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.
Large-eddy simulations (LES) of a hypersonic boundary layer on a $7^\circ$-half-angle cone are performed to investigate the effects of highly cooled walls (wall-to-recovery temperature ratio of $T_w / T_r \sim 0.1$) on fully developed turbulence and to validate a newly developed rescaling method based on volumetric flow extraction. Two Reynolds numbers are considered, $Re_m = 4.1 \times 10^6\ \text {m}^{-1}$ and $6.4 \times 10^6\ \text {m}^{-1}$, at free-stream Mach numbers of $M_\infty = 7.4$. A comparison with a reference laminar-to-turbulent simulation, capturing the full history of the transitional flow dynamics, reveals that the volumetric rescaling method can generate a synthetic turbulent inflow that preserves the structure of the fluctuations. Equilibrium conditions are recovered after approximately 40 inlet boundary layer thicknesses. Numerical trials show that a longer streamwise extent of the rescaling box increases numerical stability. Analyses of turbulent statistics and flow visualizations reveal strong pressure oscillations, up to $50\,\%$ of local mean pressure near the wall, and two-dimensional longitudinal wave structures resembling second-mode waves, with wavelengths up to 50 % of the boundary layer thickness, and convective Mach numbers of $M_c \simeq 4.5$. It is shown that their quasi-periodic recurrence in the flow is not an artefact of the rescaling method. Strong and localized temperature fluctuations and spikes in the wall-heat flux are associated with such waves. Very high values of temperature variance near the wall result in oscillations of the wall-heat flux exceeding its average. Instances of near-wall temperature falling below the imposed wall temperature of $T_w=300$ K result in pockets of instantaneous heat flux oriented against the statistical mean direction.
Early soybean planting and cover crop adoption in the US Midwest prompt investigation into the impact of these practices on weed community dynamics and best management practices. While previous research has explored different aspects of giant ragweed control, the specific integration among soil management practices, including cover crop adoption, soybean planting timing, and herbicide use, has not been thoroughly investigated. This study assessed soil management, soybean planting time, and PRE herbicide application on giant ragweed control and soybean yield in Wisconsin and Nebraska in 2022 and 2023. The study included a factorial arrangement of four soil management treatments [conventional tillage, no-till, and fall-planted cereal rye early terminated and terminated at planting (planting green)]; two soybean planting times; and two PRE herbicide treatments (PRE and no PRE). Postemergence (POST) herbicides were applied when ∼50% of giant ragweed plants within each treatment reached ∼10 cm in height. In Nebraska, cereal rye and tillage treatments without a PRE had at least 67% lower giant ragweed density than no-till at POST. In no-till, densities were at least 60% lower with PRE compared to no PRE. In Wisconsin, cereal rye did not reduce giant ragweed density at POST compared to no-till, likely due to relatively low biomass accumulation. In contrast, delayed soybean planting reduced giant ragweed density for most treatments but lowered soybean yield in no-till and planting green treatments. The PRE herbicides had either no or positive effects on reducing giant ragweed density and increasing soybean yield. Overall, this study suggests that soil management and soybean planting timing are crucial for effective giant ragweed management in Wisconsin, where biotypes with a long emergence window during the spring and summer are present, while in Nebraska, soil management and soybean planting timing are less critical due to giant ragweed biotypes with an early and short emergence window in the spring.
Cross-sectional study investigated the association of fresh or minimally processed foods and ultra-processed food consumption with symptoms of depression, anxiety and stress in students from a Brazilian public university. Undergraduate students admitted in 2022 answered an online questionnaire during their first semester. Consumption of 12 subgroups of fresh or minimally processed foods and 13 of ultra-processed foods on the previous day were investigated (affirmative answer for ≥ 5 subgroups was classified as high consumption). Depression, anxiety and stress were investigated using the DASS-21 and mild to extremely severe symptoms were grouped to be compared with individuals without symptoms. Adjusted logistic regression models estimated the Odds Ratio (OR) of the association between symptoms of depression, anxiety and stress (outcomes) and food consumption (exposures), with a significance level of 5%. A total of 924 students were evaluated, of whom 57.7% presented symptoms of depression, 51.9% of anxiety and 59.4% of stress. A high consumption of fresh or minimally processed foods was observed in 80.3% of the students, with a higher frequency among those without symptoms of depression, anxiety, and stress, while 38.9% showed a high consumption of ultra-processed foods, without differences according to symptoms. High consumption of fresh or minimally processed foods was associated with a lower likelihood of symptoms of depression (OR: 0.62; p=0.011), anxiety (OR: 0.58; p=0.003) and stress (OR: 0.69; p=0.043). No association was found between ultra-processed and mental health outcomes. Actions that support and encourage the consumption of healthy food in the university environment can contribute to mental health outcomes.
First-generation somatostatin analogues (SSA) are indicated as a first-line medical treatment for acromegaly in patients with persistent disease after surgery or who are not eligible for surgery. These drugs are the largest contributor to the direct medical cost of acromegaly management worldwide. We analyze the patterns of prescription and costs of SSA for the treatment of acromegaly in Brazil.
Methods
The first-generation SSA, octreotide LAR (OCT-LAR) and lanreotide autogel (LAN-ATG), are available in Brazil to treat acromegaly through the Specialized Component of Pharmaceutical Assistance policy. The public records of the nationwide database (DATASUS) were accessed to identify the drug use patterns during the year 2022. The current values of the drug acquisition costs of each medication in 2022 were consulted at the national prices database (BPS). Results were converted in purchase power parity (PPP) dollars according to the World Bank rates.
Results
The acquisition cost of each octreotide (OCT-LAR) ampoule was USD492.33 (10 mg), USD537.04 (20 mg), and USD703.79 (30 mg); for lanreotide (LAN-ATG), each ampoule was USD394.74 for the 60 mg dosage, and USD418.48 for the 90 mg and 120 mg dosages. The average annual cost of a monthly 30 mg dosage of OCT-LAR would be estimated as USD8,445,48 against an average annual cost of USD5,021.76 for a monthly 120 mg dosage of LAN-ATG. Thus, we estimate that USD15,520,747.59 was spent on first-generation SSA to treat acromegaly in Brazil’s Unified Health System (SUS) in the year 2022; of this, 79 percent was attributed to OCT-LAR.
Conclusions
Life-long treatment with SSA is related with a high economic burden in Brazil. There is a predominance of OCT-LAR prescription, where expanding the use of LAN-ATG may help reduce costs to the SUS. Nevertheless, studies and investments in other treatments, such as pituitary surgery and radiotherapy access, at a national level are also essential to improve acromegaly treatment costs.
Elevated levels of IL-6 in plasma are associated with the severity of visceral leishmaniasis (VL). The clinical manifestations of VL vary among patients, influenced by host factors and the virulence of the Leishmania infantum parasite. Considering that severe VL may result from an exaggerated inflammatory response, this study investigated whether IL-6 could serve as a biomarker to identify pro-inflammatory virulence factors. We conducted a genome-wide association study (GWAS) analysis on L. infantum isolates from patients with VL, whose IL-6 concentrations were measured. The analysis revealed that the relationship between IL-6 levels and clinical outcomes (survival vs mortality) had an area under the curve (AUC) of 0.67 (95% CI 0.52–0.81). A cut-off of 391.7 pg mL−1 for IL-6 was established to conduct a logistic regression analysis. We identified 10 029 single nucleotide variants (SNVs) across 62 genomes, resulting in 6,948 SNVs after filtering, of which 6,341 are located in protein-coding regions. The association analysis with PLINK identified 722 variants, of which 35 showed significant associations, with odds ratios ≥3.3, primarily in coding regions. These findings demonstrate that IL-6 levels tended to be associated with the fatal outcome of VL and highlight 35 novel genetic variants that could serve as potential biomarkers for prognosis. Further research into the biological role of these variants may lead to new therapeutic targets and improve the clinical management of VL, especially in identifying high-risk patients.
The successful survival of crocodilian hatchlings is largely dependent upon nest care by females. Nonetheless, it is crucial to understand how environmental degradation affects nest site selection and parental behaviour in female crocodilians. Therefore, our objective was to evaluate the relationship between anthropogenic disturbances and nesting behaviour in free-living broad-snouted caiman (Caiman latirostris). We compared nests in a disturbed and a non-disturbed area, and anticipated differences in nest density, hatching success, female size, egg number and biomass, and parental care behaviour. We monitored 44 nests over four years in Brazil, covering 58.25 km, in a disturbed area (n = 8) and a non-disturbed area (n = 36). According to our findings, nest density was significantly higher in the non-disturbed area (1.31 nests per linear km) compared to the disturbed area (0.25 nests per linear km). However, there was a significantly higher frequency of parental care behaviour (86%) in the disturbed area compared to the non-disturbed area (34%). The other factors studied showed no statistical difference between the two areas. The results indicate that females prefer to nest in healthier, preserved environments, away from anthropogenic disturbances. Yet, presumably at the cost of extra energy expenditure, increased parental care appears to buffer against a reduction in hatching success. Despite the behavioural buffer, the clear preference for non-disturbed nesting and nursery locations underscores the need to identify and protect the remaining non-disturbed areas inhabited by these animals. Our findings suggest that these measures should positively impact the welfare and protection of C. latirostris and other crocodilian species.
The objective was to develop equations to predict carcass weight (CW), use CW to predict empty body weight (EBW); and carcass gain (CG) to predict empty body weight gain (EBWG) and retained energy (RE) in hair sheep. To generate the prediction models, a data set was composed of individual measurements from 569 sheep encompassing intact males (n = 416), castrated males (n = 51), and females (n = 102). Validation analyses were performed by using the Model Evaluation System (MES). The prediction equations for CW, EBW, and EBWG were not influenced by sex class (P > 0.05), and the following equations were generated, respectively: CW (kg) = − 0.234 (±1.1358) + 0.485 (±0.0387) × FBW; EBW (kg) = 1.367 (±0.5472) + 1.681 (±0.0210) × CW and EBWG (kg) = 0.004 (±0.0026) + 1.679 (±0.0758) × CG. There was an effect of sex class on the intercept (P = 0.0013) of the relationship between RE and CG: RE (MJ/day) = 1.448 (±0.0657) × EBW0.75 × CG0.797 (±0.0399); RE (MJ/day) = 1.522 (±0.0699) × EBW0.75 × CG0.797 (±0.0399) and RE (MJ/day) = 1.827 (±0.0739) × EBW0.75 × CG0.797 (±0.0399) for intact males, castrated males and females, respectively. This study highlights the importance of incorporating carcass information into EBW, EBWG, and RE predictions. Replacing empty body weight gain with carcass gain might be a suitable alternative to estimate the retained energy of hair sheep. In addition, the generated equations will provide support for meat production systems in carcass weight prediction.
Three-dimensional numerical simulations of hypersonic boundary layer transition delay due to porosity representative of carbon-fibre-reinforced carbon-matrix ceramics (C/C) were carried out on a 7$^{\circ {}}$ half-angle cone for unit Reynolds numbers $Re_m=2.43 \times 10^6$–$6.40\times 10^6\ \text {m}^{-1}$, at the free-stream Mach number $M_\infty =7.4$, for both sharp and 2.5 mm nose tip radii. A broadband time-domain impedance boundary condition was used to model the acoustic effects of the porous surface on the flow field. A quasi-spectral sub-filter-scale dynamic closure was adopted to stabilize the computations upon turbulent breakdown under extreme cooling conditions, with wall-to-adiabatic temperature ratio of $T_{w}/ T_{ad} \simeq 0.08 $, while accurately recovering the growth rates of the unstable modes present in the early transition stages. Good agreement is observed with the reference experimental data, both in terms of the predicted extent of the transition delay and the measured second-mode frequency spectrum. The latter is strongly modulated by the formation of near-wall low-temperature three-dimensional streaks. Pressure disturbances concentrate in corridors of locally thickened boundary layer, with frequencies lower than what predicted by linear theory. Here, trapped wavetrains are formed, which can persist long into the turbulent region. Finally, it is shown that the presence of a porous wall simply shifts the onset of turbulence downstream, without affecting its structure.
L-carnitine has an important role in the control of oxidative stress and lipid β-oxidation during in vitro culture and cryopreservation of ovarian follicles, oocytes and embryos. This substance balances the acetyl-CoA/CoA ratio, maintains glucose metabolism and increases energy production in mitochondria. It also plays a key role in reducing endoplasmic reticulum stress, by transferring palmitate to mitochondria or eliminating it to avoid toxicity. By eliminating reactive oxygen species, L-carnitine increases the percentages of mature oocytes with uniform mitochondrial distribution and improves embryo post-thaw cryotolerance. Therefore, L-carnitine controls lipid β-oxidation and oxidative stress during in vitro culture of ovarian follicles, oocyte maturation, embryonic development and cryopreservation.
In Northeastern Brazil, successful release programmes have been implemented for the conservation of West Indian manatees (Trichechus manatus) since the 1990s. Recently, the non-government organization AQUASIS started releasing manatees in the state of Ceará, where oceanographic conditions and the absence of sheltered places pose new challenges for the release and monitoring of manatees. This research investigates the movement of a manatee named Tico, released in Icapuí, Ceará, Brazil, that travelled approximately 4017 km over 62 days through deep oceanic waters. Correlating Tico's trajectory and velocity with surface currents revealed the influence of the North Brazil Current (NBC) and its vortices on his movement. Tico crossed the diluted Amazon River plume with surface salinity as low as 26 g kg−1 in early August, potentially encountering areas of even lower salinity. Additionally, Tico experienced several storms, with significant rainfall during his journey, which may have provided freshwater. The erratic movement patterns and significant weight loss prompted the rescue of Tico on Isla la Blanquilla, Bolivarian Republic of Venezuela. Tico is currently being temporarily housed in Parque Zoológico y Botánico Bararida in Venezuela. Understanding the nature of Tico's long-distance movement could help inform decisions about his future. AQUASIS proposes to return Tico to Brazil, a region with an ecologically and genetically distinct population from Venezuela, for a second release attempt, incorporating lessons learned from the first release. Furthermore, AQUASIS has the necessary human and financial resources to ensure the continuous monitoring of Tico during his readaptation to the wild.
To mitigate plastic pollution, Resolution 5/14 of the United Nations Environment Assembly established an Intergovernmental Negotiating Committee (INC) tasked with negotiating the Global Plastics Treaty, an ambitious treaty expected to take effect in 2025. This treaty’s success in effectively reducing plastic pollution will depend on the ongoing work of the committee and the existing literature. Herein, I review the literature on the Global Plastics Treaty based on a search of the Web of Science. The data were analyzed, mapped and discussed in depth. The literature indicates an interdisciplinary nature, where Environmental Sciences/Ecology and Government Law are the subject areas with the highest contribution. Plastic pollution is a prominent emerging trend and research topic. Notable gaps include the need for stronger connections among the various directions in the literature and limited collaboration among authors. This work may serve as a basis for other researchers aiming to enhance the literature on the Global Plastics Treaty.
The dorsal midbrain comprises dorsal columns of the periaqueductal grey matter and corpora quadrigemina. These structures are rich in beta-endorphinergic and leu-enkephalinergic neurons and receive GABAergic inputs from substantia nigra pars reticulata. Although the inferior colliculus (IC) is mainly involved in the acoustic pathways, the electrical and chemical stimulation of central and pericentral nuclei of the IC elicits a vigorous defensive behaviour. The defensive immobility and escape elicited by IC activation is commonly related to panic-like emotional states. To investigate the role of κ-opioid receptor of the IC in the antiaversive effects of endogenous opioid receptor blockade in a dangerous situation, male Wistar rats were pretreated in the IC with the κ-opioid receptor-selective antagonist nor-binaltorphimine at different concentrations and submitted to the non-enriched polygonal arena for a snake panic test in the presence of a rattlesnake and, after 24 h, prey were resubmitted to the experimental context. The snakes elicited in prey a set of antipredatory behaviours, such as the anxiety-like responses of defensive attention and risk assessment, and the panic-like reactions of defensive immobility and either escape or active avoidance during the elaboration of unconditioned and conditioned fear-related responses. Pretreatment of the IC with microinjections of nor-binaltorphimine at higher concentrations significantly decreased the frequency and duration of both anxiety- and panic-attack-like behaviours. These findings suggest that κ-opioid receptor blockade in the IC causes anxiolytic- and panicolytic-like responses in threatening conditions, and that kappa-opioid receptor-selective antagonists can be a putative coadjutant treatment for panic syndrome treatment.
Beverages consumption influences diet quality in general and has been associated with the development of non-communicable chronic diseases (NCCD). We aimed to verify the association between beverage consumption patterns and the prevalence of NCCD. A cross-sectional household and population-based study was conducted with 489 individuals aged 20 years and older. The presence of NCCD (arterial hypertension, diabetes, cancer and hypercholesterolemia) was obtained by self-report, while obesity was diagnosed by measuring body weight, height and waist circumference. Beverage consumption patterns were obtained by principal component analysis. The association between beverages patterns and the prevalence of NCCD was verified using Poisson regression, expressed as prevalence ratio (PR) and adjusted for potential confounding factors. Three beverage patterns were identified: ‘ultra-processed beverages’, ‘alcoholic beverages’ and ‘healthy beverages’. Individuals with greater adherence to the Ultra-processed Beverages Pattern had a 2·77 times higher prevalence of cancer (PR: 3·77; 95 % CI 1·57, 9·07). Higher adherence to the Alcoholic Beverages Pattern was associated with a higher prevalence of obesity (PR: 1·97; 95 % CI 1·13, 3·44). In contrast, individuals in the second tertile of adherence to the Healthy Beverages Pattern had a 39 % lower prevalence of hypercholesterolemia (PR: 0·61; 95 % CI 0·40, 0·92), and individuals in the third tertile had a 10 % lower prevalence of abdominal obesity estimated by the waist-to-height ratio (PR: 0·90; 95 % CI 0·83, 0·97). Beverage consumption patterns may be associated with a higher prevalence of NCCD, regardless of other risk factors. It is therefore important to conduct more studies investigating the impact of beverages patterns on health.
Obsessive-compulsive disorder (OCD) has a high prevalence and causes a significative reduction in functionality and quality of life.
First and second line treatment is ineffective in a variable percentage of patients. In such cases transcranial magnetic stimulation (TMS) may be considered.
Objectives
The goal of this study is to evaluate the impact of TMS treatment on obsessive-compulsive, anxious and depressive symptomatology in patients with OCD.
Methods
A prospective observational study was conducted, including all patients diagnosed with OCD who underwent TMS in the Psychiatry department of Centro Hospitalar Universitário de São João since March 2023.
Symptomatology was assessed using the Yale Brown Obsessive-Compulsive Scale (Y-BOCS), the Hamilton Anxiety Rating Scale (HAM-A) and the Hamilton Depression Rating Scale (HAM-D) before and after treatment.
Statistical analysis was performed using the SPSS-Statistics program. A significance level of 0.05 was considered.
Results
As of October 31, 2023, nine individuals with OCD completed treatment with TMS, 33% male and with a median age of 40 years (range 33-57).
The median Y-BOCS score pre-TMS was 30 (range 20-33) and post-TMS 28 (range 16-34). The median difference was 2.5 (range -5-14) and was not statistically significant (p=0.128).
The median score on the HAM-A pre-TMS was 21 (range 9-41) and post-TMS 18 (range 11-24). The median difference was 0 points (range -4-21) and was not statistically significant (p=0.345).
The median HAM-D score pre-TMS was 26 (range 14-40) and post-TMS 19 (range 10-32). The median difference was 2.5 (range -3-20) and was not statistically significant (p=0.225).
Conclusions
Preliminary findings suggest that the impact of TMS on obsessive-compulsive, anxious, and depressive symptomatology in patients with OCD does not appear to be clinically or statistically significant.
Further results are necessary to confirm this trend.
A number of studies have demonstrated that hyperthyroidism increases the prevalence of psychiatric disorders and the likelihood of depressive symptoms, anxiety and hipomania. Apathetic hyperthyroidism is a syndrome, which presents with symptoms of depression, apathy, somnolence or pseudodementia in the absence of the usual symptoms and signs of hyperthyroidism. This condition is more common in the elderly although it has also been described in young adults and adolescents.
In the majority of cases, treatment of hyperthyroidism results in an improvement in neuropsychiatric manifestations in parallel with an improvement of psychical (somatic?) symptoms and psychotropic medication is deemed unnecessary.
Approximately one-third of patients with Graves’ hyperthyroidism are prescribed psychotropic drugs. Sometimes to treat mental symptoms like psychosis or severe agitation, sometimes to treat mental symptoms remaining after amelioration of hyperthyroidism, and sometimes when the diagnosis of Graves’ hyperthyroidism has been missed and the patient is treated as having a primary psychiatric disorder.
Objectives
To present a case of a patient with neuropsychiatric symptoms caused by thyroid dysfunction.
Methods
Case presentation and non-systematic review of existing literature on Pubmed using the following keywords: hyperthyroidism, psychiatric disorders, psychiatric symptoms, depression, psychosis.
Results
We report the case of a 21-year-old female without history of psychiatric illness who presented to the emergency department with somnolence, apathy, cognitive impairment (answering “I don’t know” to most questions), poverty of speech, abulia, perplexity and delusional belief of ruin, in addition to physical symptoms namely alopecia and weight loss. According to her father, she was very active and dynamic person until two days prior, when he started noticing growing apathy, leading to job absenteeism. Urine analysis for elicit drugs was negative.
Investigation for organic disease was undertaken and the blood analysis revealed overt hyperthyroidism.
She was initially treated with aripiprazol. After thyroid dysfunction was identified, she was evaluated by an endocrinologist and started treatment with tiamazol and propanolol, presenting gradual remission of the psychiatric changes. Aripiprazole was discontinued and she was reevaluated in psychiatry consultation after about a month, with complete remission of psychiatric manifestations and normalized thyroid function.
Conclusions
Neuropsychiatric manifestations of thyroid dysfunction are often misdiagnosed as a primary psychiatric disorder. It is necessary to optimize the medical management of these patients in whom the psychiatric symptoms masks a curable organic cause.
Several authors have demonstrated the relevance of the therapist sensitivity to the affective expression of his client (Merten & Schwab, 2005; 150-158), as well as to his own emotional experience (Haynal-Raymond et al., 2005;142-148) in order to build a more effective therapeutic relationship, and results. An important source of information to decode the emotional expression hints is the face, and its expression (Ekman & Friesen, 1975; Russel & Fernández-Dolls, 1997;275-294). Despite common sense saying that context is relevant to understand the meaning of the emotional facial expression, the literature review shows inconsistent results.
Objectives
The main goal of this study was to evaluate the impact of clinical context over the perception of the emotional facial expression.
Methods
This study followed a within-subjects design, and its sample consisted of 60 clinical psychologists. 21 combinations of prototypical expression images with mixed emotional signals, and clinical information texts were presented to the participants. Then their judgement on the type of emotion displayed was requested. The presentation of the text-image pairs was randomized between three conditions: consistent, and non-consistent, and neutral.
Results
The results suggest that emotions are more easily recognized in the presence of a concordant context than a non-concordant or neutral one, and that the greater the similarity between the facial expression of the image presented and the face prototypically associated with the context, the greater the influence of the context.
However, In the recognition of mixed emotional signs, there was greater recognition of signs of anger in the facial expression, as a non-dominant emotion, when in the presence of the neutral story than of the story that agreed with the dominant emotion (sadness). There was also greater recognition of sadness, as a non-dominant emotion, in the presence of a story in agreement with fear than in the presence of a neutral story. There was also a statistically significant increase in the attribution of anger to images in which it is not present and whose dominant emotion is fear, when associated with a context of aggression vs. a neutral context.
It was also found that there was a significant decrease in the attribution of fear to the sadness-anger image (25%-75%) in the presence of the aggression context compared to the neutral and panic contexts.There was also a statistically significant decrease in the attribution of sadness to an image of fear in the neutral context compared to the other contexts (panic and aggression).
Conclusions
In conclusion, our study have shown an impact of context over overvaluation or the undervaluation of the emotional facial expression as well as either with prototypical expressions or the mixed emotional signals when referring to sadness, fear, and anger. Thus, mental health clinicians should consider the influence of these contexts.
To our knowledge there is no study exploring the interrelationship between nomophobia, phubbing and social phobia in Portuguese young adults and adults.
Objectives
To explore the nomophobia, phubbing and social phobia levels, the interrelationship between these three constructs, in a sample of Portuguese young adults and adults.
Methods
316 subjects, with a mean age of 25.71 years old (SD = 8.231; range 18 - 59) fulfilled a sociodemographic questionnaire, and the Portuguese validations of the Nomophobia Questionnaire, the Phubbing Scale and the Social Interaction and Performance Anxiety and Avoidance Scale.
Results
All the subjects presented nomophobia (100%, n = 316), with 62% (n = 196) presenting a moderate risk level and 22% (n = 69) an higher risk level. The mean of the ‘total phubbing score’ was of 21.50 (DP = 5.50) and ‘smartphone obsession’ was the phubbing subscale with an higher score (X = 12.81, DP = 3.50). The mean of the total nomophobia was of 80.0 (DP = 22.83) and ‘not being able to communicate’ was the nomophobia subescale with an higher score (X = 24.75, DP = 9.95).Considering social phobia scale, the mean of the ‘anxiety/distress’ subscale was of 95.36 (DP = 25.14) and of the ‘avoidance subscale’ was of 89.56 (DP = 25.53). Almost 22% (n = 69) of the subjects presented ‘social anxiety’ and 24% (n = 76) presented ‘social avoidance’, suggesting probable social phobia cases (higher than the proposed cut-off scores). Positive and significant correlations were found between all the nomophobia and phubbing subscales (ranging from .30** to .61**). Positive and significantly correlations, mostly with low magnitude, were found between nomophobia and social phobia subscales (ranging from .03** to .22**), except for ‘social avoidance’ subescale, which correlation was negative (-.021*). Females presented higher levels of nomophobia (Md = 176.28) and phubbing (Md = 167.22) than males (Md =124.73, U = 7301.500, p <.001;Md = 141.93), U = 9475.500, p= .019, respectively). Total social phobia scores and nomophobia (not being able to access information and giving up convenience subescales) were significantly higher in young adults.
Conclusions
Nomophobia, phubbing and social phobia are significantly intercorrelated. Future longitudinal studies are needed to clarify nomophobia and phubbing etiology. The level of nomophobia (100%) found in this sample is specially worrying.
Addressing mental and physical health problems and promoting wellbeing in educational settings is a global priority. Teachers present a high risk of stress and burnout, which negatively impacts their professional performance as well as their mental and physical health. Compassion-based interventions have been found effective in promoting psychosocial and physiological wellbeing.
Objectives
The current paper presents preliminary findings of the impact of a 6-module Compassionate Mind Training intervention for Teachers (CMT-T) on immunological markers and the Conserved Transcriptional Response to Adversity (CTRA; a gene expression signature that involves a group of 53 genes: pro-inflammatory genes, type I interferon response and genes related to antibody synthesis).
Methods
A pilot non-controlled study was conducted in a sample of public-school teachers in Portugal (n=36). Participants were assessed at 4 time-points: 1) Extended Baseline Control_M0, in order to establish a within-subjects psychological and biophysiological baseline (8 weeks before the start of the CMT-T); 2) Pre-intervention_M1 (8-weeks after M0); 3) Post-intervention_M2 (8-weeks after M1); and 4) Follow-up_M3 (3 months after the CMT-T end). In all assessment moments, participants completed a set of psychological self-report measures and were assessed in immunological and epigenetic biological markers through the collection of blood. After M1, teachers completed the 8-week group CMT-T intervention and given access to its resources and materials. They were instructed to practice daily and incorporate the teachings in their personal and professional lives. All assessments and the CMT-T intervention took place at the schools.
Results
Preliminary data on the impact of CMT-T on Immune Response Profiling revealed that teachers’ Natural Killer (i.e., NK) cells were decreased after the CMT-T intervention. In regard to the CTRA gene expression, results showed that type one interferon response genes (e.g., IFI16, IFI27L2, IFITM2, IFITM3, IFITM4P) were decreased after the intervention. In addition, we observed that the gene c-Jun, a pro-inflammatory gene, had a decreased expression after the CMT-T intervention.
Conclusions
These preliminary findings seem to corroborate previous studies involving the type one interferon response, the pro-inflammatory genes and antibody synthesis genes in a signature involving 53 genes previously described as the CTRA gene signature. Furthermore, our results suggest that cultivating compassion using a compassion focused intervention may have a positive impact on markers of the immune system response, associated with how our bodies respond to stress, infection and cancer, as well as, on reducing the expression of genes related to our bodies’ response to stress and inflammation.
The Covid-19 pandemic has generated an unprecedented impact on multiple levels (health, occupational, economic, and social) which affected the general population and has been an enormous stress factor for individuals with obsessive-compulsive disorder (OCD), particularly for those with contamination symptoms. Many patients, as well as healthy individuals, experienced new obsessive-compulsive-like symptoms centered on COVID-19 during the pandemic. However, data on this population are still scarce.
Objectives
To present a case exemplifying the association between the Covid-19 pandemic and the onset of OCD.
Methods
Case presentation and non-systematic review of existing literature on Pubmed using the keywords: Covid-19, OCD, pandemic, depression.
Results
We report a case of a 30-year-old female who presented to the emergency department due to depressive mood and suicidal ideation associated with exacerbation of OCD symptoms, namely intense fear of being infected with Covid-19. These symptoms led to avoidance of touching objects, surfaces or even herself in addition to frequent and long rituals of hand-washing and showers. She was asymptomatic prior to being infected with Covid-19, when she started developing obsessive ideas of contamination. She sought psychiatric support and was medicated with fluoxetine, olanzapine and clonazepam. Due to insufficient symptom control, she was admitted to the psychiatry ward, where treatment was initiated with aripiprazol and fluvoxamine. After dose titration, gradual remission of OCD symptomatology and depressive mood was observed.
Conclusions
The present case illustrates the correlation between Covid-19 and the onset of OCD symptomatology. Existing studies demonstrate that the pandemic worsened the landscape of symptoms of OCD, both in diagnosed patients as well as in previously healthy individuals. However literature is still limited thus, multinational and cross-cultural, longitudinal studies are warranted to gain further insights on this topic.