Physical activity, body (dis)satisfaction and mental health in the transgender population

BACKGROUND AND AIMS. Prior to gender affirming medical interventions, transgender people often experience high levels of body dissatisfaction and poor mental health in comparison to the cisgender (i.e., non-transgender) population. Body dissatisfaction and poor mental health have been associated with eating disorder psychopathology within the cisgender population. Transgender people are therefore an important group to target for intervention development. Participating in physical activity and/or sport within the cisgender population has been associated with body satisfaction and mental well-being. The overarching aim for the research reported on in this thesis was therefore to explore the role of body (dis)satisfaction, mental health and medical transition on physical (in)activity and eating disorder symptoms within the transgender population. Studies that have evaluated gender affirming medical interventions have been limited by the outcome tools used and therefore this thesis also aimed to develop and validate a new measure to assess intervention and treatment outcomes. PARTICIPANTS. Treatment seeking transgender people were invited to take part in all of the empirical studies reported on in this thesis. For some studies, transgender people from the community and/or cisgender participants were also recruited. MAIN FINDINGS. Despite being motivated, many transgender people reported having negative experiences engaging in physical activity and/or sport due to numerous internal and external barriers. Many of these barriers are directly or indirectly related to body dissatisfaction. Cross-sex hormones appeared to increase physical activity participation, possibly by alleviating body dissatisfaction and increasing mental well-being. It was also found that body dissatisfaction played a key role in the existence of eating disorder symptoms. Transgender people who had taken cross-sex hormones reported lower levels of eating disorder symptoms, possibly due to an increase in body satisfaction. Finally, this thesis successfully developed a new outcome measure in collaboration with transgender people and experts working in transgender healthcare. This measure was named the Gender Congruence and Life Satisfaction Scale (GCLS) and was found to be valid and reliable. IMPLICATIONS. Spreading awareness of the barriers that transgender people face in relation to physical activity and sport engagement may help this population to become more active. Being more active is important for transgender people as it may have body image and mental health benefits. Cross-sex hormones appear to be crucial in reducing body dissatisfaction and increasing mental well-being. Possibly because of this, physical activity levels are higher among people who have taken cross-sex hormones. Additionally, cross-sex hormones also appear to reduce eating disorder symptoms. However, the research in this thesis is cross-sectional. Future research should adopt a longitudinal research design, particularly now that a new tool to evaluate intervention and treatment outcomes (the GCLS) has been developed. This tool is likely to make important advances in research which will contribute towards increasing the well-being of the transgender population

Online cognitive behaviour training for the prevention of postnatal depression in at-risk mothers: a randomised controlled trial protocol

Background Postnatal depression (PND) is the most common disorder of the puerperium with serious consequences for both mother and child if left untreated. While there are effective treatments, there are many barriers for new mothers needing to access them. Prevention strategies may offer a more acceptable means of addressing the problem. Internet interventions can help overcome some barriers to reducing the impact of PND. However, to date there are no published studies that investigate the efficacy of internet interventions for the prevention of PND. Methods/Design The proposed study is a two-arm double blind randomised controlled trial. 175 participants will be recruited in the immediate postnatal period at an Australian community hospital. Women who meet inclusion criteria (internet access, email address, telephone number, over 18, live birth, fluent English) will complete the Edinburgh Postnatal Depression Scale (EPDS). Those with a score above 9 will undertake the Structured Clinical Interview for DSM Disorders (SCID). Those with a clinical diagnosis of depression, or a lifetime diagnosis of bipolar disorder or psychosis on the SCID will be excluded. Following completion of the baseline battery women will be randomised using a computer-generated algorithm to either the intervention or control condition. The intervention will consist of 5 modules of automated, interactive cognitive behaviour training (CB training), completed weekly with email reminders. The control will replicate the level of contact participants experience with the intervention, but the content will be of a general health nature. Participants will complete questionnaires immediately post-intervention (6 weeks) and 3-, 6- and 12 months follow-up. There will also be a second SCID delivered via telephone at 6 months. We hypothesise that relative to the control group, the intervention group will show a greater reduction in postnatal distress on the EPDS (primary outcome measure). We also hypothesise that the intervention group will demonstrate lower levels of anxiety and stress and higher levels of parenting confidence than the control group following intervention and/or follow-up. Discussion The proposed study addresses a number of limitations of earlier trials

Beyond menstrual hygiene: addressing vaginal bleeding throughout the life course in low and middle-income countries.

Girls and women experience numerous types of vaginal bleeding. These include healthy reproductive processes, such as menstruation and bleeding after childbirth, but also bleeding related to health conditions, such as fibroids or cancer. In most societies, the management of menstruation is handled covertly, something girls are often instructed about at menarche. The management of other vaginal bleeding is often similarly discreet, although behaviours are not well documented. In many societies, cultural taboos frequently hinder open discussion around vaginal bleeding, restricting information and early access to healthcare. Additionally, the limited availability of clean, accessible water and sanitation facilities in many low and middle-income countries augments the challenges girls and women face in conducting daily activities while managing vaginal bleeding, including participating in school or work, going to the market or fetching water. This paper aims to highlight the key vaginal bleeding experiences throughout a woman's life course and the intersection of these bleeding experiences with their access to adequate water and sanitation facilities, information and education sources, and supplies. The aim is to address the silence around girls and women's vaginal bleeding and their related social, physical and clinical management needs across the life course; and highlight critical gaps that require attention in research, practice and policy around this neglected topic of health and gender equality

Mental health and quality of life in non-binary transgender adults: a case control study

Background: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking. Objective: To compare the mental health and quality of life of a community sample of non-binary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth. Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures. Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups. Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate non-binary identifying people

Relationship between the Plasma Proteome and Changes in Inflammatory Markers after Bariatric Surgery

Severe obesity is a disease associated with multiple adverse effects on health. Metabolic bariatric surgery (MBS) can have significant effects on multiple body systems and was shown to improve inflammatory markers in previous short-term follow-up studies. We evaluated associations between changes in inflammatory markers (CRP, IL6 and TNFα) and circulating proteins after MBS. Methods: Sequential window acquisition of all theoretical mass spectra (SWATH-MS) proteomics was performed on plasma samples taken at baseline (pre-surgery) and 6 and 12 months after MBS, and concurrent analyses of inflammatory/metabolic parameters were carried out. The change in absolute abundances of those proteins, showing significant change at both 6 and 12 months, was tested for correlation with the absolute and percentage (%) change in inflammatory markers. Results: We found the following results: at 6 months, there was a correlation between %change in IL-6 and fold change in HSPA4 (rho = −0.659; p = 0.038) and in SERPINF1 (rho = 0.714, p = 0.020); at 12 months, there was a positive correlation between %change in IL-6 and fold change in the following proteins—LGALS3BP (rho = 0.700, p = 0.036), HSP90B1 (rho = 0.667; p = 0.05) and ACE (rho = 0.667, p = 0.05). We found significant inverse correlations at 12 months between %change in TNFα and the following proteins: EPHX2 and ACE (for both rho = −0.783, p = 0.013). We also found significant inverse correlations between %change in CRP at 12 months and SHBG (rho = −0.759, p = 0.029), L1CAM (rho = −0.904, p = 0.002) and AMBP (rho = −0.684, p = 0.042). Conclusion: Using SWATH-MS, we identified several proteins that are involved in the inflammatory response whose levels change in patients who achieve remission of T2DM after bariatric surgery in tandem with changes in IL6, TNFα and/or CRP. Future studies are needed to clarify the underlying mechanisms in how MBS decreases low-grade inflammation

Investigating the effects of surface adsorbates on gold and palladium deposition on carbon

Surface functional groups have a strong influence on the deposition and final state of nanoparticles adsorbed on to the surface, a role discussed by Professor Spencer in his work. This tribute to Spencer explores the formation of hydroxyls, thiosulfates, sulfites and sulfur atoms on carbon (HOPG) surfaces and their effect on the deposition of gold and palladium from aqueous solutions. Hydroxyls formed from ammonium hydroxide treatment have identical behaviour to those formed by acid treatment, and gold adsorption from Au3+ solutions gives Au0 initially, with Au3+ formed at higher concentrations on these surfaces. In contrast, palladium adsorption is hindered by the presence of the hydroxyls and there is no indication of any reduction to the metallic state. Ammonium thiosulfate adsorbs dissociatively from aqueous solutions on HOPG if the surface is pre-activated by the presence of surface hydroxyls. At low concentrations of ammonium thiosulfate, adsorbed sulfite and sulfur are formed in equimolar concentrations whereas adsorption of high concentrations of ammonium thiosulfate gives some degree of molecular adsorption, with evidence in XP spectra for an ammonium ion and a sulfur 2p peak at 282.9 eV attributed to the undissociated thiosulfate ion. Both sulfur and the sulfite are stable at the surface in neutral solutions but the sulfite desorbs when treated with acidified solutions (~ pH ≤ 6). These two groups are also stable at 373 K but begin to desorb by 473 K. Exposure to a weak chloroauric acid solution causes the desorption of the sulfite and formation of a gold species with an XP binding energy of 84.6 eV; we cannot determine from the present data whether this peak is due to a Au(I) state or very small nanoparticles of Au(0)

Will extreme climatic events facilitate biological invasions?

Copyright © 2012 Ecological Society of AmericaExtreme climatic events (ECEs) – such as unusual heat waves, hurricanes, floods, and droughts – can dramatically affect ecological and evolutionary processes, and these events are projected to become more frequent and more intense with ongoing climate change. However, the implications of ECEs for biological invasions remain poorly understood. Using concepts and empirical evidence from invasion ecology, we identify mechanisms by which ECEs may influence the invasion process, from initial introduction through establishment and spread. We summarize how ECEs can enhance invasions by promoting the transport of propagules into new regions, by decreasing the resistance of native communities to establishment, and also sometimes by putting existing non-native species at a competitive disadvantage. Finally, we outline priority research areas and management approaches for anticipating future risks of unwanted invasions following ECEs. Given predicted increases in both ECE occurrence and rates of species introductions around the globe during the coming decades, there is an urgent need to understand how these two processes interact to affect ecosystem composition and functioning.National Science Foundatio

palaeoverse: A community‐driven R package to support palaeobiological analysis

1. The open-source programming language ‘R' has become a standard tool in the palaeobiologist's toolkit. Its popularity within the palaeobiological community continues to grow, with published articles increasingly citing the usage of R and R packages. However, there are currently a lack of agreed standards for data preparation and available frameworks to support the implementation of such standards. Consequently, data preparation workflows are often unclear and not reproducible, even when code is provided. Moreover, due to a lack of code accessibility and documentation, palaeobiologists are often forced to ‘reinvent the wheel’ to find solutions to issues already solved by other members of the community. 2. Here, we introduce palaeoverse, a community-driven R package to aid data preparation and exploration for quantitative palaeobiological research. The package is freely available and has three core principles: (1) streamline data preparation and analyses; (2) enhance code readability; and (3) improve reproducibility of results. To develop these aims, we assessed the analytical needs of the broader palaeobiological community using an online survey, in addition to incorporating our own experiences. 3. In this work, we first report the findings of the survey, which shaped the development of the package. Subsequently, we describe and demonstrate the functionality available in palaeoverse and provide usage examples. Finally, we discuss the resources we have made available for the community and our future plans for the broader Palaeoverse project. 4. palaeoverse is a community-driven R package for palaeobiology, developed with the intention of bringing palaeobiologists together to establish agreed standards for high-quality quantitative research. The package provides a user-friendly platform for preparing data for analysis with well-documented open-source code to enhance transparency. The functionality available in palaeoverse improves code reproducibility and accessibility, which is beneficial for both the review process and future research

Will Extreme Climatic Events Facilitate Biological Invasions?

Extreme climatic events (ECEs) – such as unusual heat waves, hurricanes, floods, and droughts – can dramatically affect ecological and evolutionary processes, and these events are projected to become more frequent and more intense with ongoing climate change. However, the implications of ECEs for biological invasions remain poorly understood. Using concepts and empirical evidence from invasion ecology, we identify mechanisms by which ECEs may influence the invasion process, from initial introduction through establishment and spread. We summarize how ECEs can enhance invasions by promoting the transport of propagules into new regions, by decreasing the resistance of native communities to establishment, and also sometimes by putting existing non-native species at a competitive disadvantage. Finally, we outline priority research areas and management approaches for anticipating future risks of unwanted invasions following ECEs. Given predicted increases in both ECE occurrence and rates of species introductions around the globe during the coming decades, there is an urgent need to understand how these two processes interact to affect ecosystem composition and functioning

Enzymkatalysierte späte Modifizierungen: Besser spät als nie

From Wiley via Jisc Publications RouterHistory: received 2020-11-08, rev-recd 2021-01-15, pub-electronic 2021-03-08, pub-print 2021-07-26Article version: VoRPublication status: PublishedFunder: EPSRC; Grant(s): EP/S005226/1Funder: BBSRC; Grant(s): EP/S005226/1Funder: AstraZeneca plc; Id: http://dx.doi.org/10.13039/100004325; Grant(s): EP/S005226/1Funder: European Research Council; Id: http://dx.doi.org/10.13039/100010663; Grant(s): 742987-BIO-H-BORROW-ERC-2016-ADG, 788231-ProgrES-ERC-2017-AD