Pre-surgical depression and anxiety and recovery following coronary artery bypass graft surgery

We aimed to explore the combined contribution of pre-surgical depression and anxiety symptoms for recovery following coronary artery bypass graft (CABG) using data from 251 participants. Participants were assessed prior to surgery for depression and anxiety symptoms and followed up at 12 months to assess pain and physical symptoms, while hospital emergency admissions and death/major adverse cardiac events (MACE) were monitored on average 2.68 years after CABG. After controlling for covariates, baseline anxiety symptoms, but not depression, were associated with greater pain (β = 0.231, p = 0.014) and greater physical symptoms (β = 0.194, p = 0.034) 12 months after surgery. On the other hand, after controlling for covariates, baseline depression symptoms, but not anxiety, were associated with greater odds of having an emergency admission (OR 1.088, CI 1.010–1.171, p = 0.027) and greater hazard of death/MACE (HR 1.137, CI 1.042–1.240, p = 0.004). These findings point to different pathways linking mood symptoms with recovery after CABG surgery

Dust and star formation properties of a complete sample of local galaxies drawn from the Planck Early Release Compact Source Catalogue

We combine Planck High Frequency Instrument data at 857, 545, 353 and 217 GHz with data from Wide-field Infrared Survey Explorer (WISE), Spitzer, IRAS and Herschel to investigate the properties of a well-defined, flux-limited sample of local star-forming galaxies. A 545 GHz flux density limit was chosen so that the sample is 80 per cent complete at this frequency, and the resulting sample contains a total of 234 local, star-forming galaxies. We investigate the dust emission and star formation properties of the sample via various models and calculate the local dust mass function. Although single-component-modified blackbodies fit the dust emission longward of 80 \u3bcm very well, with a median \u3b2 = 1.83, the known degeneracy between dust temperature and \u3b2 also means that the spectral energy distributions are very well described by a dust component with dust emissivity index fixed at \u3b2 = 2 and temperature in the range 10-25 K. Although a second, warmer dust component is required to fit shorter wavelength data, and contributes approximately a third of the total infrared emission, its mass is negligible. No evidence is found for a very cold (6-10 K) dust component. The temperature of the cold dust component is strongly influenced by the ratio of the star formation rate to the total dust mass. This implies, contrary to what is often assumed, that a significant fraction of even the emission from \u2dc20 K dust is powered by ongoing star formation, whether or not the dust itself is associated with star-forming clouds or `cirrus'. There is statistical evidence of a free-free contribution to the 217 GHz flux densities of 7220 per cent. We find a median dust-to-stellar mass ratio of 0.0046; and that this ratio is anticorrelated with galaxy mass. There is good correlation between dust mass and atomic gas mass (median Md/MHI = 0.022), suggesting that galaxies that have more dust (higher values of Md/M*) have more interstellar medium in general. Our derived dust mass function implies a mean dust mass density of the local Universe (for dust within galaxies), of 7.0 \ub1 1.4 7 105 M 99 Mpc-3, significantly greater than that found in the most recent estimate using Herschel data. \ua9 2013 The Authors Published by Oxford University Press on behalf of the Royal Astronomical Society

The relationships between self-compassion, attachment and interpersonal problems in clinical patients with mixed anxiety and depression and emotional distress

Self-compassion has been consistently linked to psychological well-being. The ability to be self-compassionate may be shaped by early attachment experiences and associated with interpersonal difficulties. However, evidence has yet to be extended to clinical populations. This study examined the role of self-compassion and its relationship with attachment and interpersonal problems in clinical patients with anxiety and depression. Participants (N = 74; 60% female, mean age 40 years) were recruited from a primary care psychological therapies service in Scotland, UK. Participants completed four self-report questionnaires assessing self-compassion, attachment, interpersonal problems and emotional distress (including depression and anxiety). Low self-compassion, attachment-related avoidance (but not attachment-related anxiety) and high interpersonal problems were all associated with higher levels of emotional distress and anxiety. Low self-compassion and high interpersonal problems were predicted by attachment-related avoidance. Self-compassion mediated the relationship between attachment-related avoidance and emotional distress and anxiety. This was a cross-sectional design and therefore a definitive conclusion cannot be drawn regarding causal relationships between these variables. Self-reported questionnaires were subject to response bias. This study has extended the evidence base regarding the role of self-compassion in patients with clinical levels of depression and anxiety. Notably, our findings indicated that self-compassion may be a particularly important construct, both theoretically and clinically, in understanding psychological distress amongst those with higher levels of attachment avoidance. This study supports the development and practice of psychotherapeutic approaches, such as compassion-focused therapy for which there is a growing evidence base

L'Italia come modello per l'Europa e per il mondo nelle politiche sanitarie per il trattamento dell'epatite cronica da HCV

The World Health Organization foresees the elimination of HCV infection by 2030. In light of this and the curre nt, nearly worldwide, restriction in direct-acting agents (DAA) accessibility due to their high price, we aimed to evaluate the cost-effectiveness of two alternative DAA treatment policies: Policy 1 (universal): treat all patients, regardless of the fibrosis stage; Policy 2 (prioritized): treat only priori tized patients and delay treatment of the remaining patients until reaching stage F3. T he model was based on patient’s data from the PITER cohort. We demonstrated that extending HC V treatment of patients in any fibrosis stage improves health outcomes and is cost-effective