Efficacy of a cognitive and behavioural psychotherapy applied by primary care psychologists in patients with mixed anxiety-depressive disorder: a research protocol

Background: In contrast with the recommendations of clinical practice guidelines, the most common treatment for anxiety and depressive disorders in primary care is pharmacological. The aim of this study is to assess the efficacy of a cognitive-behavioural psychological intervention, delivered by primary care psychologists in patients with mixed anxiety-depressive disorder compared to usual care. Methods/Design: This is an open-label, multicentre, randomized, and controlled study with two parallel groups. A random sample of 246 patients will be recruited with mild-to-moderate mixed anxiety-depressive disorder, from the target population on the lists of 41 primary care doctors. Patients will be randomly assigned to the intervention group, who will receive standardised cognitive-behavioural therapy delivered by psychologists together with usual care, or to a control group, who will receive usual care alone. The cognitive-behavioural therapy intervention is composed of eight individual 60-minute face-to face sessions conducted in eight consecutive weeks. A follow-up session will be conducted over the telephone, for reinforcement or referral as appropriate, 6 months after the intervention, as required. The primary outcome variable will be the change in scores on the Short Form-36 General Health Survey. We will also measure the change in the frequency and intensity of anxiety symptoms (State-Trait Anxiety Inventory) and depression (Beck Depression Inventory) at baseline, and 3, 6 and 12 months later. Additionally, we will collect information on the use of drugs and health care services. Discussion: The aim of this study is to assess the efficacy of a primary care-based cognitive-behavioural psychological intervention in patients with mixed anxiety-depressive disorder. The international scientific evidence has demonstrated the need for psychologists in primary care. However, given the differences between health policies and health services, it is important to test the effect of these psychological interventions in our geographical setting.

O Perfil do Professor de Educação Infantil da cidade do Rio de Janeiro

A presente pesquisa tem por objetivo investigar e desenhar o perfil dos professores de Educação Infantil do município do Rio de Janeiro, que trabalham em turmas de creche e são oriundos do primeiro concurso realizado para o cargo. Para tanto, as políticas públicas nacionais e regionais foram analisadas à luz do referencial do Ciclo de Políticas, de Ball e Bowe (1992 - 1994). Foram observados os diferentes contextos que culminaram com a criação do cargo de Professor de Educação Infantil (2010) na busca de elementos que ajudam a conhecer o quadro funcional dos profissionais que atuam na Educação Infantil, mais especificamente nas creches cariocas. Apresentamos um breve levantamento dos dados sobre a cidade do Rio de Janeiro, em especial, o lugar que ocupa a Educação Infantil no sistema de ensino carioca. A pesquisa adota uma metodologia qualitativa-quantitativa (quali-quanti). Foi utilizado um questionário digital (plataforma Google Docs) com questões referentes aos aspectos funcionais e formativos do professor. O questionário foi enviado digitalmente às creches para que fosse disponibilizado aos professores de educação infantil nelas lotados. Foram realizados dois grupos focais com professores que responderam ao instrumento digital e aceitaram o convite para participação na modalidade presencial da pesquisa. As questões apresentadas nos Grupos Focais buscaram qualificar os dados produzidos no questionário. As análises qualitativas apoiaram-se na perspectiva teórica de Lev Vigotski e entendem os sujeitos sócio-históricos, imersos em contextos específicos de desenvolvimento e em processo contínuo de transformação. A análise quantitativa apresentou dados relativos à idade, sexo, grupamentos de atuação e experiência profissional. A qualitativa ampliou a discussão sobre a formação inicial e continuada dos PEI e o processo de construção da identidade profissional por eles vivido, dando destaque às situações de conflitos existentes nos ambientes de trabalho (creche e EDI). O perfil produzido revela que o cargo é ocupado por professoras, com idade média de 37 anos, graduadas e que atuam prioritariamente em turmas de maternal. O acesso aos dados produzidos por esta pesquisa pode auxiliar a formulação de políticas públicas que busquem o desenvolvimento das crianças cariocas matriculadas nas creches, a partir do investimento em profissionais especificamente formados para lidar com os desafios do trabalho com as crianças pequenas

Limnological survey of the Cheshire, Shropshire, Staffordshire Meres. Interim data report

This is the Limnological survey of the Cheshire, Shropshire, and Staffordshire Meres: Interim data report produced by the University of Liverpool in 1992. This report looks at the Limnological survey data from Cheshire, Shropshire and Staffordshire Meres. Limnological data of the report covers: changes in water conductivity, Phenolphthalein Alkalinity, Total Alkalinity, pH, Chloride concentrations, Soluble reactive Phosphorus, Total Phosphorus, Nitrate Nitrogen, Ammonium Nitrogen, Silicate, Chlorophyll, Carotenoids, Secci disk depth, changes in Trophic Score, changes in DAFOR scores for submerged and floating plants and Oxygen saturation during summer. This report also contains Seasonal maps of different Meres. The more important limnological data are plotted as seasonal means in relation to the sampling sites. Conductivity is shown as μSiemens per cm, alkalinity as milliequivalents per litre. Total and soluble reactive (available inorganic) phosphorus are shown in terms of P in μg per litre. Nitrate and ammonium are shown in terms of N in mg per litre. Chlorophyll a is given as μg per litre. A profile of oxygen saturation is shown. These profiles were obtained towards the middle of the day in August and September.

Nutrição hiperproteica em recém-nascidos com muito baixo peso e evolução de índices antropométricos até a alta hospitalar: ensaio clínico randomizado

Apesar de diversos estudos sobre nutrição de prematuros terem sido realizados, ainda não existe consenso sobre a melhor estratégia nutricional a ser adotada. Atualmente a taxa de crescimento dessa população não é semelhante àquela encontrada no ambiente intrauterino. O presente estudo tem por objetivo avaliar se o maior aporte proteico enteral durante a internação hospitalar promove melhora dos índices antropométricos na alta hospitalar. Realizou-se um ensaio clínico randomizado com 117 prematuros nascidos entre janeiro de 2009 e julho de 2013 com peso ≤ 1500 gramas e idade gestacional≤32 semanas em uma unidade terciária de saúde, excluídos os nascidos com malformações graves, aferindo-se os índices antropométricos ao nascimento e na alta hospitalar. Randomizou-se os prematuros por meio de sorteio em dois grupos. O grupo 1 (n=53), foi submetido a um aporte protéico enteral diário de 4,5 gramas/kg/dia, enquanto o grupo 2 (n=64), recebeu 3,5 gramas/kg/dia. Avaliou-se se a nutrição enteral com aporte protéico maior que o comumente utilizado em unidades de terapia intensiva neonatais e também descrito na literatura, promove diferenças antropométricas na alta hospitalar. Na análise dos resultados, verificou-se diferença estatisticamente significativa para retorno ao peso de nascimento (p=0,02), crescimento de escore-Z em relação ao peso de nascimento (p=0,03) e crescimento escore-Z em relação ao comprimento de nascimento (p=0,02) quando comparados o grupo 1 ao 2. Não houve diferenças estatisticamente significativas nas incidências de enterocolite necrotizante (p=0,70, RR 0,88), déficit ponderal na alta (p=0,27, RR 0,70), restrição de crescimento na alta (p= 0,39, RR 0,82) e déficit de perímetro cefálico na alta (p=0,45, RR 0,67). Concluiu-se, apesar das limitações metodológicas do estudo, que os participantes do grupo 1 apresentaram menor decréscimo de escores-Z em relação ao peso de nascimento e ao comprimento de nascimento quando comparados ao grupo 2, além de necessidade de menor tempo para recuperação do peso de nascimento. Não houve diferença entre os grupos para tempo de internação hospitalar, assim como para intercorrências de interesse (enterocolite necrotizante, déficit ponderal na alta, restrição de crescimento na alta e déficit de perímetro cefálico na alta).

Application of an acoustic–trawl survey design to improve estimates of rockfish biomass

Biomass estimates of several species of Alaskan rockfishes exhibit large interannual variations. Because rockfishes are long lived and relatively slow growing, large, short-term shifts in population abundance are not likely. We attribute the variations in biomass estimates to the high variability in the spatial distribution of rockfishes that is not well accounted for by the survey design currently used. We evaluated the performance of an experimental survey design, the Trawl and Acoustic Presence/Absence Survey (TAPAS), to reduce the variability in estimated biomass for Pacific ocean perch (Sebastes alutus). Analysis of archived acoustic backscatter data produced an acoustic threshold for delineating potential areas of high (“patch”) and low (“background”) catch per unit of effort (CPUE) in real time. In 2009, we conducted a 12-day TAPAS near Yakutat, Alaska. We completed 59 trawls at 19 patch stations and 40 background stations. The design performed well logistically, and Pacific ocean perch (POP) accounted for 55% of the 31 metric tons (t) of the catch from this survey. The resulting estimates of rockfish biomass were slightly less precise than estimates from simple random sampling. This difference in precision was due to the weak relationship of CPUE to mean volume backscattering and the relatively low variability of POP CPUE encountered. When the data were re-analyzed with a higher acoustic threshold than the one used in the field study, performance was slightly better with this revised design than with the original field design. The TAPAS design could be made more effective by establishing a stronger link between acoustic backscatter and CPUE and by deriving an acoustic threshold that allows better identification of backscatter as that from the target species.

A survey of deep-water coral and sponge habitats along the west coast of the US using a remotely operated vehicle: NOAA Fisheries Survey Vessel (FSV)'Bell M. Shimada', November 1-5, 2010

Remotely operated vehicle (ROV) surveys were conducted from NOAA’s state-of-the-art Fisheries Survey Vessel (FSV) Bell M. Shimada during a six-day transit November 1-5, 2010 between San Diego, CA and Seattle, WA. The objective of this survey was to locate and characterize deep-sea coral and sponge ecosystems at several recommended sites in support of NOAA’s Coral Reef Conservation Program. Deep-sea corals and sponges were photographed and collected whenever possible using the Southwest Fisheries Science Center’s (SWFSC) Phantom ROV ‘Sebastes’ (Fig. 1). The surveyed sites were recommended by National Marine Sanctuary (NMS) scientists at Monterey Bay NMS, Gulf of the Farallones NMS, and Olympic Coast NMS (Fig. 2). The specific sites were: Sur Canyon, The Football, Coquille Bank, and Olympic Coast NMS. During each dive, the ROV collected digital still images, video, navigation, and along-track conductivity-temperature-depth (CTD), and optode data. Video and high-resolution photographs were used to quantify abundance of corals, sponges, and associated fishes and invertebrates to the lowest practicable taxonomic level, and also to classify the seabed by substrate type. A reference laser system was used to quantify area searched and estimate the density of benthic fauna.

Longitudinal logbook survey designs for estimating recreational fishery catch, with application to ayu (Plecoglossus altivelis)

Longitudinal surveys of anglers or boat owners are widely used in recreational fishery management to estimate total catch over a fishing season. Survey designs with repeated measures of the same random sample over time are effective if the goal is to show statistically significant differences among point estimates for successive time intervals. However, estimators for total catch over the season that are based on longitudinal sampling will be less precise than stratified estimators based on successive independent samples. Conventional stratified variance estimators would be negatively biased if applied to such data because the samples for different time strata are not independent. We formulated new general estimators for catch rate, total catch, and respective variances that sum across time strata but also account for correlation stratum samples. A case study of the Japanese recreational fishery for ayu (Plecoglossus altivelis) showed that the conventional stratified variance estimate of total catch was about 10% of the variance estimated by our new method. Combining the catch data for each angler or boat owners throughout the season reduced the variance of the total catch estimate by about 75%. For successive independent surveys based on random independent samples, catch, and variance estimators derived from combined data would be the same as conventional stratified estimators when sample allocation is proportional to strata size. We are the first to report annual catch estimates for ayu in a Japanese river by formulating modified estimators for day-permit anglers.

A report of the Fisheries Catch Assessment Survey in the Ugandan waters of Lake Victoria for the February 2008 survey

Between July 2005 and February 2008, ten Catch Assessment Surveys (CASs) were conducted at 54 pre-selected fish landing sites in the Ugandan part of Lake Victoria comprising approximately 10% of all landing sites in each of the 11 districts sharing the lake. The CASs were conducted following regionally harmonised Standard Operating Procedures (SOPs). This report covers the CAS conducted in February 2008 and puts into context the trends generated by results of the previous surveys. The catch rates of Nile perch in gillnetting boats with motor/sail, reduced from 26.9 kg boat-1 day-1 in August 2007 to 22.8 kg boat-1 day-1 in February 2008. Whereas the catch rates of paddle Sesse boats remained more or less the same as in August 2007. The Nile perch catch rates of the long line fishery of the boats using motor/sail was similar, 35 and 36 kg boat-1 day-1 in August 2007 and February 2008 respectively but the catch rates of paddle Sesse boats using long lines showed some more increase from 19 to 22 kg boat (-1) day (-1). In the tilapia fishery, the catch rates of the parachute boats using gillnets showed further decrease in a row from 12.6 kg boat-1 day-1 in December 2006, 11.6 kg boat-1 day-1 in March 2007, 11.2 kg boat-1 day-1 in August 2007 and 10.0 kg boat-1 day-1 in February 2008. The overall impact of reduced catch rates in the predominant effort groups, e.g. gillnetting boats using motor/sail in the Nile perch fishery and Parachute boats using gillnets in the tilapia fishery overshadowed the increases in less dominant effort groups and resulted in the lowest monthly catch estimates recorded in the surveys conducted since 2005. Whereas there was a clear downward trend in the Nile perch catch rates of boats using gillnets, which corroborates with the information of declining stocks from the recent Acoustics surveys, the catch rates in the long line fishery remained stable and even somewhat increasing in the last four surveys. The factors that maintain high catches against reduction of fish biomass in the long line fishery and their effects on sustainability of the Nile perch fishery should be investigated further. The Mukene fishery, characterised by large fluctuations in the catch rates did not show much change in the last two surveys in August 2007 and February 2008 and the annual catch estimates showed an overall increase of 7% from 2005 to 2007. The Mukene fishery in the Ugandan waters of Lake Victoria remained a near shore fishery in which paddle Sesse boats using small seines or scoop nets were the dominant craft.

Survey on the idle capacity of fish processing (freezing) plants in India - 1. West Coast

The extent of idle capacity in fish processing (freezing) plants estimated by stratified random sampling is reported. The estimates for 1978 and 1979 for the processing plants on the west coast of India were 76.9 % and 73.2 % respectively at the rate of 250 working days per annum and two shifts per day. The percentage error of estimates worked out to 6.04 for 1978 and 6.98 for 1979. Substantial under utilization of processing plants noticed in all the states accounts mainly to the non-availability of raw material (prawn), high cost of production and shortage of power.

Survey on the idle capacity of fish processing (freezing) plants in India - 2. East coast

The extent of idle capacity in the fish processing (freezing) plants in the east coast of India estimated by stratified random sampling and the factors responsible for the same are reported. The estimates of idle capacity of fish processing plants in the east coast for the years 1978 and 1979 were respectively 75.9% and 72.5% on the basis of 250 working days per annum and double shift per day. The percentage errors of estimates worked out to 6.9 for 1978 and 4.7 for 1979. The corresponding figures were worked out on the basis of 200 working days also. Substantial under-utilisation of plants in all the maritime states in the east coast accounted mainly to non-availability of raw material, high cost of production, shortage of power, scarcity of ice and potable water during peak season and frequent labour troubles.

The survey on growth and survival rate parameters with slurry and comparison by common method

This project was on “Study of Slurry, as an enrichment compound, on growth and survival parameters of Rutilus firisii kutum Kamensky 1901 larva and compare with routine condition according to hypothesis that use of Slurry, fertile organic compound, to increase the efficiency of survivorship and growth of Rutilus firisii and in other hand adaptation of natural food was performance.” The object of this project is to compare growth of Rutilus firisii and in usual condition and the condition of use Slurry The experiences performed in culture and propagation center Dr. Yousefpour decent (Associan of Dr. Beheshti culture and propagation) in Siahkal village, 32 Km far from southeast, in North of Iran. In this plan, three different treatments and related these nine pools , in 1.7 hec area (in same condition) were determined so that the density of storage was 1.7 million/hec larva. In this research at first treatment m we use slurry as enrichment compound during larval within a period of 13 days, and it used all the days of during larval in second treatment. Then the result of this study compared to control treatment. The results have shown the level of this study compared to control treatment. The results have shown the level of survivorship in pools were nutrition by slurry was 1.7 million times or twice than pools were nutrition with usual concentrate. In addition, growth coefficient such as daily weight growing (DWG) index, daily length growth (DLG), specific growth ratio (SGR) were measured in this case. All of these parameters in slurry treatment were shown noticeable enhancement in first treatment Thereof in the first week there was significant difference (P<0.001) between the average of length and weight in first week , and in the second week there was a significant difference (P<0.05) between them.

Aquatic and fisheries survey of the upper Victoria Nile: a report prepared for AES Nile Power Bujagali hydropower project, final report

The aquatic ecosystem of the Upper Victoria Nile is part of a wider complex of water bodies (lakes and rivers) in Uganda that is of immense socioeconomic importance, especially the fisheries. A source of food, income, energy, irrigation and drinking water, the protection, sustainable use and management of the Upper Victoria Nile water resources are vital to Uganda's economy. The Upper Victoria Nile,due to its abundance of socio-economic benefits,provides a significant contribution to Uganda's economy. The fisheries contribute to the sector as a major source of the export earnings, second to coffee (NEMA,1996), sustain small fishing villages,provide income and generally improve nutrition. Apart from the socio-economic significance of the fisheries,the riverine features of the Upper Victoria Nile, especially its hydropower potential,distinguish this river from the rest of the aquatic ecosystems in the country.

Evaluation of a national evidence-based health care course via teleconference in a developing country

Rationale, aims and objectives Continuing health education is essential but challenged. in 2006, the Brazilian Cochrane Center, in collaboration with the Ministry of Health, launched a mass teaching initiative in evidence-based health care (EBH) for public-sector professionals via teleconferencing. This 152-hour, interactive EBH course has enrolled over 4500 professionals. This study aimed to assess the acquisition EBH knowledge and skills, as well as the attitudes and perceptions of a sample of students enrolled in the 2009 course via teleconferencing.Methods This prospective cohort study analyzed three aspects of this 152-hour EBH course that recruited 1040 volunteer participants, all public health sector employees working in 131 different hospitals or health agencies. Pre- and post-course tests using a modified version of the Berlin questionnaire with 20 multiple-choice questions were used to examine knowledge acquisition in a sample of 297 students. Tests were completed upon registration and at course completion. the research projects submitted by 872 participants were evaluated to assess skill acquisition. Answers to an anonymous survey assessed the attitudes and perceptions of 914 participants.Results There was a significant increase in knowledge from baseline to course completion (mean scores 8.2 +/- 3.3 versus 13.7 +/- 3.0, P < 0.001). Over 90% of the research projects were judged to be of adequate quality (appropriate rationale for the study, well-formulated research question and feasible execution); over 95% of the participants were satisfied with the course.Conclusion the Brazilian EBH course via teleconference improved the knowledge and skills of public-sector health professionals and was approved by the vast majority of students.

How smokers may react to cigarette taxes and price increases in Brazil: data from a national survey

Background: Despite being the third largest tobacco producer in the world, Brazil has developed a comprehensive tobacco control policy that includes a broad restriction on both advertising and smoking in indoor public places, compulsory pictorial warning labels, and a menthol cigarette ban. However, tax and pricing policies have been developed slowly and only very recently were stronger measures implemented. This study investigated the expected responses of smokers to hypothetical price increases in Brazil.Methods: We analyzed smokers' responses to hypothetical future price increases according to sociodemographic characteristics and smoking conditions in a multistage sample of Brazilian current cigarette smokers aged >= 14 years (n = 500). Logistic regression analysis was used to examine the relationship between possible responses and different predictors.Results: in most subgroups investigated, smokers most frequently said they would react to a hypothetical price increase by taking up alternatives that might have a positive impact on health, i.e., they would try to stop smoking (52.3%) or smoke fewer cigarettes (46.8%). However, a considerable percentage responded that they would use alternatives that would reduce the effect of price increases, such as the same brand with lower cost (48.1%). After controlling for sex age group (14-19, 20-39, 40-59, and >= 60 years), schooling level (>= 9 versus <= 9 years), number of cigarettes per day (>20 versus <= 20), and stage of change for smoking cessation (precontemplation, contemplation, and preparation), lower levels of dependence were positively associated with the response I would try to stop smoking (odds ratio [OR], 2.19). Young age was associated with I would decrease the number of cigarettes (OR, 3.44). A low schooling level was strongly associated with all responses.Conclusions: Taxes and prices increases have great potential to stimulate cessation or reduction of cigarette consumption further among two important vulnerable populations of smokers in Brazil: young smokers and those of low educational level. the results from the present study also suggest that seeking illegal products may reduce the impact of increased taxes, but does not eliminate it.

Construct and content validity of the Greek version of the birth satisfaction scale (G-BSS).

Background: ‘Birth Satisfaction’ is a term that encompasses a woman’s evaluation of her birth experience. The term includes factors such as her appraisal of the quality of care she received, a personal assessment of how she coped, and her reconstructions of what happened on that particular day. Her accounts may be accurate or skewed, yet correspond with her reality of how events unfolded. Objective: To evaluate properties of an instrument designed to measure birth satisfaction in a Greek population of postnatal women. Study design: We assessed factor structure, internal consistency, divergent validity and known-groups discriminant validity of the 30-item Greek Birth Satisfaction Scale – Long Form (30-item G-BSS-LF) and its revised version the 10-item Greek-BSS-Revised (10-item-G-BSS-R), using survey data collected in Athens. Participants: A convenience sample of healthy Greek postnatal women (n = 162) aged 22–46 years who had delivered between 34 and 42 weeks’ gestation. Results: The 30-item-G-BSS-LF performed poorly in terms of factor structure. The short-form 10-item-G-BSS-R performed well in terms of measurement replication of the English equivalent version as a multidimensional instrument. The short-form 10-item-G-BSS-R comprises three subscales which measure distinct but correlated domains of: (1) quality of care provision (4 items), (2) women’s personal attributes (2 items), and (3) stress experienced during labour (4 items). Key conclusions: The 10-item-G-BSS-R is a valid and reliable multidimensional psychometric instrument for measuring birth satisfaction in Greek postnatal women.