Understanding psychiatric institutionalization: a conceptual review

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Media coverage of the Zika crisis in Brazil: the construction of a 'war' frame that masked social and gender inequalities

Between 2015 and 2016, Zika became an epidemic of global concern and the focus of intense media coverage. Using a hybrid model of frame and social representations theory, we examine how the Zika outbreak was reported in two major newspapers in Brazil: O Globo and Folha de São Paulo. The analysis of 186 articles published between December 2015 and May 2016 reveals a dominant ‘war’ frame supported by two sub-frames: one focused on eradicating the vector (mosquito) and another on controlling microcephaly, placing the burden of prevention on women. Scientific uncertainties about the virus and its relationship to microcephaly coupled with political uncertainties in Brazil increased the power of the war frame. This frame gave prominence and legitimacy to certain representations of disease management during the crisis, masking social and gender inequalities. We show how the cartography of the disease overlaps with that of poverty and regional inequality in Brazil to argue that addressing socio-economic aspects is essential, but normally neglected, in media communications during disease outbreaks like Zika

Dimethylsulfoniopropionate biosynthesis in marine bacteria and identification of the key gene in this process

Dimethylsulphoniopropionate (DMSP) is one of the Earth’s most abundant organosulphur molecules, a signalling molecule, a key nutrient for marine microorganisms, and the major precursor for gaseous dimethyl sulphide (DMS). DMS, another infochemical in signalling pathways, is important in global sulphur cycling2, and affects the Earth’s albedo, and potentially climate, via sulphate aerosol and cloud condensation nuclei production. It was thought that only eukaryotes produce significant amounts of DMSP, but here we demonstrate that many marine heterotrophic bacteria also produce DMSP, likely using the same methionine (Met) transamination pathway as macroalgae and phytoplankton10. We identify the first DMSP synthesis gene in any organism, dsyB, which encodes the key methyltransferase enzyme of this pathway and is a reliable reporter for bacterial DMSP synthesis in marine alphaproteobacteria. DMSP production and dsyB transcription are upregulated by increased salinity, nitrogen limitation and lower temperatures in our model DMSP-producing bacterium Labrenzia aggregata LZB033. With significant numbers of dsyB homologues in marine metagenomes, we propose that bacteria likely make a significant contribution to oceanic DMSP production. Furthermore, since DMSP production is not solely associated with obligate phototrophs, the process need not be confined to the photic zones of marine environments, and as such may have been underestimate

Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: a qualitative study nested within a randomised controlled trial.

BACKGROUND: We undertook a cluster randomised controlled trial to assess the effectiveness of a staff training intervention to improve patient engagement in activities in inpatient mental health rehabilitation units. Concurrently, we undertook a qualitative study to investigate the experiences of staff within the intervention units and the contextual issues that may have influenced the effectiveness of the intervention. METHOD: We conducted focus groups with staff working in the inpatient units that received the intervention, sampled using a maximum variation strategy. RESULTS: The intervention was accepted by staff. However, the skills gained, and changes to the unit's processes and structures that were agreed with the intervention team were not sustained after they left. The main reasons for this were a) external factors (economic recession, resource limitations); b) organisation level factors (lack of senior staff support; competing priorities); c) limitations of the intervention itself (length of intensive training period; reinforcement of skills). CONCLUSION: This study illustrates some of the inter-related factors which operate at different levels within and outside of NHS organisations that may impact on the success of complex interventions. These factors need to be considered when designing interventions to ensure adequate buy-in from senior staff. TRIAL REGISTRATION: Current Controlled Trials ISRCTN25898179 (Registered 23 April 2010)

Simulating dimethylsulphide seasonality with the Dynamic Green Ocean Model PlankTOM5

We study the dynamics of dimethylsulphide (DMS) and dimethylsulphoniopropionate (DMSP) using the global ocean biogeochemistry model PlankTOM5, which includes three phytoplankton and two zooplankton functional types (PFTs). We present a fully prognostic DMS module describing intracellular particulate DMSP (DMSPp) production, concentrations of dissolved DMSP (DMSPd), and DMS production and consumption. The model produces DMS fields that compare reasonably well with the observed annual mean DMS fields, zonal mean DMS concentrations, and its seasonal cycle. Modeled ecosystem composition and modeled total chlorophyll influenced mean DMS concentrations and DMS seasonality at mid- and high latitudes, but did not control the seasonal cycle in the tropics. The introduction of a direct, irradiation-dependent DMS production term (exudation) in the model improved the match between modeled and observed DMS seasonality, but deteriorated simulated zonal mean concentrations. In PlankTOM5, exudation was found to be most important for DMS seasonality in the tropics, and a variable DMSP cell quota as a function of light and nutrient stress was more important than a PFT-specific minimal DMSPp cell quota. The results suggest that DMS seasonality in the low latitudes is mostly driven by light. The agreement between model and data for DMS, DMSPp, and DMSPd is reasonable at the Bermuda Atlantic Time Series Station, where the summer paradox is observed