Community-based mental health care in Africa: mental health workers’ views

The World Health Organization (WHO) has for long proposed the development of community-based mental health services worldwide. However, the progress toward community mental health care in most African countries is still hampered by a lack of resources, with specialist psychiatric care essentially based in large, centrally located mental hospitals. It is again time to reconsider the direction of mental health care in Africa. Based on a small inquiry to a number of experienced mental health professionals in sub-Saharan Africa, we discuss what a community concept of mental health care might mean in Africa. There is a general agreement that mental health services should be integrated in primary health care. A critical issue for success of this model is perceived to be provision of appropriate supervision and continuing education for primary care workers. The importance of collaboration between modern medicine and traditional healers is stressed and the paper ends in a plea for WHO to take the initiative and develop mental health services according to the special needs and the socio-cultural conditions prevailing in sub-Saharan Africa.     

The Influence of Auxin and Cytokinin on Proliferation and Morphology of Somatic Embryos of Picea abies (L.) Karst

Embryogenic cell-lines of Picea abies were initiated from maturezygotic embryos and cultured on medium containing 2,4-D andBA The cell-lines were categorized into two main groups (solar/polarand undeveloped embryos), based on the morphology of the somaticembryos and their ability to go through a maturation processwhen treated with ABA The cell-lines were transferred to mediacontaining (1) 2,4-D and BA, (2) only BA, (3) only 2,4-D or(4) no growth regulators When cultured on a medium containingboth 2,4-D and BA new somatic embryos were continually formedIn contrast, when they were cultured without one or both ofthe growth regulators no new somatic embryos were formed Solar/polarand undeveloped embryos responded in the same way On a mediumcontaining only BA the somatic embryos already present increasedin size and developed an extremely large embryonic region Ona medium containing only 2,4-D the embryos already present becamedisorganized into loose aggregates When transferred from a mediumcontaining both 2,4-D and BA to one containing ABA, mature somaticembryos developed from the solar/polar type but not from theundeveloped type The ability of the solar/polar somatic embryosto go through a maturation process decreased when they wereprecultured on a medium lacking auxin and was lost when theywere precultured on medium lacking cytokinin The cell-linescontaining undeveloped somatic embryos produced mature somaticembryos in one cell-line out of three that had been culturedon the medium containing only BA Auxin, cytokinin, embryogenic cultures, Norway spruce, somatic embryos, Picea abies (L.) Karst     

Molecular variation and speciation in Antitrichia curtipendula s.l. (Leucodontaceae, Bryophyta)

Molecular variation in Antitrichia curtipendula (Hedw.) Brid. s.l. was studied based on the nuclear internal transcribed spacer (ITS) and the chloroplast markers trn L- trn F and rpl 16, and analysed by neighbour joining (for ITS; recombination present), maximum parsimony (chloroplast markers) and TCS (haplotype network). Old World plus E North American populations belong to a different lineage than those of W North America. These are molecularly well differentiated and are treated as A. curtipendula and A. gigantea (Sull. & Lesq.) Kindb. Two distinct groups of Old World haplotypes are separated by one 'missing' haplotype and are interpreted as cryptic species. Tropical African populations share one ITS deletion and form a lineage within one of the cryptic species. Molecular variation within A. gigantea , within each of the two cryptic Old World plus E North American (except tropical African) haplotype groups, and among tropical African populations are of similar magnitude, suggesting that analogous mechanisms and similar time spans explain the found variation. Events related to Pleistocene climatic oscillations are suggested as having caused this differentiation within each group, whereas the African lineage was probably split off before this. Identical tRNA-Gly sequences were found in 33 specimens; new primers were designed for rpl 16 and ITS 1+2.  © 2008 The Linnean Society of London, Botanical Journal of the Linnean Society , 2008, 156 , 341–354.     

The catchment and climate regulation of pCO2 in boreal lakes

The regulation of surface water pCO₂ was studied in a set of 33 unproductive boreal lakes of different humic content, situated along a latitudinal gradient (57°N to 64°N) in Sweden. The lakes were sampled four times during one year, and analyzed on a wide variety of water chemistry parameters. With only one exception, all lakes were supersaturated with CO₂ with respect to the atmosphere at all sampling occasions. pCO₂ was closely related to the DOC concentration in lakes, which in turn was mainly regulated by catchment characteristics. This pattern was similar along the latitudinal gradient and at different seasons of the year, indicating that it is valid for a variety of climatic conditions within the boreal forest zone. We suggest that landscape characteristics determine the accumulation and subsequent supply of allochthonous organic matter from boreal catchments to lakes, which in turn results in boreal lakes becoming net sources of atmospheric CO₂.     

Predicted warming and browning affect timing and magnitude of plankton phenological events in lakes: a mesocosm study

1. Aquatic ecosystems in Northern Europe are expected to face increases in temperature and water colour (TB) in future. While effects of these factors have been studied separately, it is unknown whether and how a combination of them might affect phenological events and trophic interactions. 2. In a mesocosm study, we combined both factors to create conditions expected to arise during the coming century. We focused on quantifying effects on timing and magnitude of plankton spring phenological events and identifying possible mismatches between resources (phytoplankton) and consumers (zooplankton). 3. We found that the increases in TB had important effects on timing and abundance of different plankton groups. While increased temperature led to an earlier peak in phytoplankton and zooplankton and a change in the relative timing of different zooplankton groups, increased water colour reduced chlorophyll‐a concentrations. 4. Increased TB together benefitted cladocerans and calanoid copepods and led to stronger top‐down control of algae by zooplankton. There was no sign of a mismatch between primary producers and grazers as reported from other studies. 5. Our results point towards an earlier onset of plankton spring growth in shallow lakes in future with a stronger top‐down control of phytoplankton by zooplankton grazers.     

First record of a bivalved larval shell in Early Cambrian tommotiids and its phylogenetic significance

Abstract: Brachiopods are marine Lophotrochozoa whose soft parts are enclosed in a bivalved shell. Although brachiopods are represented by a rich record from the Early Cambrian to the present, the origin of their bivalved body plan remains controversial. The Early Cambrian organophosphatic tommotiids Micrina and Paterimitra from Australia have been proposed as stem brachiopods. Here, we describe their earliest ontogeny, indicating that tommotiids possessed bivalved planktotrophic larvae. The curious combinations of characters in Micrina and Paterimitra indicate that they may belong to the stems of the Linguliformea and Rhynchonelliformea, respectively. The bivalved shell of adult living brachiopods may represent a plesiomorphic character retained from planktic tommotiid larvae; the crown group body plan of the Brachiopoda may have evolved through the paedomorphic retention of a bivalved larval state.     

AN INQUIRY INTO THE PRINCIPLES OF NEEDS‐BASED ALLOCATION OF HEALTH CARE

The concept of need is often proposed as providing an additional or alternative criterion to cost‐effectiveness in making allocation decisions in health care. If it is to be of practical value it must be sufficiently precisely characterized to be useful to decision makers. This will require both an account of how degree of need for an intervention is to be determined and a prioritization rule that clarifies how degree of need and the cost of the intervention interact in determining the relative priority of the intervention. Three common features of health care interventions must be accommodated in a comprehensive theory of need: the probabilistic nature of prognosis (with and without the intervention); the time course of effects; and the fact that the most effective treatments often combine more than one intervention. These common features are problematic for the concept of need. We outline various approaches to prioritization on the basis of need and argue that some approaches are more promising than others.