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The evolution in latitude of sunspots is a key feature of the cyclic solar dynamo. Here, we present the results of a spectroscopic and spectropolarimetric monitoring campaign on the young (∼20 Myr old) early G star HIP 89829, in order to investigate potential evolution in the distribution of the star's spots and magnetic features. Our analysis of this G5V star spans eight epochs, from June 2010 to August 2015. The techniques of Doppler imaging and Zeeman–Doppler imaging were used to create brightness maps for each epoch and magnetic maps for two epochs. The brightness images show the star to have stable spot features with two main spot latitudes – a polar spot, often seen on young rapidly rotating stars such as this, and another highly unusual group of large spot features around the 20° and 30° latitudes. These lower spot latitudes appear to be rather stable over the 5 yr of observations. We included a solar-type differential rotation law into the imaging process and measured near-solid-body rotation for epochs where sufficient data exist for this analysis. The magnetic features show a dominant poloidal and a weaker toroidal magnetic field for both Stokes V epochs, which is unusual for a star with a rapid rotation period of 0.57 d. We conclude that HIP 89829 is an active young solar-type star with long-lived spots and near-solid-body rotation. [ABSTRACT FROM AUTHOR]

A major source of toxic per- and polyfluoroalkyl substances (PFAS) is aqueous film-forming foams (AFFF) used in firefighting and training at airports and military installations, however, PFAS have many additional sources in consumer products and industrial processes. A field study was conducted on fish tissues from three reaches of the Columbia Slough, located near Portland International Airport, OR, that are affected by AFFF and other PFAS sources. Fishes including largescale sucker (Catostomus macrocheilus), goldfish (Carassius auratus), and largemouth bass (Micropterus salmoides) were collected in 2019 and 2020. Fish blood, liver, and fillet (muscle) were analyzed for target and suspect PFAS by liquid chromatography high resolution mass spectrometry (LC-HRMS). Data were analyzed for patterns by fish species, tissue type, and river reach. Thirty-three out of 50 target PFAS and additional suspect compounds were detected at least once during the study, at concentrations up to 856 ng/g. Seven carboxylic acids (PFOA, PFNA, PFDA, PFUdA, PFDoA, PFTrDA, PFTeDA), three sulfonates (PFHxS, PFOS, PFDS), three electrofluorination-based compounds (FBSA, FHxSA, FOSA), and two fluorotelomer-based compounds (8:2 FTS, 10:2 FTS) were the most frequently detected compounds in all tissue types. The C6 (PFHxS) to C10 (PFDS) homologs were detected with PFOS and FHxSA at concentrations 1-3 orders of magnitude greater than the other PFAS detected. This is the first report of Cl-PFOS, FPeSA, and FHpSA detected in fish tissue. In all fish samples, fillet concentrations of PFAS were the lowest, followed by liver, and blood concentrations of PFAS were the highest. Differences in PFAS concentrations were driven primarily by tissue types and to a lesser extent fish species, but weakly by river reach. The Oregon Health Authority modified an existing fish consumption advisory on the Columbia Slough to recommend no whole-body consumption of most fish to avoid elevated levels of PFOS in fish liver. Measured PFAS concentrations in fish tissues indicate the potential for adverse ecological effects., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Published by Elsevier B.V.)

Objective: To compare real-world data from a single centre heart failure rehabilitation programme, evaluating the effect of programme completion and improved functional capacity on morbidity and mortality in patients with heart failure., Design: A retrospective longitudinal analysis of service outcomes., Setting: A single-centre London based NHS trust., Participants: Patients attending heart failure rehabilitation between 2016 and 2020., Intervention: Patients participated in a 12-week heart failure rehabilitation programme with those completing ≥6 rehabilitation sessions classified as 'completers'., Main Measures: Pre and post 6-min walk tests measured improvement in physical ability, depicted by a meaningful increase in distance (≥30 m). Kaplan-Meier survival analysis was used to predict risk of event (myocardial infarction, cerebrovascular accident, heart failure readmission and death) between 'completers' and 'non-completers'. Kaplan-Meier Log rank was employed for 'completers', examining time to event between 'improvers' (6-min walk test ≥30 m) and 'non-improvers' (6-min walk test <30 m)., Results: 137 patients (male 61%) attended heart failure rehabilitation over the 4-year period. 86% ( n = 117) of patients completed the programme. During the follow-up period, there were 25 events, including three deaths. There was no statistically significant difference in time to event between completers and non-completers, ( P = 0.563). Improvement in 6-min walk test results demonstrate some short-term benefit, however no long-term benefits in morbidity and mortality were seen ( P = 0.888)., Conclusions: Completion of heart failure rehabilitation is not associated with a lower risk of combined event in this study. Improved 6-min walk test appears to be associated with short-term advantage in event-free survival time.

Introduction: While many professional associations within clinical and counseling psychology have made an aspirational call for clinician awareness of social position, there is a lack of research into how socially-conferred privilege impacts psychotherapy. Specifically of interest is the differences in race and gender within the therapeutic dyad, in which there is a BIPOC (Black, Indigenous, and Persons of Color)/white or male/female-identified dynamic., Method: The authors utilized a Grounded Theory approach to analyze qualitative interviews with practicing psychologists to construct a process model regarding how socially-conferred privileged identity domains impact the therapeutic relationship and the participants' professionalization process., Results: The analysis identified the core conceptual theme of the Therapist Paragon, representing an idealized version of what a perfect therapist should be. This replicated the foundational figures of our field - primarily older, white men. The process model consisted of two distinct pathways toward the Therapist Paragon, one for BIPOC psychologists and one for white psychologists. The female BIPOC pathway consisted of imposter syndrome, persistent feelings of inadequacy, and tendencies to over-credential their professional identity to seek credibility in the eyes of clients and colleagues. The white pathway consisted of down-playing whiteness and attempting to initially modify behavior toward client cultural norms., Discussion: The results point to a distinct professionalization and practice process for BIPOC psychologists compared to white counterparts. This dynamic may have implications beyond increasing support for BIPOC clinicians specifically, but instead indicate a lack of acknowledgement of the psychological impact of socially-conferred privilege in the psychotherapy enterprise overall. Recommendations are offered for revisions to training models, continuing education, and supervision/consultation., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Bergkamp, O’Leary Sloan, Krizizke, Lash, Trantel, Vaught, Fulmer, Waite, Martin, Scheiderer and Olson.)

The SARS-CoV-2 (COVID-19) pandemic brought disruption to cardiac rehabilitation (CR) services in the UK, requiring innovation and use of remote interventions. This retrospective longitudinal study compares single-centre CR service data across three time periods: 'pre' (June 2019 to December 2019), 'during' (January 2020 to May 2020) and 'post' (June 2020 to December 2020), evaluating adaptations in programme delivery and subsequent effect on efficiency. There were 614 patients (72.7% male) identified between June 2019 and December 2020. Eligible CR referrals reduced 30.3% and encountered >50% decrease in engagement 'during' the pandemic, compared with 'pre' pandemic. The 'post' pandemic hybrid redesign led to a significant reduction in hospital discharge to CR contact (mean 5.39 days, p=0.001), and time spent in CR (41.33 days, p=0.001) when compared with 'pre' and 'during' figures. CR engagement significantly increased 'post' pandemic for ST-elevation myocardial infarction (STEMI)/non-STEMI (NSTEMI)/acute coronary syndrome (ACS) (56%, p=0.02) and 'post' cardiac surgery (76%, p=0.015). Referrals to cardiac psychology increased >50% 'post' pandemic (7.8%, p=0.038). A 'post' pandemic hybrid CR programme is effective at reducing wait times, increasing engagement and reducing time to completion of CR, compared with 'pre' and 'during' pandemic figures. A significant increase in cardiac psychology referrals 'post' pandemic highlights the importance of psychology support within CR., Competing Interests: Conflicts of interest None declared., (Copyright © 2023 Medinews (Cardiology) Limited.)