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1.
Epilepsy Behav ; 134: 108853, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35905516

RESUMEN

Psychiatric comorbidities, including depression and suicide, contribute substantially to the illness burden of patients with refractory temporal lobe epilepsy (TLE). The aim of this systematic review was to synthesize the existing literature assessing the effect of TLE surgery on (1) depression prevalence and (2) severity, and estimating the incidence of (3) de novo depression and (4) attempted and completed suicide following TLE surgery. A literature search was performed using Ovid Medline, Embase, Clarivate Web of Science, Cochrane Library, and ProQuest Dissertations and Theses. Studies of patients with TLE who underwent TLE surgery and reported estimates of at least one of the following outcomes were included: pre- and postoperative depression prevalence or severity, the incidence of postoperative de novo depression, or attempted or completed suicide. The search yielded 2,127 citations related to TLE surgery and postoperative depression or suicide. After a full-text review of 98 articles, 18 met the final eligibility criteria. Most studies reported a reduced or similar prevalence (n = 12) and severity of depression (n = 5) postoperatively, compared with the preoperative period. Eleven studies reported the incidence of postoperative de novo depression, which ranged from 0 % to 38 % over follow-up periods of three months to nine years. Four studies assessed the incidence of postoperative attempted or completed suicide, with completed suicide incidence ranging from 0 % to 3 % over follow-up periods of one to four years. Overall, the effect of TLE surgery on depression and suicide remains unclear, as many studies did not assess the statistical significance of depression prevalence or severity changes following TLE surgery. Therefore, timely psychosocial follow-up for patients after TLE surgery should be considered. Future longitudinal studies with consistent measures are needed to elucidate the effect of TLE surgery on the prevalence and severity of depression and estimate the incidence of de novo depression and suicide following surgery.


Asunto(s)
Trastorno Depresivo , Epilepsia del Lóbulo Temporal , Suicidio , Lobectomía Temporal Anterior , Depresión , Humanos , Complicaciones Posoperatorias
2.
Can J Neurol Sci ; 48(4): 469-478, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33059773

RESUMEN

OBJECTIVE: To describe the experience with Anterior Nucleus of the Thalamus-Deep Brain Stimulation (ANT-DBS) for the treatment of epilepsy at a Canadian Center. METHODS: All patients who underwent ANT-DBS implantation between 2013 (first patient implanted at our center) and 2020 were included. These patients had therapy-resistant epilepsy (TRE), were not candidates for resective surgery, and failed vagus nerve stimulation (VNS) treatment. Baseline of monthly seizure frequency was calculated within 3 months prior to VNS placement. Monthly seizure frequency was assessed at different points along the timeline: 3 months before ANT-DBS implantation as well as 3, 6, 12, 24, 36, 48, 60, and 72 months after ANT-DBS device placement. At each time point, seizure frequency was compared to baseline. RESULTS: Six patients were implanted with ANT-DBS. Three (50%) patients had multifocal epilepsy, one (16.6%) had focal epilepsy, and two (33.4%) had combined generalized and focal epilepsy. Two patients with multifocal epilepsy experienced a seizure reduction >50% in the long-term follow-up. Three (50%) patients did not showed improvement: two with combined generalized and focal epilepsy and one with focal epilepsy. There were not surgical or device-related side effects. Two (33.3%) patients presented mild and transient headaches as a stimulation-related side effect. CONCLUSION: ANT-DBS is an effective and safe treatment for focal TRE. Our experience suggests that patients with multifocal epilepsy due to regional lesion may benefit from ANT-DBS the most. Further investigations are required to determine optimal parameters of stimulation.


Asunto(s)
Núcleos Talámicos Anteriores , Estimulación Encefálica Profunda , Epilepsia , Estimulación del Nervio Vago , Canadá , Epilepsia/terapia , Humanos , Resultado del Tratamiento
3.
Anal Bioanal Chem ; 410(15): 3597-3606, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29523944

RESUMEN

In this study, ultrafiltered goat milks fermented with the classical starter bacteria Lactobacillus delbrueckii subsp. bulgaricus and Streptococcus salivarus subsp. thermophilus or with the classical starter plus the Lactobacillus plantarum C4 probiotic strain were analyzed using ultra-high performance liquid chromatography-quadrupole-time-of-flight tandem mass spectrometry (UPLC-Q-TOF-MS/MS) and/or high performance liquid chromatography-ion trap (HPLC-IT-MS/MS). Partial overlapping of the identified sequences with regard to fermentation culture was observed. Evaluation of the cleavage specificity suggested a lower proteolytic activity of the probiotic strain. Some of the potentially identified peptides had been previously reported as angiotensin-converting enzyme (ACE) inhibitory, antioxidant, and antibacterial and might account for the in vitro activity previously reported for these fermented milks. Simulated digestion of the products was conducted in the presence of a dialysis membrane to retrieve the bioaccessible peptide fraction. Some sequences with reported physiological activity resisted digestion but were found in the non-dialyzable fraction. However, new forms released by digestion, such as the antioxidant αs1-casein 144YFYPQL149, the antihypertensive αs2-casein 90YQKFPQY96, and the antibacterial αs2-casein 165LKKISQ170, were found in the dialyzable fraction of both fermented milks. Moreover, in the fermented milk including the probiotic strain, the k-casein dipeptidyl peptidase IV inhibitor (DPP-IV) 51INNQFLPYPY60 as well as additional ACE inhibitory or antioxidant sequences could be identified. With the aim of anticipating further biological outcomes, quantitative structure activity relationship (QSAR) analysis was applied to the bioaccessible fragments and led to potential ACE inhibitory sequences being proposed. Graphical abstract Ultrafiltered goat milks were fermented with the classical starter bacteria (St) and with St plus the L. plantarum C4 probiotic strain. Samples were analyzed using HPLC-IT-MS/MS and UPLC-Q-TOF-MS/MS. After simulated digestion and dialysis, some of the active sequences remained and new peptides with reported beneficial activities were released.


Asunto(s)
Digestión , Fermentación , Lactobacillus/fisiología , Leche/metabolismo , Leche/microbiología , Péptidos/análisis , Secuencia de Aminoácidos , Animales , Cromatografía Líquida de Alta Presión , Tracto Gastrointestinal/metabolismo , Cabras , Leche/química , Péptidos/metabolismo , Espectrometría de Masas en Tándem
4.
Int J Geriatr Psychiatry ; 33(2): 316-324, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-28612359

RESUMEN

OBJECTIVE: Moderate alcohol use has been broadly associated with health benefits among older adults, including improved mood. Aims of this study were to evaluate the relationship of moderate alcohol use and depressive symptomatology over a period of eight years, and to examine inflammation, indicated by C-reactive protein (CRP), as one mechanism by which this relationship functions. METHODS: The study included 3177 community-dwelling participants over the age of 65 in 2008 drawn from the Health and Retirement Study. Data from the 2006, 2008, 2012, and 2014 waves were used. Alcohol use was measured via self-report and was dichotomized as abstinent (0 drinks per week) and moderate (1-14 drinks per week). Inflammation was measured using CRP, which was collected using an enzyme-linked immunosorbent assay and provided in units of µg/mL. Control variables included gender, age, body mass index (BMI), and medical burden. RESULTS: A latent growth curve model with full information maximum likelihood was used, with results revealing that moderate drinkers endorsed fewer depressive symptoms at baseline and a steeper rate of change over time. Abstinent respondents' depressive symptomatology was characterized by a more linear change rate. Further, moderate drinkers had lower CRP levels suggesting that inflammation partially mediates the relationship between moderate alcohol use and depressive symptomatology. CONCLUSIONS: Moderate alcohol use predicts fewer depressive symptoms among older adults. This relationship is partially moderated by CRP and is eroded by the passage of time. Future research should identify additional mechanisms relating alcohol to positive health outcomes and less depressive symptomatology. Copyright © 2017 John Wiley & Sons, Ltd.


Asunto(s)
Consumo de Bebidas Alcohólicas/psicología , Proteína C-Reactiva/análisis , Depresión , Inflamación/sangre , Anciano , Anciano de 80 o más Años , Biomarcadores/análisis , Índice de Masa Corporal , Depresión/sangre , Depresión/psicología , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Estudios Longitudinales , Masculino
5.
Rev Gastroenterol Peru ; 38(1): 78-81, 2018.
Artículo en Español | MEDLINE | ID: mdl-29791426

RESUMEN

Familial Adenomatous polyposis (FAP) it is based on an autosomal dominant mutation which results in loss of function of theAPC tumor suppressor gene. On the other hand, Gardner syndrome is a type of FAP and is characterized for multiple colonic adenomatous polyps and extracolonic abnormalities as desmoid tumors, osteomas, lipomas, dental abnormalities, dermoid cysts and duodenal adenomas. This report aims to present two patients with FAP: The first one is a patient who presented with osteomas and hematochezia, being diagnosed with Gardner Syndrome after the colonoscopy. The second patient has a family history of colon cancer, who is diagnosed with FAP with tubular adenocarcinoma. We decide to report both cases due to the absence of previous reports in Peru.


Asunto(s)
Poliposis Adenomatosa del Colon/diagnóstico , Adulto , Síndrome de Gardner/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Perú
6.
Rev Chil Pediatr ; 89(6): 701-708, 2018 Dec.
Artículo en Español | MEDLINE | ID: mdl-30725058

RESUMEN

A high level of physical fitness in childhood and adolescence is associated with more favorable phy sical and mental health outcomes. OBJECTIVE: To compare body adiposity and horizontal jump per formance with international studies and to analyze the relationship between body adiposity and ho rizontal jump performance indicators in children and adolescents. PATIENTS AND METHOD: Descriptive study conducted on 812 adolescents from Talca (Chile), with an age range between 10.0 and 16.9 years. Weight, height, waist circumference (WC) and Horizontal jump (HJ) were evaluated after warm-up for 10 to 15 minutes to evaluate the explosive strength of the lower extremities according to the protocol of Castro-Piñero et al. Adiposity and HJ were compared with national and international studies. The data normality was verified by the Kolmogorov-Smirnov test. Smoothed percentile cur ves (p50) were created for BMI, WC, and HJ for each gender according to the LMS method. RESULTS: Adolescents showed differences in body adiposity and HJ performance with international studies. In both genders, negative and significant correlations were found between the BMI and the HJ (men r = -0.104 and women r = -0.149) and between the WC and the HJ (men r = -0.100 and women r = -0.131). The adolescents who were classified in tertile 1 (good) and tertile 2 (satisfactory) had lower body adiposity (BMI and WC) and better HJ performance than those in tertile 3 (poor). CONCLUSION: Higher body adiposity and lower HJ performance were observed compared to international studies. In addition, a negative relationship between body adiposity and HJ was found. These findings suggest that the progressive increase of adiposity as age increases negatively affects the strength performance of the lower extremities of the studied children and adolescents.


Asunto(s)
Adiposidad , Obesidad Infantil/fisiopatología , Aptitud Física/fisiología , Adolescente , Estudios de Casos y Controles , Niño , Femenino , Humanos , Masculino
7.
Langmuir ; 31(24): 6909-16, 2015 Jun 23.
Artículo en Inglés | MEDLINE | ID: mdl-26023823

RESUMEN

The supramolecular order of a 2,5-bis(dodecanoxy)phenyleneethynylene-butadiyne series of rod-like oligomers with 2, 4, 6, and 8 phenyleneethynylene moieties was studied in the solid state by differential scanning calorimetry (DSC), temperature-dependent small- and wide-angle X-ray scattering (SWAXS), selected area electron diffraction (SAED), polarized optical microscopy (POM), high-resolution transmission microscopy (HRTEM), and scanning tunneling microscopy (STM). It was found that all of the oligomers self-assemble in blocks of molecules that resemble bricks that are randomly oriented. These oligomers are described as sanidic liquid crystals as a term to classify their mesomorphic behavior because of their brick or board-like structure. The strong π-π interaction that governs the package of conjugated backbones was evidenced by the reiterative distances of 0.36 ± 0.017 nm found by SWAXS and 0.32 ± 0.017 nm found by HRTEM. A STM study of a cast film of the tetramer deposited on highly oriented pyrolitic graphite (HOPG) allowed for the visualization and determination of the conjugated backbone length of 2.48 nm and a phenyl-phenyl distance of 0.34 nm, suggesting that the molecules are stacked in lamellae perpendicularly aligned to the substrate.

8.
ACS Appl Bio Mater ; 7(5): 3136-3142, 2024 05 20.
Artículo en Inglés | MEDLINE | ID: mdl-38668729

RESUMEN

We present a luminescence study investigating the dissolution of rare-earth-doped hydroxyapatite scaffolds in simulated body fluid (SBF), aiming to assess the luminescence stability of Tb-, Ce-, and Eu-doped scaffolds over time. Our findings reveal a consistent decrease in luminescence emission intensity across all samples over a four-week period in which the scaffolds were immersed in the SBF. In addition, energy-dispersive spectroscopy confirms a decrease in rare-earth ion concentration in the scaffolds with respect to time, whereas fluorescence spectroscopy shows the presence of rare-earth ions in the SBF, indicating the partial dissolution of the scaffolds over time. The use of rare-earth ions as luminescence markers provides insights into the mechanisms of apatite formation in hydroxyapatites. Thus, these scaffolds may find wider use in regenerative medicine, particularly in targeted drug delivery systems, where their luminescent properties have the potential to noninvasively track drug release.


Asunto(s)
Materiales Biocompatibles , Líquidos Corporales , Durapatita , Ensayo de Materiales , Tamaño de la Partícula , Durapatita/química , Líquidos Corporales/química , Materiales Biocompatibles/química , Luminiscencia , Andamios del Tejido/química , Metales de Tierras Raras/química
9.
Am J Trop Med Hyg ; 110(4): 700-705, 2024 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-38442416

RESUMEN

The aim of this study was to analyze postsurgical outcomes for individuals with mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS) who underwent anterior temporal lobectomy, based on the presence of calcified neurocysticercosis (cNCC). A retrospective cross-sectional study was conducted on 89 patients with MTLE-HS who underwent anterior temporal lobectomy between January 2012 and December 2020 at a basic epilepsy surgery center located in Lima, Peru. We collected sociodemographic, clinical, and diagnostic information. The postsurgical results were analyzed using bivariate analysis according to the Engel classification. We included 89 individuals with a median age of 28 years (interquartile range [IQR]: 24-37), and more than half (55.1%) were male. Seventeen (19.1%) were diagnosed with cNCC. A greater number of patients with cNCC had lived in rural areas of Peru during their early life compared with those without cNCC (12 [70.6%] versus 26 [36.1%]; P = 0.010). Patients with cNCC exhibited a greater median frequency of focal to bilateral tonic-clonic seizures per month (1 [IQR: 0-2] versus 0 [0-0.5]; P = 0.009). Conversely, a lower proportion of patients with cNCC reported a history of an initial precipitating injury in comparison to the group without cNCC (4 [23.5%] versus 42 [58.3%]; P = 0.014). At the 1-year follow-up, most patients (82.4%) with cNCC were categorized as Engel IA. Similarly, at the 2-year follow-up, nine (75.0%) were classified as Engel IA. Our findings suggest that most patients diagnosed with cNCC exhibit favorable postsurgical outcomes, comparable to those without cNCC. Additionally, it can be postulated that cNCC may play a role as an initial precipitating injury.


Asunto(s)
Epilepsia del Lóbulo Temporal , Epilepsia , Esclerosis del Hipocampo , Neurocisticercosis , Compuestos de Nitrosourea , Humanos , Masculino , Adulto , Femenino , Epilepsia del Lóbulo Temporal/complicaciones , Epilepsia del Lóbulo Temporal/cirugía , Neurocisticercosis/complicaciones , Neurocisticercosis/cirugía , Estudios Retrospectivos , Estudios Transversales , Resultado del Tratamiento , Epilepsia/complicaciones , Hipocampo
10.
Artículo en Inglés | MEDLINE | ID: mdl-39003118

RESUMEN

OBJECTIVE: To assess incidence, risk factors and impact of acute kidney injury(AKI) within 48 h of intensive care unit(ICU) admission on ICU mortality in patients with SARS-CoV-2 pneumonia. To assess ICU mortality and risk factors for continuous renal replacement therapy (CRRT) in AKI I and II patients. DESIGN: Retrospective observational study. SETTING: Sixty-seven ICU from Spain, Andorra, Ireland. PATIENTS: 5399 patients March 2020 to April 2022. MAIN VARIABLES OF INTEREST: Demographic variables, comorbidities, laboratory data (worst values) during the first two days of ICU admission to generate a logistic regression model describing independent risk factors for AKI and ICU mortality. AKI was defined according to current international guidelines (kidney disease improving global outcomes, KDIGO). RESULTS: Of 5399 patients included 1879 (34.8%) developed AKI. These patients had higher ICU mortality and AKI was independently associated with a higher ICU mortality (HR 1.32 CI 1.17-1.48; p < 0.001). Male gender, hypertension, diabetes, obesity, chronic heart failure, myocardial dysfunction, higher severity scores, and procalcitonine were independently associated with the development of AKI. In AKI I and II patients the need for CRRT was 12.6% (217/1710). In these patients, APACHE II, need for mechanical ventilation in the first 24 h after ICU admission and myocardial dysfunction were associated with risk of needing CRRT. AKI I and II patients had a high ICU mortality (38.5%), especially if CRRT were required (64.1% vs. 34,8%; p < 0.001). CONCLUSIONS: Critically ill patients with SARS-CoV-2 pneumonia and AKI have a high ICU mortality. Even AKI I and II stages are associated with high risk of needing CRRT and ICU mortality.

11.
Foods ; 13(7)2024 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-38611342

RESUMEN

Lyophilized plant-origin extracts are rich in highly potent antioxidant polyphenols. In order to incorporate them into food products, it is necessary to protect these phytochemicals from atmospheric factors such as heat, light, moisture, or pH, and to enhance their bioavailability due to their low solubility. To address these challenges, recent studies have focused on the development of encapsulation techniques for antioxidant compounds within polymeric structures. In this study, lyophilized olive leaf extracts were microencapsulated with the aim of overcoming the aforementioned challenges. The method used for the preparation of the studied microparticles involves external ionic gelation carried out within a water-oil (W/O) emulsion at room temperature. HPLC analysis demonstrates a high content of polyphenols, with 90% of the bioactive compounds encapsulated. Meanwhile, quantification by inductively coupled plasma optical emission spectroscopy (ICP-OES) reveals that the dried leaves, lyophilized extract, and microencapsulated form contain satisfactory levels of macro- and micro-minerals (calcium, potassium, sodium). The microencapsulation technique could be a novel strategy to harness the polyphenols and minerals of olive leaves, thus enriching food products and leveraging the antioxidant properties of the polyphenolic compounds found in the lyophilized extract.

12.
Chem Commun (Camb) ; 59(21): 3095-3098, 2023 Mar 09.
Artículo en Inglés | MEDLINE | ID: mdl-36805077

RESUMEN

Microscale functional materials permit advanced applications in optics and photonics. This work presents the additive manufacturing of three-dimensional structured phosphors emitting red, green, blue, and white. The development is a step forward to realizing additive colour synthesis within complex architectures of relevance in integrated optics or light-emitting sources.

13.
Water Res ; 242: 120264, 2023 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-37393807

RESUMEN

Representing reality in a numerical model is complex. Conventionally, hydraulic models of water distribution networks are a tool for replicating water supply system behaviour through simulation by means of approximation of physical equations. A calibration process is mandatory to achieve plausible simulation results. However, calibration is affected by a set of intrinsic uncertainty sources, mainly related to the lack of system knowledge. This paper proposes a breakthrough approach for calibrating hydraulic models through a graph machine learning approach. The main idea is to create a graph neural network metamodel to estimate the network behaviour based on a limited number of monitoring sensors. Once the flows and pressures of the entire network have been estimated, a calibration is carried out to obtain the set of hydraulic parameters that best approximates the metamodel. Through this process, it is possible to estimate the uncertainty that is transferred from the few available measurements to the final hydraulic model. The paper sparks a discussion to assess under what circumstances a graph-based metamodel might be a solution for water network analysis.


Asunto(s)
Redes Neurales de la Computación , Abastecimiento de Agua , Incertidumbre , Calibración , Simulación por Computador
14.
ACS Appl Electron Mater ; 4(3): 925-935, 2022 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-35607319

RESUMEN

This work reports the ellipsometry analysis of atomic layer deposition (ALD) films of ZnO doped with Zr to determine parameters like free carrier concentration and mobility. Thin films of zinc oxide (ZnO) and Zr-doped ZnO of thickness ∼100 nm were prepared by atomic layer deposition on sapphire, SiO2/Si(100), and Si(100) substrates. Variable-angle spectroscopic ellipsometry was used to study their optical properties in the 0.5-3.5 eV spectral range. The optical constants were accurately obtained using a model that combines Drude and Tauc-Lorentz oscillators with Bruggeman effective medium approximations, allowing the inclusion of a roughness layer in the optical model. The effect of Zr doping (ca. 1.9-4.4 atom %) was then investigated in both as-prepared samples and samples annealed in the temperature range of 100-300 °C. All of the films exhibited good optical transparency (ca. 70-90% in the visible region). For doping levels below 2.7 atom %, the real part of the dielectric permittivity reveals a semiconductor-to-metal transition in the near-infrared (NIR) region, as the permittivity goes from positive to negative. Besides, the plasma energy increases with increasing Zr concentration, and both resistivity and carrier concentration exhibit slightly parabolic behaviors, with a minimum of ∼1.5 × 10-3 Ω cm and a maximum of 2.4 × 1020 cm-3, respectively, at the same critical Zr concentration (2.7 atom %). In contrast, the carrier mobility decreases rapidly from 76.0 to 19.2 cm2/(V s) with increasing Zr content, while conductivities and carrier mobilities worsen when the annealing temperature increases, probably due to the segregation of ZnO crystals. Finally, the optical band gap is very stable, revealing its interesting independence of substrate composition and annealing temperature, as it collapses to a single master curve when band gap energy is plotted versus free carrier concentration, following the Burstein-Moss effect. Overall, the Zr-doped ZnO films studied here would be a highly desirable system for developing thermally stable transparent conductive oxides (TCOs).

15.
Clin Neurol Neurosurg ; 216: 107223, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35413637

RESUMEN

PURPOSE: The presence of verbal auditory hallucinations is often associated with psychotic disorders and rarely is considered as an ictal phenomena. The aim of this paper is to describe the anatomical structures involved in the genesis of this ictal symptom during epileptic seizures and direct cortical stimulation using stereo encephalography (SEEG). METHOD: The case is of a 31-year-old right-handed female, bilateral speech representation, schizophrenia and with drug-resistant epilepsy and focal aware sensory seizures characterized by ictal verbal auditory hallucinations. She was implanted with depth electrodes, and she was monitored using SEEG recordings. RESULTS: She had focal aware sensory seizures characterized by verbal auditory hallucinations, with the following features: hearing numerous voices (both male and/or female), talking at the same time (not able to distinguish how many). The voices were inside her head, consisted of negative content, and lasted up to two minutes. Some of her focal aware sensory seizures evolved to focal motor seizures and rarely progressed to bilateral tonic clonic seizures. Her neurological examination, her brain MRI and her interictal SPECT were unremarkable. Her PET scan identified mild hypo metabolism over the right temporal and right frontal lobes. Her neuropsychological evaluation showed language laterality undetermined but her functional MRI showed bilateral language representation. On her video-EEG, three seizures were captured with a right posterior temporal onset. A subsequent SEEG showed thirteen typical seizures originating from the posterior temporal neocortical region. The cortical stimulation of the right posterior temporo-parietal neocortical region and right amygdala triggered her typical phenomena, which was multiple voices, inside her head, speaking in the second person, negative content, unable to identify gender, in English, and no side lateralization. CONCLUSION: Verbal auditory hallucinations should be analyzed carefully because they can be part of the seizure presentation. Our case supports the localization of these hallucinations in the right posterior neocortical temporal regions.

16.
Cir Esp ; 89(2): 94-100, 2011 Feb.
Artículo en Español | MEDLINE | ID: mdl-21255769

RESUMEN

UNLABELLED: Complex data analysis methods require optimisation techniques such as evolutionary algorithms in order to generate reliable results. The objective of this study is to analyse the relationships of particular perioperative care in colorectal surgery (CRS) with surgeon epidemiological data, performing partition grouping to look for significant relationships. METHODS: Data were used from a survey of members of Spanish coloproctology associations on perioperative care in colorectal surgery, and analysing the responses associated with mechanical bowel preparation (MBP), nasogastric intubation (NGI), drainages (D), and early feeding (EF), over the existing scientific evidence (SE) which shows that the first ones are unnecessary and the importance of the last one. We applied a variant of particle swarm optimization (PSO), to group data conglomerates, optimising variables with statistical grouping criteria. RESULTS: A total of 130 surveys were analysed, finding 2 clear groups which included 21.5% and 78.5% of the sample, respectively. Sixty eight per cent of the surgeons in Group A belonged to the European Board in Coloproctology, compared to none in Group B, and the former performed 80% of the coloproctology activity, compared to 60% of the rest. A responded homogeneously to questions on MBP, NGI, D and EF, those of group A following the SE, while the others did it randomly and without following it. Age, work position or academic range were not significant in the grouping. CONCLUSIONS: The evolutionary algorithm was shown to be able to identify groups according to the use of perioperative care in CRS. Accreditation and dedication was associated with behaviour based on the SE.


Asunto(s)
Acreditación , Cirugía Colorrectal/normas , Atención Perioperativa/normas , Humanos , Calidad de la Atención de Salud/normas
17.
BJPsych Open ; 7(4): e119, 2021 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-34184627

RESUMEN

Delirious mania is an uncommon condition that is challenging to diagnose and treat. More often seen in patients with a history of bipolar disorder, it frequently presents with prominent catatonic features and overlaps with other diseases in the catatonic spectrum, such as neuroleptic malignant syndrome, serotonin syndrome and malignant catatonia. We present a case of delirious mania refractory to high doses of lorazepam, several antipsychotics and valproic acid, which responded dramatically to therapy with lithium after 26 days of minimal improvement with the other medications. The pathophysiology of delirious mania is reviewed, and the unique actions of lithium are discussed, highlighting possible reasons as to why lithium might offer advantages in the treatment of this disease.

18.
Sci Rep ; 11(1): 3845, 2021 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-33589685

RESUMEN

The spread of false information on social networks has garnered substantial scientific and popular attention. To counteract this spread, verification of the truthfulness of information has been proposed as a key intervention. Using a novel behavioral experiment with over 2000 participants, we analyze participants' willingness to spread false information in a network. All participants in the network have aligned incentives making lying attractive and countering the explicit norm of truth-telling that we impose. We investigate how verifying the truth, endogenously or exogenously, impacts the choice to lie or to adhere to the norm of truth-telling and how this compares to the spread of information in a setting in which such verification is not possible. The three key take-aways are (1) verification is only moderately effective in reducing the spread of lies, and (2) its effectivity is contingent on the agency of people in seeking the truth, and (3) on the exposure of liars, not only on the exposure of the lies being told. These results suggest that verification is not a blanket solution. To enhance its effectivity, verification should be combined with efforts to foster a culture of truth-seeking and with information on who is spreading lies.

19.
Sustain Cities Soc ; 69: 102804, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36568856

RESUMEN

The emergence of COVID-19 pandemic is causing tremendous impact on our daily lives, including the way people interact with buildings. Leveraging the advances in machine learning and other supporting digital technologies, recent attempts have been sought to establish exciting smart building applications that facilitates better facility management and higher energy efficiency. However, relying on the historical data collected prior to the pandemic, the resulting smart building applications are not necessarily effective under the current ever-changing situation due to the drifts of data distribution. This paper investigates the bidirectional interaction between human and buildings that leads to dramatic change of building performance data distributions post-pandemic, and evaluates the applicability of typical facility management and energy management applications against these changes. According to the evaluation, this paper recommends three mitigation measures to rescue the applications and embedded machine learning algorithms from the data inconsistency issue in the post-pandemic era. Among these measures, incorporating occupancy and behavioural parameters as independent variables in machine learning algorithms is highlighted. Taking a Bayesian perspective, the value of data is exploited, historical or recent, pre- and post-pandemic, under a people-focused view.

20.
Anat Histol Embryol ; 50(1): 84-92, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32794251

RESUMEN

Sheep are recognized as useful species for translational neurodegeneration research, in particular for the study of Huntington disease. There is a lack of information regarding the detailed anatomy and connections of the basal ganglia of sheep, in normal myeloarchitectonics and in tract-tracing studies. In this work, the organization of the corticostriatal projections at the level of the putamen and globus pallidus (GP) are explored. For the first time, the myeloarchitectonic pattern of connections between the internal (IC) and the external (EC) capsules with the GP have been investigated in the sheep. Formaldehyde-fixed blocks of the striatum were treated with a metallic stain containing potassium dichromate and visualized using micro-CT (µ-CT). The trivalent chromium (Cr3+), attached to myelin phospholipids, imparts a differential contrast to the grey and white matter compartments, which allows the visualization of myelinated fascicles in µ-CT images. The fascicles were classified according to their topographical location in dorsal supreme fascicles (X, Y, apex) arising from the IC and EC; pre-commissurally, basal fascicles connecting the ventral part of the EC with the lateral zone of the ventral pallidum (VP) and, post-commissurally, superior (Z1 ), middle (Z2 ) and lower (Z3 ) fascicles, connecting at different levels the EC with the GP. The results suggest that the presumptive cortical efferent and afferent fibres to the pallidum could be organized according to a dorsal to ventrolateral topography in the sheep, similar to that seen in other mammals. The proposed methodology has the potential to delineate the myeloarchitectonic patterns of nervous systems and tracts.


Asunto(s)
Cromatos/química , Globo Pálido/anatomía & histología , Globo Pálido/diagnóstico por imagen , Ovinos/anatomía & histología , Microtomografía por Rayos X/veterinaria , Animales , Masculino , Coloración y Etiquetado/veterinaria
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