Introduction
Shared psychotic disorder or Folie a deux is an unusual mental disorder characterized by the transfer of delusions between two or more people who have a close relationship. An individual ...(inductor or primary) who suffers from a psychotic disorder, influences one or more individuals (induced or secondary). Delusional disorders or schizophrenia are the most commonly diagnosed disorders in the inductor individual.
Objectives
The objective of this study is to describe the clinical characteristics of an unusual entity such as shared psychotic disorder.
Methods
Description of a clinical case of shared psychotic disorder of a family treated in the emergency room during confinement.
Results
47-year-old woman, goes to the emergency room with her husband. No psychiatric history. Both the patient and her husband verbalize delusions of harm and surveillance from neighbors. They also report that two of their children hold this belief. The mother, unlike the rest of the cohabitants, presents disqualifying auditory hallucinations. Her husband decides to take her to the emergency room because he finds her distressed, “between two realities” and aggressive when she is confronted about hallucinations. We start treatment with oral paliperidone in the mother and a subsequent follow- up, and a total remission of symptoms in all cohabitants.
Conclusions
As in other mental disorders, the correct diagnosis and subsequent referral are essential. The separation of the inductor individual from the induced one is useful for the correct management of this disorder. With timely intervention and a regular follow-up, the Folie a deux has a good prognosis.
Disclosure
No significant relationships.
This paper presents an analysis of the image of seafarers in Spanish newspapers. This is done by a qualitative and quantitative analysis of the news published in six representative newspapers in the ...days following the shipwrecks of 24 oil tankers between 1976 and 2007. A total of 359 news items have been studied analysing the type of language used, its place in the pages of the newspapers, the comments of the journalists who wrote them, etc., arriving at the conclusion that seafarers have a bad image in the Spanish printed press.
Studies in crop plants analyzing floral biology in conjunction with effectiveness and efficiency of pollinators on pollen transfer and fruit formation are not common, although they are essential to ...provide better management actions. On this base, we selected a farm in Bahia, Brazil, to study pollination on coffee plants (
Coffea arabica
L.). Specifically, we want to analyze if nectar traits influence visitor’s performance throughout flower lifetime and if honeybees (
Apis mellifera scutellata
Lepeletier, 1836) are effective and efficient for coffee pollination comparing fertilization and fructification among four experimental treatments: open (OP), wind (WP), cross (HCP), and single-visit bee pollination (SVBP). We found that honeybees collect both nectar and pollen from coffee flowers and transfer pollen on stigmas even after one visit. No differences were found among treatments regarding the number of pollen grains transferred on the stigmas (effectiveness). OP flowers showed a comparative lower efficiency (pollen tubes and fruit set) probably due to pollination failure as those flowers have a higher variability on the number of deposited pollen grains. Two of the treatments (HCP and SVBP) showed higher fertilization (measuring tubes until the end of the style). Pollen loads seem to be limited by a peak of pollen transference by pollinators, followed by the stabilization in the number of pollen grains deposited per stigma. Thus, reproduction of the coffee can be limited by the quality of pollen grains moved by pollinators instead of quantity. Management strategies should focus on monitoring bee density on plants for increasing pollen quality transfer on flowers trough maintaining the adequate proportions of seminatural habitats and/or the number of hives on agricultural fields according to the flowering of the crop.
The purpose of this study was to provide updated normative data for hand therapists to use in clinical practice to determine if seniors have dexterity deficits.Methods This cohort study was completed ...through a convenience sample. A one-way Analysis of Variance was used to compare the mean scores of each designated age group to determine if there was a statistically significant difference between the mean group scores.Results One hundred and twenty-eight participants were selected via convenience sample. A one-way analysis of variance reported statistically significant differences between the mean scores of the three age groups (F= 15.03, P<.00).
Flood tolerance is crucial to the survival of tree species subject to long periods of flooding such as those present in the Amazonian Varzea. Tolerance can be mediated by adjustments of metabolism, ...physiology and morphology, reinforcing the need for investigation of the physiological and biochemical mechanisms used by tropical tree species to survive this stress. Moreover, such mechanisms may vary between populations that are subjected to differences in the frequency of flooding events. Here, we therefore aimed to identify the mechanisms used by two populations of the tropical tree Guazuma ulmifolia (Lam.) to tolerate flooding; an Amazonian population frequently exposed to flooding and a Cerrado population, adapted to a dry environment. Young plants were subjected to flooding of the roots and lower stem for 32 days, followed by 17 days of recovery. Amazonian plants exhibited greater increases in shoot length and higher maximum photosynthetic rate (Amax) compared to non-flooded plants from 7 days of flooding onwards, whilst increased Amax occurred later in flooded Cerrado plants and was not accompanied by increased shoot length. Lactate accumulated in roots of Cerrado plants after 24 h flooding, together with transcripts coding for lactate dehydrogenase in roots of both Cerrado and Amazonian plants. After 7 days of flooding lactate decreased and alcohol dehydrogenase activity increased transiently, together with concentrations of alanine, GABA and succinate, indicating activation of metabolic processes associated with low oxygen availability. Other amino acids also increased in flooded Cerrado plants, revealing more extensive metabolic changes than in Amazonian plants. Wetland and dryland populations of Guazuma ulmifolia revealed great capacity to tolerate flooding stress through a suite of alterations in photosynthetic gas exchange and metabolism. However, the integrated physiological, biochemical and molecular analyses realized here indicated that wetland plants acclimatized more efficiently with increased shoot elongation and more rapid restoration of normal metabolism.
Background: Procalcitonin is released in response to bacterial infection and it is not released in Inflammatory and viral diseases.
Objective: To show the diagnostic efficacy and prognostic value of ...procalcitonin for sepsis.
Methods: A consecutive series of 103 patients with suspected sepsis were admitted to the intensive care unit over a 2-year period. During the first 24 hours of the admission procalcitonin, C-reactive protein, and complement proteins were determined. The diagnostic efficacy was tested with predictive values, likelihood ratios, receiver operating characteristic curves, and multiple logistic regression. The association of procalcitonin with mortality was assessed by the Multivariate Cox proportional hazards model.
Results: Procalcitonin had a better positive likelihood ratio than C-reactive protein —2.2 (95% confidence interval: 1.3-3.7) versus 1.1 (95% confidence interval: 0.9-1.2). Sequential Organ Failure Assessment yielded the highest discriminative value, with an area under the curve of 0.82 (95% confidence interval: 0.73-0.92), followed by procalcitonin (0.81; 95% confidence interval: 0.72-0.89). Multivariate regression analysis showed procalcitonin (adjusted odds ratio: 3.8; 95% confidence interval: 1.2-11.8) and Sequential Organ Failure Assessment score (adjusted odds ratio: 5.3; 95% confidence interval: 1.4-19.9) as the only variables independently associated with infection. Multivariate Cox regression analysis revealed that procalcitonin was not independently associated with mortality.
Conclusions: The diagnostic accuracy of procalcitonin was higher than C-reactive protein and complement proteins. Procalcitonin in combination with Sequential Organ Failure Assessment was useful to diagnose infection. C-reactive protein, Sequential Organ Failure Assessment score, age, and gender showed to be helpful to improve the prediction of mortality risk, but not procalcitonin.
L’observation rapportée est exceptionnelle. Il s’agit d’un kyste surinfecté de l’ouraque compliquant une maladie de Crohn torpide et initialement non connue.
Chez un homme jeune, âgé de 21 ans, une ...fièvre chronique a révélé un kyste surinfecté de l’ouraque ; 6 mois après l’ablation de ce dernier, une maladie de Crohn évolutive a été diagnostiquée.
L’association maladie de Crohn et surinfection d’un kyste de l’ouraque est rarissime. Celle rapportée ici a une double originalité ; la maladie de Crohn d’évolution torpide a été diagnostiquée secondairement à sa complication ; la surinfection s’est faite par translocation bactérienne de proximité (anse iléale accolée au kyste de l’ouraque).
This case report describes a rare situation in which a superinfected cyst of the urachus complicated initially unknown and inactive Crohn's disease.
A 21-year-old man presented a chronic fever finally attributed to a superinfected urachal cyst. Six months after ablation of the cyst, progressive Crohn's disease was diagnosed.
The association of Crohn's disease and a superinfected urachal cyst is extremely rare. The case reported here is original in two aspects: the slowly progressive Crohn's disease was diagnosed after its complication; the superinfection developed through local bacterial translocation (ileal loop adjacent to the urachal cyst).
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