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1.
Front Psychol ; 15: 1393836, 2024.
Article En | MEDLINE | ID: mdl-38813567

Introduction: In bilingual communities, knowing the language each speaker uses may support language separation and, later, guide language use in a context-appropriate manner. Previous research has shown that infants begin to form primary associations between the face and the language used by a speaker around the age of 3 months. However, there is still a limited understanding of how robust these associations are and whether they are influenced by the linguistic background of the infant. To answer these questions, this study explores monolingual and bilingual infants' ability to form face-language associations throughout the first year of life. Methods: A group of 4-, 6-, and 10-month-old Spanish and/or Catalan monolingual and bilingual infants were tested in an eye-tracking preferential-looking paradigm (N = 156). After the infants were familiarized with videos of a Catalan and a Spanish speaker, they were tested in two types of test trials with different task demands. First, a Silent test trial assessed primary face-language associations by measuring infants' visual preference for the speakers based on the language they had previously used. Then, two Language test trials assessed more robust face-language associations by measuring infants' ability to match the face of each speaker with their corresponding language. Results: When measuring primary face-language associations, both monolingual and bilingual infants exhibited language-based preferences according to their specific exposure to the languages. Interestingly, this preference varied with age, with a transition from an initial familiarity preference to a novelty preference in older infants. Four-month-old infants showed a preference for the speaker who used their native/dominant language, while 10-month-old infants preferred the speaker who used their non-native/non-dominant language. When measuring more robust face-language associations, infants did not demonstrate signs of consistently matching the faces of the speakers with the language they had previously used, regardless of age or linguistic background. Discussion: Overall, the results indicate that while both monolingual and bilingual infants before the first year of life can form primary face-language associations, these associations remain fragile as infants seemed unable to maintain them when tested in a more demanding task.

2.
Eur J Obstet Gynecol Reprod Biol ; 298: 74-79, 2024 Jul.
Article En | MEDLINE | ID: mdl-38733776

Historically, it has been believed that invasive lobular carcinomas (ILC) occur more frequently bilaterally compared to other invasive subtypes, with estimates ranging between 20% and 29%. This study aims to determine if this historical perspective still holds true. A comprehensive literature review was conducted to examine the bilateral occurrence of lobular carcinoma using various imaging methods. Additionally, the role of magnetic resonance imaging (MRI) in detecting contralateral carcinomas was also investigated. A comprehensive search was conducted in the MedLine database on the PubMed platform, resulting in 307 articles published between January 1, 2014, and January 1, 2023. Various selection criteria were applied to identify articles relevant to the research question. After careful assessment, eight articles remained that met the eligibility criteria, all of which provided level-three evidence and were therefore included in the literature review. A total of 599 patients were included in this review, comprising a total of 602 cases of ILC. Six out of the eight articles reviewed provided information on the bilateral occurrence of ILC based on histopathology. A weighted average calculation yielded a bilaterality percentage of 4.95% (24 out of 485 cases). Four articles reported the number of bilateral cases identified through MRI, resulting in a weighted average of 10.2% (26 out of 255 cases). It is worth noting that 20.4% (100 out of 491) of the performed MRIs were found to be either useless or even harmful. Furthermore, MRI led to a change in the treatment plan in 27.7% (136 out of 491) of cases. Overall, it can be concluded that there is limited available data regarding the bilateral occurrence of ILC. The numbers found in the literature are also inconsistent and tend to vary. The literature review revealed a decrease in the percentage of bilaterality compared to historical beliefs. Based on this study, it can be concluded that a high number of MRI scans were found to be either useless or harmful. As a result of this conclusion and a higher sensitivity of other screening modalities, MRI may no longer be indicated as part of the standard workup for ILC. However, further research is necessary to validate these findings.


Breast Neoplasms , Carcinoma, Lobular , Magnetic Resonance Imaging , Humans , Carcinoma, Lobular/pathology , Carcinoma, Lobular/diagnostic imaging , Carcinoma, Lobular/epidemiology , Female , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Breast Neoplasms/epidemiology , Mammography
3.
Eur J Obstet Gynecol Reprod Biol ; 298: 175-181, 2024 Jul.
Article En | MEDLINE | ID: mdl-38762954

OBJECTIVE: Invasive lobular carcinoma (ILC) is the second most common histological subtype of invasive breast cancer, following the no special type (NST) invasive carcinoma. It has historically been assumed that ILC occurs bilaterally in 20-29 % of cases, which has influenced the inclusion of MRI in the standard workup of ILC according to European guidelines. However, challenging this long-held belief regarding the bilateral occurrence of ILC opens up the possibility of revising the guidelines and using MRI only for more specific indications. This study aims to evaluate whether the previously reported high percentage of bilaterality still holds true and to question the added value of MRI in the standard workup of ILC. STUDY DESIGN: A retrospective cohort study was conducted following approval from the institutional review board (EC 21/18/249) at Antwerp University Hospital (UZA). The cohort comprised female patients of all ages who had been diagnosed with either ILC or NST invasive carcinoma and had sought consultation at the UZA breast clinic. A comprehensive database was established to collect information on patient characteristics, imaging, and pathology. RESULTS: A total of 271 patients with ILC were included in the study, with incidence dates ranging from 01/01/2007 to 01/01/2023. Among these patients, a synchronous bilateral ILC lesion was observed in 1.85 % (5/271) of cases. This proportion is significantly lower than the reported percentage of patients with a bilateral lesion in the literature population, which stands at 4.95 %. The reference group consisted of 809 patients with NST invasive carcinoma, with incidence dates ranging from 01/01/2017 to 01/01/2023. In the control group, a synchronous bilateral NST lesion was observed in 3.96 % (32/809) of cases. There is no significant difference in the bilaterality rates between the group of ILC patients and the group of NST patients. Furthermore, MRI did not detect any histopathologically confirmed contralateral ILC lesion that had not already been detected by mammography or ultrasound. CONCLUSIONS: The study results indicate a lower occurrence of bilateral ILC than previously assumed. Additionally, the incidence of synchronous bilateral lesions in ILC patients is not higher compared to patients with NST invasive carcinoma. Performing an MRI does not provide additional value in detecting bilateral carcinomas in ILC. Consequently, it is recommended that the current European guidelines be reassessed, and the indications for undergoing an MRI should be adjusted accordingly.


Breast Neoplasms , Carcinoma, Lobular , Magnetic Resonance Imaging , Humans , Female , Carcinoma, Lobular/pathology , Carcinoma, Lobular/diagnostic imaging , Carcinoma, Lobular/epidemiology , Breast Neoplasms/pathology , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/epidemiology , Retrospective Studies , Middle Aged , Aged , Adult , Aged, 80 and over
4.
Front Allergy ; 5: 1328940, 2024.
Article En | MEDLINE | ID: mdl-38590713

Aerobiological studies constitute a relevant tool to predict the most influential parameters over the pollen seasons with significant clinical relevance in the allergic populations. The aim of this study was to describe the aerobiological behaviour of the most relevant allergenic sources in the semi-arid area of southeast of Spain (Almería) and to investigate the correlation with meteorological factors and clinical symptoms of allergic patients. Daily pollen count and meteorological parameters of Almería, Spain, were compiled for ten years. The clinical symptoms of 248 allergic patients were also recorded. Descriptive statistics and correlations between variables were assessed. Multivariate analyses were performed to predict the influence of meteorological factors on pollen concentration and the risk of suffer respiratory symptoms. Eight pollen families were identified as the most relevant allergenic sources. Temperature correlated with main pollen season evolution of all taxa whereas rainfall and relative humidity only correlated in Oleaceae, Pinaceae, Amaranthaceae, Asteraceae and Urticaceae. Rainfall and relative humidity were the most influential predictors of pollen concentration, except in Amaranthaceaea and Poaceae families, while temperature only influenced on Cupressaceae and Urticaceae pollen concentrations. A significant positive influence was observed between maximum temperature and rainfall with the appearance of allergic symptoms in patients sensitized to grasses, Parietaria sp. and Olea sp. This study, highlight the main aerobiological features in the region and establish a suitable tool for clinical follow-up and management of allergic patients. Further studies are needed to establish an accurate measurement aimed to control and prevent pollinosis in sensitized patients.

5.
Int J Mol Sci ; 25(6)2024 Mar 08.
Article En | MEDLINE | ID: mdl-38542116

The Warburg effect, characterized by the preferential conversion of glucose to lactate even in the presence of oxygen and functional mitochondria, is a prominent metabolic hallmark of cancer cells and has emerged as a promising therapeutic target for cancer therapy. Elevated lactate levels and acidic pH within the tumor microenvironment (TME) resulting from glycolytic profoundly impact various cellular populations, including macrophage reprogramming and impairment of T-cell functionality. Altogether, the Warburg effect has been shown to promote tumor progression and immunosuppression through multiple mechanisms. This review provides an overview of the current understanding of the Warburg effect in cancer and its implications. We summarize recent pharmacological strategies aimed at targeting glycolytic enzymes, highlighting the challenges encountered in achieving therapeutic efficacy. Additionally, we examine the utility of the Warburg effect as an early diagnostic tool. Finally, we discuss the multifaceted roles of lactate within the TME, emphasizing its potential as a therapeutic target to disrupt metabolic interactions between tumor and immune cells, thereby enhancing anti-tumor immunity.


Neoplasms , Humans , Neoplasms/metabolism , Glycolysis , Oxygen/metabolism , Mitochondria/metabolism , Lactic Acid/metabolism , Tumor Microenvironment
6.
Dev Psychol ; 60(1): 135-143, 2024 Jan.
Article En | MEDLINE | ID: mdl-37917490

We presented 28 Spanish monolingual and 28 Catalan-Spanish close-language bilingual 5-year-old children with a video of a talker speaking in the children's native language and a nonnative language and examined the temporal dynamics of their selective attention to the talker's eyes and mouth. When the talker spoke in the children's native language, monolinguals attended equally to the eyes and mouth throughout the trial, whereas close-language bilinguals first attended more to the mouth and then distributed attention equally between the eyes and mouth. In contrast, when the talker spoke in a nonnative language (English), both monolinguals and bilinguals initially attended more to the mouth and then gradually shifted to a pattern of equal attention to the eyes and mouth. These results indicate that specific early linguistic experience has differential effects on young children's deployment of selective attention to areas of a talker's face during the initial part of an audiovisual utterance. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Multilingualism , Speech Perception , Humans , Child, Preschool , Language , Language Development , Linguistics
7.
Metas enferm ; 26(8): 66-74, Octubre 2023. tab, graf
Article Es | IBECS | ID: ibc-226450

Objetivo: valorar la factibilidad de implementar el diario como herramienta de humanización en una unidad de cuidados intensivos (UCI) médica de Cataluña sin experiencia previa, en términos de acogida, satisfacción y continuidad de la medida por los profesionales de Enfermería, pacientes y familiares.Método: estudio piloto realizado durante 15 semanas con pacientes ingresados >72 horas en la UCI, sedados y con ventilación mecánica invasiva ≥ 48 horas. Se llevaron a cabo tres fases: 1) Formación a los profesionales de Enfermería, 2) Implementación del diario, y 3) Evaluación de la percepción de la herramienta por parte de los tres grupos con cuestionarios anónimos creados ad hoc.Resultados: se diseñó un diario en papel y se impartieron a los profesionales de Enfermería siete sesiones formativas previas. Se escribieron ocho diarios (uno por paciente) y en seis se insertaron fotografías. Se entregaron cuestionarios a 35 enfermeras, nueve familiares y seis pacientes. Un 83% de las enfermeras consideró que el diario se podría implementar en un futuro, a un 83% de pacientes les gustó leer un diario sobre el día a día de su estancia y a un 89% de los familiares les ayudó a expresar sus pensamientos y emociones. Un 40% de las enfermeras consideró que las fotografías podían resultar traumáticas para el paciente, mientras que a la mayoría de los familiares y pacientes no les pareció así.Conclusiones: este estudio piloto concluye que resulta factible implantar el diario en la UCI. Todos los participantes consideraron que es una herramienta que humaniza los cuidados, mejora la comunicación, la comprensión y la información. (AU)


Objective: to assess the feasibility of implementing the diary as a humanization tool at a clinical Intensive Care Unit (ICU) in Catalonia, without previous experience, in terms of acceptance, satisfaction and continuity of the measure by Nursing professionals, patients and relatives.Method: a pilot study conducted during 15 weeks with patients hospitalized >72 hours at the ICU, under sedation and with invasive mechanical ventilation for ≥ 48 hours. There were three stages: 1) Training for Nursing staff, 2) Implementation of the diary, and 3) Evaluation of the perception of the tool by the three groups, with anonymous questionnaires designed ad hoc.Results: a printed diary was designed, and Nursing professionals received seven training sessions previously. Eight diaries were written (one per patient), and photographs were inserted in six of them. Questionnaires were handed out to 35 nurses, nine relatives and six patients. 83% of the nurses considered that the diary could be implemented in the future, 83% of patients enjoyed reading a diary about the day to day of their hospital stay, and it helped 89% of relatives to express their thoughts and emotions. 40% of nurses considered that photographs could be upsetting for patients, while the majority of relatives and patients thought otherwise.Conclusions: the conclusion of this pilot study is that it is feasible to implement the diary at the ICU. All participants considered that this is a tool that humanizes care, and improves communication, understanding and information. (AU)


Intensive Care Units/trends , Diaries as Topic , Humanization of Assistance , Perception , Family , Pilot Projects
8.
Nutrients ; 15(8)2023 Apr 18.
Article En | MEDLINE | ID: mdl-37111168

Mobile health applications (apps) have been shown to be effective for improving eating habits. However, most of the existing apps rely on calorie and nutrient counting which have several limitations including the difficulty in sustaining long-term use, inaccuracy, and the risk of developing eating disorders. We designed and developed a mHealth framework for nutritional behaviour change, integrated into the CarpeDiem app, that focuses on the intake of key food groups which are known to have a higher impact on health indicators instead of the intake of nutrients. This framework is mainly based on a gamified system that delivers personalized dietary missions to the user and provides motivational recommendations that help the user to achieve these missions. Its design was guided by an evidenced-based theory of behavioural change, the HAPA model, and it is also characterized by the personalization of the system and the use of a recommender system based on advanced artificial intelligence techniques. Overall, the approach used in the present app could foster a sustained improvement of eating habits among the general population, which is the main challenge of dietary interventions, decreasing the risk of developing the chronic diseases associated with unhealthy dietary habits.


Mobile Applications , Telemedicine , Humans , Artificial Intelligence , Health Behavior , Feeding Behavior , Diet , Telemedicine/methods
9.
Am J Hosp Palliat Care ; 40(2): 153-163, 2023 Feb.
Article En | MEDLINE | ID: mdl-35484838

Background: Fibrotic interstitial lung diseases (F-ILDs) have a high symptom burden with progressive dyspnea as a primary feature. Breathlessness is underrecognized and undertreated primarily due to lack of consensus on how to best measure and manage it. Several nonpharmacologic and pharmacologic strategies are published in the literature, however there is a paucity of real-world data describing their systematic implementation. Objectives: We describe the types of breathlessness interventions and timing of implementation in our multidisciplinary collaborative care (MDC) ILD clinic and the impact of our approach on dyspnea trajectory and acute care use in ILD. Methods: A retrospective, observational study of deceased ILD patients seen in our clinic (2012-2018) was conducted. Patients were grouped by baseline medical research council (MRC) grade and dyspnea interventions from clinic enrolment until death were examined. Healthcare usage in the last 6 months of life was collected through Alberta's administrative database. Results: Eighty-one deceased ILD patients were identified. Self management advice was provided to 100% of patients. Pulmonary rehabilitation (PR) and home care (HC) referrals were made in 40% and 57% of patients, respectively. Eighty percent were treated with oxygen and 53% with opioids during the study. MDC-initiated referral to PR and HC, oxygen and opioid prescriptions were provided a median of 13, 9, 11, and 4 months prior to death, respectively. Stepwise implementation of interventions was observed more commonly in MRC 1-2 and concurrent implementation in MRC 4-5. Conclusions: Our clinic's approach allows early and systematic dyspnea management.


Lung Diseases, Interstitial , Humans , Retrospective Studies , Lung Diseases, Interstitial/therapy , Lung Diseases, Interstitial/rehabilitation , Dyspnea/therapy , Dyspnea/diagnosis , Oxygen
10.
J Child Lang ; 50(1): 155-176, 2023 Jan.
Article En | MEDLINE | ID: mdl-36503547

This study investigates perception and production of the Catalan mid-vowel /e/-/ɛ/ contrast by two groups of 4.5-year-old Catalan-Spanish bilingual children, differing in language dominance. Perception was assessed with an XAB discrimination task involving familiar words and non-words. Production accuracy was measured using a familiar-word elicitation task. Overall, Catalan-dominant bilingual children outperformed Spanish-dominant bilinguals, the latter showing high variability in production accuracy, while being slightly above chance level in perception. No correlation between perception and production performance could be established in this group. The effect of language dominance alone could not explain the Spanish-dominant participants' performance, but quality of Catalan input (native vs. accented speech) was identified as an important factor behind familiar-word production and the inaccurate representation of the target contrast in the lexicon of the bilinguals' less-dominant language. More fine-grained measurements of experience-related factors are needed for a full understanding of the acquisition of challenging contrasts in bilingual contexts.


Multilingualism , Speech Perception , Child , Humans , Child, Preschool , Phonetics , Language Development , Language
11.
Ther Adv Respir Dis ; 16: 17534666221117002, 2022.
Article En | MEDLINE | ID: mdl-35938712

Interstitial lung diseases (ILDs) other than idiopathic pulmonary fibrosis (IPF) have an array of immunomodulatory treatment options compared with IPF, due to their inflammatory component. However, there is a relative paucity of guidance on the management of this heterogeneous group of diseases. In ILDs other than IPF, immunosuppression is the cornerstone of therapy, with varying levels of evidence for different immunomodulatory agents and for each specific ILD. Classification of ILDs is important for guiding treatment decisions. Immunomodulatory agents mainly include corticosteroids, mycophenolate mofetil (MMF), azathioprine, methotrexate, cyclophosphamide and rituximab. In this review, the available evidence for single agents in the most common ILDs is first discussed. We then reviewed practical therapeutic approaches in connective tissue disease-related ILD and interstitial pneumonia with autoimmune features, scleroderma-related ILD, vasculitis and dermatomyositis with hypoxemic respiratory failure, idiopathic non-specific interstitial pneumonia, hypersensitivity pneumonitis sarcoidosis, fibrosing organizing pneumonia and eosinophilic pneumonia. The treatment of acute exacerbations of ILD is also discussed. Therapy augmentation in ILD is dictated by the recognition of progression of disease. Criteria for the evaluation of progression of disease are then discussed. Finally, specific protocol and measures to increase patients' safety are reviewed as well, including general monitoring and serologic surveillance, Pneumocystis jirovecii prophylaxis, patients' education, genetic testing for azathioprine, MMF serum levels and cyclophosphamide administration protocols. Immunomodulatory therapies are largely successful in the management of ILDs and can be safely managed with the application of specific protocols, precautions and monitoring.


Idiopathic Pulmonary Fibrosis , Lung Diseases, Interstitial , Azathioprine/therapeutic use , Cyclophosphamide/therapeutic use , Disease Progression , Humans , Idiopathic Pulmonary Fibrosis/drug therapy , Immunomodulation , Lung Diseases, Interstitial/diagnosis , Lung Diseases, Interstitial/drug therapy
12.
Theranostics ; 11(16): 7671-7684, 2021.
Article En | MEDLINE | ID: mdl-34335957

Snail1 is a transcriptional factor required for epithelial to mesenchymal transition and activation of cancer-associated fibroblasts (CAF). Apart from that, tumor endothelial cells also express Snail1. Here, we have unraveled the role of Snail1 in this tissue in a tumorigenic context. Methods: We generated transgenic mice with an endothelial-specific and inducible Snail1 depletion. This murine line was crossed with MMTV-PyMT mice that develop mammary gland tumors and the consequence of Snail1 depletion in the endothelium were investigated. We also interfere Snail1 expression in cultured endothelial cells. Results: Specific Snail1 depletion in the endothelium of adult mice does not promote an overt phenotype; however, it delays the formation of mammary gland tumors in MMTV-PyMT mice. These effects are associated to the inability of Snail1-deficient endothelial cells to undergo angiogenesis and to enhance CAF activation in a paracrine manner. Moreover, tumors generated in mice with endothelium-specific Snail1 depletion are less advanced and show a papillary phenotype. Similar changes on onset and tumor morphology are observed by pretreatment of MMTV-PyMT mice with the angiogenic inhibitor Bevacizumab. Human breast papillary carcinomas exhibit a lower angiogenesis and present lower staining of Snail1, both in endothelial and stromal cells, compared with other breast neoplasms. Furthermore, human breast tumors datasets show a strong correlation between Snail1 expression and high angiogenesis. Conclusion: These findings show a novel role for Snail1 in endothelial cell activation and demonstrate that these cells impact not only on angiogenesis, but also on tumor onset and phenotype.


Breast Neoplasms/genetics , Snail Family Transcription Factors/metabolism , Animals , Breast Neoplasms/metabolism , Cancer-Associated Fibroblasts/metabolism , Carcinogenesis/pathology , Cell Line, Tumor , Endothelial Cells/metabolism , Epithelial-Mesenchymal Transition/genetics , Epithelial-Mesenchymal Transition/physiology , Female , Fibroblasts/metabolism , Humans , Mice , Mice, Inbred C57BL , Mice, Transgenic , Neovascularization, Pathologic/pathology , Snail Family Transcription Factors/genetics , Transcription Factors/metabolism
13.
Brain Lang ; 212: 104880, 2021 01.
Article En | MEDLINE | ID: mdl-33220646

Brain imaging methods such as functional Magnetic Resonance Imaging (fMRI) and Diffusion Tensor Imaging (DTI) have already been used to decipher the functional and structural brain changes occurring during normal language development. However, little is known about the differentiation of the language network after an early lesion. While in adults, stroke over the left hemisphere generally induces post-stroke aphasia, it is not always the case when a stroke occurs in the perinatal period, thus revealing a remarkable plastic power of the language network during early development. In particular, the role of perilesional tissues, as opposed to undamaged brain areas in the functional recovery of language functions after an early insult, remains unclear. In this review article, we provide an overview of the extant literature using functional and structural neuroimaging data revealing the signatures of brain plasticity underlying near-normal language development.


Brain Ischemia , Ischemic Stroke , Stroke , Adult , Brain/diagnostic imaging , Brain Ischemia/complications , Brain Ischemia/diagnostic imaging , Diffusion Tensor Imaging , Humans , Magnetic Resonance Imaging , Neuronal Plasticity , Stroke/complications , Stroke/diagnostic imaging
14.
Dev Sci ; 24(1): e12990, 2021 01.
Article En | MEDLINE | ID: mdl-32416634

Recent findings have revealed that very preterm neonates already show the typical brain responses to place of articulation changes in stop consonants, but data on their sensitivity to other types of phonetic changes remain scarce. Here, we examined the impact of 7-8 weeks of extra-uterine life on the automatic processing of syllables in 20 healthy moderate preterm infants (mean gestational age at birth 33 weeks) matched in maturational age with 20 full-term neonates, thus differing in their previous auditory experience. This design allows elucidating the contribution of extra-uterine auditory experience in the immature brain on the encoding of linguistically relevant speech features. Specifically, we collected brain responses to natural CV syllables differing in three dimensions using a multi-feature mismatch paradigm, with the syllable/ba/ as the standard and three deviants: a pitch change, a vowel change to/bo/ and a consonant voice-onset time (VOT) change to/pa/. No significant between-group differences were found for pitch and consonant VOT deviants. However, moderate preterm infants showed attenuated responses to vowel deviants compared to full terms. These results suggest that moderate preterm infants' limited experience with low-pass filtered speech prenatally can hinder vowel change detection and that exposure to natural speech after birth does not seem to contribute to improve this capacity. These data are in line with recent evidence suggesting a sequential development of a hierarchical functional architecture of speech processing that is highly sensitive to early auditory experience.


Phonetics , Speech Perception , Acoustic Stimulation , Brain , Evoked Potentials, Auditory , Humans , Infant , Infant, Newborn , Infant, Premature , Speech
15.
Article En | MEDLINE | ID: mdl-33374182

Late preterm children born between 340/7 and 366/7 weeks' gestation account for ≈70% of prematurely born infants. There is growing concern about this population at risk of mild neurodevelopmental problems, learning disabilities and lower academic performance. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, this paper analyzes recent published evidence from 16selected studies involving late preterm children and control group assessments at preschool and/or school age, mainly focusing on cognitive functioning, language learning and academic achievement. The review identifies the assessment tools used in these studies (standardized tests, parental questionnaires and laboratory tasks) and the areas being evaluated from preschool (age 3 years) to primary school levels. Results reveal the presence of mild difficulties, pointing to suboptimal outcomes in areas such as executive function, short term verbal memory, literacy skills, attention and processing speed. Some difficulties are transient, but others persist, possibly compromising academic achievement, as suggested by the few studies reporting on higher risk for poor school performance. Given the increasing number of late preterm children in our society the review highlights the need to implement screening strategies to facilitate early risk detection and minimize the negative effects of this morbidity in childhood.


Cognition , Infant, Premature , Premature Birth , Adolescent , Child , Child, Preschool , Cross-Sectional Studies , Gestational Age , Humans , Infant, Newborn , Schools
16.
New Bioeth ; 26(4): 351-371, 2020 Dec.
Article En | MEDLINE | ID: mdl-33112204

This article offers a legal-ethical analysis of recent UK and Dutch proposals to regulate surrogacy proactively through a national system of pre-conception authorization of surrogacy agreements. Within such a system, authorities are already before conception called upon to examine and assess contractual arrangements between the intending parents and the prospective surrogate mother. This regulatory approach is presented by its advocates as a win-win for all parties involved; as bringing family law in line with the changed social reality of creating families; and as maintaining a non-permissive approach toward commercial surrogacy. In this article, we critically examine these claims. Our analysis suggests that the proposed systems may result in the facilitation of surrogacy practices with commercial, commodifying and exploitative dimensions. Moreover, although these frameworks are presented as merely regulating something that is already taking place, they silently introduce a radically new and, as we shall argue, highly problematic legal-ethical approach to surrogacy.


Ethical Analysis , Surrogate Mothers , Female , Humans , Morals , Pregnancy , Prospective Studies
17.
eNeuro ; 6(4)2019.
Article En | MEDLINE | ID: mdl-31383726

Brain imaging methods have contributed to shed light on the mechanisms of recovery after early brain insult. The assumption that the unaffected right hemisphere can take over language functions after left perinatal stroke is still under debate. Here, we report how patterns of brain structural and functional reorganization were associated with language outcomes in a group of four-year-old children with left perinatal arterial ischemic stroke (PAIS). Specifically, we gathered specific fine-grained developmental measures of receptive and productive aspects of language as well as standardized measures of cognitive development. We also collected structural neuroimaging data as well as functional activations during a passive listening story-telling fMRI task and a resting state session (rs-fMRI). Children with a left perinatal stroke showed larger lateralization indices of both structural and functional connectivity of the dorsal language pathway towards the right hemisphere that, in turn, were associated with better language outcomes. Importantly, the pattern of structural asymmetry was significantly more right-lateralized in children with a left perinatal brain insult than in a group of matched healthy controls. These results strongly suggest that early lesions of the left dorsal pathway and the associated perisylvian regions can induce the interhemispheric transfer of language functions to right homolog regions. This study provides combined evidence of structural and functional brain reorganization of language networks after early stroke with strong implications for neurobiological models of language development.


Brain Ischemia , Brain/pathology , Brain/physiopathology , Functional Laterality , Neuronal Plasticity , Speech/physiology , Stroke , Brain Ischemia/complications , Brain Ischemia/pathology , Brain Ischemia/physiopathology , Brain Mapping , Child, Preschool , Female , Humans , Magnetic Resonance Imaging , Male , Neuropsychological Tests , Stroke/complications , Stroke/pathology , Stroke/physiopathology
18.
Front Psychol ; 10: 204, 2019.
Article En | MEDLINE | ID: mdl-30792682

To date, the impact of bilingualism on statistical learning remains unclear. Here we test a novel visual statistical learning task that affords simultaneous learning of two types of regularities: co-occurrence regularities between pairs of elements and the co-occurrence of visual features that could define categories. We compared performance by English monolinguals, Spanish-Catalan bilinguals and Spanish-English bilinguals, as previous studies have suggested that bilinguals might be more open than monolinguals to the presence of multiple regularities, though no previous studies have tested the learning of multiple patterns within a single task. We demonstrated that both monolingual and bilingual participants could learn the co-occurrence probabilities and the features that define categories. To the best of our knowledge, this study is the first to demonstrate that learners can extract co-occurrence regularities along two dimensions in the visual modality. However, we did not detect significant differences in performance across groups. We close by discussing the implications for the growing literature on bilingualism and statistical learning.

19.
Infant Behav Dev ; 54: 80-84, 2019 02.
Article En | MEDLINE | ID: mdl-30634137

We investigated whether attention to a talker's eyes in 12 month-old infants is related to their communication and social abilities. We measured infant attention to a talker's eyes and mouth with a Tobii eye-tracker and examined the correlation between attention to the talker's eyes and scores on the Adaptive Behavior Questionnaire from the Bayley Scales of Infant and Toddler Development (BSID-III). Results indicated a positive relationship between eye gaze and scores on the Social and Communication subscales of the BSID-III.


Attention/physiology , Communication , Facial Expression , Fixation, Ocular/physiology , Social Skills , Speech Perception/physiology , Female , Humans , Infant , Male , Photic Stimulation/methods
20.
Dev Sci ; 22(3): e12755, 2019 05.
Article En | MEDLINE | ID: mdl-30251757

Previous findings indicate that bilingual Catalan/Spanish-learning infants attend more to the highly salient audiovisual redundancy cues normally available in a talker's mouth than do monolingual infants. Presumably, greater attention to such cues renders the challenge of learning two languages easier. Spanish and Catalan are, however, rhythmically and phonologically close languages. This raises the possibility that bilinguals only rely on redundant audiovisual cues when their languages are close. To test this possibility, we exposed 15-month-old and 4- to 6-year-old close-language bilinguals (Spanish/Catalan) and distant-language bilinguals (Spanish/"other") to videos of a talker uttering Spanish or Catalan (native) and English (non-native) monologues and recorded eye-gaze to the talker's eyes and mouth. At both ages, the close-language bilinguals attended more to the talker's mouth than the distant-language bilinguals. This indicates that language proximity modulates selective attention to a talker's mouth during early childhood and suggests that reliance on the greater salience of audiovisual speech cues depends on the difficulty of the speech-processing task.


Attention/physiology , Cues , Fixation, Ocular/physiology , Mouth/physiology , Multilingualism , Child , Child, Preschool , Eye , Female , Humans , Infant , Language , Language Development , Male , Speech Perception
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