A practical approach to assess depression risk and to guide risk reduction strategies in later life

Background: Many factors have been associated with the onset and maintenance of depressive symptoms in later life, although this knowledge is yet to be translated into significant health gains for the population. This study gathered information about common modifiable and non-modifiable risk factors for depression with the aim of developing a practical probabilistic model of depression that can be used to guide risk reduction strategies. \Methods: A cross-sectional study was undertaken of 20,677 community-dwelling Australians aged 60 years or over in contact with their general practitioner during the preceding 12 months. Prevalent depression (minor or major) according to the Patient Health Questionnaire (PHQ-9) assessment was the main outcome of interest. Other measured exposures included self-reported age, gender, education, loss of mother or father before age 15 years, physical or sexual abuse before age 15 years, marital status, financial stress, social support, smoking and alcohol use, physical activity, obesity, diabetes, hypertension, and prevalent cardiovascular diseases, chronic respiratory diseases and cancer. Results: The mean age of participants was 71.7 +/- 7.6 years and 57.9% were women. Depression was present in 1665 (8.0%) of our subjects. Multivariate logistic regression showed depression was independently associated with age older than 75 years, childhood adverse experiences, adverse lifestyle practices (smoking, risk alcohol use, physical inactivity), intermediate health hazards (obesity, diabetes and hypertension), comorbid medical conditions (clinical history of coronary heart disease, stroke, asthma, chronic obstructive pulmonary disease, emphysema or cancers), and social or financial strain. We stratified the exposures to build a matrix that showed that the probability of depression increased progressively with the accumulation of risk factors, from less than 3% for those with no adverse factors to more than 80% for people reporting the maximum number of risk factors. Conclusions: Our probabilistic matrix can be used to estimate depression risk and to guide the introduction of risk reduction strategies. Future studies should now aim to clarify whether interventions designed to mitigate the impact of risk factors can change the prevalence and incidence of depression in later life.

Learn about the Land - A Geologic Guide to the RAGBRAI Challenge, July 2006

Thie bourchure that is produced by the Iowa Geological Society, talks about points of interest to people that are biking accross Iowa. Part of RAGBRAI.

Judicial Voter Guide: A Guide to Iowa’s Judicial Retention Elections, 2006

This guide is a informaitonal guide for judicial voters. Frist PDF verison is condensed, the second PDF verison is full text with biographies of judges.

How to Prepare a Patient for Transarterial Radioembolization? A Practical Guide.

Transarterial radioembolization consist in delivering small particles loaded with Yttrium90, a pure beta emitter, in order to treat primary and secondary liver tumors. This treatment needs precaution since inadequate delivery of these beads can lead to severe complications. Moreover, a precise radiation dosing is crucial to achieve a good clinical success and to avoid complications such as radioembolization-induced liver disease. This review describes all the precautions and highlights clinical and technical considerations that need to be taken to avoid complications.

Guia per a l'adaptació a l'espai europeu d'educació superior: 6. Continguts = Guía para la adaptación al espacio europeo de educación superior: 6. Contenidos = Guide to Adaptation to the European Higher Education Area: 6. Contents

Aquest quadern és el sisè lliurament de la Guia per a l'adaptació a l'espai europeu d'educació superior. Té l'origen en el debat de la Comissió de Seguiment del Pla Pilot d'Adaptació a l'Espai Europeu d'Educació Superior de la UdG i del grup de treball que s'ha constituït expressament per tractar el tema de l'avaluació dels aprenentatges

Secondary science 11 to 16 : a practical guide.

Abarca una amplia gama de temas del plan de estudios de ciencias para secundaria. Proporciona a los profesores que preparan el Qualified Teacher Status (QTS) no solo un detallado conocimiento de las distintas materias para captar sus principales conceptos, sino, también, actividades prácticas y útiles para entusiasmar a los alumnos con la ciencia. Incluye experimentos de interés para los niños como: extraer el ADN a un kiwi, la cromatografía de los dulces, la eliminación del hierro de los cereales y un rompecabezas de una placa tectónica.

Chambers adult learners' guide to spelling : practical methods for learning how to spell.

Guía de ortografía dirigida a adultos. Su objetivo es crearles confianza mediante el desarrollo de rutinas y estrategias para hacer frente a las palabras comúnmente mal escritas. No se trata de reglas de ortografía, sino de dividir las palabras y aprender a recordarlas de una manera diferente. Contiene una sección de código de color en un programa de cuatro semanas para mejorar las habilidades de escritura, ejemplos, actividades e ilustraciones para reforzar los conocimientos aprendidos. El autor es un especialista en dislexia.

Stock assessment for fishery management - A framework guide to the stock assessment tools of the Fisheries Management Science Programme (FMSP)

This document provides guidelines for fish stock assessment and fishery management using the software tools and other outputs developed by the United Kingdom's Department for International Development's Fisheries Management Science Programme (FMSP) from 1992 to 2004. It explains some key elements of the precautionary approach to fisheries management and outlines a range of alternative stock assessment approaches that can provide the information needed for such precautionary management. Four FMSP software tools, LFDA (Length Frequency Data Analysis), CEDA (Catch Effort Data Analysis), YIELD and ParFish (Participatory Fisheries Stock Assessment), are described with which intermediary parameters, performance indicators and reference points may be estimated. The document also contains examples of the assessment and management of multispecies fisheries, the use of Bayesian methodologies, the use of empirical modelling approaches for estimating yields and in analysing fishery systems, and the assessment and management of inland fisheries. It also provides a comparison of length- and age-based stock assessment methods. A CD-ROM with the FMSP software packages CEDA, LFDA, YIELD and ParFish is included.

A hymenopterists' guide to the Hymenoptera Anatomy Ontology: utility, clarification, and future directions

Hymenoptera exhibit an incredible diversity of phenotypes, the result of similar to 240 million years of evolution and the primary subject of more than 250 years of research. Here we describe the history, development, and utility of the Hymenoptera Anatomy Ontology (HAO) and its associated applications. These resources are designed to facilitate accessible and extensible research on hymenopteran phenotypes. Outreach with the hymenopterist community is of utmost importance to the HAO project, and this paper is a direct response to questions that arose from project workshops. In a concerted attempt to surmount barriers of understanding, especially regarding the format, utility, and development of the HAO, we discuss the roles of homology, "preferred terms", and "structural equivalency". We also outline the use of Universal Resource Identifiers (URIs) and posit that they are a key element necessary for increasing the objectivity and repeatability of science that references hymenopteran anatomy. Pragmatically, we detail a mechanism (the "URI table") by which authors can use URIs to link their published text to the HAO, and we describe an associated tool (the "Analyzer") to derive these tables. These tools, and others, are available through the HAO Portal website (http://portal.hymao.org). We conclude by discussing the future of the HAO with respect to digital publication, cross-taxon ontology alignment, the advent of semantic phenotypes, and community-based curation.

Contrast agents and ionization with respect to safety for patients and doctors

In hemodialysis patients, radiographic imaging with iodinated contrast medium (ICM) application plays a central role in the diagnosis and/or follow-up of disease-related conditions. Therefore, safety aspects concerning ICM administration and radiation exposure have a great impact on this group of patients. Current hardware and software improvements including the design and synthesis of modern contrast compounds allow the use of very small amounts of ICM in concert with low radiation exposure. Undesirable ICM side effects are divided into type A (predictable reactions such as heat feeling, headache, and contrast-induced acute kidney injury, for example) and type B (nonpredictable or hypersensitivity) reactions; this chapter deals with the latter. The first onset cannot be prevented. To prevent hypersensitivity upon reexposure of ICM, an allergological workup is recommended. If this is not possible and ICM is necessary, the patient should receive a premedication (H1 antihistamine with or without corticosteroids). Current imaging hardware and software improvements (e.g. such as additional filtration of the X-ray beam) allow the use of very small amount of ICM and small X-ray doses. Proper communication among the team involved in the treatment of a patient may allow to apply imaging protocols and efficient imaging strategies limiting radiation exposure to a minimum. Practical recommendations will guide the reader how to use radiation and ICM efficiently to improve both patient and staff safety.

Estudio crítico : Martin Kusch A Sceptical Guide to Meaning and Rules. Defending Kripke's Wittgenstein, Montreal and Kingston, Ithaca, McGuill-Queen's University Press, 2006

Fil: Karczmarczyk, Pedro Diego. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Estudio crítico : Martin Kusch A Sceptical Guide to Meaning and Rules. Defending Kripke's Wittgenstein, Montreal and Kingston, Ithaca, McGuill-Queen's University Press, 2006

Fil: Karczmarczyk, Pedro Diego. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.