Exposición del Sr. Enrique V. Iglesias, Secretario Ejecutivo de la Comisión Económica para América Latina en la VIII Reunión Ordinaria del Consejo Latinoamericano del Sistema Económico Latinoamericano (SELA) = Statement by the Executive Secretary of the Economic Commission for Latin America, Mr. Enrique V. Iglesias, at the Eighth Regular Session of the Latin American Council of the Latin American Economic System (SELA)

En su exposición el Sr. Iglesias se refiere a la gran crisis de los años ochenta y reflexiona sobre las políticas antirrecesivas: la colaboración internacional y la cooperación regional; y sobre el nuevo enfoque del desarrollo latinoamericano.

Note on Meeting of Council of Ministers of the East Caribbean Common Market

Comentarios sobre la 10a Reunion del Consejo de Ministros del Mercado Comun del Caribe Oriental (MCCO). Incluye en anexos la posicion del MCCO sobre algunos puntos de la agenda

Note on the Tenth Meeting of the CARIFTA Council of Ministers

Comentarios sobre la 10a Reunion del Cosejo de Ministros de CARIFTA. El enfasis estuvo en los siguientes puntos de la agenda: a).la posicion presente y futura de los paises menos desarrollados de CARIFTA en el movimiento de integracion regional; b).la relacion entre los paises de CARIFTA y la Comunidad Economica Europea; c).el Arancel Externo Comun de CARIFTA y d).finalizacion del Esquema para Armonizacion de Incentivos Fiscales a la Industria

Main conclusions of the African, Caribbean and Pacific (ACP) Council of Ministers Special Session, Montego Bay, 7-10 July 1980

Nota sobre la Reunion Especial del Consejo de Ministros del Grupo ACP (African, Caribbean and Pacific) sobre cooperacion intra ACP.

'Impulsive compulsivity' in obsessive-compulsive disorder: A phenotypic marker of patients with poor clinical outcome

Although traditionally obsessive-compulsive disorder (OCD) and impulse control disorders (ICD) have represented opposing ends of a continuum, recent research has demonstrated a frequent co-occurrence of impulsive and compulsive behaviours, which may contribute to a worse clinical picture of some psychiatric disorders. We hypothesize that individuals with 'impulsive' OCD as characterized by poor insight, low resistance, and reduced control towards their compulsions will have a deteriorative course, greater severity of hoarding and/or symmetry/ordering symptoms, and comorbid ICD and/or substance use disorders (SUD). The sample consisted of 869 individuals with a minimum score of 16 on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Of these, 65 had poor insight, low resistance, and reduced control towards compulsions ('poor IRC') and 444 had preserved insight, greater resistance and better control over compulsions ('good IRC'). These two groups were compared on a number of clinical and demographic variables. Individuals with poor IRC were significantly more likely to have a deteriorative course (p < 0.001), longer duration of obsessions (p = 0.017), greater severity of symmetry/ordering (p < 0.001), contamination/cleaning (p < 0.001) and hoarding (p = 0.002) symptoms, and comorbid intermittent explosive disorder (p = 0.026), trichotillomania (p = 0.014) and compulsive buying (p = 0.040). Regression analysis revealed that duration of obsessions (p = 0.037) and hoarding severity (p = 0.005) were significant predictors of poor IRC. In the absence of specific measures for impulsivity in OCD, the study highlights the utility of simple measures such as insight, resistance and control over compulsions as a phenotypic marker of a subgroup of OCD with impulsive features demonstrating poor clinical outcome. (C) 2012 Elsevier Ltd. All rights reserved.