307 research outputs found
Paediatric obsessive-compulsive disorder and depressive symptoms: clinical correlates and CBT treatment outcomes.
Depression frequently co-occurs with paediatric obsessive-compulsive disorder (OCD), yet the clinical correlates and impact of depression on CBT outcomes remain unclear. The prevalence and clinical correlates of depression were examined in a paediatric specialist OCD-clinic sample (N = 295; Mean = 15 [7 - 18] years, 42 % female), using both dimensional (Beck Depression Inventory-youth; n = 261) and diagnostic (Development and Wellbeing Assessment; n = 127) measures of depression. The impact of depressive symptoms and suspected disorders on post-treatment OCD severity was examined in a sub-sample who received CBT, with or without SSRI medication (N = 100). Fifty-one per-cent of patients reported moderately or extremely elevated depressive symptoms and 26 % (95 % CI: 18 - 34) met criteria for a suspected depressive disorder. Depressive symptoms and depressive disorders were associated with worse OCD symptom severity and global functioning prior to CBT. Individuals with depression were more likely to be female, have had a psychiatric inpatient admission and less likely to be attending school (ps < 0.01). OCD and depressive symptom severity significantly decreased after CBT. Depressive symptoms and depressive disorders predicted worse post-treatment OCD severity (βs = 0.19 and 0.26, ps < 0.05) but became non-significant when controlling for pre-treatment OCD severity (βs = 0.05 and 0.13, ns). Depression is common in paediatric OCD and is associated with more severe OCD and poorer functioning. However, depression severity decreases over the course of CBT for OCD and is not independently associated with worse outcomes, supporting the recommendation for treatment as usual in the presence of depressive symptoms
Doença inflamatória pélvica: um desfecho inesperado
Pelvic inflammatory disease is a polymicrobial infection of the upper genital tract, representing the most common complication of sexually transmitted diseases. Multiple agents are frequently involved, although some unusual agents have also been reported. The presentation is frequently sub-clinical, but may assume an acute form. We report a clinical case of a 39-year-old woman with recurrent pelvic inflammatory disease, resistant to systemic antibiotics, submitted to an exploratory surgery, with a histologic finding of tubal cysticercosis
Testing for Network and Spatial Autocorrelation
Testing for dependence has been a well-established component of spatial
statistical analyses for decades. In particular, several popular test
statistics have desirable properties for testing for the presence of spatial
autocorrelation in continuous variables. In this paper we propose two
contributions to the literature on tests for autocorrelation. First, we propose
a new test for autocorrelation in categorical variables. While some methods
currently exist for assessing spatial autocorrelation in categorical variables,
the most popular method is unwieldy, somewhat ad hoc, and fails to provide
grounds for a single omnibus test. Second, we discuss the importance of testing
for autocorrelation in data sampled from the nodes of a network, motivated by
social network applications. We demonstrate that our proposed statistic for
categorical variables can both be used in the spatial and network setting
Terahertz photometer to observe solar flares in continuum
Solar observations at sub-THz frequencies detected a new flare spectral
component peaking in the THz range, simultaneously with the well known
microwaves component, bringing challenging constraints for interpretation.
Higher THz frequencies observations are needed to understand the nature of the
mechanisms occurring in flares. A THz photometer system was developed to
observe outside the terrestrial atmosphere on stratospheric balloons or
satellites, or at exceptionally transparent ground stations. The telescope was
designed to observe the whole solar disk detecting small relative changes in
input temperature caused by flares at localized positions. A Golay cell
detector is preceded by low-pass filters to suppress visible and near IR
radiation, a band-pass filter, and a chopper. A prototype was assembled to
demonstrate the new concept and the system performance. It can detect
temperature variations smaller than 1 K for data sampled at a rate of
10/second, smoothed for intervals larger than 4 seconds. For a 76 mm aperture,
this corresponds to small solar burst intensities at THz frequencies. A system
with 3 and 7 THz photometers is being built for solar flare observations on
board of stratospheric balloon missions.Comment: 11 pages, 8 figures, accepted by Journal of Infrared, Millimeter, and
Terahertz Waves, 9 December 201
Horizontal projections of area 17 in Cebus monkeys: metric features, and modular and laminar distribution
Size and shape in Melipona quadrifasciata anthidioides Lepeletier, 1836 (Hymenoptera; Meliponini)
EVALUATION OF N-RATIO IN SELECTING PATIENTS FOR ADJUVANT CHEMORADIOTHERAPY AFTER D2-GASTRECTOMY
Fatores preditivos da marcha em pacientes diabéticos neuropático e não neuropáticos
Age at first childbirth and newly diagnosed diabetes among postmenopausal women: a cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
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