Panic Disorder and Agoraphobia in OCD patients: Clinical profile and possible treatment implications

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

Antidepressants for anorexia nervosa

Background Anorexia Nervosa ( AN) is an illness characterised by extreme concern about body weight and shape, severe self-imposed weight loss, and endocrine dysfunction. In spite of its high mortality, morbidity and chronicity, there are few intervention studies on the subject.Objectives The aim of this review was to evaluate the efficacy and acceptability of antidepressant drugs in the treatment of acute AN.Search strategy The strategy comprised of database searches of the Cochrane Collaboration Depression, Anxiety and Neurosis Controlled Trials Register, MEDLINE (1966 to April 28th, 2005), EMBASE (1980 to week 36, 2004), PsycINFO (1969 to August week 5, 2004), handsearching the International Journal of Eating Disorders and searching the reference lists of all papers selected. Personal letters were sent to researchers in the field requesting information on unpublished or in-progress trials.Selection criteria All randomised controlled trials of antidepressant treatment for AN patients, as de fined by the Diagnostic and Statistical Manual, fourth edition (DSM-IV) or similar international criteria, were selected.Data collection and analysis Quality ratings were made giving consideration to the strong relationship between allocation concealment and potential for bias in the results; studies meeting criteria A and B were included. Trials were excluded if non-completion rates were above 50%. The standardised mean difference and relative risk were used for continuous data and dichotomous data comparisons, respectively. Whenever possible, analyses were performed according to intention- to-treat principles. Heterogeneity was tested with the I-squared statistic. Weight change was the primary outcome. Secondary outcomes were severity of eating disorder, depression and anxiety symptoms, and global clinical state. Acceptability of treatment was evaluated by considering non-completion rates.Main results Only seven studies were included. Major methodological limitations such as small trial size and large confidence intervals decreased the power of the studies to detect differences between treatments, and meta-analysis of data was not possible for the majority of outcomes. Four placebo-controlled trials did not find evidence that antidepressants improved weight gain, eating disorder or associated psychopathology. Isolated findings, favouring amineptine and nortriptyline, emerged from the antidepressant versus antidepressant comparisons, but cannot be conceived as evidence of efficacy of a specific drug or class of antidepressant in light of the findings from the placebo comparisons. Non-completion rates were similar between the compared groups.Authors' conclusions A lack of quality information precludes us from drawing de finite conclusions or recommendations on the use of antidepressants in acute AN. Future studies testing safer and more tolerable antidepressants in larger, well designed trials are needed to provide guidance for clinical practice.

O Papel do cirurgião-dentista nas desordens alimentares: uma revisão de literatura

As desordens alimentares são um grupo de desordens psicopatológicas, nas quais o paciente relaciona os alimentos ingeridos com seu próprio corpo e, podem ameaçar a vida, como a anorexia e bulimia nervosa. Durante a progressão das desordens alimentares, pode ocorrer uma série de manifestações orais, as quais exercem um papel fundamental no diagnóstico, caracterização e prognóstico dessas desordens. O cirurgião dentista é, na maioria das vezes, o primeiro profissional da saúde a observar os sintomas clínicos de uma desordem alimentar. O objetivo deste trabalho foi realizar uma revisão de literatura sobre a etiologia, características, manifestações orais, e tratamento das lesões orais decorrentes das desordens alimentares. A pesquisa foi realizada nas bases de dados PubMed, SciELO, Bireme, durante o período de 1987 a 2013. Verifica-se assim que os primeiros sinais desenvolvidos em pacientes com desordens alimentares aparecem na cavidade oral, cabendo ao cirurgião dentista identificar esses sinais e relacioná-los às desordens.

Plantas que atraem aves e outros bichos

Pós-graduação em Ciências Biológicas (Zoologia) - IBB

Transtornos alimentares

Over the last decades of the 20th century, our society started an endless search for an ideal of beauty, advertised intensely by mass communication media. The concept of beauty pursued is being young, beautiful and thin. Thus, teenagers eventually die in the search for an ideal of body dominated by fat-fearing ideas. This article is a report about the field experience, during the collection of data for elaborating our Master’s Degree Dissertation on anorexia and adolescence. We went through an internship in an Eating Disease Program of a Mental Health Ambulatory from a Public University in the State of Sao Paulo, where we were able to experience the service organization, attention to users and the experience of anorexia, by the users in treatment. As the main result from this experience, it is possible to indicate the clientele profile, comprised predominantly by teenage girls, obsessed with the incessant pursuit of being thinner.

Diet and ecomorphology of Leporinus reticulatus (Characiformes: Anostomidae) from the upper Rio Juruena, MT, Brazil: ontogenetic shifts related to the feeding ecology

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

Alterações na expressão do Hormônio Concentrador de Melanina (MCH) na área hipotalâmica lateral do rato ao longo do desenvolvimento pós-natal e envelhecimento

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

Preferential consumption of larger fruits of Piper arboreum (Piperaceae) by Carollia perspicillata (Phyllostomidae) in the Brazilian tropical dry forest

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudos de dispersão de lagartas em milho e soja visando ao manejo de pragas no Brasil e EUA

Pós-graduação em Agronomia (Proteção de Plantas) - FCA

GnRH/GnIH e seus receptores no sistema olfato-retinal de zebrafish

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

Determinação da fase lactente-ruminante de cordeiros pela técnica do delta 13C

This study was conducted at University of Marília, São Paulo State, Brazil, aiming to determine the phase of intake transition between exclusively liquid diet (milk) and diet based on milk, grass and/or ration by lambs by δ13C technique. Six Suffolk crossbreeding lambs were distributed in a totally random design (3x2), with two experimental groups and three replications. At the first one, lambs were penned and sucked milk from dams fed with C4 diet. besides, they had access to C3 ration in creep feeding, since their birth. At the second group, lambs were kept on a paddock with Tifton – 85 grass (C4 photosynthetic way) as well as their dams and had access to C3 ration in creep feeding, since their birth. The C3 ration contained soybean meal, ground oat grains, lucerne hay and also mineral salt. The penned lambs’ ration consumption overcame the milk intake at 30-35 days after birth; however, grazing lambs ingested more milk and pasture than ration until 40 days after birth. The δ 13C technique was considered effective on studies of lambs feeding behavior.

Bioatividade de derivados de Annonaceae sobre Helicoverpa armigera (Hübner, 1808) (Lepidoptera: Noctuidae)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da área, da quantidade de habitat e do tipo de matriz sobre dieta de gato-maracajá (Leopardus wiedii)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Aspectos psicofísicos da imagem corporal e a sua relação com a dismorfia muscular e a dependência de exercício

Pós-graduação em Ciências da Motricidade - IBRC

Efeito da área, da quantidade de habitat e do tipo de matriz sobre dieta de gato-maracajá (Leopardus wiedii)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)