Effective components of TORDIA cognitive–behavioral therapy for adolescent depression: Preliminary findings.

In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive–behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Environmental flows in two highly regulated rivers: the Hawkesbury Nepean in Australia and the Durance in France

Environmental flows are waters released from storages to improve degraded ecosystems. Subsequent monitoring is then used to determine incremental benefits. These flows in the Hawkesbury Nepean and the Durance are very low compared with those advocated for other systems. In the former, water is used in Sydney and Wollongong, while the Durance water is diverted to supply 16 hydropower stations. In this system, reserved flows have been set at 2.5% of mean discharge, while in the Australian river, environmental flows have varied, but are usually 3.6% or less in the current regime. Additionally, increasing the transparencies of barrages and weirs will enhance the effectiveness of current environmental flows. Implementation of such flows imposes many problems because of structural difficulties for releasing water and compromising regulatory infrastructures. Additionally, with the onset of global warming, both systems will suffer significant water losses.     

Remaining Fatigue Life Assessment of Plasma Sprayed Thermal Barrier Coatings

Ceramic functional coatings are frequently applied to structural materials, covering a wide range of thermomechanical and electrochemical applications. The main limiting feature is their reliability when subjected to cyclic transient thermal stresses. The study described in this article is a continuation of earlier research study focused on acoustic emission (AE) monitoring of the thermomechanical aging effects in ceramic coatings. Here, emphasis is placed on the usefulness of combining AE short-term monitoring with finite element modeling (FEM) to predict the performance of such coatings when subjected to cyclic thermal loads. The FEM study presented in this article is based on a three-dimensional, time-dependent approach, of the stress fields that developed within the coatings during the post-deposition cooling step and the thermal cycling. Experiments were conducted using yttrium-stabilized zirconia (YSZ) and Alumina (Al₂O₃) ceramic coatings combined with a NiCr-based intermetallic bond coat.     

Theory of mind associations with other cognitive functions and brain imaging in normal aging.

The study investigated age-related differences in theory of mind and explored the relationship between this ability, other cognitive abilities, and structural brain measures. A cohort of 106 adults (ages 50–90 years) was recruited. Participants completed tests of theory of mind, verbal and performance intelligence, executive function, and information processing speed and underwent structural magnetic resonance imaging (measurement of whole brain volume, volume of white matter hyperintensities, and diffusion tensor imaging of white matter integrity). Theory of mind ability declined with increasing age, and the relationship between theory of mind and age was fully mediated by performance intelligence, executive function, and information processing speed and was partially mediated by verbal intelligence. Theory of mind performance correlated significantly with diffusion tensor imaging measures of white matter integrity but not with volume of white matter hyperintensities or whole-brain volume. Theory of mind age-related decline may not be independent of other cognitive functions; it may also be particularly susceptible to changes in white matter integrity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The place of neighbourhood in social cohesion: insights from massey,West Auckland

Within public health discourse there is growing recognition that the social structures and ecology of neighbourhoods impact on health and wellbeing. A clearer understanding of the pathways through which this influence occurs will inform locality-based interventions to tackle inequalities. In this paper we report on an interview based study with parents of young children living in Massey, a suburban neighbourhood of metropolitan Auckland. Locational access to community resources is comparatively poor in Massey as measured by a community resource accessibility index. The findings provide insights into the impact of such access to services and amenities on neighbourhood social cohesion. We conclude by suggesting planning strategies for strengthening neighbourhood identification and attachment for this population group.     

The Cellular and Molecular Carcinogenic Effects of Radon Exposure: A Review

Radon-222 is a naturally occurring radioactive gas that is responsible for approximately half of the human annual background radiation exposure globally. Chronic exposure to radon and its decay products is estimated to be the second leading cause of lung cancer behind smoking, and links to other forms of neoplasms have been postulated. Ionizing radiation emitted during the radioactive decay of radon and its progeny can induce a variety of cytogenetic effects that can be biologically damaging and result in an increased risk of carcinogenesis. Suggested effects produced as a result of alpha particle exposure from radon include mutations, chromosome aberrations, generation of reactive oxygen species, modification of the cell cycle, up or down regulation of cytokines and the increased production of proteins associated with cell-cycle regulation and carcinogenesis. A number of potential biomarkers of exposure, including translocations at codon 249 of TP53 in addition to HPRT mutations, have been suggested although, in conclusion, the evidence for such hotspots is insufficient. There is also substantial evidence of bystander effects, which may provide complications when calculating risk estimates as a result of exposure, particularly at low doses where cellular responses often appear to deviate from the linear, no-threshold hypothesis. At low doses, effects may also be dependent on cellular conditions as opposed to dose. The cellular and molecular carcinogenic effects of radon exposure have been observed to be both numerous and complex and the elevated chronic exposure of man may therefore pose a significant public health risk that may extend beyond the association with lung carcinogenesis.     

Cyclic Stretch Induces Inducible Nitric Oxide Synthase and Soluble Guanylate Cyclase in Pulmonary Artery Smooth Muscle Cells

In the pulmonary vasculature, mechanical forces such as cyclic stretch induce changes in vascular signaling, tone and remodeling. Nitric oxide is a potent regulator of soluble guanylate cyclase (sGC), which drives cGMP production, causing vasorelaxation. Pulmonary artery smooth muscle cells (PASMCs) express inducible nitric oxide synthase (iNOS), and while iNOS expression increases during late gestation, little is known about how cyclic stretch impacts this pathway. In this study, PASMC were subjected to cyclic stretch of 20% amplitude and frequency of 1 Hz for 24 h and compared to control cells maintained under static conditions. Cyclic stretch significantly increased cytosolic oxidative stress as compared to static cells (62.9 ± 5.9% vs. 33.3 ± 5.7% maximal oxidation), as measured by the intracellular redox sensor roGFP. Cyclic stretch also increased sGCβ protein expression (2.5 ± 0.9-fold), sGC activity (1.5 ± 0.2-fold) and cGMP levels (1.8 ± 0.2-fold), as well as iNOS mRNA and protein expression (3.0 ± 0.9 and 2.6 ± 0.7-fold, respectively) relative to control cells. An antioxidant, recombinant human superoxide dismutase (rhSOD), significantly decreased stretch-induced cytosolic oxidative stress, but did not block stretch-induced sGC activity. Inhibition of iNOS with 1400 W or an iNOS-specific siRNA inhibited stretch-induced sGC activity by 30% and 68% respectively vs. static controls. In conclusion, cyclic stretch increases sGC expression and activity in an iNOS-dependent manner in PASMC from fetal lambs. The mechanism that produces iNOS and sGC upregulation is not yet known, but we speculate these effects represent an early compensatory mechanism to counteract the effects of stretch-induced oxidative stress. A better understanding of the interplay between these two distinct pathways could provide key insights into future avenues to treat infants with pulmonary hypertension.