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Many consultations in primary care involve patients with mental health problems, and primary care is typically the place where many such patients initially seek help. While considerable research has examined the prevalence of mental health disorders in primary care, relatively few papers have examined this issue in recent years. This study aims to address this gap by reviewing contemporary literature from 2014 to 2024 on the prevalence of mental health disorders among general practice patients.
Methods:
A comprehensive search across PubMed, PsycINFO, and Google Scholar was conducted, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for article selection and assessment, examining the prevalence of mental health disorders in general practice.
Results:
Studies varied in methodologies and healthcare settings, with reported prevalence rates of mental health disorders ranging from 2.4% to 56.3%. Demographic characteristics (female gender, older age) were associated with a higher prevalence of mental health disorders in the studies identified. Studies based on patient interviews reported broader prevalence (2.4–56.3%) compared to studies using electronic medical record reviews (12–38%). Prevalence also varied between countries. Notably, there has been a lack of post-COVID-19 studies, especially within Europe, examining the prevalence of mental health prevalence in primary care.
Conclusions:
Mental health problems are still common among patients attending general practice; the approach to data collection (i.e., prospective interviews with patients), female gender and older age appear to be correlates of higher estimates. Further research involving a large-scale study with multiple sites is a priority.
We examine the optical counterparts of the 1 829 neutral hydrogen (H i) detections in three pilot fields in the Widefield ASKAP L-band Legacy All-sky Blind surveY (WALLABY) using data from the Dark Energy Spectroscopic Instrument (DESI) Legacy Imaging Surveys DR10. We find that 17% (315) of the detections are optically low surface brightness galaxies (LSBGs; mean g-band surface brightness within 1 $ R_e$ of $\gt 23$ mag arcsec$^{-2}$) and 3% (55) are optically ‘dark’. We find that the gas-rich WALLABY LSBGs have low star formation efficiencies, and have stellar masses spanning five orders of magnitude, which highlights the diversity of properties across our sample. 75% of the LSBGs and all of the dark H i sources had not been catalogued prior to WALLABY. We examine the optically dark sample of the WALLABY pilot survey to verify the fidelity of the catalogue and investigate the implications for the full survey for identifying dark H i sources. We assess the H i detections without optical counterparts and identify 38 which pass further reliability tests. Of these, we find that 13 show signatures of tidal interactions. The remaining 25 detections have no obvious tidal origin, so are candidates for isolated galaxies with high H i masses, but low stellar masses and star-formation rates. Deeper H i and optical follow-up observations are required to verify the true nature of these dark sources.
The scatter in global atomic hydrogen (Hi) scaling relations is partly attributed to differences in how Hi and stellar properties are measured, with Hi reservoirs typically extending beyond the inner regions of galaxies where star formation occurs. Using pilot observations from the Widefield ASKAP L-band Legacy All-sky Blind Survey (WALLABY), we present the first measurements of Hi mass enclosed within the stellar-dominated regions of galaxies for a statistical sample of 995 local gas-rich systems, investigating the factors driving its variation. We examine how global Hi scaling relations change when measurements are restricted to $R_{\text{25}}$ and $R_{\text{24}}$ – the isophotal radii at 25 and 24 mag arcsec$^{-2}$ in the i-band – and explore how the fraction of Hi mass and Hi surface density within these radii correlate with other galaxy properties. On average, 68% of the total Hi mass is enclosed within $R_{\text{25}}$ and 54% within $R_{\text{24}}$, though significant variation exists between galaxies, ranging from $\sim$20% to 100%. The fraction of Hi mass within $R_{\text{25}}$ shows a mild correlation with stellar properties, with galaxies of higher stellar mass, greater stellar surface density, or redder colours enclosing a larger fraction of their Hi reservoirs. These correlations do not significantly strengthen when considering $R_{\text{24}}$. Conversely, global Hi surface densities show no significant correlation with stellar mass or stellar surface density, but trends start emerging when these are measured within the inner regions of galaxies. The strongest correlation is observed with optical colour, with bluer galaxies having higher average Hi surface densities within $R_{\text{25}}$. This trend of the average Hi surface density with optical colour strengthens when we restrict from $R_{\text{25}}$ to $R_{\text{24}}$, suggesting a closer connection between inner Hi reservoirs and star formation. This study underscores the value of (at least marginally) resolved Hi surveys of statistical samples for advancing our understanding of the gas-star formation cycle in galaxies.
The data volumes generated by theWidefield ASKAP L-band Legacy All-sky Blind surveY atomic hydrogen (Hi) survey using the Australian Square Kilometre Array Pathfinder (ASKAP) necessitate greater automation and reliable automation in the task of source finding and cataloguing. To this end, we introduce and explore a novel deep learning framework for detecting low signal-to-noise ratio (SNR) Hi sources in an automated fashion. Specifically, our proposed method provides an automated process for separating true Hi detections from false positives when used in combination with the source finding application output candidate catalogues. Leveraging the spatial and depth capabilities of 3D convolutional neural networks, our method is specifically designed to recognize patterns and features in three-dimensional space, making it uniquely suited for rejecting false-positive sources in low SNR scenarios generated by conventional linear methods. As a result, our approach is significantly more accurate in source detection and results in considerably fewer false detections compared to previous linear statistics-based source finding algorithms. Performance tests using mock galaxies injected into real ASKAP data cubes reveal our method’s capability to achieve near-100% completeness and reliability at a relatively low integrated SNR $\sim3-5$. An at-scale version of this tool will greatly maximise the science output from the upcoming widefield Hi surveys.
There is growing evidence that the broadband radio spectral energy distributions (SEDs) of star-forming galaxies (SFGs) contain a wealth of complex physics. In this paper we aim to determine the physical emission and loss processes causing radio SED curvature and steepening to see what observed global astrophysical properties, if any, are correlated with radio SED complexity. To do this, we have acquired radio continuum data between 70 MHz and 17 GHz for a sample of 19 southern local ($z \lt 0.04$) SFGs. Of this sample 11 are selected to contain low-frequency ($ \lt $300 MHz) turnovers (LFTOs) in their SEDs and eight are control galaxies with similar global properties. We model the radio SEDs for our sample using a Bayesian framework whereby radio emission (synchrotron and free-free) and absorption or loss processes are included modularly. We find that without the inclusion of higher frequency data ($ \gt $17 GHz) single synchrotron power-law based models are always preferred for our sample; however, additional processes including free-free absorption (FFA) and synchrotron losses are often required to accurately model radio SED complexity in SFGs. The fitted synchrotron spectral indices range from $-0.45$ to $-1.07$ and are strongly anticorrelated with stellar mass suggesting that synchrotron losses are the dominant mechanism acting to steepen the spectral index in larger/more massive nearby SFGs. We find that LFTOs in the radio SED are independent from the inclination of SFGs; however, higher inclination galaxies tend to have steeper fitted spectral indices indicating losses to diffusion of cosmic ray electrons into the galactic halo. Four of five of the merging systems in our SFG sample have elevated specific star formation rates and flatter fitted spectral indices with unconstrained LFTOs. Lastly, we find no significant separation in global properties between SFGs with or without modelled LFTOs. Overall these results suggest that LFTOs are likely caused by a combination of FFA and ionisation losses in individual recent starburst regions with specific orientations and interstellar medium properties that, when averaged over the entire galaxy, do not correlate with global astrophysical properties.
Developmental dysplasia of the hip (DDH) is a congenital disease in which there is abnormal development of the hip in infancy. Ultrasound screening has the potential to enable earlier identification and diagnosis of DDH, facilitating earlier and less invasive treatment. Ultrasound screening programs can be selective or universal, but the optimal method is unclear.
Methods
The aim of this review was to examine the comparative effectiveness of universal and selective ultrasound screening for DDH in infants. The domains of the Health Technology Assessment Core Model® selected for assessment were consistent with a rapid relative effectiveness assessment approach (i.e., focusing on the clinical benefit of the intervention) and included the following: (i) the health problem; (ii) a description of the technology; and (iii) clinical effectiveness and safety outcomes. An expert advisory group comprising nominated representatives from key stakeholder groups was convened for the purposes of quality assurance and to assist in interpreting the evidence.
Results
DDH severity can range from mild dysplasia to complete dislocation, with incidence varying internationally. Ultrasound screening can result in unnecessary treatment given the potential for spontaneous correction of hip instability. Furthermore, treatment may give rise to complications. Appropriate governance of a screening program and associated training may reduce the risk of unnecessary treatment. Limited high quality evidence from four studies was identified. This evidence suggested that increased rates of non-surgical intervention were associated with universal ultrasound screening, compared with selective screening, without a corresponding reduction in the incidence of late DDH or requirement for surgical intervention.
Conclusions
The relative benefit of universal ultrasound screening, compared with selective screening, remains unclear. Screening all infants has the potential to lead to unnecessary treatment, with the risk of clinically significant consequences. Consideration could be given to implementing a selective ultrasound screening program, with appropriate governance, end-to-end care, quality assurance, and outcome monitoring.
To determine the reach, adoption, implementation and effectiveness of an intervention to increase children’s vegetable intake in long day care (LDC).
Design:
A 12-week pragmatic cluster randomised controlled trial, informed by the multiphase optimisation strategy (MOST), targeting the mealtime environment and curriculum. Children’s vegetable intake and variety was measured at follow-up using a modified Short Food Survey for early childhood education and care and analysed using a two-part mixed model for non-vegetable and vegetable consumers. Outcome measures were based on the RE-AIM framework.
Setting:
Australian LDC centres.
Participants:
Thirty-nine centres, 120 educators and 719 children at follow-up.
Results:
There was no difference between intervention and waitlist control groups in the likelihood of consuming any vegetables when compared with non-vegetable consumers for intake (OR = 0·70, (95 % CI 0·34–1·43), P = 0·32) or variety (OR = 0·73 (95 % CI 0·40–1·32), P = 0·29). Among vegetable consumers (n 652), there was no difference between groups in vegetable variety (exp(b): 1·07 (95 % CI:0·88–1·32, P = 0·49) or vegetable intake (exp(b): 1·06 (95 % CI: 0·78, 1·43)), P = 0·71) with an average of 1·51 (95 % CI 1·20–1·82) and 1·40 (95 % CI 1·08–1·72) serves of vegetables per day in the intervention and control group, respectively. Intervention educators reported higher skills for promoting vegetables at mealtimes, and knowledge and skills for teaching the curriculum, than control (all P < 0·001). Intervention fidelity was moderate (n 16/20 and n 15/16 centres used the Mealtime environment and Curriculum, respectively) with good acceptability among educators. The intervention reached 307/8556 centres nationally and was adopted by 22 % eligible centres.
Conclusions:
The pragmatic self-delivered online intervention positively impacted educator’s knowledge and skills and was considered acceptable and feasible. Intervention adaptations, using the MOST cyclic approach, could improve intervention impact on children’ vegetable intake.
The putative host galaxy of FRB 20171020A was first identified as ESO 601-G036 in 2018, but as no repeat bursts have been detected, direct confirmation of the host remains elusive. In light of recent developments in the field, we re-examine this host and determine a new association confidence level of 98%. At 37 Mpc, this makes ESO 601-G036 the third closest FRB host galaxy to be identified to date and the closest to host an apparently non-repeating FRB (with an estimated repetition rate limit of $<$$0.011$ bursts per day above $10^{39}$ erg). Due to its close distance, we are able to perform detailed multi-wavelength analysis on the ESO 601-G036 system. Follow-up observations confirm ESO 601-G036 to be a typical star-forming galaxy with H i and stellar masses of $\log_{10}\!(M_{\rm{H\,{\small I}}} / M_\odot) \sim 9.2$ and $\log_{10}\!(M_\star / M_\odot) = 8.64^{+0.03}_{-0.15}$, and a star formation rate of $\text{SFR} = 0.09 \pm 0.01\,{\rm M}_\odot\,\text{yr}^{-1}$. We detect, for the first time, a diffuse gaseous tail ($\log_{10}\!(M_{\rm{H\,{\small I}}} / M_\odot) \sim 8.3$) extending to the south-west that suggests recent interactions, likely with the confirmed nearby companion ESO 601-G037. ESO 601-G037 is a stellar shred located to the south of ESO 601-G036 that has an arc-like morphology, is about an order of magnitude less massive, and has a lower gas metallicity that is indicative of a younger stellar population. The properties of the ESO 601-G036 system indicate an ongoing minor merger event, which is affecting the overall gaseous component of the system and the stars within ESO 601-G037. Such activity is consistent with current FRB progenitor models involving magnetars and the signs of recent interactions in other nearby FRB host galaxies.
A multimodal antimicrobial stewardship intervention was associated with a decrease in antibiotic prescribing for targeted non–coronavirus disease 2019 (COVID-19) upper respiratory infections from 27.6% in 2019 to 7.6% in 2021. We describe our approach to prioritizing departments for 3 levels of interventions in the setting of limited stewardship personnel.
United States (US) sugar policy buffers domestic sugar producers against subsidized and dumped world market sugar resulting in generally higher US sugar prices compared to world prices. A fixed-effects panel regression is used to estimate factors associated with US sugar-containing-product (SCP) retail prices. SCPs are defined by sucrose being a primary ingredient. Explanatory variables in the regression were US sugar prices, SCP characteristics, firm size, firm past financial performance, and macroeconomic variables. Macroeconomic variables, firm past financial performance, and SCP weight were statistically significant in explaining SCP prices. Increases in US sugar prices were not associated with higher SCP prices.
This comprehensive textbook provides a modern, self-contained treatment for upper undergraduate and graduate level students. It emphasizes the links between structure, defects, bonding, and properties throughout, and provides an integrated treatment of a wide range of materials, including crystalline, amorphous, organic and nano- materials. Boxes on synthesis methods, characterization tools, and technological applications distil specific examples and support student understanding of materials and their design. The first six chapters cover the fundamentals of extended solids, while later chapters explore a specific property or class of material, building a coherent framework for students to master core concepts with confidence, and for instructors to easily tailor the coverage to fit their own single semester course. With mathematical details given only where they strengthen understanding, 400 original figures and over 330 problems for hands-on learning, this accessible textbook is ideal for courses in chemistry and materials science.