E-cigarette use among women of reproductive age: Impulsivity, cigarette smoking status, and other risk factors.

INTRODUCTION: The study aim was to examine impulsivity and other risk factors for e-cigarette use among women of reproductive age comparing current daily cigarette smokers to never cigarette smokers. Women of reproductive age are of special interest because of the additional risk that tobacco and nicotine use represents should they become pregnant. METHOD: Survey data were collected anonymously online using Amazon Mechanical Turk in 2014. Participants were 800 women ages 24-44years from the US. Half (n=400) reported current, daily smoking and half (n=400) reported smokingsociodemographics, tobacco/nicotine use, and impulsivity (i.e., delay discounting & Barratt Impulsiveness Scale). Predictors of smoking and e-cigarette use were examined using logistic regression. RESULTS: Daily cigarette smoking was associated with greater impulsivity, lower education, past illegal drug use, and White race/ethnicity. E-cigarette use in the overall sample was associated with being a cigarette smoker and greater education. E-cigarette use among current smokers was associated with increased nicotine dependence and quitting smoking; among never smokers it was associated with greater impulsivity and illegal drug use. E-cigarette use was associated with hookah use, and for never smokers only with use of cigars and other nicotine products. CONCLUSIONS: E-cigarette use among women of reproductive age varies by smoking status, with use among current smokers reflecting attempts to quit smoking whereas among non-smokers use may be a marker of a more impulsive repertoire that includes greater use of alternative tobacco products and illegal drugs

Report: North Dakota Alzheimer’s and dementia state plan: Current status of, and recommendations for, meeting the needs of individuals and families with Alzheimer’s disease and other dementias

North Dakota reports the fourth highest mortality rate for Alzheimer’s disease in the United States (U.S.) at 52.9 per 100,000 North Dakota residents. The rate for the U.S. is 37 per 100,000 residents. Although leading in mortality, North Dakota is one of a few states with a State Plan for Alzheimer’s and Dementia over 12 years old. This plan was written in July of 2007 and is less than two pages. Although it does mention Alzheimer’s and other other dementias, it does not specifically outline a plan to address services for those living with, or supporting those living with, dementia in North Dakota. This current state plan, developed in 2021, reviewed existing data, involved stakeholders and community members, and identified strengths in the current plan as well as opportunities to reach the following vision: Create an inclusive community and health system that understands, respects, and supports persons who are at-risk of or diagnosed with Alzheimer’s and other dementias, and their caregivers

ModE-Sim – a medium-sized atmospheric general circulation model (AGCM) ensemble to study climate variability during the modern era (1420 to 2009)

We introduce ModE-Sim (Modern Era SIMulations), a medium-sized ensemble of simulations with the atmospheric general circulation model ECHAM6 in its LR (low-resolution) version (T63; approx. 1.8∘ horizontal grid width with 47 vertical levels). At the lower boundary we use prescribed sea surface temperatures and sea ice that reflect observed values while accounting for uncertainties in these. Furthermore we use radiative forcings that also reflect observed values while accounting for uncertainties in the timing and strength of volcanic eruptions. The simulations cover the period from 1420 to 2009. With 60 ensemble members between 1420 and 1850 and 36 ensemble members from 1850 to 2009, ModE-Sim consists of 31 620 simulated years in total. ModE-Sim is suitable for many applications as its various subsets can be used as initial-condition and boundary-condition ensembles to study climate variability. The main intention of this paper is to give a comprehensive description of the experimental setup of ModE-Sim and to provide an evaluation, mainly focusing on the two key variables, 2 m temperature and precipitation. We demonstrate ModE-Sim's ability to represent their mean state, to produce a reasonable response to external forcings, and to sample internal variability. Through the example of heat waves, we show that the ensemble is even capable of capturing certain types of extreme events.</p

COVERS Neonatal Pain Scale: Development and Validation

Newborns and infants are often exposed to painful procedures during hospitalization. Several different scales have been validated to assess pain in specific populations of pediatric patients, but no single scale can easily and accurately assess pain in all newborns and infants regardless of gestational age and disease state. A new pain scale was developed, the COVERS scale, which incorporates 6 physiological and behavioral measures for scoring. Newborns admitted to the Neonatal Intensive Care Unit or Well Baby Nursery were evaluated for pain/discomfort during two procedures, a heel prick and a diaper change. Pain was assessed using indicators from three previously established scales (CRIES, the Premature Infant Pain Profile, and the Neonatal Infant Pain Scale), as well as the COVERS Scale, depending upon gestational age. Premature infant testing resulted in similar pain assessments using the COVERS and PIPP scales with an r = 0.84. For the full-term infants, the COVERS scale and NIPS scale resulted in similar pain assessments with an r = 0.95. The COVERS scale is a valid pain scale that can be used in the clinical setting to assess pain in newborns and infants and is universally applicable to all neonates, regardless of their age or physiological state

Physical Activity and Immunity in HIV-Infected Individuals

The purpose of this study was to determine what relationship exists among physical activity levels and viral load and CD4+ cell count in HIV-infected individuals. Increased viral load is associated with disease progression and symptom severity. A convenience sample of 66 male and female subjects between the ages of 18 and 64 years of age (mean 399/8) was recruited from a hospital-based HIV/AIDS clinic. Components of PA were assessed for three continuous days using a mini-motion logger wrist actigraph. These components included mean PA level, and PA index and acceleration index. Pearson’s correlational analysis was used to test the strength of association between PA components and viral load or CD4+ cell count. A significant inverse relationship was found between mean PA level and viral load (p=0.047). An inverse relationship was also observed between PA index and viral load (p=0.0061). Neither mean PA nor PA index scores correlated with CD4+ cell counts. Acceleration index, a measure of PA intensity, showed no correlation to viral load or CD4+ cell counts. These findings suggest that increasing levels of physical activity might have beneficial effects on viral load in HIV-infected individuals

Patterns of ontogenetic evolution across extant marsupials reflect different allometric pathways to ecomorphological diversity

The relatively high level of morphological diversity in Australasian marsupials compared to that observed among American marsupials remains poorly understood. We undertake a comprehensive macroevolutionary analysis of ontogenetic allometry of American and Australasian marsupials to examine whether the contrasting levels of morphological diversity in these groups are reflected in their patterns of allometric evolution. We collate ontogenetic series for 62 species and 18 families of marsupials (n = 2091 specimens), spanning across extant marsupial diversity. Our results demonstrate significant lability of ontogenetic allometric trajectories among American and Australasian marsupials, yet a phylogenetically structured pattern of allometric evolution is preserved. Here we show that species diverging more than 65 million years ago converge in their patterns of ontogenetic allometry under animalivorous and herbivorous diets, and that Australasian marsupials do not show significantly greater variation in patterns of ontogenetic allometry than their American counterparts, despite displaying greater magnitudes of extant ecomorphological diversity.Fil: Wilson, Ana Laura. The Australian National University; Australia. University of New South Wales; AustraliaFil: López Aguirre, Camilo. University of Toronto; CanadáFil: Archer, Michael. University of New South Wales; AustraliaFil: Hand, Suzanne J.. University of New South Wales; AustraliaFil: Flores, David Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Abdala, Nestor Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Giannini, Norberto Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; Argentina. Universidad Nacional de Tucumán; Argentin

Influence of warming and atmospheric circulation changes on multidecadal European flood variability

International audienceEuropean flood frequency and intensity change on a multidecadal scale. Floods were more frequent in the 19th (central Europe) and early 20th century (western Europe) than during the mid-20th century and again more frequent since the 1970s. The causes of this variability are not well understood and the relation to climate change is unclear. Palaeoclimate studies from the northern Alps suggest that past flood-rich periods coincided with cold periods. In contrast, some studies suggest that more floods might occur in a future, warming world. Here we address the contribution of atmospheric circulation and of warming to multidecadal flood variability. For this, we use long series of annual peak streamflow, daily weather data, reanalyses, and reconstructions. We show that both changes in atmospheric circulation and moisture content affected multidecadal changes of annual peak streamflow in central and western Europe over the past two centuries. We find that during the 19th and early 20th century, atmospheric circulation changes led to high peak values of moisture flux convergence. The circulation was more conducive to strong and long-lasting precipitation events than in the mid-20th century. These changes are also partly reflected in the seasonal mean circulation and reproduced in atmospheric model simulations, pointing to a possible role of oceanic variability. For the period after 1980, increasing moisture content in a warming atmosphere led to extremely high moisture flux convergence. Thus, the main atmospheric driver of flood variability changed from atmospheric circulation variability to water vapour increase.La fréquence et l'intensité des inondations en Europe changent à une échelle multidécennale. Les inondations étaient plus fréquentes au 19ème (Europe centrale) et au début du 20ème siècle (Europe occidentale) qu'au milieu du 20ème siècle et à nouveau plus fréquentes depuis les années 1970. Les causes de cette variabilité ne sont pas bien comprises et la relation avec le changement climatique n'est pas claire. Les études paléoclimatiques menées dans les Alpes du Nord suggèrent que les périodes passées riches en inondations coïncidaient avec des périodes froides. En revanche, certaines études suggèrent que davantage d'inondations pourraient se produire dans un monde futur en réchauffement. Nous abordons ici la contribution de la circulation atmosphérique et du réchauffement à la variabilité multidécennale des inondations. Pour cela, nous utilisons de longues séries de débit maximal annuel, des données météorologiques quotidiennes, des réanalyses et des reconstructions climatiques. Nous montrons que les changements de la circulation atmosphérique et du contenu en humidité ont affecté les changements multidécennaux du débit maximal annuel en Europe centrale et occidentale au cours des deux derniers siècles. Nous constatons qu'au cours du 19ème et du début du 20ème siècle, les changements de la circulation atmosphérique ont conduit à des valeurs de pointe élevées de convergence du flux d'humidité. La circulation était plus propice à des événements de précipitations forts et durables qu'au milieu du 20e siècle. Ces changements se reflètent également en partie dans la circulation moyenne saisonnière et sont reproduits dans les simulations des modèles atmosphériques, ce qui indique un rôle possible de la variabilité océanique. Pour la période après 1980, l'augmentation de la teneur en humidité dans une atmosphère qui se réchauffe a conduit à une convergence extrêmement élevée des flux d'humidité. Ainsi, le principal moteur atmosphérique de la variabilité des crues est passé de la variabilité de la circulation atmosphérique à l'augmentation de la vapeur d'eau