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The spread of COVID-19 within any given country or community at the onset of the pandemic depended in part on the sheltering-in-place rate of its citizens. The pandemic led us to revisit one of psychology's most fundamental and most basic questions in a high-stakes context: what determines human behavior? Adopting a Lewinian interactionist lens, we investigate the independent and joint effects of macrolevel government policies and microlevel psychological factors-that is, personality-on whether individuals sheltered-in-place. We analyzed data collected in late March and early April 2020 from 101,005 participants in 55 countries, a time period that coincided with the early and accelerating stage of the COVID-19 pandemic. This time period also contained substantial variation in the stringency of governmental policy toward sheltering-in-place, both between countries and within each country over time. Analyses revealed that personality and the stringency of governmental policies independently predicted sheltering-in-place rates. Policy stringency was positively related to sheltering-in-place. For the personality dimensions, Openness, Conscientiousness, Agreeableness, and Neuroticism all predicted higher rates of sheltering-in-place, whereas Extraversion was negatively related to staying at home. In addition, two personality traits-Openness to Experience and Neuroticism-interacted with governmental policy to predict whether individuals sheltered-in-place; openness and neuroticism each had weaker effects on sheltering-in-place as governmental policies became stricter. Theoretically, the findings demonstrate that individual differences predict behavior (i.e., sheltering-in-place) even when governments take strong action targeting that behavior. Practically, they suggest that even if governments lift their shelter-in-place restrictions, some individuals will shelter-in-place less than others. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A previous chlamydia infection did not result in fewer pregnant women, but among women with a pregnancy intention, time to pregnancy was longer compared with women without a previous infection. Supplemental digital content is available in the text., Background A Chlamydia trachomatis infection (chlamydia) can result in tubal factor infertility in women. To assess if this association results in fewer pregnant women, we aimed to assess pregnancy incidences and time to pregnancy among women with a previous chlamydia infection compared with women without one and who were participating in the Netherlands Chlamydia Cohort Study (NECCST). Methods The NECCST is a cohort of women of reproductive age tested for chlamydia in a chlamydia screening trial between 2008 and 2011 and reinvited for NECCST in 2015 to 2016. Chlamydia status (positive/negative) was defined using chlamydia screening trial–nucleic acid amplification test results, chlamydia immunoglobulin G presence in serum, or self-reported chlamydia infections. Data on pregnancies were collected via questionnaires in 2015–2016 and 2017–2018. Overall pregnancies (i.e., planned and unplanned) and time to pregnancy (among women with a pregnancy intention) were compared between chlamydia-positive and chlamydia-negative women using Cox regressions. Results Of 5704 women enrolled, 1717 (30.1%; 95% confidence interval [CI], 28.9–31.3) women was chlamydia positive. Overall pregnancy proportions were similar in chlamydia-positive and chlamydia-negative women (49.0% [95% CI, 46.5–51.4] versus 50.5% [95% CI, 48.9–52.0]). Pregnancies per 1000 person-years were 53.2 (95% CI, 51.5–55.0) for chlamydia negatives and 83.0 (95% CI, 78.5–87.9) for chlamydia positives. Among women with a pregnancy intention, 12% of chlamydia-positive women had a time to pregnancy of >12 months compared with 8% of chlamydia negatives (P < 0.01). Conclusions Overall pregnancy rates were not lower in chlamydia-positive women compared with chlamydia-negative women, but among women with a pregnancy intention, time to pregnancy was longer and pregnancy rates were lower in chlamydia-positive women. Trial registration number: Dutch Trial Register NTR-5597.

ObjectivesSpontaneous clearance of Chlamydia trachomatis (CT) infections can occur between diagnosis and treatment. We followed CT patients to assess clearance using a conventional definition (no total CT-DNA, assessed by routine quantitative PCR methods) and a definition accounting for viability, assessed by viability PCR testing.MethodsThree outpatient STI clinics included CT-diagnosed women (The Netherlands, 2016–2017, FemCure study); participants had vaginal CT (vCT) and rectal CT (rCT) (group A: n=155), vCT and were rectally untested (group B: n=351), single vCT (group C: n=25) or single rCT (group D: n=29). Follow-up (median interval 9 days) vaginal and rectal samples underwent quantitative PCR testing (detecting total CT-DNA). When PCR positive, samples underwent V-PCR testing to detect ‘viable CT’ (CT-DNA from intact CT organisms; V-PCR positive). ‘Clearance’ was the proportion PCR-negative patients and ‘clearance of viable CT’ was the proportion of patients testing PCR negative or PCR positive but V-PCR negative. We used multivariable logistic regression analyses to assess diagnosis group (A–D), age, days since initial CT test (diagnosis) and study site (STI clinic) in relation to clearance and clearance of viable CT.ResultsClearance and clearance of viable CT at both anatomic sites were for (A) 0.6% and 3.9%; (B) 5.4% and 9.4%; (C) 32.0% and 52.0% and (D) 27.6% and 41.4%, respectively. In multivariate analyses, women with single infections (groups C and D) had higher likelihood of clearance than women concurrently infected with vCT and rCT (pOf rectally untested women (group B), 76.9% had total CT-DNA and 46.7% had viable CT (V-PCR positive) at the rectal site.ConclusionsOf untreated female vCT patients who had CT also at the rectal site, or who were rectally untested, only a small proportion cleared CT (in fact many had viable CT) at their follow-up visit (median 9 days). Among single site infected women clearance was much higher.Trial registration numberNCT02694497.

ZusammenfassungDie COVID-19-Pandemie ist ein weltweiter Ausbruch von neu aufgetretenen Infektionen mit dem SARS-CoV-2-Virus, von denen weltweit derzeit mehr als 10.670.000 Menschen erkrankt sind bzw. waren. In Deutschland leiden ca. 450.000 Patienten an einer chronisch entzündlichen Darmerkrankung; diese Patienten benötigen in der Regel eine kontinuierliche und kompetente Betreuung. Vor dem Hintergrund eines rasch zunehmenden Wissenszuwachses haben 68 Experten, die die derzeit gültigen Leitlinien der DGVS zum Morbus Crohn und zur Colitis ulcerosa erstellt haben, im Rahmen einer virtuellen Konferenz aktuelle und praxisnahe Empfehlungen formuliert, um die Versorgung von CED-Patienten zu verbessern. Diese adressieren das Infektionsrisiko einschließlich des Risikos für besondere Gruppen, den möglichen Verlauf der Erkrankung und die Konsequenzen für die medikamentöse und die operative Therapie der Grunderkrankung sowie allgemeine Maßnahmen zur Infektionsprävention und adjuvante Präventions- und Therapiemöglichkeiten.

BackgroundChlamydia trachomatis (CT) is routinely diagnosed by nucleic acid amplification tests (NAATs), which are unable to distinguish between nucleic acids from viable and non-viable CT organisms.ObjectivesWe applied our recently developed sensitive PCR (viability PCR) technique to measure viable bacterial CT load and explore associated determinants in 524 women attending Dutch sexual health centres (STI clinics), and who had genital or rectal CT.MethodsWe included women participating in the FemCure study (Netherlands, 2016–2017). At the enrolment visit (pre-treatment), 524 were NAAT positive (n=411 had genital and rectal CT, n=88 had genital CT only and n=25 had rectal CT only). We assessed viable rectal and viable genital load using V-PCR. We presented mean load (range 0 (non-viable) to 6.5 log10 CT/mL) and explored potential associations with urogenital symptoms (coital lower abdominal pain, coital blood loss, intermenstrual bleeding, altered vaginal discharge, painful or frequent micturition), rectal symptoms (discharge, pain, blood loss), other anatomical site infection and sociodemographics using multivariable regression analyses.ResultsIn genital (n=499) CT NAAT-positive women, the mean viable load was 3.5 log10 CT/mL (SD 1.6). Genital viable load was independently associated with urogenital symptoms—especially altered vaginal discharge (Beta=0.35, p=0.012) and with concurrent rectal CT (aBeta=1.79; p10 CT/mL (vs 3.3 in women without symptoms). Of 436 rectal CT NAAT-positive women, the mean rectal viable load was 2.2 log10 CT/mL (SD 2.0); rectal symptoms were reported by 2.5% (n=11) and not associated with rectal viable load.ConclusionAmong women diagnosed with CT in an outpatient clinical setting, viable genital CT load was higher in those reporting urogenital symptoms, but the difference was small. Viable genital load was substantially higher when women also had a concurrent rectal CT.Trial registration numberClinicalTrials.gov NCT02694497.

Uchiyama et al. present a dual inheritance framework for conceptualizing how behavioural genetics and cultural evolution interact and affect heritability. We posit that to achieve a holistic and nuanced representation of the cultural environment and evolution against which genetic effects should be evaluated, it is imperative to consider the multiple geographic cultural layers impacting individuals and genetic heritability.

Background Histological remission (HR) is evolving as a treatment target in ulcerative colitis (UC). Several histological indices have been developed, however, their widespread adoption beyond clinical trials is limited by practical difficulties and interobserver variability. Furthermore, the relative complexity of available scores hinders the development of an AI algorithm. We aimed to develop a simple histologic index, aligned to endoscopy, and apply it to a computer-aided diagnosis (CAD) system to evaluate HR. Methods 614 digitalised biopsies (WSI) from 307 UC patients enrolled into a prospective multicentre study1 were analysed. First, the simple PICASSO Histologic Remission Index (PHRI) based only on the presence of neutrophils, was developed and validated by expert pathologists. Table 1 To implement PHRI in a CAD system we designed a semi-supervised inductive transfer learning strategy composed of two modules. The first consists of a novel deep learning strategy based on a convolutional neural network architecture. This detected neutrophils in areas (patches) of a subset of 314 biopsies (172 remission, 142 active), in 158 of which the presence of neutrophils had been meticulously annotated at pixel level. WSI were then divided in training (172), validation (47), and testing sets (95). Following a multiple instance learning paradigm, a second model combined the features of all patches of each biopsy into a dichotomous result: presence/absence of disease activity. Figure 1 and 2. Finally, we compared the AI prediction with the pathologists’ assessment. Results PHRI correlated strongly with all endoscopic scores (MES, UCEIS and PICaSSO) of the same bowel areas (rectum and sigmoid) (Spearman’s ρ= 0.55 to 0.78). Inter-reader agreement between pathologists was almost perfect (ICC 0.84). In the validation and testing sets our model predicted the presence of neutrophils respectively with 61% and 72% sensitivity, 98% and 84% specificity, 93% and 75% positive predictive value (PPV), and 86% and 83% negative predictive value (NPV) respectively (Table 2). When predicting remission in whole biopsies, in the validation cohort the AI system had 65% sensitivity, 93% specificity, 86% PPV, and 78% NPV. In the testing cohort the same metrics were 62%, 94%, 90%, and 73% (Table 2). Conclusion PHRI is the simplest histological index in UC and correlates strongly with endoscopic activity. Based on PHRI we developed the first artificial intelligence model able to accurately predict histological remission in biopsies of UC. This tool can effectively expedite, support, and standardise the histological assessment of UC in clinical practice. Reference 1. Iacucci et al. Gastroenterology 2021

Mountains—mythic and majestic—have fueled widespread speculation about their effects on character. Emerging empirical evidence has begun to show that physical topography is indeed associated with personality traits, especially heightened openness. Here, we extend this work to the domain of personal values, linking novel large-scale individual values data ( n = 32,666) to objective indicators of altitude and mountainousness derived from satellite radar data. Partial correlations and conditional random forest machine-learning algorithms demonstrate that altitude and mountainousness are related to increased conservation values and decreased hedonism. Effect sizes are generally small (| r| < .031) but comparable to other socio-ecological predictors, such as population density and latitude. The findings align with the dual-pressure model of ecological stress, suggesting that it might be most adaptive in the mountains to have an open personality to effectively deal with threats and endorse conservative values that promote a social order that minimizes threats.

Single-molecule FRET (smFRET) is a versatile technique to study the dynamics and function of biomolecules since it makes nanoscale movements detectable as fluorescence signals. The powerful ability to infer quantitative kinetic information from smFRET data is, however, complicated by experimental limitations. Diverse analysis tools have been developed to overcome these hurdles but a systematic comparison is lacking. Here, we report the results of a blind benchmark study assessing eleven analysis tools used to infer kinetic rate constants from smFRET trajectories. We tested them against simulated and experimental data containing the most prominent difficulties encountered in analyzing smFRET experiments: different noise levels, varied model complexity, non-equilibrium dynamics, and kinetic heterogeneity. Our results highlight the current strengths and limitations in inferring kinetic information from smFRET trajectories. In addition, we formulate concrete recommendations and identify key targets for future developments, aimed to advance our understanding of biomolecular dynamics through quantitative experiment-derived models.

What are the socio-political consequences of infectious diseases? Humans have evolved to avoid disease and infection, resulting in a set of psychological mechanisms that promote disease-avoidance, referred to as the behavioral immune system (BIS). One manifestation of the BIS is the cautious avoidance of unfamiliar, foreign, or potentially contaminating stimuli. Specifically, when disease infection risk is salient or prevalent, authoritarian attitudes can emerge that seek to avoid and reject foreign outgroups while favoring homogenous, familiar ingroups. In the largest study conducted on the topic to date (N > 240,000), elevated regional levels of infectious pathogens were related to more authoritarian attitudes on three geographical levels: across U.S. metropolitan regions, U.S. states, and cross-culturally across 47 countries. The link between pathogen prevalence and authoritarian psychological dispositions predicted conservative voting behavior in the 2016 U.S. Presidential Election and more authoritarian governance and state laws, in which one group of people imposes asymmetrical laws on others in a hierarchical structure. Furthermore, cross-cultural analysis illustrated that the relationship between infectious diseases and authoritarianism was pronounced for infectious diseases that can be acquired from other humans (nonzoonotic), and does not generalize to other infectious diseases that can only be acquired from non-human species (zoonotic diseases). At a time of heightened awareness of infectious diseases, the current findings are important reminders that public health and ecology can have ramifications for socio-political attitudes by shaping how citizens vote and are governed.

Eine Erhohung des prostataspezifischen Antigens (PSA) im Serum ist – sofern nicht artifiziell entstanden – als Ausdruck eines organspezifischen Krankheitsprozesses zu werten, dem zahlreiche Differenzialdiagnosen zugrunde liegen konnen. Neben haufigen Entitaten wie dem benignen Prostatasyndrom (BPS) oder dem Prostatakarzinom sind auch seltene Ursachen zu berucksichtigen. Wir berichten den ungewohnlichen Fall des simultanen Auftretens eines malignen B‑Zell-Lymphoms (B‑CLL) und einer benignen Prostatahyperplasie bei signifikanter PSA-Erhohung unter Berucksichtigung leitliniengerechter diagnostischer Masnahmen.

Das Urothelkarzinom der Harnblase (auch Transitionalzellkarzinom [TCC]) zahlt weltweit zu den haufigsten Malignomen der Frau. Es metastasiert bevorzugt in Knochen, Leber, Gehirn und Peritoneum. Vaginale Manifestationen dieser Tumorentitat gelten jedoch als untypisch und sind extrem selten. Die Entstehung solcher vaginalen Manifestationen ist noch ungeklart und derzeit Gegenstand intensiver Forschungen. Wir berichten den seltenen Fall einer 72-jahrigen Patientin mit einem vaginalen Rezidiv eines Urothelkarzinoms bei primar nicht muskelinvasivem niedriggradigem Karzinom der Harnblase. Hierbei sollen wichtige klinische und therapeutische Aspekte hervorgehoben werden.

For the first 3 months of COVID-19 pandemic, COVID-19 was expected to be an immunizing non-relapsing disease. We report a national case series of 11 virologically-confirmed COVID-19 patients having experienced a second clinically- and virologically-confirmed acute COVID-19 episode. According to the clinical history, we discuss either re-infection or reactivation hypothesis. Larger studies including further virological, immunological and epidemiologic data are needed to understand the mechanisms of these recurrences.

Gonococcal antimicrobial resistance is emerging worldwide, and is monitored in the Netherlands in 18 out of 24 Sexual Health Centres (SHC) that perform culture and susceptibility testing for patients with gonorrhoea. This study describes trends, determinants and regional differences in azithromycin resistance and ceftriaxone decreased susceptibility in 2013–2019. Data on person characteristics, STI diagnoses and MIC values (Minimum Inhibitory Concentration, measured by E-test) for gonorrhoea were reported by participating SHC. We describe azithromycin resistance (AZI-R, MIC >1 mg/L) and ceftriaxone decreased susceptibility (CEF-DS, MIC >0.032 mg/L) over time and per SHC. We use multilevel logistic regression analysis to describe determinants of AZI-R/CEF-DS among MSM and heterosexuals, correcting for SHC region. A separate multilevel model was made to quantify the effect of population differences on the regional variance of AZI-R and CEF-DS. A total of 13,000 isolates were included from 2013–2019. AZI-R significantly increased from 2.8% (95% Confidence Interval 2.1–3.9%) to 9.3% (8.2–10.5%). CEF-DS significantly decreased from 7.0% (5.7–8.5%) to 2.9% (2.3–3.6%). Overall, regional differences were seen between SHC: AZI-R varied from 0.0% to 16.9%, CEF-DS from 0.0% to 7.0%. Regional variance could not be explained by population characteristics. Regression analyses found pharyngeal strain origin and year of consultation significantly associated with AZI-R and CEF-DS among MSM and heterosexuals. Among heterosexuals also a high number of partners was associated with AZI-R and CEF-DS. No resistance or decreasing susceptibility was found for ceftriaxone, the first line gonorrhoea treatment in the Netherlands. However, azithromycin resistance is increasing, similar to trends worldwide. Differing levels of resistance/decreased susceptibility per SHC could not be explained by differences in population characteristics. This indicates the need for nationwide surveillance and reporting of results on a regional level. The association of pharyngeal strain origin with resistance/decreased susceptibility underlines the importance of including extragenital infections in gonococcal antimicrobial resistance surveillance.

Background We performed a community-based HIV testing (CBHT) pilot in a multicultural area with high HIV prevalence. Here we evaluate our goals of reaching the population, finding HIV-infections and whether this approach helps to normalize HIV testing, decrease HIV-related stigma, and increase knowledge and open conversation about HIV. Methods Interviewing 37 residents and 6 key figures of community/health organizations outlined our CBHT strategy main conditions: low-threshold, free-of-charge and a general health check (HIV test included). Based on these conditions, and in consultation with community organizations, test actions were developed offering HIV and other health checks. Demographics, HIV testing history, risk perception and openness concerning HIV was obtained via questionnaires. We piloted seven 4-hours test actions at three community organizations (October 2019-February 2020), who also recruited participants. HIV education was offered by health educators, peers and using a game. Each test action was evaluated among participants, the organization and test team members. Results In total, all 140 participants were tested for HIV (74% women, 85% non-western, median age 49yr). For 127 participants HIV testing history was collected; 59% never tested before and 20% tested >1yr ago. With one positive HIV test, the detection rate was 0.7%. 90% of participants perceived no HIV risk. Several participants indicated the test action positively altered their attitude and knowledge about HIV/PLWH. The CBHT was positively evaluated by all parties. The major concerns by test team members were time, language problems and privacy. Participants hardly indicated these concerns. Conclusion This CBHT approach (1) is feasible and well-suited for testing not (recently) tested groups and detect new cases, especially in high prevalent neighborhoods with hard-to-reach populations like non-western migrants, (2) positively seems to contribute to attitudes and knowledge about HIV/PLWH. Nevertheless, it is questionable whether this laborious approach, outweighs finding the last fraction of new HIV cases.

Background Anorectal infections with Chlamydia trachomatis (CT) are prevalent in women visiting STI-clinics. In women, azithromycin treatment in anorectal chlamydia is unsuccessful in about 20%, with the potential of subsequent re-infection of the vagina through autoinoculation. We evaluated the risk for incident urogenital CT, by exposure from the own anorectal site and exposure by sex; and similarly evaluated risks for incident anorectal CT. Methods Prospective multicenter cohort study, FemCure. At 4, 6, 8, 10, and 12 weeks after azithromycin or doxycycline CT treatment, women self-collected anorectal and urogenital swabs for CT-DNA testing. We calculated the proportion with incident CT, at week 6–12, by 2-week time-periods. Compared to no exposure (A), risk of incident urogenital CT was estimated for sexual exposure (B), anorectal CT exposure (C), and both exposures (D), adjusted for confounders by adjusted odds ratios (OR) and 95% confidence intervals (CI). We similarly assessed incident anorectal CT. Results Data comprised 385 participants contributing 1540 two-week periods. Urogenital incidence was 3·3% (47/1428) [95%CI: 2·4–4·4]; 0·7% (A), 1·9% (B), 13·9% (C), and 25·4 (D). ORs were: 2·7 [95%CI:0·9–8·6] (B), 21·8 [95%CI:6·7–70·7] (C), 49·7 [95%CI:15·4–160·4] (D). Anorectal incidence was 2·9% (39/1343) [95CI:1·8–3·6]; 1·3% (A), 1·3% (B), 27·8% (C), and 36·7% (D). ORs were: 0·91 [95%CI:0·32–2·60] (B), 26·0 [95%CI:7·16–94·34] (C), 44·3 [95%CI:14·4–136·2] (D). Of incident CT, 55% urogenital and 70% anorectal infections persisted (>two weeks). Conclusion Between 6–12 weeks after initial treatment, the risk for incident urogenital CT in women increased when women had a recent anorectal CT, especially when also sex was reported. Likewise, the risk for incident anorectal CT increased with urogenital CT and sex exposure. Findings may suggest a key role for auto-inoculation in the re-establishment or persistence of urogenital and anorectal chlamydia infections in treated women, especially in case of suboptimal initial treatment or lack of anorectal testing.

Background Dutch Sexual Health Clinics (SHCs) had to downscale services during the first coronavirus wave, but continued to provide essential STI/PrEP care including testing for persons at highest risk for (symptomatic) gonorrhoea, infectious syphilis (syphilis) and HIV. We describe STI positivity among SHC attendees between 2011–2020. Methods National SHC surveillance data contained information on demographics, sexual behaviour, STI testing and diagnoses. We split 2020 into periods: 1 January-12 March (pre-lockdown), 13 March-31 May (lockdown) and 1 June-31 August (post-lockdown). Chlamydia, gonorrhoea, syphilis and HIV positivity (n positive/N tested) trends were explored by gender and sexual contact. Results In 2020, weekly numbers of consultations varied between 2,803 and 3,515 pre-lockdown, 564 and 1,298 during lockdown and 1,084 and 1,976 post-lockdown. Relatively more MSM, PrEP users and clients notified for or with symptoms of STI were seen during- and post-lockdown compared to pre-lockdown. Chlamydia positivity was around 18% among heterosexual men and 15% among women from 2016–2019, and increased to 21.1% and 16.6% respectively in 2020. Positivity increased during lockdown, up to 32% among heterosexual men, followed by decreases post-lockdown to pre-lockdown levels. Among MSM, the increase during lockdown was smaller, only slightly affecting overall positivity in 2020. Gonorrhoea positivity also increased during lockdown, causing further increasing trends among heterosexuals from 1.8% in 2011 to 2.2% in 2020 and among MSM from 9.0% to 12.1%. Syphilis positivity among MSM fluctuated between 2.0% and 2.9% in 2011–2020. Positivity peaked (6.7%) during lockdown, while the number of diagnoses was similar to pre-lockdown. In contrast, HIV positivity continued to decrease from 2,0% to 0,3% among MSM in 2011–2020. Conclusion Prioritising persons at highest risk caused decreases in diagnoses, especially chlamydia and gonorrhoea, but increases in positivity. More information is needed to understand transmission dynamics, including testing at GPs, self-testing and sexual behaviour during coronavirus pandemic.

Background General practitioners (GPs) and sexual health centres (SHCs) are the main providers of STI and HIV testing in the Netherlands. We compared HIV testing by GPs versus SHCs to gain insight in strategies to improve HIV testing, stimulating timely HIV diagnosis. Methods Laboratory data (2011–2018) on HIV testing by GPs and SHCs in five Dutch regions with varying levels of urbanisation were used. Mean regional HIV testing rates per 10,000 residents ≥15 years were compared between providers using negative binomial generalised additive models, and additionally stratified by sex and age (15–29y, 30–44y, 45–59y, ≥60y). Chi-squared tests were used to compare percentage positive between providers. Results Analysed data included 507,197 HIV tests (GP 36%, SHC 64%). The highest HIV testing rates and positivity were observed in highly urbanised regions, with large variation between regions. The HIV testing rates ranged from 28–178/10,000 residents by GPs and from 30–379/10,000 residents by SHCs. Testing rates by GPs were lower than by SHCs in two regions, while these rates were comparable in the others. In all regions, men were tested less by GPs than by SHCs; for women this varied per region. Among 15–29 year olds, GPs’ testing rates were lower than SHCs’, while this was reversed in older age categories. The overall mean HIV positivity was 0.5% for GPs and 0.4% for SHCs. In Amsterdam, positivity was higher among individuals tested by GPs, but in the other regions no difference was observed. Conclusion This is the first study comparing HIV testing by GPs versus SHCs using laboratory data in the Netherlands. Our results show that besides SHCs, GPs also play a key role, especially in some subgroups, but large regional variation exists. Regional-specific interventions to improve GPs’ HIV testing practices are needed for populations not attending the SHCs to ensure timely HIV diagnosis.

Background Syphilis rates are increasing globally among men who have sex with men (MSM). Repeat infections within core groups could contribute to ongoing transmission of syphilis. The aim of this study was to measure the frequency and to explore predictors of repeat infectious syphilis infection among MSM attending Sexual Health Centres (SHCs) in the Netherlands. Methods We analysed national SHC surveillance data between July 2014 and December 2019. A unique identifier enabled individual level analysis of repeat consultations and infections. Infectious syphilis (syphilis) included primary, secondary and early latent syphilis diagnoses. Repeat infection was defined as having two syphilis diagnoses during the study period. Multivariable logistic regression analyses were used to explore predictors of repeat syphilis infection. MSM with at least one syphilis diagnosis and one following consultation were included. Age, education level, ethnicity, HIV infection, having symptoms related to syphilis/HIV, being notified for STI, prior STI, condom use and number of partners at first infectious syphilis diagnosis were included in the analysis. Results There were 184,621 consultations registered among 41,210 MSM who tested repeatedly. Among 3,504 MSM, 4,282 syphilis infections were diagnosed. At first syphilis diagnosis median age was 39 (IQR: 29–49), 32.4% was known HIV positive and 41.4% had 10 or more partners in the past 6 months. Repeat infection occurred in 647 MSM (18.5%; median time to repeat infection: 468 days (IQR: 287–808)). Being HIV positive (aOR: 2.02 [95% CI: 1.69–2.42]) and being notified for STI (aOR: 1.21 [95% CI: 1.01–1.46]) were statistically significant predictors of repeat infection. Conclusion This study showed that repeat infection was common and that HIV infection and being notified for STI at first syphilis diagnosis were predictors of repeat infection among MSM who tested repeatedly. Preventive strategies, including adequate partner management, for repeat syphilis are needed, especially for HIV-positive MSM.

Measurement is at the heart of scientific research. As many—perhaps most—psychological constructs cannot be directly observed, there is a steady demand for reliable self-report scales to assess latent constructs. However, scale development is a tedious process that requires researchers to produce good items in large quantities. In this tutorial, we introduce, explain, and apply the Psychometric Item Generator (PIG), an open-source, free-to-use, self-sufficient natural language processing algorithm that produces large-scale, human-like, customised text output within a few mouse clicks. The PIG is based on the GPT-2, a powerful generative language model, and runs on Google Colaboratory—an interactive virtual notebook environment that executes code on state-of-the-art virtual machines at no cost. Across two demonstrations and a pre-registered five-pronged empirical validation with two Canadian samples (NSample1 = 501, NSample2 = 773), we show that the PIG is equally well-suited to generate large pools of face-valid items for novel constructs (i.e., wanderlust) and create parsimonious short scales of existing constructs (i.e., Big Five personality traits) that yield strong performances when tested in the wild and benchmarked against current gold standards for assessment. The PIG does not require any prior coding skills or access to computational resources and can easily be tailored to any desired context by simply switching out short linguistic prompts in a single line of code. In short, we present an effective, novel machine learning solution to an old psychological challenge. As such, the PIG will not require you to learn a new language—but instead, speak yours.

The question of the number and origin of isomeric states in $^{256}\mathrm{Rf}$ arose from two independent experiments but remained unanswered for a decade. To shed light on this puzzle, we studied isomeric decay in $^{256}\mathrm{Rf}$ by measuring conversion electrons with fast fully digital electronics. $^{256}\mathrm{Rf}$ was produced in the fusion-evaporation reactions of $^{50}\mathrm{Ti}+^{207}\mathrm{Pb}$ and $^{50}\mathrm{Ti}+^{208}\mathrm{Pb}$ at the gas-filled recoil separator TransActinide Separator and Chemistry Apparatus. Among a total of 120 decays of $^{256}\mathrm{Rf}$, we detected 22 and 12 decays proceeding through one and two isomeric states. Half-lives of the low- and higher-lying states were assigned to be ${T}_{1/2}={14}_{\ensuremath{-}4}^{+6}$ and ${10}_{\ensuremath{-}3}^{+5}\phantom{\rule{4pt}{0ex}}\ensuremath{\mu}\mathrm{s}$, respectively. Population rates of these isomeric states were estimated to be $\ensuremath{\approx}18%$ and $g10%$, which are similar to those for two-quasiparticle $K$ isomeric states in this region of nuclei. The results, thus, confirm an earlier claim on the existence of multiple $K$ isomeric states in $^{256}\mathrm{Rf}$ and show their population rates are as high as in No isotopes. Suggestively, $K$ remains a good quantum number in isotopes of heavier elements like Sg and Hs, where yet unknown high-$K$ isomeric states still could exist. The present experimental results demonstrate that the ``triggerless'' measurement guarantees an efficient detection of delayed conversion electron signals. Thus, it is a very efficient method for the identification of isomeric states in experiments with one nucleus-at-a-time production rates.

This study aimed to assess whether educational level is an independent determinant for sexually transmitted infections (STIs) among clients consulting Dutch sexual health centres (SHCs). With data from the National STI surveillance database (2015–2017), generalized estimating equations corrected for (sexual) risk factors were used to estimate associations between educational level and chlamydia and gonorrhoea among women ( n = 146,020), heterosexual men ( n = 82,882) and men who have sex with men (MSM) ( n = 52,149) and syphilis and HIV among MSM. Compared to the highest educational level (bachelor/master), all lower educational levels were associated with gonorrhoea among women (adjusted odds ratio 1.40; 95% CI 1.18–1.66 for higher general/pre-university level to 3.57; 95% CI 2.66–4.81 for no education/elementary school level) and heterosexual men (respectively 1.36; 1.06–1.74 to 3.84; 2.89–5.09). Women with no education/elementary school level (1.37; 1.17–1.62) and heterosexual clients with (pre-)vocational secondary educational level were more likely to test positive for chlamydia (women: 1.43; 1.39–1.48 and heterosexual men: 1.31; 1.26–1.37) than clients with higher general/pre-university level or bachelor/master level. In MSM, (pre-)vocational secondary educational level was associated with chlamydia (1.16; 1.11–1.22), gonorrhoea (1.15; 1.10–1.21) and syphilis (1.18; 1.08–1.29), and both (pre-)vocational secondary educational level (1.48; 1.25–1.76) and no education/elementary school level (1.81; 1.09–3.00) were associated with HIV. Lower educational levels were independent determinants of STI in SHC clients. Sexual health centres could facilitate STI testing and care among lower educated people by prioritizing their access.

Many adolescents use their electronic devices to send each other sexually explicit texts, photos, and videos of themselves—commonly known as sexting. This can be fun and is not usually problematic. However, if the intended recipient decides to share these sexts with a broader audience, the consequences for the depicted can be detrimental. The purpose of this study was to investigate the prevalence of (non-consensual) sext-sharing among Dutch adolescents and explore the characteristics of those who do, to gain a better understanding of factors involved in dissemination. We used data from “Sex under the age of 25,” a representative national survey on sexual health among a sample of 20,834 Dutch 12–24-year-olds. The prevalence of sext-sharing was estimated using Complex Samples. Logistic regressions were used to assess associations between demographics, school-based sexting education, sexual- and online behavior, and mental health and sext-sharing. About 4% of the adolescents reported having shared someone else's sext in the last six months. Being male, aged 12–14 years, frequent social media usage, watching online porn, sexual experience, and being subjected to sext-sharing themselves associated most strongly with sext-sharing. Our findings show that the likelihood of sext-sharing is lower in older adolescents and that it associates with the extent of adolescents' sexual curiosity and online activity. The overlap between sharing sexts of others and having one's own sext shared suggests that dissemination of personal sexual content might be normalized or used as an act of retribution. Further research could be helpful to explain the mechanisms underlying this overlap. The results of this study illustrate the importance of exposing adolescents to evidence based preventive educational interventions on sexting from 12 years onwards and not just within the context of traditional school-based sex education, but also as a part of the (online) media-literacy curriculum.

Abstract Social face evaluation is a common and consequential element of everyday life based on the judgement of trustworthiness. However, the particular facial regions that guide such trustworthiness judgements are largely unknown. It is also unclear whether different facial regions are consistently utilized to guide judgments for different ethnic groups, and whether previous exposure to specific ethnicities in one’s social environment has an influence on trustworthiness judgements made from faces or facial regions. This registered report addressed these questions through a global online survey study that recruited Asian, Black, Latino, and White raters (N = 4580). Raters were shown full faces and specific parts of the face for an ethnically diverse, sex-balanced set of 32 targets and rated targets’ trustworthiness. Multilevel modelling showed that in forming trustworthiness judgements, raters relied most strongly on the eyes (with no substantial information loss vis-à-vis full faces). Corroborating ingroup–outgroup effects, raters rated faces and facial parts of targets with whom they shared their ethnicity, sex, or eye color as significantly more trustworthy. Exposure to ethnic groups in raters’ social environment predicted trustworthiness ratings of other ethnic groups in nuanced ways. That is, raters from the ambient ethnic majority provided slightly higher trustworthiness ratings for stimuli of their own ethnicity compared to minority ethnicities. In contrast, raters from an ambient ethnic minority (e.g., immigrants) provided substantially lower trustworthiness ratings for stimuli of the ethnic majority. Taken together, the current study provides a new window into the psychological processes underlying social face evaluation and its cultural generalizability. Protocol registration The stage 1 protocol for this Registered Report was accepted in principle on 7 January 2022. The protocol, as accepted by the journal, can be found at: https://doi.org/10.6084/m9.figshare.18319244.

Introduction: Surveillance for recent HIV infections was implemented at Dutch sexual health centres (SHCs) for planning and evaluation of HIV prevention initiatives. The study objective is twofold: (1) to explore trends in recent HIV infections and associated socio-demographic and behavioural risk factors among men who have sex with men (MSM )attending SHCs, to gain insight into subgroups at risk for acquiring HIV and(2) to illustrate how comparison with different reference groups affect associations with these risk factors. Methods: Residual plasma or serum samples from MSM newly HIV diagnosed at SHCs in 2014–2017 were tested with an avidity assay. Multinomial regression was used to analyse risk factors for recent HIV infections among MSM with established HIV infections among MSM and with HIV-negative MSM as reference groups. Results: Of newly diagnosed MSM, 33% were classified as recent HIV infection with avidity testing. Combining HIV-negative test results with avidity outcomes resulted in 54% recent infections. Recent infection was associated with having an STI in the past, multiple partners and condom use for both reference groups of MSM. Additionally, relative to the HIV-negative MSM, recent infection was associated with education and having a non-Western origin. In contrast, relative to MSM with established HIV infections, recent infection was associated with Western origin. Conclusion: Our results suggest ongoing but declining transmission of HIV and high uptake of HIV testing among MSM visiting SHCs. The identification of risk factors for recent infections can help healthcare professionals to target subgroups eligible for PrEP or condom use promotion. Differentiation by the reference group in explanatory models for recent infections is important as different risk factors were identified. Likely, associations relative to HIV-negative MSM follow those of acquiring HIV infection in general, whereas the comparison with the established HIV infection reference rather reflects the frequent testing behaviour of subgroups of MSM.

Anorectal infections withProspective multicentre cohort study, FemCure. Participants were treated for CT, and after 4, 6, 8, 10 and 12 weeks, they self-collected anorectal and urogenital samples (swabs) for CT-DNA testing. We calculated the proportion with incident CT, that is, CT incidence (at weeks 6-12) by 2-week time-periods. Compared with no exposure (A), we estimated the risk of incident CT for (B) sexual exposure, (C) alternate site anatomic site infection and (D) both, adjusted for confounders and expressed as adjusted ORs with 95% CIs.We analysed data of 385 participants contributing 1540 2-week periods. The anorectal CT incidence was 2.9% (39/1343) (95 CI 1.8 to 3.6); 1.3% (A), 1.3% (B), 27.8% (C) and 36.7% (D). The ORs were: 0.91 (95% CI 0.32 to 2.60) (B), 26.0 (95% CI 7.16 to 94.34) (C), 44.26 (95% CI 14.38 to 136.21) (D).The urogenital CT incidence was 3.3% (47/1428) (95% CI 2.4 to 4.4); 0.7% (A), 1.9% (B), 13.9% (C) and 25.4% (D). The ORs were: 2.73 (95% CI 0.87 to 8.61) (B), 21.77 (95% CI 6.70 to 70 71) (C) and 49.66 (95% CI 15.37 to 160.41) (D).After initial treatment, an alternate anatomical site CT infection increased the risk for an incident CT in women, especially when also sex was reported. This may suggest a key role for autoinoculation in the re-establishment or persistence of urogenital and anorectal chlamydia infections.

A nuclear spectroscopy experiment was conducted to study α-decay chains stemming from isotopes of flerovium (element Z=114). An upgraded TASISpec decay station was placed behind the gas-filled separator TASCA at the GSI Helmholtzzentrum fur Schwerionenforschung in Darmstadt, Germany. The fusion-evaporation reactions ^{48}Ca+^{242}Pu and ^{48}Ca+^{244}Pu provided a total of 32 flerovium-candidate decay chains, of which two and eleven were firmly assigned to ^{286}Fl and ^{288}Fl, respectively. A prompt coincidence between a 9.60(1)-MeV α particle event and a 0.36(1)-MeV conversion electron marked the first observation of an excited state in an even-even isotope of the heaviest man-made elements, namely ^{282}Cn. Spectroscopy of ^{288}Fl decay chains fixed Q_{α}=10.06(1) MeV. In one case, a Q_{α}=9.46(1)-MeV decay from ^{284}Cn into ^{280}Ds was observed, with ^{280}Ds fissioning after only 518 μs. The impact of these findings, aggregated with existing data on decay chains of ^{286,288}Fl, on the size of an anticipated shell gap at proton number Z=114 is discussed in light of predictions from two beyond-mean-field calculations, which take into account triaxial deformation.

The spread of COVID-19 within any given country or community at the onset of the pandemic depended in part on the sheltering-in-place rate of its citizens. The pandemic led us to revisit one of psychology's most fundamental and most basic questions in a high-stakes context: what determines human behavior? Adopting a Lewinian interactionist lens, we investigate the independent and joint effects of macrolevel government policies and microlevel psychological factors-that is, personality-on whether individuals sheltered-in-place. We analyzed data collected in late March and early April 2020 from 101,005 participants in 55 countries, a time period that coincided with the early and accelerating stage of the COVID-19 pandemic. This time period also contained substantial variation in the stringency of governmental policy toward sheltering-in-place, both between countries and within each country over time. Analyses revealed that personality and the stringency of governmental policies independently predicted sheltering-in-place rates. Policy stringency was positively related to sheltering-in-place. For the personality dimensions, Openness, Conscientiousness, Agreeableness, and Neuroticism all predicted higher rates of sheltering-in-place, whereas Extraversion was negatively related to staying at home. In addition, two personality traits-Openness to Experience and Neuroticism-interacted with governmental policy to predict whether individuals sheltered-in-place; openness and neuroticism each had weaker effects on sheltering-in-place as governmental policies became stricter. Theoretically, the findings demonstrate that individual differences predict behavior (i.e., sheltering-in-place) even when governments take strong action targeting that behavior. Practically, they suggest that even if governments lift their shelter-in-place restrictions, some individuals will shelter-in-place less than others. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Accumulating evidence suggests that culture changes in response to shifting socioecological conditions; economic development is a particularly potent driver of such change. Previous re-search has shown that economic development can induce slow but steady cultural changes within large cultural entities (e.g., countries). Here we propose that economically driven culture change can occur rapidly, particularly in smaller cultural entities (e.g., cites). Drawing on work in cultural dynamics, urban economics, and geographical psychology, we hypothesize that changes in local housing prices – reflecting changing availability of local amenities – can induce rapid shifts in local cultures of Openness. We propose two mechanisms that might underlie such cultural shifts: selective migration (i.e., people selectively moving to cities that offer certain amenities) and social acculturation (i.e., people adapting to changing amenities in their city). Based on trait Openness scores of 1,946,752 U.S. residents, we track annual changes in local Openness across 199 cities for nine years (2006-2014). We link these data to annual infor-mation on local housing markets, an established proxy for local amenities. To test interdepend-encies between the time series of local housing markets and Openness, we use Panel Vector Autoregression modelling. In line with our hypothesis, we find robust evidence that rising housing costs predict positive shifts in local Openness but not vice versa. Additional analyses leveraging participants’ duration of residence in their city suggest that both selective migration and social acculturation contribute to shifts in local Openness. Our study thus offers a new window onto the rapid changes of cultures at local levels.

Tearful crying is a ubiquitous and likely uniquely human phenomenon. Scholars have argued that emotional tears serve an attachment function: Tears are thought to act as a social glue by evoking social support intentions. Initial experimental studies supported this proposition across several methodologies, but these were conducted almost exclusively on participants from North America and Europe, resulting in limited generalizability. This project examined the tears-social support intentions effect and possible mediating and moderating variables in a fully pre-registered study across 7007 participants (24,886 ratings) and 41 countries spanning all populated continents. Participants were presented with four pictures out of 100 possible targets with or without digitally-added tears. We confirmed the main prediction that seeing a tearful individual elicits the intention to support, d = 0.49 [0.43, 0.55]. Our data suggest that this effect could be mediated by perceiving the crying target as warmer and more helpless, feeling more connected, as well as feeling more empathic concern for the crier, but not by an increase in personal distress of the observer. The effect was moderated by the situational valence, identifying the target as part of one's group, and trait empathic concern. A neutral situation, high trait empathic concern, and low identification increased the effect. We observed high heterogeneity across countries that was, via split-half validation, best explained by country-level GDP per capita and subjective well-being with stronger effects for higher-scoring countries. These findings suggest that tears can function as social glue, providing one possible explanation why emotional crying persists into adulthood., National Science Centre, Poland; Polish National Agency for Academic Exchange Bekker Programme; Portuguese Foundation for Science and Technology; Hungarian National Research, Development and Innovation Office; Hungarian Brain Research Programme; Internal Fund of the Open University of Israel

The major goal of radiomics studies is the identification of predictive and reliable markers. It is, therefore, crucial to account for unwanted confounding effects that affect the radiomic features like scanning noise, annotator bias, or the used imaging device and parameter. Usually, these confounding effects are not sufficiently represented in the main cohort of radiomics studies and consequently are investigated in smaller side-studies.

BackgroundThe sole sexual health centre (SHC) in the greater Rotterdam area, the Netherlands, is instrumental in finding people unaware of their STI/HIV status. We hypothesized that travel distance to the SHC is inversely associated with SHC utilisation. Insight in area-specific utilisation is needed for potential new outreach policies to enhance STI testing. MethodsThe study population consists of all residents aged 15 to 45 years in the greater Rotterdam area (2015-2017). We linked SHC consultation data from STI tested heterosexual clients to the population registry. The association between SHC utilisation and distance was investigated by multilevel modelling, adjusting for sociodemographic and area-specific determinants. The data was also stratified by age (aged below 25) and migratory background (non-Western), since SHC triage may affect their utilisation. We used straight-line distance between the centroid of the postal code area and SHC address as a proxy for travel distance. ResultsWe found large area variation in SHC utilisation (ranged from 1.13 to 48.76 per 1,000 residents). Both individual and area level determinants determine utilisation. Travel distance explained most area variation and was inversely associated with SHC utilisation when adjusted for other sociodemographic and area-specific determinants (odds ratio [OR] per kilometre: 0.95; 95% CI: 0.93-0.96). Similar results were obtained for residents aged below 25 (OR: 0.95; 95% CI: 0.94-0.96), but not for non-Western residents (OR: 0.99; 95% CI: 0.99-1.00). ConclusionLiving further away from the sole SHC in the greater Rotterdam area decreases utilisation. This provides evidence for local policy to enhance STI testing, for example by offering STI testing services closer to the population.

Regional differences in personality are associated with a range of consequential outcomes. But which factors are responsible for these differences? Frontier settlement theory suggests that physical topography is a crucial factor shaping the psychological landscape of regions. Hence, we investigated whether topography is associated with regional variation in personality across the United States (n = 3,387,014). Consistent with frontier settlement theory, results from multilevel modelling revealed that mountainous areas were lower on agreeableness, extraversion, neuroticism and conscientiousness but higher on openness to experience. Conditional random forest algorithms confirmed mountainousness as a meaningful predictor of personality when tested against a conservative set of controls. East–west comparisons highlighted potential differences between ecological (driven by physical features) and sociocultural (driven by social norms) effects of mountainous terrain. Gotz et al. find that topography is related to personality across the United States (n = 3,387,014), with people in mountainous areas being less agreeable, extraverted, neurotic and conscientious but more open. East–west comparisons suggest frontier cultural heritage and ecological demands as possible mechanisms.

The phylogeny and taxonomy of powdery mildews, belonging to the genus Erysiphe, on Lonicera species throughout the world are examined and discussed. Phylogenetic analyses revealed that sequences retrieved from Erysiphe lonicerae, a widespread powdery mildew species distributed in the Northern Hemisphere on a wide range of Lonicera spp., constitutes a complex of two separate species, viz., E. lonicerae (s. str.) and Erysiphe ehrenbergii comb. nov. Erysiphe lonicerae occurs on Lonicera spp. belonging to Lonicera subgen. Lonicera (= subgen. Caprifolium and subgen. Periclymenum), as well as L. japonica. Erysiphe ehrenbergii comb. nov. occurs on Lonicera spp. of Lonicera subgen. Chamaecerasus. Phylogenetic and morphological analyses have also revealed that Microsphaera caprifoliacearum (≡ Erysiphe caprifoliacearum) should be reduced to synonymy with E. lonicerae (s. str.). Additionally, Erysiphe lonicerina sp. nov. on Lonicera japonica in Japan is described and the new name Erysiphe flexibilis, based on Microsphaera lonicerae var. flexuosa, is introduced. The phylogeny of Erysiphe ehrenbergii and E. lonicerae as well as other Erysiphe species on honeysuckle is discussed, and a survey of all species, including a key to the species concerned, is provided. Citation: Bradshaw M, Braun U, Götz M, Takamatsu S (2020). Taxonomy and phylogeny of the Erysiphe lonicerae complex (Helotiales, Erysiphaceae) on Lonicera spp. Fungal Systematics and Evolution 7: 49–65. doi: 10.3114/fuse.2021.07.03

We present an in-depth analysis of data from drive through testing stations using rapid antigen detection tests (RDT’s), RT-PCR and virus culture, to assess the ability of RDT’s to detect infectious cases. We show that the detection limits of five commercially available RDT’s differ considerably, impacting the translation into the detection of infectious cases. We recommend careful fit-for-purpose testing before implementation of antigen RDT’s in routine testing algorithms as part of the COVID-19 response.

The electron-capture decay followed by a prompt fission process was searched for in the hitherto unknown most neutron-deficient Md isotope with mass number 244. Alpha decay with $\ensuremath{\alpha}$-particle energies of 8.73--8.86 MeV and with a half-life of ${0.30}_{\ensuremath{-}0.09}^{+0.19}\text{ }\text{ }\mathrm{s}$ was assigned to $^{244}\mathrm{Md}$. No fission event with a similar half-life potentially originating from spontaneous fissioning of the short-lived electron-capture decay daughter $^{244}\mathrm{Fm}$ was observed, which results in an upper limit of 0.14 for the electron-capture branching of $^{244}\mathrm{Md}$. Two groups of fission events with half-lives of ${0.9}_{\ensuremath{-}0.3}^{+0.6}\text{ }\text{ }\mathrm{ms}$ and ${5}_{\ensuremath{-}2}^{+3}\text{ }\text{ }\mathrm{ms}$ were observed. The ${0.9}_{\ensuremath{-}0.3}^{+0.6}\text{ }\text{ }\mathrm{ms}$ activity was assigned to originate from the decay of $^{245}\mathrm{Md}$. The origin of eight fission events resulting in a half-life of ${5}_{\ensuremath{-}2}^{+3}\text{ }\text{ }\mathrm{ms}$ could not be unambiguously identified within the present data while the possible explanation has to invoke previously unseen physics cases.

Interactionist theories are considered to have resolved the classic person-situation debate by demonstrating that human behavior is most accurately described as a function of both personal characteristics as well as environmental cues. According to these theories, personality traits form part of the personal characteristics that drive behavior. We suggest that psychological theory stands to gain from also considering personality traits as an important environmental characteristic that shapes sociocultural norms and institutions, and, in turn, behavior. Building on research in geographical psychology, we support this proposition by presenting evidence on the relationship of individual and regional personality with spending behavior. Analyzing the spending records of 111,336 participants (31,915,942 unique transactions) across 374 Local Authority Districts (LAD) in the United Kingdom, we first show that geographic regions with higher aggregate scores on a given personality trait collectively spend more money on categories associated with that trait. Shifting the focus to individual level spending as our behavioral outcome (N = 1,716), we further demonstrate that regional personality of a participant's home LAD predicts individual spending above and beyond individual personality. That is, a person's spending reflects both their own personality traits as well as the personality traits of the people around them. We use conditional random forest predictions to highlight the robustness of these findings in the presence of a comprehensive set of individual and regional control variables. Taken together, our findings empirically support the proposition that spending behaviors reflect personality traits as both personal and environmental characteristics. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Objective There is growing evidence that certain regional personality differences function as important drivers of regional economic development (e.g., via effects on entrepreneurship and innovation activity). The present investigation examines the impact that regional variation in the trait courage has on entrepreneurship. Method Using data from a new large-scale internet-based study, we provide the first psychological map of courage across the United States (N = 390,341 respondents from 283 U.S. metropolitan regions). We apply regression analyses to relate regional courage scores to archival data on the emergence and survival of start-ups across American regions. Results Our mapping approach reveals comparatively high levels of regional courage in the Eastern and Southern regions of the United States. Regional courage scores were positively related to entrepreneurial activity, but negatively related to start-up survival-even when controlling for a wide variety of standard economic predictors. Several robustness checks corroborated these results. Finally, regional differences in economic risk-taking accounted for significant proportions of variance in the relationship between regional courage and entrepreneurship. Conclusion Our results suggest that regional courage may contribute to a pattern of enterprising and also risky economic behavior, which can lead to high levels of entrepreneurial activity but also shorter start-up survival.

Holbox Island is a contemporary hotspot for global tourism. Here, long-term coastal exploitation and increasing anthropogenic activities threaten coastal habitats and resources. The impact of these activities is exacerbated by the lack of a management plan for the past 24 years, until October 2018. An interdisciplinary approach that integrates fishers’ traditional knowledge was used to determine how small-scale fisheries (SSF) exploitation contributed to the decline of resources over time. Open interviews with community members and surveys of fishers’ perspectives on fisheries overexploitation and practices as well as knowledge of fishing sites were collected. Over one hundred fishing sites were documented that were once very productive. Furthermore, over 40 species were highly fished (e.g., Carcharhinidae, Shpyrnidae, Pristidae, Cheloniidae) over the past 50 years. Survey results allowed for the construction of maps with baseline information of coastal exploitation. Additional data from archaeozoological remains (n= 545) of aquatic fauna identified 33 families of exploited taxa, of which finfish (e.g., Haemulidaea, Ariidae, Serranidae), sharks (e.g., Carcharhinidae), and sea turtles were the most abundant. Fishers and literature sources (n= 50) document Holbox’s contemporary issues, including overfishing, illegal fishing, and accelerated tourism development. These types of data (fishers’ perspectives, interdisciplinary literature, and archaeozoological data) were combined using historical ecology techniques and geospatial tools to obtain novel baseline information on SSF exploitation. This information is essential for conservation managers and scientists to meet the management needs of Holbox’s natural and social capital, which can assure the future provision of coastal ecosystem services to humans.

We conducted a large-scale survey covering 58 countries and over 100,000 respondents between late March and early April 2020 to study beliefs and attitudes towards citizens’ and governments’ responses to the COVID-19 pandemic. Most respondents reacted strongly to the crisis: they report engaging in social distancing and hygiene behaviors, and believe that strong policy measures, such as shop closures and curfews, are necessary. They also believe that their government and their country’s citizens are not doing enough and underestimate the degree to which others in their country support strong behavioral and policy responses to the pandemic. The perception of a weak government and public response is associated with higher levels of worries and depression. Using both cross-country panel data and an event-study, we additionally show that strong government reactions correct misperceptions, and reduce worries and depression. Our findings highlight that policy-makers not only need to consider how their decisions affect the spread of COVID-19, but also how such choices influence the mental health of their population.

Podosphaera lini (Erysiphaceae) has recently been detected on linseed, Linum usitatissimum var. crepitans, in England and represents the first unequivocal record of this powdery mildew species from Great Britain. The history of powdery mildew on linseed/flax in the UK is critically discussed. DNA sequence data (ITS + 28S rDNA) have been retrieved, from the British material and a specimen from Germany, to be used for phylogenetic analyses. The position of P. lini as a species of its own in the genus Podosphaera, close to P. macularis (hop powdery mildew), was confirmed in the ITS-based phylogeny. The phylogenetic results, in concordance with the morphological traits of the flax powdery mildew (small peridial cells of the chasmothecia), place this species in Podosphaera sect. Sphaerotheca subsect. Sphaerotheca. Oidium lini, described from Croatia by Skoric in 1926, was later erroneously reduced to a synonymy with Golovinomyces orontii. Oidium lini has been reassessed and is now regarded as a synonym of Podosphaera lini. Oidium lini, cited in the literature as a name published by Bondartsev in 1913, is critically discussed and reviewed. The name O. lini was most likely never validly introduced and is doubtful.