Prevalence and socioeconomic impact of depressive disorders in India: multisite population-based cross-sectional study. Global burden of disease attributable to mental and substance use disorders: findings from the global burden of disease study 2010. Whiteford HA, Degenhardt L, Rehm J, et al. Findings from the global burden of disease study 2017. Institute for Health Metrics and Evaluation (IHME). International health services cardiology diabetes & endocrinology mental health primary care. Future collaborative care interventions would likely benefit from involving ASHA workers in community outreach efforts. ASHA workers' beliefs and knowledge regarding mental illness can be changed, and ASHAs can become effective advocates for patients. ASHA workers help maintain relationships with patients that encourage participation, and the efforts of ASHAs often aid in mitigating common barriers to treatment. This paper discusses the perspectives of ASHAs who participated in a novel effort to extend the collaborative care model to their own communities. Overall, ASHAs viewed the HOPE study as a necessary and effective intervention, and requested that it expand. Several expressed interest in receiving additional mental health training. ASHAs claimed that their knowledge about mental illness improved because of the HOPE study, though gaps remained in their understanding of aetiology and treatment. ASHA workers were able to identify key barriers to treatment and facilitators to treatment. ASHAs were included if they had previously participated in the HOPE intervention, a collaborative-care randomised controlled trial that aimed to integrate mental healthcare into existing primary care systems in rural Karnataka.ĪSHA workers mostly had positive interactions with patients, including encouraging them to attend sessions, helping to explain the topics and techniques, and checking on the patients frequently. ASHAs are high school-educated village women trained as community health workers. All PHCs had previously completed the HOPE study.ġ5 ASHA workers, selected via purposive sampling. Seven primary health centres (PHCs) in rural Karnataka, India. Semi-structured, one-on-one, qualitative interviews. As such, this work opens up new possibilities for employing 2D materials for targeted chemotherapeutic applications.The main objective of this exploratory study was to investigate the overlooked perspectives and beliefs of Accredited Social Health Activists (ASHA workers) regarding a collaborative care mental health intervention (HOPE: Healthier Options through Empowerment), mental illness and the health of their rural communities. From these targeted 2D NCs, the drug could release only slowly at the physiological pH but liberated rapidly at lower pH encountered by the tumor microenvironment resulting in significant toxicity toward the lung carcinoma cells. The biotinylated rGONC further improved their targetability to A549 human lung carcinoma cells and they enhanced cellular internalization efficiency. Interestingly, the antioxidant nature of GA also reduced GO to a high-quality few-layered thin reduced-graphene oxide ( rGO) during drug loading while forming rGO nanocarrier ( rGONC). To investigate such potential benefits of 2D materials, we have developed a biocompatible targeted 2D drug delivery system using graphene oxide (GO) as a model nanocarrier (NC) that could hold a high concentration of gallic acid (GA), a natural chemotherapeutic agent found in green tea. The layered structure of two-dimensional (2D) materials offers new opportunities by increasing the drug pay-load influencing the drug-release kinetics in a cancer micro-environment and facilitating targetability through the large accessible surface area. Despite the clinical availability of a large number of chemotherapeutic agents, the uncontrolled systemic distribution and the associated harmful side effects of chemotherapeutic agents pose major challenges demanding concerted efforts to enhance their cancer targetability. Chemotherapy has remained one of the most commonly employed treatment modalities for cancer.
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They have built membership programs that offer discounts for repeated visits. To sell more tickets, theaters are marketing themselves much more aggressively. Gelfond’s point: Auditoriums with extra-large screens, including IMAX venues, can sell out on big weekends between 6 and 9 p.m.) 23, Robert Fishman, a senior analyst at MoffettNathanson, a research firm, described the movie exhibition business as “in dire need of restructuring,” noting that many theaters are “connected to zombie malls.”Īs successful as theater companies view the summer, they sold only 17 percent of the available seats in the United States, according to EntTelligence, a research firm. Over that same time, the number of movie screens has increased 14 percent, as multiplexes have popped up in the far suburbs and theaters built during a boom in the 1990s have limped along on life support. “Except in unique cases, nobody needs a 20-plex anymore. Gelfond, the chief executive of IMAX, which licenses its technology to theaters. “About 20 percent of screens - increasingly, experiences like IMAX that make it special and worthwhile - generate 80 percent of the business,” said Richard L. A Chapter 11 reorganization would allow Cineworld to break some of its leases. The company, which is based in London, has reported $8.9 billion in net debt, including $4 billion in lease liabilities. 2 circuit in the United States behind AMC, is preparing to file for bankruptcy. More closures are expected this fall: Cineworld, which operates Regal Cinemas, the No. A few think 25,000 is a healthier target.Ībout 500 screens have closed since the pandemic began, according to the National Association of Theater Owners, a trade organization. There are 40,700 screens in the United States and Canada, and even some theater executives concede that there should be no more than 35,000. One obvious if drastic step, analysts say, is for the biggest theater companies to close thousands of underperforming screens. But hardly anybody agrees on precisely the best way forward. Some studios continue to release films on streaming services and in theaters at the same time, or bypass theaters altogether, and the cost of running a theater keeps climbing.Īlmost everyone agrees that the 117-year-old movie exhibition business cannot keep going like this. Summer ticket sales still lagged significantly behind prepandemic levels. “Let the good times roll,” Adam Aron, the chief executive of AMC Entertainment, said during an earnings call last month.Īnd yet, behind that rosy view, instability lurked. The “Top Gun” sequel has taken in an astounding $1.5 billion worldwide, and “Doctor Strange in the Multiverse of Madness” outperformed its 2016 franchise predecessor by 41 percent. Theaters were feeling newly optimistic, largely because “ Top Gun: Maverick” and several other blockbusters showed that people still want to go to the movies. In recent months, the situation didn’t look so dire. Now, staggering debt and a severe shortage of big movies to show in the months ahead imperil multiplex chains once again. Unwelcome forces - Netflix, 50-inch TVs, the coronavirus pandemic - have buffeted cinemas for years. This effect was not detected with even the best astronomical instruments during the time of the ancient Greeks. If Castor and Pollux are fixed on the celestial sphere, then the distance CP between them is a fixed length.īecause they are fixed objects, the distance CP in this case appears largest when closest, and smallest when most distant. If one views the heliocentric model from the north ecliptic pole in Figure 1 we see the sun, Earth (E) in several positions in its orbit, Castor (C), and Pollux (P) on the celestial sphere. In heliocentric theory, the ecliptic is the projection of Earth ’s orbit onto the sky. Those most likely to show the effect of this yearly motion are those in Gemini, especially its brightest stars: Castor and Pollux, which are about 4.56 ° apart and close to the ecliptic, the sun ’s yearly path among the stars. Aristarchus concluded that the sun was several times larger than Earth, and thought it reasonable that the smaller Earth revolved around the larger sun.īecause the stars are all located on an enormous celestial sphere (the entire sky) centered on the sun, Earth ’s yearly motion around the sun is reflected in the stars. From this value he determined the sun ’s distance and the relative sizes of Earth, the moon (about 1/4 that of Earth), and the sun. The smaller the difference between the intervals, the more distant the sun. Observing the new moon to the first quarter and the first quarter to full moon, then using geometry and several assumptions, Aristarchus used the time-interval differences to calculate the sun ’s distance from Earth. Over 200 years later Aristarchus of Samos (310-230 BC) attempted to measure the sun ’s distance from Earth in Earth-moon distance units by measuring lunar intervals. This was seen as more plausible than the heliocentric theory because to a casual observer, all celestial bodies seem to move around a motionless Earth at the center of the universe. Only a round body can always cast such a shadow.ĭespite this discovery, the prevailing theory at that time was that of a geocentric (Earth-centered) universe, in which all celestial bodies were believed torevolve around Earth. By the sixth century BC they had deduced that Earth is round (nearly spherical) from observations that during lunar eclipses Earth ’s shadow on the moon is always a circle of about the same radius wherever the moon is on the sky. The first evidence of the theory is found in the writings of ancient Greek philosopher-scientists. Everything else (planets and their satellites, asteroids, comets, etc.) revolves around it. The heliocentric theory argues that the sun is the central body of the solar system and perhaps of the universe. Copernican revival of the heliocentric theory The track’s spare, percussive low-end, and lush keys are all the fellas need. They duck and weave in and out of the verses, tossing out some high notes here, a whisper there, as naturally as the New Kings of R&B that they are. 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Some social norms are created to encourage students not to drink, or use drugs, or act out in violence because “it’s what all the cool kids are doing.” We should be finding a way to promote being yourself more firmly and not promoting people to conform to society like everyone e lse. Social norms can provide a good basis for those still trying to understand what is right, wrong, ‘socially aceptable’, but it s starting to become something more than just that it is starting to discourage uniqueness in our society. Everyone is conforming rather than being themselves out of fear of being judged by everyone else. Does the term “body shaming” sound familiar? Urban Dictionary defines Body Shaming as “The act of discriminating against other body types” (Urban Dictionary). People are ashamed to show themselves to the world for this very reason. VoxelMap – Minimap Forge/Fabric Mod For MC 1.19.4, 1.19.Im really confused, and yes, I know Im a noob. 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Depending on the remaining time available you can choose to break into more houses. Then walk outside to the Black Boxville and put the item in the back of your Black Boxville by pressing (PC: ). Standing in front of an item, push the (PC: ) to pick up the item. For the PC you have to hold while walking. If you want to walk inside without making noise you have to push the left analog stick slightly forward. Once you're in a house you can steal televisions, stereos, radios, DVD players and game consoles, sometimes money can be found on the floor. Make sure you do this before the timer reaches zero, otherwise the police will arrange a welcome comity. Normally you can walk quickly, grab an item and walk outside within 10 seconds. Though most of the time it isn't a problem when the occupants are still awake, when there are members of a gang inside, they will try to kill you. Otherwise you'll get a 3 star wanted level and the cops will be waiting for you at the front door. 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You qualify as a type D personality if you scored 10 or higher on both negative affectivity and social inhibition scales. (*For scoring questions 1 and 3, if you circled 0, enter 4 if 1, enter 3 if 2, enter 2 if 3, enter 1 if 4, enter 0.) In our free type descriptions you’ll learn what really drives, inspires, and worries different personality types, helping you build more meaningful relationships. The 4 personality types approach creates a foundation for further self. ˝Social inhibition˝ scale: Add scores for questions 1*, 3*, 6, 8, 10, 11, and 14 personality test have calculated that about one third of the population is. ˝Negative affectivity˝ scale: Add scores for questions 2, 4, 5, 7, 9, 12, and 13 There are no right or wrong answers: Your own impression is the only thing that matters.ġ) I make contact easily when I meet people 0 1 2 3 4Ģ) I often make a fuss about unimportant things 0 1 2 3 4Ħ) I often feel inhibited in social interactions 0 1 2 3 4ħ) I take a gloomy view of things 0 1 2 3 4Ĩ) I find it hard to start a conversation 0 1 2 3 4ġ0) I am a closed kind of person 0 1 2 3 4ġ1) I would rather keep people at a distance 0 1 2 3 4ġ2) I often find myself worrying about something 0 1 2 3 4ġ3) I am often down in the dumps 0 1 2 3 4ġ4) When socializing, I don't find the right things to talk about 0 1 2 3 4 Read each one and choose the appropriate number next to that statement to indicate your answer. People from every walk of lifebased on the behavior and personality traits that they exhibitcan be grouped under one of the types. Psychologist Johan Denollet first coined the Type D personality term, and came up with a questionnaire to help determine people who fall into this category.īelow are a number of statements that people often use to describe themselves. Personality Types With the advances in the field of psychology and the deeper understanding of the psyche of man, psychologists have come up with type A, B, C, and D personalities. "Thus, as they try to reign in their negative feelings, they only exacerbate their risk of cardiac disease." "Paradoxically enough, Type D individuals may not actually experience anxiety and depression in terms of mood state (how they feel) because they suppress their negative emotions," writes Krauss Whitbourne. This music personality quiz is a great way to find out more about who. In fact, the music you listen to tells people more about you than almost anything else. You express it in the clothes you wear, the food you eat, and the music you put on at the end of the day. As a result of their repressed emotion, and the mental health implications that come with this, they’re more likely to suffer from illnesses such as heart disease. You express your personality in many different ways. Type D people are generally anxious, stressed and potentially lonely, but ignore their feelings. Type C represents people who appear quiet and laid back but are fighting a fire of anger and aggression inside, usually finding it a challenge to express their emotional side.īut what about Type D? No idea? According to psychology professor Susan Krauss Whitbourne, D stands for distressed. For instance, if you’ve been hyper-focused with work projects and haven’t made time for friendships, a goal could be to reach out to three friends each week to check in and perhaps make plans to meet up.Type B? They’re the ones who are generally pretty cruisy, preferring to express themselves through emotion and creativity and experiencing lower stress levels as a result. In this hypothesis, personalities that are more competitive, highly organized, ambitious, impatient, highly aware of time management, or aggressive are labeled. Free Personality Test NERIS Type Explorer ® Complete the Test Be yourself and answer honestly to find out your personality type. From there, she recommends setting a goal and behavioral target you’d like to work towards. Romanoff advises identifying the type A traits you’d like to change, such as feeling constantly stressed and worried, isolating yourself, or aggressively responding to others. Identify the traits you’d like to changeįirst, Dr. Type D individuals at work According to a 2006 study, when compared with people who don’t have a type D personality, those with type D traits: identify their workplace as more stressful. You adopt a really carefree and simple approach to living your life. This means that you are an easy-going, relaxed, and highly flexible person. But first, don’t forget to take this short quiz from Psychology Today to learn if you’re indeed a textbook type A personality or perhaps a more laid-back type B personality. It looks like your personality type is chill. Second, thankfully, there are ways to better manage the traits and behaviors associated with the personality type to create more balance in your life.īelow, Dr. If you identify as a type A personality, you probably read the above description and thought: “Wow. |