A systems perspective on the integrative child psychiatry approach. Discussion of paper: "Working here and now with the individual and family system: A case of a traumatized child"

In this discussion, after a few general comments, I will propose a systems reading of the intervention so elegantly described by Kaija Puura. I will draw parallels between the therapeutic and the family groups as framing-developing systems and formalize the steps taken by the family toward healing under the influence of the therapist's team. En esta discusión, después de algunos comentarios generales, propongo una lectura sistemática de la intervención tan elegantemente descrita por Kaija Puura. Buscaré paralelos entre los grupos terapéuticos y de familia como sistemas de desarrollo enmarcado y formalizaré los pasos tomados por la familia hacia la cicatrización bajo la influencia del equipo del terapista. Après quelques commentaires généraux, je proposerai dans cette discussion une lecture systémique de l'intervention si élégamment décrite par Kaija Puura. J'établirai des parallèles entre les groupes thérapeutiques et familiaux en tant que systèmes d'encadrement-développement et je formaliserai les étapes de guérison franchies par la famille grâce à l'influence de l'équipe thérapeutique. In dieser Diskussion, werde ich nach einigen allgemeineren Aussagen, eine systemische Lesart der von Kaija Puura so eingängig beschriebenen Intervention vorschlagen. Ich werde darin Parallelen zwischen der therapeutischen und Rahmengebenden Familiengruppen ziehen, und die Schritte der Familien hin zu einer Heilung unter dem Einfluss des Therapeutenteams formalisieren.

α₁-Adrenergic receptors contribute to the acute effects of 3,4-methylenedioxymethamphetamine in humans.

Preclinical studies implicate a role for α₁-noradrenergic receptors in the effects of psychostimulants, including 3,4-methylenedioxymethamphetamine (MDMA, "ecstasy"). The present study evaluated the effects of the α₁-noradrenergic receptor antagonist doxazosin on the acute pharmacodynamic and pharmacokinetic response to MDMA in 16 healthy subjects. Doxazosin (8 mg/d) or placebo was administered for 3 days before MDMA (125 mg) or placebo using a randomized, double-blind, placebo-controlled, 4-session, crossover design. Doxazosin reduced MDMA-induced elevations in blood pressure, body temperature, and moderately attenuated positive mood but enhanced tachycardia associated with MDMA. The results indicate that α₁-adrenergic receptors contribute to the acute cardiostimulant and to a minor extent possibly also to the thermogenic and euphoric effects of MDMA in humans.

A multiplicity of factors contributes to selective RNA polymerase III occupancy of a subset of RNA polymerase III genes in mouse liver.

The genomic loci occupied by RNA polymerase (RNAP) III have been characterized in human culture cells by genome-wide chromatin immunoprecipitations, followed by deep sequencing (ChIP-seq). These studies have shown that only ∼40% of the annotated 622 human tRNA genes and pseudogenes are occupied by RNAP-III, and that these genes are often in open chromatin regions rich in active RNAP-II transcription units. We have used ChIP-seq to characterize RNAP-III-occupied loci in a differentiated tissue, the mouse liver. Our studies define the mouse liver RNAP-III-occupied loci including a conserved mammalian interspersed repeat (MIR) as a potential regulator of an RNAP-III subunit-encoding gene. They reveal that synteny relationships can be established between a number of human and mouse RNAP-III genes, and that the expression levels of these genes are significantly linked. They establish that variations within the A and B promoter boxes, as well as the strength of the terminator sequence, can strongly affect RNAP-III occupancy of tRNA genes. They reveal correlations with various genomic features that explain the observed variation of 81% of tRNA scores. In mouse liver, loci represented in the NCBI37/mm9 genome assembly that are clearly occupied by RNAP-III comprise 50 Rn5s (5S RNA) genes, 14 known non-tRNA RNAP-III genes, nine Rn4.5s (4.5S RNA) genes, and 29 SINEs. Moreover, out of the 433 annotated tRNA genes, half are occupied by RNAP-III. Transfer RNA gene expression levels reflect both an underlying genomic organization conserved in dividing human culture cells and resting mouse liver cells, and the particular promoter and terminator strengths of individual genes.

Concrete Pavement Mixture Design and Analysis (MDA): Assessment of Air Void System Requirements for Durable Concrete, TPF-5(205), 2012

Concrete will suffer frost damage when saturated and subjected to freezing temperatures. Frost-durable concrete can be produced if a specialized surfactant, also known as an air-entraining admixture (AEA), is added during mixing to stabilize microscopic air voids. Small and well-dispersed air voids are critical to produce frost-resistant concrete. Work completed by Klieger in 1952 found the minimum volume of air required to consistently ensure frost durability in a concrete mixture subjected to rapid freezing and thawing cycles. He suggested that frost durability was provided if 18 percent air was created in the paste. This is the basis of current practice despite the tests being conducted on materials that are no longer available using tests that are different from those in use today. Based on the data presented, it was found that a minimum air content of 3.5 percent in the concrete and 11.0 percent in the paste should yield concrete durable in the ASTM C 666 with modern AEAs and low or no lignosulfonate water reducers (WRs). Limited data suggests that mixtures with a higher dosage of lignosulfonate will need about 1 percent more air in the concrete or 3 percent more air in the paste for the materials and procedures used. A spacing factor of 0.008 in. was still found to be necessary to provide frost durability for the mixtures investigated.

Current practice in neuropsychological outcome reporting after aneurysmal subarachnoid haemorrhage.

BACKGROUND: Neuropsychological deficits (NPD) are common in patients with aneurysmal subarachnoid haemorrhage (aSAH). NPD are one of the major limiting factors for patients with an otherwise acceptable prognosis for sustained quality of life. There are only a few studies reporting outcome after aSAH, which used a standardized neuropsychological test battery as a primary or secondary outcome measure. Aim of this study was to determine the current practice of reporting NPD following aSAH in clinical studies. METHODS: A MEDLINE analysis was performed using the search term "subarachnoid haemorrhage outcome". The latest 1,000 articles were screened. We recorded study design, number of patients, and the presence of neuropsychological outcome report. Additionally, the time of testing after aSAH, the neuropsychological tests administered, as well as the percentage of patients with NPD were analyzed. RESULTS: A total of 324 publications between 2009 and 2012 were selected for further review. Of those, 21 studies (6.5%) reported neuropsychological outcome, in 2,001 of 346,666 patients (0.6%). The assessment of NPD differed broadly using both subjective and objective cognitive evaluation, and a large variety of tests were used. CONCLUSION: Neuropsychological outcome is underreported, and there is great variety in assessment in currently published clinical articles on aSAH. Prospective randomized trials treating aSAH may benefit from implementing more comprehensive and standardized neuropsychological outcome measures. This approach might identify otherwise unnoticed treatment effects in future interventional studies of aSAH patients.

Genome-wide association study identifies eight loci associated with blood pressure.

Elevated blood pressure is a common, heritable cause of cardiovascular disease worldwide. To date, identification of common genetic variants influencing blood pressure has proven challenging. We tested 2.5 million genotyped and imputed SNPs for association with systolic and diastolic blood pressure in 34,433 subjects of European ancestry from the Global BPgen consortium and followed up findings with direct genotyping (N ≤ 71,225 European ancestry, N ≤ 12,889 Indian Asian ancestry) and in silico comparison (CHARGE consortium, N = 29,136). We identified association between systolic or diastolic blood pressure and common variants in eight regions near the CYP17A1 (P = 7 × 10(-24)), CYP1A2 (P = 1 × 10(-23)), FGF5 (P = 1 × 10(-21)), SH2B3 (P = 3 × 10(-18)), MTHFR (P = 2 × 10(-13)), c10orf107 (P = 1 × 10(-9)), ZNF652 (P = 5 × 10(-9)) and PLCD3 (P = 1 × 10(-8)) genes. All variants associated with continuous blood pressure were associated with dichotomous hypertension. These associations between common variants and blood pressure and hypertension offer mechanistic insights into the regulation of blood pressure and may point to novel targets for interventions to prevent cardiovascular disease.

Redução da influência da massa específica na determinação do teor de umidade de sementes de trigo

A medição da capacitância e da condutância de um capacitor contendo amostras de trigo permite a determinação de duas de suas propriedades dielétricas: a permissividade relativa (épsilon') e o fator de perda dielétrica (épsilon"). A utilização dessas propriedades, medidas simultaneamente em duas freqüências de oscilação do campo elétrico, permite reduzir ou eliminar o efeito da massa específica aparente na determinação do teor de umidade do trigo. Tal procedimento torna possível o monitoramento contínuo e em tempo real, sem a necessidade de retirar amostras, do teor de umidade de uma coluna de grãos em movimento, situação em que ocorrem as maiores variações na massa específica do produto. O objetivo deste trabalho consistiu na obtenção de equações que permitam reduzir ou eliminar o efeito da massa específica na determinação em linha do teor de umidade do trigo. Foram utilizadas amostras das variedades Hussar, Mercia e Hereward com teor de umidade entre 11% e 22% b.u. e massa específica no intervalo 666 kg m-3 <= ro <= 873 kg m-3. A equação que apresentou melhor desempenho permite calcular o teor de umidade do trigo com erros-padrão de calibração e de predição de 0,4 e 0,5 ponto percentual, respectivamente.

Crescimento e produção de primeiro ciclo da bananeira 'Prata Anã' (AAB) em sete espaçamentos

Este estudo teve por objetivo verificar o comportamento da bananeira (Musa spp.) 'Prata Anã' no primeiro ciclo de produção na localidade de Jaíba, MG, submetida a sete espaçamentos, com irrigação. Os tratamentos foram: triângulo: 2,7 m x 3,2 m (1.157 covas/ha) e 2,9 m x 3,4 m (1.014 covas/ha); fileira dupla em triângulo: 4,5 m x 2,0 m x 3,0 m (1.026 covas/ha) e 4,5 m x 2,0 m x 2,0 m (1.538 covas/ha); fileira dupla em retângulo: 4,5 m x 2,0 m x 3,5 m (879 covas/ha); e retângulo: 4,0 m x 2,0 m (1.250 covas/ha) e 3,0 m x 2,0 m (1.666 covas/ha). Os sistemas de espaçamento e as densidades populacionais testados não alteraram as taxas de crescimento das plantas nem suas características na época da colheita. Entretanto, as bananeiras plantadas em maiores densidades apresentaram maior produtividade, atingindo até 29,1 t/ha. As plantas apresentaram, em média, ciclo do plantio à colheita de 411 dias, ciclo do florescimento à colheita de 141 dias, e cachos com 17,7 kg, 9,1 pencas e 134 frutos. Para o primeiro ciclo de produção, o espaçamento mais apropriado foi de 3,0 m x 2,0 m, em retângulo, para a região de Jaíba.

Produção e relação ráquis/cacho da bananeira 'Nanicão' em diferentes densidades e arranjos de plantio

Objetivou-se avaliar a influência de diferentes densidades e arranjos de plantio sobre os componentes de produção e a relação ráquis/cacho de bananeiras 'Nanicão', estabelecidas em Piracicaba, SP. Foram estudadas quatro densidades: 1.333, 1.666, 2.222 e 3.333 plantas ha-1, e dois arranjos de plantio: retângulo e triângulo (quincôncio). Independentemente do arranjo utilizado, o aumento da densidade elevou a produção de frutos de 37,24 para 75,83 t ha-1 e reduziu a massa do cacho de 30,30 para 24,79 kg, por causa da redução na massa do fruto. A porcentagem da massa da ráquis em relação à massa do cacho permaneceu em torno de 8%, independentemente da densidade e arranjo. Na maior densidade (3.333 plantas ha-1) podem ser exportadas do bananal até 6,80 t ha-1 de ráquis,material que pode ser aproveitado como matéria-prima para a fabricação de papel.

Durability of Concrete as Affected by Variations in Air and W/C Ratio, R-258, 1975

Many times during the past four years we have seen ranges in the durability factor for a single coarse aggregate source that were too great to be explained by variations in the coarse aggregate alone. The durability test (ASTM C 666 Method B) as presently used is a test of the concrete system rather than that of a particular coarse aggregate. An informal study of current durability factor data indicates that w/c ratio and/or percentage of air may be critical to beam growth and durability factor. The purpose of this project, R-258, is to determine the extent w/c ratio and air content variations have on beam growth and durability factor when other factors including coarse aggregate gradation are held constant.

Produção da bananeira 'Nanicão' em diferentes densidades de plantas e sistemas de espaçamento

O objetivo do presente trabalho foi verificar o efeito de diferentes densidades de plantio e sistemas de espaçamento sobre a produção da bananeira 'Nanicão', avaliando-se os primeiros quatro ciclos. Quatro densidades (3.333, 2.222, 1.666 e 1.333 plantas ha-1) e dois sistemas de espaçamento (retângulo e triângulo) foram testados para as condições de Piracicaba,SP. O aumento da densidade de 1.333 para 3.333 plantas ha-1 diminuiu a massa do cacho em 15% a 20%, em decorrência do menor número de frutos por cacho, massa e tamanho do fruto. A produção foi sempre maior com o aumento da densidade, porém não ocorreu o mesmo quanto à produtividade. Até o terceiro ciclo, a produtividade das plantas no tratamento de maior densidade superou a das demais. No quarto ciclo, não houve diferença de produtividade entre as plantas, nas densidades testadas, em razão do aumento na duração do ciclo de produção do plantio mais denso. Comparado com o retângulo, o sistema de espaçamento em triângulo promoveu maior massa do cacho no primeiro ciclo e produtividade levemente superior ao longo dos quatro ciclos.

Bone marrow mesenchymal stem cells stabilize already-formed aortic aneurysms more efficiently than vascular smooth muscle cells in a rat model.

PURPOSE: Abdominal aortic aneurysms (AAAs) expand because of aortic wall destruction. Enrichment in Vascular Smooth Muscle Cells (VSMCs) stabilizes expanding AAAs in rats. Mesenchymal Stem Cells (MSCs) can differentiate into VSMCs. We have tested the hypothesis that bone marrow-derived MSCs (BM-MSCs) stabilizes AAAs in a rat model. MATERIAL AND METHODS: Rat Fischer 344 BM-MSCs were isolated by plastic adhesion and seeded endovascularly in experimental AAAs using xenograft obtained from guinea pig. Culture medium without cells was used as control group. The main criteria was the variation of the aortic diameter at one week and four weeks. We evaluated the impact of cells seeding on inflammatory response by immunohistochemistry combined with RT-PCR on MMP9 and TIMP1 at one week. We evaluated the healing process by immunohistochemistry at 4 weeks. RESULTS: The endovascular seeding of BM-MSCs decreased AAA diameter expansion more powerfully than VSMCs or culture medium infusion (6.5% ± 9.7, 25.5% ± 17.2 and 53.4% ± 14.4; p = .007, respectively). This result was sustained at 4 weeks. BM-MSCs decreased expression of MMP-9 and infiltration by macrophages (4.7 ± 2.3 vs. 14.6 ± 6.4 mm(2) respectively; p = .015), increased Tissue Inhibitor Metallo Proteinase-1 (TIMP-1), compared to culture medium infusion. BM-MSCs induced formation of a neo-aortic tissue rich in SM-alpha active positive cells (22.2 ± 2.7 vs. 115.6 ± 30.4 cells/surface units, p = .007) surrounded by a dense collagen and elastin network covered by luminal endothelial cells. CONCLUSIONS: We have shown in this rat model of AAA that BM-MSCs exert a specialized function in arterial regeneration that transcends that of mature mesenchymal cells. Our observation identifies a population of cells easy to isolate and to expand for therapeutic interventions based on catheter-driven cell therapy.

Liberação de fósforo e potássio durante a decomposição de resíduos culturais em plantio direto

O objetivo deste trabalho foi avaliar a liberação de P e K de resíduos culturais de aveia-preta, ervilhaca comum e nabo forrageiro e de consórcios de aveia e ervilhaca, em plantio direto. Os resíduos culturais foram dispostos em bolsas de nylon com 20x20 cm e malha de 0,5 mm, as quais foram distribuídas na superfície do solo e coletadas após 15, 29, 43, 59, 71, 82, 112 e 182 dias. Em cada coleta o material foi secado a 65ºC, determinando-se as quantidades remanescentes de matéria seca e a sua concentração em P e potássio. Aos valores observados para as quantidades remanescentes de P (Pr) e K (Kr) foi ajustado o modelo assintótico [(Pr e Kr = Ae-kt + (100 - A)] a partir do qual estimou-se a taxa (k) de liberação de P e K e a proporção desses nutrientes dos compartimentos lábil (A) e recalcitrante (100 - A) dos resíduos culturais. A taxa de liberação do K foi 4,5 vezes maior do que a do fósforo. A quantidade de P remanescente na fase inicial da decomposição foi inversamente proporcional à concentração do P solúvel em água dos resíduos culturais. Nos resíduos culturais do consórcio aveia + ervilhaca, o P e o K foram liberados mais lentamente do que o observado nessas espécies em cultivo solteiro. Esses resultados indicam um maior potencial de sincronismo entre a demanda de P e K pelas culturas comerciais e a liberação desses nutrientes dos resíduos culturais provenientes de consórcios entre aveia e ervilhaca do que dos provenientes do cultivo isolado de ervilhaca.