Collaborative community based care for people and their families living with schizophrenia in India: protocol for a randomised controlled trial

BACKGROUND: There is a large treatment gap with few community services for people with schizophrenia in low income countries largely due to the shortage of specialist mental healthcare human resources. Community based rehabilitation (CBR), involving lay health workers, has been shown to be feasible, acceptable and more effective than routine care for people with schizophrenia in observational studies. The aim of this study is to evaluate whether a lay health worker led, Collaborative Community Based Care (CCBC) intervention, combined with usual Facility Based Care (FBC), is superior to FBC alone in improving outcomes for people with schizophrenia and their caregivers in India. METHODS/DESIGN: This trial is a multi-site, parallel group randomised controlled trial design in India.The trial will be conducted concurrently at three sites in India where persons with schizophrenia will be screened for eligibility and recruited after providing informed consent. Trial participants will be randomly allocated in a 2:1 ratio to the CCBC+FBC and FBC arms respectively using an allocation sequence pre-prepared through the use of permuted blocks, stratified within site. The structured CCBC intervention will be delivered by trained lay community health workers (CHWs) working together with the treating Psychiatrist. We aim to recruit 282 persons with schizophrenia. The primary outcomes are reduction in severity of symptoms of schizophrenia and disability at 12 months. The study will be conducted according to good ethical practice, data analysis and reporting guidelines. DISCUSSION: If the additional CCBC intervention delivered by front line CHWs is demonstrated to be effective and cost-effective in comparison to usually available care, this intervention can be scaled up to expand coverage and improve outcomes for persons with schizophrenia and their caregivers in low income countries. TRIAL REGISTRATION: The trial is registered with the International Society for the Registration of Clinical Trials and the allocated unique ID number is ISRCTN 56877013

Quantum walks: a comprehensive review

Quantum walks, the quantum mechanical counterpart of classical random walks, is an advanced tool for building quantum algorithms that has been recently shown to constitute a universal model of quantum computation. Quantum walks is now a solid field of research of quantum computation full of exciting open problems for physicists, computer scientists, mathematicians and engineers. In this paper we review theoretical advances on the foundations of both discrete- and continuous-time quantum walks, together with the role that randomness plays in quantum walks, the connections between the mathematical models of coined discrete quantum walks and continuous quantum walks, the quantumness of quantum walks, a summary of papers published on discrete quantum walks and entanglement as well as a succinct review of experimental proposals and realizations of discrete-time quantum walks. Furthermore, we have reviewed several algorithms based on both discrete- and continuous-time quantum walks as well as a most important result: the computational universality of both continuous- and discrete- time quantum walks.Comment: Paper accepted for publication in Quantum Information Processing Journa

The iBeetle large-scale RNAi screen reveals gene functions for insect development and physiology

Genetic screens are powerful tools to identify the genes required for a given biological process. However, for technical reasons, comprehensive screens have been restricted to very few model organisms. Therefore, although deep sequencing is revealing the genes of ever more insect species, the functional studies predominantly focus on candidate genes previously identified in Drosophila, which is biasing research towards conserved gene functions. RNAi screens in other organisms promise to reduce this bias. Here we present the results of the iBeetle screen, a large-scale, unbiased RNAi screen in the red flour beetle, Tribolium castaneum, which identifies gene functions in embryonic and postembryonic development, physiology and cell biology. The utility of Tribolium as a screening platform is demonstrated by the identification of genes involved in insect epithelial adhesion. This work transcends the restrictions of the candidate gene approach and opens fields of research not accessible in Drosophila

Caracterização morfológica e físico-química de frutos de butia odorata.

Esse trabalho teve como objetivo caracterizar frutos de B. odorata, e identificar genótipos de interesse para melhoramento genético

Contrasting effects of environmental factors during larval stage on morphological plasticity in post-metamorphic frogs

In organisms with complex life cycles, environmentally induced plasticity across sequential stages can have important consequences on morphology and life history traits such as developmental and growth rates. However, previous research in amphibians and other ectothermic vertebrates suggests that some morphological traits are generally insensitive to environmental inductions. We conducted a literature survey to examine the allometric responses in relative hind leg length and head shape of post-metamorphic anuran amphibians to induced environmental (temperature, resource level, predation and desiccation risk) variation operating during the larval phase in 44 studies using 19 species. To estimate and compare plastic responses across studies, we employed both an index of plasticity and effect sizes from a meta-analysis. We found contrasting trait responses to different environmental cues. Higher temperatures increased development more than growth rate and induced smaller heads but not overall shifts in hind leg length. In contrast, an increment in resource availability increased growth more than development, with a parallel increase in hind leg length but no change in head shape. Increases in predation risk decreased both development and growth rates and slightly reduced relative hind leg length, but there was no change in head shape. Pond desiccation induced quick development and low growth rates, with no changes in morphology. Across environments, both hind leg and head shape plasticity were positively correlated with growth rate plasticity. However, plasticity of developmental rate was only correlated with head shape plasticity. Overall, these results suggest that environmental trends predicted by global warming projections, such as increasing pond temperature and accelerating pond desiccation, will significantly influence hind leg and head morphology in metamorphic frogs, which may affect performance and, ultimately, fitness. © Inter-Research 2010.Peer Reviewe