156 research outputs found

    The effectiveness of the Penn Resiliency Programme (PRP) and its adapted versions in reducing depression and anxiety and improving explanatory style: A systematic review and meta-analysis

    Get PDF
    Mental health promotion in schools is a key priority for national governments. The aim of this meta-aggregation is to synthesise the findings from universal, depression and/or anxiety, Cognitive-Behavioural Therapy (CBT) and/or Interpersonal Therapy (IPT)-based, programmes implemented in schools, which are focused on reducing depression and anxiety in student populations aged 8-17 years. Electronic databases were searched for published original qualitative studies which assess students’ perceptions and experiences from participating in universal, school-based, depression and/or anxiety, prevention programmes. Extraction and synthesis of findings was assisted by NVivo qualitative data analysis software. The Joanna Briggs Institute-Qualitative Assessment and Review Instrument (JBI-QARI) Critical Appraisal Checklist for Interpretative and Critical Research was used for assessing methodological quality of the included studies. The confidence of synthesised qualitative findings (ConQual) approach was followed for assessing the confidence in the estimates of syntheses output. Five studies from Australia, Sweden, and UK met the inclusion criteria. Modification in the structure and mode of implementation of universal prevention programmes is required in order to enhance programmes’ applicability and impact. The study provides key practical recommendations to stakeholders and policy makers about the content, delivery, and implementation of school-based, universal, prevention programmes

    Cooperative cell motility during tandem locomotion of amoeboid cells.

    Get PDF
    Streams of migratory cells are initiated by the formation of tandem pairs of cells connected head to tail to which other cells subsequently adhere. The mechanisms regulating the transition from single to streaming cell migration remain elusive, although several molecules have been suggested to be involved. In this work, we investigate the mechanics of the locomotion ofDictyosteliumtandem pairs by analyzing the spatiotemporal evolution of their traction adhesions (TAs). We find that in migrating wild-type tandem pairs, each cell exerts traction forces on stationary sites (∌80% of the time), and the trailing cell reuses the location of the TAs of the leading cell. Both leading and trailing cells form contractile dipoles and synchronize the formation of new frontal TAs with ∌54-s time delay. Cells not expressing the lectin discoidin I or moving on discoidin I-coated substrata form fewer tandems, but the trailing cell still reuses the locations of the TAs of the leading cell, suggesting that discoidin I is not responsible for a possible chemically driven synchronization process. The migration dynamics of the tandems indicate that their TAs' reuse results from the mechanical synchronization of the leading and trailing cells' protrusions and retractions (motility cycles) aided by the cell-cell adhesions

    The role of carotid plaque echogenicity in baroreflex sensitivity

    Get PDF
    ObjectiveThe baroreflex sensitivity is impaired in patients with carotid atherosclerosis. The purpose of our study was to assess the impact of carotid plaque echogenicity on the baroreflex function in patients with significant carotid atherosclerosis, who have not undergone carotid surgery.MethodSpontaneous baroreflex sensitivity (sBRS) was estimated in 45 patients with at least a severe carotid stenosis (70%-99%). sBRS calculation was performed noninvasively, with the spontaneous sequence method, based on indirectly estimated central blood pressures from radial recordings. This method failed in three patients due to poor-quality recordings, and eventually 42 patients were evaluated. After carotid duplex examination, carotid plaque echogenicity was graded from 1 to 4 according to Gray-Weale classification and the patients were divided into two groups: the echolucent group (grades 1 and 2) and the echogenic group (grades 3 and 4).ResultsSixteen patients (38%) and 26 patients (62%) were included in the echolucent and echogenic group, respectively. Diabetes mellitus was observed more frequently among echolucent plaques (χ2 = 8.0; P < .004), while those plaques were also more commonly symptomatic compared with echogenic atheromas (χ2 = 8.5; P < .003). Systolic arterial pressure, diastolic arterial pressure, and heart rate were similar in the two groups. Nevertheless, the mean value of baroreflex sensitivity was found to be significantly lower in the echogenic group (2.96 ms/mm Hg) compared with the echolucent one (5.0 ms/mm Hg), (F [1, 42] = 10.1; P < .003).ConclusionsThese findings suggest that echogenic plaques are associated with reduced baroreflex function compared with echolucent ones. Further investigation is warranted to define whether such an sBRS impairment could be responsible for cardiovascular morbidity associated with echogenic plaques

    Serum Lp(a) Lipoprotein Levels in Patients with Atherosclerotic Occlusive Disease of the Lower Extremities

    Get PDF
    AbstractObjective to evaluate the association between Lp(a) lipoprotein levels, other serum lipids and the presence of lower limb atherosclerotic occlusive disease. Materials and methods angiographic findings in 36 patients were related to serum Lp(a). Total cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol and Lp(a) levels were compared with those of 73 age- and sex-matched healthy controls. Results atheromatous lesions were localised in the femoropopliteal (≈60%) and aortoiliac (≈40%) segments. The number of stenosed arteries was ≄2 and the range of stenosis severity was between 40% and 100%. There was a significant increase in serum Lp(a) (p= 0.000001) and a decrease in serum HDL (p= 0.000009) levels in patients compared to controls. No difference was observed in total cholesterol, LDL-cholesterol or triglyceride. However, the ratio of total cholesterol/HDL-cholesterol was significantly higher (p= 0.005) in patients. Conclusion a dyslipidaemic serum profile, characterised by increased Lp(a) levels and decreased HDL-cholesterol levels, is associated with atherosclerotic occlusive disease of the lower extremities

    Testing the validity of a novel, conceptual, strength-based model in predicting resilient functioning in an UK-based, adolescent, student population: a prospective evaluation

    Get PDF
    Introduction: Mental health problems in adolescence can be precursors of psychosocial problems in adulthood, increasing the likelihood for engaging in health-risk behaviours. Given that most of mental health problems remain untreated for years with subsequent repercussions for society and economy, governments have stressed the need to implement universal, resilience interventions early in adolescence. Adolescence is a pivotal developmental period, favouring the large-scale roll-out of universal, resilience interventions. Due to the inconsistent effects of these interventions in decreasing mental health problems and promoting resilience, their content and structure should be reconsidered. As such, it is vital to investigate the underpinning pathways between stress and resilient functioning. Aim: This study aims to test the validity of a novel, conceptual, strength-based model in predicting resilient functioning in an UK-based, adolescent population. Methods: A prospective, questionnaire-based, cohort study with a baseline and 6-month follow-up assessments was conducted. Overall, 561 adolescents aged 11-16 were enrolled and participated in this study. Measures: Seven validated questionnaires were used, namely: i) the Perceived Stress Scale (PSS), ii) the Self-Efficacy Questionnaire for Children (SEQ-C), iii) Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA), iv) the Warwick-Edinburgh Mental Well-being Scale (WEMWBS), v) the Revised Children’s Manifest Anxiety Scale (RCMAS), vi) Positive & Negative Affect Scale (PANAS), and viii) the Strengths and Difficulties Questionnaire (SDQ). Analysis: A panel, moderated-mediation, path model was analysed. The proposed model consisted of a predictor variable (PSS), a mediator variable (SEQ-C), a moderator variable (ERQ-CA), and four outcome variables (WEMWBS, RCMAS, PANAS, & SDQ). Results: Perceived self-efficacy was found to be a significant mediator between: stress perceptions and anxiety symptoms (0.13, 95%CI = 0.06, 0.21, p≀0.001), stress perceptions and socio-emotional disturbances (0.18, 95%CI = 0.14, 0.24, p≀0.001), stress perceptions and positive emotions (-0.42, 95%CI = -0.52, -0.32, p≀0.001), and stress perceptions and mental well-being (-0.49, 95%CI = -0.59, -0.39, p≀0.001) while emotion regulation was found to significantly moderate the relationship between stress perceptions and perceived self-efficacy. Discussion: Perceived self-efficacy and emotion regulation were found to counterbalance stress levels and increase resilient functioning. Future interventions will benefit from following a strength-based approach

    Comparing medication adherence in patients receiving bisphosphonates for preventing fragility fractures: a comprehensive systematic review and network meta-analysis

    Get PDF
    Background: Bisphosphonates are effective in preventing fragility fractures; however, high rates of adherence are needed to preserve clinical benefits. Objective: To investigate persistence and compliance to oral and intravenous bisphosphonates (alendronate, ibandronate, risedronate, and zoledronate). Methods: Searches of 12 databases, unpublished sources, and trial registries were conducted, covering the period from 2000 to April 2021. Screening, data extraction, and risk of bias assessment (Cochrane Collaboration risk-of-bias tool 1.0 & ROBINS-I) were independently undertaken by two study authors. Randomised controlled trials (RCTs) and observational studies that used prescription claim databases or hospital medical records to examine patients’ adherence were included. Network meta-analyses (NMA) embedded within a Bayesian framework were conducted, investigating users’ likelihood in discontinuing bisphosphonate treatment. Where meta-analysis was not possible, data were synthesised using the vote-counting synthesis method. Results: Fifty-nine RCTs and 43 observational studies were identified, resulting in a total population of 2,656,659 participants. Data from 59 RCTs and 24 observational studies were used to populate NMAs. Zoledronate users were the least likely to discontinue their treatment HR = 0.73 (95%CrI: 0.61, 0.88). Higher rates of compliance were observed in those receiving intravenous treatments. The paucity of data and the heterogeneity in the reported medication possession ratio thresholds precluded a NMA of compliance data. Conclusions: Users of intravenously administered bisphosphonates were found to be the most adherent to treatment among bisphosphonates’ users. Patterns of adherence will permit the more precise estimation of clinical and cost-effectiveness of bisphosphonates. Trial registration: PROSPERO 2020 CRD42020177166
    • 

    corecore