How does family intervention improve the outcome of people with schizophrenia?

Background: There is strong evidence of the efficacy of family psychosocial interventions for schizophrenia, but evidence of the role played by the attitudes of relatives in the therapeutic process is lacking. Method: To study the effect of a family intervention on family attitudes and to analyse their mediating role in the therapeutic process 50 patients with schizophrenia and their key relatives undergoing a trial on the efficacy of a family psychosocial intervention were studied by means of the Affective Style Coding System, the Scale of Empathy, and the Relational Control Coding System. Specific statistical methods were used to determine the nature of the relationship of the relatives’ attitudes to the outcome of family intervention. Results: Family psychosocial intervention was associated with a reduction in relatives’ guilt induction and dominance and an improvement in empathy. Empathy and lack of dominance were identified as independent mediators of the effect of family psychosocial intervention. The change in empathy and dominance during the first 9 months of the intervention predicted the outcome in the following 15 months. Conclusion: Relatives’ empathy and lack of dominance are mediators of the beneficial effect of family psychosocial intervention on patient’s outcome.

Atividade física adaptada na população com necessidades especiais

Na área da deficiência exige-se a intervenção de técnicos de diversas especialidades, atuando de forma articulada e concertada para responder às necessidades das pessoas com necessidades especiais. Neste contexto, o papel da atividade física, quando inserida em estilos de vida saudáveis, merece particular destaque, enquanto instrumento essencial para a melhoria da condição física, da qualidade de vida e do bem-estar das pessoas com deficiência. O conceito de atividade física na população com deficiência está igualmente associado a vertentes como a reabilitação, educação, competição e recreação, sendo cada vez mais evidente a ênfase colocada nos seus benefícios físicos, sociais e psicológicos. Em suma: a atividade física adaptada parece poder contribuir para desencadear efeitos positivos na sua saúde. O objetivo principal foi consolidar a visão estrutural e teórica do conceito de deficiência, necessidades especiais, atividade física adaptada e estilos de vida saudáveis.

Cortical Abnormalities in Adults and Adolescents with Major Depression based on Brain Scans from 20 Cohorts Worldwide in the ENIGMA Major Depressive Disorder Working Group

The neuro-anatomical substrates of major depressive disorder (MDD) are still not well understood, despite many neuroimaging studies over the past few decades. Here we present the largest ever worldwide study by the ENIGMA (Enhancing Neuro Imaging Genetics through Meta-Analysis) Major Depressive Disorder Working Group on cortical structural alterations in MDD. Structural T1-weighted brain magnetic resonance imaging (MRI) scans from 2148 MDD patients and 7957 healthy controls were analysed with harmonized protocols at 20 sites around the world. To detect consistent effects of MDD and its modulators on cortical thickness and surface area estimates derived from MRI, statistical effects from sites were meta-analysed separately for adults and adolescents. Adults with MDD had thinner cortical gray matter than controls in the orbitofrontal cortex (OFC), anterior and posterior cingulate, insula and temporal lobes (Cohen’s d effect sizes: −0.10 to −0.14). These effects were most pronounced in first episode and adult-onset patients (>21 years). Compared to matched controls, adolescents with MDD had lower total surface area (but no differences in cortical thickness) and regional reductions in frontal regions (medial OFC and superior frontal gyrus) and primary and higher-order visual, somatosensory and motor areas (d: −0.26 to −0.57). The strongest effects were found in recurrent adolescent patients. This highly powered global effort to identify consistent brain abnormalities showed widespread cortical alterations in MDD patients as compared to controls and suggests that MDD may impact brain structure in a highly dynamic way, with different patterns of alterations at different stages of life.

Marine fungi from the Northwest African upwelling areas and from the Atlantic off Portugal

Quantitative data on lower marine Phycomycetes (fungi) found in the upwelling waters off the West African coast during cruises No. 13 (1968), 19 (1970), 36 (1975) and 44 (1977) of R.V. "Meteor" are reported. The distribution of the total fungi numbers is presented and, as far as possible, the evaluation of the material up to species level is given. Several provisionally named forms and groups of morphologically related, undescribed fungi are included. A correlation between the number of fungi in sediments and the water depth and distance from the coast line is postulated. There are typical distributions of the lower marine fungi in water bodies and sediments. Different values within replicates of the stations in different years show that there is a sequence in development of fungal populations induced by changes in the water bodies. Surface water far from the coast has low numbers of fungi; numbers increase to a maximum nearer to the coast. In the vicinity of the coast the values decrease. The numbers of fungi in the deep sediments are low below 1,200 m. However, there are isolated areas of higher fungal activities, indicated by some deeper grab samples. During two cruises, the "overlying water" in the grab samples was investigated. It was evident that the numbers of fungi lost by stirring of the sediment when the grab was brought up to the surface were small, relatively and absolutely. The seamount "Josephine Bank" has been investigated for the first time with respect to lower marine fungi; the populations are low in the sediments, but one sample of the surface water had a higher number than the water in the surroundings. In some hydrographic series there was a peculiar depth distribution. An increase occurred at a depth greater than 1,000 m. The results are discussed and some correlations to the aging of the fungal populations in the water masses are constructed.

Wheelchair securement on bus and paratransit vehicles /

"Report no. UMTA-CA-06-0098-81-1."

Controls over vocational rehabilitation training services need improvement, Rehabilitation Services Administration, Department of Health, Education and Welfare : report to the Congress /

Date on cover: May 5, 1977.

State estimates of disability and utilization of medical services, United States, 1969-71 : derived from the Health Interview Survey.

Issued Jan. 1977.

Caring for people with severe mental disorders : a national plan of research to improve services.

"Printed 1991"--P. [4] of cover.

Women, minorities, and the disabled in science and technology [microform] : hearing before the Subcommittee on Science, Research, and Technology of the Committee on Science, Space, and Technology, House of Representatives, One Hundredth Congress, second session, June 28, 1988.

"No. 134."

Transportation for the elderly and handicapped : proceedings of a workshop.

Final report.

Cooperation of prevocational programs for handicapped young adults; rehabilitation-special education. Proceedings of a conference at Highland Park, Illinois. Sponsored by the U.S. Office of Vocational Rehabilitation and Illinois State Normal University, Oct. 30-31 and Nov. 1, 1961.

Mode of access: Internet.

Instructions and notes on the treatment and training of disabled men.

Mode of access: Internet.

Technology for students with disabilities : a decision maker's resource guide /

Shipping list no.: 97-0343-P.

Careers : job searching and success.

A bibliography of vocational guidance materials in the network library collections provided by the National Library Service for the Blind and Physically Handicapped, Library of Congress.