Changing cultural pathways through gender role and sexual development: A theoretical framework

Greenfield's theory linking sociodemographic change to dynamic cultural values for family interdependence versus individual independence is applied to sexual and gender role socialization and development. The theory explains how cultural pathways for sexual and gender-role development transform in concert with sociodemographic changes: urbanization, formal schooling, capitalism, and communication technologies. As environments become more urban, commercial, and technological, with more opportunities for formal education, sexual development moves away from the ideals of procreation and family responsibility and toward the ideals of personal pleasure and personal responsibility. At the same time, gender-role development moves away from the ideals of complementary and ascribed gender roles and toward chosen and equal gender roles. We present psychological, anthropological, and sociological evidence for these trends in a variety of communities undergoing social and ecological change. © 2014 by the American Anthropological Association

Secondary Education and Health Outcomes in Young People from the Cape Area Panel Study (CAPS)

AIM: Education is one of the strongest social determinants of health, yet previous literature has focused on primary education. We examined whether there are additional benefits to completing upper secondary compared to lower secondary education in a middle-income country. METHODS: We performed a longitudinal analysis of the Cape Area Panel Study, a survey of adolescents living in South Africa. We undertook causal modeling using structural marginal models to examine the association between level of education and various health outcomes, using inverse probability weighting to control for sex, age, ethnicity, home language, income, whether employed in past year, region of birth, maternal educational status, marital status, whether currently pregnant and cognitive ability. Educational attainment was defined as primary (grades 1–7), lower secondary (grades 8–9) or upper secondary (grades 10–12). RESULTS: Of 3,432 participants, 165 (4.8%) had completed primary education, 646 (18.8%) lower secondary and 2,621 (76.3%) upper secondary. Compared to those completing lower secondary, males completing upper secondary education were less likely to have a health problem (OR 0.49; 95%CI 0.27–0.88; p = 0.02); describe their health as poor (0.52; 0.29–0.95; p = 0.03) or report that health interferes with daily life (0.54; 0.29–0.99; p = 0.047). Females were less likely to have been pregnant (0.45; 0.33–0.61; p<0.001) or pregnant under 18 (0.32; 0.22–0.46; p<0.001); and having had sex under 16 was also less likely (males 0.63; 0.44–0.91; p = 0.01; females 0.39; 0.26–0.58; p<0.001). Cigarette smoking was less likely (males 0.52; 0.38–0.70; p = <0.001; females 0.56; 0.41–0.76; p<0.001), as was taking illicit drugs in males (0.6; 0.38–0.96; p = 0.03). No associations were found between education and alcohol use, psychological distress, obesity, increased waist circumference or hypertension. CONCLUSION: Completing upper secondary education was associated with improved health outcomes compared with lower secondary education. Expanding upper secondary education offers middle-income countries an effective way of improving adolescent health

Cause-specific child and adolescent mortality in the UK and EU15+countries

Objective: To compare cause-specific UK mortality in children and young people (CYP) with EU15+ countries (European Union countries pre-2004, Australia, Canada and Norway). Design: Mortality estimates were coded from the WHO World Mortality Database. Causes of death were mapped using the Global Burden of Disease mortality hierarchy to 22 cause groups. We compared UK mortality by cause, age group and sex with EU15+ countries in 2015 (or latest available) using Poisson regression models. We then ranked the UK compared with the EU15+ for each cause. Setting: The UK and EU15+ countries. Participants CYP aged 1–19. Main outcome measure: Mortality rate per 100 000 and number of deaths. Results: UK mortality in 2015 was significantly higher than the EU15+ for common infections (both sexes aged 1–9, boys aged 10–14 and girls aged 15–19); chronic respiratory conditions (both sexes aged 5–14); and digestive, neurological and diabetes/urological/blood/endocrine conditions (girls aged 15–19). UK mortality was significantly lower for transport injuries (boys aged 15–19). The UK had the worst to third worst mortality rank for common infections in both sexes and all age groups, and in five out of eight non-communicable disease (NCD) causes in both sexes in at least one age group. UK mortality rank for injuries in 2015 was in the top half of countries for most causes. Conclusions UK CYP mortality is higher than a group of comparable countries for common infections and multiple NCD causes. Excess UK CYP mortality may be amenable to health system strengthening

Integral field spectroscopy of massive young stellar objects in the N113 H II region in the Large Magellanic Cloud

The Spitzer Surveying the Agents of Galaxy Evolution (SAGE) survey has allowed the identification and analysis of significant samples of Young Stellar Object (YSO) candidates in the Large Magellanic Cloud (LMC). However, the angular resolution of Spitzer is relatively poor meaning that at the distance of the LMC, it is likely that many of the Spitzer YSO candidates in fact contain multiple components. We present high-resolution K-band integral field spectroscopic observations of the three most prominent massive YSO candidates in the N113 H II region using Very Large Telescope/Spectrograph for INtegral Field Observations in the Near Infrared (VLT/SINFONI). We have identified six K-band continuum sources within the three Spitzer sources and we have mapped the morphology and velocity fields of extended line emission around these sources. Br γ, He I and H2 emission is found at the position of all six K-band sources; we discuss whether the emission is associated with the continuum sources or whether it is ambient emission. H2 emission appears to be mostly ambient emission and no evidence of CO emission arising in the discs of YSOs has been found. We have mapped the centroid velocities of extended Br γ emission and He I emission and found evidence of two expanding compact H II regions. One source shows compact and strong H2 emission suggestive of a molecular outflow. The diversity of spectroscopic properties observed is interpreted in the context of a range of evolutionary stages associated with massive star formation

Investigating equalisation of health inequalities during adolescence in four low-income and middle-income countries: an analysis of the Young Lives cohort study

OBJECTIVE: To investigate if socioeconomic gradients in health reduce during adolescence (the equalisation hypothesis) in four low-income and middle-income countries (LMIC). SETTING: Analysis of the Young Lives Study cohorts in Ethiopia, Peru, Vietnam and India. PARTICIPANTS: A total of 3395 participants (across the four cohorts) aged 6–10 years at enrolment and followed up for 11 years. OUTCOME MEASURED: Change in income-related health inequalities from mid-childhood to late adolescence. Socioeconomic status was determined by wealth index quartile. The health indicators included were self-reported health, injuries in the previous 4 years, presence of long-term health problems, low mood, alcohol use, overweight/obesity, thinness and stunting. The relative risk of each adverse health outcome between highest and lowest wealth index quartile were compared across four waves of the study within each country. RESULTS: We found steep socioeconomic gradients across multiple health indicators in all four countries. Socioeconomic gradients remained similar across all waves of the study, with no significant decrease during adolescence. CONCLUSION: We found no consistent evidence of equalisation for income-related health inequalities in youth in these LMIC. Socioeconomic gradients for health in these cohorts appear to persist and be equally damaging across the early life course and during adolescence

Towards a multi-tracer timeline of star formation in the LMC -- I.\ Deriving the lifetimes of H\,{\sc i} clouds

The time-scales associated with the various stages of the star formation process remain poorly constrained. This includes the earliest phases of star formation, during which molecular clouds condense out of the atomic interstellar medium. We present the first in a series of papers with the ultimate goal of compiling the first multi-tracer timeline of star formation, through a comprehensive set of evolutionary phases from atomic gas clouds to unembedded young stellar populations. In this paper, we present an empirical determination of the lifetime of atomic clouds using the Uncertainty Principle for Star Formation formalism, based on the de-correlation of H$\alpha$ and H\,{\sc i} emission as a function of spatial scale. We find an atomic gas cloud lifetime of 48$\substack{+13\\-8}$\,Myr. This timescale is consistent with the predicted average atomic cloud lifetime in the LMC (based on galactic dynamics) that is dominated by the gravitational collapse of the mid-plane ISM. We also determine the overlap time-scale for which both H\,{\sc i} and H$\alpha$ emission are present to be very short ($t_{over}<1.7$\,Myr), consistent with zero, indicating that there is a near-to-complete phase change of the gas to a molecular form in an intermediary stage between H\,{\sc i} clouds and H\,{\sc ii} regions. We utilise the time-scales derived in this work to place empirically determined limits on the time-scale of molecular cloud formation. By performing the same analysis with and without the 30 Doradus region included, we find that the most extreme star forming environment in the LMC has little effect on the measured average atomic gas cloud lifetime. By measuring the lifetime of the atomic gas clouds, we place strong constraints on the physics that drives the formation of molecular clouds and establish a solid foundation for the development of a multi-tracer timeline of star formation in the LMC

Community composition of nitrous oxide reducing bacteria investigated using a functional gene microarray

The diversity and environmental distribution of the nosZ gene, which encodes the enzyme responsible for the consumption of nitrous oxide, was investigated in marine and terrestrial environments using a functional gene microarray. The microbial communities represented by the nosZ gene probes showed strong biogeographical separation. Communities from surface ocean waters and agricultural soils differed significantly from each other and from those in oceanic oxygen minimum zones. Atypical nosZ genes, usually associated with incomplete denitrification pathways, were detected in all the environments, including surface ocean waters. The abundance of nosZ genes, as estimated by quantitative PCR, was highest in agricultural soils and lowest in surface ocean waters

Systematic review of reviews of symptoms and signs of COVID-19 in children and adolescents

OBJECTIVE: To undertake a systematic review of reviews of the prevalence of symptoms and signs of COVID-19 in those aged under 20 years. DESIGN: Narrative systematic review of reviews. PubMed, medRxiv, Europe PMC and COVID-19 Living Evidence Database were searched on 9 October 2020. SETTING: All settings, including hospitalised and community settings. PATIENTS: Children and young people (CYP) under age 20 years with laboratory-proven COVID-19. STUDY REVIEW, DATA EXTRACTION AND QUALITY: Potentially eligible articles were reviewed on title and abstract by one reviewer. Quality was assessed using the modified AMSTARS criteria and data were extracted from included studies by two reviewers. MAIN OUTCOME MEASURES: Prevalence of symptoms and signs of COVID-19. RESULTS: 1325 studies were identified and 18 reviews were included. Eight were high quality, 7 medium and 3 low quality. All reviews were dominated by studies of hospitalised children. The proportion of asymptomatic CYP ranged from 14.6% to 42%. Fever and cough were the the most common symptoms; proportions with fever ranged from 46% to 64.2% and with cough from 32% to 55.9%. All other symptoms or signs including rhinorrhoea, sore throat, headache, fatigue/myalgia and gastrointestinal symptoms including diarrhoea and vomiting were infrequent, occurring in less than 10%-20%. CONCLUSIONS: Fever and cough are the most common symptoms in CYP with COVID-19, with other symptoms infrequent. Further research on symptoms in community samples are needed to inform pragmatic identification and testing programmes for CYP

Lung function indices for predicting mortality in COPD

Chronic obstructive pulmonary disease (COPD) is characterised by high morbidity and mortality. It remains unknown which aspect of lung function carries the most prognostic information and if simple spirometry is sufficient. Survival was assessed in COPD outpatients whose data had been added prospectively to a clinical audit database from the point of first full lung function testing including spirometry, lung volumes, gas transfer and arterial blood gases. Variables univariately associated with survival were entered into a multivariate Cox proportional hazard model. 604 patients were included (mean±sd age 61.9±9.7 years; forced expiratory volume in 1 s 37±18.1% predicted; 62.9% males); 229 (37.9%) died during a median follow-up of 83 months. Median survival was 91.9 (95% CI 80.8–103) months with survival rates at 3 and 5 years 0.83 and 0.66, respectively. Carbon monoxide transfer factor % pred quartiles (best quartile (>51%): HR 0.33, 95% CI 0.172–0.639; and second quartile (51–37.3%): HR 0.52, 95% CI 0.322–0.825; versus lowest quartile (<27.9%)), age (HR 1.04, 95% CI 1.02–1.06) and arterial oxygen partial pressure (HR 0.85, 95% CI 0.77–0.94) were the only parameters independently associated with mortality. Measurement of gas transfer provides additional prognostic information compared to spirometry in patients under hospital follow-up and could be considered routinely