Notes

"The elephant within the room;In . a new qualitative research involving perinatal concerns within opioid use dysfunction treatment throughout The southern part of Appalachia.
The increase in the degradation of wetlands globally has highlighted the need to assess their ecological condition. Hillslope seep wetlands are among the least studied wetland types, yet they the most vulnerable because of their small size and steep slopes. Human pressure and the vulnerable nature of these wetlands requires wetland assessment tools to assess their condition. This study sought to evaluate the performance of the Floristic Quality Assessment Index for all species (FQAIall), the FQAI for dominant species (FQAIdom), and the Floristic Assessment Quotient for Wetlands (FAQWet) in response to the Anthropogenic Activity Index (AAI) and WET-Health in eleven hillslope seep wetlands and used these indices to assess the degree and intensity of disturbance. Vegetation samples were collected in summer 2016 and winter 2017. All assessment indices, FQAIall, FQAIdom, FAQWet and WET-Health, showed that hillslope seep wetlands were impacted by human activities. FQAIall showed the strongest response to AAI in winter, while FAQWet showed the strongest response to WET-Health. To the best of our knowledge, researchers in South Africa have used only WET-Health to assess wetland condition, and this is the first study to assess the condition of hillslope seep wetlands using a combination of indices (FQAIall, FQAIdom, FAQWet, and WET-Health). Overall, the findings of this study suggest that FQAIall and FAQWet are potentially better tools for assessing the biological condition of hillslope seep wetlands in South Africa.There is increasing interest in the role of mindfulness and mindfulness-based interventions to optimize recovery from a substance use disorder (SUD). However, relatively little is known about the theory-based psychological and social pathways whereby mindfulness could have beneficial effects for managing a chronic, relapsing SUD. Informed by Revised Stress and Coping Theory, the present cross-sectional study examined affective, cognitive, and social pathways whereby mindfulness is associated with lower methamphetamine craving. A total of 161 HIV-positive, methamphetamine-using sexual minority men completed a screening visit for a randomized controlled trial. Using a hybrid structural equation model, we examined pathways whereby mindfulness is associated with lower methamphetamine craving. We found that greater mindfulness was directly associated with lower negative affect and higher positive affect as well as indirectly associated with less methamphetamine craving. Interestingly, the indirect association between mindfulness and methamphetamine craving appeared to be uniquely attributable to positive affect. Only positive affect was indirectly associated with lower methamphetamine craving via higher positive re-appraisal coping and greater self-efficacy for managing triggers for methamphetamine use. Methamphetamine craving was supported by moderate associations with greater substance use severity and more frequent methamphetamine use. These findings support the role of mindfulness in cultivating positive affect, which could be crucial to build the capacity of individuals to manage methamphetamine craving as a chronic stressor that threatens recovery from SUD.Previous research has shown that romantic relationships can lead to the cognitive inclusion of a romantic partner into one's own self-representation, resulting in blurred boundaries between self and intimate other. Recent work suggests that this self-other integration process encompasses the two dimensions of the self-the conceptual and the bodily self. In line with this, it has been proposed that romantic love is associated with cognitive states that blur or reduce the saliency of self-boundaries in the bodily domain. The present study tested this hypothesis by investigating the influence of the self-other integration process in romantic love on passability judgments of door-like apertures, an action-anticipation task that rests on the representation of bodily boundaries. Romantically involved and single participants estimated whether they could pass through apertures of different widths. Moreover, inclusion of romantic partner in the self was assessed using the Inclusion of Other in the Self (IOS) scale. The pattern of correlation and the ratio between participants' shoulder width and aperture judgments did not differ between romantically involved participants and singles. However, our results revealed that in romantically involved participants, the relationship between individuals' shoulder width and aperture judgements was moderated by IOS scores. E1 Activating inhibitor A greater inclusion of romantic partner in the self was associated with a weaker prediction of aperture judgment by participants' shoulder width. A similar moderating effect of the intensity of romantic feelings (as measured by the passionate love scale) on shoulder width-aperture judgment relationship was found. IOS scores, but not romantic feelings, also moderated aperture judgments made for another individual (third person perspective). Together, these findings are consistent with the view that inclusion of romantic partner in the self triggers cognitive states affecting self-boundaries in the bodily domain.
Hospitals, clinics, and health organizations have provided psychosocial support interventions for medical patients to supplement curative care. Prior reviews of interventions augmenting psychosocial support in medical settings have reported mixed outcomes. This meta-analysis addresses the questions of how effective are psychosocial support interventions in improving patient survival and which potential moderating features are associated with greater effectiveness.

We evaluated randomized controlled trials (RCTs) of psychosocial support interventions in inpatient and outpatient healthcare settings reporting survival data, including studies reporting disease-related or all-cause mortality. Literature searches included studies reported January 1980 through October 2020 accessed from Embase, Medline, Cochrane Library, CINAHL, Alt HealthWatch, PsycINFO, Social Work Abstracts, and Google Scholar databases. At least 2 reviewers screened studies, extracted data, and assessed study quality, with at least 2 independent reviewers also extracting data and assessing study quality.
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