In
one
of
my
first
acts
as
Governor,
I
established
the
role
California
Surgeon
General.Among
all
myriad
challenges
facing
our
administration
on
day,
addressing
persistent
to
health
and
welfare
people
state-especially
that
youngest
Californians-was
an
essential
priority.We
led
with
overwhelming
scientific
consensus
upstream
factors,
including
toxic
stress
social
determinants
health,
are
root
causes
many
most
harmful
challenges,
from
heart
disease
homelessness.An
issue
so
critical
40
million
Californians
deserved
nothing
less
than
a
world-renowned
expert
advocate.Appointed
in
2019
be
firstever
General,
Dr.
Nadine
Burke
Harris
brought
groundbreaking
research
expertise
childhood
trauma
adversity
State's
efforts.In
this
new
role,
set
three
key
priorities
-early
childhood,
equity
Adverse
Childhood
Experiences
(ACEs)
-and
is
working
across
give
voice
science
evidence-based
practices
foundational
success
work
state.The
Office
General
has
already
strong
programs,
first-in-the-nation
ACEs
Aware
initiative,
partnership
Department
Health
Care
Services
(DHCS),
taking
systematic
science-based
approach
by
training
healthcare
providers
screen
for
children
adults.We
have
also
matched
resolve
funding.Through
Initiative
Advance
Precision
Medicine,
we
invested
$9
demonstration
projects
address
impacts
using
precision
medicine
approaches.California
leading
way
public
crisis
because
it
one.This
preventive
measure
improve
societal
outcomes
state's
residents
generations
come.As
collectively
face
unprecedented
confluence
challenges-the
COVID-19
pandemic,
ensuing
economic
recession,
ongoing
national
reckoning
racial
injustice,
devastating
wildfires
exacerbated
climate
change-our
state
communities
grateful
Harris'
leadership
respond
waves
upon
us.It
responsibility
meet
moment.This
report
provides
roadmap
systemic
equitable
forward,
based
cross-sector
partnerships.We
must
listen
advised
evidence
clearly
tells
us
cumulative
adversity,
particularly
when
experienced
early
life,
cause
some
detrimental,
longest
lasting
costly
nation.This
highlights
how
stress,
if
unaddressed,
will
cost
over
trillion
dollars
next
10
years
due
costs
direct
care
life
lost
poor
disability
or
death.It
clear
me
implementing
type
evidence-based,
responses
necessary
decrease
burden
not
only
ethical
moral
imperative,
but
vitality.This
General's
Report
offers
insights
policymakers,
scientists,
providers,
educators,
advocates,
advances
solutions
approaches
better
safety
Golden
now
future.Furthermore,
exceptional
blueprint
can
truly
stage
well-being
countless
here
elsewhere
nation
world.
Development and Psychopathology,
Journal Year:
2018,
Volume and Issue:
30(5), P. 1763 - 1777
Published: Sept. 28, 2018
The
question
of
whether
and
how
the
effects
cultural
trauma
can
be
transmitted
intergenerationally
from
parents
to
offspring,
or
even
later
generations,
has
evoked
interest
controversy
in
academic
popular
forums.
Recent
methodological
advances
have
spurred
investigations
potential
epigenetic
mechanisms
for
this
inheritance,
representing
an
exciting
area
emergent
research.
Epigenetics
been
described
as
means
through
which
environmental
influences
"get
under
skin,"
directing
transcriptional
activity
influencing
expression
suppression
genes.
Over
past
decade,
complex
environment-biology
interface
shown
increasing
promise
a
pathway
intergenerational
transmission
trauma.
This
article
reviews
challenges
facing
research
on
trauma,
biological
findings
posttraumatic
stress
disorder,
putative
effects,
including
social,
intrauterine,
gametic
pathways.
Implications
are
discussed,
focused
relevance
narratives
possibilities
resilience
adaptivity.
Developmental Psychobiology,
Journal Year:
2019,
Volume and Issue:
61(5), P. 796 - 809
Published: April 5, 2019
Abstract
A
range
of
psychiatric
disorders
such
as
anxiety,
depression,
and
post‐traumatic
stress
disorder
frequently
co‐occur
with
functional
gastrointestinal
(GI)
disorders.
Risk
these
pathologies
is
particularly
high
in
those
a
history
trauma,
abuse,
chronic
stress.
These
scientific
findings
rising
awareness
within
the
healthcare
profession
give
rise
to
need
for
an
integrative
framework
understand
developmental
mechanisms
that
observations.
In
this
paper,
we
introduce
plausible
explanatory
framework,
based
on
Polyvagal
Theory
(Porges,
Psychophysiology
,
32
301–318,
1995;
Porges,
International
Journal
42
123–146,
2001;
Biological
Psychology
74
116–143,
2007),
which
describes
how
evolution
impacted
structure
function
autonomic
nervous
system
(ANS).
The
provides
organizing
principles
understanding
development
adaptive
diversity
homeostatic,
threat‐response,
psychosocial
functions
contribute
pathology.
Using
principles,
outline
possible
promote
maintain
socioemotional
GI
dysfunction
review
their
implications
therapeutic
targets.
Journal of Primary Care & Community Health,
Journal Year:
2022,
Volume and Issue:
13
Published: Jan. 1, 2022
War
refugees
and
veterans
have
been
known
to
frequently
develop
neuropsychiatric
conditions
including
depression,
post-traumatic
stress
disorder
(PTSD),
anxiety
disorders
that
tend
leave
a
long-lasting
scar
impact
their
emotional
response
system.
The
shear
stress,
trauma,
mental
breakdown
from
overnight
displacement,
family
separation,
killing
of
friends
families
cannot
be
described
enough.
Victims
often
require
years
health
support
as
they
struggle
with
sleep
difficulties,
recurring
memories,
anxiety,
grief,
anger.
Everyone
develops
coping
mechanism
which
can
involve
dependence
long-term
addiction
alcohol,
drugs,
violence,
or
gambling.
high
prevalence
during
after
the
war
indicates
an
undeniable
necessity
for
screening
those
in
need
treatment.
For
medical
professionals,
it
is
crucial
identify
such
vulnerable
groups
who
are
prone
developing
morbidities
associated
risk
factors.
It
pivotal
deploy
effective
affordable
multi-sectoral
collaborative
care
models
therapy,
primarily
depends
upon
primary
physicians
conflict
zones.
Herein,
we
provide
brief
overview
regarding
identification
management
populations,
alongside
discussing
challenges
possible
solutions
same.
Annals of Medicine and Surgery,
Journal Year:
2022,
Volume and Issue:
79
Published: June 23, 2022
The
Russia-Ukraine
crisis
has
been
at
the
center
of
international
talks
since
early
2022.
This
conflict,
bursting
after
sanitary
covid
19
pandemic,
creates
an
atmosphere
uncertainty
and
instability,
which
negatively
impacts
many
aspects,
including
mental
health.
Young
Ukrainians
have
suffering
from
socio-political
instability
for
decades,
current
war,
together
with
Covid
shatters
hopes
brighter
days.
commentary
covers
challenges
facing
younger
generation
in
Ukraine
impact
this
situation
on
their
Epidemiology and Psychiatric Sciences,
Journal Year:
2022,
Volume and Issue:
31
Published: Jan. 1, 2022
Abstract
Mental
disorders
are
one
of
the
largest
contributors
to
burden
disease
globally,
this
holds
also
for
children
and
adolescents,
especially
in
low-
middle-income
countries.
The
prevalence
severity
these
influenced
by
social
determinants,
including
exposure
adversity.
When
occurring
early
life,
latter
events
referred
as
adverse
childhood
experiences
(ACEs).
In
editorial,
we
provide
an
overview
literature
on
role
ACEs
determinants
mental
health
through
lenses
global
health.
While
relation
between
has
been
extensively
explored,
most
research
was
centred
higher
income
contexts.
We
argue
that
findings
from
realm
should
be
integrated
into
ACEs,
e.g.
preventative
responsive
psychosocial
interventions
children,
adolescents
their
caregivers.
field
undertake
active
efforts
better
address
its
initiatives,
all
with
goal
reducing
among
globally.
The American Journal of Bioethics,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 15
Published: July 22, 2024
This
paper
argues
that
bioethics
as
a
field
should
broaden
its
scope
to
include
the
ethics
of
war,
focusing
on
war's
public
health
effects.
The
"Introduction"
section
describes
literature
which
emphasizes
clinical
and
research
topics
while
omitting
health.
section,
"War
crisis"
demonstrates
need
for
approach
by
framing
war
crisis.
"Bioethics
principles
health"
proposes
six
address
dimensions:
justice,
accountability,
dignified
lives,
sustainability,
nonmaleficence,
maximization.
"Justifying
applying
bioethical
principles"
shows
how
these
inform
ethical
analysis,
including
just
theory
military
ethics.
"From
practice"
envisions
ways
in
bioethicists
can
promote
practice
through
research,
teaching,
service.
"Conclusion"
urges
engage
with
crisis,
calling
attention
impact
civilians,
especially
women,
children,
other
vulnerable
groups.
Modern Language Journal,
Journal Year:
2024,
Volume and Issue:
108(S1), P. 147 - 167
Published: Jan. 1, 2024
Abstract
As
emotions
research
in
the
field
of
second
language
acquisition
continues
to
evolve,
it
is
equally
important
explore
impact
social–emotional
variables
that
are
specifically
relevant
heritage
(HL)
contexts.
Anchoring
on
foundations
critical
education
(HLE),
this
study
examines
discomforts
HL
classroom
from
a
diverse
speaker
(HS)
perspective.
Additionally,
comforts
support
as
safe
space
for
emotional
security
and
well‐being
HSs
across
HLs
explored.
Examining
perspective
practices
knowledge
systems,
ultimately
aims
to:
(a)
outline
complexity
pedagogical
spaces,
(b)
provide
concrete
meaningful
recommendations
supporting
HS
development
transformative
positive
psychology
lens.
Data
current
qualitative
were
provided
through
two
separate
methodologies.
First,
64
Spanish
responded
questionnaire
probing
reactions
memories
instigated
by
authentic
reading
material
sensitive
topics
racism,
bilingualism,
immigration.
The
themes
identified
written
narrative
data
an
inductive
thematic
approach
then
used
foundation
semistructured
interviews
with
learners
(
n
=
6)
educators
8)
eight
different
backgrounds.
Findings
revealed
feelings
comfort
discomfort,
even
trauma
healing,
HLE
spaces
rooted
learning
experiences,
social
(dis)comfort,
(c)
intergenerational
histories.
Together,
suggest
how
can
act
both
trigger
injustice,
linguistic
insecurity,
family
conflict
and,
at
same
time,
instigating
affective
associated
rebellion,
confidence,
refuge.
Specific
made
equip
toolkit
classroom.