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1.
J Clin Child Adolesc Psychol ; 44(6): 992-1007, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24885078

RESUMO

The objective of this study is to evaluate discriminative validity of the Young Mania Rating Scale (YMRS) and Children's Depression Rating Scale-Revised (CDRS-R) in a clinical sample of children when administered in an unfiltered manner (i.e., regardless of whether symptoms occur in a mood episode). The Kiddie Schedule for Affective Disorders and Schizophrenia is the gold standard for assessing psychiatric disorders in children and was used to make diagnoses in this study. Using a sample of 707 treatment-seeking youth (ages 6-12 years, Mage = 9.7 years, 67.6% male), receiver operating curve analyses were performed and diagnostic likelihood ratios (DLRs) were calculated to evaluate the ability to change the odds and differentiate bipolar disorder from other disorders (using the YMRS) and depression from other disorders (using the CDRS-R). Using unfiltered administration, the YMRS achieved good discriminative validity when classifying bipolar disorder compared to other disorders (Area Under the Curve [AUC] = .86) and increased odds of a bipolar diagnosis given a score in the highest quintile (DLR = 6.12). Using unfiltered administration, the CDRS-R achieved moderate to good discriminative validity in classifying depressive disorders (DD) compared to other disorders (AUCBD in comparison = .78; AUCBD not in comparison = .84) and slightly increased odds of DD given a score in the highest quintile (DLRBD in comparison = 3.12; DLRBD not in comparison = 5.08). The YMRS and CDRS-R have moderate to good discriminative validity when administered in an unfiltered way in a sample of treatment seeking youth.


Assuntos
Transtorno Bipolar/diagnóstico , Depressão/diagnóstico , Transtorno Depressivo/diagnóstico , Transtornos do Humor/diagnóstico , Escalas de Graduação Psiquiátrica , Transtorno Bipolar/psicologia , Criança , Depressão/psicologia , Transtorno Depressivo/psicologia , Feminino , Humanos , Entrevista Psicológica , Estudos Longitudinais , Masculino , Transtornos do Humor/psicologia , Determinação da Personalidade/estatística & dados numéricos , Valor Preditivo dos Testes , Estudos Prospectivos , Psicometria/estatística & dados numéricos
2.
Biochemistry ; 49(4): 679-86, 2010 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-20028140

RESUMO

The ZFY protein is a member of one of the most interesting classes of polydactyl zinc finger proteins. It has a domain of 13 tandem zinc fingers that is organized with an internal repeat of odd-even finger pairs. It has been proposed that each finger pair interacts with six base pairs within a turn of the double helix, the downstream linker crossing the minor groove to place the next finger pair on the following turn of the DNA. Yet putative binding sites for the full-length ZFY protein appear to consist of a six-base AGGCCY consensus sequence that is present in one or two copies. In this study the equilibrium binding of two ZFY-derived zinc finger peptides to 4R DNA with tandem copies of the consensus sequence was investigated. The ZFY5 peptide contains fingers 5-13, including four odd-even finger pairs, and the ZFY11 peptide contains fingers 11-13 and has one odd-even finger pair. Both peptides bound to 4R DNA with equal affinities, forming a bimolecular complex that is mediated by the downstream AGGCCY motif. The additional odd-even finger pairs in ZFY5 made no measurable difference in the mechanism of DNA binding compared to ZFY11. The effects on the DNA-protein interaction of mutations in the 4R DNA and in the key alpha-helical residues of fingers 11-13 indicate that the binding of ZFY to DNA is mediated by the interaction of the GGCC core base pairs with fingers 12 and 13. These results demonstrate that the even-odd repeats in the ZFY zinc finger domain do not make significant contributions to DNA binding.


Assuntos
DNA/química , Fatores de Transcrição Kruppel-Like/química , Dedos de Zinco , Sequência de Aminoácidos , Pareamento de Bases , Sítios de Ligação , DNA/metabolismo , Fatores de Transcrição Kruppel-Like/metabolismo , Dados de Sequência Molecular , Conformação de Ácido Nucleico , Conformação Proteica , Estrutura Terciária de Proteína , Alinhamento de Sequência , Termodinâmica
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