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1.
J Environ Manage ; 370: 122527, 2024 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-39332296

RESUMEN

Ecosystem multi-functionality is a key concept when measured to protect forests from natural and anthropogenic disturbances, such as fire prevention techniques, must be adopted. Despite this importance, scarce studies have analysed the impacts of prescribed burning and aboveground vegetation management on ecosystem functions and overall multi-functionality. To fill this gap, this study has evaluated the changes in some ecosystem properties and structure (associated with soil characteristics and plant diversity, respectively), in important forest functions, and the overall ecosystem multi-functionality in a Mediterranean pine forest of Castilla La Mancha (Central Eastern Spain) under three site conditions: (i) undisturbed ecosystem; (ii) forest subjected to mechanical shredding of aboveground vegetation (hereafter "AVMS"); and (iii) forest treated as above and then with prescribed fire ("AVMS + PF"). The results of the study have shown that neither the PF nor AVMS have significantly modified the structure, properties and functions as well as the overall multi-functionality of the forest ecosystem. These slight impacts of the treatments are due to the low fire severity of the prescribed burning and the long time elapsed from the vegetation management. Among the studied ecosystem functions, organic matter decomposition (driven by the enzymatic activities and soil basal respiration), water cycle (influenced by soil water content and water infiltration), carbon stock (linked to soil organic matter) and biomass production decreased, when species richness and plant diversity increased. The study is useful to indicate the feasibility of forest management actions for fire prevention in delicate forest ecosystems of the Mediterranean environments.

2.
Chemistry ; 28(38): e202200671, 2022 Jul 06.
Artículo en Inglés | MEDLINE | ID: mdl-35504848

RESUMEN

A direct and asymmetric triisopropylsilyltrifluoromethanesulfonate (TIPSOTf) mediated aldol reaction of N-azidoacetyl-1,3-thiazolidine-2-thione with aromatic aldehydes catalyzed by a chiral nickel(II)-Tol-BINAP complex has been developed (BINAP=2,2'-bis(diphenylphosphino)-1,1'-binaphthyl). The catalytic protocol gives the corresponding anti α-azido-ß-silyloxy adducts with outstanding stereocontrol and in high yields. Theoretical calculations account for the stereochemical outcome of the reaction and lay the foundations for a mechanistic model. In turn, the easy removal of the thiazolidinethione yields a wide array of enantiomerically pure derivatives in a straightforward and efficient manner. Such a noteworthy character of the heterocyclic scaffold together with the appropriate manipulation of the azido group open a new route to the synthesis of di- and tripeptide blocks containing a ß-aryl-ß-hydroxy-α-amino acid.


Asunto(s)
Aldehídos , Níquel , Aldehídos/química , Aminoácidos/química , Catálisis , Níquel/química , Estereoisomerismo , Tiazolidinas
3.
Ecol Appl ; 31(3): e02288, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33423382

RESUMEN

Climate warming is driving an advance of leaf unfolding date in temperate deciduous forests, promoting longer growing seasons and higher carbon gains. However, an earlier leaf phenology also increases the risk of late frost defoliation (LFD) events. Compiling the spatiotemporal patterns of defoliations caused by spring frost events is critical to unveil whether the balance between the current advance in leaf unfolding dates and the frequency of LFD occurrence is changing and represents a threaten for the future viability and persistence of deciduous forests. We combined satellite imagery with machine learning techniques to reconstruct the spatiotemporal patterns of LFD events for the 2003-2018 period in the Iberian range of European beech (Fagus sylvatica), at the drier distribution edge of the species. We used MODIS Vegetation Index Products to generate a Normalized Difference Vegetation Index (NDVI) time series for each 250 × 250 m pixel in a total area of 1,013 km2 (16,218 pixels). A semi-supervised approach was used to train a machine learning model, in which a binary classifier called Support Vector Machine with Global Alignment Kernel was used to differentiate between late frost and non-late frost pixels. We verified the obtained estimates with photointerpretation and existing beech tree-ring chronologies to iteratively improve the model. Then, we used the model output to identify topographical and climatic factors that determined the spatial incidence of LFD. During the study period, LFD was a low recurrence phenomenon that occurred every 15.2 yr on average and showed high spatiotemporal heterogeneity. Most LFD events were condensed in 5 yr and clustered in western forests (86.5% in one-fifth of the pixels) located at high elevation with lower than average precipitation. Elevation and longitude were the major LFD risk factors, followed by annual precipitation. The synergistic effects of increasing drought intensity and rising temperature combined with more frequent late frost events may determine the future performance and distribution of beech forests. This interaction might be critical at the beech drier range edge, where the concentration of LFD at high elevations could constrain beech altitudinal shifts and/or favor species with higher resistance to late frosts.


Asunto(s)
Fagus , Cambio Climático , Bosques , Incidencia , Aprendizaje Automático , Estaciones del Año , Árboles
4.
Angew Chem Int Ed Engl ; 60(28): 15307-15312, 2021 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-33872449

RESUMEN

A direct and asymmetric aldol reaction of N-acyl thiazinanethiones with aromatic aldehydes catalyzed by chiral nickel(II) complexes is reported. The reaction gives the corresponding O-TIPS-protected anti-aldol adducts in high yields and with remarkable stereocontrol and atom economy. Furthermore, the straightforward removal of the achiral scaffold provides enantiomerically pure intermediates of synthetic interest, which involve precursors for anti-α-amino-ß-hydroxy and α,ß-dihydroxy carboxylic derivatives. Theoretical calculations explain the observed high stereocontrol.

5.
Pharmacol Res ; 115: 168-178, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-27888155

RESUMEN

Aromatic antiepileptic drugs (AEDs) are among the drugs most frequently involved in severe cutaneous adverse reactions (SCARs), such as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug reactions with eosinophilia and systemic symptoms (DRESS). This study investigated the associations between the genetic polymorphisms of HLA class-I and AED-induced SCARs in the Spanish population. HLA class-I genotypes were determined in AED (phenytoin[PHT],lamotrigine[LTG],carbamazepine[CBZ],phenobarbital[PB])-induced SJS/TEN (n=15) or DRESS (n=12) cases included in the Spanish SCAR registry, PIELenRed. There were 3 control groups: (A)tolerant to a single AED, (B)tolerant to any AED, and (C)Spanish population controls. For SJS/TEN, concomitant HLA-A*02:01/Cw15:02 alleles were significantly associated with PHT-cases compared to control groups B and C [(B)odds ratio(OR):14.75, p=0.009;(C)OR:27.50, p<0.001], and were close to significance with respect to control group A (p=0.060). The genotype frequency of the HLA-B*38:01 was significantly associated with PHT-LTG-cases compared with the 3 groups of controls [(A)OR:12.86, p=0.012;(B)OR:13.81; p=0.002;(C)OR:14.35, p<0.001], and with LTG-cases [(A)OR:147.00, p=0.001;(B)OR:115.00, p<0.001;(C)OR:124.70, p<0.001]. We found the HLA-B*15:02 allele in a Spanish Romani patient with a CBZ-case. The HLA-A*11:01 was significantly associated with CBZ-cases [(A)OR:63.89, p=0.002;(B)OR:36.33, p=0.005;(C)OR:28.29, p=0.007]. For DRESS, the HLA-A*24:02 genotype frequency was statistically significant in the PHT-LTG-cases [(A)OR:22.56, p=0.003;(B)OR:23.50. p=0.001; (C)OR:33.25, p<0.001], and in the LTG-cases [(A),OR:49.00, p=0.015;(B)OR:27.77, p=0.005; (C)OR:34.53, p=0.002]. HLA-A*31:01 was significantly associated with the CBZ-cases [(A)OR:22.00, p=0.047;(B)OR:29.50, p=0.033;(C)OR:35.14, p=0.006]. In conclusion, we identified several significant genetic risk factors for the first time in the Spanish Caucasian population: HLA-A*02:01/Cw*15:02 combination as a risk factor for PHT-induced SJS/TEN, HLA-B*38:01 for LTG- and PHT- induced SJS/TEN, HLA-A*11:01 for CBZ-induced SJS/TEN, and HLA-A*24:02 for LTG- and PHT- induced DRESS. The strong association between HLA*31:01 and CBZ-DRESS in Europeans was confirmed in this study.


Asunto(s)
Anticonvulsivantes/efectos adversos , Síndrome de Hipersensibilidad a Medicamentos/genética , Genes MHC Clase I/genética , Predisposición Genética a la Enfermedad/genética , Síndrome de Stevens-Johnson/genética , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Síndrome de Hipersensibilidad a Medicamentos/etiología , Femenino , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Polimorfismo Genético , Factores de Riesgo , España , Síndrome de Stevens-Johnson/etiología , Población Blanca/genética , Adulto Joven
6.
Ann Neurol ; 75(2): 317-23, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24318406

RESUMEN

In 5 prospectively diagnosed patients with relapsing post-herpes simplex encephalitis (HSE), N-methyl-D-aspartate receptor (NMDAR) antibodies were identified. Antibody synthesis started 1 to 4 weeks after HSE, preceding the neurological relapse. Three of 5 patients improved postimmunotherapy, 1 spontaneously, and 1 has started to improve. Two additional patients with NMDAR antibodies, 9 with unknown neuronal surface antibodies, and 1 with NMDAR and unknown antibodies, were identified during retrospective assessment of 34 HSE patients; the frequency of autoantibodies increased over time (serum, p=0.004; cerebrospinal fluid, p=0.04). The 3 retrospectively identified NMDAR antibody-positive patients also had evidence of relapsing post-HSE. Overall, these findings indicate that HSE triggers NMDAR antibodies and potentially other brain autoimmunity.


Asunto(s)
Autoinmunidad/fisiología , Encéfalo/fisiopatología , Encefalitis por Herpes Simple/patología , Animales , Preescolar , Encefalitis por Herpes Simple/sangre , Encefalitis por Herpes Simple/líquido cefalorraquídeo , Femenino , Células HEK293 , Humanos , Lactante , Masculino , Estudios Prospectivos , Ratas , Receptores de N-Metil-D-Aspartato/sangre , Estudios Retrospectivos , Transfección , Adulto Joven
7.
J Med Syst ; 39(11): 152, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26385549

RESUMEN

It is known that the data preparation phase is the most time consuming in the data mining process, using up to 50% or up to 70% of the total project time. Currently, data mining methodologies are of general purpose and one of their limitations is that they do not provide a guide about what particular task to develop in a specific domain. This paper shows a new data preparation methodology oriented to the epidemiological domain in which we have identified two sets of tasks: General Data Preparation and Specific Data Preparation. For both sets, the Cross-Industry Standard Process for Data Mining (CRISP-DM) is adopted as a guideline. The main contribution of our methodology is fourteen specialized tasks concerning such domain. To validate the proposed methodology, we developed a data mining system and the entire process was applied to real mortality databases. The results were encouraging because it was observed that the use of the methodology reduced some of the time consuming tasks and the data mining system showed findings of unknown and potentially useful patterns for the public health services in Mexico.


Asunto(s)
Minería de Datos/métodos , Bases de Datos Factuales , Neoplasias/mortalidad , Algoritmos , Causas de Muerte , Censos , Métodos Epidemiológicos , Humanos , México/epidemiología , Características de la Residencia
9.
Sci Rep ; 14(1): 3354, 2024 02 09.
Artículo en Inglés | MEDLINE | ID: mdl-38336826

RESUMEN

Throughout pregnancy, the decidua is predominantly populated by NK lymphocytes expressing Killer immunoglobulin-like receptors (KIR) that recognize human leukocyte antigen-C (HLA-C) ligands from trophoblast cells. This study aims to investigate the association of KIR-HLA-C phenotypes in couples facing infertility, particularly recurrent pregnancy loss (RPL) and recurrent implantation failure (RIF), in comparison to a reference population and fertile controls. This observational, non-interventional retrospective case-control study included patients consecutively referred to our Reproductive Immunology Unit from 2015 to 2019. We analyzed the frequencies of KIR and HLA-C genes. As control groups, we analyzed a reference Spanish population for KIR analysis and 29 fertile controls and their male partners for KIR and HLA-C combinations. We studied 397 consecutively referred women with infertility and their male partners. Among women with unexplained RPL (133 women) and RIF (176 women), the centromeric (cen)AA KIR genotype was significantly more prevalent compared to the reference Spanish population (p = 0.001 and 0.02, respectively). Furthermore, cenAA was associated with a 1.51-fold risk of RPL and a 1.2-fold risk of RIF. Conversely, the presence of BB KIR showed a lower risk of reproductive failure compared to non-BB KIR (OR: 0.12, p < 0.001). Women and their partners with HLA-C1C1/C1C1 were significantly less common in the RPL-Group (p < 0.001) and RIF-Group (p = 0.002) compared to the control group. Moreover, the combination of cenAA/C1C1 in women with C1C1 partners was significantly higher in the control group than in the RPL (p = 0.009) and RIF (p = 0.04) groups, associated with a 5-fold increase in successful pregnancy outcomes. In our cohort, the cenAA KIR haplotype proved to be a more accurate biomarker than the classic AA KIR haplotype for assessing the risk of RPL and RIF, and might be particularly useful to identify women at increased risk among the heterogeneous KIR AB or Bx population. The classification of centromeric KIR haplotypes outperforms classical KIR haplotypes, making it a better indicator of potential maternal-fetal KIR-HLA-C mismatch in patients.


Asunto(s)
Aborto Habitual , Infertilidad , Embarazo , Humanos , Masculino , Femenino , Antígenos HLA-C/genética , Estudios Retrospectivos , Secuencias de Aminoácidos , Estudios de Casos y Controles , Aborto Habitual/genética , Receptores KIR/genética , Infertilidad/genética , Biomarcadores
10.
Ann Clin Transl Neurol ; 11(6): 1456-1464, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38693632

RESUMEN

OBJECTIVE: Duchenne and Becker muscular dystrophies (DMD and BMD) are dystrophinopathies caused by variants in DMD gene, resulting in reduced or absent dystrophin. These conditions, characterized by muscle weakness, also manifest central nervous system (CNS) comorbidities due to dystrophin expression in the CNS. Prior studies have indicated a higher prevalence of epilepsy in individuals with dystrophinopathy compared to the general population. Our research aimed to investigate epilepsy prevalence in dystrophinopathies and characterize associated electroencephalograms (EEGs) and seizures. METHODS: We reviewed 416 individuals with dystrophinopathy, followed up at three centers between 2010 and 2023, to investigate the lifetime epilepsy prevalence and characterize EEGs and seizures in those individuals diagnosed with epilepsy. Associations between epilepsy and type of dystrophinopathy, genotype, and cognitive involvement were studied. RESULTS: Our study revealed a higher epilepsy prevalence than the general population (1.4%; 95% confidence interval: 0.7-3.2%), but notably lower than previously reported in smaller dystrophinopathy cohorts. No significant differences were found in epilepsy prevalence between DMD and BMD or based on underlying genotypes. Cognitive impairment was not found to be linked to higher epilepsy rates. The most prevalent epilepsy types in dystrophinopathies resembled those observed in the broader pediatric population, with most individuals effectively controlled through monotherapy. INTERPRETATION: The actual epilepsy prevalence in dystrophinopathies may be markedly lower than previously estimated, possibly half or even less. Our study provides valuable insights into the epilepsy landscape in individuals with dystrophinopathy, impacting medical care, especially for those with concurrent epilepsy.


Asunto(s)
Epilepsia , Distrofia Muscular de Duchenne , Humanos , Distrofia Muscular de Duchenne/epidemiología , Distrofia Muscular de Duchenne/complicaciones , Distrofia Muscular de Duchenne/genética , Masculino , Epilepsia/epidemiología , Epilepsia/etiología , Adolescente , Femenino , Adulto , Adulto Joven , Niño , Prevalencia , Persona de Mediana Edad , Preescolar , Electroencefalografía , Comorbilidad , Distrofina/genética
11.
J Exp Bot ; 64(6): 1471-83, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23564958

RESUMEN

Pectins are essential components of primary plant cell walls and middle lamellae, and are related to the consistency of the fruit and its textural changes during ripening. In fact, strawberries become soft as the middle lamellae of cortical parenchyma cells are extensively degraded during ripening, leading to the observed short post-harvest shelf life. Using a custom-made oligonucleotide-based strawberry microarray platform, a putative rhamnogalacturonate lyase gene (FaRGlyase1) was identified. Bioinformatic analysis of the FaRGlyase1 sequence allowed the identification of a conserved rhamnogalacturonate lyase domain, which was also present in other putative RGlyase sequences deposited in the databases. Expression of FaRGlyase1 occurred mainly in the receptacle, concurrently with ripening, and it was positively regulated by abscisic acid and negatively by auxins. FaRGLyase1 gene expression was transiently silenced by injecting live Agrobacterium cells harbouring RNA interference constructs into fruit receptacles. Light and electron microscopy analyses of these transiently silenced fruits revealed that this gene is involved in the degradation of pectins present in the middle lamella region between parenchymatic cells. In addition, genetic linkage association analyses in a strawberry-segregating population showed that FaRGLyase1 is linked to a quantitative trait loci linkage group related to fruit hardness and firmness. The results showed that FaRGlyase1 could play an important role in the fruit ripening-related softening process that reduces strawberry firmness and post-harvest life.


Asunto(s)
Pared Celular/ultraestructura , Fragaria/genética , Frutas/enzimología , Regulación de la Expresión Génica de las Plantas , Polisacárido Liasas/metabolismo , Ácido Abscísico/metabolismo , Pared Celular/enzimología , Biología Computacional/métodos , Fragaria/enzimología , Frutas/ultraestructura , Regulación Enzimológica de la Expresión Génica , Genes de Plantas , Ligamiento Genético , Ácidos Indolacéticos/metabolismo , Análisis de Secuencia por Matrices de Oligonucleótidos , Pectinas/metabolismo , Filogenia , Plantas Modificadas Genéticamente/enzimología , Plantas Modificadas Genéticamente/genética , Polisacárido Liasas/genética , Sitios de Carácter Cuantitativo , Interferencia de ARN
13.
15.
Front Plant Sci ; 14: 1327163, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38259935

RESUMEN

Forests are critical in the terrestrial carbon cycle, and the knowledge of their response to ongoing climate change will be crucial for determining future carbon fluxes and climate trajectories. In areas with contrasting seasons, trees form discrete annual rings that can be assigned to calendar years, allowing to extract valuable information about how trees respond to the environment. The anatomical structure of wood provides highly-resolved information about the reaction and adaptation of trees to climate. Quantitative wood anatomy helps to retrieve this information by measuring wood at the cellular level using high-resolution images of wood micro-sections. However, whereas large advances have been made in identifying cellular structures, obtaining meaningful cellular information is still hampered by the correct annual tree ring delimitation on the images. This is a time-consuming task that requires experienced operators to manually delimit ring boundaries. Classic methods of automatic segmentation based on pixel values are being replaced by new approaches using neural networks which are capable of distinguishing structures, even when demarcations require a high level of expertise. Although neural networks have been used for tree ring segmentation on macroscopic images of wood, the complexity of cell patterns in stained microsections of broadleaved species requires adaptive models to accurately accomplish this task. We present an automatic tree ring boundary delineation using neural networks on stained cross-sectional microsection images from beech cores. We trained a UNETR, a combined neural network of UNET and the attention mechanisms of Visual Transformers, to automatically segment annual ring boundaries. Its accuracy was evaluated considering discrepancies with manual segmentation and the consequences of disparity for the goals of quantitative wood anatomy analyses. In most cases (91.8%), automatic segmentation matched or improved manual segmentation, and the rate of vessels assignment to annual rings was similar between the two categories, even when manual segmentation was considered better. The application of convolutional neural networks-based models outperforms human operator segmentations when confronting ring boundary delimitation using specific parameters for quantitative wood anatomy analysis. Current advances on segmentation models may reduce the cost of massive and accurate data collection for quantitative wood anatomy.

16.
Hum Immunol ; 84(11): 571-577, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37777360

RESUMEN

BACKGROUND: Immigrants represented 21.8% of cases in a Spanish cohort of hospitalised patients with COVID-19, a proportion exceeding the percentage of immigrants in that area's total population. Among the ethnic-related genetic risk factors for COVID-19, human leukocyte antigen (HLA) genotypes in diverse populations might bias the response to SARS-CoV-2 infection and/or progression. Similarly, genetic differences in natural killer-activating and inhibitory receptors could play a role in the immune system's response to the viral infection. METHODS: We characterised HLA alleles and KIR genes in 52 Ecuadorian patients hospitalised for moderate and severe COVID-19 and 87 Ecuadorian controls from the general population living in the same area. RESULTS: There was a significantly increased frequency of the HLA-B*39 antigen and the activating KIR2DS4 receptor in the presence of its HLA-C*04 ligand in the COVID-19 group when compared with the control group. In contrast, there was a significant reduction in the frequency of carriers of KIR2DL1 and of the KIR3DL1/Bw4 receptor/ligand combination among COVID-19 group. On the other hand, HLA-A*24:02 and HLA-DRB1*09:01 alleles showed significantly lower frequencies specifically in the severe COVID-19 group. CONCLUSION: HLA-B*39 alleles might be genetic risk factors for developing COVID-19 in Ecuadorian individuals. In the presence of its ligand C*04, the natural killer-activating receptor KIR2DS4 might also increase the risk of developing COVID-19, while, in the presence of HLA-Bw4 alleles, the inhibitory receptor KIR3DL1 might play a protective role. Patients with COVID-19 who carry HLA-A*24:02 and HLA-DRB1*09:01 alleles might be protected against more severe forms of COVID-19.


Asunto(s)
COVID-19 , Receptores KIR , Humanos , Cadenas HLA-DRB1/genética , Ligandos , Factores Protectores , Ecuador/epidemiología , Receptores KIR/genética , COVID-19/genética , SARS-CoV-2 , Antígenos HLA/genética , Antígenos de Histocompatibilidad Clase I/genética , Antígenos HLA-B/genética , Genotipo , Antígenos HLA-A/genética
17.
Org Lett ; 25(4): 659-664, 2023 Feb 03.
Artículo en Inglés | MEDLINE | ID: mdl-36700336

RESUMEN

A direct and asymmetric syn-aldol reaction of N-acyl-1,3-oxazinane-2-thiones with dialkyl acetals from aromatic acetals in the presence of 2-5 mol % [DTBM-SEGPHOS]NiCl2, TMSOTf, and lutidine has been developed. It has been established that the oxazinanethione heterocycle, used for the first time as a scaffold in asymmetric carbon-carbon bond-forming reactions, can be smoothly removed to give access to a variety of enantiomerically pure compounds with high synthetic value.

18.
Neurol Ther ; 12(1): 89-105, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36269538

RESUMEN

INTRODUCTION: Outcome measures traditionally used in spinal muscular atrophy (SMA) clinical trials are inadequate to assess the full range of disease severity. The aim of this study was to assess the psychometric properties of a set of existing questionnaires and new items, gathering information on the impact of SMA from the patient and caregiver perspectives. METHODS: This was a multicenter, prospective, noninterventional study including patients with a confirmed diagnosis of 5q-autosomal-recessive SMA aged 8 years and above, or their parents (if aged between 2 and 8 years). The set of outcome measurements included the SMA Independence Scale (SMAIS) patient and caregiver versions, the Neuro-QoL Fatigue Computer Adaptive Test (CAT), the Neuro-QoL Pain Short Form-Pediatric Pain, the PROMIS adult Pain Interference CAT, and new items developed by Fundación Atrofia Muscular España: perceived fatigability, breathing and voice, sleep and rest, and vulnerability. Reliability, construct validity, discriminant validity, and sensitivity to change (4 months from baseline) were measured. RESULTS: A total of 113 patients were included (59.3% 2-17 years old, 59.3% male, and 50.4% with SMA type II). Patients required moderate assistance [mean patient and caregiver SMAIS (SD) scores were 31.1 (12.8) and 7.6 (11.1), respectively]. Perceived fatigability was the most impacted domain, followed by vulnerability. Cronbach's alpha coefficient for perceived fatigability, breathing and voice, and vulnerability total scores were 0.92, 0.88, and 0.85, respectively. The exploratory factor analysis identified the main factors considered in the design, except in the sleep and rest domain. All questionnaires were able to discriminate between the Clinical Global Impression-Severity scores and SMA types. Sensitivity to change was only found for the SMAIS caregiver version and vulnerability items. CONCLUSIONS: This set of outcome measures showed adequate reliability, construct validity, and discriminant validity and may constitute a valuable option to measure symptom severity in patients with SMA.

19.
Neurocirugia (Astur : Engl Ed) ; 33(4): 157-164, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35725217

RESUMEN

INTRODUCTION AND OBJECTIVE: Arachnoid cysts (ACs) are relatively frequent lesions related to different neurological symptoms, being mostly incidentally diagnosed. This study aims to clarify whether AC surgery in epileptic patients is useful in their treatment. MATERIAL AND METHODS: The patients registered in the database of the Neuropediatrics Section from May 1990 to August 2019 are analyzed retrospectively. Patients in whom the diagnosis of ACs and epilepsy coincide are studied. The location, size and number of ACs, neurological development, age at diagnosis, follow-up time, the performance of surgery on the cyst, evolution, anatomical relationship between brain electrical activity and location of AC, and type of epilepsy are analyzed. RESULTS: After analyzing the database, we found 1881 patients diagnosed with epilepsy, of which 25 had at least one intracranial AC. In 9 of the patients, cerebral or genetic pathologies were the cause of epilepsy. Of the other 16, only 2 patients showed that the type of epilepsy and the epileptogenic focus coincided with the location of the AC; one of them was surgically treated without success, and the other one remained asymptomatic without receiving medical or surgical treatment. CONCLUSIONS: Although it is necessary to design a prospective study to establish causality, the results of our research and the available literature suggest that there is no causal relationship between the presence of ACs and epilepsy. The study and treatment of these patients should be carried out in a multidisciplinary epilepsy surgery unit, without initially assuming that the AC is the cause of epilepsy.


Asunto(s)
Quistes Aracnoideos , Epilepsia , Quistes Aracnoideos/complicaciones , Quistes Aracnoideos/diagnóstico por imagen , Quistes Aracnoideos/cirugía , Niño , Epilepsia/etiología , Epilepsia/cirugía , Humanos , Estudios Prospectivos , Estudios Retrospectivos
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