Connecting With Clients in Later Life: The Use of Telebehavioral Health to Address Older Adults’ Mental Health Needs

Telebehavioral health offers a unique opportunity to expand access to mental health services for older clients by addressing systemic barriers that often render mental health care inaccessible in later life. Although health interventions facilitated by technology, including telebehavioral health approaches, proliferated at the start of the COVID-19 pandemic, little guidance exists for counselors seeking to provide such services to clients in later life. In this manuscript, we describe challenges accessing mental health services, how telebehavioral health services can address these barriers, and practical consideration for delivering telebehavioral health approaches for counselors who work with older clients

Mandated Access: Commensurability and the Right to Say \u27No\u27

Here is the problem as Congress saw it: A distributor of television programming (a cable television operator or a distributor of television programming via other media) cannot thrive unless it can supply viewers with top-rated programming. Few customers want to subscribe to a service that lacks NBC\u27s Seinfeld, the latest episodes of General Hospital, or even PBS educational documentaries. Special provisions in the 1976 Copyright Act gave cable operators some liberty to retransmit broadcast programming. However, that Act created no such liberties for programming originating from within cable companies. Because the national market for programming is dominated by a few large cable operators, smaller distributors - such as direct broadcast satellites (DBS) and multichannel, multipoint distribution services (MMDS) (wireless cable) - may find it difficult to obtain permission to show popular programming that originates from their large competitors

Mandated Access: Commensurability and the Right to Say \u27No\u27

Here is the problem as Congress saw it: A distributor of television programming (a cable television operator or a distributor of television programming via other media) cannot thrive unless it can supply viewers with top-rated programming. Few customers want to subscribe to a service that lacks NBC\u27s Seinfeld, the latest episodes of General Hospital, or even PBS educational documentaries. Special provisions in the 1976 Copyright Act gave cable operators some liberty to retransmit broadcast programming. However, that Act created no such liberties for programming originating from within cable companies. Because the national market for programming is dominated by a few large cable operators, smaller distributors - such as direct broadcast satellites (DBS) and multichannel, multipoint distribution services (MMDS) (wireless cable) - may find it difficult to obtain permission to show popular programming that originates from their large competitors

The bioeconomic potential for agroforestry in northern cattle grazing systems : an evaluation of tree alley scenarios in central Queensland

Extensive land clearing for livestock production and associated land degradation has led to greater interest in the role of trees and revegetation practices such as agroforestry for achieving productivityand environmental outcomes in pastoral landscapes. RIRDC recently funded a national scale analysis (Polglase et al. 2008) of the potential to grow and profitably market wood products. Whilst there is now a growing understanding of the bio-economic interactions driving plantation hardwoods, there is little known about the economic outcomes of establishing complementary agroforestry and silvopastoralism in northern Australia’s lower rainfall zones (600-750 mm annual rainfall) including central Queensland. Silvopastoralism may offer landholders considerable advantages over traditional grazing systems in terms of income diversification, environmental benefits through increased woody vegetation cover andareas of stimulated versus constrained pasture growth. RIRDC commissioned this investigation to better understand whether an agro-forestry production system produces better financial and environmental outcomes than an extensive grazing system

Recombinant Eimeria Protozoan Protein Elicits Resistance to Acute Phlebovirus Infection in Mice but Not Hamsters

A protein antigen from an Eimeria protozoan has recently been reported to induce antitumor activity in mice. This activity most likely results from the strong induction of interkeukin-12 (IL-12) and gamma interferon (IFN-γ), which are also essential factors in the establishment of protective immunity against viral infection. We evaluated recombinant Eimeria antigen (rEA) as a potential immunotherapeutic agent in mouse and hamster models of acute phleboviral disease. Punta Toro virus (PTV) was highly sensitive to a single dose of nanogram quantities of rEA in the mouse infection model. Intraperitoneal treatment with rEA also reduced virus load and liver damage associated with PTV infection. IL-12 was elicited following exposure of uninfected mice to quantities of rEA of 10 ng or greater, and the levels peaked at between 3 and 8 h postexposure. IFN-γ release was induced more slowly and required less rEA (1 ng) to produce a significant rise in systemic levels. The induction of IL-12 and IFN-γ involved in the coordination of innate and adaptive immune responses to microbial pathogens required myeloid differentiation factor 88, a signaling adaptor shared by most members of the Toll-like receptor (TLR) family. Despite encouraging results in the murine system, rEA failed to protect hamsters challenged with PTV. Our findings suggest that hamsters may lack functional TLR11, which has recently been shown to recognize a profilin-like protein homologous to rEA from the protozoan Toxoplasma gondii. Further investigation into the immunostimulatory capacity of rEA in other mammalian systems is necessary

Interferon Alfacon-1 Protects Hamsters from Lethal Pichinde Virus Infection

Hemorrhagic fever of arenaviral origin is a frequently fatal infectious disease of considerable priority to the biodefense mission. Historically, the treatment of arenaviral infections with alpha interferons has not yielded favorable results. Here we present evidence that interferon alfacon-1, a nonnaturally occurring bioengineered alpha interferon approved for the treatment of chronic hepatitis C, is active against Pichinde and Tacaribe arenaviruses in cell culture. In the hamster model of Pichinde virus (PCV) infection, interferon alfacon-1 treatment significantly protected animals from death, prolonged the survival of those that eventually died, reduced virus titers, and limited liver damage characteristic of PCV-induced disease. Moreover, interferon alfacon-1 also demonstrated therapeutic activity, to a lesser degree, when the initiation of treatment was delayed up to 2 days post-virus challenge. Despite the observed advantages of interferon alfacon-1 therapy, efforts to stimulate the immune system with the known interferon inducer poly(I:C(12)U) (Ampligen) offered only limited protection against lethal PCV challenge. Taken together, these data suggest that the increased potency of the bio-optimized interferon alfacon-1 molecule may be critical to the observed antiviral effects. These data are the first report demonstrating efficacious treatment of acute arenaviral disease with alpha interferon therapy, and further study is warranted

Health Among Caregivers of Children With Health Problems: Findings From a Canadian Population-Based Study

Objectives. We used population-based data to evaluate whether caring for a child with health problems had implications for caregiver health after we controlled for relevant covariates