Components associated with location involving child EMS transfers

The discrepancies in YLD between populations with and without care in child mental disorders ranged from ± 55% to 99% and had an overall value of ± 80.1%. High YLD discrepancies in child mental disorders between estimates based on the general population and those in health facilities suggest significant unmet needs for care in child mental disorders and that estimates of disease burden that rely heavily on a single source may result in unreliable results.High propagule availability compared to native species is often critical to invasion success, but it is unclear if this has contributed to invasions by African grasses in Neotropical savannas. We compared patterns of occurrence in the vegetation, seed rain and seed bank among African and native grasses in Cerrado sites in southeastern Brazil. In grasslands and savannas, we obtained the abundance of grasses in the vegetation, in the seed rain (monthly for one year) and in the seed bank (rainy and dry season), and assessed seed limitation and relationships among compartments. Invasive grasses showed low abundance in all compartments and high seed limitation in grasslands, where the seed bank and seed rain were dominated by small-seeded native grasses, but were at least as abundant as the natives in the seed bank and seed rain in savannas, mostly due to high abundance of Melinis minutiflora at these compartments. Native grasses dispersal occurred in the rainy season, whereas invasive grass dispersal occurred from mid rainy to mid dry season (Urochloa decumbens) and in the dry season (M. minutiflora). Melinis minutiflora showed a more persistent seed bank than U. decumbens and natives in savannas. Abundance of invasive and most of the native grasses in the vegetation was positively related to their abundance in the seed rain. Differences in seed production, the timing of seed dispersal and seed bank persistence compared to native grasses seem to favour invasive African grasses in the Cerrado, but this role may differ between grasslands and savannas.Differences in the psychological characteristics and gambling behaviors of sports bettors and non-sports bettors were examined with a view to identifying predictors of problem gambling severity. A survey was completed by 1,280 participants, 596 of whom had placed bets on a sporting event in the last year. We found that sports bettors are at greater risk of problem gambling due to differences in attitudes towards gambling, personality traits, thinking styles, erroneous cognitions, and gambling motivations. Moreover, our findings suggest that the difference between individuals who bet on sports and those who do not is more quantitative than qualitative. A stratified stochastic search variable selection analysis by type of bettor revealed similar important predictors of problem gambling for both sports bettors and non-sports bettors; however, the association between the predictors and problem gambling was stronger for sports bettors. selleck chemicals llc Overall, the findings of this study suggest that preventative methods and interventions for problem gambling should be targeted as a function of whether individuals bet on sports.Mucins are high-molecular-weight glycoproteins dysregulated in aggressive cancers. The role of mucins in disease progression, tumor proliferation, and chemotherapy resistance has been studied extensively. This article provides a comprehensive review of mucin's function as a physical barrier and the implication of mucin overexpression in impeded drug delivery to solid tumors. Mucins regulate the epithelial to mesenchymal transition (EMT) of cancer cells via several canonical and non-canonical oncogenic signaling pathways. Furthermore, mucins play an extensive role in enriching and maintaining the cancer stem cell (CSC) population, thereby sustaining the self-renewing and chemoresistant cellular pool in the bulk tumor. It has recently been demonstrated that mucins regulate the metabolic reprogramming during oncogenesis and cancer progression, which account for tumor cell survival, proliferation, and drug-resistance. This review article focuses on delineating mucin's role in oncogenic signaling and aberrant regulation of gene expressions, culminating in CSC maintenance, metabolic rewiring, and development of chemoresistance, tumor progression, and metastasis.The scale of religious and spiritual coping (RCOPE) is one of the most used measures in the evaluation of coping strategies based on faith. Despite being validated for the Portuguese language in the Brazilian context, there was still no validation for European Portuguese, which seems important considering the cultural differences. We aimed at examining the validity and reliability of the RCOPE with a Portuguese sample. The present study used cross-sectional data from 1103 volunteers that completed the online survey. After randomly splitting the sample (11) for cross-validation purposes, an ordinal exploratory factor analysis and confirmatory factor analysis were performed. McDonald's omega, Cronbach's alpha and mean inter-item correlations were used to determine the internal consistency and homogeneity of the RCOPE. The convergent and discriminant validity of the scale was assessed using standardized factor loadings, the average variance extracted and the squared correlation between latent factors, respectively. In the current study, the final structure of the scale included 17 items aggregated into two correlated latent factors. The Portuguese version of the RCOPE showed acceptable psychometric proprieties, which will be an advantageous instrument for the practice and research of psychology in religion and spirituality.The present study evaluates the influence of spirituality/religiosity (S/R) on the coping strategies used by people with cancer (breast and prostate) compared with those without cancer, in a sample of 445 Spanish participants (160 with cancer and 285 without). Significant interactions between the presence of cancer and S/R are observed in the use of coping strategies such as religion, humor and disconnection. Spirituality as a predictor variable through the use of religion as a strategy, increased the explanatory capacity of age by 58.9% (β = .794) while praying/talking to God predicts the use of this strategy with a β = .383. In people with cancer, active coping was predicted by spirituality (β = .327). However, spirituality was a negative predictor of maladaptive coping, with a beta coefficient equal to .383. The data suggest that patients' beliefs need to be considered by health care professionals when designing interventions.