‘Find a sport and carry on’: Posttraumatic growth and achievement in British Paralympic athletes

Background: The negative aftermath of acquired disability has been studied rigorously. The research on achievement and success after an acquired disability is still in its infancy, and more research is needed on the positive psychological outcomes that may arise as a result of surviving and dealing with trauma. Objective: This study aimed to provide an in-depth account of the experience of acquired disability, engagement in elite sport and Posttraumatic Growth in Paralympic athletes. Method: Three self-selected athletes (two females, one male) from Great Britain's 2012 Paralympic team were interviewed using semi-structured techniques. The interviews were recorded, and the data was transcribed. Data were analysed using Interpretative Phenomenological Analysis (IPA). Results: The study identified that for these athletes, sport was a fundamental route to experiencing posttraumatic growth (PTG). Sport was perceived to be a platform of recovery, camaraderie, achievements and the basis for a new identity as an athlete. Furthermore, the team was seen as a resource, creating a safe environment in which to learn new skills, share practical ideas and promote a sense of equality. Additionally, the role of the body in facilitating PTG was central to these individuals’ experiences. Considerations of these findings as well as suggestions for future research are discussed

Addressing India’s water challenge 2050: the virtual water trade option

The Government of India, on directions from the Supreme Court in 2002 and advice from the National Water Development Agency (NWDA), proposed an estimated US$120 billion National River Linking Project (NRLP) which envisages linking 37 Himalayan and Peninsular rivers (Figure 1; NCIWRD 1999). Doing this will form a gigantic South Asian water grid which will annually handle 178×109 m3/yr of interbasin water transfer; build 12,500 km of canals; generate 34 gigawatts of hydropower; add 35 million hectares (Mha) to India’s irrigated areas; and generate inland navigation benefits (IWMI 2003; NWDA 2006; Gupta and van der Zaag 2007)

The enhancing effects of testosterone in exposure treatment for social anxiety disorder: a randomized proof-of-concept trial

Individuals with a social anxiety disorder (SAD) show hypofunctioning of the hypothalamus-pituitary-gonadal (HPG) axis, which is linked to social fear and avoidance behavior. As testosterone administration has been shown to facilitate social-approach behavior in this population, it may enhance the effectiveness of exposure treatment. In this proof-of-concept study, we performed a randomized clinical assay in which 55 women diagnosed with SAD received two exposure therapy sessions. Session 1 was supplemented with either testosterone (0.50 mg) or placebo. Next, transfer effects of testosterone augmentation on within-session subjective fear responses and SAD symptom severity were assessed during a second, unenhanced exposure session (session 2) and at a 1-month follow-up, respectively. The participants having received testosterone showed a more reactive fear pattern, with higher peaks and steeper reductions in fear levels in session 2. Post-hoc exploration of moderating effects of endogenous testosterone levels, revealed that this pattern was specific for women with high basal testosterone, both in the augmented and in the transfer session. In contrast, the participants with low endogenous testosterone showed reduced peak fear levels throughout session 1, again with transfer to the unenhanced session. Testosterone did not significantly affect self-reported anxiety. The effects of testosterone supplementation on fear levels show transfer to non-enhanced exposure, with effects being modulated by endogenous testosterone. These first preliminary results indicate that testosterone may act on important fear mechanisms during exposure, providing the empirical groundwork for further exploration of multi-session testosterone-enhanced exposure treatment for SAD.Stress and Psychopatholog

Coupled CO2-leakage and in situ fluid-mineral reactions in a natural CO2 reservoir, Green River, Utah

Spectroscopic studies and atomistic simulations of (hydr)oxide surfaces, which show that some aqueous cations bind to two or four surface oxygen atoms, have increased interest in multi-dentate surface complexation models (SCMs) [1-3]. However, it remains unclear how the (fitted) values of intrinsic equilibrium constants K int/m (referenced to infinite dilution) for δ-dentate M surface-binding reactions (δ >1) depend on the choice of concentration scale. In existing SCM codes, a surface complex may be treated in scales of either: molarity/molality ([]); site coverage fraction (Θ); surface mole fraction (x); molecular surface density (Γ, in mol•m-2); or relative density Γ/Γo (o, where Γo = 2 •10-5 mol•m-2 is the reference adsorbed density [4]). Our aim was to investigate, for ‘denticities’ 1≤ δ ≤4, how to convert the K int,δ values fitted for a given titration data set (the same solid concentration cS, specific surface area As, and monolayer site density ΓC) between different concentration scales. For single-site monodentate surface binding reactions, K int/m expressed in all concentration scales ([], Θ, x, Γ, o) reduce to the same value K M int,1. For the binding with δ≤2, conversion factors from xKM int,δ to ΘKM int,δ are about δ. From []KM int,δ to any other scale, they involve (csAsΓx)δ-1 which is ca. 10-5 for δ = 2 or 10-15 for δ = 4 at typical cS = 1 g•dm-3, As = 10 m2g-1, and ΓC = 10-6 mol•m-2. Conversions of K/int from [], Θ and x scales into the Γ scale involve (ΓC)1-δ, which has a value ranging from 10/5 to 10/18 at 10-6 < ΓC < 10-5 mol•m-2. The K/int conversions from [], Θ and x to the o scale include (Γo/ΓC)δ-1 which vanishes if ΓC = Γo (then oKM int,δ = xKM int,δ). Our findings show that the use of published KM int,δ (δ ≥ 2) in SCMs may lead to erroneous results, if concentration scales are not precisely defined both in the original fitting and in the subsequent application. At trace ion concentrations, using formally monodentate surface species would be safe especially on ‘strong’ sites, for which the density is typically adjusted to reproduce multi-site isotherms. Our results from comparative fitting of KM/int,δ with SCM codes using different scales show the magnitudes of ‘denticity effects’; we discuss ways to correct for these effects in re-using, comparing or correlating values of KM/int,δ. In a further thermodynamic treatment, e.g. deriving the entropy effect of the adsorption reaction from KM/int,δ fitted for different temperatures, the constants must first be made dimensionless and independent of δ and ΓC by converting them into the (o) scale.http://dx.doi.org/10.1016/j.gca.2010.04.036University of Tennessee; Oak Ridge National Laborator

Investigation of attentional bias in obsessive compulsive disorder with and without depression in visual search

Copyright: © 2013 Morein-Zamir et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are creditedWhether Obsessive Compulsive Disorder (OCD) is associated with an increased attentional bias to emotive stimuli remains controversial. Additionally, it is unclear whether comorbid depression modulates abnormal emotional processing in OCD. This study examined attentional bias to OC-relevant scenes using a visual search task. Controls, non-depressed and depressed OCD patients searched for their personally selected positive images amongst their negative distractors, and vice versa. Whilst the OCD groups were slower than healthy individuals in rating the images, there were no group differences in the magnitude of negative bias to concern-related scenes. A second experiment employing a common set of images replicated the results on an additional sample of OCD patients. Although there was a larger bias to negative OC-related images without pre-exposure overall, no group differences in attentional bias were observed. However, OCD patients subsequently rated the images more slowly and more negatively, again suggesting post-attentional processing abnormalities. The results argue against a robust attentional bias in OCD patients, regardless of their depression status and speak to generalized difficulties disengaging from negative valence stimuli. Rather, post-attentional processing abnormalities may account for differences in emotional processing in OCD.Peer reviewedFinal Published versio

Coffee consumption is associated with a reduced risk of colorectal cancer recurrence and all-cause mortality

Coffee consumption has been associated with a reduced risk of developing colorectal cancer (CRC). However, it is not clear whether coffee consumption is related to CRC progression. Hence, we assessed the association of coffee consumption with CRC recurrence and all-cause mortality using data from a prospective cohort study of 1719 stage I–III CRC patients in the Netherlands. Coffee consumption and other lifestyle characteristics were self-reported using questionnaires at the time of diagnosis. We retrieved recurrence and all-cause mortality data from the Netherlands Cancer Registry and the Personal Records Database, respectively. Cox proportional hazard regression models with and without restricted cubic splines were used to calculate hazard ratios (HR) and 95% confidence intervals (CI) adjusted for age, sex, education, smoking status, cancer stage and tumor location. We observed 257 recurrences during a 6.2-year median follow-up and 309 deaths during a 6.6-year median follow-up. Consuming more than 4 cups/d of coffee compared to an intake of &lt;2 cups/d was associated with a 32% lower risk of CRC recurrence (95% CI: 0.49, 0.94,). The association between coffee consumption and all-cause mortality was U-shaped; coffee intake seemed optimal at 3–5 cups/d with the lowest risk at 4 cups/d (HR: 0.68, 95% CI: 0.53, 0.88). Our results suggest that coffee consumption may be associated with a lower risk of CRC recurrence and all-cause mortality. The association between coffee consumption and all-cause mortality appeared nonlinear. More studies are needed to understand the mechanism by which coffee consumption might improve CRC prognosis.</p

Coffee consumption is associated with a reduced risk of colorectal cancer recurrence and all-cause mortality

Coffee consumption has been associated with a reduced risk of developing colorectal cancer (CRC). However, it is not clear whether coffee consumption is related to CRC progression. Hence, we assessed the association of coffee consumption with CRC recurrence and all-cause mortality using data from a prospective cohort study of 1719 stage I–III CRC patients in the Netherlands. Coffee consumption and other lifestyle characteristics were self-reported using questionnaires at the time of diagnosis. We retrieved recurrence and all-cause mortality data from the Netherlands Cancer Registry and the Personal Records Database, respectively. Cox proportional hazard regression models with and without restricted cubic splines were used to calculate hazard ratios (HR) and 95% confidence intervals (CI) adjusted for age, sex, education, smoking status, cancer stage and tumor location. We observed 257 recurrences during a 6.2-year median follow-up and 309 deaths during a 6.6-year median follow-up. Consuming more than 4 cups/d of coffee compared to an intake of &lt;2 cups/d was associated with a 32% lower risk of CRC recurrence (95% CI: 0.49, 0.94,). The association between coffee consumption and all-cause mortality was U-shaped; coffee intake seemed optimal at 3–5 cups/d with the lowest risk at 4 cups/d (HR: 0.68, 95% CI: 0.53, 0.88). Our results suggest that coffee consumption may be associated with a lower risk of CRC recurrence and all-cause mortality. The association between coffee consumption and all-cause mortality appeared nonlinear. More studies are needed to understand the mechanism by which coffee consumption might improve CRC prognosis.</p

Associations of Height With the Risks of Colorectal and Endometrial Cancer in Persons With Lynch Syndrome

People with Lynch syndrome (LS), who carry a pathogenic mutation in a DNA mismatch repair gene, have increased risks of colorectal cancer (CRC) and endometrial cancer (EC). A high reported variability in cancer risk suggests the existence of factors that modify cancer risk for persons with LS. We aimed to investigate the associations between height and CRC and EC risk for persons with LS using data from 2 large studies. Information on 1,115 men and 1,553 women with LS from the Colon Cancer Family Registry (1998-2007) and the GEOLynch Cohort Study (2006-2017) was harmonized. We used weighted Cox proportional hazards regression models with age on the time axis to estimate adjusted hazard ratios and 95% confidence intervals for each 5-cm increment in self-reported height. CRC was diagnosed in 947 persons during 65,369 person-years of observation, and 171 women were diagnosed with EC during 39,227 person-years. Height was not associated with CRC for either men (per 5-cm increment, hazard ratio (HR) = 1.00, 95% confidence interval (CI): 0.91, 1.11) or women (per 5-cm increment, HR = 1.01, 95% CI: 0.92, 1.11), nor was height associated with EC (per 5-cm increment, HR = 1.08, 95% CI: 0.94, 1.24). Hence, we observed no evidence for an association of height with either CRC or EC among persons with LS.</p