This study aimed to investigate gender convergence or divergence among older adults in China, a Confucian society with strong persistence of gender role differentiation. We examined how multiple stressors influence depression simultaneously, with gender comparison approach. The data were drawn from the China Longitudinal Aging Social Survey study (N = 8,097). Results indicated that older women reported significantly higher levels of depression than men, yet overall depressive symptoms showed many gender similarities. Surprisingly, our analyses supported the hypothesis of gender convergence in stressors predicting late-life depression. Recommendations for practice and further research priorities based on findings are discussed.The Lake Michigan Ozone Study 2017 (LMOS 2017) in May and June 2017 enabled study of transport, emissions, and chemical evolution related to ozone air pollution in the Lake Michigan airshed. Two highly instrumented ground sampling sites were part of a wider sampling strategy of aircraft, shipborne, and ground-based mobile sampling. The Zion, Illinois site (on the coast of Lake Michigan, 67 km north of Chicago) was selected to sample higher NOx air parcels having undergone less photochemical processing. The Sheboygan, Wisconsin site (on the coast of Lake Michigan, 211 km north of Chicago) was selected due to its favorable location for the observation of photochemically aged plumes during ozone episodes involving southerly winds with lake breeze. The study encountered elevated ozone during three multiday periods. Daytime ozone episode concentrations at Zion were 60 ppb for ozone, 3.8 ppb for NOx, 1.2 ppb for nitric acid, and 8.2 μg m-3 for fine particulate matter. At Sheboygan daytime, ozone episode concentratiLMOS 2017) was conducted along the western shore of Lake Michigan, and involved two well-instrumented coastal ground sites (Zion, IL, and Sheboygan, WI). LMOS 2017 data are publicly available, and this paper provides detailed site characterization and measurement summary to enable informed use of repository data. Minor local source impacts were detected but were largely confined to nighttime conditions of less interest for ozone episode analysis and modeling. The role of these sites in the wider field campaign and their detailed description facilitates future campaign planning, informed data repository use, and model-observation comparison.
The Suicide Cognitions Scale (SCS) may be beneficial for suicide risk assessment. However, research has identified diverging factor structures and focused primarily on samples composed of males. Given limited prior research with female veterans, who have experienced increased rates of suicide, we examined the factor structure of the SCS among a national sample of female veterans.

Four-hundred thirty-one female veterans using and not using Veterans Health Administration care participated in an anonymous survey.

Exploratory factor analysis identified a three-factor solution, consistent with some prior research. This factor structure was not replicated in a confirmatory factor analysis.

Findings did not identify a consistent factor structure for the SCS among a sample of female veterans. Research is warranted to determine if suicide-specific cognitions differ among female veterans and to identify SCS items that should be added or removed to produce a more consistent factor structure among female veterans.HighlightsA consistent factor structure of the SCS among female Veterans was not identifiedSuicide-specific cognitions may differ among female VeteransAddition or removal of SCS items may be warranted in this population.
Findings did not identify a consistent factor structure for the SCS among a sample of female veterans. Research is warranted to determine if suicide-specific cognitions differ among female veterans and to identify SCS items that should be added or removed to produce a more consistent factor structure among female veterans.HighlightsA consistent factor structure of the SCS among female Veterans was not identifiedSuicide-specific cognitions may differ among female VeteransAddition or removal of SCS items may be warranted in this population.Objective To evaluate the relationship between obstructive sleep apnea syndrome (OSAS) and the fluid change in composition throughout the night.Methods The study included 92 non-obese patients who underwent polysomnography because of suspected OSAS. Weight and body composition analyses were applied using a Tanita DC-360 multi-frequency body composition analysis device.Results In the correlation analyses between apnea/hypopnea index (AHI) values and independent variables, a positive relationship was determined with extracellular fluid shift (r 0.381, p = 0.009) and change in neck circumference (r 0.226, p = 0.031), and there was a negative relationship between disease severity and an increase in the number of daily steps taken (r 0.208, p = 0.047).Conclusion The results of the study clearly showed that movement to the neck area of fluid accumulated in the lower extremities and an increase in extracellular fluid were related to AHI values independent of body mass index (BMI).Access to treatment for opioid use disorder (OUD) in rural areas within the United States remains a challenge. Providers must complete 8-24 h of training to obtain the Drug Addiction Treatment Act (DATA) 2000 waiver to have the legal authority to prescribe buprenorphine for OUD. Over the last 4 years, we executed five dissemination and implementation grants funded by the Agency for Healthcare Research and Quality to study and address barriers to providing Medications for Opioid Use Disorder Treatment (MOUD), including psychosocial supports, in rural primary care practices in different states. We found that obtaining the DATA 2000 waiver is just one component of meaningful treatment using MOUD, and that the waiver provides a one-time benchmark that often does not address other significant barriers that providers face daily. In this commentary, we summarize our initiatives and the common lessons learned across our grants and offer recommendations on how primary care providers can be better supported to expand access to MOUD in rural America.
Limited data suggest racial disparities in continuous positive airway pressure (CPAP) adherence exist.

To assess if CPAP adherence varies by neighborhood racial composition at a national scale.

Telemonitoring data from a CPAP manufacturer database were used to assess adherence in adult patients initiating CPAP therapy between November 2015 and October 2018. Mapping zip code to zip code tabulation areas (ZCTAs), age- and gender- adjusted CPAP adherence data at a neighborhood level was computed as a function of neighborhood racial composition. Secondary analyses adjusted for neighborhood education and poverty.

Among 787,236 patients living in 26,180 ZCTAs, the prevalence of CPAP adherence was 1.3% (95% CI 1.0-1.6%) lower in neighborhoods with high (≥25%) versus low (<1%) percentage of Black residents and 1.2% (95% CI 0.9-1.5%) lower in neighborhoods with high versus low percentage of Hispanic residents (p<0.001 for both) even after adjusting for neighborhood differences in poverty and education. https://www.selleckchem.com/products/AC-220.html Mean CPAP usage was similar across neighborhoods over the first 2-days, but by 90-days, differences in CPAP usage increased to 22 min (95% CI 18-27 min) between neighborhoods with high versus low percentage of Black residents and 22 min (95% CI 17-27 min) between neighborhoods with high versus low percentage of Hispanic residents (p<0.001 for both).

CPAP adherence is lower in neighborhoods with greater proportions of Black and Hispanic residents independent of education or poverty. These differences lead to a lower likelihood of meeting insurance coverage requirements for CPAP therapy, potentially exacerbating sleep health disparities.
CPAP adherence is lower in neighborhoods with greater proportions of Black and Hispanic residents independent of education or poverty. These differences lead to a lower likelihood of meeting insurance coverage requirements for CPAP therapy, potentially exacerbating sleep health disparities.Background As the United States faces a national opioid crisis, opioid overdose deaths have significantly risen over the past decade. Patients with opioid use disorder, particularly those who use high-potency synthetic opioids, are at an increased risk of fatal opioid overdose. Alternative dosing strategies for the treatment of opioid use disorder must be considered in high-risk patients to prevent opioid overdose. Case One patient with opioid use disorder at high risk for overdose was treated with extended-release (XR) intramuscular (IM) naltrexone initially every 28 days, but was frequently reporting increased cravings during the week prior to the next injection being due. This patient's dose of XR IM naltrexone was then given at an increased dosing frequency of every 21-24 days for three months. Opioid craving suppression was achieved without clinical or laboratory evidence of side effects or hepatotoxicity. Discussion In patients with especially high risk of opioid overdose, consideration of novel dosing strategies for continuation of opioid abstinence is necessary. This is the first report demonstrating the short-term safety and efficacy of more frequent dosing of XR IM naltrexone. This case demonstrates that in select high-risk patients, more frequent dosing of XR IM naltrexone may be an effective strategy to reduce opioid cravings. Informed Consent The case was reviewed with the Intuition's Privacy Officer who informed the authors that informed consent could not be obtained by the patient's family members due to 38 U.S.C 7332 restrictions on protected information. This manuscript was de-identified and approved by the institution's local privacy officer for publication in accordance with institution policy.Landfill leachate is a liquid generated due to rainwater percolation through the waste in a landfill or dumping site that may contain high levels of organic matter including both biodegradable and non-biodegradable which are the major sources of water pollution. Chemical oxygen demand (COD) and Ammoniacal Nitrogen (NH3-N) contents have been relevant indicators of severity and pollution potential of landfill leachate. The reductions of COD and NH3-N were investigated in this study using different combination media ratios of green mussel (GM) and zeolite (ZEO). Generally, zeolite is considered as a renowned adsorbent but relatively very high in cost. In Malaysia, mussel shell is abundantly available as a by-product from the seafood industry and is regarded as waste and mostly left at dumpsite to naturally deteriorate. Its quality and availability make the green mussels a cost-effective material. In this research study, leachate samples were characterized and found to contain high concentrations of COD and NH3-N. The adsorption process was conducted to find out the best combination media ratio between GM and ZEO. The removing efficiency was determined at different amounts of composite media ratios. The optimal adsorbent mixture ratio between (GM ZEO) of 1.03.0 and 1.52.5 were considered as a more efficient technique in removing COD and NH3-N compared to exploiting these adsorbents individually. The optimal extenuation removal reduction was found at an approximately 65% of COD and 78% of NH3-N. The adsorption Isotherm Langmuir model exhibited a better fit with high regression coefficient for COD (R2 = 0.9998) and NH3-N (R2 = 0.9875) respectively. This means that the combination of GM ZEO adsorption of landfill leachate in this analysis is homogeneous with the monolayer. The mixture of green mussel and zeolite was observed to provide an alternative medium for the reduction of COD and NH3-N comparatively with lower cost.