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The Neotropical region is the most diverse on the planet, largely owing to its mosaic of tropical rainforests. Multiple tectonic and climatic processes have been hypothesized to contribute to generating this diversity, including Andean orogeny, the closure of the Isthmus of Panama, the GAARlandia land bridge and historical connections among currently isolated forests. Micrathena spiders are diverse and widespread in the region, and thus a complete phylogeny of this genus allows the testing of hypotheses at multiple scales. We estimated a complete, dated phylogeny using morphological data for 117 Micrathena species and molecular data of up to five genes for a subset of 79 species. Employing eventc-based approaches and biogeographic stochastic mapping while considering phylogenetic uncertainty, we estimated ancestral distributions, the timing and direction of dispersal events and diversification rates among areas. The phylogeny is generally robust, with uncertainty in the position of some of the species lacking sequences. Micrathena started diversifying around 25 Ma. Andean cloud forests show the highest in-situ speciation, while the Amazon is the major dispersal source for adjacent areas. The Dry Diagonal generated few species and is a sink of diversity. Species exchange between Central and South America involved approximately 23 dispersal events and started ~20 Ma, which is consistent with a Miocene age for the Isthmus of Panama closure. We inferred four dispersal events from Central America to the Antilles in the last 20 Myr, indicating the spiders did not reach the islands through the GAARlandia land bridge. We identified important species exchange routes among the Amazon, Andean cloud forests and Atlantic forests during the Plio-Pleistocene. Sampling all species of the genus was fundamental to the conclusions above, especially in identifying the Andean forests as the area that generated the majority of species. This highlights the importance of complete taxonomic sampling in biogeographic studies.

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Introduction: Feeding infants a sub-optimal diet deprives them of critical nutrients for their physical and cognitive development. The objective of this study is to describe the intake of foods of low nutritional value (junk foods) and identify the association with growth and developmental outcomes in infants up to 18 months in low-resource settings. Methods: This is a secondary analysis of data from an iron-rich complementary foods (meat versus fortified cereal) randomized clinical trial on nutrition conducted in low-resource settings in four low- and middle-income countries (Democratic Republic of the Congo, Guatemala, Pakistan, and Zambia). Mothers in both study arms received nutritional messages on the importance of exclusive breastfeeding up to 6 months with continued breastfeeding up to at least 12 months. This study was designed to identify the socio-demographic predictors of feeding infants' complementary foods of low nutritional value (junk foods) and to assess the associations between prevalence of junk food use with neurodevelopment (assessed with the Bayley Scales of Infant Development II) and growth at 18 months. Results: 1,231 infants were enrolled, and 1,062 (86%) completed the study. Junk food feeding was more common in Guatemala, Pakistan, and Zambia than in the Democratic Republic of Congo. 7% of the infants were fed junk foods at 6 months which increased to 70% at 12 months. Non-exclusive breastfeeding at 6 months, higher maternal body mass index, more years of maternal and paternal education, and higher socioeconomic status were associated with feeding junk food. Prevalence of junk foods use was not associated with adverse neurodevelopmental or growth outcomes. Conclusion: The frequency of consumption of junk food was high in these low-resource settings but was not associated with adverse neurodevelopment or growth over the study period.

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Fungal infections are a major public health problem resulting from the lack of public policies addressing these diseases, toxic and/or expensive therapeutic tools, scarce diagnostic tests, and unavailable vaccines. In this Perspective, we discuss the need for novel antifungal alternatives, highlighting new initiatives based on drug repurposing and the development of novel antifungals.

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The Stomiiformes includes about 455 species of mostly mesopelagic fishes in the families Diplophidae, Gonostomatidae, Phosichthyidae, Sternoptychidae, and Stomiidae. Here we report 55 species of the order collected during the ABRACOS (Acoustics along the BRAzilian COaSt) expeditions off northeastern Brazil, including islands and seamounts of Fernando de Noronha Ridge. Triplophos hemingi (Diplophidae), Pachystomias microdon and Melanostomias biseriatus (Stomiidae) are recorded for the first time in the western South Atlantic. Eustomias bibulbosus, Grammatostomias ovatus and Photonectes achirus (Stomiidae) are recorded for the first time in the South Atlantic. Eustomias minimus (Stomiidae), previously known from four poorly preserved specimens, is reported for the first time in the Atlantic. Occurrences of 18 species are confirmed or recorded for the first time in the Brazilian Exclusive Economic Zone: Triplophos hemingi (Diplophidae), Gonostoma denudatum (Gonostomatidae), Aristostomias grimaldii, Astronesthes gudrunae, Bathophilus nigerrimus, Borostomias elucens, Eustomias bibulbosus, E. braueri, E. minimus, E. schmidti, Grammatostomias ovatus, G. dentatus, Leptostomias gladiator, Melanostomias biseriatus, M. bartonbeani, Pachystomias microdon, Photonectes achirus, and Photostomias goodyeari (Stomiidae). Diagnostic and distributional data for all species recorded are provided, with new anatomical information presented for Melanostomias bartonbeani and Grammatostomias ovatus. A checklist of the 108 species of Stomiiformes confirmed in Brazilian waters is also presented.(AU)

Stomiiformes inclui cerca de 455 espécies válidas de peixes principalmente mesopelágicos, distribuídos nas famílias Diplophidae, Gonostomatidae, Phosichthyidae, Sternoptychidae e Stomiidae. Aqui, relatamos a ocorrência de 55 espécies de Stomiiformes coletadas durante as expedições ABRACOS (Acoustics along the BRAzilian COaSt) no nordeste do Brasil, incluindo as ilhas e montes submarinos da Cadeia de Fernando de Noronha. Triplophos hemingi (Diplophidae), Pachystomias microdon e Melanostomias biseriatus (Stomiidae) são registradas pela primeira vez no Atlântico Sul ocidental. Eustomias bibulbosus, Grammatostomias ovatus e Photonectes achirus (Stomiidae) são registradas pela primeira vez no Atlântico Sul. Eustomias minimus (Stomiidae), anteriormente conhecida a partir de quatro espécimes mal preservados, é reportada pela primeira vez no Atlântico. A ocorrência de 18 espécies é confirmada ou registrada pela primeira vez na Zona Econômica Exclusiva brasileira: Triplophos hemingi (Diplophidae), Gonostoma denudatum (Gonostomatidae), Aristostomias grimaldii, Astronesthes gudrunae, Bathophilus nigerrimus, Borostomias elucens, Eustomias bibulbosus, E. braueri, E. minimus, E. schmidti, Grammatostomias ovatus, G. dentatus, Leptostomias gladiator, Melanostomias biseriatus, M. bartonbeani, Pachystomias microdon, Photonectes achirus, e Photostomias goodyeari (Stomiidae). Dados diagnósticos e de distribuição de todas as espécies registradas são fornecidos, com novas informações anatômicas para Melanostomias bartonbeani e Grammatostomias ovatus. Uma lista preliminar das 108 espécies de Stomiiformes confirmadas em águas brasileiras também é apresentada.(AU)

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OBJECTIVE: To evaluate the effects of early treatment with continuous positive airway pressure (CPAP) on nutritional intake and in-hospital growth rates of extremely preterm (EPT) infants. STUDY DESIGN: EPT infants (240/7-276/7 weeks of gestation) enrolled in the Surfactant Positive Airway Pressure and Pulse Oximetry Trial (SUPPORT) were included. EPT infants who died before 36 weeks of postmenstrual age (PMA) were excluded. The growth rates from birth to 36 weeks of PMA and follow-up outcomes at 18-22 months corrected age of EPT infants randomized at birth to either early CPAP (intervention group) or early intubation for surfactant administration (control group) were analyzed. RESULTS: Growth data were analyzed for 810 of 1316 infants enrolled in SUPPORT (414 in the intervention group, 396 in the control group). The median gestational age was 26 weeks, and the mean birth weight was 839 g. Baseline characteristics, total nutritional intake, and in-hospital comorbidities were not significantly different between the 2 groups. In a regression model, growth rates between birth and 36 weeks of PMA, as well as growth rates during multiple intervals from birth to day 7, days 7-14, days 14-21, days 21-28, day 28 to 32 weeks PMA, and 32-36 weeks PMA did not differ between treatment groups. Independent of treatment group, higher growth rates from day 21 to day 28 were associated with a lower risk of having a Bayley-III cognitive score <85 at 18-22 months corrected age (P = .002). CONCLUSIONS: EPT infants randomized to early CPAP did not have higher in-hospital growth rates than infants randomized to early intubation.

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ATPases belonging to the AAA+ superfamily are associated with diverse cellular activities and are mainly characterized by a nucleotide-binding domain (NBD) containing the Walker A and Walker B motifs. AAA+ proteins have a range of functions, from DNA replication to protein degradation. Rvbs, also known as RUVBLs, are AAA+ ATPases with one NBD domain and were described from human to yeast as participants of the R2TP (Rvb1-Rvb2-Tah1-Pih1) complex. Although essential for the assembly of multiprotein complexes-containing DNA and RNA, the protozoa Rvb orthologs are less studied. For the first time, this work describes the Rvbs from Leishmania major, one of the causative agents of Tegumentar leishmaniasis in human. Recombinant LmRUVBL1 and LmRUVBL2 his-tagged proteins were successfully purified and investigated using biophysical tools. LmRUVBL1 was able to form a well-folded elongated hexamer in solution, while LmRUVBL2 formed a large aggregate. However, the co-expression of LmRUVBL1 and LmRUVBL2 assembled the proteins into an elongated heterodimer in solution. Thermo-stability and fluorescence experiments indicated that the LmRUVBL1/2 heterodimer had ATPase activity in vitro. This is an interesting result because hexameric LmRUVBL1 alone had low ATPase activity. Additionally, using independent SL-RNAseq libraries, it was possible to show that both proteins are expressed in all L. major life stages. Specific antibodies obtained against LmRUVBLs identified the proteins in promastigotes and metacyclics cell extracts. Together, the results here presented are the first step towards the characterization of Leishmania Rvbs, and may contribute to the development of possible strategies to intervene against leishmaniasis, a neglected tropical disease of great medical importance.

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OBJECTIVE: To investigate if magnetic resonance imaging (MRI) is an accurate predictor for death or moderate-severe disability at 18-22 months of age among infants with neonatal encephalopathy in a trial of cooling initiated at 6-24 hours. STUDY DESIGN: Subgroup analysis of infants ≥36 weeks of gestation with moderate-severe neonatal encephalopathy randomized at 6-24 postnatal hours to hypothermia or usual care in a multicenter trial of late hypothermia. MRI scans were performed per each center's practice and interpreted by 2 central readers using the Eunice Kennedy Shriver National Institute of Child Health and Human Development injury score (6 levels, normal to hemispheric devastation). Neurodevelopmental outcomes were assessed at 18-22 months of age. RESULTS: Of 168 enrollees, 128 had an interpretable MRI and were seen in follow-up (n = 119) or died (n = 9). MRI findings were predominantly acute injury and did not differ by cooling treatment. At 18-22 months, death or severe disability occurred in 20.3%. No infant had moderate disability. Agreement between central readers was moderate (weighted kappa 0.56, 95% CI 0.45-0.67). The adjusted odds of death or severe disability increased 3.7-fold (95% CI 1.8-7.9) for each increment of injury score. The area under the curve for severe MRI patterns to predict death or severe disability was 0.77 and the positive and negative predictive values were 36% and 100%, respectively. CONCLUSIONS: MRI injury scores were associated with neurodevelopmental outcome at 18-22 months among infants in the Late Hypothermia Trial. However, the results suggest caution when using qualitative interpretations of MRI images to provide prognostic information to families following perinatal hypoxia-ischemia. TRIAL REGISTRATION: Clinicaltrials.gov: NCT00614744.

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Paciente femenina de 35 años de edad con color de la piel blanca, con antecedentes de cefalea migrañosa. Comenzó con manifestaciones purpúreas en forma de petequias y equimosis diseminadas por todo el cuerpo; palidez cutánea mucosa e íctero en piel y esclera, además de coluria. Se realizaron estudios hematológicos, humorales e inmunológicos. Es atendida en la sala de Medicina Interna del Hospital General Docente Comandante Pinares. Con evolución satisfactoria al tratamiento con esteroides y la inmunoglobulina intravenosa. Se realizó la discusión diagnóstica del caso confirmándose el Síndrome de Evans-Fisher, se revisa la bibliografía actualizada sobre la enfermedad(AU)

We report a case of a 35-year-old female patient, white skin color, with a history of migraine headache. She began with purple manifestations in the form of petechiae and ecchymoses spread throughout the body; mucous skin pallor and icterus in skin and sclera, as well as coluria. Hematological, humoral and immunological studies were carried out. She was treated in the Internal Medicine ward at Comandante Pinares General Teaching Hospital. She evolved satisfactorily to treatment with steroids and intravenous immunoglobulin. The diagnostic discussion of this case was carried out, confirming the Evans-Fisher Syndrome, the updated bibliography on the disease was reviewed(AU)

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As descobertas sobre o funcionamento do cérebro, assim como suas aplicações nos processos de ensino-aprendizagem, têm sido alvo de interesse. Contudo, os resultados de pesquisas e os conceitos na área das neurociências muitas vezes são mal compreendidos ou distorcidos, perpetuando-se como falsas crenças, chamados 'neuromitos'. O objetivo deste estudo foi investigar o conhecimento do público geral e, especialmente, de uma subamostra de educadores brasileiros acerca de conceitos e crenças equivocadas sobre neurociências. Trata-se de um estudo exploratório-descritivo em que participaram 2795 sujeitos, 1643 educadores (58,8%) e 1152 não educadores, que responderam a um questionário on-line sobre conceitos e equívocos em neurociências. Os resultados mostraram que tanto público geral como a subamostra de educadores, independentemente de terem feito algum curso sobre neurociências, possuem pouco conhecimento sobre o tema e apresentam crenças equivocadas em diversos conceitos. Os percentuais de erros/incertezas do público geral e da subamostra de educadores foram, respectivamente: 1) sono como momento de descanso para o cérebro (90% e 90,3%); 2) diferenças de dominância hemisférica como determinantes do desempenho em diferentes áreas (74,8% e 73,6%); 3) sentimentos vivenciados pelo coração (78,3% e 73%); 4) não maleabilidade das habilidades cognitivas (78,9% e 73,9%); e 5) uso de apenas 10% do cérebro (73,5% e 75,8%). Constata-se a necessidade de maior aproximação das neurociências com o público geral e, especialmente, com a educação e sugere-se que áreas como a Psicopedagogia e a neuropsicologia sejam facilitadoras deste processo. Ao lado disso, neurocientistas podem buscar estratégias mais eficazes de divulgação do conhecimento.

The discoveries about the functioning of the brain, as well as its applications in the teaching-learning processes, have been of interest. However, research results and concepts in the field of neuroscience are often misunderstood or distorted, perpetuating themselves as false beliefs, called 'neuromyths'. The aim of this study was to investigate the knowledge of the Brazilian general public and, especially, of a subsample of educators about conceptions and misconceptions about neuroscience. This is an exploratory-descriptive study in which 2795 subjects participated, 1643 educators (58.8%) and 1152 non-educators, who answered an online questionnaire about concepts and misunderstandings in neurosciences. The results showed that both the general public and the subsample of educators, regardless of having taken a course in neuroscience, have little knowledge on the subject and have mistaken beliefs in several concepts. The percentage of errors/uncertainties in the general public and in the educators subsample were, respectively: 1) sleep as a resting moment for the brain (90% and 90.3%); 2) differences in hemispheric dominance as determinants of performance in different areas (74.8% and 73.6%); 3) feelings experienced by the heart (78.3% and 73%); 4) non-malleability of cognitive skills (78.9% and 73.9%); and 5) use of only 10% of the brain (73.5% and 75.8%). There is a need to bring neurosciences closer to the general public, and especially to education, and it is suggested that areas such as Psychopedagogy and neuropsychology could facilitate this process. In addition, neuroscientists may seek more effective strategies for disseminating knowledge.

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The aim of this study was to determine the prevalence and analyze the factors associated with food insecurity during gestation in a maternal-infant cohort in Brazilian Western Amazon. A population-based cross-sectional study was conducted with parturients from a maternal-infant cohort in Rio Branco, located in the Western Brazilian Amazon. The dependent variable food insecurity (FI) was obtained through the Brazilian Scale of Food Insecurity, and associated factors were identified through multiple logistic regression. The prevalence of FI in pregnancy was of 34.8%. Regarding severity, the prevalence of mild food insecurity was 24.6%, moderate food insecurity was 4.8%, and severe food insecurity was 5.4%. The factors directly associated with FI were the presence of open sewage in the peridomestic environment; belonging to the lower economic classes; being an income transfer program beneficiary, while the factors inversely associated with FI were schooling equal to or greater than 8 years; having a partner; primigestation; and regular consumption of fruits and vegetables during pregnancy. These findings reinforce the need for the ratification of actions aimed at the domestic economy in the income transfer programs and the development of actions of food and nutritional education in the gestational period.

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A new species of Acropomatid fish, Verilus costai sp. nov., is described from a single locality off Belmonte, State of Bahia, Brazil. It resembles Verilus pseudomicrolepis (Schultz, 1940) from the Caribbean Sea. The two are considered vicariant and they are interpreted to be separated from other species of the genus Verilus by (amongst other characters) the presence of fangs on the dentary (vs. only villiform teeth), the anal fin formula (II+9 vs. III+7) and the naked occiput (vs. scaled). However, formal establishment of a separate genus is postponed until a complete phylogenetic review of the family has been performed. Verilus costai can be distinguished from V. pseudomicrolepis by its higher number of gill rakers (27-31 vs. 21-25), lower number of pseudobranchial filaments (15-23 vs. 21-28), shorter snout length (8.2-11.3 vs. 11.3-13.4 % of SL), and more compressed otoliths (OL:OH = 1.3-1.35 vs. 1.35-1.5). In addition, the fossil otolith-based species Verilus mutinensis (Bassoli, 1906) from the late Miocene to middle Pleistocene of the Mediterranean is thought to be related and indicates that in the past this group was more widely distributed than nowadays and comprised more vicariant species.

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The genus Runcinioides is revised, including the redescription of R. argenteus Mello-Leitão, 1929 and R. litteratus (Piza, 1933). The male of R. litteratus is described and illustrated for the first time and Misumenops paranensis (Mello-Leitão, 1932) is here considered a junior synonym of R. argenteus. The known geographic distribution of both species is expanded with the inclusion of new occurrence data. Runcinioides pustulatus Mello-Leitão, 1929 and Runcinioides souzai Soares, 1942 are not related to the other species of the genus, and provisionally considered as incertae sedis.

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This study reports on the first record of the intermediate scabbardfish Aphanopus intermedius in the western South Atlantic Ocean, based on a single specimen 725 mm standard length collected between 0 and 610 m depth around Rocas Atoll off north-eastern Brazil. Measurements and counts are provided and compared with those available in the literature.

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OBJECTIVE: To determine the outcome of preterm infants whose cystic periventricular leukomalacia "disappeared" on serial screening cranial imaging studies. STUDY DESIGN: Infants ≤26 weeks of gestation born between 2002 and 2012 who had cranial imaging studies at least twice, the most abnormal study at <28 days of age and another closest to 36 weeks, were reviewed. The outcome of late death (after 36 weeks postmenstrual age) or neurodevelopmental impairment (NDI) in surviving infants at 18-26 months corrected age was compared between the infants with no cystic periventricular leukomalacia on both studies and cystic periventricular leukomalacia that disappeared (cystic periventricular leukomalacia at <28 days but not at 36 weeks), persisted (cystic periventricular leukomalacia on both studies), or appeared late (cystic periventricular leukomalacia only at 36 weeks). Predictors of NDI were evaluated by logistic regression. RESULTS: Of 7063 eligible infants, 433 (6.1%) had cystic periventricular leukomalacia. Among the 433 infants with cystic periventricular leukomalacia, cystic periventricular leukomalacia disappeared in 76 (18%), persisted in 87 (20%), and 270 (62%) had late cystic periventricular leukomalacia. Loss to follow-up ranged between 3% and 13%. Death or NDI was more common in infants with disappeared cystic periventricular leukomalacia compared with those with no cystic periventricular leukomalacia (38 of 72 [53%] vs 1776 of 6376 [28%]; OR [95% CI] 2.8 [1.8-4.6]). Disappeared, persistent, and late cystic periventricular leukomalacia were all also independently associated with NDI (OR 1.17, 1.21, and 1.16, respectively). CONCLUSIONS: Infants with "disappeared" cystic periventricular leukomalacia are at increased risk of adverse outcome similar to infants with persistent or late cystic periventricular leukomalacia.

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O objetivo deste estudo é descrever os achados de artigos recentemente publicados a respeito dos avanços diagnósticos, prognósticos e terapêuticos sobre o uso de biomarcadores na dermatite atópica. Foi realizada revisão bibliográfica de 19 artigos publicados no Journal of Allergy and Clinical Immunology e no The New England Journal of Medicine. Atualmente, mais de 1 bilhão de pessoas têm algum tipo de doença alérgica, entre as quais a dermatite atópica é altamente prevalente. Por mais que possa ser diagnosticada de forma clínica através dos critérios de Hanifin e Rajka, estes são avaliador-dependentes, havendo grande variação dos resultados. Da mesma forma, a dosagem de IgE não é específica. Assim, tais métodos não são precisos para o diagnóstico, aumentando a importância da descoberta de novos marcadores mais fidedignos. Os biomarcadores são características biológicas quantificáveis que fornecem medidas objetivas do estado de saúde ou doença. Eles têm potencial para estratificação de risco, detecção precoce, identificação do tratamento, monitorização de resposta e prevenção da progressão para marcha atópica. Os avanços tecnológicos permitem aos clínicos determinar um grande número de biomarcadores através de fluidos corporais, o que resultará em uma melhor caracterização e estratificação dos pacientes com dermatite atópica, bem como acarretará medidas objetivas da resposta terapêutica e melhores comparações entre tratamentos correntes e novas terapias.

The objective of this study is to describe the findings of recently published articles on the diagnostic, prognostic and therapeutic advances in the use of biomarkers in atopic dermatitis. Nineteen articles published in the Journal of Allergy and Clinical Immunology and in The New England Journal of Medicine were reviewed. Currently, more than 1 billion people have some type of allergic disease; among such diseases, atopic dermatitis is highly prevalent. Even though atopic dermatitis can be diagnosed clinically using the Hanifin and Rajka criteria, diagnosis is examiner-dependent, leading to major variations in results. Likewise, IgE dosage is non-specific. Thus, these methods are not accurate for diagnosis, highlighting the importance of finding new, more reliable markers. Biomarkers are quantifiable biological characteristics that provide objective measures of health status or disease. They have a potential for risk stratification, early detection, treatment identification, response monitoring and prevention of progression to the atopic march. Technological advances allow clinicians to determine a large number of biomarkers through body fluids, which will result in a better characterization and stratification of patients with atopic dermatitis and lead to objective measures of treatment response and better comparisons between current and new therapies.

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Objective: To assess cognitive performance and psychosocial functioning in patients with bipolar disorder (BD), in unaffected siblings, and in healthy controls. Methods: Subjects were patients with BD (n=36), unaffected siblings (n=35), and healthy controls (n=44). Psychosocial functioning was accessed using the Functioning Assessment Short Test (FAST). A sub-group of patients with BD (n=21), unaffected siblings (n=14), and healthy controls (n=22) also underwent a battery of neuropsychological tests: California Verbal Learning Test (CVLT), Stroop Color and Word Test, and Wisconsin Card Sorting Test (WCST). Clinical and sociodemographic characteristics were analyzed using one-way analysis of variance or the chi-square test; multivariate analysis of covariance was used to examine differences in neuropsychological variables. Results: Patients with BD showed higher FAST total scores (23.90±11.35) than healthy controls (5.86±5.47; p < 0.001) and siblings (12.60±11.83; p 0.001). Siblings and healthy controls also showed statistically significant differences in FAST total scores (p = 0.008). Patients performed worse than healthy controls on all CVLT sub-tests (p < 0.030) and in the number of correctly completed categories on WCST (p = 0.030). Siblings did not differ from healthy controls in cognitive tests. Conclusion: Unaffected siblings of patients with BD may show poorer functional performance compared to healthy controls. FAST scores may contribute to the development of markers of vulnerability and endophenotypic traits in at-risk populations.

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OBJECTIVE:: To assess cognitive performance and psychosocial functioning in patients with bipolar disorder (BD), in unaffected siblings, and in healthy controls. METHODS:: Subjects were patients with BD (n=36), unaffected siblings (n=35), and healthy controls (n=44). Psychosocial functioning was accessed using the Functioning Assessment Short Test (FAST). A sub-group of patients with BD (n=21), unaffected siblings (n=14), and healthy controls (n=22) also underwent a battery of neuropsychological tests: California Verbal Learning Test (CVLT), Stroop Color and Word Test, and Wisconsin Card Sorting Test (WCST). Clinical and sociodemographic characteristics were analyzed using one-way analysis of variance or the chi-square test; multivariate analysis of covariance was used to examine differences in neuropsychological variables. RESULTS:: Patients with BD showed higher FAST total scores (23.90±11.35) than healthy controls (5.86±5.47; p < 0.001) and siblings (12.60±11.83; p 0.001). Siblings and healthy controls also showed statistically significant differences in FAST total scores (p = 0.008). Patients performed worse than healthy controls on all CVLT sub-tests (p < 0.030) and in the number of correctly completed categories on WCST (p = 0.030). Siblings did not differ from healthy controls in cognitive tests. CONCLUSION:: Unaffected siblings of patients with BD may show poorer functional performance compared to healthy controls. FAST scores may contribute to the development of markers of vulnerability and endophenotypic traits in at-risk populations.

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