Adolescent psychopathological profiles and the outcome of the COVID-19 pandemic: Longitudinal findings from the UK Millennium Cohort Study

Background: According to cross-sectional studies, public health measures to contain the spread of COVID-19 are associated with adverse effects, including high level of psychological distress, anxiety, and depression. Aims: This study explored adolescent psychopathological profiles at age 17, and their role in predicting the impact of the COVID-19 pandemic at age 19. Methods: The analyses used a sample of 904 participants (mean age = 19.17 years) from the Millennium Cohort Study (MCS) sweep 7 who completed the mental health questions from January 2018 to March 2019 (mean age = 17.18 years) and the COVID-19 Survey in May 2020. Adolescent psychopathological profiles were identified by means of latent class analysis. Results: Four psychopathological profiles were identified: “low-symptom class” (60.17% of participants), “high-symptom class” (23.01% of participants), “substance/behavioural addictions class” (12.03% of participants), and “emotion-dysregulation class” (4.79% of participants). Adolescents in the high-symptom and emotional-dysregulation classes had the worst outcome during the lockdown. Specifically, they experienced more stress, conflict and loneliness, and lower levels of perceived social support than adolescents in the other psychopathological classes. Adolescents in the emotional-dysregulation class also consumed more alcohol and had worse financial situation during the lockdown compared to pre- lockdown period. Conclusion: Adolescent psychopathological profiles predicted the mental health impacts of the COVID-19 outbreak.Depto. de Medicina Legal, Psiquiatría y PatologíaFac. de MedicinaTRUEpu

The cosmic-ray positron excess and its imprint in the Galactic gamma-ray sky

We study the origin of the positron excess observed in the local cosmic-ray spectrum at high energies, and relate it to the cosmic rays and gamma-ray emission across the entire Galaxy. In particular, we explore the hypothesis of a single, dominant source accountable for primary electron-positron pairs. Since we are agnostic about the physical nature of the underlying source population, we consider four simple models that are representative of young pulsars, old stars (as a tracer of millisecond pulsars), and annihilating dark matter particles. In the dark matter hypothesis, we consider both a cored and a cuspy model for the halo in the Milky Way. Then, we compare the associated gamma-ray sky maps with Fermi-LAT data. The aim of this work is not to derive constraints or upper limits for the different models considered, but rather to explore the possibility, as a proof of concept, of building a self-consistent model able to explain simultaneously the origin of all cosmic-ray species, including positrons, as well as the Galactic center GeV gamma-ray emission. We find that the emission arising from pulsar wind nebulae is fairly concentrated near the mid plane, and therefore additional cosmic-ray sources must be invoked to explain the emission at the center of the Galaxy. If the local positron excess were mainly due to millisecond pulsars, inverse Compton scattering by the particles injected in the Milky Way bulge would naturally account for a non-negligible fraction of the central gamma-ray emission. The case of annihilating dark matter is very sensitive to the precise shape of the dark matter profile. The results for a standard NFW cuspy profile are above the gamma-ray measurements by as much as a factor of 2 in some regions of the Galaxy, while the results for an isothermal, cored profile are still compatible with the data. However, the cross-sections exceed the current constraints.Comment: 24 pages, 8 figure

FLUKA cross sections for cosmic-ray interactions with the DRAGON2 code

Secondary particles produced in spallation reactions of cosmic rays with the interstellar gas provide valuable information that allow us to investigate the injection and transport of charged particles in the Galaxy. A good understanding of the cross sections of production of these particles is crucial to correctly interpret our models, although the existing experimental data is very scarce and uncertain. We have developed a new set of cross sections, both inelastic and inclusive, computed with the FLUKA Monte Carlo nuclear code and tested its compatibility with CR data. Inelastic and inclusive cross sections have been compared to the most up-to-date data and parameterisations finding a general good agreement. Then, these cross sections have been implemented in the DRAGON2 code to characterize the spectra of CR nuclei up to Z = 26 and the secondary-to-primary ratios of B, Be and Li. Interestingly, we find that the FLUKA cross sections allow us to predict an energy-dependence of the B, Be and Li flux ratios which is compatible with AMS-02 data and to reproduce simultaneously these flux ratios with a scaling lower than 20%. Finally, we implement the cross sections of production of gamma rays, calculated with FLUKA, in the Gammasky code and compute diffuse gamma-ray sky maps and the local HI emissivity spectrum, finding a very good agreement with Fermi Large Area Telescope data

FLUKA cross sections for cosmic-ray interactions with the DRAGON2 code

Secondary particles produced in spallation reactions of cosmic rays with the interstellar gas provide valuable information that allow us to investigate the injection and transport of charged particles in the Galaxy. A good understanding of the cross sections of production of these particles is crucial to correctly interpret our models, although the existing experimental data is very scarce and uncertain. We have developed a new set of cross sections, both inelastic and inclusive, computed with the FLUKA Monte Carlo nuclear code and tested its compatibility with CR data. Inelastic and inclusive cross sections have been compared to the most up-to-date data and parameterisations finding a general good agreement. Then, these cross sections have been implemented in the DRAGON2 code to characterize the spectra of CR nuclei up to Z = 26 and the secondary-to-primary ratios of B, Be and Li. Interestingly, we find that the FLUKA cross sections allow us to predict an energy-dependence of the B, Be and Li flux ratios which is compatible with AMS-02 data and to reproduce simultaneously these flux ratios with a scaling lower than 20%. Finally, we implement the cross sections of production of gamma rays, calculated with FLUKA, in the Gammasky code and compute diffuse gamma-ray sky maps and the local HI emissivity spectrum, finding a very good agreement with Fermi Large Area Telescope data

Breastfeeding during COVID-19: A Narrative Review of the Psychological Impact on Mothers

The COVID-19 pandemic has altered the normal course of life, with measures to reduce the virus spread impacting motherhood expectations and, in particular, breastfeeding practices. This study aimed to review evidence regarding the impact of COVID-19 on breastfeeding plans and how these relate to women’s psychological outcomes. Searches were conducted on PubMed and Web of Science for studies in English, Spanish, and Portuguese between January 2020 and January 2021. All study designs and pre-prints were considered. Twelve studies were included. Reports suggest that COVID-19 impacts differently on breastfeeding plans, which in turn leads to distinctive mental health outcomes. Positive breastfeeding experiences have been observed when mothers perceive that they have more time for motherhood, which may be associated with better mental health outcomes. Negative breastfeeding experiences have been observed when mothers are separated from their newborns, when mothers struggle with breastfeeding, or when mothers perceive decreased family and professional support, which seems to be associated with worse mental health outcomes. These preliminary results highlight the need for further research into the association between COVID-19, breastfeeding expectations, and maternal mental health. Filling this gap will foster the development of guidelines and interventions to better support mothers experiencing the obstacles of COVID-19 pandemic

Cosmic-ray interactions with the Sun

The solar disk is a bright gamma-ray source in the sky. The interactions of cosmic rays with the solar atmosphere produce secondary particles which can reach the Earth. In this work we present a comprehensive calculation of the yields of secondary particles such as gamma-rays, electrons, positrons, neutrons and neutrinos, performed with the FLUKA code. We also estimate the intensity at the Sun and the fluxes at the Earth of these secondary particles by folding their yields with the intensities of cosmic rays impinging on the solar surface. The results are sensitive to the assumptions on the magnetic field near the Sun and to the cosmic-ray transport in the magnetic field in the inner solar system

Biological and Health-promoting Activity of Vinification Byproducts Produced in Spanish Vineyards

Several by-products are produced in the Spanish agricultural system. Among them, fresh and vinifiedgrape skins represent an abundant source of phenols with a potential nutraceutical value. Fresh grape skinextracts (FGSE) and vinification of grape skin extracts (VGSE) obtained by a microwave-assisted methodhave been chemically and biologically characterised. Their role in the maintenance of genetic stabilitywas stated by in vivo genotoxic and antigenotoxic evaluations (Drosophilla melanogaster wing spot test), aswell as by their potential chemopreventive effect (in an HL60 in vitro model). Total phenolic, anthocyaninand resveratrol contents were chemically characterised in the two extracts, showing some qualitativedifferences. Both extracts and resveratrol were not mutagenic in the Drosophila somatic mutation andrecombination tests, and exerted antigenotoxic activities against hydrogen peroxide. They also showedcytotoxic activity to HL60 leukaemia cells, with an IC50 of 4.5μL/mL, 4.6μL/mL and 98μM respectively andinduced apoptotic internucleosomic fragmentation in the HL60 cell line

Education and wealth inequalities in healthy ageing in eight harmonised cohorts in the ATHLOS consortium: a population-based study

Background: The rapid growth of the size of the older population is having a substantial effect on health and social care services in many societies across the world. Maintaining health and functioning in older age is a key public health issue but few studies have examined factors associated with inequalities in trajectories of health and functioning across countries. The aim of this study was to investigate trajectories of healthy ageing in older men and women (aged ≥45 years) and the effect of education and wealth on these trajectories. Methods: This population-based study is based on eight longitudinal cohorts from Australia, the USA, Japan, South Korea, Mexico, and Europe harmonised by the EU Ageing Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) consortium. We selected these studies from the repository of 17 ageing studies in the ATHLOS consortium because they reported at least three waves of collected data. We used multilevel modelling to investigate the effect of education and wealth on trajectories of healthy ageing scores, which incorporated 41 items of physical and cognitive functioning with a range between 0 (poor) and 100 (good), after adjustment for age, sex, and cohort study. Findings: We used data from 141 214 participants, with a mean age of 62·9 years (SD 10·1) and an age range of 45–106 years, of whom 76 484 (54·2%) were women. The earliest year of baseline data was 1992 and the most recent last follow-up year was 2015. Education and wealth affected baseline scores of healthy ageing but had little effect on the rate of decrease in healthy ageing score thereafter. Compared with those with primary education or less, participants with tertiary education had higher baseline scores (adjusted difference in score of 10·54 points, 95% CI 10·31–10·77). The adjusted difference in healthy ageing score between lowest and highest quintiles of wealth was 8·98 points (95% CI 8·74–9·22). Among the eight cohorts, the strongest inequality gradient for both education and wealth was found in the Health Retirement Study from the USA. Interpretation: The apparent difference in baseline healthy ageing scores between those with high versus low education levels and wealth suggests that cumulative disadvantage due to low education and wealth might have largely deteriorated health conditions in early life stages, leading to persistent differences throughout older age, but no further increase in ageing disparity after age 70 years. Future research should adopt a lifecourse approach to investigate mechanisms of health inequalities across education and wealth in different societies. Funding: European Union Horizon 2020 Research and Innovation Programme.The ATHLOS project was funded by the European Union Horizon 2020 Research and Innovation Programme (grant number 635316). This study was supported by the 5-year ATHLOS projec

Cross-disorder and disorder-specific deficits in social functioning among schizophrenia and Alzheimer's disease patients

BACKGROUND: Social functioning is often impaired in schizophrenia (SZ) and Alzheimer's disease (AD). However, commonalities and differences in social dysfunction among these patient groups remain elusive.MATERIALS AND METHODS: Using data from the PRISM study, behavioral (all subscales and total score of the Social Functioning Scale) and affective (perceived social disability and loneliness) indicators of social functioning were measured in patients with SZ (N = 56), probable AD (N = 50) and age-matched healthy controls groups (HC, N = 29 and N = 28). We examined to what extent social functioning differed between disease and age-matched HC groups, as well as between patient groups. Furthermore, we examined how severity of disease and mood were correlated with social functioning, irrespective of diagnosis.RESULTS: As compared to HC, both behavioral and affective social functioning seemed impaired in SZ patients (Cohen's d's 0.81-1.69), whereas AD patients mainly showed impaired behavioral social function (Cohen's d's 0.65-1.14). While behavioral indices of social functioning were similar across patient groups, SZ patients reported more perceived social disability than AD patients (Cohen's d's 0.65). Across patient groups, positive mood, lower depression and anxiety levels were strong determinants of better social functioning (p's &lt;0.001), even more so than severity of disease.CONCLUSIONS: AD and SZ patients both exhibit poor social functioning in comparison to age- and sex matched HC participants. Social dysfunction in SZ patients may be more severe than in AD patients, though this may be due to underreporting by AD patients. Across patients, social functioning appeared as more influenced by mood states than by severity of disease.</p