Recovering from Mental Illness

Only recently has the notion of recovery for people diagnosed with a serious and persistent mental illness been considered a possibility. Because of this, research on the topic is limited. This qualitative study sought to explore what the concept of recovery means to people diagnosed with a mental illness. A semi-structured interview guide was used to collect data. Grounded theory analysis was used to identify common themes. Factors that were identified as hindering the participant\u27s recovery were the following: frustration with the \u27system\u27 and dehumanizing mental health professionals. Factors that were identified as fostering their recovery included: medications, a sense of purpose, support from family, friends and significant others, mental health services, accepting the illness, gaining new insights and knowledge, and professionals that go the extra mile. To conclude this study, the implications of the findings to social work practice, policy and future research are discussed

Whole-body Vibration Training in Frail, Skilled Nursing Home Residents

International Journal of Exercise Science 13(3): 140-156, 2020. Frailty is a geriatric syndrome characterized by diminished muscle strength, endurance, and weakened physical function. Physical frailty is often unaddressed clinically as it tends to manifest among chronic illnesses and sarcopenia, and consensus criteria for frailty diagnosis remains elusive. Whole-body vibration training (WBVT) has been used to improve deficits in lower body muscular strength and functional performance in healthy and high functioning older adults; therefore, the purpose of this study was to determine the effects of WBVT on physical frailty in skilled nursing home residents. This study compared the effects of 12 wks (2x/wk) of WBVT (n = 10) to standard care, which served as the control (CON: n = 10), on isometric knee extension strength (KE), body composition, and functional performance in 20 (16 female) pre-frail and frail skilled nursing home residents (82 ± 5 yrs). Frailty was assessed using the FRAIL scale and function was measured using the short physical performance battery (SPPB). WBVT consisted of 4 lower body exercises (partial squat, narrow squat, wide squat, calf raise) during vertical vibration (25 - 40 Hz). Data were analyzed using two-way ANOVA (group x time) and post-hoc paired and independent t-tests. Significance was set at p ≤ 0.05. There were significant group-by-time interactions for KE and SPPB. Post-hoc paired t-tests revealed that WBVT improved KE (22.3 ± 4.0 to 29.0 ± 4.5 kg) and improvement in SPPB performance approached significance (4.5 ± 2.3 to 5.2 ± 2.1 units, p = 0.089). WBVT was well tolerated and occurred without adverse health complications. WBVT can be used to counteract losses in leg strength without adverse health complications in skilled nursing home residents

Comparação de três técnicas para diagnóstico parasitológico em fezes de cães (dados parciais)

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Consumo Alimentar e Atividade Física de Universitários de Enfermagem em Tempos de Pandemia por COVID-19 / Food Consumption and Physical Activity of Nursing University Students in Times of Pandemic by COVID-19

Após a chegada do coronavírus ao Brasil, medidas de segurança foram tomadas para contenção da doença, como o isolamento social, causando grandes impactos na vida das pessoas, principalmente estudantes, que tiveram que se adaptar a uma nova rotina de aulas remotas. O objetivo deste estudo foi identificar o consumo alimentar e a mudança na rotina de atividade física de estudantes de enfermagem durante o período de pandemia por Covid-19. Tratou-se de um estudo transversal, descritivo, no qual foram utilizados dados quantitativos. Dessa forma, evidenciou-se que, durante o período de isolamento social e de quarentena doméstica, ocorreram mudanças no comportamento alimentar e nos padrões de atividade física, influenciando no peso corporal, na saúde e no bem-estar dos estudantes. Conclui-se que o esforço na escolha de um estilo de vida saudável tem sido uma grande responsabilidade dos indivíduos durante a pandemia de Covid-19 e deve ser incentivado

Auditory EEG Biomarkers in Fragile X Syndrome: Clinical Relevance

Sensory hypersensitivities are common and distressing features of Fragile X Syndrome (FXS). While there are many drug interventions that reduce behavioral deficits in Fmr1 mice and efforts to translate these preclinical breakthroughs into clinical trials for FXS, evidence-based clinical interventions are almost non-existent potentially due to lack of valid neural biomarkers. Local circuit function in sensory networks is dependent on the dynamic balance of activity in inhibitory/excitatory synapses. Studies are needed to examine the association of electrophysiological alterations in neural systems with sensory and other clinical features of FXS to establish their clinical relevance. Adolescents and adults with FXS (n = 38, Mean age = 25.5, std = 10.1; 13 females) and age matched typically developing controls (n = 40, Mean age = 27.7, std = 12.1; 17 females) completed auditory chirp and auditory habituation tasks while undergoing dense array electroencephalography (EEG). Amplitude, latency, and percent change (habituation) in N1 and P2 event-related potential (ERP) components were characterized for the habituation task; time-frequency calculations using Morlet wavelets characterized phase-locking and single trial power for the habituation and chirp tasks. FXS patients showed increased amplitude but some evidence for reduced habituation of the N1 ERP, and reduced phase-locking in the low and high gamma frequency range and increased low gamma power to the chirp stimulus. FXS showed increased theta power in both tasks. While the habituation finding was weaker than previously found, the remaining findings replicate our previous work in a new sample of patients with FXS. Females showed less deficit in the chirp task but not the habituation task. Abnormal increases in gamma power were related to more severe behavioral and psychiatric features as well as reductions in neurocognitive abilities. Replicating electrophysiological deficits in a new group of patients using different EEG equipment at a new data collection site with differing levels of environmental noise that were robust to data processing techniques utilizing multiple researchers, indicates a potential for scalability to multi-site clinical trials. Given the robust replicability, relevance to clinical measures, and preclinical evidence for sensitivity of these EEG measures to pharmacological intervention, the observed abnormalities may provide novel translational markers of target engagement and potentially outcome measures in large-scale studies evaluating new treatments targeting neural hyperexcitability in FXS.This study was supported by NIMH/NICHD grant U54 HD082008-01 (Huber and JS). Open Access fees paid for in whole or in part by the University of Oklahoma Libraries.Ye

Late-Stage Metastatic Melanoma Emerges through a Diversity of Evolutionary Pathways

Understanding the evolutionary pathways to metastasis and resistance to immune-checkpoint inhibitors (ICI) in melanoma is critical for improving outcomes. Here, we present the most comprehensive intrapatient metastatic melanoma dataset assembled to date as part of the Posthumous Evaluation of Advanced Cancer Environment (PEACE) research autopsy program, including 222 exome sequencing, 493 panel-sequenced, 161 RNA sequencing, and 22 single-cell whole-genome sequencing samples from 14 ICI-treated patients. We observed frequent whole-genome doubling and widespread loss of heterozygosity, often involving antigen-presentation machinery. We found KIT extrachromosomal DNA may have contributed to the lack of response to KIT inhibitors of a KIT-driven melanoma. At the lesion-level, MYC amplifications were enriched in ICI nonresponders. Single-cell sequencing revealed polyclonal seeding of metastases originating from clones with different ploidy in one patient. Finally, we observed that brain metastases that diverged early in molecular evolution emerge late in disease. Overall, our study illustrates the diverse evolutionary landscape of advanced melanoma.SIGNIFICANCE: Despite treatment advances, melanoma remains a deadly disease at stage IV. Through research autopsy and dense sampling of metastases combined with extensive multiomic profiling, our study elucidates the many mechanisms that melanomas use to evade treatment and the immune system, whether through mutations, widespread copy-number alterations, or extrachromosomal DNA.See related commentary by Shain, p. 1294. This article is highlighted in the In This Issue feature, p. 1275.</p