Geographic Disparity of Female Athlete Triad Awareness and Access to Resources in the NCAA

The Female Athlete Triad is a pervasive, multifactorial morbidity among college athletes. The geographic disparity of female athlete triad awareness and access to resources in NCAA is unknown. PURPOSE: To determine geographic disparities in awareness of Triad components and resource access in the National Collegiate Athletic Association (NCAA). METHOD: Division I-III NCAA compliance officers were sent an email containing a request to disseminate a web-based survey to cross country coaches in their respective conferences. The web-linked instrument included: a study synopsis; an informed consent statement, and; the IRB-approved survey tool. Respondents were grouped geographically based upon conference headquarters location, regions included; Northeast, Midwest, South, and West. Statistical analysis, using JMP software, included frequency distributions and chi-square tests for categorical association. RESULTS: Coaches (n = 143; age = 40.7 ± 11.9 years; coaching experience = 14.1 ± 10.3 years) from 45 conferences participated. Location impacted coaches’ awareness of the term “female athlete triad” (p = 0.0183), which was highest in the West (90%), and; lowest in the South (74%). Geography did not influence Triad component recognition (p = 0.3907) (i.e. low energy availability, amenorrhea, low bone mineral density), however; only 54% of coaches correctly identified all Triad components. Coaches who had Triad awareness were more likely to possess understanding that menstrual irregularities are not a normal result of exercise (p = \u3c0.001). No relationship was identified between location and access to body composition technology (p = 0.2031), or; a registered dietician (p = 0.4869). However, only 30% and 53% of coaches had access to these biometric and dietetic resources, respectively. Western cross-country athletes (p = 0.0276) had the highest access to sport psychologists (50%); lowest access was in the Midwest (20%). CONCLUSION: Triad awareness and geographic resource disparities exist: Western coaches have a higher level of Triad awareness and superior access to psychological counseling, whereas; the South and Midwest had the lowest, respectively. Greater uniform access to resources amongst NCAA schools, regardless of geographic region, may positively impact Triad prevalence and outcomes

The Interactive Effect of Major Depression and Nonsuicidal Self-Injury On Current Suicide Risk and Lifetime Suicide Attempts

Objectives: This study examined the main and interactive effects of MDD and lifetime nonsuicidal self-injury (NSSI) on current suicide risk and past suicide attempts. We predicted that individuals with a history of NSSI and current MDD would be at greater suicide risk than those with either risk factor alone. An interaction between lifetime MDD and NSSI was hypothesized for past suicide attempts. Methods: 204 substance dependent inpatients completed self-report measures and a diagnostic interview. Results: Patients with both a history of NSSI and current MDD, relative to all other groups, had the greatest suicide risk. No support was found for the lifetime MDD by NSSI interaction. Conclusion: Findings suggest the relevance of both NSSI and MDD in suicide risk

The Relationship Between Molecular Gas, HI, and Star Formation in the Low-Mass, Low-Metallicity Magellanic Clouds

The Magellanic Clouds provide the only laboratory to study the effect of metallicity and galaxy mass on molecular gas and star formation at high (~20 pc) resolution. We use the dust emission from HERITAGE Herschel data to map the molecular gas in the Magellanic Clouds, avoiding the known biases of CO emission as a tracer of H$_{2}$. Using our dust-based molecular gas estimates, we find molecular gas depletion times of ~0.4 Gyr in the LMC and ~0.6 SMC at 1 kpc scales. These depletion times fall within the range found for normal disk galaxies, but are shorter than the average value, which could be due to recent bursts in star formation. We find no evidence for a strong intrinsic dependence of the molecular gas depletion time on metallicity. We study the relationship between gas and star formation rate across a range in size scales from 20 pc to ~1 kpc, including how the scatter in molecular gas depletion time changes with size scale, and discuss the physical mechanisms driving the relationships. We compare the metallicity-dependent star formation models of Ostriker, McKee, and Leroy (2010) and Krumholz (2013) to our observations and find that they both predict the trend in the data, suggesting that the inclusion of a diffuse neutral medium is important at lower metallicity.Comment: 24 pages, 14 figures, accepted for publication in ApJ. FITS files of the dust-based estimates of the H2 column densities for the LMC and SMC (shown in Figures 2 and 3) will be available online through Ap

Rapid emergence of multidrug resistant, H58-lineage Salmonella typhi in Blantyre, Malawi.

INTRODUCTION: Between 1998 and 2010, S. Typhi was an uncommon cause of bloodstream infection (BSI) in Blantyre, Malawi and it was usually susceptible to first-line antimicrobial therapy. In 2011 an increase in a multidrug resistant (MDR) strain was detected through routine bacteriological surveillance conducted at Queen Elizabeth Central Hospital (QECH). METHODS: Longitudinal trends in culture-confirmed Typhoid admissions at QECH were described between 1998-2014. A retrospective review of patient cases notes was conducted, focusing on clinical presentation, prevalence of HIV and case-fatality. Isolates of S. Typhi were sequenced and the phylogeny of Typhoid in Blantyre was reconstructed and placed in a global context. RESULTS: Between 1998-2010, there were a mean of 14 microbiological diagnoses of Typhoid/year at QECH, of which 6.8% were MDR. This increased to 67 in 2011 and 782 in 2014 at which time 97% were MDR. The disease predominantly affected children and young adults (median age 11 [IQR 6-21] in 2014). The prevalence of HIV in adult patients was 16.7% [8/48], similar to that of the general population (17.8%). Overall, the case fatality rate was 2.5% (3/94). Complications included anaemia, myocarditis, pneumonia and intestinal perforation. 112 isolates were sequenced and the phylogeny demonstrated the introduction and clonal expansion of the H58 lineage of S. Typhi. CONCLUSIONS: Since 2011, there has been a rapid increase in the incidence of multidrug resistant, H58-lineage Typhoid in Blantyre. This is one of a number of reports of the re-emergence of Typhoid in Southern and Eastern Africa. There is an urgent need to understand the reservoirs and transmission of disease and how to arrest this regional increase

Dust and gas in the magellanic clouds from the heritage herschel key project. II. Gas-to-dust ratio variations across interstellar medium phases

The spatial variations of the gas-to-dust ratio (GDR) provide constraints on the chemical evolution and lifecycle of dust in galaxies. We examine the relation between dust and gas at 10-50 pc resolution in the Large and Small Magellanic Clouds (LMC and SMC) based on Herschel far-infrared (FIR), HI 21 cm, CO, and Hiα observations. In the diffuse atomic interstellar medium (ISM), we derive the GDR as the slope of the dust-gas relation and find GDRs of 380-130+250 ± 3 in the LMC, and 1200-420+1600 ± 120 in the SMC, not including helium. The atomic-to-molecular transition is located at dust surface densities of 0.05 M⊙ pc-2 in the LMC and 0.03 M⊙ pc-2 in the SMC, corresponding to AV ∼ 0.4 and 0.2, respectively. We investigate the range of CO-to-H2 conversion factor to best account for all the molecular gas in the beam of the observations, and find upper limits on XCO to be 6 × 1020 cm-2 K-1 km-1 s in the LMC (Z = 0.5 Z⊙) at 15 pc resolution, and 4 × 1021 cm-2 K-1 km-1 s in the SMC (Z = 0.2 Z⊙) at 45 pc resolution. In the LMC, the slope of the dust-gas relation in the dense ISM is lower than in the diffuse ISM by a factor ∼2, even after accounting for the effects of CO-dark H2 in the translucent envelopes of molecular clouds. Coagulation of dust grains and the subsequent dust emissivity increase in molecular clouds, and/or accretion of gas-phase metals onto dust grains, and the subsequent dust abundance (dust-to-gas ratio) increase in molecular clouds could explain the observations. In the SMC, variations in the dust-gas slope caused by coagulation or accretion are degenerate with the effects of CO-dark H2. Within the expected 5-20 times Galactic XCO range, the dust-gas slope can be either constant or decrease by a factor of several across ISM phases. Further modeling and observations are required to break the degeneracy between dust grain coagulation, accretion, and CO-dark H2. Our analysis demonstrates that obtaining robust ISM masses remains a non-trivial endeavor even in the local Universe using state-of-the-art maps of thermal dust emissio

THE RELATIONSHIP BETWEEN MOLECULAR GAS, H I, AND STAR FORMATION IN THE LOW-MASS, LOW-METALLICITY MAGELLANIC CLOUDS

The Magellanic Clouds provide the only laboratory to study the effects of metallicity and galaxy mass on molecular gas and star formation at high (∼20 pc) resolution. We use the dust emission from HERITAGE Herschel data to map the molecular gas in the Magellanic Clouds, avoiding the known biases of CO emission as a tracer of . Using our dust-based molecular gas estimates, we find molecular gas depletion times () of ∼0.4 Gyr in the Large Magellanic Cloud and ∼0.6 in the Small Magellanic Cloud at 1 kpc scales. These depletion times fall within the range found for normal disk galaxies, but are shorter than the average value, which could be due to recent bursts in star formation. We find no evidence for a strong intrinsic dependence of the molecular gas depletion time on metallicity. We study the relationship between the gas and the star formation rate across a range of size scales from 20 pc to ≥1 kpc, including how the scatter in changes with the size scale, and discuss the physical mechanisms driving the relationships. We compare the metallicity-dependent star formation models of Ostriker et al. and Krumholz to our observations and find that they both predict the trend in the data, suggesting that the inclusion of a diffuse neutral medium is important at lower metallicit

Dust and gas in the magellanic clouds from the heritage Herschel Key Project. I. Dust properties and insights into the origin of the submillimeter excess emission

The dust properties in the Large and Small Magellanic clouds (LMC/SMC) are studied using the HERITAGE Herschel Key Project photometric data in five bands from 100 to 500 μm. Three simple models of dust emission were fit to the observations: a single temperature blackbody modified by a power-law emissivity (SMBB), a single temperature blackbody modified by a broken power-law emissivity (BEMBB), and two blackbodies with different temperatures, both modified by the same power-law emissivity (TTMBB). Using these models, we investigate the origin of the submillimeter excess, defined as the submillimeter emission above that expected from SMBB models fit to observations <200 μm. We find that the BEMBB model produces the lowest fit residuals with pixel-averaged 500 μm submillimeter excesses of 27% and 43% for the LMC and SMC, respectively. Adopting gas masses from previous works, the gas-to-dust ratios calculated from our fitting results show that the TTMBB fits require significantly more dust than are available even if all the metals present in the interstellarmedium (ISM) were condensed into dust. This indicates that the submillimeter excess ismore likely to be due to emissivity variations than a second population of colder dust. We derive integrated dust masses of (7.3 ± 1.7) × 105 and (8.3 ± 2.1) × 104 M⊙ for the LMC and SMC, respectively. We find significant correlations between the submillimeter excess and other dust properties; further work is needed to determine the relative contributions of fitting noise and ISM physics to the correlation