For outpatients with nonpsychotic MDD, depressive symptoms and severity vary little between primary care and specialty care settings. In this large, broadly inclusive US sample, the risk factors for chronic and recurrent depressive illness were frequently present, highlighting a clear risk for treatment resistance and the need for aggressive management strategies in both settings.
Whenexploring Oaxaca in southern Mexico during the late 1800s. Field Museum curator William H. Holmes was awestruck by the archaeological ruins he observed in this mountain valley: About Oaxaca many of the important architectural remains are found on mountain tops, and one soon comes to recognize the notched profiles of the ridges and peaks that border the valley as being due to the strangely directed enterprise of the ancient inhabitants. The feeling of surprise induced by this discovery is followed by one of amazement as the real nature and extent of the work dawns upon the mind. As the explorer climbs the slopes and picks panic terrace sites in the Valley of Oaxaea by presenting the results of intensive site surveys at three large hilltop terrace sites, the Mitla Fortress.Guirun. and El Palmillo. in the eastern or Tlacolul.i arm of the valley (Figure 1.2). The detailed maps that we now have for each site and the terrace-level data that we gathered are comparable to information previously collected at Monte Al-Terrace Sites in the Valley of Oaxaea help but wonder why the valley's prehispanic inhabitants expended so much energy constructing artificial terraces on steep hill slopes instead of locating large communities in more accessible valley floor locations. Certainly, valley floor set-Terrace Sites in the Valley of Oaxaca tings would have had certain advantages when it came to transportation and proximity to agricultural resources such as flat land and usable water.The hilltop setting of terrace settlements would seem to indicate a basic concern with defense.Regional survey findings, however, indicate that terrace sites vary in size, location, layout, and the nature of surface artifacts. Classic period terrace sites in the Valley of Oaxaca have been proposed to have had one or more of three main functions: administration, production/exchange, and defense (Kowalewski et al. 1989:242-245). The largest terrace sites, usually with one or more groups of public architecture situated on the summit of ridges, are thought to have functioned as administrative centers, yet some of them, especially in the Tlacolula arm of the valley, also appear to have been loci for production/exchange.The overwhelming character of many smaller terrace sites was the artifactual evidence of craft production. Other small terrace sites, with little public architecture or craft debris, may have served primarily as military outposts. These sites generally are situated at high elevations and have the smallest terraces.Such broad descriptions provide a general overview of terrace sites but are not always detailed enough to allow more specific comparisons to be drawn between terraces at individual sites, between neighboring sites, or with the regional capital. How did activities such as craft working compare at smaller, outlying terrace sites in relation to Monte Alban? Were these smaller settlements generally defensible, and in what ways? Some indicators of defensive use were observed at various hilltop terrace sites during the regional survey...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.