A Close and Supportive Interparental Bond During Pregnancy Predicts Greater Decline in Sexual Activity From Pregnancy to Postpartum: Applying an Evolutionary Perspective

A common topic for advice given to parents after childbirth – both from relationship experts and popular media – is how to “bounce back” to one’s pre-pregnancy sexuality, with warnings that postpartum declines in sexual frequency will take a serious toll on one’s relationship. However, these admonishments may not accurately reflect the ways in which the unique reproductive context of pregnancy and the postpartum transition alter associations between sexual frequency and relationship quality. Evolutionary perspectives on reproductive strategies would suggest that in the postpartum context, decreased sexual activity would help target parental investment in the current offspring (rather than creating new offspring); however, if the parental relationship is lacking in intimacy and support, continued sexual activity may help seal the cracks in the bond. We tested this theory in a longitudinal dyadic study of changes in relationship quality and sexual frequency from pregnancy to 6 months postpartum among 159 heterosexual couples. We found that across three different measures of relationship quality taken from interviews and behavioral observation of couple interactions, higher relationship quality (i.e., greater support, intimacy, and responsiveness) predicted greater decline in sexual frequency whereas sexual frequency remained relatively stable in lower quality relationships. These findings suggest that, during the postpartum transition, decreased sexual frequency may not be a reliable signal of poor relationship quality

An Integrated Relational Framework of Depressed Mood and Anhedonia During Pregnancy

Objective: The aim of the present study was to test a unified framework that integrates several theories into a cohesive model to explain the interplay between neuroticism and intimate relationship quality as risk factors for prenatal depression. Background: There is a notable spike in risk for depression during pregnancy, and the processes unfolding in the interparental relationship during this important time in the family life cycle might serve to mitigate or enhance this risk. Yet there is a need for theory-driven research integrating multiple conceptual frameworks to explicate the role of intimate relationship quality in depression. Method: In a sample of 154 pregnant, cohabiting couples, multiple domains of intimate relationship quality were assessed using a semistructured clinical interview. An ecologically valid assessment of core depressive features was implemented, such that daily reports of depressed mood and anhedonia captured the pervasiveness of those symptoms for 2 weeks. Results: The hypothesized, integrated model was supported for the following two dimensions of intimate relationship quality: conflict management for women and partner support for men. Neuroticism predicted depressive symptoms indirectly through poorer relationship quality and interacted with poorer relationship quality to influence depressive symptoms. In addition, poor sexual quality predicted paternal depressive symptoms, and this effect intensified at higher levels of neuroticism; however, neuroticism did not predict sexual quality. Conclusions: This integrated approach to studying risk for depression has implications for future research and clinical practice, particularly for clinicians working with pregnant couples when one or both partners are experiencing symptoms of depression

What Do Caregivers Tell Us about Infant Babbling?

Phonetic repertoires in babbling are an important marker of prelinguistic development. Typical phonetic development, however, is difficult to identify given variability within and across infants. Prior to 18 months of infant age, caregiver report of prelinguistic vocal development is often an important part of clinical practice for early intervention. As a first step toward understanding the utility of caregiver report of babbling, the purpose of this exploratory study was to determine how the phonetic makeup of sounds reported by caregivers in infant babbling would develop, in particular comparison to markedness theory and established norms. In a longitudinal design, caregiver report was tracked through weekly interviews from 7 to 18 months of infant age (N = 15). Reports were phonetically transcribed and examined in terms of the number of utterances; place, manner, and voicing for consonants; and tongue position for vowels. In general, the number of utterances and phonetic segments reported by caregivers increased significantly with infant age (p < .05) and phonetic feature patterns were similar to what one would expect in the vocal development of English-learning infants. Results support the notion that caregiver report of infant vocalizations may provide a valuable means for describing early infant babbling development

Wrist and Hand Injuries in the Athlete

Athletes subject themselves to considerable disability. No matter the sport, the hand and upper extremity are among the most commonly injured sites. Frequently, the most debilitating complications of these conditions are the result of misdiagnosis or delayed diagnosis. Unfortunately, many patients with these delayed and misdiagnosis injuries need to be treated with surgical procedures. To compound the dilemma in treating hand and wrist injuries in this population, one needs to appreciate the athletic personality and the mentality that wishes to dismiss hand injuries as minor. It is essential to educate athletes by clearly communicating the risks and complications inherent to these injuries and the applicable therapy. The purpose of this chapter is to discuss the anatomy, mechanism of injury, diagnosis, and treatment of common athletic injuries as it relates to the fingers, wrist, and hand. Appreciation of the anatomy and mechanism of injury is extremely helpful in diagnosing the pathology. Early and accurate diagnosis minimizes the delayed problems of pain and dysfunction in hand injuries. As with any other sport injury the primary goal is to return the athlete to full participation as soon as possible without risking further injury or permanent disability. Common sense management of the injury is presented in regards to acute treatment, protective splinting and surgical intervention. Specific rehabilitation exercises are outlined at the end of the chapter to avoid repetition, since many of the same exercises are used in the various rehabilitation regimens described

Observation of fine one-dimensionally disordered layers in silicon carbide

The improved resolution of synchrotron edge-topography is enabling thinner (less than 100 microns), silicon carbide crystals to be studied, and is providing a more detailed and wider database on polytype depth profiles. Fine long-period and one-dimensionally-disordered layers, 5-25 microns thick, can now be confidently resolved and are found to be very common features, often in association with high-defect density bands. These features are illustrated in this paper using three examples. A new long period polytype LPP (152H/456R) has been discovered and reported here for the first time

Raman spectroscopy of epitaxial graphene on a SiC substrate

The fabrication of epitaxial graphene (EG) on SiC substrate by annealing has attracted a lot of interest as it may speed up the application of graphene for future electronic devices. The interaction of EG and the SiC substrate is critical to its electronic and physical properties. In this work, Raman spectroscopy was used to study the structure of EG and its interaction with SiC substrate. All the Raman bands of EG blue shift from that of bulk graphite and graphene made by micromechanical cleavage, which was attributed to the compressive strain induced by the substrate. A model containing 13 x 13 honeycomb lattice cells of graphene on carbon nanomesh was constructed to explain the origin of strain. The lattice mismatch between graphene layer and substrate causes the compressive stress of 2.27 GPa on graphene. We also demonstrate that the electronic structures of EG grown on Si and C terminated SiC substrates are quite different. Our experimental results shed light on the interaction between graphene and SiC substrate that are critical to the future applications of EG.Comment: 20 pages, 5 figure

The mountain iron diffusion program: Phase II South Vandenverg: Volume 3

A series of field diffusion experiments conducted at Vandenberg Air Force Base, California are discussed. These tests were designed to provide the necessary data from which an empirical equation, derived by multiple regression analysis, has been developed. This equation is to be used as a range safety tool in support of missile activities on the Air Force Western Test Range at the Sudden Ranch Launch Complex, SLC-6. The field experiments utilized a fluorescent pigment, zinc sulfide, U. S. Radium Corporation designation No. 2210, as a tracer. Appro ximately 500 aspirated filters, located at 1. 5 m above the ground, were installed along concentric arcs at 500, 800 and 1000 m from the source, and along roadways at greater downwind distances. These samplers provided measurements of the downwind time-integrated distribution of the tracer. These data were supplemented by: ground and aerial air concentration sampling; and, meteorological data from several sites. Specific data are archived at the USAF Environmental Technical Applications Center

Collaborative decision making improves interpersonal psychotherapy efficiency: A randomized clinical trial with postpartum women

Background: Randomized controlled trials of Interpersonal Psychotherapy (IPT) and other psychotherapies for depression have required strict adherence to protocol and do not allow for clinical judgment in deciding frequency of sessions. To determine if such protocols were more effective than allowing therapists to use their clinical judgment, we compared “Clinician- Managed” IPT (CM-IPT), in which clinicians and patients with postpartum depression were allotted 12 sessions and determined collaboratively when to use them, to a once weekly 12 session protocol (“Standard IPT”). We hypothesized that CM-IPT would be more efficient, requiring fewer sessions to reach an equivalent acute outcome, and that CM-IPT would be superior over 12 months because “saved” sessions could be used for maintenance treatment. Method: We conducted a clinical trial including 140 postpartum outpatients with DSM-IV major depression who were randomly assigned to “Standard” IPT (N= 69) or CM-IPT (N= 71). Results: Both CM-IPT and S-IPT were highly efficacious with similar outcomes by 12 weeks but CM-IPT group utilized significantly fewer sessions. Both were superior to a waitlist control. Superiority comparisons at 12 months did not favor the CM-IPT condition. Limitations: Results should be replicated in a more diverse sample to increase generalizability. Conclusions: CM-IPT is more efficient in treating acute depression than mandated weekly IPT. Further, permitting clinicians and patients to use their collaborative judgment is likely to be a more efficient and effective way to conduct future research and to implement evidence-based psychotherapy in the community

Medical conditions and depressive, anxiety, and somatic symptoms in older adults with and without generalized anxiety disorder

OBJECTIVE: The objective of this study was to examine medical illness and anxiety, depressive, and somatic symptoms in older medical patients with generalized anxiety disorder (GAD). METHOD: A case-control study was designed and conducted in the University of California, San Diego (UCSD) Geriatrics Clinics. A total of fifty-four older medical patients with GAD and 54 matched controls participated. MEASUREMENTS: The measurements used for this study include: Brief Symptom Inventory-18, Mini International Neuropsychiatric Interview, and the Anxiety Disorders Interview Schedule. RESULTS: Older medical patients with GAD reported higher levels of somatic symptoms, anxiety, and depression than other older adults, as well as higher rates of diabetes and gastrointestinal conditions. In a multivariate model that included somatic symptoms, medical conditions, and depressive and anxiety symptoms, anxiety symptoms were the only significant predictors of GAD. CONCLUSION: These results suggest first, that older medical patients with GAD do not primarily express distress as somatic symptoms; second, that anxiety symptoms in geriatric patients should not be discounted as a byproduct of medical illness or depression; and third, that older adults with diabetes and gastrointestinal conditions may benefit from screening for anxiety