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Vitamin D supplementation and incidence of major depressive disorder - A randomized clinical trial.

BACKGROUND AND AIMS: Depression is a significant public health issue, but current prevention methods are limited. Vitamin D has shown some promise in treatment of depression, but evidence for primary prevention is inconclusive. We investigated the effects of long-term vitamin D3 supplementation on the incidence of major depressive disorder (MDD). METHODS: The study was a randomized placebo-controlled clinical trial conducted in 2012-2018. Participants were randomized to receive either 1600 IU/day (n = 814) or 3200 IU/day (n = 817) of vitamin D3 or placebo (n = 803) for 5 years. The primary en

Subcortical band heterotopia (SBH) in males: clinical, imaging and genetic findings in comparison with females.

Subcortical band heterotopia (SBH) or double cortex syndrome is a neuronal migration disorder, which occurs very rarely in males: to date, at least 110 females but only 11 in males have been reported. The syndrome is usually associated with mutations in the doublecortin (DCX) (Xq22.3-q23) gene, and much less frequently in the LIS1 (17p13.3) gene. To determine whether the phenotypic spectrum, the genetic basis and genotype-phenotype correlations of SBH in males are similar to those in females, we compared the clinical, imaging and molecular features in 30 personally evaluated males and 60 previ

Spotlight from the American Society for Preventive Cardiology on Key Features of the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guidelines on the Management of Blood Cholesterol.

The 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol retains focus on recommendations for statin treatment in the original four statin-eligible groups [those with atherosclerotic cardiovascular disease (ASCVD), diabetes, low-density lipoprotein cholesterol (LDL-C) ≥ 190 mg/dL, and higher risk primary prevention] without the use of treatment initiation or target LDL-C levels from the earlier 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline, but has several new features. First, patients with primary pr

[Prospective study of favorable factors in follow-up of drug addicted patients--apropos of 257 patients of the Cassini Center in Paris].

UNLABELLED: Assessing the effectiveness of treatment is one of the main concerns of any medical process. The different ways proposed for ass … doubt subsists for a third of the other patients. Major depressive disorder for the first axis and borderline personality disorder for the second axis are the main disorders we founded. We also noted a large ratio (n = 13.5%) of schizophrenic disorders. Univariate analysis: length and regularity of the programmes are key factors of their efficacy. A long follow-up is also requi …

Gaze maintenance and autism spectrum disorder.

Chase is a 5½-year-old boy whom you have followed in your primary care practice since age 26 months. He was born full-term vaginal delivery weighing 6 pounds 15 ounces. His biological mother used heroin, tobacco, and cocaine during pregnancy. From 8 weeks to 18 months, he spent time in a foster home where he was provided limited attention and nurturing. At age 18 months, he entered a loving foster home; at 26 months, he was adopted. There is maternal history of attention-deficit hyperactivity disorder, learning disability, depression, bipolar disorder, and substance abuse but no history of aut

Physical Exercise as Treatment for PTSD: A Systematic Review and Meta-Analysis.

INTRODUCTION: Post-traumatic stress disorder (PTSD) is a cluster of physical and psychiatric symptoms following military or civilian trauma. The effect of exercise on PTSD symptoms has previously been investigated in several studies. However, it has not been fully determined what type of exercise most impacts PTSD symptoms. The aim of the present study was to systematically review the effects of different types of exercise on PTSD symptom severity and symptoms of coexisting conditions in adults. MATERIALS AND METHODS: Electronic searches were conducted in the databases PubMed, APA PsycInfo, a

Posttraumatic stress disorder and physical comorbidity among female children and adolescents: results from service-use data.

OBJECTIVE: In adults, posttraumatic stress disorder (PTSD) is associated with adverse health outcomes and high medical utilization and cost. … ecting a "complex PTSD" was added, defined as having PTSD complicated by a dissociative disorder or borderline personality disorder diagnosis. RESULTS: There were 647 girls and 1025 adolescents with the PTSD diagnosis. Overall, PTSD was associated with adverse health outcomes in both age strata. Victimization was sometimes independently associated with adverse health outcomes, …

The Correspondence of Bruno Bettelheim and Rudolf Ekstein.

This paper provides the historical, cultural, and clinical context for the relationship between Bruno Bettelheim (1903-1990) and Rudolf Ekstein (1912-2005). Both were Viennese-born and trained intellectuals who received doctorates in the human sciences from the University of Vienna in 1937. Both were deeply identified with lay analysis, emphasizing that for psychoanalysis to perpetuate itself it needed to promote serious and rigorous forms of research. Because Bettelheim was the better known of the two, this introduction focuses on Ekstein's family history, with special emphasis on his experie

A review of eating disorders research in Mexico.

The objective of this paper is to summarize research findings on eating disorders and the current state of the field in Mexico. Papers publi … lation. The comorbidity of eating disorders in Mexico includes drug and alcohol abuse, obesity, and borderline personality disorder. Risk factors found included body weight and cultural pressure to be thin. Future lines of research should include epidemiological studies with representative samples and diagnosis confirmation, longitudinal studies, and the exploration of protectiv …

What Is Precision Psychotherapy?

Precision medicine impacts virtually all medical specializations, including psychiatry. Although precision psychiatry, in general, is a flourishing area of research and debate, psychotherapy as one pillar of psychiatry receives little attention. Theoretical discussions about precision psychotherapy are rare; research on precision in psychotherapy is just evolving. In this paper, we provide a conceptualization of precision psychotherapy providing a common idea of what should be understood as precision in the context of psychotherapy and what kind of psychotherapy research is considered to contr

Совпадение в полном тексте источника
… Additionally, Marceau et al. (2018) found in their review that biomarkers (specifically hypoactivation in prefrontal and cingulate regions) can predict treatment response to psychotherapeutic interventions for patients suffering from Borderline Personality Disorder. … Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide . Arlington, VA : American Psychiatric Publishing . ClinGen . 2018 . Lumping and splitting. ClinGen [On-line]. …

Multiple Sclerosis Nursing to Improve Care and Education (MSNICE): an observational study.

OBJECTIVE: To explore differences in patient reported outcomes, health care resources and expenditures in persons with multiple sclerosis (pwMS) with or without access to an MS-nurse. METHODOLOGY: An observational, multicenter and cross-sectional study was conducted. Seven centers with, and twelve centers without an MS-nurse participated. The multiple sclerosis impact scale-29 (MSIS-29) was the primary outcome measure. Secondary outcome measures included: hospital anxiety and depression scale, coping measures, health-economic and disease-knowledge parameters. RESULTS: Three hundred thirty-fo

Developing the Breast Utility Instrument to Measure Health-Related Quality-of-Life Preferences in Patients with Breast Cancer: Selecting the Item for Each Dimension.

Introduction. Generic preference-based instruments inadequately measure breast cancer (BrC) health-related quality-of-life preferences given advances in therapy. Our overall purpose is to develop the Breast Utility Instrument (BUI), a BrC-specific preference-based instrument. This study describes the selection of the BUI items. Methods. A total of 408 patients from diverse BrC health states completed the EORTC QLQ-C30 and BR45 (breast module). For each of 10 dimensions previously assessed with confirmatory factor analysis, we evaluated data fit to the Rasch model based on global model and item

Какие поведенческие, эмоциональные и школьные проблемы в средней школе предсказывают раннее сексуальное поведение?

Считается, что проблемы с психическим здоровьем и корректировкой школ отличают раннее сексуальное поведение от нормативных сроков (см.16-18 ), но мало что известно о том, как ранние сексуальные отношения возникают из-за этих проблем среднего возраста. Существующие исследования не допускают сопутствующих проблем, различий в наступлении и стойкости, и нет никакой информации о корректировке средней школы в связи с ранними половыми отношениями. В этом исследовании изучалась связь между несколькими проблемами среднего возраста и ранним сексуальным поведением с использованием подвыборки (N = 4,739,

Качество жизни и симптомы тревоги и депрессии у пациентов с раком: выводы из тертиарной клиники.

Рак является одной из главных причин глобальной смертности и заболеваемости, на долю которой ежегодно приходится миллионы смертей. Цель этого исследования заключалась в оценке качества жизни (QoL), изучении демографических, клинических и психологических факторов, связанных с QoL, оценке распространенности беспокойства и депрессивных симптомов, а также в оценке связей между методами лечения и областями QoL среди пациентов с раком, получающих антираковую терапию в Лахоре, Пакистан. МАТЕРИАЛЫ И МЕТОДЫ 385 больные раком с помощью удобного отбора проб. Данные собирались с помощью вопросника "

Serum Onconeural Antibodies in Dogs and Cats for Early Diagnosis of Cancer.

Cancer is one of the leading causes of death in dogs and cats worldwide, and effective early detection techniques and reliable therapies are still lacking. Given the high demand for early cancer detection and differentiation in veterinary diagnostics, we developed and validated a new diagnostic approach to assess onconeural antibodies, also known as high-risk antibodies, in dog and cat blood serum samples. We determined the presence of systemic onconeural/high-risk (ONHR) antibodies, their suitability for early cancer diagnostics, and the feasibility of differentiating various malignancies. Ou

Неудовлетворенные потребности в уходе за пациентами, страдающими расстройством спектра нейромиэлита и миелином олигодендроцитом гликопротеиновым заболеванием, связанным с антителами: знания из Германии.

:: Нейромиелитное расстройство спектра (NMOSD) и миелин олигодендроциты гликпротеиновые заболевания, связанные с антителами (MOGAD), являются редкими аутоиммунными расстройствами. Их реальная распространенность в Германии неизвестна и может быть оценена только на основе разнородных международных данных. Предположим 1-3 Число случаев 100,000 люди для каждой болезни предполагают несколько thousand В то же время в регистре немецкой Исследовательской группы по нейромиэлиту (НЕМОС) в настоящее время имеются данные лишь о том, что 1,300 - пациентов, которых видели в специализированных центрах. Число

Patterns and Outcomes of Permanent Vascular Access in End-Stage Kidney Disease: A Multicenter Experience.

Background End-stage kidney disease (ESKD) is a growing health problem worldwide, with hemodialysis serving as the main treatment when transplantation is not feasible. Permanent vascular access is essential for effective dialysis, yet its patterns and outcomes remain variable across patient populations. Aim This multicenter study aimed to describe the patterns of vascular access use and evaluate the outcomes of permanent vascular access in patients with ESKD undergoing hemodialysis. Methods A retrospective multicenter cross-sectional study (January-June 2024) was conducted at two tertiary hosp

The effects of coagulation factors on the risk of autoimmune diseases: A Mendelian randomization study.

The objective of this study was to investigate the potential causal relationship between coagulation factors and autoimmune diseases (ADs). We employed Mendelian randomization to investigate the associations between selected 7 coagulation factors and 10 ADs, leveraging genetic variants as instrumental variables to assess causal relationships between exposures of interest and outcomes. Within the scope of this investigation, coagulation factors were designated as the exposure source, while ADs were observed to manifest as the consequent outcome. Our analysis using the inverse-variance weighted

Ранние коморбиды и диагностические проблемы у людей с множественным склерозом, которые могут оказать воздействие на лечение заболеваний.

КОЛИЧЕСТВО: Сопоставимость людей с множественным склерозом (PwMS) может влиять на состояние здоровья и качество жизни. ЦЕЛИ: РАССЛЕДОВАНИЕ СВЯЗАННЫХ five через несколько лет после диагностики, времени возникновения коморбидности, возраста и полового воздействия, а также различий между множественным склерозом (МС) и другими хроническими аутоиммунными заболеваниями (АИД). МЕТОДЫ: В этом ретроспективном когортном исследовании мы систематически оценивали различия в частотах диагностики в недавно диагностированном PwMS (n = 9,880) по сравнению с соответствующими контрольными устройствами (noAID, n

From Clinical Clues to Final Diagnosis: The Return of Detective Work to Clinical Medicine in Cardiac Amyloidosis.

Cardiac amyloidosis is frequently misdiagnosed, denying patients the opportunity for timely and appropriate management of the disease. The purpose of this review and case studies is to raise awareness of the diagnostic "red flags" associated with cardiac amyloidosis and the currently available non-invasive strategies for diagnosis. The review focuses on the identification of one of the two main types of cardiac amyloidosis, transthyretin amyloid cardiomyopathy, and non-invasive tools to distinguish this from light-chain amyloidosis. A diagnostic algorithm centered around the use of non-invasiv