Pratos e mais pratos: louças domésticas, divisões culturais e limites sociais no Rio de Janeiro, século XIX

Reply to ten comments on a paper published in the last issue of this journal. The discussion follows along six main lines: History museums, identity, ideology and the category of nation; the need of material collections and their modalities: patrimonial, operational, virtual; theater versus laboratory; visitors and their ambiguities; Public History: the museum and the academy.Resposta aos comentários de dez especialistas que contribuíram no debate de texto publicado no último número desta revista. A discussão orientou-se segundo seis tópicos principais: museus históricos, identidade, ideologia e a categoria de nação; a necessidade de acervos materiais e suas modalidades: acervo patrimonial, operacional, virtual; teatro versus laboratório; o público e suas ambigüidades; História Pública: o museu e a Academia

Harnessing clinical psychiatric data with an electronic assessment tool (OPCRIT+):the utility of symptom dimensions

Progress in personalised psychiatry is dependent on researchers having access to systematic and accurately acquired symptom data across clinical diagnoses. We have developed a structured psychiatric assessment tool, OPCRIT+, that is being introduced into the electronic medical records system of the South London and Maudsley NHS Foundation Trust which can help to achieve this. In this report we examine the utility of the symptom data being collected with the tool. Cross-sectional mental state data from a mixed-diagnostic cohort of 876 inpatients was subjected to a principal components analysis (PCA). Six components, explaining 46% of the variance in recorded symptoms, were extracted. The components represented dimensions of mania, depression, positive symptoms, anxiety, negative symptoms and disorganization. As indicated by component scores, different clinical diagnoses demonstrated distinct symptom profiles characterized by wide-ranging levels of severity. When comparing the predictive value of symptoms against diagnosis for a variety of clinical outcome measures (e.g. 'Overactive, aggressive behaviour'), symptoms proved superior in five instances (R(2) range: 0.06-0.28) whereas diagnosis was best just once (R(2):0.25). This report demonstrates that symptom data being routinely gathered in an NHS trust, when documented on the appropriate tool, have considerable potential for onward use in a variety of clinical and research applications via representation as dimensions of psychopathology

Median and interquartile range Anderson-Rubin component scores and proportion of individuals with high scores (above the upper tertile) as a function of clinical ICD diagnostic category.

<p>Diagnoses listed are the largest two-digit subgroups within each broad ICD range (e.g. F06/F00–09). Figures are in the format of Median/Interquartile range/Proportion of individuals with high scores.</p

Diagnosis only (D), symptoms only (S) and models containing both sets of predictors (D+S) and their associations with various clinical outcome measures.

<p>Columns 2–4 report Nagelkerke’s Pseudo R² (^aadjusted R² where linear regression is used) for each model and overall model significance (*significant at the <0.05 level, **significant at the <0.01 level, ***significant at the <0.001 level). Column 5 details the best fitting model based on the likelihood ratio test (p<0.05) or the non-significance of other models in the comparison^b. Column 6 details, in descending order of significance, predictors in the best model with a p-value of <0.1. M = Mania, D = Depression, P = Positive symptoms, A = Anxiety, N = Negative symptoms, Di = Disorganization, FXX = ICD10 diagnostic category.</p

Chá e simpatia: uma estratégia de gênero no Rio de Janeiro oitocentista

Inicialmente, a A. traça um quadro do chá e do ritual do chá na Inglaterra, foco da Revolução Industrial, e chama a atenção para seus significados como um instrumento de liberação feminina. A seguir, mobilizando especialmente material arqueológico suplementado por fontes literárias, ela dirige sua análise para a periferia do caRitalismo e esboça a introdução do chá no Brasil. O ritual do chá, claramente sob autoridade feminina, no entanto apresenta uma peculiaridade singular nas classes médias do Rio de Janeiro oitocentista: é servido num espaço masculino por excelência, a sala de jantar. Tal ambigüidade é estudada juntamente com outros rituais mais recentes (que esvaziaram a etiqueta original do chá enquanto rito de passagem!, do ponto de vista das estratégias de gênero

Distribution of ICD-10 clinical diagnoses and demographic information.

<p>Rows provide details for all cases within 8 broad ICD ranges (in bold) and underneath each of these the accompanying largest two-digit subgroup within that range.</p