Understanding global mental health: a conceptual review.

BACKGROUND: Mental health disorders are viewed as a global concern requiring globally led approaches to address them. Since the publication of the 2007 Lancet series on global mental health (GMH), the term has become widespread. Over the last two decades, GMH has become increasingly affiliated with policy reform, academic courses, funding bodies and research. However, it is not always obvious how those working in the field of GMH are using the term, resulting in a lack of clarity. Therefore, work is needed to synthesise the current understanding(s) of GMH to help characterise its meaning. AIM: To synthesise the literature and identify the different ways GMH is understood. METHOD: A conceptual review, using a systematic search and a content analysis, was conducted to develop a conceptual framework of the different conceptual understandings of GMH. RESULTS: We developed a conceptual framework of four understandings of GMH. These understandings of GMH are as follows: an area of research generating findings to establish a GMH evidence-base; implementation of research into practice; improving the mental health environment; learning from and supporting low-and-middle-income countries (LMICs). CONCLUSION: Our review proposes a simple framework, clarifying the key characteristics of the GMH landscape. The findings highlight the diversity of usage of the term in the literature, as well as present the wide scope that comprises the field of GMH. Referring to this framework may help those engaged with GMH to be more specific with which aspect of the field they are concerned with

Clinical and hematologic aspects of the X-linked alpha-thalassemia/mental retardation syndrome (ATR-X).

The hallmarks of the X-linked alpha-thalassemia/mental retardation (ATR-X) syndrome are severe psychomotor retardation, minor facial anomalies, genital abnormalities, and an unusual form of alpha-thalassemia. The demonstration of HbH inclusions in red blood cells after incubation with brilliant cresyl blue confirms the diagnosis. We describe 15 previously unreported cases and analyse the phenotypic and hematologic findings in these subjects and compare them with previously published cases. This study demonstrates the consistency of the main characteristics of this syndrome and extends the phenotype. Developmental changes in phenotype, in particular the coarsening of the facial appearance, are illustrated. The hematologic findings are shown to vary widely; in some cases the manifestation of alpha-thalassemia may be subtle and missed without repeated examination

Searching for inhibition of return in the rat using the covert orienting of attention task

Inhibition of return (IOR) is an important psychological construct describing inhibited responses to previously attended locations. In humans, it is investigated using Posner’s cueing paradigm. This paradigm requires central visual fixation and detection of cued stimuli to the left or right of the fixation point. Stimuli can be validly or invalidly cued, appearing in the same or opposite location to the cue. Although a rat version of the spatial cueing paradigm (the covert orienting of attention task) does exist, IOR has so far not been demonstrated. We therefore investigated whether IOR could be robustly demonstrated in adult male rats using the covert orienting of attention task. This task is conducted in holed wall operant chambers with the central three holes mimicking the set-up for Posner cueing. Across four samples of rats (overall n = 84), we manipulated the following task parameters: stimulus onset asynchronies (Experiments 1–3), cue brightness (Experiment 1b) and the presence of a central reorienting event (Experiment 4). In Experiment 1, we also investigated strain differences by comparing Lister Hooded rats to Sprague–Dawley rats. Although Lister Hooded rats briefly showed evidence of IOR (Experiment 1a, and see Online Resource 1 data), we were unable to replicate this finding in our other experiments using different samples of this strain. Taken together, our findings suggest that IOR cannot be robustly demonstrated in the rat using the covert orienting of attention task conducted in holed wall operant chambers

Latitudinal variation in habitat specificity of ameronothrid mites (Oribatida)

Ameronothroid mites, including Ameronothridae, Fortuyniidae and Selenoribatidae, are unique among the Oribatida through having a global distribution from the tropics to the poles, and occupying a diversity of habitats including terrestrial, marine and freshwater. Their ecological diversification is of considerable interest from both the perspective of evolution over geological timescales, and the detail of the underlying processes. Given their widespread global distribution, it seems likely that historical global events (tectonic and climatic) have played a fundamental role in their ecological diversification. Previous studies of sub-Antarctic island arthropods have generated considerable circumstantial evidence in support of glaciation being a primary factor influencing ecological patterns: lower habitat specificity and weaker interspecific interactions are associated with more recent (postglacial) vegetated terrestrial biotopes, as compared to the older epilithic and littoral biotopes (which are assumed to have been present, albeit reduced in extent, during Neogene glacial maxima). Here, we use ameronothrid mites as a case study to examine the extent to which the above island scenario generalizes globally across latitudes affected by glaciation. We show that, unlike congeners or even conspecifics at lower latitudes in each hemisphere which are restricted to marine environments, the species found at higher latitudes (especially Alaskozetes antarcticus, Ameronothrus dubinini, Ameronothrus lineatus, and Halozetes belgicae) show greater affinity for terrestrial environments. They show a transition or expansion of habitat use (from marine-influenced to terrestrial habitats) implicit with a lower degree of habitat specificity, in relation to increasing latitude. We contend that the terrestrial environment at higher latitudes in both hemispheres has been colonized by these ameronothrid mite species following the various glaciation events, facilitated by a lack of competition experienced in their low diversity communities, in a manner which represents a larger scale demonstration of the processes described on sub-Antarctic islands