Characteristics of Cocaine Users Presenting to an Emergency Department Chest Pain Observation Unit

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73770/1/j.aem.2004.11.021.pd

Development and Preliminary Evaluation of a Telephone-based Mindfulness Training Intervention for Survivors of Critical Illness

Rationale: Persistent symptoms of psychological distress represent an unmet need among intensive care unit (ICU) survivors. Objectives: We aimed to develop and pilot test a simple telephone-based mindfulness training intervention to address this population’s unique needs. Methods: Open trial involving survivors of medical and surgical critical illness and their informal caregivers, using a pretest–posttest design. Measurements and Main Results: We developed a six-session, telephone-delivered, ICU survivor–specific mindfulness intervention based on past focus groups, the medical literature, and the precedent of the most effective components of existing mindfulness programs. A total of 11 survivors of mechanical ventilation were enrolled, together with 2 informal caregivers for exploratory purposes. Three patients dropped out before intervention initiation because of progressive illness or severe social stressors. Of the 10 remaining participants, 8 (80%) completed the program within 7 weeks. Among these eight patients and caregivers who completed all study procedures, six (75%) experienced improvement in symptoms of psychological distress (anxiety, depression, or post-traumatic stress disorder). Changes in distress symptoms were correlated with improvement in mindfulness qualities, adaptive coping, and emotion regulation. Participants reported high satisfaction with the program in postintervention interviews. Conclusions: A new ICU survivor–specific mindfulness training intervention delivered by telephone was acceptable and feasible. Changes in symptoms of distress were correlated with changes in skills that were targeted by the mindfulness program. Controlled trials are needed to further evaluate this promising intervention

A randomized controlled trial testing the efficacy of a brief cannabis universal prevention program among adolescents in primary care

Aims To examine the efficacy of a brief intervention delivered by a therapist ( TBI ) or a computer ( CBI ) in preventing cannabis use among adolescents in urban primary care clinics. Design A randomized controlled trial comparing: CBI and TBI versus control. Setting Urban primary care clinics in the U nited S tates. Participants Research staff recruited 714 adolescents (aged 12–18 years) who reported no life‐time cannabis use on a screening survey for this study, which included a baseline survey, randomization (stratified by gender and grade) to conditions (control; CBI ; TBI ) and 3‐, 6‐ and 12‐month assessments. Measurements Using an intent‐to‐treat approach, primary outcomes were cannabis use (any, frequency); secondary outcomes included frequency of other drug use, severity of alcohol use and frequency of delinquency (among 85% completing follow‐ups). Findings Compared with controls, CBI participants had significantly lower rates of any cannabis use over 12 months (24.16%, 16.82%, respectively, P  < 0.05), frequency of cannabis use at 3 and 6 months ( P  < 0.05) and other drug use at 3 months ( P  < 0.01). Compared with controls, TBI participants did not differ in cannabis use or frequency, but had significantly less other drug use at 3 months ( P  < 0.05), alcohol use at 6 months ( P  < 0.01) and delinquency at 3 months ( P  < 0.01). Conclusions Among adolescents in urban primary care in the U nited S tates, a computer brief intervention appeared to prevent and reduce cannabis use. Both computer and therapist delivered brief interventions appeared to have small effects in reducing other risk behaviors, but these dissipated over time.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106949/1/add12469.pd

A multivariate genome-wide association study of psycho-cardiometabolic multimorbidity

Coronary artery disease (CAD), type 2 diabetes (T2D) and depression are among the leading causes of chronic morbidity and mortality worldwide. Epidemiological studies indicate a substantial degree of multimorbidity, which may be explained by shared genetic influences. However, research exploring the presence of pleiotropic variants and genes common to CAD, T2D and depression is lacking. The present study aimed to identify genetic variants with effects on cross-trait liability to psycho-cardiometabolic diseases. We used genomic structural equation modelling to perform a multivariate genome-wide association study of multimorbidity (Neffective = 562,507), using summary statistics from univariate genome-wide association studies for CAD, T2D and major depression. CAD was moderately genetically correlated with T2D (rg = 0.39, P = 2e-34) and weakly correlated with depression (rg = 0.13, P = 3e-6). Depression was weakly correlated with T2D (rg = 0.15, P = 4e-15). The latent multimorbidity factor explained the largest proportion of variance in T2D (45%), followed by CAD (35%) and depression (5%). We identified 11 independent SNPs associated with multimorbidity and 18 putative multimorbidity-associated genes. We observed enrichment in immune and inflammatory pathways. A greater polygenic risk score for multimorbidity in the UK Biobank (N = 306,734) was associated with the co-occurrence of CAD, T2D and depression (OR per standard deviation = 1.91, 95% CI = 1.74–2.10, relative to the healthy group), validating this latent multimorbidity factor. Mendelian randomization analyses suggested potentially causal effects of BMI, body fat percentage, LDL cholesterol, total cholesterol, fasting insulin, income, insomnia, and childhood maltreatment. These findings advance our understanding of multimorbidity suggesting common genetic pathways.</p

A multivariate genome-wide association study of psycho-cardiometabolic multimorbidity

Coronary artery disease (CAD), type 2 diabetes (T2D) and depression are among the leading causes of chronic morbidity and mortality worldwide. Epidemiological studies indicate a substantial degree of multimorbidity, which may be explained by shared genetic influences. However, research exploring the presence of pleiotropic variants and genes common to CAD, T2D and depression is lacking. The present study aimed to identify genetic variants with effects on cross-trait liability to psycho-cardiometabolic diseases. We used genomic structural equation modelling to perform a multivariate genome-wide association study of multimorbidity (Neffective = 562,507), using summary statistics from univariate genome-wide association studies for CAD, T2D and major depression. CAD was moderately genetically correlated with T2D (rg = 0.39, P = 2e-34) and weakly correlated with depression (rg = 0.13, P = 3e-6). Depression was weakly correlated with T2D (rg = 0.15, P = 4e-15). The latent multimorbidity factor explained the largest proportion of variance in T2D (45%), followed by CAD (35%) and depression (5%). We identified 11 independent SNPs associated with multimorbidity and 18 putative multimorbidity-associated genes. We observed enrichment in immune and inflammatory pathways. A greater polygenic risk score for multimorbidity in the UK Biobank (N = 306,734) was associated with the co-occurrence of CAD, T2D and depression (OR per standard deviation = 1.91, 95% CI = 1.74–2.10, relative to the healthy group), validating this latent multimorbidity factor. Mendelian randomization analyses suggested potentially causal effects of BMI, body fat percentage, LDL cholesterol, total cholesterol, fasting insulin, income, insomnia, and childhood maltreatment. These findings advance our understanding of multimorbidity suggesting common genetic pathways

The Koolungar Moorditj Healthy Skin Project: Elder and Community Led Resources Strengthen Aboriginal Voice for Skin Health

In partnership with local Aboriginal Community Controlled Health Organisations, the Elder-led co-designed Koolungar Moorditj Healthy Skin project is guided by principles of reciprocity, capacity building, respect, and community involvement. Through this work, the team of Elders, community members, clinicians and research staff have gained insight into the skin health needs of urban-living Aboriginal koolungar (children); and having identified a lack of targeted and culturally appropriate health literacy and health promotion resources on moorditj (strong) skin, prioritised development of community-created healthy skin resources. Community members self-appointed to Aboriginal Community Advisory Groups (CAG) on Whadjuk (Perth) and Wardandi (Bunbury) boodjar (land/place) provided local leadership and led the development of moorditj skin resources. Over several online and face-to-face meetings facilitated by an Aboriginal project officer, CAG members shared local perspectives and cultural knowledge to develop and inform the messaging, medium, and dissemination of health literacy and health promotion resources for healthy skin. All CAG-created research approaches, resources and materials were presented to the Elder Researchers for discussion, final review, and implementation by the project team. Culturally appropriate moorditj skin resources, designed by community for community, build on knowledge of healthy skin to achieve moorditj skin and moorditj health for urban-living Aboriginal koolungar

Crop Updates 2005 Oilseeds

This session covers fifteen papers from different authors: 1. ACKNOWLEDGEMENTS, Douglas Hamilton, FARMING SYSTEMS DEVELOPMENT OFFICER CROP AGRONOMY AND NUTRITION 2. Canola workshop at Crop Updates 2005, Oilseeds WA, John Duff, EXECUTIVE OFFICER OILSEEDS WA 3. Comparison of IT and TT canola varieties in geographic zones of WA, 2003-4, Graham Walton and Hasan Zaheer, Department of Agriculture 4. Farmer scale canola variety trials in WA, 2004, Graham Walton, John Duff, Neil Harris and Heather Cosgriff, Oilseeds WA 5. Oilseed crops for industrial uses, Margaret C. Campbell, Centre for Legumes in Mediterranean Agriculture (CLIMA), Graham Walton,Department of Agriculture 6. Weed control opportunities with GM canola, Bill Crabtree, Independent Consultant, Northam 7. Soil and tissue tests for the sulfur requirements of canola, R.F. Brennan and M.D.A. Bolland, Department of Agriculture 8. Tests to predict the potassium requirements of canola, R.F. Brennan and M.D.A. Bolland, Department of Agriculture 9. Genotypic variation in potassium efficiency of canola, P.M. Damon and Z. Rengel, Faculty of Natural and Agricultural Sciences, UWA 10. Atrazine contamination of groundwater in the agricultural region of Western Australia, Russell Speed1, Neil Rothnie2, John Simons1, Ted Spadek2 and John Moore1;1Department of Agriculture, 2Chemistry Centre (WA) PESTS AND DISEASES 11. Controlling aphids and Beet western yellows virus in canola using imidacloprid seed dressing, Brenda Coutts and Roger Jones; Department of Agriculture 12. Managing sclerotinia in canola, Neil Harris, Dovuro Seeds Western Australia 13. Slugs, the trail of destruction in canola, Neil Harris, Dovuro Seeds Western Australia 14. Blackleg risk assessment and strategies for risk management in canola during 2005 and beyond, Moin Salam, Ravjit Khanguraand Art Diggle, Department of Agriculture 15. Modelling: BRAT – Blackleg Risk Appraisal Tool, Moin Salam, Ravjit KhanguraDepartment of Agricultur

Crop Updates 1999 - Oilseeds

This article contains eighteen papers INTRODUCTION, Paul Carmody, Agriculture Western Australia PLENARY SESSION Transgenic canola in Western Australia: Outlook and challenges, Phil Salisbury, University of Melbourne Farming system issues for herbicide tolerant canola, Rick Madin, Rick Madin and Associates, David Bowran, Agriculture Western Australia Beating blackleg in 1999, Martin Barbetti, Ravjit Khangura, Paul Carmody, Graham Walton, Agriculture Western Australia The Mustard Industry in Australia – Opportunities for a new oilseed, Phil Parker, NSW Agriculture Management of blackleg with fungicides, Ravjit Khangura and Martin Barbetti, Agriculture Western Australia Effect of aphid feeding damage on canola yields in 1998, Francoise Berlandier and Linnet Cartwright, Agriculture Western Australia Post-anthesis duration and rainfall affect oil content of canola, Ping Si, University of West Australia, Graham Walton, Agriculture Western Australia, Nick Galwey and David Turner, University of West Australia Canola responded to high rates of fertiliser in 1998, Wayne Pluske, CSBP Impact of agronomic practices on canola quality, Graham Walton, Agriculture Western Australia Survey reveals widespread infection with two virus diseases in Western Australian canola crops, Roger Jones and Brenda Coutts, Agriculture Western Australia Calculating canola yields and oil contents as a function of soil and fertiliser nitrogen supply, Bill Bowden and Isabel Arevalo-Vigne, Agriculture Western Australia Canola benchmarks 1997/98 – Central Eastern District, Jeff Russell, Agriculture Western Australia Seeding rate affects the yield and some architectural features of canola, Syed H. Zaheer, Nick W. Galwey and David Turner, University of Western Australia Foliar applied fungicides for blackleg, Andrew Simon and Art Diggle, Agriculture Western Australia Farm based demonstration 1998 canola N – Wheel evaluation, Jeff Russell, Agriculture Western Australia Effect of sowing date on seed yield of canola, Dave Eksteen, Agriculture Western Australia Investigating water use of summer crops on the South Coast of Western Australia, Arjen Ryder, Agriculture Western Australia, Bill Crabtree, Western Australia No Till Farming Association, Serena Wyatt, Catchment Landcare Coordinator, Wellstead, Jim Baily, Subasio Downs, Wellstead INTRODUCTION, Paul Carmody, Agriculture Western Australia PLENARY SESSION Transgenic canola in Western Australia: Outlook and challenges, Phil Salisbury, University of Melbourne Farming system issues for herbicide tolerant canola, Rick Madin, Rick Madin and Associates, David Bowran, Agriculture Western Australia Beating blackleg in 1999, Martin Barbetti, Ravjit Khangura, Paul Carmody, Graham Walton, Agriculture Western Australia The Mustard Industry in Australia – Opportunities for a new oilseed, Phil Parker, NSW Agriculture Management of blackleg with fungicides, Ravjit Khangura and Martin Barbetti, Agriculture Western Australia Effect of aphid feeding damage on canola yields in 1998, Francoise Berlandier and Linnet Cartwright, Agriculture Western Australia Post-anthesis duration and rainfall affect oil content of canola, Ping Si, University of West Australia, Graham Walton, Agriculture Western Australia, Nick Galwey and David Turner, University of West Australia Canola responded to high rates of fertiliser in 1998, Wayne Pluske, CSBP Impact of agronomic practices on canola quality, Graham Walton, Agriculture Western Australia Survey reveals widespread infection with two virus diseases in Western Australian canola crops, Roger Jones and Brenda Coutts, Agriculture Western Australia Calculating canola yields and oil contents as a function of soil and fertiliser nitrogen supply, Bill Bowden and Isabel Arevalo-Vigne, Agriculture Western Australia Canola benchmarks 1997/98 – Central Eastern District, Jeff Russell, Agriculture Western Australi

Crop Updates - 2003 Oilseeds

This session covers fifteen papers from different authors ACKNOWLEDGMENTS VARIETIES Large scale canola varietal evaluation in WA, Peter Nelson, Oilseeds WA Performance of IT and TT canola varieties in the medium and high rainfall agzones of WA 2001-02, Graham Walton, Hasan Zaheer and Paul Carmody, Department of Agriculture QUALITY Reproductive biology, cotyledon development and oil accumulation in canola, J.A. Fortescue and D.W. Turner, School of Plant Biology, Faculty of Natural and Agricultural Sciences, The University of Western Australia Plant and environmental factors affecting oil concentration in canola – a mini-review, D.W. Turner, School of Plant Biology, Faculty of Natural and Agricultural Sciences, The University of Western Australia Potential benefits from interspecific crosses between canola and ‘near canola’ quality Indian mustard, Janet Wroth, School of Plant Biology, The University of Western Australia (UWA), Wallace Cowling, School of Plant Biology, UWA and CBWA Pty Ltd, Anh-Van Pham, School of Mathematics and Statistics, UWA NUTRITION, AGRONOMY AND MACHINERY Timing of nitrogen application for producing canola grain and oil, R. F. Brennan, Department of Agriculture Managing canola for soil type and moisture stress, Paul Carmody and Hasan Zaheer Department of Agriculture Machinery lessons from 2002 – canola establishment, Glen Riethmuller, Greg Hamilton and Jo Hawksley, Department of Agriculture Machinery lessons from 2002 – harvesting short crops, Glen Riethmuller, Department of Agriculture Does increasing canola seeding rate reduce the competitiveness of grass weeds? Zaicou-Kunesch, C.M., Zaheer, S.H. and Eksteen, D, Department of Agriculture PESTS AND DISEASES Aphid damage to canola – not all cultivars are equal, Françoise A. Berlandier and Christiaan Valentine, Department of Agriculture Should we be worried about developing insecticide resistance in aphids? Owain Edwards, CSIRO Entomology Benefits provided by treating canola seed with imidacloprid seed dressing, Roger Jones, Brenda Coutts, Lisa Smith and Jenny Hawkes, Department of Agriculture, and Centre for Legumes in Mediterranean Agriculture Blackleg levels in canola in 2002, Ravjit Khangura1, Moin Salam1, Art J Diggle1 and Martin J Barbetti1,2 1Department of Agriculture, 2University of Western Australia DBM in canola, Kevin Walden, Department of Agricultur

ENIGMA and global neuroscience: A decade of large-scale studies of the brain in health and disease across more than 40 countries.

This review summarizes the last decade of work by the ENIGMA (Enhancing NeuroImaging Genetics through Meta Analysis) Consortium, a global alliance of over 1400 scientists across 43 countries, studying the human brain in health and disease. Building on large-scale genetic studies that discovered the first robustly replicated genetic loci associated with brain metrics, ENIGMA has diversified into over 50 working groups (WGs), pooling worldwide data and expertise to answer fundamental questions in neuroscience, psychiatry, neurology, and genetics. Most ENIGMA WGs focus on specific psychiatric and neurological conditions, other WGs study normal variation due to sex and gender differences, or development and aging; still other WGs develop methodological pipelines and tools to facilitate harmonized analyses of "big data" (i.e., genetic and epigenetic data, multimodal MRI, and electroencephalography data). These international efforts have yielded the largest neuroimaging studies to date in schizophrenia, bipolar disorder, major depressive disorder, post-traumatic stress disorder, substance use disorders, obsessive-compulsive disorder, attention-deficit/hyperactivity disorder, autism spectrum disorders, epilepsy, and 22q11.2 deletion syndrome. More recent ENIGMA WGs have formed to study anxiety disorders, suicidal thoughts and behavior, sleep and insomnia, eating disorders, irritability, brain injury, antisocial personality and conduct disorder, and dissociative identity disorder. Here, we summarize the first decade of ENIGMA's activities and ongoing projects, and describe the successes and challenges encountered along the way. We highlight the advantages of collaborative large-scale coordinated data analyses for testing reproducibility and robustness of findings, offering the opportunity to identify brain systems involved in clinical syndromes across diverse samples and associated genetic, environmental, demographic, cognitive, and psychosocial factors