503 - Informal antidepressant strategies in nursing homes: Two Group Concept Mapping studies among residents, their relatives, and professional caregivers

Background:Although formal treatments like antidepressants and psychotherapy may effectively reduce depression in nursing home residents, side effects and poor treatment adherence are common. To improve depression care, it is important to also learn from informal strategies already used successfully in daily practice, alongside or in absence of formal treatment. For example, although not prescribed as formal treatment, a care provider may seat a resident with depression at a table near the window. This may have antidepressant effects due to extra day light or pleasant views from the window.Objectives:To identify, categorize, and prioritize informal antidepressant strategies for residents already used in daily practice as reported by residents themselves, their relatives, and professional caregivers.Method:In the first Group Concept Mapping study, residents, relatives, and professional caregivers (N = 124) brainstormed on strategies to prevent or improve depression that may be performed by residents themselves. In the second study, the same participants (N = 110) reported on strategies others involved in residents’ lives could perform. In a second round of both studies, participants rated the expected effectiveness (N = 54, N = 51 respectively) and feasibility (N = 50 for both studies) of the strategies mentioned. In addition, strategies for both studies were sorted based on similarity in meaning by experts.Results:Six clusters appeared for actions to be undertaken by residents themselves, and five clusters for actions by others. The results showed that, for strategies by residents, the clusters ‘Being socially connected’ and ‘Participating in activities’, and for strategies by others, the cluster ‘Offering personal attention’ stand out the most in terms of high expected effectiveness. The cluster with strategies executed by residents that stood out as the most feasible was ‘Having a healthy living environment’. The most feasible clusters performed by others were ‘Offering personal attention’, ‘Using positive treatment/approach’, and ‘Using or adapting the physical environment’.Conclusion:By using an innovative bottom-up participatory approach, this research shed light on various clusters of useful informal antidepressant strategies for daily practice. To test effectiveness and implementation, research is needed on these antidepressant strategies and their regular use in care.

Pilgrimage to solitude : landscapes of Glenn Gould

Pilgrimage to Solitude is a documentary film that explores the geographical places of significance from the life of the late Canadian pianist, composer, and writer, Glenn Gould. In Pilgrimage, the camera documents a number of the physical spaces that feature prominently in Gould's biography, while the soundtrack deploys a sonic technique pioneered by Gould himself in his influential series of sound documentaries: the formal treatment of layered voices which he called "contrapuntal radio." This MFA project paper contextualizes the film within the broader Gould discourse; examines the film's methods, style, and structure; theorizes the accessing of memory in an important photographic antecedent to this work; and explores aspects of the landscape tradition in the Canadian experimental documentary.

Pilgrimage to solitude : landscapes of Glenn Gould

Pilgrimage to Solitude is a documentary film that explores the geographical places of significance from the life of the late Canadian pianist, composer, and writer, Glenn Gould. In Pilgrimage, the camera documents a number of the physical spaces that feature prominently in Gould's biography, while the soundtrack deploys a sonic technique pioneered by Gould himself in his influential series of sound documentaries: the formal treatment of layered voices which he called "contrapuntal radio." This MFA project paper contextualizes the film within the broader Gould discourse; examines the film's methods, style, and structure; theorizes the accessing of memory in an important photographic antecedent to this work; and explores aspects of the landscape tradition in the Canadian experimental documentary.

Not All Bugs Are Created Equal, But Robust Reachability Can Tell the Difference

This paper introduces a new property called robust reachability which refines the standard notion of reachability in order to take replicability into account. A bug is robustly reachable if a controlled input can make it so the bug is reached whatever the value of uncontrolled input. Robust reachability is better suited than standard reachability in many realistic situations related to security (e.g., criticality assessment or bug prioritization) or software engineering (e.g., replicable test suites and flakiness). We propose a formal treatment of the concept, and we revisit existing symbolic bug finding methods through this new lens. Remarkably, robust reachability allows differentiating bounded model checking from symbolic execution while they have the same deductive power in the standard case. Finally, we propose the first symbolic verifier dedicated to robust reachability: we use it for criticality assessment of 4 existing vulnerabilities, and compare it with standard symbolic execution.

Realismus als Katalysator. Der Genter Altar – vom Bildsystem zum Gattungssystem

The Ghent Alterpiece organizes twelve panels in horizontal registers in its closed, and 14 in its open state. This interpretation takes up three topics: the ordering of the individual panels in their horizontal and vertical display, the formal treatment of the two principal orders of Christian art – thematic (e.g., the Deesis) and narrative (e.g., the Annunciation) –, and the rise of new genres such as portrait, landscape, still life, and interior within the structure of the multipanel altarpiece. What can be identified as the driving force is the realistic mode. In a unique way it unites the whole – namely through acknowledging one single exterior source of light for every item – yet divides it at the same time by honoring the intrinsic qualities of particular objects and situations. This is the beginning of what Yirmiyahu Yovel has called “the adventure of immanence.”

Performing Arts And Limitation As A Motive

Two categories of limitations are identified in the performing arts: physical, on the one hand, and those related to the intellectual and emotional predispositions of artists, on the other. Physical boundaries, in turn, are divided into material barriers - for example, the type of performing space and its dimensions - and the constraints generated by the anatomy and morphology of each artist. The experience had at the Vasile Alecsandri National Theater, in Iaşi, is evoked, while insisting on the importance of the actors’ abilities to go through the different states of mind that accompany various ages of man. The discussion of limitations involves the discussion of the new. The contribution of new stage technologies to the evolution of theater is recorded. It is briefly described, in context, the experience facilitated by the show Planet of Lost Dreams, in order to advocate for the avoidance of the unwarranted use of means such as video projections, the Internet, etc. The challenges posed by the mix of 3D and 2D images are noted. The view is advanced that the total absence of limitations, as well as their formal treatment can block the development of the theater.

Neural effects of a short-term virtual reality self-training program to reduce social anxiety

Background Social anxiety disorder (SAD) is characterized by anxiety regarding social situations, avoidance of external social stimuli, and negative self-beliefs. Virtual reality self-training (VRS) at home may be a good interim modality for reducing social fears before formal treatment. This study aimed to find neurobiological evidence for the therapeutic effect of VRS. Methods Fifty-two patients with SAD were randomly assigned to a VRS or waiting list (WL) group. The VRS group received an eight-session VRS program for 2 weeks, whereas the WL group received no intervention. Clinical assessments and functional magnetic resonance imaging scanning with the distress and speech evaluation tasks were repeatedly performed at baseline and after 3 weeks. Results The post-VRS assessment showed significantly decreased anxiety and avoidance scores, distress index, and negative evaluation index for ‘self’, but no change in the negative evaluation index for ‘other’. Patients showed significant responses to the distress task in various regions, including both sides of the prefrontal regions, occipital regions, insula, and thalamus, and to the speech evaluation task in the bilateral anterior cingulate cortex. Among these, significant neuronal changes after VRS were observed only in the right lingual gyrus and left thalamus. Conclusions VRS-induced improvements in the ability to pay attention to social stimuli without avoidance and even positively modulate emotional cues are based on functional changes in the visual cortices and thalamus. Based on these short-term neuronal changes, VRS can be a first intervention option for individuals with SAD who avoid society or are reluctant to receive formal treatment.