Des "psychoses affectives" aux "caractéristiques psychotiques" : les symptômes psychotiques selon le DSM, discutés à la lumière d'une série de 16 cas de dépression psychotique = From "affective psychoses" to "psychotic features": DSM's psychoticsymptoms discussed in the light of a series of 16 cases of psychoticdepression.

Objectifs. - Le DSM-5 donne une définition du symptôme psychotique indépendante de tout concept depsychose. Chez les patients dépressifs, la présence d'hallucination ou d'idée délirante, quelle que soit leurforme clinique, conduit en principe à diagnostiquer une dépression psychotique et à prescrire des neurolep-tiques. Les symptômes psychotiques sont subdivisés par le DSM en « congruents » ou « non congruents » àl'humeur. Nous discutons de la pertinence d'une catégorie de symptômes psychotiques « atypiques », peuévocateurs d'une psychose au sens classique du terme. Méthode. - Discussion de la définition opérationnelle des symptômes psychotiques du DSM, étude d'unesérie de 16 patients chez qui un diagnostic de dépression psychotique a été posé. Résultats. - Sur les 16 patients, deux seulement présentaient des symptômes psychotiques classiques, évo-cateurs d'une psychose. Chez les autres, le diagnostic reposait sur la présence de symptômes très atypiques,comme des hallucinations visuelles par exemple.

Omistajuuden määritelmät OP- ryhmässä

Tämän tutkimuksen tarkoituksena on osallistua osuustoiminnallisesta omistajuudesta käytävään keskusteluun. Tutkimuksen tavoitteena on kuvailla miten omistajuus ja jäsenyys ovat olleet esillä OP- ryhmän henkilöstölehdissä, sekä ymmärtää mitä merkityksiä omistajuudelle ja jäsenyydelle on annettu eri vuosien aikana. Tutkimus on luonteeltaan kvalitatiivinen. Pyrin vastaamaan tutkimuskysymyksiin tekstiaineiston pohjalta. Käytän valmiita aineistoja, jotka käsittävät OP- ryhmän henkilöstölehdet vuosilta 1980- 2005. Tutkimuksessa analysoidaan ja tulkitaan omistajuutta ja jäsenyyttä omistajuuden psykologisen, sosiaalisen, ja institutionaalisen dimension kautta. Tutkimuksen kohdeorganisaation on OP- ryhmä. Tällä hetkellä OP- ryhmään kuuluu 238 itsenäisesti toimivaa osuuspankkia, Osuuspankkikeskus ja OKO, Osuuspankkien keskuspankki Oyj. Tutkimustulosten mukaan voidaan todeta, että OP- ryhmän omistajajäsenyys on rakentunut pitkälti institutionaalisen eli taloudellisen omistajuuden ympärille.

Prevalence of substance use in a Swiss psychiatric hospital: interview reports and urine screening.

BACKGROUND: Co-morbid substance misuse is common in psychiatric disorders, has potentially severe adverse consequences and may be frequently undetected. AIMS: To measure the prevalence of substance use among patients admitted to a Swiss psychiatric hospital and to examine the potential utility of routine urine drug screening in this setting. METHOD: 266 inpatients were included. 238 patients completed the interview and 240 underwent a urine drug screening. RESULTS: Lifetime prevalence of substance use among psychiatric patients was very high for alcohol (98%; 95% CI: 96-100), benzodiazepines (86%; 95% CI: 82-91) and cannabis (53%; 95% CI: 47-60), but also for "hard drugs" like cocaine (25% ; 95% CI: 19-30) or opiates (20%; 95% CI: 15-25). Regular current use of alcohol (32%; 95% CI: 26-38) or cannabis (17%; 95% CI: 12-22) was the most frequent. Substance use was associated with male sex, younger age, unmarried status and nicotine smoking. Urine screening confirms reports from patients on recent use, and remained positive for cannabis during hospitalisation, but not for cocaine nor for opiates. CONCLUSION: Substance use is frequent among psychiatric patients. Systematic interviewing of patients about their substance use remains essential, and is usually confirmed by urine screening. Urine screening can be useful to provide specific answers about recent use.

Working alliance in communication skills training for oncology clinicians: A controlled trial.

OBJECTIVE: The aim of this study was to evaluate the impact of communication skills training (CST) on working alliance and to identify specific communicational elements related to working alliance. METHODS: Pre- and post-training simulated patient interviews (6-month interval) of oncology physicians and nurses (N=56) who benefited from CST were compared to two simulated patient interviews with a 6-month interval of oncology physicians and nurses (N=57) who did not benefit from CST. The patient-clinician interaction was analyzed by means of the Roter Interaction Analysis System (RIAS). Alliance was measured by the Working Alliance Inventory - Short Revised Form. RESULTS: While working alliance did not improve with CST, generalized linear mixed effect models demonstrated that the quality of verbal communication was related to alliance. Positive talk and psychosocial counseling fostered alliance whereas negative talk, biomedical information and patient's questions diminished alliance. CONCLUSION: Patient-clinician alliance is related to specific verbal communication behaviors. PRACTICE IMPLICATIONS: Working alliance is a key element of patient-physician communication which deserves further investigation as a new marker and efficacy criterion of CST outcome.

Cálculo y diseño de la estructura de una nave industrial destinada a un centro de mecanizado

En el siguiente proyecto se pretende realizar los cálculos correctos para determinar cual ha de ser la estructura y las cimentaciones de una nave industrial perfectamente diseñada. El àmbito de aplicación del proyecto es la arquitectura industrial.

Registro arqueobotánico de Cataluña occidental durante el II y I milenio a.n.e.

Se presenta una síntesis de los resultados obtenidos en los estudios de semillas y frutos realizados durante los últimos años en la Cataluña Occidental (especialmente en el llamado Llano Occidental Catalán) en yacimientos del II y I milenio a.n.e. Entre las plantas cultivadas destacan claramente los cereales, sobre todo la cebada vestida (Hordeum vulgare) y el trigo común/duro (Triticum aestivum/durum), con escasa presencia de leguminosas, siendo las más representadas la lenteja (Lens culinaris) y el guisante (Pisum sativum). Nuevos cultivos como los mijos (Panicum miliaceum y Setaria italica) o el lino (Linum usitatissimum) se detectan ya desde mediados del II milenio, mientras que otros como la avena (Avena sativa) se introducen en época ibérica. Se han recuperado también testimonios de recolección, como las bellotas (Quercus sp.) o la uva silvestre (Vitis vinifera ssp. sylvestris), así como de la vegetación arvense, principalmente el raygrás (Lolium sp.).

Cannabis use and other illicit drug use: Do subjective experiences during first cannabis use increase the probability of using illicit drug use?

Background and aims: Few studies have examined whether subjective experiences during first cannabis use are related to other illicit drug (OID) use. This study investigated this topic. Methods: Baseline data from a representative sample of young Swiss men was obtained from an ongoing Cohort Study on Substance Use Risk Factors (N ¼ 5753). Logistic regressions were performed to examine the relationships between cannabis use and of subjective experiences during first cannabis use with 15 OID. Results: Positive experiences increased the likelihood of using hallucinogens (hallucinogens, salvia divinorum, spice; p50.015), stimulants (speed, ecstasy, cocaine, amphetamines/methamphetamines; p50.006) and also poppers, research chemicals, GHB/GBL, and crystal meth (p50.049). Sniffed drugs (poppers, solvents for sniffing) and ''hard'' drugs (heroin, ketamine, research chemicals, GHB/GBL and crystal meth) were more likely to be used by participants who experienced negative feelings on first use of cannabis (p50.034). Conclusion: Subjective feelings seemed to amplify the association of cannabis with OID. The risk increased for drugs with effects resembling feelings experienced on first cannabis use. Negative experiences should also be a concern, as they were associated with increased risk of using the ''hardest'' illicit drugs.

An outbreak of Arthroderma vanbreuseghemii dermatophytosis at a veterinary school associated with an infected horse.

We report a case of an outbreak of inflammatory dermatophytoses caused by Arthroderma vanbreuseghemii (formally Trichophyton mentagrophytes pro parte) that involved an infected horse, the owner and at least 20 students, staff and stablemen at a veterinary school in Bern (Switzerland) that presented highly inflammatory dermatitis of the body and the face. Transmission from human to human was also recorded as one patient was the partner of an infected person. Both the phenotypic characteristics and ITS sequence of the dermatophytes isolated from the horse and patients were identical, consistent with the conclusion that the fungus originated from the horse. Three infected persons had not been in direct contact with the horse. Although direct transmission from human to human cannot be ruled out, fomites were most likely the source of infection for these three patients. Inspection of the literature at the end of the nineteenth and beginning of the twentieth century revealed that this dermatophyte was frequently transmitted from horses to humans in contact with horses (stablemen, coachmen, carters and artillery soldiers). The rarity of the present case report at the present time is likely related to the transformation of civilisation from the nineteenth century to nowadays in Europe with the change of horse husbandry. In addition, the inadequate immune response of the horse and the high number of people in contact with it at the equine clinic may explain the exceptional aspect of this case report.

Comportamento de clones de laranja 'Valência' na região norte do Paraná

Este trabalho teve como objetivo avaliar os clones de laranjas-doces [Citrus sinensis (L.) Osbeck] 'Valência', acesso I-93; 'Valência 718', acesso I-94, e 'Valência Late 1138', acesso I-105, enxertados sobre o limão 'Cravo' (Citrus limonia Osbeck), em relação à produção e às características físico-químicas dos frutos (acidez, sólidos solúveis totais, 'ratio', rendimento em suco, índice tecnológico e massa). As plantas estudadas fazem parte do Banco Ativo de Germoplasma de Citros (BAG-Citros) do Instituto Agronômico do Paraná - IAPAR, em Londrina. Foram utilizadas três plantas por clone, em espaçamento de 7,0 m x 6,0 m (238 plantas/hectare), conduzidas sem irrigação. As produções acumuladas das laranjas 'Valência' e 'Valência Late 1138', durante nove safras (1985 a 1994), foram significativamente superiores à da 'Valência 718'. Todos os clones apresentaram características aceitáveis de frutos, em relação à acidez, sólidos solúveis totais, 'ratio', rendimento em suco e massa do fruto, exceto para o índice tecnológico, que foi inferior na 'Valência Late 1138', não sendo observadas diferenças significativas durante o período avaliado (1986 a 1997).

Mustanlahden satamasta

Kuvalla myös nimeke ruotsiksi, saksaksi ja englanniksi. - Mustanlahden satama Näsijärvellä Tampereella, höyrylaivoja laiturissa.

Ordenación territorial en áreas de interés natural: "PORN de la Estanca de Alcañiz y su entorno inmediato (Teruel) mediante SIG"

La realización de un Plan de Ordenación de Recursos Naturales (PORN) requiere de la aplicación de una metodología específica para evaluar los intereses que confluyen, solucionar los problemas que se presentan, y sistematizar la propia elaboración del Plan. El presente trabajo muestra la metodología aplicada a la elaboración de un PORN en el entorno próximo de un embalse localizado en Alcañiz (Teruel), y que ha sido objeto de un Proyecto Final de Carrera en la Escuela Técnica Superior de Ingeniería Agraria (ETSEA) de Lleida (BERGUA, 1995). El trabajo comprende dos fases diferenciadas: en una primera fase se realiza el encuadre territorial y definición de la base descriptiva, objetiva y permanente sobre la que se asienta el conjunto del sistema. La segunda fase corresponde al tratamiento de la información recogida y al proceso de valoración. La zonificación propuesta para el entorno estudiado y sus respectivas actividades son función del resultado de la superposición de los componentes intervinientes en la valoración del territorio, y de los criterios y prioridades que permiten su definición. Finalmente, mediante la utilización de Sistemas de Información Geográfica (S.I.G.) se establece la asignación de usos del Territorio.

Could concomitant radio-chemotherapy improve the outcomes of early-stage node negative anal canal cancer patients? A retrospective analysis of 122 patients.

One hundred twenty-two early-stage anal canal cancer patients (median age: 69 years) were treated with curative radiotherapy with (70 patients) or without (52 patients) concomitant chemotherapy. Median follow-up was 65 months (range: 4-238). At multivariate analysis, concomitant chemotherapy significantly improved local control (p = .007). Local control significantly influenced all considered endpoints, except the metastases free survival. The global rates of G3-G4 acute and late toxicity were 13.1% and 8.2%, respectively, and they were not increased by concomitant chemotherapy. Finally, concomitant chemotherapy is efficacious and safe in the treatment of T1-2N0 anal canal cancer patients and should be prospectively studied.