African American prostate cancer survivorship: Exploring the role of social support in quality of life after radical prostatectomy

Purpose: The aim of this study was to explore the African American prostate cancer survivorship experience following radical prostatectomy and factors contributing to quality of life during survival. Design: African American men who were part of a larger prostate cancer cohort were invited to participate in a focus group. Eighteen open-ended questions were designed by the study team and an experienced moderator to elicit participants' survivorship experiences. Results: Twelve men consented to participate in the study. Emergent themes included views of prostate cancer in the African American community, perceptions of normalcy, emotional side effects following radical prostatectomy, and social support involvement and impact during recovery. Conclusions: Previous findings suggest that African American men may experience more distress than Caucasian men when facing typical prostate cancer side effects. Traditional masculine role norms and negative perceptions of “disease disclosure” in the African American community could be contributing to the distress reported by some in this study. Strengthening social support systems by promoting more prosocial coping and help-seeking behaviors early in the survivorship journey may help bypass the detrimental health effects associated with masculine role identification, resulting in improved quality of life throughout the lengthy survival period anticipated for these men.     

A socio-ecological analysis of risk,protective and promotive factors for the mental health of Burundian refugee children living in refugee camps

European Child & Adolescent Psychiatry - Children and adolescents’ mental health risk and resilience arise from a complex interplay of factors on several socio-ecological levels. However,...     

Epidemiology,clinical picture and long-term outcomes of FIP1L1-PDGFRA-positive myeloid neoplasm with eosinophilia: Data from 151 patients

FIP1L1-PDGFRA-positive myeloid neoplasm with eosinophilia (F/P+ MN-eo) is a rare disease: robust epidemiological data are lacking and reported issues are scarce, of low sample-size and limited follow-up. Imatinib mesylate (IM) is highly efficient but no predictive factor of relapse after discontinuation has yet been identified. One hundred and fifty-one patients with F/P+ MN-eo (143 males; mean age at diagnosis 49 years; mean annual incidence: 0.18 case per million population) were included in this retrospective nationwide study involving all French laboratories who perform the search of F/P fusion gene (study period: 2003-2019). The main organs involved included the spleen (44%), skin (32%), lungs (30%), heart (19%) and central nervous system (9%). Serum vitamin B12 and tryptase levels were elevated in 74/79 (94%) and 45/57 (79%) patients, respectively, and none of the 31 patients initially treated with corticosteroids achieved complete hematologic remission. All 148 (98%) IM-treated patients achieved complete hematologic and molecular (when tested, n = 84) responses. Forty-six patients eventually discontinued IM, among whom 20 (57%) relapsed. In multivariate analysis, time to IM initiation (continuous HR: 1,01 [0.99-1,03]; P = .05) and duration of IM treatment (continuous HR: 0,97 [0,95-0,99]; P = .004) were independent factors of relapse after discontinuation of IM. After a mean follow-up of 80 (56) months, the 1, 5- and 10-year overall survival rates in IM-treated patients were 99%, 95% and 84% respectively. In F/P+ MN-eo, prompt initiation of IM and longer treatment durations may prevent relapses after discontinuation of IM.     

First Report of Widespread Wild Populations of Triatoma infestans (Reduviidae, Triatominae) in the Valleys of La Paz, Bolivia

Wild populations of Triatoma infestans, the main vector of Chagas disease in the Southern Cone countries, may be involved in reinfestation of human dwellings, limiting the success of vector-control campaigns in Bolivia. Knowledge of the distribution of these populations remains incomplete. We report here the detection of T. infestans wild populations in large areas in the department of La Paz, Bolivia. Among 18 sylvatic areas investigated, 17 were positive with T. infestans specimens. The infection rate of captured T. infestans with Trypanosoma cruzi was 85.7% in adult specimens. These results expand the geographical distribution of wild populations of T. infestans; it may be distributed throughout the Inter-Andean Dry Forest eco-region of Bolivia. The current information allows us to propose the hypothesis that a sylvatic origin of the reinfestation is located in the valleys of La Paz.     

Evolution of a genetic polymorphism with climate change in a Mediterranean landscape

Many species show changes in distribution and phenotypic trait variation in response to climatic warming. Evidence of genetically based trait responses to climate change is, however, less common. Here, we detected evolutionary variation in the landscape-scale distribution of a genetically based chemical polymorphism in Mediterranean wild thyme (Thymus vulgaris) in association with modified extreme winter freezing events. By comparing current data on morph distribution with that observed in the early 1970s, we detected a significant increase in the proportion of morphs that are sensitive to winter freezing. This increase in frequency was observed in 17 of the 24 populations in which, since the 1970s, annual extreme winter freezing temperatures have risen above the thresholds that cause mortality of freezing-sensitive morphs. Our results provide an original example of rapid ongoing evolutionary change associated with relaxed selection (less extreme freezing events) on a local landscape scale. In species whose distribution and genetic variability are shaped by strong selection gradients, there may be little time lag associated with their ecological and evolutionary response to long-term environmental change.Ongoing changes in regional climates are pushing many species to shift their distribution toward higher latitudes and altitudes (1–7). Such changes in species distribution, with an expansion in previously hostile areas and contraction in areas becoming less favorable, can occur rapidly both in plants and animals (2, 3, 5, 6). As a result, major changes in community composition due to differential migration rates may occur (8). Indeed, habitat fragmentation may prevent many species from showing such a distributional response to climate change. As a result, only those species that can respond by phenotypic plasticity or genetically based local adaption will persist (9). In animal and plant species, phenotypic plasticity of phenological traits can allow individuals to adjust to climate change (1, 10, 11). In addition to changes in distribution and plasticity, an evolutionary response to climate change may occur if species evolve a genetically based adaptation to climate change (12, 13). It is important to distinguish this genetic response from a plastic response of individuals if we are to fully understand the evolutionary potential of species to evolve with climate change (14). Adaptive trait variation in relation to climate change has been shown in the classic study of Drosophila (15, 16) and in experimental and natural populations of a small number of plant species (17–20). However, in some cases, the evolutionary response to climate change may be slow due to genetic constraints (21) causing a time lag between the environmental change and an observed evolutionary response. Understanding how species track climate change by genetically based adaptive trait variation and which traits facilitate the evolution of such adaption is important; such issues determine which species may persist locally and which may shift their distribution (22, 23).In this study, we test for an evolutionary response of a genetic polymorphism in essential oil composition in Mediterranean wild thyme, Thymus vulgaris, to reduced selection associated with a warming of extreme winter freezing events over a sharp spatial climatic gradient. Our study was done in and around the Saint Martin-de-Londres basin (43°48′N, 03°46′E), which covers an area of ∼80 km² and whose southern limits are ∼20 km north of Montpellier in the Mediterranean climate region of southern France. The center of the basin (lowest altitude, 145 m) is surrounded by calcareous hills, ranging from 300 to 658 m. The study area has a Mediterranean climate with summer drought but also severe winter freezing temperatures within the basin as a result of a dramatic temperature inversion (Fig. 1). In this area, there are six different chemotypes that are the expression of a genetically controlled polymorphism in T. vulgaris (24). Two phenolic chemotypes (carvacrol and thymol) are largely dominant on the slopes outside of the basin on stony soils above 250-m elevation and four nonphenolic chemotypes (linalool, thuyanol-4, α-terpineol, and geraniol) occur within the basin below 200-m elevation on deeper, more humid soils (25–27), where they experience the winter temperature inversion. There is thus a sharp cline in chemotype frequency over only 3–5 km that goes from 100% of either phenolic or nonphenolic chemotypes to 100% of the other form, with a narrow transitional zone (Fig. 2). In short, nonphenolic chemotypes show marked adaptation to habitats, which in the past have frequently experienced extreme freezing temperatures in early winter, whereas phenolic chemotypes are sensitive to intense early-winter freezing and occur in habitats where extreme summer drought can exclude nonphenolic chemotypes (28, 29).Open in a separate windowFig. 1.Coldest annual temperature from 1955 to 2010 at the weather station of Saint Martin-de-Londres (filled squares), which occurs in the zone dominated by freezing-tolerant nonphenolic chemotypes, and from 1970 to 2010 at the Centre d''Ecologie Fonctionnelle et Evolutive–Centre National de la Recherche Scientifique experimental gardens on the northern periphery of Montpellier (open circles), where natural thyme populations are dominated by freezing-sensitive phenolic chemotypes.Open in a separate windowFig. 2.Spatial distribution and chemical composition of sampled thyme populations in the early 1970s and the 36 populations that were resampled in the present study along six transects. The chemical composition of resampled populations indicated on the map is that which was observed in the initial study. Black circles, phenolic populations; open circles, nonphenolic populations; gray circles, mixed populations. On each transect, the six populations are connected by a dashed line and are represented by a slightly larger circle than populations that were not resampled in the present study.In the part of the study area where nonphenolic chemotypes dominated populations in the early 1970s, extreme winter temperatures have become less severe (Fig. 1) with a significant increase in temperature of extreme freezing events (r = 0.36, n = 56, P < 0.01). In the 20 y before and during the initial study, winter temperatures fell below levels (−15 °C in December) that would exclude phenolic chemotypes from sites dominated by nonphenolic chemotypes (29) on five occasions. In the 16 y following the initial study, three such events were recorded. In the last 20 y, no such extreme events have been recorded in the zone dominated by nonphenolic chemotypes. The last extreme freezing event that could impact the composition of thyme populations occurred 25 y ago.Here, we test the hypothesis that phenolic chemotypes (thymol and carvacrol) now occur in sites where they were previously absent or have increased their frequency in transitional sites due to a relaxation of selection normally associated with extreme early-winter freezing temperatures. To do so, we compared the chemotype composition of populations observed in the early 1970s (26) to that in 2009–2010 for 36 populations sampled along six transects. Each transect is <10 km long, each containing six populations, with two “phenolic,” “mixed,” and “nonphenolic” populations (Fig. 2). To provide an indication of whether population-level changes are due to within-population adaptation or migration among populations, we also examine whether any increases in the abundance of phenolic chemotypes are primarily in nonphenolic or mixed populations that are spatially the closest to preexisting phenolic populations.     

Alleviating the force of poverty on urban poor children

This pluralistic, highly advantaged society, with an ethnically diverse and class-divided population, has both moral and economic obligations to assist urban poor children to overcome the adverse conditions of their life circumstances. A network of socially-conscious child advocates is needed to help poor children, particularly those of color, to overcome the statistical odds against them. At bottom these advocates must be humanists who subscribe to the human capital concept and who apply it to our children. A national Urban Marshall Plan is needed, social policy designed to ameliorate the substandard condition of the poor. It must include the institution and maintenance of realistic policies and programs of effective schooling for poor children and their families. Schooling is their lifeline to the 21st century. The urban poor, in turn, have a responsibility to accept and use wisely the assistance offered them. Thus obligation is mutual and reciprocal between society and its urban poor, though the greater burden is on the society to make it possible for urban poor children to surmount adverse conditions under which they find themselves due to “accidents of birth” and the transformation of our economy.     

Lignosulfonate is an efficient SPF booster: Application to eco-friendly sunscreen formulations

Sunscreen oil-in-water emulsions containing few ingredients and two EU-authorized organic filters had been developed in an eco-friendly approach. Based on their photostability, spectroscopic features, and the lack of data on toxicity, BEMT (UVA/B range; bis-ethylhexyloxyphenol methoxyphenyl triazine) and DHHB (UVA; diethylamino hydroxybenzoylhexyl benzoate) were selected and incorporated at minimal concentrations to reduce the risk of impact on human health and coastal marine ecosystems. Despite the inconclusive results previously reported, the use of the w-soluble and largely available Na-lignosulfonate (LiS) had been reconsidered with success. Since BEMT and DHHB alone or in combination were not able to higher the sun protection factor (SPF) value at 50, results showed that it becomes possible by supplementing with LiS at 5% (w/w), ensuring stability, antiradical property, and a non-toxicity of the sun emulsion. After defining the range doses for the three components, minimizing concentrations was achieved by experimental design studies using a response surface methodology in which SPF values before and after irradiation has been considered. Consequently, an SPF₃₀ and SPF₅₀ emulsions containing only 9 and 12% total filter respectively and 5% LiS each had been developed. This high boosting effect led to discussions on how LiS interacts, suggesting the involvement of J aggregation, the formation of LiS micelles that would partly encapsulate the o-soluble filters, and the mode of adsorption at the solid-liquid interface of the poly(methyl-methacrylate) plate or the skin.     

Screening migrants for tuberculosis - a missed opportunity for improving knowledge and attitudes in high-risk groups: A cross-sectional study of Swedish-language students in Umeå, Sweden

Background  

Migrants from countries with a high-burden of tuberculosis (TB) are at a particular risk of contracting and developing the disease. In Sweden, new immigrants are routinely offered screening for the disease, yet very little is known about their beliefs about the disease which may affect healthcare-seeking behaviours. In this study we assessed recent immigrant students' knowledge of, and attitudes towards TB, and their relationship with the screening process.