Heartache of the State, Enemy of the Self: Bipolar Disorder and Cultural Change in Urban China

Past works in anthropology and psychology have described the Chinese orientation toward life as situation-centered with an external locus of control. This model has also been applied to the understanding of affect disorders in China—depressive patients have been found to focus on outside circumstances surrounding dysphoric moods. However, dramatic economic, sociopolitical and cultural changes in post-Mao China may be affecting these cognitive orientations toward emotional distress. This paper focuses on the subjective experiences of individuals diagnosed with bipolar disorder in China. The study is based on semistructured interviews with patients at a Western-style mental health institution in Shenzhen, the first successful Special Economic Zone in China. My data suggest that the location of agency has shifted across generations. Whereas those who grew up in the Maoist era are inclined to use external circumstances to explain the control over and responsibility for their illness, younger patients tend to emphasize self-blame and individual responsibility. I argue that these intergenerational differences in ethnopsychology relate to the multifaceted rise of individualism in post-Mao China. The paper ends with an examination of this observed shift vis-à-vis recent theories of neoliberal discipline in China and a discussion of potential psychological implications

PRESENT AND PASSIONATE: A Critical Analysis of Asian American Involvement in The United States Environmental Justice Movement

Communities of color are disproportionately exposed to toxins and pollution. The environmental justice movement addresses the greater health and environmental risks experienced by minority groups. Although Asian Americans are the fastest growing population in the United States, there is little known about their involvement in the movement. In this thesis, I further observe Asian American involvement in the United States environmental justice movement. By analyzing community case studies, I identify Asian American-specific mobilization challenges and strategies. Interviews with prominent Asian American environmental justice activists reveal activism and collective identity are connected, but vary greatly according to individualized Asian American experiences. Results show Asian Americans stereotypes, as the civically disengaged model minority, are inaccurate and outdated. Asian Americans are currently active in the movement for environmental justice and will continue to become increasingly active as they become more aware of issues in their respective communities

Cerebellar Cortex, Purkinje Cell Layer

This report contains a summary of expression patterns for genes that are enriched in the Purkinje cell layer (CBXpu) of the cerebellum. All data is derived from the Allen Brain Atlas (ABA) in situ hybridization mouse project. The structure's location and morphological characteristics in the mouse brain are described using the Nissl data found in the Allen Reference Atlas. Using an established algorithm, the expression values of the CBXpu were compared to the values of its larger parent structure, in this case the cerebellar cortex, for the purpose of extracting regionally selective gene expression data. The highest ranking genes were manually curated and verified. 50 genes were then selected and compiled for expression analysis. The experimental data for each gene may be accessed via the links provided; additional data in the sagittal plane may also be accessed using the ABA. A gene ontology table (derived from DAVID Bioinformatics Resources 2007) is also included, highlighting possible functions of the 50 genes selected for this report. 
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Allostatic load and preterm birth

Preterm birth is a universal health problem that is one of the largest unmet medical needs contributing to the global burden of disease. Adding to its complexity is that there are no means to predict who is at risk when pregnancy begins or when women will actually deliver. Until these problems are addressed, there will be no interventions to reduce the risk because those who should be treated will not be known. Considerable evidence now exists that chronic life, generational or accumulated stress is a risk factor for preterm delivery in animal models and in women. This wear and tear on the body and mind is called allostatic load. This review explores the evidence that chronic stress contributes to preterm birth and other adverse pregnancy outcomes in animal and human studies. It explores how allostatic load can be used to, firstly, model stress and preterm birth in animal models and, secondly, how it can be used to develop a predictive model to assess relative risk among women in early pregnancy. Once care providers know who is in the highest risk group, interventions can be developed and applied to mitigate their risk

Mechanisms Involving Sensory Pathway Steps Inform Impacts of Global Climate Change on Ecological Processes

Human-caused environmental change will have significant non-lethal and indirect impacts on organisms due to altered sensory pathways, with consequences for ecological interactions. While a growing body of work addresses how global ocean change can impair the way organisms obtain and use information to direct their behavior, these efforts have typically focused on one step of the pathway (e.g., reception of a cue/signal), one sensory modality (e.g., visual), or one environmental factor (e.g., temperature). An integrated view of how aspects of environmental change will impact multiple sensory pathways and related ecological processes is needed to better anticipate broader consequences for marine ecosystems. Here, we present a conceptual synthesis of effects of global change on marine sensory ecology, based on a literature review. Our review supports several predictions for how particular sensory pathway steps – production, transmission, and reception/processing of cues/signals – are affected by environmental change. First, the production and reception/processing of multiple modalities of cues/signals are vulnerable to multiple global change stressors, indicating that there are generalizable mechanisms by which environmental change impairs these pathways steps, leading to altered sensory pathway outcomes. Factors that enhance organismal stress as a whole may amplify impacts to these sensory pathways. Second, global change factors tend to affect specific modalities of cue/signal transmission. Consequently, local impacts on ecological processes linked with cue/signal transmission will vary depending on environmental stressor(s) present and the corresponding sensory modality. Finally, because many ecological and evolutionary interactions rely on sensory processing, impairment of sensory pathways may frequently underpin impacts of global ocean change on marine ecosystems. Effects on individual sensory processes will integrate to shape processes like mating, predation, and habitat selection, and we highlight new insights on impacts to ecological interactions by employing our mechanistic conceptual framework

Effect modification of the association between meteorological variables and mortality by urban climatic conditions in the tropical city of Kaohsiung, Taiwan

A deeper understanding of extreme hot weather are needed in cities sensitive to heat effects, an investigation was done in the tropical town of Kaohsiung in Taiwan. Its 11 districts were divided into three climatic classes varying from high urban heat, low levels of green space and lack of proximity to water bodies to low urban heat, adequate green space and proximity to water bodies. Daily data on natural mortality, meteorological variables, and pollutants from May-October 1999-2008 were analysed using generalised additive models for the time-series data. Subgroup analyses were conducted, stratifying decedents according to the level of planning activity required in order to mitigate adverse heat effects in their residential areas, classifying districts as “level 1” for those requiring a high level of mitigation action; “level 2” for those requiring some action; and “level 3” for those that need only preserve existing conditions. Stratified analyses showed that mortality increases per 1 °C rise on average, either on the same day or in the previous 4 days (lags 0-4), were associated with 2.8%, 2.3% and -1.3% for level 1, 2 and 3 districts, respectively. The slope describing the association between temperature and mortality was higher above 29.0 °C resulting in corresponding increases of 4.2%, 5.0% and 0.3% per per 1 °C rise in temperature, respectively. Other meteorological variables were not significantly associated with mortality. It is concluded that hot season mortality in Kaohsiung is only sensitive to heat effects in districts classified as having unfavourably climatic conditions and requiring mitigation efforts in city planning. Urban planning measures designed to improve climatic conditions could reduce excess mortality resulting from extreme hot weathe

Bipolar risk and mental imagery susceptibility in a representative sample of Chinese adults residing in the community

BACKGROUND: We need to better understand the cognitive factors associated with risk for bipolar disorders. Recent research suggests that increased susceptibility to mental imagery may be one such factor. However, since this research was primarily conducted with Western students and at a single time-point, it is not known whether the relationship between imagery susceptibility and bipolar symptoms exists across cultures or within the general community, or whether this relationship remains stable over time. AIM: This study evaluated whether Chinese adults identified as being at high (HR) versus low (LR) risk of developing bipolar disorders showed greater mental imagery susceptibility. We aimed to test whether such a relationship was stable over time by measuring imagery characteristics at baseline and at the 7-week follow-up. METHOD: This prospective study recruited a community sample of N = 80 Chinese adults screened for the absence of neurotic and psychotic disorders. The sample was split into HR (n = 18) and LR (n = 62) groups at baseline based on a criterion cut-off score on a measure of hypomania, the Mood Disorder Questionnaire (MDQ). Participants completed measures of imagery susceptibility and its impact: the Spontaneous Use of Imagery Scale (SUIS) and the Impact of Future Events Scale (IFES), at baseline and 7 weeks later. RESULTS: HR group reported greater tendency to use imagery in daily life (SUIS) and greater emotional impact of prospective imagery (IFES) than LR group at baseline. These results remained stable at follow-up. CONCLUSION: This study provides preliminary evidence for increased susceptibility to mental imagery in individuals at high risk of bipolar disorders recruited from a community sample of Chinese adults. This extends previous research in Western student samples suggesting that imagery (both levels of use and its emotional impact) may be a cognitive factor with cross-cultural relevance that is stable over time

Racial differences in prediabetes prevalence by test type for the US pediatric and adult population: NHANES 1999‐2016

BackgroundPrevious studies have shown that US estimates of prediabetes or diabetes differ depending on test type, fasting plasma glucose (FPG) vs hemoglobin A1c (HbA1c). Given age, race, and test differences reported in the literature, we sought to further examine these differences in prediabetes detection using a nationally representative sample.MethodsUsing the National Health and Nutrition Examination Survey (NHANES) 1999‐2016, individuals were identified as having prediabetes with an HbA1c of 5.7% to 6.4% or a FPG of 100 to 125 mg/dL. We excluded individuals with measurements in the diabetic range. We ran generalized estimating equation logistic regressions to examine the relationship between age, race, and test type with interactions, controlling for sex and body mass index. We compared the difference in predicted prediabetes prevalence detected by impaired fasting glycemia (IFG) vs HbA1c by race/ethnicity among children and adults separately using adjusted Wald tests.ResultsThe absolute difference in predicted prediabetes detected by IFG vs HbA1c was 19.9% for white adolescents, 0% for black adolescents, and 20.1% for Hispanic adolescents; 21.4% for white adults, −1.2% for black adults, and 19.2% for Hispanic adults. Using adjusted Wald tests, we found the absolute differences between black vs white and black vs Hispanic individuals to be significant, but, not between Hispanic and white individuals among children and adults separately.ConclusionsThese observations highlight differences in test performance among racial/ethnic groups. Our findings corroborate the need for further studies to determine appropriate HbA1c cutoff levels for diagnosis of prediabetes by age group and race.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163459/2/pedi13083_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163459/1/pedi13083.pd