Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients

BACKGROUND

Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research.

METHOD

Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored <20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria.

RESULTS

PCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2-75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4-65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8-100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group.

CONCLUSIONS

Both proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.

Consistency of crown rust evaluation in ryegrass cultivars

Crown rust (Puccinia coronata) is the most important leaf disease in forage ryegrasses (Lolium spp.). In order to evaluate the stability in space and time of crown rust resistance a multisite rust evaluation trial was established by the European breeders association Eucarpia ( Fodder Crops Section). The same seed lots of 33 perennial ryegrass (Lolium perenne) and 18 Italian ryegrass (Lolium multiflorum) varieties were sown in April 2001, 2004 and 2007 at 27 European sites. This paper reports the temporal ranking of the ryegrass varieties for their crown rust susceptibility at the Belgian site and compares this ranking with the mean ranking over the European sites. The crown rust susceptibility was scored in September of each sowing year and of the year after. The rankings of both the perennial and the Italian ryegrass varieties were well correlated between the successive yearly observations at each sowing period. Also the rankings of the varieties of both species were similar over the 3 sowing periods. The rankings at the Belgian site corresponded very well with the mean ranking over the European sites. The crown rust resistance in ryegrass seems to be durable and consistent over a great part of Europe.

Clinical comparison of an adhesive precoated vs. an uncoated ceramic bracket system

OBJECTIVES

To clinically evaluate the bond characteristics of the adhesive precoated ceramic (APC) Clarity bracket and compare it with the uncoated Clarity bracket used with Transbond XT bonding system. Design - A randomized clinical trial. SETTINGS AND SAMPLE POPULATION: Department of Orthodontics, Katholieke Universiteit Leuven. Twenty patients requiring bonded fixed orthodontic appliance from central incisor to second bicuspid.

EXPERIMENTAL VARIABLE

APC Clarity brackets were bonded in the first and fourth quadrant of group 1 and in the second and third quadrant of group 2. Uncoated Clarity brackets were bonded with Transbond XT in the second and third quadrant of group 1 and in the first and fourth quadrant of group 2.

OUTCOME MEASURE

During orthodontic treatment, bracket failures were registered. At debonding, the tooth surfaces were intraorally scored according to the Adhesive Remnant Index.

RESULTS

During treatment one tie wing fractured in the APC group and no bond failures occurred. At debonding, no significant differences between the APC and Transbond XT could be shown in any of the quadrants.

CONCLUSION

The two groups performed identically.

Identification of five new blast resistance genes in the highly blast-resistant rice variety IR64 using a QTL mapping strategy

Rice progenies used for the construction of genetic maps permit exhaustive identification and characterization of resistance genes present in their parental cultivars. We inoculated a rice progeny derived from the cross IR64 x Azucena with different Magnaporthe grisea isolates that showed differential responses on the parental cultivars. By QTL mapping, nine unlinked loci conferring resistance to each isolate were identified and named Pi-24( t) to Pi-32( t). They could correspond to nine specific resistance genes. Five of these resistance loci (RLs) were mapped at chromosomal locations where no resistance gene was previously reported, defining new resistance genes. Using degenerate primers of the NBS (nucleotide binding site) motif found in many resistance genes, two resistance gene analogues (RGAs) IR86 and IR14 were identified and mapped closely to two blast RLs (resistance identified in this study, i.e. Pi-29(t) and Pi-30(t) respectively). These two RLs may correspond to the Pi-11 and Pi-a blast resistance genes previously identified. Moreover, the ir86 and ir14 genes have been identified "in silico" on the indica rice cultivar 93-11, recently sequenced by Chinese researchers. Both genes encodes NBS-LRR-like proteins that are characteristics of plant-disease resistance genes.

The effect of type 1 astrocytes on neuronal complexity: a fractal analysis

Embryonic, ventral spinal cord neurons were grown on poly(d-lysine) (PDL) or on a monolayer of type 1 astrocytes. At various times from 6 h to 2 weeks postplating, cells were fluorescently labeled and fixed with 4% paraformaldehyde. The cell surface immunoreaction allowed visualization of neurons in their entirety, namely, cell bodies and various membranous extensions that included lamellipodia, growth cones, axons, and dendrites. Outlines were drawn for individual neurons and their fractal dimension (D) was calculated. Neurons on poly(d-lysine) reached a peak D at 3 days in vitro, 1 day later than neurons on astrocytes (2 days in vitro). The maximum D was greater for cells on poly(d-lysine) when compared with neurons on astrocytes. In a second experiment the maximum D was similar for neurons on both surfaces but neurons on PDL maintained a higher D for a much longer period than neurons on astrocytes. An examination of fluorescent images revealed that neurons on poly(d-lysine) exhibited lamellipodia and large growth cones for several days and these structures were likely responsible for the high D seen in these cells. These structures were rarely observed in neurons plated on astrocytes. Interestingly, D on both surfaces decreased to a similar value at between 1 and 2 weeks in vitro. The trend for D in these cultures, an initial increase to a peak value followed by a decrease to a stable value, is discussed in light of the chemical nature of the two surfaces and synapse formation and stabilization.