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Accumulating evidence indicates that unpredictable signals in early life represent a unique form of adverse childhood experiences (ACEs) associated with disrupted neurodevelopmental trajectories in children and adolescents. The Questionnaire of Unpredictability in Childhood (QUIC) was developed to assess early life unpredictability [1], encompassing social, emotional, and physical unpredictability in a child's environment, and has been validated in three independent cohorts. However, the importance of identifying ACEs in diverse populations, including non-English speaking groups, necessitates translation of the QUIC. The current study aims to translate and validate a Spanish language version of the QUIC (QUIC-SP) and assess its associations with mental and physical health. Spanish-speaking participants (N = 285) were recruited via the online market crowdsourcing platform, Amazon Mechanical Turk (MTurk), and completed an online survey that included the QUIC-SP and validated Spanish language assessments of physical and mental health. The QUIC-SP demonstrated excellent psychometric properties and similar mean scores, endorsement rates, and internal reliability to the English language version, thus establishing its validity among Spanish-speaking adults. Higher QUIC-SP scores, indicating greater unpredictability in early life, predicted increased symptoms of anxiety, anhedonia, depression, and poorer physical health. Given significant racial and ethnic disparities in health, the QUIC-SP may serve as a valuable tool to address the public health consequences of ACEs among Spanish-speaking populations.

Se presenta una nueva localidad paleontológica del Ordovícico del noroeste de España, ubicada en el flanco meridional del sinclinorio de Vega de Espinareda, al norte de Ponferrada (provincia de León). Se trata de la octava localidad con fósiles esqueléticos encontrada en la Formación Agüeira (Ordovícico Superior) del Dominio del Navia-Alto Sil de la Zona Asturoccidental-leonesa, y la primera ubicada en la mitad inferior de la formación. El nuevo yacimiento se sitúa muy próximo a su sección de referencia de la garganta fluvial entre las localidades de Congosto y Santa Marina del Sil, donde estos niveles eran interpretados como facies distales de un abanico submarino, en una sedimentación predominantemente turbidítica. Pero los trilobites, moluscos y braquiópodos encontrados, que por su escasa a nula desarticulación no parecen transportados, revelan una asociación propia de ambientes de plataforma mucho más someros, con fondos oxigenados como revela la alta concentración de galerías horizontales. La presencia de los trilobites Colpocoryphe grandis (Šnajdr) y Dalmanitina n. sp. (D. rabanoae Pereira, n. n.) indica una edad Berouniense temprano (= Sandbiense temprano), lo que abre la posibilidad de que el límite Ordovícico Medio/Superior se sitúe en los 400-450 m basales de la Fm. Agüeira en el sector estudiado.

The transition towards nature-based cities has increasingly become a central focus in political–environmental agendas and urban design practices, aiming to enhance climate adaptation, urban biodiversity, spatial equilibrium, and social well-being as part of the ongoing socio-ecological urban transition process. Climate adaptation in cities is a complex problem and one of the main collective challenges for society, but the relationships between city managers and citizens as to urban green care still face many challenges. Parks design guided by technical-expert and globalised criteria; inflexibility from bureaucratic inertia; and citizens’ demands to participate in the urban green transition, sometimes without the necessary knowledge or time, are some of the challenges that require further research. In this study, we examine four long-lasting approaches to green-space management in four cities in the Netherlands, ranging from municipality-driven to community-driven management forms, and encompassing diverse spatial configurations of greenery within the urban fabric. Utilising the theoretical lens of the Social–Ecological Systems Framework, we employ a multiple-case-study approach and ethnographic fieldwork analysis to gain a comprehensive understanding of the norms, collective-choice rules, and social conventions embodied in each urban green management arrangement. The purpose of this research is applied, that is, to provide urban managers and decision-makers with a deeper understanding of drivers to promote effective collaborative management approaches, focusing on specific organisational rules that may contribute to more sustained planning and maintenance pathways for urban green spaces, regardless of changes in political leadership or significant external funding sources. The results of the investigated cases show that long-lasting collaborative management of forests and parks has established a set of collective-choice rules for resource transfer between municipalities and citizens, including non-monetary resources (such as pruning-training courses or guided tours that attract tourists and researchers). Additionally, these arrangements have been favoured by the existence of legal norms that enable co-ownership of the land, and monitoring and sanctioning mechanisms that offer a slightly different interpretation from the evidence identified so far in the scientific literature on collective resource management and organisational studies.

Migrants and refugees face elevated risks for mental health problems but have limited access to services. This study compared two strategies for training and supervising nonspecialists to deliver a scalable psychological intervention, Group Problem Management Plus (gPM+), in northern Colombia. Adult women who reported elevated psychological distress and functional impairment were randomized to receive gPM+ delivered by nonspecialists who received training and supervision by: 1) a psychologist (specialized technical support); or 2) a nonspecialist who had been trained as a trainer/supervisor (nonspecialized technical support). We examined effectiveness and implementation outcomes using a mixed-methods approach. Thirteen nonspecialists were trained as gPM+ facilitators and three were trained-as-trainers. We enrolled 128 women to participate in gPM+ across the two conditions. Intervention attendance was higher in the specialized technical support condition. The nonspecialized technical support condition demonstrated higher fidelity to gPM+ and lower cost of implementation. Other indicators of effectiveness, adoption and implementation were comparable between the two implementation strategies. These results suggest it is feasible to implement mental health interventions, like gPM+, using lower-resource, community-embedded task sharing models, while maintaining safety and fidelity. Further evidence from fully powered trials is needed to make definitive conclusions about the relative cost of these implementation strategies.

El estuario de la Ría de Huelva (SO de España), está seriamente contaminado por lixiviados ácidos de origen minero y efluentes de la industria de fertilizantes fosfatados. Este trabajo evalúa la eficacia de unos residuos sólidos ricos en calcita (CaCO3) generados durante el tratamiento de efluentes industriales con la tecnología Sustrato Alcalino Disperso (DAS), para el tratamiento pasivo de aguas de mina altamente ácidas y contaminadas. El estudio consiste en hacer fluir el agua de mina a través de una columna rellena por una mezcla de un reactivo alcalino (i.e., calcita resultante del tratamiento de lixiviados de fosfoyesos) disperso en una matriz inerte (i.e., virutas de madera) para elevar el pH del agua ácida y así disminuir la solubilidad de los contaminantes disueltos. El tratamiento propuesto logró la eliminación total de Al, Fe, Cu, Cd y tierras raras e Y (REY). La solubilidad de los contaminantes durante el tratamiento fue probablemente controlada por procesos de co-precipitación y/o adsorción con oxihidróxidos-oxihidroxisulfatos de Fe y Al. Este trabajo puede contribuir a minimizar los costes económicos y ambientales del tratamiento de aguas de mina con la tecnología DAS.

Abstract Background Posttraumatic stress disorder (PTSD) has been hailed by some as the emblematic mental disorder of the COVID-19 pandemic, assuming that PTSD’s life-threat criterion was met de facto. More plausible outcomes like adjustment disorder (AD) have been overlooked. Methods An online cross-sectional survey was launched in the initial stage of the pandemic using a convenience sample of 5 913 adults to compare the prevalence of COVID-related probable PTSD versus probable AD. The abridged Impact of Event Scale – Revised (IES-6) assessed the severity of trauma- and stressor-related symptoms over the previous week. Demographic and pandemic-related data (e.g., receiving a formal diagnosis of COVID-19, job loss, loss of loved one, confinement, material hardship) were collected. A Classification and Regression Tree analysis was conducted to uncover the pandemic experiences leading to clinical ‘caseness’. Caseness was defined by a score > 9 on the IES-6 symptom measure and further characterized as PTSD or AD depending on whether the Peritraumatic Distress Inventory’s life-threat item was endorsed or not. Results The participants were predominantly Caucasian (72.8%), women (79.2%), with a university degree (85%), and a mean age of 42.22 (SD = 15.24) years; 3 647 participants (61.7%; 95%CI [60.4, 63.0]) met the threshold for caseness. However, when perceived life-threat was accounted for, only 6.7% (95%CI [6.1, 7.4]) were classified as PTSD cases, and 55% (95%CI [53.7, 56.2]) as AD cases. Among the AD cases, three distinct profiles emerged marked by the following: (i) a worst personal pandemic experience eliciting intense fear, helplessness or horror (in the absence, however, of any life-threat), (ii) a pandemic experience eliciting sadness/grief, and (iii) worrying intensely about the safety of significant others. Conclusions Studies considering the life-threat criterion as met de facto during the pandemic are confusing PTSD for AD on most counts. This misconception is obscuring the various AD-related idioms of distress that have emerged during the pandemic and the actual treatment needs.

C-reactive protein (CRP), an active regulator of the innate immune system, has been related to COVID-19 severity. CRP is a dynamic protein undergoing conformational changes upon activation in inflammatory microenvironments between pentameric and monomeric isoforms. Although pentameric CRP is the circulating isoform routinely tested for clinical purposes, monomeric CRP shows more proinflammatory properties. Therefore, we aimed to determine the potential of monomeric CRP in serum as a biomarker of disease severity in COVID-19 patients (admission to intensive care unit [ICU] and/or in-hospital mortality). We retrospectively determined clinical and biological features as well as pentameric and monomeric CRP levels in a cohort of 97 COVID-19 patients within 72h of hospital admission. Patients with severe disease had higher levels of both pentameric and monomeric CRP. However, multivariate analysis showed increased mCRP but not pCRP to be independently associated to disease severity. Notably, mCRP levels higher than 4000 ng/mL (OR: 4.551, 95% CI: 1.329-15.58), together with number of co-morbidities, low lymphocyte count, and procalcitonin levels were independent predictors of disease severity in the multivariate model. Our results show the potential of mCRP levels as a marker of clinical severity in COVID-19 disease.

The introduction of forests in cities has been an observable trend in recent years, with planned forest management projects proliferating around the world. The fact that many urban forests in the public space are traditionally managed by top-down bureaucratic procedures and guided by expert knowledge raises questions about whether green areas should follow the same management approach as other urban infrastructures, such as mobility infrastructures, or whether they should explore a collaborative approach designed to engage diverse stakeholders. This article examines the challenges of innovating in urban forests, changing the management rules that may limit participatory and deliberative processes to support decision-making. In particular, we analyzed how introducing a co-creation stage impacted the traditional competitive public tender procedure in the Madrid Metropolitan Forest project, using the Institutional Analysis and Development (IAD) framework. Results showed that the costs and benefits of innovation differ among involved actors, generating unintended deterrent effects for experimentation. To mitigate these decoupling effects, we suggest a strategic design of working rules and updating the shared incentive to move from a competitive and transactional logic to a more collaborative and co-creative form of connection.

The concept of “urban forest” (UF) is gaining momentum in urban planning in the context of climate adaptation. Principles from the field of urban forestry are mainstreamed into urban planning, but little is known about effective tools for the successful implementation of new UFs. This article presents explorative research comparing how three cities (Almere, Madrid, and Boston) are dealing with the planning of a UF project, and their alignment with distinct organisational and typological interpretations of a UF. We employed a mixed-methods approach to gain insights into the main goals of the project, their organisational structure, and the employed planning process through the analysis of project documents and expert interviews. Our results point to an effective mainstreaming of environmental questions among stakeholders, but also indicate a poor development of objective criteria for the success of a UF. We note that municipal planners circumvented current internal rigidities and barriers by relying on intermediaries and local academia as providers of external knowledge, or by facilitating experiments. Finally, our results show that there may not be just one UF type to achieve the desired environmental and social goals and overcome implementation barriers. Conversely, each of the governance and organisational models behind the implementation of each type present collaborative and mainstreaming challenges. Therefore, we see an opportunity in further research examining processes and institutions towards the collaborative building of UFs that could bridge gaps between top-down and bottom-up approaches and activate different types of agencies.

NBS provides the technical basis for adaptation to climate change, and co-creation is the vehicle for the co-production of knowledge and innovation, both forming a strong binomial for the UE Green Infrastructures Strategy. Nonetheless, one of the main challenges for the implementation of effective co-creation strategies is the incorporation of knowledge from diverse social systems. Knowledge production has been approached through different methodological models, such as the quintuple helix innovation by Carayannis, or the diffuse/expert knowledge model by Manzini. These theoretical models are based on linear knowledge transfers, without sufficiently depicting alternative knowledge flows among (un)conventional actors. In view of these limitations, the research proposes a third strategy: the KREBS cycle of creativity defined by Oxman is a conceptual map capable of describing knowledge transfers across the four modalities of human creativity (i.e., science, engineering, design, and art). Providing sufficient “creative energy” in a co-creation process would guarantee the successful production of knowledge. Thus, the research seeks to illuminate different co-creation strategies to promote “creative energy” in the design of the Cyborg Garden (CG) in Madrid, giving a novel application to Oxman’s methodological framework based on the Carayannis’s and Manzini’s models.

Age-related macular degeneration (AMD) heads the list of legal blindness among the elderly population in developed countries. Due to the complex nature of the retina and the variety of risk factors and mechanisms involved, the molecular pathways underlying AMD are not yet fully defined. Persistent low-grade inflammation and oxidative stress eventually lead to retinal pigment epithelium dysfunction and outer blood–retinal barrier (oBRB) breakdown. The identification of AMD susceptibility genes encoding complement factors, and the presence of inflammatory mediators in drusen, the hallmark deposits of AMD, supports the notion that immune-mediated processes are major drivers of AMD pathobiology. Complement factor H (FH), the main regulator of the alternative pathway of the complement system, may have a key contribution in the pathogenesis of AMD as it is able to regulate both inflammatory and oxidative stress responses in the oBRB. Indeed, genetic variants in the CFH gene account for the strongest genetic risk factors for AMD. In this review, we focus on the roles of inflammation and oxidative stress and their connection with FH and related proteins as regulators of both phenomena in the context of AMD.

Age-related macular degeneration (AMD), a retinal degenerative disease, is the leading cause of central vision loss among the elderly population in developed countries and an increasing global burden. The major risk is aging, compounded by other environmental factors and association with genetic variants for risk of progression. Although the etiology of AMD is not yet clearly understood, several pathogenic pathways have been proposed, including dysfunction of the retinal pigment epithelium, inflammation, and oxidative stress. The identification of AMD susceptibility genes encoding complement factors and the presence of complement and other inflammatory mediators in drusen, the hallmark deposits of AMD, support the concept that local inflammation and immune-mediated processes play a key role in AMD pathogenesis that may be accelerated through systemic immune activation. In this regard, increased levels of circulating C-reactive protein (CRP) have been associated with higher risk of AMD. Besides being a risk marker for AMD, CRP may also play a role in the progression of the disease as it has been identified in drusen, and we have recently found that its monomeric form (mCRP) induces blood retinal barrier disruption in vitro. In this review, we will address recent evidence that links CRP and AMD pathogenesis, which may open new therapeutic opportunities to prevent the progression of AMD.