Mental Health & Disabilities Workforce Workgroup, December 12, 2012

The Iowa 2012 General Assembly charged the Iowa Department of Public Health with creating a mental health and disabilities group to make workforce recommendations in support of services to Iowans (Senate File 2315, Division II, Section 24). The Department of Human Services Mental Health Redesign Initiative was already underway since 2010. Workforce supply is a critical element of service capacity. IDPH leadership reviewed the legislative language, conferred with DHS leadership, appointed the workforce, and began deliberations in fall 2012.

Ecuaciones de recurrencia estocásticas en el cálculo de la prima de reaseguro Finite Risk

RESUMEN: El objetivo de este trabajo es calcular el importe de la prima pura periódica que debe cobrar el reasegurador a la cedente en un reaseguro finite risk en ambiente financiero estocástico. El problema de la convolución de las diferentes variables aleatorias que intervienen en el cálculo de la prima lo hemos solucionado simulando, por Monte-Carlo, trayectorias de siniestralidad para el reasegurador aplicando posteriormente, en cada trayectoria simulada, los criterios de decisión financieros, esperanza, varianza y desviación. En los criterios de la varianza y de la desviación proponemos utilizar una ecuación de recurrencia estocástica para evitar el problema de la dependencia que existe entre los factores de capitalización estocásticos, obteniendo la prima de reaseguro en función del nivel de aversión al riesgo del reasegurador y de la volatilidad del tipo de interés. Palabras clave: Finite risk, ambiente estocástico, ecuación de recurrencia, simulación de Monte-Carlo, prima pura periódica.

Effects of mental stress on insulin-mediated glucose metabolism and energy expenditure in lean and obese women.

The effects of the sympathetic activation elicited by a mental stress on insulin sensitivity and energy expenditure (VO(2)) were studied in 11 lean and 8 obese women during a hyperinsulinemic-euglycemic clamp. Six lean women were restudied under nonselective beta-adrenergic blockade with propranolol to determine the role of beta-adrenoceptors in the metabolic response to mental stress. In lean women, mental stress increased VO(2) by 20%, whole body glucose utilization ([6,6-(2)H(2)]glucose) by 34%, and cardiac index (thoracic bioimpedance) by 25%, whereas systemic vascular resistance decreased by 24%. In obese women, mental stress increased energy expenditure as in lean subjects, but it neither stimulated glucose uptake nor decreased systemic vascular resistance. In the six lean women who were restudied under propranolol, the rise in VO(2), glucose uptake, and cardiac output and the decrease in systemic vascular resistance during mental stress were all abolished. It is concluded that 1) in lean subjects, mental stress stimulates glucose uptake and energy expenditure and produces vasodilation; activation of beta-adrenoceptors is involved in these responses; and 2) in obese patients, the effects of mental stress on glucose uptake and systemic vascular resistance, but not on energy expenditure, are blunted.

Subjective mental time: the functional architecture of projecting the self to past and future.

Abstract Human experience takes place in the line of mental time (MT) created through 'self-projection' of oneself to different time-points in the past or future. Here we manipulated self-projection in MT not only with respect to one's life events but also with respect to one's faces from different past and future time-points. Behavioural and event-related functional magnetic resonance imaging activity showed three independent effects characterized by (i) similarity between past recollection and future imagination, (ii) facilitation of judgements related to the future as compared with the past, and (iii) facilitation of judgements related to time-points distant from the present. These effects were found with respect to faces and events, and also suggest that brain mechanisms of MT are independent of whether actual life episodes have to be re-experienced or pre-experienced, recruiting a common cerebral network including the anteromedial temporal, posterior parietal, inferior frontal, temporo-parietal and insular cortices. These behavioural and neural data suggest that self-projection in time is a fundamental aspect of MT, relying on neural structures encoding memory, mental imagery and self.

L'Envelliment en persones amb trastorn mental sever

Són moltes les investigacions que han aprofundit en l’estudi de l’esquizofrènia i algunes aporten resultats de persones que estan a la tercera edat. L’objectiu principal d’aquest estudi és descriure alguns aspectes mèdics i de gestió de casos en població gran afectada de trastorn mental. Un segon objectiu és observar si hi ha un major risc cardiovascular en edat avançada en comparació amb persones de menor edat. Es tracta d’un estudi descriptiu i transversal amb una mostra de 220 subjectes afectats de trastorn mental sever, 33 dels quals sobrepassen els 60 anys. Es van utilitzar els registres sobre les dades mèdiques, clíniques i de funcionament social durant l’any 2011. Entre els resultats principals s’ha trobat una bona adherència al tractament i al seguiment(95,3%-90% respectivament) una bona participació familiar en el tractament(90%), nivells més elevats de dislipèmies(colesterol 70,6%; triglicèrids 64,3%), menor nombre de fumadors(28%). Les valoracions psicopatològiques no mostren significació estadística respecte al grup més jove (p=.468) ni en reingressos ni urgències(p=.181;.420 respectivament). Les dades que es presenten en aquest estudi fan èmfasi en la necessitat de tenir cura dels malalts mentals també a la tercera edat, on la fragilitat física i psicosocial s’accentua a nivell de comorbilitat amb altres malalties mèdiques.

Modelagem do desenvolvimento de trigo considerando diferentes temperaturas cardinais e métodos de cálculo da função de resposta à temperatura

O objetivo deste trabalho foi melhorar a estimativa dos estádios de desenvolvimento de genótipos brasileiros de trigo (Triticum aestivum) realizada por meio do modelo WE-Streck. Foram avaliadas diferentes combinações de temperaturas cardinais e métodos de cálculo da função de resposta à temperatura. Dados referentes às datas da emergência, da emissão da espigueta terminal, da antese e da maturidade fisiológica de seis genótipos brasileiros de trigo semeados em 11 datas ao longo de três anos (2005, 2006 e 2007) em Santa Maria, RS, foram usados para estimar os coeficientes do modelo WE-Streck modificado e testar as diferentes combinações de temperaturas cardinais e métodos de cálculo da função de resposta à temperatura. Para os genótipos BRS Louro, BRS 177, CEP 51, CEP 52 e Nova Era, a simulação do desenvolvimento com o modelo de WE-Streck é melhor quando são usados maiores valores de temperaturas cardinais ótima e máxima, em comparação às usadas originalmente no modelo. Para o genótipo BRS Tarumã, devem ser utilizadas as temperaturas cardinais do modelo WE-Streck original. É recomendável usar as temperaturas mínimas e máximas diárias para calcular a função de resposta à temperatura quando o modelo WE-Streck for usado para simulação do desenvolvimento de genótipos brasileiros de trigo.

Huella de carbono de vivienda y movilidad en Concepción, Chile. Uso del cálculo de huella de carbono para concretar y solucionar problemáticas sociales en barrios desfavorecidos. El caso de Pedro de Valdivia Bajo y Cerro Centinela

En este proyecto se ha calculado la huella de carbono parcial, es decir, únicamente se ha tenido en cuenta la movilidad y la energía usada en la vivienda. Se ha aplicado la metodología creada por Mathis Wackernagel y William Rees en 1997 para el cálculo de la huella ecológica. Diferentes barrios distribuidos a distintas distancias del CBD (Central Business District) de Concepción (Chile), han sido los objetos de estudio de la Huella de Carbono y en concreto se ha focalizado la atención en dos barrios de bajas rentas (Cerro Centinela y Pedro de Valdivia Bajo). En ellos se ha propuesto mejoras tanto ecológicas como sociales para aumentar la calidad de vida de los vecinos.

A comparison of the dental status and treatment needs of older adults with and without chronic mental illness in Sevilla, Spain

Objectives: To study the dental status and treatment needs of institutionalized older adults with chronic mental illness compared to a non-psychiatric control sample. Study Design: The sample size was 100, in which 50 were psychogeriatric patients (study group; SG) classified according to DSM-IV, with a mean age of 69.6 ± 6.7 years, and 50 non-psychiatric patients (control group; CG), with a mean age of 68.3 ± 6.9 years. Clinical oral health examinations were conducted and caries were recorded clinically using the Decayed, Missing and Filled Teeth Index (DMFT). Results were analyzed statistically using the Student"s t-test or analysis of variance. Results: Caries prevalence was 58% and 62% in SG and CG, respectively. DMFT index was 28.3 ± 6.6 in SG and 21.4 ± 6.07 in CG (p < 0.01). Mean number of decayed teeth was higher in SG (3.1) compared to CG (1.8) (p=0.047). Mean number of missing teeth were 25.2 and 16.4 in SG and CG respectively (p<0.05). DMFT scores were higher in SG in all the age groups (p < 0.01). Mean number of teeth per person needing treatment was 3.4 in SG and 1.9 in CG (p= 0.037). The need for restorative dental care was significantly lower in the SG (0.8 teeth per person) than in the CG (1.7 teeth per person) (p = 0.043). Conclusions: Institutionalized psychiatric patients have significantly worse dental status and more dental treatment needs than non-psychiatric patients.

Control mental

La revista especialitzada NeuroReport ha publicat un article que m'ha aportat nous elements de reflexió sobre els mecanismes neurals de control mental que, de forma innata, realitzem les persones com a part de la nostra vida social.

El nuevo título de Grado en Enfermería y la formación en salud mental

Sobre el nou títol d'Estudi de Grau d' Infermeria i de Salut Mental

Benestar físic, mental i social

Dossier dedicat a la Salut en general

Nous enfocaments en salut mental

L’atenció a la salut mental al llarg de la història es troba plena de desoris i de grans injustícies. Durant molts segles les persones amb malaltia mental han estat arraconades i menyspreades per la societat, que les ha reclòs en institucions psiquiàtriques tancades: els manicomis

El compromiso con la Enfermería de Salud Mental

Editorial al volum 2, número 3 de la revista "Presencia : revista de enfermería de salud mental" sobre l'especialitat d' Infermeria de Salut Mental

Children's Mental Health and Well-Being Work-group Final Report, December 15, 2015

The children's mental health and well-being work group was formed in response to legislative direction to facilitate a study and make recommendations regarding children's mental health and the systems that assist children and families in Iowa.