Multidisciplinary contributions towards an evolutive interpretation of bipolar disorders: Could it be the pathological drift of a potentially adaptive condition?

This paper tries to summarize the results of studies from different areas of knowledge supporting the idea that temperamental traits, such as "reckless/hyper-exploratory"attitudes, commonly believed to be associated with psychopathology, surprisingly turn out as adaptive under specific stress conditions. In particular, this paper analyzes an ethologic line of research on primates suggesting models for a sociobiological interpretation of mood disorders in humans; a study that found high frequencies of a genetic variance associated with bipolar disorder in people without bipolar disorder but with hyperactivity/novelty-seeking traits; the outcomes of socio-anthropological-historical surveys on the evolution of mood disorders in Western countries in the last centuries; surveys on changing societies in Africa and African migrants in Sardinia; and studies that found higher frequencies of mania and subthreshold mania among Sardinian immigrants in Latin American megacities. Although it is not unequivocally accepted that the prevalence of mood disorders has increased, it would be logical to suppose that a nonadaptive condition should have disappeared over time; mood disorders, on the contrary, persist and their prevalence might have even increased. This new interpretation could lead to counter discrimination and stigma towards people suffering from the disorder and would be a central point in psychosocial treatments in addition to pharmacological therapy. Our aim is to hypothesize that bipolar disorder, strongly characterized by these traits, may be the result of the interaction between genetic characteristics, not necessarily pathological, and specific environmental conditions rather than a mere product of an aberrant genetic profile. If mood disorders were mere nonadaptive conditions, they would have disappeared over time; however, their prevalence paradoxically persists if not even increases over time. The hypothesis that bipolar disorder may result from the interaction between genetic characteristics, not necessarily pathological, and specific environmental factors seems more credible than considering bipolar disorder as a mere product of an aberrant genetic profile

Hematoma subperiósteo e compressão orbitária após trauma frontal leve na anemia falciforme: relato de caso

We report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, hyperemia or tenderness. Computed tomography of the orbits showed a large superomedial subperiosteal hematoma in the left orbit. The patient was treated with canthotomy, cantholysis and surgical draining of the hematoma. Two days after drainage she persisted with a subperiosteal hematoma and low visual acuity. A wide exploration of the orbital roof through a lid crease approach disclosed a thickened superior orbital rim with multiple bone defects along the roof and with continuous bleeding. Hemostasis was accomplished with bone wax. Orbital compression was resolved and the patient recovered her previous normal visual acuity.Relatamos o caso de uma menina de 11 anos com doença falciforme, trazida à sala de emergência após ser atingida por um bloco de barro na região frontal esquerda. Apresentava ao exame proptose do olho esquerdo, edema palpebral, diminuição da acuidade visual e defeito pupilar aferente, sem quaisquer sinais inflamatórios como febre, hiperemia ou aumento de sensibilidade. A tomografia computadorizada de órbitas demonstrou um extenso hematoma subperiósteo superomedial na órbita esquerda. A paciente foi tratada com cantotomia, cantólise e drenagem cirúrgica do hematoma. Dois dias após a drenagem, ela permaneceu com um hematoma subperiósteo e a acuidade visual diminuída. Uma ampla exploração através de incisão no sulco palpebral superior revelou um rebordo orbitário superior espessado, e múltiplos defeitos ósseos ao longo do teto da órbita com sangramento persistente. Foi realizada hemostasia com cera óssea. A compressão orbitária foi resolvida, e a paciente recuperou a acuidade visual normal prévia

Short-Interval, Severe Wildfires Alter Saproxylic Beetle Diversity in Andean Araucaria Forests in Northwest Chilean Patagonia

The occurrence of short-interval, severe wildfires are increasing drastically at a global scale, and appear as a novel phenomenon in areas where fire historically returns in large time lapses. In forest ecosystems, these events induce drastic changes in population dynamics, which could dramatically impact species diversity. Here, we studied the effect on diversity of recent short-interval, severe wildfires (SISF), which occurred in rapid succession in the summers of 2002 and 2015 in Chilean Northern Patagonian Araucaria–Nothofagus forests. We analyzed the diversity of deadwood-dependent (i.e., saproxylic) and fire-sensitive beetles as biological indicators across four conditions: 2002-burned areas, 2015-burned areas, SISF areas (i.e., burned in 2002 and again in 2015), and unburned areas. Saproxylic beetles were collected using window traps in 2017 to 2019 summer seasons. To investigate the mechanisms underpinning the fire-related disturbance of the assemblage, we evaluated the effects of post-fire habitat quality (e.g., dead wood decomposition) and quantity (e.g., burned dead wood volume and tree density) on the abundances and species richness of the entire assemblage and also multiple trophic groups. Compared with the unburned condition, SISF drastically reduced species richness, evenness, and Shannon’s diversity and altered the composition of the saproxylic beetle assemblages. The between-condition variation in composition was accounted for by a species replacement (turnover) between SISF and 2015-burned areas, but both species replacement and extinction (nestedness) between SISF and unburned areas. Dead wood decomposition and tree density were the variables with the strongest effects on the abundance and species richness of the entire saproxylic beetle assemblage and most trophic groups. These results suggest that SISF, through degraded habitat quality (dead wood decomposition) and quantity (arboreal density), have detrimental impacts on diversity and population dynamics of saproxylic beetle assemblages. Therefore, habitat loss is a central mechanism underpinning fire-related biodiversity loss in these forest ecosystems.F.T. (Francisco Tello) was financially supported by CONICYT doctoral scholarship no. 21171980. F.T. (Francisco Tello), M.E.G., and A.L. were financially supported by ANID/FONDAP center no. 15110009 (CR2). M.E.G. was financially supported by FONDECYT grant no. 1201528. N.V. was financially supported by FONDECYT grants no. 1190529, no. 1181300, and FONDAP center no. 15150003 (IDEAL)

The remarkable Juliano Moreira (1872-1933): an Afro-Brazilian psychiatrist, scientist, and humanist in an environment of slavery and racism

n/

Deuda externa por naturaleza

Se discuten las posibles consecuencias del canje de los recursos naturales de los países del Tercer Mundo por las cuantiosas deudas que sus gobiernos han contraído con los países desarrollados. Se concluye que los supuestos beneficios a obtener no son más que una ilusión y que el mecanismo de trueque vulnera sus derechos sobre el territorio, los ecosistemas y su biodiversidad

Deuda externa por naturaleza

Se discuten las posibles consecuencias del canje de los recursos naturales de los países del Tercer Mundo por las cuantiosas deudas que sus gobiernos han contraído con los países desarrol lados. Se concluye que los supuestos beneficios a obtener no son más que una ilusión y que el mecanismo de trueque vulnera sus derechos sobre el territorio, los ecosistemas y su biodiversid

Dietary Fat, Sugar Consumption, and Cardiorespiratory Fitness in Patients With Heart Failure With Preserved Ejection Fraction

Heart failure with preserved ejection fraction (HFpEF) is associated with obesity and, indirectly, with unhealthy diet. The role of dietary components in HFpEF is, however, largely unknown. In this study, the authors showed that in obese HFpEF patients, consumption of unsaturated fatty acids (UFA), was associated with better cardiorespiratory fitness, and UFA consumption correlated with better diastolic function and with greater fat-free mass. Similarly, mice fed with a high-fat diet rich in UFA and low in sugars had preserved myocardial function and reduced weight gain. Randomized clinical trials increasing dietary UFA consumption and reducing sugar consumption are warranted to confirm and expand our findings