Associations among neighborhood poverty, perceived neighborhood environment, and depressed mood are mediated by physical activity, perceived individual control, and loneliness

Few studies have documented the pathways through which individual level variables mediate the effects of neighborhoods on health. This study used structural equation modeling to examine if neighborhood characteristics are associated with depressive symptoms, and if so, what factors mediated these relationships. Cross-sectional data came from a sample of mostly rural, older adults in North Carolina (n = 1,558). Mediation analysis indicated that associations among neighborhood characteristics and depressive symptoms were mediated by loneliness (standardized indirect effect = −0.19, p < 0.001), physical activity (standardized indirect effect = −0.01, p = 0.003), and perceived individual control (standardized indirect effect = −0.07, p = 0.02) with loneliness emerging as the strongest mediator. Monitoring such individual mediators in formative and process evaluations may increase the precision of neighborhood-based interventions and policies

Identifying critical source areas using multiple methods for effective diffuse pollution mitigation

Diffuse pollution from agriculture constitutes a key pressure on the water quality of freshwaters and is frequently the cause of ecological degradation. The problem of diffuse pollution can be conceptualised with a source-mobilisation-pathway (or delivery)-impact model, whereby the combination of high source risk and strong connected pathways leads to ‘critical source areas’ (CSAs). These areas are where most diffuse pollution will originate, and hence are the optimal places to implement mitigation measures. However, identifying the locations of these areas is a key problem across different spatial scales within catchments. A number of approaches are frequently used for this assessment, although comparisons of these assessments are rarely carried out. We evaluate the CSAs identified via traditional walkover surveys supported by three different approaches, highlighting their benefits and disadvantages. These include a custom designed smartphone app; a desktop geographic information system (GIS) and terrain analysis-based SCIMAP (Sensitive Catchment Integrated Modelling and Analysis Platform) approach; and the use of a high spatial resolution drone dataset as an improved input data for SCIMAP modelling. Each of these methods captures the locations of the CSAs, revealing similarities and differences in the prioritisation of CSA features. The differences are due to the temporal and spatial resolution of the three methods such as the use of static land cover information, the ability to capture small scale features, such as gateways and the incomplete catchment coverage of the walkover survey. The relative costs and output resolutions of the three methods indicate that they are suitable for application at different catchment scales in conjunction with other methods. Based on the results in this paper, it is recommended that a multi-evidence-based approach to diffuse pollution management is taken across catchment spatial scales, incorporating local knowledge from the walkover with the different data resolutions of the SCIMAP approach

Mental Health in China: Stigma, Family Obligations, and the Potential of Peer Support

Some people with mental illness in China do not receive treatment. We explored how stigma and familial obligation influenced accessibility of social support for patients with depression in China and the potential acceptability of peer support programs. Semi-structured qualitative interviews were conducted with five psychiatrists and 16 patients receiving care for depression from a large psychiatric hospital in Jining, Shandong Province of China. Patients with mental illness reported barriers that prevented them from (a) receiving treatment and (b) relying on informal social support from family members, including stigma, somatization, and community norms. Circumventing these barriers, peer support (i.e., support from others with depression) was viewed by patients as an acceptable means of exchanging information and relying on others for support. Formative research on peer support programs to examine programming and activities may help reduce the burden of unmet mental health care needs in China

Phase diagram of turbulence in superfluid 3He-B

In superfluid 3He-B mutual-friction damping of vortex-line motion decreases roughly exponentially with temperature. We record as a function of temperature and pressure the transition from regular vortex motion at high temperatures to turbulence at low temperatures. The measurements are performed with non-invasive NMR techniques, by injecting vortex loops into a long column in vortex-free rotation. The results display the phase diagram of turbulence at high flow velocities where the transition from regular to turbulent dynamics is velocity independent. At the three measured pressures 10.2, 29.0, and 34 bar, the transition is centered at 0.52--0.59Tc and has a narrow width of 0.06Tc while at zero pressure turbulence is not observed above 0.45Tc.Comment: To be published in J. Low Temp. Phys. (QFS2004 proceedings

Dilute Bose gas in two dimensions: Density expansions and the Gross-Pitaevskii equation

A dilute two-dimensional (2D) Bose gas at zero temperature is studied by the method developed earlier by the authors. Low density expansions are derived for the chemical potential, ground state energy, kinetic and interaction energies. The expansion parameter is found to be a dimensionless in-medium scattering amplitude u obeying the equation 1/u+\ln u=-\ln(na^2\pi)-2\gamma, where na^2 and \gamma are the gas parameter and the Euler constant, respectively. It is shown that the ground state energy is mostly kinetic in the low density limit; this result does not depend on a specific form of the pairwise interaction potential, contrary to 3D case. A new form of 2D Gross-Pitaevskii equation is proposed within our scheme.Comment: 4 pages, REVTeX, no figure

Social support needs among patients with advanced breast cancer: Sensitivity trumps substance

Background The importance of social support for cancer patients has been established in previous studies. However, much of the existing research has identified associations between general measures of social support and various health indicators. Nevertheless, some research has begun to suggest the utility of more nuanced understandings of how patients receive and use social support. Objective To examine the roles of nondirective (ie, support that accepts recipients' feelings and is cooperative with their plans) and directive support (ie, support that prescribes "correct" choices and feelings) as well as social support needs and desires among patients with advanced breast cancer. Methods We conducted semi-structured interviews (qualitative method) with 8 patients with stage IV breast cancer to collect qualitative information about the disease-related challenges they faced, the support they received from their families and medical teams, and the appropriateness of directive and nondirective support. In addition, we used the 14-item Hospital Anxiety and Depression Scale (HADS) to assess clinically relevant cut-offs for anxiety and depression and the 16-item Social Support Inventory to assess the provision of nondirective and directive social support to the patients (quantitative method). Results Qualitative findings suggested that there was considerable variability among patients' reports of social support provided by family, friends, and the medical team. From the qualitative data, patients reported directive support as more useful in times of acute need and emphasized the importance of supportive systems rather than supportive persons in providing emotional support. From the quantitative data, patients reported nondirective support as more typical of support received from both family and medical teams than directive support. On the HADS, 1 patient had a score of 9 on the anxiety subscale, above the score of 7 that is for mild anxiety. No patients scored above the criterion for mild depression, also a score of 7. Limitations Very small sample limits the ability to generalize findings. Conclusions The right type of support for patients with advanced breast cancer is contingent on a range of variables, which suggests that the key characteristic of support may not be any particular feature, but the nuanced adjustment of its content and style of delivery to the patient's circumstances. Funding Peers for Progress

Reunion of random walkers with a long range interaction: applications to polymers and quantum mechanics

We use renormalization group to calculate the reunion and survival exponents of a set of random walkers interacting with a long range $1/r^2$ and a short range interaction. These exponents are used to study the binding-unbinding transition of polymers and the behavior of several quantum problems.Comment: Revtex 3.1, 9 pages (two-column format), 3 figures. Published version (PRE 63, 051103 (2001)). Reference corrections incorporated (PRE 64, 059902 (2001) (E

Combining the High Tech with the Soft Touch: Population Health Management Using eHealth and Peer Support

Integration of diverse approaches may offer paths to meeting population health challenges, such as how to provide ongoing diabetes self-management support to the 387 million people with the disease around the world. The Affordable Care Act challenges us to improve the health of whole populations, with an eye toward chronic diseases in particular. The centrality of highly variable human behavior provides enormous challenges to managing populations of those with chronic diseases. It requires reorienting resources within the health care system to address ongoing, effortful, and complex behaviors of patients amid strong competing priorities

The bulk correlation length and the range of thermodynamic Casimir forces at Bose-Einstein condensation

The relation between the bulk correlation length and the decay length of thermodynamic Casimir forces is investigated microscopically in two three-dimensional systems undergoing Bose-Einstein condensation: the perfect Bose gas and the imperfect mean-field Bose gas. For each of these systems, both lengths diverge upon approaching the corresponding condensation point from the one-phase side, and are proportional to each other. We determine the proportionality factors and discuss their dependence on the boundary conditions. The values of the corresponding critical exponents for the decay length and the correlation length are the same, equal to 1/2 for the perfect gas, and 1 for the imperfect gas

New Lower Bound on Fermion Binding Energies

We derive a new lower bound for the ground state energy $E^{\rm F}(N,S)$ of N fermions with total spin S in terms of binding energies $E^{\rm F}(N-1,S \pm 1/2)$ of (N-1) fermions. Numerical examples are provided for some simple short-range or confining potentials.Comment: 4 pages, 1 eps figur