173 research outputs found
Variation in Oviposition Behaviour of Blow Flies (Diptera: Calliphoridae) due to Relative Humidity and Intraspecific Interactions
Blow flies are usually the first insects to arrive at carrion, using it to oviposit or breed. The behaviour to search for and accept a carrion resource as suitable for oviposition is influenced by abiotic factors, particularly temperature and humidity, as well as by the presence of other insects. My thesis focuses on the influence of relative humidity (RH), combined with intraspecific interactions, on oviposition choices of three blow fly species Lucilia sericata (Meigen), Phormia regina (Meigen), and Calliphora vicina Robineau-Desvoidy (Diptera: Calliphoridae). Individual fly oviposition behaviour was measured on a temperature gradient (10-40°C) under high (75- 85%) and low (25-35%) RH conditions, and in the presence of intraspecific eggs at hotter or cooler non-preferred locations on the temperature gradient under each RH conditions. The choice to oviposit or not, timing of first oviposition event, clutch size, and temperature choice for oviposition location along the temperature gradient were recorded. The results indicated that RH affected whether females would oviposit or not on the gradient, but for those that oviposited, RH did not affect clutch size or timing of oviposition. When in the presence of intraspecific eggs, fewer L. sericata females oviposited, with no change in behaviours regardless of RH. In contrast, no P. regina females oviposited in low RH but more females oviposted in high RH, ovipositing larger clutches and closer to the non-preferred intraspecific egg location on the gradient.Neither RH, nor presence of conspecific eggs influenced the number of C. vicina females that chose to oviposit, however, they laid fewer eggs in the presence of conspecifics. This study demonstrated that behavioural generalizations across insect family, such as blow flies, fail to recognize the species-specific responses to thermal preferences, RH conditions and even to the presence of eggs of their own species. These differences are vital to understanding oviposition behaviours, as it relates to species co-existence and to use of these species in forensic entomology
Psychometric Study on a Two-Factor Higher Order Structure of Mindfulness, Its Effects, and Mechanisms Related to Mental Health among Experienced Meditators
Objective: To investigate the psychometric and structural properties of the Five Facets Mindfulness Questionnaire (FFMQ) among meditators, to develop a short form, and to examine associations of mindfulness with mental health and the mechanisms of mindfulness. Methods: Two independent samples were used, a German (n = 891) and a Spanish (n = 393) meditator sample, practicing various meditation styles. Structural and psychometric properties of the FFMQ were investigated with multigroup confirmatory factor analysis and exploratory structural equation modeling. Associations with mental health and mechanisms of mindfulness were examined with path analysis. Results: The derived short form broadly matched a previous item selection in samples of non-meditators. Self-regulated Attention and Orientation to Experience governed the facets of mindfulness on a higher-order level. Higher-order factors of mindfulness and meditation experience were negatively associated with symptoms of depression and anxiety, and perceived stress. Decentering and nonattachment were the most salient mechanisms of mindfulness. Aspects of emotion regulation, bodily awareness, and nonattachment explained the effects of mindfulness on depression and anxiety. Conclusions: A two-component conceptualization for the FFMQ, and for the study of mindfulness as a psychological construct, is recommended for future research. Mechanisms of mindfulness need to be examined in intervention studie
The serenity of the meditating mind: A cross-cultural psychometric study on a two-factor higher order structure of mindfulness, its effects, and mechanisms related to mental health among experienced meditators.
Objective To investigate the psychometric and structural properties of the Five Facets Mindfulness Questionnaire (FFMQ) among meditators, to develop a short form, and to examine associations of mindfulness with mental health and the mechanisms of mindfulness. Methods Two independent samples were used, a German (n = 891) and a Spanish (n = 393) meditator sample, practicing various meditation styles. Structural and psychometric properties of the FFMQ were investigated with multigroup confirmatory factor analysis and exploratory structural equation modeling. Associations with mental health and mechanisms of mindfulness were examined with path analysis. Results The derived short form broadly matched a previous item selection in samples of non-meditators. Self-regulated Attention and Orientation to Experience governed the facets of mindfulness on a higher-order level. Higher-order factors of mindfulness and meditation experience were negatively associated with symptoms of depression and anxiety, and perceived stress. Decentering and nonattachment were the most salient mechanisms of mindfulness. Aspects of emotion regulation, bodily awareness, and nonattachment explained the effects of mindfulness on depression and anxiety. Conclusions A two-component conceptualization for the FFMQ, and for the study of mindfulness as a psychological construct, is recommended for future research. Mechanisms of mindfulness need to be examined in intervention studies
Live attenuated virus vaccine protects against SARS-CoV-2 variants of concern B.1.1.7 (Alpha) and B.1.351 (Beta).
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Land access, livelihoods, and dietary diversity in a fragile setting in northern Uganda
Food systems in fragile contexts are hardly investigated. We examined the crop value chain activities, agriculture income, coping strategy, and food consumption score (FCS) among South Sudan refugees (n = 394; refugee HH) and Uganda host communities (n = 420; host HH) living on the northern border of Uganda. Secondary data analysis was conducted using baseline data collected from an NGO-supported project. Linear regression analysis was conducted to test the association between the type of crop for growing and selling, agriculture income, coping strategy, and FCS in the refugee HH and host HH, separately. The mean number of growing and selling crops was 2.7 (SD 1.7) and 0.6 (1.0) in the refugee HH and 3.6 (1.4) and 1.3 (1.1) in the host HH. Overall food insecurity and FCS was poor in both refugee and host HH. Larger land access was associated with diverse crop production and crop selling in both groups (p < 0.05). The greater number of crop types grown was marginally associated with FCS in host HH only (β = 1.00; p = 0.05). Selling more types of crops was associated with agriculture income in both groups (p < 0.05) and was not related to rCSI in either group, but marginally associated with FCS among only host HH (β = 0.84; p = 0.04). An inequitable food system existed between the host community and South Sudan refugees residing on the northern border of Uganda. The findings suggest that diversifying crops for selling and enhancing marketing channels could aid both host and refugee communities in establishing resilient food systems
Randomized controlled trial of a coordinated care intervention to improve risk factor control after stroke or transient ischemic attack in the safety net: Secondary stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities (SUCCEED).
BackgroundRecurrent strokes are preventable through awareness and control of risk factors such as hypertension, and through lifestyle changes such as healthier diets, greater physical activity, and smoking cessation. However, vascular risk factor control is frequently poor among stroke survivors, particularly among socio-economically disadvantaged blacks, Latinos and other people of color. The Chronic Care Model (CCM) is an effective framework for multi-component interventions aimed at improving care processes and outcomes for individuals with chronic disease. In addition, community health workers (CHWs) have played an integral role in reducing health disparities; however, their effectiveness in reducing vascular risk among stroke survivors remains unknown. Our objectives are to develop, test, and assess the economic value of a CCM-based intervention using an Advanced Practice Clinician (APC)-CHW team to improve risk factor control after stroke in an under-resourced, racially/ethnically diverse population.Methods/designIn this single-blind randomized controlled trial, 516 adults (≥40 years) with an ischemic stroke, transient ischemic attack or intracerebral hemorrhage within the prior 90 days are being enrolled at five sites within the Los Angeles County safety-net setting and randomized 1:1 to intervention vs usual care. Participants are excluded if they do not speak English, Spanish, Cantonese, Mandarin, or Korean or if they are unable to consent. The intervention includes a minimum of three clinic visits in the healthcare setting, three home visits, and Chronic Disease Self-Management Program group workshops in community venues. The primary outcome is blood pressure (BP) control (systolic BP <130 mmHg) at 1 year. Secondary outcomes include: (1) mean change in systolic BP; (2) control of other vascular risk factors including lipids and hemoglobin A1c, (3) inflammation (C reactive protein [CRP]), (4) medication adherence, (5) lifestyle factors (smoking, diet, and physical activity), (6) estimated relative reduction in risk for recurrent stroke or myocardial infarction (MI), and (7) cost-effectiveness of the intervention versus usual care.DiscussionIf this multi-component interdisciplinary intervention is shown to be effective in improving risk factor control after stroke, it may serve as a model that can be used internationally to reduce race/ethnic and socioeconomic disparities in stroke in resource-constrained settings.Trial registrationClinicalTrials.gov Identifier NCT01763203
Clinical and Cost-Effectiveness of PSYCHOnlineTHERAPY: Study Protocol of a Multicenter Blended Outpatient Psychotherapy Cluster Randomized Controlled Trial for Patients With Depressive and Anxiety Disorders
Introduction: Internet- and mobile-based interventions (IMIs) and their integration into routine psychotherapy (i.e., blended therapy) can offer a means of complementing psychotherapy in a flexible and resource optimized way.
Objective: The present study will evaluate the non-inferiority, cost-effectiveness, and safety of two versions of integrated blended psychotherapy for depression and anxiety compared to standard cognitive behavioral therapy (CBT).
Methods: A three-armed multicenter cluster-randomized controlled non-inferiority trial will be conducted comparing two implementations of blended psychotherapy (PSYCHOnlineTHERAPYfix/flex) compared to CBT. Seventy-five outpatient psychotherapists with a CBT-license will be randomized in a 1:1:1 ratio. Each of them is asked to include 12 patients on average with depressive or anxiety disorders resulting in a total sample size of N = 900. All patients receive up to a maximum of 16 psychotherapy sessions, either as routine CBT or alternating with Online self-help sessions (fix: 8/8; flex: 0–16). Assessments will be conducted at patient study inclusion (pre-treatment) and 6, 12, 18, and 24 weeks and 12 months post-inclusion. The primary outcome is depression and anxiety severity at 18 weeks post-inclusion (post-treatment) using the Patient Health Questionnaire Anxiety and Depression Scale. Secondary outcomes are depression and anxiety remission, treatment response, health-related quality of life, patient satisfaction, working alliance, psychotherapy adherence, and patient safety. Additionally, several potential moderators and mediators including patient characteristics and attitudes toward the interventions will be examined, complemented by ecological day-to-day digital behavior variables via passive smartphone sensing as part of an integrated smart-sensing sub-study. Data-analysis will be performed on an intention-to-treat basis with additional per-protocol analyses. In addition, cost-effectiveness and cost-utility analyses will be conducted from a societal and a public health care perspective. Additionally, qualitative interviews on acceptance, feasibility, and optimization potential will be conducted and analyzed.
Discussion: PSYCHOnlineTHERAPY will provide evidence on blended psychotherapy in one of the largest ever conducted psychotherapy trials. If shown to be non-inferior and cost-effective, PSYCHOnlineTHERAPY has the potential to innovate psychotherapy in the near future by extending the ways of conducting psychotherapy. The rigorous health care services approach will facilitate a timely implementation of blended psychotherapy into standard care
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