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1.
Proc Natl Acad Sci U S A ; 120(29): e2301018120, 2023 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-37428924

RESUMO

The occurrence of sedimentary storm deposits around the Tethys Ocean during the early Toarcian hyperthermal (~183 Ma) suggests that intensified tropical cyclone (TC) activity occurred in response to CO2 rise and marked warming. However, this hypothesized linkage between extreme warmth and storm activity remains untested, and the spatial pattern of any changes in TCs is unclear. Here, model results show that there were two potential storm genesis centers over Tethys during the early Toarcian hyperthermal located around the northwestern and southeastern Tethys. The empirically determined doubling of CO2 concentration that accompanied the early Toarcian hyperthermal (~500 to ~1,000 ppmv) leads to increased probability of stronger storms over Tethys, in tandem with more favorable conditions for coastal erosion. These results match well with the geological occurrence of storm deposits during the early Toarcian hyperthermal and confirm that increased TC intensity would have accompanied global warming.

2.
J Chem Phys ; 154(22): 224305, 2021 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-34241223

RESUMO

The electronic spectrum associated with the S1 ← S0 (Ã1A2←X̃1A1) one-photon transition of jet-cooled N-methylpyrrole is investigated using laser-induced fluorescence (LIF) and (1 + 1) resonance-enhanced multiphoton ionization (REMPI) spectroscopy; in addition, the (2 + 2) REMPI spectrum is considered. Assignment of the observed bands is achieved using a combination of dispersed fluorescence (DF), two-dimensional LIF (2D-LIF), zero-electron-kinetic energy (ZEKE) spectroscopy, and quantum chemical calculations. The spectroscopic studies project the levels of the S1 state onto those of either the S0 state, in DF and 2D-LIF spectroscopy, or the ground state cation (D0 +) state, in ZEKE spectroscopy. The assignments of the spectra provide information on the vibrational, vibration-torsion (vibtor), and torsional levels in those states and those of the S1 levels. The spectra are indicative of vibronic (including torsional) interactions between the S1 state and other excited electronic states, deduced both in terms of the vibrational activity observed and shifts from expected vibrational wavenumbers in the S1 state, attributed to the resulting altered shape of the S1 surface. Many of the ZEKE spectra are consistent with the largely Rydberg nature of the S1 state near the Franck-Condon region; however, there is also some activity that is less straightforward to explain. Comments are made regarding the photodynamics of the S1 state.

3.
J Chem Phys ; 155(11): 117101, 2021 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-34551551

RESUMO

Two-color (1 + 1') zero-electron-kinetic-energy (ZEKE) and photoionization efficiency (PIE) spectra are reported via different levels in the S1 ← S0 (Ã1A2←X̃1A1) one-photon transition of jet-cooled N-methylpyrrole. The laser radiation is produced using two dye lasers, one with an 1800 l/mm grating and one with 2400 l/mm. We report spectra where the excitation and ionization radiation are produced with both combinations of the dye lasers; these spectra differ markedly. This is attributed to Wood's anomalies with the 2400 l/mm grating: one aspect is a loss in light intensity over a range of wavelengths, attributed to a resonance anomaly. Another is the appearance of a "shadow" ZEKE spectrum and PIE curve at apparently higher ionization wavenumbers; under some conditions, a third ZEKE spectrum was observed-these latter observations arise from higher-order dispersion effects, likely caused by a Rayleigh anomaly. We comment on these observations and report more representative ZEKE and PIE spectra than those presented in a recent paper by our group [A. R. Davies, D. J. Kemp, and T. G. Wright, J. Chem. Phys. 154, 224305 (2021)] for four intermediate S1 levels.

4.
Molecules ; 26(11)2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34072134

RESUMO

The interest in utilizing food-derived compounds therapeutically has been rising. With the growing prevalence of systematic chronic inflammation (SCI), efforts to find treatments that do not result in the side effects of current anti-inflammatory drugs are underway. Bioactive peptides (BAPs) are a particularly promising class of compounds for the treatment of SCI, and the abundance of high-quality seafood processing byproducts (SPB) makes it a favorable material to derive anti-inflammatory BAPs. Recent research into the structural properties of anti-inflammatory BAPs has found a few key tendencies including they tend to be short and of low molecular weight (LMW), have an overall positive charge, contain hydrophobic amino acids (AAs), and be rich in radical scavenging AAs. SPB-derived anti-inflammatory BAPs have been observed to work via inhibition of the NF-κB and MAPK pathways by disrupting the phosphorylation of IκBα and one or more kinases (ERK, JNK, and p38), respectively. Radical scavenging capacity has also been shown to play a significant role in the efficacy of SPB-derived anti-inflammatory BAPs. To determine if SPB-derived BAPs can serve as an effective treatment for SCI it will be important to understand their properties and mechanisms of action, and this review highlights such findings in recent research.


Assuntos
Anti-Inflamatórios/farmacologia , Peptídeos/química , Aminoácidos/química , Animais , Anti-Inflamatórios não Esteroides/farmacologia , Antioxidantes/farmacologia , Dano ao DNA , MAP Quinases Reguladas por Sinal Extracelular/metabolismo , Peixes , Interações Hidrofóbicas e Hidrofílicas , Inflamação , MAP Quinase Quinase 4/metabolismo , Macrófagos/metabolismo , Peso Molecular , Inibidor de NF-kappaB alfa/metabolismo , Estresse Oxidativo , Reprodutibilidade dos Testes , Frutos do Mar , Proteínas de Frutos do Mar , Proteínas Quinases p38 Ativadas por Mitógeno/metabolismo
5.
J Chem Phys ; 152(6): 064303, 2020 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-32061214

RESUMO

Zero-electron-kinetic-energy (ZEKE) spectra are presented for m-chlorotoluene (mClT), employing different low-lying torsional and vibration-torsional ("vibtor") levels of the S1 state as intermediates. The adiabatic ionization energy is determined to be 71 319 cm-1 ± 5 cm-1 (8.8424 ± 0.0006 eV). It is found that the activity in the ZEKE spectra varies greatly for different levels and is consistent with the assignments of the S1 levels of m-fluorotoluene (mFT) deduced in the recent fluorescence study of Stewart et al. [J. Chem. Phys. 150, 174303 (2019)] and the ZEKE study from Kemp et al. [J. Chem. Phys. 151, 084311 (2019)]. As with mFT, the intensities in the ZEKE spectra of mClT are consistent with a phase change in the torsional potential upon ionization, allowing a large number of torsions and vibtor levels to be observed for the cation. Vibration-induced modifications of the torsional potential are discussed. Calculated vibrational wavenumbers for the S0, S1, and D0 + states are also presented.

6.
J Chem Phys ; 152(21): 214303, 2020 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-32505141

RESUMO

We investigate Duschinsky rotation/mixing between three vibrations for both m-fluorotoluene (mFT) and m-chlorotoluene (mClT), during electronic excitation and ionization. In the case of mFT, we investigate both the S1 → S0 electronic transition and the D0 + ← S1 ionization, by two-dimensional laser-induced fluorescence (2D-LIF) and zero-electron-kinetic energy (ZEKE) spectroscopy, respectively; for mClT, only the D0 + ← S1 ionization was investigated, by ZEKE spectroscopy. The Duschinsky mixings are different in the two molecules, owing to shifts in vibrational wavenumber and variations in the form of the fundamental vibrations between the different electronic states. There is a very unusual behavior for two of the mFT vibrations, where apparently different conclusions for the identity of two S1 vibrations arise from the 2D-LIF and ZEKE spectra. We compare the experimental observations to the calculated Duschinsky matrices, finding that these successfully pick up the key geometric changes associated with each electronic transition and so are successful in qualitatively explaining the vibrational activity in the spectra. Experimental values for a number of vibrations across the S0, S1, and D0 + states are reported and found to compare well to those calculated. Assignments are made for the observed vibration-torsion ("vibtor") bands, and the effect of vibrational motion on the torsional potential is briefly discussed.

7.
Palaeogeogr Palaeoclimatol Palaeoecol ; 560: 110017, 2020 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-32934423

RESUMO

A high-precision geologic time scale is the essential key for understanding the Earth's evolutionary history and geologic processes. Astronomical tuning of orbitally forced stratigraphic records to construct high-resolution Astronomical Time Scales (ATS) has led to a progressive refinement of the geologic time scale over the past two decades. In turn, these studies provide new insights regarding the durations and rates of major Earth events, evolutionary processes, and climate changes, all of which provide a scientific basis for contextualizing and predicting future global change trends. South China hosts some of the best-exposed and well-dated Neoproterozoic through Mesozoic stratigraphic sections in the world; many of which are suitable for cyclostratigraphy and calibrating the geologic time scale. In North China, several Cenozoic oil-bearing basins have deep boreholes with continuous sampling and/or well logging that enable derivation of astronomically tuned time scales for an improved understanding of basin evolution and hydrocarbon generation. This Special Issue focuses on case studies of astrochronology and applied cyclostratigraphy research using reference sections within China. In this introductory overview, we: (1) summarize all existing astrochronology studies of the Neoproterozoic through Cenozoic sections within China that have been used to enhance the international geologic time scale, (2) examine briefly the astronomically forced paleoclimate information recorded in various depositional systems and the modern techniques employed to analyze the periodicity of these signals encoded within the sedimentary record, and (3) summarize the 20 contributions to this Special Issue of Palaeogeography, Palaeoclimatology, Palaeoecology on 'Cyclostratigraphy and Astrochronology: Case studies from China'.

8.
Phys Chem Chem Phys ; 21(26): 14133-14152, 2019 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-29911225

RESUMO

We consider two key parameters that have been proposed to be important for vibrational energy delocalization, closely related to intramolecular vibrational redistribution (IVR), in molecules. These parameters are the symmetry of the molecule, and the presence of torsional (internal rotor) modes of a methyl group. We consider four para-disubstituted benzene molecules and examine their vibrational character. The molecules selected are para-difluorobenzene, para-chlorofluorobenzene, para-fluorotoluene, and para-xylene. This set of molecules allows the above parameters to be assessed in a systematic way. The probe we use is zero-electron-kinetic-energy (ZEKE) spectroscopy, which is employed in a resonant scheme, where the intermediate levels are selected vibrational levels of the S1 excited electronic state, with wavenumbers up to 1300 cm-1. We conclude that symmetry, and the presence of a methyl groups, do indeed have a profound effect on "restricted" IVR at low energies. This is underpinned by serendipitous coincidences in the energies of the levels, owing to small shifts in vibrational wavenumbers between molecules, so bringing levels into resonance. Additionally, methyl groups play an important role in opening up new routes for coupling between vibrations of different symmetry, and this is critical in the transition to "statistical" IVR at lower energies for molecules that contain them. Further, the presence of two methyl groups in the symmetrically-substituted p-xylene causes more widespread IVR than does the single methyl group in the asymmetrically-substituted p-fluorotoluene.

9.
J Chem Phys ; 151(15): 154302, 2019 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-31640374

RESUMO

A deceptively simple feature in the S1 ← S0 spectrum of p-fluorotoluene (pFT), 1013 cm-1 above the origin, is studied using both zero-electron-kinetic-energy (ZEKE) and two-dimensional laser-induced fluorescence (2D-LIF) spectroscopy. It is found to consist of a cornucopia of overlapped transitions to eigenstates that arise from numerous interacting levels. A significant variation in the activity is seen employing both the ZEKE and 2D-LIF techniques. Detailed insight into the complicated spectra can be achieved, owing to the large number of vibrational wavenumbers that have been previously determined for the S0, S1, and D0 + states, summarized herein. It is found that the activity is dominated by two overtones, which are individually interacting with other levels, so providing largely independent routes for vibrational energy flow at the same internal energy. Additionally, other weak features located 900-1050 cm-1 above the origin are examined.

10.
J Chem Phys ; 151(8): 084311, 2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31470701

RESUMO

Zero-kinetic-energy (ZEKE) spectra are presented for m-fluorotoluene, employing different low-lying (<350 cm-1) intermediate torsional and vibration-torsional ("vibtor") levels of the S1 state. The adiabatic ionization energy (AIE) is found to be 71 997 ± 5 cm-1 (8.9265 ± 0.0006 eV). It is found that the activity in the ZEKE spectra varies greatly for different levels and is consistent with the assignments of the S1 levels deduced in the recent fluorescence study of Stewart et al. [J. Chem. Phys. 150, 174303 (2019)]. For cation torsional levels, the most intense band corresponds to changes in the torsional quantum number, in line with the known change in the phase of the torsional potential upon ionization. This leads to the observation of an unprecedented number of torsions and vibtor levels, with the pronounced vibtor activity involving out-of-plane vibrations. Interactions between levels involving torsions are discussed, with evidence presented, for the first time it is believed, for modification of a torsional potential induced by a vibration. Also, we discuss the possibility of distortion of the methyl group leading to a change from G6 molecular symmetry to Cs point group symmetry.

11.
J Chem Phys ; 150(6): 064306, 2019 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-30770012

RESUMO

Two-dimensional laser-induced fluorescence (2D-LIF) spectroscopy is a powerful tool allowing overlapped features in an electronic spectrum to be separated, and interactions between vibrations and torsions to be identified. Here the technique is employed to assign the 790-825 cm-1 region above the origin of the S1 ← S0 transition in para-fluorotoluene, which provides insight into the unusual time-resolved results of Davies and Reid [Phys. Rev. Lett. 109, 193004 (2012)]. The region is dominated by a pair of bands that arise from a Fermi resonance; however, the assignment is complicated by contributions from a number of overtones and combinations, including vibration-torsion ("vibtor") levels. The activity in the 2D-LIF spectra is compared to the recently reported zero-electron-kinetic-energy spectra [Tuttle et al., J. Chem. Phys. 146, 244310 (2017)] to arrive at a consistent picture of the energy levels in this region of the spectrum.

12.
Proc Natl Acad Sci U S A ; 113(35): 9910-5, 2016 08 30.
Artigo em Inglês | MEDLINE | ID: mdl-27516544

RESUMO

It is commonly believed that the exceptional sensitivity of mammalian hearing depends on outer hair cells which generate forces for amplifying sound-induced basilar membrane vibrations, yet how cellular forces amplify vibrations is poorly understood. In this study, by measuring subnanometer vibrations directly from the reticular lamina at the apical ends of outer hair cells and from the basilar membrane using a custom-built heterodyne low-coherence interferometer, we demonstrate in living mouse cochleae that the sound-induced reticular lamina vibration is substantially larger than the basilar membrane vibration not only at the best frequency but surprisingly also at low frequencies. The phase relation of reticular lamina to basilar membrane vibration changes with frequency by up to 180 degrees from ∼135 degrees at low frequencies to ∼-45 degrees at the best frequency. The magnitude and phase differences between reticular lamina and basilar membrane vibrations are absent in postmortem cochleae. These results indicate that outer hair cells do not amplify the basilar membrane vibration directly through a local feedback as commonly expected; instead, they actively vibrate the reticular lamina over a broad frequency range. The outer hair cell-driven reticular lamina vibration collaboratively interacts with the basilar membrane traveling wave primarily through the cochlear fluid, which boosts peak responses at the best-frequency location and consequently enhances hearing sensitivity and frequency selectivity.


Assuntos
Membrana Basal/fisiologia , Membrana Basilar/fisiologia , Cóclea/fisiologia , Audição/fisiologia , Estimulação Acústica/métodos , Animais , Cóclea/citologia , Feminino , Células Ciliadas Auditivas Externas/citologia , Células Ciliadas Auditivas Externas/fisiologia , Interferometria/métodos , Masculino , Mecanotransdução Celular/fisiologia , Camundongos Endogâmicos CBA , Som , Vibração
13.
Phys Chem Chem Phys ; 20(18): 12503-12516, 2018 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-29707717

RESUMO

The vibrations of the ground state cation (X[combining tilde]2B1) of para-chlorofluorobenzene (pClFB) have been investigated using zero-electron-kinetic-energy (ZEKE) spectroscopy. ZEKE spectra were recorded using different vibrational levels of the S1 state as intermediate levels, for which assignments were put forward in an earlier paper [W. D. Tuttle, A. M. Gardner, and T. G. Wright, Chem. Phys. Lett., 2017, 684, 339]. These different intermediate levels dramatically modify the Franck-Condon factors for the ionization step. The adiabatic ionization energy (AIE) for pClFB was measured as 72 919 ± 5 cm-1, and analysis of the vibrational structure in the ZEKE spectra allowed further interrogation of the assignments of the REMPI spectrum. Assignment of the vibrational structure has been achieved by comparison with corresponding spectra of related molecules, via quantum chemical calculations, and via shifts in bands between the spectra of the 35Cl and 37Cl isotopologues. In this way it was possible to assign twenty out of the thirty vibrational modes of the ground state pClFB+ cation. Additionally, evidence for Fermi resonances between some vibrational levels was found in the S1 state, but no large-scale intramolecular vibrational redistribution (IVR) was seen in the spectra here. Finally, we discuss trends in AIE shifts for benzenes with one or two halogen atoms or methyl substituents.

14.
J Chem Phys ; 149(9): 094301, 2018 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-30195314

RESUMO

The vibrations of the ground state cation ( X̃2B2g) of para-difluorobenzene (pDFB) have been investigated using zero-electron-kinetic-energy (ZEKE) spectroscopy. A comprehensive set of ZEKE spectra were recorded via different vibrational levels of the S1 state (<00 + 1300 cm-1). The adiabatic ionization energy for pDFB was measured as 73 869 ± 5 cm-1. Use of different intermediate levels allows different cationic vibrational activity to be obtained via the modification of the Franck-Condon factors for the ionization step, allowing the wavenumbers of different vibrational levels in the cation to be established. In addition, assignment of the vibrational structure in the ZEKE spectra allowed interrogation of the assignments of the S1 ← S0 transition put forward by Knight and Kable [J. Chem. Phys. 89, 7139 (1988)]. Assignment of the vibrational structure has been aided by quantum chemical calculations. In this way, it was possible to assign seventeen of the thirty vibrational modes of the ground state pDFB+ cation. Evidence for complex Fermi resonances in the S1 state, i.e., those that involve more than two vibrations, was established. One of these was investigated using picosecond time-resolved photoelectron spectroscopy. In addition, we discuss the appearance of several symmetry-forbidden bands in the ZEKE spectra, attributing their appearance to a Rydberg state variation of an intrachannel vibronic coupling mechanism.

15.
Proc Natl Acad Sci U S A ; 110(21): 8369-74, 2013 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-23671092

RESUMO

Grasslands occupy 40% of the world's land surface (excluding Antarctica and Greenland) and support diverse groups, from traditional extensive nomadic to intense livestock-production systems. Population pressures mean that many of these grasslands are in a degraded state, particularly in less-productive areas of developing countries, affecting not only productivity but also vital environmental services such as hydrology, biodiversity, and carbon cycles; livestock condition is often poor and household incomes are at or below poverty levels. The challenge is to optimize management practices that result in "win-win" outcomes for grasslands, the environment, and households. A case study is discussed from northwestern China, where it has been possible to reduce animal numbers considerably by using an energy-balance/market-based approach while improving household incomes, providing conditions within which grassland recovery is possible. This bottom-up approach was supported by informing and working with the six layers of government in China to build appropriate policies. Further policy implications are considered. Additional gains in grassland rehabilitation could be fostered through targeted environmental payment schemes. Other aspects of the livestock production system that can be modified are discussed. This work built a strategy that has implications for many other grassland areas around the world where common problems apply.


Assuntos
Criação de Animais Domésticos , Biodiversidade , Conservação dos Recursos Naturais , Criação de Animais Domésticos/economia , Criação de Animais Domésticos/métodos , Criação de Animais Domésticos/organização & administração , Criação de Animais Domésticos/tendências , Animais , Conservação dos Recursos Naturais/economia , Conservação dos Recursos Naturais/métodos , Conservação dos Recursos Naturais/tendências , Países em Desenvolvimento , Humanos
17.
J Clin Psychopharmacol ; 35(1): 68-74, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25514063

RESUMO

Benzodiazepines are widely prescribed for patients with bipolar disorders in clinical practice, but very little is known about the subtypes of patients with bipolar disorder or aspects of bipolar illness that contribute most to benzodiazepine use. We examined the prevalence of and factors associated with benzodiazepine use among 482 patients with bipolar I or II disorder enrolled in the Bipolar CHOICE study. Eighty-one subjects were prescribed benzodiazepines at study entry and were considered benzodiazepine users. Stepwise logistic regression was used to model baseline benzodiazepine use versus nonuse, using entry and exit criteria of P < 0.1. In bivariate analyses, benzodiazepine users were prescribed a significantly higher number of other psychotropic medications and were more likely to be prescribed lamotrigine or antidepressants as compared with benzodiazepine nonusers. Benzodiazepine users were more likely to have a diagnosis of bipolar I disorder and comorbid anxiety disorder, but not comorbid alcohol or substance use disorders. Benzodiazepine users also had experienced more anxiety and depressive symptoms and suicidality, but not irritability or manic symptoms, than did benzodiazepine nonusers. In the multivariate model, anxiety symptom level (regardless of diagnosis), lamotrigine use, number of concomitant psychotropic medications, college education, and high household income predicted benzodiazepine use. Benzodiazepine use in patients with bipolar disorders is associated with greater illness complexity as indicated by a higher number of concomitant psychotropic medications and higher anxiety symptom burden, regardless of a comorbid anxiety disorder diagnosis. Demographic factors were also important determinants of benzodiazepine use, which may be related to access to care and insurance coverage for benzodiazepines.


Assuntos
Antidepressivos/uso terapêutico , Benzodiazepinas/uso terapêutico , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/psicologia , Pacientes Ambulatoriais/psicologia , Índice de Gravidade de Doença , Adulto , Transtorno Bipolar/diagnóstico , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
18.
Bipolar Disord ; 17(2): 212-23, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25130321

RESUMO

OBJECTIVES: Individuals with bipolar disorder have high rates of other medical comorbidity, which is associated with higher mortality rates and worse course of illness. The present study examined common predictors of medical comorbidity. METHODS: The Clinical and Health Outcomes Initiative in Comparative Effectiveness for Bipolar Disorder study (Bipolar CHOICE) enrolled 482 participants with bipolar I or bipolar II disorder in a six-month, randomized comparative effectiveness trial. Baseline assessments included current and lifetime DSM-IV-TR diagnoses, demographic information, psychiatric and medical history, severity of psychiatric symptoms, level of functioning, and a fasting blood draw. Medical comorbidities were categorized into two groups: cardiometabolic (e.g., diabetes, hyperlipidemia, and metabolic syndrome) and non-cardiovascular (e.g., seizures, asthma, and cancer). Additionally, we looked at comorbid substance use (e.g., smoking and drug dependence). RESULTS: We found that 96.3% of participants had at least one other medical comorbidity. Older age predicted a greater likelihood of having a cardiometabolic condition. Early age of onset of bipolar symptoms was associated with a lower chance of having a cardiometabolic condition, but a greater chance of having other types of medical comorbidity. Additional predictors of other medical comorbidities in bipolar disorder included more time spent depressed, less time spent manic/hypomanic, and longer duration of illness. Medications associated with weight gain were associated with low high-density lipoprotein and abnormal triglycerides. CONCLUSIONS: There appears to be a substantial medical burden associated with bipolar disorder, highlighting the need for collaborative care among psychiatric and general medical providers to address both psychiatric and other medical needs concomitantly in this group of patients.


Assuntos
Transtorno Bipolar/epidemiologia , Doenças Cardiovasculares/epidemiologia , Diabetes Mellitus/epidemiologia , Hiperlipidemias/epidemiologia , Síndrome Metabólica/epidemiologia , Fumar/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adulto , Antimaníacos/uso terapêutico , Antipsicóticos/uso terapêutico , Asma/epidemiologia , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/psicologia , Comorbidade , Pesquisa Comparativa da Efetividade , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Compostos de Lítio/uso terapêutico , Masculino , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Fumarato de Quetiapina/uso terapêutico , Convulsões/epidemiologia
19.
Aust N Z J Psychiatry ; 49(5): 453-61, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25680360

RESUMO

OBJECTIVE: This study examines characteristics of individuals with bipolar disorder who sought psychotherapy versus those who did not. METHODS: Bipolar CHOICE was an 11-site comparative effectiveness study of lithium versus quetiapine in symptomatic outpatients (N = 482) with bipolar disorder. At baseline, participants' psychotherapy use within the past 3 months, mood, functioning, and overall health were assessed. Logistic regressions were used to test whether psychotherapy users and non-users differed on various demographic and clinical variables at baseline. Mixed-effects regression was used to determine whether psychotherapy groups differed on response to treatment over the 6-month study. Kaplan-Meier plots and log-rank tests were employed to test whether there were any differences in time to recovery (CGI-BP ≤ 2 for at least 8 weeks) between the groups. RESULTS: Thirty one percent of participants reported using psychotherapy services. Psychotherapy users reported greater medication side effect burden than non-users and were more likely to have moderate to high suicide risk and at least one anxiety disorder. Participants not utilizing medications or psychotherapy had greater mania symptom severity, were younger, and less educated than medication only users. Medication only users were more likely to be married than the other participants. CONCLUSIONS: These data suggest that a minority of individuals with bipolar disorder attend psychotherapy services, and those that do have greater illness burden.


Assuntos
Antipsicóticos/uso terapêutico , Transtorno Bipolar/terapia , Lítio/uso terapêutico , Psicoterapia/métodos , Fumarato de Quetiapina/uso terapêutico , Adolescente , Adulto , Idoso , Antipsicóticos/efeitos adversos , Feminino , Humanos , Lítio/efeitos adversos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Fumarato de Quetiapina/efeitos adversos , Índice de Gravidade de Doença , Resultado do Tratamento , Adulto Jovem
20.
J Environ Manage ; 152: 177-82, 2015 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-25687702

RESUMO

Semi-nomadic pastoralism was replaced by sedentary pastoralism in Inner Mongolia during the 1960's in response to changes in land use policy and increasing human population. Large increases in numbers of livestock and pastoralist households (11- and 9-fold, respectively) during the past 60 yrs have variously degraded the majority of grasslands in Inner Mongolia (78 M ha) and jeopardize the livelihoods of 24 M human inhabitants. A prevailing strategy for alleviating poverty and grassland degradation emphasizes intensification of livestock production systems to maintain both pastoral livelihoods and large livestock numbers. We consider this strategy unsustainable because maximization of livestock revenue incurs high supplemental feed costs, marginalizes net household income, and promotes larger flock sizes to create a positive feedback loop driving grassland degradation. We offer an alternative strategy that increases both livestock production efficiency and net pastoral income by marketing high quality animal products to an increasing affluent Chinese economy while simultaneously reducing livestock impacts on grasslands. We further caution that this strategy be designed and assessed within a social-ecological framework capable of coordinating market expansion for livestock products, sustainable livestock carrying capacities, modified pastoral perceptions of success, and incentives for ecosystem services to interrupt the positive feedback loop that exists between subsistence pastoralism and grassland degradation in Inner Mongolia.


Assuntos
Criação de Animais Domésticos/métodos , Pobreza/prevenção & controle , Criação de Animais Domésticos/economia , Animais , China , Conservação dos Recursos Naturais , Ecossistema , Pradaria , Humanos
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