The Effects of Adverse Childhood Experiences on Subsequent Injury in Young Adulthood: Findings from the National Longitudinal Study of Adolescent and Adult Health

The objective of this study is to examine the association between adverse childhood experiences (ACEs) in the context of family and community and the likelihood of subsequent unintentional and intentional, nonfatal injury in young adulthood (ages 24-32 years). Using a cross sectional study design, data from Waves I and IV of the National Longitudinal Study of Adolescent and Adult Health, a nationally representative sample (n = 14,800) was used to examine the relationship between 16 types of ACEs and a cumulative ACE score and the odds of seven injury outcomes in young adulthood. Over a third (37.6%) of young adults sustained at least one of the seven injury outcomes. Most (93.4%) participants endorsed at least one ACE type with a mean ACE score of 2.99 (SE, 0.26). Overall, child maltreatment, particularly physical abuse and emotional neglect, tended to have a strong influence on the odds of both unintentional and intentional injury (p \u3c .05). Interpersonal loss, such as a family member or friend’s suicide attempt or experiencing the death of a parent tended to have a strong influence on the odds of intentional injuries (p \u3c .05). With the exception of suicide attempt, we found a significant graded relationship between the number of ACE exposures and injury. For every additional ACE endorsed, the odds of injury were: Serious Injury (odds ratio (OR): 1.16), Motor Vehicle Accident (OR: 1.09), Physical IPV (OR: 1.13), Sexual IPV (OR: 1.22), Shot/Stabbed (OR: 1.16), Beaten Up (OR: 1.25). This study suggests that exposure to ACEs in childhood and adolescence are risk factors that increase the odds of subsequent injury in young adulthood

Lesser than diabetes hyperglycemia in pregnancy is related to perinatal mortality: a cohort study in Brazil

Results: We ascertained 97 perinatal deaths (67 fetal and 31 early neonatal). Odds of dying increased according to glucose levels, statistically significantly so only for women delivering at gestational age ≥34 weeks (p < 0.05 for glycemia-gestational age interaction). ORs for a 1 standard deviation difference in glucose, when analyzed continuously, were for fasting 1.47 (95% CI 1.12, 1.92); 1-h 1.55 (95% CI 1.15, 2.07); and 2-h 1.53 (95% CI 1.15, 2.02). The adjusted OR for IADPSG criteria gestational diabetes was 2.21 (95% CI 1.15, 4.27); and for WHO criteria gestational diabetes, 3.10 (95% CI 1.39, 6.88). Conclusions: In settings of limited detection and treatment of gestational diabetes mellitus, women across a spectrum of lesser than diabetes hyperglycemia, experienced a continuous rise in perinatal death with increasing levels of glycemia after 34 weeks of pregnancy. Current GDM diagnostic criteria identified this increased risk of mortality

Some ecophysiological information on Geloina expansa (Bivalvia: Cyrenidae) population in Santiago River, northern Philippines: prelude to aquaculture technique development

Knowledge on the optimum environmental conditions for a potential aquaculture species is necessary to simulate an artificial setting. The current study investigated the influence of several environmental parameters on the physiology of the mud clam Geloina expansa under natural condition. Highest CIs were recorded during the months of May to August, averaging to 179.79 (±6.47 SE) while the rest of the months averaged only 158.53 (±2.68). Geloina expansa population monthly GSI in Santiago River ranged from 9.64 to 26.51, low values were observed from November to February (12.00±0.36) and from June to July (12.24±2.59). Chlorophyll a concentration and sediment TOM have significant influence in CI variations. DO significantly affected the changes in GSI. These ecophysiological information are vital for the development of aquaculture techniques for G. expansa in northern Philippines

Characterization of Coffee ringspot virus-Lavras: A model for an emerging threat to coffee production and quality

AbstractThe emergence of viruses in Coffee (Coffea arabica and Coffea canephora), the most widely traded agricultural commodity in the world, is of critical concern. The RNA1 (6552nt) of Coffee ringspot virus is organized into five open reading frames (ORFs) capable of encoding the viral nucleocapsid (ORF1p), phosphoprotein (ORF2p), putative cell-to-cell movement protein (ORF3p), matrix protein (ORF4p) and glycoprotein (ORF5p). Each ORF is separated by a conserved intergenic junction. RNA2 (5945nt), which completes the bipartite genome, encodes a single protein (ORF6p) with homology to RNA-dependent RNA polymerases. Phylogenetic analysis of L protein sequences firmly establishes CoRSV as a member of the recently proposed Dichorhavirus genus. Predictive algorithms, in planta protein expression, and a yeast-based nuclear import assay were used to determine the nucleophillic character of five CoRSV proteins. Finally, the temperature-dependent ability of CoRSV to establish systemic infections in an initially local lesion host was quantified

Contributos da epistemologia sistémica na investigação com famílias

Considerando a importância dos estudos científicos com famílias e o crescente interesse dos investigadores por esta temática, tanto nas ciências psicológicas como noutras (e.g., educação), esta reflexão foca a utilização de uma abordagem teórica e metodológica, fundamentada na epistemologia sistémica, no desenvolvimento da investigação com famílias. Para o efeito, apresentam-se exemplos de diferentes investigações, baseadas nesta epistemologia, e evidenciam-se as diferenças entre o paradigma “tradicional” (e.g., Descartes) e o paradigma sistémico: simplicidade versus complexidade; estabilidade versus instabilidade; objetividade versus intersubjetividade. Pensar e investigar sistemicamente as famílias implica: cruzar fontes e níveis de informação, focar a análise na relação, contextualizar social, cultural e historicamente, considerar o fator tempo e a perspetiva longitudinal, e, finalmente, recorrer à triangulação metodológica. Resumindo, estudar as famílias, através de uma perspetiva sistémica, requer uma atitude de contextualização e de reconhecimento da causalidade recursiva, o que pode ser favorecido pela combinação de diferentes estratégias e instrumentos metodológicos.Considering the importance of scientific studies with families and the growing interest of researchers in this subject, in psychological and in other sciences (e.g., education), this work focus on the use of a theoretical and methodological approach, based on systemic epistemology, within the development in families’ research. Therefore, different research’ examples are presented, according to that epistemology, and the differences between the “traditional” (e.g., Descartes) and systemic paradigms are evidenced: simplicity versus complexity; stability versus instability; objectivity versus intersubjetivity. Thinking and researching families in a systemic way implies: crossing sources and informative levels, focusing the analysis on relation, considering the social, cultural and historical context, as well as the time factor and a longitudinal perspective and, finally, using methodological triangulation. In summary, studying families, through a systemic perspective, requires an attitude of contextualization and recursive causality awareness, which could be improved by the combination of different methodological strategies and instruments.info:eu-repo/semantics/publishedVersio

Pioglitazone corrects dysregulation of skeletal muscle mitochondrial proteins involved in ATP synthesis in type 2 diabetes

Context: In this study, we aimed to identify the determinants of mitochondrial dysfunction in skeletal muscle (SKLM) of subjects with type 2 diabetes (T2DM), and to evaluate the effect of pioglitazone (PIO) on SKLM mitochondrial proteome. Methods: Two different groups of adults were studied. Group I consisted of 8 individuals with normal glucose tolerance (NGT) and 8 with T2DM, subjected to SKLM mitochondrial proteome analysis by 2D-gel electrophoresis followed by mass spectrometry-based protein identification. Group II included 24 individuals with NGT and 24 with T2DM, whose SKLM biopsies were subjected to immunoblot analysis. Of the 24 subjects with T2DM, 20 were randomized to receive placebo or PIO (15 mg daily) for 6 months. After 6 months of treatment, SKLM biopsy was repeated. Results: Mitochondrial proteomic analysis on Group I revealed that several mitochondrial proteins involved in oxidative metabolism were differentially expressed between T2DM and NGT groups, with a downregulation of ATP synthase alpha chain (ATP5A), electron transfer flavoprotein alpha-subunit (ETFA), cytochrome c oxidase subunit VIb isoform 1 (CX6B1), pyruvate dehydrogenase protein X component (ODPX), dihydrolipoamide dehydrogenase (DLDH), dihydrolipoamide-S-succinyltransferase (DLST), and mitofilin, and an up-regulation of hydroxyacyl-CoA-dehydrogenase (HCDH), 3,2-trans-enoyl-CoA-isomerase (D3D2) and delta3,5-delta2,4-dienoyl-CoA-isomerase (ECH1) in T2DM as compared to NGT subjects. By immunoblot analysis on SKLM lysates obtained from Group II we confirmed that, in comparison to NGT subjects, those with T2DM exhibited lower protein levels of ATP5A (−30%, P = 0.006), ETFA (−50%, P = 0.02), CX6B1 (−30%, P = 0.03), key factors for ATP biosynthesis, and of the structural protein mitofilin (−30%, P = 0.01). T2DM was associated with a reduced abundance of the enzymes involved in the Krebs cycle DLST and ODPX (−20%, P ≤ 0.05) and increased levels of HCDH and ECH1, enzymes implicated in the fatty acid catabolism (+30%, P ≤ 0.05). In subjects with type 2 diabetes treated with PIO for 6 months we found a restored SKLM protein abundance of ATP5A, ETFA, CX6B1, and mitofilin. Moreover, protein levels of HCDH and ECH1 were reduced by −10% and − 15% respectively (P ≤ 0.05 for both) after PIO treatment. Conclusion: Type 2 diabetes is associated with reduced levels of mitochondrial proteins involved in oxidative phosphorylation and an increased abundance of enzymes implicated in fatty acid catabolism in SKLM. PIO treatment is able to improve SKLM mitochondrial proteomic profile in subjects with T2DM

Cross-cultural adaptation of the PatientDoctor Relationship Questionnaire (PDRQ-9) in Brazil

OBJETIVO: Descrever o processo de adaptação transcultural do Patient-Doctor Relationship Questionnaire (PDRQ-9), além de comparar a concordância entre duas diferentes formas de aplicação. MÉTODOS: Estudo transversal, com 133 usuários adultos de uma Unidade Básica de Saúde de Porto Alegre, RS. O PDRQ-9 foi respondido pelos participantes de maneira autoaplicada e por meio de entrevista. O instrumento também foi validado por entrevista, utilizando os dados de 628 participantes da Pesquisa de Avaliação do Programa Mais Médicos, um estudo transversal com amostra sistemática de Unidades Básicas de Saúde em todas as regiões do Brasil. Foram realizadas avaliações de equivalência semântica, conceitual e de itens, análise fatorial e avaliação da fidedignidade. RESULTADOS: Todos os itens apresentaram carga fatorial &gt; 0,5 nos diferentes métodos de aplicação e populações na análise fatorial. Foi encontrado alfa de Cronbach de 0,94 no método autoaplicado. A aplicação por meio de entrevista encontrou alfa de Cronbach de 0,95 e 0,94 nas duas amostras diferentes. A utilização do PDRQ-9 por meio de entrevista ou de maneira autoaplicada foi considerada equivalente. CONCLUSÕES: A adaptação transcultural do PDRQ-9 no Brasil replicou a estrutura fatorial encontrada no estudo original, com alta consistência interna. O instrumento poderá ser utilizado como uma nova dimensão na avaliação da qualidade do cuidado em saúde em pesquisas clínicas, na avaliação de serviços e em saúde pública, na gestão em saúde e na formação profissional. Novos estudos poderão ampliar a avaliação de outras propriedades do instrumento, bem como seu comportamento em diferentes populações e contextos.OBJECTIVE: To describe the process of cross-cultural adaptation of the Patient-Doctor Relationship Questionnaire (PDRQ-9), as well as compare the agreement between two different types of application. METHODS: This is a cross-sectional study with 133 adult users of a Primary Health Service in Porto Alegre, State of Rio Grande do Sul, Brazil. The PDRQ-9 was answered by the participants as a self-administered questionnaire and in an interview. The instrument was also validated by interview, using data from 628 participants of the Mais Médicos Program Evaluation Research, which is a cross-sectional study with a systematic sample of Primary Care Services in all regions of Brazil. We evaluated the semantic, conceptual, and item equivalence, as well as factor analysis and reliability. RESULTS: All items presented factor loading &gt; 0.5 in the different methods of application and populations in the factor analysis. We found Cronbach’s alpha of 0.94 in the self-administered method. We found Cronbach’s alpha of 0.95 and 0.94 in the two different samples in the interview application. The use of PDRQ-9 with an interview or self-administered was considered equivalent. CONCLUSIONS: The cross-cultural adaptation of the PDRQ-9 in Brazil replicated the factorial structure found in the original study, with high internal consistency. The instrument can be used as a new dimension in the evaluation of the quality of health care in clinical research, in the evaluation of services and public health, in health management, and in professional training. Further studies can evaluate other properties of the instrument, as well as its behavior in different populations and contexts

Using an adoption–biological family design to examine associations between maternal trauma, maternal depressive symptoms, and child internalizing and externalizing behaviors

Maternal trauma is a complex risk factor that has been linked to adverse child outcomes, yet the mechanisms underlying this association are not well understood. This study, which included adoptive and biological families, examined the heritable and environmental mechanisms by which maternal trauma and associated depressive symptoms are linked to child internalizing and externalizing behaviors. Path analyses were used to analyze data from 541 adoptive mother–adopted child (AM–AC) dyads and 126 biological mother–biological child (BM–BC) dyads; the two family types were linked through the same biological mother. Rearing mother’s trauma was associated with child internalizing and externalizing behaviors in AM–AC and BM–BC dyads, and this association was mediated by rearing mothers’ depressive symptoms, with the exception of biological child externalizing behavior, for which biological mother trauma had a direct influence only. Significant associations between maternal trauma and child behavior in dyads that share only environment (i.e., AM–AC dyads) suggest an environmental mechanism of influence for maternal trauma. Significant associations were also observed between maternal depressive symptoms and child internalizing and externalizing behavior in dyads that were only genetically related, with no shared environment (i.e., BM–AC dyads), suggesting a heritable pathway of influence via maternal depressive symptoms