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The extinction of the Partula tree snails of French Polynesia was one of the most rapid and extensive extinctions recorded, with 75% of the species extirpated within a decade, due exclusively to the introduction of the predatory rosy wolf snail Euglandina spp. The pattern of extinction varied geographically and some Partula species persisted for 1–2 years post-Euglandina introduction. Partulids were able to withstand anthropogenic mortality: historically adult snails were exploited for cultural use and probably suffered population fluctuations following habitat disruption. The introduction of Euglandina represented a different scale of mortality, affecting all age classes. Since 1995, relict populations of some Partula species have been discovered; these have relatively high reproductive rates, live in areas with low predation pressures or are very dispersed. Most populations are unstable, with frequent disappearances and reappearances. One population showed evidence of full recovery, with a high density and high proportion of adults, before dispersing. A metapopulation structure is inferred, which would facilitate Partula survival despite the ongoing presence of Euglandina and a second predator, the New Guinea flatworm Platydemus manokwari. Predation pressures are substantially reduced and now seem to be too low to eliminate relict populations. This offers hope for the re-establishment of Extinct in the Wild species.
On 6 February 2023, sequential Mw 7.7 and 7.6 earthquakes devastated 11 provinces in Türkiye. Two years on, the Emergency Medicine Association of Türkiye (EMAT) assessed recovery from an emergency department (ED) perspective.
Methods
We conducted a cross-sectional survey of emergency physicians and residents in the most affected provinces (Kahramanmaraş, Adıyaman, Malatya).
Results
Respondents were predominantly male (81.1%) and residents (70.3%). Family routines had partly stabilized (48.6%), yet ongoing household mental-health problems were common (54.1%). Housing remained strained: most homes were slightly damaged (59.5%); 13.5% of physicians continued to live in temporary shelters. Concerns persisted about hospital structural safety (59.4%). Equipment issues centered on delayed maintenance/repair (64.9%). ED operations suffered from crowding (70.3%), workload related to staffing gaps (67.6%), and inadequate physical space (56.8%). Academic activity was disrupted (51.4%), with perceived declines in educational standards versus non-affected provinces (40.5%).
Conclusions
Two years post-earthquake, substantial deficits persist across infrastructure, workforce, equipment maintenance, psychosocial well-being, and training. EMAT recommends coordinated actions on structural safety, supply chains, psychosocial support, durable housing, academic workforce recovery, governance/coordination, targeted financial incentives, and continuous monitoring to restore resilient, high-quality emergency care in the region.
What happens when change isn’t a choice but a necessity? Chapter 5 delves into a reactive perspective on change, where transformation is sparked not by vision or planning but by disruption, crisis, and external shocks. From natural disasters to economic meltdowns, this perspective shows how adversity often forces organisations to confront reality, adapt quickly, and sometimes reinvent themselves. Concepts like resilience, robustness, and punctuated equilibrium illuminate how change can emerge in bursts – abrupt, unpredictable, and deeply consequential. Rather than seeking control, this approach highlights survival, learning, and strategic renewal in volatile environments. It also reframes risk and uncertainty not as enemies but as powerful catalysts for reinvention. At its heart, this chapter challenges us to ask: in moments of rupture, who steps up – and what kind of change becomes possible?
In recent years, mental health policy and legislation have changed dramatically, allowing for more human rights-based and recovery-orientated services to come into being. One example of this is the enactment of The Assisted Decision Making (Capacity) Act 2015 which allowed for conversations to begin within mental health about respecting the wishes of the person, even when they are in crisis. Within health discourse, this can be achieved through the creation of an advance healthcare directive. However, to date, within mental health services, clinicians, and service users do not have a recognised template that can be adapted for this purpose when a service user loses capacity to make decisions about their own life and care they receive. This paper proposes that Wellness Recovery Action Planning (WRAP), and particularly the crisis and post-crisis planning section of the programme should be used as a potential structure for such advance healthcare directives to be formulated. This is potentially plausible due to how engrained WRAP is in Irish mental health services, the evidence base backing for WRAP as well as the ease of use of the initiative to support overall well-being. As such, this paper has laid out how such plans can be used as an advance healthcare directive in an Irish setting and is also likely to be applicable internationally.
This chapter theorizes and puts into practice the use of fashion in feminist historiography. It does so by charting two histories of the modernist poet and artist Mina Loy. One is narrated via Loy’s 1940s designs for a “corselet,” intended to correct curvature of the spine in a woman’s middle age. The other is via the poetic series Loy wrote at the same time, “Compensations of Poverty,” in which she identifies with a group of outcast people in fashion contexts. These histories augur different versions of Loy, with different temporalities: one capitalist, teleological and individualist, based on the opportunities offered by new plastic materials; the other intersubjective, cyclical and, this chapter argues, sustainable. Ultimately the chapter asks: which of these Loys do we want, now, in the context of climate catastrophe and persistent sexism? How can fashion help us write the feminist history we need?
Shared decision-making is essential to patient-centred care, but remains underutilised in psychiatry, particularly when deciding whether to continue, reduce or stop antipsychotic medication after remission from first-episode psychosis (FEP). Existing decision aids do not fully address recovery goals such as autonomy, identity and social reintegration.
Aims
To co-develop a patient decision aid (PDA) prototype that supports individuals in making the decision to continue, reduce or stop antipsychotics following remission from FEP.
Method
We used a patient-centred design process informed by International Patient Decision Aid Standards (IPDAS), User Centered Design (UCD-11) and the CHIME framework. A multidisciplinary steering group – including individuals with lived experience, clinicians, and researchers – co-developed the PDA. Iterative feedback was collected from an external advisory group of patient partners, caregivers and healthcare providers (n = 7). Acceptability was evaluated with structured questionnaires.
Results
The final prototype, structured into five sections (decision overview, personal values, risks and benefits, planning and real-life experiences), demonstrated strong acceptability across stakeholders. Ratings improved with each iteration, with version 3 receiving near-perfect scores on clarity, usefulness and balance. Users described the tool as relatable and empowering. The inclusion of real-life stories and visual decision exercises were particularly valued. However, some clinicians expressed concerns about time constraints and workflow integration.
Conclusions
This recovery-oriented PDA prototype offers a practical, evidence-based resource to facilitate shared decision-making with respect to continuing, reducing or stopping antipsychotics after FEP. Although early feedback is promising, pilot testing is needed to evaluate its impact on decision quality, satisfaction and treatment outcomes.
Although peer support is increasingly used in mental health services worldwide, service users’ experiences have been studied mostly in high-income countries. The current study examined service users’ experiences of peer support in the UPSIDES Trial, delivered across diverse cultural and resource contexts, including high, middle and low-income countries. Semi-structured interviews were conducted with 33 service users across six study sites (Germany [two sites], Uganda, Tanzania, Israel, and India) and analyzed using thematic analysis to identify patterns in participants’ experiences. To capture diverse perspectives, service users were purposively sampled based on pre–post changes in social inclusion and personal recovery, with participants randomly selected from the top and bottom 20% (‘high’ and ‘low’ responders). Four themes emerged: (1) adaptable settings and intervention flexibility; (2) ‘active ingredients’ such as mutuality, reciprocity, and role-modeling; (3) positive intra-personal, inter-personal, and behavioral outcomes; and (4) barriers, including mismatches, unmet expectations, unclear boundaries and challenges to continuity. The study highlights shared relational elements of peer support alongside context-specific adaptations. Findings reinforce its value as a complementary, person-centred service with global relevance, while pointing to challenges including improving matching, reducing dropout, and clarifying expectations. Site-specific aspects are discussed, offering insights for global implementation.
Inspired by teaching Black kindergarteners at the White Rose Mission in New York City in the 1890s, Alice Dunbar-Nelson wrote 12 stories about children in an urban neighborhood targeted for uplift. Around 1900, she drafted a table of contents for the collection, The Annals of ‘Steenth Street. The collection was never published as such, but some of these stories were published individually in multiple periodicals over several decades. Dunbar-Nelson’s stories center on the neighborhood’s children and their perspectives. This was literature intended, at least in part, for a child audience. Both the content and the publication history of Dunbar-Nelson’s stories raise important points for scholars of African American children’s literature. Our discussion focuses on the story Dunbar-Nelson intended to appear first in her collection, “The Revenge of James Brown,” published in the Chicago Daily News in 1899 and in the Methodist Episcopal Church School Publications’ weekly paper, the Classmate, in 1930. This story extends notions of where we might look for children’s literature of the Harlem Renaissance to include print venues not often examined with Black children in mind. Moreover, Dunbar-Nelson’s revisions of this story allow for complex considerations of her representations of Black childhood. This essay’s authors are co-founders of the Black digital humanities project, Taught by Literature, the work of which includes creating a freely available digital edition of “The Revenge of James Brown” and Dunbar-Nelson’s other ’Steenth Street stories, working with K-12 educators to create materials to facilitate teaching these stories to children in the present.
Rural communities face unique challenges after a disaster as a result of overlapping vulnerabilities related to limited housing and transportation infrastructure, employment or income loss, and fewer emergency response and recovery resources. Hurricane Helene (Southeast Coast, USA; 2024) made landfall in Florida as a Category-4 hurricane, later impacting Western North Carolina with severe flooding, landslides, and hurricane-force winds. Communications and transportation were interrupted for months, leading to disinformation, recovery disruptions, and a loss of trust. To assess household impacts and recovery from Hurricane Helene in two rural Western North Carolina counties, a 29-question survey was adapted from a Community Assessment for Public Health Emergency Response (CASPER) conducted in Buncombe County, a nearby urban county. Thirty clusters were selected with probability proportionate to population across the two counties. Survey teams completed 183 interviews (completion rate = 87.1%). More than 35% of households evacuated because of Hurricane Helene, with nearly 18% evacuating in the week after due to on-going communication and utility outages. Less than 10% of households experienced new or worsening environmental health or chronic diseases. However, 40% reported anxiety, 30% reported trouble sleeping and depression, and 60% reported worrying about another disaster affecting their home. Nearly one year after the direct impact of the hurricane, much work remained as part of continued long-term recovery and resilience building. Because of their small populations and limited infrastructure, restoration of services necessary for response and recovery can be hindered in rural areas which often lack options such as public transportation, affordable short-term housing, and broadband or Wi-Fi.
Fruit-derived flavonoids may enhance exercise performance and/or improve recovery due to their antioxidant and anti-inflammatory activities. Evidence in humans suggests that supplementation with about 300 mg of flavonoids before exercise may affect exercise performance and recovery. The aim of this study was to evaluate the plasma metabolomic response to a 1-h cycling trial after twelve participants had consumed either a high or low dairy milk-based flavonoid (490 or 5 mg) pre-workout beverage for 15 d. A randomised, double-blind, placebo-controlled design was used, and subjects completed a submaximal cycling trial (45 m 70 % VO2 max, 15 m time trial). Plasma was collected before and after the exercise trial and at 1-h and 4-h post-exercise. No statistically significant difference was observed (P = 0·051), but a small effect size (d = 0·16) suggests a marginal trend towards increased power output during cycling with the treatment. Plasma samples were extracted, derivatised and subjected to GC-MS-based metabolomics analysis. Sixty-two metabolites were measured, of which forty-two were identified, and twenty are unknowns. A two-way repeated ANOVA with log-transformed and auto-scaled values indicated that 56 of the 62 features were significantly different with respect to time, but no significant treatment effects or treatment-by-time interactions were observed. Using the Euclidean distance measure and Ward clustering algorithm, a heatmap was generated that divided the metabolite response into eight groups and sixteen subgroups. Metabolites (carbohydrates, lipids and amino acids) changed to varying degrees in response to exercise, suggesting that multiple fuel substrate pathways were activated throughout exercise and recovery.
In 2009, numerous manuscripts, previously thought to be lost, were rediscovered in what was once Florence Price’s summer home. The rediscovery narrative that followed, especially in white mainstream media discourse in the United States, focused more on the rediscovery of Price herself, rather than on the rediscovery of her manuscripts. Not only did this distort Price’s meaning to a modern-day, mainstream audience; it also erased the scholarly and archival efforts of practitioners, which can be dated back to the era of Price’s activity. Black classical communities in the United States kept Price’s musical legacy alive through the twentieth century and into the twenty-first. This chapter therefore asks: How do we listen to Price today? The Price archives, the narratives of community embedded in her musical manuscripts, and the ensuing recovery work emerge as important factors in this new era of Price scholarship.
The reawakening of the Black Lives Matter movement in the summer of 2020 ignited a wave of racial and social consciousness that prompted many arts-based organizations to consider the larger implications of their programmatic visions. As a composer known to, but under-programmed in, the mainstream classical music establishment, the music of Florence Price was thrust into an even greater spotlight. This chapter considers what it means to meaningfully celebrate the rediscovery of Price’s manuscripts and her revival in the mainstream. It models discourse that ensures that more African American composers are recognized and that the communities that kept names and works alive are remembered in the historical record.
Recovery Colleges are adult education initiatives supporting personal recovery for individuals with mental health difficulties. We characterised a national (England) inception cohort of mental health service users, students from the Recovery Colleges Characterisation and Testing 2 programme, and compared those attending different Recovery College types on sociodemographic, clinical, service use and student-reported outcomes over the 4 months prior to enrolment. Mixed-effects regression models were used to assess differences.
Results
The cohort comprised 498 students from 36 Recovery Colleges across England; 77.7% attended strengths-oriented Recovery Colleges. Mean age was 39 years (s.d. 12); most were female (72.1%) and White (81.5%). Common diagnoses were mood (31.3%) and anxiety disorders (29.7%). No significant differences were found between students attending strengths- versus community-oriented Recovery Colleges.
Clinical implications
Strengths- and community-oriented Recovery Colleges have similar service user student populations. Certain groups that may be underrepresented in Recovery Colleges and Recovery College research include older adults, men, those with developmental disorders and ethnic minority populations.
The United Kingdom’s Talking Therapies for Anxiety and Depression (TTAD) programme provides standardised definitions for recovery-related outcomes, allowing transparent and comparable reporting. This study aimed to descriptively examine recovery-related outcomes following cognitive behavioural therapy (CBT) in a Japanese clinical sample using established TTAD definitions.
Method:
Data were drawn from patients who received CBT in routine clinical practice. Depressive and anxiety symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, respectively. Recovery, reliable improvement, and reliable recovery were classified according to the TTAD criteria.
Results:
The sample consisted of 241 participants, of whom 178 (73.9%) met the criteria for caseness at baseline. Among those with baseline caseness, 75 participants (42.1%) met the criteria for recovery at the end of treatment. Across the full sample, 103 participants (47.2%) demonstrated reliable improvement. Reliable recovery, defined as meeting the criteria for both recovery and reliable improvement, was observed in 65 participants (36.5% of those with baseline caseness).
Conclusions:
Using standardised TTAD definitions, this study provides a descriptive account of recovery-related outcomes following CBT in routine clinical practice in Japan. The findings show the distribution of recovery and improvement outcomes in this sample and highlight the importance of clearly distinguishing between recovery-related indicators when interpreting outcomes in real-world clinical settings.
Land snails of the genus Poecilozonites, endemic to Bermuda, have undergone precipitous declines, and both extant species, P. bermudensis and P. circumfirmatus, are categorized as Critically Endangered on the IUCN Red List. Here we report on recovery efforts to reintroduce P. bermudensis derived from a remnant wild population and ex situ breeding programme to within the species’ indigenous range. Follow-up monitoring of initial reintroductions on the small Nonsuch Island carried out over 7 years revealed that the snails rapidly established a self-sustaining population at one of three release sites. By 2023, the snails, released in 2016, had increased their area of occupancy to 6,849 m2, moved up to 92 m from the release site, and reached an estimated mean density of up to 44.2 adult snails/m2. Across the archipelago, we released 105,970 P. bermudensis (adults and juveniles) to 11 offshore islands and 16 main island sites from 2019 to 2022. Based on persistence, reproduction, and expansion from the release site after at least 1 year from release, reintroductions to six offshore islands were successful, but those on the main island failed, possibly because of higher predation pressure and paucity of suitable refuges. Controlling predators, such as rodents, and safeguarding these offshore islands against predator incursion is essential to ensure continued survival of the reintroduced populations.
Critical illness is a life-altering experience for both patients and families. Although patients and families have shared priorities for recovery, they also have unique lived experiences that require individualized attention and validation after critical illness. Patient and family needs are dynamic and evolve over successive phases of critical illness recovery. In general, patients and families desire structured, proactive supports that address distinct informational, emotional, appraisal, instrumental, social, and spiritual needs. Timely, consistent, and clear communication across all phases of recovery is key to fostering trust and resilience. The “Timing-it-Right” framework is a useful model to guide recovery-oriented care programs from the hospital ward to community setting. Critical illness recovery programs should be holistic, coordinated, and prioritize functional goals and quality of life. Future research on critical illness recovery should engage diverse patient and family perspectives and incorporate quality of life outcomes that matter to patients and families. Common themes in patient and family experience may provide guidance for clinicians, researchers, and health systems looking to support critical illness recovery.
Cardiac arrest survivorship is a burgeoning phenomenon, largely driven by advances in intensive care and widespread public health campaigns aimed at improving resuscitation outcomes. However, the specific risk factors, mediators, and effective interventions that support long-term survivorship and recovery remain insufficiently understood and are the focus of ongoing research. Survivors of cardiac arrest face multifaceted challenges that affect various aspects of health, including physical, cognitive, psychological, and social well-being. Psychological distress, cardiac anxiety, and the stability of the family unit following cardiac arrest emerge as key factors influencing recovery. Targeted interventions that address the distinct phases of critical illness and recovery following cardiac arrest are crucial and warrant further investigation and implementation.
Sleep disturbances frequently precede and are exacerbated by critical illness, persisting well into the recovery phase. These issues are prevalent among ICU survivors and can aggravate physical, cognitive, and psychosocial symptoms associated with Post-Intensive Care Syndrome (PICS). This chapter reviews the outpatient evaluation of patients experiencing sleep problems after ICU discharge, emphasizing the importance of addressing sleep issues as part of a comprehensive PICS assessment. Recent studies reveal high prevalence of sleep disturbances following the ICU, with symptoms such as difficulty falling asleep, poor sleep quality, and nightmares. Insomnia, excessive daytime sleepiness, and obstructive sleep apnea (OSA) are also common post-ICU issues. Evaluation should include assessing sleep quality, reviewing medications, and screening for common sleep disorders. Cognitive Behavioral Therapy for Insomnia (CBT-i) is recommended for chronic insomnia, while imagery rehearsal therapy is suggested for PTSD-related nightmares. Additionally, OSA screening is crucial due to its potential impact on recovery and quality of life. Addressing these concerns through an ICU follow-up clinic may improve patient outcomes, enhance recovery, and mitigate the long-term effects of critical illness on sleep and overall health.
Forensic mental health services need a reliable and repeatable outcome measure to assess the progression of self-rated recovery during the forensic journey. The Questionnaire about the Process of Recovery (QPR) was developed in individuals with psychosis, and has been used to assess recovery in people with severe mental illness; however, its psychometric properties have not been studied in a forensic psychiatric cohort.
Aims
This study aimed to assess the psychometric properties of the QPR in a sample of individuals who currently access, or formerly accessed, high-security psychiatric care, including internal consistency, test–retest reliability, factor structure and criterion validity.
Method
Psychometric analysis was undertaken in a sample of 146 current or former high-security patients. Confirmatory and exploratory factor analysis examined the latent test structure. Non-parametric comparisons of QPR score indices tested for differences according to individuals’ current setting (high-, medium- or low-security or open wards; community) as evidence of criterion validity.
Results
A unique two-factor structure related to self-actualisation/empowerment and growth/insight fit forensic patients’ QPR responses. Internal consistency and test–retest reliability were adequate for QPR all-item scores for the original and shortened scales, as well as for the new forensic factor scores. QPR score indices differentiated patients by current setting (eta2 = 0.03–0.04), although only the forensic factor related to growth/insight was significant in corrected post hoc comparisons.
Conclusions
The original QPR is recommended for use to assess recovery progress in a forensic psychiatric sample. Forensic patients’ scores may be best represented using the unique two-factor structure identified.