Museums of Europe:Tangles of memory, borders, and race

In this article I investigate the making of two new museums of Europe—Marseille's Museum of the Civilizations of Europe and the Mediterranean and Berlin's Museum of European Cultures—by focusing on the kinds of “Europe” envisioned in their exhibitions. I argue that museums represent an important site where the geopolitical imaginary of a bounded, culturalized Europe is produced, even if by default. I explore how these older national folklore collections were strategically rebranded as museums of Europe to give a second life to their nearly obsolete displays. National projects and geopolitics play a key role in such memorial Europeanization. These insights challenge taken‐for‐granted understandings of scale in memory studies and offer a more nuanced understanding of how Europeanization is playing out within cultural institutions. Amid multiple European crises, “Europe” is increasingly imagined as a diverse but essentially united cultural space—however fuzzy and contested its cultural content may be—while this spatial imaginary is racialized in subtle ways

Compression of frailty in adults living with HIV

BACKGROUND: Contemporary HIV care may reduce frailty in older adults living with HIV (OALWH). Objective of the study was to estimate prevalence of frailty at the age of 50 and 75 years, and build a model to quantify the burden of frailty in the year 2030. // METHODS: This study included OALWH attending Modena HIV Metabolic Clinic between 2009 and 2015. Patients are referred from more than 120 HIV clinics well distributed across Italy, therefore being country representative. Our model forecasts the new entries on yearly basis up to 2030. Changes in frailty over a one-year period using a 37-variable frailty index (FI) and death rates were modelled using a validated mathematical algorithm with parameters adjusted to best represent the changes observed at the clinic. In this study, we assessed the number of frailest individuals (defined with a FI > 0.4) at the age of 50 and at the age 75 by calendar year. // RESULTS: In the period 2015–2030 we model that frailest OALWH at age 50 will decrease from 26 to 7%, and at the age of 75 years will increase from 43 to 52%. This implies a shift of the frailty prevalence at an older age. // CONCLUSION: We have presented projections of how the burden of frailty in older adults, living with HIV will change. We project fewer people aged 50+ with severe frailty, most of whom will be older than now. These results suggest a compression of age-related frailty

Serotonin receptor inhibitor is associated with falls independent of frailty in older adults

Objectives: To evaluate whether fall risk in older adults is associated with the use of selective serotonin receptor inhibitor (SSRI) monotherapy among geriatric outpatients, and whether this association is moderated by the presence of depressive disorder and/or frailty. Methods: Prospective cohort study with a 12-month follow-up and including 811 community-dwelling adults aged 60 or older from a university-based Geriatric Outpatient Unit. Major depressive disorder (MDD) was diagnosed according to DSM-5 criteria; subsyndromal depression as not meeting MDD criteria, but a Geriatric Depression Scale 15-item score ? 6 points. Frailty was evaluated with the FRAIL questionnaire. The association between SSRI use, depression, or both as well as the association between SSRI use, frailty, or both with falls were estimated through a generalized estimating equation (GEE) adjusted for relevant confounders. Results: At baseline, 297 patients (36.6%) used a SSRI (82 without remitted depression) and 306 (37.7%) were classified as physically frail. Frailty was more prevalent among SSRI users (44.8% versus 33.7%, p =.004). After 12 months, 179 participants had at least one fall (22.1%). SSRI use, depression as well as frailty were all independently associated with falls during follow-up. Nonetheless, patients with concurrent of SSRI usage and non-remitted depression had no higher risk compared to either remitted SSRI users or depressed patients without SSRIs. In contrast, concurrence of SSRI use and frailty increases the risk of falling substantially above those by SSRI usage or frailty alone. Conclusion: SSRI usage was independently associated with falls. Especially in frail-depressed patients, treatment strategies for depression other than SSRIs should be considered

Automatic speech analysis to early detect functional cognitive decline in elderly population

This study aimed at evaluating whether people with a normal cognitive function can be discriminated from subjects with a mild impairment of cognitive function based on a set of acoustic features derived from spontaneous speech. Voice recordings from 90 Italian subjects (age >65 years; group 1: 47 subjects with MMSE>26; group 2: 43 subjects with 20≤ MMSE ≤26) were collected. Voice samples were processed using a MATLAB-based custom software to derive a broad set of known acoustic features. Linear mixed model analyses were performed to select the features able to significantly distinguish between groups. The selected features (% of unvoiced segments, duration of unvoiced segments, % of voice breaks, speech rate, and duration of syllables), alone or in addition to age and years of education, were used to build a learning-based classifier. The leave-one-out cross validation was used for testing and the classifier accuracy was computed. When the voice features were used alone, an overall classification accuracy of 0.73 was achieved. When age and years of education were additionally used, the overall accuracy increased up to 0.80. These performances were lower than the accuracy of 0.86 found in a recent study. However, in that study the classification was based on several tasks, including more cognitive demanding tasks. Our results are encouraging because acoustic features, derived for the first time only from an ecologic continuous speech task, were able to discriminate people with a normal cognitive function from people with a mild cognitive decline. This study poses the basis for the development of a mobile application performing automatic voice analysis on-the-fly during phone calls, which might potentially support the detection of early signs of functional cognitive decline

Water balance implications of switching from continuous submergence to flush irrigation in a rice-growing district

Studies conducted at the field scale report significant reductions in the irrigation requirements of ricewhen continuous submergence (CS) is replaced by less water-demanding regimes such as flush-irrigation(FI, i.e. intermittent irrigations of rice growing in non-submerged soils). However, the effects of theirextensive application in paddy areas with shallow groundwater is much less studied. We present a sce-nario analysis investigating the impacts on irrigation requirements induced by a shift from CS to FI inan irrigation district of Northern Italy where rice is the main crop, followed by maize and poplar. Thearea is characterised by a shallow water Table whose depth fluctuates between two meters (in winter)and less than 1 m (in summer). We applied a three-stage procedure, where we first analysed presentstate conditions using the SWAP (Soil, Water, Atmosphere, Plant) model to simulate irrigation deliver-ies and percolation fluxes. Then, we calibrated an empirical relationship between estimated percolationfluxes and measured depths to groundwater. Finally, we applied this relationship, in combination withthe SWAP model, to predict the variation of district irrigation requirements due to a widespread shiftfrom CS to FI. Results show that neglecting the feedback between groundwater recharge due to irrigationand groundwater depth led to overestimating the reduction of irrigation requirements of rice, whichdecreased from around 80% when no feedback was considered to around 60% when it was accountedfor. Moreover, increased groundwater depths resulted in higher irrigation requirements for maize withan estimated growth of more than 50% due to the need of shortening the irrigation turn. These resultsdemonstrate the importance of considering the impacts on the hydrological processes at larger scaleswhen planning the conversion of CS into more efficient field irrigation methods