ABSTRACT BACKGROUND: Nutritional status and growth curves can affect cognitive development, increase the risk of infection, and contribute to the development of chronic diseases. Its etiology is related to food, socioeconomic, and maternal conditions. However, to date, no data on these parameters exist in the state of Goiás, Brazil. OBJECTIVE: To compare the nutritional status and growth curves of children and adolescents in the city of Goiânia, Goiás, Brazil. DESIGN AND SETTING: This was a cross-sectional study. A total of 529 individuals were recruited from a primary health center in the municipality. METHODS: To assess nutritional status, the sample was divided into three categories: 3–4, 5–10, and 11–19 years, with z-score classification considering body mass index for age. The classification of growth curves was performed considering the median height values for age, assuming two references: (a) young Brazilian population and (b) one recommended for international use. The independent sample T-test was used to compare anthropometric variables. RESULTS: The results showed that the classification of eutrophics represents a predominant percentage between both sexes (men: 03–04 = 55.4%; 05–10 = 57.6%; 11–19 = 53.5 % and women: 03–04 = 53.5%; 05–10 = 63.9%; 11–19 = 56.9%), and growth curves showed differences in specific periods in both sexes. CONCLUSIONS: It can be concluded that children and adolescents from the city of Goiânia present as predominance the eutrophic nutritional status, followed by the risk of overweight, underweight, obesity, and malnutrition of both sexes.

SUMMARY: Stroke is one of the main causes of death and disability worldwide. The great impact on the quality of life of the population and on the health system justifies that we seek relevant alternatives to reduce the incidence and improve the treatment and recovery of patients affected by this disease. Physical exercise appears as an important tool in this scenario, being already pointed out as a possible therapeutic approach for the prevention of non-contagious chronic diseases. In this context, biomarkers such as miRNAs that respond to physical exercise and are directly related to several epigenetic mechanisms appear. Therefore, explaining the molecular mechanisms involved during physical exercise will lead to a better understanding of each stimulus and the dose to be used to better respond to each situation, thus being a promising approach for the evolution of prescription and control of training and processes recovery from various diseases, including stroke. Forty-eight Wistar rats were used, divided into four experimental groups: control group, ischemia group, physical exercise group and exercise + ischemia group. Real-time PCR methodology was used to analyze the expression of miRNAs: miR-126, miR-133b and miR-221. In our study we observed a significant difference in the expression of miR- 221 between the control group and the others groups. However, microRNAs: miR-126 and miR-133b do not show significant differences in expression between groups.

RESUMEN: El ictus es una de las principales causas de muerte y discapacidad en todo el mundo. El gran impacto en la calidad de vida de la población y en el sistema de salud justifica buscar alternativas pertinentes para reducir la incidencia y mejorar el tratamiento y recuperación de los pacientes afectados por esta enfermedad. El ejercicio físico aparece como una herramienta importante en este escenario, siendo ya señalado como un posible abordaje terapéutico para la prevención de enfermedades crónicas no contagiosas. En este contexto, aparecen biomarcadores como los miRNAs que responden al ejercicio físico y están directamente relacionados con varios mecanismos epigenéticos. Por lo tanto, explicar los mecanismos moleculares involucrados durante el ejercicio físico conducirá a una mejor comprensión de cada estímulo y la dosis a utilizar para responder mejor a cada situación, siendo así un enfoque prometedor para la evolución de la prescripción, el control del entrenamiento y los procesos de recuperación de diversas enfermedades, incluido el accidente cerebrovascular. Se utilizaron cuarenta y ocho ratas Wistar, divididas en cuatro grupos experimentales: grupo control, grupo isquemia, grupo ejercicio físico y grupo ejercicio + isquemia. Se utilizó la metodología de PCR en tiempo real para analizar la expresión de miRNAs: miR-126, miR-133b y miR-221. En nuestro estudio observamos una diferencia significativa en la expresión de miR-221 entre el grupo control y los demás grupos. Sin embargo, los microARN: miR-126 y miR-133b no mostraron diferencias significativas en la expresión entre grupos.

RESUMO Objetivo: Comparar as características antropométricas, bioquímicas, hormonais e a presença de polimorfismos genéticos de leptina, adiponectina e fator de necrose tumoral alfa (TNF-α) entre crianças e adolescentes eutróficos e obesos. Métodos: Trata-se de um estudo caso-controle conduzido com 104 crianças e adolescentes. Todos os indivíduos foram avaliados quanto às características antropométricas e parâmetros clínicos, laboratoriais e de polimorfismo genético. A amostra foi selecionada no ambulatório de endocrinologia pediátrica especializado no tratamento da obesidade em crianças e adolescentes de acordo com a classificação do Centers for Disease Control and Prevention (CDC), e os controles foram selecionados no mesmo local, porém no ambulatório de pediatria geral. Resultados: Alguns parâmetros foram associados à obesidade em nosso estudo: cor preta, pais obesos, pais hipertensos e desmame precoce. Níveis aumentados de insulina, triglicerídeos, colesterol total, colesterol LDL, PCR-U, AST, ALT, GGT, T4 Livre, IGF-1, ácido úrico e níveis baixos de colesterol HDL estão associados a uma chance maior de obesidade. A presença de polimorfismos AG/AA na leptina está associada a uma chance 290% (OR 3,9) maior de obesidade, enquanto para os genes da adiponectina as chances são 740% (OR 8,4) maiores. Nessas crianças e adolescentes obesos com haplótipos AG/AA, os níveis séricos de leptina aumentaram e os níveis de adiponectina diminuíram em relação aos eutróficos, já os níveis séricos de TNF-α não se alteraram. Conclusões: Concluiu-se que os polimorfismos AG/AA nos genes da leptina e adiponectina alteram os níveis séricos dessas adipocinas e predispõem à obesidade precoce, e muitos marcadores antropométricos, bioquímicos e hormonais ficam alterados, trazendo consequências para a saúde dessas crianças e adolescentes.

ABSTRACT Objective: The aim of this study was to compare the anthropometric, biochemical, and hormonal characteristics and the presence of genetic polymorphisms of leptin, adiponectin, and tumor necrosis factor alpha (TNF-α) between eutrophic and obese children and adolescents. Methods: This is a case–control study involving 104 children and adolescents. All subjects were assessed for anthropometric characteristics and clinical, laboratory, and genetic polymorphism parameters. The sample was selected from the pediatric endocrinology outpatient clinic specialized in the treatment of obesity in children and adolescents according to the Centers for Disease Control and Prevention (CDC) classification, and controls were selected from the same location in the general pediatric outpatient clinic. Results: As a result, the parameters, such as black color, obese parents, hypertensive parents, and early weaning, were found to be associated with obesity. Increased levels of insulin, triglyceride, total cholesterol, LDL cholesterol, CRP-U, AST, ALT, GGT, free T4, IGF-1, and uric acid and low levels of HDL cholesterol are found to be associated with a higher chance of obesity. The presence of AG/AA polymorphisms in the leptin is associated with a 290% (OR 3.9) higher chance of obesity, and for adiponectin genes, the chances are 740% (OR 8.4) higher. In these obese children and adolescents with AG/AA haplotypes, serum leptin levels were increased and adiponectin levels were decreased in eutrophic individuals, whereas serum TNF-α levels did not change. Conclusions: The AG/AA polymorphisms in the leptin and adiponectin genes alter the serum levels of these adipokines and predispose them to obesity, and many anthropometric, biochemical, and hormonal markers are altered, demonstrating early consequences for the health of these obese children and adolescents.

Resumo O objetivo deste artigo é verificar se o STF, STJ, TRF2 e TJRJ consideraram a pandemia de Covid-19 ao julgar pedidos de reintegração de posse e imissão na posse entre 06/02/2020 e 06/02/2021, e se observaram os parâmetros internacionais sobre remoções forçadas. Após analisarmos 291 decisões, constatamos que a pandemia não foi mencionada na maioria dos casos e os parâmetros internacionais foram ignorados.

Abstract The purpose of this paper is to verify if the Supreme Court, Superior Court of Justice, Federal Court of Appeals of the 2nd Circuit and the Rio de Janeiro State Tribunal considered the Covid-19 pandemic when judging repossession and possession lawsuits between 02/06/2020 and 06/02/2021, and whether international standards on forced eviction were observed. After analyzing 291 decisions, we observed that the pandemic was not mentioned in the majority of the decisions and that international parameters were ignored.

Resumo Objetivou-se compreender as autonomeações praticadas em aplicativos de interação social de forma a esboçar uma classificação do domínio das homosexualidades masculinas, modalidades alternativas de sexualidade e de desejo no Brasil. O estudo qualitativo de cunho documental, apoiado em pesquisa bibliográfica, sob a forma de cartografia, tem como corpus 1.732 palavras extraídas de 1.005 títulos de perfis de usuários do Scruff (aplicativo mobile de interação social utilizado por homens que buscam relacionar-se afetivo-sexualmente com outros homens), recorrendo-se à técnica de Mineração de Textos por meio do software Voyant Tools, permitindo a visualização de correlações, coocorrências, fluxos e dispersão de temáticas textuais, além da técnica de análise de conteúdo para identificação dos principais assuntos contemplados no corpus. Assim, em sua autoclassificação, alguns sujeitos utilizam termos que provocam deslizamentos de sentido, afastando-os da identidade homossexual e reforçando sua masculinidade, baseando-se em estereótipos e preconceitos.

Abstract The aim of this study was to understand the practices of self-naming in social applications of interaction in order to outline a classification of male homosexuality, alternative sexualities, and desire in Brazil. This qualitative study, based on a documentary and bibliographic research in the form of cartography, worked with a corpus of 1,732 words extracted from 1,005 user profiles on Scruff (a cellphone social interaction application used by men who seek to relate affectively-sexually with other men). We used the data mining Voyant Tools software that allowed the visualization of correlations, co-occurrences, flows, and dispersion of textual themes, as well as the technique of content analysis in order to identify the main subjects in the corpus. We found out that, in their self-classification, some subjects use terms that provoke slight changes of meaning, distancing themselves from a gay identity, and reinforcing their masculinity while relying on stereotypes and prejudices.

Resumen El objetivo de este estudio fue comprender las prácticas de autodenominación en aplicaciones sociales de interacción para desarrollar una clasificación de la homosexualidad masculina, sexualidades alternativas y deseo en Brasil. El presente estudio cualitativo, basado en una investigación documental y bibliográfica en forma de cartografía, trabajó con un corpus de 1 732 palabras extraídas de 1 005 perfiles de usuario en Scruff (una aplicación móvil de interacción social utilizada por hombres que buscan relacionarse afectiva y sexualmente con otros hombres). Se utilizó el software de minería de datos Voyant Tools, el cual permitió la visualización de correlaciones, coincidencias, flujos y dispersión de temas textuales, así como análisis de contenido para identificar los principales temas del corpus. Se concluye que, en su autoclasificación, algunos sujetos usan términos que provocan ligeros cambios de significado, a la vez que se distancian de una identidad gay y refuerzan su masculinidad basándose en estereotipos y prejuicios.

ABSTRACT To compare the zootechnical performance of the Brazilian native shrimp Penaeus schmitti and the exotic shrimp Penaeus vannamei, juveniles were grown under controlled conditions. Both species were simultaneously cultivated (monoculture) in separate 70 L plastic tanks at two different densities: 30 and 50 ind m-2. Also, in the other two treatments, both species were cultivated together (mixed), with and without feeding, at 30 ind m-2. During the experiment, P. vannamei generally showed a greater interest in food and voracity than P. schmitti. At harvest, for both stocking densities of monoculture treatments, the mean growth rate observed for P. vannamei was 1.0 g week-1, while P. schmitti achieved only 0.1 g week-1. The mean final weight was 10.4 ± 2.0 g; 10.7 ± 2.1 g for P. vannamei and 2.8 ± 0.3 g; 3.2 ± 0.3 g for P. schmitti, for respective densities of 50 and 30 ind m-2. In the mixed treatment with feeding, while P. vannamei reached 11.9 ± 1.4 g, P. schmitti reached only 2.6 ± 0.4 g in the same tank. The observed differences were 3.7 and 3.4 higher in favor of P. vannamei in the monoculture treatment, and up 4.5 times higher in the mixed treatment. Under strict fasting conditions, both species practiced predation/cannibalism among themselves. The results reflected the zootechnical advantages of P. vannamei, but also corroborated the negative effect that high densities and lack of natural food can exert over native species. The potential for P. schmitti cultivation and the possible impact of the escape of P. vannamei into the natural environment is discussed.

SUMMARY: This study aimed to investigate the morphometric and the pattern of protein and gene expression related to the extrinsic apoptotic pathway in experimental focal cerebral ischemia and the hole of neuroprotection with hypothermia and ketoprofen. For this analysis, 120 rats were randomly divided into 3 groups (20 animals each): control - no surgery (20 animals); sham - simulation of surgery (20 animals); ischemic - focal ischemia for 1 hour, without reperfusion (80 animals) and divided into four subgroups with 20 animals each: ischemic + intraischemic hypothermia; ischemic + previous intravenous ketoprofen, and ischemic + hypothermia and ketoprofen. The infarct volume was measured using morphometric analysis of infarct areas defined by triphenyl tetrazolium chloride and the patterns of expression of the apoptosis genes (Fas, c-Flip, caspase-8 and caspase-3) and the apoptosis protein caspase-3 were evaluated by quantitative real-time PCR and immunohistochemistry, respectively. Hypo expression of genes of extrinsic pathway of apoptosis was observed: Fas receptor, c-Flip and caspase-8 in the ischemics areas. Increases in the gene and protein caspase-3 in the ischemic areas were also observed, and these increases were reduced by hypothermia and ketoprofen, also noted in the morphometric study. The caspases-3 increase suggests that this gene plays an important role in apoptosis, probably culminating in cell death and that the neuroprotective effect of hypothermia and ketoprofen is involved.

RESUMEN: Este estudio tuvo como objetivo investigar la morfometría y el patrón de expresión de proteínas y genes relacionados con la vía apoptótica extrínseca en la isquemia cerebral focal experimental y el agujero de neuroprotección con hipotermia y ketoprofeno. Se dividieron aleatoriamente 120 ratas en 3 grupos (20 animales cada uno): control - sin cirugía (20 animales); simulación - simulación de cirugía (20 animales); isquemia isquemia focal durante 1 hora, sin reperfusión (80 animales) y dividida en cuatro subgrupos con 20 animales cada uno: isquemia + hipotermia intraisquémica; isquemia + ketoprofeno intravenoso previo, e isquemia + hipotermia y ketoprofeno. El volumen del infarto se midió utilizando un análisis morfométrico de áreas de infarto definidas por cloruro de trifenil tetrazolio y los patrones de expresión de los genes de apoptosis (Fas, c-Flip, caspase-8 y caspase-3) y la proteína de apoptosis caspase-3 fueron evaluados por PCR cuantitativa en tiempo real e inmunohistoquímica, respectivamente. Se observó hipoexpresión de genes de la vía extrínseca de la apoptosis: receptor Fas, c-Flip y caspasa-8 en las áreas isquémicas. También se observaron aumentos en el gen y la proteína caspasa-3 en las áreas isquémicas y estos aumentos se redujeron por hipotermia y ketoprofeno, también observado por estudio morfométrico. El aumento de caspasas-3 sugiere que este gen tiene un papel importante en la apoptosis, y probable causa de muerte celular, involucrando el efecto neuroprotector de la hipotermia y el ketoprofeno.

ABSTRACT Objective To perform a systematic review investigating metacognition in bipolar disorder (BD). Secondary objectives include exploring clinical and sociodemographic correlates of metacognition in BD, how metacognition varies according to affective state, establishing a comparison with other mental disorders, and investigating whether metacognitive interventions in BD are effective or not. Methods A systematic review of the scientific literature on metacognition in BD patients was carried out. Original clinical studies on the subject were searched in the Medline, ISI, PsycINFO and SciELO databases. The search terms included were: “metacognition” OR “metacognitive” OR “metamemory” AND “bipolar” OR “mania” OR “manic”. Results A total of nine articles were selected. Metacognition appears to be more impaired in BD than in controls, but less impaired than in schizophrenia. There seems to be no difference between bipolar and unipolar depression regarding metacognitive capacity. Higher educational level and longer duration of illness seem to be associated with better metacognitive capacity, while higher severity of BD symptoms is linked to worse metacognition. Metacognitive training in BD patients is a promising clinical perspective. Conclusion Studies on metacognition in BD are scarce, but the existing literature indicates potential clinical and sociodemographic factors associated with poorer metacognition in the disorder, also suggesting that metacognitive therapeutic interventions may be clinically relevant for the management of BD.

RESUMO Objetivo Realizar uma revisão sistemática investigando a metacognição no transtorno bipolar (TB). Os objetivos secundários incluem explorar os correlatos clínicos e sociodemográficos da metacognição no TB e como a metacognição varia de acordo com o estado afetivo, estabelecer uma comparação com outros transtornos mentais e investigar se as intervenções metacognitivas no TB são eficazes ou não. Métodos Realizou-se uma revisão sistemática da literatura científica sobre a metacognição em pacientes com TB. Foram buscados estudos clínicos originais sobre o tema nas bases de dados Medline, ISI , PsycINFO e SciELO. Os termos de busca empregados foram: “metacognition” OR “metacognitive” OR “metamemory” AND “bipolar” OR “mania” OR “manic” . Resultados Foram selecionados nove artigos. A metacognição parece estar mais prejudicada no TB do que em controles e menos prejudicada do que na esquizofrenia. Por sua vez, parece não haver diferença entre bipolares e deprimidos unipolares quanto à capacidade metacognitiva. Maior nível educacional e maior duração da doença parecem estar associados a uma melhor capacidade metacognitiva, enquanto a maior gravidade dos sintomas de TB está associada a uma pior metacognição. O treinamento metacognitivo em pacientes com TB é uma perspectiva clínica promissora. Conclusão Os estudos sobre metacognição no TB são escassos, mas a literatura existente indica possíveis fatores clínicos e sociodemográficos associados a pior metacognição no transtorno, sugerindo também que intervenções terapêuticas metacognitivas podem ser clinicamente relevantes para o manejo do TB.

RESUMO Dentre todas as oleaginosas que estão sendo pesquisadas atualmente no Brasil para produção de biodiesel, o crambe, Crambe abyssinica Hochst, vem se revelando como uma das mais promissoras. Neste trabalho estudou-se a reação de crambe aos fitonematoides Meloidogyne javanica e M. incognita raça 3, em casa-de-vegetação. Para os ensaios adotou-se o delineamento em blocos casualizados com cinco níveis de inóculos (350, 700, 1400, 2800 e 5600 ovos) e dez repetições. Plantas de crambe sem inoculação de ovos foram usadas como controle e para comprovar a viabilidade dos inóculos dos nematoides usou-se tomateiros inoculados com 2000 ovos. A parcela constituiu-se de um vaso contendo uma planta. Após quarenta e cinco dias da inoculação dos nematoides, determinou-se o número de galhas, de massas de ovos e de ovos+ juvenis de segundo estádio (J2) por raiz, o número de J2 por 200 cm3 de solo e o peso de matéria seca. Determinou-se também o fator de reprodução (FR). A classificação da resistência aos fitonematoides foi feita utilizando o critério do fator de reprodução (FR). O crambe comportou-se como suscetível em todos os níveis de inóculo e observou-se ajuste do modelo linear para todas as variáveis nematológicas (galhas, massas, J2, ovos e FR) avaliadas.

ABSTRACT Several oilseed plants have been researched for biodiesel production in Brazil, and Crambe abyssinica Hochst is one of the most promising species. The effect of the phytonematodes M. incognita race 3 and Meloidogyne javanica on C. abyssinica plants was evaluated in greenhouse experiments. A randomized block design with five nematode inoculum levels (350, 700, 1400, 2800, and 5600 eggs) and ten replications was used. C. abyssinica plants without inoculation were used as controls, and the viability of the nematodes used was tested in tomato plants inoculated with 2000 eggs. The plots consisted of pots containing one plant. The number of root knots (NG), number of egg masses (NEM), and number of eggs + second-stage juveniles (NEJ2) per root system, number of J2 per 200 cm3 of soil (NJ2), and shoot dry weight (SDW) of the inoculated C. abyssinica plants were evaluated at 45 days after inoculation. The reproduction factor (RF) of the nematodes was also evaluated. The resistance of the plants to the phytonematodes was classified using the RF criterion. Crambe abyssinica plants are susceptible to the different inoculum levels of Meloidogyne javanica and M. incognita used, and the data of all nematode variables (NG, NEM, NEJ2, NJ2, and RF) were fitted by linear models.

Abstract The presence of stachyose and raffinose is considered an antinutritional factor for humans and monogastric animals, leading to limitations on soybean consumption as a protein source. In the present study, the effect of a mutation in the raffinose synthase 2 gene was measured on soybean quality traits. We used an F2 population with 168 soybean individuals developed by crossing four soybean lines and evaluated oil, protein, sucrose, raffinose, stachyose and fatty acid contents and their relationships. The mutation explained 69.61%, 51.81% and 31.96% of stachyose, raffinose and sucrose variation, respectively, and we were able to produce soybean with average stachyose of 0.18%. The low coefficients of determination for protein and oil indicate that the mutation can be used to increase sucrose and reduce raffinose and stachyose content without major changes in oil and protein.

In this work, discarded soda-lime-silica glass bottles and tobacco residue (after oil extraction to produce biodiesel) were prepared in different formulations to obtain glass foams. The formulated compositions were homogenized and uniaxially compacted at 40 MPa then fired at 850 ºC and 900 ºC for 60 min to investigate the effects of tobacco residue and temperature in thermal and mechanical properties of the glass foams. The results show that glass foams obtained are promising materials for applications where thermal insulation and mechanical strength are desired, with values of 0.087 W.m-1K-1 and 2.1 MPa, respectively for 45% of the tobacco residue that was added to the glass foam and fired at 850 ºC. These characteristics occur through a suitable combination of thermal conductivity and compressive strength, showing advantageous properties for applications in sustainable constructions and industrial energy efficiency.

Resumo Introdução Nos últimos anos, a associação entre temperamento e características clínicas dos transtornos de humor tem sido estudada. A maioria dos pacientes bipolares apresenta déficits na consciência de sinais e sintomas. A relação entre temperamento afetivo e insight em pacientes bipolares não tem sido relatada na literatura até o momento. Objetivo Avaliar a relação entre temperamento afetivo e insight no transtorno bipolar. Métodos Um grupo de 65 pacientes bipolares foi acompanhado por um ano. Os pacientes foram submetidos a uma avaliação clínica utilizando os critérios do Manual Diagnóstico e Estatístico de Transtornos Mentais, 5ª edição (DSM-5). O insight foi avaliado através da Escala de Insight para Transtornos Afetivos (ISAD), e o temperamento afetivo, através da TEMPS-Rio de Janeiro. A relação entre temperamento afetivo e insight foi explorada usando correlações de Spearman entre os escores de cada item da ISAD e as subescalas da TEMPS-Rio de Janeiro. Resultados Nas fases eutímicas, os bipolares com temperamento depressivo relacionaram-se com maior nível de insight sobre as consequências do transtorno; quando em mania, apresentaram melhor insight sobre ter um transtorno afetivo, apresentar alterações psicomotoras e sofrer de culpa ou grandiosidade. Da mesma forma, bipolares com maiores escores de temperamento ansioso, quando em mania, tiveram melhor percepção sobre alterações na atenção. Bipolares com escores mais altos de temperamento hipertímico, quando em mania, mostraram o pior insight sobre o curso do pensamento. Conclusão O nível de insight em pacientes bipolares, além de ser determinado pela fase da doença e por diversos sintomas, é influenciado pelo temperamento afetivo.

Abstract Introduction In recent years, the association between temperament and clinical characteristics of mood disorders has been studied. Most bipolar patients show deficits in their awareness of signs and symptoms. The relationship between affective temperament and insight in bipolar patients has not been carried out in the literature so far. Objective To evaluate the relationship between affective temperament and insight in bipolar disorder. Method A group of 65 bipolar patients were followed during a year. Patients underwent a clinical assessment and were diagnosed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Insight was evaluated through the Insight Scale for Affective Disorders (ISAD), and affective temperament, through the TEMPS-Rio de Janeiro. The relationship between affective temperament and insight was explored with Spearman rho correlations between scores on each item of the ISAD and on the TEMPS-Rio de Janeiro subscales. Results In euthymic phases, bipolars with depressive temperament were associated with a higher level of insight about the consequences of the disorder; when in mania, patients showed better insight about having an affective disorder, presenting psychomotor alterations, and suffering from guilt or grandiosity. Similarly, bipolar patients with higher scores of anxious temperament, when in mania, had better insight on alterations in attention. Bipolar patients with higher scores of hyperthymic temperament, when in mania, showed the worst insight about thought disorder. Conclusion In addition to being determined by the phase of the disease and several varying symptoms, the level of insight in bipolar patients is also influenced by affective temperament.

Resumo Introdução O estado afetivo pode influenciar o insight , especialmente a mania. No entanto, até o momento os estudos mostram que a depressão parece não prejudicar significativamente o insight . De acordo com o conhecimento dos autores, este estudo é pioneiro em avaliar como as alterações de insight na depressão bipolar se correlacionam com variáveis clínicas. Método Um grupo de 165 pacientes bipolares, com 52 pacientes apresentando episódios depressivos de acordo com os critérios do DSM-5, foi acompanhado por um ano. Os pacientes foram submetidos a avaliação clínica, e o insight foi avaliado utilizandose a Insight Scale for Affective Disorders (ISAD). Diferenças no insight de acordo com o objeto foram investigadas utilizandose ANOVA de medidas repetidas, comparando os escores dos quatro fatores da ISAD ( insight sobre sintomas, sobre sua condição, autoestima e relações sociais). Análises de correlação exploraram quais sintomas clínicos estiveram associados a redução de insight . Resultados Pior insight total correlacionou-se com ideação/tentativa de suicídio e com sintomas subsindrômicos de mania (elevação do humor, energia aumentada e interesse sexual). Pior insight sobre autoestima associou-se não somente a ideação/tentativa de suicídio, mas também a redução de atividade e alentecimento psicomotor. Pior insight sobre sintomas também mostrou correlação com alentecimento psicomotor. Melhor insight sobre ter uma doença afetiva associou-se a sintomas hipocondríacos mais intensos. Finalmente, pior insight sobre a condição esteve associado a sintomas psicóticos. Conclusão O estudo mostrou que, além da psicose, outros sintomas parecem se correlacionar com prejuízo de insight na depressão bipolar, como ideação suicida, redução de atividade e alentecimento psicomotor.

Abstract Introduction Affective state may influence insight, especially regarding mania. Nevertheless, studies have so far suggested that depression seems not to significantly impair insight. To the best of our knowledge, this study pioneers the evaluation of how insight variations in bipolar depression correlate with clinical variables. Method A group of 165 bipolar patients, 52 of whom had depressive episodes according to DSM-5 criteria, were followed during a year. All patients underwent clinical assessment, and insight was evaluated through the Insight Scale for Affective Disorders (ISAD). Repeated-measures ANOVA was calculated comparing scores on the four ISAD factors (insight into symptoms, the condition itself, self-esteem and social relationships) in order to investigate differences in insight according to different objects. Correlational analysis explored which clinical symptoms were linked to reduced insight. Results Worse total insight correlated with suicide attempt/ideation and fewer subsyndromal manic symptoms such as mood elevation, increased energy and sexual interest. Worse self-esteem insight was associated with not only suicide ideation/attempt but also with activity reduction and psychomotor retardation. Worse symptom insight also correlated with psychomotor retardation. Better insight into having an affective disorder was associated with more intense hypochondria symptoms. Finally, worse insight into having an illness was associated with psychotic episodes. Conclusion Our study found that symptoms other than psychosis – suicide ideation, psychomotor retardation and reduction of activity and work – correlate with insight impairment in bipolar depression.

RESUMO Objetivo: O artigo tem como objetivo descrever o processo de tradução e adaptação da Escala de Catatonia Bush-Francis (ECBF) e de sua versão reduzida (ICBF) para o Português, bem como sua validação. Métodos: O processo de equivalência semântica foi realizado em quatro passos: tradução, retro-tradução, avaliação da equivalência semântica e estudo-piloto. A validação consistiu em aplicações dos instrumentos em português simultâneas por dois avaliadores em 30 pacientes com catatonia e 30 pacientes sem catatonia. Resultados: Média dos escores totais em pacientes catatônicos foi de 20,07 para a versão completa e 7,80 para versão reduzida, contra 0,47 e 0,20 em pacientes não-catatônicos respectivamente. Valores gerais para confiabilidade inter-observador dos instrumentos foi de 0,97 para ICBF e 0,96 para ECBF. Conclusão: A versão em Português da escala provou ser válida e capaz de diferenciar pacientes catatônicos daqueles sem catatonia. Também mostrou ser confiável, com índices inter-avaliadores tão altos quanto no instrumento original.

ABSTRACT Objective: This article aims to describe the adaptation and translation process of the Bush-Francis Catatonia Rating Scale (BFCRS) and its reduced version, the Bush-Francis Catatonia Screening Instrument (BFCSI) for Brazilian Portuguese, as well as its validation. Methods: Semantic equivalence processes included four steps: translation, back translation, evaluation of semantic equivalence and a pilot-study. Validation consisted of simultaneous applications of the instrument in Portuguese by two examiners in 30 catatonic and 30 non-catatonic patients. Results: Total scores averaged 20.07 for the complete scale and 7.80 for its reduced version among catatonic patients, compared with 0.47 and 0.20 among non-catatonic patients, respectively. Overall values of inter-rater reliability of the instruments were 0.97 for the BFCSI and 0.96 for the BFCRS. Conclusion: The scale's version in Portuguese proved to be valid and was able to distinguish between catatonic and non-catatonic patients. It was also reliable, with inter-evaluator reliability indexes as high as those of the original instrument.