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The number of refugees globally grew to 35.3 million in 2022, and many refugees are exposed to various health risks along their migration journey. As a result, they may arrive in host communities with numerous health issues, including communicable diseases and chronic and mental health conditions. Navigating the healthcare system in a host country proves to be a significant challenge for them, leading to delayed care. This qualitative study explored the convolute healthcare needs of refugees in the United States by soliciting insights from stakeholders involved in refugee resettlement and healthcare. In-depth interviews were conducted with fifteen stakeholders who work closely with refugees, including healthcare providers, cultural/clinical health navigators supporting refugees, staff from refugee resettlement agencies and governmental entities, and researchers studying refugee health. Following informed consent, interviews were audio-recorded, transcribed verbatim, and imported into MAXQDA 2022 (VERBI Software) for thematic analysis. The results revealed key themes, including the heterogeneity of refugee populations, limited awareness of preventive healthcare, high prevalence and suboptimal management of chronic conditions, complexity of the healthcare system, lack of follow-up, and language barriers. Further research is warranted concerning the long-term health of refugee populations in the United States. Additionally, more tailored programs involving peer educators are recommended to support refugee communities in navigating the complex healthcare system in the host country.

Co-occurring mental health concerns are prevalent among substance use recovery housing residents. We sought to explore how residents with co-occurring mental health and substance use needs experience recovery housing. We conducted semi-structured interviews with residents ( N  = 92) in recovery homes across Texas and developed themes through thematic analysis. Residents note that living in a group home can exacerbate anxiety and paranoia, especially during periods of high turnover. Overwhelmingly, however, residents believe recovery housing improves their mental health. Residents use their shared lived experiences to support one another. Residents also express appreciation for the transition period offered by recovery housing, allowing them to solidify their recoveries before fully re-entering society. Participants describe recovery homes as a critical support for their co-occurring mental health and substance use concerns. These results provide key insights on how to better support mental health in recovery housing.

IntroductionAs the US continues to battle the opioid epidemic, recovery residences remain valuable services for people in recovery. While there is a growing body of literature describing positive outcomes experienced by people who live in recovery residences, little is known about the experience of people who live in these residences while taking medications for an opioid use disorder (MOUD) as part of their recovery. Thus, this study has three aims: (1) expand the availability of recovery residences that meet the National Alliance for Recovery Residences standards in Texas and serve individuals taking medications for an opioid use disorder as part of their recovery; (2) evaluate recovery residences for people taking MOUD as part of their recovery; and (3) compare the cost-effectiveness of recovery residences to treatment-as-usual.Methods and analysisIn collaboration with community partners, we opened 15 recovery residences in the State of Texas to house people taking MOUD as part of their recovery. We are collecting quantitative and qualitative data to evaluate outcomes at the intrapersonal, interpersonal, organisational and community levels. At the intrapersonal level, we are assessing changes in behavioural and psychosocial constructs using a longitudinal survey, objectively measuring current substance use with a point-of-interview breathalyser and urinalysis, and examining changes in healthcare utilisation using data obtained from a healthcare information exchange. We are collecting interpersonal data using in-depth individual interviews with residents and staff. We are collecting organisational data using field observation and a cost-effectiveness study, and we are collecting community data using neighbourhood mapping.Ethics and disseminationThe UTHealth institutional review board approved all protocols. We will disseminate study findings via conference presentations, peer-reviewed publications and brief community reports.

Turbinaria J.V. Lamouroux is a genus of brown algae of the family Sargassaceae (Fucales, Phaeophyceae) found throughout the tropics, subtropics, and occasionally in temperate marine regions. There are currently 22 recognized species, although the taxonomy of Turbinaria is under current refinement with the advancement of genetic analysis techniques for this genus. Ecologically Turbinaria plays an important role, as its morphology, life history, chemical and mechanical defenses, and rafting dispersal ability have contributed to its increasing distribution across reefs worldwide and to its role in the phase shift from coral to macroalgal reefs worldwide. Although Turbinaria is occasionally consumed and used as a fertilizer locally, this genus is not currently highly exploited for industrial use, but research into the potential of Turbinaria extracts for cosmetic, nutritive, fertilizer, and pharmaceutical industries has yielded some promising results. Turbinaria’s alginate, fucoidan, pigment, and unique fatty acid content may prove useful in medical applications due to their antioxidant and anticancer properties.

Mineral licks are essential to many species of mammals and birds in the Amazon rainforest, including the Linnaeus’s two-toed sloth (Choloepus didactylus). While sloths have been recorded at mineral licks, visitation of the two-toed sloth at mineral licks has not been described in detail. We used camera traps to observe sloth visitation at 53 mineral lick sites and generalized linear mixed-effects model to evaluate patterns in visitation. We recorded a visitation rate of 29.39 visits per 100 camera nights, with a peak activity time of 22.00 h. Our model results suggest that sloth visitation at mineral licks may be related to differential habitat selection based in part on elevation, slope, and distance from rivers and streams. This study describes the largest dataset on sloth visitation at mineral licks to date, provides key natural history information on this cryptic mammal, and contributes to our understanding of the ecological importance of mineral licks.

In everyday situations auditory selective attention requires listeners to suppress task-irrelevant stimuli and to resolve conflicting information in order to make appropriate goal-directed decisions. Traditionally, these two processes (i.e. distractor suppression and conflict resolution) have been studied separately. In the present study we measured neuroelectric activity while participants performed a new paradigm in which both processes are quantified. In separate block of trials, participants indicate whether two sequential tones share the same pitch or location depending on the block’s instruction. For the distraction measure, a positive component peaking at ~250 ms was found – a distraction positivity. Brain electrical source analysis of this component suggests different generators when listeners attended to frequency and location, with the distraction by location more posterior than the distraction by frequency, providing support for the dual-pathway theory. For the conflict resolution measure, a negative frontocentral component (270–450 ms) was found, which showed similarities with that of prior studies on auditory and visual conflict resolution tasks. The timing and distribution are consistent with two distinct neural processes with suppression of task-irrelevant information occurring before conflict resolution. This new paradigm may prove useful in clinical populations to assess impairments in filtering out task-irrelevant information and/or resolving conflicting information.

A training method to improve speech hearing in noise has proven elusive, with most methods failing to transfer to untrained tasks. One common approach to identify potentially viable training paradigms is to make use of cross-sectional designs. For instance, the consistent finding that people who chose to avidly engage with action video games as part of their normal life also show enhanced performance on non-game visual tasks has been used as a foundation to test the causal impact of such game play via true experiments (e.g., in more translational designs). However, little work has examined the association between action video game play and untrained auditory tasks, which would speak to the possible utility of using such games to improve speech hearing in noise. To examine this possibility, 80 participants with mixed action video game experience were tested on a visual reaction time task that has reliably shown superior performance in action video game players (AVGPs) compared to non-players (≤ 5 h/week across game categories) and multi-genre video game players (> 5 h/week across game categories). Auditory cognition and perception were tested using auditory reaction time and two speech-in-noise tasks. Performance of AVGPs on the visual task replicated previous positive findings. However, no significant benefit of action video game play was found on the auditory tasks. We suggest that, while AVGPs interact meaningfully with a rich visual environment during play, they may not interact with the games’ auditory environment. These results suggest that far transfer learning during action video game play is modality-specific and that an acoustically relevant auditory environment may be needed to improve auditory probabilistic thinking.

Purpose: The study explored whether visual information improves speech identification in typically developing children with normal hearing when the auditory signal is spectrally degraded. Method: Children (n = 69) and adults (n = 15) were presented with noise-vocoded sentences from the Children's Co-ordinate Response Measure (Rosen, 2011) in auditory-only or audiovisual conditions. The number of bands was adaptively varied to modulate the degradation of the auditory signal, with the number of bands required for approximately 79% correct identification calculated as the threshold. Results: The youngest children (4- to 5-year-olds) did not benefit from accompanying visual information, in comparison to 6- to 11-year-old children and adults. Audiovisual gain also increased with age in the child sample. Conclusions: The current data suggest that children younger than 6 years of age do not fully utilize visual speech cues to enhance speech perception when the auditory signal is degraded. This evidence not only has implications for understanding the development of speech perception skills in children with normal hearing but may also inform the development of new treatment and intervention strategies that aim to remediate speech perception difficulties in pediatric cochlear implant users.

The discovery of targeted covalent inhibitors is of increasing importance in drug discovery. Finding efficient covalent binders requires modulation of warhead reactivity and optimisation of warhead geometry and non-covalent interactions. Uncoupling the contributions that these factors make to potency is difficult and best practice for a testing cascade that is pragmatic and informative is yet to be fully established. We studied the structure-reactivity-activity relationships of a series of analogues of the EGFR inhibitor poziotinib with point changes in two substructural regions as well as variations in warhead reactivity and geometry. This showed that a simple probe displacement assay that is appropriately tuned in respect of timing and reagent concentrations can reveal structural effects on all three factors: non-covalent affinity, warhead reactivity and geometry. These effects include the detection of potency differences between an enantiomeric pair that differ greatly in their activity and their capacity to form a covalent bond. This difference is rationalised by X-ray crystallography and computational studies and the effect translates quantitatively into cellular mechanistic and phenotypic effects. Covalent inhibitors are a successful class of drugs, however, the optimization of targeted covalent inhibitors has challenges due to the need to increase non-covalent interactions and modulate reactivity. Here, the authors study the structure-reactivity-activity relationships of analogues of the EGFR inhibitor poziotinib, showing practical methods to characterize structure-activity relationships, providing insights into the origins of potency and highlighting the effect of chirality on covalent binding.

This study documents the changes in nutrient fluxes associated with internal tidal bores arriving on Florida Keys coral reefs and points to biological use of subthermocline nitrate brought onshore by this mechanism. Internal bores on Conch Reef, Florida Keys, are associated with concentrations of 1.0-4.0 μmol L-1 nitrate (NO3-) and 0.1-0.3 μmol L-1 soluble reactive phosphate (SRP) and onshore flow velocities of 0.1-0.3 $\\text{m}\\ \\text{s}^{-1}$. The arrival of internal bores causes 10-40 fold increases in nutrient concentrations and 1-2 orders of magnitude increases in nutrient flux relative to ambient, nonbore conditions. The magnitude and duration of cool-water nutrient transport events increases significantly with increasing depth on reef slopes. In June 2001, the gradient of increased exposure to subsurface water with depth corresponded to increased percentage of N and δ 15N and decreased C: N ratio in a common benthic macroalga, Codium isthmocladum. Internal tidal bores are widespread throughout the Florida Keys reef tract, with cool-water episodes influencing reefs up to 10%-25% of the time during summer months and with significant variability among years. Estimated inputs of nitrogen and phosphorus by internal tidal bores to Florida Keys reef slopes are as much as 40-fold larger than published estimates of inputs to near-shore waters from waste water and storm water runoff. Internal tidal upwelling represents an important, previously underestimated, episodic source of nutrients on the Florida Keys reef tract. In order to assess nutrient availability in this system accurately it is essential to understand natural sources of high-frequency variability.