Randomised trials relevant to mental health conducted in low and middle-income countries: protocol for a survey of studies published in 1991, 1995 and 2000 and assessment of their relevance

BACKGROUND A substantial proportion of the psychiatric burden of disease falls on the world's poorest nations. Despite this, relatively little is known about the quality and content of clinical research undertaken in these countries, or the relevance of the interventions evaluated and specifically that of randomised trials. This project aims to survey the content, quality and accessibility of a sample of trials relevant to mental health conducted within low and middle-income countries; to compare these with studies conducted in high-income countries; and to assess their relevance for the needs of low and middle-income countries. METHODS An extensive search for all trials, or possible trials, published in 1991, 1995 and 2000 with participants in low and middle-income countries has already been conducted. Studies evaluating prevention or treatment of a mental health problem within these three years will be identified and further searches conducted to assess completeness of the initial search. Data on study quality and characteristics will be extracted from each report. Accessibility will be estimated based on whether each citation is available on MEDLINE. Trials relevant to schizophrenia will be compared with a random sample of schizophrenia trials from high-income countries in the same years. Topics covered by the trials will be compared with the estimated burden of disease. CONCLUSION Trials and systematic reviews of trials are the gold standard of evaluation of care and increasingly provide the basis for recommendations to clinicians, to providers of care and to policy makers. Results from this study will present the first assessment of the scope, quality and accessibility of mental health trials in low and middle-income countries

Maximum entanglement of formation for a two-mode Gaussian state over passive operations

We quantify the maximum amount of entanglement of formation (EoF) that can be achieved by continuous-variable states under passive operations, which we refer to as EoF-potential. Focusing, in particular, on two-mode Gaussian states we derive analytical expressions for the EoF-potential for specific classes of states. For more general states, we demonstrate that this quantity can be upper-bounded by the minimum amount of squeezing needed to synthesize the Gaussian modes, a quantity called squeezing of formation. Our work, thus, provides a new link between non-classicality of quantum states and the non-classicality of correlations.Comment: Revised versio

Antennal Responses of the Two Host Races of the Larch Bud Moth, Zeiraphera diniana , to Larch and Cembran Pine Volatiles

The larch bud moth (LBM) Zeiraphera diniana Guenée causes defoliation on larch in the Alps at 8- to 10-year intervals, after which populations crash. There are two LBM host races, one on larch and the other on cembran pine. These host races are morphologically indistinguishable as adults but they differ genetically in larval color types. Furthermore, females of each host race produce distinct pheromone blends and show oviposition preferences for their respective hosts. It is not clear to what extent host choice contributes to assortative mating in the LBM. Here, we compare the olfactory sensitivities of the two host races to the odors of fresh foliage of the host plants using the electroantennogram (EAG) technique, and the responses of the two host races to volatiles collected from the two host plants as analyzed by gas-chromatography-linked antennographic detection (GC-EAD). Both sexes of the larch and cembran host races show the same EAG responses to vapors of fresh larch and cembran pine foliage. Fifteen plant volatiles identified as chemostimuli by GC-EAD from larch and cembran pine odors elicited the same antennogram responses from the two host races. However, the GC-EAD analyses indicate that the number and quantity of chemostimuli emanating from each host plant is different. It is, therefore, most probably the array of olfactory receptors responding to the bouquet of volatiles unique to each host plant that underlies the host preferences of the two races. What remains open is the extent to which the similarity of the olfactory systems may contribute to cross-attraction. The fact that LBM individuals with intermediate characteristics between the two host races exist, suggests that olfactory perception does not hinder gene flow and contributes to sustained genetic diversity within the species Z. dinian

Biomarkers of systemic inflammation and growth in early infancy are associated with stunting in young Tanzanian children

Stunting can afflict up to one-third of children in resource-constrained countries. We hypothesized that low-grade systemic inflammation (defined as elevations in serum C-reactive protein or alpha-1-acid glycoprotein) in infancy suppresses the growth hormone–insulin-like growth factor (IGF) axis and is associated with subsequent stunting. Blood samples of 590 children from periurban Dar es Salaam, Tanzania, were obtained at 6 weeks and 6 months of age as part of a randomized controlled trial. Primary outcomes were stunting, underweight, and wasting (defined as length-for-age, weight-for-age and weight-for-length z-scores < −2) between randomization and endline (18 months after randomization). Cox proportional hazards models were constructed to estimate hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) of time to first stunting, underweight, and wasting as outcomes, with measures of systemic inflammation, insulin-like growth factor-1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) as exposures, adjusting for numerous demographic and clinical variables. The incidences of subsequent stunting, underweight, and wasting were 26%, 20%, and 18%, respectively. In multivariate analyses, systemic inflammation at 6 weeks of age was significantly associated with stunting (HR: 2.14, 95% CI: 1.23, 3.72; p = 0.002). Children with higher levels of IGF-1 at 6 weeks were less likely to become stunted (HR: 0.58, 95% CI: 0.37, 0.93; p for trend = 0.019); a similar trend was noted in children with higher levels of IGF-1 at 6 months of age (HR: 0.50, 95% CI: 0.22, 1.12; p for trend = 0.07). Systemic inflammation occurs as early as 6 weeks of age and is associated with the risk of future stunting among Tanzanian children.This research was funded by the National Institutes of Health (R01 HD048969, 2P30 DK040561, K24 DK104676-Dr. Duggan) and the Bill and Melinda Gates Foundation (OPP1066203-Dr. Duggan). (R01 HD048969 - National Institutes of Health; 2P30 DK040561 - National Institutes of Health; K24 DK104676 - National Institutes of Health; OPP1066203 - Bill and Melinda Gates Foundation)Accepted manuscrip

Studies on processing technology and cost estimation of fig (Ficus carica L.) fruit powder enriched Burfi (Indian cookie)

The present article was designed with the aim to develop processing technology for preparation of fig (Ficus carica L.) fruits powder (Deanna variety) and the prepared fig powder was subsequently utilized in value added product like burfi (Indian cookie). In contrast to fig pulp and dried figs, the fig powder was found to be superior in terms of yield and ease of processing technology. Fig powder also open further fields of application that may promote fig powder processing at industrial scale in future. The products prepared by processing of figs viz. fig powder and fig burfi were chemically and sensorial assessed and also assessed for their economical feasibility and compared with market samples. Fig powder incorporated burfi was nutritionally rich in terms of fiber (3.7 %), potassium (0.464 %) and protein (13.12 %). The prepared product was found to be low cost as compared to the similar market products

Suppression of Higgsino mediated proton decay by cancellations in GUTs and strings

A mechanism for the enhancement for proton lifetime in supersymmetric/supergravity (SUSY/SUGRA) grand unified theories (GUTs) and in string theory models is discussed where Higgsino mediated proton decay arising from color triplets (anti-triplets) with charges $Q=-1/3(1/3)$ and $Q=-4/3(4/3)$ is suppressed by an internal cancellation due to contributions from different sources. We exhibit the mechanism for an SU(5) model with $45_H+\bar{45}_H$ Higgs multiplets in addition to the usual Higgs structure of the minimal model. This model contains both $Q=-1/3(1/3)$ and $Q=-4/3(4/3)$ Higgs color triplets (anti-triplets) and simple constraints allow for a complete suppression of Higgsino mediated proton decay. Suppression of proton decay in an SU(5) model with Planck scale contributions is also considered. The suppression mechanism is then exhibited for an SO(10) model with a unified Higgs structure involving $144_H+\bar{144}_H$ representations.The SU(5) decomposition of $144_H+\bar{144}_H$ contains $5_H+\bar 5_H$ and $45_H+\bar{45}_H$ and the cancellation mechanism arises among these contributions which mirrror the SU(5) case. The cancellation mechanism appears to be more generally valid for a larger class of unification models. Specifically the cancellation mechanism may play a role in string model constructions to suppress proton decay from dimension five operators. The mechanism allows for the suppression of proton decay consistent with current data allowing for the possibility that proton decay may be visible in the next round of nucleon stability experiment.Comment: 26 pages, no figures. Revtex 4. To appear in Physical Review