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Decision-making (DM) is a component of executive functioning. DM is essential to make proper decisions regarding important life and health issues. DM can be impaired in cognitive disorders among older adults, but current literature is scarce. The aim of this study was to evaluate the DM profile in participants with and without cognitive impairment.
Cross-sectional analysis of a cohort study on cognitive aging.
143 older adults.
University-based memory clinic.
Patients comprised three groups after inclusion and exclusion criteria: healthy controls (n=29), mild cognitive impairment (n=81) and dementia (n=33). Participants were evaluated using an extensive neuropsychological protocol. DM profile was evaluated by the Melbourne Decision Making Questionnaire. Multinomial logistic regression was used to evaluate associations between age, sex, educational level, estimated intelligence quotient (IQ), cognitive disorders, depressive or anxiety symptoms, and the DM profiles.
The most prevalent DM profile was the vigilant type, having a prevalence of 64.3%. The vigilant profile also predominated in all three groups. The multinomial logistic regression showed that the avoidance profile (i.e. buck-passing) was associated with a greater presence of dementia (p=0.046) and depressive symptoms (p=0.024), but with less anxious symptoms (p=0.047). The procrastination profile was also associated with depressive symptoms (p=0.048). Finally, the hypervigilant profile was associated with a lower pre-morbid IQ (p=0.007).
Older adults with cognitive impairment tended to make more unfavorable choices and have a more dysfunctional DM profile compared to healthy elders.
Item 9 of the Patient Health Questionnaire-9 (PHQ-9) queries about thoughts of death and self-harm, but not suicidality. Although it is sometimes used to assess suicide risk, most positive responses are not associated with suicidality. The PHQ-8, which omits Item 9, is thus increasingly used in research. We assessed equivalency of total score correlations and the diagnostic accuracy to detect major depression of the PHQ-8 and PHQ-9.
We conducted an individual patient data meta-analysis. We fit bivariate random-effects models to assess diagnostic accuracy.
16 742 participants (2097 major depression cases) from 54 studies were included. The correlation between PHQ-8 and PHQ-9 scores was 0.996 (95% confidence interval 0.996 to 0.996). The standard cutoff score of 10 for the PHQ-9 maximized sensitivity + specificity for the PHQ-8 among studies that used a semi-structured diagnostic interview reference standard (N = 27). At cutoff 10, the PHQ-8 was less sensitive by 0.02 (−0.06 to 0.00) and more specific by 0.01 (0.00 to 0.01) among those studies (N = 27), with similar results for studies that used other types of interviews (N = 27). For all 54 primary studies combined, across all cutoffs, the PHQ-8 was less sensitive than the PHQ-9 by 0.00 to 0.05 (0.03 at cutoff 10), and specificity was within 0.01 for all cutoffs (0.00 to 0.01).
PHQ-8 and PHQ-9 total scores were similar. Sensitivity may be minimally reduced with the PHQ-8, but specificity is similar.
The expansion of sugarcane crop to regions with lower water supply in Brazil has increased the importance of correct estimation of crop water requirements. Currently, the irrigation management is generally done using the crop coefficient (Kc) based on the FAO 56 bulletin. Kc is used to determine the potential water demand of the crop for a given period of time and is considered constant for each crop stage. However, some recent studies have shown that Kc can be significantly variable under different evapotranspiration (ETo) rates. This paper aimed to analyse sugarcane water consumption at different scales: plant (sap flow measurements by energy balance method); canopy (Bowen ratio energy balance method); and plant–atmosphere coupling (infrared gas analyser) to reduce the uncertainties on the irrigation practices. Measurements were taken at two experimental sites, where a modern Brazilian cultivar CTC 12 was grown under drip irrigation and an old main Brazilian cultivar (RB867515) was grown under sprinkler irrigation by a central pivot. The mean crop evapotranspiration (ETc) values by the Bowen ratio energy balance method were 2.92 and 3.68 mm d−1 for RB867515 and CTC 12, respectively, resulting in a mean Kc of 0.99 at the full vegetative growth stage. Kc values were dependent on ETo and varied between 0.2 and 1.7 for both cultivars. This occurred in a crop coupled to the atmosphere (Ω = 0.37) and was the same found in other coupled crops such as coffee and citrus. In conclusion, the sugarcane Kc for southeast Brazil presented temporal variability due to coupling conditions according to reference evapotranspiration, and this should be considered in irrigation management.
The aim of this research communication was to identify chromosome regions and genes that could be related to milk yield (MY), milk fat (%F) and protein percentage (%P) in Brazilian buffalo cows using information from genotyped and non-genotyped animals. We used the 90 K Axiom® Buffalo Genotyping array. A repeatability model was used. An iterative process was performed to calculate the weights of markers as a function of the squared effects of Single Nucleotide Polymorphism (SNP) and allele frequencies. The 10 SNPs with the largest effects for MY, %F and %P were studied and they explained 7·48, 9·94 and 6·56% of the genetic variance, respectively. These regions harbor genes with biological functions that could be related to the traits analyzed. The identification of such regions and genes will contribute to a better understanding of their influence on milk production and milk quality traits of buffaloes.
The value of the nosological distinction between non-affective and affective psychosis has frequently been challenged. We aimed to investigate the transdiagnostic dimensional structure and associated characteristics of psychopathology at First Episode Psychosis (FEP). Regardless of diagnostic categories, we expected that positive symptoms occurred more frequently in ethnic minority groups and in more densely populated environments, and that negative symptoms were associated with indices of neurodevelopmental impairment.
This study included 2182 FEP individuals recruited across six countries, as part of the EUropean network of national schizophrenia networks studying Gene–Environment Interactions (EU-GEI) study. Symptom ratings were analysed using multidimensional item response modelling in Mplus to estimate five theory-based models of psychosis. We used multiple regression models to examine demographic and context factors associated with symptom dimensions.
A bifactor model, composed of one general factor and five specific dimensions of positive, negative, disorganization, manic and depressive symptoms, best-represented associations among ratings of psychotic symptoms. Positive symptoms were more common in ethnic minority groups. Urbanicity was associated with a higher score on the general factor. Men presented with more negative and less depressive symptoms than women. Early age-at-first-contact with psychiatric services was associated with higher scores on negative, disorganized, and manic symptom dimensions.
Our results suggest that the bifactor model of psychopathology holds across diagnostic categories of non-affective and affective psychosis at FEP, and demographic and context determinants map onto general and specific symptom dimensions. These findings have implications for tailoring symptom-specific treatments and inform research into the mood-psychosis spectrum.
In the current study, phage-exposed mimotopes as targets against tegumentary leishmaniasis (TL) were selected by means of bio-panning cycles employing sera of TL patients and healthy subjects, besides the immune stimulation of peripheral blood mononuclear cells (PBMCs) collected from untreated and treated TL patients and healthy subjects. The clones were evaluated regarding their specific interferon-γ (IFN-γ) and interleukin-4 (IL-4) production in the in vitro cultures, and selectivity and specificity values were calculated, and those presenting the best results were selected for the in vivo experiments. Two clones, namely A4 and A8, were identified and used in immunization protocols from BALB/c mice to protect against Leishmania amazonensis infection. Results showed a polarized Th1 response generated after vaccination, being based on significantly higher levels of IFN-γ, IL-2, IL-12, tumour necrosis factor-α (TNF-α) and granulocyte-macrophage colony-stimulating factor (GM-CSF); which were associated with lower production of specific IL-4, IL-10 and immunoglobulin G1 (IgG1) antibodies. Vaccinated mice presented significant reductions in the parasite load in the infected tissue and distinct organs, when compared with controls. In conclusion, we presented a strategy to identify new mimotopes able to induce Th1 response in PBMCs from TL patients and healthy subjects, and that were successfully used to protect against L. amazonensis infection.
Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification.
To evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.
Data collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analysed and binomial generalised linear mixed models were fit.
A total of 17 158 participants (2287 with major depression) from 57 primary studies were analysed. Among fully structured interviews, odds of major depression were higher for the MINI compared with the Composite International Diagnostic Interview (CIDI) (odds ratio (OR) = 2.10; 95% CI = 1.15–3.87). Compared with semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression (OR = 3.13; 95% CI = 0.98–10.00), similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) (OR = 0.96; 95% CI = 0.56–1.66) and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) (OR = 0.50; 95% CI = 0.26–0.97).
The MINI may identify more people as depressed than the CIDI, and semi-structured and fully structured interviews may not be interchangeable methods, but these results should be replicated.
Declaration of interest
Drs Jetté and Patten declare that they received a grant, outside the submitted work, from the Hotchkiss Brain Institute, which was jointly funded by the Institute and Pfizer. Pfizer was the original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.
Over the last decade, the Antarctic continent has been the object of intensive scientific programmes. However, the emphasis of these studies rarely focuses on the Antarctic as a source of potential elements such as mercury. The release of mercury to the environment is known to occur at Deception Island, associated with volcanic activity. In this study, a 3D hydrodynamic model was used to assess the role of water circulation on the dispersion of released mercury. Sea level variation and tidal circulation data were obtained. Residence time was calculated using two different approaches. Internal tide generation in summer and winter were recognized and the barotropic tidal components obtained. Lagrangian tracers were used to depict particle circulation (simulating particulate mercury) in a three month summer simulation for barotropic and baroclinic conditions. The results show that particles accumulate in the northern and western parts of the bay. It is acknowledged that the results of the 3D model are associated with a non-negligible uncertainty, which can only be reduced with an ongoing commitment to monitoring. The findings of this study indicate that mercury accumulation is occurring in Port Foster (Deception Island), which is a potential threat to the local ecosystem.
The worldwide population of the leatherback turtle (Dermochelys coriacea) encompasses seven subpopulations among the Pacific, Atlantic and Indian Oceans. It has experienced declines across parts of its distribution, with the subpopulation of the South-west Atlantic listed as critically endangered by the IUCN Red List. The main threats to this subpopulation include its interaction with fisheries, coastal development, pollution and climate change. In this study, we sequenced mitochondrial DNA from 52 leatherback turtles in Brazil and combined these with published data from other Atlantic Ocean rookeries. The haplotype diversities of the Atlantic population rookeries ranged from 0.112 to 0.533 and are not directly proportional to current rookery sizes. The Brazilian rookery, despite recording low nest numbers per year, had the second-highest haplotype diversity among all Atlantic rookeries (h = 0.532). A mixed-stock analysis revealed that the South American pelagic aggregate is primarily composed of individuals from West Africa (84%), with contributions from the North Atlantic rookeries (14%). Leatherback turtles appear to have a complex phylogeographic pattern, showing evidence of multiple colonization events and a lack of isolation by distance. Our novel dataset, based on DNA sequences of 695 base pairs, will provide baseline data needed to understand population dynamics in the region, building comprehensive population assessments to support and develop management strategies. Having both the only known regular rookery in the South-west Atlantic, and a mixed-origin foraging area for the species along its coast, Brazil has a key role in the conservation of the leatherback turtle.
Evaluating the occurrence of diseases in aquatic mustelids is a priority in the conservation strategies for the Neotropical river otter and giant otter. Thus, the objective of this study was to determine the frequency of infection caused by Cryptosporidium spp. and Giardia sp. in both host species in northern Brazil. The collection of biological samples was carried out in the states of Amapá, Amazonas, Pará and Rondônia, totalling 337 faecal samples of these species, which were processed using Kinyoun's technique for the identification of Cryptosporidium spp. oocysts, and centrifugal flotation in zinc sulphate solution for visualization of Giardia sp. cysts. All samples were also tested by direct immunofluorescence. The frequency of infection by Cryptosporidium spp. was higher than Giardia sp., in the two otter species. In the analysed samples co-infection by both protozoa was also found in 4.47% (14/313) of Neotropical river otter and 20.83% (5/24) of giant otter samples. Oocysts and cysts of Cryptosporidium and Giardia, respectively, may remain infectious within specific environmental conditions for long periods of time. The current identification of Neotropical and giant otters as hosts of these protozoa increases the possibility of infection in this species and the transmission of those agents to other aquatic and terrestrial organisms, as well as to human populations. The findings of this study represent the first description of Cryptosporidium spp. and Giardia sp. affecting Lontra longicaudis and Pteronura brasiliensis.
We present a set of star cluster integrated spectra based on observations from the ultraviolet to the near-infrared. Mean template spectra were built following a ranking of clusters according to age and metallicity, which were taken from recent studies and put on consistent scales. The complete spectral database including star clusters, galaxies and stars (templates and individuals) is available through the CDS.
Phytoplankton is responsible for most primary production in Antarctica, but the short timescale dynamics of its size structure and composition are poorly described and understood. The abundance and composition of phytoplankton in Fildes Bay, western Antarctic Peninsula, was followed for 12 days during the summer using a range of methods, including size fractionation of chlorophyll, microscopy, flow cytometry and terminal-restriction fragment length polymorphism (T-RFLP) of the plastid 16S rRNA gene. A rapid increase in biomass and cell abundance occurred in response to a vertical mixing event. This increase also resulted in a shift in composition from diatoms to Prymnesiophyceae, and then back to diatoms as the water column re-stratified. Our results show a strong dominance of nanophytoplankton represented by Thalassiosira and Phaeocystis. The rapid response of the phytoplankton suggests that it is well adapted to short-term environmental changes.
Assessing energy requirements is a fundamental activity in clinical dietetic practice. The aim of this study was to investigate which resting energy expenditure (REE) predictive equations are the best alternatives to indirect calorimetry before and after an interdisciplinary therapy in Brazilian obese women. In all, twelve equations based on weight, height, sex, age, fat-free mass and fat mass were tested. REE was measured by indirect calorimetry. The interdisciplinary therapy consisted of nutritional, physical exercise, psychological and physiotherapy support during the course of 1 year. The average differences between measured and predicted REE, as well as the accuracy at the ±10 % level, were evaluated. Statistical analysis included paired t tests, intraclass correlation coefficients and Bland–Altman plots. Validation was based on forty obese women (BMI 30–39·9 kg/m2). Our major findings demonstrated a wide variation in the accuracy of REE predictive equations before and after weight loss in non-morbid, obese women. The equations reported by Harris–Benedict and FAO/WHO/United Nations University (UNU) were the only ones that did not show significant differences compared with indirect calorimetry and presented a bias <5 %. The Harris–Benedict equation provided 40 and 47·5 % accurate predictions before and after therapy, respectively. The FAO equation provided 35 and 47·5 % accurate predictions. However, the Bland–Altman analysis did not show good agreement between these equations and indirect calorimetry. Therefore, the Harris–Benedict and FAO/WHO/UNU equations should be used with caution for obese women. The need to critically re-assess REE data and generate regional and more homogeneous REE databases for the target population is reinforced.
The objective of this study was to evaluate morphogenetic and structural characteristics of Guinea grass pastures subjected to two grazing frequencies (90 and 95% light interception) and two post-grazing heights (30 and 50 cm), during the rainy season and dry year. The leaf appearance rate varied only in the summer, the grazing pastures managed at 90/50 (light interception/post-grazing height) presented higher values in the leaf appearance rate (0.440 leaf/tiller.day), compared with those managed at 90/30 (0.275 leaf/tiller.day) and 95/50 (0.228 leaf/tiller.day), respectively. In the winter/beginning of the spring, pastures managed at 90/30 (0.03 cm/tiller.day) presented lower stem elongation rate in comparison with those managed at 90/50 (0.19 cm/tiller.day) and 95/30 (0.16 cm/tiller.day). Management strategies do not compromise the tissue flow in tillers and, consequently, can be utilized for the management of Guinea grass.
This study used high-precision radiocarbon bomb-pulse dating of selected wood rings to provide an independent validation of the tree growth periodicity of Pseudolmedia rigida (Klotzsch & H. Karst) Cuatrec. from the Moraceae family, collected in the Madidi National Park in Bolivia. 14C content was measured by accelerator mass spectrometry (AMS) in 10 samples from a single tree covering over 70 yr from 1939 to 2011. These preliminary calendar dates were determined by dendrochronological techniques and were also used to select the samples for 14C AMS. In order to validate these preliminary dates using the established Southern Hemisphere (SH) 14C atmospheric concentration data set, the targeted rings were selected to be formed during periods before and after the 14C bomb spike nuclear tests (i.e. 1950s–1960s). The excellent agreement of the dendrochronological dates and the 14C signatures in tree rings associated with the same dates provided by the bomb-pulse 14C atmospheric values for the SH (SHCal zone 1–2) confirms the annual periodicity of the observed growth layers, and thus the high potential of this species for tree-ring analysis. The lack of discrepancies between both data sets also suggests that there are no significant latitudinal differences between the 14C SHCal zone 1–2 curve and the 14C values obtained from the selected tree rings at this geographic location (14°33′S, 68°49′W) in South America. The annual resolution of P. rigida tree rings opens the possibility of broader applications of dendrochronological analysis for ecological and paleoclimatic studies in the Bolivian tropics, as well as the possibility of using wood samples from some tree species from this region to improve the quality of the bomb-pulse 14C SHCal curve at this latitude.
We report for the first time the association of some caridean shrimps with the octocoral Carijoa riisei (Cnidaria: Clavulariidae) and the sponge Dragmacidon reticulatum (Porifera: Axinellidae), in estuaries from north-eastern Brazil. The alpheid shrimp Synalpheus apioceros, Synalpheus fritzmuelleri, Alpheus formosus, Alpheus carlae and the palaemonid Cuapetes americanus are reported in association with Carijoa riisei. The latter two species, plus the alpheid Alpheus buckupi, are recorded in association with D. reticulatum.