Leading With the Relationship: The Role of the Therapeutic Relationship in Motivational Interviewing

Motivational Interviewing (MI) is a brief evidence-based treatment that is most commonly used to treat addictive behaviors and to encourage diet and lifestyle changes and treatment adherence in health care settings. In recent years MI's use has been expanded to multiple other client populations in clinical psychology, as well as to other sectors, such as in education, and international non-profit work (Hettema at al., 2005). MI was inspired by research that demonstrated a high correlation between therapist application of the client-centered skill of accurate empathy and a reduction in drinking behaviors (Miller et al., 1980). MI contains both relational and technical components that are intended to operate synergistically. Despite a large body of research on MI treatment outcomes, variation in effectiveness has been found among studies, and the active ingredients of MI, particularly the relational aspects, are not well understood. As a result, the use of MI in many treatment settings is limited to the technical components of MI without a theory-based integration of the therapeutic relationship. This paper focuses on the contribution of the relational component to the effectiveness of MI, and explores the synergistic relationship between the technical and relational components of MI. A literature review of MI and the trans-theoretical literature on the therapeutic relationship is followed by two case illustrations. The paper concludes with recommendations for the field.

Qualidade nutricional de rações para cães: Influência de Zn na absorção de Cu e na prevenção de doença hepática

As rações comerciais devem ser um alimento balanceado que supra todas as exigências nutricionais nas diferentes fases da vida do animal. Sua formulação deve conter ingredientes de qualidade, em proporções adequadas. É de fundamental importância o conhecimento do valor nutricional das rações, para assegurar que o cão esteja ingerindo diariamente quantidades corretas dos nutrientes. O desbalanço de elementos essenciais e a presença de elementos tóxicos podem causar desequilíbrios nutricionais, doenças e, até mesmo, consequências fatais aos cães. O cobre é um dos vários elementos de importância a ser estudado quanto aos defeitos metabólicos nos cães. O acúmulo de cobre no fígado pode ocasionar lesões progressivas nas organelas dos hepatócitos, resultando em hepatite crônica e cirrose. Diante disso, este trabalho teve como objetivos (I) quantificação dos elementos químicos com função nutricional e com potencial tóxico presentes nas rações para cães adultos e filhotes, (II) avaliação da composição centesimal das rações amostradas, (III) avaliação da variação dos elementos químicos entre as amostras de ração de um mesmo lote de produção (IV), estudo da representatividade de pequenas porções-teste, (V) avaliação da bioacessibilidade de cobre em rações, com experimento in vitro. Os elementos químicos Al, As, Br, Ca, Cl, Co, Cr, Cs, Cu, Fe, I, K, La, Mg, Mn, Na, P, Rb, Sb, Sc, Se, Ti, U e Zn foram determinados pela análise por ativação neutrônica instrumental (INAA). A composição centesimal foi avaliada de acordo com os métodos recomendados da AOAC. A homogeneidade de distribuição dos elementos químicos nas rações foi avaliada pela análise de amostras grandes (LS-NAA). A bioacessibilidade de cobre nas rações foi estimada por meio da simulação da digestão gastrointestinal in vitro. Foi possível determinar por INAA todos os nutrientes minerais, isto é, Ca, P, K, Na, Cl, Mg, Fe, Cu, Mn, Zn, I e Se, com limites estabelecidos pela Association of American Feed Control Officials. Foram notadas em algumas rações altas concentrações de Al, Sb e U, elementos com grande potencial tóxico. Cerca de 16 % das amostras de ração apresentaram, pelo menos, um parâmetro não conforme quanto à composição centesimal. Os resultados obtidos por LS-NAA e NAA convencional mostraram variação na composição entre os sacos de ração para Br, Ca, Na e Zn, com boa concordância entre ambos os métodos. O emprego da LS-NAA combinada com NAA convencional permitiu observar que pequenas porções-teste (350 mg) de ração são representativas comparadas com aquelas de 1 kg para Br, Ca, K, Na e Zn. Em todas as rações para cães, 50 % do cobre presente estava sob a forma bioacessível

Thermogravimetric analysis of the pyrolysis of several materials used in the preparation of commercial cigarettes

Comunicación presentada en forma de póster en el "12th Mediterranean Congress of Chemical Engineering", Barcelona (Spain), November 15-18, 2011

Catalytic effect of MCM-41 in the pyrolysis of tobacco and several substances used as additives in the preparation of commercial cigarettes

Comunicación presentada en forma de póster en el "12th Mediterranean Congress of Chemical Engineering", Barcelona (Spain), November 15-18, 2011.

The influence of magnetic field geometry on magnetars X-ray spectra

Nowadays, the analysis of the X-ray spectra of magnetically powered neutron stars or magnetars is one of the most valuable tools to gain insight into the physical processes occurring in their interiors and magnetospheres. In particular, the magnetospheric plasma leaves a strong imprint on the observed X-ray spectrum by means of Compton up-scattering of the thermal radiation coming from the star surface. Motivated by the increased quality of the observational data, much theoretical work has been devoted to develop Monte Carlo (MC) codes that incorporate the effects of resonant Compton scattering (RCS) in the modeling of radiative transfer of photons through the magnetosphere. The two key ingredients in this simulations are the kinetic plasma properties and the magnetic field (MF) configuration. The MF geometry is expected to be complex, but up to now only mathematically simple solutions (self-similar solutions) have been employed. In this work, we discuss the effects of new, more realistic, MF geometries on synthetic spectra. We use new force-free solutions [14] in a previously developed MC code [9] to assess the influence of MF geometry on the emerging spectra. Our main result is that the shape of the final spectrum is mostly sensitive to uncertain parameters of the magnetospheric plasma, but the MF geometry plays an important role on the angle-dependence of the spectra.

Winthrop, John, 1606-1676, autographed letter signed (copy) to Richard Odell; Pequot, Conn., 1 side (4 pages), 1652 November 27

Copy of correspondence responding to a November 16, 1652, letter from Odell regarding his daughter's illness, which Winthrop speculates is hemiplegia. According to Winthrop, "The cure depends upon the knowledge of the right cause, and not only that but the constand and due aplication of such things as may conduce them thereto, which is difficult to doe at a distance." Winthrop further writes that he did not at present have medicine to send for her condition, but recommends "some general things that might be helpfull." These included keeping the child warm with fox or rabbit furs, an ointment consisting of herbs, wax, castor oil, worm grease, fox grease, or an ointment of balsam. Winthrop writes he has sent an ointment, but does not specify its ingredients. His other suggestions for treatment include cupping without scarification, and an decoction containing sarsaparilla, guaiacum, and spirit of rosemary.

Receipt book of Francis Kittredge, 1780

Contains instructions for preparing and administering medicine for adults and children, and generalized uses for certain ingredients, written by Dr. Francis Kittredge. Preparations include ointment for scurvy, bone ointment, nerve ointments, procedures to soothe a sore mouth and to stop excessive bleeding, and treatment to kill worms. The materials used to prepare bone ointment include fresh butter, hog fat, chamomile, garlic, and night shade, among other ingredients. The recipe for “simple nerve ointment” instructs the preparer to simmer half a pint of neet foot oil, a pint of rum, and one jell of oil of turpentine over a “gentle fire.” Kittredge writes that oil of St. John’s Wort is effective in treating swelling of the legs, for cold and aches, and for burning and scalds, while oil of Elderflower is indicated for belly aches. The manuscript is housed in a binding created by the Harvard Medical School library. Tipped into the binding is one letter from Frederick O. West, M.D., Harvard Medical School, Boston, Massachusetts, that accompanied his donation of the Kittredge receipt book to the library in 1919. There is also one letter of unknown provenance enclosed with the receipt book, which contains an inventory of the estate of Antipas Brigham, of Grafton, Massachusetts, signed by Worcester County Judge Joseph Wilder on 7 November 1749. It is unclear if this letter has any connection to Frederick O. West or Francis Kittredge.

Evaluating Spirulina as a protein source in Nile Tilapia (Oreochromis niloticus) grow-out diets

Aquaculture growth has intensified the need for a diversification of nutritionally appropriate aquafeed ingredients. The purpose of this study was to evaluate Spirulina, a blue-green microalgae, and soybean meal as the sole protein sources in grow-out Tilapia diets. We constructed 3 experimental diets with soybean meal and 0,15, 30, and 45% Spirulina (SBM, SP15, SP30, and SP45 respectively) as their main protein sources. We compared these diets to a commercial Tilapia diet (CC). Additionally, to evaluate the benefit of fishmeal inclusion, fishmeal was added (2 and 10%) to the most successful Spirulina containing diet (FM2, FM10). We evaluated these experimental diets based on their physical properties, palatability, growth potential, waste production, and overall cost. No significant differences in growth performance were found between any of the diets. Total ammonia nitrogen (TAN) and total phosphorus (TP) levels in each tank were significantly affected by diet (p<0.05). CC had significantly higher TP than the experimental diets and SP15 had significantly higher TAN than the other diets. Only CC was found to be significantly more palatable than the experimental diets, and Spirulina inclusion was inversely correlated to pellet stability. Lastly, SP15 was the most profitable experimental diet. We recommend eliminating fishmeal from grow-out Tilapia diets in favour of soybean meal and Spirulina. Spirulina should, however, be limited to 15% to avoid the negative effects it has on stability and profitability, and its possible effect on feed intake.

Uso sustentável de pesticidas : análise comparativa entre a União Europeia e o Brasil

Tese de doutoramento, Ciências do Ambiente, Universidade de Lisboa, Faculdade de Ciências, 2016

A question of segregation: ‘ GM - free’ maize bread in Portugal

We describe the maize supply chain in Portugal for maize bread, a traditional bread type. As this bread is not labelled as ‘contains genetically modified organisms’ it should not contain more than 0.9 per cent genetically modified ingredients. On the basis of interviews we identify a general lack of documentation of the presence or absence of genetically modified ingredients along the complete supply chain (farmers, traders, mills and bakeries). Part of this deficiency is probably driven by a lack of awareness of the labelling rules at the end of the supply chain.

Tit-bits, or, How to prepare a nice dish at a moderate expense /

Includes index.

[Culinary ephemera : gelatin and tapioca].

Corporate contributors include: Genesee Pure Food Company; Jell-O-Co. Inc.

A guide to the selection, combination, and cooking of foods /

Some recipes include wine or liquor as ingredients.

Holley's steel reports.

Binder's title.

The patchwork girl of Oz,

A boy, a patchwork girl, and a glass cat go on a mission to find the ingredients for a charm which will transform some people turned to marble.