Religiosity, depression, and quality of life in bipolar disorder: a two-year prospective study

Objective: Few quantitative studies have examined the effect of religious involvement on the course of bipolar disorder (BD). We investigated the effects of religious activity and coping behaviors on the course of depression, mania, and quality of life (QoL) in patients with BD. Methods: Two-year longitudinal study of 168 outpatients with BD. Linear regression was used to examine associations between religious predictors and outcome variables (manic symptoms, depression, QoL), controlling for sociodemographic variables. Results: Among the 158 patients reassessed after 2 years, positive religious coping at T1 predicted better QoL across all four domains: physical (β = 10.2, 95%CI 4.2 to 16.1), mental (β = 13.4, 95%CI 7.1 to 19.7), social (β = 10.5, 95%CI 3.6 to 17.33), and environmental (β = 11.1, 95%CI 6.2 to 16.1) at T2. Negative religious coping at T1 predicted worse mental (β = -28.1, 95%CI -52.06 to -4.2) and environmental (β = -20.4, 95%CI -39.3 to -1.6) QoL. Intrinsic religiosity at T1 predicted better environmental QoL (β = 9.56, 95%CI 2.76 to 16.36) at T2. Negative religious coping at T1 predicted manic symptoms (β = 4.1) at T2. Conclusion: Religiosity/spirituality (R/S) may influence the QoL of patients with BD over time, even among euthymic patients. Targeting R/S (especially positive and negative religious coping) in psychosocial interventions may enhance the quality of recovery in patients with BD.

Geochronology and petrogenesis of late-Variscan plutonism (NW Portugal) : synthesis and inferences on crustal recycling and growth

In NW Portugal large volumes of granitoids were emplaced during the post-collisional stage of the Variscan orogeny. This was the main period of successive granite generation, which exhibit different chemical and isotopic signatures. Geochronological and petrogenetic results are presented and inferences on the geodynamic evolution of the Iberian Variscides are discussed

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction

There has been an increasing need for the terminology on the conservative management of female pelvic floor dysfunction to be collated in a clinically based consensus report.This Report combines the input of members and elected nominees of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by many external referees. An extensive process of nine rounds of internal and external review was developed to exhaustively examine each definition, with decision-making by collective opinion (consensus). Before opening up for comments on the webpages of ICS and IUGA, five experts from physiotherapy, neurology, urology, urogynecology, and nursing were invited to comment on the paper.A Terminology Report on the conservative management of female pelvic floor dysfunction, encompassing over 200 separate definitions, has been developed. It is clinically based, with the most common symptoms, signs, assessments, diagnoses, and treatments defined. Clarity and ease of use have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction. Ongoing review is not only anticipated, but will be required to keep the document updated and as widely acceptable as possible.A consensus-based terminology report for the conservative management of female pelvic floor dysfunction has been produced, aimed at being a significant aid to clinical practice and a stimulus for research

Comparison of Insulin Sensitivity of Horses Adapted to Different Exercise Intensities

AbstractDiets high in concentrates and soluble carbohydrates are associated with reduced insulin sensitivity in horses. Exercise training could protect against diet-induced insulin resistance. The objective of this study was to determine the intensity of exercise training required to affect insulin sensitivity in stabled horses fed a diet high in concentrates but moderate in soluble carbohydrates. In all, 31 stabled horses underwent three different exercise regimens: turnout, light exercise, and moderate exercise, while being fed a diet containing 60% concentrate. Blood was sampled monthly and analyzed for insulin. Insulin sensitivity was assessed using basal insulin concentrations and calculated insulin sensitivity (reciprocal of the square root of insulin) and compared across months by analysis of variance with repeated measures. Insulin sensitivity (reciprocal of the square root of insulin) was higher during periods of moderate and light physical activity as compared with turnout. These results indicate that turnout alone may not be adequate to improve insulin sensitivity in horses fed high amounts of concentrate

Transplante pancreático: o que o Radiologista deve saber

 O transplante pancreático representa uma alternativa cirúrgica para o tratamento de casos selecionados de doentes diabéticos, com o objetivo de evitar as complicações sistémicas da doença. A abordagem mais frequente é o transplante pancreático-renal simultâneo, em que o pâncreas é geralmente posicionado intra-peritonealmente na região pélvica direita. Vários métodos de imagem são usados para a avaliação do enxerto parenquimatoso, a anatomia vascular e a drenagem entérica. A compreensão do procedimento cirúrgico, das técnicas utilizadas e da anatomia pós-procedimento é fundamental à medida que o número destes casos aumenta. O radiologista deve também conhecer as possíveis complicações associadas e a sua aparência imagiológica, com a finalidade de preservar a máxima função do enxerto

Propriedades hidráulicas de solos algarvios em cenário pós-incêndio

A ocorrência de incêndios florestais tem implicações nas propriedades hidráulicas dos solos. (Pierce et al., 2004), devido ao aparecimento de uma camada superficial de cinzas por combustão da mata e arvoredo. A fim de caracterizar a modificação das propriedades hidráulicas do solo devido à presença de incêndios florestais, foi realizada uma campanha experimental em que se recolheram amostras de solo da Serra Algarvia e do litoral Algarvio, sob as quais foram realizados ensaios de simulação de incêndio. Foram de igual modo realizados ensaios para caracterização das propriedades físicas dos solos em questão e sua classificação. Na simulação dos ensaios de incêndio foram consideradas diferentes quantidades de material combustível. Em seguida, realizaram-se novos ensaios para determinar o teor em água no solo e realizaram-se também ensaios de infiltração, com infiltrómetro de duplo anel, de modo a determinar a condutividade hidráulica quase saturada (Ks) e a sorvidade (S) nas diferentes amostras.info:eu-repo/semantics/publishedVersio