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Objective: To evaluate the effectiveness of group cognitive-behavioral therapy (GCBT) for the treatment of adolescents with obsessive compulsive disorder (OCD). Methods: This review was registered in PROSPERO under number CRD42020158475. Five databases (PubMed, Virtual Health Library, Web of Science, Scopus, and PsycINFO) were searched. After applying the inclusion and exclusion criteria, 13 studies were analyzed in the qualitative synthesis (i.e., systematic review) and eight in the quantitative synthesis (i.e., meta-analysis). For the latter, fixed-effect modeling was used to assess the primary outcome (i.e., OCD symptoms). Results: The main findings suggest that GCBT is effective in reducing the symptoms of OCD in adolescents (d = -1.32). However, these results must be interpreted with caution, since all of the included studies showed some bias in their design. Conclusions: GCBT is effective in reducing OCD symptoms in adolescents.
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OBJECTIVE: To evaluate the effectiveness of group cognitive-behavioral therapy (GCBT) for the treatment of adolescents with obsessive compulsive disorder (OCD). METHODS: This review was registered in PROSPERO under number CRD42020158475. Five databases (PubMed, Virtual Health Library, Web of Science, Scopus, and PsycINFO) were searched. After applying the inclusion and exclusion criteria, 13 studies were analyzed in the qualitative synthesis (i.e., systematic review) and eight in the quantitative synthesis (i.e., meta-analysis). For the latter, fixed-effect modeling was used to assess the primary outcome (i.e., OCD symptoms). RESULTS: The main findings suggest that GCBT is effective in reducing the symptoms of OCD in adolescents (d = -1.32). However, these results must be interpreted with caution, since all of the included studies showed some bias in their design. CONCLUSIONS: GCBT is effective in reducing OCD symptoms in adolescents.
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Introduction: Insight may be defined as the ability to perceive and evaluate external reality and to separate it from its subjective aspects. It also refers to the ability to self-assess difficulties and personal qualities. Insight may be a predictor of success in the treatment of obsessive-compulsive disorder (OCD), so that individuals with poor insight tend to become refractory to treatment. The objective of this study is to investigate factors associated with poor insight in individuals with OCD. Methods: This cross-sectional exploratory study used the Brown Belief Assessment Scale as a parameter for the creation of the comparison groups: individuals who obtained null scores (zero) composed the group with preserved or good insight (n = 148), and those with scores above the 75% percentile composed the group with poor insight (n = 124); those with intermediate scores were excluded. Sociodemographic characteristics and clinical and psychopathological aspects, intrinsic and extrinsic to the typical symptoms of OCD, were compared in a univariate analysis. A logistic regression was used to determine which factors associated with critical judgment remained significant. Results: Individuals in the poor insight group differed from those with good insight in regard to: more prevalent use of neuroleptics (p = 0.05); higher untreated time interval (p < 0.001); higher total Yale-Brown obsessive-compulsive scale score and the obsessions and compulsions factors (all factors with p < 0.001); higher dimensional Yale-Brown obsessive-compulsive scale total and dimensional scores (p from 0.04 to 0.001); higher prevalence of contamination/cleaning (p = 0.006) and hoarding (p < 0.001) symptoms dimensions; more prevalent sensory phenomena (p = 0.023); higher levels of depression (p = 0.007); and more prevalent comorbidity with bipolar affective disorder (p = 0.05) and post-traumatic stress disorder (PTSD) (p = 0.04). After analyzing the logistic regression, we conclude that the most important factors associated with poor insight are: the presence of any sensory phenomena (OR: 2.24), use of neuroleptics (OR: 1.66), and hoarding symptoms (OR: 1.15). Conclusion: The variability of insight in patients with OCD seems to be an important psychopathological characteristic in the differentiation of possible subtypes of OCD, since the poor insight is associated with sensory phenomena and greater use of neuroleptics, which makes it possible to conjecture the role of dopaminergic neurocircuits in the neurobiology of this disorder. In addition, there is also an association with the symptoms of hoarding content, admittedly one of the symptomatic contents with less response to conventional OCD treatments. Studies based on neurobiological aspects such as neuroimaging and neuropsychology may help to elucidate more consistently the role of insight in patients with OCD and the repercussions concerning available treatments.
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Este texto analisa as relações de gênero no processo de inserção de professores homens na Educação Infantil. Com base nos pressupostos teórico-metodológicos da História Oral, foram entrevistados dois professores de Educação Física e duas diretoras da rede privada de ensino. Articulados ao conceito de gênero e ao acúmulo de discussões sobre Educação Infantil e Edu-cação, os depoimentos foram analisados por meio dos procedimentos da "análise de conteú-do". Ao longo do processo de inserção na Educação Infantil, os professores tiveram sua sexu-alidade questionada, ao passo que sua atuação nesse nível da educação foi legitimada pela "necessidade de uma referência masculina para as crianças". Ao mesmo tempo em que os professores necessitam ser vigiados, sua presença garantiria a manutenção de um currículo heteronormativo.
This text analyzes gender relations in the process of insertion of male teachers in Early Child-hood Education. Based on the theoretical and methodological assumptions of Oral History, two Physical Education teachers and two female directors of private teaching schools were interviewed. After being transcripted, the statements were analyzed in articulation with the concept of gender and through the procedures of "Content Analysis". Throughout the process of insertion in Early Childhood Education, teachers had their sexuality questioned since their performance at this level of education was legitimized by the "need for a male reference for students. At the same time that teachers need to be watched, their presence would ensure the maintenance of a heteronormative curriculum.
Este texto analiza los atravesamientos de género en el proceso de inserción de profesores hombres en la Educación Infantil. Con base en los presupuestos teórico-metodológicos de la Historia Oral fueron entrevistados dos profesores de Educación Física y dos directoras de la red privada de educación. Tras transcritos, los testimonios fueron analizados en la articulación con el concepto de género y a través de los procedimientos del "Análisis de Contenido". A lo largo del proceso de inserción en la Educación Infantil, los profesores tuvieron su sexualidad cuestionada al paso que su atención en ese nivel de la educación fue legitimada por la "nece-sidad de una referencia masculina para los alumnos. Al mismo tiempo en que los profesores necesitan ser vigilados, su presencia garantizaría el mantenimiento de un currículo hetero-normativo.
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Humanos , Masculino , Feminino , Pré-Escolar , Criança , Educação Física e Treinamento , Ensino , Educação Infantil , Professores Escolares , Identidade de GêneroRESUMO
OBJECTIVE: Fruits and vegetables contain many compounds presenting potential antioxidant activity. The objective of this study was to evaluate the effect of a green juice recipe in adult metabolism in order to identify new preventive dietary sources. METHOD: This was a single-blind randomized controlled clinical trial. Recruitment and data were, respectively, made and collected at the Universidade Federal de Ciências da Saúde de Porto Alegre. Individuals who met all the inclusion criteria during the period of recruitment were included. Green juice (experimental group) or placebo (control group) were consumed from Monday to Friday between 8 and 9 am, in the amount of 300 mL for 60 days (except Saturdays and Sundays). To verify the effect of green juice on metabolism, the following were evaluated: (a) glycemia, plasma lipid profile, renal and liver functions, redox profile, and antioxidant enzymes; (b) anthropometry; and (c) well-being and anxiety. RESULTS: This study included 14 participants in the test group (juice group) and 13 controls (placebo group), with mean ages of 31.07 and 30.15 years, respectively. We did not observe a significant difference between the treatments. Dietary properties of vegetable and fruit juices are an area of significant interest. CONCLUSIONS: Together with an analysis of previous works, we suggest that green juice did not cause an improvement in metabolic function and there is a need for further research on this issue, mainly through different interventions and other samples.
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Los consumidores prefieren el producto no transgénico, pero se muestran positivos hacia una modificación que incorpore caracteres beneficiosos para la salud.
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Alimentos Geneticamente Modificados , Carne , Ingestão de AlimentosRESUMO
Considerando que las actitudes respecto a la biotecnología dependen del organismo sobre el cual se aplica y del tipo de modificación realizada se determinó la importancia del tipo de modificación genética (MG) en la compra de carne bovina en consumidores de Temuco (Región de La Araucanía, Chile) en diferentes segmentos de mercado, mediante una encuesta a 400 personas. Utilizando análisis de conjunto se determinó que el tipo de MG fue más importante que el precio en la compra (66,2 y 33,8%; respectivamente). Mediante análisis de conglomerados jerárquicos se distinguieron dos segmentos principales con diferencias significativas en la importancia de estos atributos. El segmento mayoritario (63,8%) dio alta importancia al tipo de MG, el segundo segmento (28,2%) atribuyó mayor importancia al precio, pero los consumidores de ambos segmentos prefirieron carne de un animal sin MG o de un animal con MG para disminuir el contenido de colesterol y rechazaron la carne de un animal alimentado con granos MG o de animales con MG para reducir el costo de alimentación. Los segmentos presentaron diferencias según el tamaño del grupo familiar, frecuencia de consumo de carne bovina y estilo de vida. Es posible concluir que la ausencia de MG en carne bovina es una condición deseable para los consumidores de Temuco, sin embargo, la totalidad de la muestra encuestada se muestra positiva hacia la carne de un animal MG que presente beneficios para la salud y el 8% acepta carne de un animal alimentado con granos MG.
Considering that attitudes to biotechnology depend on the organism to which it is applied and the type of modification made, a survey was carried out on 400 persons to determine the importance of the type of genetic modification (GM) in the purchase of beef by consumers in Temuco (La Araucanía Region, Chile) in different market segments. Using conjoint analysis it was determined that the type of GM was more important than the price in the purchase decision (66.2 and 33.8%, respectively). Two principal segments were identified by analysis of hierarchical conglomerates, with significant differences in the importance of these attributes. The majority segment (63.8%) attached great importance to the type of GM, the second segment (28.2%) attributed more importance to the price, however consumers of both segments preferred meat from an animal without GM or one with GM to reduce the cholesterol content, and rejected meat from an animal fed with GM grain or subjected to GM to reduce feeding costs. The segments presented differences related to the size of the family group, frequency of beef consumption and life-style. It may be concluded that the absence of GM in beef is a desirable condition for the consumers of Temuco, however the whole sample responded positively to meat from a GM animal which presents health benefits and 8% accept meat from an animal which has been fed with GM grain.
