Risk and protective factors for release in outpatients with schizophrenia

eposterWe aim to determine risk and protective factors influencing relapse incidence in outpatient with schizophrenia. A longitudinal, observational study was done with outpatients with schizophrenia (F20) or schizoaffective disorder (F25)(DMS-IV and ICD-10), without hospitalization during the previous 6 months. The patients were consecutively included into the study to received oral (O-A) or long-acting injectable (depot-A) antipsychotics. Clinical stage evolution, compliance, efficacy and safety assessments (including PANSS, CGI-SSI, hospitalization rates, and adverse events) were recorded before and after 6 and 12 months of treatment. Results: 60 outpatients (aged 34.5±8.9, male 73%), 75% schizophrenia and 25% schizoaffective disorder diagnosis, 68.3% fewer than 15 years of schizophrenia evolution, 76.7% fewer than 5 times previous hospitalizations were treated with O-A (41.7%) or depot-A (58.3%) antipsychotics for at least one year. Depot-A treated patients showed a significant higher compliance compared to O-A patients during the all following time, lower PANSS (total, positive and negative) scores and CGI-SSI score (p<0.01), and a delayed relapse incidence and re-hospitalization to more than 1 year in the 48% of patients (relapse % depot/% oral) after 6 months 22.9%/52.0%, and after 12 months 48.6%/4.0%. Conclusion: There were protective factors which delayed relapse incidence in schizophrenia: Use of sustained-release preparations, family support. There were risk factors for occurrence of relapse in schizophrenia: cocaine, heroin and alcohol consumption, absence of family support, greater severity of patients assessed through CGI-SI, male sex, age older than 25 years and long-term evolution of the disorder.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

The contribution of environmental enrichment to sustainable poultry production

Environmental enrichment comprises stimuli added to the poultry housing environment to enhance the biological adaptation of the birds and improve their welfare. By promoting species-typical behavior, it has the potential to reduce the risk of harmful behaviors (e.g., piling, cannibalism, forced matings) and health conditions (e.g., scratches, footpad dermatitis, leg problems), and guide birds to use the available resources more uniformly. Environmental enrichment may also promote positive emotional states and enhance the birds’ ability to cope with unpredictable environmental changes. It represents a potentially valuable strategy for enhancing the sustainability of poultry meat production by reducing losses and improving social acceptability. Keywords: Environmental enrichment, environmental complexity, poultry welfare, poultry health, poultry behavior, stress resilienceacceptedVersio