February March Research Articles

Father involvement is a protective factor for maternal mental health in Western Kenya

Depression is a major global health concern especially among mothers of young children in low- and middle-income countries (LMICs). While various risk and protective factors have been well-established, the role of fathers in potentially mitigating maternal depression remains understudied. This study aimed to investigate the association between father involvement and maternal depressive symptoms in rural Western Kenya. We used cross-sectional baseline data collected in February–March 2023 from a cluster-randomized controlled trial evaluating the effectiveness of a community-based parenting program for improving early childhood development. Primary caregivers with children 0–18 months of age were enrolled into the trial across 51 villages in Nyamira and Vihiga counties. We analyzed data from 413 mothers who were in a relationship with a male partner (i.e., father of the young child). Maternal depressive symptoms were measured using the CESD-10. Father involvement was reported using a multidimensional measure of men's engagement in childcare activities, household chores, early learning activities, and affection towards their child. We used multilevel regression models to estimate the adjusted associations between father involvement (overall score and by specific domains) and maternal depressive symptoms. We also conducted exploratory subgroup analyses to assess whether this association differed by child age. Overall, greater father involvement was associated with fewer maternal depressive symptoms. Specifically, fathers' engagement in household chores and childcare activities had the strongest protective associations. Exploratory subgroup analyses revealed larger associations for mothers with younger children under 6 months. Our findings suggest that father involvement is a protective factor for maternal mental health. Engaging fathers in early childhood interventions and encouraging men's involvement in caregiving activities may potentially benefit maternal well-being.

February–March minimum temperature record from cold-arid Lahaul-Spiti, Himachal Pradesh, India, and its hydrological implications

February–March minimum temperature record from cold-arid Lahaul-Spiti, Himachal Pradesh, India, and its hydrological implications

Phylogenetic and Molecular Characteristics of Wild Bird-Origin Avian Influenza Viruses Circulating in Poland in 2018−2022: Reassortment, Multiple Introductions, and Wild Bird–Poultry Epidemiological Links

Since 2020, a significant increase in the severity of H5Nx highly pathogenic avian influenza (HPAI) epidemics in poultry and wild birds has been observed in Poland. To further investigate the genetic diversity of HPAI H5Nx viruses of clade 2.3.4.4b, HPAIV-positive samples collected from dead wild birds in 2020–2022 were phylogenetically characterized. In addition, zoonotic potential and possible reassortment between HPAIVs and LPAIVs circulating in the wild avifauna in Poland have been examined. The genome-wide phylogenetic analysis revealed the presence of three different avian influenza virus (AIV) subtypes (H5N8, H5N5, and H5N1) during the HPAI 2020/2021 season, while in the next HPAI 2021/2022 epidemic only one H5N1 subtype encompassing seven various genotypes (G1–G7) was confirmed. No reassortment events between LPAIVs (detected in the framework of active surveillance) and HPAIVs circulating in Poland have been captured, but instead, epidemiological links between wild birds and poultry due to bidirectional, i.e., wild bird-to-poultry and poultry-to-wild bird HPAIV transmission were evident. Furthermore, at least five independent H5N8 HPAIV introductions into the Baltic Sea region related to unprecedented mass mortality among swans in February–March 2021 in Poland, as well as a general tendency of current H5Nx viruses to accumulate specific mutations associated with the ability to break the interspecies barrier were identified. These results highlight the importance of continuous active and passive surveillance for AI to allow a rapid response to emerging viruses.

Sharp increase in Saharan dust intrusions over the western Euro-Mediterranean in February–March 2020–2022 and associated atmospheric circulation

Abstract. During the months of February–March (FM) of the 2020–2022 period, several intense dust intrusions from northern Africa affected Europe. The frequency of dust events was exceptional, considering that wintertime is the season with minimum dust activity in the Mediterranean, and some episodes displayed a duration and/or intensity never recorded before, affecting large areas of the western Euro-Mediterranean (WEM) region. The main objective of this work is to construct a catalogue of FM dust events over the WEM for the 2003–2022 period based on satellite aerosol retrievals and to analyse their atmospheric drivers at the synoptic and large scales, paying special attention to the recent 2020–2022 period of high dust activity. Overall, our results indicate large intraseasonal and interannual variability in the occurrence of wintertime dust events over the WEM. Dust events of FM 2020–2022 were characterized by enhanced dust concentration and high maximum altitudes in comparison with those of previous years (2003–2019). WEM dust events are associated with enhanced activity of high-pressure systems over the Euro-Atlantic sector, which favour the obstruction of the westerlies and the occurrence of cut-off lows at subtropical latitudes. However, these high-pressure systems can exhibit a large variety of configurations, including meridional dipole blocking patterns with poleward shifted jets or Mediterranean subtropical ridges with an intensified mid-latitude jet. The former is the dominant favourable pattern for WEM dust occurrence, but the latter was relatively common during the 2020–2022 period.

Point-of-care circulating cathodic antigen positivity and associated factors in school children one year after mass praziquantel administration in an endemic district in Ghana

BackgroundMass drug administration of praziquantel is expected to reduce Schistosome carriage in treated children in endemic communities. However, the effectiveness of this annual exercise has not been assessed in Ghana. Therefore, this study aimed to detect viable Schistosoma mansoni infection using point-of-care circulating cathodic antigen (POC-CCA) positivity as proxy and associated factors in children previously treated with praziquantel in an endemic municipality in Ghana. Materials and methodsThis cross-sectional study was done in the Assin Central municipality in the Central Region of Ghana. School children, less than 16 years of age, treated with 40 mg/kg of praziquantel (treatment period: February–March 2019), provided early morning urine (∼40 mL) and stool (∼4 g) samples. Immediately, POC-CCA (ICT International, South Africa) was done, while S. mansoni ova were detected in formalin fixed samples using microscopy later. Additionally, participant's socio-demographic information and factors associated with S, mansoni infection transmission were collected from each child. ResultsA total of 520 children participated in the study (males-51.9%, majority age range [9–11 years, 34.4%]). Overall, 244 (46.9%) were positive for urinary CCA with no S. mansoni detected by microscopy. POC-CCA positivity was higher in females (48.4%), children with 2–3 siblings (49.3%), children aged 6–8-year range (55.4%) and residents of Brofoyedur (52%). However, age (x2 = 16.1, p = 0.0003) and town of residence (x2 = 11.7, p = 0.019) associated with CCA positivity. Further, location of water body (x2 = 16.4, p = 0.008), frequency of water contact (x2 = 12.3, p = 0.015) and handling of the Biomphalaria intermediate host (x2 = 5.1, p = 0.024) associated with POC-CCA outcome. ConclusionAbout 47% of the school children were positive for CCA, one year after mass praziquantel administration in the Assin Central municipality. Varied factors associated with the post-praziquantel administration POC-CCA positivity. This study should be replicated in other endemic areas to identify groups at risk of parasite persistence or reinfection to inform modification of control and preventive measures.

CME Radio Precursors Recorded in February–March 2023

CME Radio Precursors Recorded in February–March 2023

Earth’s Ionospheric Response to Solar Activity Phenomena in February–March 2023

Earth’s Ionospheric Response to Solar Activity Phenomena in February–March 2023

MHD Waves in Solar Wind Plasma during Geomagnetic Storm Events in February–March 2023

MHD Waves in Solar Wind Plasma during Geomagnetic Storm Events in February–March 2023

Connections between low- and high- frequency variabilities of stratospheric northern annular mode and Arctic ozone depletion

Previous studies have demonstrated a dynamical linkage between the ozone and stratospheric polar vortex strength, but only a few have mentioned the persistence of the anomalous vortex. This study uses the complete ensemble empirical mode decomposition with adaptive noise to decompose the winter stratospheric northern annular mode (NAM) variabilities into relatively low frequencies (>4 months) and high frequencies (<2 months) (denoted as NAML and NAMH) and investigates their relationship with the Arctic ozone concentration in March. A closer relationship is found between the Arctic ozone and the NAML, i.e. a persistently strong stratospheric polar vortex in winter (especially February–March) is more critical than a short-lasting extremely strong vortex in contributing to Arctic ozone depletion. We find that a negative NAMH or major stratospheric sudden warming event in early winter could be a precursor for the anomalous depletion of Arctic ozone in March. The NAML changes are further related to the warm North Pacific sea surface temperature (SST) anomalies and ‘central-type’ El Niño-like or La Niña-like SST anomalies in early winter months, as well as cold North Atlantic SST anomalies and higher sea ice concentration in the Barents–Kara Sea from late-autumn to early-spring.

Understanding Fijian health system challenges in the prevention of mother-to-child transmission of HIV services in the three tertiary hospitals in Fiji

ABSTRACT Mother-to-child transmission is the most common route of human immunodeficiency virus transmission in children, which could be prevented with proper treatment and access to care. Health system challenges can impede the effectiveness of prevention of mother-to-child transmission (PMTCT) programmes. We aim to understand the health system challenges to the provision of PMTCT services for pregnant women in three tertiary hospitals in Fiji. Data were collected using in-depth interviews in the three tertiary hospitals and associated health clinics in Fiji between April–May 2013 and February–March 2014. Ethical approvals were obtained. A total of 58 healthcare providers were interviewed including doctors (n = 12), midwives (n = 19), nurses (n = 14), laboratory technicians (n = 5) and counsellors (n = 8). The data were analysed using thematic analysis. We found that the healthcare workers faced a wide range of health system challenges including institutional and human resource challenges. Staff shortage, limited PMTCT training and shortage of supplies were barriers to the quality of PMTCT services. Our findings would be useful in developing strategies to overcome barriers as it would be imperative in improving the quality of PMTCT service provision in Fiji and other similar settings.

The Stability of Mental Health During War: Survey Data from Ukraine

Identifying psychological resources that can protect against the impact of war on mental health is an important endeavor. The aim of this study was to determine the stability of correlations between positive and negative indicators of mental health in a sample of Ukrainian citizens during the ongoing war, and to assess possible gender differences. A total of 359 respondents aged 18–61 from all regions of Ukraine completed self-reported surveys at two time points eight months apart (June–July 2022 and February–March 2023). Surveys included three scales reflecting positive aspects of mental health (resilience, self-efficacy, and hardiness) and two reflecting negative aspects (PTSD symptoms and pressure of physical complaints). Significant negative correlations (r values ranged from −.23 to −.47; p < .001) between two positive indicators (resilience and self-efficacy) and the two negative indicators remained practically unchanged over the eight-month period. These relationships were almost equally stable in men and women. Findings expand current knowledge on the consequences of war for mental health and highlight resilience and self-efficacy as potential protective factors against the deterioration of civilian mental health during war.

Safe Disposal of Unused Medicine among Health Professions Students at Makerere University: Knowledge, Practices and Barrier

Background: Environmental contamination with antimicrobial agents is one of the leading drivers of Anti-Microbial Resistance (AMR) worldwide. However, scarce data exists concerning the factors fuelling unsafe disposal of medicines globally. This study aimed to assess for the knowledge, practices, and barriers concerning safe disposal of unwanted medicines among Health Professions Students (HPS) at Makerere University, Uganda. Methods: We conducted a cross-sectional study using an online assessment tool sent through WhatsApp groups and E-mail addresses of undergraduate HPS at the College of Health Sciences Makerere University, Uganda between 1st February and 16th March 2022. Good knowledge was defined as a score of 80% of the knowledge domain questions on a standardized questionnaire. Results: We enrolled 205 participants, 135 (65.9%) were male, with a median age of 23 (range: 19 -43) years. Overall, 157 (76%) participants had good Knowledge. The mean knowledge score was 63%. About half (n=102, 49.8%) of the participants had unused medicines kept at their respective residential places, mainly antibiotics (27%, x/102) and analgesics (21%, x/102). The most common method of medicine disposal was dumping into household garbage (n=103, 50.2%). Only 37 (18%) of participants had ever used the take-back method of medicine disposal. The most reported barriers for safe disposal were inadequate knowledge and insufficient advice from the dispensers concerning safe disposal practices. Year of study was the only factor significantly associated with knowledge about safe disposal of medicines, (adjusted Odds Ratio: 9.7, 95% CI 2.3 - 40.5, p= 0.002), with participants in higher academic years having more knowledge than those in lower years. Conclusion: Despite a good knowledge level among the participants, the practice of safe disposal of unused medicines remains suboptimal in this population. Strategies aimed at enhancing safe disposal practices such as giving proper instructions to medicine buyers by dispensers regarding disposal practices are recommended to abate the growing burden of AMR.

Influence of Pleistocene glacial deposits on the transport of agricultural nitrate in the river Wensum catchment, UK

Mitigating NO3− pollution requires an understanding of the hydrological processes controlling contaminant mobilisation and transport, particularly in agricultural catchments underlain by Pleistocene glacial deposits. Focusing on the Wensum catchment in East Anglia, UK, precipitation (n = 20), stream water (n = 50), field drainage (n = 22) and groundwater (n = 84) samples collected between February–March 2011 and April–September 2012 were variously analysed for water stable isotopes (δ2HH2O and δ18OH2O), the dual-isotopes of NO3− (δ15NNO3 and δ18ONO3), groundwater residence time indicators (CFCs and SF6) and hydrochemical parameters. The residence time indicators suggested a component of modern (post-1960) groundwater throughout the sequence of glacial deposits that corresponds with the penetration of agricultural NO3−. Denitrification and lower NO3− concentrations (<8 mg L−1) are observed in the glacial tills, compared with higher NO3− concentrations (<90 mg L−1) observed under more oxidising conditions in the glacial sands and gravels. Storm hydrograph separation for two storms in April and September 2012 using two- and three-component mixing models showed a faster response with field drainage (36–38 %) and baseflow (5–37 %) contributing to the total stream discharge in areas of clay loam soils over glacial tills. In these areas, the dual stable isotopes of NO3− (δ15NNO3 = +11.8 ‰ and δ18ONO3 = +7.1 ‰) indicated a denitrified source of nitrogen from field drainage and groundwater. In comparison, a dampened response and a higher percentage of baseflow (29–80 %) was observed in areas of sandy clay loam soils over glacial sands and gravels. In these areas, mean NO3− isotopic signatures (δ15NNO3 = +7.8 ‰ and δ18ONO3 = +5.0 ‰) indicated a source of nitrified NH4+. In conclusion, understanding hydrological processes in catchments underlain by variable glacial deposits can inform nutrient management plans and cultivation practices to reduce the risk of agricultural NO3− contamination.

Chemical and 87Sr/86Sr signatures of rainwaters at two active central volcanoes in São Miguel (Azores) – first survey

Rainwater samples were collected during final of February and early March of 2022, at Furnas and Fogo volcanoes, São Miguel (Azores), both of which display secondary manifestations of volcanism. The major-ion composition reveals that marine aerosols contribute significantly to the chemistry of these rainwaters, showed by the proximity of some samples to the Na/Cl ratio of the seawater. The 87Sr/86Sr ratios (0.70849–0.71027) presented by the rainwater samples are similar to the seawater, indicating that marine sprays are possibly the major source of dissolved Sr, with values within the range of values presented by rainwater on the Portuguese mainland. However, other sources, such as volcanic emissions and mineral dust components showed to have also an impact. The 87Sr/86Sr ratios depicted by one sample (CC) deviates from the above mentioned values, exhibiting a lower strontium isotopic ratio (0.70701), which suggests the influence of the fumarolic fluids. Some trace elements (Al, Fe, Mn, Ni, Cu, Zn, Rb, Sr, Ba and REE) content also confirms the influence of the fumarolic emissions, at least in samples collected near Furnas Village fumarolic field (Furnas volcano), and the influence of mineral dust from the surrounding continents (positive anomalies in Eu). Overall, the proximity to an active fumarolic field had a significant impact on the chemistry of meteoric waters, as seen not only in the major-ions, but also in trace elements and in the Sr isotopic ratios.

Ecological and phylogenetic aspects of the spring diet of three palaearctic species of swans

The quality of swans' nutrition at spring migration stopovers is important for their successful breeding. It is of great interest to study the differences in nutrition of different swan species when sharing the same habitat. Microscopic analysis of Cygnus olor, C. cygnus, and C. columbianus bewickii feces collected in the eastern part of the Gulf of Finland in February-April 2014–2019 was performed. We measured food preferences of the three swan species using non-metric multidimensional scaling (NMDS). The width and overlap of dietary niches were also calculated. The diet of C. olor consists almost entirely of soft submerged aquatic vegetation, mainly macroalgae. Samples of the other two species except macroalgae contained large amounts of young shoots and roots of rigid semi-submerged and coastal vegetation. The dietary niche of C. cygnus is the most isolated because it is dominated by thick rhizomes of Phragmites australis, which are hardly used by other swan species. The diet of Bewick’s swans was similar in many respects to that of the Mute swan, but Bewick’s swans much more often preferred vegetative parts of submerged and semi-submerged plants, such as Stuckenia pectinata, Potamogeton perfoliatus, Sparganium sp., Nuphar lutea, and others. Notably, the dietary niches of Mute swan and Whooper swan overlapped as much as possible in February March during a period of severe food shortage, in contrast to later periods in spring when food was more abundant and varied. In general, differences in diets are well explained by differences in the morphology of birds. Comparison of tarsometatarsus indices shows that C. olor is the most water-related species. C. olor has the longest neck and its beak has the strongest filter features, whereas beaks of the other two species shows noticeable “goose-like grazing” features. Moreover, C. Cygnus has the most powerful beak. These features are due to the history of species. The formation of C. olor occurred during the Miocene-Pliocene of the Palaearctic in the warm eutrophic marine lagoons of the Paratethys with abundant soft submerged vegetation. The evolution of C. cygnus and C. c. bewickii took place in Pleistocene. At that time, periglacial and thermokarst water bodies on permafrost became widespread in the Palearctic, as well as dystrophic peat lakes with much poorer submerged aquatic vegetation, but well-developed coastal and semi-submerged vegetation.

Article Summaries for February-March 2024 Psychosomatic Medicine, Volume 86, Issue 2.

Article Summaries for February-March 2024 Psychosomatic Medicine, Volume 86, Issue 2.

Sunlight Autonomy for Buildings: A New Methodology for Evaluating Sunlight Performance in Urban and Architectural Design

ABSTRACT Due to urbanization and growing density in cities in the past century, metrics were introduced to assess daylight performance such as minimum sunlight hours and the daylight factor. The paper initially explores the shortcomings of early-stage daylight and sunlight evaluation methods. A novel methodology called Sunlight Autonomy (SA) is proposed for evaluating sunlight performance in buildings. The SA is based on the “Exposure to sunlight” criteria in EN 170307 “Daylight in Buildings,” where a computational method is used for the evaluation on a specified day. The SA concept expands the analysis temporally over the entire year, and spatially on building facades, leading to new metrics for a point of evaluation, and spatial metrics for buildings. The SA methodology is analyzed in a case study across four European cities. The SA metrics on facades between February 1st and March 21st, days in EN 17037, led to differences up to 63%. This revealed a significant shortcoming in EN 17037, relevant for Nordic regions. The differences of spatial metrics between March 21st and 50% of the year were within 5%, and up to 33% between February 1st and 75% of the year. The timestep affects the metrics and a window evaluation showed that the error of a 10-minute analysis was within 5% of daily insolation and 5 days for the annual SA. The potential of these metrics for urban planning and the architectural design process is examined. The interaction between SA and EN 17037, as well as other ongoing research developments, is discussed.

Response of Sunflower Yield and Water Productivity to Saline Water Irrigation in the Coastal Zones of the Ganges Delta

The intensification of cropping systems in the salt-affected coastal zones of the Ganges Delta can boost food security in the region. The scarcity of fresh water, coupled with varying degrees of soil and water salinity are however limiting factors for the expansion of irrigated cropping in that area. In this study, we assessed the potential of growing sunflowers using combinations of low and medium saline water for irrigation. The experiments were conducted at two locations with six irrigation treatments in 2016–2017 and 2017–2018. The treatments were: T1—two irrigations at early vegetative (25–30 days after sowing; DAS) and flowering stages (60–65 DAS) with low salinity water (LSW, electric conductivity, ECw &lt; 2 dS m−1); T2—two irrigations, one at the vegetative stage with LSW and one at the flowering stage with medium salinity water (MSW, 2 &lt; ECw &lt; 5dS m−1); T3—two irrigations, one at the vegetative stage with LSW and one at seed development stage (75–80 DAS) with MSW; T4—three irrigations at the vegetative, flowering and seed development stages with LSW; T5—three irrigations, at vegetative stage with LSW, and flowering and seed development stages with MSW; and T6—three irrigations, two at the vegetative and flowering stages with LSW and one at the seed development stage with MSW. Irrigation with LSW at early growth stages and MSW at later growth stages did not significantly (p &lt; 0.05) affect the yield compared to the LSW irrigation at early and later growth stages. Crop water productivity and irrigation water productivity of sunflowers (p &lt; 0.001) increased substantially with the decreasing amount of irrigation water with an average of 1.18 kg m−3 and 2.22 kg m−3 in 2017 and 0.92 kg m−3 and 1.29 kg m−3 in 2018, respectively. Grain yield was significantly correlated with root zone solute potential. The flowering and seed development stages of sunflowers in February–March were sensitive to both low and medium saline water irrigation for seed yield. Overall, the results show that irrigation with LSW (ECw &lt; 2dS m−1) at early growth stages and MSW (2 &lt; ECw &lt; 5dS m−1) at later growth stages could be an option for dry-season sunflowers in the coastal zones of the Ganges Delta which would allow double cropping in this area.

Spatial epidemiology of human anthrax in Son La province, Vietnam, 2003-2022.

Anthrax is reported with frequency but poorly understood in Southeast Asian countries including Vietnam. In Vietnam, anthrax surveillance is national. However, case detection, prevention, and control are implemented locally at the provincial level. Here, we describe the epidemiological characteristics, identify spatial clusters of human anthrax, and compare the variation in livestock anthrax vaccine coverage to disease incidence in humans and livestock using historical data in Son La province, Vietnam (2003-2020). Most human cases occurred between April and September. Most of the patients were male, aged 15-54 years old. The human cases were mainly reported by public district hospitals. There was a delay between disease onset and hospitalization of ~5 days. We identified spatial clusters of high-high incidence communes in the northern communes of the province using the local Moran's I statistic. The vaccine coverage sharply decreased across the study period. The province reported sporadic human anthrax outbreaks, while animal cases were only reported in 2005 and 2022. These results suggest underreporting for human and livestock anthrax in the province. Intersectoral information sharing is needed to aid livestock vaccination planning, which currently relies on reported livestock cases. The spatial clusters identify areas for targeted surveillance and livestock vaccination, while the seasonal case data suggest prioritizing vaccination campaigns for February or early March ahead of the April peak. A regional approach for studying the role of livestock trading between Son La and neighbouring provinces in anthrax occurrence is recommended.

Testing an extended theory of planned behaviour in predicting Covid-19 vaccination intention over the course of the pandemic: A three-wave repeated cross-sectional study

BackgroundMass vaccination against Covid-19 has been recognised as the most effective strategy for overcoming the pandemic emergency and remains crucial in the ongoing efforts to mitigate the impact of the virus. The present study aimed to test the efficacy of an extended Theory of Planned Behaviour (TPB) model in predicting vaccination intention in three different phases of the pandemic. Understanding how psychological drivers of vaccine acceptance may have changed throughout the pandemic is essential for informing public health strategies and addressing vaccine hesitancy, even in the current post-pandemic context. MethodsUsing a repeated cross-sectional survey, we tested the hypothesised extended TPB model (intention, attitude, subjective norms, perceived behavioural control, anticipated affective reactions, risk perception, trust in science, trust in institutions and religiosity) across three independent samples: before (T1: November–December 2020; N = 657), during (T2: March–May 2021; N = 818), and after (T3: February–March 2022; N = 605) the start of the vaccination campaign in Italy. ResultsResults indicated significant differences between the time points in all investigated variables, pointing to a general trend of improvement in vaccine acceptability levels at T2 compared to T1, and a worsening at T3 compared to the other two time points. Interestingly, net of these differences, a multi-group Structural Equation Modeling analysis supported the invariance, across time, of the structural relationships examined within the extended TPB. ConclusionFindings demonstrated the efficacy of the TPB in predicting Covid-19 vaccination intention at different stages of the pandemic, suggesting that the model, in its extended version, represents a valuable framework for designing interventions aimed at promoting vaccine acceptance.