744 research outputs found
The Beliefs of Non-Psychiatric Doctors about the Causes, Treatments and Prognosis of Schizophrenia
Objectives
To examine the causal beliefs about schizophrenia of nonâpsychiatric doctors and whether differential belief in biogenetic vs. psychosocial causes influences doctorsâ views about treatments and prognosis.
Design and methods
Three hundred and five nonâpsychiatric doctors working in outpatient community centres completed the âOpinions on mental disorders Questionnaireâ after reading a clinical description of people with schizophrenia.
Results
The factors most frequently reported as causes of schizophrenia were heredity (65.2%) and use of street drugs (54.1%). Seventyâfive per cent of participants endorsed both one or more biological causal factors and one or more psychosocial causal factors. Of the 264 participants who expressed their opinion about the most important cause of schizophrenia, 53.8% indicated a biogenetic cause. Fiftyâtwo per cent of respondents thought it âcompletely trueâ that drugs are useful in schizophrenia, and 33.9% thought it âcompletely trueâ that people with schizophrenia must take drugs all their life. Participants stating that the most important cause was biogenetic more frequently recommended a psychiatrist and less frequently a psychologist. Compared to doctors who indicated a psychosocial cause as the most important one, those who indicated a biogenetic cause were more sceptical about recovery, more confident in the usefulness of drugs, and more convinced of the need of lifelong pharmacological treatments in schizophrenia.
Conclusions
These findings suggest the need to provide some doctors with training on the multiple, interacting causes of schizophrenia and the efficacy of the broad range of available treatments. The education of health professionals regarding stigma and its effects on clinical practice is also needed
The Views of Non-Psychiatric Medical Specialists about People with Schizophrenia and Depression
This study explored the views of non-psychiatric medical specialists about people with schizophrenia and depression and examined whether specialistsâ approach to these clients, and their perception of dangerousness and social distance, differed by disorder. Non-psychiatric medical specialists working in community centers in Italy read either a schizophrenia or depression description and then completed a questionnaire on their views about people with that disorder. The schizophrenia-group (N=114) was more sure than the depression-group (N=97) that the patients should be approached differently in outpatient specialized clinics like those where the respondents worked; are incapable of caring for their open health; and are kept at distance by others. Perceived dangerousness did not significantly differ between the two groups. These findings highlight the potential effects of attitudes on medical practice and outline the need to educate non-psychiatric medical specialists on stigma as a strategy to reduce health discrepancies, particularly toward people diagnosed with schizophrenia
Radon concentration in self-bottled mineral spring waters as a possible public health issue
Since 2013, the Council Directive 2013/51/Euratom has been regulating the content of radioactive substances in water intended for human consumption. However, mineral waters are exempted from this regulation, including self-bottled springs waters, where higher radon concentration are expected. Therefore, a systematic survey has been conducted on all the 33 mineral spring waters of Lazio (a region of Central Italy) in order to assess if such waters, when self-bottled, may be of concern for public health. Waters have been sampled in two different ways to evaluate the impact of bottling on radon concentration. Water sampling was possible for 20 different spring waters, with 6 samples for each one. The results show that 2 (10%) of measured mineral spring waters returned radon concentrations higher than 100âBqâLâ1, i.e., the parametric value established by the Council Directive. These results, if confirmed by other surveys involving a higher number of mineral spring waters, would suggest regulating also these waters, especially in countries like Italy for which: (i) mineral water consumption is significant; (ii) mineral concession owners generally allow the consumers to fill bottles and containers, intended for transport and subsequent consumption, directly from public fountains or from fountains within the plant; (iii) the consumersâ habit of drinking self-bottled mineral water is widespread
Views of Mental Health Professionals on Positive Changes in Service Practices and Staff-User Relationships After One Year of Covid-19 Pandemic in Italy
Abstract This study explored views of mental health services (MHS) professionals regarding positive changes in service practices and organizations,
and staff-user relationships after one year of COVID19 in Italy. Professionals from a community-oriented MHS completed online the Questionnaire on MHS Transformations during the COVID-19 pandemic, a 30-item tool developed by a participatory approach and validated. Of the 184 participants, 91.8% felt it was ââtrue/definitely trueââ that during the pandemic they had informed users on procedures to reduce contagion risks, and 82.1% stated that they had increased telephone contact with users. Sixty-nine percent of professionals reported that staff revised treatment plans according to new needs of care and 78.6% stated that they had been able to mediate between user needs and safe working procedures. Moreover, 79.4% of respondents stated that they had rediscovered the importance of gestures and habits, and 65% that they had gained strength among colleagues to face fear. Fifty-four percent of participants admitted that they had discovered unexpected personal resources in users. Overall, 59.6% of participants stated that they found some positives in the COVID-19 experience. Perceived positive changes was greater among professionals from community facilities vs. those from hospital and residential facilities. In community-oriented MHS, the pandemic offered an opportunity to change practices and rethink the meaning of relationships between people. This data may be useful in generating a more balanced understanding of COVID-19âs impact on MHS and for MHS planning in the pandemic era
Common activation of canonical Wnt signaling in pancreatic adenocarcinoma.
Pancreatic ductal adenocarcinoma (PDA) is an extremely aggressive malignancy, which carries a dismal prognosis. Activating mutations of the Kras gene are common to the vast majority of human PDA. In addition, recent studies have demonstrated that embryonic signaling pathway such as Hedgehog and Notch are inappropriately upregulated in this disease. The role of another embryonic signaling pathway, namely the canonical Wnt cascade, is still controversial. Here, we use gene array analysis as a platform to demonstrate general activation of the canonical arm of the Wnt pathway in human PDA. Furthermore, we provide evidence for Wnt activation in mouse models of pancreatic cancer. Our results also indicate that Wnt signaling might be activated downstream of Hedgehog signaling, which is an early event in PDA evolution. Wnt inhibition blocked proliferation and induced apoptosis of cultured adenocarcinoma cells, thereby providing evidence to support the development of novel therapeutical strategies for Wnt inhibition in pancreatic adenocarcinoma
Fasting triglycerides are positively associated with cardiovascular mortality risk in people with diabetes
Aims: We investigated the association of fasting triglycerides with cardiovascular disease (CVD) mortality.
Methods and results: This cohort study included US adults from the National Health and Nutrition Examination Surveys from 1988 to 2014. CVD mortality outcomes were ascertained by linkage to the National Death Index records. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of triglycerides for CVD mortality. The cohort included 26â570 adult participants, among which 3978 had diabetes. People with higher triglycerides had a higher prevalence of diabetes at baseline. The cohort was followed up for a mean of 12.0 years with 1492 CVD deaths recorded. A 1-natural-log-unit higher triglyceride was associated with a 30% higher multivariate-adjusted risk of CVD mortality in participants with diabetes (HR, 1.30; 95% CI, 1.08â1.56) but not in those without diabetes (HR, 0.95; 95% CI, 0.83â1.07). In participants with diabetes, people with high triglycerides (200â499â
mg/dL) had a 44% (HR, 1.44; 95% CI, 1.12â1.85) higher multivariate-adjusted risk of CVD mortality compared with those with normal triglycerides (<150â
mg/dL). The findings remained significant when diabetes was defined by fasting glucose levels alone, or after further adjustment for the use of lipid-lowering medications, or after the exclusion of those who took lipid-lowering medications.
Conclusion: This study demonstrates that fasting triglycerides of â„200â
mg/dL are associated with an increased risk of CVD mortality in patients with diabetes but not in those without diabetes. Future clinical trials of new treatments to lower triglycerides should focus on patients with diabetes
Evaluation of organic markers for chemical mass balance source apportionment at the Fresno Supersite
International audienceSources of PM2.5 at the Fresno Supersite during high PM2.5 episodes occurring from 15 December 2000?3 February 2001 were estimated with the Chemical Mass Balance (CMB) receptor model. The ability of source profiles with organic markers to distinguish motor vehicle, residential wood combustion (RWC), and cooking emissions was evaluated with simulated data. Organics improved the distinction between gasoline and diesel vehicle emissions and allowed a more precise estimate of the cooking source contribution. Sensitivity tests using average ambient concentrations showed that the gasoline vehicle contribution was not resolved without organics. Organics were not required to estimate hardwood contributions. The most important RWC marker was the water-soluble potassium ion. The estimated cooking contribution did not depend on cholesterol because its concentrations were below the detection limit in most samples. Winter time source contributions were estimated by applying the CMB model to individual and average sample concentrations. RWC was the largest source, contributing 29?31% of measured PM2.5. Hardwood and softwood combustion accounted for 16?17% and 12?15%, respectively. Secondary ammonium nitrate and motor vehicle emissions accounted for 31?33% and 9?15%, respectively. The gasoline vehicle contribution (3?10%) was comparable to the diesel vehicle contribution (5?6%). The cooking contribution was 5?19% of PM2.5. Fresno source apportionment results were consistent with those estimated in previous studies
Highly efficient 2D materials engineered perovskite/Si tandem bifacial cells beyond 29%
Perovskite/Silicon tandem technology represents a promising route to achieve 30% power conversion efficiency (PCE), by ensuring low levelized costs energy. In this article, we develop a mechanically stacked 2T perovskite/silicon tandem solar cell, with subcells independently fabricated, optimized, and subsequently coupled by contacting the back electrode of the mesoscopic perovskite top cell with the texturized and metalized front contact of the silicon bottom cell. The possibility to separately optimize the two sub-cells allows to carefully choose the most promising device structure for both top and bottom cells. Indeed, semitransparent perovskite top cell performance is boosted through the use of selected two-dimensional materials to tune the device interfaces. In addition, a protective buffer layer is used to prevent damages induced by the transparent electrode sputtering deposition over the hole transporting layer. A textured amorphous/crystalline silicon heterojunction cell fabricated with a fully industrial in-line production process is here used as state of art bottom cell. The perovskite/c-Si tandem device demonstrates remarkable PCE of 28.7%. Moreover, we demonstrate the use of a bifacial silicon bottom cell, as a viable way for overcoming the current matching constrain imposed by the 2T configuration. Here, the current generation difference between perovskite and c-Si cells is compensated by exploiting the albedo radiation thanks to the bifaciality of the commercial c-Si cell used in this article. Considering standard rear irradiation, final power generation density above 32 mW/cm(2) can be achieved, paving the way for a tandem technology customable according to the final installation site
A bi-directional relationship between obesity and health-related quality of life : evidence from the longitudinal AusDiab study
Objective: To assess the prospective relationship between obesity and health-related quality of life, including a novel assessment of the impact of health-related quality of life on weight gain.Design and setting: Longitudinal, national, population-based Australian Diabetes, Obesity and Lifestyle (AusDiab) study, with surveys conducted in 1999/2000 and 2004/2005.Participants: A total of 5985 men and women aged 25 years at study entry.Main outcome measure(s): At both time points, height, weight and waist circumference were measured and self-report data on health-related quality of life from the SF-36 questionnaire were obtained. Cross-sectional and bi-directional, prospective associations between obesity categories and health-related quality of life were assessed.Results: Higher body mass index (BMI) at baseline was associated with deterioration in health-related quality of life over 5 years for seven of the eight health-related quality of life domains in women (all P0.01, with the exception of mental health, P>0.05), and six out of eight in men (all P<0.05, with the exception of role-emotional, P=0.055, and mental health, P>0.05). Each of the quality-of-life domains related to mental health as well as the mental component summary were inversely associated with BMI change (all P<0.0001 for women and P0.01 for men), with the exception of vitality, which was significant in women only (P=0.008). For the physical domains, change in BMI was inversely associated with baseline general health in women only (P=0.023).Conclusions: Obesity was associated with a deterioration in health-related quality of life (including both physical and mental health domains) in this cohort of Australian adults followed over 5 years. Health-related quality of life was also a predictor of weight gain over 5 years, indicating a bi-directional association between obesity and health-related quality of life. The identification of those with poor health-related quality of life may be important in assessing the risk of future weight gain, and a focus on health-related quality of life may be beneficial in weight management strategies.<br /
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