Building Psychosocial Assets And Wellbeing Among Adolescent Girls: A Randomized Controlled Trial

We conducted a randomized controlled trial of a 5-month resilience-based program (Girls First Resilience Curriculum or RC) among 2308 rural adolescent girls at 57 government schools in Bihar, India. Local women with at least a 10th grade education served as group facilitators. Girls receiving RC improved more (vs. controls) on emotional resilience, self-efficacy, social-emotional assets, psychological wellbeing, and social wellbeing. Effects were not detected on depression. There was a small, statistically significant negative effect on anxiety (though not likely clinically significant). Results suggest psychosocial assets and wellbeing can be improved for girls in high-poverty, rural schools through a brief school-day program. To our knowledge, this is one of the largest developing country trials of a resilience-based school-day curriculum for adolescents. (C) 2015 The Authors. Published by Elsevier Ltd on behalf of The Foundation for Professionals in Services for Adolescents. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Fostering Emotional, Social, Physical And Educational Wellbeing In Rural India: The Methods Of A Multi-Arm Randomized Controlled Trial Of Girls First

Background: There are 600 million girls in low and middle income countries (LMICs), many of whom are at great risk for poor health and education. There is thus great need for programs that can effectively improve wellbeing for these girls. Although many interventions have been developed to address these issues, most focus on health and education without integrating attention to social and emotional factors. This omission is unfortunate, as nascent evidence indicates that these factors are closely related to health and education. This paper describes the methods of a 4-arm randomized controlled trial among 3,560 adolescent girls in rural Bihar, India that tested whether adding an intervention targeting social-emotional issues (based on a “resilience framework”) to an adolescent health intervention would improve emotional, social, physical, and educational wellbeing to a greater extent than its components and a control group. Study arms were: (1) Girls First, a combination of the Girls First Resilience Curriculum (RC) and the Girls First Health Curriculum (HC); (2) Girls First Resilience Curriculum (RC) alone; (3) Girls First Health Curriculum (HC) alone; and (4) a school-as-usual control group (SC). Methods: Seventy-six schools were randomized (19 per condition) and 74 local women with a tenth grade education were trained and monitored to facilitate the program. Quantitative data were collected from 3,560 girls over 4 assessment points with very low rates of participant attrition. Qualitative assessments were conducted with a subset of 99 girls and 27 facilitators. Results and conclusions: In this article, we discuss guiding principles that facilitated trial implementation, including integrating diverse local and non-local sources of knowledge, focusing on flexibility of planning and implementation, prioritizing systematic measurement selection, and striking a balance between scientific rigor and real-world feasibility

The Role of Canids in Ritual and Domestic Contexts: New Ancient DNA Insights from Complex Hunter-Gatherer Sites in Prehistoric Central California

This study explores the interrelationship between the genus Canis and hunter–gatherers through a case study of prehistoric Native Americans in the San Francisco Bay-Sacramento Delta area. A distinctive aspect of the region\u27s prehistoric record is the interment of canids, variously classified as coyotes, dogs, and wolves. Since these species are difficult to distinguish based solely on morphology, ancient DNA analysis was employed to distinguish species. The DNA study results, the first on canids from archaeological sites in California, are entirely represented by domesticated dogs (including both interments and disarticulated samples from midden deposits). These results, buttressed by stable isotope analyses, provide new insight into the complex interrelationship between humans and canids in both ritual and prosaic contexts, and reveal a more prominent role for dogs than previously envisioned

Long-Term X-ray Monitoring of 1E 1740.7-2942 and GRS 1758-258

We report on long-term observations of the Galactic-bulge black hole candidates 1E 1740.7-2942 and GRS 1758-258 with the Rossi X-Ray Timing Explorer. 1E 1740.7-2942 has been observed 77 times and GRS 1758-258 has been observed 82 times over the past 1000 days. The flux of each object has varied by no more than a factor of 2.5 during this period, and the indices of the energy spectra have varied by no more than 0.4. The power spectra are similar to other black-hole candidates: flat-topped noise, breaking to a power law. Each object has exhibited a brightening that lasted for several months, and we have a found a time lag between the photon power-law index and the count rate. In both sources, the spectrum is softest during the decline from the brightening. This behavior can be understood in the context of thin-disk and advection-dominated accretion flows coexisting over a wide range of radii, with the implication that both sources have low-mass companions and accrete via Roche-lobe overflow.Comment: Accepted for publication in The Astrophysical Journa

XTE J1739-302: An Unusual New X-ray Transient

A new x-ray transient, designated XTE J1739-302, was discovered with the Proportional Counter Array (PCA) on the Rossi X-ray Timing Explorer (RXTE) in data from 12 August 1997. Although it was the brightest source in the Galactic Center region while active (about 3.0 x 10^-9 ergs/cm2/s from 2 to 25 keV), it was only observed on that one day; it was not detectable nine days earlier or two days later. There is no known counterpart at other wavelengths, and its proximity to the Galactic Center will make such an identification difficult due to source confusion and extinction. The x-ray spectrum and intensity suggest a giant outburst of a Be/neutron star binary, although no pulsations were observed and the outburst was shorter than is usual from these systems.Comment: 11 pages incorporating 6 figures, AAStex; accepted for The Astrophysical Journal, Part 2 (Letters

Spectral analysis of the Galactic e+e- annihilation emission

We present a spectral analysis of the e+e- annihilation emission from the Galactic Centre region based on the first year of measurements made with the spectrometer SPI of the INTEGRAL mission. We have found that the annihilation spectrum can be modelled by the sum of a narrow and a broad 511 keV line plus an ortho-Ps continuum. The broad line is detected with a flux of (0.35+/-0.11)e-3 s-1 cm-2. The measured width of 5.4+/-1.2 keV FWHM is in agreement with the expected broadening of 511 keV photons emitted in the annihilation of Ps that are formed by the charge exchange process of slowing down positrons with H atoms. The flux of the narrow line is (0.72+/-0.12)e-3 s-1 cm-2 and its width is 1.3+/-0.4 keV FWHM. The measured ortho-Ps continuum flux yields a fraction of Ps of (96.7+/-2.2)%. To derive in what phase of the interstellar medium positrons annihilate, we have fitted annihilation models calculated for each phase to the data. We have found that 49(+2,-23)% of the annihilation emission comes from the warm neutral phase and 51(+3,-2)% from the warm ionized phase. While we may not exclude that less than 23% of the emission might come from cold gas, we have constrained the fraction of annihilation emission from molecular clouds and hot gas to be less than 8% and 0.5%, respectively. We have compared our knowledge of the interstellar medium in the bulge and the propagation of positrons with our results and found that they are in good agreement if the sources are diffusively distributed and if the initial kinetic energy of positrons is lower than a few MeV. Despite its large filling factor, the lack of annihilation emission from the hot gas is due to its low density, which allows positrons to escape this phase.Comment: 12 pages, 6 figures, accepted in A&

Measuring the symptomatic, physical, emotional and social impacts of dry mouth: A qualitative study

Objective To explore the impacts of dry mouth in order to develop a comprehensive condition‐specific OHRQoL measure. Background Dry mouth has been shown to have significant, if not more severe impacts on OHRQoL, than dental caries. Yet there remain few studies reporting on how to develop a comprehensive measure of the impact of dry mouth on OHRQoL. Methods This study was a qualitative study using semi‐structured interviews. Data were collected from a purposive sample of 17 people with dry mouth (14 women, three men). The sample was drawn to capture a comprehensive range of impacts of dry mouth. These interviews were analysed using a framework approach informed by existing functionalist approaches to OHRQoL. Results Participants reported a huge range of symptoms associated with perceived dry mouth resulting in extensive impacts on physical, emotional (psychological) and social functioning. Dry mouth could also result in restrictions in social participation which, under some conditions, could be disabling. These impacts were modified by psychological, social and environmental factors. Conclusions If we are to measure the impacts of oral conditions, it is important that this is done systematically and with reference to existing conceptual models of health. Current measures of the impact of dry mouth cover symptoms, discomfort and physical impacts along with some aspects of how people cope with the condition. This study proposes a more comprehensive approach that includes the full range of impacts people experience. Such an approach may enable us to focus on “downstream” and “upstream” interventions for dry mouth

Sex-Ratio, Health, and Social Status: A Biographical Description of Middle and Late Period Bay Area Children

The aim of this paper is to present new information pertaining to the demographic profile of the juvenile burial assemblage (n=39) from a Late Holocene site located on the eastern shore of the San Francisco Bay. CA-ALA-329 is commonly referred to as Ryan Mound and now bears the Muwekma Ohlone name of Mánni Muwékma Kúksú Hóowok Yatiš Túnnešte-tka, which means Place Where the People of the Kúksú (Bighead) Pendants are Buried. This site has been extensively studied and has contributed significantly to our understanding of life on the Bay during the Middle and Late Periods. However, most of the previous studies have focused on adults. The goal of the present study is to identify patterns in the profiles of those who died prematurely, including their sex, their degree of stress experienced based on skeletal indicators of disease/malnutrition, and their social status based on associated grave goods. Results show high incidence of skeletal indicators consistent with nutritional deficiency, disease/infection, and/or metabolic disorder observed in the sample. This suggests that this population was experiencing stress. Individual circumstances, such as age and sex, may also have contributed to poor health because infants have the highest prevalence of cribra orbitalia and periostitis. The distribution of wealth as evidenced by burial goods associated with the sample shows some correlation with age-at-death and the types of artifacts. Distribution of wealth also differs temporally. Inequality seems to have been highest in the Middle Period, while inequality decreased, but overall wealth increased, into the Late Period

Processes of Change in an Asthma Self-Care Intervention

The final version of this paper has been published in Qualitative Health Research, Vol. 23 (10), October 2013 by SAGE Publications Ltd, All rights reserved. © It is available at: http://qhr.sagepub.com/content/23/10/1419.longIn this article, we present a qualitative exploration of the psychological and communication processes that occur within an intervention to improve self-care for people with asthma. In the context of a primary-care-based trial of the intervention, we collected data at three time points for 21 patients, comprising 2 audiotaped consultations (nurse and patient together) and individual semistructured interviews 3 months after the second consultation. Using framework analysis, we identified both psychological processes (illness understanding, affective response to asthma, and reasoned motivation) and patientGÇôprovider interactions (active patient involvement and individual tailoring). We use these findings to extend and refine the pre-existing theoretical model of behavior change underpinning the intervention, in particular with relation to patientGÇôprovider interaction processes. We conclude that it is important for developers and providers of asthma self-care interventions to attend to the style of delivery as well as the behavior change techniques involved

Sex‐biased parental investment and female wealth accumulation in ancient California

ObjectivesThe mortuary record at Middle Period site Kalawwasa Rummeytak (CA-SCL-134) (2600-1225 cal BP) in California's southern Santa Clara Valley shows pronounced wealth inequality; Olivella shell bead wealth, as well as other grave goods, are concentrated in the burials of several older adult females. The concentration of wealth among women, along with regional strontium isotopic evidence of male-biased residential shifts in early adulthood, suggests a matrilineal kinship system that practiced matrilocal post-marital residence patterns. We suggest local resource enhancement effects incentivized keeping women in their natal communities and investing more in female offspring.Materials and methodsWith the consent of, and in collaboration with, the Muwekma Ohlone Tribe of the San Francisco Bay Area, this paper employs isotopic analysis (δ15 N and δ13 C, 86 Sr/87 Sr) to examine duration of exclusive breastfeeding, weaning age (complete cessation of breastmilk consumption), early childhood diet, and lifetime residential mobility of individuals interred at Kalawwasa Rummeytak to test the assumption that the site inhabitants favored matrilocality and that female offspring received greater levels of investment in groups with female wealth/status attainment. First molars, third molars, and bone was sampled from 22 individuals.ResultsThe average weaning age for females at Kalawwasa Rummeytak is 36.3 months ± 9.7 (1 SD), or just over 3 years. The average weaning age for males is 31.2 ± 7.9 months (1 SD), or about 2.6 years. Infants at the site were provisioned with supplemental foods dominated by C3 plants and terrestrial herbivores, as well as anadromous fish. After weaning, individuals consumed a diet dominated by acorns, C3 plants, and terrestrial herbivores, with periodic inclusion of anadromous fish. 30% of the sampled population of females exhibit local first molar 87 Sr/86 Sr values, suggesting that Kalawwasa Rummeytak is their natal community. None of the males interred at the site are locals.DiscussionDespite the small sample size often unavoidable in archaeological contexts, we find possible female-biased parental investment strategies. Cessation of breastfeeding (weaning) was, on average, 5 months earlier for males compared to females. There are no differences between females and males in the consumption of supplemental or post-weaning foods. Strontium data suggest a flexible postmarital residence system that favored matrilocality. This may have incentivized greater investment in female offspring