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Background Diabetes is a growing health problem in South Asia. Despite an increasing number of studies exploring causal pathways between diabetes and depression in high-income countries (HIC), the pathway between the two disorders has received limited attention in low and middle-income countries (LMIC). The aim of this study is to investigate the potential pathway of diabetes contributing to depression, to assess the prevalence of depression, and to evaluate the association of depression severity with diabetes severity. This study uses a clinical sample of persons living with diabetes sequelae without a prior psychiatric history in urban Nepal. Methods A cross-sectional study was conducted among 385 persons living with type-2 diabetes attending tertiary centers in Kathmandu, Nepal. Patients with at least three months of diagnosed diabetes and no prior depression diagnosis or family history of depression were recruited randomly using serial selection from outpatient medicine and endocrine departments. Blood pressure, anthropometrics (height, weight, waist and hip circumference) and glycated hemoglobin (HbA 1c ) were measured at the time of interview. Depression was measured using the validated Nepali version of the Beck Depression Inventory (BDI-Ia). Results The proportion of respondents with depression was 40.3%. Using multivariable analyses, a 1-unit (%) increase in HbA 1c was associated with a 2-point increase in BDI score. Erectile dysfunction was associated with a 5-point increase in BDI-Ia. A 10mmHg increase in blood pressure (both systolic and diastolic) was associated with a 1.4-point increase in BDI-Ia. Other associated variables included waist-hip-ratio (9-point BDI-Ia increase), at least one diabetic complication (1-point BDI-Ia increase), treatment non-adherence (1-point BDI-Ia increase), insulin use (2-point BDI-Ia increase), living in a nuclear family (2-point BDI-Ia increase), and lack of family history of diabetes (1-point BDI-Ia increase). Higher monthly income was associated with increased depression severity (3-point BDI-Ia increase per 100,000 rupees, equivalent US$1000). Conclusions Depression is associated with indicators of more severe diabetes disease status in Nepal. The association of depression with diabetes severity and sequelae provide initial support for a causal pathway from diabetes to depression. Integration of mental health services in primary care will be important to combat development of depression among persons living with diabetes.

Just as J. M. Coetzee's post-2003 books present essays and narrative alongside one another, this book engages with its ideas through both critical and creative writing. Reading Coetzee interleaves critical essays on Coetzee's works with an autobiographical narrative detailing MacFarlane's more personal response to her reading and writing. The presentation of elements of the creative with the critical, and the critical within the creative, aims to challenge the traditional boundary between the two. This kind of methodology derives from the idea (and practice) of embodiment: that an idea or philosophy does not 'float free', but is tied to the idiosyncrasies, divergences, and subjective 'travel' of its speaker or writer. Coetzee's Elizabeth Costello, Slow Man and Diary of a Bad Year explicitly address themes which abide more surreptitiously throughout his oeuvre: the divisions and paradoxes which occur the moment pen gains page, the value of literature, and the ethics of embodiment. In revealing the dialogue between writer-self and reader-self, and between author and character, these recent novels invite a rereading of Coetzee's previous literature. Reading Coetzee explores Coetzee's preoccupation with the act of writing using his recent books as a lens through which to view his eight previous novels as well as his memoirs and essays.

Background: The relationship between mental health and climate change are poorly understood. Participatory methods represent ethical, feasible, and culturally-appropriate approaches to engage community members for mental health promotion in the context of climate change. Aim: Photovoice, a community-based participatory research methodology uses images as a tool to deconstruct problems by posing meaningful questions in a community to find actionable solutions. This community-enhancing technique was used to elicit experiences of climate change among women in rural Nepal and the association of climate change with mental health. Subjects and methods: Mixed-methods, including in-depth interviews and self-report questionnaires, were used to evaluate the experience of 10 women participating in photovoice. Quantitative tools included Nepali versions of Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) and a resilience scale. Results: In qualitative interviews after photovoice, women reported climate change adaptation and behavior change strategies including environmental knowledge-sharing, group mobilization, and increased hygiene practices. Women also reported beneficial effects for mental health. The mean BDIallwomen score prior to photovoice was 23.20 (SD=9.00) and two weeks after completion of photovoice, the mean BDIallwomen score was 7.40 (SD=7.93), paired t-test = 8.02, p<.001, n=10. Conclusion: Photovoice, as a participatory method, has potential to inform resources, adaptive strategies and potential interventions to for climate change and mental health.

The aim of this study was to explore the perceptions of a group of secondary teachers regarding the curricular reform policy, Delivering Excellence and Equity in Scottish Education: A Delivery Plan for Scotland (the Plan), which was introduced during an indefinite period of comprehensive change to the Scottish qualifications system. The changes to the qualifications system represented the final stages of the implementation of Curriculum for Excellence and impacted the Senior Phase, while the Delivery Plan impacted the earlier Broad General Education Phase. The catalyst for the reform policy was Scotland’s decline in ranking in Literacy, Mathematics and Science as measured by the OECD’s Programme for International Student Assessment (PISA) in 2015. The introduction of the Plan after the new qualifications seemed to increase teachers’ perceived pedagogical dilemmas and heighten existing tensions regarding the curriculum. This study was intended to support understanding of these tensions and curricular contradictions. Rarely, since the National Debate of 2002, has teacher voice been canvassed regarding curricular and assessment reform. This study sought to combine critical analysis of extracts from the reform policy with interviews conducted with a small group of secondary teachers to further comprehension of top-down policy solutions and systemic change. Stimulating the conversation regarding the future challenges facing the Curriculum for Excellence and how these challenges are understood provided the motivation for the study.

[Edward G. Longacre], of Newport News, has published numerous books on the Civil War and U.S. military history. According to a news release, his interest in the war grew when he learned that his great-grandfather and other ancestors served in the war, including high-ranking officers on both sides. His other titles include \"The Cavalry at Gettysburg,\" winner of the Fletcher Pratt Award for best nonfiction book on the Civil War, and \"Gentlemen and Soldier: A Biography of Wade Hampton III,\" which won the Douglas Southall Freeman History Award.

[Connie Weis] also lists cooking and baking utensils to use and explains techniques that will make the brownies we create the brownies she is known for. Weis' detailed instructions and Renee Comet's photographs of how these sweet treats should look in the end make the process much easier.

Author Barbara N. McLennan draws back the curtain of time in the historical novel \"The Wealth of Jamestown,\" letting us look through the window of the past and see some of Jamestown's most affluent and notable citizens. \"The Wealth of Jamestown\" is a book of historical fiction that brings to life the inhabitants of Jamestown and the colonies in the 1600s. A former docent at Jamestown Settlement, McLennan assists the Jamestown-Yorktown Foundation in preparing for the new American Revolution Museum at Yorktown. She is also on the board of the Chesapeake Bay Writers organization.

What a great time of year to read \"Summertime Dreams: Yes -- Girls Can Play Baseball,\" a memoir by professional women's baseball player Dolly Niemiec Konwinski, written with local resident Douglas Williams. \"Summertime Dreams\" was published by AuthorHouse in December 2013. It is available at major online retailers in print and eBook for about $13 and $4, respectively. Photo (color); \"Summertime Dreams: Yes -- Girls Can Play Baseball\"