Trusting the Health System and COVID 19 Restriction Compliance

We examine the extent to which exposure to higher relative COVID-19 mortality (RM), influences health system trust (HST), and whether changes in HST explain the perceived ease of compliance with pandemic restrictions during the COVID-19 pandemic. Drawing on evidence from two representative surveys covering all regions of 28 European countries before and after the first COVID-19 wave, and using a difference in differences strategy together with Coarsened Exact Matching (CEM), we document that living in a region with higher RM during the first wave of the pandemic increased HST. However, the positive effect of RM on HST is driven by individuals over 45 years of age, and the opposite effect is found among younger cohorts. Furthemore, we find that a higher HST reduces the costs of complying with COVID-19 restrictions, but only so long as excess mortality does not exceed the average by more than 20%, at which point the ease of complying with COVID-19 restrictions significantly declines, offsetting the positive effect of trust in the healthcare system. Our interpretation of these estimates is that a higher RM is interpreted as a risk signal among those over 45, and as a signal of health-care system failure among younger age individuals.     

Dietary exposure and risk assessment to trace elements and iodine in seaweeds

IntroductionSeaweeds are a rich source of elements such as iodine, and are also able to accumulate contaminants such as trace elements.MethodsThe aim of this study was to assess the dietary exposure as well as the risk from iodine and trace elements in edible seaweeds for the French population using current consumption data. The contribution of seaweeds to overall dietary exposure to trace elements and iodine was evaluated, and for those substances with minimal contribution to overall dietary exposure, simulations were performed to propose increased maximal limits in seaweeds.ResultsCadmium, inorganic arsenic and mercury in seaweeds were very low contributors to total dietary exposure to these contaminants (0.7 % 1.1 % and 0.1 % on average, respectively). Dietary exposure to lead via seaweed may contribute up to 3.1 % of total dietary exposure. Dietary consumption of iodine via seaweed may contribute up to 33 % of total exposure to iodine, which makes seaweeds the strongest contributor to iodine in diet.DiscussionNew maximal values in seaweeds are proposed for the very low contributors to total dietary exposure: 1 mg/kg dw for cadmium, 10 mg/kg dw for inorganic arsenic and 0.3 mg/kg dw for mercury.     

Substance use disorders: a comprehensive update of classification,epidemiology, neurobiology,clinical aspects,treatment and prevention

Substance use disorders (SUDs) are highly prevalent and exact a large toll on individuals’ health, well-being, and social functioning. Long-lasting changes in brain networks involved in reward, executive function, stress reactivity, mood, and self-awareness underlie the intense drive to consume substances and the inability to control this urge in a person who suffers from addiction (moderate or severe SUD). Biological (including genetics and developmental life stages) and social (including adverse childhood experiences) determinants of health are recognized factors that contribute to vulnerability for or resilience against developing a SUD. Consequently, prevention strategies that target social risk factors can improve outcomes and, when deployed in childhood and adolescence, can decrease the risk for these disorders. SUDs are treatable, and evidence of clinically significant benefit exists for medications (in opioid, nicotine and alcohol use disorders), behavioral therapies (in all SUDs), and neuromodulation (in nicotine use disorder). Treatment of SUDs should be considered within the context of a Chronic Care Model, with the intensity of intervention adjusted to the severity of the disorder and with the concomitant treatment of comorbid psychiatric and physical conditions. Involvement of health care providers in detection and management of SUDs, including referral of severe cases to specialized care, offers sustainable models of care that can be further expanded with the use of telehealth. Despite advances in our understanding and management of SUDs, individuals with these conditions continue to be stigmatized and, in some countries, incarcerated, highlighting the need to dismantle policies that perpetuate their criminalization and instead develop policies to ensure support and access to prevention and treatment.     

Birth Weight and Its Relationship to Size Attained and Relative Fat Distribution at 7 to 12 Years of Age

The relationship between birth weight and relative subcutaneous fat distribution at school age was considered in 131 boys and 106 girls 7 to 12 years of age. Relative fat distribution at school age was estimated with the ratio of the subscapular to triceps skinfolds (S/T) for the total sample, and with the ratio of the sum of two trunk (subscapular, midaxillary) to the sum of two extremity (triceps, medial calf) skinfolds (T/E) for subsamples of 102 boys and 63 girls. There were no sex differences in the S/T ratio (mm/mm), boys 0.62 ± 0.15, girls 0.63 ± 0.18; T/E ratio (mm/mm), boys 0.58 ± 0.13, girls 0.59 ± 0.16; and BMI (kg/m²), boys 17.1 ± 2.4, girls 16.9 ± 2.2. Second order partial correlations, controlling for age and the BMI or age and sum of skinfolds, between birth weight and the skinfold ratios are, respectively, ?0.22 and ?0.20 (p<0.01) for S/T and ?0.29 and ?032 (p<0.01) for T/E in girls, and ?0.18 and ?0.17 (p<0.05) for S/T and ?0.06 and ?0.6 for T/E in boys. Though low, the correlations suggest that as birth weight decreases proportionally more subcutaneous fat is accumulated on the trunk than on the extremities, more so in females than in males. Results of stepwise multiple regression analyses indicate that birth weight accounts for from 2% to 8% of the variance in relative subcutaneous fat distribution at school age.     

Ecological implications of climate change will include surprises

In addition to assessing the impacts of CO₂ doubling on environment and society, more consideration is needed to estimate extreme events or surprises. This is particularly important at the intersection of disciplines like climate and ecology because the potential for large discontinuities is high given all the possible climate/biota interactions. The vast disparities in scales encountered by those working in traditional ecology (typically 20 m) and climatology (typically 200 km) make diagnoses of such interactions difficult, but these can be addressed by an emerging research paradigm we call strategic cyclical scaling (SCS). The need to anticipate outlier events and assign them subjective probabilities suggests emphasis on interdisciplinary research associations. The desire to reduce societal vulnerability to such events suggests the need to build adaptive management and diverse economic activities into social organizations. The effectiveness of adaptation responses to anticipated climatic changes is complicated when consideration of transient changes, regional disturbances, large unforseeable natural fluctuations and surprises are considered. Slowing down the rate of disturbances and decreasing vulnerability are advocated as the most prudent responses to the prospect of human-induced climatic changes.     

Seasonal and long-term soil water regime in West African tropical forest

Abstract. Variation of soil matric potential of a Wet Evergreen and a Moist Semi-deciduous West African forest were compared. The two forest types differed strongly in their soil water regime. Wet Evergreen forest experienced matric potentials below ?100 kPa only occasionally, while in Moist Semi-deciduous forest matric potentials were less than ?2.5 MPa for periods of several weeks or more each season. A water balance equation was used to simulate the soil water regime at both sites and predict severity and length of the dry period. The predictions showed good agreement with the field measurements of soil water potential over a 2-yr period. The methodology was used to estimate the occurrence and severity of droughts over longer periods at the two sites. The balance calculations suggest that droughts occur occasionally in the Wet Evergreen forest under study. The potential impact of droughts on species distribution and vegetation disturbance in tropical forests is discussed.     

Enhancement of the light-triggered electrical response in plant cells following their de-energization with uncouplers

Light-triggered membrane potential changes in cells of a liverwort Anthoceros are greatly enhanced by the ionophorous uncouplers nigericin and monesin. Stimulation of the light-triggered electrical response (LTER) by nigericin occurred concomitantly with inhibition of a slow decline in the chlorophyll fluorescence, which suggests that the transmembrane pH gradient in thylakoids is not essential for generation of LTER at the plasma membrane. The extent of monensin-stimulated LTER remained high under a diminished driving force for the ionophore-induced proton-cation exchange across the plasma membrane (elevation of the external Na⁺ concentration from 1 to 50 m M ), which indicates that energy uncoupling in chloroplasts is more related to the electric response enhancement than the induction of the H⁺/K⁺(Na⁺) exchange at the plasma membrane. Enhancement of LTER by ionophores occurs in parallel with stimulation of light-triggered pH changes (alkalinization) in the vicinity of the cell surface, which suggests an association of trans-membrane H⁺ fluxes with LTER. The results are consistent with the hypothesis that illumination produces a temporary inhibition of the plasma membrane H⁺ pump with a subsequent activation of gated channels and transient rapid depolarization of the cell.     

Prosimian juvenile mortality in zoos and primate centers

I review literature on juvenile mortality of captive prosimians in order to evaluate the available information on captive breeding. Juvenile mortality includes abortion, premature mortality, stillbirth, and death of the unweaned young. Prosimian juvenile mortality ranges between 25 and 45% in captive populations. It is generally lower in the Lemuroidea, particularly the Cheirogaleidae, than in the Lorisoidea. Mortality is particularly high in the Lorisinae. Most mortality, including a high stillbirth rate, occurs on the first day and during the first 10 days thereafter. Stress, maternal neglect and traumatic insults, not infrequently linked to each other, are the most frequently reported causes of death. The percentage of congenital malformations tends to be high in some colonies. Sex of the infant and parity seem to be important risk factors for juvenile mortality, whereas litter size does not appear to be important. Based on few data, wild- caught females appear to have higher breeding success than those born in captivity. Synchronized births in lemuroids and isolated births in Galagoare more likely to result in successfully weaned infants.