 ways? Could the resources be delivered in a different way and still meet needs? Are the needs being adequately met by the resources or are the resources false satisfiers creating the illusion of meeting the need but actually only increasing it?
So, for example, are many sessions being used up as people try to find a psychologist with whom they have a good fit, or conversely are people too afraid to waste the sessions and are staying with psychologists they are poor fit with and getting less out of the sessions? We could change the structure to address this if it’s an issue, for example better supporting networks to help people find psychologists with interests in the areas in which they are struggling, creating a different time and fee structure for first appointments, creating opportunities for people to see psychologists work, videos, or writing before choosing one, and so on.
Would some people be happy in group settings? These are usually less expensive and have greater reach, they also add in access to peers. What kinds of models do people want? A group run by a facilitator is very different to a group designed to be clinical treatment, as is a peer based group. Online and face to face have differences also.
Are some people primarily bringing community needs – such as loneliness, into psychology sessions where they cannot be met? What other formal resources can we create for these people?
We can celebrate the success of a service without having to erect access barriers. Creatively engaging the challenge of budgeting resources opens so many opportunities for diverse, meaningful community development. Exploring the beliefs we bring to service design and delivery can give us so much scope to see where good intentions founder and to be part of better systems.
So often I’ve found that when unpacked, the ideas we have about the scarcity of resources come from a very limited perspective. The things that people need, the things that really matter, are not in short supply. Love, compassion, respect… These things are not used up or diminished by being shared. We do not need to be in competition over them. There are a thousand ways a community tells its members they are valued, and that’s as it should be, a thousand different ways people hear that best. So often the question people are really asking when they turn to our carefully guarded, expensive mental health resources are ones of worth.  Does my pain count? Am I worthy of compassion? Am I loved? It is very dangerous to ask questions like these of such a fallible and broken structure as the mental health system.
When designing services and governing resources it’s worth keeping in mind that most of us will have moments when we will need to ask such questions of our community, whether we are made vulnerable through tragedy, illness, or our own mistakes. We all need a community that answers ‘yes, you have value’. If it is about drawing a line, we should all be on the inside of it, dignified and human.
<issue_start><issue_comment>Title: Merge latest stabilization changes into _development
username_0: The new hand-based solver/menu was put into the stabilization branch - we want this to go into the _development branch as well (without waiting for things to hit release first)
<issue_comment>username_0: /azp run mrtk_pr
<issue_comment>username_1: Looks like mrtk_pr is passing so I'll complete this. I'm not sure why stabilization_pr is not passing though.Greece’s ongoing and deteriorating banking crisis has made an exit from the eurozone, or a “Grexit,” an increasingly attractive option for the financially beleaguered country.
During a webcast for investors on Tuesday, DoubleLine Funds’ Jeffrey Gundlach argued that a grexit would be bullish for the value of the euro in the near-term.
But a grexit event would “open up Pandora’s box,” he said.
This precedent would effectively create a model for other debt-laden countries, like Spain or Portugal, to leave as well.
Gundlach reflected on U.S. just before the Civil War. Specifically, he pointed to South Carolina’s decision to secede from the union in 1860. That was later followed by the secessions of Mississippi, Florida, Alabama, Georgia, Louisiana, Texas, Virginia, Arkansas, North Carolina, and Tennessee. They made up the Confederate States of America.
Citing the work of economist Martin Feldstein, Gundlach argued that a monetary union without a political union can’t work.
“It’s kind of the beginning of the end,” Gundlach said of a grexit.
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P.S. Screenshots may be taken at the event for promotional use, so if you don't want to be photographed, just let us know!Assessment of the 10-year risk of cardiovascular disease among a group of patients on maintenance hemodialysis: A cross-sectional study from Cameroon.

OBJECTIVE
To assess the 10-year risk of cardiovascular disease and potential impacting factors among patients undergoing hemodialysis in Yaoundé, Cameroon.


DESIGN
A cross-sectional study in January 2016.


SETTING
Patients were recruited at the dialysis unit of the Yaoundé University Teaching Hospital, Cameroon.


PARTICIPANTS
These were hemodialysis patients aged 20 years and above, dialyzing in the above unit since at least 3 months and volunteering to be enrolled in the study.


MAIN OUTCOME MEASURES
The risk of cardiovascular disease was assessed using the Framingham risk score.


RESULTS
We included 44 patients. The risk of cardiovascular disease ranged from less than 1% to more than 30% with a median of 12.3% (interquartile range 4.9-24.4). Twenty hemodialysis patients (45.5%) had a low risk of cardiovascular disease (<10%), 10 (22.7%), a moderate risk (10-20%), and 14 (31.8%) presented a high risk of cardiovascular disease (>20%). In multivariable linear regression analysis, duration on dialysis (adjusted β = 0.11; p = 0.003), number of weekly sessions of physical activity (adjusted β = -1.35; p = 0.018), fasting serum glucose levels (adjusted β = 4.22; p = 0.022), serum triglycerides levels (adjusted β = 5.94; p = 0.033), and serum urea levels (adjusted β = -2.08; p = 0.039) were independently impacting our patients' risk of cardiovascular disease.


CONCLUSION
Around 55% of our study population presented a moderate or high risk of cardiovascular disease. Duration on dialysis, number of physical activity sessions per week, fasting serum glucose, serum triglycerides, and serum urea levels may impact our hemodialysis patients' risk of cardiovascular disease.

than elsewhere [2,3]. Morbidities and mortalities arising from CKD in these areas are enormous and related to limited access to treatment options [4].
Currently, renal replacement therapy (either maintenance hemodialysis (HD) or peritoneal dialysis) has been widely adopted as the mainstay of care for patients with end-stage CKD [5]. Dialysis prolongs survival, reduces morbidities, and improves patients' quality of life. However, these patients are at an elevated risk of cardiovascular disease (CVD) [6][7][8]. Indeed, CVD is the leading cause of deaths in this category of patients; it accounts for almost 40-50% of all-cause mortality, a rate 10 to 30 fold higher than in the general population [9][10][11]. This risk is even greater for young dialysis patients [12].
These risk factors may vary from one population to another; they should be identified and addressed in an attempt to mitigate the burden of CVD in dialysis patients. Some studies have evaluated the global risk of CVD in people living in sub-Saharan Africa (SSA) [18,19], but very few have been carried-out among patients on maintenance HD. This study was thus designed, willing to assess the risk of CVD among a group of patients undergoing maintenance HD in Cameroon (a SSA country) and to identify potential factors likely to impact this risk.

Ethical statement
Before starting this study, an ethical clearance was delivered by the Ethical Review Board of the Catholic University of Central Africa based in Yaounde´, Cameroon (Number 0132/2016), and an authorization was obtained from the administrative authorities of the Yaounde´University Teaching Hospital. All the procedures used in this study concurred with the current revision of the Helsinki Declaration. All aspects in relation with the study were fully presented and explained to each participant, and we enrolled only those who volunteered to participate; they signed the consent form in this respect. Refusal to be included did not expose the person to any management prejudice. Results of patients were sent to their physicians for better care. In addition, participants were educated and sensitized on