For I Know the Plans I Have for You: God Locus of Control, Spiritual Change, and Death Anxiety in Primary Brain Tumor Patients

Background/Purpose. Primary brain tumor (PBT) patients risk experiencing death anxiety given the high mortality rate of their diagnosis. In line with Terror Management Theory (TMT), many diagnosed with cancer utilize religion as a method of coping with the disease. However, previous literature on the relation between death anxiety and religion in cancer patients indicates mixed findings of either a negative relationship or no association. To the authors’ knowledge, no study has analyzed these two constructs together in PBT patients. The current study sought to address this gap by investigating the relationship between religiosity and death anxiety in an understudied population. Methods. Adult PBT patients (N = 56, Mage = 49.38, 51.8% female, 71.4% Caucasian, Mmonths since diagnosis = 55.34) completed measures of religiosity and death anxiety at their routine medical appointment at an academic medical center, including: The God Locus of Health Control Scale (GLHCS), Posttraumatic Growth Inventory (PTGI), Death and Dying Distress Scale (DADDS), and the Death Distress Scale (DDS). Descriptives and Pearson correlations were utilized. Results. The results revealed that while the GLHCS was not significantly related to either measure of death anxiety, the Spiritual Change subscale of the PTGI was positively correlated to both the DADDS (r = .56, p \u3c .001) and the DDS (r = .41, p = .01). Conclusions and Implications. Results suggest that certain proxies of religiosity may be more closely associated with death anxiety than others. Although there was no evidence in our sample that PBT patient’s God locus of control was related to death anxiety, those who reported higher levels of death anxiety endorsed greater spiritual change (i.e., I have a stronger religious faith). Considering TMT, perhaps feelings of death anxiety prompt one to strengthen their religious beliefs. Future longitudinal analyses addressing the direction and course of these relationships are warranted. Acknowledgement of Funding: The current study was funded on behalf of Virginia Commonwealth University School of Medicine. Learning Objective. Participants will learn about the relationship between religiosity and death anxiety in oncology patients. Further, participants will consider how these findings may or may not differ for PBT patients and across various measures of religiosity.https://scholarscompass.vcu.edu/gradposters/1049/thumbnail.jp

Screening for Cognitive Impairment in Primary Brain Tumor Patients: A Preliminary Investigation with the MMSE and RBANS

Introduction: The prevalence of mild cognition impairment (MCI) among older adults (≥65) is estimated to range between 10-20% (Langa & Levine, 2014). Integrated primary care allows opportunities for interdisciplinary consultation, screening, and intervention. The aim of this study is to explore the percentage of older adults reporting cognitive concerns during their first primary care psychology visits. It is hypothesized that these rates will mirror prevalence rates in other older adult community dwelling samples in primary care settings. Methods: A patient sample of older adults (≥60) was introduced to services following a referral from their primary care physician. Clinicians then identified problems that were discussed in session, including “cognitive concerns.” Descriptive statistics will be used to assess the percentage of older adults with “cognitive concerns” in this sample, compared to other community dwelling samples. Results: 267 older adults were identified within a larger sample of patients who received primary care psychology services. The percentage of older adults who were referred for “cognitive concerns” was 10.5% (n = 28), with 12.7% (n = 34) reporting “cognitive concerns” during their visit. Interestingly of the 28 older adults referred by their provider for “cognitive concerns,” less than 50% (n = 13) of those patients reported “cognitive concerns” as one of their problems in session. Discussion: This sample of older adults reported cognitive concerns in primary care psychology sessions at a rate that falls within the range identified in other community dwelling samples. Future research could further improve upon identification and screening of older adults with cognitive concerns by psychologists in primary care settings, as intervention for MCI can improve quality of life and may delay progression of dementia (Campbell et al., 2018; Eshkoor et al., 2015).https://scholarscompass.vcu.edu/gradposters/1088/thumbnail.jp

Acoustical correlates of perceptual blend in timbre dyads and triads

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.Achieving a blended timbre for particular combinations of instruments, pitches, and articulations is a common aim of orchestration. This involves a set of factors that this study jointly assesses by correlating the perceptual degree of blend with the underlying acoustical characteristics. Perceptual blend ratings from two experiments were considered, with the stimuli consisting of: 1)~dyads of wind instruments at unison and minor-third intervals and at two pitch levels, and 2)~triads of wind and string instruments, including bowed and plucked string excitation. The correlational analysis relied on partial least-squares regression, as this technique is not restricted by the number and collinearity of regressors. The regressors encompassed acoustical descriptors of timbre (spectral, temporal, and spectrotemporal) as well as ones accounting for pitch and articulation. From regressor loadings in principal-components space, the major regressors leading to substantial and orthogonal contributions were identified. The regression models explained around 90\% of the variance in the datasets, which was achievable with less than a third of all regressors considered initially. Blend seemed to be influenced by differences across intervals, pitch, and articulation. Unison intervals yielded more blend than did non-unison intervals, and the presence of plucked strings resulted in clearly lower blend ratings than for sustained instrument combinations. Furthermore, prominent spectral features of instrument combinations influenced perceived blend

Ecological stability of Late Pleistocene-to-Holocene Lesotho, southern Africa, facilitated human upland habitation

Investigation of Homo sapiens’ palaeogeographic expansion into African mountain environments are changing the understanding of our species’ adaptions to various extreme Pleistocene climates and habitats. Here, we present a vegetation and precipitation record from the Ha Makotoko rockshelter in western Lesotho, which extends from ~60,000 to 1,000 years ago. Stable carbon isotope ratios from plant wax biomarkers indicate a constant C3-dominated ecosystem up to about 5,000 years ago, followed by C4 grassland expansion due to increasing Holocene temperatures. Hydrogen isotope ratios indicate a drier, yet stable, Pleistocene and Early Holocene compared to a relatively wet Late Holocene. Although relatively cool and dry, the Pleistocene was ecologically reliable due to generally uniform precipitation amounts, which incentivized persistent habitation because of dependable freshwater reserves that supported rich terrestrial foods and provided prime locations for catching fish

Stop there's water on the road! Identifying key beliefs guiding people's willingness to drive through flooded waterways

Floods are among the most widespread of natural disasters and exposure to floodwaters increases drowning risk. A leading cause of flood related drowning deaths is driving through flooded waterways. Drawing on the Theory of Planned Behaviour, a two-phased research program was conducted. Phase 1 (N = 25; Mage = 32.38, SD = 11.46) identified common beliefs about driving through a flooded waterway. Phase 2 (N = 174; Mage = 27.43, SD = 10.76) adopted a cross-sectional design to examine the belief predictors of drivers’ willingness to drive through a flooded waterway. Given differences in consequences due to the depth of water, scenarios of low (road covered in 20 cm of water) and high (road covered in 60 cm of water) risk situations were investigated. A range of beliefs emerged as predicting drivers’ willingness to engage in this unsafe driving behaviour. These included attitudinal beliefs (e.g., sustain vehicle damage, become stuck/stranded), beliefs of social expectations (e.g., pressure from friends, family members, police), and efficacy beliefs (e.g., small distance of water to drive through, presence of signage). The results of the current study support using a Theory of Planned Behaviour belief-based approach to the understanding of risky transport-related aquatic activities. The findings highlight the role that specific key beliefs play in guiding people's willingness to drive through flooded waterways and, in turn, provide possible targets for future interventions to curb this risky and potentially fatal driving behaviour

Ecological stability of Late Pleistocene-to-Holocene Lesotho, southern Africa, facilitated human upland habitation

Investigation of Homo sapiens’ palaeogeographic expansion into African mountain environments are changing the understanding of our species’ adaptions to various extreme Pleistocene climates and habitats. Here, we present a vegetation and precipitation record from the Ha Makotoko rockshelter in western Lesotho, which extends from ~60,000 to 1,000 years ago. Stable carbon isotope ratios from plant wax biomarkers indicate a constant C3-dominated ecosystem up to about 5,000 years ago, followed by C4 grassland expansion due to increasing Holocene temperatures. Hydrogen isotope ratios indicate a drier, yet stable, Pleistocene and Early Holocene compared to a relatively wet Late Holocene. Although relatively cool and dry, the Pleistocene was ecologically reliable due to generally uniform precipitation amounts, which incentivized persistent habitation because of dependable freshwater reserves that supported rich terrestrial foods and provided prime locations for catching fish

A randomised controlled trial to prevent hospital readmissions and loss of functional ability in high risk older adults: a study protocol

Background Older people have higher rates of hospital admission than the general population and higher rates of readmission due to complications and falls. During hospitalisation, older people experience significant functional decline which impairs their future independence and quality of life. Acute hospital services comprise the largest section of health expenditure in Australia and prevention or delay of disease is known to produce more effective use of services. Current models of discharge planning and follow-up care, however, do not address the need to prevent deconditioning or functional decline. This paper describes the protocol of a randomised controlled trial which aims to evaluate innovative transitional care strategies to reduce unplanned readmissions and improve functional status, independence, and psycho-social well-being of community-based older people at risk of readmission. Methods/Design The study is a randomised controlled trial. Within 72 hours of hospital admission, a sample of older adults fitting the inclusion/exclusion criteria (aged 65 years and over, admitted with a medical diagnosis, able to walk independently for 3 meters, and at least one risk factor for readmission) are randomised into one of four groups: 1) the usual care control group, 2) the exercise and in-home/telephone follow-up intervention group, 3) the exercise only intervention group, or 4) the in-home/telephone follow-up only intervention group. The usual care control group receive usual discharge planning provided by the health service. In addition to usual care, the exercise and in-home/telephone follow-up intervention group receive an intervention consisting of a tailored exercise program, in-home visit and 24 week telephone follow-up by a gerontic nurse. The exercise only and in-home/telephone follow-up only intervention groups, in addition to usual care receive only the exercise or gerontic nurse components of the intervention respectively. Data collection is undertaken at baseline within 72 hours of hospital admission, 4 weeks following hospital discharge, 12 weeks following hospital discharge, and 24 weeks following hospital discharge. Outcome assessors are blinded to group allocation. Primary outcomes are emergency hospital readmissions and health service use, functional status, psychosocial well-being and cost effectiveness. Discussion The acute hospital sector comprises the largest component of health care system expenditure in developed countries, and older adults are the most frequent consumers. There are few trials to demonstrate effective models of transitional care to prevent emergency readmissions, loss of functional ability and independence in this population following an acute hospital admission. This study aims to address that gap and provide information for future health service planning which meets client needs and lowers the use of acute care services

Histone H3.3 beyond cancer: Germline mutations in Histone 3 Family 3A and 3B cause a previously unidentified neurodegenerative disorder in 46 patients

Although somatic mutations in Histone 3.3 (H3.3) are well-studied drivers of oncogenesis, the role of germline mutations remains unreported. We analyze 46 patients bearing de novo germline mutations in histone 3 family 3A (H3F3A) or H3F3B with progressive neurologic dysfunction and congenital anomalies without malignancies. Molecular modeling of all 37 variants demonstrated clear disruptions in interactions with DNA, other histones, and histone chaperone proteins. Patient histone posttranslational modifications (PTMs) analysis revealed notably aberrant local PTM patterns distinct from the somatic lysine mutations that cause global PTM dysregulation. RNA sequencing on patient cells demonstrated up-regulated gene expression related to mitosis and cell division, and cellular assays confirmed an increased proliferative capacity. A zebrafish model showed craniofacial anomalies and a defect in Foxd3-derived glia. These data suggest that the mechanism of germline mutations are distinct from cancer-associated somatic histone mutations but may converge on control of cell proliferation

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Fewer emergency readmissions and better quality of life for older adults at risk of hospital readmission : a randomized controlled trial to determine the effectiveness of a 24-week exercise and telephone follow-up program

Objective: To evaluate the effectiveness of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency health service utilization and quality of life. Design: Randomised controlled trial Setting: Tertiary metropolitan hospital, Australia Participants: 128 patients (64 intervention, 64 control) with an acute medical admission, aged >65 years and with at least one risk factor for readmission (multiple comorbidities, impaired functionality, aged >75 years, recent multiple admissions, poor social support, history of depression). Intervention: Comprehensive nursing and physiotherapy assessment and individually tailored program including exercise strategies and nurse conducted home visit and telephone follow-up; commencing in hospital and continuing following discharge for 24 weeks. Outcome measures: Emergency health service utilization (emergency hospital readmissions and visits to Emergency Department, General Practitioner, or allied health professional) and health related quality of life (SF12v2) collected at baseline and 4, 12 and 24 weeks following discharge. Results: The intervention group required significantly less emergency hospital readmissions (22% of intervention group, 47% of control group, P=0•007); and emergency GP visits (25% of intervention group, 67% of control group, P<0•001). The intervention group also reported significantly greater improvements in quality of life in comparison to the control group as measured with SF12v2 Physical Component summary scores (F(3,279)=30•43, P<0•001) and Mental Component Summary scores (F(3,279)=7•20, P<0•001). Conclusions: Early introduction of a tailored exercise program and long term telephone follow-up may reduce emergency health service utilization and improve quality of life of older adults at risk of hospital readmission