25 research outputs found
Cultural Antecedents to Community: An Evaluation of Community Experience in the United States, Thailand, and Vietnam
To what extent does community experience differ between lowâcontext and highâcontext societies? Prior literature theorizes that community experience consists of two separate, yet highly related concepts: community attachment, an individualâs general rootedness to a place, and community satisfaction, how well an individualâs community meets their societal needs. We test this conceptualization of community experience across communities in the United States and two Southeast Asian nations: Thailand and Vietnam. We argue that Southeast Asian nations constitute âhighâcontextâ societies with relatively high social integration and solidarity while the United States is more individualized and less socially integrated and thus constitutes a âlowâcontextâ society. Our results provide empirical evidence that individualsâ experience of community varies between lowâ and highâcontext societies. These results demonstrate that cultural context continues to matter in regards to the lived experience of community and researchers need to remain vigilant in accounting for such differences as they seek to examine the concept of community more broadly.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/144606/1/cico12300.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144606/2/cico12300-sup-0001-CommAppendices.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144606/3/cico12300_am.pd
Treatment patterns associated with Duloxetine and Venlafaxine use for Major Depressive Disorder
<p>Abstract</p> <p>Background</p> <p>Duloxetine and venlafaxine extended release (venlafaxine XR) are SNRIs indicated for the treatment of MDD. This study addresses whether duloxetine and venlafaxine XR are interchangeable in their patterns of use with patients who are depressed or are used more selectively based on treatment history, background characteristics, and presenting symptoms.</p> <p>Methods</p> <p>This was a retrospective analysis of an administrative insurance claims database. We studied patients in managed care with major depressive disorder (MDD) treated with duloxetine or venlafaxine XR. Predictors of treatment and cost were assessed using Chi-square and logistic regression analyses of demographics and past-year medication use and comorbidities.</p> <p>Results</p> <p>Patients with MDD treated with duloxetine (n = 9,641) versus venlafaxine XR (n = 8,514) tended to be older, slightly more likely to be female, and treated by a psychiatrist (<it>P </it>< 0.0001). In the prior year, more duloxetine patients (vs. venlafaxine XR) received â„3 unique antidepressants (20.8% vs. 16.6%), â„3 unique pain medications (25.5% vs. 15.6%), and had â„8 unique diagnosed comorbid medical and psychiatric conditions (38.6% vs. 29.1%). The prior 6-month total health care costs were $1,731 higher for duloxetine than for venlafaxine XR and declined for both medications in the 6 months after treatment began. Logistic regression analysis revealed that 61% of duloxetine patients and 61% of venlafaxine XR patients were predictable from prior patient and treatment factors.</p> <p>Conclusions</p> <p>Patients with MDD treated with duloxetine tended to have a more complex and costly antecedent clinical presentation compared with venlafaxine XR patients, suggesting that physicians do not use the medications interchangeably.</p
Responses to nervous breakdowns in America over a 40-year period: Mental health policy implications.
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Radiocarbon on Titan
We explore the likely production and fate of 14C in the thick nitrogen atmosphere of Saturn's moon Titan and investigate the constraints that measurements of 14C might place on Titan's photochemical, atmospheric transport and surface-atmosphere interaction processes. Titan's atmosphere is thick enough that cosmic-ray flux limits the production of 14C: absence of a strong magnetic field and the increased distance from the Sun suggest production rates of ~9 atom/cm^2/s, ~4x higher than Earth. The fate and detectability of 14C depends on the chemical species into which it is incorporated: as methane it would be hopelessly diluted even in only the atmosphere. However, in the more likely case that the 14C attaches to the haze that rains out onto the surface (as tholin, HCN or acetylene and their polymers), haze in the atmosphere or recently deposited on the surface would be quite radioactive. Such radioactivity may lead to a significant enhancement in the electrical conductivity of the atmosphere which will be measured by the Huygens probe. Measurements with simple detectors on future missions could place useful constraints on the mass deposition rates of photochemical material on the surface and identify locations where surface deposits of such material are "freshest".The Meteoritics & Planetary Science archives are made available by the Meteoritical Society and the University of Arizona Libraries. Contact [email protected] for further information.Migrated from OJS platform February 202