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1.
J Am Chem Soc ; 146(20): 13783-13796, 2024 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-38723619

RESUMO

The deposition of islet amyloid polypeptide (hIAPP) fibrils is a hallmark of ß-cell death in type II diabetes. In this study, we employ state-of-the-art MAS solid-state spectroscopy to investigate the previously elusive N-terminal region of hIAPP fibrils, uncovering both rigidity and heterogeneity. Comparative analysis between wild-type hIAPP and a disulfide-deficient variant (hIAPPC2S,C7S) unveils shared fibril core structures yet strikingly distinct dynamics in the N-terminus. Specifically, the variant fibrils exhibit extended ß-strand conformations, facilitating surface nucleation. Moreover, our findings illuminate the pivotal roles of specific residues in modulating secondary nucleation rates. These results deepen our understanding of hIAPP fibril assembly and provide critical insights into the molecular mechanisms underpinning type II diabetes, holding promise for future therapeutic strategies.


Assuntos
Polipeptídeo Amiloide das Ilhotas Pancreáticas , Polipeptídeo Amiloide das Ilhotas Pancreáticas/química , Polipeptídeo Amiloide das Ilhotas Pancreáticas/metabolismo , Humanos , Amiloide/química , Amiloide/metabolismo , Conformação Proteica
2.
Eur J Investig Health Psychol Educ ; 14(4): 902-912, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38667813

RESUMO

Universities are active agents of social change through knowledge, providing citizens with the necessary abilities to face professional challenges. This work aims to evaluate and analyse the adaptation of emotional regulation in learning situations of group work in virtual and hybrid (virtual and presential) environments, of a group of students of Physical Activity and Sport Sciences belonging to a Chilean university and a Spanish university. METHOD: A total of 107 students from a Chilean university and a Spanish university, all of them enrolled in the degree in Physical Activity and Sport Sciences, participated in the study. The instrument used was the Adaptative Instrument for Regulation of Emotions questionnaire. RESULTS: The analysis of the data shows that there are some significant differences (p ≤ 0.05), between the groups of students who worked virtually and those who worked in hybrid situations, in the aspects related to personal motivations (learn from my classmates, not to disappoint my working group, and enjoying the experience of working in a group). The students who worked online resolved conflicts mainly through individual regulation mechanisms with significant differences in relation to the students who worked in hybrid mode. No significant differences were found in the socioemotional challenges or in the balance of the metacognitive experience. CONCLUSION: The group that worked in hybrid learning valued group purposes over personal purposes and used the social regulation mechanism over individual regulation in conflict resolution. On the other hand, the group that worked virtually valued group and personal purposes equally and used the mechanism of individual regulation and social regulation to solve difficulties. Differences between students who worked in virtual and hybrid environments may be due to greater social interaction and group dynamics in hybrid environments, as well as differences in culture and access to resources and technology.

3.
J Surg Educ ; 81(5): 639-646, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38556439

RESUMO

INTRODUCTION: Esophageal surgery is an essential component of general surgery training and encompasses several types of cases that are logged by general surgery residents. There is a scarcity of data on the quality and volume of esophageal surgery experience during surgical residency in the United States. We analyzed trends for 9 different esophageal procedure categories logged by residents in the United States, with the aim to identify areas for improvement in training. METHODS: We conducted a retrospective analysis of operative case logs of all general surgery residents graduating from programs accredited by the ACGME over a fourteen-year period from 2009 to 2023. Data on mean esophageal cases reported by graduates, including mean in each procedure subcategory were retrieved. Cases were categorized as either surgeon chief or surgeon junior for each procedure category. Mann-Kendall trend test was used to obtain tau statistics and p-value for trends in mean operative surgical volume for the total number of cases in each operative category over the study period. Trends in surgeon chief and surgeon junior cases were also investigated for each operative category. RESULTS: The mean number of all esophageal procedures performed per resident during their training increased significantly from 10.5 in 2009 to 16 in 2022 (τ = 0.833, p < 0.001). This trend observed among all esophageal procedures during this 14-year study can be largely attributed to the steady increase in the number and proportion of laparoscopic esophageal antireflux procedures performed (τ = 0.950, p < 0.001). Additionally, esophagectomy procedures had a statistically significant, but modest, increase during the study period (τ = 0.505, p = 0.023), from a mean of 1 case during training in 2009 to a peak of 1.3 in 2020. Although the general trend of esophagus procedures increased during the study period, most categories (7 out of 9) either decreased or did not significantly change. Esophagogastrectomy volume decreased significantly by 30%, from 1 per resident during their training in 2009 to 0.7 in 2022 (τ = -0.510, p = 0.018), esophageal diverticulectomy procedures decreased by 50% from 0.2 to 0.1 (τ = -0.609, p = 0.009), and operations for esophageal stenosis decreased by 75% from 0.4 to 0.1 (τ = -0.734, p = 0.001). Mean number of esophageal bypasses (τ = -0.128, p = 0.584), repair of perforated esophageal disease (τ = -0.333, p = 0.156), and other major esophagus procedures (τ = 0.416, p = 0.063) did not significantly change. CONCLUSION: The operative volume of esophageal surgery that general surgery residents in the United States are exposed to has significantly risen over the past 14 years, largely driven by the increase in laparoscopic antireflux procedures. However, given the recent advances and the resultant heterogeneity in both esophageal surgery, the increase in resident operative volume is still inadequate to ensure the training of safe and adept esophageal surgeons, necessitating postresidency specialized training for trainees interested in esophageal surgery.


Assuntos
Competência Clínica , Educação de Pós-Graduação em Medicina , Cirurgia Geral , Internato e Residência , Estudos Retrospectivos , Humanos , Estados Unidos , Cirurgia Geral/educação , Esôfago/cirurgia , Acreditação , Masculino , Feminino
4.
Surgery ; 175(6): 1518-1523, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38503604

RESUMO

BACKGROUND: Gastric surgery is a crucial component of general surgery training. However, there is a paucity of high-quality data on operative volume and the diversity of surgical procedures that general surgery residents are exposed to. METHODS: We conducted a retrospective analysis of operative case logs of all general surgery residents graduating from the American College of Graduate Medical Education-accredited program from 2009 to 2022. Data on the mean number of gastric procedures, including the mean in each subcategory, were retrieved. A Mann-Kendall trend test was used to investigate trends in operative volume. RESULTS: Between 2009 and 2022, the mean overall logged gastric procedures rose significantly (τ = 0.722, P < .001) from 36.2 in 2009 to 49.2 in 2022 (35.9% increase). The most substantial growth was seen in laparoscopic gastric reduction for morbid obesity (mean 1.9 in 2017 to 19 in 2022; τ = 0.670, P = .009). A statistically significant increase was also seen in laparoscopic partial gastric resections, repair of gastric perforation, and "other major stomach procedures" (P < .05 for all comparisons). Open gastrostomy, open partial gastric resections, and open vagotomy all significantly decreased (P < .05 for all comparisons). There was no significant change in the volume of laparoscopic gastrectomy, total gastric resections, and non-laparoscopic gastric reductions for morbid obesity (P > .05 for all comparisons). CONCLUSION: There has been a substantial increase in the volume of gastric surgery during residency over the past 14 years, driven mainly by an increase in laparoscopic gastric reduction. However, there may still be a need for further gastric surgical training to ensure well-rounded general surgeons.


Assuntos
Competência Clínica , Cirurgia Geral , Internato e Residência , Humanos , Estudos Retrospectivos , Internato e Residência/estatística & dados numéricos , Internato e Residência/tendências , Estados Unidos , Cirurgia Geral/educação , Cirurgia Geral/tendências , Competência Clínica/estatística & dados numéricos , Laparoscopia/tendências , Laparoscopia/estatística & dados numéricos , Laparoscopia/educação , Gastrectomia/tendências , Gastrectomia/educação , Gastrectomia/estatística & dados numéricos , Feminino , Masculino
5.
Biol Lett ; 20(2): 20230419, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38320619

RESUMO

Elucidating the selective forces shaping the diversity of vertebrate brains continues to be a major area of inquiry, particularly as it relates to cognition. Historically brain evolution was interpreted through the lens of relative brain size; however, recent evidence has challenged this approach. Investigating neuroanatomy at a finer scale, such as neuron number, can provide new insights into the forces shaping brain evolution in the context of information processing capacity. Ecological factors, such as the complexity of a species' habitat, place demands on cognition that could shape neuroanatomy. In this study, we investigate the relationship between neuron number and habitat complexity in three brain regions across six closely related anole species from Puerto Rico. After controlling for brain mass, we found that the number of neurons increased with habitat complexity across species in the telencephalon and 'rest of the brain,' but not in the cerebellum. Our results demonstrate that habitat complexity has shaped neuroanatomy in the Puerto Rican anole radiation and provide further evidence of the role of habitat complexity in vertebrate brain evolution.


Assuntos
Evolução Biológica , Lagartos , Animais , Encéfalo/anatomia & histologia , Encéfalo/fisiologia , Ecossistema , Lagartos/fisiologia , Neurônios , Porto Rico
6.
Surg Endosc ; 38(3): 1491-1498, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38242988

RESUMO

INTRODUCTION: Endoscopy is a major part of surgical training. Accreditation Council for Graduate Medical Education (ACGME) has set standards regarding the minimum volume of endoscopy cases required for graduation. However, there is paucity of high-quality data on the number of cases that most surgical graduates perform. METHODS: We conducted a retrospective analysis of operative case logs of all general surgery residents graduating from ACGME-accredited programs from 2010 to 2023. Data on mean number of endoscopy cases, including mean in each subcategory, were retrieved. Mann-Kendall trend test was used to investigate trends in endoscopy experience. RESULTS: Between 2010 and 2023, the mean overall endoscopy procedures per resident remained stable, with 129.5 in 2010 and 132.1 in 2023 (t = 0.429; p-value = 0.037). The majority of these cases were performed as surgeon junior (76.6% in 2010; 80.9% in 2023), while the remaining cases were logged as surgeon chief. The most substantial contribution to the overall volume was from flexible colonoscopy (mean: 64.1 in 2010 and 67.2 in 2023). The volume for colonoscopy remained fairly stable (t = 0.429; p-value = 0.036). This was followed by esophagogastroduodenoscopy (mean: 35.3 in 2010 and 35.5 in 2023), which saw a significant increase in volume (t = 0.890; p-value ≤ 0.001). There was a significant increase in the number of overall upper endoscopic procedures (t = 0.791; p-value ≤ 0.001), while lower endoscopic procedures did not change significantly (t = 0.319; p-value = 0.125). The procedural volume for endoscopic retrograde cholangiography, sigmoidoscopy, cystoscopy/ureteroscopy, laryngoscopy, and bronchoscopy decreased significantly (p-value < 0.05 for all). CONCLUSION: The overall endoscopy volume for general surgery residents has largely remained stable, with a minor increase in esophagogastroduodenoscopy and no change in colonoscopy. Future research should investigate whether simulation-based exercises can bridge the gap between procedural volume and learning curve requirements for endoscopy.


Assuntos
Cirurgia Geral , Internato e Residência , Laparoscopia , Cirurgiões , Humanos , Estados Unidos , Estudos Retrospectivos , Educação de Pós-Graduação em Medicina , Endoscopia Gastrointestinal , Competência Clínica , Cirurgia Geral/educação , Acreditação , Carga de Trabalho
7.
J Endourol ; 38(3): 212-218, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38185914

RESUMO

Introduction and objective: Magnetic-assisted robotic surgery (MARS) has been developed to maximize patient benefits of minimally invasive surgery while enhancing surgeon control and visualization. MARS platform (Levita Magnetics) comprises two robotic arms that provide control to an external magnetic controller and an off-the-shelf laparoscopic camera. Our aim was to evaluate the safety and efficacy of the MARS platform in laparoscopic renal and adrenal procedure for the first time. Methods: This is a prospective, single-arm, open-label study (Clinical Trials Identifier: NCT05353777) including patients with renal or adrenal pathology analysis, submitted to laparoscopic procedure between April and June 2022. Patients were followed up to 30 days postoperatively. Preoperative, intraoperative, and postoperative data were recorded. Polynomial regression was used to determine the learning curve for docking time. Results: Fifteen cases were performed using the MARS platform (three partial nephrectomies, five total nephrectomies for benign pathology analysis, four radical nephrectomies, and three adrenalectomies) corresponding to 10 women and 5 men (mean age, 55 years [18-77]; average body mass index, 29 cm/m2 [22-39]). No cases required conversion to open procedure and all patients were discharged on the first or second postoperative day. No complications or re-admissions were reported within the first 30 days. All oncologic cases had negative margins. Learning curve was achieved by the fourth case, diminishing docking time from 5.22 (2.6-11.5) to 2.68 minutes (2.1-3.8) (p = 0.002). The learning curve was fitted to a cubic regression (R2 = 0.714). Conclusion: This is the first clinical study demonstrating the safety and versatility of the MARS platform in urologic procedures. The robot was especially useful for tissue retraction, avoiding additional incisions and the need for a surgical assistant while increasing surgeon control and visualization. The learning curve was rapid, achieving a short docking time. MARS is a promising new technology that could be successfully evaluated in other surgeries.


Assuntos
Laparoscopia , Procedimentos Cirúrgicos Robóticos , Robótica , Urologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Laparoscopia/métodos , Fenômenos Magnéticos , Nefrectomia/métodos , Estudos Prospectivos , Procedimentos Cirúrgicos Robóticos/métodos
8.
Naunyn Schmiedebergs Arch Pharmacol ; 397(4): 2159-2170, 2024 04.
Artigo em Inglês | MEDLINE | ID: mdl-37792048

RESUMO

Human ß3-adrenoceptor (ß3AR) agonists were considered potential agents for the treatment of metabolic disorders. However, compounds tested as ß3AR ligands have shown marked differences in pharmacological profile in rodent and human species, although these compounds remain attractive as they were successfully repurposed for the therapy of urinary incontinence. In this work, some biarylamine compounds were designed and tested in silico as potential ß3AR agonists on 3-D models of mouse or human ß3ARs. Based on the theoretical results, we identified, synthesized and tested a biarylamine compound (polibegron). In CHO-K1 cells expressing the human ß3AR, polibegron and the ß3AR agonist BRL 37344 were partial agonists for stimulating cAMP accumulation (50 and 57% of the response to isoproterenol, respectively). The potency of polibegron was 1.71- and 4.5-fold higher than that of isoproterenol and BRL37344, respectively. These results indicate that polibegron acts as a potent, but partial, agonist at human ß3ARs. In C57BL/6N mice with obesity induced by a high-fat diet, similar effects of the equimolar intraperitoneal administration of polibegron and BRL37344 were observed on weight, visceral fat and plasma levels of glucose, cholesterol and triglycerides. Similarities and differences between species related to ligand-receptor interactions can be useful for drug designing.


Assuntos
Agonistas Adrenérgicos beta , Receptores Adrenérgicos beta 3 , Cricetinae , Humanos , Camundongos , Animais , Isoproterenol , Receptores Adrenérgicos beta 3/metabolismo , Camundongos Endogâmicos C57BL , Células CHO , Cricetulus , Agonistas Adrenérgicos beta/farmacologia
9.
JAMA ; 330(12): 1167-1174, 2023 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-37750879

RESUMO

Importance: While population-level data suggest Rh immunoglobulin is unnecessary before 12 weeks' gestation, clinical evidence is limited. Thus, guidelines vary, creating confusion surrounding risks and benefits of Rh testing and treatment. As abortion care in traditional clinical settings becomes harder to access, many people are choosing to self-manage and need to know if ancillary blood type testing is necessary. Objective: To determine how frequently maternal exposure to fetal red blood cells (fRBCs) exceeds the most conservative published threshold for Rh sensitization in induced first-trimester abortion. Design, Setting, and Participants: Multicenter, observational, prospective cohort study using high-throughput flow cytometry to detect circulating fRBCs in paired maternal blood samples before and after induced first-trimester abortion (medication or procedural). Individuals undergoing induced first-trimester abortion before 12 weeks 0 days' gestation were included. Paired blood samples were available from 506 participants who underwent either medical (n = 319 [63.0%]) or procedural (n = 187 [37.0%]) abortion. Exposure: Induced first-trimester abortion. Main Outcomes and Measures: The primary outcome was the proportion of participants with fRBC counts above the sensitization threshold (125 fRBCs/5 million total RBCs) after induced first-trimester abortion. Results: Among the 506 participants, the mean (SD) age was 27.4 (5.5) years, 313 (61.9%) were Black, and 123 (24.3%) were White. Three of the 506 participants had elevated fRBC counts at baseline; 1 of these patients had an elevated fRBC count following the abortion (0.2% [95% CI, 0%-0.93%]). No other participants had elevated fRBC counts above the sensitization threshold after induced first-trimester abortion. The median change from baseline was 0 fRBCs, with upper 95th and 99th percentiles of 24 and 35.6 fRBCs, respectively. Although there was a strong association between the preabortion and postabortion fRBC counts, no other baseline characteristic was significantly associated with postabortion fRBC count. Conclusions and Relevance: Induced first-trimester abortion is not a risk factor for Rh sensitization, indicating that Rh testing and treatment are unnecessary before 12 weeks' gestation. This evidence may be used to inform international guidelines for Rh immunoglobulin administration following first-trimester induced abortion.


Assuntos
Aborto Induzido , Eritrócitos , Isoimunização Rh , Adulto , Feminino , Humanos , Gravidez , Aborto Induzido/métodos , Imunoglobulinas/sangue , Estudos Prospectivos , Isoimunização Rh/diagnóstico , Isoimunização Rh/imunologia , Isoimunização Rh/terapia , Risco , Primeiro Trimestre da Gravidez/imunologia , Eritrócitos/imunologia , Adulto Jovem , Negro ou Afro-Americano , Brancos
10.
Sci Rep ; 13(1): 14298, 2023 08 31.
Artigo em Inglês | MEDLINE | ID: mdl-37652992

RESUMO

Oxidative protein folding in the endoplasmic reticulum (ER) is driven mainly by protein disulfide isomerase PDI and oxidoreductin Ero1. Their activity is tightly regulated and interconnected with the unfolded protein response (UPR). The mechanisms of disulfide bond formation have mainly been studied in human or in the yeast Saccharomyces cerevisiae. Here we analyze the kinetics of disulfide bond formation in the non-conventional yeast Komagataella phaffii, a common host for the production of recombinant secretory proteins. Surprisingly, we found significant differences with both the human and S. cerevisiae systems. Specifically, we report an inactive disulfide linked complex formed by K. phaffii Ero1 and Pdi1, similarly to the human orthologs, but not described in yeast before. Furthermore, we show how the interaction between K. phaffii Pdi1 and Ero1 is unaffected by the introduction of unfolded substrate into the system. This is drastically opposed to the previously observed behavior of the human pathway, suggesting a different regulation of the UPR and/or possibly different interaction mechanics between K. phaffii Pdi1 and Ero1.


Assuntos
Saccharomyces cerevisiae , Fermento Seco , Humanos , Dissulfetos , Estresse Oxidativo
11.
J Autism Dev Disord ; 2023 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-37410256

RESUMO

Research shows many positive effects from physical exercise. The present study examined the impact of a structured physical exercise program compared to treatment as usual on the gross motor skills of children diagnosed with autism spectrum disorder (ASD). Participants included 20 children, from 4 to 7 years old, who were assigned to two groups; an experimental group (n = 10) who received a structured physical exercise program for 60-min sessions, three times a week for eight weeks, and a control group (n = 10) who received conventional physiotherapy. Gross motor skills were assessed with the Abbreviated Development Scale -3 before and after the physical exercise program. The experimental group exhibited significant improvements in gross motor skills compared to the control group. This study suggests that structured physical exercise programs can improve gross motor skills in children with ASD.

12.
J Exp Child Psychol ; 235: 105738, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37421925

RESUMO

The healthy development of cognitive functions, including executive functions, has been shown to depend mainly on the experiences and learning opportunities of people, especially during childhood. Over the past few years, researchers have been studying the impacts of diverse types of interventions on children's cognitive development in which computational thinking programs are a recent field. This pilot study evaluated the effect of computational thinking training based on the "Programming for Children" program on the executive functions of children aged 10 and 11 years: working memory, inhibition, and planning (N = 30). The results showed that children in the experimental group improved on tests of visuospatial working memory, cognitive inhibition, and sequential planning compared with the control group. However, tests of verbal working memory, memory strategy, and visual spatial planning did not show any observed changes. Although this was an exploratory study, and its findings should be interpreted cautiously due to the small sample size, the findings support the relevance and feasibility of conducting similar larger studies with larger samples.


Assuntos
Cognição , Função Executiva , Criança , Humanos , Função Executiva/fisiologia , Projetos Piloto , Cognição/fisiologia , Aprendizagem/fisiologia , Memória de Curto Prazo/fisiologia
13.
Acta colomb. psicol ; 26(1): 13-26, Jan.-June 2023. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1419867

RESUMO

Resumen El presente artículo reporta un estudio que busca identificar el estilo cognitivo en la dimensión de independencia-dependencia de campo en una población estudiantil universitaria y establecer sus asociaciones con el género y la carrera que cursan. La muestra total fue de 1.379 estudiantes (797 mujeres y 582 hombres), de tres universidades del área metropolitana de Manizales, Colombia, de 18 carreras profesionales, quienes respondieron la prueba SG-EFT que permite identificar el nivel de independencia de campo. Se llevaron a cabo pruebas t de Student y análisis de varianza para examinar diferencias por género y carrera. Los resultados indican diferencias significativas en los puntajes de la prueba por carrera universitaria en independencia del género, y a su vez, se discuten en relación con resultados previos y sus implicaciones para la construcción del perfil del estudiante en cada carrera.


Abstract This paper reports a study that seeks to identify the cognitive styles, in the field independence-dependence dimension, in a university student population and to establish its associations with gender and career. The total sample consisted of 1.379 students (797 females and 582 males) from three universities in the metropolitan area of Manizales (Colombia), from 18 professional careers, who answered the SG-EFT test which measures levels of field independence. Analyses of variance and t- Student tests were carried out to examine differences by gender and career. Significant differences in the SG-EFT scores were found regarding career choice, independently of gender. Results are discussed with respect to previous findings and their implications for the construction of the student profile in each career.

14.
Av. psicol. latinoam ; 41(2): [1-18], may-ago. 2023.
Artigo em Inglês | LILACS | ID: biblio-1510448

RESUMO

El artículo presenta la versión de la prueba EfT desarrollada por Sawa sobre las figuras Gottschaldt, como indicador de la capacidad de reestructuración perceptual y del estilo cognitivo en la dimensión de independencia- dependencia de campo. Se examina la consistencia interna del instrumento, su validez estructural y de constructo a partir de los datos recogidos en cuatro diferentes estudios en los que ha sido aplicado (n = 6.530). Los resultados indican altos niveles de consistencia interna y adecuados niveles de validez estructural del instrumento. La validez de constructo se determina mediante el examen de los comportamientos de la prueba frente al sexo y el grado/edad. Los resultados demuestran que el instrumento se comporta de acuerdo con lo esperado en el constructo. Por último, se presentan los baremos del instrumento


This paper presents the version of the Embedded Figures Test (EfT) that Sawa developed using Gottschaldt's figures. The test indicates the perceptual restructur- ing ability and the field dependence-independence dimension of cognitive style. The instrument's internal consistency and its structural and construct validity are examined using data collected in four previous studies in which the test was administered (n = 6.530). Results show high levels of internal consistency and adequate levels of structural validity. The construct validity was determined by examining the instrument's behavior regarding sex and grade/age. Results indicate that the test behaves as expected considering the construct. Finally, the instrument's norms are presented


O artigo apresenta a versão do teste EfT, desenvol- vida por Sawa sobre as figuras de Gottchaldt, como indicador da capacidade de reestruturação perceptiva e, do estilo cognitivo na dimensão independência- -dependência do campo. A consistência interna do instrumento, sua validade estrutural e sua validade de construto são examinadas a partir dos dados co- letados em quatro diferentes estudos em que o teste foi aplicado (n = 6.530). Os resultados indicam altos níveis de consistência interna e níveis adequados de validade estrutural do instrumento. A validade de cons- truto é determinada examinando os comportamentos de teste em relação ao gênero e nível de escolaridade/ idade. Os resultados indicam que o instrumento se comporta conforme o esperado no construto. Por fim, são apresentadas as escalas do instrumento.

15.
World J Urol ; 41(3): 733-738, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36725730

RESUMO

PURPOSE: To identify preoperative predictors of endo-urological treatment (EUT) failure while promoting a new diagnostic and therapeutic pathway for benign uretero-enteric anastomosis stricture (UES) management after radical cystectomy (RC). MATERIALS AND METHODS: We relied on a prospectively maintained database including 96 individuals (122 renal units) who developed a benign UES at our institution between 1990 and 2018. UES was classified into two different types according to morphology: FP1 (i.e., sharp or duckbill) and FP2 (i.e., flat or concave). EUT feasibility, success rate, as well as intra and postoperative complications were recorded. Uni- and multivariable logistic regression analysis (MVA) assessed for predictors of EUT failure. RESULTS: Overall, 78 (63.9%) and 32 (26.3%) cases were defined as FP1 and FP2, respectively. EUT was not feasible in 33 (27.1%) cases. After a median follow-up of 50 (IQR 5-240) months, successful treatment was reached only in 15/122 (12.3%) cases. EUT success rates raised when considering short (< 1 cm) (16.8%), FP1 morphology (16.7%) strictures, or the combination of these characteristics (22.4%). Overall, 5 (5.2%) cases had CD ≥ III complications. FP2 (OR: 1.91, 95%CI 1.21-5.31, p = 0.03) and stricture length ≥ 1 cm (OR: 9.08, 95%CI 2.09-65.71, p = 0.009) were associated with treatment failure at MVA. CONCLUSIONS: Endoscopic treatment for benign UES after RC is feasible but harbors a low success rate. Stricture length and radiological morphology of the stricture are related to endoscopic treatment failure. Surgeons should be aware of the stricture features during the preoperative decision-making process to choose the optimal candidate for endoscopic treatment.


Assuntos
Ureter , Neoplasias da Bexiga Urinária , Derivação Urinária , Humanos , Cistectomia/efeitos adversos , Constrição Patológica/etiologia , Constrição Patológica/cirurgia , Derivação Urinária/efeitos adversos , Estudos Retrospectivos , Ureter/cirurgia , Neoplasias da Bexiga Urinária/cirurgia , Neoplasias da Bexiga Urinária/complicações , Complicações Pós-Operatórias/cirurgia , Complicações Pós-Operatórias/etiologia , Anastomose Cirúrgica/efeitos adversos
16.
Health Commun ; 38(9): 1862-1870, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35188011

RESUMO

Breastfeeding is the optimal source of infant nutrition, yet the mother's decision to breastfeed is complex and influenced by factors including social support and breastfeeding knowledge and attitudes. This study employed a two-group pretest-posttest design to examine whether brief, online video presentations (<2.5 minutes in length) could improve breastfeeding knowledge and attitude among males and compare the outcomes between a knowledge-based and attitude-based intervention. Collegiate male participants (N = 213, 18-40 years of age) demonstrated high breastfeeding exposure (90.1% had friends/family breastfeed) and positive attitudes (89.2% accepted women could breastfeed and work outside home) yet knowledge deficits concerning breastfeeding health benefits were identified. Breastfeeding exposure was positively associated with baseline attitude (r(212)=.186, p = .006 and knowledge (r(212)=.229, p = .001. Both intervention groups reported similar gains in attitude scores; only the knowledge-based intervention reported significant gains in knowledge (M = 1.5, SD = 2.63 vs M = -.07, SD = 1.44, (t = -5.496, df = 211, p < .05). Brief online video presentations may constitute an additional exposure to or nudging toward breastfeeding, and breastfeeding knowledge and attitudes can be positively influenced in young adult males with similar interventions that are affordable and require a minimal time commitment.


Assuntos
Aleitamento Materno , Conhecimentos, Atitudes e Prática em Saúde , Lactente , Adulto Jovem , Humanos , Feminino , Masculino , Atitude , Apoio Social , Universidades , Conhecimento , Mães
17.
Vaccines (Basel) ; 10(9)2022 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-36146462

RESUMO

The FDA Animal Rule was devised to facilitate approval of candidate vaccines and therapeutics using animal survival data when human efficacy studies are not practical or ethical. This regulatory pathway is critical for candidates against pathogens with high case fatality rates that prohibit human challenge trials, as well as candidates with low and sporadic incidences of outbreaks that make human field trials difficult. Important components of a vaccine development plan for Animal Rule licensure are the identification of an immune correlate of protection and immunobridging to humans. The relationship of vaccine-induced immune responses to survival after vaccination and challenge must be established in validated animal models and then used to infer predictive vaccine efficacy in humans via immunobridging. The Sabin Vaccine Institute is pursuing licensure for candidate filovirus vaccines via the Animal Rule and has convened meetings of key opinion leaders and subject matter experts to define fundamental components for vaccine licensure in the absence of human efficacy data. Here, filoviruses are used as examples to review immune correlates of protection and immunobridging. The points presented herein reflect the presentations and discussions during the second meeting held in October 2021 and are intended to address important considerations for developing immunobridging strategies.

18.
Psicol. Caribe ; 39(2): 3-3, mayo-ago. 2022. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1406362

RESUMO

Resumen. Si bien la investigación sobre la metacognición y los estilos cognitivos es sólida para cualquier campo solo, pocas investigaciones han abordado los dos juntos. Además, ningún estudio hasta la fecha ha examinado objetivos más específicos relacionados con aspectos específicos de la metacognición, como la habilidad de monitoreo y su relación con el estilo cognitivo. Por lo tanto, el presente estudio investigó medidas de confianza, rendimiento y precisión para tres tipos de juicios metacognitivos (predicción, concurrente y postdicción) y tres tipos diferentes de preguntas metacognitivas: preguntas sobre la tarea, preguntas sobre uno mismo y preguntas en diferentes momentos (antes, durante y después) y cómo se relacionan con el estilo cognitivo (dependiente del campo, intermedio, independiente del campo) en una muestra de 57 estudiantes universitarios colombianos. Los resultados revelaron que había diferencias en la precisión y el sesgo del monitoreo metacognitivo en función del estilo cognitivo, y que estos hallazgos fueron similares entre los diferentes momentos y entre los juicios metacognitivos. Con respecto al estilo cognitivo, aquellos con un estilo cognitivo intermedio o independiente del campo informaron una mayor precisión de monitoreo y menos sesgo que las personas con un estilo dependiente del campo. Se discuten las implicaciones para la investigación, la teoría y la práctica.


Abstract. While research on metacognition and cognitive styles is robust for either field alone, few studies have broached the two together. In addition, no studies to date have examined finer-grained objectives related to specific aspects of metacognition such as monitoring skill and its relation to cognitive style. Thus, the present study investigated confidence, performance, and accuracy measures for three types of metacognitive judgments (prediction, concurrent and postdiction) and three different types of metacognitive questions-questions about the task, questions about the self, and questions at different moments (before, during, and after)-and how these are related to cognitive style (field dependent, intermediate, field independent) in a sample of 57 Colombian university students. Results revealed that there were differences in metacognitive monitoring accuracy and bias as a function of cognitive style, and that these findings were similar both between different moments and across metacognitive judgments. Regarding cognitive style, those with an intermediate or field independent cognitive style reported greater monitoring accuracy and less bias than individuals with a field dependent style. Implications for research, theory, and practice are discussed.

19.
Am Nat ; 200(2): 236-249, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35905402

RESUMO

AbstractAnimal signal colors evolve to efficiently stimulate conspecific visual systems. The sensory drive hypothesis proposes that species differences in habitat light conditions favor the evolution of color diversity. The strongest support comes from aquatic systems, while terrestrial systems offer fewer convincing examples. Anolis lizards occupy diverse habitats and signal with a colorful dewlap. Dewlap visibility depends on perceived chromatic contrast with the background. Visual system modeling has shown that red dewlaps are most visible in most habitat types. However, a majority of species possess white or yellow dewlaps. In a recent behavioral study, we showed that low light conditions can sometimes make yellow and white colors more visible by altering chromatic contrast perception with the background. Using 17 Caribbean Anolis species, we showed that cut-on wavelength, a measure of dewlap color in a white to red continuum, correlates with habitat light intensity. Pairwise comparisons revealed that red dewlaps are most visible in bright habitats, whereas yellow and white are more visible in darker habitats. We conclude that sensory drive has contributed to the evolution of dewlap color differences through the interactive effects of total habitat light intensity and chromatic contrast perception and may provide a mechanism for speciation among anoles.


Assuntos
Lagartos , Animais , Ecossistema , Luz
20.
Psychol. av. discip ; 16(1): 57-70, ene.-jun. 2022. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1406458

RESUMO

Resumen El presente trabajo tuvo como objetivo establecer las características psicométricas y la estructura factorial subyacente a los ítems de la Escala de Autoconcepto AF5. Se realizó una investigación descriptiva de corte transversal. Se aplicó el instrumento en 1386 (798 mujeres y 588 hombres) estudiantes de tres universidades ubicadas en una ciudad de la región central del país, una de carácter público y dos privadas. Entre los resultados se encontraron adecuadas propiedades psicométricas para la prueba, así como una estructura hexadimensional del constructo, desde la cual el autoconcepto físico pareció subdividirse en dos dimensiones independientes, condición física y atractivo físico. A manera de conclusión puede indicarse que el AF5 se presenta como un instrumento sólido con adecuadas propiedades psicométricas para ser usado en muestras de estudiantes universitarios colombianos.


Abstract To establish the factorial structure underlying the items of the AF5 Self-Concept Scale. Descriptive, cross-sectional study. To carry it out, a validation study of the instrument was performed with 1382 students from three major universities located in a city in the central region of the country. Two out of the three universities were private, the sample was composed by 798 women and 588 men. Adequate psychometric properties were found for the test, as well as a six-dimensional structure of the construct, from which the physical self-concept seemed to be subdivided into two dimensions: physical condition and physical attractiveness, this dimension behaving as two independent factors. The AF5 is presented as a solid instrument with adequate psychometric properties to be used in samples of Colombian college students.

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