Early onset obsessive-compulsive disorder with and without tics

Introduction: Research suggests that obsessive-compulsive disorder (OCD) is not a unitary entity, but rather a highly heterogeneous condition, with complex and variable clinical manifestations. Objective: The aims of this study were to compare clinical and demographic characteristics of OCD patients with early and late age of onset of obsessive-compulsive symptoms (OCS); and to compare the same features in early onset OCD with and without tics. The independent impact of age at onset and presence of tics on comorbidity patterns was investigated. Methods: Three hundred and thirty consecutive outpatients meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for OCD were evaluated: 160 patients belonged to the early onset group (EOG): before 11 years of age, 75 patients had an intermediate onset (IOG), and 95 patients were from the late onset group (LOG): after 18 years of age. From the 160 EOG, 60 had comorbidity with tic disorders. The diagnostic instruments used were: the Yale-Brown Obsessive Compulsive Scale and the Dimensional Yale-Brown Obsessive Compulsive Scale (DY-BOCS), Yale Global Tics Severity Scale; and Structured Clinical Interview for DSM-IV Axis I Disorders-patient edition. Statistical tests used were: Mann-Whitney, full Bayesian significance test, and logistic regression. © MBL Communications Inc.

Laboratorio de gestión urbana: plan parcial de expansión macroproyecto Ciudadela Gonzalo Vallejo Restrepo Pereira

Incluye Bibliografía

The current situation of small and medium-sized industrial enterprises in Trinidad & Tobago, Barbados and St. Lucia

Includes bibliography

Development banking in the Eastern Caribbean: the case of Saint Lucia and Grenada

Includes bibliography

Novel cellulose/NbOPO 4.nH 2O hybrid material from sugarcane bagasse

In recent years studies concerning the applications of lignocellulosic/ inorganic couples have resulted in the development of an interesting class of functional materials. In this work a cellulose/NbOPO 4.nH 2O hybrid using cellulose from surgacane bagasse was prepared and characterized in order to test for adsorption applications. The preparation process was conducted by carrying out metallic niobium dilution in hydrofluoric acid in the presence of nitric acid, then adding boric acid to form the complex and, finally, the cellulose sugar cane bagasse was added. Concentrated phosphoric acid was also inserted to precipitate hydrous niobium phosphate particles in the cellulose fiber. This material was characterized by X-ray diffractometry (XRD), thermogravimetry (TG/DTG), and scanning electronic microscopy (SEM) connected to an energy dispersive spectrophotometer (EDS). Results by SEM/EDS show that NbOPO 4.nH 2O was present in structure of the cellulose. During the preparation of the material, using boric acid it was observed that the formation of precipitate occurred in a shorter time than the material prepared without boric acid.

Prevention of hypertension in patients with pre-hypertension: Protocol for the PREVER-prevention trial

Background: Blood pressure (BP) within pre-hypertensive levels confers higher cardiovascular risk and is an intermediate stage for full hypertension, which develops in an annual rate of 7 out of 100 individuals with 40 to 50 years of age. Non-drug interventions to prevent hypertension have had low effectiveness. In individuals with previous cardiovascular disease or diabetes, the use of BP-lowering agents reduces the incidence of major cardiovascular events. In the absence of higher baseline risk, the use of BP agents reduces the incidence of hypertension. The PREVER-prevention trial aims to investigate the efficacy, safety and feasibility of a population-based intervention to prevent the incidence of hypertension and the development of target-organ damage.Methods: This is a randomized, double-blind, placebo-controlled clinical trial, with participants aged 30 to 70 years, with pre-hypertension. The trial arms will be chlorthalidone 12.5 mg plus amiloride 2.5 mg or identical placebo. The primary outcomes will be the incidence of hypertension, adverse events and development or worsening of microalbuminuria and of left ventricular hypertrophy in the EKG. The secondary outcomes will be fatal or non-fatal cardiovascular events: myocardial infarction, stroke, heart failure, evidence of new sub-clinical atherosclerosis, and sudden death. The study will last 18 months. The sample size was calculated on the basis of an incidence of hypertension of 14% in the control group, a size effect of 40%, power of 85% and P alpha of 5%, resulting in 625 participants per group. The project was approved by the Ethics committee of each participating institution.Discussion: The early use of blood pressure-lowering drugs, particularly diuretics, which act on the main mechanism of blood pressure rising with age, may prevent cardiovascular events and the incidence of hypertension in individuals with hypertension. If this intervention shows to be effective and safe in a population-based perspective, it could be the basis for an innovative public health program to prevent hypertension in Brazil.Trial Registration: Clinical Trials NCT00970931. © 2011 Fuchs et al; licensee BioMed Central Ltd.

Laboratorio de gestión urbana: plan parcial de expansión macroproyecto Ciudadela Gonzalo Vallejo Restrepo" en Pereira, Colombia"

Incluye Bibliografía

Comentarios a los documentos de Alicia Bercovich y Nilza Martins Pereira Unidad de empadronamiento: ¿hogar, vivienda o familia?: ventajas y desventajas del enfoque del censo brasileño" y de Ana Rico de Alonso "Unidad de empadronamiento y la relación de parentesco: el estudio de la estructura y tipos de familia""

Incluye Bibliografía

Impactos económicos y sociales de shocks energéticos en Chile: un análisis de equilibrio general

Incluye Bibliografía

Síndrome holandés, regalías mineras y políticas de gobierno para un país dependiente de recursos naturales: el cobre en Chile

Incluye Bibliografía

Financiamiento para el logro de los Objetivos de Desarrollo del Milenio en un contexto de crisis: indicadores para Chile

Incluye Bibliografía

Políticas fiscales, impactos energéticos y emisiones de CO2 en Chile

Incluye Bibliografía

Discurso del Sr. Miguel Villa, Director a.i. de la División de Población, CELADE

Incluye Bibliografía

Estimativa de alguns parâmetros de transporte de contaminantes para solos Brasileiros

This paper introduces an indirect estimate for the coefficients of distribution, hydrodynamic dispersion and retardation for contaminants commonly encountered in sanitary landfills and their liners, such as Cu2+ and K+; this estimate is based on the relationship between concentration and certain physical characteristics of typical Brazilian soils. The results of previous studies investigating the migration of contaminants were used to develop mathematical expressions from multiple non-linear regressions. Using minimal squares regression, this transport was linked to various combinations of contaminant concentration and both structural and textural characteristics of the porous medium. Various combinations of characteristics and concentrations were investigated, with a mathematical expression obtained for each. The relationship between percentage of clay and the contaminant content proved to be the most closely correlated with actual transport parameters, with coefficients close to one.