Hunsrik-xraywe. A new way in lexicography of the german language island in southern Brazil

Verschriftlichung des Dialekts wird immer als problematisch angesehen. Man könnte durchaus sagen, dass so viele dialektale Schreibweisen vorhanden sind, wie viele DialektsprecherInnen es überhaupt gibt. Das gilt gleichermaßen für die Dialekte des geschlossenen deutschsprachigen Raums in Europa und die Dialekt`Sprachinseln in Übersee wie Riograndenser Hunsrückisch in Brasilien. Allerdings um eine Sprachvarietät zu standardisieren, sollen auch feste, allgemeingültige Normen im Bereich der Orthographie und Graphematik aufgestellt werden. Standardisierung, Weitverbreitung und Popularisierung der dialektalen Varietät ist das Anliegen der Equipe Hunsrik, die sich dafür einsetzt, die in Rio Grande do Sul (Südbrasilien) gesprochene Varietät des Deutschen, Riograndenser Hunsrückisch, als offizielle regionale Amtssprache bzw. Bildungssprache zu beschließen. In diesem Betreff entwickelte das Projektteam aus Santa Maria do Herval eine an das Brasilianische Portugiesische angelehnte Schreibweise, die im dialektalen Bildwörterbuch Meine! ëyerste 100 Hunsrik wërter (2010) dargelegt wird. Im vorliegenden Beitrag wird einerseits das Wörterbuch präsentiert und andererseits die entwickelte Norm des Hunsrik!xraywe ‘Hunsrik`Schreibens’ näher gebracht bzw. diese mit anderen in Südbrasilien verwendeten Schriftsystemen verglichen.Written approaches for orally traded dialects can always be seen controversial. One could say that there are as many forms of writing a dialect as there are speakers of that dialect. This is not only true for the different dialectal varieties of German that exist in Europe, but also in dialect language islands on other continents such as the Riograndese Hunsrik in Brazil. For the standardization of a language variety there must be some determined, general norms regarding orthography and graphemics. Equipe Hunsrik works on the standardization, expansion, and dissemination of the German dialect variety spoken in Rio Grande do Sul (South Brazil). The main concerns of the project are the insertion of Riograndese Hunsrik as official community language of Rio Grande do Sul that is also taught at school. Therefore, the project team from Santa Maria do Herval developed a writing approach that is based on the Portuguese grapheme inventory. It is used in the picture dictionary Meine ëyerste 100 Hunsrik wërter (2010). This article discusses the picture dictionary in detail and presents the newly developed norm of! Hunsrik! xraywe ‘writing in Hunsrik’. Also a short comparison to other writing approaches used in Southern Brazil is given

Maternal Depression, Parenting Behaviors and Child Development: Evidence from a Randomized Control Trial

We evaluate the impacts of maternal depression on children's skill accumulation, exploiting randomized variation in depression created by a cluster-randomized control trial that provided cognitive behavioral therapy to women in rural Pakistan who were diagnosed as depressed in pregnancy. We conducted a followup study when the children were age 7 and assessed their cognitive, socio-emotional and physical development, parental investments in children, indicators of the quality of parenting, and of the home environment. The intervention was successful in reducing maternal depression and this effect was sustained. We also find that treated mothers exhibit better parenting behaviors, provide a better home environment and invest more in their children's education. We nevertheless find, on average, no detectible effects on children's cognitive, socio-emotional or physical development at age 7. We show that this is not because of differential attrition, differential shocks to treated vs control clusters or low power. With the odd exception, we find no evidence that the average results conceal large effects in relevant sub-samples, or in a segment of the distribution of outcomes. Since we find reinforcing parental investments in many domains in the treated group, it is also unlikely that the results are explained by unobserved compensating investments in the control group. We conclude that there are possibly positive but latent effects of the intervention that may be detectible in later life

Religious attendance after elevated depressive symptoms: is selection bias at work?

In an attempt to determine if selection bias could be a reason that religious attendance and depression are related, the predictive value of elevated depressive symptoms for a decrease in future attendance at religious services was examined in a longitudinal panel of 1,673 Dutch adults. Religious attendance was assessed yearly over five years using the single question, “how often do you attend religious gatherings nowadays?” Depressive symptoms were assessed four times within the first year using the Depression subscale of the Brief Symptom Inventory. Logistic regression models of change in attendance were created, stratifying by baseline attendance status. Attenders who developed elevated symptoms were less likely to subsequently decrease their attendance (relative risk ratio: 0.55, 95% CI [0.38–0.79]) relative to baseline as compared to those without elevated symptoms. This inverse association remained significant after controlling for health and demographic covariates, and when using multiply imputed data to account for attrition. Non-attenders were unlikely to start attending after elevated depressive symptoms. This study provides counter evidence against previous findings that church attenders are a self-selected healthier group

The effectiveness of the peer-delivered Thinking Healthy PLUS (THPP plus ) Program for maternal depression and child socioemotional development in Pakistan: study protocol for a randomized controlled trial

Abstract Background The negative effects of perinatal depression on the mother and child start early and persist throughout the lifecourse (Lancet 369(9556):145–57, 2007; Am J Psychiatry 159(1):43-7, 2002; Arch Dis Child 77(2):99–101, 1997; J Pak Med Assoc 60(4):329; J Psychosoma Res 49(3):207–16, 2000; Clin Child Fam Psychol Rev 14(1):1–27, 2011). Given that 10–35% of children worldwide are exposed to perinatal depression in their first year of life (Int Rev Psychiatry 8(1):37–54, 1996), mitigating this intergenerational risk is a global public health priority (Perspect Public Health 129(5):221–7, 2009; Trop Med Int Health 13(4):579–83, 2008; Br Med Bull 101(1):57–79, 2012). However, it is not clear whether intervention with depressed women can have long-term benefits for the mother and/or her child. We describe a study of the effectiveness of a peer-delivered depression intervention delivered through 36 postnatal months, the Thinking Healthy Program Peer-delivered PLUS (THPP+) for women and their children in rural Pakistan. Methods/design The THPP+ study aims are: (1) to evaluate the effects of an extended 36-month perinatal depression intervention on maternal and index child outcomes using a cluster randomized controlled trial (c-RCT) and (2) to determine whether outcomes among index children of perinatally depressed women in the intervention arm converge with those of index children born to perinatally nondepressed women. The trial is designed to recruit 560 pregnant women who screened positive for perinatal depression (PHQ-9 score ≥10) from 40 village clusters, of which 20 receive the THPP+ intervention. An additional reference group consists of 560 perinatally nondepressed women from the same 40 clusters as the THPP+ trial. The women in the nondepressed group are not targeted to receive the THPP+ intervention; but, by recruiting pregnant women from both intervention and control clusters, we are able to evaluate any carryover effects of the THPP+ intervention on the women and their children. Perinatally depressed women in the THPP+ intervention arm receive bimonthly group-based sessions. Primary outcomes are 3-year maternal depression and 3-year child development indicators. Analyses are intention-to-treat and account for the clustered design. Discussion This trial, together with the reference group, has the potential to further our understanding of the early developmental lifecourse of children of both perinatally depressed and perinatally nondepressed women in rural Pakistan and to determine whether intervening with women’s depression in the perinatal period can mitigate the negative effects of maternal depression on 36-month child development. Trial registration THPP-P ClinicalTrials.gov Identifier: NCT02111915 (registered on 9 April 2014). THPP+ ClinicalTrials.gov Identifier: NCT02658994 (registered on 21 January 2016). Sponsor: Human Development Research Foundation (HDRF)

The effectiveness of Technology-assisted Cascade Training and Supervision of community health workers in delivering the Thinking Healthy Program for perinatal depression in a post-conflict area of Pakistan - study protocol for a randomized controlled trial

BACKGROUND: Rates of perinatal depression in low and middle income countries are reported to be very high. Perinatal depression not only has profound impact on women’s health, disability and functioning, it is associated with poor child health outcomes such as pre-term birth, under-nutrition and stunting, which ultimately have an adverse trans-generational impact. There is strong evidence in the medical literature that perinatal depression can be effectively managed with psychological treatments delivered by non-specialists. Our previous research in Pakistan led to the development of a successful perinatal depression intervention, the Thinking Healthy Program (THP). The THP is a psychological treatment delivered by community health workers. The burden of perinatal depression can be reduced through scale-up of this proven intervention; however, training of health workers at scale is a major barrier. To enhance access to such interventions there is a need to look at technological solutions to training and supervision. METHODS/DESIGN: This is a non-inferiority, single-blinded randomized controlled trial. Eighty community health workers called Lady Health Workers (LHWs) working in a post-conflict rural area in Pakistan (Swat) will be recruited through the LHW program. LHWs will be randomly allocated to Technology-assisted Cascade Training and Supervision (TACTS) or to specialist-delivered training (40 in each group). The TACTS group will receive training in THP through LHW supervisors using a tablet-based training package, whereas the comparison group will receive training directly from mental health specialists. Our hypothesis is that both groups will achieve equal competence. Primary outcome measure will be competence of health workers at delivering THP using a modified ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale immediately post training and after 3 months of supervision. Independent assessors will be blinded to the LHW allocation status. DISCUSSION: Women living in post-conflict areas are at higher risk of depression compared to the general population. Implementation of evidence-based interventions for depression in such situations is a challenge because health systems are weak and human resources are scarce. The key innovation to be tested in this trial is a Technology-assisted Cascade Training and Supervision system to assist scale-up of the THP. TRIAL REGISTRATION: Registered with ClinicalTrials.gov as GCC-THP-TACTS-2015, Identifier: NCT02644902

Universal criterion for the breakup of invariant tori in dissipative systems

The transition from quasiperiodicity to chaos is studied in a two-dimensional dissipative map with the inverse golden mean rotation number. On the basis of a decimation scheme, it is argued that the (minimal) slope of the critical iterated circle map is proportional to the effective Jacobian determinant. Approaching the zero-Jacobian-determinant limit, the factor of proportion becomes a universal constant. Numerical investigation on the dissipative standard map suggests that this universal number could become observable in experiments. The decimation technique introduced in this paper is readily applicable also to the discrete quasiperiodic Schrodinger equation.Comment: 13 page

Migraine aura: retracting particle-like waves in weakly susceptible cortex

Cortical spreading depression (SD) has been suggested to underlie migraine aura. Despite a precise match in speed, the spatio-temporal patterns of SD and aura symptoms on the cortical surface ordinarily differ in aspects of size and shape. We show that this mismatch is reconciled by utilizing that both pattern types bifurcate from an instability point of generic reaction-diffusion models. To classify these spatio-temporal pattern we suggest a susceptibility scale having the value [sigma]=1 at the instability point. We predict that human cortex is only weakly susceptible to SD ([sigma]<1), and support this prediction by directly matching visual aura symptoms with anatomical landmarks using fMRI retinotopic mapping. We discuss the increased dynamical repertoire of cortical tissue close to [sigma]=1, in particular, the resulting implications on migraine pharmacology that is hitherto tested in the regime ([sigma]>>1), and potentially silent aura occurring below a second bifurcation point at [sigma]=0 on the susceptible scale

Sociodemographic and medical risk factors associated with antepartum depression

Background: The increasing recognition of antenatal depression is an emerging area of concern in developing countres. We conducted a study to estimate the prevalence of antenatal mental distress and its relation with sociodemographic factors, obstetric factors, and physiological wellbeing in pregnant women attending public health facilities in Bengaluru, South India. Methods: Nested within a cohort study, we assessed the mental status in 823 pregnant women in two public referral hospitals. Kessler Psychological Distress Scale (K-10 scale) was used to assess maternal depression. We collected information related to social-demographic characteristics and recent medical complaints. Descriptive statistics and odds ratios were calculated using SPSS version 20. Results: Results show that 8.7% of the women exhibited symptoms of antenatal depression. Sociodemographic characteristics, such as respondent occupation, husband education, husband’s occupation, total family income showed significance. First time pregnancy, anemia, and high blood pressure were also associated with mental distress. Conclusion: Our study has demonstrated feasibility of screening for mental health problems in public hospitals. Early detection of mental distress during pregnancy is crucial as it has a direct impact on the fetus. The public health facilities in low- and middle-income countries such as India should consider piloting and scaling up screening services for mental health conditions for pregnant women

Socioeconomic status indicators and common mental disorders: Evidence from a study of prenatal depression in Pakistan

There is growing interest in the relationship between socioeconomic status (SES), poverty, and mental health in low and middle-income countries (LMIC). However, it is not clear whether a gradient approach focused on a wider SES distribution or a binary poverty approach is more salient for mental health in LMIC. Yet this distinction has implications for interventions aimed at improving population health. We contribute to the literature by examining how multiple indicators of socioeconomic status, including gradient SES and binary poverty indicators, contribute to prenatal depression symptoms in a LMIC context. Prenatal depression is an important public health concern with negative sequela for the mother and her children. We use data on assets, education, food insecurity, debt, and depression symptoms from a sample of 1,154 pregnant women residing in rural Pakistan. Women who screened positive for depression participated in a cluster randomized controlled trial of a perinatal depression intervention; all women were interviewed October 2015-February 2016, prior to the start of the intervention. Cluster-specific sampling weights were used to approximate a random sample of pregnant women in the area. Findings indicate that fewer assets, experiencing food insecurity, and having household debt are independently associated with worse depression symptoms. The association with assets is linear with no evidence of a threshold effect, supporting the idea of a gradient in the association between levels of SES and depression symptoms. A gradient was also initially observed with woman’s educational attainment, but this association was attenuated once other SES variables were included in the model. Together, the asset, food insecurity, and debt indicators explain 14% of the variance in depression symptoms, more than has been reported in high income country studies. These findings support the use of multiple SES indicators to better elucidate the complex relationship between socioeconomic status and mental health in LMIC