Cognitive deficits in first-episode psychosis: A population-based study in Sao Paulo, Brazil

Background: Studies conducted in high-income countries have reported significant cognitive deficits in first on set schizophrenia subjects relative to asymptotic controls, and it has been suggested that the severity of such deficits could be directly related to the duration of untreated psychosis (DUP). It is relevant to conduct similar studies in developing countries, given the supposedly better outcome for schizophrenia patients living in the latter environments.

Methods: We applied verbal fluency and digit span tests to an epidemiological-based series of patients with first-onset psychoses (n = 179) recruited in the city of Sao Paulo, and compared the findings with those from non-psychotic control subjects randomly selected from the same geographical areas (n=383).

Results: Psychosis subjects showed lower scores on the three tests relative to controls, with greatest between-group differences for the backward digit span task (p < 0.0001). There were no significant differences between subjects with affective and schizophreniform psychosis. Cognitive performance indices were negatively correlated with the severity of negative symptoms, but showed no relation to DUP.

Conclusion: We found significant cognitive deficits in patients investigated early during the course of psychotic disorders in an environment that is distinct from those where the subjects investigated in previous studies have been drawn from. We found no support to the hypothesis of an association between greater cognitive deficits and a longer DUP. (c) 2006 Published by Elsevier B.V.

Response to Comment on "Glacial Survival of Boreal Trees in Northern Scandinavia"

Birks et al. question our proposition that trees survived the Last Glacial Maximum (LGM) in Northern Scandinavia. We dispute their interpretation of our modern genetic data but agree that more work is required. Our field and laboratory procedures were robust; contamination is an unlikely explanation of our results. Their description of Endletvatn as ice-covered and inundated during the LGM is inconsistent with recent geological literature.

Does vicarious traumatisation affect oncology nurses?:A literature review

It is widely documented that nurses experience work-related stress [Quine, L., 1998. Effects of stress in an NHS trust: a study. Nursing Standard 13 (3), 36-41; Charnley, E., 1999. Occupational stress in the newly qualified staff nurse. Nursing Standard 13 (29), 32-37; McGrath, A., Reid, N., Boore, J., 2003. Occupational stress in nursing. International Journal of Nursing Studies 40, 555-565; McVicar, A., 2003. Workplace stress in nursing: a literature review. Journal of Advanced Nursing 44 (6), 633-642; Bruneau, B., Ellison, G., 2004. Palliative care stress in a UK community hospital: evaluation of a stress-reduction programme. International Journal of Palliative Nursing 10 (6), 296-304; Jenkins, R., Elliott, P., 2004. Stressors, burnout and social support: nurses in acute mental health settings. Journal of Advanced Nursing 48 (6), 622-631], with cancer nursing being identified as a particularly stressful occupation [Hinds, P.S., Sanders, C.B., Srivastava, D.K., Hickey, S., Jayawardene, D., Milligan, M., Olsen, M.S., Puckett, P., Quargnenti, A., Randall, E.A., Tyc, V., 1998. Testing the stress-response sequence model in paediatric oncology nursing. Journal of Advanced Nursing 28 (5), 1146-1157; Barnard, D., Street, A., Love, A.W., 2006. Relationships between stressors, work supports and burnout among cancer nurses. Cancer Nursing 29 (4), 338-345]. Terminologies used to capture this stress are burnout [Pines, A.M., and Aronson, E., 1988. Career Burnout: Causes and Cures. Free Press, New York], compassion stress [Figley, C.R., 1995. Compassion Fatigue. Brunner/Mazel, New York], emotional contagion [Miller, K.I., Stiff, J.B., Ellis, B.H., 1988. Communication and empathy as precursors to burnout among human service workers. Communication Monographs 55 (9), 336-341] or simply the cost of caring (Figley, 1995). However, in the mental health field such as psychology and counselling, there is terminology used to captivate this impact, vicarious traumatisation. Vicarious traumatisation is a process through which the therapist's inner experience is negatively transformed through empathic engagement with client's traumatic material [Pearlman, L.A., Saakvitne, K.W., 1995a. Treating therapists with vicarious traumatization and secondary traumatic stress disorders. In: Figley, C.R. (Ed.), Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized. Brunner/Mazel, New York, pp. 150-177]. Trauma not only affects individuals who are primarily present, but also those with whom they discuss their experience. If an individual has been traumatised as a result of a cancer diagnosis and shares this impact with oncology nurses, there could be a risk of vicarious traumatisation in this population. However, although Thompson [2003. Vicarious traumatisation: do we adequately support traumatised staff? The Journal of Cognitive Rehabilitation 24-25] suggests that vicarious traumatisation is a broad term used for workers from any profession, it has not yet been empirically determined if oncology nurses experience vicarious traumatisation. This purpose of this paper is to introduce the concept of vicarious traumatisation and argue that it should be explored in oncology nursing. The review will highlight that empirical research in vicarious traumatisation is largely limited to the mental health professions, with a strong recommendation for the need to empirically determine whether this concept exists in oncology nursing.

Total colonic dye-spray increases the detection of diminutive adenomas during routine colonoscopy:a randomized controlled trial

Background: Small adenomas may be missed during colonoscopy, but chromoscopy has been reported to enhance detection. The aim of this randomized-controlled trial was to determine the effect of total colonic dye spray on adenoma detection during routine colonoscopy.

Methods: Consecutive outpatients undergoing routine colonoscopy were randomized to a dye-spray group (0.1% indigo carmine used to coat the entire colon during withdrawal from the cecum) or control group (no dye).

Results: Two hundred fifty-nine patients were randomized, 124 to the dye-spray and 135 to the control group; demographics, indication for colonoscopy, and quality of the preparation were similar between the groups. Extubation from the cecum took a median of 9:05 minutes (range: 2:4824:44 min) in the dye-spray group versus 4:52 minutes (range: 1:42-15:21 min] in the control group (p <0.0001). The proportion of patients with at least 1 adenoma and the total number of adenomas were not different between groups. However, in the dye-spray group significantly more diminutive adenomas (

Conclusions: Dye-spray increases the detection of small adenomas in the proximal colon and patients with multiple adenomas, but long-term outcomes should be studied to determine the clinical value of these findings.

Parameters determination for the coupled electromagnetic transformer model, with particular reference to winding faults studies

In the past few years, a considerable research effort has been devoted to the development of transformer digital models in order to simulate its behaviour under transient and abnormal operating conditions. Although many three-phase transformer models have been presented in the literature, there is a surprisingly lack of studies regarding the incorporation of winding faults. This paper presents a coupled electromagnetic transformer model for the study of winding inter-turn short-circuits. Particular attention will be given to the model parameters determination, for both healthy and faulty operating conditions. Experimental and simulation test results are presented in the paper, demonstrating the adequacy of the model as well as the methodologies for the parameters determination.

A gestão dos destinos turísticos: o caso do Algarve

Tese de dout., Gestão, Faculdade de Economia, Universidade do Algarve, 2009

Atitude dos residentes face ao desenvolvimento do turismo em Cabo Verde

Dissertação de mest., Gestão e Desenvolvimento em Turismo, Faculdade de Economia, Universidade do Algarve, 2009

Ciclo zooplanctónico em tanques de terra usados para aquacultura de peixes marinhos em sistema multitrófico integrado (IMTA)

Dissertação de Mestrado, Aquacultura e Pescas, Especialização em Aquacultura, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2015

FY 2008-09 annual accountability report

Each year the South Carolina Department of Natural Resources reports to the Office of State Budget that includes the agency's mission, goals and objectives to accomplish the mission, and performance measures regarding the goals and objectives.

Informe preliminar del Crucero 6608 - 09 de invierno 1966 (Máncora - Ilo)

Describe las acciones desplegadas por el crucero del B.A.P. Unanue, correspondiente al invierno de 1967, en el que se investigó el área entre el 04º00´s y 17º35´S ocupándose de 168 estaciones de rutina distribuidas en 20 perfiles. Durante todo el recorrido se investigó la presencia de cardúmenes de peces por medio de los equipos de ecosonda y radar y se realizaron observaciones sobre presencia de aves y mamíferos marinos.

Las comunidades benticas entre los 03º y 09º S en mayo de 1995 (Cr. BIC SNP-1, 9505-06)

Estudio de la estructura de las comunidades bentónicas sublitorales de fondo blando mediante el análisis de 11 muestras de draga colectadas entre los 03°38 ' y 09°16 'S, entre el 12 y 19 de mayo de 1995. Se determinó la biodiversidad a nivel de especies de macrobentos para las subáreas A, B, C, D. Se evaluó el nivel de similaridad entre las 11 estaciones analizadas a nivel de grupos taxonómicos (Polychaeta, Crustacea, Mollusca, Nemertinea y otros), así como la relación entre el nivel de estrés de las comunidades de las subáreas latitudinales A, B, C, D y la agremiación en el grupo dominante (Polychaeta). Fueron diferenciadas un total de 73 especies macrobénticas de las cuales el 64,38% pertenece a la clase Polychaeta. El patrón de distribución de las biomasas totales del macrobentos es más simple que el de las abundancias, con una tendencia a la ubicación de los valores máximos al norte de los 04° S. Se comprueba una relación inversa entre el grado de agremiación y el nivel de estrés medido con el índice SEP.

Aspectos biológico - pesqueros de los recursos pelágicos peruanos. Crucero BIC Humboldt y BIC SNP-1 9508-09

El Crucero de Evaluación de la Biomasa Desovante de anchoveta y sardina en 1995 empleó el Método de Producción de Huevos (MPH), abarcando el área comprendida entre Tambo de Mora y Paita, entre las 0 y 60 mn y 4 perfiles hidrográficos hasta las150 mn. La información analizada proviene de las capturas y muestreos biológicos de los 89 lances de comprobación ejecutados (66 del BIC Humboldt y 23 del SNP-1). La composición por especies estuvo conformada principalmente por anchoveta (Engraulis ringens), sardina (Sardinops sagax sagax), jurel (Trachurus picturatus murphyi) y caballa (Scomber japonicus). Especies capturadas incidentalmente fueron el "bagre con faja" (Galeichthys peruvianus) y el calamar (Loligo gahi). La distribución latitudinal de la anchoveta abarcó toda el área explorada y longitudinalmente hasta las 60 mn. La sardina, el jurel y la caballa mostraron una distribución amplia y dispersa hasta las 120 millas de la costa. La estructura por tamaños de anchoveta indicó la predominancia de ejemplares adultos, siendo escasa la presencia de juveniles. La sardina fue predominantemente juvenil, observada tanto en área costera como lejos de ésta. Las capturas de jurel y caballa estuvieron constituidas por ejemplares adultos. Las especies anchoveta y sardina se encontraban en pleno desove principal de invierno.