The Effectiveness of an ACT App in Promoting Wellbeing and Psychological Flexibility

While mental health apps could potentially increase access to mental health resources, only 3.05% of depression and anxiety apps on the Apple App store had published research support as of 2018 (Marshall et al., 2019). The present study aims to evaluate an Acceptance and Commitment Therapy (ACT) mental health app. ACT aims to cultivate psychological flexibility, the ability to fully experience and accept one’s present context while engaging in behavior that aligns with one’s values (Hayes et al., 2006). Gloster et al. (2020) reviewed ACT metanalyses and found it to be efficacious for a range of conditions. Past research has also suggested that ACT is effective in promoting wellbeing (Fledderus et al., 2010; Wersebe et al., 2018). The app “ACT Coach” was evaluated for effectiveness in promoting psychological flexibility and wellbeing while decreasing levels of depression, anxiety, and stress in a college student sample. A potential relationship between self-compassion and duration of app use was also examined. Participants (N = 32) were randomized to an experimental app group and a waitlist control group. The app group did not show increases in psychological flexibility, increases in wellbeing, or decreases in depression, anxiety, or stress. In addition, those higher in self-compassion at pre-intervention did not report a significant difference in app use. Explanations for the lack of improvements and implications for future research directions are discussed

Be Gentle with Yourself: The Impact of Self-Compassion on Fear of Evaluation in Social Anxiety

Self-compassion entails showing oneself kindness instead of judgement, recognizing one’s experiences to be part of a shared human experience instead of isolating oneself, and being mindfully aware of painful thoughts and feelings instead of over-identifying with them (Neff, 2003). The process enjoys considerable conceptual overlap with facets of the psychological flexibility model (e.g., selfing; Hayes et al., 2012). Self-compassion has been explored in a variety of areas, one area being social anxiety; Harwood and Kocovski (2017) found that those higher in social anxiety who completed a self-compassion writing exercise experienced less anticipatory anxiety before a social stressor. The present study aims to replicate and extend these findings. Fear of negative evaluation is recognized as an integral feature of social anxiety disorder (APA, 2013), and fear of positive evaluation has also been linked to social anxiety disorder (Heimberg et al., 2014). Both fear of negative evaluation and fear of positive evaluation have displayed negative correlations with self-compassion (Long & Neff, 2018; Werner et al., 2012). The present study randomized participants to a self-compassion or control writing exercise to explore the interactive role of self-compassion and fear of evaluation experienced before a social stressor. We hypothesized that self-compassion writing will reduce fear of negative and positive evaluation for those higher in social anxiety. Data collection with undergraduate participants is in progress. Future research directions and implications for the use of self-compassion exercises before socially anxious individuals are exposed to social stressors will be discussed

Parasitic diseases of the central nervous system: lessons for clinicians and policy makers

Parasitic diseases of the central nervous system are associated with high mortality and morbidity, especially in resource-limited settings. The burden of these diseases is amplified as survivors are often left with neurologic sequelae affecting mobility, sensory organs, and cognitive functions, as well as seizures/epilepsy. These diseases inflict suffering by causing lifelong disabilities, reducing economic productivity, and causing social stigma. The complexity of parasitic life cycles and geographic specificities, as well as overlapping clinical manifestations in the host reflecting the diverse pathogenesis of parasites, can present diagnostic challenges. We herein provide an overview of these parasitic diseases and summarize clinical aspects, diagnosis, therapeutic strategies and recent milestones, and aspects related to prevention and control

Dietary and body mass thresholds for reproduction in grasshoppers

An organism’s dietary protein should match its respective dietary needs to yield the most advantageous effects; an extended lifespan and increased reproductive output. The key challenge however, is how to tailor a specific diet to an organism’s individual needs. Applying the technique of Piper et. al, we can approximate the optimal diet of the lubber grasshopper, Romalea microptera, by using the AA profile of vitellogenin (Vg), the precursor to egg yolk protein. The lubber grasshopper, Romalea microptera, was selected because of its plasticity in reproductive responsiveness in response to diet quality and quantity. Each of the organisms were fed 1g of romaine lettuce, ad libitum (ad-lib) zero protein high carbohydrate artificial diet and a different experimentally manipulated diet. The 4 treatment groups, Vg-balanced AA, unbalanced AA, ad-lib lettuce, and dietary restriction (DR), dietary treatments were applied twice daily from day 2 of adulthood to egg laying. The experimental group was force-fed the balanced AA diet, which was derived from the AA composition of vitellogenin. The unbalanced AA group was fed an isonitrogenous diet with over representations of AA’s found in romaine. The ad lib group had unlimited access to romaine and was force-fed PBS. The DR group was fed a diet comprising of 1 gram of romaine and PBS. The results indicated ad-lib group had the highest yield, followed by Vg-balanced, unbalanced, and DR . In contrast, somatic mass and storage did not differ across 3 groups fed 1gm lettuce daily. Isonitrogenous diets exhibited difference in reproduction but not somatic growth

Development of the Ketamine Side Effect Tool (KSET)

Background: Currently, no specific, systematic assessment tool for the monitoring and reporting of ketamine-related side effects exists. Our aim was to develop a comprehensive Ketamine Side Effect Tool (KSET) to capture acute and longer-term side effects associated with repeated ketamine treatments. Methods: Informed by systematic review data and clinical research, we drafted a list of the most commonly reported side effects. Face and content validation were obtained via feedback from collaborators with expertise in psychiatry and anaesthetics, clinical trial piloting and a modified Delphi Technique involving ten international experts. Results: The final version consisted of four forms that collect information at time points: screening, baseline, immediately after a single treatment, and longer-term follow-up. Instructions were developed to guide users and promote consistent utilisation. Limitations: Further evaluation of feasibility, construct validity and reliability is required, and is planned across multiple international sites. Conclusions: The structured Ketamine Side Effect Tool (KSET) was developed, with confirmation of content and face validity via a Delphi consensus process. This tool is timely, given the paucity of data regarding ketamine's safety, tolerability and abuse potential over the longer term, and its recent adoption internationally as a clinical treatment for depression. Although based on data from depression studies, the KSET has potential applicability for ketamine (or derivatives) used in other medical disorders, including chronic pain. We recommend its utilisation for both research and clinical scenarios, including data registries

The Ketamine Side Effect Tool (KSET):A comprehensive measurement-based safety tool for ketamine treatment in psychiatry

Objectives: On a background of the rapidly expanding clinical use of ketamine and esketamine for treatment of depression and other conditions, we examined safety monitoring, seeking to identify knowledge gaps relevant to clinical practice. Methods: An international group of psychiatrists discussed the issue of safety of ketamine and esketamine and came to a consensus on key safety gaps. Results: There is no standard safety monitoring for off-label generic ketamine. For intranasal esketamine, each jurisdiction providing regulatory approval may specify monitoring. Treatment is often provided beyond the period for which safety has been demonstrated, with no agreed framework for monitoring of longer term side effects for either generic ketamine or intranasal esketamine. Limitations: The KSET has established face and content validity, however it has not been validated against other measures of safety. Conclusions: We recommend the Ketamine Side Effect Tool (KSET) as a comprehensive safety monitoring tool for acute and longer term side effects

Holocene sea level fluctuations and coastal evolution in the central Algarve (southern Portugal)

In Armação de Pêra Bay, southern Portugal, environmental changes during the Holocene can be interpreted based on the morphological and sedimentological similarities between older geomorphic features (cemented beach and dune rocks) and present coastal features. Using knowledge of the present beach and dune processes, we propose a two-step model for the evolution of Armação de Pêra Bay. First, during the rapid sea level rise between about 8800 and 6600 yr cal BP, the bay changed from a positive to a negative budget littoral cell and transgressive dunes formed, favoured by drought conditions. At about 5000 yr cal BP, during a sea level maximum, beach width was less than the critical fetch and dunes stabilized and underwent cementation during the wetter Atlantic climatic event. The second phase of dune accumulation started at about 3200 yr cal BP, due to a regression of sea level during which the bay changed back to a positive budget littoral cell in which beach width was greater than the critical fetch. Currently, the beach width is less than the critical fetch, dunes are inactive, and the sedimentary budget is negative due to sediment storage in local river systems.Fundação para a Ciência e a Tecnologia. FEDER, and OE (Project POCTI/CTA/34162/2000

Spatial Ecology of White-Tailed Deer Fawns in the Northern Great Plains: Implications of Loss of Conservation Reserve Program Grasslands

Few studies have evaluated how wildlife, and white-tailed deer (Odocoileus virginianus) in particular, respond to Conservation Reserve Program (CRP) grasslands. We conducted a 3-year study (2007– 2009) to determine the influence of CRP on fawn ecology during a time of declining CRP enrollment. We captured and radiocollared 81 fawn white-tailed deer during 15 May to 15 June 2007–2009 in north-central South Dakota, collected 6,505 locations, and documented 70 summer home ranges. Mean summer home ranges increased temporally during 2007–2009 (P \u3c 0.001) and corresponded to a 41% loss of CRP grasslands in the area (2.3% loss in land cover and approx. 21% loss in cover habitat in the study area) over the duration of the study. Additionally, mean movement between daily locations increased (P \u3c 0.001) from 2007 to 2009. Analysis of covariance models indicated that change in CRP influenced home-range size, and change in CRP and wheat influenced daily movement. Smaller home ranges and reduced movements were associated with greater quantity of CRP available to fawns, and increased movements were associated with more acreage of wheat available to fawns. Fawns shifted resource selection during the summer at a mean age ranging from 48.8 days to 58.6 days, and this shift was associated with height of corn (83–87 cm). During early summer, fawns consistently selected for CRP; selection of wheat progressed temporally from avoidance in 2007 to selection in 2009. During late summer, fawns consistently selected for corn habitat and used CRP at least in proportion to its availability. Reduction in CRP-grasslands seemed to increase fawn home-range size and daily movements and, influenced change in resource selection to wheat. Current legislation mandates continued decrease in CRP enrollment and concomitant increase in the planting of corn for ethanol production. Management of habitat throughout the grasslands of the Northern Great Plains that maximizes cover habitats would provide neonates with adequate cover for protection from predators

Concise Review: Dissecting a Discrepancy in the Literature: Do Mesenchymal Stem Cells Support or Suppress Tumor Growth?

The discovery that mesenchymal stem cells (MSCs) are recruited into tumors has led to a great deal of interest over the past decade in the function of MSCs in tumors. To address this, investigators have used a variety of tumor models in which MSCs are added exogenously to determine their impact on tumor development. Interestingly, many studies have reported contradicting results, with some investigators finding that MSCs promote tumor growth and others reporting that MSCs inhibit tumor growth. Many mechanisms have been reported to account for these observations, such as chemokine signaling, modulation of apoptosis, vascular support, and immune modulation. In this review, we analyzed the differences in the methodology of the studies reported and found that the timing of MSC introduction into tumors may be a critical element. Understanding the conditions in which MSCs enhance tumor growth and metastasis is crucial, both to safely develop MSCs as a therapeutic tool and to advance our understanding of the role of tumor stroma in carcinogenesis. Stem Cells 2011;29:11–1

Comparing motivational, self-regulatory and habitual processes in a computer-tailored physical activity intervention in hospital employees - Protocol for the PATHS randomised controlled trial

Background: Most people do not engage in sufficient physical activity to confer health benefits and to reduce risk of chronic disease. Healthcare professionals frequently provide guidance on physical activity, but often do not meet guideline levels of physical activity themselves. The main objective of this study is to develop and test the efficacy of a tailored intervention to increase healthcare professionals' physical activity participation and quality of life, and to reduce work-related stress and absenteeism. This is the first study to compare the additive effects of three forms of a tailored intervention using different techniques from behavioural theory, which differ according to their focus on motivational, self-regulatory and/or habitual processes. Methods/Design: Healthcare professionals (N = 192) will be recruited from four hospitals in Perth, Western Australia, via email lists, leaflets, and posters to participate in the four group randomised controlled trial. Participants will be randomised to one of four conditions: (1) education only (non-tailored information only), (2) education plus intervention components to enhance motivation, (3) education plus components to enhance motivation and self-regulation, and (4) education plus components to enhance motivation, self-regulation and habit formation. All intervention groups will receive a computer-tailored intervention administered via a web-based platform and will receive supporting text-messages containing tailored information, prompts and feedback relevant to each condition. All outcomes will be assessed at baseline, and at 3-month follow-up. The primary outcome assessed in this study is physical activity measured using activity monitors. Secondary outcomes include: quality of life, stress, anxiety, sleep, and absenteeism. Website engagement, retention, preferences and intervention fidelity will also be evaluated as well as potential mediators and moderators of intervention effect. Discussion: This is the first study to examine a tailored, technology-supported intervention aiming to increase physical activity in healthcare professionals. The study will evaluate whether including additional theory-based behaviour change techniques aimed at promoting motivation, self-regulation and habit will lead to increased physical activity participation relative to information alone. The online platform developed in this study has potential to deliver efficient, scalable and personally-relevant intervention that can be translated to other occupational settings. Trial registration: Australian New-Zealand Clinical Trial Registry: ACTRN12616000462482, submitted 29/03/2016, prospectively registered 8/04/2016