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AimResearch has shown that preventative intervention in individuals at ultra-high risk of psychosis (UHR) improves symptomatic and functional outcomes. The staged treatment in early psychosis (STEP) trial aims to determine the most effective type, timing and sequence of interventions in the UHR population by sequentially studying the effectiveness of (1) support and problem solving, (2) cognitive-behavioural case management and (3) antidepressant medication with an embedded fast-fail option of (4) omega-3 fatty acids or low-dose antipsychotic medication. This paper presents the recruitment flow and baseline clinical characteristics of the sample.MethodsSTEP is a sequential multiple assignment randomized trial. We present the baseline demographics, clinical characteristics and acceptability and feasibility of this treatment approach as indicated by the flow of participants from first contact up until enrolment into the trial. Recruitment took place between April 2016 and January 2019.ResultsOf 1343, help-seeking young people who were considered for participation, 402 participants were not eligible and 599 declined/disengaged, resulting in a total of 342 participants enrolled in the study. The most common reason for exclusion was an active prescription of antidepressant medication. Eighty-five percent of the enrolled sample had a non-psychotic DSM-5 diagnosis and symptomatic/functional measures showed a moderate level of clinical severity and functional impairment.DiscussionThe present study demonstrates the acceptability and participant's general positive appraisal of sequential treatment. It also shows, in line with other trials in UHR individuals, a significant level of psychiatric morbidity and impairment, demonstrating the clear need for care in this group and that treatment is appropriate.

The dynamics of maturation index, water and oil concentrations, and total phenols in olive fruit, together with fatty acids and total phenols content in olive oil, was studied as a function of time after flowering for super-high-density ‘Arbequina’, ‘Arbosana’ and ‘Koroneiki’ using data collected in three seasons. Oil concentration increased linearly from the middle of August until reaching a plateau by the end of November for all three cultivars, with ‘Koroneiki’ (45.7 g/100 g) and ‘Arbosana’ (45.4 g/100 g) showing higher maximum oil concentration than ‘Arbequina’ (41.8 g/100 g). While total phenols in the fruit decreased linearly during the harvest for all three cultivars, phenolics in oil peaked at 180 days after flowering (400 mg/kg) for ‘Arbequina’ and at 160 days after flowering (600 mg/kg) for ‘Koroneiki’. For ‘Arbosana’, total phenols in oil decreased linearly with a maximum of 400 mg/kg for early harvest oils. Fatty acid dynamics was largely affected by genotype, with ‘Arbequina’ displaying the largest variation in fatty acid concentrations along the season. ‘Koroneiki’ presented the highest values of oleic acid (73.0–77.1%), followed by ‘Arbosana’ (70.2–72.4%) and ‘Arbequina’ (64.4–74.0%). Results presented here are useful for growers to make planting and harvesting decisions, for producers to understand the differences in oil made from the most common super-high-density cultivars during the harvest seasons, and for regulators to consider legal standards for authentic olive oil.

Moisture and fat content, fatty acid profile, and volatile terpenes were measured for the first time for 'Kalehghouchi', 'Pete 1', and 'Lost Hills' pistachios grown at two California microclimates: Lost Hills and Parlier. 'Kalehghouchi' had the highest moisture content, followed by 'Pete 1' and 'Lost Hills', respectively. While the moisture content of 'Kalehghouchi' was not significantly affected by location, it was lower for 'Pete 1' grown at Parlier (40.8 vs. 40.8 g/100 g) and higher for 'Lost Hill' grown there (48.2 vs. 45.2 g/100 g). 'Pete 1' grown at the Parlier site had a higher fat content compared with 'Lost Hills' (47.7 vs. 43.0 g/100 g). 'Kalehghouchi' had a lower fat content at Parlier compared with Lost Hills (42.0 vs. 44.9 g/100 g), and 'Lost Hills' was unaffected by location. The main fatty acid measured in the pistachio samples was oleic acid (52% to 58%), followed by linoleic (26% to 33%) and palmitic acids (11% to 13%). While oleic acid content of 'Lost Hills' and 'Kalehghouchi' was higher for pistachios grown in Parlier, no impact of location was observed for 'Pete 1'. The fatty acid profiles of all three cultivars appeared to be more dependent on genotype and less affected by microclimate. α-pinene (95-1682 ng/kg), limonene (37-741 ng/kg), and α-terpinolene (1-368 ng/kg) were the most abundant volatiles among all the cultivars and locations. Microclimate was the primary factor in determining volatile terpenes concentration in pistachio kernels. [ABSTRACT FROM AUTHOR]

Pistachio is an economically important nut crop in California. Since temperature variations among geographical locations can influence biochemical processes during fruit development, it is of great relevance to understand the impact of growing area over the components that define the nutritional and sensory characteristics of pistachio nuts. Changes in moisture, fat content, fatty acid composition and volatile terpenes were studied during kernel development for "Kerman" and "Golden Hills" varieties in two different California Central Valley microclimates, Lost Hills and Parlier. Moisture content decreased from July to September for both cultivars at both locations. Kerman had a higher moisture content at both locations compared with Golden Hills. Harvest time affected fat content only for Kerman, where the values increased drastically from 21‐July to 4‐Aug, then remained constant. Golden Hills' fat content remained constant during the period of the study. The main fatty acid in pistachio oil is oleic acid (46% to 59%), followed by linoleic acid (26% to 36%) and palmitic acid (11% to 16%). C16:0, C16:1, C18:2, and C18:3 decreased with harvest time, while C18:1 increased. α‐Pinene was the most concentrated volatile among the cultivars and locations. It decreased with harvest time for both cultivars at both locations, ranging from 105 to 2464 mg/kg. At harvest, Golden Hills and Kerman at Parlier both had higher concentrations of α‐pinene than the two cultivars at Lost Hills. Our results demonstrate that microclimate affects biosynthesis of fatty acids and terpenes in pistachio kernels, the main compounds responsible for pistachio nutritional and sensory characteristics. [ABSTRACT FROM AUTHOR]

Chromatographic techniques such as GC and HPLC are traditionally used for the analysis and classification of olive oil, while NMR is another powerful technique. In this paper we used NMR for the first time to classify olive oil produced by four cultivars, namely 'Arbequina', 'Arbosana', 'Koroneiki', and 'Sikitita', planted in super-high-density frames in California, United States. We compared the results with the targeted analysis of fatty acids and triglycerides obtained by GC-FID and UHPLC-CAD, respectively. All three techniques were able to distinguish between cultivars, with fatty acids from GC-FID generating the best models. GC-FID require time-consuming sample preparation; both GC-FID and UHPLC-CAD require lengthy analysis time and protocols for different classes of compounds, while NMR is rapid and able to conduct a simultaneous broad-spectrum analysis of compounds, which led to the discovery of more biomarkers. In addition, NMR was in a good agreement with GC-FID for the determination of fatty acids, as found by Bland-Altman analysis, although in several cases it was not able to distinguish among individual fatty acids. [Display omitted] • NMR is a rapid and robust tool for the targeted and untargeted analysis of olive oil. • NMR was in a good agreement with GC-FID for the determination of fatty acids. • NMR, GC-FID, and UHPLC-CAD were able to distinguish between olive oil cultivars. • Fatty acids from GC-FID generated the best models. [ABSTRACT FROM AUTHOR]

The dynamics of maturation index, water and oil concentrations, and total phenols in olive fruit, together with fatty acids and total phenols content in olive oil, was studied as a function of time after flowering for super-high-density 'Arbequina', 'Arbosana' and 'Koroneiki' using data collected in three seasons. Oil concentration increased linearly from the middle of August until reaching a plateau by the end of November for all three cultivars, with 'Koroneiki' (45.7 g/100 g) and 'Arbosana' (45.4 g/100 g) showing higher maximum oil concentration than 'Arbequina' (41.8 g/100 g). While total phenols in the fruit decreased linearly during the harvest for all three cultivars, phenolics in oil peaked at 180 days after flowering (400 mg/kg) for 'Arbequina' and at 160 days after flowering (600 mg/kg) for 'Koroneiki'. For 'Arbosana', total phenols in oil decreased linearly with a maximum of 400 mg/kg for early harvest oils. Fatty acid dynamics was largely affected by genotype, with 'Arbequina' displaying the largest variation in fatty acid concentrations along the season. 'Koroneiki' presented the highest values of oleic acid (73.0–77.1%), followed by 'Arbosana' (70.2–72.4%) and 'Arbequina' (64.4–74.0%). Results presented here are useful for growers to make planting and harvesting decisions, for producers to understand the differences in oil made from the most common super-high-density cultivars during the harvest seasons, and for regulators to consider legal standards for authentic olive oil. [ABSTRACT FROM AUTHOR]

• Docosahexaenoic acid plays an important role in ultra-high risk of psychosis status. • Fractional anisotropy significantly differed in ultra-high risk of psychosis remitters versus non-remitters. • Specific fatty acids showed a unique link to white matter integrity in ultra-high-risk individuals. Decreased white matter (WM) integrity and disturbance in fatty acid composition have been reported in individuals at ultra-high risk of psychosis (UHR). The current study is the first to investigate both WM integrity and erythrocyte membrane polyunsaturated fatty acid (PUFA) levels as potential risk biomarkers for persistent UHR status, and global functioning in UHR individuals. Forty UHR individuals were analysed at baseline for erythrocyte membrane PUFA concentrates. Tract-based spatial statistics (TBSS) was used to analyse fractional anisotropy (FA) and diffusivity measures. Measures of global functioning and psychiatric symptoms were evaluated at baseline and at 12-months. Fatty acids and WM indices did not predict functional outcomes at baseline or 12-months. Significant differences were found in FA between UHR remitters and non-remitters (individuals who no longer met UHR criteria versus those who continued to meet criteria at 12-months). Docosahexaenoic acid (DHA) was found to be a significant predictor of UHR status at 12-months, as was the interaction between the sum of ώ-3 and whole brain FA, and the interaction between the right anterior limb of the internal capsule and the sum of ώ-3. The results confirm that certain fatty acids have a unique relationship with WM integrity in UHR individuals. [ABSTRACT FROM AUTHOR]