Treatment seeking by individuals with obsessive-compulsive disorder from the British Psychiatric Morbidity Survey of 2000

Objective: For several reasons, many individuals with obsessive-compulsive disorder (OCD) do not seek treatment. However, data on treatment seeking from community samples are scant. This study analyzed service use by adults with OCD living in private households in Great Britain. Methods: Data from the British Survey of Psychiatric Morbidity of 2000, in which 8,580 individuals were surveyed, were analyzed. Service use was compared for those with OCD, with other neuroses, with different subtypes of OCD (only obsessions, only compulsions, or both), and with OCD and comorbid neuroses. Results: Persons with OCD (N=114) were more likely than persons with other neuroses (N=1,395) to be receiving treatment (40% compared with 23%, p<.001). However, those with OCD alone (N=38) were much less likely than those with OCD and a comorbid disorder to be in treatment (14% compared with 56%, p<.001). In the previous year, 9.4% of persons with OCD had seen a psychiatrist and 4.6% had seen a psychologist. Five percent were receiving cognitive-behavioral therapy, 2% were taking selective serotonin reuptake inhibitors, and 10% were taking tricyclics. Conclusions: Most persons with OCD were not in contact with a mental health professional, and apparently very few were receiving appropriate treatments. Very few persons with noncomorbid OCD were receiving treatment. Individuals with OCD who are in treatment may not be disclosing their obsessions and compulsions and may be discussing other emotional symptoms, leading to inappropriate treatment strategies. Public awareness of OCD symptoms should be raised, and primary care professionals should inquire about them with all patients who have depressive or anxiety disorders.

Obsessive-compulsive disorder: Prevalence, comorbidity, impact, and help-seeking in the British National Psychiatric Morbidity Survey of 2000

Objective: There is little information about obsessive-compulsive disorder in large representative community samples. The authors aimed to establish obsessive-compulsive disorder prevalence and its clinical typology among adults in private households in Great Britain and to obtain generalizable estimates of impairment and help-seeking.Method: Data from the British National Psychiatric Morbidity Survey of 2000, comprising 8,580 individuals, were analyzed using appropriate measurements. The study compared individuals with obsessive-compulsive disorder, individuals with other neurotic disorders, and a nonneurotic comparison group. ICD-10 diagnoses were derived from the Clinical Interview Schedule-Revised.Results: the authors identified 114 individuals (74 women, 40 men) with obsessive-compulsive disorder, with a weighted 1-month prevalence of 1.1%. Most individuals (55%) in the obsessive-compulsive group had obsessions only. Comorbidity occurred in 62% of these individuals, which was significantly greater than the group with other neuroses (10%). Co-occurring neuroses were depressive episode (37%), generalized anxiety disorder (31%), agoraphobia or panic disorder (22%), social phobia (17%), and specific phobia (15%). Alcohol dependence was present in 20% of participants, mainly men, and drug dependence was present in 13%. Obsessive-compulsive disorder, compared with other neurotic disorders, was associated with more marked social and occupational impairment. One-quarter of obsessive-compulsive disorder participants had previously attempted suicide. Individuals with pure and comorbid obsessive-compulsive disorder did not differ according to most indices of impairment, including suicidal behavior, but pure individuals were significantly less likely to have sought help (14% versus 56%).Conclusions: A rare yet severe mental disorder, obsessive-compulsive disorder is an atypical neurosis, of which the public health significance has been underestimated. Unmet need among individuals with pure obsessive-compulsive disorder is a cause for concern, requiring further investigation of barriers to care and interventions to encourage help-seeking.

Alterations following a fire in a forest community of Alto Rio Xingu

This study records the consequences of fire upon the soil and structure of the Amazonian Forest of Gaucha do Norte, Mato Grosso state, Brazil (13degrees12'S and 53degrees20'W). For this, the number of individuals sampled in 1 ha of the forest, during a phytosociological survey completed 2 days before the accidental fire, was compared with the survivors recorded afterwards in the reinventory of the area taken 2 days and 10 months after the fire. For the surveys, the area of 1 ha was subdivided into 50 plots of 10 m x 20 m, and all the individuals with circumference at breast height (CBH) greater than or equal to 15 cm were sampled. Chemical analysis of the 30 soil samples collected 2 days before the fire were compared with those obtained 15 days and 1 year after the fire. It was seen that, soon after the fire, there was a significant increase in the nutrient levels in the soil, an increase in the pH and a decrease in the aluminum toxicity. However, after 1 year, losses by lixiviation resulted in a nutrient reserve in the soil of less than that before the fire. The tree mortality was extremely high (23.98%), particularly amongst the younger individuals of the population (93.68% of the total of deaths in the period). There was no significant reduction in the forest richness analyzed: 60% of the species had reduced populations after the fire, but just four species were locally extinct. Results, however, demonstrated a role for fire in the selection of resistant species or those adapted to fires, since some species demonstrated a greater tolerance to the fire than others. (C) 2003 Elsevier B.V. B.V. All rights reserved.

Horizontal and vertical tree community structure in a lowland atlantic rain forest, southeastern Brazil

A estrutura horizontal e vertical do componente arbóreo foi investigada em um trecho de Floresta Atlântica baixo-montana através de um levantamento fitossociológico em dois blocos amostrais de 0,99 ha cada no Parque Estadual Intervales. Todos os indivíduos com DAP > 5 cm foram registrados. Foram amostrados 3.078 indivíduos distribuídos em 172 espécies. O índice de diversidade de Shannon foi de H' = 3,85 nat.ind.-1. A família Myrtaceae se destacou tanto em número de espécies (38) quanto em número de indivíduos (745) no levantamento. Euterpe edulis Mart. teve o maior valor de importância (33,98%), abrangendo 21,8% do total de indivíduos registrados. O índice de similaridade quantitativo foi maior do que o qualitativo, mostrando pouca variação estrutural entre os blocos amostrais, mas a grande quantidade de espécies pouco abundantes, resultou em pronunciadas diferenças florísticas entre eles. Uma análise de correspondência retificada (DCA) gerou três estratos verticais arbitrários. O estrato A (> 26 m) teve a menor densidade e foi bem representado pelas espécies Sloanea guianensis (Aubl.) Benth. e Virola bicuhyba (Schott. ex A.DC.) Warb. O estrato B (8 m < h < 26 m) mostrou a maior riqueza e diversidade florística, e o estrato C (< 8 m) a maior densidade. Euterpe edulis, Guapira opposita (Vell.) Reitz, Garcinia gardneriana (Planch. & Triana) Zappi e Eugenia mosenii (Kausel) Sobral foram bem representadas nos estratos B e C da floresta. A existência de estratos verticais em florestas tropicais é discutida, recomendando-se o uso da DCA para estudos da estratificação vertical em outras florestas tropicais.

A Survey of mid and large bodied mammals in Núcleo Caraguatatuba, Serra do Mar State Park, Brazil

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

Aquatic macrophytes of Itaipu Reservoir, Brazil: Survey of species and ecological considerations

In a survey of the aquatic macrophytes of the Itaipu Reservoir, we identified 62 taxa in 25 families and 42 genera. The highest number taxa was observed for the emergent macrophytes (40 taxa). Reduced fluctuation in water level, increased light penetration, and sediment enrichment by nutrients and organic matter following the formation of the reservoir favored the appearance of a species-rich community of submerged macrophytes (23% of the taxa identified). The aquatic macrophytes were found mainly near the mouths of the main tributaries of the reservoir, in shallow area of depth less than 2 meters. In addition to the shallow depth, the greater nutrient input from the tributaries and relative protection from wind explained this distribution. Among the species found, Egeria najas merits mention for its occurrence in all localities sampled, with biomass values varying between 98 and 186 gDW/m2. Some potential nuisance species such as Eichhornia crassipes, Salvinia auriculata, and Pistia stratiotes also deserve attention, since they were also observed to be covering large areas of Itaipu Reservoir. © 1999, Paraná Institute of Technology Publication.

Correlation between oral health perception and clinical factors in a Brazilian community

Objective: The aim of this study was to analyse associations between self-perception of oral health and relevant clinical, personal and socio-demographic factors in a Brazilian community. Material And Methods: Urban adults living in a city in southern Brazil were interviewerd and examined. Individuals with acute pain and who needed multiple extractions of teeth were excluded. Self-perception and the Oral Health Impact Profile (OHIP-14) were applied to measure the impact of oral conditions on the quality of life. Socio-demographic and clinical indicators were also analysed. Results: The clinical examination revealed a high dental caries experience (DMFT = 18.9) and a high prevalence of periodontal disease. Oral condition was considered normal by 42% of respondents. The variables associated with the OHIP-14 were: education, age, self-assessment, dental caries and the DMFT index. Conclusions: Self-perception of oral health was associated with OHIP-14 and the clinical indicators had low influence in the self-perception. Therefore, the development of educational initiatives and preventive strategies for the adult population is recommended. © BASCD 2011.

Aquatic macroinvertebrates survey and assessment of two artificial reservoirs into conservation units from the Southeast Region of Brazil

This study aims to inventory and assess the aquatic macroinvertebrates fauna in two artificial reservoirs into conservation units with differences regarding conservation level and to anthropogenic impacts. The samplings were carried out in Caetetus Ecological Station and Bauru City Zoological Park, where some physical and chemical variables also were measured. The results obtained indicated that the Caetetus Ecological Station is more effective in the conservation of the diversity of aquatic macroinvertebrates compared to Bauru City Zoological Park. These results can be attributed to the strong anthropogenic impact suffered by the reservoir in Bauru and demonstrate the importance of these areas in maintaining the diversity of aquatic macroinvertebrates community.

Economic and Social Panorama of the Community of Latin American and Caribbean States, 2013

Foreword by Alicia Bárcena.

Economic and Social Panorama of the Community of Latin American and Caribbean States 2014

This issue of the Economic and Social Panorama of the Community of Latin American and Caribbean States is a contribution by the Economic Commission for Latin America and the Caribbean (ECLAC) to the third Summit of Heads of State and Government of the Community of Latin American and Caribbean States (CELAC), to be held in San José in January 2015. This document is based on excerpts from some of the annual flagships published by the Commission in 2014: Statistical Yearbook for Latin America and the Caribbean 2013 (LC/G.2582-P); Demographic Observatory 2013 (LC/G.2615-P); Economic Survey of Latin America and the Caribbean 2014 (LC/G.2619-P); Preliminary Overview of the Economies of Latin America and the Caribbean 2014 (LC/G.2632-P); Foreign Direct Investment in Latin America and the Caribbean 2013 (LC/G.2615-P); Latin America and the Caribbean in the World Economy 2014 (LG/G.2625-P) “Social Panorama Social of Latin America 2014. Briefing Paper”; as well as the Gender Equality Observatory of Latin America and the Caribbean. Annual Report 2013-2014 (LC/G.2626).

Economic survey of the Caribbean 2008-2009

This survey provides an overview of the economic performance of countries of the Caribbean Community (CARICOM) for the year 2008 and their outlook for 2009. The report comprises three chapters. The first provides a regional comparative analysis of the main macroeconomic variables, namely GDP growth, inflation, fiscal and external accounts, as well as fiscal, monetary and other policies, particularly those specifically devised to cope with the ongoing global economic crisis. The second chapter deals with two topics relevant for economic development in the region: economic growth and small and medium enterprises development from an analytical and empirical perspective. The last chapter presents country briefs of the seven most developed countries (MDCs) in the Caribbean – Bahamas, Barbados, Belize, Guyana, Jamaica, Suriname and Trinidad and Tobago – together with a subregional assessment of the eight member countries of the Eastern Caribbean Currency Union (ECCU).

Nasal Carriage of Staphylococcus aureus in Botucatu, Brazil: A Population-Based Survey

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

Aquatic plant community in porto primavera reservoir

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

The Impact of Teaching Presence in Intensive Online Courses on Perceived Learning and Sense of Community: A Mixed Methods Study

This mixed methods concurrent triangulation design study was predicated upon two models that advocated a connection between teaching presence and perceived learning: the Community of Inquiry Model of Online Learning developed by Garrison, Anderson, and Archer (2000); and the Online Interaction Learning Model by Benbunan-Fich, Hiltz, and Harasim (2005). The objective was to learn how teaching presence impacted students’ perceptions of learning and sense of community in intensive online distance education courses developed and taught by instructors at a regional comprehensive university. In the quantitative phase online surveys collected relevant data from participating students (N = 397) and selected instructional faculty (N = 32) during the second week of a three-week Winter Term. Student information included: demographics such as age, gender, employment status, and distance from campus; perceptions of teaching presence; sense of community; perceived learning; course length; and course type. The students claimed having positive relationships between teaching presence, perceived learning, and sense of community. The instructors showed similar positive relationships with no significant differences when the student and instructor data were compared. The qualitative phase consisted of interviews with 12 instructors who had completed the online survey and replied to all of the open-response questions. The two phases were integrated using a matrix generation, and the analysis allowed for conclusions regarding teaching presence, perceived learning, and sense of community. The findings were equivocal with regard to satisfaction with course length and the relative importance of the teaching presence components. A model was provided depicting relationships between and among teaching presence components, perceived learning, and sense of community in intensive online courses.