Racial Disparities in the Association Between Stress and Preterm Birth

Background: High levels of maternal stress have been linked to preterm births. However, findings from previous studies are inconsistent due to the varied use of stress measures. This study examined the effect of maternal stress on preterm birth, using both psychosocial and physiological measures. Methods: This study was conducted among 231 pregnant women enrolled during their first prenatal care visit. Presence of stress was assessed at enrollment using the Perceived Stress Scale (PSS) and Stressful Life Events Inventory (SLEI). Samples of maternal salivary cortisol were obtained during the first trimester and birth outcomes were ascertained at delivery. Multiple logistic regression was conducted to assess the association between stress and preterm birth. Results: The majority of the study participants were Black, not married, less educated and low income. There was an association between cortisol level and preterm birth. Per 1µg/dL increase in cortisol level, the odds of preterm birth increased by 26%. The increase was accentuated in Blacks where a unit increase in cortisol level was associated with higher odds of preterm birth (29%). Conclusions: Stress measures using PSS and SLEI did not reveal a statistically significant association with preterm birth. Health care and public health professionals should be aware of the association between increased cortisol level and preterm birth. Salivary cortisol may be a better predictor of preterm birth than PSS and SLEI

PMH Connect, English (Greyscale for printing)

Mental health related symptoms and associated experiences in the perinatal period present challenges, particularly regarding identification and appropriate management. Perinatal Mental Health (PMH) screening occurs in clinical settings on a more regular basis than ever before thanks to validated screening measures used at perinatal visits; however, pregnant and parenting individuals report several concerns when completing these screeners and providers report barriers in addressing resultant findings. To address barriers and enhance the PMH screening experience, this team of clinicians and researchers propose a tool – the PMH Connect: a Perinatal Mental Health Screening Connection, Education, and Decision Aid – to be given at the same time as a PMH screener. The PMH Connect provides brief anticipatory guidance about PMH symptoms, normalizing trauma-informed language about prevalence, and provides a connection to resources in a supportive, unobtrusive manner. The PMH Connect helps patients feel heard and supported and provides resources to patients before they need them, decreasing the burden on pregnant and parenting individuals as well as those conducting the screening. The PMH Connect is designed to shift power to patients themselves, as valued experts on their own care team, by offering them connections to existing resources through this simple tool. Our hope is that the PMH Connect will have an impact on many of the barriers to effective PMH screening, assessment, and treatment by improving screening experiences and outcomes, with the ultimate goal of impacting health disparities in PMH screenings and care

PMH Connect, English, Full Color

Mental health related symptoms and associated experiences in the perinatal period present challenges, particularly regarding identification and appropriate management. Perinatal Mental Health (PMH) screening occurs in clinical settings on a more regular basis than ever before thanks to validated screening measures used at perinatal visits; however, pregnant and parenting individuals report several concerns when completing these screeners and providers report barriers in addressing resultant findings. To address barriers and enhance the PMH screening experience, this team of clinicians and researchers propose a tool – the PMH Connect: a Perinatal Mental Health Screening Connection, Education, and Decision Aid – to be given at the same time as a PMH screener. The PMH Connect provides brief anticipatory guidance about PMH symptoms, normalizing trauma-informed language about prevalence, and provides a connection to resources in a supportive, unobtrusive manner. The PMH Connect helps patients feel heard and supported and provides resources to patients before they need them, decreasing the burden on pregnant and parenting individuals as well as those conducting the screening. The PMH Connect is designed to shift power to patients themselves, as valued experts on their own care team, by offering them connections to existing resources through this simple tool. Our hope is that the PMH Connect will have an impact on many of the barriers to effective PMH screening, assessment, and treatment by improving screening experiences and outcomes, with the ultimate goal of impacting health disparities in PMH screenings and care

Control Group Design: Enhancing Rigor in Research of Mind-Body Therapies for Depression

Although a growing body of research suggests that mind-body therapies may be appropriate to integrate into the treatment of depression, studies consistently lack methodological sophistication particularly in the area of control groups. In order to better understand the relationship between control group selection and methodological rigor, we provide a brief review of the literature on control group design in yoga and tai chi studies for depression, and we discuss challenges we have faced in the design of control groups for our recent clinical trials of these mind-body complementary therapies for women with depression. To address the multiple challenges of research about mind-body therapies, we suggest that researchers should consider 4 key questions: whether the study design matches the research question; whether the control group addresses performance, expectation, and detection bias; whether the control group is ethical, feasible, and attractive; and whether the control group is designed to adequately control for nonspecific intervention effects. Based on these questions, we provide specific recommendations about control group design with the goal of minimizing bias and maximizing validity in future research

The Bold and the Beautiful

This study looks at whether two physical characteristics, physical attractiveness and perceived competence, have an impact on student analysts finding large discrepancies between current price and target price. Equity reports published online by undergraduate and MBA students involved in student investment clubs and portfolio management classes are combined with pictures of the student analysts from their university’s archives. These pictures are then rated on attractiveness and competence. I use this data to construct a model to predict an analyst’s discrepancy between current price and target price. I find four noteworthy results. At the 5% significance level, analysts ranked in the top 10% in attractiveness are more likely to publish equity reports finding large discrepancies between current price and target price. At the 1% significance level, analysts ranked in the top 10% in perceived competence are more likely to publish equity reports finding large discrepancies between current price and target price. At the 1% significance level, as analysts gain experience in publishing equity reports the discrepancies they find decrease. At the 10% significance level, men find larger discrepancies between current price and target price than women

PMH Connect, Español_Greyscale for printing

Mental health related symptoms and associated experiences in the perinatal period present challenges, particularly regarding identification and appropriate management. Perinatal Mental Health (PMH) screening occurs in clinical settings on a more regular basis than ever before thanks to validated screening measures used at perinatal visits; however, pregnant and parenting individuals report several concerns when completing these screeners and providers report barriers in addressing resultant findings. To address barriers and enhance the PMH screening experience, this team of clinicians and researchers propose a tool – the PMH Connect: a Perinatal Mental Health Screening Connection, Education, and Decision Aid – to be given at the same time as a PMH screener. The PMH Connect provides brief anticipatory guidance about PMH symptoms, normalizing trauma-informed language about prevalence, and provides a connection to resources in a supportive, unobtrusive manner. The PMH Connect helps patients feel heard and supported and provides resources to patients before they need them, decreasing the burden on pregnant and parenting individuals as well as those conducting the screening. The PMH Connect is designed to shift power to patients themselves, as valued experts on their own care team, by offering them connections to existing resources through this simple tool. Our hope is that the PMH Connect will have an impact on many of the barriers to effective PMH screening, assessment, and treatment by improving screening experiences and outcomes, with the ultimate goal of impacting health disparities in PMH screenings and care

PMH Connect, Español_Full Color

Mental health related symptoms and associated experiences in the perinatal period present challenges, particularly regarding identification and appropriate management. Perinatal Mental Health (PMH) screening occurs in clinical settings on a more regular basis than ever before thanks to validated screening measures used at perinatal visits; however, pregnant and parenting individuals report several concerns when completing these screeners and providers report barriers in addressing resultant findings. To address barriers and enhance the PMH screening experience, this team of clinicians and researchers propose a tool – the PMH Connect: a Perinatal Mental Health Screening Connection, Education, and Decision Aid – to be given at the same time as a PMH screener. The PMH Connect provides brief anticipatory guidance about PMH symptoms, normalizing trauma-informed language about prevalence, and provides a connection to resources in a supportive, unobtrusive manner. The PMH Connect helps patients feel heard and supported and provides resources to patients before they need them, decreasing the burden on pregnant and parenting individuals as well as those conducting the screening. The PMH Connect is designed to shift power to patients themselves, as valued experts on their own care team, by offering them connections to existing resources through this simple tool. Our hope is that the PMH Connect will have an impact on many of the barriers to effective PMH screening, assessment, and treatment by improving screening experiences and outcomes, with the ultimate goal of impacting health disparities in PMH screenings and care

Tree modules and counting polynomials

We give a formula for counting tree modules for the quiver S_g with g loops and one vertex in terms of tree modules on its universal cover. This formula, along with work of Helleloid and Rodriguez-Villegas, is used to show that the number of d-dimensional tree modules for S_g is polynomial in g with the same degree and leading coefficient as the counting polynomial A_{S_g}(d, q) for absolutely indecomposables over F_q, evaluated at q=1.Comment: 11 pages, comments welcomed, v2: improvements in exposition and some details added to last sectio

Past, present and future of chamois science

The chamois Rupicapra spp. is the most abundant mountain ungulate of Europe and the Near East, where it occurs as two spe- cies, the northern chamois R. rupicapra and the southern chamois R. pyrenaica. Here, we provide a state-of-the-art overview of research trends and the most challenging issues in chamois research and conservation, focusing on taxonomy and systematics, genetics, life history, ecology and behavior, physiology and disease, management and conservation. Research on Rupicapra has a longstanding history and has contributed substantially to the biological and ecological knowledge of mountain ungulates. Although the number of publications on this genus has markedly increased over the past two decades, major differences persist with respect to knowledge of species and subspecies, with research mostly focusing on the Alpine chamois R. r. rupicapra and, to a lesser extent, the Pyrenean chamois R. p. pyrenaica. In addition, a scarcity of replicate studies of populations of different subspecies and/or geographic areas limits the advancement of chamois science. Since environmental heterogeneity impacts behavioral, physiological and life history traits, understanding the underlying processes would be of great value from both an evolutionary and conservation/management standpoint, especially in the light of ongoing climatic change. Substantial contri- butions to this challenge may derive from a quantitative assessment of reproductive success, investigation of fine-scale foraging patterns, and a mechanistic understanding of disease outbreak and resilience. For improving conservation status, resolving taxonomic disputes, identifying subspecies hybridization, assessing the impact of hunting and establishing reliable methods of abundance estimation are of primary concern. Despite being one of the most well-known mountain ungulates, substantial field efforts to collect paleontological, behavioral, ecological, morphological, physiological and genetic data on different popu- lations and subspecies are still needed to ensure a successful future for chamois research and conservation