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Global inequity in access to and availability of essential mental health services is well recognized. The mental health treatment gap is approximately 50% in all countries, with up to 90% of people in the lowest-income countries lacking access to required mental health services. Increased investment in global mental health (GMH) has increased innovation in mental health service delivery in LMICs. Situational analyses in areas where mental health services and systems are poorly developed and resourced are essential when planning for research and implementation, however, little guidance is available to inform methodological approaches to conducting these types of studies. This scoping review provides an analysis of methodological approaches to situational analysis in GMH, including an assessment of the extent to which situational analyses include equity in study designs. It is intended as a resource that identifies current gaps and areas for future development in GMH. Formative research, including situational analysis, is an essential first step in conducting robust implementation research, an essential area of study in GMH that will help to promote improved availability of, access to and reach of mental health services for people living with mental illness in low- and middle-income countries (LMICs). While strong leadership in this field exists, there remain significant opportunities for enhanced research representing different LMICs and regions.
We investigated the ecology and paleoecology of testate amoebae in peatlands of the Colombian páramo to assess the use of testate amoebae as paleoenvironmental indicators. Objectives were to (1) identify environmental controls on testate amoebae, (2) develop transfer functions for paleoenvironmental inference, and (3) examine testate amoebae in a Holocene peat core and compare our findings with other proxy records. Results from 96 modern samples indicate that testate amoebae are sensitive to pH and surface moisture, and cross-validation of transfer functions indicates potential for paleoenvironmental applications. Testate amoebae from the Triunfo Peatland in the Central Cordillera provided a proxy record of pH and water-table depth for the late Holocene, and inferred changes were correlated with peat C/N measurements during most of the record. Comparison with a lake-level reconstruction suggests that at least the major testate amoeba–inferred changes were driven by climate. Our work indicates that testate amoebae are useful paleoenvironmental indicators in high-elevation tropical peatlands.
Cultivated pastures in southern China are being used to improve forage productivity and animal performance, but studies on grazing behaviour of goats in these cultivated pastures are still rare. In the current study, the grazing behaviour of Yunling black goats under low (5 goats/ha) and high (15 goats/ha) stocking rates (SRs) was evaluated. Data showed that the proportion of time goats spent on activities was: eating (0.59–0.87), ruminating (0.05–0.35), walking (0.03–0.06) and resting (0.01–0.03). Compared with low SR, goats spent more time eating and walking, and less time ruminating and resting under high SR. Goats had similar diet preferences under both SR and preferred to eat grasses (ryegrass and cocksfoot) more than a legume (white clover). The distribution of eating time on each forage species was more uniform under high v. low SR. Bites/step, bite weight and daily intake were greater under low than high SR. Results suggest that the SR affects grazing behaviour of goats on cultivated pasture, and identifying an optimal SR is critical for increasing bite weight and intake.
The gastrointestinal tract (GIT) of animals is capable of sensing various kinds of nutrients via G-protein coupled receptor-mediated signaling transduction pathways, and the process is known as ‘gut nutrient chemosensing’. GPR40, GPR41, GPR43 and GPR119 are chemoreceptors for free fatty acids (FFAs) and lipid derivatives, but they are not well studied in small ruminants. The objective of this study is to determine the expression of GPR40, GPR41, GPR43 and GPR119 along the GIT of kid goats under supplemental feeding (S) v. grazing (G) during early development. In total, 44 kid goats (initial weight 1.35±0.12 kg) were slaughtered for sampling (rumen, abomasum, duodenum, jejunum, ileum, cecum, colon and rectum) between days 0 and 70. The expression of GPR41 and GPR43 were measured at both mRNA and protein levels, whereas GPR40 and GPR119 were assayed at protein level only. The effects of age and feeding system on their expression were variable depending upon GIT segments, chemoreceptors and expression level (mRNA or protein), and sometimes feeding system × age interactions (P<0.05) were observed. Supplemental feeding enhanced expression of GPR40, GPR41 and GPR43 in most segments of the GIT of goats, whereas G enhanced expression of GPR119. GPR41 and GPR43 were mainly expressed in rumen, abomasum and cecum, with different responses to age and feeding system. GPR41 and GPR43 expression in abomasum at mRNA level was greatly (P<0.01) affected by both age and feeding system; whereas their expression in rumen and abomasum at protein level were different, feeding system greatly (P<0.05) affected GPR41 expression, but had no effect (P>0.05) on GPR43 expression; and there were no feeding system×age interactions (P>0.05) on GPR41 and GPR43 protein expression. The expression of GPR41 and GPR43 in rumen and abomasum linearly (P<0.01) increased with increasing age (from days 0 to 70). Meanwhile, age was the main factor affecting GPR40 expression throughout the GIT. These outcomes indicate that age and feeding system are the two factors affecting chemoreceptors for FFAs and lipid derivatives expression in the GIT of kids goats, and S enhanced the expression of chemoreceptors for FFAs, whereas G gave rise to greater expression of chemoreceptors for lipid derivatives. Our results suggest that enhanced expression of chemoreceptors for FFAs might be one of the benefits of early supplemental feeding offered to young ruminants during early development.
To study the clinical effect of lens cleaning paper patching on traumatic eardrum perforations.
A total of 122 patients were divided into 2 groups, of which 56 patients were treated with lens cleaning paper patching and 66 acted as controls. The closure rate and healing time were compared between the two groups.
The healing rate of small perforations was 96.4 per cent (27 out of 28) in the patching group and 90 per cent (27 out of 30) in the control group. The difference was not statistically significant (p > 0.05). The healing rate of large perforations was 89.3 per cent (25 out of 28) and 80.6 per cent (29 out of 36) in the two groups, respectively. The difference was statistically significant (p < 0.05). The healing time of large perforations was shorter in the patching group than in the control group (p < 0.01).
Patching with lens cleaning paper under an endoscope can accelerate the closure of large traumatic eardrum perforations.
This paper presents the bed topography of Jakobshavn Isbræ, Greenland, and Byrd Glacier, Antarctica, derived from sounding these glaciers with high-sensitivity radars. To understand the processes causing the speed-up and retreat of outlet glaciers, and to enable the development of next-generation ice-sheet models, we need information on bed topography and basal conditions. To this end, we performed measurements with the progressively improved Multichannel Coherent Radar Depth Sounder/Imager (MCoRDS/I). We processed the data from each antenna-array element using synthetic aperture radar algorithms to improve radar sensitivity and reduce along-track surface clutter. We then applied array and image-processing algorithms to extract the weak bed echoes buried in off-vertical scatter (cross-track surface clutter). At Jakobshavn Isbræ, we observed 2.7 km thick ice ~30 km upstream of the calving front and ~850 m thick ice at the calving front. We also observed echoes from multiple interfaces near the bed. We applied the MUSIC algorithm to the data to derive the direction of arrival of the signals. This analysis revealed that clutter is dominated by the ice surface at Jakobshavn Isbræ. At Byrd Glacier, we found ~3.62 km thick ice, as well as a subglacial trench ~3.05 km below sea level. We used ice thickness information derived from radar data in conjunction with surface elevation data to generate bed maps for these two critical glaciers. The performance of current radars must be improved further by ~15 dB to fully sound the deepest part of Byrd Glacier. Unmanned aerial systems equipped with radars that can be flown over lines spaced as close as 5 m apart in the cross-track direction to synthesize a two-dimensional aperture would be ideal for collecting fine-resolution data over glaciers like Jakobshavn near their grounding lines.
Working canines are deployed by the Federal Emergency Management Agency (FEMA), as part of a National Disaster Response Plan. Stress associated with helicopter flight and the resulting physical effects on the dog are unknown. Our objective was to test the hypotheses that (1) helicopter travel affects the physiology and faecal microbiota of working canines, but that (2) physiological consequences of helicopter travel will not negatively affect their work performance. A total of nine FEMA canines were loaded onto helicopters and flown for 30 min in July 2015. Rectal temperature, behavioural stress indicators and saliva swabs (for cortisol) were collected at baseline, loading, mid-flight and post-flight. After flight, canines completed a standardised search exercise to monitor work performance. Faecal samples were collected for microbial DNA extraction and Illumina sequencing. All canines were on a standardised diet (CANIDAE® Grain Free PURE Land®) for 3 weeks prior to the study. Visible indicators of stress were observed at loading and at mid-flight and corresponded with an increase (P < 0·05) in salivary cortisol from 5·4 µg/l (baseline) to 6·4 µg/l (loading). Additionally, rectal temperature increased (P < 0·05) from 38·61°C (baseline) to 39·33°C (mid-flight) and 39·72°C (post-flight). Helicopter travel did not affect search performance (P > 0·05). We found that α- and β-diversity measures of faecal microbiota were not affected (P > 0·05). Our data suggest that although helicopter travel may cause physiological changes that have been associated with stress in working dogs, it does not make an impact on their search performance or the stability of faecal microbiota.
The plane-strain fracture toughness of fresh-water ice was measured at various loading rates and temperatures. The fracture toughness of ice decreases as loading rate increases and as the test temperature approaches the melting point. The presence of liquid water seems to reduce the fracture toughness. The fracture toughness for crack arrest is slightly lower than the static fracture toughness.
Dengue fever (DF) is the most prevalent and rapidly spreading mosquito-borne disease globally. Control of DF is limited by barriers to vector control and integrated management approaches. This study aimed to explore the potential risk factors for autochthonous DF transmission and to estimate the threshold effects of high-order interactions among risk factors. A time-series regression tree model was applied to estimate the hierarchical relationship between reported autochthonous DF cases and the potential risk factors including the timeliness of DF surveillance systems (median time interval between symptom onset date and diagnosis date, MTIOD), mosquito density, imported cases and meteorological factors in Zhongshan, China from 2001 to 2013. We found that MTIOD was the most influential factor in autochthonous DF transmission. Monthly autochthonous DF incidence rate increased by 36·02-fold [relative risk (RR) 36·02, 95% confidence interval (CI) 25·26–46·78, compared to the average DF incidence rate during the study period] when the 2-month lagged moving average of MTIOD was >4·15 days and the 3-month lagged moving average of the mean Breteau Index (BI) was ⩾16·57. If the 2-month lagged moving average MTIOD was between 1·11 and 4·15 days and the monthly maximum diurnal temperature range at a lag of 1 month was <9·6 °C, the monthly mean autochthonous DF incidence rate increased by 14·67-fold (RR 14·67, 95% CI 8·84–20·51, compared to the average DF incidence rate during the study period). This study demonstrates that the timeliness of DF surveillance systems, mosquito density and diurnal temperature range play critical roles in the autochthonous DF transmission in Zhongshan. Better assessment and prediction of the risk of DF transmission is beneficial for establishing scientific strategies for DF early warning surveillance and control.
The structure of a series of lanthanide iron cobalt perovskite oxides, R(Fe0.5Co0.5)O3 (R = Pr, Nd, Sm, Eu, and Gd), have been investigated. The space group of these compounds was confirmed to be orthorhombic Pnma (No. 62), Z = 4. From Pr to Gd, the lattice parameter a varies from 5.466 35(13) Å to 5.507 10(13) Å, b from 7.7018(2) to 7.561 75(13) Å, c from 5.443 38(10) to 5.292 00(8) Å, and unit-cell volume V from 229.170(9) Å3 to 220.376(9) Å3, respectively. While the trend of V follows the trend of the lanthanide contraction, the lattice parameter “a” increases as the ionic radius r(R3+) decreases. X-ray diffraction (XRD) and transmission electron microscopy confirm that Fe and Co are disordered over the octahedral sites. The structure distortion of these compounds is evidenced in the tilt angles θ, ϕ, and ω, which represent rotations of an octahedron about the pseudocubic perovskite p, p, and p axes. All three tilt angles increase across the lanthanide series (for R = Pr to R = Gd: θ increases from 12.3° to 15.2°, ϕ from 7.5° to 15.8°, and ω from 14.4° to 21.7°), indicating a greater octahedral distortion as r(R3+) decreases. The bond valence sum for the sixfold (Fe/Co) site and the eightfold R site of R(Fe0.5Co0.5)O3 reveal no significant bond strain. Density Functional Theory calculations for Pr(Fe0.5Co0.5)O3 support the disorder of Fe and Co and suggest that this compound to be a narrow band gap semiconductor. XRD patterns of the R(Fe0.5Co0.5)O3 samples were submitted to the Powder Diffraction File.
Multifunctional, complex oxides capable of exhibiting highly-coupled electrical, mechanical, thermal, and magnetic susceptibilities have been pursued to address a range of salient technological challenges. Today, efforts are focused on addressing the pressing needs of a range of applications and identifying, understanding, and controlling materials with the potential for enhanced or novel responses. In this prospective, we highlight important developments in theoretical and computational techniques, materials synthesis, and characterization techniques. We explore how these new approaches could revolutionize our ability to discover, probe, and engineer these materials and provide a context for new arenas where these materials might make an impact.
Although mental disorders are significant predictors of educational attainment throughout the entire educational career, most research on mental disorders among students has focused on the primary and secondary school years.
The World Health Organization World Mental Health Surveys were used to examine the associations of mental disorders with college entry and attrition by comparing college students (n = 1572) and non-students in the same age range (18–22 years; n = 4178), including non-students who recently left college without graduating (n = 702) based on surveys in 21 countries (four low/lower-middle income, five upper-middle-income, one lower-middle or upper-middle at the times of two different surveys, and 11 high income). Lifetime and 12-month prevalence and age-of-onset of DSM-IV anxiety, mood, behavioral and substance disorders were assessed with the Composite International Diagnostic Interview (CIDI).
One-fifth (20.3%) of college students had 12-month DSM-IV/CIDI disorders; 83.1% of these cases had pre-matriculation onsets. Disorders with pre-matriculation onsets were more important than those with post-matriculation onsets in predicting subsequent college attrition, with substance disorders and, among women, major depression the most important such disorders. Only 16.4% of students with 12-month disorders received any 12-month healthcare treatment for their mental disorders.
Mental disorders are common among college students, have onsets that mostly occur prior to college entry, in the case of pre-matriculation disorders are associated with college attrition, and are typically untreated. Detection and effective treatment of these disorders early in the college career might reduce attrition and improve educational and psychosocial functioning.
Individual rings from 1899–1990 were pooled from four radii of four cross-sections obtained from trees at a managed forest site near Huangling, north of Xian in north central China. Splits of wood ground to 20-mesh were analyzed independently at both the Xian and Arizona laboratories, using their respective methods for cellulose isolation, combustion and mass-spectrometric analysis. The δ13C results were highly correlated (r2 = 0.66) and absolute values typically within 0.2–0.3‰. Inter-tree variability was estimated as 1–1.5‰. The Huangling δ13C curve shows an overall downward trend with year-to-year fluctuations of up to 1.5‰ superimposed. A subset of δ13C maxima corresponded with below-normal precipitation and above-normal temperature in May and June, and minima were associated with above-normal precipitation and below-normal temperature in May and June, perhaps signaling early arrival of the East Asian Summer Monsoon. The generally poor climate correlations with all δ13C values, however, could be a consequence of the fairly mesic environment or of human disturbance. Chronologies of isotopic discrimination (δ) and Ci/Ca had flat slopes, suggesting the δ13C trend was driven by global rather than local effects.
This paper examines the carbon isotopes (13C, 14C) of soil organic carbon (SOC) and soil CO2 from an evergreen broadleaf forest in southern China during the rainy season. The distribution of SOC δ13C, and SOC content with depth, exhibits a regular decomposition of SOC compartments with different turnover rates. Labile carbon is the main component in the topsoil (0–12 cm) and has a turnover rate between 0.1 and 0.01 yr–1. In the middle section (12–35 cm), SOC was mainly comprised of mediate carbon with turnover rates ranging between 0.01 and 0.025. Below 35 cm depth (underlayer section), the SOC turnover rate is slower than 0.001 yr–1, indicating that passive carbon is the main component of SOC in this section. The total production of humus-derived CO2 is 123.84 g C m–2 yr–1, from which 88% originated in the topsoil. The middle and underlayer sections contribute only 10% and 2% to the total humus-derived CO2 production, respectively. Soil CO2 δ13C varies from –24.7‰ to –24.0‰, showing a slight isotopic depth gradient. Similar to soil CO2 δ13C, Δ14C values, which range from 100.0‰ to 107.2‰, are obviously higher than that of atmospheric CO2 (60–70‰) and SOC in the middle and underlayer section, suggesting that soil CO2 in the profile most likely originates mainly from SOC decomposition in the topsoil. A model of soil CO2 Δ14C indicates that the humus-derived CO2 from the topsoil contributes about 65–78% to soil CO2 in each soil gas sampling layer. In addition, the humus-derived CO2 contributes ∼81% on average to total soil CO2 in the profile, in good agreement with the field observation. The distribution and origin of soil 14CO2 imply that soil CO2 will be an important source of atmospheric 14CO2 well into the future.