Maintenance pharmacotherapy for recurrent major depressive disorder in primary care : A 5-year follow-up study

Background: Most practice guidelines recommend maintenance antidepressant treatment for recurrent major depressive disorder. However, the degree to which such guidance is actually followed in primary health care has remained obscure. We investigated the provision of maintenance antidepressant treatment within a representative primary care five-year cohort study. Methods: In the Vantaa Primary Care Depression Study, a stratified random sample of 1119 adult patients was screened for depression using the Prime-MD. Depressive and comorbid psychiatric disorders were diagnosed using SCID-I/P and SCID-II interviews. Of the 137 patients with depressive disorders, 82% completed the prospective five-year follow-up. A graphic life chart enabling evaluation of the longitudinal course of episodes plus duration of pharmacotherapies was used. In accordance with national guidelines, an indication for maintenance treatment was defined to exist after three or more lifetime major depressive episodes (MDEs); maintenance treatment was to commence four months after onset of full remission. Results: Of the cohort patients, 34% (46/137) had three or more lifetime MDEs, thus indicating the requirement for maintenance pharmacotherapy. Of these, half (54%, 25/46) received maintenance treatment, for only 29% (489/1670) of the months indicated. Conclusions: In this cohort of depressed primary care patients, half of patients with indications for maintenance treatment actually received it, and only for a fraction of the time indicated. Antidepressant maintenance treatment for the prevention of recurrences is unlikely to be subject to large-scale actualization as recommended, which may significantly undermine the potential public health benefits of treatment. (C) 2016 Elsevier Masson SAS. All rights reserved.Peer reviewe

FOULING MECHANISMS BY AB INITIO CALCULATIONS CONDENSATION REACTIONS ON THE RUTILE (101) SURFACE AND ADSORPTION OF IONS ON THE Cr2O3 SURFACES

Molecular modelling approach was utilized to describe detailed fouling mechanism caused by crystallization. The interest was on the heat transfer surfaces, which were manufactured from titanium and stainless steel. With ab initio calculations, the role of the surface oxide layer structure of titanium and stainless steel on fouling was investigated. The surface structure of titanium and stainless steel were assumed to consist of rutile (TiO2) and dichromium trioxide (Cr2O3), respectively. It was found that the inorganic fouling depends strongly on the oxide layer structure and the existence of hydroxyl groups on the surface. Based on the results, two mechanistically different fouling categories were found. When the surface hydroxyl groups exist, the fouling can take place via condensation reactions with species containing hydroxyl groups. On surfaces without the surface hydroxyl groups, fouling takes place preferably via adsorption of ions

EVALUATION OF HEAT TRANSFER BOUNDARY CONDITIONS FOR CFD MODELING OF A 3D PLATE HEAT EXCHANGER GEOMETRY

In this paper fluid flow and heat transfer are modeled in a corrugated 3D plate heat exchanger geometry with a commercial computational fluid dynamics (CFD) program, Fluent 6.1.22 (Fluent Inc., Lebanon), in order to find out the most realistic heat transfer boundary conditions for a plate heat exchanger. The built-in boundary conditions of Fluent available for this case are Heat flux, Convection and Constant wall temperature. The CFD models are verified with correlations and experimental data obtained by a flat plate test equipment of which parameters can be calculated analytically. Deficiencies are found in all the built-in heat transfer boundary conditions. Heat transfer modeling with CFD in a corrugated plate heat exchanger is problematic because of the assumptions that have to be made when defining the boundary conditions in the complex geometry. The values of the computational parameters have spatial variations and can not be defined explicitly. However, when compared to the experimental correlations in the literature, the Convection boundary condition gives the most realistic results in the case of corrugated plate heat exchanger

Studying genetics of adaptive variation in model organisms: flowering time variation in Arabidopsis lyrata

Arabidopsis thaliana has emerged as a model organism for plant developmental genetics, but it is also now being widely used for population genetic studies. Outcrossing relatives of A. thaliana are likely to provide suitable additional or alternative species for studies of evolutionary and population genetics. We have examined patterns of adaptive flowering time variation in the outcrossing, perennial A. lyrata. In addition, we examine the distribution of variation at marker genes in populations form North America and Europe. The probability of flowering in this species differs between southern and northern populations. Northern populations are much less likely to flower in short than in long days. A significant daylength by region interaction shows that the northern and southern populations respond differently to the daylength. The timing of flowering also differs between populations, and is made shorter by long days, and in some populations, by vernalization. North American and European populations show consistent genetic differentiation over microsatellite and isozyme loci and alcohol dehydrogenase sequences. Thus, the patterns of variation are quite different from those in A. thaliana, where flowering time differences show little relationship to latitude of origin and the genealogical trees of accessions vary depending on the genomic region studied. The genetic architecture of adaptation can be compared in these species with different life historie

Lightfastness assessment of Levantine rock art by means of microfading spectrometry

This is the peer reviewed version of the following article: del Hoyo-Meléndez JM, Carrión-Ruiz B, Riutort-Mayol G, Lerma JL. Lightfastness assessment of Levantine rock art by means of microfading spectrometry. Color Res Appl. 2019;44:547 555, which has been published in final form at https://doi.org/10.1002/col.22372. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.[EN] The documentation of archeological sites requires the adoption of non-destructive techniques to safeguard the unique legacy coming from prehistoric periods. This article tackles the assessment of lightfastness properties on a rock art site to deter- mine the behavior of motif's color deterioration over time in Remi¿gia Cave, Castello¿n (Spain), which is considered part of a UNESCO World Heritage Site. The measurements were performed using a microfade testing device to analyze the spectral characteristics and the aging properties of the colorant system and various substrates on site. Two scenarios have been identified depending on whether the lightness (L*) parameter of the rocky substrate changes or not in relation with the painted motifs. If the substrate remains stable without any change, red motifs con- taining iron oxide pigments will become more visible. If the substrate becomes lighter, the pigments will experience similar changes. Therefore, the contrast between paintings and support will be considerably enhanced.The authors also would like to thank the Generalitat Valenciana for providing access to the site during the measurement campaigns. Fruitful comments from the Spanish archeologists Prof. Valentín Villaverde and Dra. Esther López-Montalvo are also gratefully acknowledged. The authors acknowledge the research project HAR2014-59873-R from the Spanish Ministerio de Economía y Competitividad for providing financial support.Del Hoyo-Meléndez, JM.; Carrión-Ruiz, B.; Riutort-Mayol, G.; Lerma, JL. (2019). Lightfastness assessment of Levantine rock art by means of microfading spectrometry. Color Research & Application. 44(4):547-555. https://doi.org/10.1002/col.22372S547555444Vileikis, O., Cesaro, G., Santana Quintero, M., van Balen, K., Paolini, A., & Vafadari, A. (2012). Documentation in World Heritage conservation. Journal of Cultural Heritage Management and Sustainable Development, 2(2), 130-152. doi:10.1108/20441261211273635Management Planning for Archaelogical Sites 2002 The Getty Conservation Institute Los Angeles G Palumbo Threats and challenges to the archaeological heritage in the Mediterranean 3 12ICOMOS. ICOMOS World Report 2000 on Monuments and Sites in Danger; 2000.https://www.icomos.org/risk/world_report/2000/risk2000.htm. Accessed October 25 2017.Giesen, M. J., Ung, A., Warke, P. A., Christgen, B., Mazel, A. D., & Graham, D. W. (2014). Condition assessment and preservation of open-air rock art panels during environmental change. Journal of Cultural Heritage, 15(1), 49-56. doi:10.1016/j.culher.2013.01.013Díez-Herrero, A., Gutiérrez-Pérez, I., Lario, J., Cañaveras, J. C., Benavente, D., Sánchez-Moral, S., & Alonso-Azcárate, J. (2009). Analysis of potential direct insolation as a degradation factor of cave paintings in Villar del Humo, Cuenca, Central Spain. Geoarchaeology, 24(4), 450-465. doi:10.1002/gea.20274López-Montalvo, E., Villaverde, V., Roldán, C., Murcia, S., & Badal, E. (2014). An approximation to the study of black pigments in Cova Remigia (Castellón, Spain). Technical and cultural assessments of the use of carbon-based black pigments in Spanish Levantine Rock Art. Journal of Archaeological Science, 52, 535-545. doi:10.1016/j.jas.2014.09.017Hernanz, A., Ruiz-López, J. F., Gavira-Vallejo, J. M., Martin, S., & Gavrilenko, E. (2010). Raman microscopy of prehistoric rock paintings from the Hoz de Vicente, Minglanilla, Cuenca, Spain. Journal of Raman Spectroscopy, 41(11), 1394-1399. doi:10.1002/jrs.2582Domingo, I., Villaverde, V., López-Montalvo, E., Lerma, J. L., & Cabrelles, M. (2013). Latest developments in rock art recording: towards an integral documentation of Levantine rock art sites combining 2D and 3D recording techniques. Journal of Archaeological Science, 40(4), 1879-1889. doi:10.1016/j.jas.2012.11.024Iturbe, A., Cachero, R., Cañal, D., & Martos, A. (2018). Digitalización de cuevas con arte paleolítico parietal de Bizkaia. Análisis científico y divulgación mediante nuevas técnicas de visualización. Virtual Archaeology Review, 9(18), 57. doi:10.4995/var.2018.7579Carrión-Ruiz, B., Blanco-Pons, S., & Lerma, J. L. (2016). DIGITAL IMAGE ANALYSIS OF THE VISIBLE REGION THROUGH SIMULATION OF ROCK ART PAINTINGS. Proceedings of the ARQUEOLÓGICA 2.0 8th International Congress on Archaeology, Computer Graphics, Cultural Heritage and Innovation. doi:10.4995/arqueologica8.2016.3560Fredlund, G., & Sundstrom, L. (2007). Digital infra-red photography for recording painted rock art. Antiquity, 81(313), 733-742. doi:10.1017/s0003598x00095697Cerrillo-Cuenca, E., & Sepúlveda, M. (2015). An assessment of methods for the digital enhancement of rock paintings: the rock art from the precordillera of Arica (Chile) as a case study. Journal of Archaeological Science, 55, 197-208. doi:10.1016/j.jas.2015.01.006Robert, E., Petrognani, S., & Lesvignes, E. (2016). Applications of digital photography in the study of Paleolithic cave art. Journal of Archaeological Science: Reports, 10, 847-858. doi:10.1016/j.jasrep.2016.07.026López-Menchero Bendicho, V. M., Marchante Ortega, Á., Vincent, M., Cárdenas Martín-Buitrago, Á. J., & Onrubia Pintado, J. (2017). Uso combinado de la fotografía digital nocturna y de la fotogrametría en los procesos de documentación de petroglifos: el caso de Alcázar de San Juan (Ciudad Real, España). Virtual Archaeology Review, 8(17), 64. doi:10.4995/var.2017.6820Molada-Tebar, A., Lerma, J. L., & Marqués-Mateu, Á. (2017). Camera characterization for improving color archaeological documentation. Color Research & Application, 43(1), 47-57. doi:10.1002/col.22152Del Hoyo-Meléndez, J. M., Lerma, J. L., López-Montalvo, E., & Villaverde, V. (2015). Documenting the light sensitivity of Spanish Levantine rock art paintings. ISPRS Annals of Photogrammetry, Remote Sensing and Spatial Information Sciences, II-5/W3, 53-59. doi:10.5194/isprsannals-ii-5-w3-53-2015Whitmore, P. M., Bailie, C., & Connors, S. A. (2000). Micro-fading tests to predict the result of exhibition: progress and prospects. Studies in Conservation, 45(sup1), 200-205. doi:10.1179/sic.2000.45.supplement-1.200Whitmore, P. M., Pan, X., & Bailie, C. (1999). Predicting the Fading of Objects: Identification of Fugitive Colorants through Direct Nondestructive Lightfastness Measurements. Journal of the American Institute for Conservation, 38(3), 395. doi:10.2307/3179999Ford, B. (2011). Non-destructive microfade testing at the National Museum of Australia. AICCM Bulletin, 32(1), 54-64. doi:10.1179/bac.2011.32.1.008Del Hoyo-Meléndez, J. M., & Mecklenburg, M. F. (2010). A survey on the light-fastness properties of organic-based Alaska Native artifacts. Journal of Cultural Heritage, 11(4), 493-499. doi:10.1016/j.culher.2010.01.004Conservation of Ancient Sites on the Silk Road 2010 The Getty Conservation Institute The Getty. Los Angeles JR Druzik Evaluating the light sensitivity of paints in selected wall paintings at the Mogao Grottoes: caves 217 98 and 85 457 463López-Montalvo, E., Roldán, C., Badal, E., Murcia-Mascarós, S., & Villaverde, V. (2017). Identification of plant cells in black pigments of prehistoric Spanish Levantine rock art by means of a multi-analytical approach. A new method for social identity materialization using chaîne opératoire. PLOS ONE, 12(2), e0172225. doi:10.1371/journal.pone.0172225Roldán, C., Murcia-Mascarós, S., Ferrero, J., Villaverde, V., López, E., Domingo, I., … Guillem, P. M. (2010). Application of field portable EDXRF spectrometry to analysis of pigments of Levantine rock art. X-Ray Spectrometry, 39(3), 243-250. doi:10.1002/xrs.1254Roldán García, C., Villaverde Bonilla, V., Ródenas Marín, I., & Murcia Mascarós, S. (2016). A Unique Collection of Palaeolithic Painted Portable Art: Characterization of Red and Yellow Pigments from the Parpalló Cave (Spain). PLOS ONE, 11(10), e0163565. doi:10.1371/journal.pone.0163565Łojewski, T., Thomas, J., Gołąb, R., Kawałko, J., & Łojewska, J. (2011). Note: Light ageing with simultaneous colorimetry via fibre optics reflection spectrometry. 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Does the company's economic performance affect access to occupational health services?

<p>Abstract</p> <p>Background</p> <p>In Finland like in many other countries, employers are legally obliged to organize occupational health services (OHS) for their employees. Because employers bear the costs of OHS it could be that in spite of the legal requirement OHS expenditure is more determined by economic performance of the company than by law. Therefore, we explored whether economic performance was associated with the companies' expenditure on occupational health services.</p> <p>Methods</p> <p>We used a prospective design to predict expenditure on OHS in 2001 by a company's economic performance in 1999. Data were provided by Statistics Finland and expressed by key indicators for profitability, solidity and liquidity and by the Social Insurance Institution as employers' reimbursement applications for OHS costs. The data could be linked at the company level. Regression analysis was used to study associations adjusted for various confounders.</p> <p>Results</p> <p>Nineteen percent of the companies (N = 6 155) did not apply for reimbursement of OHS costs in 2001. The profitability of the company represented by operating margin in 1999 and adjusted for type of industry was not significantly related to the company's probability to apply for reimbursement of the costs in 2001 (OR = 1.00, 95%CI: 0.99 to 1.01). Profitability measured as operating profit in 1999 and adjusted for type of industry was not significantly related to costs for curative medical services (Beta -0.001, 95%CI: -0.00 to 0.11) nor to OHS cost of prevention in 2001 (Beta -0.001, 95%CI: -0.00 to 0.00).</p> <p>Conclusion</p> <p>We did not find a relation between the company's economic performance and expenditure on OHS in Finland. We suppose that this is due to legislation obliging employers to provide OHS and the reimbursement system both being strong incentives for employers.</p

Cumulative occupational lumbar load and lumbar disc disease – results of a German multi-center case-control study (EPILIFT)

Background The to date evidence for a dose-response relationship between physical workload and the development of lumbar disc diseases is limited. We therefore investigated the possible etiologic relevance of cumulative occupational lumbar load to lumbar disc diseases in a multi-center case-control study. Methods In four study regions in Germany (Frankfurt/Main, Freiburg, Halle/Saale, Regensburg), patients seeking medical care for pain associated with clinically and radiologically verified lumbar disc herniation (286 males, 278 females) or symptomatic lumbar disc narrowing (145 males, 206 females) were prospectively recruited. Population control subjects (453 males and 448 females) were drawn from the regional population registers. Cases and control subjects were between 25 and 70 years of age. In a structured personal interview, a complete occupational history was elicited to identify subjects with certain minimum workloads. On the basis of job task-specific supplementary surveys performed by technical experts, the situational lumbar load represented by the compressive force at the lumbosacral disc was determined via biomechanical model calculations for any working situation with object handling and load-intensive postures during the total working life. For this analysis, all manual handling of objects of about 5 kilograms or more and postures with trunk inclination of 20 degrees or more are included in the calculation of cumulative lumbar load. Confounder selection was based on biologic plausibility and on the change-in-estimate criterion. Odds ratios (OR) and 95% confidence intervals (CI) were calculated separately for men and women using unconditional logistic regression analysis, adjusted for age, region, and unemployment as major life event (in males) or psychosocial strain at work (in females), respectively. To further elucidate the contribution of past physical workload to the development of lumbar disc diseases, we performed lag-time analyses. Results We found a positive dose-response relationship between cumulative occupational lumbar load and lumbar disc herniation as well as lumbar disc narrowing among men and women. Even past lumbar load seems to contribute to the risk of lumbar disc disease. Conclusions According to our study, cumulative physical workload is related to lumbar disc diseases among men and women