Mindfulness-based therapies are increasingly available for a range of mental disorders, such as depression and anxiety. However, there remain concerns that mindfulness has the potential to exacerbate psychosis, despite a growing body of literature demonstrating effectiveness. These concerns may relate to long-standing perceptions about the suitability of offering psychological therapies to people with psychosis.
  Pituitary adenomas (PAs) are common and often require complex multidisciplinary care with multiple specialists. This may result in a healthcare system that is challenging for patients to navigate. Audits of care at our institution revealed opportunities for improvement to better align care with patients' needs.
 
  A quality improvement initiative that incorporated a patient advisory committee of patients who had received treatment for PA at our center and their family members were used to help identify opportunities for improvement. The patient-identified gaps in care included the need to coordinate and minimize appointments and the desire for better communication and education. Based on this information, changes were implemented to the pituitary program, including increasing access to the Multidisciplinary Clinic and developing a standardized and centralized triage process.
 
  A pre- and post-intervention analysis consisting of retrospective chart reviews revealed that these changes had an impact on wait times for first assessment, and a significant shift in the location of this first visit - with a larger proportion of patients being seen in the Multidisciplinary Clinic after an intervention.
 
  We demonstrate that patient involvement, beyond individual patient-physician interactions, can lead to meaningful and observable changes, and can improve the quality of care for PA.
 We demonstrate that patient involvement, beyond individual patient-physician interactions, can lead to meaningful and observable changes, and can improve the quality of care for PA.During several nematological surveys in cultivated and natural habitats in Khuzestan and Zanjan provinces of Iran, a new species, Bitylenchus parvulus n. sp., two new records for Iran - namely, Tylenchorhynchus agri and Tylenchorhynchus graciliformis - and a population of Bitylenchus parvus and one of Sauertylenchus maximus were recovered and characterized based upon morphological and molecular approaches. The new species is characterized by lip region with five to seven annuli, stylet 17.7 (17.0-18.5) μm long, sub-cylindrical tail narrowing abruptly near terminus giving a bluntly digitate shape to the tail tip, cuticle near anterior part of vulva wrinkled and post-rectal sac occupies whole of tail cavity. The phylogenetic analyses were carried out using molecular data from D2-D3 expansion segments of large ribosomal subunit (28S rRNA) for all studied species and the partial small ribosomal subunit (18S rRNA) for the new species. The representatives of Bitylenchus and Sauertylenchus formed distinct clades from Tylenchorhynchus members, supporting the hypothesis in which Bitylenchus and Sauertylenchus could be considered as valid genera, but rejecting the 'large-genus' concept for Tylenchorhynchus. Also, Sauertylenchus ibericus was proposed as a junior synonym of S. maximus based on the results from morphological and phylogenetic analysis. Furthermore, an identification key for all known species included in the three genera Bitylenchus, Tylenchorhynchus and Sauertylenchus is presented herein. The number of transverse annuli on the lip region and presence/absence of post-rectal sac were considered as the main diagnostic characters for classifying the species into seven groups, and other morphological and morphometric characters were subsequently used for distinguishing species in each group.This article is an invited commentary on a recent article by Harrison et al. investigating the purported causal link between smoking behaviours and suicide attempts.Edible viviparid snails are suspected to be the source of human echinostomiasis in Thailand, but little is known about the prevalence of viviparid snail parasitization by echinostomes in snails sold for human consumption in wet markets. Here, the prevalence of echinostome metacercariae and the association between parasitic intensity and host size, as well as the relationship to host species, were investigated. In total, 1100 viviparid snails belonging to four species (Cipangopaludina annandalei, Filopaludina martensi martensi, F. sumatrensis polygramma and F. doliaris) were obtained from wet markets in Chiang Rai Province, Northern Thailand. All snail species were found to be infected with echinostome metacercariae with total prevalence and mean intensity values of 16.5% and 16.4, respectively. The metacercariae of the avian trematode, Thapariella anastomusa were found in Filopaludina spp. snails. Interestingly, C.  https://www.selleckchem.com/products/jh-x-119-01.html  annandalei identified in this study had not previously been considered a food source and this is the first report of echinostome metacercaria in this snail species. Results confirmed the role of C. annandalei as the second intermediate host of the trematode; however, the species identity of these echinostomes remains unclear. Comparative morphology of these metacercariae and their adult stage require further study, and molecular markers are necessary to confirm their identification. Prevalence and intensity of echinostomes metacercariae was significantly associated with snail species.This article suggests that, during the 1820s and 1830s, Britain experienced a mirage moment. A greater volume of material was published on the mirage in scientific journals, treatises, travel literature and novels during these two decades than had occurred before in British history. The phenomenon was examined at the confluence of discussions about the cultural importance of illusions, the nature of the eye and the imperial project to investigate the extra-European natural world. Explanations of the mirage were put forward by such scientists and explorers as Sir David Brewster, William Wollaston and General Sir James Abbott. Their demystification paralleled the performance of unmasking scientific and magical secrets in the gallery shows of London during the period. The practice of seeing involved in viewing unfathomable phenomena whilst simultaneously considering their rational basis underwrote these different circumstances. I use this unusual mode of visuality to explore the ways the mirage and other illusions were viewed and understood in the 1820s and 1830s.