We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Of all the known pillared layered clays (PILC), Al-PILC is the most studied. In spite of that, its use on a commercial scale is not yet possible due to the large amount of water required for its synthesis. The aim of the present work was to take advantage of the beneficial effects of ultrasound radiation for reducing intercalation time, and to optimize the synthesis parameters in order to find a viable industrial means of preparing Al-PILC.
A comprehensive study of the effect of ultrasonic radiation on the parameters which have a direct effect on the amount of water used in the synthesis was conducted, specifically on the effects of: (1) mmol of Al/g of clay ratio (R) by decreasing the volume of A1 solution and keeping the amount of clay constant, (2) the concentration of clay in the initial suspension (or not suspending the clay at all), and (3) the concentration of the A1 precursor solution. The use of ultrasonic radiation produced the expected reduction in exchange time which was attributed to a decrease of the clay-particle size. This decrease of particle size gave rise to an improvement in the diffusion of the A1 precursor towards the core of the clay grain leading to solids with increased surface areas, basal spacing and X-ray diffraction peak definition. By optimizing the synthesis parameters directly involved in the consumption of water, it was possible to decrease the amount used by >60%.
Transition between adolescence and adulthood represents the most important challenge for personal development and involves several transformations: physical, psychological and social. It is a complex age bracket, concurring the transition from youth psychiatric units to adult ones, with an increased risk for the appearance of mental disorders and risky behaviours. TRANVIA program, developed in Avilés, provides psychiatric assistance to patients between 15 and 25 years old, diagnosed with a severe psychiatric disorder or with an increased risk of having one.
Objectives
Our objectives are: ensuring clinical continuity assistance, promoting communication among professionals and the empowerment of our patients to improve their functionality and quality of life.
Methods
Descriptive study including patients involved in TRANVIA program from November 2019 to November 2021.
Results
During this two-years period there have been 44 referrals to the program, 11 of them were rejected for failure to comply with diagnostic criteria. In November 2021 there were 33 patients included in the TRANVIA program with an average age of 17 years old (range: 15-22). 70% of them were men and 30% women. All of them had psychiatric assistance from different sources: youth mental health units, neuropediatrics… About 75% of the patients were diagnosed with autistic spectrum disorder and approximately three-quarters of the sample needed pharmacological treatment. Risperidone was the most prescribed drug. We have also developed other assistance alternatives as home-based care, relaxation sessions, social worker interventions and coordination with schools.
Conclusions
TRANVIA program has allowed us to provide continual attention to vulnerable patients that shift from youth psychiatric units to adult ones. Patients that meet inclusion criteria were enrolled independently the type of assistance they have previously received. Accessibility and flexibility were our priority. During the described period there was only one dropout, three patients required psychiatric hospitalization and two others visited the emergency department. There have been no cases of completed suicide.
This new project studies the diversity of socioecological niches across the agropastoral transition in the Andes, utilising a multi-isotope approach to track human territories and allocate subsistence tasks. During the agropastoral period, we discriminate different diachronic niches with varying extents of maize farming and altitudinal mobility.
A leading theory of the negative symptoms of schizophrenia is that they reflect reduced responsiveness to rewarding stimuli. This proposal has been linked to abnormal (reduced) dopamine function in the disorder, because phasic release of dopamine is known to code for reward prediction error (RPE). Nevertheless, few functional imaging studies have examined if patients with negative symptoms show reduced RPE-associated activations.
Methods
Matched groups of DSM-5 schizophrenia patients with high negative symptom scores (HNS, N = 27) or absent negative symptoms (ANS, N = 27) and healthy controls (HC, N = 30) underwent fMRI scanning while they performed a probabilistic monetary reward task designed to generate a measure of RPE.
Results
In the HC, whole-brain analysis revealed that RPE was positively associated with activation in the ventral striatum, the putamen, and areas of the lateral prefrontal cortex and orbitofrontal cortex, among other regions. Group comparison revealed no activation differences between the healthy controls and the ANS patients. However, compared to the ANS patients, the HNS patients showed regions of significantly reduced activation in the left ventrolateral and dorsolateral prefrontal cortex, and in the right lingual and fusiform gyrus. HNS and ANS patients showed no activation differences in ventral striatal or midbrain regions-of-interest (ROIs), but the HNS patients showed reduced activation in a left orbitofrontal cortex ROI.
Conclusions
The findings do not suggest that a generalized reduction of RPE signalling underlies negative symptoms. Instead, they point to a more circumscribed dysfunction in the lateral frontal and possibly the orbitofrontal cortex.
The energetic costs of animal movement change with body condition, although the consequences of this for foraging efficiency are rarely considered. We deployed externally attached devices to Magellanic penguins (Spheniscus magellanicus), known to increase the costs of swimming via increased drag in a consistent manner, and noted, however, that foraging behaviour and efficiency varied dramatically between years. We used our results to construct an energetics-based model and found that small increases in drag due to the attachment of externally attached tags predicted accelerating harm as prey availability decreased, which accorded with our observations. This explains earlier observations of differential breeding success in tagged versus untagged penguins in particular years, highlights the importance of understanding how animal body condition may affect population processes in general and advocates caution in interpretations of tag-derived data over variable environmental conditions.
Pregnancy has sociocultural implications that lead to conceiving it depending on the cultural context (Noguera & Rodríguez, 2008). Self-care is a cultural practice associated with the well-being of mother and child during pregnancy (Carmona, Hurtado and Marín 2007). Being relative to culture, self-care varies according to current beliefs. Beliefs are the concretion of a way of thinking about the environment that surrounds us (Peirce, 1903).
Objectives
Analyze the beliefs of women from a population group in Montería, about pregnancy and its implications regarding self-care in eating.
Methods
Qualitative approach. Sources: primary. Sample: due to saturation, 15 pregnant women assigned to the Mocarí neighborhood hospital in Montería. Instrument: semi-structured open interview. The information was processed through AtlasTi, implementing content analysis. Emerging categories: contents, routines in food.
Results
Main belief: food affects the well-being of mother and child. It is adequate or inappropriate depending on categories such as content and routines. The former refer to the food consumed, the latter indicate the times of consumption.
Conclusions
Beliefs about pregnancy operate as generators of mental habits, projected wishes and concrete actions. Therefore, they are an important starting point for the implementation of self-care practices at the institutional level.
We have studied the validity of the historical Cygnus OB associations and have found that many do not show the kinematic coherence expected for true OB associations. We have revisited these groups by photometrically identifying thousands of OB stars across the region with an SED fitting process which combines photometry, astrometry, spectral and evolutionary models. We applied a flexible clustering method and identified seven kinematically-coherent new OB associations. We observe a distinct correlation between position and velocity for two sets of these associations that suggests an expansion pattern. Tracing the motion of the stars back in the past we find that the sets were at their closest around 7.9 and 8.5 Myr ago. We discuss whether this expansion is a natural by-product of the commonly observed size - velocity dispersion relation of molecular clouds, or requires feedback to initiate the dispersal.
Pinaverium bromide (C26H41Br2NO4) is an active pharmaceutical ingredient (API) usually prescribed for the relief of spasm and functional gastrointestinal disorders. This work reports its powder diffraction data, Raman and FT-IR spectroscopy and thermal characterization. Indexing of the powder diffraction pattern showed this material crystallizes in a monoclinic unit cell with a = 16.00(4) Å, b = 8.901(2) Å, c = 19.225(4) Å, β = 98.68(3)°, and V = 2808.2(6) Å3.
Host–microbial co-metabolism products are being increasingly recognised to play important roles in physiological processes. However, studies undertaking a comprehensive approach to consider host–microbial metabolic relationships remain scarce. Metabolomic analysis yielding detailed information regarding metabolites found in a given biological compartment holds promise for such an approach. This work aimed to explore the associations between host plasma metabolomic signatures and gut microbiota composition in healthy adults of the Milieu Intérieur study. For 846 subjects, gut microbiota composition was profiled through sequencing of the 16S rRNA gene in stools. Metabolomic signatures were generated through proton NMR analysis of plasma. The associations between metabolomic variables and α- and β-diversity indexes and relative taxa abundances were tested using multi-adjusted partial Spearman correlations, permutational ANOVA and multivariate associations with linear models, respectively. A multiple testing correction was applied (Benjamini–Hochberg, 10 % false discovery rate). Microbial richness was negatively associated with lipid-related signals and positively associated with amino acids, choline, creatinine, glucose and citrate (−0·133 ≤ Spearman’s ρ ≤ 0·126). Specific associations between metabolomic signals and abundances of taxa were detected (twenty-five at the genus level and nineteen at the species level): notably, numerous associations were observed for creatinine (positively associated with eleven species and negatively associated with Faecalibacterium prausnitzii). This large-scale population-based study highlights metabolites associated with gut microbial features and provides new insights into the understanding of complex host–gut microbiota metabolic relationships. In particular, our results support the implication of a ‘gut–kidney axis’. More studies providing a detailed exploration of these complex interactions and their implications for host health are needed.
We present interferometric continuum and molecular line emission maps obtained with the Atacama Large Millimeter/submillimeter Array (ALMA) of OH231.8+4.2, a well studied bipolar nebula around an asymptotic giant branch (AGB) star that is key to understand the remarkable changes in nebular morphology and kinematics during the short transition from the AGB to the Planetary Nebula (PN) phase. The excellent angular resolution of our maps (∼20 mas ∼30 AU) allows us to scrutinize the central nebular regions of OH231.8+4.2, which hold the clues to understanding how this iconic object assembled its complex nebular architecture. We report, for the first time in this object and others of its kind (i.e. pre-PNe with massive bipolar outflows), the discovery of a rotating circumbinary disk of radius ∼30 AU traced by NaCl, KCl, and H2O emission lines. The disk lies at the base of a young bipolar wind with signs of rotation as well. A compact spatially resolved dust disk is found perpendicular to the bipolar outflow. We also identify a point-like continuum source, which likely represents the central Mira star enshrouded by a ∼3 R* shell or disk of hot (∼1400 K) freshly formed dust. The point source is slightly off-centre from the disk centroid, enabling us for the first time to place constraints to the orbital separation of the central binary system.
Apis mellifera is infected by more than 24 virus species worldwide, mainly positive-sense, single-stranded RNA viruses of the Dicistroviridae and Iflaviridae families. Among the viruses that infect honey bees, Deformed wing virus is the most prevalent and is present as three master variants DWV-A, B, and C. Given that the ectoparasitic mite Varroa destructor vectors these virus variants, recombination events between them are expected, and variants and their recombinants can co-exist in mites and honeybees at the same time. In this study, we detect, through RT-qPCR, the presence of DWV-A and B in the same samples of adult bees from colonies of Argentina. Total RNA was extracted from pools of ten adult bees from 45 apiaries distributed across the main beekeeping Provinces of Argentina (Buenos Aires, Santa Fe, Córdoba, Santiago del Estero, Río Negro, and Mendoza); then RT-qPCR reactions were performed to detect DWV-A and B, with specific primer pairs. After the amplifications, PCR products (204 and 660 bp amplicons for DWV-B, and ~250 bp for DWV-A) were purified and sequenced to verify that they corresponded to reported sequences, analyzing them using the Blast software. Of the 45 samples analyzed by RT-qPCR, over 90% were infected with DWV-A and 47% were also positive for DWV-B, where it was found in high prevalence specifically in colonies of A. mellifera of the Buenos Aires Province. Future studies will determine the impact of this type of the virus and its ability to recombine with the other DWV types in the apiaries of our country.
Benzodiazepines are widely used drugs. However, their chronic use has revealed that they can lead to dependence. The objective of this study is to review the different pharmacological strategies used in the management of benzodiazepine dependence and new trends in pharmacological interventions.
Method
We searched in MEDLINE and in the Cochrane Database System Review, selecting studies from 1980 until the present, in which a pharmacological intervention was made for benzodiazepine detoxification in mono-dependence cases.
Results
There is a consensus about gradual rather than abrupt tapering benzodiazepines in benzodiazepine discontinuation. Other extended traditional strategy has been switching from short half-life to long half-life benzodiazepines before gradual taper. A great variety of agents have been used as adjuvant medication in Benzodiazepine Withdrawal Syndrome (BWS) with varying degrees of success. In the last years research has focus in the use of anticonvulsant drugs. Both carbamzepine and valproate, have demonstrated to be beneficial in benzodiazepine discontinuation. Also, preliminary data suggest that new anticonvulsant agents (gabapentin, pregabalin, oxcarbazepine and topiramate) could be helpful.
Discussion
Although multiple drugs have been investigated for pharmacological management of BWS, only few have demonstrated significant efficacy. Anticonvulsant drugs are one of them. Both, carbamazepine and valproate, have shown benefits in reducing withdrawal severity. The available data currently support the use of new anticonvulsant (gabapentin, pregabalin, oxacarbazepine and topiramate), in the treatment of different drug-dependences such as alcohol, cocaine and opiate dependence. Moreover, there is a growing trend in the literature toward the use of these agents in benzodiazepine mono-dependence.
Alcoholism is a chronic relapsing disorder characterized by compulsive drinking, alcohol seeking, loss of control over alcohol consumption, and impaired social and occupational functioning. Treatment of Alcohol Dependence (AD) comprises two steps, detoxification and relapse prevention (RP). Traditionally, long half-life benzodiazepines have been the most widely used agents for alcohol detoxification. On the other hand, disulfiram, naltrexone and acamprosate are the three drugs that have been approved for relapse prevention. In the last decades, nevertheless, there is a growing interest in the use of anticonvulsant drugs in the management of both, detoxification and relapse prevention of alcohol.
Aims
To review the different pharmacological strategies in which an anticonvulsant was used in the management of AD.
Method
We searched in MEDLINE and in the Cochrane Database System Review, selecting all studies from 1980 until present, in which a pharmacological intervention with anticonvulsant agents was made for alcohol detoxification or RP.
Results
The most tested anticonvulsant drugs are the classical Carbamazepine and Valproate. Both have demonstrated to be efficacious in Alcohol Withdrawal Syndrome and RP. However, the use of these agents has been limited by their hepatic and hematologic toxicity. Novel anticonvulsants such as Gabapentin, Pregabalin, Topiramate, Oxcarbazepine and Zonisamide have also been found to be effective, with the advantage of rapid onset of action, lower toxicity and fewer side effects.
Conclusions
Anticonvulsants are efficacious and safe agents in the management of AD. Further randomized, double-blind, placebo-controlled trials are warranted to increase the evidence of the use of these agents.
The development of human brain imaging has resulted in a number of techniques that allow unprecedented insights into the in vivo metabolic and neurochemical processes of the brain. Single positron emission cerebral tomography (SPECT) is a nuclear medicine technique that can be used for measuring perfusion and blood flow in patients affected with psychopathology. The aim of the study was to compare sole depressed patients and those with comorbid alcohol dependence in terms of the functional alterations detected by single positron emission scan (SPECT). For this, 27 SPECT imaging studies performed at Hospital Clínico Pontificia Universidad Católica, of selected patients, were collected and categorized by group. First group composed by depressed patients and second group of patients having alcohol dependence in addition to depression. Selected studies were corregistered, normalized and smoothed for standarization before statistic analysis was performed using MatLan7.1 software with SPM5 module. Mean blood flow in brain areas were compared between groups, with significant statistical difference at p<0.01.
Results show significantly less blood flow in the group with alcohol dependence in Brodmann Areas 4,6,8,9,45and46 of the frontal lobe and BrodmannAreas 2,3,4,5,7and40 of the parietal lobe (p<0.01). Furthermore, the group with alcohol dependence showed increased blood flow in frontal lobe's Brodmann Area 10, temporal lobe's Brodmann Areas 13,20,22, cerebellum, uncus and thalamus.(p<0.01). We conclude that alcohol dependence as comorbid condition in depressed patients determines an additional decrease in the mean blood flow of prefrontal and temporal lobes.
The aims of this study were to analyse the quality of life (QoL) of a broad sample of patients with eating disorders (ED) and to identify potential factors that predict QoL.
Methods:
This prospective cohort study involved 528 patients diagnosed with ED and treated over a 15-year period in the Eating Disorders Outpatient Clinic. Information on sociodemographic and clinical data were gathered. Patients completed five self-administered instruments: the Eating Attitudes Test-26 (EAT-26); the Eating Disorder Diagnostic Scale (EDDS); the Hospital Anxiety and Depression Scale (HADS); the Short-Form 12 (SF-12); and the Quality of Life in ED-short form (HeRQoLED-s). Descriptive, univariate analyses and multivariate linear regression models were applied to identify factors associated with QoL.
Results:
Predictive variables for a low level of QoL in patients with anorexia nervosa (AN) included antidepressant treatment (P = 0.009), substance abuse disorder, (P = 0.03) and other organic comorbidities (P < 0.0001). For patients with bulimia nervosa (BN), they included osteoporosis (P = 0.0001), obesity (P = 0.0004) or being a student (P = 0.04). For patients with eating disorders not otherwise specified (EDNOS), they included anxiolytic treatment (P = 0.003), having circulatory disease (P = 0.001), more years since start of ED treatment (P = 0.03) and living alone (P < 0.0001).
Conclusions:
We found a significant difference in QoL between the diagnostic ED groups. With regard to the variables predicting QoL in ED patients, the findings of this study suggest that organic or psychiatric comorbidities and some data of social normality might be more relevant to QoL in ED than age, type of compensatory behaviour, BMI or number of visits to hospital emergency department.
Since 2004, herbal mixtures for smoking use have been sold under the generic brand “Spice”. Many of them contain synthetic cannabinoids (agonists of the cannabinoid receptors). JWH-018 was one of the first spice drugs. There is no scientific evidence of their effects on humans, except cases of intoxications and users opinions.
Objective
The present study describes the presence of the synthetic cannabinoids JWH's and their characteristics in the samples delivered for analysis to the harm reduction NGO Energy Control from 2010 to 2014 in Spain.
Methods
From 15,814 samples analyzed from 2010 to 2014, those containing synthetic cannabinoids JWH's were studied (n = 47). Analysis was done by gas chromatography–mass spectrometry.
Results
From these 47 samples containing JWH, 55% were delivered as “legal highs” (n = 21) and 44% as JWH. Most common presentations were powder 47% and herbals 32%. Samples containing JWH 45%(n = 21) were mixed with more than one kind of JWH or were adulterated and other active principles were found 28% (n = 13) JWH-018, 11% (n = 5) JWH-210, 8% (n = 4) JWH-081 and the 6% WH-250 (n = 3). Origin of the sample was Catalunya 23% (n = 11), other provinces of Spain 46% (n = 22); other EU countries 23% (n = 11) and internet-unknown country 8% (n = 8). From the (n = 47) samples, were delivered (n = 16) in 2012, (n = 12) in 2013, (n = 11) in 2011, (n = 3) in 2010 and (n = 3) in 2014.
Conclusion
JWH'S represent a low percentage of new psychoactive substances analyzed. Its presence in the market seems decreasing.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Tourists approaching wild animals can potentially cause disturbance as a result of the perceived predation risk. Risk effects arise when prey alter their behaviour in response to predators. This response may carry costs through its impact on fitness-related activities such as foraging. We recorded behavioural responses of whale sharks Rhincodon typus to experimental vessel and swimmer approaches. We simulated the disturbance caused by ecotourism in the foraging site of this planktivorous fish in Bahia de Los Angeles, Gulf of Baja California, Mexico. Stress-related behaviours (vigilance, change of direction, diving and acceleration) were more common directly after both types of disturbance than before, in particular after approach by a swimmer. Individuals were more likely to be vigilant when they were new to the bay, but we did not find evidence of within-season behavioural habituation. Sharks were 24% more likely to forage before human stimuli than after. Our study highlights negative effects of vessel and swimmer approaches on whale shark behaviour, with a short-term increase in stress-related behaviours potentially carrying energetic costs, combined with a decrease in food intake following the disturbance. Our results indicate concerns about the impact of ecotourism on large fish species. An important next step would be to determine whether these short-term behavioural responses to the perception of predation risk negatively affect fitness. Among other guidelines, we recommend preventing swimmers from approaching if whale sharks stop feeding when a vessel approaches.