Factors associated with chronic pain in patients with bipolar depression: a cross-sectional study

Background: While pain is frequently associated with unipolar depression, few studies have investigated the link between pain and bipolar depression. In the present study we estimated the prevalence and characteristics of pain among patients with bipolar depression treated by psychiatrists in their regular clinical practice. The study was designed to identify factors associated with the manifestation of pain in these patients.- Methods:Patients diagnosed with bipolar disorder (n=121) were selected to participate in a cross-sectional study in which DSM-IV-TR criteria were employed to identify depressive episodes. The patients were asked to describe any pain experienced during the study, and in the 6 weeks beforehand, by means of a Visual Analogical Scale (VAS).- Results: Over half of the bipolar depressed patients (51.2%, 95% CI: 41.9%–60.6%), and 2/3 of the female experienced concomitant pain. The pain was of moderate to severe intensity and prolonged duration, and it occurred at multiple sites, significantly limiting the patient’s everyday activities. The most important factors associated with the presence of pain were older age, sleep disorders and delayed diagnosis of bipolar disorder.- Conclusions: Chronic pain is common in bipolar depressed patients, and it is related to sleep disorders and delayed diagnosis of their disorder. More attention should be paid to study the presence of pain in bipolar depressed patients, in order to achieve more accurate diagnoses and to provide better treatment options.

Leis extravagantes : Collegidas e Relatadas pelo Licenciado Duarte Nunez do Lião ; per mandado do muito alto e muito poderoso rei Dom Sebastião, Nosso Senhor

Duarte Nunes do Leão, jurista, historiógrafo e geontólogo português, desembargador da Casa de Suplicação, nasceu em Évora, aproximadamente em 1530, e morreu em Lisboa, provavelmente em 1608. Tendo estudado Direito Civil na Universidade de Coimbra, dedicou-se no início de sua carreira, exclusivamente, aos estudos jurídicos. Escritor muito laborioso e aplicado, foi autor de muitas obras, algumas impressas durante a sua vida e outras ainda inéditas. Devendeu arduamente os interesses de Flipe II à sucessão do trono, à época da reunião de Portugal à Coroa da Espanha, inclusivie manifestando-se por escrito contra aqueles que a impugnavam. Foi encarregado pelo Conde Redondo, regedor das justiças de Portugal, a fazer o repertório dos cinco livros das Ordenações Manuelinas, com a adição das Leis extravagantes, um edição realizada por ordem do Governo.

Radiotherapy plus nimotuzumab or placebo in the treatment of high grade glioma patients: results from a randomized, double blind trial

Background The prognosis of patients bearing high grade glioma remains dismal. Epidermal Growth Factor Receptor (EGFR) is well validated as a primary contributor of glioma initiation and progression. Nimotuzumab is a humanized monoclonal antibody that recognizes the EGFR extracellular domain and reaches Central Nervous System tumors, in nonclinical and clinical setting. While it has similar activity when compared to other anti-EGFR antibodies, it does not induce skin toxicity or hypomagnesemia. Methods A randomized, double blind, multicentric clinical trial was conducted in high grade glioma patients (41 anaplastic astrocytoma and 29 glioblastoma multiforme) that received radiotherapy plus nimotuzumab or placebo. Treatment and placebo groups were well-balanced for the most important prognostic variables. Patients received 6 weekly doses of 200 mg nimotuzumab or placebo together with irradiation as induction therapy. Maintenance treatment was given for 1 year with subsequent doses administered every 3 weeks. The objectives of this study were to assess the comparative overall survival, progression free survival, response rate, immunogenicity and safety. Results The median cumulative dose was 3200 mg of nimotuzumab given over a median number of 16 doses. The combination of nimotuzumab and RT was well-tolerated. The most prevalent related adverse reactions included nausea, fever, tremors, anorexia and hepatic test alteration. No anti-idiotypic response was detected, confirming the antibody low immunogenicity. The mean and median survival time for subjects treated with nimotuzumab was 31.06 and 17.76 vs. 21.07 and 12.63 months for the control group. Conclusions In this randomized trial, nimotuzumab showed an excellent safety profile and significant survival benefit in combination with irradiation.

Missale romanum ex decreto sacrosancti concilii tridentini restitutum :cum omnibus aliorum sanctorum missis novissimè per summos pontifices enarratis, ac universis ditionibus fidelissimorum lusitaniae regum hucusquè pro utroque clero concessis locupletatum : PII V. Pont. Max. Jussu editum, Clementis VIII. et Urbani VIII. Auctoritate Recognitum

Pagina de rosto e texto impressos em vermelho e preto

Transvases y discurso histórico: traducción/adaptación en la Edad Media

Eterio Pajares, Raquel Merino y José Miguel Santamaría (eds.)

Los otros textos: aplicaciones didácticas de la traducción audiovisual en el aula de lengua materna

Raquel Merino Álvarez, José Miguel Santamaría, Eterio Pajares (eds.)

Year class mortality, abundance and yield-per-recruit of yellowfin tuna in the eastern Pacific Ocean, 1954-1959

ENGLISH: One primary duty of the Inter-American Tropical Tuna Commission is to estimate the maximum sustainable catches of yellowfin tuna (Neothunnus macropterus) and skipjack (Katsuwonus pelamis), and to investigate and recommend proposals to maintain the stocks at levels which will permit these catches to be obtained. To do this, there is required some means of predicting yields relative to fishing intensity. . . The age composition of catch, and growth rate of yellowfin tuna for recent years have now been estimated (Hennemuth, 1961). In this paper, relative abundance at age of yellowfin tuna shall be estimated -and used, in turn, to estimate total mortality rate. Yield-per-recruit calculations, based on Beverton and Holt's (1957) simple equation, will be presented to compare present utilization with theoretical maxima under varying levels of fishing mortality and different ages at first capture. SPANISH: Uno de los principales deberes de la Comisión Interamericana del Atún Tropical es estimar las pescas máximas sostenibles de los atunes aleta amarilla (Neothunnus macropterus) y barrilete (Katsuwonus pelamis) , así como estudiar y recomendar proposiciones para mantener los stocks a niveles que permitan obtener estas pescas. Para lograr este propósito se requieren algunos medios que permitan predecir el rendimiento en relación con la intensidad de la pesca. . La composición de edades de la pesca y la tasa de crecimiento del atún aleta amarilla en años recientes han sido estimadas ahora (Hennemuth, 1961). En este trabajo, la abundancia relativa a una edad dada de esta especie será estimada y usada, a su vez, para estimar la tasa de mortalidad total. Los cálculos del rendimiento por recluta, basados en la ecuación simple de Beverton y Holt (1957), serán presentados para comparar la utilización actual con los máximos teóricos bajo valores variables de mortalidad por la pesca y a diferentes edades a la primera captura.

Distribution of catch-per-unit-of-effort and fishing effort for tuna in the Eastern Tropical Pacific Ocean by months of the year 1951-1960

ENGLISH: Comparison of physical and biological environmental factors affecting the aggregation of tunas with the success of fishing by the commercial fleets, requires that catch and effort data be examined in greater detail than has been presented in these publications. Consequently, the United States Bureau of Commercial Fisheries Biological Laboratory, San Diego, to serve the needs of its program of research on causes of variations in tuna abundance, made arrangements with the Tuna Commission to summarize these catch and effort data by month, by one-degree area, by fishing vessel size-class, for the years 1951-1960 for bait boats and 1953-1960 for purse-seiners. The present paper describes the techniques employed in summarizing these data by automatic data processing methods. It also presents the catch and effort information by months, by five-degree areas and certain combinations of five-degree areas for use by fishermen, industry personnel, and research agencies. Because of space limitations and other considerations, the one-degree tabulations are not included but are available at the Tuna Commission and Bureau laboratories. SPANISH: La comparación de los factores ambientales físicos y biológicos que afectan la agrupación del atún, con el éxito obtenido en la pesca por las flotas comerciales, requiere que los datos sobre la captura y el esfuerzo sean examinados con mayor detalle de lo que han sido presentados en estas publicaciones. En consecuencia, el Laboratorio Biológico del Buró de Pesquerías Comerciales de los Estados Unidos, situado en San Diego, a fin de llenar los requisitos de su programa de investigación sobre las causas de las variaciones en la abundancia del atún, hizo arreglos con la Comisión del Atún para sumarizar esos datos sobre la captura y el esfuerzo por meses, por áreas de un grado, por clases de tamaño de las embarcaciones de pesca durante los años 1951-1960 en lo que concierne a los barcos de carnada y durante el período 1953-1960 en lo que respecta a los barcos rederos. El presente trabajo describe la técnica empleada en la sumarización de dichos datos mediante métodos automáticos de manejo de datos. También se da aquí la información sobre la captura y el esfuerzo por meses, por áreas de cinco grados y ciertas combinaciones de áreas de cinco grados para el uso de los pescadores, del personal de la industria y de las oficinas de investigación. Por falta de espacio y otras razones, las tabulaciones de las áreas de un grado no han sido incluídos en este trabajo, pero están a la disposición de quien tenga interés en los laboratorios de la Comisión del Atún y del Buró.

Alvará com força de Lei, por que V. Magestade ha por bem estabelecer, que da publicação delle em diante, os Administradores, Feitores, e Caixeiros, ou quaesquer outras pessoas, que servirem a Companhia Geral do Grão Pará, e Maranhão em qualquer dos Portos do Ultramar, não possão per si, ou por interpostas pessoas directa, ou indirectamente fazer commercio algum particular, ou interessar-se com as pessoas, que o fizerem, em quanto forem pagos, ou constituidos para o manejo do commercio geral da dita Companhia : tudo na forma assima declarada : para Vossa Magestade ver : José Thomás de Sá o fez

Ao alto do título: Sebastião Joseph de Carvalho e Mello.

Defeza ou resposta do Tenente General Graduado Jorge D'Avillez Juzarte de Sousa Tavares

Chegado a Portugal, o general Avilez foi detido e submetido a Conselho de Guerra. A sua defesa relata o seu conflito com D.Pedro e sua retirada do Rio de Janeiro.

Tratado definitivo de paz, e união entre os serenissimos, e potentissimos Principes D. Joseph I. Rey Fidelissimo de Portugal, e dos Algarves, Jorge III, Rey da Gram Bretanha, de huma parte, Luiz XV, Rey Christianissimo de França, e D. Carlos III, Rey Catholico de Hespanha, da outra parte assignado em Pariz a dez de fevereiro de mil setecentos sessenta e tres :como plenos poderes, e ratificaçoens dos quatro monarcas contratantes, ajustando-se os actos que se passarão no dia 9 de março do mesmo anno, em que as ditas ratificações forão trocadas na mesma Corte de Pariz

Na Europa Central, onde ocorreram as principais batalhas terrestres, chamou-se Guerra dos Sete Anos; na Inglaterra, que foi a principal vencedora, chamou-se A Grande Guerra do Império; Nos Estados Unidos e no Canadá, que passou a ser inglês ao final dos combates, chamou-se de Guerra Franco-Índia.

Imagem da vida christam : ordenada per dialogos, como membros de sua composiçam

Frei Heitor Pinto nasceu em covilhã, Portugal, em 1528, e morreu em Toledo, Espanha, em 1584. Foi um dos mais eminentes escritores do seu tempo, sendo, atualmente, considerado um dos clássicos portugueses.

Catch-per-unit-effort and biological parameters from the Massachusetts coastal lobster (Homarus americanus) resource: Description and trends

Acomprehensive description of the Massachusetts coastal lobster (Homarus americanus) resou,rce was obtained by sampling commercial catches coastwide at sea and at dealerships between 1981 and 1986. Acommercial lobster sea-sampling program, wherein six coastal regions were sampled monthly, with an areal and temporal data weighting design, was the primary source of data. An improved index of catch per trap haul/set-over-day was generated by modeling the relationship between catch and immersion time and standardizing effort. This 6-year time-series of mean annual catch rates tracked closely the landings trend for territorial waters. During the study period there was a gradual increase in indices of exploitation and total annual mortality which corresponded to a gradual decline in mean carapace length of marketable lobster. The frequency of culls escalated from 10.0% in 1981 to 20.9% in 1986, while the percentage of lobster found dead in traps was consistently less than 1%. The sex ratio (%F:%M) was significantly different from 50:50 and approximated a 60:40 relationship during the study period. Male and female weight-length relationships were significantly different. Females weighed more than males at smaller sizes and less than males at larger sizes. A north-south clinal trend was evident wherein lobster north of Cape Cod weighed less at length than those from regions south of Cape Cod. Functional size-maturity relationships were developed for female lobster by staging cement gland development. Proportions mature at size represent more realistic values than those obtained by analyses of percent of females ovigerous. Regional variation occurred in most of the parameters studied. Three lobster groups, differing in major population descriptors, are defined by our data.(PDF file contains 28 pages.)

Ictiólogos de la Argentina: Juan Manuel Cordini.

This series will include all those people who, by means of their contributions, great and small, played a part in the consolidation of ichthyology in Argentina. The general plan of this work consists of individual factsheets containing a list of works by each author, along with reference bibliography and, whenever possible, personal pictures and additional material. The datasheets will be published primarily in chronological order, although this is subject to change by the availability of materials for successive editions. This work represents another approach for the recovery and revalorization of those who set the foundations of Argentine ichthyology while in diverse historical circumstances. I expect this to be the beginning of a major work that achieves the description of such a significant part of the history of natural sciences in Argentina.