Obsessive Compulsive Treatment Efficacy Trial (OCTET) comparing the clinical and cost effectiveness of self-managed therapies: study protocol for a randomised controlled trial

Background: UK National Institute of Health and Clinical Excellence guidelines for obsessive compulsive disorder (OCD) specify recommendations for the treatment and management of OCD using a stepped care approach. Steps three to six of this model recommend treatment options for people with OCD that range from low-intensity guided self-help (GSH) to more intensive psychological and pharmacological interventions. Cognitive behavioural therapy (CBT), including exposure and response prevention, is the recommended psychological treatment. However, whilst there is some preliminary evidence that self-managed therapy packages for OCD can be effective, a more robust evidence base of their clinical and cost effectiveness and acceptability is required. Methods/Design: Our proposed study will test two different self-help treatments for OCD: 1) computerised CBT (cCBT) using OCFighter, an internet-delivered OCD treatment package; and 2) GSH using a book. Both treatments will be accompanied by email or telephone support from a mental health professional. We will evaluate the effectiveness, cost and patient and health professional acceptability of the treatments. Discussion: This study will provide more robust evidence of efficacy, cost effectiveness and acceptability of self-help treatments for OCD. If cCBT and/or GSH prove effective, it will provide additional, more accessible treatment options for people with OCD.

An implicit technique for solving 3D low Reynolds number moving free surface flows

This paper describes the development of an implicit finite difference method for solving transient three-dimensional incompressible free surface flows. To reduce the CPU time of explicit low-Reynolds number calculations, we have combined a projection method with an implicit technique for treating the pressure on the free surface. The projection method is employed to uncouple the velocity and the pressure fields, allowing each variable to be solved separately. We employ the normal stress condition on the free surface to derive an implicit technique for calculating the pressure at the free surface. Numerical results demonstrate that this modification is essential for the construction of methods that are more stable than those provided by discretizing the free surface explicitly. In addition, we show that the proposed method can be applied to viscoelastic fluids. Numerical results include the simulation of jet buckling and extrudate swell for Reynolds numbers in the range [0.01, 0.5]. (C) 2008 Elsevier Inc. All rights reserved.

Description and prevalence of Thynnascaris sp. larvae Dollfus, 1933 (Nematoda: Anisakidae) in Plagioscion squamosissimus Heckel, 1840 from Volta Grande Reservoir, State of Minas Gerais, Brazil

O presente trabalho teve por objetivo o estudo da helmintofauna da corvina de água doce Plagioscion squamosissimus, do reservatório de Volta Grande, MG, Brasil. Foram colhidos 68 peixes com comprimento médio de 25,2 cm e peso médio de 180,9 g, com rede de espera, bimestralmente no período de dezembro de 1995 a dezembro de 1996. Os parasitos foram cuidadosamente retirados de seus cistos que estavam aderidos ao mesentério intestinal. Os espécimes foram fixados em AFA a 65°C e conservados em álcool 70°GL contendo 5% de glicerina. Após diafanização com ácido acético ou lactofenol de Amann, 21 nematóides foram desenhados em câmara clara. As larvas foram identificadas como Thynnascaris sp. (Nematoda: Anisakidae). Das 68 corvinas examinadas, 30 estavam infectadas por esses parasitos com uma prevalência de 44,1%. O número médio de parasitos por hospedeiro foi de 0 a 13,8 e a intensidade média, de 0 a 16. A análise estatística, de acordo com o Teste Exato de Fisher, mostrou que a sazonalidade foi dependente da pluviosidade e temperatura do ar.

Computations of the flow past a still sphere at moderate reynolds numbers using an immersed boundary method

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Predation of Platyrrhinus lineatus (E. Geoffroy, 1810) (Chiroptera: Phyllostomidae) by Cyanocorax chrysops (Vieillot, 1818) (Passeriformes: Corvidae).

The predation on vertebrates by birds, including bats, is very common in some families (Accipitridae, Falconidae, Tytonidae, Strigidae), constituting their main diet. For other families (except those that feed strictly on fish), it is occasional and sometimes a matter of opportunity. Here we recorded the predation on a bat (Platyrrhinus lineatus) by the neotropical bird plush-crested jay (Cyanocorax chrysops). on July 26, 2009, around 11:00 am, we recorded an individual of C. chrysops taking part of a P. lineatus on its beak. This record occurred on Jacarezinho Farm (Valparaiso [long dash] SP). The prey species identification was done by visual observation, considering the bat size and its external morphology, especially by the presence of the white dorsal bright stripe. Probably, Platyrrhinus lineatus behavior, which involves living together or in couples on tree canopies, made the capture by the plush-crested jay easier. This is a new record for the diet of C. chrysops and highlights the necessity of additional studies related to birds diet in the Neotropics, even the more conspicuous ones.

Transition to turbulence in the Reynolds' experiment

In this study we simulate numerically the Reynolds' experiment for the transition from laminar to turbulent flow in a pipe. We present a discussion of the results from a dynamical systems perspective when a control parameter, the Reynolds number, is increased. The Landau scenario, where the transition is described by the excitation of infinite oscillatory modes within the fluid, is not observed. Instead what happens is best explained by the Ruelle-Takens scenario in terms of strange attractors. The Lyapunov exponent and fractal dimension for the attractor are calculated together with a measure of complex behaviour called the Lempel-Ziv complexity. (C) 2001 Elsevier B.V. B.V. All rights reserved.

A generalized alternating-direction implicit scheme for incompressible magnetohydrodynamic viscous flows at low magnetic Reynolds number

This paper presents numerical simulations of incompressible fluid flows in the presence of a magnetic field at low magnetic Reynolds number. The equations governing the flow are the Navier-Stokes equations of fluid motion coupled with Maxwell's equations of electromagnetics. The study of fluid flows under the influence of a magnetic field and with no free electric charges or electric fields is known as magnetohydrodynamics. The magnetohydrodynamics approximation is considered for the formulation of the non-dimensional problem and for the characterization of similarity parameters. A finite-difference technique is used to discretize the equations. In particular, an extension of the generalized Peaceman and Rachford alternating-direction implicit (ADI) scheme for simulating two-dimensional fluid flows is presented. The discretized conservation equations are solved in stream function-vorticity formulation. We compare the ADI and generalized ADI schemes, and show that the latter is more efficient in simulating low Reynolds number and magnetic Reynolds number problems. Numerical results demonstrating the applicability of this technique are also presented. The simulation of incompressible magneto hydrodynamic fluid flows is illustrated by numerical solution for two-dimensional cases. (c) 2007 Elsevier B.V. All rights reserved.

Características histoquímicas e estruturais do testículo do morcego hematófago (Desmodus rotundus rotundus, Geoffrey, 1810).

The testicular stroma of the vampire bat including the testicular capsula and the lamina propria of the seminiferous tubuli, was strongly PAS-positive. This observation was a possible indication of great amounts of structural glycogen and other glycoconjugates at the level of smooth muscle cells; elongated contractile cells and/or collagen frameworks of the tunica albuginea and tubular lamina propria. In the last the basement membranes of the seminiferous tubules were particularly strongly PAS positive, as an indication of their neutral mucosubstances structural composition, previously described (Malmi et al., 1987). The epithelium lining from the cavitary and surface rete testis complex showed low reactivities to mucosubstances; total proteins and lipids and oxidative enzymes studied. Although the apical granulation at the rete testis epithelium showed an intense PAS reactivity with hypothesis of glycoprotein secretion, through the rete. The PAS, Sudan Black B, NADH, MDH and LDH reactions of the testicular interstitium seem correlate to steroid metabolism (biosynthesis and secretion), at the Leydig cells level. The seminiferous epithelium generally had low reactions to all the histochemical studies realized. Particularly in the adbasal compartment the histochemical localizations of NADH diaphorase and LDH were possible related to glycolytic activities and general carbohydrates metabolism, both enzymes, and hydrogen transport, the NADH. The strong PAS, diastase and PAS, and alcian blue pH 2.5 and PAS reactions observed in the adluminal seminiferous epithelium compartment were directly related to the spermatids acrosomal glycoconjugates structuration. Also the SDH localization at this level seems to be related to the mitochondrial activities at the middle piece level in the late spermatids.

Características ultra-estruturais das células de Sertoli do morecego hematófago (Desmodus rotundus rotundus, Geoffrey, 1810).

This paper deals with the ultrastructural study of mature vampire bat Sertoli cells and their relationships with the different stages of testicular germ cells. In vampire bat seminiferous epithelium there are different types of junctional specializations among Sertoli cells and among Sertoli cells and different germ cells, with special emphasis to tight junctions and to junctions like as desmosomes. Ectoplasmic junctions through the Sertoli cells, including the smooth ER, are observed. These cellular interactions and their cytophysiological roles are discussed. Also are related some ultrastructural peculiarities of the Sertoli cell nucleus, nucleolus, cytoplasmic organelles and lipidic inclusions.

Development of a low-Reynolds-number k-ω model for FENE-P fluids

A low-Reynolds-number k-ω model for Newtonian fluids has been developed to predict drag reduction of viscoelastic fluids described by the FENE-P model. The model is an extension to viscoelastic fluids of the model for Newtonian fluids developed by Bredberg et al. (Int J Heat Fluid Flow 23:731-743, 2002). The performance of the model was assessed using results from direct numerical simulations for fully developed turbulent channel flow of FENE-P fluids. It should only be used for drag reductions of up to 50 % (low and intermediate drag reductions), because of the limiting assumption of turbulence isotropy leading to an under-prediction of k, but compares favourably with results from k-ε models in the literature based on turbulence isotropy. © 2012 Springer Science+Business Media Dordrecht.

Estudos morfológicos e histoquímicos do tubo digestivo de Hemisorubim platyrhynchos (Valenciennes, 1840)

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