Effects of a Worry Induction on Heart Rate, Emotion and Self-reported Arousal in Younger and Older Adults

Anxiety disorders are the most frequently-diagnosed psychological disorder among older adults, with the exception of cognitive disorders. Generalized Anxiety Disorder (GAD) is one of the most prevalent anxiety disorders of older adults. However, the actual experience of worry, the hallmark symptom of GAD, is not well-understood among older adults. In the present study, older and younger adults participated in an experimental induction of worry or pleasant recall. After controlling for baseline age differences, older and younger adults did not differ in their ratings of worry intensity during the worry induction. An age difference in the experience of worry was found such that, younger adults reported greater anxiety following the worry induction compared to older adults. Younger adults experienced greater heart rates and reported greater arousal than older adults during both the worry and pleasant recall inductions. Thus, older adults may experience less anxiety and lower arousal during worry compared to younger adults. The implications of these findings for our understanding of worry among different age groups are discussed. Future examinations of the role of physiological arousal in older adult worry are needed

Switching patients from other inhaled corticosteroid devices to the Easyhaler(®) : historical, matched-cohort study of real-life asthma patients

Peer reviewedPublisher PD

A PROPOSAL FOR A NEW HUMAN PHYSIOLOGY REQUIREMENT: A CLASS ON MEDICAL EQUITY AND ETHICS

52 pagesThis thesis proposes a mandatory class in Medical Equity and Ethics for Human Physiology majors at the University of Oregon, the majority of whom pursue a career in healthcare. Healthcare professionals need to understand not only the details of how the body functions, but also the people whose bodies and minds are placed in our care. We will not solely treat heart disease, pulled muscles, or gum disease; rather we will treat people with those conditions. Advances in data collection and analysis have highlighted healthcare inequalities at the same time advances in health care continue to call into question basic tenants of what is life and what is death. There is a spotlight on healthcare ethics and inequities that we, as future medical providers, have a duty to acknowledge - not just for the benefit of our patients but for the system itself. Given the many health inequalities that exist in healthcare, it is imperative to educate potential healthcare workers on issues of social equity and medical ethics so that healthcare experience is improved both individually and systemically. UO currently does have classes on medical ethics and racial discrimination, but these are not classes that are explicitly required for Human Physiology (HPHY) students nor are they tailored to the situations and circumstances that HPHY students are likely to encounter in their future careers. This thesis describes a proposed new HPHY requirement for a class covering topics related to social equity and ethics in the healthcare field. I have identified three major topics: social determinants of health, patient centered care, and medical ethics. Social determinants of health bring to light disparities in mortality and morbidity experienced by various social and socioeconomic groups. Patient centered care defines a respectful and compassionate partnership between the care provider and the patient and their support system that considers culture and values while promoting shared decision making to provide safe and effective holistic care. Medical Ethics introduces the principles and values of healthcare that guide ethical decision making and gives students the opportunity to apply those principles to medical dilemmas in peer discussions. For each of these topics, I propose required and suggested readings and summarize the pertinent information, identify key points, advance topics for discussion, assign dilemma case studies, and identify learning objectives to ensure understanding of the fundamental ideas. This proposed new requirement will ensure all HPHY students are given early exposure to equity and ethical issues and provided opportunities to analyze difficult situations and to discuss relevant values and solutions in a classroom setting. Ideally those aspiring to healthcare professions are interested in both the science of health and the care of patients. As it stands, the HPHY major educates students in the science of the human body. This mandated class concentrating on issues of medical equity, patient centered care, and medical ethics, will complement the current curriculum and promote holistic medicine which cares for the body, mind, and soul of each patient and their communities

Contributing Factors in a Successful Foodborne Outbreak Investigation: an Analysis of Data Collected by the Foodborne Diseases Active Surveillance Network (FoodNet), 2003-2010.

Background. Foodborne disease is estimated to cause 48 million illnesses annually in the US resulting in 3000 deaths [1]. Although most infections occur as sporadic cases, outbreak surveillance offers valuable insight about the foods and pathogens responsible for illnesses [2]. A total of 1632 foodborne disease outbreaks were reported during 2011-2012 [3] and recent data indicates an overall decrease in the number of outbreaks reported each year [4]. Understanding which factors contribute to the successful identification of a food vehicle in a foodborne outbreak investigation is crucial for improving outbreak response [5-10]. The purpose of this study was to describe outbreak characteristics and to determine which may be associated with the success of a foodborne outbreak investigation (i.e. one in which a food vehicle has been reported). Methods. A foodborne disease outbreak was defined as the event in which two or more people acquired similar illnesses from consuming the same food or beverage. Outbreaks occurring in FoodNet sites during 2003 through 2010 were included in the analysis. Results. Data were available for 1441 (87%) of the 1655 foodborne disease outbreaks documented in FoodNet Outbreak Supplement forms from 2003 through 2010. A food vehicle was identified in 692 of the 1441 (48%) outbreaks. Six outbreak characteristics remained statistically significant in both univariate and multivariate analyses: environmental and/or food culture collection, FDA or state agriculture involvement, outbreak size, case-control studies, and number of fecal specimens tested for norovirus. Conclusions. Less than half of foodborne outbreaks examined here resulted in a food vehicle being identified. Having more robust resources available for outbreak detection and investigation may improve likelihood of a food vehicle being identified

Risk factors for breast cancer in a population with high incidence rates.

BackgroundThis report examines generally recognized breast cancer risk factors and years of residence in Marin County, California, an area with high breast cancer incidence and mortality rates.MethodsEligible women who were residents of Marin County diagnosed with breast cancer in 1997-99 and women without breast cancer obtained through random digit dialing, frequency-matched by cases' age at diagnosis and ethnicity, participated in either full in-person or abbreviated telephone interviews.ResultsIn multivariate analyses, 285 cases were statistically significantly more likely than 286 controls to report being premenopausal, never to have used birth control pills, a lower highest lifetime body mass index, four or more mammograms in 1990-94, beginning drinking after the age of 21, on average drinking two or more drinks per day, the highest quartile of pack-years of cigarette smoking and having been raised in an organized religion. Cases and controls did not significantly differ with regard to having a first-degree relative with breast cancer, a history of benign breast biopsy, previous radiation treatment, age at menarche, parity, use of hormone replacement therapy, age of first living in Marin County, or total years lived in Marin County. Results for several factors differed for women aged under 50 years or 50 years and over.ConclusionsDespite similar distributions of several known breast cancer risk factors, case-control differences in alcohol consumption suggest that risk in this high-risk population might be modifiable. Intensive study of this or other areas of similarly high incidence might reveal other important risk factors proximate to diagnosis

Relief of the Dma1-mediated checkpoint requires Dma1 autoubiquitination and dynamic localization

© 2018 Jones, Chen, et al. Chromosome segregation and cell division are coupled to prevent aneuploidy and cell death. In the fission yeast Schizosaccharomyces pombe, the septation initiation network (SIN) promotes cytokinesis, but upon mitotic checkpoint activation, the SIN is actively inhibited to prevent cytokinesis from occurring before chromosomes have safely segregated. SIN inhibition during the mitotic checkpoint is mediated by the E3 ubiquitin ligase Dma1. Dma1 binds to the CK1-phosphorylated SIN scaffold protein Sid4 at the spindle pole body (SPB), and ubiquitinates it. Sid4 ubiquitination antagonizes the SPB localization of the Polo-like kinase Plo1, the major SIN activator, so that SIN signaling is delayed. How this checkpoint is silenced once spindle defects are resolved has not been clear. Here we establish that Dma1 transiently leaves SPBs during anaphase B due to extensive autoubiquitination. The SIN is required for Dma1 to return to SPBs later in anaphase. Blocking Dma1 removal from SPBs by permanently tethering it to Sid4 prevents SIN activation and cytokinesis. Therefore, controlling Dma1’s SPB dynamics in anaphase is an essential step in S. pombe cell division and the silencing of the Dma1-dependent mitotic checkpoint

Co-option of endogenous retroviruses through genetic escape from TRIM28 repression

Endogenous retroviruses (ERVs) have rewired host gene networks. To explore the origins of co-option, we employed an active murine ERV, IAPEz, and an embryonic stem cell (ESC) to neural progenitor cell (NPC) differentiation model. Transcriptional silencing via TRIM28 maps to a 190 bp sequence encoding the intracisternal A-type particle (IAP) signal peptide, which confers retrotransposition activity. A subset of "escapee" IAPs (∼15%) exhibits significant genetic divergence from this sequence. Canonical repressed IAPs succumb to a previously undocumented demarcation by H3K9me3 and H3K27me3 in NPCs. Escapee IAPs, in contrast, evade repression in both cell types, resulting in their transcriptional derepression, particularly in NPCs. We validate the enhancer function of a 47 bp sequence within the U3 region of the long terminal repeat (LTR) and show that escapee IAPs convey an activating effect on nearby neural genes. In sum, co-opted ERVs stem from genetic escapees that have lost vital sequences required for both TRIM28 restriction and autonomous retrotransposition

Rab11-FIP3 is a cell cycle-regulated phosphoprotein

<b>BACKGROUND:</b> Rab11 and its effector molecule, Rab11-FIP3 (FIP3), associate with recycling endosomes and traffic into the furrow and midbody of cells during cytokinesis. FIP3 also controls recycling endosome distribution during interphase. Here, we examine whether phosphorylation of FIP3 is involved in these activities.<p></p> <b>RESULTS:</b> We identify four sites of phosphorylation of FIP3 in vivo, S-102, S-280, S-347 and S-450 and identify S-102 as a target for Cdk1-cyclin B in vitro. Of these, we show that S-102 is phosphorylated in metaphase and is dephosphorylated as cells enter telophase. Over-expression of FIP3-S102D increased the frequency of binucleate cells consistent with a role for this phospho-acceptor site in cytokinesis. Mutation of S-280, S-347 or S-450 or other previously identified phospho-acceptor sites (S-488, S-538, S-647 and S-648) was without effect on binucleate cell formation and did not modulate the distribution of FIP3 during the cell cycle. In an attempt to identify a functional role for FIP3 phosphorylation, we report that the change in FIP3 distribution from cytosolic to membrane-associated observed during progression from anaphase to telophase is accompanied by a concomitant dephosphorylation of FIP3. However, the phospho-acceptor sites identified here did not control this change in distribution.<p></p> <b>CONCLUSIONS:</b> Our data thus identify FIP3 as a cell cycle regulated phosphoprotein and suggest dephosphorylation of FIP3 accompanies its translocation from the cytosol to membranes during telophase. S102 is dephosphorylated during telophase; mutation of S102 exerts a modest effect on cytokinesis. Finally, we show that de/phosphorylation of the phospho-acceptor sites identified here (S-102, S-280, S-347 and S-450) is not required for the spatial control of recycling endosome distribution or function

Neurocognitive markers of passive suicidal ideation in late-life depression

Objectives: (1) To delineate whether cognitive flexibility and inhibitory ability are neurocognitive markers of passive suicidal ideation (PSI), an early stage of suicide risk in depression and (2) to determine whether PSI is associated with volumetric differences in regions of the prefrontal cortex (PFC) in middle-aged and older adults with depression. Design: Cross-sectional study. Setting: University medical school. Participants: Forty community-dwelling middle-aged and older adults with depression from a larger study of depression and anxiety (NIMH R01 MH091342-05 PI: O\u27Hara). Measurements: Psychiatric measures were assessed for the presence of a DSM-5 depressive disorder and PSI. A neurocognitive battery assessed cognitive flexibility, inhibitory ability, as well as other neurocognitive domains. Results: The PSI group (n = 18) performed significantly worse on cognitive flexibility and inhibitory ability, but not on other neurocognitive tasks, compared to the group without PSI (n = 22). The group with PSI had larger left mid-frontal gyri (MFG) than the no-PSI group. There was no association between cognitive flexibility/inhibitory ability and left MFG volume. Conclusions: Findings implicate a neurocognitive signature of PSI: poorer cognitive flexibility and poor inhibitory ability not better accounted for by other domains of cognitive dysfunction and not associated with volumetric differences in the left MFG. This suggests that there are two specific but independent risk factors of PSI in middle- and older-aged adults

‘Dignity and respect’: An example of service user leadership and co‐production in mental health research

This paper explores the methodological aspects of a user‐led study investigating mental health service user experiences of targeted violence and abuse (often called 'hate crime'). 'Keeping Control' was a 16‐month qualitative study, undertaken in the context of adult safeguarding reforms in England. By collecting data on service user concepts and experiences, the research sought to address a gap in research and practice knowledge relating to targeted violence, abuse and hostility against people with mental health problems. In this paper, we discuss the significance of the design and methodology used for this study, with a particular focus on the interviews with service users. The research was both user‐led and carried out in collaboration with practitioners and academics, a form of research co‐production. Our aim is to inform researchers, practitioners and policymakers about the value of user leadership in co‐productive research with practitioners, particularly for a highly sensitive and potentially distressing topic