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Joaquin Paz

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Research paper thumbnail of As malforma��es cong�nitas nas interna��es dos hospitais de Ribeir�o Preto, SP, Brasil

Research paper thumbnail of As malformações congênitas nas internações dos hospitais de Ribeirão Preto, SP, Brasil

Revista de Saúde Pública, 1978

São apresentados os dados sobre internações por malformações congênitas registradas pelo Centro d... more São apresentados os dados sobre internações por malformações congênitas registradas pelo Centro de Processamento de Dados Hospitalares do Departamento de Medicina Social da Faculdade de Medicina de Ribeirão Preto, USP, desde 19 de janeiro de 1970 a 30 de julho de 1974 em sete estabelecimentos hospitalares. Tais internações participam com 1,48% no total de internações, excluindo-se as causas acidentais. Encontrou-se que as distribuições de diagnósticos principais e secundários classificados por tipo de malformação são significantemente diferentes; descreveu-se a participação de cada estabelecimento nestas internações. Do mesmo modo, encontrou-se um incremento significativo na percentagem de internações por malformações congênitas com o transcurso de tempo, o que é atribuído ao Hospital das Clínicas exclusivamente. Apresentou-se a percentagem de mortalidade por diagnóstico, as razões de sexo e a duração média das internações, encontrando-se nesta última que é maior que a média do tota...

Research paper thumbnail of Archaeology of the Anthropocene

Journal of Contemporary Archaeology, 2014

What role will archaeology play in the Anthropocene – the proposed new geological epoch marked by... more What role will archaeology play in the Anthropocene – the proposed new geological epoch marked by human impact on Earth systems? That is the question discussed by thirteen archaeologists and other scholars from five continents in this thought-provoking forum. Their responses are diverse and wide-ranging. While Edward Harris looks to archaeological stratigraphy for a material paradigm of the Anthropocene, Alice Gorman explores the extent of human impact on orbital space and lunar surfaces – challenging the assumption that the Anthropocene is confined to Earth. Jeff Benjamin investigates the sounds of the Anthropocene. Paul Graves-Brown questions the idea that the epoch had its onset with the invention of the steam engine, while Mark Hudson uses Timothy Morton’s concept of hyperobjects to imagine the dark artefacts of the future. Victor Paz doubts the practical relevance of the concept to archaeological chronologies, and Bruce Clarke warns archaeologists to steer clear of the Anthropo...

Research paper thumbnail of Major Depression and Its Response to Sertraline in Primary Care vs. Psychiatric Office Practice Patients

Psychosomatics, 1999

Great strides have been achieved in recent years in the detection and treatment of major depressi... more Great strides have been achieved in recent years in the detection and treatment of major depressive disorder (MDD) in primary care settings. Little is known about the types or patients with MDD seen in primary care as compared with those seen in psychiatric office practice. Few studies have compared clinical outcomes after treatment with antidepressants in these two settings. In Argentina, the authors conducted an open-label treatment study of MDD patients in primary care (n‫)964ס‬ and psychiatric office practice (n‫.)992ס‬ The patients were compared on baseline sociodemographic and clinical variables. These same patients were treated with sertraline 50-100 mg per day for 8 weeks. At baseline, the patients in psychiatric office practice were younger, more likely to abuse alcohol, less likely to have comorbid medical disorders, and more likely to have failed a prior treatment for depression during the current episode. The two groups did not differ significantly on depression severity or in depressive symptom profile on the Hamilton Depression Rating Scale (Ham-D). After 8 weeks of treatment, mean Ham-D scores were reduced comparably in both groups, from about 25 to about 10. Rates of adverse events were 14%-29%, depending on the follow-up interval. Adherence with treatment was high in both groups (over 95%). The patients in primary care and psychiatry office practice are similar in several ways. Significant reductions in depressive symptoms are possible in both settings, in large numbers of patients, by using doses of sertraline in the 50-100 mg range.

Research paper thumbnail of An Open-Label Trial of Sertraline for the Treatment of Major Depression in Primary Care

Annals of Clinical Psychiatry, 1999

Research paper thumbnail of As malforma��es cong�nitas nas interna��es dos hospitais de Ribeir�o Preto, SP, Brasil

Research paper thumbnail of As malformações congênitas nas internações dos hospitais de Ribeirão Preto, SP, Brasil

Revista de Saúde Pública, 1978

São apresentados os dados sobre internações por malformações congênitas registradas pelo Centro d... more São apresentados os dados sobre internações por malformações congênitas registradas pelo Centro de Processamento de Dados Hospitalares do Departamento de Medicina Social da Faculdade de Medicina de Ribeirão Preto, USP, desde 19 de janeiro de 1970 a 30 de julho de 1974 em sete estabelecimentos hospitalares. Tais internações participam com 1,48% no total de internações, excluindo-se as causas acidentais. Encontrou-se que as distribuições de diagnósticos principais e secundários classificados por tipo de malformação são significantemente diferentes; descreveu-se a participação de cada estabelecimento nestas internações. Do mesmo modo, encontrou-se um incremento significativo na percentagem de internações por malformações congênitas com o transcurso de tempo, o que é atribuído ao Hospital das Clínicas exclusivamente. Apresentou-se a percentagem de mortalidade por diagnóstico, as razões de sexo e a duração média das internações, encontrando-se nesta última que é maior que a média do tota...

Research paper thumbnail of Archaeology of the Anthropocene

Journal of Contemporary Archaeology, 2014

What role will archaeology play in the Anthropocene – the proposed new geological epoch marked by... more What role will archaeology play in the Anthropocene – the proposed new geological epoch marked by human impact on Earth systems? That is the question discussed by thirteen archaeologists and other scholars from five continents in this thought-provoking forum. Their responses are diverse and wide-ranging. While Edward Harris looks to archaeological stratigraphy for a material paradigm of the Anthropocene, Alice Gorman explores the extent of human impact on orbital space and lunar surfaces – challenging the assumption that the Anthropocene is confined to Earth. Jeff Benjamin investigates the sounds of the Anthropocene. Paul Graves-Brown questions the idea that the epoch had its onset with the invention of the steam engine, while Mark Hudson uses Timothy Morton’s concept of hyperobjects to imagine the dark artefacts of the future. Victor Paz doubts the practical relevance of the concept to archaeological chronologies, and Bruce Clarke warns archaeologists to steer clear of the Anthropo...

Research paper thumbnail of Major Depression and Its Response to Sertraline in Primary Care vs. Psychiatric Office Practice Patients

Psychosomatics, 1999

Great strides have been achieved in recent years in the detection and treatment of major depressi... more Great strides have been achieved in recent years in the detection and treatment of major depressive disorder (MDD) in primary care settings. Little is known about the types or patients with MDD seen in primary care as compared with those seen in psychiatric office practice. Few studies have compared clinical outcomes after treatment with antidepressants in these two settings. In Argentina, the authors conducted an open-label treatment study of MDD patients in primary care (n‫)964ס‬ and psychiatric office practice (n‫.)992ס‬ The patients were compared on baseline sociodemographic and clinical variables. These same patients were treated with sertraline 50-100 mg per day for 8 weeks. At baseline, the patients in psychiatric office practice were younger, more likely to abuse alcohol, less likely to have comorbid medical disorders, and more likely to have failed a prior treatment for depression during the current episode. The two groups did not differ significantly on depression severity or in depressive symptom profile on the Hamilton Depression Rating Scale (Ham-D). After 8 weeks of treatment, mean Ham-D scores were reduced comparably in both groups, from about 25 to about 10. Rates of adverse events were 14%-29%, depending on the follow-up interval. Adherence with treatment was high in both groups (over 95%). The patients in primary care and psychiatry office practice are similar in several ways. Significant reductions in depressive symptoms are possible in both settings, in large numbers of patients, by using doses of sertraline in the 50-100 mg range.

Research paper thumbnail of An Open-Label Trial of Sertraline for the Treatment of Major Depression in Primary Care

Annals of Clinical Psychiatry, 1999

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