Neuropsychological and functional outcomes in recent-onset major depression, bipolar disorder and schizophrenia-spectrum disorders: a longitudinal cohort study

Functional disability is the lead contributor to burden of mental illness. Cognitive deficits frequently limit functional recovery, although whether changes in cognition and disability are longitudinally associated in recent-onset individuals remains unclear. Using a prospective, cohort design, 311 patients were recruited and assessed at baseline. One hundred and sixty-seven patients met eligibility criteria (M = 21.5 years old, s.d. = 4.8) and returned for follow-up (M = 20.6 months later, s.d. = 7.8). Two-hundred and thirty participants were included in the final analysis, comprising clinically stable patients with major depression (n = 71), bipolar disorder (BD; n = 61), schizophrenia-spectrum disorders (n = 35) and 63 healthy controls. Neuropsychological functioning and self-rated functional disability were examined using mixed-design, repeated-measures analysis, across diagnoses and cognitive clusters, covarying for relevant confounds. Clinical, neuropsychological and functional changes did not differ between diagnoses (all P40.05). Three reliable neuropsychological subgroups emerged through cluster analysis, characterized by psychomotor slowing, improved sustained attention, and improved verbal memory. Controlling for diagnosis and changes in residual symptoms, clusters with improved neuropsychological functioning observed greater reductions in functional disability than the psychomotor slowing cluster, which instead demonstrated a worsening in disability (Po0.01). Improved sustained attention was independently associated with greater likelihood of follow-up employment (Po0.01). Diagnosis of BD uniquely predicted both follow-up employment and independent living. Neuropsychological course appears to be independently predictive of subjective and objective functional outcomes. Importantly, cognitive phenotypes may reflect distinct pathophysiologies shared across major psychiatric conditions, and be ideal targets for personalized early intervention

Structure of the Cytoplasmic Loop between Putative Helices II and III of the Mannitol Permease of Escherichia coli: A Tryptophan and 5-Fluorotryptophan Spectroscopy Study

In this work, four single tryptophan (Trp) mutants of the dimeric mannitol transporter of Escherichia coli, EIImtl, are characterized using Trp and 5-fluoroTrp (5-FTrp) fluorescence spectroscopy. The four positions, 97, 114, 126, and 133, are located in a region shown by recent studies to be involved in the mannitol translocation process. To spectroscopically distinguish between the Trp positions in each subunit of dimeric EIImtl, 5-FTrp was biosynthetically incorporated because of its much simpler photophysics compared to those of Trp. The steady-state and time-resolved fluorescence methodologies used point out that all four positions are in structured environments, both in the absence and in the presence of a saturating concentration of mannitol. The fluorescence decay of all 5-FTrp-containing mutants was highly homogeneous, suggesting similar microenvironments for both probes per dimer. However, Stern-Volmer quenching experiments using potassium iodide indicate different solvent accessibilities for the two probes at positions 97 and 133. A 5 Å two-dimensional (2D) projection map of the membrane-embedded IICmtl dimer showing 2-fold symmetry is available. The results of this work are in better agreement with a 7 Å projection map from a single 2D crystal on which no symmetry was imposed.

Size and shape of the repetitive domain of high molecular weight wheat gluten proteins. 1. Small angle neutron scattering

The solution structure of the central repetitive domain of high molecular weight (HMW) wheat gluten proteins has been investigated for a range of concentrations and temperatures using mainly small-angle neutron scattering. A representative part of the repetitive domain (dBl) was studied as well as an "oligomer" basically consisting of four dBl units, which has a length similar to the complete central domain. The scattering data over the entire angular range of both proteins are in quantitative agreement with a structural model based on a worm-like chain, a model frequently used in polymer theory. This model describes the "supersecondary, structure" of dBl and dB4 as a semiflexible cylinder with a length of about 235 and 900 Angstrom, respectively, and a cross-sectional diameter of about 15 Angstrom. The flexibility of both proteins is characterized by a persistence length of about 13 Angstrom. Their structures are thus quantitatively identical, which implies that the central HMW domain can be elongated while retaining its structural characteristics. It seems conceivable that the flexible cylinder results from a helical structure, which resembles the beta-spiral observed in earlier studies on gluten proteins and elastin. However, compared to the previously, proposed structure of a (stiff) rod, our experiments clearly indicate flexibility of the cylinder. (C) 2003 Wiley Periodicals, Inc

Projet ITAC - L'accessibilité au cégep pour tous : informatique et technologies adaptées dans les cégeps pour les étudiants ayant des handicaps /

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Practical Parallel External Memory Algorithms via Simulation of Parallel Algorithms

This thesis introduces PEMS2, an improvement to PEMS (Parallel External Memory System). PEMS executes Bulk-Synchronous Parallel (BSP) algorithms in an External Memory (EM) context, enabling computation with very large data sets which exceed the size of main memory. Many parallel algorithms have been designed and implemented for Bulk-Synchronous Parallel models of computation. Such algorithms generally assume that the entire data set is stored in main memory at once. PEMS overcomes this limitation without requiring any modification to the algorithm by using disk space as memory for additional "virtual processors". Previous work has shown this to be a promising approach which scales well as computational resources (i.e. processors and disks) are added. However, the technique incurs significant overhead when compared with purpose-built EM algorithms. PEMS2 introduces refinements to the simulation process intended to reduce this overhead as well as the amount of disk space required to run the simulation. New functionality is also introduced, including asynchronous I/O and support for multi-core processors. Experimental results show that these changes significantly improve the runtime of the simulation. PEMS2 narrows the performance gap between simulated BSP algorithms and their hand-crafted EM counterparts, providing a practical system for using BSP algorithms with data sets which exceed the size of RAM

On Empathy and Appeasement

In an effort to complicate the commonplace understanding of empathy as an uncomplicated good, the author draws on her experience of sibling abuse to distinguish between empathy and appeasement. Because both rely on perspective-taking, empathy and appeasement are often conflated, but this essay demonstrates the importance of recognizing that empathy originates in courage and appeasement in fear. Abuse victims will recognize this important difference quickly enough; we need others espousing the value of empathy to recognize the difference as well

Shedding the Story

After too many years of carrying an abuse story around, the author decides it\u27s time to shed it. What do we do with stories that we outgrow