Cultural Variations in Public Beliefs about Mental Disorders: A Comparison between Tunisia and Germany

In recent years there is a growing interest in public beliefs about mental disorders. Numerous representative population-based studies have been conducted around the globe, also in European countries bordering on the Mediterranean Sea. However, relatively little is known about public beliefs in countries in Northern Africa. To fill this gap by comparing public beliefs about mental disorders in Tunisia and Germany, focusing on causal beliefs, help-seeking recommendations and treatment preferences. Representative national population-based surveys have been conducted in Tunisia in 2012 (N = 811) and in Germany in 2011 (N = 1852), using the same interview mode and the same fully structured interview starting with a vignette depicting a person suffering from either schizophrenia or depression. In Tunisia, the public was more likely to adopt psychosocial and to reject biogenetic explanations than in Germany. Correspondingly, psychological treatments were more frequently recommended and biological ones more frequently advised against. There was also a strong inclination to share religious beliefs and to recommend seeking religious advice. Tunisians tended much more than Germans to hold moralistic views and to blame the afflicted person for his or her illness. In Tunisia, the public tended less to differentiate between schizophrenia and depression than in Germany. Marked differences between Tunisia and Germany exist in public beliefs about the causes of mental disorders and their treatment, which correspond to differences in cultural orientations prevailing in these countries. Mental health professionals need to be sensitive to the particular cultural context in which they operate, in order to be able to reach those they intend to care for

EIT Observations of the Extreme Ultraviolet Sun

The Extreme Ultraviolet Imaging Telescope (EIT) on board the SOHO spacecraft has been operational since 2 January 1996. EIT observes the Sun over a 45 x 45 arc min field of view in four emission line groups: Feix, x, Fexii, Fexv, and Heii. A post-launch determination of the instrument flatfield, the instrument scattering function, and the instrument aging were necessary for the reduction and analysis of the data. The observed structures and their evolution in each of the four EUV bandpasses are characteristic of the peak emission temperature of the line(s) chosen for that bandpass. Reports on the initial results of a variety of analysis projects demonstrate the range of investigations now underway: EIT provides new observations of the corona in the temperature range of 1 to 2 MK. Temperature studies of the large-scale coronal features extend previous coronagraph work with low-noise temperature maps. Temperatures of radial, extended, plume-like structures in both the polar coronal hole and in a low latitude decaying active region were found to be cooler than the surrounding material. Active region loops were investigated in detail and found to be isothermal for the low loops but hottest at the loop tops for the large loops

Relapse according to antipsychotic treatment in schizophrenic patients: a propensity-adjusted analysis

<p>Abstract</p> <p>Objective</p> <p>To compare the rate of relapse as a function of antipsychotic treatment (monotherapy vs. polypharmacy) in schizophrenic patients over a 2-year period.</p> <p>Methods</p> <p>Using data from a multicenter cohort study conducted in France, we performed a propensity-adjusted analysis to examine the association between the rate of relapse over a 2-year period and antipsychotic treatment (monotherapy vs. polypharmacy).</p> <p>Results</p> <p>Our sample consisted in 183 patients; 50 patients (27.3%) had at least one period of relapse and 133 had no relapse (72.7%). Thirty-eight (37.7) percent of the patients received polypharmacy. The most severely ill patients were given polypharmacy: the age at onset of illness was lower in the polypharmacy group (p = 0.03). Patients that received polypharmacy also presented a higher general psychopathology PANSS subscore (p = 0.04) but no statistically significant difference was found in the PANSS total score or the PANSS positive or negative subscales. These patients were more likely to be given prescriptions for sedative drugs (p < 0.01) and antidepressant medications (p = 0.03). Relapse was found in 23.7% of patients given monotherapy and 33.3% given polypharmacy (p = 0.16). After stratification according to quintiles of the propensity score, which eliminated all significant differences for baseline characteristics, antipsychotic polypharmacy was not statistically associated with an increase of relapse: HR = 1.686 (0.812; 2.505).</p> <p>Conclusion</p> <p>After propensity score adjustment, antipsychotic polypharmacy is not statistically associated to an increase of relapse. Future randomised studies are needed to assess the impact of antipsychotic polypharmacy in schizophrenia.</p

Phosphorus species and fractionation: why sewage derived phosphorus is a problem

Phosphorus (P) inputs to sewage treatment works (STW) come from a variety of sources and filtration of treated wastewater prior to discharge into receiving waters is a common practice. This means P in treated wastewaters may be present in forms that are potentially more bioavailable and mobile. We conducted a 2-year study to determine P species up and downstream of two STW outfalls into two tributaries of the River Thames. Downstream of the outfalls, P concentrations in both rivers were frequently greater by an order of magnitude for all species of P. A high proportion of total P (TP) in the downstream waters was determined as dissolved, which was largely comprised of soluble reactive P (SRP) - considered as the most bioavailable P species. Furthermore no significant difference in SRP was found in receiving waters passed through 0.45 and 0.10 μm filters. This means that P from STWs occurs in <0.1 μm fraction size, which will not readily settle to the channel bed and is more easily assimilated by biota. This distinguishes STW inputs from agricultural runoff where a high proportion of P occurs as particulate P which is both less bioavailable and more likely to settle to the channel bed. This implies that STWs derived P is likely to have a greater adverse impact on the receiving river than agricultural runoff

Mechanical Harvesting of Fruits and Vegetables

From the mid to the late 1950's, it became increasingly apparent that the New York State fruit and vegetable industry would have to mechanize more, if not all, operations to remain competitive with other producing areas. While other farm operations in general had reduced their labor requirement to 33 percent of that used in 1940, fruit and vegetable farms had reduced labor to only 57 percent of the 1940 requirement

Use of amoxicillin in extenders for stallion spermatozoa

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