Efficacy of yoga as adjunct treatment of post-traumatic stress disorder compared to cognitive behavioral therapy and medication treatment alone

Introduction: Post-traumatic stress disorder (PTSD) is a condition that can affect anyone who experiences or witnesses a traumatic event. The current treatment guidelines for PTSD include psychological and pharmacological therapy. These therapies may not be available to everyone and compliance is a concern. This review investigates the use of yoga as adjunct treatment of PTSD symptoms in women age 18-65 who have post-traumatic stress disorder compared to conventional CBT and medication treatment alone. Methods: A literature search using Google Scholar, Clinical Key, and PubMed was conducted in November 2018. Six articles were chosen by limiting inclusion criteria based on the date of publication, type of alternative therapy, time-frame, and participant age and gender. These articles were analyzed and then compared. Results: Each study was a form of randomized control trial (RCT) and compared a yoga intervention to a control group in participants who had at least subthreshold PTSD. Each report found at least one statistically significant improvement in the outcome measurement used to examine PTSD. Some studies also found statistically significant improvement for the control group. One study provided long-term follow up of the participants. Discussion: The majority of the studies aside from one had marginal sample sizes with adequate recruitment strategies and timeline. The outcome measures differed among the studies so they cannot be directly compared or fully confirm the topic in question. However, there were clinically significant improvements in outcomes with no reported negative outcomes in each of the studies. Conclusion: Although the results of the study cannot fully be confirmed despite some statistically significant findings, the clinical significance and lack of adverse outcomes indicate that yoga should still be considered as adjunct therapy as many people are unable to tolerate or access pharmacological or psychotherapeutic treatment

Formation of highly oxygenated low-volatility products from cresol oxidation

Hydroxyl radical (OH) oxidation of toluene produces ring-retaining products: cresol and benzaldehyde, and ring-opening products: bicyclic intermediate compounds and epoxides. Here, first- and later-generation OH oxidation products from cresol and benzaldehyde are identified in laboratory chamber experiments. For benzaldehyde, first-generation ring-retaining products are identified, but later-generation products are not detected. For cresol, low-volatility (saturation mass concentration, C* ∼ 3.5  ×  10^4 − 7.7  ×  10^(−3) µg m^(−3)), first- and later-generation ring-retaining products are identified. Subsequent OH addition to the aromatic ring of o-cresol leads to compounds such as hydroxy, dihydroxy, and trihydroxy methyl benzoquinones and dihydroxy, trihydroxy, tetrahydroxy, and pentahydroxy toluenes. These products are detected in the gas phase by chemical ionization mass spectrometry (CIMS) and in the particle phase using offline direct analysis in real-time mass spectrometry (DART-MS). Our data suggest that the yield of trihydroxy toluene from dihydroxy toluene is substantial. While an exact yield cannot be reported as authentic standards are unavailable, we find that a yield for trihydroxy toluene from dihydroxy toluene of ∼ 0.7 (equal to the reported yield of dihydroxy toluene from o-cresol; Olariu et al., 2002) is consistent with experimental results for o-cresol oxidation under low-NO conditions. These results suggest that even though the cresol pathway accounts for only ∼ 20 % of the oxidation products of toluene, it is the source of a significant fraction (∼ 20–40 %) of toluene secondary organic aerosol (SOA) due to the formation of low-volatility products

Resistance to local anesthesia in people with the Ehlers-Danlos Syndromes presenting for dental surgery

Background: People with the Ehlers-Danlos Syndromes (EDS), a group of heritable disorders of connective tissue, often report experiencing dental procedure pain despite local anesthetic (LA) use. Clinicians have been uncertain how to interpret this apparent LA resistance, as comparison of EDS and non-EDS patient experience is limited to anecdotal evidence and small case series. The primary goal of this hypothesis-generating study was to investigate the recalled adequacy of pain prevention with LA administered during dental procedures in a large cohort of people with and without EDS. A secondary exploratory aim asked people with EDS to recall comparative LA experiences. Methods: We administered an online survey through various social media platforms to people with EDS and their friends without EDS, asking about past dental procedures, LA exposures, and the adequacy of procedure pain prevention. Among EDS respondents who both received LA and recalled the specific LA used, we compared agent-specific pain prevention for lidocaine, procaine, bupivacaine, mepivacaine, and articaine. Results: Among the 980 EDS respondents who had undergone a dental procedure LA, 88% (n = 860) recalled inadequate pain prevention. Among 249 non EDS respondents only 33% (n = 83) recalled inadequate pain prevention (P < 0.001 compared to EDS respondents). The agent with the highest EDS-respondent reported success rate was articaine (30%), followed by bupivacaine (25%), and mepivacaine (22%). Conclusions: EDS survey respondents reported nearly three times the rate of LA non-response compared to non-EDS respondents, suggesting that LAs were less effective in preventing their pain associated with routine office dental procedures

Conflicts over Land as a Risk for Social-Ecological Resilience: A Transnational Comparative Analysis in the Southwestern Amazon

People in the department of Madre de Dios/Peru, the state of Acre/Brazil, and the department of Pando/Bolivia experience similar conflicts over land, land use, and access to resources. At the same time, each conflict reveals distinct characteristics and dynamics, arising from its history, legal regulation, institutional (in-)capacities, and culturally diverse local populations. The aim of this paper is to better understand the main drivers of social-ecological conflicts over land in and around three protected areas in this transboundary region, known as MAP, and to analyze how (environmental) institutions influence these drivers. The paper is based on a literature review and expert interviews; it focuses on conflicts around (1) gold mining in Madre de Dios, (2) extensive cattle ranching in Acre, and (3) access to communal land in Pando. Using theories of conflict research, expanded by a political ecology perspective and insights from stakeholder and expert interviews, we find that the major conflict drivers are (1) land tenure and access to land and natural resources, (2) identity and lifestyle driven transformations, (3) state and market driven agendas, and (4) networked illegal and criminal activities. Through a comparative conflict analysis, we develop four recommendations to strengthen the creation of reflexive institutions that may be able to foster social-ecological resilience in the region: (1) The clarification of responsibilities between governance institutions and their financing; (2) the awareness raising for existing power structures and opening spaces for enhanced local participation; (3) the breaking of corruptive cycles while developing economically, ecologically, and socially sustainable livelihood opportunities; and (4) taking the continuous reproduction of illegal activities into account while clarifying responsibilities, raising awareness, and breaking corruptive cycles. The results of our research therefore not only contribute to a better understanding of conflicts in the MAP region and the wider scientific literature on social-ecological conflicts and governance, but it is also the first paper that identifies entry points and prerequisites for the transformation from reactive to reflexive institutions in Amazonian societies

Isoprene NO_3 Oxidation Products from the RO_2 + HO_2 Pathway

We describe the products of the reaction of the hydroperoxy radical (HO_2) with the alkylperoxy radical formed following addition of the nitrate radical (NO_3) and O_2 to isoprene. NO_3 adds preferentially to the C_1 position of isoprene (>6 times more favorably than addition to C_4), followed by the addition of O_2 to produce a suite of nitrooxy alkylperoxy radicals (RO_2). At an RO_2 lifetime of ∼30 s, δ-nitrooxy and β-nitrooxy alkylperoxy radicals are present in similar amounts. Gas-phase product yields from the RO_2 + HO_2 pathway are identified as 0.75–0.78 isoprene nitrooxy hydroperoxide (INP), 0.22 methyl vinyl ketone (MVK) + formaldehyde (CH_2O) + hydroxyl radical (OH) + nitrogen dioxide (NO_2), and 0–0.03 methacrolein (MACR) + CH_2O + OH + NO_2. We further examined the photochemistry of INP and identified propanone nitrate (PROPNN) and isoprene nitrooxy hydroxyepoxide (INHE) as the main products. INHE undergoes similar heterogeneous chemistry as isoprene dihydroxy epoxide (IEPOX), likely contributing to atmospheric secondary organic aerosol formation

Real-Time Studies of Iron Oxalate-Mediated Oxidation of Glycolaldehyde as a Model for Photochemical Aging of Aqueous Tropospheric Aerosols

The complexation of iron (III) with oxalic acid in aqueous solution yields a strongly absorbing chromophore that undergoes efficient photodissociation to give iron (II) and the carbon dioxide anion radical. Importantly, iron (III) oxalate complexes absorb near-UV radiation (λ > 350 nm), providing a potentially powerful source of oxidants in aqueous tropospheric chemistry. Although this photochemical system has been studied extensively, the mechanistic details associated with its role in the oxidation of dissolved organic matter within aqueous aerosol remain largely unknown. This study utilizes glycolaldehyde as a model organic species to examine the oxidation pathways and evolution of organic aerosol initiated by the photodissociation of aqueous iron (III) oxalate complexes. Hanging droplets (radius 1 mm) containing iron (III), oxalic acid, glycolaldehyde, and ammonium sulfate (pH ~ 3) are exposed to irradiation at 365 nm and sampled at discrete time points utilizing field-induced droplet ionization mass spectrometry (FIDI-MS). Glycolaldehyde is found to undergo rapid oxidation to form glyoxal, glycolic acid, and glyoxylic acid, but the formation of high molecular weight oligomers is not observed. For comparison, particle-phase experiments conducted in a laboratory chamber explore the reactive uptake of gas-phase glycolaldehyde onto aqueous seed aerosol containing iron and oxalic acid. The presence of iron oxalate in seed aerosol is found to inhibit aerosol growth. These results suggest that photodissociation of iron (III) oxalate can lead to the formation of volatile oxidation products in tropospheric aqueous aerosols

Secondary Organic Aerosol Composition from C₁₂ Alkanes

The effects of structure, NO_x conditions, relative humidity, and aerosol acidity on the chemical composition of secondary organic aerosol (SOA) are reported for the photooxidation of three C_(12) alkanes: n-dodecane, cyclododecane, and hexylcyclohexane. Acidity was modified through seed particle composition: NaCl, (NH_4)_2SO_4, and (NH_4)_2SO_4 + H_2SO_4. Off-line analysis of SOA was carried out by solvent extraction and gas chromatography–mass spectrometry (GC/MS) and direct analysis in real-time mass spectrometry. We report here 750 individual masses of SOA products identified from these three alkane systems and 324 isomers resolved by GC/MS analysis. The chemical compositions for each alkane system provide compelling evidence of particle-phase chemistry, including reactions leading to oligomer formation. Major oligomeric species for alkane SOA are peroxyhemiacetals, hemiacetals, esters, and aldol condensation products. Furans, dihydrofurans, hydroxycarbonyls, and their corresponding imine analogues are important participants in these oligomer-producing reactions. Imines are formed in the particle phase from the reaction of the ammonium sulfate seed aerosol with carbonyl-bearing compounds present in all the SOA systems. Under high-NO conditions, organonitrate products can lead to an increase of aerosol volume concentration by up to a factor of 5 over that in low-NO conditions. Structure was found to play a key role in determining the degree of functionalization and fragmentation of the parent alkane, influencing the mean molecular weight of the SOA produced and the mean atomic O:C ratio

Lineage Abundance Estimation for SARS-CoV-2 in Wastewater Using Transcriptome Quantification Techniques

Effectively monitoring the spread of SARS-CoV-2 mutants is essential to efforts to counter the ongoing pandemic. Predicting lineage abundance from wastewater, however, is technically challenging. We show that by sequencing SARS-CoV-2 RNA in wastewater and applying algorithms initially used for transcriptome quantification, we can estimate lineage abundance in wastewater samples. We find high variability in signal among individual samples, but the overall trends match those observed from sequencing clinical samples. Thus, while clinical sequencing remains a more sensitive technique for population surveillance, wastewater sequencing can be used to monitor trends in mutant prevalence in situations where clinical sequencing is unavailable