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1.
Inorg Chem ; 59(24): 18432-18443, 2020 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-33258586

RESUMEN

This work reports on the preparation and optical characterization of two metal-organic frameworks (MOFs) based on strontium ions and 2-amino-1,4-benzenedicarboxylate (NH2-bdc) ligand: i.e., [Sr(NH2-bdc)(DMF)]n (1) and {[Sr(NH2-bdc)(Form)]·H2O}n (2) (where DMF = dimethylformamide and Form = formamide). Compound 1 has a 3D architecture built up from the linkage established by NH2-bdc among metal-carboxylate rods, leaving significant microchannels that are largely occupied by DMF molecules coordinated to strontium centers. The solvent molecules play a crucial role in the photoluminescence (PL) properties, which has been deeply characterized by diffuse reflectance and variable-temperature emission. Interestingly, both materials present intriguing photoluminescence (PL) properties involving intense short-lived and long-lasting phosphorescence (LLP), though the latter is especially remarkable for compound 2 with a lifetime of 815 ms at low temperature. Conversely, the strong PL shown by 1 may be successfully exploited due to both its luminescent thermochromism observed in the RT to 10 K range and its solvent-dependent PL sensing capacity, imbuing this material with potential activity as a PL thermometer as well as a toluene detector in water solutions.

2.
J Neural Transm (Vienna) ; 122(5): 701-8, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25410587

RESUMEN

Alzheimer's disease (AD) is a multifactorial neurological condition associated with genetic profiles that are still not completely understood. We performed a family-based low-density genome-wide association analysis of age at onset (AAO) in AD (244 patients and their relatives) using Illumina 6 K single-nucleotide polymorphisms (SNPs) panel and the FBAT-logrank statistic. We observed 10 SNPs associated with AAO in AD with p < 2 × 10(-3). The most significant hit within a known gene, the neuronal protein astrotactin 2 (ASTN2), was SNP rs1334071 (p = 8.74 × 10(-4)). ASTN2 has been implicated in several neuropsychiatric disorders, including cognitive disorders, autism and schizophrenia. We then conducted a replication study focusing on ASTN2 gene in a Canadian sample of 791 AD patients and 782 controls using the logrank test. Five ASTN2 SNPs (highest association is rs16933774 with p = 0.0053) showed associations with AAO in this Canadian sample (p < 0.05). Furthermore, Kaplan-Meier survival analysis of SNP rs16933774 showed that the AAO of AD in individuals heterozygous for AG genotype of rs16933774 (median of AAO = 68.5 years) was approximately 4.5 years earlier than those individuals having the AA genotype (median of AAO = 73 years). In conclusion, a significant association of ASTN2 genetic variants with AAO of AD in two independent samples demonstrates a role for ASTN2 in the pathogenesis of AD. Future functional studies of this gene may help to characterize the genetic architecture of the AAO of AD. Genetic factors in AAO may be a critical factor for early AD intervention and prevention efforts.


Asunto(s)
Enfermedad de Alzheimer/genética , Glicoproteínas/genética , Proteínas del Tejido Nervioso/genética , Polimorfismo de Nucleótido Simple , Adulto , Edad de Inicio , Anciano , Anciano de 80 o más Años , Canadá , Estudio de Asociación del Genoma Completo , Genotipo , Humanos , Estimación de Kaplan-Meier , Desequilibrio de Ligamiento , Persona de Mediana Edad
3.
J Neural Transm (Vienna) ; 121(2): 183-92, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24061483

RESUMEN

The Neuregulin 3 (NRG3) gene at 10q22-q24 has been implicated in multiple psychiatric traits such as cognitive impairment. We therefore hypothesized that NRG3 gene polymorphisms may play a role in Alzheimer disease (AD). This present study explored the association of NRG3 with the age at onset (AAO) of AD and the risk of developing AD. Secondary data analysis of 257 single-nucleotide polymorphisms (SNPs) in NRG3 gene was performed in 806 Alzheimer's disease patients and 782 controls using logistic regression and linear regression analyses. Eight SNPs were associated with the risk of AD (p < 0.05), while linear regression analysis showed 33 SNPs associated with the AAO of AD (p < 0.05). Two-SNP haplotype analyses based on UNPHASED revealed that the G-C haplotype from rs17685233 and rs17101017 was significantly associated with AD (p = 0.0031) and the A-G haplotype from rs504522 and rs474018 as well as the A-G haplotype from rs504522 and rs2483295 were more significantly associated with the AAO of AD (p = 6.72 × 10(-5)). Using an independent family-based sample, we found one SNP rs11192423 associated with AAO both in the case-control sample (p = 0.0155) and in the family sample (p = 0.0166). In addition, we observed nominally significant associations with AD and AAO for several flanking SNPs (p < 0.05). This is the first study demonstrating that genetic variants in the NRG3 gene play a role in AD. Our results also revealed that SNPs in the NRG3 genes were more strongly associated with AAO of AD.


Asunto(s)
Enfermedad de Alzheimer/genética , Predisposición Genética a la Enfermedad/genética , Neurregulinas/genética , Polimorfismo de Nucleótido Simple/genética , Edad de Inicio , Anciano , Anciano de 80 o más Años , Enfermedad de Alzheimer/epidemiología , Estudios de Casos y Controles , Biología Computacional , Femenino , Estudios de Asociación Genética , Ligamiento Genético , Genotipo , Humanos , Masculino , Análisis de Regresión
4.
Compr Psychiatry ; 55(4): 813-7, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24439562

RESUMEN

This study follows a group of 174 young people with new onset of schizotypal symptoms and examines factors which may lead to conversion to psychosis. These prodromal subjects were screened for symptoms and later given the Structured Clinical Interview of DSM-III-R at one year, two years and ten years post onset. We also included the Paranoia Scale of Fenigstein and Vanable and the Scale for Thought, Language and Communications of Andreasen in all interviews. Our analysis found that the addition of scales for paranoia and thought disorder enhanced prediction of conversion to psychosis and long term outcome. The early occurrence of ideas of reference and poverty of thought appear to be significant predictors of future deterioration even when considered among other high-risk variables.


Asunto(s)
Trastornos Psicóticos/psicología , Esquizofrenia/diagnóstico , Psicología del Esquizofrénico , Pensamiento , Adolescente , Adulto , Femenino , Humanos , Masculino , Trastornos Paranoides , Valor Predictivo de las Pruebas , Pronóstico , Escalas de Valoración Psiquiátrica , Trastornos Psicóticos/diagnóstico
5.
Rev Panam Salud Publica ; 31(5): 411-6, 2012 May.
Artículo en Inglés | MEDLINE | ID: mdl-22767042

RESUMEN

OBJECTIVE: To investigate the risk effects of poverty and exposure to collective violence attributed to organized crime on the mental health of children living on the United States-Mexico border. METHODS: A repeated, cross-sectional study measured risk effects by comparing scores of psychosocial and behavioral problems among children and adolescents living on the border in the United States or Mexico in 2007 and 2010. Patients living in poverty who responded once to the Pictorial Child Behavior Checklist (P+CBCL) in Spanish were randomly selected from clinics in El Paso, Texas, United States (poverty alone group), and Ciudad Juarez, Chihuahua, Mexico (poverty plus violence group). Only children of Hispanic origin (Mexican-American or Mexican) living below the poverty level and presenting at the clinic for nonemergency visits with no history of diagnosed mental, neurological, or life-threatening disease or disability were included. RESULTS: Exposure to collective violence and poverty seemed to have an additive effect on children's mental health. Children exposed to both poverty and collective violence had higher problem scores, as measured by the P+CBCL, than those exposed to poverty alone. CONCLUSIONS: It is important to consider that children and adolescents exposed to collective violence and poverty also have fewer chances to receive treatment. Untreated mental health problems predict violence, antisocial behaviors, and delinquency and affect families, communities, and individuals. It is crucial to address the mental health of children on the border to counteract the devastating effects this setting will have in the short term and the near future.


Asunto(s)
Protección a la Infancia/psicología , Internacionalidad , Salud Mental , Estrés Psicológico , Violencia/psicología , Adaptación Psicológica , Adolescente , Análisis de Varianza , Niño , Estudios Transversales , Femenino , Disparidades en el Estado de Salud , Humanos , Masculino , México , Pobreza , Psicometría , Medición de Riesgo , Factores de Riesgo , Estados Unidos
6.
South Med J ; 102(8): 789-94, 2009 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19593287

RESUMEN

OBJECTIVE: To assert the importance of the use of the healthcare matrix formulation for competency assessment in psychiatry residency training. METHODS: We present a case from our inpatient psychiatric facility and format it in the form of the healthcare matrix, which was developed at Vanderbilt University incorporating the Institute of Medicine 'aims' and the Accreditation Council for Graduate Medical Education 'core competencies'. We also analyze the healthcare matrix and elucidate its use in clinical practice. RESULTS: The healthcare matrix provides us with a practical tool to analyze any complex episode of patient care, like the one in our psychiatric setting, and allows us to learn from the shortcomings in order to improve. CONCLUSION: The optimal utilization of this tool in the competency assessment of psychiatry residents has an enormous practical implication by transforming the case and morbidity and mortality conferences into a well-structured learning and improvement format.


Asunto(s)
Competencia Clínica/normas , Educación Basada en Competencias , Internado y Residencia , Psiquiatría/educación , Convulsiones/etiología , Adolescente , Delirio/diagnóstico , Encefalitis/complicaciones , Encefalitis/diagnóstico , Encefalitis/psicología , Femenino , Humanos , Hipopotasemia/diagnóstico , Hipopotasemia/etiología , Transferencia de Pacientes
7.
South Med J ; 102(8): 829-31, 2009 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19593300

RESUMEN

Each year about 1.5 million people suffer from a traumatic brain injury. Many of these are seen in primary care settings and most recover completely. Traumatic brain injury can show many signs and symptoms, some of which are readily identified and treated. Often the neurobehavioral sequelae appear months to years later and can cause long-term disability and impairment in neurobehavioral functioning. The rehabilitation of these patients is a long and difficult process requiring early identification and proper management. This article reviews the importance of recognizing the neurobehavioral consequences of frontal lobe injury.


Asunto(s)
Lóbulo Frontal/lesiones , Trastornos Mentales/etiología , Lóbulo Frontal/diagnóstico por imagen , Humanos , Trastornos Mentales/diagnóstico , Radiografía
8.
Dalton Trans ; 48(30): 11556-11564, 2019 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-31294733

RESUMEN

A novel metal-organic framework (MOF) based on strontium alkaline-earth metal and 2-amino-1,4-benzenedicarboxylic acid (NH2-bdc) has been developed. This material is formed by a linear succession of face-sharing strontium polyhedra bridged by an organic ligand molecule to give a three-dimensional network with rhombohedral one-directional channels. This MOF is stable in polar organic solvents and up to 250 °C. The basic catalytic activity of both strontium metal nodes and amino groups of the ligand was tested in Knoevenagel condensation reactions. The influence of the temperature and reaction solvent over the catalytic performance of the MOF catalyst was demonstrated. The strontium/amino-containing MOF material evidenced a remarkable activity as compared to other conventional alkaline oxides typically used as reference basic solid catalysts. The novel MOF material showed remarkable activity and structural stability during five consecutive catalytic runs with no evidence of activity loss under the best reaction conditions found in this study.

9.
CNS Spectr ; 12(11): 818-20, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17984854

RESUMEN

A 15-year-old Hispanic female was started on risperidone for new-onset psychosis. The patient responded well to the gradual dose increase but developed rapid weight gain secondary to polydipsia and polyphagia. She also began complaining of nipple discharge and griping abdominal pain on the left lower quadrant by the third week of treatment. Her prolactin level escalated to three times normal with a weight gain of 12 pounds in 16 days. Risperidone was switched to another antipsychotic. Her prolactin level then dropped to a normal level within 7 days and she lost 7 pounds in the next 2 weeks. Her abdominal pain, galactorrhea, polydipsia, and polyphagia subsided within the first few days of the cessation of risperdione.


Asunto(s)
Dolor Abdominal/inducido químicamente , Trastorno Bipolar/tratamiento farmacológico , Conducta de Ingestión de Líquido/efectos de los fármacos , Conducta Alimentaria/efectos de los fármacos , Galactorrea/inducido químicamente , Hispánicos o Latinos , Obesidad/inducido químicamente , Risperidona/efectos adversos , Aumento de Peso/efectos de los fármacos , Adolescente , Trastorno Bipolar/psicología , Femenino , Humanos , Risperidona/uso terapéutico
10.
Nanomaterials (Basel) ; 7(6)2017 Jun 16.
Artículo en Inglés | MEDLINE | ID: mdl-28621710

RESUMEN

The activity and recyclability of Cu-MOF-74 as a catalyst was studied for the ligand-free C-O cross-coupling reaction of 4-nitrobenzaldehyde (NB) with phenol (Ph) to form 4-formyldiphenyl ether (FDE). Cu-MOF-74 is characterized by having unsaturated copper sites in a highly porous metal-organic framework. The influence of solvent, reaction temperature, NB/Ph ratio, catalyst concentration, and basic agent (type and concentration) were evaluated. High conversions were achieved at 120 °C, 5 mol % of catalyst, NB/Ph ratio of 1:2, DMF as solvent, and 1 equivalent of K2CO3 base. The activity of Cu-MOF-74 material was higher than other ligand-free copper catalytic systems tested in this study. This catalyst was easily separated and reused in five successive runs, achieving a remarkable performance without significant porous framework degradation. The leaching of copper species in the reaction medium was negligible. The O-arylation between NB and Ph took place only in the presence of Cu-MOF-74 material, being negligible without the solid catalyst. The catalytic advantages of using nanostructured Cu-MOF-74 catalyst were also proven.

11.
Adolesc Med Clin ; 17(2): 335-52, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16814697

RESUMEN

This article provides an overview of existing evidence regarding risk and prevention factors in adolescent substance abuse from a biopsychosocial viewpoint. It is believed that this approach offers a practical model for the integration of inherently complex factors into the clinical setting. These factors cannot be isolated from the influences of the greater society, such as the school system or homelessness. Prevention and treatment issues must approach the impaired adolescent with a multifactorial and comprehensive plan that integrates multidisciplinary involvement.


Asunto(s)
Trastornos Relacionados con Sustancias/prevención & control , Adolescente , Susceptibilidad a Enfermedades/fisiopatología , Humanos , Modelos Biológicos , Modelos Psicológicos , Factores de Riesgo , Condiciones Sociales , Trastornos Relacionados con Sustancias/genética , Trastornos Relacionados con Sustancias/fisiopatología , Trastornos Relacionados con Sustancias/psicología
12.
Polymers (Basel) ; 8(2)2016 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-30979139

RESUMEN

Emerging new metal-organic structures with tunable physicochemical properties is an exciting research field for diverse applications. In this work, a novel metal-organic framework Cu(HIT)(DMF)0.5, named URJC-1, with a three-dimensional non-interpenetrated utp topological network, has been synthesized. This material exhibits a microporous structure with unsaturated copper centers and imidazole⁻tetrazole linkages that provide accessible Lewis acid/base sites. These features make URJC-1 an exceptional candidate for catalytic application in acid and base reactions of interest in fine chemistry. The URJC-1 material also displays a noteworthy thermal and chemical stability in different organic solvents of different polarity and boiling water. Its catalytic activity was evaluated in acid-catalyzed Friedel⁻Crafts acylation of anisole with acetyl chloride and base-catalyzed Knoevenagel condensation of benzaldehyde with malononitrile. In both cases, URJC-1 material showed very good performance, better than other metal organic frameworks and conventional catalysts. In addition, a remarkable structural stability was proven after several consecutive reaction cycles.

13.
Mater Sci Eng C Mater Biol Appl ; 63: 393-410, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27040234

RESUMEN

Two different silica based (MSU-2 and MCM-41) curcumin loaded mesoporous materials V3 and V6 were synthesized and characterized by several physico-chemical techniques. Release kinetic study revealed the slow and sustained release of curcumin from those materials in blood simulated fluid (pH: 7.4). The materials V3 and V6 were found to be biocompatible in non-cancerous CHO cell line while exhibiting significant cytotoxicity in different cancer cells (human lung carcinoma cells: A549, human breast cancer cells: MCF-7, mouse melanoma cells: B16F10) compared to pristine curcumin indicating the efficacy of the mesoporous silica materials based drug delivery systems (DDSs). The generation of intracellular reactive oxygen species (ROS) and down regulation of anti-apoptotic protein leading to the induction of apoptosis were found to be the plausible mechanisms behind the anti-cancer activity of these DDSs. These results suggest that curcumin-loaded drug delivery system may be successfully employed as an alternative treatment strategy for cancer therapeutics through a nanomedicine approach in near future.


Asunto(s)
Antineoplásicos/química , Curcumina/química , Portadores de Fármacos/química , Dióxido de Silicio/química , Células A549 , Animales , Antineoplásicos/farmacología , Apoptosis/efectos de los fármacos , Western Blotting , Línea Celular Tumoral , Movimiento Celular/efectos de los fármacos , Curcumina/farmacología , Citometría de Flujo , Humanos , Células MCF-7 , Ratones , Nanomedicina , Porosidad , Especies Reactivas de Oxígeno
14.
Biomater Sci ; 4(3): 448-59, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26674254

RESUMEN

In the present study, we report the delivery of anti-cancer drug curcumin to cancer cells using mesoporous silica materials. A series of mesoporous silica material based drug delivery systems (S2, S4 and S6) were first designed and developed through the amine functionalization of KIT-6, MSU-2 and MCM-41 followed by the loading of curcumin. The curcumin loaded materials were characterized with several physico-chemical techniques and thoroughly screened on cancer cells to evaluate their in vitro drug delivery efficacy. All the curcumin loaded silica materials exhibited higher cellular uptake and inhibition of cancer cell viability compared to pristine curcumin. The effective internalization of curcumin in cancer cells through the mesoporous silica materials initiated the generation of intracellular reactive oxygen species and the down regulation of poly ADP ribose polymerase (PARP) enzyme levels compared to free curcumin leading to the activation of apoptosis. This study shows that the anti-cancer activity of curcumin can be potentiated by loading onto mesoporous silica materials. Therefore, we strongly believe that mesoporous silica based curcumin loaded drug delivery systems may have future potential applications for the treatment of cancers.


Asunto(s)
Antineoplásicos/química , Antineoplásicos/farmacología , Curcumina/química , Curcumina/farmacología , Sistemas de Liberación de Medicamentos , Nanopartículas/química , Poli(ADP-Ribosa) Polimerasas/química , Dióxido de Silicio/química , Dióxido de Silicio/farmacología , Apoptosis/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Humanos , Poli(ADP-Ribosa) Polimerasas/metabolismo , Porosidad
15.
Dalton Trans ; 42(7): 2392-8, 2013 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-23208471

RESUMEN

Herein, we report on a new Cu-based MOF material, Cu(2)(dhtp), structurally homologous to the honeycomb-like M(2)(dhtp) series. This has been crystallized under solvothermal conditions using copper nitrate and 2,5-dihydroxyterephthalic acid as an organic linker, being the nature of the co-solvent in the synthesis media an important variable over the final physical properties of the material. The presence of isopropanol as a co-solvent leads to the formation of a pure crystalline phase with textural properties comparable to M(2)(dhtp) homologues. The interesting results in CO(2) adsorption properties of this new material, especially its isosteric heat of adsorption, make it a suitable MOF to be further evaluated under real conditions of industrial CO(2) capture.


Asunto(s)
Dióxido de Carbono/química , Cobre/química , Compuestos Organometálicos/química , Compuestos Organometálicos/síntesis química , Adsorción , Propiedades de Superficie
16.
PLoS One ; 8(1): e51674, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23382809

RESUMEN

Schizophrenia is a chronic and debilitating psychiatric condition affecting slightly more than 1% of the population worldwide and it is a multifactorial disorder with a high degree of heritability (80%) based on family and twin studies. Increasing lines of evidence suggest intermediate phenotypes/endophenotypes are more associated with causes of the disease and are less genetically complex than the broader disease spectrum. Negative symptoms in schizophrenia are attractive intermediate phenotypes based on their clinical and treatment response features. Therefore, our objective was to identify genetic variants underlying the negative symptoms of schizophrenia by analyzing two genome-wide association (GWA) data sets consisting of a total of 1,774 European-American patients and 2,726 controls. Logistic regression analysis of negative symptoms as a binary trait (adjusted for age and sex) was performed using PLINK. For meta-analysis of two datasets, the fixed-effect model in PLINK was applied. Through meta-analysis we identified 25 single nucleotide polymorphisms (SNPs) associated with negative symptoms with p<5×10(-5). Especially we detected five SNPs in the first two genes/loci strongly associated with negative symptoms of schizophrenia (P(meta-analysis)<6.22×10(-6)), which included three SNPs in the BCL9 gene: rs583583 showed the strongest association at a P(meta-analysis) of 6.00×10(-7) and two SNPs in the C9orf5 (the top SNP is rs643410 with a p = 1.29 ×10(-6)). Through meta-analysis, we identified several additional negative symptoms associated genes (ST3GAL1, RNF144, CTNNA3 and ZNF385D). This is the first report of the common variants influencing negative symptoms of schizophrenia. These results provide direct evidence of using of negative symptoms as an intermediate phenotype to dissect the complex genetics of schizophrenia. However, additional studies are warranted to examine the underlying mechanisms of these disease-associated SNPs in these genes.


Asunto(s)
Estudio de Asociación del Genoma Completo , Proteínas de la Membrana/genética , Proteínas de Neoplasias/genética , Esquizofrenia/genética , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Predisposición Genética a la Enfermedad , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Fenotipo , Polimorfismo de Nucleótido Simple , Esquizofrenia/fisiopatología , Factores de Transcripción
17.
Depress Res Treat ; 2011: 908536, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21860790

RESUMEN

We investigated the prevalence of "high" levels of depressive symptomatology and 13 health-related medical conditions in elderly Mexican American (MA) and non-Hispanic white (NHW) residents of El Paso County, Texas. We analyzed the extent to which depressive symptoms in this population are associated with these conditions. Elderly MA residents possessed a higher prevalence of current depression, a relatively unique health-related condition profile, and were more likely to experience a set of conditions that impede participation in daily life-conditions that we found to be strongly associated with high depressive symptomatology in the elderly. After adjusting for educational attainment, using multiple regression analyses, depression was not associated with ethnicity and only six of the health related conditions showed significant differences between MA and NHW subjects. We believe these results provide an important insight into the mechanism of health-related conditions and depressive symptomatology in a large sample of elderly MAs; and how conditions typically attributed to MA ethnicity may in actuality be an artifact of socioeconomic status variables such as educational-attainment.

18.
Rev. panam. salud pública ; 31(5): 411-416, may 2012. tab
Artículo en Inglés | LILACS | ID: lil-638518

RESUMEN

Objetivo. Investigar los efectos del riesgo de pobreza y la exposición a la violenciacolectiva atribuida al crimen organizado sobre la salud mental de los niños que vivenen la frontera entre México y los Estados Unidos.Métodos. En este estudio transversal seriado se midieron los efectos del riesgo mediantela comparación de las puntuaciones de problemas psicosociales y conductualesen los niños y adolescentes que viven en la frontera entre México y los Estados Unidosen el 2007 y el 2010. Se seleccionó aleatoriamente a pacientes que viven en la pobrezaque habían respondido en una oportunidad anterior el Cuestionario de ComportamientoInfantil basado en Pictogramas (P+CBCL) en español a partir de consultoriosen El Paso, Texas, Estados Unidos (grupo afectado solamente por la pobreza), yCiudad Juárez, Chihuahua, México (grupo afectado por la pobreza y la violencia). Seincluyeron solamente niños de origen hispano (estadounidenses de origen mexicanoo mexicanos) que vivían en la pobreza, que consultaron por motivos que no eran urgenciasy que no presentaban antecedentes de enfermedades neurológicas, mentaleso potencialmente mortales, ni discapacidad.Resultados. La exposición a la violencia colectiva y la pobreza parecieron tenerun efecto aditivo sobre la salud mental de los niños. Los niños expuestos tanto a lapobreza como a la violencia colectiva tuvieron puntuaciones mayores de problemasconductuales y psicosociales según las mediciones del P+CBCL que aquellos expuestossolamente a la pobreza.Conclusiones. Es importante considerar que los niños y los adolescentes expuestosa la violencia colectiva y la pobreza también tienen menos oportunidades de recibirtratamiento. Los problemas de salud mental no tratados son factores predictivos de laviolencia, los comportamientos antisociales y la delincuencia y afectan a las familias,a las comunidades y a los individuos. Es crucial abordar el tema de la salud mentalde los niños en la región de la frontera a fin de contrarrestar los efectos devastadoresque esta situación ocasionará a corto plazo y en el futuro cercano.


Objective. To investigate the risk effects of poverty and exposure to collective violenceattributed to organized crime on the mental health of children living on the United States–Mexico border.Methods. A repeated, cross-sectional study measured risk effects by comparing scores ofpsychosocial and behavioral problems among children and adolescents living on the border inthe United States or Mexico in 2007 and 2010. Patients living in poverty who responded onceto the Pictorial Child Behavior Checklist (P+CBCL) in Spanish were randomly selected fromclinics in El Paso, Texas, United States (poverty alone group), and Ciudad Juarez, Chihuahua,Mexico (poverty plus violence group). Only children of Hispanic origin (Mexican–Americanor Mexican) living below the poverty level and presenting at the clinic for nonemergency visitswith no history of diagnosed mental, neurological, or life-threatening disease or disability wereincluded.Results. Exposure to collective violence and poverty seemed to have an additive effect onchildren’s mental health. Children exposed to both poverty and collective violence had higherproblem scores, as measured by the P+CBCL, than those exposed to poverty alone.Conclusions. It is important to consider that children and adolescents exposed to collectiveviolence and poverty also have fewer chances to receive treatment. Untreated mentalhealth problems predict violence, antisocial behaviors, and delinquency and affect families,communities, and individuals. It is crucial to address the mental health of children on the borderto counteract the devastating effects this setting will have in the short term and the near future.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Protección a la Infancia/psicología , Internacionalidad , Salud Mental , Estrés Psicológico , Violencia/psicología , Adaptación Psicológica , Análisis de Varianza , Estudios Transversales , Disparidades en el Estado de Salud , México , Pobreza , Psicometría , Medición de Riesgo , Factores de Riesgo , Estados Unidos
19.
J Neuropsychiatry Clin Neurosci ; 18(3): 350-5, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16963584

RESUMEN

Relatively little is known about late-life patterns of cognitive function among Hispanics of Mexican heritage who reside in the United States. The authors designed a study to assess the association between Mexican-American ethnicity (defined in terms of childhood and adolescent developmental history) and cognitive function among elderly Mexican-American and non-Hispanic white residents of El Paso County, Texas. Our findings indicate significant associations between the degree of Mexican-American ethnicity and cognitive impairment on all three measures of cognitive function. These statistically significant findings remain after effects of education, age, and gender have been removed from the multiple regression equation. The authors conclude that a dependable and clinically meaningful negative association exists between Mexican-American ethnicity and late-life cognitive function in this region that is mediated by as yet unmeasured variables.


Asunto(s)
Anciano/psicología , Cognición/fisiología , Americanos Mexicanos/psicología , Análisis de Varianza , Educación , Etnicidad , Femenino , Humanos , Análisis de los Mínimos Cuadrados , Masculino , México/etnología , Pruebas Neuropsicológicas , Clase Social , Sudoeste de Estados Unidos , Texas , Población Blanca
20.
Acad Psychiatry ; 27(3): 145-7, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12969836

RESUMEN

OBJECTIVE: This article describes the development of a method for assessing resident competence in the five forms of psychotherapy specified in the program requirements for residency training in psychiatry. METHOD: Concomitant with the rise of evidence-based medicine. There has been a movement toward evidence-based training from the Accreditation Council for Graduate Medical Education (ACGME). In the year 2000, the Residency Review Committee (RRC) for psychiatry issued specific requirements for the assessment of residency competence in five forms of psychotherapy. This article describes how a system of assessment was developed using "brainstorming" and the Delphi method to meet these requirements and gives examples of the assessment tools that were utilized. CONCLUSION: A simple system that does not overly tax limited faculty resources can be developed to meet the new RRC requirements.


Asunto(s)
Evaluación Educacional , Internado y Residencia , Competencia Profesional , Psiquiatría/educación , Psicoterapia/normas , Técnica Delphi , Medicina Basada en la Evidencia , Humanos , Psicoterapia/educación
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