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1.
Aging Ment Health ; 27(8): 1456-1465, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36218056

RESUMEN

Objectives: People with intellectual disability, particularly people with Down syndrome, are at an increased risk for early-onset dementia, in comparison to people without an intellectual disability. The aim of this review was to scope the current landscape of post-diagnostic dementia supports for people with intellectual disability.Method: A systematic search of five electronic databases (CINAHL, Medline, PsycArticles, PsycInfo and Web of Science) was conducted for this scoping review. Results were screened independently by two reviewers, with a third reviewer for arbitration where necessary.Results: Forty-two studies met the inclusion criteria, and relevant information was extracted. The articles included focussed on the experiences of people with intellectual disability and dementia, as well as the role of carers, family members and staff. Key themes included ageing in place, environmental supports for people with intellectual disability and dementia, dementia-specific interventions and therapies, as well as the feasibility of these interventions. Besides the studies that focussed on these themes, other studies focussed on staff training and family supports.Conclusion: This review highlights the importance of implementing timely and appropriate post-diagnostic supports for people living with intellectual disability and dementia. More controlled trials are required on post-diagnostic dementia supports for people with intellectual disability.

2.
J Insect Sci ; 23(1)2023 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-36856678

RESUMEN

Introduced social insects can be highly invasive outside of their native range. Around the world, the introduction and establishment of the eusocial bumblebee Bombus terrestris (L. 1758) (Hymenoptera: Apidae) has negatively impacted native pollinators and ecosystems. Understanding how morphological variation is linked to environmental variation across invasive ranges can indicate how rapidly species may be diverging or adapting across novel ranges and may assist with predicting future establishment and spread. Here we investigate whether B. terrestris shows morphological variation related to environmental variation across the island of Tasmania (Australia) where it was introduced three decades ago. We collected 169 workers from 16 sites across Tasmania and related relative abundance and morphology to landscape-wide climate, land use, and vegetation structure. We found weak morphological divergence related to environmental conditions across Tasmania. Body size of B. terrestris was positively associated with the percentage of urban land cover, a relationship largely driven by a single site, possibly reflecting high resource availability in urban areas. Proboscis length showed a significant negative relationship with the percentage of pasture. Wing loading and local abundance were not related to the environmental conditions within sites. Our results reflect the highly adaptable nature of B. terrestris and its ability to thrive in different environments, which may have facilitated the bumblebee's successful invasion across Tasmania.


Asunto(s)
Himenópteros , Abejas , Animales , Ecosistema , Australia , Tamaño Corporal , Clima
3.
J Intellect Disabil ; : 17446295221136231, 2022 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-36285537

RESUMEN

BACKGROUND: The COVID-19 pandemic has posed a great risk to the mental health of health workers (HWs). There are likely to be particular concerns for staff working with adults with an intellectual disability, where infection control may be more challenging. METHOD: We conducted a systematic review of original research examining the mental health of HWs working with people with intellectual disability, published between March 2020 and July 2021. RESULTS: Five original research studies were included. A high proportion of HWs working with people with intellectual disability reported having had poor mental health including stress, anxiety, and depression. This manifested in similar patterns as for other HWs and also some specific patterns seen as the need to manage increased rates of mental health issues of the people they support. Sources of support and resilience were also identified. CONCLUSION: The support system should target risk factors, answer unmet needs, and build resilience. More research is also required on the ongoing and long-term effects.

4.
Nature ; 507(7493): 488-91, 2014 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-24670769

RESUMEN

Methane (CH4) is an important greenhouse gas because it has 25 times the global warming potential of carbon dioxide (CO2) by mass over a century. Recent calculations suggest that atmospheric CH4 emissions have been responsible for approximately 20% of Earth's warming since pre-industrial times. Understanding how CH4 emissions from ecosystems will respond to expected increases in global temperature is therefore fundamental to predicting whether the carbon cycle will mitigate or accelerate climate change. Methanogenesis is the terminal step in the remineralization of organic matter and is carried out by strictly anaerobic Archaea. Like most other forms of metabolism, methanogenesis is temperature-dependent. However, it is not yet known how this physiological response combines with other biotic processes (for example, methanotrophy, substrate supply, microbial community composition) and abiotic processes (for example, water-table depth) to determine the temperature dependence of ecosystem-level CH4 emissions. It is also not known whether CH4 emissions at the ecosystem level have a fundamentally different temperature dependence than other key fluxes in the carbon cycle, such as photosynthesis and respiration. Here we use meta-analyses to show that seasonal variations in CH4 emissions from a wide range of ecosystems exhibit an average temperature dependence similar to that of CH4 production derived from pure cultures of methanogens and anaerobic microbial communities. This average temperature dependence (0.96 electron volts (eV)), which corresponds to a 57-fold increase between 0 and 30°C, is considerably higher than previously observed for respiration (approximately 0.65 eV) and photosynthesis (approximately 0.3 eV). As a result, we show that both the emission of CH4 and the ratio of CH4 to CO2 emissions increase markedly with seasonal increases in temperature. Our findings suggest that global warming may have a large impact on the relative contributions of CO2 and CH4 to total greenhouse gas emissions from aquatic ecosystems, terrestrial wetlands and rice paddies.


Asunto(s)
Archaea/metabolismo , Ecosistema , Calentamiento Global , Metano/metabolismo , Temperatura , Anaerobiosis , Organismos Acuáticos/metabolismo , Atmósfera/química , Ciclo del Carbono , Dióxido de Carbono/análisis , Respiración de la Célula , Sedimentos Geológicos/microbiología , Efecto Invernadero , Metano/análisis , Oryza/metabolismo , Fotosíntesis , Estaciones del Año , Humedales
5.
Age Ageing ; 49(1): 52-56, 2019 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-31755532

RESUMEN

OBJECTIVES: The burden often associated with informal caregiving for patients with dementia is associated with negative effects on health, both physiologically and in terms of caregiver cognition. There is wide variation in the level of burden experienced by dementia caregivers. To better understand caregiver burden, it is thus important to understand the factors associated with level of burden. METHODS: In the current study, we collected carer burden and putative associated factors at baseline, 6 and 12 months. Hierarchical regression was used to assess the impact of these factors on caregiver burden. We assessed self-reported carer burden, patient behavioural and safety issues, and level of difficulty associated with providing assistance with activities of daily living (ADL). Patients' age was also recorded, and trained nurses assessed patient cognitive performance using the quick mild cognitive impairment screen. RESULTS: At baseline, patients' age, cognition and ADLs were associated with burden, and safety and challenging behaviour were both significantly associated with burden independent of the other factors. Change in burden was associated with change in carer-reported safety at 6-month follow-up, and with change in safety and change in carer-reported challenging behaviours at 12-month follow-up. CONCLUSIONS: Safety issues and challenging behaviours are associated with carer burden, even after accounting for cognitive and functional impairment in the person with dementia. As dementia progresses, monitoring these factors may help to inform stress-management strategies for caregivers.


Asunto(s)
Cuidadores/psicología , Costo de Enfermedad , Demencia/terapia , Atención al Paciente/psicología , Factores de Edad , Anciano , Cognición , Demencia/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Seguridad del Paciente
6.
Ecol Lett ; 21(6): 836-844, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29611269

RESUMEN

The allocation of metabolic energy to growth fundamentally influences all levels of biological organisation. Here we use a first-principles theoretical model to characterise the energetics of fish growth at distinct ontogenetic stages and in distinct thermal regimes. Empirically, we show that the mass scaling of growth rates follows that of metabolic rate, and is somewhat steeper at earlier ontogenetic stages. We also demonstrate that the cost of growth, Em , varies substantially among fishes, and that it may increase with temperature, trophic level and level of activity. Theoretically, we show that Em is a primary determinant of the efficiency of energy transfer across trophic levels, and that energy is transferred more efficiently between trophic levels if the prey are young and sedentary. Overall, our study demonstrates the importance of characterising the energetics of individual growth in order to understand constraints on the structure of food webs and ecosystems.


Asunto(s)
Peces , Cadena Alimentaria , Animales , Ecosistema , Modelos Teóricos , Temperatura
7.
PLoS Biol ; 13(12): e1002324, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26680314

RESUMEN

Phytoplankton are key components of aquatic ecosystems, fixing CO2 from the atmosphere through photosynthesis and supporting secondary production, yet relatively little is known about how future global warming might alter their biodiversity and associated ecosystem functioning. Here, we explore how the structure, function, and biodiversity of a planktonic metacommunity was altered after five years of experimental warming. Our outdoor mesocosm experiment was open to natural dispersal from the regional species pool, allowing us to explore the effects of experimental warming in the context of metacommunity dynamics. Warming of 4°C led to a 67% increase in the species richness of the phytoplankton, more evenly-distributed abundance, and higher rates of gross primary productivity. Warming elevated productivity indirectly, by increasing the biodiversity and biomass of the local phytoplankton communities. Warming also systematically shifted the taxonomic and functional trait composition of the phytoplankton, favoring large, colonial, inedible phytoplankton taxa, suggesting stronger top-down control, mediated by zooplankton grazing played an important role. Overall, our findings suggest that temperature can modulate species coexistence, and through such mechanisms, global warming could, in some cases, increase the species richness and productivity of phytoplankton communities.


Asunto(s)
Biodiversidad , Cambio Climático , Modelos Biológicos , Fitoplancton/crecimiento & desarrollo , Regulación hacia Arriba , Animales , Acuicultura , Inglaterra , Calor/efectos adversos , Fitoplancton/aislamiento & purificación , Distribución de Poisson , Estaciones del Año , Zooplancton/crecimiento & desarrollo , Zooplancton/aislamiento & purificación
9.
Nature ; 487(7408): 472-6, 2012 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-22722862

RESUMEN

Ecosystem respiration is the biotic conversion of organic carbon to carbon dioxide by all of the organisms in an ecosystem, including both consumers and primary producers. Respiration exhibits an exponential temperature dependence at the subcellular and individual levels, but at the ecosystem level respiration can be modified by many variables including community abundance and biomass, which vary substantially among ecosystems. Despite its importance for predicting the responses of the biosphere to climate change, it is as yet unknown whether the temperature dependence of ecosystem respiration varies systematically between aquatic and terrestrial environments. Here we use the largest database of respiratory measurements yet compiled to show that the sensitivity of ecosystem respiration to seasonal changes in temperature is remarkably similar for diverse environments encompassing lakes, rivers, estuaries, the open ocean and forested and non-forested terrestrial ecosystems, with an average activation energy similar to that of the respiratory complex (approximately 0.65 electronvolts (eV)). By contrast, annual ecosystem respiration shows a substantially greater temperature dependence across aquatic (approximately 0.65 eV) versus terrestrial ecosystems (approximately 0.32 eV) that span broad geographic gradients in temperature. Using a model derived from metabolic theory, these findings can be reconciled by similarities in the biochemical kinetics of metabolism at the subcellular level, and fundamental differences in the importance of other variables besides temperature­such as primary productivity and allochthonous carbon inputs­on the structure of aquatic and terrestrial biota at the community level.


Asunto(s)
Dióxido de Carbono/metabolismo , Carbono/metabolismo , Ecosistema , Calentamiento Global , Consumo de Oxígeno , Temperatura , Animales , Biomasa , Biota , Respiración de la Célula , Recolección de Datos , Humanos , Cinética , Lagos , Biología Marina , Fotosíntesis , Ríos , Estaciones del Año , Agua de Mar , Factores de Tiempo , Árboles/metabolismo
10.
Neurol Sci ; 39(3): 461-469, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29280019

RESUMEN

In this pilot study, we investigate whether a routine cycle ergometry training programme has therapeutic potential in individuals with multiple sclerosis (MS) by improving quality of life (QOL) and depressive symptomatology, while ameliorating cognitive disturbances. Healthy volunteers and MS patients cycled for 30 min at 65-75% age-predicted maximal heart rate on a recumbent ergometer, with this session repeated twice a week for 8 weeks. QOL, depressive symptomatology and cognitive function were assessed pre- and post-exercise using the MS Quality of Life-54 (MSQOL-54) questionnaire, 16-item Quick Inventory of Depressive Symptomatology (QIDS-SR16) questionnaire and the Cambridge Neuropsychological Test Automated Battery (CANTAB), respectively. We determined that QOL was lower in MS patients, compared to healthy subjects, with a reduction in physical and mental health summary scores observed. Exercise improved both physical and mental health scores in MS patients. In support of this, exercise was shown to reduce depressive symptomatology in MS patients. Exercise was also associated with an improvement in visual sustained attention, executive function/cognitive flexibility and hippocampal-dependent visuospatial memory in patients. Overall, this study identifies a short-term exercise programme that improves physical and mental health, while reducing depressive symptomatology and cognitive dysfunction in MS.


Asunto(s)
Cognición , Depresión/terapia , Terapia por Ejercicio , Esclerosis Múltiple/psicología , Esclerosis Múltiple/terapia , Calidad de Vida , Adulto , Índice de Masa Corporal , Peso Corporal , Depresión/fisiopatología , Ejercicio Físico/psicología , Terapia por Ejercicio/instrumentación , Femenino , Humanos , Factores Inmunológicos/uso terapéutico , Masculino , Esclerosis Múltiple/fisiopatología , Pruebas Neuropsicológicas , Aptitud Física , Proyectos Piloto , Resultado del Tratamiento
11.
Am Nat ; 190(3): 420-429, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28829643

RESUMEN

Simulations and experiments have shown that species coexistence can be maintained via nontransitive competition, of which a simple case is the rock-paper-scissors game. Reef-building corals exemplify high biodiversity competing for a few limiting resources via several mechanisms. Thus, corals represent fertile ground for exploring competition and nontransitivity. This article aimed to test hypotheses about the effects of species-level traits on competitive outcomes, specifically, that more upright growth, larger corallites, smaller ranges, and difference in commonness co-occur with competitive superiority. Further aims were to test whether closely related species show less predictable competitive outcomes and greater nontransitivity and to examine the level of nontransitivity among a large number of species. These goals were addressed by fitting a mixed-effects model to outcomes of 2,322 interspecific interactions. Among species-level traits, corallite width had the greatest impact on outcome, followed by geographical range size, growth form, and the typical commonness of conspecifics in assemblages. These fixed effects had smaller estimated impacts than a random effect associated with species pair, suggesting a primary role for idiosyncratic species-pair or other factors. Closely related species had more variable, less predictable interaction outcomes. Nearly a quarter of three-way species relations were nontransitive. The observed degree of competitive nontransitivity and extent of idiosyncratic species-pair effects together provide an empirical baseline for further investigations of mechanisms of species coexistence.


Asunto(s)
Antozoos , Biodiversidad , Fenotipo , Animales , Geografía
12.
Brain Behav Immun ; 61: 50-59, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27865949

RESUMEN

BACKGROUND: Preclinical studies have identified certain probiotics as psychobiotics - live microorganisms with a potential mental health benefit. Lactobacillus rhamnosus (JB-1) has been shown to reduce stress-related behaviour, corticosterone release and alter central expression of GABA receptors in an anxious mouse strain. However, it is unclear if this single putative psychobiotic strain has psychotropic activity in humans. Consequently, we aimed to examine if these promising preclinical findings could be translated to healthy human volunteers. OBJECTIVES: To determine the impact of L. rhamnosus on stress-related behaviours, physiology, inflammatory response, cognitive performance and brain activity patterns in healthy male participants. METHODS: An 8week, randomized, placebo-controlled, cross-over design was employed. Twenty-nine healthy male volunteers participated. Participants completed self-report stress measures, cognitive assessments and resting electroencephalography (EEG). Plasma IL10, IL1ß, IL6, IL8 and TNFα levels and whole blood Toll-like 4 (TLR-4) agonist-induced cytokine release were determined by multiplex ELISA. Salivary cortisol was determined by ELISA and subjective stress measures were assessed before, during and after a socially evaluated cold pressor test (SECPT). RESULTS: There was no overall effect of probiotic treatment on measures of mood, anxiety, stress or sleep quality and no significant effect of probiotic over placebo on subjective stress measures, or the HPA response to the SECPT. Visuospatial memory performance, attention switching, rapid visual information processing, emotion recognition and associated EEG measures did not show improvement over placebo. No significant anti-inflammatory effects were seen as assessed by basal and stimulated cytokine levels. CONCLUSIONS: L. rhamnosus was not superior to placebo in modifying stress-related measures, HPA response, inflammation or cognitive performance in healthy male participants. These findings highlight the challenges associated with moving promising preclinical studies, conducted in an anxious mouse strain, to healthy human participants. Future interventional studies investigating the effect of this psychobiotic in populations with stress-related disorders are required.


Asunto(s)
Atención/efectos de los fármacos , Cognición/efectos de los fármacos , Lacticaseibacillus rhamnosus , Probióticos/administración & dosificación , Estrés Psicológico/tratamiento farmacológico , Adulto , Encéfalo/efectos de los fármacos , Cognición/fisiología , Estudios Cruzados , Citocinas/sangre , Método Doble Ciego , Electroencefalografía , Voluntarios Sanos , Humanos , Hidrocortisona/análisis , Masculino , Pruebas Neuropsicológicas , Probióticos/uso terapéutico , Saliva/química , Estrés Psicológico/psicología , Adulto Joven
13.
Proc Natl Acad Sci U S A ; 110(8): 2904-9, 2013 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-23378632

RESUMEN

Assessing the extent to which population subdivision during cladogenesis is necessary for long-term phenotypic evolution is of fundamental importance in a broad range of biological disciplines. Differentiating cladogenesis from anagenesis, defined as evolution within a species, has generally been hampered by dating precision, insufficient fossil data, and difficulties in establishing a direct link between morphological changes detectable in the fossil record and biological species. Here we quantify the relative frequencies of cladogenesis and anagenesis for macroperforate planktic Foraminifera, which arguably have the most complete fossil record currently available, to address this question. Analyzing this record in light of molecular evidence, while taking into account the precision of fossil dating techniques, we estimate that the fraction of speciation events attributable to anagenesis is <19% during the Cenozoic era (last 65 Myr) and <10% during the Neogene period (last 23 Myr). Our central conclusion--that cladogenesis is the predominant mode by which new planktic Foraminifera taxa become established at macroevolutionary time scales--differs markedly from the conclusion reached in a recent study based solely on fossil data. These disparate findings demonstrate that interpretations of macroevolutionary dynamics in the fossil record can be fundamentally altered in light of genetic evidence.


Asunto(s)
Evolución Biológica , Fósiles , Especiación Genética
14.
Proc Natl Acad Sci U S A ; 110(41): 16498-502, 2013 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-24065830

RESUMEN

Most marine organisms disperse via ocean currents as larvae, so it is often assumed that larval-stage duration is the primary determinant of geographic range size. However, empirical tests of this relationship have yielded mixed results, and alternative hypotheses have rarely been considered. Here we assess the relative influence of adult and larval-traits on geographic range size using a global dataset encompassing 590 species of tropical reef fishes in 47 families, the largest compilation of such data to date for any marine group. We analyze this database using linear mixed-effect models to control for phylogeny and geographical limits on range size. Our analysis indicates that three adult traits likely to affect the capacity of new colonizers to survive and establish reproductive populations (body size, schooling behavior, and nocturnal activity) are equal or better predictors of geographic range size than pelagic larval duration. We conclude that adult life-history traits that affect the postdispersal persistence of new populations are primary determinants of successful range extension and, consequently, of geographic range size among tropical reef fishes.


Asunto(s)
Distribución Animal/fisiología , Tamaño Corporal/fisiología , Arrecifes de Coral , Peces/fisiología , Conducta Social , Análisis de Varianza , Animales , Geografía , Larva/fisiología , Funciones de Verosimilitud , Océanos y Mares , Reproducción/fisiología , Especificidad de la Especie , Clima Tropical
15.
Proc Natl Acad Sci U S A ; 109(38): 15366-71, 2012 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-22949638

RESUMEN

With frigid temperatures and virtually no in situ productivity, the deep oceans, Earth's largest ecosystem, are especially energy-deprived systems. Our knowledge of the effects of this energy limitation on all levels of biological organization is very incomplete. Here, we use the Metabolic Theory of Ecology to examine the relative roles of carbon flux and temperature in influencing metabolic rate, growth rate, lifespan, body size, abundance, biomass, and biodiversity for life on the deep seafloor. We show that the relative impacts of thermal and chemical energy change across organizational scales. Results suggest that individual metabolic rates, growth, and turnover proceed as quickly as temperature-influenced biochemical kinetics allow but that chemical energy limits higher-order community structure and function. Understanding deep-sea energetics is a pressing problem because of accelerating climate change and the general lack of environmental regulatory policy for the deep oceans.


Asunto(s)
Biodiversidad , Biomasa , Metabolismo Energético , Biología Marina/métodos , Tamaño Corporal , Cambio Climático , Ecología , Ecosistema , Ambiente , Modelos Estadísticos , Océanos y Mares , Plantas/metabolismo , Análisis de Regresión , Temperatura , Microbiología del Agua
16.
Biol Res Nurs ; 26(2): 257-269, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37907265

RESUMEN

INTRODUCTION: Reminiscence therapy (RT), which engages individuals to evoke positive memories, has been shown to be effective in improving psychological well-being in older adults suffering from PTSD, depression, and anxiety. However, its impact on brain function has yet to be determined. This paper presents functional magnetic resonance imaging (fMRI) data to describe changes in autobiographical memory networks (AMN) in community-dwelling older adults. METHODS: This pilot study used a within-subject design to measure changes in AMN activation in 11 older adults who underwent 6 weeks of RT. In the scanner, participants retrieved autobiographical memories which were either recent or remote, rehearsed or unrehearsed. Participants also underwent a clinical interview to assess changes in memory, quality of life, mental health, and affect. FINDINGS: Compared to pretreatment, anxiety decreased (z = -2.014, p = .040) and activated significant areas within the AMN, including bilateral medial prefrontal cortex, left precuneus, right occipital cortex, and left anterior hippocampus. CONCLUSION: Although RT had subtle effects on psychological function in this sample with no evidence of impairments, including depression at baseline, the fMRI data support current thinking of the effect RT has on the AMN. Increased activation of right posterior hippocampus following RT is compatible with the Multiple Trace Theory Theory (Nadel & Moscovitch, 1997).


Asunto(s)
Memoria Episódica , Calidad de Vida , Humanos , Anciano , Proyectos Piloto , Hipocampo/fisiología
17.
Nature ; 445(7127): E9-10; discussion E10-1, 2007 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-17268426

RESUMEN

Reich et al. report that the whole-plant respiration rate, R, in seedlings scales linearly with plant mass, M, so that R=C(R)M(theta) when theta approximately 1, in which c(R) is the scaling normalization and theta is the scaling exponent. They also state that because nitrogen concentration (N) is correlated with c(R), variation in N is a better predictor of R than M would be. Reich et al. and Hedin incorrectly claim that these "universal" findings question the central tenet of metabolic scaling theory, which they interpret as predicting theta = (3/4), irrespective of the size of the plant. Here we show that these conclusions misrepresent metabolic scaling theory and that their results are actually consistent with this theory.


Asunto(s)
Peso Corporal , Modelos Biológicos , Plantas/anatomía & histología , Plantas/metabolismo , Carbono/metabolismo , Respiración de la Célula , Nitrógeno/metabolismo , Fotosíntesis , Hojas de la Planta/anatomía & histología , Hojas de la Planta/metabolismo , Plantones/anatomía & histología , Plantones/metabolismo
19.
Br J Learn Disabil ; 2022 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-35602324

RESUMEN

Background: The COVID-19 pandemic has placed enormous strain on health systems around the world, undermining the mental health and wellbeing of healthcare workers. Supporting people with intellectual disabilities may be particularly challenging for workers, as some people with intellectual disabilities may have a limited understanding of the pandemic, and find it challenging to adhere to the restrictions imposed by public health guidelines such as social distancing, lockdowns and change in usual routine and activities. In addition, many people with intellectual disabilities have increased vulnerability to more negative effects of COVID-19, with significantly higher mortality rates. Although there is emerging research on the mental health of healthcare staff during this time, there has been little specific work on the mental health of staff working with people with intellectual disability, particularly a lack of qualitative research. Methods: The current study employed semi-structured interviews with 13 healthcare workers (12 women and 1 man) who were working with people with intellectual disability during the COVID-19 pandemic. The interview data were analysed using thematic content analysis. Findings: The participants spoke in depth about the challenges of the working environment, the impact of providing care during the pandemic on staff mental health, supporting staff mental health and wellbeing and learning for the future. Conclusions: Systematic efforts are required to protect the mental health of this staff cohort, as well as encouraging resilience and successful coping among staff themselves.

20.
Neurobiol Stress ; 16: 100425, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35024387

RESUMEN

Birth by Caesarean-section (C-section), which increases the risk for metabolic and immune disorders, disrupts the normal initial microbial colonisation of the gut, in addition to preventing early priming of the stress and immune-systems.. Animal studies have shown there are enduring psychological processes in C-section born mice. However, the long-term impact of microbiota-gut-brain axis disruptions due to birth by C-section on psychological processes in humans is unknown. Forty age matched healthy young male university students born vaginally and 36 C-section delivered male students were recruited. Participants underwent an acute stressor, the Trier social stress test (TSST), during a term-time study visit. A subset of participants also completed a study visit during the university exam period, representing a naturalistic stressor. Participants completed a battery of cognitive tests and self-report measures assessing mood, anxiety, and perceived stress. Saliva, blood, and stool samples were collected for analysis of cortisol, peripheral immune profile, and the gut microbiota. Young adults born by C-section exhibit increased psychological vulnerability to acute stress and a prolonged period of exam-related stress. They did not exhibit an altered salivary cortisol awakening response to the TSST, but their measures of positive affect were significantly lower than controls throughout the procedure. Both C-section and vaginally-delivered participants performed equally well on cognitive assessments. Most of the initial effects of delivery mode on the gut microbiome did not persist into adulthood as the gut microbiota profile showed modest changes in composition in adult vaginally-delivered and C-sectioned delivered subjects. From an immune perspective, concentrations of IL-1ß and 1L-10 were higher in C-section participants. These data confirm that there is a potential enduring effect of delivery mode on the psychological responses to acute stress during early adulthood. The mental health implications of these observations require further study regarding policies on C-section use.

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