Pregnancy challenges and outcomes among female physicians.

Female physicians constitute an increasing proportion of the total physician workforce. Lengthy training often causes delays in family planning. When they feel ready and plan to have children, they might face demanding work hours, limited options for parental leave and child support, and potential stigmatization by peers and superiors.

ReBandit: Random Effects Based Online RL Algorithm for Reducing Cannabis Use.

The escalating prevalence of cannabis use, and associated cannabis-use disorder (CUD), poses a significant public health challenge globally. With a notably wide treatment gap, especially among emerging adults (EAs; ages 18-25), addressing cannabis use and CUD remains a pivotal objective within the 2030 United Nations Agenda for Sustainable Development Goals (SDG). In this work, we develop an online reinforcement learning (RL) algorithm called reBandit which will be utilized in a mobile health study to deliver personalized mobile health interventions aimed at reducing cannabis use among EAs.

Acute astrocytic and neuronal regulation of glutamatergic protein expression following blast.

Regulation of glutamate through glutamate-glutamine cycling is critical for mediating nervous system plasticity. Blast-induced traumatic brain injury (bTBI) has been linked to glutamate-dependent excitotoxicity, which may be potentiating chronic disorders such as post-traumatic epilepsy. The purpose of this study was to measure changes in the expression of astrocytic and neuronal proteins responsible for glutamatergic regulation at 4-, 12-, and 24 h in the cortex and hippocampus following single blast exposure in a rat model for bTBI.

Safety of baricitinib in vaccinated patients with severe and critical COVID-19 sub study of the randomised Bari-SolidAct trial.

Background: The Bari-SolidAct randomized controlled trial compared baricitinib with placebo in patients with severe COVID-19. A post hoc analysis revealed a higher incidence of serious adverse events (SAEs) among SARS-CoV-2-vaccinated participants who had received baricitinib. This sub-study aimed to investigate whether vaccination influences the safety profile of baricitinib in patients with severe COVID-19.

Intersection of Wildfire and Legacy Mining Poses Risks to Water Quality.

Mining and wildfires are both landscape disturbances that pose elevated and substantial hazards to water supplies and ecosystems due to increased erosion and transport of sediment, metals, and debris to downstream waters. The risk to water supplies may be amplified when these disturbances occur in the same watershed. This work describes mechanisms by which the intersection of mining and wildfire may lead to elevated metal concentrations in downstream waters: (1) conveyance of metal-rich ash and soil to surface waters, (2) increased dissolution and transport of dissolved metals due to direct contact of precipitation with mine waste, (3) increased erosion and transport of metal-rich sediment from mining waste, (4) remobilization of previously deposited metal-contaminated floodplain sediment by higher postfire flood flows, and (5) increased metal transport from underground mine workings.