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Search Results: 1 - 10 of 5034 matches for " Juliana Belo;Malavazzi "
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Risk factors for early treatment discontinuation in patients with obsessive-compulsive disorder
Diniz, Juliana Belo;Malavazzi, Dante Marino;Fossaluza, Victor;Belotto-Silva, Cristina;Borcato, Sonia;Pimentel, Izabel;Miguel, Euripedes Constantino;Shavitt, Roseli Gedanke;
Clinics , 2011, DOI: 10.1590/S1807-59322011000300004
Abstract: introduction: in obsessive-compulsive disorder, early treatment discontinuation can hamper the effectiveness of first-line treatments. objective: this study aimed to investigate the clinical correlates of early treatment discontinuation among obsessive-compulsive disorder patients. methods: a group of patients who stopped taking selective serotonin reuptake inhibitors (ssris) or stopped participating in cognitive behavioral therapy before completion of the first twelve weeks (total n = 41; n = 16 for cognitive behavioral therapy and n = 25 for ssris) were compared with a paired sample of compliant patients (n = 41). demographic and clinical characteristics were obtained at baseline using structured clinical interviews. chisquare and mann-whitney tests were used when indicated. variables presenting a p value <0.15 for the difference between groups were selected for inclusion in a logistic regression analysis that used an interaction model with treatment dropout as the response variable. results: agoraphobia was only present in one (2.4%) patient who completed the twelve-week therapy, whereas it was present in six (15.0%) patients who dropped out (p = 0.044). social phobia was present in eight (19.5%) patients who completed the twelve-week therapy and eighteen (45%) patients who dropped out (p = 0.014). generalized anxiety disorder was present in eight (19.5%) patients who completed the twelve-week therapy and twenty (50%) dropouts (p = 0.004), and somatization disorder was not present in any of the patients who completed the twelveweek therapy; however, it was present in six (15%) dropouts (p = 0.010). according to the logistic regression model, treatment modality (p = 0.05), agoraphobia, the brown assessment of beliefs scale scores (p = 0.03) and the beck anxiety inventory (p = 0.02) scores were significantly associated with the probability of treatment discontinuation irrespective of interactions with other variables. discussion and conclusion: early treatment disc
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;Ferr?o, 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
Sequential allocation to balance prognostic factors in a psychiatric clinical trial
Fossaluza, Victor;Diniz, Juliana Belo;Pereira, Basilio de Bragan?a;Miguel, Eurípedes Constantino;Pereira, Carlos Alberto de Bragan?a;
Clinics , 2009, DOI: 10.1590/S1807-59322009000600005
Abstract: objective: this paper aims to describe and discuss a minimization procedure specifically designed for a clinical trial that evaluates treatment efficacy for ocd patients. method: aitchison's compositional distance was used to calculate vectors for each possibility of allocation in a covariate adaptive method. two different procedures were designed to allocate patients in small blocks or sequentially one-by-one. results: we present partial results of this allocation procedure as well as simulated data. in the clinical trial for which this procedure was developed, successful balancing between treatment arms was achieved. separately, in an exploratory analysis, we found that if the arrival order of patients was altered, most patients were allocated to a different treatment arm than their original assignment. conclusion: our results show that the random arrival order of patients determine different assignments and therefore maintains the unpredictability of the allocation method. we conclude that our proposed procedure allows for the use of a large number of prognostic factors in a given allocation decision. our method seems adequate for the design of the psychiatric trials used as models. trial registrations are available at clinicaltrials.gov nct00466609 and nct00680602.
Resistência e refratariedade no transtorno obsessivo-compulsivo
Ferr?o, 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.
Notícias impressas e manuscritas em Portugal no século XVIII: horizontes de leitura da Gazeta de Lisboa
Belo, André;
Horizontes Antropológicos , 2004, DOI: 10.1590/S0104-71832004000200002
Abstract: against a common anachronistic bias in historical readings of xviiith news and periodicals, this article tries to build an "horizon of expectation" (hans-robert jauss) of well-informed readers of the lisbon gazette (gazeta de lisboa, published between 1715 and 1760). as a case study, i analyse the way the gazette refrained from speaking of the diplomatic conflicts in which portugal was then involved. under a surface of apparent silence, though, manuscript journals and periodicals show us to which extent reading of the printed newspaper is more complex than we may expect. in the second part of the article, i try to describe the relationship between printed and handwritten news as a coherent system of communication, based on political, social and technical differences. i argue that, more than of opposition, we should speak of complementary roles of these two media.
é em comum que nós habitamos
Ex aequo , 2010,
Abstract: the text consists of an attempt to release the question of habitation from the subjectobject and liberalism-communism opposites, drawing inspiration from heidegger, derrida and nancy's thought. emphasis is placed on the learning of tribe uses which changes each agent throughout life. it ends by considering the inspiring role of art in human inhabiting.
Ibn Rushd on God’s decree and Determination (al-qa ā’, wa-l-qadar)
Belo, Catarina
Al-Qantara : Revista de Estudios Arabes , 2006,
Abstract: This article is based on Ibn Rushd’s chapter on God’s qa ā’ wa-qadar, which adresses the question of predestination, as illustrative of a rationalistic approach that introduces philosophical views into an age-old religious debate. My aim is to present Ibn Rushd’s argument, which has unmistakable Aristotelian overtones; therefore, the harmonization of religion and philosophy implicit in his argument is one of the points I would like to explore in this paper. In the same way, I am interested in discussing whether Ibn Rushd’s proposed solution constitutes a middle way between two opposite positions and solves the perennial problem of determinism. The paper also discusses the issue whether he supports predestination, i.e., the view that events are predetermined by God before they happen. Este artículo se basa en el capítulo de Ibn Ru d sobre los atributos qa ā’ wa-qadar de Allāh, que se ocupa del concepto "predestinación", como ejemplo de una aproximación racionalista que introduce conceptos filosóficos en un viejo debate religioso. Es mi propósito presentar el argumento de Ibn Ru hd que contiene inequívocas alusiones aristotélicas; por tanto, la armonización de la religión y la filosofía implícita en sus argumentos es uno de los puntos que trataré de explorar en este trabajo. Igualmente, estoy interesada en la cuestión de si las soluciones propuestas por Ibn Ru hd suponen un término medio entre dos posiciones enfrentadas y resuelven el eterno problema del determinismo. Este trabajo discute también si Ibn Ru hd defiende la predestinación, es decir, la cuestión de si los sucesos están predeterminados por Dios antes de que tengan lugar.
Mu'tazilites, Al-Ash'Ari and Maimonides on divine attributes
Belo, Catarina
Veritas , 2007,
Abstract: Este artigo analisa o debate acerca dos atributos divinos na teologia islamica medieval, mais especificamente na teologia mu'tazilita e ash'arita. Nele se compara a abordagem de teologia islamica medieval com a de Moisés Maimónides (m. 1204), filósofo judeu do período medieval. Em particular este artigo debru a-se sobre a identifica o dos atributos divinos com a essência de Deus na teologia mu'tazilita que se desenvolveu na primeira metade do século IX, e analisa a rea o dos ash'aritas que se seguiu e que insistiu em considerar os atributos divinos enquanto entidades reais, separadas da essência de Deus. Maimónides, conhecedor da tradi o do Kalam, apresenta uma solu o que n o envolve a predica o de atributos divinos que comprometeria a unidade divina. This article analyses the debate concerning divine attributes in medieval Islamic theology (kalam), more specifically in Mu‘tazilite and in Ash‘arite theology. It further compares their approach with that of medieval Jewish philosopher Moses Maimonides (d. 1204). In particular it studies the identification of the divine attributes with God’s essence in Mu‘tazilite theology, which flourished in the first half of the 9th century. It discusses the Ash‘arite response that followed, and which consisted in considering God’s attributes as real entities separate from God’s essence. Maimonides, conversant with the tradition of kalam, proposes a solution that does not involve the predication of any attributes that would undermine his oneness.
Essence and Existence in Avicenna and Averroes
Belo, Catarina
Al-Qantara : Revista de Estudios Arabes , 2009,
Abstract: This article explores the views on existence of medieval Muslim philosophers Avicenna (d. 1037) and Averroes (d. 1198), whose works followed closely the philosophy of Aristotle. In addition to the Aristotelian influence, which permeated all medieval Islamic philosophy, Avicenna and Averroes were also inspired by Islamic theology, known in Arabic as kalām. The distinction between essence and existence is one of the most central and controversial aspects of Avicenna’s philosophy, together with his claim that existence is an accident. Averroes in turn has a radically different conception of existence, identifying it with existing beings rather than considering it as something in itself. With the Latin translation of Avicenna’s metaphysical works in the 12th century, the Avicennian distinction went on to shape much of the debate on existence in medieval Scholastic philosophy and beyond. This article assesses the meaning of the distinction in Avicenna as well as Averroes’ criticism. In explicating their radically different views on existence, it also touches on later discussions concerning existence, for example the issue whether existence is a predicate, in the Modern Age. El presente artículo explora las percepciones sobre la existencia de los filósofos medievales musulmanes Avicena (m. 1037) y Averroes (m. 1198), cuyas obras se encuentran muy próximas a la filosofía de Aristóteles. Además de la influencia aristotélica, que caló en toda la filosofía islámica medieval, Avicena y Averroes estuvieron inspirados por la teología islámica, conocida en árabe como Kalām. La distinción entre esencia y existencia es uno de los más fundamentales y controvertidos aspectos de la filosofía de Avicena junto a su aseveración de que la existencia es un accidente. Averroes, en cambio, concibe de forma radicalmente diferente la existencia, identificándola con los seres existentes más que considerarla como algo en sí misma. Con la traducción al latín de los trabajos de metafísica de Avicena en el siglo XII, su distinción prosiguió modelando el debate sobre la existencia en la filosofía escolástica medieval y más allá. Este artículo evalúa el significado de la distinción en la crítica tanto de Avicena como de Averroes. Al explicar sus concepciones, radicalmente distintas, de la existencia se establece un contacto con posteriores discusiones concernientes a la misma, como, por ejemplo, la cuestión de si la existencia es un predicado, en la edad moderna.
Between History and Periodicity: Printed and Hand-Written News in 18th-Century Portugal
André Belo
E-Journal of Portuguese History , 2004,
Abstract: What news became printed news in 18th-century Portugal? How was information conceived, exchanged and read? Drawing on Ph.D. research, this paper attempts to make sense of the most important Portuguese periodical printed during the first half of the 18th century: the Lisbon gazette, called Gazeta de Lisboa. The analysis is undertaken from a comparative perspective, considering the Portuguese gazette as part of an intertextual European whole. The paper will concentrate on two particular aspects: in the first place, the production of the Gazeta as "literary genre" from the point of view of its editor, stressing the affinities between the writing of the news and the task of the historian’s analysis. This will lead us to the periodical's main paradox: information about events occurring in the present was somehow systematically devalued. Historical discourse was also present in the hand-written newspapers that circulated in Portugal in the same period. Together with the information transmitted by simple letters, manuscript periodicals, possessing a title and a regular date of issue, played a major role in the exchange of information in the 18th century, circulating within the same networks as the printed periodical press. I will show that, rather than speak of possible conflict, we should speak of the complementary roles of these two media. In the end, beyond the surface of the written text, there lies a complex landscape of social relations involved with information.
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