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Effect of D2R, NMDAR and CB1R genetic variants associated with cannabis use and childhood trauma in first-episode psychosis in a Brazilian population
- C. M. Loureiro, F. Corsi-Zuelli, H. A. Fachim, R. Shuhama, P. R. Menezes, C. F. Dalton, P. Louzada-Junior, S. I. N. Belangero, F. B. Coeli-Lacchini, G. P. Reynolds, R. Lacchini, C. M. Del-Ben
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S255
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Introduction
Gene-environment interactions increase psychosis risk (Gayer-Anderson et al. Soc Psychiatry Psychiatr Epidemiol 2020; 55(5):645-657). However, identifying the genetic variants involved and how they interact with environmental risk factors underlying psychosis remains challenging.
ObjectivesTo investigate whether there are gene-environment interactions in the relationships of childhood trauma, lifetime cannabis use, and single nucleotide variants (SNVs) of dopamine D2 receptor (D2R: DRD2), N-methyl-d-aspartate receptor (NMDAR: GRIN1, GRIN2A and GRIN2B) and cannabinoid receptor type 1 (CB1R: CNR1) with psychosis.
MethodsIn a population-based case-control study nested in an incident study (STREAM, Brazil) (Del-Ben et al. Br J of Psychiatry 2019; 215(6):726-729), part of the EU-GEI consortium (Gayer-Anderson et al. Soc Psychiatry Psychiatr Epidemiol 2020; 55(5):645-657), 143 first-episode psychosis patients and 286 community-based controls of both sexes aged between 16 and 64 years were included over a period of 3 years. Twenty-three SNVs of D2R (rs1799978, rs7131056, rs6275), NMDAR (GRIN1: rs4880213, rs11146020; GRIN2A: rs1420040, rs11866328; GRIN2B: rs890, rs2098469, rs7298664), and CB1R genes (CNR1: rs806380, rs806379, rs1049353, rs6454674, rs1535255, rs2023239, rs12720071, rs6928499, rs806374, rs7766029, rs806378, rs10485170, rs9450898), were genotyped from peripheral blood DNA using a custom Illumina HumanCoreExome-24 BeadChip. Environmental adversities were evaluated using the Cannabis Experience Questionnaire (Di Forti et al. The Lancet Psychiatry 2009; 6(5):427–436) and the Childhood Trauma Questionnaire (Grassi-Oliveira et al. Rev Saude Publica 2006; 40(2):249-55). Associations between SNVs and environmental risk factors were performed using the nonparametric multifactor dimensionality reduction software (version 3.0.2).
ResultsSingle locus analysis showed no association among the 23 SNVs with psychosis; however, gene-environment analysis was significant for the polymorphic loci rs12720071 and rs7766029 in CNR1. The best association models were the two-factor representing by the combination of CNR1 rs12720071 with lifetime cannabis use (p<0.001), and CNR1 rs12720071 with childhood trauma (p<0.05), both suggesting an increased risk of psychosis. Additionally, when considering the interaction of both environmental factors in the same model, we found CNR1 rs7766029 to be associated with psychosis (p<0.001).
ConclusionsOur study supports the hypothesis of gene-environment interactions for psychosis involving the T allele carriers of CNR1 SNVs (rs12720071 and rs7766029), childhood trauma and lifetime cannabis use in psychosis.
Disclosure of InterestNone Declared
New non-native ornamental octocorals threatening a South-west Atlantic reef
- N. M. Menezes, C. S. McFadden, R. J. Miranda, J. A. C. C. Nunes, L. Lolis, F. Barros, C. L. S. Sampaio, T. K. Pinto
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- Journal:
- Journal of the Marine Biological Association of the United Kingdom / Volume 101 / Issue 6 / September 2021
- Published online by Cambridge University Press:
- 24 January 2022, pp. 911-917
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Invasive species are leading to ecosystem changes and socioeconomic deterioration around the globe. In 2018, unknown soft corals were noticed forming a massive ‘blue carpet’ on a shallow reef environment at Todos os Santos Bay, South-west Atlantic. In this study we identified the species, quantified their distribution and abundance as a first step for baseline invasion monitoring, and discussed origin, vector and impacts on native competitors. Coral samples were identified based on morphology and a multilocus DNA barcode, and benthic structure was characterized using digital photoquadrats. Our results revealed two new harmful non-native octocorals in this tropical rocky reef, the ‘blue polyps’ genus Sarcothelia (Xeniidae), native to Hawaii but likely an undescribed cryptic species, and Briareum hamrum (Briareidae), native to the Indian Ocean. Sarcothelia sp. was the dominant taxon in the rocky reef (mean cover 23.66% ± 21.46), exhibiting high coverage as well in the sandy and patch reef habitats (15.83% ± 15.81), however, only three colonies of B. hamrum were found, all outside the sampling area. These octocorals were in physical contact with native benthic organisms, mainly with the most abundant group, but apparently avoid turf algae in sandy and patch reef habitats. We suggest that irresponsible marine aquarium releases likely introduced these species to Brazilian reefs. After identifying the aquarium trade as the main vector of octocoral introductions, we reinforce the importance of inspecting marine species importation and the urgent need to implement a government plan to mitigate invasive species' impacts on the natural reefs of Brazil.
In situ techniques to predict in vivo digestibility and to evaluate the impact of flint maize processing methods on degradation parameters
- L. A. Godoi, B. C. Silva, A. C. B. Menezes, F. A. S. Silva, H. M. Alhadas, N. V. Trópia, J. T. Silva, D. R. Andrade, J. P. Schoonmaker, S. C. Valadares Filho
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- The Journal of Agricultural Science / Volume 158 / Issue 8-9 / November 2020
- Published online by Cambridge University Press:
- 08 February 2021, pp. 756-766
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This study aimed to (1) evaluate the effects of flint maize processing methods on the estimation of the readily soluble fraction (a), the potentially degradable fraction (b) and the rate of degradation of b (c) for dry matter (DM), organic matter (OM) and starch in the rumen; and (2) verify whether two different applications of in situ technique can be used to estimate in vivo DM, OM and starch digestibilities. Five ruminally cannulated Nellore bulls (265 ± 18.2 kg; 8 ± 1.0 mo) were distributed in a 5 × 5 Latin square. Three experimental diets were composed of 0.30 whole-plant maize silage, 0.10 supplement and 0.60 of one of the following processing methods: dry ground maize grain (DMG); high-moisture maize (HMM); reconstituted maize grain silage (RMG). Two additional diets were composed of 0.10 supplement, 0.80 snaplage and 0.10 stalklage (SNAP-80); or 0.10 supplement and 0.90 snaplage (SNAP-90). Digestibilities were estimated using in vivo procedure or predicted from in situ technique using a single 24 h incubation point or an equation proposed in previous literature. Diets based on ensiled grains presented greater (P < 0.05) fraction a and c and lower (P < 0.05) fraction b of DM, OM and starch compared to DMG. Both alternative use of in situ technique accurately estimated (P > 0.05) in vivo DM, OM and starch digestibilities. The results suggest that ensilage process may increase the availability of nutrients. The two different applications of in situ technique showed precision and accuracy to estimate in vivo digestibility.
The Avifauna of the Rio Branco, an Amazonian evolutionary and ecological hotspot in peril
- LUCIANO N. NAKA, THIAGO ORSI LARANJEIRAS, GISIANE RODRIGUES LIMA, ALICE C. PLASKIEVICZ, DANIELE MARIZ, BRUNA M. DA COSTA, H. SUZANY G. DE MENEZES, MARCELA DE F. TORRES, MARIO COHN-HAFT
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- Bird Conservation International / Volume 30 / Issue 1 / March 2020
- Published online by Cambridge University Press:
- 24 June 2019, pp. 21-39
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The Rio Branco is a river with unique biogeographic and ecological features, threatened by the Brazilian Government’s plan to build a major hydroelectric dam and associated hydroway along its course. The river crosses one of Amazonia’s largest rainfall gradients and a major geomorphological boundary along a savanna/forest ecotone, marked by the Bem Querer rapids. Above the rapids, the upper Rio Branco runs through the Boa Vista sedimentary formation and crosses the crystalline rocks of the Guiana Shield, and its margins are flanked by gallery forests. Downriver, it runs through a low-lying sedimentary basin, with Amazonian floodplain forests along its margins. Here, we present the results of ∼ 15 years of ornithological research on the Branco and its major tributaries, providing baseline data and evaluating potential threats to the riverine avifauna. Our surveys included opportunistic observations and standardized surveys along the entire length of the river in 16 systematically distributed localities. We catalogued 439 bird species, 87% of which are documented by physical evidence (specimens, recordings, photographs). Forty-six percent are restricted to single habitats, suggesting a high degree of habitat specialisation. A third of the species are widely distributed along the river, whereas 45% are restricted to either the upper or the lower Rio Branco, including 40 and 30 Indicator Species, respectively. Twenty-five species are threatened at global or national levels, including two ‘Critically Endangered’, nine ‘Vulnerable’, and 14 ‘Near Threatened’. We present a list of 50 bird species that are candidates for monitoring studies. Threats to the avifauna from dam construction include permanent flooding above the dam, eliminating gallery forests, river islands, and sandy beaches, and the disruption of the flood pulse along the river, affecting river island and floodplain forest specialists, many of which are globally threatened with extinction. If built, the Bem Querer dam will wipe out the ecotone region and affect dramatically the river’s avifauna.
Crossbreeding applied to systems of beef cattle production to improve performance traits and carcass quality
- R. Favero, G. R. O. Menezes, R. A. A. Torres, Jr., L. O. C. Silva, M. N. Bonin, G. L. D. Feijó, G. Altrak, M. V. G. Niwa, R. Kazama, I. Y. Mizubuti, R. C. Gomes
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Crossbreeding represents an important technique to improve growth, beef quality and adaptability in beef production systems in tropical countries. The aim of this study was to evaluate sire and dam breed effects on performance and carcass traits of crossbred cattle produced in a tropical environment. Heifers and steers were evaluated during the pre-weaning, the post-weaning (n = 173) and the finishing phase (n = 123). Animals were produced by mating Nellore (N_N), Angus × Nellore (A_N) and Caracu × Nellore (C_N) dams with Braford, Charbray and Caracu sires. After weaning, animals were raised grazing on Marandu grass for 12 months; thereafter they were housed in individual pens and finished in a feedlot, receiving a total mixed ration. Ultrasound carcass evaluations were performed to determine ribeye area (R_A), backfat thickness (B_T) and rump fat thickness (R_T). A_N progeny were heavier at birth than N_N (P < 0.05), and Braford progeny had greater birth BW than Caracu (P < 0.05). Greater weaning BW was observed in the A_N and C_N offspring compared to N_N (P < 0.01). Greater average daily gain during the post-weaning period was verified in the N_N progeny compared to C_N (P < 0.05). No dam or sire breed effects were observed for BW at the end of the post-weaning period (P > 0.05). Progeny of N_N cows had greater B_T (P < 0.05) and R_T (P < 0.01) at the end of the post-weaning period in relation to C_N. Greater R_A was observed in the Caracu progeny than in the Braford (P < 0.05), which showed greater R_T than the Charbray progeny at the end of the post-weaning period (P < 0.05). No dam or sire breed effects were verified for final BW at the feedlot or for feed efficiency traits (P > 0.05). A_N progeny were superior in final B_T compared to C_N (P < 0.01), and Braford progeny had greater R_T at the end of finishing than Charbray (P = 0.05). The use of crossbred dams allows an increase in productivity until weaning, but this is not maintained in the post-weaning and finishing periods. The use of Braford sires produces similar growth performance in the different stages of the production system to those seen with Charbray and Caracu sires but generates animals with higher fat thickness at the end of finishing, which may improve carcass quality and commercial value.
Carlosbarbosaite, ideally (UO2)2Nb2O6(OH)2·2H2O, a new hydrated uranyl niobate mineral with tunnels from Jaguaraçu, Minas Gerais, Brazil: description and crystal structure
- D. Atencio, A. C. Roberts, M. A. Cooper, L. A. D. Menezes Filho, J. M. V. Coutinho, J. A. R. Stirling, K. E. Venance, N. A. Ball, E. Moffatt, M. L. S. C. Chaves, P. R. G. Brandão, A. W. Romano
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- Journal:
- Mineralogical Magazine / Volume 76 / Issue 1 / February 2012
- Published online by Cambridge University Press:
- 05 July 2018, pp. 75-90
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Carlosbarbosaite, ideally (UO2)2Nb2O6(OH)2·2H2O, is a new mineral which occurs as a late cavity filling in albite in the Jaguaraçu pegmatite, Jaguaraçu municipality, Minas Gerais, Brazil. The name honours Carlos do Prado Barbosa (1917–2003). Carlosbarbosaite forms long flattened lath-like crystals with a very simple orthorhombic morphology. The crystals are elongated along [001] and flattened on (100); they are up to 120 μm long and 2–5 μm thick. The colour is cream to pale yellow, the streak yellowish white and the lustre vitreous. The mineral is transparent (as individual crystals) to translucent (massive). It is not fluorescent under either long-wave or short-wave ultraviolet radiation. Carlosbarbosaite is biaxial(+) with α = 1.760(5), β = 1.775(5), γ = 1.795(5), 2Vmeas. = 70(1)º, 2Vcalc. = 83º. The orientation is X || a, Y || b, Z || c. Pleochroism is weak, in yellowish green shades, which are most intense in the Z direction. Two samples were analysed. For sample 1, the composition is: UO3 54.52, CaO 2.07, Ce2O3 0.33, Nd2O3 0.49, Nb2O5 14.11, Ta2O5 15.25, TiO2 2.20, SiO2 2.14, Fe2O3 1.08, Al2O3 0.73, H2O (calc.) 11.49, total 104.41 wt.%; the empirical formula is (□0.68Ca0.28Nd0.02Ce0.02)Σ=1.00[U1.44□0.56O2.88(H2O)1.12](Nb0.80Ta0.52Si0.27Ti0.21Al0.11Fe0.10)Σ=2.01 O4.72(OH)3.20(H2O)2.08. For sample 2, the composition is: UO3 41.83, CaO 2.10, Ce2O3 0.31, Nd2O3 1.12, Nb2 O5 14.64, Ta2O5 16.34, TiO2 0.95, SiO2 3.55, Fe2O3 0.89, Al2O3 0.71, H2O (calc.) 14.99, total 97.43 wt.%; the empirical formula is (□0.67Ca0.27Nd0.05Ce0.01)Σ=1.00[U1.04□0.96O2.08(H2O)1.92] (Nb0.79Ta0.53Si0.42Ti0.08Al0.10Fe0.08)Σ=2.00O4.00(OH)3.96(H2O)2.04. The ideal endmember formula is (UO2)2Nb2O6(OH)2·2H2O. Calculated densities are 4.713 g cm-3 (sample 1) and 4.172 g cm-3 (sample 2). Infrared spectra show that both (OH) and H2O are present. The strongest eight X-ray powder-diffraction lines [listed as d in Å (I)(hkl)] are: 8.405(8)(110), 7.081(10)(200), 4.201(9)(220), 3.333(6)(202), 3.053(8)(022), 2.931(7)(420), 2.803(6)(222) and 2.589(5)(040,402). The crystal structure was solved using single-crystal X-ray diffraction (R = 0.037) which gave the following data: orthorhombic, Cmcm, a = 14.150(6), b = 10.395(4), c = 7.529(3) Å, V = 1107(1) Å3, Z = 4. The crystal structure contains a single U site with an appreciable deficiency in electron scattering, which is populated by U atoms and vacancies. The U site is surrounded by seven O atoms in a pentagonal bipyramidal arrangement. The Nb site is coordinated by four O atoms and two OH groups in an octahedral arrangement. The half-occupied tunnel Ca site is coordinated by four O atoms and four H2O groups. Octahedrally coordinated Nb polyhedra share edges and corners to form Nb2O6(OH)2 double chains, and edge-sharing pentagonal bipyramidal U polyhedra form UO5 chains. The Nb2O6(OH)2 and UO5 chains share edges to form an open U—Nb—φ framework with tunnels along [001] that contain Ca(H2O)4 clusters. Carlosbarbosaite is closely related to a family of synthetic U–Nb–ϕ framework tunnel structures, it differs in that is has an (OH)-bearing framework and Ca(H2O)4 tunnel occupant. The structure of carlosbarbosaite resembles that of holfertite.
Bendadaite, a new iron arsenate mineral of the arthurite group
- U. Kolitsch, D. Atencio, N. V. Chukanov, N. V. Zubkova, L. A. D. Menezes Filho, J. M. V. Coutinho, W. D. Birch, J. Schlüter, D. Pohl, A. R. Kampf, I. M. Steele, G. Favreau, L. Nasdala, S. Möckel, G. Giester, D. Yu. Pushcharovsky
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- Mineralogical Magazine / Volume 74 / Issue 3 / June 2010
- Published online by Cambridge University Press:
- 05 July 2018, pp. 469-486
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Bendadaite, ideally Fe2+Fe23+ (AsO4)2(OH)2·4H2O, is a new member of the arthurite group. It was found as a weathering product of arsenopyrite on a single hand specimen from the phosphate pegmatite Bendada, central Portugal (type locality). Co-type locality is the granite pegmatite of Lavra do Almerindo (Almerindo mine), Linópolis, Divino das Laranjeiras county, Minas Gerais, Brazil. Further localities are the Veta Negra mine, Copiapó province, Chile; Oumlil-East, Bou Azzer district, Morocco; and Pira Inferida yard, Fenugu Sibiri mine, Gonnosfanadiga, Medio Campidano Province, Sardinia, Italy.
Type bendadaite occurs as blackish green to dark brownish tufts (<0.1 mm long) and flattened radiating aggregates, in intimate association with an intermediate member of the scorodite–mansfieldite series. It is monoclinic, space group P21/c, with a = 10.239(3) Å, b = 9.713(2) Å, c = 5.552(2) Å, β = 94.11(2)°, V = 550.7(2) Å3, Z = 2. Electron-microprobe analysis yielded (wt.%): CaO 0.04, MnO 0.03, CuO 0.06, ZnO 0.04, Fe2O3 (total) 43.92, Al2O3 1.15, SnO2 0.10, As2O5 43.27, P2O5 1.86, SO3 0.03. The empirical formula is (Fe2+0.52Fe3+0.32☐0.16)Σ1.00(Fe3+1.89Al0.11)Σ2.00(As1.87P0.13)Σ2.00O8(OH)2.00·4H2O based on 2(As,P) and assuming ideal 8O, 2(OH), 4H2O and complete occupancy of the ferric iron site by Fe3+ and Al. Optically, bendadaite is biaxial, positive, 2Vest. = 85±4°, 2Vcalc. = 88°, with α 1.734(3), β 1.759(3), γ 1.787(4). Pleochroism is medium strong: X pale reddish brown, Y yellowish brown, Z dark yellowish brown; absorption Z > Y > X, optical dispersion weak, r > v. Optical axis plane is parallel to (010), with X approximately parallel to a and Z nearly parallel to c. Bendadaite has vitreous to sub-adamantine luster, is translucent and non-fluorescent. It is brittle, shows irregular fracture and a good cleavage parallel to {010}. Dmeas. 3.15±0.10 g/cm3, Dcalc. 3.193 g/cm3 (for the empirical formula). The five strongest powder diffraction lines [d in Å (I)(hkl)] are 10.22 (10)(100), 7.036 (8)(110), 4.250 (5)(111), 2.865 (4)(), 4.833 (3)(020,011). The d spacings are very similar to those of its Zn analogue, ojuelaite. The crystal structure of bendadaite was solved and refined using a crystal from the co-type locality with the composition (Fe2+0.95☐0.05)Σ1.00(Fe3+1.80Al0.20)Σ2.00(As1.48P0.52)Σ2.00O8(OH)2·4H2O (R = 1.6%), and confirms an arthurite-type atomic arrangement.
LATIN-MH: a model for building research capacity within Latin America
- B. B. Bonini, R. Araya, J. Quayle, M. Silva Evangelista, LeS. N. Price, P. R. Menezes
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- Global Mental Health / Volume 4 / 2017
- Published online by Cambridge University Press:
- 26 January 2017, e2
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Background.
Latin America Treatment and Innovation Network in Mental Health (LATIN-MH) is a research hub located in Brazil and Peru that conducts a research project to help reduce the treatment gap in mental health in Latin America (LA). Besides its research core, LATIN-MH has a Capacity Building (CB) component that aims to help young researchers receive the specific training to contribute to the growing scientific production in mental health in LA.
Methods.LATIN-MH proposal in CB includes a series of actions to prepare professionals in the research area. The main proposals are described here, which include online study groups, promotion of scientific meetings, hands-on training in different levels and sharing of information.
Results.LATIN-MH CB activities are at its initial stages but the proposed activities were well evaluated by the participants. The first participating fellows who finished their fellowships are contributing elsewhere in the mental treatment and human resources formation area.
Conclusion.The repercussion of LATIN-MH actions in CB and its evaluation, particularly on the formation of human resources and dissemination of information, show that the hub is contributing to the critic formation of young researchers and the circulation of important information.
Delivering 21st century Antarctic and Southern Ocean science
- M.C. Kennicutt II, Y.D. Kim, M. Rogan-Finnemore, S. Anandakrishnan, S.L. Chown, S. Colwell, D. Cowan, C. Escutia, Y. Frenot, J. Hall, D. Liggett, A.J. Mcdonald, U. Nixdorf, M.J. Siegert, J. Storey, A. Wåhlin, A. Weatherwax, G.S. Wilson, T. Wilson, R. Wooding, S. Ackley, N. Biebow, D. Blankenship, S. Bo, J. Baeseman, C.A. Cárdenas, J. Cassano, C. Danhong, J. Dañobeitia, J. Francis, J. Guldahl, G. Hashida, L. Jiménez Corbalán, A. Klepikov, J. Lee, M. Leppe, F. Lijun, J. López-Martinez, M. Memolli, Y. Motoyoshi, R. Mousalle Bueno, J. Negrete, M.A. Ojeda Cárdenes, M. Proaño Silva, S. Ramos-Garcia, H. Sala, H. Shin, X. Shijie, K. Shiraishi, T. Stockings, S. Trotter, D.G. Vaughan, J. Viera Da Unha De Menezes, V. Vlasich, Q. Weijia, J.-G. Winther, H. Miller, S. Rintoul, H. Yang
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- Journal:
- Antarctic Science / Volume 28 / Issue 6 / December 2016
- Published online by Cambridge University Press:
- 21 October 2016, pp. 407-423
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The Antarctic Roadmap Challenges (ARC) project identified critical requirements to deliver high priority Antarctic research in the 21st century. The ARC project addressed the challenges of enabling technologies, facilitating access, providing logistics and infrastructure, and capitalizing on international co-operation. Technological requirements include: i) innovative automated in situ observing systems, sensors and interoperable platforms (including power demands), ii) realistic and holistic numerical models, iii) enhanced remote sensing and sensors, iv) expanded sample collection and retrieval technologies, and v) greater cyber-infrastructure to process ‘big data’ collection, transmission and analyses while promoting data accessibility. These technologies must be widely available, performance and reliability must be improved and technologies used elsewhere must be applied to the Antarctic. Considerable Antarctic research is field-based, making access to vital geographical targets essential. Future research will require continent- and ocean-wide environmentally responsible access to coastal and interior Antarctica and the Southern Ocean. Year-round access is indispensable. The cost of future Antarctic science is great but there are opportunities for all to participate commensurate with national resources, expertise and interests. The scope of future Antarctic research will necessitate enhanced and inventive interdisciplinary and international collaborations. The full promise of Antarctic science will only be realized if nations act together.
Intrauterine exposure to smoking and wheezing in adolescence: the 1993 Pelotas Birth Cohort
- F. C. Werhmeister, B. P. Nunes, C. Loret de Mola, N. Gómez-Cofré, P. D. de Oliveira, P. L. Marco, M. C. F. Assunção, H. Gonçalves, B. L. Horta, A. M. B. Menezes
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- Journal:
- Journal of Developmental Origins of Health and Disease / Volume 6 / Issue 3 / June 2015
- Published online by Cambridge University Press:
- 18 November 2014, pp. 217-224
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Previous studies have suggested an association between maternal smoking during pregnancy and asthma symptoms such as wheezing during childhood. However, few have evaluated this association in adolescence, especially in populations with high prevalence of wheezing as in Brazil. Using the 1993 Pelotas birth cohort, a longitudinal study set in southern Brazil of 5249 urban live births, we aimed to evaluate the association between maternal and the partner’s smoking during pregnancy and wheezing at 11 and 15 years of age. We evaluated smoking during pregnancy using number of cigarettes/day, and our main outcomes were as follows: wheezing in the last year and number of wheezing crises, at both 11 and 15 years of age, as well as persistent wheezing (having crises at 11 and 15 years of age) and medical asthma diagnosis at age 15. In addition, other socio-demographic variables were included as possible confounders and mediators of this association. We used Poisson regression models to evaluate crude and adjusted associations. Of the 5249 live births in 1993, 87.5% and 85.7% were followed-up to 11 and 15 years of age, respectively. Maternal smoking during pregnancy showed a dose-response association with number of wheezing crises at age 15 (P=0.023), presence of persistent wheezing (P=0.034) and asthma diagnosis (P=0.023). Partner’s smoking was not associated with any wheezing variables. Maternal smoking during pregnancy appears to exert an effect on respiratory morbidity of adolescents, evaluated by wheezing symptoms.
The influence of immigrant status and concentration on psychiatric disorder in Canada: a multi-level analysis
- N. M. Menezes, K. Georgiades, M. H. Boyle
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- Journal:
- Psychological Medicine / Volume 41 / Issue 10 / October 2011
- Published online by Cambridge University Press:
- 25 February 2011, pp. 2221-2231
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Background
Many studies have reported an increased incidence of psychiatric disorder (particularly psychotic disorders) among first generation adult immigrants, along with an increasing risk for ethnic minorities living in low-minority concentration neighborhoods. These studies have depended mostly on European case-based databases. In contrast, North American studies have suggested a lower risk for psychiatric disorder in immigrants, although the effect of neighborhood immigrant concentration has not been studied extensively.
MethodUsing multi-level modeling to disaggregate individual from area-level influences, this study examines the influence of first generation immigrant status at the individual level, immigrant concentration at the neighborhood-level and their combined effect on 12-month prevalence of mood, anxiety and substance-dependence disorders and lifetime prevalence of psychotic disorder, among Canadians.
ResultsIndividual-level data came from the Canadian Community Health Survey (CCHS) 1.2, a cross-sectional study of psychiatric disorder among Canadians over the age of 15 years; the sample for analysis was n=35 708. The CCHS data were linked with neighborhood-level data from the Canadian Census 2001 for multi-level logistic regression. Immigrant status was associated with a lower prevalence of psychiatric disorder, with an added protective effect for immigrants living in neighborhoods with higher immigrant concentrations. Immigrant concentration was not associated with elevated prevalence of psychiatric disorder among non-immigrants.
ConclusionsThe finding of lower 12-month prevalence of psychiatric disorder in Canadian immigrants, with further lessening as the neighborhood immigrant concentration increases, reflects a model of person–environment fit, highlighting the importance of studying individual risk factors within environmental contexts.
A systematic review of longitudinal outcome studies of first-episode psychosis
- N. M. MENEZES, T. ARENOVICH, R. B. ZIPURSKY
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- Psychological Medicine / Volume 36 / Issue 10 / October 2006
- Published online by Cambridge University Press:
- 07 June 2006, pp. 1349-1362
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Background. Existing outcome literature has had an over-representation of chronic patients and suggested a progressive course and poor outcome for schizophrenia. The current study aimed to recombine data of samples from longitudinal studies of first-episode psychosis (FEP) to describe outcome and its predictors.
Method. A literature search (1966–2003) was conducted for prospective studies examining outcome in first-episode non-affective psychosis using the following key words: early, first, incident, episode, admission, contact, psychosis, schizophrenia, psychotic disorders, course, outcome, follow-up, longitudinal, cohort. These were pooled and analyzed using descriptive and regression analyses.
Results. Thirty-seven studies met the inclusion criteria, representing 4100 patients with a mean follow-up of 35·1±6·0 months. Studies varied in the categories of outcome used, the most common being ‘good’ (54% of studies) and ‘poor’ (34% of studies), variably defined. In studies reporting these categories, good outcomes were reported in 42·2% (3·5%) and poor outcomes in 27·1% (2·8%) of cases. Predictors associated with better outcome domains were: combination of pharmacotherapy and psychosocial therapy, lack of epidemiologic representativeness of the sample, and a developing country of origin. Use of typical neuroleptics was associated with worse outcome. Stratification analyses suggested that populations with schizophrenia only, and those with prospective design, were associated with worse outcome domains.
Conclusions. Outcome from FEP may be more favorable than previously reported, and treatment and methodological variables may be important contributors to outcome. Significant heterogeneity in definitions and methodology limited the comparison and pooling of data. A multi-dimensional, globally used definition of outcome is required for future research.