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1.
Infancy ; 29(3): 302-326, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38217508

RESUMEN

The valid assessment of vocabulary development in dual-language-learning infants is critical to developmental science. We developed the Dual Language Learners English-Spanish (DLL-ES) Inventories to measure vocabularies of U.S. English-Spanish DLLs. The inventories provide translation equivalents for all Spanish and English items on Communicative Development Inventory (CDI) short forms; extended inventories based on CDI long forms; and Spanish language-variety options. Item-Response Theory analyses applied to Wordbank and Web-CDI data (n = 2603, 12-18 months; n = 6722, 16-36 months; half female; 1% Asian, 3% Black, 2% Hispanic, 30% White, 64% unknown) showed near-perfect associations between DLL-ES and CDI long-form scores. Interviews with 10 Hispanic mothers of 18- to 24-month-olds (2 White, 1 Black, 7 multi-racial; 6 female) provide a proof of concept for the value of the DLL-ES for assessing the vocabularies of DLLs.


Asunto(s)
Citrus sinensis , Malus , Multilingüismo , Niño , Lactante , Humanos , Femenino , Vocabulario , Lenguaje Infantil , Pruebas del Lenguaje , Lenguaje
2.
J Exp Child Psychol ; 199: 104907, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32682101

RESUMEN

The ability to interpret others' emotions is a critical skill for children's socioemotional functioning. Although research has emphasized facial emotion expressions, children are also constantly required to interpret vocal emotion expressed at or around them by individuals who are both familiar and unfamiliar to them. The current study examined how speaker familiarity, specific emotions, and the acoustic properties that comprise affective prosody influenced children's interpretations of emotional intensity. Participants were 51 7- and 8-year-olds presented with speech stimuli spoken in happy, angry, sad, and nonemotional prosodies by both each child's mother and another child's mother unfamiliar to the target child. Analyses indicated that children rated their own mothers as more intensely emotional compared with the unfamiliar mothers and that this effect was specific to angry and happy prosodies. Furthermore, the acoustic properties predicted children's emotional intensity ratings in different patterns for each emotion. The results are discussed in terms of the significance of the mother's voice in children's development of emotional understanding.


Asunto(s)
Emociones/fisiología , Madres/psicología , Percepción/fisiología , Reconocimiento en Psicología/fisiología , Voz/fisiología , Adulto , Ira , Percepción Auditiva , Niño , Femenino , Felicidad , Humanos , Masculino
3.
Neural Comput ; 26(11): 2652-68, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25058704

RESUMEN

Visual motion direction ambiguities due to edge-aperture interaction might be resolved by speed priors, but scant empirical data support this hypothesis. We measured optic flow and gaze positions of walking mothers and the infants they carried. Empirically derived motion priors for infants are vertically elongated and shifted upward relative to mothers. Skewed normal distributions fitted to estimated retinal speeds peak at values above 20°/sec.


Asunto(s)
Movimientos Oculares/fisiología , Madres/psicología , Percepción de Movimiento/fisiología , Femenino , Humanos , Lactante , Masculino , Movimiento (Física) , Flujo Optico , Estimulación Luminosa , Análisis de Componente Principal , Caminata/psicología
4.
Poult Sci ; 103(7): 103779, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38788487

RESUMEN

This study aimed to explore the genetic basis of walking ability and potentially related performance traits in turkey purebred populations. Phenotypic, pedigree, and genomic datasets from 2 turkey lines hatched between 2010 and 2023 were included in the study. Walking ability data, defined based on a scoring system ranging from 1 (worst) to 6 (best), were collected on 192,019 animals of a female line and 235,461 animals of a male line. Genomic information was obtained for 46,427 turkeys (22,302 from a female line and 24,125 from a male line) using a 65K single nucleotide polymorphism (SNP) panel. Variance components and heritability for walking ability were estimated. Furthermore, genetic and phenotypic correlations among walking ability, mortality and disorders, and performance traits were calculated. A genome-wide association study (GWAS) was also conducted to identify SNPs associated with walking ability. Walking ability is moderately heritable (0.23 ± 0.01) in both turkey lines. The genetic correlations between walking ability and the other evaluated traits ranged from -0.02 to -0.78, with leg defects exhibiting the strongest negative correlation with walking ability. In the female line, 31 SNPs were associated with walking ability and overlapped with 116 genes. These positional genes are linked to 6 gene ontology (GO) terms. Notably, genes such as CSRP2, DDX1, RHBDL1, SEZ6L, and CTSK are involved in growth, development, locomotion, and bone disorders. GO terms, including fibronectin binding (GO:0001968), peptide cross-linking (GO:0018149), and catabolic process (GO:0009057), are directly linked with mobility. In the male line, 66 markers associated with walking ability were identified and overlapped with 281 genes. These genes are linked to 12 GO terms. Genes such as RB1CC1, TNNI1, MSTN, FN1, SIK3, PADI2, ERBB4, B3GNT2, and BACE1 are associated with cell growth, myostatin development, and disorders. GO terms in the male line are predominantly related to lipid metabolism. In conclusion, walking ability is moderately heritable in both populations. Furthermore, walking ability can be enhanced through targeted genetic selection, emphasizing its relevance to both animal welfare and productivity.


Asunto(s)
Estudio de Asociación del Genoma Completo , Polimorfismo de Nucleótido Simple , Pavos , Animales , Pavos/genética , Pavos/fisiología , Pavos/crecimiento & desarrollo , Femenino , Masculino , Estudio de Asociación del Genoma Completo/veterinaria , Caminata , Fenotipo
5.
Ann Oncol ; 24(4): 878-88, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23152360

RESUMEN

In November 2011, the Third European Consensus Conference on Diagnosis and Treatment of Germ-Cell Cancer (GCC) was held in Berlin, Germany. This third conference followed similar meetings in 2003 (Essen, Germany) and 2006 (Amsterdam, The Netherlands) [Schmoll H-J, Souchon R, Krege S et al. European consensus on diagnosis and treatment of germ-cell cancer: a report of the European Germ-Cell Cancer Consensus Group (EGCCCG). Ann Oncol 2004; 15: 1377-1399; Krege S, Beyer J, Souchon R et al. European consensus conference on diagnosis and treatment of germ-cell cancer: a report of the second meeting of the European Germ-Cell Cancer Consensus group (EGCCCG): part I. Eur Urol 2008; 53: 478-496; Krege S, Beyer J, Souchon R et al. European consensus conference on diagnosis and treatment of germ-cell cancer: a report of the second meeting of the European Germ-Cell Cancer Consensus group (EGCCCG): part II. Eur Urol 2008; 53: 497-513]. A panel of 56 of 60 invited GCC experts from all across Europe discussed all aspects on diagnosis and treatment of GCC, with a particular focus on acute and late toxic effects as well as on survivorship issues. The panel consisted of oncologists, urologic surgeons, radiooncologists, pathologists and basic scientists, who are all actively involved in care of GCC patients. Panelists were chosen based on the publication activity in recent years. Before the meeting, panelists were asked to review the literature published since 2006 in 20 major areas concerning all aspects of diagnosis, treatment and follow-up of GCC patients, and to prepare an updated version of the previous recommendations to be discussed at the conference. In addition, ∼50 E-vote questions were drafted and presented at the conference to address the most controversial areas for a poll of expert opinions. Here, we present the main recommendations and controversies of this meeting. The votes of the panelists are added as online supplements.


Asunto(s)
Neoplasias de Células Germinales y Embrionarias/patología , Neoplasias de Células Germinales y Embrionarias/terapia , Europa (Continente) , Estudios de Seguimiento , Humanos , Metástasis de la Neoplasia , Estadificación de Neoplasias , Neoplasias de Células Germinales y Embrionarias/clasificación , Neoplasias de Células Germinales y Embrionarias/diagnóstico , Tasa de Supervivencia
6.
Dev Med Child Neurol ; 54(7): e1-8, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21232054

RESUMEN

AIM: We sought to characterize visual motion processing in children with cerebral visual impairment (CVI) due to periventricular white matter damage caused by either hydrocephalus (eight individuals) or periventricular leukomalacia (PVL) associated with prematurity (11 individuals). METHOD: Using steady-state visually evoked potentials (ssVEP), we measured cortical activity related to motion processing for two distinct types of visual stimuli: 'local' motion patterns thought to activate mainly primary visual cortex (V1), and 'global' or coherent patterns thought to activate higher cortical visual association areas (V3, V5, etc.). We studied three groups of children: (1) 19 children with CVI (mean age 9y 6mo [SD 3y 8mo]; 9 male; 10 female); (2) 40 neurologically and visually normal comparison children (mean age 9y 6mo [SD 3y 1mo]; 18 male; 22 female); and (3) because strabismus and amblyopia are common in children with CVI, a group of 41 children without neurological problems who had visual deficits due to amblyopia and/or strabismus (mean age 7y 8mo [SD 2y 8mo]; 28 male; 13 female). RESULTS: We found that the processing of global as opposed to local motion was preferentially impaired in individuals with CVI, especially for slower target velocities (p=0.028). INTERPRETATION: Motion processing is impaired in children with CVI. ssVEP may provide useful and objective information about the development of higher visual function in children at risk for CVI.


Asunto(s)
Potenciales Evocados Visuales , Hidrocefalia/complicaciones , Leucomalacia Periventricular/complicaciones , Movimiento (Física) , Percepción Espacial , Trastornos de la Visión/etiología , Trastornos de la Visión/fisiopatología , Corteza Visual/fisiopatología , Adolescente , Ambliopía/fisiopatología , Niño , Preescolar , Femenino , Humanos , Hidrocefalia/fisiopatología , Lactante , Recién Nacido , Leucomalacia Periventricular/fisiopatología , Masculino , Nacimiento Prematuro , Estrabismo/fisiopatología
7.
Infancy ; 17(5): 558-577, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32693548

RESUMEN

Infants' emerging ability to move independently by crawling is associated with changes in multiple domains, including an increase in expressions of anger in situations that block infants' goals, but it is unknown whether increased anger is specifically because of experience with being able to move autonomously or simply related to age. To examine the influence of locomotion on developmental change in anger, infants' (N = 20) anger expressions during an arm restraint procedure were observed longitudinally at a precrawling baseline assessment and 2 and 6 weeks after the onset of crawling. Infant age at each crawling stage was unrelated to the frequency of anger expressed in response to arm restraint. At 6 weeks postcrawling onset, infants whose mothers rated them as temperamentally higher in distress to limitations, compared with those rated lower, showed a greater increase in the frequency of anger expressed during the arm restraint relative to earlier assessments and took longer to reduce the frequency of anger expressed when no longer restrained. Findings suggest that experience with autonomous crawling has an effect on anger expression, independent of age, and that a temperamental tendency to become distressed by limitations may exacerbate the effect of crawling on anger expression.

8.
Adv Child Dev Behav ; 62: 37-59, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35249685

RESUMEN

Since grade school, students of many subjects have learned to "show their work" in order to receive full credit for assignments. Many of the reasons for students to show their work extend to the conduct of scientific research. And yet multiple barriers make it challenging to share and show the products of scientific work beyond published findings. This chapter discusses some of these barriers and how web-based data repositories help overcome them. The focus is on Databrary.org, a data library specialized for storing and sharing video data with a restricted community of institutionally approved investigators. Databrary was designed by and for developmental researchers, and so its features and policies reflect many of the specific challenges faced by this community, especially those associated with sharing video and related identifiable data. The chapter argues that developmental science poses some of the most interesting, challenging, and important questions in all of science, and that by openly sharing much more of the products and processes of our work, developmental scientists can accelerate discovery while making our scholarship much more robust and reproducible.


Asunto(s)
Investigadores , Humanos
9.
Sci Rep ; 12(1): 17623, 2022 10 21.
Artículo en Inglés | MEDLINE | ID: mdl-36271276

RESUMEN

Sex differences in a variety of psychological characteristics are well-documented, with substantial research focused on factors that affect their magnitude and causes. Particular attention has focused on mental rotation, a measure of spatial cognition, and on activity interests. We studied whether sex differences in visual perception-luminance contrast thresholds and motion duration thresholds-contribute to sex differences in mental rotation and interest in male-typed activities. We confirmed sex differences in vision, mental rotation, and activity interests in a sample of 132 college students. In novel findings, we showed that vision correlated with mental rotation performance in women, that vision was a better predictor of individual differences in mental rotation than sex, and that contrast thresholds correlated with women's interest in male-typed activities. These results suggest that sex differences in spatial cognition and activity interests may have their roots in basic perceptual processes.


Asunto(s)
Caracteres Sexuales , Percepción Espacial , Femenino , Masculino , Humanos , Cognición , Percepción Visual , Atención , Factores Sexuales
10.
Dev Psychol ; 57(11): 1810-1821, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34914447

RESUMEN

Observers experience complex patterns of visual motion in daily life due to their own movements through space, the movement of objects, and the geometry of surfaces in the visible world. Motion information shapes behavior and brain activity beginning in infancy. And yet most prior behavioral research has focused on how children process only one type, linear motion, leaving largely unexplored how children respond to radial or rotational motion patterns that co-occur with linear motion in everyday visual experience. This study examined how children and adults detect linear and radial motion patterns corrupted by a range of noise levels. Five to eight-year-old children (n = 25, 16 females; 76% White, 4% Asian, 16% more than one, 4% unknown) and young adults (n = 29, 15 females; 83.33% White, 16.67% Asian) viewed pairs of radial and linear motion displays mixed with random noise at one of two speeds (2 deg/s or 8 deg/s). Participants selected the display with coherent motion. Children and adults showed higher accuracy (percent correct) to radial versus linear motion patterns. Children had higher accuracy to the faster speed, while adults showed the opposite pattern. Adults showed better performance than children in all conditions. Exploratory analyses showed that male children had higher accuracy than their female peers. We conclude that motion processing develops in childhood with separable developmental trajectories for the processing of slow and fast visual motion, and that while further investigation is warranted, sex differences in motion processing found in young and older adults may begin in middle childhood. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Flujo Optico , Anciano , Niño , Preescolar , Ingestión de Alimentos , Femenino , Humanos , Masculino
11.
Artículo en Inglés | MEDLINE | ID: mdl-34532153

RESUMEN

Video data are uniquely suited for research reuse and for documenting research methods and findings. However, curation of video data is a serious hurdle for researchers in the social and behavioral sciences, where behavioral video data are obtained session by session and data sharing is not the norm. To eliminate the onerous burden of post hoc curation at the time of publication (or later), we describe best practices in active data curation-where data are curated and uploaded immediately after each data collection to allow instantaneous sharing with one button press at any time. Indeed, we recommend that researchers adopt "hyperactive" data curation where they openly share every step of their research process. The necessary infrastructure and tools are provided by Databrary-a secure, web-based data library designed for active curation and sharing of personally identifiable video data and associated metadata. We provide a case study of hyperactive curation of video data from the Play and Learning Across a Year (PLAY) project, where dozens of researchers developed a common protocol to collect, annotate, and actively curate video data of infants and mothers during natural activity in their homes at research sites across North America. PLAY relies on scalable standardized workflows to facilitate collaborative research, assure data quality, and prepare the corpus for sharing and reuse throughout the entire research process.

12.
Ann Oncol ; 21(4): 820-825, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19822531

RESUMEN

BACKGROUND: Survival after high-dose chemotherapy (HDCT) as second-salvage treatment (SST) in multiple relapsed germ-cell tumors (GCTs). PATIENTS AND METHODS: Existing databases in Berlin and Marburg of HDCT trials from 1989 to 2008 were retrospectively screened. Among 534 patients, 71 of 534 (13%) patients were scheduled for HDCT having failed previous conventional-dose first-line and first-salvage chemotherapy regimens; those 49 patients who had received at least cisplatin plus etoposide first-line as well as conventional-dose cisplatin-based first-salvage regimens and were diagnosed after 1 January 1990 were further analyzed. RESULTS: Median age at SST was 32 years (range 19-52 years). Median follow-up for surviving patients was 4 years (range 1.7-8.5 years). Three of 49 (6%) patients either progressed or died before scheduled HDCT; the remaining 46 of 49 (94%) received either single or sequential HDCT. The rate of favorable responses to HDCT was 27 of 49 (55%). Nine patients remain alive and free of progression. One additional patient was lost to follow without progression at 4 years. The projected overall survival rate at 5 years was 17% (95% confidence intervals 7% to 30%). CONCLUSION: HDCT can induce remissions in patients with multiple relapsed GCTs with a long-term survival rate of approximately 17%.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/administración & dosificación , Neoplasias de Células Germinales y Embrionarias/tratamiento farmacológico , Neoplasias Testiculares/tratamiento farmacológico , Adolescente , Adulto , Cisplatino/administración & dosificación , Relación Dosis-Respuesta a Droga , Resistencia a Antineoplásicos/efectos de los fármacos , Etopósido/administración & dosificación , Humanos , Masculino , Persona de Mediana Edad , Neoplasias de Células Germinales y Embrionarias/mortalidad , Recurrencia , Estudios Retrospectivos , Terapia Recuperativa , Análisis de Supervivencia , Neoplasias Testiculares/mortalidad , Insuficiencia del Tratamiento , Resultado del Tratamiento , Adulto Joven
13.
Child Dev Perspect ; 14(1): 9-14, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33880131

RESUMEN

Based on the recommendations of a Task Force on Scientific Integrity and Openness it appointed, the Governing Council of the Society for Research in Child Development (SRCD) adopted a Policy on Scientific Integrity and Openness (SRCD, 2019a) and accompanying Author Guidelines on Scientific Integrity and Openness for Publishing in Child Development (SRCD, 2019b). Here we discuss some of the challenges associated with realizing SRCD's vision for a science of child development that is open, transparent, robust, impactful, and conducted with the highest standards of integrity. In identifying the challenges-protecting participants and researchers from harm, respecting diversity, and balancing the benefits of change with the costs -we also offer constructive solutions.

14.
Neuropsychologia ; 122: 11-19, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30528586

RESUMEN

In addition to semantic content, human speech carries paralinguistic information that conveys important social cues such as a speaker's identity. For young children, their own mothers' voice is one of the most salient vocal inputs in their daily environment. Indeed, qualities of mothers' voices are shown to contribute to children's social development. Our knowledge of how the mother's voice is processed at the neural level, however, is limited. This study investigated whether the voice of a mother modulates activation in the network of regions activated by the human voice in young children differently than the voice of an unfamiliar mother. We collected fMRI data from 32 typically developing 7- and 8-year-olds as they listened to natural speech produced by their mother and another child's mother. We used emotionally-varied natural speech stimuli to approximate the range of children's day-to-day experience. We individually-defined functional ROIs in children's voice-sensitive neural network and then independently investigated the extent to which activation in these regions is modulated by speaker identity. The bilateral posterior auditory cortex, superior temporal gyrus (STG), and inferior frontal gyrus (IFG) exhibit enhanced activation in response to the voice of one's own mother versus that of an unfamiliar mother. The findings indicate that children process the voice of their own mother uniquely, and pave the way for future studies of how social information processing contributes to the trajectory of child social development.


Asunto(s)
Encéfalo/crecimiento & desarrollo , Encéfalo/fisiología , Madres , Percepción del Habla/fisiología , Encéfalo/diagnóstico por imagen , Mapeo Encefálico , Niño , Femenino , Humanos , Individualidad , Imagen por Resonancia Magnética , Masculino , Relaciones Madre-Hijo , Patrones de Reconocimiento Fisiológico/fisiología , Psicología Infantil
15.
Eur J Cancer ; 44(2): 237-43, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18055194

RESUMEN

PURPOSE: To retrospectively re-evaluate a published prognostic score for response to salvage treatment in patients with germ-cell tumours relapsing or progressing after cisplatin-based first-line chemotherapy. PATIENTS AND METHODS: From a database of 257 germ cell tumour (GCT) patients treated with salvage high-dose chemotherapy (HDCT) we identified 176 patients (67%) with relapse or progression after first-line conventional-dose chemotherapy (CDCT). Patients were retrospectively grouped according to a published prognostic score defined by Fossa and colleagues [Fossa SD, Stenning SP, Gerl A, et al. Prognostic factors in patients progressing after cisplatin-based chemotherapy for malignant non-seminomatous germ cell tumors. Br J Cancer 1999; 80:1392-9]. Overall survival (OS) and event free survival (EFS) after HDCT were retrospectively evaluated in each prognostic group. RESULTS: After a median follow-up of 9 years the OS probability for all 176 patients was 38% and the EFS probability was 35%. The respective survival probability at 5 years in 100/176 (57%) good prognosis patients and 76/176 (43%) poor prognosis patients were 47% versus 28% for OS (p<0.001) and 41% versus 26% for EFS (p<0.005). Whereas survival probabilities did not differ in good prognosis patients, OS and EFS in poor prognosis patients were substantially better in the current series of patients treated with HDCT compared to the ones reported by Fossa treated with CDCT. CONCLUSION: This retrospective analysis confirms the impact of prognostic factors on the results of salvage treatment in patients with GCT and suggests a clinical benefit for patients with poor prognosis features receiving a single course of HDCT.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias de Células Germinales y Embrionarias/tratamiento farmacológico , Terapia Recuperativa , Neoplasias Testiculares/tratamiento farmacológico , Ensayos Clínicos Fase II como Asunto , Supervivencia sin Enfermedad , Resistencia a Antineoplásicos , Humanos , Masculino , Recurrencia Local de Neoplasia/mortalidad , Neoplasias de Células Germinales y Embrionarias/mortalidad , Pronóstico , Estudios Retrospectivos , Medición de Riesgo , Terapia Recuperativa/métodos , Terapia Recuperativa/mortalidad , Trasplante de Células Madre/métodos , Neoplasias Testiculares/mortalidad , Resultado del Tratamiento
16.
Adv Methods Pract Psychol Sci ; 1(1): 121-130, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31157320

RESUMEN

Widespread sharing of data and materials (including displays and text- and video-based descriptions of experimental procedures) will improve the reproducibility of psychological science and accelerate the pace of discovery. In this article, we discuss some of the challenges to open sharing and offer practical solutions for researchers who wish to share more of the products-and process-of their research. Many of these solutions were devised by the Databrary.org data library for storing and sharing video, audio, and other forms of sensitive or personally identifiable data. We also discuss ways in which researchers can make shared data and materials easier for others to find and reuse. Widely adopted, these solutions and practices will increase transparency and speed progress in psychological science.

17.
Adv Child Dev Behav ; 62: xi-xiii, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35249688
18.
Nat Hum Behav ; 1(7)2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30775454

RESUMEN

We recommend the widespread use of a simple, inexpensive, easy-to-implement, and uniquely powerful tool to improve the transparency and reproducibility of behavioural research - video recordings.

19.
Ann N Y Acad Sci ; 1396(1): 5-18, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28464561

RESUMEN

Accumulating evidence suggests that many findings in psychological science and cognitive neuroscience may prove difficult to reproduce; statistical power in brain imaging studies is low and has not improved recently; software errors in analysis tools are common and can go undetected for many years; and, a few large-scale studies notwithstanding, open sharing of data, code, and materials remain the rare exception. At the same time, there is a renewed focus on reproducibility, transparency, and openness as essential core values in cognitive neuroscience. The emergence and rapid growth of data archives, meta-analytic tools, software pipelines, and research groups devoted to improved methodology reflect this new sensibility. We review evidence that the field has begun to embrace new open research practices and illustrate how these can begin to address problems of reproducibility, statistical power, and transparency in ways that will ultimately accelerate discovery.


Asunto(s)
Neurociencia Cognitiva/tendencias , Neuroimagen/métodos , Mapeo Encefálico/métodos , Neurociencia Cognitiva/métodos , Humanos , Reproducibilidad de los Resultados , Programas Informáticos
20.
Eur J Cancer ; 42(12): 1775-9, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16765039

RESUMEN

The aim of this study was assess the activity of thalidomide in patients with progressive relapsed or platinum-refractory germ-cell tumours (GCT). Between April 2002 and January 2003, 15 patients with inoperable progressive GCT were treated with escalated daily doses of 200-600 mg thalidomide. All patients had failed first-line and salvage chemotherapy with a median of 6 (range 4-12) cisplatin-based treatment cycles, 13/15 (87%) patients had received high-dose chemotherapy (HDCT) and 8/15 (53%) patients were considered platinum-refractory or absolute refractory; 8/15 (53%) patients had previously received other palliative chemotherapy regimens. No patient achieved a complete remission (CR) or partial remission (PR). However, 5/15 (33%) patients achieved serological PR and 1 additional patient had stable disease for 3 months. The median duration of remissions was 3 months (range 2-12 months) including 2 patients with a progression-free survival of 9 and 12 months. Responses occurred mainly in patients with a low tumour burden, slow disease progression and alpha-foetoprotein (AFP) elevations. Responses to thalidomide were independent from platinum-sensitivity. Toxicity was mild, with lethargy and constipation in the majority of patients. Skin rash grade II developed in 2 patients and peripheral neurotoxicity grade II/III developed in 4 patients. One responding patient died suddenly from an unknown cause. It is concluded that thalidomide shows single-agent activity in patients with heavily pre-treated GCT, AFP elevations and slowly progressive disease.


Asunto(s)
Antineoplásicos/uso terapéutico , Trastornos Gonadales/tratamiento farmacológico , Neoplasias del Mediastino/tratamiento farmacológico , Neoplasias de Células Germinales y Embrionarias/tratamiento farmacológico , Talidomida/uso terapéutico , Neoplasias Urogenitales/tratamiento farmacológico , Adulto , Resistencia a Antineoplásicos , Humanos , Persona de Mediana Edad , Metástasis de la Neoplasia , Recurrencia Local de Neoplasia/etiología , Compuestos de Platino/uso terapéutico
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