Veganuary and the vegan sausage (t)rolls: conflict and commercial engagement in online climate-diet discourse.

Social media platforms have become critical venues for a wide spectrum of influence campaigns, from activism to advertising. Sometimes these two ends overlap and it remains unknown how the latter might impact the former. Situated within contemporary scholarship on vegan activism, this work examines corporate involvement with the Veganuary 2019 campaign on Twitter, as well as the antagonistic backlash it received. We find that the activists and commercial entities engage mostly separate audiences, suggesting that commercial campaigns do little to drive interactions with Veganuary activism. We also discover strong threads of antagonism reflecting the "culture wars" surrounding discussions of veganism and climate-diet science. These findings inform our understanding of the challenges facing climate-diet discourses on social media and motivate further research into the role of commercial agents in online activism.

Emotional framing in online environmental activism: Pairing a Twitter study with an offline experiment.

As the consequences of anthropogenic climate change become more apparent, social media has become a central tool for environmental activists to raise awareness and to mobilize society. In two studies, we examine how the emotional framing of messages posted by environmental activists influences engagement and behavioral intentions toward environmental action. In the first study, tweets (N = 510k) of 50 environmental activists posted between November 2015 and December 2020 are examined to measure their emotional content and its relation to tweet diffusion. Environment-related tweets are found to be shared more the less they contain positive emotion and the more they contain negative emotion. This result supports the negativity bias on social media. In Study 2 (N = 200), we experimentally test whether negatively vs. positively framed environmental content leads to increased reported intent to engage with collective action, and whether mood mediates that link. We find both direct and indirect effects on reported climate action intentions when mood is used as a mediator. The negative mood resulting from seeing negative tweets makes participants more likely to report higher action intention (indirect effect)-congruent with Study 1. However, seeing negative tweets also makes participants less inclined to act (direct effect), indicating a suppression effect and the presence of other factors at work on the pathway between information and action intent formation. This work highlights the complex and multifaceted nature of this relation and motivates more experimental work to identify other relevant factors, as well as how they relate to one another.

Controversy around climate change reports: a case study of Twitter responses to the 2019 IPCC report on land.

In August 2019, the Intergovernmental Panel on Climate Change (IPCC) published its Special Report on Climate Change and Land (SRCCL), which generated extensive societal debate and interest in mainstream and social media. Using computational and conceptual text analysis, we examined more than 6,000 English-language posts on Twitter to establish the relative presence of different topics. Then, we assessed their levels of toxicity and sentiment polarity as an indication of contention and controversy. We find first that meat consumption and dietary options became one of the most discussed issues on Twitter in response to the IPCC report, even though it was a relatively minor element of the report; second, this new issue of controversy (meat and diet) had similar, high levels of toxicity to strongly contentious issues in previous IPCC reports (skepticism about climate science and the credibility of the IPCC). We suggest that this is in part a reflection of increasingly polarized narratives about meat and diet found in other areas of public discussion and of a movement away from criticism of climate science towards criticism of climate solutions. Finally, we discuss the possible implications of these findings for the work of the IPCC in anticipating responses to its reports and responding to them effectively. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10584-021-03182-1.

Improving patients' readiness for coronary artery bypass graft surgery.

BACKGROUND: Preoperative interventions improve outcomes for patients after coronary artery bypass surgery (CABG). OBJECTIVE: To reduce mortality for patients undergoing urgent CABG. METHODS: Eight centers implemented preoperative aspirin and statin, preinduction heart rate less than 80/min, hematocrit greater than 30%, blood sugar less than 150 mg/dL (8.3 mmol/L), and delayed surgery at least 3 days after a myocardial infarction. Data were collected on the last 150 isolated, urgent CABGs at each center (n=1200). A "bundle" score of 0 to 100 was calculated for each patient to represent the percentage of interventions used. RESULTS: Scores ranged from 33 to 100. About 56% of patients had a perfect score. Crude mortality and composite rates were lower in patients with higher scores, but once adjusted for patient and disease characteristics, the difference in scores was not significant. Higher scores were associated with shorter intubation: 6.0 hours (score 100), 8.0 hours (score 80-99), 8.4 hours (score<80) (log-rank P<.001). Median length of stay was shorter for patients with higher scores: 5 days (score 100), 6 days (scores 80-99), and 6 days (scores <80) (log-rank P<.001). CONCLUSION: Implementation of interventions to optimize patients' "readiness for surgery" is associated with shorter intubation times and shorter hospital stays after CABG.

A one year trial of methylphenidate in the treatment of ADHD.

OBJECTIVE: To determine the effects of long-term methylphenidate treatment on symptom severity and social adjustment in adult ADHD. METHOD: Adults (n = 116) meeting operational diagnostic criteria for ADHD (the "Utah Criteria") entered a randomized double-blind crossover trial of methylphenidate and placebo. Participants who improved on immediate-release methylphenidate entered a 12-month, open-label trial. Outcomes were assessed using the Wender-Reimherr Adult Attention Deficit Disorder Scale (WRAADDS), Clinical Global Impression-Improvement (CGI-I), global assessment of functioning (GAF), and the Weissman Social Adjustment Scale (WSAS). RESULTS: In the double-blind trial more patients improved (50% reduction of symptoms) receiving methylphenidate (74%) than placebo (21%, p = .001). During the open-label trial, symptom severity decreased 80% from baseline, and the WSAS decreased >50% in all subscales. The average GAF improved significantly (p < .0001). CONCLUSION: ADHD adults, who responded to methylphenidate in a short-tem, placebo-controlled trial, responded to long-term treatment with marked improvements in ADHD symptoms and psychosocial functioning.

A pebble in the pond: the ripple effect of an obesity prevention intervention targeting the child care environment.

Through Steps to a Healthier Arizona, a unique partnership was developed to reach the culturally diverse, rural communities of Southern Arizona. This partnership included local, regional, and state agencies and coalitions focused on reducing the burden of chronic disease and health disparities. This article describes the success of a program aimed at preventing childhood obesity and diabetes. Partners in Yuma County worked with child care providers to implement organizational best practices which promote positive nutrition and physical activity behaviors in young children. As a result of this project, the number of child care centers in Yuma County implementing best practices increased. Additionally a ripple effect has reached beyond the individual child care setting, into broader local and state early childhood development systems. Taking place against the backdrop of state-wide initiatives in early childhood development and health, the Steps to a Healthier Arizona's NAP SACC program positioned stakeholders to integrate with these advances.

Dexmedetomidine overdose in the perioperative setting.

OBJECTIVE: To report 3 cases of accidental dexmedetomidine overdose in the perioperative setting and review the pathophysiology of alpha2-agonist overdose. case summaries: Three patients accidentally received overdoses of dexmedetomidine, one intraoperatively (192 microg over 20 min) and 2 postoperatively (4 and 2 rather than 0.4 and 0.2 microg/kg/h; 0.5 microg/kg/min rather than 0.5 microg/kg/h). Hemodynamic parameters remained stable for all 3 patients. The most notable sign was oversedation diagnosed either clinically or using a bispectral index monitor; Naranjo criteria suggest possible or probable association of the reactions with dexmedetomidine. In all 3 cases, oversedation resolved within one hour of drug discontinuation. There were no other sequelae, and the remainder of each patient's hospital course was unremarkable. DISCUSSION: As of this writing, dexmedetomidine dosing in excess of the label recommendation has been reported, but accidental dexmedetomidine overdose in clinical practice has not been described. Excessive levels of sedation were the only significant finding in all 3 patients. Dexmedetomidine's short redistribution half-life of 6 minutes should lead to rapid resolution of oversedation induced by overdoses if the overall duration of infusion is short (< or =8 h). While the patients reported here were hemodynamically stable, dexmedetomidine may engender significant hemodynamic changes either because of sympatholysis at normal doses or vasoconstriction at higher than recommended doses. The absence of a significant hypertensive response to high dexmedetomidine concentrations suggests that dexmedetomidine-induced hypertension may be multifactorial, not simply related to plasma drug concentrations. CONCLUSIONS: Practitioners presented with dexmedetomidine overdose should be prepared to manage oversedation. While hemodynamic alterations may be seen with dexmedetomidine use, hypertension from high dexmedetomidine plasma concentrations is not a consistent response. Practitioners using dexmedetomidine should carefully note that dosing for this agent is described by the manufacturer in microg/kg/h, not microg/kg/min.