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1.
Brain Inj ; : 1-10, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33587672

RESUMO

Purpose: SARS-CoV-2 infection can cause the coronavirus disease (COVID), ranging from flu-like symptoms to interstitial pneumonia. Mortality is high in COVID pneumonia and it is the highest among the frailest. COVID could be particularly serious in patients with severe acquired brain injury (SABI), such as those with a disorder of consciousness. We here describe a cohort of patients with a disorder of consciousness exposed to SARS-CoV-2 early after their SABI. Materials and methods: The full cohort of 11 patients with SABI hospitalized in March 2020 in the IRCCS Fondazione Don Gnocchi rehabilitation (Milan, Italy) was recruited. Participants received SARS-CoV-2 testing and different clinical and laboratory data were collected. Results: Six patients contracted SARS-CoV-2 and four of them developed the COVID. Of these, one patient had ground-glass opacities on the chest CT scan, while the remaining three developed consolidations. No patient died and the overall respiratory involvement was mild, requiring in the worst cases low-flow oxygen. Conclusions: Here we report the clinical course of a cohort of patients with SABI exposed to SARS-CoV-2. The infection spread among patients and caused COVID in some of them. Unexpectedly, COVID was moderate, caused at most mild respiratory distress and did not result in fatalities.

2.
Fish Physiol Biochem ; 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33523350

RESUMO

Thermal and saline variations of the Southern Ocean are important signs of climate change which can alter the physiological responses of stenotic species residing at high latitudes. Our study aimed to evaluate the cellular stress response (CSR) of Harpagifer antarcticus subjected to increased ambient temperature and decreased salinity. The fish were distributed in different thermal (2, 5, 8, 11, and 14 °C) and saline (23, 28, and 33 psu) combinations for 10 days. We used qPCR analysis to evaluate the transcription of genes involved in the thermal shock response (HSP70, HSC70, HSP90, and GRP78), ubiquitination (E2, E3, ubiquitin, and CHIP), 26S proteasome complex (PSMA2, PSMB7, and PSMC1), and apoptosis (SMAC/Diablo and BAX) in the liver and gill. The expression profiles were tissue-specific and mainly dependent on temperature rather than salinity in the gill; meanwhile, in the liver, both conditions modulated the expression of these genes. Transcription of markers involved in the heat shock response was much higher in the liver than in the gill and was higher when salinity decreased and the temperature increased. Similarly, the genes involved in the ubiquitination pathway, 26S complex of the proteasome, and the apoptotic pathway showed the same pattern, being mainly induced in the liver rather than in the gill. This is the first study to show that this Antarctic fish can induce the cellular stress response in their tissues when subjected to these thermal/saline combinations.

3.
J Am Chem Soc ; 2021 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-33593065

RESUMO

Molecular separation of carbon dioxide (CO2) and methane (CH4) is of growing interest for biogas upgrading, carbon capture and utilization, methane synthesis and for purification of natural gas. Here, we report a new zeolitic-imidazolate framework (ZIF), coined COK-17, with exceptionally high affinity for the adsorption of CO2 by London dispersion forces, mediated by chlorine substituents of the imidazolate linkers. COK-17 is a new type of flexible zeolitic-imidazolate framework Zn(4,5-dichloroimidazolate)2 with the SOD framework topology. Below 200 K it displays a metastable closed-pore phase next to its stable open-pore phase. At temperatures above 200 K, COK-17 always adopts its open-pore structure, providing unique adsorption sites for selective CO2 adsorption and packing through van der Waals interactions with the chlorine groups, lining the walls of the micropores. Localization of the adsorbed CO2 molecules by Rietveld refinement of X-ray diffraction data and periodic density functional theory calculations revealed the presence and nature of different adsorption sites. In agreement with experimental data, grand canonical Monte Carlo simulations of adsorption isotherms of CO2 and CH4 in COK-17 confirmed the role of the chlorine functions of the linkers and demonstrated the superiority of COK-17 compared to other adsorbents such as ZIF-8 and ZIF-71.

4.
J Am Chem Soc ; 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33433193

RESUMO

Porous robust materials are typically the primary selection of several industrial processes. Many of these compounds are, however, not robust enough to be used as multifunctional materials. This is typically the case of Metal-Organic Frameworks (MOFs) which rarely combine several different excellent functionalities into the same material. In this report we describe the simple acid-base postsynthetic modification of isotypical porous rare-earth-phosphonate MOFs into a truly multifunctional system, maintaining the original porosity features: [Ln(H3pptd)]·xSolvent [where Ln3+ = Y3+ (1) and (Y0.95Eu0.05)3+ (1_Eu)] are converted into [K3Ln(pptd)]·zSolvent [where Ln3+ = Y3+ (1K) and (Y0.95Eu0.05)3+ (1K_Eu)] by immersing the powder of 1 and 1_Eu into an ethanolic solution of KOH for 48 h. The K+-exchanged Eu3+-based material exhibits a considerable boost in CO2 adsorption, capable of being reused for several consecutive cycles. It can further separate C2H2 from CO2 from a complex ternary gas mixture composed of CH4, CO2, and C2H2. This high adsorption selectivity is, additionally, observed for other gaseous mixtures, such as C3H6 and C3H8, with all these results being supported by detailed theoretical calculations. The incorporation of K+ ions notably increases the electrical conductivity by 4 orders of magnitude in high relative humidity conditions. The conductivity is assumed to be predominantly protonic in nature, rendering this material as one of the best conducting MOFs reported to date.

5.
J Diabetes Complications ; 35(3): 107828, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33436143

RESUMO

AIMS: To analyze therapeutic inertia in type 2 diabetes (T2D) subjects with suboptimal glycemic control and treated with ≥2 non-insulin antidiabetic agents in a primary care setting. METHODS: A retrospective study was conducted using electronic medical records from subjects with HbA1c ≥7.0% (≥53 mmol/mol). Therapeutic inertia was defined as the absence of treatment intensification despite suboptimal glycemic control where intensification should have been implemented (HbA1c ≥7.5% [≥58 mmol/mol]). Time to the first intensification with non-insulin antidiabetic agent or insulin and HbA1c values at the time of intensification were evaluated by competing risk analysis. RESULTS: 2652 adults with T2D and HbA1c ≥7.0% (≥53 mmol/mol) were included. During the 4-year follow-up, among 1628 individuals with HbA1c ≥7.5% [≥58 mmol/mol], therapeutic inertia was present in 42.9% of cases. Median time to intensification was 14.5 months (IQR25-75, 4-24 months). In this subgroup, 72.7% of subjects initiated non-insulin agents whereas 27.3% initiated insulin. Mean HbA1c values at initiation of treatment intensification were 8.6% (70 mmol/mol) and 9.2% (77 mmol/mol), respectively. CONCLUSIONS: Therapeutic inertia occurred in over 40% of subjects. Treatment intensification took longer and was performed at higher HbA1c than recommended in clinical guidelines. Reducing therapeutic inertia is a priority to achieve therapeutic goals and prevent chronic complications in T2D.

6.
J Fish Biol ; 2021 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-33452810

RESUMO

Global warming is having a significant impact around the world, modifying environmental conditions in many areas, including in zones that have been thermally stable for thousands of years, such as Antarctica. Stenothermal sedentary intertidal fish species may suffer due to warming, notably if this causes water freshening from increased freshwater inputs. Acute decreases in salinity, from 33 down to 5, were used to assess osmotic responses to environmental salinity fluctuations in Antarctic spiny plunderfish Harpagifer antarcticus, in particular to evaluate if H. antarcticus is able to cope with freshening and to describe osmoregulatory responses at different levels (haematological variables, muscle water content, gene expression, NKA activity). H. antarcticus were acclimated to a range of salinities (33 as control, 20, 15, 10 and 5) for 1 week. At 5, plasma osmolality and calcium concentration were both at their lowest, while plasma cortisol and percentage muscle water content were at their highest. At the same salinity, gill and intestine Na+ -K+ -ATPase (NKA) activities were at their lowest and highest, respectively. In kidney, NKA activity was highest at intermediate salinities (15 and 10). The salinity-dependent NKA mRNA expression patterns differed depending on the tissue. Marked changes were also observed in the expression of genes coding membrane proteins associated with ion and water transport, such as NKCC2, CFTR and AQP8, and in the expression of mRNA for the regulatory hormone prolactin (PRL) and its receptor (PRLr). Our results demonstrate that freshening causes osmotic imbalances in H. antarcticus, apparently due to reduced capacity of both transport and regulatory mechanisms of key organs to maintain homeostasis. This has implications for fish species that have evolved in stable environmental conditions in the Antarctic, now threatened by climate change.

7.
Dalton Trans ; 50(7): 2493-2500, 2021 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-33514984

RESUMO

Pharmaceutical and personal care products (PPCPs) are regarded as an emerging class of contaminants, which are often released directly into the environment, causing severe deleterious effects. In particular, the widely prescribed ß-blocker atenolol (At) is alarmingly present in water. Despite the toxicity caused by At, no specific methods are currently available for its efficient removal. Here, 8 highly porous metal-organic frameworks (MOFs) with a priori remarkable aqueous stability and exceptional porosity were proposed for the removal of At. A robust nickel bispyrazolate MOF (Ni8BDP6) was selected as the most promising adsorbent, further improving its At decontamination efficiency (92-100%) and stability (<1% degradation) by using its defective version, KOH@Ni8BDP6. Finally, the At removal was studied for the first time using a MOF-continuous flow column-device under realistic conditions (tap drinking water and river water, and considering the MOF integrity), achieving a very high contaminant removal efficiency for consecutive 12 days (ca. 90%) and envisioning the future real application of MOFs in water remediation.

8.
Sci Rep ; 11(1): 2510, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33510300

RESUMO

The capacity of marine organisms to adapt and/or acclimate to climate change might differ among distinct populations, depending on their local environmental history and phenotypic plasticity. Kelp forests create some of the most productive habitats in the world, but globally, many populations have been negatively impacted by multiple anthropogenic stressors. Here, we compare the physiological and molecular responses to ocean acidification (OA) and warming (OW) of two populations of the giant kelp Macrocystis pyrifera from distinct upwelling conditions (weak vs strong). Using laboratory mesocosm experiments, we found that juvenile Macrocystis sporophyte responses to OW and OA did not differ among populations: elevated temperature reduced growth while OA had no effect on growth and photosynthesis. However, we observed higher growth rates and NO3- assimilation, and enhanced expression of metabolic-genes involved in the NO3- and CO2 assimilation in individuals from the strong upwelling site. Our results suggest that despite no inter-population differences in response to OA and OW, intrinsic differences among populations might be related to their natural variability in CO2, NO3- and seawater temperatures driven by coastal upwelling. Further work including additional populations and fluctuating climate change conditions rather than static values are needed to precisely determine how natural variability in environmental conditions might influence a species' response to climate change.

9.
Inorg Chem ; 2020 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-33274917

RESUMO

Zn-containing metal-organic frameworks have been used for the first time as heterogeneous catalysts in the amination of C-Cl bonds. The use of extended bis(pyrazolate) linkers can generate highly porous architectures, which favor the diffusion of amines to the confined spaces with respect to other imidazolate frameworks with narrower pore windows. The N4Zn nodes of the Zn-reticular framework show comparable activity to state-of-the-art homogeneous Zn amination catalysts, avoiding the use of basic conditions, precious metals, or other additives. This is combined with long-term activity and stability upon several reaction cycles, without contamination of the reaction product.

10.
Inorg Chem ; 59(22): 16160-16167, 2020 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-33151071

RESUMO

A series of Ce/Zr mixed-metal-organic frameworks with different topology/connectivity, namely, Ce/Zr-UiO-66 (U01, U02, and U03) (fcu (12-c)), Ce/Zr-DUT-67-PZDC (D01 and D02) (reo (8-c)), and Ce/Zr-MOF-808 (M01, M02, and M03) (spn (6-c)) were evaluated toward the detoxification of toxic nerve agent model diisopropylfluorophosphate (DIFP) at room temperature in unbuffered aqueous solution. Noteworthily, the catalytic rate for P-F bond cleavage increased with increasing Ce/Zr molar ratio. A further increase in catalytic activity can be achieved by Mg(OMe)2 doping of the mixed-metal MOFs as exemplified with M01@Mg(OMe)2 and M02@Mg(OMe)2 systems. The results show that Mg(OMe)2 incorporation into the mesoporous cavities of M01 and M02 give rise to P-F hydrolytic degradation half-lives of nearly 5 and 2 min with 100% degradation of DIFP after 55 and 65 min for M01@Mg(OMe)2 1:2 and M02@Mg(OMe)2 1:4, respectively.

11.
Mar Pollut Bull ; : 111834, 2020 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-33203603

RESUMO

Microplastic particles (MP) uptake by marine organisms is a phenomenon of global concern. Nevertheless, there is scarce evidence about the impacts of MP on the energy balance of marine invertebrates. We evaluated the mid-term effect of the microplastic ingestion at the current higher environmental concentrations in the ocean on the energy balance of the giant mussel Choromytilus chorus. We exposed juvenile mussels to three concentrations of microplastics (0, 100, and 1000 particles L-1) and evaluated the effect on physiology after 40 days. The impacts of MP on the ecophysiological traits of the mussels were minimum at all the studied concentrations. At intermediate concentrations of MP, Scope for Growth (SFG) had little impact. Other relevant key life-history and physiological processes, such as size and metabolism, were not affected by microplastics. However, individuals treated with MP presented histopathological differences compared to control group, which could result in adverse health effects for mussels.

12.
J Clin Med ; 9(11)2020 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-33126723

RESUMO

This study aimed to assess the time course of circulating neutrophil and lymphocyte counts and their ratio (NLR) in ST-segment elevation myocardial infarction (STEMI) and coronavirus disease (COVID)-19 and explore their associations with clinical events and structural damage. Circulating neutrophil, lymphocyte and NLR were sequentially measured in 659 patients admitted for STEMI and in 103 COVID-19 patients. The dynamics detected in STEMI (within a few hours) were replicated in COVID-19 (within a few days). In both entities patients with events and with severe structural damage displayed higher neutrophil and lower lymphocyte counts. In both scenarios, higher maximum neutrophil and lower minimum lymphocyte counts were associated with more events and more severe organ damage. NLR was higher in STEMI and COVID-19 patients with the worst clinical and structural outcomes. A canonical deregulation of the immune response occurs in STEMI and COVID-19 patients. Boosted circulating innate (neutrophilia) and depressed circulating adaptive immunity (lymphopenia) is associated with more events and severe organ damage. A greater understanding of these critical illnesses is pivotal to explore novel alternative therapies.

13.
Sci Total Environ ; 748: 142448, 2020 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-33113697

RESUMO

In the Southern Ocean, warming and freshening are expected to be prominent signals of climate change and the reduced ability of Antarctic marine organisms to cope with changing environmental conditions could challenge their future survival. The Antarctic limpet Nacella concinna is a macroinvertebrate of rocky ecosystems, which occurs in high densities in the shallow subtidal zone. Subtidal individuals were exposed to a combination of temperatures (1, 4, 8, 11, 14 °C) and salinities (20 and 30 psu) for a 60-day period. A drastic increment in mortality was observed with seawater warming, showing that N. concinna is highly stenothermal, with limited ability to survive at temperatures warmer than 4 °C, although there was some degree of acclimation at 4 °C and ambient salinity (30 psu). This study confirmed the stenohaline characteristic of this species, with mortality reaching 50% and lower scope for growth at low salinity (20 psu) even at the control temperature (1 °C). At the sub-cellular level, limpets' low tolerance to out-of range salinity is illustrated by the activation of cell remodelling processes whereas the down-regulation of chaperones proteins and plasma membrane ATPase suggest that under the combination of warming and freshening N. concinna experiences a severe level of stress and devote much of its energy to somatic maintenance and survival. The drastic effect observed can be explained by its subtidal origin, an environment with more stable conditions. The surviving individuals at 1 °C and lowered salinity (20 psu) were either more tolerant or showing signs of acclimation after 60 days, but the combination of warming and freshening have a greater combined stress. Projections of climate change for end of the century for this part of the Antarctic can, therefore, result in a significant diminution of the subtidal population of N. concinna, affecting ecological interactions and diversity of the food web.


Assuntos
Ecossistema , Gastrópodes , Animais , Regiões Antárticas , Humanos , Oceanos e Mares , Água do Mar , Temperatura , Transcriptoma
14.
Mar Environ Res ; 162: 105154, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32998067

RESUMO

Anthropogenic CO2 emissions have led to ocean acidification and a rise in the temperature. The present study evaluates the effects of temperature (10, 15 and 20 °C) and pCO2 (400 and 1200 µatm) on the early development and oxygen consumption rate (OCR) of the sea louse Caligus rogercresseyi. Only temperature has an effect on the hatching and development times of nauplius I. But both factors affected the development time of nauplius II (

Assuntos
Copépodes , Ftirápteros , Animais , Dióxido de Carbono/toxicidade , Concentração de Íons de Hidrogênio , Água do Mar , Temperatura
15.
PLoS One ; 15(6): e0234994, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32598370

RESUMO

Estuaries are characterized by high fluctuation of their environmental conditions. Environmental parameters measured show that the seawater properties of the Quempillén estuary (i.e. temperature, salinity, pCO2, pH and ΩCaCO3) were highly fluctuating and related with season and tide. We test the effects of increasing temperature and pCO2 in the seawater on the physiological energetics of the bivalve Ostrea chilensis. Juvenile oysters were exposed to an orthogonal combination of three temperatures (10, 15, and 20°C) and two pCO2 levels (~400 and ~1000 µatm) for a period of 60 days to evaluate the temporal effect (i.e. 10, 20, 30, 60 days) on the physiological rates of the oysters. Results indicated a significant effect of temperature and time of exposure on the clearance rate, while pCO2 and the interaction between pCO2 and the other factors studied did not show significant effects. Significant effects of temperature and time of exposure were also observed on the absorption rate, but not the pCO2 nor its interaction with other factors studied. Oxygen consumption was significantly affected by pCO2, temperature and time. Scope for growth was only significantly affected by time; despite this, the highest values were observed for individuals subject to to 20°C and to ~1000 µatm pCO2. In this study, Ostrea chilensis showed high phenotypic plasticity to respond to the high levels of temperature and pCO2 experienced in its habitat as no negative physiological effects were observed. Thus, the highly variable conditions of this organism's environment could select for individuals that are more resistant to future scenarios of climate change, mainly to warming and acidification.


Assuntos
Aclimatação , Variação Biológica da População , Exposição Ambiental/efeitos adversos , Ostrea/fisiologia , Água do Mar/química , Animais , Dióxido de Carbono/análise , Dióxido de Carbono/metabolismo , Chile , Mudança Climática , Temperatura Alta/efeitos adversos , Concentração de Íons de Hidrogênio , Consumo de Oxigênio , Salinidade
16.
Sci Total Environ ; 728: 138850, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32570334

RESUMO

In order to develop powerful predictions on the impact of climate change on marine organisms, it is critical to understand how abiotic drivers such as temperature can directly and indirectly affect marine organisms. Here, we evaluated and compared the physiological vulnerability of the leading-edge populations of two species of sea urchins Loxechinus albus and Pseudechinus magellanicus in response to predicted ocean warming and food limitation. After exposing sea urchins to a 60-day experimental period to contrasting temperature (1 °C, 7 °C and 14 °C corresponding respectively to the actual average summer temperature in Antarctica, the control treatment temperature and the predicted future temperature in the Strait of Magellan) and diet levels (ad libitum or food limitation), sea urchin stress tolerance was assessed. Sea urchins' physiology was measured at the organismal and sub-cellular level by studying the organisms energy balance (behavior, growth, gonad index, ingestion rate, O2 uptake, energy reserves) and the expression of genes associated with aerobic metabolism. Our results showed that at their distribution edge, and despite their distinct geographical repartition, both species might be resilient to ocean warming. However, the combination of ocean warming and food limitation reduced the stress tolerance of sea urchins. In a warming ocean, another strategy could be to migrate toward the pole to a cooler environment but incubation at 1 °C resulted in a diminution of both species' aerobic scope. Overall, if these engineer species are unable to acclimate to food limitation under future climate, population fitness could be affected with ecological and economic consequences.


Assuntos
Mudança Climática , Ouriços-do-Mar , Animais , Regiões Antárticas , Oceanos e Mares , Temperatura
17.
Biosystems ; 195: 104170, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32485351

RESUMO

The present work explores, from the vantage point of the sociotype, the dramatic acceleration of cultural change alongside the successive industrial revolutions, particularly in the ongoing information era. Developed within the genotype-phenotype-sociotype conceptual triad, the sociotype means the average social environment that is adaptively demanded by the "social brain" of each individual. For there is a regularity of social interaction, centered on social bonding and talking time, which has been developed as an adaptive trait, evolutionarily rooted, related to the substantial size increase of human groups. A quantitative approach to the sociotype basic traits shows fundamental competitive interrelationships taking place within an overall "attention economy." Approaching these figures via the Planckian Distribution Equation, they can be connected with many other competitive processes taking place in the biological, economic, and cultural realms. Concerning culture, the cognitive limits of the individual, which we consider commensurate with the sociotype general limitations, impose by themselves a strict boundary on the cultural items effectively handled by each individual, fostering the overall competition and decay. Further, the emergence of differentiated generations with ample discrepancy in styles of life, social aspirations, and dominant technologies would represent a systematic bias in the competition and replacement of cultural items. Intriguingly, the cultural acceleration detected in modern societies alongside the successive industrial revolutions, with an ostensible climax in the ongoing fourth industrial revolution -the information era- might be itself a paradoxical consequence of the sociotype's dynamic constancy.

18.
J Anim Ecol ; 89(8): 1775-1787, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32358787

RESUMO

Tree diversity exerts a strong influence on consumer communities, but most work has involved single time point measurements over short time periods. Describing temporal variation associated with diversity effects over longer time periods is necessary to fully understand the effects of tree diversity on ecological function. We conducted a year-long study in an experimental system in southern Mexico assessing the effects of tree diversity on the abundance and diversity of foraging birds. To this end, we recorded bird visitation patterns in 32 tree plots (21 × 21 m; 12 tree species monocultures, 20 four-species polycultures) every 45 days (n = 8 surveys) and for each plot estimated bird abundance, richness, functional diversity (FD) and phylogenetic diversity (PD). In each case, we reported temporal (intra-annual) variation in the magnitude of tree diversity effects, and calculated the temporal stability of these bird responses. Across surveys, tree diversity noticeably affected bird responses, demonstrated by significantly higher abundance (43%), richness (32%), PD (25%) and FD (25%) of birds visiting polyculture plots compared to monoculture plots, as well as a distinct species composition between plot types. We also found intra-annual variation in tree diversity effects on these response variables, ranging from surveys for which the diversity effect was not significant to surveys where a significant 80% increase (e.g. for bird FD and PD) was observed in polyculture relative to monoculture plots. Notably, tree diversity increased the stability of all bird responses, with polycultures having a greater stability abundance (18%), richness (38%), PD (32%), and FD (35%) of birds visiting tree species polycultures compared to monocultures. These results show that tree diversity not only increases bird visitation to plots, but also stabilizes bird habitat usage over time in ways that could implicate insurance-related mechanisms. Such findings are highly relevant for understanding the long-term effects of plant diversity on vertebrates and the persistence of bird-related ecosystem functions. More work is needed to unveil the ecological mechanisms behind temporal variation in vertebrate responses to tree diversity and their consequences for community structure and function.

19.
Brain Inj ; 34(7): 921-927, 2020 06 06.
Artigo em Inglês | MEDLINE | ID: mdl-32442386

RESUMO

OBJECTIVE: To assess a simple technology solution to support basic communication and leisure in people with neurological disorders, extensive motor impairment, and absence of speech. DESIGN: The design was a non-concurrent multiple baseline across participants. METHODS: The study included eight participants and assessed a technology setup including a Samsung Galaxy Tab S2 LTE tablet and a Samsung Galaxy A3 smartphone. The smartphone, automated via MacroDroid, presented the participant with leisure, messages, and caregiver options. Choosing leisure or messages (by activating the smartphone's proximity sensor) led the smartphone to present the alternatives available for that option and eventually verbalize the alternative selected. This verbalization triggered the tablet's Google Assistant and led the tablet to present a leisure event or start a message exchange. Choosing the caregiver led the smartphone to invite the caregiver to interact with the participant. RESULTS: During baseline (i.e., when a standard smartphone was available), the participants did not activate any of the options. During intervention and post-intervention (i.e., with the technology described above), participants activated all options and spent most of the session time positively engaged with them. CONCLUSIONS: The aforementioned technology seems to be a useful tool for individuals like those involved in this study.

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