A pilot randomized clinical trial of tDCS for increasing exercise engagement in individuals with elevated depressive symptoms: Rationale, design, and baseline characteristics.

Regular exercise protects against overweight/obesity as well as numerous chronic diseases. Yet, less than half of Americans exercise sufficiently. Elevated levels of depressive symptoms have been identified as an important correlate of physical inactivity as well as poor adherence to exercise programs.

Integration of sex and gender in a continuing professional development course on diabetes and depression: a mixed methods feasibility study.

Objectives: Assess the feasibility and impact of a continuous professional development (CPD) course on type 2 diabetes and depression on health professionals' intention to include sex and gender considerations in patient care.

Design And Setting: In collaboration with CPD organisations and patient-partners, we conducted a mixed-methods feasibility controlled trial with postintervention measures in three Canadian provinces.

Participants: Of 178 eligible health professionals, 127 completed questionnaires and 67 participated in semistructured group discussions.

Audiovisual training rapidly reduces potentially hazardous perceptual errors caused by earplugs.

Our ears capture sound from all directions but do not encode directional information explicitly. Instead, subtle acoustic features associated with unique sound source locations must be learned through experience. Surprisingly, aspects of this mapping process remain highly plastic throughout adulthood: Adult human listeners can accommodate acutely modified acoustic inputs ("new ears") over a period of a few weeks to recover near-normal sound localization, and this process can be accelerated with explicit training.

Effect of a nonsystemic, orally administered hydrogel, GS100, on metformin pharmacokinetics.

Overweight and obesity are major health concerns worldwide, and are major predisposing factors for type 2 diabetes. This single-centre, Phase I, randomised, open-label, single-dose, 4-arm crossover, device-drug interaction study on 24 healthy volunteers with a body mass index of 25-40 kg/m tested the effect of a novel, nonsystemic, orally administered hydrogel (GS100) on the pharmacokinetics of an oral antidiabetic drug, metformin. When administered in both the fed and fasted states, the effect of GS100 on metformin pharmacokinetic characteristics was found to be similar to that of food.

A developmental-based motivational intervention to reduce alcohol and marijuana use among non-treatment-seeking young adults: a randomized controlled trial.

Aims: To test the hypothesis that among non-treatment-seeking emerging adults (EA) who both use marijuana and have alcohol binges, a brief, longitudinally delivered, developmentally based motivational intervention would show greater reductions in the use of these two substances compared with a health education control condition.

Design: Parallel, two-group, randomized controlled trial with follow-up interventions conducted at 1, 3, 6 and 9 months and final assessments at 12 and 15 months.

Setting: Hospital-based research unit in the United States.

An Open Trial of Electronic Cigarettes for Smoking Cessation Among Methadone-Maintained Smokers.

Introduction: Smoking cessation pharmacotherapies tested in persons with opioid use disorder have produced low quit rates. Electronic cigarettes (e-cigarettes) have been used by many methadone-maintained (MMT) smokers, but controlled trials evaluating cessation and reduction outcomes have not been performed in this population with deleterious tobacco-related health consequences.

Methods: In this open trial of NJOY e-cigarettes, MMT smokers received 6 weeks of treatment and were instructed to use only e-cigarettes.

[Perspective of peer helpers regarding their experience animating a self-treatment program for panic disorders].

Objective: Support groups can help to reach individuals with anxiety disorders who are not or are only partly obtaining health services. The present study is based on a program that involves peer helpers as animators of a self-treatment group (Zéro-ATAQ). Their perspective has been documented in order to identify the aspects of the program which can be improved.

E-cigarette knowledge, attitudes, and use in opioid dependent smokers.

Individuals in treatment for opioid dependence have smoking rates 3-5 times greater than the U.S. prevalence rate.

Varenicline for smoking cessation among methadone-maintained smokers: a randomized clinical trial.

Background: With smoking rates far exceeding the general population, methadone-maintained (MMT) opiate-dependent smokers experience high rates of tobacco-related health consequences. Previous treatment studies have used nicotine replacement and produced low quit rates.

Methods: We test, using a three-group randomized design, the efficacy of varenicline versus placebo, in comparison with nicotine replacement therapy (NRT) that combines nicotine patch prescription plus ad libitum nicotine rescue, for smoking cessation.

Project Impact: a pharmacotherapy pilot trial investigating the abstinence and treatment adherence of Latino light smokers.

Light smoking is particularly prevalent among Latino smokers. Nicotine replacement (NRT) and varenicline are effective medications for smoking cessation for moderate-heavy smokers but have not been tested in light smokers, and thus, there are no treatment guidelines for use with light smokers. This pilot trial tested the efficacy of NRT and varenicline in increasing smoking abstinence among Latino light smokers.

Lead exposure and poisoning of songbirds using the Coeur d'Alene River Basin, Idaho, USA.

Previous studies have found widespread Pb poisoning of waterfowl in the Coeur d'Alene River Basin in northern Idaho, USA, which has been contaminated by mining and smelting activities. We studied the exposure of ground-feeding songbirds to Pb, sampling 204 American robins (Turdus migratorius), song sparrows (Melospiza melodia), and Swainson's thrushes (Catharus ustulatus) throughout the basin. These songbirds had mean blood Pb concentrations (mg/kg, dry weight) of less than 0.

Feasibility and impact of providing feedback to vaccinating medical clinics: evaluating a public health intervention.

Background: Vaccine coverage (VC) at a given age is a widely-used indicator for measuring the performance of vaccination programs. However, there is increasing data suggesting that measuring delays in administering vaccines complements the measure of VC. Providing feedback to vaccinators is recognized as an effective strategy for improving vaccine coverage, but its implementation has not been widely documented in Canada.

Relating the ability of mallards to ingest high levels of sediment to potential contaminant exposure in waterfowl.

When waterfowl feed from the bottom of bodies of water, they sometimes ingest sediments along with their food, and this sediment can be a major source of contaminants. Learning how much sediment waterfowl can consume in their diet and still maintain their health would be helpful in assessing potential threats from contaminants in sediment. In a controlled laboratory study the maximum tolerated percentage of sediment in the diet of mallards (Anas platyrhynchos) was measured.

Deer exposed to exceptionally high concentrations of lead near the Continental Mine in Idaho, USA.

Habitat surrounding the inactive Continental Mine in northern Idaho, USA, supports bear (Ursus arctos, Ursus americanus), moose (Alces alces), elk (Cervus elaphus), woodland caribou (Rangifer tarandus caribou), and abundant mule (Odocoileus hemionus) and white-tailed deer (Odocoileus virginianus). Tailings on the mining site were capped and remediated in 2003 to reduce environmental exposure of surrounding soil and sediments of Blue Joe Creek, downslope of the mine. Before capping, the mean Pb concentration in deer pellets collected on-site was 920 mg/kg of Pb (dry wt).

Blood lead concentrations in waterfowl utilizing Lake Coeur d'Alene, Idaho.

The Coeur d'Alene River Basin, Lake Coeur d'Alene, and the Spokane River contain elevated heavy metal concentrations in sediment and water from historical mining and ore processing operations in the Coeur d'Alene Basin. Lead poisoning has been identified as the cause of death in hundreds of waterfowl utilizing wetlands in the floodplain of the Coeur d'Alene River, but little was known about hazards to waterfowl from heavy metal contamination in shallow bays and wetlands of Lake Coeur d'Alene. We examined lake sediment and blood lead concentrations in waterfowl utilizing Lake Coeur d'Alene, Idaho, to evaluate potential lead contamination of waterfowl utilizing the lake.

Phosphorus amendment reduces hepatic and renal oxidative stress in mallards ingesting lead-contaminated sediments.

Lead poisoning of waterfowl has been reported for decades in the Coeur d'Alene River Basin (CDARB) in Idaho as a result of the ingestion of lead-contaminated sediments. This study was conducted to determine whether the addition of phosphoric acid to CDARB sediments would reduce the bioavailability and toxicity of lead to the liver and kidney of mallards (Anas platyrhynchos). Mallards received diets containing 12% clean sediment (controls) or 12% sediment from three different CDARB sites containing 4520, 5390, or 6990 microg/g lead (dry weight) with or without phosphoric acid amendment.

Phosphorus amendment reduces hematological effects of lead in mallards ingesting contaminated sediments.

Lead poisoning of waterfowl has been reported for decades in the Coeur d'Alene River Basin (CDARB) in Idaho as a result of the ingestion of lead-contaminated sediments. This study was conducted to determine whether the addition of phosphoric acid to sediments would reduce the bioavailability and toxicity of lead to mallards (Anas platyrhynchos) as related to adverse hematological effects and altered plasma chemistries. Mallards received diets containing 12% clean sediment (controls) or 12% sediment from three different CDARB sites containing 4520, 5390, or 6990 microg/g lead (dw) with or without phosphoric acid amendment.

Phosphorus amendment reduces bioavailability of lead to mallards ingesting contaminated sediments.

Lead poisoning of waterfowl has been reported for decades in the Coeur d'Alene River Basin in Idaho as a result of the ingestion of lead-contaminated sediments. We conducted a study to determine whether the addition of phosphoric acid to sediments would reduce the bioavailability of lead to mallards (Anas platyrhynchos). When sediments were amended with 1% phosphorus under laboratory conditions, and diets containing 12% amended sediment were fed to mallards, reductions in tissue lead were 43% in blood, 41% in liver, and 59% in kidney with sediment containing about 4,520 microg/g lead on a dry-weight basis and 41, 30, and 57% with sediment containing about 6,990 microg/g lead.

Age differences in enumerating things that move: implications for the development of multiple-object tracking.

The attentional theory of spatial enumeration (Trick & Pylyshyn, 1994) predicts that subitizing, the rapid process (40-120 msec/item) used to enumerate 1-4 items, employs the same mechanism that permits individuals to track 4-5 moving items simultaneously, whereas enumerating more items requires moving attentional focus from area to area in the display. To test this theory, enumeration of static and moving items was investigated in 8-, 10-, 12-, and 20-year-old participants using a number discrimination task. As was predicted, random independent item motion did not substantially impede enumeration of 1-4 items regardless of age.

Toxicity of lead-contaminated sediment to mute swans.

Most ecotoxicological risk assessments of wildlife emphasize contaminant exposure through ingestion of food and water. However, the role of incidental ingestion of sediment-bound contaminants has not been adequately appreciated in these assessments. This study evaluates the toxicological consequences of contamination of sediments with metals from hard-rock mining and smelting activities.

Lead poisoning of waterfowl by contaminated sediment in the Coeur d'Alene River.

The Coeur d'Alene River basin in Idaho has been contaminated by mine tailings that have impaired the health of wildlife since the early 1900s. In other parts of the world, virtually all lead poisoning of waterfowl is caused by the ingestion of manmade lead artifacts, primarily spent lead shotshell pellets or, occasionally, fishing sinkers. However, in the Coeur d'Alene River basin in Idaho, nonartifactual lead poisoning was the ultimate cause of death of most of 219 (77%) of 285 waterfowl carcasses that had been found sick or dead from 1992 through 1997.

Developmental toxicity of lead-contaminated sediment to mallard ducklings.

Sediment ingestion has been identified as an important exposure route for toxicants in waterfowl. The toxicity of lead-contaminated sediment from the Coeur d'Alene River Basin (CDARB) in Idaho was examined on posthatching development of mallard (Anas platyrhynchos) ducklings for 6 weeks. Day-old ducklings received either untreated control diet, clean sediment (24%) supplemented control diet, CDARB sediment (3,449 microg/g lead) supplemented diets at 12% or 24%, or a positive control diet containing lead acetate equivalent to that found in 24% CDARB.

Field evaluation of lead effects on Canada geese and mallards in the Coeur d'Alene River Basin, Idaho.

Hatch year (HY) mallards (Anas platyrhynchos) in the Coeur d'Alene (CDA) River Basin had higher concentrations of lead in their blood than HY Western Canada geese (Branta canadensis moffitti) (geometric means 0.98 versus 0.28 microg/g, wet weight).

Developmental toxicity of lead-contaminated sediment in Canada geese (Branta canadensis).

Sediment ingestion has recently been identified as an important exposure route for toxicants in waterfowl. The effects of lead-contaminated sediment from the Coeur d'Alene River Basin (CDARB) in Idaho on posthatching development of Canada geese (Branta canadensis) were examined for 6 wk. Day-old goslings received either untreated control diet, clean sediment (48%) supplemented control diet, or CDARB sediment (3449 microg/g lead) supplemented diets at 12%, 24%, or 48%.