A call for early, effective, and scalable parent education programs for high-conflict separated/divorcing parents: A synthesized perspective from prevention science and family law.

Conflict between parents is stressful and disruptive to children living in the midst of parental separation or divorce. Although some level of post-separation/divorce conflict is understandable in an emotionally-charged separation/divorce, it undermines the extent to which parents protect their children from short- and long-term problems. In this article, we weave together a synthesized perspective informed by our respective training and experience in prevention science and family law on the role of parent education programs for high-conflict separating/divorcing parents. To do so, we first describe the research on the effects of high interparental conflict on children's outcomes and then discuss current approaches and challenges to reducing these negative effects by offering parent education programs for high-conflict separating/divorcing parents. Then, we propose and describe a new model for early, effective, and scalable parent education programs with the ultimate goal of protecting children after separation/divorce.

Enhancing the Focus: How Does Parental Incarceration Fit into the Overall Picture of Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs)?

Despite the five million children in the U.S. with an incarcerated parent, there is limited research on risk and protective factors for this population. We analyzed data from the National Survey for Children's Health (2018) to: (1) examine associations among parental incarceration and other adverse childhood experiences (ACEs), (2) characterize the association between parental incarceration and youth mental health outcomes, (3) examine differences in positive childhood experiences (PCEs; collective socialization, community engagement, neighborhood amenities, and family problem solving) by parental incarceration status, (4) examine whether PCEs were protective against mental health problems and if there was an interaction with parental incarceration status, and (5) examine the interaction between PCEs, parental incarceration, and ACEs on mental health problems. Results revealed that children with incarcerated parents had higher odds of experiencing other ACEs, higher odds of having mental health problems, and experienced fewer PCEs compared to children without incarcerated parents. Further, although PCEs were associated with a lower odds of mental health problems for both children with and without incarcerated parents, they did not mitigate the negative impact of parental incarceration on mental health outcomes. While PCEs attenuated the association between ACEs and mental health, parental incarceration status did not significantly moderate the interaction. These results highlight vulnerabilities and potential protective factors for children with incarcerated parents and have important implications for the development of multilevel intervention strategies that seek to promote resilience and reduce risk for this population.

Redefining Mild Traumatic Brain Injury (mTBI) delineates cost effective triage.

OBJECTIVES: Mild traumatic brain injury (mTBI) is defined as Glasgow Coma Score (GCS) of 14 or 15. Despite good outcomes, patients are commonly transferred to trauma centers for observation and/or neurosurgical consultation. The aim of this study is to assess the value of redefining mTBI with novel radiographic criteria to determine the appropriateness of interhospital transfer for neurosurgical evaluation. METHODS: A retrospective study of patients with blunt head injury with GCS 13-15 and CT head from Jan 2014-Dec 2016 was performed. A novel criteria of head CT findings was created at our institution to classify mTBI. Outcomes included neurosurgical intervention and transfer cost. RESULTS: A total of 2120 patients were identified with 1442 (68.0%) meeting CT criteria for mTBI and 678 (32.0%) classified high risk. Two (0.14%) patients with mTBI required neurosurgical intervention compared with 143 (21.28%) high risk TBI (p < 0.0001). Mean age (55.8 years), and anticoagulation (2.6% vs 2.8%) or antiplatelet use (2.1% vs 3.0%) was similar between groups (p > 0.05). Of patients with mTBI, 689 were transferred without receiving neurosurgical intervention. Given an average EMS transfer cost of $700 for ground and $5800 for air, we estimate an unnecessary transfer cost of $733,600. CONCLUSION: Defining mTBI with the described novel criteria clearly identifies patients who can be safely managed without transfer for neurosurgical consultation. These unnecessary transfers represent a substantial financial and resource burden to the trauma system and inconvenience to patients.

HFD-induced energy states-dependent bidirectional control of anxiety levels in mice.

BACKGROUND: The association between the development of obesity and its metabolic comorbidities, and chronic consumption of high-fat diet (HFD) has been well-demonstrated. Interestingly, emerging evidence indicates that obesity is also associated with an increased risk for psychiatric disorders including anxiety and depression. Although HFD feeding is associated with anxiety-related behaviors, previous studies have reported inconsistent findings on the direction of this relationship. Therefore, in this study we sought to investigate the link between HFD feeding, body weight, energy states and anxiety levels in mice and specifically to determine if the duration of HFD exposure has distinct effects on anxiety-related behaviors. METHODS: To disentangle the temporal dynamic effects of HFD feeding on anxiety-related behaviors, mice were fed a HFD or regular chow (RC) diet and were assayed periodically for anxiety-related behaviors by using behavioral tests (open field test; OFT) and the elevated plus maze. To determine if obesity phenotypes correlate with anxiety-related behaviors, changes in anxiety-related behaviors in OFTs were correlated with changes in both body weight and glucose sensitivity following various levels of HFD and RC exposure. RESULTS: Our results demonstrate a time-dependent biphasic effect of HFD feeding on anxiety-related behaviors. At 5 weeks, mice fed HFD show a reduction in anxiety-related behaviors when compared to pair-fed RC mice. At 8 weeks of HFD or RC feeding, anxiety levels were the same in both groups. Following 15 weeks of HFD and RC feeding, however, mice displaying metabolic symptoms of obesity showed increased anxiety-related behaviors relative to mice resilient to obesity phenotypes, independent of feeding conditions. CONCLUSIONS: Taken together our findings suggest that HFD bi-directionally effects anxiety-related behaviors such that short-term exposure to a HFD reduces anxiety levels, while longer exposure to a HFD promotes anxiety levels selectively in mice that display metabolic symptoms of obesity. Regardless of diet (HFD or RC), heavier animals display increased anxiety-like behaviors. These findings indicate diverse overlapping roles for HFD and body weight in modulating anxiety-related behaviors, and may partly resolve previous inconsistencies in studies examining the relationship between HFD feeding and anxiety.

Experiences of intimate-partner violence and contraception use among ever-married women in Jordan.

This study explored the relationship between intimate partner violence (IPV) and current contraception use among ever-married women in Jordan. Analysing a sample (n = 3434) from the 2007 Jordan demographic and health survey, women who reported ever experiencing severe physical violence from their husband were significantly less likely to use contraception than women who did not report severe physical violence (OR = 0.34). Conversely, women who reported ever experiencing sexual IPV were significantly more likely to use contraception (OR = 1.50). Emotional and less severe physical IPV were not significantly related to contraception use. Education, wealth, age, number of children, and fertility preferences were positively associated with contraception use, while residence in the Badia area and consanguineous marriages were negatively associated with contraception use. The findings have implications for the provision of IPV screening and contraception services in Jordan, as well as the specification of services for women most vulnerable to IPV.

Experiences of intimate-partner violence and contraception use among ever-married women in Jordan

This study explored the relationship between intimate partner violence [IPV] and current contraception use among ever-married women in Jordan. Analysing a sample [n = 3434] from the 2007 Jordan demographic and health survey, women who reported ever experiencing severe physical violence from their husband were significantly less likely to use contraception than women who did not report severe physical violence [OR = 0.34]. Conversely, women who reported ever experiencing sexual IPV were significantly more likely to use contraception [OR = 1.50]. Emotional and less severe physical IPV were not significantly related to contraception use. Education, wealth, age, number of children, and fertility preferences were positively associated with contraception use, while residence in the Badia area and consanguineous marriages were negatively associated with contraception use. The findings have implications for the provision of IPV screening and contraception services in Jordan, as well as the specification of services for women most vulnerable to IPV

Realization of a resonant Fermi gas with a large effective range.

We have measured the interaction energy and three-body recombination rate for a two-component Fermi gas near a narrow Feshbach resonance and found both to be strongly energy dependent. Even for de Broglie wavelengths greatly exceeding the van der Waals length scale, the behavior of the interaction energy as a function of temperature cannot be described by atoms interacting via a contact potential. Rather, energy-dependent corrections beyond the scattering length approximation are required, indicating a resonance with an anomalously large effective range. For fields where the molecular state is above threshold, the rate of three-body recombination is enhanced by a sharp, two-body resonance arising from the closed-channel molecular state which can be magnetically tuned through the continuum. This narrow resonance can be used to study strongly correlated Fermi gases that simultaneously have a sizable effective range and a large scattering length.

Evidence for an excited-state Efimov trimer in a three-component Fermi gas.

We observe enhanced three-body recombination in a three-component ;{6}Li Fermi gas attributable to an excited Efimov trimer state intersecting the three-atom scattering threshold near 895 G. From measurements of the recombination rate we determine the Efimov parameters kappa_{*} and eta_{*} for the universal region above 600 G which includes three overlapping Feshbach resonances. The value of kappa_{*} also predicts the locations of loss features previously observed near 130 and 500 G [T. B. Ottenstein, Phys. Rev. Lett. 101, 203202 (2008)10.1103/PhysRevLett.101.203202; J. H. Huckans, Phys. Rev. Lett. 102, 165302 (2009)10.1103/PhysRevLett.102.165302] suggesting they are associated with a ground-state Efimov trimer near threshold. We also report on the realization of a degenerate three-component Fermi gas with approximate SU(3) symmetry.

Heroin addiction in African Americans: a hypothesis-driven association study.

Heroin addiction is a chronic complex disease with a substantial genetic contribution. This study was designed to identify gene variants associated with heroin addiction in African Americans. The emphasis was on genes involved in reward modulation, behavioral control, cognitive function, signal transduction and stress response. We have performed a case-control association analysis by screening with 1350 variants of 130 genes. The sample consisted of 202 former severe heroin addicts in methadone treatment and 167 healthy controls with no history of drug abuse. Single nucleotide polymorphism (SNP), haplotype and multi-SNP genotype pattern analyses were performed. Seventeen SNPs showed point-wise significant association with heroin addiction (nominal P< 0.01). These SNPs are from genes encoding several receptors: adrenergic (ADRA1A), arginine vasopressin (AVPR1A), cholinergic (CHRM2), dopamine (DRD1), GABA-A (GABRB3), glutamate (GRIN2A) and serotonin (HTR3A) as well as alcohol dehydrogenase (ADH7), glutamic acid decarboxylase (GAD1 and GAD2), the nucleoside transporter (SLC29A1) and diazepam-binding inhibitor (DBI). The most significant result of the analyses was obtained for the GRIN2A haplotype G-A-T (rs4587976-rs1071502-rs1366076) with protective effect (P(uncorrected) = 9.6E- 05, P(corrected) = 0.058). This study corroborates several reported associations with alcohol and drug addiction as well as other related disorders and extends the list of variants that may affect the development of heroin addiction. Further studies will be necessary to replicate these associations and to elucidate the roles of these variants in drug addiction vulnerability.

Three-body recombination in a three-state Fermi gas with widely tunable interactions.

We investigate the stability of a three spin state mixture of ultracold fermionic 6Li atoms over a range of magnetic fields encompassing three Feshbach resonances. For most field values, we attribute decay of the atomic population to three-body processes involving one atom from each spin state and find that the three-body loss coefficient varies by over 4 orders of magnitude. We observe high stability when at least two of the three scattering lengths are small, rapid loss near the Feshbach resonances, and two unexpected resonant loss features. At our highest fields, where all pairwise scattering lengths are approaching a_{t}=-2140a_{0}, we measure a three-body loss coefficient L_{3} approximately 5x10;{-22} cm;{6}/s and a trend toward lower decay rates for higher fields indicating that future studies of color superfluidity and trion formation in a SU(3) symmetric Fermi gas may be feasible.

Genetic susceptibility to heroin addiction: a candidate gene association study.

Heroin addiction is a chronic complex disease with a substantial genetic contribution. This study was designed to identify genetic variants that are associated with susceptibility to develop heroin addiction by analyzing 1350 variants in 130 candidate genes. All subjects had Caucasian ancestry. The sample consisted of 412 former severe heroin addicts in methadone treatment, and 184 healthy controls with no history of drug abuse. Nine variants, in six genes, showed the lowest nominal P values in the association tests (P < 0.01). These variants were in noncoding regions of the genes encoding the mu (OPRM1; rs510769 and rs3778151), kappa (OPRK1; rs6473797) and delta (OPRD1; rs2236861, rs2236857 and rs3766951) opioid receptors; the neuropeptide galanin (GAL; rs694066); the serotonin receptor subtype 3B (HTR3B; rs3758987) and the casein kinase 1 isoform epsilon (CSNK1E; rs1534891). Several haplotypes and multilocus genotype patterns showed nominally significant associations (e.g. OPRM1; P = 0.0006 and CSNK1E; P = 0.0007). Analysis of a combined effect of OPRM1 and OPRD1 showed that rs510769 and rs2236861 increase the risk of heroin addiction (P = 0.0005). None of these associations remained significant after adjustment for multiple testing. This study suggests the involvement of several genes and variants in heroin addiction, which is worthy of future study.

Strongly inhibited transport of a degenerate 1D Bose gas in a lattice.

We report the observation of strongly damped dipole oscillations of a quantum degenerate 1D atomic Bose gas in a combined harmonic and optical lattice potential. Damping is significant for very shallow axial lattices (0.25 photon recoil energies), and increases dramatically with increasing lattice depth, such that the gas becomes nearly immobile for times an order of magnitude longer than the single-particle tunneling time. Surprisingly, we see no broadening of the atomic quasimomentum distribution after damped motion. Recent theoretical work suggests that quantum fluctuations can strongly damp dipole oscillations of a 1D atomic Bose gas, providing a possible explanation for our observations.

Observation of reduced three-body recombination in a correlated 1D degenerate Bose gas.

We investigate the correlation properties of a one-dimensional interacting Bose gas by loading a magnetically trapped 87Rb Bose-Einstein condensate (BEC) into a deep two-dimensional optical lattice. We measure the three-body recombination rate for both the BEC in the magnetic trap and the BEC loaded into the optical lattice. The recombination rate coefficient is a factor of 7 smaller in the lattice, which we interpret as a reduction in the local three-body correlation function in the 1D case. This is a signature of correlation intermediate between that of the uncorrelated, phase coherent, 1D, mean-field regime and the strongly correlated Tonks-Girardeau regime.

Observation of a strongly interacting degenerate Fermi gas of atoms.

We report on the observation of a highly degenerate, strongly interacting Fermi gas of atoms. Fermionic lithium-6 atoms in an optical trap are evaporatively cooled to degeneracy using a magnetic field to induce strong, resonant interactions. Upon abruptly releasing the cloud from the trap, the gas is observed to expand rapidly in the transverse direction while remaining nearly stationary in the axial direction. We interpret the expansion dynamics in terms of collisionless superfluid and collisional hydrodynamics. For the data taken at the longest evaporation times, we find that collisional hydrodynamics does not provide a satisfactory explanation, whereas superfluidity is plausible.

Volume increase in growth plate chondrocytes during hypertrophy: the contribution of organic osmolytes.

During the differentiation cascade of growth plate chondrocytes, cells undergo as much as a 10-15-fold increase in volume. This volume increase, which occurs to different extents in growth plates growing at different rates, has been demonstrated to be the single most significant variable in understanding the quantitative aspects of the cellular kinetics of long bone growth. Our hypothesis is that this volume increase, which occurs through cell swelling by water imbibition, requires intracellular accumulation of osmolytes through activation or upregulation of membrane transport mechanisms. Significant intracellular accumulation of inorganic osmolytes, such as Na+, K+, and Cl-, is potentially disruptive to normal cellular metabolism, whereas intracellular accumulation of organic osmolytes is considered to be more compatible with metabolic function. Thus, we concentrated on determining the contributions of organic osmolytes--betaine, amino acids, inositol, and sorbitol--to volume increase. Pooled cryostat sections of young bovine growth plates were extracted followed by automated analysis for their content of amino acids. Analysis for betaine and the sugar alcohols was done by extraction and derivatization, followed by high-performance liquid chromatography (HPLC). Parallel stereological analyses correlated osmolyte changes to stages of chondrocytic differentiation, specifically comparing intracellular concentration and amount in proliferative vs. hypertrophic chondrocytes. Calculations demonstrated that, maximally, these organic osmolytes, in total, account for 6%-7% of the intracellular osmolytes required to sustain the volume increase, and that the most significant contribution is from betaine. This suggests that intracellular accumulation of organic osmolytes is not a primary strategy used by growth plate chondrocytes during volume increase of their terminal differentiation. The data also suggest that there is a differential regulation of transporters of these osmolytes such that intracellular concentrations are constantly modified as cells proceed through the differentiation cascade.

All-optical production of a degenerate Fermi gas.

We achieve degeneracy in a mixture of the two lowest hyperfine states of 6Li by direct evaporation in a CO2 laser trap, yielding the first all optically produced degenerate Fermi gas. More than 10(5) atoms are confined at temperatures below 4 microK at full trap depth, where the Fermi temperature for each state is 8 microK. This degenerate two-component mixture is ideal for exploring mechanisms of superconductivity ranging from Cooper pairing to Bose-Einstein condensation of strongly bound pairs.