Satisfaction of basic psychological needs as a mediator of the relationship between community esteem and wellbeing

Past research has shown that possessing a strong sense of community or esteem for one’s community is positively related to feelings of psychological wellbeing. Much less research has examined what mechanisms may underlie this relationship. Self-determination theory, a theory of human personality and optimal functioning, proposes the existence of three species-typical basic psychological needs (for competence, relatedness, and autonomy), the satisfaction of which is crucial for experiencing wellbeing. We hypothesized that need satisfaction is a mediator of the relationship between feelings of esteem for one’s community and several widely employed measures of wellbeing among a sample of residents living in an urban community in the United States. In accord with the primary hypotheses, the results revealed a robust association between community esteem and both hedonic and eudaimonic measures of wellbeing. Furthermore, the associations between community esteem and wellbeing were mediated by self-reported satisfaction of basic psychological needs. This work contributes to an improved understanding of the complex relationship between esteem for one’s community and psychological wellbeing and has implications for debates surrounding the benefits and role of community in individuals’ lives

Gulf of Maine seals - populations, problems and priorities

Meeting held: May 28th – 29th 2009, WHOI, Quissett Campus, Sponsored by the Marine Mammal Center at WHOIAs pinniped populations shift and change along the northeast U.S. and Canadian coastline, so too do the interests and issues of regional residents, scientists and stakeholders. In May 2009 the Woods Hole Oceanographic Institution (WHOI) sponsored a meeting resulting in recommendations in three key areas regarding pinnipeds: population dynamics, human interaction and disease/health. The population group recommended: developing long-term surveys over all seasons and geographic ranges, coordinating sampling efforts for dietary research, refining correction factors for survey results, increasing documentation of fishery interactions and developing means of funding. The human interactions group recommended: addressing marine debris, developing survey, reporting and retrieval protocols for discarded fishing gear, studying impact of and expanding education and outreach for commercial seal watching, researching methods to deter depredation from fishing gear, streamlining the permitting processes for acoustic deterrent and gear modification research, and increasing cooperative research and outreach to the fishing community. The health and disease working group recommended: establishing baseline health indicators, addressing priority disease concerns, creating a pool of resources for standardized analysis of normal and unusual health event monitoring, determining standard health baselines for release, establishing a health consortium, improving communication along the coastline and establishing long term funding and ongoing collaboration.Funding was provided by the Woods Hole Oceanographic Institution Marine Mammal Cente

Gulf of Maine seals - fisheries interactions and integrated research : final report

Meeting held: October 28, 2011, Provincetown Center for Coastal Studies, Provincetown, MA. Sponsored by the Marine Mammal Center at the Woods Hole Oceanographic Institution and the Provincetown Center for Coastal StudiesThe 2011 meeting, “Gulf of Maine Seals: Fisheries Interactions and Integrated Research”, held at the Provincetown Center for Coastal Studies (PCCS), featured posters and oral presentations as well as a series of discussion groups. This meeting was a follow up to the 2009 meeting, “Gulf of Maine Seals - Populations, Problems and Priorities”, held at the Woods Hole Oceanographic Institution (WHOI) (Bogomolni et al. 2010). At the conclusion of the 2009 meeting, attendees emphasized the need to improve communication, to obtain funding for long term research, to continue meeting on a regular basis, to increase data and data sharing, and to support cross cutting research between the meeting’s three primary topic areas: disease and health; human and fishery interactions; and population biology. The overarching goals of the 2011 meeting were to discuss and share work to date, present some of the tools developed since the 2009 meeting, and outline goals for future integrated research. One of the tools presented within the framework of cross-cutting research areas and integrative research was the development of a sightings database and website for uniquely identifiable (unique pelage, scars, lesions, tagged, branded, marked, etc.) animals. The practicality of this tool as a means to increase communication was discussed. Additionally, seal/fisheries interactions throughout the Gulf of Maine, Cape Cod and waters off of the northeast U.S. have continued to concern stakeholders since the 2009 meeting. The urgency of documenting, understanding and mitigating these interactions has become more apparent. Therefore, the focus of the 2011 Provincetown meeting was on fisheries interaction and related topics raised at the last 2009 workshop and in the meetings with Cape Cod fishermen described below. For the purposes of this report, 'fisheries interaction' can be direct/operational (e.g. depredation, when seals remove fish from gear; or entanglement/bycatch, when seals are unintentionally captured), or indirect/ecological (competition, displacement or other large-scale interactions between seals and fisheries). Stakeholder concerns about fisheries interactions and recent increases in local seal abundance were rising prior to the 2009 meeting. In December of 2006, the Chatham-based Cape Cod Commercial Hook Fishermen’s Association (CCCHFA) took the lead in organizing a meeting entitled, “Structuring a Novel Research Team to Define and Assess the Impact of Human/Seal Interactions on Cape Cod/Gulf of Maine through Ecosystem-Based Analysis”. Participants included fishermen, policy makers, environmental organizations and researchers aiming to develop a unique partnership to study the New England seal population. The goal of this meeting was to create a research team that would define the ecological role of seals in Cape Cod waters by studying population dynamics, behavior, and health. This meeting resulted in a successful partnership, financially aided by the International Fund for Animal Welfare (IFAW), between fishermen and seal researchers. A cost-effective cooperative research agreement was reached whereby seal researchers were provided boat transport around the Chatham and Monomoy areas by local fishermen. This agreement allowed students and researchers to gain access to areas off of Chatham that would otherwise not have been accessible. It also supported a collaborative effort to increase understanding and communication between stakeholders. In addition to the CCCHFA-led meeting in 2006, a series of informal meetings have been held on Cape Cod between commercial and recreational fishermen and marine scientists. This work was initially funded by the Cape Cod Five Cents Savings Bank Charitable Foundation. Owen Nichols and Lisa Sette (PCCS) have held individual meetings with commercial fishermen in Chatham, Orleans, and Provincetown, and recreational fishermen, outfitters, and associations throughout the Outer Cape. These individual meetings were followed by larger group meetings in Eastham and Chatham in 2010 and 2011, and more are planned for 2012. Attendees included commercial and recreational fishermen and scientists, and discussion topics included observed seal/fishery interactions and potential collaborative research projects. The goal of the meetings is to develop a working group composed of members of the fishing and scientific communities with expertise in marine mammal and fisheries ecology. The above meetings laid the foundation for the 2011 meeting, during which members of the scientific and fishing communities gathered to focus on fisheries interactions and integrated research techniques to quantify and mitigate interactions. Several invited presentations were given, some of which were scheduled (Appendix A) with selected abstracts provided (Appendix B), and some of which were delivered on an ad hoc basis upon request from organizers or attendees (see Appendix F for edited transcripts of presentations). In order to ensure that the fishing community had a distinct voice, a forum was included in the agenda, during which fishermen were encouraged to share their observations, experiences and concerns. Separately, moderated discussion groups focused specifically on fisheries interactions, tagging and tracking, and management issues. All four sessions, despite their specific foci, shared common themes such as the need for collaborative research involving both the scientific and fishing communities. Recommendations from the discussion groups and summaries from each session are listed on the following pages.Funding was provided by the Woods Hole Oceanographic Institution Marine Mammal Center and the Provincetown Center for Coastal Studie

Meningococcal Disease in Patients With Human Immunodeficiency Virus Infection: A Review of Cases Reported Through Active Surveillance in the United States, 2000-2008.

BackgroundAlthough human immunodeficiency virus (HIV) infection is an established risk factor for several bacterial infections, the association between HIV infection and meningococcal disease remains unclear.MethodsExpanded chart reviews were completed on persons with meningococcal disease and HIV infection reported from 2000 through 2008 from 9 US sites participating in an active population-based surveillance system for meningococcal disease. The incidence of meningococcal disease among patients meeting Centers for Disease Control and Prevention acquired immune deficiency syndrome (AIDS) surveillance criteria was estimated using data from the National HIV Surveillance System for the participating sites.ResultsThirty-three cases of meningococcal disease in individuals with HIV infection were reported from participating sites, representing 2.0% of all reported meningococcal disease cases. Most (75.8%) persons with HIV infection were adult males aged 25 to 64 years old. Among all meningococcal disease cases aged 25 to 64 years old, case fatality ratios were similar among HIV-infected and HIV-uninfected persons (13.3% vs 10.6%; P = .6). The cumulative, mean incidence of meningococcal disease among patients aged 25 to 64 years old with HIV infection ever classified as AIDS was 3.5 cases per 100000 person years (95% confidence interval [CI], 2.1-5.6), compared with 0.3 cases per 100000 person years (95% CI, 0.3-0.3) for persons of the same age group not reported to have AIDS (relative risk = 12.9; 95% CI, 7.9-20.9).ConclusionsIndividuals with HIV infection meeting the AIDS surveillance case definition have a higher incidence of meningococcal disease compared with the general adult population

Risk-Benefit Profiles of Women Using Tamoxifen for Chemoprevention

Tamoxifen has been US Food and Drug Administration–approved for primary prevention of breast cancer since 1998 but has not been widely adopted, in part because of increased risk of serious side effects. Little is known about the risk-benefit profiles of women who use chemoprevention outside of a clinical trial. We examined characteristics associated with initiation and discontinuation of tamoxifen for primary prevention of breast cancer within a large cohort of women with a first-degree family history of breast cancer

Hormone Therapy and Young-Onset Breast Cancer

Estrogen plus progestin hormone therapy (HT) is associated with an increased risk of postmenopausal breast cancer, but few studies have examined the impact of HT use on the risk of breast cancer in younger women. We assessed the association between estrogen plus progestin HT or unopposed estrogen HT and young-onset breast cancer using data from the Two Sister Study (2008–2010), a sister-matched study of 1,419 cases diagnosed with breast cancer before the age of 50 years and 1,665 controls. We assessed exposures up to a family-specific index age to ensure comparable opportunities for exposures and used propensity scores to control for birth cohort effects on HT use. Ever HT use was uncommon (7% and 11% in cases and controls, respectively). Use of estrogen plus progestin was not associated with an increased risk of young-onset breast cancer (odds ratio = 0.80, 95% confidence interval: 0.41, 1.59). Unopposed estrogen use was inversely associated with the risk of young-onset breast cancer (odds ratio = 0.58, 95% confidence interval: 0.34, 0.99). Duration of use, age at first use, and recency of use did not modify these associations

Chromosome 10q26-driven age-related macular degeneration is associated with reduced levels of HTRA1 in human retinal pigment epithelium

Genome-wide association studies have identified the chromosome 10q26 (Chr10) locus, which contains the age-related maculopathy susceptibility 2 (ARMS2) and high temperature requirement A serine peptidase 1 (HTRA1) genes, as the strongest genetic risk factor for age-related macular degeneration (AMD) [L.G. Fritsche et al., Annu. Rev. Genomics Hum. Genet. 15, 151–171, (2014)]. To date, it has been difficult to assign causality to any specific single nucleotide polymorphism (SNP), haplotype, or gene within this region because of high linkage disequilibrium among the disease-associated variants [J. Jakobsdottir et al. Am. J. Hum. Genet. 77, 389–407 (2005); A. Rivera et al. Hum. Mol. Genet. 14, 3227–3236 (2005)]. Here, we show that HTRA1 messenger RNA (mRNA) is reduced in retinal pigment epithelium (RPE) but not in neural retina or choroid tissues derived from human donors with homozygous risk at the 10q26 locus. This tissue-specific decrease is mediated by the presence of a noncoding, cis-regulatory element overlapping the ARMS2 intron, which contains a potential Lhx2 transcription factor binding site that is disrupted by risk variant rs36212733. HtrA1 protein increases with age in the RPE–Bruch’s membrane (BM) interface in Chr10 nonrisk donors but fails to increase in donors with homozygous risk at the 10q26 locus. We propose that HtrA1, an extracellular chaperone and serine protease, functions to maintain the optimal integrity of the RPE–BM interface during the aging process and that reduced expression of HTRA1 mRNA and protein in Chr10 risk donors impairs this protective function, leading to increased risk of AMD pathogenesis. HtrA1 augmentation, not inhibition, in high-risk patients should be considered as a potential therapy for AMD

Neighborhood-level and individual-level correlates of cannabis use among young persons living with HIV/AIDS

In addition to individual characteristics, there may be a wide range of environmental or neighborhood stressors that contribute to elevated cannabis use in groups of youth living with HIV/AIDS (YLHIV); however, the effects of social disorganization on cannabis use in YLHIV to date have not been studied

Translation of evidence-based Assistive Technologies into stroke rehabilitation: Users' perceptions of the barriers and opportunities

Background: Assistive Technologies (ATs), defined as "electrical or mechanical devices designed to help people recover movement", demonstrate clinical benefits in upper limb stroke rehabilitation; however translation into clinical practice is poor. Uptake is dependent on a complex relationship between all stakeholders. Our aim was to understand patients', carers' (P&Cs) and healthcare professionals' (HCPs) experience and views of upper limb rehabilitation and ATs, to identify barriers and opportunities critical to the effective translation of ATs into clinical practice. This work was conducted in the UK, which has a state funded healthcare system, but the findings have relevance to all healthcare systems. Methods. Two structurally comparable questionnaires, one for P&Cs and one for HCPs, were designed, piloted and completed anonymously. Wide distribution of the questionnaires provided data from HCPs with experience of stroke rehabilitation and P&Cs who had experience of stroke. Questionnaires were designed based on themes identified from four focus groups held with HCPs and P&Cs and piloted with a sample of HCPs (N = 24) and P&Cs (N = 8). Eight of whom (four HCPs and four P&Cs) had been involved in the development. Results: 292 HCPs and 123 P&Cs questionnaires were analysed. 120 (41%) of HCP and 79 (64%) of P&C respondents had never used ATs. Most views were common to both groups, citing lack of information and access to ATs as the main reasons for not using them. Both HCPs (N = 53 [34%]) and P&C (N = 21 [47%]) cited Functional Electrical Stimulation (FES) as the most frequently used AT. Research evidence was rated by HCPs as the most important factor in the design of an ideal technology, yet ATs they used or prescribed were not supported by research evidence. P&Cs rated ease of set-up and comfort more highly. Conclusion: Key barriers to translation of ATs into clinical practice are lack of knowledge, education, awareness and access. Perceptions about arm rehabilitation post-stroke are similar between HCPs and P&Cs. Based on our findings, improvements in AT design, pragmatic clinical evaluation, better knowledge and awareness and improvement in provision of services will contribute to better and cost-effective upper limb stroke rehabilitation. © 2014 Hughes et al.; licensee BioMed Central Ltd