Clinical features of obsessive-compulsive disorder with hoarding symptoms: A multicenter study

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Rentabilidade da produção orgânica de alface em função do ambiente, preparo do solo e época de plantio

Além da produtividade física e da conservação do solo, o cultivo protegido e o preparo do solo, na olericultura, requerem altos investimentos, muito trabalho e insumos externos. Assim, o objetivo deste trabalho, foi identificar combinações entre ambiente, preparo do solo e época de plantio capazes de melhorar o desempenho econômico e a produtividade da cultura da alface em cultivo orgânico, em Rio Branco, Acre. O cultivo foi realizado em quatro tipos de ambientes: 1 - sombreamento proporcionado em 52% sob latada de maracujá; 2 - 35% de sombreamento sob estufa; 3 - 50% sob tela de sombreamento; e, 4 - cultivo a pleno sol (testemunha), considerando cada ambiente como um experimento, que avaliou-se três preparos de solo (plantio direto, cultivo mínimo e preparo convencional) em duas épocas de plantio (estiagem e chuvosa), sob delineamento de blocos ao acaso, com quatro repetições. Considerou-se como custo de produção a soma de todos os valores (insumos) e operações (serviços) utilizados no processo produtivo, incluindo-se os respectivos custos alternativos ou de oportunidade e a depreciação das instalações. O cultivo em estufa e sob tela de sombreamento aumenta a produtividade em época de estiagem, enquanto em época chuvosa, a produtividade é maior em cultivo sob estufa. O plantio direto e cultivo mínimo a pleno sol ou cultivo mínimo sob tela de sombreamento promovem maior produtividade no preparo convencional do solo. Proporcionam lucro supernormal (RMe > CTMe): o cultivo na época chuvosa (verão); sob sombreamento de latada de maracujá-amarelo; a pleno sol; o preparo convencional do solo sob latada e o plantio direto a pleno sol.

Custo Leite para Windows: Software de Controle de Custos para a Pecuária Leiteira

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences

Background. It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective. The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. Methods/Design. This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the cross-sectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications) or life-threatening conditions (the maternal near miss criteria) and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross-sectional study will comprise the cohort of women for the multidimensional analysis. Various aspects of the lives of women surviving severe maternal complications will be evaluated 3 and 6 months after the event and compared to a group of women who suffered no severe complications in pregnancy. Previously validated questionnaires will be used in the interviews to assess reproductive function, posttraumatic stress, functional capacity, quality of life, sexual function, postpartum depression and infant development. © 2009 Cecatti et al.

Economic evaluation of nile tilapia juvenile production, feed with commercial ration and with primary production come from organic and inorganic fertilization

Study objective was to evaluate economically a Nile tilapia juvenile production, employing different feeding techniques. Tilapia fingerlings of 8g were stocked at 5 fish m-2 stocking in 50 and 150 m2 ponds, during 75 days. Treatments were: inorganic fertilization (P205 and N); organic fertilization (poultry manure) and commercial ration (32% CP). Water quality results were considered adequate for fish rearing. In juvenile production there were significant differences among treatments for individual final weight, medians were: for inorganic fertilization 12.92g (13.35g in 50 m2 and 12.49g in 150 m2); for organic fertilization 30.55g (33.69g in 50 m2 and 27.40g in 150 m2) and for commercial ration 51.23g (52.90g in 50 m2 and 50.15g in 150 m2). Survival rate ranged from 63 to 71%, with no statistic difference. Commercial ration was effective to bigger juvenile production, with a better market value. Costs considered in economic analyses were tilapia fingerlings, fertilizer, ration, labor and installation depreciation. Obtained information showed that juvenile production in 50 m2 ponds is not viable economically and, in 150 m2, production is viable only when commercial ration is used.

Role of stressful and traumatic life events in obsessive-compulsive disorder

Whilst genetic factors are thought to contribute to the development of obsessive-compulsive disorder (OCD), the role of environmental factors in OCD is only beginning to be understood. In this article, we review the influence of stress-related factors in OCD. Overall, studies indicate that: patients with OCD frequently report stressful and traumatic life events before illness onset, although these rates do not seem to be significantly different from those described in other disorders; the association between OCD and post-traumatic stress disorder (PTSD) might result from symptom overlap, although cases of patients developing OCD after PTSD and showing obsessive-compulsive symptoms that were unrelated to trauma have been described fairly consistently; it is unclear whether patients with OCD and a history of stress-related factors (including stressful life events, traumatic life events or comorbid PTSD) may respond better or worse to the available treatments; and comorbid PTSD may modify the clinical expression of OCD-although controlled studies comparing pre-versus post-traumatic OCD patients are still unavailable. In conclusion, there is a growing evidence to suggest a role for stress-related factors in OCD. Although the available literature does not confirm the existence of a post-traumatic subtype of OCD, it does call for further systematic research into this topic. © 2011 Future Medicine Ltd.

Viabilidad económica de la utilización de biogás para la conversión en energía eléctrica

The economic viability of the electrical power generation using biogas from swine wastes, was determined. The analyzed biodigester is a continuous tubular model with brick concrete duct and plastic covering with a gasometer, in which the waste of 2.300 fattening pigs are deposited daily. The initial investment estimate for the installation was R$ 51.537, the system annual costs were R$ 5.700, for maintenance, R$ 4.400 for depreciation and R$ 1.370 for interests. It was found that an average consumption of 28 kW-hour-1 is the minimum that the system must reach to be economically feasible.

Towards a post-traumatic subtype of obsessive-compulsive disorder

We evaluated whether traumatic events are associated with a distinctive pattern of socio-demographic and clinical features of obsessive-compulsive disorder (OCD). We compared socio-demographic and clinical features of 106 patients developing OCD after post-traumatic stress disorder (PTSD; termed post-traumatic OCD), 41 patients developing OCD before PTSD (pre-traumatic OCD), and 810 OCD patients without any history of PTSD (non-traumatic OCD) using multinomial logistic regression analysis. A later age at onset of OCD, self-mutilation disorder, history of suicide plans, panic disorder with agoraphobia, and compulsive buying disorder were independently related to post-traumatic OCD. In contrast, earlier age at OCD onset, alcohol-related disorders, contamination-washing symptoms, and self-mutilation disorder were all independently associated with pre-traumatic OCD. In addition, patients with post-traumatic OCD without a previous history of obsessive-compulsive symptoms (OCS) showed lower educational levels, greater rates of contamination-washing symptoms, and more severe miscellaneous symptoms as compared to post-traumatic OCD patients with a history of OCS. © 2011 Elsevier Ltd.

The need of subsidy for the implementation of photovoltaic solar energy as supporting of decentralized electrical power generation in Brazil

The growing demand for electrical power and the limited capital invested to provide this power is forcing countries like Brazil to search for new alternatives for electrical power generation. The purpose of this paper is to present a technical and economic study on a 15 kW solar plant installed in an isolated community, highlighting the importance of the need for financial subsidy from the government. It evaluates the importance of parameters such as the annual interest rate, specific investment, the marginal cost of expanding the electrical power supply and the government subsidy on amortization time of capital invested. © 2012 Elsevier Ltd All rights reserved.

The dynamic of employment in Chilean industry

Includes bibliography

The dynamics of Mexican manufacturing exports

Includes bibliography

Symptom dimensions, clinical course and comorbidity in men and women with obsessive-compulsive disorder

The study aimed to compare male and female patients with obsessive-compulsive disorder (OCD) across symptom dimensions, clinical course and comorbidity. A cross-sectional study was undertaken with 858 adult OCD patients (DSM-IV) from the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders. Patients were evaluated using structured interviews, including the Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) and the Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I). The sample was composed of 504 women (58.7%) and 354 men (41.3%) with a mean age of 35.4 years-old (range: 18-77). Men were younger, more frequently single and presented more tics, social phobia and alcohol use disorders. Among men, symptom interference occurred earlier and symptoms of the sexual/religious dimension were more common and more severe. Conversely, women were more likely to present symptoms of the aggressive, contamination/cleaning and hoarding dimension and comorbidity with specific phobias, anorexia nervosa, bulimia, trichotillomania, skin picking and compulsive buying. In the logistic regression, female gender remained independently associated with the aggressive and contamination/cleaning dimensions. In both genders the aggressive dimension remained associated with comorbid post-traumatic stress disorder, the sexual/religious dimension with major depression and the hoarding dimension with tic disorders. Gender seems to be relevant in the determination of OCD clinical presentation and course and should be considered an important aspect when defining more homogeneous OCD subgroups. © 2012 Elsevier B.V.

Clinical features of pure obsessive-compulsive disorder

Objective Psychiatric comorbidity is the rule in obsessive-compulsive disorder (OCD); however, very few studies have evaluated the clinical characteristics of patients with no co-occurring disorders (non-comorbid or pure OCD). The aim of this study was to estimate the prevalence of pure cases in a large multicenter sample of OCD patients and compare the sociodemographic and clinical characteristics of individuals with and without any lifetime axis I comorbidity. Method A cross-sectional study with 955 adult patients of the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders (C-TOC). Assessment instruments included the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Yale-Brown Obsessive-Compulsive Scale, The USP-Sensory Phenomena Scale and the Brown Assessment of Beliefs Scale. Comorbidities were evaluated using the Structured Clinical Interview for DSM-IV Axis I Disorders. Bivariate analyses were followed by logistic regression. Results Only 74 patients (7.7%) presented pure OCD. Compared with those presenting at least one lifetime comorbidity (881, 92.3%), non-comorbid patients were more likely to be female and to be working, reported less traumatic experiences and presented lower scores in the Y-BOCS obsession subscale and in total DY-BOCS scores. All symptom dimensions except contamination-cleaning and hoarding were less severe in non-comorbid patients. They also presented less severe depression and anxiety, lower suicidality and less previous treatments. In the logistic regression, the following variables predicted pure OCD: sex, severity of depressive and anxious symptoms, previous suicidal thoughts and psychotherapy. Conclusions Pure OCD patients were the minority in this large sample and were characterized by female sex, less severe depressive and anxious symptoms, less suicidal thoughts and less use of psychotherapy as a treatment modality. The implications of these findings for clinical practice are discussed. © 2013 Elsevier Inc. All rights reserved.

Estudo econômico das diferentes formas de transporte de vinhaça em fertirrigação na cana-de-açúcar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Atividades físicas e o corpo na concepção de graduandos de educação física: análise das práticas corporais de estudantes universitários da região de Limeira

Pós-graduação em Educação - IBRC