Screening for depression in primary care with two verbally asked questions: cross sectional study

Objective To determine the diagnostic accuracy of two verbally asked questions for screening for depression.Design Cross sectional criterion standard validation study.Setting 15 general practices in New Zealand.Participants 421 consecutive patients not taking psychotropic drugs.Main outcome measures Sensitivity, specificity, and likelihood ratios of the two questions compared with the computerised composite international diagnostic interview.Results The two screening questions showed a sensitivity and specificity of 97% (95% confidence interval, 83% to 99%) and 67% (62% to 72%), respectively. The likelihood ratio for a positive test was 2.9 (2.5 to 3.4) and the likelihood ratio for a negative test was 0.05 (0.01 to 0.35). Overall, 37% (157/421) of the patients screened positive for depression.Conclusion Two verbally asked questions for screening for depression would detect most cases of depression in general practice. The questions have the advantage of brevity. As treatment is more likely when doctors make the diagnosis, these questions may have even greater utility.     

Assessment of body condition in Asian elephants (Elephas maximus)

A method of assessing body condition of Asian elephants (Elephas maximus) is presented. The method uses visual assessment to assign numerical scores to six different regions of the body, which are totaled to give a numerical index ranging from 0–11. The relationship between the index and morphometric variables is compared for a sample of 119 juvenile and young adult elephants from southern India, Nepal, and Myanmar. Mean ages of males and females were similar. Mean index of body condition (with standard error [SE]) was 7.3±0.2 points. No significant correlation was found between index of body condition and age over both sexes (r=0.01, n=50). Results were equivalent when sexes were treated separately (females: r=0.03, n=24; males: r=0.01, n=26). Sexes did not differ in height of the shoulder or body condition in our sample, but there was significant sexual dimorphism in breadth of the zygomatic arch and three measures of subcutaneous fat: girth of neck, thickness of cervical fold, and thickness of anal flap. These three measures were also significantly correlated with each other. Our assessment method should prove a practical tool for ecologic studies, but the relationship of the index to percentage of body fat should be determined using heavy water dilution methodology. Zoo Biol 25:187–200, 2006. © 2006 Wiley‐Liss, Inc.