Current research status and reflection on acupuncture treatment for brain disorders

Acupuncture has demonstrated positive efficacy in the treatment of brain disorders. However, significant challenges lie in integrating acupuncture with modern technologies, promoting its clinical application in treating brain disorders, elucidating the mechanisms underlying acupuncture's preventive and therapeutic effects on brain disorders, and accelerating the pace of translational development in acupuncture medicine. This paper briefly outlines the current research status, challenges, and potential future directions in acupuncture treatment for brain disorders, aiming to provide essential insights for the modernization and development of acupuncture in the treatment of brain disorders.

[Features of medical care provision in the profile «Maxillofacial surgery» in the Southern Federal District of the Russian Federation]

OBJECTIVE

To study the actual state of the organization of medical care for patients with the profile of «maxillofacial surgery» in the Southern Federal District of the Russian Federation in order to develop proposals for its optimization within the framework of a three-level system of medical care.

MATERIAL AND METHODS

We analyzed accounting and reporting materials characterizing the organization of medical care in the field of «Oral and maxillofacial surgery» to the population in the Southern Federal District of the Russian Federation.

RESULTS

The population of the Southern Federal District of the Russian Federation is currently provided with accessible round-the-clock medical care in the field of maxillofacial surgery. The forces and means at the disposal of the district government allow this to be implemented. However, the article describes a number of obstacles to the provision of high-quality medical care in the field of maxillofacial surgery and suggests ways to eliminate them.

CONCLUSION

Preparation of an Order defining the functioning of a three-level system of medical care for adults and children with maxillofacial pathology in the Southern Federal District of the Russian Federation, as well as more effective use of telemedicine consultations will significantly improve the availability and quality of medical care.

The psychopathic hospital

A new psychiatric institution emerged in the late nineteenth and early twentieth centuries: the psychopathic hospital. This institution represented a significant development in the history of psychiatry, as it marked the profession's reorientation from asylum-based to hospital-based care, and in this way presaged the deinstitutionalization movement that would begin half a century later. Psychopathic hospitals were also an important marker of psychiatry's efforts to redefine its professional boundaries and respond to its vociferous critics. This entailed both a rapprochement with general medicine in an effort to assert its scientific bona fides and a redefinition of its scope of practice to absorb non-certifiable 'borderland' cases in order both to emphasize non-coercive treatment and to enlarge the profession's boundaries.

Assessment of Wastewater Treatment Plant Upgrading with MBR Implementation

Modernization of wastewater treatment plants is usually caused by their significant wear and changes in the flow rate and concentration of pollutants. If there is no initial data on the flow or pollution, their determination by calculation is required, which may lead to an increase in concentration. Within the study, the modernization of treatment facilities was estimated under conditions of reduced flow and increased pollution concentration. Calculations were carried out both manually and using the CapdetWorks software package. The focus was on secondary treatment facilities as the main element of the municipal wastewater treatment plant within their upgrade from only organic pollutants removal (plug-flow reactor) to removal of both organic pollutants and nutrients (technology of the University of Cape Town). The calculations of tank volumes have shown that the concentration of pollutants has a much greater impact on them than the change in flow, especially when improvement in the treatment quality is required. The study revealed that membrane sludge separation allows tanks to be reduced in volume by 1.5-2.5 times (depending on the value of mixed liquor suspended solids) in comparison with gravity separation, which means smaller capital costs. However, membrane application requires significant energy costs for membrane aeration. For the initial data of the study, the specific energy costs for aeration before the upgrade, after the upgrade (gravity separation), and after the upgrade (membrane separation) were 0.12 kWh/m3, 0.235 kWh/m3, and 0.3 kWh/m3, respectively. If the membrane lifetime is 10 years, membrane costs were determined to be 10-15% of the energy costs for aeration.

Impact of modernization on oxidative stress among indigenous populations in northern Laos

OBJECTIVES

To explore the impact of modernization on oxidative stress during a momentous health transition process, we investigated differences in oxidative stress among the indigenous populations of villages in northern Laos with different levels of modernization.

METHODS

We conducted a cross-sectional study of 380 adults in three villages with different levels of modernization. Three biomarkers related to oxidative stress were measured: urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG) and 8-isoprostane concentrations (both measured by liquid chromatography-tandem mass spectrometry), and blood telomere length (measured with qPCR). We examined associations between village-level modernization and oxidative stress-related biomarkers in a multilevel analysis including a random effect and covariates.

RESULTS

The geometric means of urinary 8-OHdG and 8-isoprostane concentrations were 2.92 and 0.700 μg/g creatinine, respectively, in our study population. Higher urinary 8-OHdG concentrations and shorter telomeres were observed in participants from the more modernized villages, whereas urinary 8-isoprostane concentrations did not differ significantly among villages.

CONCLUSIONS

Our findings imply that modernization-induced changes in lifestyle may increase oxidative DNA damage. Baseline levels of oxidative lipid damage are expected to be high in the indigenous populations of northern Laos. Assessments of oxidative stress may provide valuable insights into the mechanisms of health transition in specific populations.

Assessment of GNSS Galileo Contribution to the Modernization of CROPOS's Services

CROPOS, as the Croatian GNSS network, was modernized and upgraded to support the Galileo system in 2019. Two of CROPOS's services-VPPS (Network RTK service) and GPPS (post-processing service)-were assessed for the contribution of the Galileo system to their performance. A station used for field testing was previously examined and surveyed to determine the local horizon and to carry out a detailed mission planning. The whole day of observation was divided into several sessions, each with a different visibility of Galileo satellites. A special observation sequence was designed: VPPS (GPS-GLO-GAL), VPPS (GAL-only), and GPPS (GPS-GLO-GAL-BDS). All observations were taken on the same station with the same GNSS receiver, Trimble R12. Each static observation session was post-processed in Trimble Business Center (TBC) in two different ways: considering all available systems (GGGB) and considering GAL-only observations. A daily static solution based on all systems (GGGB) was considered as the reference for the accuracy assessment of all obtained solutions. The results obtained with VPPS (GPS-GLO-GAL) and VPPS (GAL-only) were analyzed and assessed; the results obtained with GAL-only have shown a slightly higher scatter. It was concluded that the inclusion of the Galileo system in CROPOS has contributed to the availability and reliability of solutions but not to their accuracy. By complying with the observation rules and taking redundant measurements, the accuracy of GAL-only results can be improved.

Allocation of Land Factors in China Looking Forward to 2035: Planning and Market

Land factors are natural resources with fundamental and strategic significance in the achievement of China's 2035 modernization goals. Dilemmas caused by market-oriented or planning-oriented allocation of land factors urgently call for new theoretical guidance and mode. After conducting a systematic review of the literature, this paper built a new framework from the perspective of production-living-ecological spaces to facilitate a better understanding of China's land factors allocation looking forward to 2035. Inductive and deductive methods were both used to interpret the applications of planning and market in land factors allocation. Our results show that: (1) The allocation of land factors for production space is truth-oriented and needs the guidance of market efficiency. The essential feature of "production" as the driving force in production space requires that the allocation of land factors in production space must "respect rules, give play to the agglomeration effect, and rationally carry out regional economic layout". (2) For the allocation of land factors for living space, it is necessary to pursue a kindness-oriented approach and establish a reasonable housing supply system based on people. Among them, the ordinary commercial housing and improving housing should rely on market forces to achieve multi-subject supply, while affordable housing should be ensured through government intervention in a multi-channel way. (3) For the allocation of land factors in ecological space, aesthetic-oriented planning should follow the rule of territorial differentiation and realize the transformation of ecological function into ecological value through market mechanisms. Top-down planning and bottom-up market represents the logic of overall and individual rationality, respectively. The effective allocation of land factors requires the utilization of both planning and market forces. However, the intersection needs be guided by boundary selection theory. This research indicates that "middle-around" theory could be a possible theoretical solution for future study.

Animals for the mayor: Barcelona's zoo in the making of local policies and national narratives (1957-73)

From 1957 to 1973, Barcelona Zoo was transformed from a small-scale, antiquated establishment harboring very few animals, a place that was still in a poor condition following the Spanish Civil War, into a new, larger, modern, and internationally recognized institution that included up-to-date animal enclosures and that boasted one of the first dolphinariums in Europe, as well as a famous white gorilla as its icon. From its very beginning, this renovation involved an intense popularization campaign.In this paper, by describing the public discourse generated throughout this transformation and by analyzing the roles played by Antoni Jonch, the director of the zoo at that time; Josep Maria de Porcioles, the then-mayor of Barcelona; and General Francisco Franco, the Spanish dictator who was head of state during this period, I will highlight how the context of the dictatorship not only authorized the new Barcelona Zoo but is, in fact, crucial to its understanding. The narratives that surrounded the renovation of the zoo focused on its civic and educational purpose, with a firm emphasis on modernity. The zoo was a modern space for learning about animals in order to become better people. These narratives were not only suitable to the policies, ideas, and aims of Porcioles' City Council and Franco's dictatorial regime; in fact, they completely matched them. Both local and national governments benefited from the restructuring of Barcelona Zoo and from its public discourse as a tool for social control and an instrument for their own propaganda, legitimation, and perpetuation.

Organized violence as a never-ending story? Reflections in light of the Russian aggression against Ukraine

During the last decade, especially with the Russian aggression against Ukraine, armed conflicts and other forms of organized violence increased in volume and public discourse. In Sociology, violence and, particularly organized violence were marginalized topics for a long time, not least because many sociologists considered violence as a relic of traditional societies. Based on an analysis of major sociological studies and an empirical analysis of violence-related mass data, we argue that (1) violence and organized violence are not vanishing, but are genuine components of human coexistence, (2) especially in Europe, we experienced (or at least perceived) some seven decades of living in social spaces without high levels of violence, (3) other world regions are violence-intensive social spaces for generations, and (4) in light of the aggression of Russian troops against Ukraine and further challenges to come, Sociology should intensify theoretical and empirical efforts in this field of research. We first sketch out some recent trends of organized violence and related social science debates, then summarize important sociological concepts of violence and organized violence, propose to differentiate between not violence-intensive social spaces (NoViSS) and violence-intensive social spaces (ViSS) and exemplify this distinction by some global data, and finally draw some conclusions for further research on organized violence in selected fields like forced migration.

Preliminary Design Analysis of Membrane Bioreactors Application in Treatment Sequences for Modernization of Wastewater Treatment Plants

By using modeling with the Capdetworks software package, the study examines the definition of the essential elements of operational expenses at wastewater treatment facilities with a capacity of 1 to 100 thousand cubic meters per day. Four different treatment sequences were examined in the study; the first three revealed a standard setup with an activated sludge reactor and secondary clarifier (operating under various operating conditions), and the fourth scheme combined an activated sludge reactor with a submerged membrane bioreactor for sludge separation. The values of concentrations of key pollutants common for urban wastewater before treatment as well as technological parameters of operation were utilized as initial data for calculations because it was crucial to obtain conclusions that could be applied at real facilities. For each of the four treatment sequences, values for pollutants concentrations in effluent wastewater and hydraulic retention time were obtained and analyzed. The expenses of operating biological treatment facilities and treatment facilities in general, as well as the specific cost of power for treating 1 m³ of wastewater, were taken into account. Additionally, the price of purchasing membrane modules, which can be categorized as operational due to their replacement frequency of around every 7 to 10 years, was determined. The study's findings demonstrated that the use of membrane technologies at the secondary treatment stage might significantly affect the rebuilding of wastewater treatment plants under conditions of increased capacity (flow rate) and constrained area for growth.

Progressing into disaster: The railroad and the spread of cholera in a provincial Ottoman town

The nineteenth century is often remembered as the age in which steamships and steam locomotives connected the globe with a speed and efficiency previously unseen. Although contemporaries frequently equated the use of these rapid-transportation technologies with the progress of civilization, their expansion also had some negative consequences. Among these was the more rapid and widespread diffusion of many diseases along transportation corridors as nonhuman stowaways on ships and trains. Most infamously, cholera extended its reach globally by appropriating and using modern transportation routes in ways that were unintended and disastrous for their human creators. This article goes beyond the technological optimism of the time, and its now widely accepted pitfalls, and expands the scope of Anatolian provincial modernization to incorporate a complex web of interactions between human and nonhuman agents in the context of technological use and nonuse. It argues for a complex cocreation of modern conditions between these agents, rather than seeing these conditions as solely produced by human actions or environmental limits. Among the different human agents, interaction greatly increased between Ottomans and European states and their citizens. As the Ottoman Empire became increasingly integrated into global transportation and economic networks, it also experienced the spread of cholera. In the Anatolian interior, cholera epidemics spread along the railroad. I examine the 1893 cholera epidemic in Eskişehir, an important junction town on the Ottoman Anatolian Railroad, which had just begun operation the previous year. The railroad was widely celebrated for its intended uses: tremendously increasing the speed and transportable volume of cargo and enabling travel for military and nonmilitary purposes. The cholera epidemic, however, was enabled by the unwitting use of the railroad lines as conveyors of sickness and death. Furthermore, human attempts to stop cholera's spread by interrupting train service undermined the technology's intended uses but also demonstrated the availability and potential effectiveness of nonuse as an option.

José Gregorio Hernández: At the crossroads of medicine and religion in Venezuela

After being ravished by a bloody civil war in the 1860 s, Venezuela's healthcare system was very precarious. In this context, one particularly bright medical student stood out, José Gregorio Hernández. As part of a program to modernize medicine in Venezuela, José Gregorio was sent on a scholarship to pursue medical studies in Europe. He brought back to Venezuela equipment and medical knowledge in bacteriology and pathophysiology. This was instrumental in laying the foundations for major healthcare modernization in Venezuela. Throughout his life, José Gregorio negotiated his intense Catholic faith, with his scientific leanings as a physician. His untimely tragic death in 1919 elevated him to a saintly status amongst Venezuelans. Consequently, his image became a powerful symbol for practitioners of prescientific medicine.

The Need for Modernization of Biosecurity in the Post-COVID World

At present, there are two hypotheses about the emergence of SARS-CoV-2; the first is that it was due to a naturally occurring zoonotic jump, and the second contends that it spread due to an accidental dispersion of a laboratory-acquired infection in Wuhan, China. While the pandemic's actual origins remain occluded, it is useful to examine the latter possibility as a paradigm for evaluating biosecurity policy in the post-COVID world. While the pandemic may not have emerged from a research lab, this is possible with research on dangerous pathogens and prompts questions for biosecurity. How might biosecurity protections for such research be modernized while still enabling important, necessary public health research that utilizes dual-use or gain-of-function capabilities? As the world takes urgent action to mitigate shortcomings in the response to COVID-19, such questions and their potential solutions are vital to inform and direct future life science and technology endeavors.

Large-sample-size assessment of socioeconomic predictors of community-level resource management occurrence

Community-level resource management efforts are cornerstones in ensuring sustainable use of natural resources. Yet, understanding how community characteristics influence management practices remains contested. With a sample size of ≥725 communities, we assessed the effects of key community (i.e., socioeconomic) characteristics (human population size and density, market integration, and modernization) on the probability of occurrence of fisheries management practices, including gear, species, and spatial restrictions. The study was based in Solomon Islands, a Pacific Island country with a population that is highly dependent on coastal fisheries. People primarily dwell in small communities adjacent to the coastline dispersed across 6 island provinces and numerous smaller islands. We used nationally collected data in binomial logistic regression models to examine the likelihood of management occurrence, given socioeconomic context of communities. In contrast to prevailing views, we identified a positive and statistically significant association between both human population size and market integration and all 3 management practices. Human population density, however, had a statistically significant negative association and modernization a varied and limited association with occurrence of all management practices. Our method offers a way to remotely predict the occurrence of resource management practices based on key socioeconomic characteristics. It could be used to improve understanding of why some communities conduct natural resource management activities when statistical patterns suggest they are not likely to and thus improve understanding of how some communities of people beat the odds despite limited market access and high population density.

Climate Change as a Factor in the Development of Companies: Corporate Strategies and Guidelines for State Industrial Policy

In recent years, the problem of global climate change has become one of the significant challenges for ensuring the sustainability of the functioning and growth in the market value of the world's leading industrial companies. Based on the latest data, the article describes the scale and impact of climate change on the development of companies and also considers some corporate strategies for reducing climate risks and adapting to the consequences of climate change. It is shown that, acting as a significant factor in the financial losses of business, the growing climate change, at the same time, indirectly contribute to the acceleration of the environmentally oriented transformation of corporate management systems and technological modernization of production complexes, creating, in conjunction with other technological and production trends, new sources of long-term competitiveness and market value. The article presents the characteristics of the priorities in the state industrial policy in the context of climate change.

Sociological Narrative of Suicidal Behavior Among Older People

BACKGROUND

Globally, suicide is regarded as an immoral behavior and can be considered a criminal act in some societies. Sociological narrative views suicide not only as a result of mental illness suffered by the individuals but may also be caused by the social environment and other risk factors.

PURPOSE

The objective of this study is to examine the social risk factors that drive older people to have suicidal feelings or tendencies and the extent to which these factors arise from the changes that occur in their social environment as a result of the process of modernization and industrialization.

METHODS

This study employed the phenomenological approach through qualitative data collection technique. A total of 20 informants comprising 10 males and 10 females of Malay, Chinese and Indian ethnicity were selected for the study using purposive sampling technique. In-depth interviews were conducted with the informants. Data were transcribed and subsequently analyzed thematically using the NVivo 11 software.

RESULTS

The findings revealed five conditions that led older people toward suicidal intentions. These include social and cultural changes, lack of social support, conflict in religious belief, influence of economic uncertainty and socio-economic status, and depression as a result of the changes in their social environment.

CONCLUSION

The implication of this research is that these factors affect older people directly as they struggle to adapt and respond to the major changes that occur in the social structure of the society they live in, stemming from the process of modernization and industrialization. Efforts to enact better policies and services for older people need to be addressed especially in developing countries based on assessment of their needs, weaknesses, strengths, and capabilities by incorporating elements of the worldview of the older people based on their experiences of daily lives.

A Compendium of Perspectives on Diabetes: A Challenge for Sustainable Health in the Modern Era

Diabetes is a chronic illness. Hyperglycemia is the characteristic of this disorder. Diabetes is a global crisis which affects the economy and health of all nations. Over the last decades, the number of individuals living with diabetes has significantly increased worldwide. Asia is a key epicenter of the emerging diabetes epidemic, with China and India the two nations having the highest number of diabetic people. Economic development, modernization, unhealthy diet, population aging, and sedentary lifestyles are the major factors responsible for the increasing diabetes epidemic. Diabetes is associated with several complications, and cardiovascular disease is the most important cause of morbidity and mortality among people with diabetes. These life-threatening problems can be prevented or delayed by proper management of diabetes. Lifestyle modification is an important factor to decrease the diabetes risk. The frequency of diabetic complications will rise if there is a lack of cost-effective and sustainable interventions. Hence, prevention of diabetes and its complications such as diabetic retinopathy and cardiovascular disease should be a crucial part of all future health-related public policies among all nations. This review summarizes current epidemiological aspects of diabetes in the world along with its complications, preventive measures, and treatment.

Attitudes of Chinese College Students Toward Aging and Living Independently in the Context of China's Modernization: A Qualitative Study

Modernization in China is accompanied by some specific features: aging, individualization, the emergence of the nuclear family, and changing filial piety. While young Chinese people are still the main caregivers for older adults, understanding the attitudes of young Chinese people toward aging and living independently in the context of modernization is important because it relates to future elderly care problems in China. By using in-depth interviews and qualitative methods, 45 participants were enrolled in the study, 38 (84.44%) were women and 37 (82.22%) had no siblings. The ages ranged from 17 to 25 years (mean age = 19.28, SD = 1.74). Results revealed that participants held diverse attitudes about older adults, but the general attitudes were that older adults are lonely, financially disadvantaged, have poor social support, lack hobbies, and care about their children more than themselves. Chinese college students were affected both by traditional filial piety and individualism; however, of the two, they seemed put greater value on independence. Moreover, traditional filial piety is changing in a modern direction, affected by Western ideas of individualism: the status of the senior is diminishing, and living with one's parents is no longer regarded as a necessary component. Implications concerning age stereotypes, elderly care policies, and strategies are discussed.

"HEALTH FOR ALL". THE MEDICAL SYSTEM IN WALLACHIA UNDER PROTOMEDICUS NICOLAE GUSSI 1848-1859

The main objective of this study is to provide an overview of the evolution of the medical system in Wallachia between 1840 and 1860 and the very important role of physician Nicolae Gussi (1802-1869), protomedicus of Wallachia between 1840 and 1859, to transform medicine into a modern public service, accessible to the entire population. Particularly, we will refer to the medical reform project of 1853, which Gussi implemented during the time he headed the medical-sanitary administration. We will insist on the details of the project because it was designed to create a network of county hospitals that would improve the health of the population and, in the medium and long term, would reduce mortality and increase life expectancy. Another dimension of the study aims at the tenure of physicians in county hospitals and describes the medical services they provided to patients, particularly from the poor population.

COVID-19 - A Covert Catalyst for Pedagogical Stocktake and Transformation: Perspectives of a Global Hub

This article was migrated. The article was marked as recommended. Education in Hong Kong was shifted online on an abrupt and massive scale as the city faced unprecedented disruptions, first from social unrest in 2019 and then again with the COVID-19 pandemic. Concurrent modernization initiatives since early 2019 in The University of Hong Kong's Medical Faculty (HKUMed), conferred a fortuitous head start for this rapid change. Pre-clinical and clinical teaching were restructured for online delivery through e-learning solutions for didactic teaching, and new innovative approaches were developed to convert bedside to"webside" teaching. E-learning in the current circumstances provided necessary social distancing while being pedagogically sound. Students were also able to develop key communication and collaboration skills via online platforms, developing digital skills critical to their future profession. However, unforeseen issues including socioeconomic inequality, privacy concerns, and social isolation became apparent and should be addressed as medical education progresses further down the digital path. The goal must entail a sustainable and scholarly approach towards optimizing medical education in an increasingly online environment. This will help safeguard the medical curriculum against disruption and empower future medical professionals for tomorrow's practice. Here, we share experiences and perspectives from educators in a global city characterised by land scarcity and income inequality.

Subjective Happiness Among Polish and Hadza People

Life satisfaction and happiness were broadly studied in Western populations, whereas evidence from traditional societies remains surprisingly scarce. We collected data on the happiness from 145 Hadza, and compared it with data obtained from 156 Poles, representing Westernized society. Participants were asked to answer four simple questions from Subjective Happiness Scale (Lyubomirsky and Lepper, 1999). Results indicate that Hadza report a higher level of happiness with their lives than do Polish people. Our findings also show that sex was not related to happiness in both populations, while age was a negative predictor of happiness, but only among Poles. Therefore, we hypothesize that positive perception of aging in societies may increase their actual happiness.

Status and Challenges of Public Health Emergency Management in China Related to COVID-19

Objective: This study aimed at exploring the current development status and problems of health emergency management in China and provides a reference for improving, constructing, and implementing a public health emergency management system.

Methods: Cases of major and severe public health emergencies in China were analyzed along with the relevant health emergency management literature from the last decade.

Results: China's health emergency system gradually improved during the study period. Monitoring and early warning systems were significantly strengthened. Material reserves and transfer management systems were constantly improved. However, the operational efficiency of command and decision systems was low, versatile talent accounted for a relatively small proportion, and emergency fund investment was insufficient.

Conclusion: Constructing a sound and scientific emergency management mechanism is a lengthy and challenging process. To establish an emergency management mode for public health emergencies that is appropriate for China, it is necessary to solve existing problems and learn from the models and experiences of developed foreign countries.

Multi-level modelling of time-series cross-sectional data reveals the dynamic interaction between ecological threats and democratic development

What is the relationship between environment and democracy? The framework of cultural evolution suggests that societal development is an adaptation to ecological threats. Pertinent theories assume that democracy emerges as societies adapt to ecological factors such as higher economic wealth, lower pathogen threats, less demanding climates and fewer natural disasters. However, previous research confused within-country processes with between-country processes and erroneously interpreted between-country findings as if they generalize to within-country mechanisms. We analyse a time-series cross-sectional dataset to study the dynamic relationship between environment and democracy (1949-2016), accounting for previous misconceptions in levels of analysis. By separating within-country processes from between-country processes, we find that the relationship between environment and democracy not only differs by country but also depends on the level of analysis. Economic wealth predicts increasing levels of democracy in between-country comparisons, but within-country comparisons show that democracy declines in years when countries become wealthier. This relationship is only prevalent among historically wealthy countries but not among historically poor countries, whose wealth also increased over time. By contrast, pathogen prevalence predicts lower levels of democracy in both between-country and within-country comparisons. Multi-level modelling also confirms that the within-country effect of pathogen prevalence remains robust even after considering a region-level analysis. Longitudinal analyses identifying temporal precedence reveal that not only reductions in pathogen prevalence drive future democracy, but also democracy reduces future pathogen prevalence and increases future wealth. These nuanced results contrast with previous analyses using narrow, cross-sectional data. Overall, our findings illuminate the dynamic process by which environment and democracy shape each other.

[The St. Petersburg medicine of the late 1820s as seen by London physician]

The article considers the condition of medicine in St. Petersburg in 1827-1828 as presented in memoirs of English physician A. B. Granville about his visiting the capital of Russia. The prominent physician and naturalist, familiar with condition of medicine in main countries of Europe, he provided substantial and objective characteristic of condition of medicine and health care in Russia. This characteristic, coming from independent and competent observer, permits to correct conceptions about condition of Russian medicine during the period when the results of modernization of the Russian Empire of XVIII-early XIX centuries manifested in full measure effecting becoming of Russian school of medicine.

A PROSPECTIVE ON ZELINSKY'S HYPOTHESIS OF THE MOBILITY TRANSITION

Wilbur Zelinsky's 1971 paper in Geographical Review entitled the "Hypothesis of the Mobility Transition" was both forward-looking and offered innovative ideas regarding human geographic mobility. One of the most interesting aspects of the paper was a set of predictions for mobility in a "future superadvanced society". Many of these predictions have now come to pass, including a general decline in international and internal migration and residential change, the increasing regulation of migration - especially internally, and the possibility that the widespread adoption of information and communication technologies has impacted human geographic mobility. Hence, this essay looks at the mobility transition not as an obsolete frame of reference but as a prescient, pliable, and adaptable framework which not only informs the study of human geographic mobility today but also, perhaps, even into the future.

Social bonds with the dead: how funerals transformed in the twentieth and twenty-first centuries

Evolutionary thanatology includes the study of necrophoresis-the removal of dead individuals by the living among social insects. In human societies, 'necrophoresis' is performed via the funeral ceremony. In pre-modern societies, relatives and local community members helped to conduct funerals. In this way, holding a funeral was a form of mutual help, a social exchange of duty and responsibility essential to individuals. These societies developed systems to ensure the survival of humans as social animals based on mutual trust built over long periods of time within the same community. Contemporary societies are undermining these systems. Compared to funerals in pre-modern societies, holding a funeral in a modern society is a complicated process that requires professionals with specialized knowledge and skills. If people feel they can face mortality without support from relatives or the local community, and that they cannot necessarily expect a future return on the effort invested in community-based social relationships, they may begin to disengage from such relationships. In the context of modernization, the clearest changes in collective funerary behaviours include decreased funeral attendance and the above-mentioned outsourcing of funerary services. As such, it can be said that bonds with the dead changed completely under modernization, especially in the twentieth and twenty-first centuries. To establish a sociology of death with a clearer focus on how funeral ceremonies have been affected by modernization, there is a need for research concerned with human behavioural changes regarding the treatment of corpses-that is, a 'funeralogy'. Accordingly, this study aimed to investigate how modernization has complexified the handling of deceased bodies as death-related services have become commoditized and outsourced while, at the same time, local communities are becoming disengaged from their traditional roles in funeral ceremonies. To this end, fieldwork was conducted in several countries. Moreover, data from surveys conducted by the Social Well-Being Research Consortium in Asia in five East and Southeast Asian countries were quantitatively analysed. The findings highlight the modernization of funerals with the outsourcing of funeral services from the perspective of socio-economic development.This article is part of the theme issue 'Evolutionary thanatology: impacts of the dead on the living in humans and other animals'.

Chinese Herbal Medicine for the Treatment of Depression: Applications, Efficacies and Mechanisms

Depression is a common psychiatric disorder and a leading cause of disability worldwide. Traditional Chinese medicine is one of the commonly used complementary and alternative medicine therapies for depression. Clinical trials have been carried out to assess the efficacy and safety of Chinese herbal medicine currently. The exploration of herbal mechanisms of action used for the treatment of depression has also received great attention. This study is performed to summarize the frequently used formulae, patent drugs and single herbs in treating depression, review the literatures of clinical trials in treating depressive disorders, and to list the possible mechanisms involved during the treatment. Besides, we will analyze the limitations of present studies and the obstacles in the modernization of traditional Chinese medicine.

Giving Tshuve to the sick: correspondence columns of the Yiddish medical press in Poland

ArgumentSeveral Yiddish medical publications of various profiles appeared in independent Poland until 1939. These print media were associated with OZE and TOZ organizational structures and aimed to promote modern concepts of health and healthcare among the Jewish population in its native tongue. Some of these magazines offered space for direct consultations, which took the form of a correspondence corner. Questions sent in by readers ranged from apparently neutral topics, such as a healthy diet or hygiene, to controversial matters tormenting individuals in provincial milieus. The correspondence gives us an insight into popular ways of thinking about health and disease and indicates issues of high importance for a society in the process of modernization. The present paper discusses the questions and answers as they appeared in the Yiddish medical press (particularly in the Folksgezunt and Der Doktor), and presents the most crucial aspects of Jewish life they shed light on, including the historical and cultural background.

Changing gender roles and relations in food provisioning among matrilineal Khasi and patrilineal Chakhesang Indigenous rural People of North-East India

Women's position in society, gender roles, and gender division of labour affect household food security, dietary diversity, nutritional status, and well-being of all household members, especially children. Building on both primary and secondary data, this study explores gender roles and relations in food provisioning among the North-East India Indigenous matrilineal Khasi and patrilineal Chakhesang Peoples, amid societal transition. With the use of a combination of ethnographic and ethnobotanical research tools, a total number of 200 informants participated in 20 focus group discussions and 28 key informant interviews. The feminist political ecology framework was used to analyse the structural power relations influencing gender food-provisioning labour. Results show that both matrilineal and patrilineal women play equally crucial roles in agrobiodiversity management, subsistence agricultural production, and household food provisioning. However, customary laws shape different gender relations, women's status, and appreciation of women's work in the two societies. Gender roles appeared more flexible in the matrilineal society and more clearly defined in the patrilineal society, and gender relations more egalitarian among the Khasis while more hierarchical among the Chakhesangs. Household food-provisioning work and engagement in agricultural production did not seem to positively contribute to the social status of Chakhesang women, because these were expected as structural elements of the patriarchy. Current socio-cultural and economic changes in both Indigenous societies have altered the traditional food system, traditional livelihoods, and resource management practices, affecting women's role in household food provisioning and leading to the deterioration of women's status, influencing household dietary diversity, food, and nutritional security.

Coming to grips with economic development: Variation in adult hand grip strength during health transition in Vanuatu

OBJECTIVES

To determine whether (1) maximal handgrip strength (HGS) is associated with inter-island level of economic development in Vanuatu, (2) how associations between island of residence and HGS are mediated by age, sex, body size/composition, and individual sociodeomographic variation, and (3) whether HGS is predictive of hypertension.

MATERIAL AND METHODS

HGS was collected from 833 adult (aged 18 and older) men and women on five islands representing a continuum of economic development in Vanuatu. HGS was measured using a handheld dynamometer. Participants were administered in an extensive sociobehavioral questionnaire and were also assessed for height, weight, percent body fat, forearm skinfold thickness, forearm circumference, and blood pressure.

RESULTS

HGS was significantly greater in men than in women regardless of island of residence. HGS was also significantly positively associated with inter-island level of economic development. Grip strength-to-weight ratio was not different across islands except in older individuals, where age-related decline occurred primarily on islands with greater economic development. HGS significantly declined with age in both men and women.

CONCLUSION

HGS is positively associated with modernization in Vanuatu, but the relationship between HGS and modernization is largely due to an association of both variables with increased body size on more modernized islands. Further research on the role of individual variation in diet and physical activity are necessary to clarify the relationship between HGS and modernization.

Evidence From the Meru of Kenya

The aim of this study was to investigate an affective relationship with the natural environment in a non-western society and to determine its links with modernization. Emotional connectedness to nature, a significant predictor of nature-protective behavior, was assessed in a sample of 99 members of the Meru people of Kenya, recruited in places supposedly varying regarding their level of modernization: small market towns, farming villages, and a remote pastoralist settlement in the bush. The participants answered questions concerning their level of emotional affinity toward the natural environment and their lifestyle. The results show that feelings toward the natural environment in the studied population were, in general, positive. Such findings support the universality of the Biophilia hypothesis and are promising in the light of extant literature on the links between connectedness to nature and concern for the natural environment. Surprisingly we also found that a more traditional lifestyle was negatively related to emotional connectedness to nature. These findings suggest that contact with nature under conditions of direct dependence on the natural environment may have a different influence on people's feelings toward nature than in the west. Contrary to the common view, we conclude that the impact of modernization on non-western people's affective relationship with nature might have been unduly demonized.

Gut-Brain Psychology: Rethinking Psychology From the Microbiota-Gut-Brain Axis

Mental disorders and neurological diseases are becoming a rapidly increasing medical burden. Although extensive studies have been conducted, the progress in developing effective therapies for these diseases has still been slow. The current dilemma reminds us that the human being is a superorganism. Only when we take the human self and its partner microbiota into consideration at the same time, can we better understand these diseases. Over the last few centuries, the partner microbiota has experienced tremendous change, much more than human genes, because of the modern transformations in diet, lifestyle, medical care, and so on, parallel to the modern epidemiological transition. Existing research indicates that gut microbiota plays an important role in this transition. According to gut-brain psychology, the gut microbiota is a crucial part of the gut-brain network, and it communicates with the brain via the microbiota-gut-brain axis. The gut microbiota almost develops synchronously with the gut-brain, brain, and mind. The gut microbiota influences various normal mental processes and mental phenomena, and is involved in the pathophysiology of numerous mental and neurological diseases. Targeting the microbiota in therapy for these diseases is a promising approach that is supported by three theories: the gut microbiota hypothesis, the "old friend" hypothesis, and the leaky gut theory. The effects of gut microbiota on the brain and behavior are fulfilled by the microbiota-gut-brain axis, which is mainly composed of the nervous pathway, endocrine pathway, and immune pathway. Undoubtedly, gut-brain psychology will bring great enhancement to psychology, neuroscience, and psychiatry. Various microbiota-improving methods including fecal microbiota transplantation, probiotics, prebiotics, a healthy diet, and healthy lifestyle have shown the capability to promote the function of the gut-brain, microbiota-gut-brain axis, and brain. It will be possible to harness the gut microbiota to improve brain and mental health and prevent and treat related diseases in the future.

[The Post-Operative Complications as an Evaluation Indicator of Efficiency of Functioning of Three-Level System of Medical Care Support According to Urology Profile in the Voronezh Oblast]

In the Voronezh Oblast, the modernization of system of medical care support of patients with urological pathology was implemented with the purpose of increasing efficiency of the urological service functioning. This action affected all levels: early active detection of urological pathology, standardization of examination and treatment, routing of patients, strict control by way of monthly reports of medical institutions of the Oblast at the level of hospital and out-patient services, supervisory visits of specialists to districts and efficient control on part of the Oblast Chief Out-of-Staff Urologist. In the course of study it is established that key indices characterizing efficiency of functioning of the regional system of urological care of population are admitted the levels of unreasonably prolonged conservative treatment and also reasonably application of low invasive and high-tech intervention, implementation of standardization of the curative diagnostic process, rate of post-operative complications, level of economic costs of diagnostic and treatment, level of medical competence of personnel and degree of early detection of urological pathology that is validated by statistically reliable positive effect at the expense of their adjustment. The detection of advanced forms of diseases results in increased disability, increased economic costs per each patient in need of several operative interventions and highly qualified care. The number of post-operative complications is considered as an indicator of timeliness and adequacy of provided medical care to patients. The article presents an analysis of efficiency of the three-level system of medical care support according indicator of post-operative complications.

Sustainable Urbanization Performance Evaluation Based on "Origin" and "Modernization" Perspectives: A Case Study of Chongqing, China

Although the acceleration of urbanization brings social and economic development, it also produces various problems. Accurate evaluation of sustainable urbanization performance can help local governments summarize experiences and solve problems. Sustainable urban development should focus not only on modern construction, but also on original natural ecosystems and traditional cultural protection. This paper develops a holistic framework based on an "origin" and "modernization" perspectives and uses the multilevel extension method and the Analytic Hierarchy Process (AHP) method for accurately evaluating sustainable urbanization performance. A case study of Chongqing City in China demonstrates the process of using the holistic framework and evaluation method. The empirical results from this study indicate that Chongqing has a medium level of sustainable urbanization. The city is considered as a medium level in "origin" performance and the "modernization" performance is good, while uncoordinated. The case study reveals that the proposed framework and the method are effective theoretical bases for policy-makers and practitioners to understand the performance of urban sustainability and for promoting urbanization toward better sustainability. Beyond the application case, the holistic framework and method can be applied to other cities.

[The Social Networks and Organization of Extracurricular Teaching of Students in the System of Higher Medical Education]

The article considers problem of implementation of interactive technologies into educational environment of medical universities. The experience is considered related to usage of the social network "VKontakte" in 2015/2016 academic year and first half of 2016/2017 academic year as a platform for extracurricular activities of the student scientific research circle on history of medicine of the "The I.M. Sechenov First Moscow State Medical University". The methodological recommendations are proposed concerning organization of extracurricular activity of the student scientific research circle in social networks. The possibility of implementation of education in habitual for student youth social media environment and availability of large spectrum of technical resources assignable by "VKontakte" permit to draw a conclusion about expediency of application of the given technology promoting efficiency of organization of extracurricular independent activity of students in the educational process.

Why they eat, what they eat: patterns of wild edible plants consumption in a tribal area of Western Himalaya

Background

From time immemorial, wild plants have been used for edible purposes. They still continue to be a major source of nutrition for tribal people. However, unfortunately, their use is now declining. This has implications in food security, narrowing genetic base, and future leads. The present study was, therefore, carried out in Chhota Bhangal region of Western Himalaya to analyze uses of wild edible plants (WEP) and the motivations behind their use or abandonment.

Methods

Field surveys were conducted to the study area from January 2016 to March 2017. Household surveys, group discussions, free listing, and structured questionnaires were used to elicit information on WEP. WEP use was categorized into six categories (vegetables, fruits, chutney, flavoring food, raw food, and local brew). Trends of use (continuing, decreasing, increasing, and not used) and motivations (environmental, economic, sociocultural, agriculture and land use practices, and human-wildlife conflict) behind their use were analyzed.

Results

Fifty plant species were used by the local people for edible purposes under six WEP categories. Mean and median of WEP used per respondent was 22.3 and 21, respectively. Highest number of these were used as vegetable (mean 8.9) while lowest were used as brew (mean 0.4). Out of the 50 WEP used, 20 were prioritized for motivation analyses. Though plant use is still maintained in the area, changes are evident. Almost 50% of the respondents revealed that they still continue the use of WEP while 36% reported trends of declining use as compared to 5–10 years back. Close to 10% respondents have stopped consuming WEP now and ~ 3% reported an increase in the use of WEP. Among the WEP categories, use of chutney showed an increasing trend. Sociocultural motivations were found to play a prime role, both, in limiting and promoting WEP use. Taste and aroma were the major sociocultural reasons behind using WEP while modernization and changing lifestyle were the main reasons behind declining use of WEP.

Conclusions

The study concludes that though use of WEP is still maintained in the area, changes in consumption trends are evident. Sociocultural motivations guided use of WEP in the area.

"Modernization of Chinese medicine for twenty years" committee. [Summary of development in scientific researches of traditional Chinese medicine in twenty years（1996-2015）]

The modernization strategy of traditional Chinese medicine (TCM) has been implemented for 20 years. A great deal of basic and innovative researches have been done on basic theory of TCM, effective substance, efficacy evaluation, action mechanism, intracorporal metabolic process, safety evaluation, clinical evaluation and quality standards. As a result, a series of remarkable achievements in scientific research have been generated and promoted the interpretation of the connotation of TCM, supported the industry development of TCM and accelerated internationalization of TCM.

A long history of breakdowns: A historiographical review

The introduction to this special issue argues that network breakdowns play an important and unacknowledged role in the shaping and emergence of scientific knowledge. It focuses on transnational scientific networks from the early modern Republic of Letters to 21st-century globalized science. It attempts to unite the disparate historiography of the early modern Republic of Letters, the literature on 20th-century globalization, and the scholarship on Actor-Network Theory. We can perceive two, seemingly contradictory, changes to scientific networks over the past four hundred years. At the level of individuals, networks have become increasing fragile, as developments in communication and transportation technologies, and the emergence of regimes of standardization and instrumentation, have made it easier both to create new constellations of people and materials, and to replace and rearrange them. But at the level of institutions, collaborations have become much more extensive and long-lived, with single projects routinely outlasting even the arc of a full scientific career. In the modern world, the strength of institutions and macro-networks often relies on ideological regimes of standardization and instrumentation that can flexibly replace elements and individuals at will.

Raman spectroscopy in quality control of Chinese herbal medicine

BACKGROUND

Chinese herbal medicine (CHM) is of noteworthy international interest due to its potential impact on healthcare and manifests numerous opportunities for new drug development. However, solid scientific evidence is still lacking regarding the safety, efficacy, and quality of CHM-derived medicines. Success in the modernization and globalization of CHM is heavily dependent on the achievements in advanced analytical techniques for in-line checks of CHM quality. Raman spectroscopy has become increasingly valued as an analytical technique in the pharmaceutical sector because it can provide a detailed chemical fingerprint. However, earlier research suggests that inadequate attention has been paid to the applications of Raman spectroscopy in CHM.

METHODS

Chinese and English literatures were reviewed via PubMed and Medicine databases, and through manual searches using keywords including traditional Chinese medicines, herbs, quality control, and Raman spectroscopy.

RESULTS

Applications of Raman spectroscopy in various aspects of CHM, including the identification and analysis of raw materials, in-line checks of formulation, characterization of adulterants, and detection of counterfeits, were reviewed systematically.

CONCLUSION

An updated systematic review of the published literature has been conducted to analyze the most important milestones and latest achievements in this topic. Raman spectroscopy is playing an increasingly important role in the quality control of CHM and effectively promotes the modernization of CHM.

Turkey's Epidemiological and Demographic Transitions: 1931-2013

Background:

The causes of death have changed with regard to the epidemiological and demographic events in society. There is no evidence of prior research into the epidemiological transition in Turkey. This transition in Turkey should be observed starting with the Ottoman Empire period (19th to early 20th century). However, information about the Ottoman Empire is quite limited.

Aims:

To discuss the epidemiological and demographic transitions in Turkey, using demographic, educational and urbanization data in our present study.

Study Design:

A descriptive archive study.

Methods:

Mortality statistics dating from 1931 and published by the Turkish Statistical Institute were analysed, and the causes of death were coded and classified according to ICD-10. Other data were obtained from the published reports and studies regarding the issue.

Results:

In the 1930s, Turkey’s life expectancy was low (aged 40 years), fertility and mortality rates were high (respectively 45% and 31%), and the main causes of death were infectious diseases. Nowadays, life expectancy is close to 80 years, the total fertility rate has dropped to 2.1 per woman, and the main causes of death are chronic diseases and cancer. The population rate in the urban areas has increased steadily from 24.2% in 1927 to 77.3% in 2012. level of education has also increased during this period. In 1935, less than 10% of women were literate, and in 2013 90% were literate. Qualitative and quantitative increase have been observed in the presentation and access of healthcare services compared to the early years of the Republic.

Conclusion:

Turkey has been undergoing a modernization period in the last 200 years, and it is believed that the epidemiological and demographic transitions result from this period. This process has led to urbanization and an increase in the level of education, as well as a decrease in premature deaths, lower fertility rates, and an increase in the elderly population and chronic diseases. It is therefore our conclusion that Turkey needs policies regarding the elderly population and the management of chronic diseases.

Changes from 1986 to 2006 in reasons for liking leisure-time physical activity among adolescents

Reasons for participating in physical activity (PA) may have changed in accordance with the general modernization of society. The aim is to examine changes in self-reported reasons for liking leisure-time physical activity (LTPA) and their association with self-reported LTPA over a 20-year period. Data were collected among nationally representative samples of 13-year-olds in Finland, Norway, and Wales in 1986 and 2006 (N = 9252) as part of the WHO cross-national Health Behaviour in School-aged Children (HBSC) study. Univariate ANOVAs to establish differences according to gender, year, and country were conducted. In all countries, 13-year-olds in 2006 tended to report higher importance in terms of achievement and social reasons than their counterparts in 1986, while changes in health reasons were minor. These reasons were associated with LTPA in a similar way at both time points. Health reasons for liking LTPA were considered most important, and were the strongest predictor of LTPA. The findings seem robust as they were consistent across countries and genders. Health education constitutes the most viable strategy for promoting adolescents' motivation for PA, and interventions and educational efforts could be improved by an increased focus on LTPA and sport as a social activity.

The historical development of suicide mortality in Russia, 1870-2007

Russia has one of the highest suicide mortality rates in the world. This study investigates the development of Russian suicide mortality over a longer time period in order to provide a context within which the contemporary high level might be better understood. Annual sex- and age-specific suicide-mortality data for Russia for the period 1870-2007 were studied, where available. Russian suicide mortality increased 11-fold over the period. Trends in male and female suicide developed similarly, although male suicide rates were consistently much higher. From the 1990s suicide has increased in a relative sense among the young (15-34), while the high suicide mortality among middle-aged males has reduced. Changes in Russian suicide mortality over the study period may be attributable to modernization processes.

Psychiatry in 21(st) century: The road ahead

In spite of becoming more humane in its approach with improvements in understanding of mental illnesses over last century, psychiatry still has a long way to go. At this point in time, on one hand the world faces issues like terrorism, wars and global warming; while on the other it is witnessing economic and gender empowerment like never before. With technology providing us with immense opportunities to advance care for the mentally ill, we are closer than ever to finding the holy-grail of psychiatry, and overcoming daunting challenges.

Folk beliefs of cultural changes in China

For the last several decades, Chinese society has experienced transformative changes. How are these changes understood among Chinese people? To examine this question, Part 1 in this research solicited folk beliefs of cultural change from a group of Chinese participants in an open-ended format, and the generated folk beliefs were rated by another group of participants in Part 2 to gage each belief's level of agreement. Part 3 plotted the folk beliefs retained in Part 2 using the Google Ngram Viewer in order to infer the amount of intellectual interests that each belief has received cross-temporarily. These analyses suggested a few themes in Chinese folk beliefs of cultural change (1) rising perceived importance of materialism and individualism in understanding contemporary Chinese culture and Chinese psychology relative to those of the past (2) rising perceived importance of freedom, democracy and human rights and (3) enduring perceived importance of family relations and friendship as well as patriotism. Interestingly, findings from Parts 2 and 3 diverged somewhat, illuminating possible divergence between folk beliefs and intellectual interests especially for issues related to heritage of Confucianism.

Public health aspects of the family medicine concepts in South eastern europe

INTRODUCTION

Family medicine as a part of the primary health care is devoted to provide continuous and comprehensive health care to the individuals and families regardless of age, gender, types of diseases and affected system or part of the body. Special emphasis in such holistic approach is given to the prevention of diseases and health promotion. Family Medicine is the first step/link between doctors and patients within patients care as well as regular inspections/examinations and follow-up of the health status of healthy people. Most countries aspire to join the European Union and therefore adopting new regulations that are applied in the European Union.

AIM

The aim of this study is to present the role and importance of family medicine, or where family medicine is today in 21 Century from the beginning of development in these countries. The study is designed as a descriptive epidemiological study with data from 10 countries of the former Communist bloc, Slovenia, Croatia, Bosnia and Herzegovina, Serbia, Montenegro, Macedonia, Kosovo, Albania, Bulgaria, Romania, Czech Republic, Slovakia and Hungary, just about half of them are members of the EU. We examined the following variables: socio-organizational indicators, health and educational indicators and health indicators. The data used refer to 2002 and as a source of data are used official data from reference WebPages of family medicine doctors associations, WONCA website (EURACT, EQuiP, EGPRN), WebPages of Bureau of Statistics of the countries where the research was conducted as well as the Ministries of Health.

RESULTS

Results indicates that the failures and shortcomings of health care organizations in Southeast Europe. Lack of money hinders the implementation of health care reform in all mentioned countries, the most of them that is more oriented to Bismarck financing system. Problems in the political, legal and economic levels are obstacles for efficient a problem reconstructing health care system toward family medicine and primary prevention interventions. The population is not enough educated for complicated enforcement for and prevention of diseases that have a heavy burden on the budget. Health insurance and payment of health services is often a problem, because the patients must be treated regardless of their insurance coverage and financial situation. The decrease in production and economic growth, as well as low gross national income in the countries with economic crisis, lead to the inability of treatment for a large number of the population. Such situation a system leads to additional debts and loans to healthcare system. Measures implemented for provision of acute curative care largely did not lead to improvements in the health status of the population. Educational and preventive measures, as well as higher standards for quality and accessibility of health care services for entire population in each country, especially those struggling are bound to joining the European Union and their implementation must start. The most A large number of medical institutions are is inefficient in health education and health promotion and must work to educate patients and families and increase the quality of preventive health services. Modernization of health care delivery and joining the European Union by increasing overall economic stability of countries is one of the primary goals of all countries in Southeast Europe.

Depression as a disease of modernity: explanations for increasing prevalence

There has been much speculation about modern environments causing an epidemic of depression. This review aims to (1) determine whether depression rates have increased and (2) review evidence for possible explanations. While available data indicate rising prevalence and an increased lifetime risk for younger cohorts, strong conclusions cannot be drawn due to conflicting results and methodological flaws. There are numerous potential explanations for changing rates of depression. Cross-cultural studies can be useful for identifying likely culprits. General and specific characteristics of modernization correlate with higher risk. A positive correlation between a country's GDP per capita, as a quantitative measure of modernization, and lifetime risk of a mood disorder trended toward significance (p=0.06). Mental and physical well-being are intimately related. The growing burden of chronic diseases, which arise from an evolutionary mismatch between past human environments and modern-day living, may be central to rising rates of depression. Declining social capital and greater inequality and loneliness are candidate mediators of a depressiogenic social milieu. Modern populations are increasingly overfed, malnourished, sedentary, sunlight-deficient, sleep-deprived, and socially-isolated. These changes in lifestyle each contribute to poor physical health and affect the incidence and treatment of depression. The review ends with a call for future research and policy interventions to address this public health crisis.

Does blood pressure inevitably rise with age?: longitudinal evidence among forager-horticulturalists

The rise in blood pressure with age is a major risk factor for cardiovascular and renal disease, stroke, and type 2 diabetes mellitus. Age-related increases in blood pressure have been observed in almost every population, except among hunter-gatherers, farmers, and pastoralists. Here we tested for age-related increases in blood pressure among Tsimane forager-farmers. We also test whether lifestyle changes associated with modernization lead to higher blood pressure and a greater rate of age-related increase in blood pressure. We measured blood pressure longitudinally on 2248 adults age ≥ 20 years (n=6468 observations over 8 years). Prevalence of hypertension was 3.9% for women and 5.2% for men, although diagnosis of persistent hypertension based on multiple observations reduced prevalence to 2.9% for both sexes. Mixed-effects models revealed systolic, diastolic, and pulse blood pressure increases of 2.86 (P<0.001), 0.95 (P<0.001), and 1.95 mmHg (P<0.001) per decade for women and 0.91 (P<0.001), 0.93 (P<0.001), and -0.02 mmHg (P=0.93) for men, substantially lower than rates found elsewhere. Lifestyle factors, such as smoking and Spanish fluency, had minimal effect on mean blood pressure and no effect on age-related increases in blood pressure. Greater town proximity was associated with a lower age-related increase in pulse pressure. Effects of modernization were, therefore, deemed minimal among Tsimane, in light of their lean physique, active lifestyle, and protective diet.