Aging and well-being in Goa, India: a qualitative study.

: The population of India is aging rapidly. This demographic shift brings with it a host of challenges to the health and well-being of older adults, including the increased prevalence of non-communicable diseases, among them depressive disorders. In this paper, we report on qualitative research intended to inform the development of a locally acceptable and appropriate intervention to improve the well-being of older adults in Goa, India and, specifically, to prevent late-life depression. : Semi-structured interviews with 20 individuals, aged 60 years and older, attending two primary care clinics in Goa, India. Transcripts were reviewed to identify emerging themes, a coding scheme was developed and thematic analyses were conducted. : Analyses of the interview transcripts revealed the following key themes: (1) notions of old age tended to be negative and there were widespread fears of becoming widowed or incapacitated; (2) the most frequently reported health conditions were joint pain, diabetes and heart disease; (3) emotional distress was described using the terms 'tension', 'stress', 'worry' and 'thinking'; (4) family issues often involved financial matters, difficult relationships with daughters-in-law and conflicted feelings about living with the family or independently; (5) other than a pension scheme, participants did not know of community resources available to older adults. : Our findings are in general agreement with those of previous research, and with our experiences of working with older adults in Pittsburgh and the Netherlands. This research will inform the development of an intervention to prevent depression in older adults in Goa.<br/

Eef1a2 Promotes Cell Growth, Inhibits Apoptosis and Activates JAK/STAT and AKT Signaling in Mouse Plasmacytomas

The canonical function of EEF1A2, normally expressed only in muscle, brain, and heart, is in translational elongation, but recent studies suggest a non-canonical function as a proto-oncogene that is overexpressed in a variety of solid tumors including breast and ovary. Transcriptional profiling of a spectrum of primary mouse B cell lineage neoplasms showed that transcripts encoding EEF1A2 were uniquely overexpressed in plasmacytomas (PCT), tumors of mature plasma cells. Cases of human multiple myeloma expressed significantly higher levels of EEF1A2 transcripts than normal bone marrow plasma cells. High-level expression was also a feature of a subset of cell lines developed from mouse PCT and from the human MM.Heightened expression of EEF1A2 was not associated with increased copy number or coding sequence mutations. shRNA-mediated knockdown of Eef1a2 transcripts and protein was associated with growth inhibition due to delayed G1-S progression, and effects on apoptosis that were seen only under serum-starved conditions. Transcriptional profiles and western blot analyses of knockdown cells revealed impaired JAK/STAT and PI3K/AKT signaling suggesting their contributions to EEF1A2-mediated effects on PCT induction or progression.EEF1A2 may play contribute to the induction or progression of some PCT and a small percentage of MM. Eef1a2 could also prove to be a useful new marker for a subset of MM and, ultimately, a possible target for therapy

A cross-sectional testing of The Iowa Personality Disorder Screen in a psychiatric outpatient setting

<p>Abstract</p> <p>Background</p> <p>Patients suspected of personality disorders (PDs) by general practitioners are frequently referred to psychiatric outpatient clinics (POCs). In that setting an effective screening instrument for PDs would be helpful due to resource constraints. This study evaluates the properties of The Iowa Personality Disorder Screen (IPDS) as a screening instrument for PDs at a POC.</p> <p>Methods</p> <p>In a cross-sectional design 145 patients filled in the IPDS and were examined with the SCID-II interview as reference. Various case-findings properties were tested, interference of socio-demographic and other psychopathology were investigated by logistic regression and relationships of the IPDS and the concept of PDs were studied by a latent variable path analysis.</p> <p>Results</p> <p>We found that socio-demographic and psychopathological factors hardly disturbed the IPDS as screening instrument. With a cut-off ≥4 the 11 items IPDS version had sensitivity 0.77 and specificity 0.71. A brief 5 items version showed sensitivity 0.82 and specificity 0.74 with cut-off ≥ 2. With exception for one item, the IPDS variables loaded adequately on their respective first order variables, and the five first order variables loaded in general adequately on their second order variable.</p> <p>Conclusion</p> <p>Our results support the IPDS as a useful screening instrument for PDs present or absent in the POC setting.</p

Dissecting the determinants of depressive disorders outcome: an in depth analysis of two clinical cases

Clinicians face everyday the complexity of depression. Available pharmacotherapies and psychotherapies improve patients suffering in a large part of subjects, however up to half of patients do not respond to treatment. Clinicians may forecast to a good extent if a given patient will respond or not, based on a number of data and sensations that emerge from face to face assessment. Conversely, clinical predictors of non response emerging from literature are largely unsatisfactory. Here we try to fill this gap, suggesting a comprehensive assessment of patients that may overcome the limitation of standardized assessments and detecting the factors that plausibly contribute to so marked differences in depressive disorders outcome. For this aim we present and discuss two clinical cases. Mr. A was an industrial manager who came to psychiatric evaluation with a severe depressive episode. His employment was demanding and the depressive episode undermined his capacity to manage it. Based on standardized assessment, Mr. A condition appeared severe and potentially dramatic. Mrs. B was a housewife who came to psychiatric evaluation with a moderate depressive episode. Literature predictors would suggest Mrs. B state as associated with a more favourable outcome. However the clinician impression was not converging with the standardized assessment and in fact the outcome will reverse the prediction based on the initial formal standard evaluation. Although the present report is based on two clinical cases and no generalizability is possible, a more detailed analysis of personality, temperament, defense mechanisms, self esteem, intelligence and social adjustment may allow to formalize the clinical impressions used by clinicians for biologic and pharmacologic studies

Digesting men?: ethnicity, gender and food: perspectives from a 'prison ethnography'

Drawing from an ethnographic study of men’s social relations in an English prison, this article explores the potential of attending closely to men’s practice for the light it may shed on the boundaries of punishment. Interviews with prisoners and fieldwork experiences reveal something of the way prison acts on an ethnically diverse group of men. Focusing on the way men use cooking facilities on the prison’s wings, the article explores the way men make food for themselves and each other and thereby occupy prison space with unconventional (and conventional) gender practice. Using intersectional perspectives the article shows how practices of racialization, racism, conviviality and coercion are woven into the fabric of prison life. These quotidian experiences are juxtaposed against the question of how prisons and prisoner populations represent a spectrum of violence in which gender dynamics remain under-examined. By providing glimpses of men’s lives in an English prison to reveal aspects of the ways masculinities and ethnicities interact to shape a penal regime the authors offer some resources for, and perspective on, the theorization of punishment’s boundaries

Incidence of competitors and landscape structure as predictors of woodland-dependent birds

Globally, modification of landscapes for agriculture has had a strong influence on the distribution and abundance of biota. In particular, woodland-dependent birds are under threat across agricultural landscapes in Britain, North America and Australia, with their decline and extirpation attributed to the loss and fragmentation of habitat. Other native species have become over-abundant in response to anthropogenic landscape change and have strong interactive effects on avian assemblage structure. In eastern Australia, the hyper-aggressive noisy miner (Manorina melanocephala) often dominates woodlands in agricultural landscapes through interspecific competition, resulting in declines of species richness of woodland-dependent birds. We aimed to determine the relative influence and importance of interspecific competition, in situ habitat structure and landscape structure for woodland-dependent bird species at the landscape level. We recorded species-specific landscape incidence of woodland-dependent birds in 24 agricultural-woodland mosaics (25 km(2)) in southern Queensland, Australia. We selected extensively cleared landscapes (10-23 % woodland cover) where fragmentation effects are expected to be greatest. We applied generalised linear models and hierarchical partitioning to quantify the relative importance of the landscape-level incidence of the noisy miner, mistletoe abundance, shrub cover, woodland extent, woodland subdivision and land-use intensity for the incidence of 46 species of woodland birds at the landscape-scale. The landscape-level incidence of the noisy miner was the most important explanatory variable across the assemblage. Both in situ habitat structure and landscape structure were of secondary importance to interspecific aggression, although previous research suggests that the increasing incidence of the noisy miner in fragmented agricultural landscapes is itself a consequence of anthropogenic changes to landscape structure. Species' responses to fragmentation varied from positive to negative, but complex habitat structure had a consistently positive effect, suggesting in situ restoration of degraded habitats could be a conservation priority. Landscape wide conservation of woodland-dependent bird populations in agricultural landscapes may be more effective if direct management of noisy miner populations is employed, given the strong negative influence of this species on the incidence of woodland-dependent birds among landscapes