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1.
PLoS Comput Biol ; 18(9): e1010512, 2022 09.
Article in English | MEDLINE | ID: mdl-36166481

ABSTRACT

Insect flight is a strongly nonlinear and actuated dynamical system. As such, strategies for understanding its control have typically relied on either model-based methods or linearizations thereof. Here we develop a framework that combines model predictive control on an established flight dynamics model and deep neural networks (DNN) to create an efficient method for solving the inverse problem of flight control. We turn to natural systems for inspiration since they inherently demonstrate network pruning with the consequence of yielding more efficient networks for a specific set of tasks. This bio-inspired approach allows us to leverage network pruning to optimally sparsify a DNN architecture in order to perform flight tasks with as few neural connections as possible, however, there are limits to sparsification. Specifically, as the number of connections falls below a critical threshold, flight performance drops considerably. We develop sparsification paradigms and explore their limits for control tasks. Monte Carlo simulations also quantify the statistical distribution of network weights during pruning given initial random weights of the DNNs. We demonstrate that on average, the network can be pruned to retain a small amount of original network weights and still perform comparably to its fully-connected counterpart. The relative number of remaining weights, however, is highly dependent on the initial architecture and size of the network. Overall, this work shows that sparsely connected DNNs are capable of predicting the forces required to follow flight trajectories. Additionally, sparsification has sharp performance limits.


Subject(s)
Insecta , Neural Networks, Computer , Animals
2.
Eur J Pediatr ; 180(5): 1641-1645, 2021 May.
Article in English | MEDLINE | ID: mdl-33432398

ABSTRACT

Strongyloidiasis, a neglected helminthiasis, is more prevalent in tropical/subtropical areas. However, sporadic autochthonous cases have been described around the Mediterranean coast. We performed a retrospective descriptive study in a referral Spanish Center for Pediatric Tropical diseases. All patients below 18 years of age diagnosed with probable strongyloidiasis between January 2014 and December 2019, born in Spain and with no history of travel abroad, were included. Epidemiological, clinical, and follow-up data were recorded, as well as all microbiology results. Five children met the inclusion criteria and were included in the study. Three males and two females, with a median age of 6.7 years (IQR: 5.8-9.1). All patients had previous medical conditions and used to spend holidays on the Mediterranean coast of Spain. All but one were mildly symptomatic at diagnosis but only four presented peripheral eosinophilia, which was the main reason for referral. First-line treatment was ivermectin in all but one, who was treated with albendazole. Reinfection was suspected in two during follow-up. At 12 months of follow-up 3/5 (60%) children presented negative serology.Conclusion: Although more prevalent in tropical areas, strongyloidiasis should be included among differential diagnosis in children presenting with eosinophilia. Screening for strongyloidiasis should be considered in all children candidate to immunosuppressive therapy. What is Known: • Strongyloidiasis is more prevalent in tropical/subtropical areas. • Strongyloidiasis can be life-threatening in immunosuppressed patients What is New: • Spanish children can be affected by autochthonous strongyloidiasis. • Screening for strongiloidiasis should be performed in all candidates to immunosuppresive therapies, including children.


Subject(s)
Strongyloides stercoralis , Strongyloidiasis , Animals , Child , Child, Preschool , Female , Humans , Ivermectin , Male , Retrospective Studies , Spain/epidemiology , Strongyloidiasis/diagnosis , Strongyloidiasis/drug therapy , Strongyloidiasis/epidemiology
3.
Surg Radiol Anat ; 43(8): 1291-1303, 2021 Aug.
Article in English | MEDLINE | ID: mdl-33495868

ABSTRACT

PURPOSE: The complex relations of the paraclinoid area make the surgical management of the pathology of this region a challenge. The anterior clinoid process (ACP) is an anatomical landmark that hinders the visualization and manipulation of the surrounding neurovascular structures, hence in certain surgical interventions might be necessary to remove it. We reviewed the anatomical relationships that involve the paraclinoid area and detailed the step-by-step techniques of intra and extradural clinoidectomy in cadaveric specimens. MATERIALS AND METHODS: A literature review was done describing the most relevant anatomic relationships regarding the anterior clinoid process. Extradural and intradural clinoidectomy techniques were performed in six dry bone heads and in ten previously injected cadaverous specimens with colored latex (Sanan et al. in Neurosurgery 45:1267-1274, 1999) and each step of the procedure was recorded using photographic material. Finally, an analysis of the anatomical exposure achieved in each of the techniques used was performed. RESULTS: The main advantage of the intradural clinoidectomy technique is the direct visualization of the neurovascular structures adjacent to the ACP when drilling, at the same time, opening the Sylvian fissure will allow the direct visualization of the ACP variants. The main advantage offered by the extradural technique is that the dura protects adjacent eloquent structures while drilling. Among the disadvantages, it is noted that the same dura that would protect the underlying structures also prevents the direct visualization of these neurovascular structures adjacent to the ACP. CONCLUSION: We reviewed the anatomy of the paraclinoid area and made a step-by-step description of the technique of the anterior clinoidectomy in its intra- and extradural variants in cadaveric preparations for a better understanding.


Subject(s)
Anatomic Landmarks , Dura Mater/surgery , Neurosurgical Procedures/methods , Sphenoid Bone/surgery , Cadaver , Dura Mater/anatomy & histology , Humans , Sphenoid Bone/blood supply , Sphenoid Bone/innervation
5.
Blood Adv ; 7(14): 3551-3560, 2023 07 25.
Article in English | MEDLINE | ID: mdl-37042949

ABSTRACT

Tumor relapse and drug resistance are major factors that limit the curability of multiple myeloma (MM). New regimens have improved overall MM survival rates, but patients with high-risk features continue to have inferior outcomes. Chromosome 17p13 deletion (del17p) that includes the loss of the TP53 gene is a high-risk cytogenetic abnormality and is associated with poor clinical outcomes owing to relatively short remissions and the development of pan-drug resistant disease. Increased relapse rates suggest that del17p enhances clonogenic growth, and we found that the loss of p53 increased both the frequency and drug resistance of tumor-initiating MM cells (TICs). Subsequent RNA sequencing (RNA-seq) studies demonstrated significant activation of the Notch signaling pathway and upregulation of inhibitor of DNA binding (ID1/ID2) genes in p53-knock out (p53-KO) cells. We found that the loss of ID1 or HES-1 expression or treatment with a gamma-secretase inhibitor (GSI) significantly decreased the clonogenic growth of p53-KO but not p53 wild-type cells. GSI treatment in a small set of MM specimens also reduced the clonogenic growth in del17p samples but not in non-del17p samples. This effect was specific as overexpression of the Notch intracellular domain (NICD) rescued the effects of GSI treatment. Our study demonstrates that the Notch signaling and ID1 expression are required for TIC expansion in p53-KO MM cells. These findings also suggest that GSI may be specifically active in patients with p53 mutant MM.


Subject(s)
Multiple Myeloma , Humans , Multiple Myeloma/drug therapy , Genes, p53 , Neoplasm Recurrence, Local , Signal Transduction , Drug Resistance, Neoplasm/genetics
6.
Nano Lett ; 11(12): 5349-55, 2011 Dec 14.
Article in English | MEDLINE | ID: mdl-22023409

ABSTRACT

Thin films of colloidal semiconductor nanocrystals (NCs) are inherently metatstable materials prone to oxidative and photothermal degradation driven by their large surface-to-volume ratios and high surface energies. (1) The fabrication of practical electronic devices based on NC solids hinges on preventing oxidation, surface diffusion, ripening, sintering, and other unwanted physicochemical changes that can plague these materials. Here we use low-temperature atomic layer deposition (ALD) to infill conductive PbSe NC solids with metal oxides to produce inorganic nanocomposites in which the NCs are locked in place and protected against oxidative and photothermal damage. Infilling NC field-effect transistors and solar cells with amorphous alumina yields devices that operate with enhanced and stable performance for at least months in air. Furthermore, ALD infilling with ZnO lowers the height of the inter-NC tunnel barrier for electron transport, yielding PbSe NC films with electron mobilities of 1 cm2 V(-1) s(-1). Our ALD technique is a versatile means to fabricate robust NC solids for optoelectronic devices.

7.
Integr Org Biol ; 4(1): obac039, 2022.
Article in English | MEDLINE | ID: mdl-36249575

ABSTRACT

Research on insect flight control has focused primarily on the role of wings. Yet abdominal deflections during flight can potentially influence the dynamics of flight. This paper assesses the role of airframe deformations in flight, and asks to what extent the abdomen contributes to flight maneuverability. To address this, we use a combination of both a Model Predictive Control (MPC)-inspired computational inertial dynamics model, and free flight experiments in the hawkmoth, Manduca sexta. We explored both underactuated (i.e., number of outputs are greater than the number of inputs) and fully actuated (equal number of outputs and inputs) systems. Using metrics such as the non-dimensionalized tracking error and cost of transport to evaluate flight performance of the inertial dynamics model, we show that fully actuated simulations minimized the tracking error and cost of transport. Additionally, we tested the effect of restricted abdomen movement on free flight in live hawkmoths by fixing a carbon fiber rod over the thoracic-abdomen joint. Moths with a restricted abdomen performed worse than sham treatment moths. This study finds that abdominal motions contribute to flight control and maneuverability. Such motions of non-aerodynamic structures, found in all flying taxa, can inform the development of multi-actuated micro air vehicles.

8.
Pediatr Infect Dis J ; 41(2): 102-107, 2022 02 01.
Article in English | MEDLINE | ID: mdl-34890375

ABSTRACT

BACKGROUND: The diagnostic approach to eosinophilia is complex, given the numerous reported etiologies. Intestinal parasites (especially helminths) are a concern in children from high-burden settings. We describe the diagnostic approach and clinical management of eosinophilia in a cohort of migrant children. METHODS: We conducted a retrospective observational study that included children diagnosed with eosinophilia at a reference center for pediatric tropical diseases from 2014 to 2018. All patients were screened according to a unified protocol, including direct microbiologic and serologic tests. RESULTS: A total of 163 children presented with eosinophilia during the study period [median age, 7.7 years (4.1-12.2); 57.1% boys], mostly from Asia (27.6%) and South America (22.1%). Most were internationally adopted children (43.6%) or migrants (26.4%). Only 34.4% of the children were symptomatic, and the main etiology for eosinophilia was helminths (56.4%). After a sequential diagnostic approach, no etiology was found for 40.5% of the patients. The independent risk factors for an unexplained etiology were younger age (≤2 years: odds ratio, 3.6; 95% CI, 1.3-10.2; P = 0.015), absence of symptoms (odds ratio, 4.8; 95% CI, 1.8-12.5; P = 0.001) and mild eosinophilia (<1000/µL: odds ratio, 4.2; 95% CI, 4.5-11.7; P = 0.005). Only 6 children were treated empirically. In those children with an identified cause and in those treated empirically, the eosinophilia resolved in 52% in a median of 7 months (5-9). CONCLUSIONS: Helminths are the main cause of eosinophilia in migrant children and need to be hunted, especially in older children with eosinophil counts >1000 eosinophils/µL.


Subject(s)
Eosinophilia , Helminthiasis , Transients and Migrants/statistics & numerical data , Adolescent , Child , Child, Preschool , Eosinophilia/epidemiology , Eosinophilia/parasitology , Female , Helminthiasis/complications , Helminthiasis/epidemiology , Humans , Infant , Male , Retrospective Studies
9.
Travel Med Infect Dis ; 47: 102287, 2022.
Article in English | MEDLINE | ID: mdl-35304329

ABSTRACT

BACKGROUND: Globalization has pushed population movements in the last decades, turning imported diseases into the focus. Due to behavioral habits, children are at higher risk of acquiring parasitosis. This study aims to investigate the prevalence of parasites in migrant children and factors associated with parasitic diseases. METHOD: Retrospective cross-sectional study (2014-2018) including children diagnosed with parasitosis. The diagnosis was based on serology and/or microscopic stool-sample evaluation. Epidemiological and clinical data were recorded. RESULTS: Out of 813 migrant children screened, 241 (29.6%) presented at least one parasite, and 89 (10.9%) more than one. The median age was 6.6 years (IQR: 3.1-11.9) and 58.9% were males. Most cases were referred for a health exam; only 52.3% of children were symptomatic, but 43.6% had eosinophilia. The most common diagnosis were giardiasis (35.3%), schistosomiasis (19.1%), toxocariasis (15.4%), and strongyloidiasis (9.1%). After the multivariate analysis, African origin and presenting with eosinophilia were the main risk factors for parasitism. CONCLUSIONS: parasitosis are frequent among migrant children. Children are often asymptomatic, and thus active screening for parasitosis should be considered among high-risk populations. Eosinophilia can be useful to guide complimentary tests, as well as geographical origin, but normal eosinophil count does not exclude parasitosis.


Subject(s)
Eosinophilia , Parasites , Parasitic Diseases , Transients and Migrants , Animals , Child , Cross-Sectional Studies , Eosinophilia/parasitology , Female , Humans , Male , Parasitic Diseases/epidemiology , Prevalence , Retrospective Studies
10.
Mol Cancer Ther ; 21(10): 1547-1560, 2022 10 07.
Article in English | MEDLINE | ID: mdl-35977156

ABSTRACT

The heterogeneity and aggressiveness of triple-negative breast cancer (TNBC) contribute to its early recurrence and metastasis. Despite substantial research to identify effective therapeutic targets, TNBC remains elusive in terms of improving patient outcomes. Here, we report that a covalent JNK inhibitor, JNK-IN-8, suppresses TNBC growth both in vitro and in vivo. JNK-IN-8 reduced colony formation, cell viability, and organoid growth in vitro and slowed patient-derived xenograft and syngeneic tumor growth in vivo. Cells treated with JNK-IN-8 exhibited large, cytoplasmic vacuoles with lysosomal markers. To examine the molecular mechanism of this phenotype, we looked at the master regulators of lysosome biogenesis and autophagy transcription factor EB (TFEB) and TFE3. JNK-IN-8 inhibited TFEB phosphorylation and induced nuclear translocation of unphosphorylated TFEB and TFE3. This was accompanied by an upregulation of TFEB/TFE3 target genes associated with lysosome biogenesis and autophagy. Depletion of both TFEB and TFE3 diminished the JNK-IN-8-driven upregulation of lysosome biogenesis and/or autophagy markers. TFEB and TFE3 are phosphorylated by a number of kinases, including mTOR. JNK-IN-8 reduced phosphorylation of mTOR targets in a concentration-dependent manner. Knockout of JNK1 and/or JNK2 had no impact on TFEB/TFE3 activation or mTOR inhibition by JNK-IN-8 but inhibited colony formation. Similarly, reexpression of either wildtype or drug-nonbinding JNK (C116S) in JNK knockout cells did not reverse JNK-IN-8-induced TFEB dephosphorylation. In summary, JNK-IN-8 induced lysosome biogenesis and autophagy by activating TFEB/TFE3 via mTOR inhibition independently of JNK. Together, these findings demonstrate the efficacy of JNK-IN-8 as a targeted therapy for TNBC and reveal its novel lysosome- and autophagy-mediated mechanism of action.


Subject(s)
Triple Negative Breast Neoplasms , Autophagy , Basic Helix-Loop-Helix Leucine Zipper Transcription Factors/genetics , Basic Helix-Loop-Helix Leucine Zipper Transcription Factors/pharmacology , Benzamides , Humans , Lysosomes , Pyridines , Pyrimidines , TOR Serine-Threonine Kinases , Triple Negative Breast Neoplasms/drug therapy , Triple Negative Breast Neoplasms/genetics
11.
Ann Hepatobiliary Pancreat Surg ; 25(4): 562-565, 2021 Nov 30.
Article in English | MEDLINE | ID: mdl-34845132

ABSTRACT

Since the inception of the associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure, many centres have used this technique for patients who would otherwise be considered unresectable due to insufficient future liver remnant. In this report, we presented the case of a paediatric patient with recurrent hepatocellular carcinoma who underwent monosegment ALPPS (M-ALPPS) hepatectomy preserving segment 1 as the sole liver remnant using indocyanine green (ICG) as a fluorescence guide.

12.
Joint Bone Spine ; 88(2): 105120, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33346110

ABSTRACT

INTRODUCTION: Chronic non-bacterial osteomyelitis (CNO) represents an autoinflammatory bone disorder. Currently there are no standardized diagnostic or treatment guidelines. The objective of the study is to describe our experience with biological therapy in children with the disease. METHODS: Retrospective chart review of patients with CNO treated with biological therapy followed at two tertiary hospitals from January 2007 to April 2020. Biologicals were started in most patients due to persistent disease activity after receiving standard therapy with at least 2 drugs (NSAIDs and corticosteroids and/or pamidronate). RESULTS: Twenty-five patients were diagnosed with CNO. Out of those, 19 patients (15 females) failed conventional therapy. The mean age at diagnosis was 8.8±2.9 years and the mean diagnostic delay was 6.9±8.3 months. All patients presented with bone pain and 6/19 also had fever. The most frequently affected bones were femur (9 patients), followed by clavicle, tibia and vertebrae (6, 6 and 5 patients respectively). Nine children had skin lesions. C-reactive protein was elevated in 13/19 patients (mean 20.2mg/L±11.7) and ESR in 16/19 (mean 48mm/h±29). All patients received nonsteroidal anti-inflammatory drugs, 15/19 pamidronate, 10/19 corticosteroids and 19 anti-TNF-therapy. At the last follow-up visit, 10/19 patients were still on biological therapy (8 adalimumab, 2 infliximab) and 18 out of 19 remained asymptomatic. In regards to adverse effects, one patient receiving infliximab developed S. aureus osteomyelitis and another cutaneous leishmaniosis. CONCLUSIONS: This research emphasizes that anti-TNF-therapy represents an effective and safe alternative for patients with CNO refractory to conventional treatments.


Subject(s)
Delayed Diagnosis , Osteomyelitis , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Biological Therapy , Child , Chronic Disease , Female , Humans , Osteomyelitis/drug therapy , Retrospective Studies , Staphylococcus aureus , Treatment Outcome , Tumor Necrosis Factor Inhibitors
13.
3 Biotech ; 11(5): 227, 2021 May.
Article in English | MEDLINE | ID: mdl-33968572

ABSTRACT

Liquid waste from biological stains is considered non-domestic wastewater difficult to treat, generating high environmental impact. Therefore, the objective of this work was to carry out secondary and tertiary treatment of these effluents at a pilot scale, using a fungal/bacterial consortium followed by Chorella sp., for 15 days. In addition, to obtain an adsorbent material for Malachite Green dye removal, sludge generated in the plant and pine bark co-pyrolysis was performed. For microalgae isolation and selection of the Chlorophyceae class, Chlorococcales order, and Chorella sp. genus Winogradsky columns were employed. After 15 days of pilot plant treatment, removal percentages of 91 ± 2%, 90 ± 4% and 17 ± 2% were obtained for Colour Units, Chemical Oxygen Demand and Nitrates, respectively. Two types of class II biochar (BC500 and BC700) and one of class III (BC300) were produced. The highest value for Fixed carbon (FC) was obtained at 300 °C (27.3 ± 3%), decreasing as the temperature increased by 25.9 ± 5% and 24.8 ± 2%, for BC500 and BC700, respectively. Biochar yield was 62.1 ± 3%, 46.3 ± 4% and 31.6 ± 3% for BC300, BC500 and BC700, respectively. Finally, BC500 and BC700 biochar efficiently adsorbed Malachite Green obtaining qe values of 0.290 ± 0.032, 0.281 ± 0.015, 0.186 ± 0.009 and 0.191 ± 0.012 mg g-1 at pH values of 4.0 and 8.0 ± 0.2, respectively. Pseudo-second order model demonstrated a chemical adsorption took place, which was influenced by pH. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13205-021-02780-1.

14.
World Neurosurg ; 143: 557-563.e1, 2020 11.
Article in English | MEDLINE | ID: mdl-32711150

ABSTRACT

BACKGROUND: During the current global crisis unleashed by the severe acute respiratory syndrome coronavirus 2 outbreak, surgical departments have considerably reduced the amount of elective surgeries. This decrease leads to less time in the surgical room to develop and improve the surgical skills of residents. In this study, we developed a training program to obtain and maintain microsurgical skills at home, using a smartphone camera and low-cost materials, affordable for everyone. METHODS: Using a smartphone camera as a magnification device, 6 participants performed 5 exercises (coloring grids, grouping colors, unraveling of a gauze, knots with suture threads, and tower of Hanoi), both with the dominant and with the nondominant hand, for 4 weeks. We compared performance at the beginning and at the end of the training process. Each participant filled out an anonymous survey. RESULTS: When we compared the performance at the beginning and at the end of the training process, we found significant improvements (P = 0.05) with the dominant as well as the nondominant hand in all the exercises. All participants were satisfied or very satisfied with the definition of the objectives of the training process, material availability, the exercises performed, the choice of the time to train, and general satisfaction with the training program. CONCLUSIONS: We developed a microsurgical skills training program to be performed at home, which can be easily reproduced. It allows residents to improve manual coordination skills and is regarded as a feasible adjunct for ongoing training for surgical residents.


Subject(s)
COVID-19/surgery , Microsurgery/education , Neurosurgical Procedures/education , SARS-CoV-2/pathogenicity , COVID-19/virology , Clinical Competence/statistics & numerical data , Disease Outbreaks , Female , Humans , Internship and Residency , Suture Techniques , Sutures
15.
World Neurosurg ; 143: 11-16, 2020 11.
Article in English | MEDLINE | ID: mdl-32712401

ABSTRACT

BACKGROUND: Simulation allows surgical trainees to acquire surgical skills in a safe environment. With the aim of reducing the use of animal experimentation, different alternative nonliving models have been pursued. However, one of the main disadvantages of these nonliving models has been the absence of arterial flow, pulsation, and the ability to integrate both during a procedure on a blood vessel. In the present report, we have introduced a microvascular surgery simulation training model that uses a fiscally responsible and replicable pulsatile flow system. METHODS: We connected 30 human placentas to a pulsatile flow system and used them to simulate aneurysm clipping and vascular anastomosis. RESULTS: The presence of the pulsatile flow system allowed for the simulation of a hydrodynamic mechanism similar to that found in real life. In the aneurysm simulation, the arterial flow could be evaluated before and after clipping the aneurysm using a Doppler ultrasound system. When practicing anastomosis, the use of the pulsatile flow system allowed us to assess the vascular flow through the anastomosis, with verification using the Doppler ultrasound system. Leaks were manifested as "blood" pulsatile ejections and were more frequent at the beginning of the surgical practice, showing a learning curve. CONCLUSIONS: We have provided a step-by-step guide for the assembly of a replicable and inexpensive pulsatile flow system and its use in placentas for the simulation of, and training in, performing different types of anastomoses and intracranial aneurysms surgery.


Subject(s)
Aneurysm/surgery , Microsurgery/education , Models, Anatomic , Neurosurgical Procedures/education , Placenta , Simulation Training/methods , Anastomosis, Surgical/education , Female , Humans , Neurosurgery/education , Pregnancy , Pulsatile Flow , Simulation Training/economics
16.
Surg Neurol Int ; 10(Suppl 1): S46-S57, 2019.
Article in Spanish | MEDLINE | ID: mdl-32300491

ABSTRACT

INTRODUCTION: Brain arteriovenous malformations (AVM) are a complex disease responsible for up to 38% of hemorrhages in patients between 15-45 years old, carrying every bleeding episode a 25-50% risk of morbidity and a 10-20% of mortality. The therapeutic decision in a patient with an AVM needs to consider both the risks of the intervention and the risks of the natural evolution of the disease. OBJECTIVE: To assess the effectiveness of different AVM grading scales in predicting surgical risks according to our experience in a case serie. MATERIAL AND METHOD: A literature review of the AVM grading scales was made, through Pubmed including as key words "brain arteriovenous malformations" and "grading scale". A retrospective analysis was made of patients with AVM who were operated in our institution, they were classified according to the scales and their results were compared. RESULTS: 90 patients were operated in our institution with AVM. Retrospectively, they were classified according to the Spetzler-Martin (SM), Spetzler-Ponce (SP), Lawton supplementary, and the sub-classifications in AVM grade 3, from Lawton and de Oliveira. Good outcome were considered when modified Rankin Scale (mRs) was equal or less than 2. The follow-up ranged from 12-48 months, having good outcome in 100% of AVM SM grade I, 91,7% grade II, 80% in grade III and 42,9% in grade IV. Using the SP scale, 93,7% of good outcome in grade A, 80% in grade B and 42,9% in grade C. In the sub-classification of AVM SM 3, we found 84% of good outcome in type 3A de Oliveira and 71,3% in type 3B. According to the Lawton scale, good outcome were found in 92% in type 3-, 72,1% in type 3+ and 60% in type 3. Using Lawton supplementary scale combined with SM, there were 100% of good outcome in grades II and III, 85,7% in grade IV, 87,6% in grade V, 80% in grade VI, 75% in grade VII, 66,6% in grade VIII. CONCLUSION: In our serie, we reaffirm the effectiveness to predict surgical risk of the following scales: SM, SP and the Lawton's sub-classification of AVM grade 3. Specially, the use of the supplementary Lawton-Young scale in the surgical treatment of bleeding AVMs.

17.
Pediatr Infect Dis J ; 38(12): 1230-1235, 2019 12.
Article in English | MEDLINE | ID: mdl-31738339

ABSTRACT

BACKGROUND: Congenital cytomegalovirus infection (CMVc) affects 0.7%-6% of recent births. Among its clinical manifestations are low weight and length at birth. OBJECTIVE: Describe the growth patterns of children with CMVc in their early years. METHODS: Observational, multicenter study of patients with CMVc. Anthropometric data were collected during the first 2 years of life and compared with World Health Organization standards. RESULTS: Anthropometric characteristics of 383 children with CMVc were studied, of which 198 (51%) were symptomatic at birth. At birth, 9% were small for gestational age (SGA) in terms of their weight and length and 17% had microcephaly. At 24 ± 3 months, 10% had a weight and length ≤2 SD, and 13% a head circumference ≤2 SD. Of those who were SGA at birth, at 24 ± 3 months >20% remained at ≤2 SD of their weight and length. Conversely, 75% of children with low weight or length at 24 ± 3 had not been SGA at birth. 20% of infants with microcephaly at birth remained with microcephaly, and 10% of those without microcephaly developed it at 24 ± 3 months. The average growth rate in length and weight was normal. Patients who were symptomatic at birth, premature and with motor and neurocognitive impairment had a significantly higher risk of low weight and length at 24 ± 3 months. CONCLUSION: Around 10% of children with CMVc are at ≤2 SD in weight, length and head circumference at 24 ± 3 months. The lack of adequate growth is associated with symptoms at birth, prematurity and motor and neurocognitive impairment. Growth impairment could be incorporated into the symptomatic spectrum of CMVc.


Subject(s)
Anthropometry , Child Development , Cytomegalovirus Infections/congenital , Cytomegalovirus Infections/complications , Birth Weight , Body Height , Body Weight , Child, Preschool , Female , Gestational Age , Humans , Infant , Infant, Low Birth Weight , Infant, Newborn , Infant, Small for Gestational Age , Male , Microcephaly/virology , Spain , World Health Organization
18.
J Inequal Appl ; 2018(1): 153, 2018.
Article in English | MEDLINE | ID: mdl-30137740

ABSTRACT

We present a realization for some K-functionals associated with Jacobi expansions in terms of generalized Jacobi-Weierstrass operators. Fractional powers of the operators as well as results concerning simultaneous approximation and Nikolskii-Stechkin type inequalities are also considered.

19.
Acta investigación psicol. (en línea) ; 13(2): 55-63, May.-Aug. 2023. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1519900

ABSTRACT

Resumen Pese a los esfuerzos de las autoridades sanitarias, la presencia de información falsa o poco certera ha provocado que un porcentaje de la población mexicana se encuentra reticente a recibir la vacuna contra el COVID-19. De este modo el objetivo del presente estudio es determinar en adultos mexicanos el rol mediador de las creencias negativas sobre la vacuna y la percepción de riesgo en la relación de las creencias conspirativas y la intención de vacunación contra el COVID-19. Se realizó un estudio transversal en el que se aplicaron las escalas mediante una plataforma en línea. Las hipótesis fueron probadas mediante la técnica multivariada de análisis de senderos. Los resultados indican que las creencias conspirativas predijeron directamente menor intención de vacunación, asimismo, esta relación se encuentra parcialmente mediada por las creencias negativas sobre la vacuna y la percepción de riesgo. Los hallazgos sugieren que la adhesión a creencias conspirativas sobre el origen del CO-VID-19 favorecen el desarrollo de temor a los efectos secundarios de la vacuna y la reducción de la percepción de riesgo, convirtiéndose así, en la principal barrera de la intención de vacunación contra el COVID-19.


Abstract Despite the efforts of the health authorities, the presence of false or inaccurate information has caused a percentage of the Mexican population to be reluctant to receive the COVID-19 vaccine. Thus, the objective of the present study is to determine in Mexican adults the mediating role of negative beliefs about the vaccine and the perception of risk in the relationship between conspiracy beliefs and the intention to vaccinate against COVID-19. A cross-sectional study was carried out in which the scales were applied through an online platform. The hypotheses were tested using the multivariate trail analysis technique. The results indicate that conspiratorial beliefs directly predicted less vaccination intention, likewise, this relationship is partially mediated by negative beliefs about the vaccine and the perception of risk. The findings suggest that adherence to conspiracy beliefs about the origin of COVID-19 favor the development of fear of vaccine side effects and reduced risk perception, thus becoming the main barrier to vaccination intention against the COVID-19.

20.
Article in Spanish | LILACS, COLNAL | ID: biblio-1411186

ABSTRACT

El objetivo de este artículo es argumentar la falta de validez del enfoque reduccionista para el estudio de la cognición animal y proponer su estudio desde un enfoque holista que tenga en cuenta toda la realidad de la cognición animal además de analizar el antropomorfismo y antropocentrismo relacionado con este tema. La metodología usada para esta investigación, fue una revisión de la literatura actual sobre el problema en cuestión y las conclusiones fueron que no se puede entender la mente de los sujetos no humanos sin un enfoque holista. Existen numerosos sesgos en la investigación científica, sea del observador, del sujeto experimental o respecto a los instrumentos de observación y medida. Entre todos los sesgos más conocidos, el muy conocido antropomorfismo, se ha visto como un sesgo inconsciente en donde el hombre se refleja en los elementos de su realidad exterior. La hipótesis de esta investigación es que el reduccionismo no toma en cuenta toda la riqueza y la verdadera realidad de la cognición animal no humana y ésta debe estudiarse mejor, desde un enfoque holista que tiene en cuenta la realidad entera de este fenómeno.


The objective paper is to argue the lack of validity of the reductionist approach to the study of animal cognition and to propose its study from a holistic approach that takes into account the entire reality of animal cognition in addition to analyzing anthropomorphism and anthropocentrism related to this topic. The methodology used for this research was a review of the current literature on the problem in question and the conclusions were that the mind of non-human subjects cannot be understood without a holistic approach. There are numerous biases in scientific research, be it from the observer, from the experimental subject or with respect to the instruments of observation and measurement. Among all the best-known biases, the well-known anthropomorphism has been seen as an unconscious bias where man is reflected in the elements of his external reality. The hypothesis of this research is that reductionism does not take into account all the richness and the true reality of non-human animal cognition and it should be studied better, from a holistic approach that takes into account the entire reality of this phenomenon.


Subject(s)
Animals , Cognition
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