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1.
Proc Biol Sci ; 291(2026): 20240804, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38955230

RESUMO

The evolution of nuptial gifts has traditionally been considered a harmonious affair, providing benefits to both mating partners. There is growing evidence, however, that receiving a nuptial gift can be actively detrimental to the female. In decorated crickets (Gryllodes sigillatus), males produce a gelatinous spermatophylax that enhances sperm transfer but provides little nutritional benefit and hinders female post-copulatory mate choice. Here, we examine the sexually antagonistic coevolution of the spermatophylax and the female feeding response to this gift in G. sigillatus maintained in experimental populations with either a male-biased or female-biased adult sex ratio. After 25 generations, males evolving in male-biased populations produced heavier spermatophylaxes with a more manipulative combination of free amino acids than those evolving in female-biased populations. Moreover, when the spermatophylax originated from the same selection regime, females evolving in male-biased populations always had shorter feeding durations than those evolving in female-biased populations, indicating the evolution of greater resistance. Across populations, female feeding duration increased with the mass and manipulative combination of free amino acids in the spermatophylax, suggesting sexually antagonistic coevolution. Collectively, our work demonstrates a key role for interlocus sexual conflict and sexually antagonistic coevolution in the mating system of G. sigillatus.


Assuntos
Comportamento Alimentar , Gryllidae , Comportamento Sexual Animal , Animais , Gryllidae/fisiologia , Masculino , Feminino , Coevolução Biológica , Evolução Biológica , Razão de Masculinidade
2.
Avicenna J Med ; 14(2): 115-122, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38957155

RESUMO

Background The ongoing conflict in Syria has significantly affected the health care system, particularly in the realm of rheumatology. The purpose of this study is to assess the current state of rheumatic diseases in the northwestern region of Syria, where the health care infrastructure has been severely impacted. Methods This was a retrospective study reviewing all patients with rheumatologic conditions seen in internal medicine clinics in northwest Syria between September 2019 and February 2022. Baseline demographic data and diagnoses were collected retrospectively, without any data duplication, from outpatient clinic records. The study also reviewed the availability of investigations and drugs in the northwestern region of Syria. Results We analyzed data from 488 patients (average age: 37.4; 63% female) diagnosed with rheumatic diseases. The most prevalent condition was connective tissue disorders (25.6%), with osteoarthritis (12.1%) and rheumatoid arthritis (8.2%) following. The ongoing conflict has led to a significant shortage of rheumatologists, with only three serving a population of 5.5 million. Furthermore, the conflict has disrupted the provision and quality of rheumatology diagnostic tests, reducing patient accessibility. The dearth of medications and increased costs have compounded the complexity of health care for those with rheumatic diseases. Conclusions This study highlights the urgent need for improved health care services and proposes solutions to address gaps in rheumatic care in northwest Syria.

3.
Artigo em Inglês | MEDLINE | ID: mdl-38961278

RESUMO

Armed conflicts exacerbate public health challenges in Sub-Saharan Africa. Inequality across groups and poverty in rural areas can be an important factor in triggering local wars. This study investigates whether equitable distribution of public services by governments across urban and rural geographical regions reduces the risk of local wars initiated by armed groups in Sub-Saharan African countries. Does an equitable distribution of public services such as healthcare and clean water public services across regions decrease the risk of armed conflicts? Uneven distribution of public services can increase the risk of conflict by contributing to group grievances, rural poverty, and rent-seeking competition over government resources. Analyses of 39 Sub-Saharan African countries from 1947 to 2021 show that a one-standard deviation increase in equal access to public services by urban-rural location lowers the risk of armed conflict, a substantial 37 to 53 percent with consideration of a battery of control variables.

4.
Matern Child Nutr ; : e13675, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956436

RESUMO

A scoping review of publications about commercial milk formulas intended for or consumed by children 12-36 months (CMF 12-36) was conducted. This review aimed to comprehensively map the existing literature, identify key concepts in the field and understand its evolution through time. A total of 3329 articles were screened and 220 were included, published between 1986 and 2024. Most works were published after 2016 (70.0%) and in high-income countries (71.8%). Original studies were the vast majority (81.8%) of publications. Most publications dealt with feeding practices or analysed the composition and/or contamination of specific products (44.1% and 35.9%), but since the late 2000s, publications about marketing, policy, legislation, and consumer perception started to appear. Most published works (65.5%) did not focus exclusively on CMF 12-36 and included formulas for other demographics or other foods. About half of the works (55.5%) did not consider CMF 12-36 to be a breast milk substitute. We found 81 distinct product denominations used to refer to CMF 12-36, Growing Up Milk was the most common (25.9%). CMF industry was involved in 41.8% of all analysed works, and industry participation and funding were not always clearly informed (22.5% lacked a conflict of interest statement, and 25.5% did not present any information about funding). In the last decade, publications about CMF 12-36 have increased in volume and diversified in scope and subject matter. CMF-industry participation has always been and still is present in the field, so possible vested interests should be taken into account when appreciating the literature.

5.
J Marital Fam Ther ; 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956763

RESUMO

Guided by the Person-of-the Therapist Training (POTT) Model, the current qualitative study explores emotional experiences and emotion regulation strategies of emotionally focused trained therapists who work with high-conflict couples in Turkey. Twenty-one therapists who completed at least the externship in emotionally focused couple therapy (EFCT) and had prior or current clinical experience working with high-conflict couple(s) were recruited through various social media platforms and professional organizations' listservs. Semistructured individual interviews were conducted, audio-recorded, and transcribed verbatim. Thematic analysis of the qualitative data revealed five main themes: (1) Different Compelling Emotional Experiences of the Therapists, (2) Sun After Storm, (3) Triggers of Therapists' Emotions, (4) Perceived Adaptive Emotion Regulation Strategies, and (5) Positive Impact of the Therapist's Regulation Strategies on the Therapy Process. Overall, the findings supported the three phases of the POTT model: namely, knowledge of self, access to self, and use of self. Our study demonstrates the need for integrating self-of-the-therapist work into the clinical practice, training, and supervision of therapists working with distressed couples.

6.
Proc Natl Acad Sci U S A ; 121(29): e2401814121, 2024 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-38950358

RESUMO

Protected areas can conserve wildlife and benefit people when managed effectively. African governments increasingly delegate the management of protected areas to private, nongovernmental organizations, hoping that private organizations' significant resources and technical capacities actualize protected areas' potential. Does private sector management improve outcomes compared to a counterfactual of government management? We leverage the transfer of management authority from governments to African Parks (AP)-the largest private manager of protected areas in Africa-to show that private management significantly improves wildlife outcomes via reduced elephant poaching and increased bird abundances. Our results also suggest that AP's management augments tourism, while the effect on rural wealth is inconclusive. However, AP's management increases the risk of armed groups targeting civilians, which could be an unintended outcome of AP's improved monitoring and enforcement systems. These findings reveal an intricate interplay between conservation, economic development, and security under privately managed protected areas in Africa.


Assuntos
Animais Selvagens , Conservação dos Recursos Naturais , Setor Privado , Turismo , Conservação dos Recursos Naturais/métodos , Animais , África , Humanos , Elefantes , Aves , Parques Recreativos
7.
J Behav Addict ; 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38967992

RESUMO

Background and aims: Despite the inclusion of the Compulsive Sexual Behavior Disorder (CSBD) in the 11th edition of the International Classification of Diseases, emotional and cognitive impairments related to CSBD remains unclear. This study aimed to investigate the behavioral and neuronal effects of emotional interference on cognition among CSBD patients. Methods: Thirty heterosexual males with CSBD and matched healthy controls (HC) were studied with the Emotional Stroop Task using 5 categories of emotionally arousing words (sex-related, positive, fear-related, negative, neutral) during functional magnetic imaging. Results: At the behavioral level, we found the main effect of the condition: sex-related words evoked a stronger Stroop effect than other conditions. At the neural level, we found a significant group effect. Among CSBD patients processing of sex-related words was related to increased activity in the right putamen, right thalamus, hippocampi, and left pulvinar, when compared to HC. We also found a negative correlation between neuronal activation and time spent on sexual activity during the week preceding study and numerous group differences in brain regions connected to the emotional and motivational processing of sexually explicit material, correlating with CSBD symptoms. Conclusions: Behavioral results indicate a specific attentional bias toward sex-related stimuli in both groups, while neural data uncovered stronger reactivity to sex-related words in CSBD compared to HC. This reactivity is related to CSBD symptoms and provides evidence for the interference of sex-related stimuli with cognition. Such results are firmly in line with the Incentive Salience Theory and conceptualizing CSBD as a behavioral addiction.

8.
J Environ Manage ; 365: 121698, 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38968890

RESUMO

In China, over 65% of human activities are concentrated in cities, resulting in a conflict between the supply and demand of ecosystem services (ESs). To alleviate this problem, many cities have adopted eco-friendly development modes, however, the effectiveness of these models in reducing ESs supply-demand conflicts has not been comprehensively reviewed, and the human and natural drivers behind these relationship shifts remain unclear. To bridge this gap, this study analyzed the shifts in the relationships between supply and demand of ESs across China from 2010 to 2020 at a city level, as well as identified the human and natural drivers behind them. Firstly, the InVEST models were integrated with socioeconomic data to evaluate the supply and demand distribution for three pivotal ESs: water yield (WY), habitat quality (HQ), and soil retention (SR). Then, a four-quadrant diagram approach was proposed to enhance the analysis of their spatiotemporal relationships. Furthermore, random forest models were employed to examine the drivers of the shifts in these relationships. The results showed that WY and SR services witnessed growth until 2015, and then receded, while HQ saw a modest decline from 2010 to 2020. Spatial synergies in the supply and demand of ESs were primarily observed in the southern cities, with a significant northward extension by 2020. From a temporal perspective, the percentage of cities achieving coordination in WY and SR services increased from 32.6% to 57.3%, respectively, in the 2010-2015 period to 42.4% and 63.3% between 2015 and 2020, meanwhile, HQ service conflicts diminished from 58.7% to 53.5%. The changes in socioeconomic and land use factors contributed to 64.3%, 36.1%, and 33.3% of the shifts in the supply-demand relationship for HQ, WY, and SR services, respectively. Our analysis highlights the potential of human-driven ecological management to enhance the balance of this relationship. It can support the design of city-specific policies that foster a balance between ecological processes and socio-economic development.

9.
World J Surg ; 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38970237

RESUMO

BACKGROUND: Gunshots and bomb blasts are important causes of extremity injuries in conflict zones, yet little research exists on the characteristics and outcomes of these injuries in civilian populations. METHODS: We performed a prospective cohort analysis utilizing data from a randomized trial conducted at two civilian hospitals in Jordan and Iraq in 2015-2019. Adults who presented ≤72 h of sustaining an extremity injury were included. We used mechanism of injury (gunshot/bomb blast) as the exposure and wound closure by day 5 as the primary outcome measure. RESULTS: The population predominantly comprised young men (n = 163, 94% male, and median age 29 years) injured by gunshots (61%) or bomb blasts (39%). Compared with the gunshot group, more participants in the bomb blast group had concomitant injuries (32/63 [51%] vs. 11/100 [11%], p < 0.001) and vascular injuries (9/63 [14%] vs. 4/100 [4%], p = 0.02). The wounds were larger in the bomb blast group compared with the gunshot group (median area 86 cm2 [IQR 24-161] vs. 21 cm2 [IQR 7-57], p < 0.001). Compared with the bomb blast group, significantly more participants in the gunshot group achieved wound closure by day 5 (74/100 [74%] vs. 16/63 [25%], p < 0.001). This difference remained after controlling for confounding factors (odds ratio 4.7, 95% confidence interval 1.6-13.7). CONCLUSIONS: In civilians with conflict-related extremity injuries, bomb blast wounds had a lower likelihood of achieving closure within 5 days than gunshot wounds, independent of other factors, such as wound size and vascular injuries. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02444598. Registered 14-05-2015, https://classic. CLINICALTRIALS: gov/ct2/show/NCT02444598.

10.
Soc Neurosci ; : 1-12, 2024 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-38975965

RESUMO

How obeying orders impacts moral decision-making remains an open question, despite its significant societal implications. The goal of this study was to determine if cognitive conflict, indexed by mid-frontal theta activity observed before an action, is influenced by the context of obedience. Participants came in pairs and were assigned roles as either agent or victim. Those in the agent role could either decide freely or follow the experimenter's instructions to administer (or refrain from administering) a mildly painful electric shock to the victim in exchange for a small monetary reward. Mid-frontal theta activity was recorded before the agent made their keypress. Results indicated that mid-frontal theta activity was reduced when participants obeyed the experimenter's orders compared to when they acted of their own volition, even though the outcomes of the actions were similar. This finding suggests that obeying orders diminishes cognitive conflict preceding moral decisions that could harm another person. This study sheds light on a potential mechanism explaining how obedience can blurr morality and lessen our natural aversion to harming others.

11.
J Affect Disord ; 362: 174-185, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38960334

RESUMO

BACKGROUND: Depression and obesity are associated with impaired inhibitory control. Behavioral evidence indicates an exacerbating additive effect when both conditions co-occur. However, the underlying neural mechanisms remain unclear. Moreover, systemic inflammation affects neurocognitive performance in both individuals with depression and obesity. Here, we investigate additive effects of depression and obesity on neural correlates of inhibitory control, and examine inflammation as a connecting pathway. METHODS: We assessed inhibitory control processing in 64 individuals with obesity and varying degrees of depressed mood by probing neural activation and connectivity during an fMRI Stroop task. Additionally, we explored associations of altered neural responses with individual differences in systemic inflammation. Data were collected as part of the BARICO (Bariatric surgery Rijnstate and Radboudumc neuroimaging and Cognition in Obesity) study. RESULTS: Concurrent depression and obesity were linked to increased functional connectivity between the supplementary motor area and precuneus and between the inferior occipital and inferior parietal gyrus. Exploratory analysis revealed that circulating inflammation markers, including plasma leptin, IL-6, IL-8, and CCL-3 correlated with the additive effect of depression and obesity on altered functional connectivity. LIMITATIONS: The observational design limits causal inferences. Future research employing longitudinal or intervention designs is required to validate these findings and elucidate causal pathways. CONCLUSION: These findings suggest increased neural crosstalk underlying impaired inhibitory control in individuals with concurrent obesity and depressed mood. Our results support a model of an additive detrimental effect of concurrent depression and obesity on neurocognitive functioning, with a possible role of inflammation.

12.
Artigo em Inglês | MEDLINE | ID: mdl-38951125

RESUMO

Nurses are the frontline professionals caring for patients who have attempted suicide. When clinical nurses learn from medical records or nursing handover, or are proactively informed by patients or family members, that the patients they are caring for have suicidal tendencies, they often experience pressure and face challenges. However, little attention has been given to the experiences of the nurses caring for patients with suicidal intent on medical and surgical wards. We aimed to address this knowledge gap. The purpose of this study was to explore medical and surgical nurses' experiences, especially the internal conflicts they might experience while caring for patients who have a history of attempted suicide. A qualitative descriptive design and semi-structured interviews were used in this study. Twenty-three nurses were recruited and interviewed individually. Data were analysed by qualitative content analysis. The focus of this paper is to examine the emergent theme of intrapersonal conflict experienced by the participants. Nurses' experiences can be clustered into two themes: (1) Pity and annoyance and (2) Hard work does not necessarily pay off. Intrapersonal conflict was identified by participants as considerable fear and anxiety about the possibility of a patient's suicide, as well as a mixture of pity for and annoyance with the patients. Nurses feel sorry for such patients, but they are also annoyed by the extra work required to prevent suicide attempts in the ward. Additionally, having limited time and ability, they see that their hard work does not necessarily pay off and may sometimes lead to punishment. Our findings raise serious concerns about the adequacy of the knowledge of the nurses, their competence and their difficulties in caring for such patients. In addition, there is a need to provide them with appropriate on-the-job education and immediate emotional support relevant to caring for survivors of suicide attempts.

13.
Int Ophthalmol ; 44(1): 298, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38951286

RESUMO

BACKGROUND: Despite cataract surgery being a safe procedure with a low incidence of perioperative complications rates, poor knowledge, concerns about the effectiveness of treatment and cost-benefit analysis of the procedure significantly hinder cataract surgery uptake rates in Africa. This study describes the effect of a decision aid on knowledge and decision conflict on cataract patients in Africa. METHODS AND ANALYSIS: 120 patients with cataracts reporting to a tertiary hospital in Ghana were randomly assigned to receive a decision aid containing information on the possible outcomes of cataract surgery or a control booklet containing general knowledge about cataracts without information about cataract surgery. The primary outcome measured was the effect of the decision aid on their knowledge of cataract surgery. A score greater than 6/12 (50%) was deemed adequate knowledge. The secondary outcome was the decision conflict experienced by the participants assessed using the Decision Conflict Scale. RESULTS: Compared to the control group, the participants in the intervention group scored higher marks across all sections of the questionnaire (2.92 vs 2.7, p = 0.042 in section "Background"; 2.62 vs 1.77, p < 0.001 in section "Materials"; 1.87 vs 1.55, p = 0.03 in section "Results"). The average total score was higher in the intervention group than in the control (36.7% difference; p < 0.001). Participants in the intervention group also demonstrated lower decision conflict scores than those in the control group (13.00 vs 37.17; p < 0.001). CONCLUSION: The decision aid increased knowledge of cataract surgery and reduced decision conflict among patients in a developing country.


Assuntos
Extração de Catarata , Técnicas de Apoio para a Decisão , Países em Desenvolvimento , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Extração de Catarata/métodos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Gana/epidemiologia , Catarata , Inquéritos e Questionários , Pesquisa Qualitativa , Adulto , Tomada de Decisões , Educação de Pacientes como Assunto/métodos
14.
Front Hum Neurosci ; 18: 1395426, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38946792

RESUMO

Environmental sustainability is characterized by a conflict between short-term self-interest and longer-term collective interests. Self-control capacity has been proposed to be a crucial determinant of people's ability to overcome this conflict. Yet, causal evidence is lacking, and previous research is dominated by the use of self-report measures. Here, we modulated self-control capacity by applying inhibitory high-definition transcranial current stimulation (HD-tDCS) above the left dorsolateral prefrontal cortex (dlPFC) while participants engaged in an environmentally consequential decision-making task. The task includes conflicting and low conflicting trade-offs between short-term personal interests and long-term environmental benefits. Contrary to our preregistered expectation, inhibitory HD-tDCS above the left dlPFC, presumably by reducing self-control capacity, led to more, and not less, pro-environmental behavior in conflicting decisions. We speculate that in our exceptionally environmentally friendly sample, deviating from an environmentally sustainable default required self-control capacity, and that inhibiting the left dlPFC might have reduced participants' ability to do so.

15.
Sci Rep ; 14(1): 14863, 2024 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-38937549

RESUMO

Sexual violence (SV) is a major public health issue in Goma, Democratic Republic of the Congo, especially in the eastern part of the country where women have been victims of SV for many years. The objective of this study is to provide an overview of the survivor and perpetrator characteristics, as well as the circumstances surrounding SV incidents in Goma. We conducted a retrospective, descriptive cross-sectional study using data from all SV survivors who sought medical care at four hospitals in Goma from January 2019 to December 2020. The analysis of the data was carried out using STATA 16 software. A total of 700 women sought medical attention for SV in the four hospitals. The survivors' age range was 12-67 years with a mean age of 31.7 ± 14.6 years. Women aged 20-29 years were the most affected (28%). The majority of SV survivors experienced their first assault (88.29%) and sought medical attention within 72 h (60.6%). The assaults occurred mostly outside the SV survivors' homes under armed threat (84.29%), predominantly by men in civilian clothes (61.43%) compared to men in military uniform (38.57%). More than half of the survivors were assaulted by a stranger (64.71%), and of those, more than half were committed by a single perpetrator (57.29%). The findings underscore the urgent need to address this pervasive issue, emphasizing the necessity of targeted interventions to protect survivors and prevent future incidents. The circumstances surrounding these assaults, such as the prevalence of armed threats and attacks outside survivors' homes, highlight the complex challenges in combating SV in this region.


Assuntos
Delitos Sexuais , Sobreviventes , Humanos , Feminino , República Democrática do Congo/epidemiologia , Adulto , Adolescente , Delitos Sexuais/estatística & dados numéricos , Pessoa de Meia-Idade , Adulto Jovem , Sobreviventes/estatística & dados numéricos , Criança , Estudos Transversais , Estudos Retrospectivos , Idoso , Masculino
16.
BMC Ecol Evol ; 24(1): 86, 2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38937685

RESUMO

BACKGROUND: Male courtship investment may evolve in response to the male's expectation of future mating opportunities or the degree of female control during mating interactions. We used a comparative approach to test this hypotheses by assessing the courtship and mating behaviors of five widow spider species (genus Latrodectus) under common laboratory conditions. We predicted male investment in courtship would be higher in species where males mate only once because of high cannibalism rates (monogyny, L. geometricus, L. hasselti, L. mirabilis), compared to species with rare cannibalism (L. mactans, L. hesperus) in which males should reserve energy for future mating opportunities. Increased male investment, measured as courtship duration, might also evolve with increased female control over mating outcomes if females prefer longer courtships. We tested this by assessing the frequency of copulations, timing of sexual cannibalism, and the degree of female-biased size dimorphism, which is expected to be negatively correlated with the energetic cost of rebuffing male mating attempts. RESULTS: Copulation frequency was consistently lower in species with extreme female-skewed size dimorphism, and where sexual cannibalism was more prevalent, suggesting the importance of female control for mating outcomes. We confirmed significant interspecific variation in average courtship duration, but contrary to predictions, it was not predicted by male mating system, and there was no consistent link between courtship duration and sexual size dimorphism. CONCLUSION: We show that the degree of sexual dimorphism is not only correlated with sexual cannibalism, but also with mating success since restriction of male copulation frequency by female Latrodectus affects paternity. However, predictions about male mating system or female control affecting courtship duration were not supported. We propose that the form of female control over mating and cannibalism, and male responses, might be more informative for understanding the evolution of courtship duration. For example, male tactics to avoid female aggression may drive lower courtship duration in species like L. mirabilis. Nonetheless, our results differ from inferences based on published studies of each species in isolation, illuminating the need for standardized data collection for behavioural comparative studies.


Assuntos
Canibalismo , Comportamento Sexual Animal , Aranhas , Animais , Masculino , Feminino , Aranhas/fisiologia , Comportamento Sexual Animal/fisiologia , Corte , Caracteres Sexuais
17.
Epilepsia ; 2024 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-38943522

RESUMO

OBJECTIVE: To investigate the repercussions of the war in Ukraine on people with epilepsy (PWE), focusing on access to health care, seizure control, quality of life (QoL), psychological distress, anxiety, and depression; and to identify the key factors influencing these measures. METHODS: Consecutive PWE, ≥18 years of age, presenting to one of seven health centers across Ukraine were invited to complete a self-administered survey in 2023. The survey gathered information on clinical and demographic aspects, geographic displacement, and access to care and medications. It also contained five valid questionnaires exploring psychological distress (Kessler-10), QoL with the EuroQOL-5D-5L (EQ-5D-5L), depression with the Neurological Disorders in Epilepsy scale (NDDIE), anxiety with the Hospital Anxiety and Depression Scalae-Anxiety (HADS-A), and epilepsy severity with the Global Assessment of the Severity of Epilepsy scale (GASE). Multivariate linear regression models assessed the relationship between measures of mental health and QoL and their potential predictors. Ethical approval was obtained from the Institute of Neurology, Psychiatry and Narcology of NAMS of Ukraine, Ukraine. RESULTS: Among 305 participants (mean age 38 years), 40% were female and 44% had to change residence because of the war. Seizures worsened during the war in 52% of those with active epilepsy and 42% of those with well-controlled epilepsy. Difficulties accessing health care and anti-seizure medications occurred in 25% and 34% of PWE, respectively, and was worse among those who were displaced. According to the mental health instruments, 46% suffered psychological distress, 62% experienced anxiety, 50% were depressed, and 59% rated their epilepsy as somewhat severe or worse. Statistically significant predictors of psychological distress, anxiety, and depression included female gender, more severe epilepsy, increased seizures during the war, and requiring mental health support. SIGNIFICANCE: The war significantly disrupted access to health care and availability of medication in PWE, who suffer from significant anxiety, depression, and psychological distress. We identify high-risk factors that can guide resource allocation for prevention and treatment.

18.
BMC Public Health ; 24(1): 1727, 2024 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-38943121

RESUMO

BACKGROUND: Work hours are an important aspect of one's job and these in turn have the potential to impact people's well-being. Much research investigating the link between working hours and well-being uses cross-sectional data. Longitudinal studies, especially those studying the same subjects changing their working time, can study the impact of work time more clearly. Using panel data, this study aims to explore the impact of a reduction in working time on three domains of well-being: general well-being, job-related well-being (positive work experience) and work-family well-being (work-family conflict). In addition, our study offers insights into the role of concomitant changes in work and private circumstances of employees as we investigate whether the impact of shorter working hours for well-being is mediated by changes in the participants' and circumstances related to paid and unpaid work resources. METHOD: An organization of about 60 (female) employees trialed a shorter workweek for one calendar year in 2019. All full-time employees reduced their hours. The part-time working employees can be used as a control group. Panel data (survey and time-use diary data) of a 30-h workweek trial in Belgium was collected in four waves over two years in a pre- and post-intervention design. Change over time (waves) was analyzed through multilevel growth models. RESULT: A decrease in work-family conflict was observed during the shorter workweek. Part of this decrease is explained by concomitant changes in work and private circumstances, such as sufficiency in free time, schedule control, and satisfaction with work pressure. Positive work experience and general well-being tend to have decreased during the shorter workweek, although this could partly be explained by other organizational changes and not by the reduction in working hours per se. Schedule control helped suppress these somewhat negative effects of organizational changes on positive work experience. CONCLUSION: Reduced working hours have the largest and most positive impact on work-family conflict. The feeling of having enough leisure time contributes to this increased well-being. Especially for women, who were the majority in this study, a reduction in working time might be beneficial as they often bear more responsibility for household work and care tasks. Next to the duration of working time, schedule control/autonomy has an important impact on well-being.


Assuntos
Satisfação no Emprego , Humanos , Feminino , Adulto , Bélgica , Pessoa de Meia-Idade , Saúde Mental , Inquéritos e Questionários , Masculino , Estudos Longitudinais , Equilíbrio Trabalho-Vida , Estudos Transversais , Tolerância ao Trabalho Programado/psicologia , Fatores de Tempo
19.
Sci Total Environ ; 946: 174216, 2024 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-38914319

RESUMO

Human-wildlife conflicts (HWC) are increasing and are potentially harmful to both people and wildlife. Understanding the current and potential distribution of wildlife species involved in HWC, such as carnivores, is essential for implementing management and conservation measures for such species. In this study, we assessed both the current distribution and potential distribution (forecast) of the Egyptian mongoose (Herpestes ichneumon) in the central part of the Iberian Peninsula. We acquired data concerning mongoose occurrences through an online questionnaire sent to environmental rangers. We used the municipality level as the sampling unit because all municipalities within the study area were covered at least by one ranger. Using the information provided by rangers (i.e. occurrences in their municipalities), we constructed environmental favourability distribution models to assess current and potential mongoose distribution through current distribution models (CDM) and ecological models (EM), respectively. >300 rangers participated in the survey and mongooses were reported in a total of 181 of 921 municipalities studied. The CDM model showed a current distribution mainly concentrated on the western part of the study area, where intermediate-high favourability values predominated. The EM model revealed a wider potential distribution, including the south-east part of the study area, which was also characterised by intermediate-high favourability values. Our predictions were verified using independent data, including confirmation of mongoose reproduction by rangers, reports by other experts, and field sampling in some areas. Our innovative approach based on an online survey to rangers coupled with environmental favourability models is shown to be a useful methodology for assessing the current distribution of cryptic but expanding wildlife species, while also enabling estimations of future steps in their expansion. The approach proposed may help policy decision-makers seeking to ensure the conservation of expanding wildlife species, for example, by designing awareness campaigns in areas where the target species is expected to arrive.

20.
Behav Sci (Basel) ; 14(6)2024 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-38920770

RESUMO

Loneliness arises when there is a discrepancy between one's desired and actual social connection with others. Studies examining the effects of loneliness in romantic relationships show that people who are lonely are less satisfied and committed to their romantic relationships. The present study explored the association between loneliness and romantic relationship well-being. Using a cross-sectional design, loneliness was correlated with relationship commitment, trust, and conflict. Relationship awareness, but not relationship distraction, statistically mediated the association between loneliness, relationship conflict, and relationship trust. The indirect effect of loneliness on relationship well-being was only present in people reporting low and medium levels of psychological inflexibility. Implications are discussed for acceptance- and mindfulness-based interventions for persons in romantic relationships.

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