Gesture performance in first- and multiple-episode patients with schizophrenia spectrum disorders

BACKGROUND/AIM Gesturing plays an important role in social behavior and social learning. Deficits are frequent in schizophrenia and may contribute to impaired social functioning. Information about deficits during the course of the disease and presence of severity and patterns of impairment in first-episode patients is missing. Hence, we aimed to investigate gesturing in first- compared to multiple-episode schizophrenia patients and healthy controls. METHODS In 14 first-episode patients, 14 multiple-episode patients and 16 healthy controls matched for age, gender and education, gesturing was assessed by the comprehensive Test of Upper Limb Apraxia. Performance in two domains of gesturing - imitation and pantomime - was recorded on video. Raters of gesture performance were blinded. RESULTS Patients with multiple episodes had severe gestural deficits. For almost all gesture categories, performance was worse in multiple- than in first-episode patients. First-episode patients demonstrated subtle deficits with a comparable pattern. CONCLUSIONS Subjects with multiple psychotic episodes have severe deficits in gesturing, while only mild impairments were found in first-episode patients independent of age, gender, education and negative symptoms. The results indicate that gesturing is impaired at the onset of disease and likely to further deteriorate during its course.

(Table 1) Carbohydrates in different sediment types of the Central Pacific

Total contents of carbohydrates were determined in samples of natural sediments of various genetic types. Analyses were made on board. Deep-sea pelagic sediments (red clays of various types including zeolite clays, and also radiolarian and carbonate oozes) were the main types of sediments studied. Contents of carbohydrates in pelagic oozes of the Central Pacific ranged from 214 to 1605 ppm, averaging 602 ppm of air-dried sediment. Organic matter of the group studied is a diagenetically stable complex, with polysaccharides apparently predominating.

Sample information and classification of lower Miocene gravity-flow types of sediment core CRP-1 (Table 1)

Nineteen samples of the Cape Roberts-1 drillcore were taken from Miocene- age deposits, from 90.25 - 146.50 metres below seafloor (mbsf) for thin section and laser grain-size analysis. Using the grain-size distribution, detailed core logging, X-radiography and thin-section analysis of microstructures, coupled with a statistical grouping of the grain-size data, three main styles of gravity-flow sedimentation were revealed. Thin (centimetre-scale) muddy debris-flow deposits are the most common and are possibly tirggered by debris rain-out from sea-ice These deposits are characterised by very poorly sorted, faintly laminated muddy sandstones with coarse granules toward their base. Contacts are gradational to sharp. Variations on this style of mass-wasting deposit are rhythmically stacked sequences of pebbly-coarse sandstones representing successive thin debris-flow events. These suggest very high sedimentation rates on an unstable slope in a shallow-water proximal glacimarine environment. Sandy-silty turbidites appear more common in the lower sections of the core, below approximately 141.00 mbsf, although they occur occasionally with the debris flow deposits The turbidites are characterised by inversely to normally graded, well-laminated siltstones with occasional lonestones, and represent a more distal shallow-water glacimarine environment.

Types of work performed using resurfacing, restoration, rehabilitation, and reconstruction federal highway funds : report to the chairman, Subcommittee on Investigations and Oversight, Committee on Public Works and Transportation, U.S. House of Representatives /

"B-212809"--Prelim. p. [1].

Brazil, a study of economic types,

"Selected bibliography": p. [231]-244.

The diagnosis of Salmonella types

Includes bibliographical references

Personality in politics; a study of three types in American public life,

Mode of access: Internet.

Yearly average performance of the principal solar collector types /

"January 1981."

Survey of coastal revetment types /

"May 1976."

Catalog of the types of recent mollusca of the Academy of Natural Sciences of Philadelphia /

Cover title.