Objective measurement of Spanish emotion vocabulary.

Current research on emotion knowledge and competence emphasises the role of language. Emotion vocabulary is one of the indicators of emotion knowledge that can be objectively measured; however, the metric properties of the scores obtained in tests and tasks to measure it have seldom been adequate. In this study we designed and validated a Spanish emotion vocabulary test (MOVE) employing a corpus approach to construct cloze multiple-choice items, administered the test to a Spanish-speaking sample from two countries, Spain and Argentina, and analysed structural validity of the test items with the Rasch model measurement approach. Eighty-eight items showed adequate fit. Overall, a substantial percentage of variance was explained by a latent variable. Reliability indexes at the test, item, and person level were also adequate. As a vocabulary test, the MOVE can be used in psychological and neurological investigation, as well as in language learning research.

Native Spleen Preservation During Visceral Transplantation Inhibits Graft-Versus-Host-Disease Development: Clinical and Experimental Study.

OBJECTIVE: We aimed to assess whether native spleen preservation during visceral transplantation (VT) affects graft-versus-host-disease (GVHD) incidence. SUMMARY BACKGROUND DATA: GVHD is one of the most severe and frequently lethal hematological complications after VT procedures. Because there is no specific treatment for GVHD, it is imperative to develop a strategy to reduce donor lymphocyte engraftment and proliferation. METHODS: Our study included both clinical and experimental data. A total of 108 patients were divided into 3 groups: a native spleen preservation group, a native spleen removal with no donor spleen group, and a donor spleen included (allogeneic spleen) group. We also used an allogeneic VT rat model, in which recipients were divided into 2 groups: a native spleen preservation (+SP) group and a native spleen removal (-S) group. Skin rash appearance, histopathological changes, chimerism, and spleen effects on circulating allogeneic T-cells were assessed. RESULTS: The patients with native spleen preservation showed a lower rate of GVHD ( P <.001) and better survival ( P <.05) than those in the other groups. Skin and histological signs of GVHD were lower in the rats in the +SP group ( P <.05). The donor T-cell frequency in the bloodstream and skin was also significantly reduced when the native spleen was preserved ( P <.01 and P <.0001, respectively). CONCLUSIONS: The clinical and experimental data indicate that recipient spleen preservation protects against GVHD after VT, and donor cell clearance from the bloodstream by spleen macrophages could be the underlying mechanism. Therefore, spleen preservation should be considered in VT procedures, whenever possible.

Hybrid Gold Nanorod-Based Nanoplatform with Chemo and Photothermal Activities for Bimodal Cancer Therapy.

Metal nanoparticles (NPs), particularly gold nanorods (AuNRs), appear as excellent platforms not only to transport and deliver bioactive cargoes but also to provide additional therapeutic responses for diseased cells and tissues and/or to complement the action of the carried molecules. In this manner, here, we optimized a previous developed metal-based nanoplatform composed of an AuNR core surrounded by a polymeric shell constructed by means of the layer-by-layer approach, and in which very large amounts of the antineoplasic drug doxorubicin (DOXO) in a single loading step and targeting capability thanks to an outer hyaluronic acid layer were incorporated by means of an optimized fabrication process (PSS/DOXO/PLL/HA-coated AuNRs). The platform retained its nanometer size with a negative surface charge and was colloidally stable in a range of physiological conditions, in which only in some of them some particle clustering was noted with no precipitation. In addition, the dual stimuli-responsiveness of the designed nanoplatform to both endogenous proteases and external applied light stimuli allows to perfectly manipulate the chemodrug release rates and profiles to achieve suitable pharmacodynamics. It was observed that the inherent active targeting abilities of the nanoplatfom allow the achievement of specific cell toxicity in tumoral cervical HeLa cells, whilst healthy ones such as 3T3-Balb fibroblast remain safe and alive in agreement with the detected levels of internalization in each cell line. In addition, the bimodal action of simultaneous chemo- and photothermal bioactivity provided by the platform largely enhances the therapeutic outcomes. Finally, it was observed that our PSS/DOXO/PLL/HA-coated AuNRs induced cell mortality mainly through apoptosis in HeLa cells even in the presence of NIR light irradiation, which agrees with the idea of the chemo-activity of DOXO predominating over the photothermal effect to induce cell death, favoring an apoptotic pathway over necrosis for cell death.

Driving Offences and Emotion Regulation: A Psychometric Analysis of the Emotion Regulation Questionnaire (ERQ).

BACKGROUND: Little is known about the role of emotion regulation in driving. This study analyzed the psychometric properties of one of the most commonly-used tests for the evaluation of emotion regulation in a drivers' sample. METHODS: A total of 318 male drivers (M age = 41.6 years, SD = 11.1, age range 20-69 years, half with road traffic offences and half, matched controls), participated in the study by filling out the Emotion Regulation Questionnaire (ERQ). Data analysis was carried out using the Rasch Rating Scale Model (RSM). RESULTS: The performance of the response categories was inadequate. After collapsing the seven original response categories into three, the categories were functional, the unidimensionality requirement was met, and data-model fit was adequate. Both person reliability and item reliability were adequate for the two subscales of ERQ. There was a significant difference between the two groups in the cognitive reappraisal subscale. CONCLUSIONS: Given the adequate psychometric properties of the ERQ, it is suggested that the role of cognitive reappraisal in driving contexts be explored in depth.

Driving Offences and Emotion Regulation: A Psychometric Analysis of the Emotion Regulation Questionnaire (ERQ) / Infracciones de Tráfico y Regulación Emocional: Análisis Psicométrico del ERQ

Background: Little is known about the role of emotion regulation in driving. This study analyzed the psychometric properties of one of the most commonly-used tests for the evaluation of emotion regulation in a drivers’ sample. Methods: A total of 318 male drivers (M age = 41.6 years, SD = 11.1, age range 20-69 years, half with road traffic offences and half, matched controls), participated in the study by filling out the Emotion Regulation Questionnaire (ERQ). Data analysis was carried out using the Rasch Rating Scale Model (RSM). Results: The performance of the response categories was inadequate. After collapsing the seven original response categories into three, the categories were functional, the unidimensionality requirement was met, and data-model fit was adequate. Both person reliability and item reliability were adequate for the two subscales of ERQ. There was a significant difference between the two groups in the cognitive reappraisal subscale. Conclusions: Given the adequate psychometric properties of the ERQ, it is suggested that the role of cognitive reappraisal in driving contexts be explored in depth.(AU)

Antecedentes: No es mucho lo que se conoce sobre el papel de la regulación emocional en la conducción. Analizamos las propiedades psicométricas de uno de los test más utilizados para la evaluación de la regulación emocional en una muestra de conductores. Métodos: un total de 318 conductores varones (M = 41.6 años, DT = 11.1, rango de edad 20-69 años; la mitad con infracciones de tráfico y la mitad restante, controles emparejados), cumplimentaron el cuestionario de regulación de emociones (ERQ en inglés). El análisis de los datos se llevó a cabo mediante el modelo de Rasch para escalas de calificación. Resultados: El funcionamiento de las categorías de respuesta fue inadecuado. Tras reducir las siete categorías de respuesta originales a tres, las categorías resultaron funcionales, se cumplía el requisito de unidimensionalidad y el ajuste de los datos con el modelo fue adecuado. Tanto la fiabilidad de las personas como la de los ítems fueron adecuadas en las dos subescalas del ERQ. Se halló una diferencia significativa entre los grupos de estudio en la subescala de revaluación cognitiva. Conclusiones: Dadas las adecuadas propiedades psicométricas del ERQ, se sugiere explorar en profundidad el papel de la revaluación cognitiva en contextos de conducción.(AU)

Development of functional hybrid scaffolds for wound healing applications.

Hybrid hydrogels composed of chitosan (CS) and hyaluronic acid (HA) and collagen (Coll) were prepared by polyelectrolyte complex self-assembly. These scaffolds displayed a good intermingling of the polymeric chains, with porosities above 80% and good interconnected structures with pore sizes lying between 30-115 µm. The ionic interactions between CS and HA make the scaffolds have larger storage modulus and longer LVR regions than their pure counterparts. Both quantities progressively decrease as the HA and Coll concentrations in the formulation rise. These hybrid hydrogels showed good swelling extents from ca. 420 to ca. 690% and suitable resistance to enzymatic degradation, which was slightly lower for scaffolds containing CS to larger extents or Coll in the formulation. All scaffolds were largely cytocompatible and allowed the proliferation of both mouse fibroblast and human keratinocytes with their infiltration inside, thus becoming optimal matrices for intended tissue engineering applications as well as transdermal drug delivery depots.

Combined Therapeutics for Atherosclerosis Treatment Using Polymeric Nanovectors.

Atherosclerosis is an underlying risk factor in cardiovascular diseases (CVDs). The combination of drugs with microRNAs (miRNA) inside a single nanocarrier has emerged as a promising anti-atherosclerosis strategy to achieve the exploitation of their complementary mechanisms of action to achieve synergistic therapeutic effects while avoiding some of the drawbacks associated with current systemic statin therapies. We report the development of nanometer-sized polymeric PLGA nanoparticles (NPs) capable of simultaneously encapsulating and delivering miRNA-124a and the statin atorvastatin (ATOR). The polymeric NPs were functionalized with an antibody able to bind to the vascular adhesion molecule-1 (VCAM1) overexpressed in the inflamed arterial endothelium. The dual-loaded NPs were non-toxic to cells in a large range of concentrations, successfully attached overexpressed VCAM receptors and released the cargoes in a sustainable manner inside cells. The combination of both ATOR and miRNA drastically reduced the levels of proinflammatory cytokines such as IL-6 and TNF-α and of reactive oxygen species (ROS) in LPS-activated macrophages and vessel endothelial cells. In addition, dual-loaded NPs precluded the accumulation of low-density lipoproteins (LdL) inside macrophages as well as morphology changes to a greater extent than in single-loaded NPs. The reported findings validate the present NPs as suitable delivery vectors capable of simultaneously targeting inflamed cells in atherosclerosis and providing an efficient approach to combination nanomedicines.

New insights on the mechanism of polyethylenimine transfection and their implications on gene therapy and DNA vaccines.

Polyethylenimine (PEI) has been demonstrated as an efficient DNA delivery vehicle both in vitro and in vivo. There is a consensus that PEI-DNA complexes enter the cells by endocytosis and escape from endosomes by the so-called "proton sponge" effect. However, little is known on how and where the polyplexes are de-complexed for DNA transcription and replication to occur inside the cell nucleus. To better understand this issue, we (i) tracked the cell internalization of PEI upon transfection to human epithelial cells and (ii) studied the interaction of PEI with phospholipidic layers mimicking nuclear membranes. Both the biological and physicochemical experiments provided evidence of a strong binding affinity between PEI and the lipidic bilayer. Firstly, confocal microscopy revealed that PEI alone could not penetrate the cell nucleus; instead, it arranged throughout the cytoplasm and formed a sort of aureole surrounding the nuclei periphery. Secondly, surface tension measurements, fluorescence dye leakage assays, and differential scanning calorimetry demonstrated that a combination of hydrophobic and electrostatic interactions between PEI and the phospholipidic monolayers/bilayers led to the formation of stable defects along the model membranes, allowing the intercalation of PEI through the monolayer/bilayer structure. Results are also supported by molecular dynamics simulation of the pore formation in PEI-lipidic bilayers. As discussed throughout the text, these results might shed light on a the mechanism in which the interaction between PEI and the nucleus membrane might play an active role on the DNA release: on the one hand, the PEI-membrane interaction is anticipated to facilitate the DNA disassembly from the polyplex by establishing a competition with DNA for the PEI binding and on the other hand, the forming defects are expected to serve as channels for the entrance of de-complexed DNA into the cell nucleus. A better understanding of the mechanism of transfection of cationic polymers opens paths to development of more efficiency vectors to improve gene therapy treatment and the new generation of DNA vaccines.

Evaluación del Emotion Regulation Checklist para Niños y Adolescentes / Evaluation of the Emotion Regulation Checklist for Children and Adolescents / Avaliação da Lista de Controle de Regulação da Emoção para Crianças e Adolescentes

Resumen Durante la infancia y la adolescencia la regulación de las emociones tiene repercusiones en diferentes ámbitos, tanto en estas etapas como en la vida adulta. El objetivo de este artículo fue evaluar un test de regulación emocional, Emotional Regulation Checklist (ERC), utilizando el CET-R como marco de referencia. Se analizaron 71 artículos que emplearon el ERC para la evaluación de la regulación emocional. La información se clasificó teniendo en cuenta la descripción del test, su fiabilidad y validez. Todos los resultados de fiabilidad se mostraron mediante el coeficiente alfa de Cronbach. En relación a la validez, fue adecuado el promedio de las correlaciones del ERC con sus criterios, pero con algunas carencias. Es recomendable plantear investigaciones con modelos psicométricos avanzados.

Abstract Emotion regulation during childhood and adolescence has implications in different areas, both in these stages and in adult life. The objective of this article was to evaluate an emotional regulation test, Emotional Regulation Checklist (ERC), using CET-R as a frame of reference. We analyzed 71 articles that used the ERC for the evaluation of emotional regulation. The information was sorted according to test description, reliability and validity. All reliability results were shown using the Cronbach alpha coefficient. In relation to validity the average of the ERC correlations with the criteria was adequate but with some shortcomings. It is advisable to conduct research using advanced psychometric models.

Resumo A regulação das emoções na infância e adolescência tem implicações em diferentes áreas, tanto nestas fases como na vida adulta. O objetivo deste artigo foi avaliar um teste de regulação emocional, Emotional Regulation Checklist (ERC), usando o CET-R como marco de referência. Foram analisados 71 artigos que utilizaram o ERC para a avaliação da regulação emocional. A informação foi classificada de acordo com a descrição do teste, confiabilidade e validade. Todos os resultados de confiabilidade foram mostrados usando o coeficiente alfa Cronbach. Em relação à validade, a média das correlações do ERC com os critérios foi adequada, mas com algumas falhas. É aconselhável a realização de pesquisas utilizando modelos psicométricos avançados.

Assessment of Testifying Ability in Preschool Children: CAPALIST.

Purpose: Interviews to obtain statements in judicial procedures need to be adapted to the witnesses' abilities to testify. Moreover, knowing the cognitive abilities involved in testifying provides relevant criteria to assess statement credibility. As age or intelligence quotient is not enough to estimate these capabilities, an instrument to evaluate witnesses' specific abilities to testify is needed. The present paper validates CAPALIST, a procedure that considers relevant capabilities when assessing the testimony given by children. Methods: This study analyzed, by means of an invariant measurement approach (Rasch model), four scales included in CAPALIST: language, memory, contextual information, and social thinking. In addition, gender and age differences were analyzed in 83 children [45 males and 38 females; M age = 4.3 years, SD = 0.74, range (3.06-5.11)] from three courses in early childhood education. Results: The four scales do not severely violate the requirements of the model. The principal component analysis of the residuals indicates that the four scales are one dimensional and that the assumption of local independence was not violated. Differential item functioning of the scales associated with gender was not detected. A significant effect of the school year was obtained, with an increase in ability in successive courses. The percentage of children who presented severe misfit responses with the model was low. In addition, the number of items with a severe misfit was also low. Conclusion: An acceptable performance of CAPALIST is demonstrated for most of the scales, although items with a severe misfit must be replaced, and more difficult items have to be included in some scales of the revised version of the instrument. CAPALIST is a promising procedure to assess the abilities of children to testify in order to adapt interviews and to evaluate their statements correctly.

Liposomes embedded in layer by layer constructs as simplistic extracellular vesicles transfer model.

Extracellular vesicles (EVs) are particles originating from the exfoliation of the cellular membrane. They are involved in cell-to-cell and cell-to-matrix signaling, exchange of bioactive molecules, tumorigenesis and metastasis, among others. To mitigate the limited understanding of EVs transfer phenomena, we developed a simplistic model that mimics EVs and their interactions with cells and the extracellular matrix. The proposed model is a layer by layer (LbL) film built from the polycationic poly-l-lysine (PLL) and the glycosaminoglycan hyaluronic acid (HA) to provide ECM mimicry. Positively charged 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC) and N1,N1,N14,N14-tetramethyl-N1,N14-ditetradecyltetradecane-1,14-diaminium dibromide (GS14) liposomes were embedded in this construct to act as EVs analogs. To simulate EVs carrying substances, Nile Red was loaded as a model of lipophilic cargo molecules. The integration of each component was followed by quartz crystal microbalance measurements, which confirmed the immobilization of intact liposomes on the underlying (PLL/HA)3 soft film. The release of Nile Red from liposomes either embedded in the LbL construct or exposed at its surface revealed a fast first order release. This system was validated as a model for EV/cell interactions by incubation with breast cancer cells MDA-MB-231. We observed higher internalization for embedded liposomes when compared with surface-exposed ones, showcasing that the ECM mimic layers do not constitute a barrier to liposome/cell interactions but favor them.

Agreement on emotion labels' frequency in eight Spanish linguistic areas.

Various traditions have investigated the relationship between emotion and language. For the basic emotions view, emotional prototypes are lexically sedimented in language, evidenced in cultural convergence in emotional recognition and expression tasks. For constructionist theories, conceptual knowledge supported by language is at the core of emotions. Understanding emotion words is embedded in various interrelated constructs such as emotional intelligence, emotion knowledge or emotion differentiation, and is related to, but different from, general vocabulary. A clear advantage of Emotion Vocabulary over most emotion-related constructs is that it can be measured objectively. In two successive corpus-based studies, we tested the predictions of concordance and absolute agreement on the frequency of use of a total of 100 Spanish emotion labels in the eight main Spanish-speaking areas: Spain, Mexico-Central America, River Plate, Continental Caribbean, Andean, Antilles, Chilean, and the United States. In both studies, the intraclass correlation coefficient was statistically different from the null and very large, over .95, as was the Kendall's concordance coefficient, indicating broad consensus among the Spanish linguistic areas. From an applied perspective, our results provide supporting evidence for the similarity in frequency, and therefore cross-cultural generalizability regarding familiarity of the 100 emotion labels as item stems or as experimental stimuli without going through a process of additional adaptation. On a broader scope, these results add evidence on the role of language for emotion theories. In this regard, countries and regions compared here share the same Spanish language, but differ in several aspects in history, culture, and socio-economic structure.

Bis-quaternary ammonium gemini surfactants for gene therapy: Effects of the spacer hydrophobicity on the DNA complexation and biological activity.

Gemini surfactants (GS) have been highlighted as attractive gene carriers for a few years now; however, key aspects of the role of the GS chemical structure on the DNA-GS complexation and subsequent biological activity remain to be determined. Aiming to elucidate the effects of the GS spacer hydrophobicity, this work was focused on the biophysical characterization of the self-assembly, DNA complexation, cytocompatibility, and DNA transfection of a series of bis-quaternary ammonium GS with fixed side alkyl chains of 14 carbons and varying head-to-head alkyl chain spacers of 4, 6, and 14 carbons (referred to as GS4, GS6, and GS14, respectively). The characterization was carried out by a battery of experimental techniques including UV-vis and fluorescence sprectroscopies, ζ potential, dynamic light scattering (DLS), isothermal titration calorimetry (ITC), and flow cytometry, among others. Overall, the spectroscopic results showed that the self-assembly of the GS was favored with the spacer hydrophobicity since lower values of critical micelle concentration (CMC) were observed for samples with longer spacer chains. On the other hand, the ITC results revealed that the DNA-GS complexation was driven by an initial electrostatic attraction between DNA and GS monomers/micelles followed by complementary hydrophobic interactions which strengthen the DNA-GS binding, the latter being more pronounced for GS with longer spacers. Finally, the biological tests demonstrated that while GS with moderate hydrophobicity (GS4 and GS6) yielded outstanding levels of cytocompatibility and DNA transfection over a range of concentrations, the most hydrophobic sample (GS14) proved to be cytotoxic upon administration to cultured HeLa cells (p < 0.05). In our opinion, the fundamental information here presented might be pivotal not only for understanding the DNA-GS complexation mechanism, but also for developing efficient GS-based carriers for gene therapy.

Combined Magnetoliposome Formation and Drug Loading in One Step for Efficient Alternating Current-Magnetic Field Remote-Controlled Drug Release.

We have developed a reproducible and facile one step strategy for the synthesis of doxorubicin loaded magnetoliposomes by using a thin-layer evaporation method. Liposomes of around 200 nm were made of 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC) and iron oxide nanoparticles (NPs) with negative, positive, and hydrophobic surfaces that were incorporated outside, inside, or between the lipid bilayers, respectively. To characterize how NPs are incorporated in liposomes, advanced cryoTEM and atomic force microscope (AFM) techniques have been used. It was observed that only when the NPs are attached outside the liposomes, the membrane integrity is preserved (lipid melt transition shifts to 38.7 °C with high enthalpy 34.8 J/g) avoiding the leakage of the encapsulated drug while having good colloidal properties and the best heating efficiency under an alternating magnetic field (AMF). These magnetoliposomes were tested with two cancer cell lines, MDA-MB-231 and HeLa cells. First, 100% of cellular uptake was achieved with a high cell survival (above 80%), which is preserved (83%) for doxorubicin-loaded magnetoliposomes. Then, we demonstrate that doxorubicin release can be triggered by remote control, using a noninvasive external AMF for 1 h, leading to a cell survival reduction of 20%. Magnetic field conditions of 202 kHz and 30 mT seem to be enough to produce an effective heating to avoid drug degradation. In conclusion, these drug-loaded magnetoliposomes prepared in one step could be used for drug release on demand at a specific time and place, efficiently using an external AMF to reduce or even eliminate side effects.

The 5 Objects Test: Normative data from a Spanish community sample.

OBJECTIVE: The objective of this study was to provide normative data for the 5 Objects Test in a large Spanish community sample, as well as some validity evidence. METHODS: The sample was composed of 427 participants (of which 220 females, age 15 to 95 years old; educational level range: 2-17 years). Normative data are provided, as well as correlations with test scores from Benton Visual Retention test, Rey-Osterrieth Complex Figure and Mini Mental State Examination. RESULTS: No association was found between delayed recall score and level of education, age or gender. Immediate recall score was correlated with age. Both immediate and delayed recall significantly correlated with the criteria, evidencing concurrent validity. CONCLUSIONS: It is recommended that the 5 Objects Test be used for assessing persons in primary care, including those from different linguistic backgrounds or with limited language use. Delayed recall scores are especially recommended given the lack of association with demographic variables.

Testing the generalized validity of the Emotion Knowledge test scores.

Differential item functioning (DIF) is of the utmost importance in order to corroborate the generalized validity of test scores in different groups. DIF indicates that an item does not function equally in different groups such as age, gender or cultural ones. Our objective was to contrast the generalized validity of the Emotion Knowledge (EK) test scores in a heterogeneous Argentinian sample composed of 100 females and 100 males (age range: 18-65). Data from the original validation sample (200 Spanish participants, half of them males) were conjointly analyzed (total n = 400). Results of the Rasch Model (RM) analysis indicated that both fit to the RM and reliability (ISR = .97, PSR = .80) were adequate. Item logit measures ranged from -3.89 to 3.68, and person logit measures ranged from -1.12 to 5.09, with a mean value of 2.36. DIF was tested for gender, age, educational level and country, with a few item contrasts found to be statistically significant. Even though small significant differences in EK scores were associated with educational level (d = .25) and country (d = -.25), they became non-significant after removing the seven country-related DIF affected items. We can conclude that there is enough evidence for the generalized validity of EK test scores in Argentina. Given that recent theories of human emotion consider conceptual knowledge supported by language as constitutive of emotions, the EK test can be used in academic or applied settings where individual differences in emotional competence might be relevant.

Contrasting Two Verbal Fluency Scoring Systems Using the Rasch Rating Scale Model / Comparación de Dos Sistemas de Puntuación de la Fluidez Verbal Mediante el Modelo de Escalas de Calificación

Resumen Objetivo: Comparar dos sistemas de puntuación para un test de fluidez verbal con el Modelo de Escalas de Calificación. Método: Se analizaron datos de 289 participantes, de los cuales 92 habían sido diagnosticados con Parkinson. Las puntuaciones se calcularon con dos sistemas de categorización: un procedimiento convencional y otro basado en percentiles. Resultados: Las puntuaciones Rasch procedentes de percentiles dan lugar a categorías adecuadas y medidas fiables; la correlación con las puntuaciones del test Minimental es evidencia de validez concurrente. Tras controlar estadísticamente el efecto de la edad, las medidas Rasch procedentes de percentiles discriminan entre ambos grupos, lo que evidencia validez predictiva. Conclusiones: El análisis de los dos procedimientos permite recomendar el uso de las categorías basadas en percentiles.

Abstract Objective: Two scoring systems for a verbal fluency test were compared using the Rasch Rating Scale Model. Method: The analysis was carried out on 289 participants, 92 of whom had had a Parkinson's disease diagnosis. Scores were calculated with two different category systems: a conventional procedure and a percentile-based one. Results: The percentile-based Rasch scores produce adequate categories and reliable measures, while the correlation with the Mini Mental State Examination evinces concurrent validity. After statistically controlling for age, percentile-based Rasch measures discriminated between both groups, demonstrating predictive validity. Conclusions: The analysis of the two procedures allows for the recommendation of the use of percentile-based categories.

Using the Rasch analysis for the psychometric validation of the Irregular Word Reading Test (TeLPI): A Portuguese test for the assessment of premorbid intelligence.

OBJECTIVE: The present study aims to analyze the psychometric characteristics of the TeLPI (Irregular Words Reading Test), a Portuguese premorbid intelligence test, using the Rasch model for dichotomous items. RESULTS: The results reveal an overall adequacy and a good fit of values regarding both items and persons. A high variability of cognitive performance level and a good quality of the measurements were also found. The TeLPI has proved to be a unidimensional measure with reduced DIF effects. CONCLUSIONS: The present findings contribute to overcome an important gap in the psychometric validity of this instrument and provide good evidence of the overall psychometric validity of TeLPI results.

Spatial Visualization ability improves with and without studying Technical Drawing.

The results of several studies suggest that spatial ability can be improved through direct training with tasks similar to those integrated in the tests used to measure the ability. However, there is a greater interest in analyzing the effectiveness of indirect training such as games or of learning subjects that involve spatial processes to a certain extent. Thus, the objective of the present study was to analyze whether the indirect training in Technical Drawing improved the Spatial Visualization ability of Architecture students. For this purpose, a group of students enrolled in Fundamentals of Architecture were administered two tests, a Spatial Visualization task and an Abstract Reasoning task, at the beginning and the end of a semester, after having received training through the subjects "Technical Drawing I: Geometry and Perception" and "Projects I." The results of this group were compared with those of a control group of students enrolled in a Mathematics degree, who were also pre-post evaluated but had not received the training in Technical Drawing. The study showed a significant pre-post improvement in both, Visualization and reasoning. However, this improvement occurred in both groups, thereby concluding that this improvement was not due to indirect training. Furthermore, no significant differences were found between men and women in any of the groups or conditions. These results clarify those of an earlier study where improvement in Visualization after training in Technical Drawing was found but did not include a comparison with a control condition. The control condition has proved to be important in order to consider the limitations of the effect of Technical Drawing on said improvement.

Pitfalls in Diagnosis of Early-Onset Inflammatory Bowel Disease.

AIM: The onset of inflammatory bowel disease (IBD) in patients younger than the age of 5 years is rare. Moreover, when there is exclusive colonic inflammation, diagnosis can be challenging. Our aim was to describe the difficulties and pitfalls in the diagnosis of early-onset IBD (eoIBD) and their repercussions in treatment decisions. PATIENTS AND METHODS: Patients with eoIBD (Crohn's disease [CD], ulcerative, and unclassified colitis) treated at our center between 1990 and 2016 were studied retrospectively. Demographic, clinical, medical, and surgical treatment data were analyzed. RESULTS: A total of 19 patients were diagnosed with eoIBD at 21 (1-46) months of age. Bloody diarrhea, growth failure, and abdominal pain were present in 90, 42, and 16%, respectively. After 9 (1-62) months from the onset, patients were classified as ulcerative colitis (nine), CD (two), and unclassified colitis (eight). Unresponsiveness to medical treatment was observed in 10 and prompted surgical assessment. A partial colectomy was performed in one, and nine underwent a total colectomy (one end stoma and eight ileoanal anastomosis [IAA]). At least one surgical complication occurred in 80% and ultimately six patients with an IAA required an end stoma. Overtime, final diagnosis of 5 out of the 10 surgical patients changed due to biopsy findings, unresponsiveness to medical treatment, or extraintestinal and perianal manifestations. After a 12-year (1-22) follow-up, 57.9% of the diagnoses of all patients were modified. CONCLUSION: EoIBD poses a challenge due to ambiguous presentation and absence of specific diagnostic tests. Surgical evaluation is often needed and surgeons must be mindful of possible initial misdiagnosis, in addition to short- and long-term outcomes before deciding aggressive surgical measures as well as intestinal reconstruction.