challenges online gambling poses to mental health professionals dealing with disordered gamblers, four focus groups comprising 28 Spanish participants were carried out. All the treatment providers had ongoing experience with online gamblers undergoing treatment, and included clinical psychologists, mental health social workers, and a medical doctor. The data were examined using thematic analysis. The analysis identifed fve main themes that characterised online gamblers: (1) being of younger age, (2) lack of conficts at home and at work/educational centre, rarely presenting violent or aggressive behaviour, (3) gambling disorder only being identifed by overdue debt, (4) co-occurring conditions with technology-related abuse rather than other substance-related addictions, and (5) skill-based gambling. The study highlights mental health workers' perceived insecurities about how to best treat online gamblers, and discusses the specifc characteristics that CBT for gambling disorder might need to incorporate to adjust for this particular group of gamblers

Percepción de los riesgos asociados a la pérdida auditiva inducida por ruido. Estado del arte y diseño de herramientas interactivas para formación y concienciación

La exposición al ruido en el puesto de trabajo y la pérdida auditiva inducida por ruido se encuentran estrechamente relacionadas con las actitudes que tienen de los trabajadores sobre el uso de los dispositivos de protección auditiva. En estudios previos se ha demostrado que los trabajadores son reacios a su utilización por diferentes motivos: desconocimiento de los efectos que produce el ruido sobre la salud auditiva, dificultades para utilizarlos de forma correcta, incomodidad, etc. Con el objetivo de mejorar las actitudes de los trabajadores ante el uso de dispositivos de protección auditiva se llevó a cabo un estudio bibliográfico sobre los factores que influyen en la conducta de los trabajadores ante el uso de protectores auditivos, así como su conocimiento sobre los riesgos asociados. Una vez analizados los antecedentes y las actuales necesidades, se desarrollaron herramientas interactivas de fácil utilización para mejorar la concienciación de los trabajadores sobre este aspecto. Se presenta la revisión bibliográfica sobre el uso de protectores auditivos, un análisis de los diferentes enfoques comúnmente utilizados para formación y concienciación de trabajadores sobre los riesgos derivados de la pérdida auditiva inducida por ruido y finalmente las herramientas desarrolladas como propuesta para mejorar la percepción de dicho riesgo entre los trabajadores

Evaluación de la eficacia de un programa integral de prevención secundaria de la enfermedad cardiovascular en atención primaria: estudio PREseAP

ObjetivosEvaluar la eficacia de un programa integral de prevención secundaria para reducir la morbimortalidad en los pacientes que han tenido una enfermedad cardiovascular, controlar los factores de riesgo y el cumplimiento de la medicación profiláctica para prevenir recurrencias y mejorar la calidad de vida de los pacientes con enfermedad cardiovascular.DiseñoEnsayo clínico aleatorizado por clusters, abierto, pragmático, en atención primaria.EmplazamientoUn total de 42 centros de salud de 8 comunidades autónomas del Estado español.ParticipantesVarones y mujeres hasta 85 años de edad, diagnosticados de enfermedad coronaria y/o accidente cerebrovascular y/o enfermedad vascular periférica en el último año, y que no presenten una enfermedad grave o terminal.IntervenciónSe aleatorizarán los centros de salud para seguir la atención habitual en los pacientes diagnosticados de enfermedad cardiovascular (grupo control) o para implantar un programa integral de prevención secundaria (grupo intervención).Mediciones principalesAcontecimientos letales atribuibles a enfermedad cardiovascular, acontecimientos no letales atribuibles a enfermedad cardiovascular, acontecimientos letales por cualquier causa y calidad de vida relacionada con la salud (SF-36).ObjectivesTo assess the efficacy of a comprehensive secondary prevention programme to reduce morbidity and mortality in patients who have suffered a cardiovascular (CV) event; to control CV risk factors and prophylactic treatment in order to prevent recurrence; and to improve the quality of life of patients with cardiovascular disease.DesignRandomised, pragmatic, open clinical trial in primary care.SettingA total of 42 primary care centres of 8 different areas in Spain.ParticipantsMen and women below 86 years old, diagnosed with coronary disease and/or stroke and/or peripheral vascular disease in the preceding year, and who have no serious or terminal disease.InterventionPrimary care centres will be randomised to following usual care (control group), or to following a comprehensive programme of secondary prevention (intervention group).Main measurementsCardiovascular fatal events, cardiovascular non-fatal events, total mortality and health-related quality of life (SF-36)

Quest for the donor star in the magnetic precataclysmic variable V1082 Sgr

We obtained high-resolution spectra and multicolor photometry of V1082 Sgr to study the donor star in this 20.8 hr orbital period binary, which is assumed to be a detached system. We measured the rotational velocity (v sin i = 26.5 ± 2.0 km s−1), which, coupled with the constraints on the white dwarf mass from the X-ray spectroscopy, leads to the conclusion that the donor star barely fills 70% of its corresponding Roche lobe radius. It appears to be a slightly evolved K2-type star. This conclusion was further supported by a recently published distance to the binary system measured by the Gaia mission. At the same time, it becomes difficult to explain a very high (>10−9 M⊙ yr-1 ) mass transfer and mass accretion rate in a detached binary via stellar wind and magnetic coupling.Publisher PDFPeer reviewe

Seroprevalence and risk factors associated with bovine herpesvirus 1 in dairy herds of Colombia

BACKGROUND AND AIM: Infectious bovine rhinotracheitis (IBR) is an infectious disease widely distributed globally and is considered the main cause of various reproductive and respiratory tract diseases in cattle and buffaloes. This study aimed to estimate seroprevalence and determine risk factors associated with the presentation of IBR in the municipality of Sotaquirá, Boyacá (Colombia). MATERIALS AND METHODS: A descriptive cross-sectional study with simple random sampling was performed, and the sample size was 1,000 cattle. Blood samples were obtained by coccygeal venipuncture and processed through indirect enzyme-linked immunosorbent assay using the Synbiotics(®) kit (Zoetis, New Jersey, USA) with a sensitivity and specificity of 96% and 98%, respectively. Data were processed using the statistical program EpiInfo(®) (Centers for Disease Control and Prevention; Atlanta, Georgia). RESULTS: A high seroprevalence of 57.5% was established. Seroprevalence was the highest in cattle >4 years of age (65.0% apparent seroprevalence [AS]; 67% true seroprevalence [TS]) and in the Holstein breed (65.5% AS; 67.8% TS). The breed and age of the animals were significantly associated with each other. The Holstein breed, age group >4 years, uncertified semen, and fetal death were established as risk factors for IBR. In comparison, the age groups of <1 and 1–2 years and the Normande breed were established as protective factors against the bovine herpesvirus-1 virus. CONCLUSION: Management factors, such as livestock from other owners and animal purchases, which affect disease presentation, are evident. The implementation and development of novel prevention and control measures for IBR at the national level are necessary

Measuring star formation in high-z massive galaxies: A mid-infrared to submillimeter study of the GOODS NICMOS Survey sample

We present measurements of the mean mid-infrared-to-submillimeter flux densities of massive (M\ast \approx 2 \times 10^11 Msun) galaxies at redshifts 1.7 < z < 2.9, obtained by stacking positions of known objects taken from the GOODS NICMOS Survey (GNS) catalog on maps: at 24 {\mu}m (Spitzer/MIPS); 70, 100, and 160{\mu}m (Herschel/PACS); 250, 350, 500{\mu}m (BLAST); and 870{\mu}m (LABOCA). A modified blackbody spectrum fit to the stacked flux densities indicates a median [interquartile] star-formation rate of SFR = 63 [48, 81] Msun yr^-1 . We note that not properly accounting for correlations between bands when fitting stacked data can significantly bias the result. The galaxies are divided into two groups, disk-like and spheroid-like, according to their Sersic indices, n. We find evidence that most of the star formation is occurring in n \leq 2 (disk-like) galaxies, with median [interquartile] SFR = 122 [100,150] Msun yr^-1, while there are indications that the n > 2 (spheroid-like) population may be forming stars at a median [interquartile] SFR = 14 [9,20] Msun yr^-1, if at all. Finally, we show that star formation is a plausible mechanism for size evolution in this population as a whole, but find only marginal evidence that it is what drives the expansion of the spheroid-like galaxies.Comment: Accepted by MNRAS. 10 pages, 3 figures, 3 table

Infrared color selection of massive galaxies at z > 3

We introduce a new color-selection technique to identify high-redshift, massive galaxies that are systematically missed by Lyman-break selection. The new selection is based on the H_{160} and IRAC 4.5um bands, specifically H - [4.5] > 2.25 mag. These galaxies, dubbed "HIEROs", include two major populations that can be separated with an additional J - H color. The populations are massive and dusty star-forming galaxies at z > 3 (JH-blue) and extremely dusty galaxies at z < 3 (JH-red). The 350 arcmin^2 of the GOODS-N and GOODS-S fields with the deepest HST/WFC3 and IRAC data contain 285 HIEROs down to [4.5] 3) HIEROs, which have a median photometric redshift z ~4.4 and stellar massM_{*}~10^{10.6} Msun, and are much fainter in the rest-frame UV than similarly massive Lyman-break galaxies (LBGs). Their star formation rates (SFRs) reaches ~240 Msun yr^{-1} leading to a specific SFR, sSFR ~4.2 Gyr^{-1}, suggesting that the sSFRs for massive galaxies continue to grow at z > 2 but at a lower growth rate than from z=0 to z=2. With a median half-light radius of 2 kpc, including ~20% as compact as quiescent galaxies at similar redshifts, JH-blue HIEROs represent perfect star-forming progenitors of the most massive (M_{*} > 10^{11.2} Msun) compact quiescent galaxies at z ~ 3 and have the right number density. HIEROs make up ~60% of all galaxies with M_{*} > 10^{10.5} Msun identified at z > 3 from their photometric redshifts. This is five times more than LBGs with nearly no overlap between the two populations. While HIEROs make up 15-25% of the total SFR density at z ~ 4-5, they completely dominate the SFR density taking place in M_{*} >10^{10.5} Msun galaxies, and are therefore crucial to understanding the very early phase of massive galaxy formation.Comment: ApJS, in pres