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1.
J Psycholinguist Res ; 52(6): 2499-2515, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37656324

RESUMEN

In Spanish, the plural form in plural dominant frequency pairs, like "diente/dientes" [tooth/teeth], occurs more frequently than the corresponding singular form. On the other hand, for the singular dominant frequency pairs such as "cometa/cometas" [kite/kites], the singular form is more common than the plural. The recognition of singular forms by adult readers is dependent on the dominance factor, while the identification of plural forms relies on the frequency of the stem. Given that age and reading experience may influence morphological processing of words, we investigate the representation of singulars and plurals in Spanish primary school children in Third Grade (8/9) and Sixth Grade (11/12) and adults through a lexical decision task. Though children's lexical decisions were twice as slow as adults, the pattern of morphological processing was consistent across ages: dominant plural forms resulted in decision times that were comparable to those of non-dominant singular forms, while recognition of singular-dominant forms was quicker than recognition of plural non-dominant forms. It appears that singulars are accessed and stored in the lexical memory as separate entities, while plurals depend on their morphological closer relatives, in this case, the singular forms.


Asunto(s)
Lectura , Reconocimiento en Psicología , Niño , Adulto , Humanos
2.
Sensors (Basel) ; 21(20)2021 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-34695923

RESUMEN

Cities have high demand and limited availability of water and energy, so it is necessary to have adequate technologies to make efficient use of these resources and to be able to generate them. This research focuses on developing and executing a methodology for an urban living lab vocation identification for a new water and energy self-sufficient university building. The methods employed were constructing a technological roadmap to identify global trends and select the technologies and practices to be implemented in the building. Among the chosen technologies were those for capturing and using rain and residual water, the generation of solar energy, and water and energy generation and consumption monitoring. This building works as a living laboratory since the operation and monitoring generate knowledge and innovation through students and research groups that develop projects. The insights gained from this study may help other efforts to avoid pitfalls and better design smart living labs and off-grid buildings.


Asunto(s)
Lluvia , Universidades , Ciudades , Humanos , Tecnología , Agua
3.
Behav Brain Funct ; 16(1): 11, 2020 Dec 02.
Artículo en Inglés | MEDLINE | ID: mdl-33267883

RESUMEN

BACKGROUND: Novel word acquisition is generally believed to be a rapid process, essential for ensuring a flexible and efficient communication system; at least in spoken language, learners are able to construct memory traces for new linguistic stimuli after just a few exposures. However, such rapid word learning has not been systematically found in visual domain, with different confounding factors obscuring the orthographic learning of novel words. This study explored the changes in human brain activity occurring online, during a brief training with novel written word-forms using a silent reading task RESULTS: Single-trial, cluster-based random permutation analysis revealed that training caused an extremely fast (after just one repetition) and stable facilitation in novel word processing, reflected in the modulation of P200 and N400 components, possibly indicating rapid dynamics at early and late stages of the lexical processing. Furthermore, neural source estimation of these effects revealed the recruitment of brain areas involved in orthographic and lexico-semantic processing, respectively. CONCLUSIONS: These results suggest the formation of neural memory traces for novel written word-forms after a minimal exposure to them even in the absence of a semantic reference, resembling the rapid learning processes known to occur in spoken language.


Asunto(s)
Encéfalo/fisiología , Potenciales Evocados/fisiología , Aprendizaje/fisiología , Lectura , Adolescente , Adulto , Análisis por Conglomerados , Electroencefalografía , Femenino , Humanos , Masculino , Memoria/fisiología , Procesos Mentales , Semántica , Aprendizaje Verbal , Adulto Joven
4.
Behav Res Methods ; 48(1): 349-65, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25939978

RESUMEN

The extent to which processing words involves breaking them down into smaller units or morphemes or is the result of an interactive activation of other units, such as meanings, letters, and sounds (e.g., dis-agree-ment vs. disagreement), is currently under debate. Disentangling morphology from phonology and semantics is often a methodological challenge, because orthogonal manipulations are difficult to achieve (e.g., semantically unrelated words are often phonologically related: casual-casualty and, vice versa, sign-signal). The present norms provide a morphological classification of 3,263 suffixed derived words from two widely spoken languages: English (2,204 words) and Spanish (1,059 words). Morphologically complex words were sorted into four categories according to the nature of their relationship with the base word: phonologically transparent (friend-friendly), phonologically opaque (child-children), semantically transparent (habit-habitual), and semantically opaque (event-eventual). In addition, ratings were gathered for age of acquisition, imageability, and semantic distance (i.e., the extent to which the meaning of the complex derived form could be drawn from the meaning of its base constituents). The norms were completed by adding values for word frequency; word length in number of phonemes, letters, and syllables; lexical similarity, as measured by the number of neighbors; and morphological family size. A series of comparative analyses from the collated ratings for the base and derived words were also carried out. The results are discussed in relation to recent findings.


Asunto(s)
Imaginación , Lenguaje , Fonética , Semántica , Adolescente , Adulto , Factores de Edad , Femenino , Humanos , Aprendizaje , Lingüística , Masculino , Persona de Mediana Edad , Adulto Joven
5.
Neurocase ; 21(4): 418-28, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-24832136

RESUMEN

We present a single case of a right-handed female patient, RH, who was categorized as suffering from conduction aphasia. She presented no articulatory problems during spontaneous speech but made a significant number of phonological paraphasias in naming and repetition tasks. The number of errors increased for long words and pseudowords. This pattern of results points to damage in the "Phonological Output Buffer" (POB) as the basis of this disorder. However, this patient did not make mistakes when reading words and pseudowords aloud, even when we introduced a delay between the presentation of the word and its production to test the working memory resources of the phonological buffer. Furthermore, the patient's ability to name objects, repeat words, and write to dictation improved with her degree of familiarity with the items. The damage could be situated at the point where phonemes are selected and ordered to produce words. We posit that the deficits observed in this patient, and the differences encountered between her performance and that of others described in the literature, in particular in reading tasks, can be explained by considering POB damage to be gradual in nature. According to this explanation, the performance of patients with damage to the POB will depend on the amount of information provided by the stimulus (word/nonword), the language particularities (regular/irregular), and the nature of the task demands (repetition, writing, naming, or reading).


Asunto(s)
Afasia de Conducción/psicología , Afasia de Conducción/patología , Encéfalo/patología , Femenino , Humanos , Lingüística , Memoria a Corto Plazo , Persona de Mediana Edad , Lectura , Semántica , Escritura
6.
Brain Topogr ; 28(6): 838-51, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25266047

RESUMEN

Training readers to recognize pseudowords could decrease the processing differences between them and real words while clarifying the lexical acquisition processes. We analyze the effect of pseudoword repetition through the recording of EEG during a lexical decision task. Results showed a functional dissociation between two well-known ERP components: FN400 (Frontal N400, traditionally related to semantic processes) and LPC (Late Positive Complex, related to memory processes). On the one hand, FN400 was unaffected by pseudoword repetition and showed the typical lexicality effect. On the other hand, topographic and neural source analyses showed that LPC amplitude increased across repetitions, causing the lexicality effect to disappear, with the left inferior frontal, left superior temporal and right superior frontal gyri identified as the most likely neural sources. The lack of repetition effect on FN400 suggests that this component is unrelated to familiarity processes and is only influenced by semantic differences between stimuli. The LPC observations, however, reflect the construction and strengthening of visual memory traces for repeated pseudowords, facilitating their processing over the course of the task.


Asunto(s)
Mapeo Encefálico , Encéfalo/fisiología , Potenciales Evocados/fisiología , Semántica , Vocabulario , Análisis de Varianza , Electroencefalografía , Femenino , Humanos , Masculino , Estimulación Luminosa , Tiempo de Reacción/fisiología , Análisis de Regresión , Adulto Joven
7.
J Air Waste Manag Assoc ; 65(4): 500-10, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25947220

RESUMEN

UNLABELLED: Few studies have been made regarding carbonyl concentrations in Monterrey, México. The Monterrey Metropolitan Area (MMA) has the third largest population in the country and has increasing pollution issues. The concentrations of 10 aldehydes and two ketones were measured in the MMA, in the spring and fall of 2011 and 2012. Formaldehyde (16-42 ppbv) was the most abundant carbonyl, followed by acetaldehyde (5-15 ppbv) and acetone (7-15 ppbv). The concentrations showed marked diurnal trends with maximum values between 10:00 a.m. and 2:00 p.m., when photochemical activity is intense. Thus, secondary production of carbonyls is statistically significant in the city. Biogenic production of several carbonyls, such as 2-butanone, was supported by their mid correlation with solar radiation and low correlation with propionaldehyde, which is mainly emitted by anthropogenic sources. The seasonal variability of the concentrations was observed in the first three samplings, with the highest levels reached in the fall. The rainy conditions during the fourth sampling did not allow comparison. Carbonyl-NOx-O3 analysis was made. Results indicated a carbonyl-sensitive atmosphere, especially during the midday samplings of 10:00 a. m. to 2:00 p.m. and 2:00 p.m. and 6:00 p.m. because of the intense solar radiation during these periods. IMPLICATIONS: Monitoring of carbonyls in Monterrey, Mexico, was performed to quantify the pollutant concentration in the city's atmosphere. Although primary emission is significantly important, the secondary production of the pollutants, along with ozone production being carbonyl sensitive, indicates that air pollution controls must address the direct sources and the precursors of the pollutants to achieve air quality.


Asunto(s)
Contaminantes Atmosféricos/química , Atmósfera/química , Carbono/química , Ritmo Circadiano , Ozono/química , Estaciones del Año , México
8.
J Psycholinguist Res ; 43(1): 13-25, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23377903

RESUMEN

The influence of sublexical and lexico-syntactic factors during the grammatical gender assignment process in Spanish was studied in two experiments using the gender decision task. In Experiment 1, the regularity of the ending of gender-marked nouns (masculine nouns ended in -o and feminine nouns ended in -a) and of nouns with gender-correlated but unmarked word-endings (e.g., -ad) was manipulated. The results showed that regularity affected reaction times and error rates only in the case of gender-marked nouns, suggesting that the mere statistical distribution of a word-ending across genders is not responsible for the regularity effect. In Experiment 2, gender-marked nouns and gender-unmarked nouns were preceded by a masked prime which could be a definite article (which provides information about the gender of the noun) or a possessive pronoun (which does not contain gender information). The presentation of the definite article led to shorter reaction times and less errors only when the word-ending was different from -o or -a. Taken together, these results indicate that gender assignment in Spanish is carried out through different processes depending on the noun ending: gender decisions for gender-marked nouns are based on the gender-to-ending distribution. Meanwhile, gender decisions for unmarked nouns seem to require the retrieval of the corresponding definite grammatical article, regardless of the statistical distribution of the noun ending across genders.


Asunto(s)
Juicio , Lenguaje , Lingüística , Humanos , Psicolingüística , Tiempo de Reacción
9.
Diseases ; 12(1)2024 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-38248363

RESUMEN

The aim of this study was to evaluate the impact of non-surgical periodontal treatment (NS-PT) on periodontal parameters and inflammatory biomarkers in the concentration and level of calprotectin (CLP) in women with periodontitis and rheumatoid arthritis (RA). In this quasi-experimental study, we evaluated 30 women (mean age: 52.0 ± 5.8 years) with periodontitis and RA who had been diagnosed and treated for RA for more than 3 years and whose activity markers remained at similar values without significant reduction over three consecutive months. Patients underwent NS-PT, which included plaque control, scaling, and root planing. Serum and saliva samples, periodontal indices, RA activity markers, Disease Activity Score-28 (DAS28), the erythrocyte sedimentation rate (ESR), and the C-reactive protein (CRP) and CLP contents were measured at the beginning of the study and 6 and 12 weeks after NS-PT. Parametric and nonparametric tests were used in the analysis. The mean age was 52.0 ± 5.8 years. Compared to the baseline results, all periodontal indices were significantly reduced 6 and 12 weeks after NS-PT (p < 0.001). DAS28 was also significantly reduced after 12 weeks (p < 0.0001). Similarly, the serum CLP concentration decreased 6 and 12 weeks after NS-PT (p < 0.0001). Of the patients, 100% presented lower levels of CRP and ESR (p < 0.0001). Overall, NS-PT reduced inflammation and disease activity, highlighting the importance of oral health in the control and treatment of systemic diseases such as RA and confirming that NS-PT effectively reduces periodontitis activity and plays a key role in modulating RA activity. Therefore, NS-PT should be considered as an adjunct treatment for RA.

10.
Front Microbiol ; 15: 1430954, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39211317

RESUMEN

Introduction: Chitosan membranes with glycerol can function as an effective dispersing agent for different antibiotics or active ingredients that can be used in the treatment of diseases present in the oral cavity. Methods: The effects of the addition of glycerol on the mechanical, water absorption, swelling, pH, thickness, disintegration, rugosity, and antibacterial properties of chitosan-chlorhexidine- glycerol membranes were investigated in this study. Results and discussion: Mechanical results indicated that chitosan membranes' rugosity, strength, flexion, and thickness differed at loading 1, 3, 5, 10, 15, and 20% of glycerol (p < 0.05). The chitosan membranes' rugosity, dissolution, strength, and pH results were significantly enhanced by the presence of glycerol at 3, 5, and 10% concentrations. In this investigation, the antimicrobial activity model used was the inhibition of Streptococcus mutans CDBB-B-1455 by chitosan-chlorhexidine membranes. It was observed that there was no change in inhibition with different concentrations of glycerol. The results suggest that chitosan-glycerol-chlorhexidine membranes may be a potential candidate for topical antiseptic application in buccal-dental disorders caused by S. mutans, such as caries, periodontal diseases, and oral squamous cell carcinoma, helping to prevent the development of serious conditions that can compromise human health.

11.
Q J Exp Psychol (Hove) ; 76(12): 2760-2778, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36691389

RESUMEN

The present study examined the process of L2 orthographic learning in bilinguals with distant L1-L2 orthographies. Chinese-English bilinguals with various English proficiency levels were trained with novel L2 words during a reading task. In contrast to higher proficient learners, those with lower L2 proficiency exhibited increased effects of length, frequency, and lexicality across exposures and at-chance recognition of trained words. Importantly, an additional post-training task assessing the lexical integration of trained words evidenced the engagement in different L1-L2 reading strategies across different levels of L2 proficiency, hence suggesting the L1 holistic processing at the base of the effortful establishment of L2 orthographic representations shown by lower-proficient learners. Overall, these findings indicate the role of L2 proficiency in the influence that cross-linguistic variation exerts on L2 orthographic learning and highlight the need for English education programmes to tackle specific grapheme-to-phoneme skills in non-alphabetic target communities.


Asunto(s)
Multilingüismo , Humanos , Aprendizaje , Lingüística , Reconocimiento en Psicología , Lectura
12.
Biol Psychol ; 160: 108045, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33581230

RESUMEN

Attentional biases to emotional information may play a key role in the onset and course of schizophrenia. The aim of this experiment was to examine the attentional processing of four emotional scenes in competition (happy, neutral, sad, threatening) in 53 patients with schizophrenia and 51 controls. The eye movements were recorded in a 20-seconds free-viewing task. The results were: (i) patients showed increased attention on threatening scenes, compared to controls, in terms of attentional engagement and maintenance; (ii) patients payed less attention to happy scenes than controls, in terms of attentional maintenance; (iii) whereas positive symptoms were associated with a late avoidance of sad scenes, negative symptoms were associated with heightened attention to threat. The findings suggest that a threat-related bias and a lack of sensitivity to positive information may represent an underlying psychological mechanism of schizophrenia. Importantly, schizophrenia symptoms modulated the attentional biases, which has aetiological and therapeutic implications.


Asunto(s)
Sesgo Atencional , Esquizofrenia , Emociones , Movimientos Oculares , Tecnología de Seguimiento Ocular , Expresión Facial , Humanos
13.
J Psychiatr Res ; 144: 80-86, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34601379

RESUMEN

Attentional biases to threatening stimuli have been suggested to play a key role in the onset and course of schizophrenia. However, current research has not completely demonstrated this assumption. The aim of this eye-tracking study was to shed light on the underlying psychological mechanisms of schizophrenia by examining the attentional processing of socio-emotional information. Forty-four individuals with schizophrenia and 47 healthy controls were assessed in a 3-s free-viewing task with a social scene (i.e., happy, threatening, or neutral) in competition with a non-social one to determine the effects of emotional information on the different stages of the attentional processing. The location and latency of initial fixations (i.e., initial orienting), the firs-pass fixations and gaze duration (i.e., attentional engagement), and the percentage of total duration and total fixations (i.e., attentional maintenance) were analyzed. It was found that the schizophrenia group showed longer first-pass gaze duration, as well as higher percentage of total fixations and total duration toward threatening scenes in relation to the non-social ones, compared to controls. Therefore, an attentional bias toward threatening scenes in schizophrenia was found in the attentional maintenance and engagement, but not in the initial orienting of attention. Of note, the threat-related attentional bias was not associated with positive symptoms of schizophrenia. These findings offer empirical support to affective-information processing models stating that threatening information may confer psychological vulnerability to develop schizophrenia. Moreover, the results can improve psychological treatments, such as attentional bias modification paradigms or cognitive-behavior interventions managing maladaptive schemas related to threat.


Asunto(s)
Sesgo Atencional , Esquizofrenia , Sesgo , Emociones , Movimientos Oculares , Humanos
14.
Allergy Asthma Proc ; 31(4): e53-e62, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20819316

RESUMEN

The epidemiology of allergic diseases has not been studied extensively in Mexico. The present study, based on the International Study of Asthma and Allergies in Childhood Phase IIIB survey, reports the prevalence of allergic rhinitis and the associated risk factors in the pediatric population in four cities in northern Mexico. Children (6-7 years old) and adolescents (13-14 years old) in public elementary and secondary schools were surveyed in 2002 and 2003. The subjects were chosen randomly from Ciudad Victoria, Mexicali, Monterrey, and Tijuana. The following categories were analyzed: occurrence of rhinitis symptoms (currently or in the last 12 months), rhinoconjunctivitis symptoms, a previous diagnosis of allergic rhinitis, and relevant environmental factors. Factors associated with rhinitis that were identified previously with the chi-squared test were analyzed using logistic regression. The number of valid questionnaires was 10,892 for schoolchildren and 12,299 for adolescents. In 6- to 7-year-old children, the following frequencies were determined: rhinitis (ever), 27.9%; current rhinitis, 24.2%; rhinoconjunctivitis, 9.2%; and diagnosis of allergic rhinitis, 5.5%. The corresponding frequencies in 13- to 14-year-old children were 33.3, 34.1, 18.4, and 3.8%. In both 6- to 7-year-old and 13- to 14-year-old children, all rhinitis items were associated with asthma symptoms, dermatitis symptoms, paracetamol consumption, and maternal smoking (odds ratio, >1; p < 0.05). The main risk factors associated with allergic rhinitis symptoms in children and adolescents from cities in northern Mexico were other allergic conditions, paracetamol consumption, and passive smoking.


Asunto(s)
Asma/epidemiología , Dermatitis Alérgica por Contacto/epidemiología , Rinitis Alérgica Perenne/epidemiología , Rinitis Alérgica Estacional/epidemiología , Acetaminofén/efectos adversos , Adolescente , Niño , Femenino , Humanos , Masculino , México , Prevalencia , Rinitis Alérgica Perenne/fisiopatología , Rinitis Alérgica Estacional/fisiopatología , Factores de Riesgo , Encuestas y Cuestionarios , Contaminación por Humo de Tabaco
15.
Sci Am ; 312(6): 38-43, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26336684
16.
Bioprocess Biosyst Eng ; 33(3): 347-54, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19471972

RESUMEN

Several studies in laboratory-scale bioreactors are undertaken in order to verify the beneficial effect of thermal spring water in the culture medium of Thermus thermophilus HB27. Two bioreactor configurations, stirred tank and airlift, are investigated to determine the most suitable one to develop a continuous process. Water mineral composition affects the lipolytic enzyme secretion and growth of T. thermophilus HB27 in both bioreactor configurations. Furthermore, the lipolytic activity is strongly enhanced when stirred tank bioreactor is used. Moreover, operation in a stirred tank at an agitation rate of 650 rpm leads to the highest total lipolytic activity (intra- and extracellular enzyme) around 280 U/L after 32 h. Continuous cultures operating in the optimised conditions determined in batch cultures are carried out. It is noticeable that the stirred tank bioreactor was able to operate in a continuous flow mode without operational problems. In addition, the lipolytic activity obtained is about 2-fold higher than that attained in batch cultures.


Asunto(s)
Biotecnología/métodos , Thermus thermophilus/metabolismo , Biomasa , Reactores Biológicos , Cationes , Medios de Cultivo/química , Calor , Concentración de Iones de Hidrógeno , Lipólisis , Temperatura , Factores de Tiempo , Agua/química
17.
Brain Sci ; 10(10)2020 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-33050157

RESUMEN

The acquisition of new vocabulary is usually mediated by previous experience with language. In the visual domain, the representation of orthographically unfamiliar words at the phonological or conceptual levels may facilitate their orthographic learning. The neural correlates of this advantage were investigated by recording EEG activity during reading novel and familiar words across three different experiments (n = 22 each), manipulating the availability of previous knowledge on the novel written words. A different pattern of event-related potential (ERP) responses was found depending on the previous training, resembling cross-level top-down interactive effects during vocabulary acquisition. Thus, whereas previous phonological experience caused a modulation at the post-lexical stages of the visual recognition of novel written words (~520 ms), additional semantic training influenced their processing at a lexico-semantic stage (~320 ms). Moreover, early lexical differences (~180 ms) elicited in the absence of previous training did not emerge after both phonological and semantic training, reflecting similar orthographic processing and word-form access.

18.
BMJ Open Respir Res ; 7(1)2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33268340

RESUMEN

BACKGROUND: Global Asthma Network (GAN) was established in 2012 as a development to the International Study of Asthma and Allergies in Childhood to improve asthma care globally. OBJECTIVE: To survey asthma, allergic rhinitis and atopic dermatitis in primary and secondary school children and to investigate and evaluate its prevalence, severity, management and risk factors in Mexico. METHODS: GAN Phase I is a cross-sectional, multicentre survey carried out in 15 centres corresponding to 14 Mexican cities throughout 2016-2019 using the validated Spanish language version of the GAN Phase I questionnaires. The questionnaires were completed by parents of 6-7-year-old primary school pupils (school children) and by 13-14-year-old adolescents. RESULTS: A total of 35 780 school children and 41 399 adolescents participated. Wheezing ever prevalence was 26.2% (95% CI 25.8% to 26.7%) in school children and 23.9% (95% CI 23.4% to 24.3%) in adolescents. The corresponding frequencies for current wheeze were 10.2% (95% CI 9.9% to 10.5%) and 11.6% (95% CI 11.2% to 11.9%). In school children, the risk factors for current wheeze were rhinitis (OR 4.484; 95% CI 3.915% to 5.134%) and rash symptoms (OR 1.735; 95% CI 1.461% to 2.059%). For adolescents, rhinitis symptoms (OR 3.492; 95% CI 3.188% to 3.825%) and allergic rhinitis diagnosis (OR 2.144; 95% CI 1.787% to 2.572%) were the most significant. For both groups, there was a negative relation with centres' sea level altitude higher than 1500 m above mean sea level (p<0.005). CONCLUSIONS: The most important risk factors for asthma symptoms in both age groups were the presence of rhinitis and rash symptoms or diagnosis. On the other hand, sea level altitude higher than 1500 metres was a protective factor.


Asunto(s)
Altitud , Asma , Adolescente , Asma/epidemiología , Asma/etiología , Niño , Estudios Transversales , Humanos , México/epidemiología , Prevalencia , Factores de Riesgo
19.
Larenas-Linnemann, Désirée; Rodríguez-Pérez, Noel; Luna-Pech, Jorge A; Rodríguez-González, Mónica; Blandón-Vijil, María Virginia; Del-Río-Navarro, Blanca E; Costa-Domínguez, María Del Carmen; Navarrete-Rodríguez, Elsy Maureen; Macouzet-Sánchez, Carlos; Ortega-Martell, José Antonio; Pozo-Beltrán, César Fireth; Estrada-Cardona, Alan; Arias-Cruz, Alfredo; Rodríguez Galván, Karen Guadalupe; Brito-Díaz, Herson; Canseco-Raymundo, María Del Rosario; Castelán-Chávez, Enrique Emanuel; Escalante-Domínguez, Alberto José; Gálvez-Romero, José Luis; Gómez-Vera, Javier; González-Díaz, Sandra Nora; Guerrero-Núñez, María Gracia Belinda; Hernández-Colín, Dante Daniel; Macías-Weinmann, Alejandra; Mendoza-Hernández, David Alejandro; Meneses-Sánchez, Néstor Alejandro; Mogica-Martínez, María Dolores; Moncayo-Coello, Carol Vivian; Montiel-Herrera, Juan Manuel; O'Farril-Romanillos, Patricia María; Onuma-Takane, Ernesto; Ortega-Cisneros, Margarita; Rangel-Garza, Lorena; Stone-Aguilar, Héctor; Torres-Lozano, Carlos; Venegas-Montoya, Edna; Wakida-Kusunoki, Guillermo; Partida-Gaytán, Armando; López-García, Aída Inés; Macías-Robles, Ana Paola; Ambriz-Moreno, María de Jesús; Azamar-Jácome, Amyra Ali; Beltrán-De Paz, Claudia Yusdivia; Caballero-López, Chrystopherson; Fernández de Córdova-Aguirre, Juan Carlos; Fernández-Soto, José Roberto; Lozano-Sáenz, José Santos; Oyoqui-Flores, José Joel; Osorio-Escamilla, Roberto Efrain; Ramírez-Jiménez, Fernando.
World Allergy Organ J ; 13(8): 100444, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32884611

RESUMEN

BACKGROUND: Allergen immunotherapy (AIT) has a longstanding history and still remains the only disease-changing treatment for allergic rhinitis and asthma. Over the years 2 different schools have developed their strategies: the United States (US) and the European. Allergen extracts available in these regions are adapted to local practice. In other parts of the world, extracts from both regions and local ones are commercialized, as in Mexico. Here, local experts developed a national AIT guideline (GUIMIT 2019) searching for compromises between both schools. METHODS: Using ADAPTE methodology for transculturizing guidelines and AGREE-II for evaluating guideline quality, GUIMIT selected 3 high-quality Main Reference Guidelines (MRGs): the European Academy of Allergy, Asthma and Immunology (EAACI) guideines, the S2k guideline of various German-speaking medical societies (2014), and the US Practice Parameters on Allergen Immunotherapy 2011. We formulated clinical questions and based responses on the fused evidence available in the MRGs, combined with local possibilities, patient's preference, and costs. We came across several issues on which the MRGs disagreed. These are presented here along with arguments of GUIMIT members to resolve them. GUIMIT (for a complete English version, Supplementary data) concluded the following. RESULTS: Related to the diagnosis of IgE-mediated respiratory allergy, apart from skin prick testing complementary tests (challenges, in vitro testing and molecular such as species-specific allergens) might be useful in selected cases to inform AIT composition. AIT is indicated in allergic rhinitis and suggested in allergic asthma (once controlled) and IgE-mediated atopic dermatitis. Concerning the correct subcutaneous AIT dose for compounding vials according to the US school: dosing tables and formula are given; up to 4 non-related allergens can be mixed, refraining from mixing high with low protease extracts. When using European extracts: the manufacturer's indications should be followed; in multi-allergic patients 2 simultaneous injections can be given (100% consensus); mixing is discouraged. In Mexico only allergoid tablets are available; based on doses used in all sublingual immunotherapy (SLIT) publications referenced in MRGs, GUIMIT suggests a probable effective dose related to subcutaneous immunotherapy (SCIT) might be: 50-200% of the monthly SCIT dose given daily, maximum mixing 4 allergens. Also, a table with practical suggestions on non-evidence-existing issues, developed with a simplified Delphi method, is added. Finally, dissemination and implementation of guidelines is briefly discussed, explaining how we used online tools for this in Mexico. CONCLUSIONS: Countries where European and American AIT extracts are available should adjust AIT according to which school is followed.

20.
Actas Urol Esp ; 33(5): 550-61, 2009 May.
Artículo en Español | MEDLINE | ID: mdl-19658309

RESUMEN

Laparoscopic radical nephrectomy is considered to be the technique of choice in the mangement of stage T1 and T2 renal cancer, though increased mastery of this alternative type of surgery has served to expand its indications. In any case, these procedures have a series of limitations which are tied to the intrinsic characteristics of laparoscopic surgery, and which are associated with the patient and tumor characteristics, and the experience of the surgeon. The present study discusses the different indications and establishes the current limits of laparoscopic surgery applied to the management of renal tumors. Its role in cell-reducing therapy in metastatic disease, and the methods available for reducing tumor implantation in the surgical ports are also commented.


Asunto(s)
Neoplasias Renales/cirugía , Laparoscopía , Nefrectomía/métodos , Humanos , Neoplasias Renales/patología , Estadificación de Neoplasias
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