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A speleothem collected from Palco Cave (Puerto Rico) spans the 8.2 ka event, a time interval associated with fluctuations of Atlantic Ocean circulation and possible drying in the Caribbean region. While stalagmite δ18O, δ13C, and Mg/Ca data do not show a sustained change in mean state over the 8.2 ka event, the proxies provide robust evidence for three abrupt fluctuations toward drier conditions in rapid succession, each lasting less than two decades, occurring at 8.20, 8.14, and 8.02 ka BP. A cave monitoring program at Palco Cave supports the interpretation of the speleothem proxy records. Because changes in the position of the Intertropical Convergence Zone (ITCZ) are directly coupled to sea-surface temperature variations in the North Atlantic, we hypothesize that cold events in the North Atlantic temporarily limited the northward migration of the ITCZ and tropical rain belt in boreal summer during these abrupt drying periods. The speleothem record suggests that the 8.2 ka event was associated with rapid rainfall fluctuations in the northern Caribbean followed by a comparably warm and wet phase after the 8.2 ka event. This enhanced variability during the transitional period of the deglaciation appears to be linked to a fast coupling between interacting oceanic and atmospheric processes. This involves, in particular, the Atlantic Meridional Overturning Circulation in modulating interhemispheric heat transport. [ABSTRACT FROM AUTHOR]

A synthetic pathway to a novel 4-aryl-3,4-dihydro-2H-1,4-benzoxazine scaffold was developed and a series of compounds based on the scaffold were synthesised as potential anticancer agents. The 4-aryl-substituted compounds were prepared via Buchwald–Hartwig cross-coupling between substituted bromobenzenes and various 1,4-benzoxazines, which in turn were generated from a cascade hydrogenation and reductive amination one-pot reaction. These analogues exhibited moderate to good potency against various cancer cell lines. Structure–activity relationship analysis indicated that the inclusion of hydroxyl groups on ring A and ring B was beneficial to biological activity, while having a para-amino group on ring C significantly enhanced potency. Molecule 14f displayed the most potent anticancer activity (IC50 = 7.84–16.2 µM against PC-3, NHDF, MDA-MB-231, MIA PaCa-2, and U-87 MG cancer cell lines), indicating its potential as a lead compound for further structural optimisation. All the synthesised compounds were fully characterised with NMR, HMRS, and IR. The novel benzoxazine scaffold described in this study holds promise and deserves further in-depth studies. [ABSTRACT FROM AUTHOR]

Background Orthopedic patients report pain as their main symptom complaint. Subjective pain experience is correlated with self-reported psychological state, such as distress. Purpose This study tests whether scores from a measure of mindful attention are associated with subjective pain levels and whether psychological distress scores function as a mediation path. Methods During routine visits to a single orthopedic clinic in East Los Angeles, California, 525 patients were recruited to participate in the study. Participants reported on measures of pain (Universal Pain Assessment Tool [UPAT]), mindful attention (Five-Facet Mindfulness Questionnaire [FFMQ]), and psychological distress (Depression, Anxiety, Stress Scale [DASS]). We used Pearson correlations to examine relationships between FFMQ and UPAT scores and mediation analyses to test indirect effects of DASS scores as a mediation path. Results The average age of the sample was 54 years (range 18–98 years), 61% were male, and 64% were non-Hispanic White individuals. The locations of injury were the shoulder (72%), elbow (21%), and clavicle or wrist (7%). Ninety-one percent reported mild or greater pain in the prior 2 weeks (mean   =   4.2 ± 2.5, range 0–10), and 49% reported mild or more severe distress symptoms (DASS: 13.0 ± 11.5). FFMQ scores inversely predicted UPAT scores (β = –0.22, P  < .01), mediated through DASS scores. DASS subscale scores for depression (β = –0.10, P  = .02) and stress (β = –0.08, P  = .04) but not anxiety (β = –0.03, P  = .33) produced significant indirect effects. FFMQ acting-with-awareness and non-judging subscales had the largest effect on depression and stress DASS subscale scores. Conclusions We find statistical support to suggest that distress—particularly depressed mood and stress—mediates the association between mindful attention and pain intensity among orthopedic patients. A disposition of mindful attention might counter distress ailments that exacerbate subjective pain, and this has possible implications for mindfulness training interventions offered to orthopedic patients. [ABSTRACT FROM AUTHOR]

Background Cigarette smoking is the leading cause of preventable cancers. A majority of the 34 million people who currently smoke report wanting to quit. Mindfulness training apps offer a guided telehealth intervention to foster individuals' behavioral meditation practice. We present the main outcomes of a parallel-group randomized controlled trial that tested app-based mindfulness training vs attention control on smoking behavior. Methods We enrolled adult residents from across California who smoked daily and were willing to make a quit attempt (N = 213). Participants completed daily sessions in 10-minute segments for 14 consecutive days. Participants then started a quit attempt and reported daily smoking for 28 days following the quit date using the timeline follow-back measure. Results Seven-day point-prevalence abstinence for each week during the 4-week quit period ranged from 21.8% to 27.7% for app-based mindfulness training and 17.9% to 19.6% for controls. The intention-to-treat sample revealed that app-based mindfulness training outperformed controls on the proportion of abstinence days during the quit period (odds ratio = 2.00, 95% confidence interval = 1.03 to 3.87, P  = .041). Although the 7-day point prevalence abstinence for week 4 favored app-based mindfulness training, significance was not reached (odds ratio = 1.65, 95% confidence interval = 0.84 to 3.23, P  = .148). The mean number of cigarettes smoked per day among smokers was 4.95 for app-based mindfulness training vs 5.69 for controls (odds ratio = 0.81, 95% confidence interval = 0.71 to 0.92, P  = .002), suggesting harm reduction in continued smokers. Conclusion A mindfulness training app prescribed for 2 weeks leading up to a quit date showed an advantage over controls for total abstinence days and fewer cigarettes smoked in a diverse sample consisting of urban and rural residents. These findings yield implications for the use of apps to reduce exposure to the carcinogenic properties of cigarette smoke. [ABSTRACT FROM AUTHOR]

The purpose of this article is to identify characteristics of Black barbershop clients and barbers in an urban Midwestern city participating in a health promotion program called Affecting Cancer Together (ACT) that are associated with client knowledge about prostate cancer. Statistical analyses examined client and barber characteristics for their potential association with client prostate cancer knowledge, while controlling for ACT variables. Study findings suggested clients who are married (ß = 0.99; confidence interval [CI] = 0.38, 1.59; p < 0.01) and have higher levels of education (ß = 0.34; CI = 0.01, 0.67; p = 0.04) may be more likely to know more about prostate cancer. Barbers with at least "some college" education may be more effective in increasing client knowledge (ß = 0.85; CI = 0.05, 1.64; p = 0.04). Trained peer-helper programs may consider prioritizing limited educational resources for barbers with at least some college education and incorporating the social support of spouses for making informed decisions. Considering the potential of barbershop programs to reach Black men about a serious racially disproportionate health issue, ameliorating adoption, implementation, effectiveness, and sustainment are an important public health priority for underserved populations.