A randomized controlled trial of the effectiveness of a Computer-Assisted Cognitive Remediation (CACR) program in adolescents with psychosis or at high risk of psychosis: Short term and long term outcomes

The present study investigates the short- and long-term outcomes of a computer-assisted cognitive remediation (CACR) program in adolescents with psychosis or at high risk. 32 adolescents participated in a blinded 8-week randomized controlled trial of CACR treatment compared to computer games (CG). Clinical and neuropsychological evaluations were undertaken at baseline, at the end of the program and at 6-month. At the end of the program (n = 28), results indicated that visuospatial abilities (Repeatable Battery for the Assessment of Neuropsychological Status, RBANS; P = .005) improved signifi cantly more in the CACR group compared to the CG group. Furthermore, other cognitive functions (RBANS), psychotic symptoms (Positive and Negative Symptom Scale) and psychosocial functioning (Social and Occupational Functioning Assessment Scale) improved signifi cantly, but at similar rates, in the two groups. At long term (n = 22), cognitive abilities did not demonstrated any amelioration in the control group while, in the CACR group, signifi cant long-term improvements in inhibition (Stroop; P = .040) and reasoning (Block Design Test; P = .005) were observed. In addition, symptom severity (Clinical Global Improvement) decreased signifi cantly in the control group (P = .046) and marginally in the CACR group (P = .088). To sum up, CACR can be successfully administered in this population. CACR proved to be effective over and above CG for the most intensively trained cognitive ability. Finally, on the long-term, enhanced reasoning and inhibition abilities, which are necessary to execute higher-order goals or to adapt behavior to the ever-changing environment, were observed in adolescents benefi ting from a CACR.

Modulation of the Endocannabinoids N-Arachidonoylethanolamine (AEA) and 2-Arachidonoylglycerol (2-AG) on Executive Functions in Humans.

Animal studies point to an implication of the endocannabinoid system on executive functions. In humans, several studies have suggested an association between acute or chronic use of exogenous cannabinoids (Δ9-tetrahydrocannabinol) and executive impairments. However, to date, no published reports establish the relationship between endocannabinoids, as biomarkers of the cannabinoid neurotransmission system, and executive functioning in humans. The aim of the present study was to explore the association between circulating levels of plasma endocannabinoids N-arachidonoylethanolamine (AEA) and 2-Arachidonoylglycerol (2-AG) and executive functions (decision making, response inhibition and cognitive flexibility) in healthy subjects. One hundred and fifty seven subjects were included and assessed with the Wisconsin Card Sorting Test; Stroop Color and Word Test; and Iowa Gambling Task. All participants were female, aged between 18 and 60 years and spoke Spanish as their first language. Results showed a negative correlation between 2-AG and cognitive flexibility performance (r = -.37; p<.05). A positive correlation was found between AEA concentrations and both cognitive flexibility (r = .59; p<.05) and decision making performance (r = .23; P<.05). There was no significant correlation between either 2-AG (r = -.17) or AEA (r = -.08) concentrations and inhibition response. These results show, in humans, a relevant modulation of the endocannabinoid system on prefrontal-dependent cognitive functioning. The present study might have significant implications for the underlying executive alterations described in some psychiatric disorders currently associated with endocannabinoids deregulation (namely drug abuse/dependence, depression, obesity and eating disorders). Understanding the neurobiology of their dysexecutive profile might certainly contribute to the development of new treatments and pharmacological approaches.

Correlação entre espessura cortical frontal e desempenho de funções executivas em pacientes com infecção pelo vírus da imunodeficiência humana

OBJETIVO: Investigar a relação entre a espessura cortical medida pela ressonância magnética em regiões frontais e o desempenho em instrumentos que avaliam funções executivas em pacientes com HIV positivo. MATERIAIS E MÉTODOS: Participaram deste estudo 22 pacientes HIV-positivos, com déficits em funções executivas, sob terapia antirretroviral, idades entre 45 e 65 anos e escolaridade entre 3 e 20 anos. Foi realizada ressonância magnética com sequências convencionais, T1 3D, processado pelo Freesurfer para verificar espessura cortical. Instrumentos de avaliação das funções executivas: Teste de Trilhas, Wisconsin, Hayling, Dígitos (WAIS-III), fluência verbal ortográfica e Stroop. Para análise da relação espessura versus cognição, utilizou-se coeficiente de correlação de Pearson. RESULTADOS: Correlações significativas foram encontradas entre escores de: Wisconsin e espessura das regiões pré-central e orbitofrontal lateral à direita e pré-central esquerda; Teste de Trilhas e espessura da área pré-central direita e cíngulo anterior caudal esquerdo; e Teste Hayling e espessura da área lateral orbitofrontal esquerda. CONCLUSÃO: As correlações existentes entre medidas de espessura cortical pela ressonância magnética e desempenho cognitivo sugerem que os déficits executivos em pacientes HIV-positivos relacionam-se a uma redução da espessura cortical das regiões frontais.

Dose calibrator linearity test: 99mTc versus 18F radioisotopes

Objective: The present study was aimed at evaluating the viability of replacing 18F with 99mTc in dose calibrator linearity testing. Materials and Methods: The test was performed with sources of 99mTc (62 GBq) and 18F (12 GBq) whose activities were measured up to values lower than 1 MBq. Ratios and deviations between experimental and theoretical 99mTc and 18F sources activities were calculated and subsequently compared. Results: Mean deviations between experimental and theoretical 99mTc and 18F sources activities were 0.56 (± 1.79)% and 0.92 (± 1.19)%, respectively. The mean ratio between activities indicated by the device for the 99mTc source as measured with the equipment pre-calibrated to measure 99mTc and 18F was 3.42 (± 0.06), and for the 18F source this ratio was 3.39 (± 0.05), values considered constant over the measurement time. Conclusion: The results of the linearity test using 99mTc were compatible with those obtained with the 18F source, indicating the viability of utilizing both radioisotopes in dose calibrator linearity testing. Such information in association with the high potential of radiation exposure and costs involved in 18F acquisition suggest 99mTc as the element of choice to perform dose calibrator linearity tests in centers that use 18F, without any detriment to the procedure as well as to the quality of the nuclear medicine service.

The role of executive functions in the control of aggressive behavior

An extensive literature suggests a link between executive functions and aggressive behavior in humans, pointing mostly to an inverse relationship, i.e., increased tendencies toward aggression in individuals scoring low on executive function tests. This literature is limited, though, in terms of the groups studied and the measures of executive functions. In this paper, we present data from two studies addressing these issues. In a first behavioral study, we asked whether high trait aggressiveness is related to reduced executive functions. A sample of over 600 students performed in an extensive behavioral test battery including paradigms addressing executive functions such as the Eriksen Flanker task, Stroop task, n-back task, and Tower of London (TOL). High trait aggressive participants were found to have a significantly reduced latency score in the TOL, indicating more impulsive behavior compared to low trait aggressive participants. No other differences were detected. In an EEG-study, we assessed neural and behavioral correlates of error monitoring and response inhibition in participants who were characterized based on their laboratory-induced aggressive behavior in a competitive reaction time task. Participants who retaliated more in the aggression paradigm and had reduced frontal activity when being provoked did not, however, show any reduction in behavioral or neural correlates of executive control compared to the less aggressive participants. Our results question a strong relationship between aggression and executive functions at least for healthy, high-functioning people.

Teste de TBA aplicado a carnes e derivados: métodos tradicionais, modificados e alternativos

The TBA test is essential to quality control of fat-containing food, being the test most applied to evaluate lipid peroxidation in fishery, meat and poultry products. It estimates malonaldehyde, a secondary oxidation product, by reacting with 2-thiobarbituric acid, forming a coloured complex, measured spectrophotometrically atlambda = 532 nm. Results are expressed as mg malonaldehyde per kg sample or frequently as "TBA value". There are four ways of quantifying it: by lipid extraction, direct heating, distillation or heat-acid extraction. This review intends to point out traditional, modified and alternative TBA test methods, besides enumerating advantages and drawbacks of each one.

Atividade antioxidante do extrato de sementes de limão (Citrus limon) adicionado ao óleo de soja em teste de estocagem acelerada

The aim of this work was to evaluate antioxidant activity of lemon seeds added to soybean oil, submitted to accelerated incubator-storage test and to determine its synergistic effect with the synthetic antioxidant TBHQ. The treatments Control, TBHQ (50 mg/kg), LSE (2,400 mg/kg Lemon Seed Extract), Mixture 1 (LSE + 50 mg/kg TBHQ) and Mixture 2 (LSE + 25 mg/kg TBHQ) were prepared and subjected to the accelerated incubator-storage test at 60 ºC for 12 days; samples were taken every 3 days and analyzed regarding peroxide value and conjugated dienes. The results showed that antioxidant activity of the tested treatments were: TBHQ = Mixture 1 = Mixture 2 > LSE > Control.

Estudo do teste de Scott via técnicas espectroscópicas: um método alternativo para diferenciar cloridrato de cocaína e seus adulterantes

Cocaine is usually seized mixed with a wide variety of adulterants such as benzocaine, lidocaine, caffeine, and procaine. The forensic identification of cocaine in these street drug mixtures is normally performed using colorimetric testing kits, but these tests may suffer from interferences, producing false-positive results. Here, we describe the use of analytical techniques including attenuated total reflection Fourier transform infrared (ATR-FTIR) and ultraviolet-visible (UV-VIS) spectroscopies to distinguish between cocaine and other adulterants (lidocaine, promethazine, powdered milk and yeast) that yield positive results on the Scott test using the thiocyanate cobalt reagent. A further 13 substances were also analyzed using the Scott test.

Carcinoma superficial multifocal do pênis: ênfase ao teste do azul de toluidina

The author reports a case of penile multifocal superficial carcinoma in a white 66 years old male. The lesions on glans penis and prepuce were asymptomatic. Their appearence were plain reddish ulceration, irregular margins which became evident after circumcision. There was no palpable groin lymph node. The toluidine blue test was useful for guiding biopsies. A partial penectomy was undertaken with free surgical margins of tumor. In a follow-up of two years, penil erectile function is preserve with no tumor recurrence.

Correlação entre as queixas de incontinência urinária de esforço e o pad test de uma hora em mulheres na pós-menopausa

OBJETIVO: correlacionar as queixas de incontinência urinária de esforço e os resultados da aplicação do pad test de uma hora em mulheres na pré e pós-menopausa. MÉTODOS: estudo transversal, composto por 60 voluntárias na pós-menopausa, divididas em dois grupos: um com 34 mulheres com queixa de perda involuntária de urina aos esforços, outro com 26 mulheres sem queixas de perda de urina aos esforços. Há também a presença de um Grupo Controle composto por 15 mulheres na pré-menopausa, com ciclo menstrual normal e sem queixas urinárias. Todas as mulheres foram avaliadas quanto à clínica e laboratorialmente, e submetidas ao pad test por uma hora. A paciente foi considerada incontinente quando o peso do absorvente após o teste foi maior do que 1 g. Os resultados obtidos foram submetidos à estatística descritiva, ao teste paramétrico ANOVA, ao pós-teste de Turkey e à correlação de Pearson. RESULTADOS: todas as mulheres na pós-menopausa apresentaram incontinência urinária de esforço durante o pad test, tanto as que referiram perda urinária (4 g), como as sem perda urinária prévia (3,5 g). Nessas mulheres, observou-se uma forte correlação das perdas de urina com o tempo de menopausa (r=0,8; p<0,01) e com o índice de massa corpórea (IMC) (r=0,7; p= 0,01). As mulheres na pré-menopausa mantiveram-se continentes durante o pad test (0,4 g). CONCLUSÕES: os resultados obtidos com a aplicação do pad test de uma hora mostraram que todas as mulheres na pós-menopausa apresentavam incontinência urinária de esforço, inclusive aquelas que não apresentavam queixa de perda de urina aos esforços. Essa perda de urina correlaciona-se com o tempo de menopausa e com o IMC.

Sensibilidade e especificidade do "California Mastitis Test" como recurso diagnóstico da mastite subclínica em relação à contagem de células somáticas

O "California Mastitis Test" (CMT) estima o conteúdo de células somáticas no leite e é interpretado subjetivamente, estabelecendo-se escores que, na maioria dos casos, variam de 1 a 5. O escore 1 indica uma reação completamente negativa e os de 2-5 indicam graus crescentes de resposta inflamatória do úbere, sendo normalmente considerados como indicativos de mastite subclínica. Dependendo da interpretação dos escores, o CMT pode produzir resultados falso-positivos ou falso-negativos. Esse trabalho teve o objetivo de avaliar a sensibilidade e a especificidade do CMT em relação à contagem de células somáticas (CCS). Foram utilizadas 3.012 amostras de leite provenientes de 760 vacas Holandesas ou mestiças Holandês-Zebu, pertencentes a 15 rebanhos. Todas as amostras foram submetidas ao CMT e processadas para CCS em equipamento Fossomatic 90. Os valores médios de CCS (x 1.000 células/ml) obtidos para os escores de CMT foram 1 (79,9), 2 (333,5), 3 (670,3), 4 (1.354,0) e 5 (4.455,6). Três opções de interpretação (doente/não-doente) para o CMT foram testadas, em relação aos valores de CCS, iniciando com 100.000 células/ml: (a) 1 versus 2, 3, 4, e 5; (b) 1 e 2 versus 3, 4 e 5; (c) 1, 2, 3 versus 4 e 5. As sensibilidades do CMT em identificar corretamente quartos mamários acima de 200.000 células/ml foram 79%, 61% e 34%, para as opções a, b e c, respectivamente. Para identificar corretamente contagens acima de 500.000 células/ml, as sensibilidades do CMT, para as opções a, b e c, foram, respectivamente: 93%, 82% e 54%. A sensibilidade do CMT em identificar quartos mamários com mastite subclínica foi adequada (acima de 80%) quando a interpretação do teste foi mais rigorosa (opções a e b). A interpretação da reação 3 como negativa (opção c) só alcançou sensibilidade de 80% para contagens entre 1.200.000 e 1.400.000 células/ml. As especificidades do CMT, para CCS de 200.000 e 500.000 foram, respectivamente, 90% e 80% (opção a), 97% e 90% (opção b) e 99% e 97% (opção c).

Pharmacology of human experimental anxiety

This review covers the effect of drugs affecting anxiety using four psychological procedures for inducing experimental anxiety applied to healthy volunteers and patients with anxiety disorders. The first is aversive conditioning of the skin conductance responses to tones. The second is simulated public speaking, which consists of speaking in front of a video camera, with anxiety being measured with psychometric scales. The third is the Stroop Color-Word test, in which words naming colors are painted in the same or in a different shade, the incongruence generating a cognitive conflict. The last test is a human version of a thoroughly studied animal model of anxiety, fear-potentiated startle, in which the eye-blink reflex to a loud noise is recorded. The evidence reviewed led to the conclusion that the aversive conditioning and potentiated startle tests are based on classical conditioning of anticipatory anxiety. Their sensitivity to benzodiazepine anxiolytics suggests that these models generate an emotional state related to generalized anxiety disorder. On the other hand, the increase in anxiety determined by simulated public speaking is resistant to benzodiazepines and sensitive to drugs affecting serotonergic neurotransmission. This pharmacological profile, together with epidemiological evidence indicating its widespread prevalence, suggests that the emotional state generated by public speaking represents a species-specific response that may be related to social phobia and panic disorder. Because of scant pharmacological data, the status of the Stroop Color-Word test remains uncertain. In spite of ethical and economic constraints, human experimental anxiety constitutes a valuable tool for the study of the pathophysiology of anxiety disorders.

Effects of diet and exercise training on neurovascular control during mental stress in obese women

Since neurovascular control is altered in obese subjects, we hypothesized that weight loss by diet (D) or diet plus exercise training (D + ET) would improve neurovascular control during mental stress in obese women. In a study with a dietary reduction of 600 kcal/day with or without exercise training for 4 months, 53 obese women were subdivided in D (N = 22, 33 ± 1 years, BMI 34 ± 1 kg/m²), D + ET (N = 22, 33 ± 1 years, BMI 33 ± 1 kg/m²), and nonadherent (NA, N = 9, 35 ± 2 years, BMI 33 ± 1 kg/m²) groups. Muscle sympathetic nerve activity (MSNA) was measured by microneurography and forearm blood flow by venous occlusion plethysmography. Mental stress was elicited by a 3-min Stroop color word test. Weight loss was similar between D and D + ET groups (87 ± 2 vs 79 ± 2 and 85 ± 2 vs 76 ± 2 kg, respectively, P < 0.05) with a significant reduction in MSNA during mental stress (58 ± 2 vs 50 ± 2, P = 0.0001, and 59 ± 3 vs 50 ± 2 bursts/100 beats, P = 0.0001, respectively), although the magnitude of the response was unchanged. Forearm vascular conductance during mental stress was significantly increased only in D + ET (2.74 ± 0.22 vs 3.52 ± 0.19 units, P = 0.02). Weight loss reduces MSNA during mental stress in obese women. The increase in forearm vascular conductance after weight loss provides convincing evidence for D + ET interventions as a nonpharmacologic therapy of human obesity.

Avaliação do potencial de uso da restrição hídrica em teste de sanidade de sementes de trigo visando à detecção de fungos

Objetivou-se, com o presente trabalho, avaliar a viabilidade do uso da restrição hídrica, em substituição ou alternativa ao uso da técnica de congelamento de sementes de trigo, no teste de incubação em substrato de papel, blotter test. O trabalho consistiu na comparação das duas técnicas por meio do exame de 60 amostras de sementes, coletadas em diferentes áreas do Estado de Minas Gerais e outras regiões do país, tendo como restritor hídrico o soluto manitol, no potencial de -1,10 MPa, valor este determinado preliminarmente com base na capacidade de redução da germinação das sementes de trigo em condições do teste de sanidade. A incidência média de Bipolaris sorokiniana não foi afetada por nenhuma das técnicas comparadas, havendo, por outro lado, um maior estímulo da restrição hídrica em relação à Pyricularia grisea, Aspergillus ochraceus, Cladosporium cladosporioides e Epicoccum purpuracens. Para Alternaria alternata, Drechslera tritici-repentis e Fusarium graminearum, os maiores valores de incidência ocorreram no método do congelamento.

The Role of Epistemic Monitoring in Language Comprehension

In der psycholinguistischen Forschung ist die Annahme weitverbreitet, dass die Bewertung von Informationen hinsichtlich ihres Wahrheitsgehaltes oder ihrer Plausibilität (epistemische Validierung; Richter, Schroeder & Wöhrmann, 2009) ein strategischer, optionaler und dem Verstehen nachgeschalteter Prozess ist (z.B. Gilbert, 1991; Gilbert, Krull & Malone, 1990; Gilbert, Tafarodi & Malone, 1993; Herbert & Kübler, 2011). Eine zunehmende Anzahl an Studien stellt dieses Zwei-Stufen-Modell von Verstehen und Validieren jedoch direkt oder indirekt in Frage. Insbesondere Befunde zu Stroop-artigen Stimulus-Antwort-Kompatibilitätseffekten, die auftreten, wenn positive und negative Antworten orthogonal zum aufgaben-irrelevanten Wahrheitsgehalt von Sätzen abgegeben werden müssen (z.B. eine positive Antwort nach dem Lesen eines falschen Satzes oder eine negative Antwort nach dem Lesen eines wahren Satzes; epistemischer Stroop-Effekt, Richter et al., 2009), sprechen dafür, dass Leser/innen schon beim Verstehen eine nicht-strategische Überprüfung der Validität von Informationen vornehmen. Ausgehend von diesen Befunden war das Ziel dieser Dissertation eine weiterführende Überprüfung der Annahme, dass Verstehen einen nicht-strategischen, routinisierten, wissensbasierten Validierungsprozesses (epistemisches Monitoring; Richter et al., 2009) beinhaltet. Zu diesem Zweck wurden drei empirische Studien mit unterschiedlichen Schwerpunkten durchgeführt. Studie 1 diente der Untersuchung der Fragestellung, ob sich Belege für epistemisches Monitoring auch bei Informationen finden lassen, die nicht eindeutig wahr oder falsch, sondern lediglich mehr oder weniger plausibel sind. Mithilfe des epistemischen Stroop-Paradigmas von Richter et al. (2009) konnte ein Kompatibilitätseffekt von aufgaben-irrelevanter Plausibilität auf die Latenzen positiver und negativer Antworten in zwei unterschiedlichen experimentellen Aufgaben nachgewiesen werden, welcher dafür spricht, dass epistemisches Monitoring auch graduelle Unterschiede in der Übereinstimmung von Informationen mit dem Weltwissen berücksichtigt. Darüber hinaus belegen die Ergebnisse, dass der epistemische Stroop-Effekt tatsächlich auf Plausibilität und nicht etwa auf der unterschiedlichen Vorhersagbarkeit von plausiblen und unplausiblen Informationen beruht. Das Ziel von Studie 2 war die Prüfung der Hypothese, dass epistemisches Monitoring keinen evaluativen Mindset erfordert. Im Gegensatz zu den Befunden anderer Autoren (Wiswede, Koranyi, Müller, Langner, & Rothermund, 2013) zeigte sich in dieser Studie ein Kompatibilitätseffekt des aufgaben-irrelevanten Wahrheitsgehaltes auf die Antwortlatenzen in einer vollständig nicht-evaluativen Aufgabe. Die Ergebnisse legen nahe, dass epistemisches Monitoring nicht von einem evaluativen Mindset, möglicherweise aber von der Tiefe der Verarbeitung abhängig ist. Studie 3 beleuchtete das Verhältnis von Verstehen und Validieren anhand einer Untersuchung der Online-Effekte von Plausibilität und Vorhersagbarkeit auf Augenbewegungen beim Lesen kurzer Texte. Zusätzlich wurde die potentielle Modulierung dieser Effeke durch epistemische Marker, die die Sicherheit von Informationen anzeigen (z.B. sicherlich oder vielleicht), untersucht. Entsprechend der Annahme eines schnellen und nicht-strategischen epistemischen Monitoring-Prozesses zeigten sich interaktive Effekte von Plausibilität und dem Vorhandensein epistemischer Marker auf Indikatoren früher Verstehensprozesse. Dies spricht dafür, dass die kommunizierte Sicherheit von Informationen durch den Monitoring-Prozess berücksichtigt wird. Insgesamt sprechen die Befunde gegen eine Konzeptualisierung von Verstehen und Validieren als nicht-überlappenden Stufen der Informationsverarbeitung. Vielmehr scheint eine Bewertung des Wahrheitsgehalts oder der Plausibilität basierend auf dem Weltwissen – zumindest in gewissem Ausmaß – eine obligatorische und nicht-strategische Komponente des Sprachverstehens zu sein. Die Bedeutung der Befunde für aktuelle Modelle des Sprachverstehens und Empfehlungen für die weiterführende Forschung zum Vehältnis von Verstehen und Validieren werden aufgezeigt.