252 resultados para dysphoric mania


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The road from Bali’s international airport to the island’s most renowned tourist area, Kuta Beach, leads past a number of establishments claiming affiliation to reggae music and Rastafarianism in large, appropriately coloured billboards. A sign outside a tee shirt shop bears the words RASTA MANIA within a green, yellow and red border, and a stick figure caricaturing negritude, the logo of this clothing label. In the window display hangs a tee shirt, and upon it Bob Marley’s wizened face. His lips pinch a cone-shaped spliff, and he squints behind a veil of airbrushed smoke. A leanto sign on the sidewalk outside Apache Bar announce REGGAE BANDS NIGHTLY. This barn of coconut wood and thatch nestles behind Wendy’s Ice Cream Parlour and Chi Chi’s Mexican Bar. Its timber walls emulate a rustic, spaghetti Western aesthetic and are adorned with portraits of native Americans. In addition to the reggae bands, nightly, Apache bar unites young Japanese women with local ‘guides’.2

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Deficits in lentiform nucleus volume and morphometry are implicated in a number of genetically influenced disorders, including Parkinson's disease, schizophrenia, and ADHD. Here we performed genome-wide searches to discover common genetic variants associated with differences in lentiform nucleus volume in human populations. We assessed structural MRI scans of the brain in two large genotyped samples: the Alzheimer's Disease Neuroimaging Initiative (ADNI; N = 706) and the Queensland Twin Imaging Study (QTIM; N = 639). Statistics of association from each cohort were combined meta-analytically using a fixed-effects model to boost power and to reduce the prevalence of false positive findings. We identified a number of associations in and around the flavin-containing monooxygenase (FMO) gene cluster. The most highly associated SNP, rs1795240, was located in the FMO3 gene; after meta-analysis, it showed genome-wide significant evidence of association with lentiform nucleus volume (PMA = 4. 79 × 10-8). This commonly-carried genetic variant accounted for 2. 68 % and 0. 84 % of the trait variability in the ADNI and QTIM samples, respectively, even though the QTIM sample was on average 50 years younger. Pathway enrichment analysis revealed significant contributions of this gene to the cytochrome P450 pathway, which is involved in metabolizing numerous therapeutic drugs for pain, seizures, mania, depression, anxiety, and psychosis. The genetic variants we identified provide replicated, genome-wide significant evidence for the FMO gene cluster's involvement in lentiform nucleus volume differences in human populations.

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BACKGROUND: Dystrobrevin binding protein 1 (DTNBP1) is a schizophrenia susceptibility gene involved with neurotransmission regulation (especially dopamine and glutamate) and neurodevelopment. The gene is known to be associated with cognitive deficit phenotypes within schizophrenia. In our previous studies, DTNBP1 was found associated not only with schizophrenia but with other psychiatric disorders including psychotic depression, post-traumatic stress disorder, nicotine dependence and opiate dependence. These findings suggest that DNTBP1 may be involved in pathways that lead to multiple psychiatric phenotypes. In this study, we explored the association between DTNBP1 SNPs (single nucleotide polymorphisms) and multiple psychiatric phenotypes included in the Diagnostic Interview of Psychosis (DIP). METHODS: Five DTNBP1 SNPs, rs17470454, rs1997679, rs4236167, rs9370822 and rs9370823, were genotyped in 235 schizophrenia subjects screened for various phenotypes in the domains of depression, mania, hallucinations, delusions, subjective thought disorder, behaviour and affect, and speech disorder. SNP-phenotype association was determined with ANOVA under general, dominant/recessive and over-dominance models. RESULTS: Post hoc tests determined that SNP rs1997679 was associated with visual hallucination; SNP rs4236167 was associated with general auditory hallucination as well as specific features including non-verbal, abusive and third-person form auditory hallucinations; and SNP rs9370822 was associated with visual and olfactory hallucinations. SNPs that survived correction for multiple testing were rs4236167 for third-person and abusive form auditory hallucinations; and rs9370822 for olfactory hallucinations. CONCLUSION: These data suggest that DTNBP1 is likely to play a role in development of auditory related, visual and olfactory hallucinations which is consistent with evidence of DTNBP1 activity in the auditory processing regions, in visual processing and in the regulation of glutamate and dopamine activity

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Radical circumstances (bushfires and natural disasters) flush out the mental illness in society. Whenever there’s a disaster, there’s a rush on hospital admissions for psychiatric problems. But on the whole, the illness is already there. Emergencies naturally make fodder for delusions and the emergency efforts, for mania. Obviously, there are direct mental health consequences – a small rise in post-traumatic stress disorder inevitably follows disaster. This correlates with the severity of the consequences of the disaster (loss of family, friends, animals and property). And there’s usually a big rethink, with about a third of those affected leaving the area permanently. But, for the most part, this isn’t driven by mental health issues, it results from the very real fears about whether living in a fire (or other disaster) zone is worth it.

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The doctoral thesis defined connections between circadian rhythm disruptions and health problems. Sleep debt, jet-lag, shift work, as well as transitions into and out of the daylight saving time may lead to circadian rhythm disruptions. Disturbed circadian rhythm causes sleep deprivation and decrease of mood and these effects may lead to higher accident rates and trigger mental illnesses. Circadian clock genes are involved in the regulation of the cell cycle and metabolism and thus unstable circadian rhythmicity may also lead to cancer development. In publications I-III it was explored how transitions into and out of the daylight saving time impact the sleep efficiency and the rest-activity cycles of healthy individuals. Also it was explored whether the effect of transition is different in fall as compared to spring, and whether there are subgroup specific differences in the adjustment to transitions into and out of daylight saving time. The healthy participants of studies I-III used actigraphs before and after the transitions and filled in the morningness-eveningness and seasonal pattern assessment questionnaires. In publication IV the incidence of hospital-treated accidents and manic episodes was explored two weeks before and two weeks after the transitions into and out of the daylight saving time in years 1987-2003. In publication V the relationship between circadian rhythm disruption and the prevalence of Non-Hodgkin lymphoma was studied. The study V consisted of all working aged Finns who participated in the national population census in 1970. For our study, all the cancers diagnosed during the years 1971-1995 were extracted from the Finnish Cancer Register and linked with the 1970 census files. In studies I-III it was noticed that transitions into and out of the daylight saving time disturbs the sleep-wake cycle and the sleep efficiency of the healthy participants. We also noticed that short sleepers were more sensitive than long sleepers for sudden changes in the circadian rhythm. Our results also indicated that adaptation to changes in the circadian rhythm is potentially sex, age and chronotype-specific. In study IV no significant increase in the occurrence of hospital treated accidents or manic episodes was noticed. However, interesting observations about the seasonal fluctuation of the occurrence rates of accidents and manic episodes were made. Study V revealed that there might be close relationship between circadian rhythm disruption and cancer. The prevalence of Non-Hodgkin lymphoma was the highest among night workers. The five publications included in this thesis together point out that disturbed circadian rhythms may have adverse effect on health. Disturbed circadian rhythms decrease the quality of sleep and weaken the sleep-wake cycle. A continuous circadian rhythm disruption may also predispose individuals to cancer development. Since circadian rhythm disruptions are common in modern society they might have a remarkable impact on the public health. Thus it is important to continue circadian rhythm research so that better prevention and treatment methods can be developed. Keywords: Circadian rhythm, daylight saving time, manic episodes, accidents, Non-Hodgkin lymphoma 11

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Bipolar disorder (BP) is a complex psychiatric disorder characterized by episodes of mania and depression. BP affects approximately 1% of the world’s population and shows no difference in lifetime prevalence between males and females. BP arises from complex interactions among genetic, developmental and environmental factors, and it is likely that several predisposing genes are involved in BP. The genetic background of BP is still poorly understood, although intensive and long-lasting research has identified several chromosomal regions and genes involved in susceptibility to BP. This thesis work aims to identify the genetic variants that influence bipolar disorder in the Finnish population by candidate gene and genome-wide linkage analyses in families with many BP cases. In addition to diagnosis-based phenotypes, neuropsychological traits that can be seen as potential endophenotypes or intermediate traits for BP were analyzed. In the first part of the thesis, we examined the role of the allelic variants of the TSNAX/DISC1 gene cluster to psychotic and bipolar spectrum disorders and found association of distinct allelic haplotypes with these two groups of disorders. The haplotype at the 5’ end of the Disrupted-in-Schizophrenia-1 gene (DISC1) was over-transmitted to males with psychotic disorder (p = 0.008; for an extended haplotype p = 0.0007 with both genders), whereas haplotypes at the 3’ end of DISC1 associated with bipolar spectrum disorder (p = 0.0002; for an extended haplotype p = 0.0001). The variants of these haplotypes also showed association with different cognitive traits. The haplotypes at the 5’ end associated with perseverations and auditory attention, while the variants at the 3’ end associated with several cognitive traits including verbal fluency and psychomotor processing speed. Second, in our complete set of BP families with 723 individuals we studied six functional candidate genes from three distinct signalling systems: serotonin-related genes (SLC6A4 and TPH2), BDNF -related genes (BDNF, CREB1 and NTRK2) and one gene related to the inflammation and cytokine system (P2RX7). We replicated association of the functional variant Val66Met of BDNF with BP and better performance in retention. The variants at the 5’ end of SLC6A4 also showed some evidence of association among males (p = 0.004), but the widely studied functional variants did not yield any significant results. A protective four-variant haplotype on P2RX7 showed evidence of association with BP and executive functions: semantic and phonemic fluency (p = 0.006 and p = 0.0003, respectively). Third, we analyzed 23 bipolar families originating from the North-Eastern region of Finland. A genome-wide scan was performed using the 6K single nucleotide polymorphism (SNP) array. We identified susceptibility loci at chromosomes 7q31 with a LOD score of 3.20 and at 9p13.1 with a LOD score of 4.02. We followed up both linkage findings in the complete set of 179 Finnish bipolar families. The finding on chromosome 9p13 was supported (maximum LOD score of 3.02), but the susceptibility gene itself remains unclarified. In the fourth part of the thesis, we wanted to test the role of the allelic variants that have associated with bipolar disorder in recent genome-wide association studies (GWAS). We could confirm findings for the DFNB31, SORCS2, SCL39A3, and DGKH genes. The best signal in this study comes from DFNB31, which remained significant after multiple testing corrections. Two variants of SORCS2 were allelic replications and presented the same signal as the haplotype analysis. However, no association was detected with the PALB2 gene, which was the most significantly associated region in the previous GWAS. Our results indicate that BP is heterogeneous and its genetic background may accordingly vary in different populations. In order to fully understand the allelic heterogeneity that underlies common diseases such as BP, complete genome sequencing for many individuals with and without the disease is required. Identification of the specific risk variants will help us better understand the pathophysiology underlying BP and will lead to the development of treatments with specific biochemical targets. In addition, it will further facilitate the identification of environmental factors that alter risk, which will potentially provide improved occupational, social and psychological advice for individuals with high risk of BP.

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Con el fin de evaluar y seleccionar las mejores opciones para manejo de patógenos del suelo, que sean rentables económicamente para los productores y que preserven la calidad del medio ambiente y la salud humana, se realizó el presente estudio durante época de primera de 1995, en la finca del productor Pablo Maltéz, San Isidro de la Cruz Verde, Managua del 5 de junio al 7 de septiembre de 1995. El experimento se dividió en dos fases: de semillero y campo. En la fase de semillero, se evaluó el efecto de: Cal, Ceniza, Mezcla de cal y ceniza, Agua hirviendo, Vitavax-300 y un testigo sin aplicación, sobre la pudrición radical y del tallo, usando las variedades UC-82 y VF-134. Las variables a medir fueron: Porcentaje de incidencia de plantas enfermas por "Damping off” y el efecto de éstas alternativas sobre patógenos del suelo. En la fase de campo, se evaluó el efecto que tienen la mezcla de cal y ceniza, vitavax-300 y un testigo sin aplicación. Se evaluó la variedad UC-82 y se tornó la variable: Porcentaje de incidencia de plantas enfermas por pudrición radical y del tallo. Los resultados indican, que en la fase de semillero el Agua hirviendo fue el mejor tratamiento por ejercer buen efecto sobre patógenos del suelo en ambas variedades, en cambio Cal (460 g) y Ceniza (115 g) realizaron mejor efecto en la variedad VF-134, seguido por Mezcla de cal y ceniza, que resultó muy efectivo en el manejo de patógenos en la variedad UC-82. En fase de campo la mezcla de cal y ceniza fue el mejor tratamiento por ejercer buen control sobre la incidencia de pudrición radical y del tallo.

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Background: Few studies have analyzed predictors of length of stay (LOS) in patients admitted due to acute bipolar manic episodes. The purpose of the present study was to estimate LOS and to determine the potential sociodemographic and clinical risk factors associated with a longer hospitalization. Such information could be useful to identify those patients at high risk for long LOS and to allocate them to special treatments, with the aim of optimizing their hospital management. Methods: This was a cross-sectional study recruiting adult patients with a diagnosis of bipolar disorder (Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR) criteria) who had been hospitalized due to an acute manic episode with a Young Mania Rating Scale total score greater than 20. Bivariate correlational and multiple linear regression analyses were performed to identify independent predictors of LOS. Results: A total of 235 patients from 44 centers were included in the study. The only factors that were significantly associated to LOS in the regression model were the number of previous episodes and the Montgomery-Åsberg Depression Rating Scale (MADRS) total score at admission (P < 0.05). Conclusions: Patients with a high number of previous episodes and those with depressive symptoms during mania are more likely to stay longer in hospital. Patients with severe depressive symptoms may have a more severe or treatment-resistant course of the acute bipolar manic episode.

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Due to inadequacies of previous underwater towing techniques and the special needs of a recent underwater survey, a modified mania-board technique was developed. With this new technique, the diver holds on to the manta-board with one arm; consequently, the board is referred to as a single-armed manta-board (sam-board). The sam-board proved inexpensive and highly maneuverable, allowing the divers to freely collect samples or record information. Through some experimenting with the board and changing some of the variables, such as rope lengths, towing speeds, etc., a highly efficient towing method can be achieved. Preplanning and strict diving safety procedures must, however, be implemented to assure efficiency. This paper presents the materials, guidelines for board construction, equipment, and preplanning and diving safety procedures necessary for the sam-board towing operation.

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A partir da prática clínica com pacientes psicóticos, nós investigamos as formulações da psicanálise sobre o corpo nessa estrutura. Questionamos que ordem de impasses é própria à psicose na constituição e sustentação corporais. Inquirimos sobre os arranjos possíveis que possam conferir ao corpo do psicótico alguma amarração. Inicialmente, apresentamos alguns discursos sobre o corpo, apontando a subversão operada pela psicanálise no tratamento do tema a partir da experiência freudiana com a clínica da histeria. Em seguida, abordamos a constituição do corpo em psicanálise, com ênfase na determinação significante para que a imagem do corpo possa se constituir, velando o real da fragmentação pulsional. Passando pela teorização do estádio do espelho, dos esquemas óticos e da topologia dos nós, destacamos que a constituição do corpo é tributária de uma operação de perda de gozo, a partir da qual os registros do Real, do Simbólico e do Imaginário podem se atar. Apresentamos, então, elementos da abordagem realizada pela psicanálise em torno da questão da psicose, situando-a como uma posição específica quanto à linguagem e ao gozo. Em seguida, ressaltamos indicações sobre o corpo na psicose nas obras de Freud e Lacan, com a tese freudiana da retração da libido na paranoia e na esquizofrenia, com ênfase para a releitura lacaniana a respeito. Tomando então como eixo a indicação de Lacan de que, na psicose, não ocorre a extração do objeto a, retomamos algumas descrições da psiquiatria clássica, notadamente a hipocondria, a Síndrome de Cotard, a mania e o falso reconhecimento para, por uma leitura analítica, localizar pontos acerca dos impasses na relação dos psicóticos com o corpo. Por fim, recorremos aos conceitos de estabilização, suplência e sinthoma no ensino lacaniano para fundamentar a possibilidade de diferentes arranjos frente a esses impasses, como testemunham Schreber, Joyce e J. C..

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Os transtornos psiquiátricos são um problema de saúde pública, ocupando cinco das dez principais causas de incapacitação no mundo. O transtorno bipolar (TB) é um transtorno de humor, segundo o DSM-IV (manual diagnóstico e estatístico de doenças mentais), o qual afeta cerca de 1% da população mundial. O TB do tipo I (TBI) é o mais frequente entre os TBs e é caracterizado pela presença de episódios maníacos ou mistos acompanhados por episódios depressivos. Assim como outros transtornos psiquiátricos, como a depressão, ansiedade e esquizofrenia, o TB representa um importante fator de risco cardiovascular, e pacientes com este transtorno apresentam mortalidade cardiovascular duas vezes maior que a população em geral. No entanto, os exatos mecanismos envolvidos nesta relação permanecem desconhecidos. Estudos sugerem o envolvimento da via L-arginina-óxido nitrico (NO) na patofisiologia do TB. O NO é responsável por diversas funções fisiológicas, incluindo a inibição da função plaquetária. A L-arginina, sua precursora, é transportada em plaquetas pelo carreador y+L, ativando a enzima NO sintase (NOS), a qual produz NO e e L-citrulina. Uma vez produzido, o NO ativa a enzima guanilato ciclase (GC), levando ao aumento dos níveis de guanosina monofosfato cíclica (GMPc). Adicionalmente, a L-arginina não é exclusivamente utilizada pela NOS, ela também pode ser metabolizada pela arginase e produzir L-ornitina e uréia. A biodisponibilidade do NO depende tanto de sua síntese como de sua degradação pelo estresse oxidativo ou pela inflamação. O objetivo deste estudo foi investigar detalhadamente a via L-arginina-NO-GMPc em plaquetas de pacientes com TBI, a expressão da arginase e outros marcadores de estresse oxidativo e inflamação. Vinte e oito pacientes com TB e dez indivíduos saudáveis foram incluídos no estudo. Nossos estudos mostraram uma redução da atividade da NOS em todos os grupos de pacientes bipolares (fases de eutimia, depressão e mania), quando comparados aos controles. Isto ocorreu na presença de concentrações normais do substrato e de seu transporte, e da expressão inalterada das isoformas eNOS e iNOS. A expressão da arginase II não diferiu entre os grupos estudados, indicando que a disponibilidade da L-arginina não está sendo desviada para o ciclo de uréia em plaquetas. A produção reduzida de GMPc foi observada mesmo com a expressão inalterada da GC. A atividade e marcadores de estresse oxidativo, avaliada através da quantificação da oxidação de proteínas e atividade da catalase, não foram modificadas em plaquetas de pacientes com TB, enquanto que a atividade da SOD estava aumentada em todas as fases. Os níveis séricos da proteína C-reativa (PCR), um marcador inflamatório, estão aumentados em pacientes maníacos, comparados aos controles. A reduzida produção de NO observada em plaquetas de pacientes bipolares pode ser um elo entre esta complexa associação entre TB e a doença cardiovascular.

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Access to the remote sensing data was increasing in Poland since 1989. This procccess had stimulating impact on scientific research in the scope of changes in the environment. Special attention should be given to the thermal imagery methods because of its information potential. Presented paper discusses the possibilities of using information from thermal images for detecting of places of illegal dumping of animal waste in the ground. On the basis of earlier survey and gathered data draft fl ight plan was created, covering the sorroundings of Śmiłowo (around 30 sq km). Theoretical thesis for the subject was an assumption that all disturbances of the ground and soil structure should give visible representation in both thermal and visible images. Moreover the process of decay of animal tissues should be the source of heat, which can be observed through thermal sensor. Several places of potential dumping of animal waste were selected. For detailed ground verifi cation eight of them were chosen. In these location geological drillings were performed and than analysis of the samples. Thermovision is a method with great potential for the monitoing of the environment, but its effectiveness depends on the access to another sources of geoinformation.

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BACKGROUND:Deficits in prepulse inhibition (PPI) of the acoustic startle response have been suggested as a potentially useful endophenotype for schizophrenia spectrum disorders and may explain certain symptoms and cognitive deficits observed in the psychoses. PPI deficits have also been found in mania, but it remains to be confirmed whether this dysfunction is present in the euthymic phase of bipolar disorder.METHOD: Twenty-three adult patients with DSM-IV bipolar disorder were compared to 20 controls on tests of acoustic startle reactivity and PPI of the startle response. Sociodemographic and treatment variables were recorded and symptom scores assessed using the Hamilton Depression Inventory and the Young Mania Rating Scale.RESULTS:Overall, the patient and control groups demonstrated similar levels of startle reactivity and PPI, although there was a trend for the inter-stimulus interval to differentially affect levels of PPI in the two groups.CONCLUSIONS: In contrast to bipolar patients experiencing a manic episode, general levels of PPI were normal in this euthymic sample. Further studies are required to confirm this finding and to determine the mechanisms by which this potential disruption/normalization occurs. It is suggested that an examination of PPI in a high-risk group is required to fully discount dysfunctional PPI as a potentially useful endophenotype for bipolar disorder.

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Analysis of the Old Clothes Scandal of 1867, and Mrs. Lincoln's "shopping mania."

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We tested four genes [phenylalanine hydroxylase (PAH), the serotonin transporter (SLC6A4), monoamine oxidase B (MAOB), and the gamma-aminobutyric acid A receptor beta-3 subunit (GABRB3)] for their impact on five schizophrenia symptom factors: delusions, hallucinations, mania, depression, and negative symptoms. In a 90 family subset of the Irish Study of High Density Schizophrenia Families, the PAH 232 bp microsatellite allele demonstrated significant association with the delusions factor using both QTDT (F = 8.0, p = .031) and QPDTPHASE (chi-square = 12.54, p = .028). Also, a significant association between the GABRB3 191 bp allele and the hallucinations factor was detected using QPDTPHASE (chi-square 15.51, p = .030), but not QTDT (chi-square = 2.07, p = .560). (C) 2009 Elsevier B.V. All rights reserved.