High Levels Research Articles

Political corruption and cost stickiness: Evidence from China

AbstractThis study investigated the effect of local corruption on the cost behaviour of publicly traded firms in China over the period from 2007 to 2017. Our findings show that firms situated in regions with higher corruption levels tend to exhibit greater cost stickiness, primarily driven by managerial empire‐building incentives and rent‐seeking behaviours. This effect is particularly pronounced in firms subject to greater government intervention, weaker internal controls, fewer political connections, and less market competition. Furthermore, this corruption‐induced cost behaviour is found to negatively impact firm value. The results underscore the critical role of institutional environments, particularly corruption, in shaping corporate cost management strategies. This study provides valuable insights into how corruption influences economic outcomes for firms and offers guidance for managers, regulators, and investors to address these challenges and optimise cost management practices.

Determining how the gestational changes, including low hemoglobin influence the hba1c and estimated average glucose relationship

ABSTRACT Background: Gestational Diabetes Mellitus (GDM) affects up to 14% of pregnancies globally, with accurate glycemic control critical for preventing adverse outcomes. While HbA1c is a standard marker for long-term glucose control, its reliability in pregnant women with anemia is debated. This study explores the association between anemia and glycemic indicators (Glycosylated hemoglobin HbA1c, Random plasma glucose (rPG), and Estimated average glucose (eAG) in pregnant women with GDM. Additionally, it examined the correlation between average glucose levels or eAG, measured by random plasma glucose rPG, and HbA1C. Methods: A prospective case-control study was carried out over eight months at the Departments of Chemical Pathology and Obstetrics and Gynecology, Dow University of Health Sciences (DUHS). Pregnant women in their second trimester after being diagnosed for GDM through oral glucose tolerance test were classified into anemic (hemoglobin < 10.5 g/dL) and non-anemic groups. Blood samples were collected and analyzed for HbA1c, hemoglobin, and random plasma glucose levels. Data were processed using SPSS (version-26) different variables compared by using independent t-test and correlation analyses at a significance level of p < 0.05. Results: Mean values for eAG, HbA1C, and rPG were 174.22 ± 24.489 mg/dl, 8.342 ± 1.6152%, and 166.21 ± 21.478 mg/dl, respectively. Anemia was associated with significantly higher HbA1C (p < 0.001), eAG (p < 0.001), and rPG (p = 0.004). A strong positive correlation was observed between eAG and rPG (r = 0.958, p < 0.01), while eAG showed a moderate correlation with HbA1C (r = 0.501, p < 0.01). In contrast, the correlation between HbA1C and rPG was weaker (r = 0.331, p < 0.01). Conclusion: eAG proved to be a good indicator for assessing glycemic control in pregnant non-anemic women with GDM. Anemia significantly affected glycemic metrics, leading to higher HbA1C and glucose levels.

EL HÁBITO DE FUMAR Y SU INFLUENCIA EN LA CONSOLIDACIÓN ÓSEA: UNA REVISIÓN INTEGRADORA

Smoking is considered one of the risk factors for various diseases, not only related to the respiratory system but also influencing the physiological processes of various organs and body systems. This article aims to deepen the understanding of the effects of smoking on bone healing by analyzing its molecular, cellular, and clinical bases. This process is subject to possible direct or indirect interferences from chemical substances such as nicotine. It is important to note that, besides conventional cigarettes, there is also indiscriminate use of electronic cigarettes, which, according to an analysis conducted by Pérez and Duarte (2022), have considerably higher nicotine levels than traditional cigarettes. Another study conducted by González et al. (2021) highlights the increasing popularity of these devices among young people, underscoring the importance of preventive measures. According to the National Institute of Traumatology and Orthopedics (INTO), inhaling tobacco smoke increases bone tissue healing time by 60%, thus delaying the body's ability to heal injuries and compromising bone absorption. The clinical repercussions of smoking on the quality and speed of bone recovery after fractures and orthopedic procedures are identified to improve understanding and develop specific clinical strategies and interventions for smoking patients. The specific objectives of this research were to: investigate the molecular and cellular mechanisms of the bone healing process, analyze the effects of smoking on the quality of the formed tissue, evaluate the influence of smoking on the bone healing time in patients after fracture or orthopedic surgery, and finally propose therapeutic strategies and preventive measures to improve bone healing. To this end, a bibliographic search was conducted on articles relevant to the topic using various means. The selection of articles was based on three stages, choosing those that met the inclusion criteria. During the development of this article, it is observed that smoking is an extended and ancestral practice, being a constant and emerging health problem. Additionally, it is considered a modifiable risk factor for decreasing bone density. In conclusion, the need for specific strategies to address complications in bone healing in smoking patients is highlighted.

The Microbiome Modifies Manifestations of Hemophagocytic Lymphohistiocytosis in Perforin-Deficient Mice.

Primary hemophagocytic lymphohistiocytosis (HLH) is a life-threatening hyperinflammatory syndrome caused by inborn errors of cytotoxicity. Patients with biallelic PRF1 null mutations (encoding perforin) usually develop excessive immune cell activation, hypercytokinemia, and life-threateningimmunopathology in the first 6 months of life, often without an apparent infectious trigger. In contrast, perforin-deficient (PKO) mice only develop HLH after systemic infection with lymphocytic choriomeningitis virus (LCMV). We hypothesized that restricted microbe-immune cell interactions due to specific pathogen-free (SPF) housing might explain the need for this specific viral trigger in PKO mice. To investigate the influence of a "wild" microbiome in PKO mice, we fostered PKO newborns with Wildling microbiota ('PKO-Wildlings') and monitored them for signs of HLH. PKO-Wildlings survived long-term without spontaneous disease. Also, systemic infection with vaccinia virus did not reach the threshold of immune activation required to trigger HLH in PKO-Wildlings. Interestingly, after infection with LCMV, PKO-Wildlings developed an altered HLH pattern. This included lower IFN-γ serum levels along with improved IFN-γ-driven anemia, but more elevated levels of IL-17 and increased liver inflammation compared with PKO-SPF mice. Thus, wild microbiota alone is not sufficient to trigger HLH in PKO mice, but host-microbe interactions shape inflammatory cytokine patterns, thereby influencing manifestations of HLH immunopathology.

Nitrogen and Spacing Requirements for Advanced Chipping Selections ND7799c-1 and ND7519-1

AbstractAdoption of new cultivars is challenging for commercial growers. To understand the best nitrogen fertilization rate (90, 134, 179, and 224 kg N ha-1) and within-row spacing (15, 23 and 31 cm) for two potential potato cultivar releases from North Dakota State University, a study was carried out in 2019 and 2020 in North Dakota. The advanced chipping selections ND7799c-1 and ND7519-1 were compared to a chip industry standard, Dakota Pearl. In 2019, ND7799c-1 grown at 23 cm within-row spacing had similar marketable yield to Dakota Pearl. In 2020, ND7519-1 at all within-row spacings, and ND7799c-1 at 15 and 23 cm within-row spacing, yielded similarly to Dakota Pearl. Nitrogen rate did not affect yield or chipping quality in 2019 or 2020. The advanced selections had lower sucrose and glucose levels one month after harvest compared to Dakota Pearl in 2020. ND7799c-1 stored for 8 months, and ND7519-1 for 6 months, before chip quality declined. This research demonstrates the potential for ND7799c-1 and ND7519-1 to be successful chip processing cultivars for the Northern Plains.

Discussion on the calculation formula of haemoglobin glycation index for Chinese population.

To explore the formula for calculating the haemoglobin glycation index (HGI) in an appropriate Chinese population. Evaluating the applicability of the HGI calculation formula proposed by Hempe et al. in the Chinese population; according to the data from CHARLS 2011, 10,587 self-reported nondiabetics aged 20 years and older were selected as the study subjects, regression equations were constructed to fit the linear relationship between HbA1c and FPG in the population, and the profile characteristics of the resultant population were analysed. The standardized HGI formula put forth by Hempe and colleagues has been found unsuitable for application to the Chinese population. Leveraging CHARLS dataset, we derive a novel HGI calculation formula tailored to the Chinese demographic: HGI = Measured HbA1c-Predicted HbA1c, where Predicted HbA1c = 0.011×FPG + 4.032. We found statistically significant differences in HGI among obese individuals; those with higher waist circumference, total cholesterol levels, LDL levels, diastolic blood pressure and those with lower HDL levels. The HGI calculation formula proposed using CHARLS data is more applicable to the Chinese population and can be used as a standardised HGI to Chinese.

Chatbot Demonstrates Moderate Interrater Reliability in Billing for Hand Surgery Clinic Encounters.

Artificial intelligence offers opportunities to improve the burden of health care administrative tasks. Application of machine learning to coding and billing for clinic encounters may represent time- and cost-saving benefits with low risk to patient outcomes. Gemini, a publicly available large language model chatbot, was queried with 139 de-identified patient encounters from a single surgeon and asked to provide the Current Procedural Terminology code based on the criteria for different encounter types. Percent agreement and Cohen's kappa coefficient were calculated. Gemini demonstrated 68% agreement for all encounter types, with a kappa coefficient of 0.586 corresponding to moderate interrater reliability. Agreement was highest for postoperative encounters (n = 43) with 98% agreement and lowest for new encounters (n = 27) with 48% agreement. Gemini recommended billing levels greater than the surgeon's billing level 31 times and lower billing levels 10 times, with 4 wrong encounter type codes. A publicly available chatbot without specific programming for health care billing demonstrated moderate interrater reliability with a hand surgeon in billing clinic encounters. Future integration of artificial intelligence tools in physician workflow may improve the accuracy and speed of billing encounters and lower administrative costs.

The dietary phytochemical index and its relation to polycystic ovary syndrome: a case-control study.

Polycystic ovary syndrome (PCOS), a hormonal disorder affecting women of reproductive age, can be significantly impacted by diet. This study explores the relationship between a diet rich in phytochemicals, measured by the Dietary Phytochemical Index (DPI), and PCOS, along with associated health markers. A case-control study design was implemented with 480 individuals diagnosed with PCOS based on the Rotterdam criteria, paired with 480 controls matched in terms of age and BMI. The evaluation encompassed dietary intake, anthropometric measurements, and hormonal/metabolic markers. Additionally, the DPI score was determined based on the consumption of phytochemical-rich foods. The study also examined PCOS-related complications like acne and irregular menstrual cycles, as well as mental health using the Beck Depression Inventory (BDI-II) scores. Women with PCOS had significantly lower DPI scores (32.42 vs 43.87, p < 0.001) compared to the control group, indicating a less phytochemical-rich diet. The DPI scores coincided with higher levels of hormones typically associated with PCOS, including Luteinizing Hormone (LH), Dehydroepiandrosterone Sulfate (DHEA-S), and testosterone. Additionally, these scores were associated with markers of metabolic dysfunction such as C-reactive Protein (CRP), Fasting Blood Sugar (FBS), and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), while positively correlating with Sex Hormone-Binding Globulin (SHBG) (all p < 0.050).). Higher DPI scores were associated with a significantly reduced risk of PCOS (OR: 0.13, 95% CI: 0.08, 0.23, P for trend: 0.001) and its complications, including acne and irregular menstrual cycles. Interestingly, a positive association emerged, suggesting better mental health (lower BDI-II scores) with higher DPI scores. In conclusion, this study indicates that lower DPI scores are associated with a higher incidence and severity of PCOS, suggesting that a phytochemical-rich diet could potentially benefit the management of PCOS by enhancing hormonal profiles, metabolic health, and mental well-being in women.

Insights into the role of cyclopropane fatty acid synthase (CfaS) from extreme acidophile in bacterial defense against environmental acid stress.

The cell membrane remodeling mediated by cyclopropane fatty acid synthase (CfaS) plays a crucial role in microbial physiological processes resisting various environmental stressors, including acid. Herein, we found a relatively high proportion (24.8%-28.3%) of cyclopropane fatty acid (CFA) Cy-19:0 in the cell membrane of a newly isolated extreme acidophile, Acidithiobacillus caldus CCTCC AB 2019256, under extreme acid stress. Overexpression of the CfaS encoding gene cfaS2 in Escherichia coli conferred enhanced acid resistance. GC-MS analysis revealed a 3.52-fold increase in the relative proportion of Cy-19:0 in the cell membrane of the overexpression strain compared to the control. Correspondingly, membrane fluidity, permeability and cell surface hydrophobicity were reduced to varying degrees. Additionally, HPLC analysis indicated that the overexpression strain had 1.54-, 1.42-, 1.85-, 1.20- and 1.05-fold higher levels of intracellular glutamic acid, arginine, aspartic acid, methionine and alanine, respectively, compared to the control. Overall, our findings shed light on the role of CfaS derived from extreme acidophile in bacterial defense against environmental acid stress, potentially facilitating its application in the design and development of industrial microbial chassis cells for organic acid production.

Females report worse outcomes than males one year after ventral hernia repair.

To assess sex differences in patient-reported quality of life, pain, and hernia recurrence after adjusting for confounding features of hernia disease in a large national registry one year after ventral hernia repair. Data were analyzed retrospectively from the Abdominal Core Health Quality Collaborative national registry from pre-operatively until one year post-operatively. 3,172 patients undergoing elective ventral hernia repair with 1-year follow-up data were included for analysis after propensity score matching (1:1 match; females: mean [interquartile range] age, 60 [49, 68]; body mass index, 32 [27, 36]; males: age, 60 [52, 68]; 31 [28, 35]. The primary outcome of interest between sexes was the Hernia Related Quality of Life survey (HerQLes), and secondary outcome measures included the Patient-Reported Outcomes Measurement Information System Pain Intensity (PROMIS) short form (3a) score and hernia recurrence. Female sex was associated with worse HerQLes and PROMIS pain 3a scores at 1 year follow up (adjusted mean difference, -2.42, 95% confidence interval (CI) -4.11 to -0.72; p = 0.004; adjusted mean difference, 1.27, 95% CI 0.67 to 1.87; p < 0.001) compared to male sex. Hernia recurrence rates at 1 year were not different between sexes. Females reported worse quality of life and higher levels of pain at 1-year post ventral hernia repair after accounting for age, BMI, hernia width, and baseline quality of life compared to males. There were no differences between females and males with respect to hernia recurrence at 1-year follow-up, and 1 in 5 patients experienced a recurrence at this time point.

Living in the vicinity of pesticide-treated crop fields: Exploring associated perceptions and psychological aspects in relation to self-reported and registry-based health symptoms.

Exposure to pesticides in the living environment can be associated with the prevalence of health symptoms. This study investigates associations between health symptoms among residents in areas with fruit crop fields where pesticides are applied, and psychological perceptions and attitudes about environmental aspects and exposures. A cross-sectional survey combined with routine primary care electronic health records (EHR) data was conducted in 2017 in rural areas of the Netherlands with high concentration of fruit crops (n = 3,321, aged ≥ 16 years). Individual exposure to pesticides was estimated using geocoded data on fruit crops around the home. Validated instruments were used to assess symptom report and psychological perceptions and attitudes. Annual prevalence of various health symptoms was derived from EHRs. Multilevel regression models were used to analyze associations between health symptoms (outcome), fruit crops, and multiple psychological perceptions and attitudes (confounders). Living in the vicinity of fruit crop fields was generally not associated with self-reported symptom duration and general practitioner (GP) registered symptoms. For self-reported symptoms, symptom prevalence decreased when crop density within 250m and 500m from the home increased. No associations were found at other distances. Furthermore, higher levels of environmental worries, perceived exposure, and perceived sensitivity to pesticides and attribution of symptoms to environmental exposures were generally associated with a higher number of self-reported symptoms, and longer symptom duration. Symptoms reported to GPs were not associated with psychological perceptions and attitudes, except for perceived sensitivity to pesticides. Psychological perceptions and attitudes appear to be related to self-reported symptoms, but not to GP-registered symptoms, independent of the actual levels of exposure as measured by the size of the area of crop fields. Perceptions about environmental factors should be taken into account in environmental health risk assessment research when studying health symptoms.

Family Social Support Mediates the Relationship Between the COVID-19 Pandemic and Psychosocial well-being in a Cohort of Young South Africans Newly Diagnosed with HIV.

Poor psychosocial well-being, including depression, anxiety, low self-esteem, and high anticipated stigma, complicates young South Africans' engagement with HIV care. During the COVID-19 pandemic, the psychosocial well-being of young South Africans with HIV may have been impacted by changing levels of social support. This analysis sought to examine whether social support mediates the relationship between the pandemic and psychosocial well-being in young South Africans with HIV. This secondary analysis compared baseline data from two cohorts of young people ages 18-24 who tested HIV positive either before or during South Africa's COVID-19 State of Disaster. Baseline sociodemographic, social support-related, and psychosocial data were analyzed using linear regression and mediation analyses. We found that self-esteem was higher (χ2 = 9.955, p < 0.01) and anticipated stigma (χ2 = 22.756, p < 0.001) was lower in the cohort recruited during the pandemic. Perceived family social support was higher in the cohort recruited during the COVID-19 pandemic (χ2 = 38.69, p < 0.001). Family social support partially mediated the relationship between study cohort and self-esteem (Sobel z=-3.04, p = 0.002), family- (Sobel z=-4.06, p < 0.001) and community-type (Sobel z =-3.44, p < 0.001) anticipated stigma, and depressive symptoms (Sobel z =-2.80, p = 0.005). Overall, compared to young people diagnosed with HIV before the pandemic, young people diagnosed during the pandemic reported higher self-esteem and lower anticipated stigma, an effect mediated by higher levels of family social support. Our findings add to the literature examining young people's psychosocial well-being during the COVID-19 pandemic and suggests that improvements in family support may have broadly positive effects on multiple indicators of psychosocial well-being.

EXPRESS: Team Composition and Incentive Design in Collaborative Product Development

Choosing the right development team is crucial for companies. We investigate how project collaboration requirements and uncertainty levels affect the choice between “specialists” with higher levels of task-specific abilities and “generalists” with higher levels of collaboration skills. We also examine how these factors affect optimal team incentives. In addition to performance-enhancing helping, we consider another type of collaboration that has received less attention in the incentive literature: information-sharing, which can reduce uncertainty and lead to more compatible design decisions. In the case of helping, we show that if uncertainty is high then specialists might be preferred in order to reduce risk exposure—even if their task-specific abilities are only slightly better. Conversely, if information-sharing can significantly reduce uncertainty then generalists may be favored even if their task-specific abilities are much lower. Our study also reveals that task and collaboration incentives can be either complements or substitutes depending on the type of collaboration and level of project uncertainty: in projects that benefit from helping, firms will always substitute task incentives for collaboration incentives when selecting a team of specialists (rather than a team of generalists), yet this need not be the case with information-sharing. In such projects, it can be optimal to offer higher task incentives and also higher collaboration incentives to a team of specialists (than to a team of generalists) even though specialists’ collaboration skills are relatively lower.

Exploring Reciprocal Associations Between Self-Reported Anxiety and Eating Disorder Symptoms Longitudinally: ABivariate Latent Change Score Approach.

Consistent data support an association between anxiety and eating disorders (EDs), and theoretical models of EDs suggest that anxiety may be involved in the etiology and maintenance of ED symptoms over time. However, the directionality of relations between these variables remains under-characterized, particularly within treatment settings. We used bivariate latent change score models to explore longitudinal associations between anxiety and ED symptoms in a sample of ED patients (N = 548, 93.2% female, Mage = 21.16, 78.8% White, 79.6% Non-Hispanic/Latinx) throughout intensive treatment and at 6- and 12-month follow-up. Best-fitting models exploring change in each variable independently (i.e., univariate models) suggested that changes in ED and anxiety symptoms decreased over time, but that change was influenced by an individual's symptom severity at the previous timepoint. Models exploring associations between changes in both variables over time (i.e., bivariate latent change score models) suggested the best fit for a model where both anxiety and ED symptoms at one timepoint were associated with later change in the other. Specifically, parameters within these models suggested that higher levels of anxiety were associated with increased subsequent reductions in ED symptoms, whereas elevations in ED symptoms were associated with decreased later reductions in anxiety. Our findings suggest that anxiety and ED symptoms are intricately related both within and outside of intensive treatment. Future multi-modal research exploring real-time links between anxiety and ED symptoms throughout treatment is critical to extend this work and inform improvements in targeted, mechanistic interventions for this population.

The association of objective daytime sleepiness with impaired glucose metabolism in patients with obstructive sleep apnea: a multi-omics study.

To examine the joint effect of obstructive sleep apnea (OSA) and objective excessive daytime sleepiness (EDS) on glucose metabolism and the underlying mechanisms. We included 127 patients with OSA. The multiple sleep latency test (MSLT) and Epworth sleepiness scale (ESS) were used to assess objective and subjective EDS, respectively. Disordered glucose metabolism was defined as either a physician diagnosis or having fasting blood glucose levels ≥ 5.6 mmol/L. Values of fasting insulin and homeostasis model assessment of insulin resistance (HOMA-IR) higher than the median values of our sample were defined as high fasting insulin and insulin resistance. Serum metabolomics and fecal microbiota were used to explore underlying mechanisms. Lower MSLT values were associated with higher levels of fasting blood glucose, fasting insulin, and HOMA-IR. Furthermore, objective EDS was associated with increased odds of disordered glucose metabolism, elevated fasting insulin, and insulin resistance. Dysregulation of serum valine degradation and dysbiosis of fecal Bacteroides thetaiotaomicron were associated with impaired glucose metabolism in OSA with objective EDS. No association between subjective EDS and impaired glucose metabolism was observed. OSA with objective, but not subjective, EDS is associated with an increased risk of disordered glucose metabolism and insulin resistance. Dysregulation of valine degradation and dysbiosis of Bacteroides thetaiotaomicron appear to link objective EDS and disordered glucose metabolism in OSA.

Comparative Study on the Effect of GiSelA 5 Rootstock Propagation Methods on Sweet Cherry Growth and Physiology

The basis of orchard production is rootstocks that reduce the vigor of sweet cherry trees. However, not all rootstocks for this species can be easily propagated using traditional methods of stooling or cutting. Some of these must be propagated using the in vitro method. This is expensive and, consequently, increases the price of maiden sweet cherry trees. Our experiment assessed the growth of maiden trees of selected sweet cherry varieties (‘Bellise’, ‘Earlise’, ‘Lapins’, ‘Vanda’) depending on the method of propagation of a semi-dwarf GiSelA 5 rootstock. Additionally, the intensity of physiological processes taking place in the obtained maiden trees was also examined. The experiment compared one type of GiSelA 5 rootstock, obtained using a cheaper softwood cuttings method, with another rootstock propagated using an in vitro method. During the two years of study, there were no significant differences in the percentage of maiden trees obtained in the case of the propagation methods for both types of rootstocks, ranging from 77.43% to 87.74%. The vigor of maiden tree growth in the first year of this study was stronger than in the second year. In particular, the stem diameter of maiden trees varied from 7% to 39%, depending on the variety considered. With the exception of one variety, maiden trees produced from a rootstock propagated by stem cuttings were characterized by a larger stem diameter for the three varieties, ranging from 23% to 29%, and by a greater number of side shoots, ranging from 73% to 172%, compared to those from in vitro. Additionally, when using the stem cutting method of propagation, the rootstocks had a better developed root system, except for the ‘Earlise’ variety. However, most often, no significant differences were found between the methods of propagation regarding the fresh weight of the maiden trees and leaves and their leaf blade area. The activity of physiological processes of maiden sweet cherry trees varied, and no constant regularities were found. In the second year of the experiment, maiden trees were more often characterized by lower levels of net photosynthetic intensity and internal CO2 concentration, which was associated with worse growth results. Based on the collected results, it is recommended to propagate the considered rootstock using stem cuttings, which yields maiden trees with similar and sometimes even better growth parameters than those propagated using the in vitro method.

The Mediator Role of Social-Emotional Learning Skills in the Relationship Between Depression and Mental Well-Being

Well-being is a multifaceted concept encompassing a broad spectrum of dimensions, including mental well-being, which has been an appealing area of study for scholars from different parts of the world. The current study aims to explore the relationship among depression, social-emotional learning skills, and mental well-being in a conveniently selected sample of college students. The sample consisted of 237 public school undergraduate students, of whom 151 (63.29%) were women. The results indicated that social-emotional learning skills partially mediated the relationship between depression and mental well-being. The findings show that social-emotional learning skills pose a protective factor against lower levels of mental well-being occurring as the result of depressive symptoms. The overall model explained 32% of variance in mental well-being. Findings were discussed in the light of the relevant literature. Through synthesizing current literature knowledge and results derived, this study aims to provide a foundation for further research and practice that promotes mental well-being.

Temporal Sequence of Cognitive Function and ADLs and Mediation Effect of Apathy in Parkinson’s Disease: Cross-Lagged Analyses

ABSTRACT Objectives To explore the temporal sequence between cognitive function and activities of daily living (ADLs) in patients with Parkinson’s disease (PD) and investigate whether apathy mediates these effects. Methods We recruited 486 patients from the Parkinson’s Progression Marker Initiative. We constructed a cross-lagged panel model to explore the temporal sequence between cognitive function and ADLs and analyzed the longitudinal mediating effect of apathy on the relationship between cognitive function and ADLs. Results The slopes of ADLs and cognitive function were significant (p < .001), and lower levels of cognitive function indicated lower ADLs, suggesting that a decreased cognitive performance preceded ADLs decline. Cognitive function influenced apathy (negatively) (p < .001) and ADLs (p < .001). A significant indirect effect of cognitive function on ADLs through apathy was revealed by bias-corrected bootstrapping (β = 0.181, p < .001). Conclusions The rate of change in cognitive function was significantly correlated with that of ADLs, and a decreased cognitive performance preceded ADLs decline. Cognition was indirectly related to ADLs through apathy. Clinical implications The rate of change in cognitive function in patients with PD was correlated with that of ADLs, and a decreased cognitive performance preceded ADLs decline. Reducing apathy represents a promising approach to reducing the impact of cognitive decline on ADLs.

Familial and Individual Risk Factors, Sexual Assault, and Mental Health: A Comparison of Black, Hispanic, Asian, and White College Students.

Though sexual assault is prevalent among college campuses, there is a paucity of research on whether risk factors vary for different racial/ethnic groups. As such, this article examines familial and individual risk factors and three sexual assault types (coercive, physically forced, and incapacitated) with depressive symptoms and post-traumatic stress disorder (PTSD) symptoms to see whether such risks vary for Black/African American, White, Asian, and Hispanic groups of college students. Data were gathered in 2019 to 2020 from 783 undergraduate college women and men at a large public university in the Midwestern United States. Results revealed that in terms of family background, Black/African American, Asian, and Hispanic students reported more experiences of child physical abuse and lower levels of warmth and support compared to White students. White college students, however, reported more frequent heavy drinking compared to Asian and Hispanic students. For sexual assault, Asian students reporting experiencing incapacitated sexual assault more so than White students, whereas Black/African American students reported experiences of physically forced sexual assault more so than White students. For mental health, Hispanic students reported more PTSD symptoms compared to White students while Asian students reported more depressive symptoms compared to their White counterparts. It is noteworthy that early experiences of child physical abuse and lower warmth and support continued to significantly impact both PTSD symptoms and depressive symptoms. Our results demonstrate the importance of going beyond the typical dichotomy of White and non-White to gain a more nuanced understanding of how risk factors vary for different racial and ethnic groups, which has implications for intervention and prevention when understanding sexual assault and mental health outcomes.

Effect of Higher Ethylene Levels Emitted by Shade-Avoider Plants on Neighboring Seedlings

Plants of several species, including crops, change their volatilome when exposed to a low ratio of red to far-red light (low R/FR) that informs about the presence of nearby plants (i.e., proximity shade). In particular, the volatile hormone ethylene was shown to be produced at higher levels in response to the low R/FR signal in shade-avoider plants. Here, we show that the shade-tolerant species Cardamine hirsuta produces more ethylene than shade avoiders such as Arabidopsis thaliana (a close relative of C. hirsuta) and tomato (Solanum lycopersicum) under white light (W). However, exposure to low R/FR (specifically to FR-supplemented W, referred to as W+FR or simulated shade) resulted in only a slight increase in ethylene emission in C. hirsuta compared to shade avoiders. Stimulation of ethylene production by growing plants in media supplemented with 1-aminocyclopropane-1-carboxylate (ACC) resulted in reduced hypocotyl growth under W+FR in both A. thaliana and C. hirsuta. ACC-dependent ethylene production also repressed hypocotyl elongation under low W and in the dark in C. hirsuta. By contrast, in A. thaliana, ACC supplementation inhibited hypocotyl elongation in the dark but stimulated it under W. Most interestingly, elongation of dark-grown A. thaliana seedlings was also repressed by exposure to the volatiles released by ACC-grown A. thaliana or tomato plants. This observation suggests that increased ethylene levels in the headspace can indeed impact the development of nearby plants. Although the amount of ethylene released by ACC-grown plants to their headspace was much higher than that released by exposure to low R/FR, our results support a contribution of this volatile hormone on the communication of proximity shade conditions to neighboring plants.