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Search Results: 1 - 10 of 112893 matches for " Euripedes Constantino;Ferr?o "
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Personality traits and treatment outcome in obsessive-compulsive disorder
Corchs, Felipe;Corregiari, Fábio;Ferro, Ygor Arzeno;Takakura, Tania;Mathis, Maria Eugênia;Lopes, Antonio Carlos;Miguel, Euripedes Constantino;Bernik, Márcio;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000300012
Abstract: objective: comorbidity with personality disorders in obsessive-compulsive patients has been widely reported. about 40% of obsessive-compulsive patients do not respond to first line treatments. nevertheless, there are no direct comparisons of personality traits between treatment-responsive and non-responsive patients. this study investigates differences in personality traits based on cloninger's temperament and character inventory scores between two groups of obsessive-compulsive patients classified according to treatment outcome: responders and non-responders. method: forty-four responsive and forty-five non-responsive obsessive-compulsive patients were selected. subjects were considered treatment-responsive (responder group) if, after having received treatment with any conventional therapy, they had presented at least a 40% decrease in the initial yale-brown obsessive compulsive scale score, had rated "better" or "much better" on the clinical global impressions scale; and had maintained improvement for at least one year. non-responders were patients who did not achieve at least a 25% reduction in yale-brown obsessive compulsive scale scores and had less than minimal improvement on the clinical global impressions scale after having received treatment with at least three selective serotonin reuptake inhibitors (including clomipramine), and at least 20 hours of cognitive behavioral therapy. personality traits were assessed using temperament and character inventory. results: non-responders scored lower in self-directedness and showed a trend to score higher in persistence than responders did. conclusion: this study suggests that personality traits, especially self-directedness, are associated with poor treatment response in obsessive-compulsive patients.
The Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders: recruitment, assessment instruments, methods for the development of multicenter collaborative studies and preliminary results
Miguel, Euripedes Constantino;Ferro, Ygor Arzeno;Rosário, Maria Concei??o do;Mathis, Maria Alice de;Torres, Albina Rodrigues;Fontenelle, Leonardo Franklin;Hounie, Ana Gabriela;Shavitt, Roseli Gedanke;Cordioli, Aristides Volpato;Gonzalez, Christina Hojaij;Petribú, Kátia;Diniz, Juliana Belo;Malavazzi, Dante Marino;Torresan, Ricardo C;Raffin, Andréa Litvin;Meyer, Elisabeth;Braga, Daniela T;Borcato, Sonia;Valério, Carolina;Gropo, Luciana N;Prado, Helena da Silva;Perin, Eduardo Alliende;Santos, Sandro Iêgo;Copque, Helen;Borges, Manuela Corrêa;Lopes, Angélica Prazeres;Silva, Elenita D da;,;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000300003
Abstract: objective: to describe the recruitment of patients, assessment instruments, implementation, methods and preliminary results of the brazilian research consortium on obsessive-compulsive spectrum disorders, which includes seven university sites. method: this cross-sectional study included a comprehensive clinical assessment including semi-structured interviews (sociodemographic data, medical and psychiatric history, disease course and comorbid psychiatric diagnoses), and instruments to assess obsessive-compulsive (yale-brown obsessive-compulsive scale and dimensional yale-brown obsessive-compulsive scale), depressive (beck depression inventory) and anxious (beck anxiety inventory) symptoms, sensory phenomena (universidade de s?o paulo sensory phenomena scale), insight (brown assessment beliefs scale), tics (yale global tics severity scale) and quality of life (medical outcome quality of life scale short-form-36 and social assessment scale). the raters' training consisted of watching at least five videotaped interviews and interviewing five patients with an expert researcher before interviewing patients alone. the reliability between all leaders for the most important instruments (structured clinical interview for dsm-iv, dimensional yale-brown obsessive-compulsive scale, universidade de s?o paulo sensory phenomena scale) was measured after six complete interviews. results: inter-rater reliability was 96%. by march 2008, 630 obsessive-compulsive disorder patients had been systematically evaluated. mean age (±se) was 34.7 (±0.51), 56.3% were female, and 84.6% caucasian. the most prevalent obsessive compulsive symptom dimensions were symmetry and contamination. the most common comorbidities were major depression, generalized anxiety and social anxiety disorder. the most common dsm-iv impulsive control disorder was skin picking. conclusion: the sample was composed mainly by caucasian individuals, unmarried, with some kind of occupational activity, mean age of 35 years, on
Resistência e refratariedade no transtorno obsessivo-compulsivo
Ferro, Ygor Arzeno;Diniz, Juliana Belo;Lopes, Ant?nio Carlos;Shavitt, Roseli Gedanke;Greenberg, Benjamin;Miguel, Euripedes;
Revista Brasileira de Psiquiatria , 2007, DOI: 10.1590/S1516-44462006005000059
Abstract: objective and method: despite the existence of effective therapeutic alternatives for obsessive-compulsive disorder, a significant number of patients does not achieve or does not maintain remission after adequate treatment. the relief of these patients? suffering with the available treatments is a clinical challenge related to many unanswered questions. the objective of this literature review is to evaluate the current concepts of treatment resistance and refractoriness, to describe the intrinsic and extrinsic factors of obsessive-compulsive disorder?s phenomenology that might influence treatment response to conventional treatment, and to present a fluxogram of therapeutic alternatives for resistant or refractory obsessive compulsive disorder patients. conclusion: the literature evinces that intrinsic and/or extrinsic phenomenological aspects of obsessive-compulsive disorder may collaborate to the fact that, at least 30% of obsessive-compulsive disorder patients do not respond to conventional treatment. several therapeutic or augmentation alternatives, psychopharmacological, biological or even psychotherapeutical exists, but more studies are necessary to evince the correct way to symptom remission.
Outlining new frontiers for the comprehension of obsessive-compulsive disorder: a review of its relationship with fear and anxiety
Diniz, Juliana Belo;Miguel, Euripedes Constantino;Oliveira, Amanda Ribeiro de;Reimer, Adriano Edgar;Brand?o, Marcus Lira;Mathis, Maria Alice de;Batistuzzo, Marcelo Camargo;Costa, Daniel Lucas Concei??o;Hoexter, Marcelo Queiroz;
Revista Brasileira de Psiquiatria , 2012, DOI: 10.1590/S1516-44462012000500007
Abstract: anxiety is an important component of the psychopathology of the obsessive-compulsive disorder (ocd). so far, most interventions that have proven to be effective for treating ocd are similar to those developed for other anxiety disorders. however, neurobiological studies of ocd came to conclusions that are not always compatible with those previously associated with other anxiety disorders. objectives: the aim of this study is to review the degree of overlap between ocd and other anxiety disorders phenomenology and pathophysiology to support the rationale that guides research in this field. results: clues about the neurocircuits involved in the manifestation of anxiety disorders have been obtained through the study of animal anxiety models, and structural and functional neuroimaging in humans. these investigations suggest that in ocd, in addition to dysfunction in cortico-striatal pathways, the functioning of an alternative neurocircuitry, which involves amygdalo-cortical interactions and participates in fear conditioning and extinction processes, may be impaired. conclusion: it is likely that anxiety is a relevant dimension of ocd that impacts on other features of this disorder. therefore, future studies may benefit from the investigation of the expression of fear and anxiety by ocd patients according to their type of obsessions and compulsions, age of ocd onset, comorbidities, and patterns of treatment response.
A sociedade cibernética
Vieira, Euripedes Falc?o;
Cadernos EBAPE.BR , 2006, DOI: 10.1590/S1679-39512006000200008
Abstract: this paper analyzes the changes that have occurred in society during its transition from industrial modernity to the cybernetic modernity. these periods were characterized by different events in the fields of technology, knowledge and information. changes that occurred in all segments of society in the last two decades have produced significant transformations in the cognitive framework, changing behavior and mechanisms of action and reaction in face of a new reality. clearly, this new reality has imposed itself and advanced as a cybernetic society, a cyberspace-time society with its still short narratives about economic, social and cultural events.
O tempo-espa o: fic o, teoria e sociedade
Euripedes Falc?o Vieira
Cadernos EBAPE.BR , 2003, DOI: 10.1590/s1679-39512003000100004
Abstract: Este artigo apresenta reflex es sobre o tempo-espa o em três atos: a fic o, a teoria e a sociedade. No primeiro ato narra-se uma reuni o que acontece na Esta o Espacial Y-7 sobre o fen meno da vida, contextualizado em duas teorias: a vida como fator do universo e a vida como fen meno posterior. No segundo ato descreve-se o tempo e o espa o como uma unidade - tempo-espa o - e se oferece alguns elementos para sua compreens o. No terceiro ato analisa-se a rela o do tempo-espa o com os fen menos sociais e organizacionais e argumenta-se que na ruptura paradigmática na concep o de tempo e espa o ocorrida no campo da física e que se refletiu na ordem social, abriu novas perspectivas à organiza o da sociedade, aos comportamentos individuais e coletivos e aos novos parametros culturais. Talvez o que melhor definirá o processo de transforma o da sociedade nas próximas décadas será uma permanente evolu o, sem transi o, uma sucess o contínua de tecnologias, comportamentos e modos de vida, numa palavra, de tempo-espa o sempre novo. This paper presents reflexions about time-space in three acts: fiction, theory and society. The first act is a narration about a meeting that occurs in Y-7 Spatial Station about the phenomenon of life, contextualised in two theories: life as a factor of universe and life as a posterior phenomenon. In the second act, time and space are described as time-space unity - and some elements are offered in order to provide a better understanding of such an unity. In the third act there is an analysis about time-space and its relation to social and organizational phenomenon. It is argued that paradigmatic rupture in time and space conception occurred in the physical field, and reflected in social order, opened new horizons in society organization, individual and collective behavior and new cultural parameters. Perhaps what will define better the process of transformation in the next decades is a permanent evolution, without transition, a continuing succession of technology, behavior and ways of life, in one word, an ever new time-space.
Taxa de natalidade de vacas e desempenho de bezerros sob desmama antecipada no Pantanal
Catto, Jo?o Batista;Afonso, Euripedes;
Pesquisa Agropecuária Brasileira , 2001, DOI: 10.1590/S0100-204X2001000900015
Abstract: the effect of early weaning on the natality rate of nelore cows in native pasture was evaluated during one reproductive breeding period. the calves from seventy-nine multiparous and primiparous cows were weaned at 4th to 6th month and supplemented (group a) or at 7th to 9th month and nonsupplemented (group b). natality rate was greater in group a (81.5%) than in group b (13.1%) (p< 0.001). there was no difference in the natality rate between multiparous and primiparous cows in group a (80.9 and 82.3%) or b (18.1 and 6.2%), respectively (p>0.58). at the end of the dry season calves from group a weighed 5.4 kg less than calves from group b (p<0.009).
Taxa de natalidade de vacas e desempenho de bezerros sob desmama antecipada no Pantanal
Catto Jo?o Batista,Afonso Euripedes
Pesquisa Agropecuária Brasileira , 2001,
Abstract: Para avaliar o efeito da desmama antecipada na taxa de natalidade, e no desempenho de bezerros criados em pastagem nativa, 79 vacas aneloradas, primíparas e multíparas, foram divididas em dois grupos homogêneos, e os bezerros foram desmamados na idade de 4 a 6 meses e suplementados (grupo A), ou aos 7 a 9 meses, e n o-suplementados (grupo B). A natalidade foi maior no grupo A (81,5%) do que no grupo B (13,1%) (P<0,001). N o houve diferen a nas taxas de natalidade entre vacas multíparas (80,9 e 82,3%) e primíparas (18,1 e 6,2%) dos grupos A e B, respectivamente (P>0,58). No final da esta o seca, os bezerros do grupo A pesaram, em média, 5,4 kg menos que os bezerros do grupo B (P<0,009).
A emergência de estratégias transnacionais de ordenamento do território na Uni?o Europeia: reimaginar o espa?o europeu para criar novas formas de governan?a territorial?
EURE (Santiago) , 2004, DOI: 10.4067/S0250-71612004008900003
Abstract: territorial planning does not integrate european commission formal competences. but this has supported multiple favorable initiatives to the emergency of transnational development strategies of communitarian space. this apparent contradiction is analyzed from the reconstitution of the process that has permitted the european commission to hold today an effective role in this matter, in little more than ten years. the assumption of this paper is mainly based in informal processes of construction of a collective shared vision about europe?s future space. the text evaluates both meaning and possible implications of this evolution, defending the need of questioning supra-national strategies of territorial planning, as a way to participate in the political debate about the future of european and national projects
Rela??es entre mundo rural e mundo urbano: evolu??o histórica, situa??o actual e pistas para o futuro
EURE (Santiago) , 2000, DOI: 10.4067/S0250-71612000007800006
Abstract: este texto tem como finalidade identificar linhas de interven??o que favore?am o estabelecimento de rela??es de maior complementaridade e simbiose entre os mundos rural e urbano. com este objetivo presente, efectua-se, num primeiro ponto, uma reconstitui??o sintética das rela??es rural-urbano que historicamente dominaram nos países europeus, de forma a salientar as principais inflex?es ocorridas ao longo do tempo e seu significado. num segundo ponto sublinham-se os tra?os mais marcantes das situa??es hoje prevalecentes, interpretando-os à luz de breve reconstitui??o histórica anteriormente apresentada. por último, num terceiro ponto prop?em-se algumas linhas estratégicas de interven??o visando o establecer uma nova gera??o de rela??es de complementaridade entre o mundo rural e o mundo urbano
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