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2.
Vet J ; 277: 105749, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34537342

RESUMO

Since 2009, Danish claw trimmers have been able to record claw health digitally during trimming. The records are owned by the farmer and can be used locally in the herd and on a large scale by breeding organisations to improve claw health. The objective of this study was to describe data on claw recording routines and describe the prevalence of digital dermatitis (DD), interdigital hyperplasia (IH), sole ulcer (SU) and white line abscess (WLA) recorded by claw trimmers (TrimmerID) at trimming. More than 5.18 million records of cows with claw recordings and 2.75 million records of claw trimming with 2.4 million concurrent claw diseases from 62 TrimmerIDs from 705,803 animals from 1635 herds over a 5-year period from 2013 to 2017 were included in the dataset. Data on cow level was used for the descriptive statistics. The data was restricted to, and grouped by, heifers from 12 months of age, first, second and third or older parity cows from the breeds Holstein, Danish Red Dairy, Jersey and crossbreds. The number of recorded trimmings per TrimmerID per year varied from 132 to 48,040 with a mean of 9556 and increased during the period studied. The overall prevalence across breed and parity groups of DD, IH, SU and WLA was 21%, 6%, 7% and 3%, respectively. The prevalence of the lesions remained quite constant during the 5-year period. DD was recorded in 95% of the herds in 2017. The prevalence of IH, SU and WLA increased with increasing parity. Digital recording of claw lesions may be a good indicator of claw health. However, the recording routines and quality of the recordings must be considered.


Assuntos
Doenças dos Bovinos , Dermatite Digital , Doenças do Pé , Casco e Garras , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Dinamarca/epidemiologia , Dermatite Digital/epidemiologia , Feminino , Doenças do Pé/epidemiologia , Doenças do Pé/veterinária , Gravidez
3.
Artigo em Inglês | MEDLINE | ID: mdl-33610169

RESUMO

BACKGROUND: Chronic tic disorders are neurodevelopmental disorders that can be treated with Habit Reversal Training (HRT) and Exposure Response Prevention (ERP). Intermediate and long-term effects have been examined after individual treatment with HRT, whereas evaluation of long-term outcome after an initial treatment with ERP, or a combination of HRT and ERP is lacking. The present study examines the long-term effect after a combined treatment with HRT and ERP delivered in an individual or a group setting METHODS: Fifty-nine children and adolescents diagnosed with a chronic tic disorder were randomised to manualised treatment combining HRT and ERP as individual or group training. Forty-seven were re-examined 1 year after acute outcome. Outcome measures included Total Tic Severity score (TTS) measured by the Yale Global Tic Severity Scale (YGTSS) and Beliefs About Tics Scale (BATS) RESULTS: In a mixed model, it was shown that the initial improvement with both individual and group treatment was maintained throughout the follow-up period. There were no significant differences between the two methods of treatment delivery. Of all participants completing the 12 months evaluation, 74.4% were considered responders. There was a significant positive association between the reduction of TTS and the reduction in BATS. In a latent class post-treatment trajectory analysis, two classes were identified, where high baseline severity increased the likelihood of being in the lesser responder class. Similar, but only as a trend, having ADHD, planning difficulties or hypersensitivity increased the risk of a lesser response. CONCLUSIONS: The present study compares the efficacy in individualised and group treatment of providing manualised therapy for child and adolescent tic disorders using two behavioural methods (combined HRT and ERP) both of which have been shown to have acute benefits but only one of which has been validated for longer term effectiveness. In the present study, both individualised and group treatments showed benefit throughout a 1-year follow-up period with several potential confounds affecting outcomes, while the relative benefits of either HRT and ERP were not addressed. Trial registration NCT04594044, 1-10-72-216-15, registered 19th October 2020, retrospectively registered, https://register.clinicaltrials.gov/prs/app/template/Home.vm?uid=U0005BW2&ts=9&sid=S000ABEY&cx=-wlx7vb The study is approved by the National Ethical Committee (1-10-72-216-15) and the Danish Data Protection Agency (1-16-02-490-15), registered 12 October 2015.

4.
BMC Psychiatry ; 20(1): 511, 2020 10 20.
Artigo em Inglês | MEDLINE | ID: mdl-33081741

RESUMO

BACKGROUND: Obsessive compulsive disorder (OCD) is a distressing psychiatric disorder. Traumas may trigger or aggravate OCD symptoms. COVID-19 pandemic has coursed a global crisis and has been associated with onset of psychiatric disorders in adults. Little is known about children/adolescents with OCD. The present study aimed to examine how children/adolescents with OCD react towards COVID-19 crisis. METHODS: A questionnaire was distributed to two separate groups of children/adolescents. One group was a clinical group newly diagnosed at a specialized OCD clinic. All the children/adolescents had a current close contact to a therapist or doctor. The other group was a survey group identified through the Danish OCD Association. Most of these children/adolescents were diagnosed years ago, and their primary treatment was completed. For the clinical group, data from patient files was available. RESULTS: In both groups, but most pronounced in the survey group, participants experienced a worsening of their OCD, anxiety, and depressive symptoms. The aggravation of OCD correlated with the worsening of anxiety, depressive symptoms, and the extent of avoidance behavior. For both groups, OCD aggressive symptoms predicted a significant worsening. Poor baseline insight showed a trend to predict a symptom worsening. The worsening was most pronounced in children with early age of onset and a family history of attention deficit hyperactivity disorder. CONCLUSIONS: To our knowledge, this is one of the first studies examining the effect of COVID-19 in children/adolescents with OCD. The effect was examined in two separate populations strengthening the findings. The study points towards an influence of the OCD phenotype, baseline insight suggesting a continued vulnerability, and a family history of psychiatric disorders. TRIAL REGISTRATION: The study is approved by the Danish Data Protection Agency (1-16-02-147-20) registered 1st of April 2020. Oral and written information was given to parents and patients and written consent from patients over 15 years and parents were received.


Assuntos
Infecções por Coronavirus , Inquéritos Epidemiológicos , Transtorno Obsessivo-Compulsivo/psicologia , Pandemias , Pneumonia Viral , Adolescente , COVID-19 , Criança , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Dinamarca , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia
5.
Metab Eng ; 60: 25-36, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32224264

RESUMO

Psilocybin is a tryptamine-derived psychoactive alkaloid found mainly in the fungal genus Psilocybe, among others, and is the active ingredient in so-called "magic mushrooms". Although its notoriety originates from its psychotropic properties and popular use as a recreational drug, clinical trials have recently recognized psilocybin as a promising candidate for the treatment of various psychological and neurological afflictions. In this work, we demonstrate the de novo biosynthetic production of psilocybin and related tryptamine derivatives in Saccharomyces cerevisiae by expression of a heterologous biosynthesis pathway sourced from Psilocybe cubensis. Additionally, we achieve improved product titers by supplementing the pathway with a novel cytochrome P450 reductase from P. cubensis. Further rational engineering resulted in a final production strain producing 627 ± 140 mg/L of psilocybin and 580 ± 276 mg/L of the dephosphorylated degradation product psilocin in triplicate controlled fed-batch fermentations in minimal synthetic media. Pathway intermediates baeocystin, nor norbaeocystin as well the dephosphorylated baeocystin degradation product norpsilocin were also detected in strains engineered for psilocybin production. We also demonstrate the biosynthetic production of natural tryptamine derivative aeruginascin as well as the production of a new-to-nature tryptamine derivative N-acetyl-4-hydroxytryptamine. These results lay the foundation for the biotechnological production of psilocybin in a controlled environment for pharmaceutical applications, and provide a starting point for the biosynthetic production of other tryptamine derivatives of therapeutic relevance.


Assuntos
Engenharia Metabólica/métodos , Psilocibina/análogos & derivados , Psilocibina/biossíntese , Saccharomyces cerevisiae/metabolismo , Triptaminas/biossíntese , Escherichia coli/metabolismo , Fermentação , NADPH-Ferri-Hemoproteína Redutase/biossíntese , NADPH-Ferri-Hemoproteína Redutase/genética , Psilocybe/genética , Psilocybe/metabolismo , Psilocibina/metabolismo , Triptofano/metabolismo
6.
Rev Chilena Infectol ; 36(4): 461-468, 2019 Aug.
Artigo em Espanhol | MEDLINE | ID: mdl-31859770

RESUMO

BACKGROUND: Passive surveillance systems for adverse events following immunization (AEFI) allow the monitoring of known adverse effects (AE) and the investigation of infrequent AE. AIM: To describe the AEFI notified in Chile between 2014 and 2016. METHODOLOGY: This was a study of epidemiological surveillance. A general analysis of AEFI and sub-analysis for pentavalent vaccine was carried out. It was calculated the global reporting rate of AEFI every 100,000 doses of vaccines, the reporting rate of AEFI considered of interest and the odds ratio of reporting (ROR) of apneas for pentavalent. RESULTS: The total AEFI reported was 2,552 with a global reporting rate of 9,13. 13.4% of AEFI were serious. The vaccine reporting rate of events of interest was generally lower than the reference rates. The vaccine with the highest reporting rate (44.3) was pentavalent, with an ROR of apnea versus other vaccines of 10.5 (95% CI 3.77-29.47). DISCUSSION: This study provides an overview of the AEFI notified in Chile. The global reporting rate was similar to other studies, but those of events of interest were lower than international references. A possible association between apnea and pentavalent vaccine is shown.


Assuntos
Sistemas de Notificação de Reações Adversas a Medicamentos/estatística & dados numéricos , Vacinação/efeitos adversos , Vacinação/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Chile/epidemiologia , Notificação de Doenças , Feminino , Humanos , Lactente , Recém-Nascido , Pessoa de Meia-Idade , Vigilância da População , Índice de Gravidade de Doença , Vacinas/efeitos adversos , Adulto Jovem
7.
BJPsych Open ; 5(5): e74, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31409430

RESUMO

BACKGROUND: Chronic tic disorders may have a major impact on a child's function. A significant effect has been shown for combined habit reversal training (HRT) and exposure response prevention (ERP) treatment delivered in an individual and group setting. AIMS: The present study examines predictors and moderators of treatment outcome after an acute therapeutic intervention. METHOD: Fifty-nine children and adolescents were randomised to manualised treatment combining HRT and ERP as individual or group training. Age, gender, baseline tic severity, Premonitory Urge for Tics Scale (PUTS) scores, Beliefs about Tic Scale (BATS) scores, hypersensitivity and comorbid psychiatric symptoms were analysed as predictors of outcome. The same characteristics were examined as moderators for individual versus group treatment. Outcome measures included the change in total tic severity (TTS) score and functional impairment score (as measured by the Yale Global Tic Severity Scale (YGTSS)). RESULTS: Internalising symptoms predicted a lesser decrease in functional impairment. The occurrence of obsessive-compulsive symptoms predicted a larger decrease in TTS. Baseline hypersensitivity and high scores on depressive symptoms favoured individual treatment. High baseline PUTS scores favoured group therapy. CONCLUSIONS: This is the first study examining factors predicting and moderating perceived functional impairment following a therapeutic intervention. The study adds to the knowledge on predictors and moderators of TTS. Furthermore, this is the first study examining the effect of the BATS score. The study points towards factors that may influence treatment outcome and that require consideration when choosing supplemental treatment. This applies to comorbid anxiety and depressive symptoms, and to the child's belief about their tics and premonitory urge. DECLARATION OF INTEREST: None.

8.
Rev. chil. infectol ; 36(4): 461-468, ago. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1042663

RESUMO

Resumen Introducción: Los sistemas de vigilancia pasiva de los eventos supuestamente atribuidos a vacunación o inmu nización (ESAVI) permiten monitorizar efectos adversos (EA) conocidos y pesquisar EA infrecuentes. El objetivo de este estudio fue describir los ESAVI notificados en Chile entre los años 2014 y 2016. Material y Método: Estudio de vigilancia epidemiológica. Se realizó un análisis general y un sub-análisis para vacuna pentavalente. Se calculó la tasa de reporte (TR) global de ESAVI cada 100.000 dosis de vacunas, la TR de ESAVI considerados de interés y el odds ratio de reporte (ROR) de apneas para pentavalente. Resultados: El total de ESAVI notificados fue de 2.552 con una TR global de 9,13. Un 13,4% de los ESAVI fueron serios. La TR de eventos de interés fue en general menor a las tasas de referencia. La vacuna con mayor TR (44,3) fue pentavalente, con un ROR de apnea versus otras vacunas de 10,5 (IC 95% 3,77-29,47). Discusión: Este estudio entrega una visión general de los ESAVI notificados en Chile. La TR global fue similar a otras reportadas, pero las de eventos de interés fueron menores a las referencias internacionales. Se muestra una posible asociación entre apneas y vacuna pentavalente.


Background: Passive surveillance systems for adverse events following immunization (AEFI) allow the monitoring of known adverse effects (AE) and the investigation of infrequent AE. Aim: To describe the AEFI notified in Chile between 2014 and 2016. Methodology: This was a study of epidemiological surveillance. A general analysis of AEFI and sub-analysis for pentavalent vaccine was carried out. It was calculated the global reporting rate of AEFI every 100,000 doses of vaccines, the reporting rate of AEFI considered of interest and the odds ratio of reporting (ROR) of apneas for pentavalent. Results: The total AEFI reported was 2,552 with a global reporting rate of 9,13. 13.4% of AEFI were serious. The vaccine reporting rate of events of interest was generally lower than the reference rates. The vaccine with the highest reporting rate (44.3) was pentavalent, with an ROR of apnea versus other vaccines of 10.5 (95% CI 3.77-29.47). Discussion: This study provides an overview of the AEFI notified in Chile. The global reporting rate was similar to other studies, but those of events of interest were lower than international references. A possible association between apnea and pentavalent vaccine is shown.


Assuntos
Humanos , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Vacinação/efeitos adversos , Vacinação/estatística & dados numéricos , Sistemas de Notificação de Reações Adversas a Medicamentos/estatística & dados numéricos , Índice de Gravidade de Doença , Vacinas/efeitos adversos , Chile/epidemiologia , Vigilância da População , Notificação de Doenças
9.
J Dent Res ; 97(9): 977-986, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29863948

RESUMO

In lamellar bone, a network of highly oriented interconnected osteocytes is organized in concentric layers. Through their cellular processes contained within canaliculi, osteocytes are highly mechanosensitive and locally modulate bone remodeling. We review the recent developments demonstrating the significance of the osteocyte lacuno-canalicular network in bone maintenance around implant biomaterials. Drilling during implant site preparation triggers osteocyte apoptosis, the magnitude of which correlates with drilling speed and heat generation, resulting in extensive remodeling and delayed healing. In peri-implant bone, osteocytes physically communicate with implant surfaces via canaliculi and are responsive to mechanical loading, leading to changes in osteocyte numbers and morphology. Certain implant design features allow peri-implant osteocytes to retain a less aged phenotype, despite highly advanced extracellular matrix maturation. Physicochemical properties of anodically oxidized surfaces stimulate bone formation and remodeling by regulating the expression of RANKL (receptor activator of nuclear factor-κB ligand), RANK, and OPG (osteoprotegerin) from implant-adherent cells. Modulation of certain osteocyte-related molecular signaling mechanisms (e.g., sclerostin blockade) may enhance the biomechanical anchorage of implants. Evaluation of the peri-implant osteocyte lacuno-canalicular network should therefore be a necessary component in future investigations of osseointegration to more completely characterize the biological response to materials for load-bearing applications in dentistry and orthopedics.


Assuntos
Materiais Biocompatíveis/farmacologia , Interface Osso-Implante/fisiologia , Implantes Dentários , Osteócitos/efeitos dos fármacos , Animais , Remodelação Óssea/fisiologia , Humanos , Osseointegração/fisiologia , Osteogênese/fisiologia , Propriedades de Superfície
10.
Prev Vet Med ; 155: 21-26, 2018 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-29786521

RESUMO

Diarrhea and respiratory disease are major health problems for dairy calves, often causing calf mortality. Previous studies have found calf mortality to be higher in organic dairy herds compared to conventional herds. The aim of this study was to investigate the association between production system (conventional/organic), season (summer/winter) and calf mortality risk, diarrhea, signs of respiratory disease and ocular discharge, respectively, for dairy heifer calves aged 0-180 days. Sixty Danish dairy herds, 30 conventional and 30 organic, were visited once during summer and once during winter. During the herd visits, calves were clinically examined for signs of diarrhea, hampered respiration, nasal discharge, coughing and ocular discharge. Data on mortality were obtained from the Danish Cattle Database. Data were analyzed using logistic regression models, with mortality risk and disease measures as outcome variables for each of three calf age groups: 0-28, 29-90 and 91-180 days. In organic herds, odds of mortality among calves aged 0-28 days were 2.09 (95% confidence interval (CI): 1.38-3.15) times higher during winter compared to summer. Odds of nasal discharge for calves 0-28 days in organic herds were 10.3 (95% CI: 2.27-46.6), 10.7 (95% CI: 2.40-40.0) and 5.97 (95% CI: 1.29-27.6) times higher for organic and conventional herds during winter (OW and CW) and conventional herds during summer (CS) respectively, compared to organic herds during summer (OS). For calves aged 29-90 days, odds of nasal discharge were 8.22 (95% CI: 3.88-17.4), 8.06 (95% CI: 3.18-20.4) and 2.86 (95% CI: 1.08-7.55) times higher for OW, CW and CS respectively, compared to OS. Odds of nasal discharge for calved aged 91-180 days were 7.03 (95% CI: 3.95-12.5) and 4.27 (95% CI: 1.81-10.1) times higher for OW and CW respectively compared to OS. For calves aged 29-90 days, odds of coughing were 2.23 (95% CI: 1.06-4.71) and 3.82 (95% CI: 1.76-8.21) times higher for OW and CW compared to OS, while odds of coughing for calves aged 91-180 days were 2.09 (95% CI: 1.19-3.67) and 2.55 (95% CI: 1.39.4.67) times higher for OW and CW compared to OS. Odds of ocular discharge for calves aged 29-90 days were 0.22 (95% CI: 0.10-0.52), 0.27 (95% CI: 0.11-0.66) and 0.42 (95% CI: 0.18-0.99) times higher for OW, CW and CS compared to OS. In conclusion, mortality and morbidity of Danish dairy heifer calves are, for some variables and in certain age groups, dependent on production system and season.


Assuntos
Doenças dos Bovinos/epidemiologia , Indústria de Laticínios , Diarreia/veterinária , Doenças Respiratórias/veterinária , Estações do Ano , Animais , Bovinos , Diarreia/epidemiologia , Feminino , Doenças Respiratórias/epidemiologia , Fatores de Risco
11.
Res Vet Sci ; 113: 62-66, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28892662

RESUMO

Dairy cows are transported by road to slaughter after their productive life. Cull cows are vulnerable to transport stress, and can only be transported when fit for the intended journey. However, the decision, as to whether a cow is fit is rather subjective and relies on the farmer and the livestock driver. Using a questionnaire survey, we aimed to describe knowledge about, and experiences with, dairy cow fitness for transport among Danish livestock drivers. During nine days of data collection at the three largest Danish cattle slaughterhouses, 66 drivers (55% of the national population of cattle drivers) answered a questionnaire (response rate: 97%). They were Danish males (mean age: 49years), of which 94% stated that they knew the rules regarding fitness for transport. More than half of the respondents said that physical conditions (light, space) before loading animals allowed proper assessment of fitness for transport, and 85% answered that time constraints were not a challenge for this. Thirty-five percent reported to be in doubt regarding fitness for transport of specific cows at least frequently, and given two specific questions on legislation concerning fitness for transport, only 52% of the respondents answered both correctly. The results add new knowledge about livestock drivers' approach to animal welfare. As drivers are held partly responsible for fitness for transport of animals sent to slaughter, and descriptions of fit/unfit are rather vague, livestock drivers seem to need additional education, training, assessment tools or feedback in order to optimize the welfare of animals to be transported.


Assuntos
Bem-Estar do Animal , Indústria de Laticínios , Meios de Transporte , Matadouros , Animais , Bovinos , Dinamarca , Feminino , Conhecimentos, Atitudes e Prática em Saúde
12.
J Fish Biol ; 91(3): 947-967, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28776682

RESUMO

An assessment of vertical distribution, diel migration, taxonomic and functional diversity of fishes was carried out at offshore platforms in The (Arabian-Iranian-Persian) Gulf. Video footage was recorded at the Al Shaheen oil field between 2007 and 2014 using a remotely operated vehicle (ROV). A total of 12 822 individual fishes, from 83 taxonomic groups were recorded around the platforms. All the species identified are considered native to The Gulf, although Cyclichthys orbicularis and Lutjanus indicus were recorded for the first time in Qatari waters. Several trends were uncovered in the vertical distribution of the fish community; most species were observed between 20 and 50 m depth and fish abundance decreased towards the bottom, with the highest abundances recorded in the upper layers, i.e. down to 40 m depth. Vertical variation in fish diversity, however, was generally not accompanied by differences in vertical movements. Carnivores and invertivores were the dominant trophic groups, being found at each depth range from surface to seabed. The functional indices showed no significant differences between water depths or diel cycles. The study demonstrates that oil platforms represent a hotspot of fish diversity and interesting sites for studying fish communities, abundance and behaviour.


Assuntos
Biodiversidade , Peixes/fisiologia , Campos de Petróleo e Gás , Robótica , Animais , Comportamento Animal , Cadeia Alimentar , Irã (Geográfico) , Dinâmica Populacional
13.
J Dairy Sci ; 100(1): 1-16, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28341041

RESUMO

Dairy industries and individual farmers are concerned about mortality and culling of dairy animals. This is because the timing and fates of animals that exit dairy farms have important animal welfare and economic consequences that reflect the conditions under which they are farmed and the efficiency of their production systems. Reports from a few countries have indicated increased incidence of mortality, and occasionally culling, of dairy animals in recent decades, and these changes have been associated with intensification of production systems. Dairy industries and farmers need benchmarks for culling and mortality against which they can compare themselves, as well as improved understanding of the extent of any change and of any associated factors. We reasoned that a systematic literature review and meta-analysis of scientific articles published between 1989 and 2014 would allow us to determine whether these reports were universal, to quantify any change over time, and to investigate whether production systems or study factors were associated with culling and mortality. From 3,275 articles retrieved from databases and manual searching of cited articles, 118 articles were appraised independently by 2 assessors, and 51 articles representing 54 studies were determined to be eligible for review and meta-analysis. We estimated that both the annual incidence risk (IR) and incidence density of mortality of cows had increased significantly from 0.02 per cow and 2.32 per 100 cow-years, to 0.04 per cow and 3.75 per 100 cow-years, an increase per decade of 0.02 per cow and 1.42 per 100 cow-years, respectively. We also estimated that the annual IR of culling attributed to low production had declined significantly from 0.07 to 0.05 and that the IR of perinatal, but not neonatal, mortality had increased significantly from 0.04 to 0.06 per decade. We found no evidence of change in overall annual IR of culling of cows over time or any association between study design factors and the IR or incidence density of culling or mortality. These findings provide benchmarks for describing culling and mortality, and should encourage farmers and researchers in countries with modern dairy industries to discover and implement management strategies to reduce the animal welfare and economic costs associated with these changes.


Assuntos
Doenças dos Bovinos , Indústria de Laticínios/economia , Bem-Estar do Animal , Animais , Bovinos , Feminino
14.
Eur Child Adolesc Psychiatry ; 26(3): 281-291, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27388606

RESUMO

The underlying structure of obsessive-compulsive disorder (OCD) remains to be confirmed in child and adolescent populations. In this paper we report the first factor analytic study of individual OCD items from Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). OCD symptoms were assessed using the CY-BOCS symptom checklist in a sample of 854 patients with OCD (7-18 years of age) recruited from clinics in five countries. Pooled data were subjected to exploratory and confirmatory factor analysis (CFA) to identify the optimal factor structure. Various models were tested for age and gender subgroups. Also, the invariance of the solution across age and gender was tested and associations with demographic and clinical factors were explored. A three-factor model provided the best-fit solution. It consisted of the following factors: (1) harm/sexual, (2) symmetry/hoarding, (3) contamination/cleaning. The factor structure was invariant for age and gender across subgroups. Factor one was significantly correlated with anxiety, and factor two with depression and anxiety. Factor three was negatively correlated with tic disorder and attention-deficit/hyperactivity disorder (ADHD). Females had higher scores on factor two than males. The OCD symptom structure in children and adolescents is consistent across age and gender and similar to results from recent child and adolescents although hoarding may not be a separate factor. Our three-factor structure is almost identical to that seen in early studies on adults. Common mental disorders had specific patterns of associations with the different factors.


Assuntos
Transtornos de Ansiedade/psicologia , Ansiedade/psicologia , Transtorno Obsessivo-Compulsivo/diagnóstico , Determinação da Personalidade/estatística & dados numéricos , Comportamento Sexual/psicologia , Adolescente , Ansiedade/epidemiologia , Transtornos de Ansiedade/epidemiologia , Criança , Comorbidade , Comparação Transcultural , Análise Fatorial , Feminino , Colecionismo/epidemiologia , Colecionismo/psicologia , Humanos , Masculino , Transtorno Obsessivo-Compulsivo/epidemiologia , Transtorno Obsessivo-Compulsivo/psicologia , Escalas de Graduação Psiquiátrica , Comportamento Sexual/etnologia , Adulto Jovem
15.
Eur Psychiatry ; 38: 45-50, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27657665

RESUMO

BACKGROUND: Mental disorders show varying degrees of continuity from childhood to adulthood. This study addresses the relationship of child and adolescent mental disorders to early adult psychiatric morbidity. METHODS: From a population at risk of 830,819 children and adolescents aged 6-16 years, we selected all those (n=6043) who were enrolled for the first time in the Danish Psychiatric Register with an ICD-10 F00-99 diagnosis in 1995-1997, and identified any mental disorder for which they received treatment up to 2009. RESULTS: Neurodevelopmental and conduct disorders were the principal diagnostic groups at 6-16 years and exhibited a characteristic male preponderance; while affective, eating, neurotic, stress-related and adjustment disorders were more common in girls. Over a mean follow-up period of 10.1 years, 1666 (27.6%) cases, mean age 23.4 years, were referred for treatment to mental health services, and they had a markedly higher risk than the general population (RR 5.1; 95% CI 4.9-5.4). Affective, eating, neurodevelopmental, obsessive-compulsive and psychotic disorders had the strongest continuity. Heterotypic transitions were observed for affective, eating, neurodevelopmental, personality and substance use disorders. CONCLUSIONS: These findings suggest that individuals with psychiatric antecedents in childhood and adolescence had a high risk of being referred for treatment in early adulthood, and many mental disorders for which they required treatment revealed both homotypic and heterotypic continuity.


Assuntos
Psiquiatria do Adolescente , Psiquiatria Infantil , Transtornos Mentais/diagnóstico , Sistema de Registros , Adolescente , Adulto , Fatores Etários , Criança , Feminino , Seguimentos , Humanos , Classificação Internacional de Doenças , Masculino , Transtornos Mentais/psicologia , Determinação da Personalidade , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Inquéritos e Questionários , Adulto Jovem
16.
J Affect Disord ; 190: 663-674, 2016 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-26590514

RESUMO

BACKGROUND: To present the rationale for the new Obsessive-Compulsive and Related Disorders (OCRD) grouping in the Mental and Behavioural Disorders chapter of the Eleventh Revision of the World Health Organization's International Classification of Diseases and Related Health Problems (ICD-11), including the conceptualization and essential features of disorders in this grouping. METHODS: Review of the recommendations of the ICD-11 Working Group on the Classification for OCRD. These sought to maximize clinical utility, global applicability, and scientific validity. RESULTS: The rationale for the grouping is based on common clinical features of included disorders including repetitive unwanted thoughts and associated behaviours, and is supported by emerging evidence from imaging, neurochemical, and genetic studies. The proposed grouping includes obsessive-compulsive disorder, body dysmorphic disorder, hypochondriasis, olfactory reference disorder, and hoarding disorder. Body-focused repetitive behaviour disorders, including trichotillomania and excoriation disorder are also included. Tourette disorder, a neurological disorder in ICD-11, and personality disorder with anankastic features, a personality disorder in ICD-11, are recommended for cross-referencing. LIMITATIONS: Alternative nosological conceptualizations have been described in the literature and have some merit and empirical basis. Further work is needed to determine whether the proposed ICD-11 OCRD grouping and diagnostic guidelines are mostly likely to achieve the goals of maximizing clinical utility and global applicability. CONCLUSION: It is anticipated that creation of an OCRD grouping will contribute to accurate identification and appropriate treatment of affected patients as well as research efforts aimed at improving our understanding of the prevalence, assessment, and management of its constituent disorders.


Assuntos
Transtorno da Personalidade Compulsiva/classificação , Transtorno da Personalidade Compulsiva/diagnóstico , Transtorno Obsessivo-Compulsivo/classificação , Transtorno Obsessivo-Compulsivo/diagnóstico , Transtornos Dismórficos Corporais/classificação , Manual Diagnóstico e Estatístico de Transtornos Mentais , Transtorno de Acumulação/classificação , Humanos , Hipocondríase/classificação , Síndrome de Tourette/classificação , Tricotilomania/classificação , Adulto Jovem
17.
Animal ; 9(10): 1704-12, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26040626

RESUMO

Lameness in dairy herds is traditionally detected by visual inspection, which is time-consuming and subjective. Compared with healthy cows, lame cows often spend longer time lying down, walk less and change behaviour around feeding time. Accelerometers measuring cow leg activity may assist farmers in detecting lame cows. On four commercial farms, accelerometer data were derived from hind leg-mounted accelerometers on 348 Holstein cows, 53 of them during two lactations. The cows were milked twice daily and had no access to pasture. During a lactation, locomotion score (LS) was assessed on average 2.4 times (s.d. 1.3). Based on daily lying duration, standing duration, walking duration, total number of steps, step frequency, motion index (MI, i.e. total acceleration) for lying, standing and walking, eight accelerometer means and their corresponding coefficient of variation (CV) were calculated for each week immediately before an LS. A principal component analysis was performed to evaluate the relationship between the variables. The effects of LS and farm on the principal components (PC) and on the variables were analysed in a mixed model. The first four PC accounted for 27%, 18%, 12% and 10% of the total variation, respectively. PC1 corresponded to Activity variability due to heavy loading by five CV variables related to standing and walking. PC2 corresponded to Activity level due to heavy loading by MI walking, MI standing and walking duration. PC3 corresponded to Recumbency due to heavy loading by four variables related to lying. PC4 corresponded mainly to Stepping due to heavy loading by step frequency. Activity variability at LS4 was significantly higher than at the lower LS levels. Activity level was significantly higher at LS1 than at LS2, which was significantly higher than at LS4. Recumbency was unaffected by LS. Stepping at LS1 and LS2 was significantly higher than at LS3 and LS4. Activity level was significantly lower on farm 3 compared with farms 1 and 2. Stepping was significantly lower on farms 1 and 3 compared with farms 2 and 4. MI standing indicated increased restlessness while standing when cows increased from LS3 to LS4. Lying duration was only increased in lame cows. In conclusion, Activity level differed already between LS1 and LS2, thus detecting early signs of lameness, particularly through contributions from walking duration and MI walking. Lameness detection models including walking duration, MI walking and MI standing seem worthy of further investigation.


Assuntos
Acelerometria/veterinária , Doenças dos Bovinos/diagnóstico , Bovinos/fisiologia , Coxeadura Animal/diagnóstico , Acelerometria/instrumentação , Agricultura , Animais , Indústria de Laticínios , Feminino , Marcha , Lactação , Locomoção , Postura , Caminhada
18.
J Dairy Sci ; 98(7): 4552-9, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25935249

RESUMO

To investigate preferences of lame cows for flooring and level of social contact, 37 lame, lactating dairy cows (diagnosed with sole ulcer or white line disease) were housed individually for 6 d in experimental hospital pens, where they could choose between 2 equally sized areas (6m × 4.5m) with either deep-bedded sand or a rubber surface. On both surfaces, cows could choose between 2 equally sized areas either near or away from heifers in a neighboring group pen. Cows spent more time lying on the deep-bedded sand than on the rubber surface (870 vs. 71min/d), whereas they spent less time upright (standing or walking) on the sand than on the rubber surface (180 vs. 319min/d). In addition, cows spent less time self-grooming on the sand than on the rubber surface (2.2 vs. 4.7% of time spent upright). With regard to level of social contact, cows spent more time near the neighboring heifers than away from them; this was true both while lying (565 vs. 374min/d) and upright (276 vs. 223min/d). Self-grooming was seen significantly more near neighboring heifers than away from them (4.8 vs. 3.3% of time spent upright). When lying, cows more often positioned themselves in areas of the pen where they could maintain visual contact with neighboring heifers. Lame cows with sole ulcers or white line disease preferred deep-bedded sand for lying, and preferred to perform self-grooming while on the rubber surface. Similarly, they preferred to lie and to perform self-grooming while positioned near animals in a neighboring pen. These results suggest that provision of a deep-bedded lying area in hospital pens is important to the welfare of lame cows. We found no evidence of isolation-seeking behavior in animals with these diagnoses (and no systemic symptoms) while they were kept in individual hospital pens.


Assuntos
Comportamento Animal , Doenças dos Bovinos/fisiopatologia , Pisos e Cobertura de Pisos , Coxeadura Animal/fisiopatologia , Comportamento Social , Animais , Bovinos , Feminino , Asseio Animal , Abrigo para Animais , Lactação , Postura , Borracha/química , Caminhada
19.
Prev Vet Med ; 117(1): 110-20, 2014 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-25192868

RESUMO

Dairy cow mortality (unassisted death and euthanasia) has increased, worldwide and in Sweden. On-farm mortality indicates suboptimal herd health or welfare and causes financial loss for the dairy producer. The objective of this study was to identify cow-level risk factors associated with on-farm cow mortality. Cows with at least one calving between 1 July 2008 and 30 June 2009 from herds enrolled in the Swedish official milk recording scheme with >40 cow-years were included. Each cow was followed from the day of calving until she calved again or left the herd (died, slaughtered or sold). The effects of potential risk factors on on-farm cow mortality were analysed using a Weibull proportional hazard model with a gamma distributed frailty effect common to cows within herd. The event of interest (failure) was euthanasia or unassisted death. An observation was right censored if the cow was slaughtered, sold, calved again or had an on-going lactation at 500 days after calving. The lactations were split into seasons (January to April, May to August and September to December) and at 30 and 100 days in milk in order to evaluate seasonal effects and the effect of disease in different lactation stages. Primiparous and multiparous cows were analysed separately. The highest hazards for both primiparous and multiparous cows were found for traumatic events and diseases, both in the lactation stage in which the cow died and in the preceding stage. The hazard was higher in early lactation and lower in 2nd parity compared to higher parities. Increased age at first calving (for primiparous cows), calving between January and April, dystocia and stillbirth also increased the mortality hazard. Differences were also found between breeds, between milk production parameters at first test milking and between management types. The results from this study show the importance of good management and preventive health actions, especially around calving, to avoid mortality in dairy cows.


Assuntos
Doenças dos Bovinos/mortalidade , Indústria de Laticínios/métodos , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Feminino , Fatores de Risco , Suécia/epidemiologia
20.
Dent Mater ; 30(12): e384-95, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25182369

RESUMO

OBJECTIVES: The aim of this study was to evaluate the bone tissue response to fiber-reinforced composite (FRC) in comparison with titanium (Ti) implants after 12 weeks of implantation in cancellous bone using histomorphometric and ultrastructural analysis. MATERIALS AND METHODS: Thirty grit-blasted cylindrical FRC implants with BisGMA-TEGDMA polymer matrix were fabricated and divided into three groups: (1) 60s light-cured FRC (FRC-L group), (2) 24h polymerized FRC (FRC group), and (3) bioactive glass FRC (FRC-BAG group). Titanium implants were used as a control group. The surface analyses were performed with scanning electron microscopy and 3D SEM. The bone-implant contact (BIC) and bone area (BA) were determined using histomorphometry and SEM. Transmission electron microscopy (TEM) was performed on Focused Ion Beam prepared samples of the intact bone-implant interface. RESULTS: The FRC, FRC-BAG and Ti implants were integrated into host bone. In contrast, FRC-L implants had a consistent fibrous capsule around the circumference of the entire implant separating the implant from direct bone contact. The highest values of BIC were obtained with FRC-BAG (58±11%) and Ti implants (54±13%), followed by FRC implants (48±10%), but no significant differences in BIC or BA were observed (p=0.07, p=0.06, respectively). TEM images showed a direct contact between nanocrystalline hydroxyapatite of bone and both FRC and FRC-BAG surfaces. CONCLUSION: Fiber-reinforced composite implants are capable of establishing a close bone contact comparable with the osseointegration of titanium implants having similar surface roughness.


Assuntos
Resinas Compostas/química , Implantes Dentários , Materiais Dentários/química , Planejamento de Prótese Dentária , Cabeça do Fêmur/ultraestrutura , Vidro/química , Osseointegração/fisiologia , Animais , Bis-Fenol A-Glicidil Metacrilato/química , Interface Osso-Implante/anatomia & histologia , Durapatita/química , Feminino , Imageamento Tridimensional/métodos , Cura Luminosa de Adesivos Dentários/métodos , Teste de Materiais , Microscopia Eletrônica de Varredura , Microscopia Eletrônica de Transmissão , Nanopartículas/química , Polietilenoglicóis/química , Polimerização , Ácidos Polimetacrílicos/química , Coelhos , Espectrometria por Raios X , Propriedades de Superfície , Fatores de Tempo , Titânio/química
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