Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 44
Filtrar
1.
Neuropsychology ; 38(5): 475-485, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38602815

RESUMEN

OBJECTIVE: The present study explored the hypothesis that anhedonia reflects an emotional memory impairment for pleasant stimuli, rather than diminished hedonic capacity in individuals with schizophrenia (SZ). METHOD: Participants included 30 SZ and 30 healthy controls (HCs) subjects who completed an eye-tracking emotion-induced memory trade-off task where contextually relevant pleasant, unpleasant, or neutral items were inserted into the foreground of neutral background scenes. Passive viewing and poststimulus elaboration blocks were administered to assess differential encoding mechanisms, and immediate and 1-week recognition testing phases were completed to assess the effects of delay interval. Participants also made self-reports of positive emotion, negative emotion, and arousal in response to the stimuli. RESULTS: Results indicated that SZ experienced stimuli similarly to HC. Both groups demonstrated the typical emotion-induced memory trade-off during the passive viewing and poststimulus elaboration encoding blocks, as indicated by more hits for emotional than neutral items and fewer hits for backgrounds paired with emotional than neutral items. Eye-tracking data also indicated that both groups were more likely to fixate earlier and have longer dwell time on emotional than neutral items. At the 1-week delay, the emotion-induced memory trade-off was eliminated in both groups, and SZ showed fewer overall hits across valence conditions. Greater severity of anhedonia was specifically associated with impaired recognition for pleasant stimuli at the immediate recognition phase. CONCLUSIONS: Findings suggest that anhedonia in SZ is associated with emotional memory impairment, particularly a deficit in encoding positive stimuli. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Asunto(s)
Anhedonia , Emociones , Tecnología de Seguimiento Ocular , Esquizofrenia , Humanos , Masculino , Femenino , Anhedonia/fisiología , Adulto , Esquizofrenia/fisiopatología , Esquizofrenia/complicaciones , Emociones/fisiología , Persona de Mediana Edad , Reconocimiento en Psicología/fisiología , Psicología del Esquizofrénico , Trastornos de la Memoria/etiología , Trastornos de la Memoria/fisiopatología , Adulto Joven
2.
iScience ; 27(4): 109455, 2024 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-38550987

RESUMEN

Animals constantly integrate sensory information with prior experience to select behavioral responses appropriate to the current situation. Genetic factors supporting this behavioral flexibility are often disrupted in neuropsychiatric conditions, such as the autism-linked ap2s1 gene which supports acoustically evoked habituation learning. ap2s1 encodes an AP2 endocytosis adaptor complex subunit, although its behavioral mechanisms and importance have been unclear. Here, we show that multiple AP2 subunits regulate acoustically evoked behavior selection and habituation learning in zebrafish. Furthermore, ap2s1 biases escape behavior choice in sensory modality-specific manners, and broadly regulates action selection across sensory contexts. We demonstrate that the AP2 complex functions acutely in the nervous system to modulate acoustically evoked habituation, suggesting several spatially and/or temporally distinct mechanisms through which AP2 regulates escape behavior selection and performance. Altogether, we show the AP2 complex coordinates action selection across diverse contexts, providing a vertebrate model for ap2s1's role in human conditions including autism spectrum disorder.

3.
EMBO Mol Med ; 16(1): 132-157, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38177536

RESUMEN

Thoracic aortic aneurysm and dissection (TAAD) is a life-threatening condition associated with Marfan syndrome (MFS), a disease caused by fibrillin-1 gene mutations. While various conditions causing TAAD exhibit aortic accumulation of the proteoglycans versican (Vcan) and aggrecan (Acan), it is unclear whether these ECM proteins are involved in aortic disease. Here, we find that Vcan, but not Acan, accumulated in Fbn1C1041G/+ aortas, a mouse model of MFS. Vcan haploinsufficiency protected MFS mice against aortic dilation, and its silencing reverted aortic disease by reducing Nos2 protein expression. Our results suggest that Acan is not an essential contributor to MFS aortopathy. We further demonstrate that Vcan triggers Akt activation and that pharmacological Akt pathway inhibition rapidly regresses aortic dilation and Nos2 expression in MFS mice. Analysis of aortic tissue from MFS human patients revealed accumulation of VCAN and elevated pAKT-S473 staining. Together, these findings reveal that Vcan plays a causative role in MFS aortic disease in vivo by inducing Nos2 via Akt activation and identify Akt signaling pathway components as candidate therapeutic targets.


Asunto(s)
Aneurisma de la Aorta Torácica , Enfermedades de la Aorta , Disección Aórtica , Azidas , Desoxiglucosa , Síndrome de Marfan , Animales , Humanos , Ratones , Aneurisma de la Aorta Torácica/complicaciones , Aneurisma de la Aorta Torácica/genética , Aneurisma de la Aorta Torácica/metabolismo , Enfermedades de la Aorta/complicaciones , Desoxiglucosa/análogos & derivados , Síndrome de Marfan/complicaciones , Síndrome de Marfan/genética , Síndrome de Marfan/metabolismo , Óxido Nítrico Sintasa de Tipo II/metabolismo , Proteínas Proto-Oncogénicas c-akt/metabolismo , Versicanos/metabolismo
4.
Schizophr Res ; 261: 216-224, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37801740

RESUMEN

Impairments in effort-cost decision-making have been consistently observed in people with schizophrenia (SZ) and may be an important mechanism of negative symptoms. However, the processes that give rise to impairments in effort-cost decision-making are unclear, leading to limited progress in identifying the most relevant treatment targets. Drawing from cognitive models of negative symptoms and goal-directed behavior, this study aimed to examine how and under what type of task conditions defeatist performance beliefs contribute to these decision-making processes. Outpatients with SZ (n = 30) and healthy controls (CN; n = 28) completed a cognitive effort allocation task, the Cognitive Effort-Discounting (COGED) task, which assesses participants' willingness to exert cognitive effort for monetary rewards based on parametrically varied working memory demands (completing N-back levels). Results showed that although participants with SZ demonstrated reduced willingness to work for rewards across N-back levels compared to CN participants, they showed less choice modulation across different N-back conditions. However, among SZ participants with greater defeatist performance beliefs, there was a reduced willingness to choose the high effort option at higher N-back levels (N-back levels 3, 4, and 5 versus 2-back). Results suggest that compared to CN, the SZ group's subjective willingness to expend effort largely did not dynamically adjust as cognitive load increased. However, defeatist beliefs may undermine willingness to expend cognitive effort, especially when cognitive task demands are high. These beliefs may be a viable treatment target to improve effort-cost decision-making impairments in people with SZ.


Asunto(s)
Esquizofrenia , Humanos , Esquizofrenia/diagnóstico , Psicología del Esquizofrénico , Motivación , Recompensa , Cognición , Toma de Decisiones
5.
Crit Rev Oncol Hematol ; 190: 104088, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37541537

RESUMEN

Synthetic biology aims to program living bacteria cells with artificial genetic circuits for user-defined functions, transforming them into powerful tools with numerous applications in various fields, including oncology. Cancer treatments have serious side effects on patients due to the systemic action of the drugs involved. To address this, new systems that provide localized antitumoral action while minimizing damage to healthy tissues are required. Bacteria, often considered pathogenic agents, have been used as cancer treatments since the early 20th century. Advances in genetic engineering, synthetic biology, microbiology, and oncology have improved bacterial therapies, making them safer and more effective. Here we propose six modules for a successful synthetic biology-based bacterial cancer therapy, the modules include Payload, Release, Tumor-targeting, Biocontainment, Memory, and Genetic Circuit Stability Module. These will ensure antitumor activity, safety for the environment and patient, prevent bacterial colonization, maintain cell stability, and prevent loss or defunctionalization of the genetic circuit.


Asunto(s)
Neoplasias , Biología Sintética , Humanos , Ingeniería Genética , Bacterias/genética , Redes Reguladoras de Genes , Neoplasias/genética , Neoplasias/terapia
6.
Front Artif Intell ; 5: 995667, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36530357

RESUMEN

Little attention has been paid to the development of human language technology for truly low-resource languages-i.e., languages with limited amounts of digitally available text data, such as Indigenous languages. However, it has been shown that pretrained multilingual models are able to perform crosslingual transfer in a zero-shot setting even for low-resource languages which are unseen during pretraining. Yet, prior work evaluating performance on unseen languages has largely been limited to shallow token-level tasks. It remains unclear if zero-shot learning of deeper semantic tasks is possible for unseen languages. To explore this question, we present AmericasNLI, a natural language inference dataset covering 10 Indigenous languages of the Americas. We conduct experiments with pretrained models, exploring zero-shot learning in combination with model adaptation. Furthermore, as AmericasNLI is a multiway parallel dataset, we use it to benchmark the performance of different machine translation models for those languages. Finally, using a standard transformer model, we explore translation-based approaches for natural language inference. We find that the zero-shot performance of pretrained models without adaptation is poor for all languages in AmericasNLI, but model adaptation via continued pretraining results in improvements. All machine translation models are rather weak, but, surprisingly, translation-based approaches to natural language inference outperform all other models on that task.

7.
Schizophr Res ; 248: 14-20, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35907347

RESUMEN

Negative symptoms are a strong predictor of functional impairment in schizophrenia (SZ). Unfortunately, mechanisms underlying negative symptoms are poorly understood and available treatments are minimally effective. The current study evaluated the novel hypothesis that negative symptoms are associated with an implicit cognitive effort monitoring impairment that manifests during tasks requiring sustained allocation of cognitive control. Outpatients with SZ (n = 33) and healthy controls (CN; n = 29) completed an adapted Demand Selection Task (DST) in which subjects made choices between pairs of cognitive tasks that were implicitly and then explicitly made discrepant in effort demands. The SZ group demonstrated a reduced probability of avoiding the high effort cognitive task in the implicit choice condition but were able to become effort avoidant when the demands of the task were made explicit. Implicit cognitive effort monitoring deficits were associated with greater severity of the expressivity dimension of negative symptoms, but not the motivation and pleasure dimension. The association between diminished expressivity and implicit cognitive effort monitoring deficits is interpreted in light of a novel cognitive resource depletion theory, whereby individuals with SZ may become less expressive due to difficulty implicitly monitoring ongoing cognitive effort exertion and dynamically adjusting effort expenditure as task demands fluctuate.


Asunto(s)
Trastornos del Conocimiento , Esquizofrenia , Humanos , Esquizofrenia/complicaciones , Psicología del Esquizofrénico , Motivación , Trastornos del Conocimiento/complicaciones , Cognición
8.
Elife ; 112022 05 06.
Artículo en Inglés | MEDLINE | ID: mdl-35522036

RESUMEN

Codon usage bias has long been appreciated to influence protein production. Yet, relatively few studies have analyzed the impacts of codon usage on tissue-specific mRNA and protein expression. Here, we use codon-modified reporters to perform an organism-wide screen in Drosophila melanogaster for distinct tissue responses to codon usage bias. These reporters reveal a cliff-like decline of protein expression near the limit of rare codon usage in endogenously expressed Drosophila genes. Near the edge of this limit, however, we find the testis and brain are uniquely capable of expressing rare codon-enriched reporters. We define a new metric of tissue-specific codon usage, the tissue-apparent Codon Adaptation Index (taCAI), to reveal a conserved enrichment for rare codon usage in the endogenously expressed genes of both Drosophila and human testis. We further demonstrate a role for rare codons in an evolutionarily young testis-specific gene, RpL10Aa. Optimizing RpL10Aa codons disrupts female fertility. Our work highlights distinct responses to rarely used codons in select tissues, revealing a critical role for codon bias in tissue biology.


Asunto(s)
Drosophila melanogaster , Drosophila , Animales , Codón/genética , Uso de Codones , Drosophila/genética , Drosophila melanogaster/genética , Femenino , Humanos , Masculino , Testículo
9.
Eur Arch Psychiatry Clin Neurosci ; 272(1): 17-27, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33881621

RESUMEN

Negative symptoms are core features of schizophrenia-spectrum disorders that are frequently observed across all phases of illness. By their nature, COVID-19 social isolation, physical distancing, and health precautions induce behavioural aspects of negative symptoms. However, it is unclear whether these prevention measures also lead to increases in experiential negative symptoms, whether such effects are equivalent across individual negative symptom domains, and if exacerbations occur equivalently across phases of illness. The current study compared negative symptom severity scores obtained during the pandemic to pre-pandemic assessments in two samples: (1) outpatients with chronic schizophrenia (SZ: n = 32) and matched healthy controls (CN: n = 31) and (2) individuals at clinical high risk for psychosis (CHR: n = 25) and matched CN (n = 30). Pre-pandemic ratings of negative symptoms were clinically elevated in SZ and CHR groups, which did not differ from each other in severity. In SZ, ratings obtained during the pandemic were significantly higher than pre-pandemic ratings for all 5 domains (alogia, blunted affect, anhedonia, avolition, and asociality) and item-level analyses indicated that exacerbations occurred on both experiential and behavioral symptoms of anhedonia, avolition, and asociality. In contrast, CHR only exhibited increases in anhedonia and avolition items during the pandemic compared to pre-ratings. Findings suggest that negative symptoms should be a critical treatment target during and after the pandemic in the schizophrenia spectrum given that they are worsening and critically related to risk for conversion, functional outcome, and recovery.


Asunto(s)
COVID-19 , Pacientes Ambulatorios , Pandemias , Trastornos Psicóticos , Psicología del Esquizofrénico , Anhedonia , COVID-19/epidemiología , COVID-19/psicología , Estudios de Casos y Controles , Enfermedad Crónica , Humanos , Pacientes Ambulatorios/psicología , Trastornos Psicóticos/epidemiología , Medición de Riesgo , Esquizofrenia/terapia
10.
Más Vita ; 2(4): 50-56, dic. 2020. ilus
Artículo en Español | LILACS, LIVECS | ID: biblio-1372878

RESUMEN

La neuromielitis óptica (NMO) y los trastornos del espectro de neuromielitis óptica (NMOSD) son trastornos poco frecuentes, mediados por anticuerpos del sistema nervioso central (SNC) con predilección por la médula espinal y los nervios ópticos. Existe una fuerte predilección femenina. En el caso de la forma recurrente más común de la enfermedad, que representa del 80% al 90% de los casos, las mujeres están sobrerrepresentadas con una proporción de 5 a 10: 1.6. La edad media de inicio es de 39,7 años. Objetivo: Determinar la causa de neuromielitis óptica en paciente femenina de 24 años de edad. Materiales y métodos: Es una investigación enmarcada en el paradigma positivista, con enfoque cuantitativo. Con un estudio de campo-descriptivo, no experimental, en la modalidad de caso clínico único. El método utilizado fue la historia clínica y consentimiento informado. Resultado: Se presenta el caso de una paciente de sexo femenino de 24 años de edad, sin antecedentes patológicos personales. Presentó pérdida progresiva de la visión de 2 meses de evolución, que se acompañaba de dolor en región cervical de moderada intensidad y en 24 horas presentó parestesia en brazo derecho, afasia, cuadro neurológico que evolucionó hasta presentar cuadriparesia, insuficiencia respiratoria aguda. Conclusión: En IRM de columna cervical se evidencia cambio anormal de la señal medular cervical evidente en secuencias T2 flair lesión hiperintensa longitudinalmente extensa que abarca más de 3 cuerpos vertebrales. Fue tratada con corticoides y plasmaféresis(AU)


Neuromielitis optic (NMO) and neuromielitis optic spectrum disorders (NMOSD) are rare disorders mediated by antibodies of the central nervous system (CNS) with a predilection for the spinal cord and optic nerves. There is a strong female predilection. In the case of the most common recurrent form of the disease, which accounts for 80% to 90% most of the cases are women with a ratio of five to 10: 1.6. The mean age of onset is 39.7 years. Objective: To determine the cause of neuromielitis optica in a 24-year-old female patient. Materials and methods: It is an investigation framed in the positivist paradigm, with a quantitative approach. With a descriptive field study, not experimental, in the single clinical case modality. The method used was the medical history and informed consent. Result: The case of a 24-year-old female patient with no presented personal pathological history. She presented progressive loss of vision of 2 months of evolution, accompanied by pain in the cervical region of moderate intensity and within 24 hours, she presented paresthesia in the right arm, aphasia, a neurological picture that evolved until presenting cuadriparesia, acute respiratory failure. Conclusion: An MRI of the cervical spine shows an abnormal change in the cervical spinal signal evident in T2 sequences flair a longitudinally extensive hiperintensa lesion that encompasses more than 3 vertebral bodies. Her treatment was corticosteroids and plasmapheresis(AU)


Asunto(s)
Humanos , Femenino , Adulto , Nervio Óptico , Afasia , Sistema Nervioso Central , Neuromielitis Óptica/fisiopatología , Parestesia , Cuadriplejía , Insuficiencia Respiratoria , Médula Espinal , Consentimiento Informado
11.
Neuropsychol Rev ; 30(3): 407-424, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32766940

RESUMEN

Psychotic disorders are characterized by a generalized neurocognitive deficit (i.e., performance 1.5 SD below controls across neuropsychological domains with no specific profile of differential deficits). A motivational account of the generalized neurocognitive deficit has been proposed, which attributes poor neuropsychological testing performance to low effort. However, findings are inconsistent regarding effort test failure rate in individuals with psychotic disorders across studies (0-72%), and moderators are unclear, making it difficult to know whether the motivational explanation is viable. To address these issues, a meta-analysis was performed on data from 2205 individuals with psychotic disorders across 19 studies with 24 independent effects. Effort failure rate was examined along with moderators of effort test type, forensic status, IQ, positive symptoms, negative symptoms, diagnosis, age, gender, education, and antipsychotic use. The pooled weighted effort test failure rate was 18% across studies and there was a moderate pooled association between effort failure rate and global neurocognitive performance (r = .57). IQ and education significantly moderated failure rate. Collectively, these findings suggest that a nontrivial proportion of individuals with a psychotic disorder fail effort testing, and failure rate is associated with global neuropsychological impairment. However, given that effort tests are not immune to the effects of IQ in psychotic disorders, these results cannot attest to the viability of the motivational account of the generalized neurocognitive deficit. Furthermore, the significant moderating effect of IQ and education on effort test performance suggests that effort tests have questionable validity in this population and should be interpreted with caution.


Asunto(s)
Trastornos del Conocimiento/diagnóstico , Trastornos Psicóticos/complicaciones , Adulto , Femenino , Humanos , Masculino , Motivación , Pruebas Neuropsicológicas , Esquizofrenia/complicaciones , Psicología del Esquizofrénico
12.
Behav Cogn Psychother ; 48(6): 734-738, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32727628

RESUMEN

BACKGROUND: Borderline personality disorder (BPD) usually begins in adolescence and manifests itself in adult life. Early intervention can improve the prognosis or reduce its severity. Nevertheless, there are currently few studies of adolescent patients with severe emotion instability and borderline personality traits. AIMS: To evaluate the effectiveness of the Systems Training for Emotional Predictability and Problem Solving (STEPPS) programme in a sample of 21 adolescents (aged 13-17 years) in the Child and Adolescents Mental Health Center of Tarragona in Spain. METHOD: We evaluated BPD traits using the Diagnostic Interview for Borderline Disorder-Revised (DIB-R) and the Global Clinical Impression Scale of Illness Severity for TLP (CGI-TLP). We compared pre- and post-treatment scores for the DIB-R, CGI-GI scale, general psychopathology using the Personality Inventory for Adolescents (PAI-A) and impulsivity with the Barratt Impulsivity Scale (BIS-11). The therapeutic objectives were evaluated with the Borderline Estimate Severity over Time (BEST) scale. RESULTS: There was a statistically significant improvement in the scores for the affective area and in the total score of the DIB-R, a decrease in the percentage of patients who failed to meet criteria for BPD, and an improvement (although not statistically significant) in the scores of the BEST scale throughout the treatment. The results of the CGI-GI scale showed global improvement in almost 72% of patients. CONCLUSION: Our study suggests that STEPPS can be an effective treatment to improve BPD symptoms and is very useful in community settings with limited resources in which efficient treatment alternatives must be sought. However, this conclusion must be interpreted with caution, as there is no comparison control group.


Asunto(s)
Trastorno de Personalidad Limítrofe , Psicoterapia de Grupo , Adolescente , Adulto , Trastorno de Personalidad Limítrofe/terapia , Niño , Regulación Emocional , Humanos , Proyectos Piloto , Resultado del Tratamiento
13.
J Psychiatr Res ; 121: 68-81, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31783235

RESUMEN

OBJECTIVE: Recent conceptual frameworks propose anhedonia reflects abnormalities in the temporal dynamics of positive emotion in schizophrenia, characterized by intact consummatory and impaired anticipatory pleasure. A comprehensive meta-analysis can directly test this theory using self-report data. METHOD: A meta-analysis was performed on studies reporting Temporal Experience of Pleasure Scale (TEPS) data from healthy controls and schizophrenia or schizotypy groups. The TEPS was examined as it contains subscales to measure both consummatory and anticipatory pleasure separately. Statistical heterogeneity and study bias were examined. Meta-regressions evaluated moderators. RESULTS: 53 studies were retrieved (7,797 participants). Results revealed small effect sizes for comparisons of combined schizophrenia/schizotypy and control groups for both consummatory and anticipatory pleasure. Within-group comparisons of pleasure conditions were nonsignificant. The percentage of male schizophrenia/schizotypy participants significantly moderated anticipatory and consummatory pleasure for the combined sample and schizotypy alone; male participants were found to report reduced pleasure. There was only minor evidence of bias; sensitivity analysis confirmed result robustness. Exploratory outlier removal for schizophrenia within-group pleasure comparisons revealed a statistically significant difference between reported anticipatory and consummatory pleasure, with consummatory pleasure reduced relative to anticipatory (i.e., in the opposite direction of the majority of experimental research findings). CONCLUSIONS: These findings provided only modest support for the temporal dynamics of positive emotion conceptualization because they revealed no evidence for: 1) specific anticipatory pleasure deficits in schizophrenia-spectrum participants compared to controls; 2) significant reductions in anticipatory pleasure relative to consummatory pleasure in schizophrenia-spectrum participants.


Asunto(s)
Anhedonia/fisiología , Anticipación Psicológica/fisiología , Placer/fisiología , Esquizofrenia/fisiopatología , Trastorno de la Personalidad Esquizotípica/fisiopatología , Humanos
14.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1408477

RESUMEN

RESUMEN Introducción: A mediados de 2017, 20,9 millones de personas estaban recibiendo terapia antirretrovírica en todo el mundo. Sin embargo, solo 53 % de los 36,7 millones de personas que vivían con el VIH estaba recibiendo el tratamiento en 2016 a nivel mundial. Objetivo: Determinar adherencia al tratamiento antirretroviral de personas que conviven con VIH/sida. Métodos: Estudio cuantitativo, correlacional de corte transversal, en los meses de julio a octubre del 2019 en una muestra intencional de 166 personas con VIH/sida atendidas en institución de salud Santa Marta, Colombia. Para determinar adherencia se adaptó el instrumento Morisky-Green. Investigación sin riesgo según resolución 84 30 de 1993 del Ministerio de Salud y Protección Social de Colombia. Resultados: De 166 personas que conviven con VIH/sida, 74,7 % son hombres y 25,3 % son mujeres; la edad fluctúa entre una mínima 16 años y máxima73 años, con media de 39,3 años. El tiempo del tratamiento antirretroviral fue 6 años en promedio; 51,2 % utiliza alguna estrategia para acordarse de tomar los medicamentos; 68,1 % no fueron adherentes al tratamiento antirretroviral, 49,4 % hombres y 18,7 % mujeres. Se identificó que la relación médico-paciente es negativa (-0,005) y no está relacionada con la no adherencia. Conclusiones: La no adherencia al tratamiento antirretroviral estuvo representada por el 68,1 % de la población en estudio y es mayor en los hombres.


ABSTRACT Introduction: By mid-2017, 20.9 million people were under antiretroviral therapy worldwide. In 2016, only 53% of the 36.7 million people living with HIV worldwide were under treatment. Objective: Determine adherence to antiretroviral treatment among people living with HIV/AIDS. Methods: A quantitative cross-sectional correlational study was conducted from July to October 2019 of an intentional sample of 166 people with HIV/AIDS attending Santa Marta health center in Colombia. The Morisky-Green tool was adapted to determine adherence. The study was non-risk according to Resolution 84 30 / 1993 of the Ministry of Health and Social Protection of Colombia. Results: Of the total 166 people living with HIV/AIDS, 74.7% are men and 25.3% are women; mean age is 39.3 years (range 16-73). Average antiretroviral treatment duration is 6 years. 51.2% make use of some strategy to remember taking their medication; 68.1% are not adherent to antiretroviral treatment, 49.4% are men and 18.7% are women. The doctor-patient relationship was found to be negative (p = -0.005) and not related to non-adherence. Conclusions: Non-adherence to antiretroviral treatment was represented by 68.1% of the study population and is higher in men.

15.
Chembiochem ; 20(20): 2653-2665, 2019 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-31269324

RESUMEN

Standardization and characterization of biological parts is necessary for the further development of bottom-up synthetic biology. Herein, an easy-to-use methodology that embodies both a calibration procedure and a multiobjective optimization approach is proposed to characterize biological parts. The calibration procedure generates values for specific fluorescence per cell expressed as standard units of molecules of equivalent fluorescein per particle. The use of absolute standard units enhances the characterization of model parameters for biological parts by bringing measurements and estimations results from different sources into a common domain, so they can be integrated and compared faithfully. The multiobjective optimization procedure exploits these concepts by estimating the values of the model parameters, which represent biological parts of interest, while considering a varied range of experimental and circuit contexts. Thus, multiobjective optimization provides a robust characterization of them. The proposed calibration and characterization methodology can be used as a guide for good practices in dry and wet laboratories; thus allowing not only portability between models, but is also useful for generating libraries of tested and well-characterized biological parts.


Asunto(s)
Proteínas Bacterianas/química , ADN Bacteriano/química , Plásmidos/química , Espectrometría de Fluorescencia/métodos , Calibración , Escherichia coli/ultraestructura , Fluoresceína/química , Colorantes Fluorescentes/química , Biología Sintética
16.
Am J Trop Med Hyg ; 101(2): 336-342, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-31162015

RESUMEN

Rocky Mountain spotted fever (RMSF) has been reported in Colombia since 1937. Most recent outbreaks were in 2006-2008, followed by the absence of recognized cases. This report describes new clinical cases of RMSF and epidemiologic investigations. Medical records were reviewed, and fieldwork, serological and molecular diagnostic testing, and bacterial isolation were performed. Fever, hypotension, abdominal discomfort, and rash accompanied by thrombocytopenia and leukopenia were the most characteristic manifestations. Two convalescent sera from the index case and sera from two dogs revealed high anti-spotted fever group Rickettsia antibody titers. Rickettsia rickettsii was isolated from case 4. Cases 2 and 3 were identified by epidemiological connection with the index case. Thus, a new cluster of cases of RMSF was identified in Antioquia, Colombia, with the occurrence of fatal cases, which indicates the active circulation of the bacteria and a potential risk for the population.


Asunto(s)
Anticuerpos Antibacterianos/sangre , Brotes de Enfermedades/estadística & datos numéricos , Fiebre Maculosa de las Montañas Rocosas/diagnóstico , Fiebre Maculosa de las Montañas Rocosas/transmisión , Animales , Niño , Colombia , Perros/microbiología , Exantema , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mascotas/microbiología , Rickettsia/aislamiento & purificación , Fiebre Maculosa de las Montañas Rocosas/epidemiología , Pruebas Serológicas , Garrapatas/microbiología
17.
Schizophr Bull ; 45(5): 1033-1041, 2019 09 11.
Artículo en Inglés | MEDLINE | ID: mdl-30256991

RESUMEN

Prior studies using exploratory factor analysis provide evidence that negative symptoms are best conceptualized as 2 dimensions reflecting diminished motivation and expression. However, the 2-dimensional model has yet to be evaluated using more complex mathematical techniques capable of testing structure. In the current study, network analysis was applied to evaluate the latent structure of negative symptoms using a community-detection algorithm. Two studies were conducted that included outpatients with schizophrenia (SZ; Study 1: n = 201; Study 2: n = 912) who were rated on the Brief Negative Symptom Scale (BNSS). In both studies, network analysis indicated that the 13 BNSS items divided into 6 negative symptom domains consisting of anhedonia, avolition, asociality, blunted affect, alogia, and lack of normal distress. Separation of these domains was statistically significant with reference to a null model of randomized networks. There has been a recent trend toward conceptualizing the latent structure of negative symptoms in relation to 2 distinct dimensions reflecting diminished expression and motivation. However, the current results obtained using network analysis suggest that the 2-dimensional conceptualization is not complex enough to capture the nature of the negative symptom construct. Similar to recent confirmatory factor analysis studies, network analysis revealed that the latent structure of negative symptom is best conceptualized in relation to the 5 domains identified in the 2005 National Institute of Mental Health consensus development conference (anhedonia, avolition, asociality, blunted affect, and alogia) and potentially a sixth domain consisting of lack of normal distress. Findings have implications for identifying pathophysiological mechanisms and targeted treatments.


Asunto(s)
Afecto , Anhedonia , Afasia , Esquizofrenia/fisiopatología , Psicología del Esquizofrénico , Adulto , Análisis Factorial , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Modelos Teóricos , Estados Unidos
18.
Psychol Med ; 49(10): 1731-1739, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-30180918

RESUMEN

BACKGROUND: Individuals with schizophrenia have deficits in social cognition that are associated with poor functional outcome. Unfortunately, current treatments result in only modest improvement in social cognition. Oxytocin, a neuropeptide with pro-social effects, has significant benefits for social cognition in the general population. However, studies examining the efficacy of oxytocin in schizophrenia have yielded inconsistent results. One reason for inconsistency may be that oxytocin has typically not been combined with psychosocial interventions. It may be necessary for individuals with schizophrenia to receive concurrent psychosocial treatment while taking oxytocin to have the context needed to make gains in social cognitive skills. METHODS: The current study tested this hypothesis in a 24-week (48 session) double-blind, placebo-controlled trial that combined oxytocin and Cognitive-Behavioral Social Skills Training (CBSST), which included elements from Social Cognition and Interaction Training (SCIT). Participants included 62 outpatients diagnosed with schizophrenia (placebo n = 31; oxytocin n = 31) who received 36 IU BID, with supervised administration 45 min prior to sessions on CBSST group therapy days. Participants completed a battery of measures administered at 0, 12, and 24 weeks that assessed social cognition. RESULTS: CBSST generally failed to enhance social cognition from baseline to end of study, and there was no additive benefit of oxytocin beyond the effects of CBSST alone. CONCLUSIONS: Findings suggest that combined CBSST and oxytocin had minimal benefit for social cognition, adding to the growing literature indicating null effects of oxytocin in multi-dose trials. Methodological and biological factors may contribute to inconsistent results across studies.


Asunto(s)
Terapia Cognitivo-Conductual/métodos , Relaciones Interpersonales , Oxitocina/farmacología , Esquizofrenia/terapia , Percepción Social , Habilidades Sociales , Adolescente , Adulto , Terapia Combinada , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Oxitocina/administración & dosificación , Esquizofrenia/tratamiento farmacológico , Insuficiencia del Tratamiento , Adulto Joven
19.
J Health Pollut ; 8(19): 180909, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30524868

RESUMEN

BACKGROUND: The majority of small-scale gold miners worldwide, including those in Mozambique, use mercury to extract gold. Over the last fifty years, gold production from small-scale mining has been accelerating and consequently the amount of mercury released to the environment has increased dramatically, causing major global health problems. In 2018, a team from the Danish non-governmental organization Diálogos introduced the mercury-free gold extraction method in the Cabo Delgado province in Mozambique in the villages of Waqueia and Nanlia. OBJECTIVES: The objective of this project was to teach local miners this method to reduce mercury pollution. An additional objective was to compare the local gold extraction method and the mercury-free gold extraction method in terms of gold recovery. The hypothesis was that the level of gold recovery would be higher with the mercury-free method compared to the locally used amalgamation method. MATERIALS AND METHODS: An experimental study comparing the two gold extraction methods was carried out where local miners processed gold-bearing ore using their standard procedures with the amalgamation method and the Diálogos team processed an equivalent amount of gold-bearing ore with the mercury-free gold extraction method. The tests were carried out once at each mining site. RESULTS: Under even circumstances in a controlled setting, the mercury-free method yielded up to 78% more gold than the amalgamation method normally used by the miners. CONCLUSIONS: The strengths of the mercury-free gold extraction method include low costs, higher gold yield, benign environmental impact, legality and needed chemicals are more readily available compared with the amalgamation method. However, the mercury-free method may be more time consuming than the amalgamation method, especially for beginners. Borax is typically available in developed urban areas, as it is commonly used in the welding industry and by jewelers, but can be hard to find in more remote villages. COMPETING INTERESTS: The authors declare no competing financial interests.

20.
Cell Syst ; 7(3): 347-350.e1, 2018 09 26.
Artículo en Inglés | MEDLINE | ID: mdl-30172842

RESUMEN

Protein kinases represent one of the largest gene families in eukaryotes and play roles in a wide range of cell signaling processes and human diseases. Current tools for visualizing kinase data in the context of the human kinome superfamily are limited to encoding data through the addition of nodes to a low-resolution image of the kinome tree. We present Coral, a user-friendly interactive web application for visualizing both quantitative and qualitative data. Unlike previous tools, Coral can encode data in three features (node color, node size, and branch color), allows three modes of kinome visualization (the traditional kinome tree as well as radial and dynamic force networks), and generates high-resolution scalable vector graphics files suitable for publication without the need for refinement using graphics editing software. Due to its user-friendly, interactive, and highly customizable design, Coral is broadly applicable to high-throughput studies of the human kinome. The source code and web application are available at github.com/dphansti/CORAL and phanstiel-lab.med.unc.edu/Coral, respectively.


Asunto(s)
Gráficos por Computador , Proteínas Quinasas/metabolismo , Programas Informáticos , Simulación por Computador , Genómica , Ensayos Analíticos de Alto Rendimiento , Humanos , Internet , Redes y Vías Metabólicas , Interfaz Usuario-Computador
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA